To what degree listeners can maintain gradient subcategorical information about speech input in memory over time has been a matter of considerable debate. The literature has largely lacked formal computational models of potential mechanisms against which to compare human behavior. Here, we formalize several competing cognitive models of this process and quantitatively compare them to data from a series of behavioral experiments. We find consistently strong evidence in favor of models which allow for maintenance of subcategorical information over the course of an utterance. These results suggests that listeners are able to maintain relatively fine-grained details about prior linguistic input over long perceptual timescales. This work also highlights the importance of formalizing cognitive models of behavior to distinguish between competing theoretical mechanisms.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0ds9702v","frozenauthors":[{"first_name":"Wednesday","middle_name":"","last_name":"Bushong","name_suffix":"","institution":"Wellesley College","department":"Cognitive & Linguistic Sciences, Psychology"}],"date_submitted":"2024-12-03T10:52:31.606000-08:00","date_accepted":"2025-04-08T12:15:31.944000-07:00","date_published":"2025-05-05T18:00:00-07:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/40229/galley/35664/download/"},"galleys":[{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/40229/galley/35664/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/40229/galley/35665/download/"}]},{"pk":1593,"title":"Isolating the extra-logical features of but and so by comparing their processing to and's: An investigation with thematically neutral content","subtitle":null,"abstract":"Connectives such as and, but, and so conjoin two elements of discourse in characteristic ways. While highlighting (i) the conjunctive contribution of all three and (ii) the rich procedural information in the latter two, we posit that discourse connectives such as but and so convey specific kinds of extra-logical inferences, concerning contrast and causality, respectively. Unlike previous processing studies, which have focused either on the integration of a given connective to a provided thematic discourse representation or on its effect on processing downstream, we focus on the inferential potential of discourse connectives from the moment they are presented and in a largely thematically-neutral scenario. In order to systematically vary the processing import of discourse connectives, while holding constant all other variables, we present participants a repeatable game in which they determine whether a provided sentence – concerning a pair of letters – is true or false with respect to a provided three-letter word. For example, in one trial participants determine whether or not the sentence There is a B but there is no T is true with respect to the word BET. To isolate the processing contribution of the connective, the sentence is broken up into two segments (with the first containing the connective) in a self-paced task. This led to two pre-registered reading time experiments. In Experiment 1, in which the three-letter word is presented before the sentence, we found that but and so themselves are processed more slowly than and and that they each create specific discourse expectations, which are observable in post-connective reaction times. In Experiment 2, in which the word comes at the end of a trial (which means sentence-processing takes place without knowledge of the segments’ truth values), we confirmed the findings of Experiment 1. Overall, this study provides evidence showing that the extra-logical contributions in but and in so (i) come with processing costs that (ii) are due to rigid and complex procedures that addressees aim to cash out.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8fc3t67c","frozenauthors":[{"first_name":"Cecile","middle_name":"","last_name":"Larralde","name_suffix":"","institution":"Université Paris Cité, CNRS, Laboratoire de linguistique formelle / Moor House Research and Training Institute","department":""},{"first_name":"Morgan","middle_name":"","last_name":"Moyer","name_suffix":"","institution":"Sorbonne Université","department":""},{"first_name":"Nausicaa","middle_name":"","last_name":"Pouscoulous","name_suffix":"","institution":"University College London","department":"Department of Linguistics"},{"first_name":"Ira","middle_name":"","last_name":"Noveck","name_suffix":"","institution":"Université Paris Cité, CNRS, Laboratoire de linguistique formelle","department":""}],"date_submitted":"2023-08-07T08:17:57.174000-07:00","date_accepted":"2025-03-05T17:36:10.553000-08:00","date_published":"2025-05-05T17:55:00-07:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1593/galley/35591/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1593/galley/35590/download/"},{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1593/galley/35591/download/"}]},{"pk":48207,"title":"The Urgency of the Arts in Addressing Student Isolation, Belonging, and Joyful Learning","subtitle":null,"abstract":"Modern schools face constant challenges that require careful attention to bothacademic and emotional needs of their students. In response, schools and districtsacross the country are increasingly turning to the arts to build social-emotionallearning capacity, increase resilience, boost student achievement, provide studentswith creative, active learning experiences, and deepen understanding of non-arts subjects. The arts have emerged as a mechanism that brings together cognitive skills of problem solving, idea generation, flexibility, and joyful learning at a time of great need. This article chronicles the experiences of teachers as they integrate the arts to create opportunities for student creativity, empathy, and increased student achievement in arts and non-arts subjects. Recent studies on the capacity for the arts to address flow, interest, effort, and joyfulness are also shared.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Joyful"},{"word":"belonging"},{"word":"Social-emotional"},{"word":"integration"},{"word":"safety"},{"word":"Empathy"}],"section":"Teaching and Learning through the Arts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2w80k5zs","frozenauthors":[{"first_name":"Bradley","middle_name":"","last_name":"Foust","name_suffix":"","institution":"Southern New Hampshire University, Bartlett City Schools","department":"None"},{"first_name":"Ivonne","middle_name":"Chand","last_name":"O'Neal","name_suffix":"","institution":"MUSE Research","department":"None"}],"date_submitted":"2018-10-22T12:35:07-07:00","date_accepted":"2018-10-22T12:35:07-07:00","date_published":"2025-05-05T14:22:05-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cla_jlta/article/48207/galley/36313/download/"}]},{"pk":54344,"title":"Front Matter v5 iss2","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3wp9d4q8","frozenauthors":[{"first_name":"JLPE","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-05-05T14:46:20-07:00","date_accepted":"2025-05-05T14:46:20-07:00","date_published":"2025-05-05T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54344/galley/41056/download/"}]},{"pk":54340,"title":"Review of Bashir Mobasher, Constitutional Law and the Politics of Ethnic Accommodation: Institutional Design in Afghanistan","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7f10d48g","frozenauthors":[{"first_name":"Shamshad","middle_name":"","last_name":"Pasarlay","name_suffix":"","institution":"University of Chicago","department":""}],"date_submitted":"2025-04-16T09:52:09-07:00","date_accepted":"2025-04-16T09:52:09-07:00","date_published":"2025-05-05T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54340/galley/41053/download/"}]},{"pk":54345,"title":"Revisiting (Again) “Truth in Securities Revisited”: The SEC Disclosure Regime in the New Millennium","subtitle":null,"abstract":"The system of disclosure for public companies no longer meets the needs of investors and other stakeholders. Largely put in place by the Securities and Exchange Commission in 1982, the principles underlying the system have failed to keep pace with shifts in the market and dramatic changes in technology. The system requires a paradigm shift and fundamental alterations in the principles underlying the approach to disclosure. The shift must include the integration of comparative data, the expansion of the categories subject to mandatory disclosure, and the disaggregation of financial statements. Failure to update the system of disclosure will result in investors increasingly relying on sources of information outside of the periodic reporting process, reducing the importance of required disclosure and the role of the Securities and Exchange Commission.","language":"en","license":null,"keywords":[{"word":"Periodic reports"},{"word":"climate change"},{"word":"mandatory disclosure"},{"word":"index investors"},{"word":"permanent capital"},{"word":"financial statement disaggregation"},{"word":"materiality"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/86z4j62c","frozenauthors":[{"first_name":"J. Robert","middle_name":"","last_name":"Brown, Jr.","name_suffix":"","institution":"University of Denver","department":""}],"date_submitted":"2025-05-05T14:58:11-07:00","date_accepted":"2025-05-05T14:58:11-07:00","date_published":"2025-05-05T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54345/galley/41057/download/"}]},{"pk":54337,"title":"The Externality of Discounted Externalities","subtitle":null,"abstract":"This article addresses an unexplored problem in the externalities literature: the present value of future\n \nexternalities. The problem arises because externalized costs and benefits occur in the future, and therefore should be discounted, yet discount rates used by corporate decision-makers are typically higher than the appropriate social discount rate.\n \nIn simple terms, corporations discount the future too much, and therefore underproduce potential future benefits and overproduce potential future costs. Our key insight is that the impact of high corporate discount rates, relative to the socially appropriate discount rate, is an \nadditional externality\n. We refer to the additional costs that arise when corporations use higher-than-optimal discount rates as “the externality of discounted externalities.”\n \nPolicy makers should take into account the difference between corporate and social discount rates. Regulators and courts that seek to incentivize corporations to make decisions about the future in socially optimal ways should not ignore the externality of discounted externalities.","language":"en","license":null,"keywords":[{"word":"climate change"},{"word":"externalities"},{"word":"valuation"},{"word":"ESG"},{"word":"regulatory policy"},{"word":"discount rates"},{"word":"arbitrage"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/54j836d0","frozenauthors":[{"first_name":"Kent","middle_name":"","last_name":"Greenfield","name_suffix":"","institution":"Boston College","department":""},{"first_name":"Frank","middle_name":"","last_name":"Partnoy","name_suffix":"","institution":"University of California Berkeley","department":""}],"date_submitted":"2025-04-15T13:41:59-07:00","date_accepted":"2025-04-15T13:41:59-07:00","date_published":"2025-05-05T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54337/galley/41050/download/"}]},{"pk":34850,"title":"Evaluating the Implementation of a “COVID-19 Test” Chief Concern in the Emergency Department","subtitle":null,"abstract":"Background: During the COVID-19 pandemic, rapid, at-home testing for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) was inconsistently available. Consequently, for some patients, emergency departments (ED) became the preferred site to access COVID-19 testing. To improve operational efficiency, our ED implemented a “COVID-19 Test” chief concern (CC). Our primary objective in this analysis was to broadly assess the utilization of the new “COVID-19 Test” CC and associated clinical care.
\nMethods: We conducted a retrospective analysis of ED encounters from an academic ED and an affiliated, community-based ED of all patients after the establishment of a CC of “COVID-19 Test” from October 11, 2021–July 31, 2022. The data were extracted from the electronic health record. We calculated descriptive demographic statistics and ran a univariate and multivariate logistic regression with additional diagnostic or therapeutic interventions (binary) as the outcome variable to generate odds ratios (OR) and 95% confidence intervals (CI).
\nResults: A total of 320 patients were assigned a “COVID-19 Test” CC by a triage nurse. This was 0.5% of all ED encounters in this time frame. Of those, 45% were found to be SARS-CoV-2 positive. Admission or repeat ED visit at 72 hours occurred in 5.3% of patients. Nearly half (46.9%) of patients assigned a “COVID-19 Test” CC underwent additional ED interventions. Patients on Medicaid and those who self-identified as Black or Hispanic/Latino were disproportionately represented in the “COVID-19 Test” CC group as compared to the overall ED population. In multivariate analysis, an Emergency Severity Index of 1, 2 or 3 was associated with significantly higher odds of receiving additional interventions compared to ESI of 4 or 5 (adjusted OR: 46.85; 95% CI 13.28-165.26; P <0.001).
\nConclusion: Patients assigned a chief concern of “COVID-19 Test” had a high COVID-19 positivity rate, often underwent additional ED interventions, and were at low risk of return ED visits or admission. Minoritized and low-income patients were disproportionately represented in the “COVID-19 Test” CC group, highlighting potential disparities in access to at-home COVID-19 testing and implementation of this CC.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"COVID-19"},{"word":"chief complaint"},{"word":"Chief Concern"},{"word":"triage"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6fn127r2","frozenauthors":[{"first_name":"Collin","middle_name":"","last_name":"Michels","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Daniel","middle_name":"J.","last_name":"Hekman","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Rebecca","middle_name":"J.","last_name":"Schwei","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Ryan","middle_name":"E.","last_name":"Tsuchida","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Joshua","middle_name":"","last_name":"Gauger","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Irene","middle_name":"","last_name":"Hurst","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Joshua","middle_name":"","last_name":"Glazer","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Jenna","middle_name":"","last_name":"Brink","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Ciara","middle_name":"","last_name":"Barclay-Buchanan","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Manish","middle_name":"N.","last_name":"Shah","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Azita","middle_name":"G.","last_name":"Hamedani","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin","department":""},{"first_name":"Michael","middle_name":"","last_name":"Pulia","name_suffix":"","institution":"University of Wisconsin–Madison School of Medicine and Public Health, BerbeeWalsh, Department of Emergency Medicine, Madison, Wisconsin; University of Wisconsin–Madison, College of Engineering, Industrial and Systems Engineering, Madison, Wisconsin","department":""}],"date_submitted":"2024-08-22T08:18:03.865000-07:00","date_accepted":"2025-01-18T15:01:12.526000-08:00","date_published":"2025-05-02T09:18:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/34850/galley/36390/download/"}]},{"pk":38049,"title":"A Case Report of Rattlesnake Musk Exposure Causing Chemical Conjunctivitis","subtitle":null,"abstract":"INTRODUCTION
\nRattlesnakes are pit vipers belonging to the Viperidae family and Crotalinae subfamily. They inject venom into their victims via bites from two long, hollow fangs. This report describes a rare case of non-penetrating rattlesnake ocular exposure with symptoms. Prior reports, pathophysiology, evaluation, and treatment recommendations are also discussed.
\nCASE REPORT
\nA 56-year-old male picked up a rattlesnake and was sprayed in both eyes with venom. He had immediate pain and blurred vision. Despite copious initial irrigation, he continued to have worsening symptoms with conjunctival hemorrhage and scleral sloughing. After discussion with poison control, he was given six vials of intravenous antivenom. After additional irrigation and evaluation by ophthalmology, the patient symptoms stabilized but his exam still included blepharitis, subconjunctival hemorrhages, and bilateral small corneal epithelial defects. He was discharged home with corneal antibiotics and artificial tears. One week later, his symptoms were resolved, and his exam was normal.
\nCONCLUSION
\nNon-penetrating ocular rattlesnake envenomation is rare. It should be treated as any other ocular exposure beginning with copious irrigation, then detailed examination. Current recommendations argue against intravenous antivenom administration. However, intravenous antivenom can be considered if symptoms do not improve.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"rattlesnake"},{"word":"ocular exposure"},{"word":"case report"},{"word":"snake musk"},{"word":"chemical conjunctivitis"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6h30h3jd","frozenauthors":[{"first_name":"Raj","middle_name":"","last_name":"Patel","name_suffix":"","institution":"Riverside University Health System, Department of Emergency Medicine, Moreno Valley, California","department":""},{"first_name":"Melanie","middle_name":"Miyori","last_name":"Randall","name_suffix":"","institution":"Riverside University Health System, Department of Emergency Medicine, Moreno Valley, California","department":""}],"date_submitted":"2024-10-11T11:31:36.632000-07:00","date_accepted":"2025-01-16T09:13:32.062000-08:00","date_published":"2025-05-01T13:35:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/38049/galley/35745/download/"}]},{"pk":41487,"title":"Case Report: ST-Elevation Myocardial Infarction in Third Trimester Pregnancy","subtitle":null,"abstract":"Introduction: While rare in pregnancy, acute coronary syndrome (ACS) does happen. It has been found to be more common in individuals with risk factors. A case of chest pain in a previously healthy female in her third trimester demonstrates the importance of keeping ACS high on the differential list.
\nCase Report: A 26-year-old pregnant female gravida five, para three at 37 weeks gestation with a past medical history of diet-controlled gestational diabetes, obesity, and family history of myocardial infarction (MI) presented to an outside hospital for chest pain and was transferred to the closest ST-elevation myocardial infarction (STEMI) receiving emergency department (ED) after she was found to have an electrocardiogram (ECG) concerning for acute STEMI. On arrival to the ED, STEMI protocol was activated based on ST-segment elevations on inferior and antero-lateral leads on the ECG. Bedside assessment of the fetus by obstetrics showed a viable intrauterine pregnancy, and the patient was taken to the cardiac catheterization lab. She was found to have a 100% thrombotic occlusion in the ostium of the right posterolateral artery, and percutaneous coronary intervention was performed. The patient was discharged with plans for cesarean section at 39 weeks.
\nConclusion: This case highlights the need for early STEMI activation and consultation with obstetrics when a pregnant patient presents with an ECG suggestive of STEMI. It also emphasizes the importance of maintaining a high level of suspicion for STEMI in pregnant patients presenting with chest pain. Although rare—0.6 in 10,000 pregnancies—mortality rates range from 5.1-37% throughout pregnancy and postpartum. It is important to remember that pregnancy does not preclude a patient from undergoing standard treatment of acute MI.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"acute myocardial infarction"},{"word":"spontaneous coronary artery dissection"},{"word":"ST elevation myocardial infarction"},{"word":"electrocardiogram"},{"word":"pregnancy"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9hn14940","frozenauthors":[{"first_name":"Luis","middle_name":"","last_name":"Martinez","name_suffix":"","institution":"Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":""},{"first_name":"Emmelyn","middle_name":"","last_name":"Samones","name_suffix":"","institution":"Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":""},{"first_name":"Michael","middle_name":"","last_name":"Kiemeney","name_suffix":"","institution":"Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":""},{"first_name":"Wiliam","middle_name":"Michael","last_name":"Downes","name_suffix":"","institution":"Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":""}],"date_submitted":"2024-12-13T10:47:24.252000-08:00","date_accepted":"2025-02-24T14:08:46.667000-08:00","date_published":"2025-05-01T13:23:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/41487/galley/35744/download/"}]},{"pk":39988,"title":"Anterior Mitral Leaflet Flutter on M-mode Echocardiography as an Indicator of Atrial Fibrillation: Case Report","subtitle":null,"abstract":"Introduction. M-mode in bedside point-of-care ultrasound (POCUS) transthoracic echocardiography (TTE) remains an important tool for emergency physicians. M-mode of the mitral valve is used to assess ejection fraction (EF) during assessment of E-point septal separation (EPSS). Anterior mitral leaflet fluttering visualized on M-mode echocardiography is a known sequelae of aortic regurgitation. Although not reported in the Emergency Medicine literature, anterior mitral leaflet fluttering also occurs with atrial fibrillation.
\nCase Report. We present the first case in peer-reviewed Emergency Medicine literature of anterior mitral leaflet fluttering observed on M-mode echocardiography caused by atrial fibrillation. Our patient was a 54-year-old male with chest pain who was evaluated in the Emergency Department with a point-of-care ultrasound transthoracic echocardiogram that showed anterior mitral leaflet fluttering on E-point septal separation. Subsequent inpatient workup confirmed the diagnosis of symptomatic atrial fibrillation without ischemia or clinically-significant aortic regurgitation.
\nConclusion. Emergency physicians must rapidly assess and risk-stratify undifferentiated patients presenting with chest pain. Understanding that anterior mitral leaflet fluttering on M-mode during EPSS may signal atrial fibrillation augments efficient and appropriate disposition of these patients.
\nKeywords. POCUS, point-of-care ultrasound, transthoracic echocardiogram, TTE, M-mode, aortic regurgitation, atrial fibrillation, anterior mitral leaflet flutter, case report
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"POCUS"},{"word":"point-of-care ultrasound"},{"word":"transthoracic echocardiogram"},{"word":"TTE"},{"word":"M-mode"},{"word":"aortic regurgitation"},{"word":"atrial fibrillation"},{"word":"anterior mitral leaflet flutter"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8g57z78k","frozenauthors":[{"first_name":"Maya","middle_name":"","last_name":"Alexandri","name_suffix":"","institution":"Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Cavazos, Texas","department":""},{"first_name":"Adam","middle_name":"","last_name":"Church","name_suffix":"","institution":"Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Cavazos, Texas","department":""},{"first_name":"Chelsea","middle_name":"","last_name":"Ausman","name_suffix":"","institution":"Rhine Ordnance Barracks, Department of Resuscitative Surgery, Rhineland-Palatinate, Germany","department":""},{"first_name":"Dan","middle_name":"","last_name":"Brillhart","name_suffix":"","institution":"Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Cavazos, Texas","department":""}],"date_submitted":"2024-11-24T08:21:35.862000-08:00","date_accepted":"2025-02-19T11:09:16.549000-08:00","date_published":"2025-05-01T13:20:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/39988/galley/35743/download/"}]},{"pk":48373,"title":"The Computational Power of a Human Society: a New Model of Social Evolution","subtitle":null,"abstract":"Social evolutionary theory seeks to explain increases in the scale and complexity of human societies, from origins to present. Over the course of the twentieth century, social evolutionary theory largely fell out of favor as a way of investigating human history, just when advances in complex systems science and computer science saw the emergence of powerful new conceptions of complex systems, and in particular new methods of measuring complexity. We propose that these advances in our understanding of complex systems and computer science should be brought to bear on our investigations into human history. To that end, we present a new framework for modeling how human societies co-evolve with their biotic environments, recognizing that both a society and its environment are computers. This leads us to model the dynamics of each of those two systems using the same, new kind of computational machine, which we define here. For simplicity, we construe a society as a set of interacting occupations and technologies. Similarly, under such a model, a biotic environment is a set of interacting distinct ecological and environmental processes. This provides novel ways to characterize social complexity, which we hope will cast new light on the archaeological and historical records. Our framework also provides a natural way to formalize both the energetic (thermodynamic) costs required by a society as it runs, and the ways it can extract thermodynamic resources from the environment in order to pay for those costs — and perhaps to grow with any left-over resources.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/01m702z1","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Wolpert","name_suffix":"","institution":"Santa Fe Institute","department":""},{"first_name":"Kyle","middle_name":"","last_name":"Harper","name_suffix":"","institution":"University of Oklahoma","department":""}],"date_submitted":"2025-06-01T06:20:26.115000-07:00","date_accepted":"2025-06-01T06:21:02.912000-07:00","date_published":"2025-05-01T03:30:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cliodynamics/article/48373/galley/40117/download/"}]},{"pk":48369,"title":"The State as a Socio-Evolutionary Response to the Challenges of the Scale of Control and the Continuity Gap","subtitle":null,"abstract":"The article is an experience of theoretical reconstruction of the origin of the state as a natural phenomenon of evolution in general and social evolution in particular, under the formation of necessary and sufficient conditions. The analysis of R. Carneiro's criticism of M. Weber's classical definition, as well as the discussion of M. Berent's original concept of the non-state status of the ancient Greek polis, allow to formulate a new synthetic definition of the state. We add a new feature to the known characteristics: a formal structure of managerial positions reproduced across generations and independent of kinship relations. The conceptual scheme of the general evolutionary mechanism of the emergence of new structures combines classical ideas (from C. Darwin to A. Toynbee), as well as models of such anthropologists and sociologists (R. Carneiro, A. Stinchcombe, R. Collins, etc.). The scheme includes the following concepts: concerns, challenges-threats and challenges-opportunities, ingredients, response attempts, fixation mechanisms, providing structures, the most flexible and polyfunctional of which were called magic wands. The application of this construct to the theory of the origin of the state raises the question of the ingredients of the processes of formation of the first states. The ideas and results of the work of anthropologists and historical sociologists have made it possible to visualize the trends in the development of barbarian societies that led to the ingredients sought. Such reasoning not only reinforces R. Carneiro's classical theory, but also complements it with a general evolutionary mechanism. The first states emerged in response to historical challenges and concerns related to the economic, military and social development of barbarian societies, and then became the main magic wands in the political evolution of all world civilizations.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4sx9v8m1","frozenauthors":[{"first_name":"Nikolai","middle_name":"","last_name":"Rozov","name_suffix":"","institution":"Siberian Branch of Russian Academy of Sciences","department":"Institute of Philosophy and Law"}],"date_submitted":"2025-06-01T06:09:14.533000-07:00","date_accepted":"2025-06-01T06:10:10.171000-07:00","date_published":"2025-05-01T03:30:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cliodynamics/article/48369/galley/40116/download/"}]},{"pk":64527,"title":"12.1 Table of Contents and Editors' Note (April 30, 2025)","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5735h429","frozenauthors":[{"first_name":"AGS Editors","middle_name":"","last_name":"","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-04-30T02:00:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/analoggamestudies/article/64527/galley/50361/download/"}]},{"pk":64530,"title":"Book Review: Von bierbrauenden Mönchen und kriegerischen Nonnen Klöster und Klerus in analogen und digitalen Spielen","subtitle":null,"abstract":"A review of the German language edited collection Of Beer-Brewing Monks and War-Like Nuns: Cloisters and Clergy in Analog and Digital Games, which addresses how church history, monastic culture, and monks and nuns themselves are represented in analog and digital games.","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"book review"},{"word":"representation"},{"word":"religion"},{"word":"history"},{"word":"monks"},{"word":"nuns"},{"word":"analog games"},{"word":"digital games"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1qs7w3vm","frozenauthors":[{"first_name":"Evan","middle_name":"","last_name":"Torner","name_suffix":"","institution":"University of Cincinnati","department":"German Studies, Film & Media Studies"}],"date_submitted":null,"date_accepted":null,"date_published":"2025-04-30T02:00:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/analoggamestudies/article/64530/galley/50364/download/"}]},{"pk":64529,"title":"How to Re-Configure the Social Interaction Among Danish Lonely Young Adults Through a Social Design Approach","subtitle":null,"abstract":"This paper investigate how social design games may support interaction between lonely young adults that due to long-term loneliness need to train social skills which later can help them out of their loneliness. A leisure game was hacked based on previous fieldwork and presented for lonely young adults. The game was played and the inquiry was video-recorded with a group of attendees and the data was transcripted and analyzed within a narrative and small story approach. The findings from the data showed that social design games can help lonely young adults to train social competencies.","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"card games"},{"word":"UNO"},{"word":"social design"},{"word":"serious games"},{"word":"leisure"},{"word":"loneliness"},{"word":"player psychology"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9w84p6rk","frozenauthors":[{"first_name":"Mads","middle_name":"Grønne","last_name":"Bärenholdt","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-04-30T02:00:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/analoggamestudies/article/64529/galley/50363/download/"}]},{"pk":64528,"title":"Postcards from Role-Playing the Humanities","subtitle":null,"abstract":"This collaborative, retrospective essay weaves together the reflections of fourteen participants at the Role-Playing the Humanities event at the University of Cincinnati (UC) on March 31 and April 1, 2025.1 The symposium brought together students, faculty, and administrators with expert designers and scholars of role-playing to think about how role-playing can enhance the work of the humanities and to explore the worldbuilding and radical worldmaking possibilities of role-playing games.","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"conference"},{"word":"postcards"},{"word":"TTRPG"},{"word":"role-playing"},{"word":"humanities"},{"word":"University of Cincinnati"},{"word":"pedagogy"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2sg3n9vs","frozenauthors":[{"first_name":"Edmond","middle_name":"Y.","last_name":"Chang","name_suffix":"","institution":"Ohio University","department":"English"},{"first_name":"Maria","middle_name":"K.","last_name":"Alberto","name_suffix":"","institution":"","department":""},{"first_name":"Megan","middle_name":"","last_name":"Condis","name_suffix":"","institution":"Texas Tech University","department":"Communication Studies"},{"first_name":"Jason","middle_name":"","last_name":"Cox","name_suffix":"","institution":"University of Toledo","department":"Art Education"},{"first_name":"Michaele","middle_name":"L.","last_name":"Ferguson","name_suffix":"","institution":"University of Colorado at Boulder","department":"Political Science"},{"first_name":"Emily","middle_name":"C.","last_name":"Friedman","name_suffix":"","institution":"Auburn University","department":"English"},{"first_name":"Luke","middle_name":"","last_name":"Hernandez","name_suffix":"","institution":"University of Texas at Dallas","department":"Arts, Technology, and Emerging Communication"},{"first_name":"Katherine","middle_name":"Castiello","last_name":"Jones","name_suffix":"","institution":"University of Cincinnati","department":""},{"first_name":"Shelly","middle_name":"","last_name":"Jones","name_suffix":"","institution":"SUNY Delhi","department":"English"},{"first_name":"Tim","middle_name":"","last_name":"Kask","name_suffix":"","institution":"","department":""},{"first_name":"Bea","middle_name":"","last_name":"Livesey-Stephens","name_suffix":"","institution":"Abertay University","department":""},{"first_name":"Antonio","middle_name":"","last_name":"Roda Martínez","name_suffix":"","institution":"Centro Universitario EUSA","department":""},{"first_name":"Evan","middle_name":"","last_name":"Torner","name_suffix":"","institution":"University of Cincinnati","department":"German Studies, Film & Media Studies"},{"first_name":"José","middle_name":"P.","last_name":"Zagal","name_suffix":"","institution":"University of Utah","department":"Division of Games"}],"date_submitted":null,"date_accepted":null,"date_published":"2025-04-30T02:00:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/analoggamestudies/article/64528/galley/50362/download/"}]},{"pk":41491,"title":"Lidocaine for Sodium Channel Toxicity in Diphenhydramine Overdose: A Case Report","subtitle":null,"abstract":"Introduction: Diphenhydramine overdose is a growing concern, particularly among adolescents influenced by online challenges. Traditionally managed with supportive care and sodium bicarbonate, severe cases may exhibit refractory symptoms due to sodium channel toxicity, necessitating alternative treatments.
\nCase Report: A 28-year-old male with a history of anxiety and depression presented to the emergency department unresponsive, next to an empty bottle of Benadryl and wine bottles. Vital signs indicated hypotension and hypoxia. The patient was intubated and administered vasopressors. Initial ECG showed a widened QRS complex and terminal R wave in lead aVR, suggesting sodium channel blockade. Treatment with multiple boluses of sodium bicarbonate was ineffective. Lidocaine (95 mg IV) was administered, resulting in improved ECG findings and patient stabilization. Subsequent care focused on supportive measures and treatment for aspiration pneumonia. The patient was extubated on day 2 and discharged on day 7 to a behavioral health facility.
\nConclusion: This case underscores the effectiveness of lidocaine as a secondary treatment for diphenhydramine-induced sodium channel toxicity when standard sodium bicarbonate therapy fails. Lidocaine's ability to restore myocardial conduction illustrates its potential as a critical intervention in toxicological emergencies.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Diphenhydramine overdose"},{"word":"Sodium channel toxicity"},{"word":"Lidocaine"},{"word":"case report"},{"word":"Sodium bicarbonate resistance"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2b49595b","frozenauthors":[{"first_name":"Kassem","middle_name":"Michael","last_name":"Makki","name_suffix":"","institution":"New York Presbyterian-Brooklyn Methodist Hospital, Division of Emergency Medicine","department":""},{"first_name":"David","middle_name":"","last_name":"Mandil","name_suffix":"","institution":"New York Presbyterian-Brooklyn Methodist Hospital, Division of Emergency Medicine","department":""},{"first_name":"Roger","middle_name":"","last_name":"Hopson","name_suffix":"","institution":"New York Presbyterian-Brooklyn Methodist Hospital, Division of Internal Medicine, Pulmonary and Critical Care","department":""},{"first_name":"Maxim","middle_name":"","last_name":"Kashin","name_suffix":"","institution":"New York Presbyterian-Brooklyn Methodist Hospital, Division of Internal Medicine, Pulmonary and Critical Care","department":""},{"first_name":"Roger","middle_name":"","last_name":"Rothenberg","name_suffix":"","institution":"New York University Langone Health, Division of Toxicology","department":""},{"first_name":"Noah","middle_name":"","last_name":"Reisman","name_suffix":"","institution":"New York Presbyterian-Brooklyn Methodist Hospital, Division of Internal Medicine, Pulmonary and Critical Care","department":""},{"first_name":"Brenna","middle_name":"","last_name":"Farmer","name_suffix":"","institution":"New York Presbyterian-Brooklyn Methodist Hospital, Division of Emergency Medicine","department":""}],"date_submitted":"2024-12-14T08:41:10.443000-08:00","date_accepted":"2025-02-28T09:00:33.815000-08:00","date_published":"2025-04-30T00:28:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/41491/galley/35742/download/"}]},{"pk":35488,"title":"Thoracic Outlet Syndrome Case Report: Appropriate Diagnosis Can Expedite Patient Treatment and Prevent Negative Outcomes","subtitle":null,"abstract":"Introduction:
\nThoracic outlet syndrome (TOS) is a diagnosis classifying upper extremity symptoms caused by compression of the neurogenic and vascular structures between the clavicle and first rib. It is important to promptly decompress these structures in order to prevent long-term deficits and poor patient outcomes. However, TOS often presents in unique ways with substantial symptom variance, making it difficult to identify, diagnose and promptly treat. Compounding this, common diagnostic tools such as magnetic resonance imaging (MRI) are not independently appropriate for a conclusive diagnosis of TOS. TOS patients can initially present acutely due to symptom exacerbations or emergent situations, which creates an emphasis for the use of multi-modal diagnostic methods and early TOS recognition in order to improve the outcomes for TOS patients, particularly in emergency medical services (EMS) settings.
\n
Case Report:
A 22-year-old male presented with chronic symptoms of numbness and weakness in his right hand in addition to chest pain that radiated into his right elbow, along with a diminished right radial pulse. The patient also suffered from acute symptomatic exacerbations of total arm asthenia, paresthesia and what the patient described as “an intensely cold hand” during football practice. He was eventually treated with a right first rib resection to decompress the brachial plexus, which resulted in complete symptom resolution and recovery.
\n
Conclusion:
Due to the serious long-term complications associated with uncorrected brachial plexus compression and the fact that TOS patients can initially present to EMS settings with acute exacerbations, it is important for EMS clinicians to be able to recognize and either treat or appropriately refer patients for treatment. EMS settings are equipped to be able to perform a comprehensive diagnostic assessment because they often have access to the diagnostic modalities necessary for diagnosing TOS.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"Thoracic outlet syndrome"},{"word":"Emergency Medicine"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/41m6f79j","frozenauthors":[{"first_name":"Hunter","middle_name":"","last_name":"Triplett","name_suffix":"","institution":"Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, Nevada","department":""},{"first_name":"Victoria","middle_name":"","last_name":"Winter","name_suffix":"","institution":"Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, Nevada","department":""},{"first_name":"Brandon","middle_name":"","last_name":"Leary","name_suffix":"","institution":"Saint Mary’s College of California. Moraga, California","department":""},{"first_name":"Alexis","middle_name":"","last_name":"Lee","name_suffix":"","institution":"Kirk Kerkorian School of Medicine at University of Nevada Las Vegas, Las Vegas, Nevada","department":""},{"first_name":"Kathryn","middle_name":"","last_name":"Sulkowski","name_suffix":"","institution":"United States Air Force/UNLV School of Medicine. Las Vegas, Nevada","department":""},{"first_name":"Eugene","middle_name":"","last_name":"Kang","name_suffix":"","institution":"United States Air Force/UNLV School of Medicine. Las Vegas, Nevada","department":""}],"date_submitted":"2024-09-21T18:47:34.979000-07:00","date_accepted":"2025-01-09T13:05:37.471000-08:00","date_published":"2025-04-30T00:10:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35488/galley/35740/download/"}]},{"pk":52293,"title":"A Case Report of an Unstable C-spine Fracture After Wrestling in the Emergency Department","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9vt2b7dg","frozenauthors":[{"first_name":"Jinho","middle_name":"","last_name":"Jung","name_suffix":"","institution":"","department":""},{"first_name":"Tyler","middle_name":"","last_name":"Rigdon","name_suffix":"","institution":"","department":""},{"first_name":"Alisa","middle_name":"","last_name":"Wray","name_suffix":"","institution":"","department":""},{"first_name":"Danielle","middle_name":"","last_name":"Matonis","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:04:47-07:00","date_accepted":"2025-04-30T17:04:47-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52293/galley/39451/download/"}]},{"pk":52298,"title":"A Case Report of Hydropic Gallbladder Presenting as Right Lower Quadrant Abdominal Pain","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8mv4c640","frozenauthors":[{"first_name":"Savannah","middle_name":"","last_name":"Tan","name_suffix":"","institution":"","department":""},{"first_name":"Zoe","middle_name":"","last_name":"Adams","name_suffix":"","institution":"","department":""},{"first_name":"Scott","middle_name":"","last_name":"Rudkin","name_suffix":"","institution":"","department":""},{"first_name":"Danielle","middle_name":"","last_name":"Matonis","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:13:48-07:00","date_accepted":"2025-04-30T17:13:48-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52298/galley/39456/download/"}]},{"pk":52297,"title":"A Case Report of Inferior Rectus Abscess","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3rc8j34q","frozenauthors":[{"first_name":"Luke","middle_name":"","last_name":"Chi","name_suffix":"","institution":"","department":""},{"first_name":"Adam","middle_name":"","last_name":"Sauer","name_suffix":"","institution":"","department":""},{"first_name":"Danielle","middle_name":"","last_name":"Matonis","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:12:20-07:00","date_accepted":"2025-04-30T17:12:20-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52297/galley/39455/download/"}]},{"pk":52295,"title":"Critical Care Transport Cardiogenic Shock Intubation Simulation","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5tw455js","frozenauthors":[{"first_name":"Matthew","middle_name":"","last_name":"Heffernan","name_suffix":"","institution":"","department":""},{"first_name":"Jennifer","middle_name":"","last_name":"Quinn","name_suffix":"","institution":"","department":""},{"first_name":"Craig","middle_name":"","last_name":"Tschautscher","name_suffix":"","institution":"","department":""},{"first_name":"Ryan","middle_name":"","last_name":"Newberry","name_suffix":"","institution":"","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Cathers","name_suffix":"","institution":"","department":""},{"first_name":"Brittney","middle_name":"","last_name":"Bernardoni","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:08:30-07:00","date_accepted":"2025-04-30T17:08:30-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52295/galley/39453/download/"}]},{"pk":52294,"title":"Diabetic ketoacidosis and Necrotizing Soft Tissue Infection","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Oral Boards","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3fh3m750","frozenauthors":[{"first_name":"Matthew","middle_name":"","last_name":"Henschel","name_suffix":"","institution":"","department":""},{"first_name":"Stephanie","middle_name":"","last_name":"Songey","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:06:17-07:00","date_accepted":"2025-04-30T17:06:17-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52294/galley/39452/download/"}]},{"pk":52296,"title":"Eye-Opener- A case report of eyelid taping as presenting symptom of Myasthenia Gravis","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3838h23z","frozenauthors":[{"first_name":"Mary","middle_name":"","last_name":"McGoldrick","name_suffix":"","institution":"","department":""},{"first_name":"Chirag","middle_name":"","last_name":"Shah","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:09:48-07:00","date_accepted":"2025-04-30T17:09:48-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52296/galley/39454/download/"}]},{"pk":52299,"title":"Innovative Ultrasound-Guided Erector Spinae Plane Nerve Block Model for Training Emergency Medicine Physicians","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Innovations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/17z518vs","frozenauthors":[{"first_name":"Jose","middle_name":"","last_name":"Ibarra","name_suffix":"","institution":"","department":""},{"first_name":"Amelia","middle_name":"","last_name":"Crowley","name_suffix":"","institution":"","department":""},{"first_name":"Sydney","middle_name":"","last_name":"Lindros","name_suffix":"","institution":"","department":""},{"first_name":"Kevin","middle_name":"","last_name":"Walker","name_suffix":"","institution":"","department":""},{"first_name":"Caroline","middle_name":"","last_name":"Astemborski","name_suffix":"","institution":"","department":""},{"first_name":"Phillip","middle_name":"","last_name":"Moschella","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:17:34-07:00","date_accepted":"2025-04-30T17:17:34-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52299/galley/39457/download/"}]},{"pk":52292,"title":"My Broken Heart LVAD Simulation Case","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8h49v6p4","frozenauthors":[{"first_name":"Kelly","middle_name":"","last_name":"Roszczynialski","name_suffix":"","institution":"","department":""},{"first_name":"Alana","middle_name":"","last_name":"Harp","name_suffix":"","institution":"","department":""},{"first_name":"Cameron","middle_name":"","last_name":"Fisk","name_suffix":"","institution":"","department":""},{"first_name":"Kristen","middle_name":"","last_name":"Ng","name_suffix":"","institution":"","department":""},{"first_name":"Ashley","middle_name":"","last_name":"Rider","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:02:39-07:00","date_accepted":"2025-04-30T17:02:39-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52292/galley/39450/download/"}]},{"pk":52300,"title":"Orthopaedic Surgery Didactic Session Improves Confidence in Distal Radius Fracture Management by Emergency Department Residents","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/38f0j297","frozenauthors":[{"first_name":"Ian","middle_name":"","last_name":"Watkins","name_suffix":"","institution":"","department":""},{"first_name":"Jessica","middle_name":"","last_name":"Duggan","name_suffix":"","institution":"","department":""},{"first_name":"Aron","middle_name":"","last_name":"Lechtig","name_suffix":"","institution":"","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Bauder","name_suffix":"","institution":"","department":""},{"first_name":"Luke","middle_name":"","last_name":"He","name_suffix":"","institution":"","department":""},{"first_name":"Alexy","middle_name":"","last_name":"Ilchuk","name_suffix":"","institution":"","department":""},{"first_name":"Amanda","middle_name":"","last_name":"Doodlesack","name_suffix":"","institution":"","department":""},{"first_name":"Carl","middle_name":"","last_name":"Harper","name_suffix":"","institution":"","department":""},{"first_name":"Tamara","middle_name":"","last_name":"Rozental","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:19:56-07:00","date_accepted":"2025-04-30T17:19:56-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52300/galley/39458/download/"}]},{"pk":52301,"title":"Orthopaedic Surgery Didactic Session Improves Confidence in Distal Radius Fracture Management by Emergency Department Residents","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5jg2c2v5","frozenauthors":[{"first_name":"Ian","middle_name":"","last_name":"Watkins","name_suffix":"","institution":"","department":""},{"first_name":"Jessica","middle_name":"","last_name":"Duggan","name_suffix":"","institution":"","department":""},{"first_name":"Aron","middle_name":"","last_name":"Lechtig","name_suffix":"","institution":"","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Bauder","name_suffix":"","institution":"","department":""},{"first_name":"Luke","middle_name":"","last_name":"He","name_suffix":"","institution":"","department":""},{"first_name":"Alexy","middle_name":"","last_name":"Ilchuk","name_suffix":"","institution":"","department":""},{"first_name":"Amanda","middle_name":"","last_name":"Doodlesack","name_suffix":"","institution":"","department":""},{"first_name":"Carl","middle_name":"","last_name":"Harper","name_suffix":"","institution":"","department":""},{"first_name":"Tamara","middle_name":"","last_name":"Rozental","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T17:19:59-07:00","date_accepted":"2025-04-30T17:19:59-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52301/galley/39459/download/"}]},{"pk":52291,"title":"The Silent Saboteur- Teaching the Clinical Implications of Occult Hypoxemia & Social","subtitle":null,"abstract":"NA","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Oral Boards","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5r51f395","frozenauthors":[{"first_name":"Eugene","middle_name":"","last_name":"Marrone","name_suffix":"","institution":"","department":""},{"first_name":"John","middle_name":"","last_name":"Cafaro","name_suffix":"","institution":"","department":""},{"first_name":"Jared","middle_name":"","last_name":"Klein","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-04-30T16:51:45-07:00","date_accepted":"2025-04-30T16:51:45-07:00","date_published":"2025-04-30T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52291/galley/39449/download/"}]},{"pk":33580,"title":"Randomized Controlled Trial of Atorvastatin in Acute Influenza in the Emergency Department","subtitle":null,"abstract":"
Objectives: We sought to determine whether atorvastatin administration attenuates the inflammatory response and improves clinical outcomes in acute influenza.
Methods: We conducted a randomized double-blind trial administering atorvastatin 40 milligrams or placebo to adults with confirmed influenza for five days between December 2013–May 2018. Patients were primarily enrolled in the emergency department (ED) at an urban, tertiary-care center. Serum was obtained at enrollment and 72 hours for the primary outcome, change in interleukin (IL-6). Patients reported severity of influenza symptoms over 10 days. We used linear mixed-effects models for the primary comparisons.
Results: Of the 116 enrolled patients, 59 received atorvastatin and 57 received placebo. Groups were well-matched including baseline influenza symptom scores and receipt of an antiviral medication. There was no difference between groups in the change in interleukin-6 (IL-6) levels (P=0.468). However, there were significant differences in the overall influenza symptom scores, favoring faster resolution in the atorvastatin group (P=0.05). For patients presenting within 48 hours of symptom onset, resolution was faster for the overall score (P <0.001) and for the fever (P=0.001), sore throat (P=0.005) and headache (P=0.006) components. No safety concerns were identified.
\nConclusion: Atorvastatin administration in acute influenza appears safe. We did not find attenuation of IL-6 with atorvastatin. Patients receiving atorvastatin reported improvement in their clinical symptoms at a faster rate than those in the placebo group, particularly in patients presenting within 48 hours of symptom onset. This trial is registered at ClinicalTrials.gov, Identifier: NCT02056340.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"influenza"},{"word":"Hydroxymethylglutaryl-CoA Reductase Inhibitors"},{"word":"Inflammation"}],"section":"Infectious Disease","is_remote":true,"remote_url":"https://escholarship.org/uc/item/13b9m2b5","frozenauthors":[{"first_name":"Maureen","middle_name":"","last_name":"Chase","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Michael","middle_name":"N.","last_name":"Cocchi","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Department of Anesthesia Critical Care, Division of Critical Care, Boston, Massachusetts","department":""},{"first_name":"Anne","middle_name":"V.","last_name":"Grossestreuer","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Xiaowen","middle_name":"","last_name":"Liu","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Jacob","middle_name":"","last_name":"Vine","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Ari","middle_name":"L.","last_name":"Moskowitz","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts; Montefiore Medical Center, Division of Critical Care Medicine, New York City, New York","department":""},{"first_name":"Michael","middle_name":"W.","last_name":"Donnino","name_suffix":"","institution":"Beth Israel Deaconess Medical Center, Department of Emergency Medicine, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Department of Anesthesia Critical Care, Division of Critical Care, Boston, Massachusetts; Beth Israel Deaconess Medical Center, Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Boston, Massachusetts","department":""}],"date_submitted":"2024-08-09T05:34:58.800000-07:00","date_accepted":"2025-01-18T15:14:22.096000-08:00","date_published":"2025-04-29T09:55:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/33580/galley/36403/download/"}]},{"pk":20921,"title":"Harnessing Residents’ Practice-based Inquiries to Enhance Research Literacy: The Thoughtful Reading of Evidence into Clinical Settings (T-RECS) Initiative","subtitle":null,"abstract":"Introduction: Research literacy is an important competency for all clinicians, but developing resident enthusiasm for it is difficult. At one academic emergency medicine (EM) residency program, we designed an innovative program to help residents improve literacy skills within a community of practice and use research literature to address clinical problems.
\nMethods: A six-member faculty core team surveyed residents to assess their baseline experience with evidence-based medicine (EBM) and level of engagement with the medical literature. Interested residents joined an iterative curriculum development process that drew on previous EBM pedagogical experience and literacy theory. We developed a semi-structured approach that prioritizes using the reference frame of clinical applicability rather than research methodology. We held 90-120 minute sessions three times a year as part of the regular residency didactic conference; post-session evaluations with quantitative and qualitative elements were used to adjust subsequent didactics to refine the approach.
\nResults: An average of 48 residents were in the EM training program during the nine sessions conducted during the study period. At baseline, residents had a high degree of exposure to EBM during medical school (94% of respondents) but low confidence in reading the medical literature (25%) or applying research to practice (10%). In contrast, they reported the novel program equipped them with skills to interpret literature and led to collective practice improvement. We found engagement was highest when residents led sessions based on inquiries that emerged out of their own training experience. Other positive factors included well-facilitated discussions between residents, relating questions to data-driven review of local practice patterns and addressing findings from free open access medical education (FOAMed) sources. The initial stages required significant team effort to design the pilot sessions, but later sessions were developed following the trajectory of resident inquiries using a minimally structured faculty consensus process and required less than 12 total faculty hours of commitment.
\nConclusion: An innovative program centered on residents’ practice-based queries of research literature appears to enhance learner enthusiasm for development of research literacy. Further development is needed to validate the overall effectiveness and generalizability of this approach.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Evidence-based medicine"},{"word":"Free open access medical education"}],"section":"Medical Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/88q5b1wc","frozenauthors":[{"first_name":"Emmagene","middle_name":"","last_name":"Worley","name_suffix":"","institution":"Columbia University Irving Medical Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Edward","middle_name":"H.","last_name":"Suh","name_suffix":"","institution":"Columbia University Irving Medical Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Liliya","middle_name":"","last_name":"Abrukin","name_suffix":"","institution":"Columbia University Irving Medical Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Michael","middle_name":"","last_name":"Defilippo","name_suffix":"","institution":"University of New Mexico, Department of Emergency Medicine, Albuquerque, New Mexico","department":""},{"first_name":"Jonathan","middle_name":"J.","last_name":"Kamler","name_suffix":"","institution":"Weill Cornell Medical Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Mahesh","middle_name":"","last_name":"Polavarapu","name_suffix":"","institution":"Columbia University Irving Medical Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Peter","middle_name":"C.","last_name":"Wyer","name_suffix":"","institution":"Columbia University Irving Medical Center, Department of Emergency Medicine, New York, New York","department":""}],"date_submitted":"2024-04-22T07:11:13.068000-07:00","date_accepted":"2025-01-08T16:47:41.256000-08:00","date_published":"2025-04-29T09:25:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20921/galley/36398/download/"}]},{"pk":34847,"title":"Catecholaminergic Polymorphic Ventricular Tachycardia in a 16-year-old: a Case Report ","subtitle":null,"abstract":"Introduction
\nCatecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare, inheritable cardiac disorder associated with stress- or exercise-induced syncope or cardiac arrest in children and young adults. Diagnosis of CPVT is often missed or delayed due to variable presentation and normal cardiac imaging and electrocardiogram results, with about 40% of patients dying within 10 years of diagnosis.1 This case underscores the importance of cross-departmental communication when managing complex pediatric cases, especially when using an interpreter.
\nCase Report
\nA 16-year-old male presented to the hospital with cardiac arrest in ventricular fibrillation following collapse despite a history of treatment with flecainide and nadolol. He was resuscitated, stabilized with antiarrhythmic drips, received an implantable cardioverter defibrillator (ICD), and was discharged neurologically intact nine days later. It is vital for physicians to consider CPVT in young patients with syncope in order to prevent errors in diagnosis of this highly fatal disease.
\nConclusion
\nThis case also underscores the importance of obtaining a detailed family history and coordinating care with other physicians in cases where history is limited. Treatment decisions for acute CPVT often occur without prior knowledge of the disease, so in patients diagnosed with CPVT, physicians should implement appropriate therapeutic options to prevent future cardiac events. For patients who remain symptomatic despite beta blocker therapy, interventions like ICD placement or sympathetic denervation may be necessary to prevent life-threatening arrhythmias.
\n\n
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"Catecholaminergic polymorphic ventricular tachycardia"},{"word":"Arrhythmia"},{"word":"syncope"},{"word":"cardiac arrest"},{"word":"arrythmia"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5hf8811c","frozenauthors":[{"first_name":"John","middle_name":"","last_name":"Wahhab","name_suffix":"","institution":"Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois","department":""},{"first_name":"Ani","middle_name":"","last_name":"Oganesyan","name_suffix":"","institution":"Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois","department":""},{"first_name":"Krishi","middle_name":"","last_name":"Korrapati","name_suffix":"","institution":"Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois","department":""}],"date_submitted":"2024-08-21T08:03:15.073000-07:00","date_accepted":"2025-01-07T12:11:45.254000-08:00","date_published":"2025-04-26T09:10:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/34847/galley/35741/download/"}]},{"pk":65582,"title":"Brain-Computer Interfaces and Their Effects on the Human Species","subtitle":null,"abstract":"In the future, brain-computer interfaces–implanted or external devices that allow the human brain to directly interface with computer systems and networks–have the potential to create massive shifts in both medical and non-medical fields, as well as have great implications for privacy, human intelligence, and how we interact with technology. This technology could allow people to use prosthetics that give complete feeling and dexterity to their users. It could be a way to cure paralysis and may even be able to remove chronic pain. Further in the future, brain-machine interfaces may give us access to fully immersive virtual worlds that are nearly indistinguishable from reality. In addition, these devices could allow for knowledge to be added directly into the brain in a very rapid manner, allowing humans to become vastly more intelligent. However, there are also risks that come with this technology. Privacy could be threatened, as companies and unscrupulous individuals could retrieve information directly from your brain. This could lead to intrusive and targeted advertising as well as blackmail depending on the nature of the information retrieved. There are also other threats such as hackers who could attempt to use brain-computer interfaces to bring harm to their users. Even the users of these technologies could be a threat as an unregulated and highly immersive virtual world grows and becomes accessible to anyone with an implant. New forms of harassment could appear, as well as abuse and exploitation in the virtual world. And that’s all without mentioning the possibility of governments using this technology to monitor their citizen's every thought. While this technology will have a great impact on humanity, it will be up to us to decide whether that impact is positive and beneficial, or negative and potentially even dangerous.","language":"en","license":null,"keywords":[{"word":"Brain-Computer Interfaces"},{"word":"Brain-Machine Interfaces"},{"word":"Prosthetic"},{"word":"Virtual Reality"},{"word":"Privacy"}],"section":"Natural Sciences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9v65n8z6","frozenauthors":[{"first_name":"Kenden","middle_name":"","last_name":"Bennett","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-25T16:30:52-07:00","date_accepted":"2025-04-25T16:30:52-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65582/galley/50211/download/"}]},{"pk":65587,"title":"Dorm Rooms to Mountain Views: An Air Pollution Analysis","subtitle":null,"abstract":"This study presents a parallel analysis of indoor air quality in UC Merced dormitories with outdoor air pollution levels within Yosemite Valley, underscoring the importance of understanding how outdoor pollution impacts indoor air quality and offers insights for improving environmental health practices in residential and natural settings. Data was collected from October 2 to October 9, with indoor air samples taken twice daily, once in the morning and once at night, focusing on particulate matter in the size of 2.5 and 10 micrometers (PM2.5 and PM10). Outdoor pollution data for the same period was obtained from the Environmental Protection Agency (EPA) website. The analysis reveals unique patterns in PM2.5 and PM10 measurements across indoor and outdoor environments, reflecting the influence of human activity indoors and environmental conditions outdoors. Factors such as dormitory ventilation, occupancy, andregional atmospheric conditions contribute to these differences.","language":"en","license":null,"keywords":[{"word":"Particulate Matter, Air Quality, Atmospheric Conditions"}],"section":"Computer Science and Engineering","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8cr691cg","frozenauthors":[{"first_name":"Tiffany","middle_name":"Lucille Dasha","last_name":"Costa","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-25T17:03:43-07:00","date_accepted":"2025-04-25T17:03:43-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65587/galley/50216/download/"}]},{"pk":65584,"title":"Dynamics of V. fischeri and E. scolopes Under Environmental Stress","subtitle":null,"abstract":"Symbiotic relationships are fundamental to ecological systems, shaping species interactions andinfluencing survival, reproduction, and evolutionary pathways. One well-studied example of a mutualistic symbiotic relationship occurs between the Hawaiian bobtail squid (Euprymnascolopes) and the gram-negative bacterium Vibrio fischeri. This partnership enhances the survivability of both organisms through a specialized form of camouflage known as counterillumination. In this process, V. fischeri utilizes quorum sensing to regulate bioluminescence, producing light that matches the surrounding environment and conceals the squid’s silhouette from predators below. In return, the squid maintains a specialized light organ that provides rich nutrients, creating a stable environment for the bacteria to proliferate. While notably efficient and stable, the effectiveness of this relationship can be influenced by external environmental factors. Conditions such as temperature, pH, and salinity play crucial roles in determining the success of bacterial colonization, bioluminescence efficiency, and host-symbiontinteractions. Since E. scolopes and V. fischeri are highly sensitive to environmental changes, they serve as valuable bioindicators for assessing the broader impacts of climate change on oceanic symbioses. Climate change impacts, such as ocean acidification and increasing temperature, have been demonstrated to be detrimental to this intricate mutualism. This review paper will examine the effects of climate change factors on the symbiotic relationship and the surrounding environment, and analyze how each factor can promote or prevent the growth of the microbe V.fischeri. The possible implications and adaptations made by these organisms in the face of progressing environmental stressors will also be discussed and analyzed throughout the review.","language":"en","license":null,"keywords":[{"word":"Quorum Sensing, Symbiosis, Counterillumination, Bioluminescence"}],"section":"Natural Sciences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8ck7354t","frozenauthors":[{"first_name":"Alana","middle_name":"","last_name":"Shakra","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-25T16:39:06-07:00","date_accepted":"2025-04-25T16:39:06-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65584/galley/50213/download/"}]},{"pk":65590,"title":"Examining the Role of Insurance Coverage in Maternal Health Disparities","subtitle":null,"abstract":"The Great Recession had a profound impact on healthcare access, particularly for marginalized communities. This period of economic downturn highlighted the urgent need for healthcare reform. Although the Affordable Care Act (ACA) was not a direct response to the recession, the financial uncertainty it created led to a surge in Medicaid enrollment, contributing to the official passage of the ACA in 2010. Medicaid expansion improved healthcare access for low-income individuals, particularly pregnant women, by increasing coverage and access to essential maternal health services. However, disparities in maternal morbidity and mortality persist, with Black women facing significantly higher risks of pregnancy-related complications than white women. While previous research has explored the ACA’s impact on healthcare access, limited attention has been given to how insurance type (public vs. private) affects maternal morbidity and birth outcomes, particularly after the 2014 Medicaid expansion. This study examines the relationship between insurance coverage and maternal health outcomes, highlighting existing disparities and assessing whether public insurance expansion has mitigated adverse maternal health effects. By addressing these gaps, this research contributes to policy discussions aimed at improving maternal healthcare quality and reducing inequities in health outcomes.","language":"en","license":null,"keywords":[{"word":"Insurance"},{"word":"ACA"},{"word":"Healthcare"},{"word":"Pregnancy"}],"section":"Social Sciences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9tc3c8tw","frozenauthors":[{"first_name":"Yamini","middle_name":"","last_name":"Sirobushanam","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-26T15:37:33-07:00","date_accepted":"2025-04-26T15:37:33-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65590/galley/50219/download/"}]},{"pk":65586,"title":"Exploring the Moderating Effect of Cathartic Expression on Fading Affect Bias","subtitle":null,"abstract":"Cathartic expression in psychology has been written about and discussed since the early 20th century. Early literature surrounding catharsis has described it as a useful tool in many therapies that laid the groundwork for many coping mechanisms that exist today. Many people describe cathartic release as a coping mechanism to deal with negative emotions, such as physically exercising while stressed. However, the effects of catharsis have not been studied and explored significantly in recent years. The model suggested by this study includes a phenomenon knownas Fading Affect Bias (FAB), in which recollection of events trends to positive valence after along period of time. Previous discussion regarding catharsis points to two main models by whichcatharsis is effective: a cognitive model and a hydraulic model. Working with these models of catharsis, this study aims to delve into the efficacy of catharsis and how strong the moderating effect would be on Fading Affect Bias. In this study, undergraduate students from the University of California, Merced played a game designed to induce frustration and then completed a survey (n=31). The survey items measured three dimensions relating to the game: Control, Fairness, andEnjoyment. The results show that there were significant differences between participants who experienced a cathartic intervention, while also being unable to show a significant effect accounting for the timescale in which FAB works.","language":"en","license":null,"keywords":[{"word":"Catharsis, Fading Affect Bias, Emotional Regulation"}],"section":"Social Sciences","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7j38k193","frozenauthors":[{"first_name":"Abhishek","middle_name":"","last_name":"Nair","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-25T16:56:55-07:00","date_accepted":"2025-04-25T16:56:55-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65586/galley/50215/download/"}]},{"pk":65585,"title":"Greed Over Humanity: Bullionism in the Colonial Conquest and Genocide of Amerindian Civilizations","subtitle":null,"abstract":"Amidst a time defined by overwhelming contemporary upheavals—namely, the climate crisis, escalating global conflicts, and the rapidly expanding influence of artificial intelligence—why should humanity concern itself with the past? The past is, after all, irretrievable. However, as this research paper will emphasize, the past is not merely a closed chapter; it is a living essence that imbues the present and subtly directs the unfolding of the future. Engaging with the past is, therefore, not a mere exercise in nostalgia but rather a critical process of understanding, resistance, and responsibility. This intellectual reflection becomes particularly vital given the historical ramifications endured by Indigenous communities, whose pasts have been forcibly rewritten, silenced, or erased.","language":"en","license":null,"keywords":[{"word":"Amerindian"},{"word":"Bullionism"},{"word":"Colonial Conquest"}],"section":"Humanities and Arts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1mq3n61z","frozenauthors":[{"first_name":"Aleksandr","middle_name":"","last_name":"Kuzmin","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-25T16:48:33-07:00","date_accepted":"2025-04-25T16:48:33-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65585/galley/50214/download/"}]},{"pk":65588,"title":"Literature Review: A Review of Decolonizing Frameworks and Culturally Centered Treatments in Indigenous Psychology","subtitle":null,"abstract":"Psychology as a discipline has been historically shaped by Western ideologies and overrepresented by Western, Educated, Industrialized, Rich, and Democratic (WEIRD) populations. This over-representation results in a narrow and culturally biased understanding of mental health, marginalizing Indigenous and non-Western perspectives. The dominance of “whiteness” in psychology, in which Western norms are treated as universals, fails to account for the diverse cultural, spiritual, and communal frameworks of Indigenous populations. This paper explores Indigenous psychology as a necessary response to this imbalance, emphasizing the decolonization of psychological practices and the implementation of culturally centered treatments. Drawing on global Indigenous movements, it highlights the significance of reconnecting with traditional knowledge systems, holistic and collectivist models of well-being, and culturally rooted healing practices. Case studies such as the Māori philosophy of Hauora, community-led workshops in Canada, and the National Empowerment Project in Australia demonstrate the efficacy of culturally grounded approaches in addressing historical trauma andpromoting mental health. Ultimately, the paper argues for a reimagining of psychological practice that prioritizes Indigenous epistemologies, supports cultural revitalization, and seeks justice and healing for historically marginalized communities.","language":"en","license":null,"keywords":[{"word":"Indigenous"},{"word":"Psychology"},{"word":"Decolonization"},{"word":"Holistic"},{"word":"Culturally Centered"}],"section":"Humanities and Arts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/22z774kq","frozenauthors":[{"first_name":"Brissa","middle_name":"Marina","last_name":"Gomez-Bailón","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-25T17:31:52-07:00","date_accepted":"2025-04-25T17:31:52-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65588/galley/50217/download/"}]},{"pk":65583,"title":"The People’s Game: Modern Media Preservation","subtitle":null,"abstract":"This article describes modern media preservation methodology with a focus on film preservation. Media in all forms is an extension of culture and most is lost over time without preservation efforts. Preservation is deliberate through methods such as special storage and digitization, which are often hindered by tradition and corporate interest. Due to the preservation tradition, organizations that prioritize preservation may not be able to receive funding from larger organizations. Piracy is a concern for many intellectual property holders that prevent preservation for supposed monetary injury. Preservation efforts are hindered through legislation and digital rights management installed into releases. Piracy is the solution to the problem piracy itself creates, as decentralized archives of media not officially preserved ensure their preservation through multiple sources. There is no true solution to these hindrances, but the general population making efforts to preserve what little they are able to can still make a difference.","language":"en","license":null,"keywords":[{"word":"Preservation Methodology"},{"word":"Media Archivization"},{"word":"Digitization"},{"word":"Decentralized Preservation"},{"word":"Intellectual Property (IP) Management"}],"section":"Humanities and Arts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0rk2k5vr","frozenauthors":[{"first_name":"Alex","middle_name":"","last_name":"Gatto","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-25T16:35:29-07:00","date_accepted":"2025-04-25T16:35:29-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65583/galley/50212/download/"}]},{"pk":65589,"title":"URJ Spring 2025: Letter from the Editors","subtitle":null,"abstract":"A letter from the editors, introducing the Spring 2025 issue.","language":"en","license":null,"keywords":[],"section":"Staff","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3rc574wt","frozenauthors":[{"first_name":"Mitchell","middle_name":"","last_name":"Bauer","name_suffix":"","institution":"University of California, Merced","department":""},{"first_name":"Emily","middle_name":"","last_name":"Le","name_suffix":"","institution":"University of California, Merced","department":""},{"first_name":"Yu Fang","middle_name":"","last_name":"Tseng","name_suffix":"","institution":"University of California, Merced","department":""},{"first_name":"Andy","middle_name":"","last_name":"Hernandez","name_suffix":"","institution":"University of California, Merced","department":""},{"first_name":"Micah","middle_name":"Angela","last_name":"Lardizabal","name_suffix":"","institution":"University of California, Merced","department":""},{"first_name":"Cyrus","middle_name":"","last_name":"Griffin","name_suffix":"","institution":"University of California, Merced","department":""},{"first_name":"Zachary","middle_name":"","last_name":"Gatto","name_suffix":"","institution":"University of California, Merced","department":""},{"first_name":"Christopher","middle_name":"","last_name":"Finley","name_suffix":"","institution":"University of California, Merced","department":""},{"first_name":"Kaisy","middle_name":"","last_name":"Reynoso","name_suffix":"","institution":"University of California, Merced","department":""}],"date_submitted":"2025-04-25T17:32:47-07:00","date_accepted":"2025-04-25T17:32:47-07:00","date_published":"2025-04-26T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucm_mwp_ucmurj/article/65589/galley/50218/download/"}]},{"pk":42204,"title":"Fieldschool Is Not What It Used to Be: Innovations in Teaching and Learning Ethnographic Methods","subtitle":null,"abstract":"
This article examines how teaching and learning ethnographic methods could be adapted to contemporary times, considering shifting understandings of ethnography and practical attention to the experiences of new fieldworkers. Using the European Field Studies Program at the University of Massachusetts Amherst as a case study, we identify several pedagogical techniques, including a cohort-based learning model, peer mentoring, and group blogging, to support students in navigating the practicalities and challenges of fieldwork. We argue that these techniques cultivate a collaborative learning environment and enhance first-time fieldwork experience despite the physical distances fieldwork typically implies.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Teaching"},{"word":"Ethnographic Methods"},{"word":"fieldwork"},{"word":"fieldschool"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1ck284sp","frozenauthors":[{"first_name":"Seda","middle_name":"","last_name":"Saluk","name_suffix":"","institution":"Other","department":""},{"first_name":"Jacqueline","middle_name":"","last_name":"Urla","name_suffix":"","institution":"University of Massachusetts Amherst","department":"None"},{"first_name":"Krista","middle_name":"","last_name":"Harper","name_suffix":"","institution":"University of Massachusetts Amherst","department":"None"}],"date_submitted":"2023-09-23T12:10:52-07:00","date_accepted":"2025-04-13T00:32:36.466000-07:00","date_published":"2025-04-25T15:02:00-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42204/galley/35654/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42204/galley/35654/download/"}]},{"pk":3839,"title":"From Public Housing to Public Choice: Jane Jacobs, Friedrich Hayek, and the Antinomies of Urban Liberalism","subtitle":null,"abstract":"An internationally celebrated icon of community planning and grassroots activism, the late American urbanist Jane Jacobs is frequently reduced to a caricature of polite, all-purpose sentiments which obfuscate both the complexity and the political specificity of her work. In the first portion of this paper, I examine the popular representation of Jacobs by prominent urban nonprofits, as well as the ambiguity of her intellectual legacy in both urban scholarship and in recent media about her career. Highlighting Jacobs’s warm reception among libertarian thinkers, I devote the second portion of this paper to exploring the intellectual affinity between Jacobs and the famed Austrian economist Friedrich Hayek. Demonstrating their key points of convergence on mat- ters of social policy, governance, and expertise in relation to watershed moments in planning history, I conclude with an analysis of Jacobs’s little-discussed writing on American public housing, noting the various parallels between her argumentation and the radical reformation of American housing policy during the turn to “advanced liberalism” which occurred in the decades following the publication of her classic 1961 book The Death and Life of Great American Cities.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Jane Jacobs"},{"word":"Friedrich Hayek"},{"word":"public housing"},{"word":"Liberalism"},{"word":"Libertarianism"},{"word":"Housing Policy"},{"word":"New York City"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3hk4g6d5","frozenauthors":[{"first_name":"Jonathan","middle_name":"","last_name":"Marty","name_suffix":"","institution":"University of California, Berkeley","department":""}],"date_submitted":"2023-10-01T19:23:39-07:00","date_accepted":"2025-04-21T11:51:15.138000-07:00","date_published":"2025-04-23T12:19:16.514000-07:00","render_galley":{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3839/galley/35652/download/"},"galleys":[{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3839/galley/35652/download/"}]},{"pk":3838,"title":"Planning from the Black Counterpublic","subtitle":null,"abstract":"The Boston Black United Front (BBUF) was a large meta-organization that stands as a pivotal counterpublic institution in the annals of 20th-century community organizing. This study draws on archival documentation to explore the multifaceted strategies employed by the BBUF, highlighting their innovative use of print media, their dual focus on large and small pragmatic interventions, and their impact on the City of Boston. Central to its classification as a form of counterpublic work, I explore the BBUF’s capacity to hold, process, and engage in discourse around ideological diversity and contradiction. The organization came about during a tumultuous period in Boston’s history, before slowly fading out of existence as members pursued other endeavors, but not without making lasting material impact. Their confrontations with carceral violence, endeavors for economic justice, and efforts to foster community-centered alternatives to oppressive systems form the crux of their legacy. I examine the BBUF’s nuanced position and varied roster, inspired by but not fitting neatly into the broader Black Power movement, and emphasize the breadth of their work. This study positions the BBUF as a model for both contemporary activists and planning scholars, illuminating the pathways of grassroots movements in challenging and reshaping cities.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Black Planning"},{"word":"Black Radical Tradition"},{"word":"Boston"},{"word":"Race"},{"word":"Anti-racism"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/74k276r0","frozenauthors":[{"first_name":"Darien","middle_name":"Alexander","last_name":"Williams","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2023-10-01T13:48:38-07:00","date_accepted":"2024-05-13T13:14:03.831000-07:00","date_published":"2025-04-23T12:18:58.224000-07:00","render_galley":{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3838/galley/35645/download/"},"galleys":[{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3838/galley/35645/download/"}]},{"pk":3840,"title":"Queer Spaces as Counterpublics","subtitle":null,"abstract":"This paper investigates how queer women and nonbinary people (referred to as non-males) find space within a heteronormative context that actively resists their existence. In their modes of formation, these spaces actively resist the straightening and commodification of queerness and empower the community in a subversion of patriarchal norms. Using Seattle’s context, the authors investigate historic queer non-male spaces along with two contemporary case studies using archival research, oral histories, participant observation, and semi-structured interviews. The result is an identification and examination of two different forms of counterpublic spaces utilized by the queer non-male community to create locations of queer belonging: the exclusive/inclusive space, investigated through the case study of a local lesbian bar, and the non-exclusive/ inclusive space, represented through the case study of a women’s sports bar. Both serve as places of resistance and empowerment. While both create spaces of belonging for queer non-males, the former achieves this by establishing an exclusive space, while the latter does so through a non-exclusive space that actively supports queer non-males. By engaging the inclusive/exclusive dichotomy the cases offer insights into the complex dynamics of identity, community and belonging for queer non-males.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Urban planning"},{"word":"queer space"},{"word":"lesbian space"},{"word":"Community Development"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4hz1h522","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Bonner","name_suffix":"","institution":"University of Washington","department":""},{"first_name":"Manish","middle_name":"","last_name":"Chalana","name_suffix":"","institution":"University of Washington","department":"None"}],"date_submitted":"2023-10-01T22:35:25-07:00","date_accepted":"2025-04-21T11:46:35.375000-07:00","date_published":"2025-04-23T12:17:51.490000-07:00","render_galley":{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3840/galley/35646/download/"},"galleys":[{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3840/galley/35646/download/"}]},{"pk":47284,"title":"Publics and Planning Academia: Translation, Interpretation, Resonance","subtitle":null,"abstract":"In March 2024, Berkeley Planning Journal editors Xixi Jiang and Nick Shatan facilitated a virtual roundtable on “Publics and Planning Academia” with five former editors or contributors to the Berkeley Planning Journal who earned PhDs from the Department of City and Regional Planning between five and fifteen years ago: Fernando Burga, Ricardo Cardoso, Jia-Ching Chen, Paavo Monkkonen, and Hayden Shelby. This informal conversation moved between multiple registers, from contemplations of the pub- lics and purposes of planning academia to personal reflections on writing, research, and career trajectories. Over the course of two hours, the discussion covered six major topics: Audience and voice; Resonance, relevance, and accountability; Working across linguistic publics; Planners as interpreters; Public teaching; and Doctoral reflections. This conversation has been edited for clarity.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Roundtable","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8hx1t7b3","frozenauthors":[{"first_name":"Fernando","middle_name":"","last_name":"Burga","name_suffix":"","institution":"University of Minnesota","department":""},{"first_name":"Ricardo","middle_name":"","last_name":"Cardoso","name_suffix":"","institution":"Ohio State University","department":""},{"first_name":"Jia-Ching","middle_name":"","last_name":"Chen","name_suffix":"","institution":"University of California, Santa Barbara","department":""},{"first_name":"Paavo","middle_name":"","last_name":"Monkkonen","name_suffix":"","institution":"University of California, Los Angeles","department":""},{"first_name":"Hayden","middle_name":"","last_name":"Shelby","name_suffix":"","institution":"University of Cincinnati","department":""}],"date_submitted":"2025-04-21T22:35:24.424000-07:00","date_accepted":"2025-04-21T22:38:14.467000-07:00","date_published":"2025-04-22T05:41:00-07:00","render_galley":{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/47284/galley/35653/download/"},"galleys":[{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/47284/galley/35653/download/"}]},{"pk":47283,"title":"Climate Change Challenges to City and Regional Planning","subtitle":null,"abstract":"","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Essays","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4556c50f","frozenauthors":[{"first_name":"Hilda","middle_name":"","last_name":"Blanco","name_suffix":"","institution":"University of Washington","department":""}],"date_submitted":"2025-04-21T22:05:20.329000-07:00","date_accepted":"2025-04-21T22:09:25.930000-07:00","date_published":"2025-04-22T05:17:00-07:00","render_galley":{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/47283/galley/35651/download/"},"galleys":[{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/47283/galley/35651/download/"}]},{"pk":47282,"title":"What’s a PhD for?","subtitle":null,"abstract":"","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Essays","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1383r247","frozenauthors":[{"first_name":"Raphaël","middle_name":"","last_name":"Fischler","name_suffix":"","institution":"Université de Montréal","department":""}],"date_submitted":"2025-04-21T21:37:10.253000-07:00","date_accepted":"2025-04-21T21:38:08.879000-07:00","date_published":"2025-04-22T04:39:00-07:00","render_galley":{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/47282/galley/35650/download/"},"galleys":[{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/47282/galley/35650/download/"}]},{"pk":47278,"title":"Editors' Note","subtitle":null,"abstract":"","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Editorial Notes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7ct8f641","frozenauthors":[{"first_name":"Gray","middle_name":"","last_name":"Brakke","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Xixi","middle_name":"","last_name":"Jiang","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Nick","middle_name":"","last_name":"Shatan","name_suffix":"","institution":"UC Berkeley","department":""}],"date_submitted":"2025-04-21T12:40:29.868000-07:00","date_accepted":"2025-04-21T12:44:20.439000-07:00","date_published":"2025-04-21T19:50:00-07:00","render_galley":{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/47278/galley/35649/download/"},"galleys":[{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/47278/galley/35649/download/"}]},{"pk":3841,"title":"Deconstructing the Density Discourse: Exploring the Densification, Construction, and Land-Use Triplex in Pakistan","subtitle":null,"abstract":"The article explores how urban densification is defined, measured and conceptualised in the context of Lahore through the narratives of key policy stakeholders. A preliminary analysis of policy documents, and the recent changes in building regulations and land-use rules show that there is a commitment to increase density by discouraging urban sprawl and encouraging the growth of mixed-use, highrise buildings. By conducting an analysis of policy documents and the changes in building regulations and land-use rules through the narrative of key stakeholders in policy making, the research unveiled motivations which underpin policy makers’ commitment to higher densities, illustrating how urban densification is manifested in the realm of policymaking, the forms and typologies within which high densities are envisaged by stakeholders and how these have materialised on the ground, and the implications thereof.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0mr026cz","frozenauthors":[{"first_name":"Noor","middle_name":"","last_name":"Mazhar","name_suffix":"","institution":"University of Cambridge","department":"None"}],"date_submitted":"2023-10-02T17:56:52-07:00","date_accepted":"2025-04-21T12:00:05.266000-07:00","date_published":"2025-04-21T19:05:00-07:00","render_galley":{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3841/galley/35648/download/"},"galleys":[{"label":"final","type":"pdf","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3841/galley/35648/download/"}]},{"pk":63055,"title":"Imposter Syndrome","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Other","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8647x54r","frozenauthors":[{"first_name":"Danielle","middle_name":"","last_name":"Goodrich","name_suffix":"MD FAAEM FACEP","institution":"","department":""},{"first_name":"Molly","middle_name":"","last_name":"Estes","name_suffix":"MD FAAEM FACEP","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-04-14T14:00:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_medjem/article/63055/galley/48702/download/"}]},{"pk":63056,"title":"Oxygen is for the Weak ","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Other","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1zv5s0hr","frozenauthors":[{"first_name":"Robyn","middle_name":"","last_name":"Hitchcock","name_suffix":"MD FAAEM","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-04-14T14:00:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_medjem/article/63056/galley/48703/download/"}]},{"pk":63057,"title":"Turning Foes to Friends: Establishing Collegiality in the ED ","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Other","is_remote":true,"remote_url":"https://escholarship.org/uc/item/427348bp","frozenauthors":[{"first_name":"Alan","middle_name":"","last_name":"Sazama","name_suffix":"MD FAAEM","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-04-14T14:00:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_medjem/article/63057/galley/48704/download/"}]},{"pk":41547,"title":"The new Checklist of the Italian Fauna: Cicindelidae and Carabidae","subtitle":null,"abstract":"An updated version of the ‘Checklist of the Italian Fauna’ for the families Cicindelidae and Carabidae (Insecta: Coleoptera) is presented here. The list reflects the state of art of taxonomic and chorological knowledge of Italian species in December 2024. The new checklist records 1688 taxa (specific + subspecific rank) of Cicindelidae and Carabidae, corresponding to 1442 species. The distribution of taxa in four macro-regions (N, S, Si, Sa) as well as in all Italian administrative regions is reported too. The number of endemic species is relevant (453), corresponding to 31.5% of recorded taxa. Compared to the previous Checklist by Vigna Taglianti, published in 2005, the number of Cicindelid and Carabid species recorded from the Italian political territory has increased from 1333 to 1442. The main changes concern the subfamilies Scaritinae and Trechinae, with numerous additions of new hypogean taxa, all endemic to Italian territory. Explanatory notes are provided for the adopted taxonomic approach. The full data set is attached to this paper as supplementary file, while a simplified version is freely accessible from the LifeWatch Italy Data Portal (https://dataportal.lifewatchitaly.eu/data) where it is expected to be regularly updated.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"biogeography"},{"word":"insect diversity"},{"word":"carabidology"},{"word":"species list"},{"word":"species distribution"}],"section":"Special Section: The new Checklist of the Italian Fauna","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2vh383qg","frozenauthors":[{"first_name":"Achille","middle_name":"","last_name":"Casale","name_suffix":"","institution":"Università di Sassari","department":"Zoologia"},{"first_name":"Gianni","middle_name":"","last_name":"Allegro","name_suffix":"","institution":"","department":""},{"first_name":"Paolo","middle_name":"","last_name":"Magrini","name_suffix":"","institution":"Sistema Museale di Ateneo, Università degli Studi di Firenze, Museo di Storia Naturale, Sede “La Specola”","department":""},{"first_name":"Alessio","middle_name":"","last_name":"Benelli","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-12-31T00:55:25.970000-08:00","date_accepted":"2025-04-10T05:59:39.730000-07:00","date_published":"2025-04-13T17:30:00-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/41547/galley/35627/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/41547/galley/35627/download/"}]},{"pk":42208,"title":"Prioritizing Accessibility in the Classroom: Challenges and Opportunities in Teaching Anthropology Introductory Courses","subtitle":null,"abstract":"This paper discusses a project to develop an introductory course in Cultural Anthropology that prioritizes accessibility. Drawing inspiration from Universal Design for Learning and other teaching strategies, we explore ways of making course materials, content delivery, and assessments more accessible for students with different needs and abilities. We also consider accessibility from the perspective of instructors with disabilities, a topic that has received less attention in the literature. We discuss the use of varied classroom activities to increase engagement and participation, different forms of expression, adaptive technologies, and evaluation components that anticipate and mediate barriers to learning while enabling students to connect the course content to their lived experiences. We conclude with a discussion of challenges and future considerations.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"accessibility"},{"word":"inclusive education"},{"word":"Universal Design for Learning"},{"word":"pedagogy"},{"word":"introductory courses"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/20v4z9c1","frozenauthors":[{"first_name":"Fabiana","middle_name":"","last_name":"Li","name_suffix":"","institution":"University of Manitoba","department":"None"},{"first_name":"Tasheney","middle_name":"","last_name":"Francis","name_suffix":"","institution":"University of Manitoba","department":"None"},{"first_name":"Salmah","middle_name":"","last_name":"Quadri","name_suffix":"","institution":"University of Manitoba","department":"None"}],"date_submitted":"2024-01-07T11:48:05-08:00","date_accepted":"2024-01-07T11:48:05-08:00","date_published":"2025-04-11T22:35:00-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42208/galley/35625/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42208/galley/35625/download/"}]},{"pk":48296,"title":"Sustainable arts integration in teacher preparation: A reflection on community collaboration practices","subtitle":null,"abstract":"The paper presents a reflection on sustaining arts integration in teacher preparation. The reflection examined a small teacher education program and its collaboration practices to sustain arts integration in teacher preparation. The setting of the teacher education unit and the community is in north GA in the United States. At the end of the reflection, a new perspective emerges to sustain arts integration through sustainability community collaboration and open education. The reflection highlights a collaboration strategy that connects arts and sustainability education practices for arts integration innovation and professional development for preservice and inservice teachers.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Arts Integration, Teacher Education, Open Resources"}],"section":"Opinion","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2gf201nb","frozenauthors":[{"first_name":"molly","middle_name":"","last_name":"zhou","name_suffix":"","institution":"Dalton State College","department":"None"}],"date_submitted":"2022-08-06T10:05:23-07:00","date_accepted":"2022-08-06T10:05:23-07:00","date_published":"2025-04-10T08:21:51-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/cla_jlta/article/48296/galley/36343/download/"}]},{"pk":47108,"title":"Editor’s Introduction: Placement and Its Discontents or The Long Winding Road toward Change","subtitle":null,"abstract":"The JWA 18.1 editor's introduction contains Carl Whithaus's reflections on 10 years editing the journal. It also provides an overview of the six articles in the issue: Sallie Koenig, Catrina Mitchum, and Rochelle Rodrigo's (2025) exploration of completion rubrics on student learning and agency in online asynchronous courses; Maggie Fernandes, Emily Brier, and Megan McIntyre's (2025) critique of \"ungrading\" and development of alternative writing assessments to more effectively achieve the goals of \"ungrading\"; Kate L Pantelides and Erin Whittig's (2025) section introduction updating us on Student Self Placement (SSP); Amy Ferdinandt Stolley, Dauvan Mulally, and Craig Hulst's (2025) 30-year retrospective on how Directed Self Placement (DSP) has developed and changed over time at Grand Valley State University; Genie Giaimo and Kristina Reardon’s (2025) examination of how SSP can encourage changes across different writing courses at a small liberal arts college; and, Jessica Nastal and Kris Messer’s (2025) reflection on the history of SSP and particularly on how the three proceduing articles resonate with current work ranging from initial design of a college's SSP system to large-scale revisions of existing SSP systems.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivs 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9m68h5g3","frozenauthors":[{"first_name":"Carl","middle_name":"","last_name":"Whithaus","name_suffix":"","institution":"UC Davis","department":"University Writing Program"}],"date_submitted":"2025-03-30T16:33:42.182000-07:00","date_accepted":"2025-03-30T17:18:07.346000-07:00","date_published":"2025-04-09T11:23:03.332000-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/47108/galley/35624/download/"}]},{"pk":47034,"title":"\n\nAfterword: Finding the Right Note in Writing Placement\n\n \n\n \n","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivs 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Special Issue - Student Self Placement (SSP)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4s96g8sw","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Nastal","name_suffix":"","institution":"","department":""},{"first_name":"Kris","middle_name":"","last_name":"Messer","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-03-16T13:46:42.730000-07:00","date_accepted":"2025-03-18T11:19:48.301000-07:00","date_published":"2025-04-09T11:22:51.173000-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/47034/galley/35618/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/47034/galley/35618/download/"}]},{"pk":44237,"title":"Collaboratively Building Our SSP Scholarship (Because Placement is Still Everyone's Business)","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivs 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Editors' introduction"},{"word":"Collaborative scholarship"}],"section":"Special Issue - Student Self Placement (SSP)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1nm1x2zp","frozenauthors":[{"first_name":"Kate","middle_name":"L","last_name":"Pantelides","name_suffix":"","institution":"Middle Tennessee State University","department":""},{"first_name":"Erin","middle_name":"","last_name":"Whittig","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-02-27T14:23:01.543000-08:00","date_accepted":"2025-03-03T17:21:38.478000-08:00","date_published":"2025-04-09T11:22:39.397000-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/44237/galley/35602/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/44237/galley/35602/download/"}]},{"pk":6659,"title":"The Trouble With “Ungrading”: Toward Disciplinary Specificity in Alternative Writing Assessment","subtitle":null,"abstract":"Responding to the emergent discourse around “ungrading,” this essay articulates the need for disciplinary conversations about alternative writing assessments, conversations that center work on antiracism, Black Linguistic Justice, and anti-ableist composition pedagogies and policies. From that foundation, we argue, we have the chance to build concrete, specific, and equitable alternative assessment practices that also include the practices and voices of the faculty and graduate students most likely to be teaching first-year composition courses. ","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivs 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Writing Assessment"},{"word":"ungrading"},{"word":"linguistic justice"},{"word":"Disability Studies"},{"word":"alternative assessment"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3s97p28z","frozenauthors":[{"first_name":"Maggie","middle_name":"","last_name":"Fernandes","name_suffix":"","institution":"University of Arkansas","department":"English"},{"first_name":"Emily","middle_name":"","last_name":"Brier","name_suffix":"","institution":"Western Carolina University","department":"English Studies"},{"first_name":"Megan","middle_name":"","last_name":"McIntyre","name_suffix":"","institution":"University of Arkansas","department":"English"}],"date_submitted":"2024-01-05T11:01:43.669000-08:00","date_accepted":"2025-03-03T11:54:32.362000-08:00","date_published":"2025-04-09T11:22:28.012000-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/6659/galley/35600/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/6659/galley/35600/download/"}]},{"pk":1566,"title":"Everything Old Is New Again: Reconsidering DSP Amid the Changing Academic Landscape at Grand Valley State University","subtitle":null,"abstract":"As the origin of directed self-placement (DSP), Grand Valley State University is in the unique position of having created, adapted, and maintained a DSP program for almost thirty years. This article explores the history of GVSU’s placement practices to articulate what we have learned about DSP amid our institution’s changing academic landscape. Using interviews and reflections from past and current administrators who lead our placement practices, we demonstrate that the philosophical foundation of DSP—student self-efficacy—remains the guiding light of our placement practices. However, we argue that multiple changes experienced at many institutions, including new admissions standards, changing student demographics, and the lingering effects of the COVID-19 pandemic, require WPAs to consider new questions about DSP to ensure that our placement practices promote equity and access to all students.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivs 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"directed self-placement"},{"word":"writing placement"},{"word":"institutional change"},{"word":"writing program administration"},{"word":"university admissions"}],"section":"Special Issue - Student Self Placement (SSP)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7696n7gf","frozenauthors":[{"first_name":"Amy","middle_name":"","last_name":"Ferdinandt Stolley","name_suffix":"","institution":"Grand Valley State University","department":""},{"first_name":"Dauvan","middle_name":"","last_name":"Mulally","name_suffix":"","institution":"Grand Valley State University","department":"Department of Writing"},{"first_name":"Craig","middle_name":"","last_name":"Hulst","name_suffix":"","institution":"Grand Valley State University","department":"Department of Writing"}],"date_submitted":"2023-07-29T10:48:17.294000-07:00","date_accepted":"2024-12-10T07:04:40.681000-08:00","date_published":"2025-04-09T11:22:13.523000-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/1566/galley/35599/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/1566/galley/35599/download/"}]},{"pk":1564,"title":"Wrap-around support via a directed self placement model: A treatment for SLAC writing programs","subtitle":null,"abstract":"In this paper, two WPAs at small and highly selective liberal arts colleges (SLACs) discuss the process of developing and implementing a “wrap-around” directed self placement (DSP) model. Beginning with a braided narrative, the authors discuss the impetus for the DSP, its impact on course placement, as well as using DSP data to create robust support plans for individual students. Of course, given the elite nature of the authors’ institutions, we also discuss how to apply a DSP model in a competitive and highly selective context where there are few, if any, developmental courses. Here, we offer possibilities for DSPs at SLACs that include retention and persistence tracking, as well as tracing self-efficacy by disciplinary specialization (i.e., STEM). We end by sharing our instruments and guidance on how SLAC WPAs can use DSP in novel and more comprehensive ways.","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivs 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"liberal arts colleges"},{"word":"directed self placement"},{"word":"ecologies of writing"},{"word":"wrap-around support"}],"section":"Special Issue - Student Self Placement (SSP)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/62k3q7kp","frozenauthors":[{"first_name":"Genie","middle_name":"","last_name":"Giaimo","name_suffix":"","institution":"Hofstra University","department":""},{"first_name":"Kristina","middle_name":"","last_name":"Reardon","name_suffix":"","institution":"Amherst College","department":"English"}],"date_submitted":"2023-07-28T14:47:04.860000-07:00","date_accepted":"2024-07-30T04:37:17.626000-07:00","date_published":"2025-04-09T11:21:57.624000-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/1564/galley/35620/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/1564/galley/35620/download/"}]},{"pk":1240,"title":"Using Completion Rubrics to Grade Engagement in Online Spaces","subtitle":null,"abstract":"This study examines how completion rubrics impact student learning and agency in online asynchronous courses. The study was conducted during the Fall 2021 term in three 7.5-week courses: two sections of ENGL101 and one section of ENGL300. The analysis focuses on student survey responses. We found that student responses focused on defining labor, coming to terms with invisible labor, how they experienced this new assessment system, their perceptions about the connection between assessment and learning, and finally four distinct time-related themes. First, time emerged as a theme while students defined labor. Second, it appeared repeatedly as students discussed invisible labor and grading not accounting for time a task might take. Third, students distinguished between how previous experience and skills impact an individual’s time on task. Finally, students associated saving time with gaining agency and being able to prioritize other areas outside of the class. Completion rubrics empowered students to make well-informed choices about where they spend their time, allowing them to prioritize their learning needs. However, designing equitable assessment systems requires considering classroom context as each context presents unique challenges and opportunities. This study offers valuable insights for designing more inclusive online course curricula and assessments that acknowledge and account for students’ time.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivs 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"completion rubrics"},{"word":" invisible labor"},{"word":" student agency"},{"word":" online assessment"},{"word":"invisible labor"},{"word":"student agency"},{"word":"online assessment"},{"word":"time"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3m47g95t","frozenauthors":[{"first_name":"Sallie","middle_name":"","last_name":"Koenig","name_suffix":"","institution":"University of Arizona","department":"English - Rhetoric, Composition, and the Teaching of English"},{"first_name":"Catrina","middle_name":"","last_name":"Mitchum","name_suffix":"","institution":"","department":""},{"first_name":"Shelley","middle_name":"","last_name":"Rodrigo","name_suffix":"","institution":"","department":""}],"date_submitted":"2023-03-24T14:12:24.878000-07:00","date_accepted":"2025-03-13T12:27:18.199000-07:00","date_published":"2025-04-09T11:21:41.806000-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/1240/galley/35601/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jwa/article/1240/galley/35601/download/"}]},{"pk":47109,"title":"Addendum: Quantitative Analysis of Honey Bee Blood-Ethanol Levels Following Exposure to Ethanol Vapors","subtitle":null,"abstract":"This addendum reports an additional statistical analysis of the data of our earlier paper on the effect of exposing bees to ethanol vapor. The analysis indicated that inhaled ethanol is absorbed into the hemolymph, similar to the more traditional method of feeding bees ethanol. Therefore, both ingestion and inhalation can be used as effective methods of ethanol administration in honey bees.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"addiction"},{"word":"ethanol"},{"word":"Honey bee"},{"word":"inebriator"},{"word":"ethanol vapor"},{"word":"ethanol inhalation"}],"section":"Research Note","is_remote":true,"remote_url":"https://escholarship.org/uc/item/46j7r18c","frozenauthors":[{"first_name":"Raffaele","middle_name":"","last_name":"d'Isa","name_suffix":"","institution":"San Raffaele Scientific Institute","department":"Division of Neuroscience"},{"first_name":"Harrington","middle_name":"","last_name":"Wells","name_suffix":"","institution":"None","department":""},{"first_name":"Charles","middle_name":"I","last_name":"Abramson","name_suffix":"","institution":"Oklahoma State University","department":""}],"date_submitted":"2025-03-31T05:16:47.033000-07:00","date_accepted":"2025-03-31T11:06:01.267000-07:00","date_published":"2025-04-08T12:19:00-07:00","render_galley":{"label":"D'Isa_Final","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/47109/galley/35623/download/"},"galleys":[{"label":"D'Isa_Final","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/47109/galley/35623/download/"}]},{"pk":24830,"title":"Successful Treatment of Paradoxical Vocal Cord Motion with Sub-dissociative Dose Ketamine: Case Report","subtitle":null,"abstract":"Introduction: Paradoxical vocal cord motion (PVCM) is a primarily neuropsychiatric condition that causes inappropriate adduction of the vocal cords during respiration. This condition is commonly misdiagnosed and treated as refractory asthma or upper airway obstruction requiring intensive care unit-level of care. Recent expert opinion suggests that ketamine administration may promote PVCM symptom resolution; however, this phenomenon has not yet been documented in the literature.
\nCase Report: This is the case of a 23-year-old female who presented to the emergency department (ED) with acute PVCM exacerbation. After failing to respond to standard-of-care therapies including benzodiazepines, the patient was administered intravenous, sub-dissociative dose ketamine, which led to symptom resolution and discharge.
\nConclusion: Sub-dissociative dose ketamine may be a safe and effective therapy for PVCM exacerbations in the ED. In this report we explore the patient factors that likely mediated the clinical outcome in this case.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"paradoxical vocal cord motion; ketamine; case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6c79x863","frozenauthors":[{"first_name":"Keaton","middle_name":"","last_name":"Cameron-Burr","name_suffix":"","institution":"Brown University, Department of Emergency Medicine, Providence, Rhode Island","department":""},{"first_name":"Elizabeth","middle_name":"","last_name":"Terry-Kantor","name_suffix":"","institution":"Brown University, Department of Emergency Medicine, Providence, Rhode Island","department":""},{"first_name":"Taneisha","middle_name":"","last_name":"Wilson","name_suffix":"","institution":"Brown University, Department of Emergency Medicine, Providence, Rhode Island","department":""}],"date_submitted":"2024-06-10T21:47:10.272000-07:00","date_accepted":"2024-12-05T03:23:05.663000-08:00","date_published":"2025-04-07T09:37:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/24830/galley/35729/download/"}]},{"pk":39703,"title":"Case Report: 2-PAM or not 2-PAM","subtitle":null,"abstract":"Introduction: Organophosphates (OP) are used as pest control agents worldwide and have been seen in accidental and intentional poisonings.
\nCase Report: A patient presented after intentional ingestion of the OP Orthene (50% acephate). Due to copious secretions, the patient was intubated and given atropine by the paramedic before transport. In the emergency department he displayed both muscarinic and nicotinic effects from OP ingestion. The patient was given multiple doses of atropine and a pralidoxime bolus. He was extubated and transferred to psychiatry two days later.
\nConclusion: Acute OP exposure is a rare but complex presentation in the United States. In the United States there are bans on several organophosphate varieties, which have reduced the number and severity of OP toxicities. Acephate is generally considered a safer OP by United States regulators and the World Health Organization. In this case report, we describe an OP exposure with marked symptoms requiring intubation and successful treatment with atropine and pralidoxime. We also discuss the role of oximes in acephate toxicity.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Orthene"},{"word":"acephate"},{"word":"organophosphate toxicity"},{"word":"Pralidoxime"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2t10417b","frozenauthors":[{"first_name":"Madelyn","middle_name":"","last_name":"Huttner","name_suffix":"","institution":"University of Louisville, School of Medicine Department of Emergency Medicine, Louisville, Kentucky","department":""},{"first_name":"Kahra","middle_name":"","last_name":"Nix","name_suffix":"","institution":"University of Louisville, School of Medicine Department of Emergency Medicine, Louisville, Kentucky","department":""},{"first_name":"Caitlyn","middle_name":"","last_name":"Blair","name_suffix":"","institution":"University of Louisville, School of Medicine Department of Emergency Medicine, Louisville, Kentucky","department":""},{"first_name":"Matthew","middle_name":"","last_name":"Eisenstat","name_suffix":"","institution":"University of Louisville, School of Medicine Department of Emergency Medicine, Louisville, Kentucky","department":""}],"date_submitted":"2024-11-07T15:52:33.617000-08:00","date_accepted":"2025-01-17T15:32:25.271000-08:00","date_published":"2025-04-07T09:30:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/39703/galley/35737/download/"}]},{"pk":38451,"title":"Bell Palsy Mimics: Lessons from Four Malpractice Cases","subtitle":null,"abstract":"Introduction: Bell palsy, an idiopathic dysfunction of the seventh cranial nerve, is the leading cause of unilateral facial paralysis, although other more serious entities such as stroke, infection, and tumor may present similarly, leading to both medical and legal risks in cases of misdiagnosis.
\nCase Series: We present four malpractice cases revolving around misdiagnosis of Bell palsy. These cases alleged failure to diagnose, failure to obtain informed consent, and failure to provide appropriate discharge instructions. Outcomes ranged from a jury verdict in favor of the physician, to an out-of-court settlment for $400,000, to a jury verdict in favor of the patieint for over $3.1 million.
\nConclusion: Bell palsy is the most common cause of unilateral facial paralysis. While the diagnosis can be made at the bedside without advanced testing, doing so requires a clear understanding of the pathophysiology of the disease, an appreciation for the role of advanced diagnostics, and thorough documentation of a supportive history and physical exam. Misdiagnosis or mismanagement confers both clinical and legal risks.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Bell's palsyliability"},{"word":"Malpractice"},{"word":"stroke"},{"word":"Bell's Palsy"},{"word":"liability"}],"section":"Medical Legal Case Report","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4c7456x2","frozenauthors":[{"first_name":"Rachel","middle_name":"","last_name":"Lindor","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":""},{"first_name":"Summer","middle_name":"","last_name":"Ghaith","name_suffix":"","institution":"Mayo Clinic, Mayo Clinic Alix School of Medicine, Phoenix, Arizona","department":""}],"date_submitted":"2024-10-28T11:49:58.673000-07:00","date_accepted":"2025-01-13T12:55:45.207000-08:00","date_published":"2025-04-05T09:00:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/38451/galley/35718/download/"}]},{"pk":21312,"title":"Event-related potentials and oscillatory brain activity reflect a complex interplay of syntactic, semantic and pragmatic information during the processing of German discourse particles","subtitle":null,"abstract":"Discourse particles are little words that provide non-at-issue content to sentences, reshaping the illocutionary force of an utterance. Among them, question-sensitive discourse particles (QDiPs), like German denn, are subject to a number of interacting syntactic, semantic and pragmatic licensing constraints, offering a unique window into language processing at the interfaces. We present EEG data on the processing of QDiPs in different types of interrogatives (eliciting either syntactic/semantic or pragmatic QDiP licensing), along with QDiPs in declaratives (i.e., unlicensed QDiPs resulting in ill-formed structures). The analysis of event-related potentials shows an increased negativity for QDiPs relative to a non-QDiP baseline in the P300/N400 time window; this is more pronounced for unlicensed QDiPs (in declaratives) than licensed QDiPs (in interrogatives). In the P600 time window, QDiPs elicit more positive-going curves than non-QDiPs, with this pattern wearing off for licensed, relative to unlicensed, QDiPs at later timepoints. Time-frequency analysis of the same EEG data reveals increased theta-band activity for non-QDiPs relative to QDiPs. We interpret the lower theta-band activity for QDiPs as reflecting the fact that QDiPs contribute non-at-issue meaning, but not at-issue meaning. Taken together, our findings showcase different aspects of QDiP processing; ranging from ERP correlates for straightforward licensing violations (late P600) and for increased processing cost during successful licensing (early P600) to oscillatory reflections of the ‘semantic weakness’ of discourse particles (lower theta-band activity). The two types of EEG analysis complement each other and tap into different aspects of language processing.
\n(*Kharaman and Czypionka share first authorship.)
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9bm6t62c","frozenauthors":[{"first_name":"Mariya","middle_name":"","last_name":"Kharaman","name_suffix":"","institution":"University of Konstanz","department":"Linguistics"},{"first_name":"Anna","middle_name":"","last_name":"Czypionka","name_suffix":"","institution":"University of Konstanz","department":"Linguistics"},{"first_name":"Carsten","middle_name":"","last_name":"Eulitz","name_suffix":"","institution":"University of Konstanz","department":"Linguistics"}],"date_submitted":"2024-06-06T08:28:50.221000-07:00","date_accepted":"2025-01-18T13:18:05.785000-08:00","date_published":"2025-04-03T14:20:00-07:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/21312/galley/35526/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/21312/galley/35525/download/"},{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/21312/galley/35526/download/"}]},{"pk":21145,"title":"Tablet Screen-Touch Behavior with Audiovisual Stimulus Consequences in the Common Marmoset (Callithrix Jacchus)","subtitle":null,"abstract":"The common marmoset is a nonhuman primate with a body size similar to an adult rat (approximately 250 – 450 g). This study examined the use of marmosets for behavior research on learning, focusing on the behavioral consequences of audiovisual stimuli (neither food nor liquid used as a reinforcer). A tablet (iPad®) was placed in each marmoset’s individual living cage during the experiment. On the tablet screen, nine small soundless videos of different nonhuman primate species were simultaneously presented. If the marmoset touched any of them, the touched video was zoomed-in on the screen; this was accompanied by the sound of primates chattering as the response consequence. After 2 months of repeated training sessions (10 min/day, 2 or 3 days/week), eight of the ten marmosets established the screen-touch behavior. In an extinction test for the response consequence, the screen-touch response to any of nine primate videos was examined after the presentation of a black screen instead of the above consequence. The number of touch responses decreased compared with baseline control values in three marmosets, whereas responses did not decrease in four marmosets. For the latter marmosets, it was considered that the stimulus changes from the videos to the black screen played a possible reinforcer to maintain the behavior in this test. These findings indicate that the screen-touch behavior, a new learned behavior in the nonhuman primate, could be an operant behavior with an audiovisual response consequence.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"common marmosets"},{"word":"sensory learning"},{"word":"tablet screen touch behavior"},{"word":"audiovisual consequence"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/06k3f6x5","frozenauthors":[{"first_name":"Kiyoshi","middle_name":"","last_name":"Ando","name_suffix":"","institution":"Central Institute for Experimental Medicine and Life Science","department":""}],"date_submitted":"2024-05-05T19:26:26.190000-07:00","date_accepted":"2024-10-22T07:07:38.466000-07:00","date_published":"2025-04-02T09:00:00-07:00","render_galley":{"label":"Ando_FINAL","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/21145/galley/35579/download/"},"galleys":[{"label":"Ando_FINAL","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/21145/galley/35579/download/"}]},{"pk":47122,"title":"Book Review: Stonehenge: Sighting of the Sun","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0 International (CC BY 4.0)","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Stonehenge"},{"word":"Ruggles"},{"word":"Chadburn"}],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8j48d0zz","frozenauthors":[{"first_name":"Gail","middle_name":"","last_name":"Higginbottom","name_suffix":"","institution":"Instituto de Ciencias del Patrimonio (INCIPIT)","department":""}],"date_submitted":"2025-04-01T11:48:30.825000-07:00","date_accepted":"2025-04-01T12:00:54.041000-07:00","date_published":"2025-04-01T17:06:00-07:00","render_galley":{"label":"Review of Stonehenge: Sighting of the Sun.","type":"pdf","path":"https://journalpub.escholarship.org/jac/article/47122/galley/35583/download/"},"galleys":[{"label":"Review of Stonehenge: Sighting of the Sun.","type":"pdf","path":"https://journalpub.escholarship.org/jac/article/47122/galley/35583/download/"}]},{"pk":34862,"title":"Retroperitoneal Necrotizing Fasciitis Following Prolonged Physical Activity: A Case Report","subtitle":null,"abstract":"Introduction: Retroperitoneal necrotizing fasciitis is a rare, rapidly progressive, and often fatal infection of the retroperitoneum. In many cases the source of infection is unclear, and cutaneous signs of necrotizing fasciitis may be absent.
\nCase Report: We present the case of a 64-year-old female with a history of hypertension, hyperlipidemia, and breast cancer who developed acute kidney injury (AKI) and retroperitoneal necrotizing fasciitis following a 20-mile bike ride. The patient’s initial symptoms included severe muscle aches, nausea, vomiting, and flank pain. Diagnostic imaging and laboratory results indicated myositis and severe AKI. Despite aggressive treatment with antibiotics, intravenous fluids, and pain management, the patient developed septic shock and multiorgan failure, ultimately leading to her death.
\nConclusion: This case highlights the rapid progression and complexity of managing necrotizing fasciitis and AKI in the context of rhabdomyolysis. Early recognition and aggressive management are crucial in cases of suspected necrotizing fasciitis and AKI. Patients may not initially present with cutaneous findings suggestive of necrotizing fasciitis. Early involvement of a multidisciplinary team can improve patient outcomes in complex and rapidly deteriorating patients.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"acute kidney injury"},{"word":"Retroperitoneal necrotizing fasciitis"},{"word":"necrotizing fasciitis"},{"word":"pyomyositis"},{"word":"rhabdomyolysis"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3373679m","frozenauthors":[{"first_name":"Jordan","middle_name":"R.","last_name":"Pollock","name_suffix":"","institution":"Mayo Clinic Arizona, Department of Radiology, Phoenix, Arizona","department":""},{"first_name":"Edmundo","middle_name":"","last_name":"Chantler","name_suffix":"","institution":"Mayo Clinic Arizona, Department of Emergency Medicine, Phoenix, Arizona","department":""},{"first_name":"Bhavesh","middle_name":"","last_name":"Patel","name_suffix":"","institution":"Mayo Clinic Arizona, Department of Critical Care Medicine, Phoenix, Arizona","department":""},{"first_name":"Nelly","middle_name":"","last_name":"Tan","name_suffix":"","institution":"Mayo Clinic Arizona, Department of Radiology, Phoenix, Arizona","department":""},{"first_name":"Wayne","middle_name":"","last_name":"Martini","name_suffix":"","institution":"Mayo Clinic Arizona, Department of Emergency Medicine, Phoenix, Arizona","department":""}],"date_submitted":"2024-08-25T20:29:24.123000-07:00","date_accepted":"2025-01-07T12:26:41.267000-08:00","date_published":"2025-04-01T09:51:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/34862/galley/35739/download/"}]},{"pk":35485,"title":"Quincke Triad and Hepatic Artery Pseudoaneurysm Presenting to the Emergency Department: A Case Report","subtitle":null,"abstract":"Introduction: Hepatic artery aneurysms are exceedingly rare, often asymptomatic, and usually diagnosed when patients present with complications such as rupture or bile duct obstruction.
\nCase Report: This report describes a 70-year-old female who presented to the emergency department with Quincke triad (epigastric pain, obstructive jaundice, and gastrointestinal bleeding) and was diagnosed with multiple hepatic artery pseudoaneurysms with a thrombosed fistulous connection to the biliary system. She was treated effectively with extensive embolization and biliary stenting.
\nConclusion: This case underscores the importance of early diagnosis and highlights the role of multidisciplinary intervention in preventing life-threatening complications from hepatic artery aneurysms.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"aneurysm"},{"word":"gastrointestinal bleeding"},{"word":"hepatic"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/25d453gg","frozenauthors":[{"first_name":"Courtney","middle_name":"","last_name":"Wham","name_suffix":"","institution":"Denver Health, Emergency Medicine Residency, Denver, Colorado Denver Health,","department":""},{"first_name":"Daria","middle_name":"","last_name":"Nicke","name_suffix":"","institution":"Paramedic Division, Denver, Colorado","department":""},{"first_name":"Justin","middle_name":"","last_name":"Burman","name_suffix":"","institution":"Paramedic Division, Denver, Colorado","department":""},{"first_name":"Robert","middle_name":"","last_name":"Meller","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Vascular and Interventional Radiology, Aurora, Colorado","department":""},{"first_name":"Premal","middle_name":"","last_name":"Trivedi","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Vascular and Interventional Radiology, Aurora, Colorado","department":""},{"first_name":"Andra","middle_name":"","last_name":"Farcas","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":""}],"date_submitted":"2024-09-27T15:30:31.507000-07:00","date_accepted":"2024-12-12T01:43:29.222000-08:00","date_published":"2025-04-01T09:39:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35485/galley/35738/download/"}]},{"pk":3861,"title":"Case Report: Refractory Ventricular Fibrillation Resolved by Double External Defibrillation and Beta Blockade","subtitle":null,"abstract":"Introduction: The mortality rate for refractory ventricular fibrillation (RVF) can be up to 97%. There is no widely accepted treatment plan for this stage of ventricular fibrillation besides the standard combination of defibrillation, amiodarone, and epinephrine. One novel approach that has been documented in a select few cases since 2015 is the combination of double external defibrillation (DED) and esmolol-induced beta blockade.
\nCase Report: We report the case of a 65-year-old man who presented with RVF after collapsing at work. Upon the simultaneous administration of two defibrillators with a combined shock of 400 joules and 35 milligrams of the beta blocker esmolol, the patient regained pulse and began blinking. He was discharged from the hospital after seven days and walked out of the clinic.
\nConclusion: This case continues the trend of several case reports since 2015 that have featured beta blockade and double external defibrillation as a viable solution to refractory ventricular fibrillation. Since there is limited quantifiable data on the efficacy of this treatment, future studies should aim to evaluate whether the combination of DED and beta blockade has the potential to become the new standard in treating RVF over a broader patient population.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Refractory ventricular fibrillation"},{"word":"Double external defibrillation"},{"word":"Beta blockade"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/11w9m6h7","frozenauthors":[{"first_name":"Humza","middle_name":"","last_name":"Khan","name_suffix":"","institution":"Upstate Medical University, Department of Emergency Medicine, Syracuse, New York","department":""},{"first_name":"Jennifer","middle_name":"","last_name":"Campoli","name_suffix":"","institution":"Upstate Medical University, Department of Emergency Medicine, Syracuse, New York","department":""},{"first_name":"Susan","middle_name":"","last_name":"Wojcik","name_suffix":"","institution":"Upstate Medical University, Department of Emergency Medicine, Syracuse, New York","department":""}],"date_submitted":"2023-10-24T23:15:38.250000-07:00","date_accepted":"2024-04-22T02:50:56.103000-07:00","date_published":"2025-04-01T09:23:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/3861/galley/35736/download/"}]},{"pk":19417,"title":"Emergency Physician Assessment of Productivity and Supervision Practices","subtitle":null,"abstract":"Introduction: Despite a lack of data guiding safe standards for physician productivity and supervision of non-physician practitioners (NPP), legislation dictating supervision ratios for emergency physicians (EP) has been enacted in Florida and elsewhere across the country. To inform future legislation, we aim to identify current productivity and supervision practices among practicing EPs as well as those physicians’ safety assessments of their current practices.
\nMethods: We conducted a cross-sectional observational study regarding EPs’ perspectives on safe staffing and supervision models. A survey, consisting of 14 questions examining different variables affecting supervision and productivity, was used to determine physicians’ opinions on the safety of productivity and supervision models across a range of annual volumes, employers, and years of experience. We coded safety assessments as binary (yes/no) and measured productivity by patients treated per hour. Ratios of physician to supervisee (either resident physician or or NPP) were given as number of supervisees: EP.
\nResults: The survey response rate was 4.8% (196/4,004). On average, most EPs treated 2.6 patients per hour, regardless of years of experience, employment model, or supervision model. More than 80% of EPs felt that their current patients-per- hour practice was safe. Direct supervision represented 59% of total visits and the majority in all employment models except for community contract-management groups (CMG). A minimum of 80% of physicians felt that their current supervision practices were safe across employment models, with the notable exception of community CMGs. Most felt that a safe ratio for direct supervision of NPPs was 1:1. Over 30% reported there was no safe staffing ratio for indirect supervision.
\nConclusion: With the exception of those employed by community contract-management groups, EPs felt that their current productivity and supervision practices were safe; however, average productivity and supervision ratios are much lower than prior estimates and in current legislation governing emergency department practice. Standards of care for both productivity and supervision that take into account current practices and safety assessments should be established and considered when future policies and legislation are developed.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"productivity"},{"word":"superivision"},{"word":"non-physician practitioner"},{"word":"nurse-practitioner"},{"word":"physician assistant"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/23x4c198","frozenauthors":[{"first_name":"Kraftin","middle_name":"","last_name":"Schreyer","name_suffix":"","institution":"Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":""},{"first_name":"Diane","middle_name":"","last_name":"Kuhn","name_suffix":"","institution":"Indiana University Health, Department of Emergency Medicine, Indianapolis, Indiana","department":""},{"first_name":"Vicki","middle_name":"","last_name":"Norton","name_suffix":"","institution":"Florida Atlantic University, Department of Emergency Medicine, Boca Raton, Florida","department":""}],"date_submitted":"2024-02-08T11:04:22.164000-08:00","date_accepted":"2025-01-09T13:30:50.566000-08:00","date_published":"2025-04-01T09:14:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/19417/galley/36389/download/"}]},{"pk":61720,"title":"California Statewide Action Plan for Asian Citrus Psyllid and Huanglongbing","subtitle":null,"abstract":"This document sets forth the California Department of Food and Agriculture (CDFA), Citrus Pest and Disease Prevention Division’s (CPDPD) statewide Action Plan for Asian citrus psyllid (ACP) and huanglongbing (HLB). This document details the program implemented by CPDPD to sustain and protect California’s commercial citrus production, residential citrus plantings, and naturalresources.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Special Topics","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7f8085cb","frozenauthors":[{"first_name":"Courtney","middle_name":"","last_name":"Albrecht","name_suffix":"","institution":"CDFA","department":"","country":"United States"},{"first_name":"Amelia","middle_name":"","last_name":"Hicks","name_suffix":"","institution":"CDFA","department":"","country":"United States"},{"first_name":"Victoria","middle_name":"","last_name":"Hornbaker","name_suffix":"","institution":"CDFA","department":"","country":"United States"},{"first_name":"Sara","middle_name":"","last_name":"Khalid","name_suffix":"","institution":"CDFA","department":"","country":"United States"},{"first_name":"Lucita","middle_name":"","last_name":"Kumagai","name_suffix":"","institution":"CDFA","department":"","country":"United States"},{"first_name":"David","middle_name":"","last_name":"Morgan","name_suffix":"","institution":"CDFA","department":"","country":"United States"},{"first_name":"Keith","middle_name":"","last_name":"Okasaki","name_suffix":"","institution":"CDFA","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-04-01T00:00:00-07:00","render_galley":null,"galleys":[{"label":"California Statewide Action Plan for Asian Citrus Psyllid and Huanglongbing","type":"pdf","path":"https://journalpub.escholarship.org/iocv_journalcitruspathology/article/61720/galley/47608/download/"}]},{"pk":35262,"title":"Social Determinants of Health and Health Literacy in Emergency Patients with Diabetic Ketoacidosis","subtitle":null,"abstract":"Introduction: Social determinants of health (SDoH) and health literacy have been demonstrated to significantly impact health outcomes. As part of a study of diabetic ketoacidosis (DKA) treatment from the emergency department (ED), we assessed the burden of SDoH and health literacy among patients with DKA to identify potentially modifiable risk factors in the development of DKA.
\nMethods: This was an exploratory, prospective, cross-sectional study of adult patients with DKA in a large urban academic ED from March 2023–March 2024. We administered the Centers for Medicare & Medicaid Services Accountable Health Communities Health-Related Social Needs Screening Tool (SNST) and the Brief Health Literacy Screen (BHLS).
\nResults: Of 126 identified ED patients with confirmed DKA, 57 completed the SNST and 72 completed the BHLS. Nearly all patients (56 patients, 98%) reported at least one unmet SDoH need, and 32 (56%) patients reported five or more. The most frequently reported SDoH needs were physical activity (77%), mental health (63%), financial strain (60%), substance use (54%), and food insecurity (51%). Seventy-two patients completed the BHLS, which demonstrated high levels of health literacy, with median responses ranging from 4-5 on a Likert scale with 5 corresponding to highest health literacy.
\nConclusion: Social determinants of health needs are prominent among patients who develop DKA, highlighting an opportunity for ED-based interventions to address specific SDoH factors to prevent the development of this disease. Self-reported health literacy scores were high in this patient population.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"social determinants of health"},{"word":"Diabetes"},{"word":"Health Literacy"},{"word":"insulin"},{"word":"Physical activity"},{"word":"Diabetic ketoacidosis"}],"section":"Health Equity","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3wm4f04f","frozenauthors":[{"first_name":"Daniel","middle_name":"F.","last_name":"Suarez","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Emergency Medicine, St. Louis, Missouri","department":""},{"first_name":"Ryan","middle_name":"M.","last_name":"Schneider","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Emergency Medicine, St. Louis, Missouri","department":""},{"first_name":"Margo","middle_name":"","last_name":"Girardi","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Internal Medicine Divisions of Hospital Medicine, St. Louis, Missouri","department":""},{"first_name":"Gina","middle_name":"","last_name":"LaRossa","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Internal Medicine Divisions of Hospital Medicine, St. Louis, Missouri","department":""},{"first_name":"Julianne","middle_name":"","last_name":"Yeary","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Emergency Medicine, St. Louis, Missouri","department":""},{"first_name":"Taylor","middle_name":"","last_name":"Kaser","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Emergency Medicine, St. Louis, Missouri","department":""},{"first_name":"Rachel","middle_name":"","last_name":"Ancona","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Emergency Medicine, St. Louis, Missouri","department":""},{"first_name":"Paula","middle_name":"","last_name":"Cruz Bravo","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Endocrinology, St. Louis, Missouri","department":""},{"first_name":"Richard","middle_name":"T.","last_name":"Griffey","name_suffix":"","institution":"Washington University School of Medicine, Barnes-Jewish Hospital, Department of Emergency Medicine, St. Louis, Missouri","department":""}],"date_submitted":"2024-09-02T12:14:50.013000-07:00","date_accepted":"2024-11-26T11:31:12.993000-08:00","date_published":"2025-03-31T09:53:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/35262/galley/36373/download/"}]},{"pk":18597,"title":"Epidemiology of 911 Calls for Opioid Overdose in Nogales, Arizona","subtitle":null,"abstract":"Objective: Drug overdose is the leading cause of unintentional death in the United States, and individuals identifying as BIPOC (Black, indigenous and people of color) and those of low socioeconomic status are over-represented in this statistic. The US-Mexico border faces several unique challenges when it comes to healthcare and the drug overdose crisis, due in large part to health inequities. Although the US Centers for Disease Control and Prevention recommends that overdose prevention programs address health inequities, little is known about opioid overdoses in this rural, primarily Spanish-speaking region. As emergency medical services (EMS) records collect countywide data, they represent a high-quality source for epidemiologic surveillance.
\nMethods: We conducted a retrospective chart review based on a local quality assurance program in which two years of EMS records were reviewed with the primary objective of characterizing patients receiving prehospital care for opioid overdoses in a rural, borderland community, and the secondary objective of characterizing EMS’s fidelity to a naloxone distribution protocol. We included electronic patient care records for analysis if they included the EMS clinician’s impression of overdose, opiate abuse, or opiate-related disorder from November 1, 2020–October 31,2022. The following data points were abstracted: date; patient initials/gender/age; police presence; response location; bystanders on scene; naloxone administration prior to EMS arrival; distribution of naloxone kit (yes/no); substance reported; and disposition. We analyzed descriptive statistics.
\nResults: A total of 74 cases met inclusion criteria over two years with the majority of cases involving men (82%) with a median age of 28. Almost half of overdoses occurred at private residences (46%), and slightly more than half (57%) reported fentanyl use prior to overdose. Family or friends were usually (64%) on scene, and law enforcement was often (77%) the first 911 to arrive. Naloxone was administered on scene in almost all cases (91%), usually by EMS (44%) or law enforcement (43%). The EMS clinicians distributed naloxone kits at 61% of calls.
\nConclusion: Opioid overdoses along the US-Mexico border occurred primarily among young men using illicit fentanyl in private residences. Although family/friends were often present, they rarely administered naloxone. Law enforcement was often the first 911 responder to arrive. Emergency medical services is a suitable setting for naloxone distribution programs.
","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"addiction"},{"word":"chaotic drug use"},{"word":"Substance Use Disorder"},{"word":"prehospital"},{"word":"EMS"},{"word":"border"},{"word":"borderlands"},{"word":"opioid use disorder"},{"word":"naloxone"},{"word":"naloxone distribution"},{"word":"OEND"}],"section":"Emergency Medical Services","is_remote":true,"remote_url":"https://escholarship.org/uc/item/61160495","frozenauthors":[{"first_name":"Melody","middle_name":"","last_name":"Glenn","name_suffix":"","institution":"University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona; University of Arizona College of Medicine, Department of Psychiatry, Tucson, Arizona","department":""},{"first_name":"Darien","middle_name":"","last_name":"Stratton","name_suffix":"","institution":"University of Pittsburgh, Department of Emergency Medicine, Pittsburgh, Pennsylvania","department":""},{"first_name":"Keith","middle_name":"","last_name":"Primeau","name_suffix":"","institution":"University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona","department":""},{"first_name":"Amber","middle_name":"","last_name":"Rice","name_suffix":"","institution":"University of Arizona College of Medicine, Department of Emergency Medicine, Tucson, Arizona","department":""}],"date_submitted":"2023-11-22T12:51:10-08:00","date_accepted":"2025-01-14T12:01:14.524000-08:00","date_published":"2025-03-31T09:15:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18597/galley/36393/download/"}]},{"pk":62911,"title":"Assessing Fish Distribution in Richardson Bay, California: A Preliminary Dual-Frequency Identification Sonar and Environmental Data Approach","subtitle":null,"abstract":"Estuaries provide critical habitat for many economically and ecologically valuable species that are adapted to a wide range of conditions and environmental variability, but the often turbid water presents challenges to monitoring efforts. This study explored fish habitat use in Richardson Bay, California (a sub-estuary of San Francisco Bay) at two points in time: one following a dry winter (2016) and the other following a historically wet winter (2017). Dual-frequency Identification Sonar (DIDSON) was used to record finfish and ray (>10 cm) abundance (MaxN) and size distribution, putative ray foraging pit size and abundance (MaxN), and eelgrass (Zostera marina) presence. We measured temperature, salinity, and dissolved oxygen (DO) at each site, and water samples at a subset of sites for nutrient analysis (urea, ammonium, nitrate, silicate, phosphate). Relationships between these data were explored using an information-theoretic modeling approach. Finfish abundance was best predicted by nutrient concentration in 2016 (–) and eelgrass presence in 2017 (–), whereas fish length was best predicted by salinity in 2016 (–) and eelgrass presence in 2017 (+). Foraging-pit abundance was strongly related to nutrient concentrations (+) in both years. This work presents a first attempt to establish relationships between fish distributions and environmental variables in Richardson Bay, and highlights the value of imaging sonar for studying fish communities in turbid estuaries.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"imaging sonar, fish community, salinity, nutrients, eelgrass, bioturbation, ray pits"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7qf7j90m","frozenauthors":[{"first_name":"Carmen","middle_name":"J.","last_name":"Ritter","name_suffix":"","institution":"Smithsonian Environmental Research Center\nEdgewater, MD 21037 USA","department":""},{"first_name":"Jack","middle_name":"C.","last_name":"Olson","name_suffix":"","institution":"Fish and Wildlife Research Institute, Florida Fish and Wildlife Conservation Commission\nMarathon, FL 33050 USA","department":""},{"first_name":"William","middle_name":"","last_name":"Cochlan","name_suffix":"","institution":"Northwest Indian College, Salish Sea Research Center\nBellingham, WA 98226 USA","department":""},{"first_name":"Kathryn","middle_name":"","last_name":"Boyer","name_suffix":"","institution":"San Francisco State University, Estuary and Ocean Science Center, Tiburon, CA 94920 USA","department":""},{"first_name":"Michael","middle_name":"","last_name":"Goodison","name_suffix":"","institution":"Smithsonian Environmental Research Center\nEdgewater, MD 21037 USA","department":""},{"first_name":"Gregory","middle_name":"","last_name":"Ruiz","name_suffix":"","institution":"Smithsonian Environmental Research Center\nEdgewater, MD 21037 USA","department":""},{"first_name":"Matthew","middle_name":"","last_name":"Ogburn","name_suffix":"","institution":"Smithsonian Environmental Research Center\nEdgewater, MD 21037 USA","department":""}],"date_submitted":"2025-03-17T23:27:21-07:00","date_accepted":"2025-03-17T23:27:21-07:00","date_published":"2025-03-31T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62911/galley/48597/download/"}]},{"pk":62909,"title":"Assessing the State and Efficacy of Climate Governance Research and Practice in the Sacramento–San Joaquin Delta","subtitle":null,"abstract":"Climate change affects nearly every aspect of the interdependent biophysical and social systems in California’s Sacramento–San Joaquin Delta. Mitigating and adapting to these effects will require effective climate governance: referring to the actors, rules, and processes through which decisions are made to prevent and respond to climate change. How governance systems effectively achieve these goals has become an increasingly central question in climate social science and climate policy debates, both at global and local scales. This paper reviews the state of science on climate governance in the Delta and investigates the extent to which effective climate governance characteristics operate in this region. The literature on climate governance broadly distills two key dimensions that scholars suggest influence efficacy: the structure of a governance system (e.g., extent of centralization and decentralization and mechanisms for coordination) and the degree of reactivity or proactivity in its processes. We review the available literature on Delta-specific governance, tracing the historical evolution of environmental governance in the Delta, and highlighting current efforts that illustrate different structural and procedural governance elements. Our synthesis finds robust evidence that characterizes the Delta’s governance system as dominantly polycentric and multi-scaler, increasingly participatory, and with a high aptitude for learning and innovation. Nevertheless, the region also faces key challenges around fragmentation and institutional fit, legacy policies that hamper transformational or proactive climate actions, and long-standing conflict among resource users and governing agencies. We conclude that the combination of high polycentricity alongside high levels of conflict and power asymmetries among affected parties in the Delta contributes to what can feel like “governance gridlock” and an inability to change the status quo to navigate new climate regimes equitably and effectively. These findings have implications for identifying steps forward for governance research and practice, both regionally in the Delta and beyond.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"climate change, governance, equity, adaptive governance, transformational governance, polycentric, institutions, actors"}],"section":"The State of Bay-Delta Science 2025, Part 1","is_remote":true,"remote_url":"https://escholarship.org/uc/item/67w3k56z","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Rudnick","name_suffix":"","institution":"Current: US Department of Agriculture Forest Service\nChicago, IL 60640 USA\n\nFormer: Delta Stewardship Council, Delta Science Program \nSacramento, CA 95814 USA","department":""},{"first_name":"Tanya","middle_name":"","last_name":"Heikkila","name_suffix":"","institution":"University of Colorado–Denver, School of Public Affairs\nDenver, CO 80204 USA","department":""},{"first_name":"Elizabeth","middle_name":"","last_name":"Koebele","name_suffix":"","institution":"University of Nevada–Reno, Political Science\nReno, NV 89557 USA","department":""},{"first_name":"Tiffany","middle_name":"","last_name":"Morrison","name_suffix":"","institution":"James Cook University, College of Science and Engineering\nTownsville, Queensland, Australia\n\nUniversity of Melbourne, School of Resource Management and Geography, Earth and Atmospheric Science \nParkville, Victoria Australia\n\nWageningen University and Research, Environmental Policy Group\nWageningen, Gelderland, Netherlands","department":""},{"first_name":"Chelsea","middle_name":"","last_name":"Batavia","name_suffix":"","institution":"Current: Washington State Department of Ecology\nLacey, WA 98503 USA\n\nFormer: Delta Stewardship Council, Delta Science Program, Sacramento, CA 95814 USA\nSacramento, CA 95814 USA","department":""}],"date_submitted":"2025-03-17T23:03:52-07:00","date_accepted":"2025-03-17T23:03:52-07:00","date_published":"2025-03-31T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62909/galley/48595/download/"}]},{"pk":62912,"title":"Drought in the Delta: Socio-Ecological Impacts, Responses, and Tools","subtitle":null,"abstract":"Droughts are frequent events in the western United States, and can disrupt water supply and degrade water quality, challenging water management in the Sacramento–San Joaquin Delta (Delta). This chapter for the State of Bay–Delta Science report describes what drought means for the Delta, how drought is managed in the Delta, and how drought management has changed over time. Projections of future climate indicate the possibility of increased frequency and severity of droughts which would have increasing effects on California’s water system, society, and ecological functions within and beyond the Delta. California has experienced several major droughts in the 20th and 21st centuries, each of which has caused significant social and ecological impacts and motivated improvements in water management. Droughts decrease native fish populations, increase harmful algal blooms, and promote the spread of many invasive plant and animal species. For people living within the Delta and those that rely on Delta water exports, droughts increase drinking water costs and decrease agricultural production, negatively affecting agricultural economies and labor markets. Tools developed in response to droughts include actions that increase supply, such as building water infrastructure, actions to reduce demand, such as water conservation campaigns, and mitigation actions, such as monetary relief for drought-impacted communities. Improving drought resilience requires development of additional drought responses, increased forecasting accuracy, and increased awareness of impacts on vulnerable communities and ecosystems. Even with development of additional management actions, strategies, and regulations, there will likely be difficulties meeting the current levels of demand for water. Drought conditions already cause conflict between human and environmental uses, and with more extreme droughts possible in the future and projected increases in demand, it will be challenging to provide for all users’ needs even with major changes to water management in the Delta.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"drought, extreme events, climate, socioecological systems, water management"}],"section":"The State of Bay-Delta Science 2025, Part 1","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8c756578","frozenauthors":[{"first_name":"Rosemary","middle_name":"","last_name":"Hartman","name_suffix":"","institution":"California Department of Water Resources, West Sacramento, CA 95691-6521 USA","department":""},{"first_name":"Noah","middle_name":"","last_name":"Knowles","name_suffix":"","institution":"US Geological Survey, Menlo Park, CA 94025 USA","department":""},{"first_name":"Amanda","middle_name":"","last_name":"Fencl","name_suffix":"","institution":"Union of Concerned Scientists, Washington, DC [zip?] USA","department":""},{"first_name":"Julia","middle_name":"","last_name":"Ekstrom","name_suffix":"","institution":"California Department of Water Resources, Sacramento, CA 95814 USA","department":""}],"date_submitted":"2025-03-18T00:04:38-07:00","date_accepted":"2025-03-18T00:04:38-07:00","date_published":"2025-03-31T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62912/galley/48598/download/"}]},{"pk":62910,"title":"Heatwaves and Rising Temperatures in the Upper San Francisco Estuary: Trends and Effects on Ecosystems and Humans","subtitle":null,"abstract":"Rising temperature is one direct consequence of climate change, and temperature is a key controlling variable on biological processes from molecular to ecosystem scales. While rising average temperature is one of the most discussed aspects of climate change, extreme events such as heatwaves are also expected to increase in duration, intensity, and frequency. These changes will bring about effects that threaten the integrity of the upper San Francisco Estuary (estuary) ecosystem, the services they provide to humans, and the health of humans that reside in the region. In the estuary, warmer temperatures are expected to result in seasonal shifts to life-cycle timing, and to favor smaller-bodied individuals across most non-human taxa. Several native fish species will likely decline, while a considerable number of non-native and cosmopolitan species tolerant of high temperatures are predicted to be relatively unaffected by or even benefit from a warmer climate. For humans, high temperatures and heatwaves are associated with wide-ranging health effects, from direct effects such as dehydration and heat exhaustion, to indirect and adverse health outcomes such as lower birth weight, mental health problems, and violence. These health effects will be exacerbated by ecosystem changes, as a longer warm season will increase our exposure to vectors such as mosquitos, as well as to the toxins produced by harmful algal blooms. Climate change is a global issue that cannot be resolved effectively at a regional level; however, some actions can either be taken or further studied to potentially lessen the effects of rising temperatures for the estuary’s ecosystem and residents at a more localized level. Although decreasing global greenhouse gas emissions remains our best option to combat climate change and the resultant temperature increases, successful adaptation to warming and heatwaves will require actions at multiple scales.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"The State of Bay-Delta Science 2025, Part 1","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7n14h0pq","frozenauthors":[{"first_name":"Brian","middle_name":"","last_name":"Mahardja","name_suffix":"","institution":"US Bureau of Reclamation, Bay-Delta Office\nSacramento, CA 95814 USA","department":""},{"first_name":"Samuel","middle_name":"M.","last_name":"Bashevkin","name_suffix":"","institution":"California State Water Resources Control Board\nSacramento, CA 95814 USA","department":""},{"first_name":"Catarina","middle_name":"","last_name":"Pien","name_suffix":"","institution":"US Bureau of Reclamation, Bay-Delta Office\nSacramento, CA 95814 USA","department":""},{"first_name":"Shruti","middle_name":"","last_name":"Khanna","name_suffix":"","institution":"California Department of Fish and Wildlife\nStockton, CA 95206 USA","department":""},{"first_name":"Dharshani","middle_name":"","last_name":"Pearson","name_suffix":"","institution":"California Office of Environmental Health Hazard Assessment, Community and Environmental Epidemiology Research Branch\nOakland, CA 94612 USA","department":""},{"first_name":"Brittany","middle_name":"","last_name":"Davis","name_suffix":"","institution":"California Department of Water Resources\nWest Sacramento, CA 95691 USA","department":""},{"first_name":"Rupa","middle_name":"","last_name":"Basu","name_suffix":"","institution":"California Office of Environmental Health Hazard Assessment, Community and Environmental Epidemiology Research Branch\nOakland, CA 94612 USA","department":""}],"date_submitted":"2025-03-17T23:12:43-07:00","date_accepted":"2025-03-17T23:12:43-07:00","date_published":"2025-03-31T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62910/galley/48596/download/"}]},{"pk":62908,"title":"The State of Bay–Delta Science: An Introduction to the 2025 Extreme Events Edition","subtitle":null,"abstract":"The State of Bay–Delta Science (SBDS) is intended to inform science and policy audiences about the “state of the science” for topics relevant to management of the San Francisco Bay and Sacramento–San Joaquin Delta (“Bay–Delta”) system. When referencing the Bay–Delta system, we include the atmosphere, watershed, politics, and governance at a broad scale. Each SBDS edition has communicated new insights on a range of high-priority issues by synthesizing the current science and discussing progress on key research questions, knowledge gaps, and proposed future research. Collectively, these editions provide valuable summaries of the physical, biological, and social dimensions of the Bay–Delta. The first edition in 2008 provided a system-wide baseline on history, geography, water quality, ecosystem restoration, levee integrity, water supply, and public policy issues in the Bay–Delta (Healey et al. 2008). Eight years later, the second edition featured research on a dozen priority topics identified by senior scientists and managers working in the Bay–Delta (Healey et al. 2016), ranging from landscape change to migratory fishes to contaminants. Most recently, the third edition addressed research priorities identified in the 2017–2021 Science Action Agenda (DSC 2017), with a focus on the ecosystem services of primary producers (e.g., plants, algae, and their associated carbon) in the Bay–Delta (Larsen et al. 2023). Now, this fourth edition of SBDS focuses on governance and extreme events affecting the Bay–Delta: droughts, heatwaves, wildfires, and atmospheric rivers. The edition explores physical and ecological processes within the Bay–Delta that are responding to changes in large-scale forcing phenomena, primarily those associated with climate change, building on the rich long-term time-series data collected by regional and statewide monitoring programs.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"climate change, heatwaves, drought, wildfires, atmospheric rivers"}],"section":"The State of Bay-Delta Science 2025, Part 1","is_remote":true,"remote_url":"https://escholarship.org/uc/item/19x978df","frozenauthors":[{"first_name":"Janet","middle_name":"K.","last_name":"Thompson","name_suffix":"","institution":"US Geological Survey\nMenlo Park, CA 94025 USA","department":""},{"first_name":"Clifford","middle_name":"N.","last_name":"Dahm","name_suffix":"","institution":"University of New Mexico\nAlbuquerque, NM 87131 USA","department":""},{"first_name":"Mairgareth","middle_name":"A.","last_name":"Christman","name_suffix":"","institution":"Delta Stewardship Council, Delta Science Program\nSacramento, CA 95814 USA","department":""},{"first_name":"Denise","middle_name":"D.","last_name":"Colombano","name_suffix":"","institution":"Delta Stewardship Council, Delta Science Program\nSacramento, CA 95814 USA","department":""},{"first_name":"Nicholas","middle_name":"A.","last_name":"Rowlands","name_suffix":"","institution":"Delta Stewardship Council, Delta Science Program\nSacramento, CA 95814 USA; \n\nCalifornia Sea Grant Scripps Institute of Oceanography, University of California‒San Diego La Jolla, CA 92093 USA","department":""},{"first_name":"Lisamarie","middle_name":"","last_name":"Windham-Myers","name_suffix":"","institution":"US Geological Survey\nMenlo Park, CA 94025 USA\n\nDelta Stewardship Council, Delta Science Program\nSacramento, CA 95814 USA","department":""}],"date_submitted":"2025-03-17T21:57:33-07:00","date_accepted":"2025-03-17T21:57:33-07:00","date_published":"2025-03-31T00:00:00-07:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62908/galley/48594/download/"}]},{"pk":2590,"title":"An investigation of definiteness as a trigger of bridging","subtitle":null,"abstract":"A bridged interpretation of a noun phrase (NP) is one in which the referent is understood to stand in some unstated relation to an entity or event previously mentioned in the discourse. For example, in the sequence Yasmin approached the house. The door was open., the NP the door is naturally interpreted as referring to a door of the just-mentioned house. In the theoretical literature, definiteness is often identified as the key driver of bridged interpretations, requiring an alternative analysis for bridged indefinites (Yasmin approached the house. A door was open.). We contrast this two-phenomena approach with a one-phenomenon approach, whereby bridging inferences are understood to be the result of general considerations of discourse coherence, particularly facilitated by entity relatedness, but also responsive to effects of definiteness. We present two new methods aimed at measuring the ease and strength of participants’ bridging inferences when entity relatedness and definiteness are manipulated. The two-phenomena view predicts that definiteness has a distinctive role to play in inducing bridged interpretations, but contra this view, our results show no independent effect of definiteness. Rather, Experiment 1 (a dialogue-continuation task that probes the presence of bridged interpretations) shows only a main effect of entity relatedness. In Experiment 2 (a self-paced-reading task that probes processing difficulty when a potential bridge is broken), we find an interaction whereby high entity relatedness and the presence of the definite together induce an early commitment to a bridged interpretation. We take these findings to support a unified account in which definite NPs do not require a separate bridging mechanism, but rather are treated like other NPs in being subject to the joint satisfaction of a set of linguistic and more broadly pragmatic constraints.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4th7k78b","frozenauthors":[{"first_name":"Mandy","middle_name":"","last_name":"Simons","name_suffix":"","institution":"Carnegie Mellon University","department":"Philosophy"},{"first_name":"Hannah","middle_name":"","last_name":"Rohde","name_suffix":"","institution":"University of Edinburgh","department":"Linguistics & English Language"}],"date_submitted":"2023-10-16T18:11:14.378000-07:00","date_accepted":"2024-12-04T11:01:21.670000-08:00","date_published":"2025-03-25T07:00:00-07:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/2590/galley/31365/download/"},"galleys":[{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/2590/galley/31365/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/2590/galley/31364/download/"}]},{"pk":21217,"title":"When multiple talker exposure is necessary for cross-talker generalization: Insights into the emergence of sociolinguistic perception","subtitle":null,"abstract":"Sociolinguistic research finds that: (i) the speech signal contains talker-specific and socio-indexical structure, with talkers varying idiosyncratically within the same social category and systematically across categories; (ii) both talker-specific and socio-indexical variation influence speech perception. What is unclear is how sociolinguistic perception arises—following exposure to an unfamiliar, socially-mediated variant, how do listeners learn that this feature is characteristic of a broader social group and can generalize to other group members? The current study exposed listeners to an unattested variant in L1-English (a /p/ to [b] phonetic shift), investigating how the number of exposure talkers mediates cross-talker generalization. All participants completed an exposure phase (phrase-final keyword identification) followed by a test phase (categorization along a buy–pie continuum for a novel female and male talker in separate blocks). Experiment 1 exposed listeners to a single shifted female talker (“The novel is now in brint”) and a single unshifted male talker. Experiment 2 presented two shifted female and two shifted male talkers. We find: (i) no generalization in Experiment 1 (no difference in buy–pie response between the novel talkers); (ii) robust generalization in Experiment 2 (greater pie response for the novel female than the novel male talker), but only when the novel female block is presented first (i.e., generalization is short-lived). Taken together, the results support a numerosity account: when a previously unheard social variant is presented, multiple talkers per social group seem to be necessary for socially-mediated, cross-talker generalization. This study highlights a critical role of the listener’s social experiences on generalization—multi-talker exposure might be unnecessary when exposed to more familiar types of speech (e.g., L2-accented English) and necessary when exposed to completely unfamiliar variants. Overall, the present experiments enhance our theoretical understanding of cross-talker generalization and offer insights into the emergence of sociolinguistic perception.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7m13r0xc","frozenauthors":[{"first_name":"Nicholas","middle_name":"","last_name":"Aoki","name_suffix":"","institution":"University of California, Davis","department":"Department of Linguistics"},{"first_name":"Georgia","middle_name":"","last_name":"Zellou","name_suffix":"","institution":"University of California, Davis","department":"Department of Linguistics"}],"date_submitted":"2024-06-25T14:13:35.753000-07:00","date_accepted":"2025-01-15T10:08:22.818000-08:00","date_published":"2025-03-25T07:00:00-07:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/21217/galley/32329/download/"},"galleys":[{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/21217/galley/32329/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/21217/galley/32330/download/"}]},{"pk":20814,"title":"Characteristics of Alcohol-based Hand Sanitizer Ingestions in Florida Before and During the Coronavirus-2019 Pandemic","subtitle":null,"abstract":"Introduction: Hand sanitizer use and media coverage increased throughout the coronavirus-2019 pandemic. In this study our goal was to examine and compare the incidence, demographics, and clinical outcomes of exposures to alcohol-based hand sanitizers (ABHS) before and during the COVID-19 pandemic in the state of Florida.
\nMethods: We analyzed statewide data on all ABHS exposures in adults collected by the Florida Poison Information Network from March 1, 2015–February 28, 2020 (“pre-COVID-19” cohort) and during the COVID-19 pandemic from March 1, 2020–May 5, 2023 (“COVID-19” cohort). We performed descriptive, univariable, and multivariable analyses to assess changes in sex, age, medical outcome, and intentionality of the exposure in the pre-COVID-19 vs COVID-19 study periods, and we examined the factors associated with medical outcomes.
\nResults: We identified 876 single-substance ingestions of ABHS, 414 in the pre-COVID-19 cohort and 462 in the COVID-19 cohort. The proportions of ABHS ingestions increased significantly during the COVID-19 pandemic in all age groups except the 25-50 age group, where it decreased. Individuals 18-24 of age and those ≥51 years showed a relative increase in both intentional and unintentional ingestions during the COVID-19 period compared to the 25-50 age group. The significant risk factors associated with more severe outcomes in exposed individuals were intentional exposures and younger age.
\nConclusion: Unintentional ingestions of alcohol-based hand sanitizers showed a relative increase during the COVID-19 pandemic, particularly in individuals 18-25 years of age and those ≥51. Both intentional ingestions and younger age increased the likelihood of moderate or severe outcomes. Harm reduction strategies targeted toward younger individuals and those with intentional ingestions should be considered during future pandemics.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Hand sanitizer"},{"word":"Intentional Exposure"},{"word":"COVID"}],"section":"Toxicology","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5t5392nt","frozenauthors":[{"first_name":"Justin","middle_name":"","last_name":"Arnold","name_suffix":"","institution":"University of South Florida, Department of Emergency Medicine, Tampa, Florida","department":""},{"first_name":"Amira","middle_name":"","last_name":"Athanasios","name_suffix":"","institution":"Hackensack Meridian Jersey Shore University Medical Center, Department of Psychiatry, Neptune, New Jersey","department":""},{"first_name":"Diep","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"University of South Florida, Department of Child and Family Studies, Tampa, Florida","department":""},{"first_name":"Rahul","middle_name":"","last_name":"Mhaskar","name_suffix":"","institution":"University of South Florida, Department of Medical Education, Tampa, Florida","department":""}],"date_submitted":"2024-04-16T12:58:53.912000-07:00","date_accepted":"2024-11-16T09:23:45.583000-08:00","date_published":"2025-03-24T09:54:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/20814/galley/36408/download/"}]},{"pk":24990,"title":"Case Study of How Alleviating “Pebbles in the Shoe” Improves Operations in the Emergency Department","subtitle":null,"abstract":"Objectives: Addressing minor yet significant frustrations, or “pebbles,” in the workplace can reduce physician burnout, as noted by the American Medical Association. These “pebbles” are small workflow issues that are relatively easy to fix but can significantly improve the workday when resolved. This quality improvement project aimed to enhance clinician well-being in an emergency department (ED) affiliated with an academic institution through human-centered design by actively engaging clinicians to identify these “pebbles” and for a dedicated team to address them.
\nMethods: A task force comprised of three emergency physicians collaborating with emergency medicine leadership was established. After educating clinicians about “pebbles,” clinicians were able to anonymously submit pebbles based on recall of frustrations in a baseline survey at the start of the project, as well as submit pebbles in real time by a QR code that was placed in easily noticeable areas. The task force met bimonthly to categorize, prioritize, and assign ownership of the pebbles. Progress was communicated to staff via a monthly “stop light” report. An anonymous survey assessed the impact on clinician well-being among 68 emergency clinicians within seven months of starting the project.
\nResults: Over seven months, 284 pebbles were submitted (approximately 40 per month). The feasibility of addressing pebbles was characterized by a color scale: green (easy to fix): 149 (53%); yellow (more complex): 111 (39%); and red (not feasible, “boulder”): 24 (8%). Categories of pebbles included the following: equipment/supply: 115 (40%); nursing/clinical: 86 (30%); process: 64 (23%); and information technology/technology: 19 (7%). A total of 214 pebbles (75%) were completed. Among 51 respondents (75% response rate), the self-reported impact on well-being of having pebbles addressed was as follows: extremely effective: 16 (31%); very effective: 25 (49%); moderately effective: 8 (16%); slightly effective: 2 (4%); and not effective 0 (0%).
\nConclusion: In addition to improving personal resilience, improving well-being in the ED involves addressing efficiency of practice. This project highlights the positive impact of resolving small, feasible issues identified by clinicians, which resulted in 80% of respondents rating the project as very to extremely effective in improving their well-being. Most pebbles were related to equipment and easily fixed, while issues involving human interactions (eg, communications between consultants and EM) were more challenging. Regular meetings and accountability facilitated progress. This approach is replicable across medical specialties and practice settings, offering a low-cost method to enhance clinician work environments and well-being.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"operations"},{"word":"Efficiency of Practice"},{"word":"Patient Safety"},{"word":"burnout"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0820p1jh","frozenauthors":[{"first_name":"Diana","middle_name":"","last_name":"Savitzky","name_suffix":"","institution":"NYU Langone Hospital—Long Island, Department of Emergency Medicine, Mineola, New York; NYU Grossman Long Island School of Medicine, Department of Emergency Medicine, Mineola, New York","department":""},{"first_name":"Yash","middle_name":"","last_name":"Chavda","name_suffix":"","institution":"NYU Langone Hospital—Long Island, Department of Emergency Medicine, Mineola, New York; NYU Grossman Long Island School of Medicine, Department of Emergency Medicine, Mineola, New York","department":""},{"first_name":"Suchismita","middle_name":"","last_name":"Datta","name_suffix":"","institution":"NYU Langone Hospital—Long Island, Department of Emergency Medicine, Mineola, New York; NYU Grossman Long Island School of Medicine, Department of Emergency Medicine, Mineola, New York","department":""},{"first_name":"Alexandra","middle_name":"","last_name":"Reens","name_suffix":"","institution":"NYU Langone Hospital—Long Island, Department of Emergency Medicine, Mineola, New York; NYU Grossman Long Island School of Medicine, Department of Emergency Medicine, Mineola, New York","department":""},{"first_name":"Elizabeth","middle_name":"","last_name":"Conklin","name_suffix":"","institution":"NYU Langone Hospital—Long Island, Department of Emergency Medicine, Mineola, New York","department":""},{"first_name":"Matthew","middle_name":"","last_name":"Scott","name_suffix":"","institution":"NYU Langone Hospital—Long Island, Department of Emergency Medicine, Mineola, New York","department":""},{"first_name":"Christopher","middle_name":"","last_name":"Caspers","name_suffix":"","institution":"NYU Langone Hospital—Long Island, Department of Emergency Medicine, Mineola, New York; NYU Grossman Long Island School of Medicine, Department of Emergency Medicine, Mineola, New York","department":""}],"date_submitted":"2024-08-20T09:01:37.984000-07:00","date_accepted":"2024-12-09T16:37:09.685000-08:00","date_published":"2025-03-24T08:41:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/24990/galley/36392/download/"}]},{"pk":35589,"title":"Effects of Emergency Department Training on Buprenorphine Prescribing and Opioid Use Disorder-Associated ED Revisits: Retrospective Cohort Study","subtitle":null,"abstract":"Introduction: Prescribing patients buprenorphine from the emergency department (ED) is recommended by multiple organizations. However, it is unclear how best to encourage physicians to prescribe buprenorphine from the ED. Our objectives in this study were to examine the effects of a departmental-wide training initiative for emergency physicians to prescribe buprenorphine, increase buprenorphine prescribing, and decrease ED re-utilization for opioid use disorder (OUD) complications.
\nMethods: We performed this retrospective cohort study at an academic medical center. Beginning May 1, 2018, the ED started a buprenorphine-education initiative and tracked the proportion of clinicians who obtained buprenorphine-prescribing certification over the following 16 months. We identified adult patients referred to an addiction clinic from the ED during this period. Our primary outcome was the proportion of patients who received a buprenorphine prescription from the ED. Secondary outcomes included ED re-utilization for OUD complications and buprenorphine refills, as well as follow-up in the bridge clinic within 30 days.
\nResults: The proportion of physicians eligible to prescribe buprenorphine increased from 37% to 88% over the study period, and 430 patients were referred to an addiction clinic. The proportion of patients referred to a bridge program who received a buprenorphine prescription increased from 50% during the first month compared to 92% during month 16 (odds ratio 1.14, 95% confidence interval 1.08-1.21 per month). There were no statistically significant changes in any secondary outcomes.
\nConclusion: Our intervention increased buprenorphine prescribing by emergency physicians. It did not decrease ED reutilization for complications related to opioid use disorder.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"bridge clinic"},{"word":"buprenorphine"},{"word":"emergency department"},{"word":"opioid use disorder"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0tw5j5vf","frozenauthors":[{"first_name":"Anna","middle_name":"","last_name":"Torchiano","name_suffix":"","institution":"Cooper Medical School of Rowan University, Camden, New Jersey","department":""},{"first_name":"Brian","middle_name":"","last_name":"Roberts","name_suffix":"","institution":"Cooper Medical School of Rowan University, Camden, New Jersey; Cooper University Health Care, Department of Emergency Medicine, Camden, New Jersey","department":""},{"first_name":"Rachel","middle_name":"","last_name":"Haroz","name_suffix":"","institution":"Cooper Medical School of Rowan University, Camden, New Jersey; Cooper University Health Care, Department of Emergency Medicine, Camden, New Jersey; Cooper University Health Care, Cooper Center for Healing, Camden, New Jersey","department":""},{"first_name":"Christopher","middle_name":"","last_name":"Milburn","name_suffix":"","institution":"Cooper Medical School of Rowan University, Camden, New Jersey; Cooper University Health Care, Cooper Center for Healing, Camden, New Jersey","department":""},{"first_name":"Kaitlan","middle_name":"","last_name":"Baston","name_suffix":"","institution":"Cooper Medical School of Rowan University, Camden, New Jersey; Cooper University Health Care, Cooper Center for Healing, Camden, New Jersey","department":""},{"first_name":"Jessica","middle_name":"","last_name":"Heil","name_suffix":"","institution":"Cooper University Health Care, Cooper Center for Healing, Camden, New Jersey","department":""},{"first_name":"Valerie","middle_name":"","last_name":"Ganetsky","name_suffix":"","institution":"Cooper University Health Care, Cooper Center for Healing, Camden, New Jersey","department":""},{"first_name":"Matthew","middle_name":"","last_name":"Salzman","name_suffix":"","institution":"Cooper Medical School of Rowan University, Camden, New Jersey; Cooper University Health Care, Department of Emergency Medicine, Camden, New Jersey; Cooper University Health Care, Cooper Center for Healing, Camden, New Jersey","department":""}],"date_submitted":"2024-09-26T11:35:33.358000-07:00","date_accepted":"2025-01-02T09:12:59.453000-08:00","date_published":"2025-03-24T08:30:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/35589/galley/36401/download/"}]},{"pk":42065,"title":"Legislating Fear: How Immigration Status Mandates Threaten Public Health","subtitle":null,"abstract":"N/A
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Health Equity","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4bb0v5fv","frozenauthors":[{"first_name":"Peter","middle_name":"Sangeyup","last_name":"Yun","name_suffix":"","institution":"George Washington University, Department of Emergency Medicine, Washington, District of Columbia","department":""},{"first_name":"Lindsey","middle_name":"","last_name":"Williams","name_suffix":"","institution":"George Washington University, Department of Emergency Medicine, Washington, District of Columbia","department":""},{"first_name":"Janice","middle_name":"","last_name":"Blanchard","name_suffix":"","institution":"George Washington University, Department of Emergency Medicine, Washington, District of Columbia","department":""}],"date_submitted":"2025-01-27T11:05:39.756000-08:00","date_accepted":"2025-01-31T10:23:19.980000-08:00","date_published":"2025-03-24T08:15:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/42065/galley/36696/download/"}]},{"pk":42064,"title":"Caught Unprepared: The Urgent Need for Reproductive Health Training in Emergency Medicine","subtitle":null,"abstract":"N/A
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Women's Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6ds197x1","frozenauthors":[{"first_name":"Peter","middle_name":"Sangeyup","last_name":"Yun","name_suffix":"","institution":"George Washington University, Department of Emergency Medicine, Washington, District of Columbia","department":""},{"first_name":"Monica","middle_name":"","last_name":"Saxena","name_suffix":"","institution":"Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California","department":""}],"date_submitted":"2025-01-27T11:04:07.738000-08:00","date_accepted":"2025-01-31T10:23:27.755000-08:00","date_published":"2025-03-24T08:07:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/42064/galley/36422/download/"}]},{"pk":23666,"title":"Predictive Factors and Nomogram for 30-Day Mortality in Heatstroke Patients: A Retrospective Cohort Study","subtitle":null,"abstract":"Objective: Heatstroke (HS) is a severe condition associated with significant morbidity and mortality. In this study we aimed to identify early risk factors that impacted the 30-day mortality of HS patients and establish a predictive model to assist clinicians in identifying the risk of death.
\nMethods: We conducted a retrospective cohort study, analyzing the clinical data of 203 HS patients between May 2016–September 2024. The patients were divided into two groups: those who had died within 30 days of symptom onset; and those who had survived. We analyzed the risk factors affecting 30-day mortality. A nomogram was drawn to visualize the clinical model. We used the receiver operating characteristic (ROC) curve and calibration curve to verify the accuracy of the nomogram. A decision curve analysis was also performed to evaluate the clinical usefulness of the nomogram.
\nResults: Within a 30-day period, 57 patients (28.08%) died. The APACHE II score, the ratio of lactate-to-albumin (LAR), and the core temperature at 30 minutes after admission were independent risk factors for death of HS patients at 30 days. The area under the ROC curve (AUC) for predicting mortality based on the APACHE II score was 0.867, with a sensitivity of 96.5% and a specificity of 61.6%. Moreover, the AUC for predicting mortality based on the LAR was 0.874, with a sensitivity of 93.0% and a specificity of 77.4%. The AUC based on the core temperature at 30 minutes after admission was 0.774, with a sensitivity of 70.2% and a specificity of 78.8%. Finally, the AUC for predicting death due to HS using the combination of these three factors was 0.928, with a sensitivity of 82.5% and a specificity of 91.8%. The calibration curve and the decision-curve analysis showed that the new nomogram had better accuracy and potential application value in predicting the prognosis of HS patients.
\nConclusion: A nomogram with these three indicators in combination—APACHE II score, lactate-to-albumin ratio, and core temperature at 30 minutes after admission—can be used to predict 30-day mortality of heatstroke patients.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Heat stroke"},{"word":"predictive model"},{"word":"30-Day Mortality"}],"section":"Climate Change","is_remote":true,"remote_url":"https://escholarship.org/uc/item/17m5b0mb","frozenauthors":[{"first_name":"Li","middle_name":"","last_name":"anxin","name_suffix":"","institution":"Chongqing University Central Hospital, Chongqing Emergency Medical Centre, School of Medicine, Department of Endocrinology, Chongqing, People’s Republic of China","department":""},{"first_name":"Yuchen","middle_name":"","last_name":"Zhang","name_suffix":"","institution":"Chongqing Medical University the Second Affiliated Hospital, Department of Hematology, Chongqing, People’s Republic of China","department":""},{"first_name":"Xiaoshi","middle_name":"","last_name":"Zhang","name_suffix":"","institution":"Chongqing University Central Hospital, Chongqing Emergency Medical Centre, School of Medicine, Department of Endocrinology, Chongqing, People’s Republic of China","department":""},{"first_name":"Zixiao","middle_name":"","last_name":"Duan","name_suffix":"","institution":"Chongqing University Central Hospital, Chongqing Emergency Medical Centre, School of Medicine, Department of Endocrinology, Chongqing, People’s Republic of China","department":""},{"first_name":"Yan","middle_name":"","last_name":"Chen","name_suffix":"","institution":"Chongqing University Central Hospital, Chongqing Emergency Medical Centre, School of Medicine, Department of Endocrinology, Chongqing, People’s Republic of China","department":""},{"first_name":"Xiaoyan","middle_name":"","last_name":"Jiang","name_suffix":"","institution":"Chongqing University Central Hospital, Chongqing Emergency Medical Centre, School of Medicine, Department of Endocrinology, Chongqing, People’s Republic of China","department":""},{"first_name":"Wuquan","middle_name":"","last_name":"Deng","name_suffix":"","institution":"Chongqing University Central Hospital, Chongqing Emergency Medical Centre, School of Medicine, Department of Endocrinology, Chongqing, People’s Republic of China","department":""}],"date_submitted":"2024-06-17T03:26:14.260000-07:00","date_accepted":"2024-12-19T15:41:10.333000-08:00","date_published":"2025-03-22T09:08:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/23666/galley/36410/download/"}]},{"pk":38065,"title":"Inferior Vena Cava Tumor Thrombus in the Emergency Department: A Case Report","subtitle":null,"abstract":"Introduction: The inferior vena cava (IVC) drains a significant portion of the lower body. Pathologies associated with the IVC can present significant diagnostic and therapeutic challenges. We present a case of IVC tumor thrombus in the emergency department.
\nCase Report: A 76-year-old male with symptoms of volume overload was evaluated, leading to the diagnosis of IVC mass likely from tumor thrombus.
\nConclusion: Patients with volume overload should be evaluated for both heart failure and presence of a potential thrombus. Point-of-care ultrasound and other imaging modalities play crucial roles in early diagnosis. Prompt identification and differentiation between bland and tumor thrombi are vital for appropriate management, potentially improving patient outcomes.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Inferior Vena Cava"},{"word":"tumor thrombus"},{"word":"congestive heart failure"},{"word":"thromboembolism"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9f08z2nm","frozenauthors":[{"first_name":"Victor","middle_name":"","last_name":"Cisneros","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""},{"first_name":"Leila","middle_name":"","last_name":"Danishgar","name_suffix":"","institution":"University of Queensland, Ochsner Clinical School, New Orleans, Louisiana; University of California, Irvine, Department of Emergency Medicine, Orange, California","department":""},{"first_name":"Nisan","middle_name":"","last_name":"Verma","name_suffix":"","institution":"University of Queensland, Ochsner Clinical School, New Orleans, Louisiana; University of California, Irvine, Department of Emergency Medicine, Orange, California","department":""},{"first_name":"Ami","middle_name":"","last_name":"Kurzweil","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""}],"date_submitted":"2024-10-15T22:54:35.396000-07:00","date_accepted":"2025-01-07T12:23:08.178000-08:00","date_published":"2025-03-20T23:36:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/38065/galley/35735/download/"}]},{"pk":39681,"title":"Unusual Complications in Cocaine Stuffers: A Case Report","subtitle":null,"abstract":"Introduction: Body stuffing is defined as ingesting small quantities of drugs in poorly sealed packets often to avoid repercussions from law enforcement. Cocaine is one of the drugs most commonly involved. Complications reported with stuffing include aspiration, esophageal obstruction and fatal toxicity. Survival from mechanical airway obstruction due to drug stuffing has not been reported.
\nCase Report: In this article, we present a case of a 32-year-old male who was a cocaine body stuffer, complicated by agitated delirium, cardiotoxicity, and airway obstruction requiring resuscitation followed by a surgical tracheostomy to retrieve the obstructing cocaine bag. The patient’s hospital course was further complicated by rhabdomyolysis and acute kidney injury requiring dialysis. He was discharged in stable condition after a four-week hospital stay.
\nConclusion: This case highlights the severe risks of cocaine body stuffing, including airway obstruction and cocaine-induced arrhythmias. Endotracheal intubation in such cases warrants a careful airway assessment to mitigate the risks of obstructive complications.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Body stuffing"},{"word":"Cocaine"},{"word":"body packing"},{"word":"toxicity"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/72x1f6hk","frozenauthors":[{"first_name":"Hassan","middle_name":"","last_name":"Al-Balushi","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Atlanta, Georgia; Georgia Poison Center, Atlanta, Georgia; Sohar Hospital, Department of Emergency Medicine, Ministry of Health, Muscat, Oman","department":""},{"first_name":"Andres","middle_name":"","last_name":"Guzman-Soto","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Atlanta, Georgia; Georgia Poison Center, Atlanta, Georgia","department":""},{"first_name":"Kyle","middle_name":"","last_name":"Suen","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Atlanta, Georgia; Georgia Poison Center, Atlanta, Georgia","department":""},{"first_name":"Al Yaqdhan","middle_name":"","last_name":"Al Atbi","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Atlanta, Georgia","department":""},{"first_name":"Ziad","middle_name":"N","last_name":"Kazzi","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Atlanta, Georgia; Georgia Poison Center, Atlanta, Georgia","department":""},{"first_name":"Jonathan","middle_name":"","last_name":"De Olano","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Atlanta, Georgia; Georgia Poison Center, Atlanta, Georgia","department":""},{"first_name":"Todd","middle_name":"","last_name":"Taylor","name_suffix":"","institution":"Emory University School of Medicine, Department of Emergency Medicine, Division of Medical Toxicology, Atlanta, Georgia; Georgia Poison Center, Atlanta, Georgia","department":""}],"date_submitted":"2024-11-12T16:33:54.897000-08:00","date_accepted":"2025-01-10T15:39:09.303000-08:00","date_published":"2025-03-20T23:25:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/39681/galley/35734/download/"}]},{"pk":39723,"title":"Ultrasound-Guided Erector Spinae Plane Block for Breakthrough Pancreatic and Hepatobiliary Malignancy Pain in the Emergency Department","subtitle":null,"abstract":"Introduction: Breakthrough pain is frequently experienced by patients with gastrointestinal malignancies and is a common reason for presenting to the emergency department (ED). After ruling out acute pathology, ED management typically consists of intravenous opioids, though high doses of opioids can be associated with potentially severe adverse events and complications in certain high-risk populations. Regional anesthesia strategies, such as the erector spinae plane block (ESPB), have shown to be effective for several etiologies of non-malignant visceral abdominal pain. This case series sought to evaluate whether the ESPB can be effective for ED patients with breakthrough pancreatic and hepatobiliary cancer pain.
\nCase Report: Three patients with breakthrough hepatopancreatobiliary cancer pain underwent successful ESPBs performed by an emergency medicine physician in the ED. All patients reported considerable reduction in their pain. Two patients with cancer of the pancreatic head reported complete pain relief and were able to be discharged from the ED. The third patient with metastatic colorectal cancer involving the hepatobiliary system was admitted for further medical work-up, though did not require any additional analgesics for nearly 13 hours after the block.
\nConclusions: The ESPB appears to be a safe and effective strategy for managing breakthrough pain related to pancreatic and hepatobiliary malignancy in the ED.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"ultrasound-guided regional anesthesia"},{"word":"erector spinae plane block"},{"word":"Cancer Pain"},{"word":"Pancreatic Cancer"},{"word":"emergency department"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/496911s8","frozenauthors":[{"first_name":"Richard","middle_name":"J","last_name":"Gawel","name_suffix":"","institution":"Hospital of the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":""},{"first_name":"Jeffrey","middle_name":"A.","last_name":"Kramer","name_suffix":"","institution":"Hospital of the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":""},{"first_name":"Michael","middle_name":"","last_name":"Shalaby","name_suffix":"","institution":"Hospital of the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":""}],"date_submitted":"2024-11-12T14:11:18.283000-08:00","date_accepted":"2025-01-02T09:48:17.462000-08:00","date_published":"2025-03-20T23:15:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/39723/galley/35719/download/"}]},{"pk":38060,"title":"Physician-Assisted Dying Witnessed by Emergency Medical Services: A Case Report ","subtitle":null,"abstract":"Introduction: Physician-assisted dying (PAD) is a practice that allows terminally ill patients to self-administer prescribed lethal medication. In the 11 U.S. states where PAD is legal, the incidence of PAD cases is rapidly increasing. Despite the majority of these cases occurring in the out-of-hospital setting, states lack specific emergency medical services (EMS) protocols to guide prehospital clinicians who may encounter PAD in the field. Here, we describe a case in which a patient called 9-1-1 for a medical emergency and requested to ingest their prescribed lethal medication while in EMS care.
\nCase Report: EMS was dispatched for a 56-year-old female who was bleeding from her tracheostomy stoma. Despite the clinicians’ recommendation for transport to the emergency department, the patient refused transport and instead requested to ingest her PAD medication. The crew, unfamiliar with PAD laws, were unsure if they could legally honor the patient’s refusal. Clinicians consulted with on-line medical control, who were also unaware of PAD. After extensive deliberation, the crew eventually decided to honor the patient's refusal and thoroughly document the situation. The patient self-administered her medication as EMS cleared the scene.
\nConclusion: This case highlights the logistical challenges and ethical dilemmas faced by the responders, and underscores the complexity of balancing patient autonomy with legal and medical responsibilities in prehospital PAD situations. As PAD becomes increasingly prevalent, equipping EMS clinicians with clear protocols and ongoing education about prehospital PAD cases is vital to preserving patient rights while protecting clinicians from legal and ethical uncertainty.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Physician-assisted Dying"},{"word":"emergency medical services"},{"word":"Refusal of Care"},{"word":"Protocols"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8hj2s279","frozenauthors":[{"first_name":"Saahith","middle_name":"","last_name":"Potluri","name_suffix":"","institution":"Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore, Maryland; Montgomery Emergency Medical Services, Belle Mead, New Jersey","department":""},{"first_name":"Tharun","middle_name":"","last_name":"Potluri","name_suffix":"","institution":"Montgomery Emergency Medical Services, Belle Mead, New Jersey; Georgetown University, Department of Human Science, School of Health, Washington, DC; Georgetown University, Georgetown Emergency Response Medical Service, Washington, DC","department":""},{"first_name":"Jose","middle_name":"V","last_name":"Nable","name_suffix":"","institution":"Georgetown University, Georgetown Emergency Response Medical Service, Washington, DC; Georgetown University School of Medicine, Department of Emergency Medicine, Washington, DC","department":""},{"first_name":"Paul","middle_name":"","last_name":"Peng","name_suffix":"","institution":"Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey","department":""},{"first_name":"Kusum","middle_name":"","last_name":"Punjabi","name_suffix":"","institution":"Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, New Jersey","department":""}],"date_submitted":"2024-10-24T14:59:01.218000-07:00","date_accepted":"2025-01-14T10:33:21.282000-08:00","date_published":"2025-03-20T23:10:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/38060/galley/35732/download/"}]},{"pk":34874,"title":"A Case of Prehospital Magnesium Sulfate Extravasation","subtitle":null,"abstract":"Case Presentation
\nA 73-year-old female with chronic obstructive pulmonary disease presents via emergency medical services for shortness of breath. She is found to be hypoxic, tachypneic, and in notable distress. She is treated with inhaled albuterol, oral dexamethasone, and intravenous magnesium sulfate. Upon arrival to the emergency department her had was noted to have significant bleeding, and on further investigation it was determined that the intravenous catheter has inadvertently become extravasated, and the magnesium had entered the subcutaneous space. The bleed with significant and pulsatile, a tourniquet was applied, and the vessel was ultimately tied off by the trauma surgery service.
\nDiscussion
\nIntravenous medication administration is ubiquitous with emergency care in both the hospital and prehospital environments. Medications use is paramount to treatment of a vast majority of emergent clinical conditions, furthermore, the route of administration is often intravenous in the patient with emergent illness. The placement of intravenous catheters is a skill that nurses, paramedics, and advanced emergency medical technicians learn early in their training. The care team is tasked with not only starting intravenous lines, but also in monitoring them and ensuring medication is delivered into the systemic circulation, and not elsewhere. Certain medications, notably potassium preparations and vasoactive medications, are known vesicants. We present a case of vascular extravasation of magnesium sulfate, not know for causing significant tissue damage, that led to significant venous and arterial injury. This case highlights the need for prehospital clinicians as well members of the emergency department care team to be ever vigilant for medication extravasation.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"IV infiltration"},{"word":"extravasation"},{"word":"magnesium sulfate"},{"word":"prehospital IV access"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3zk9c1db","frozenauthors":[{"first_name":"Sean","middle_name":"","last_name":"Bilodeau","name_suffix":"","institution":"Tufts University School of Medicine, MaineHealth Maine Medical Center, Department of Emergency Medicine, Portland, Maine","department":""},{"first_name":"Michael","middle_name":"","last_name":"Bohanske","name_suffix":"","institution":"Tufts University School of Medicine, MaineHealth Maine Medical Center, Department of Emergency Medicine, Portland, Maine","department":""},{"first_name":"Kate","middle_name":"","last_name":"Zimmerman","name_suffix":"","institution":"Tufts University School of Medicine, MaineHealth Maine Medical Center, Department of Emergency Medicine, Portland, Maine","department":""},{"first_name":"Eric","middle_name":"","last_name":"Wellman","name_suffix":"","institution":"Tufts University School of Medicine, MaineHealth Maine Medical Center, Department of Emergency Medicine, Portland, Maine","department":""},{"first_name":"Matthew","middle_name":"","last_name":"Sholl","name_suffix":"","institution":"Tufts University School of Medicine, MaineHealth Maine Medical Center, Department of Emergency Medicine, Portland, Maine","department":""}],"date_submitted":"2024-08-28T18:03:02.732000-07:00","date_accepted":"2024-12-19T17:03:34.980000-08:00","date_published":"2025-03-20T15:30:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/34874/galley/35748/download/"}]},{"pk":35386,"title":"De Garengeot Hernia with Acute Gangrenous Appendicitis Case Report ","subtitle":null,"abstract":"Introduction : A De Garengeot hernia is defined as a femoral hernia that contains the vermiform appendix. While femoral hernias carrying the appendix are uncommon, strangulation of the appendix in the hernial sac with concurrent acute appendicitis is an extremely rare and life-threatening condition often presenting with an atypical clinical picture.
\nCase Report: A 51-year-old man presented to the emergency department with two weeks of persistent right inguinal pain after heavy lifting. Imaging revealed suspicion for an Amyand’s hernia, an inguinal hernia containing a portion of the appendix. However, intraoperative findings revealed a strangulated De Garengeot hernia with gangrenous appendicitis.
\nConclusion: De Garengeot hernias are femoral hernias containing the appendix which are diagnostically challenging and require urgent surgical evaluation and intervention given high risk for strangulation.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"De Garengeot hernia"},{"word":"Amyand hernia"},{"word":"acute gangrenous appendicitis"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1mx2w4xd","frozenauthors":[{"first_name":"Leon","middle_name":"","last_name":"Quach","name_suffix":"","institution":"Corewell Health William Beaumont University Hospital, Department of Emergency Medicine, Royal Oak, Michigan","department":""},{"first_name":"Alexsandra","middle_name":"","last_name":"Biel","name_suffix":"","institution":"Oakland University William Beaumont School of Medicine, Rochester, Michigan","department":""},{"first_name":"Brett","middle_name":"R","last_name":"Todd","name_suffix":"","institution":"Corewell Health William Beaumont University Hospital, Department of Emergency Medicine, Royal Oak, Michigan","department":""}],"date_submitted":"2024-09-09T07:27:03.021000-07:00","date_accepted":"2025-01-07T12:14:20.611000-08:00","date_published":"2025-03-20T15:22:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/35386/galley/35728/download/"}]},{"pk":39968,"title":"Rapid Titration of Methadone for Opioid Use Disorder in the Emergency Department: A Case Report ","subtitle":null,"abstract":"Introduction
\nThe prevalence of high-potency synthetic opioids (HPSOs), such as fentanyl and its analogs, present significant treatment challenges to current strategies for Emergency Department (ED) medication for opioid use disorder (MOUD). While most EDs traditionally use buprenorphine for MOUD, its effectiveness can be limited in patients exposed to HPSOs due to risk of precipitated withdrawal or inadequate control of withdrawal symptoms. Methadone, a full agonist, is an alternative MOUD agent that addresses the severe withdrawal symptoms and cravings associated with HPSO dependence and will not cause precipitated withdrawal. Traditional methadone protocols often fail to provide adequate doses, but new federal guidelines allow higher initial doses and rapid titration to therapeutic levels.
\nCase Report
\nWe report on a case of rapid methadone titration in the ED for a patient with a history of high HPSO utilization. The patient received an initial dose of 50 mg methadone, followed by titration of hourly 10 mg doses to a cumulative 70 mg at discharge. Vital signs, mental status, and Clinical Opiate Withdrawal Scale (COWS) scores were monitored to guide dosing.
\nConclusion
\nThe protocol allowed for safe, individualized care, achieving therapeutic dosing levels that alleviated withdrawal symptoms and enabled the patient to transition to outpatient follow-up treatment. This approach addresses the need for rapid, effective methadone initiation in an era where HPSOs pose challenges to traditional opioid use disorder treatment.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"Methadone"},{"word":"rapid titration"},{"word":"medications for opioid use disorder"},{"word":"emergency department"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/14m2m9kv","frozenauthors":[{"first_name":"Miles","middle_name":"","last_name":"Lamberson","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Roz","middle_name":"","last_name":"King","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Colin","middle_name":"T","last_name":"Waters","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Peter","middle_name":"","last_name":"Jackson","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Psychiatry, Burlington, Vermont; University of Vermont, Vermont Center for Behavior and Health, Center on Rural Addiction, Burlington, Vermont","department":""},{"first_name":"John","middle_name":"","last_name":"Brooklyn","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Psychiatry, Burlington, Vermont; University of Vermont Larner College of Medicine, Department of Family Medicine, Burlington, Vermont","department":""},{"first_name":"Elly","middle_name":"","last_name":"Riser","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Medicine, Burlington, Vermont","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Wolfson","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""}],"date_submitted":"2024-11-23T06:56:28.744000-08:00","date_accepted":"2025-01-13T14:55:22.887000-08:00","date_published":"2025-03-20T13:40:00-07:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/39968/galley/35733/download/"}]},{"pk":35538,"title":"High-Grade Partial Tear of the Biceps Femoris Tendon in a Patient with Type 2 Diabetes and Calcium Pyrophosphate Deposition Disease: A Case Report","subtitle":null,"abstract":"Calcium pyrophosphate deposition (CPPD) disease is a common condition that results in intra-articular and periarticular deposition of calcium pyrophosphate crystals. Tendon tear, however, is infrequently reported in these cases. The factors contributing to tendon tear in patients with CPPD disease may include crystal-induced prolonged inflammation that could cause chronic tendinous attrition, anatomical and biomechanical factors that could compromise tendon structural integrity, and/or degenerative tendon changes that might be caused by co-occurring diabetic tendinopathy. We report a case of a high-grade partial tear of the biceps femoris tendon in a patient with type 2 diabetes and CPPD disease.
","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"tendon rupture"},{"word":"calcium pyrophosphate dihydrate crystals"},{"word":"CPPD"},{"word":"biceps femoris tendon"},{"word":"calcium pyrophosphate dihydrate deposition disease"},{"word":"chondrocalcinosis"}],"section":"Case Report","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8st9f9rg","frozenauthors":[{"first_name":"Phoebe","middle_name":"","last_name":"Ann","name_suffix":"","institution":"UCLA","department":""},{"first_name":"Khoi","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"Department of Radiological Sciences"},{"first_name":"Rebecca","middle_name":"","last_name":"Li","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":""},{"first_name":"Varand","middle_name":"","last_name":"Ghazikhanian","name_suffix":"","institution":"UCLA","department":""}],"date_submitted":"2021-06-30T18:54:23-07:00","date_accepted":"2025-03-20T09:16:55.811000-07:00","date_published":"2025-03-20T09:22:00-07:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35538/galley/35547/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35538/galley/35547/download/"}]},{"pk":61717,"title":"Abstracts 2025 IOCV XXIII","subtitle":null,"abstract":"This publication contains the abstracts of the oral and poster presentations of the 23rd Conference of the International Organization of Citrus Virologists (IOCV), held in Mildura, Australia, March 16-20, 2025.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Conference of the International Organization of Citrus Virologists (IOCV)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4sz8g53v","frozenauthors":[{"first_name":"IOCV","middle_name":"","last_name":"Organization","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2025-03-16T00:00:00-07:00","render_galley":null,"galleys":[{"label":"XXIII IOCV Conference 2025 - Abstracts","type":"pdf","path":"https://journalpub.escholarship.org/iocv_journalcitruspathology/article/61717/galley/47607/download/"}]}]}