{"count":38485,"next":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=20800","previous":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=20600","results":[{"pk":62732,"title":"Climate Change and the Delta","subtitle":null,"abstract":"Anthropogenic climate change amounts to a rapidly approaching, “new” stressor in the Sacramento–San Joaquin Delta system. In response to California’s extreme natural hydroclimatic variability, complex water-management systems have been developed, even as the Delta’s natural ecosystems have been largely devastated. Climate change is projected to challenge these management and ecological systems in different ways that are characterized by different levels of uncertainty. For example, there is high certainty that climate will warm by about 2°C more (than late-20th-century averages) by mid-century and about 4°C by end of century, if greenhouse-gas emissions continue their current rates of acceleration. Future precipitation changes are much less certain, with as many climate models projecting wetter conditions as drier. However, the same projections agree that precipitation will be more intense when storms do arrive, even as more dry days will separate storms. Warmer temperatures will likely enhance evaporative demands and raise water temperatures. Consequently, climate change is projected to yield both more extreme flood risks and greater drought risks. Sea level rise (SLR) during the 20th century was about 22 cm, and is projected to increase by at least 3-fold this century. SLR together with land subsidence threatens the Delta with greater vulnerabilities to inundation and salinity intrusion. Effects on the Delta ecosystem that are traceable to warming include SLR, reduced snowpack, earlier snowmelt and larger storm-driven streamflows, warmer and longer summers, warmer summer water temperatures, and water-quality changes. These changes and their uncertainties will challenge the operations of water projects and uses throughout the Delta’s watershed and delivery areas. Although the effects of of climate change on Delta ecosystems may be profound, the end results are difficult to predict, except that native species will fare worse than invaders. Successful preparation for the coming changes will require greater integration of monitoring, modeling, and decision making across time, variables, and space than has been historically normal.","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, climate variability, sea level rise, water resources, ecosystems, Sacramento–San Joaquin Delta"}],"section":"Special Issue: The State of Bay–Delta Science 2016, Part 2","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2r71j15r","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Dettinger","name_suffix":"","institution":"U.S. Geological Survey","department":""},{"first_name":"Jamie","middle_name":"","last_name":"Anderson","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Michael","middle_name":"","last_name":"Anderson","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Larry","middle_name":"R.","last_name":"Brown","name_suffix":"","institution":"U.S. Geological Survey","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Cayan","name_suffix":"","institution":"Scripps Institution of Oceanography","department":""},{"first_name":"Edwin","middle_name":"","last_name":"Maurer","name_suffix":"","institution":"Santa Clara University","department":""}],"date_submitted":"2016-10-09T10:38:21-05:00","date_accepted":"2016-10-09T10:38:21-05:00","date_published":"2016-10-14T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62732/galley/48413/download/"}]},{"pk":62728,"title":"Primary Production in the Delta: Then and Now","subtitle":null,"abstract":"To evaluate the role of restoration in the recovery of the Delta ecosystem, we need to have clear targets and performance measures that directly assess ecosystem function. Primary production is a crucial ecosystem process, which directly limits the quality and quantity of food available for secondary consumers such as invertebrates and fish. The Delta has a low rate of primary production, but it is unclear whether this was always the case. Recent analyses from the Historical Ecology Team and Delta Landscapes Project provide quantitative comparisons of the areal extent of 14 habitat types in the modern Delta versus the historical Delta (pre-1850). Here we describe an approach for using these metrics of land use change to: (1) produce the first quantitative estimates of how Delta primary production and the relative contributions from five different producer groups have been altered by large-scale drainage and conversion to agriculture; (2) convert these production estimates into a common currency so the contributions of each producer group reflect their food quality and efficiency of transfer to consumers; and (3) use simple models to discover how tidal exchange between marshes and open water influences primary production and its consumption. Application of this approach could inform Delta management in two ways. First, it would provide a quantitative estimate of how large-scale conversion to agriculture has altered the Delta's capacity to produce food for native biota. Second, it would provide restoration practitioners with a new approach—based on ecosystem function—to evaluate the success of restoration projects and gauge the trajectory of ecological recovery in the Delta region.","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":"Sacramento–San Joaquin Delta, ecosystem restoration, primary production, historical ecology, food quality, habitat connectivity, land-use change"}],"section":"Essay","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8fq0n5gx","frozenauthors":[{"first_name":"James","middle_name":"E.","last_name":"Cloern","name_suffix":"","institution":"U.S. Geological Survey","department":""},{"first_name":"April","middle_name":"","last_name":"Robinson","name_suffix":"","institution":"San Francisco Estuary Institute–Aquatic Science Center","department":""},{"first_name":"Amy","middle_name":"","last_name":"Richey","name_suffix":"","institution":"San Francisco Estuary Institute–Aquatic Science Center","department":""},{"first_name":"Letitia","middle_name":"","last_name":"Grenier","name_suffix":"","institution":"San Francisco Estuary Institute–Aquatic Science Center","department":""},{"first_name":"Robin","middle_name":"","last_name":"Grossinger","name_suffix":"","institution":"San Francisco Estuary Institute–Aquatic Science Center","department":""},{"first_name":"Katharyn","middle_name":"E.","last_name":"Boyer","name_suffix":"","institution":"San Francisco State University","department":""},{"first_name":"Jon","middle_name":"","last_name":"Burau","name_suffix":"","institution":"U.S. Geological Survey","department":""},{"first_name":"Elizabeth","middle_name":"A.","last_name":"Canuel","name_suffix":"","institution":"Virginia Institute for Marine Science","department":""},{"first_name":"John","middle_name":"F.","last_name":"DeGeorge","name_suffix":"","institution":"Resource Management Associates, Inc.","department":""},{"first_name":"Judith","middle_name":"Z.","last_name":"Drexler","name_suffix":"","institution":"U.S. Geological Survey","department":""},{"first_name":"Chris","middle_name":"","last_name":"Enright","name_suffix":"","institution":"Delta Science Program","department":""},{"first_name":"Emily","middle_name":"R.","last_name":"Howe","name_suffix":"","institution":"University of Washington","department":""},{"first_name":"Ronald","middle_name":"","last_name":"Kneib","name_suffix":"","institution":"University of Georgia","department":""},{"first_name":"Anke","middle_name":"","last_name":"Mueller–Solger","name_suffix":"","institution":"U.S. Geological Survey","department":""},{"first_name":"Robert","middle_name":"J.","last_name":"Naiman","name_suffix":"","institution":"University of Washington","department":""},{"first_name":"James","middle_name":"L.","last_name":"Pinckney","name_suffix":"","institution":"University of South Carolina","department":""},{"first_name":"Samuel","middle_name":"M.","last_name":"Safran","name_suffix":"","institution":"San Francisco Estuary Institute–Aquatic Science Center","department":""},{"first_name":"David","middle_name":"","last_name":"Schoellhamer","name_suffix":"","institution":"U.S. Geological Survey","department":""},{"first_name":"Charles","middle_name":"","last_name":"Simenstad","name_suffix":"","institution":"University of Washington","department":""}],"date_submitted":"2016-10-09T09:19:37-05:00","date_accepted":"2016-10-09T09:19:37-05:00","date_published":"2016-10-14T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62728/galley/48409/download/"}]},{"pk":44213,"title":"When Goals of Care Discussions Get Messy","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/38c5z6mc","frozenauthors":[{"first_name":"Manuel","middle_name":"A.","last_name":"Eskildsen","name_suffix":"MD, MPH","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Patricia","middle_name":"","last_name":"Harris","name_suffix":"MD, MS","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-10-12T18:18:08-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44213/galley/33016/download/"}]},{"pk":44212,"title":"Bilateral Hearing Loss and Goiter in a Young Female with Hashimoto’s Thyroiditis","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4xx8f8b4","frozenauthors":[{"first_name":"Dianne","middle_name":"","last_name":"Cheung","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Yaroslav","middle_name":"","last_name":"Gofnung","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-10-12T18:16:56-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44212/galley/33015/download/"}]},{"pk":41848,"title":"Flexible Indian Labor:  Yoga, Information Technology Migration, and U.S. Technoculture","subtitle":null,"abstract":"In today’s United States, yoga seems to provide a popular antidote to the increasing demands of technology. But, this essay contends, the practice also plays an important part in a larger cultural logic whereby labor from India nourishes a seemingly endless appetite for technological innovation in the United States. This essay shows how imaginative representations of yoga in the autobiography of the Indian guru Paramahansa Yogananda helped to create fantasies that could alleviate U.S. anxieties about technological development. The essay then exposes an inverted mirror of this cultural logic in the representation of information technology migrants from India, whose experiences of grey market exploitation in the United States show the nation’s reliance on a disavowed Indian labor source. This essay contends that both the Indian yogi and the Indian technology migrant can be read as U.S. technology workers. This labor has become important both to the U.S. body politic and to the Indian state, but it can be distinctly debilitating for the Indian diaspora.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives  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.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\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-nd/4.0"},"keywords":[{"word":"Yoga"},{"word":"technology"},{"word":"Paramahansa Yogananda"},{"word":"H-1B visa"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5tx2d6d9","frozenauthors":[{"first_name":"Shameem","middle_name":"","last_name":"Black","name_suffix":"","institution":"The Australian National University","department":"None"}],"date_submitted":"2015-10-18T19:34:58-05:00","date_accepted":"2015-10-18T19:34:58-05:00","date_published":"2016-10-12T14:04:25-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/raceandyoga/article/41848/galley/31278/download/"}]},{"pk":62733,"title":"Fine-Scale Distributions of Zooplankton in the Northern San Francisco Estuary","subtitle":null,"abstract":"We studied zooplankton distributions in the upper San Francisco Estuary at nested scales of tens to thousands of meters. The purposes of the study were to assess how well the Interagency Ecological Program (IEP) zooplankton monitoring represents abundance, and to investigate the variability of plankton on scales similar to those of foraging by fish. Samples were taken at three sites in the western Sacramento–San Joaquin Delta. We took 18 sets of six samples each with a plankton net along transects from near shore to center channel, and six sets of ten samples in the vicinity of a drifter either in mid-channel or near shore. Sampling took place in June–July 2014 during neap and spring tides, ebb and flood, day and night (transects only). Analysis focused on three common copepod species. Transect samples showed little consistent variation along transects, except that \nPseudodiaptomus forbesi \nwas less abundant nearshore than offshore by day at Big Break, the most landward site. The ratio of adults to adults + copepodites was strongly and positively related to turbidity by day but not by night, indicating demersal behavior. Drifter samples showed a minimum standard deviation of log10 sample counts of about 0.1, indicating that about two-thirds of replicate abundance values were within 80 % to 125% of the mean. A measure of difference between plankton samples at pairs of sample points was unrelated to distance between sample points for drifter samples, weakly related along transects for \nLimnoithona spp. \nstages, and strongly related for \nP. forbesi \nmainly because of the along-transect gradients at Big Break. The IEP sampling program is representative of plankton abundance except for demersal organisms, which can be ten-fold more abundant by night than by day. Small planktivorous fish could forage in patches of up to ~25% higher abundance than the mean.","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":"copepod, Sacramento–San Joaquin Delta, patchiness, planktivorous fish, demersal behavior, zooplankton monitoring, mixing, turbidity, salinity"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/96x1594c","frozenauthors":[{"first_name":"Wim","middle_name":"","last_name":"Kimmerer","name_suffix":"","institution":"San Francisco State University","department":""},{"first_name":"Anne","middle_name":"","last_name":"Slaughter","name_suffix":"","institution":"San Francisco State University","department":""}],"date_submitted":"2016-10-12T08:02:37-05:00","date_accepted":"2016-10-12T08:02:37-05:00","date_published":"2016-10-12T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62733/galley/48414/download/"}]},{"pk":62734,"title":"Food Webs of the Delta, Suisun Bay, and Suisun Marsh: An Update on Current Understanding and Possibilities for Management","subtitle":null,"abstract":"This paper reviews and highlights recent research findings on food web processes since an earlier review by Kimmerer et al. (2008). We conduct this review within a conceptual framework of the Delta–Suisun food web, which includes both temporal and spatial components. The temporal component of our framework is based on knowledge that the landscape has changed markedly from historical conditions. The spatial component of our framework acknowledges that the food web is not spatially static; it varies regionally and across habitat types within regions. The review highlights the idea of a changing baseline with respect to food web function. New research also indicates that interactions between habitat-specific food webs vary across the current landscape. For example, based on early work in the south Delta, the food web associated with submerged aquatic vegetation was thought to provide little support to species of concern; however, data from other regions of the estuary suggest that this conceptual model may not apply across the entire region. Habitat restoration has been proposed as a method of re-establishing historic food web processes to support species of concern. Benefits are likely for species that directly access such restored habitats, but are less clear for pelagic species. Several topics require attention to further improve the knowledge of food webs needed to support effective management, including: (1) synthesis of factors responsible for low pelagic biomass; (2) monitoring and research on effects of harmful algal blooms; (3) broadening the scope of long-term monitoring; (4) determining benefits of tidal wetland restoration to species of concern, including evaluations of interactions of habitat-specific food webs; and (5) interdisciplinary analysis and synthesis. The only certainty is that food webs will continue to change in response to the changes in the physical environment and new species invasions.","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":"Food web, invasive species, production, submerged aquatic vegetation, pelagic, zooplankton, microzooplankton, phytoplankton"}],"section":"Special Issue: The State of Bay–Delta Science 2016, Part 2","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4mk5326r","frozenauthors":[{"first_name":"Larry","middle_name":"R.","last_name":"Brown","name_suffix":"","institution":"U.S. Geological Survey","department":""},{"first_name":"Wim","middle_name":"","last_name":"Kimmerer","name_suffix":"","institution":"San Francisco State University","department":""},{"first_name":"J. Louise","middle_name":"","last_name":"Conrad","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Sarah","middle_name":"","last_name":"Lesmeister","name_suffix":"","institution":"California Department of Water Resources","department":""},{"first_name":"Anke","middle_name":"","last_name":"Mueller–Solger","name_suffix":"","institution":"U.S. Geological Survey","department":""}],"date_submitted":"2016-10-12T13:28:40-05:00","date_accepted":"2016-10-12T13:28:40-05:00","date_published":"2016-10-12T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62734/galley/48415/download/"}]},{"pk":44211,"title":"New Onset Hypoglycemia in a Patient","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2317x08k","frozenauthors":[{"first_name":"Yaroslav","middle_name":"","last_name":"Gofnung","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Dianne","middle_name":"","last_name":"Cheung","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-10-11T18:15:38-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44211/galley/33014/download/"}]},{"pk":44210,"title":"Two Cases of Syphilis","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5nm5d630","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Estes","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-10-11T18:14:32-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44210/galley/33013/download/"}]},{"pk":44208,"title":"“Getting High” From Loperamide Can Cause Cardiac Arrhythmias","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1r82p7xv","frozenauthors":[{"first_name":"Kwame","middle_name":"","last_name":"Donkor","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-10-11T18:12:14-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44208/galley/33011/download/"}]},{"pk":9729,"title":"Autoinjectors Preferred for Intramuscular Epinephrine in Anaphylaxis and Allergic Reactions","subtitle":null,"abstract":"Introduction:\n Epinephrine is the treatment of choice for anaphylaxis. We surveyed emergency department (ED) health care providers regarding 2 methods of intramuscular (IM) epinephrine administration (autoinjector and manual injection) for the management of anaphylaxis and allergic reactions and identified provider perceptions and preferred method of medication delivery.\n \nMethods:\n This observational study adhered to survey reporting guidelines. It was performed through a Web-based survey completed by health care providers at an academic ED. The participants consisted of all ED providers, including staff physicians, resident physicians, pharmacists, advanced practice providers, and nurses. The primary outcomes were assessment of provider perceptions and identification of the preferred IM epinephrine administration method by ED health care providers.\n \nResults:\n Of 217 ED health care providers invited to participate, 172 (79%) completed the survey. Overall, 82% of respondents preferred the autoinjector method of epinephrine administration. Providers rated the autoinjector method more favorably with regard to time required for training, ease of use, convenience, satisfaction with weight-based dosing, risk of dosing errors, and speed of administration (\nP\n<.001 for all comparisons). However, manual injection use was rated more favorably with regard to risk of provider self-injury and patient cost (\nP\n<.001 for both comparisons). Three participants (2%) reported a finger stick injury from an epinephrine autoinjector.\n \nConclusion:\n ED health care providers preferred the autoinjector method of IM epinephrine administration for the management of anaphylaxis or allergic reactions. Epinephrine autoinjector use may reduce barriers to epinephrine administration for the management of anaphylaxis in the ED.","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.\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":"administration"},{"word":"anaphylaxis"},{"word":"emergency department"},{"word":"Epinephrine"},{"word":"epinephrine autoinjectors"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8227f3f7","frozenauthors":[{"first_name":"Ronna","middle_name":"L.","last_name":"Campbell","name_suffix":"","institution":"Other","department":"None"},{"first_name":"M. Fernanda","middle_name":"","last_name":"Bellolio","name_suffix":"","institution":"","department":"None"},{"first_name":"Megan","middle_name":"S.","last_name":"Motosue","name_suffix":"","institution":"","department":"None"},{"first_name":"Kharmene","middle_name":"L.","last_name":"Sunga","name_suffix":"","institution":"","department":"None"},{"first_name":"Christine","middle_name":"M.","last_name":"Lohse","name_suffix":"","institution":"","department":"None"},{"first_name":"Maria","middle_name":"I.","last_name":"Rudis","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-03-31T14:25:19-05:00","date_accepted":"2016-03-31T14:25:19-05:00","date_published":"2016-10-07T16:58:57-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9729/galley/5387/download/"}]},{"pk":9738,"title":"Use of Physician Concerns and Patient Complaints as Quality Assurance Markers in Emergency Medicine","subtitle":null,"abstract":"ABSTRACT\n \n \n \nBackground: \nThe value of systematic evaluation of both patient and physician identified QA issues in emergency medicine remains poorly characterized as a marker for Emergency Department (ED) quality assurance. \n \n \n \nObjective: \nThe objective of this study was to determine whether systematic screening and evaluation of patient and physician concerns is useful for identifying physician errors resulting in either an adverse event or a near miss event.\n \n \n \nMethods:\n Retrospective, observational cohort study of consecutive patients presenting to an urban, tertiary care academic medical center ED with an annual volume of 57,000 patients between January 2008 and December 2014. Our hospital has an electronic system that easily allows physicians to register a concern or self-identify a potential QA issue for subsequent review. In our system, both patient and physician concerns are then assigned for review by physician evaluators not involved with the patients’ care. Patient complaints were initially prescreened by an experienced evaluator and those not pertaining to possible physician error, such as complaints related to billing, creature comfort, communication, nursing related complaints and waiting times were eliminated unless the reviewer identified a possible physician error. If in addition to these other factors, a potential QA issue was present, the case was referred to the QA committee Reviewers are prompted to use a structured 8-point Likert scale to assess for the presence of error and adverse events. If a reviewer assessed that the case involved a possible error or adverse event that resulted in the need for intervention, additional treatment, or caused patient harm, it was referred to a 20-member quality assurance (QA) committee of ED physicians and nurses who made a final determination as to whether or not an error or adverse event occurred. \n \n \n \nResults: \nWe identified 570 concerns within a data-base of 383,419 ED presentations, of which 33 were patient-generated and 537 were physician-generated. In the subset of cases where there was a complaint by either patient or physician, physician errors that led to a preventable adverse event were detected in 2.9% of cases (95%CI 1.52% to 4.28%). Further analysis revealed that 9.1% (95%CI 2-24%) of patient complaints correlated to preventable errors leading to an adverse event. In contrast, 2.6% (2-4%) of QA concerns made by a physician alone were found to be preventable physician errors leading to an adverse event. Near miss events (errors without adverse outcome) were more accurately reported by physicians, with physician error found in 12.1% of reported cases (95%CI 10-15%) and in 9.1% of those reported by patients (95%CI 2-24%). Adverse events in general that were not deemed to be due to preventable physician error were found in 12.1% of patient complaints (95%CI 3-28%) and in 5.8% of physician QA concerns (95%CI 4-8%). \n \n \n \nConclusion:\n Screening and systemized evaluation of emergency department patient and physician complaints may be an underutilized and efficient quality assurance tool. Patient complaints may more accurately identify physician errors that result in preventable adverse events, while physician QA concerns may be more likely to uncover a near miss that did not lead to an adverse event.","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.\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":"Error"},{"word":"Emergency Medicine"},{"word":"Quality Assurance"}],"section":"Patient Safety","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1053h4dm","frozenauthors":[{"first_name":"Kiersten","middle_name":"L","last_name":"Gurley MD","name_suffix":"","institution":"Harvard University","department":"None"},{"first_name":"Richard","middle_name":"E","last_name":"Wolfe MD","name_suffix":"","institution":"Harvard University","department":"None"},{"first_name":"Johnathan","middle_name":"L","last_name":"Burstein MD","name_suffix":"","institution":"Harvard University","department":"None"},{"first_name":"Jonathan","middle_name":"A","last_name":"Edlow MD","name_suffix":"","institution":"Harvard University","department":"None"},{"first_name":"Jason","middle_name":"F","last_name":"Hill MD","name_suffix":"","institution":"Harvard University","department":"None"},{"first_name":"Shamai","middle_name":"","last_name":"Grossman MD MS","name_suffix":"","institution":"Harvard University","department":"None"}],"date_submitted":"2016-04-09T12:11:09-05:00","date_accepted":"2016-04-09T12:11:09-05:00","date_published":"2016-10-07T16:52:42-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9738/galley/5391/download/"}]},{"pk":9833,"title":"Variation of Blunt Traumatic Injury with Age in Older Adults: Statewide Analysis 2011-14","subtitle":null,"abstract":"Introduction \nTraumatic injury is a leading cause of death and disability in adults ≥ 65 years old, but there are few epidemiological studies addressing this issue. The aim of this epidemiological study was to assess how characteristics of blunt traumatic injuries in adults ≥ 65 vary by age.\nMethods \nUsing data from the a single-state trauma registry, this retrospective cohort study examined injured patients ≥ 65 admitted to all level I and level II trauma centers in Pennsylvania between 2011 and 2014 (n=38,562). Patients were stratified by age into three subgroups (age 65-74; 75-84; ≥85).  Demographics, injury, and system-level variables were compared across groups using the Kruskal-Wallis test for continuous variables and the Cochran–Armitage test for categorical variables.\nResults \nFemale sex (48.6% vs. 58.7% vs. 67.7%), white race (89.1% vs. 92.6% vs. 94.6%), and non-Hispanic ethnicity (97.5% vs. 98.6% vs. 99.4%) increased significantly with age across age groups.  As age increased, the proportion of falls (69.9% vs. 82.1% vs. 90.3%), in-hospital mortality (4.6% vs. 6.2% vs. 6.8%), and proportion of patients arriving to the hospital via ambulance also increased (73.6% vs. 75.8% vs. 81.1%), while mean injury severity (10.3 vs. 10.1 vs. 9.6)  and the proportion of level one trauma alerts (10.6% vs. 8.2% vs. 6.7%) decreased. No trend was seen between age and patient transfer status.  The five most common diagnoses were vertebral fracture, rib fracture, head contusion, open head wound, and intracranial hemorrhage.\nConclusions \n This study highlights several new areas for further exploration such as the decrease in trauma alert level with age, the increase in mortality with age, and the decrease in demographic diversity with age among older adults receiving care at a trauma center. This descriptive study provides a framework for future research on the relationship between age and blunt traumatic injury in older adults.","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.\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":"Trauma"},{"word":"Mortality"},{"word":"Epidemiology"},{"word":"older adult"},{"word":"cohort"},{"word":"Injury"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4pt4p2dp","frozenauthors":[{"first_name":"Emily","middle_name":"","last_name":"Earl-Royal","name_suffix":"","institution":"Stanford University Department of Emergency Medicine","department":"None"},{"first_name":"Frances","middle_name":"","last_name":"Shofer","name_suffix":"","institution":"Department of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA\n\nCenter for Public Health Initiatives, University of Pennsylvania, Philadelphia, PA","department":"None"},{"first_name":"Dominique","middle_name":"","last_name":"Ruggieri","name_suffix":"","institution":"Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA\n\nCenter for Public Health Initiatives, University of Pennsylvania, Philadelphia, PA","department":"None"},{"first_name":"Rosemary","middle_name":"","last_name":"Frasso","name_suffix":"","institution":"Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA\n\nCenter for Public Health Initiatives, University of Pennsylvania, Philadelphia, PA\n\nSchool of Nursing, University of Pennsylvania, Philadelphia, PA","department":"None"},{"first_name":"Daniel","middle_name":"","last_name":"Holena","name_suffix":"","institution":"Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA\n\nThe Penn Injury Science Center at the University of Pennsylvania, Philadelphia PA\n\nDivision of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA","department":"None"}],"date_submitted":"2016-05-23T14:08:15-05:00","date_accepted":"2016-05-23T14:08:15-05:00","date_published":"2016-10-07T16:41:20-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9833/galley/5415/download/"}]},{"pk":10274,"title":"Characterization of Chemical Suicides in the United States and its Adverse Impact on Responders and Bystanders","subtitle":null,"abstract":"ABSTRACT  Introduction: A suicide trend that involves mixing household chemicals to produce hydrogen sulfide or hydrogen cyanide, commonly referred to as a detergent, hydrogen sulfide, or chemical suicide is a continuing problem in the United States (US). Because there is not one database responsible for tracking chemical suicides, the actual number of incidents in the US is unknown. To prevent morbidity and mortality associated with chemical suicides, it is important to characterize the incidents that have occurred in the United States.  Methods: Data from 2011-2013 from state health departments participating in the Agency for Toxic Substances and Disease Registry’s National Toxic Substance Incidents Program (NTSIP) were analyzed. NTSIP is a web-based chemical incident surveillance system that tracks the public health consequences (e.g., morbidity, mortality) from acute chemical releases. Reporting sources for NTSIP incidents typically include first responders, hospitals, state environmental agencies, and media outlets. To find chemical suicide incidents in NTSIP’s database, open text fields were queried in the comment, synopsis, and contributing factors variables for potential incidents. Results: Five of the nine states participating in NTSIP reported a total of 22 chemical suicide incidents or attempted suicides during 2011-2013. These states reported a total of 43 victims: 15 suicide victims who died, 7 people who attempted suicide but survived, 8 responders, and 4 employees working at a coroner’s office; the remainder were members of the general public. None of the injured responders reported receiving HazMat technician level training, and none had documented appropriate personal protective equipment (PPE).  Conclusion: Chemical suicides produce lethal gases that can pose a threat to responders and bystanders. Describing the characteristics of these incidents can help raise awareness among responders and the public about the dangers of chemical suicides. Along with increased awareness education is also needed on how to protect themselves.","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.\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":"Chemical suicides, responders"}],"section":"Toxicology","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5wh2h7kq","frozenauthors":[{"first_name":"Ayana","middle_name":"","last_name":"Anderson","name_suffix":"","institution":"Agency for Toxic Substances and Disease Registry","department":"None"}],"date_submitted":"2016-08-30T10:37:54-05:00","date_accepted":"2016-08-30T10:37:54-05:00","date_published":"2016-10-07T16:36:50-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10274/galley/5653/download/"}]},{"pk":9711,"title":"Hours and Miles: Patient and Health System Implications of Transfer for Psychiatric Bed Capacity","subtitle":null,"abstract":"Introduction:\n An increasing number of behavioral health (BH) patients are presenting to the emergency department (ED) while BH resources continue to decline. This situation may lead to more external transfers to find care.\n \nMethods:\n This is a retrospective cohort study of consecutive patients presenting to a tertiary care academic ED from February 1, 2013, through January 31, 2014. Patients were identified through electronic health record documentation of psychiatric consultation during ED evaluation. Electronic health records were reviewed for demographic characteristics, diagnoses, payer source, ED length of stay, ED disposition, arrival method, and distance traveled to an external facility for inpatient admission. Univariable and multivariable associations with transfer to an external facility in comparison with patients admitted internally were evaluated with logistic regression models and summarized with odds ratios (ORs). \n \nResults:\n We identified 2,585 BH visits, of which 1,083 (41.9%) resulted in discharge. A total of 1,502 patient visits required inpatient psychiatric admission, and of these cases, 177 patients (11.8%; 95% CI, 10.2%-13.5%) required transfer to an external facility. The median ED length of stay for transferred patients was 13.9 hours (interquartile range [IQR], 9.3-20.2 hours; range, 3.0-243.0 hours). The median distance for transport was 83 miles (IQR, 42-111 miles; range, 42-237 miles). In multivariable analysis, patients with suicidal or homicidal ideation had increased risk of transfer (odds ratio [OR] [95% CI], 1.93 [1.22-3.06]; \nP\n=.005). Children younger than 18 years (OR [95% CI], 2.34 [1.60-3.40]; \nP\n<.001) and adults older than 65 years (OR [95% CI], 3.46 [1.93-6.19]; \nP\n<.001) were more likely to require transfer and travel farther to access care.\n \nConclusions:\n Patients requiring external transfer for inpatient psychiatric care were found to have prolonged ED lengths of stay. Patients with suicidal and homicidal ideation as well as children and adults older than 65 years are more likely to require transfer.","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.\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":"bed capacity"},{"word":"Emergency Medicine"},{"word":"overcrowding"},{"word":"patient transfer"},{"word":"psychiatric acute care"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8s75v7xj","frozenauthors":[{"first_name":"Amy","middle_name":"M","last_name":"O’Neil","name_suffix":"","institution":"Mayo Clinic\nRochester MN","department":"None"},{"first_name":"Annie","middle_name":"T","last_name":"Sadosty","name_suffix":"","institution":"Mayo Clinic\nRochester MN","department":"None"},{"first_name":"Kalyan","middle_name":"S","last_name":"Pasupathy","name_suffix":"","institution":"Mayo Clinic\nRochester MN","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"Russi","name_suffix":"","institution":"Mayo Clinic\nRochester MN","department":"None"},{"first_name":"Christine","middle_name":"M","last_name":"Lohse","name_suffix":"","institution":"Mayo Clinic\nRochester MN","department":"None"},{"first_name":"Ronna","middle_name":"L","last_name":"Campbell","name_suffix":"","institution":"Mayo Clinic\nRochester MN","department":"None"}],"date_submitted":"2016-03-22T15:02:25-05:00","date_accepted":"2016-03-22T15:02:25-05:00","date_published":"2016-10-07T16:33:17-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9711/galley/5380/download/"}]},{"pk":44228,"title":"Uncontrolled Asthma in a Patient with Primary Ciliary Dyskinesia Treated Successfully with Omalizumab","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2s71q0bt","frozenauthors":[{"first_name":"Kellie","middle_name":"","last_name":"Lim","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Joyce","middle_name":"","last_name":"Lee","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-10-06T14:36:03-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44228/galley/33031/download/"}]},{"pk":44207,"title":"Massive Hemoptysis with Tuberculosis-Remember Rasmussen's Aneurysm","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4r97q7t3","frozenauthors":[{"first_name":"Deren","middle_name":"","last_name":"Sinkowitz","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"John","middle_name":"","last_name":"Abe","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-10-05T18:11:12-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44207/galley/33010/download/"}]},{"pk":9736,"title":"Adapting the I-PASS Handoff Program for Emergency Department Inter-Shift Handoffs","subtitle":null,"abstract":"ABSTRACT\n \nIntroduction\n \nAcademic Emergency Department (ED) handoffs are high-risk transfer of care events. Emergency medicine residents are inadequately trained to handle these vital transitions.\n \nWe aimed to explore what modifications the I-PASS (Illness severity, Patient summary, Action list, Situation awareness and contingency plans, and Synthesis by receiver) handoff system requires to be effectively modified for use in ED inter-shift handoffs.\n \nMethods \n \nThis mixed-method needs assessment conducted at an academic ED explored the suitability of the I-PASS system for ED handoffs. We conducted a literature review, focus groups, and then a survey. We sought to identify the distinctive elements of ED handoffs and discern how these could be incorporated into the I-PASS system.\n \nResults\n \nFocus group participants agreed the Patient summary should be adapted to include anticipated disposition of patient. Participants generally endorsed the order and content of the other elements of the I-PASS tool. The survey yielded several wording changes to reflect contextual differences. Themes from all qualitative sources converged to suggest changes for brevity and clarity (Figure 1). Most participants agreed that the I-PASS tool would be well suited to the emergency department setting.\n \nConclusion\n \nWith modifications for context, brevity, and clarity, the I-PASS system may be well suited for application to the ED setting. This study provides qualitative data in support of utilizing the I-PASS tool and concrete suggestions for how to modify the I-PASS tool for the ED. Implementation and outcome research is needed to investigate if the I-PASS tool is feasible and improves patient outcomes in the ED environment.","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.\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":"Handoff, Transitions of Care, Sign-out, Patient Safety, Resident Communication"}],"section":"Patient Safety","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2qp5g96n","frozenauthors":[{"first_name":"James","middle_name":"A","last_name":"Heilman","name_suffix":"","institution":"Oregon Health and Science University (OHSU)","department":"None"},{"first_name":"Moira","middle_name":"","last_name":"Flanigan","name_suffix":"","institution":"","department":"None"},{"first_name":"Anna","middle_name":"","last_name":"Nelson","name_suffix":"","institution":"","department":"None"},{"first_name":"Tom","middle_name":"","last_name":"Johnson","name_suffix":"","institution":"","department":"None"},{"first_name":"Lalena","middle_name":"M","last_name":"Yarris","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-04-08T13:49:57-05:00","date_accepted":"2016-04-08T13:49:57-05:00","date_published":"2016-10-04T19:20:37-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9736/galley/5390/download/"}]},{"pk":9952,"title":"Alternative Destination Transport? The Role of Paramedics in Optimal Use of the Emergency Department","subtitle":null,"abstract":"n/a","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.\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":"alternative destination, patient acuity level, ED physician, paramedics"}],"section":"Healthcare Utilization","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1895d1d1","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Neeki","name_suffix":"","institution":"","department":"None"},{"first_name":"Fanglong","middle_name":"","last_name":"Dong","name_suffix":"","institution":"","department":"None"},{"first_name":"Leigh","middle_name":"","last_name":"Avera","name_suffix":"","institution":"","department":"None"},{"first_name":"Tan","middle_name":"","last_name":"Than","name_suffix":"","institution":"","department":"None"},{"first_name":"Rodney","middle_name":"","last_name":"Borger","name_suffix":"","institution":"","department":"None"},{"first_name":"Joe","middle_name":"","last_name":"Powell","name_suffix":"","institution":"","department":"None"},{"first_name":"Reza","middle_name":"","last_name":"Vaezazizi","name_suffix":"","institution":"","department":"None"},{"first_name":"Richard","middle_name":"","last_name":"Pitts","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-06-24T19:00:23-05:00","date_accepted":"2016-06-24T19:00:23-05:00","date_published":"2016-10-04T18:53:59-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9952/galley/5455/download/"}]},{"pk":10028,"title":"Point-of-Care Sonographic Findings in Acute Upper Airway Edema","subtitle":null,"abstract":"We describe a case where a patient presented with acute ACE-I induced angioedema without signs or symptoms of upper airway edema beyond lip swelling.  Point-of-care ultrasound (POCUS) was used as an initial diagnostic test and identified left sided subglottic upper airway edema that was immediately confirmed with indirect fiberoptic laryngoscopy.  ACE-I induced angioedema and the historical use of ultrasound in evaluation of the upper airway is briefly discussed.  To our knowledge, POCUS has not been used to identify acute upper airway edema in the emergency setting.  Further investigation is needed to determine if POCUS is a sensitive and specific tool for the identification and evaluation of acute upper airway edema.","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.\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":"angioedema"},{"word":"POCUS"},{"word":"point-of-care-ultrasound"},{"word":"airway edema"},{"word":"Emergency Medicine"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0z66n0v7","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Schick","name_suffix":"","institution":"UC Davis","department":"None"},{"first_name":"Kendra","middle_name":"","last_name":"Grether-Jones","name_suffix":"","institution":"UC Davis","department":"None"}],"date_submitted":"2016-07-11T13:20:05-05:00","date_accepted":"2016-07-11T13:20:05-05:00","date_published":"2016-10-04T16:36:26-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10028/galley/5474/download/"}]},{"pk":9877,"title":"A Call for Better Opioid Prescribing Training and Education","subtitle":null,"abstract":"With national attention on the current opioid epidemic, a growing focus has been placed on provider prescribing practices. Medical students and residents experience significant variation in the quality of education they receive on substance use detection and intervention in the Emergency Department. To achieve a better standard of education, clinical educators will need to (A) develop a clearer understanding of the impact of provider prescribing patterns on the opioid epidemic, (B) promote uptake of evidence-based opioid prescribing guidelines in their emergency departments, and (C) introduce and integrate opioid management and addiction medicine training formally into their medical school curricula.","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.\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":"Injury Prevention and Population Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7wj9h3zq","frozenauthors":[{"first_name":"Hazar","middle_name":"","last_name":"Khidir","name_suffix":"","institution":"Harvard Medical School","department":"None"},{"first_name":"Scott","middle_name":"","last_name":"Weiner","name_suffix":"","institution":"Brigham and Women's Hospital and Harvard Medical School","department":"None"}],"date_submitted":"2016-06-10T14:52:00-05:00","date_accepted":"2016-06-10T14:52:00-05:00","date_published":"2016-10-03T17:00:14-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9877/galley/5432/download/"}]},{"pk":44206,"title":"Unusual Presentation of Abdominal Adhesions after Removal of a Rare Intestinal Tumor","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/80v1z6bj","frozenauthors":[{"first_name":"Sahar","middle_name":"","last_name":"Lashin","name_suffix":"MD, PhD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-30T18:10:00-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44206/galley/33009/download/"}]},{"pk":44205,"title":"Integrative East-West Approach to Acute Treatment of Bell’s Palsy","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/17v726gg","frozenauthors":[{"first_name":"Katie","middle_name":"","last_name":"Hu","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Lawrence","middle_name":"B.","last_name":"Taw","name_suffix":"MD, FACP","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-30T18:08:49-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44205/galley/33008/download/"}]},{"pk":9715,"title":"Large Posterior Communicating Artery Aneurysm:  Initial Presentation with Reproducible Facial Pain Without Cranial Nerve Deficit","subtitle":null,"abstract":"Abstract\nUnruptured posterior communicating artery (PCOM) aneurysms can be difficult to diagnose, and when large (≥ 7mm), represent a substantial risk to the patient. While most unruptured PCOM aneurysms are asymptomatic, when symptoms do occur, clinical manifestations typically include severe headache (HA), visual acuity loss, and cranial nerve deficit. This case report describes an atypical initial presentation of a large unruptured PCOM aneurysm with symptoms mimicking trigeminal neuralgia, without other associated cranial nerve palsies or neurologic deficits. The patient returned to the Emergency Department (ED) four days later with a HA and a cranial nerve VIII palsy.  After appropriate imaging, she was found to have a large PCOM aneurysm which was treated with surgical clipping with significant improvement in patient’s symptoms.","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.\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":"Posterior communicating aneurysm, trigeminal neuralgia, PCOM, facial pain"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/92t13044","frozenauthors":[{"first_name":"Stacie","middle_name":"","last_name":"Zelman","name_suffix":"","institution":"Wake Forest University Baptist Health","department":"None"},{"first_name":"Michael","middle_name":"C","last_name":"Goebel","name_suffix":"","institution":"Wake Forest University Baptist health","department":"None"},{"first_name":"Seth","middle_name":"C","last_name":"Hawkins","name_suffix":"","institution":"Wake Forest University Baptist Health","department":"None"}],"date_submitted":"2016-03-24T10:25:28-05:00","date_accepted":"2016-03-24T10:25:28-05:00","date_published":"2016-09-29T17:59:53-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9715/galley/5382/download/"}]},{"pk":9813,"title":"Dengue, Zika and Chikungunya: Emerging Arboviruses in the New World","subtitle":null,"abstract":"The arboviruses that cause dengue, chikungunya, and zika illnesses have rapidly expanded across the globe in recent years, with large-scale outbreaks occurring in Western Hemisphere territories in close proximity to the United States (US). In March 2016, the Centers for Disease Control and Protection (CDC) expanded its vector surveillance maps for \nA. aegypti\n and \nA. albopictus\n, the mosquito vectors for these arboviruses. They have now been shown to inhabit a larger portion of the United States, including the heavily populated northeast corridor. Emergency physicians need to further familiarize themselves with these diseases, which have classically been considered only in returning travelers but may soon be encountered in the US even in the absence of travel. In this paper, we discuss the presentation and treatment of dengue, zika, and chikungunya, as well as special challenges presented to the emergency physician in evaluating a patient with a suspected arbovirus infection.","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.\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":"arbovirus"},{"word":"dengue"},{"word":"Zika"},{"word":"Chikungunya"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1sb3t094","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Patterson","name_suffix":"","institution":"Temple University School of Medicine","department":"None"},{"first_name":"Maura","middle_name":"","last_name":"Sammon","name_suffix":"","institution":"Temple University School of Medicine","department":"None"},{"first_name":"Manish","middle_name":"","last_name":"Garg","name_suffix":"","institution":"Temple University School of Medicine","department":"None"}],"date_submitted":"2016-05-18T08:55:21-05:00","date_accepted":"2016-05-18T08:55:21-05:00","date_published":"2016-09-29T17:26:52-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9813/galley/5411/download/"}]},{"pk":9827,"title":"Role of Ultrasound in the Identification of Longitudinal Axis in Soft-Tissue Foreign Body Extraction","subtitle":null,"abstract":"Identification and retrieval of soft tissue foreign bodies (STFBs) poses significant challenges in the emergency department. Prior studies have demonstrated the utility of ultrasound in identification and retrieval of STFBs, including radiolucent objects such as wood. We present a case of STFB extraction that utilizes ultrasound to identify the longitudinal axis of the object.  With the longitudinal axis identified, the foreign body can be excised by making an incision where the foreign body is closest to the skin. The importance of this technique as it pertains to minimizing surrounding tissue destruction and discomfort for patients has not been previously reported.","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.\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"},{"word":"Emergency Medicine"},{"word":"Foreign Bodies"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2132r56r","frozenauthors":[{"first_name":"Al","middle_name":"","last_name":"Lulla","name_suffix":"","institution":"Olive View-UCLA Medical Center","department":"None"},{"first_name":"Taryn","middle_name":"","last_name":"Whitman","name_suffix":"","institution":"California State University, Los Angeles","department":"None"},{"first_name":"Ricky","middle_name":"","last_name":"Amii","name_suffix":"","institution":"Olive View-UCLA Medical Center","department":"None"},{"first_name":"Alan","middle_name":"","last_name":"Chiem","name_suffix":"","institution":"Olive View-UCLA Medical Center","department":"None"}],"date_submitted":"2016-05-21T01:07:34-05:00","date_accepted":"2016-05-21T01:07:34-05:00","date_published":"2016-09-29T16:29:09-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9827/galley/5413/download/"}]},{"pk":9860,"title":"Somnabulism: Emergency Department Admissions Due to Sleepwalking-Related Trauma","subtitle":null,"abstract":"INTRODUCTION\n \n \n \nSomnambulism is a state of dissociated consciousness, in which the affected person is partially asleep and partially awake. There is a pervasive public opinion that sleepwalkers are protected from hurting themselves. There have been few scientific reports of trauma associated with somnambulism and there are no published investigations on the epidemiology or trauma patterns associated with somnambulism.\n \n \n \nMETHODS\n \n \n \nAll emergency department admissions to Inselspital, Bern, Switzerland, from January 1, 2000 until August 11, 2015 were included when the patient had suffered a trauma associated with somnambulism. Demographic data (age, gender, nationality) and medical data (mechanism of injury, final diagnosis, hospital admission, mortality and medication on admission) were included.\n \n \n \nRESULTS\n \n \n \nOf a total of 650,000 screened emergency department admissions, 11 were associated with trauma and sleepwalking. Two patients (18.2%) had a history of known NREM parasomnias. The leading cause of admission was falls. Four patients required hospital admission for orthopaedic injuries needing further diagnostic testing and treatment (36.4%). These included two patients with multiple injuries (18.2%). None of the admitted patients died.\n \n \n \nCONCLUSION\n \n \n Although sleepwalking is benign in the majority of cases and most of the few injured patients did not require hospitalisation, major injuries are possible. When patients present with falls of unknown origin, the possibility should be evaluated that they were caused by somnambulism.","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.\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":"Somnambulism"},{"word":"sleepwalking"},{"word":"Trauma"},{"word":"emergency"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7h20q1mx","frozenauthors":[{"first_name":"Thomas","middle_name":"C","last_name":"Sauter","name_suffix":"","institution":"Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland","department":"None"},{"first_name":"S","middle_name":"","last_name":"Veerakatty","name_suffix":"","institution":"Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland","department":"None"},{"first_name":"Dominik","middle_name":"G","last_name":"Haider","name_suffix":"","institution":"Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland","department":"None"},{"first_name":"Thomas","middle_name":"","last_name":"Geiser","name_suffix":"","institution":"Department of Pulmonary Medicine, Inselspital, University Hospital Berne, Switzerland","department":"None"},{"first_name":"Meret","middle_name":"E","last_name":"Ricklin","name_suffix":"","institution":"Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland","department":"None"},{"first_name":"Aristomenis","middle_name":"K","last_name":"Exadakytlos","name_suffix":"","institution":"Department of Emergency Medicine, Inselspital, University Hospital Berne, Switzerland","department":"None"}],"date_submitted":"2016-06-06T07:39:46-05:00","date_accepted":"2016-06-06T07:39:46-05:00","date_published":"2016-09-29T16:22:02-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9860/galley/5427/download/"}]},{"pk":9844,"title":"Ultrasound Detection of Patellar Fracture and Evaluation of the Knee Extensor Mechanism in the Emergency Department","subtitle":null,"abstract":"Traumatic injuries to the knee are common in Emeregncy Medicine.\nBedside ultrasound has benefits in the rapid initial detection of injuries to the patella. In addition, ultrasound can quickly detect injuries to the entire knee extensor mechanism, including the quadriceps tenson and inferior patellar ligament in addition to the patella, that can be difficult to diagnose with plain radiographs. While MRI remains the gold standard for diagnostic evaluation of the knee extensor mechanism, this can be difficult to obtain from the Emergency Department. Clinicans caring for patients with orthopedic injuries of the knee will benefit from incorporating of musculoskeletal bedside ultrasound into their clinical skills set.","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.\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, bedside ultrasound, point of care ultrasound, knee injury, patellar fracture, quadriceps tendon injury, inferior patellar ligament injury, injury of knee extensor mechanism"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1tk8t7jx","frozenauthors":[{"first_name":"Kiersten","middle_name":"","last_name":"Carter","name_suffix":"","institution":"Stanford University Medical Center","department":"None"},{"first_name":"Arica","middle_name":"","last_name":"Nesper","name_suffix":"","institution":"Stanford University Medical Center","department":"None"},{"first_name":"Laleh","middle_name":"","last_name":"Gharahbaghian","name_suffix":"","institution":"Stanford University Medical Center","department":"None"},{"first_name":"Philips","middle_name":"","last_name":"Perera","name_suffix":"","institution":"Stanford University Medical Center","department":"None"}],"date_submitted":"2016-05-29T19:22:36-05:00","date_accepted":"2016-05-29T19:22:36-05:00","date_published":"2016-09-29T16:03:30-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9844/galley/5421/download/"}]},{"pk":9823,"title":"Impact of Prior Therapeutic Opioid Use by Emergency Department Providers on Opioid Prescribing Decisions","subtitle":null,"abstract":"Introduction\n \nOur study sought to examine the opioid analgesic (OA) prescribing decisions of emergency department (ED) providers who have themselves used OA therapeutically and those who have not. A second objective was to determine if OA prescribing decisions would differ based on the patient’s relationship to the provider.\n \nMethods\n \nAn electronic survey was distributed to a random sample of ED providers at participating centers in a nationwide research consortium. Question topics included provider attitudes about OA prescribing, prior personal therapeutic use of OAs (indications, dosing, and disposal of leftover medication), and hypothetical analgesic prescribing decisions for their patients, family members, and themselves for different painful conditions.\n \n \n \n \nResults\n \nThe total survey population was 957 individuals; 515 responded to the survey, a 54% response rate. Prior personal therapeutic OA use was reported in 63% [95% CI, 58-68]. A majority of these providers (82%; 95% CI [77-87]) took fewer than half the number of pills prescribed. Regarding provider attitudes towards OA prescribing: 66% [95% CI, 61-71] agreed that OA could lead to addiction even with short-term use. When providers were asked if they would prescribe OA to a patient with 10/10 pain from an ankle sprain: 21% [95% CI, 17-25] would for an adult patient, 13% [95% CI, 10-16] would for an adult family member, and 6% [95% CI, 4-8] indicated they themselves would take an opioid for the same pain. When the scenario involved an ankle fracture: 86% [95% CI, 83-89] would prescribe OA for an adult patient, 75% [95% CI, 71-79] for an adult family member, and 52% [95% CI, 47-57] would themselves take OA. Providers who have personally used OA to treat their pain were consistently more likely to prescribe OA in different patient scenarios than those who had not.\n \nConclusion\n \nED providers who had themselves used OA therapeutically to treat their own pain tended to be more likely to prescribe OA than those who had not. When making OA prescribing decisions, ED providers report that they are less likely to prescribe opioids to their family members, or themselves, than to an ED patient with the same painful condition.","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.\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":"Opioids"},{"word":"Prescription drug abuse"},{"word":"pain management"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2wn0x8g1","frozenauthors":[{"first_name":"Adam","middle_name":"C","last_name":"Pomerleau","name_suffix":"","institution":"Emory University School of Medicine","department":"None"},{"first_name":"Jeanmarie","middle_name":"","last_name":"Perrone","name_suffix":"","institution":"","department":"None"},{"first_name":"Jason","middle_name":"","last_name":"Hoppe","name_suffix":"","institution":"","department":"None"},{"first_name":"Matthew","middle_name":"","last_name":"Salzman","name_suffix":"","institution":"","department":"None"},{"first_name":"Paul","middle_name":"","last_name":"Weiss","name_suffix":"","institution":"","department":"None"},{"first_name":"Lewis","middle_name":"","last_name":"Nelson","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-05-19T13:36:01-05:00","date_accepted":"2016-05-19T13:36:01-05:00","date_published":"2016-09-29T15:23:57-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9823/galley/5412/download/"}]},{"pk":44072,"title":"Radiation-Induced Coronary Artery and Combined Valvular Disease","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1tj0v0b9","frozenauthors":[{"first_name":"Mihir","middle_name":"","last_name":"Bikhchandani","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Roxana","middle_name":"","last_name":"Tabrizi","name_suffix":"","institution":"","department":""},{"first_name":"Kamran","middle_name":"","last_name":"Shamsa","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-28T17:10:00-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44072/galley/32875/download/"}]},{"pk":2093,"title":"Creating a Social Context Through Film: Teaching L2 Pragmatics as a Locally Situated Process","subtitle":null,"abstract":"Pragmatics is an underrepresented area in L2 instruction, in spite of disciplinary emphasis on communicative skills (de Pablos-Ortega, 2011; Eisenchlas, 2011). Films have been shown to be capable of mitigating this lack of pedagogically prepared materials (Abrams, 2014; Kambara, 2011; Fernández-Guerra, 2008; Grant & Starks, 2001; Washburn, 2001), and may provide scaffolding for teaching pragmatics as a dynamic, context-dependent phenomenon. In line with current research in pragmatics, wherein participants’ motivations, communicative purpose, and social context play significant roles in communication (Boxer, 2002; Kecskés, 2006, 2012; LoCastro, 2011; Scollon & Wong-Scollon, 2003), the present study compares how authentic filmic materials—in contrast with textbook models—help participants develop pragmatic skills that reflect a locally contextualized, emergent view of interaction. Collaborative dialogues of thirty first-year learners of German at a U.S. university were analyzed using interactional sociolinguistics (Piazza, Bednarek, & Rossi, 2011; Tannen, 2005, 2006). Results indicate that film-based dialogues prompted more pragmatically nuanced interactions than did textbook tasks.","language":"en","license":null,"keywords":[{"word":"L2 pragmatics"},{"word":"locally situated interaction"},{"word":"film"},{"word":"social context in L2 learning"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4j89k6k7","frozenauthors":[{"first_name":"Zsuzsanna","middle_name":"","last_name":"Abrams","name_suffix":"","institution":"UC Santa Cruz","department":"None"}],"date_submitted":"2016-04-27T23:22:57-05:00","date_accepted":"2016-04-27T23:22:57-05:00","date_published":"2016-09-26T19:06:12-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/2093/galley/1376/download/"}]},{"pk":2083,"title":"Symbolic Competence in Interaction: Mutuality, Memory, and Resistance in a Peer Tutoring Context","subtitle":null,"abstract":"Symbolic competence (Kramsch, 2009, 2011) has been proposed as a crucial addition to world language learning, as it enables a language learner to negotiate the complex symbolism of words, expressions, and discursive events from the target culture in order to reference them effectively and in the appropriate contexts. However, fostering symbolic competence is still a challenge within the day to day reality of the world language classroom. Moreover, there is still little research on what symbolic competence looks like in interaction. In this article I examine a peer tutoring context as one possibility for examining symbolic competence in interaction. Using a close discourse analysis of one peer tutoring session, I explore the intersections between interactional resources and the performance of symbolic competence. I show how the peer tutor’s enthusiastic and lengthy descriptions of a Mexican television program from the 70s constituted what I term a \nsymbolic performance\n of her knowledge of this cultural artifact. At the same time, the peer learner’s reactions to these explanations, particularly her increasing lack of alignment, revealed resistance and interactional asynchrony between the two individuals. I examine reasons for this asynchrony, focusing on the difficulties of fostering symbolic competence in traditionally communicative-based language learning environments despite the potential richness that a peer tutoring environment could provide for transformative language learning. I suggest ways in which symbolic competence could be cultivated in peer tutoring and other additional language learning contexts.","language":"en","license":null,"keywords":[{"word":"symbolic competence"},{"word":"peer tutoring"},{"word":"Spanish"},{"word":"interaction"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8pf7781b","frozenauthors":[{"first_name":"Michele","middle_name":"","last_name":"Back","name_suffix":"","institution":"University of Connecticut","department":"None"}],"date_submitted":"2016-02-10T09:42:44-06:00","date_accepted":"2016-02-10T09:42:44-06:00","date_published":"2016-09-26T19:06:00-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/2083/galley/1370/download/"}]},{"pk":61249,"title":"1981: Embryonic but Inchoate Designs for a Constitutional Committee","subtitle":null,"abstract":"Translator: Keith J. Hand","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Translation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0885g6cp","frozenauthors":[{"first_name":"Liu","middle_name":"","last_name":"Songshan","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-09-26T11:20:11-05:00","date_accepted":"2016-09-26T11:20:11-05:00","date_published":"2016-09-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_pblj/article/61249/galley/47285/download/"}]},{"pk":61247,"title":"ASEAN: Harmonizing Labor Standards for Global Integration","subtitle":null,"abstract":"[no abstract]","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/30m250db","frozenauthors":[{"first_name":"Ron","middle_name":"","last_name":"Brown","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-09-26T11:11:06-05:00","date_accepted":"2016-09-26T11:11:06-05:00","date_published":"2016-09-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_pblj/article/61247/galley/47283/download/"}]},{"pk":61250,"title":"[Front Matter]","subtitle":null,"abstract":"[no abstract]","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7902m0c4","frozenauthors":[{"first_name":"Editors","middle_name":"","last_name":"PBLJ","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-09-26T11:22:34-05:00","date_accepted":"2016-09-26T11:22:34-05:00","date_published":"2016-09-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_pblj/article/61250/galley/47286/download/"}]},{"pk":61246,"title":"Perceptions and Reality: The Enforcement of Foreign Arbitral Awards in China","subtitle":null,"abstract":"[no abstract]","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6s1632q5","frozenauthors":[{"first_name":"Roger","middle_name":"P.","last_name":"Alford","name_suffix":"","institution":"","department":""},{"first_name":"Julian","middle_name":"G.","last_name":"Ku","name_suffix":"","institution":"","department":""},{"first_name":"Bei","middle_name":"","last_name":"Xiao","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-09-26T11:08:14-05:00","date_accepted":"2016-09-26T11:08:14-05:00","date_published":"2016-09-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_pblj/article/61246/galley/47282/download/"}]},{"pk":61251,"title":"[Table of Contents]","subtitle":null,"abstract":"[no abstract]","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2ps0607b","frozenauthors":[{"first_name":"Editors","middle_name":"","last_name":"PBLJ","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-09-26T11:25:56-05:00","date_accepted":"2016-09-26T11:25:56-05:00","date_published":"2016-09-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_pblj/article/61251/galley/47287/download/"}]},{"pk":61248,"title":"Translator’s Introduction to Liu Songshan, \n1981: Embryonic but Inchoate Designs for a Constitutional Committee","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Translation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3jf0q1kn","frozenauthors":[{"first_name":"Keith","middle_name":"J.","last_name":"Hand","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-09-26T11:15:21-05:00","date_accepted":"2016-09-26T11:15:21-05:00","date_published":"2016-09-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_pblj/article/61248/galley/47284/download/"}]},{"pk":44209,"title":"Laughing Gas (Nitrous Oxide) Is No Laughing Matter","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/39w268nz","frozenauthors":[{"first_name":"Kwame","middle_name":"","last_name":"Donkor","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-21T18:13:34-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44209/galley/33012/download/"}]},{"pk":44196,"title":"Empowering Medical Students to Practice Value-based Care: A Prospective Cohort Study of an Educational Intervention","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Original Research"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6wq1r43s","frozenauthors":[{"first_name":"Sara-Megumi","middle_name":"L.","last_name":"Naylor","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Erin","middle_name":"L.","last_name":"Duffy","name_suffix":"MPH","institution":"","department":""},{"first_name":"Neveen","middle_name":"S.","last_name":"El-Farra","name_suffix":"MD","institution":"","department":""},{"first_name":"Allison","middle_name":"L.","last_name":"Diamant","name_suffix":"MD, MSHS","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-20T19:31:57-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44196/galley/32999/download/"}]},{"pk":44202,"title":"Blastocystis hominis: Two presentations of a Potential Parasitic Pathogen","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9m37f6jr","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Estes","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-15T18:04:45-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44202/galley/33005/download/"}]},{"pk":44203,"title":"Fever in a Returning Traveler: A Classic Case of Typhoid Fever","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/15w6s48m","frozenauthors":[{"first_name":"Spencer","middle_name":"R.","last_name":"Adams","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-15T16:05:56-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44203/galley/33006/download/"}]},{"pk":44201,"title":"Orthostatic Hypotension in a Patient with Oropharyngeal Cancer","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7zb02584","frozenauthors":[{"first_name":"Samantha","middle_name":"","last_name":"Gardner","name_suffix":"BS","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Joshua","middle_name":"","last_name":"Rodriguez","name_suffix":"MD, PharmD","institution":"","department":""},{"first_name":"Gladys","middle_name":"","last_name":"Martin","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-14T18:03:39-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44201/galley/33004/download/"}]},{"pk":44200,"title":"Portal and Mesenteric Vein Thrombosis in a Patient with JAK2 V617F Mutation","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6c8753sn","frozenauthors":[{"first_name":"Darren","middle_name":"","last_name":"Pan","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Rena","middle_name":"","last_name":"Callahan","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-14T18:02:16-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44200/galley/33003/download/"}]},{"pk":9755,"title":"Endotracheal Tube Cuff Pressures in Patients Intubated Prior to Helicopter EMS Transport","subtitle":null,"abstract":"Study Objectives\n \nEndotracheal intubation is a common intervention in critical care patients undergoing Helicopter Emergency Medical Services (HEMS) transportation.  Measurement of endotracheal tube (ETT) cuff pressures is not common practice in patients referred to our service.  Animal studies have demonstrated an association between the pressure of the ETT cuff on the tracheal mucosa and decreased blood flow leading to mucosal ischemia and scarring.  Cuff pressures greater than 30 cmH2O impede mucosal capillary blood flow.  Multiple prior studies have recommended 30 cmH2O as the maximum safe cuff inflation pressure.  This study sought to evaluate the inflation pressures in ETT cuffs of patients presenting to HEMS.\n \nMethods\n \nWe enrolled a convenience sample of patients presenting to UMass Memorial LifeFlight who were intubated by the sending facility or Emergency Medical Services (EMS) agency.  Flight crews measured the ETT cuff pressures using a commercially available device.  Those patients intubated by the flight crew were excluded from this analysis as the cuff was inflated with the manometer to a standardized pressure.  Crews logged the results on a research form and the data were analyzed using Microsoft Excel and an online statistical analysis tool.\n \nResults\n \nWe analyzed data for 55 patients.  There was a mean age of 57 years (range 18-90).  The mean ETT cuff pressure was 70 (95% CI, 61-80) cmH2O.  The mean lies 40 cmH2O above the maximum accepted value of 30 cmH2O (p<0.0001).  Eighty-four percent (84%) of patients encountered had pressures above the recommended maximum.  The most frequently recorded pressure was >120 cmH2O, the maximum pressure on the analog gauge.\n \nConclusion\n \nPatients presenting to HEMS after intubation by the referral agency (EMS or hospital) have ETT cuffs inflated to pressures that are, on average, more than double the recommended maximum.  These patients are at risk for tracheal mucosal injury and scarring from decreased mucosal capillary blood flow.  Hospital and EMS providers should use ETT cuff manometry to ensure that they inflate ETT cuffs to safe pressures.","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.\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":"Endotracheal Tube"},{"word":"EMS"},{"word":"prehospital"},{"word":"Airway Management"}],"section":"Prehospital Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/72p7845j","frozenauthors":[{"first_name":"Joseph","middle_name":"","last_name":"Tennyson","name_suffix":"","institution":"University of Massachusetts","department":"None"},{"first_name":"Tucker","middle_name":"","last_name":"Ford-Webb","name_suffix":"","institution":"Lahey Hospital & Medical Center","department":"None"},{"first_name":"Stacy","middle_name":"","last_name":"Weisberg","name_suffix":"","institution":"University of Massachusetts","department":"None"},{"first_name":"Donald","middle_name":"","last_name":"LeBlanc","name_suffix":"","institution":"UMass Memorial LifeFlight","department":"None"}],"date_submitted":"2016-04-17T18:19:07-05:00","date_accepted":"2016-04-17T18:19:07-05:00","date_published":"2016-09-13T13:41:56-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9755/galley/5393/download/"}]},{"pk":9839,"title":"Spermatic Cord Anesthesia Block: An Old Technique Re-imaged","subtitle":null,"abstract":"n/a","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.\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":"Emergency Anesthesia"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7g15v92h","frozenauthors":[{"first_name":"Jeffrey","middle_name":"","last_name":"Gordon MD","name_suffix":"","institution":"Presence Resurrection Medical Center","department":"None"},{"first_name":"Robert","middle_name":"P","last_name":"Rifenburg DO","name_suffix":"","institution":"Presence Resurrection Medical Center","department":"None"}],"date_submitted":"2016-05-25T13:06:15-05:00","date_accepted":"2016-05-25T13:06:15-05:00","date_published":"2016-09-13T12:47:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9839/galley/5420/download/"}]},{"pk":44199,"title":"Cardiovascular Manifestations of Systemic Lupus Erythematosus (SLE)","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5jk6790j","frozenauthors":[{"first_name":"Farheen","middle_name":"","last_name":"Shirazi","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-12T18:01:06-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44199/galley/33002/download/"}]},{"pk":9874,"title":"U.S. Food and Drug Administration: Review for the Emergency Physician of Approval Process and Limitations","subtitle":null,"abstract":"n/a","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.\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":"Patient Safety","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3gd751gp","frozenauthors":[{"first_name":"Nadia","middle_name":"","last_name":"Zuabi","name_suffix":"","institution":"UC Irvine","department":"None"},{"first_name":"Bhavesh","middle_name":"","last_name":"Patel","name_suffix":"","institution":"UC Irvine","department":"None"},{"first_name":"Mark","middle_name":"I","last_name":"Langdorf","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2016-06-09T17:59:58-05:00","date_accepted":"2016-06-09T17:59:58-05:00","date_published":"2016-09-12T16:45:21-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9874/galley/5431/download/"}]},{"pk":9853,"title":"Point-of-Care Ultrasound to Locate a Retained Intravenous Drug Needle in the Femoral Artery","subtitle":null,"abstract":"We describe the use of Point-of-Care Ultrasound to localize a retained intravenous drug needle, and subsequent surgical removal without computed tomography.","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.\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"},{"word":"point-of-care"},{"word":"foreign body"},{"word":"intravenous"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7v79x8pg","frozenauthors":[{"first_name":"Blake","middle_name":"","last_name":"Primi","name_suffix":"","institution":"University of Colorado School of Medicine","department":"None"},{"first_name":"Molly","middle_name":"E.W.","last_name":"Thiessen","name_suffix":"","institution":"Denver Health Medical Center; University of Colorado at Denver and Health Sciences Center","department":"None"}],"date_submitted":"2016-06-01T20:34:03-05:00","date_accepted":"2016-06-01T20:34:03-05:00","date_published":"2016-09-12T16:23:11-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9853/galley/5425/download/"}]},{"pk":9955,"title":"Pilot Point-of-Care Ultrasound Curriculum at Harvard Medical School: Early Experience","subtitle":null,"abstract":"ABSTRACT\n \n \n \nIntroduction:\n Point-of-care ultrasound (POCUS) is expanding across all medical specialties. As the benefits of US technology are becoming apparent, efforts to integrate US into pre-clinical medical education are growing. We report our efforts of integrating POCUS into the medical curriculum through a multi-disciplinary effort. Our objective is to describe our process of integrating POCUS as an educational tool into the medical school curriculum and how such efforts are perceived by students.\n \n \n \nMethods: \n \nThis was a pilot study to introduce ultrasonography into the “blinded for peer review” curriculum to first and second year medical students.  Didactic and hands-on sessions were introduced to first year students during gross anatomy and to second year students in the physical exam course.  Student-perceived attitudes, understanding, and knowledge of US, and its applications to learning the physical exam were measured by a post-assessment survey.\n \n \n \nRESULTS:\n All 1st year anatomy students (n=176) participated in small group hands-on US sessions. In the 2nd year physical diagnosis course, 38 students participated in 4 sessions.  All students (91%) agreed or strongly agreed that additional US teaching should be incorporated throughout the 4 year medical school curriculum.\n \n \n \nCONCLUSIONS AND RELEVANCE: \nPOCUS can effectively be integrated into the existing medical school curriculum by utilizing didactic and small group hands-on sessions.  Medical students perceived US training as valuable in understanding human anatomy and in learning physical exam skills. This innovative program demonstrates US as an additional learning modality.  Future goals include expanding on this work to incorporate US education into all 4 years of medical school.","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.\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, medical education, educational advances"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/10g8r0r6","frozenauthors":[{"first_name":"Joshua","middle_name":"","last_name":"Rempell","name_suffix":"","institution":"Brigham and Women's Hospital \nHarvard Medical School","department":"None"}],"date_submitted":"2016-06-25T06:26:29-05:00","date_accepted":"2016-06-25T06:26:29-05:00","date_published":"2016-09-12T15:57:13-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9955/galley/5457/download/"}]},{"pk":44198,"title":"Von Willebrand Disease","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Review"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2p693804","frozenauthors":[{"first_name":"Spencer","middle_name":"R.","last_name":"Adams","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Roger","middle_name":"M.","last_name":"Lee","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-10T17:59:55-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44198/galley/33001/download/"}]},{"pk":39457,"title":"Review: Toms River: a Story of Science and Salvation","subtitle":null,"abstract":"Book Review","language":"en","license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Toms River, NJ"},{"word":"Groundwater pollution"}],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1nw6b8vc","frozenauthors":[{"first_name":"Byron","middle_name":"P.","last_name":"Anderson","name_suffix":"","institution":"Retired/Northern Illinois University","department":"None"}],"date_submitted":"2016-04-02T14:12:01-05:00","date_accepted":"2016-04-02T14:12:01-05:00","date_published":"2016-09-10T11:57:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39457/galley/29787/download/"}]},{"pk":39459,"title":"Review: How Climate Change Comes to Matter: The Communal Life of Facts","subtitle":null,"abstract":"Book Review How Climate Change Comes to Matter: The Communal Life of Facts","language":"en","license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"climate change"},{"word":"Science Communication"},{"word":"Climatic change--social aspects"}],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9fn9n1pr","frozenauthors":[{"first_name":"Kenneth","middle_name":"","last_name":"Rankins","name_suffix":"","institution":"Drexel University","department":"None"}],"date_submitted":"2016-06-06T15:46:21-05:00","date_accepted":"2016-06-06T15:46:21-05:00","date_published":"2016-09-10T11:30:20-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39459/galley/29788/download/"}]},{"pk":5379,"title":"Ring-tailed coatis anointing with soap: a new variation of self-medication culture?","subtitle":null,"abstract":"When following a free-living ring-tailed coati \nNasua nasua \ngroup behind a tourist complex on Ilha do Campeche (an island in the State of Santa Catarina, Brazil), we observed them rubbing laundry and cleaning substances onto their bodies. In order to describe this anointing behavior, spontaneous and induced anointing sessions were studied over two visits to the island. The induced events were prompted by offering bar soap in five experimental sessions. In all experimental sessions, one to three animals of both sexes performed soap-anointing behavior. It was most commonly self-directed (self-anointing), but also sometimes applied onto others (allo-anointing), or sometimes performed collectively and in close proximity to other group members. The genital area was the most often rubbed location, followed by the tail. We suggest that ring-tailed coatis may be deterring ectoparasites when applying soap to their integument. Ring-tailed coatis are known for anointing their fur with resin or arthropods, but this is the first description of the use of soap. Close contact with humans and easy access to soap inadvertently left outside may have been responsible for this arbitrary innovation. Because this behavior has persisted for more than 10 years and is practiced by different age groups, we suggest that this behavior is being socially transmitted across generations within the group from older to younger individuals.","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.\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":"Anointing"},{"word":"social learning"},{"word":"Zoopharmacognosy"},{"word":"Nasua nasua"},{"word":"Rubbing Behavior, Animal Cognition"},{"word":"Animal Culture"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1dq4s4p5","frozenauthors":[{"first_name":"Aline","middle_name":"D. C.","last_name":"Gasco","name_suffix":"","institution":"Universidade de São Paulo","department":"None"},{"first_name":"Andrés","middle_name":"M.","last_name":"Pérez-Acosta","name_suffix":"","institution":"Universidad del Rosario","department":"None"},{"first_name":"Patrícia","middle_name":"Ferreira","last_name":"Monticelli","name_suffix":"","institution":"Universidade de São Paulo","department":"None"}],"date_submitted":"2016-02-17T13:49:55-06:00","date_accepted":"2016-02-17T13:49:55-06:00","date_published":"2016-09-09T18:04:33-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/5379/galley/3233/download/"}]},{"pk":44197,"title":"Bloating, Malaise and Weight-loss in a Healthcare Provider An Unexpected Case of Giardiasis","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4pv4h7nz","frozenauthors":[{"first_name":"Spencer","middle_name":"R.","last_name":"Adams","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-09T17:58:02-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44197/galley/33000/download/"}]},{"pk":41401,"title":"The past and present status of Citrus tristeza virus in Florida","subtitle":null,"abstract":"The \nCitrus tristeza virus\n (CTV) strains present in an area can determine the type and severity of disease produced. Using real time RT-qPCR, we screened a series of representative samples collected throughout Florida from 1964 to 2002 for CTV strain presence. We found that contrary to previous reports, the historical samples were infected with both the T30 and T36 strains, the latter often at low titer. The VT strain was rare, with a scattered distribution. We compared this to samples collected in 2014 and 2015, and found that T30 and T36 are prevalent in nearly all commercial groves; VT strain incidence has increased markedly. With changing cultural practices, such as an increase in sour orange rootstock use, tristeza disease continues to be a significant threat to the Florida citrus industry.","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":"Citrus tristeza virus, strain, Florida"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9q22m433","frozenauthors":[{"first_name":"S","middle_name":"J","last_name":"Harper","name_suffix":"","institution":"Department of Plant Pathology, Citrus Research and Education Center, University of Florida, Lake Alfred, Florida 33850, USA","department":"None"},{"first_name":"S","middle_name":"J","last_name":"Cowell","name_suffix":"","institution":"Department of Plant Pathology, Citrus Research and Education Center, University of Florida, Lake Alfred, Florida 33850, USA","department":"None"}],"date_submitted":"2016-09-08T13:16:34-05:00","date_accepted":"2016-09-08T13:16:34-05:00","date_published":"2016-09-09T13:27:32-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41401/galley/30999/download/"}]},{"pk":44195,"title":"Acute Myeloid Leukemia (AML) Developing in a Patient with Chronic Myeloid Leukemia (CML) in Remission","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9rw579ns","frozenauthors":[{"first_name":"Alexander","middle_name":"","last_name":"Black","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-08T19:29:28-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44195/galley/32998/download/"}]},{"pk":9757,"title":"Telehealth-Enabled Emergency Medical Services Program Reduces Ambulance Transport to Urban Emergency Departments","subtitle":null,"abstract":"Background. Emergency medical services (EMS) agencies transport a significant majority of patients with low acuity and non-emergent conditions to local emergency departments (ED), affecting the entire emergency care system’s capacity and performance. Opportunities exist for alternative models that integrate technology, telehealth, and more appropriately aligned patient navigation. While a limited number of programs have evolved recently, no empirical evidence exists for their efficacy.  This research describes the development and comparative effectiveness of one large urban program. Methods. “Blinded for Peer Review” EMS initiated the Emergency Telehealth and Navigation (ETHAN) program in 2014. ETHAN combines telehealth, social services, and alternative transportation to navigate primary care related patients away from the ED where possible. Using a case-control study design with multiple outcome variables, we describe the program and compare differences in effectiveness measures relative to the control group. Results. During the first 12 months, 5,570 patients received the intervention. We found a 76% decrease in ambulance transports to the ED with the intervention (18% vs. 74%, P<.001). EMS productivity (median time from EMS notification to unit back in service) was 44 minutes faster for the ETHAN group (39 vs. 83 minutes, median).  There were no statistically significant differences in mortality or patient satisfaction. Conclusions.  We found that mobile technology-driven delivery models are effective at reducing unnecessary ED ambulance transports and increasing EMS unit productivity. This provides support for broader EMS mobile integrated health programs in other regions.","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.\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":"Emergency Medical Services, Telehealth, Comparative Effectiveness"}],"section":"Prehospital Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7gf7h9b6","frozenauthors":[{"first_name":"James","middle_name":"Robert","last_name":"Langabeer","name_suffix":"","institution":"University of Texas Health Science Center, Houston, TX","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Gonzalez","name_suffix":"","institution":"Baylor College of Medicine, Section of Emergency Medicine; Houston Fire Department, Emergency Medical Services","department":"None"},{"first_name":"Diaa","middle_name":"","last_name":"Alqusairi","name_suffix":"","institution":"Houston Fire Department","department":"None"},{"first_name":"Tiffany","middle_name":"","last_name":"Champagne-Langabeer","name_suffix":"","institution":"University of Texas School of Biomedical Informatics","department":"None"},{"first_name":"Adria","middle_name":"","last_name":"Jackson","name_suffix":"","institution":"Houston Health and Human Services","department":"None"},{"first_name":"Jennifer","middle_name":"","last_name":"Mikhail","name_suffix":"","institution":"University of Texas School of Biomedical Informatics","department":"None"},{"first_name":"David","middle_name":"","last_name":"Persse","name_suffix":"","institution":"Houston Fire Department","department":"None"}],"date_submitted":"2016-04-19T09:59:09-05:00","date_accepted":"2016-04-19T09:59:09-05:00","date_published":"2016-09-06T14:57:33-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9757/galley/5394/download/"}]},{"pk":44194,"title":"Idiopathic Subglottic Tracheal Stenosis, an Unusual Cause of Dyspnea during Pregnancy","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9rx422fj","frozenauthors":[{"first_name":"Brian","middle_name":"K.","last_name":"Wong","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-04T19:26:43-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44194/galley/32997/download/"}]},{"pk":44186,"title":"Zzzzz....Doctor, Why is Your Patient So Sleepy?","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/280857tz","frozenauthors":[{"first_name":"Albert","middle_name":"","last_name":"Bui","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Susan","middle_name":"D.","last_name":"Leonard","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-03T19:23:49-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44186/galley/32989/download/"}]},{"pk":44204,"title":"Nicotine: A Cause for Concern?","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Review"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4hk9t80m","frozenauthors":[{"first_name":"Garrett","middle_name":"","last_name":"Harada","name_suffix":"BA","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Holly","middle_name":"R.","last_name":"Middlekauff","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-02T18:07:10-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44204/galley/33007/download/"}]},{"pk":44193,"title":"Cardiac Angiosarcoma","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0ws6c9df","frozenauthors":[{"first_name":"Terence","middle_name":"M.","last_name":"Hammer","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Gopi","middle_name":"","last_name":"Manthripragada","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-01T16:22:50-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44193/galley/32996/download/"}]},{"pk":44192,"title":"A Case of Takotsubo Cardiomyopathy","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/39q4g0mj","frozenauthors":[{"first_name":"Roya","middle_name":"","last_name":"Moheimani","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Lisa","middle_name":"","last_name":"Zhao","name_suffix":"MD","institution":"","department":""},{"first_name":"Carol","middle_name":"","last_name":"Lee","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-01T15:21:18-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44192/galley/32995/download/"}]},{"pk":33618,"title":"Europe’s Materialism: Infrastructures and Political Space","subtitle":null,"abstract":"Sven Opitz and Ute Tellmann explore energy infrastructure and the construction of a European commons.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3nc7w1cx","frozenauthors":[{"first_name":"Sven","middle_name":"","last_name":"Opitz","name_suffix":"","institution":"","department":""},{"first_name":"Ute","middle_name":"","last_name":"Tellmann","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-09-01T14:00:00-05:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33618/galley/24665/download/"}]},{"pk":10282,"title":"Sponsors and Advertisements","subtitle":null,"abstract":"n/a","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.\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":"Sponsors and Advertising","is_remote":true,"remote_url":"https://escholarship.org/uc/item/67x8v9pk","frozenauthors":[{"first_name":"Samantha","middle_name":"S","last_name":"Shwe","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2016-08-31T19:51:16-05:00","date_accepted":"2016-08-31T19:51:16-05:00","date_published":"2016-08-31T19:51:33-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10282/galley/5659/download/"}]},{"pk":10281,"title":"Masthead","subtitle":null,"abstract":"n/a","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.\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":"Masthead","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2w51r49n","frozenauthors":[{"first_name":"Samantha","middle_name":"S","last_name":"Shwe","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2016-08-31T19:48:32-05:00","date_accepted":"2016-08-31T19:48:32-05:00","date_published":"2016-08-31T19:48:44-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10281/galley/5658/download/"}]},{"pk":10280,"title":"Table of Contents","subtitle":null,"abstract":"n/a","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.\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":"Table of Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2sr9j6bs","frozenauthors":[{"first_name":"Samantha","middle_name":"S","last_name":"Shwe","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2016-08-31T19:45:50-05:00","date_accepted":"2016-08-31T19:45:50-05:00","date_published":"2016-08-31T19:46:11-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10280/galley/5657/download/"}]},{"pk":10279,"title":"Emergency Medicine Scholarship in the Digital Age","subtitle":null,"abstract":"n/a","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.\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":"Editorial","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6d38f706","frozenauthors":[{"first_name":"Mark","middle_name":"I","last_name":"Langdorf","name_suffix":"","institution":"UC Irvine","department":"None"},{"first_name":"Michelle","middle_name":"","last_name":"Lin","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-31T16:16:26-05:00","date_accepted":"2016-08-31T16:16:26-05:00","date_published":"2016-08-31T16:16:53-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10279/galley/5656/download/"}]},{"pk":44191,"title":"High Output Cardiac Failure","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0z04n1rp","frozenauthors":[{"first_name":"Evelyn","middle_name":"","last_name":"Curls","name_suffix":"MD, MBA","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-31T15:19:32-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44191/galley/32994/download/"}]},{"pk":33619,"title":"China’s Infrastructural Fix","subtitle":null,"abstract":"How is modernity being reclaimed as a Chinese project? Jonathan Bach investigates the politics of infrastructure in today's most ambitious developmental state.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8qz5s67j","frozenauthors":[{"first_name":"Jonathan","middle_name":"","last_name":"Bach","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-30T14:00:00-05:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33619/galley/24666/download/"}]},{"pk":44185,"title":"Iodine Excess and Thyroid Dysfunction","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3th3c0df","frozenauthors":[{"first_name":"Lillian","middle_name":"","last_name":"Chen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Arti","middle_name":"","last_name":"Shah","name_suffix":"MD","institution":"","department":""},{"first_name":"Rumi","middle_name":"","last_name":"Cader","name_suffix":"MD, MPH","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-29T15:17:55-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44185/galley/32988/download/"}]},{"pk":1772,"title":"Student Approaches to Constructing Statistical Models using TinkerPlots \n TM","subtitle":null,"abstract":"Statistical literacy skills and technological literacy skills are becoming increasingly entwined as the practice of statistics shifts toward more reliance on the power of technology. More and more, statistics educators suggest reforming introductory college statistics courses to include more emphasis on technology and modeling. But what is the impact of such a focus on student learning? This research examines a small sample of students. The students received a reform-oriented curriculum focused on modeling and simulation using TinkerPlotsTM technology. The data reported here is from students written work at the end of the term on their final assessment. They had access to TinkerPlotsTM for the assessment and we share the ways they used the technology to create statistical models. This work provides insights into the ways students’ construct models and how they interpret the models they construct within the context of the original statistical problem they were given. We describe how the technology used in this reform class appeared to frame students’ ways of constructing a statistical model. We also discuss challenges of this approach for student thinking and share implications for teaching and future research.","language":"en","license":null,"keywords":[{"word":"Statistical modeling and simulation, Technological literacy, Statistical literacy"}],"section":"Investigations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/05b643r9","frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"Noll","name_suffix":"","institution":"Portland State University","department":"None"},{"first_name":"Dana","middle_name":"","last_name":"Kirin","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2014-08-30T23:40:12-05:00","date_accepted":"2014-08-30T23:40:12-05:00","date_published":"2016-08-29T14:25:08-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1772/galley/1229/download/"}]},{"pk":44170,"title":"Case Report: A Case of Cannabis Hyperemesis Syndrome","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0sj234gp","frozenauthors":[{"first_name":"Lisa","middle_name":"","last_name":"Zhao","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-26T01:16:55-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44170/galley/32973/download/"}]},{"pk":44190,"title":"An Elusive Antibody Causing Hypercapnic Respiratory Failure","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1q5604gx","frozenauthors":[{"first_name":"Corinne","middle_name":"Tina","last_name":"Sheth","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Ravi","middle_name":"","last_name":"Aysola","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-25T15:16:00-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44190/galley/32993/download/"}]},{"pk":44189,"title":"Management of Breast Cancer During Pregnancy","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/09j9d7v4","frozenauthors":[{"first_name":"Parvin","middle_name":"","last_name":"Peddi","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-24T15:11:46-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44189/galley/32992/download/"}]},{"pk":33620,"title":"Crafting a Digital Public","subtitle":null,"abstract":"What makes a city smart? Alan Wiig examines a project to promote urban development through information infrastructure in Philadelphia.","language":null,"license":{"name":"Creative Commons Attribution-ShareAlike 4.0","short_name":"CC BY-SA 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\nShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.\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-sa/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8qs4s3g4","frozenauthors":[{"first_name":"Alan","middle_name":"","last_name":"Wiig","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-23T14:00:00-05:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33620/galley/24667/download/"}]},{"pk":10261,"title":"Erratum","subtitle":null,"abstract":"West J Emerg Med. 2016 May;17(3):264-70.Anticoagulation Reversal and Treatment Strategies in Major Bleeding: Update 2016.\nChristos S, Naples R.\nErratum in West J Emerg Med. 2016 September;17(5):450. Dosage error in published figure; MEDLINE/PubMed Figure 3 is corrected and provided.\nPMCID: PMC4899056 [PubMed - indexed for MEDLINE]","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.\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":"Erratum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0n30z6mf","frozenauthors":[{"first_name":"Samantha","middle_name":"S","last_name":"Shwe","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2016-08-23T13:05:33-05:00","date_accepted":"2016-08-23T13:05:33-05:00","date_published":"2016-08-23T13:15:07-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10261/galley/5647/download/"}]},{"pk":44188,"title":"Hypercalcemia Associated with Diffuse Large B Cell Lymphoma","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3m5730rf","frozenauthors":[{"first_name":"Hamid","middle_name":"","last_name":"Hajmomenian","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-22T15:09:59-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44188/galley/32991/download/"}]},{"pk":44187,"title":"Pancytopenia and Coombs Negative Hemolytic Anemia","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/35k8f8cj","frozenauthors":[{"first_name":"Alexander","middle_name":"C.","last_name":"Black","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-22T15:06:48-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44187/galley/32990/download/"}]},{"pk":10260,"title":"Predicting Initial ABEM Board Passage Rates Using USMLE Scores","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9ht402wz","frozenauthors":[{"first_name":"Terrell","middle_name":"","last_name":"Caffery","name_suffix":"","institution":"","department":"None"},{"first_name":"Glenn","middle_name":"","last_name":"Jones","name_suffix":"","institution":"","department":"None"},{"first_name":"Mandi","middle_name":"","last_name":"Musso","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:59:17-05:00","date_accepted":"2016-08-22T14:59:17-05:00","date_published":"2016-08-22T14:59:27-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10260/galley/5646/download/"}]},{"pk":10259,"title":"Does Mastery of Cardiac Arrest Management Skills Transfer From A Task Training Environment To A Dynamic High Fidelity Simulated Environment?","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3nd649xf","frozenauthors":[{"first_name":"Trent","middle_name":"","last_name":"Reed","name_suffix":"","institution":"","department":"None"},{"first_name":"Mary","middle_name":"","last_name":"McHugh","name_suffix":"","institution":"","department":"None"},{"first_name":"Amy","middle_name":"","last_name":"Hoyt","name_suffix":"","institution":"","department":"None"},{"first_name":"Donna","middle_name":"","last_name":"Quinones","name_suffix":"","institution":"","department":"None"},{"first_name":"William","middle_name":"","last_name":"Adams","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:57:28-05:00","date_accepted":"2016-08-22T14:57:28-05:00","date_published":"2016-08-22T14:57:45-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10259/galley/5645/download/"}]},{"pk":10258,"title":"Residency Applicants Prefer an Online System For Scheduling Interviews","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5j79v590","frozenauthors":[{"first_name":"Herbert","middle_name":"","last_name":"Hern","name_suffix":"","institution":"","department":"None"},{"first_name":"Charlotte","middle_name":"","last_name":"Wills","name_suffix":"","institution":"","department":"None"},{"first_name":"Harrison","middle_name":"","last_name":"Alter","name_suffix":"","institution":"","department":"None"},{"first_name":"Steven","middle_name":"","last_name":"Bowman","name_suffix":"","institution":"","department":"None"},{"first_name":"Boyd","middle_name":"","last_name":"Burns","name_suffix":"","institution":"","department":"None"},{"first_name":"Timothy","middle_name":"","last_name":"Evans","name_suffix":"","institution":"","department":"None"},{"first_name":"Jeffrey","middle_name":"","last_name":"Schnieder","name_suffix":"","institution":"","department":"None"},{"first_name":"Lalena","middle_name":"","last_name":"Yarris","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:55:20-05:00","date_accepted":"2016-08-22T14:55:20-05:00","date_published":"2016-08-22T14:55:37-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10258/galley/5644/download/"}]},{"pk":10257,"title":"Competitiveness of Emergency Medicine as a Specialty","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7fv860xr","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Pasirstein","name_suffix":"","institution":"","department":"None"},{"first_name":"Diane","middle_name":"","last_name":"Rimple","name_suffix":"","institution":"","department":"None"},{"first_name":"Alexis","middle_name":"","last_name":"Pelletier-Bui","name_suffix":"","institution":"","department":"None"},{"first_name":"Michael","middle_name":"Van","last_name":"Meter","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:52:45-05:00","date_accepted":"2016-08-22T14:52:45-05:00","date_published":"2016-08-22T14:53:02-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10257/galley/5643/download/"}]},{"pk":10256,"title":"Do Emergency Medicine Residency Graduates Feel Prepared To Manage Closed Fractures After Training?","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3864z909","frozenauthors":[{"first_name":"Mark","middle_name":"","last_name":"Pittman","name_suffix":"","institution":"","department":"None"},{"first_name":"Michelle","middle_name":"","last_name":"Lall","name_suffix":"","institution":"","department":"None"},{"first_name":"Charlotte","middle_name":"","last_name":"Wills","name_suffix":"","institution":"","department":"None"},{"first_name":"Lalena","middle_name":"","last_name":"Yarris","name_suffix":"","institution":"","department":"None"},{"first_name":"Jacob","middle_name":"","last_name":"Ufberg","name_suffix":"","institution":"","department":"None"},{"first_name":"Cullen","middle_name":"","last_name":"Hegarty","name_suffix":"","institution":"","department":"None"},{"first_name":"Jessica","middle_name":"","last_name":"Smith","name_suffix":"","institution":"","department":"None"},{"first_name":"Jeffrey","middle_name":"","last_name":"Love","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:50:11-05:00","date_accepted":"2016-08-22T14:50:11-05:00","date_published":"2016-08-22T14:50:30-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10256/galley/5642/download/"}]},{"pk":10255,"title":"Skill Retention After Completion of a Proficiency- Based Curriculum to Teach Cricothyroidotomy","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/02n000vz","frozenauthors":[{"first_name":"Laura","middle_name":"","last_name":"Grangeia","name_suffix":"","institution":"","department":"None"},{"first_name":"Heather","middle_name":"","last_name":"Streich","name_suffix":"","institution":"","department":"None"},{"first_name":"Justin","middle_name":"","last_name":"Stone","name_suffix":"","institution":"","department":"None"},{"first_name":"Erin","middle_name":"","last_name":"Talman","name_suffix":"","institution":"","department":"None"},{"first_name":"Amita","middle_name":"","last_name":"Sudhir","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:47:37-05:00","date_accepted":"2016-08-22T14:47:37-05:00","date_published":"2016-08-22T14:47:48-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10255/galley/5641/download/"}]},{"pk":10254,"title":"Mass Casualty Simulation for EM Residents","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2jx9r5pf","frozenauthors":[{"first_name":"Chelsea","middle_name":"","last_name":"Belden","name_suffix":"","institution":"","department":"None"},{"first_name":"Chinmay","middle_name":"","last_name":"Patel","name_suffix":"","institution":"","department":"None"},{"first_name":"Rebecka","middle_name":"","last_name":"Lopez","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:45:20-05:00","date_accepted":"2016-08-22T14:45:20-05:00","date_published":"2016-08-22T14:45:34-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10254/galley/5640/download/"}]},{"pk":10253,"title":"Innovative Curriculum for Media Interactions","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8qk4k5n1","frozenauthors":[{"first_name":"Marquita","middle_name":"","last_name":"Hicks","name_suffix":"","institution":"","department":"None"},{"first_name":"Gur","middle_name":"","last_name":"Aurora","name_suffix":"","institution":"","department":"None"},{"first_name":"Cedric","middle_name":"","last_name":"Hicks","name_suffix":"","institution":"","department":"None"},{"first_name":"Derek","middle_name":"","last_name":"Robinett","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:43:30-05:00","date_accepted":"2016-08-22T14:43:30-05:00","date_published":"2016-08-22T14:43:52-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10253/galley/5639/download/"}]},{"pk":10252,"title":"Incorporation of First-Person Video to Improve the Assessment of Procedural Skills","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/21g98801","frozenauthors":[{"first_name":"Shannon","middle_name":"","last_name":"Toohey","name_suffix":"","institution":"","department":"None"},{"first_name":"Warren","middle_name":"","last_name":"Wiechmann","name_suffix":"","institution":"","department":"None"},{"first_name":"Julie","middle_name":"","last_name":"Youm","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:39:30-05:00","date_accepted":"2016-08-22T14:39:30-05:00","date_published":"2016-08-22T14:41:38-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10252/galley/5638/download/"}]},{"pk":10251,"title":"Teaching Handovers to Medical Students in the ED: Addressing Entrustable Professional Activity (EPA) #8","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9k4730mh","frozenauthors":[{"first_name":"Matthew","middle_name":"","last_name":"Sarsfield","name_suffix":"","institution":"","department":"None"},{"first_name":"Keith","middle_name":"","last_name":"Schenker","name_suffix":"","institution":"","department":"None"},{"first_name":"Kara","middle_name":"","last_name":"Welch","name_suffix":"","institution":"","department":"None"},{"first_name":"Paul","middle_name":"","last_name":"Ko","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:28:26-05:00","date_accepted":"2016-08-22T14:28:26-05:00","date_published":"2016-08-22T14:28:38-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10251/galley/5637/download/"}]},{"pk":10250,"title":"EMRA Match v4.0: An Alternative to Doximity’s Residency Navigator","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9w51h5cm","frozenauthors":[{"first_name":"Zachary","middle_name":"","last_name":"Jarou","name_suffix":"","institution":"","department":"None"},{"first_name":"Sean","middle_name":"","last_name":"Ochsenbein","name_suffix":"","institution":"","department":"None"},{"first_name":"Doug","middle_name":"","last_name":"Franzen","name_suffix":"","institution":"","department":"None"},{"first_name":"Hilary","middle_name":"","last_name":"Fairbrother","name_suffix":"","institution":"","department":"None"},{"first_name":"Adam","middle_name":"","last_name":"Kellogg","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:26:11-05:00","date_accepted":"2016-08-22T14:26:11-05:00","date_published":"2016-08-22T14:26:22-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10250/galley/5636/download/"}]},{"pk":10249,"title":"A Checklist for Assessment of Entrustment for EPA-10","subtitle":null,"abstract":"n/a","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.\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":"Abstracts","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6bv2v590","frozenauthors":[{"first_name":"Laura","middle_name":"","last_name":"Thompson","name_suffix":"","institution":"","department":"None"},{"first_name":"Jonathan","middle_name":"","last_name":"Lipps","name_suffix":"","institution":"","department":"None"},{"first_name":"Cynthia","middle_name":"","last_name":"Leung","name_suffix":"","institution":"","department":"None"},{"first_name":"Brad","middle_name":"","last_name":"Green","name_suffix":"","institution":"","department":"None"},{"first_name":"Troy","middle_name":"","last_name":"Schaffernocker","name_suffix":"","institution":"","department":"None"},{"first_name":"Cynthia","middle_name":"","last_name":"Ledford","name_suffix":"","institution":"","department":"None"},{"first_name":"John","middle_name":"","last_name":"Davis","name_suffix":"","institution":"","department":"None"},{"first_name":"Nicholas","middle_name":"","last_name":"Kman","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-08-22T14:24:05-05:00","date_accepted":"2016-08-22T14:24:05-05:00","date_published":"2016-08-22T14:24:28-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/10249/galley/5635/download/"}]},{"pk":9862,"title":"Academic Primer Series: Five Key Papers Fostering Educational Scholarship in Junior Academic Faculty","subtitle":null,"abstract":"Introduction: \nScholarship is an essential part of academic success. Junior faculty members are often unfamiliar with the grounding literature that defines educational scholarship. In this article, the authors aim to summarize five key papers outlining scholarship in the setting of academic contributions for emerging clinician educators.\n \n \n \nMethods:\n The authors conducted a consensus-building process to generate a list of key papers that describe the importance and significance of academic scholarship, informed by social media sources. We then used a three-round voting methodology, akin to a Delphi study, to determine the papers with the most impact.\n \n \n \nResults:\n A summary of the five most important papers on the topic domain of academic scholarship, as determined by this mixed group of junior faculty members and faculty developers, is presented in this paper. We subsequently wrote a summary of these five papers and their relevance to junior faculty members and faculty developers, as well.\n \n \n \nConclusion:\n Five papers on educational scholarship, deemed essential by the authors’ consensus process, are presented in this paper. These papers may help provide the foundational background to help junior faculty members gain a grasp of the academic scholarly environment. This list may also inform senior faculty and faculty developers on the needs of junior faculty members in the nascent stages of their careers. [West JEmerg Med. 2016;17(5)519-526.]","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.\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":"Faculty Development, Educational Scholarship"}],"section":"ALiEM PROMPT","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3vm3306v","frozenauthors":[{"first_name":"Teresa","middle_name":"M.","last_name":"Chan, MD, MHPE","name_suffix":"","institution":"McMaster University, Department of Medicine, Division of Emergency Medicine, Hamilton, Ontario, Canada","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Gottlieb, MD","name_suffix":"","institution":"Rush Medical Center, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Abra","middle_name":"L.","last_name":"Fant, MD, MS","name_suffix":"","institution":"Northwestern Memorial Hospital, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Anne","middle_name":"","last_name":"Messman, MD","name_suffix":"","institution":"Sinai Grace Hospital, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Daniel","middle_name":"W.","last_name":"Robinson, MD","name_suffix":"","institution":"University of Illinois, Department of Emergency Medicine, Chicago, Illinois","department":"None"},{"first_name":"Robert","middle_name":"R.","last_name":"Cooney, MD","name_suffix":"","institution":"Geisinger Medical Center, Department of Emergency Medicine, Danville, Pennsylvania","department":"None"},{"first_name":"Dimitri","middle_name":"","last_name":"Papanagnou, MD, MPH","name_suffix":"","institution":"Thomas University, Sidney Kimmel Medical College, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Lalena","middle_name":"M.","last_name":"Yarris, MD, MCR","name_suffix":"","institution":"Oregon Health & Science University, Department of Emergency Medicine, Portland, Oregon","department":"None"}],"date_submitted":"2016-06-06T14:15:58-05:00","date_accepted":"2016-06-06T14:15:58-05:00","date_published":"2016-08-22T13:55:07-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9862/galley/5429/download/"}]},{"pk":9667,"title":"Geospatial Analysis of Pediatric EMS Run Density and Endotracheal Intubation","subtitle":null,"abstract":"Introduction:\n The association between geographic factors, including transport distance, and pediatricemergency medical services (EMS) run clustering on out-of-hospital pediatric endotracheal intubation isunclear. The objective of this study was to determine if endotracheal intubation procedures are more likely tooccur at greater distances from the hospital and near clusters of pediatric calls.\nMethods:\n This was a retrospective observational study including all EMS runs for patients less than 18years of age from 2008 to 2014 in a geographically large and diverse Oregon county that includes denselypopulated urban areas near Portland and remote rural areas. We geocoded scene addresses using theautomated address locator created in the cloud-based mapping platform ArcGIS, supplemented with manualaddress geocoding for remaining cases. We then use the Getis-Ord Gi spatial statistic feature in ArcGIS tomap statistically significant spatial clusters (hot spots) of pediatric EMS runs throughout the county. We thensuperimposed all intubation procedures performed during the study period on maps of pediatric EMS-runhot spots, pediatric population density, fire stations, and hospitals. We also performed multivariable logisticregression to determine if distance traveled to the hospital was associated with intubation after controlling forseveral confounding variables.\nResults:\n We identified a total of 7,797 pediatric EMS runs during the study period and 38 endotrachealintubations. In univariate analysis we found that patients who were intubated were similar to those who werenot in gender and whether or not they were transported to a children’s hospital. Intubated patients tendedto be transported shorter distances and were older than non-intubated patients. Increased distance fromthe hospital was associated with reduced odds of intubation after controlling for age, sex, scene location,and trauma system entry status in a multivariate logistic regression. The locations of intubations weresuperimposed on hot spots of all pediatric EMS runs. This map demonstrates that most of the intubationsoccurred within areas where pediatric EMS calls were highly clustered. By mapping the intubationprocedures and pediatric population density, we found that intubation procedures were not clustered in asimilar distribution to the pediatric population in the county.\nConclusion:\n In this geographically diverse county the location of intubation procedures was similar to theclustering of pediatric EMS calls, and increased distance from the hospital was associated with reducedodds of intubation after controlling for several potential confounding variables. [West J Emerg Med.2016;17(5)656-661.]","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.\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":"Airway Management, Emergency Medical Services, Geographic Mapping, Child, Emergency Medicine"}],"section":"Prehospital Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2wm5s1kj","frozenauthors":[{"first_name":"Matthew","middle_name":"","last_name":"Hansen, MD, MCR","name_suffix":"","institution":"Oregon Health & Science University, Department of Emergency Medicine,\nPortland, Oregon","department":"None"},{"first_name":"William","middle_name":"","last_name":"Loker, MD","name_suffix":"","institution":"Oregon Health & Science University, Department of Emergency Medicine,\nPortland, Oregon","department":"None"},{"first_name":"Craig","middle_name":"","last_name":"Warden, MD, MPH, MS","name_suffix":"","institution":"Oregon Health & Science University, Department of Emergency Medicine,\nPortland, Oregon","department":"None"}],"date_submitted":"2016-03-03T13:08:15-06:00","date_accepted":"2016-03-03T13:08:15-06:00","date_published":"2016-08-22T13:51:01-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9667/galley/5364/download/"}]},{"pk":9580,"title":"Leadership and Teamwork in Trauma and Resuscitation","subtitle":null,"abstract":"I\nntroduction:\n Leadership skills are described by the American College of Surgeons’ ATLS course as necessary to provide care for patients during resuscitations. However, leadership is a complex concept, and the tools used to assess the quality of leadership are poorly described, inadequately validated, and infrequently used. Despite its importance, dedicated leadership education is rarely part of physician training programs. The goals of this investigation were the following: 1. Describe how leadership and leadership style affect patient care; 2. Describe how effective leadership is measured; and 3. Describe how to train future physician leaders.\n \nMethods:\n We searched the PubMed database using the keywords “leadership” and then either “trauma” or “resuscitation” as title search terms, and an expert in emergency medicine and trauma then identified prospective observational and randomized controlled studies measuring leadership and teamwork quality. Study results were categorized as follows: 1) how leadership affects patient care; 2) which tools are available to measure leadership; and 3) methods to train physicians to become better leaders.\n \nResults:\n We included 16 relevant studies in this review. Overall, these studies showed that strong leadership improves processes of care in trauma resuscitation including speed and completion of the primary and secondary surveys. The optimal style and structure of leadership are influenced by patient characteristics and team composition. Directive leadership is most effective when Injury Severity Score (ISS) is high or teams are inexperienced, while empowering leadership is most effective when ISS is low or teams more experienced. Many scales were employed to measure leadership. The Leader Behavior Description Questionnaire (LBDQ) was the only scale used in more than one study. Seven studies described methods for training leaders. Leadership training programs included didactic teaching followed by simulations. Although programs differed in length, intensity, and training level of participants, all programs demonstrated improved team performance.\n \nConclusion: \nDespite the relative paucity of literature on leadership in resuscitations, this review found leadership improves processes of care in trauma and can be enhanced through dedicated training. Future research is needed to validate leadership assessment scales, develop optimal training mechanisms, and demonstrate leadership’s effect on patient-level outcome. [West J Emerg Med. 2016;17(5)549-556.]","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.\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":"Leadership, Teamwork, Trauma, Resuscitation, ATLS"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0jr3k73t","frozenauthors":[{"first_name":"Kelsey","middle_name":"","last_name":"Ford, MD","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Menchine, MD MPH","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Burner, MD MPH","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Sanjay","middle_name":"","last_name":"Arora, MD","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Kenji","middle_name":"","last_name":"Inaba, MD FRCSC FACS","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Surgery, Los Angeles, California","department":"None"},{"first_name":"Demetrios","middle_name":"","last_name":"Demetriades, MD PhD","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Surgery, Los Angeles, California","department":"None"},{"first_name":"Bertrand","middle_name":"","last_name":"Yersin, MD","name_suffix":"","institution":"University of Lausanne, Department of Medicine, Lausanne, Switzerland","department":"None"}],"date_submitted":"2016-01-17T17:53:34-06:00","date_accepted":"2016-01-17T17:53:34-06:00","date_published":"2016-08-22T13:42:14-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9580/galley/5336/download/"}]},{"pk":9672,"title":"The Medical Duty Officer: An Attempt to Mitigate the Ambulance At-Hospital Interval","subtitle":null,"abstract":"Introduction:\n A lack of coordination between emergency medical services (EMS), emergency departments (ED) and systemwide management has contributed to extended ambulance at-hospital times at local EDs. In an effort to improve communication within the local EMS system, the Baltimore City Fire Department (BCFD) placed a medical duty officer (MDO) in the fire communications bureau. It was hypothesized that any real-time intervention suggested by the MDO would be manifested in a decrease in the EMS at-hospital time.\n \nMethods:\n The MDO was implemented on November 11, 2013. A senior EMS paramedic was assigned to the position and was placed in the fire communication bureau from 9 a.m. to 9 p.m., seven days a week. We defined the pre-intervention period as August 2013 - October 2013 and the post-intervention period as December 2013 - February 2014. We also compared the post-intervention period to the “seasonal match control” one year earlier to adjust for seasonal variation in EMS volume. The MDO was tasked with the prospective management of city EMS resources through intensive monitoring of unit availability and hospital ED traffic. The MDO could suggest alternative transport destinations in the event of ED crowding. We collected and analyzed data from BCFD computer-aided dispatch (CAD) system for the following: ambulance response times, ambulance at-hospital interval, hospital diversion and alert status, and “suppression wait time” (defined as the total time suppression units remained on scene until ambulance arrival). The data analysis used a pre/post intervention design to examine the MDO impact on the BCFD EMS system.\n \nResults:\n There were a total of 15,567 EMS calls during the pre-intervention period, 13,921 in the post-intervention period and 14,699 in the seasonal match control period one year earlier. The average at-hospital time decreased by 1.35 minutes from pre- to post-intervention periods and 4.53 minutes from the pre- to seasonal match control, representing a statistically significant decrease in this interval. There was also a statistically significant decrease in hospital alert time (approximately 1,700 hour decrease pre- to post-intervention periods) and suppression wait time (less than one minute decrease from pre- to post- and pre- to seasonal match control periods). The decrease in ambulance response time was not statistically significant.\n \nConclusion:\n Proactive deployment of a designated MDO was associated with a small, contemporaneous reduction in at-hospital time within an urban EMS jurisdiction. This project emphasized the importance of better communication between EMS systems and area hospitals as well as uniform reporting of variables for future iterations of this and similar projects. [West J Emerg Med. 2016;17(5)662-668.]","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.\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":"At-hospital"},{"word":"MDO"},{"word":"fire department"}],"section":"Prehospital Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6409z1fx","frozenauthors":[{"first_name":"Megan","middle_name":"H.","last_name":"Halliday, MSII, BS","name_suffix":"","institution":"University of Maryland School of Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Andrew","middle_name":"J.","last_name":"Bouland, MS-IV, BS","name_suffix":"","institution":"University of Maryland School of Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Benjamin","middle_name":"J.","last_name":"Lawner, DO, MS","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore Maryland\n\nBaltimore City Fire Department, Division of EMS, Baltimore, Maryland","department":"None"},{"first_name":"Angela","middle_name":"C.","last_name":"Comer, MPH","name_suffix":"","institution":"National Study Center for Emergency Medical Systems and Trauma, Baltimore Maryland","department":"None"},{"first_name":"Daniel","middle_name":"C.","last_name":"Ramos, BA","name_suffix":"","institution":"Baltimore City Department of Social Services, Baltimore, Maryland","department":"None"},{"first_name":"Mark","middle_name":"","last_name":"Fletcher","name_suffix":"","institution":"Baltimore City Fire Department, Division of EMS, Baltimore, Maryland","department":"None"}],"date_submitted":"2016-03-04T21:18:12-06:00","date_accepted":"2016-03-04T21:18:12-06:00","date_published":"2016-08-22T13:40:40-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9672/galley/5366/download/"}]},{"pk":44184,"title":"Chronic Kidney Insufficiency with Proteinuria Associated with Androgenic Anabolic Steroid Abuse","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1mf57133","frozenauthors":[{"first_name":"Hamid","middle_name":"","last_name":"Hajmomenian","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-08-19T14:22:44-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44184/galley/32987/download/"}]},{"pk":57850,"title":"Acknowledgements","subtitle":null,"abstract":"[no abstract]","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/01n9f2s0","frozenauthors":[{"first_name":"NBLJ","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-08-19T23:19:17-05:00","date_accepted":"2016-08-19T23:19:17-05:00","date_published":"2016-08-19T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_nblj/article/57850/galley/44026/download/"}]},{"pk":57849,"title":"Editors' Note","subtitle":null,"abstract":"[no abstract]","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/65w8237c","frozenauthors":[{"first_name":"Nisha","middle_name":"","last_name":"Parekh","name_suffix":"","institution":"","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Sturm","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-08-19T23:17:37-05:00","date_accepted":"2016-08-19T23:17:37-05:00","date_published":"2016-08-19T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_nblj/article/57849/galley/44025/download/"}]},{"pk":57848,"title":"“I’ll Say I’m Home, I Won’t Say I’m Free”: Persistent Barriers to Housing, Employment, and Financial Security for Formerly Incarcerated People in Low-Income Communities of Color","subtitle":null,"abstract":"[No abstract]","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2219801g","frozenauthors":[{"first_name":"Kelly","middle_name":"Elizabeth","last_name":"Orians","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-08-19T23:10:06-05:00","date_accepted":"2016-08-19T23:10:06-05:00","date_published":"2016-08-19T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_nblj/article/57848/galley/44024/download/"}]},{"pk":60231,"title":"SPORTS, GIFS AND COPYRIGHT: Is it a Draw between Content Owners and Consumers in the Web 2.0 Era?","subtitle":null,"abstract":"[no abstract]","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0sg7k4cn","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"McGregor","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-08-19T12:28:34-05:00","date_accepted":"2016-08-19T12:28:34-05:00","date_published":"2016-08-19T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uclalaw_elr/article/60231/galley/46190/download/"}]}]}