{"count":38465,"next":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=21300","previous":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=21100","results":[{"pk":9577,"title":"Authorship Trends of Emergency Medicine Publications Over the Last Two Decades","subtitle":null,"abstract":"Introduction:\n With the recent merger of the American Osteopathic Association (AOA) and the Accreditation Council for Graduate Medical Education (ACGME) a heightened pressure for publication may become evident. Our objective was to determine whether there was a gap in the type of both medical degree designation and advanced degree designation among authorship in three United States-based academic emergency medicine journals.\nMethods:\n We reviewed the Journal of Emergency Medicine, Academic Emergency Medicine and Annals of Emergency Medicine for the type of degree designation that the first and senior authors had obtained for the years 1995, 2000, 2005, 2010 and 2014.\nResults:\n A total of 2.48% of all authors held a degree in osteopathic medicine. Osteopathic physician first authors contributed to 3.26% of all publications while osteopathic physician senior authors contributed 1.53%. No statistical trend could be established for the years studied for osteopathic physicians. However, we noted an overall trend for increased publication for allopathic senior authors (p=0.001), allopathic first authors with a dual degree (p=0.003) and allopathic senior authors with a dual degree (p=0.005). For each journal studied, no statistical trend could be established for osteopathic first or senior authors but a trend was noted for allopathic first and senior authors in the Journal of Emergency Medicine (p-value=0.020 and 0.006). Of those with dual degrees, osteopathic physicians were in the minority with 1.85% of osteopathic first authors and 0.60% of osteopathic senior authors attaining a dual degree. No statistical trend could be established for increased dual degree publications for osteopathic physicians over the study period, nor could a statistical trend be established for any of the journals studied.\nConclusion:\n Very few osteopathic physicians have published in the Journal of Emergency Medicine, Academic Emergency Medicine or Annals of Emergency Medicine over the last two decades. Despite a trend for increased publication by allopathic physicians in certain journals, there appears to be no trend for increased publication of osteopathic physicians in emergency medicine.","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":"Population Health Research Design","is_remote":true,"remote_url":"https://escholarship.org/uc/item/90b948bt","frozenauthors":[{"first_name":"Richard","middle_name":"","last_name":"Lammers","name_suffix":"","institution":"Duke Lifepoint Conemaugh Memorial Medical Center, Department of Emergency Medicine, Johnstown, Pennsylvania","department":"None"},{"first_name":"Thomas","middle_name":"","last_name":"Simunich","name_suffix":"","institution":"Duke Lifepoint Conemaugh Memorial Medical Center, Department of Research, Johnstown, Pennsylvania","department":"None"},{"first_name":"John","middle_name":"","last_name":"Ashurst","name_suffix":"","institution":"Duke Lifepoint Conemaugh Memorial Medical Center, Department of Emergency Medicine, Johnstown, Pennsylvania","department":"None"}],"date_submitted":"2016-01-15T10:57:48-06:00","date_accepted":"2016-01-15T10:57:48-06:00","date_published":"2016-05-05T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9577/galley/5334/download/"}]},{"pk":9572,"title":"Impact of Doximity Residency Rankings on Emergency Medicine Applicant Rank Lists","subtitle":null,"abstract":"Introduction:\n This study investigates the impact of the Doximity rankings on the rank list choices made by residency applicants in emergency medicine (EM).\nMethods:\n We sent an 11-item survey by email to all students who applied to EM residency programs at four different institutions representing diverse geographical regions. Students were asked questions about their perception of Doximity rankings and how it may have impacted their rank list decisions.\nResults:\n Response rate was 58% of 1,372 opened electronic surveys. This study found that a majority of medical students applying to residency in EM were aware of the Doximity rankings prior to submitting rank lists (67%). One-quarter of these applicants changed the number of programs and ranks of those programs when completing their rank list based on the Doximity rankings (26%). Though the absolute number of programs changed on the rank lists was small, the results demonstrate that the EM Doximity rankings impact applicant decision-making in ranking residency programs.\nConclusion: \nWhile applicants do not find the Doximity rankings to be important compared to other factors in the application process, the Doximity rankings result in a small change in residency applicant ranking behavior. This unvalidated ranking, based principally on reputational data rather than objective outcome criteria, thus has the potential to be detrimental to students, programs, and the public. We feel it important for specialties to develop consensus around measurable training outcomes and provide freely accessible metrics for candidate education.","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":"Education, Doximity, Match Day Rankings"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9462r4cj","frozenauthors":[{"first_name":"William","middle_name":"J.","last_name":"Peterson","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Laura","middle_name":"R.","last_name":"Hopson","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Sorabh","middle_name":"","last_name":"Khandelwal","name_suffix":"","institution":"The Ohio State University College of Medicine, Department of Emergency Medicine, Columbus, Ohio","department":"None"},{"first_name":"Melissa","middle_name":"","last_name":"White","name_suffix":"","institution":"Emory University, Department of Emergency Medicine, Atlanta, Georgia","department":"None"},{"first_name":"Fiona","middle_name":"E.","last_name":"Gallahue","name_suffix":"","institution":"University of Washington, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"John","middle_name":"","last_name":"Burkhardt","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Aimee","middle_name":"M.","last_name":"Rolston","name_suffix":"","institution":"University of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, Michigan","department":"None"},{"first_name":"Sally","middle_name":"A.","last_name":"Santen","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"}],"date_submitted":"2016-01-12T19:52:03-06:00","date_accepted":"2016-01-12T19:52:03-06:00","date_published":"2016-05-05T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9572/galley/5331/download/"}]},{"pk":9635,"title":"Introducing a Fresh Cadaver Model for Ultrasound-guided Central Venous Access Training in Undergraduate Medical Education","subtitle":null,"abstract":"Introduction: \nOver the past decade, medical students have witnessed a decline in the opportunities to perform technical skills during their clinical years. Ultrasound-guided central venous access (USG-CVA) is a critical procedure commonly performed by emergency medicine, anesthesia, and general surgery residents, often during their first month of residency. However, the acquisition of skills required to safely perform this procedure is often deficient upon graduation from medical school. To ameliorate this lack of technical proficiency, ultrasound simulation models have been introduced into undergraduate medical education to train venous access skills. Criticisms of simulation models are the innate lack of realistic tactile qualities, as well as the lack of anatomical variances when compared to living patients. The purpose of our investigation was to design and evaluate a life-like and reproducible training model for USG-CVA using a fresh cadaver.\nMethods:\n This was a cross-sectional study at an urban academic medical center. An 18-point procedural knowledge tool and an 18-point procedural skill evaluation tool were administered during a cadaver lab at the beginning and end of the surgical clerkship. During the fresh cadaver lab, procedure naïve third-year medical students were trained on how to perform ultrasound-guided central venous access of the femoral and internal jugular vessels. Preparation of the fresh cadaver model involved placement of a thin-walled latex tubing in the anatomic location of the femoral and internal jugular vein respectively.\nResults: \nFifty-six third-year medical students participated in this study during their surgical clerkship. The fresh cadaver model provided high quality and lifelike ultrasound images despite numerous cannulation attempts. Technical skill scores improved from an average score of 3 to 12 (p&lt;0.001) and procedural knowledge scores improved from an average score of 4 to 8 (p&lt;0.001).\nConclusion: \nThe use of this novel cadaver model prevented extravasation of fluid, maintained ultrasound-imaging quality, and proved to be an effective educational model allowing third-year medical students to improve and maintain their technical skills.","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, Education, Cadaver, Ultrasound-guidance"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1pj9j162","frozenauthors":[{"first_name":"Richard","middle_name":"","last_name":"Amini","name_suffix":"","institution":"Department of Emergency Medicine, The University of Arizona, Tucson, Arizona","department":"None"},{"first_name":"Hang","middle_name":"","last_name":"Ho","name_suffix":"","institution":"College of Medicine, The University of Arizona, Tucson, Arizona","department":"None"},{"first_name":"Vivienne","middle_name":"","last_name":"Ng","name_suffix":"","institution":"Department of Emergency Medicine, The University of Arizona, Tucson, Arizona","department":"None"},{"first_name":"Melissa","middle_name":"","last_name":"Tran","name_suffix":"","institution":"College of Medicine, The University of Arizona, Tucson, Arizona","department":"None"},{"first_name":"Douglas","middle_name":"","last_name":"Rappaport","name_suffix":"","institution":"Department of Emergency Medicine, Beth Israel Deaconess, Boston, Massachusetts","department":"None"},{"first_name":"William","middle_name":"J.A.","last_name":"Rappaport","name_suffix":"","institution":"Department of Surgery, The University of Arizona, Tucson, Arizona","department":"None"},{"first_name":"James","middle_name":"","last_name":"Dunleavy","name_suffix":"","institution":"College of Medicine, The University of Arizona, Tucson, Arizona","department":"None"},{"first_name":"Rebecca","middle_name":"","last_name":"Viscusi","name_suffix":"","institution":"Department of Surgery, The University of Arizona, Tucson, Arizona","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Miller","name_suffix":"","institution":"College of Medicine, The University of Arizona, Tucson, Arizona","department":"None"},{"first_name":"Stewart","middle_name":"J.","last_name":"Dandorf","name_suffix":"","institution":"College of Medicine, The University of Arizona, Tucson, Arizona","department":"None"}],"date_submitted":"2016-02-16T00:56:57-06:00","date_accepted":"2016-02-16T00:56:57-06:00","date_published":"2016-05-05T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9635/galley/5355/download/"}]},{"pk":9362,"title":"Out-of-Hospital Surgical Airway Management: Does Scope of Practice Equal Actual Practice?","subtitle":null,"abstract":"Introduction: \nPennsylvania, among other states, includes surgical airway management, or cricothyrotomy, within the paramedic scope of practice. However, there is scant literature that evaluates paramedic perception of clinical competency in cricothyrotomy. The goal of this project is to assess clinical exposure, education and self-perceived competency of ground paramedics in cricothyrotomy.\nMethods:\n Eighty-six paramedics employed by four ground emergency medical services agencies completed a 22-question written survey that assessed surgical airway attempts, training, skills verification, and perceptions about procedural competency. Descriptive statistics were used to evaluate responses.\nResults:\n Only 20% (17/86, 95% CI [11-28%]) of paramedics had attempted cricothyrotomy, most (13/17 or 76%, 95% CI [53-90%]) of whom had greater than 10 years experience. Most subjects (63/86 or 73%, 95% CI [64-82%]) did not reply that they are well-trained to perform cricothyrotomy and less than half (34/86 or 40%, 95% CI [30-50%]) felt they could correctly perform cricothyrotomy on their first attempt. Among subjects with five or more years of experience, 39/70 (56%, 95% CI [44-68%]) reported 0-1 hours per year of practical cricothyrotomy training within the last five years. Half of the subjects who were able to recall (40/80, 50% 95% CI [39-61%]) reported having proficiency verification for cricothyrotomy within the past five years.\nConclusion: \nParamedics surveyed indicated that cricothyrotomy is rarely performed, even among those with years of experience. Many paramedics felt that their training in this area is inadequate and did not feel confident to perform the procedure. Further study to determine whether to modify paramedic scope of practice and/or to develop improved educational and testing methods is warranted.","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, paramedics"}],"section":"Emergency Medical Services","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5694r62q","frozenauthors":[{"first_name":"Molly","middle_name":"","last_name":"Furin","name_suffix":"","institution":"Albert Einstein Healthcare Network","department":"None"},{"first_name":"Melissa","middle_name":"","last_name":"Kohn","name_suffix":"","institution":"Albert Einstein Healthcare Network, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Overberger","name_suffix":"","institution":"Albert Einstein Healthcare Network, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"David","middle_name":"","last_name":"Jaslow","name_suffix":"","institution":"Philadelphia University, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"}],"date_submitted":"2015-09-21T12:01:53-05:00","date_accepted":"2015-09-21T12:01:53-05:00","date_published":"2016-05-05T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9362/galley/5270/download/"}]},{"pk":9559,"title":"Prospective Validation of Modified NEXUS Cervical Spine Injury Criteria in Low-risk Elderly Fall Patients","subtitle":null,"abstract":"Introduction:\n The National Emergency X-radiography Utilization Study (NEXUS) criteria are used extensively in emergency departments to rule out C-spine injuries (CSI) in the general population. Although the NEXUS validation set included 2,943 elderly patients, multiple case reports and the Canadian C-Spine Rules question the validity of applying NEXUS to geriatric populations. The objective of this study was to validate a modified NEXUS criteria in a low-risk elderly fall population with two changes: a modified definition for distracting injury and the definition of normal mentation.\nMethods: \nThis is a prospective, observational cohort study of geriatric fall patients who presented to a Level I trauma center and were not triaged to the trauma bay. Providers enrolled non-intoxicated patients at baseline mental status with no lateralizing neurologic deficits. They recorded midline neck tenderness, signs of trauma, and presence of other distracting injury.\nResults: \nWe enrolled 800 patients. One patient fall event was excluded due to duplicate enrollment, and four were lost to follow up, leaving 795 for analysis. Average age was 83.6 (range 65-101). The numbers in parenthesis after the negative predictive value represent confidence interval. There were 11 (1.4%) cervical spine injuries. One hundred seventeen patients had midline tenderness and seven of these had CSI; 366 patients had signs of trauma to the face/neck, and 10 of these patients had CSI. Using signs of trauma to the head/neck as the only distracting injury and baseline mental status as normal alertness, the modified NEXUS criteria was 100% sensitive (CI [67.9-100]) with a negative predictive value of 100 (98.7-100).\nConclusion: \nOur study suggests that a modified NEXUS criteria can be safely applied to low-risk elderly falls.","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":"geriatric trauma, NEXUS, cervical spine imaging"}],"section":"Treatment Protocol Assessment","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4mz4h5tk","frozenauthors":[{"first_name":"John","middle_name":"","last_name":"Tran","name_suffix":"","institution":"St. Luke’s University Hospital, Department of Emergency Medicine, Bethlehem, Pennsylvania","department":"None"},{"first_name":"Donald","middle_name":"","last_name":"Jeanmonod","name_suffix":"","institution":"St. Luke’s University Hospital, Department of Emergency Medicine, Bethlehem, Pennsylvania","department":"None"},{"first_name":"Darin","middle_name":"","last_name":"Agresti","name_suffix":"","institution":"St. Luke’s University Hospital, Department of Emergency Medicine, Bethlehem, Pennsylvania","department":"None"},{"first_name":"Khalief","middle_name":"","last_name":"Hamden","name_suffix":"","institution":"Carilion Clinic, Roanoke, Virginia","department":"None"},{"first_name":"Rebecca","middle_name":"K.","last_name":"Jeanmonod","name_suffix":"","institution":"St. Luke’s University Hospital, Department of Emergency Medicine, Bethlehem, Pennsylvania","department":"None"}],"date_submitted":"2016-01-05T05:49:43-06:00","date_accepted":"2016-01-05T05:49:43-06:00","date_published":"2016-05-05T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9559/galley/5326/download/"}]},{"pk":9294,"title":"Survey of Individual and Institutional Risk Associated with the Use of Social Media","subtitle":null,"abstract":"Introduction:\n Residents and faculty in emergency medicine (EM) residency programs might be unaware of the professional and legal risks associated with the use of social media (SM). The objective of this study was to identify and characterize the types and reported incidence of unprofessional SM behavior by EM residents, faculty, and nurses and the concomitant personal and institutional risks.\nMethods:\n This multi-site study used an 18-question survey tool that was distributed electronically to the leaders of multiple EM residency programs, members of the Council of Emergency Medicine Residency Directors (CORD), and the residents of 14 EM programs during the study period May to June 2013.\nResults:\n We received 1,314 responses: 772 from residents and 542 from faculty. Both groups reported encountering high-risk-to-professionalism events (HRTPE) related to SM use by residents and non-resident providers (NRPs), i.e., faculty members and nurses. Residents reported posting of one of the following by a resident peer or nursing colleague: identifiable patient information (26%); or a radiograph, clinical picture or other image (52%). Residents reported posting of images of intoxicated colleagues (84%), inappropriate photographs (66%), and inappropriate posts (73%). Program directors (PDs) reported posting one of the following by NRPs and residents respectively: identifiable patient information (46% and 45%); a radiograph, clinical picture or other image (63% and 58%). PDs reported that NRPs and residents posted images of intoxicated colleagues (64% and 57%), inappropriate photographs (63% and 57%), or inappropriate posts (76% and 67%). The directors also reported that they were aware of or issued reprimands or terminations at least once a year (30% NRPs and 22% residents). Residents were more likely to post photos of their resident peers or nursing colleagues in an intoxicated state than were NRPs (p=0.0004). NRPs were more likely to post inappropriate content (p=0.04) and identifiable patient information (p=0.0004) than were residents.\nConclusion:\n EM residents and faculty members cause and encounter HRTPE frequently while using SM; these events present significant risks to the individuals responsible and their associated institution. Awareness of these risks should prompt responsible SM use and consideration of CORD’s Social Media Task Force recommendations.","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":"social media"},{"word":"institutional risk"},{"word":"Residency Education"},{"word":"Medical Education"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0760h2kf","frozenauthors":[{"first_name":"Manish","middle_name":"","last_name":"Garg","name_suffix":"","institution":"Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"David","middle_name":"A.","last_name":"Pearson","name_suffix":"","institution":"Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":"None"},{"first_name":"Michael","middle_name":"C.","last_name":"Bond","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Runyon","name_suffix":"","institution":"Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":"None"},{"first_name":"M.","middle_name":"Tyson","last_name":"Pillow","name_suffix":"","institution":"Baylor College of Medicine, Department of Emergency Medicine, Houston, Texas","department":"None"},{"first_name":"Laura","middle_name":"","last_name":"Hopson","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":"None"},{"first_name":"Robert","middle_name":"R.","last_name":"Cooney","name_suffix":"","institution":"Conemaugh Memorial Medical Center, Department of Emergency Medicine, Johnstown, Pennsylvania","department":"None"},{"first_name":"Jay","middle_name":"","last_name":"Khadpe","name_suffix":"","institution":"SUNY Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York","department":"None"},{"first_name":"Jason","middle_name":"T.","last_name":"Nomura","name_suffix":"","institution":"Christiana Care Health System, Department of Emergency Medicine, Newark, Delaware","department":"None"},{"first_name":"Pholaphat","middle_name":"C.","last_name":"Inboriboon","name_suffix":"","institution":"University of Missouri-Kansas City, Department of Emergency Medicine, Kansas City, Missouri","department":"None"}],"date_submitted":"2015-11-26T06:24:31-06:00","date_accepted":"2015-11-26T06:24:31-06:00","date_published":"2016-05-05T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9294/galley/5246/download/"}]},{"pk":9586,"title":"Ten Tips for Engaging the Millennial Learner and Moving an Emergency Medicine Residency Curriculum into the 21st Century","subtitle":null,"abstract":"Introduction:\n Millennial learners are changing the face of residency education because they place emphasis on technology with new styles and means of learning. While research on the most effective way to teach the millennial learner is lacking, programs should consider incorporating educational theories and multimedia design principles to update the curriculum for these new learners. The purpose of the study is to discuss strategies for updating an emergency medicine (EM) residency program’s curriculum to accommodate the modern learner.\nDiscussion: \nThese 10 tips provide detailed examples and approaches to incorporate technology and learning theories into an EM curriculum to potentially enhance learning and engagement by residents.\nConclusion: \nWhile it is unclear whether technologies actually promote or enhance learning, millennials use these technologies. Identifying best practice, grounded by theory and active learning principles, may help learners receive quality, high-yield education. Future studies will need to evaluate the efficacy of these techniques to fully delineate best practices.","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 Medicine, Residency Education, educational theory"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0h44p3wx","frozenauthors":[{"first_name":"Shannon","middle_name":"L.","last_name":"Toohey","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Alisa","middle_name":"","last_name":"Wray","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Warren","middle_name":"","last_name":"Wiechmann","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Michelle","middle_name":"","last_name":"Lin","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Megan","middle_name":"","last_name":"Boysen-Osborn","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"}],"date_submitted":"2016-01-21T17:11:09-06:00","date_accepted":"2016-01-21T17:11:09-06:00","date_published":"2016-05-05T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9586/galley/5338/download/"}]},{"pk":44133,"title":"A 21-Year-Old with a Positive Troponin","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/76g3t8xf","frozenauthors":[{"first_name":"Minisha","middle_name":"","last_name":"Kochar","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Michelle","middle_name":"","last_name":"Sangalang","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-05-04T09:56:41-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44133/galley/32936/download/"}]},{"pk":44132,"title":"The Tipping Point: A Case of New-Onset Primary Hyperparathyroidism in the Hospital","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/7fm6h85v","frozenauthors":[{"first_name":"Chandra","middle_name":"","last_name":"Keebler","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Susan","middle_name":"","last_name":"Leonard","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-05-04T09:55:56-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44132/galley/32935/download/"}]},{"pk":9561,"title":"Emergency Medical Treatment and Labor Act (EMTALA) 2002-15: Review of Office of Inspector General Patient Dumping Settlements","subtitle":null,"abstract":"Introduction:\n The Emergency Medical Treatment and Labor Act (EMTALA) of 1986 was enacted to prevent hospitals from “dumping” or refusing service to patients for financial reasons. The statute prohibits discrimination of emergency department (ED) patients for any reason. The Office of the Inspector General (OIG) of the Department of Health and Human Services enforces the statute. The objective of this study is to determine the scope, cost, frequency and most common allegations leading to monetary settlement against hospitals and physicians for patient dumping.\nMethods:\n Review of OIG investigation archives in May 2015, including cases settled from 2002-2015 (https://oig.hhs.gov/fraud/enforcement/cmp/patient_dumping.asp).\nResults:\n There were 192 settlements (14 per year average for 4000+ hospitals in the USA). Fines against hospitals and physicians totaled $6,357,000 (averages $33,435 and $25,625 respectively); 184/192 (95.8%, $6,152,000) settlements were against hospitals and eight against physicians ($205,000). Most common settlements were for failing to screen 144/192 (75%) and stabilize 82/192 (42.7%) for emergency medical conditions (EMC). There were 22 (11.5%) cases of inappropriate transfer and 22 (11.5%) more where the hospital failed to transfer. Hospitals failed to accept an appropriate transfer in 25 (13.0%) cases. Patients were turned away from hospitals for insurance/financial status in 30 (15.6%) cases. There were 13 (6.8%) violations for patients in active labor. In 12 (6.3%) cases, the on-call physician refused to see the patient, and in 28 (14.6%) cases the patient was inappropriately discharged. Although loss of Medicare/Medicaid funding is an additional possible penalty, there were no disclosures of exclusion of hospitals from federal funding. There were 6,035 CMS investigations during this time period, with 2,436 found to have merit as EMTALA violations (40.4%). However, only 192/6,035 (3.2%) actually resulted in OIG settlements. The proportion of CMS-certified EMTALA violations that resulted in OIG settlements was 7.9% (192/2,436).\nConclusion: \nOf 192 hospital and physician settlements with the OIG from 2002-15, most were for failing to provide screening (75%) and stabilization (42%) to patients with EMCs. The reason for patient “dumping” was due to insurance or financial status in 15.6% of settlements. The vast majority of penalties were to hospitals (95% of cases and 97% of payments). Forty percent of investigations found EMTALA violations, but only 3% of investigations triggered fines.","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":"Societal Impact on Emergency Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2zm146d0","frozenauthors":[{"first_name":"Nadia","middle_name":"","last_name":"Zuabi","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Irvine, California","department":"None"},{"first_name":"Larry","middle_name":"D.","last_name":"Weiss","name_suffix":"","institution":"University of Maryland, Department of Emergency Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Mark","middle_name":"I.","last_name":"Langdorf","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Irvine, California","department":"None"}],"date_submitted":"2016-01-05T15:48:07-06:00","date_accepted":"2016-01-05T15:48:07-06:00","date_published":"2016-05-04T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9561/galley/5327/download/"}]},{"pk":9527,"title":"Anti-N-Methyl-D-Aspartate Receptor Encephalitis, an Underappreciated Disease in the Emergency Department","subtitle":null,"abstract":"Anti-N-Methyl-D-Aspartate Receptor (NMDAR) Encephalitis is a novel disease discovered within the past 10 years. Antibodies directed at the NMDAR cause the patient to develop a characteristic syndrome of neuropsychiatric symptoms. Patients go on to develop autonomic dysregulation and often have prolonged hospitalizations and intensive care unit stays. There is little literature in the emergency medicine community regarding this disease process, so we report on a case we encountered in our emergency department to help raise awareness of this disease process.","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 Medicine, Encephalitis"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3272h521","frozenauthors":[{"first_name":"Daniel","middle_name":"R.","last_name":"Lasoff","name_suffix":"","institution":"VA Medical Center, San Diego, California; UCSD Medical Center, Department of Emergency Medicine, Division of Medical Toxicology, San Diego, California","department":"None"},{"first_name":"Jimmy","middle_name":"","last_name":"Corbett-Detig","name_suffix":"","institution":"UCSD Medical Center, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Rebecca","middle_name":"","last_name":"Sell","name_suffix":"","institution":"UCSD Medical Center, Department of Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, San Diego, California","department":"None"},{"first_name":"Matthew","middle_name":"","last_name":"Nolan","name_suffix":"","institution":"UCSD Medical Center, Department of Emergency Medicine, San Diego, California","department":"None"},{"first_name":"Gabriel","middle_name":"","last_name":"Wardi","name_suffix":"","institution":"UCSD Medical Center, Department of Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, San Diego, California","department":"None"}],"date_submitted":"2015-12-16T09:54:00-06:00","date_accepted":"2015-12-16T09:54:00-06:00","date_published":"2016-05-02T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9527/galley/5319/download/"}]},{"pk":9556,"title":"A Quality Improvement Initiative to Decrease Variability of Emergency Physician Opioid Analgesic Prescribing","subtitle":null,"abstract":"Introduction:\n Addressing pain is a crucial aspect of emergency medicine. Prescription opioids are commonly prescribed for moderate to severe pain in the emergency department (ED); unfortunately, prescribing practices are variable. High variability of opioid prescribing decisions suggests a lack of consensus and an opportunity to improve care. This quality improvement (QI) initiative aimed to reduce variability in ED opioid analgesic prescribing.\nMethods: \nWe evaluated the impact of a three-part QI initiative on ED opioid prescribing by physicians at seven sites. Stage 1: Retrospective baseline period (nine months). Stage 2: Physicians were informed that opioid prescribing information would be prospectively collected and feedback on their prescribing and that of the group would be shared at the end of the stage (three months). Stage 3: After physicians received their individual opioid prescribing data with blinded comparison to the group means (from Stage 2) they were informed that individual prescribing data would be unblinded and shared with the group after three months. The primary outcome was variability of the standard error of the mean and standard deviation of the opioid prescribing rate (defined as number of patients discharged with an opioid divided by total number of discharges for each provider). Secondary observations included mean quantity of pills per opioid prescription, and overall frequency of opioid prescribing.\nResults: \nThe study group included 47 physicians with 149,884 ED patient encounters. The variability in prescribing decreased through each stage of the initiative as represented by the distributions for the opioid prescribing rate: Stage 1 mean 20%; Stage 2 mean 13% (46% reduction, p&lt;0.01), and Stage 3 mean 8% (60% reduction, p&lt;0.01). The mean quantity of pills prescribed per prescription was 16 pills in Stage 1, 14 pills in Stage 2 (18% reduction, p&lt;0.01), and 13 pills in Stage 3 (18% reduction, p&lt;0.01). The group mean prescribing rate also decreased through each stage: 20% in Stage 1, 13% in Stage 2 (46% reduction, p&lt;0.01), and 8% in Stage 3 (60% reduction, p&lt;0.01).\nConclusion: \nED physician opioid prescribing variability can be decreased through the systematic application of sharing of peer prescribing rates and prescriber specific normative feedback.","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":"opioid prescribing, quality improvement"}],"section":"Practice Variability","is_remote":true,"remote_url":"https://escholarship.org/uc/item/43h037xk","frozenauthors":[{"first_name":"John","middle_name":"H.","last_name":"Burton","name_suffix":"","institution":"Carilion Clinic, Department of Emergency Medicine, Roanoke, Virginia","department":"None"},{"first_name":"Jason","middle_name":"A.","last_name":"Hoppe","name_suffix":"","institution":"University of Colorado Denver School of Medicine, Department of Emergency Medicine, Aurora, Colorado; Rocky Mountain Poison and Drug Center, Denver, Colorado","department":"None"},{"first_name":"Jeff","middle_name":"M.","last_name":"Echternach","name_suffix":"","institution":"Carilion Clinic, Department of Emergency Medicine, Roanoke, Virginia","department":"None"},{"first_name":"Justin","middle_name":"M.","last_name":"Rodgers","name_suffix":"","institution":"Carilion Clinic, Department of Emergency Medicine, Roanoke, Virginia","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Donato","name_suffix":"","institution":"Carilion Clinic, Department of Emergency Medicine, Roanoke, Virginia","department":"None"}],"date_submitted":"2016-01-04T11:17:57-06:00","date_accepted":"2016-01-04T11:17:57-06:00","date_published":"2016-05-02T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9556/galley/5325/download/"}]},{"pk":9432,"title":"Emergency Medicine Resident Perceptions of Medical Professionalism","subtitle":null,"abstract":"Introduction:\n Medical professionalism is a core competency for emergency medicine (EM) trainees; but defining professionalism remains challenging, leading to difficulties creating objectives and performing assessment. Because professionalism is dynamic, culture-specific, and often taught by modeling, an exploration of trainees’ perceptions can highlight their educational baseline and elucidate the importance they place on general conventional professionalism domains. To this end, our objective was to assess the relative value EM residents place on traditional components of professionalism.\nMethods: \nWe performed a cross-sectional, multi-institutional survey of incoming and graduating EM residents at four programs. The survey was developed using the American Board of Internal Medicine’s “Project Professionalism” and the Accreditation Council of Graduate Medical Education definition of professionalism competency. We identified 27 attributes within seven domains: clinical excellence, humanism, accountability, altruism, duty and service, honor and integrity, and respect for others. Residents were asked to rate each attribute on a 10-point scale. We analyzed data to assess variance across attributes as well as differences between residents at different training levels or different institutions.\nResults: \nOf the 114 residents eligible, 100 (88%) completed the survey. The relative value assigned to different professional attributes varied considerably, with those in the altruism domain valued significantly lower and those in the “respect for others” and “honor and integrity” valued significantly higher (p&lt;0.001). Significant differences were found between interns and seniors for five attributes primarily in the “duty and service” domain (p&lt;0.05). Among different residencies, significant differences were found with attributes within the “altruism” and “duty and service” domains (p&lt;0.05).\nConclusion: \nResidents perceive differences in the relative importance of traditionally defined professional attributes and this may be useful to educators. Explanations for these differences are hypothesized, as are the potential implications for professionalism education. Because teaching professional behavior is taught most effectively via behavior modeling, faculty awareness of resident values and faculty development to address potential gaps may improve professionalism education.","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 Medicine"},{"word":"Graduate Medical Education"},{"word":"Professionalism"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0sq4x3tc","frozenauthors":[{"first_name":"Joshua","middle_name":"","last_name":"Jauregui","name_suffix":"","institution":"University of Washington, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Medley","middle_name":"O.","last_name":"Gatewood","name_suffix":"","institution":"University of Washington, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Jonathan","middle_name":"S.","last_name":"Ilgen","name_suffix":"","institution":"University of Washington, Department of Emergency Medicine, Seattle, Washington","department":"None"},{"first_name":"Caitlin","middle_name":"","last_name":"Schaninger","name_suffix":"","institution":"University of Cincinnati, Department of Emergency Medicine, Cincinnati, Ohio","department":"None"},{"first_name":"Jared","middle_name":"","last_name":"Strote","name_suffix":"","institution":"University of Cincinnati, Department of Emergency Medicine, Cincinnati, Ohio","department":"None"}],"date_submitted":"2015-10-30T12:27:07-05:00","date_accepted":"2015-10-30T12:27:07-05:00","date_published":"2016-05-02T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9432/galley/5293/download/"}]},{"pk":9599,"title":"Point-of-Care Ultrasound Diagnosis of Left-Sided Endocarditis","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":"Ultrasound, Emergency Medicine"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0h24g3jt","frozenauthors":[{"first_name":"Charles","middle_name":"W.","last_name":"Bugg","name_suffix":"","institution":"Keck School of Medicine, LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Kristin","middle_name":"","last_name":"Berona","name_suffix":"","institution":"Keck School of Medicine, LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California","department":"None"}],"date_submitted":"2016-01-30T12:08:21-06:00","date_accepted":"2016-01-30T12:08:21-06:00","date_published":"2016-05-02T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9599/galley/5344/download/"}]},{"pk":9476,"title":"Undertriage of Trauma-Related Deaths in U.S. Emergency Departments","subtitle":null,"abstract":"Introduction:\n Accurate field triage of critically injured patients to trauma centers is vital for improving survival. We sought to estimate the national degree of undertriage of trauma patients who die in emergency departments (EDs) by evaluating the frequency and characteristics associated with triage to non-trauma centers.\nMethods:\n This was a retrospective cross-sectional analysis of adult ED trauma deaths in the 2010 National Emergency Department Sample (NEDS). The primary outcome was appropriate triage to a trauma center (Level I, II or III) or undertriage to a non-trauma center. We subsequently focused on urban areas given improved access to trauma centers. We evaluated the associations of patient demographics, hospital region and mechanism of injury with triage to a trauma versus non-trauma center using multivariable logistic regression.\nResults:\n We analyzed 3,971 included visits, representing 18,464 adult ED trauma-related deaths nationally. Of all trauma deaths, nearly half (44.5%, 95%CI [43.0-46.0]) of patients were triaged to non-trauma centers. In a subgroup analysis, over a third of urban ED visits (35.6%, 95% CI [34.1-37.1]) and most rural ED visits (86.4%, 95% CI [81.5-90.1]) were triaged to non-trauma centers. In urban EDs, female patients were less likely to be triaged to trauma centers versus non-trauma centers (adjusted odds ratio [OR] 0.83, 95% CI [0.70-0.99]). Highest median household income zip codes (≥$67,000) were less likely to be triaged to trauma centers than lowest median income ($1-40,999) (OR 0.54, 95% CI [0.43-0.69]). Compared to motor vehicle trauma, firearm trauma had similar odds of being triaged to a trauma center (OR 0.90, 95%CI [0.71-1.14]); however, falls were less likely to be triaged to a trauma center (OR 0.50, 95%CI [0.38-0.66]).\nConclusion:\n We found that nearly half of all trauma patients nationally and one-third of urban trauma patients, who died in the ED, were triaged to non-trauma centers, and thus undertriaged. Sex and other demographic disparities associated with this triage decision represent targeted opportunities to improve our trauma systems and reduce undertriage.","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":"undertriage, trauma, emergency medicine, death, national"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8114r9w3","frozenauthors":[{"first_name":"Jenelle","middle_name":"A.","last_name":"Holst","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado; Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado","department":"None"},{"first_name":"Sarah","middle_name":"M.","last_name":"Perman","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"},{"first_name":"Roberta","middle_name":"","last_name":"Capp","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"},{"first_name":"Jason","middle_name":"S.","last_name":"Haukoos","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado; Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado","department":"None"},{"first_name":"Adit","middle_name":"A.","last_name":"Ginde","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"}],"date_submitted":"2015-11-19T22:38:02-06:00","date_accepted":"2015-11-19T22:38:02-06:00","date_published":"2016-05-02T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9476/galley/5304/download/"}]},{"pk":9499,"title":"Gender Differences in Emergency Department Visits and Detox Referrals for Illicit and Nonmedical Use of Opioids","subtitle":null,"abstract":"Introduction:\n Visits to the emergency department (ED) for use of illicit drugs and opioids have increased in the past decade. In the ED, little is known about how gender may play a role in drug-related visits and referrals to treatment. This study performs gender-based comparison analyses of drug-related ED visits nationwide.\nMethods:\n We performed a cross-sectional analysis with data collected from 2004 to 2011 by the Drug Abuse Warning Network (DAWN). All data were coded to capture major drug categories and opioids. We used logistic regression models to find associations between gender and odds of referral to treatment programs. A second set of models were controlled for patient “seeking detox,” or patient explicitly requesting for detox referral.\nResults:\n Of the 27.9 million ED visits related to druguse in the DAWN database, visits by men were 2.69 times more likely to involve illicit drugs than visits by women (95% CI [2.56, 2.80]). Men were more likely than women to be referred to detox programs for any illicit drugs (OR 1.12, 95% CI [1.02-1.22]), for each of the major illicit drugs (e.g., cocaine: OR 1.27, 95% CI [1.15-1.40]), and for prescription opioids (OR 1.30, 95% CI [1.17-1.43]). This significant association prevailed after controlling for “seeking detox.”\nConclusion: \nWomen are less likely to receive referrals to detox programs than men when presenting to the ED regardless of whether they are “seeking detox.” Future research may help determine the cause for this gender-based difference and its significance for healthcare costs and health outcomes.","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 department"},{"word":"gender"},{"word":"drug use"},{"word":"Detoxification"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3ck3k1rw","frozenauthors":[{"first_name":"Hyeon-Ju","middle_name":"","last_name":"Ryoo","name_suffix":"","institution":"The Warren Alpert Medical School of Brown University, Providence, Rhode Island","department":"None"},{"first_name":"Esther","middle_name":"K.","last_name":"Choo","name_suffix":"","institution":"The Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island","department":"None"}],"date_submitted":"2015-12-03T20:08:35-06:00","date_accepted":"2015-12-03T20:08:35-06:00","date_published":"2016-04-28T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9499/galley/5309/download/"}]},{"pk":44131,"title":"Gallbladder Agenesis","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/3db32352","frozenauthors":[{"first_name":"Melissa","middle_name":"","last_name":"Munsell","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-04-27T09:54:01-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44131/galley/32934/download/"}]},{"pk":44130,"title":"Outpatient Management of Patients with Somatic Symptoms","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/1kw7z46k","frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"Logan","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":"2016-04-26T09:53:14-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44130/galley/32933/download/"}]},{"pk":9523,"title":"Academic Emergency Medicine Physicians’ Knowledge of Mechanical Ventilation","subtitle":null,"abstract":"Introduction:\n Although emergency physicians frequently intubate patients, management of mechanical ventilation has not been emphasized in emergency medicine (EM) education or clinical practice. The objective of this study was to quantify EM attendings’ education, experience, and knowledge regarding mechanical ventilation in the emergency department.\nMethods:\n We developed a survey of academic EM attendings’ educational experiences with ventilators and a knowledge assessment tool with nine clinical questions. EM attendings at key teaching hospitals for seven EM residency training programs in the northeastern United States were invited to participate in this survey study. We performed correlation and regression analyses to evaluate the relationship between attendings’ scores on the assessment instrument and their training, education, and comfort with ventilation. \nResults:\n Of 394 EM attendings surveyed, 211 responded (53.6%). Of respondents, 74.5% reported receiving three or fewer hours of ventilation-related education from EM sources over the past year and 98 (46%) reported receiving between 0-1 hour of education. The overall correct response rate for the assessment tool was 73.4%, with a standard deviation of 19.9. The factors associated with a higher score were completion of an EM residency, prior emphasis on mechanical ventilation during one’s own residency, working in a setting where an emergency physician bears primary responsibility for ventilator management, and level of comfort with managing ventilated patients. Physicians’ comfort was associated with the frequency of ventilator changes and EM management of ventilation, as well as hours of education.\nConclusion:\n EM attendings report caring for mechanically ventilated patients frequently, but most receive fewer than three educational hours a year on mechanical ventilation, and nearly half receive 0-1 hour. Physicians’ performance on an assessment tool for mechanical ventilation is most strongly correlated with their self-reported comfort with mechanical ventilation.","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":"Mechanical Ventilation, Critical Care, Education"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2sp065n6","frozenauthors":[{"first_name":"Susan","middle_name":"R.","last_name":"Wilcox","name_suffix":"","institution":"Medical University of South Carolina, Charleston, SC","department":"None"},{"first_name":"Tania","middle_name":"D.","last_name":"Strout","name_suffix":"","institution":"Maine Medical Center, Department of Emergency Medicine, Portland, Maine","department":"None"},{"first_name":"Jeffrey","middle_name":"I.","last_name":"Schneider","name_suffix":"","institution":"Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Patricia","middle_name":"M.","last_name":"Mitchell","name_suffix":"","institution":"Boston Medical Center, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Jessica","middle_name":"","last_name":"Smith","name_suffix":"","institution":"Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island","department":"None"},{"first_name":"Lucienne","middle_name":"","last_name":"Lutfy-Clayton","name_suffix":"","institution":"Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":"None"},{"first_name":"Evie","middle_name":"G.","last_name":"Marcolini","name_suffix":"","institution":"Yale University School of Medicine, Departments of Emergency Medicine and Neurology, Divisions of Neurocritical Care and Emergency Neurology and Surgical Critical Care, New Haven, Connecticut","department":"None"},{"first_name":"Ani","middle_name":"","last_name":"Aydin","name_suffix":"","institution":"Yale University School of Medicine, Department of Emergency Medicine, New Haven, Connecticut","department":"None"},{"first_name":"Todd","middle_name":"A.","last_name":"Seigel","name_suffix":"","institution":"Department of Emergency Medicine and Critical Care, Kaiser Permanente East Bay, Oakland and Richmond Medical Centers, California","department":"None"},{"first_name":"Jeremy","middle_name":"B.","last_name":"Richards","name_suffix":"","institution":"Medical University of South Carolina, Division of Pulmonary, Critical Care and Sleep Medicine, Charleston, South Carolina","department":"None"}],"date_submitted":"2015-12-15T08:01:29-06:00","date_accepted":"2015-12-15T08:01:29-06:00","date_published":"2016-04-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9523/galley/5317/download/"}]},{"pk":9456,"title":"ACE-I Angioedema: Accurate Clinical Diagnosis May Prevent Epinephrine-Induced Harm","subtitle":null,"abstract":"Introduction:\n Upper airway angioedema is a life-threatening emergency department (ED) presentation with increasing incidence. Angiotensin-converting enzyme inhibitor induced angioedema (AAE) is a non-mast cell mediated etiology of angioedema. Accurate diagnosis by clinical examination can optimize patient management and reduce morbidity from inappropriate treatment with epinephrine. The aim of this study is to describe the incidence of angioedema subtypes and the management of AAE. We evaluate the appropriateness of treatments and highlight preventable iatrogenic morbidity.\nMethods:\n We conducted a retrospective chart review of consecutive angioedema patients presenting to two tertiary care EDs between July 2007 and March 2012.\nResults:\n Of 1,702 medical records screened, 527 were included. The cause of angioedema was identified in 48.8% (n=257) of cases. The most common identifiable etiology was AAE (33.1%, n=85), with a 60.0% male predominance. The most common AAE management strategies included diphenhydramine (63.5%, n=54), corticosteroids (50.6%, n=43) and ranitidine (31.8%, n=27). Epinephrine was administered in 21.2% (n=18) of AAE patients, five of whom received repeated doses. Four AAE patients required admission (4.7%) and one required endotracheal intubation. Epinephrine induced morbidity in two patients, causing myocardial ischemia or dysrhythmia shortly after administration.\nConclusion:\n AAE is the most common identifiable etiology of angioedema and can be accurately diagnosed by physical examination. It is easily confused with anaphylaxis and mismanaged with antihistamines, corticosteroids and epinephrine. There is little physiologic rationale for epinephrine use in AAE and much risk. Improved clinical differentiation of mast cell and non-mast cell mediated angioedema can optimize patient management.","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, angiotensin-converting enzyme inhibitor, epinephrine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7h02b36x","frozenauthors":[{"first_name":"R. Mason","middle_name":"","last_name":"Curtis","name_suffix":"","institution":"Western University, Division of Emergency Medicine, Department of Medicine, London, Ontario, Canada; Queen’s University, Departments of Emergency Medicine and Biomedical and Molecular Sciences, Kingston, Ontario, Canada","department":"None"},{"first_name":"Sarah","middle_name":"","last_name":"Felder","name_suffix":"","institution":"Queen’s University, Division of Allergy and Immunology, Kingston, Ontario, Canada","department":"None"},{"first_name":"Rozita","middle_name":"","last_name":"Borici-Mazi","name_suffix":"","institution":"Queen’s University, Division of Allergy and Immunology, Kingston, Ontario, Canada","department":"None"},{"first_name":"Ian","middle_name":"","last_name":"Ball","name_suffix":"","institution":"Queen’s University, Departments of Emergency Medicine and Biomedical and Molecular Sciences, Kingston, Ontario, Canada; Queen’s University, Program in Critical Care Medicine, Kingston, Ontario, Canada; Western University, Division of Critical Care of Medicine, Department of Medicine, London, Ontario, Canada","department":"None"}],"date_submitted":"2015-11-11T10:50:11-06:00","date_accepted":"2015-11-11T10:50:11-06:00","date_published":"2016-04-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9456/galley/5296/download/"}]},{"pk":9525,"title":"Case Series of Synthetic Cannabinoid Intoxication from One Toxicology Center","subtitle":null,"abstract":"Synthetic cannabinoid use has risen at alarming rates. This case series describes 11 patients exposed to the synthetic cannabinoid, MAB-CHMINACA who presented to an emergency department with life-threatening toxicity including obtundation, severe agitation, seizures and death. All patients required sedatives for agitation, nine required endotracheal intubation, three experienced seizures, and one developed hyperthermia. One developed anoxic brain injury, rhabdomyolysis and died. A significant number were pediatric patients. The mainstay of treatment was aggressive sedation and respiratory support. Synthetic cannabinoids pose a major public health risk. Emergency physicians must be aware of their clinical presentation, diagnosis and treatment.","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":"Synthetic cannabinoids"},{"word":"MAB-CHMINACA toxicity"},{"word":"CB1 CB2 receptor agonism"},{"word":"Schedule 1 Controlled Substance Act"},{"word":"Δ-9 Tetrahydrocannabinol"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/79s5z0wc","frozenauthors":[{"first_name":"Kenneth","middle_name":"D.","last_name":"Katz","name_suffix":"","institution":"Department of Emergency Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania","department":"None"},{"first_name":"Adam","middle_name":"L.","last_name":"Leonetti","name_suffix":"","institution":"Department of Emergency Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania","department":"None"},{"first_name":"Blake","middle_name":"C.","last_name":"Bailey","name_suffix":"","institution":"Department of Emergency Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania","department":"None"},{"first_name":"Ryan","middle_name":"M.","last_name":"Surmaitis","name_suffix":"","institution":"Department of Emergency Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania","department":"None"},{"first_name":"Eric","middle_name":"R.","last_name":"Eustice","name_suffix":"","institution":"Department of Emergency Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania","department":"None"},{"first_name":"Sherri","middle_name":"","last_name":"Kacinko","name_suffix":"","institution":"NMS Labs, Willow Grove, Pennsylvania","department":"None"},{"first_name":"Scott","middle_name":"M.","last_name":"Wheatley","name_suffix":"","institution":"Pediatric Critical Care, Lehigh Valley Health Network, Allentown, Pennsylvania","department":"None"}],"date_submitted":"2015-12-17T09:11:49-06:00","date_accepted":"2015-12-17T09:11:49-06:00","date_published":"2016-04-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9525/galley/5318/download/"}]},{"pk":9430,"title":"Inadequate Sensitivity of Laboratory Risk Indicator to Rule Out Necrotizing Fasciitis in the Emergency Department","subtitle":null,"abstract":"Introduction:\n Necrotizing fasciitis (NF) is a life-threatening illness, particularly when surgical debridement is delayed. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score was developed to identify patients at higher risk for NF. Despite limited information in this regard, the LRINEC score is often used to “rule out” NF if negative. We describe the sensitivity of the LRINEC score in emergency department (ED) patients for the diagnosis of NF.\nMethods:\n We conducted a chart review of ED patients in whom coding of hospital discharge diagnoses included NF. We employed standard methods to minimize bias. We used laboratory data to calculate the LRINEC score, and confirmed the diagnosis of NF via explicit chart review. We then calculated the sensitivity of a positive LRINEC score (standardly defined as six or greater) in our cohort. We examined the role of patient characteristics in the performance of the LRINEC score. Finally, we performed sensitivity analyses to estimate whether missing data for c-reactive protein (CRP) results were likely to impact our results.\nResults:\n Of 266 ED patients coded as having a discharge diagnosis of NF, we were able to confirm the diagnosis, by chart review, in 167. We were able to calculate a LRINEC score in only 80 patients (due to absence of an initial CRP value); an LRINEC score of 6 or greater had a sensitivity of 77%. Sensitivity analyses of missing data supported our finding of inadequate sensitivity to rule out NF. In sub-analysis, NF patients with concurrent diabetes were more likely to be accurately categorized by the LRINEC score.\nConclusion:\n Used in isolation, the LRINEC score is not sufficiently sensitive to rule out NF in a general ED population.","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":"necrotizing fasciitis"},{"word":"clinical decision instruments"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3b75942d","frozenauthors":[{"first_name":"Elizabeth","middle_name":"","last_name":"Burner","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Sean","middle_name":"O.","last_name":"Henderson","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Guenevere","middle_name":"","last_name":"Burke","name_suffix":"","institution":"George Washington University, Department of Emergency Medicine, Washington, DC","department":"None"},{"first_name":"Jeffrey","middle_name":"","last_name":"Nakashioya","name_suffix":"","institution":"Keck School of Medicine of the University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Jerome","middle_name":"R.","last_name":"Hoffman","name_suffix":"","institution":"University of California Los Angeles, Department of Emergency Medicine, Los Angeles, California","department":"None"}],"date_submitted":"2015-10-28T13:56:52-05:00","date_accepted":"2015-10-28T13:56:52-05:00","date_published":"2016-04-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9430/galley/5291/download/"}]},{"pk":9466,"title":"Pilot Study to Determine Accuracy of Posterior Approach Ultrasound for Shoulder Dislocation by Novice Sonographers","subtitle":null,"abstract":"Introduction:\n The goal of this study was to investigate the efficacy of diagnosing shoulder dislocation using a single-view, posterior approach point-of-care ultrasound (POCUS) performed by undergraduate research students, and to establish the range of measured distance that discriminates dislocated shoulder from normal.\nMethods:\n We enrolled a prospective, convenience sample of adult patients presenting to the emergency department with acute shoulder pain following injury. Patients underwent ultrasonographic evaluation of possible shoulder dislocation comprising a single transverse view of the posterior shoulder and assessment of the relative positioning of the glenoid fossa and the humeral head. The sonographic measurement of the distance between these two anatomic structures was termed the Glenohumeral Separation Distance (GhSD). A positive GhSD represented a posterior position of the glenoid rim relative to the humeral head and a negative GhSD value represented an anterior position of the glenoid rim relative to the humeral head. We compared ultrasound (US) findings to conventional radiography to determine the optimum GhSD cutoff for the diagnosis of shoulder dislocation. Sensitivity, specificity, positive predictive value, and negative predictive value of the derived US method were calculated.\nResults:\n A total of 84 patients were enrolled and 19 (22.6%) demonstrated shoulder dislocation on conventional radiography, all of which were anterior. All confirmed dislocations had a negative measurement of the GhSD, while all patients with normal anatomic position had GhSD&gt;0. This value represents an optimum GhSD cutoff of 0 for the diagnosis of (anterior) shoulder dislocation. This method demonstrated a sensitivity of 100% (95% CI [82.4-100]), specificity of 100% (95% CI [94.5-100]), positive predictive value of 100% (95% CI [82.4-100]), and negative predictive value of 100% (95% CI [94.5-100]).\nConclusion:\n Our study suggests that a single, posterior-approach POCUS can diagnose anterior shoulder dislocation, and that this method can be employed by novice ultrasonographers, such as non-medical trainees, after a brief educational session. Further validation studies are necessary to confirm these findings.","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, shoulder dislocation, glenohumeral dislocation, glenohumeral step-off distance"}],"section":"Technology in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4b795116","frozenauthors":[{"first_name":"Shadi","middle_name":"","last_name":"Lahham","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Brent","middle_name":"","last_name":"Becker","name_suffix":"","institution":"Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania","department":"None"},{"first_name":"Alan","middle_name":"","last_name":"Chiem","name_suffix":"","institution":"Olive View-UCLA Medical Center, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Linda","middle_name":"M.","last_name":"Joseph","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Craig","middle_name":"L.","last_name":"Anderson","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Sean","middle_name":"P.","last_name":"Wilson","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Mohammad","middle_name":"","last_name":"Subeh","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Alex","middle_name":"","last_name":"Trinh","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"Eric","middle_name":"","last_name":"Viquez","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"},{"first_name":"John","middle_name":"C.","last_name":"Fox","name_suffix":"","institution":"University of California Irvine, Department of Emergency Medicine, Orange, California","department":"None"}],"date_submitted":"2015-11-16T23:32:33-06:00","date_accepted":"2015-11-16T23:32:33-06:00","date_published":"2016-04-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9466/galley/5301/download/"}]},{"pk":9594,"title":"Trauma Triage and Trauma System Performance","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":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/44x8z99s","frozenauthors":[{"first_name":"Gary","middle_name":"","last_name":"Johnson","name_suffix":"","institution":"University Hospital, SUNY Upstate Medical University, Department of Emergency Medicine, Syracuse, New York","department":"None"}],"date_submitted":"2016-01-26T12:33:24-06:00","date_accepted":"2016-01-26T12:33:24-06:00","date_published":"2016-04-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9594/galley/5343/download/"}]},{"pk":9316,"title":"Vital Signs Predict Rapid-Response Team Activation within Twelve Hours of Emergency Department Admission","subtitle":null,"abstract":"Introduction:\n Rapid-response teams (RRTs) are interdisciplinary groups created to rapidly assess and treat patients with unexpected clinical deterioration marked by decline in vital signs. Traditionally emergency department (ED) disposition is partially based on the patients’ vital signs (VS) at the time of hospital admission. We aimed to identify which patients will have RRT activation within 12 hours of admission based on their ED VS, and if their outcomes differed.\nMethods:\n We conducted a case-control study of patients presenting from January 2009 to December 2012 to a tertiary ED who subsequently had RRT activations within 12 hours of admission (early RRT activations). The medical records of patients 18 years and older admitted to a non-intensive care unit (ICU) setting were reviewed to obtain VS at the time of ED arrival and departure, age, gender and diagnoses. Controls were matched 1:1 on age, gender, and diagnosis. We evaluated VS using cut points (lowest 10%, middle 80% and highest 10%) based on the distribution of VS for all patients. Our study adheres to the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines for reporting observational studies.\nResults:\n A total of 948 patients were included (474 cases and 474 controls). Patients who had RRT activations were more likely to be tachycardic (odds ratio [OR] 2.02, 95% CI [1.25-3.27]), tachypneic (OR 2.92, 95% CI [1.73-4.92]), and had lower oxygen saturations (OR 2.25, 95% CI [1.42-3.56]) upon arrival to the ED. Patients who had RRT activations were more likely to be tachycardic at the time of disposition from the ED (OR 2.76, 95% CI [1.65-4.60]), more likely to have extremes of systolic blood pressure (BP) (OR 1.72, 95% CI [1.08-2.72] for low BP and OR 1.82, 95% CI [1.19-2.80] for high BP), higher respiratory rate (OR 4.15, 95% CI [2.44-7.07]) and lower oxygen saturation (OR 2.29, 95% CI [1.43-3.67]). Early RRT activation was associated with increased healthcare utilization and worse outcomes including increased rates of ICU admission within 72 hours (OR 38.49, 95%CI [19.03-77.87]), invasive interventions (OR 5.49, 95%CI [3.82-7.89]), mortality at 72 hours (OR 4.24, 95%CI [1.60-11.24]), and mortality at one month (OR 4.02, 95%CI [2.44-6.62]).\nConclusion:\n After matching for age, gender and ED diagnosis, we found that patients with an abnormal heart rate, respiratory rate or oxygen saturation at the time of ED arrival or departure are more likely to trigger RRT activation within 12 hours of admission. Early RRT activation was associated with higher mortality at 72 hours and one month, increased rates of invasive intervention and ICU admission. Determining risk factors of early RRT activation is of clinical, operational, and financial importance, as improved medical decision-making regarding disposition would maximize allocation of resources while potentially limiting morbidity and mortality.","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":"Vital Sign"},{"word":"blood pressure"},{"word":"heart rate"},{"word":"Respiratory Rate"},{"word":"emergency department"},{"word":"Patient Care Teams"},{"word":"Code Teams"},{"word":"Cardiac Crash Team"},{"word":"Rapid Response Team"}],"section":"Health Outcomes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/93r2v5j0","frozenauthors":[{"first_name":"James","middle_name":"M.","last_name":"Walston","name_suffix":"","institution":"Mayo Medical School, Rochester, Minnesota","department":"None"},{"first_name":"Daniel","middle_name":"","last_name":"Cabrera","name_suffix":"","institution":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota","department":"None"},{"first_name":"Shawna","middle_name":"D.","last_name":"Bellew","name_suffix":"","institution":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota","department":"None"},{"first_name":"Marc","middle_name":"N.","last_name":"Olive","name_suffix":"","institution":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota","department":"None"},{"first_name":"Christine","middle_name":"M.","last_name":"Lohse","name_suffix":"","institution":"Department of Health Sciences Research, Division of Biostatistics, Mayo Clinic, Rochester, Minnesota","department":"None"},{"first_name":"M. Fernanda","middle_name":"","last_name":"Bellolio","name_suffix":"","institution":"Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota","department":"None"}],"date_submitted":"2015-08-24T15:32:05-05:00","date_accepted":"2015-08-24T15:32:05-05:00","date_published":"2016-04-26T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9316/galley/5249/download/"}]},{"pk":4551,"title":"Tell el-Amarna","subtitle":null,"abstract":"Tell el-Amarna is situated in middle Egypt and is the location of the New Kingdom city of Akhetaten, founded by Akhenaten in c. 1347 BCE as the cult home for the Aten. Occupied only briefly, it is our most complete example of an ancient Egyptian city, at which a contemporaneous urban landscape of cult and ceremonial buildings, palaces, houses, cemeteries, and public spaces has been exposed. It is an invaluable source for the study of both Akhenaten’s reign and of ancient Egyptian urbanism. The site has an extensive excavation history, and work continues there today.","language":"en","license":null,"keywords":[{"word":"Spatial lay-out, landscape, urban archaeology, mud brick"}],"section":"Geography","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1k66566f","frozenauthors":[{"first_name":"Anna","middle_name":"","last_name":"Stevens","name_suffix":"","institution":"Cambridge University","department":"None"}],"date_submitted":"2009-03-05T19:17:31-06:00","date_accepted":"2009-03-05T19:17:31-06:00","date_published":"2016-04-21T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/nelc_uee/article/4551/galley/2655/download/"}]},{"pk":44129,"title":"Management of an Elderly Man with Acute Urinary Retention","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/24p9h3cs","frozenauthors":[{"first_name":"Manuel","middle_name":"A.","last_name":"Eskildsen","name_suffix":"MD, MPH, CMD, AGSF","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-04-19T09:52:12-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44129/galley/32932/download/"}]},{"pk":41636,"title":"Yelmochelys rosarioae\n gen. et sp. nov., a stem kinosternid (Testudines; Kinosternidae) from the Late Cretaceous of Coahuila, Mexico","subtitle":null,"abstract":"A small smooth-shelled kinosternoid from the late Campanian Cerro del Pueblo Formation and the early Maastrichtian Canyon del Tule Formation of Coahuila, Mexico that is abundantly represented by isolated elements is described as \nYelmochelys rosarioae\n gen. et sp. nov. A phylogenetic analysis concludes that \nY. rosarioae\n is a representative of the stem lineage of the Kinosternidae. Inclusion of \nY. rosarioae\n in Kinosternidae is supported by presence of a groove for the musk duct, the loss of the eleventh peripheral and twelfth marginal, reduced articulation between the plastron and carapace, and diamond-shaped vertebral scales. A basal position within Kinosternidae is indicated by the presence of distinct abdominal scales that meet at the midline and the presence of a relatively long costiform processes. The inclusion of \nY. rosarioae\n in Kinosternidae supports the hypothesis that Kinosternidae and Dermatemydidae had diverged by the Late Campanian.","language":"en","license":null,"keywords":[{"word":"Kinosternidae, Yelmochelys rosarioae, Cerro del Pueblo Formation, Cretaceous, Mexico"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3fn6q3f7","frozenauthors":[{"first_name":"Don","middle_name":"","last_name":"Brinkman","name_suffix":"","institution":"Royal Tyrrell Museum","department":"None"},{"first_name":"Martha","middle_name":"Carolina","last_name":"Aguillon-Martinez","name_suffix":"","institution":"Coordinación de Paleontología, Secretaría de Educatión Pública de Coahuila","department":"None"},{"first_name":"J.","middle_name":"Howard","last_name":"Hutchison","name_suffix":"","institution":"Museum of Paleontology, University of California, Berkeley","department":"None"},{"first_name":"Caleb","middle_name":"","last_name":"Brown","name_suffix":"","institution":"Royal Tyrrell Museum","department":"None"}],"date_submitted":"2016-04-13T16:21:16-05:00","date_accepted":"2016-04-13T16:21:16-05:00","date_published":"2016-04-13T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucmp_paleobios/article/41636/galley/31164/download/"}]},{"pk":44136,"title":"The Importance of Penicillin Skin Testing in Patients with a History of Penicillin Allergy","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Commentary"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/81x2m7n8","frozenauthors":[{"first_name":"Samantha","middle_name":"","last_name":"Gendelman","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Kellie","middle_name":"","last_name":"Lim","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-04-08T02:13:29-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44136/galley/32939/download/"}]},{"pk":41398,"title":"Comparison of gene expression changes in susceptible, tolerant and resistant hosts in response to infection with Citrus tristeza virus and huanglongbing","subtitle":null,"abstract":"The pathogens \nCandidatus\n Liberibacter asiaticus (Las) and \nCitrus tristeza virus \n(CTV) are both phloem limited and have significant economic impact on citrus production wherever they are found. Studies of host resistance have indicated that \nPoncirus trifoliata \nhas tolerance or resistance to both pathogens, suggesting that there may be some common factors in the 2 kinds of resistance. We have conducted studies of host gene expression changes that occur in response to infection to gain further insight. Controlled inoculation by grafting infected budwood was used to infect potted greenhouse plants of Cleopatra mandarin (\nCitrus reticulata\n), US-897 (\nC. reticulata\n x \nP. trifoliata\n), and US-942 (C. reticulata x P. trifoliata) with CTV and with Las, the pathogen associated with the disease huanglongbing (HLB). Stem and leaf tissue was collected at 10, 20, and 30 weeks after inoculation, DNA and RNA were extracted and subjected to qPCR and RT-qPCR analysis. Few differences in gene expression were observed between mock-inoculated and CTV-inoculated plants. Differences between mock-inoculated and Las-inoculated plants were most pronounced in susceptible Cleopatra plants and at the later stages of infection. Notable was the higher expression of a gene for miraculin-like protein 2 and other defense-related genes in US-897 and US-942 plants independent of infection. It is hypothesized that tolerance or resistance of US-897 and US-942 is associated with a higher constitutive expression of defense-related or other genes associated with the \nP. trifoliata\n parentage, rather than with induced expression in response to bacterial 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.\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, Poncirus trifoliata, huanglongbing, Citrus tristeza virus, rootstock, gene expression, US-897, US-942"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5qt4z9c0","frozenauthors":[{"first_name":"K","middle_name":"D","last_name":"Bowman","name_suffix":"","institution":"USDA, ARS, USHRL, 2001 South Rock Road, Fort Pierce, Florida, 34945, USA","department":"None"},{"first_name":"U","middle_name":"","last_name":"Albrecht","name_suffix":"","institution":"Southwest Florida Research and Education Center, University of Florida / Institute of Food and Agricultural Sciences, 2685 SR 29 N, Immokalee, Florida, 34142, USA","department":"None"}],"date_submitted":"2016-03-23T13:59:49-05:00","date_accepted":"2016-03-23T13:59:49-05:00","date_published":"2016-04-06T13:58:55-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/iocv_journalcitruspathology/article/41398/galley/30996/download/"}]},{"pk":44128,"title":"A Case of Recurrent Pericarditis in Multiple Family Members","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/1vf749fb","frozenauthors":[{"first_name":"Minisha","middle_name":"","last_name":"Kochar","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Kimberly","middle_name":"","last_name":"Cheong","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-04-05T09:50:33-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44128/galley/32931/download/"}]},{"pk":9653,"title":"Identify-Isolate-Inform: A Tool for Initial Detection and Management of Zika Virus Patients in the Emergency Department","subtitle":null,"abstract":"First isolated in 1947 from a monkey in the Zika forest in Uganda, and from mosquitoes in the same forest the following year, Zika virus has gained international attention due to concerns for infection in pregnant women potentially causing fetal microcephaly. More than one million people have been infected since the appearance of the virus in Brazil in 2015. Approximately 80% of infected patients are asymptomatic. An association with microcephaly and other birth defects as well as Guillain-Barre Syndrome has led to a World Health Organization declaration of Zika virus as a Public Health Emergency of International Concern in February 2016. Zika virus is a vector-borne disease transmitted primarily by the Aedes aegypti mosquito. Male to female sexual transmission has been reported and there is potential for transmission via blood transfusions. After an incubation period of 2-7 days, symptomatic patients develop rapid onset fever, maculopapular rash, arthralgia, and conjunctivitis, often associated with headache and myalgias. Emergency department (ED) personnel must be prepared to address concerns from patients presenting with symptoms consistent with acute Zika virus infection, especially those who are pregnant or planning travel to Zika-endemic regions, as well as those women planning to become pregnant and their partners. The identify-isolate-inform (3I) tool, originally conceived for initial detection and management of Ebola virus disease patients in the ED, and later adjusted for measles and Middle East Respiratory Syndrome, can be adapted for real-time use for any emerging infectious disease. This paper reports a modification of the 3I tool for initial detection and management of patients under investigation for Zika virus. Following an assessment of epidemiologic risk, including travel to countries with mosquitoes that transmit Zika virus, patients are further investigated if clinically indicated. If after a rapid evaluation, Zika or other arthropod-borne diseases are the only concern, isolation (contact, droplet, airborne) is unnecessary. Zika is a reportable disease and thus appropriate health authorities must be notified. The modified 3I tool will facilitate rapid analysis and triggering of appropriate actions for patients presenting to the ED at risk for Zika.","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":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/72w2v02d","frozenauthors":[{"first_name":"Kristi","middle_name":"L.","last_name":"Koenig","name_suffix":"","institution":"University of California Irvine Medical Center, Department of Emergency Medicine, Center for Disaster Medical Sciences, Orange, California","department":"None"},{"first_name":"Abdulmajeed","middle_name":"","last_name":"Almadhyan","name_suffix":"","institution":"University of California Irvine Medical Center, Department of Emergency Medicine, Center for Disaster Medical Sciences, Orange, California; Qassim University, Department of Emergency Medicine, Saudi Arabia","department":"None"},{"first_name":"Michael","middle_name":"J.","last_name":"Burns","name_suffix":"","institution":"University of California Irvine Medical Center, Department of Emergency Medicine and Department of Medicine, Division of Infectious Diseases, Orange, California","department":"None"}],"date_submitted":"2016-02-25T00:07:14-06:00","date_accepted":"2016-02-25T00:07:14-06:00","date_published":"2016-04-04T19:59:08-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9653/galley/5360/download/"}]},{"pk":44127,"title":"Renal Cysts in Geriatric Outpatient Primary Care","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/8f29224p","frozenauthors":[{"first_name":"Hong-Phuc","middle_name":"","last_name":"Tran","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Sonja","middle_name":"","last_name":"Rosen","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-04-02T09:49:44-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44127/galley/32930/download/"}]},{"pk":44126,"title":"Balancing the Efficacy and Toxicity of Maintenance Immunosuppression in a Kidney Transplant Recipient: A Case Report","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/8019f6p9","frozenauthors":[{"first_name":"Carl","middle_name":"E.","last_name":"Schulze","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-04-01T09:48:56-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44126/galley/32929/download/"}]},{"pk":44125,"title":"A Case of Samter’s 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/2h05z2jt","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Reid","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Shivani","middle_name":"","last_name":"Patel","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-30T09:32:30-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44125/galley/32928/download/"}]},{"pk":44124,"title":"Management of Symptomatic Bilateral Renal Artery Stenosis","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/73j736rd","frozenauthors":[{"first_name":"Gopi","middle_name":"","last_name":"Manthripragada","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Melkon","middle_name":"","last_name":"Hacobian","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-30T09:31:46-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44124/galley/32927/download/"}]},{"pk":44123,"title":"A Case of Stenotrophomonas Maltophilia Bacteremia","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/8428z8tv","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Reid","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Balbir","middle_name":"","last_name":"Brar","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-29T09:30:19-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44123/galley/32926/download/"}]},{"pk":44122,"title":"Erythromelalgia in association with Multiple Myeloma","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/0w15h6k8","frozenauthors":[{"first_name":"Delila","middle_name":"M.","last_name":"Pouldar","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Samuel","middle_name":"J.","last_name":"Balin","name_suffix":"MD, PhD","institution":"","department":""},{"first_name":"Lorraine","middle_name":"","last_name":"Young","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-25T09:28:50-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44122/galley/32925/download/"}]},{"pk":44121,"title":"Richter’s Transformation","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/0br2h0fd","frozenauthors":[{"first_name":"Logan","middle_name":"","last_name":"Pierce","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Emily","middle_name":"","last_name":"Cantor","name_suffix":"MD","institution":"","department":""},{"first_name":"Ken","middle_name":"","last_name":"Kitayama","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-24T09:28:10-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44121/galley/32924/download/"}]},{"pk":44120,"title":"Hodgkin Lymphoma in a Pregnant 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/02t9q220","frozenauthors":[{"first_name":"Fukai","middle_name":"Leo","last_name":"Chuang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Juan","middle_name":"M.","last_name":"Alcantar","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-23T09:27:16-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44120/galley/32923/download/"}]},{"pk":62713,"title":"Abundance Trends, Distribution, and Habitat Associations of the Invasive Mississippi Silverside (\nMenidia audens\n) in the Sacramento–San Joaquin Delta, California, USA","subtitle":null,"abstract":"Although many alien fish species have colonized the Sacramento–San Joaquin Delta (Delta), few are as pervasive and abundant as Mississippi Silversides (\nMenidia audens\n). Moreover, Mississippi Silversides are hypothesized to be an intra-guild predator of the endangered Delta Smelt (\nHypomesus transpacificus\n). Because of their prevalence in the Delta and poten-tial predation on Delta Smelt, Mississippi Silversides may have far-reaching effects on both the aquatic ecosystem and conservation management policies of the region. Yet little is known about how Mississippi Silverside abundance and distribution have changed within the Delta, or how they respond to various habitat attributes such as temperature, turbidity, and flow. We examined 19 years of beach seine survey data to evaluate how the abundance and distribution of Mississippi Silversides has changed over the years, characterize their habitat associations, and determine the environmental factors that predict their annual cohort strength. Concurrent with the decline of sev-eral pelagic fish species in the San Francisco Estuary in the early 2000s, we observed a significant increase in Mississippi Silverside catch that was accompanied by a moderate distributional shift in which densi-ties increased in the western Delta region. We also found that the occurrence of this highly prolific alien species was associated with higher water tempera-ture, higher turbidity, relatively low conductivity, and moderate to high levels of dissolved oxygen. Lastly, we demonstrated that freshwater input to the Sacramento–San Joaquin Delta during the summer and water exports during the spring months were both negatively correlated with the annual cohort size of Mississippi Silversides in the region. Our study identified the environmental variables deserv-ing additional attention in future studies involving Mississippi Silverside and suggests that the species favors habitat conditions that are likely to be detri-mental for pelagic species such as Delta Smelt.","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":"Mississippi Silverside, <i>Menidia audens</i>, invasive species biology, littoral fish, life history"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/55f0s462","frozenauthors":[{"first_name":"Brian","middle_name":"","last_name":"Mahardja","name_suffix":"","institution":"","department":""},{"first_name":"J.","middle_name":"Louise","last_name":"Conrad","name_suffix":"","institution":"Division of Environmental Sciences\nCalifornia Department of Water Resources","department":""},{"first_name":"Lester","middle_name":"","last_name":"Lusher","name_suffix":"","institution":"Department of Economics\nUniversity of California, Davis","department":""},{"first_name":"Brian","middle_name":"","last_name":"Schreier","name_suffix":"","institution":"Division of Environmental Services\nCalifornia Department of Water Resources","department":""}],"date_submitted":"2016-03-18T09:12:05-05:00","date_accepted":"2016-03-18T09:12:05-05:00","date_published":"2016-03-23T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62713/galley/48395/download/"}]},{"pk":62716,"title":"Reservoir Operating Rule Optimization for California's Sacramento Valley","subtitle":null,"abstract":"https://doi.org/10.15447/sfews.2016v14iss1art6\nReservoir operating rules for water resource systems are typically developed by combining intuition, professional discussion, and simulation modeling. This paper describes a joint optimization–simulation approach to develop preliminary economically-based operating rules for major reservoirs in California’s Sacramento Valley, based on optimized results from CALVIN, a hydro-economic optimization model. We infer strategic operating rules from the optimization model results, including storage allocation rules to balance storage among multiple reservoirs, and reservoir release rules to determine monthly release for individual reservoirs. Results show the potential utility of considering previous year type on water availability and various system and sub-system storage conditions, in addition to normal consideration of local reservoir storage, season, and current inflows. We create a simple simulation to further refine and test the derived operating rules. Optimization model results show particular insights for balancing the allocation of water storage among Shasta, Trinity, and Oroville reservoirs over drawdown and refill seasons, as well as some insights for release rules at major reservoirs in the Sacramento Valley. We also discuss the applicability and limitations of developing reservoir operation rules from optimization model results.","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":"optimization, operating rules, reservoir release rules, system simulation"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4cp4767v","frozenauthors":[{"first_name":"Timothy","middle_name":"","last_name":"Nelson","name_suffix":"","institution":"Department of Civil and Environmental Engineering\nUniversity of California, Davis","department":""},{"first_name":"Rui","middle_name":"","last_name":"Hui","name_suffix":"","institution":"Department of Civil and Environmental Engineering\nUniversity of California, Davis","department":""},{"first_name":"Jay","middle_name":"","last_name":"Lund","name_suffix":"","institution":"Department of Civil and Environmental Engineering\nUniversity of California, Davis","department":""},{"first_name":"Josué","middle_name":"","last_name":"Medellín–Azuara","name_suffix":"","institution":"Department of Civil and Environmental Engineering\nUniversity of California, Davis","department":""}],"date_submitted":"2016-03-18T16:37:35-05:00","date_accepted":"2016-03-18T16:37:35-05:00","date_published":"2016-03-23T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62716/galley/48398/download/"}]},{"pk":62715,"title":"Which Way to the Brave New Baylands?","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Essay","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7474m4ss","frozenauthors":[{"first_name":"J.","middle_name":"Letitia","last_name":"Grenier","name_suffix":"","institution":"San Francisco Estuary Institute","department":""}],"date_submitted":"2016-03-18T09:49:41-05:00","date_accepted":"2016-03-18T09:49:41-05:00","date_published":"2016-03-23T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62715/galley/48397/download/"}]},{"pk":62712,"title":"Multi-Purpose Optimization for Reconciliation Ecology on an Engineered Floodplain: Yolo Bypass, California","subtitle":null,"abstract":"Floodplains in California and elsewhere are productive natural habitats with high levels of biodiversity, yet today they are often permanently disconnected from rivers by urban or agricultural development and flood management structures. This disconnection poses a threat to many native fish, bird and other species that evolved to take advantage of seasonal floodplain inundation. The traditional restoration approach to this problem is to recreate historical floodplain by restoring natural hydrologic and successional processes. However levees, dams, and development have made this largely impossible in much of the developed world. Reconciliation ecology recognizes this limitation, and encourages instead the re-engineering of human dominated landscapes to allow for coexistence of native species and human uses. Flood control bypasses are particularly promising places to reconcile historical fish and bird uses of floodplain habitats with human uses. However, the reconciliation approach requires nuanced management of a complex system. Using the Yolo Basin flood bypass in California’s Central Valley as an example, this study develops formal multi-objective optimization to help planners identify management options that best improve habitat quality for fish and birds with minimal costs to farmers or wetland managers. Models like the one developed here can integrate large amounts of data and knowledge, and offer an explicit accounting of relationships and trade-offs between different objectives. This is especially useful in reconciliation planning, where many uses and variables interact on a landscape, and deliberate re-engineering requires consideration of many decisions simultaneously. Initial results suggest that modest land-use changes and inundation management strategies can significantly improve seasonal bird and fish habitat quality at little cost to farmers or other human land uses. The model applications demonstrate the usefulness of multi-objective optimization in reconciling managed floodplains, and provide a framework for integrating new knowledge and testing varying assumptions to improve management over time.","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":"flood management, reconciliation, multi-objective optimization, Yolo Bypass, systems planning"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/28j7r0hd","frozenauthors":[{"first_name":"Robyn","middle_name":"","last_name":"Suddeth Grimm","name_suffix":"","institution":"CH2MHILL","department":""},{"first_name":"Jay","middle_name":"R.","last_name":"Lund","name_suffix":"","institution":"University of California, Davis","department":""}],"date_submitted":"2016-03-17T18:39:16-05:00","date_accepted":"2016-03-17T18:39:16-05:00","date_published":"2016-03-22T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62712/galley/48394/download/"}]},{"pk":62714,"title":"Physical Controls on the Distribution of the Submersed Aquatic Weed \nEgeria densa\n in the Sacramento–San Joaquin Delta and Implications for Habitat Restoration","subtitle":null,"abstract":"The invasive aquatic plant \nEgeria densa\n (Brazilian waterweed) is a submersed aquatic plant that has expanded its distribution in both its native and introduced range. Because the plant grows so densely, it can become a problem for management of waterways and habitat restoration projects. It is difficult to remove once established and mechanical and chemical controls have shown limited effectiveness. Here we analyze the distribution of \nE. densa\n in the Sacramento–San Joaquin Delta (the Delta) of California, USA, using environmental variables that include mean water velocity, mean water turbidity, and water column depth. We found that increasing water column depth strongly limited \nE. densa\n occurrence, especially when depth at mean lower low water (MLLW) exceeds 2 m. The highest probability of occurrence occurred at locations with a water column depth of −1 to 2 m at MLLW. Turbidity had a reliably negative effect on \nE. densa\n occurrence; as water clarity has increased in the Delta, it has likely favored the spread of the plant. Neither mean water velocity nor maximum water velocity had a reliable effect on \nE. densa\n probability, in spite of scientific and observational evidence that it is sensitive to flows. These results suggest potentially serious problems with restoration projects that emphasize shallow water habitat in the range favored by \nE. densa\n. Without some way to manage spread of the plant—through spraying, sediment loading, or gating—channels in such projects are at risk of being taken over by \nE. densa\n. However, these results should be interpreted in light of the fact that water outflow in water year 2008 was very low, and that \nE. densa\n abundance may be partially controlled by higher water flows than those considered here.","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":"submersed aquatic vegetation, invasive organisms, estuaries, turbidity, water quality, hydrodynamics, restoration"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/85c9h479","frozenauthors":[{"first_name":"John","middle_name":"","last_name":"Durand","name_suffix":"","institution":"University of California, Davis","department":""},{"first_name":"William","middle_name":"","last_name":"Fleenor","name_suffix":"","institution":"Center for Watershed Sciences and Department of Civil Engineering\nUniversity of California, Davis","department":""},{"first_name":"Richard","middle_name":"","last_name":"McElreath","name_suffix":"","institution":"Department of Human Behavior, Ecology, and Culture\nMax Planck Institute for Evolutionary Anthropology","department":""},{"first_name":"Maria","middle_name":"J.","last_name":"Santos","name_suffix":"","institution":"Department of Innovation, Environmental, and Energy Sciences\nUniversiteit Utrecht","department":""},{"first_name":"Peter","middle_name":"","last_name":"Moyle","name_suffix":"","institution":"University of California, Davis","department":""}],"date_submitted":"2016-03-18T09:45:13-05:00","date_accepted":"2016-03-18T09:45:13-05:00","date_published":"2016-03-22T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62714/galley/48396/download/"}]},{"pk":3692,"title":"Book Review, Infrastructure Planning and Finance: A Smart and Sustainable Guide for Local Practitioners","subtitle":null,"abstract":"by Vicki Elmer and Adam Leigland","language":"en","license":null,"keywords":[{"word":"Infrastructure"},{"word":"planning"},{"word":"infrastructure finance"},{"word":"sustainable"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0v22n5pb","frozenauthors":[{"first_name":"Hannah","middle_name":"Elizabeth","last_name":"Clark","name_suffix":"","institution":"UC Berkeley","department":"None"}],"date_submitted":"2014-03-01T20:24:55-06:00","date_accepted":"2014-03-01T20:24:55-06:00","date_published":"2016-03-22T00:45:58-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3692/galley/2416/download/"}]},{"pk":3688,"title":"A THEORETICAL MODEL FOR THE INTEGRATED ASSESSMENT OF OUTCOME AND IMPACT EQUITY: A LAND USE / TRAVEL BEHAVIOR APPLICATION","subtitle":null,"abstract":"This research proposes and applies an innovative methodology to help planners assess the social equity of policy for disadvantaged and non-disadvantaged population groups.  This methodology distinguishes between outcome equity and impact equity, proffers non-parametric and parametric statistical tests for identifying the existence (or absence) of both types of equity, and presents a theoretical framework of ranked scenarios which integrate the findings from the statistical tests.  This research then applies this methodology to land use / transportation research by examining the equity of changes in shopping travel behaviors that have accompanied the emergence of new retail land uses on the fringe of Prague.  Finally, this research evaluates both the specific equity findings from the Prague data set as well as the general utility of the proposed equity model.","language":"en","license":null,"keywords":[],"section":"Journal Submissions","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9640p5tb","frozenauthors":[{"first_name":"Gregory","middle_name":"","last_name":"Newmark","name_suffix":"","institution":"Other","department":"None"}],"date_submitted":"2014-01-21T21:38:41-06:00","date_accepted":"2014-01-21T21:38:41-06:00","date_published":"2016-03-22T00:45:32-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3688/galley/2415/download/"}]},{"pk":3686,"title":"The Profitability of Obscured Inequality: Toward a Social Theory of the Housing Bubble","subtitle":null,"abstract":"The post-1970s U.S. economy is characterized by stagnant wages and a transition to “financialized” profitability—the growing tendency for financial and non-financial firms to depend on financial profits. The same global and domestic politics that liberated flows of capital also opened credit to a broader consumer base. Credit dependency since the 1970s served the triple function of maintaining profitability by sustaining consumption in the context of unequal wage distributions, generating profit from financial services and new forms of financial classification, and obscuring inequality by creating an illusion of wealth disconnected from wages. After an exploration of the transition to credit-dependant profitability and consumption, I situate the housing bubble and the rise to prominence of the mortgage as a financial instrument in this profitability fix. I focus on the social dynamics that enabled the American home to become the value-carrying asset that justified low-wage credit dependency and temporarily quelled the negative effects of rising inequality.","language":"en","license":null,"keywords":[],"section":"Journal Submissions","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5n4102s4","frozenauthors":[{"first_name":"Luis","middle_name":"","last_name":"Flores","name_suffix":"","institution":"University of California, Berkeley","department":"None"}],"date_submitted":"2014-01-10T21:21:02-06:00","date_accepted":"2014-01-10T21:21:02-06:00","date_published":"2016-03-22T00:44:36-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/ucb_crp_bpj/article/3686/galley/2414/download/"}]},{"pk":62711,"title":"Economic and Water Supply Effects of Ending Groundwater Overdraft in California's Central Valley","subtitle":null,"abstract":"Surface water and groundwater management are often tightly linked, even when linkage is not intended or expected. This link is especially common in semi-arid regions, such as California. This paper summarizes a modeling study on the effects of ending long-term overdraft in California’s Central Valley, the state’s largest aquifer system. The study focuses on economic and operational aspects, such as surface water pumping and diversions, groundwater recharge, water scarcity, and the associated operating and water scarcity costs. This analysis uses CALVIN, a hydro-economic optimization model for California’s water resource system that suggests operational changes to minimize net system costs for a given set of conditions, such as ending long-term overdraft. Based on model results, ending overdraft might induce some major statewide operational changes, including large increases to Delta exports, more intensive conjunctive-use operations with increasing artificial and in-lieu recharge, and greater water scarcity for Central Valley agriculture. The statewide costs of ending roughly 1.2 maf yr-1 of groundwater overdraft are at least $50 million per year from additional direct water shortage and additional operating costs. At its worst, the costs of ending Central Valley overdraft could be much higher, perhaps comparable to the recent economic effects of drought. Driven by recent state legislation to improve groundwater sustainability, ending groundwater overdraft has important implications statewide for water use and management, particularly in the Sacramento–San Joaquin Delta. Ending Central Valley overdraft will amplify economic pressure to increase Delta water exports rather than reduce them, tying together two of California’s largest water management problems.","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":"groundwater overdraft, Sacramento–San Joaquin Delta, California's Central Valley, economic costs, CALVIN"}],"section":"Research Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/03r6s37v","frozenauthors":[{"first_name":"Timothy","middle_name":"","last_name":"Nelson","name_suffix":"","institution":"Department of Civil and Environmental Engineering, University of California, Davis","department":""},{"first_name":"Heidi","middle_name":"","last_name":"Chou","name_suffix":"","institution":"Department of Civil and Environmental Engineering, University of California, Davis","department":""},{"first_name":"Prudentia","middle_name":"","last_name":"Zikalala","name_suffix":"","institution":"Department of Civil and Environmental Engineering, University of California, Davis","department":""},{"first_name":"Jay","middle_name":"","last_name":"Lund","name_suffix":"","institution":"Department of Civil and Environmental Engineering, University of California, Davis","department":""},{"first_name":"Rui","middle_name":"","last_name":"Hui","name_suffix":"","institution":"Department of Civil and Environmental Engineering, University of California, Davis","department":""},{"first_name":"Josué","middle_name":"","last_name":"Medellín–Azuara","name_suffix":"","institution":"Department of Civil and Environmental Engineering, University of California, Davis","department":""}],"date_submitted":"2016-02-23T14:23:58-06:00","date_accepted":"2016-02-23T14:23:58-06:00","date_published":"2016-03-21T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jmie_sfews/article/62711/galley/48393/download/"}]},{"pk":44086,"title":"An Uncommon Cause of Drug-Induced Thrombocytopenia Suggested by Reviewing the MAR","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/2zd1f15g","frozenauthors":[{"first_name":"Reece","middle_name":"","last_name":"Doughty","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-20T09:03:48-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44086/galley/32889/download/"}]},{"pk":54955,"title":"Letter From the Editors","subtitle":null,"abstract":"","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Forematter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7ht0q587","frozenauthors":[{"first_name":"Karen","middle_name":"","last_name":"MacLaughlin","name_suffix":"","institution":"","department":""},{"first_name":"Antara","middle_name":"","last_name":"Rao","name_suffix":"","institution":"","department":""}],"date_submitted":"2016-03-18T17:22:35-05:00","date_accepted":"2016-03-18T17:22:35-05:00","date_published":"2016-03-18T17:22:57-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/54955/galley/41443/download/"}]},{"pk":54953,"title":"A Tacitean Tragedy: Theatric Structure, Character, and Space in the Downfall of Messalina","subtitle":null,"abstract":"The betrayal of Valeria Messalina, dramatically recounted by Tacitus in \nAnnales \n11.26-11.38, represents one of the greatest scandals of Emperor Claudius’ reign. Messalina’s boldness in choosing a new husband, Gaius Silius, in Claudius’ place and without his knowledge demonstrated the Emperor’s frailty in curbing the excesses of his own household. Tacitus’ account of the entire episode bears uncanny structural, conventional, and spatial resemblances to the customs of Greek tragedy – parallels which imbue the Messalina affair with a greater sense of didacticism and drama. It is through this tragedic lens that Tacitus, with his usual cynicism and disdain, successfully conveys how far the Principate had strayed from the idealized Augustan values upon which it was founded.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Tacitus"},{"word":"Annales"},{"word":"Messalina, Women in Ancient Rome"},{"word":"Greek Tragedy"},{"word":"Roman Historiography"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1d32q1b5","frozenauthors":[{"first_name":"Nick","middle_name":"","last_name":"Ackert","name_suffix":"","institution":"Harvard University","department":""}],"date_submitted":"2015-11-04T23:51:36-06:00","date_accepted":"2015-11-04T23:51:36-06:00","date_published":"2016-03-18T17:09:18-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/54953/galley/41441/download/"}]},{"pk":54948,"title":"Ovid’s Metamorphoses, Book I, Lines 539 through 559","subtitle":null,"abstract":"Ovid’s tales of metamorphoses are beautiful and terrifying. My introduction to Ovid was this tale, of Daphne and Apollo, in Latin. I was fascinated by the language swirling around Daphne’s metamorphosis into a tree while simultaneously horrified by the descriptions of Apollo’s advance. However, reading English translations, I was surprised by a glossing over of the terror Ovid’s transformed feel. One example is the translation of \nfigura \nin line 547. \nCassell’s\n lists possible translations as \nform, shape, figure,\n and \nsize\n. But it is often translated as \nbeauty\n.[1] Why is this, of all possible definitions, chosen? As we learn later, it is not Daphne’s beauty that is destroyed, but her body and her humanity; she becomes a splendid tree. \nBeauty\n implies a simple makeover, not a desperate cry for divine transformation into anything that will not attract rape.\n This passage of Daphne’s tale works as a stand-alone poem. I selected two short sections (italics) that I translated three times each—from what I felt was the lightest possible English construction of the Latin to the harshest. Each provides a different intensity of experience—does Apollo say no to rest in his \nnegat\n? Or deny rest?[2] Or both? None of the translations contradict each other, but they do tell different stories about the assault Daphne experienced at the hands of Apollo—an experience still relevant in our culture, today.   \n[1] Frank Justus Miller, trans., Ovid’s \nMetamorphoses\n, rev. ed. Loeb Classical Library 48 (Cambridge, MA: Harvard University Press, 2004), 41 and Charles Martin, trans., Ovid’s \nMetamorphoses\n (New York: W.W. Norton &amp; Company, 2004), 37, for both an old and recent example of \nfigura\n translated as \nbeauty\n.\n \n[2] Miller translated \nrequiem negat \nas “gave her no time to rest,” (41) Martin as “giving her no pause” (37).","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[],"section":"Translations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6v36g9xw","frozenauthors":[{"first_name":"Joan","middle_name":"Loftus","last_name":"Brunetta","name_suffix":"","institution":"Smith College","department":""}],"date_submitted":"2015-10-31T20:20:25-05:00","date_accepted":"2015-10-31T20:20:25-05:00","date_published":"2016-03-18T17:08:47-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/54948/galley/41440/download/"}]},{"pk":54954,"title":"Colors of Conquest: A Regional Survey of Hellenistic Wall Painting","subtitle":null,"abstract":"Abstract: \nOf all that survives in the form of artistic and architectural expression from the Hellenistic world, wall and panel painting are arguably the most underrepresented. In the case of painted wooden panels, or pinakes, that served as something akin to portable canvases for Greek and Hellenistic painters, the long span of over two thousand years has not been kind. Wooden panels, however, were not the only medium on which painters chose to apply their craft. A modest corpus of both painted friezes and painted panels has survived on the plastered walls of monumental Hellenistic tombs, from elite Hellenistic residences, and from mid to late first century BCE elite Roman domestic contexts. This paper undertakes a brief survey of these surviving remnants of the rich and prolific legacy of Hellenistic painting.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Archaeology"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1m25f9hr","frozenauthors":[{"first_name":"Marvin","middle_name":"","last_name":"Morris","name_suffix":"","institution":"U.C. Berkeley","department":""}],"date_submitted":"2016-03-18T17:02:56-05:00","date_accepted":"2016-03-18T17:02:56-05:00","date_published":"2016-03-18T17:08:24-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/54954/galley/41442/download/"}]},{"pk":54942,"title":"Translation of Vergil's Aeneid -- Bk. II: XL-LVI","subtitle":null,"abstract":"I originally translated Book II of Vergil’s Aeneid for my advanced placement Latin course in high school; two years later, I returned to the translation of the Aeneid for Professor Carrie Mowbray’s Latin course, which focused on an in-depth, thorough examination of the Aeneid (more specifically, Books I-VI) in both Latin and English. This excerpt taken from Book II has remained a favorite of mine for years, as the vivid imagery and language utilized allow readers to envision the most detailed of scenes. Vergil’s personification of the Trojan Horse is the prime reason this excerpt has always appealed to me. Of course, Laocoon’s famous line, “quidquid id est, timeo Danaos dona ferentis,” is oft-cited throughout ancient literature, on account of its structure and importance to the Aeneid’s plot. My translation aims to highlight the vivacity of Vergil’s poetry, in order to allow the readers to conjure up uniquely graphic and evocative scenes.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Aeneid"},{"word":"Vergil"},{"word":"Book II"},{"word":"Trojan Horse"}],"section":"Translations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2913v557","frozenauthors":[{"first_name":"Alexandra","middle_name":"Elizabeth","last_name":"Galarza","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2015-10-16T21:24:18-05:00","date_accepted":"2015-10-16T21:24:18-05:00","date_published":"2016-03-18T17:03:15-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/54942/galley/41438/download/"}]},{"pk":54945,"title":"Dearest to be Man's Companion: Hermes, Divine Aid and Agency","subtitle":null,"abstract":"This paper compares passages from Book 24 of the \nIliad\n, the \nHomeric Hymn to Demeter\n and the \nOdyssey \nand argues that Hermes's portrayal in archaic Greek literature is characterized by a high degree of sympathy for those under his guidance and a hands-on approach to divine intervention. In particular, parallels are drawn between Hermes's escorting of Priam to and from Achilles's camp, and his guidance of both Persephone and Herakles out of the underworld. These examples are contrasted with Hermes's role as a psychopomp and are used to argue that these texts display an understanding of divine aid that is not limited to mere function but which takes into account the personality and autonomous agency of individual deities.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Hermes, Iliad, Homeric Hymn to Demeter, Odyssey"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2545790m","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Chou","name_suffix":"","institution":"UC Berkeley","department":""}],"date_submitted":"2015-10-29T23:05:50-05:00","date_accepted":"2015-10-29T23:05:50-05:00","date_published":"2016-03-18T17:02:46-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/54945/galley/41439/download/"}]},{"pk":44119,"title":"The Role of Oral Food Challenge in Food Allergy Diagnosis and Management","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/55t860bb","frozenauthors":[{"first_name":"Tammy","middle_name":"","last_name":"Peng","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Vivian","middle_name":"","last_name":"Wang","name_suffix":"MD","institution":"","department":""},{"first_name":"Rita","middle_name":"","last_name":"Kachru","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-16T09:26:35-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44119/galley/32922/download/"}]},{"pk":44118,"title":"A Study of Wait Times and Delays for Patients Seeking Care Within a Geriatric Clinic","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/5m38m4hj","frozenauthors":[{"first_name":"Grace","middle_name":"","last_name":"Chen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Katherine","middle_name":"Sy","last_name":"Serrano","name_suffix":"MPH","institution":"","department":""},{"first_name":"Wellington","middle_name":"","last_name":"Chang","name_suffix":"","institution":"","department":""},{"first_name":"Ramneet","middle_name":"","last_name":"Manrai","name_suffix":"","institution":"","department":""},{"first_name":"Llewellyn","middle_name":"","last_name":"Tan","name_suffix":"","institution":"","department":""},{"first_name":"Brandon","middle_name":"","last_name":"Koretz","name_suffix":"MD, MBA","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-16T09:25:22-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44118/galley/32921/download/"}]},{"pk":44117,"title":"Estrogen Repletion in Postmenopausal Women May Reduce Recurrent Urinary Tract Infections","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/3h86z26d","frozenauthors":[{"first_name":"Grace","middle_name":"I.","last_name":"Chen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Maija","middle_name":"","last_name":"Sanna","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-15T09:24:04-05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44117/galley/32920/download/"}]},{"pk":6689,"title":"A Cross-Sectional Investigation of the Development of Modality in English Language Learners’ Writing: A Corpus-Driven Study","subtitle":null,"abstract":"The present research investigated the development of English modality in the written discourse of Arab second language (L2) English learners across six levels of English proficiency. Two hundred texts were randomly selected from each of the six levels resulting in a total of 1,200 texts. Following the concept-oriented approach (CoA) to second language acquisition (SLA), modal expressions were analyzed for frequency, type and combinations of modal auxiliaries and verbs. Results indicate that initially learners express the concept of modality with limited linguistic means at their disposal such as over reliance on the primary modals \ncan\n and \nwill\n. Expression of this semantic concept becomes more productive and variant as learners progress in their language proficiency. More forms and types of modal expressions emerge and learners make clear distinctions between forms and meanings.","language":"en","license":null,"keywords":[{"word":"Modality, The Concept-Oriented Approach, SLA, Corpus Analysis, ELL"},{"word":"Applied Linguistics"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/19z4h5h0","frozenauthors":[{"first_name":"Eman","middle_name":"","last_name":"Elturki","name_suffix":"","institution":"Washington State University","department":"None"},{"first_name":"Tom","middle_name":"","last_name":"Salsbury","name_suffix":"","institution":"Washington State University","department":"None"}],"date_submitted":"2013-03-27T14:37:41-05:00","date_accepted":"2013-03-27T14:37:41-05:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/6689/galley/3872/download/"}]},{"pk":6721,"title":"A micro-analysis of embodiments and speech in the pronunciation instruction of one ESL teacher","subtitle":null,"abstract":"During the last two decades conversation analysis (CA) has been used in second language classroom research to understand how instructors and their students achieve teaching and learning (Barraja-Rohan, 2011; Koshik, 1999; Markee, 2004; Wagner, 1996). Recent scholars have taken an approach that combines analysis of both talk and the body (Majlesi, 2014; McCafferty, 2006; Olsher, 2003; Platt and Brooks, 2008). Along with the work of the recent scholars, this study looks at how one teacher effectively uses talk, the body, and material artifacts to teach pronunciation in an ESL class in an intensive ESL program. By looking at the teacher’s talk, her embodied movements, and her use of material artifacts, the study sheds light on how the teacher and her students achieve teaching and learning regarding stressed syllables/words and the pronunciation of the phrase ‘It would.’","language":"en","license":null,"keywords":[{"word":"talk, the body, gestures, second language classroom research, second language pedagogy"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/993425h1","frozenauthors":[{"first_name":"Mai-Han","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2014-10-15T18:09:56-05:00","date_accepted":"2014-10-15T18:09:56-05:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/6721/galley/3878/download/"}]},{"pk":6696,"title":"Center stage: direct and indirect reported speech in conversational storytelling","subtitle":null,"abstract":"This paper explores how speakers use direct reported speech (DRS) and indirect reported speech (IDRS) in conversational narratives to establish the importance of particular story characters to the plot and to display the interactional goal of the story.  When the story is designed as being about a particular person, the speaker uses DRS to depict the character’s behavior and qualities, thus marking the centrality of the character to the plot. When the story is designed as being about a non-human phenomenon (e.g. the quality of healthcare, the noise in the neighborhood, etc.), the narrator may use IDRS to mark characters as secondary or even tangential to the plot.  By manipulating the grammatical resources of reporting someone else’s talk, storytellers can also manipulate the centrality of the story characters to the interactional point of the narrative, or the story’s “aboutness.”","language":"en","license":null,"keywords":[{"word":"reported speech, conversation, storytelling,"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/19b8197x","frozenauthors":[{"first_name":"Olga","middle_name":"","last_name":"Griswold","name_suffix":"","institution":"California State University at Pomona","department":"None"}],"date_submitted":"2013-07-29T16:59:23-05:00","date_accepted":"2013-07-29T16:59:23-05:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/6696/galley/3873/download/"}]},{"pk":6681,"title":"Critical Perspectives on Interlanguage Pragmatic Development: An Agenda for Research","subtitle":null,"abstract":"Research on L2 pragmatic development forms the mainstay of many interlanguage pragmatic (ILP) inquiries. Yet promoting L2 pragmatic competence becomes an exceedingly demanding task when different constraints are brought to bear. This dilemma is due in large part to contrasting theories on interlanguage pragmatics development. From exposure to instruction, ILP research has long wrestled with the practical problems in the way of such development. Adding these together, the field is in dire need of practically meaningful research to address the full spectrum of both the pragmatic construct and the factors to foster its development. Intent on piecing together disparate sources of theory and data, this review synthesizes research regarding key considerations in L2 pragmatic development from cognitive, sociocultural, psycholinguistic and independent vantage points. Meanwhile, it summarizes the current knowledge on ILP development and draws out critical questions in connection with the past research. It is argued that there is a dearth of an integrative model for the acquisition of pragmatic competence, which renders several controversies surrounding L2 pragmatic development, especially that of the relationship between grammar and pragmatic development patterns, implausible. To serve that purpose then, a model for the acquisition of L2 pragmatic competence is expounded. In conclusion, a research agenda involving two prime research questions is outlined for future directions.","language":"en","license":null,"keywords":[{"word":"L2 Pragmatic development"},{"word":"interlanguage pragmatics"},{"word":"Grammar and pragmatics relationship"},{"word":"Pragmatic competence acquisition model"},{"word":"Applied Linguistics"},{"word":"education"},{"word":"Second Language Acquisition"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6d37n01g","frozenauthors":[{"first_name":"Reza","middle_name":"","last_name":"Norouzian","name_suffix":"","institution":"Texas A&M University","department":"None"},{"first_name":"Zohreh","middle_name":"","last_name":"Eslami","name_suffix":"","institution":"Texas A&M University","department":"None"}],"date_submitted":"2012-06-25T02:35:37-05:00","date_accepted":"2012-06-25T02:35:37-05:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/6681/galley/3871/download/"}]},{"pk":6740,"title":"Editorial Volume 20","subtitle":null,"abstract":"N/A","language":"en","license":null,"keywords":[],"section":"Editorials","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2495s2v4","frozenauthors":[{"first_name":"Bahiyyih","middle_name":"L.","last_name":"Hardacre","name_suffix":"","institution":"California State Los Angeles","department":"None"}],"date_submitted":"2016-03-14T22:23:44-05:00","date_accepted":"2016-03-14T22:23:44-05:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/6740/galley/3880/download/"}]},{"pk":6710,"title":"Language Policy","subtitle":null,"abstract":"Scott Wilson","language":"en","license":null,"keywords":[{"word":"language policy, language planning,"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4pz8x4d9","frozenauthors":[{"first_name":"Scott","middle_name":"Keohookalani","last_name":"Wilson","name_suffix":"","institution":"UCLA","department":"None"}],"date_submitted":"2014-02-26T15:28:57-06:00","date_accepted":"2014-02-26T15:28:57-06:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/6710/galley/3877/download/"}]},{"pk":7150,"title":"Por favor, ¿Puedo tener una Coca-cola, por favor? L2 Development of Internal Mitigation in Requests","subtitle":null,"abstract":"The purpose of this study was to analyze the development of internal mitigating devices in requests by a group of second language (L2) learners studying abroad in Spain. The method of data collection was a role-play in which the learners interacted with a Spanish native speaker in two service-encounter request scenarios. The same role-plays were repeated at the end of the study abroad  period. A group of Spanish native speakers (NSs) also performed the same role-play task once and their data served as a baseline against which to compare the L2 learners’ performance. The results of this study show that the L2 learners reduced their use of the politeness marker por favor “please” and started using other devices more frequently by the end of their study abroad experience; however, in comparison with the NS group, the range and quantity of their internal devices continued to be much lower.","language":"en","license":null,"keywords":[{"word":"Second Language Acquisition"},{"word":"interlanguage pragmatics"},{"word":"Study abroad"},{"word":"requests"},{"word":"internal mitigation in requests"},{"word":"First and Second Language Acquisition"},{"word":"Semantics and Pragmatics"},{"word":"Spanish Linguistics"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/13r4d97g","frozenauthors":[{"first_name":"Rebeca","middle_name":"","last_name":"Bataller","name_suffix":"","institution":"Gettysburg College","department":"None"}],"date_submitted":"2011-09-09T11:05:38-05:00","date_accepted":"2011-09-09T11:05:38-05:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/7150/galley/4274/download/"}]},{"pk":6698,"title":"Review of the book [Reading, writing, and learning in ESL: A resource book for teaching K-12 English learners], by S. F. Peregoy &amp; O. F. Boyle with K. Cadeiro-Kaplan","subtitle":null,"abstract":"The book \nReading, Writing, and Learning in ESL\n is a resource that can be helpful to educators as they develop curricula and materials for their classes, particularly if they work in cross-disciplinary contexts. The work is valuable for both beginning and advanced-level teachers.","language":"en","license":null,"keywords":[{"word":"ESL, reading, writing, learning, teaching"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6gt7j5nf","frozenauthors":[{"first_name":"Raul","middle_name":"","last_name":"Fernandez-Calienes","name_suffix":"","institution":"St. Thomas University","department":"None"}],"date_submitted":"2013-09-04T15:21:57-05:00","date_accepted":"2013-09-04T15:21:57-05:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/6698/galley/3874/download/"}]},{"pk":3879,"title":"Traditional Egyptian II (Ptolemaic, Roman)","subtitle":null,"abstract":"From 404 BCE - 394 CE hieroglyphic texts were in general composed in the high-status language variety termed Traditional Egyptian. This was used exclusively in religious and sacerdotal contexts and is as such opposed to Demotic, which served both as a spoken and as a written language. Traditional Egyptian is a reflex of how the late scribes perceived the classical language. The result is a morphologically impoverished Egyptian (in comparison with the classical language), in combination with a phonology that corresponds largely to Demotic. Traditional Egyptian served as a vehicle for many new compositions, in particular religious inscriptions in temples and on papyri, but also funerary, historical, and autobiographical texts. Meanwhile, older texts in the classical language continued to be copied: as long as there are no reliable means of dating texts according to linguistic criteria, it remains difficult to establish the exact corpus of texts written in Traditional Egyptian.","language":"en","license":null,"keywords":[{"word":"Egyptian"},{"word":"Language"}],"section":"Language, Text and Writing","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8g73w3gp","frozenauthors":[{"first_name":"Ake","middle_name":"","last_name":"Engsheden","name_suffix":"","institution":"Stockholm University, Stockholm","department":"None"}],"date_submitted":"2012-12-01T17:53:10-06:00","date_accepted":"2012-12-01T17:53:10-06:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/nelc_uee/article/3879/galley/2498/download/"}]},{"pk":6723,"title":"Using Student Writing Reflections to Inform Our Understanding of Feedback Receptivity","subtitle":null,"abstract":"This study explores the reflections of 27 native and high-proficiency English-speaking students in two sections of a six-week U.S. college undergraduate content/writing course, to determine what factors influence student receptivity to peer feedback. Reflections stemmed from weekly writing journals designed to enhance process writing skill development, and assessed how amenable students were to peer feedback. Subsequent qualitative analyses resulted in four significant student-generated orientations, each with substantial potential to inform peer review as a component of classroom process writing. The four orientations were: a) overall value orientations; b) interpersonal assessment orientations; c) feedback level orientations; and d) critical assessment orientations. Based upon these findings, several suggestions for improving peer review classroom pedagogy are explored, resulting in implications for enhancing peer review practices more generally and the subsequent reception of student feedback, with relevance for L1 and L2 writing instructional contexts.","language":"en","license":null,"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3v7478vg","frozenauthors":[{"first_name":"Laura","middle_name":"","last_name":"Walls","name_suffix":"","institution":"University of Nebraska at Omaha","department":"None"},{"first_name":"Jeremy","middle_name":"","last_name":"Kelley","name_suffix":"","institution":"University of California at Los Angeles","department":"None"}],"date_submitted":"2014-11-19T19:10:37-06:00","date_accepted":"2014-11-19T19:10:37-06:00","date_published":"2016-03-15T02:00:00-05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/6723/galley/3879/download/"}]},{"pk":44116,"title":"Pulmonary Benign Metastasizing Leiomyoma Presenting with Chronic Cough","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/12j16755","frozenauthors":[{"first_name":"Brian","middle_name":"","last_name":"Wong","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-10T08:01:56-06:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44116/galley/32919/download/"}]},{"pk":44113,"title":"A Case of Zoster Associated Brachial Plexopathy","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/7cf0z0rs","frozenauthors":[{"first_name":"Annapoorna","middle_name":"","last_name":"Chirra","name_suffix":"MD, DTM&H","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Thomas","middle_name":"","last_name":"Mattimore","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-08T17:51:36-06:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44113/galley/32916/download/"}]},{"pk":9682,"title":"Table of Contents","subtitle":null,"abstract":"","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/514720wn","frozenauthors":[{"first_name":"Vincent","middle_name":"","last_name":"Lam","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2016-03-08T16:51:57-06:00","date_accepted":"2016-03-08T16:51:57-06:00","date_published":"2016-03-08T16:52:07-06:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9682/galley/5371/download/"}]},{"pk":9681,"title":"Sponsors and Advertising","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/86z5s1tb","frozenauthors":[{"first_name":"Vincent","middle_name":"","last_name":"Lam","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2016-03-08T16:46:37-06:00","date_accepted":"2016-03-08T16:46:37-06:00","date_published":"2016-03-08T16:46:46-06:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9681/galley/5370/download/"}]},{"pk":9680,"title":"Masthead","subtitle":null,"abstract":"","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/8mb8k56n","frozenauthors":[{"first_name":"Vincent","middle_name":"","last_name":"Lam","name_suffix":"","institution":"UC Irvine","department":"None"}],"date_submitted":"2016-03-08T16:45:05-06:00","date_accepted":"2016-03-08T16:45:05-06:00","date_published":"2016-03-08T16:45:19-06:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9680/galley/5369/download/"}]},{"pk":39455,"title":"Green Behavior of Middle Income Population in Bogota, Colombia:  A Study in the Locality of Fontibon","subtitle":null,"abstract":"There is growing concern in the world about the adequate use of resources. World leaders met in Paris in December 2015 to discuss the issue of global warming, showed the importance of the topic. Colombia is not an exception to the matter. In the city of Bogota, there is growing concern about sustainability both in the government and in the public. However, growing concern does not necessarily mean taking actions or adopt behaviors to improve a problematic situation. Taking this matter into consideration, this article shows the results of a research that determined the behavior and perceptions that population of middle income from the city of Bogota have, regarding the preservation of the environment. Surveys were applied of 50 people in the locality of Fontibon, Bogotá. This article shows the results of the study regarding differences in behaviors in terms of demographic characteristics such as gender and age.","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":"Green behavior"},{"word":"demographic characteristics, green marketing, Bogotá"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8004q529","frozenauthors":[{"first_name":"Carlos","middle_name":"","last_name":"Salcedo Perez","name_suffix":"","institution":"Professor\nUniversidad EAN","department":"None"},{"first_name":"Cesar A","middle_name":"","last_name":"Serna","name_suffix":"","institution":"External Researcher\n\nUniversidad EAN","department":"None"}],"date_submitted":"2016-03-01T06:31:49-06:00","date_accepted":"2016-03-01T06:31:49-06:00","date_published":"2016-03-08T12:21:14-06:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39455/galley/29786/download/"}]},{"pk":41633,"title":"A fossil giant tortoise from the Mehrten Formation of Northern California","subtitle":null,"abstract":"Hesperotestudo \nis a genus of giant tortoise that existed from the Oligocene to the Pleistocene of North and Central America. Recorded occurrences in the United States are plentiful; however, California seems to be an exception. Literature on \nHesperotestudo \nin California is limited to faunal lists in papers, with few detailed descriptions. Here we review the literature on the genus, describe and identify specimens found in the upper Mehrten Formation (late Miocene-early Pliocene) exposed in the Central Valley of California at Turlock and Modesto Reservoirs, Stanislaus County, and address their implications for early Pliocene California biogeography and climate. All fossils described are from the collections of the University of California Museum of Paleontology (UCMP). The largest specimen from the Mehrten is a peripheral from an animal with an estimated carapace length over one meter. The specimens were compared first to modern material of \nGopherus\n, the only other tortoise genus from the late Miocene-early Pliocene of California, and then to measurements from the literature of the three species of \nHesperotestudo \nto which it could most likely be referred:\n H. osborniana, H. orthopygia, and H. campester. \nBased on characteristics and measurements of the carapace and plastron, these specimens are assigned to \nH. orthopygia. Hesperotestudo orthopygia \nis\n \na species known primarily from the Great Plains region, so its presence in California during the late Miocene-early Pliocene indicates that it expanded west into California at this time. Large tortoises are not very tolerant of frost conditions, possibly indicating a relatively frost free climate for this area at the time. This agrees with previous estimates of annual temperature records based on plant fossils from the upper Mehrten Formation, in particular the presence of \nPersea, \nan avocado relative, which is also frost sensitive.","language":"en","license":null,"keywords":[{"word":"Tortoise, Hesperotestudo, orthopygia, California, Miocene, Pliocene, Mehrten"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2vf0k82q","frozenauthors":[{"first_name":"Jacob","middle_name":"","last_name":"Biewer","name_suffix":"","institution":"California State University Stanislaus","department":"None"},{"first_name":"Julia","middle_name":"","last_name":"Sankey","name_suffix":"","institution":"California State University Stanislaus","department":"None"},{"first_name":"Howard","middle_name":"","last_name":"Hutchison","name_suffix":"","institution":"University of California Museum of Paleontology","department":"None"},{"first_name":"Dennis","middle_name":"","last_name":"Garber","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2016-03-08T22:01:37-06:00","date_accepted":"2016-03-08T22:01:37-06:00","date_published":"2016-03-08T02:00:00-06:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucmp_paleobios/article/41633/galley/31163/download/"}]},{"pk":33650,"title":"A Hoard of Hebrew MSS","subtitle":null,"abstract":"Ben Outhwaite tells the stories of the people who immerse themselves in one of the most valuable total archives in existence—the Cairo Genizah.","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/4cg312x9","frozenauthors":[{"first_name":"Ben","middle_name":"","last_name":"Outhwaite","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33650/galley/24697/download/"}]},{"pk":33652,"title":"Alan Lomax and the Temple of Movement","subtitle":null,"abstract":"Alan Lomax wanted to catalogue all human movement. Whitney Laemmli explores the high modern utopianism of the Choreometrics project.","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/3mp8h6c9","frozenauthors":[{"first_name":"Whitney","middle_name":"","last_name":"Laemmli","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33652/galley/24699/download/"}]},{"pk":33649,"title":"Archiving Descriptive Language Data","subtitle":null,"abstract":"Judith Kaplan explores the possibility of a new GOLD standard for archiving the world's endangered language data.","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/7t56m4cn","frozenauthors":[{"first_name":"Judith","middle_name":"","last_name":"Kaplan","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33649/galley/24696/download/"}]},{"pk":33644,"title":"Blood, Paper, and Total Human Genetic Diversity","subtitle":null,"abstract":"Jenny Bangham explains how the attempt to create a supply of all possible types of human blood gave rise to genetic diversity research in the 20th century.","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/0fr0m1j3","frozenauthors":[{"first_name":"Jenny","middle_name":"","last_name":"Bangham","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33644/galley/24691/download/"}]},{"pk":33638,"title":"Duplicate, Leak, Deity","subtitle":null,"abstract":"Lawrence Cohen de-duplicates the complex story of India’s Biometric Archive(s).","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/1bz6f9p5","frozenauthors":[{"first_name":"Lawrence","middle_name":"","last_name":"Cohen","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33638/galley/24685/download/"}]},{"pk":33654,"title":"Exhibit: The Entropy Archives","subtitle":null,"abstract":"What does a perfectly random archive look like? Finn Brunton explains.","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/9tf7k22h","frozenauthors":[{"first_name":"Finn","middle_name":"","last_name":"Brunton","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33654/galley/24701/download/"}]},{"pk":33647,"title":"Fragments of Plague","subtitle":null,"abstract":"Branwyn Poleykett, Nicholas HA Evans and Lukas Engelmann are rethinking the role of the visual in the creation of a total archive of the Third Plague Pandemic.","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/61v6d0pb","frozenauthors":[{"first_name":"Nicholas H. A.","middle_name":"","last_name":"Evans","name_suffix":"","institution":"","department":""},{"first_name":"Branwyn","middle_name":"","last_name":"Poleykett","name_suffix":"","institution":"","department":""},{"first_name":"Lukas","middle_name":"","last_name":"Engelmann","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33647/galley/24694/download/"}]},{"pk":33641,"title":"How to be open about being closed","subtitle":null,"abstract":"How does the Internet forget what it should not remember? Reuben Binns dives inside the rules for Biographies of Living Persons at Wikipedia and the right to be forgotten.","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/6cx4m7hp","frozenauthors":[{"first_name":"Reuben","middle_name":"","last_name":"Binns","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33641/galley/24688/download/"}]},{"pk":33648,"title":"In the Name of Humanity","subtitle":null,"abstract":"The total archive is already here, Balázs Bodó finds it hidden in the shadows and run by pirates.","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/47v0g4hd","frozenauthors":[{"first_name":"Balázs","middle_name":"","last_name":"Bodó","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33648/galley/24695/download/"}]},{"pk":33640,"title":"Just What Are We Archiving?","subtitle":null,"abstract":"What kind of people will we become if we keep trying to archive everything? Geof Bowker reports from inside the Skinner Box.","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/9v88p8hz","frozenauthors":[{"first_name":"Geof","middle_name":"","last_name":"Bowker","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33640/galley/24687/download/"}]},{"pk":33635,"title":"Keeping the Books","subtitle":null,"abstract":"Finn Brunton goes inside the Bitcoin blockchain to explore the weirdly meticulous collective archive, and how it might someday govern us.","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/9rz1g9sb","frozenauthors":[{"first_name":"Finn","middle_name":"","last_name":"Brunton","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33635/galley/24682/download/"}]},{"pk":33634,"title":"Preface: The Total Archive","subtitle":null,"abstract":"Archives make the future. Editors Boris Jardine and Christopher Kelty explore how archives govern us.","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/4c14q292","frozenauthors":[{"first_name":"Christopher M.","middle_name":"","last_name":"Kelty","name_suffix":"","institution":"","department":""},{"first_name":"Boris","middle_name":"","last_name":"Jardine","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33634/galley/24681/download/"}]},{"pk":33651,"title":"Selections from the Valaco Archive","subtitle":null,"abstract":"Vadig de Croehling, Director of Ideation, Process, and Interface at the Group for Research on Experimental Accumulation and Speculative Archives (REASArch), offers a sampling of elements from one of his organization’s most inscrutable archival projects.","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/73h5p71m","frozenauthors":[{"first_name":"Vadig","middle_name":"","last_name":"de Croehling","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33651/galley/24698/download/"}]},{"pk":33636,"title":"The Bombing Encyclopedia of the World","subtitle":null,"abstract":"How do you plan for the sudden onset of total war? Stephen J. Collier and Andrew Lakoff describe the construction of a vast collection of data about the vital, vulnerable systems of every nation in the world in the aftermath of World War II.","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/1jp157xt","frozenauthors":[{"first_name":"Stephen J.","middle_name":"","last_name":"Collier","name_suffix":"","institution":"","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Lakoff","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33636/galley/24683/download/"}]},{"pk":33643,"title":"The Genomic Open","subtitle":null,"abstract":"Leaders of the Human Genome Project promised a genomic total archive. Jenny Reardon argues that their quest inspired visions of freedom and imprisonment vital to understanding today’s ambivalences around open genomic data.","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/1zx4g6ww","frozenauthors":[{"first_name":"Jenny","middle_name":"","last_name":"Reardon","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33643/galley/24690/download/"}]},{"pk":33642,"title":"The Origins of Happiness","subtitle":null,"abstract":"Boris Jardine tells the story of a little ladder intended to tell us what everyone wants. Where on the ladder are you?","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/4b29w74m","frozenauthors":[{"first_name":"Boris","middle_name":"","last_name":"Jardine","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33642/galley/24689/download/"}]},{"pk":33639,"title":"The Totality of True Propositions (Before) (2008-2009)","subtitle":null,"abstract":"Like a cartographic exercise, Julien Prévieux traces the outlines of a completely uchronic parallel future, not without wit.","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/0km652th","frozenauthors":[{"first_name":"Julien","middle_name":"","last_name":"Prévieux","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33639/galley/24686/download/"}]},{"pk":33645,"title":"Unending Archives","subtitle":null,"abstract":"Aleph or Library? Work from the UA Artist Collective explores whether art can be an archive, or an archive art.","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/7vn793r7","frozenauthors":[{"first_name":"UA Artists Collective","middle_name":"","last_name":"","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33645/galley/24692/download/"}]},{"pk":33637,"title":"Unpacking Google’s Library","subtitle":null,"abstract":"Google wanted to digitize all the world’s books but eventually abandoned that goal. Mary Murrell explores the rise and fall of one utopian library project and the emergence of new ones in its wake.","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/1pv291mm","frozenauthors":[{"first_name":"Mary","middle_name":"","last_name":"Murrell","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33637/galley/24684/download/"}]},{"pk":33646,"title":"What Escapes the Total Archive","subtitle":null,"abstract":"Rebecca Lemov relates how the stories in the a “database of dreams” leak out of the edges, and sometimes overwhelm totality with particularity.","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/1xp8b2hz","frozenauthors":[{"first_name":"Rebecca","middle_name":"","last_name":"Lemov","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33646/galley/24693/download/"}]},{"pk":33653,"title":"Zebras, Blanks and Blobs","subtitle":null,"abstract":"How can we work with vast digital collections? Artist Fabienne Hess explores the content and scale of an online image database","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/5p55509v","frozenauthors":[{"first_name":"Fabienne","middle_name":"","last_name":"Hess","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2016-03-04T14:00:00-06:00","render_galley":null,"galleys":[{"label":"HTML","type":"pdf","path":"https://journalpub.escholarship.org/limn/article/33653/galley/24700/download/"}]},{"pk":39453,"title":"Environmental Sustainability for Public Libraries in Portugal: a first approach","subtitle":null,"abstract":"This article shares the results of the investigation on environmental sustainability practices within public libraries in Portugal for the Master Course in Library and Information Science at Lisbon University.\n \nThe work intends to be a line of thought that meets the goals for \nsustainable development\n outlined by the United Nations and the International Federation of Libraries Association – a proposal for the inclusion of libraries and information in the post-2015 agenda.\n \nThe research of green libraries around the world demonstrated a growing number that applies environmental sustainability criteria in their strategic and management action.\n \nAre emerging academic research, conferences and seminars devoted to the theme, proposals for revision of the academic curriculum in Library Information Science. Library professional associations worldwide are creating working groups and encourage debate on environmental sustainability and the concept of \"global library\".\n \nTo understand the Portuguese situation in this matter, questionnaires were sent to all municipal libraries in each district, resulting in a sample of 84 public libraries.","language":"en","license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"sustainable development"},{"word":"Environmental sustainability"},{"word":"science information"},{"word":"public libraries"},{"word":"Portugal"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9t8791rq","frozenauthors":[{"first_name":"Sandra","middle_name":"Moura","last_name":"Dias","name_suffix":"","institution":"Lisbon University","department":"None"}],"date_submitted":"2016-01-27T10:21:31-06:00","date_accepted":"2016-01-27T10:21:31-06:00","date_published":"2016-03-04T00:20:15-06:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39453/galley/29785/download/"}]},{"pk":44115,"title":"Learning Primary Care","subtitle":null,"abstract":null,"language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Commentary"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5022n895","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":"2016-03-03T07:57:54-06:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/44115/galley/32918/download/"}]},{"pk":9097,"title":"Reduction in Radiation Exposure through a Stress Test Algorithm in an Emergency Department Observation Unit","subtitle":null,"abstract":"Introduction:\n Clinicians are urged to decrease radiation exposure from unnecessary medical procedures. Many emergency department (ED) patients placed in an observation unit (EDOU) do not require chest pain evaluation with a nuclear stress test (NucST). We sought to implement a simple ST algorithm that favors non-nuclear stress test (Non-NucST) options to evaluate the effect of the algorithm on the proportion of patients exposed to radiation by comparing use of NucST versus Non-NucST pre- and post-algorithm.\nMethods:\n An ST algorithm was introduced favoring Non-NucST and limiting NucST to a subset of EDOU patients in October 2008. We analyzed aggregate data before (Jan-Sept 2008, period 1) and after (Jan-Sept 2009 and Jan-Sept 2010, periods 2 and 3 respectively) algorithm introduction. A random sample of 240 EDOU patients from each period was used to compare 30-day major adverse cardiac events (MACE). We calculated confidence intervals for proportions or the difference between two proportions.\nResults:\n A total of 5,047 STs were performed from Jan-Sept 2008-2010. NucST in the EDOU decreased after algorithm introduction from period 1 to 2 (40.7%, 95% CI [38.3-43.1] vs. 22.1%, 95% CI [20.1-24.1]), and remained at 22.1%, 95% CI [20.3-24.0] in period 3. There was no difference in 30-day MACE rates before and after algorithm use (0.1% for period 1 and 3, 0% for period 2).\nConclusion:\n Use of a simple ST algorithm that favors non-NucST options decreases the proportion of EDOU chest pain patients exposed to radiation exposure from ST almost 50% by limiting NucST to a subset of patients, without a change in 30-day MACE.","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 Medicine"}],"section":"Healthcare Utilization","is_remote":true,"remote_url":"https://escholarship.org/uc/item/70v430qk","frozenauthors":[{"first_name":"Margarita","middle_name":"E.","last_name":"Pena","name_suffix":"","institution":"St. John Hospital and Medical Center, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Michael","middle_name":"R.","last_name":"Jakob","name_suffix":"","institution":"St. John Hospital and Medical Center, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Gerald","middle_name":"I.","last_name":"Cohen","name_suffix":"","institution":"St. John Hospital and Medical Center, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Charlene","middle_name":"B.","last_name":"Irvin","name_suffix":"","institution":"St. John Hospital and Medical Center, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Nastaran","middle_name":"","last_name":"Solano","name_suffix":"","institution":"St. John Hospital and Medical Center, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Ashley","middle_name":"R.","last_name":"Bowerman","name_suffix":"","institution":"St. John Hospital and Medical Center, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Susan","middle_name":"M.","last_name":"Szpunar","name_suffix":"","institution":"St. John Hospital and Medical Center, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Mason","middle_name":"K.","last_name":"Dixon","name_suffix":"","institution":"St. John Hospital and Medical Center, Department of Emergency Medicine, Detroit, Michigan","department":"None"}],"date_submitted":"2015-06-20T18:31:39-05:00","date_accepted":"2015-06-20T18:31:39-05:00","date_published":"2016-03-02T18:32:31-06:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/9097/galley/5106/download/"}]}]}