{"count":38432,"next":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=25700","previous":"https://eartharxiv.org/api/articles/?format=json&limit=100&offset=25500","results":[{"pk":42667,"title":"Excerpt from \nDomestic Subjects: Gender, Citizenship, and Law in Native American Literature","subtitle":null,"abstract":"Excerpted from Beth H. Piatote, \nDomestic Subjects: Gender, Citizenship, and Law in Native American Literature\n (New Haven, CT: Yale University Press, 2013).\nReprinted with permission from Yale University Press.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"},{"word":"gender"},{"word":"Native American Literature"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4z54z97g","frozenauthors":[{"first_name":"Beth","middle_name":"H.","last_name":"Piatote","name_suffix":"","institution":"University of California, Berkeley","department":"None"}],"date_submitted":"2013-09-23T02:43:25+08:00","date_accepted":"2013-09-23T02:43:25+08:00","date_published":"2013-09-23T02:44:35+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42667/galley/31847/download/"}]},{"pk":42666,"title":"Excerpt from \nModern Minority: Asian American Literature and Everyday Life","subtitle":null,"abstract":"Reprinted from \nModern Minority: Asian American Literature and Everyday Life\n by Yoon Sun Lee, with permission from Oxford University Press USA. © 2013 Oxford University Press","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"},{"word":"Asian American Literature"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1x1106p5","frozenauthors":[{"first_name":"Yoon Sun","middle_name":"","last_name":"Lee","name_suffix":"","institution":"Wellesley College","department":"None"}],"date_submitted":"2013-09-23T02:38:46+08:00","date_accepted":"2013-09-23T02:38:46+08:00","date_published":"2013-09-23T02:39:21+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42666/galley/31846/download/"}]},{"pk":42665,"title":"Excerpt from \nEast Is West and West Is East: Gender, Culture, and Interwar Encounters between Asia and America","subtitle":null,"abstract":"Excerpted from Karen Kuo, \nEast Is West and West Is East: Gender, Culture, and Interwar Encounters between Asia and America\n (Philadelphia: Temple University Press, 2012).\nReprinted with permission from Temple University Press.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"},{"word":"Asia"},{"word":"gender"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/72t3h0kw","frozenauthors":[{"first_name":"Karen","middle_name":"","last_name":"Kuo","name_suffix":"","institution":"Arizona State University","department":"None"}],"date_submitted":"2013-09-23T02:34:38+08:00","date_accepted":"2013-09-23T02:34:38+08:00","date_published":"2013-09-23T02:35:11+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42665/galley/31845/download/"}]},{"pk":42664,"title":"Excerpt from \nFear Itself: The New Deal and the Origins of Our Time","subtitle":null,"abstract":"Reprinted from \nFear Itself: The New Deal and the Origins of Our Time\n by Ira Katznelson. Copyright © 2013 by Ira Katznelson. With the permission of the publisher, Liveright Publishing Corporation.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"},{"word":"New Deal"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2mp3t3wb","frozenauthors":[{"first_name":"Ira","middle_name":"","last_name":"Katznelson","name_suffix":"","institution":"Columbia University","department":"None"}],"date_submitted":"2013-09-23T02:30:28+08:00","date_accepted":"2013-09-23T02:30:28+08:00","date_published":"2013-09-23T02:31:05+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42664/galley/31844/download/"}]},{"pk":42663,"title":"Excerpt from \nGlobal and Transnational History: The Past, Present, and Future","subtitle":null,"abstract":"Excerpted from Akira Iriye, \nGlobal and Transnational History: The Past, Present, and Future\n (Basingstoke and New York: Palgrave Macmillan, 2012).\nReprinted with permission from Palgrave Macmillan.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"},{"word":"Global"},{"word":"History"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2p07m4pb","frozenauthors":[{"first_name":"Akira","middle_name":"","last_name":"Iriye","name_suffix":"","institution":"Harvard University","department":"None"}],"date_submitted":"2013-09-23T02:26:01+08:00","date_accepted":"2013-09-23T02:26:01+08:00","date_published":"2013-09-23T02:26:34+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42663/galley/31843/download/"}]},{"pk":42662,"title":"Excerpt from \nThe Red Land to the South: American Indian Writers and Indigenous Mexico","subtitle":null,"abstract":"Excerpted from James H. Cox, \nThe Red Land to the South: American Indian Writers and Indigenous Mexico\n (Minneapolis: University of Minnesota Press, 2012).\nReprinted with permission from University of Minnesota Press.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"},{"word":"American Indian"},{"word":"Native American"},{"word":"Mexico"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5gb0j3xw","frozenauthors":[{"first_name":"James","middle_name":"H.","last_name":"Cox","name_suffix":"","institution":"University of Texas, Austin","department":"None"}],"date_submitted":"2013-09-23T02:19:01+08:00","date_accepted":"2013-09-23T02:19:01+08:00","date_published":"2013-09-23T02:19:54+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42662/galley/31842/download/"}]},{"pk":42661,"title":"Excerpt from \nPacific Connections: The Making of the U.S.–Canadian Borderlands","subtitle":null,"abstract":"Excerpted from Kornel S. Chang, \nPacific Connections: The Making of the U.S.–Canadian Borderlands\n (Berkeley: University of California Press, 2012).","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"},{"word":"Pacific"},{"word":"Canada"},{"word":"borderlands"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1jx685zc","frozenauthors":[{"first_name":"Kornel","middle_name":"S.","last_name":"Chang","name_suffix":"","institution":"Rutgers University, Newark","department":"None"}],"date_submitted":"2013-09-23T02:13:00+08:00","date_accepted":"2013-09-23T02:13:00+08:00","date_published":"2013-09-23T02:14:37+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42661/galley/31841/download/"}]},{"pk":42660,"title":"Forward Editor’s Note","subtitle":null,"abstract":"Forward Editor’s Note for \nJTAS\n 5.1","language":"en","license":null,"keywords":[],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8mg349wx","frozenauthors":[{"first_name":"Greg","middle_name":"","last_name":"Robinson","name_suffix":"","institution":"Université du Québec à Montréal","department":"None"}],"date_submitted":"2013-09-23T02:07:37+08:00","date_accepted":"2013-09-23T02:07:37+08:00","date_published":"2013-09-23T02:08:27+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42660/galley/31840/download/"}]},{"pk":42659,"title":"About the Contributors","subtitle":null,"abstract":"Contributors for \nJTAS\n 5.1","language":"en","license":null,"keywords":[],"section":"Contributors","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3s3315vh","frozenauthors":[{"first_name":"Caroline","middle_name":"","last_name":"Hong","name_suffix":"","institution":"Queens College, City University of New York","department":"None"}],"date_submitted":"2013-09-23T02:01:55+08:00","date_accepted":"2013-09-23T02:01:55+08:00","date_published":"2013-09-23T02:02:47+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42659/galley/31839/download/"}]},{"pk":42658,"title":"Editor’s Note","subtitle":null,"abstract":"Editor's Note for \nJTAS\n 5.1","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"}],"section":"Issue Editors' Note","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5gq7r88m","frozenauthors":[{"first_name":"Alfred","middle_name":"","last_name":"Hornung","name_suffix":"","institution":"Johannes Gutenberg University of Mainz","department":"None"}],"date_submitted":"2013-09-23T01:54:29+08:00","date_accepted":"2013-09-23T01:54:29+08:00","date_published":"2013-09-23T01:55:31+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42658/galley/31838/download/"}]},{"pk":42657,"title":"Good Enough for Booker T to Kiss: Hampton, Tuskegee, and Caribbean Self-Fashioning","subtitle":null,"abstract":"This article examines the raced and gendered investments of early twentieth-century Caribbean subjects in Booker T. Washington, who was perhaps the most powerful African American in the late nineteenth and early twentieth centuries, and the two educational institutions with which he was associated, the Tuskegee and Hampton Institutes.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Caribbean"},{"word":"Transnational"},{"word":"Booker T. Washington"}],"section":"SPECIAL FORUM: American Studies: Caribbean Edition (Edited by Belinda Edmondson and Donette Francis)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2jx0z2xq","frozenauthors":[{"first_name":"Faith","middle_name":"","last_name":"Smith","name_suffix":"","institution":"Brandeis University","department":"None"}],"date_submitted":"2013-09-23T01:03:31+08:00","date_accepted":"2013-09-23T01:03:31+08:00","date_published":"2013-09-23T01:05:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42657/galley/31837/download/"}]},{"pk":42656,"title":"“Transcendental Cosmopolitanism”: Orlando Patterson and the \nNovel Jamaican\n 1960s","subtitle":null,"abstract":"This article repositions Orlando Patterson, the originator of “social death,” in his Caribbean milieu and suggests that part of why “social death” as a conceptual category has become fossilized is precisely because North American scholars have neglected other works in Patterson’s oeuvre, particularly the Caribbean scholarship that precedes \nSlavery and Social Death\n and the “richer stories” he attempts to tell in his largely unstudied Caribbean novels of the 1960s. This article attends to the emphasis on the hierarchies of difference and the idiom of sex within an understanding of “social death” in its close reading of Patterson’s 1972 neoslave narrative \nDie the Long Day\n.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Caribbean"},{"word":"Transnational"},{"word":"Transcendental Cosmopolitanism"},{"word":"Social Death"},{"word":"Orlando Patterson"}],"section":"SPECIAL FORUM: American Studies: Caribbean Edition (Edited by Belinda Edmondson and Donette Francis)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9cg5249p","frozenauthors":[{"first_name":"Donette","middle_name":"","last_name":"Francis","name_suffix":"","institution":"University of Miami","department":"None"}],"date_submitted":"2013-09-23T00:39:58+08:00","date_accepted":"2013-09-23T00:39:58+08:00","date_published":"2013-09-23T00:40:46+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42656/galley/31836/download/"}]},{"pk":42655,"title":"Democracy as a Human Right: Raymond Joseph, Despotic Haiti, and the Translation of a Rights Discourse, 1965–1969","subtitle":null,"abstract":"This article examines Raymond Joseph’s political vision of Haiti between 1965 and 1969, particularly through how he appropriates, links, and frames a human rights discourse that is dependent upon and constitutive of democratic principles of collectivity, popular control, and relative political and economic equality.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Caribbean"},{"word":"Transnational"},{"word":"democracy"},{"word":"Raymond Joseph"},{"word":"Haiti"},{"word":"Human Rights"}],"section":"SPECIAL FORUM: American Studies: Caribbean Edition (Edited by Belinda Edmondson and Donette Francis)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/94n2r4k6","frozenauthors":[{"first_name":"Millery","middle_name":"","last_name":"Polyné","name_suffix":"","institution":"New York University","department":"None"}],"date_submitted":"2013-09-23T00:29:06+08:00","date_accepted":"2013-09-23T00:29:06+08:00","date_published":"2013-09-23T00:29:56+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42655/galley/31835/download/"}]},{"pk":42654,"title":"The Problem with Violence: Exceptionality and Sovereignty in the New World","subtitle":null,"abstract":"For many observers, the violent and often spectacular crime that takes place in particular Caribbean areas is evidence of a failure to create a growth-oriented economy and morally progressive ethos. It is a problem of culture, a mark of backwardness, an unsuccessful movement from savagery, or a failure to take advantage of post-World War II opportunities for development in political, economic, and socio-cultural fields. At the very least, it is something that marks the Caribbean—as well as some spaces within Latin America—as seeming to have taken a different path in relation to other New World trajectories. This article uses the case of Jamaica—itself often portrayed as exceptional within the region—to think through how, when, and why the US is, on one hand and from one perspective, written out of these narratives and, on the other and from alternative vantage points, central to them. In doing so, Thomas emphasizes the long-standing transnational dimension of violence in the postcolonial Americas, situating the New World as a single sphere of experience, in order to say something about the relationships among violence, the exploitation and settlement of the New World, sovereignty, and the various phases of modern capitalism.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Caribbean"},{"word":"Transnational"},{"word":"Violence"},{"word":"Exceptionality"},{"word":"sovereignty"},{"word":"New World"}],"section":"SPECIAL FORUM: American Studies: Caribbean Edition (Edited by Belinda Edmondson and Donette Francis)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5z13v661","frozenauthors":[{"first_name":"Deborah","middle_name":"A.","last_name":"Thomas","name_suffix":"","institution":"University of Pennsylvania","department":"None"}],"date_submitted":"2013-09-23T00:22:52+08:00","date_accepted":"2013-09-23T00:22:52+08:00","date_published":"2013-09-23T00:23:54+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42654/galley/31834/download/"}]},{"pk":42653,"title":"Archipelagic American Studies and the Caribbean","subtitle":null,"abstract":"This article, as part of the “American Studies: Caribbean Edition” Special Forum, brings specific focus to the ways in which the Caribbean and the field of Caribbean Studies insists upon a version of American Studies that sheds its post-exceptionalist anti-insularity and, in the process, emerges as transregional and archipelagic.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Caribbean"},{"word":"Transnational"},{"word":"Archipelagic"}],"section":"SPECIAL FORUM: American Studies: Caribbean Edition (Edited by Belinda Edmondson and Donette Francis)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/52f2966r","frozenauthors":[{"first_name":"Brian","middle_name":"Russell","last_name":"Roberts","name_suffix":"","institution":"Brigham Young University","department":"None"},{"first_name":"Michelle","middle_name":"","last_name":"Stephens","name_suffix":"","institution":"Rutgers University, New Brunswick","department":"None"}],"date_submitted":"2013-09-23T00:07:37+08:00","date_accepted":"2013-09-23T00:07:37+08:00","date_published":"2013-09-23T00:08:35+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42653/galley/31833/download/"}]},{"pk":42652,"title":"Aluminum across the Americas: Caribbean Mobilities and Transnational American Studies","subtitle":null,"abstract":"The emerging field of critical mobilities research posits the need to replace sedentary approaches to nation-states as containers for national societies and repositories of national histories with a far more relational understanding of transnational and cross-regional dynamics. It proposes “mobile methodologies” for research that cross national boundaries, including following people, commodities, and cultures as they circulate between various interlinked sites of production and consumption. Yet few have noted the debt of mobilities research to Caribbean Studies and to the theoretical trajectories that have arisen out of research on the colonial and postcolonial Atlantic world. This article aims to situate the “new mobilities paradigm” in relation to Caribbean and transnational American Studies, and to mobilize Caribbean Studies as an approach that transcends regional or national paradigms. After tracing some of the theoretical intersections of mobilities theory and Caribbean Studies, the article sketches the arc of the author’s own work, leading into a current research project on the mobilities of bauxite/aluminum as a material object. Following the mobilities of aluminum allows us to break open both US American history and particular Caribbean national histories into a dynamic pan-American framework that challenges the geographical fixity of American Studies and illustrates the importance of placing (im)mobilities at the center of transnational American Studies.","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Caribbean"},{"word":"Transnational"},{"word":"Mobilities"},{"word":"Aluminum"}],"section":"SPECIAL FORUM: American Studies: Caribbean Edition (Edited by Belinda Edmondson and Donette Francis)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7bb5c9j6","frozenauthors":[{"first_name":"Mimi","middle_name":"","last_name":"Sheller","name_suffix":"","institution":"Drexel University","department":"None"}],"date_submitted":"2013-09-22T23:51:00+08:00","date_accepted":"2013-09-22T23:51:00+08:00","date_published":"2013-09-22T23:52:12+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42652/galley/31832/download/"}]},{"pk":42651,"title":"Introduction","subtitle":null,"abstract":"Introduction to the Special Forum entitled \"American Studies: Caribbean Edition,\" edited by Belinda Edmondson and Donette Francis","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Caribbean"},{"word":"Transnational"}],"section":"SPECIAL FORUM: American Studies: Caribbean Edition (Edited by Belinda Edmondson and Donette Francis)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1t1593q0","frozenauthors":[{"first_name":"Belinda","middle_name":"","last_name":"Edmondson","name_suffix":"","institution":"Rutgers University, Newark","department":"None"},{"first_name":"Donette","middle_name":"","last_name":"Francis","name_suffix":"","institution":"University of Miami","department":"None"},{"first_name":"Harvey","middle_name":"","last_name":"Neptune","name_suffix":"","institution":"Temple University","department":"None"}],"date_submitted":"2013-09-22T23:38:53+08:00","date_accepted":"2013-09-22T23:38:53+08:00","date_published":"2013-09-22T23:40:58+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42651/galley/31831/download/"}]},{"pk":42548,"title":"Black and Korean: Racialized Development and the Korean American Subject in Korean/American Fiction","subtitle":null,"abstract":"This article examines the representation of the encounters and exchanges between Asian and black Americans in Sŏk-kyŏng Kang’s “Days and Dreams,” Heinz Insu Fenkl’s \nMemories of My Ghost Brother\n, and Chang-rae Lee’s \nA Gesture Life\n. While one popular mode of looking at Asian and black Americans relationally in the postwar era is to compare the success of Asian American assimilation to the failure of black Americans, Lim argues that such a mode of comparison cannot account for the ways in which Asian American racialization takes places within the global currents of militarism and migration. Against the popular view that attributes Asian American success to cultural difference, Lim relies on political scientist Claire Kim’s understanding of culture as something that is constructed in the process of racialization to explore how the above texts imagine the terms of comparative racialization between black and Asian Americans. The black-Korean encounters in these texts demand a heuristic of comparative racialization that goes beyond the discussion of the black-white binary as a national construct and seeks the reification and modification of this racial frame as it travels along the routes of US military and economic incursions in the Pacific. Lim suggests that the literary imagining of black-Korean encounters across the Pacific illustrates race and racialization as effects of a regime of economic development that is supported by military aggression.","language":"en","license":null,"keywords":[{"word":"Comparative Racialization"},{"word":"Camp Town Literature"},{"word":"development"},{"word":"English"},{"word":"American Studies"},{"word":"Transnational"},{"word":"Korean American"},{"word":"Asian American Literature"},{"word":"Sŏk-kyŏng Kang"},{"word":"Heinz Insu Fenkl"},{"word":"Chang-rae Lee"},{"word":"Afro-Asian"},{"word":"Black-Korean"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2vm8z5s2","frozenauthors":[{"first_name":"Jeehyun","middle_name":"","last_name":"Lim","name_suffix":"","institution":"Denison University","department":"None"}],"date_submitted":"2012-03-19T05:02:02+08:00","date_accepted":"2012-03-19T05:02:02+08:00","date_published":"2013-09-22T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42548/galley/31764/download/"}]},{"pk":43460,"title":"Environmental Justice, Transnationalism, and the Politics of the Local in Leslie Marmon Silko’s \nAlmanac of the Dead","subtitle":null,"abstract":"This article analyzes Leslie Marmon Silko’s 1991 novel, \nAlmanac of the Dead\n, drawing on insights from environmental justice ecocriticism and geographical theory. Ray argues that the novel offers an ethic of place that creates conditions for environmental justice.  Her analysis focuses on a question that is fundamentally geographical: what kind of ethic of place is most likely to create the conditions for both environmental and social justice? \nAlmanac\n offers a way of imagining place that moves beyond the tendency in  environmental literary criticism to think in either global or local terms, and insists that the global and the local are dialectically related vis-à-vis colonialism. Thus Almanac offers what Rob Nixon calls a “transnational ethics of place,” what Ursula Heise calls “eco-cosmopolitanism,” or what geographer Doreen Massey calls a “global sense of place,” theories that account for global colonialism and planetary environmental justice while also promoting a strong sense of place rooted in responsibility to the land.  Through its treatment of spatiality, the novel reveals the power and politics of unique places within broader global forces, while neither sentimentalizing nor rejecting the distinctiveness of place even as it recognizes the relationship between place and the networks and flows of colonialism and global capitalism. Ultimately, the novel eschews the “nation” as a basis by which to create sustainable human-nature relations, and recognizes that the histories and forces of diaspora, colonialism, and globalization—not overpopulation or resource scarcity, as conventional environmental thinking would have it—have produced the ecological problems we face today.","language":"en","license":null,"keywords":[{"word":"Transnational"},{"word":"environmental justice"},{"word":"Leslie Marmon Silko"},{"word":"Almanac of the Dead"},{"word":"Place"},{"word":"American literature"},{"word":"Native American Studies"},{"word":"American Studies"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3z89t6hc","frozenauthors":[{"first_name":"Sarah","middle_name":"Jaquette","last_name":"Ray","name_suffix":"","institution":"Humboldt State University","department":"None"}],"date_submitted":"2011-05-28T00:32:20+08:00","date_accepted":"2011-05-28T00:32:20+08:00","date_published":"2013-09-22T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43460/galley/32322/download/"}]},{"pk":43431,"title":"Green-Card American Fiction: Naturalizing Novels by Visiting Authors","subtitle":null,"abstract":"This essay examines four contemporary novels written by Commonwealth authors who lived in the United States: DBC Pierre’s \nVernon God Little\n, Salman Rushdie’s \nFury\n, Margaret Atwood’s \nAlias Grace\n, and Zadie Smith's \nOn Beauty\n. These novels offer critiques of American culture, as well as asking how they define the borders of the American novel in a global literary society. When non-American Anglophone authors write novels set in the United States, it raises the question of what defines a novel written in English as “American” as opposed to “British” or “Commonwealth,” particularly when many Anglophone authors avail themselves of residential opportunities in the United States.  The question becomes particularly interesting when these US-based novels are recognized by the Man Booker Committee for Commonwealth fiction, as was \nVernon God Little\n.\n \nThese four demonstrate the fuzzy distinction between an American novel and expatriate fiction, particularly when the novel only contains American characters, with little non-American perspective apparent within the narrative. So are these novelists writing from the community of their passports, their present country of residence, or as temporary/virtual “Americans”?  Are these novels an external critique of American culture–or are these novels part of an American literary tradition of social examination?","language":"en","license":null,"keywords":[{"word":"American Studies"},{"word":"Transnational"},{"word":"Commonwealth"},{"word":"Violence"},{"word":"American literature"},{"word":"Literature in English"},{"word":"Anglophone"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9f2168s7","frozenauthors":[{"first_name":"Elizabeth","middle_name":"","last_name":"Abele","name_suffix":"","institution":"Nassau Community College","department":"None"}],"date_submitted":"2010-06-16T01:16:37+08:00","date_accepted":"2010-06-16T01:16:37+08:00","date_published":"2013-09-22T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43431/galley/32317/download/"}]},{"pk":42520,"title":"Imperial Revisionism: US Historians of Latin America and the Spanish Colonial Empire (ca. 1915–1945)","subtitle":null,"abstract":"During the period 1915–1945, United States historians contributed important revisions to the subfield of colonial Hispanic American History. Their histories argued for a reconsideration of inherited wisdom about the Spanish colonial empire, in issues of justice towards indigenous peoples, the interoceanic book trade, colonial universities, the Crown’s mercantilist policies, and the penetration of Enlightenment ideas in the Indies. This article reads these contributions in relation to the politics of US Pan-Americanism and the Good Neighbor policy, arguing that different versions of historical revisionism served to envision a new form of US engagement with Latin America.","language":"en","license":null,"keywords":[{"word":"Colonial Question"},{"word":"coloniality"},{"word":"Spanish Colonial Empire"},{"word":"Irving Leonard"},{"word":"Lewis Hanke"},{"word":"Clarence Haring"},{"word":"Arthur Whitaker"},{"word":"John Tate Lanning"},{"word":"History"},{"word":"history of ideas"},{"word":"Historiography"},{"word":"Hemispheric Studies"},{"word":"American Studies"},{"word":"Transnational"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/30m769ph","frozenauthors":[{"first_name":"Ricardo","middle_name":"D.","last_name":"Salvatore","name_suffix":"","institution":"Universidad Torcuato Di Tella","department":"None"}],"date_submitted":"2011-12-20T04:38:53+08:00","date_accepted":"2011-12-20T04:38:53+08:00","date_published":"2013-09-22T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42520/galley/31743/download/"}]},{"pk":42553,"title":"Kookie Thoughts: Imagining the United States Pavilion at Expo 67 (or How I Learned to Stop Worrying and Love the Bubble)","subtitle":null,"abstract":"In 1967, at the International and Universal Exposition (Expo 67 in Montreal), American government planners and their collaborators in the private sector revolutionized how the United States participated at world's fairs. They transformed the ways in which architecture, design, and exhibits could come together in a stunning visual endpoint. The choice of 1960s social visionary and design guru F. Buckminster Fuller’s geodesic dome (“Bucky’s Bubble”) for the US Pavilion structure proved a coup, as did the Marshall McLuhan-inspired Cambridge Seven design team that created the Pavilion interior of platforms joined by criss-crossing bridges and escalators. This article incorporates an analysis of four linked elements of the US Expo 67 design project. First, it conceives of the US Pavilion at the edge of US empire. Second, it suggests that, improbably, planners found success in the mix of earlier world’s fair grand designs with a new minimalist modernity. Third, Pavilion design and content reflected the influence of Andy Warhol and other artists whose work was transforming gay camp into mass camp in American popular culture. Finally, the project drew on a secret World War II US army collaboration between three key Expo 67 planners, whose wartime specialty had been in military deception, to complete the visual revolution at the US Pavilion.","language":"en","license":null,"keywords":[{"word":"United States Foreign Relations"},{"word":"Expo 67"},{"word":"World's Fairs"},{"word":"F. Buckminster Fuller"},{"word":"fashion"},{"word":"US Imperialism"},{"word":"Andy Warhol"},{"word":"pop culture"},{"word":"Camp"},{"word":"History"},{"word":"American Studies"},{"word":"Cultural Studies"},{"word":"International Relations"},{"word":"Transnational"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6c81k3t1","frozenauthors":[{"first_name":"Daniela","middle_name":"","last_name":"Sheinin","name_suffix":"","institution":"University of Michigan","department":"None"}],"date_submitted":"2012-05-15T23:16:37+08:00","date_accepted":"2012-05-15T23:16:37+08:00","date_published":"2013-09-22T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/42553/galley/31765/download/"}]},{"pk":43458,"title":"National Myths, Resistant Persons: Ethnographic Fictions of Haiti","subtitle":null,"abstract":"In 1931, US writer Langston Hughes set sail for Haiti, the “land of blue sea and green hills,” in order – as he recalls in his 1956 memoir \nI Wonder as I Wander\n – “to get away from my troubles.” Seeking shelter from the US race problem in what he imagined would be the welcoming arms of the strong, proud, black republic, Hughes received instead a shocking, firsthand glimpse at Haiti’s constitutional contradiction: that the Haitian nation, “congealed around notions of liberty from slavery,” was launched in an opposite direction from the Haitian state, which had “inherited the social and economic institutions from colonial times,” and thus “required a regimented labor force.” The Haiti that welcomed Hughes in April 1931, fifteen years into the US Occupation, was indeed “a new world, a darker world,” but one in which “the white shadows” had encroached, transforming Haiti “into a sort of military dictatorship, backed by American guns.” It had become “a fruit tree for Wall street, a mango for the Occupation, coffee for foreign cups, and poverty for its own black workers and peasants.” All of the labor that kept Haiti alive and the foreign traders rich, lamented Hughes, was done by “the people without shoes.”  This essay examines the rhetoric of national identification in twentieth-century Haiti – through the complex literary lens of US writers of the African diaspora, like Langston Hughes and Zora Neale Hurston, whose own labors to present how “the people without shoes” had worked to prop up Haiti’s economy for centuries, often fluctuated between biting political commentary aimed at the political elite, gentle depictions celebrating local peasant customs, and (strategic) apologies for the US Occupation – all revelatory of a desire to build a space of transatlantic, postnational sense of kinship; a narrative homeland for the exiled and the nationless people on either side of its borders, forging parallels between all New World architects-turned-outsiders in their own homelands.","language":"en","license":null,"keywords":[{"word":"Zora Neale Hurston"},{"word":"Langston Hughes"},{"word":"Haiti"},{"word":"African diaspora"},{"word":"imperialism"},{"word":"American literature"},{"word":"American Studies"},{"word":"Transnational"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7bf413rj","frozenauthors":[{"first_name":"Nihad","middle_name":"M.","last_name":"Farooq","name_suffix":"","institution":"Georgia Institute of Technology","department":"None"}],"date_submitted":"2011-05-26T07:29:20+08:00","date_accepted":"2011-05-26T07:29:20+08:00","date_published":"2013-09-22T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43458/galley/32321/download/"}]},{"pk":7954,"title":"Ultrasound Beyond the Walls of the Emergency Department: UC Irvine School of Medicine","subtitle":null,"abstract":"N/A","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"ultrasound"},{"word":"International"},{"word":"Emergency Medicine"}],"section":"CAL/AAEM Newsletter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7qh6v9fw","frozenauthors":[{"first_name":"Chanel","middle_name":"Elizabeth","last_name":"Fischetti","name_suffix":"","institution":"UC Irvine School of Medicine","department":"None"},{"first_name":"Bryan","middle_name":"","last_name":"Sloane","name_suffix":"","institution":"UC Irvine School of Medicine","department":"None"}],"date_submitted":"2013-08-27T01:06:12+08:00","date_accepted":"2013-08-27T01:06:12+08:00","date_published":"2013-09-19T07:15:11+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7954/galley/4611/download/"}]},{"pk":7775,"title":"Comments on “Temperature and Violent Crime in Dallas, Texas: Relationships and Implications of Climate Change”","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):567-568.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"temperature"},{"word":"climate change"},{"word":"Violence"},{"word":"aggression"},{"word":"Forecasting"},{"word":"sociology"},{"word":"psychology"},{"word":"Criminology"}],"section":"Discourse on Integrating Emergency Care and Population Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3sf1c7vp","frozenauthors":[{"first_name":"Matt","middle_name":"N.","last_name":"Williams","name_suffix":"","institution":"Massey University, School of Psychology, Auckland, New Zealand","department":"None"},{"first_name":"Stephen","middle_name":"R.","last_name":"Hill","name_suffix":"","institution":"Massey University, School of Psychology, Palmerston North, New Zealand","department":"None"},{"first_name":"John","middle_name":"","last_name":"Spicer","name_suffix":"","institution":"Massey University, School of Psychology, Palmerston North, New Zealand","department":"None"}],"date_submitted":"2013-03-28T11:04:23+08:00","date_accepted":"2013-03-28T11:04:23+08:00","date_published":"2013-09-17T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7775/galley/4542/download/"}]},{"pk":7840,"title":"Gamble and Hess Reply to Williams et al regarding Temperature and Violent Crime in Dallas, Texas: Relationships and Implications of Climate Change","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):567-568]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"temperature"},{"word":"violent crime"},{"word":"aggravated assault"},{"word":"climate change"}],"section":"Discourse on Integrating Emergency Care and Population Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/95m157x2","frozenauthors":[{"first_name":"Janet","middle_name":"L","last_name":"Gamble","name_suffix":"","institution":"US Environmental Protection Agency","department":"None"},{"first_name":"Jeremy","middle_name":"J","last_name":"Hess","name_suffix":"","institution":"Emory Schools of Medicine and Public Health","department":"None"}],"date_submitted":"2013-05-21T01:40:58+08:00","date_accepted":"2013-05-21T01:40:58+08:00","date_published":"2013-09-17T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7840/galley/4568/download/"}]},{"pk":7985,"title":"Masthead September 2013","subtitle":null,"abstract":"Masthead September 2013","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Masthead","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5tg4v69b","frozenauthors":[{"first_name":"Calvin","middle_name":"","last_name":"He","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2013-09-18T07:39:59+08:00","date_accepted":"2013-09-18T07:39:59+08:00","date_published":"2013-09-17T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7985/galley/4627/download/"}]},{"pk":7986,"title":"Table of Contents September 2013","subtitle":null,"abstract":"Table of Contents September 2013","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Table of Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1md7f4qv","frozenauthors":[{"first_name":"Calvin","middle_name":"","last_name":"He","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2013-09-18T07:40:59+08:00","date_accepted":"2013-09-18T07:40:59+08:00","date_published":"2013-09-17T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7986/galley/4628/download/"}]},{"pk":7590,"title":"Appendicitis Diagnosed by Emergency Physician Transvaginal Ultrasound: Case Series","subtitle":null,"abstract":"Lower abdominal pain in females of reproductive age continues to be a diagnostic dilemma for the emergency physician (EP). Point-of-care ultrasound (US) allows for rapid, accurate, and safe evaluation of abdominal and pelvic pain in both the pregnant and non-pregnant patient. We present 3 cases of females presenting with right lower quadrant and adnexal tenderness where transvaginal ultrasonography revealed acute appendicitis. The discussion focuses on the use of EP-performed transvaginal US in gynecologic and intra-abdominal pathology and discusses the use of a staged approach to evaluation using US and computed tomography, as indicated. [West J Emerg Med. 2013;14(5):415-418.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"point-of-care"},{"word":"Emergency Medicine"},{"word":"ultrasound"},{"word":"appendicitis"},{"word":"Transvaginal"},{"word":"Medicine"},{"word":"Surgery"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8kr7d083","frozenauthors":[{"first_name":"Robert","middle_name":"M","last_name":"Bramante","name_suffix":"","institution":"North Shore University Hospital, North Shore- LIJ Health System","department":"None"},{"first_name":"Marek","middle_name":"","last_name":"Radomski","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":"None"},{"first_name":"Mathew","middle_name":"","last_name":"Nelson","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"Raio","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":"None"}],"date_submitted":"2012-10-29T04:42:44+08:00","date_accepted":"2012-10-29T04:42:44+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7590/galley/4457/download/"}]},{"pk":7688,"title":"Asymmetrical Bilateral Hip Dislocation","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):452–452.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"hip dislocation"},{"word":"anterior hip dislocation"},{"word":"posterior hip dislocation"},{"word":"bilateral hip dislocation"},{"word":"Trauma"},{"word":"orthopedic"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/58m9s5cz","frozenauthors":[{"first_name":"Bruce","middle_name":"M","last_name":"Lo","name_suffix":"","institution":"Eastern Virginia Medical School, Sentara Norfolk General Hospital, Department of\nEmergency Medicine, Norfolk, Virginia","department":"None"}],"date_submitted":"2013-01-23T08:58:47+08:00","date_accepted":"2013-01-23T08:58:47+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7688/galley/4506/download/"}]},{"pk":7595,"title":"Bronchopleural Fistula","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):409-410.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Bronchopleural Fistula"},{"word":"airway obstruction"},{"word":"Emergency Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0ks211kb","frozenauthors":[{"first_name":"James","middle_name":"","last_name":"Liang","name_suffix":"","institution":"Naval Medical Center San Diego, Department of Emergency Medicine, San Diego,\nCalifornia","department":"None"},{"first_name":"Alex","middle_name":"","last_name":"Field","name_suffix":"","institution":"Naval Medical Center San Diego, Department of Pharmacy, San Diego, California","department":"None"},{"first_name":"Kimberly","middle_name":"","last_name":"Liang","name_suffix":"","institution":"Naval Medical Center San Diego, Department of Pharmacy, San Diego, California","department":"None"}],"date_submitted":"2012-11-02T11:39:32+08:00","date_accepted":"2012-11-02T11:39:32+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7595/galley/4460/download/"}]},{"pk":7747,"title":"Bullous Lung Disease","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):450–451.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2m37z8w6","frozenauthors":[{"first_name":"Corey","middle_name":"","last_name":"Goldberg","name_suffix":"","institution":"UF Jacksonville COM","department":"None"},{"first_name":"Kathleen","middle_name":"E","last_name":"Carey","name_suffix":"","institution":"Mayo Clinic, Department of Radiology, Jacksonville, Florida","department":"None"}],"date_submitted":"2013-03-05T01:54:57+08:00","date_accepted":"2013-03-05T01:54:57+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7747/galley/4532/download/"}]},{"pk":7555,"title":"Cephalohematoma in a Patient with Ehlers-Danlos Syndrome","subtitle":null,"abstract":"Ehlers-Danlos syndrome is a rarely encountered connective tissue disorder characterized by skin hyper-elasticity, joint hyper-flexibility, and vasculature fragility. We report a 41-year-old female presenting with scalp swelling following minor head trauma. The patient presented with a large cephalohematoma that despite compressive measures and Factor IX administration continued to progress, necessitating transfer for definitive surgical intervention. The patient underwent surgical evacuation of approximately 1 liter of blood, followed by drain placement and compression dressing. This case underscores the importance for emergency physicians to recognize the potential vascular catastrophes these patients may present with following even minor injury. [West J Emerg Med. 2013;14(5):419-420.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Ehlers-Danlos"},{"word":"cephalhematoma"},{"word":"Emergency Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3dd8z9x7","frozenauthors":[{"first_name":"Brent","middle_name":"M.","last_name":"Felton","name_suffix":"","institution":"McLaren Greater Lansing Hospital, Department of Emergency Medicine, Lansing, Michigan; Michigan State University, Department of Emergency Medicine, East Lansing, Michigan","department":"None"},{"first_name":"Josh","middle_name":"M.","last_name":"White","name_suffix":"","institution":"McLaren Greater Lansing Hospital, Department of Emergency Medicine, Lansing, Michigan; Michigan State University, Department of Emergency Medicine, East Lansing, Michigan","department":"None"},{"first_name":"Ryan","middle_name":"A.","last_name":"Jones","name_suffix":"","institution":"McLaren Greater Lansing Hospital, Department of Emergency Medicine, Lansing, Michigan; Michigan State University, Department of Emergency Medicine, East Lansing, Michigan","department":"None"}],"date_submitted":"2012-09-11T19:04:14+08:00","date_accepted":"2012-09-11T19:04:14+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7555/galley/4447/download/"}]},{"pk":7347,"title":"Complication with Intraosseous Access: Inquiry of Scandinavian Users’ Experiences","subtitle":null,"abstract":"Introduction\n: Intraosseous access (IO) is indicated if vascular access cannot be quickly established during resuscitation. Complication rates are estimated to be low, based on small patient series, model or cadaver studies, and case reports. However, user experience with IO use in real-life emergency situations might differ from the results in the controlled environment of model studies and small patient series. We performed a survey of IO use in real-life emergency situations to assess users’ experiences of complications.\nMethods\n: An online questionnaire was sent to Scandinavian emergency physicians, anesthesiologists and pediatricians.\nResults\n: 1,802 clinical cases of IO use was reported by n=386 responders. Commonly reported complications with establishing IO access were patient discomfort/pain (7.1%), difficulties with penetration of periosteum with IO needle (10.3%), difficulties with aspiration of bone marrow (12.3%), and bended/broken needle (4.0%). When using an established IO access the reported complications were difficulties with injection fluid and drugs after IO insertion (7.4%), slow infusion (despite use of pressure bag) (8.8%), displacement after insertion (8.5%), and extravasation (3.7%). Compartment syndrome and osteomyelitis occurred in 0.6% and 0.4% of cases respectively.\nConclusion\n: In users’ recollection of real-life IO use, perceived complications were more frequent than usually reported from model studies. The perceived difficulties with using IO could affect the willingness of medical staff to use IO. Therefore, user experience should be addressed both in education of how to use, and research and development of IOs. [West J Emerg Med. 2013;14(5):440–443.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":": Resuscitation, intraosseous access, pediatric, procedure, complications"},{"word":"Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6js6w38r","frozenauthors":[{"first_name":"Peter","middle_name":"","last_name":"Hallas","name_suffix":"","institution":"Copenhagen University Hospital, Department of Pediatric Anesthesia, Rigshospitalet,\nDenmark","department":"None"},{"first_name":"Mikkel","middle_name":"","last_name":"Brabrand","name_suffix":"","institution":"Hospital of Southwest Denmark, Department of Medicine, Esbjerg, Denmark","department":"None"},{"first_name":"Lars","middle_name":"","last_name":"Folkestad","name_suffix":"","institution":"Hospital of Southwest Denmark, Department of Endocrinology, Esbjerg, Demark","department":"None"}],"date_submitted":"2012-02-20T03:06:21+08:00","date_accepted":"2012-02-20T03:06:21+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7347/galley/4364/download/"}]},{"pk":7672,"title":"Diaphragmatic Rupture Secondary to Blunt Thoracic Trauma","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):435–436.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Blunt thoracic trauma, diaphragmatic hernia, hemothorax, rib fractures"},{"word":"Emergency Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/63n4q0nq","frozenauthors":[{"first_name":"Alexander","middle_name":"John","last_name":"Scumpia","name_suffix":"","institution":"Mount Sinai Medical Center, Department of Emergency Medicine, Miami, Florida","department":"None"},{"first_name":"Daniel","middle_name":"A","last_name":"Aronovich","name_suffix":"","institution":"Mount Sinai Medical Center, Department of Emergency Medicine, Miami, Florida","department":"None"},{"first_name":"Loredana","middle_name":"","last_name":"Roman","name_suffix":"","institution":"Victor Babes University of Medicine and Pharmacy, Department of Medicine, Timisoara, Romania","department":"None"},{"first_name":"Vanitha","middle_name":"","last_name":"Vasudevan, MD","name_suffix":"","institution":"Ryder Trauma Center, Department of Surgery, Jackson Memorial Health System, Miami, Florida","department":"None"},{"first_name":"Ryan","middle_name":"M","last_name":"Shadis, MD","name_suffix":"","institution":"Ryder Trauma Center, Department of Surgery, Jackson Memorial Health System, Miami, Florida","department":"None"},{"first_name":"Mauricio","middle_name":"","last_name":"Lynn, MD","name_suffix":"","institution":"Ryder Trauma Center, Department of Surgery, Jackson Memorial Health System, Miami, Florida","department":"None"}],"date_submitted":"2013-01-07T04:08:24+08:00","date_accepted":"2013-01-07T04:08:24+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7672/galley/4497/download/"}]},{"pk":7675,"title":"Early Presentation of Buried Bumper Syndrome","subtitle":null,"abstract":"Percutaneous endoscopic gastrostomy (PEG) is a relatively safe and effective method of providing nutrition to patients with neurologic deficits or proximal gastrointestinal pathology. Complications that follow this common procedure include dislodgement, dysfunction, infection and aspiration. The “Buried Bumper Syndrome” (BBS) is an infrequent and late complication of PEG tubes that can result in tube dysfunction, gastric perforation, bleeding, peritonitis or death. The emergency physician should be aware of historical and exam features that suggest BBS and distinguish it from other more benign PEG-tube related complaints. We report a case of a woman presenting with BBS three weeks after having a PEG tube placed. [West J Emerg Med. 2013;14(5):421-423.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"PEG tube, Buried Bumper, Emergency Medicine"},{"word":"Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/66m3p5h0","frozenauthors":[{"first_name":"Walter","middle_name":"","last_name":"Geer","name_suffix":"","institution":"St. Luke's University Hospital","department":"None"},{"first_name":"Rebecca","middle_name":"K.","last_name":"Jeanmonod","name_suffix":"","institution":"St. Luke's Hospital","department":"None"}],"date_submitted":"2013-01-09T23:14:14+08:00","date_accepted":"2013-01-09T23:14:14+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7675/galley/4500/download/"}]},{"pk":7812,"title":"Educational Interventions Should Be Carefully Defined and Costed","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):566.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Discourse on Integrating Emergency Care and Population Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8qt3w65t","frozenauthors":[{"first_name":"Kieran","middle_name":"","last_name":"Walsh","name_suffix":"","institution":"BMJ Learning, London, United Kingdom","department":"None"}],"date_submitted":"2013-04-26T16:47:15+08:00","date_accepted":"2013-04-26T16:47:15+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7812/galley/4554/download/"}]},{"pk":7455,"title":"Electronic Prehospital Records are Often Unavailable for Emergency Department Medical Decision Making","subtitle":null,"abstract":"Introduction: \nTo determine emergency physician (EP) opinions of prehospital patient care reports (PCRs) and whether such reports are available at the time of emergency department (ED) medical decision-making.\nMethods: \nProspective, cross-sectional, electronic web-based survey of EPs regarding preferences and availability of prehospital PCRs at the time of ED medical decision-making.\nResults: \nWe sent the survey to 1,932 EPs via 4 American College of Emergency Physicians (ACEP) email lists. As a result, 228 (11.8%) of email list members from 31 states and the District of Columbia completed the survey. Most respondents preferred electronic prehospital PCRs as opposed to handwritten prehospital PCRs (52.2% [95% confidence interval (CI): 49.1, 55.3] vs. 17.1% [95%CI: 11.7, 22.5]). The remaining respondents (30.5% [95%CI: 26.0, 35.0]) had no preference or had seen only one type of PCR. Of the respondents, 45.6% [95%CI: 42.1, 48.7] stated PCRs were “very important” while 43.0% [95% CI: 39.3, 46.7] rated PCRs as “important” in their ED practice. Most respondents (79.6% [95%CI: 76.5, 82.7]) reported electronic prehospital PCRs were available ≤50% of the time for medical decision-making while 20.4% [95%CI: 9.2, 31.6] reported that electronic prehospital PCRs were available > 50% of the time (\nP\n=0.00). A majority of participants (77.6% [95%CI: 74.5, 80.7]) reported that handwritten prehospital PCRs were available ≥ 50% while 22.4% [95%CI: 11.8, 33.0] of the time for medical decision-making (\nP\n=0.00).\nConclusion: \nEPs in this study felt that prehospital PCRs were important to their ED practice and preferred electronic prehospital PCRs over handwritten PCRs. However, most electronic prehospital PCRs were unavailable at the time of ED medical decision-making. Although handwritten prehospital PCRs were more readily available, legibility and accuracy were reported concerns. This study suggest that strategies should be devised to improve the overall accuracy of PCRs and assure that electronic prehospital PCRs are delivered to the receiving ED in time for consideration in ED medical decision-making. [West J Emerg Med. 2013;14(5):482–488.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"EMS"},{"word":"Electronic Medical Records"},{"word":"Emergency Medicial Services"},{"word":"Emergency Physician Opinions"},{"word":"Medicine"},{"word":"Emergency Medicine"},{"word":"emergency medical services"}],"section":"Prehospital Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3n1687p8","frozenauthors":[{"first_name":"Bryan","middle_name":"E","last_name":"Bledsoe","name_suffix":"","institution":"University of Nevada School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada; MedicWest Ambulance/American Medical Response, Las Vegas, Nevada","department":"None"},{"first_name":"Chad","middle_name":"","last_name":"Wasden","name_suffix":"","institution":"University of Nevada School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada","department":"None"},{"first_name":"Larry","middle_name":"","last_name":"Johnson","name_suffix":"","institution":"University of Nevada School of Medicine, Department of Emergency Medicine, Las Vegas, Nevada; MedicWest Ambulance/American Medical Response, Las Vegas, Nevada","department":"None"}],"date_submitted":"2012-05-20T10:21:31+08:00","date_accepted":"2012-05-20T10:21:31+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7455/galley/4407/download/"}]},{"pk":7600,"title":"Emergency Department Crowding and Time to Antibiotic Administration in Febrile Infants","subtitle":null,"abstract":"Introduction:\n Early antibiotic administration is recommended in newborns presenting with febrile illness to emergency departments (ED) to avert the sequelae of serious bacterial infection. Although ED crowding has been associated with delays in antibiotic administration in a dedicated pediatric ED, the majority of children that receive emergency medical care in the U.S. present to EDs that treat both adult and pediatric emergencies. The purpose of this study was to examine the relationship between time to antibiotic administration in febrile newborns and crowding in a general ED serving both an adult and pediatric population.\n \nMethods:\n We conducted a retrospective chart review of 159 newborns presenting to a general ED between 2005 and 2011 and analyzed the association between time to antibiotic administration and ED occupancy rate at the time of, prior to, and following infant presentation to the ED.\n \nResults: \nWe observed\n \ndelayed and variable time to antibiotic administration and found no association between time to antibiotic administration and occupancy rate prior to, at the time of, or following infant presentation (\nP \n> 0.05). ED time to antibiotic administration was not associated with hospital length of stay, and there was no inpatient mortality.\n \nConclusion: \nDelayed and highly variable time to antibiotic treatment in febrile newborns was common but unrelated to ED crowding in the general ED study site. Guidelines for time to antibiotic administration in this population may reduce variability in ED practice patterns. [West J Emerg Med. 2013;14(5):518-524.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"emergency department crowding"},{"word":"neonatal sepsis"},{"word":"time to antibiotic administration"},{"word":"Medicine"},{"word":"Emergency Medicine"},{"word":"pediatrics"}],"section":"Emergency Department Access","is_remote":true,"remote_url":"https://escholarship.org/uc/item/35p451gt","frozenauthors":[{"first_name":"Jennifer","middle_name":"K.","last_name":"Light","name_suffix":"","institution":"University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida","department":"None"},{"first_name":"Robyn","middle_name":"M.","last_name":"Hoelle","name_suffix":"","institution":"University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida","department":"None"},{"first_name":"Jill","middle_name":"Boylston","last_name":"Herndon","name_suffix":"","institution":"University of Florida, College of Medicine, Institute for Child Health Policy, Department of Health Outcomes and Policy, Gainesville, Florida","department":"None"},{"first_name":"Wei","middle_name":"","last_name":"Hou","name_suffix":"","institution":"Stony Brook University Medical Center, Division of Epidemiology, Department of Preventive Medicine, Stony Brook, New York","department":"None"},{"first_name":"Marie-Carmelle","middle_name":"","last_name":"Elie","name_suffix":"","institution":"University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida","department":"None"},{"first_name":"Kelly","middle_name":"","last_name":"Jackman","name_suffix":"","institution":"University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida","department":"None"},{"first_name":"J.","middle_name":"Adrian","last_name":"Tyndall","name_suffix":"","institution":"University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida","department":"None"},{"first_name":"Donna","middle_name":"Lynne","last_name":"Carden","name_suffix":"","institution":"University of Florida, College of Medicine, Department of Emergency Medicine Gainesville, Florida","department":"None"}],"date_submitted":"2012-11-06T02:34:42+08:00","date_accepted":"2012-11-06T02:34:42+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7600/galley/4463/download/"}]},{"pk":7464,"title":"Emergency Medicine in Guyana: Lessons from Developing the Country’s First Degree-conferring Residency Program","subtitle":null,"abstract":"Introduction\n: Academic departments of emergency medicine are becoming increasingly involved in assisting with the development of long-term emergency medicine training programs in low and middle-income countries. This article presents our 10-year experience working with local partners to improve emergency medical care education in Guyana.\nMethods\n: The Vanderbilt Department of Emergency Medicine has collaborated with the Georgetown Public Hospital Corporation on the development of Emergency Medicine skills followed by the implementation of an emergency medicine residency training program. Residency development included a needs assessment, proposed curriculum, internal and external partnerships, University of Guyana and Ministry of Health approval, and funding.\nResults\n: In our experience, we have found that our successful program initiation was due in large part to the pre-existing interest of several local partners and followed by long-term involvement within the country. As a newer specialty without significant local expertise, resident educational needs mandated a locally present full time EM trained attending to serve as the program director. Both external and internal funding was required to achieve this goal. Local educational efforts were best supplemented by robust distance learning. The program was developed to conform to local academic standards and to train the residents to the level of consultant physicians. Despite the best preparations, future challenges remain.\nConclusion\n: While every program has unique challenges, it is likely many of the issues we havefaced are generalizable to other settings and will be useful to other programs considering or currentlyconducting this type of collaborative project. [West J Emerg Med. 2013;14(5):477–481.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Emergency Medicine"},{"word":"Graduate Medical Education"},{"word":"Guyana"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7hr5n2dj","frozenauthors":[{"first_name":"Nicolas","middle_name":"Pierre","last_name":"Forget","name_suffix":"","institution":"Department of Emergency Medicine\nVanderbilt University, Nashville, Tennessee","department":"None"},{"first_name":"John","middle_name":"Paul","last_name":"Rohde","name_suffix":"","institution":"Department of Emergency Medicine\nVanderbilt University, Nashville, Tennessee","department":"None"},{"first_name":"Navindranauth","middle_name":"","last_name":"Rambaran","name_suffix":"","institution":"Georgetown Public Hospital Corporation, Institute of Health Sciences Education, Guyana","department":"None"},{"first_name":"Madan","middle_name":"","last_name":"Rambaran","name_suffix":"","institution":"Georgetown Public Hospital Corporation, Institute of Health Sciences Education, Guyana","department":"None"},{"first_name":"Seth","middle_name":"Warren","last_name":"Wright","name_suffix":"","institution":"Department of Emergency Medicine\nVanderbilt University, Nashville, Tennessee","department":"None"}],"date_submitted":"2012-06-02T01:42:40+08:00","date_accepted":"2012-06-02T01:42:40+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7464/galley/4412/download/"}]},{"pk":7594,"title":"Emergency Physicians' Knowledge of Cannabinoid Designer Drugs","subtitle":null,"abstract":"Introduction\n: The use of synthetic drugs of abuse in the United States has grown in the last few years, with little information available on how much physicians know about these drugs and how they are treating patients using them. The objective of this study was to assess emergency physician (EP) knowledge of synthetic cannabinoids (SC).\nMethods\n: A self-administered internet-based survey of resident and attending EPs at a large urban emergency department (ED) was administered to assess familiarity with the terms Spice or K2 and basic knowledge of SC, and to describe some practice patterns when managing SC intoxication in the ED.\nResults\n: Of the 83 physicians invited to participate, 73 (88%) completed surveys. The terms “Spice” and “K2” for SC were known to 25/73 (34%) and 36/73 (49%) of respondents. Knowledge of SC came most commonly (72%) from non-medical sources, with lay publications and the internet providing most respondents with information. Among those with previous knowledge of synthetic cannabinoids, 25% were not aware that SC are synthetic drugs, and 17% did not know they are chemically most similar to marijuana. Among all participants, 80% felt unprepared caring for a patient in the ED who had used synthetic cannabinoids.\nConclusion\n: Clinically active EPs are unfamiliar with synthetic cannabinoids. Even those who stated they had heard of synthetic cannabinoids answered poorly on basic knowledge questions. More education is needed among EPs of all ages and levels of training on synthetic cannabinoids. [West J Emerg Med. 2013;14(5):467–470.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Synthetic cannabinoids"},{"word":"Spice"},{"word":"K2"},{"word":"Physician knowledge"},{"word":"Emergency Medicine"},{"word":"toxicology"},{"word":"Medical Education"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9mk2951f","frozenauthors":[{"first_name":"Patrick","middle_name":"McCafferty","last_name":"Lank","name_suffix":"","institution":"Northwestern University Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Pines","name_suffix":"","institution":"Northwestern University Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois","department":"None"},{"first_name":"Mark","middle_name":"B.","last_name":"Mycyk","name_suffix":"","institution":"Northwestern University Feinberg School of Medicine, Department of Emergency\nMedicine, Chicago, Illinois","department":"None"}],"date_submitted":"2012-11-02T02:26:08+08:00","date_accepted":"2012-11-02T02:26:08+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7594/galley/4459/download/"}]},{"pk":7611,"title":"English-based Pediatric Emergency Medicine Software Improves Physician Test Performance on Common Pediatric Emergencies: A Multicenter Study in Vietnam","subtitle":null,"abstract":"Introduction\n: Global health agencies and the Vietnam Ministry of Health have identified pediatric emergency care and health information technology as high priority goals. Clinical decision support (CDS) software provides physicians with access to current literature to answer clinical queries, but there is limited impact data in developing countries. We hypothesized that Vietnamese physicians will demonstrate improved test performance on common pediatric emergencies using CDS technologies despite being in English.\nMethods\n: This multicenter, prospective, pretest-posttest study was conducted in 11 Vietnamese hospitals enrolled a convenience sample of physicians who attended an 80-minute software training on a pediatric CDS software (PEMSoft). Two multiple-choice exams (A, B) were administered before and after the session. Participants, who received Test A as a pretest, received Test B as a posttest, and vice versa. Participants used the CDS software for the posttest. The primary outcome measure was the mean percentage difference in physician scores between the pretest and posttest, as calculated by a paired, two-tailed t-test.\nResults\n: For the 203 participants, the mean pretest, posttest, and improvement scores were 37% (95% CI: 35-38%), 70% (95% CI: 68-72%), and 33% (95% CI: 30-36%), respectively, with p<0.0001. This represents an 89% improvement over baseline. Subgroup analysis of practice setting, clinical experience, and comfort level with written English and computers showed that all subgroups equivalently improved their test scores.\nConclusion\n: After brief training, Vietnamese physicians can effectively use an English-based CDS software based on improved performance on a written clinical exam. Given this rapid improvement, CDS technologies may serve as a transformative tool in resource-poor environments. [West J Emerg Med. 2013;14(5):471–476.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Emergency Medicine"},{"word":"pediatrics"},{"word":"Vietnam"},{"word":"international health"},{"word":"Medical Informatics"},{"word":"health information technology"},{"word":"clinical decision support"},{"word":"Health Science"},{"word":"education"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4mx9p2fp","frozenauthors":[{"first_name":"Michelle","middle_name":"","last_name":"Lin","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San Francisco, California; KidsCareEverywhere","department":"None"},{"first_name":"Trevor","middle_name":"N","last_name":"Brooks","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Alex","middle_name":"C","last_name":"Miller","name_suffix":"","institution":"KidsCareEverywhere","department":"None"},{"first_name":"Jamie","middle_name":"L","last_name":"Sharp","name_suffix":"","institution":"KidsCareEverywhere","department":"None"},{"first_name":"Le","middle_name":"Thanh","last_name":"Hai","name_suffix":"","institution":"National Hospital of Pediatrics, Hanoi, Vietnam","department":"None"},{"first_name":"Tu","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"National Hospital of Pediatrics, Hanoi, Vietnam","department":"None"},{"first_name":"Daniel","middle_name":"R","last_name":"Kievlan","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Robert","middle_name":"M","last_name":"Rodriguez","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Ronald","middle_name":"A","last_name":"Dieckmann","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San Francisco, California; KidsCareEverywhere","department":"None"}],"date_submitted":"2012-11-15T08:07:30+08:00","date_accepted":"2012-11-15T08:07:30+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7611/galley/4467/download/"}]},{"pk":7829,"title":"French et al Response to Educational Interventions Should Be Carefully Defined and Costed","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):566.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Discourse on Integrating Emergency Care and Population Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9jc8k9xw","frozenauthors":[{"first_name":"Scott","middle_name":"C","last_name":"French","name_suffix":"","institution":"","department":"None"},{"first_name":"Shu","middle_name":"B","last_name":"Chan","name_suffix":"","institution":"Resurrection Medical Center, Chicago, Illinois","department":"None"},{"first_name":"Jill","middle_name":"","last_name":"Ramaker","name_suffix":"","institution":"North Shore University Health System, Highland Park\nHospital, Highland Park, Illinois","department":"None"}],"date_submitted":"2013-05-09T02:01:30+08:00","date_accepted":"2013-05-09T02:01:30+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7829/galley/4563/download/"}]},{"pk":7674,"title":"“I Can’t Walk!” Acute Thrombosis of Descending Aorta Causing Paraplegia","subtitle":null,"abstract":"A 50-year-old man presented to the emergency department (ED) with acute, bilateral lower extremity weakness and loss of sensation, as well as absent pulses bilaterally. Computed tomography angiography showed complete occlusion of the aorta below the inferior mesenteric artery, extending to the iliac bifurcations. Echocardiographic findings showed severe systolic dysfunction (ejection fraction of 15%) and cryptic cardiogenic shock in spite of stable vital signs. Prior to early operative intervention, an early goal-oriented hemodynamic strategy of shock management resulted in the resolution of motor and sensory deficits. After definitive surgical intervention, the patient was discharged neurologically intact. Acute aortic occlusion is frequently accompanied by myocardial dysfunction, which can be from mild to severe. The most severe form can even occur with normalvital signs or occult cardiogenic shock. Early detection and goal-directed preoperative hemodynamic optimization, along with surgical intervention in the ED, is required to optimize outcomes. [West J Emerg Med. 2013;14(5):424–427.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Aortic Embolism"},{"word":"cardiogenic shock"},{"word":"early goal directed therapy"},{"word":"Emergency Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1kx297bp","frozenauthors":[{"first_name":"Matthew","middle_name":"Lee","last_name":"Mitchell","name_suffix":"","institution":"Henry Ford Health System","department":"None"},{"first_name":"Elif","middle_name":"","last_name":"Yucebey","name_suffix":"","institution":"Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Mitchell","middle_name":"R","last_name":"Weaver","name_suffix":"","institution":"Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"A","middle_name":"Kathrin","last_name":"Jaehne","name_suffix":"","institution":"Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan","department":"None"},{"first_name":"Emanuel","middle_name":"P","last_name":"Rivers","name_suffix":"","institution":"Henry Ford Hospital, Department of Emergency Medicine, Detroit, Michigan","department":"None"}],"date_submitted":"2013-01-08T05:40:47+08:00","date_accepted":"2013-01-08T05:40:47+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7674/galley/4499/download/"}]},{"pk":7700,"title":"In-flight Medical Emergencies","subtitle":null,"abstract":"Introduction\n: Research and data regarding in-flight medical emergencies during commercial air travel are lacking. Although volunteer medical professionals are often called upon to assist, there are no guidelines or best practices to guide their actions. This paper reviews the literature quantifying and categorizing in-flight medical incidents, discusses the unique challenges posed by the in-flight environment, evaluates the legal aspects of volunteering to provide care, and suggests an approach to managing specific conditions at 30,000 feet.\nMethods\n: We conducted a MEDLINE search using search terms relevant to aviation medical emergencies and flight physiology. The reference lists of selected articles were reviewed to identify additional studies.\nResults\n: While incidence studies were limited by data availability, syncope, gastrointestinal upset, and respiratory complaints were among the most common medical events reported. Chest pain and cardiovascular events were commonly associated with flight diversion.\nConclusion\n: When in-flight medical emergencies occur, volunteer physicians should have knowledge about the most common in-flight medical incidents, know what is available in on-board emergency medical kits, coordinate their therapy with the flight crew and remote resources, and provide care within their scope of practice. [West J Emerg Med. 2013;14(5):499–504.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Aviation"},{"word":"Airplane"},{"word":"Air travel"},{"word":"altitude"},{"word":"Emergency Medicine"},{"word":"Ethics"},{"word":"safety"},{"word":"Telemedicine"},{"word":"Medicine"}],"section":"Prehospital Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3706n3px","frozenauthors":[{"first_name":"Amit","middle_name":"","last_name":"Chandra","name_suffix":"","institution":"University of Botswana School of Medicine, Botswana","department":"None"},{"first_name":"Shauna","middle_name":"","last_name":"Conry","name_suffix":"","institution":"CEP America, United States","department":"None"}],"date_submitted":"2013-01-30T04:33:13+08:00","date_accepted":"2013-01-30T04:33:13+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7700/galley/4508/download/"}]},{"pk":7726,"title":"Levamisole Contaminated Cocaine Induced Cutaneous Vasculitis Syndrome","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):448–449.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"levamisole"},{"word":"Cocaine"},{"word":"Cutaneous Vasculitis"},{"word":"Emergency Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5r21630m","frozenauthors":[{"first_name":"Kellee","middle_name":"T","last_name":"James","name_suffix":"","institution":"University of California San Francisco, Department of Clinical Pharmacy, San Francisco,\nCalifornia","department":"None"},{"first_name":"Alissa","middle_name":"","last_name":"Detz","name_suffix":"","institution":"Robert Wood Johnson Foundation Clinical Scholar, University of California Los Angeles,\nDepartment of Medicine, Los Angeles, California","department":"None"},{"first_name":"Zlatan","middle_name":"","last_name":"Coralic","name_suffix":"","institution":"University of California San Francisco, Department of Clinical Pharmacy, San Francisco,\nCalifornia; University of California San Francisco, Department of Emergency Medicine, San\nFrancisco, California","department":"None"},{"first_name":"Hemal","middle_name":"","last_name":"Kanzaria","name_suffix":"","institution":"Robert Wood Johnson Foundation Clinical Scholar, University of California Los Angeles,\nDepartment of Medicine, Los Angeles, California","department":"None"}],"date_submitted":"2013-02-24T01:41:02+08:00","date_accepted":"2013-02-24T01:41:02+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7726/galley/4522/download/"}]},{"pk":7746,"title":"Measuring Power in an Emergency Department to Improve Processes and Decrease the Length of Stay Hours to their Optimum Value","subtitle":null,"abstract":"Many emergency departments (EDs) compare themselves to national productivity benchmarks, such as the average patients/hour or relative value units (RVUs)/hour. Making these comparisons does not provide a tool to determine which processes need improvement, most urgently, within the ED to improve efficiency. Furthermore, there has been no clear means to determine how to set reasonable goals based on the capabilities of the particular ED under study. Determining the power of a process is a tool that can provide the ED with these missing pieces of information. [West J Emerg Med. 2013;14(5):551–554.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Measuring Work"},{"word":"Power"},{"word":"Emergency Medicine"},{"word":"administration"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8zw7w7j8","frozenauthors":[{"first_name":"Bert","middle_name":"","last_name":"Silich","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2013-03-01T01:56:54+08:00","date_accepted":"2013-03-01T01:56:54+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7746/galley/4531/download/"}]},{"pk":7717,"title":"Medical-legal Issues in the Agitated Patient: Cases and Caveats","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):559-565.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Agitated"},{"word":"Violent"},{"word":"Consent"},{"word":"False Imprisonment"},{"word":"Battery"},{"word":"duty to warn"},{"word":"Restraint"},{"word":"Emergency Medicine"},{"word":"Law"}],"section":"Ethical and Legal Issues","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7fx152v8","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Thomas","name_suffix":"","institution":"Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, Washington","department":"None"},{"first_name":"Gregory","middle_name":"","last_name":"Moore","name_suffix":"","institution":"Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, Washington","department":"None"}],"date_submitted":"2013-02-09T01:44:56+08:00","date_accepted":"2013-02-09T01:44:56+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7717/galley/4518/download/"}]},{"pk":7358,"title":"Need for Intervention in Families Presenting to the Emergency Department with Multiple Children as Patients","subtitle":null,"abstract":"Introduction: \nTo assess if families presenting to a pediatric emergency department (PED) with multiple children as patients require interventions at the same rate as families presenting with a single child.\nMethods: \nThis is a retrospective chart review looking at PED encounters for families presenting with single children versus multiple children as patients. Patients presenting with siblings were retrospectively selected from the electronic tracking board, and we randomly selected age/gender matched single-patient controls from a comparable time period. The primary outcome was a comparison of visit acuity between families presenting with single versus multiple children, with the hypothesis that families presenting with multiple children as patients would require less utilization of services (as a surrogate for acuity). Admission, intravenous fluid administration (IVF), planned observation, subspecialty consultation, performance of procedures, laboratories and radiographs, administration of prescription medications, and prescription medications for home were all recorded and compared via chi-squared comparison. We considered 5 interventions (admission, subspecialty consultation, performance of procedures, IVF administration, and observation > 6 hours) “critical interventions” and compared them separately.\nResults: \nIn our sample of 83 patients from 41 families registering multiple children and 248 singleton controls, we found a significant difference in the percentage of patients requiring critical interventions (4.8% versus 32.5%, \nP \n< 0.0001).\nConclusion: \nFamilies presenting with multiple children concurrently to an ED require critical interventions at a much lower rate than children presenting as single patients. Many of these families could be well-served at an urgent care or primary care provider. [West J Emerg Med. 2013;14(5):525–528.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Emergency Department, Pediatrics, Resources"},{"word":"Medicine, Pediatric Emergency medicine"}],"section":"Emergency Department Access","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5712h4pd","frozenauthors":[{"first_name":"Jesus","middle_name":"","last_name":"Lemus","name_suffix":"","institution":"Kecks School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Melissa","middle_name":"","last_name":"Chacko","name_suffix":"","institution":"Kecks School of Medicine, University of Southern California, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Ilene","middle_name":"","last_name":"Claudius","name_suffix":"","institution":"Kecks School of Medicine, University of Southern California, Pediatric Emergency Medicine Division, Los Angeles, California","department":"None"}],"date_submitted":"2012-02-29T05:46:18+08:00","date_accepted":"2012-02-29T05:46:18+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7358/galley/4371/download/"}]},{"pk":7654,"title":"Parenteral Hydrocarbon Injection and Associated Toxicities: Two Case Reports","subtitle":null,"abstract":"[West J Emerg Med. 2013;14(5):431–434.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Hydrocarbon"},{"word":"Injection"},{"word":"compartment syndrome"},{"word":"pulmonary edema"},{"word":"Emergency Medicine"},{"word":"toxicology"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/09p7q71n","frozenauthors":[{"first_name":"Michael","middle_name":"E.","last_name":"Nelson","name_suffix":"","institution":"John H. Stroger Hospital of Cook County (Cook County Hospital), Illinois Poison Control Center, Toxikon Consortium, Chicago, IL","department":"None"},{"first_name":"Isam","middle_name":"","last_name":"Nasr","name_suffix":"","institution":"John H. Stroger Hospital of Cook County (Cook County Hospital), Chicago, IL; Westlake Hospital, Melrose Park, IL","department":"None"}],"date_submitted":"2012-12-17T07:03:03+08:00","date_accepted":"2012-12-17T07:03:03+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7654/galley/4489/download/"}]},{"pk":7736,"title":"Perception of Noise by Emergency Department Nurses","subtitle":null,"abstract":"Introduction: \nNoise in the emergency department (ED) may be perceived to be high by both patients and nurses alike. This increased noise level is hypothesized to be responsible for communication interference and subsequent disruption of complex procedures and decision-making. The objective of this study is to quantify ambient noise level in an ED while obtaining coincident subjective surveys from nurses in the assessment of actual versus perceived noise.\nMethods: \nData collected from surveys of ED nurses on each of 3 different dates revealed that sound levels within the selected ED were consistently at or below 70 decibels (dB) of sound as measured by a sound level meter. This level of sound is of the same decibel of normal conversation at a 3-5 foot distance. Nurses surveyed overwhelmingly rated noise as “low” or “not loud” irrespective of a variance (though predominantly within a 10 dB range) in actual sound decibel measurements.\nResults: \nYears of experience of work within emergency departments proved the most consistent predictor of nurses’ opinions on the frequency with which noise levels within the ED were louder than they should be, with more experienced nurses all ranking noise levels as “frequently” or “always” louder than they should be.\nConclusion: \nIndividual variance existed in how nurses felt that noise level affected work function. ED nurses’ perception of noise is perceived to be low and generally not interfering with their cognitive function. [West J Emerg Med. 2013;14(5):547–550.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Noise, distractions, nurses"},{"word":"Emergency Medicine, Emergency Department"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/37s1z514","frozenauthors":[{"first_name":"John","middle_name":"","last_name":"Graneto","name_suffix":"","institution":"Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois","department":"None"},{"first_name":"Tessa","middle_name":"","last_name":"Damm","name_suffix":"","institution":"","department":"None"},{"first_name":"John","middle_name":"","last_name":"Graneto","name_suffix":"","institution":"Midwestern University, Department of Emergency Medicine, Downers Grove, Illinois","department":"None"}],"date_submitted":"2013-02-22T03:49:11+08:00","date_accepted":"2013-02-22T03:49:11+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7736/galley/4529/download/"}]},{"pk":7556,"title":"Predictive Value of Initial Triage Vital Signs for Critically Ill Older Adults","subtitle":null,"abstract":"Introduction\n: Triage of patients is critical to patient safety, yet no clear information exists as to the utility of initial vital signs in identifying critically ill older emergency department (ED) patients. The objective of this study is to evaluate a set of initial vital sign thresholds as predictors of severe illness and injury among older adults presenting to the ED.\nMethods\n: We reviewed all visits by patients aged 75 and older seen during 2007 at an academic ED serving a large community of older adults. Patients’ charts were abstracted for demographic and clinical information including vital signs, via automated electronic methods. We used bivariate analysis to investigate the relationship between vital sign abnormalities and severe illness or injury, defined as intensive care unit (ICU) admission or ED death. In addition, we calculated likelihood ratios for normal and abnormal vital signs in predicting severe illness or injury.\nResults\n: 4,873 visits by patients aged 75 and above were made to the ED during 2007, and of these 3,848 had a complete set of triage vital signs. For these elderly patients, the sensitivity and specificity of an abnormal vital sign taken at triage for predicting death or admission to an ICU were 73% (66,81) and 50% (48,52) respectively (positive likelihood ratio 1.47 (1.30,1.60); negative likelihood ratio 0.54 (0.30,0.60).\nConclusion\n: Emergency provider assessment and triage scores that rely primarily on initial vital signs are likely to miss a substantial portion of critically ill older adults. [West J Emerg Med. 2013;14(5):453–460.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Elderly"},{"word":"emergency department"},{"word":"vital signs"},{"word":"triage"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0fw1w5nv","frozenauthors":[{"first_name":"Michael","middle_name":"A","last_name":"LaMantia","name_suffix":"","institution":"Indiana University Center for Aging Research and Regenstrief Institute, Indianapolis, Indiana","department":"None"},{"first_name":"Paul","middle_name":"W.","last_name":"Stewart","name_suffix":"","institution":"University of North Carolina, Department of Biostatistics, Chapel Hill, North Carolina","department":"None"},{"first_name":"Timothy","middle_name":"F","last_name":"Platts-Mills","name_suffix":"","institution":"University of North Carolina, Department of Emergency Medicine, Chapel Hill, North Carolina","department":"None"},{"first_name":"Kevin","middle_name":"J","last_name":"Biese","name_suffix":"","institution":"University of North Carolina, Department of Emergency Medicine, Chapel Hill, North Carolina","department":"None"},{"first_name":"Cory","middle_name":"","last_name":"Forbach","name_suffix":"","institution":"University of North Carolina, Department of Emergency Medicine, Chapel Hill, North Carolina","department":"None"},{"first_name":"Ezequiel","middle_name":"","last_name":"Zamora","name_suffix":"","institution":"Watauga Medical Center, Boone, North Carolina","department":"None"},{"first_name":"Brenda","middle_name":"K","last_name":"McCall","name_suffix":"","institution":"University of North Carolina Hospitals, Chapel Hill, North Carolina","department":"None"},{"first_name":"Frances","middle_name":"S","last_name":"Shofer","name_suffix":"","institution":"University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Charles","middle_name":"B","last_name":"Cairns","name_suffix":"","institution":"University of North Carolina, Department of Emergency Medicine, Chapel Hill, North Carolina","department":"None"},{"first_name":"Jan","middle_name":"","last_name":"Busby-Whitehead","name_suffix":"","institution":"University of North Carolina, Division of Geriatrics and Center for Aging and Health, Chapel Hill, North Carolina","department":"None"},{"first_name":"John","middle_name":"S.","last_name":"Kizer","name_suffix":"","institution":"University of North Carolina, Division of Geriatrics and Center for Aging and Health, Chapel Hill, North Carolina","department":"None"}],"date_submitted":"2012-09-13T22:01:01+08:00","date_accepted":"2012-09-13T22:01:01+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7556/galley/4448/download/"}]},{"pk":7460,"title":"Prognostic Value of Emergency Physician-performed Echocardiography in Patients with Acute Pulmonary Thromboembolism","subtitle":null,"abstract":"Introduction: \nPulmonary embolism (PE) is a life-threatening illness with high morbidity and mortality. Echocardiography (ECG) plays an important role in the early identification of right ventricular (RV) dysfunction, making it a helpful tool in identifying hemodynamically stable patients affected by PE with a higher mortality risk. The purpose of this study was to evaluate if one or more ECG indexes could predict a short-term evolution towards RV dysfunction.\nMethods: \nWe selected all patients consecutively admitted to the Careggi Hospital Emergency Department with the clinical suspicion of PE, confirmed by computed tomography angiography prior to enrollment. Subsequently, properly trained emergency physicians acquired a complete ECG to measure RV morphological and functional indices. For each patient, we recorded if he or she received a fibrinolytic treatment, a surgical embolectomy or heparin therapy during the emergency department (ED) stay. Then, every patient was re-evaluated with ECG, by the same physician, after 1 week in our intensive observation unit and 1 month as outpatient in our ED regional referral center for PE.\nResults: \nFrom 2002 to 2007, 120 consecutive patients affected by PE were evaluated by echocardiography at the Careggi Hospital ED. Nine patients (8%) were treated with thrombolytic therapy. Six died within 1 week and 4 abandoned the study, while the remaining 110 survived and were re-evaluated by ECG after 1 week and 1 month. The majority of the echocardiographic RV indexes improve mostly in the first 7 days: Acceleration Time (AT) from 78±14 ms to 117±14 ms (p<0.001), Diameter of Inferior Vena Cava (DIVC) from 25±6 mm to 19±5 mm (p<0.001), Tricuspid Annular Plane Systolic Excursion (TAPSE) from 16±6 mm to 20±6 mm (p<0.001). Pulmonary Artery Systolic Pressure (PASP) showed a remarkable decrease from 59±26 mmHg to 37±9 mmHg, (p<0.001). The measurements of the transverse diameters of both ventricles and the respective ratio showed a progressive normalization with a reduction of RV diameter, an increase of Left Ventricular (LV) diameter and a decrease of RV/LV ratio over time. To evaluate the RV function, the study population was divided into 3 groups based on the TAPSE and PASP mean values at the admission: Group 1 (68 patients) (TAPSE+/ PASP-), Group 2 (12 patients) (TAPSE-/PASP-), and Group 3 (30 patients) (TAPSE-/PASP+). Greater values of AT, minor RV diameter, greater LV diameter and a lesser RV/LV ratio were associated with a short-term improvement of TAPSE in the Group 2. Instead, in Group 3 the only parameter associated with short-term improvement of TAPSE and PASP was the treatment with thrombolytic therapy (p<0.0001).\nConclusion: \nGreater values of AT, minor RV diameter, greater LV diameter and a lesser RV/LV ratio were associated with a short-term improvement of TAPSE-/PASP- values. Patients with evidence of RV dysfunction (TAPSE-/PASP+), may benefit from thrombolytic therapy to improve a short- term RV function. After 1 month, also a decreased DIVC predicted improved RV function. [West J Emerg Med. 2013;14(5):509–517.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"pulmonary embolism"},{"word":"Echocardiography"},{"word":"emergency department"},{"word":"Right Ventricular Disfunction"},{"word":"Thrombolytic therapy"},{"word":"Emergency Medicine"},{"word":"cardiology"}],"section":"Technology in Emergency Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0k25z8rk","frozenauthors":[{"first_name":"Maurizio","middle_name":"","last_name":"Zanobetti","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Cristiano","middle_name":"","last_name":"Converti","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Alberto","middle_name":"","last_name":"Conti","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Gabriele","middle_name":"","last_name":"Viviani","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Elisa","middle_name":"","last_name":"Guerrini","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Vanessa","middle_name":"","last_name":"Boni","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Sonia","middle_name":"","last_name":"Vicidomini","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Claudio","middle_name":"","last_name":"Poggioni","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Aurelia","middle_name":"","last_name":"Guzzo","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Alessandro","middle_name":"","last_name":"Coppa","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Sofia","middle_name":"","last_name":"Bigiarini","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Francesca","middle_name":"","last_name":"Innocenti","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"},{"first_name":"Riccardo","middle_name":"","last_name":"Pini","name_suffix":"","institution":"Department of Critical Care Medicine and Surgery, University of Florence, Florence, Italy","department":"None"}],"date_submitted":"2012-05-27T01:55:26+08:00","date_accepted":"2012-05-27T01:55:26+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7460/galley/4411/download/"}]},{"pk":7620,"title":"Pylephlebitis in a Previously Healthy Emergency Department Patient With Appendicitis","subtitle":null,"abstract":"Pylephlebitis is a septic thrombophlebitis of the portal vein that is associated with multiple suppurative abdominal infections, such as diverticulitis, appendicitis, cholangitis, and cholecystitis. We describe a case of pylephlebitis in a patient with fever and diffuse, poorly localized abdominal pain who was eventually diagnosed with appendicitis. We aim to increase awareness of this condition among emergency physicians, as timely initiation of antibiotics and expedited surgical resection may improve outcomes in this potentially fatal disease. [West J Emerg Med. 2013;14(5):428–430.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Pylephlebitis, Appendicitis, Emergency Medicine"},{"word":"Emergency Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7952c4bf","frozenauthors":[{"first_name":"Christopher","middle_name":"John","last_name":"Coyne","name_suffix":"","institution":"Los Angeles County + University of Southern California Health Network, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Ashok","middle_name":"","last_name":"Jain","name_suffix":"","institution":"Los Angeles County + University of Southern California Health Network, Department of Emergency Medicine, Los Angeles, California","department":"None"}],"date_submitted":"2012-11-26T09:45:29+08:00","date_accepted":"2012-11-26T09:45:29+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7620/galley/4474/download/"}]},{"pk":7456,"title":"Racial Disparity in Duration of Patient Visits to the Emergency Department:  Teaching versus Non-teaching Hospitals","subtitle":null,"abstract":"Introduction: \nThe sources of racial disparity in duration of patients’ visits to emergency departments (EDs) have not been documented well enough for policymakers to distinguish patient-related factors from hospital- or area-related factors. This study explores the racial disparity in duration of routine visits to EDs at teaching and non-teaching hospitals.\nMethods: \nWe performed retrospective data analyses and multivariate regression analyses to investigate the racial disparity in duration of routine ED visits at teaching and non-teaching hospitals. The Healthcare Cost and Utilization Project (HCUP) State Emergency Department Databases (SEDD) were used in the analyses. The data include 4.3 million routine ED visits encountered in Arizona, Massachusetts, and Utah during 2008. We computed duration for each visit by taking the difference between admission and discharge times.\nResults: \nThe mean duration for a routine ED visit was 238 minutes at teaching hospitals and 175 minutes at non-teaching hospitals. There were significant variations in duration of routine ED visits across race groups at teaching and non-teaching hospitals. The risk-adjusted results show that the mean duration of routine ED visits for Black/African American and Asian patients when compared to visits for white patients was shorter by 10.0 and 3.4%, respectively, at teaching hospitals; and longer by 3.6 and 13.8%, respectively, at non-teaching hospitals. Hispanic patients, on average, experienced 8.7% longer ED stays when compared to white patients at non-teaching hospitals.\nConclusion: \nThere is significant racial disparity in the duration of routine ED visits, especially in non-teaching hospitals where non-White patients experience longer ED stays compared to white patients. The variation in duration of routine ED visits at teaching hospitals when compared to non-teaching hospitals was smaller across race groups. [West J Emerg Med. 2013;14(5):529–541.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Racial Disparity, Length of Stay, Emergency Department Visits"},{"word":"Emergency Medicine"},{"word":"Medicine"}],"section":"Societal Impact on Emergency Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9zj3t838","frozenauthors":[{"first_name":"Zeynal","middle_name":"","last_name":"Karaca","name_suffix":"","institution":"George Washington University, Health Policy Department \n\nSocial & Scientific Systems, Inc.","department":"None"},{"first_name":"Herbert","middle_name":"S.","last_name":"Wong","name_suffix":"","institution":"Agency for Healthcare Research and Quality","department":"None"}],"date_submitted":"2012-05-22T02:17:33+08:00","date_accepted":"2012-05-22T02:17:33+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7456/galley/4408/download/"}]},{"pk":7473,"title":"Reducing Ambulance Diversion at Hospital and Regional Levels: A Systematic Review of Insights from Simulation Models","subtitle":null,"abstract":"Introduction: \nOptimal solutions for reducing diversion without worsening emergency department (ED) crowding are unclear. We performed a systematic review of published simulation studies to identify: 1) the tradeoff between ambulance diversion and ED wait times; 2) the predicted impact of patient flow interventions on reducing diversion; and 3) the optimal regional strategy for reducing diversion.\nMethods: \nData Sources: Systematic review of articles using MEDLINE, Inspec, Scopus. Additional studies identified through bibliography review, Google Scholar, and scientific conference proceedings. Study Selection: Only simulations modeling ambulance diversion as a result of ED crowding or inpatient capacity problems were included. Data extraction: Independent extraction by two authors using predefined data fields.\nResults: \nWe identified 5,116 potentially relevant records; 10 studies met inclusion criteria. In models that quantified the relationship between ED throughput times and diversion, diversion was found to only minimally improve ED waiting room times. Adding holding units for inpatient boarders and ED-based fast tracks, improving lab turnaround times, and smoothing elective surgery caseloads were found to reduce diversion considerably. While two models found a cooperative agreement between hospitals is necessary to prevent defensive diversion behavior by a hospital when a nearby hospital goes on diversion, one model found there may be more optimal solutions for reducing region wide wait times than a regional ban on diversion.\nConclusion: \nSmoothing elective surgery caseloads, adding ED fast tracks as well as holding units for inpatient boarders, improving ED lab turnaround times, and implementing regional cooperative agreements among hospitals. [West J Emerg Med. 2013;14(5):489-498.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Ambulance diversion, ED crowding, simulation models, patient flow, operations research"},{"word":"Emergency Medicine"}],"section":"Prehospital Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/41g6m81s","frozenauthors":[{"first_name":"M. Kit","middle_name":"","last_name":"Delgado","name_suffix":"","institution":"Stanford University, Division of Emergency Medicine, Stanford, California","department":"None"},{"first_name":"Lesley","middle_name":"J.","last_name":"Meng","name_suffix":"","institution":"Columbia University, Mailman School of Public Health, New York City, New York","department":"None"},{"first_name":"Mary","middle_name":"P.","last_name":"Mercer","name_suffix":"","institution":"University of California San Francisco, San Francisco General Hospital, San Francisco, California","department":"None"},{"first_name":"Jesse","middle_name":"M.","last_name":"Pines","name_suffix":"","institution":"George Washington University, Department of Emergency Medicine and Health Policy, Washington, DC","department":"None"},{"first_name":"Douglas","middle_name":"K.","last_name":"Owens","name_suffix":"","institution":"Stanford University, Center for Health Policy/Center for Primary Care and Outcomes Research, Stanford, California","department":"None"},{"first_name":"Gregory","middle_name":"S.","last_name":"Zaric","name_suffix":"","institution":"University of Western Ontario, Department of Epidemiology and Biostatistics and the Richard Ivey School of Business, London, Ontario, Canada","department":"None"}],"date_submitted":"2012-06-12T08:14:42+08:00","date_accepted":"2012-06-12T08:14:42+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7473/galley/4416/download/"}]},{"pk":7383,"title":"Sexual Assault Training in Emergency Medicine Residencies: A Survey of Program Directors","subtitle":null,"abstract":"Introduction\n: There is currently no standard forensic medicine training program for emergency medicine residents. In the advent of sexual assault nurse examiner (SANE) programs aimed at improving the quality of care for sexual assault victims, it is also unclear how these programs impact emergency medicine (EM) resident forensic medicine training. The purpose of this study was togather information on EM residency programs’ training in the care of sexual assault patients and determine what impact SANE programs may have on the experience of EM resident training from the perspective of residency program directors (PDs).\nMethods\n: This was a cross-sectional survey. The study cohort was all residency PDs from approved EM residency training programs who completed a closed-response self-administered survey electronically.\nResults\n: We sent surveys to 152 PDs, and 71 responded for an overall response rate of 47%. Twenty-two PDs (31%) reported that their residency does not require procedural competency for the sexual assault exam, and 29 (41%) reported their residents are required only to observe sexual assault exam completion to demonstrate competency. Residency PDs were asked how their programs established resident requirements for sexual assault exams. Thirty-seven PDs (52%) did not know how their sexual assault exam requirement was established.\nConclusion\n: More than half of residency PDs did not know how their sexual assault guidelines were established, and few were based upon recommendations from the literature. There is no clear consensus as to how PDs view the effect of SANE programs on resident competency with the sexual assault exam. This study highlights both a need for increased awareness of EM resident sexual assault education nationally and also a possible need for a training curriculum defining guidelines forEM residents performing sexual assault exams. [West J Emerg Med. 2013;14(5):461–466.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Sexual Assault"},{"word":"SANE"},{"word":"Resident Education"},{"word":"education"},{"word":"Forensic Medicine"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2zk3d6m6","frozenauthors":[{"first_name":"Margaret","middle_name":"Kramer","last_name":"Sande","name_suffix":"","institution":"Denver Health & Hospital Authority\nUniversity of Colorado Denver, School of Medicine","department":"None"},{"first_name":"Kerry","middle_name":"B.","last_name":"Broderick","name_suffix":"","institution":"Denver Health & Hospital Authority\nUniversity of Colorado Denver, School of Medicine","department":"None"},{"first_name":"Maria","middle_name":"E.","last_name":"Moreira, MD","name_suffix":"","institution":"Denver Health & Hospital Authority\nUniversity of Colorado Denver, School of Medicine","department":"None"},{"first_name":"Brooke","middle_name":"","last_name":"Bender","name_suffix":"","institution":"Denver Health & Hospital Authority","department":"None"},{"first_name":"Emily","middle_name":"","last_name":"Hopkins","name_suffix":"","institution":"Denver Health & Hospital Authority","department":"None"},{"first_name":"Jennie","middle_name":"A.","last_name":"Buchanan","name_suffix":"","institution":"Denver Health & Hospital Authority\nUniversity of Colorado Denver, School of Medicine","department":"None"}],"date_submitted":"2012-03-26T12:29:45+08:00","date_accepted":"2012-03-26T12:29:45+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7383/galley/4378/download/"}]},{"pk":7572,"title":"Ultrasound-guided Intraarticular Hip Injection for Osteoarthritis Pain in the Emergency Department","subtitle":null,"abstract":"Ultrasound-guided intraarticular hip corticosteroid injections may be useful for emergency care providers treating patients with painful exacerbations of osteoarthritis of the hip. Corticosteroid injection is widely recommended as a first-line treatment for painful osteoarthritis of the hip. Bedside ultrasound is readily available in most emergency departments; however, using ultrasound to guide therapeutic hip injections has not yet been described in emergency practice. Herein, we present the first description of a successful emergency physician-performed ultrasound-guided hip injection of local anesthetic and corticosteroid for pain control in a patient with an acute exacerbation of osteoarthritis. [West J Emerg Med. 2013;14(5):505–508.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"ultrasound, hip osteoarthritis, corticosteroid injections, procedural ultrasound"},{"word":"Emergency Medicine"}],"section":"Technology in Emergency Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3130v3hh","frozenauthors":[{"first_name":"Erik","middle_name":"Sorem","last_name":"Anderson","name_suffix":"","institution":"Alameda County Medical Center, Highland Hospital","department":"None"},{"first_name":"Andrew","middle_name":"A","last_name":"Herring","name_suffix":"","institution":"Alameda County Medical Center, Highland Hospital","department":"None"},{"first_name":"Caitlin","middle_name":"","last_name":"Bailey","name_suffix":"","institution":"Alameda County Medical Center, Highland Hospital","department":"None"},{"first_name":"Daniel","middle_name":"","last_name":"Mantuani","name_suffix":"","institution":"Alameda County Medical Center, Highland Hospital","department":"None"},{"first_name":"Arun","middle_name":"D","last_name":"Nagdev","name_suffix":"","institution":"Alameda County Medical Center, Highland Hospital\n\nUniversity of California San Francisco","department":"None"}],"date_submitted":"2012-10-09T12:19:32+08:00","date_accepted":"2012-10-09T12:19:32+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7572/galley/4452/download/"}]},{"pk":7506,"title":"Uterine Arteriovenous Malformation with Sudden Heavy Vaginal Hemmorhage","subtitle":null,"abstract":"Dysfunctional uterine bleeding (DUB) is a common presentation in the emergency department and has a wide differential. Most presentations of DUB are in hemodynamically stable patients and can be evaluated as an outpatient. Uterine arteriovenous malformation (AVM) is one presentation that can result in a life-threatening medical emergency with unexpected sudden and massive vaginal bleeding. We describe a case of a 24-year-old female with sudden heavy vaginal bleeding requiring a blood transfusion, ultrasound evidence of uterine AVM, and a treatment method of expectant management using an intrauterine device in an attempt to preserve fertility. [West J Emerg Med. 2013;14(5):411-414.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Dysfunctional Uterine Bleeding"},{"word":"Uterine Arteriovenous Malformation"},{"word":"Uterine Arteriovenous Malformations"},{"word":"Vaginal Hemorrhage"},{"word":"Emergency Medicine"},{"word":"Gynecology"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0g50t2b0","frozenauthors":[{"first_name":"Sarah","middle_name":"Tolford","last_name":"Selby","name_suffix":"","institution":"Albert Einstein College of Medicine, Jacobi Medical Center, Department of Emergency Medicine, Bronx, New York","department":"None"},{"first_name":"Marianne","middle_name":"","last_name":"Haughey","name_suffix":"","institution":"Albert Einstein College of Medicine, Jacobi Medical Center, Department of Emergency Medicine, Bronx, New York","department":"None"}],"date_submitted":"2012-07-25T04:17:48+08:00","date_accepted":"2012-07-25T04:17:48+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7506/galley/4429/download/"}]},{"pk":7678,"title":"Uterine Rupture due to Invasive Metastatic Gestational Trophoblastic Neoplasm","subtitle":null,"abstract":"While complete molar pregnancies are rare, they are wrought with a host of potential complications to include invasive gestational trophoblastic neoplasia. Persistent gestational trophoblastic disease following molar pregnancy is a potentially fatal complication that must be recognized early and treated aggressively for both immediate and long-term recovery. We present the case of a 21-year-old woman with abdominal pain and presyncope 1 month after a molar pregnancy with a subsequent uterine rupture due to invasive gestational trophoblastic neoplasm. We will discuss the complications of molar pregnancies including the risks and management of invasive, metastatic gestational trophoblastic neoplasia. [West J Emerg Med. 2013;14(5):444–447.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Hydatidiform mole"},{"word":"Gestational Trophoblastic Neoplasia"},{"word":"uterine rupture"},{"word":"Emergency Medicine"},{"word":"Obstetrics and Gynecology"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7064k01v","frozenauthors":[{"first_name":"David","middle_name":"I","last_name":"Bruner","name_suffix":"","institution":"Naval Medical Center Portsmouth, Emergency Medicine Program, Portsmouth, Virginia","department":"None"},{"first_name":"Amy","middle_name":"M","last_name":"Pritchard","name_suffix":"","institution":"Naval Medical Hospital Camp Pendleton, Oceanside, California","department":"None"},{"first_name":"Jonathan","middle_name":"E","last_name":"Clarke","name_suffix":"","institution":"Naval Medical Center Jacksonville, Jacksonville, Florida","department":"None"}],"date_submitted":"2013-01-13T21:17:11+08:00","date_accepted":"2013-01-13T21:17:11+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7678/galley/4502/download/"}]},{"pk":7538,"title":"Vaginal Foreign Bodies and Child Sexual Abuse: An Important Consideration","subtitle":null,"abstract":"Vaginal foreign bodies are a complaint occasionally encountered in pediatric clinics and emergency departments, and when pediatric patients present with a vaginal foreign body sexual abuse may not be considered. We describe two children with vaginal foreign bodies who were found to have been sexually abused. Each child had a discharge positive for a sexually transmitted infection despite no disclosure or allegation of abuse. We recommend that all pre-pubertal girls who present with a vaginal foreign body should be considered as possible victims of sexual abuse and should receive a sexual abuse history and testing for sexually transmitted infections. [West J Emerg Med. 2013;14(5):437–439.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"child sexual abuse, vaginal foreign body, sexually transmitted infection"},{"word":"Pediatrcs"},{"word":"Emergency Medicine"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4xk5n4v5","frozenauthors":[{"first_name":"Forrest","middle_name":"T.","last_name":"Closson","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Pediatrics, Division of Pediatric\nEmergency Medicine, Baltimore, Maryland","department":"None"},{"first_name":"Richard","middle_name":"","last_name":"Lichenstein","name_suffix":"","institution":"University of Maryland School of Medicine, Department of Pediatrics, Division of Pediatric\nEmergency Medicine, Baltimore, Maryland","department":"None"}],"date_submitted":"2012-08-26T00:42:59+08:00","date_accepted":"2012-08-26T00:42:59+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7538/galley/4441/download/"}]},{"pk":7528,"title":"Warming Intravenous Fluids for Improved Patient Comfort in the Emergency Department: A Pilot Crossover Randomized Controlled Trial","subtitle":null,"abstract":"Introduction: \nThe purpose of this study was to test if intravenous (IV) fluids warmed to body temperature are associated with greater patient comfort than room temperature IV fluids in adult emergency department (ED) patients.\nMethods: \nThis was a pilot double-blind, crossover, randomized controlled trial. Enrolled subjects sequentially received boluses of body temperature (36ºC) and room temperature (22 ºC) IV fluid, with the order of boluses randomized. Each subject’s level of discomfort was assessed prior to and after each bolus, using a 10 cm visual analog scale (Discomfort VAS), with higher scores indicating greater discomfort. We calculated the change in Discomfort VAS score associated with body temperature IV fluid (ΔVASbody) and room temperature IV fluid (ΔVASroom) by subtracting the score reported before the bolus from the score reported after that bolus. We compared changes in Discomfort VAS score with body temperature and room temperature IV fluid using the Wilcoxon matched-pairs signed-rank test.\nResults: \nTwenty-seven subjects were included. Treatment with body temperature IV fluid was associated with a significant decrease in discomfort (median ΔVASbody: -0.7 cm; interquartile range (IQR): -4.5 cm to +0.4 cm) compared to room temperature IV fluid (median ΔVASroom: +1.2 cm; interquartile range: -0.1 cm to + 3.6 cm) (\nP \n= 0.001).\nConclusion: \nIn this small trial of adult ED patients, infusing IV fluids warmed to body temperature was associated with improved comfort compared to standard, room temperature IV fluids. [West J Emerg Med. 2013;14(5):542–546.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"emergency department"},{"word":"resuscitation"},{"word":"patient satisfaction"},{"word":"clinical management"},{"word":"Medicine"},{"word":"Emergency Medicine"}],"section":"Practice Variability","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0bv471q7","frozenauthors":[{"first_name":"Wesley","middle_name":"H.","last_name":"Self","name_suffix":"","institution":"Vanderbilt University School of Medicine, Department of Emergency Medicine,\nNashville, Tennessee","department":"None"},{"first_name":"Steven","middle_name":"J.","last_name":"White","name_suffix":"","institution":"Vanderbilt University School of Medicine, Department of Emergency Medicine,\nNashville, Tennessee","department":"None"},{"first_name":"Candace","middle_name":"D.","last_name":"McNaughton","name_suffix":"","institution":"Vanderbilt University School of Medicine, Department of Emergency Medicine,\nNashville, Tennessee","department":"None"},{"first_name":"Alan","middle_name":"B.","last_name":"Storrow","name_suffix":"","institution":"Vanderbilt University School of Medicine, Department of Emergency Medicine,\nNashville, Tennessee","department":"None"},{"first_name":"Corey","middle_name":"M.","last_name":"Slovis","name_suffix":"","institution":"Vanderbilt University School of Medicine, Department of Emergency Medicine,\nNashville, Tennessee","department":"None"},{"first_name":"Sean","middle_name":"P.","last_name":"Collins","name_suffix":"","institution":"Vanderbilt University School of Medicine, Department of Emergency Medicine,\nNashville, Tennessee","department":"None"}],"date_submitted":"2012-08-18T03:14:03+08:00","date_accepted":"2012-08-18T03:14:03+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7528/galley/4435/download/"}]},{"pk":7795,"title":"When a Patient Declines Curative Care: Management of a Ruptured Aortic Aneurysm","subtitle":null,"abstract":"The management of major vascular emergencies in the emergency department (ED) involves rapid, aggressive resuscitation followed by emergent definitive surgery. However, for some patients this traditional approach may not be consistent with their goals and values. We explore the appropriate way to determine best treatment practices when patients elect to forego curative care in the ED, while reviewing such a case. We present the case of a 72-year-old patient who presented to the ED with a ruptured abdominal aortic aneurysm, but refused surgery. We discuss the transition of the patient from a curative to a comfort care approach with appropriate direct referral to hospice from the ED. Using principles of autonomy, decision-making capacity, informed consent, prognostication, and goals-of-care, ED clinicians are best able to align their approach with patients’ goals and values. [West J Emerg Med. 2013;14(5):555–558.]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"palliative care"},{"word":"end-of-life care"},{"word":"hospice care"},{"word":"clinical decision-making"},{"word":"autonomy"},{"word":"Emergency Medicine"},{"word":"emergency department"}],"section":"Ethical and Legal Issues","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2sw7j693","frozenauthors":[{"first_name":"Sangeeta","middle_name":"","last_name":"Lamba","name_suffix":"","institution":"Rutgers, The State University of New Jersey, New Jersey Medical School, Newark, New Jersey","department":"None"},{"first_name":"Megan","middle_name":"","last_name":"Bonanni","name_suffix":"","institution":"Wayne State Medical Center, Detroit, Michigan","department":"None"},{"first_name":"Cheryl","middle_name":"A","last_name":"Courage","name_suffix":"","institution":"Wayne State Medical Center, Detroit, Michigan","department":"None"},{"first_name":"Roxanne","middle_name":"","last_name":"Nagurka","name_suffix":"","institution":"Rutgers, The State University of New Jersey, New Jersey Medical School, Newark, New Jersey","department":"None"},{"first_name":"Robert","middle_name":"J","last_name":"Zalenski","name_suffix":"","institution":"Wayne State Medical Center, Detroit, Michigan","department":"None"}],"date_submitted":"2013-04-09T05:52:12+08:00","date_accepted":"2013-04-09T05:52:12+08:00","date_published":"2013-09-15T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/7795/galley/4547/download/"}]},{"pk":1937,"title":"Using Interconnected Texts to Highlight Culture in the Foreign Language Classroom","subtitle":null,"abstract":"SLA research on foreign language pedagogy has long demonstrated that culture is essential to language learning. However, presenting culture in the language classroom poses certain problems. For learners, there is a tendency to stereotype others and to rely excessively on the teacher. For teachers, there is a tendency to transmit isolated facts without elaboration and to associate a target language with a single monolithic culture. This article presents a pedagogical approach to culture that not only exposes students to networks of authentic texts but also motivates them to research for themselves the many subtleties of the target culture. By learning how to approach a network of texts, students gain deeper insight into the target culture and develop their ability to interpret texts that they will subsequently encounter on their own. This approach will be illustrated by a detailed lesson plan as well as an analysis of the responses of students who engaged with these materials in an advanced intermediate level French class.","language":"en","license":null,"keywords":[{"word":"intertextuality"},{"word":"recontextualization"},{"word":"target culture"},{"word":"French"},{"word":"Applied Linguistics"},{"word":"Cultural Studies"}],"section":"Teachers' Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4hj708bg","frozenauthors":[{"first_name":"Maya","middle_name":"","last_name":"Smith","name_suffix":"","institution":"University of Washington","department":"None"}],"date_submitted":"2012-08-14T14:07:06+08:00","date_accepted":"2012-08-14T14:07:06+08:00","date_published":"2013-09-14T06:41:08+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/1937/galley/1290/download/"}]},{"pk":43849,"title":"Hyperkalemia following Unilateral Adrenalectomy for Adrenal Adenoma","subtitle":null,"abstract":"","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/2n7208zw","frozenauthors":[{"first_name":"Hamid","middle_name":"R","last_name":"Hajmomenian","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2013-09-13T05:36:37+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43849/galley/32652/download/"}]},{"pk":43841,"title":"Geriatric Screening Patterns in Subspecialty Clinics","subtitle":null,"abstract":"","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/4t5575hj","frozenauthors":[{"first_name":"Tamara","middle_name":"","last_name":"Bininashvill","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Justin","middle_name":"D","last_name":"Pearlman","name_suffix":"MD, PhD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-09-10T05:21:04+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43841/galley/32644/download/"}]},{"pk":43838,"title":"Exertional Rhabdomyolysis: Two Case Reports in Untrained and Trained Individuals","subtitle":null,"abstract":"","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/43s715jz","frozenauthors":[{"first_name":"S. Anjani","middle_name":"","last_name":"Mattai","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2013-09-10T05:13:54+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43838/galley/32641/download/"}]},{"pk":43879,"title":"Redness Everywhere: a Rare Drug-Related Skin Eruption","subtitle":null,"abstract":"","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/5d0462hm","frozenauthors":[{"first_name":"Divya","middle_name":"","last_name":"Sachdev","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Uzma","middle_name":"","last_name":"Khan","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-09-07T07:29:56+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43879/galley/32682/download/"}]},{"pk":1956,"title":"Researching Chinese History and Culture through Poetry Writing in an EFL Composition Class","subtitle":null,"abstract":"This article describes a pedagogical project designed to optimize opportunities for individual, creative expression in L2 academic writing. Conducted in four EFL Composition classes in a university in mainland China, a writing project using poetry as a research methodology, first introduced by Hanauer (2010), was implemented and assessed for effectiveness. The writing activities for this project were designed to empower individual voices, advance L2 research writing skills, and provide “opportunities to construct deeply ‘local’ meanings” (Blommaert, 2005, p. 390). Following a genre-based approach to classic English poetry, students researched personal memory of Chinese history and culture through poetry writing. The second language writers/poets created a body of over 200 poems that both informed and individualized personal understandings and cultural identity. In this paper, I argue that the use of poetry as a research methodology is an effective tool for exploring personal memories and knowledge of national history and culture. I further argue that creative writing in L2 academic contexts equalizes linguistic inequities, establishes a unique space for personal identity negotiation, and promotes second language development.","language":"en","license":null,"keywords":[{"word":"L2 creative writing genres, poetry and research methodology, culture and memory"},{"word":"English, Second language learning and teaching, Creative Writing"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0np2z24p","frozenauthors":[{"first_name":"Rebecca","middle_name":"Todd","last_name":"Garvin","name_suffix":"","institution":"Miami University of Ohio","department":"None"}],"date_submitted":"2013-01-30T00:28:25+08:00","date_accepted":"2013-01-30T00:28:25+08:00","date_published":"2013-09-06T08:00:32+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/1956/galley/1300/download/"}]},{"pk":1945,"title":"Emotionality and Second Language Writers: Expressing Fear through Narrative in Thai and in English","subtitle":null,"abstract":"Writing to express emotions can be a challenging task for second language (L2) writers, especially because it tends to be a process that is less addressed in language classrooms.  This paper aims to expand thinking on L2 literacy and writing by exploring how L2 writers can express emotion (fear) through narratives both in their first language (L1) and second language (L2). With a small number of participants, the study reports that narrative writing can be helpful in creating venues for L2 writers to become aware of linguistic and cultural aspects of their first (Thai) and second (English) languages. By providing personally significant writing prompts, L2 writers can reflect on their personal experiences and gain understanding about themselves linguistically, culturally, and emotionally. The paper concludes with pedagogical suggestions for how writing teachers can introduce both positive and negative emotions in L2 classrooms.","language":"en","license":null,"keywords":[{"word":"Emotions, Narrative, Second Language Writing, Thai, English"},{"word":"second language writing"},{"word":"narrative"},{"word":"education"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/94d1g1pf","frozenauthors":[{"first_name":"Pisarn","middle_name":"Bee","last_name":"Chamcharatsri","name_suffix":"","institution":"University of New Mexico","department":"None"}],"date_submitted":"2012-12-19T17:49:01+08:00","date_accepted":"2012-12-19T17:49:01+08:00","date_published":"2013-09-06T07:54:22+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/1945/galley/1292/download/"}]},{"pk":1958,"title":"Meaningful Writing in the Heritage Language Class: A Case Study of Heritage Learners of Spanish in Canada","subtitle":null,"abstract":"This article reports on a classroom-based experience that draws from the critical approach to heritage Spanish language teaching and Hanauer’s concept of meaningful writing. Participants were three students enrolled in a first-year course for heritage Spanish speakers at a major Canadian public university. The writing component of this language course was fulfilled through online discussions and individual compositions that revolved around social, cultural and personal topics relevant to the linguistic experience of students. This study will demonstrate that placing meaningful writing at the core of heritage languages course not only encourages students to reflect on their own language identity and the role of Spanish in the Canadian society, but also fully engages them in the process of writing in Spanish.","language":"en","license":null,"keywords":[{"word":"Meaningful Literacy"},{"word":"Spanish"},{"word":"Heritage Language"},{"word":"Classroom-based research"},{"word":"pedagogy"},{"word":"Teaching Methodology"},{"word":"Spanish as a Heritage Language"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3mp064qx","frozenauthors":[{"first_name":"Veronica","middle_name":"","last_name":"Loureiro-Rodriguez","name_suffix":"","institution":"University of Manitoba","department":"None"}],"date_submitted":"2013-02-17T04:17:58+08:00","date_accepted":"2013-02-17T04:17:58+08:00","date_published":"2013-09-06T07:51:53+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/1958/galley/1301/download/"}]},{"pk":1952,"title":"ESL Teachers/ESL Students: Looking at Autoethnography through the Lens of Personetics","subtitle":null,"abstract":"This qualitative, naturalistic study examines thoughts expressed in autoethnographies and accompanying notes written by ESL teachers/learners who are enrolled in a graduate teacher education program in the US. These data are then juxtaposed with the Freirean idea that English learners can be empowered if they analyze their personal paths critically. The authors illuminate the practical aspects of autoethnography as a method of introspective, critical analysis, where personetics (Brudny, 2003) can be defined as the process of looking at one’s own identity and learning. ESL learners/teachers are thus illuminated as “personal linguacultures” (Risager, 2008, p. 3) who are unique but have something in common with L2 writers from around the world. The process of writing an ESL autoethnography helps them evaluate their own objectives and goals, we postulate, and enables them to become aware of their own ESL writing as an L2 learning and teaching tool. Specific practical ramifications for the ESL writing classroom are mentioned.","language":"en","license":null,"keywords":[{"word":"Autoethnography"},{"word":"ESL literacy"},{"word":"Applied Linguistics"},{"word":"Personetics"},{"word":"education"},{"word":"Literacy"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7b733911","frozenauthors":[{"first_name":"Alec","middle_name":"","last_name":"Lapidus","name_suffix":"","institution":"University of Southern Maine","department":"None"},{"first_name":"Yalda M.","middle_name":"","last_name":"Kaveh","name_suffix":"","institution":"","department":"None"},{"first_name":"Mamiko","middle_name":"","last_name":"Hirano","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2013-01-16T16:07:45+08:00","date_accepted":"2013-01-16T16:07:45+08:00","date_published":"2013-09-06T07:51:25+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/1952/galley/1294/download/"}]},{"pk":1948,"title":"My Autobiographical-Poetic Rendition: An Inquiry into Humanizing our Teacher Scholarship","subtitle":null,"abstract":"In this paper, I highlight four distinct but interconnected areas of my life history that I refer to as \nautobiographic poetic waves\n. These waves are layered with the complex underpinning of racial, linguistic, gendered, classed, and professional identity politics that continue to not only liberate but also subjugate me at times. These autobiographic poetic waves highlight my experiences as a hyphenated Korean-American woman living in the midst of discourses that continue to privilege dominant ideologies that contradict my lived experiences, yet permeate through every fiber of my being as a member of the academic community. Hence, I focus on two questions: In what ways, do I perceive and understand my lived experiences as a Korean-American, second language writer, English teacher, teacher-scholar, and Mama PhD? And, how can my understanding of these lived experiences further influence the work I do as a teacher-educator? Learning from and moved by the work of Hanauer (2012a, 2012b, 2013), my autobiographical-poetic rendition is an epistemological and ontological revolution that involves understanding my life history as four distinct but interconnected waves: (1) Immigration and Emergence of Hyphenated Identities; (2) Legitimization of the Hyphenated Identities in Higher Education; (3) Epistemological and Ontological Revolution; (4) Perception of Mama PhDs. These waves are interspersed with an extended version of the poem, \nUntitled\n, I wrote in 1984.  I focus on the loss, divide, privileges, disenfranchisement, and identity that have permeated my life history since my family’s immigration. I conclude with implications for the field of TESOL teacher education.","language":"en","license":null,"keywords":[{"word":"Gender, race, language, second language writing, personal history"},{"word":"TESOL, applied linguistics, Teacher Education, Intersectional Discourses"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2wx585r5","frozenauthors":[{"first_name":"Gloria","middle_name":"","last_name":"Park","name_suffix":"","institution":"Indiana University of Pennsylvania","department":"None"}],"date_submitted":"2013-01-01T01:05:05+08:00","date_accepted":"2013-01-01T01:05:05+08:00","date_published":"2013-09-06T07:51:05+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/1948/galley/1293/download/"}]},{"pk":1975,"title":"Introduction to the Special Issue","subtitle":null,"abstract":"The premise of this publication and collective exploration is that through literacy, and in particular L2 writing, personal phenomenological experience can be reflectively inspected, explicated and presented for interpretation by others and as such can be used as an important resource within the language classroom. Kramsch (2006) persuasively describes how second and foreign language pedagogy and research have lost sight of “the flesh and blood individuals who are doing the learning” (p. 98). I proposed in response that meaningful literacy instruction be at the center of second and foreign language learning (Hanauer, 2011). The aim of the research presented here is to humanize the language classroom. Collectively the papers presented facilitate access to different methodologies and pedagogies from around the world and provide a variety of ways and contexts within which meaningful literacy can be applied. Together these papers both change and define in concrete pedagogical and methodological terms what it could mean to work meaningfully with student literacies and personal histories in the language classroom.","language":"en","license":null,"keywords":[{"word":"L2 writing, literacy, language teaching"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5jv5w5gz","frozenauthors":[{"first_name":"David","middle_name":"I","last_name":"Hanauer","name_suffix":"","institution":"Indiana University of Pennyslvania","department":"None"}],"date_submitted":"2013-08-15T05:57:54+08:00","date_accepted":"2013-08-15T05:57:54+08:00","date_published":"2013-09-06T07:50:31+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/1975/galley/1309/download/"}]},{"pk":1974,"title":"Preface to the Special Issue","subtitle":null,"abstract":"It is my pleasure to introduce to you the guest editor of this third Special Issue of \nL2 Journal\n on \nL2 Writing and Personal History: Meaningful Literacy in the Language Classroom.","language":"en","license":null,"keywords":[{"word":"L2 writing, literacy, language"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8mh2k43b","frozenauthors":[{"first_name":"Claire","middle_name":"","last_name":"Kramsch","name_suffix":"","institution":"University of California - Berkeley","department":"None"}],"date_submitted":"2013-08-15T05:51:38+08:00","date_accepted":"2013-08-15T05:51:38+08:00","date_published":"2013-09-06T07:50:04+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/l2/article/1974/galley/1308/download/"}]},{"pk":43861,"title":"Murine Typhus: A diagnosis Often Overlooked","subtitle":null,"abstract":"","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/5351h4k1","frozenauthors":[{"first_name":"Johnson","middle_name":"","last_name":"Hua","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"William","middle_name":"","last_name":"Huang","name_suffix":"MD","institution":"","department":""},{"first_name":"Judith","middle_name":"","last_name":"Currier","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-09-05T06:54:27+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43861/galley/32664/download/"}]},{"pk":1701,"title":"The Data Science Education Dilemma","subtitle":null,"abstract":"The need for people fluent in working with data is growing rapidly and enormously, but U.S. K–12 education does not provide meaningful learning experiences designed to develop understanding of data science concepts or a fluency with data science skills. Data science is inherently inter-disciplinary, so it makes sense to integrate it with existing content areas, but difficulties abound. Consideration of the work involved in doing data science and the habits of mind that lie behind it leads to a way of thinking about integrating data science with mathematics and science. Examples drawn from current activity development in the Data Games project shed some light on what technology-based, data-driven might be like. The project’s ongoing research on learners’ conceptions of organizing data and the relevance to data science education is explained.","language":"en","license":null,"keywords":[{"word":"Statistics education research"},{"word":"Data Science Education"},{"word":"educational games"},{"word":"data analysis software"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7gv0q9dc","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Finzer","name_suffix":"","institution":"KCP Technologies","department":"None"}],"date_submitted":"2012-10-02T03:35:14+08:00","date_accepted":"2012-10-02T03:35:14+08:00","date_published":"2013-09-02T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1701/galley/1171/download/"}]},{"pk":54866,"title":"Thucydides' Mytilenean Debate: Fifth Century Rhetoric and its Representation","subtitle":null,"abstract":"The paper will explain the significant contribution that Thucydides’ Mytilenean Debate makes to our understanding of fifth-century rhetoric and its representation: firstly, by vindicating Thucydides’ controversial methodology in his representation of speeches, of which this debate is paradigmatic; secondly, by illustrating the influence that the tradition of model forensic speeches had on these deliberative ones in form and content (i.e. arguments); and thirdly, by demonstrating the ambiguity of rhetoric’s dangerously powerful role in the political decision-making in Athens.","language":"en","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Forensic Speech"},{"word":"Deceit"},{"word":"Justice"},{"word":"Expediency"},{"word":"Greek"},{"word":"Rhetoric"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7zv7f9zs","frozenauthors":[{"first_name":"Fergal","middle_name":"","last_name":"McDonagh","name_suffix":"","institution":"University of St Andrews","department":""}],"date_submitted":"2013-05-08T19:33:21+08:00","date_accepted":"2013-05-08T19:33:21+08:00","date_published":"2013-09-02T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucbclassics_bujc/article/54866/galley/41399/download/"}]},{"pk":4713,"title":"Inheritance","subtitle":null,"abstract":"In ancient Egypt inheritance was conveyed either through the legal order of succession, favoring sonsover daughters, children over siblings, and older over younger, or through written declarations thatallowed for individualized arrangements. Adoption was the common means by which a childlessperson could acquire an heir. The initial tendency towards a sole heir (preferably the eldest son) wasreplaced by the division of parental property among all children, although the eldest son continued toplay an important role as trustee for his siblings and received a larger or better share according tothe legal order of succession. Documents used for the bequeathing of inheritance varied over time andwere gradually replaced by donations and divisions after the Middle Kingdom. Effectiveness onlyafter the death of the issuer is rarely mentioned explicitly.","language":"en","license":null,"keywords":[{"word":"inheritance"},{"word":"Succession"},{"word":"Heir"},{"word":"Adoption"},{"word":"will"},{"word":"gender"},{"word":"marriage"}],"section":"Individual and Society","is_remote":true,"remote_url":"https://escholarship.org/uc/item/30h78901","frozenauthors":[{"first_name":"Sandra","middle_name":"","last_name":"Lippert","name_suffix":"","institution":"Universität Tübingen","department":"None"}],"date_submitted":"2009-03-30T23:13:27+08:00","date_accepted":"2009-03-30T23:13:27+08:00","date_published":"2013-08-25T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/nelc_uee/article/4713/galley/2660/download/"}]},{"pk":4098,"title":"Transportation","subtitle":null,"abstract":"Transportation in ancient Egypt entailed the use of boats and ships for water travel; for landtransportation, attested methods include foot-traffic and the use of draft animals—especiallydonkeys and oxen, but also, from the first millennium BCE onward, camels. Land vehicles,including carts, chariots, sledges, and carrying chairs, were dependent on the existence and natureof suitable routes, some of which may have been improved or paved along at least part of theirextent. The transport of large objects, especially stone blocks, obelisks, and statues, requiredspecialized techniques, infrastructure, and vehicles.","language":"en","license":null,"keywords":[{"word":"Ships"},{"word":"Donkeys"},{"word":"Carts"},{"word":"sledge"},{"word":"Roads"},{"word":"Cargo"},{"word":"Monoliths"}],"section":"Material Culture, Art and Architecture","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3xq6b093","frozenauthors":[{"first_name":"Steve","middle_name":"","last_name":"Vinson","name_suffix":"","institution":"Indiana University, Bloomington","department":"None"}],"date_submitted":"2008-08-21T07:04:10+08:00","date_accepted":"2008-08-21T07:04:10+08:00","date_published":"2013-08-25T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/nelc_uee/article/4098/galley/2622/download/"}]},{"pk":43842,"title":"Gingivostomatitis in an adult: More than meets the eye","subtitle":null,"abstract":"","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/1253z47x","frozenauthors":[{"first_name":"Catherine","middle_name":"C","last_name":"Hooper","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jason","middle_name":"","last_name":"Napolitano","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-08-23T05:22:51+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43842/galley/32645/download/"}]},{"pk":43860,"title":"Murine Typhus in Santa Monica","subtitle":null,"abstract":"","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/9q06554x","frozenauthors":[{"first_name":"Eve","middle_name":"","last_name":"Glazie","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Ashley","middle_name":"","last_name":"Busuttil","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-08-21T06:45:19+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43860/galley/32663/download/"}]},{"pk":19566,"title":"Un paseo por Toledo: entrevista a Alfonso Ruiz de Aguirre sobre su novela EL Baño de La Cava","subtitle":null,"abstract":"(Entrevista/Interview) Un paseo por Toledo: entrevista a Alfonso Ruiz de Aguirre sobre su novela EL Baño de La Cava","language":"es","license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3k99p6kj","frozenauthors":[{"first_name":"Tania","middle_name":"","last_name":"de Miguel Magro","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2013-08-21T04:53:43+08:00","date_accepted":"2013-08-21T04:53:43+08:00","date_published":"2013-08-21T04:54:44+08:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/19566/galley/9681/download/"}]},{"pk":4500,"title":"Edfu","subtitle":null,"abstract":"The ancient settlement of Edfu saw a long period of occupation, which encompasses almost 3000 yearsof ancient Egyptian history. It functioned as an important urban center as the capital of the 2nd UpperEgyptian nome from the Old Kingdom onwards. Excavations have focused on different periods andareas of the ancient tell providing a glimpse into the evolution of an early urban settlement in the NileValley. A cemetery with tombs dating to the Old and Middle Kingdoms lies in the immediate vicinityof this settlement.","language":"en","license":null,"keywords":[{"word":"Settlement archaeology"},{"word":"cemetery"},{"word":"Occupation"},{"word":"Hyksos"}],"section":"Geography","is_remote":true,"remote_url":"https://escholarship.org/uc/item/75p1n928","frozenauthors":[{"first_name":"Nadine","middle_name":"","last_name":"Moeller","name_suffix":"","institution":"University of Chicago","department":"None"}],"date_submitted":"2009-03-02T05:03:26+08:00","date_accepted":"2009-03-02T05:03:26+08:00","date_published":"2013-08-20T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/nelc_uee/article/4500/galley/2648/download/"}]},{"pk":4776,"title":"Late Dynastic Period","subtitle":null,"abstract":"The Late Dynastic Period is the last period of Egyptian independence under Dynasties 28 to 30 (404 - 343 BCE). As for Egypt’s position in the world, this was the time their military and diplomatic efforts focused on preventing reconquest by the Persian Empire. At home, Dynasties 28 - 29 were marked by a frequent shift of rulers, whose reigns often started and ended violently; in comparison, Dynasty 30 was a strong house, the rule of which was interrupted only from the outside. Culturally this period saw the continuation of certain Late Egyptian trends (archaistic tendency, popularity of animal cults, cult of Osiris and divine couples), which became the platform for the evolution of the Ptolemaic and Roman Periods.","language":"en","license":null,"keywords":[{"word":"Dynasty 28"},{"word":"Dynasty 29"},{"word":"Dynasty 30"},{"word":"Late Period"},{"word":"animal cult"},{"word":"Osiris Cult"},{"word":"Archaism"}],"section":"Time and History","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2zg136m8","frozenauthors":[{"first_name":"Ivan","middle_name":"","last_name":"Ladynin","name_suffix":"","institution":"Lomonosov Moscow State University","department":"None"}],"date_submitted":"2009-12-12T08:05:23+08:00","date_accepted":"2009-12-12T08:05:23+08:00","date_published":"2013-08-20T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/nelc_uee/article/4776/galley/2686/download/"}]},{"pk":43811,"title":"An Unusual Cause of a Lump on the Foot: Aneurysm of the Dorsalis Pedis Artery","subtitle":null,"abstract":"","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/1qf18453","frozenauthors":[{"first_name":"Anita","middle_name":"Y","last_name":"Agzarian","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Alice","middle_name":"E.","last_name":"Agzarian","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-08-19T10:52:22+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43811/galley/32615/download/"}]},{"pk":43808,"title":"Adult Autoimmune Enteropathy","subtitle":null,"abstract":"","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/63f9w6zx","frozenauthors":[{"first_name":"Bennett","middle_name":"","last_name":"Lee","name_suffix":"(MS, IV)","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jason","middle_name":"","last_name":"Napolitano","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-08-17T10:44:37+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43808/galley/32612/download/"}]},{"pk":43873,"title":"Postpartum Thyroiditis","subtitle":null,"abstract":"","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/2hh4s1k4","frozenauthors":[{"first_name":"Malena","middle_name":"SC","last_name":"Law","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Gloria S","middle_name":"S","last_name":"Kim","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-08-10T07:13:06+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43873/galley/32676/download/"}]},{"pk":43856,"title":"Listeria Meningitis: A Case Study","subtitle":null,"abstract":"","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/8hs31939","frozenauthors":[{"first_name":"Gloria","middle_name":"S","last_name":"Kim","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Malena","middle_name":"SC","last_name":"Law","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-08-10T06:38:18+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43856/galley/32659/download/"}]},{"pk":43843,"title":"Granular Cell Tumors of the Breast: A Breast Carcinoma Mimic","subtitle":null,"abstract":"","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/29w2678p","frozenauthors":[{"first_name":"Malena","middle_name":"SC","last_name":"Law","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Gloria","middle_name":"S","last_name":"Kim","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-08-10T05:24:36+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43843/galley/32646/download/"}]},{"pk":43815,"title":"Arachnoid Cyst: A Case Study","subtitle":null,"abstract":"","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/0kf11706","frozenauthors":[{"first_name":"Gloria","middle_name":"","last_name":"Kim","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Malena","middle_name":"SC","last_name":"Law","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2013-08-09T10:59:58+08:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/43815/galley/32619/download/"}]},{"pk":1751,"title":"Preface to the Special Edition","subtitle":null,"abstract":"Introductory remarks","language":"en","license":null,"keywords":[],"section":"Notes","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6tn9h4jm","frozenauthors":[{"first_name":"Robert","middle_name":"","last_name":"Gould","name_suffix":"","institution":"University of California, Los Angeles","department":"None"},{"first_name":"Jennifer","middle_name":"","last_name":"Kaplan","name_suffix":"","institution":"University of Georgia","department":"None"}],"date_submitted":"2013-08-04T04:06:45+08:00","date_accepted":"2013-08-04T04:06:45+08:00","date_published":"2013-08-04T04:07:20+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1751/galley/1215/download/"}]},{"pk":1708,"title":"Developing Statistics Education in Kenya Through Technological Innovations at all Academic Levels","subtitle":null,"abstract":"It is well recognised that statistics teaching in Kenya needs to change, in both the course content and in the approaches to teaching.  Also clear is the important role that can be played through the recent wide availability of modern technology to students at all levels.  A wide range of resources are available and various initiatives have also recently been undertaken.  However, the system has remained resistant to change.  The case is made that teaching and learning of statistics could benefit from initiatives that cut across all educational levels from school through undergraduate to MSc and PhD.","language":"en","license":null,"keywords":[{"word":"Kenya"},{"word":"School"},{"word":"undergraduate"},{"word":"Postgraduate"},{"word":"statistics"},{"word":"technology"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5cc0s29n","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Stern","name_suffix":"","institution":"Maseno University","department":"None"}],"date_submitted":"2012-10-04T05:08:41+08:00","date_accepted":"2012-10-04T05:08:41+08:00","date_published":"2013-08-03T07:49:26+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1708/galley/1178/download/"}]},{"pk":1699,"title":"Applying a Theoretical Model for Explaining the Development of Technological Skills in Statistics Education","subtitle":null,"abstract":"Technology has become an inseparable part of modern statistical practice (Gould, 2010), and, to a large extent, modern statistics courses. The literature on technology in statistics education has focused heavily on the role of technology for improving students’ understanding. However, limited research has examined the development of technological skills for “doing” statistics, e.g. using statistical packages. This paper proposes a distinction between these two roles of technology and how both benefit student learning. The paper then applies Kanfer and Ackerman’s (1989) integrative model of skill acquisition to explain the variability in students’ technological skill development. The ability to use statistical packages, arguably the most pervasive example of statistics technology, is used as an example to illustrate this model. The implications of the model are then discussed in the context of teaching technological skills in statistics courses. Future directions and challenges related to this area of are discussed","language":"en","license":null,"keywords":[{"word":"Statistics Education"},{"word":"technological skills"},{"word":"statistical package skills"},{"word":"Kanfer and Ackerman’s integrative model of skill acquisition"},{"word":"active-exploratory training"},{"word":"error-management training"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8w97p75s","frozenauthors":[{"first_name":"James","middle_name":"","last_name":"Baglin","name_suffix":"","institution":"RMIT","department":"None"}],"date_submitted":"2012-09-25T01:46:55+08:00","date_accepted":"2012-09-25T01:46:55+08:00","date_published":"2013-08-03T07:40:35+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1699/galley/1169/download/"}]},{"pk":1709,"title":"Getting Real Statistics into all Curriculum Subject Areas: Can Technology Make this a Reality?","subtitle":null,"abstract":"Technology has revolutionised society and it has revolutionised the way in which statistics, as a professional discipline, is done. The collection of data is growing exponentially both in relation to the quantity of data assembled on any particular measure and also in relation to the range of topics, and the measures, on which data is collected. Accessing data has become much simpler, and tools for exploring, manipulating and representing that data visually have multiplied, both in commercially available software and open-source freeware. However, the curriculum in schools in the UK is constrained by important factors which restrict the use of technology in assessment. The statistics curriculum is largely dull and does not address the core issues of most relevance in statistics today. Here, we explore ways in which technology can enhance the teaching of subjects in which statistics are used, and also the teaching of statistics within mathematics.","language":"en","license":null,"keywords":[{"word":"Statistics education research"},{"word":"Data visualisation"},{"word":"multivariate data"},{"word":"simulations"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7cz2w089","frozenauthors":[{"first_name":"James","middle_name":"","last_name":"Nicholson","name_suffix":"","institution":"SMART Centre, Durham University","department":"None"},{"first_name":"Jim","middle_name":"","last_name":"Ridgway","name_suffix":"","institution":"SMART Centre, Durham University","department":"None"},{"first_name":"Sean","middle_name":"","last_name":"McCusker","name_suffix":"","institution":"SMART Centre, Durham University","department":"None"}],"date_submitted":"2012-10-04T05:12:07+08:00","date_accepted":"2012-10-04T05:12:07+08:00","date_published":"2013-08-03T07:10:19+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1709/galley/1179/download/"}]},{"pk":1704,"title":"AN OUTCOME-BASED FRAMEWORK FOR TECHNOLOGY INTEGRATION IN HIGHER EDUCATION STATISTICS CURRICULA FOR NON-MAJORS","subtitle":null,"abstract":"In response to the need for reformed, outcome-based higher education statistics curricula in the Philippines, this paper draws from current research on the role of technology in statistics education and presents a framework for technology integration in teaching undergraduate and graduate-level statistics for non-majors. Anchored on the principles of Outcome-Based Education, this framework combines ideas from Pearson and Gallagher’s Gradual Release of Responsibility Model and Taggart’s Reflective Thinking Model to guide the attainment of the goals and intended learning outcomes for teaching statistics with technology as expanded opportunity and support for learning success. The Gradual Release of Responsibility Model describes how responsibility of learning shifts gradually over time from teacher to student ownership and from modeled and guided instruction to collaborative and independent learning.  The Reflective Thinking Model guides the course design where focus in teaching with technology moves from technical to contextual, and then to dialectical, in the transition from undergraduate to graduate -level statistics.","language":"en","license":null,"keywords":[{"word":"Statistics Education"},{"word":"technology integration in teaching Statistics"},{"word":"Gradual Release of Responsibility Model"},{"word":"Outcome-based education"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3h94p560","frozenauthors":[{"first_name":"Enriqueta","middle_name":"","last_name":"Reston","name_suffix":"","institution":"University of San Carlos","department":"None"}],"date_submitted":"2012-10-02T03:43:36+08:00","date_accepted":"2012-10-02T03:43:36+08:00","date_published":"2013-08-02T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1704/galley/1174/download/"}]},{"pk":1707,"title":"Designing Games for Understanding in a Data Analysis Environment","subtitle":null,"abstract":"Ordinarily, when a student plays a game on a computer, a great deal of data are generated, but never used. This paper describes a technological innovation: games designed for learning mathematics or statistics concepts in which success requires data analysis. These “Data Games” are small-scale, short, web-based games, embedded in a data analysis environment, suitable for  students in about year 7 onwards, and in teacher preparation. We discuss design for the games themselves, curriculum and assessment issues, and connections to research.","language":"en","license":null,"keywords":[{"word":"game design, statistical modeling, mathematical modeling, online tools, online games, data analysis"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/31t469kg","frozenauthors":[{"first_name":"Tim","middle_name":"","last_name":"Erickson","name_suffix":"","institution":"Epistemological Engineering","department":"None"}],"date_submitted":"2012-10-02T03:58:44+08:00","date_accepted":"2012-10-02T03:58:44+08:00","date_published":"2013-08-02T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1707/galley/1177/download/"}]},{"pk":1705,"title":"Discussion: How Can Technology be Used to Teach Statistical Practice?","subtitle":null,"abstract":"This discussion will summarize the two papers presented (Stern et al 2012; Baglin et al 2012) in 2012 IASE Roundtable Conference – \n“Technology in Statistics Education: Virtualities and Realities”\n – in Cebu, Philippines and the following discussions that took place after the presentations. In the last section a list of recommendations on learning and teaching and research will be provided.","language":"en","license":null,"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5kv9f111","frozenauthors":[{"first_name":"Ayse","middle_name":"Aysin","last_name":"Bilgin","name_suffix":"","institution":"Macquarie University","department":"None"}],"date_submitted":"2012-10-02T03:45:41+08:00","date_accepted":"2012-10-02T03:45:41+08:00","date_published":"2013-08-02T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1705/galley/1175/download/"}]},{"pk":1700,"title":"Dynamic Visualizations and the Randomization Test","subtitle":null,"abstract":"Hypothesis testing reasoning is recognized as a difficult area for students. Changing to a new paradigm for learning inference through computer intensive methods rather than mathematical methods is a pathway that may be more successful. To explore ways to improve students’ inferential reasoning at the Year 13 (last year of school) and introductory university levels, our research group developed new learning trajectories and dynamic visualizations for the randomization method. In this paper we report on the findings from a pilot study including student learning outcomes and on the modifications we intend to make before the main study. We discuss how the randomization method using dynamic visualizations clarifies concepts underpinning inferential reasoning and why the nature of the argument still remains a challenge.","language":"en","license":null,"keywords":[{"word":"Statistics education research"},{"word":"randomization test"},{"word":"statistical inference"},{"word":"Statistics Education"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9dg6h7wb","frozenauthors":[{"first_name":"Stephanie","middle_name":"","last_name":"Budgett","name_suffix":"","institution":"University of Auckland","department":"None"},{"first_name":"Maxine","middle_name":"","last_name":"Pfannkuch","name_suffix":"","institution":"University of Auckland","department":"None"},{"first_name":"Matt","middle_name":"","last_name":"Regan","name_suffix":"","institution":"University of Auckland","department":"None"},{"first_name":"Chris","middle_name":"J.","last_name":"Wild","name_suffix":"","institution":"University of Auckland","department":"None"}],"date_submitted":"2012-10-02T03:33:05+08:00","date_accepted":"2012-10-02T03:33:05+08:00","date_published":"2013-08-02T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1700/galley/1170/download/"}]},{"pk":1702,"title":"Faculty Attitude towards Technology-Assisted Instruction for Introductory Statistics in the Context of Educational Reform","subtitle":null,"abstract":"Technology-assisted instruction is a core focus of educational reform in most disciplines. This exploratory study (N=227) examined instructors’ attitudes toward technology integration for the teaching of introductory statistics at the college level. Salient attitudinal elements (including perceived usefulness, self-efficacy, and comfort), which can serve as barriers to, and facilitators of, technology integration were identified. Additionally, a preliminary scale (ATTIS) for measuring instructors’ attitudes toward technology integration was developed with acceptable levels of internal reliability and validity. The results underscore the need for training and support for instructors, by way of workshops, modeling of best practices through team teaching and mentoring, and other targeted professional development activities.","language":"en","license":null,"keywords":[{"word":"Statistics education research"},{"word":"technology"},{"word":"Attitude"},{"word":"Constructivist"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9k19k2f7","frozenauthors":[{"first_name":"Rossi","middle_name":"A.","last_name":"Hassad","name_suffix":"","institution":"Mercy College","department":"None"}],"date_submitted":"2012-10-02T03:38:51+08:00","date_accepted":"2012-10-02T03:38:51+08:00","date_published":"2013-08-02T15:00:00+08:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/tise/article/1702/galley/1172/download/"}]}]}