We studied functional habitat connectivity for Natrix helvetica cetti, a rare and endangered island endemic taxon with a highly fragmented range on Sardinia. Using the habitat suitability model recently developed for this species as input, we applied circuit-theory based connectivity analyses in Julia, combining pairwise runs among all known occurrence localities with an omnidirectional analysis independent of focal nodes. Both approaches converged in identifying the eastern mountain chain as the main connectivity backbone, with a particularly strong corridor linking the Sarrabus reliefs in the south-east to the Barbagia region and, more weakly, to the Monte Limbara area in the north. Additionally, fainter routes were detected along the Iglesiente ranges in south-western Sardinia. Pinch point extraction based on the 95th percentile further identified the main priority connectivity corridors along this eastern backbone. The highest current flow generally connected areas previously predicted to have high habitat suitability, and also highlighted sectors with no confirmed records, suggesting priorities for targeted surveys. Of the identified priority areas, only about 50% fell within protected areas in Circuitscape, whereas this proportion increased to 65% in Omniscape. Our results indicate that corridors in eastern Sardinia are likely to be crucial for maintaining gene flow and long-term persistence of N. h. cetti and provide a spatial basis for integrating this island-restricted reptile into regional connectivity planning and future genetic and health assessments.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Circuit theory"},{"word":"Connectivity models"},{"word":"ecological modelling"},{"word":"landscape connectivity"},{"word":"Natrix helvetica cetti"},{"word":"Sardinia"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6176s9p2","frozenauthors":[{"first_name":"Luca","middle_name":"","last_name":"Colla","name_suffix":"","institution":"Ethology unit, Departement of biology, University of Pisa, via Volta 6, 56126 Pisa, Italy","department":""},{"first_name":"Matteo Riccardo","middle_name":"","last_name":"Di Nicola","name_suffix":"","institution":"Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Via Bologna 148, 10154 Torino","department":"Genetics and genomics"}],"date_submitted":"2026-01-08T00:18:00.788000+09:00","date_accepted":"2026-03-17T17:25:15.694982+09:00","date_published":"2026-03-24T23:43:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/61984/galley/49124/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/61984/galley/49124/download/"}]},{"pk":41993,"title":"Features of the ontogenetic structure of the coenopopulations of Medicago sativa L. in Uzbekistan","subtitle":null,"abstract":"The aim of this study was to investigate the phytocoenotic associations, age composition, and ontogenetic structure of Medicago sativa L. coenopopulations in Uzbekistan. Research was conducted in the Eastern Cliff of Ustyurt (Karakuduk, Kassarma, Akbulak), in the Pamir – Alay mountain system, including the southwestern and northern spurs of the Gissar Range, the Kukhitangtau Mountains, the Sangardak River basin, Zhindarya, the Baysuntau Mountains (Upper Machai), and the Nuratau Mountains (Hayatsay), as well as in the Tien-Shan mountain system, including the Kuramin Range (Kamchik mountain pass) and the Tashkent Alatau (vicinity of the village Nevich). A total of ten coenopopulations were studied under various ecological and phytocoenotic conditions. The results showed that the coenopopulations are generally normal but incomplete. The basic ontogenetic spectrum is centered, corresponding to the generative stage with a predominance of middle generative individuals and, considering the biological characteristics of the species (a taproot system with well-developed lateral roots), corresponds to the characteristic type. Coenopopulations (CP 1, 6, 7, 9) of the left-sided type represent deviations from the characteristic pattern, likely determined by anthropogenic factors, habitat conditions, soil properties, and vegetation cover. Evaluation of age structure (Δ) and population efficiency (ω) indicated that most coenopopulations belong to the maturing type.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"age stage"},{"word":"coenopopulation"},{"word":"Density"},{"word":"Erosion"},{"word":"Medicago sativa"},{"word":"ontogenetic structure"},{"word":"Pamir-Alay"},{"word":"Ustyurt."}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/93c17403","frozenauthors":[{"first_name":"Umida","middle_name":"","last_name":"Saitjanova","name_suffix":"","institution":"Institute of Botany","department":"Academy of science"},{"first_name":"Habibullo","middle_name":"","last_name":"Shomurodov","name_suffix":"","institution":"Institute of Botany of the Academy of Sciences Republic of Uzbekistan","department":""},{"first_name":"Shakhnoza","middle_name":"","last_name":"Saribaeva","name_suffix":"","institution":"Institute of Botany of the Academy of Sciences Republic of Uzbekistan","department":""},{"first_name":"Natalya","middle_name":"","last_name":"Beshko","name_suffix":"","institution":"Institute of Botany of the Academy of Sciences Republic of Uzbekistan","department":""},{"first_name":"Ulugbek","middle_name":"","last_name":"Kodirov","name_suffix":"","institution":"Institute of Botany of the Academy of Sciences Republic of Uzbekistan","department":""}],"date_submitted":"2025-01-21T20:32:58.859000+09:00","date_accepted":"2026-03-15T19:52:37.684975+09:00","date_published":"2026-03-24T19:07:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/41993/galley/49122/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/41993/galley/49122/download/"}]},{"pk":64025,"title":"Antonio Ezquerro Esteban, Oriol Brugarolas Bonet, and Javier Artigas Pina, eds. Repertorio inédito para tecla en la Barcelona de comienzos del siglo XIX: de la ópera al salón y el convento. Edicions de la Universitat de Barcelona, 2025.","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"REVIEWS","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2z76w6zf","frozenauthors":[{"first_name":"Jorge","middle_name":"G.","last_name":"Lazos","name_suffix":"","institution":"McGill University","department":"","country":"Canada"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:45:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64025/galley/49108/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64025/galley/49108/download/"}]},{"pk":64024,"title":"Paco de Lucía, Made in the USA","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"ARTICLES, ESSAYS, & PROGRAM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5qp5z8j4","frozenauthors":[{"first_name":"Juan","middle_name":"José","last_name":"Téllez","name_suffix":"","institution":"","department":"","country":"United States"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:42:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64024/galley/49107/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64024/galley/49107/download/"}]},{"pk":64023,"title":"Around the Kitchen Table: René Heredia Remembers","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"ARTICLES, ESSAYS, & PROGRAM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2rg3579c","frozenauthors":[{"first_name":"K. Meira","middle_name":"","last_name":"Goldberg","name_suffix":"","institution":"FIT, SUNY & Foundation for Iberian Music, CUNY","department":"","country":"United States"},{"first_name":"René Heredia","middle_name":"","last_name":"","name_suffix":"","institution":"Personal friend of Paco de Lucía","department":"","country":"United States"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:40:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64023/galley/49106/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64023/galley/49106/download/"}]},{"pk":64022,"title":"América en Paco de Lucía: adquisición y aportación al repertorio y músicos iberoamericanos","subtitle":null,"abstract":"La relación entre Paco de Lucía y América comienza mucho antes de su famoso encuentro con Mario Escudero y Sabicas en Nueva York. Teniendo en cuenta las coplas, canciones americanas, las grabaciones tempranas que escucharon de niños en la radio y los discos que la familia Sánchez Gómes tenía en casa, los niños de Luzía grabaron este repertorio que ha sido publicado recientemente Pepito y Paquito (2024). A posteriori junto a su hermano mayor, Ramón de Algeciras, Paco de Lucía grabó repertorio Iberoamericano a dúo que hemos analizado entre 1967–1969, el cual será fundamental para entender sus futuras composiciones. Ya instalados en Madrid en la calle ilustración y con sus primeras giras por EE. UU., Paco de Lucía aprende acordes-armonía de bossa nova y jazz directamente de los guitarristas-artistas con los que comienza a colaborar y grabar. Estos encuentros y grabaciones con ellos no sólo expanden sus composiciones, sino el lenguaje del flamenco contemporáneo, paralelamente a las aportaciones de Víctor Monge “Serranito” y Manolo Sanlúcar entre otros. Paco de Lucía ha sido investigado desde la antropología, las ciencias de la información, la literatura, etc., sin embargo, no encontramos en la mayoría de esta literatura, que sus composiciones hayan sido analizadas en profundidad. En el proceso de transcribir la mayoría de los discos de Paco de Lucía, David Leiva (2014-2024), contrastando el repertorio Iberoamericano de Argentina, Brasil, Chile, Cuba, USA, México, Paraguay, Perú, Venezuela, que también analizaba Benjamin Lapidus en Nueva York, y aquellas piezas relacionadas con el jazz, nos ha ayudado a entender sus últimas composiciones. Además, en este artículo recordamos parte del trabajo de campo realizado con músicos que fueron parte de sus conciertos: Carles Benavent, Jorge Pardo, Pepe de Lucía y Rubén Dantas para contrastar con las posteriores obras dedicadas al guitarrista Algecireño, como la Suite de Lucía presentada en el Ciutat Flamenco de Barcelona, Madrid y Cádiz, en su universidad del campus de Algeciras.
","language":"spa","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"canciones"},{"word":"andaluza"},{"word":"iberamericana"},{"word":"coplas"}],"section":"ARTICLES, ESSAYS, & PROGRAM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/71j1c730","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Leiva-Prados","name_suffix":"","institution":"Universidad Complutense de Madrid","department":"","country":"Spain"},{"first_name":"Francisco","middle_name":"J.","last_name":"Bethencourt-Llobet","name_suffix":"","institution":"Universidad Complutense de Madrid","department":"","country":"Spain"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:38:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64022/galley/49105/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64022/galley/49105/download/"}]},{"pk":64021,"title":"Entre dos aguas: An Examination of Paco de Lucía’s Musical Connections to the Americas","subtitle":null,"abstract":"Throughout his illustrious career, Paco de Lucía made a number of innovations to flamenco performance practice. Many of these innovations came from outside of Spain, and several originated directly in the Americas, such as the incorporation of the Peruvian cajón as well as jazz. Additionally, several musicians from across the Americas performed with Paco de Lucía in his ensembles and/or collaborated on his recordings. Some of these musicians included Rubem Dantas (Brazil), Rafael Rabello (Brazil), Djavan (Brazil), Chick Corea (USA), Alain Pérez (Cuba), Oscar D’León (Venezuela), Jerry González (Puerto Rico/USA), and Al Di Meola (USA). By analyzing interviews, recordings, and performance videos, this article looks at concepts and individuals from the Americas that connect the region and its music to Paco de Lucía.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"flamenco"},{"word":"performance practice"},{"word":"peruvian cajón"},{"word":"jazz"}],"section":"ARTICLES, ESSAYS, & PROGRAM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3bm520m0","frozenauthors":[{"first_name":"Benjamin","middle_name":"","last_name":"Lapidus","name_suffix":"","institution":"John Jay College of Criminal Justice and The Graduate Center, CUNY","department":"","country":"United States"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:33:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64021/galley/49104/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64021/galley/49104/download/"}]},{"pk":64020,"title":"Pan-American Contributions to Flamenco – The Role of Paco de Lucía","subtitle":null,"abstract":"This paper discusses two early American influences on Paco de Lucía’s guitar playing. The first, from Paco’s experiences while on tour in the United States in the early to mid 1960s, comes from a set of norms and practices that developed in the U.S. diasporic flamenco community. Through his work with José Greco’s dance company and his mentorship from Sabicas and Mario Escudero, Paco adopted musical elements and practices that had been developed in the United States, largely by Spanish expatriates. In addition, Paco’s solo guitar career is in the tradition of the solo flamenco guitar genre, also developed in the U.S. The second comes from Latin American musical traditions that exerted their influence on Spanish flamenco throughout the mid-20th century through the dissemination of pan-Latin popular music, often based on Latin American genres. Paco spent formative years as this tradition developed through the fusion work of Bambino and others. The chordal and harmonic elements from this contact indirectly influenced Paco’s emerging personal style.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Paco de Lucía"},{"word":"flamenco guitar"},{"word":"José Greco"},{"word":"Sabicas"},{"word":"Mario Escudero"},{"word":"Bambino"}],"section":"ARTICLES, ESSAYS, & PROGRAM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/65r2n2tg","frozenauthors":[{"first_name":"John","middle_name":"","last_name":"Moore","name_suffix":"","institution":"University of California, San Diego","department":"","country":"United States"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:29:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64020/galley/49103/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64020/galley/49103/download/"}]},{"pk":64019,"title":"Paco de Lucía and the Americas: An International Symposium","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"ARTICLES, ESSAYS, & PROGRAM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6s0660x3","frozenauthors":[{"first_name":"","middle_name":"","last_name":"","name_suffix":"","institution":"The Foundation for Iberian Music","department":"The Barry S. Brook Center for Music Research and Documentation, CUNY","country":"United States"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:24:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64019/galley/49102/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64019/galley/49102/download/"}]},{"pk":64018,"title":"Bienvenida / Greetings","subtitle":null,"abstract":"","language":"spa","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"ARTICLES, ESSAYS, & PROGRAM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3dj6j5k4","frozenauthors":[{"first_name":"Gabriela","middle_name":"","last_name":"Canseco","name_suffix":"","institution":"Fundación Paco de Lucía","department":"","country":"United States"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:18:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64018/galley/49101/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64018/galley/49101/download/"}]},{"pk":64017,"title":"Paco de Lucía and the Americas","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"GUEST EDITOR'S NOTE","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4zk8x9f7","frozenauthors":[{"first_name":"K. Meira","middle_name":"","last_name":"Goldberg","name_suffix":"","institution":"FIT, SUNY, Foundation for Iberian Music, CUNY","department":"","country":"United States"},{"first_name":"Antoni","middle_name":"","last_name":"Pizà","name_suffix":"","institution":"Foundation for Iberian Music, CUNY","department":"","country":"United States"}],"date_submitted":null,"date_accepted":null,"date_published":"2026-03-23T02:13:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64017/galley/49100/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/diagonal/article/64017/galley/49100/download/"}]},{"pk":62196,"title":"Mars excitement in Australian newspapers, 1877–1899: Humour and the public negotiation of astronomical knowledge","subtitle":null,"abstract":"Speculation about Martian canals was a recurring feature of late nineteenth-century popular astronomy. This paper examines how colonial newspapers used humour to negotiate the epistemic uncertainty and interpretive excess associated with canal theory. Drawing on over one thousand metropolitan and regional Australian newspapers published between 1877 and 1899, we identify five overlapping modes of humour: imported metropolitan wit; satire of modern engineering culture; humour grounded in observational uncertainty; scale-based exaggeration and colonial self-comparison; and overt sceptical parody. These modes tracked shifting relationships between observation, interpretation and authority, allowing newspapers to entertain speculative ideas while marking the limits of scientific credibility. At the same time, humorous treatments positioned Australian readers within a global culture of science and modernity. Comparisons with projects such as the Suez and Panama Canals, and with European and American astronomers, aligned colonial audiences with metropolitan discourse, even as local experience with land, water and scale shaped the tone of satire. We demonstrate that Australian newspapers did not passively transmit overseas ideas but actively reworked them through humour, balancing fascination with restraint. More broadly, we show how humour operated as a shared transnational strategy for managing scientific uncertainty at the cultural margins of empire.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0 International (CC BY 4.0)","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Mars"},{"word":"Popular astronomy"},{"word":"humour"},{"word":"Colonial astronomy"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5c39q9gx","frozenauthors":[{"first_name":"Richard","middle_name":"","last_name":"de Grijs","name_suffix":"","institution":"Macquarie University","department":"School of Mathematical and Physical Sciences"}],"date_submitted":"2026-01-24T11:11:35.549000+09:00","date_accepted":"2026-03-14T02:51:44.313848+09:00","date_published":"2026-03-21T02:13:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jac/article/62196/galley/49099/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/jac/article/62196/galley/49099/download/"},{"label":"Mars excitement in Australian newspapers, 1877–1899: Humour and the public negotiation of astronomical knowledge","type":"pdf","path":"https://journalpub.escholarship.org/jac/article/62196/galley/49357/download/"}]},{"pk":54058,"title":"Oniscidea of Liguria (north-western Italy), with the description of a new species (Malacostraca: Isopoda)","subtitle":null,"abstract":"Terrestrial isopods (Isopoda: Oniscidea) are a diverse and ecologically important taxon, yet knowledge of their diversity in Italy remains uneven. Liguria, a small but biogeographically complex region of north-western Italy, had long lacked a synthesis of its oniscidean fauna despite the numerous studies carried out in early 20th-century. Here we provide a comprehensive assessment of Ligurian terrestrial isopod fauna based on a critical review of historical literature and examination of material preserved in museum collections or collected during recent field surveys. A total of 109 species in 38 genera and 18 families are recorded, representing more than one quarter of all terrestrial isopods known from Italy. Armadillidium genuaense n. sp. is described, and figures of several poorly described species are provided. Haplophthalmus portofinensis, Cylisticus ligurinus, and Armadillidium albigauni are considered junior synonyms of H. mengii, C. annulicornis, and A. gestroi, respectively. Three families and seven genera are recorded for the first time in Liguria, and three species—Trichoniscus darwini, T. nicaeensis and Caeroplastes porphyrivagus—represent new records for Italy. At the same time, five previously cited species could not be confirmed, and one is treated as species inquirenda. Chorological analysis underscores Liguria’s role as a biogeographic crossroad, with nearly half of the fauna belonging to Alpine or Apennine categories. A high level of endemism is observed, with 15 species restricted to the administrative region and 27 to the broader Ligurian geographic area. Persistent taxonomic uncertainties in some genera underscore the necessity of further revisions. By providing the first comprehensive assessment of the Oniscidean fauna from Liguria, this study establishes a necessary baseline for future research in the region.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Terrestrial isopods"},{"word":"faunistic diversity"},{"word":"taxonomy"},{"word":"biogeography"},{"word":"new records"},{"word":"museum collections"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7xv2g7n0","frozenauthors":[{"first_name":"Pietro","middle_name":"","last_name":"Gardini","name_suffix":"","institution":"Sapienza University of Rome","department":"Department of Biology and Biotechnology \"C. Darwin\""},{"first_name":"Giuseppe","middle_name":"","last_name":"Montesanto","name_suffix":"","institution":"University of Pisa","department":"Museum of Natural History"},{"first_name":"Loris","middle_name":"","last_name":"Galli","name_suffix":"","institution":"Genoa University","department":"DISTAV"},{"first_name":"Stefano","middle_name":"","last_name":"Taiti","name_suffix":"","institution":"National Research Council","department":"Research Institute on Terrestrial Ecosystems IRET"}],"date_submitted":"2025-12-16T23:23:11.351000+09:00","date_accepted":"2026-03-12T19:17:54.896765+09:00","date_published":"2026-03-20T16:10:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/54058/galley/49098/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/54058/galley/49098/download/"}]},{"pk":47257,"title":"Hemothorax from a Thoracic Chalk-Stick Fracture in Ankylosing Spondylitis: A Case Report","subtitle":null,"abstract":"Introduction: Chalk-stick fractures are transverse spinal injuries seen in patients with ankylosing spondylitis due to chronic inflammation and spinal rigidity. These fractures may result from minor trauma and are associated with potentially fatal complications. While spinal fractures in ankylosing spondylitis are well recognized, thoracic chalk-stick fractures complicated by hemothorax from vascular injury remain exceedingly rare. We present a case of an elderly male with ankylosing spondylitis who sustained a thoracic chalk-stick fracture following a ground-level fall, complicated by hemothorax and hemorrhagic shock. This case highlights a rarely reported but life-threatening complication and emphasizes the importance of early imaging and high clinical suspicion in this high-risk population—even after minor trauma.
\nCase Report: A 90-year-old male with known history of ankylosing spondylitis presented to the emergency department after a ground-level fall associated with syncope. He had thoracic back pain, dyspnea, and hypotension. Computed tomography revealed a thoracic vertebra 11 chalk-stick fracture with interspinous vascular injury and a large, right-sided hemothorax. The patient underwent emergent chest tube placement, blood transfusion, and vasopressor support, which initially stabilized his condition. However, his hospital course was complicated by multiple comorbidities, and he ultimately died after prolonged critical care.
\nConclusion: This case illustrates the potential for catastrophic vascular complications from minor trauma in patients with ankylosing spondylitis. Thoracic chalk-stick fractures may result in life-threatening hemothorax and hemorrhagic shock. Emergency physicians should maintain a high index of suspicion and obtain early radiographic imaging to facilitate timely diagnosis and intervention in this high-risk population.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"ankylosing spondylitis"},{"word":"hemothorax"},{"word":"chalk-stick fracture"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1gc895jz","frozenauthors":[{"first_name":"Armin","middle_name":"Akbarpur","last_name":"Dehkordi","name_suffix":"","institution":"Arkansas College of Osteopathic Medicine at Arkansas Colleges of Health Education, Fort Smith, Arkansas","department":""},{"first_name":"Daniel","middle_name":"Michael","last_name":"Aloise","name_suffix":"","institution":"Mount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, Florida","department":""},{"first_name":"Eric","middle_name":"","last_name":"Scheppke","name_suffix":"","institution":"Mount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, Florida","department":""},{"first_name":"Mary","middle_name":"","last_name":"Christodoulou","name_suffix":"","institution":"Florida International University, Herbert Wertheim College of Medicine, Miami, Florida","department":""},{"first_name":"Grayson","middle_name":"","last_name":"Gigliotti","name_suffix":"","institution":"Florida International University, Herbert Wertheim College of Medicine, Miami, Florida","department":""},{"first_name":"Tony","middle_name":"","last_name":"Zitek","name_suffix":"","institution":"Mount Sinai Medical Center Miami Beach, Department of Emergency Medicine, Miami Beach, Florida","department":""}],"date_submitted":"2025-06-27T05:46:23.456000+09:00","date_accepted":"2025-10-21T06:29:58.680000+09:00","date_published":"2026-03-20T06:38:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/47257/galley/49496/download/"}]},{"pk":46966,"title":"COVID-19 Relief Measures had Few Durable Post-Pandemic Effects on Renters","subtitle":null,"abstract":"The COVID-19 pandemic was responsible for an unprecedented crisis in the rental housing market, as families faced eviction as a consequence of pandemic lockdowns and resulting economic recession. In response, for the first time ever in US history, eviction moratoria were introduced to protect renters from being evicted for nonpayment; these were accompanied by several stimulus measures to support renters and the overall economy. This study asks whether these pandemic-era policies had any lingering effects after they had ceased to be implemented, by examining whether renters’ housing vulnerability at the state level saw any improvement in the post-pandemic years of 2022-23. For comparison, the study also evaluates the effects of variables reflecting economic fundamentals and renters’ housing burden. The findings suggest that the included policies had little effect on renters’ post-pandemic housing precarity.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"COVID-19"},{"word":"housing"},{"word":"renters"},{"word":"eviction moratorium"},{"word":"policy"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1xj0q3qg","frozenauthors":[{"first_name":"Benjamin","middle_name":"Mark","last_name":"Reicher","name_suffix":"","institution":"UC Berkeley","department":""},{"first_name":"Michael","middle_name":"","last_name":"Kuehlwein","name_suffix":"","institution":"Pomona College","department":"None"}],"date_submitted":"2025-01-02T10:53:51+09:00","date_accepted":"2025-11-19T01:54:51.980000+09:00","date_published":"2026-03-19T08:00:00+09:00","render_galley":{"label":"Publication File","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/46966/galley/49090/download/"},"galleys":[{"label":"Galley File","type":"other","path":"https://journalpub.escholarship.org/cjpp/article/46966/galley/48066/download/"},{"label":"Publication File","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/46966/galley/49090/download/"}]},{"pk":52909,"title":"Lilliputians at the Gate: Small Individual Campaign Donations and Political Polarization in Western State Legislatures","subtitle":null,"abstract":"Scholars seek to understand campaign donor behavior and its effects on candidates. Researchers generally agree that individual donors are more ideologically extreme than most organizational donors but disagree as to whether small individual donors (those giving less than $200 per cycle) are especially correlated to extremist candidates. We study the relationship between small individual donors and legislators’ NPAT and CFscores for the California, Washington, and Oregon legislatures between 2016 and 2022. We find both that individual donors correlate to more partisan legislators in general and that the correlation between donors and politically polarized legislators is even greater for small individual donors than for large individual donors in most cases.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Campaign Finance; State Politics; Polarization"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/11c7417t","frozenauthors":[{"first_name":"Todd","middle_name":"","last_name":"Lochner","name_suffix":"","institution":"Lewis & Clark College","department":"Political Science"},{"first_name":"Ellen","middle_name":"","last_name":"Seljan","name_suffix":"","institution":"Lewis & Clark College","department":"Political Science"},{"first_name":"Madeleine","middle_name":"","last_name":"MacWilliamson","name_suffix":"","institution":"","department":""},{"first_name":"Valerie","middle_name":"","last_name":"Naborska","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-09-19T06:02:56.714000+09:00","date_accepted":"2026-02-10T00:44:40.796772+09:00","date_published":"2026-03-19T08:00:00+09:00","render_galley":{"label":"Publication File","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/52909/galley/49092/download/"},"galleys":[{"label":"Lochner et al galley","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/52909/galley/49019/download/"},{"label":"Publication File","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/52909/galley/49092/download/"}]},{"pk":61668,"title":"Representatives in Robes? How California Respondents think of Judicial Representation","subtitle":null,"abstract":"Many have identified the tension between conceptualizing judges as legal versus political actors. One dimension of this tension is the extent to which we should or do think of judges as political representatives, both broadly and in ways that are either similar to or distinct from elected political representatives. In this project, we address the role of judges as representatives and then assess whether and to what extent California residents think of judges as representatives. Using public opinion data of California residents from the CalSpeaks survey fielded in the spring of 2021, we find that about a third of respondents do consider judges representatives in some way. While we find no gender differences in perceptions of judicial representation and very limited racial differences, there are strong age differences: younger respondents were significantly more likely to indicate that judges are representatives in some way compared to older respondents. This project informs how Californians understand the role of the courts, which might have consequences for judicial legitimacy and effectiveness.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Judicial Politics"},{"word":"political representation"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9tq189dz","frozenauthors":[{"first_name":"Nancy","middle_name":"Bays","last_name":"Arrington","name_suffix":"","institution":"California Polytechnic State University San Luis Obispo","department":"Political Science"},{"first_name":"Matthew","middle_name":"","last_name":"Moore","name_suffix":"","institution":"California Polytechnic State University San Luis Obispo","department":"Political Science"}],"date_submitted":"2025-12-16T09:05:04.112000+09:00","date_accepted":"2025-12-30T03:12:46.506000+09:00","date_published":"2026-03-19T08:00:00+09:00","render_galley":{"label":"Publication File","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/61668/galley/49093/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/61668/galley/48666/download/"},{"label":"Publication File","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/61668/galley/49093/download/"}]},{"pk":49117,"title":"You Have to Create the Right Pipeline: Why California Has Never Elected a Woman Governor","subtitle":null,"abstract":"California has produced some of the most important women leaders in American politics in recent decades. Yet California remains one of 17 states where a woman has not served as governor. This isn’t for lack of trying. Since 1978, 16 women have appeared on primary ballots and three have been party nominees. Why have so many women run, and yet none have won? Political science research, our own data gathering, as well as journalistic accounts, provide a few possible insights.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Women"},{"word":"governor"},{"word":"Gubernatorial"},{"word":"Elections"}],"section":"Commentary","is_remote":true,"remote_url":"https://escholarship.org/uc/item/31n4c090","frozenauthors":[{"first_name":"Alana","middle_name":"","last_name":"Jeydel","name_suffix":"","institution":"Fresno City College","department":"Political Science"},{"first_name":"William","middle_name":"R","last_name":"Wilkerson","name_suffix":"","institution":"SUNY-Oneonta","department":"Political Science"}],"date_submitted":"2025-07-26T01:18:07.210000+09:00","date_accepted":"2025-12-12T01:08:33.964000+09:00","date_published":"2026-03-19T08:00:00+09:00","render_galley":{"label":"Publication File","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/49117/galley/49091/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/49117/galley/48667/download/"},{"label":"PDF","type":"other","path":"https://journalpub.escholarship.org/cjpp/article/49117/galley/48668/download/"},{"label":"Publication File","type":"pdf","path":"https://journalpub.escholarship.org/cjpp/article/49117/galley/49091/download/"}]},{"pk":53954,"title":"Generative AI for L2 Materials: Disruptor or Perpetuator of the Status Quo? ","subtitle":null,"abstract":"Generative AI has been called a disruptor of the status quo. However, what does status quo mean when it comes to World Language (WL) education? In this reflective essay, I describe my forays into generative AI tools wearing the hat of a language program director and foreign language teacher-educator to explore the affordances and constraints of generative AI tools for materials development in WL education. First, I discuss what I consider to be the status quo in WL education, followed by a discussion of how materials creation is a literacy process. I then describe several use cases with AI tools (Twee, Questionwell, ChatGPT, Claude.ai), demonstrating uses that might constrain innovation in WL education, either by producing materials that align with past practices or by not affording a dialogic process of co-construction between user and tool. Finally, I explore ways that generative AI can serve as a helpful collaborator in language teacher workflows and conclude with implications for policy guidelines for AI use among WL teachers.
\n\n
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Teachers' Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/08z2t1mq","frozenauthors":[{"first_name":"Kristen","middle_name":"","last_name":"Michelson","name_suffix":"","institution":"None","department":""}],"date_submitted":"2025-11-14T12:50:27.152000+09:00","date_accepted":"2026-02-19T03:48:34.167623+09:00","date_published":"2026-03-18T06:14:00+09:00","render_galley":{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/53954/galley/49080/download/"},"galleys":[{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/53954/galley/49041/download/"},{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/53954/galley/49080/download/"}]},{"pk":50741,"title":"Central Retinal Artery Occlusion Diagnosed via Ocular Point-of-care Ultrasound: Case Report","subtitle":null,"abstract":"
Introduction: Central retinal artery occlusion (CRAO) is a neurological and ophthalmologic emergency that presents as sudden, painless, monocular vision loss. Central retinal artery occlusioncan be classified as arteritic or non-arteritic. Most cases of non-arteritic CRAO are due to embolism, commonly from atherosclerosis of the ipsilateral carotid artery. More proximal sources of embolism are uncommon but can occur. Prompt recognition of CRAO is critical for vision preservation therapy and initiation of ischemic stroke diagnosis protocols.
\nCase Report: We present the case of a 66-year-old female who presented to the emergency department eight hours after sudden, painless, monocular vision loss. Her past medical history included type II diabetes, hypertension, and hyperlipidemia. She had previously undergone bilateral lens replacement for cataracts three years prior and had a history of intermittent floaters, which had been worsening over the previous six months. She denied any associated pain, headache, speech difficulty, focal weakness, and ocular trauma. Point-of-care ultrasound (POCUS) of the affected eye revealed the presence of a retrobulbar spot sign, which is associated with CRAO with a non-arteritic embolic etiology.
\nConclusion: Point-of-care ultrasound is an efficient diagnostic tool for the assessment of acute, painless, monocular vision loss. The presence of a retrobulbar spot sign indicates central retinal artery occlusion, providing both diagnostic and prognostic information. Although not a definitive diagnostic tool, POCUS can expedite treatment for patients with central retinal artery occlusion, a diagnosis with a time-sensitive treatment window.
","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Point of Care Ultrasound"},{"word":"Central retinal artery occlusion"},{"word":"retrobulbar spot sign"},{"word":"cardioembolic stroke"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5wv73358","frozenauthors":[{"first_name":"Rochelle","middle_name":"","last_name":"Kofman","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Phoenix, Arizona","department":""},{"first_name":"Addison","middle_name":"","last_name":"Smartt","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Phoenix, Arizona","department":""},{"first_name":"Reginald","middle_name":"Jerome","last_name":"Myles","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Phoenix, Arizona","department":""},{"first_name":"Patrick","middle_name":"","last_name":"Kishi","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Phoenix, Arizona; Mayo Clinic Arizona, Department of Emergency Medicine, Phoenix, Arizona","department":""},{"first_name":"Douglas","middle_name":"","last_name":"Rappaport","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Phoenix, Arizona; Mayo Clinic Arizona, Department of Emergency Medicine, Phoenix, Arizona","department":""},{"first_name":"Kevin","middle_name":"","last_name":"Drechsel","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Phoenix, Arizona; Mayo Clinic Arizona, Department of Emergency Medicine, Phoenix, Arizona","department":""}],"date_submitted":"2025-08-25T04:56:48.388000+09:00","date_accepted":"2025-11-18T02:43:14.548000+09:00","date_published":"2026-03-14T12:02:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/50741/galley/49499/download/"}]},{"pk":48812,"title":"Myocardial Crypts on Ultrasound in a Young Female with Exertional Syncope","subtitle":null,"abstract":"Case Presentation: A 20-year-old female with no past medical history presented to the emergency department (ED) after an episode of exertional syncope. Physical examination, vital signs, and electrocardiogram were unremarkable. Point-of-care ultrasound revealed abnormal invaginations in the interventricular septum. Laboratory evaluation was significant for markedly elevated troponin concerning for cardiac arrest. She was admitted to cardiology with suspicion for genetic cardiomyopathy. The patient underwent placement of an implantable cardioverter defibrillator after cardiac magnetic resonance imaging redemonstrated the septal invaginations known as myocardial crypts. Genetic studies later revealed sarcomere gene mutations associated with hypertrophic cardiomyopathy.
\nDiscussion: Myocardial crypts, which are invaginations within the myocardium, are considered early morphological markers for hypertrophic cardiomyopathy and may precede the development of overt hypertrophy. The presence of myocardial crypts and syncope is highly concerning for evolving hypertrophic cardiomyopathy. In this case, identifying myocardial crypts on ED point-of-care ultrasound, in conjunction with clinical context, facilitated further confirmatory diagnostics and timely intervention with placement of an implantable cardioverter defibrillator.
.
Introduction: Best practice recommendations and guidelines for the assessment and management of suicidality within the emergency department (ED) have recently been updated. Despite national efforts to improve the management of suicidality in the ED, evidence-based practices remain underused with varied uptake among EDs and clinical team members. Given that the ED is a common point of entry for many people with suicidality, implementation of evidence-based strategies are needed to increase access to these strategies and improve patient outcomes.
\nMethods: To generate insights about the feasibility of implementing evidence-based practices for suicidality management, we developed a semi-structured interview guide focused on factors expected to influence the implementation process using a novel application of the Organizational Readiness for Innovation Implementation Framework. Working from a list or 80 EDs in the state of Indiana, we recruited emergency physicians, nurses, physician assistants, and social workers to participate in interviews. Interviews lasted approximately 45-60 minutes and were recorded, transcribed, and qualitatively analyzed using a multistage thematic analysis process.
\nResults: We conducted 11 interviews with ED clinical team members from eight EDs in Indiana, representing 10% of the 80 EDs invited to participate in our study. Identified barriers to effective implementation included a general lack of resources, resistance to change among clinical team members, and competing demands in the ED setting. Facilitators included openness to attending training, openness to implementing change in the ED, and leadership support. Openness to change and commitment to change appeared to be driven by discontent with current processes and a desire to improve patient experiences.
\nConclusion: Considering mixed attitudes toward suicidality management and questions about whether these services are within the scope of clinicians who work in the ED, efforts to increase uptake of evidence-based practices may involve a multifaceted approach that involves identifying and training team members who are open and ready for change, while simultaneously establishing stronger relationships between ED clinical team members and behavioral health clinicians with specialized training who can provide consultative services in the ED.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"suicidality"},{"word":"Implementation Science"},{"word":"emergency department"},{"word":"behavioral health"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0ng2107g","frozenauthors":[{"first_name":"Ashlyn","middle_name":"","last_name":"Burns","name_suffix":"","institution":"Indiana University School of Medicine, Department of Psychiatry, Indianapolis, Indiana","department":""},{"first_name":"Lauren","middle_name":"","last_name":"O'Reilly","name_suffix":"","institution":"Indiana University School of Medicine, Department of Pediatrics, Indianapolis, Indiana","department":""},{"first_name":"Elizabeth","middle_name":"","last_name":"Linhart-Espino","name_suffix":"","institution":"Indiana University School of Medicine, Department of Psychiatry, Indianapolis, Indiana","department":""},{"first_name":"Katherine","middle_name":"","last_name":"LeFevre","name_suffix":"","institution":"Indiana University School of Medicine, Department of Psychiatry, Indianapolis, Indiana","department":""},{"first_name":"Zachary","middle_name":"","last_name":"Adams","name_suffix":"","institution":"Indiana University School of Medicine, Department of Psychiatry, Indianapolis, Indiana","department":""},{"first_name":"Rachel","middle_name":"","last_name":"Yoder","name_suffix":"","institution":"Indiana University School of Medicine, Department of Psychiatry, Indianapolis, Indiana","department":""},{"first_name":"Paul","middle_name":"","last_name":"Musey","name_suffix":"","institution":"Indiana University School of Medicine, Department of Emergency Medicine, Indianapolis, Indiana","department":""},{"first_name":"Casey","middle_name":"","last_name":"Pederson","name_suffix":"","institution":"Indiana University School of Medicine, Department of Psychiatry, Indianapolis, Indiana","department":""}],"date_submitted":"2025-08-06T23:33:29.293000+09:00","date_accepted":"2025-12-06T23:47:14.679000+09:00","date_published":"2026-03-14T01:11:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/50581/galley/49060/download/"}]},{"pk":63920,"title":"WestJEM Full-Text Issue","subtitle":null,"abstract":"","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"WestJEM Full-Text Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/27s8x9pw","frozenauthors":[{"first_name":"Cassandra","middle_name":"","last_name":"Saucedo","name_suffix":"","institution":"UC Irvine","department":""},{"first_name":"Isabella","middle_name":"","last_name":"Choi","name_suffix":"","institution":"UC Irvine","department":""}],"date_submitted":"2026-03-13T15:30:41.985318+09:00","date_accepted":"2026-03-13T15:34:51.961205+09:00","date_published":"2026-03-13T03:43:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/63920/galley/49040/download/"}]},{"pk":62289,"title":"The new Checklist of the Italian Fauna: Hydrozoa (Cnidaria)","subtitle":null,"abstract":"The hydrozoan fauna of the Mediterranean Sea is considered as the best-known fauna of this class in the world, and the last monograph covers 457 species representing about 12% of the 3,702 currently valid species reported in the last world assessment of hydrozoan diversity. In this paper the checklist of the hydrozoan marine species is reported for the nine Italian marine biogeographical units, updating the one previously published in the series ‘Checklist delle Specie della Fauna d'Italia’ in 1995 that reported 319 hydrozoans on 463 cnidarian taxa. This note describes the state of the art of the Italian Hydrozoa checklist data set until June 2024. In detail, the updated checklist includes 340 hydrozoan species (128 Anthoathecata; 121 Leptothecata; 53 Siphonophorae; 6 Limnomedusae; 3 Actinulida; 14 Narcomedusae; 15 Trachymedusae), representing 74% of Mediterranean hydrozoan species. In detail in the current Italian Hydrozoa checklist, 40 species were added (increase of 12%) compared to the previous checklist with 14 strictly endemic species (4% of the total) for the Italian waters, 55 (16%) subendemic ones, and 20 (6%) are alien species. On the other hand, 19 species reported in the previous checklist were removed because considered dubious, synonyms of older ones or without detailed distributions for our territory. In addition, 69 species (20%) expanded their biogeographic distribution. The checklist data set will be dynamically updated with new records, and it will be freely available from Lifewatch Italy at https://www.lifewatchitaly.eu/en/initiatives/checklist-fauna-italia-en/checklist. This note describes the state of the art of the Hydrozoan checklist data set until June 2024.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Hydrozoa"},{"word":"marine"},{"word":"species list"},{"word":"Italian fauna"}],"section":"Special Section: The new Checklist of the Italian Fauna","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0sn9v1jf","frozenauthors":[{"first_name":"Cinzia","middle_name":"","last_name":"Gravili","name_suffix":"","institution":"University of Salento","department":"DiSTeBA"}],"date_submitted":"2026-02-03T21:34:59.383000+09:00","date_accepted":"2026-02-20T22:21:35.113663+09:00","date_published":"2026-03-11T19:34:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/62289/galley/49038/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/62289/galley/49038/download/"}]},{"pk":49037,"title":"Catching Silent Heart Killers—How Bedside Ultrasound Revealed Hidden Endocarditis: A Case Report","subtitle":null,"abstract":"Introduction: In this report we highlight the emerging role of pediatric cardiac point-of-care ultrasound (POCUS) in rapidly diagnosing infective endocarditis, using a clinical case as illustration.
\nCase Report: A six-year-old girl with a known ventricular septal defect presented with worsening respiratory symptoms, fevers, abdominal pain, and decreased oral intake. Initial POCUS, performed by an emergency physician, indicated a suspicious echogenic mass in the right atrium, prompting formal echocardiography. Further imaging and cultures confirmed infective endocarditis due to methicillin-sensitive Staphylococcus aureus.
\nConclusion: This case underscores the utility of pediatric cardiac POCUS as a rapid bedside diagnostic tool for infective endocarditis in emergency settings, leading to early diagnosis and management. Although POCUS cannot replace comprehensive echocardiography, its immediate availability significantly accelerates diagnosis and management initiation, particularly in pediatric patients with congenital heart conditions who are at increased risk for the condition. Ongoing training and standardized protocols will enhance its efficacy. Clinicians should recognize the strengths and limitations of POCUS, integrating it into broader diagnostic workflows for pediatric infective endocarditis.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"POCUS"},{"word":"pediatrics"},{"word":"endocarditis"},{"word":"bacteremia"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3g07934h","frozenauthors":[{"first_name":"Reshvinder","middle_name":"","last_name":"Dhillon","name_suffix":"","institution":"University of South Alabama, Department of Emergency Medicine, Mobile, Alabama","department":""},{"first_name":"Sarah","middle_name":"","last_name":"Mcmullin","name_suffix":"","institution":"University of South Alabama, Department of Emergency Medicine, Mobile, Alabama","department":""}],"date_submitted":"2025-07-23T00:38:13.597000+09:00","date_accepted":"2025-11-06T01:09:48.832000+09:00","date_published":"2026-03-11T13:29:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/49037/galley/49494/download/"}]},{"pk":47041,"title":"Minimally Symptomatic Severe Hyponatremia: Two Case Reports","subtitle":null,"abstract":"Introduction: Hyponatremia is a common and often vexing electrolyte abnormality seen in the emergency setting. The severity of a patient’s symptoms is often dictated by the acuity of hyponatremia development and degree of serum sodium deficit, with patients typically demonstrating more severe neurological symptoms in acute-onset severe hyponatremia. Patients prescribed chlorthalidone are at particular risk of developing hyponatremia, especially in the setting of a secondary insult.
\nCase Report: We describe two patients presenting to the emergency department with severe hyponatremia who were taking chlorthalidone. Both patients had clinical symptoms that were mild given the degree of their hyponatremia. Additionally, each patient had a secondary insult affecting their volume status that was an important contributing factor in the development of hyponatremia.
\nConclusion: Thiazide diuretic use, particularly chlorthalidone, is an important consideration when evaluating patients with new-onset hyponatremia, especially in the setting of excess volume losses or increased consumption of water. These cases demonstrate how patients with severe hyponatremia can present with atypical or mild clinical symptoms and often do not demonstrate significant neurological symptoms such as seizures.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"hyponatremia"},{"word":"thiazide diuretic"},{"word":"volume loss"},{"word":"case report"},{"word":"diuretics"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6j41d4bw","frozenauthors":[{"first_name":"Jordan","middle_name":"","last_name":"Richardson","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Department of Emergency Medicine, Rochester, Minnesota; Regions Hospital, Department of Emergency Medicine, St. Paul, Minnesota","department":""},{"first_name":"Luke","middle_name":"","last_name":"Wood","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Department of Emergency Medicine, Rochester, Minnesota","department":""},{"first_name":"Neha","middle_name":"","last_name":"Raukar","name_suffix":"","institution":"Mayo Clinic Alix School of Medicine, Department of Emergency Medicine, Rochester, Minnesota","department":""}],"date_submitted":"2025-03-18T23:53:56.977000+09:00","date_accepted":"2025-10-16T06:04:36.776000+09:00","date_published":"2026-03-11T13:15:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/47041/galley/49498/download/"}]},{"pk":63007,"title":"Letter to the Editor: A Case Report of Delayed, Severe, Paroxysmal Muscle Cramping After Chilean Rose Tarantula (Grammostola rosea) Envenomation","subtitle":null,"abstract":"","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Letters to the Editor","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2c36p0r0","frozenauthors":[{"first_name":"Luis","middle_name":"A","last_name":"Roque","name_suffix":"","institution":"Miller School of Medicine, University of Miami, Miami, Florida","department":""}],"date_submitted":"2026-02-17T14:51:24.313509+09:00","date_accepted":"2026-02-17T14:55:18.136823+09:00","date_published":"2026-03-11T12:36:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/63007/galley/49511/download/"}]},{"pk":42505,"title":"Methicillin Resistant Staphylococcus Aureus Septic Internal Jugular Thrombophlebitis: A Case Report\n","subtitle":null,"abstract":"Introduction: Lemierre syndrome is characterized by septic thrombophlebitis of the internal jugular vein, classically caused by Fusobacterium necrophorum. It is typically seen after an episode of pharyngitis where the palatine tonsils or peritonsillar mucosa is affected. It is thought to spread locally into the pharyngeal space toward the internal jugular vein.
\nCase Report: A 42-year-old male with progressively worsening, atraumatic right-sided neck pain was discovered to have methicillin-resistant Staphylococcus aureus (MRSA) bacteremia, septic thrombophlebitis of the right dural venous sinuses, skull base osteomyelitis, and otomastoiditis.
\nConclusion: While septic thrombophlebitis of the dural venous sinuses and internal jugular vein is typically caused by F necrophorum and usually comes from local pharyngeal spread, community-acquired MRSA is an emerging cause of this pathology.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"septic thrombophlebitis"},{"word":"case report"},{"word":"MRSA"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1k44h5x9","frozenauthors":[{"first_name":"Daniel","middle_name":"","last_name":"Kowalczyk","name_suffix":"","institution":"University of Missouri, Department of Emergency Medicine, Columbia, Missouri","department":""},{"first_name":"George","middle_name":"","last_name":"Ubiñas","name_suffix":"","institution":"University of Missouri, Department of Emergency Medicine, Columbia, Missouri","department":""}],"date_submitted":"2025-03-19T03:53:59.405000+09:00","date_accepted":"2025-05-28T07:06:19.385000+09:00","date_published":"2026-03-08T14:48:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/42505/galley/49490/download/"}]},{"pk":48543,"title":"In Reply: Letter to the Editor on “A Case Report of Delayed, Severe, Paroxysmal Muscle Cramping after Chilean Rose Tarantula (Grammostola rosea) Envenomation”","subtitle":null,"abstract":"Manuscript: A Case Report of Delayed, Severe, Paroxysmal Muscle Cramping after Chilean Rose Tarantula (Grammostola rosea) Envenomation
","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Letters to the Editor","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4xm6x30x","frozenauthors":[{"first_name":"Jon","middle_name":"","last_name":"Cole","name_suffix":"","institution":"Minnesota Poison Control System, Minneapolis, Minnesota","department":""},{"first_name":"Brian","middle_name":"Thomas","last_name":"Gooley","name_suffix":"","institution":"Minnesota Poison Control System, Minneapolis, Minnesota","department":""},{"first_name":"Kirk","middle_name":"","last_name":"Hughes","name_suffix":"","institution":"Minnesota Poison Control System, Minneapolis, Minnesota","department":""},{"first_name":"Mark","middle_name":"","last_name":"Gooley","name_suffix":"","institution":"Mayo Clinic, Rochester, Minnesota","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Keyler","name_suffix":"","institution":"University of Minnesota, Minneapolis, Minnesota","department":""},{"first_name":"Richard","middle_name":"","last_name":"Vetter","name_suffix":"","institution":"University of California Riverside, Riverside, California","department":""}],"date_submitted":"2025-06-13T02:49:58+09:00","date_accepted":"2025-11-27T10:27:05+09:00","date_published":"2026-03-08T11:26:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/48543/galley/49512/download/"}]},{"pk":63829,"title":"Mind if I Join You? Some Aspects of Vowel-Vowel Sandhi in the Rigveda","subtitle":null,"abstract":"This paper explores the prosody of the Rigvedic clause against the backdrop of two phenomena: (1) the treatment of vowel-vowel junctures at the word boundary (in particular whether such sequences show hiatus or contraction) and (2) the caesura in trimeter (11- and 12-syllable) lines. The behavior, with respect to these phenomena, of a variety of functional elements in the language of the Rigveda is investigated, leading to the conclusion that (1) and (2) provide critical evidence for the natural language prosody of that language. A sharp contrast is drawn with approaches that assume that the relevant processes reflect “poetic license” or arise metri causa.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Vedic"},{"word":"rigveda"},{"word":"sandhi"},{"word":"caesura"},{"word":"trimeter"},{"word":"prosody"}],"section":"Paper","is_remote":true,"remote_url":"https://escholarship.org/uc/item/39t1r1c5","frozenauthors":[{"first_name":"Mark","middle_name":"","last_name":"Hale","name_suffix":"","institution":"Concordia University","department":"Classics, Modern Languages and Linguistics","country":"Canada"}],"date_submitted":null,"date_accepted":"2025-11-19T12:36:00+09:00","date_published":"2026-03-06T06:07:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/weciec/article/63829/galley/49008/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/weciec/article/63829/galley/49008/download/"}]},{"pk":63090,"title":"A Market-Oriented Business Model and AI System Design for Multilingual Business Card Intelligence","subtitle":null,"abstract":"Business card digitization tools are widely available, yet many solutions remain focused on optical character recognition and contact storage rather than measurable networking outcomes. This paper develops an academic and market-oriented framework for an AI-based multilingual business card intelligence system designed to convert raw card images into structured contacts, prioritized action lists, and AI-assisted follow-up content. The study is motivated by a practical gap between data extraction performance and post-event relationship conversion. Existing literature supports the importance of human-in-the-loop information extraction workflows, privacy-aware data handling, and AI governance, but limited work links these domains to networking operations and event productivity. Using the current prototype design as an empirical design reference, this paper documents the system architecture, key parameters, and a quantitative scoring model for contact prioritization. The system integrates cloud functions, schema validation, multilingual extraction pipelines, confidence-based review thresholds, and event-level batch processing. A weighted networking score model is proposed to rank contacts using role relevance, interest alignment, urgency, strategic value, relationship strength, recency, and profile completeness. The paper also outlines measurable performance indicators, including extraction accuracy, review rate, duplicate reduction, follow-up speed, and conversion uplift. From a commercial perspective, the framework positions system as a workflow intelligence product rather than a scanning utility, with a differentiated value proposition in multilingual precision, event intelligence, and trust-oriented architecture. The contribution is a research-ready foundation for future field experiments and commercialization studies that evaluate whether AI-assisted contact intelligence improves networking effectiveness at scale.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Multilingual OCR"},{"word":"Networking Analytics"},{"word":"CRM Workflow"},{"word":"Operations"},{"word":"AI Governance"},{"word":"AI"},{"word":"Prioritization Modeling"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/485590nh","frozenauthors":[{"first_name":"Yung-Sian","middle_name":"","last_name":"Fang","name_suffix":"","institution":"University of California, Riverside","department":"A. Gary Anderson Graduate School of Management"}],"date_submitted":"2026-02-23T15:11:35.321348+09:00","date_accepted":"2026-03-05T03:37:15.288770+09:00","date_published":"2026-03-04T01:30:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucrlibrary_orca/article/63090/galley/48947/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucrlibrary_orca/article/63090/galley/48947/download/"}]},{"pk":54002,"title":"\n\nAmordidas Acompañadas: Deported Recipes of Survival\n","subtitle":null,"abstract":"Amordidas Acompanadas: Deported Recipes of Survival is an autoethnographic and community-engaged project that examines how deported parents and their children re-generate connection through food. My parents were deported on May 9, 2012, one day before Mother’s Day, when I was sixteen years old. They lived in exile in Tijuana for twelve years, staying as close as possible to their children in South Central Los Angeles. The rupture created by this distance grew over time and intensified after my mother passed away in December of 2024. In searching for a way to live with this loss, I turned toward food. Cooking became the method I needed to move forward and understand how deported families survive separation.
\nThis project centers the recipes I learn while cooking side-by-side with deported parents in Tijuana. Each meal carries stories, memories, and strategies of endurance. I turn these meals into recipe cards and bring them back to their children in the United States. These recipes operate as acts of accompaniment that allow parents to continue caring, teaching, and loving across borders. Foodways become a pathway to remember, heal, and enact reunion despite the impossibility of physical proximity.
\nThe installation concept for Amordidas Acompanadas reframes the kitchen as an altar. After my mother’s passing, the kitchen became a space where I return to her lessons through cooking and offer my version of her recipes as an offering and a testament to her love. This project will make selected recipes, reflections, and documentation openly accessible through eScholarship to support community learning and preserve food-based knowledge created in the context of deportation.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"deportation"},{"word":"Foodways"},{"word":"re-generation"},{"word":"kitchen as altar"},{"word":"memory"},{"word":"epistemologies"},{"word":"cooking"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0rq278jx","frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"Martinez","name_suffix":"","institution":"University of California at Riverside","department":"Ethnic Studies"}],"date_submitted":"2025-11-18T16:55:11.235000+09:00","date_accepted":"2026-03-05T03:55:12.230307+09:00","date_published":"2026-03-04T01:30:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucrlibrary_orca/article/54002/galley/48950/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucrlibrary_orca/article/54002/galley/48950/download/"}]},{"pk":53981,"title":"Shadows of the Pacific Electric: Former Pacific Electric Rail Lines and Modern California Transit","subtitle":null,"abstract":"In the Spring of 1961, the last train of the Pacific Electric Railway left from the Huntington Building on the Pacific Electric Long Beach Line. The former railway has since become the point of focus for transportation planners, historians, and commuters. The Pacific Electric Railway in the 21st century has been the subject of significant romanticization and mythologizing by Californians. In an era where the challenges of daily commutes are becoming increasingly prescient, the Pacific Electric is a reflection of modern desires for modern regional public transit. This story map, maps the former lines of the Pacific Electric and compares them with existing modern public transit connections to visualize the continuity of services between modern transit and the former regional PE. From these comparisons, we can reevaulate the value of the Pacific Electric as a regional connectro and contextualize transit planning in the 21st century.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"History"},{"word":"california history"},{"word":"urban history"},{"word":"Los Angeles"},{"word":"Railroad History"},{"word":"public policy"},{"word":"Public Transportation"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1mk0k14x","frozenauthors":[{"first_name":"Cooper","middle_name":"Lennon","last_name":"Crane","name_suffix":"","institution":"UCR","department":"History"}],"date_submitted":"2025-11-17T12:57:38.695000+09:00","date_accepted":"2026-03-05T03:51:55.929276+09:00","date_published":"2026-03-04T01:30:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucrlibrary_orca/article/53981/galley/48949/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucrlibrary_orca/article/53981/galley/48949/download/"}]},{"pk":63078,"title":"Web-Based Pipeline for Standardized Event Window Stock Return Analysis and Research-Ready Visualization","subtitle":null,"abstract":"This submission introduces a reproducible web platform that operationalizes event study methodology for equity price impact analysis with minimal user effort. The system is designed for research and classroom settings where consistency, traceability, and rapid iteration are essential. Users provide daily trading data through file upload and specify an event date through the interface. The platform then executes a standardized analytical pipeline that validates and cleans the input, computes daily percentage returns, constructs a fixed event window, and summarizes price impact by contrasting mean returns in the five trading days preceding the event with the five trading days following the event. The platform additionally produces research-ready visualizations that support the interpretation of pre-event anticipation and post-event adjustment dynamics. By replacing manual spreadsheet workflows with a consistent computational procedure, the platform reduces operational error, improves comparability across analysts, and scales to multi-firm or multi-event studies without additional setup. The resulting artifact strengthens methodological transparency and enables efficient generation of evidence suitable for submission, presentation, and replication.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Empirical asset pricing"},{"word":"Equity event studies"},{"word":"Short horizon return dynamics"},{"word":"Market microstructure effects"},{"word":"Research workflow automation"},{"word":"Reproducible computational finance"},{"word":"Data provenance"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6v43s39h","frozenauthors":[{"first_name":"Yung-Sian","middle_name":"","last_name":"Fang","name_suffix":"","institution":"University of California, Riverside","department":"A. Gary Anderson Graduate School of Management"}],"date_submitted":"2026-02-23T10:37:14.696661+09:00","date_accepted":"2026-03-05T03:13:26.159657+09:00","date_published":"2026-03-04T01:30:00+09:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucrlibrary_orca/article/63078/galley/48946/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucrlibrary_orca/article/63078/galley/48946/download/"}]},{"pk":52908,"title":"The Dual Formative *tsi in Tibeto-Burman Languages","subtitle":null,"abstract":"A pronominal dual formative derivable from *tsi, *ntsi, or *tsiŋ is attested sufficiently broadly across the Tibeto-Burman languages to require that these be reconstructed to the proto-language. In most of these languages only one of these forms occurs, and combines with pronouns to form compositional duals. However, several languages show clear association of *tsi with inclusive dual, and *ntsi with second person dual; there is also some evidence for an originally exclusive value of *tsiŋ. This paper presents the comparative evidence for these, with evidence from various clades supporting the reconstructed person values of the three forms, and suggests a preliminary account of the develoments which have resulted in the replacement in most languages of the original 3-term paradigm with compositional forms.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Trans-Himalayan"},{"word":"Sino-Tibetan"},{"word":"Tibeto-Burman"},{"word":"Pronouns"},{"word":"dual"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/92z910mm","frozenauthors":[{"first_name":"Scott","middle_name":"","last_name":"DeLancey","name_suffix":"","institution":"University of Oregon","department":""}],"date_submitted":"2025-09-19T05:14:28.509000+09:00","date_accepted":"2025-11-24T19:23:39.601000+09:00","date_published":"2026-03-04T00:41:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/52908/galley/48943/download/"}]},{"pk":48985,"title":"Obligated To Say “Yes”: The How and Why Behind Transfer Decisions in Moribund Patients","subtitle":null,"abstract":"Introduction: A core principle of emergency care is the rapid transport of severely injured patients to hospitals capable of providing definitive care. Although the social, financial, and emotional factors associated with transfers, and their impact on hospital crowding, may necessitate a more nuanced approach, little has been published on how physicians actually make the decision to transfer a potentially moribund patient. We, therefore, sought to better understand these factors as the next step toward optimizing transfer flow and patient care.
\nMethods: We conducted one-hour, semi-structured interviews with 16 emergency physicians at referring and referral centers, including eight accepting physicians at a quaternary-care center and eight transferring physicians at community hospitals. Interviews focused on decision-making regarding interhospital transfers for moribund patients, defined as those with injuries or disease processes judged likely to be non-survivable. Interviews were transcribed and analyzed using reflexive thematic analysis to identify common themes and decision-making factors.
\nResults: We identified four emerging themes that underpinned a decision to transfer or accept a potentially moribund trauma patient: 1) the accepting physician’s perceived obligation to hospitals with fewer resources; 2) the difficulty of prognostication; 3) the imperfection and limitations of current advanced care planning documents; and 4) the impact of family and patient preferences.
\nConclusion: The rationale behind initiating and accepting transfers of moribund trauma patients is multifaceted. This study is the first to our knowledge that explores physician decision-making in this domain. Physicians feel an obligation to patients, families, and other hospitals, which leads to almost universally initiating or accepting transfers even in cases with limited hope of survival. These interviews offer insight into opportunities to improve statewide trauma operations and highlight avenues for promoting transfer-decision heuristics and pre-transfer goals-of-care conversations without compromising patient care.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"interhospital transfer"},{"word":"Qualitative Research"},{"word":"Trauma"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8k29p7j4","frozenauthors":[{"first_name":"Alexa","middle_name":"","last_name":"Stefanko","name_suffix":"","institution":"Oregon Health and Sciences University, Division of Trauma, Critical Care and Acute Care Surgery, Portland, Oregon","department":""},{"first_name":"Nellie","middle_name":"","last_name":"Trenga-Schein","name_suffix":"","institution":"University of Vermont, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Laura","middle_name":"","last_name":"Chess","name_suffix":"","institution":"Oregon Health and Sciences University, Department of Emergency Medicine, Portland, Oregon","department":""},{"first_name":"Mackenzie","middle_name":"","last_name":"Cook","name_suffix":"","institution":"Oregon Health and Sciences University, Division of Trauma, Critical Care and Acute Care Surgery, Portland, Oregon","department":""}],"date_submitted":"2025-07-22T02:05:49.763000+09:00","date_accepted":"2025-11-27T06:20:38.773000+09:00","date_published":"2026-03-03T08:39:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/48985/galley/49043/download/"}]},{"pk":49106,"title":"Cross-Sectional Examination of Hospital Visits in the Year Prior to Suicide Death in Illinois","subtitle":null,"abstract":"Introduction: Suicide is a growing public health issue in the United States. Healthcare visits in the year prior to suicide death, including those to emergency departments (ED) and inpatient settings, may be missed opportunities for risk-screening and intervention delivery. Our objective in this study was to evaluate the distribution of hospital visits of suicide decedents in the year prior to death by setting (ED and inpatient), last visit proximity to death, and presence of suicide risk factors, and to consider each setting’s potential for reaching those at risk of suicide.
\nMethods: Using linked data from the Illinois Hospital Discharge Data Set and the Illinois Violent Death Reporting System, we examined suicide decedent hospital visits 365 days prior to suicide death. We described the distribution of visits by setting (ED vs inpatient), timing of the last visit prior to death, and groupings of visit primary diagnosis codes, as per the International Classification of Diseases, 10th Revision, reflecting suicide risk (deliberate self-harm, suicidal ideation, mental health disorders, and substance use disorder). The study was conducted between 2022–2025.
\nResults: Of the 2,562 suicide decedents, 960 (37.4%) had a visit in the year preceding their death. The 960 decedents had a total of 3,131 visits, an average of 3.3. per person. Of those visits, 2,002 (63.9%) were to the ED. However, there was a greater proportion of last visits to an inpatient unit (687, 60.9%) that occurred under 180 days of death compared to last ED visits (1,060, 52.1%), P < .05). Inpatient visits also had higher percentages of visits for each of the suicide risk-diagnosis code groups compared to ED visits; deliberate self-harm, 22.2% (n = 251) vs 6.8% (n = 136); suicidal ideation 29% (n = 327) vs 8.6% (n = 173); mental health disorders, 5.7% (n = 64) vs 3.1% (n = 62); and substance use disorder, 75.1% (n = 848) vs 35.3% (n = 706), P < .05. Among both inpatient and ED visits, substance use was the most prevalent of the primary diagnosis suicide risk-factor groups endorsed, although inpatient visits had a statistically significant higher proportion of primary diagnosis codes for substance use than ED visits, 75.1% (n = 848) and 35.3% (n = 706), respectively, all P < .05.
\nConclusion: We found the proportion of suicide decedents with a hospital visit in the year prior to death was lower than other studies found for primary care settings. However, this does not mean that broad-based suicide screening and interventions would not be of value in hospital settings.7,14 Inpatient visits were fewer in number but a greater proportion of visits in closer proximity to suicide death and with suicide risk factors. This suggests that EDs may be better suited to broad-based screening and inpatient settings to targeted intervention efforts. Inpatient visits involving primary diagnosis suicide-risk factors may offer more easily identifiable opportunities for suicide prevention compared to those in ED settings, based on prevalence and temporal and logistical factors. Future interventions could consider how to systemically integrate risk screenings in both settings, particularly for patients with a diagnosis of substance use disorder.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Suicide Prevention"},{"word":"Risk factors"},{"word":"emergency department visits"},{"word":"inpatient visits"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0mc368js","frozenauthors":[{"first_name":"Maryann","middle_name":"","last_name":"Mason","name_suffix":"","institution":"Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois; Northwestern University, Buehler Center for Health Policy and Economics, Chicago, Illinois","department":""},{"first_name":"Yingxuan","middle_name":"","last_name":"Liu","name_suffix":"","institution":"Northwestern University, Buehler Center for Health Policy and Economics, Chicago, Illinois","department":""},{"first_name":"Krina","middle_name":"","last_name":"Patel","name_suffix":"","institution":"Nova Southeastern University College of Allopathic Medicine, Davie, Florida","department":""},{"first_name":"Kunal","middle_name":"","last_name":"Kanwar","name_suffix":"","institution":"Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois","department":""},{"first_name":"Ursula","middle_name":"","last_name":"Alexander","name_suffix":"","institution":"Northwestern University, Buehler Center for Health Policy and Economics, Chicago, Illinois","department":""},{"first_name":"Alexander","middle_name":"","last_name":"Lundberg","name_suffix":"","institution":"Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois; Northwestern University, Buehler Center for Health Policy and Economics, Chicago, Illinois","department":""}],"date_submitted":"2025-07-25T05:43:14.298000+09:00","date_accepted":"2025-12-07T08:07:38.199000+09:00","date_published":"2026-03-03T07:59:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/49106/galley/49059/download/"}]},{"pk":48854,"title":"Revealing the Emergency Medicine Difference: Leveraging Specialty-Specific Strengths to Optimize Critical Care Training","subtitle":null,"abstract":"Introduction: Emergency physicians pursuing critical care training must enter fellowships designed for internal medicine, anesthesiology, or surgery trainees. In this study we aimed to assess how emergency medicine (EM)-trained fellows are perceived by critical care fellowship leadership compared to their peers and to identify specialty-specific strengths and gaps that may inform targeted educational approaches.
\nMethods: We conducted a national, cross-sectional survey of program directors and associate/assistant directors of Accreditation Council of Graduate Medical Education-accredited critical care fellowships. Respondents rated the baseline competence of incoming fellows across 11 core critical care domains using a 5-point Likert scale. We compared competency ratings across residency training backgrounds using linear mixed models, accounting for clustering and adjusting for rater specialty where appropriate.
\nResults: Of 429 distributed surveys, 118 (27.5%) were completed. Our respondents represented internal medicine-based fellowships (63, 53%), surgical fellowships (32, 27%), and anesthesia fellowships (23, 20%). On a 5-point Likert scale ranging from 1 = “Not competent” to 5 = “Very competent,” EM-trained fellows were rated significantly higher than their internal medicine-trained peers in intubation (3.93 vs 1.86, P < .01); vascular access (3.72 vs 2.52, P < .01); point-of-care ultrasound (3.80 vs 2.52, P < .01 ); surgical critical care (2.39 vs 1.99, P < .01); and neurologic emergencies (2.59 vs 2.10, P < .01). Fellows trained in internal medicine were rated higher in ventilator management (2.54 vs 2.06, P < .01); palliation (3.05 vs 2.08, P < .01); and renal physiology/acid-base disturbances (3.18 vs 2.40, P < .01). Slightly different patterns emerged when comparing EM to surgery and anesthesiology trainees, where EM-trained fellows were rated similarly or lower in procedural domains but demonstrated more robust competence in organ-specific physiology and ultrasonography. These patterns remained largely consistent in sensitivity analyses adjusting for rater specialty.
\nConclusion: Critical care fellows who trained in EM bring distinct strengths in diagnostics and resuscitation to critical care training, but their educational needs may differ from those of peers within specialty-specific fellowships. Tailoring curricula to address these differences can help ensure all trainees achieve proficiency across core domains.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3ww6h953","frozenauthors":[{"first_name":"Lia","middle_name":"Ilona","last_name":"Losonczy","name_suffix":"","institution":"George Washington University, Department of Emergency Medicine, Washinton, DC; George Washington University, Department of Anesthesia and Critical Care, Washington, DC","department":""},{"first_name":"Jordan","middle_name":"","last_name":"Feltes","name_suffix":"","institution":"George Washington University, Department of Emergency Medicine, Washinton, DC","department":""},{"first_name":"Jeremy","middle_name":"B","last_name":"Richards","name_suffix":"","institution":"Harvard Medical School, Office of External Education, Boston, Massachusetts; Western Atlantic University School of Medicine, Department of Medical Education, Freeport, The Bahamas","department":""},{"first_name":"Adam","middle_name":"","last_name":"Odolil","name_suffix":"","institution":"George Washington University School of Medicine and Health Sciences, Washington, DC","department":""},{"first_name":"Junfeng","middle_name":"","last_name":"Sun","name_suffix":"","institution":"National Institutes of Health Clinical Center, Critical Care Medicine Department, Bethesda, Maryland","department":""},{"first_name":"Aryana","middle_name":"","last_name":"Kavuri","name_suffix":"","institution":"George Washington University School of Medicine and Health Sciences, Washington, DC","department":""},{"first_name":"Mariam","middle_name":"","last_name":"Hafez","name_suffix":"","institution":"George Washington University School of Medicine and Health Sciences, Washington, DC","department":""},{"first_name":"Alisa","middle_name":"","last_name":"Dewald","name_suffix":"","institution":"George Washington University, Department of Anesthesia and Critical Care, Washington, DC","department":""},{"first_name":"Nitin","middle_name":"","last_name":"Seam","name_suffix":"","institution":"National Institutes of Health Clinical Center, Critical Care Medicine Department, Bethesda, Maryland","department":""}],"date_submitted":"2025-07-02T17:23:34.760000+09:00","date_accepted":"2025-12-13T06:47:44.208000+09:00","date_published":"2026-03-03T07:49:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/48854/galley/49075/download/"}]},{"pk":50811,"title":"Model Resuscitation Leadership Curriculum for Emergency Medicine Residents: Modified Delphi Study","subtitle":null,"abstract":"Objectives: Effective resuscitation leadership is essential for emergency physicians, yet formal training in this domain remains limited within emergency medicine (EM) residency programs. Generic healthcare teamwork frameworks do not fully address the unique demands of EM resuscitations, including diagnostic uncertainty, time pressure, and frequent interruptions. Without consensus on the key competencies or instructional strategies needed to teach these EM-specific resuscitation leadership skills, residency programs lack clear curricular guidance. We aimed to achieve expert consensus on the learning objectives and educational strategies for a longitudinal model resuscitation leadership curriculum for EM residents using a modified Delphi approach.
\nMethods: We conducted a three-round modified Delphi study from September 2024–March 2025. Panelists were selected based on expertise in resuscitation leadership education and scholarship. We conducted a PubMed literature review that identified 19 references encompassing 244 skills and synthesized them into 31 initial learning objectives. By consensus, 12 educational strategies were identified. Panelists rated the importance of proposed learning objectives and educational strategies derived from a review of the literature and existing assessments. Additional items were added and refined across rounds based on panelist feedback. Consensus thresholds were predefined as > 75% agreement for inclusion (rated as important/very important or agree/strongly agree).
\nResults: Twelve experts participated in the study, representing diverse institutions and training backgrounds. By Round 3, consensus was achieved for 28 learning objectives and 13 educational strategies. Items were thematically categorized, and supplemental resources were developed to guide curricular implementation. The final curriculum integrates cognitive, procedural, and non-technical competencies contextualized within resuscitation environments and sequenced to support longitudinal skill development.
\nConclusion: This study presents the first expert consensus-derived resuscitation leadership curriculum for EM residents. The resulting framework provides EM residency programs with adaptable, evidence-informed guidance to support structured, longitudinal resuscitation leadership training and improved resuscitation team performance.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"resuscitation"},{"word":"leadership"},{"word":"Delphi"},{"word":"GME"}],"section":"Medical Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/366486b9","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Sobin","name_suffix":"","institution":"Medical College of Wisconsin, Department of Emergency Medicine, Milwaukee, Wisconsin","department":""},{"first_name":"Peter","middle_name":"","last_name":"Prescott","name_suffix":"","institution":"Oakland University William Beaumont School of Medicine, Rochester, Michigan","department":""},{"first_name":"David","middle_name":"","last_name":"Berger","name_suffix":"","institution":"Corewell Health William Beaumont University Hospital, Department of Emergency Medicine, Royal Oak, Michigan","department":""},{"first_name":"Danielle","middle_name":"","last_name":"Turner-Lawrence","name_suffix":"","institution":"Corewell Health William Beaumont University Hospital, Department of Emergency Medicine, Royal Oak, Michigan","department":""},{"first_name":"Brett","middle_name":"","last_name":"Todd","name_suffix":"","institution":"Corewell Health William Beaumont University Hospital, Department of Emergency Medicine, Royal Oak, Michigan","department":""}],"date_submitted":"2025-09-01T05:49:36.988000+09:00","date_accepted":"2025-12-21T06:19:32.482000+09:00","date_published":"2026-03-02T02:02:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/50811/galley/49066/download/"}]},{"pk":48931,"title":"Comparison of Emergency Department Patients with Salpingitis and Oophoritis with and without Documented Social Determinants of Health","subtitle":null,"abstract":"Introduction: Social determinants of health (SDoH) have emerged as a critical focus of research due to their significant impact on clinical outcomes; however, there is a gap in research specific to women’s health. Understanding the factors underlying trends in gynecologic emergency diagnoses requires a more comprehensive examination of SDoH. In this study we characterize the demographic and clinical profile of patients with documented SDoH International Classification of Diseases, 10th revision (ICD-10), Z codes (Z55-Z65) who presented to the emergency department (ED) with salpingitis and oophoritis, and explore patterns of healthcare utilization and management.
\nMethods: In this retrospective cohort study we used TriNetX Research Network data to compare adult females (18-49 years of age) presenting to the ED with diagnosed salpingitis and oophoritis between January 1, 2000–January 1, 2024, by presence or absence of SDoH Z codes. Propensity score matching balanced baseline demographics and comorbidities. The outcomes assessed one year from ED presentation included surgical intervention, hospital admission, ED revisits, utilization of critical care service, analgesic use, and new mental health diagnoses such as anxiety, post-traumatic stress disorder, and depression. Risk analyses compared outcome proportions between cohorts, reported as risk ratios (RR) with 95% confidence intervals.
\nResults: Before propensity score matching, the proportion of the initial cohort that had at least one SDoH Z code was 11.9%. Following propensity score matching, we analyzed 5,570 patients, 50% of whom had documented SDoH Z codes. We found that 10.2% of patients with documented SDoH Z codes received surgery compared to 15.0% of patients without (RR, 0.679; 95% CI, 0.577-0.799, P < .001). On the contrary, 45.7% of patients with Z codes were hospitalized compared to 34.3% without (RR, 1.333; 95% CI, 1.248-1.423, P < .001). Of patients with SDoH Z codes, 58.1% revisited the ED compared to 45.2% without (RR, 1.287; 95% CI, 1.222-1.355, P < .001). 4.4% of patients with Z codes required critical care services compared to 2.5% without (RR, 1.757; 95% CI, 1.317-2.345, P < .001). Lastly, patients with SDoH Z codes experienced new mental health diagnoses. This included 8.4% with Z codes diagnosed with depression (RR, 1.890; 95% CI, 1.432-2.495, P < .001) compared to 4.6% without, 11.1% with Z codes diagnosed with anxiety (RR, 1.565; 95% CI, 1.241-1.973, P < .001) compared to 7.1% without, and 2.7% with Z codes diagnosed with post-traumatic stress disorder (RR, 3.026; 95% CI, 1.897-4.826, P < .001) compared to 0.9% in patients without documented Z codes.
\nConclusion: Patients with documented ICD-10 Z codes for social determinants of health were less likely to receive surgery but were associated with increased ED repeat visits, hospitalization, need for critical care, and mental health conditions. These findings highlight the clinical relevance of SDoH in acute care utilization and patient outcomes, underscoring the importance of routine screening and documentation of SDoH in electronic health records. Addressing underlying social needs may be a key strategy in reducing healthcare burden and improving long-term outcomes for vulnerable populations.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"social determinants of health"},{"word":"Salpingitis"},{"word":"Oophoritis"},{"word":"emergency department"},{"word":"International Classification of Diseases"}],"section":"Women's Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0pc1f7z0","frozenauthors":[{"first_name":"Cassandra","middle_name":"","last_name":"Farber","name_suffix":"","institution":"Penn State College of Medicine, Hershey, Pennsylvania","department":""},{"first_name":"Priya","middle_name":"","last_name":"Devanarayan","name_suffix":"","institution":"Penn State College of Medicine, Hershey, Pennsylvania","department":""},{"first_name":"Gavin","middle_name":"","last_name":"Schaefer-Hood","name_suffix":"","institution":"Penn State College of Medicine, Hershey, Pennsylvania","department":""},{"first_name":"Hayes","middle_name":"","last_name":"Stancliff","name_suffix":"","institution":"Penn State College of Medicine, Hershey, Pennsylvania","department":""},{"first_name":"Catherine","middle_name":"","last_name":"Marco","name_suffix":"","institution":"Penn State College of Medicine, Hershey, Pennsylvania; Penn State Health Milton S. Hershey Medical Center, Department of Emergency Medicine, Hershey, Pennsylvania","department":""}],"date_submitted":"2025-07-10T01:46:11.623000+09:00","date_accepted":"2025-12-06T06:48:13.734000+09:00","date_published":"2026-03-02T01:36:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/48931/galley/49055/download/"}]},{"pk":63111,"title":"Pacific Arts N.S. Vol. 26, No. 1 (2026)","subtitle":null,"abstract":"Pacific Arts Vol. 26 No. 1 (2026) Cover, Journal Information, and Table of Contents
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/481335nx","frozenauthors":[{"first_name":"Pacific","middle_name":"","last_name":"Arts","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2026-02-28T14:39:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/63111/galley/48937/download/"}]},{"pk":50735,"title":"Modified SIRS Criteria for Patients ≥ 65 Years with Addition of Altered Mental Status and Reduced Heart Rate for Atrioventricular Nodal Blockers","subtitle":null,"abstract":"Introduction: Sepsis is a life-threatening condition caused by an exaggerated immune response to infection, causing damage to the body’s own tissues and organ dysfunction. The elderly are at higher risk for mortality from sepsis compared to younger adults. Our objective in this study was to evaluate the use of a modified systemic inflammatory response syndrome (SIRS) criteria for patients ≥ 65 years of age including new criteria of reduced heart rate (> 75 rather than 90 beats per minute [bpm]) for patients taking atrioventricular nodal blocking drugs and altered mental status.
\nMethods: This was a retrospective observational study sampling patients ≥ 65 years of age diagnosed with sepsis. We compared our proposed modified SIRS criteria to the original criteria (heart rate, white blood cell count, respiratory rate, and temperature). Our primary outcome measure was comparing sensitivity and specificity of each model. We performed a regression analysis to evaluate the relationship of each individual criterion and its association with sepsis. Approximately half (47.1%) of the sampled population were taking an atrioventricular nodal blocking drug.
\nResults: Based on a 1:1 case-matched dataset, the modified SIRS criteria yielded a higher sensitivity (98.9%; 95% CI, 98.4-99.2%) compared to the original criteria (97.7%; 97.0-98.2%) in diagnosing sepsis and a lower specificity (14.1%, 12.8-15.5%) compared to the original criteria (20.5%; 18.9-22.1%). The modified model demonstrated an area under the curve (AUC) of 0.797 (95% CI, 0.785-0.809; P < .001), outperforming the original model (AUC 0.764; 0.751-0.778; P < .001). Altered mental status had the second highest individual specificity for sepsis (88.4%; 87.1- 89.6%), and third was the reduced heart rate > 75 bpm for patients using atrioventricular nodal blockers criterion (53.9%; 51.9-55.8%). Among 1,164 sepsis patients receiving atrioventricular nodal blockers, 83 additional cases (7.1%; 5.8-8.8%) were identified solely by the modified heart rate ≥ 75 bpm criterion.
\nConclusion: The modified SIRS criteria is associated with minimally higher but statistically significant rates of identifying sepsis at the cost of reduced specificity. These new criteria identify an additional 1.21% of septic patients in the vulnerable elderly population with a 6.4% reduction in specificity. Overall, sensitivity increased marginally at the expense of specificity with the modified criteria. However, the new criteria of altered mental status and 75bpm for patients taking atrioventricular nodal blocking medications had the second and third highest individual specificity for sepsis, respectively.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1gb916t5","frozenauthors":[{"first_name":"Lauren","middle_name":"","last_name":"Gould","name_suffix":"","institution":"Lakeland Regional Hospital, Department of Emergency Medicine, Lakeland, Florida","department":""},{"first_name":"Eden","middle_name":"","last_name":"Crowsey","name_suffix":"","institution":"Lakeland Regional Hospital, Department of Research and Sponsored Studies, Lakeland, Florida","department":""},{"first_name":"Tzeferaw","middle_name":"","last_name":"Sahadeo","name_suffix":"","institution":"Lakeland Regional Hospital, Data Analytics, Lakeland, Florida","department":""},{"first_name":"Rita","middle_name":"","last_name":"Gillespie","name_suffix":"","institution":"Lakeland Regional Hospital, Department of Emergency Medicine, Lakeland, Florida","department":""}],"date_submitted":"2025-08-24T03:40:06.490000+09:00","date_accepted":null,"date_published":"2026-02-28T01:39:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/50735/galley/49061/download/"}]},{"pk":50511,"title":"Reducing Emergency Diagnostic Uncertainty with TRACE: Triage and Risk Assessment via Cost Estimation","subtitle":null,"abstract":"Introduction: Diagnostic uncertainty significantly impacts patient safety in emergency medicine, leading to missed diagnoses and severe harm. Current predictive models primarily emphasize diagnostic likelihood without explicitly addressing potential clinical harm from errors. We propose Triage and Risk Assessment via Cost Estimation (TRACE), a machine-learning framework that incorporates expected-value calculations, defined as the probability-weighted estimate of clinical harm, and patient similarity metrics to address both diagnostic accuracy and risk assessment.
\nMethods: Using the Medical Information Mart for Intensive Care IV - Emergency Department dataset, we developed TRACE, comprising two modules: the expected value-powered triage index (TRACE-T), which calculates expected patient acuity from vital signs and chief complaints, and the patient similarity diagnosis engine (TRACE-Dx), which predicts diagnoses by identifying historically similar patients and weighing their outcomes by clinical harm. We assessed TRACE-T’s predictive performance, our primary outcome, using decision trees, random forests, and Lasso (least absolute shrinkage and selection operator) regression. The TRACE-Dx predictions, our secondary outcome, were evaluated through string matching (comparing diagnostic text) and sentence embedding similarity (comparing diagnostic phrases).
\nResults: Our final analysis included a total of 2,501 patients from the dataset, due to requirements for diagnosis-string cleaning and computational demands of similarity calculations. Within this subset, TRACE-T significantly improved triage prediction accuracy, with the random forest classifier’s accuracy increasing from 0.605 to 0.705 (P = .04) and demonstrating a notable reduction in root mean square error from 0.635 to 0.541 (P < .001). The decision tree model improved from 0.467 to 0.593 (P = .78) but did not reach statistical significance. The TRACE-Dx generated five expected value-ranked predicted diagnoses per encounter (12,505 predictions across 2,501 patients) and achieved average sentence embedding and string match similarities of 93.3% (95% CI, 92.7-94.0%) and 92.5% (95% CI, 90.7-94.3%), respectively, indicating strong alignment with actual outcomes.
\nConclusion: Expected value-based clinical harm modeling with patient similarity scoring enhances triage accuracy and diagnostic prediction in emergency care. Triage and Risk Assessment via Cost Estimation provides interpretable, actionable insights that could be incorporated into real-time clinical workflows as decision-support tools to reduce diagnostic uncertainty and improve patient outcomes.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Medical Decision Making","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2bq7k0s8","frozenauthors":[{"first_name":"Kian","middle_name":"D.","last_name":"Samadian","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Paul","middle_name":"","last_name":"Chong","name_suffix":"","institution":"Walter Reed National Military Medical Center, Department of Ophthalmology, Bethesda, Maryland","department":""},{"first_name":"Boyu","middle_name":"","last_name":"Peng","name_suffix":"","institution":"Massachusetts General Institute of Health Professions, Boston, Massachusetts","department":""},{"first_name":"Ahmad","middle_name":"","last_name":"Hassan","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Kevin","middle_name":"","last_name":"Shannon","name_suffix":"","institution":"University of Virginia School of Medicine, Charlottesville, Virigina","department":""},{"first_name":"Adriana","middle_name":"","last_name":"Coleska","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Abdel","middle_name":"","last_name":"Badih el Ariss","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Norawit","middle_name":"","last_name":"Kijpaisalratana","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Pedram","middle_name":"","last_name":"Safari","name_suffix":"","institution":"Massachusetts General Institute of Health Professions, Boston, Massachusetts","department":""},{"first_name":"Emma","middle_name":"","last_name":"Chua","name_suffix":"","institution":"Pasadena City College, Pasadena, California","department":""},{"first_name":"Daerin","middle_name":"","last_name":"Hwang","name_suffix":"","institution":"Williams College, Williamstown, Massachusetts","department":""},{"first_name":"Shuhan","middle_name":"","last_name":"He","name_suffix":"","institution":"Harvard Medical School, Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""}],"date_submitted":"2025-07-30T00:10:56.377000+09:00","date_accepted":"2025-12-11T05:37:38.279000+09:00","date_published":"2026-02-28T01:31:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/50511/galley/49072/download/"}]},{"pk":48990,"title":"COVID-19 and Emergency Department Visits: An Interrupted Time Series Analysis of Ontario and Alberta, Canada","subtitle":null,"abstract":"Introduction: Emergency department (ED) use declined drastically in the early stages of the COVID-19 pandemic. While the immediate effects of the pandemic are well-characterized, the longer term recovery patterns in ED use and regional differences in these patterns remain poorly understood. In Canada, provincial differences in public health policy responses may have influenced ED utilization during the pandemic, where Ontario implemented more restrictive and prolonged public health measures compared to Alberta, making Canada an ideal place to examine how regional variation in policy impacted ED use. Our objective in this study was to evaluate the impact of the pandemic on patterns of ED use in Ontario and Alberta and explore the potential differences in these patterns.
\nMethods: Our primary outcome measure was the monthly count of all-cause ED visits in Ontario and Alberta. We obtained 146 entries of monthly counts of all-cause ED visits from April 2011–May 2023 (73,690,650 ED visits in Ontario and 27,132,554 in Alberta) from 206 EDs in Ontario and 113 EDs in Alberta and conducted a retrospective, interrupted time series analysis. Negative binomial regression models were used to estimate trends before and after the pandemic onset in March 2020 in each province and to test cross-provincial differences.
\nResults: Ontario and Alberta experienced immediate and statistically significant reductions in monthly ED visits following the pandemic onset by 26.9% and 27.7%, respectively. Pandemic trend showed gradual recovery in both provinces. However, by May 2023 ED volumes in Ontario remained 5.5% below the expected volume, while Alberta’s exceeded it by 2.5%. Relative risk (RR) estimates confirmed significant declines in ED volumes during the pandemic in Ontario (RR = 0.64) and in Alberta (0.72). No statistically significant cross-provincial differences were observed in the immediate reduction and the speed of recovery of the ED utilization during the pandemic.
\nConclusion: Ontario experienced a decline in ED visits followed by a steady recovery that did not reach pre-pandemic projections, raising concern for missed care. Alberta also experienced an immediate decline but demonstrated a slightly faster recovery, eventually surpassing pre-pandemic projections. Model parameters characterizing the ED use patterns in each province were not significantly different, despite differences in provincial public health policies introduced in the pandemic’s early phases. Thus, broader national or individual level factors may have contributed more substantially to healthcare utilization than provincial policies during the COVID-19 pandemic.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Interrupted Time Series"},{"word":"COVID-19"},{"word":"emergency department visits"},{"word":"healthcare utilization"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6wr3q9bh","frozenauthors":[{"first_name":"Chutong","middle_name":"","last_name":"Liu","name_suffix":"","institution":"Western University, Schulich School of Medicine and Dentistry, Department of Epidemiology and Biostatistics, London, Ontario, Canada","department":""},{"first_name":"Eric","middle_name":"","last_name":"Lavigne","name_suffix":"","institution":"Health Canada, Environmental Health Science and Research Bureau, Ottawa, Ontario, Canada; University of Ottawa, School of Epidemiology and Public Health, Ottawa, Ontario, Canada","department":""},{"first_name":"Anne","middle_name":"","last_name":"Hicks","name_suffix":"","institution":"University of Alberta, Faculty of Medicine and Dentistry, Department of Pediatrics, Edmonton, Alberta, Canada","department":""},{"first_name":"Rodrick","middle_name":"","last_name":"Lim","name_suffix":"","institution":"Western University, Schulich School of Medicine and Dentistry, Department of Paediatrics, London, Ontario, Canada","department":""},{"first_name":"Anna","middle_name":"","last_name":"Gunz","name_suffix":"","institution":"Western University, Schulich School of Medicine and Dentistry, Department of Paediatrics, London, Ontario, Canada","department":""},{"first_name":"Piotr","middle_name":"","last_name":"Wilk","name_suffix":"","institution":"Western University, Schulich School of Medicine and Dentistry, Department of Epidemiology and Biostatistics, London, Ontario, Canada; Western University, Schulich School of Medicine and Dentistry, Department of Paediatrics, London, Ontario, Canada; Jagiellonian University, Institute of Public Health, Department of Epidemiology and Population Studies, Kraków, Poland","department":""}],"date_submitted":"2025-07-14T06:44:57.750000+09:00","date_accepted":"2025-11-27T05:56:12.263000+09:00","date_published":"2026-02-28T01:18:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/48990/galley/49062/download/"}]},{"pk":48989,"title":"Impact of Artificial Intelligence-supported Triage Systems on Emergency Department Management: A Comparison of Infermedica, Emergency Severity Index, and Manchester Triage System","subtitle":null,"abstract":"Objective: The surge in the number of emergency department (ED) visits due to a growing population, aging society, and easier access to healthcare highlights the need for an effective triage process. Our goal in this study was to compare the clinical and operational performance of a triage system supported by artificial intelligence (AI) with two traditional methods—the Emergency Severity Index and the Manchester Triage System—in a high-volume ED.
\nMethods: In this prospective study, 18,000 adult patients were randomized equally to one of the three triage systems. Primary and secondary outcomes included patient wait time, complication and mortality rates, resource utilization, medical errors, legal issues, and patient satisfaction.
\nResults: Compared with the Manchester Triage System, the AI-supported system was associated with significantly lower in-ED mortality (OR 0.39, 95% CI, 0.32–0.47; P < .001) and lower complication rates (4.42% vs 10.25%), as well as higher patient satisfaction scores (9.0 vs 7.0; P < .001). Resource utilization was also more balanced in the AI-supported triage cohort.
\nConclusion: The AI-assisted triage system showed favorable clinical and operational patterns relative to traditional methods. However, the single-center design and short observation period limit generalizability, and causal inferences could not be firmly established.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Infermedica"},{"word":"Emergency Severity Index"},{"word":"Manchester Triage System"},{"word":"Clinical Outcomes"},{"word":"Patient Satisfaction"},{"word":"Risk Management"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1246980t","frozenauthors":[{"first_name":"Erkan","middle_name":"","last_name":"Boğa","name_suffix":"","institution":"Esenyurt Necmi Kadıoğlu State Hospital, Emergency Medicine Service, Istanbul, Türkiye","department":""}],"date_submitted":"2025-07-14T03:20:20.085000+09:00","date_accepted":"2025-11-22T08:37:21.933000+09:00","date_published":"2026-02-28T01:15:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/48989/galley/49046/download/"}]},{"pk":53126,"title":"Environmental Advocacy by the American College of Emergency Physicians: A Brief History of Climate and Sustainability Resolutions","subtitle":null,"abstract":"Emergency physicians are on the front lines of climate-driven illness and disaster. Reducing healthcare’s carbon footprint and increasing sustainability can improve planetary and patient health, lower healthcare costs, and boost healthcare job satisfaction. Over the last decade, the American College of Emergency Physicians (ACEP) progressed from early recognition of climate impacts on health to actionable sustainability advocacy. Council resolutions—ACEP’s formal mechanism for policy development—reflects this trajectory, beginning with requests to study climate effects, advancing to coalition engagement, and culminating in operational guidance for reducing emergency department waste and carbon emissions. This paper summarizes the climate and sustainability resolutions presented to the ACEP Council, including brief descriptions and their outcomes. It provides emergency physicians and health system leaders a framework to track and implement ACEP’s sustainability advocacy, with the goal of reducing healthcare’s carbon footprint and improving both planetary and patient health.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Climate Change","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9tf465w0","frozenauthors":[{"first_name":"Gayle","middle_name":"","last_name":"Galletta","name_suffix":"","institution":"University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts","department":""},{"first_name":"Hillary","middle_name":"","last_name":"Irons","name_suffix":"","institution":"University of Massachusetts, Department of Emergency Medicine, Worcester, Massachusetts","department":""},{"first_name":"Dana","middle_name":"","last_name":"Matthew","name_suffix":"","institution":"Burrell College of Osteopathic Medicine, Melbourne, Florida","department":""},{"first_name":"Marc","middle_name":"","last_name":"Futernick","name_suffix":"","institution":"US Acute Care Solutions LLC, Canton, Ohio","department":""},{"first_name":"Juliana","middle_name":"","last_name":"Chang","name_suffix":"","institution":"Northwell Health, Department of Emergency Medicine, Summit, New Jersey","department":""},{"first_name":"Emily","middle_name":"","last_name":"Sbiroli","name_suffix":"","institution":"University of Colorado, Department of Emergency Medicine, Boulder, Colorado","department":""},{"first_name":"Tushara","middle_name":"","last_name":"Surapaneni","name_suffix":"","institution":"Yale College of Medicine, Department of Emergency Medicine, New Haven, Connecticut","department":""},{"first_name":"David","middle_name":"","last_name":"Terca","name_suffix":"","institution":"Royal Hobart Hospital, Department of Emergency Medicine, Tasmania, Australia","department":""},{"first_name":"Niki","middle_name":"","last_name":"Thran","name_suffix":"","institution":"Gifford Hospital, Department of Emergency Medicine, Randolph, Vermont","department":""}],"date_submitted":"2025-10-12T07:12:38.981000+09:00","date_accepted":"2025-11-04T01:59:03.768000+09:00","date_published":"2026-02-28T01:10:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/53126/galley/49048/download/"}]},{"pk":63646,"title":"Pacific Arts N.S. Vol. 26, No. 1 (2026)","subtitle":null,"abstract":"Pacific Arts N.S. Vol. 26, No. 1 (2026) Full Issue
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Full Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0b00t1gg","frozenauthors":[{"first_name":"Editors,","middle_name":"","last_name":"Pacific Arts","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2026-02-27T15:00:00+09:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/pacificarts/article/63646/galley/48945/download/"}]},{"pk":61749,"title":"The Use of Stickers to Generate Interest in Comparative Psychology: An Extension of Abramson and Long (2012)","subtitle":null,"abstract":"This article describes the use of stickers to generate interest in comparative psychology. It is based on an earlier publication in which users can design their own official United States postage stamps (Abramson & Long, 2012). The company that developed the product no longer manufactures it, so we created a substitute using stickers that can be placed, for instance, on the bottom flap of an envelope. In addition to highlighting aspects of comparative psychology, such as individuals, apparatus, and movements, the stickers can also be used to feature other aspects of psychology. They can also be used as a fundraiser and recruitment tool. Developing the stickers is an excellent student-based project suitable for all courses, including the history of psychology. QR and/or bar codes can be added to link to student-developed resources.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Comparative Psychology"},{"word":"education"},{"word":"comparative psychologyhistory"},{"word":"QR codes"},{"word":"stickers"},{"word":"History"},{"word":"QR Codes"}],"section":"Teaching articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6zc8h1nz","frozenauthors":[{"first_name":"Adyson","middle_name":"C","last_name":"Sandusky","name_suffix":"","institution":"Oklahoma State University","department":"Psychology"},{"first_name":"Charles","middle_name":"I","last_name":"Abramson","name_suffix":"","institution":"Oklahoma State University","department":""}],"date_submitted":"2025-12-20T23:12:38.330000+09:00","date_accepted":"2026-01-06T04:13:00.263000+09:00","date_published":"2026-02-27T02:44:00+09:00","render_galley":{"label":"Abramson_To publish","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/61749/galley/48919/download/"},"galleys":[{"label":"Abramson_To publish","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/61749/galley/48919/download/"}]},{"pk":63605,"title":"Stereotypes and Negative Indexes of the Nubians in Egypt","subtitle":null,"abstract":"\nThis paper examines the stigmatized portrayal of Nubians, particularly Fadija and Kunuz speakers, in Egyptian media, focusing on negative stereotypes that continue to permeate these representations. Nubian speakers of Fadija and Mattoki are frequently depicted as unintelligible in Arabic, blackfaced, and confined to lower-class roles. Terms such as 'barbari' (barbarian), and 'bijtkalem ʕarabi mekasar' (speaking broken Arabic) reinforce social and racial biases, fostering prejudice and discrimination. As a result, some Nubians feel compelled to adopt Arabic to avoid mockery and marginalization. Nonetheless, many Nubians remain resolute in preserving their mother tongues to maintain cultural identity, linguistic heritage, and ideological values. Applying the theory of indexicality, this study explores how both linguistic and non-linguistic elements—including language, dress, occupation, skin color, and character traits—are utilized in media to perpetuate negative stereotypes. It underscores the importance of learning Nubian languages at home to sustain linguistic diversity and preserve cultural values deeply rooted in Nubian homescapes. The study reveals how media producers deliberately create and reinforce negative racial and social indexes, shaping public perceptions of Nubians. It also investigates how Nubian speakers perceive and resist these stereotypes by preserving their language and culture within their households. Nubian homes are presented not merely as physical dwellings but as vibrant embodiments of history, identity, and social structure. While Arabic proficiency is associated with prestige and social status in domains such as education, religion, and media, the paper emphasizes the need for public awareness and counter-narratives to foster positive representations of Nubian language and culture. It concludes that language preservation within the home is crucial for cultural continuity and combating negative portrayals of Nubians in Egyptian media.\n","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Egypt"},{"word":"Nubians"},{"word":"linguistics"},{"word":"stigmatized"},{"word":"indexicality"},{"word":"identity"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3vs516p8","frozenauthors":[{"first_name":"Asmaa","middle_name":"","last_name":"Taha","name_suffix":"","institution":"","department":""}],"date_submitted":"2026-02-27T02:52:29.890323+09:00","date_accepted":"2026-02-27T02:52:58.519007+09:00","date_published":"2026-02-27T01:53:00+09:00","render_galley":{"label":"Stereotypes and Negative Indexes of the Nubians in Egypt","type":"pdf","path":"https://journalpub.escholarship.org/dotawo/article/63605/galley/48911/download/"},"galleys":[{"label":"Stereotypes and Negative Indexes of the Nubians in Egypt","type":"pdf","path":"https://journalpub.escholarship.org/dotawo/article/63605/galley/48911/download/"}]}]}