Language processing relies on memory. There exists a considerable body of literature on retrieval in sentence processing and, in particular, on cases involving recall of syntax-relevant information. There is no reason to doubt, however, that memory is involved in semantic aspects of language processing as well. In this work, we look at the case of additive presuppositions, such as those involved in interpreting the additive particle too. When one hears Mary went to the party, too, one should recall that someone other than Mary went to the party. We make the case that, as a starting hypothesis, it would be expected that the retrieval of this kind of information should share basic features of memory processes in language with the better-known cases of recall involved in syntactic parsing. In particular, we argue that, given certain assumptions and linking hypotheses, all prominent retrieval theories predict the existence of distance effects for the recall of previous information, independent of whether the recall is driven by syntactic or semantic, sentential or inter-sentential, considerations. As the distance increases, so does the difficulty of processing. We test this prediction in four experiments that investigate the role of retrieval in interpreting too. Using the Bayesian hierarchical modelling paradigm, we find evidence in two self-paced reading experiments that it takes more time to read sentences with too when the distance between the trigger and its antecedent is greater, compared to a baseline that lacks the presupposition trigger. This result shows that theories of the role of memory in language are just as relevant to the domain of discourse interpretation as they are to syntactic parsing. The fact that our evidence was relatively hard to find, however, suggests additionally that there are interesting differences to explore in the future.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4128807s","frozenauthors":[{"first_name":"Jan","middle_name":"","last_name":"Winkowski","name_suffix":"","institution":"Utrecht University","department":""},{"first_name":"Jakub","middle_name":"","last_name":"Dotlačil","name_suffix":"","institution":"Utrecht University","department":""},{"first_name":"Rick","middle_name":"","last_name":"Nouwen","name_suffix":"","institution":"Utrecht University","department":""}],"date_submitted":"2023-09-22T16:05:53.769000+01:00","date_accepted":"2024-06-09T20:50:05.059000+01:00","date_published":"2024-08-05T15:36:00+01:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1681/galley/24580/download/"},"galleys":[{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1681/galley/24580/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1681/galley/24581/download/"}]},{"pk":33575,"title":"Volume 2","subtitle":null,"abstract":"URJP Publication: Volume 2
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/89g565wc","frozenauthors":[{"first_name":"The Undergraduate Research Journal of Psychology","middle_name":"","last_name":"of UCLA","name_suffix":"","institution":"UCLA","department":"Psychology"}],"date_submitted":"2024-08-05T01:16:02.663000+01:00","date_accepted":"2024-08-05T01:52:33.977000+01:00","date_published":"2024-08-05T01:53:26.739000+01:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/urjpucla/article/33575/galley/30073/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/urjpucla/article/33575/galley/30073/download/"}]},{"pk":19477,"title":"Brugada Syndrome and Sudden Cardiac Death: An Electrocardiographic History","subtitle":null,"abstract":"Case Presentation: A 22-year-old male with a history of anti-neutrophil cytoplasmic antibody vasculitis, renal transplant, hypertension, and no known family history of sudden cardiac death suffered a witnessed cardiac arrest. An initial rhythm strip recorded by emergency medical services revealed ventricular fibrillation. Return of spontaneous circulation was achieved after three rounds of cardiopulmonary resuscitation, defibrillation, and intravenous epinephrine. The patient was brought to the emergency department and admitted to the intensive care unit. He was diagnosed with Brugada syndrome, and an automatic implantable cardioverter-defibrillator (AICD) was placed after discharge.
\nDiscussion: Brugada syndrome is characterized electrocardiographically by ≥2 millimeters (mm) ST-segment elevation in leads V1–V2 with either “coved type” (type 1) or “saddleback” (type 2) ST-segment morphology, or ≤2 mm ST-segment elevation in V1–V2 with either “coved” or “saddleback” morphology (type 3). The absence of these patterns on isolated electrocardiograms (ECG) does not exclude the diagnosis, as dynamic fluctuations in ECG patterns are well-documented and can be induced by various physiologic stressors. This case provides an uncommon, complete electrocardiographic history of Brugada syndrome, from out-of-hospital cardiac arrest to AICD placement and depicts dynamic fluctuations between Brugada patterns and normal ECGs. This highlights the importance of serial ECGs in diagnosis, as sudden cardiac death is often the first or only presentation of Brugada syndrome.
","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":"Brugada syndrome"},{"word":"sudden cardiac death"},{"word":"cardiac arrest"},{"word":"coved ST-segment elevation"},{"word":"saddle-back ST-segment elevation"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5cj6g122","frozenauthors":[{"first_name":"Mark","middle_name":"L.","last_name":"Moubarek","name_suffix":"","institution":"University of California, Davis Health, Department of Emergency Medicine, Sacramento, California","department":""},{"first_name":"Gordon","middle_name":"X.","last_name":"Wong","name_suffix":"","institution":"University of California, Davis Health, Department of Internal Medicine, Division of Cardiovascular Medicine, Sacramento, California","department":""},{"first_name":"James","middle_name":"S.","last_name":"Ford","name_suffix":"","institution":"University of California, San Francisco, Department of Emergency Medicine, San Francisco, California","department":""}],"date_submitted":"2024-02-22T02:03:52.696000Z","date_accepted":"2024-05-03T15:55:28.734000+01:00","date_published":"2024-08-02T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19477/galley/24597/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19477/galley/10854/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19477/galley/24597/download/"}]},{"pk":35679,"title":"REPLY TO VARISCO’S REVIEW 24 JULY 2024 OF BOOK BY WILLIAM C. YOUNG","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Kinship, Compazdrago, fictive kinship"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7w45k1nb","frozenauthors":[{"first_name":"William","middle_name":"C","last_name":"Young","name_suffix":"","institution":"Independent Scholar","department":"None"}],"date_submitted":"2024-08-02T03:06:18+01:00","date_accepted":"2024-08-02T03:06:18+01:00","date_published":"2024-08-02T03:09:55+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/kinship/article/35679/galley/26545/download/"}]},{"pk":35678,"title":"REVIEW OF: “THE ANIMAL NAMES OF THE ARAB ANCESTORS,” AUTHORED BY WILLIAM C. YOUNG","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"kinship, marriage rules, cross-cousin marriage"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8ww4p23h","frozenauthors":[{"first_name":"Daniel","middle_name":"","last_name":"Variscos","name_suffix":"","institution":"Institute for Social Anthropology","department":"None"}],"date_submitted":"2024-08-02T02:55:51+01:00","date_accepted":"2024-08-02T02:55:51+01:00","date_published":"2024-08-02T03:02:21+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/kinship/article/35678/galley/26544/download/"}]},{"pk":35677,"title":"A FURTHER NOTE ON GEG MARRIAGES","subtitle":null,"abstract":"Marriages between groups of siblings-in-law, which, using kinship conventions, I call ‘GEG marriages’, resemble cross-cousin marriage or prescriptive alliance but lack the repeatability of such alliances in the immediately following generation(s). Although mentioned in passing quite frequently in ethnographic accounts, theory explaining them is largely lacking. Building on previous work, in this note I address the possible reasons for such marriages, both indigenously (and therefore locally) and as a possible waystation on the path to a society abandoning cross-cousin marriage.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Kinship, Terminology, Incest"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9zd7r1jd","frozenauthors":[{"first_name":"Parkin","middle_name":"","last_name":"Robert","name_suffix":"","institution":"University of Oxford","department":"None"}],"date_submitted":"2024-08-02T02:45:32+01:00","date_accepted":"2024-08-02T02:45:32+01:00","date_published":"2024-08-02T02:46:34+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/kinship/article/35677/galley/26543/download/"}]},{"pk":35674,"title":"COMPADRAZGO IN PITUMARCA, PERÚ: THE CURIOUS CASE OF THE TINKERBELL WATCH","subtitle":null,"abstract":"Godparenthood, an institution where a family seeks sponsorship for their child established through a religious ritual, can be analyzed on several levels. On one level, it is a form of allo-parenting, an adaptive strategy that ensures better survival of one’s child by creating an alliance with a biologically non-related person. On the sociological level, it is a strategy for forging in-terfamily alliances. Godparenthood can be instrumentalized to promote political goals through reciprocal exchanges. In this paper I argue that this is achieved on the cognitive level by metaphorical extensions of kinship terminology to unrelated individuals through the use of the universal linguistic feature of markedness. I analyze compadrazgo in the town of Pitumarca, Perú, as a test case of all three aspects of godparenthood.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Kinship, Compazdrago, fictive kinship"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/19p318p7","frozenauthors":[{"first_name":"Bojka","middle_name":"","last_name":"Milicic","name_suffix":"","institution":"University of Utah","department":"None"}],"date_submitted":"2024-08-02T01:16:31+01:00","date_accepted":"2024-08-02T01:16:31+01:00","date_published":"2024-08-02T01:17:19+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/kinship/article/35674/galley/26540/download/"}]},{"pk":35669,"title":"COMPADRAZGO IN PITUMARCA, PERÚ: THE CURIOUS CASE OF THE TINKERBELL WATCH","subtitle":null,"abstract":"Godparenthood, an institution where a family seeks sponsorship for their child established through a religious ritual, can be analyzed on several levels. On one level, it is a form of alloparenting, an adaptive strategy that ensures better survival of one’s child by creating an alliance with a biologically non-related person. On the sociological level, it is a strategy for forging inter-family alliances. Godparenthood can be instrumentalized to promote political goals through reciprocal exchanges. In this paper I argue that this is achieved on the cognitive level by metaphorical extensions of kinship terminology to unrelated individuals through the use of the universal linguistic feature of markedness. I analyze compadrazgo in the town of Pitumarca, Perú, as a test case of all three aspects of godparenthood.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Kinship, Compazdrago, fictive kinship"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/34j471d4","frozenauthors":[{"first_name":"Bojka","middle_name":"","last_name":"Milicic","name_suffix":"","institution":"University of Utah","department":"None"}],"date_submitted":"2024-07-31T22:10:04+01:00","date_accepted":"2024-07-31T22:10:04+01:00","date_published":"2024-08-01T20:52:35+01:00","render_galley":null,"galleys":[{"label":"","type":"other","path":"https://journalpub.escholarship.org/kinship/article/35669/galley/26536/download/"}]},{"pk":35672,"title":"REVIEW OF: “THE ANIMAL NAMES OF THE ARAB ANCESTORS,” AUTHORED BY WILLIAM C. YOUNG","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"kinship, compazadrago, fictive kinship"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5pc6m4hj","frozenauthors":[{"first_name":"Daniel","middle_name":"","last_name":"Varisco","name_suffix":"","institution":"Österreichische Akademie der Wissenschaften","department":"None"}],"date_submitted":"2024-08-01T20:17:19+01:00","date_accepted":"2024-08-01T20:17:19+01:00","date_published":"2024-08-01T20:17:51+01:00","render_galley":null,"galleys":[{"label":"","type":"other","path":"https://journalpub.escholarship.org/kinship/article/35672/galley/26539/download/"}]},{"pk":35670,"title":"A FURTHER NOTE ON GEG MARRIAGES","subtitle":null,"abstract":"Marriages between groups of siblings-in-law, which, using kinship conventions, I call ‘GEG marriages’, resemble cross-cousin marriage or prescriptive alliance but lack the repeatability of such alliances in the immediately following generation(s). Although mentioned in passing quite frequently in ethnographic accounts, theory explaining them is largely lacking. Building on previous work, in this note I address the possible reasons for such marriages, both indigenously (and therefore locally) and as a possible waystation on the path to a society abandoning cross-cousin marriage.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"kinship, marriage rules, cross-cousin marriage"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0vs7p068","frozenauthors":[{"first_name":"Robert","middle_name":"","last_name":"Parkin","name_suffix":"","institution":"University of Oxford","department":"None"}],"date_submitted":"2024-07-31T22:19:03+01:00","date_accepted":"2024-07-31T22:19:03+01:00","date_published":"2024-08-01T19:56:14+01:00","render_galley":null,"galleys":[{"label":"","type":"other","path":"https://journalpub.escholarship.org/kinship/article/35670/galley/26537/download/"}]},{"pk":35671,"title":"REPLY TO VARISCO’S REVIEW 24 JULY 2024 OF BOOK BY WILLIAM C. YOUNG","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Kinship, book review, comment"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3wh446wr","frozenauthors":[{"first_name":"William","middle_name":"C","last_name":"Young","name_suffix":"","institution":"Independent Scholar","department":"None"}],"date_submitted":"2024-07-31T22:46:04+01:00","date_accepted":"2024-07-31T22:46:04+01:00","date_published":"2024-08-01T19:54:20+01:00","render_galley":null,"galleys":[{"label":"","type":"other","path":"https://journalpub.escholarship.org/kinship/article/35671/galley/26538/download/"}]},{"pk":35662,"title":"COMPADRAZGO IN PITUMARCA, PERÚ: THE CURIOUS CASE OF THE TINKERBELL WATCH","subtitle":null,"abstract":"Godparenthood, an institution where a family seeks sponsorship for their child established through a religious ritual, can be analyzed on several levels. On one level, it is a form of alloparenting, an adaptive strategy that ensures better survival of one’s child by creating an alliance with a biologically non-related person. On the sociological level, it is a strategy for forging inter-family alliances. Godparenthood can be instrumentalized to promote political goals through reciprocal exchanges. In this paper I argue that this is achieved by metaphorical extensions of kinship terminology to unrelated individuals through the use of the universal linguistic feature of markedness. I analyze compadrazgo in the town of Pitumarca, Perú, as a test case of both aspects of godparenthood.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"kinship, compadrazgo, fictive kinship"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/67x878ft","frozenauthors":[{"first_name":"Bojka","middle_name":"","last_name":"Milicic","name_suffix":"","institution":"University of Utah","department":"None"}],"date_submitted":"2024-08-01T18:19:51+01:00","date_accepted":"2024-08-01T18:19:51+01:00","date_published":"2024-08-01T19:46:43+01:00","render_galley":null,"galleys":[{"label":"","type":"other","path":"https://journalpub.escholarship.org/kinship/article/35662/galley/26531/download/"}]},{"pk":33522,"title":"Table of Contents 47.1","subtitle":null,"abstract":"","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.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2vz3413t","frozenauthors":[],"date_submitted":"2024-08-01T17:14:39.108000+01:00","date_accepted":"2024-08-01T17:17:34.832000+01:00","date_published":"2024-08-01T17:20:00+01:00","render_galley":null,"galleys":[{"label":"47.1 TOC","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/33522/galley/24600/download/"}]},{"pk":18067,"title":"A Cross-Sectional Review of HIV Screening in High-Acuity Emergency Department Patients: A Missed Opportunity","subtitle":null,"abstract":"Introduction: Emergency department (ED) patients requiring immediate treatment often bypass a triage process that includes HIV screening. In this study we aimed to investigate the potential missed opportunity to screen these patients for HIV.
\nMethods: We conducted this cross-sectional study in a municipal ED over a six-week period between June–August 2019. The patient population in this study arrived in the ED as a pre-notification from prehospital services or designated by the ambulance or walk-in triage nurse as requiring immediate medical attention. Medical student researchers collected demographic data and categorized patients into three clinical groups (trauma, medical, psychiatric). They documented the patient’s eligibility for HIV screening as determined by a physician and confirmed that the patient met criteria of clear mental status, controlled pain, stable vital signs, and ability to contribute to a medical history and physical examination. The student researchers did this at initial presentation and then again during the patient’s ED stay of up to eight hours. The study outcomes measured the percentage of total patients within each clinical group (trauma, medical, psychiatric) able to engage in the HIV screening process upon arrival and during an eight-hour ED stay.
\nResults: On average, 700 patients per month are announced on arrival via overhead page, indicating that they require immediate medical attention. During the six-week study, 205 patients (approximately 20% of total) were enrolled: 114 trauma; 56 medical; and 35 psychiatric presentations. The average patient age was 53; 60% of patients were male. Niney-eight (48%) patients were eligible for HIV screening within an eight-hour ED stay; 63 (31%) were able to be screened upon initial presentation and 35 (17%) in the first eight hours of their ED visit. Within medical and trauma subgroups, there was no significant difference in the proportion (36%) of patients that could be screened upon presentation. Among the psychiatric presentations, only five (14%) were able to be screened during their hospital stay.
\nConclusion: Triage protocols for high-acuity medico-surgical patients resulted in a missed opportunity to screen 48% of patients for HIV. Acute psychiatric patients represented a particular missed opportunity. We advocate for universal HIV screening, facilitated through electronic best practice advisories and a modified triage tailored to higher acuity patients. Implementing these changes would ensure that HIV screening is not overlooked in high-acuity ED patients, leading to early detection and timely interventions.
","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":"Emergency Medicine"},{"word":"HIV screening"},{"word":"HIV"},{"word":"Universal Screening"},{"word":"high acuity"}],"section":"Health Equity","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7mh6r8n0","frozenauthors":[{"first_name":"Jacqueline","middle_name":"J.","last_name":"Mahal","name_suffix":"","institution":"Jacobi Medical Center, Department of Emergency Medicine, Bronx, New York; Albert Einstein College of Medicine, Bronx, New York","department":""},{"first_name":"Fernando","middle_name":"","last_name":"Gonzalez","name_suffix":"","institution":"Albert Einstein College of Medicine, Bronx, New York","department":"None"},{"first_name":"Deirdre","middle_name":"","last_name":"Kokasko","name_suffix":"","institution":"Jacobi Medical Center, Department of Emergency Medicine, Bronx, New York","department":"None"},{"first_name":"Ahava","middle_name":"","last_name":"Muscat","name_suffix":"","institution":"Albert Einstein College of Medicine, Bronx, New York","department":"None"}],"date_submitted":"2023-04-17T17:59:23+01:00","date_accepted":"2024-03-06T15:09:21Z","date_published":"2024-08-01T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18067/galley/24592/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18067/galley/14652/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18067/galley/24592/download/"}]},{"pk":19426,"title":"Community-Acquired Candida albicans Empyema Leading to Tension Physiology: A Case Report","subtitle":null,"abstract":"Introduction: A tension empyema, in which purulent material accumulates in the chest cavity and leads to cardiopulmonary dysfunction, is a rare complication of empyemas. Moreover, fungal empyemas that grow Candida albicans and cause tension physiology have not yet been previously described.
\nCase Report: In this report, we present an immunocompetent 30-year-old male who presented to the emergency department with worsening shortness of breath and was found to have a left-sided fungal empyema causing tension physiology. Left chest thoracostomy yielded approximately 4 liters of purulent fluid. Pleural cultures eventually grew C albicans, and after antifungal therapy, surgical decortication of the lung, and a prolonged intensive care unit stay, the patient was discharged home in stable condition.
\nConclusion: While mortality from C albicans empyemas that cause respiratory compromise is exceedingly high, our case highlights that aggressive management with rapid chest thoracostomy and antifungal therapy can lead to a favorable outcome.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"empyema thoracis"},{"word":"tension empyema"},{"word":"candida albicans"},{"word":"severe hyponatremia"},{"word":"thoracic empyema"},{"word":"tension pyothorax"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2s56n2c8","frozenauthors":[{"first_name":"Jason","middle_name":"","last_name":"Cinti","name_suffix":"","institution":"Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California","department":""},{"first_name":"Paula","middle_name":"","last_name":"Gomez","name_suffix":"","institution":"Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California","department":"Emergency Medicine"},{"first_name":"Suneil","middle_name":"","last_name":"Agrawal","name_suffix":"","institution":"Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California","department":"Emergency Medicine"}],"date_submitted":"2024-02-11T03:56:21.882000Z","date_accepted":"2024-04-15T21:30:34.582000+01:00","date_published":"2024-08-01T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19426/galley/24594/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19426/galley/10909/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19426/galley/24594/download/"}]},{"pk":18472,"title":"Cross-Sectional Study of Thiamine Deficiency and Its Associated Risks in Emergency Care","subtitle":null,"abstract":"Background: Growing data indicates that thiamine deficiency occurs during acute illness in the absence of alcohol use disorder. Our primary objective was to measure clinical factors associated with thiamine deficiency in patients with sepsis, diabetic ketoacidosis, and oncologic emergencies.
\nMethods: This was an analysis of pooled data from cross-sectional studies that enrolled adult emergency department (ED) patients at a single academic center with suspected sepsis, diabetic ketoacidosis, and oncologic emergencies. We excluded patients who had known alcohol use disorder or who had received ED thiamine treatment prior to enrollment. Investigators collected whole blood thiamine levels in addition to demographics, clinical characteristics, and available biomarkers. We defined thiamine deficiency as a whole blood thiamine level below the normal reference range and modeled the adjusted association between this outcome and age.
\nResults: There were 269 patients, of whom the average age was 57 years; 46% were female, and 80% were Black. Fifty-five (20.5%) patients had thiamine deficiency. In univariate analysis, age >60 years (odds ratio [OR] 2.5, 95% confidence interval [CI], 1.3–4.5), female gender (OR 1.9, 95% CI 1.0–3.4), leukopenia (OR 4.9, 95% CI 2.3–10.3), moderate anemia (OR 2.8, 95% CI 1.5–5.3), and hypoalbuminemia (OR 2.2, 95% CI 1.2–4.1) were associated with thiamine deficiency. In adjusted analysis, thiamine deficiency was significantly higher in females (OR 2.1, 95% CI 1.1–4.1), patients >60 years (OR 2.0, 95% CI 1.0–3.8), and patients with leukopenia (OR 5.1, 95% CI 2.3–11.3).
\nConclusion: In this analysis, thiamine deficiency was common and was associated with advanced age, female gender, and leukopenia.
","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":"thiamine deficiency"},{"word":"nutritional deficiency"}],"section":"Clinical Practice","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4sq525df","frozenauthors":[{"first_name":"Joseph","middle_name":"","last_name":"Miller","name_suffix":"","institution":"Henry Ford Health and Michigan State Health Services, Department of Emergency Medicine, Detroit, Michigan","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Grahf","name_suffix":"","institution":"Advocate Health, Division of Critical Care Medicine, Chicago, Illinois","department":""},{"first_name":"Hashem","middle_name":"","last_name":"Nassereddine","name_suffix":"","institution":"Corewell Health University Hospital, Department of Emergency Medicine, Royal Oak, Michigan","department":""},{"first_name":"Jimmy","middle_name":"","last_name":"Nehme","name_suffix":"","institution":"Henry Ford Health and Michigan State Health Sciences, Department of Internal Medicine, Detroit, Michigan","department":""},{"first_name":"Jo-Ann","middle_name":"","last_name":"Rammal","name_suffix":"","institution":"Henry Ford Health and Michigan State Health Services, Department of Emergency Medicine, Detroit, Michigan","department":""},{"first_name":"Jacob","middle_name":"","last_name":"Ross","name_suffix":"","institution":"Henry Ford Health and Michigan State Health Sciences, Department of Internal Medicine, Detroit, Michigan","department":""},{"first_name":"Kaitlin","middle_name":"","last_name":"Rose","name_suffix":"","institution":"University of Michigan, Department of Emergency Medicine, Ann Arbor, Michigan","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Hrabec","name_suffix":"","institution":"Henry Ford Health and Michigan State Health Services, Department of Emergency Medicine, Detroit, Michigan","department":""},{"first_name":"Sam","middle_name":"","last_name":"Tirgari","name_suffix":"","institution":"Henry Ford Health and Michigan State Health Services, Department of Emergency Medicine, Detroit, Michigan","department":""},{"first_name":"Christopher","middle_name":"","last_name":"Lewandowski","name_suffix":"","institution":"Henry Ford Health and Michigan State Health Services, Department of Emergency Medicine, Detroit, Michigan","department":""}],"date_submitted":"2023-09-18T16:33:28+01:00","date_accepted":"2024-03-22T18:23:52.954000Z","date_published":"2024-08-01T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18472/galley/24589/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18472/galley/13922/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18472/galley/24589/download/"}]},{"pk":18531,"title":"Equity in the Early Pain Management of Long Bone Fractures in Black vs White Patients: We Have Closed the Gap","subtitle":null,"abstract":"Introduction: Patients with long bone fractures often present to the emergency department (ED) with severe pain and are typically treated with opioid and non-opioid analgesics. Historical data reveals racial disparities in analgesic administration, with White patients more likely to receive analgesics. With the diversifying US population, health equity is increasingly crucial. In this study we aimed to evaluate the early administration of opioid and non-opioid analgesia among Black and White patients with long bone and femur fractures in EDs over different time frames using a substantial database.
\nMethods: We retrospectively extracted Information from 57 US healthcare organizations within the TriNetX database, encompassing 95 million patients. The ED records from 2003–2023 were subjected to propensity score matching for age and gender. We focused on four cohorts: two comprising Black and White patients diagnosed with long bone fractures, and another two with Black and White patients diagnosed solely with femur fractures. We examined analgesic administration rates over 20 years (2003–2023) at five-year intervals (2003–2008; 2008–2013; 2013–2018; 2018–2023), and further analyzed the rates for the most recent two-year period (2021–2023).
\nResults: Disparities in analgesic administration significantly diminished over the study period. For patients with long bone fractures (1,095,052), the opioid administration gap narrowed from 6.3% to 1.1%, while non-opioid administration disparities reduced from 4.4% to 0.3%. Similar trends were noted for femur fractures (265,181). By 2021–2023, no significant differences in analgesic administration were observed between racial groups.
\nConclusion: Over the past 20 years, the gap in early administration of opioid and non-opioid analgesics for Black and White patients presenting with long bone fractures or femur fractures has been disappearing.
","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":"Equity"},{"word":"Opioid analgesia"},{"word":"non-opioid analgesia"},{"word":"Long bone fracture"},{"word":"pain management"}],"section":"Health Equity","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6p69m38v","frozenauthors":[{"first_name":"Dietrich","middle_name":"","last_name":"Jehle","name_suffix":"","institution":"University of Texas Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Krishna","middle_name":"K.","last_name":"Paul","name_suffix":"","institution":"University of Texas Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Stanley","middle_name":"","last_name":"Troung","name_suffix":"","institution":"University of Texas Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Jackson","middle_name":"M.","last_name":"Rogers","name_suffix":"","institution":"University of Texas Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Blake","middle_name":"","last_name":"Mireles","name_suffix":"","institution":"University of Texas Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"John","middle_name":"J.","last_name":"Straub","name_suffix":"","institution":"University of Texas Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Georgiy","middle_name":"","last_name":"Golovko","name_suffix":"","institution":"University of Texas Medical Branch, Department of Pharmacology and Toxicology, Galveston, Texas","department":""},{"first_name":"Matthew","middle_name":"M.","last_name":"Talbott","name_suffix":"","institution":"University of Texas Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Ronald","middle_name":"W.","last_name":"Lindsey","name_suffix":"","institution":"University of Texas Medical Branch, Department of Orthopaedic Surgery and Rehabilitation, Galveston, Texas","department":""},{"first_name":"Charles","middle_name":"P.","last_name":"Mouton","name_suffix":"","institution":"University of Texas Medical Branch, Department of Family Medicine, Galveston, Texas","department":""}],"date_submitted":"2023-10-28T04:22:13+01:00","date_accepted":"2024-04-15T18:05:23.599000+01:00","date_published":"2024-08-01T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18531/galley/24590/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18531/galley/14649/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18531/galley/24590/download/"}]},{"pk":19431,"title":"“K Cramps,” Recurrent Abdominal Pain in a Patient with Chronic Ketamine Use: A Case Report","subtitle":null,"abstract":"Introduction: Medical and nonmedical ketamine use is increasing in the United States. This will likely lead to an increase in emergency department (ED) visits in individuals experiencing associated side effects. Physicians will need to be able to effectively recognize and manage ketamine-related complications.
\nCase Report: A 31-year-old male with a three-year history of inhalational, intramuscular, and intravenous nonmedical ketamine use presented to the ED twice within a week with symptoms of severe atraumatic back pain, abdominal pain, and dyspepsia. A comprehensive workup, including advanced imaging, was unrevealing for identifiable causes, and the patient was discharged with instructions for primary care follow-up for further evaluation. The patient used information shared on Reddit, an online forum and social network, to identify that the cause of his pain was related to chronic ketamine use. Subsequently, upon discontinuation of ketamine, the pain improved in 24 hours. The patient self-navigated to addiction treatment.
\nConclusion: Emergency physicians should consider sequelae of chronic ketamine use as a possible cause for gastrointestinal and urologic symptoms in the ED. In addition to thorough examination and assessment for other acute medical problems, patients should be offered education, symptomatic treatment, and linkage to harm reduction and substance use disorder treatment services.
","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":"ketamine"},{"word":"case report"},{"word":"Harm reduction"},{"word":"Reddit"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0kj4h9z6","frozenauthors":[{"first_name":"Tucker","middle_name":"","last_name":"Avra","name_suffix":"","institution":"UCLA David Geffen School of Medicine, Los Angeles, California","department":""},{"first_name":"Jesus","middle_name":"","last_name":"Torres","name_suffix":"","institution":"UCLA David Geffen School of Medicine, Department of Emergency Medicine, Los Angeles, California","department":""},{"first_name":"Kumar","middle_name":"Felipe","last_name":"Vasudevan","name_suffix":"","institution":"UCLA David Geffen School of Medicine, Department of Internal Medicine, Los Angeles, California","department":""},{"first_name":"Elizabeth","middle_name":"A.","last_name":"Samuels","name_suffix":"","institution":"UCLA David Geffen School of Medicine, Department of Emergency Medicine, Los Angeles, California","department":""}],"date_submitted":"2024-02-16T18:00:44.677000Z","date_accepted":"2024-04-10T23:30:25.444000+01:00","date_published":"2024-08-01T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19431/galley/24595/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19431/galley/14583/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19431/galley/24595/download/"}]},{"pk":18530,"title":"Methadone Initiation in the Emergency Department for Opioid Use Disorder","subtitle":null,"abstract":"Introduction: Overdose deaths from high-potency synthetic opioids, including fentanyl and its analogs, continue to rise along with emergency department (ED) visits for complications of opioid use disorder (OUD). Fentanyl accumulates in adipose tissue; although rare, this increases the risk of precipitated withdrawal in patients upon buprenorphine initiation. Many EDs have implemented medication for opioid use disorder (MOUD) programs using buprenorphine. However, few offer methadone, a proven therapy without the risk of precipitated withdrawal associated with buprenorphine initiation. We describe the addition of an ED-initiated methadone treatment pathway and compared its 72-hour follow-up outpatient treatment engagement rates to our existing ED-initiated buprenorphine MOUD program.
\nMethods: We expanded our ED MOUD program with a methadone treatment pathway. From February 20–September 19, 2023, we screened 20,504 ED arrivals; 5.1% had signs of OUD. We enrolled 61 patients: 28 in the methadone; and 33 in the buprenorphine pathways. For patients who screened positive for opioid use, shared decision-making was employed to determine whether buprenorphine or methadone therapy was more appropriate. Patients in the methadone pathway received their first dose of up to 30 milligrams (mg) of methadone in the ED. Two additional methadone doses of up to 40 mg were dispensed at the time of the ED visit and held in the department, allowing patients to return each day for observed dosing until intake at an opioid treatment program (OTP). We compared 72-hour rates of outpatient follow-up treatment engagement at the OTP (for those on methadone) or at the addiction treatment center (ATC) (for those on buprenorphine) for the two treatment pathways.
\nResults: Of the 28 patients enrolled in the methadone pathway, 12 (43%) successfully engaged in follow-up treatment at the OTP. Of the 33 patients enrolled in the buprenorphine pathway, 15 (45%) successfully engaged in follow-up treatment at the ATC (relative risk 1.06; 95% confidence interval 0.60–1.87).
\nConclusion: Methadone initiation in the ED to treat patients with OUD resulted in similar 72-hour follow-up outpatient treatment engagement rates compared to ED-buprenorphine initiation, providing another viable option for MOUD.
","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":"opioid use disorder"},{"word":"medications for opioid use disorder"},{"word":"Methadone"},{"word":"emergency department"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5x22m436","frozenauthors":[{"first_name":"Daniel","middle_name":"","last_name":"Wolfson","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Roz","middle_name":"","last_name":"King","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":"None"},{"first_name":"Miles","middle_name":"","last_name":"Lamberson","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":"None"},{"first_name":"Jackson","middle_name":"","last_name":"Lyttleton","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":"None"},{"first_name":"Colin","middle_name":"T.","last_name":"Waters","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":"None"},{"first_name":"Samantha","middle_name":"H.","last_name":"Schneider","name_suffix":"","institution":"Rush University Medical Center, College of Medicine, Chicago, Illinois","department":""},{"first_name":"Blake","middle_name":"A.","last_name":"Porter","name_suffix":"","institution":"The University of Vermont Medical Center, Department of Pharmacy, Burlington, Vermont","department":"None"},{"first_name":"Kyle","middle_name":"M.","last_name":"DeWitt","name_suffix":"","institution":"The University of Vermont Medical Center, Department of Pharmacy, Burlington, Vermont","department":"None"},{"first_name":"Peter","middle_name":"","last_name":"Jackson","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Psychiatry, Burlington, Vermont; University of Vermont, Vermont Center for Behavior and Health, Center on Rural Addiction, Burlington, Vermont","department":"None"},{"first_name":"Martha","middle_name":"W.","last_name":"Stevens","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":"None"},{"first_name":"John","middle_name":"","last_name":"Brooklyn","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Psychiatry, Burlington, Vermont; University of Vermont Larner College of Medicine, Department of Family Medicine, Burlington, Vermont","department":"None"},{"first_name":"Richard","middle_name":"","last_name":"Rawson","name_suffix":"","institution":"University of Vermont, Vermont Center for Behavior and Health, Center on Rural Addiction, Burlington, Vermont; University of California Los Angeles School of Medicine, Los Angeles, California","department":"None"},{"first_name":"Elly","middle_name":"","last_name":"Riser","name_suffix":"","institution":"University of Vermont Larner College of Medicine, Department of Medicine, Burlington, Vermont","department":"None"}],"date_submitted":"2023-10-27T03:50:52+01:00","date_accepted":"2024-04-16T02:36:31.623000+01:00","date_published":"2024-08-01T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18530/galley/24591/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18530/galley/14650/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18530/galley/24591/download/"}]},{"pk":20308,"title":"Pupil Unleashed: Unraveling the Enigma of an Unusual Traumatic Head Injury: A Case Report","subtitle":null,"abstract":"Introduction: Isolated oculomotor nerve palsy after mild traumatic brain injury is unusual and prognostically significant due to unclear mechanisms and recovery challenges. We present a case of isolated oculomotor nerve palsy following minor head trauma, shedding light on this unusual occurrence.
\nCase Report: A 24-year-old male experienced severe vision loss and right-sided oculomotor nerve palsy after a motor vehicle collision. Initial imaging showed a hemorrhagic focus in the left posterior fossa and a contusion in the corpus callosum, yet no direct cause for the nerve palsy was found. Partial recovery was observed after 12 months.
\nConclusion: This case underscores the importance of maintaining a heightened suspicion for occult intracranial findings, especially when the initial non-contrast computed tomography was inconclusive. Timely clinical assessment and appropriate radiological investigations by emergency physicians are crucial for improving the prognosis.
","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":"Oculomotor Nerve Palsy; Minor Head Trauma; Emergency Department; Case Report."}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1537d1cx","frozenauthors":[{"first_name":"Akash","middle_name":"","last_name":"Daswaney","name_suffix":"","institution":"Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":"Emergency Medicine"},{"first_name":"Shuchi","middle_name":"","last_name":"Abhishek","name_suffix":"","institution":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":""},{"first_name":"Sanjan","middle_name":"","last_name":"Asanaru kunju","name_suffix":"","institution":"Department of Emergency Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":"Department of Emergency Medicine"},{"first_name":"Priya","middle_name":"","last_name":"Pattath Sankaran","name_suffix":"","institution":"Department of Radiodiagnosis and Imaging, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":"Radiodiagnosis and Imaging"},{"first_name":"Ahlam","middle_name":"","last_name":"Abdul Rahman","name_suffix":"","institution":"Department of Anaesthesiology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":"Anaesthesiology"}],"date_submitted":"2024-03-05T15:10:11.733000Z","date_accepted":"2024-04-15T16:36:51.691000+01:00","date_published":"2024-08-01T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20308/galley/24596/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20308/galley/14582/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20308/galley/24596/download/"}]},{"pk":18626,"title":"Reduced Time to Admit Emergency Department Patients to Inpatient Beds Using Outflow Barrier Analysis and Process Improvement","subtitle":null,"abstract":"Objective: Because admitted emergency department (ED) patients waiting for an inpatient bed contribute to dangerous ED crowding, we conducted a patient flow investigation to discover and solve outflow delays. After solution implementation, we measured whether the time admitted ED patients waited to leave the ED was reduced.
\nMethods: In June 2022, a team using Lean Healthcare methodologies identified flow delays and underlying barriers in a Midwest, mid-sized hospital. We calculated barriers’ magnitudes of burden by the frequency of involvement in delays. During October–December 2022, solutions targeting barriers were implemented. In October 2023, we tested whether waiting time, defined as daily median time in minutes from admission disposition to departure (ADtoD), declined by conducting independent sample, single-tailed t-test comparing pre- to post-intervention time periods, January 1–September 30, 2022 (273 days) to January 1–September 30, 2023 (273 days). Additionally, we regressed ADtoD onto pre-/post period while controlling for ED volume (total daily admissions and ED daily encounters) and hospital occupancy. A run chart analysis of monthly median ADtoD assessed improvement sustainability.
\nResults: Process mapping revealed that three departments (ED, environmental services [EVS], and transport services) co-produced the outflow of admitted ED patients wherein 18 delays were identified. The EVS-clinical care collaboration failures explained 61% (11/18) of delays. Technology contributed to 78% (14/18) of delays primarily because staff’s technology did not display needed information, a condition we coined “digital blindness.” Comparing pre- and post-intervention days (3,144 patients admitted pre-intervention and 3,256 patients post), the median minutes a patient waited (ADtoD) significantly decreased (96.4 to 87.1 minutes, P = 0.04), even while daily ED encounter volume significantly increased (110.7 to 117.3 encounters per day, P < 0.001). After controlling in regression for other factors associated with waiting, the intervention reduced ADtoD by 12.7 minutes per patient (standard error 5.10, P = 0.01; 95% confidence interval −22.7, −2.7). We estimate that the intervention translated to ED staff avoiding 689 hours of admitted patient boarding over nine months (ADtoD coefficient [−12.7 minutes] multiplied by post-intervention ED admissions [3,256] and divided by 60). Run chart analysis substantiated the intervention’s sustainability over nine months.
\nConclusion: After systemwide patient flow investigation, solutions resolving digital blindness and environmental services-clinical care collaboration failures significantly reduced ED admitted patient boarding.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"emergency department outflow"},{"word":"boarding"},{"word":"delays"},{"word":"technology"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3j1829kp","frozenauthors":[{"first_name":"Marjorie","middle_name":"A.","last_name":"Erdmann","name_suffix":"","institution":"Oklahoma State University, Spears School of Business, Center for Health Systems Innovation, Stillwater, Oklahoma","department":""},{"first_name":"Ipe","middle_name":"S.","last_name":"Paramel","name_suffix":"","institution":"Oklahoma State University, Spears School of Business, Center for Health Systems Innovation, Stillwater, Oklahoma","department":"None"},{"first_name":"Cari","middle_name":"","last_name":"Marshall","name_suffix":"","institution":"Oklahoma State University, Spears School of Business, Center for Health Systems Innovation, Stillwater, Oklahoma","department":"None"},{"first_name":"Karissa","middle_name":"","last_name":"LeHew","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":""},{"first_name":"Abigail","middle_name":"","last_name":"Kee","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":"None"},{"first_name":"Sarah","middle_name":"","last_name":"Soliman","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":"None"},{"first_name":"Monica","middle_name":"","last_name":"Vuong","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":"None"},{"first_name":"Sydney","middle_name":"","last_name":"Spillane","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":"None"},{"first_name":"Joshua","middle_name":"","last_name":"Baer","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":"None"},{"first_name":"Shania","middle_name":"","last_name":"Do","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":"None"},{"first_name":"Tiffany","middle_name":"","last_name":"Jones","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":"None"},{"first_name":"Derek","middle_name":"","last_name":"McGuire","name_suffix":"","institution":"Oklahoma State University Center for Health Sciences, College of Osteopathic Medicine, Tulsa, Oklahoma","department":"None"}],"date_submitted":"2023-12-12T23:27:52Z","date_accepted":"2024-05-16T23:49:49.126000+01:00","date_published":"2024-08-01T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18626/galley/24593/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18626/galley/14991/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18626/galley/24593/download/"}]},{"pk":52184,"title":"A Case Report of Dermatographia","subtitle":null,"abstract":"The authors present a case of symptomatic dermatographia. Dermatographia is an inducible urticaria where the light pressure of scratching leaves a raised wheal in the pattern of the scratching. The presentation can be striking and is often very stressful for the patient; however, the etiology is benign and the key takeaway is to provide reassurance to the patient.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5dk72284","frozenauthors":[{"first_name":"Mahika","middle_name":"","last_name":"Patlola","name_suffix":"","institution":"","department":""},{"first_name":"Aanchal","middle_name":"A","last_name":"Shah","name_suffix":"","institution":"","department":""},{"first_name":"Thor","middle_name":"","last_name":"Stead","name_suffix":"","institution":"","department":""},{"first_name":"Latha","middle_name":"","last_name":"Ganti","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T02:17:51+01:00","date_accepted":"2024-08-03T02:17:51+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52184/galley/39423/download/"}]},{"pk":52180,"title":"A Case Report of Lateral Subtalar Dislocation: Emergency Medicine Assessment, Management and Disposition","subtitle":null,"abstract":"Subtalar dislocations of the talonavicular and talocalcaneal joints are rare, accounting for approximately one percent of all dislocations.1 These dislocations are typically the result of a high energy mechanism and present a challenge during reduction attempts. We present the case of a male in his early 20’s who presented to the emergency department after a motorcycle accident with right foot and ankle pain and obvious deformity. Emergent X-ray and immediate attempt at reduction are of utmost importance with these dislocations. After multiple failed attempts at reduction in the ED, this patient was taken to the operating room for an open reduction with podiatry. This case report reviews the pathophysiology and management of this rare injury including nerve blocks and reduction techniques.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1753b36h","frozenauthors":[{"first_name":"Alexander","middle_name":"","last_name":"Maybury","name_suffix":"","institution":"","department":""},{"first_name":"Taylor","middle_name":"","last_name":"Isenberg","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T01:59:37+01:00","date_accepted":"2024-08-03T01:59:37+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52180/galley/39419/download/"}]},{"pk":52177,"title":"A Man With Chest Pain After An Assault – A Case Report","subtitle":null,"abstract":"This case report highlights an uncommon sequelae of chest wall trauma that should be evaluated for patients presenting with similar history and symptoms. A 60-year-old man presented to the emergency department (ED) with swelling, fever, and chest wall pain two days after an assault with blunt chest wall trauma. On exam, there was a suspected chest wall abscess, verified on computed tomography (CT) with associated displaced midsternal fracture. This patient was admitted for abscess incision and drainage. While uncommon, chest wall abscess formation is an important condition that should be considered as a differential diagnosis in any patient presenting with chest wall pain post blunt trauma. With few reported similar presentations in the literature, this case is an important addition in a likely underreported phenomenon that requires prompt evaluation and treatment.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/79z3g0sp","frozenauthors":[{"first_name":"Mi","middle_name":"Song","last_name":"Kim","name_suffix":"","institution":"","department":""},{"first_name":"Francis","middle_name":"","last_name":"Gan","name_suffix":"","institution":"","department":""},{"first_name":"Karl","middle_name":"","last_name":"Nimtz","name_suffix":"","institution":"","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Ng","name_suffix":"","institution":"","department":""},{"first_name":"John","middle_name":"","last_name":"Costumbrado","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T01:26:59+01:00","date_accepted":"2024-08-03T01:26:59+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52177/galley/39416/download/"}]},{"pk":52178,"title":"Development and Design of a Pediatric Case-Based Virtual Escape Room on Organophosphate Toxicity","subtitle":null,"abstract":"Audience: This case-based virtual escape room (VER) serves as a didactic activity suitable for learners who require an understanding of organophosphate toxicity. Educators may use this VER for distance-based learning in settings with adequate internet access.\nIntroduction:\nIndia faces a concerning escalation in suicide rates, particularly among teenagers and young adults, often involving intentional pesticide ingestion, notably organophosphates.1-3 Our project addresses organophosphate ingestion by using a VER, a virtual learning platform adapted from in-person escape rooms to engage participants for educational purposes.4,5 Demonstrating success in medical, pharmacy, and nursing education, VERs increased satisfaction and competency among healthcare trainees compared to traditional learning platforms while fostering teamwork and communication in a virtual learning environment.6,7\nEducational Objectives:By the end of the activity, learners should be able to: 1) recognize risk factors, symptoms, and presentation for organophosphate poisoning; 2) understand the radiologic and laboratory findings in organophosphate poisoning; 3) distinguish and differentiate electrocardiogram findings in common toxic ingestions; 4) explain the pathophysiology of organophosphate poisoning; 5) understand the importance of decontamination of the patient and personal protective equipment for staff for organophosphate poisoning; 6) describe the airway management of organophosphate poisoning; 7) describe the medical management of organophosphate poisoning, including antidotes and the correct dosing and 8) demonstrate teamwork through communication and collaboration.\nEducational Methods: The development process involved a seven-step approach, beginning with topic selection. The process involved creating a scenario, defining learning objectives, and designing an appropriate room. Clues and puzzles were tailored to align with the learning objectives and promote interactivity. The VER was hosted on Google Sites (Google LLC), accompanied by a facilitator guide offering content and technical support.\nResearch Methods: This VER leverages technology for distance learning, using Zoom (Zoom Video Communications Inc.) for online sessions with EM trainees. Participants were organized into small groups in breakout rooms on Zoom, following a structured format that included a pre-briefing, a timed escape room scenario, debriefing, and evaluation. Afterward, an evaluation in the format of a survey was distributed to participants. This study was Institutional Review Board exempt.\nResults: Out of 120 participants in the VER, 50% responded to a survey. The majority found the activity interactive, engaging, and exciting. This feedback indicated a positive reaction to the VER, consistent with the Kirkpatrick model's first level of assessment.8 The VER effectively promoted learning and reinforced clinical knowledge, contributing to the second level of the Kirkpatrick model. In this case, 84.7% of respondents were able to identify knowledge gaps, and 84.2% of respondents found this to be a feasible model to reinforce medical knowledge.\nDiscussion: This innovative VER addresses the value of distance-based learning in any setting with an internet connection. It has successfully enhanced collaboration and communication among participants in small groups, making it a valuable resource for medical education. This study has several limitations worth noting including a relatively low survey response rate. Baseline data was not collected prior to the VER. Additionally, the VER was not designed to be an open-book assessment; however, the absence of an in-person moderator makes it challenging to ascertain whether participants used external resources. Furthermore, the exclusive focus of this VER on a single topic may diminish its overall use compared to more traditional didactic sessions. This study is also limited by lack of long-term outcome data. Future studies could further assess knowledge improvement and clinical application. The authors plan to develop additional case-based VERs to advance EM trainees' knowledge, skills, and communication. Overall, the VER offers a promising and free educational tool for distance learning with potential benefits for various settings with internet access.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6m33j0pv","frozenauthors":[{"first_name":"Kaitlyn","middle_name":"","last_name":"Boggs","name_suffix":"","institution":"","department":""},{"first_name":"Manu","middle_name":"","last_name":"Madhok","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T01:38:24+01:00","date_accepted":"2024-08-03T01:38:24+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52178/galley/39417/download/"}]},{"pk":52181,"title":"First Aid Curriculum for Second Year Medical Students","subtitle":null,"abstract":"Audience: This small-group workshop is designed for pre-clinical medical students. The workshop can also be offered to other medical students looking to review first aid in the community setting.\nIntroduction: First aid training in medical students varies based on each student’s previous experience. Because of this, medical students in their pre-clinical years have expressed a desire for further training in first aid.1 While most bystanders in an emergency situation do not have a medical background, medical students have received additional training that can provide the skillset to process and respond to emergency situations in a different capacity. Most medical schools have not adopted a universal curriculum in teaching medical students first aid.2 Incorporating first aid into a medical school curriculum can enhance medical students’ confidence in emergent situations and lead to better outcomes for patients requiring immediate on-site care.\nEducational Objectives: The goal of this workshop was to improve the confidence of medical students in handling emergencies in the community with the use of first aid while also giving them a standard approach to emergencies using an airway, breathing, and circulation approach. The curriculum was evaluated through student-perceived self-efficacy and confidence in handling the provided scenarios, performance on relevant multiple choice questions, and general appeal of the first aid sessions. By the end of this workshop, students will be able to define the goals of “first aid” and first responder actions, describe clinical signs and symptoms suggestive of an airway, breathing, or circulation emergency in the setting of selected medical emergencies, and demonstrate immediate care steps in the setting of selected medical emergencies, specifically the Heimlich maneuver on adults and infants, direct pressure, wound packing, tourniquet application for external bleeding, epinephrine auto-injector administration, and the recovery position for obtunded or unconscious patients.\nEducational Methods: Small group activities were performed with a focus on case-based scenarios combined with hands-on instruction. The four scenarios were choking, seizure, anaphylaxis, and bleeding which were taught by an educator who was either faculty, an emergency medicine resident, or an upper-level medical student. Facilitators were provided an educational handout specific to their station to guide them through \nthe teaching session. A PowerPoint presentation was also provided complete with supporting images and videos to share with the students each session.\nResearch Methods: Students were asked to complete a pre-test and post-test survey to assess knowledge outcome, self-efficacy in first aid, and overall appeal of the workshop. The multiple-choice knowledge outcome data was scored for percent correct on each question as well as overall performance on questions grouped by content. Students were also asked to provide feedback and comments on their overall experience in the workshop.\nResults: Overall, medical students reported increased knowledge and confidence in responding to various first-aid situations. There was overall improvement in pre-test and post-test evaluations. The appeal of the event as a whole and its usefulness was overwhelmingly viewed as positive. Some participants noted they wanted similar workshops with more first-aid topics. Participants also noted they felt better prepared to respond to the various emergencies included in the workshop.\nDiscussion: A workshop directed at teaching first aid to medical students increased their confidence and knowledge in responding to various emergencies and can successfully be accomplished through a focused large group didactic session and multiple clinically relevant small group teaching sessions.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8xn3p20v","frozenauthors":[{"first_name":"Megan","middle_name":"","last_name":"Stodola","name_suffix":"","institution":"","department":""},{"first_name":"Megan","middle_name":"","last_name":"Megan","name_suffix":"","institution":"","department":""},{"first_name":"Tina","middle_name":"","last_name":"Chen","name_suffix":"","institution":"","department":""},{"first_name":"Alexander","middle_name":"","last_name":"Marelich","name_suffix":"","institution":"","department":""},{"first_name":"Isaac","middle_name":"","last_name":"Philip","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T02:07:34+01:00","date_accepted":"2024-08-03T02:07:34+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52181/galley/39420/download/"}]},{"pk":52183,"title":"High-Fidelity Simulation with Transvaginal Ultrasound in the Emergency Department","subtitle":null,"abstract":"Audience: Intern and junior emergency medicine residents.\nIntroduction: Abdominal pain and vaginal bleeding in the first trimester of pregnancy are common presentations to the emergency department (ED).1 Formal transvaginal ultrasound (TVUS) is considered the test of choice for evaluation of first trimester pregnancy due to its high sensitivity and specificity for identifying intrauterine and ectopic pregnancies.1 Additionally, TVUS can evaluate for various uterine and ovarian pathology as well as identify other non-gynecologic conditions and is within the scope of practice for the emergency physician.2 Given the emergent and time sensitive nature of certain obstetric and gynecologic conditions, formal transvaginal ultrasound imaging may not be feasible. A rapid assessment with transvaginal point-of-care ultrasound (TVPOCUS) can be utilized by emergency medicine physicians (EMP) to confirm intrauterine pregnancies (IUP) and identify any associated complications. There are multiple advantages to TVPOCUS including reduced cost and length of stay, patient satisfaction, and improved resource utilization.1,3 Additionally, multiple studies demonstrate that EMPs can learn this skill and perform TVPOCUS accurately and safely.1,3 Developing the skills and comfort with TVPOCUS in a simulation setting during residency is beneficial and can have important implications in future practice.\nEducational Objectives: By the end of the session, learners should be able to 1) recognize the clinical indications for transvaginal ultrasound in the ED, 2) practice the insertion, orientation, and sweeping motions used to perform a TVPOCUS study, 3) interpret transvaginal ultrasound images showing an IUP or alternative pathologies, and 4) understand proper barrier, disinfection, and storage techniques for endocavitary probes.\nEducational Methods: This session included three high-fidelity simulation cases that allowed participants to utilize TVPOCUS in a safe and conducive environment. There was a total of 32 emergency medicine (EM) residents who participated. The simulation sessions were divided into two separate rooms and included four learners for each session that actively managed the patient, for a total of 12 active participants. The 20 remaining residents were observers. Participants learned evidence-based indications, performance, and interpretation of transvaginal ultrasound. Three cases were reviewed and included IUP, ruptured ectopic pregnancy with hemorrhagic shock, and appendicitis in pregnancy. The cases were followed by a debriefing session and discussion regarding the evidence behind bedside transvaginal ultrasound, its incorporation into EM workflow, and practice-based learning.\nResearch Methods: The educational content and efficacy were evaluated by oral feedback in a debriefing session after the workshop. Additionally, pre-simulation and post-simulation surveys were sent to participants to assess prior ultrasound experience and confidence on the indications, performance, and interpretation of transvaginal ultrasound. Responses were collected using a Likert scale of 1 to 5, with 1 being “not at all confident” and 5 being “very confident.”\nResults: Ten learners responded to the survey consisting of EM residents in a three-year EM residency program. Prior to the workshop, the median reported confidence level across all questions was “1- not at all confident” for the PGY-1 class, and “3-neutral” for the PGY-2 and PGY-3 classes. Following the workshop, all median scores across all classes were “4-confident,” demonstrating an increase in confidence scoring across all measurements and participants. Incorporating transvaginal ultrasound into clinical workflow demonstrated the largest increase in confidence score (median 1.5 to 4), followed by insertion/orientation of the endocavitary probe (median 2.5 to 5).\nDiscussion: This high-fidelity simulation familiarized learners with transvaginal ultrasound and how it can be appropriately utilized for a variety of high-yield clinical scenarios that present regularly to the ED. Given the variation in ultrasound training among residency programs, and the lack of specific simulation content addressing this modality, it is important to implement scenarios that improve learner comfort with TVPOCUS. Overall, this workshop resulted in an increase in confidence scores of participants in the indication, performance, and interpretation of TVPOCUS in the ED.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8bk86352","frozenauthors":[{"first_name":"Levi","middle_name":"","last_name":"Filler","name_suffix":"","institution":"","department":""},{"first_name":"Katrina","middle_name":"","last_name":"Lettang","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T02:12:58+01:00","date_accepted":"2024-08-03T02:12:58+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52183/galley/39422/download/"}]},{"pk":52176,"title":"Identification of a Human Trafficking Victim: A Simulation","subtitle":null,"abstract":"Audience: This case was designed for emergency medicine interns and residents.\nIntroduction: Human trafficking is unfortunately an ever-growing and wide-reaching problem in the United States as well as the rest of the world. The International Labor Organization estimates 49.6 million people were affected by this modern-day slavery worldwide in 2021.1,2 The emergency department represents an opportunity to identify and provide aid to victims of human trafficking. Studies have shown that 63.3% of survivors interacted with the emergency department during their time of exploitation; however, most of these patients are not identified as human trafficking victims and opportunities for intervention are missed.3,4\nEducational Objectives: By the end of this simulation, participants will be able to: (1) Identify signs of human trafficking. (2) Demonstrate the ability to perform a primary and secondary assessment of a patient when there is concern for human trafficking. (3) Demonstrate the ability to appropriately separate an at-risk patient from a potential trafficker. (4) Identify resources and a reliable course of action to permanently remove the patient from the harmful situation.\nEducational Methods: A hybrid teaching model was employed that included both a lecture and a standardized patient simulation session followed by a structured debriefing session.\nResearch Methods: A simulation with a standardized participant was implemented at an urban academic emergency department with a three-year EM residency program. Participants were evaluated with a survey prior to and after the simulation, where they responded to questions regarding human trafficking patients on a scale of 1 to 5, where 5 represented the greatest level of agreement. Nineteen emergency medicine interns and residents participated in this project.\nResults: Prior to simulation training, and after the lecture, residents were surveyed on their confidence in identifying and treating patients who are affected by trafficking, their level of previous training in this topic, and whether they considered trafficking an important issue in emergency medicine. When asked if human trafficking is an important issue faced by the emergency department, 15 of the 19 of residents who completed the survey rated the importance a 5/5 on a Likert scale ranging from 1-not important to 5. Residents were also asked if they had received prior training in human trafficking on a scale of never (1) to often (5). Eight residents responded with either never or close to never. Two months after the simulation, the residents were again sent an optional survey. Ten residents responded. All who participated in the simulation now rated themselves a 4/5 on a scale from not confident to very confident. Of those who did not attend the simulation, the median value was a 3/5. Out of the residents who attended the simulation training, every resident rated the experience 5 out of 5 in terms of usefulness. One hundred percent of residents would recommend simulation training on human trafficking to other emergency medicine residents.\nDiscussion: This was an effective educational initiative because this education model allowed the residents to feel more comfortable identifying individuals affected by human trafficking, and all the residents who responded to the survey stated that they would recommend the use of simulation to others for education on human trafficking.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5v48b1dx","frozenauthors":[{"first_name":"Claire","middle_name":"A","last_name":"Grosgogeat","name_suffix":"","institution":"","department":""},{"first_name":"Kelly","middle_name":"","last_name":"Medwid","name_suffix":"","institution":"","department":""},{"first_name":"Rami","middle_name":"H","last_name":"Mahmoud","name_suffix":"","institution":"","department":""},{"first_name":"Brooke","middle_name":"","last_name":"Hensley","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T01:14:24+01:00","date_accepted":"2024-08-03T01:14:24+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52176/galley/39415/download/"}]},{"pk":52179,"title":"Subarachnoid Hemorrhage Causing a Seizure: An Assessment Simulation for Medical Students","subtitle":null,"abstract":"Audience: This simulation is intended for 4th year medical students.\nIntroduction: Headache is the fifth most common chief complaint in the emergency room, and the vast majority are ultimately diagnosed as benign primary headaches.1,2 However, subarachnoid hemorrhage (SAH) is one of several critical diagnoses which can present as a headache. With a case fatality rate of up to 66.7% in some instances, SAH is considered a “can’t miss” diagnosis.3\nSubarachnoid hemorrhage is classically associated with a thunderclap headache, one definition of which is a headache that reaches maximal intensity within one minute or less and reaches a seven out of ten in severity.1 Unfortunately, a thunderclap headache is not as sensitive nor specific for SAH as is often taught. In one study, only 50% of patients with an aneurysmal subarachnoid hemorrhage presented with a thunderclap headache and an additional 19% of SAH headache came on more gradually over the course of five minutes.4 A second study found that only 66% of SAH patients reported a thunderclap headache.2 Thunderclap headaches can also be associated with other intercranial pathology including intracerebral hemorrhage, cerebral venous thrombosis, cervical artery dissection, posterior reversible encephalopathy syndrome, meningitis, and temporal arteritis among others.1,2 In a large observational study, SAH accounted for 32% of the serious pathology cases identified in patients with a thunderclap headache. Even among the thunderclap headache cohort, however, 88% of patients ultimately had a benign diagnosis (compared to 93% of patients who did not report a thunderclap headache).2\nAdditional signs and symptoms of SAH include seizures in 6-9% of patients, vomiting, neck pain and stiffness, visual disturbances, loss of consciousness, and focal cranial nerve or supratentorial deficits.1,5 A non- contrasted computer tomography (CT) of the head within six hours of headache onset can have a sensitivity of 98.7 to 100%; however, the sensitivity decreasedto86%atthe24-48hourmark.1,6 Ameta-analysisfound a pooled six hour sensitivity of 1.0 and asserts that a head CT interpreted as negative by an attending radiologist effectively rules out SAH in neurologically intact patients with a defined onset of a thunderclap headache.6 Some guidelines in the United States still recommend shared decision making with the patient to choose between a Lumbar Puncture (LP), Computer Tomography Angiogram (CTA), or no further testing to rule out SAH in the case of a negative head CT.2 The more time that has elapsed between onset and CT imaging, the stronger the recommendation to pursue further testing. A negative head CT followed by a negative LP approaches 100% sensitivity for ruling out SAH, and a negative head CT with a negative CTA has a 99.4% probability of ruling out SAH.1,3 Thus it is an important learning point that if a headache has been ongoing for more than six hours and there is a high pre-test probability for an SAH, a negative head CT is not sufficient to rule out the diagnosis, and a secondary test should be ordered.\nStatus epilepticus is defined as five minutes of continuous seizure activity or repeated seizures without return to baseline between seizures.7 The immediate priorities for a seizing patient include providing supplemental oxygen, considering intubation if patient is unable to protect airway, obtaining IV access if not previously established, and checking glucose.7 The main priority for a patient in status epilepticus is to stop the seizure with seizure abortive medications, typically benzodiazepines, and treat life-threatening causes of status epilepticus.7 This simulation will enable learners to diagnose SAH that is not the classical “worst headache of my life” and manage an actively seizing patient.\nEducational Objectives: At the conclusion of the simulation leaners will be able to:\n1. Efficiently take a history from the patient and perform a physical exam (including a complete neurological exam)\n 2. Identify red flag symptoms in a patient complaining of a headache\n 3. Order and interpret the results of a CT of the head and either a CT angiogram of the brain or a lumbar puncture to make the diagnosis of subarachnoid hemorrhage\n 4. Demonstrate appropriate management of a seizure\n a. Check a fingerstick glucose b. Provide supplemental oxygen c. Administer an IV or IM benzodiazepine to treat the seizure\n5. Utilize the I-PASS framework to communicate with the inpatient team during the transition of care\nEducational Methods: This summative simulation was designed to assess competence in two of the core Entrustable Professional Activities (EPAs), as defined by the Association of American Medical Colleges (AAMC). These include EPA 8 (Give or Receive a Patient Handover to Transition Care Responsibility) and EPA 10 (Recognize a Patient Requiring Urgent or Emergent Care and Initiate Evaluation and Management). It was performed with 4th year medical students at the conclusion of their required month-long emergency medicine (EM) clerkship. This scenario joined eight other scenarios in our pool of potential cases. These sessions are conducted using a high-fidelity manikin as the patient and a confederate/actor in the nursing role. The students complete the assessment in groups of three or four with each student acting as the team lead for one scenario. After each scenario concludes, there is a post-simulation debriefing session on the presentation, differential diagnosis, physical exam findings, and management of the target pathology. A Gather-Analyze-Summarize technique was used for the debriefing session.8\nResearch Methods: Facilitators provided informal feedback to the scenario developers after the case was introduced into the assessment rotation. Learners completed a standard evaluation issued by the College of Medicine for the entire session rather than for individual scenarios. These evaluations were reviewed for the first year of implementation of this new case. Over the year, 209 students completed the summative simulation exercise, and 84 of those students completed this simulation as part of the overall exercise.\nResults: Overall, our facilitators felt the case fit well into our pool of simulation cases. They felt they were adequately able to assess the students’ ability to respond to a seizing patient and thought the difficulty level was appropriate for fourth year medical students. Students are asked to assess the simulation session as a whole using a standard evaluation form from the College of Medicine. The simulation assessment exercise as a whole was highly rated by the students, with 93% of students rating the overall quality of the session as Very Good or Excellent. Of the students who completed the SAH scenario, 96% rated the overall quality of the session as Very Good or Excellent. None of the comments specifically mention the SAH case.\nDiscussion: Our department has run formative simulations during the 4th year EM clerkship for over ten years. Our primary objective is to assess 4th year students’ competence in EPA 10 (Recognize a Patient Requiring Urgent or Emergent Care and Initiate Evaluation and Management). This simulation case was written to replace another SAH case which was a more straightforward and typical presentation of a subarachnoid hemorrhage as “the worst headache of my life.” The previous case also did not require seizure management. The inclusion of the seizure management better allowed faculty to assess the students’ response to a patient’s acute decompensation, which is more in line with EPA 10, than simply making a critical diagnosis.\nOur facilitators did notice that many groups initially work the patient up for meningitis but ultimately make the correct diagnosis with the lumbar puncture (LP) results. Because the students have correctly identified that the patient requires more extensive work up, and meningitis is certainly on the differential diagnoses, students are not penalized for following this line of clinical reasoning.\nThis simulation proved to be highly engaging for 4th year medical students, and students seemed to perform at a similar level as previous summative simulations. Overall, we felt this simulation successfully achieved the objectives of the simulation session as whole, and it was integrated into our 4th year EM clerkship simulation curriculum.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7123v7p6","frozenauthors":[{"first_name":"Robert","middle_name":"","last_name":"Rainer","name_suffix":"","institution":"","department":""},{"first_name":"Blair","middle_name":"Creedle","last_name":"Reynolds","name_suffix":"","institution":"","department":""},{"first_name":"Cyrus","middle_name":"","last_name":"Adeli","name_suffix":"","institution":"","department":""},{"first_name":"Christopher","middle_name":"E","last_name":"San Miguel","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T01:54:59+01:00","date_accepted":"2024-08-03T01:54:59+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52179/galley/39418/download/"}]},{"pk":52186,"title":"Utilization of an Asynchronous Online Learning Module Followed by Simulated Scenario to Train Emergency Medicine Residents in Mass-Casualty Triage","subtitle":null,"abstract":"Audience: This is a combined independent study and simulation session designed to teach and drill Mass Casualty Incident (MCI) Triage and is intended for emergency medicine residents at all levels.\nIntroduction: The training of emergency medicine residents to assume leadership roles in disaster response is important. However, lack of accepted specific educational goals on the national level leads to significant variability between residencies.\nEducational Objectives: The purpose of this session is to train EM residents in the use of the Simple Triage and Rapid Treatment (START) and pediatric JumpSTART algorithms for triage in mass casualty incidents (MCIs) using an asynchronous model. By the end of this small group session, learners will be able to: 1) describe START triage for adult MCI victims; 2) describe JumpSTART triage for pediatric MCI victims; 3) demonstrate the ability to apply the START and JumpSTART triage algorithms in a self-directed learning environment; 4) demonstrate the ability to apply the START and JumpSTART triage algorithms in a simulated mass casualty scenario under time constraints; and 5) demonstrate appropriate use of acute life-saving interventions as dictated by the START and JumpSTART triage algorithms in a high-pressure simulated environment.\nEducational Methods: This session utilizes an online independent study module that was created de novo for this specific purpose by the authors followed by a high-pressure in-person simulation session where learners practice applying the START triage model with multiple simulated patients under time constraint.\nResearch Methods: Learner feedback was collected after completion of the session. Retention of learning objectives was tested at four months via multiple-choice quiz.Results: The session was very well received by our residents, who appreciated the opportunity to practice applying START triage under pressure. The average score on the pretest was 49%. Response rates to the post-test were low, but residents scored an average of 73%, indicating a trend towards retention of learning objectives.\nDiscussion: Overall, the utilization of a de novo online learning module followed by simulation proved to be a well-received method of teaching MCI triage to emergency medicine residents. We consider this to be an effective way to train MCI Triage with minimal in-conference time utilization. We plan to implement this training annually to provide our residents with longitudinal reinforcement of this vital skill.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6x6404bv","frozenauthors":[{"first_name":"Justin","middle_name":"P","last_name":"Delgado","name_suffix":"","institution":"","department":""},{"first_name":"Douglas","middle_name":"","last_name":"Spencer","name_suffix":"","institution":"","department":""},{"first_name":"Leah","middle_name":"M","last_name":"Bralow","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-08-03T02:44:10+01:00","date_accepted":"2024-08-03T02:44:10+01:00","date_published":"2024-08-01T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52186/galley/39425/download/"}]},{"pk":33520,"title":"Table of Contents 47.2","subtitle":null,"abstract":"","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.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4pn00652","frozenauthors":[],"date_submitted":"2024-07-31T20:09:56.890000+01:00","date_accepted":"2024-07-31T20:13:00.802000+01:00","date_published":"2024-07-31T20:16:00+01:00","render_galley":{"label":"47.2 Table of Contents","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/33520/galley/24599/download/"},"galleys":[{"label":"47.2 Table of Contents","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/33520/galley/24599/download/"}]},{"pk":6664,"title":"Painful Enlarging Cervical Mass in Young Male","subtitle":null,"abstract":"Case Presentation: A 32-year-old male who recently immigrated from Kenya presented to the emergency department (ED) with a painful, enlarging, right-sided neck mass for eight weeks duration. Point-of-care ultrasound was used to reveal a large cystic mass with internal septations and numerous hypoechoic round lesions. Initial tuberculosis blood test ordered in the ED was positive with cultures ultimately growing Mycobaceterium tuberculosis.
\nDiscussion: Scrofula should be considered in the differential in patients presenting with enlarging neck masses who have epidemiological risk factors for tuberculosis.
","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":"Scrofula"},{"word":"Cervical Mass"},{"word":"Mycobacterium tuberculosis"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/57n9b6c0","frozenauthors":[{"first_name":"Jacob","middle_name":"","last_name":"Lawing","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"Emergency Medicine"},{"first_name":"Jeremy","middle_name":"","last_name":"Towns","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":""},{"first_name":"Matthew","middle_name":"A.","last_name":"Heimann","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":""}],"date_submitted":"2024-01-08T02:30:44.774000Z","date_accepted":"2024-04-15T22:01:56.446000+01:00","date_published":"2024-07-31T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6664/galley/24583/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6664/galley/14581/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6664/galley/24583/download/"}]},{"pk":7233,"title":"Rectus Sheath Blocks for Umbilical Hernia Reductions in the Emergency Department: A Case Series","subtitle":null,"abstract":"Introduction: Rectus sheath blocks have been used for decades in the operating room for analgesia following umbilical surgical procedures. We present the first reported case series of a rectus sheath block used in the emergency department (ED) for the reduction of an umbilical hernia.
\nCase Series: Four patients presented to the ED for painful, non-reducible umbilical hernias. An ultrasound-guided bilateral rectus sheath block was used in all four patients with complete pain relief and an easy hernia reduction.
\nConclusion: Rectus sheath blocks are an excellent addition to a multimodal analgesic regimen in periumbilical pain and painful procedures. This block is easy to perform and implement for pain control in umbilical hernias in an ED setting.
","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":"bilateral rectus sheath block"},{"word":"umbilical hernia"},{"word":"case report"},{"word":"case series"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/46c0r84n","frozenauthors":[{"first_name":"Katherine","middle_name":"","last_name":"Vlasica","name_suffix":"","institution":"St. Joseph’s Health, Paterson, New Jersey","department":""},{"first_name":"Amanda","middle_name":"","last_name":"Hall","name_suffix":"","institution":"St. Joseph’s Health, Paterson, New Jersey","department":""}],"date_submitted":"2024-01-26T20:33:21.732000Z","date_accepted":"2024-03-20T01:19:00.330000Z","date_published":"2024-07-31T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7233/galley/24582/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7233/galley/10905/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7233/galley/24582/download/"}]},{"pk":3259,"title":"Spontaneous Hemothorax from Pulmonary Intralobar Sequestration: A Case Report","subtitle":null,"abstract":"Introduction: Pulmonary sequestration is a rarely reported phenomenon where aberrant lung tissue exists independently from the rest of the tracheobronchial network. Complications may include hemothorax; however, there is a paucity of descriptions of this condition in the literature.
\nCase Report: We describe a case of a pulmonary intralobar sequestration resulting in atraumatic tension hemothorax. A 73-year-old woman presented to our facility in extremis and with complaints of acute-onset flank pain. Her evaluation was notable for a large pulmonary sequestration with a presumed, moderate-sized effusion; however, initial review did not reveal an obvious underlying cause for her symptoms. Shortly after her arrival to the emergency department (ED) she experienced a cardiac arrest. On secondary review of her computed tomographic angiography, it was determined that what was previously thought to be a pleural effusion was a large hemothorax. Following this finding, a finger thoracostomy was performed, which resulted in the immediate evacuation of hemothorax. The thoracostomy was then converted into an ED thoracotomy to assess for active hemorrhage with brief return of spontaneous circulation. Prior to proceeding with emergent operative intervention, the patient’s spouse requested that all further resuscitative efforts cease, and the patient was allowed to expire. In a review of the case, it was determined that the patient suffered from cardiac arrest due to a spontaneous hemothorax secondary to a large intralobar pulmonary sequestration.
\nConclusion: Pulmonary intralobar sequestration can result in spontaneous hemorrhage with fatal results. Early and correct interpretation of imaging and surgical intervention are crucial in ED management.
","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":"hemothorax"},{"word":"tension"},{"word":"thoracostomy"},{"word":"thoracotomy"},{"word":"fatal"},{"word":"atraumatic"},{"word":"pleural"},{"word":"pulmonary"},{"word":"hemorrhage"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9js0p57v","frozenauthors":[{"first_name":"Clayton","middle_name":"","last_name":"Korson","name_suffix":"","institution":"St. Luke’s University Health Network Emergency Department, Bethlehem, Pennsylvania","department":""},{"first_name":"Jasmine","middle_name":"","last_name":"Yu","name_suffix":"","institution":"Rocky Vista University College of Osteopathic Medicine, Parker, Colorado","department":""},{"first_name":"Jonathan","middle_name":"M.","last_name":"Pester","name_suffix":"","institution":"St. Luke’s University Health Network Emergency Department, Bethlehem, Pennsylvania","department":""}],"date_submitted":"2023-10-19T15:54:14.538000+01:00","date_accepted":"2024-04-18T23:33:40.104000+01:00","date_published":"2024-07-31T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/3259/galley/24584/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/3259/galley/10853/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/3259/galley/24584/download/"}]},{"pk":42196,"title":"Beautified Brutality: Mapping Eugene’s Hostile Design","subtitle":null,"abstract":"Over the past few decades, scholars and educators have challenged the traditional focus of architectural history on styles and formal features, placing more emphasis on user experience. This experience, however, is not common to all. Each sector of society understands, inhabits, and utilizes architecture differently, leading to divergent ways of performing one’s identity within the city. For example, unhoused people are often excluded from full participation in public life. This commentary shares an experiment that complements an architectural history course with a set of assignments where students engage with sociopolitical aspects of the built environment through mapping and analyzing anti-homeless, hostile design in Eugene, Oregon.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"hostile architecture"},{"word":"homelessness"},{"word":"digital mapping"},{"word":"pedagogy"}],"section":"Commentaries","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8dj5h27t","frozenauthors":[{"first_name":"Solmaz","middle_name":"","last_name":"Mohammadzadeh Kive","name_suffix":"","institution":"Other","department":"None"}],"date_submitted":"2023-09-02T17:56:48+01:00","date_accepted":"2023-09-02T17:56:48+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42196/galley/31506/download/"}]},{"pk":42191,"title":"Breathing the City: Aerial Imaginations of the Urban in Northern India","subtitle":null,"abstract":"How do airy materials constitute the urban? This is an anthropological question that has been of interest to me as I teach in a university campus in Northern India. Surrounded by agricultural fields and national highways, the campus is at least 60 km from the city of Delhi—infamous as the most polluted place in the world. My ability to notice how air pollution constituted Delhi peaked during a lecture with undergraduate students in late October 2019, when I was informed that they were being forced to sit in the bad air in my classroom because the student body’s request to cancel classes on account of air pollution had been denied. This moment has remained etched in my memory as it led to a long conversation in class about what it means to live with air through breath. Since Shiv Nadar Institution of Eminence is a residential university, I wondered how air quality was constituting how students related to living on campus. In acknowledging the agentive quality of air, I use this vignette and the conversation that followed to think through how air simultaneously constitutes the urban/rural divide and dissolves it, thus reformulating our relationship to the urban.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"air"},{"word":"breath"},{"word":"urban/rural atmospheres"},{"word":"Delhi"},{"word":"India"}],"section":"Commentaries","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2241m4wb","frozenauthors":[{"first_name":"Vasundhara","middle_name":"","last_name":"Bhojvaid","name_suffix":"","institution":"Shiv Nadar Institution of Eminence.","department":"None"}],"date_submitted":"2023-08-28T08:19:47+01:00","date_accepted":"2023-08-28T08:19:47+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42191/galley/31501/download/"}]},{"pk":42189,"title":"Conceptualizing the City through Photovoice","subtitle":null,"abstract":"Photovoice is a research and teaching tool designed to document personal experiences and elicit applied discussions. In the classroom, photovoice brings theoretical concepts to life, empowers students to become co-creators of knowledge, sensitizes students to a range of city experiences, and is adaptable to unforeseen events. Photovoice also connects students to a place and community as both insiders and tourists; and beyond exams, papers, and assigned readings, photovoice starts new and experiential conversations on a course’s key topics. Examples from classroom experience will be shared.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"Empowered Student Educators"},{"word":"photovoice"},{"word":"Urban Environment"}],"section":"Commentaries","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9ht8k24q","frozenauthors":[{"first_name":"Patricia","middle_name":"","last_name":"Widener","name_suffix":"","institution":"Florida Atlantic University","department":"None"}],"date_submitted":"2023-08-21T20:54:58+01:00","date_accepted":"2023-08-21T20:54:58+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42189/galley/31500/download/"}]},{"pk":42194,"title":"Hope, Belonging, and Catharsis: Critical Urban Pedagogies in Istanbul","subtitle":null,"abstract":"Co-written by bachelor students and their lecturer, this commentary is a critical reflection on the Materiality and Urban Politics (SOC387) course taught at Boğaziçi University in Istanbul in the summer of 2022. The course unfolded during a time of political unrest at Boğaziçi following the appointment of a new president, which brought the campus under a state of police siege. In this context, SOC387 explored relations between the material and the urban/political through democratic and inclusive pedagogical approaches. Bringing together reflections on the sociopolitical context in which the course took place, classroom pedagogies, and students’ commentaries, we reflect on how the course helped participants redefine their sense of belonging to, and engagement with, Istanbul’s urban/political environment during a time of perceived disempowerment and “crisis of democracy” in Turkey. By exploring the productive tensions between urban space, politics, and democratic pedagogy, this commentary argues that teaching and learning in and about the city can be cathartic in reinforcing participants’ will to act on and contribute to urban politics.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"Urban Anthropology"},{"word":"critical pedagogies"},{"word":"urban belonging and participation"},{"word":"Istanbul"}],"section":"Commentaries","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7xs4183k","frozenauthors":[{"first_name":"Öykü","middle_name":"","last_name":"Akın","name_suffix":"","institution":"","department":"None"},{"first_name":"Altan","middle_name":"Erdem","last_name":"Aras","name_suffix":"","institution":"","department":"None"},{"first_name":"Bera","middle_name":"Erkam","last_name":"Barut","name_suffix":"","institution":"","department":"None"},{"first_name":"Elif","middle_name":"Neşe","last_name":"Buhara","name_suffix":"","institution":"","department":"None"},{"first_name":"Ali","middle_name":"","last_name":"Cebe","name_suffix":"","institution":"","department":"None"},{"first_name":"Turgut","middle_name":"","last_name":"Kartal","name_suffix":"","institution":"","department":"None"},{"first_name":"Tuna","middle_name":"","last_name":"Keskin","name_suffix":"","institution":"","department":"None"},{"first_name":"Rosa","middle_name":"","last_name":"Sansone","name_suffix":"","institution":"Böğaziçi University","department":"None"}],"date_submitted":"2023-09-01T17:57:40+01:00","date_accepted":"2023-09-01T17:57:40+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42194/galley/31504/download/"}]},{"pk":42195,"title":"Infrastructure Fieldnotes: Engaging the City through Reading, Research, and Representations","subtitle":null,"abstract":"As part of a recent undergraduate seminar on infrastructure, students completed weekly exercises dubbed “infrastructure fieldnotes.” Going beyond conventional discussion board posts or reading responses, exercise prompts incorporated reading analysis, methods practice, writing prompts, and experiments in multimodal representation as students engaged with urban planning and quotidian experiences of infrastructure and made sense of the infrastructures that enable and structure city life. In this research article, the instructor for the course offers a preliminary presentation of the assignment’s structure and pedagogical objectives, followed by an analysis of how some prompts influenced classroom discussions by creating common points of reference and revealing different experiences of the campus and city. This discussion is followed by five student contributions on different aspects of the assignment. Some take up specific prompts to demonstrate how they created openings for engagement with course material, some reflect on how exercises enabled students to cultivate new kinds of awareness or attention to infrastructure, and others extend the fieldnotes project beyond the class to show what kinds of analysis endured after the course ended. Altogether, these student analyses demonstrate and reflect on the utility of sustained, open-ended prompts for student engagement with course material and concepts in an urban campus.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"writing prompts"},{"word":"participant observation"},{"word":"Infrastructure"},{"word":"Urban Anthropology"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8h10g5m7","frozenauthors":[{"first_name":"Scott","middle_name":"","last_name":"Ross","name_suffix":"","institution":"Washington University in St. Louis","department":"None"},{"first_name":"Alexandra","middle_name":"","last_name":"Groth","name_suffix":"","institution":"","department":"None"},{"first_name":"Swasti","middle_name":"","last_name":"Shah","name_suffix":"","institution":"","department":"None"},{"first_name":"Anissa","middle_name":"","last_name":"Sterner","name_suffix":"","institution":"","department":"None"},{"first_name":"Abigail","middle_name":"","last_name":"Francis","name_suffix":"","institution":"","department":"None"},{"first_name":"Denali","middle_name":"","last_name":"Graham","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2023-09-02T05:27:10+01:00","date_accepted":"2023-09-02T05:27:10+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42195/galley/31505/download/"}]},{"pk":42197,"title":"It’s in the Fine Print: Investigating the Value of Primary Source Documents and Reflection on Positionality in Learning about Gentrification","subtitle":null,"abstract":"Government developers have put up yet another portion of Harlem’s 125th Street for redevelopment. After a 2012 government-sponsored call for development proposals, state developers selected the National Urban League (NUL), a civil rights and urban advocacy organization that serves African Americans and other underserved communities, and Hudson Companies, Inc. for a $242 million development project—the Urban League Empowerment Center (ULEC), which will include the NUL as the lead tenant and will be accompanied by various retailers, other nonprofit organizations, and housing units. In this student showcase essay, I reflect on my experience writing an opinion piece in an urban sociology course about the construction of the ULEC and the story of cross-sector urban development behind it. By bringing primary source documents and relevant course readings into conversation with each other, I was able to revise my understanding of the hidden layers of urban development and the actors that were involved in these processes. Additionally, writing an op-ed that put these sources into conversation allowed me to reflect on my own positionality and relationship to the processes of neighborhood development under study.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"Gentrification"},{"word":"Displacement"},{"word":"primary source"},{"word":"positionality"}],"section":"Student Showcase","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3qx2r64k","frozenauthors":[{"first_name":"Menasha","middle_name":"","last_name":"Thomas","name_suffix":"","institution":"Other","department":"None"}],"date_submitted":"2023-09-03T00:48:55+01:00","date_accepted":"2023-09-03T00:48:55+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42197/galley/31507/download/"}]},{"pk":42193,"title":"Park, Partnerships, and Place: Interdisciplinary Student Perspectives on Applied Anthropology Research in the City","subtitle":null,"abstract":"As a graduate student team from an applied anthropology course series, we conducted a yearlong community research project focused on an urban park for a local city government partner. This paper reflects on how learning and working as an applied, interdisciplinary team impacted our research process, our project design, and our experiences as students. Through the project, we experienced the benefits and challenges of collaborative work, like working through different disciplinary expectations and training styles, communication challenges, and equitable work distribution. Our unique positionalities and backgrounds shaped how we engaged with the park, the community, and the research. We all experienced the city for ourselves—through hands-on engagement—and learned about many different park experiences through a novel combination of techniques, including observations, interviews, a survey (with an embedded map feature), and a community design charrette. We engaged with a variety of people and population dynamics, which helped us provide our government partner with insight into how various community voices matter in the future of the park as a public space, while we also had the opportunity to grow as researchers.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"applied anthropology"},{"word":"Interdisciplinary team"},{"word":"Place"},{"word":"Local government partnership"},{"word":"Mixed methods research"}],"section":"Student Showcase","is_remote":true,"remote_url":"https://escholarship.org/uc/item/06s5x85d","frozenauthors":[{"first_name":"Beth Ann","middle_name":"","last_name":"Labadorf","name_suffix":"","institution":"Purdue University","department":"None"},{"first_name":"Taylor","middle_name":"","last_name":"Borgelt","name_suffix":"","institution":"Purdue University","department":"None"},{"first_name":"Gina","middle_name":"","last_name":"Reynolds","name_suffix":"","institution":"Purdue University and Cornerstone University","department":"None"},{"first_name":"Kayla","middle_name":"","last_name":"Gurganus","name_suffix":"","institution":"Purdue University","department":"None"},{"first_name":"Seohyung","middle_name":"","last_name":"Kim","name_suffix":"","institution":"Purdue University","department":"None"},{"first_name":"Waire","middle_name":"","last_name":"Olawolu","name_suffix":"","institution":"Purdue University","department":"None"}],"date_submitted":"2023-08-31T19:56:55+01:00","date_accepted":"2023-08-31T19:56:55+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42193/galley/31503/download/"}]},{"pk":42199,"title":"Place-based embodied pedagogies: Implications for teaching Indigenous presence in Tiohtià:ke/Mooniyang/Montreal","subtitle":null,"abstract":"This article employs Indigenous urbanism as an analytical approach, as developed by Anishinaabe and settler scholar Heather Dorries (2023), to show how pedagogical interventions employed in the teaching of an undergraduate course at Concordia University (Montreal, Canada) contributed to an enhanced theorization of the city. It discusses the ways in which pedagogical activities shaped the students’ understanding of historiography, Indigenous urban lives, and the construction of shared urban spaces. In focusing on the local histories, territorialities, and specificities of Montreal as a shared and continuously renegotiated Indigenous-settler space, pedagogical interventions used in the course prompted students to reflect on how their own positionality coproduces knowledge about the city. Understanding themselves as knowledge makers, and thus co-producers of urban spaces, students were able to better define the contours of their own relations to the Montreal urban spatialities and socialities. By generously sharing their evolving meaning-making and positionalities, students demonstrated that the Right to the City is a collective reclamation of the urban space that recognizes and affirms Indigenous peoples as rights holders and not simply stakeholders.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"Indigenous urbanism"},{"word":"Montreal"},{"word":"place-based pedagogies"},{"word":"Settler-Colonialism"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6g64z8p1","frozenauthors":[{"first_name":"Ioana","middle_name":"","last_name":"Radu","name_suffix":"","institution":"Université du Québec en Abitibi-Témiscamingue","department":"None"}],"date_submitted":"2023-09-04T19:54:16+01:00","date_accepted":"2023-09-04T19:54:16+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42199/galley/31509/download/"}]},{"pk":42192,"title":"Screenwriting Ethnographies: Seeing the Urban as a Becoming-Space in the Classroom","subtitle":null,"abstract":"Written by a teacher and two students in an undergraduate course titled Housing: Planning and Policy, this commentary explores screenwriting as a pedagogical device used in service of experiential learning about the city in the classroom. It reflects on the employment of this device over two semesters wherein ethnographic vignettes were drawn upon to iteratively craft scripts, with fictional interventions guided by critical frames derived from the learning objectives of the course. We highlight the usefulness of screenwriting as a tool to embrace the urban as a becoming-space in the classroom, wherein students: 1) freely express their encounters with the built environment and feed them into the process of learning by doing; 2) immerse themselves in the ongoing city politics outside the classroom; and 3) appreciate the entangled realms of policy, governance, markets, bureaucracy, and media. Our experiments with screenwriting have been inspired by anthropological research that has brought out the multiplicity and perpetual becoming of urban political spaces. We articulate here our arrival at the screenwriting exercise and point to its potential for teaching and learning the city in anti-positivist ways.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Teaching city"},{"word":"screenwriting"},{"word":"experiential learning"},{"word":"ethnography"},{"word":"anti-positivism"},{"word":"housing"},{"word":"India"}],"section":"Commentaries","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8pj1k0mm","frozenauthors":[{"first_name":"Harsh","middle_name":"","last_name":"Mittal","name_suffix":"","institution":"Birla Institute of Technology and Science, Pilani - Hyderabad Campus","department":"None"},{"first_name":"Anamika","middle_name":"","last_name":"Sarker","name_suffix":"","institution":"O.P. Jindal Global University","department":"None"},{"first_name":"Aditya","middle_name":"","last_name":"Singh","name_suffix":"","institution":"O.P. Jindal Global University","department":"None"}],"date_submitted":"2023-08-30T09:08:36+01:00","date_accepted":"2023-08-30T09:08:36+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42192/galley/31502/download/"}]},{"pk":42205,"title":"Teaching the City: Exploring Pedagogies of Urban Becoming","subtitle":null,"abstract":"This article explores how teaching Urban Anthropology can engender new relationships between cities, students, and classrooms. We discuss the generative connections between these actors as processes of becoming, which connect students with practices and theories for understanding urban life. Serving also as an introduction to a Special Issue on “Teaching the City,” this article introduces the issue’s pieces, which discuss teaching and learning across three continents. It also reflects on their collective contributions as an opportunity to think anew about the city through teaching. The four authors of this piece contributed equal labor.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"Urban Anthropology"},{"word":"pedagogy"},{"word":"Becoming"},{"word":"experiential learning"},{"word":"student-centered learning"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6f05r3gf","frozenauthors":[{"first_name":"Claire","middle_name":"","last_name":"Panetta","name_suffix":"","institution":"Sewanee: The University of the South","department":"None"},{"first_name":"Lucero","middle_name":"","last_name":"Radonic","name_suffix":"","institution":"Northern Arizona University","department":"None"},{"first_name":"Suzanne","middle_name":"","last_name":"Scheld","name_suffix":"","institution":"California State University Northridge","department":"None"},{"first_name":"Angela","middle_name":"D","last_name":"Storey","name_suffix":"","institution":"University of Louisville","department":"None"}],"date_submitted":"2023-10-03T18:21:55+01:00","date_accepted":"2023-10-03T18:21:55+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42205/galley/31513/download/"}]},{"pk":42202,"title":"The Case for Agricultural Education in Urban Schools","subtitle":null,"abstract":"This student showcase essay explores how researching the city informs learning about the city. In it, I examine my senior thesis project for the urban studies program at Barnard College, in which I argue for the use of container farms to expand urban agricultural education opportunities in career and technical education settings. I review my research process, results, and the argument I developed about Perkins Act funding being essential to such programs. Through my commentary, I demonstrate how completing an urban-focused thesis can change students’ perceptions of the urban built environment.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"agricultural education"},{"word":"container farms"},{"word":"Urban Anthropology"},{"word":"career and technical education"},{"word":"Perkins Act"},{"word":"senior thesis"}],"section":"Student Showcase","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3bn45381","frozenauthors":[{"first_name":"Carina","middle_name":"Rose","last_name":"Layfield","name_suffix":"","institution":"Teachers College, Columbia University","department":"None"}],"date_submitted":"2023-09-08T23:45:27+01:00","date_accepted":"2023-09-08T23:45:27+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42202/galley/31511/download/"}]},{"pk":42201,"title":"The City and the Senses: Reflections on Teaching Urban Anthropology During the Pandemic","subtitle":null,"abstract":"In Spring 2021, I taught Urban Anthropology entirely online. In lieu of the interviews, participant-observation, and neighborhood tours I normally would have included in the syllabus, I asked students to carry out a series of visual exercises in their local neighborhoods to document what it was like to live through the lockdown period of the pandemic. In retrospect, I have begun to think about how utilizing a multi-sensory approach to ethnography during this time might have produced even richer insights about urban life. In this commentary, I consider how while focusing on one sense, the visual, still allowed us to create an excellent snapshot of life in Indianapolis during the lockdown, utilizing more of our senses in representing local neighborhoods would have encouraged us to think even more deeply about how cities, like all human environments, are always in flux and responding at any given moment to a wide range of pressures, constraints, and opportunities.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"urban neighborhoods"},{"word":"sensory ethnography"},{"word":"visual anthropology"}],"section":"Commentaries","is_remote":true,"remote_url":"https://escholarship.org/uc/item/39d9k4fm","frozenauthors":[{"first_name":"Susan","middle_name":"B.","last_name":"Hyatt","name_suffix":"","institution":"IUPUI","department":"None"}],"date_submitted":"2023-09-06T17:42:29+01:00","date_accepted":"2023-09-06T17:42:29+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42201/galley/31510/download/"}]},{"pk":42203,"title":"The Multispecies Metropolis: Anthropological Ruminations on Bestial Urbanism","subtitle":null,"abstract":"Human-animal co-habitation is a fact of urban existence, yet animals are illegible in the contemporary American city. As climate change, development, and other planetary forces disturb the more-than-human dynamics of cities, often gravely, anthropological pedagogy must go beyond rehearsing urbanicity as a strictly human quality. This article ruminates on an interdisciplinary experiment in teaching the animal city through a local project in design anthropology that coupled ethnographic fieldwork and speculative design. By empirically studying how the built environment unevenly mediates human and animal livelihoods and relations, students uncovered the possibilities of alternative architectures for nonhumans and curated them in a public design exhibition. Through research-based action, this course cultivated a body of dispositions in students that did not just expose the city’s animals but oriented them to the pursuit of multispecies justice—an ethico-aesthetic praxis that I style as “bestial urbanism.”","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"More-than-human cities"},{"word":"design anthropology"},{"word":"human-animal studies"},{"word":"the anthropology of architecture"},{"word":"environmental education"},{"word":"multispecies justice"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9684c0f1","frozenauthors":[{"first_name":"Richard","middle_name":"Alexander","last_name":"Fadok","name_suffix":"","institution":"University of Pennsylvania","department":"None"}],"date_submitted":"2023-09-20T04:57:24+01:00","date_accepted":"2023-09-20T04:57:24+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42203/galley/31512/download/"}]},{"pk":42198,"title":"Tidal Cities: Pedagogical (Mis)adventures in Game-based Visualizations of Adaptation Planning and Urban Justice","subtitle":null,"abstract":"Tidal Cities was an interdisciplinary, transnational experiment that brought together an environmental anthropologist, an urban geographer, and two landscape architects/artists. We aimed at co-creating a visualization-based pedagogical tool for contemplating and teaching manifold relations between the city and the sea, drawing on ethnographic material from Metro Manila and Jakarta. The project was designed during the COVID-19 pandemic, and its digital format integrated an immersive role play component to spark further debate among tertiary students. Players were encouraged to critically reflect on and engage with trajectories and contestations around coastal planning and urban placemaking, particularly in spaces of informality beset by recurrent flooding, tenurial insecurity, and dispossession. While engaging with the poetics and politics of 2D visual representation, we reflect on the thinking behind the game´s pedagogical co-design and a number of paradoxes that arose from two test-runs with departmental students, researchers, and teaching faculty in Bremen, Germany.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"Immersive game development"},{"word":"coastal cities"},{"word":"infrastructural politics"},{"word":"power and planning"},{"word":"visualization and the politics of representation"},{"word":"Southeast Asia"}],"section":"Commentaries","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2vh4x8t7","frozenauthors":[{"first_name":"Rapti","middle_name":"","last_name":"Siriwardane-de Zoysa","name_suffix":"","institution":"Postdoctoral researcher, Bonn Center for Dependency and Slavery Studies, University of Bonn","department":"None"},{"first_name":"Johannes","middle_name":"","last_name":"Herbeck","name_suffix":"","institution":"artec Sustainability Research Centre, University of Bremen","department":"None"},{"first_name":"Jose","middle_name":"Antonio","last_name":"Bimbao","name_suffix":"","institution":"Doctoral candidate and researcher, College of Design, Chaoyang University of Technology","department":"None"},{"first_name":"Divya","middle_name":"","last_name":"Rathod","name_suffix":"","institution":"Beirbaum Aichele Landschaftarchitekten","department":"None"}],"date_submitted":"2023-09-04T14:23:06+01:00","date_accepted":"2023-09-04T14:23:06+01:00","date_published":"2024-07-31T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42198/galley/31508/download/"}]},{"pk":19397,"title":"Esophageal Obstruction from Food Bolus Impaction Successfully Managed with the “Upright Posture, Chin Tuck, Double Swallow” Maneuver: A Case Report ","subtitle":null,"abstract":"Introduction: An attempt at medical management is often the initial step in addressing esophageal obstruction from an impacted food bolus. Medical management, however, has limited success and often requires urgent endoscopy. We present a case in which standard medical treatment failed, but a swallowing augmentation maneuver resolved the obstruction.
\nCase Report: A 67-year-old female presented with esophageal obstruction after eating steak. Transfer to higher level of care for endoscopy was initiated; however, the receiving gastroenterologist suggested an “upright posture, chin tuck, double swallow” maneuver. This immediately resolved the patient’s symptoms, and she was discharged home.
\nConclusion: This case suggests a novel, non-endoscopic technique for esophageal obstruction from food bolus impaction.
","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":"gastrointestinal"},{"word":"esophageal obstruction"},{"word":"Meat Impaction"},{"word":"Food Bolus Impaction"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0m20f3fh","frozenauthors":[{"first_name":"Matthias","middle_name":"","last_name":"Barden","name_suffix":"","institution":"Eisenhower Health, Emergency Medicine Residency Program, Rancho Mirage, California; Hi-Desert Medical Center, Department of Emergency Medicine, Joshua Tree, California","department":""},{"first_name":"Michael","middle_name":"E","last_name":"Schwartz","name_suffix":"","institution":"Desert Care Network, Section Gastroenterology, Coachella Valley, California","department":""}],"date_submitted":"2024-02-05T06:08:45.658000Z","date_accepted":"2024-05-15T19:04:47.945000+01:00","date_published":"2024-07-28T18:00:00+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/19397/galley/31057/download/"}]},{"pk":7220,"title":"Metal Pneumonitis from “Non-toxic” Decorative Cake Dust Aspiration: A Case Report ","subtitle":null,"abstract":"Introduction: Metallic luster dusts are decorative agents for cakes and other confections. While some powders are labeled “non-edible,” they are also marketed as “non-toxic.” We present a case of a child who developed acute metal pneumonitis after accidental aspiration of metallic luster dust.
\nCase Report: A four-year-old presented to the emergency department (ED) in respiratory
distress after attempting to ingest gold decorative metallic luster dust. In the ED she was placed on supplemental oxygen. Her initial chest radiograph (CXR) was unremarkable. Her condition worsened despite high-flow nasal cannula oxygen, and she was intubated. A repeat CXR revealed patchy perihilar and peribronchial opacities. While receiving aggressive ventilatory support, her CXR worsened over the next 48 hours as bilateral interstitial and alveolar opacities progressed, likely representing acute metal pneumonitis with acute respiratory distress syndrome (ARDS). She remained intubated until hospital day (HD) 5, requiring supplemental oxygen until HD 9. She was discharged home on HD 10. A CXR obtained four months later demonstrated increased interstitial markings throughout both lungs with overinflation and subsegmental atelectasis. The patient had persistent dyspnea upon exertion, with pulmonology documenting that her symptoms were likely sequelae from inhalation of the cake luster dust.
Conclusion: Non-edible metallic cake dusts are toxic. “Non-edible” labeling does not convey the health risks associated with handling by children, as evidenced by this case of metal pneumonitis with associated ARDS and chronic pulmonary disease. Accordingly, this descriptor should be abandoned for these products, and physicians should be aware of this potential complication.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"cake dust"},{"word":"bronze"},{"word":"metal pneumonitis"},{"word":"pediatric"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7xg3t40d","frozenauthors":[{"first_name":"Taylor","middle_name":"","last_name":"Sanders","name_suffix":"","institution":"Atrium Health’s Carolinas Medical Center, Department of Emergency Medicine, Division of Medical Toxicology, Charlotte, North Carolina; Louisiana State University Health Sciences Center, School of Medicine, Emergency Medicine Residency Program, Baton Rouge Campus, Baton Rouge, Louisiana","department":""},{"first_name":"Mitchell","middle_name":"","last_name":"Hymowitz","name_suffix":"","institution":"Louisiana State University Health Sciences Center, School of Medicine, Emergency Medicine Residency Program, Baton Rouge Campus, Baton Rouge, Louisiana","department":""},{"first_name":"Christine","middle_name":"","last_name":"Murphy","name_suffix":"","institution":"Atrium Health’s Carolinas Medical Center, Department of Emergency Medicine, Division of Medical Toxicology, Charlotte, North Carolina","department":""}],"date_submitted":"2024-01-20T21:31:20.573000Z","date_accepted":"2024-05-15T18:58:11.717000+01:00","date_published":"2024-07-28T17:30:00+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7220/galley/30153/download/"}]},{"pk":20340,"title":"Contrast Agent Pooling in the Descending Aorta Due to Severe Heart Failure","subtitle":null,"abstract":"Case presentation: An 86-year-old female presented to our emergency department with chest pain and orthopnea and was diagnosed with heart failure and ST-elevation myocardial infarction, prompting hospitalization. During hospitalization, she developed a fever. A chest and abdominal contrast-enhanced computed tomography (CT), conducted to investigate the cause of the fever, coincidentally revealed sedimentation of contrast agent in the descending aorta. To differentiate from aortic dissection, we conducted dynamic CT, and it was confirmed that the contrast agent within the aorta decreased over time. On the same day, an echocardiogram revealed a left ventricular ejection fraction of 36% with reduced contractile function, and a stagnant, hazy echo within the descending aorta.
\nDiscussion: In aortic dissection, the retention of contrast agent in the false lumen of the aorta is a crucial finding for diagnosis. However, we experienced a case where contrast agent accumulated in the descending aorta, caused by low ejection fraction of the left ventricle. Differential diagnosis from aortic dissection may be possible due to the gradual decrease in contrast agent over time. This case is valuable to report given the limited number of previous reports on this phenomenon.
","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":"Heart Failure"},{"word":"contrast agent pooling"},{"word":"Aortic Dissection"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/76b3d8dh","frozenauthors":[{"first_name":"Yosuke","middle_name":"","last_name":"Maezawa","name_suffix":"","institution":"Mito Kyodo General Hospital, Department of Internal Medicine, University of Tsukuba, Mito, Japan","department":""},{"first_name":"Kazuya","middle_name":"","last_name":"Nagasaki","name_suffix":"","institution":"Mito Kyodo General Hospital, Department of Internal Medicine, University of Tsukuba, Mito, Japan","department":""},{"first_name":"Hiroyuki","middle_name":"","last_name":"Kobayashi","name_suffix":"","institution":"Mito Kyodo General Hospital, Department of Internal Medicine, University of Tsukuba, Mito, Japan","department":""},{"first_name":"Shunsuke","middle_name":"","last_name":"Sakai","name_suffix":"","institution":"Mito Kyodo General Hospital, Department of Cardiology, University of Tsukuba, Mito, Japan","department":""},{"first_name":"Toshiyuki","middle_name":"","last_name":"Irie","name_suffix":"","institution":"Mito Kyodo General Hospital, Department of Radiology, University of Tsukuba, Mito, Japan","department":""}],"date_submitted":"2024-03-13T04:21:33.837000Z","date_accepted":"2024-05-15T18:56:30.248000+01:00","date_published":"2024-07-26T17:00:00+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20340/galley/30163/download/"}]},{"pk":6604,"title":"Defining Graduate Academic Yiddish Proficiency: Results of an Evidence-Based Study","subtitle":null,"abstract":"In the field of second language pedagogy, it has become increasingly common to consider the real-world usage for language when strategizing goals and curriculum development for language instruction. Emerging from a reverse design perspective, which prioritizes desired outcomes as a starting place for curricular design, language instructors identify and define the knowledge, skills, and abilities (KSAs) they aim for their students to acquire. In cases in which existing proficiency guidelines are not well aligned with the real-world language use that a particular course is targeting, it is becoming increasingly common for instructors to design Languages for Special Purposes (LSP) courses that reflect the unique uses certain bodies of students may have for the language. This paper considers one such case, that of Yiddish for Academic Purposes. Using domain analysis, a multidimensional research framework that supports and undergirds the development of new LSP courses in an assessment-driven proficiency-oriented reverse design framework and evidence-centered design (ECD), this study presents a series of target KSAs for Yiddish for Academic Purposes, on the basis of which curriculum developers could build assessments and subsequently curricula aligned with one another and with the specific language usage unique to the real-world language use domain of graduate academic Yiddish. This process of domain analysis could be replicated for other languages when academic usage is considered as a specific purpose for which an LSP course could be developed. This study is particularly relevant to the development of LSP courses for less commonly taught languages (LCTLs), which tend to be under-resourced and under-researched. Examining academic applications of LCTLs is particularly essential for those languages for which there are fewer, or more constrained, other “real world” applications for the language outside of academic use than there are for more commonly spoken languages.
","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":[{"word":"YiddishLSP"},{"word":"LCTL"},{"word":"Curricular Design"},{"word":"Reverse Design"},{"word":"Yiddish"},{"word":"LSP"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/43z6x4cb","frozenauthors":[{"first_name":"Jessica","middle_name":"Anne","last_name":"Kirzane","name_suffix":"","institution":"University of Chicago","department":"Department of Germanic Studies"}],"date_submitted":"2023-12-04T18:17:04.225000Z","date_accepted":"2024-06-04T21:25:03.922000+01:00","date_published":"2024-07-23T21:00:00+01:00","render_galley":{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/6604/galley/23861/download/"},"galleys":[{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/6604/galley/19199/download/"},{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/6604/galley/23861/download/"}]},{"pk":42211,"title":"Review of Fresh Fruit, Broken Bodies (2023) and First Time Home (2021) by Seth M. Holmes","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\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":"migrant workers"},{"word":"Farmworkers"},{"word":"agricultural labor"},{"word":"migration"},{"word":"health"}],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1zz9s7s3","frozenauthors":[{"first_name":"Jennifer","middle_name":"E.","last_name":"Shaw","name_suffix":"","institution":"Thompson Rivers University","department":"None"}],"date_submitted":"2024-04-24T22:48:01+01:00","date_accepted":"2024-04-24T22:48:01+01:00","date_published":"2024-07-23T00:15:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42211/galley/31515/download/"}]},{"pk":46067,"title":"Exostosin 2 Associated Membranous Nephropathy","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"Clinical Vignette"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0dc8w0bg","frozenauthors":[{"first_name":"Ying","middle_name":"","last_name":"Luu","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Chen","middle_name":"","last_name":"Xie","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-07-19T17:20:27+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46067/galley/34799/download/"}]},{"pk":1886,"title":"Automated grading workflows for providing personalized feedback to open-ended data science assignments","subtitle":null,"abstract":"Open-ended assignments - such as lab reports and semester-long projects - provide data science and statistics students with opportunities for developing communication, critical thinking, and creativity skills. However, providing grades and qualitative feedback to open-ended assignments can be very time consuming and difficult to do consistently across students. In this paper, we discuss the steps of a typical grading workflow and highlight which steps can be automated in an approach that we define as an automated grading workflow. We illustrate how gradetools, a new R package, implements this approach within RStudio to facilitate efficient and consistent grading while providing individualized feedback. We hope that this work will help the community of data science and statistics educators use gradetools as their grading workflow assistant or develop their own tools for assisting their grading workflow.
","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.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Data Science Education"},{"word":"Statistics Education"},{"word":"Efficient Grading"},{"word":"R"},{"word":"formative assessment"},{"word":"Fair Grading"}],"section":"Technology Innovations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8ck097s5","frozenauthors":[{"first_name":"Federica Zoe","middle_name":"","last_name":"Ricci","name_suffix":"","institution":"UC Irvine","department":""},{"first_name":"Catalina","middle_name":"Mari","last_name":"Medina","name_suffix":"","institution":"University of California, Irvine","department":"None"},{"first_name":"Mine","middle_name":"","last_name":"Dogucu","name_suffix":"","institution":"UC Irvine","department":""}],"date_submitted":"2023-08-18T02:14:12+01:00","date_accepted":"2024-07-19T16:47:18.300000+01:00","date_published":"2024-07-19T08:00:00+01:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/tise/article/1886/galley/22137/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/tise/article/1886/galley/22137/download/"}]},{"pk":31052,"title":"Test July 18th 1013423","subtitle":"1013423","abstract":"1013423","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":"Article","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Justin","middle_name":"","last_name":"Gonder","name_suffix":"","institution":"University of California, Office of the President","department":"California Digital Library"}],"date_submitted":null,"date_accepted":"2024-07-18T20:23:47+01:00","date_published":"2024-07-18T20:47:00+01:00","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/demo/article/31052/galley/22134/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/demo/article/31052/galley/22134/download/"}]},{"pk":18574,"title":"Impact of Medical Trainees on Efficiency and Productivity in the Emergency Department: Systematic Review and Narrative Synthesis","subtitle":null,"abstract":"Introduction: Effective medical education must balance clinical service demands for institutions and learning needs of trainees. The question of whether these are competing demands or can serve complementary roles has profound impacts on graduate medical education, ranging from funding decisions to the willingness of community-based hospitals and physicians to include learners at their clinical sites. Our objective in this article was to systematically review the evidence on the impact of medical trainees on productivity and efficiency in the emergency department (ED).
\nMethods: We queried PubMed, Embase, Scopus, and Web of Science from earliest available dates to March 2023. We identified all studies evaluating the impact of medical students and/or residents in the ED on commonly used productivity and efficiency metrics. Only studies in EDs in the United States were included. No additional filters were used. We assessed the risk of bias of included studies using the Risk of Bias in Non-randomized Studies – of Interventions (ROBINS-I) tool. Certainty of evidence was rated using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. Study findings were combined in a narrative synthesis and reported according to PRISMA guidelines.
\nResults: The literature search yielded 3,390 unique articles for abstract screening. Eighty-one abstracts were identified as relevant to our PICO question (population, intervention, control, and outcomes), 76 of which had retrievable full-text articles and the themes of which were discussed in a narrative synthesis. We selected 13 of the full-text articles for final inclusion in a systematic review. Studies were roughly split between observational (6) and quasi-experimental (7) designs. The majority of studies (11) were single-site studies. Only two studies could be graded as low risk of bias per the ROBINS-I tool.
\nConclusion: Low-GRADE evidence suggests that students and residents decrease ED efficiency by a statistically small effect size of debatable clinical importance. Residents provide a moderate boost to ED productivity. Students do not produce a statistically or clinically significant impact on ED productivity. Residents increase emergency department relative value units revenue by $26.30 an hour, while students have no impact. Both types of learners decrease efficiency.
","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":"Medical Education"},{"word":"Emergency Department Operations"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6j4973xw","frozenauthors":[{"first_name":"Jake","middle_name":"","last_name":"Valentine","name_suffix":"","institution":"University of Houston, Tilman J. Fertitta Family College of Medicine, Houston, Texas","department":""},{"first_name":"Jonathan","middle_name":"","last_name":"Poulson","name_suffix":"","institution":"HCA Houston Healthcare, Kingwood, Kingwood, Texas","department":""},{"first_name":"Jesus","middle_name":"","last_name":"Tamayo","name_suffix":"","institution":"The University of North Texas Health Science Center, Fort Worth, Texas","department":""},{"first_name":"Amanda","middle_name":"","last_name":"Valentine","name_suffix":"","institution":"University of Texas Health Science Center at Houston, Houston, Texas","department":""},{"first_name":"Jacqueline","middle_name":"","last_name":"Levesque","name_suffix":"","institution":"University of Houston, Tilman J. Fertitta Family College of Medicine, Houston, Texas","department":""},{"first_name":"Shane","middle_name":"","last_name":"Jenks","name_suffix":"","institution":"HCA Houston Healthcare, Kingwood, Kingwood, Texas","department":""}],"date_submitted":"2023-11-13T22:36:34Z","date_accepted":"2024-03-01T18:35:49.285000Z","date_published":"2024-07-18T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18574/galley/22133/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18574/galley/10890/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18574/galley/22133/download/"}]},{"pk":7216,"title":"Point-of-Care Ultrasound for Earlier Detection of Pediatric Pneumonia","subtitle":null,"abstract":"Case Presentation: An 8-month-old infant presented to a general emergency department with chief complaints of rhinorrhea, decreased activity, and fever. A point-of-care lung ultrasound (LUS) was performed at bedside with potential early findings of pneumonia. Based on these findings on LUS, a chest radiograph (CXR) was ordered and performed with no acute findings. He was discharged without antibiotics based on these findings; unfortunately, he returned two days later with worsening symptoms requiring chest tube placement, mechanical ventilation, and prolonged hospitalization for complicated bacterial pneumonia.
\nDiscussion: Pneumonia is a major cause of pediatric morbidity and mortality worldwide. Despite evidence supporting the utilization of LUS for the diagnosis of pediatric pneumonia, CXR remains the default imaging for clinical decision-making in most settings. In this case, earlier antibiotics and higher reliance on LUS for clinical decision-making may have prevented the morbidity associated with this hospitalization.
","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":"pneumonia"},{"word":"Lung ultrasound"},{"word":"Chest x-ray"},{"word":"pediatrics"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/60m4j454","frozenauthors":[{"first_name":"John","middle_name":"H.","last_name":"Priester","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":"Department of Emergency Medicine"},{"first_name":"Prasanna","middle_name":"","last_name":"Kumar","name_suffix":"","institution":"Brown University/Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island","department":""},{"first_name":"Jesse","middle_name":"","last_name":"Naumann","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Katherine","middle_name":"","last_name":"Dolbec","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Peter","middle_name":"","last_name":"Weimersheimer","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont","department":""},{"first_name":"Christian","middle_name":"D.","last_name":"Pulcini","name_suffix":"","institution":"University of Vermont, Larner College of Medicine, Department of Emergency Medicine, Burlington, Vermont; University of Vermont, Larner College of Medicine, Department of Pediatrics, Burlington, Vermont","department":"Emergency Medicine & Pediatrics"}],"date_submitted":"2024-01-25T22:33:02.381000Z","date_accepted":"2024-04-11T23:52:00.394000+01:00","date_published":"2024-07-18T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7216/galley/22136/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7216/galley/10906/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7216/galley/22136/download/"}]},{"pk":6590,"title":"Tension Pyopneumothorax in an Immunocompetent Adolescent: A Case Report","subtitle":null,"abstract":"Introduction: Tension pyopneumothorax is a rare, life-threatening condition that occurs as a complication of intrathoracic infection or bronchopleural fistula. In the few cases reported in the literature, the patients typically have multiple comorbidities, underlying lung disease, and/or an immunocompromised state.
\nCase Report: This case describes tension pyopneumothorax in a previously healthy adolescent male with no existing risk factors for this disease. After emergent stabilization and admission, surgical exploration of the chest revealed no fistulas or pleural defects. Extensive workup did not show any underlying risk factors for development of this condition.
\nConclusion: This case of pyopneumothorax with progression to tension physiology is exceedingly rare. Uniquely, the patient had no underlying medical or anatomical predisposition to developing this condition. The case also emphasizes pediatric patients’ capacity to compensate in the setting of critical illness.
","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":"Tension pyopneumothorax"},{"word":"empyema"},{"word":"thoracostomy"},{"word":"case report"},{"word":"pediatrics"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3vv40482","frozenauthors":[{"first_name":"Elizabeth","middle_name":"","last_name":"May-Smith","name_suffix":"","institution":"Jackson Memorial Hospital, Department of Emergency Medicine, Miami, Florida","department":""},{"first_name":"Marc","middle_name":"","last_name":"Olshan","name_suffix":"","institution":"Jackson Memorial Hospital, Department of Emergency Medicine, Miami, Florida","department":""},{"first_name":"Mark","middle_name":"","last_name":"Supino","name_suffix":"","institution":"Jackson Memorial Hospital, Department of Emergency Medicine, Miami, Florida","department":""}],"date_submitted":"2023-11-28T22:13:34.626000Z","date_accepted":"2024-04-08T20:39:46.729000+01:00","date_published":"2024-07-18T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6590/galley/22135/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6590/galley/10908/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6590/galley/22135/download/"}]},{"pk":29619,"title":"La recepción del Rāmāyaṇa en español: tres variantes de representación (1860-1880)","subtitle":null,"abstract":"El Rāmāyaṇa fue una de las primeras obras de la literatura clásica de India que llamó la atención del orientalismo europeo. Durante la segunda mitad del siglo XIX, este interés alcanzó también a los círculos intelectuales hispanos, como dan cuenta traducciones indirectas, reseñas, notas periodísticas y otros documentos publicados de manera casi simultánea en España, Argentina y México. Este trabajo reúne y estudia por primera vez esos materiales y reconstruye el proceso de recepción del Rāmāyaṇa en el mundo de habla hispana durante los años 1860-1880, identificando tres variantes de representación asociadas con tres figuras: en España, Manuel de la Revilla, cuyo acercamiento al Rāmāyaṇa se adhiere a la interpretación racial en boga en países como Alemania, Francia e Italia; en Argentina, Lucio Vicente López, quien da muestras de un sutil distanciamiento respecto a dicha interpretación; en México, José González de la Torre, quien da un paso más allá y ofrece una lectura abiertamente nacionalista del Rāmāyaṇa. Juntos, estos testimonios ponen de manifiesto un episodio fundamental, pero a la fecha ignorado, del orientalismo hispanohablante por el que India adquirió una función simbólica bien delineada.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Orientalismo"},{"word":"Rāmāyaṇa"},{"word":"India en el mundo hispanohablante"},{"word":"Manuel de la Revilla"},{"word":"Lucio Vicente López"},{"word":"José González de la Torre"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8x64b17s","frozenauthors":[{"first_name":"Oscar","middle_name":"","last_name":"Figueroa","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-07-15T22:07:59.100000+01:00","date_accepted":"2024-07-18T04:19:27.711000+01:00","date_published":"2024-07-18T04:20:04.640000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/29619/galley/22112/download/"}]},{"pk":31026,"title":"The Ego Conquiro as the Paradigm of Modern Imperialism and its Violence Against the Struggle for Epistemic Justice","subtitle":null,"abstract":"This article begins with a discussion of the implications of Enrique Dussel’s “I conquer, therefore I am” (ego conquiro) thesis as the paradigm of modern imperialism. According to Dussel, underlying the “myth of modernity” (mito de la modernidad) is an epistemological structure of a substantive ego that naturalizes European colonial expansion. Dussel admits that the “I conquer, therefore, I am” thesis began earlier than Descartes’s account of the cogito, which was theorized after the Spanish colonization of the Americas, but the substantive “I” that constitutes the ego conquiro nonetheless represents a theory of knowledge that served and continues to serve the political domination of bodies that have been historically victimized. Couched within the epistemic structure of Descartes’s cogito is a duality between soul and matter, where the former represents an immortal substance detached from the body, taken to be the recipe for rational truth, while the latter is reduced to a quantifiable object occupying a “zero-point” geometrical space. But the cogito became the epistemological standpoint that allowed for the justification of the many hidden forms of domination around the world, because it masks the social, economic, and geopolitical contexts and their history to the modern subject. This article will investigate the ego conquiro thesis and its link to epistemic violence, namely, epistemic racism and epistemicide, and will argue as a concluding point for a method of resistance that foregrounds philosophical pluralism to disrupt the internalization of the epistemologies of the Global North as the common-sense position(s) of today.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Ego Conquiro; Modern Imperialism; Decolonial Resistance; Capitalist Modernity; Transmodern Pluralism"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/16w6d98r","frozenauthors":[{"first_name":"Dennis","middle_name":"L","last_name":"Stromback","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-07-17T23:33:41.093000+01:00","date_accepted":"2024-07-18T04:18:10.811000+01:00","date_published":"2024-07-18T04:18:56.241000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31026/galley/22129/download/"}]},{"pk":31027,"title":"Entre humano y no humano: las cosmovisiones amazónicas en murales de Amazonarte Perú y el caso de Pucallpa ","subtitle":null,"abstract":"En las cosmovisiones amazónicas, el equilibrio en las relaciones entre humanos y no humanos es central para el bienestar de las comunidades más-que-humanas, lo cual coincide con movimientos ambientalistas actuales. Lamentablemente, no hay suficientes estudios sobre las cosmovisiones amazónicas en medios urbanos como, por ejemplo, murales. En este artículo, analizo una selección de murales de artistas de orígenes diversos reunidos por la asociación Amazonarte Perú y ubicados en la ciudad amazónica de Pucallpa. Sostengo que, cuando los murales son entendidos desde las mismas cosmovisiones amazónicas y el perspectivismo amerindio que las sintetiza, revelan una original resiliencia socioecológica por los derechos culturales y territoriales de los pueblos indígenas amazónicos. Los murales no solo superan la dicotomía naturaleza/cultura y son el resultado de alianzas entre indígenas y no indígenas, sino que también trascienden el concepto de “representación” al mostrar y materializar la subjetividad y la agencia de los no humanos a través del arte urbano.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"murales; amazonía; no humano; cosmovisión amazónica"},{"word":"resiliencia"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5xp638m7","frozenauthors":[{"first_name":"Katia","middle_name":"","last_name":"Yoza-Mitsuishi","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-17T23:50:05.751000+01:00","date_accepted":"2024-07-18T04:15:47.897000+01:00","date_published":"2024-07-18T04:16:38.397000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31027/galley/22128/download/"}]},{"pk":31028,"title":"Espectadores viajeros: La cinegrafía como herramienta narrativa en las obras de Alberto Fuguet y Antonio José Ponte","subtitle":null,"abstract":"La cinegrafía es una técnica literaria que combina elementos visuales del cine con las capacidades narrativas de la ficción escrita. Este método crea obras que fomentan un diálogo entre el cine y la literatura. La cinegrafía incluye una metodología literaria que abarca la visualización, la experimentación y el cuestionamiento de la cultura cinematográfica. En este artículo, se examinan modos cinegráficos en la ficción latinoamericana, enfocándose en el trabajo de dos autores contemporáneos: Alberto Fuguet de Chile y Antonio José Ponte de Cuba. En Las películas de mi vida (2003) de Fuguet y La fiesta vigilada (2007) de Ponte, la cinegrafía se emplea para reflexionar sobre la representación cultural en contextos migratorios y políticos. Ambos escritores utilizan sus experiencias personales e introspectivas para explorar las relaciones entre el cine, la identidad y la sociedad.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Cinegrafía"},{"word":"intermedialidad"},{"word":"cultura fílmica"},{"word":"ficción latinoamericana"},{"word":"representación cultural"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9r3749mk","frozenauthors":[{"first_name":"Rojo","middle_name":"","last_name":"Robles","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-07-17T23:58:51.100000+01:00","date_accepted":"2024-07-18T04:13:42.744000+01:00","date_published":"2024-07-18T04:14:50.979000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31028/galley/22127/download/"}]},{"pk":31029,"title":"Entre las dos Coreas: la formulación de la identidad (trans)nacional de la comunidad “coreana” de Cuba en Jerónimo (2019)","subtitle":null,"abstract":"Este artículo explora el proceso de la diáspora coreana en Cuba mediante el análisis textual del largometraje Jerónimo (2019, Joseph Juhn). Aquí se aborda la idea de la diáspora como un fenómeno transnacional, en tanto que se trata de las vivencias de bloques poblacionales que residen en un territorio, mientras continúan manteniendo alguna forma de conexión con su estado de origen. Los inmigrantes coreanos en Cuba presentan particularidades en su formulación identitaria debido a la compleja relación con las dos Coreas.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Jerónimo Lim Kim"},{"word":"diáspora coreana"},{"word":"Cuba"},{"word":"Dan-il-min-jok"},{"word":"Corea del Sur"},{"word":"Corea del Norte"},{"word":"identidad nacional"},{"word":"identidad transnacional."}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/70v6t4z2","frozenauthors":[{"first_name":"Sohyun","middle_name":"","last_name":"Lee","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-07-18T00:06:57.510000+01:00","date_accepted":"2024-07-18T04:12:00.668000+01:00","date_published":"2024-07-18T04:13:09.448000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31029/galley/22126/download/"}]},{"pk":31030,"title":"Chile como “tierra de promisión” para españoles en Diario de un emigrante, de Miguel Delibes","subtitle":null,"abstract":"Se propone analizar la representación del proceso emigratorio España - Chile - España en la novela Diario de un emigrante (1958) de Miguel Delibes (1920-2010). Después de efectuar una somera reseña biobibliográfica del escritor, con ejemplos extraídos de la ficción novelesca en estudio, el contenido del artículo se distribuye en seis apartados, en los que se refiere la recreación literaria de los factores causales de la emigración de españoles hacia Chile, las actividades laborales que desempeñan el protagonista y su esposa en el país de destino, los recuerdos que asedian a los emigrantes mientras permanecen fuera del solar nativo; la nostalgia por el lugar de origen y los seres queridos que permanecen en él, las reflexiones sobre la pertinencia del viaje emigratorio y el deseo de retornar. Dicha aspiración solo logra concretarse al término de la novela, lo que evidencia una fecunda recreación literaria del fenómeno sociológico que le sirvió de base.Las problemáticas sociales derivadas del movimiento de personas motivan que algunos novelistas españoles, de similar manera a lo que ocurre con los nacionales de otros países, en sus creaciones narrativas aborden, de una manera directa o tangencial, el fenómeno sociológico de la migración y lo hacen como parte de una tendencia literaria propia de los años cincuenta “cuando el neorrealismo evolucionó hacia un realismo de denuncia social, está cumplidamente demostrada la voluntad de los novelistas por testimoniar la realidad cotidiana que los periódicos, sometidos con rigor a la censura previa, no estaban en condiciones de difundir” (Villanueva).
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"emigración internacional"},{"word":"retorno"},{"word":"migración laboral"},{"word":"Miguel Delibes"},{"word":"destino"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5th1386k","frozenauthors":[{"first_name":"Yovany","middle_name":"","last_name":"Salazar","name_suffix":"","institution":"","department":""},{"first_name":"Marcelo","middle_name":"","last_name":"Leon","name_suffix":"","institution":"Universidad ECOTEC","department":""}],"date_submitted":"2024-07-18T00:16:07.547000+01:00","date_accepted":"2024-07-18T04:10:40.267000+01:00","date_published":"2024-07-18T04:11:30.832000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31030/galley/22125/download/"}]},{"pk":31031,"title":"El legado colonial en las representaciones culturales de las mujeres afrodescendientes en el contexto de Abya Yala","subtitle":null,"abstract":"Este artículo examina cómo se construyeron culturalmente las representaciones de las mujeres afrodescendientes en el contexto del régimen esclavista en Abya Yala. Las preguntas centrales que guían este análisis son: ¿De qué manera se representaron los cuerpos de las mujeres afrodescendientes en la colonia? ¿Y cómo se relacionaron estas representaciones con el Proyecto de Modernidad, entendido como el proceso histórico que jerarquizó a la sociedad según el color de la piel, el género y el nivel socioeconómico, influyendo en los sistemas de opresión colonial? Abordar estas cuestiones implica superar obstáculos en la investigación, especialmente el desafío de hallar fuentes dedicadas al estudio de la Abya Yala Negra. Sin embargo, mediante el análisis de obras como Cecilia Valdés de Cirilo Villaverde y El engaño de las razas de Fernando Ortiz, este estudio profundiza en cómo las literaturas de ficción y no ficción reflejan y cuestionan las representaciones de las mujeres afrodescendientes en las colonias hispanas. Estas obras revelan las complejas capas de la mentalidad supremacista blanca y su influencia en los imaginarios culturales y sociales, revelando, por ejemplo, la exotización de la mujer racializada como mulata. Por ende, este estudio nos acerca a historias marginadas que ofrecen una comprensión más profunda de la vida de las mujeres esclavizadas en el contexto colonial y su resonancia en nuestros días. Se busca contribuir al análisis histórico y cultural de las comunidades racializadas.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Abya Yala negra; cultura; mujer; colonialismo; estudios culturales; esclavitud"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0zd750m3","frozenauthors":[{"first_name":"Carolina","middle_name":"","last_name":"Julio-Gómez","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T00:22:13.917000+01:00","date_accepted":"2024-07-18T04:09:10.710000+01:00","date_published":"2024-07-18T04:09:55.315000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31031/galley/22124/download/"}]},{"pk":31032,"title":"La literatura marfileña en español. Una historia panafricana y anticolonial a través de un nuevo campo de estudio para el hispanismo","subtitle":null,"abstract":"Este artículo aborda las diferentes generaciones de la literatura de Costa de Marfil en lengua española apoyándose en tres puntos fundamentales. Por un lado, se destaca la imposibilidad de comprender esta literatura sin considerar las arraigadas relaciones históricas entre el hispanismo y África Occidental. Por otro lado, se razona sobre la necesidad de transcender una lectura tradicional que se centre exclusivamente en su condición de “literatura africana de expresión castellana”, sin considerar su profundo componente crítico y antirracista. De igual manera, es imprescindible tener en cuenta las dinámicas que comparte con la literatura marfileña en francés, que se apoya igualmente en relatos de contenido panafricano y anticolonial. A través de un enfoque interdisciplinario que integra teoría literaria, historia cultural y estudios postcoloniales, los autores analizan obras de escritores marfileños que utilizan la lengua española como medio de resistencia anticolonial y reafirmación identitaria. Este corpus literario desafía las narrativas eurocéntricas y enriquece el campo del hispanismo con perspectivas africanas, subrayando la importancia de una memoria histórica compartida y de una identidad panafricana. Esta investigación abre nuevas rutas teóricas para el estudio de la literatura africana en español. Los hallazgos evidencian cómo estas obras literarias contribuyen a la reconfiguración de una narrativa transmoderna inclusiva y diversa. El artículo destaca la necesidad de expandir los límites del hispanismo, no solo para incorporar voces africanas sino para leerlo de manera crítica, fomentando un diálogo intercultural más equitativo y completo.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Racismo"},{"word":"Literatura Africana"},{"word":"Costa de Marfil"},{"word":"Diaspora"},{"word":"hispanismo"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0nw044q0","frozenauthors":[{"first_name":"José Manuel","middle_name":"","last_name":"Maroto Blanco","name_suffix":"","institution":"Other","department":""},{"first_name":"Bi","middle_name":"Drombé","last_name":"Djuandé","name_suffix":"","institution":"","department":""},{"first_name":"Karidjatou","middle_name":"","last_name":"Diallo","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T00:32:15.864000+01:00","date_accepted":"2024-07-18T04:07:24.859000+01:00","date_published":"2024-07-18T04:08:15.360000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31032/galley/22123/download/"}]},{"pk":31034,"title":"27 May 1977 in Luanda. The Novels of José Luis Mendonça –(Collective) Violence and its Affective Memory","subtitle":null,"abstract":"José Luis Mendonça is a journalist and writer, based in Luanda, Angola. He is primarily a poet and has published at least eighteen poetry volumes until now. Mendonça also wrote two novels, in which (collective) violence and its affective memory in Luanda play a crucial role. In O reino das casuarinas (2014), he expands on the urban scenario in 1987 during one month in times of the Cold War, repeatedly looking back to the decade before. And in As metamorfoses do elefante (2022), he describes ten days in 2020, when a mysterious epidemic stagnates quotidian routines in Luanda. The author’s hyperbolic style and irony, together with his almost encyclopedic knowledge of popular music, give to his texts most varied and grotesque insides into the city’s cultural and political history. It is not a coincidence, that his plots are organized around the occurrences of 27 May 1977, an important date for signaling the path toward peaceful democratization in Angola.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Cultural History of Luanda; 27 May 1977; (Collective) Violence; Affective Memory; Traumatic Silence and Isolation"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2ss7625k","frozenauthors":[{"first_name":"Ineke","middle_name":"W.","last_name":"Phaf-Rheinberger","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-07-18T00:38:53.876000+01:00","date_accepted":"2024-07-18T04:05:34.740000+01:00","date_published":"2024-07-18T04:06:25.717000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31034/galley/22122/download/"}]},{"pk":31035,"title":"Ecos del Quijote en Cuando a Guinea se iba por mar (2019) de Juan Tomás Ávila Laurel","subtitle":null,"abstract":"Juan Tomás Ávila Laurel, en su novela Cuando a Guinea se iba por mar (2019), crea una versión nueva del clásico español, Don Quijote; en lugar de La Mancha durante el siglo XVI, estamos en Guinea Ecuatorial en los años cincuenta, hacia finales del periodo colonial español en ese país. En este ensayo, argumento que el uso de la ironía, las historias intercaladas y el “héroe” tan inepto que hace de protagonista en el libro de Ávila Laurel son ecos directos e intencionados de la obra cervantina, ahora traspasados a una geografía africana y un contexto colonial. Esta reflexión analiza elementos de la obra de Ávila Laurel para concluir que en Cuando a Guinea se iba por mar se lleva a cabo un proceso de apropiación, con fines transgresores, de la novela cervantina. A través de esta apropiación, el autor realiza una inversión del concepto de una literatura canónica en español, que siempre favorece a la literatura peninsular, especialmente del llamado Siglo de Oro. Precisamente este ensayo propone una interpretación nueva del legado de Don Quijote en la literatura hispanoafricana y, de manera más ambiciosa, sugiere la necesidad de enmarcar los estudios cervantinos dentro el campo del Global Hispanophone.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"Don Quijote"},{"word":"Cuando a Guinea se iba por mar"},{"word":"Cervantes"},{"word":"Juan Tomás Ávila Laurel"},{"word":"Siglo de Oro"},{"word":"Global Hispanophone"},{"word":"literatura canónica"},{"word":"literatura hispanoafricana"},{"word":"categorías raciales"},{"word":"ironía"},{"word":"colonialismo"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/84g6242t","frozenauthors":[{"first_name":"Rachel","middle_name":"C","last_name":"Williams","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-07-18T00:45:17.727000+01:00","date_accepted":"2024-07-18T04:03:14.741000+01:00","date_published":"2024-07-18T04:04:43.650000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31035/galley/22121/download/"}]},{"pk":31038,"title":"Mahmud Traoré y el desafío al discurso hegemónico sobre la representación de la migración subsahariana en España","subtitle":null,"abstract":"Este ensayo reflexiona sobre la representación de la figura del inmigrante subsahariano y del tránsito migratorio entre África y España en el imaginario colectivo español de la última década. Se analiza desde una perspectiva crítica la película Adú (Salvador Calvo, 2020) como ejemplo de contribución cultural que se enmarca en el discurso hegemónico de la representación de la otredad en el contexto español. En contraposición, se propone un estudio comparativo con relatos testimoniales que sirven de contraargumentación al discurso hegemónico: el texto Partir para contar: un clandestino africano rumbo a Europa (Pepitas de Calabaza, 2014) y el documental Samba, un nombre borrado (Mariano Agudo, 2017), ambos vinculados a la experiencia de Mahmud Traoré, un joven senegalés que llegó a Europa en 2005 tras saltar la valla de Ceuta. Estos relatos, ofrecen una representación alternativa de la experiencia migratoria que cuestiona el discurso oficial y se configuran como un caso paradigmático que rechaza el mensaje disuasorio predominante en los medios de comunicación y en los productos culturales para el público de masas, revirtiendo los códigos de representación basados en la victimización de los migrantes.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"migración"},{"word":"subsaharianos"},{"word":"porno-miseria"},{"word":"hegemonía"},{"word":"representación"},{"word":"desafío"},{"word":"Mahmud Traoré; Adú"},{"word":"Partir para contar"},{"word":"Samba"},{"word":"un nombre borrado."}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/55q4h777","frozenauthors":[{"first_name":"Alicia","middle_name":"","last_name":"Piñar-Díaz","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T02:46:07.968000+01:00","date_accepted":"2024-07-18T04:01:28.033000+01:00","date_published":"2024-07-18T04:02:19.712000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31038/galley/22120/download/"}]},{"pk":31036,"title":"El viaje en la obra El porteador de Marlow/Canción negra sin color de César Mba Abogo. Aguas, desplazamientos y resistencias","subtitle":null,"abstract":"A partir de la obra El porteador de Marlow/Canción negra sin color de César Mba Abogo, pretendo identificar episodios de resistencias en donde el océano y los desplazamientos son permanentes configuradores de subjetividades para personas en vulnerabilidad social que han nacido en determinados lugares del Sur Global, eternizando su condición de cuerpo periférico allí por donde se desplace. Emplearé como metodología la literatura comparada en tanto habilita la posibilidad de abordar intertextos desde otras disciplinas, como la historia, la antropología, la geografía, a la vez que se entrelazan diversos autores provenientes del continente africano.
","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[{"word":"viaje; aguas; desplazamiento; resistencias"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/39r8p2pb","frozenauthors":[{"first_name":"Pablo","middle_name":"","last_name":"Blanco","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-07-18T00:49:53.278000+01:00","date_accepted":"2024-07-18T03:58:48.301000+01:00","date_published":"2024-07-18T03:59:38.299000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31036/galley/22119/download/"}]},{"pk":24855,"title":"Entrevista a Youssef El Maimouni","subtitle":null,"abstract":"Youssef El Maimouni, autor de las novelas Cuando los montes caminen (2021) y Nadie salva a las rosas (2023), nos acompaña hoy para hablar sobre su trayectoria y sus obras. En Cuando los montes caminen, El Maimouni nos ofrece una desgarradora novela histórica ambientada en la Guerra Civil Española, donde seguimos a Yusuf Albartugui, un joven marroquí que se alista en las tropas moras del ejército de Franco y descubre las crueles realidades de la guerra y la opresión. Por otro lado, Nadie salva a las rosas es un thriller contemporáneo que se mueve entre Casablanca y Barcelona, y aborda temas de discriminación y violencia a través de la trágica historia de Rihanna, una joven trans marroquí brutalmente asesinada. Inspirado por autores como Mohamed Chukri, Youssef encontró en la escritura una manera de explorar y expresar las complejidades de las identidades transfronterizas. Su dedicación no solo se refleja en su obra literaria, sino también en su labor profesional como educador social, trabajando en proyectos para jóvenes. Ambas novelas forman parte de la trilogía de la discriminación, un conjunto de obras que exploran las experiencias de la diáspora y el entorno multicultural.
","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.\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":"Literatura de inmigración"},{"word":"Cuestiones identitarias"},{"word":"Segunda generación"}],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3qz9v2b5","frozenauthors":[{"first_name":"Zahra","middle_name":"","last_name":"El Morabit Sghire","name_suffix":"","institution":"Ghent University","department":"Literary Department"}],"date_submitted":"2024-06-13T12:15:07.282000+01:00","date_accepted":"2024-07-18T03:56:07.930000+01:00","date_published":"2024-07-18T03:56:50.251000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/24855/galley/22110/download/"}]},{"pk":31037,"title":"An Interview with Novelist Joe Rodríguez: The Vietnam War Beyond the Wire","subtitle":null,"abstract":"","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0650q9cc","frozenauthors":[{"first_name":"Roberto","middle_name":"","last_name":"Cantú","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T02:39:20.795000+01:00","date_accepted":"2024-07-18T03:54:16.726000+01:00","date_published":"2024-07-18T03:55:10.534000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31037/galley/22118/download/"}]},{"pk":31039,"title":"Moreno Figueroa, Mónica y Peter Wade. Contra el racismo: movilización para el cambio social en América Latina. Universidad de los Andes, Ediciones Uniandes, 2023. 345 pp.","subtitle":null,"abstract":"","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6p2036xb","frozenauthors":[{"first_name":"María","middle_name":"Elizabeth","last_name":"Massena","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T02:55:25.988000+01:00","date_accepted":"2024-07-18T03:51:38.271000+01:00","date_published":"2024-07-18T03:52:33.906000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31039/galley/22117/download/"}]},{"pk":31040,"title":"Kressner, Ilka Mutis, Ana María and Elizabeth M. Pettinaroli (editors). Ecofictions, Ecorealities, and Slow Violence in Latin America and the Latinx World. Routledge, 2021.","subtitle":null,"abstract":"","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2r15w3kt","frozenauthors":[{"first_name":"Santiago","middle_name":"","last_name":"Alarcón-Tobón","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T03:02:06.868000+01:00","date_accepted":"2024-07-18T03:49:08.879000+01:00","date_published":"2024-07-18T03:50:52.783000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31040/galley/22116/download/"}]},{"pk":31041,"title":"Estrada, Oswaldo (ed.). Rosa Beltrán: afectos literarios y el arte de narrar. Bonilla Artigas Editores, 2023, 360 pp.","subtitle":null,"abstract":"","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2tb5m1rs","frozenauthors":[{"first_name":"Marta","middle_name":"F.","last_name":"Extremera","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T03:05:34.703000+01:00","date_accepted":"2024-07-18T03:47:21.250000+01:00","date_published":"2024-07-18T03:48:16.522000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31041/galley/22115/download/"}]},{"pk":31042,"title":"Fornoff, Carolyn. Subjunctive Aesthetics: Mexican Cultural Production in the Era of Climate Change. Vanderbilt University Press, 2024. 264 pp.","subtitle":null,"abstract":"","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1c45n518","frozenauthors":[{"first_name":"Mark","middle_name":"","last_name":"Anderson","name_suffix":"","institution":"University of Georgia","department":""}],"date_submitted":"2024-07-18T03:10:39.880000+01:00","date_accepted":"2024-07-18T03:45:18.389000+01:00","date_published":"2024-07-18T03:46:17.067000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31042/galley/22114/download/"}]},{"pk":31043,"title":"Janzen, Rebecca. Unlawful Violence: Mexican Law and Cultural Production. Vanderbilt University Press, 2022. 242 pp.","subtitle":null,"abstract":"","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5q95d89g","frozenauthors":[{"first_name":"Juan","middle_name":"Carlos","last_name":"Ramírez-Pimienta","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T03:14:14.806000+01:00","date_accepted":"2024-07-18T03:42:11.783000+01:00","date_published":"2024-07-18T03:43:59.984000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31043/galley/22113/download/"}]},{"pk":31044,"title":"Hagimoto, Koichi. Samurai in the Land of the Gaucho: Transpacific Modernity and Nikkei Literature in Argentina. Vanderbilt University Press, 2023.","subtitle":null,"abstract":"","language":null,"license":{"name":"none","short_name":"none","text":"","url":"https://escholarship.org/terms"},"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6xr4j0nx","frozenauthors":[{"first_name":"Aarti","middle_name":"S.","last_name":"Madan","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-07-18T03:17:31.879000+01:00","date_accepted":"2024-07-18T03:29:11.168000+01:00","date_published":"2024-07-18T03:33:11.423000+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/transmodernity/article/31044/galley/22111/download/"}]},{"pk":2566,"title":"Scalar Inferencing, Polarity and Cognitive Load","subtitle":null,"abstract":"According to the Polarity Hypothesis, the presence or absence of a processing cost for Scalar Inferences (SIs) depends on their polarity. This hypothesis predicts, among other things, that the processing of lower-bounding SIs should not be affected by cognitive load the same way upper-bounding SIs are. To date, evidence in support of this prediction comes from the comparison between upper-bounding and lower-bounding SIs elicited by disparate scalar words. In this paper, we report on two dual-task experiments testing this prediction in a more controlled way by comparing upper-bounding and lower-bounding SIs arising from the same scalar words or scale-mates operating over the same dimension. Results show that, for these more minimal comparisons, lower-bounding SIs involve comparable cognitive demands as their upper-bounding counterparts. These findings challenge the idea that load effects are consistently modulated by SI polarity and suggest instead that these effects are relatively consistent across different types of SIs.
\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":[],"section":"Brief Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1x64s089","frozenauthors":[{"first_name":"Paul","middle_name":"","last_name":"Marty","name_suffix":"","institution":"University of Malta","department":"Institute of Linguistics & Language Technology"},{"first_name":"Jacopo","middle_name":"","last_name":"Romoli","name_suffix":"","institution":"Heinrich Heine University Duesseldorf","department":""},{"first_name":"Yasutada","middle_name":"","last_name":"Sudo","name_suffix":"","institution":"UCL","department":""},{"first_name":"Bob","middle_name":"","last_name":"van Tiel","name_suffix":"","institution":"Donders Institute of Brain, Cognition and Behaviour","department":""},{"first_name":"Richard","middle_name":"","last_name":"Breheny","name_suffix":"","institution":"UCL","department":"PALS"}],"date_submitted":"2023-10-09T10:26:35.312000+01:00","date_accepted":"2024-06-18T23:37:08.075000+01:00","date_published":"2024-07-17T19:17:00+01:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/2566/galley/14989/download/"},"galleys":[{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/2566/galley/14989/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/2566/galley/14990/download/"}]},{"pk":1325,"title":"The role of differential cross-linguistic influence and other constraints in predictive L2 gender processing","subtitle":null,"abstract":"
Previous studies on the use of morphosyntactic gender cues for linguistic prediction show that non-native speakers’ use of grammatical gender information is influenced by various factors. In the present study, we examined the influence of differential cross-linguistic influence (DCLI), knowledge of L2 lexical gender, gender congruency, and L2 fluency. To this end, we investigated L1 Oromo L2 Amharic speakers as well as L1 Amharic speakers, using the Visual World Paradigm (VWP) and supplementary offline experiments. We investigated two groups of L2 Amharic speakers, i.e., L1 Eastern Oromo L2 Amharic and L1 Western Oromo L2 Amharic speakers. The Eastern Oromo dialect patterns with Amharic in terms of gender agreement unlike the Western Oromo dialect which does not have grammatical gender. Analyses of the participants’ proportion of eye fixations show that early exposure to the gendered Eastern Oromo dialect facilitates predictive L2 gender processing. L2 fluency, the speakers’ knowledge of L2 lexical gender, and specific properties of the gender cues modulate predictive L2 gender processing. However, there is no significant influence of lexical gender congruency. The study has ecological significance as it presents empirical data from understudied languages.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Regular Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3777b321","frozenauthors":[{"first_name":"Tekabe Legesse","middle_name":"","last_name":"Feleke","name_suffix":"","institution":"UiT The Arctic University of Norway","department":"Department of Language and Culture, AcqVA Aurora Research Center","country":"Norway"},{"first_name":"Terje","middle_name":"","last_name":"Lohndal","name_suffix":"","institution":"Norwegian University of Science and Technology (NTNU)","department":"Department of Language and Literature","country":"Norway"}],"date_submitted":"2023-04-19T11:45:38.201000+01:00","date_accepted":"2024-06-20T19:53:04.779000+01:00","date_published":"2024-07-17T19:09:00+01:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1325/galley/14588/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1325/galley/14587/download/"},{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1325/galley/14588/download/"}]},{"pk":35205,"title":"Facts and attitudes: on the so-called ‘factual’ markers of the modern Tibetic languages [HL ARCHIVE 14]","subtitle":null,"abstract":"The evidential or egophoric systems of various modern Tibetic languages are described as containing a ‘factual’ copula and a complex ‘factual’ existential, in opposition to the egophoric copula yin and the egophoric existential linking verb yod, e.g., Central and East Tibetan red and yod.red. Other descriptive terms are ‘assertive’ or ‘statemental’. These two markers are also described as being ‘neutral’, falling thus outside the ‘evidential’ system. In my opinion, the terms ‘actual’ and ‘neutral’ are not very well defined. They are used as cover terms for various functions, such as referring to generic facts and shared or shareable knowledge, as indicating inferences and assumptions, even as describing mere hypothetical situations, as expressing or highlightening the speaker’s non-involvement, or for other socio-pragmatic strategies. The terminological choice poses quite some problems, both with respect to the crosslinguistic use of ‘factual’ in the sense of realis mood (as opposed to various irrealis moods) and with respect to the position of the respective marker inside or outside the Tibetic evidential or egophoric system. Part of the problem may be connected also with the current understanding of the Tibetic evidential or egophoric systems.","language":"en","license":null,"keywords":[{"word":"Modern Tibetic languages"},{"word":"‘factual’ or factuality"},{"word":"evidentiality"},{"word":"egophoric marking"},{"word":"epistemic rights"}],"section":"Archives","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5qw4188m","frozenauthors":[{"first_name":"Bettina","middle_name":"","last_name":"Zeisler","name_suffix":"","institution":"Eberhard Karls Universität Tübingen","department":"None"}],"date_submitted":"2023-04-11T19:27:00+01:00","date_accepted":"2023-04-11T19:27:00+01:00","date_published":"2024-07-17T15:51:03+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35205/galley/26201/download/"}]},{"pk":18126,"title":"Emergency Department Blood Pressure Treatment and Outcomes in Adults Presenting with Severe Hypertension","subtitle":null,"abstract":"Background: Patients who present to the emergency department (ED) with severe hypertension defined as a systolic blood pressure (SBP) ≥180 millimeters of mercury (mm Hg) or diastolic (DBP) ≥120 (mm Hg) without evidence of acute end-organ damage are often deemed high risk and treated acutely in the ED. However, there is a dearth of evidence from large studies with long-term follow-up for the assessment of major adverse cardiovascular events (MACE). We conducted the largest study to date of patients presenting with severe hypertension to identify predictors of MACE and examine whether blood pressure at discharge is associated with heightened risk.
\nMethods: We enrolled ED patients with a SBP of 180–220 mm Hg but without signs of end-organ damage and followed them for one year. The primary outcome was MACE within one year of discharge. Secondarily, we performed a propensity-matched analysis to test whether SBP ≤160 mm Hg at discharge was associated with reduced MACE at 30 days.
\nResults: A total of 12,044 patients were enrolled. The prevalence of MACE within one year was 1,865 (15.5%). Older age, male gender, history of cardiovascular disease, cerebrovascular disease, diabetes, smoking, presentation with chest pain, altered mental status, dyspnea, treatment with intravenous and oral hydralazine, and oral metoprolol were independent predictors for one-year MACE. Additionally, discharge with an SBP ≤160 mm Hg was not associated with 30-day MACE-free survival after propensity matching (hazard ratio 0.99, 95% confidence interval 0.78–1.25, P = 0.92).
\nConclusion: One-year MACE was relatively common in our cohort of ED patients with severe hypertension without acute end-organ damage. However, discharge blood pressure was not associated with 30-day or one-year MACE, suggesting that BP reduction in and of itself is not beneficial in such patients.
","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":"hypertension"},{"word":"severe hypertension"},{"word":"hypertension urgency"},{"word":"antihypertensives."}],"section":"Clinical Practice","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2k17m3z1","frozenauthors":[{"first_name":"Farhan","middle_name":"","last_name":"Chaudhry","name_suffix":"","institution":"Department of Surgery, Detroit Medical Center/Wayne State University School of Medicine, Detroit, Michigan; Department of Family Medicine and Population Health Sciences, Wayne State University School of Medicine, Detroit, Michigan","department":""},{"first_name":"Eliana","middle_name":"","last_name":"Small","name_suffix":"","institution":"Department of Emergency Medicine, Henry Ford Health and Michigan State University Health Sciences, Detroit, Michigan","department":""},{"first_name":"Steven","middle_name":"J.","last_name":"Korzeniewski","name_suffix":"","institution":"Department of Family Medicine and Population Health Sciences, Wayne State University School of Medicine, Detroit, Michigan","department":""},{"first_name":"Dana","middle_name":"","last_name":"Benyas","name_suffix":"","institution":"Department of Surgery, Detroit Medical Center/Wayne State University School of Medicine, Detroit, Michigan","department":""},{"first_name":"Lydia","middle_name":"","last_name":"Ross","name_suffix":"","institution":"Department of Emergency Medicine, Baylor College of Medicine, Houston, Texas","department":""},{"first_name":"Alex","middle_name":"B.","last_name":"Hill","name_suffix":"","institution":"Department of Family Medicine and Population Health Sciences, Wayne State University School of Medicine, Detroit, Michigan","department":""},{"first_name":"Amit","middle_name":"","last_name":"Vahia","name_suffix":"","institution":"Department of Emergency Medicine, University of Toronto, Toronto, Canada","department":"None"},{"first_name":"Candace","middle_name":"","last_name":"McNaughton","name_suffix":"","institution":"Department of Emergency Medicine, Wayne State university, Detroit, Michigan","department":""},{"first_name":"Phillip","middle_name":"","last_name":"Levy","name_suffix":"","institution":"Ascension St. John Hospital, Detroit, Michigan","department":""},{"first_name":"Joseph","middle_name":"B.","last_name":"Miller","name_suffix":"","institution":"Department of Emergency Medicine, Henry Ford Health and Michigan State University Health Sciences, Detroit, Michigan","department":""}],"date_submitted":"2023-05-14T19:18:05+01:00","date_accepted":"2024-03-29T18:32:33.430000Z","date_published":"2024-07-17T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18126/galley/22109/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18126/galley/14424/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18126/galley/22109/download/"}]},{"pk":18488,"title":"Preventive Health Services Offered in a Sampling of US Emergency Departments, 2022–2023","subtitle":null,"abstract":"Introduction: In the United States, more chronic and preventive healthcare is being delivered in the emergency department (ED) setting. Understanding the availability of preventive health services in the ED setting is crucial. Our goal was to understand the availability of a subset of preventive health services in US EDs and explore how that has changed over time.
\nMethods: In 2022–2023, using the National Emergency Department Inventory (NEDI)-USA, we surveyed a random 20% (1,064) sampling of all 5,613 US EDs. We asked directors of these EDs about the availability of and preference for 12 preventive health services, social worker availability, self-reported percentage of uninsured ED patients, and measures of ED crowding. We also asked about perceptions of barriers to implementing preventive health services in the ED. We used unadjusted and multivariable logistic regression models to compare service frequency in 2022–2023 to prior findings from 2008–2009 that represented a 5.7% random sampling of all EDs.
\nResults: Among 302 responders to the 2022–2023 survey (5.4% random sampling, 28.4% response rate), 94% reported offering at least one preventive health service, with a median of five services. The most common service offered was intimate partner violence screening (83%), while the least common was routine HIV screening (19%). Seven services (eg, intimate partner violence, alcohol risk, and smoking cessation screening) had a higher odds of being offered in 2022–2023 than in 2008–2009; findings were unchanged in sensitivity analyses. A small proportion of directors opposed offering preventive health services. However, many expressed concerns that preventive health services in the ED would lead to longer lengths of stay (56%), increased costs to their ED (58%), a diversion of staff time from providing acute care (50%), or that their patients would not have access to adequate follow-up (49%).
\nConclusion: Nearly all EDs offer at least one preventive health service. Many offer multiple services; rates were higher than those identified in 2008–2009, in both unadjusted and multivariable models. Although limited by the response rate, this work provides the most recent and comprehensive snapshot of the type and frequency of a subset of preventive health services currently offered in US EDs.
","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":"emergency care"},{"word":"Preventive Health Services"}],"section":"Health Policy Analysis","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6q16k47g","frozenauthors":[{"first_name":"Christopher","middle_name":"L.","last_name":"Bennett","name_suffix":"","institution":"Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California","department":""},{"first_name":"M.","middle_name":"Kit","last_name":"Delgado","name_suffix":"","institution":"University of Pennsylvania, Department of Emergency Medicine, Philadelphia, Pennsylvania","department":"None"},{"first_name":"Melissa","middle_name":"","last_name":"Pasao","name_suffix":"","institution":"Stanford University School of Medicine, Department of Emergency Medicine, Stanford, California","department":"None"},{"first_name":"Janice","middle_name":"A.","last_name":"Espinola","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":""},{"first_name":"Krislyn","middle_name":"M.","last_name":"Boggs","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts","department":"None"},{"first_name":"Carlos","middle_name":"A.","last_name":"Camargo","name_suffix":"","institution":"Massachusetts General Hospital, Department of Emergency Medicine, Boston, Massachusetts; Harvard T.H. Chan School of Public Health, Department of Epidemiology, Boston, Massachusetts","department":""}],"date_submitted":"2023-09-28T18:36:51+01:00","date_accepted":"2024-03-06T20:56:27.196000Z","date_published":"2024-07-17T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18488/galley/22107/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18488/galley/13729/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18488/galley/22107/download/"}]},{"pk":18584,"title":"Scoping Review: Is Push-Dose Norepinephrine a Better Choice?","subtitle":null,"abstract":"Introduction: The use of push-dose vasopressors to treat anesthesia-induced hypotension is a common evidence-based practice among anesthesiologists. In more recent years, the use of push-dose vasopressors has transitioned to the emergency department (ED) and critical care setting. There is debate on the best choice of a push-dose vasopressor, with push-dose epinephrine or phenylephrine being more commonly used. This scoping review evaluated publications regarding the clinical use of push-dose norepinephrine.
\nMethods: We queried research studies in both PubMed and Google Scholar on the use of push-dose norepinephrine in human subjects, with numerous randomized controlled trials that compare norepinephrine to other vasopressors including phenylephrine, ephedrine, and epinephrine.
\nResults: A large majority of the studies were performed in the setting of spinal anesthesia prior to cesarean section, while several involved the administration of general anesthesia, with limited-to-no literature in the emergency and critical care setting. Of the 27 studies that we included in the review, 17 were randomized controlled trials. These studies demonstrated that norepinephrine was safe and effective.
\nConclusion: Prior research has demonstrated the superiority of norepinephrine as a pressor of choice for various shock states. In this review, the safety and efficacy of push-dose norepinephrine is demonstrated, and favorable hemodynamic markers are shown in comparison to other agents. In addition, there are some safety and efficiency benefits to using push-dose norepinephrine from an administration standpoint, as well as clinically in decreased need for repeat doses. Further high-quality studies in the emergency and critical care realm would be beneficial to confirm these findings.
","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":"Push-dose vasopressors"},{"word":"norepinephrine"},{"word":"anesthesia-induced hypotension"},{"word":"Critical care"}],"section":"Critical Care","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0tb2n06q","frozenauthors":[{"first_name":"Michael","middle_name":"","last_name":"Berkenbush","name_suffix":"","institution":"Morristown Medical Center, Sameth Emergency Department, Morristown, New Jersey","department":""},{"first_name":"Lali","middle_name":"","last_name":"Singh","name_suffix":"","institution":"Morristown Medical Center, Sameth Emergency Department, Morristown, New Jersey","department":""},{"first_name":"Kelly","middle_name":"","last_name":"Sessa","name_suffix":"","institution":"Morristown Medical Center, Sameth Emergency Department, Morristown, New Jersey","department":""},{"first_name":"Raghad","middle_name":"","last_name":"Saadi","name_suffix":"","institution":"Morristown Medical Center, Sameth Emergency Department, Morristown, New Jersey","department":""}],"date_submitted":"2023-11-16T17:04:18Z","date_accepted":"2024-04-05T01:41:34.238000+01:00","date_published":"2024-07-17T14:00:00+01:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18584/galley/22108/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18584/galley/13728/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18584/galley/22108/download/"}]},{"pk":20283,"title":"Probable Play Behavior in a Surgeonfish (Naso vlamingii )","subtitle":null,"abstract":"I report an observation of possible play behavior in an individual captive Vlaming's unicornfish (Naso vlamingii). The fish was documented performing locomotory interactions with the filtered stream of water from the return nozzle in its aquarium. Such behaviors conform to existing definitions of play behavior. Animal play is traditionally imagined to be restricted to mammals and birds, with research on this type of behavior remaining scarce within other animals. This finding thus expands upon the ubiquity of play in understudied vertebrate taxa.
","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":"surgeonfish"},{"word":"fish behavior"},{"word":"animal play"}],"section":"Brief Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5t83b52p","frozenauthors":[{"first_name":"Gunnar","middle_name":"Wyn","last_name":"Tribelhorn","name_suffix":"","institution":"Colorado State University","department":"Conservation Biology"}],"date_submitted":"2024-02-26T05:27:45.617000Z","date_accepted":"2024-04-07T03:58:18.348000+01:00","date_published":"2024-07-16T17:00:00+01:00","render_galley":null,"galleys":[{"label":"Tribelhorn_Final","type":"pdf","path":"https://journalpub.escholarship.org/uclapsych_ijcp/article/20283/galley/10902/download/"}]},{"pk":39855,"title":"Global chorotypes of European black flies (Diptera: Simuliidae)","subtitle":null,"abstract":"Data on the distribution of 238 European black fly taxa recorded in 97 operational geographical units (OGUs), of which 54 are European, were taken from published primary and secondary sources, summarised, numerically analysed and evaluated for chorotype identification. In continental Europe, 225 species have been recorded, of which 91 were registered only on the mainland. On the European islands, 70 species have been recorded, 13 of which are exclusively there; among them, 10 are European endemics (5 on the Mediterranean islands and 5 in Macaronesia). The individual species were recorded in 1–64 OGUs, the observed frequency distribution of species, according to the occupied OGUs, is strongly asymmetric and skewed to the right. This distribution does not fit the Fisher’s log-series distribution, the zero-truncated negative binomial, or the zero truncated Poisson distributions. The prevailing number of European black flies has a clear tendency to occupy small ranges. More than half of all species (128) are known from six or fewer OGUs (median = 6) and more than one-third of the species (35.5%) are from only 1–3 OGUs. One-quarter of all species, including 11 species complexes, are known from 14 or more OGUs (Q3 = 14). Only 12 species (~ 5%) are known from 39 or more OGUs; half of them being recognised species complexes. A wide range can be considered a property of a species complex, and by abduction, a taxon with such a range can be considered a species complex. Splitting a species complex into separate species can result in a range-splitting effect, i.e. the disintegration of the original large range into a number of overlapping or non-overlapping smaller species ranges can result in existing chorotypes disappearing or new ones arising. Cluster analysis C1 (CLC = complete linkage clustering, Baroni-Urbani & Buser index of similarity) provided 30 significant clusters, 26 of them isolated, with 1 to 24 species each (median = 5.5). Cluster analysis C2 (CLC, Jaccard’s index of similarity) provided 53 significant clusters, 26 of them isolated, with 1 to 20 species each (median = 3). The cophenetic correlation coefficient rcoph between C1 and C2 was 0.8015, indicating a high agreement between the two classifications. In an expert assessment based on cluster analysis, 29 global chorotypes were distinguished. According to the overall range extent and its location on the continents, the chorotypes were arranged into seven groups as follows: Holarctic (26 spp., American–European, Pan-Holarctic, Holarctic boreal, Palaearctic–East Beringian chorotypes), Palaearctic (40 spp., Pan-Palaearctic, Euro–Asian, Sibero–European), West–Central Palaearctic group (10 spp., Central Asian–Euro–Mediterranean, Central Asian–Turano–Euxinian, Turano–Caucasian), Western Palaearctic (18 spp., Euro–Mediterranean, Mediterranean–Macaronesian, Macaronesian–West Mediterranean), European (86 spp., Pan-European, Western European, Northern European, Central European, Apenninian, Balkan, Eastern European), Mediterranean group (53 spp., Pan-Mediterranean, West Mediterranean, East Mediterranean, Euxinian, Crimean, Caucasian), and the Macaronesian group (5 spp., Azorean, Madeiran, Canarian). The main result of the analysis of ranges of European black flies is the description of 29 global chorotypes. The analysis shows that the chorological structure of the European black fly fauna is complex and it varies significantly in different parts of the continent and adjacent islands. This can be the start for further zoogeographical, phylogeographical and other analyses in this area of research.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Simuliidae, black flies, European species, chorotypes, range size, species richness"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7ch3n704","frozenauthors":[{"first_name":"Ladislav","middle_name":"","last_name":"Jedlička","name_suffix":"","institution":"Other","department":"None"},{"first_name":"Matúš","middle_name":"","last_name":"Kúdela","name_suffix":"","institution":"Department of Zoology, Comenius University, Ilkovičova 6, SK-84215 Bratislava","department":"None"},{"first_name":"Tatiana","middle_name":"","last_name":"Kúdelová","name_suffix":"","institution":"Department of Zoology, Comenius University, Ilkovičova 6, SK-84215 Bratislava","department":"None"}],"date_submitted":"2024-03-06T11:21:24Z","date_accepted":"2024-03-06T11:21:24Z","date_published":"2024-07-16T10:31:44+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/39855/galley/30016/download/"}]},{"pk":35214,"title":"A corpus-based study of cassifiers and measure words in Khortha","subtitle":null,"abstract":"Abstract\n \nAreal patterns of numeral classifiers have been studied in several Asian languages for a long time. Emeneau (1956) was probably the first work that focused on the distribution of classifiers for defining India as a ‘linguistic area’. Although classifiers (except some ‘measure words’) are virtually absent in western Indo-Aryan languages like Hindi, they are extremely common in a number of Eastern Indo-Aryan languages. There are several studies on the classifier systems of Bengali, Assamese, Maithili and so on. But as yet there has been no study on Khortha, an eastern Indo-Aryan language that also has several classifiers. Some of these classifiers are borrowed from neighboring Munda (Austro-Asiatic) languages because of the prolonged contact between Indo-Aryan and Austro-Asiatic speakers in the eastern part of India. The classifier phenomenon in Khortha and Austro-Asiatic may profitably be seen as being part of a wider areal context, one that is out of kilter with respect to the ongoing exploration of South Asia as a linguistic area, as pointed out by Emeneau. This study provides a detailed description of previously unstudied classifiers, their functions and their distributions in Khortha, an Eastern Indo-Aryan language predominantly spoken in Jharkhand. Additionally, an intriguing aspect highlighted in this study is the postnominal use of certain classifiers to mark the specificity or definiteness of the object. Notably, this specificity is absent when the classifiers are combined with numerals. This paper investigates the distribution of classifiers in detail and illustrates how some of the Khortha classifiers can attach not only to numerals but also to nouns, demonstratives, adjectives, genitives and (past) participles.","language":"en","license":null,"keywords":[{"word":"Classifiers, sortal classifiers, measure words, specificity, Eastern Indo-Aryan"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1jb2s6vt","frozenauthors":[{"first_name":"Netra","middle_name":"P.","last_name":"Paudyal","name_suffix":"","institution":"University of Kiel, Germany","department":"None"}],"date_submitted":"2023-07-03T16:35:24+01:00","date_accepted":"2023-07-03T16:35:24+01:00","date_published":"2024-07-15T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35214/galley/26205/download/"}]},{"pk":35206,"title":"Expressing inner sensations in Denjongke: A contrast with the general Tibetic pattern","subtitle":null,"abstract":"Denjongke is atypical within Tibetic languages in how speaker’s inner sensations such as hunger, cold, feeling of illness and emotions are expressed. Whereas most other Tibetic languages use a sensorial evidential form in default expressions of speaker’s inner sensations (Tournadre 2021, 2023 preprint), Denjongke uses a variety of other forms. The sensorial forms may also be used when the speaker takes an outsider's perspective on their inner sensations in contexts such as surprise and sudden discovery. The reason why Denjongke, unlike Common Tibetan and some other Tibetic languages, can use personal forms for expressing the speaker’s inner sensations is that Denjongke personal forms are not associated with volitionality, whereas the personal/egophoric forms of Common Tibetan and some other Tibetic languages are strongly associated with volitionality.","language":"en","license":null,"keywords":[{"word":"Tibetan, evidentiality, volitionality, endopathic"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4nx9t03q","frozenauthors":[{"first_name":"Juha","middle_name":"Sakari","last_name":"Yliniemi","name_suffix":"","institution":"SIL International","department":"None"}],"date_submitted":"2023-05-08T11:13:44+01:00","date_accepted":"2023-05-08T11:13:44+01:00","date_published":"2024-07-15T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35206/galley/26202/download/"}]},{"pk":35211,"title":"Possessive prefixes in Proto-Kusunda","subtitle":null,"abstract":"Three varieties of Kusunda, a moribund language isolate of Nepal, have been recorded in existing literature; in Hodgson (1857), in Reinhard & Toba (1970), and in several recent publications analyzing material elicited from the language’s last two fluent speakers, Gyani Maiya Sen and Kamala Khatri. Each of these varieties exhibits a set of unique phonological and morphological innovations from their latest common ancestor, Proto-Kusunda (PK). This paper seeks to reconstruct the prefixing possessive marking system of PK, using morphological evidence from the 3 attested varieties. Proto-Kusunda is found to have exhibited obligatory possessive marking on a set of inalienably possessed nouns. Possessed nouns were marked with 2 sets of preposed affixes: *t- *n- *g-, which indexed the person of the noun’s possessor, and *-i- *-a- *-u- *-ja-, a set of derivational prefixes which categorized possessed nominals into a number of semantic fields. The formal and functional characteristics of this system are strongly reminiscent of an analogous system of head-marking possession found in the Great Andamanese language family of India, prompting questions of possible areal influence or genetic inheritance in the remote past.","language":"en","license":null,"keywords":[{"word":"Kusunda"},{"word":"Possessive Prefixes"},{"word":"Lexicalization"},{"word":"Somatic affixes"},{"word":"Great Andamanese"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7r58b159","frozenauthors":[{"first_name":"Augie","middle_name":"","last_name":"Spendley","name_suffix":"","institution":"University of Edinburgh","department":"None"}],"date_submitted":"2023-05-23T21:50:52+01:00","date_accepted":"2023-05-23T21:50:52+01:00","date_published":"2024-07-15T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35211/galley/26204/download/"}]},{"pk":35209,"title":"The grammar and meaning of atemporal complement clauses in Assamese: A cognitive linguistics approach","subtitle":null,"abstract":"The current paper is an attempt at a study of the grammar and meaning of atemporal complement clauses in Assamese from a Cognitive linguistics point of view. Assamese is an Indo-Aryan language spoken in Assam, a northeastern province of India. It is the native tongue of the Assamese and is currently spoken by more than twenty million people both as a native tongue and as a link language in the northeastern India.\n \nGrammar, in Cognitive linguistics, is not independent of meaning, rather any grammatical form is motivated by its underlying semantics, i.e. how the event or the situation is construed by the speaker. Thus, depending on the construal involved, clausal complementation takes different grammatical forms. One type of clausal complementation is atemporal complementation, traditionally called non-finite complementation. One core dimension that the construal of atemporal complementation is based on is atemporalization, which involves a conceptual shift from the relational concept (as encoded typically by a verb) to a thing or object (as encoded typically by a noun) having an ontological existence, which is often called reification. Thus, the verb in the atemporal complement clause is realized in the non-finite form, i.e. it is left ungrounded in time. This in turn also means that typically the situation expressed by the complement clause involves what is called summary scanning in cognitive linguistics. Atemporal complementization also may involve another dimension of construal, i.e. the principle of Figure and Ground.\n \nThe present paper identifies the atemporal complementizers in Assamese and their grammar and meaning. Assamese has at least five such complementizers and accordingly the language has at least five different types of atemporal complement clauses with their own semantics. In describing these atemporal complement clauses, the paper also shows that although atemporal they may not fully cancel out sequential scanning. This supports the view that that the distinction between summary and sequential scanning are not mutually exclusive as is claimed in Langacker (2008).\n \n \n \nThe data for this paper has mainly come from the authors themselves who happen to be native speakers of Assamese.","language":"en","license":null,"keywords":[{"word":"Clausal complementation, Cognitive linguistics, atemporal complementation, construal, scanning, atemporal complementizers"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/11c0h271","frozenauthors":[{"first_name":"Bisalakshi","middle_name":"","last_name":"Sawarni","name_suffix":"","institution":"Tezpur University","department":"None"},{"first_name":"Gautam","middle_name":"K.","last_name":"Borah","name_suffix":"","institution":"Tezpur University","department":"None"}],"date_submitted":"2023-05-22T11:51:00+01:00","date_accepted":"2023-05-22T11:51:00+01:00","date_published":"2024-07-15T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35209/galley/26203/download/"}]},{"pk":35239,"title":"Twenty years of Himalayan Linguistics","subtitle":null,"abstract":"This issue of Himalayan Linguistics marks twenty years for the journal. We reflect on the early history of Himalayan Linguistics, its contribution to the field, and the future of the journal.","language":"en","license":null,"keywords":[{"word":"Himalayan Linguistics, Linguistics"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9662c0fw","frozenauthors":[{"first_name":"Lauren","middle_name":"","last_name":"Gawne","name_suffix":"","institution":"La Trobe University","department":"None"},{"first_name":"Gregory","middle_name":"","last_name":"Anderson","name_suffix":"","institution":"Living Tongues Institute","department":"None"},{"first_name":"You-Jing","middle_name":"","last_name":"Lin","name_suffix":"","institution":"","department":"None"},{"first_name":"Kristine A.","middle_name":"","last_name":"Hildebrandt","name_suffix":"","institution":"Southern Illinois University Edwardsville","department":"None"},{"first_name":"Carol","middle_name":"","last_name":"Genetti","name_suffix":"","institution":"New York University Abu Dhabi","department":"None"}],"date_submitted":"2024-07-17T13:58:33+01:00","date_accepted":"2024-07-17T13:58:33+01:00","date_published":"2024-07-15T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35239/galley/26208/download/"}]},{"pk":63048,"title":"Characteristics of High Utilizer Patients in the Emergency Department at a University Hospital in the Kingdom of Bahrain","subtitle":null,"abstract":"Background: Emergency departments (EDs) around the world are facing a crippling crisis of overcrowding, a complex problem caused by a variety of factors. One contributing factor is the overutilization of EDs by patients with frequent visits. Objective: This study aims at measuring the prevalence of this phenomenon and better understanding the characteristics of high utilizers.
\nMethods: A retrospective review was conducted in a tertiary care teaching hospital, for patients aged 14 years and above during the year 2022. The definition of a high utilizer is set as any patient that fits the inclusion criteria with four or more visits to the ED during 1 year.
\nResults: The prevalence of high utilizers in our ED is 3.9%, accounting for 12.1% of visits in 2022, where 135 was the highest number of visits made by one patient. Visits mostly consisted of level 3, Yellow (48.9%) and level 4, Green (42.8%) triage. The top three chief complaints were sore throat (16.8%), unwell adult (15.1%), and abdominal pain (12.8%). The total length of stay was 3.6 ± 3.2 h in the ED. Time of arrival was observed; 23.9% presented at night, 37.8% in the morning, and 38.8% in the evening. Conclusions: The prevalence rate of high utilizers was found to be 3.9% in our study, falling within the range based on literature. Due to the parallel issues raised by many studies, the importance of developing convenient corrective strategies and conducting further national-based studies to get better insight of high utilizers is required.
\nConclusions: The prevalence rate of high utilizers was found to be 3.9% in our study, falling within the range based on literature. Due to the parallel issues raised by many studies, the importance of developing convenient corrective strategies and conducting further national-based studies to get better insight of high utilizers is required.
","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":"high utilizers"},{"word":"frequent utilizers"},{"word":"emergency departments"},{"word":"health care utilization"},{"word":"EMD"},{"word":"ED"},{"word":"frequent flyers"}],"section":"Original Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0k95v1cw","frozenauthors":[{"first_name":"Naser","middle_name":"","last_name":"Aljawder","name_suffix":"MD","institution":"King Hamad University Hospital","department":"Emergency Medicine Department","country":"Bahrain"},{"first_name":"Israa","middle_name":"","last_name":"Sinan","name_suffix":"BSC","institution":"King Hamad University Hospital","department":"Scientific Research and Development Directorate","country":"Bahrain"},{"first_name":"Faisal","middle_name":"","last_name":"Qureshi","name_suffix":"MD","institution":"King Hamad University Hospital","department":"Emergency Medicine Department","country":"Bahrain"},{"first_name":"Eyad","middle_name":"","last_name":"Bucheer","name_suffix":"MD","institution":"King Hamad University Hospital","department":"Emergency Medicine Department","country":"Bahrain"},{"first_name":"Aysha","middle_name":"","last_name":"Aljawder","name_suffix":"MD","institution":"Salmaniya Medical Complex","department":"Emergency Medicine Department","country":"Bahrain"}],"date_submitted":null,"date_accepted":"2024-07-16T14:42:00+01:00","date_published":"2024-07-14T22:00:00+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_medjem/article/63048/galley/50546/download/"}]},{"pk":63046,"title":"Critical Care Education: How Early Is Too Early? ","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Other","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1247f66d","frozenauthors":[{"first_name":"Ava","middle_name":"","last_name":"Omidvar","name_suffix":"MSIII MPH FP-C","institution":"","department":""},{"first_name":"Matthew","middle_name":"","last_name":"Carvey","name_suffix":"MD EMT-P FP-C","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-07-14T22:00:00+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_medjem/article/63046/galley/48706/download/"}]},{"pk":63047,"title":"Refractory Hypoxemia? Is Positive End Expiratory Pressure Always the Answer? ","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Other","is_remote":true,"remote_url":"https://escholarship.org/uc/item/79z29211","frozenauthors":[{"first_name":"Alex","middle_name":"","last_name":"Cavert","name_suffix":"MD","institution":"University of Vermont Medical Center","department":""},{"first_name":"William","middle_name":"","last_name":"Timbers","name_suffix":"MD","institution":"University of Vermont Larner, College of Medicine","department":"Department of Emergency Medicine"},{"first_name":"Frederick","middle_name":"","last_name":"Gmora","name_suffix":"DO","institution":"Jefferson Health, New Jersey","department":"Department of Pulmonary & Critical Care Medicine"},{"first_name":"Skyler","middle_name":"","last_name":"Lentz","name_suffix":"MD","institution":"University of Vermont Larner College of Medicine","department":"Department of Emergency Medicine and Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2024-07-14T22:00:00+01:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_medjem/article/63047/galley/48694/download/"}]},{"pk":43228,"title":"Locating New Fields in Transnational American Studies","subtitle":null,"abstract":"Issue introduction by the editor in chief of the Journal of Transnational American Studies","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Transnational American Studies"}],"section":"Editor in Chief's Introduction","is_remote":true,"remote_url":"https://escholarship.org/uc/item/75f5r47s","frozenauthors":[{"first_name":"Alfred","middle_name":"","last_name":"Hornung","name_suffix":"","institution":"University of Mainz","department":"None"}],"date_submitted":"2024-07-13T18:01:03+01:00","date_accepted":"2024-07-13T18:01:03+01:00","date_published":"2024-07-13T08:00:00+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43228/galley/32206/download/"}]},{"pk":43227,"title":"Notes on the Contributors","subtitle":null,"abstract":"Author bios","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Transnational American Studies"}],"section":"Contributors","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6f03j2dw","frozenauthors":[{"first_name":"JTAS","middle_name":"","last_name":"Managing Editors","name_suffix":"","institution":"University of Mainz","department":"None"}],"date_submitted":"2024-07-12T21:40:26+01:00","date_accepted":"2024-07-12T21:40:26+01:00","date_published":"2024-07-12T21:40:52+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43227/galley/32205/download/"}]},{"pk":43226,"title":"Lin-Manuel Miranda’s Hamilton: Silenced Women’s Voices and Founding Mothers of Color: A Critical Race Theory Counterstory","subtitle":null,"abstract":"“Prologue” and “Addendum: A Martinez-Inspired Counterstory about the German Hamilton” from\n Lin-Manuel Miranda’s Hamilton: Silenced Women’s Voices and Founding Mothers of Color: A Critical Race Theory Counterstory\n.\n© 2023 Peter Lang GmbH. Used by permission of Peter Lang GmbH. All Rights Reserved.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Critical Race Theory"},{"word":"Transnational American Studies"},{"word":"Hamilton the musical"},{"word":"German production of Hamilton"},{"word":"Lin-Manuel Miranda"},{"word":"Aja Y. Martinez"},{"word":"CRT"},{"word":"critical race feminism"},{"word":"Black German studies"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0w09p1gt","frozenauthors":[{"first_name":"Vanessa","middle_name":"","last_name":"Vollmann","name_suffix":"","institution":"University of Passau","department":"None"}],"date_submitted":"2024-07-12T21:22:33+01:00","date_accepted":"2024-07-12T21:22:33+01:00","date_published":"2024-07-12T21:26:14+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43226/galley/32204/download/"}]},{"pk":43225,"title":"Smoke on the Water: Incineration at Sea and the Birth of a Transatlantic Environmental Movement","subtitle":null,"abstract":"Introduction to Smoke on the Water: Incineration at Sea and the Birth of a Transatlantic Environmental Movement (Columbia University Press). \n© 2023 Columbia University Press. Used by permission of Columbia University Press. All Rights Reserved.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"environmental history"},{"word":"Transatlantic Studies"},{"word":"Transnational American Studies"},{"word":"Waste incineration"},{"word":"ocean studies"},{"word":"ships and transatlantic environmental movement"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/05f341t8","frozenauthors":[{"first_name":"Dario","middle_name":"","last_name":"Fazzi","name_suffix":"","institution":"Leiden University","department":"None"}],"date_submitted":"2024-07-12T20:59:49+01:00","date_accepted":"2024-07-12T20:59:49+01:00","date_published":"2024-07-12T21:01:14+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43225/galley/32203/download/"}]},{"pk":43224,"title":"Forward Editor's Note","subtitle":null,"abstract":"Introduction to curated selection of excerpts from new and recent work in the field of Transnational American Studies.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Transnational American Studies"}],"section":"Forward","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5r69g4ph","frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"Reimer","name_suffix":"","institution":"University of Oregon–Cascades","department":"None"}],"date_submitted":"2024-07-12T18:14:49+01:00","date_accepted":"2024-07-12T18:14:49+01:00","date_published":"2024-07-12T18:16:31+01:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/jtas/article/43224/galley/32202/download/"}]}]}