As we strive to improve speaking skills in the L2 classroom, we often aim at “correct,” standardized language over the actual meaning of the spoken words. With less investment in the content, it is difficult for L2 students to appreciate the interactions and enjoy, for example, humor using the target language as they tend to remain continuously passive in the learning process under the pressure to speak accurately. In order to motivate students to communicate with their own voices in a relaxed learning environment, this report introduces a new way of expression and communication using a target language, that is, the use of linked poetry, in which students follow the rules of a mora/syllable pattern and exchange written poetic expressions with one another. This exercise of student-driven word choice in a stress-free setting triggers laughter and enjoyment that increase students’ incentive to appreciate the meaning of each word and the possibility of word combinations in the target language.
","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":"Humor"},{"word":"Renku"},{"word":"Japanese"}],"section":"Teachers' Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/46b521br","frozenauthors":[{"first_name":"Yasutaka","middle_name":"","last_name":"Maruki","name_suffix":"","institution":"Pacific University","department":"World Languages and Cultures"}],"date_submitted":"2023-10-31T17:54:51.981000+05:00","date_accepted":"2024-05-16T21:13:45.570000+05:00","date_published":"2024-05-30T00:00:00+05:00","render_galley":{"label":"galley TF labeled","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/4824/galley/26471/download/"},"galleys":[{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/4824/galley/10864/download/"},{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/4824/galley/10865/download/"},{"label":"galley TF labeled","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/4824/galley/26471/download/"}]},{"pk":2470,"title":"Reconceptualizing the Teaching of the Five-Paragraph Essay Through Concept-Based Language Instruction to English as a Second Language Writers","subtitle":null,"abstract":"This case study reports a pedagogical approach informed by Concept-Based Language Instruction, which aimed to orient English as a second language learners to a systematic conceptual understanding of rhetorical skills in five-paragraph essay writing. The 12-week pedagogical intervention focused on teaching the organizational structure of the five-paragraph essay and modes of persuasion through SCOBAs (Schemas for a Complete Orienting Basis of Actions) in a test preparation course for the writing tasks in the Test of English as a Foreign Language (TOEFL). Six participants completed three writing assignments and one analytic essay of a writing sample across the 12 weeks and received one-on-one individual tutoring sessions in the last week. The results demonstrate a holistic quality improvement in students’ five-paragraph essays and an observable improvement in the use of rhetorical appeals of Ethos and Logos strategies. In addition, the student-generated SCOBAs showed learners’ abilities to intentionally manipulate the SCOBAs to serve their internalization processes of the target concepts.
","language":null,"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":"Concept-based Language instruction"},{"word":"English as a Second Language writing"},{"word":"Five-Paragraph Essay"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4m59f7j8","frozenauthors":[{"first_name":"Tianzhi","middle_name":"","last_name":"Zhang","name_suffix":"","institution":"University of Pittsburgh","department":""}],"date_submitted":"2023-08-03T01:02:51+05:00","date_accepted":"2024-05-10T05:01:32.855000+05:00","date_published":"2024-05-30T00:00:00+05:00","render_galley":{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/2470/galley/10883/download/"},"galleys":[{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/2470/galley/10866/download/"},{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/2470/galley/10883/download/"}]},{"pk":6622,"title":"A Case Report of Delayed Opioid Toxidrome After Administration of Naloxone","subtitle":null,"abstract":"Introduction: Opioid use is an epidemic that plagues the United States. Patients frequently present to the emergency department (ED) after opioid toxicity, which can lead to respiratory failure, apnea, and death. Although there is an effective antidote, naloxone, the current guidelines surrounding post-naloxone administration monitoring are loosely defined.
\nCase Report: We present a case in which an individual was administered naloxone after an intentional opioid overdose and was monitored for four hours, as is standard in our institution. He remained in the ED for additional workup following this observation period and subsequently experienced signs of severe respiratory depression, requiring bag-valve-mask ventilation, naloxone, and admission. Had he been discharged, as is typical after a four-hour observation period, the consequences could have been fatal. We present multiple theories as to why his opioid toxidrome may have presented in a delayed manner, including ingestion of fentanyl analogues and variability in metabolization of both opioids and naloxone. We also explore alternative overdose antidote products approved by the US Food and Drug Administration, which may impact post overdose care.
\nConclusion: This case suggests that the correct amount of time to monitor patients after naloxone administration may be longer than originally thought. Our aim in this article was to further the discussion regarding the most appropriate observation period in cases of opioid toxicity.
","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":"Opioid"},{"word":"overdose"},{"word":"fentanyl"},{"word":"naloxone"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/55h6z90h","frozenauthors":[{"first_name":"Maiya","middle_name":"","last_name":"Cowan","name_suffix":"","institution":"Brown University, Providence, Rhode Island; Lifespan/Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island","department":"Emergency Medicine"},{"first_name":"Prasanna","middle_name":"","last_name":"Kumar","name_suffix":"","institution":"Brown University, Providence, Rhode Island; Lifespan/Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island","department":"Emergency Medicine"},{"first_name":"Jenny","middle_name":"","last_name":"Mcmanus","name_suffix":"","institution":"Brown University, Providence, Rhode Island; Lifespan/Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island","department":"Emergency Medicine"},{"first_name":"Sean","middle_name":"","last_name":"Bilodeau","name_suffix":"","institution":"Brown University, Providence, Rhode Island; Lifespan/Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island","department":"Emergency Medicine"},{"first_name":"Andrew","middle_name":"","last_name":"Beck","name_suffix":"","institution":"Lifespan/Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island","department":"Emergency Medicine"}],"date_submitted":"2023-12-13T23:42:29.551000+05:00","date_accepted":"2024-02-21T22:04:43.374000+05:00","date_published":"2024-05-29T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6622/galley/10880/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6622/galley/10310/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6622/galley/10880/download/"}]},{"pk":18577,"title":"Acceptance of Automated Social Risk Scoring in the Emergency Department: Clinician, Staff, and Patient Perspectives","subtitle":null,"abstract":"Introduction: Healthcare organizations are under increasing pressure from policymakers, payers, and advocates to screen for and address patients’ health-related social needs (HRSN). The emergency department (ED) presents several challenges to HRSN screening, and patients are frequently not screened for HRSNs. Predictive modeling using machine learning and artificial intelligence, approaches may address some pragmatic HRSN screening challenges in the ED. Because predictive modeling represents a substantial change from current approaches, in this study we explored the acceptability of HRSN predictive modeling in the ED.
\nMethods: Emergency clinicians, ED staff, and patient perspectives on the acceptability and usage of predictive modeling for HRSNs in the ED were obtained through in-depth semi-structured interviews (eight per group, total 24). All participants practiced at or had received care from an urban, Midwest, safety-net hospital system. We analyzed interview transcripts using a modified thematic analysis approach with consensus coding.
\nResults: Emergency clinicians, ED staff, and patients agreed that HRSN predictive modeling must lead to actionable responses and positive patient outcomes. Opinions about using predictive modeling results to initiate automatic referrals to HRSN services were mixed. Emergency clinicians and staff wanted transparency on data inputs and usage, demanded high performance, and expressed concern for unforeseen consequences. While accepting, patients were concerned that prediction models can miss individuals who required services and might perpetuate biases.
\nConclusion: Emergency clinicians, ED staff, and patients expressed mostly positive views about using predictive modeling for HRSNs. Yet, clinicians, staff, and patients listed several contingent factors impacting the acceptance and implementation of HRSN prediction models in the ED.
","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":"Health-related social needs"},{"word":"emergency department"},{"word":"provider"},{"word":"staff"},{"word":"patient"}],"section":"Health Equity","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8g23c84v","frozenauthors":[{"first_name":"Olena","middle_name":"","last_name":"Mazurenko","name_suffix":"","institution":"Indiana University, Richard M. Fairbanks School of Public Health, Department of Health Policy and Management, Indianapolis, Indiana","department":""},{"first_name":"Adam","middle_name":"T.","last_name":"Hirsh","name_suffix":"","institution":"Indiana University, School of Science, Indianapolis, Indiana","department":"None"},{"first_name":"Christopher","middle_name":"A.","last_name":"Harle","name_suffix":"","institution":"Indiana University, Richard M. Fairbanks School of Public Health, Department of Health Policy and Management, Indianapolis, Indiana; Regenstrief Institute, Center for Biomedical Informatics, Indianapolis, Indiana","department":"None"},{"first_name":"Cassidy","middle_name":"","last_name":"McNamee","name_suffix":"","institution":"Indiana University, Richard M. Fairbanks School of Public Health, Department of Health Policy and Management, Indianapolis, Indiana","department":"None"},{"first_name":"Joshua","middle_name":"R.","last_name":"Vest","name_suffix":"","institution":"Indiana University, Richard M. Fairbanks School of Public Health, Department of Health Policy and Management, Indianapolis, Indiana; Regenstrief Institute, Center for Biomedical Informatics, Indianapolis, Indiana","department":"None"}],"date_submitted":"2023-11-14T18:26:04+05:00","date_accepted":"2024-02-08T22:02:01.152000+05:00","date_published":"2024-05-29T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18577/galley/10887/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18577/galley/10545/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18577/galley/10887/download/"}]},{"pk":7223,"title":"Spontaneous Intracranial Hypotension Associated with Marfan Syndrome: A Case Report","subtitle":null,"abstract":"Introduction: Spontaneous intracranial hypotension (SIH) is an uncommon and frequently misdiagnosed condition characterized by a lower-than-normal volume of cerebrospinal fluid (CSF) caused by leakage of CSF through the dural membrane. The primary manifestation of SIH is an orthostatic headache, which is frequently accompanied by nausea and vomiting. Patients with connective tissue disorders are at increased risk for spontaneous CSF leaks due to the structural weakness of their dural membranes.
\nCase Report: An 18-year-old woman with no reported past medical history presented to the emergency department with 10 days of a bifrontal headache that was orthostatic in nature with associated nausea and vomiting. She was noted to have several marfanoid features on physical examination. Spontaneous intracranial hypotension was ultimately diagnosed and treated successfully with an epidural blood patch. Subsequent genetic testing revealed a diagnosis of Marfan syndrome.
\nConclusion: Spontaneous intracranial hypotension is an uncommon cause of headache. Individuals with connective tissue disorders such as Marfan syndrome are at increased risk for SIH. Knowledge of the relationship between these two conditions allows for a more rapid diagnosis of SIH.
","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":"Spontaneous intracranial hypotension; Marfan syndrome; Meningeal diverticulum; Spinal cerebrospinal fluid leak; Case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2xm6x0h0","frozenauthors":[{"first_name":"Faiza","middle_name":"","last_name":"Tariq","name_suffix":"","institution":"University of Illinois, College of Medicine, Department of Emergency Medicine, Chicago, Illinois","department":"Emergency medicine"},{"first_name":"Wesley","middle_name":"","last_name":"Eilbert","name_suffix":"","institution":"University of Illinois, College of Medicine, Department of Emergency Medicine, Chicago, Illinois","department":""}],"date_submitted":"2024-01-23T23:03:41.037000+05:00","date_accepted":"2024-03-03T01:31:32.167000+05:00","date_published":"2024-05-29T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7223/galley/10886/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7223/galley/10809/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/7223/galley/10886/download/"}]},{"pk":1568,"title":"Testicular Traction Technique with Intact Cremasteric Reflex, a Novel Approach for Manual Detorsion: Case Report","subtitle":null,"abstract":"Introduction: Recognizing testicular torsion is extremely important in patients presenting to the emergency department (ED) with acute scrotal pain. Traditional manual detorsion techniques are frequently employed by emergency physicians but are not always successful. Delays in detorsion increase the risk of testicular infarction and infertility, and the need for orchiectomy. Novel techniques such as the testicular traction technique have been described as a potential solution for difficult-to-detorse testicles.
\nCase Report: Our case report describes a 20-year-old male with no significant past medical history who presented to a rural ED with acute, atraumatic testicular pain secondary to testicular torsion with an intact cremasteric reflex. After confirming the diagnosis using Doppler ultrasound, manual detorsion using the traditional “open book” technique was attempted and unsuccessful. The patient was subsequently successfully detorsed using the novel testicular traction technique.
\nConclusion: The testicular traction technique is a safe, rapid, and effective primary or adjunctive technique in manual testicular detorsion. Given the time-sensitive nature of testicular torsions, adjunctive techniques play a crucial role in managing challenging detorsions, particularly in resource-limited rural settings with limited access to urologic services. Although it is commonly thought that the cremasteric reflex is absent in testicular torsions, it may be present in rare circumstances, and its presence should not be an absolute in ruling out torsion.
","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":"Testicular torsion"},{"word":"testicle"},{"word":"torsion"},{"word":"manual detorsion"},{"word":"detorsion"},{"word":"technique"},{"word":"cremasteric reflex"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3dp0j4w5","frozenauthors":[{"first_name":"Garrett","middle_name":"","last_name":"Trang","name_suffix":"","institution":"The University of Arizona, College of Medicine-Phoenix, Phoenix, Arizona","department":""},{"first_name":"Taz","middle_name":"","last_name":"Brinkerhoff","name_suffix":"","institution":"The University of Arizona, College of Medicine-Phoenix, Phoenix, Arizona","department":""}],"date_submitted":"2023-08-02T00:41:15.235000+05:00","date_accepted":"2024-02-19T20:54:56.205000+05:00","date_published":"2024-05-29T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1568/galley/10885/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1568/galley/10311/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1568/galley/10885/download/"}]},{"pk":45826,"title":"Obesity Medicine Utilization in a County Hospital: Analysis and Interventions to Increase Provider Education","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"quality-improvement"}],"section":"Quality Improvement","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3b85f575","frozenauthors":[{"first_name":"Kelly","middle_name":"","last_name":"Cheung","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Natalie","middle_name":"","last_name":"Bouri","name_suffix":"MD","institution":"","department":""},{"first_name":"Josh","middle_name":"","last_name":"Jiang","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T03:55:46+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45826/galley/34558/download/"}]},{"pk":45825,"title":"Improving Resident Knowledge Regarding Discharge Transportation Options at the Greater Los Angeles VA","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"quality-improvement"}],"section":"Quality Improvement","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5417k94h","frozenauthors":[{"first_name":"Alexander","middle_name":"","last_name":"Pham","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jay","middle_name":"","last_name":"Shah","name_suffix":"","institution":"","department":""},{"first_name":"Sammy","middle_name":"","last_name":"Sayed","name_suffix":"MD","institution":"","department":""},{"first_name":"Margaret","middle_name":"","last_name":"Slack","name_suffix":"MD","institution":"","department":""},{"first_name":"Tina","middle_name":"","last_name":"Kantaria","name_suffix":"MD","institution":"","department":""},{"first_name":"Satya","middle_name":"","last_name":"Patel","name_suffix":"MD","institution":"","department":""},{"first_name":"Priyanka","middle_name":"","last_name":"Moolchandani","name_suffix":"MD","institution":"","department":""},{"first_name":"Wendy","middle_name":"","last_name":"Simon","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T03:55:08+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45825/galley/34557/download/"}]},{"pk":45824,"title":"Improving Advanced Care Planning at UCLA Through Virtual Patient Workshops","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"quality-improvement"}],"section":"Quality Improvement","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4jz3p7nz","frozenauthors":[{"first_name":"Sarah","middle_name":"","last_name":"Stettner","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Anne","middle_name":"","last_name":"Walling","name_suffix":"MD, PhD","institution":"","department":""},{"first_name":"Neil","middle_name":"","last_name":"Wenger","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T03:53:55+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45824/galley/34556/download/"}]},{"pk":45823,"title":"Implementation of a Standardized Script to Improve the Efficiency and Effectiveness of Interdisciplinary Rounds on the UCLA Internal Medicine Service","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"quality-improvement"}],"section":"Quality Improvement","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6c672944","frozenauthors":[{"first_name":"Allison","middle_name":"","last_name":"Reichl","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Elizabeth","middle_name":"","last_name":"Dente","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jenny","middle_name":"","last_name":"Chen","name_suffix":"MD","institution":"","department":""},{"first_name":"Maria","middle_name":"","last_name":"Espinoza","name_suffix":"MD","institution":"","department":""},{"first_name":"Dayna","middle_name":"","last_name":"Isaacs","name_suffix":"MD","institution":"","department":""},{"first_name":"Rebecca","middle_name":"","last_name":"Ocher","name_suffix":"MD","institution":"","department":""},{"first_name":"Priyanka","middle_name":"","last_name":"Moolchandani","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T03:52:49+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45823/galley/34555/download/"}]},{"pk":45822,"title":"Addressing Areas for Improvement in Nurse-Physician Communication: A Pilot Study in the Veterans Affairs Healthcare System","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"quality-improvement"}],"section":"Quality Improvement","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1mr188nz","frozenauthors":[{"first_name":"Natalie","middle_name":"","last_name":"Bransky","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Esther","middle_name":"","last_name":"Kim","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Richard","middle_name":"","last_name":"Brach","name_suffix":"MD","institution":"","department":""},{"first_name":"Sergio","middle_name":"De 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Bacteremia","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/14p2q1kp","frozenauthors":[{"first_name":"Jeremy","middle_name":"","last_name":"Fukushima","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Christina","middle_name":"","last_name":"Arcuri","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T03:21:08+05:00","render_galley":null,"galleys":[]},{"pk":45799,"title":"Maybe It’s Maybelline: Eyelash Growth as a Harbinger of Occult Malignancy","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/61n0h02w","frozenauthors":[{"first_name":"Allison","middle_name":"","last_name":"Reichl","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Rena","middle_name":"","last_name":"Callahan","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T03:19:50+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45799/galley/34532/download/"}]},{"pk":45798,"title":"Management of Giant Cell Tumor of Bone with Thoracic Metastases: A Case Series","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0gz798w5","frozenauthors":[{"first_name":"Jody","middle_name":"","last_name":"Tai","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Phillis","middle_name":"","last_name":"Wu","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T03:18:40+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45798/galley/34531/download/"}]},{"pk":45797,"title":"Empyema Necessitans: Differentiating a Rare Infection from Malignancy","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9zp2f3jr","frozenauthors":[{"first_name":"Curtis","middle_name":"","last_name":"Sera","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Arthur","middle_name":"","last_name":"Jeng","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T02:28:06+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45797/galley/34530/download/"}]},{"pk":45796,"title":"Differentiating Type A and Type B Lactic Acidosis in Septic Oncologic Patients","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6627x2kg","frozenauthors":[{"first_name":"Jody","middle_name":"","last_name":"Tai","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Phillis","middle_name":"","last_name":"Wu","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T02:26:49+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45796/galley/34529/download/"}]},{"pk":45795,"title":"Catamenial Pneumothorax","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/85s5t3zq","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Chang","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Nadar","middle_name":"","last_name":"Kamangar","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T02:05:25+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45795/galley/34528/download/"}]},{"pk":45794,"title":"Adult Onset of Minimal Change Glomerulopathy Presenting as Nephrotic Syndrome","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7fn36331","frozenauthors":[{"first_name":"Gyunghwi (Hannah)","middle_name":"","last_name":"Woo","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T02:02:43+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45794/galley/34527/download/"}]},{"pk":45793,"title":"A Case Study of Exertional Rhabdomyolysis Complicated by Myotonia Congenita","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2nb9z4v8","frozenauthors":[{"first_name":"David","middle_name":"","last_name":"Chen","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Sashini","middle_name":"","last_name":"Weeraman","name_suffix":"MD","institution":"","department":""},{"first_name":"Chester","middle_name":"","last_name":"Choi","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T01:59:55+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45793/galley/34526/download/"}]},{"pk":45792,"title":"A Case Report of Cardiotoxicity in an Advanced Cancer Patient: Differential Diagnosis and Management","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-vignette-solomon-scholars"}],"section":"Clinical Vignette","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7np799qx","frozenauthors":[{"first_name":"Chaiyaporn","middle_name":"Charles","last_name":"Vatanatham","name_suffix":"","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Deborah","middle_name":"J.","last_name":"Wong","name_suffix":"MD, PhD","institution":"","department":""},{"first_name":"Ashley","middle_name":"F.","last_name":"Stein-Merlob","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-29T01:58:21+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/45792/galley/34525/download/"}]},{"pk":39613,"title":"Doing the Right Things Right: Identifying the Factors that Influence the Success or Failure of Conservation Programs Using the Conservation Excellence Model","subtitle":null,"abstract":"The increasing rates of biodiversity loss and global warming necessitate the implementation of conservation interventions with the highest likelihood of success, given limited resources. Using criteria within the Conservation Excellence Model, the authors comparatively analyzed the core conservation processes of 25 conservation programs in Southeast Asia and identified the factors that influenced program success. Eight key factors emerged: Stakeholder Involvement, Process Selection and Management, Activity and Impact Monitoring Systems, Measurable Goals and Objectives, Evidence-based Approach, Adaptability and Innovativeness, Political Will, and Sustainable Financing. The authors described a management approach that illustrates how identifying measurable goals and objectives enables program success. Additionally, the authors demonstrated the benefits of using both value and technical judgments in developing interventions, shifting from activity to impact monitoring, and integrating learning and innovation into interventions. The authors also found that programs can better overcome operational barriers and increase the likelihood of sustainable outcomes by deepening engagement with conservation partners.","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":"conservation planning, conservation effectiveness, conservation decision-making, benchmarking, management, leadership"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/90n1f7tw","frozenauthors":[{"first_name":"Marianne Allison","middle_name":"","last_name":"Lee","name_suffix":"","institution":"Durrell Institute of Conservation and Ecology, University of Kent, Canterbury CT2 7NR","department":"None"},{"first_name":"Jamieson","middle_name":"A.","last_name":"Copsey","name_suffix":"","institution":"IUCN SSC Conservation Planning Specialist Group, 12101 Johnny Cake Ridge Road, Apple Valley, MN 55124","department":"None"},{"first_name":"Grace","middle_name":"","last_name":"Ingram","name_suffix":"","institution":"Durrell Institute of Conservation and Ecology, University of Kent, Canterbury CT2 7NR","department":"None"},{"first_name":"Naing","middle_name":"","last_name":"Lin","name_suffix":"","institution":"Durrell Institute of Conservation and Ecology, University of Kent, Canterbury CT2 7NR","department":"None"},{"first_name":"Erwin","middle_name":"","last_name":"Amavassee","name_suffix":"","institution":"Durrell Institute of Conservation and Ecology, University of Kent, Canterbury CT2 7NR","department":"None"},{"first_name":"Regine","middle_name":"","last_name":"Weckauf","name_suffix":"","institution":"Fauna and Flora International, David Attenborough Building, Pembroke Street Cambridge CB2 3QZ","department":"None"},{"first_name":"Jim","middle_name":"J.","last_name":"Groombridge","name_suffix":"","institution":"Durrell Institute of Conservation and Ecology, University of Kent, Canterbury CT2 7NR","department":"None"},{"first_name":"Simon","middle_name":"A.","last_name":"Black","name_suffix":"","institution":"Durrell Institute of Conservation and Ecology, University of Kent, Canterbury CT2 7NR\n\nWildwood Trust, Canterbury Rd, Herne Common, Herne Bay CT6 7LQ","department":"None"}],"date_submitted":"2023-10-17T14:53:56+05:00","date_accepted":"2023-10-17T14:53:56+05:00","date_published":"2024-05-28T23:28:16+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39613/galley/29897/download/"}]},{"pk":39596,"title":"Adapting to Veganism in a Meat-Obsessed Country: Experiences, Identity Negotiation, and Strategies Against Misconceptions","subtitle":null,"abstract":"In Brunei, a country where the population heavily favors cuisines centered around chicken, beef, lamb, and duck, there is a consistently high demand for meat. However, not everyone prefers meat, particularly those who embrace specific ethical, spiritual, health, and cultural values. Being a vegan in Brunei, where meat consumption is the norm, presents unique challenges. This study examines how individuals in Brunei who have converted to a plant-based diet adapt, manage their vegan identity, and confront problems and misunderstandings in their daily lives. Qualitative interviews were conducted with nine selected participants, alongside a vegan forum sponsored by Green Brunei on February 27, 2022. The results show that the transition to veganism was driven by a desire to protect the land and animals, learn about the benefits of plant-based diets, and align their dietary choices with their personal identities. The study reveals the social histories and experiences that prompted the participants to become vegans, their resistance strategies against popular misconceptions about veganism, and how they negotiate their vegan identity. Despite prevalent beliefs and societal norms, the respondents demonstrated resilience. In a meat-obsessed nation, they often felt isolated. Developing strategies to navigate their daily lives and maintain their motivation despite loneliness strengthened their commitment to veganism.","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":"Brunei, vegan, experiences, meat-obsessed country"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/43q0c08k","frozenauthors":[{"first_name":"Zaliqah","middle_name":"","last_name":"Ahmad","name_suffix":"","institution":"University of Brunei Darussalam","department":"None"},{"first_name":"Meredian","middle_name":"","last_name":"Alam","name_suffix":"","institution":"University of Brunei Darussalam","department":"None"}],"date_submitted":"2022-12-13T20:30:12+05:00","date_accepted":"2022-12-13T20:30:12+05:00","date_published":"2024-05-28T23:26:12+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39596/galley/29886/download/"}]},{"pk":3851,"title":"High-altitude Cerebral Edema and High-altitude Pulmonary Edema Diagnosed in the Desert: A Case Report","subtitle":null,"abstract":"Introduction: Acute mountain sickness, high-altitude pulmonary edema (HAPE), and high-altitude cerebral edema (HACE) are a spectrum of high-altitude conditions, with HACE being the most life-threatening. Most cases develop at altitudes of greater than 4,000 meters (~13,000 feet) above sea level and after one to five days.
\nCase Report: A previously healthy 46-year-old female presented to the emergency department with ataxia, altered mental status, and vomiting that developed after rapidly ascending to ~2,400 meters (~7,800 feet) above sea level. She was treated for HACE and HAPE with resolution of her symptoms within 24 hours.
\nConclusion: High-altitude pulmonary edema and HACE can develop rapidly and at moderate altitudes. Expeditious recognition and treatment is imperative to avoid life-threatening complications.
","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":"Acute Mountain Sickness"},{"word":"high altitude pulmonary edema"},{"word":"High Altitude Cerebral Edema"},{"word":"computed tomography"},{"word":"altered mental status"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4k77m3gv","frozenauthors":[{"first_name":"Bryn","middle_name":"","last_name":"Walsh","name_suffix":"","institution":"Desert Regional Medical Center, Palm Springs, California","department":"Emergency Medicine"},{"first_name":"Suneil","middle_name":"","last_name":"Agrawal","name_suffix":"","institution":"Desert Regional Medical Center, Palm Springs, California","department":"Emergency Medicine"}],"date_submitted":"2023-10-20T23:00:54.380000+05:00","date_accepted":"2024-01-17T23:24:20.751000+05:00","date_published":"2024-05-28T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/3851/galley/10882/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/3851/galley/9625/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/3851/galley/10882/download/"}]},{"pk":1425,"title":"A Meta-analysis of Syntactic Satiation in Extraction from Islands","subtitle":null,"abstract":"Sentence acceptability judgments are often affected by a pervasive phenomenon called satiation: native speakers give increasingly higher ratings to initially degraded sentences after repeated exposure. Various studies have investigated the satiation effect experimentally, the vast majority of which focused on different types of island-violating sentences in English (sentences with illicit long-distance syntactic movements). However, mixed findings are reported regarding which types of island violations are affected by satiation and which ones are not. This article presents a meta-analysis of past experimental studies on the satiation of island effects in English, with the aim of providing accurate estimates of the rate of satiation for each type of island, testing whether different island effects show different rates of satiation, exploring potential factors that contributed to the heterogeneity in past results, and spotting possible publication bias. The meta-analysis shows that adjunct islands, the Complex NP Constraint (CNPC), subject islands, the that-trace effect, the want-for construction, and whether-islands reliably exhibit satiation, albeit at different rates. No evidence for satiation is found for the Left Branch Condition (LBC). Whether context sentences were presented in the original acceptability judgment experiments predicts the differences in the rates of satiation reported across studies. Potential publication bias is found among studies testing the CNPC and whether-islands. These meta-analytic results can be used to inform debates regarding the nature of island effects and serve as a proof of concept that meta-analysis can be a valuable tool for linguistic research.
","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/33t7f9s4","frozenauthors":[{"first_name":"Jiayi","middle_name":"","last_name":"Lu","name_suffix":"","institution":"Stanford University","department":"Linguistics"},{"first_name":"Michael","middle_name":"","last_name":"Frank","name_suffix":"","institution":"Stanford University","department":""},{"first_name":"Judith","middle_name":"","last_name":"Degen","name_suffix":"","institution":"Stanford University","department":""}],"date_submitted":"2023-06-05T00:05:49.865000+05:00","date_accepted":"2024-02-21T23:04:15.378000+05:00","date_published":"2024-05-28T05:15:00+05:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1425/galley/10778/download/"},"galleys":[{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1425/galley/10778/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1425/galley/10779/download/"}]},{"pk":6579,"title":"Eventuality type predicts temporal order inferences in discourse comprehension","subtitle":null,"abstract":"One kind of temporal inference in discourse operates over iconicity, such that inferred temporal order follows reported order. In two preregistered experiments (combined N = 930), we asked whether this temporal inference is predictably modulated by linguistic eventuality. Based on event-structural theories of temporal interpretation, stative descriptions, corresponding to cognitively less salient states in the world, should serve as backgrounds for eventive descriptions, locating states earlier in time. Participants read descriptions like Mary got/was married to John. She got/was pregnant and indicated which happened first. Eventuality type of both sentences and reported order were crossed. We find that states tend to be ordered before events, and longer states before shorter states. Our results support a model of discourse comprehension in which eventuality framing is crucial for (temporal) inferences.
","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/65v6r2pc","frozenauthors":[{"first_name":"Elena","middle_name":"","last_name":"Marx","name_suffix":"","institution":"Central European University","department":"Cognitive Science Department"},{"first_name":"Eva","middle_name":"","last_name":"Wittenberg","name_suffix":"","institution":"Central European University","department":"Cognitive Science Department"}],"date_submitted":"2023-11-23T18:56:38.987000+05:00","date_accepted":"2024-01-23T15:47:55.282000+05:00","date_published":"2024-05-28T05:15:00+05:00","render_galley":{"label":"glossapx-3-1-6579.xml","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/6579/galley/10867/download/"},"galleys":[{"label":"glossapx-3-1-6579.xml","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/6579/galley/10867/download/"},{"label":"glossapx-3-1-6579.pdf","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/6579/galley/10868/download/"}]},{"pk":1226,"title":"Famous protagonists interfere with discourse topicality during pronoun resolution","subtitle":null,"abstract":"The aim of the current study is to assess the impact of the wider discourse on pronoun interpretation. We specifically look at German demonstrative pronouns (dieser) in comparison to personal pronouns (er), investigating whether dieser-demonstratives are influenced only by factors in the preceding sentence (specifically, sentence topicality) or whether they are additionally influenced by cues from the wider discourse (i.e., discourse topicality). We found that discourse topicality competes with sentence topicality for prominence, when the two cues are not aligned to one and the same referent. This had an impact on referential interpretation of both personal and demonstrative pronouns, with weakened interpretive biases when sentence and discourse topic did not converge on the same referent (Exp. 3). Our data further indicate that the introduction of a protagonist from a well-known novel blocked the emergence of the discourse topic as a prominence-lending cue for personal pronouns (Exp. 1–2). We propose that reference to the famous protagonist triggers a protagonist layer, which introduces its own set of questions under discussion, which in turn invalidates the discourse topic. Crucially, the demonstrative pronoun dieser does not consider the protagonist layer and only relies on the discourse layer for interpretation.
","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/66s7m316","frozenauthors":[{"first_name":"Petra","middle_name":"B.","last_name":"Schumacher","name_suffix":"","institution":"University of Cologne","department":"Department of German Language and Literature I, Linguistics"},{"first_name":"Clare","middle_name":"","last_name":"Patterson","name_suffix":"","institution":"University of Cologne","department":""},{"first_name":"Magdalena","middle_name":"","last_name":"Repp","name_suffix":"","institution":"University of Cologne","department":"German Language and Linguistics I"}],"date_submitted":"2023-03-02T17:56:08.733000+05:00","date_accepted":"2024-03-04T02:41:57.125000+05:00","date_published":"2024-05-28T05:15:00+05:00","render_galley":{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1226/galley/10533/download/"},"galleys":[{"label":"XML","type":"xml","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1226/galley/10533/download/"},{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/glossapsycholinguistics/article/1226/galley/10534/download/"}]},{"pk":21258,"title":"Book Censorship in Public Schools: Examining Florida HB 1467 (2022)","subtitle":null,"abstract":"Several pieces of legislation have sprung up in recent years in Florida aiming to restrict public school library books and curricular materials. Notably, this coincides with other state legislative moves to restrict what students read and learn in school with partisan purposes. Library associations have reported that nationally, removed books disproportionately contain LGBTQ and racial minority themes. One law at the heart of these restrictions, Florida HB 1467 (2022), empowers community members to challenge and remove public school books and adds bureaucratic obstacles to the access of previously allowable materials. The vague and broad language of the Florida law leads to erratic application by school districts across the state, resulting in the suppression of protected speech. This article examines a key constitutional tension: Under what circumstances does the students’ right to receive information under the First Amendment outweigh school officials’ authority, and, by extension, parental authority over local education under the Tenth Amendment? The U.S. Supreme Court in Board of Education, Island Trees Union Free School District v. Pico (1982) offers one answer, holding that political orthodoxy is an unacceptable rationale for removal, but pervasive vulgarity and educational unsuitability are acceptable. These three standards are useful, yet entangle in ways Pico is not fully suited to address. This article argues HB 1467 (2022) is unconstitutional under the political orthodoxy Pico standard, strict scrutiny analysis of content-based regulations, and the vagueness and overbreadth doctrines of the 1st Amendment.
","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":"Book Censorship"},{"word":"Island Trees Union Free School District v. Pico"},{"word":"Overbreadth"},{"word":"Vagueness"},{"word":"First Amendment"},{"word":"Free Speech"},{"word":"Florida HB 1467"},{"word":"Flordia School Board"},{"word":"LGBTQ Books"},{"word":"Political Orthodoxy"},{"word":"Tenth Amendment"},{"word":"Parental Authority"},{"word":"Book Removal School Libraries"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9zz1x6tn","frozenauthors":[{"first_name":"Kacie","middle_name":"","last_name":"Li","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-26T00:39:38.332000+05:00","date_accepted":"2024-05-26T00:40:10.780000+05:00","date_published":"2024-05-26T02:25:28.490000+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21258/galley/10876/download/"}]},{"pk":21257,"title":"Opposite Ends: Why the United States and Singapore have Drastically Different Models of Free Speech","subtitle":null,"abstract":"This article delves into why the United States and Singapore, despite their shared colonial history, democratic institutions, wealth, and global influence, have drastically different free speech models. This paper will look at three points of comparison: historical context, political theory, and evolution of judicial interpretation. By comparing the current events and the prevalent political theories at the time of drafting the Singaporean and American constitutions, this paper seeks to understand why the nations ratified contrasting free speech clauses. However, the Constitution is only as meaningful as the courts interpret it, so this paper also explores how the respective Supreme Courts of Singapore and America have evolved their interpretation of the Constitution to shape their contrasting free speech models. While this paper will not argue which model of free speech is more effective, it will outline the underlying reasons for Singapore and America's drastically different free speech models.
","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":"Singapore Free Speech"},{"word":"First Amendment"},{"word":"Justice Holmes"},{"word":"Article 14 Singapore Constitution"},{"word":"Eastern Neo-Confucian Thought"},{"word":"Singapore Sedition Act"},{"word":"Maria Hertogh Riots"},{"word":"Schenck v. United States"},{"word":"John Stuart Mill"},{"word":"On Liberty"},{"word":"Prior Restraint"},{"word":"Blackstone"},{"word":"judicial review"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2f36c273","frozenauthors":[{"first_name":"Dylan","middle_name":"","last_name":"Chamberlin","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-26T00:26:26.473000+05:00","date_accepted":"2024-05-26T00:34:17.966000+05:00","date_published":"2024-05-26T02:24:19.162000+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21257/galley/10875/download/"}]},{"pk":21256,"title":"The House of Representatives Needs to Expand","subtitle":null,"abstract":"In 1929, the United States limited the number of congressional districts for the House of Representatives to 435 seats through the Permanent Apportionment Act. At the time, the average number of people within a congressional district stood at around 280,000 persons. In the 2020 census, this number has risen to 761,000 people per district. As a result, the voting power of citizens has been diminished. Representatives also face issues including logistical challenges in providing aid and information to constituents due to large populations. Importantly, the 435-seat limit dilutes the voting power of the electorate by reducing representation in states that have disproportionately large populations. This article argues that the 435 limit enacted by the 1929 Permanent Apportionment Act and the current method of apportioning districts to each state conflicts with precedent set by the Supreme Court from the cases Reynolds v. Sims, 377 U.S. 533 (1964) and Wesberry v. Sanders, 376 U.S. 1 (1964). The 1929 Permanent Apportionment Act also violates the Fourteenth Amendment right to equal protection of residents who live in states with slow growth rates. This article will advocate for Congress to repeal the 1929 Permanent Apportionment Act and return to the practice of expanding the number of House seats every ten years, as well as lowering the size of each congressional district.
","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":"1929 Permanent Apportionment Act"},{"word":"Wesberry v. Sanders"},{"word":"The Hill Method"},{"word":"Reynolds v. Sims"},{"word":"Geometric Mean"},{"word":"One Person One Vote"},{"word":"Gerrymandering"},{"word":"435 Limit"},{"word":"House of Representatives"},{"word":"Underrepresentation"},{"word":"Vote Dillution"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1rg557p7","frozenauthors":[{"first_name":"Atreya","middle_name":"","last_name":"Ghatak","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-26T00:24:30.780000+05:00","date_accepted":"2024-05-26T00:33:21.579000+05:00","date_published":"2024-05-26T02:22:45.968000+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21256/galley/10874/download/"}]},{"pk":21255,"title":"The Legal Landscape of Healthcare Access in Rural America","subtitle":null,"abstract":"The healthcare system in the United States ought to provide its citizens with unhindered access to high quality medical care as well as equitable treatment and coverage. Legislation to advance access to healthcare, such as the creation of the Medicare and Medicaid programs in 1965 and the Affordable Care Act in 2008, have been appropriate steps forward in achieving these goals, but obstacles to healthcare access still persist for many Americans. Healthcare access is hindered by foundational problems, such as a large uninsured population, inadequate infrastructure and facilities, and high costs for services. In rural communities, these problems assume different social and economic contexts and thus require their own separate evaluation. Rural Americans currently lack effective access to healthcare, despite existing policies aimed at improving access by making healthcare more affordable. In this article, I will explain different facts of the discussion revolving around rural healthcare access and analyze specific problems in the area. There are three policy directives that are essential to the expansion of rural healthcare access: public private partnerships, loan forgiveness for doctors serving at critical access hospitals, and expansion of the telehealth network. These avenues expand rural healthcare access, minimize government expenditure, and maximize public benefits.
","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":"Affordable Care Act"},{"word":"Medicare"},{"word":"Medicaid"},{"word":"Rural Healthcare Access"},{"word":"Critical Access Hospitals"},{"word":"Public Private Partnership"},{"word":"Telehealth"},{"word":"Healthcare Coverage Gaps"},{"word":"Underinsured"},{"word":"Uninsured"},{"word":"Health Insurance Marketplace"},{"word":"Loan Forgiveness"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/27g3v4tt","frozenauthors":[{"first_name":"Shyan","middle_name":"","last_name":"Khan","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-26T00:22:39.634000+05:00","date_accepted":"2024-05-26T00:31:59.837000+05:00","date_published":"2024-05-26T02:21:19.130000+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21255/galley/10873/download/"}]},{"pk":21254,"title":"Balancing Acts: Navigating the Ethical and Legal Challenges of Genomic Medicine in Healthcare ","subtitle":null,"abstract":"This paper delves into the intricate relationship between the evolving field of genomic medicine and healthcare providers' legal and ethical responsibilities, with a particular focus on the duty to warn in the context of genetic risks. Through a critical examination of landmark cases such as Pate v. Threlkel and Safer v. Estate of Pack, this study underscores the expanding scope of healthcare providers' duties to include not just the patient but potentially at-risk family members as well. It highlights the legal, ethical, and practical challenges that arise when balancing patient confidentiality with the need to prevent harm through the disclosure of genetic information. The descriptive portion of the paper outlines the current legal precedents and the ambiguity surrounding healthcare providers' responsibilities. The prescriptive portion proposes the establishment of comprehensive, clear guidelines to support healthcare providers, particularly genomic counselors, in navigating these complexities. This includes recommendations for policy changes and the development of protocols that respect patient autonomy while addressing the preventive potential of genomic medicine. Through an analysis of legal frameworks and ethical considerations, this paper argues for a nuanced approach that equitably balances individual rights with the collective good, ultimately advocating for a future where genomic medicine is integrated into patient care in an ethically responsible and legally sound manner.
","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":"Genomic Medicine"},{"word":"Standard of Care"},{"word":"Pate v. Threlkel"},{"word":"Safer v. Estate of Pack"},{"word":"medical malpractice"},{"word":"Genomic Counselors Medical Malpractice"},{"word":"Duty of Care"},{"word":"Standard of Care Workflow"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9f07464n","frozenauthors":[{"first_name":"Eugene","middle_name":"","last_name":"Kong","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-26T00:20:48.307000+05:00","date_accepted":"2024-05-26T00:31:21.266000+05:00","date_published":"2024-05-26T02:20:17.957000+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21254/galley/10872/download/"}]},{"pk":21253,"title":"Inconsistent Solutions Don’t Fix Persistent Problems: How Affirmative and Enthusiastic Consent Undermine Consent Laws Within Universities","subtitle":null,"abstract":"This article critically examines sexual misconduct reporting on university campuses, emphasizing the inherent flaws in how consent is defined and implemented within policy frameworks. While acknowledging the value of clarity, it argues against adding modifiers like enthusiastic and affirmative, which can obscure and over-generalize consent definitions. Analyzing current policies and relevant cases underscores the urgent need for prompt changes in university and federal settings. More specifically, it focuses on the problems arising from schools having autonomy in setting their definitions of consent, leading to issues such as policy ineffectiveness. This article proposes a comprehensive definition of consent, incorporating key factors like culpability and verbal and nonverbal cues to promote safer campus environments. Thus, it advocates for the release of guidance documents by the OCR to push schools to adopt a standardized definition of consent, ensuring a more uniform approach to addressing sexual misconduct on university campuses.
","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":"Title IX"},{"word":"U.S. Department of Education’s Office for Civil Rights"},{"word":"OCR"},{"word":"Consent Modifiers"},{"word":"Sexual Misconduct"},{"word":"University Sexual Misconduct Reporting"},{"word":"Affirmative and Enthusiastic Consent"},{"word":"Dear Colleague Letters"},{"word":"Consent Definition"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0364w1d8","frozenauthors":[{"first_name":"Lauren","middle_name":"","last_name":"Younk","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-26T00:18:57.785000+05:00","date_accepted":"2024-05-26T00:30:13.369000+05:00","date_published":"2024-05-26T02:19:25.996000+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21253/galley/10871/download/"}]},{"pk":21252,"title":"HIPAA: A Demand to Modernize Health Legislation ","subtitle":null,"abstract":"In the 21st-century digital age, health data privacy remains a crucial concern. This paper evaluates the effectiveness of the Health Insurance Portability and Accountability Act, known as HIPAA. More specifically, it demonstrates a need for a unified federal framework in the U.S. that aligns with General Data Protection Regulation’s protections to address modern-day cybersecurity threats better. This article argues that in an era of increased globalization, the United States should confront the task of reforming its healthcare data protection law to align with current cybersecurity risks.
\nWe begin by examining landmark legislation across American states to reveal inconsistencies between state and federal protective rulings. Later, we uncover the reactive nature of HIPAA, in contrast to GDPR’s proactive and citizen-centric approach. Through evaluating past lawsuits related to patient protection noncompliance, this paper depicts significant differences in the purpose, coverage, and execution of data protection laws between the United States and the European Union. It highlights GDPR’s effectiveness in granting individuals greater control over their data. Furthermore, this article proposes the adoption of newfound systems for standardized risk analysis and enhanced security across healthcare providers.
\nAs healthcare becomes more accessible to the American public, the amount of data in this system increases. This nationwide surge in data underscores the critical need to assess whether privacy laws established in the 1990s remain sufficient. Therefore, updates to healthcare legislation are essential to establishing stringent patient protections in response to the significant rise in data breach incidents within the healthcare network.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Health Insurance Portability and Accountability Act"},{"word":"HIPAA"},{"word":"data privacy"},{"word":"data security"},{"word":"The Security Rule"},{"word":"The Privacy Rule"},{"word":"General Data Protection Regulation"},{"word":"GDPR"},{"word":"cybersecurity risk"},{"word":"healthcare data breach"},{"word":"Vigil v. Muir Medical Group IPA"},{"word":" Inc"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9gp2n52k","frozenauthors":[{"first_name":"Mehri","middle_name":"","last_name":"Sadri","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-26T00:16:31.170000+05:00","date_accepted":"2024-05-26T00:29:10.831000+05:00","date_published":"2024-05-26T02:18:17.713000+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21252/galley/10870/download/"}]},{"pk":21214,"title":"The Wrongful Arrest Theory: Justice For Individuals With Diabetes In Criminal Law Procedure","subtitle":null,"abstract":"
This paper discusses the vulnerability of diabetic individuals when they are subjected to arrest procedures in criminal law. It analyzes the wrongful arrest theory as a device for individuals with disabilities to bring claims against law enforcement when their rights under Title II of the Americans with Disabilities Act (ADA) are violated. Individuals with diabetes constitute more than 10% of the United States population, meaning that many individuals are at risk for police misconduct because of their disability. The symptoms that come about with having diabetes, such as fruity-smelling breath and loss of coordination, can be mistaken for illegal activity leading to a wrongful arrest. No case involving ADA Title II violation claims against law enforcement relying on the wrongful arrest theory has been brought by an individual with diabetes. This paper explores the possibility of its potential success. To accomplish this, this paper first defines disability under the law, including diabetes. It then conducts a thorough analysis of the wrongful arrest theory in various case studies consisting of non-diabetic and diabetic plaintiffs. In a final case study, I apply the wrongful arrest theory to a case hypothetically to illustrate the plaintiff's potential success if he claims a wrongful arrest. Lastly, I explore some of the theory’s limitations and propose a potential solution. I hope that my findings will emphasize the lack of discourse surrounding individuals with diabetes in disability law and encourage further research and education on the wrongful arrest theory as a successful claim against Title II violations committed by law enforcement.
","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":"Wrongful Arrest Theory"},{"word":"Americans with Disabilities Act"},{"word":"Diabetes"},{"word":"qualified immunity"},{"word":"Law enforcement"},{"word":"ADA Title II violation"},{"word":"ackson v. Inhabitants of Town of Sanford"},{"word":"Lewis v. Truitt"},{"word":"Hypoglycemia"},{"word":"hyperglycemia"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5dd0v3t8","frozenauthors":[{"first_name":"Rachel","middle_name":"","last_name":"McChesney","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-19T04:43:58.004000+05:00","date_accepted":"2024-05-19T04:50:17.409000+05:00","date_published":"2024-05-26T02:01:52.399000+05:00","render_galley":null,"galleys":[{"label":"RachelTypeset","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21214/galley/10869/download/"}]},{"pk":21260,"title":"Title","subtitle":null,"abstract":"Volume II of the Undergraduate Law Review at UC San Diego
","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":true,"remote_url":"https://escholarship.org/uc/item/1cb3v2q1","frozenauthors":[{"first_name":"The Undergraduate Law Review @ UC San Diego","middle_name":"","last_name":"","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-26T01:08:06.993000+05:00","date_accepted":"2024-05-26T01:08:36.949000+05:00","date_published":"2024-05-26T01:59:18.460000+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucsdulr/article/21260/galley/10877/download/"}]},{"pk":39619,"title":"Transforming the Dhaka University Library into a Green Library: Opportunities and Challenges","subtitle":null,"abstract":"This study discusses how Bangladeshi libraries have adopted green methods to protect the environment, focusing on the Dhaka University Library (DUL), while exploring the associated opportunities and challenges. As there is no library in the country that is LEED (Leadership in Energy & Environmental Design) certified, this study outlines how the DUL can be transformed into a green library and aims to inspire other libraries to implement similar techniques. The work also provides a framework for libraries that are designing a new green building, renovating existing structures, and educating the public and library professionals about the benefits of creating and operating sustainable green libraries for both the users and the environment. \nA mixed-methods research design drives the study with 404 DUL patrons and 15 staff members participating in surveys and face-to-face interviews. This study revealed important perceptions of the DUL users and library professionals toward a green library. Finally, it identifies several challenges, including a lack of knowledge about green technology, budget constraints, low public awareness, and insufficient willingness among users and staff. In addition, the study highlights some opportunities, such as offering a healthy indoor and outdoor environment and initiating a project that could inspire other libraries to adopt green practices, with a particular focus on DUL. The insights gained from this study would help the DUL execute a green library concept and pave the way for further research on green libraries in Bangladesh.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Green Library"},{"word":"Sustainable Library"},{"word":"Green librarian"},{"word":"LEED"},{"word":"IGBC"},{"word":"Green Technology"},{"word":"Green building"},{"word":"Green service"},{"word":"Green library standard"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9011r36k","frozenauthors":[{"first_name":"Musfica","middle_name":"","last_name":"Tanzin","name_suffix":"","institution":"Noakhali Science and Technology University, Bangladesh.","department":"None"},{"first_name":"Kazi","middle_name":"Mostak Gausul","last_name":"Hoq","name_suffix":"","institution":"University of Dhaka, Dhaka, Bangladesh","department":"None"}],"date_submitted":"2023-12-06T14:09:50+05:00","date_accepted":"2023-12-06T14:09:50+05:00","date_published":"2024-05-22T11:56:46+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39619/galley/29900/download/"}]},{"pk":39600,"title":"Circular Economy and Sustainability in Nigeria: Opportunities and Challenges for Development","subtitle":null,"abstract":"The importance of developing the circular economy in Nigeria is increasingly recognized in literature. Nigeria, as the most populous black nation with over 200 million people and the 27th largest economy globally, possesses significant potential to explore and implement circular economy models, especially within the waste management sector. The market is buoyed by its large population and the growing demand for recycled materials, driven by economic incentives. Advancing the circular economy will aid in diversifying the national economy, promoting inclusive prosperity, and generating employment while creating safer environments to advance sustainable development goals (SDGs).\nHowever, the circular economy in Nigeria faces challenges such as low awareness, inadequate market integration, infrastructure deficiencies, policy inconsistencies, and high costs associated with equipment retrofitting. Recognizing the untapped potential of the circular economy as a transformative resource capable of creating employment opportunities for the burgeoning youth population and driving green growth amidst the threats posed by climate change, the study emphasizes the need for increased and monitored investments in infrastructure.\nFurthermore, it recommends providing grants and capacity-building support to current stakeholders within the circular economy sector to foster the development and scalability of innovative solutions, including ecosystem and equipment retrofitting/procurement. Consequently, it is imperative for the federal government to formulate and implement appropriate policies that support the circular economy framework.\nThe transition towards a circular economy model presents significant opportunities for development in Nigeria, a country grappling with various environmental and socio-economic challenges. By adopting this model, Nigeria can mitigate resource depletion, reduce waste generation, and foster economic growth while promoting sustainability. However, this transition also comes with its set of challenges that need to be addressed for effective implementation. This study addresses both the opportunities and challenges facing the Nigerian economy in developing a circular economy.","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":"Circular economy, Economic development, Nigeria, Sustainability, Welfare"}],"section":"Essays","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4r70r2hs","frozenauthors":[{"first_name":"Isaac","middle_name":"Busayo","last_name":"Oluwatayo","name_suffix":"","institution":"University of Venda","department":"None"},{"first_name":"Ayodeji","middle_name":"Oluwole","last_name":"Ojo","name_suffix":"","institution":"University of Ibadan","department":"None"}],"date_submitted":"2023-03-15T14:06:08+05:00","date_accepted":"2023-03-15T14:06:08+05:00","date_published":"2024-05-22T11:53:47+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39600/galley/29889/download/"}]},{"pk":17979,"title":"Accessibility of Naloxone in Pharmacies Registered Under the Illinois Standing Order","subtitle":null,"abstract":"Introduction: To expand access to naloxone, the state of Illinois implemented a standing order allowing registered pharmacies to dispense the drug without an individual prescription. To participate under the standing order, pharmacies were required to opt in through a formal registration process. In our study we aimed to evaluate the availability and price of naloxone at registered pharmacies.
\nMethods: This was a prospective, de-identified, cross-sectional telephone survey. Trained interviewers posed as potential customers and used a standardized script to determine the availability of naloxone between February–December, 2019. The primary outcome was defined as a pharmacy indicating it carried naloxone, currently had naloxone in stock, and was able to dispense it without an
individual prescription.
Results: Of 948 registered pharmacies, 886 (93.5%) were successfully contacted. Of those, 792 (83.4%) carried naloxone, 659 (74.4%) had naloxone in stock, and 472 (53.3%) allowed purchase without a prescription. Naloxone nasal spray (86.4%) was the formulation most commonly stocked. Chain pharmacies were more likely to carry naloxone (adjusted odds ratio [aOR] 3.16, 95% confidence interval [CI] 1.97–5.01, P < 0.01) and have naloxone in stock (aOR 2.72, 95% CI 1.76–4.20, P < 0.01), but no more likely to dispense it without a prescription. Pharmacies in higher population areas (aOR 0.99, 95% CI 0.99–0.99, P < 0.05) and rural areas adjacent to metropolitan areas (aOR 0.5, 95% CI 025–0.98, P < 0.05) were less likely to have naloxone available without a prescription. Associations of naloxone availability based on other urbanicity designations, overdose count, and overdose rate were not significant.
\nConclusion: Among pharmacies in Illinois that formally registered to dispense naloxone without a prescription, the availability of naloxone remains limited. Additional interventions may be needed to maximize the potential impact of a statewide standing order.
","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":"naloxone"},{"word":"Standing order"},{"word":"Opioid"},{"word":"Opiate"},{"word":"emergency department"},{"word":"access"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9qv0f7tk","frozenauthors":[{"first_name":"P.","middle_name":"Quincy","last_name":"Moore","name_suffix":"","institution":"Permanente Medical Group, Oakland, California; Kaiser Permanente Oakland Medical Center, Department of Emergency Medicine, Oakland, California","department":"None"},{"first_name":"Kaitlin","middle_name":"","last_name":"Ellis","name_suffix":"","institution":"Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island","department":"None"},{"first_name":"Patricia","middle_name":"","last_name":"Simmer","name_suffix":"","institution":"University of Chicago, Department of Medicine, Chicago, Illinois","department":"None"},{"first_name":"Mweya","middle_name":"","last_name":"Waetjen","name_suffix":"","institution":"University of Chicago Pritzker, School of Medicine, Chicago, Illinois","department":"None"},{"first_name":"Ellen","middle_name":"","last_name":"Almirol","name_suffix":"","institution":"University of Chicago, Chicago Center for HIV Elimination, Chicago, Illinois","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Salisbury-Afshar","name_suffix":"","institution":"University of Wisconsin-Madison, School of Medicine and Public Health, Department of Family Medicine and Community Health, Madison, Wisconsin; University of Wisconsin-Madison, School of Medicine and Public Health, Department of Population Health Sciences, Madison, Wisconsin","department":"None"},{"first_name":"Mai","middle_name":"T.","last_name":"Pho","name_suffix":"","institution":"University of Chicago, Department of Medicine, Section of Infectious Diseases and Global Health, Chicago, Illinois","department":"None"}],"date_submitted":"2023-03-17T02:43:53+05:00","date_accepted":"2023-03-17T02:43:53+05:00","date_published":"2024-05-21T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17979/galley/10859/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17979/galley/10130/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17979/galley/10859/download/"}]},{"pk":18020,"title":"Attitudes, Beliefs, Barriers, and Facilitators of Emergency Department Nurses Toward Patients with Opioid Use Disorder and Naloxone Distribution","subtitle":null,"abstract":"Introduction: As opioid overdose deaths continue to rise, the emergency department (ED) remains an important point of contact for many at risk for overdose. In this study our purpose was to better understand the attitudes, beliefs, and knowledge of ED nurses in caring for patients with opioid use disorder (OUD). We hypothesized a difference in training received and attitudes toward caring for patients with OUD between nurses with <5 years and ≥6 years of clinical experience.
\nMethods: We conducted a survey among ED nurses in a large academic medical center from May–July 2022. All ED staff nurses were surveyed. Data entry instruments for the nursing surveys were programmed in Qualtrics, and we analyzed results R using a chi-square test or Fisher exact test to
compare nurses with <5 years and ≥6 years of clinical experience. A P-value of < 0.05 was considered statistically significant.
Results: We distributed 74 surveys, and 69 were completed (93%). Attitudes toward naloxone distribution from the ED were positive, with 72% of respondents reporting they were “very” or “extremely” supportive of distributing naloxone kits to individuals at risk of overdose. While attitudes were positive, barriers included limited time, lack of system support, and cost. Level of comfort in caring for patients with OUD was high, with 78% of respondents “very” or “extremely” comfortable. More education is needed on overdose education and naloxone distribution (OEND) with respondents 38% and 45% “a little” or
“somewhat” comfortable, respectively. Nurses with <5 years of experience reported receiving more training on OEND in nursing school compared to those with ≥6 years of experience (P = 0.03). There were no significant differences in reported attitudes, knowledge, or comfort in caring for patients with OUD.
Conclusion: In this single-center survey, we found ED nurses were supportive of overdose education and naloxone distribution. There are opportunities for targeted education and addressing systemic barriers to OEND. All interventions should be evaluated to gauge impact on knowledge, attitudes, and behaviors.
","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":"Overdose Education and Naloxone Distribution"},{"word":"emergency department"},{"word":"Nursing"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1wq3t6bn","frozenauthors":[{"first_name":"Collin","middle_name":"","last_name":"Michels","name_suffix":"","institution":"University of Wisconsin, School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"Thomas","middle_name":"","last_name":"Schneider","name_suffix":"","institution":"University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin","department":"None"},{"first_name":"Kaitlin","middle_name":"","last_name":"Tetreault","name_suffix":"","institution":"University of Wisconsin, School of Medicine and Public Health, Department of Biostatistics and Medical Informatics, Madison, Wisconsin","department":"None"},{"first_name":"Jenna","middle_name":"","last_name":"Meier Payne","name_suffix":"","institution":"University of Wisconsin, School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"Kayla","middle_name":"","last_name":"Zubke","name_suffix":"","institution":"University of Wisconsin, School of Medicine and Public Health, BerbeeWalsh Department of Emergency Medicine, Madison, Wisconsin","department":"None"},{"first_name":"Elizabeth","middle_name":"","last_name":"Salisbury-Afshar","name_suffix":"","institution":"University of Wisconsin, School of Medicine and Public Health, Department of Family Medicine and Community Health, Madison, Wisconsin; University of Wisconsin, School of Medicine and Public Health, Department of Population Health Sciences, Madison, Wisconsin","department":"None"}],"date_submitted":"2023-03-30T23:42:09+05:00","date_accepted":"2023-03-30T23:42:09+05:00","date_published":"2024-05-21T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18020/galley/10861/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18020/galley/10528/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18020/galley/10861/download/"}]},{"pk":18037,"title":"Bystanders Saving Lives with Naloxone: A Scoping Review on Methods to Estimate Overdose Reversals","subtitle":null,"abstract":"Introduction: People who use drugs in community settings are at risk of a fatal overdose, which can be mitigated by naloxone administered via bystanders. In this study we sought to investigate methods of estimating and tracking opioid overdose reversals by community members with take-home naloxone (THN) to coalesce possible ways of characterizing THN reach with a metric that is useful for guiding both distribution of naloxone and advocacy of its benefits.
\nMethods: We conducted a scoping review of published literature on PubMed on August 15, 2022, using PRISMA-ScR protocol, for articles discussing methods to estimate THN reversals in the community. The following search terms were used: naloxone AND (“take home” OR kit OR “community distribution” OR “naloxone distribution”). We used backwards citation searching to potentially find additional studies. Overdose education and naloxone distribution program-based studies that analyzed only single programs were excluded.
\nResults: The database search captured 614 studies, of which 14 studies were relevant. Backwards citation searching of 765 references did not reveal additional relevant studies. Of the 14 relevant studies, 11 were mathematical models. Ten used Markov models, and one used a system dynamics model. Of the remaining three articles, one was a meta-analysis, and two used spatial analysis. Studies ranged in year of publication from 2013–2022 with mathematical modeling increasing in use over time. Only spatial analysis was used with a focus on characterizing local naloxone use at the level of a specific city.
\nConclusion: Of existing methods to estimate bystander administration of THN, mathematical models are most common, particularly Markov models. System dynamics modeling, meta-analysis, and spatial analysis have also been used. All methods are heavily dependent upon overdose education and naloxone distribution program data published in the literature or available as ongoing surveillance data. Overall, there is a paucity of literature describing methods of estimation and even fewer with methods applied to a local focus that would allow for more targeted distribution of naloxone.
","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":"naloxone"},{"word":"Opioids"},{"word":"overdose"},{"word":"surveillance"},{"word":"modelling"},{"word":"spatial analysis"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2699m3wn","frozenauthors":[{"first_name":"Andrew","middle_name":"T.","last_name":"Kinoshita","name_suffix":"","institution":"University of California Irvine, School of Medicine, Irvine, California","department":"None"},{"first_name":"Soheil","middle_name":"","last_name":"Saadat","name_suffix":"","institution":"University of California Irvine, School of Medicine, Department of Emergency Medicine, Irvine, California","department":"None"},{"first_name":"Bharath","middle_name":"","last_name":"Chakravarthy","name_suffix":"","institution":"University of California Irvine, School of Medicine, Department of Emergency Medicine, Irvine, California","department":"None"}],"date_submitted":"2023-04-01T11:34:12+05:00","date_accepted":"2023-04-01T11:34:12+05:00","date_published":"2024-05-21T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18037/galley/10860/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18037/galley/10527/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18037/galley/10860/download/"}]},{"pk":18324,"title":"“Let’s Chat!” Improving Emergency Department Staff Satisfaction with the Medication Reconciliation Process","subtitle":null,"abstract":"Introduction: Patients who stay in the emergency department (ED) for prolonged periods of time require verification of home medications, a process known as medication reconciliation. The complex nature of medication reconciliation can lead to adverse events and staff dissatisfaction. A multidisciplinary team was formed to improve accuracy, timing, and staff satisfaction with the medication reconciliation process.
\nMethods: Between November 2021–January 2022, stakeholders were surveyed to identify gaps in the medication reconciliation process. This project implemented education on role-specific tasks, as well as a “Let’s chat!” huddle, bringing together the entire care team to perform medication reconciliation. We used real-time evaluations by frontline staff to evaluate effectiveness during plan- do-study-act cycles and obtain feedback. Following the implementation period, stakeholders completed the post-intervention survey between June-July 2022, using a 4-point Likert scale (0 = very dissatisfied to 3 = very satisfied). We calculated the change in staff satisfaction from pre-intervention to post-intervention. Differences in proportions and 95% confidence intervals are reported. This study adhered to the Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0) and followed the Lean Six Sigma rapid cycle process improvement (define-measure-analyze-improve-control).
\nResults: A total of 111 front-line ED staff (physicians, nurse practitioners, physician assistants, pharmacists, nurses) completed the pre-intervention survey (of 350 ED staff, corresponding to a 31.7%response rate), and 89 stakeholders completed the post-intervention survey (a 25.4% response rate). Subjective feedback from staff identifying causes of low satisfaction with the initial process included the following: complexity of process; unclear delineation of staff roles; time burden to completion; high patient volume; and lack of standardized communication of task completion. Overall satisfaction improved after the intervention. The greatest improvement was seen in the correct medication (difference 20.7%, confidence interval [CI] 6.3–33.9%, P < 0.01), correct dose (25.6%, CI 11.4–38.6%, P < 0.001) and time last taken (24.5%, CI 11.4–37.0%, P < 0.001).
\nConclusion: There is a steep learning curve to educate multidisciplinary staff on a new process and implement the associated changes. With goals to impact the safety of our patients and reduce negative outcomes, engagement and awareness of the team involved in the medication reconciliation process is critical to improve staff satisfaction.
","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":"Medication Reconciliation"},{"word":"Emergency Medicine"},{"word":"PDSA cycles"},{"word":"Quality Improvement"}],"section":"Patient Safety","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3784k0tj","frozenauthors":[{"first_name":"Kurt","middle_name":"","last_name":"Schwieters","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Idaho College of Osteopathic Medicine, Meridian, Idaho","department":"None"},{"first_name":"Richard","middle_name":"","last_name":"Voigt","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":"None"},{"first_name":"Suzette","middle_name":"","last_name":"McDonald","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":"None"},{"first_name":"Lori","middle_name":"","last_name":"Scanlan-Hanson","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":"None"},{"first_name":"Breanna","middle_name":"","last_name":"Norman","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":"None"},{"first_name":"Erin","middle_name":"","last_name":"Larson","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic, Department of Nursing, Rochester, Minnesota","department":"None"},{"first_name":"Alexis","middle_name":"","last_name":"Garcia","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":"None"},{"first_name":"Bo","middle_name":"","last_name":"Madsen","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":"None"},{"first_name":"Maria","middle_name":"","last_name":"Rudis","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota; Mayo Clinic, Department of Pharmacy, Rochester, Minnesota","department":""},{"first_name":"Fernanda","middle_name":"","last_name":"Bellolio","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":""},{"first_name":"Sara","middle_name":"","last_name":"Hevesi","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota","department":""}],"date_submitted":"2023-05-26T02:11:43+05:00","date_accepted":"2024-02-13T03:49:02.825000+05:00","date_published":"2024-05-21T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18324/galley/10862/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18324/galley/10547/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18324/galley/10862/download/"}]},{"pk":18363,"title":"Bicarbonate and Serum Lab Markers as Predictors of Mortality in the Trauma Patient","subtitle":null,"abstract":"Introduction: Severe trauma-induced blood loss can lead to metabolic acidosis, shock, and death. Identification of abnormalities in the bicarbonate and serum markers may be seen before frank changes in vital signs in the hemorrhaging trauma patient, allowing for earlier lifesaving interventions. In this study the author aimed to evaluate the usefulness of serum bicarbonate and other lab markers as predictors of mortality in trauma patients within 30 days after injury.
\nMethods: This retrospective, propensity-matched cohort study used the TriNetX database, covering approximately 92 million patients from 55 healthcare organizations in the United States, including 3.8 million trauma patients in the last two decades. Trauma patients were included if they had lab measurements available the day of the event. The analysis focused on mortality within 30 days post-trauma in comparison to measured lab markers. Cohorts were formed based on ranges of bicarbonate, lactate, and base excess levels.
\nResults: Before propensity score matching, a total of 1,275,363 trauma patients with same-day bicarbonate, lactate, or base excess labs were identified. A significant difference in mortality was found across various serum bicarbonate lab ranges compared to the standard range of 21–27 milliequivalents per liter (mEq/L), post-propensity score matching. The relative risk of death was 6.806 for bicarbonate ≤5 mEq/L; 8.651 for 6–10; 6.746 for 11–15; 2.822 for 16–20; and 1.015 for bicarbonate ≥28. Serum lactate also displayed significant mortality outcomes when compared to a normal level of ≤2 millimoles per liter. Base excess showed similar significant correlation at different values compared to a normal base excess
of −2 to 2 mEq/L.
Conclusion: This study, approximately 100 times larger than prior studies, associated lower bicarbonate levels with increased mortality in the trauma patient. While lactate and base excess offer prognostic value, lower bicarbonate values have a higher relative risk of death. The greater predictive value of bicarbonate and accessibility during resuscitations suggests that it may be the superior prognostic marker in trauma.
","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":"Trauma"},{"word":"Serum Bicarbonate"},{"word":"lactate"},{"word":"Base Excess"}],"section":"Trauma","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1cq3b5k5","frozenauthors":[{"first_name":"Matthew","middle_name":"M.","last_name":"Talbott","name_suffix":"","institution":"University of Texas, Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":"None"},{"first_name":"Angela","middle_name":"N.","last_name":"Waguespack","name_suffix":"","institution":"University of Texas, Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"Peyton","middle_name":"A.","last_name":"Armstrong","name_suffix":"","institution":"University of Texas, Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""},{"first_name":"John","middle_name":"W.","last_name":"Davis","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":"Shania","middle_name":"M.","last_name":"Williams","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, Galveston, Texas","department":""},{"first_name":"Joshua","middle_name":"","last_name":"Person","name_suffix":"","institution":"University of Texas, Medical Branch, Department of Surgery, Galveston, Texas","department":""},{"first_name":"Dietrich","middle_name":"","last_name":"Jehle","name_suffix":"","institution":"University of Texas, Medical Branch, Department of Emergency Medicine, Galveston, Texas","department":""}],"date_submitted":"2023-06-09T22:38:51+05:00","date_accepted":"2023-06-09T22:38:51+05:00","date_published":"2024-05-20T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18363/galley/10857/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18363/galley/10531/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18363/galley/10857/download/"}]},{"pk":17850,"title":"Improving Healthcare Professionals’ Access to Addiction Medicine Education Through VHA Addiction Scholars Program","subtitle":null,"abstract":"Introduction: The seemingly inexorable rise of opioid-related overdose deaths despite the reduced number of COVID-19 pandemic deaths demands novel responses and partnerships in our public health system’s response. Addiction medicine is practiced in a broad range of siloed clinical environments that need to be included in addiction medicine training beyond the traditional fellowship programs. Our objective in this project was to implement a knowledge-based, live virtual training program that would provide clinicians and other healthcare professionals with an overview of addiction, substance use disorders (SUD), and clinical diagnosis and management of opioid use disorder (OUD).
\nMethods: The Veterans Health Administration (VHA) Emergency Department Opioid Safety Initiative (ED OSI) offered a four-day course for healthcare professionals interested in gaining knowledge and practical skills to improve VHA-based SUD care. The course topics centered around the diagnosis and treatment of SUD, with a focus on OUD. Additionally, trainees received six months of support to develop addiction medicine treatment programs. Evaluations of the course were performed immediately after completion of the program and again at the six-month mark to assess its effectiveness.
\nResults: A total of 56 clinicians and other healthcare professionals participated in the Addiction Scholars Program (ASP). The participants represented nine Veteran Integrated Service Networks and 21 different VHA medical facilities. Nearly 70% of participants completed the initial post-survey. Thirty-eight respondents (97.4%) felt the ASP series contained practical examples and useful information that could be applied in their work. Thirty-eight respondents (97.4%) felt the workshop series provided new information or insights into the diagnosis and treatment of SUD. Eleven capstone projects based on the information acquired during the ASP were funded (a total of $407,178). Twenty participants (35.7%) completed the six-month follow-up survey. Notably, 90% of respondents reported increased naloxone prescribing and 50% reported increased prescribing of buprenorphine to treat patients with OUD since completing the course.
\nConclusion: The ASP provided healthcare professionals with insight into managing SUD and equipped them with practical clinical skills. The students translated the information from the course to develop medication for opioid use disorder (M-OUD) programs at their home institutions.
","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":"Addiction Medicine"},{"word":"Veterans Affairs. Education"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4n71w2nv","frozenauthors":[{"first_name":"Zahir","middle_name":"","last_name":"Basrai","name_suffix":"","institution":"VA Greater Los Angeles Health Care System, Veterans Health Administration, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Manuel","middle_name":"","last_name":"Celedon","name_suffix":"","institution":"VA Greater Los Angeles Health Care System, Veterans Health Administration, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Nathalie","middle_name":"","last_name":"Dieujuste","name_suffix":"","institution":"VA Eastern Colorado Health Care System, Veterans Health Administration, Aurora, Colorado","department":"None"},{"first_name":"Julianne","middle_name":"","last_name":"Himstreet","name_suffix":"","institution":"VA Pharmacy Benefits Management Academic Detailing Service, Eugene, Oregon","department":"None"},{"first_name":"Jonathan","middle_name":"","last_name":"Hoffman","name_suffix":"","institution":"VA VISN 19 Rocky Mountain Network, Salt Lake City, Utah","department":"None"},{"first_name":"Cassidy","middle_name":"","last_name":"Pfaff","name_suffix":"","institution":"VISN 19 Academic Detailing Service, Veterans Health Administration, Tulsa, Oklahoma","department":"None"},{"first_name":"Jonie","middle_name":"","last_name":"Hsiao","name_suffix":"","institution":"VA Greater Los Angeles Health Care System, Veterans Health Administration, Department of Emergency Medicine, Los Angeles, California","department":"None"},{"first_name":"Robert","middle_name":"","last_name":"Malstrom","name_suffix":"","institution":"VA Pharmacy Benefits Management Academic Detailing Service, Martinez, California","department":"None"},{"first_name":"Jason","middle_name":"","last_name":"Smith","name_suffix":"","institution":"VISN 19 Academic Detailing Service, Veterans Health Administration, Denver, Colorado","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Radeos","name_suffix":"","institution":"NYC Health + Hospitals/Coney Island, Department of Emergency Medicine, Brooklyn, New York","department":"None"},{"first_name":"Terri","middle_name":"","last_name":"Jorgenson","name_suffix":"","institution":"Pharmacy Benefits Management, Clinical Pharmacy Practice Office, Washington, DC","department":"None"},{"first_name":"Melissa","middle_name":"","last_name":"Christopher","name_suffix":"","institution":"VA Pharmacy Benefits Management Academic Detailing Service, San Diego, California","department":"None"},{"first_name":"Comilla","middle_name":"","last_name":"Sasson","name_suffix":"","institution":"VA Eastern Colorado Health Care System, Veterans Health Administration, Aurora, Colorado; University of Colorado, Anschutz Medical Campus, Aurora, Colorado","department":"None"}],"date_submitted":"2023-02-02T11:54:40+05:00","date_accepted":"2023-02-02T11:54:40+05:00","date_published":"2024-05-20T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17850/galley/10856/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17850/galley/10529/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17850/galley/10856/download/"}]},{"pk":18040,"title":"Pragmatic Emergency Department Intervention Reducing Default Quantity of Opioid Tablets Prescribed","subtitle":null,"abstract":"Introduction: The opioid epidemic is a major cause of morbidity and mortality in the United States. Prior work has shown that emergency department (ED) opioid prescribing can increase the incidence of opioid use disorder in a dose-dependent manner, and systemic changes that decrease default quantity of discharge opioid tablets in the electronic health record (EHR) can impact prescribing practices. However, ED leadership may be interested in the impact of communication around the intervention as well as whether the intervention may differentially impact different types of clinicians (physicians, physician assistants [PA], and nurse practitioners). We implemented and evaluated a quality improvement intervention of an announced decrease in EHR default quantities of commonly prescribed opioids at a large, academic, urban, tertiary-care ED.
\nMethods: We gathered EHR data on all ED discharges with opioid prescriptions from January 1, 2019–December 6, 2021, including chief complaint, clinician, and opioid prescription details. Data was captured and analyzed on a monthly basis throughout this time period. On March 29, 2021, we implemented an announced decrease in EHR default dispense quantities from 20 tablets to 12 tablets for commonly prescribed opioids. We measured pre- and post-intervention quantities of opioid tablets prescribed per discharge receiving opioids, distribution by patient demographics, and inter-clinician variability in prescribing behavior.
\nResults: The EHR change was associated with a 14% decrease in quantity of opioid tablets per discharge receiving opioids, from 14 to 12 tablets (P =<.001). We found no statistically significant disparities in prescriptions based on self-reported patient race (P = 0.68) or gender (P = 0.65). Nurse practitioners and PAs prescribed more opioids per encounter than physicians on average and had a statistically significant decrease in opioid prescriptions associated with the EHR change. Physicians had a lesser but still significant drop in opioid prescribing in the post-intervention period.
\nConclusion: Decreasing EHR defaults is a robust, simple tool for decreasing opioid prescriptions, with potential for implementation in the 42% of EDs nationwide that have defaults exceeding the recommended 12-tablet supply. Considering significant inter-clinician variability, future interventions to decrease opioid prescriptions should examine the effects of combining EHR default changes with targeted interventions for clinician groups or individual clinicians.
","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":"EMR"},{"word":"Opioids"},{"word":"Quality Improvement"},{"word":"Emergency Medicine"},{"word":"Addiction Medicine"}],"section":"Behavioral Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0wq321gt","frozenauthors":[{"first_name":"Drake","middle_name":"Gotham","last_name":"Johnson","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Alice","middle_name":"Y.","last_name":"Lu","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Georgia","middle_name":"A.","last_name":"Kirn","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Kai","middle_name":"","last_name":"Trepka","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Yesenia","middle_name":"Ayana","last_name":"Day","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Stephen","middle_name":"C.","last_name":"Yang","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Juan Carlos","middle_name":"C.","last_name":"Montoy","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"},{"first_name":"Marianne","middle_name":"A.","last_name":"Juarez","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":"None"}],"date_submitted":"2023-04-02T04:44:11+05:00","date_accepted":"2023-04-02T04:44:11+05:00","date_published":"2024-05-20T18:00:00+05:00","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18040/galley/10858/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18040/galley/10128/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18040/galley/10858/download/"}]},{"pk":21210,"title":"WestJEM Full Issue Text","subtitle":null,"abstract":"","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"WestJEM Full-Text Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5q25k6ks","frozenauthors":[{"first_name":"Nicole","middle_name":"","last_name":"Valenzi","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-17T20:41:55.512000+05:00","date_accepted":"2024-05-17T20:50:34.460000+05:00","date_published":"2024-05-17T18:00:00+05:00","render_galley":{"label":"Full Issue Text","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21210/galley/10851/download/"},"galleys":[{"label":"Full Issue Text","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/21210/galley/10851/download/"}]},{"pk":46119,"title":"Technologic Assistance to Establish an Elusive Diagnosis","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/49h78893","frozenauthors":[{"first_name":"Deepashree","middle_name":"","last_name":"Gupta","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-16T23:31:13+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46119/galley/34850/download/"}]},{"pk":46118,"title":"Acute Intermittent Porphyria","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/8qt9s129","frozenauthors":[{"first_name":"Grace","middle_name":"","last_name":"Huang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"John","middle_name":"","last_name":"Ebrahim","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-16T23:18:15+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46118/galley/34849/download/"}]},{"pk":46117,"title":"An Interesting Case of Postpartum Depression","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/82801741","frozenauthors":[{"first_name":"Jennifer","middle_name":"","last_name":"Fuh","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Ayra","middle_name":"","last_name":"Bandeli","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-16T23:05:02+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46117/galley/34848/download/"}]},{"pk":46116,"title":"Hyperthyroidism and the Liver, It’s Complicated","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/2xq4m0gh","frozenauthors":[{"first_name":"Wossen","middle_name":"","last_name":"Belachew","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Khushboo","middle_name":"Kaushal","last_name":"Akkad","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-16T22:55:28+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46116/galley/34847/download/"}]},{"pk":46115,"title":"False Positive Pregnancy Test due to HCG Positive Pancreatic Cancer","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/5dx088vt","frozenauthors":[{"first_name":"Samuel","middle_name":"J.","last_name":"Slomowitz","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Lauren","middle_name":"E.","last_name":"Eisenbud","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-16T22:46:34+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46115/galley/34846/download/"}]},{"pk":46114,"title":"Pantoea Bacteremia: Contaminated TPN or Stepping on Pricklies?","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/3nt3b303","frozenauthors":[{"first_name":"Khushboo","middle_name":"Kaushal","last_name":"Akkad","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Wossen","middle_name":"","last_name":"Belachew","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-16T22:11:36+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46114/galley/34845/download/"}]},{"pk":46113,"title":"Early Recognition of Autoimmune Hepatitis","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/1079x5z3","frozenauthors":[{"first_name":"Joey","middle_name":"","last_name":"Tu","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Vindeep","middle_name":"","last_name":"Bhandari","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-16T21:58:32+05:00","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46113/galley/34844/download/"}]},{"pk":2579,"title":"Written by the Body: Gender Expansiveness and Indigenous Non-Cis Masculinities","subtitle":null,"abstract":"Book review","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":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1v56s9cg","frozenauthors":[{"first_name":"Kyles","middle_name":"Jacobs","last_name":"Gemmell","name_suffix":"","institution":"","department":""}],"date_submitted":"2023-10-09T22:28:13.078000+05:00","date_accepted":"2023-10-09T23:10:55.534000+05:00","date_published":"2024-05-16T20:58:02.785000+05:00","render_galley":{"label":"Final PDF","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/2579/galley/2724/download/"},"galleys":[{"label":"Final PDF","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/2579/galley/2724/download/"}]},{"pk":21208,"title":"CPC-EM Full-Text Issue","subtitle":null,"abstract":"","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"CPC-EM Full-Text Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/66n6m49f","frozenauthors":[{"first_name":"Nicole","middle_name":"","last_name":"Valenzi","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-16T23:07:58.217000+05:00","date_accepted":"2024-05-16T23:15:10.216000+05:00","date_published":"2024-05-16T18:00:00+05:00","render_galley":{"label":"Full Issue Text","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/21208/galley/10850/download/"},"galleys":[{"label":"Full Issue Text","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/21208/galley/10850/download/"}]},{"pk":59511,"title":"An Anomaly in Phase Transition: Liquid Crystals","subtitle":null,"abstract":"","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":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8sx9d47h","frozenauthors":[{"first_name":"Phillis","middle_name":"","last_name":"Wan","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T04:00:38+05:00","date_accepted":"2024-10-04T04:00:38+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59511/galley/45496/download/"}]},{"pk":59498,"title":"Anomaly Editorial Note","subtitle":null,"abstract":"Anomaly Editorial Note","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":[],"section":"Editor's Note","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5jn337rr","frozenauthors":[{"first_name":"Aarthi","middle_name":"","last_name":"Muthukumar","name_suffix":"","institution":"","department":""},{"first_name":"Varun","middle_name":"","last_name":"Upadhyay","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:41:05+05:00","date_accepted":"2024-10-04T03:41:05+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59498/galley/45484/download/"}]},{"pk":59499,"title":"Anomaly Table of Contents","subtitle":null,"abstract":"","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":[],"section":"Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2nn9t5wv","frozenauthors":[{"first_name":"Aarthi","middle_name":"","last_name":"Muthukumar","name_suffix":"","institution":"","department":""},{"first_name":"Varun","middle_name":"","last_name":"Upadhyay","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:42:38+05:00","date_accepted":"2024-10-04T03:42:38+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59499/galley/45485/download/"}]},{"pk":25333,"title":"Aplicación de un modelo de gestión del uso público en Parques Nacionales de la Argentina: sistematización de una experiencia","subtitle":null,"abstract":"Este año se cumplen 200 años de relaciones diplomáticas entre Estados Unidos y Argentina, que han implicado la cooperación en una amplia gama de campos, incluido el turismo. En procura de identificar nuevos enfoques para mejorar la capacidad de los parques nacionales para la planificación y gestión del uso público que sean de mutuo beneficio y desarrollar otras formas de ofrecer experiencias de mayor calidad a los visitantes, la Embajada de los Estados Unidos de América en Buenos Aires, la Sociedad George Wright, el Servicio de Parques Nacionales de los Estados Unidos y la Administración de Parques Nacionales de la Argentina propusieron el “Programa Binacional de Intercambio para Mejorar las Experiencias de los Visitantes en los Parques Nacionales” como un intercambio de aprendizaje conjunto entre los dos países. Este artículo presenta la sistematización de la experiencia de la aplicación y adaptación del Modelo Interinstitucional de Manejo de Visitantes de los Estados Unidos de América para la gestión del uso público en cinco parques nacionales de la Argentina. Ofrece una visión general del marco, resume el proyecto desarrollado con los parques y, lo que es más importante, discute las lecciones aprendidas y las recomendaciones para la futura implementación del modelo en Argentina, y posiblemente, en otros países de América Latina.","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":[],"section":"New Perspectives (Non-Peer Reviewed)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2t46m5vp","frozenauthors":[{"first_name":"Marisol","middle_name":"","last_name":"Mayorga","name_suffix":"","institution":"","department":"None"},{"first_name":"Jon","middle_name":"","last_name":"Kohl","name_suffix":"","institution":"","department":"None"},{"first_name":"Ryan","middle_name":"L.","last_name":"Sharp","name_suffix":"","institution":"","department":"None"},{"first_name":"Matthew","middle_name":"T.J.","last_name":"Brownlee","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2024-05-15T06:34:53+05:00","date_accepted":"2024-05-15T06:34:53+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25333/galley/14962/download/"}]},{"pk":59516,"title":"Area of Ignorance in Stellar Physics: Stellar Mass Black Hole Distribution; Lowest Initial Progenitor Mass Limit for Black Hole Evolution","subtitle":null,"abstract":"The creation and evolution of black holes have been the subject of ongoing debate and investigation due to their elusive nature, specifically in the mass distribution of stellar mass black holes. Using data and observations of changes in the remnant mass of stars, a mass distribution function for black hole formation was created. Coupled with an analysis of heavy element production, there is discussion of the mass minimum needed by a single-star stellar system to form a black hole. It can be concluded at the end of this paper that stellar progenitor systems of 20 or more solar masses with helium cores experience a fallback that propels the compact object past the maximum mass of a neutron star. This instigates its collapse into a black hole. According to current models, it can also be shown that progenitors surpassing 40M give rise to black holes without a preceding supernova explosion.","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":[],"section":"Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4c72w675","frozenauthors":[{"first_name":"Aria","middle_name":"","last_name":"Tomar","name_suffix":"","institution":"","department":""},{"first_name":"Raffaella","middle_name":"","last_name":"Margutti","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T04:11:40+05:00","date_accepted":"2024-10-04T04:11:40+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59516/galley/45501/download/"}]},{"pk":59505,"title":"Carbon Chronicles: Understanding the Oceanic Impact of Fossil Fuels (Professor James Bishop)","subtitle":null,"abstract":"","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":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0f4805qd","frozenauthors":[{"first_name":"Milla","middle_name":"","last_name":"Heckler","name_suffix":"","institution":"","department":""},{"first_name":"Alma","middle_name":"","last_name":"Razavilar","name_suffix":"","institution":"","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Delaney","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:53:26+05:00","date_accepted":"2024-10-04T03:53:26+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59505/galley/45490/download/"}]},{"pk":25327,"title":"Cover, Masthead, and Table of Contents, PSF Vol. 40 No. 2","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":[],"section":"Cover, Masthead, and Table of Contents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5h07x1r0","frozenauthors":[{"first_name":"The","middle_name":"","last_name":"PSF Editorial Team","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2024-05-15T06:07:27+05:00","date_accepted":"2024-05-15T06:07:27+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25327/galley/14956/download/"}]},{"pk":59500,"title":"Dark Energy: A Possible Solution to the Hubble Tension","subtitle":null,"abstract":"","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":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9p675247","frozenauthors":[{"first_name":"Ellie","middle_name":"","last_name":"Mak","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:44:10+05:00","date_accepted":"2024-10-04T03:44:10+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59500/galley/45486/download/"}]},{"pk":59509,"title":"Dual Consciousness in Split-Brain Patients","subtitle":null,"abstract":"","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":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7mw2m9ft","frozenauthors":[{"first_name":"Logan","middle_name":"","last_name":"Roscoe","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:58:55+05:00","date_accepted":"2024-10-04T03:58:55+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59509/galley/45494/download/"}]},{"pk":59507,"title":"Exploring the Effects of GLP-1 Agonists on Weight Management in Non-Diabetic Individuals","subtitle":null,"abstract":"","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":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2k55c66b","frozenauthors":[{"first_name":"Lakshya","middle_name":"","last_name":"Alagan","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:55:48+05:00","date_accepted":"2024-10-04T03:55:48+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59507/galley/45492/download/"}]},{"pk":25335,"title":"From Politics to Transformative Politics of Nature in Canada (book excerpt)","subtitle":null,"abstract":"An excerpt from the opening chapter \nTransformative Politics of Nature: Overcoming Barriers\n to Conservation in Canada,\n edited by Andrea Olive, Chance Finegan, and Karen F. Beazley (University of Toronto Press, 2023).","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":[],"section":"New Perspectives (Non-Peer Reviewed)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6v02p6mw","frozenauthors":[{"first_name":"Karen","middle_name":"F.","last_name":"Beazley","name_suffix":"","institution":"","department":"None"},{"first_name":"Andrea","middle_name":"","last_name":"Olive","name_suffix":"","institution":"","department":"None"},{"first_name":"Chance","middle_name":"","last_name":"Finegan","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2024-05-15T06:44:34+05:00","date_accepted":"2024-05-15T06:44:34+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25335/galley/14964/download/"}]},{"pk":25328,"title":"Gimme Shelter","subtitle":null,"abstract":"In this \"Letter from Woodstock,\" our columnist looks at the acute shortage of affordable housing for National Park Service employees — a problem that is affecting recruitment and retention of agency staff, both permanent and seasonal.","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":[],"section":"Points of View","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4q5618rk","frozenauthors":[{"first_name":"Rolf","middle_name":"","last_name":"Diamant","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2024-05-15T06:11:55+05:00","date_accepted":"2024-05-15T06:11:55+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25328/galley/14957/download/"}]},{"pk":59508,"title":"Hearing on the Horizon: Exploring the Multifaceted Dynamics of Hearing, from Genes to Patient Realities (Dr. Dylan Chan)","subtitle":null,"abstract":"","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":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/791100pf","frozenauthors":[{"first_name":"Aneesa","middle_name":"","last_name":"Mustafa","name_suffix":"","institution":"","department":""},{"first_name":"Lara","middle_name":"","last_name":"Potgeiter","name_suffix":"","institution":"","department":""},{"first_name":"Bradley","middle_name":"","last_name":"Vu","name_suffix":"","institution":"","department":""},{"first_name":"Tanya","middle_name":"","last_name":"Sanghal","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:58:03+05:00","date_accepted":"2024-10-04T03:58:03+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59508/galley/45493/download/"}]},{"pk":25332,"title":"Implementation of a public use management model in Argentinian National Parks: Lessons learned","subtitle":null,"abstract":"This year marks 200 years of diplomatic relations between the United States and Argentina, which has involved cooperation across a wide range of fields, including tourism. In the interest of finding new approaches to improve the capacity of national parks for public use planning and management and develop mutually beneficial ways to deliver higher-quality visitor experiences, the United States of America Embassy in Buenos Aires, the George Wright Society, the US National Park Service, and the Administration of National Parks in Argentina proposed the “Binational Exchange Program to Enhance Visitor Experiences in National Parks” as a co-learning exchange between the two countries. Through a critical review, this article focuses on the application and adaptation of the US Interagency Visitor Use Management Framework for public use management in five national parks in Argentina. The article offers an overview of the framework, summarizes the project developed with the parks, and, more importantly, discusses lessons learned and recommendations for future implementation of the model in Argentina and, possibly, other countries in Latin America.","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":[],"section":"New Perspectives (Non-Peer Reviewed)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8q5072fz","frozenauthors":[{"first_name":"Marisol","middle_name":"","last_name":"Mayorga","name_suffix":"","institution":"","department":"None"},{"first_name":"Jon","middle_name":"","last_name":"Kohl","name_suffix":"","institution":"","department":"None"},{"first_name":"Ryan","middle_name":"L.","last_name":"Sharp","name_suffix":"","institution":"","department":"None"},{"first_name":"Matthew","middle_name":"T.J.","last_name":"Brownlee","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2024-05-15T06:29:14+05:00","date_accepted":"2024-05-15T06:29:14+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25332/galley/14961/download/"}]},{"pk":25330,"title":"International Workshop on Indigenous Communities and Government Partnerships for Protected Area Management: Workshop Summary Report","subtitle":null,"abstract":"The International Workshop on Indigenous Communities and Government Partnerships for Protected Area Management was held on September 2022 on the homelands of the Lower Elwha Klallam Tribe. This event, hosted by the Lower Elwha Klallam Tribe, gathered approximately 55 Indigenous and government representatives from the U.S., Chile, Canada, and Mexico. The Participants represented Indigenous communities, organizations, and Tribal governments involved with marine, coastal, and terrestrial protected areas, as well as federal government representatives selected for their existing relationships with the Indigenous communities and the associated protected areas. The workshop, the first of its kind, was organized to facilitate dialogue among the Indigenous community and government representatives to share their unique experiences, identify and address concerns, and collectively develop recommendations to advance shared governance and collaborative management of protected areas with their respective federal government agencies.
","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":"Featured Theme Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5qf5135c","frozenauthors":[{"first_name":"","middle_name":"","last_name":"","name_suffix":"","institution":"International Workshop on Indigenous Communities and Government Partnerships for Protected Area Management","department":""}],"date_submitted":"2024-05-15T06:18:37+05:00","date_accepted":"2024-05-15T06:18:37+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25330/galley/14959/download/"}]},{"pk":59515,"title":"Liquid Biopsy: Novel Progressions and Comparisons","subtitle":null,"abstract":"Liquid biopsy technology has evolved into a promising, minimally invasive clinical tool for cancer diagnosis and oncology research. Liquid biopsy is a broad term referring to the testing of bodily fluids: spinal fluid, sweat, urine, and most commonly blood as it is materially dense; it is an analysis technique that detects various biomarkers, including common biomarkers such as circulating tumor cells (CTCs), circulating tumor DNA (ctDNA), and exosomes. There is particular interest in how effective early cancer diagnosis with liquid biopsies are, and its accuracy in early diagnosis prior to other prominent cancer testing/screenings. After studying a bibliometric review, we identified hot spot topics to focus on and wrote this non-systematic review article regarding new details about common biomarkers (ctDNA, exosomes, and CTC), novel technology, and recent tissue vs. liquid biopsy comparisons (non-small cell lung cancer and glioblastoma). More specifically, our study focuses on particular cancers and associated novel progressions in clinical studies that utilize liquid biopsies. This literature review covers updated findings from other reviews and clinical studies centered on recent advances in standardization, development, and application of novel high-throughput technology. This study also compares tissue biopsies—a standard cancer diagnostic technique—and its complementary role in early cancer detection with liquid biopsies. Additionally, this paper explores topical challenges in liquid biopsy specificity, efficacy, and cost-efficiency in regards to personalized cancer diagnosis and treatment.","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":[],"section":"Research","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5pd7k1rr","frozenauthors":[{"first_name":"Lavanya","middle_name":"","last_name":"Gupta","name_suffix":"","institution":"","department":""},{"first_name":"Nicole","middle_name":"","last_name":"Klatt","name_suffix":"","institution":"","department":""},{"first_name":"Humayd","middle_name":"","last_name":"Zameer","name_suffix":"","institution":"","department":""},{"first_name":"Sushruta","middle_name":"","last_name":"Surappa","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T04:09:18+05:00","date_accepted":"2024-10-04T04:09:18+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59515/galley/45500/download/"}]},{"pk":25329,"title":"Preventing Loss of Animal Species Under Human-Caused Climate Change","subtitle":null,"abstract":"Human-caused climate change has caused the extinction of two animal species and threatens numerous other species. Conservation of potential refugia can reduce risks. Energy conservation and efficiency solutions contribute to halting climate change and saving animal species.","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":[],"section":"Points of View","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8t14p6zg","frozenauthors":[{"first_name":"Patrick","middle_name":"","last_name":"Gonzalez","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2024-05-15T06:14:20+05:00","date_accepted":"2024-05-15T06:14:20+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25329/galley/14958/download/"}]},{"pk":25338,"title":"Recycling","subtitle":null,"abstract":"A poem in the \"Verse in Place\" section of Parks Stewardship Forum.","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":[],"section":"Verse in Place","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4c9370q2","frozenauthors":[{"first_name":"Terry","middle_name":"","last_name":"Lucas","name_suffix":"","institution":"","department":"None"}],"date_submitted":"2024-05-15T06:53:58+05:00","date_accepted":"2024-05-15T06:53:58+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25338/galley/14967/download/"}]},{"pk":59513,"title":"Restoring California’s Kelp Forests","subtitle":null,"abstract":"","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":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6d77g442","frozenauthors":[{"first_name":"Isabelle","middle_name":"","last_name":"Cherry","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T04:04:04+05:00","date_accepted":"2024-10-04T04:04:04+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59513/galley/45498/download/"}]},{"pk":59510,"title":"Symphony of the Human Brain","subtitle":null,"abstract":"","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":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2614g82s","frozenauthors":[{"first_name":"Nykita","middle_name":"","last_name":"Rustad","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:59:45+05:00","date_accepted":"2024-10-04T03:59:45+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59510/galley/45495/download/"}]},{"pk":25331,"title":"Taller internacional sobre alianzas entre comunidades indígenas y gobiernos para la gestión de las áreas protegidas: resumen del taller","subtitle":null,"abstract":"El Taller Internacional sobre Alianzas entre Comunidades Indígenas y Gobiernos para la Gestión de las Áreas Protegidas fue llevado a cabo en septiembre del 2022 en las tierras ancestrales de la Tribu Bajo Elwha Klallam. Este evento, auspiciadopor la Tribu Bajo Elwha Klallam, reunió aproximadamente a 55 representantes indígenas y de los gobiernos de los Estados Unidos, Chile, Canadá y México. Los participantes fueron representantes de comunidades y organizaciones indígenas ygobiernos tribales1 involucrados en la gestión de áreas protegidas marinas, costeras y terrestres. También, representantes del gobierno federal elegidos por su relación con las comunidades indígenas y las áreas protegidas con las que se asocian. El taller, el primero de su índole, fue organizado para facilitar el diálogo entre los mismos representantes para compartir sus experiencias únicas, identificar y articular sus preocupaciones y de modo colectivo elaborar recomendaciones para promover la gobernanza compartida y gestión colaborativa de áreas protegidas con sus respectivas agencias de gobierno.","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":[],"section":"Featured Theme Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6wr1w389","frozenauthors":[{"first_name":"","middle_name":"","last_name":"","name_suffix":"","institution":"El Taller internacional sobre alianzas entre comunidades indígenas y gobiernos","department":"None"}],"date_submitted":"2024-05-15T06:24:11+05:00","date_accepted":"2024-05-15T06:24:11+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/psf/article/25331/galley/14960/download/"}]},{"pk":59514,"title":"The Menstrual Conundrum","subtitle":null,"abstract":"","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":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3hx1h8n3","frozenauthors":[{"first_name":"Sania","middle_name":"","last_name":"Moghe","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T04:05:01+05:00","date_accepted":"2024-10-04T04:05:01+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59514/galley/45499/download/"}]},{"pk":59506,"title":"The Tug-of-War of Emotion in Children with AuDHD","subtitle":null,"abstract":"","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":[],"section":"Features","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3b9432n8","frozenauthors":[{"first_name":"Gardenia","middle_name":"","last_name":"Chang","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:54:36+05:00","date_accepted":"2024-10-04T03:54:36+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59506/galley/45491/download/"}]},{"pk":59504,"title":"Tick Tock: A Timely Look into the Science Behind Precise Clocks and their Implications (Professor Shimon Kolkowitz)","subtitle":null,"abstract":"","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":[],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/83m6j3ps","frozenauthors":[{"first_name":"Smridhi","middle_name":"","last_name":"Mahajan","name_suffix":"","institution":"","department":""},{"first_name":"Grace","middle_name":"","last_name":"Zhou","name_suffix":"","institution":"","department":""},{"first_name":"Lauren","middle_name":"","last_name":"Lee","name_suffix":"","institution":"","department":""},{"first_name":"Tanya","middle_name":"","last_name":"Sanghal","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-10-04T03:50:44+05:00","date_accepted":"2024-10-04T03:50:44+05:00","date_published":"2024-05-15T12:00:00+05:00","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/our_bsj/article/59504/galley/45489/download/"}]}]}