Introduction: Pit viper envenomation may cause coagulopathy. The coagulopathy has been treated with crotalidae polyvalent immune fragment antigen-binding (Fab) ovine antivenom for the last few decades in the United States and usually corrects the acute coagulopathy within hours. Days after receiving Fab, coagulopathy may recur in approximately half of the patients. Another divalent antivenom, crotalidae immune F(ab’)2 (equine)–F(ab’)2–was approved by the US Food and Drug Administration for the treatment of pit viper envenomation. F(ab’)2 is composed of two linked antigen-binding fragments of immunoglobulin G. Several studies have demonstrated that F(ab’)2 is less likely to be associated with recurrence. There is no reported case of F(ab’)2-associated late coagulopathy in very young patients. We report the first case of recurrence associated with F(ab’)2 use in a preschool-age child.
\nCase Report: A preschool-age male developed leg swelling and hypofibrinogenemia after rattlesnake envenomation. F(ab’)2 was administered to stabilize the leg edema and to correct the hypofibrinogenemia. The patient improved clinically and was discharged on hospital day five. Seven days after the rattlesnake envenomation, he returned to the emergency department as instructed. Laboratory data revealed recurrent hypofibrinogenemia.
\nConclusion: There are two antivenoms available in the US to treat crotalid envenomation, Fab and F(ab’)2. F(ab’)2 is less likely to be associated with recurrent coagulopathy in comparison to Fab. We report the first case of recurrence associated with F(ab’)2 in a preschool-age child. It is important that the emergency physician be aware of potential F(ab’)2-associated recurrent coagulopathy. Adult and pediatric patients may need to follow up to be evaluated for hypofibrinogenemia and/or thrombocytopenia after receiving F(ab’)2.
","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":"pediatric"},{"word":"recurrence"},{"word":"hypofibrinogenemia"},{"word":"F(ab’)2"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0g17n10p","frozenauthors":[{"first_name":"Jean","middle_name":"C.Y.","last_name":"Lo","name_suffix":"","institution":"Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":""},{"first_name":"E.","middle_name":"Lea","last_name":"Walters","name_suffix":"","institution":"Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":""},{"first_name":"Brian","middle_name":"","last_name":"Wolk","name_suffix":"","institution":"Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California","department":""}],"date_submitted":"2023-11-27T04:02:19.983000Z","date_accepted":"2024-02-14T23:10:55.216000Z","date_published":"2024-05-14T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6583/galley/10849/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6583/galley/10309/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6583/galley/10849/download/"}]},{"pk":1891,"title":"A Case Report of Wünderlich Syndrome Causing Massive Hemorrhage During Hemodialysis","subtitle":null,"abstract":"Introduction: Wünderlich syndrome (WS) refers to subcapsular, perirenal, or pararenal hemorrhage due to non-traumatic and iatrogenic conditions. Neoplasms, vascular disease, renal etiology, and anticoagulant use are underlying risk factors.
\nCase Report: We describe a case of WS in a 79-year-old male who was undergoing hemodialysis, which resulted in hemorrhagic shock requiring multiple transfusions and embolization by interventional radiology.
\nConclusion: Most commonly, patients present with flank pain; a computed tomography with contrast of the abdomen is essential for diagnosis. Surgical intervention is considered in hemodynamically unstable patients. Conservative therapy and intravenous resuscitations with blood products are considered a priority in hemodynamically stable patients.
","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":"Wünderlich syndrome"},{"word":"hemorrhagic shock"},{"word":"Renal emergency"},{"word":"Rare"},{"word":"dialysis"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7v20b69h","frozenauthors":[{"first_name":"Karalee","middle_name":"","last_name":"Bluhm","name_suffix":"","institution":"Rutgers-RWJBH- Community Medical Center, Department of Emergency Medicine, Toms River, New Jersey","department":""},{"first_name":"Ravali","middle_name":"","last_name":"Kundeti","name_suffix":"","institution":"Rutgers-RWJBH- Community Medical Center, Department of Emergency Medicine, Toms River, New Jersey","department":""},{"first_name":"Nicole","middle_name":"","last_name":"Maguire","name_suffix":"","institution":"Rutgers-RWJBH- Community Medical Center, Department of Emergency Medicine, Toms River, New Jersey","department":""}],"date_submitted":"2023-11-26T18:57:49.712000Z","date_accepted":"2024-01-25T23:11:03.139000Z","date_published":"2024-05-14T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1891/galley/10848/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1891/galley/10308/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1891/galley/10848/download/"}]},{"pk":4918,"title":"Acute Confusional Migraines: A Case Report","subtitle":null,"abstract":"Introduction: Acute confusional migraine (ACM) is a rare variant of migraine that is benign and self-resolving but difficult to diagnose. Without known causative pathophysiology and a lack of recognition in the International Classification of Headache Disorders (ICHD-3), ACM offers a puzzling clinical presentation. There currently is no standardized treatment for ACM, but with a growing anecdotal dataset there is the opportunity to formally recognize and establish protocols to improve patient care and outcomes.
\nCase Report: A 14-year-old female presented to the emergency department (ED) with acute onset of confusion, vision changes, right-sided weakness, and dysarthria one hour prior to arrival. A stroke workup at the initial ED offered no pertinent findings. The patient was transferred to a pediatric specialty ED where all symptoms, aside from numbness and a mild headache, resolved during transfer. After administration of a migraine cocktail at the pediatric specialty ED, all remaining symptoms completely resolved. The patient was discharged home from the ED the same evening with outpatient follow-up.
\nConclusion: This case presents the difficulty of diagnosing and treating ACM prior to its self-resolution. It highlights the need for formal recognition of the condition by the ICHD-3. In doing so, greater recognition will promote more research, awareness, and establishment of a standardized treatment for ACM.
","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":"pediatric"},{"word":"migraine"},{"word":"confusion"},{"word":"stroke"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8rm7x90k","frozenauthors":[{"first_name":"Devin","middle_name":"M.","last_name":"Howell","name_suffix":"","institution":"Northwell Health, Department of Emergency Medicine, Huntington, New York","department":""},{"first_name":"Garrett","middle_name":"","last_name":"Lamouree","name_suffix":"","institution":"Binghamton University, Binghamton, New York","department":""}],"date_submitted":"2023-11-05T03:24:00.288000Z","date_accepted":"2024-01-19T00:21:28.219000Z","date_published":"2024-05-14T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/4918/galley/10846/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/4918/galley/10110/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/4918/galley/10846/download/"}]},{"pk":1686,"title":"Point-of-care Ultrasound Diagnosed Intraocular Breast Metastasis","subtitle":null,"abstract":"Case Presentation: A 60-year-old female presented to the emergency department with unilateral eye pain and vision loss. Point-of-care ultrasound (POCUS) was performed, which demonstrated ocular metastatic lesions of breast cancer.
\nDiscussion: Ocular metastasis is rare, clinically challenging, and may present with a wide range of ophthalmic symptoms. However, POCUS may safely and rapidly identify metastatic lesions to direct further care.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"POCUS"},{"word":"ocular ultrasound"},{"word":"Emergency Medicine"},{"word":"breast cancer"},{"word":"metastasis"},{"word":"ocular"},{"word":"ultrasound"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6dp8x1x5","frozenauthors":[{"first_name":"Hamzah","middle_name":"M.","last_name":"Yusuf","name_suffix":"","institution":"Stanford University, Department of Emergency Medicine, Palo Alto, California","department":""},{"first_name":"Timothy","middle_name":"","last_name":"Batchelor","name_suffix":"","institution":"Stanford University, Department of Emergency Medicine, Palo Alto, California","department":""},{"first_name":"Nicholas","middle_name":"","last_name":"Ashenburg","name_suffix":"","institution":"Stanford University, Department of Emergency Medicine, Palo Alto, California","department":""}],"date_submitted":"2023-09-25T23:39:17.019000Z","date_accepted":"2024-01-23T17:36:32.292000Z","date_published":"2024-05-14T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1686/galley/10847/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1686/galley/10112/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1686/galley/10847/download/"}]},{"pk":1585,"title":"Renal Artery Aneurysm Rupture as a Dangerous Mimic of Ovarian Cyst Rupture: A Case Report","subtitle":null,"abstract":"Introduction: Renal artery aneurysm rupture is a rare but morbid diagnosis, often requiring emergency surgery and nephrectomy. Clinical presentation can mimic more common pathology in non-pregnant women such as ruptured ovarian cyst.
\nCase Report: We present a case of a woman with a prior history of ovarian cyst presenting with a ruptured renal artery aneurysm. Prompt computed tomography (CT) imaging revealed a left renal artery aneurysm rupture with hemoperitoneum and renal infarct. She underwent emergency laparotomy and nephrectomy and was ultimately discharged in good condition.
\nConclusion: While ovarian cyst rupture is the most common cause of spontaneous hemoperitoneum in non-pregnant women of childbearing age, renal artery aneurysm rupture should be considered and prompt CT imaging obtained, particularly in cases of hemodynamic instability, to ensure prompt treatment.
","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":"aneurysm"},{"word":"renal"},{"word":"rupture"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9dm5v43s","frozenauthors":[{"first_name":"Lauren","middle_name":"","last_name":"Kaplan","name_suffix":"","institution":"New York-Presbyterian Hospital, New York, New York","department":""},{"first_name":"Kaushal","middle_name":"H.","last_name":"Shah","name_suffix":"","institution":"New York-Presbyterian Hospital; Weill Cornell Medical Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Christie","middle_name":"","last_name":"Lech","name_suffix":"","institution":"New York-Presbyterian Hospital; Weill Cornell Medical Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Mary-Kate","middle_name":"","last_name":"Gorlick","name_suffix":"","institution":"New York-Presbyterian Hospital, New York, New York","department":""}],"date_submitted":"2023-08-02T19:58:46.910000Z","date_accepted":"2023-10-09T22:52:54.759000Z","date_published":"2024-05-14T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1585/galley/10845/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1585/galley/3825/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1585/galley/10845/download/"}]},{"pk":204,"title":"REL's test paper 1","subtitle":null,"abstract":"here is my very interesting abstract. ","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivs 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Article","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Rachel","middle_name":"","last_name":"Lee","name_suffix":"","institution":"CDL","department":""}],"date_submitted":"2022-10-11T16:51:10.385000Z","date_accepted":"2024-01-23T22:36:42.259000Z","date_published":"2024-05-13T07:25:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/demo/article/204/galley/4326/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/demo/article/204/galley/4326/download/"}]},{"pk":39853,"title":"First record of Triops gadensis Korn and García-de-Lomas, 2010 (Crustacea: Notostraca) in Córdoba Province, southern Spain","subtitle":null,"abstract":"We studied a \nTriops\n population from a Mediterranean temporary pond located in Guadalcázar, a township in the western part of Córdoba Province. There are four morphologically similar species of \nTriops\n occurring in the SW Iberian Peninsula. In particular, the two species found in southern Andalusia, \nT. baeticus\n and \nT. gadensis\n, cannot reliably be told apart based on known morphological characters. We thus used sequences of 12S rDNA as a molecular marker to soundly identify the population to species rank. Our results demonstrate that the \nTriops\n population studied belongs to \nT. gadensis\n. This result is rather unexpected given that the species was thought to be restricted to a small distribution range along the Atlantic coast in Cádiz Province. The population is located at approximately 170 km from previously known sites of \nT. gadensis\n and shows a previously unknown haplotype, the sixth 12S haplotype reported for the species. Based on a molecular clock designed for dating divergence events among conspecific samples of \nTriops\n, the haplotype is estimated to have diverged at 10.3–29.4 ka BP. We thus suggest that the population has high conservation value, and its habitat, including the surroundings, should be legally protected. We further propose that an open habitat type as pastureland should be retained for the surroundings of the site in order to support its ecological function in the frame of meta-populations dynamics, and as a possible source population from which new localities could be populated via passive dispersal.","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":"Mediterranean temporary ponds"},{"word":"Guadalcázar"},{"word":"La Dehesilla"},{"word":"Pleurodeles waltl"},{"word":"Pelodytes ibericus"},{"word":"molecular clock"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2w01r2mq","frozenauthors":[{"first_name":"Mónica","middle_name":"","last_name":"López-Martínez","name_suffix":"","institution":"Real Jardín Botánico de Córdoba. Herbario COA. Avda.de Linneo s/n, 14004-Córdoba, Spain","department":"None"},{"first_name":"Juan","middle_name":"","last_name":"Garcia-De-Lomas","name_suffix":"","institution":"I+D Research Group on Structure and Dynamics of Aquatic Ecosystems, University of Cádiz, Avda. Republica Saharaui s/n, 11510, Cádiz, Spain","department":"None"},{"first_name":"Federico","middle_name":"","last_name":"Marrone","name_suffix":"","institution":"University of Palermo","department":"None"},{"first_name":"Luca","middle_name":"","last_name":"Vecchioni","name_suffix":"","institution":"University of Palermo","department":"None"},{"first_name":"Francesco","middle_name":"Paolo","last_name":"Faraone","name_suffix":"","institution":"University of Palermo","department":"None"},{"first_name":"Michael","middle_name":"","last_name":"Korn","name_suffix":"","institution":"Molecular Laboratory, Museum of Zoology, Senckenberg Natural History Collections Dresden, Koenigsbruecker Landstrasse 159, D-01109 Dresden, Germany","department":"None"}],"date_submitted":"2024-02-07T12:34:57Z","date_accepted":"2024-02-07T12:34:57Z","date_published":"2024-05-09T12:11:17Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/39853/galley/30015/download/"}]},{"pk":54290,"title":"Front Matter v4 iss2","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[{"word":"political economy and law"},{"word":"sociolegal theory"}],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0c88f9jb","frozenauthors":[{"first_name":"JLPE","middle_name":"","last_name":"Editors","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-05-09T16:52:45Z","date_accepted":"2024-05-09T16:52:45Z","date_published":"2024-05-09T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54290/galley/41018/download/"}]},{"pk":54291,"title":"Reconstructing Class Analysis","subtitle":null,"abstract":"This article offers a reconceptualization of class-in-capitalism and its articulation with racialization and gender that builds on critical strands of Marxian thought and integrates insights from Black radical and feminist socialist traditions. Rather than a transhistorical \nmaterialist\n conception of class \nsimpliciter\n, we develop a \nhistorically-specific\n conception of class embedded within an analysis of \ncapitalist social relations\n. The result is an account of class based not on the appropriation of a “material surplus,” but on \nasymmetrical social relations in the division of labor and disposition of its fruits\n. Developing this conception along three key axes of asymmetries—property, production, and personhood—we show how the dynamics propelled by capitalist social relations are co-constitutive with those of racialization, while both the privatization of reproduction and gender-based super-exploitation are systemic features of these dynamics. We emphasize law’s role in the history of these relations, and end with implications of our analysis for their transformation.","language":"en","license":null,"keywords":[{"word":"social theory, critique of political economy, capitalism, class, racialization, gender, legal theory"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3nw277pd","frozenauthors":[{"first_name":"Yochai","middle_name":"","last_name":"Benkler","name_suffix":"","institution":"Harvard University Law School","department":""},{"first_name":"Talha","middle_name":"","last_name":"Syed","name_suffix":"","institution":"UC Berkeley School of Law","department":""}],"date_submitted":"2024-05-09T16:59:33Z","date_accepted":"2024-05-09T16:59:33Z","date_published":"2024-05-09T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54291/galley/41019/download/"}]},{"pk":54296,"title":"Review of David Schneiderman, Investment Law’s Alibis: Colonialism, Imperialism, Debt and Development (Cambridge University Press, 2022)","subtitle":null,"abstract":"","language":"en","license":null,"keywords":[],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3791978k","frozenauthors":[{"first_name":"Kehinde","middle_name":"Folake","last_name":"Olaoye","name_suffix":"","institution":"Hamad Bin Khalifa University","department":""}],"date_submitted":"2024-05-09T18:26:06Z","date_accepted":"2024-05-09T18:26:06Z","date_published":"2024-05-09T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54296/galley/41024/download/"}]},{"pk":54293,"title":"The Legal Form of Climate Change Litigation: An Inquiry into the Transformative Potential and Limits of Private Law","subtitle":null,"abstract":"This article analyzes the impact of climate change litigation on the form of private law, contributing to our understanding of the transformative potential and limits of private law. I argue that climate change litigation breaks the homology between the commodity form and the legal form, to surprisingly antisystemic effect. Developing this argument, I make three distinct contributions. First, I demonstrate that the legal form of climate change litigation is incompatible with the rationale of capital accumulation. Second, I update the commodity form theory of law elaborated by Pašukanis to conceptualize the transformations of European private law systems that have been unfolding for some decades, which I tentatively label “private law for the age of monopoly capitalism” (PLAMC). Third, I contend that climate change litigation departs from the rationale of PLAMC and that in these cases the legal form does not replicate the commodity form. This rare dissociation creates antisystemic potential.","language":"en","license":null,"keywords":[{"word":"climate change litigation, law and political economy, private law, tort law, commodity form theory of law, monopoly capitalism, world-system"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7ms1r9q9","frozenauthors":[{"first_name":"Riccardo","middle_name":"","last_name":"Fornasari","name_suffix":"","institution":"University of Paris Nanterre","department":""}],"date_submitted":"2024-05-09T18:10:46Z","date_accepted":"2024-05-09T18:10:46Z","date_published":"2024-05-09T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54293/galley/41021/download/"}]},{"pk":54294,"title":"The Progressive Imaginaire: A Critique of The Anti-Oligarchy Constitution","subtitle":null,"abstract":"This essay appraises Joseph Fishkin and William Forbath’s The Anti-Oligarchy Constitution (2022). The book proposes that an examination of American history since the founding of the republic discloses a polity that, at least incipiently and thereafter occasionally explicitly, promised its members lives of material well-being sufficient to their responsibilities as citizens of a republic. The authors argue that this promise, which they dub “democracy-of-opportunity,” was honed in battle down the years with champions of “oligarchy and exclusion” for mastery of the instrumentalities of “constitutional political economy.” They affirm the constitutive capacities of constitutionalism as a progressive fighting faith that can revive democracy-of-opportunity in the twenty-first century. This essay sympathizes with the authors’ broad objectives, but does not agree with their arguments. It argues that the lesson LPE scholars should take from this critical encounter is that the law of the current conjuncture cannot reconstruct that conjuncture’s economic foundations.","language":"en","license":null,"keywords":[{"word":"Badiou, Lacan, Lochner, Marx, constitutionalism, opportunity, political economy"}],"section":"Essays","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5t26242x","frozenauthors":[{"first_name":"Christopher","middle_name":"","last_name":"Tomlins","name_suffix":"","institution":"University of California Berkeley School of Law","department":""}],"date_submitted":"2024-05-09T18:15:00Z","date_accepted":"2024-05-09T18:15:00Z","date_published":"2024-05-09T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54294/galley/41022/download/"}]},{"pk":54292,"title":"Toward a Sociology of Contract","subtitle":null,"abstract":"Economic sociology has neglected contract as an institutional foundation for market relations. It has also given inadequate attention to the role of forms of social difference such as race, gender, and sexuality in constituting market exchange. We argue that these omissions share common origins in the status/contract division that figured prominently in nineteenth-century sociological and legal thinking. In excavating these origins, we trace two alternative routes to “socializing the economy” associated with sociological and sociolegal traditions, respectively. The sociological approach rests on a dichotomous understanding of “status” and “contract,” with the result that social (“status”) relations are seen as regulating market exchange \nfrom the outside\n. By contrast, Legal Realists treat status and contract as copresent elements of social organization. Because status and contract are intertwined, they operate through the \ninternal constitution\n of power and inequality in the bargaining relationship. We conclude by considering how insights from sociology and Legal Realism might be productively joined in analyzing the labor contract.","language":"en","license":null,"keywords":[{"word":"contract, status, labor, economic sociology, Legal Realism"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/50x1945k","frozenauthors":[{"first_name":"Greta","middle_name":"R.","last_name":"Krippner","name_suffix":"","institution":"University of Michigan","department":""},{"first_name":"Luis","middle_name":"","last_name":"Flores","name_suffix":"","institution":"Harvard University Kennedy School of Government","department":""}],"date_submitted":"2024-05-09T18:06:41Z","date_accepted":"2024-05-09T18:06:41Z","date_published":"2024-05-09T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/lawandpoliticaleconomy/article/54292/galley/41020/download/"}]},{"pk":20329,"title":"Atiqput: Inuit Oral History and Project Naming","subtitle":null,"abstract":"Book review.","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8pz2z5cb","frozenauthors":[{"first_name":"Dilan","middle_name":"","last_name":"Erteber","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T19:02:08.016000Z","date_accepted":"2024-03-12T21:59:04.057000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20329/galley/10821/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20329/galley/10821/download/"}]},{"pk":20331,"title":"Braided Learning: Illuminating Indigenous Presence through Art and Story","subtitle":null,"abstract":"Book review.","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/56t9k3d0","frozenauthors":[{"first_name":"Cynthia","middle_name":"","last_name":"Benally","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T19:23:56.290000Z","date_accepted":"2024-03-12T22:00:24.376000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20331/galley/10822/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20331/galley/10822/download/"}]},{"pk":1614,"title":"Centering Community, Indigenous Relationships, and Ceremony through an Alaska Native Collaborative Hub to Prevent Suicide and Promote Youth Wellbeing","subtitle":null,"abstract":"The Alaska Native Collaborative Hub for Research on Resilience (ANCHRR) engages Indigenous leadership at all levels in a strength-based study to deepen our understanding of community level protective factors in Indigenous communities, which are the collective influences shaping individual wellbeing across time. Overall, ANCHRR aims to position Alaska Native Tribes, Tribal organizations, and community members as the guides for culturally responsive research that is aligned with community priorities of increasing resilience and wellbeing among Alaska Native youth and reducing their suicide risk. Our approach brings together Indigenous knowledge and research methods that humbly draw attention to the solutions that already exist within communities. An Indigenous paradigm shifts the approach from a singular focus on individuals and their risks and deficits to appreciation for the cultural, community, and systemic ways in which community members support, care for, and guide their young people into adulthood. We describe the lessons learned about this unique approach to Indigenous leadership and community engagement and discuss the research processes that keep the relational heart-work at the center of every project activity. This capacity-building, mutually beneficial and relational approach offers new insights to knowledge development endeavors.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"Suicide Prevention"},{"word":"Resilence"},{"word":"Community level protective factors"},{"word":"Indigenous knowledge"},{"word":"Indigenous leadership"},{"word":"Alaska Native youth"},{"word":"Culturally responsive"},{"word":"Indigenous Research"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/89n023vz","frozenauthors":[{"first_name":"Jessica","middle_name":"Saniguq","last_name":"Ullrich","name_suffix":"","institution":"Washington State University","department":"College of Medicine"},{"first_name":"Evon","middle_name":"Taa’ąįį","last_name":"Peter","name_suffix":"","institution":"","department":""},{"first_name":"Jessica","middle_name":"","last_name":"Black","name_suffix":"","institution":"","department":""}],"date_submitted":"2023-08-11T19:09:48.909000Z","date_accepted":"2023-12-18T21:40:26.901000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/1614/galley/10817/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/1614/galley/10817/download/"}]},{"pk":20332,"title":"Cherokee Earth Dwellers: Stories and Teachings of the Natural World","subtitle":null,"abstract":"Book review.","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4z74b3v1","frozenauthors":[{"first_name":"Jewel","middle_name":"","last_name":"Cummins","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T22:03:29.336000Z","date_accepted":"2024-03-12T22:05:39.210000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20332/galley/10823/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20332/galley/10823/download/"}]},{"pk":20333,"title":"Cinematic Comanches: The Lone Ranger in the Media Borderlands","subtitle":null,"abstract":"Book review","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1pv7k23v","frozenauthors":[{"first_name":"Jack","middle_name":"","last_name":"Rutherford","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T22:08:00.856000Z","date_accepted":"2024-03-12T22:19:27.666000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20333/galley/10824/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20333/galley/10824/download/"}]},{"pk":1606,"title":"Community-Based Inquiry from within Indigenous Early Learning Communities of Practice: Introduction to the Special Issue","subtitle":null,"abstract":"Community-Based Inquiry (CBI) is a research method in which Indigenous communities engage in asking and answering their own questions about their early childhood practices. Community members are the researchers: they formulate the questions based on community needs, create the methodology to pursue answers to those questions, find solutions, and put those solutions into practice to strengthen early childhood education in their communities. In this introductory piece, we share the philosophical and practical foundations of CBI, and introduce readers to the visionary community and university scholars who, throughout this special issue, share their stories of innovation, insight, and advocacy on behalf of early learners, families, and their communities.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"Indigenous Early Learning and Development"},{"word":"Indigenous Research"},{"word":"Native Early Childhood"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4615877c","frozenauthors":[{"first_name":"Tarajean","middle_name":"","last_name":"Yazzie-Mintz","name_suffix":"","institution":"First Light Education Project","department":"NA"},{"first_name":"Amanda","middle_name":"","last_name":"LeClair-Diaz","name_suffix":"","institution":"","department":""},{"first_name":"Ethan","middle_name":"","last_name":"Yazzie-Mintz","name_suffix":"","institution":"First Light Education Project","department":""}],"date_submitted":"2023-08-11T15:26:14Z","date_accepted":"2023-11-16T18:07:48Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1606/galley/10812/download/"},"galleys":[{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1606/galley/10812/download/"}]},{"pk":20542,"title":"Editorial Statement","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2x91p2fd","frozenauthors":[{"first_name":"David","middle_name":"Delgado","last_name":"Shorter","name_suffix":"","institution":"UCLA","department":"","country":"United States"}],"date_submitted":"2024-04-01T17:02:18.239000Z","date_accepted":"2024-04-01T17:10:20.092000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"PDF","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20542/galley/10831/download/"},"galleys":[{"label":"PDF","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20542/galley/10831/download/"}]},{"pk":1611,"title":"E kolo ana nō ke ēwe i ke ēwe (The rootlet will creep toward the rootlets)","subtitle":null,"abstract":"What is Hawaiian cultural identity? What does it mean to be Hawaiian? Out of the process of developing a curriculum for our Keiki Steps program at the Institute of Native Pacific Education and Culture (INPEACE) emerged these profound questions that form the foundation of all of the work that we do. Our Community-Based Inquiry focuses on understanding who we are and how that impacts the ways in which we teach our keiki (children), setting in motion a process that is transforming our understanding of ourselves, our history, and our culture, and changing the way we work with our earliest learners.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"Indigenous Early Learning and Development"},{"word":"Native Early Childhood"},{"word":"Indigenous Research"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7067k261","frozenauthors":[{"first_name":"Sanoe","middle_name":"Kinikela","last_name":"Marfil","name_suffix":"","institution":"Institute for Native Pacific Education and Culture (INPEACE) Keiki Steps","department":""},{"first_name":"Brandy Kalehua","middle_name":"Kamohaliʻi","last_name":"Caceres","name_suffix":"","institution":"Institute for Native Pacific Education and Culture (INPEACE) Keiki Steps","department":""},{"first_name":"LeReen","middle_name":"Iko Aranaydo","last_name":"Carr","name_suffix":"","institution":"Institute for Native Pacific Education and Culture (INPEACE) Keiki Steps","department":""},{"first_name":"Courtney","middle_name":"Pualani","last_name":"Perreira","name_suffix":"","institution":"Institute for Native Pacific Education and Culture (INPEACE) Keiki Steps","department":""},{"first_name":"Pūhala Kelly","middle_name":"Peʻa","last_name":"Kamālamalama","name_suffix":"","institution":"Institute for Native Pacific Education and Culture (INPEACE) Keiki Steps","department":""}],"date_submitted":"2023-08-11T16:01:06Z","date_accepted":"2023-12-15T18:09:52Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1611/galley/10815/download/"},"galleys":[{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1611/galley/10815/download/"}]},{"pk":20334,"title":"Encountering the Sovereign Other: Indigenous Science Fiction","subtitle":null,"abstract":"Book review","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7d92q48h","frozenauthors":[{"first_name":"Alexis","middle_name":"N.","last_name":"Goad","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T22:09:36.942000Z","date_accepted":"2024-03-12T22:21:19.482000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20334/galley/10825/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20334/galley/10825/download/"}]},{"pk":1616,"title":"From the Light of Rainbows: Growing the Spiralic Garden of Community-Based Inquiry and Co-Learning","subtitle":null,"abstract":"This paper considers my relationship as a co-learner (i.e., evaluator) with the Indigenous Early Learning Collaborative (IELC). I draw on my history of relations and conversations with IELC partners and explore what it means to be a co-learner along a number of dimensions (e.g., roles, responsibilities, reciprocity). Throughout the paper, I discuss the use of metaphor and story as forms of knowing that can support co-learning and Community-Based Inquiry in consequential ways. I conclude by reflecting on what it means to listen for and hear goodness as a co-learner.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"Indigenous Research"},{"word":"Indigenous Evaluation"},{"word":"Indigenous Early Learning and Development"},{"word":"Native Early Childhood"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/53m5v99p","frozenauthors":[{"first_name":"Ananda","middle_name":"","last_name":"Marin","name_suffix":"","institution":"University of California - Los Angeles","department":""}],"date_submitted":"2023-08-11T19:26:00Z","date_accepted":"2023-12-01T22:03:58Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1616/galley/10819/download/"},"galleys":[{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1616/galley/10819/download/"}]},{"pk":21159,"title":"Front Matter 47.1","subtitle":null,"abstract":"","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Front Matter","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6c91t0qt","frozenauthors":[],"date_submitted":"2024-05-06T18:11:36.571000Z","date_accepted":"2024-05-06T18:17:25.615000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/21159/galley/10832/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/21159/galley/10832/download/"}]},{"pk":1615,"title":"Łe:k’iwhlaw ‘O:lts’it: Knowledge-Gathering as a Methodological Approach to Na:tinixwe-Based Inquiry","subtitle":null,"abstract":"This article will highlight the ways in which my community, the Hoopa Valley Tribe (Na:tinixwe), and I have taken part in our own Community-Based Inquiry project with youth in our community. Our Na:tinixwe-based inquiry approach, Łe:k'iwhlaw'o:lts'it (knowledge-gathering), is a careful and intentional process which prioritizes sustained relationships. Knowledge-gathering consists of a three-part process of Ch’idilwa:wh (Conversations), łe:ne:tł'-te (meetings), and Ye-silin [(Re)envisioning Praxis Camps]. Using our project as a case study, I then reflect on important connections between the ways that we and other communities have done this important work.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"Indigenous Research"},{"word":"Indigenous knowledge"},{"word":"Indigenous methodologies"},{"word":"Indigenous Early Learning and Development"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7c6666c3","frozenauthors":[{"first_name":"Sara","middle_name":"L.","last_name":"Chase Merrick","name_suffix":"","institution":"Cal Poly Humboldt","department":"Child Development"}],"date_submitted":"2023-08-11T19:19:06Z","date_accepted":"2023-11-16T18:16:48Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1615/galley/10818/download/"},"galleys":[{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1615/galley/10818/download/"}]},{"pk":20335,"title":"Making and Breaking Settler Space: Five Centuries of Colonization in North America","subtitle":null,"abstract":"Book review","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2m0524wt","frozenauthors":[{"first_name":"Cassidy","middle_name":"","last_name":"Schoenfelder","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T22:11:46.303000Z","date_accepted":"2024-03-12T22:22:56.137000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20335/galley/10826/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20335/galley/10826/download/"}]},{"pk":1609,"title":"Meeting Our Ancestors’ Legacy: The Community-Based Inquiry of Wicoie Nandagikendan","subtitle":null,"abstract":"More than twenty-five years ago, a group of women in South Minneapolis conceived of “a place to learn words,” a place where our children could learn the Dakota and Ojibwe languages. Today that place is Wicoie Nandagikendan Dakota and Ojibwe Immersion Program. For our entire existence, we have partnered with other organizations and borrowed space in others’ buildings to teach our children. Our Community-Based Inquiry began as a process of finding and creating our own space. Our inquiry has evolved into a journey of understanding that space is much more than a physical “place to learn words”; our space will be a place of health, wellness, culture, and language for our children, our organization, and our community.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"Indigenous Early Learning and Development"},{"word":"Indigenous Research"},{"word":"Native Early Childhood"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6fx9g8fc","frozenauthors":[{"first_name":"Jewell","middle_name":"","last_name":"Arcoren","name_suffix":"","institution":"Wicoie Nandagikendan","department":""},{"first_name":"Fawn","middle_name":"","last_name":"YoungBear-Tibbetts","name_suffix":"","institution":"Wicoie Nandagikendan","department":""}],"date_submitted":"2023-08-11T15:43:41Z","date_accepted":"2023-11-16T18:11:08Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1609/galley/10814/download/"},"galleys":[{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1609/galley/10814/download/"}]},{"pk":1607,"title":"Niwiidosendimin (We Walk with Each Other)","subtitle":null,"abstract":"Five rivers flow into Gichigami (Lake Superior). Reflecting their surroundings, five early childhood education leaders in the Keweenaw Bay Indian Community have come together to strengthen early childhood teaching and systems of care and learning across four programs in the community. We are the Wiikwedong Early Childhood Development Collaborative, and this is our story of how we implemented Community-Based Inquiry to collaborate, share information and insights, and work with each other to create stronger early learning opportunities in our community.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"Indigenous Early Learning and Development"},{"word":"Native Early Childhood"},{"word":"Indigenous Research"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5gq85029","frozenauthors":[{"first_name":"Cheryl","middle_name":"","last_name":"LaRose","name_suffix":"","institution":"Wiikwedong Early Childhood Collaborative","department":""},{"first_name":"Lisa","middle_name":"","last_name":"Denomie","name_suffix":"","institution":"Wiikwedong Early Childhood Collaborative","department":""},{"first_name":"","middle_name":"","last_name":"","name_suffix":"","institution":"Wiikwedong ECD Collaborative","department":""}],"date_submitted":"2023-08-11T15:33:13Z","date_accepted":"2023-11-16T18:09:03Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1607/galley/10813/download/"},"galleys":[{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1607/galley/10813/download/"}]},{"pk":20336,"title":"Our Fight Has Just Begun: Hate Crimes and Justice in Native America","subtitle":null,"abstract":"Book review","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6m04g2z5","frozenauthors":[{"first_name":"David","middle_name":"Joseph","last_name":"Montoya","name_suffix":"III","institution":"","department":""}],"date_submitted":"2024-03-12T22:13:31.340000Z","date_accepted":"2024-03-12T22:24:21.384000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20336/galley/10827/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20336/galley/10827/download/"}]},{"pk":20337,"title":"Remembering Our Intimacies: Mo’olelo, Aloha ‘Āina, and Ea","subtitle":null,"abstract":"Book review","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3hg4628t","frozenauthors":[{"first_name":"Lindsay","middle_name":"","last_name":"Marzulla","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T22:14:49.776000Z","date_accepted":"2024-03-12T22:25:39.584000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20337/galley/10828/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20337/galley/10828/download/"}]},{"pk":6619,"title":"The Wisdom of Plants: Guides in a Journey of Community-Based Inquiry","subtitle":null,"abstract":"The COVID-19 global pandemic brought many stressors that greatly impacted communities on many different levels, and in the shadow of these stressors were opportunities to innovate. This was especially true for early learning communities, and specifically for Indigenous early learning communities. From a foundation of Community-Based Inquiry, I aim to tell my story as a first time director at Daybreak Star Preschool where our process of healing and re-membering Indigenous practices with preschool children is rooted in land-based pedagogy and curriculum. This process built a momentum for our early learning community to move from a place of simply surviving the pandemic, to a place where we could thrive in reciprocity with our plant relatives and their wisdom. ","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"land-based pedagogy"},{"word":"outdoor preschool"},{"word":"outdoor nature-based learning"},{"word":"early childhood education"},{"word":"Indigenous Early Learning"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2hp159rr","frozenauthors":[{"first_name":"Nick","middle_name":"","last_name":"Terrones","name_suffix":"","institution":"","department":""}],"date_submitted":"2023-12-12T20:21:27.228000Z","date_accepted":"2023-12-15T21:24:59.074000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/6619/galley/10820/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/6619/galley/10820/download/"}]},{"pk":20338,"title":"Trickster Academy","subtitle":null,"abstract":"Book review","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2158s3t7","frozenauthors":[{"first_name":"Raven","middle_name":"","last_name":"Moffett","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T22:16:02.879000Z","date_accepted":"2024-03-12T22:26:53.370000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20338/galley/10829/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20338/galley/10829/download/"}]},{"pk":20339,"title":"Visualizing Genocide: Indigenous Interventions in Art, Archives, and Museums","subtitle":null,"abstract":"Book review","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Review","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3b83s7b4","frozenauthors":[{"first_name":"Sarah","middle_name":"","last_name":"Greenwell-Scott","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-03-12T22:17:08.120000Z","date_accepted":"2024-03-12T22:28:02.252000Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20339/galley/10830/download/"},"galleys":[{"label":"Manuscript File","type":"","path":"https://journalpub.escholarship.org/aicrj/article/20339/galley/10830/download/"}]},{"pk":1613,"title":"“Why Don’t We Try Something New?”: How Indigenous Educators Supported One Another in Leaning Toward in Community-Based Inquiry","subtitle":null,"abstract":"What would the impact be on Indigenous practitioners’ viewpoints if they had access to resources pertinent to Indigenous education and make the information they learn from these resources relevant to their community? How can a teacher push through problematic rhetoric and obstacles when committing to Indigenous youth’s education? This article presents these questions, showing how a group of Eastern Shoshone and Northern Arapaho educators dialogued about education and teaching. When these educators dedicated time to discuss Indigenous education resources, they were able to lean toward in community-based inquiry and dream about curriculum that centered Eastern Shoshone and Northern Arapaho beliefs.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Community-Based Inquiry"},{"word":"Indigenous Early Learning and Development"},{"word":"Indigenous Research"},{"word":"Native Early Childhood"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/03r3d1bg","frozenauthors":[{"first_name":"Amanda","middle_name":"","last_name":"LeClair-Diaz","name_suffix":"","institution":"","department":""}],"date_submitted":"2023-08-11T18:58:36Z","date_accepted":"2023-12-18T07:10:36Z","date_published":"2024-05-08T14:00:00Z","render_galley":{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1613/galley/10816/download/"},"galleys":[{"label":"Manuscript File","type":"pdf","path":"https://journalpub.escholarship.org/aicrj/article/1613/galley/10816/download/"}]},{"pk":41782,"title":"Geology, microstratigraphy, and paleontology of the lacustrine Truckee Formation diatomite deposits near Hazen, Nevada, USA, with emphasis on fossil stickleback fish","subtitle":null,"abstract":"Diatomite deposits of the lacustrine Truckee Formation near Hazen, Northern Nevada, are of Miocene age (\nca.\n 10.3 million years old) and consist of varved deposits within commercial mines. These exposed deposits have been primary source of paleontological samples of stickleback fish fossils (\nGasterosteous doryssus\n) spanning 100,000 years. These samples have revealed stasis, rapid morphological and genetic evolution, and local extinction of \nG. doryssus\n against a background of changing diatom communities. Here, we draw on geological, limnological, anthropogenic, and bibliographical data to illustrate the geographic and paleontological context of the Hazen diatomite deposits. We include a stratigraphic section describing lithology and stickleback specimen frequency at a 1 mm resolution. This paper should help researchers identify patterns in fossil site distribution and better understand the geological processes that have shaped the area, spurring new sampling and future research.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial-ShareAlike 4.0","short_name":"CC BY-NC-SA 4.0","text":"\nReaders are free to:
\nUnder the following terms:
\nNotices:
\nYou do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
\nNo warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
","url":"https://creativecommons.org/licenses/by-nc-sa/4.0"},"keywords":[{"word":"Miocene"},{"word":"paleobiology"},{"word":"evolution"},{"word":"geomorphology"},{"word":"Diatomite"},{"word":"Phytoliths"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/42d4n02d","frozenauthors":[{"first_name":"Jacopo Niccolò","middle_name":"","last_name":"Cerasoni","name_suffix":"","institution":"Loyola University Chicago","department":"None"},{"first_name":"Michael","middle_name":"A.","last_name":"Bell","name_suffix":"","institution":"University of California Museum of Paleontology","department":"None"},{"first_name":"Yoel","middle_name":"E.","last_name":"Stuart","name_suffix":"","institution":"Loyola University Chicago","department":"None"}],"date_submitted":"2023-07-05T20:59:05Z","date_accepted":"2023-07-05T20:59:05Z","date_published":"2024-05-08T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucmp_paleobios/article/41782/galley/31237/download/"}]},{"pk":42207,"title":"Review of Cool Anthropology: How to Engage the Public with Academic Research, edited by Kristina Baines and Victoria Costa","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":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0x66g545","frozenauthors":[{"first_name":"Meghan","middle_name":"R","last_name":"Donnelly","name_suffix":"","institution":"University of San Diego","department":"None"}],"date_submitted":"2023-12-20T19:44:03Z","date_accepted":"2023-12-20T19:44:03Z","date_published":"2024-05-07T18:17:22Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42207/galley/31514/download/"}]},{"pk":42187,"title":"Review of Unsettling the University: Confronting the Colonial Foundations of US Higher Education by Sharon Stein","subtitle":null,"abstract":"","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Higher education, decolonization, neocolonialism, DEI"}],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9ft839kd","frozenauthors":[{"first_name":"Emma","middle_name":"","last_name":"Abell-Selby","name_suffix":"","institution":"University of South Florida","department":"None"}],"date_submitted":"2023-07-09T20:32:09Z","date_accepted":"2023-07-09T20:32:09Z","date_published":"2024-05-07T17:24:24Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42187/galley/31498/download/"}]},{"pk":46086,"title":"Central Sleep Apnea Post Hypoglossal Nerve Stimulator Implantation","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/6950b3zg","frozenauthors":[{"first_name":"Melisa","middle_name":"","last_name":"Chang","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Michelle","middle_name":"","last_name":"Zeidler","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-06T20:29:01Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46086/galley/34817/download/"}]},{"pk":21155,"title":"Thanks to Reviewers","subtitle":null,"abstract":"The editors of L2 Journal are grateful to the following individuals who reviewed manuscripts in 2023. Peer review is a cornerstone of scholarship and relies on the contributions of reviewers who are willing to give of their time to support other scholars in the shaping of their work.
","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":[],"section":"From the Editors","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4bc6n12g","frozenauthors":[{"first_name":"Emily","middle_name":"","last_name":"Hellmich","name_suffix":"","institution":"None","department":""}],"date_submitted":"2024-05-06T16:17:54.136000Z","date_accepted":"2024-05-06T18:26:45.750000Z","date_published":"2024-05-06T19:29:00Z","render_galley":{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/21155/galley/10801/download/"},"galleys":[{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/21155/galley/10801/download/"}]},{"pk":6573,"title":"Ideology, Indexicality, and the L2 Development of Sociolinguistic Perception During Study Abroad","subtitle":null,"abstract":"This article explores one second language Spanish learner’s development of sociolinguistic perception in Peru involving target language variation and social indexicality in a study abroad context. Specifically, it investigates the perceptual mechanism that evolves in this context and enables L2 learners to interpret dialectal target language forms by linking them with elements of character, group traits, and other social attributes. An analysis of ethnographic data revealed two phases in this development. While the initial phase was characterized by the learner’s formation of contrastive social and linguistic categories and first-order sociolinguistic indices linking ways of speaking to kinds of people, the latter phase involved a rationalization and justification of these links. I claim that this produced an ideological field in which the learner located specific morphosyntactic variants as indexing social qualities like ‘licentiousness’ and ‘ineptitude’ via their association with brichero and cholo social types from the host society. These findings implicate language ideologies as the fundamental perceptual mechanism that enables L2 learners to interpret the social meaning of TL practices. This case study recommends critical pedagogies and innovative curricula to bolster L2 learners’ development of sociolinguistic competence during study abroad.
","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":"Sociolinguistic perception"},{"word":"Study abroad"},{"word":"L2 variation"},{"word":"Social indexicality"},{"word":"language ideologies"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6sd7h1ts","frozenauthors":[{"first_name":"Devin","middle_name":"","last_name":"Grammon","name_suffix":"","institution":"University of Oregon","department":"Romance Languages"}],"date_submitted":"2023-11-20T23:27:28.395000Z","date_accepted":"2024-03-07T22:21:04.121000Z","date_published":"2024-05-06T19:28:00Z","render_galley":{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/6573/galley/10803/download/"},"galleys":[{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/6573/galley/10296/download/"},{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/6573/galley/10803/download/"}]},{"pk":21156,"title":"Introduction to the New Co-Editors ","subtitle":null,"abstract":"The new editors of the L2 Journal, Emily Hellmich and Kimberly Vinall, introduce themselves and re-introduce the journal.
","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":[],"section":"From the Editors","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3016835s","frozenauthors":[{"first_name":"Emily","middle_name":"","last_name":"Hellmich","name_suffix":"","institution":"None","department":""}],"date_submitted":"2024-05-06T18:59:59.702000Z","date_accepted":"2024-05-06T19:11:48.901000Z","date_published":"2024-05-06T19:27:00Z","render_galley":{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/21156/galley/10804/download/"},"galleys":[{"label":"Final Galley","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/21156/galley/10804/download/"},{"label":"Galley v2","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/21156/galley/10811/download/"}]},{"pk":17849,"title":"Association Between Sexually Transmitted Infections and the Urine Culture","subtitle":null,"abstract":"Introduction: Bacterial urinary tract infections (UTI) and some sexually transmitted infections (STI) can have overlapping signs and symptoms or nonspecific findings, such as pyuria on urinalysis. Furthermore, results from the urine culture and the nucleic acid amplification test for an STI may not be available during the clinical encounter. We sought to determine whether gonorrhea, chlamydia, and trichomoniasis are associated with bacteriuria, information that might aid in the differentiation of STIs and UTIs.
\nMethods: We used multinomial logistic regression to analyze 9,650 encounters of female patients who
were aged ≥18 years and who underwent testing for STIs. The ED encounters took place from April 18, 2014–March 7, 2017. We used a multivariable regression analysis to account for patient demographics, urinalysis findings, vaginal wet-mount results, and positive or negative (or no) findings from the urine culture and testing for Neisseria gonorrhoeae, Chlamydia trachomatis, or Trichomonas vaginalis.
Results: In multivariable analysis, infection with T vaginalis, N gonorrhoeae, or C trachomatis was not associated with having a urine culture yielding 10,000 or more colony-forming units per mililiter (CFU/mL) of bacteria compared with a urine culture yielding less than 10,000 CFU/mL or no urine culture obtained. The diagnosis of a UTI in the ED was not associated with having a urine culture yielding 10,000 or more CFU/mL compared with a urine culture yielding less than 10,000 CFU/mL.
\nConclusion: After adjusting for covariates, no association was observed between urine culture results and testing positive for trichomoniasis, gonorrhea, or chlamydia. Our results suggest that having a concurrent STI and bacterial UTI is unlikely.
","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":"chlamydia"},{"word":"emergency department"},{"word":"Emergency Medicine"},{"word":"gonorrhea"},{"word":"Trichomonas"},{"word":"Urinary Tract Infection"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6kq2424v","frozenauthors":[{"first_name":"Johnathan","middle_name":"M.","last_name":"Sheele","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Jacksonville, Florida","department":""},{"first_name":"Carolyn","middle_name":"","last_name":"Mead-Harvey","name_suffix":"","institution":"Mayo Clinic, Division of Clinical Trials and Biostatistics, Scottsdale, Arizona","department":"None"},{"first_name":"Nicole","middle_name":"R.","last_name":"Hodgson","name_suffix":"","institution":"Mayo Clinic Hospital, Department of Emergency Medicine, Phoenix, Arizona","department":"None"}],"date_submitted":"2023-02-01T18:04:28Z","date_accepted":"2023-02-01T18:04:28Z","date_published":"2024-05-03T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17849/galley/10794/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17849/galley/10091/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17849/galley/10794/download/"}]},{"pk":18421,"title":"Best Practices for Treating Blind and Visually Impaired Patients in the Emergency Department: A Scoping Review","subtitle":null,"abstract":"Introduction: Blind and visually impaired individuals, an under-represented population of the emergency department (ED), possess comorbidities and have a higher chance of in-hospital sequelae, including falls. This potentially vulnerable population, if not treated mindfully, can be subject to decreased quality of care, recurrent and/or longer hospitalizations, persistence of health issues, increased incidence of falls, and higher healthcare costs. For these reasons, it is crucial to implement holistic practices and train clinicians to treat blind and visually impaired patients in the ED setting.
\nMethods: We identified and used a comprehensive article describing best practices for the care of blind and visually impaired patients to establish the ED-specific recommendations presented in this paper. A scoping review of the literature was then performed using PubMed to identify additional articles to support each recommendation. To ensure that recommendations could be implemented in a representative, scalable, and sustainable manner, we consulted an advocate for the blind to help refine and provide additional suggestions.
\nResults: We identified 14 recommendations that focus on communication strategies, ED resource access, and continuity of care. The main recommendation is for the clinician to support the unique healthcare needs of the visually impaired individual and maintain the patient’s autonomy. Another recommendation is the consistent use of assistive devices (eg, canes, guide dogs) to aid patients to safely ambulate in the ED. Also identified as best practices were discharge education with the use of a screen reader and timely follow-up with a primary care physician.
\nConclusion: While we summarize a variety of recommendations in this article, it is important to implement only the strategies that work best for the patients, personnel, and environment specific to your ED. After implementation, it is vital to refine (as frequently as needed) the interventions to optimize the strategies. This will enable the provision of exceptional and equal care to blind and visually impaired patients 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":"Blind"},{"word":"Visually Impaired"},{"word":"emergency department"}],"section":"Emergency Department Operations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/63p126xd","frozenauthors":[{"first_name":"Kareem","middle_name":"","last_name":"Hamadah","name_suffix":"","institution":"University of Kansas School of Medicine, Kansas City, Kansas; University of Kansas Medical Center, Kansas City, Kansas","department":"None"},{"first_name":"Mary","middle_name":"","last_name":"Velagapudi","name_suffix":"","institution":"University of Kansas Health System, Kansas City, Kansas; University of Kansas Medical Center, Kansas City, Kansas","department":"None"},{"first_name":"Juliana","middle_name":"J.","last_name":"Navarro","name_suffix":"","institution":"University of Kansas Health System, Kansas City, Kansas; University of Kansas Medical Center, Kansas City, Kansas","department":"None"},{"first_name":"Andrew","middle_name":"","last_name":"Pirotte","name_suffix":"","institution":"University of Kansas Health System, Kansas City, Kansas; University of Kansas Medical Center, Kansas City, Kansas; University of Kansas Medical Center, Department of Emergency Medicine, Kansas City, Kansas; University of Kansas Medical Center, Office of Student Affairs, Kansas City, Kansas","department":"None"},{"first_name":"Christopher","middle_name":"","last_name":"Obersteadt","name_suffix":"","institution":"University of Kansas Health System, Kansas City, Kansas; University of Kansas Medical Center, Kansas City, Kansas; Rockhurst University, Kansas City, Kansas","department":"None"}],"date_submitted":"2023-08-09T04:11:18Z","date_accepted":"2023-08-09T04:11:18Z","date_published":"2024-05-03T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18421/galley/10795/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18421/galley/10103/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18421/galley/10795/download/"}]},{"pk":18224,"title":"Public Beliefs About Accessibility and Quality of Emergency Departments in Germany","subtitle":null,"abstract":"Background: It is well established that emergency department (ED) crowding leads to worse health outcomes. Although various patient surveys provide information about reasons to visit EDs, less is known in terms of beliefs about EDs among the general population. This study examines public beliefs regarding accessibility and quality of EDs and their associations with social characteristics (gender, age, education, immigration background) as well as knowledge about emergency care services and health literacy.
\nMethods: We conducted a cross-sectional study based on a random sample of 2,404 adults living in Hamburg, Germany, in winter 2021/2022. We developed eight statements regarding accessibility and
quality of EDs leading to two scales (Cronbach’s α accessibility = 0.76 and quality of care = 0.75). Descriptive statistics of the eight items are shown and linear regression were conducted to determine associations of the two scales with social characteristics as well as knowledge about emergency care services and health literacy (HLS-EU-Q6).
Results: Nearly 44% of the respondents agreed that “you can always go to an ED, if you do not get a short-term appointment with a general practitioner or specialist.” And 38% agreed with the statement, “If you do not have the time during normal practice hours due to your work, you can always go to an ED.” In terms of quality, 38% believed that doctors in EDs are more competent than doctors in general practice, and 25% believed that doctors in EDs are more competent than doctors in specialized practices. In the fully adjusted model, public beliefs about emergency care accessibility and quality of EDs were significantly associated with all social characteristics and knowledge of emergency care options with the strongest associations between knowledge and accessibility (β = −0.17; P < 0.001) and between education and quality (β = −0.23; P < 0.001).
\nConclusion: We found endorsement of public beliefs about accessibility and quality of EDs that can lead to inappropriate utilization. Our results also suggest that knowledge of different emergency services plays an important role. Therefore, after system-related reorganizations of emergency care, information campaigns about such services tailored to socially deprived populations may help alleviate the issue of crowding.
","language":null,"license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"emergency care"},{"word":"public beliefs"},{"word":"overcrowding"},{"word":"Social Determinants"},{"word":"Health Literacy"}],"section":"International Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2k92g3z2","frozenauthors":[{"first_name":"Jens","middle_name":"","last_name":"Klein","name_suffix":"","institution":"University Medical Center Hamburg-Eppendorf, Institute of Medical Sociology, Hamburg, Germany","department":"None"},{"first_name":"Sarah","middle_name":"","last_name":"Koens","name_suffix":"","institution":"University Medical Center Hamburg-Eppendorf, Institute of Medical Sociology, Hamburg, Germany","department":"None"},{"first_name":"Martin","middle_name":"","last_name":"Scherer","name_suffix":"","institution":"University Medical Center Hamburg-Eppendorf, Department of General Practice and Primary Care Hamburg, Germany","department":"None"},{"first_name":"Annette","middle_name":"","last_name":"Strauß","name_suffix":"","institution":"University Medical Center Hamburg-Eppendorf, Department of General Practice and Primary Care Hamburg, Germany","department":"None"},{"first_name":"Martin","middle_name":"","last_name":"Härter","name_suffix":"","institution":"University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany","department":"None"},{"first_name":"Olaf","middle_name":"","last_name":"von dem Knesebeck","name_suffix":"","institution":"University Medical Center Hamburg-Eppendorf, Institute of Medical Sociology, Hamburg, Germany","department":"None"}],"date_submitted":"2023-05-16T13:15:36Z","date_accepted":"2023-05-16T13:15:36Z","date_published":"2024-05-03T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18224/galley/10797/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18224/galley/10127/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18224/galley/10797/download/"}]},{"pk":18396,"title":"Relationship of Beta-Human Chorionic Gonadotropin to Ectopic Pregnancy Detection and Size","subtitle":null,"abstract":"Introduction: Ectopic pregnancies are a significant cause of morbidity and mortality in the first trimester of pregnancy. Hospital protocols requiring a specific beta-human chorionic gonadotropin (β-hCG) level to qualify for diagnostic testing (pelvic ultrasound) can delay diagnosis and treatment. In this study we sought to determine the relationship between β-hCG level and the size of ectopic pregnancy with
associated outcomes.
Methods: We performed a retrospective case review of patients diagnosed with ectopic pregnancy in an urban, academic emergency department specializing in obstetrical care, from January 1, 2015–December 31, 2017. Variables extracted included presentation, treatment, adverse outcomes, and rates of rupture.
\nResults: Weidentified 519 unique ectopic pregnancies. Of those ectopic pregnancies, 22.9% presented with evidence of rupture on ultrasound, and 14.4% showed evidence of hemodynamic instability (pulse >100 beats per minute; systolic blood pressure <90 millimeters of mercury; or evidence of significant blood loss) on presentation. Medical management outcomes were as follows: of 177 patients who received single-dose methotrexate, 14.7% failed medical management and required surgical intervention; of 46 who received multi-dose methotrexate, 36.9% failed medical management and required surgical intervention. Ultimately, 55.7% of patients required operative management of their ectopic pregnancy. Mean β-hCG level at initial presentation was 7,096 milli-international units per milliliter (mIU/mL) (SD 88,872 mIU/mL) with a median of 1,289 mIU/mL; 50.4% of ectopic pregnancies presented with β-hCG levels less than the standard discriminatory zone of 1,500 mIU/mL. Additionally, 44% of the patients who presented with evidence of rupture had β-hCG levels less than 1,500 mIU/mL. Comparison of size of ectopic pregnancy (based on maximum dimension in millimeters) to β-hCG levels revealed a very weak correlation (r = 0.144, P < .001), and detection of ectopic pregnancies by ultrasound was independent of β-hCG levels.
\nConclusion: Levels of β-hCG do not correlate with the presence or size of an ectopic pregnancy, indicating need for diagnostic imaging regardless of β-hCG level in patients with clinical suspicion for ectopic pregnancy. Almost one-sixth of patients presented with evidence of hemodynamic instability, and approximately one quarter of patients presented with evidence of rupture requiring emergent operative management. Ultimately, more than half of patients required an operative procedure to definitively manage their ectopic pregnancy.
","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":"ectopic pregnancy"},{"word":"Emergency Medicine"},{"word":"beta-hCG"}],"section":"Women's Health","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5hk7725j","frozenauthors":[{"first_name":"Duane","middle_name":"M.","last_name":"Eisaman","name_suffix":"","institution":"University of Pittsburgh","department":"None"},{"first_name":"Nicole","middle_name":"E.","last_name":"Brown","name_suffix":"","institution":"Chatham University","department":"None"},{"first_name":"Sarah","middle_name":"","last_name":"Geyer","name_suffix":"","institution":"University of Pittsburgh Medical Center","department":"None"}],"date_submitted":"2023-07-18T21:12:09Z","date_accepted":"2023-07-18T21:12:09Z","date_published":"2024-05-03T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18396/galley/10796/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18396/galley/10104/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18396/galley/10796/download/"}]},{"pk":7222,"title":"In Conversation with Gary Barkhuizen about Language Teacher Identity","subtitle":null,"abstract":"Gary Barkhuizen,Professor of Applied Linguistics at the University of Auckland, is a prominentscholar studying narrative inquiry and language teacher education. Withacademic roots spanning South Africa and New Zealand, his journey began withstudies at the University of Essex and Columbia University, where he earned hisMaster’s and Doctorate degrees, respectively. His influence extends far beyondhis classroom, with numerous publications in esteemed journals such as TESOLQuarterly, RELC Journal, and Australian Review of Applied Linguistics. Renownedfor his co-authored books such as “Analysing Learner Language” and “NarrativeInquiry in Language Teaching and Learning Research,” he continues to shapediscourse in applied linguistics with his work on language teacher identity. OnJanuary 16, 2024, he was interviewed by Huseyin Uysal. In their conversation,Gary reflects on pivotal career moments, emphasizing the power of connectionsin teaching. He explores the dynamic interplay of self-perception and externaldescriptions in identity formation, introducing facets like reflexive and projectedidentities. Dilemmic aspects during transitions, coping practices, and theimpact of early experiences on identity are discussed. Gary extends the focusto broader socio-political contexts, highlighting the influence of externalrealities. Regarding future research, he suggests exploring teachers ofmultiple languages, heritage languages, and Indigenous languages. He emphasizesthe need for self-study, addressing ideological spaces and practicalimplementation of identity research in language teacher education.
","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":"Language Teacher Identity"},{"word":"language teacher agency"},{"word":"reflexive identity"},{"word":"projected identity"},{"word":"preservice ESL teacher"}],"section":"Interviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/65b284ns","frozenauthors":[{"first_name":"Huseyin","middle_name":"","last_name":"Uysal","name_suffix":"","institution":"Knox College","department":"Department of Educational Studies"}],"date_submitted":"2024-01-22T22:54:03.632000Z","date_accepted":"2024-03-13T20:53:53.946000Z","date_published":"2024-05-02T22:29:26.013000Z","render_galley":null,"galleys":[{"label":"galley","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/7222/galley/10793/download/"}]},{"pk":7185,"title":"“Our Kids are Going to Live their Future, Not our Past”: The Family Language Policies of Three Transnational Families","subtitle":null,"abstract":"In recent decades, the field of family language policy (FLP) has expanded in breadth to reconceptualize the notion of family structure and the rich variety of motivations of transnational families. In an age spotlighted by the blurring of linguistic and cultural borders, this study was guided by one overarching question: As a parent, would you be willing to compromise the development of your child’s heritage language in exchange for your child increasing their social capital, improving their English language skills, and becoming a global citizen? Interviews were conducted with three sets of highly-educated, multilingual parents who lived abroad for work and to afford their children future linguistic, cultural, and economic opportunities. Results found that as the parents realized these opportunities, the children’s relationship to the parents’ first language and culture deteriorated; however, the parents took these challenges in stride, not losing sight of the skills their children were currently developing. Further, owing to their positive outlook, the parents considered their children’s heritage language attrition as a temporary outcome that the children could ameliorate down the road, should they so choose.
","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":"family language policy"},{"word":"transnational families"},{"word":"Heritage Language"},{"word":"cultural capital"},{"word":"world citizenship"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2qt3t916","frozenauthors":[{"first_name":"Warren","middle_name":"","last_name":"Merkel","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2022-11-30T10:48:30Z","date_accepted":"2024-04-01T22:58:32.487000Z","date_published":"2024-05-02T22:28:54.981000Z","render_galley":{"label":"galley","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/7185/galley/10792/download/"},"galleys":[{"label":"galley","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/7185/galley/10792/download/"}]},{"pk":7172,"title":"Review of the Arabic Classroom: Context, Text, and Learners (1st Edition)","subtitle":null,"abstract":"N/A","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":"foreign language teaching"},{"word":"language education"},{"word":"Second/Foreign language learning"},{"word":"Arabic"}],"section":"Book Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8tf0k698","frozenauthors":[{"first_name":"Zakaria","middle_name":"","last_name":"Fahmi","name_suffix":"","institution":"Other","department":"None"}],"date_submitted":"2021-10-20T01:04:51Z","date_accepted":"2021-10-20T01:04:51Z","date_published":"2024-05-02T22:28:00Z","render_galley":{"label":"galley","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/7172/galley/10791/download/"},"galleys":[{"label":"galley","type":"pdf","path":"https://journalpub.escholarship.org/ial/article/7172/galley/10791/download/"}]},{"pk":31481,"title":"A New Approach to Patent Reform","subtitle":null,"abstract":"Scholars and policymakers have tried for years to solve the tenacious and harmful crisis of low-quality, erroneously granted patents. Far from resolving the problem, these determined efforts have resulted in hundreds of conflicting policy proposals, failed congressional bills, and no way to evaluate the policies’ value or impact or to decide between the overwhelming multiplicity of policies.
\nThis Article provides not only new solutions but a new approach for designing and assessing policies both in patent law and legal systems more generally. We introduce a formal economic model of the patent system that differs from existing scholarship because it permits us to (1) determine how a policy change to one part of the patent system affects the system as a whole and (2) quantify the impact of policy changes. Existing scholarship typically analyzes a policy by assessing its effect on just the targeted element of the patent system, but legal systems are complex with interrelated components, and players react along multiple margins, so these analyses are incomplete and sometimes incorrect. Our approach fixes this problem, providing a comprehensive understanding of how a policy change affects the patent system from beginning to end. It also permits us to conduct complex analyses such as varying multiple policies at once. Further, much existing scholarship fails to quantify the magnitude of a policy’s effect, and even empirical scholarship can only measure the effect of an already-implemented policy, not predict the effect of a proposed change. Quantification is critical because policies generally have multiple effects, often in countervailing directions. Quantification—as shown using our model—permits scholars to determine the overall direction and size of a theoretically ambiguous effect. Quantification also allows us to compare the social welfare effects of different reforms so that policymakers know where to focus their efforts.
\nWe apply our model to several of the most prominent policy debates in patent law. We conclude that certain reforms, such as regulation of settlement licenses and increased examination intensity, yield large gains in social welfare and should be prioritized. Other reforms that are popular with scholars, including decreasing the availability of injunctions and reducing litigation costs, produce surprisingly small gains in social welfare. Often, existing scholarship operates too much on intuition which, we show, can be wrong. Our new approach to patent reform provides an approach that offers deeper understanding and a more effective evaluation framework.
","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8qq0f6dk","frozenauthors":[{"first_name":"Janet","middle_name":"","last_name":"Freilich","name_suffix":"","institution":"","department":""},{"first_name":"Michael","middle_name":"","last_name":"Meurer","name_suffix":"","institution":"","department":""},{"first_name":"Mark","middle_name":"","last_name":"Schankerman","name_suffix":"","institution":"","department":""},{"first_name":"Florian","middle_name":"","last_name":"Schuett","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31481/galley/22550/download/"}]},{"pk":31482,"title":"A New Framework for Condominium Structural Safety Reforms","subtitle":null,"abstract":"Forty years after the widespread popularization of residential condominium ownership in the United States, millions of Americans now live in aging, densely occupied structures that are subject to little (if any) ongoing regulation of structural safety. Most structural safety requirements are imposed and enforced at the time of initial construction, thus relegating questions of how to maintain a building’s structural integrity to individual owners and the mechanisms of condominium governance. However, reliance on voluntary action by unit owners too often falters because the divided ownership characteristic of the condominium form deters associations from investing in preventive maintenance. Postponement of critical repairs is especially likely when structural safety risks are neither visibly apparent nor easily understood without structural engineering expertise. But tragically, the failure to address structural deterioration can be a deadly mistake, as demonstrated by the 2021 collapse of Champlain Towers South in Surfside, Florida.
\nThis Article tackles the problem of structural deterioration in the large and growing stock of aging residential condominiums. It argues that building codes should be reformed to mandate periodic structural safety certifications, while also recognizing that regulation alone may be insufficient to ensure completion of expensive structural repairs when individual owners are unwilling or unable to pay for them. After explaining how property law’s prioritization of liens impedes condominium associations from developing innovative strategies for financing critical structural repairs, the Article proposes reforms that would incentivize the development of a debt market to enable associations to finance those repairs while allowing cash-strapped owners to remain in their homes.
","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1wb087jg","frozenauthors":[{"first_name":"Stewart","middle_name":"E.","last_name":"Sterk","name_suffix":"","institution":"","department":""},{"first_name":"Reid","middle_name":"W.","last_name":"Weisbord","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31482/galley/22551/download/"}]},{"pk":31483,"title":"Cover","subtitle":null,"abstract":"","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Prefatory","is_remote":true,"remote_url":"https://escholarship.org/uc/item/55n839fj","frozenauthors":[],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31483/galley/22552/download/"}]},{"pk":31484,"title":"Enforcing the Post-Financial Crisis Ban on Abusive Conduct","subtitle":null,"abstract":"Government enforcers have long contended with corporate misconduct, from the abuses of corporate power and monopolization of the late 19th and early 20th centuries to the set up to fail products and digital dark patterns of the 21st century. This Article explains the Consumer Financial Protection Bureau’s (CFPB) Policy Statement on Abusive Acts or Practices, which is appended to this article, and its importance in protecting people from business excesses. The statutory prohibition on illegal abusive conduct was a response to the predatory mortgage lending practices that drove the 2007-2008 financial crisis and sought to reach conduct that might not be considered “unfair” or “deceptive.” However, it is rooted in early 20th century attempts to regulate fair dealing. As government enforcers confront new challenges, they can look to a framework of consumer protection that is ingrained in the American tradition – one based on Congress’ understanding of right and wrong and market reality, rather than theoretical economic models.
\nThis Article places the prohibition on abusive conduct as part of a history dating back to the common law standards of fair dealing. Congress has long tailored federal prohibitions in response to changes to business practices and given government enforcers new tools to meet new challenges. The Article also discusses the key objectives of the statement, including providing a straight-forward and analytical framework to help enforcers evaluate wrongdoing and promote a visceral understanding of the prohibition. Finally, the Article closes by outlining some key aspects of the policy statement and the public policy concerns motivating them, including condemning conduct that tricks people or exploits unequal bargaining power.
","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/14g0v3s0","frozenauthors":[{"first_name":"Rohit","middle_name":"","last_name":"Chopra","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31484/galley/22553/download/"}]},{"pk":31485,"title":"Masthead","subtitle":null,"abstract":"","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Prefatory","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7hn0t9n3","frozenauthors":[],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31485/galley/22554/download/"}]},{"pk":31486,"title":"Mission Statement","subtitle":null,"abstract":"","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Prefatory","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4wz9k8gp","frozenauthors":[],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31486/galley/22555/download/"}]},{"pk":31487,"title":"Presuming Parentage Without the Intent to Parent (and Vice Versa)","subtitle":null,"abstract":"As a result of the women’s rights movements of the twentieth century, the law shifted the origin of family creation from the married man to the person who gave birth, resulting in the presumption of maternity as the law has now. This Note explores how the presumption of maternity fails to provide legal recognition to nontraditional families—including families who use Assisted Reproductive Technology, same-sex parents, and unmarried parents—and how it furthers gender and sex-based norms within a family, parenting, and marriage. In response, the Note identifies the underlying justification to the modern presumption of parentage: the belief that a person intends to be a legal parent through the act of giving birth to the child or by marriage to the child’s birth parent. By looking at how intent to parent is already a part of our legal and social understanding of parentage, the Note argues that the law should shift away from the presumption of maternity in favor of an intent-based parentage system when assigning legal parents at the time of a child’s birth. As part of shifting to an intent-based system, the legal system will better reflect our social notions of the family and each person’s chosen role within the family.
","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Note","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2p35n53v","frozenauthors":[{"first_name":"Grace","middle_name":"","last_name":"Palcic","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31487/galley/22556/download/"}]},{"pk":31492,"title":"“Specializing” Section 1983","subtitle":null,"abstract":"Recent Supreme Court decisions eroding protections for race-class-gender subjugated rights claimants have drummed up alarm about the legitimacy of the Court. Much discussion focuses on the need to reform the Court, reflecting a widely shared belief that the institution is inclined to abjure checks on the coercive apparatus and punishment bureaucracy (e.g., police) while failing to vindicate the rights of disadvantaged groups. The lower federal courts, however, while not only implementing the Supreme Court’s rights-retrenching decisions but, in some cases, dipping below the floor of protection the Court itself has recognized, have received relatively scant attention. This vacuum persists despite the fact most of the content of federal law is developed in the lower courts. This Article attempts to fill this void by exploring the desirability of Congress establishing a specialized federal appellate court with exclusive jurisdiction over cases brought under 42 U.S.C. § 1983, which I refer to as “specializing” Section 1983.
\nMany court reform proposals face obstacles because they have a political valence that serves as an impediment to their implementation at a time when there is intense political polarization. To ignore the complexities of the political economy into which any court reform proposal would be airdropped would plainly be shortsighted. I therefore suggest an alternative focused on lower federal courts that does not overtly favor either civil rights plaintiffs or governmental defendants; instead, the proposal is driven by neutral principles that will not only bring about neutral benefits but will also eliminate the unfair and one-sided aspects of current qualified immunity doctrine that disproportionately favors governmental defendants.
\nI suggest that specializing Section 1983 will develop subject-matter expertise in Section 1983 cases, which is (neutrally) good because expertise enhances the quality of judicial decision-making. This expertise will in turn lead to more efficient disposition of Section 1983 cases where qualified immunity is invoked—a neutral benefit. Most notably, the proposed court would establish uniform, nationwide law. Currently, splintered decisions from different regional courts of appeals create an artificial constraint on plaintiffs’ ability to overcome qualified immunity. The uniform, nationwide law would address such fragmentation and aid in generating clearly established law to bring some internal coherence to the qualified immunity doctrine.
","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5x63c480","frozenauthors":[{"first_name":"Ndjuoh","middle_name":"","last_name":"MehChu","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31492/galley/22561/download/"}]},{"pk":31488,"title":"Table of Contents","subtitle":null,"abstract":"","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Prefatory","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2nh2r0dg","frozenauthors":[],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31488/galley/22557/download/"}]},{"pk":31489,"title":"The Epistemic Injustice of Algorithmic Family Policing","subtitle":null,"abstract":"The child welfare system is the system through which U.S. state authorities identify and intervene in families seen as posing a risk of abuse or neglect to their children. Impacted families, advocates, and scholars have joined in a growing chorus in recent years, demonstrating how this system—which many now refer to as the “family policing” system—destroys families and communities as opposed to supporting them. Many now call for the system’s abolition, arguing that the system, while masquerading as one of care and benevolence, is in fact an integral part of the carceral web constituted by criminal policing, prisons, jails, and other punitive and oppressive institutions. Far from being a system designed to support families, it instead is a system of subordination and control.
\nWhile this movement has been growing, the family policing system, like its criminal counterpart, has been turning to risk-prediction algorithms to help it with its work. In prior scholarship, I documented the development of these predictive tools and highlighted a number of preliminary associated risks. This piece brings a new lens to the issue, arguing that a key mechanism by which the family policing system accomplishes its subordinating design is through the regulation of knowledge production and sharing. The system selectively and systematically discredits the knowledge of the parents it targets. Borrowing a concept from political philosophy, this piece identifies this harm as that of “epistemic injustice”: the distinct form of injustice that occurs when a person or group is harmed in its capacity as a holder of knowledge. Through perpetrating epistemic injustice, the system acts to maintain the social order. As the system turns to algorithms to rank and categorize its targets, it reinforces old ways of doing business and creates new mechanisms by which to assign and police epistemic worth.
\nThis piece explores the ways that family policing’s turn to “big data” risk-prediction algorithms scales up and expands the system’s already pervasive epistemic injustice.
","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2w7032c2","frozenauthors":[{"first_name":"Stephanie","middle_name":"K.","last_name":"Glaberson","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31489/galley/22558/download/"}]},{"pk":31490,"title":"The Inadequacy of Constitutional and Evidentiary Protections in Screening False Confessions: How Risk Factors Provide Potential for Reform","subtitle":null,"abstract":"The admission of a criminal defendant’s confession into evidence is almost always fatal to a defendant’s case. And this is no surprise: common sense advises that a confession is particularly incriminating and definitive in establishing a defendant’s guilt. But while a confession’s persuasiveness is not inherently problematic, its unique ability to convey guilt poses a problem when a confession happens to be false. This problem is wrongful conviction. In fact, false confessions are one of the leading causes of wrongful conviction, and individuals who are at risk due to their age, intellectual disability, and/or mental health are especially susceptible.
\nWhile the admission of confessions into evidence is governed by constitutional and evidentiary protections, these protections are insufficient to screen for the admissibility of false confessions as they do not govern a confession’s reliability. Accordingly, a new evidence rule is necessary, one that accounts for the confession’s reliability prior to its admission into evidence. This rule must specifically account for the factors known to heighten an individual’s risk of false confession, as these factors may call a confession’s reliability into question. This Note proposes one possible formulation for this new evidence rule and discusses foundations in the current legal landscape that support the proposed framework.
","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Note","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8b18w9hs","frozenauthors":[{"first_name":"Nicole","middle_name":"","last_name":"Tackabery","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31490/galley/22559/download/"}]},{"pk":31491,"title":"Whiteness as Contract in the Racial Superstate","subtitle":null,"abstract":"Despite the United Nations’ (UN) ongoing commemoration of the International Decade for People of African Descent and direct calls from UN member states for the body to confront systemic racism in the United States, the United States has with the support of its allies—successfully blocked measures beyond those which gently encourage mere aspiration to racial equity. Moreover, notwithstanding formal guarantees of equal access to justice and accountability for human rights violations, people of African descent and majority Black member states are systematically constructed out of international policymaking authority and legal protections at the UN—leaving them vulnerable to aggression, exploitation, and extraction.
\nThis Article contends that the UN and its contemporary public international law regime, created and dominated by settler colonial states, has no ability to combat anti-Black racism because it has no interest in so doing; rather, the regime is both the manifestation of global racial contracting and the mechanism by which such contracting persists. The structure of the UN, along with the substance and procedure of public international law, work together in coordinated fashion to guarantee that the racial contracts in force in individual states are also performed, enforced, and protected within a global Racial Superstate.
","language":null,"license":{"name":"All rights reserved","short_name":"Copyright","text":"© the author(s). All rights reserved.","url":"https://creativecommons.org/licenses/authors"},"keywords":[],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5gd2b1vz","frozenauthors":[{"first_name":"Marissa","middle_name":"","last_name":"Jackson Sow","name_suffix":"","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-05-01T00:00:00Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucilr/article/31491/galley/22560/download/"}]},{"pk":46111,"title":"Unique Presentation and Treatment of Chronic Recurrent Pericarditis","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/6s53z57x","frozenauthors":[{"first_name":"Megha","middle_name":"","last_name":"Agarwal","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Timothy","middle_name":"","last_name":"Canan","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T18:41:24Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46111/galley/34842/download/"}]},{"pk":46110,"title":"Pre-Pregnancy Normal Range Blood Pressure Relationship to Birth Weight in Term Pregnancy in African American Women from the CARDIA Study Center: Research Article","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"original-research"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/26j7d761","frozenauthors":[{"first_name":"Kellyanne","middle_name":"R.","last_name":"Gold","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Robert","middle_name":"A.","last_name":"Gold","name_suffix":"MD","institution":"","department":""},{"first_name":"Jeffrey","middle_name":"","last_name":"Gornbein","name_suffix":"DrPh","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T18:29:47Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46110/galley/34841/download/"}]},{"pk":46066,"title":"Military Burn Pit Exposure and Subsequent Chronic Vasomotor Rhinitis","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/66q1f34w","frozenauthors":[{"first_name":"Monica","middle_name":"","last_name":"Tsai","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"John","middle_name":"","last_name":"Le","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T18:06:34Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46066/galley/34798/download/"}]},{"pk":46109,"title":"45-Year-Old Woman with Antiphospholipid Antibodies","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/9fd491rt","frozenauthors":[{"first_name":"Olga","middle_name":"","last_name":"Popel","name_suffix":"MD, MBA","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T17:54:49Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46109/galley/34840/download/"}]},{"pk":46108,"title":"The Low Alkaline Phosphatase: When to Suspect More","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/01p0n7fm","frozenauthors":[{"first_name":"Arielle","middle_name":"","last_name":"Sommer","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Wendy","middle_name":"","last_name":"Ho","name_suffix":"MD, MPH","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T17:36:15Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46108/galley/34839/download/"}]},{"pk":46107,"title":"The Annual Physical for Adult Patients: Common Practice and Guideline Recommendations","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"brief-clinical-update"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/75404376","frozenauthors":[{"first_name":"Arielle","middle_name":"","last_name":"Sommer","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Diane","middle_name":"","last_name":"Reed","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T17:18:16Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46107/galley/34838/download/"}]},{"pk":46106,"title":"A 74-Year-Old Female with a Refractory Oral Ulcer","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/8x3768kf","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Martin","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Olga","middle_name":"","last_name":"Popel","name_suffix":"MD, MBA","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T16:48:11Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46106/galley/34837/download/"}]},{"pk":46105,"title":"Painless Ulcer in a Traveler","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/83p4j51h","frozenauthors":[{"first_name":"Mengjun","middle_name":"","last_name":"Hu","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T16:37:10Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46105/galley/34836/download/"}]},{"pk":46104,"title":"Chronic Total Coronary Occlusion","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-review"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/54f0p811","frozenauthors":[{"first_name":"Andre","middle_name":"","last_name":"Akhondi","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Timothy","middle_name":"","last_name":"Canan","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T16:26:07Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46104/galley/34835/download/"}]},{"pk":46103,"title":"Diabetic Ketoacidosis Associated with Use of Sodium-Glucose Cotransporter-2 (SGLT2) Inhibitor: A Spotlight on Ketosis Prone Diabetes Subtypes","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/68s0f4gh","frozenauthors":[{"first_name":"Arielle","middle_name":"","last_name":"Sommer","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Preethi","middle_name":"","last_name":"Srikanthan","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T16:08:21Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46103/galley/34834/download/"}]},{"pk":46102,"title":"Sleep Deprivation and Mental Health","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/9wn7v3cs","frozenauthors":[{"first_name":"Bryan","middle_name":"","last_name":"Lopez","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jason","middle_name":"","last_name":"Bahk","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-30T15:55:15Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46102/galley/34833/download/"}]},{"pk":18325,"title":"Operation CoVER Saint Louis (COVID-19 Vaccine in the Emergency Room): Impact of a Vaccination Program in the Emergency Department","subtitle":null,"abstract":"Introduction: Coronavirus 2019 (COVID-19) inequitably impacted minority populations and regions with limited access to healthcare resources. The Barnes-Jewish Emergency Department in St. Louis, MO, serves such a population. The COVID-19 vaccine is an available defense to help achieve community immunity. The emergency department (ED) is a potential societal resource to provide access to a vaccination intervention. Our objective in this study was to describe and evaluate a novel ED COVID-19 vaccine program, including its impact on the local surrounding underserved community.
\nMethods: This was a retrospective, post-protocol implementation review of an ED COVID-19 vaccination program. Over the initial six-month period, we compiled data on all vaccinated patients out of the ED to evaluate demographic data and the impact on underserved regional areas.
\nResults: We report a successful ED-based COVID-19 vaccine program (with over 1,000 vaccines administered). This program helped raise regional and state vaccination rates. Over 50% of the population that received the COVID-19 vaccine from the ED were from defined socially vulnerable patient populations. No adverse effects were documented.
\nConclusion: Operation CoVER (COVID-19 Vaccine in the Emergency Room) Saint Louis was able to successfully vaccinate a socially vulnerable patient population. This free, COVID-19 ED-based vaccine program with dedicated pharmacy support, was novel in emergency medicine practice. Similar ED-based vaccine programs could help with future vaccine distribution.
","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":"vaccination"},{"word":"Vaccine"},{"word":"COVID-19"},{"word":"emergency department"},{"word":"underserved"},{"word":"efficacy"},{"word":"safety"}],"section":"Endemic Infections","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4sc8k7k7","frozenauthors":[{"first_name":"Brian","middle_name":"T.","last_name":"Wessman","name_suffix":"","institution":"Washington University in Saint Louis, Department of Emergency Medicine, St. Louis, Missouri; Washington University in Saint Louis, Department of Anesthesiology, Division of Critical Care Medicine, St. Louis, Missouri","department":"None"},{"first_name":"Julianne","middle_name":"","last_name":"Yeary","name_suffix":"","institution":"BJC HealthCare, Department of Pharmacy Services, St. Louis, Missouri","department":""},{"first_name":"Helen","middle_name":"","last_name":"Newland","name_suffix":"","institution":"BJC HealthCare, Department of Pharmacy Services, St. Louis, Missouri","department":""},{"first_name":"Randy","middle_name":"","last_name":"Jotte","name_suffix":"","institution":"Washington University in Saint Louis, Department of Emergency Medicine, St. Louis, Missouri","department":""}],"date_submitted":"2023-05-22T22:29:19Z","date_accepted":"2023-05-22T22:29:19Z","date_published":"2024-04-30T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18325/galley/10781/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18325/galley/9619/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/18325/galley/10781/download/"}]},{"pk":1519,"title":"Profound Alkalosis and Prolonged QT Interval Due to Inappropriate Gastrostomy Tube Loss: A Case Report","subtitle":null,"abstract":"Introduction: Severe metabolic alkaloses are relatively rare but can carry a high mortality rate. Treatment involves supportive care and treatment of underlying causes.
\nCase Report: A 55-year-old male dependent on a gastrojejunostomy tube presented to the emergency department for altered mental status. The patient had metabolic alkalosis, electrolyte abnormalities, and prolonged QT interval on electrocardiogram. Examination and history revealed that chronic drainage of gastric fluid via malfunctioning a gastrojejunostomy tube resulted in profound alkalosis. The patient recovered with supportive care, electrolyte repletion, and gastrojejunostomy tube replacement.
\nConclusion: This case highlights the importance of gastrointestinal acid-base pathophysiology.
","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":"Metabolic alkalosis"},{"word":"Prolonged QT"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0ff9n8jb","frozenauthors":[{"first_name":"Forrest","middle_name":"","last_name":"Turner","name_suffix":"","institution":"Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":""},{"first_name":"Brandon","middle_name":"","last_name":"Friedman","name_suffix":"","institution":"Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":""},{"first_name":"H.","middle_name":"Pendell","last_name":"Meyers","name_suffix":"","institution":"Carolinas Medical Center, Department of Emergency Medicine, Charlotte, North Carolina","department":""},{"first_name":"Stephen","middle_name":"W.","last_name":"Smith","name_suffix":"","institution":"Hennepin Healthcare and University of Minnesota School of Medicine, Department of Emergency Medicine, Minneapolis, Minnesota","department":""}],"date_submitted":"2023-07-14T21:06:44.132000Z","date_accepted":"2024-01-17T18:30:27.881000Z","date_published":"2024-04-30T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1519/galley/10780/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1519/galley/9626/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1519/galley/10780/download/"}]},{"pk":52134,"title":"A Case Report Evaluating Gastric Emphysema versus Emphysematous Gastritis","subtitle":null,"abstract":"Gastric emphysema (GE) and emphysematous gastritis (EG) share similar clinical presentations but exhibitdrastically different prognoses. While GE is generally benign, EG is associated with mortality rates up to 60%.Here, we present the case of a 29-year-old female patient who presented to the emergency department (ED)with symptoms of nausea, vomiting, and epigastric abdominal pain. Clinical evaluation revealed tachycardia,pain out of proportion, leukocytosis, and metabolic acidosis. Computed tomography (CT) scan unveiled thepresence of air within the gastric wall, and a presumptive diagnosis of gastric emphysema was made. Thepatient responded positively to conservative management and was discharged after a two-dayhospitalization. This case report emphasizes the need for physicians to adeptly distinguish between GE andEG. Timely identification and precise differentiation of the two conditions allow for timely and tailoredmanagement, ultimately leading to improved clinical outcomes in patients. By providing insights into theetiologies, clinical presentations, and imaging findings for the two pathologies, we aim to empower cliniciansto make informed decisions for optimal patient care.","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":"Gastric emphysema, emphysematous gastritis, gastric pneumatosis"}],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9c7034ms","frozenauthors":[{"first_name":"Anna","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"California University of Science and Medicine, Colton, CA","department":""},{"first_name":"Mark","middle_name":"","last_name":"Slader","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, CA","department":""},{"first_name":"Lindsey","middle_name":"","last_name":"Spiegelman","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, CA","department":""}],"date_submitted":"2024-05-01T21:16:35Z","date_accepted":"2024-05-01T21:16:35Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52134/galley/39413/download/"}]},{"pk":52126,"title":"A Case Report of Acute Compartment Syndrome","subtitle":null,"abstract":"Acute compartment syndrome (ACS) is a surgical emergency which requires prompt identification andintervention to prevent irreversible tissue damage. Here we present the case of a 64-year-old male withlower extremity tenderness following a crush injury. This patient presented to the emergency department(ED) more than 12 hours after the initial incident occurred and was found to have a firm right calf withdecreased sensation and absent distal pulses on his right leg. The patient’s outer compartment pressuremeasured 32 mmHg. Because these findings were concerning for acute compartment syndrome, emergentfasciotomies of the four compartments of the lower right leg were performed with improvement inneuromuscular compromise. Early identification of the condition permitted a prompt recovery for the patientwho was discharged home on day five. This case report reviews the clinical presentation and interventionalmodalities and aims to provide new images to help visualize a diagnosis of ACS.","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":"Acute compartment syndrome, fasciotomy, intramuscular pressure"}],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5gw2t958","frozenauthors":[{"first_name":"Naomie","middle_name":"Devico","last_name":"Marciano","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, CA","department":""},{"first_name":"Keneth","middle_name":"","last_name":"Sarpong","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, CA","department":""},{"first_name":"Jonathan","middle_name":"","last_name":"Smart","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, CA","department":""}],"date_submitted":"2024-05-01T17:49:50Z","date_accepted":"2024-05-01T17:49:50Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52126/galley/39405/download/"}]},{"pk":52127,"title":"A Realistic, Low-Cost Simulated Automated Chest Compression Device","subtitle":null,"abstract":"Audience: This simulated automated chest compression device was designed for use in simulation cardiacarrest cases involving emergency medicine residents, but it would be applicable to other learners such asnurses, pharmacists, and medical students.\nBackground: Automated chest compression devices (ACCD) are commonly utilized in cardiac arrest in theemergency department and by emergency medical services (EMS) as patients arrive in the ED.1 Prolongedsimulated cardiac arrest can be challenging to maintain proper chest compression depth and technique.2Resident learning may be enhanced during cardiac arrest in the simulation environment by implementing theuse of a simulated ACCD.\nEducational Objectives: By the end of this educational session using a resuscitation trainer or high-fidelitymanikin, learners should be able to:1. Recognize appropriate application of simulated ACCD to an ongoing resuscitation case2. Demonstrate proper positioning of simulated ACCD in manikin model3. Integrate simulated ACCD to provide compressions appropriately throughout cardiac arrest scenario\nEducational Methods: We developed a cost-effective simulated ACCD for use in resuscitation simulationcases. An initial pilot session identified components of fidelity that were used to model the simulated ACCDafter those utilized in clinical situations. Three simulated devices were created and then tested for efficacyduring high-fidelity simulation with 25 emergency medicine residents.\nResearch Methods: Visual analog scales were used to explore how the simulated ACCD affected perceivedrealism and stress level during the cardiac arrest simulation. Qualitative data were collected through open-ended learner feedback comments. The institutional review board at our institution reviewed this projectand determined that it was exempt.\nResults: With inclusion of the simulated ACCD device, learners rated the simulation \"more realistic\" with anaverage rating of 74/100 and \"less stressful\" with an average rating of 69/100 on the visual analog scales.Learner comments noted that the use of the ACCD in simulation resulted in better resource availability andaccurate environmental noise.\nDiscussion: The simulated ACCD presented here was found to be effective, realistic, and practical for use bylearners in a resuscitation curriculum. Our results suggest that implementating a cost-effective simulatedACCD ($98 for supplies) in high-fidelity simulation cardiac arrest cases enhances the perceived realism of theenvironment and offers physician learners a low-stress opportunity to practice the clinical application ofACCD in cardiac arrest resuscitation. Additionally, the use of the simulated ACCD, specifically in a prolongedresuscitation, eliminated the need for physically demanding manual chest compressions. Anecdotally, insimulated environments we have observed poor-quality manual chest compressions due to an understandingthat the manikin is “not real,” leading to decreased psychological fidelity from the shared acceptance of thepoor-quality compressions. Thus, the presence of a simulated clinical device providing chest compressionscould have increased the feel of realism through improved psychological fidelity. Additionally, we note thatthe physical and psychological fidelity of this simulated device was sufficient for physicians to perceive clinicalimplementation, but may be suboptimal for assistive staff, who are focused on the specific functionality andmay benefit from training on the physical device in clinical use. Finally, our simulated ACCD resembles theclinical device our department uses; we advise modifications as appropriate to allow a simulated ACCDcreated for other learners to also resemble their clinically used ACCD.","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":"Automated chest compression device, ACLS, improvised equipment, high fidelity simulation"}],"section":"Innovations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6gn591n5","frozenauthors":[{"first_name":"Jessica","middle_name":"","last_name":"Joyce","name_suffix":"","institution":"Rush University Medical Center, Rush Medical College, Chicago IL","department":""},{"first_name":"Elyse","middle_name":"","last_name":"Fults","name_suffix":"","institution":"Rush University Medical Center, Department of Emergency Medicine, Chicago, IL","department":""},{"first_name":"Julia","middle_name":"","last_name":"Rajan","name_suffix":"","institution":"Midwestern University, Chicago College of Osteopathic Medicine, Downers Grove, IL","department":""},{"first_name":"Alexandra","middle_name":"","last_name":"Plezia","name_suffix":"","institution":"Loyola University Chicago, Stritch School of Medicine, Maywood, IL","department":""},{"first_name":"Carolyn","middle_name":"","last_name":"Clayton","name_suffix":"","institution":"Rush University Medical Center, Department of Emergency Medicine, Chicago, IL","department":""},{"first_name":"Sara","middle_name":"M","last_name":"Hock","name_suffix":"","institution":"Rush University Medical Center, Department of Emergency Medicine, Chicago, IL","department":""}],"date_submitted":"2024-05-01T18:09:59Z","date_accepted":"2024-05-01T18:09:59Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52127/galley/39406/download/"}]},{"pk":42186,"title":"“DecolonialPedagogies.Space”: Youth-led, Open-source Instructional Design as Experiential Learning and Meta-pedagogical Empowerment","subtitle":null,"abstract":"This commentary describes a pedagogical experiment in youth-led, open-source learning design carried out between Autumn 2022 and Spring 2023 while I was teaching in the University of Chicago’s Colonizations sequence. “Colonizations” is one among several sequences that undergraduate students can elect to take to satisfy their College Core requirement in “Civilization Studies.” Using an iterative “Design a Learning Module” assignment sequence – comprising both a mid-quarter and final submission together with an in-class introduction to principles of curriculum design – I structured the learning pathway to achieve three outcomes: first, to create experiential learning opportunities for students to engage with curriculum design principles through the hands-on creation of an online learning module; second, to expose students to open-source, creative-commons alternatives to dominant, colonial forms of proprietary knowledge; and last, to provide students with tools to analyze, interpret, and navigate their future learning environments.","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"decolonial pedagogies"},{"word":"learning design"},{"word":"experiential learning"},{"word":"meta-pedagogy"}],"section":"Commentaries","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2m0561m2","frozenauthors":[{"first_name":"Joshua","middle_name":"","last_name":"Babcock","name_suffix":"","institution":"Brown University","department":"None"}],"date_submitted":"2023-07-01T23:51:05Z","date_accepted":"2023-07-01T23:51:05Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/teachinglearninganthro/article/42186/galley/31497/download/"}]},{"pk":52128,"title":"Electrical Storm/Refractory Ventricular Tachycardia","subtitle":null,"abstract":"Audience: This simulation case was created for emergency medicine (EM) residents at all levels of training.\nBackground: Cardiac electrical storm (ES) is commonly defined as three or more episodes of sustainedventricular tachycardia, ventricular fibrillation, or three shocks from an implantable defibrillator within a 24hour period.1 This can occur in up to 30-40% of patients with implantable defibrillators; however, it may alsopresent in a wide variety of patients, including those with structural heart disease, myocardial infarction,electrolyte disturbances, and channelopathies.2,3 With each subsequent episode of ventricular arrhythmia,the arrhythmogenic potential of the heart may increase secondary to increased intracellular calciumdysregulation, myocardial injury, and increased endogenous release of catecholamines. The increased painand catecholamine release from cardioversion/defibrillation and exogenous epinephrine during cardiacarrest further exacerbates ES.2 This carries a significant mortality risk of up to 12% in the first 48 hours.3This case involves a basic knowledge of the Advanced Cardiac Life Support (ACLS) for ventricular tachycardia,both with and without a pulse, and the application of Sgarbossa criteria in a patient with an ST elevationmyocardial infarction (STEMI) which makes it ideal for the PGY-1. However, the case quickly becomesrefractory to the basic management prescribed in ACLS, requiring trouble shooting and quick thinking aboutdeeper pathophysiology, a skill that is crucial for all emergency medicine physicians. There are multiple waysto troubleshoot this case, making for a good variety of discussion and recent literature review on thecomplexities of a relatively common arrhythmia, ventricular tachycardia.\nEducational Objectives: By the end of this simulation, learners should be able to: 1) recognize unstableventricular tachycardia and initiate ACLS protocol, 2) practice dynamic decision making by switching betweenvarious ACLS algorithms, 3) create a thoughtful approach for further management of refractory ventriculartachycardia, 4) interpret electrocardiogram (ECG) with ST-segment elevation (STE) and left bundle branchblock (LBBB), 5) appropriately disposition the patient and provide care after return of spontaneous circulation(ROSC), 6) navigate a difficult conversation with the patient’s husband when she reveals that the patient’swishes were to not be resuscitated.\nEducational Methods: This simulation was performed using high-fidelity simulation followed by animmediate debriefing with nine learners who directly participated in the SIM and twenty-three residents,who were online observers via Zoom. This case was done during our conference day, and there were a totalof approximately forty total learners comprised of medical students, PGY-1, PGY-2 and PGY-3 residents. Therewere several medical students who also observed via Zoom but were not surveyed, and the survey was sentto 32 learners. The case was run three separate times with each session consisting of three-four learners atthe same level of training, with other learners in the same level of training observing via Zoomä videoplatform. Since we can only have a team of three-four learners participate per group during simulation, therest of the learners were observing the case and the debrief. There was one simulation instructor and one technician.\nResearch Methods: We sent an online survey to all the participants and the observers after the debrief viasurveymonkey.com. The survey collected responses to the following statements: (1) the case was believable,(2) the case had right amount of complexity, (3) the case helped in improving medical knowledge and patientcare, (4) the simulation environment gave me a real-life experience and, (5) the debriefing session aftersimulation helped improve my knowledge. Likert scale was used to collect the responses.\nResults: A total of thirteen participants responded to the survey. One hundred percent of them eitherstrongly agreed or agreed that the case was believable and that it helped in improving medical knowledgeand patient care. Fifty-four percent strongly agreed, 38 percent agreed, and eight percent were neutral aboutthe case having the right amount of complexity. Thirty one percent strongly agreed, 61 percent agreed, andeight percent were neutral about the case giving them real-life experience. All of them agreed that thedebriefing session helped them improve their knowledge.\nDiscussion: The high-fidelity simulation case was helpful with educating learners with ventricular tachycardiaand fibrillation. Learners learned how to switch between various ACLS algorithms and how to manage apatient with refractory ventricular fibrillation. Learners enforced their knowledge in how to communicatewith patient’s family members when the patient does not want resuscitation.","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":"Stable ventricular tachycardia, unstable ventricular tachycardia, refractory ventricular tachycardia, electrical storm, STEMI equivalents, medical simulation"}],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/21b72868","frozenauthors":[{"first_name":"Ashley","middle_name":"R","last_name":"Tarchione","name_suffix":"","institution":"Kaiser Permanente San Diego Medical Center, Department of Emergency Medicine, San Diego, CA","department":""},{"first_name":"Amrita","middle_name":"","last_name":"Vempati","name_suffix":"","institution":"Creighton University School of Medicine Phoenix Program, Valleyhealth Medical Center, Department of Emergency Medicine, Phoenix, AZ","department":""}],"date_submitted":"2024-05-01T18:14:34Z","date_accepted":"2024-05-01T18:14:34Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52128/galley/39407/download/"}]},{"pk":52133,"title":"Hypertensive Emergency Team-Based Learning","subtitle":null,"abstract":"Audience: The target audiences for this team-based learning (TBL) activity are resident physicians andmedical students.\nIntroduction: According to the Centers for Disease Control and Prevention (CDC), nearly half of the adults inthe United States have hypertension,1 which is a leading cause of cardiovascular disease and prematuredeath.2 In extreme cases, patients may present in hypertensive emergencies, defined as an acute, markedelevation of systolic blood pressure >180mmHg or diastolic blood pressure >120mmHg with evidence oforgan dysfunction.3,4 Patients presenting to the emergency department (ED) with symptoms of hypertensiveemergencies must be promptly diagnosed and treated to prevent further morbidity and mortality. This TBLutilizes four clinical cases to educate resident physicians and medical students not only on the recognition ofhypertensive emergencies, but also on the workup, management, and disposition of patients who present tothe ED with hypertension.udience: The target audiences for this team-based learning (TBL) activity are resident physicians andmedical students.\nEducational Objectives:By the end of this TBL session, learners should be able to: 1) define features ofasymptomatic hypertension versus hypertensive emergency, 2) discuss which patients with elevated bloodpressure may require further diagnostic workup and intervention, 3) identify a differential diagnosis forpatients presenting with elevated blood pressures, 4) recognize the features of different types of end-organdamage, 5) review an algorithm for the pharmacologic management of hypertensive emergencies, 6) indicatedosing and routes of various anti-hypertensive medications, 7) choose the appropriate treatment for apatient who is hypertensive and presenting with flash pulmonary edema, 8) identify an aortic dissection oncomputed tomography (CT), 9) choose the appropriate treatment for a patient who is hypertensive andpresenting with an aortic dissection, 10) identify intracranial hemorrhage on CT, 11) choose the appropriatetreatment for a patient who is hypertensive and presenting with an intracranial hemorrhage, and 12)describe the intervention for warfarin reversal.\nEducational Methods: This is a classic TBL that includes an individual readiness assessment test (iRAT), amultiple-choice group readiness assessment test (gRAT), and a group application exercise (GAE).\nResearch Methods: Learners and instructors were given the opportunity to provide verbal feedback aftercompletion of the TBL. Learners included senior medical students and first-, second-, and third-yearemergency-medicine residents. Learners were specifically asked if they felt the cases were educational,relevant, and useful to their training.\nResults: Six resident physicians and three medical students volunteered their verbal feedback, and agreedwhen they were specifically asked if the cases were educational, relevant, and useful to their training. Thesame learners also agreed when asked if they felt the TBL was a more enjoyable activity than a direct lectureto refresh their knowledge and skills. One instructor observed that interns and medical students weregenerally able to reach a correct diagnosis; however, they seemed to struggle more with describingappropriate pharmacologic interventions when compared to more senior learners.\nDiscussion: Hypertension is a common complaint and incidental finding in patients presenting to the ED.Given its non-specific value, it can be a difficult topic for the novice healthcare provider to master. Thedifferential diagnosis for a patient presenting with hypertension is vast, ranging from benign to emergent,and can sometimes necessitate minimal to substantial workups. Thus, this TBL is a useful, relevant, andeffective exercise for residents-in-training to review and understand the management of hypertension.","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":"Hypertension, hypertensive emergency, asymptomatic hypertension, flash pulmonary edema, aortic dissection, intracranial hemorrhage, warfarin reversal, team-based learning"}],"section":"Team-Based Learning","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4nz750k5","frozenauthors":[{"first_name":"Khoa","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, CA","department":""},{"first_name":"Jordan","middle_name":"Gawon","last_name":"Shin","name_suffix":"","institution":"University of California, Irvine, School of Medicine, Irvine, CA","department":""},{"first_name":"Jessica Andrusaitis","middle_name":"","last_name":"Jessica Andrusaitis","name_suffix":"","institution":"University of California, Irvine, Department of Emergency Medicine, Orange, CA","department":""}],"date_submitted":"2024-05-01T20:53:39Z","date_accepted":"2024-05-01T20:53:39Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52133/galley/39412/download/"}]},{"pk":52130,"title":"Managing STEMIs without a Catheterization Lab: A Simulated Scenario to Improve Emergency Clinician Recognition and Execution of Thrombolysis in the Setting of Rural STEMI Management","subtitle":null,"abstract":"Audience: The targeted audience for this simulation is Emergency Medicine (EM) residents. Medicalstudents, advanced practice providers, and staff physicians could all also find educational merit in thisscenario.\nBackground: Cardiovascular disease is the leading cause of death in the United States according to the CDC.1Coronary artery disease caused 375,000 deaths 2021 alone, and about 5% of all adult patients have a priorhistory of coronary artery disease.2 Furthermore, chest pain itself is a common chief complaint encounteredin the ED, with nearly 8 million visits annually occurring throughout the United States, with 10-20% of thosepatients ultimately being diagnosed with an acute coronary syndrome3, including ST-elevation myocardialinfarction (STEMI). Given this, it is essential that EM residents are well prepared to care for all patientspresenting with chest pain, regardless of the acute care or emergency setting.Throughout their training, most EM residents typically learn and evaluate patients at a large tertiary orquaternary medical center with 24-hour catheterization laboratory availability. For patients presenting withelectrocardiogram (EKG) findings consistent with STEMI, the standard of care is for the patient to undergocardiac catheterization and stent placement within 90 minutes of arrival. Unfortunately, only half of patientsliving in rural areas have a cardiac catheterization-capable facility available to them within a 60-minutedriving radius, making it difficult for those patients to undergo cardiac catheterization within the desired timeframe.4 These patients remain candidates for thrombolytic therapy, but given infrequent opportunities tolearn about and deploy thrombolytic agents during residency training, graduating EM residents may beunfamiliar with indications, dosing, and contraindications before they begin practice. Furthermore, the recent EM workforce data suggests that although there may be an oversupply of 8,000 emergency physiciansby 2030, robust practice opportunities for emergency physicians remain in rural settings.5 Althoughhistorically EM graduates have not selected rural areas for practice, with only approximately 8% ofemergency physicians practicing in rural areas,6 it is likely that given the opportunities present and perceivedsaturation in many non-rural settings, more EM graduates will pursue practice in a rural setting. With thesechanging practice dynamics in mind, this simulation provides the opportunity for residents and medicalstudents to experience the management of a STEMI in the rural setting, with a focus upon the indications,contraindications, dosing, and disposition of a patient receiving thrombolytics.Educational Objectives: By the end of this simulation, learners will be able to:\n1. Diagnose ST elevation myocardial infarction accurately and initiate thrombolysis in the rural settingwithout timely access to cardiac catheterization.2. Engage the simulated patient in a shared decision-making conversation, clearly outlying the benefitsand risks of thrombolysis.3. Identify the indications and contraindications for thrombolysis in ST elevation myocardial infarction.4. Arrange for transfer to a tertiary care center following completion of thrombolysis.\nEducational Methods: This scenario is a simulated encounter in a rural emergency department settingrequiring the diagnosis of a STEMI, a discussion with the patient regarding the risks and benefits ofthrombolysis prior to administration, administration of thrombolysis, and transfer of patient to a higher levelof care.\nResearch Methods: The educational content of this simulation as a teaching instrument was evaluated bythe learner utilizing an internally developed survey after case completion. This survey was reviewed forprecision of language and assessment of learning objectives by our simulation faculty and other members ofour West Virginia University Emergency Medicine Department of Medical Education. The learner was askedto specify any prior experience with rural STEMI management as well as quantify via a five-point Likert Scale,where 1 = very uncomfortable and 5 = very comfortable, their level of comfort with thrombolysis before andafter the scenario as well as their comfort with having a shared decision-making conversation with patientswith regards to thrombolysis. Learners were also asked to rank the helpfulness of this simulation in preparingthem for administering thrombolytics for STEMI in a rural setting on a five-point Likert scale, where 1 = nothelpful and 5 =very helpful. An open response section was also provided to allow learners the opportunity tocomment directly on any aspect of the simulation.\nResults: Data was collected anonymously from 16 PGY1-3 resident learners via surveys with a 100% responserate. Overall, the feedback received regarding the simulation was positive. There was a low average comfortlevel with administering thrombolytics and having a shared decision-making conversation regardingadministering thrombolytics. There was a high average rating of the helpfulness of this simulation in preparing residents for this conversation as well as managing STEMIs in a rural setting. Subjective commentsregarding the simulation were universally positive.\nDiscussion: The management of STEMI in the rural emergency department differs significantly from theenvironment in which many EM residents train. As a leading cause of death in the United States, STEMImanagement is a vital component of EM resident education. Although the concept of thrombolysis in the rural setting is discussed, the opportunity for real-world experience in its execution is often limited despitemany graduates ultimately working in rural emergency departments. This simulation sought to provide arealistic patient encounter to promote familiarity and comfort in the identification, patient discussion andexecution of thrombolysis in the treatment of a STEMI. The educational content was shown to be effectivevia learner survey completion.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/09f57139","frozenauthors":[{"first_name":"Scott","middle_name":"","last_name":"Schoenborn","name_suffix":"","institution":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, WV\nDavid and JoAnn Shaw Center for Simulation Training and Education for Patient Safety, West Virginia University, Morgantown, WV","department":""},{"first_name":"Anthony","middle_name":"F","last_name":"Steratore","name_suffix":"","institution":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, WV\nDavid and JoAnn Shaw Center for Simulation Training and Education for Patient Safety, West Virginia University, Morgantown, WV","department":""},{"first_name":"Adam","middle_name":"","last_name":"Hoffman","name_suffix":"","institution":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, WV\nDavid and JoAnn Shaw Center for Simulation Training and Education for Patient Safety, West Virginia University, Morgantown, WV","department":""},{"first_name":"Thomas","middle_name":"C","last_name":"Marshall","name_suffix":"","institution":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, WV\nDavid and JoAnn Shaw Center for Simulation Training and Education for Patient Safety, West Virginia University, Morgantown, WV","department":""},{"first_name":"Erica","middle_name":"B","last_name":"Shaver","name_suffix":"","institution":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, WV\nDavid and JoAnn Shaw Center for Simulation Training and Education for Patient Safety, West Virginia University, Morgantown, WV","department":""},{"first_name":"Christopher","middle_name":"S","last_name":"Kiefer","name_suffix":"","institution":"West Virginia University School of Medicine, Department of Emergency Medicine, Morgantown, WV\nDavid and JoAnn Shaw Center for Simulation Training and Education for Patient Safety, West Virginia University, Morgantown, WV","department":""}],"date_submitted":"2024-05-01T20:00:54Z","date_accepted":"2024-05-01T20:00:54Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52130/galley/39409/download/"}]},{"pk":52124,"title":"Modification of an Airway Training Mannequin to Teach Engagement of the Hyoepiglottic Ligament","subtitle":null,"abstract":"Audience: This airway trainer modification is designed to instruct all levels of training in emergency medicine in order to familiarize trainees with airway anatomy and obtain superior views of the glottic inlet.\nIntroduction: During intubation with a standard geometry laryngoscope, such as the Macintosh blade, placement of the distal end of the blade within the vallecula and engagement of the median glossoepiglottic fold, also referred to as the midline vallecular fold (MVF), has long been championed by experts in airway management for its ability to improve glottic inlet visualization. This notion was further supported by the recent publication of a retrospective video review by Driver et al.1 Unfortunately, airway anatomy, including engagement of the MVF, does not receive the emphasis it deserves during intubation training of emergency medicine residents. Emergency physicians often have limited time to perform complete airway examinations, but a sound recognition and appreciation of the laryngeal inlet can serve as a roadmap to optimal laryngoscopy.2\nRecent advancements in airway education emphasize visualization of airway anatomy with review of video laryngoscopy (VL) recordings to identify routine VL errors in vallecula manipulation, such as failure to engage the MVF. 3 Simulation can continue to play an essential role in enhancing trainees’ airway skills. Current airway trainers lack functional fidelity components, such an engageable MVF, resulting in a missed opportunity to teach airway skills and anatomy in a safe and controlled setting.4, 5 To address these concerns, we modified an existing airway task trainer with the addition of a simulated MVF to expose trainees to airway anatomy and adequate MVF engagement resulting in epiglottic elevation.\nEducational Objectives: By the end of this education session, participants should be able to: 1. Identify relevant airway anatomy during intubation, including base of the tongue, epiglottis, midline vallecular fold, anterior arytenoids. 2. Appreciate the value of a stepwise anatomically guided approach to intubation. 3. Become familiar with the midline vallecular fold and underlying anatomy, including the hyoepiglottic ligament, and how proper placement of the laryngoscope can result in improved glottic visualization.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Innovations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/91g2r577","frozenauthors":[{"first_name":"Richard","middle_name":"","last_name":"Tumminello","name_suffix":"","institution":"Einstein Medical Center Philadelphia, Department of Emergency Medicine, Philadelphia, PA","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Patino-Calle","name_suffix":"","institution":"Einstein Medical Center Philadelphia, Department of Emergency Medicine, Philadelphia, PA","department":""}],"date_submitted":"2024-05-01T17:20:55Z","date_accepted":"2024-05-01T17:20:55Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52124/galley/39403/download/"}]},{"pk":52125,"title":"Septic Abortion Complicated by Disseminated Intravascular Coagulation","subtitle":null,"abstract":"Audience: \nThis scenario was developed to educate emergency medicine residents on the diagnosis and management of two concurrent conditions: septic abortion and disseminated intravascular coagulation (DIC).\n \n \n \nIntroduction:\n Patients with an abortion (spontaneous or induced) of less than twenty weeks gestation may present with concurrent uterine infection, also known as septic abortion. One of the complications of septic abortion is DIC. Early management of both underlying etiology (septic abortion) and subsequent complications (DIC) is crucial to minimize morbidity and mortality.\n \n \n \nEducational Objectives\n: At the conclusion of the simulation session, learners will be able to:\n \n1) Obtain a relevant focused history including pregnancy history, medication use, and past medical history. 2) Develop a differential for fever and vaginal bleeding in a pregnant patient. 3) Discuss management of septic abortion, including empiric broad-spectrum antibiotics and obstetric consultation for source control with dilation and curettage (D&C). 4) Discuss expected laboratory findings of disseminated intravascular coagulation (DIC). 5) Discuss management of DIC, including identification of underlying etiology and supportive resuscitation with blood products. 6) Review the components of blood products. 7) Identify appropriate disposition of the patient to the intensive care unit (ICU).\n \n \n \nEducational Methods:\n This session was conducted using high-fidelity simulation followed by a debriefing session and discussion about the diagnosis, differential, and management of both septic abortion and DIC. Debriefing methods may be left to the discretion of participants, but the authors have utilized advocacy-inquiry techniques. In this technique, the facilitator described something they observed in the case, outlined their reasoning as a facilitator why this observation was important or why they had questions, and then asked the learners to share their frame of reference at the time. An example: “I heard the team leader state that the platelets were normal, but then another resident disagreed. No one paused to come to a consensus. I’m wondering why this wasn’t explored further in real time. Tell me more.” This scenario may also be run as an oral boards case or adapted for other learners such as critical care fellows.\nResearch Methods: \nOur residents were provided a survey at the completion of the debriefing session so they could rate different aspects of the simulation, as well as provide qualitative feedback on the scenario. The local institution’s simulation center’s electronic feedback form is based on the Center of Medical Simulation’s Debriefing Assessment for Simulation in Healthcare (DASH) Student Version Short Form,1 with the inclusion of required qualitative feedback if an element was scored less than a 6 or 7.\n \n \n \nResults: \nThirteen learners completed a feedback form out of seventeen participants. This session received all six and seven scores (consistently effective/very good and extremely effective/outstanding, respectively) other than two isolated 4 scores.\n \n \n \n \nDiscussion: \nThis is a cost-effective method for reviewing septic abortion and DIC. The case may be modified for appropriate audiences, such as simplifying the case to septic abortion without DIC. You can also consider not showing an initial temperature with the initial set of vitals unless it is specifically asked for by the participants. We encourage readers to utilize bleeding moulage techniques as a visual stimulus to increase psychological buy-in.\n \n \n \nTopics: \nMedical simulation, septic abortion, pregnancy complications, hematology emergencies, obstetric emergencies, disseminated intravascular coagulation, emergency medicine.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Simulation","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3zb5x5dc","frozenauthors":[{"first_name":"Lauren","middle_name":"","last_name":"Moore","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OH","department":""},{"first_name":"Jennifer","middle_name":"","last_name":"Yee,","name_suffix":"","institution":"The Ohio State University Wexner Medical Center, Department of Emergency Medicine, Columbus, OH","department":""}],"date_submitted":"2024-05-01T17:42:49Z","date_accepted":"2024-05-01T17:42:49Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52125/galley/39404/download/"}]},{"pk":52132,"title":"Telescoping into Adulthood: A Case Report of Intussusception in an Adult Patient","subtitle":null,"abstract":"Intussusception is a familiar diagnosis among the pediatric population; however, it is rarely consideredamong the adult population due to a myriad of life-threatening pathologies within the abdomen. We presentan adult female who presented to the emergency department (ED) with abdominal pain and constipation.Laboratory testing and a computed tomography (CT) scan of the abdomen were ordered. Laboratory testresults were notable for an elevated lymphocyte count as well as leukocyte esterase, white blood cells (WBC),and bacteria seen on urinalysis. The computed tomography scan detected a colo-colic intussusceptionsecondary to a benign mass within the bowel lumen. The mass was surgically resected and the patient hadan uneventful postoperative course. This unique case represents the occurrence of a pathology to which theadult population is not immune, and therefore should not be overlooked when evaluating a non-specific caseof abdominal pain.","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":"Intussusception, colo-colic, obstruction, abdominal pain, constipation, female, mass, bowel, lymphocyte, ultrasound, computed tomography"}],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2mb579bj","frozenauthors":[{"first_name":"Neena","middle_name":"","last_name":"Joy","name_suffix":"","institution":"Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ","department":""},{"first_name":"Laura","middle_name":"","last_name":"Kolster","name_suffix":"","institution":"Morristown Medical Center, Department of Emergency Medicine, Morristown, NJ","department":""}],"date_submitted":"2024-05-01T20:29:41Z","date_accepted":"2024-05-01T20:29:41Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52132/galley/39411/download/"}]},{"pk":52129,"title":"Vaginal Bleeding Due to Iatrogenic Uterine Perforation – A Case Report","subtitle":null,"abstract":"Uterine perforation is a rare but potentially life-threatening complication of gynecologic procedures. Seriouscomplications include hemorrhage, infection, and injury to surrounding organ systems (eg, gastrointestinal,urological, vascular, etc.). Risk factors include advanced maternal age, prior gynecologic surgeries, and otheranatomical features that impact the difficulty of accessing the uterine cavity. In this case report, we discussa patient who presented to the emergency department (ED) with diffuse abdominal pain and vaginal bleedingthat occurred after an elective dilation and curettage (D&C) for a termination of pregnancy. The diagnosiswas suspected clinically and confirmed by imaging including ultrasound (US) and computed tomography (CT)of the abdomen and pelvis. The patient was managed operatively with a multidisciplinary approach includingGynecology, General Surgery, and Urology. The patient was stabilized and eventually discharged. Uterineperforation should be included in the differential for patients with a history of recent gynecologicinstrumentation presenting with abdominal pain and vaginal bleeding. The stabilization of these patientsrequires aggressive volume resuscitation, controlling the source of bleeding, and emergent surgicalconsultation.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8p68579q","frozenauthors":[{"first_name":"John","middle_name":"","last_name":"Costumbrado","name_suffix":"","institution":"University of California, Riverside, School of Medicine, Riverside, CA\nRiverside Community Hospital, Department of Emergency Medicine, Riverside, CA","department":""},{"first_name":"Leah","middle_name":"","last_name":"Snyder","name_suffix":"","institution":"Riverside Community Hospital, Department of Emergency Medicine, Riverside, CA","department":""},{"first_name":"Sassan","middle_name":"","last_name":"Ghassemzadeh","name_suffix":"","institution":"University of California, Riverside, School of Medicine, Riverside, CA\nRiverside Community Hospital, Department of Emergency Medicine, Riverside, CA","department":""},{"first_name":"Daniel","middle_name":"","last_name":"Ng","name_suffix":"","institution":"University of California, Riverside, School of Medicine, Riverside, CA\nRiverside Community Hospital, Department of Emergency Medicine, Riverside, CA","department":""}],"date_submitted":"2024-05-01T18:23:57Z","date_accepted":"2024-05-01T18:23:57Z","date_published":"2024-04-30T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52129/galley/39408/download/"}]},{"pk":46101,"title":"Shoulder Pain in the Older Patient","subtitle":null,"abstract":"","language":"eng","license":{"name":"","short_name":"","text":null,"url":""},"keywords":[{"word":"clinical-review"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/68g8571x","frozenauthors":[{"first_name":"Yaqoot","middle_name":"","last_name":"Khan","name_suffix":"DO","institution":"University of California, Los Angeles","department":"Medicine"}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-24T17:44:15Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46101/galley/34832/download/"}]},{"pk":46100,"title":"A Case of Ankylosing Spondylitis and Chronic Nonbacterial Osteomyelitis","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/8gt115mk","frozenauthors":[{"first_name":"Linh","middle_name":"","last_name":"Truong","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Kristal","middle_name":"","last_name":"Choi","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-24T17:31:06Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46100/galley/34831/download/"}]},{"pk":46099,"title":"Catatonic Depression after Nonindicated Prostate Cancer Screening","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/0rq8q2w8","frozenauthors":[{"first_name":"Jason","middle_name":"","last_name":"Bahk","name_suffix":"MD, FACP","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Sewon","middle_name":"","last_name":"Oum","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-24T17:10:55Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46099/galley/34830/download/"}]},{"pk":46098,"title":"Pheochromocytoma in an Asymptomatic Patient","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/5067x8v5","frozenauthors":[{"first_name":"Yaroslav","middle_name":"","last_name":"Gofnung","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Jennifer","middle_name":"","last_name":"Siani","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-24T16:59:20Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46098/galley/34829/download/"}]},{"pk":46097,"title":"If You Don’t Take a Picture, You Can’t Find a Clot: Left Ventricular Thrombus Formation after an Anterior Myocardial Infarct due to Spontaneous Coronary Artery Dissection","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/8ms2w1ds","frozenauthors":[{"first_name":"Timothy","middle_name":"","last_name":"Canan","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Andre","middle_name":"","last_name":"Akhondi","name_suffix":"MD","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-24T16:33:27Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46097/galley/34828/download/"}]},{"pk":46096,"title":"Night Eating Syndrome","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/10c5z18z","frozenauthors":[{"first_name":"Jeffrey","middle_name":"","last_name":"Wei","name_suffix":"MD","institution":"University of California, Los Angeles","department":"Medicine"},{"first_name":"Susan","middle_name":"","last_name":"Ahern","name_suffix":"DO","institution":"","department":""}],"date_submitted":null,"date_accepted":null,"date_published":"2024-04-24T16:16:26Z","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ucladom_proceedings/article/46096/galley/34827/download/"}]},{"pk":6586,"title":"Face-off Droop: A Case Report of Pediatric Stroke","subtitle":null,"abstract":"Introduction: Cerebrovascular accidents rarely occur in children; the incidence of ischemic stroke in patients <16 years of age is between 0.6–7.9/100,000. However, they are the fourth most common cause of acute neurological deficits in the pediatric population, and possible cases should be evaluated with a high index of suspicion to ensure timely intervention.
\nCase Report: We describe a previously healthy 17-year-old male who presented to the pediatric emergency department with a left facial droop and hemiparesis consistent with a stroke. The patient’s age and lack of comorbidities made this an extremely uncommon presentation. Our patient’s neurologic symptoms were believed to have been caused by a recent traumatic clavicular injury sustained two weeks prior, which subsequently led to vascular insult.
\nConclusion: Cerebrovascular accidents are an important cause of morbidity and mortality in pediatric patients. Cerebrovascular accidents in children are most often secondary to congenital causes; however, care should be taken to assess for acquired causes, such as trauma to major blood vessels. While rarely implicated in traumatic injuries, arterial structures posterior to the medial clavicle can result in severe 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":"stroke"},{"word":"Clavicle Fracture"},{"word":"Pseudoaneurysm"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4bn1r0td","frozenauthors":[{"first_name":"Duncan","middle_name":"","last_name":"Robertson","name_suffix":"","institution":"University of Massachusetts, Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts","department":""},{"first_name":"Hayden","middle_name":"F.","last_name":"Peirce","name_suffix":"","institution":"University of Massachusetts, Chan Medical School, Department of Pediatrics, Worcester, Massachusetts","department":""},{"first_name":"Marek","middle_name":"D.","last_name":"Nicpon","name_suffix":"","institution":"University of Massachusetts, Chan Medical School, Department of Radiology, Worcester, Massachusetts","department":""},{"first_name":"Eric","middle_name":"M.","last_name":"Otterson","name_suffix":"","institution":"University of Massachusetts, Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts","department":""},{"first_name":"Laurel","middle_name":"","last_name":"O'Connor","name_suffix":"","institution":"University of Massachusetts, Chan Medical School, Department of Emergency Medicine, Worcester, Massachusetts","department":"Emergency Medicine"},{"first_name":"Julia","middle_name":"G.","last_name":"Rissmiller","name_suffix":"","institution":"University of Massachusetts, Chan Medical School, Department of Radiology, Worcester, Massachusetts","department":""},{"first_name":"Zachary","middle_name":"W.","last_name":"Binder","name_suffix":"","institution":"University of Massachusetts, Chan Medical School, Department of Pediatrics, Worcester, Massachusetts","department":""}],"date_submitted":"2023-11-28T02:34:59.793000Z","date_accepted":"2024-01-22T18:01:15.579000Z","date_published":"2024-04-24T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6586/galley/10645/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6586/galley/10307/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/6586/galley/10645/download/"}]},{"pk":35537,"title":"Multimodality Imaging of a Patient with Intra-Articular Osteoid Osteoma: A Case Report","subtitle":null,"abstract":"Osteoid osteoma is a benign bone-forming tumor with characteristic clinical and imaging features. Clinically, patients present with pain at the site of the tumor, worsening at night and relieved by nonsteroidal anti-inflammatory drugs. The typical imaging features of osteoid osteoma include a round or oval intracortical radiolucent lesion with surrounding cortical thickening and reactive sclerosis. However, intra-articular osteoid osteoma often has imaging and clinical features that deviate from those of osteoid osteoma, which may result in delayed diagnosis. We report a case of intra-articular osteoid osteoma in a 20-year-old woman with a history of ankle pain. The variant clinical and imaging characteristics of intra-articular osteoid osteoma and the important considerations for the treatment of patients with this condition are briefly discussed.","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":"osteoid osteoma"},{"word":"osteomyelitis"},{"word":"osteonecrosis"},{"word":"stress fracture"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3s38f5k2","frozenauthors":[{"first_name":"Jonathan","middle_name":"","last_name":"Lin","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Raffi","middle_name":"","last_name":"Salibian","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2021-06-29T03:40:36Z","date_accepted":"2021-06-29T03:40:36Z","date_published":"2024-04-23T23:45:51Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35537/galley/26448/download/"}]},{"pk":35560,"title":"Tarlov Cysts Mimicking Adnexal Masses: Two Case Reports","subtitle":null,"abstract":"Tarlov cysts are cystic structures of neurogenic origin that arise most commonly in the roots of the sacrococcygeal nerves. Prompt and correct identification can prevent unnecessary biopsy of the cysts, a procedure which can cause significant pain because they contain nerve fibers and ganglion cells. We report two cases of Tarlov cysts mimicking adnexal masses on ultrasound evaluation. The first case was misidentified on an ultrasound before being diagnosed as a Tarlov cyst during follow-up magnetic resonance imaging. The second case was initially identified by the sonographer as an ovarian cyst but was properly identified through correlation with prior computed tomography imaging. In this case series, we discuss the pathologic and radiographic features, etiology, clinical considerations, and treatment of Tarlov cysts.","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":"Tarlov cyst"},{"word":"spinal meningeal cyst"},{"word":"perineural cyst"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4v46k10m","frozenauthors":[{"first_name":"Ethan A","middle_name":"","last_name":"Zaccagnino","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"},{"first_name":"Jena","middle_name":"","last_name":"Depetris","name_suffix":"","institution":"David Geffen School of Medicine at UCLA","department":"None"}],"date_submitted":"2023-08-19T03:59:38Z","date_accepted":"2023-08-19T03:59:38Z","date_published":"2024-04-23T23:44:37Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/ucla_rsp/article/35560/galley/26462/download/"}]}]}