ABSTRACT:
\nAudience: This oral board case is intended to be used with senior emergency medicine residents.
\nIntroduction: Pericarditis and myocarditis are two disease entities that refer to inflammation of the pericardium and the myocardium. In clinical practice, when they occur together the term myopericarditis is used. Myopericarditis is a disease etiology that is uncommonly encountered in the emergency department (ED). Pericarditis accounts for 0.2% of all cardiovascular admissions and myopericarditis is even more rare with an unknown exact incidence. These pathologies can present with a wide spectrum of complaints varying from a simple case of chest pain to more severe hypotensive pulmonary edema, cardiogenic shock, and cardiac arrest. Since these pathologies primarily affect the younger patient population, they require careful consideration by the Emergency Physician (EP) as well as a systematic comprehensive approach to managing these critically ill patients. The majority of cases are of idiopathic origin; however, the causes of pericarditis are divided into infectious and noninfectious, with infectious cases primarily resulting from viral infections. Causes of myocarditis, on the other hand, can be divided into infectious, immune-mediated, and toxic. Although myopericarditis is a rare disease, its high acuity makes it an important case to enhance the educational experience of emergency medicine residents and their associated faculty.
\nEducational Objectives: At the end of this oral board session, learners will be able to: 1) Demonstrate the ability to evaluate and treat a somnolent and hypoxic patient, 2) Identify a critical airway situation and manage it with a holistic approach, 3) Interpret the history, physical examination, ECG, and chest x-ray findings and discuss the list of differential diagnoses, 4) Identify a state of cardiogenic shock induced by myopericarditis and treat it appropriately, 5) Assess the presence of pericardial effusion and cardiac tamponade utilizing bedside echocardiography.
\nEducational Methods: This is an oral board case and is implemented in a face-to-face setup or virtually on multiple available technological modalities.
\nResearch Methods: This oral mock code was developed for senior emergency medicine residents to prepare for their oral board exams. Each session lasted approximately 25 minutes, with 10 minutes for the case and 15 minutes for debriefing. The case, initially designed as myopericarditis-induced pulmonary edema progressing to shock and rhabdomyolysis, was later simplified because it was challenging for residents to identify all the elements within the time allotted. Positive feedback indicated the case was educational and beneficial, though extending the case duration to 15 minutes was recommended. Performance was assessed using the Accreditation Council for Graduate Medical Education (ACGME) core competencies with a scoring scale of 1 – 8, with 1 – 4 being unacceptable performance and 5 – 8 being acceptable. Efficacy was determined by case completion and participation in structured debriefing. Immediate verbal feedback and a post-session Likert-scale survey further supported its educational value. The case is also adaptable for simulation-based group learning.
\nResults: Five senior residents (three PGY4 and two PGY3) completed the oral case, achieving an average score of 6.01/8, with only one resident completing all critical actions. The most commonly missed intervention was administering aspirin or ibuprofen, and none considered advanced circulatory support despite persistent hypotension. The case was rated highly for educational value (5/5), all of them reported that it increased their medical knowledge, and it was similar to real-life scenarios. Some also noted it increased their confidence level and the case difficulty was rated as moderate (3/5) by the majority of the residents.
\nDiscussion: The educational content of this case is effective because it is multifaceted and requires consideration of multiple factors during both the approach and management. These elements produce an excellent case for discussion, practice, and examination. Points learned while implementing the case were that, 1) its degree of difficulty is more suitable for senior rather than junior learners because it involves a critically ill patient with multiple simultaneous issues to be managed, 2) it requires a well-rounded and systematic approach to achieve all critical actions, and 3) the appropriate prompts should be utilized to cover all aspects in the allotted 15 minutes for the case.
\nTopics: Myopericarditis, pulmonary edema, cardiogenic shock, sepsis, septic shock.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"myopericarditis"},{"word":"pulmonary edema"},{"word":"cardiogenic shock"},{"word":"sepsis"},{"word":"septic shock"}],"section":"Oral Boards","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3561f7k9","frozenauthors":[{"first_name":"Lubna","middle_name":"","last_name":"Saffarini","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-08-07T20:14:45+05:30","date_accepted":"2025-10-16T05:52:22.559000+05:30","date_published":"2025-11-11T16:20:54.623000+05:30","render_galley":{"label":"Saffarini L A. Myocarditis and Pulmonary Edema. JETem 2025. 10(4)O1-30","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52187/galley/40712/download/"},"galleys":[{"label":"Saffarini L A. Myocarditis and Pulmonary Edema. JETem 2025. 10(4)O1-30","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52187/galley/40712/download/"}]},{"pk":53907,"title":"Interloper","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.\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":"Photos","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2h10c351","frozenauthors":[{"first_name":"Chad","middle_name":"","last_name":"Unger","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-11-07T05:42:23.151000+05:30","date_accepted":"2025-11-07T05:43:17.734000+05:30","date_published":"2025-11-07T05:45:00+05:30","render_galley":null,"galleys":[{"label":"Download PDF","type":"pdf","path":"https://journalpub.escholarship.org/criticalplanning/article/53907/galley/40825/download/"}]},{"pk":53906,"title":"Writing and Witnessing","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.\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":"Poetry","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0zc4f21q","frozenauthors":[{"first_name":"S.","middle_name":"","last_name":"B.","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-11-07T05:20:24.449000+05:30","date_accepted":"2025-11-07T05:20:53.004000+05:30","date_published":"2025-11-07T05:27:00+05:30","render_galley":null,"galleys":[{"label":"Download PDF","type":"pdf","path":"https://journalpub.escholarship.org/criticalplanning/article/53906/galley/40804/download/"}]},{"pk":53899,"title":"Learning From Los Angeles: An Interview with LA Tenants Union Co-Founder, Tracy Rosenthal","subtitle":null,"abstract":"Interview with writer, journalist, and organizer Tracy J. Rosenthal about their new book Abolish Rent: How Tenants Can End the Housing Crisis. In it, we talked about their experience co-founding the LA Tenants Union, the history of working class movements in LA, and the synergies between environmental and tenant activism in light of the LA wildfires. The conversation was motivated by a central puzzle: Los Angeles takes up a large role in urban theory, especially the neo-Marxist school of the 1970s, and those descriptions of the city are deeply cynical. Classic accounts emphasize policing, elite “pleasure domes,” and hostility to working-class people and their movements. At the same time, it is the locus of Rosenthal's efforts, and the largest tenants’ union in the country. We spoke in depth about the opportunities and challenges of organizing in this geography, and how place affected Rosenthal's and their comrades’ strategies.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Social Movements"},{"word":"tenant organizing"},{"word":"collective action"},{"word":"urban ecology"},{"word":"LA Tenants Union"}],"section":"Essays","is_remote":true,"remote_url":"https://escholarship.org/uc/item/52g9p2h0","frozenauthors":[{"first_name":"Rohan","middle_name":"","last_name":"Lalla","name_suffix":"","institution":"University of California, Berkeley","department":"Department of City & Regional Planning"}],"date_submitted":"2025-11-06T22:41:53.196000+05:30","date_accepted":"2025-11-06T22:43:23.075000+05:30","date_published":"2025-11-06T22:50:00+05:30","render_galley":{"label":"Download PDF","type":"pdf","path":"https://journalpub.escholarship.org/criticalplanning/article/53899/galley/40798/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/criticalplanning/article/53899/galley/40797/download/"},{"label":"Download PDF","type":"pdf","path":"https://journalpub.escholarship.org/criticalplanning/article/53899/galley/40798/download/"}]},{"pk":61439,"title":"Mester LIV Cover","subtitle":null,"abstract":"Front Cover
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"COVER","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2cc5t6jq","frozenauthors":[{"first_name":"Icaro","middle_name":"","last_name":"Carvalho","name_suffix":"","institution":"UCLA","department":""}],"date_submitted":"2025-12-12T06:03:00.445000+05:30","date_accepted":"2025-12-12T06:05:28.052000+05:30","date_published":"2025-11-06T09:20:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/mester/article/61439/galley/47404/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/mester/article/61439/galley/47404/download/"}]},{"pk":203,"title":"Test 10-11-22 CR","subtitle":null,"abstract":"test submission
","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":"test submission"}],"section":"Front Matter","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Charlotte","middle_name":"","last_name":"Roh","name_suffix":"","institution":"CDL","department":""}],"date_submitted":"2022-10-11T22:23:02.055000+05:30","date_accepted":"2023-11-18T01:02:10+05:30","date_published":"2025-11-06T02:04:00+05:30","render_galley":null,"galleys":[{"label":"Other","type":"other","path":"https://journalpub.escholarship.org/demo/article/203/galley/40041/download/"}]},{"pk":39925,"title":"How Lobbying Rewrote Land Value Capture in Mexico City’s 2017 Constitution ","subtitle":null,"abstract":"This paper examines how lobbying redirected Land Value Capture (LVC) during Mexico City’s 2016 constitution-drafting process by acting at procedural margins and legislative stages. Using process tracing of drafts, committee reports, floor records, temporary provisions, and media, it reconstructs the sequence: the committee added LVC duties tied to areas of influence; early floor debate removed them; a late compromise adopted weaker mitigation language; a temporary article reset thresholds to existing regulatory limits; later, criteria were delegated to executive agencies. It also shows that the participatory phase expanded input but did not carry into bargaining, limiting citizen influence when decisions were made. The findings indicate agenda control by organized real estate interests that converted enforceable capture into mitigation and shifted the fiscal burden away from redistribution, with disproportionate impacts on renters and low-income districts at the urban fringe.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Lobbying"},{"word":"Housing Policy"},{"word":"Urban Policymaking"},{"word":"Parliamentary Dynamics"},{"word":"Land Value Capture"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5pf6x873","frozenauthors":[{"first_name":"Andres","middle_name":"Demetrio","last_name":"Gutierrez Flores","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-11-16T03:33:32.545000+05:30","date_accepted":"2025-10-27T23:53:57.405000+05:30","date_published":"2025-11-05T06:30:00+05:30","render_galley":null,"galleys":[{"label":"Galley file","type":"pdf","path":"https://journalpub.escholarship.org/criticalplanning/article/39925/galley/40780/download/"},{"label":"Download PDF","type":"pdf","path":"https://journalpub.escholarship.org/criticalplanning/article/39925/galley/40781/download/"}]},{"pk":40059,"title":"Amphetamine-induced Reverse Takotsubo Cardiomyopathy and Thrombosis: A Case Report","subtitle":null,"abstract":"Introduction: Takotsubo cardiomyopathy is characterized by stress-induced left ventricular dysfunction. The reverse form accounts for < 25% of all cases. We present a case of reverse Takotsubo cardiomyopathy in a young, otherwise healthy, woman following illicit drug use.
\nCase Report: A 19-year-old female patient presented to the emergency department (ED) complainingof insomnia, left-sided chest pain, palpitations, and heightened energy levels after ingesting a significant quantity of small, rounded chocolate chips containing unidentified pills at a rave party the previous night. Her electrocardiogram revealed sinus tachycardia with ST-segment elevation in leads I and aVL. At the ED she developed respiratory distress and required oxygen supplementation. Her troponin level was 1.048 nanograms per milliliter (ng/mL) (reference range < 0.03 ng/mL), and her urine drug screen
was positive for methamphetamines. Point-of-care transthoracic echocardiography showed moderately impaired left ventricular systolic function (ejection fraction approximately 35-39%) and hypokinesia of basal and mid-left ventricular segments accompanied by hyperkinesia of the apical segments, indicative of reverse Takotsubo cardiomyopathy. The patient was admitted to the cardiac care unit and showed clinical improvement after supportive treatment. However, 30 hours after discharge she presented back to the ED with epigastric pain and was found to have left renal artery thrombosis and an occlusive thrombus at the right internal iliac artery on computed tomography angiography.
Conclusion: Amphetamine intoxication is associated with the development of reverse Takotsubo cardiomyopathy, along with multiple vascular thromboses.
","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":"amphetamine"},{"word":"Reverse Takotsubo cardiomyopathy"},{"word":"Thrombosis"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3mx9n0xk","frozenauthors":[{"first_name":"Anthony","middle_name":"","last_name":"Rabil","name_suffix":"","institution":"American University of Beirut Medical Center, Department of Emergency Medicine, Faculty of Medicine, Beirut, Lebanon","department":""},{"first_name":"Omar","middle_name":"","last_name":"Fakhereddine","name_suffix":"","institution":"American University of Beirut Medical Center, Department of Internal Medicine, Faculty of Medicine, Beirut, Lebanon","department":""},{"first_name":"Abdallah","middle_name":"","last_name":"Rebeiz","name_suffix":"","institution":"American University of Beirut Medical Center, Department of Internal Medicine, Faculty of Medicine, Beirut, Lebanon","department":""},{"first_name":"Tharwat","middle_name":"","last_name":"El Zahran","name_suffix":"","institution":"American University of Beirut Medical Center, Department of Emergency Medicine, Faculty of Medicine, Beirut, Lebanon","department":""}],"date_submitted":"2025-01-18T09:19:27.599000+05:30","date_accepted":"2025-05-21T23:51:08.921000+05:30","date_published":"2025-11-04T04:31:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/40059/galley/48076/download/"}]},{"pk":53820,"title":"CPC-EM Full-Text Issue","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":[],"section":"CPC-EM Full-Text Issue","is_remote":true,"remote_url":"https://escholarship.org/uc/item/87j9p168","frozenauthors":[{"first_name":"Clinical Practice and Cases in Emergency Medicine","middle_name":"","last_name":"CPC-EM","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-11-02T00:40:47.131000+05:30","date_accepted":"2025-11-02T00:44:00.974000+05:30","date_published":"2025-11-02T00:39:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/53820/galley/40789/download/"}]},{"pk":52244,"title":"A Low-Cost Task Trainer Constructed from Silicone Nipple Covers","subtitle":null,"abstract":"ABSTRACT:
\nAudience: This low-cost task trainer is intended for the education of medical students, advanced practice providers and surgical subspecialties interns, including emergency medicine.
\nIntroduction: Superficial soft-tissue abscesses are a frequent chief complaint in any emergency department, with up to 3.2 % of patients presenting with this issue. The preferred method for treatment is incision and drainage (I&D) because antibiotics alone are often insufficient. There are two common methods for draining abscesses. The first is a single linear incision over the length of the abscess that is either left open or packed with gauze which is removed 24-48 hours later. The second is the loop technique, which uses two smaller parallel incisions with a sterile rubber or plastic tube threaded through them and tied into a circle.
\nWhile abscess drainage is a common procedure for surgical and sub-surgical specialties, it is not often taught in medical schools or to residency prior to performing in the patient care setting. Frequently, this is due to the to lack of access to affordable commercial task trainers, which range in cost from $19.99 up to $171.00 per single use device.7,8 Other published low-cost task trainers require cadavers or are more time intensive or require creative set up. This nipple cover task trainer gives a realistic feel for anesthetizing and incising abscesses using affordable material and requires minimal preparation time. Even centers with limited simulation capabilities can create and use this task trainer because it uses material that is readily available.
\nEducational Objectives: By the end of this training session, learners will be able to anesthetize an abscess, perform incision and drainage, develop manual dexterity maneuvering instruments to break up the abscess, and place packing using both the linear incision and loop techniques.
\nEducational Methods: The abscess task trainers were fabricated using pre-made nipple covers, plastic wrap, and unscented hand lotion. The nipple covers come with a sticky backside that can allow adherence to plastic wrap. The plastic wrap is then filled with hand lotion and folded to prevent leakage. The nipple covers can then be anesthetized and incised. The time to fabricate each abscess was approximately one to two minutes.
\nResearch Methods: Eight PGY-1 emergency medicine residents completed a pre-simulation survey evaluating their confidence in draining an abscess using a five-point Likert scale (1=strongly disagree, 5 = strongly agree). Residents observed the instructor demonstrate the procedure, and then they performed two abscess drainages on separate nipple covers, one using a single linear incision and the other the loop technique. After the simulation, the resident confidence levels were reassessed using the same five-point Likert scale. Residents were also asked to rate the fidelity of the task trainer, compared to a real abscess (1= strongly disagree, 5 = strongly agree).
\nResults: Residents reported an increase in their mean confidence in draining an abscess, with an increase from the pre-simulation score of 3.5 to 4.875 (p=0.0038). Residents also felt that the model was realistic, with a mean score of 4.875. Every resident recommended using this model for future learners.
\nDiscussion: Overall, this affordable and simple task trainer was well received by the learners and improved beginner confidence with a frequently performed procedure. With minimal preparation time and resources, this nipple cover task trainer can be used to teach residents how to anesthetize, incise, drain, and pack abscesses.
\nTopics: Abscess, incision and drainage, simulation, task trainer.
\n\n
","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.\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":"abscess"},{"word":"incision and drainage"},{"word":"Simulation"},{"word":"Task Trainers"}],"section":"Innovations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8qd83972","frozenauthors":[{"first_name":"Aubrey","middle_name":"","last_name":"Bethel-Schmitz","name_suffix":"","institution":"Other","department":""},{"first_name":"Vivienne","middle_name":"","last_name":"Ng","name_suffix":"","institution":"The University of Arizona College of Medicine Tucson","department":"Department of Emergency Medicine"}],"date_submitted":"2025-02-08T04:24:38+05:30","date_accepted":"2025-10-16T05:55:22.211000+05:30","date_published":"2025-11-01T06:29:01.992000+05:30","render_galley":{"label":"Bethel A, et al. A Low Cost Task Trainer Constructed from Siicone Nipple Covers. JETem 2025. 10(4)I1-6","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52244/galley/40711/download/"},"galleys":[{"label":"Bethel A, et al. A Low Cost Task Trainer Constructed from Siicone Nipple Covers. JETem 2025. 10(4)I1-6","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52244/galley/40711/download/"}]},{"pk":52033,"title":"Troubleshooting the Trach: Emergent Tracheostomy & Laryngectomies Modified Team-Based Learning Activity","subtitle":null,"abstract":"
ABSTRACT:
\nAudience: Emergency medicine resident physicians (PGY1-4), medical students rotating in the emergency department
\nIntroduction: Tracheostomies are surgically created airways in the anterior of the neck to gain permanent or temporary access to the airway to facilitate oxygenation and ventilation.Tracheostomies are performed for management of upper airway obstruction, long-term ventilation, and airway protection. More than 110,000 tracheostomies are placed annually in the United States. Emergency Medicine Physicians need to recognize and treat tracheostomy complications because they can occur 40-50% of the time in patients with tracheostomies. Most tracheostomy complications are minor, but up to 1% are considered life-threatening complications that pose a significant morbidity and mortality. Laryngectomies are rarer but are typically performed for carcinoma of the larynx, disrupting the connection to the oropharynx. While tracheostomies and laryngectomies are found in a similar location, the management is vastly different due to changes in anatomy. This modified team-based learning activity will review anatomy, history, and common presentations of tracheostomy patients in the emergency department.
\nEducational Objectives: By the end of the session, participants will be able to: identify the major anatomy of tracheostomies and laryngectomies, 2) demonstrate step-by-step management of emergent tracheostomy airways, 3) describe common complications of tracheostomies, 4) understand the management of tracheal innominate artery complication.
\nEducational Methods: This team-based learning activity is a modified TBL that includes learner responsible content (LRC), a multiple-choice group readiness assessment test (gRAT) with immediate feedback assessment technique (IF/AT), and a group application exercise (GAE).
\nResearch Methods: A post-TBL survey was provided to each participant. A Likert scale was used for the survey questions to assess the relevance of the session to emergency medicine practice, learner perception of knowledge gained, learner perception of improvement of clinical practice, session engagement, and session delivery.
\nResults: For this session, 26 participants completed the post-TBL survey. Participants included 3rd/4th year medical students (19%), PGY1 (31%), PGY2 (23%), and PGY3 (27%) emergency medicine residents. Overall, 21/26 participants strongly agreed (5/5 Likert scale) and 4/26 agreed (4/5 Likert scale) that the session improved their knowledge of caring for tracheostomy patients with a weighted average of 4.78. Twenty-three participants (88.5%) strongly agreed (5/5 Likert scale) that the material in the TBL was relevant for practicing emergency medicine. The majority of participants (88.4%) found the session engaging. Narrative feedback included, “I am much more comfortable with trach complications.” Suggestions for improvement included, “would love to have time with a respiratory therapist to be available for questions during the session.” Narrative negative feedback included, “As a PGY-1, I haven’t had a lot of lessons on tracheostomies, so I felt a little useless during the application exercise.”
\nDiscussion: Airway emergencies for patients with tracheostomies and laryngectomies that are critical occur relatively infrequently. Given the rarity and high stakes of these events, it is important for emergency medicine trainees to have exposure to effective and high-yield learning activities which can aid in their preparedness to provide optimal care for patients presenting with tracheostomy-associated conditions.
\nThis modified team-based learning (TBL) session facilitates discussion of pertinent anatomy and accurate equipment identification. Additionally, this session guides learners through a comprehensive step-by-step algorithmic approach to airway management for patients with a tracheostomy/laryngectomy presenting with obstruction, dislodgement, or tracheoinnominate fistula. Learners found the modified TBL (mTBL) to be beneficial for learning how to troubleshoot tracheostomy complications and manage these unique, challenging airway emergencies.
\nTopics: Airway management, tracheostomies, laryngectomies, decannulation, obstruction.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Team based learning"},{"word":"Tracheostomies"},{"word":"airway"}],"section":"Team-Based Learning","is_remote":true,"remote_url":"https://jetem.org/troubleshootingthetrach/","frozenauthors":[{"first_name":"Caroline","middle_name":"Stoddard","last_name":"Astemborski","name_suffix":"","institution":"Other","department":""},{"first_name":"Emily","middle_name":"","last_name":"Grass","name_suffix":"","institution":"University of Alabama Birmingham","department":"Department of Emergency Medicine"}],"date_submitted":"2023-09-15T16:21:16+05:30","date_accepted":"2025-10-16T05:56:12.383000+05:30","date_published":"2025-11-01T06:28:37.958000+05:30","render_galley":{"label":"Astemborski C, et al. Troubleshooting the Trach Emergent Tracheostomy & Laryngectomies Modified Team-Based Learning Activity. JETem 2025. 10(4)T1-41","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52033/galley/40707/download/"},"galleys":[{"label":"Astemborski C, et al. Troubleshooting the Trach Emergent Tracheostomy & Laryngectomies Modified Team-Based Learning Activity. JETem 2025. 10(4)T1-41","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52033/galley/40707/download/"}]},{"pk":52256,"title":"Case Report of a Dermatologic Reaction to Wound Closure Strips and Liquid Adhesive","subtitle":null,"abstract":"
Type IV hypersensitivity reactions are delayed, cell-mediated reactions between T cells and antigens that normally occur usually within 48 to 72 hours after exposure to an antigen. This is a case of a 51-year-old male status post left Achilles tendon repair with findings consistent with a type IV hypersensitivity reaction on post-operative day 12. The patient’s examination revealed blistered and macerated skin underneath the region of the wound closure strips and liquid skin adhesive. Wound care and debridement were initiated on post-operative day 14 by a wound care specialist. After six weeks of weekly wound care with debridement, the wound ultimately healed. Clinicians should be aware of the ability for any patient to develop a delayed type IV hypersensitivity reaction to treatment regimens, including dermatologic wound closure strips and liquid skin adhesives.
\nTopics: Type IV hypersensitivity reaction, wound closure strips, liquid skin adhesive.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Type IV hypersensitivity reaction"},{"word":"wound closure strips"},{"word":"liquid skin adhesive"}],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0zk659jd","frozenauthors":[{"first_name":"Tommy","middle_name":"","last_name":"Kim","name_suffix":"","institution":"Loma Linda University Hospital","department":""},{"first_name":"Amal","middle_name":"","last_name":"Asghar","name_suffix":"","institution":"HCA Healthcare, Riverside Community Hospital","department":"Department of Emergency Medicine","country":"United States"},{"first_name":"Trevor","middle_name":"","last_name":"Smith","name_suffix":"","institution":"HCA Healthcare, Riverside Community Hospital","department":"Department of Emergency Medicine"},{"first_name":"Matthew","middle_name":"","last_name":"Underwood","name_suffix":"","institution":"HCA Healthcare, Riverside Community Hospital","department":"Department of Emergency Medicine, Riverside, California"}],"date_submitted":"2025-03-13T05:54:30+05:30","date_accepted":"2025-10-16T05:53:58.148000+05:30","date_published":"2025-11-01T06:28:27.472000+05:30","render_galley":{"label":"Asghar A, et al. Case Report of a Delayed Type IV Hypersensitivity Reaction to Wound Closure Strips and Liquid Adhesive. JETem 2025. 10(4)V5-7","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52256/galley/40720/download/"},"galleys":[{"label":"Asghar A, et al. Case Report of a Delayed Type IV Hypersensitivity Reaction to Wound Closure Strips and Liquid Adhesive. JETem 2025. 10(4)V5-7","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52256/galley/40720/download/"}]},{"pk":52115,"title":"Case Report of a Patient Presenting with Nonketotic Hyperglycemia Hemichorea","subtitle":null,"abstract":"ABSTRACT:
Nonketotic hyperglycemia hemichorea is a rare neurological manifestation associated with uncontrolled diabetes mellitus. This case report presents the clinical features, diagnostic workup, and management of a 74-year-old female with hemichorea secondary to nonketotic hyperglycemia. Patient presented to the emergency department with acute onset of right leg movement that was non-purposeful and random without any associated neurological symptoms such as paresthesias weakness, pain, or systemic symptoms. Patient’s medical history included untreated diabetes mellitus with glucose of 198 measured in the ED. Computed tomography of the and neck were unremarkable for any signs of ischemia, occlusion, hemorrhage or masses. Brain MRI without contrast showed T1 shortening within the left basal ganglia involving both the caudate nucleus and the lentiform nucleus, a radiologic finding common in nonketotic hyperglycemia hemichorea. Patient was admitted to the hospital for diabetes management. Patient’s symptoms did not completely resolve prior to discharge from the hospital but was closely monitored by her primary care doctor and neurologist; she had significant improvements in her symptoms over the subsequent year with improvement in her activities of daily living (ADLs).
Topics: Nonketotic hyperglycemia hemichorea, diabetes, hemichorea.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"hemichorea"},{"word":"hyperglycemia"}],"section":"Visual EM","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8pj5h95q","frozenauthors":[{"first_name":"Jay","middle_name":"","last_name":"Patel","name_suffix":"","institution":"Other","department":""},{"first_name":"Kaylah","middle_name":"","last_name":"Pena","name_suffix":"","institution":"Rutgers Robert Wood Johnson Medical School","department":""},{"first_name":"Joshua","middle_name":"","last_name":"Bucher","name_suffix":"","institution":"Rutgers Robert Wood Johnson Medical School","department":""},{"first_name":"Amanda","middle_name":"","last_name":"Esposito","name_suffix":"","institution":"Rutgers Robert Wood Johnson Medical School","department":""}],"date_submitted":"2024-04-16T01:25:16+05:30","date_accepted":"2025-10-16T05:54:23.137000+05:30","date_published":"2025-11-01T06:28:07.889000+05:30","render_galley":{"label":"Patel J, et al. Case Report of a Patient Presenting with Nonketotic Hyperglycemia Hemichorea. JETem 2025. 10(4)V1-4","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52115/galley/40719/download/"},"galleys":[{"label":"Patel J, et al. Case Report of a Patient Presenting with Nonketotic Hyperglycemia Hemichorea. JETem 2025. 10(4)V1-4","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52115/galley/40719/download/"}]},{"pk":52308,"title":"Trauma and Hyperthermia","subtitle":null,"abstract":"ABSTRACT:
\nAudience: Emergency medicine residents and medical students on emergency medicine rotation
\nIntroduction: Participating in strenuous activities during hot, humid weather places a person at risk for heat emergencies such as heat exhaustion and heat stroke. When the environmental temperature is greater than 35 degrees Celsius (95 degrees F), the body can no longer radiate heat to the environment. When the humidity is greater than 75%, the body can no longer use evaporation for cooling. The hot, humid environment has effectively eliminated both mechanisms to decrease body heat, and the individual is at risk for exertional heat injury. Altered mental status that occurs during heat stroke interferes with the ability to obtain an adequate history as to the etiology of hyperthermia and altered mental status. It is imperative that the patient receive cooling measures immediately and that supportive measures be instituted while evaluating the patient for other etiologies including trauma-related injuries.
\nEducational Objectives: By the end of this oral board session, examinees will be able to: 1) construct a differential to evaluate a patient with undifferentiated altered mental status and trauma, 2) recognize the signs and symptoms of heat stroke, 3) complete an evaluation of a patient with both hyperthermia and trauma, and 4) demonstrate efficient and correct treatment of a patient with hyperthermia.
\nEducational Methods: This oral board case followed the standard American Board of Emergency Medicine style case in a tertiary care hospital with access to all specialists and resources needed. This case was tested using seven first-year and five second-year residents in an ACGME (Accreditation Council for Graduate Medical Education) accredited emergency medicine residency program.
\nResearch Methods: Immediate feedback was solicited both from the learners and from the evaluators following the debriefing session. Residents were asked to evaluate the educational value of the case using a 1-5 Likert scale (5 being excellent). Evaluators were asked to score the residents using the ACGME core competencies with a scale of 1-8, 1-4 being unacceptable and 5-8 being acceptable.
\nResults: Twelve residents (seven PGY-1 and five PGY-2) completed this oral board case. The average score was 5.34/8. Five residents missed zero critical actions. Six residents failed to explore other etiologies of altered mental status in the case once the temperature was requested and given. Three residents did not complete the primary and secondary survey searching for all injuries. Only two residents did not begin appropriate cooling measures.
\nThe learners rated the educational value of the case as 4.8/5. Seven residents reported that the case increased their medical knowledge; five residents reported that it somewhat increased their medical knowledge. All residents rated the case as helpful in preparing to manage this medical condition.
\nDiscussion: The educational content from this case was effective. This is a high acuity moderate occurrence case that requires an extensive differential with a thorough evaluation as well as the recognition for immediate treatment of hyperthermia. This makes this case excellent for practice and discussion for the evaluation of patients with trauma and the treatment of hyperthermia. We learned during implementation that this case has a moderate degree of difficulty but does provide practice in the area of completing a thorough primary and secondary survey and education concerning best practices for treating heat emergencies.
\nTopics: Altered mental status, heat emergency, heat stroke, hyperthermia, trauma.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"clinical decision making"},{"word":"altered mental status"},{"word":"heat emergency"},{"word":"Heat stroke"},{"word":"hyperthermia"},{"word":"Trauma"}],"section":"Oral Boards","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4789n73h","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Webster","name_suffix":"","institution":"Other","department":""},{"first_name":"Dallas","middle_name":"","last_name":"Beaird","name_suffix":"","institution":"Vituity Healthcare and Medical Staffing Services, St Agnes Medical Center","department":"Department of Emergency Medicine"},{"first_name":"Linda","middle_name":"L","last_name":"Herman","name_suffix":"","institution":"Vituity Healthcare and Medical Staffing Services, St Agnes Medical Center","department":"Department of Emergency Medicine"}],"date_submitted":"2025-05-15T06:07:48+05:30","date_accepted":"2025-10-16T05:52:15.528000+05:30","date_published":"2025-11-01T06:27:45.948000+05:30","render_galley":{"label":"Webster W, et al. Trauma and Hyperthermia. JETem 2025. 10(4)O31-68","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52308/galley/40718/download/"},"galleys":[{"label":"Webster W, et al. Trauma and Hyperthermia. JETem 2025. 10(4)O31-68","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52308/galley/40718/download/"}]},{"pk":52163,"title":"Code Social: Integrating SDoH into Emergency Resident Education","subtitle":null,"abstract":"ABSTRACT:
\nAudience: This small group curriculum is geared toward medical students and residents of all levels of training in emergency medicine programs.
\nIntroduction: Emergency departments serve as critical first points of contact for patients with acute health needs, often exacerbated by social determinants of health (SDoH). Incorporating SDoH awareness into emergency medicine practice is essential for addressing immediate health concerns, preventing future crises, and reducing the burden on healthcare systems. By identifying and addressing social factors, emergency providers can break cycles of recurrent emergencies, connect patients with community resources, and foster trust-based, patient-centered relationships. Training emergency medicine residents in SDoH is crucial for preparing them to provide comprehensive, equitable care to diverse populations, enhancing their ability to advocate for vulnerable groups and reduce health disparities. This simulation curriculum aims to immerse residents in scenarios that highlight SDoH impacts, equipping them with the skills to recognize, address, and provide resources for patients affected by social determinants, ultimately improving overall patient outcomes and quality of care in emergency settings.
\nEducational Objectives: The educational objectives of this activity are to: 1) enhance residents' understanding and recognition of (SDoH) in emergency medicine; 2) develop residents' skills in addressing SDoH within the emergency medicine setting; 3) foster a patient-centered approach that promotes health equity in emergency medicine; and 4) identify local resources available to address various SDOH.
\nEducational Methods: The curriculum employs a comprehensive, multi-faceted approach to educate emergency medicine residents about SDoH. It combines didactic lectures, online simulations, clinical case scenarios, debriefing sessions, and community engagement activities to provide a well-rounded learning experience.
\nResearch Methods: Pre- and post-curriculum surveys were employed to evaluate the effectiveness of the SDoH training program for residents. These surveys assessed residents’ confidence in understanding SDoH, their ability to recognize SDoH impacts on emergency department patients, and their knowledge of related community resources and support services, before and after the curriculum. The pre-survey established a baseline, while the post-survey measured the impact of the training. Additionally, verbal feedback from residents and faculty was collected to gather insights and suggestions for improvement. This comprehensive evaluation approach aimed to ensure the curriculum's responsiveness to residents' needs and facilitate ongoing refinement of the simulation program.
\nResults: A comprehensive survey of 16 emergency medicine residents across various training levels achieved full participation, assessing their understanding of SDoH, recognition of SDoH impacts on patients, and knowledge of relevant community resources. Analysis of pre- and post-curriculum responses demonstrated that while residents had initial SDoH awareness, the curriculum significantly deepened their comprehension and practical application of SDoH concepts. Notably, residents showed substantial improvement in identifying SDoH effects on patients' overall health and well-being, with the most significant progress in their familiarity with SDoH-related community resources. These results highlight the curriculum's success in equipping emergency medicine residents to provide holistic, equitable care and champion health equity in their practice.
\nDiscussion: The innovative SDoH curriculum for emergency medicine residents shows promising results in enhancing comprehensive and equitable care delivery. Utilizing diverse educational methods including lectures, simulations, case studies, and community engagement, the program effectively translates theoretical SDoH knowledge into practical skills. Significant improvements in residents' understanding, identification, and knowledge of local SDoH resources highlight the curriculum's efficacy. These outcomes indicate that the program successfully prepares residents to navigate the complex relationship between social factors and health outcomes in emergency settings, potentially fostering more patient-centered care and advancing health equity. While these initial findings are encouraging, it's important to recognize the study's limitations and consider future research opportunities to further validate and refine the curriculum's impact.
\nTopics: Social medicine, social determinants of health, homelessness, health literacy, limited English proficiency.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"sSocial determinants of health"},{"word":"health inequities"},{"word":"Vulnerable Population"},{"word":"Diversity &"},{"word":"Inclusion"},{"word":"Emergency Medicine Patient centered care"},{"word":"Anti Racism Emergency care"},{"word":"curriculum"},{"word":"health equity"}],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1bs1z6qd","frozenauthors":[{"first_name":"Layla","middle_name":"Salman","last_name":"Abubshait","name_suffix":"","institution":"Jefferson Einstein Montgomery Hospital, Department of Emergency Medicine East Norriton, PA and Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA","department":""},{"first_name":"Sandra","middle_name":"","last_name":"Guirguis","name_suffix":"","institution":"Jefferson Einstein Montgomery Hospital","department":""},{"first_name":"Savannah","middle_name":"","last_name":"Pocquette","name_suffix":"","institution":"Jefferson Einstein Montgomery Hospital","department":""},{"first_name":"Timothy","middle_name":"","last_name":"Cofer","name_suffix":"","institution":"Jefferson Einstein Montgomery Hospital","department":""},{"first_name":"Angelina","middle_name":"","last_name":"Birrell-Lopez","name_suffix":"","institution":"Jefferson Einstein Montgomery Hospital","department":""}],"date_submitted":"2024-07-05T08:29:05+05:30","date_accepted":"2025-10-16T05:25:40.154000+05:30","date_published":"2025-11-01T06:27:26.139000+05:30","render_galley":{"label":"Abubshait L, et al. Code Social Integrating SDoH into Emergency Resident Education. JETem 2025. 10(4)SG87-113","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52163/galley/40717/download/"},"galleys":[{"label":"Abubshait L, et al. Code Social Integrating SDoH into Emergency Resident Education. JETem 2025. 10(4)SG87-113","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52163/galley/40717/download/"}]},{"pk":52156,"title":"Ultrasound Guided Peripheral Nerve Block Workshop: How to Take Your Residents from Zero to Hero","subtitle":null,"abstract":"ABSTRACT:
\nAudience: Emergency medicine residents of all years of training
\nIntroduction: Ultrasound guided peripheral nerve blocks (USGPNBs) provide adequate analgesic management by targeting specific nerves while limiting systemic effects. Utilizing this form of analgesia can decrease the use of procedural sedation and/or systemic pain management, which can pose inherent risks such as need for continuous monitoring and airway compromise. Nerve blocks require both training and specialized equipment to perform. This workshop aimed to evaluate resident comfort and familiarity with these blocks before and after completing specialized training sessions focusing on serratus anterior, posterior tibial, median, ulnar, and radial USGPNB. Ultrasound training for most residents is a longitudinal experience that often includes dedicated ultrasound scanning shifts and encouragement to include ultrasound into daily practice, however, the utility of ultrasound workshops in teaching nerve blocks has up until this point been explored very little and therefore under-utilized.
\nEducational Objectives: After completing this small group workshop, the resident should be able to: 1) recognize the indications for the serratus anterior plane block, the posterior tibial block and the ulnar, median, and radial nerve blocks and the anatomical locations that would benefit from these blocks, 2) identify proper probe selection and placement, in addition to patient positioning, in order to perform these blocks, as well as anesthetic choice and dosing, 3) demonstrate knowledge of anatomical landmarks and areas to avoid evidenced by probe placement and positioning, 4) describe the steps to perform these nerve blocks, and 5) demonstrate knowledge of contraindications to these blocks as well as potential complications of these procedures and how to mitigate them.
\nEducational Methods: This workshop was held in a small group format that was set up in multiple stations. Each station started with a short didactic presentation followed by USGPNB simulation on standardized patients.
\nResearch Methods: Pre-workshop surveys were conducted via Qualtrics to assess familiarity with the indications and mechanics for conducting UGPNBs. Following the workshop, the survey was repeated as a post-workshop assessment, where residents were given the opportunity to assess their comfort with the indications for these blocks and their confidence in the steps taken to perform them. They also gave feedback on the workshop design and content.
\nResults: Overall, residents reported more comfort with these blocks based on survey results. Pre-workshop survey responses contained widespread levels of comfort in all aspects of these blocks including knowledge pertaining to indications, probe selection, anatomical regions that would benefit from anesthetic, anatomical landmarks, areas to avoid, anesthetic choice, contraindications, and complications and their respective management. Following the workshop, all participants voiced increased knowledge and confidence, answering that they somewhat or strongly agreed with comfortability in all of the above areas 93-100% of the time.
\nDiscussion: Small group workshops that utilize standardized patients (SPs) and concise didactic presentations are effective ways to teach emergency medicine residents how to confidently perform UGPNBs.
\nTopics: Nerve block, ultrasound, small group, workshop, resident, local anesthesia.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"nerve block"},{"word":"ultrasound"},{"word":"small group"},{"word":"workshop"},{"word":"resident"},{"word":"local anesthesia"}],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/19z933b6","frozenauthors":[{"first_name":"Ashley","middle_name":"","last_name":"Foreman","name_suffix":"","institution":"Other","department":""},{"first_name":"Jacqueline","middle_name":"","last_name":"Sippel","name_suffix":"","institution":"West Virginia University","department":""},{"first_name":"Emily","middle_name":"","last_name":"Ollmann","name_suffix":"","institution":"West Virginia University","department":""},{"first_name":"Nicole","middle_name":"","last_name":"Dorinzi","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-06-18T00:44:32+05:30","date_accepted":"2025-10-16T05:26:35.003000+05:30","date_published":"2025-11-01T06:27:09.808000+05:30","render_galley":{"label":"Foreman A, et al. Ultrasound Guided Peripheral Nerve Block Workshop How to Take Your Residents from Zero to Hero. JETem 2025. 10(4)SG66-86","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52156/galley/40716/download/"},"galleys":[{"label":"Foreman A, et al. Ultrasound Guided Peripheral Nerve Block Workshop How to Take Your Residents from Zero to Hero. JETem 2025. 10(4)SG66-86","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52156/galley/40716/download/"}]},{"pk":52075,"title":"The EMazing Race: A Novel Gamified Emergency Medicine Educational Experience","subtitle":null,"abstract":"ABSTRACT:
\nAudience: Emergency medicine residents and medical students
\nIntroduction: Many emergency medicine residency programs have their residents take an in-training exam (ITE) in which performance has been linked to certifying exam pass rates, so solid preparation is important. The typical clinical schedule of an emergency medicine resident is incredibly varied and time-consuming, which limits time to dedicate to preparation. All emergency medicine programs have synchronous and asynchronous protected time for resident education which provides an excellent opportunity to prepare learners for in-training exams and thus the certifying exam. Gamification is a promising tool some educators have turned to which has been shown to improve attitudes and behaviors towards learning. This may make it a useful tool for board-review, particularly for the cohort of residents who may have negative attitudes or behaviors towards preparing for it.3 This session took inspiration from “The Amazing Race” — a reality television competition where teams race around the world — to provide learners with an exciting activity during dedicated synchronous or asynchronous educational conference time, which may be helpful for board review. Residents may prefer question-based preparation for the in-training exam, so the authors devised The EMazing Race to include some components of this while also adding more clinical practice-relevant topics and activities.
\nEducational Objectives: By the end of this 2-hour session, learners will demonstrate their knowledge on the following board-related emergency medicine topics:
\nOb/GYN – links to 13.7 Complications of Delivery in Core Model of EM 2022
\nKnow the first maneuver to manage a nuchal knot in an emergency delivery
Recognize the signs of shoulder dystocia and learn multiple maneuvers to manage this including McRoberts, suprapubic pressure, Rubin, Woods, and Menticoglou
Identify the steps in delivering a fetus in breech positioning and learn about the Gaskin maneuver
Understand management of trauma in pregnant patients including maneuvers to manage hypotension, recognition of uterine rupture, placental abruption, as well as rupture of membranes and its diagnostic findings
Renal/GU – links to 15.0 Renal and Urogenital Disorders in Core Model of EM 2022
\nReview indications for admission in patients with nephrolithiasis such as intractable nausea and vomiting
Recognize signs of acute tubular necrosis by urinalysis findings
Recall that staghorn calculi are most commonly composed of magnesium, ammonium, and phosphate
Identify appropriate medications to manage hypertension in patients with kidney disease
Recall various managements of priapism including intracavernosal irrigation, drainage, and phenylephrine injection
List specific indications for emergent hemodialysis including specific medications
Identify appropriate medications to manage various GU infections including balanitis and acute cystitis in men and women of varying ages
Identify the most common presenting sign of a nephroblastoma
Splinting – links to 18.1.8.2 Extremity bony trauma, fracture in Core Model of EM 2022
\nDemonstrate the proper application of the following splinting techniques: thumb spica, sugar tong, and posterior leg splint
\nEducational Methods: Inspired by the reality TV show competition, “The Amazing Race,” small groups of residents and medical students from all years of training raced through a series of stations separated geographically with distinct educational objectives, guided by clues won after completion of each leg or “task.”
\nResearch Methods: Following completion of the race, participants were provided with a voluntary survey asking them to indicate for the following statements whether they strongly disagree, disagree, are neutral, agree, or strongly agree: (1) The activity was engaging. (2) I prefer this type of learning to traditional lecturing. (3) I found this activity helpful for board/ITE review. (4) I learned something new about Ob/GYN, renal, and/or splinting. (5) Open response: What other feedback do you have? Optional pre- and post-intervention ROSH review questions on OBGYN were administered one month before and one month after the intervention.
\nResults: Twenty-five out of 28 individuals responded to the survey. All but two individuals stated they “strongly agree” that the activity was engaging. All but one respondent “agree” or “strongly agree” that they prefer this type of learning to traditional lecturing. Sixteen respondents stated “Strongly agree” and four stated “agree” that they found this activity helpful for board/ITE review. Eighteen respondents stated “strongly agree” and seven others stated “agree” that they learned something new about Ob/GYN, renal, and/or splinting. Open-response feedback was overwhelmingly positive and commented on a desire for future similar outdoor educational activities and its benefit as a team-building exercise. The majority of learners (four out of seven) who completed the optional pre- and post- ROSH review questions set on OBGYN content had an increase in their ROSH review score.
\nDiscussion: Gamification has been shown to be a promising tool for improving attitudes and behaviors towards learning, which aligns well with our learner feedback.1 Learner feedback was extremely positive, primarily centered around a desire for similar activities in the future. Most learners found the session engaging, preferable to traditional lecturing, and helpful for ITE/board preparation which suggests that the format could be used as an alternative way to review board material. Some studies have shown benefits to outdoor learning, though this has not been examined in emergency medicine didactics specifically.4 In the future, the authors intend to employ more gamification in resident education and will trial increased use of outdoor spaces in these activities, given learner preference for this.
\nTopics: Breech delivery, shoulder dystocia, emergent dialysis, acute kidney injury, trauma in pregnant patients, genitourinary tumors, acute cystitis, nephrolithiasis, balanitis, thumb spica, sugar tong, posterior short leg, splinting, small-group activity, team-building exercise, educational games, gamification, outdoor activities, race.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"breech delivery"},{"word":"shoulder dystocia"},{"word":"emergent dialysis"},{"word":"acute kidney injury"},{"word":"trauma in pregnant patients"},{"word":"genitourinary tumors"},{"word":"acute cystitis"},{"word":"nephrolithiasis"},{"word":"balanitis"},{"word":"thumb spica"},{"word":"sugar tong"},{"word":"posterior short leg"},{"word":"splinting"},{"word":"small-group activity"}],"section":"Small Groups","is_remote":false,"remote_url":"https://jetem.org/emazingrace/","frozenauthors":[{"first_name":"Brendan","middle_name":"","last_name":"Freeman","name_suffix":"","institution":"Other","department":""},{"first_name":"Kevin","middle_name":"","last_name":"Vinokur","name_suffix":"","institution":"Other","department":""},{"first_name":"Michael","middle_name":"","last_name":"Zimmerman","name_suffix":"","institution":"NewYork-Presbyterian Brooklyn Methodist","department":""},{"first_name":"Lukasz","middle_name":"","last_name":"Cygan","name_suffix":"","institution":"NewYork-Presbyterian Brooklyn Methodist","department":""}],"date_submitted":"2024-01-04T18:59:20+05:30","date_accepted":"2025-10-16T05:25:00.648000+05:30","date_published":"2025-11-01T06:25:57.718000+05:30","render_galley":{"label":"Freeman B, et al. The EMazing Race A Novel Gamified Board and Clinical Practice Review for Emergency Medicine Residents. JETem 2025. 10(4)SG1-49","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52075/galley/40710/download/"},"galleys":[{"label":"Freeman B, et al. The EMazing Race A Novel Gamified Board and Clinical Practice Review for Emergency Medicine Residents. JETem 2025. 10(4)SG1-49","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52075/galley/40710/download/"}]},{"pk":52150,"title":"Abdominal Pain and Vaginal Discharge: An Eye-Opening Simulation Case about Human Trafficking","subtitle":null,"abstract":"ABSTRACT:
\nAudience: The aim of this simulation case is to educate medical students, interns, junior residents, senior residents, nurses, and faculty on how to identify victims of human trafficking in the healthcare setting. This scenario is adaptable for emergency medicine, outpatient clinic settings, and prehospital settings, including EMS personnel as learners.
\nIntroduction: Human trafficking is a profound violation of human rights and a pressing local, national, and global health problem. Victims are reduced to objects for commerce, fueling a $150 billion-dollar industry and representing the second largest source of income for organized crime. Globally, an estimated 40.3 million people are victims of modern slavery, with more than 70% being women and girls, and one in four victims being children under the age of 18. While once perceived as a mostly international problem, prevalence estimates now show 5.4 victims per 1,000 people across the world, with 1.3 victims per 1,000 in the United States for forced labor.
\nHealthcare providers are among the few professionals likely to encounter victims. Multiple studies show that 28-88% of victims sought medical care while being trafficked. These victims are most likely to seek medical care from emergency departments (63.3%), Planned Parenthood clinics (29.6%), private practices (22.5%), urgent care clinics (21.4%), women’s health clinics (19.4%), and neighborhood clinics (19.4%). Despite this, only a small fraction of emergency physicians report receiving formal training on human trafficking. This highlights the critical need for enhanced education in emergency medicine, where providers are frequently the first point of contact for victims.
\nEducational Objectives: At the conclusion of this case, learners should be able to: 1) review red flags of identifying victims of human trafficking in healthcare settings, 2) identify common indicators and injuries associated with human trafficking, 3) demonstrate a trauma-informed care approach when interviewing potential victims, 4) list and provide patients with national resources for human trafficking, 5) understand federal and state mandatory reporting laws and the role of the healthcare provider, 6) determine best treatment options in patients with limited healthcare access, including counseling on empiric treatment of sexually transmitted infection (STI), 7) review management options for an undesired pregnancy according to local institutional policies and state laws for the senior case.
\nEducational Methods: This simulation was designed to assess and improve the level of knowledge on identifying victims of human trafficking in the healthcare setting. This session was conducted using standardized patients portraying both the patient and father/trafficker, a faculty member in the nursing role, and a second faculty member in the control booth. The control booth faculty adjusted the displayed vitals, facilitated case progression, and could call in as registrationif needed to progress the case. Each case included approximately four to five learners. A pre-brief was provided to the residents prior to the start of the case, explaining the expectations for interacting with standardized patients (SPs) and emphasizing the importance of safety and professionalism. After each scenario concluded, a post-simulation debriefing was held focusing on the presentation, differential diagnosis, physical exam findings, and management of the targeted social and medical issues. This case scenario can also be adapted for use as an oral board examination case.
\nResearch Methods: The authors performed a knowledge assessment of the case using both pre-simulation and post-simulation surveys designed specifically for this project. These surveys measured participants’ knowledge of human trafficking prior to training and their knowledge after the session. Facilitators also provided informal feedback to the scenario developers after the case was piloted. These evaluations were reviewed after implementation. This case was trialed with emergency medicine residents across all training levels (PGY-1 through PGY-4).
\nResults: Linear mixed models were used to compare pre-session to post-session knowledge of human trafficking, with means reported as descriptive statistics and Cohen’s standardized difference (d) used as a measure of effect size. For ordinal questions, a chi-square test compared pre- and post-session responses. Residents’ post-session perceptions of effectiveness were analyzed using frequency distributions. Statistical analyses were conducted using SPSS v29. Open-ended feedback responses were analyzed qualitatively using content analysis, with each author independently reviewing and categorizing key themes.
\nParticipants reported gaining a deeper understanding of the complexities of human trafficking and greater confidence in their ability to recognize and intervene. A total of 29 residents participated across all four years of training (PGY-1 = 9, PGY-2 = 4, PGY-3 = 11, PGY-4 = 5; 51% female). Only 24% reported prior training, while 94% believed they would benefit from training on human trafficking. Knowledge scores improved significantly (Pre: 59.2 → Post: 65.1; Cohen’s d = 0.39, p < .05). Self-reported comfort recognizing victims increased from 35% to 64% (p < .05), and comfort managing victims increased from 28% to 69% (p < .05), with no differences by PGY level or gender. On the post-survey, 100% of participants agreed the simulation enhanced their knowledge.
\nQualitative comments were gathered digitally through a QR code linked to Smartsheet as part of the standard process for resident didactic feedback. Resident responses were provided to case authors without any identifying information, except for PGY year. Prompts for qualitative comments were open-ended response questions of feedback for presenters and their most valuable learning points. Qualitative feedback (n = 27) emphasized increased awareness, the Human Trafficking Hotline as a valuable resource, and strategies for investigating concerns and providing medical management. Many also suggested smaller groups, additional pre-simulation training, and clearer integration of social work. Overall, residents highlighted that this simulation not only improved their base of knowledge but also provided practical tools to support victims in real-world clinical settings.
\nDiscussion: Simulation-based training on human trafficking in emergency medicine is a vital tool for preparing providers to recognize and respond to these complex cases. By engaging in highly interactive, standardized patient scenarios, learners can practice recognizing subtle red flags, applying trauma-informed communication, and balancing confidentiality with mandated reporting requirements. The debriefing sessions allow further reflection, knowledge integration, and discussion of best practices. Although standardized patients may be cost-prohibitive, faculty can serve as role players to reduce barriers to implementation. Through such training, healthcare providers enhance preparedness, empathy, and effectiveness in addressing the needs of trafficking survivors and contribute to broader efforts to combat exploitation.
\nTopics: Medical simulation, emergency medicine, human trafficking, sex trafficking, sexually transmitted diseases, abuse, non-accidental trauma, domestic abuse.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Medical Simulation"},{"word":"Emergency Medicine"},{"word":"Human Trafficking"},{"word":"Sex trafficking"},{"word":"Sexually Transmitted Diseases"}],"section":"Simulation","is_remote":false,"remote_url":"https://jetem.org/humantraffickingsim/","frozenauthors":[{"first_name":"Nicole","middle_name":"Elizabeth","last_name":"Exeni McAmis","name_suffix":"","institution":"Other","department":""},{"first_name":"Richard","middle_name":"S","last_name":"Feinn","name_suffix":"","institution":"","department":""},{"first_name":"Monica","middle_name":"R","last_name":"Saxena","name_suffix":"","institution":"","department":""},{"first_name":"Kelly","middle_name":"N","last_name":"Roszczynialski","name_suffix":"","institution":"Stanford University","department":"Department of Emergency Medicine"}],"date_submitted":"2024-06-09T01:53:43+05:30","date_accepted":"2025-10-16T05:52:57.388000+05:30","date_published":"2025-11-01T06:25:46.062000+05:30","render_galley":{"label":"Exeni McAmis N E, et al. Abdominal Pain and Vaginal Discharge An Eye-Opening Simulation Case about Human Trafficking. JETem 2025. 10(4)S1-41","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52150/galley/40715/download/"},"galleys":[{"label":"Exeni McAmis N E, et al. Abdominal Pain and Vaginal Discharge An Eye-Opening Simulation Case about Human Trafficking. JETem 2025. 10(4)S1-41","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52150/galley/40715/download/"}]},{"pk":52135,"title":"Novel Asynchronous Emergency Medicine Sub-Internship Curriculum Utilizing Free Open Access Medical Education (FOAM) ","subtitle":null,"abstract":"ABSTRACT:
\nAudience and Type of Curriculum: This emergency medicine asynchronous curriculum is designed for emergency medicine sub-interns.
\nLength of Curriculum: The curriculum runs monthly over a four-week sub-internship rotation.
\nIntroduction: Emergency medicine sub-interns are at an intermediate stage of training and require exposure to material that agrees with their training level. Asynchronous learning is an effective way to supplement sub-interns' learning, and free open-access medical education (FOAM) provides valuable content for asynchronous curricula.
\nEducational Goals: The global purpose of the curriculum is to supplement sub-interns' learning with high-yield emergency medicine topics while introducing them to various FOAM resources.
\nEducational Methods: A gap-analysis was conducted to suggest content most appropriate for the asynchronous curriculum, and the curriculum was designed with adult learning theories in mind. The educational strategies used in the curriculum include articles, videos, podcasts, diagrams, cases, and practice questions from various high-quality FOAM resources. The content is broken up into four core modules (trauma, eye complaints, shock, obstetric and gynecologic (OBGYN) complaints) and two bonus modules (orthopedic complaints, ultrasound basics), and the modules are available on the sub-internship website for students to access throughout their rotation.
\nResearch Methods: The educational content was evaluated by the learners using pre-rotation, post-module, and post-rotation surveys.
\nResults: Survey results show that at least 95% of students agreed with meeting each of the modules’ learning objectives. The curriculum also significantly increased learners’ confidence in evaluating specific chief complaints and ultrasounds. Students reported an increased likelihood of changing their clinical practice, an increased awareness of the role of social determinants of health, and an increased preparedness for residency after engaging with the curriculum.
\nDiscussion: Asynchronous curricula using thoughtfully-selected FOAM content and resources can effectively supplement synchronous learning methods in emergency medicine sub-internships. The curriculum is easy to implement and receives high satisfaction from students.
\nTopics: Sub-Internship, asynchronous curriculum, free-open access medical education, trauma, eye complaints, shock, OBGYN complaints, ultrasound, social determinants of health.
","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.\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":"Emergency Medicine"},{"word":"Sub-Internship"},{"word":"asynchronous curriculum"},{"word":"free-open access medical education"},{"word":"Trauma"},{"word":"eye complaints"},{"word":"shock"},{"word":"OBGYN complaints"},{"word":"ultrasound"},{"word":"social determinants of health"}],"section":"Curriculum","is_remote":false,"remote_url":"https://jetem.org/foamedcurr/","frozenauthors":[{"first_name":"Sophia","middle_name":"","last_name":"Murphy","name_suffix":"","institution":"Other","department":""},{"first_name":"Courtney","middle_name":"","last_name":"Kim","name_suffix":"","institution":"The University of Chicago Medicine","department":""},{"first_name":"Tomas","middle_name":"","last_name":"Diaz","name_suffix":"","institution":"Columbia University Irving Medical Center","department":""},{"first_name":"Jimmy","middle_name":"","last_name":"Truong","name_suffix":"","institution":"Other","department":""},{"first_name":"Emmagene","middle_name":"","last_name":"Worley","name_suffix":"","institution":"Columbia University Irving Medical Center","department":""}],"date_submitted":"2024-05-03T21:48:57+05:30","date_accepted":"2025-10-16T05:48:24.588000+05:30","date_published":"2025-11-01T06:25:24.049000+05:30","render_galley":{"label":"Murphy S, et al. Novel Asynchronous Emergency Medicine Sub-Internship Curriculum Utilizing Free Open Access Medical Education (FOAM). JETem 2025. 10(4)C1-35","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52135/galley/40708/download/"},"galleys":[{"label":"Murphy S, et al. Novel Asynchronous Emergency Medicine Sub-Internship Curriculum Utilizing Free Open Access Medical Education (FOAM). JETem 2025. 10(4)C1-35","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52135/galley/40708/download/"}]},{"pk":52047,"title":"Pizza and Paintballs: A Cost-Effective Model for Incision and Drainage Simulation Training","subtitle":null,"abstract":"ABSTRACT:
\nAudience: This innovation aims to educate medical students, physician assistant students (PA), and medical residents across various levels.
\nBackground: Skin abscesses are frequently encountered in clinical practice, and incision and drainage (I&D) is a common treatment performed in both emergency and outpatient settings. For advanced practice providers (APPs) and emergency medicine residents, learning this technical skill is particularly important, given the prevalence of abscesses in primary care and urgent care settings. At the Medical University of South Carolina (MUSC), PA students are taught this procedure during the didactic phase of their clinical skills and procedures course.
\nHowever, the cost of supplies for teaching this procedure has been a significant expense for the program, with commercial abscess task trainers ranging from $22.09 for a Pocket Nurse single-use pad to $65.99 for a SurgiReal tissue pad. In contrast, our model cost is approximately $198 for ~100 learners, demonstrating substantial cost savings for resource-limited programs.
\nThis manuscript offers a comprehensive guide for crafting an innovative, cost-effective, and true-to-life simulation model designed specifically for I&D training for healthcare practitioners. The materials required for this model can be conveniently sourced from Amazon.com. The proposed technique aims to significantly enhance the educational experience of healthcare practitioners as they acquire these vital clinical skills.
\nEducational Objectives: Upon completing this lab session, the participant should have the capability to: 1) describe the indications, contraindications, and reasons for performing I&D of an abscess, 2) select the necessary equipment for performing I&D of an abscess, 3) demonstrate the necessary steps for performing an I&D procedure on a simulated abscess.
\nEducational Methods: The lab was designed for an 8:1 trainee-to-instructor ratio and a 45-minute duration, and utilized paintballs inserted under rolled pizza dough to simulate \"skin.\" Trainees practiced using lidocaine, syringes, and needles with sterile water, and performed the field block technique. They made incisions in the \"abscess\" using scalpels, expressed \"purulent\" material (white paint), removed the \"capsule\" (paintball shell), and swabbed the material with sterile swabs. Materials included Chux pads, pizza dough, paintballs, gloves, alcohol swabs, needles, syringes, sterile water, scalpels, and applicators, costing $198.06 in total, or $9.56 per student, mostly purchased from Amazon.com.
\nResearch Methods: A Redcap survey was distributed to evaluate the effectiveness of an abscess drainage lab in meeting predefined learning objectives. The survey, sent to 188 students, received a 35% response rate. Participants were asked five questions, rated on a 5-point Likert scale, assessing the lab's value in teaching incision and drainage (I&D), field block, and needle safety. Responses were dichotomized into \"disagree/strongly disagree\" and \"agree/strongly agree.\"
\nResults: The lab was positively evaluated, with 86.15% (95% CI 75.3–93.5) of respondents recommending the lab be repeated, and 81.82% (95% CI 70.4–90.2) stating the lab provided a realistic simulation of abscess drainage. Additionally, 84.85% (95% CI 73.9–92.5) of participants reported improved confidence in performing I&D, 87.88% (95% CI 77.5–94.6) felt their field block skills improved, and 93.94% (95% CI 85.2–98.3) expressed increased comfort with needle safety.
\nDiscussion: The simulation lab teaches crucial skills such as abscess incision and drainage, field block dexterity, and needle safety during lidocaine preparation. It offers a safe environment for students to practice these skills before patient interaction in clinical settings, using cost-effective materials like paintballs and pizza dough. Similar low-cost abscess simulation models have been described, including reusable ultrasound-guided training methods, further supporting the value of inexpensive, reproducible alternatives for procedural education.4 Although cyst wall removal is included in the simulation checklist, in actual practice this is often not attempted during acute drainage when inflamed. Patients are generally referred to outpatient surgery for follow-up.
\nWhile there are limitations to this method, including inability to practice breaking up loculations and limitations of the authenticity of the pizza and paintballs, the cost-effectiveness of the lab allows for students an engaging avenue to practice these skills and gain confidence prior to entering clinical rotations. Also, the low response rate among students surveyed likely is secondary to delay between the lab and survey distribution, and could be improved with repeating this study with a shorter time interval between lab and survey with another cohort. Future studies could evaluate the pizza and paintball model in a noninferiority design compared to commercial task trainers to determine whether this cost-effective method maintains equivalent educational quality in programs with greater resources. While there are limitations in the response rate among students surveyed, the overall results reveal that utilizing this method improves student confidence in I&D, needle safety, and field block technique. The pizza and paintball I&D lab provides a cost-effective simulation of I&D and field blocks that can be replicated for use in other medical education programs.
\nTopics: Abscess incision and drainage, cost-effective training, simulation, I&D.
\n\n
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"abscess"},{"word":"I &"},{"word":"d"},{"word":"Simulation"},{"word":"cost effective"}],"section":"Innovations","is_remote":false,"remote_url":"https://jetem.org/pizzaandpaintballs/","frozenauthors":[{"first_name":"Patrick","middle_name":"","last_name":"McNeal","name_suffix":"","institution":"Other","department":""},{"first_name":"Andrea","middle_name":"","last_name":"Boan","name_suffix":"","institution":"The Medical University of South Carolina","department":""},{"first_name":"Emily","middle_name":"","last_name":"Douglas","name_suffix":"","institution":"The Medical University of South Carolina","department":""}],"date_submitted":"2023-10-25T23:06:26+05:30","date_accepted":"2025-10-16T05:51:13.972000+05:30","date_published":"2025-11-01T06:24:49.543000+05:30","render_galley":{"label":"McNeal P, et al. Pizza and Paintballs A Cost-Effective Model for Incision and Drainage Model Simulation Training. JETem 2025. 10(4)I7-15","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52047/galley/40709/download/"},"galleys":[{"label":"McNeal P, et al. Pizza and Paintballs A Cost-Effective Model for Incision and Drainage Model Simulation Training. JETem 2025. 10(4)I7-15","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52047/galley/40709/download/"}]},{"pk":52100,"title":"In Too Deep: A Point-of-Care Ultrasound (POCUS) Escape Room","subtitle":null,"abstract":"
ABSTRACT:
\nAudience: Emergency medicine residents and emergency ultrasound fellows.
\nIntroduction: Point-of-care ultrasound (POCUS) is an essential emergency medicine skill that requires hands-on practice and an understanding of anatomy in three-dimensional space. Experientially, some common POCUS challenges are identifying foreign bodies in soft tissue, recognizing nerves, and identifying lower extremity veins in relation to other anatomic landmarks. But finding novel ways to challenge and engage advanced learners who have mastered basic POCUS content can be difficult, and this was the impetus of the current gamified educational activity.
\nEducational Objectives: By the end of this session, the participant will be able to: 1) evaluate and identify the nature of metallic foreign bodies using POCUS; 2) identify common emergency department fractures on X-Ray and identify relevant sonoanatomy for ultrasound-guided regional anesthesia applications relevant to those fractures; and 3) identify normal lower extremity venous POCUS sonoanatomy and demonstrate understanding of proximal versus distal anatomical location within the lower extremity venous system.
\nEducational Methods: A hands-on, gamified approach was used. This approach builds on previously published escape room models to focus on the application of the three POCUS indications described above.
\nResearch Methods: After the activity, participants filled out a standardized teaching evaluation including questions about the quality of the material presented, the degree to which they felt actively involved as learners, and free-text qualitative feedback.
\nResults: Our test group including emergency ultrasound fellows and senior emergency medicine residents successfully completed the escape room. Three of the four participants (75%) completed the evaluation; 3/3 (100%) rated the escape room as exceeded expectations for actively involving learners and qualitatively reported that the activity was “fun,” “interactive,” “engaging,” and “innovative.”
\nDiscussion: We found that using an escape room format for POCUS education was effective and engaging. However, it is important to note that small details in the escape room design may have large impacts on the ability of the learners to complete the activity and meet the educational goals. Overall, we found that this activity was effective and fun for both learners and educators.
\nTopics: Point-of-care ultrasound (POCUS), team building, foreign body identification, ultrasound image review, lower extremity venous, ultrasound-guided regional anesthesia.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"point-of-care ultrasound (POCUS)"},{"word":"team building"},{"word":"foreign body identification"},{"word":"ultrasound image review"},{"word":"lower extremity venous"},{"word":"ultrasound-guided regional anesthesia"}],"section":"Small Groups","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5mm3n3r3","frozenauthors":[{"first_name":"Brandon","middle_name":"Michael","last_name":"Wubben","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-02-22T23:15:38+05:30","date_accepted":"2025-10-16T05:43:57.462000+05:30","date_published":"2025-11-01T06:23:40.761000+05:30","render_galley":{"label":"Wubben B M. In Too Deep A Point-of-Care Ultrasound (POCUS) Escape Room. JETem 2025. 10(4)SG50-65","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52100/galley/40713/download/"},"galleys":[{"label":"Wubben B M. In Too Deep A Point-of-Care Ultrasound (POCUS) Escape Room. JETem 2025. 10(4)SG50-65","type":"pdf","path":"https://journalpub.escholarship.org/uciem_jetem/article/52100/galley/40713/download/"}]},{"pk":50704,"title":"Book Review: On the Swamp: Fighting for Indigenous Environmental Justice","subtitle":null,"abstract":"On the Swamp presents a comprehensive application of Indigenous Environmental Theory in the case study of North Carolina’s Coastal Plain, with a focus on Robeson County and the Lumbee River.
","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.\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":"Indigenous Theory"},{"word":"North Carolina"},{"word":"land"},{"word":"Geography"},{"word":"climate justice"},{"word":"Environmental Theory"}],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7xn906x5","frozenauthors":[{"first_name":"Zia","middle_name":"","last_name":"Saylor","name_suffix":"","institution":"University of Bristol","department":"School for Policy Studies"}],"date_submitted":"2025-08-19T14:45:15.720000+05:30","date_accepted":"2025-10-16T06:49:41.598000+05:30","date_published":"2025-10-30T11:30:00+05:30","render_galley":{"label":"BookReview_swamp_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/50704/galley/40183/download/"},"galleys":[{"label":"BookReview_swamp_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/50704/galley/40183/download/"}]},{"pk":50696,"title":"\n\nBook Review: Global Climate Crisis\n\nBy: Hoda Mahmoudi and Kate Seaman\n","subtitle":null,"abstract":"This edited book consists of seven chapters, which are written from diverse perspectives and provide a comprehensive conceptual, historical, theoretical, and empirical case analysis on the global climate crisis, and suggest how to establish environmental justice and climate equity around the globe.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"climate change"},{"word":"climate crisis"},{"word":"environmental justice"},{"word":"Climate Equality"},{"word":"book review"}],"section":"Reviews","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6rs690df","frozenauthors":[{"first_name":"Bishnuprasad","middle_name":"","last_name":"Mohapatra","name_suffix":"","institution":"Malyagiri Mahavidyalaya (College Affiliated to Utkal University)","department":"Sociology"}],"date_submitted":"2025-08-19T00:18:19.747000+05:30","date_accepted":"2025-10-16T06:48:21.873000+05:30","date_published":"2025-10-30T11:27:00+05:30","render_galley":{"label":"BookReview_global_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/50696/galley/40182/download/"},"galleys":[{"label":"BookReview_global_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/50696/galley/40182/download/"}]},{"pk":39639,"title":"Forging a Pan-Regional Front: The Case for a Caribbean-African Alliance to Achieve Climate Justice Through Innovative Finance","subtitle":null,"abstract":"Climate change is a global crisis that disproportionately impacts vulnerable regions such as the Caribbean and Africa, which contribute minimally to greenhouse gas (GHG) emissions yet endure significant climate related damages. This study examines the structural inequalities driving these disparities and advances a climate justice framework centered on reparations through innovative finance mechanisms, including the proposed Global Climate Reparations Fund (GCRF). It highlights the scientific consensus on anthropogenic climate change and the severe consequences for affected regions, including rising sea levels, intensified hurricanes, and prolonged droughts. Strategies for mobilizing resources for mitigation, adaptation, and compensation are analyzed through the lens of international legal principles and climate finance policies. The study underscores the importance of equitable distribution of climate finance to address both historical emissions and current vulnerabilities. It further advocates for enhanced international cooperation and the creation of a Caribbean-African Alliance to strengthen advocacy for climate justice, while offering recommendations to reinforce climate finance mechanisms that support sustainable development and long term resilience.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5r06t9zz","frozenauthors":[{"first_name":"Rajendra","middle_name":"","last_name":"Ramlogan","name_suffix":"","institution":"","department":""}],"date_submitted":"2024-09-28T21:21:00+05:30","date_accepted":"2025-04-15T09:43:43.583000+05:30","date_published":"2025-10-30T11:23:00+05:30","render_galley":{"label":"Climate_Reparation_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39639/galley/40180/download/"},"galleys":[{"label":"Climate_Reparation_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39639/galley/40180/download/"}]},{"pk":39637,"title":"Sustainable Scholarly Communication through Institutional Repositories: A Case Study on Enhancing University Rankings in a Public University in Bangladesh","subtitle":null,"abstract":"
Institutional repositories (IRs) play a vital role in enhancing the visibility of a university’s intellectual and research output while also promoting more sustainable scholarly communication. This study examines the status of research visibility at Noakhali Science and Technology University (NSTU), Bangladesh, and evaluates the potential of an IR to improve the university’s global ranking. Using a mixed-method approach, data were collected through surveys of departmental offices (documenting 5,472 preserved student research reports) and interviews with the university librarian. Comparative insights were also drawn from five leading universities with established IRs, alongside faculty research output data retrieved from Scopus. Results show that although an IR can substantially increase research visibility, NSTU stays in the planning phase of implementation. The findings underscore the strategic importance of developing comprehensive IR to combine research output, expand accessibility, and strengthen institutional ranking.
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","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Institutional Repository"},{"word":"University ranking"},{"word":"Scholarly research output"},{"word":"Digital storage"},{"word":"knowledge management"},{"word":"Sustainable Scholarly Communication"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1123g1zk","frozenauthors":[{"first_name":"Khadiza","middle_name":"Akther","last_name":"Akhi","name_suffix":"","institution":"\"Noakhali Science and Technology University\"","department":"None"},{"first_name":"Shamima","middle_name":"","last_name":"Yesmin","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-09-26T10:32:40+05:30","date_accepted":"2025-05-24T01:11:01.666000+05:30","date_published":"2025-10-30T11:16:00+05:30","render_galley":{"label":"IRs_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39637/galley/40178/download/"},"galleys":[{"label":"IRs_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39637/galley/40178/download/"}]},{"pk":39634,"title":"\nNext Generation Libraries: The Intersection of Digital, Virtual, and Green Libraries","subtitle":null,"abstract":"
The evolving field of Library and Information Science (LIS) is undergoing a profound transformation as it navigates the complexity of the 21st century, fundamentally reshaping how information is accessed, managed, and delivered. This study explores the evolving paradigms of library services driven by the advent of digital technologies, the rise of immersive virtual environments, and an increasing emphasis on sustainability. It employs an exploratory literature review to investigate the integration of digital, virtual, and green libraries, encompassing their key components. As libraries stand at a pivotal crossroads, there is a pressing need for a comprehensive examination of these interconnected elements. By analyzing the synergies and potential overlaps between digital, virtual, and green library approaches, the study aims to provide valuable insight for librarians, administrates, and policymakers, ultimately fostering a more sustainable and user-centric library environment fulfilling the evolving needs of communities in the digital age.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Digital Libraries"},{"word":"Virtual Libraries"},{"word":"green libraries"},{"word":"Library Integration"},{"word":"Sustainability in LIS"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4jt7t18h","frozenauthors":[{"first_name":"Tunde","middle_name":"Toyese","last_name":"Oyedokun","name_suffix":"","institution":"Thomas Adewumi University, Oko, Kwara State","department":"","country":"Nigeria"}],"date_submitted":"2024-08-27T20:45:54+05:30","date_accepted":"2025-04-15T10:17:22.026000+05:30","date_published":"2025-10-30T11:12:00+05:30","render_galley":null,"galleys":[{"label":"Next_generation_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39634/galley/40698/download/"}]},{"pk":39623,"title":"Attitude of Solo Librarians in Promoting Sustainability in India: Challenges and Opportunities ","subtitle":null,"abstract":"
This study explores solo librarians' perceptions of their role in sustainability and assesses their opinions, familiarity, and interest concerning the topic. It also examines their attitudes toward promoting the Sustainable Development Goals (SDGs) and evaluates professional perspectives on the level of management support for such initiatives, identifying factors that influence engagement and collaboration. Data was gathered from 180 solo librarians across Kerala, Tamil Nadu, and Karnataka. The findings show librarians recognize their crucial function in advancing sustainability through inclusivity, lifelong learning, and open access. Those with higher qualifications and experience were significantly more active. While most solo librarians do promote sustainability activities, the research highlights a pressing need: varied management support and reliance on non-professional staff undercut their efforts. However, varied support from management and frequent reliance on non-professional staff highlight the need for greater institutional support and formal recognition to encourage librarians to undertake sustainability-related initiatives.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"sustainable development"},{"word":"Solo Librarians"},{"word":"One Person Libraries"},{"word":"Sustainability."}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/23k310nm","frozenauthors":[{"first_name":"Muralikrishnan","middle_name":"","last_name":"S","name_suffix":"","institution":"Alagappa University, Karaikudi, Tamil Nadu","department":"","country":"India"},{"first_name":"Athulya","middle_name":"","last_name":"S","name_suffix":"","institution":"Sri Krishna College of Technology, Coimbatore, Tamil Nadu","department":"","country":"India"},{"first_name":"Thanuskodi","middle_name":"","last_name":"S","name_suffix":"","institution":"Central University of Tamil Nadu, Thiruvarur, Tamil Nadu","department":"","country":"India"},{"first_name":"Sivaprasad","middle_name":"","last_name":"P","name_suffix":"","institution":"Alagappa University, Karaikudi, Tamil Nadu","department":"","country":"India"}],"date_submitted":"2024-02-16T21:52:06+05:30","date_accepted":"2025-04-24T10:24:45.022000+05:30","date_published":"2025-10-30T11:06:00+05:30","render_galley":null,"galleys":[{"label":"Solo_Librarian_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/39623/galley/40700/download/"}]},{"pk":40099,"title":"Integrating Sustainable Practices in Indian Manufacturing Small Medium Enterprises: A BASLR Approach","subtitle":null,"abstract":"
This study examines sustainable practices in manufacturing Small and Medium Enterprises (SMEs), with particular attention to the challenges, drivers, and strategies that influence sustainable performance. A dual-method approach, combining Bibliometric Analysis and Systematic Literature Review (BASLR), provides a robust analytical foundation for understanding the current state of sustainable innovation in SMEs. The findings highlight key barriers, including limited eco-innovation, inadequate infrastructure, and sluggish digital transformation. Overcome these obstacles, the study underscores the importance of adopting sustainable practices such as promoting high-quality innovation, fostering entrepreneurial competencies, advancing digital transformation, and developing green capabilities. Based on these insights, a conceptual model is proposed to guide Indian SMEs in achieving sustainable performance across environmental, economic, and social dimensions through sustainable innovation practices.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Bibliometric Analysis"},{"word":"Indian SMEs"},{"word":"sustainable innovation"},{"word":"sustainable practices"},{"word":"Systematic Literature Review."},{"word":"Systematic Literature Review"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7rd366gt","frozenauthors":[{"first_name":"Muruganantham","middle_name":"","last_name":"Ganesan","name_suffix":"","institution":"National Institute of Technology Tiruchirappalli","department":"Department of Management Studies"},{"first_name":"S","middle_name":"","last_name":"Sridar","name_suffix":"","institution":"National Institute of Technology Tiruchirappalli","department":"Department of Management Studies"},{"first_name":"B. Dinesh","middle_name":"","last_name":"Kumar","name_suffix":"","institution":"National Institute of Technology Tiruchirappalli","department":"Department of Management Studies"},{"first_name":"Aswanth","middle_name":"","last_name":"R S","name_suffix":"","institution":"National Institute of Technology Tiruchirappalli","department":"Department of Management Studies"},{"first_name":"Udaya","middle_name":"Sankar","last_name":"Patro","name_suffix":"","institution":"National Institute of Technology Tiruchirappalli","department":"Department of Management Studies"}],"date_submitted":"2024-12-03T13:11:02.439000+05:30","date_accepted":"2025-04-15T23:59:24.106000+05:30","date_published":"2025-10-30T10:54:00+05:30","render_galley":{"label":"India_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/40099/galley/40181/download/"},"galleys":[{"label":"India_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/40099/galley/40181/download/"}]},{"pk":41964,"title":"Wetlands Conservation in the United States after Sackett v. Environmental Protection Agency: Patchwork Protection of a Valued Resource","subtitle":null,"abstract":"
In Sackett v. Environmental Protection Agency (Sackett v. EPA, 2023), the Supreme Court declared that many of the country’s remaining wetlands are not “waters of the United States,” which excludes them from protection under the federal Clean Water Act. Yet the excluded wetlands are critical for improved water quality, flood control, wildlife habitat, and other valuable functions. The Court’s decision left their protection to the individual states. Since Sackett, wetlands conservation in the United States has become a patchwork affair. Many states' wetlands, without federal protection, are at risk from agriculture and development; further loss is unsustainable. This article argues that wetlands must be protected at the federal level through a revised Clean Water Act, which will be difficult to achieve. Fortunatly, there are other ways to protect wetlands without federal support, and citizens have a few options to get involved.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"wetlands"},{"word":"conservation"},{"word":"Sackett v. EPA"},{"word":"Clean Water Act"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5311n1ch","frozenauthors":[{"first_name":"Gordon","middle_name":"","last_name":"Steinhoff","name_suffix":"","institution":"Utah State University","department":""}],"date_submitted":"2025-01-21T05:51:45.815000+05:30","date_accepted":"2025-03-12T09:41:08.047000+05:30","date_published":"2025-10-30T10:44:00+05:30","render_galley":{"label":"Wetlands_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/41964/galley/40179/download/"},"galleys":[{"label":"Wetlands_52","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/41964/galley/40179/download/"},{"label":"FINAL","type":"pdf","path":"https://journalpub.escholarship.org/egj/article/41964/galley/40701/download/"}]},{"pk":47049,"title":"Reduplication In Khiamniungan","subtitle":null,"abstract":"
This paper presents a comprehensive analysis of reduplication in Khiamniungan, a Sino-Tibetan language spoken in Northeast India and parts of Myanmar. Reduplication in Khiamniungan is common across word classes. The study identifies and categorizes four primary reduplicative strategies: (1) echo formations, where partial reduplication creates semantically modified words; (2) compounding reduplication, in which morphologically independent stems combine to form new lexical items; (3) full reduplication, used for emphasis, pluralization, quantification, and manner marking; and (4) expressive reduplication, which encodes sensory and onomatopoeic meanings. The paper highlights the syntactic and semantic functions of reduplicated forms, illustrating their role in quantification, habitual aspect marking, imperative constructions, and intensification. While complete reduplication is pervasive across word classes, partial reduplication and echo formations are comparatively less common but still attested. Additionally, Khiamniungan exhibits a robust system of expressive reduplication that encodes sensory perception, aligning with patterns observed in other Tibeto-Burman languages. This study contributes to the broader understanding of reduplication in the Patkaian (Northern Naga) linguistic subgroup and sheds light on typological features relevant to Tibeto-Burman languages as a whole.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Reduplication"},{"word":"Khiamniungan"}],"section":"Languages and Peoples of the Eastern Himalayan Region","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5109g699","frozenauthors":[{"first_name":"Keen","middle_name":"","last_name":"Thaam","name_suffix":"","institution":"Nagaland University","department":""}],"date_submitted":"2025-03-21T00:05:51.477000+05:30","date_accepted":"2025-10-27T21:41:25.303000+05:30","date_published":"2025-10-27T20:42:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/47049/galley/40174/download/"}]},{"pk":35233,"title":"A Phonological Sketch of Maring","subtitle":null,"abstract":"This paper presents a phonological sketch Maring, a Tibeto-Burman language spoken in southeastern part of Manipur in Northeast India. It begins by highlighting some of the previous works done in Maring. Then it goes on to describe the phonemic inventory of the consonants, vowels and tones, as well as the syllable structure and the phonotactics. The paper also highlights some prevalent morphophonological processes occurring in the language. In the absence of a standard writing system, many disyllabic words are becoming monosyllabic both in the spoken form as well as in written form. This sometimes leads to form consonant clusters. Thus, this paper attempts to describe the sound system of Maring and bring forth some of the prevalent sound changes happening in the language. This will be helpful to the community for developing orthography and grammars, and for those working on the phonology, sound change, historical linguistics etc of the lesser known and less described languages of Northeast India.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Maring"},{"word":"Phonology"},{"word":"Tibeto-Burman"},{"word":"Northeast India"}],"section":"Languages and Peoples of the Eastern Himalayan Region","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5pm0s5gr","frozenauthors":[{"first_name":"Susie","middle_name":"","last_name":"Kanshouwa","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-06-03T14:46:49+05:30","date_accepted":"2025-10-27T21:31:57.857000+05:30","date_published":"2025-10-27T20:34:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35233/galley/40173/download/"}]},{"pk":47090,"title":"Negation in Mising","subtitle":null,"abstract":"This research paper investigates the negative particles in the Pagro variety of Mising, a synthetic and agglutinative language with a subject-object-verb (SOV) word order. Similar to other Tani languages within the Tibeto-Burman (Trans-Himalayan) language family, Mising utilizes post-verbal negative particles. The study specifically examines the negative markers /-ma/ and /-jɔ/ across various sentence structures to provide a detailed understanding of negation in Mising. The analysis includes a range of sentence types, highlighting the distinct functions of the standard negation marker /-ma/ and the prohibitive negation marker /-jɔ/. While previous research by Prasad (1991) and KC Talukdar (1992) focused on the negative particles /-ma/ and /-yo/, this paper addresses existing research gaps by exploring negation in different sentence constructions, including declarative, interrogative, and imperative forms. Additionally, the paper discusses the presence of Negative Polarity Items (NPIs) in Mising, a topic that has not been previously studied in this language.
\n","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Mising"},{"word":"Negation"},{"word":"Tani"},{"word":"Trans-Himalayan languages."}],"section":"Languages and Peoples of the Eastern Himalayan Region","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7q75t5md","frozenauthors":[{"first_name":"Normoda","middle_name":"","last_name":"Doley","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2025-03-28T09:17:40.546000+05:30","date_accepted":"2025-10-27T21:28:03.296000+05:30","date_published":"2025-10-27T20:29:00+05:30","render_galley":null,"galleys":[{"label":"typset file","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/47090/galley/40172/download/"}]},{"pk":35204,"title":"A study of the Morphological Patterns of Collocation in Assamese: A Thematic Overview","subtitle":null,"abstract":"
Collocation in general, refers to the habitual and more predictable co-occurrences of lexical items in a syntactic construction. These lexical items co-occur by choice. Certain lexical items pull each other towards themselves and so their occurrence is more frequent than others. There is no explanation to why we say black tea but dark chocolate , or why blond goes only with hair and not with any other similar object. Collocation adorns an utterance with a more specific and unique sense. J.R Firth (1957) observed collocation as a part of the meaning of a word. This paper explores the basic morphological patterns of collocation in Assamese, a language of the Indo-Aryan family, spoken in the North-East Indian State of Assam. As collocations give interesting insights about how a language community perceives life and the world, I have chosen a few themes to see how creatively Assamese uses collocations and to observe their mappings with the morphological patterns. This paper also throws light on how ‘gender’ and the ‘formal-informal distinction’ affects collocations in Assamese.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Collocation"},{"word":"Assamese"},{"word":"Morphological patterns"},{"word":"Thematic arrangements"}],"section":"Languages and Peoples of the Eastern Himalayan Region","is_remote":false,"remote_url":null,"frozenauthors":[{"first_name":"Mouchumi","middle_name":"","last_name":"Handique","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2023-02-24T01:38:31+05:30","date_accepted":"2025-04-15T10:54:43.884000+05:30","date_published":"2025-10-27T20:23:00+05:30","render_galley":null,"galleys":[{"label":"Typeset","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35204/galley/40171/download/"}]},{"pk":53129,"title":"CRITIQUE OF PROFESSOR ISABELLE CLARK-DECÈS’S DENIAL THAT DRAVIDIAN KINSHIP SYSTEMS IN INDIA FORM WELL-DEFINED CROSS-COUSIN MARRIAGE SYSTEMS ","subtitle":null,"abstract":"Professor Dr. Clark-Decès’s research on Tamil kinship and marriage challenges Dumont’s alliance theory and Lévi-Strauss’s idea of marriage as reciprocal exchange between distinct social groups. Clark-Decès argues that there is nothing systematic or stable about the kin and affine distinction or the principle of opposition in the Tamil kinship and that the general vocabulary for kinship in the Tamil language shows the Tamil kinship to be about ownership rights rather than reciprocity, and that the Tamil marriage pragmatics portray inherent entitlement and violence rather than a spirit of equality and mutuality. Further, that the so-called cross-cousin marriage rule is not really indiscriminate but is marred by elitism based on side, seniority, rank and hierarchy, that the uncle-niece marriage is the most common and most favored marriage is said to provide the ultimate evidence that Tamil kinship is woman-centered, woman-powered and where females prevail and men willingly surrender. For all of these reasons and more, Clark-Decès insists that the structural approach taken in the past, showcasing reciprocal alliance as the cornerstone of Dravidian kinship, must be discarded.
\nThe responder, Ruth Vaz, is a Tamil woman and she presents her view on the kinship, marriage and social organization of her own people, the Kallar of Thanjavur district in Tamil Nadu State of south India. She provides ample data affirming the fundamentality of the principle of opposition in Dravidian kinship and of the cross-cousin marriage alliance among her people. She challenges Clark-Decès’ exegeses of the meaning of kinship in Tamil and provides a corrective by offering her own exegeses of the word for kinship in Tamil. She exposes the distortions in the professor’s portrayal of the Tamil Mother’s Brother and rejects the heavily biased and misleading conclusions made by Prof Dr. Clark-Decès. The responder also provides additional data from the Hill Madia kinship system of the central Dravidian variety to show how every major claim made by the professor is misguided by unreasonable biases.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Dravidian Kinship"},{"word":"Alliance Theory"},{"word":"Structural Approach"},{"word":"Thanjavur Kaɭɭar"},{"word":"Madia Kinship"},{"word":"Uncle-niece marriage"},{"word":"Feminist Approach to Kinship"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/48j3d5q8","frozenauthors":[{"first_name":"Ruth","middle_name":"Manimekalai","last_name":"Vaz","name_suffix":"","institution":"Independent Scholar","department":""}],"date_submitted":"2025-10-12T10:28:31.939000+05:30","date_accepted":"2025-10-12T14:15:34.535000+05:30","date_published":"2025-10-26T00:30:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/kinship/article/53129/galley/40058/download/"}]},{"pk":53195,"title":"RETHINKING XINGUANO KINSHIP: ELEMENTS FOR COMPUTATIONAL ANALYSIS OF A MULTIETHNIC NETWORK","subtitle":null,"abstract":"The existence of kinship relationships across the entire Upper Xingu has been recognized as a key element of interethnic relations in this region since the time of the expedi-tions by Karl von den Steinen, in this region. The pattern of long-term repetition of marriages has seemingly contributed to the development of structurally very similar terminological systems among the Upper Xingu indigenous peoples (distinguishing them from their other neighbors) and to the generalization among them of a “relatives” condition. Although almost all monographs on the region have devoted some space to kinship, in general, and forms of marriage, in particular, there are few detailed studies on the subject, and available genealogical data are even more scarce. The objective of this article is to resume the discussion on the role of marriages in the production of Upper Xingu sociality based on the analysis of a genealogical network document-ed among the Kalapalo, one of the Carib-speaking peoples of the Upper Xingu. By implementing the computational tools, PUCK and Pajek, the goal is to describe this network by focusing on the types of marriage circuits that occur and their relative frequencies. This descriptive exercise has two specific objectives: 1) study how the results relate to already proposed models on Xinguano kinship and 2) examine the marriage circuits formed by interethnic alliances in or-der to better understand their actual frequency and question the extent to which these circuits intercorrelate. Thus, I expect to develop a model of this network according to its intrinsic proper-ties and to provide a more concrete view of the marriage dynamics in the Upper Xingu based on the Kalapalo case.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Upingu"},{"word":"Kalapalo"},{"word":"Amazon"},{"word":"Kinship networks"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4f37t2zx","frozenauthors":[{"first_name":"Antonio","middle_name":"","last_name":"Guerreiro","name_suffix":"","institution":"Campinas","department":"Anthropology"}],"date_submitted":"2025-10-19T04:53:42.060000+05:30","date_accepted":"2025-10-23T12:40:22.413000+05:30","date_published":"2025-10-26T00:30:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/kinship/article/53195/galley/40113/download/"}]},{"pk":41503,"title":"Use of Point-of-Care Ultrasound for Detection of Urethral Foreign Bodies: A Case Series","subtitle":null,"abstract":"Introduction: Urethral foreign bodies are an uncommon presentation in the emergency department (ED) and can be difficult to assess and diagnose. There are examples in the literature of ultrasound detecting urethral foreign bodies. While not standard of practice, point-of-care ultrasound (POCUS) may be a useful tool for this unique pathology.
\nCase Series: We describe three cases in which POCUS was used in the care of patients presenting with urethral foreign bodies. Ultrasound aided in diagnosis and helped facilitate further management.
\nConclusion: While urethral foreign bodies are relatively uncommon, they can lead to significant morbidity, which makes their prompt identification and treatment important. Ultrasound provides a rapid means of evaluation that allows the patient to stay under observation by ED staff while removing exposure to radiation or contrast.
","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":"foreign body"},{"word":"Urethra"},{"word":"ultrasound"},{"word":"case series"}],"section":"Case Series","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8qg4d2cf","frozenauthors":[{"first_name":"Luca","middle_name":"","last_name":"Tomasi","name_suffix":"","institution":"Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":""},{"first_name":"Michael","middle_name":"","last_name":"Zampi","name_suffix":"","institution":"Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":""},{"first_name":"Michele","middle_name":"L","last_name":"Schroeder","name_suffix":"","institution":"Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":""},{"first_name":"Michael","middle_name":"","last_name":"Cooper","name_suffix":"","institution":"Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":""},{"first_name":"Norah","middle_name":"","last_name":"McIntyre","name_suffix":"","institution":"Baystate Medical Center, Department of Emergency Medicine, Springfield, Massachusetts","department":""}],"date_submitted":"2024-12-18T03:24:14.951000+05:30","date_accepted":"2025-06-17T07:58:49.595000+05:30","date_published":"2025-10-25T04:37:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/41503/galley/40131/download/"}]},{"pk":47211,"title":"Intraprosthetic Dislocation Following Reduction of Dual-mobilityTotal Hip Arthroplasty","subtitle":null,"abstract":"Case Presentation: A 62-year-old man was brought into the emergency department by ambulance with right hip pain and deformity following a suspected hip dislocation. A plain film radiograph confirmed the diagnosis. He was sedated for closed reduction at the bedside. Despite apparently successful reduction, his case was complicated by persistent intraprosthetic dislocation of a polyurethane liner component of his prosthetic joint articulation. Computed tomography confirmed displacement of the liner, which required operative intervention.
\nDiscussion: Intraprosthetic dislocation is a complication specific to dual-mobility hip prosthetics, characterized by displacement of the polyurethane liner unique to this type of device. This liner was designed to offer some benefits over other types of hip prosthetics, including improved biomechanics and lower risk of dislocation. The liner can become dislodged during a hip dislocation and remain displaced despite successful reduction of the metallic prosthetic components. Due to its radiolucency, diagnosis can be challenging on plain radiographs, often requiring advanced imaging. This case highlights the importance of recognizing this potential complication in patients with dual-mobility prostheses.
","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":"Intraprosthetic Dislocation"},{"word":"hip dislocation"},{"word":"dual-mobility total hip arthroplasty"},{"word":"Orthopedics"},{"word":"Images in Emergency Medicine"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7bk7764v","frozenauthors":[{"first_name":"Matthias","middle_name":"","last_name":"Barden","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""},{"first_name":"Marissa","middle_name":"","last_name":"Benbassat","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""},{"first_name":"emilio","middle_name":"","last_name":"benbassat","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""}],"date_submitted":"2025-04-11T06:09:57.095000+05:30","date_accepted":"2025-06-12T00:07:38.807000+05:30","date_published":"2025-10-25T04:30:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/47211/galley/40160/download/"}]},{"pk":47181,"title":"Delayed Presentation of Subclavian Artery Pseudoaneurysm Following Blunt Thoracic Trauma: A Case Report","subtitle":null,"abstract":"Introduction: Subclavian artery pseudoaneurysms are a rare complication of blunt thoracic trauma with high mortality and incidence of long-term disability.
\nCase Report: We describe a 49-year-old female who suffered a midshaft clavicle fracture after a motorcycle collision who presented five weeks later with right arm weakness, paresthesias, and persistent clavicle pain and swelling. She was diagnosed with a subclavian artery pseudoaneurysm on point-of-care ultrasound performed in the emergency department, which was confirmed with computed tomography angiography. She underwent endovascular stenting but continued to suffer from long-term neurologic deficits related to her condition.
\nConclusion: This case underscores that the diagnosis of subclavian artery pseudoaneurysm requires a high index of suspicion. In addition, the case also highlights the utility of point-of-care ultrasound as a modality that can assist in arriving at the diagnosis.
","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":"subclavian artery pseudoaneurysm"},{"word":"point-of-care ultrasound"},{"word":"computed tomography angiography"},{"word":"blunt trauma"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2sg5006q","frozenauthors":[{"first_name":"Matthew","middle_name":"E","last_name":"Mollman","name_suffix":"","institution":"Saint Louis University School of Medicine, Department of Surgery, Division of Emergency Medicine, St. Louis, Missouri","department":""},{"first_name":"Lauren","middle_name":"","last_name":"Mays","name_suffix":"","institution":"Saint Louis University School of Medicine, Department of Surgery, Division of Emergency Medicine, St. Louis, Missouri","department":""}],"date_submitted":"2025-04-06T03:01:36.457000+05:30","date_accepted":"2025-07-28T20:26:53.842000+05:30","date_published":"2025-10-23T09:04:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/47181/galley/40155/download/"}]},{"pk":47179,"title":"Not Just Another Broken Heart: A Case Report of Takotsubo Cardiomyopathy Causing Syncope","subtitle":null,"abstract":"Introduction: Patients with symptoms suggestive of acute coronary syndromes account for up to 10% of emergency department (ED) visits, and of those visits 2% are diagnosed with takotsubo syndrome. Takotsubo syndrome associated with left ventricular outflow tract (LVOT) obstruction is an important but uncommon cause of chest pain and syncope in patients presenting with ST- segment elevations. Although rare, this variant is associated with worse clinical outcomes. Early recognition of LVOT obstruction in these patients is important to help guide proper management.
\nCase Report: We report a case of a 66-year-old female presenting to the ED after a syncopal episode with ST-segment elevations on the electrocardiogram. Point-of-care ultrasound revealed apical hypokinesis, thickened basal septum with LVOT obstruction and systolic anterior motion.
\nConclusion: Point-of-care ultrasound can help quickly diagnose takotsubo cardiomyopathy and its complications, providing guidance to accurate management.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"case report"},{"word":"syncope"},{"word":"Takotsubo Syndrome"},{"word":"systolic anterior motion"},{"word":"point-of-care ultrasound"},{"word":"left ventricular outflow tract obstruction"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/11b3m7cn","frozenauthors":[{"first_name":"Aileen","middle_name":"","last_name":"Virella","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":""},{"first_name":"Stephanie","middle_name":"","last_name":"Jose","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":""},{"first_name":"Joseph","middle_name":"","last_name":"Mirro","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":""},{"first_name":"allison","middle_name":"","last_name":"cohen","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":""},{"first_name":"Nicholas","middle_name":"","last_name":"Bielawa","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":""},{"first_name":"mathew","middle_name":"","last_name":"nelson","name_suffix":"","institution":"North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York","department":""}],"date_submitted":"2025-04-06T23:10:45.436000+05:30","date_accepted":"2025-08-04T20:19:47.410000+05:30","date_published":"2025-10-23T08:43:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/47179/galley/40158/download/"}]},{"pk":47381,"title":"Ogilvie Syndrome in the Setting of Myxedema Ileus: A Case Report","subtitle":null,"abstract":"Introduction: Ogilvie syndrome is described as the dilation of the colon without a clear mechanical obstruction. One predisposing factor to Ogilvie syndrome is hypothyroidism. The hypothyroid state can cause decreased gastrointestinal motility; however, hypothyroidism resulting in Ogilvie syndrome is a rare complication and is referred to as myxedema ileus. A review of literature shows limited reports of this specific process and none in the emergency medicine literature.
\nCase Report: A 54-year-old woman with a history of hypothyroidism presented to the emergency department with three days of fatigue, generalized weakness, chills, diarrhea, and shortness of breath without chest pain or cough. Lab work showed high levels of ultra thyroid-stimulating hormone and decreased thyroid hormone levels. A computed tomography angiography of the chest, abdomen and pelvis showed multiple dilated loops of large bowel. Ultimately, she was diagnosed with pseudo-obstruction (Ogilvie syndrome) secondary to myxedema ileus.
\nConclusion: Ogilvie syndrome in the setting of myxedema ileus is a serious complication that may occur in patients who are in a severe hypothyroid state. It is important for emergency physicians to consider hypothyroidism as a potential cause of intestinal pseudo-obstruction.
","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":"Ogilvie syndrome"},{"word":"myxedema ileus"},{"word":"Hypothyroidism"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/14v804s2","frozenauthors":[{"first_name":"Sophia","middle_name":"","last_name":"Mounce","name_suffix":"","institution":"Southern Illinois University, School of Medicine, Springfield, Illinois","department":""},{"first_name":"Sharon","middle_name":"","last_name":"Kim","name_suffix":"","institution":"Southern Illinois University, School of Medicine, Department of Emergency Medicine, Springfield, Illinois","department":""},{"first_name":"James","middle_name":"Roy","last_name":"Waymack","name_suffix":"","institution":"Southern Illinois University, School of Medicine, Department of Emergency Medicine, Springfield, Illinois","department":""}],"date_submitted":"2025-05-12T19:38:53.283000+05:30","date_accepted":"2025-08-08T03:53:30.432000+05:30","date_published":"2025-10-23T08:39:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/47381/galley/40154/download/"}]},{"pk":42509,"title":"Spontaneous Rupture of an Hepatic Artery Aneurysm: A Case Report, Against the Odds ","subtitle":null,"abstract":"Introduction: Ruptured aneurysms are associated with significant mortality limiting a patient’s chances of survival, making early and accurate diagnoses crucial. A commonly overlooked cause
is the hepatic artery aneurysm, where most patients exhibit no distinct symptoms and detection typically occurs only after the aneurysm has ruptured. Hepatic artery aneurysms are linked with high rupturing rates resulting in substantial mortality when compared to other splanchnic artery aneurysms. Enhancing recognition and consideration of splanchnic artery aneurysms, including hepatic artery aneurysms, will increase a patient’s odds of a successful recovery. The following case report illustrates the critical nature of these cases and highlights how important early diagnosis and aggressive intervention are to prevent death once rupture of the hepatic artery
aneurysm has occurred.
Case Report: A 57-year-old female presented to the emergency department brought in by helicopter for generalized chest and abdominal pain. A computed tomography angiography of the chest, abdomen, and pelvis was performed and revealed a saccular aneurysm exhibiting multiple lobes in the left hepatic artery accompanied by hemoperitoneum confirming a spontaneous rupture. As a result of the ruptured aneurysm, it was decided an immediate coil embolization was necessary. Ultimately the patient underwent a successful coil embolization and was transferred to a facility with hepatobiliary and transplant surgery capabilities. She remained stable, was extubated the following day, and did not require any additional surgeries.
\nConclusion: By encompassing hepatic and associated splanchnic artery aneurysms in the diagnosis of patients with abdominal pain and signs of hemodynamic instability, physicians can improve early identification, facilitating early endovascular repair and improved patient outcomes. It is a rare diagnosis that can present with a wide range of symptoms. Currently, endovascular approaches for ruptured hepatic artery aneurysms are preferred over open surgery.
","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":"hepatic artery aneurysms"},{"word":"coil embolization"},{"word":"hepatobiliary"},{"word":"abdominal pain"},{"word":"case report"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9x15h83v","frozenauthors":[{"first_name":"Andrea","middle_name":"","last_name":"Hladik","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""},{"first_name":"Vahe","middle_name":"","last_name":"Zorgrabyan","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""},{"first_name":"Lysdie","middle_name":"","last_name":"Espinoza","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""},{"first_name":"Manuel","middle_name":"","last_name":"Cruz","name_suffix":"","institution":"Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California","department":""}],"date_submitted":"2025-02-10T06:00:10.314000+05:30","date_accepted":"2025-08-08T09:59:16.971000+05:30","date_published":"2025-10-23T08:32:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/42509/galley/40153/download/"}]},{"pk":47929,"title":"A Novel Presentation of Stanford Type A Aortic Dissection with Vaginal Bleeding: A Case Report","subtitle":null,"abstract":"Introduction: This case is unique in that it documents isolated, painless vaginal bleeding as the sole presenting symptom of a Stanford type A aortic dissection (STAAD), a presentation not
previously reported. It adds to the literature by expanding the spectrum of atypical aortic dissection presentations and underscores the need to consider this diagnosis in elderly patients with vascular risk factors, even when they present with non-classical symptoms such as unexplained bleeding.
Case Report: We present a novel case of STAAD in a 72-year-old woman with a history of hypertension, dyslipidaemia, prior hysterectomy, and cholecystectomy. Her primary complaint was a
single, transient episode of painless vaginal bleeding. Notable clinical findings included a diminished right radial pulse, a significant inter-arm blood pressure discrepancy, and unremarkable systemic and vaginal examinations. Given these findings, further evaluation was pursued. Computed tomography aortography revealed a STAAD extending from the aortic arch to the bifurcation, involving the left internal iliac artery and a vaginal arterial branch. The patient underwent emergent surgical repair and was discharged in good condition on hospital day 11. At her most recent follow-up, three years post- event, she remained clinically stable with no recurrence.
Conclusion: Isolated painless vaginal bleeding, although uncommon, may indicate life-threatening pathology. Subtle signs, such as inter-arm blood pressure discrepancy, can offer critical
diagnostic clues, underscoring the importance of comprehensive evaluation in atypical emergency presentations.
Introduction: Most patients with acute coronary syndrome (ACS) die before hospitalization. Early diagnosis and effective interventions can prevent the disease from worsening. In this single-center, retrospective study we aimed to investigate the appropriateness of the pretreatment of patients referred to the emergency department of our hospital, a percutaneous cardiac intervention (PCI) center, with a prediagnosis of ACS under the previously published European Society of Cardiology guidelines (2017 and 2020) and the new guidelines published in 2023.
\nMethods: Based on the date of publication of the European Society of Cardiology’s most recent ACS guidelines (August 25, 2023), we divided patients admitted between August 25, 2022–August 24, 2024, into two groups: patients who were evaluated and received pretreatment under the previous guidelines; and patients who were evaluated and received pretreatment under the new guidelines.
\nResults: Of 1,675 patients screened for enrollment who were referred to our PCI center with prediagnosis of ACS, after exclusion criteria, we report on 1,450 (86.6%). Pretreatment (before PCI) compliance rate with all aspects of the previous and new guidelines was low, at 9.8%. Study patients were 69.9% (n = 1,013) male with mean age of 63.9 ± 13.0 years. Comparing the compliance rate between the new versus previous guidelines, for individual components, we found better compliance for aspirin administration (72.6 vs. 66.2%) and anticoagulants (40.3 vs. 22.7%), while for P2Y12 inhibitors, we found lower compliance (58.9 vs. 70.0%, all p< .001). For the subset of patients with ST-elevation myocardial infarction, P2Y12 inhibitors were used less appropriately under the new vs. previous guidelines (31.4 vs. 55.0%, p < .001).
\nConclusion: The compliance rates with the previous and new guidelines for ACS pretreatment by physicians working in hospitals without PCI centers were low. Pretreatment compliance during the new guideline period was lower than compliance during the prior guideline period.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"acute coronary syndrome"},{"word":"Guideline"},{"word":"pretreatment"},{"word":"Emergency Medicine"}],"section":"Original Research (Limit 4000 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4tk832fw","frozenauthors":[{"first_name":"İsmail","middle_name":"","last_name":"Ataş","name_suffix":"","institution":"Recep Tayyip Erdoğan University Training and Research Hospital, Department of Emergency Medicine, Rize, Türkiye","department":""},{"first_name":"Mümin Murat","middle_name":"","last_name":"YAZICI","name_suffix":"","institution":"Recep Tayyip Erdoğan University Training and Research Hospital, Department of Emergency Medicine, Rize, Türkiye","department":""},{"first_name":"Ahmet","middle_name":"Nurhak","last_name":"Çakır","name_suffix":"","institution":"Rize State Hospital, Department of Emergency Medicine, Rize, Türkiye","department":""},{"first_name":"Nurullah","middle_name":"","last_name":"Parça","name_suffix":"","institution":"Recep Tayyip Erdoğan University Training and Research Hospital, Department of Emergency Medicine, Rize, Türkiye","department":""},{"first_name":"Utku","middle_name":"Sarp","last_name":"Cerit","name_suffix":"","institution":"Recep Tayyip Erdoğan University Training and Research Hospital, Department of Emergency Medicine, Rize, Türkiye","department":""},{"first_name":"Meryem","middle_name":"","last_name":"Kaçan","name_suffix":"","institution":"Recep Tayyip Erdoğan University Training and Research Hospital, Department of Emergency Medicine, Rize, Türkiye","department":""},{"first_name":"Özlem","middle_name":"","last_name":"Bilir","name_suffix":"","institution":"Recep Tayyip Erdoğan University Training and Research Hospital, Department of Emergency Medicine, Rize, Türkiye","department":""}],"date_submitted":"2025-02-16T03:45:58.522000+05:30","date_accepted":"2025-05-27T00:26:22.798000+05:30","date_published":"2025-10-23T07:15:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/43528/galley/43166/download/"}]},{"pk":53170,"title":"Introduction: Opening the Conversation on Access","subtitle":null,"abstract":"This issue opens with a reflection on the urgent theme of access in the humanities and continues with essays that address inequities, pedagogy, and global classrooms, alongside creative and experimental contributions that expand the possibilities of teaching medieval studies today.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[],"section":"Introduction","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5gr9j8vv","frozenauthors":[{"first_name":"Incifem","middle_name":"","last_name":"Sari Tekin","name_suffix":"","institution":"University of Freiburg","department":"English Department"},{"first_name":"Victoria","middle_name":"","last_name":"Craggs","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-10-16T23:55:32.565000+05:30","date_accepted":"2025-10-18T01:21:16.180000+05:30","date_published":"2025-10-22T16:16:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/53170/galley/40081/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/53170/galley/40081/download/"}]},{"pk":46551,"title":"Sociodemographic and Health Behaviour of Frequent, Avoidable Emergency Department Users in Ontario, Canada: A Population-based Descriptive Study","subtitle":null,"abstract":"Introduction: Frequent users are a small but important group of patients in the emergency department (ED). This group is often the target of interventions that redirect visits to other areas of the healthcare system under the premise that some of these visits could be best managed elsewhere. Most existing interventions do not consider sociodemographic factors when targeting specific populations, while larger scale policy initiatives often do not reach those who would most benefit from alternative points of healthcare access. In this study we use population-level survey data linked to health administrative data to describe frequent ED users and those
whose visits are potentially avoidable and could benefit from additional points of healthcare access.
Methods: This was a population-based cohort study of responses from 18-74 year-old Ontario residents to the Canadian Community Health Survey from 2001–2014, which we linked to administrative health data for one-year following survey completion. We categorized participants according to the frequency of their ED use in the year following survey date and whether any of their visits were potentially avoidable. Associations between category of ED use and various sociodemographic, health, and behavioural factors were examined with multinomial logistic regression.
\nResults: A total of 181,369 eligible respondents were included in this study. Of these, 1,460 (0.8%) were frequent users (four or more visits) with one or more potentially avoidable visits in the year following survey date. Compared to non-ED users, frequent users with avoidable visits were associated with the lowest quintile
of household income (aOR: 1.91, 95% CI: 1.37, 2.65), rural-dwelling (aOR: 1.44, 95% CI: 1.18, 1.77), and the highest quintile of material resource deprived neighbourhoods (aOR: 2.23, 95% CI: 1.47, 3.36). They were more likely to have poor self-reported physical (17.2% vs 9.0%) and mental health (4.1% vs 2.7%) compared to total cohort, and more likely to have comorbidities (63.3% vs 48.7%), but less likely to access a usual provider of care for their healthcare needs (33.3% vs 28.2% without a usual provider of care).
Conclusion: This study provides a novel description of frequent ED users for whom some of their visits were potentially avoidable. As efforts are made to redesign access to primary and community care, and with increasing emphasis on virtual care and other initiatives to reduce avoidable ED use, the healthcare system should ensure that these interventions are responsive to the needs of the people at higher likelihood of needing them.
","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":"Population Health"},{"word":"Social Determinants"},{"word":"Frequent Users"}],"section":"Original Research (Limit 4000 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5j8593bb","frozenauthors":[{"first_name":"Cameron","middle_name":"","last_name":"Thompson","name_suffix":"","institution":"University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario, Canada; Sinai Health, Schwartz/Reisman Emergency Medicine Institute, Toronto, Ontario, Canada","department":""},{"first_name":"Tristan","middle_name":"","last_name":"Watson","name_suffix":"","institution":"University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada","department":"Dalla Lana School of Public Health"},{"first_name":"Michael","middle_name":"J","last_name":"Schull","name_suffix":"","institution":"ICES, Toronto, Ontario, Canada; University of Toronto, Dalla Lana School of Public Health, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada; University of Toronto, Department of Medicine, Toronto, Ontario, Canada","department":""},{"first_name":"Jessica","middle_name":"","last_name":"Gronsbell","name_suffix":"","institution":"University of Toronto, Department of Statistical Sciences, Toronto, Ontario, Canada; University of Toronto, Department of Computer Science, Toronto, Ontario, Canada; University of Toronto, Department of Family and Community Medicine, Toronto, Ontario, Canada","department":""},{"first_name":"Laura","middle_name":"CA","last_name":"Rosella","name_suffix":"","institution":"University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; Trillium Health Partners, Institute for Better Health, Mississauga, Ontario, Canada; University of Toronto, Temerty Faculty of Medicine, Toronto, Ontario, Canada","department":""}],"date_submitted":"2025-03-05T04:17:40.294000+05:30","date_accepted":"2025-06-08T05:46:49.118000+05:30","date_published":"2025-10-22T05:10:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/46551/galley/43170/download/"}]},{"pk":39671,"title":"Emergency Medicine Residents’ Performance with National Institutes of Health Stroke Scale and Its Impact on Key Stroke-care Metrics","subtitle":null,"abstract":"Background: Emergency medicine (EM) physicians commonly use the National Institutes of Health Stroke Scale (NIHSS) to assess acute ischemic strokes in community settings. However, this assessment is often led by neurology residents in academic teaching hospitals. We implemented a quality improvement intervention to improve EM resident comfort with the NIHSS and to assess if EM resident-led NIHSS evaluation prolonged key stroke metrics, such as door-to-CT (DTCT), door-to-needle (DTN), or door-to-groin puncture (DTGP) times, which may affect stroke outcomes.
\nMethods: This prospective observational comparison analyzed all patients with acute ischemic strokes at the Zuckerberg San Francisco General Hospital, a Level I trauma center from April 2021–October 2022. We implemented the intervention from April 2022 –October 2022 which included NIHSS certification for all residents and attendings. Both EM and neurology residents recorded NIHSS scores separately for each patient and scores were revealed to each resident during patient care once completed. We then compared stroke metrics between pre- and post-intervention periods.
\nResults: There were 247 and 122 strokes included in our analysis, pre- and post-intervention, respectively. Overall, 58% (n=213) of all patients were female, 33% were Asian (n=123), and Cantonese was the second most common language after English (15%, n=54). Mean overall NIHSS scores were similar between EM and neurology residents, 6.6 (IQR=2, 10) and 6.7 (IQR=1, 10), (p<0.001), respectively, with substantial agreement between groups (84.4%, κ=0.63). Median DTCT times were 25 and 28 minutes (p=0.2), DTN times were 38 and 35 minutes (p=0.7), and DTGP times were 94 and 110 minutes (p=0.1) for pre- and post-intervention groups, respectively.
\nConclusion: The NIHSS is one element of stroke evaluation and management that can impact stroke metrics. Our intervention found that EM resident-led NIHSS assessment did not prolong DTCT, DTN, and DTGP times and met nationally established goals.
\n","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[],"section":"Original Research (Limit 4000 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3tc3t9mh","frozenauthors":[{"first_name":"Matthew","middle_name":"","last_name":"Roces","name_suffix":"","institution":"University of California Los Angeles, Department of Emergency Medicine, Los Angeles, California","department":""},{"first_name":"Trinidad","middle_name":"","last_name":"Alacala-Arcos","name_suffix":"","institution":"University of California Irvine, School of Medicine, Irvine, California","department":""},{"first_name":"Newton","middle_name":"","last_name":"Addo","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":""},{"first_name":"Michael`","middle_name":"","last_name":"Boyle","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":""},{"first_name":"Meghan","middle_name":"","last_name":"Hewlett","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":""},{"first_name":"Reginald","middle_name":"","last_name":"Nguyen","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":""},{"first_name":"Angela","middle_name":"","last_name":"Wong","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":""},{"first_name":"Christopher","middle_name":"R.","last_name":"Peabody","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":""},{"first_name":"Debbie","middle_name":"Y.","last_name":"Madhok","name_suffix":"","institution":"University of California San Francisco, Department of Emergency Medicine, San Francisco, California","department":""}],"date_submitted":"2024-11-04T05:58:26.519000+05:30","date_accepted":"2025-04-04T02:49:48.302000+05:30","date_published":"2025-10-22T05:00:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/39671/galley/43160/download/"}]},{"pk":47218,"title":"Pediatric Abdominal Pain: Boba Tea and Computed Tomography Findings: Case Report","subtitle":null,"abstract":"Introduction: Discovery of pearl-like, radiopaque foreign bodies is not widely documented in the literature. In this report, we describe an unusual radiological finding of bubble tea pearls (small,
chewy spheres derived from cassava starch) on computed tomography (CT) from an increasingly popular drink among adolescents.
Case Report: An 11-year-old female presented to the emergency department with severe abdominal pain. Physical examination revealed generalized abdominal tenderness, with increased pain in the right lower quadrant. The patient’s history was concerning for acute appendicitis. Laboratory results were unremarkable, and ultrasound was inconclusive for suspected appendicitis. A contrast-enhanced CT of the abdomen found several ingested radiopaque densities within the stomach. Further toxicology testing was negative or within normal limits. It was later found that the patient had consumed bubble tea earlier in the day. The patient was admitted for monitoring, and symptoms resolved spontaneously the following morning.
\nConclusion: When pearl-like, radiopaque densities are found in the abdomen, bubble tea could be considered as a possible etiology to prevent unnecessary workup and exposure to radiation for pediatric 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":"case report"},{"word":"bubble tea"},{"word":"boba tea"},{"word":"computed tomography"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4kh536z4","frozenauthors":[{"first_name":"Jesse","middle_name":"","last_name":"Ewaldt","name_suffix":"","institution":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois","department":""},{"first_name":"James","middle_name":"Roy","last_name":"Waymack","name_suffix":"","institution":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois","department":""},{"first_name":"Sharon","middle_name":"","last_name":"Kim","name_suffix":"","institution":"Southern Illinois University School of Medicine, Department of Emergency Medicine, Springfield, Illinois","department":""}],"date_submitted":"2025-04-14T20:02:53.742000+05:30","date_accepted":"2025-07-12T04:02:45.792000+05:30","date_published":"2025-10-22T04:58:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/47218/galley/40157/download/"}]},{"pk":49075,"title":"The Writers' Assembly","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.\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":"Documents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3757m7bd","frozenauthors":[{"first_name":"Juliet","middle_name":"","last_name":"Guzzetta","name_suffix":"","institution":"Michigan State University","department":"English; Romance & Classical Studies"},{"first_name":"Angelica","middle_name":"","last_name":"Pesarini","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-07-22T01:58:30.549000+05:30","date_accepted":"2025-11-05T04:51:52.007000+05:30","date_published":"2025-10-22T03:58:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/49075/galley/40806/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/49075/galley/40806/download/"}]},{"pk":42048,"title":"The State of Simulation in Emergency Medicine Residency Programs in the United States","subtitle":null,"abstract":"Introduction: Using simulation-based medical education has proven to be an effective instructional strategy both procedurally and clinically. Emergency medicine (EM) residency programs use simulation in a variety of ways and settings. Given the ongoing development of the field and the recent expansion of EM training programs, our objective was to assess the current state of simulation use in Accreditation Council for Graduate Medical Education (ACGME)-approved EM residency programs in the United States.
\nMethods: We performed this cross-sectional national survey from July–September 2022. The survey was sent to the residency program directors of all 277 ACGME-accredited EM residency programs in the US. The survey focused on simulation use, technology, types of simulation (procedural vs case-based), barriers to growth, and overall sentiments regarding simulation in EM.
\nResults: We attempted to contact 277 programs, successfully reaching 244. We received a total of 100 responses (36%). Nearly all responding programs reported access to a dedicated sim center (95.8%), with available high-fidelity manikin simulators (93%) and task trainers (90%). Most programs engage in simulation didactics monthly (50%), followed by more than monthly (22%) and quarterly (19%). Barriers to simulation implementation included funding, simulation lab availability, and equipment. Programs frequently used simulation to perform the majority of rare but required procedures, and about half of the programs responding reported simulation fellowship-trained faculty on staff.
\nConclusion: Simulation education is an important aspect of EM residency and training. Most residency programs reported dedication and resources to developing and integrating simulation into their curriculum. There is likely room for its further use in residency program training in the coming years as residency programs continue to expand.
","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":"Simulation"},{"word":"Residency"},{"word":"Medical Education"},{"word":"Simulation Based Education"}],"section":"Original Research (Limit 4000 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/6hb3m40k","frozenauthors":[{"first_name":"Briana","middle_name":"D.","last_name":"Miller","name_suffix":"","institution":"Oregon Health & Science University, Department of Emergency Medicine, Portland, Oregon; University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":""},{"first_name":"Charles","middle_name":"","last_name":"Khoury","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":""},{"first_name":"Jaron","middle_name":"","last_name":"Raper","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":""},{"first_name":"Lauren","middle_name":"A.","last_name":"Walter","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Bloom","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":""}],"date_submitted":"2025-01-25T02:53:02.919000+05:30","date_accepted":"2025-06-04T02:44:09.004000+05:30","date_published":"2025-10-22T03:27:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/42048/galley/43169/download/"}]},{"pk":42507,"title":"Demographic and Clinical Characteristics of Pediculosis-associated Severe Anemia in the Emergency Department","subtitle":null,"abstract":"Introduction: Infestation with Pediculus species, or common lice, is frequently diagnosed in the emergency department (ED). Because lice ingest human blood, prolonged and heavy infestation can plausibly lead to iron deficiency anemia. Severe anemia attributable to lice infestation has infrequently been reported to date. Our objective in this study was to retrospectively review cases of lice-related anemia at a single public hospital to identify risk factors and associated demographic and clinical features of this disease process.
\nMethods: We screened the medical records for patients presenting to the ED of an urban public hospital between 2016–2024 for the diagnoses of lice infestation and severe anemia (hemoglobin < 7 grams per deciliter (g/dL). Cases were reviewed for clinical and demographic characteristics.
\nResults: A total of 932 patients were diagnosed with pediculosis infestation in the ED during the study period; 332 (35.6%) of those patients had a complete blood count obtained by the treating team. Thirty-seven cases of severe anemia were identified (3.9% of total pediculosis cases, 11.1% of those for whom a complete blood count was obtained); 84% were microcytic, indicating iron deficiency anemia. Twenty-five patients (68%) were undomiciled, and nine patients (24%) were shelter domiciled. Twenty-three patients (62%) had comorbid psychiatric diagnoses, and 21 (51%) had substance use disorders. The median hemoglobin was 4.4 g/dL (range 2.4-6.9 g/dL). Thirty patients (81%) were admitted to a medical floor and seven patients (19%) to an intensive care unit, each with a comorbid primary condition.
\nConclusion: In this cohort, anemia secondary to lice infestation was seen in patients with unstable housing, substance use disorders, and psychiatric disease. Most patients were hemodynamically stable, consistent with the proposed mechanism of chronic blood loss. The prevalence of this condition may be higher than previously noted among this vulnerable population. Emergency physicians should be aware of this rare but potentially serious disease process.
","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":"Lice"},{"word":"pediculosis"},{"word":"anemia"},{"word":"homelessness"},{"word":"social determinants of health"}],"section":"Original Research (Limit 4000 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2dc009ws","frozenauthors":[{"first_name":"William","middle_name":"","last_name":"Plowe","name_suffix":"","institution":"New York University Grossman School of Medicine, Ronald O. Perelman, Department of Emergency Medicine, New York, New York; New York City Health and Hospitals Corporation, Bellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Reed","middle_name":"","last_name":"Colling","name_suffix":"","institution":"New York University Grossman School of Medicine, Ronald O. Perelman, Department of Emergency Medicine, New York, New York; New York City Health and Hospitals Corporation, Bellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Sanjay","middle_name":"","last_name":"Mohan","name_suffix":"","institution":"New York University Grossman Long Island School of Medicine, Department of Emergency Medicine, Mineola, New York","department":""},{"first_name":"Rajneesh","middle_name":"","last_name":"Gulati","name_suffix":"","institution":"New York University Grossman School of Medicine, Ronald O. Perelman, Department of Emergency Medicine, New York, New York; New York City Health and Hospitals Corporation, Bellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Rana","middle_name":"","last_name":"Biary","name_suffix":"","institution":"New York University Grossman School of Medicine, Ronald O. Perelman, Department of Emergency Medicine, New York, New York; New York City Health and Hospitals Corporation, Bellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Evan","middle_name":"","last_name":"Yanni","name_suffix":"","institution":"New York University Grossman School of Medicine, Ronald O. Perelman, Department of Emergency Medicine, New York, New York; New York City Health and Hospitals Corporation, Bellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":""},{"first_name":"Christian","middle_name":"","last_name":"Koziatek","name_suffix":"","institution":"New York University Grossman School of Medicine, Ronald O. Perelman, Department of Emergency Medicine, New York, New York; New York City Health and Hospitals Corporation, Bellevue Hospital Center, Department of Emergency Medicine, New York, New York","department":""}],"date_submitted":"2025-02-09T23:26:06.556000+05:30","date_accepted":"2025-05-31T01:13:53.418000+05:30","date_published":"2025-10-22T03:12:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/42507/galley/43167/download/"}]},{"pk":53172,"title":"How I Teach: Shenanigans are allowed","subtitle":null,"abstract":"Incorporating thinking pulled from creativity research and comics theory, this essay explores the value of play and creativity in learning environments. The essay is constructed in two parts: the main body is presented in comic form and then followed by a second section containing instructions and relevant worksheets for an adaptation exercise designed for classroom use.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"creative pedagogy"},{"word":"comics pedagogy"},{"word":"creative teaching"},{"word":"interactive classroom"}],"section":"How I Teach ....","is_remote":true,"remote_url":"https://escholarship.org/uc/item/49h4w6r8","frozenauthors":[{"first_name":"Kristen","middle_name":"Haas","last_name":"Curtis","name_suffix":"","institution":"Université de Fribourg","department":""}],"date_submitted":"2025-10-17T00:16:28.627000+05:30","date_accepted":"2025-10-17T00:18:05.320000+05:30","date_published":"2025-10-21T23:51:49.054000+05:30","render_galley":{"label":"Final_Curtis_How I Teach","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/53172/galley/40074/download/"},"galleys":[{"label":"Final_Curtis_How I Teach","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/53172/galley/40074/download/"}]},{"pk":42251,"title":"An Interview with Kim Zarins, author of Sometimes We Tell the Truth","subtitle":null,"abstract":"In this interview conducted by Mohamed Karim Dhouib, author and medievalist Kim Zarins discusses her young adult novel Sometimes We Tell the Truth (2016), a contemporary retelling of Chaucer’s The Canterbury Tales. The novel reimagines Chaucer’s iconic pilgrims as modern teenagers on a bus trip to Washington, D.C. Zarins reflects on the process of adaptation, such as portraying the Pardoner as intersex—while emphasizing the pedagogical value of retellings in making medieval literature more accessible. She advocates for inclusive approaches to teaching and explains how her own novel has inspired student engagement with Chaucer. The conversation also delves into Zarins’ interactive classroom strategies that help students form meaningful connections with premodern texts. The interview ultimately reveals how creative adaptations and innovative teaching methods can help contemporary audiences access, discover, and appreciate both the striking differences and surprising similarities between Chaucer’s era and today.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"retelling"},{"word":"adaptation"},{"word":"Chaucer"}],"section":"Conversations","is_remote":true,"remote_url":"https://escholarship.org/uc/item/01j9k5sn","frozenauthors":[{"first_name":"Mohamed","middle_name":"Karim","last_name":"Dhouib","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2025-02-04T02:14:38.040000+05:30","date_accepted":"2025-08-28T22:14:03.460000+05:30","date_published":"2025-10-21T23:51:14.423000+05:30","render_galley":{"label":"Final_Dhouib_Interview","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/42251/galley/40079/download/"},"galleys":[{"label":"Final_Dhouib_Interview","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/42251/galley/40079/download/"}]},{"pk":42265,"title":"Students Becoming Participant-Observers in the Arthurian Tradition","subtitle":null,"abstract":"The author presents and critically examines a few strategies to promote learning by doing in an Arthurian Traditions course. The focus is on how to introduce creative writing students to writerly inquiries as a means to read medieval texts, and at the same time, how to introduce critical literary students to creative-criticism. Concepts of the auctor and the process of imitatio become central in analysing the mechanics and craft of texts and of the place for repetition and revision in the literary Tradition. The assessment brief is shared in detail, which tasks students to create an Arthurian text and then to edit that text. Developing editorial skills requires students to become alert to features from punctuation to paratext and ensures critical creativity in developing students to be writerly readers.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Creative-criticism"},{"word":"Participant-Observer"},{"word":"Arthurian Tradition"},{"word":"auctor"},{"word":"imitatio"},{"word":"editing"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8s0371r8","frozenauthors":[{"first_name":"Karen","middle_name":"Elaine","last_name":"Smyth","name_suffix":"","institution":"University of East Anglia","department":"Literature, Drama and Creative Writing"}],"date_submitted":"2025-02-06T22:22:20.342000+05:30","date_accepted":"2025-08-28T22:16:10.064000+05:30","date_published":"2025-10-21T23:50:24.605000+05:30","render_galley":{"label":"Final_Smyth_Students","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/42265/galley/40083/download/"},"galleys":[{"label":"Final_Smyth_Students","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/42265/galley/40083/download/"}]},{"pk":40391,"title":"On Frustration: Reading The Book of Margery Kempe in the Classroom","subtitle":null,"abstract":"This article thinks about the role of frustration in pedagogical encounters with texts. Taking as my case study the frequently frustrating (and frustrated) The Book of Margery Kempe, I ask: Why might this text elicit negative responses from first-time readers? What is so frustrating about Margery Kempe? And to what extent should we—as teachers, students, and scholars—attempt to repair our frustrated feelings about the text? Answering these questions involves some investigation into the much-discussed tension between reading symptomatically or sympathetically, and how we can learn (and teach) a permissibly affective response within the parameters of the discipline. I propose that, in fact, moments of frustration can act as “teaching moments” both for the student and the educator, because they remind us of the ways that the medieval text might elude or vex us, and of the expectations we place upon ourselves, as scholars, to respond in certain ways and with or without certain expressions of feeling. The paper concludes by arguing for the importance of learning to tolerate frustration, and with a redefinition of the reparative as a forward-looking, preparative mode.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Psychoanalysis"},{"word":"Medieval Studies"},{"word":"pedagogy"},{"word":"Literary Criticism"},{"word":"Margery Kempe"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1vd6709t","frozenauthors":[{"first_name":"Hannah","middle_name":"","last_name":"Lucas","name_suffix":"","institution":"University of Cambridge","department":"None"}],"date_submitted":"2024-03-28T22:11:04+05:30","date_accepted":"2024-03-28T22:11:04+05:30","date_published":"2025-10-21T23:49:32.573000+05:30","render_galley":{"label":"Final_Lucas_On Frustration","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40391/galley/40075/download/"},"galleys":[{"label":"Final_Lucas_On Frustration","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/40391/galley/40075/download/"}]},{"pk":53245,"title":"Editor’s Introduction, CIS 14.2","subtitle":null,"abstract":"","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Introduction","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9xj9p04f","frozenauthors":[{"first_name":"Jon","middle_name":"R.","last_name":"Snyder","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-10-25T21:30:33.226000+05:30","date_accepted":"2025-10-25T21:31:17.507000+05:30","date_published":"2025-10-21T22:26:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/53245/galley/40775/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/53245/galley/40775/download/"}]},{"pk":52955,"title":"Contro gli oggetti: attorno a un igloo di Mario Merz nel 1968","subtitle":null,"abstract":"Realizzato all’indomani della contestazione francese del maggio 1968, l’Igloo di Mario Merz, intitolato Objet cache-toi, era una peculiare combinazione tra il linguaggio della protesta—il titolo derivava da un graffito apparso in quel periodo sui muri della Sorbona—e la dematerializzazione dell’arte post-minimalista. L’articolo prova a comprendere le strategie di opposizione alla civiltà dei consumi e al feticismo delle merci messe in atto dall’Arte Povera e da Merz in parallelo al movimento del Sessantotto, ponendole a paragone con una particolare tipologia del modernismo artistico in Italia e le interpretazioni storiografiche degli slogan sessantotteschi.
\nCreated in the aftermath of the French protests of May 1968, Mario Merz's Igloo, titled Objet cache-toi, was an unusual blend of protest language—the title was inspired by graffiti that appeared on the walls of the Sorbonne at that time—and the dematerialization of post-minimalist art. This article compares Arte Povera and Merz's strategies of opposing consumerism and commodity fetishism with a specific strand of Italian artistic modernism and the historiographical interpretations of the 1968 slogans.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/77x009pz","frozenauthors":[{"first_name":"Denis","middle_name":"","last_name":"Viva","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2025-09-27T05:48:07.779000+05:30","date_accepted":"2025-10-12T20:51:15.712000+05:30","date_published":"2025-10-21T22:25:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/52955/galley/40770/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/52955/galley/40770/download/"}]},{"pk":53199,"title":"The Gut of Naples by Matilde Serao","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.\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":"Documents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4pg5g23n","frozenauthors":[{"first_name":"Matilde","middle_name":"","last_name":"Serao","name_suffix":"","institution":"","department":""},{"first_name":"Jon","middle_name":"R.","last_name":"Snyder","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-10-19T22:03:19.929000+05:30","date_accepted":"2025-10-19T22:04:10.896000+05:30","date_published":"2025-10-21T22:25:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/53199/galley/40815/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/53199/galley/40815/download/"}]},{"pk":48562,"title":"“Traverser les signes”: Michel de Certeau in Italy","subtitle":null,"abstract":"This article explores the relationship between Michel de Certeau (1925–1986)—French historian, theologian, and anthropologist—and the contemporary Italian academic milieu, with a particular focus on his engagement with semiotics and mysticism. On the one hand, Certeau took an active role in the scholarly and research initiatives promoted by the International Center for Semiotics and Linguistics in Urbino, where he revisited, developed, and articulated the central themes of his work. On the other, he found especially fertile ground for dialogue with Italian scholars on the subject of mysticism. Concentrating primarily on the network of relationships that emerged during the 1970s, the article also reconstructs the main trajectories through which Certeau’s thought was received and interpreted in Italy during his lifetime and afterward.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Certeau"},{"word":"Semiotics"},{"word":"Mysticism"}],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4tq6253k","frozenauthors":[{"first_name":"Diana","middle_name":"","last_name":"Napoli","name_suffix":"","institution":"Pontifical Gregorian University","department":""}],"date_submitted":"2025-06-15T18:55:46.256000+05:30","date_accepted":"2025-07-24T05:05:15.260000+05:30","date_published":"2025-10-21T22:25:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/48562/galley/40763/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/48562/galley/40763/download/"}]},{"pk":40969,"title":"\"La lente bifocale\": lineamenti metodologici di una possibile storia del \"campo\" poetico italiano degli anni Settanta del Novecento","subtitle":null,"abstract":"The quantitative and qualitative broadening of the Italian poetic field in the 1970s, which occurred in response to the profound coeval socio-cultural changes (mass schooling, proletarianization of culture, emergence of new political-poetic and social subjects), requires literary critics interested in reconstructing the poetic framework of the decade to substantially update their tools of inquiry. The idealistic, inductive and often \"monofocal\" approach most frequented by Italian academic criticism, accustomed to treating the text as an autonomous organism and ignoring its correlations with its historical and material context of reference, has so far revealed its inadequacy in accounting for the plurality of poetic and cultural experiences of those \"hyper-historical\" years, ending up by entrenching itself in an asphyxiated geo-editorial canon and in anachronistic trend categories that are hardly representative of the actual context of the decade under consideration. This paper aims to draw the methodological lineaments of a \"bifocal\" approach to the 1970s, namely one that reconciles context reconstruction and text analysis, sociological inquiry and stylistic-philological criticism, close and distant reading, based in particular on the operational model offered by Pierre Bourdieu's literary sociology (with forays into the theories of Antonio Gramsci, Pascale Casanova, Alain Viala and Franco Moretti). After briefly sketching the structural changes occurred in the post-sixty-eight historical-poetic landscape and reconstructing the terms, places and editorial modes of the critical debate around the poetry of the 1970s (paragraphs 1 and 2), this article proceeds to a theoretical reconnaissance around Bourdieusian notions of \"field,\" \"conflict\" and \"habitus\" and then proposes an empirical application of them to the specific Italian poetic field of the decade (paragraphs 3 and 4).
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Poetry"},{"word":"Critics"},{"word":"sociology"},{"word":"Literary Field"},{"word":"Canon"}],"section":"Notes from the Field","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3fx5v704","frozenauthors":[{"first_name":"Germana","middle_name":"","last_name":"Dragonieri","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-07-05T19:14:52+05:30","date_accepted":"2025-07-26T23:02:16.923000+05:30","date_published":"2025-10-21T22:24:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40969/galley/40810/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40969/galley/40810/download/"}]},{"pk":52920,"title":"Last Gasp Attempts: Don't Believe the Hype, Don't Drink the Kool-Aid ","subtitle":null,"abstract":"What are the risks of falling prey to protagonisms within the realm of cultural organization and curation? How might we reflect upon the work that we engage in as not aligned with the modes and motivations of cultural institutions around us? What does it mean for the objectives of shifting culture and society to be unaligned with those divisive factors that keep us focused on obtaining those few resources available in exchange for notions of integration into a system that has done little to demonstrate a care for what we represent? I have often reflected upon the notion of collectivity within curatorial practice and the ways in which the shifting away from the individual, the opacity provided by collective gestures, force institutions to have to dismantle those assignments of value that leave space for only those “chosen” to enter.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Museums"},{"word":"coloniality"},{"word":"blackness"},{"word":"Italy"},{"word":"recovery"}],"section":"Notes from the Field","is_remote":true,"remote_url":"https://escholarship.org/uc/item/95n1x3ch","frozenauthors":[{"first_name":"Justin","middle_name":"Randolph","last_name":"Thompson","name_suffix":"","institution":"The Recovery Plan","department":""}],"date_submitted":"2025-09-20T14:58:07.606000+05:30","date_accepted":"2025-10-26T23:26:57.567000+05:30","date_published":"2025-10-21T19:46:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/52920/galley/40170/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/52920/galley/40170/download/"}]},{"pk":48401,"title":"The Abunä’s Prayer for Fascist Italy: A Curious Episode from the Colonial Archive (Occupied Ethiopia, 11 June 1940)","subtitle":null,"abstract":"This article presents a hitherto unexamined Italian Occupation-era sermon that highlights the relationship between the Italian colonial government in East Africa and a collaborationist faction of the Ethiopian Orthodox church. The text is a public prayer likely given by the Ethiopian Metropolitan of Aksum (or perhaps even the Nəburä əd [a clerical head]) in response to, and in support of, Italy’s declaration of war against Great Britain and France (June 10, 1940) on the outset of World War Two. The document consists of a short sermon (published bilingually in the original Amharic as well as in Italian translation) followed by a prayer, asking God to support Italy and the Italian Emperor (Vittorio Emanuele III) in its fight against France and Great Britain. It is an unequivocal piece of propaganda, issued by the Ufficio Diffusione Stampa dell’Impero, specifically by the Governo dell’Eritrea, Direzione del Personale e AA. GG., Sezione Studi, for the newspaper Corriere Eritreo (published on June 16). As such, while it is impossible to assess the text’s accuracy, the fact that the published version includes the original Amharic (incorporating a number of Gəʿəz [Ancient Ethiopian, termed gheez in the Italian memo] words and phrases) would suggest it was composed by members of the EOTC (Ethiopian Orthodox Täwaḥədo Church) and then read by the elite clergy of Aksum (perhaps by the collaborationist metropolitan Yoḥannǝs I) and translated by the memo’s author, Gavino Gabriel. As I contend here, the existence of this sermon illustrates a profound localization of Italian rule by some elite clergy in the Ethiopian Orthodox Church. Indeed, as the text would seem to confirm, the some of the clergy of Aksum Ṣǝyon legitimated the Kingdom of Italy as they once did the Ethiopian Emperor.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Colonialism"},{"word":"Ethiopia"},{"word":"fascism"},{"word":"Christianity"},{"word":"Islam"}],"section":"Documents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/664920b4","frozenauthors":[{"first_name":"Mikael","middle_name":"","last_name":"Muehlbauer","name_suffix":"","institution":"mmuehlbauer1@gmail.com","department":""}],"date_submitted":"2025-06-06T00:02:46.191000+05:30","date_accepted":"2025-10-12T20:50:52.342000+05:30","date_published":"2025-10-21T19:43:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/48401/galley/40809/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/48401/galley/40809/download/"}]},{"pk":40984,"title":"Field Notes from the Multispecies Futures Lab: Entangled Lives, Bodies, and Ecocultural Systems","subtitle":null,"abstract":"These field notes—in contrast to a typical journal article—employ a creative structure and approach to explore the goals and activities of a new humanities lab. The notes begin by remembering the tragic death of a young migrant agricultural worker in the Agro Pontino region of Italy, Mr. Satnam Singh. This untimely loss of life is then contextualized within the contemporary phenomenon of “dunki” migration from India to the Global North and read through the notion of “the Cybercene”—a transformational ecocultural sub-era of the Anthropocene. Via the theoretical lens of the relatively new field of multispecies humanities, the Agro Pontino is shown to be an ecocultural space replete with colonial-Cybercene multispecies, multi-kind and multi-era co-becomings. The second section briefly describes two more projects to illustrate the lab’s four basic theoretical premises: namely, i) the analysis of natureculture, ii) the use of situated decolonial epistemologies, iii) the search for a material turn, and iv) delimiting anthropocentricity. These foundational premises, newly developed methods such as “multispecies thick-mapping,” “naturalcultural discourse analysis” and the use of the Cybercene as an ecocultural rather than a techno-scientific organizational principle are offered as exciting avenues for future analyses of profoundly entangled naturalcultural identities and multispecies affects, interests and destinies.
\n","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Cybercene"},{"word":"Anthropocene"},{"word":"Environmental Humanities' Multispecies Humanities"},{"word":"migrations"},{"word":"Race"},{"word":"Italy"}],"section":"Notes from the Field","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3xh423nm","frozenauthors":[{"first_name":"Vetri","middle_name":"","last_name":"Nathan","name_suffix":"","institution":"UCLA","department":""}],"date_submitted":"2024-10-29T05:18:49+05:30","date_accepted":"2025-07-30T04:59:16.597000+05:30","date_published":"2025-10-21T19:42:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40984/galley/40699/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40984/galley/40699/download/"}]},{"pk":40987,"title":"Translating Black Feminist Thought: Marie Moïse, Rahma Nur, and the Politics of Visibility in Italy","subtitle":null,"abstract":"
This essay examines how translation shapes Black Italian cultural politics, focusing on the circulation of Black feminist thought in translation as both linguistic transfer and political praxis. Central to the analysis is translator and activist Marie Moïse, whose translations and workshops foreground Black Italian voices and connect transnational Black feminist theory to local struggles. The essay also considers the “boomerang effect” of translation through Rahma Nur, whose recognition in Italy was mediated by the circulation of her work abroad. Drawing on Spivak, Venuti, and Edwards, it argues that translation is dialogic and recursive: it enables visibility, exposes structural inequalities, and opens space for Black Italian feminists to articulate positionality, critique erasure, and foster transnational solidarity.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"translation"},{"word":"Black Feminism"},{"word":"anti-blackness"},{"word":"Kinship"}],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/5g66t99r","frozenauthors":[{"first_name":"Barbara","middle_name":"","last_name":"Ofosu-Somuah","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-11-05T07:56:31+05:30","date_accepted":"2025-10-07T06:13:24.816000+05:30","date_published":"2025-10-21T19:42:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40987/galley/40175/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40987/galley/40175/download/"}]},{"pk":40980,"title":"Fictive Archive, Temporal Reparations, and Italy’s “Postcolonial Now”","subtitle":null,"abstract":"By sketching out the theoretical contours of what Hal Foster terms a contemporary “archival impulse,” this essay highlights the analytical potential with regards to the coupling of archive and postcolonial literature in Italy. This focus leads to the examination of how the archive’s literary mediation with pastness enables new temporal trajectories, for which the recuperative impulse can also disturb normative historicist practices. In this essay, I will focus on the novel Timira : Romanzo Meticcio (2012) by Wu Ming 2 and Antar Mohamed and examine how its innovations in both narrative content and form generate essential potentialities for reframing the power relations between archive, fiction, and the political dimension of historicity. The approach adopted by both authors brings real-life details closer to literary invention and immerses fictions within concrete and factual objects, thus creating a new literary form that allows the emergence of new epistemological arrangements alternative to current trends in postcolonial criticism. In this novel, imaginaries of incompletion, fragmentation, and rhizome allude to the disruption of a past-present temporal continuum and transform the post- as a contested site pointing to a new process of becoming . Speaking directly about the function of the archive allows us to consider how the hermeneutic malleability between narrative and history intervenes critically in Italy’s current narratological ambition to imagine a postcolonial “now.” Additionally, I suggest that Timira ’s aesthetic potential pertains to an emerging cultural shift in Italy where the traditional (violent) mode of looking-backward and moving-forward has been giving way to accommodating alternative critiques of time, inviting us to reflect on the generative power of future-thinking.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"postcolonial literature"},{"word":"Archive Theory"},{"word":"Temporality"},{"word":"Epistemologies of Race"}],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2r4908ft","frozenauthors":[{"first_name":"Qian","middle_name":"","last_name":"Liu","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-10-25T10:16:08+05:30","date_accepted":"2025-09-20T23:29:42.240000+05:30","date_published":"2025-10-21T19:41:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40980/galley/40808/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40980/galley/40808/download/"}]},{"pk":40977,"title":"The “Oppositional Gaze” and the Italian Cinema: Joy Nwosu’s Cinema e Africa nera (1968)","subtitle":null,"abstract":"In this article, I explore the work of Joy Nwosu, an ethnomusicologist, musician and film scholar, who in 1968 published Cinema e Africa nera: l’immagine dei neri nel cinema bianco e il primo cinema africano visti nel 1968 (Cinema and Black Africa: The Image of Black People in White Cinema and Early African Cinema as seen in 1968). I approach Nwosu’s study, now over fifty-five years removed from its original date of publication, in order to examine the work as an example of what scholar and activist bell hooks articulates as an “oppositional gaze,” or a critical viewing practice enacted by Black women spectators. Specifically, what would it mean to acknowledge Nwosu’s study as a foundational moment of postcolonial Italian Cinema Studies thus challenging the historiography of the field? I will first outline the sociopolitical contexts of Nwosu’s Cinema e Africa nera, including African decolonization and its reception in Italy. I then consider the study’s significance in relation to a body of scholarship on Italian cinema and media studies attendant to racial discourse and representation, most notably those produced within the last twenty years. I argue that Nwosu’s Cinema e Africa nera directs us to reconsider Italian film history proper, advancing a critical race and decolonial analysis prior to the formative emergence of these fields almost two decades later.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Italian Colonialism"},{"word":"Italian Film and Media"},{"word":"Italian Postcolonial Studies"}],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/7xf2050w","frozenauthors":[{"first_name":"Shelleen","middle_name":"","last_name":"Greene","name_suffix":"","institution":"UCLA","department":""}],"date_submitted":"2024-09-23T21:59:50+05:30","date_accepted":"2025-05-17T22:43:17.248000+05:30","date_published":"2025-10-21T19:40:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40977/galley/40813/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40977/galley/40813/download/"}]},{"pk":40974,"title":"On Afro-pessimism and Afrofuturism: The Black “Boogeymen” of Childish Gambino and Ghali","subtitle":null,"abstract":"This article examines the socially conscious creations of Black “boogeymen” by two artists of widespread appeal and noteworthy success: African American actor, writer, producer, and rapper Donald Glover, and second-generation Italian rapper of Tunisian parents, Ghali. Contributing to ongoing conversations sparked by Afropessimists and Afrofuturists, I aim to show that Glover’s and Ghali’s respective artistic interventions recenter the historically dismissed Black presence in history and culture in the U.S. and Italy from the perspective of Black men. First, an analysis of song lyrics and audiovisual elements in both artists’ versions of “Boogieman” elucidates a shared Afropessimistic impulse imploring the listener to acknowledge and confront the structures of racism that have shaped negative perceptions of Black communities, particularly Black men. Next, through observations of the Afrofuturistic elements experimented with by Glover and Ghali, I illustrate the performers’ active and imaginative (re)creations of the “boogeyman” legend, through a Black cultural lens. I close this article by sharing additional examples of Ghali’s recent and ongoing contributions to the Afrofuturism movement in Italy and beyond, underscoring his role in expanding its reach and resonance across diasporic contexts.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Boogeyman"},{"word":"Afro-Pessimism"},{"word":"Afrofuturism"},{"word":"Black Disapora"},{"word":"Gambino"},{"word":"Ghali"}],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/52442309","frozenauthors":[{"first_name":"Lisa","middle_name":"","last_name":"Dolasinski","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-09-15T03:29:22+05:30","date_accepted":"2025-07-20T23:03:41.270000+05:30","date_published":"2025-10-21T19:38:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40974/galley/40752/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40974/galley/40752/download/"}]},{"pk":40973,"title":"The Racial \"Other\" in Italian Folklore: Analyzing \"The Three Oranges\" and Its Adaptations","subtitle":null,"abstract":"This paper examines the racialized construction of the false bride figure in “The Three Oranges” folktale tradition, tracing its iterations from Giambattista Basile’s “I tre cedri” (1634, “The Three Citrons”) through Carlo Gozzi’s eighteenth-century theatrical adaptations. Focusing on tale type 408, this study argues that the figure of the dark-skinned, enslaved false bride functions as a strategic narrative device that encodes racial, religious, and social hierarchies. Drawing on Geraldine Heng’s framework of race as a structural mechanism for organizing human difference, this analysis explores how the racialization of the antagonist reinforces the moral legitimacy of the fair-skinned, rightful bride, aligning whiteness with virtue and Blackness with deception and disorder. While Basile’s tale embeds racialized metaphors within early modern Neapolitan society’s Mediterranean context, Gozzi’s L’amore delle tre melarance (The Love of Three Oranges) partially retains these tropes, reconfiguring the false bride as a Turkish servant within commedia dell’arte conventions. However, Gozzi’s L’augellino belverde (The Green Bird) departs from this racial logic by erasing explicit markers of race, suggesting a shift in thematic priorities rather than a direct engagement with racial discourse. This erasure, however, does not negate the foundational role of racial logic in the folktale’s structure. By comparing these adaptations, this paper demonstrates how racial narratives in European folklore persist, evolve, and, at times, disappear, revealing the fluidity of race as both a literary and ideological construct. Ultimately, this study situates “The Three Oranges” within the broader framework of premodern racial thought, arguing that these narratives actively participate in the historical construction of race and alterity in European storytelling.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"folklore"},{"word":"Race"},{"word":"Saracens"},{"word":"Three Oranges"}],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/49h6p5xh","frozenauthors":[{"first_name":"Jeffrey","middle_name":"","last_name":"Achierno","name_suffix":"","institution":"UC Riverside","department":""}],"date_submitted":"2024-09-13T09:03:15+05:30","date_accepted":"2025-07-30T04:58:48.063000+05:30","date_published":"2025-10-21T19:38:00+05:30","render_galley":{"label":"Galley Proof","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40973/galley/40086/download/"},"galleys":[{"label":"Galley Proof","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40973/galley/40086/download/"}]},{"pk":40985,"title":"Petro-Modernity and the Racialized Politics of Extraction: ENI and the making of the African Anthropocene","subtitle":null,"abstract":"Analyzing two ENI documentaries from the 1960s, Oduroh (1964) and Uomini del petrolio (1965, Oilmen), this article considers the historical and contemporary logics shaping Italy’s extractive relationship with Africa. Framed by the recent revival of Enrico Mattei’s legacy in Giorgia Meloni’s government current “Mattei Plan for Africa,” the essay reads these corporate films as crucial interscalar devices. The films reveal ENI’s strategy of using developmentalist narratives and specific visual representations to naturalize its largescale interventions. Oduroh shows the making of African subjects suitable for extractive work, while Uomini del petrolio documents the physical reshaping of African landscapes for resource exploitation. Together, these films exemplify what the paper identifies as the dual processes of cultural and material transformation necessary for establishing extractive operations in Africa. The article contributes to discussions of petro-modernity, the African Anthropocene, and racial capitalism by showing how ENI’s simultaneous construction of extractive infrastructure and developmentalist narratives produced new ways of imagining Africa’s territories and futures.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"extractivism"},{"word":"developmentalism"},{"word":"racial capitalism"},{"word":"industrial cinema"},{"word":"african anthropocene"},{"word":"petromodernity"},{"word":"ENI"}],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1ph8b7jr","frozenauthors":[{"first_name":"Emiliano","middle_name":"","last_name":"Guaraldo","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-11-02T19:17:31+05:30","date_accepted":"2025-07-04T23:51:25.070000+05:30","date_published":"2025-10-21T19:35:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40985/galley/40778/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40985/galley/40778/download/"}]},{"pk":40976,"title":"“Le facce nere del festival”: Black Musicians at Sanremo in the 1960s","subtitle":null,"abstract":"This article explores the history of Black musicians at the Sanremo Music Festival during the 1960s, as the festival sought to reach international markets and bolster Italy’s recording and publishing industries. Over that decade, artists including Louis Armstrong, Dionne Warwick, Wilson Pickett, Shirley Bassey, and Eartha Kitt performed at Sanremo, raising critical questions about the festival’s role as a cultural venue where racial categories and hierarchies in Italy are constructed and negotiated. Drawing on musicological analysis and archives of some of Italy’s most prominent newspapers and magazines (La Stampa, Corriere della Sera, Radiocorriere TV, and others), this article argues that the Italian public theorized a Black musicality distinct from a (white) Italian musical aesthetic. The dual performances of canzone italiana (Italian song) that characterized the festival during much of the 1960s enabled these comparisons, as performances translated songs not only linguistically but also culturally and racially. Journalists often wrote about the Black musicians in ways that highlighted their Blackness and their difference musically, visually, and, as it concerned Black women, sexually, invoking the colonial trope of the Venere nera (Black Venus). Ultimately, by examining this foundational period, the article demonstrates how Sanremo provided a public space to negotiate questions of race, belonging, and italianità (Italianness), indirectly engaging with Italy’s often overlooked history of colonialism and Fascism. The article concludes by linking the legacy of these artists to the cultural politics of Black Italian music today.
\n","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Sanremo"},{"word":"Black music"},{"word":"la canzone italiana"},{"word":"Musicology"}],"section":"Critical Essays and Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2wq5v015","frozenauthors":[{"first_name":"Clifton","middle_name":"","last_name":"Boyd","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-09-23T08:32:29+05:30","date_accepted":"2025-07-20T23:04:43.636000+05:30","date_published":"2025-10-21T19:34:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40976/galley/40812/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40976/galley/40812/download/"}]},{"pk":53213,"title":"Introduction: Black Italia and the Insurgent Politics of Knowledge Production ","subtitle":null,"abstract":"
The field of Black Italian studies encompasses a wide array of subfields, methodological approaches, and intellectuals. In this introduction, we advance a provisional definition, conceived not as a definitive or rigidly prescriptive formulation but rather as an opening intervention intended to stimulate further theoretical elaboration and critical engagement with this evolving field. Using an intentionally broad and porous definition that does not seek to impose labels, we understand Black Italia as an interdisciplinary field of study characterized by a set of intellectual, political, and artistic practices and approaches that broadly aim at (re)centering and excavating the Black presence in the Italian and Italian speaking contexts. This presence encompasses African, Afrodescendant and Afrodiasporic histories, experiences, and cultural and artistic productions that, despite their existence, have been historically overlooked and marginalized.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Black Italy"},{"word":"Black Italia"},{"word":"Black Mediterranean"},{"word":"racism"},{"word":"Race"},{"word":"Colonialism"},{"word":"migration"},{"word":"blackness"}],"section":"Introduction","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4jd150c6","frozenauthors":[{"first_name":"Camilla","middle_name":"","last_name":"Hawthorne","name_suffix":"","institution":"UC Santa Cruz","department":""},{"first_name":"Angelica","middle_name":"","last_name":"Pesarini","name_suffix":"","institution":"University of Toronto","department":"Italian Studies"}],"date_submitted":"2025-10-21T05:44:24.221000+05:30","date_accepted":"2025-10-26T19:08:12.010000+05:30","date_published":"2025-10-21T19:32:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/53213/galley/40855/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/53213/galley/40855/download/"}]},{"pk":53171,"title":"Accessible Futures: On Failure, Inclusion, and the Not-Yet","subtitle":null,"abstract":"This short essay reflects on the incomplete and often inconsistent nature of access in academic spaces. It shows how, despite good intentions, access often fails in practice and argues for more thoughtful, flexible approaches to building accessible futures. The essay concludes with additional suggested reading on the topic of access.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"critical disability studies"},{"word":"accessibility"}],"section":"Cluster: Access","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4c0724sg","frozenauthors":[{"first_name":"Richard","middle_name":"H.","last_name":"Godden","name_suffix":"","institution":"Louisiana State University","department":""}],"date_submitted":"2025-10-17T00:04:36.794000+05:30","date_accepted":"2025-10-17T00:07:14.580000+05:30","date_published":"2025-10-21T06:40:00+05:30","render_galley":{"label":"Final_Godden_Accessible Futures","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/53171/galley/40073/download/"},"galleys":[{"label":"Final_Godden_Accessible Futures","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/53171/galley/40073/download/"}]},{"pk":41529,"title":"Accessing Videogames for Medieval Studies Course Plans: Four Points of Entry","subtitle":null,"abstract":"From Crowther and Wood's 1976 Colossal Cave Adventure to the top games of 2024, the virtual worlds of videogames have been commonly set in worlds based loosely or closely on European history and literature dated 500-1500 CE. Modern subjects have long instrumentalized the symbolic vocabulary of medieval history and romance for representing to themselves the embodied, affective experience of inhabiting virtual, mediated environments, which videogames have also taken up as one of their major subjects. Studying this medievalism in videogames does not only provide instructors and students with a way of accessing medieval history, but also with a way of contextualizing the importance of that history in relation to a major twenty-first century expressive form. This essay identifies four points of entry for instructors, including the narrative concept of adventure, the interrelationship between videogame death and the gothic, and the lore recorded in the rogue archives of videogame fandom.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"videogames"},{"word":"adventure"},{"word":"Race"},{"word":"Class"},{"word":"lore"},{"word":"Gothic"},{"word":"grail"},{"word":"rpg"}],"section":"Cluster: Access","is_remote":true,"remote_url":"https://escholarship.org/uc/item/46h4j72g","frozenauthors":[{"first_name":"Stephen","middle_name":"M","last_name":"Yeager","name_suffix":"","institution":"Concordia","department":"English"}],"date_submitted":"2024-12-22T00:36:38.904000+05:30","date_accepted":"2025-08-28T22:13:17.459000+05:30","date_published":"2025-10-20T23:48:00+05:30","render_galley":{"label":"Final_Yeager_Videogames","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/41529/galley/40072/download/"},"galleys":[{"label":"Final_Yeager_Videogames","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/41529/galley/40072/download/"}]},{"pk":48927,"title":"Literature, Media, and Medievalism in the Non-Anglophone Classroom: The Case of Taiwan","subtitle":null,"abstract":"Teaching medieval English literature in a non-Anglophone classroom presents challenges, as students are often unfamiliar with the cultural context of medieval Europe. This paper discusses how the subject is taught in Taiwan, highlighting how students in my classroom explore medieval elements in modern media and adaptations as they conduct research on topics of their own choice. Three student-selected topics are shared: the film The Green Knight, the Japanese mobile game Fate/Grand Order, and Arthurian-themed tarot decks. While the analyses of these papers may not be fully developed and mature, they show students’ critical thinking and creativity as they engage with contemporary media. Through these explorations, medieval studies become more accessible and relevant. By sharing this teaching experience, the paper aims to demonstrate how modern media and entertainment can motivate students in the non-Anglophone classroom to think critically and creatively about medieval English literature.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"Media"},{"word":"Medievalism"},{"word":"Taiwan"},{"word":"The Green Knight"},{"word":"Fate/Grand Order"},{"word":"Arthurian tarot decks"}],"section":"Cluster: Access","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3nb3k2t2","frozenauthors":[{"first_name":"Sophia","middle_name":"Yashih","last_name":"Liu","name_suffix":"","institution":"National Taiwan University","department":"Department of Foreign Languages and Literatures"}],"date_submitted":"2025-07-09T15:47:24.481000+05:30","date_accepted":"2025-08-28T22:19:48.763000+05:30","date_published":"2025-10-20T23:47:00+05:30","render_galley":{"label":"Final_Liu_Taiwan","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/48927/galley/40085/download/"},"galleys":[{"label":"Final_Liu_Taiwan","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/48927/galley/40085/download/"}]},{"pk":53180,"title":"Increasing Accessibility and Access to the Medieval through Open Textbooks","subtitle":null,"abstract":"This essay considers how open educational resources (OER), particularly open textbooks, can address barriers of cost, representation, and access in teaching medieval literature. Beginning with the adaptation of existing free digital materials, the author outlines the benefits and challenges of curating resources that emphasize disability studies and diverse cultural perspectives. The discussion then turns to the creation of original open textbooks, such as Heritages of Change, which integrate Universal Design for Learning principles and cultural heritage frameworks into first-year writing and literature courses. These initiatives expand the accessibility of medieval content by eliminating financial burdens, embedding multiple perspectives, and offering flexible pedagogical approaches. The essay argues that the labor of developing OER is offset by the ability to provide equitable, inclusive, and up-to-date course materials. Ultimately, open textbooks not only increase student access to medieval studies but also foster connections between the past and present through inclusive and socially responsive teaching practices.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"accessibility"},{"word":"open educational resources (OER)"},{"word":"medieval pedagogy"}],"section":"Cluster: Access","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3gg0633g","frozenauthors":[{"first_name":"Kisha","middle_name":"G.","last_name":"Tracy","name_suffix":"","institution":"","department":""}],"date_submitted":"2025-10-17T19:17:08.177000+05:30","date_accepted":"2025-10-17T19:19:16.806000+05:30","date_published":"2025-10-20T23:45:00+05:30","render_galley":{"label":"Final_Tracy_Accessibility","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/53180/galley/40076/download/"},"galleys":[{"label":"Final_Tracy_Accessibility","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/53180/galley/40076/download/"}]},{"pk":41541,"title":"Access to Equal Pay","subtitle":null,"abstract":"This essay examines the gender pay gap among faculty in American higher education. After reviewing her experience with the Colorado Equal Pay for Equal Work Act, the author offers some reasons, having to do with academic culture, for the persistence of the pay gap.
","language":"eng","license":{"name":"Creative Commons Attribution-NonCommercial-NoDerivatives 4.0","short_name":"CC BY-NC-ND 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc-nd/4.0"},"keywords":[{"word":"gender pay gap"},{"word":"discrimination"},{"word":"academic culture"},{"word":"faculty salaries"},{"word":"roger ascham"},{"word":"inequity"},{"word":"Colorado Equal Pay for Equal Work Act"}],"section":"Cluster: Access","is_remote":true,"remote_url":"https://escholarship.org/uc/item/78c907pw","frozenauthors":[{"first_name":"Katherine","middle_name":"","last_name":"Little","name_suffix":"","institution":"None","department":""}],"date_submitted":"2024-12-27T03:19:59.887000+05:30","date_accepted":"2025-08-28T22:17:57.300000+05:30","date_published":"2025-10-20T23:44:00+05:30","render_galley":{"label":"Final_Little_Equal Pay","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/41541/galley/40080/download/"},"galleys":[{"label":"Final_Little_Equal Pay","type":"pdf","path":"https://journalpub.escholarship.org/ncs_pedagogyandprofession/article/41541/galley/40080/download/"}]},{"pk":40961,"title":"The Archive of Carmelo Bene","subtitle":null,"abstract":"Following legal disputes upon the death of Carmelo Bene (1937–2002), his archive was dispersed, and no inventory of the materials has ever been published. My article is a first attempt to organize the documents that were part of Bene’s original archive, reconstructing over fifty manuscript documents that are organized thematically and for each of which is provided a description of the material. My reconstruction of Bene's handwritten documents includes records that were subsequently lost, and also presents material related to projects for works that, although never realized by Bene, are nevertheless of extreme interest for a deeper understanding of his artistic production.
","language":null,"license":{"name":"Creative Commons Attribution-NonCommercial 4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNonCommercial — You may not use the material for commercial purposes.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"Carmelo Bene"},{"word":"Italian Studies"},{"word":"Contemporary Theatre"},{"word":"Archive Science"}],"section":"Documents","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4jk8q4gg","frozenauthors":[{"first_name":"Carlo Alberto","middle_name":"","last_name":"Petruzzi","name_suffix":"","institution":"Other","department":""}],"date_submitted":"2024-04-18T02:29:22+05:30","date_accepted":"2025-08-27T03:48:07.140000+05:30","date_published":"2025-10-20T00:00:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40961/galley/40814/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/cisj/article/40961/galley/40814/download/"}]},{"pk":45138,"title":"Prevalence and Impact of Violence Against Healthcare Workers in Brazilian Emergency Departments: A National Survey","subtitle":null,"abstract":"Introduction: Workplace violence (WPV) is a significant occupational hazard in healthcare, with emergency departments (EDs) recognized as high-risk environments. Although globally significant, data from Latin America remain scarce. In this study we aimed to evaluate the prevalence and effects of WPV on healthcare workers in Brazilian EDs.
\nMethods: We conducted a cross-sectional survey of healthcare workers in Brazilian EDs. Respondents indicated verbal and physical violence experienced within the preceding six months, along with associated psychological and occupational impacts. Univariable models identified significant associated factors, followed by multivariable models to determine independent associated factors of WPV. We reported results as adjusted odds ratios (aOR) with 95% confidence intervals. Statistical analyses were performed in R v4.4.1, and significance was defined as P < .05.
\nResults: The response rate was 19.1% (1,255/6,570), Of those responses, 61.3% (769/1,255) met the inclusion criteria and were included in the analysis. Of all respondents, 84.0% were physicians. Respondents indicated 79.6% (612/769) occurrence of WPV, including verbal abuse (79.5%) and physical assault (12.1%). Physical assaults against co-workers were witnessed by 40.3% of respondents. Perpetrators included visitors (85.3%), patients (80.7%), and co-workers (35.8%). The absence of institutional preventive measures was associated with increased WPV (aOR, 2.47; 95% CI, 1.71-3.57; P < .001), while the presence of security staff reduced WPV (aOR, 0.61; 95% CI, 0.42–0.89; P = .01). Indicated impact included post-traumatic stress symptoms (88.4%), considering leaving their job (49.5%), impaired workplace performance (75.2%), and time off work (10%), including 11.5% permanently leaving.
\nConclusion: Workplace violence is highly prevalent in Brazilian EDs, with substantial psychological and occupational consequences. The absence of protocols or preventive measures may increase WPV risk, emphasizing the urgent need for public policies to protect healthcare workers in emergency settings.
","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":"Emergency departments; Workplace violence; Multivariable analysis; Risk factors; Physical assault; Verbal violence."},{"word":"Emergency Departments"},{"word":"Workplace violence"},{"word":"Multivariable analysis"},{"word":"Risk factors"},{"word":"Physical assault"},{"word":"Verbal violence"}],"section":"Original Research (Limit 4000 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/2t10j5pc","frozenauthors":[{"first_name":"Julia","middle_name":"M.","last_name":"Dorn de Carvalho","name_suffix":"","institution":"Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Department of Emergency Medicine, São Paulo, Brazil","department":""},{"first_name":"Sarayna","middle_name":"S.","last_name":"McGuire","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota","department":""},{"first_name":"Lucas","middle_name":"","last_name":"L. R. Oliveira","name_suffix":"","institution":"Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Department of Emergency Medicine, São Paulo, Brazil","department":""},{"first_name":"Fernanda","middle_name":"","last_name":"Bellolio","name_suffix":"","institution":"Mayo Clinic, Department of Emergency Medicine, Mayo Clinic, Rochester, Minnesota","department":""},{"first_name":"Otávio","middle_name":"T.","last_name":"Ranzani","name_suffix":"","institution":"ISGlobal, Barcelona, Spain; Institut de Recerca Sant Pau (IR SANT PAU), Barcelona, Spain; Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Heart Institute, Faculty Medicine, Pulmonary Division, São Paulo, Brazil","department":""},{"first_name":"Bruno","middle_name":"A. M Pinheiro","last_name":"Besen","name_suffix":"","institution":"Faculdade de Medicina, Universidade de São Paulo, Internal Medicine Department, Medical Sciences Postgraduate Programme, São Paulo, Brazil; IDOR Education and Research Institute, São Paulo, Brazil","department":""},{"first_name":"Helio","middle_name":"","last_name":"Penna Guimarães","name_suffix":"","institution":"Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Department of Emergency Medicine, São Paulo, Brazil","department":""},{"first_name":"Maria","middle_name":"Camila","last_name":"Lunardi","name_suffix":"","institution":"Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Department of Emergency Medicine, São Paulo, Brazil","department":""},{"first_name":"Aidan","middle_name":"F","last_name":"Mullan","name_suffix":"","institution":"Mayo Clinic, Department of Quantitative Health Sciences, Rochester, Minnesota","department":""},{"first_name":"Ludhmila","middle_name":"A.","last_name":"Hajjar","name_suffix":"","institution":"Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Department of Emergency Medicine, São Paulo, Brazil","department":""},{"first_name":"Ian","middle_name":"","last_name":"Ward A. Maia","name_suffix":"","institution":"Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Department of Emergency Medicine, São Paulo, Brazil","department":""}],"date_submitted":"2025-02-28T20:59:56.999000+05:30","date_accepted":"2025-06-06T20:31:22.138000+05:30","date_published":"2025-10-17T20:04:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/45138/galley/43168/download/"}]},{"pk":33655,"title":"Biological Sex Is Associated with Pre-Tibial Subcutaneous Tissue Depth for Intraosseous Catheter Insertion","subtitle":null,"abstract":"Introduction: Intraosseous (IO) vascular access is commonly used when critically ill patients require rapid indirect venous access for the infusion of fluids and medications. The proximal tibia (PT) IO insertion site has been shown to be associated with the highest first-attempt placement success rates. However, inadequate catheter length continues to contribute to failure of IO line placement. In this study, we compared patient characteristics to the depth of soft tissue at the PT insertion site, to determine whether any specific patient subgroup may be at high risk for excessive pre-tibial soft tissue depth.
\nMethods: Patients were enrolled retrospectively from the medical records of adult (≥ 18 years old) subjects who had undergone computed tomography (CT) imaging of the lower extremity. We calculated the pre-tibial soft tissue depth according to a predefined method using CT images. Data were abstracted into a standardized data collection form prior to analysis. Variables including side, age, sex, body mass index (BMI) and comorbidities (i.e., hypertension, diabetes mellitus, atherosclerosis, coronary artery disease, osteoarthritis) were collected and analyzed.
\nResults: A total of 368 patients were included in the final data analysis. Increased BMI, height and weight had a statistically significant increase in pre-tibial soft tissue depth. Analyzing patients within groups based on this tissue depth (>40 mm, 20-40 mm, <20 mm) showed that height was the only quantitative variable to have a significant association with pre-tibial soft tissue depth measurements between the >40 mm and 20- 40 mm groups with a negative correlation. While female sex was associated with a statistically significant increase in pre-tibial soft tissue depth, no such effect was seen with any of the recorded comorbidities.
\nConclusions: Female sex, short height, and high weight / BMI appear to be correlated with increased soft tissue thickness at the proximal tibial intraosseous insertion site. Longer catheter sizes may be required for proximal tibial intraosseous cannulation in obese patients, and for female patients when compared to male patients with the same BMI.
","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":"Intraosseous"},{"word":"tissue depth"},{"word":"resuscitation"},{"word":"vascular access"},{"word":"biological sex"},{"word":"tibia"}],"section":"Original Research (Limit 4000 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/43j7h974","frozenauthors":[{"first_name":"Alex","middle_name":"J.","last_name":"DuVall","name_suffix":"","institution":"Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan","department":""},{"first_name":"Thomas","middle_name":"","last_name":"Sprys-Tellner","name_suffix":"","institution":"University of Cincinnati College of Medicine, Department of Emergency Medicine, Cincinnati, Ohio","department":""},{"first_name":"Tristan","middle_name":"","last_name":"Lemon","name_suffix":"","institution":"University of Michigan Medical School, Department of Internal Medicine, Ann Arbor, Michigan","department":""},{"first_name":"Ryan","middle_name":"","last_name":"Kelly","name_suffix":"","institution":"Northwestern University Feinberg School of Medicine, Department of Physical Medicine and Rehabilitation, Chicago, Illinois","department":""},{"first_name":"Andrew","middle_name":"","last_name":"Stefan","name_suffix":"","institution":"Wayne State University School of Medicine, Department of Otolaryngology, Detroit, Michigan","department":""},{"first_name":"James","middle_name":"H.","last_name":"Paxton","name_suffix":"","institution":"Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan","department":""}],"date_submitted":"2024-08-14T14:10:19.670000+05:30","date_accepted":"2025-06-14T01:47:55.120000+05:30","date_published":"2025-10-17T19:50:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/33655/galley/43161/download/"}]},{"pk":43535,"title":"Teaching Intercultural Competence in Higher Education Language Classrooms Using Virtual Reality","subtitle":null,"abstract":"In this globalized world, technology has created opportunities for cultural learning within virtual reality (VR) environments, facilitating second language acquisition (SLA). Recent studies have reported that VR-assisted language learning reduces learners’ anxiety and influences learners’ positive affective factors in and beyond the classroom. However, little attention is given to VR’s potential in promoting cultural learning in language classrooms. In this article, I present VR’s potential for cultural learning and its practical application for language learning in higher education through a series of practical task-based and semi-structured activities using language-focused VR applications such as Immerse and Mondly. As a starting point for cultural learning in the classroom, these activities are designed to simultaneously develop learners’ intercultural, pragmatic, and symbolic competence by simulating authentic interaction in the target environment. These activities not only prepare learners for real-life interactions but also serve as a valuable precursor to study abroad programs by integrating cultural immersion into classroom learning. While I acknowledge the technical challenges of using VR in the classroom, I provide educators with a step-by-step process to transform the classroom into an immersive language learning site.
","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":"language teaching"},{"word":"intercultural competence"},{"word":"VR"},{"word":"CALL"},{"word":"Immerse"},{"word":"cultural learning"}],"section":"Teachers' Forum","is_remote":true,"remote_url":"https://escholarship.org/uc/item/8ff5w59c","frozenauthors":[{"first_name":"Esther","middle_name":"Omonigho","last_name":"Airemionkhale","name_suffix":"","institution":"Carnegie Mellon University","department":""}],"date_submitted":"2025-02-18T12:08:07.885000+05:30","date_accepted":"2025-09-12T22:26:42.162000+05:30","date_published":"2025-10-16T03:41:00+05:30","render_galley":{"label":"Final Galley ","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/43535/galley/40062/download/"},"galleys":[{"label":"Galley v1","type":"other","path":"https://journalpub.escholarship.org/l2/article/43535/galley/39985/download/"},{"label":"Final Galley ","type":"pdf","path":"https://journalpub.escholarship.org/l2/article/43535/galley/40062/download/"}]},{"pk":35216,"title":"A description of Changki-Ao phonology with a note on orthography","subtitle":null,"abstract":"Changki is one of three Tibeto-Burman languages spoken by the Ao in Nagaland (India), the other two being Mongsen and Jungli, the prestige language. Though no proper research has been done, Changki has always been considered to be linguistically closer to Mongsen by the Ao as well as in earlier literature. With a phonemic inventory of four vowels, six diphthongs, 21 consonants, and three contrastive tones, the phonological system is similar to both Mongsen and Jungli, but closer to Mongsen. Several differences are also observed. Based on the phonological description, the present orthography is also discussed in this paper, with suggestions that will make the orthography more consistent and transparent, reducing learnability issues.","language":"en","license":null,"keywords":[{"word":"Changki, Tone, Tibeto-Burman, Ao"}],"section":"Languages and Peoples of the Eastern Himalayan Region","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0mf2p6v4","frozenauthors":[{"first_name":"Temsunungsang","middle_name":"","last_name":"T","name_suffix":"","institution":"Other","department":""},{"first_name":"Amenla, I","middle_name":"","last_name":"Changkija","name_suffix":"","institution":"The English and Foreign languages University, Shillong campus","department":"None"}],"date_submitted":"2023-08-07T18:22:28+05:30","date_accepted":"2025-10-13T14:08:39.693000+05:30","date_published":"2025-10-13T18:56:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35216/galley/40059/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/himalayanlinguistics/article/35216/galley/40059/download/"}]},{"pk":63527,"title":"\"We Just Ask You to Listen”: Public Voices and Neoliberal Policy in New York City School Reopening Debate","subtitle":null,"abstract":"This case study examines the ideological tensions surrounding the reopening of public schools in New York City during the COVID-19 pandemic. Drawing on Stuart Hall’s theoretical concepts of conjuncture and articulation, the study analyzes the proceedings of Panel for Education Policy (PEP) meetings to explore how these discussions both reflect and actively reproduce broader neoliberal dynamics in education policymaking. The findings illustrate a complex interplay between health and safety concerns, equity issues, and the neoliberal agenda, highlighting the power dynamics at play and the ways in which marginalized voices were both expressed and stifled. This study contributes to the broader literature on crisis, education policy, and social justice by offering a nuanced account of how public forums serve as key sites where competing ideologies are articulated, contested, and normalized in times of crisis.","language":"en","license":null,"keywords":[{"word":"Conjunctural Analysis, School Reopen, COVID-19, Articulation, Hegemony"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/72b3q208","frozenauthors":[{"first_name":"Shuang","middle_name":"","last_name":"Fu","name_suffix":"","institution":"University of Georgia","department":""}],"date_submitted":"2023-09-25T23:00:56+05:30","date_accepted":"2023-09-25T23:00:56+05:30","date_published":"2025-10-13T12:30:00+05:30","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/bre/article/63527/galley/48887/download/"}]},{"pk":29333,"title":"Pediatric Upper Extremity Firearm-related Injuries: A Level I Pediatric Trauma Center Experience","subtitle":null,"abstract":"Introduction: Firearm injuries have become increasingly more common in the pediatric population; however, there is a paucity of literature examining the management of these pediatric firearm-related injuries (FRI) specifically as they affect the upper extremity. This study identifies demographic and environmental risk factors in pediatric upper extremity FRIs and evaluates the severity of injury, concomitant injuries, and rates of surgical intervention in pediatric patients treated at a Level I pediatric trauma center over 20 years.
\nMethods: We completed a retrospective analysis on 540 patients <18 years of age with FRIs at a single institution from 2001 – 2020. Of these, 72 (13%) had FRIs involving the upper extremity. The patients were stratified into groups based on whether they had received operative intervention or a bedside procedure for their injury and on their year of presentation between two decades (2001 – 2010 vs. 2011 – 2020). We obtained upper extremity injury-specific variables along with hospital demographics. The primary outcomes in this study included hospital length of stay, number of bullet wounds, motor and sensory deficits, and amputation.
\nResults: In the last 10 years, the rate of upper extremity FRIs observed in the pediatric population has increased by 380% at our institution (15 vs. 57, P < .001). After 2010, cases were more likely to present with an increased number of gunshot wounds per patient (1.14 vs. 1.98, 95% confidence interval [CI] -0.94 - 0.24, P = .03) but were less likely to require admission to the intensive care unit (19% vs. 67%, P < .001). When stratifying by intervention, both the operative intervention and bedside procedure groups had a similar number of gunshot wounds (1.86 vs 1.76, 95% CI -0.52 - 0.43, P = .86). The operative intervention group was more likely to have had a soft tissue injury (68% vs. 35%, P = .005) and motor deficit at follow-up (45% vs.15%, P =.02). Patients in the operative intervention group had longer lengths of stay (9.66 vs. 2.25 days, 95% CI -1.16 - -0.21, P < .01) and more morbid injuries despite similar patient demographics.
\nConclusion: In the last decade, an increased frequency of pediatric upper extremity firearm- related injuries was noted despite a stagnant state population. Emphasis should continue to be placed on education and improving firearm safety in settings in which children are present.
","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":"Firearm related injury"},{"word":"gunshot wound"},{"word":"upper extremity injury"},{"word":"pediatric firearm injury"}],"section":"Original Research (Limit 4000 words)","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9jk2j3dj","frozenauthors":[{"first_name":"Ann Carol","middle_name":"","last_name":"Braswell","name_suffix":"","institution":"University of Alabama at Birmingham and Children’s of Alabama Hospital, Department of Orthopedic Surgery, Birmingham, Alabama","department":""},{"first_name":"Edgar","middle_name":"","last_name":"Soto","name_suffix":"","institution":"Johns Hopkins University, Department of Plastic Surgery, Baltimore, Maryland","department":""},{"first_name":"Andrew","middle_name":"D.","last_name":"Bloom","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":""},{"first_name":"Eric","middle_name":"","last_name":"Jorge","name_suffix":"","institution":"Children’s of Alabama Hospital, Department of Pediatric Emergency Medicine, Birmingham, Alabama","department":""},{"first_name":"Erin","middle_name":"F.","last_name":"Ransom","name_suffix":"","institution":"University of Alabama at Birmingham and Children’s of Alabama Hospital, Department of Orthopedic Surgery, Birmingham, Alabama","department":""},{"first_name":"Rachel","middle_name":"E.","last_name":"Aliotta","name_suffix":"","institution":"University of Alabama at Birmingham and Children’s of Alabama Hospital, Department of Orthopedic Surgery, Birmingham, Alabama","department":""}],"date_submitted":"2024-07-27T00:19:49.007000+05:30","date_accepted":"2025-03-23T01:45:07.346000+05:30","date_published":"2025-10-10T11:25:00+05:30","render_galley":null,"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/29333/galley/43162/download/"}]},{"pk":50587,"title":"Distribution and habitat suitability of Zamenis longissimus exhibiting dark colourations, with a new record from Northwestern Italy","subtitle":null,"abstract":"Dark colour aberrations in reptiles are rarely mapped and poorly understood. We document the first axanthism-like Aesculapian snake (Zamenis longissimus) from Lombardy, Italy, and merge this record with 44 earlier reports from the literature and iNaturalist. An ensemble ecological niche model calibrated with three uncorrelated WorldClim variables (i.e., mean annual temperature, mean diurnal temperature range and annual precipitation) achieved good performance (AUC = 0.84 ± 0.04; TSS = 0.58 ± 0.08). Mean diurnal temperature range emerged as the strongest predictor, with suitability increasing in warmer regions that experience smaller day–night thermal amplitudes. Predicted hotspots for the dark morph include the Atlantic coasts of Spain and France, the Tyrrhenian margin from Liguria into Piedmont, the eastern Adriatic littoral, and Black Sea coastlines of Russia, Georgia and Turkish Thrace. These areas largely coincide with published and citizen-science records, lending confidence to model outputs despite the sparse dataset. Anyway, the genetic basis and fitness effects of this colour remain untested; directed surveys and molecular work in the predicted zones are now needed. Our map offers a concise guide for future sampling.
","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"colour anomaly"},{"word":"snake"},{"word":"habitat suitability"},{"word":"Colubridae"},{"word":"Europe"},{"word":"Melanism"}],"section":"Articles","is_remote":true,"remote_url":"https://escholarship.org/uc/item/85g3s82f","frozenauthors":[{"first_name":"Luca","middle_name":"","last_name":"Colla","name_suffix":"","institution":"","department":""},{"first_name":"Imasha","middle_name":"","last_name":"Dolamulla Hewa Kankanamge","name_suffix":"","institution":"","department":""},{"first_name":"Federico","middle_name":"","last_name":"Storniolo","name_suffix":"","institution":"University of Pavia","department":""},{"first_name":"Matteo Riccardo","middle_name":"","last_name":"Di Nicola","name_suffix":"","institution":"Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d'Aosta, Via Bologna 148, 10154 Torino","department":"Genetics and genomics"}],"date_submitted":"2025-08-07T20:56:28.008000+05:30","date_accepted":"2025-08-29T14:02:42.426000+05:30","date_published":"2025-10-10T10:30:00+05:30","render_galley":{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/50587/galley/40053/download/"},"galleys":[{"label":"PDF","type":"pdf","path":"https://journalpub.escholarship.org/biogeographia/article/50587/galley/40053/download/"}]}]}