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Open Access Publications from the University of California

Scholarly Works (5 results)

  • Article
Recent Work (2007)

St. John’s Sideroad, is a major east-west arterial under the jurisdiction of the Regional Municipality of York (York Region). It is located in the Town of Aurora, Ontario, Canada and lies within the watershed of the East Holland, Lake Simcoe basin. This unique project involved the widening and reconstruction of a two-kilometre section of St. John’s Sideroad between Yonge Street and Bayview Avenue.

As a result of increased traffic volumes due to highly active residential development in the area, the existing two-lane rural road section could not meet the needs of the growing population (figure 1). In response to the proposed development growth in the Town, the Class Environmental Assessment study undertaken for the project identified that additional roadway capacity was needed, and recommended that this section of roadway be widened to a four-lane urban cross-section.

    Cover page: Under the Boardwalk – Case History – St. John’s Sideroad at the McKenzie Wetland, Aurora, Ontario, Canada
    • Article
    • Peer Reviewed
    Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, Volume 15, Issue 7 (2014)

    Introduction: In-flight medical emergencies on commercial aircraft are common in both domestic and international flights. We hypothesized that fourth-year medical students feel inadequately prepared to lend assistance during in-flight medical emergencies. This multicenter study of two U.S. medical schools obtains a baseline assessment of knowledge and confidence in managing in-flight medical emergencies.

    Methods: A 25-question survey was administered to fourth-year medical students at two United States medical schools. Questions included baseline knowledge of in-flight medicine (10 questions) and perceived ability to respond to in-flight medical emergencies.

    Results: 229 participants completed the survey (75% response rate). The average score on the fund of knowledge questions was 64%. Responses to the 5-point Likert scale questions indicated that, on average, students did not feel confident or competent responding to an in-flight medical emergency. Participants on average also disagreed with statements that they had adequate understanding of supplies, flight crew training, and ground-based management.

    Conclusion: This multicenter survey indicates that fourth-year medical students do not feel adequately prepared to respond to in-flight medical emergencies and may have sub-optimal knowledge. This study provides an initial step in identifying a deficiency in current medical education.  [West J Emerg Med. 2014;15(7):–0.]

     

      Cover page: Management of In-Flight Medical Emergencies: Are Senior Medical Students Prepared to Respond to this Community Need?Creative Commons 'BY-NC' version 4.0 license
      • Article
      LBL Publications (2005)
        Cover page: Improving Ventilation and Saving Energy: Laboratory Study in a Modular Classroom Test Bed
        • Article
        • Peer Reviewed
        UC San Diego Previously Published Works (2019)

        Background

        Treatment of spondylolisthesis can be difficult with regard to patients with high sacral slopes that may prohibit placement of interbody grafts for fusions across that segment. Here, we describe placement of a reverse Bohlman technique from an anterior approach to obtain fusion across a low-grade spondylolisthesis with a high sacral slope to obtain anterior fusion.

        Methods

        A chart review was conducted on this single patient regarding his clinical course and outcome.

        Results

        A 54-year-old male presented with low-back pain associated with bilateral leg pain dating back several years. Plain films demonstrated a Grade II isthmic spondylolisthesis at L5-S1 with spinopelvic measurements of 73° sacral slope, 82° lumbar lordosis, 12° pelvic tilt, and 94° pelvic incidence. Magnetic resonance imaging showed bilateral L5 pars defects with diffuse degenerative disease from L4 through S1 and significant ligamentous and facet hypertrophy. He underwent an L4-5 anterior lumbar interbody fusion and an L5-S1 reverse Bohlman placement of a transvertebral transsacral titanium mesh cage. This was supplemented with a posterior decompression and instrumentation from L4-ilium. He had resolution of his radiculopathy and has maintained a good clinical outcome at 3 years follow up.

        Conclusions

        We present here a patient with low-grade spondylolisthesis and a steep sacral slope who underwent a successful reverse Bohlman approach with long-term follow up. This report highlights the potential utility of this method as a viable alternative for patients with low-grade spondylolisthesis.

        Level of evidence

        IV.

        Clinical relevance

        Technical description of surgical technique.
          Cover page: Use of a Reverse Bohlman Technique for Low-Grade Spondylolisthesis.
          • Article
          LBL Publications (2005)
            Cover page: Improving Ventilation and Saving Energy: Relocatable Classroom Field Study Interim Report
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