Hydroxychloroquine can be resumed with close monitoring after retinopathy has developed, without major visual loss: Case Report.

Purpose: To present a patient with systemic lupus erythematosus on longstanding hydroxychloroquine (HCQ) use for whom HCQ was stopped due to signs of toxicity, and then resumed four years later due to dire systemic need.

Methods: Long term retrospective study. Humphrey visual fields (10-2 and 24-2), fundus autofluorescence imaging, and spectral domain OCT were used to follow progression over time.

The Effect of a Personalized Approach to Patient Education on Heart Failure Self-Management.

Personalized tools relevant to an individual patient's unique characteristics may be an important component of personalized health care. We randomized 97 patients hospitalized with acute decompensated heart failure to receive a printout of an ultrasound image of their inferior vena cava (IVC) with an explanation of how the image is related to their fluid status ( = 50) or to receive no image and only generic heart failure information ( = 47). Adherence to medications, low-sodium diet, and daily weight measurement at baseline and 30 days after discharge were assessed using the Medical Outcomes Study Specific Adherence Scale, modified to a three-item version for heart failure (HF), (MOSSAS-3HF, maximum score = 15, indicating adherence all of the time).

A Perspective on the Baltimore Freddie Gray Riots: Turning Tragedy Into Civic Engagement and Culture Change in an Academic Department of Medicine.

Problem: The Johns Hopkins University School of Medicine Department of Medicine (DOM) sought ways of enhancing community engagement after the death of Freddie Gray and consequent unrest in Baltimore City.

Approach: The DOM launched a five-part noon lecture series in May 2015-"Journeys in Medicine"-to facilitate discussion among DOM faculty, staff, trainees, and community residents regarding the city's unrest. This evolved into a department-wide civic engagement initiative in July 2016 to enhance employee and community engagement.

Publisher Correction: Giant heat transfer in the crossover regime between conduction and radiation.

This corrects the article DOI: 10.1038/ncomms14475.

Giant heat transfer in the crossover regime between conduction and radiation.

Heat is transferred by radiation between two well-separated bodies at temperatures of finite difference in vacuum. At large distances the heat transfer can be described by black body radiation, at shorter distances evanescent modes start to contribute, and at separations comparable to inter-atomic spacing the transition to heat conduction should take place. We report on quantitative measurements of the near-field mediated heat flux between a gold coated near-field scanning thermal microscope tip and a planar gold sample at nanometre distances of 0.

Immune-Modulating Therapy for Rheumatologic Disease: Implications for Patients with Diabetes.

Immune modulators used to treat rheumatologic disease have diverse endocrine effects in patients with diabetes. Providers should be aware of these effects given that diabetes and rheumatologic disease overlap in prevalence and cardiovascular morbidity. In patients with type 1 diabetes, clinical trials have demonstrated that immune modulators used early in the disease can improve pancreatic function, though their efficacy in adults with longstanding autoimmune diabetes is unknown.

Telephone calls to patients after discharge from the hospital: an important part of transitions of care.

Background: Teaching interns patient-centered communication skills, including making structured telephone calls to patients following discharge, may improve transitions of care.

Objective: To explore associations between a patient-centered care (PCC) curriculum and patients' perspectives of the quality of transitional care.

Methods: We implemented a novel PCC curriculum on one of four inpatient general medicine resident teaching teams in which interns make post-discharge telephone calls to patients, contact outpatient providers, perform medication adherence reviews, and engage in patient-centered discharge planning.