The Effect of Health Literacy on a Brief Intervention to Improve Advance Directive Completion: A Randomized Controlled Study.

Objective: Completion of an advance directive (AD) document is one component of advanced care planning. We evaluated a brief intervention to enhance AD completion and assess whether the intervention effect varied according to health literacy.

Methods: A randomized controlled study was conducted in 2 internal medicine clinics.

Design and Early Implementation Successes and Challenges of a Pharmacogenetics Consult Clinic.

Pharmacogenetic testing (PGT) is increasingly being used as a tool to guide clinical decisions. This article describes the development of an outpatient, pharmacist-led, pharmacogenetics consult clinic within internal medicine, its workflow, and early results, along with successes and challenges. A pharmacogenetics-trained pharmacist encouraged primary care physicians (PCPs) to refer patients who were experiencing side effects/ineffectiveness from certain antidepressants, opioids, and/or proton pump inhibitors.

Case of Serotonin Syndrome Initially Presenting as Diffuse Body Pain.

BACKGROUND Serotonin syndrome is a common yet potentially life-threatening condition caused by increased serotonergic activity, usually from serotonergic pharmaceutical agents. Primary features of serotonin syndrome include mental status changes, autonomic hyperactivity, and neuromuscular abnormalities. However, the presentation of serotonin syndrome is often quite variable, leading to its under-diagnosis.

A difficult situation - balancing critical anticoagulation versus the risk of permanent neurologic deficit: a case report.

Background: Anticoagulation is the mainstay of treatment for pulmonary embolism. However, if bleeding unfortunately occurs, the risks and benefits of anticoagulation present a challenge. Management of one hemorrhagic complication, retroperitoneal hematoma, is rare, difficult, and controversial.

Recurrent blistering distal dactylitis due to in an immunocompetent elderly woman.

An 86-year-old woman presented with marked blistering of her left index fingertip and ulceration of the left middle fingertip, with a 2-year history of recurrent blistering and ulceration of her fingers bilaterally. She denied any preceding finger trauma, although she reported frequent gardening. She denied systemic symptoms.

Template-assisted assembly of the functionalized cubic and spherical microparticles.

The patterned template-assisted assembly of the cubic microparticles driven by the competing capillary, Columbic, and van der Waals forces had been studied in comparison with the traditional spherical colloidal microparticles. We observed that the spherical and cubic microparticles assembled with different probability in the channels of the hydrophobic-hydrophilic patterned substrates due to differences in a balance of adhesive and capillary forces. In contrast to highly selective assembly of spherical microparticles, selective deposition of cubic microcrystals with channels is impeded by strong adhesive forces facilitated by large specific interfacial areas between cube facets and substrate.