Creative Arts Therapy Reduces Psychological Distress in Non-Patient-Facing Healthcare Workers.

Objective: To assess the feasibility, acceptability, and efficacy of a 12-week in-person Creative Arts Therapy intervention in reducing psychological distress and burnout symptoms in non-patient-facing healthcare workers.

Background: Burnout and psychological distress among non-patient-facing healthcare workers are significant and understudied problems in healthcare systems.

Methods: Non-patient-facing healthcare workers with burnout symptoms were randomly assigned to one of four Creative Arts Therapy modalities (art, music, creative writing, or dance/movement) or a control group.

Aspirin guided by coronary artery calcium scoring for primary cardiovascular prevention in persons with subclinical coronary atherosclerosis.

Although endurance exercise is cardioprotective, episodes of strenuous physical exertion can trigger sudden cardiac death. While marathon training promotes overall heart health, running such races transiently increases cardiac arrest risk, mainly in middle-aged men with subclinical coronary atherosclerosis. Coronary artery calcium scanning has been advised for risk stratification to identify those who benefit from enhanced primary prevention.

Moxibustion.

Moxibustion is an ancient Traditional Chinese Medicine practice used to treat a variety of symptoms and medical conditions. Here we present the case of an elderly patient whose scars from prior moxibustion treatment were initially misdiagnosed as digital ischemia.

Implementing Goals of Care Notes in a Statewide Health System: A Quality Improvement Initiative.

Background: Goals of Care (GOC) documentation for seriously ill patients is integral to patient-centered care but not standardized. Collaborative efforts within the health system to improve the frequency and documentation of GOC to communicate patient preferences and values are essential to ensure both quality of life and quality of death.

Measures: We created a standard GOC note type and location in the electronic medical record (EMR) for a large, statewide health system in the Midwest.

Antibodies to Anaplasma phagocytophilum in Patients with Human Granulocytic Anaplasmosis Confirmed by Both Polymerase Chain Reaction and Culture.

Background/aims: Sera from patients from a single medical institution in New York State with human granulocytic anaplasmosis established by a positive polymerase chain reaction test (PCR) for Anaplasma phagocytophilum were used to assess the performance of serologic testing. All cases were also confirmed by culture in order to eliminate any false positive PCR samples.

Methods: A nested PCR was performed targeting the heat shock operon of A.