The Effect of Creative Arts Therapy on Psychological Distress in Healthcare Professionals
Healthcare professionals experience significant work-related psychological distress that has been exacerbated by the COVID-19 pandemic.1-4 This work-related psychological distress increases in settings that do not recognize the importance of creating healthy work environments, develop structures for peer support, or prioritize self-care and wellness. Even in supportive work settings, healthcare professionals may not share their own trauma and emotional experiences, and feel the need to process these events on their own. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 13, 2022 Category: General Medicine Authors: Marc Moss, Anthony Edelblute, Hillary Sinn, Kristen Torres, Jeri Forster, Tisha Adams, Courtney Morgan, Michael Henry, Katherine Reed Tags: Clinical Research Study Source Type: research

Malignant Pleural Effusion: Presentation, Diagnosis, and Management
Malignant pleural effusions are common in patients with cancer. Most malignant pleural effusions are secondary to metastases to the pleura, most often from lung or breast cancer. The presence of malignant effusion indicates advanced disease and poor survival; in lung cancer, the presence of malignant effusion upstages the cancer to stage 4. Usually presenting as a large, unilateral exudative effusion, most patients with malignant pleural effusion experience dyspnea. Prior to intervention, diagnosis of malignant pleural effusion and exclusion of infection should be made. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 13, 2022 Category: General Medicine Authors: Shameek Gayen Tags: Review Source Type: research

Murine Typhus Induced Myocarditis
We describe a case of murine typhus presenting as myocarditis in the setting of suspected acute coronary syndrome. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 13, 2022 Category: General Medicine Authors: Riya Madan, Varsha Muthukumar, Sarah Premji, Rujman Khan, R. Michelle Schmidt Tags: Clinical Communication to the Editor Source Type: research

An Unusual Case of Sarcoidosis: Hypercalcemia and Normal Sized Lymph Nodes
A 40-year-old man presented to the emergency department with a few days of nausea and vomiting, myalgias, and decreased oral intake. He was found to be hypotensive and hypercalcemic at 2.90 mmol/L with an albumin of 30 g/L. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 13, 2022 Category: General Medicine Authors: Melissa Wang, Lakshmi Puttangunta, Pen Li Tags: Diagnostic Dilemma Source Type: research

New Clinical Guidelines for the Diagnosis and Treatment of Heart Failure: Snatching Life from the Jaws of Death
Recently the American college of Cardiology, The American Heart Association and the Heart Failure Society of America reported on their newest guidelines for the diagnosis and treatment of patients with heart failure 1 (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 12, 2022 Category: General Medicine Authors: William H. Frishman, Joseph S. Alpert Tags: COMMENTARY Source Type: research

Safety and Efficacy of Thiazide Diuretics in Hypertension
More than 30 years ago the prospective, randomized Systolic Hypertension in the Elderly Program (SHEP) study documented that treatment with a thiazide, specifically chlorthalidone, substantially reduced outcome in elderly patients with isolated systolic hypertension.1 Treatment was associated with a 36% reduction in stroke in 4736 patients, and a reduction in major cardiovascular events, by 55 events per 1000 patients over 5 years. In view of the above and other prospective studies in aggregate, we are puzzled by the conclusions of Ravioli et al,2 that taking of a thiazide was the strongest independent predictor of falls a...
Source: The American Journal of Medicine - May 1, 2022 Category: General Medicine Authors: Franz H. Messerli, Stefano F. Rimoldi, Samuel J Mann Tags: Letter Source Type: research

Autonomic, Neurovascular Mechanisms in Migraine
To the Editor: (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 1, 2022 Category: General Medicine Authors: MJ Quinn Tags: Letter Source Type: research

Greater Good
I read Dr Alpert's commentary1 about lying to patients and remembered this story. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 1, 2022 Category: General Medicine Authors: Gabriel Marcelo Aisenberg Tags: Letter Source Type: research

The Reply
We thank Prof. Messerli and his co-authors for their letter concerning our recent publication on risks of electrolyte disorders, syncope, and falls in patients taking thiazide (-like) diuretics.1 (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 1, 2022 Category: General Medicine Authors: Gregor Lindner, Svenja Ravioli Tags: Letter Source Type: research

Table of Contents
(Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 1, 2022 Category: General Medicine Source Type: research

The Reply
We welcome the opportunity to address Dr Reinharth's letter because it gives us a chance to also reply to the many appreciative emails we received about our article.1 It seems to have touched a chord —or a nerve. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - May 1, 2022 Category: General Medicine Authors: Salvatore Mangione, Brian F. Mandell, Stephen G. Post Tags: Letter Source Type: research

AAIM Recommendations to Promote Equity in the Clerkship Clinical Learning Environment
Despite widespread recognition of inequities related to gender, race, and ethnicity in undergraduate medical education (UME), effective solutions have been difficult to identify. In this perspective, the Alliance for Academic Internal Medicine (AAIM) focuses on issues specific to the clerkship clinical learning environment (CCLE). (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - April 30, 2022 Category: General Medicine Authors: Amber T. Pincavage, Nora Y. Osman, Irene Alexandraki, Nadia J. Ismail, Diane L. Levine, Chavon M. Onumah, Cindy J. Lai Source Type: research

Disparities in Representation of Women, Older Adults, and Racial/Ethnic Minorities in Immune Checkpoint Inhibitor Trials
We aim to describe reporting and representation of minority patient populations in immune checkpoint inhibitor (ICI) clinical trials and assess predictors of enrollment disparity. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - April 25, 2022 Category: General Medicine Authors: Irbaz B. Riaz, Mahnoor Islam, Ahsan Masood Khan, Syed Arsalan Ahmed Naqvi, Rabbia Siddiqi, Kaneez Zahra Rubab Khakwani, Noureen Asghar, Waleed Ikram, Syed A. Hussain, Parminder Singh, Jeremy L. Warner, Guru P. Sonpavde, Folakemi T. Odedina, Kenneth L. Keh Tags: Clinical Research Study Source Type: research

Disparities in Representation of Women, Older Adults and Racial/Ethnic Minorities in Immune Checkpoint Inhibitor Trials
We aim to describe reporting and representation of minority patient populations in immune checkpoint inhibitor (ICI) clinical trials and assess predictors of enrollment disparity. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - April 25, 2022 Category: General Medicine Authors: Irbaz B. Riaz, Mahnoor Islam, Ahsan Masood Khan, Syed Arsalan Ahmed Naqvi, Rabbia Siddiqi, Kaneez Zahra Rubab Khakwani, Noureen Asghar, Waleed Ikram, Syed A. Hussain, Parminder Singh, Jeremy L. Warner, Guru P. Sonpavde, Folakemi T. Odedina, Kenneth L. Keh Tags: Clinical research study Source Type: research

Burden of Microvascular Disease and Risk of Atrial Fibrillation in Adults with Type 2 Diabetes
Epidemiological data on the associations of microvascular disease with atrial fibrillation are scarce. We evaluated the associations of diabetes-related microvascular disease in multiple vascular beds and its burden with incident atrial fibrillation among adults with type 2 diabetes. (Source: The American Journal of Medicine)
Source: The American Journal of Medicine - April 25, 2022 Category: General Medicine Authors: Arnaud D. Kaze, Matthew F. Yuyun, Gregg C. Fonarow, Justin B. Echouffo-Tcheugui Source Type: research