Empowering Residents in Community-based Internal Medicine Programs: A Structured Framework Integrating Simulation Labs, AI, and Gamification [0.03%]
基于社区的内科项目中居民授权的结构化框架：结合模拟实验室、人工智能和游戏化的整合方法
Nirmay Sonar,Zaynah Sadiq,Bernie Sergent
Nirmay Sonar
Community-based internal medicine residencies train nearly half of all U.S. IM residents and are essential for staffing underserved areas. These programs often face educational gaps due to limited resources, faculty development, and procedu...
A Strategy for Surge Management: Senior Residents on the Admitting Frontlines [0.03%]
应对收治高峰的策略：发挥高年级住院医师的作用
Hamza Saifuddin,Oliver Yockey,Rachelle Pichot et al.
Hamza Saifuddin et al.
Hospitals adapt to surges in a variety of ways, including expediting admitting and discharge procedures, hiring temporary staff and locums to meet increased demand, and temporarily expanding or creating facilities. To mitigate negative effe...
A Comparison of Biological Therapies vs Traditional Immunosuppressant in the Management of Inflammatory Bowel Diseases: A Narrative Review [0.03%]
生物制剂与传统免疫抑制剂治疗炎症性肠病的比较：综述
Umme F Tahir,Sadaf Noureen,Fnu Partab et al.
Umme F Tahir et al.
Inflammatory bowel disease (IBD), encompassing Crohn's disease and ulcerative colitis, is a chronic immune-mediated condition requiring long-term management. Traditional immunosuppressants, such as corticosteroids, thiopurines, and methotre...
Muhammad I Khan,Samra Israr,Muhammad H Khan et al.
Muhammad I Khan et al.
Hemopericardium is a rare but life-threatening complication of anticoagulation therapy. Although bleeding complications are well documented with direct oral anticoagulants (DOACs), apixaban-induced hemopericardium is exceedingly rare. We re...
Short Term Outcomes and Resource Utilization in Patients Admitted for Infective Endocarditis Who Develop Pericardial Effusion: A Retrospective Cohort Study [0.03%]
感染性心内膜炎住院并发心包积液患者的短期结局和资源利用：回顾性队列研究
Nameer Ascandar,Sajog Kansakar,Waqas Qureshi et al.
Nameer Ascandar et al.
Background: Pericardial effusion (PCE) development in the context of infective endocarditis (IE) may negatively impact clinical outcomes leading to intense resource utilization. Limited contemporary studies exist that exa...
Surendra Marur
Surendra Marur
Disguised and Dangerous: A Case of Cervicofacial Actinomycosis Presenting With Hemoptysis [0.03%]
伪装与危险：以咯血形式出现的 cervicofacial actinomycosis 病一例
Tharun Shyam,Shamanth M Reddy,Saumya Nanda et al.
Tharun Shyam et al.
Actinomycosis is a rare, chronic, suppurative bacterial infection caused by Actinomyces spp with an incidence of 0.3 cases per million people annually. The cervicofacial area is the most common site of infection and accounts for approximate...
Leila C Tou,Audrey Nourse,Rachel Cox et al.
Leila C Tou et al.
Angiotensin receptor blockers (ARBs) are frequently prescribed as alternatives to angiotensin-converting enzyme inhibitors (ACEIs), particularly in patients who experience ACEI-induced adverse effects including cough. Although ARBs are asso...
Jasvin K Manha,Sumanth K Bandaru
Jasvin K Manha
Statins are widely used to lower LDL cholesterol and prevent cardiovascular disease. Although generally safe, there is increasing evidence that they may increase the risk of new-onset diabetes mellitus (NODM). Recent studies show a modest b...
Hidden Malignancy: Ileocecal Intussusception as an Atypical First Presentation of Diffuse Large B-cell Lymphoma in Adulthood [0.03%]
隐藏的恶性肿瘤：成人弥漫性大B细胞淋巴瘤不典型的首次表现——回结型肠套叠
Komal Harisinghani,Parth Adrejiya,Mohammad Abubaker et al.
Komal Harisinghani et al.
Intussusception is predominantly a pediatric condition, with only about 5 % of all intussusception cases occurring in adults with primary intestinal lymphomas comprising 1 %-4 % of gastrointestinal malignancies, 90 % of which are B-cell non...