Original Article

Prevalence of Fatty Liver among Children under Multiple Machine Learning Models

Objectives: To analyze the possible factors causing fatty liver in children based on ultrasound data of children in south Texas, and to establish machine learning models of fatty liver in children to provide ideas for the prevention and treatment of fatty liver in children. Methods: The binary classification model of…

Posted in: Liver Disease5

Review Article

An Approach to Gynecomastia in Primary Care Clinics

Gynecomastia is a more common finding in primary care clinics than is recognized. Because this finding can be easily overlooked, appropriate investigation and management often are missed. The workup of gynecomastia is highly individualized, based on the patient’s presentation and related factors. It should be guided by thorough history taking…

Original Article

Substance Use Disorder among Hospitalized Adolescents in North Carolina

Objectives: Individuals who began using alcohol or other drugs before the age of 15 are 7 times more likely to develop a substance use disorder (SUD) in adulthood. This study sought to determine the common characteristics of SUD-related hospitalizations and patterns of discharge diagnoses among adolescents in North Carolina. Methods:…

Original Article

Enhancing Tobacco Treatment for Medicaid Recipients

Objective: Medicaid recipients are vulnerable to increased morbidity and mortality secondary to high tobacco use prevalence and barriers to accessing tobacco treatment. The purpose of the pilot study was to explore managed care administrators’ perceptions of the facilitators and barriers to tobacco treatment for Medicaid recipients. Methods: Focus groups with…


What? I Am Not Perfect?

As a chief medical officer and a physician, my goal has been to provide the best possible care to my patients and all at our hospital. I wake up in the middle of many nights with things on my mind. I have taken to the habit taught to me by…

Original Article

Telesimulation to Improve Critical Decision-Making in Prehospital Airway Management: A Feasibility Study

Objectives: Telesimulation, in which learners and evaluators use technology to connect remotely to simulation-based learning activities, is effective for skills and decision-making review. Historical models in which learners are colocated with the simulation equipment have inherent issues, especially for emergency medical services (EMS) providers. This feasibility study placed the evaluators…


A Clarion Call: COVID-19 and the Pediatric Behavioral Health Inpatient Crisis

The crises occasioned by the coronavirus disease 2019 (COVID-19) pandemic on medical centers have by this point been seemingly exhaustively documented. The ebbs and flows of the virus have caused at various times surging inpatient numbers, equipment shortages, and significant provider attrition, among other challenges.1–3 Lost amidst this discourse, however,…

Posted in: Infectious Disease83

Original Article

Eligible Prescriber Experiences with Substance Use Disorder Treatment and Perceptions of Pharmacy Barriers to Buprenorphine

Objectives: The primary aim of this study was to better understand North Carolina providers’ specific substance use disorder (SUD) and opioid use disorder treatment practices and buprenorphine prescribing. Furthermore, this study aimed to provide novel information regarding US South and rural providers’ opioid use disorder treatment behaviors and perceptions of…

Original Article

Implementation of a Night-Float Curriculum: Impact on Intern Confidence over Time

Objectives: Formal nighttime education is becoming increasingly necessary as more internal medicine (IM) residency programs adopt night-float rotations (NFRs); however, the efficacy of an NFR curriculum throughout an academic year and which topics in an NFR curriculum increase trainee confidence are unknown. We implemented a 12-module, self-paced NFR curriculum for…

Original Article

Change in Physician Burnout between 2013 and 2020 in a Major Health System

Objective: Assessing changes in physician burnout over time can offer insight into the causes of burnout. Existing studies are limited by using different samples of physicians at each time point. Our objective was to assess changes in burnout between 2013–2014 and 2019–2020 overall and within a cohort of physicians who…

Review Article

CME Article: Important Advances in Pediatric Injury Prevention

In children, injuries are the leading cause of death, a major source of disability, and the number one cause of death for children after the first year of life. The principles of injury prevention include surveillance, coalitions, communication, interventions, and evaluation. This article discusses a number of common pediatric injuries…

Original Article

CME Article: Common Variable Immune Deficiency: An Outpatient Experience

Objectives: Common variable immunodeficiency (CVID) is one of the most common primary immunodeficiencies encountered by physicians, yet it is still poorly described and vastly underdiagnosed and underreported. It is characterized by low levels of immunoglobulins IgG, IgM, and IgA, recurrent infections, and an increased incidence of autoimmune conditions and malignancies….

Posted in: Allergy and Immunology4 Autoimmune Systemic Disorders2


Special Emphasis on the Opioid/Substance Abuse Crisis

Since prehistoric times, humankind has probably discovered and used various substances for their medicinal and psychological effects. A plethora of such substances are now known and used. A yin and yang relationship between the beneficial versus the harmful effects exists for many of these substances. Tremendous benefits can result from…

Review Article

Use of Dupilumab in Glucocorticoid-Dependent Asthma

Of the patients with asthma, 20% to 25% progress to severe symptoms, resulting in poor quality of life and increased episodes of exacerbation. There is a broad range of drugs used for asthma; the most used medications for severe asthma are inhaled glucocorticoids with or without long-acting β-agonists. Systemic glucocorticoids…

Posted in: Asthma3
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