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The emergence of generative large language model (LLM) artificial intelligence (AI) represents one of the most profound developments in healthcare in decades, with the potential to create revolutionary and seismic changes in the practice of medicine as we know it. However, significant concerns have arisen over questions of liability for bad outcomes associated with LLM … Read More
A 43-year-old woman presented to our clinic in September 2023 for evaluation of a burning eruption on the face. The patient was initially seen at an outside dermatology clinic one year prior and diagnosed with rosacea which was treated with topical azelaic acid and oxymetazoline cream. The eruption progressed over the following months to include … Read More
Early-stage cognitive decline occurs when an individual experiences memory loss or other cognitive impairment but does not meet the criteria for Alzheimer’s disease (AD) or other dementias. After diagnosis of mild cognitive impairment (MCI), approximately 5–15 % of cases progress to dementia per year. AD and many other causes of dementia are presently incurable. Early recognition … Read More
Osteopathic treatments regulate the neurovegetative system through joint mobilizations and manipulations, and myofascial and craniosacral techniques. Despite the growing body of research, the precise impact of osteopathic medicine on the autonomic nervous system (ANS) is not yet fully elucidated. As to Kuchera’s techniques, the stimulation of the sympathetic trunk and prevertebral ganglia contributed to harmonization … Read More
Spanish is the language in the United States with the greatest language-concordant physician deficit. Allopathic medical Spanish programs have proliferated, but the national prevalence of medical Spanish education at osteopathic medical schools has never been evaluated.
The National Board of Osteopathic Medical Examiners (NBOME) administers the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA), a three-level examination designed for licensure for the practice of osteopathic medicine. The examination design for COMLEX-USA Level 3 (L3) was changed in September 2018 to a two-day computer-based examination with two components: a multiple-choice … Read More
Walking groups run by trained individuals, lasting under an hour in a natural environment, may be a cost-effective way by which to encourage sustainable changes in physical activity as well as foster companionship and a shared experience of wellness among participants. Walk with a Doc (WWaD) is a national program that provides a platform for … Read More
A 28-year-old male on intermittent hemodialysis (IHD) for 1 year due to eosinophilic granulomatosis with polyangiitis presented with 2 weeks of thigh wounds. Serum studies showed calcium 11.3 mg/dL, albumin 3.8 g/dL, parathyroid hormone (PTH) 340 pg/mL, phosphorous 5.7 mg/dL, and 25-hydroxy vitamin D 31.5 ng/mL. An examination showed a well-demarcated, indurated, violaceous right thigh ulcer (Figure 1). A biopsy showed ulcerated … Read More
Childhood obesity is a growing health problem in the United States, with those affected having an increased likelihood of developing chronic diseases at a younger age. Social determinants of health (SDOH) are known to influence overall health. Families who are of low socioeconomic status (SES) have also been shown to be more likely to experience … Read More