Clinical Manifestations and Distribution of Cutaneous Leishmaniasis in Pakistan by Abaseen Khan Afghan, Masoom Kassi, Pashtoon Murtaza Kasi, Adil Ayub, Niamatullah Kakar, Shah Muhammad Marri

“…The increased clinical diversity and the spectrum of phenotypic manifestations noted underscore the fact that the diagnosis of CL should be not only considered when dealing with common skin lesions, but also highly suspected by dermatologists and even primary care physicians even when encountering uncommon pathologies. …”
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Analyzing the Performance of Machine Learning Techniques in Disease Prediction by Khongdet Phasinam, Tamal Mondal, Dony Novaliendry, Cheng-Hong Yang, Chiranjit Dutta, Mohammad Shabaz

“…Many analysts look at healthcare sector data to identify and forecast illnesses in order to benefit patients and physicians in a variety of ways. This study is concerned with the diagnosis and estimation of heart disease. …”
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Transvestism Recognized in Ehlers-Danlos Syndrome: Report of Two Cases by Hiroki Ishiguro, Naomi Honobe, Takefumi Suzuki, Mariko Tamai, Takaya Nakane

“…We report on detailed psychosocial data to further discuss the medical management and genetic counseling of such infrequent but challenging conditions. Physicians are advised to be aware of various potential psychological and psychiatric issues that may accompany EDS.…”
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Postinfantile Giant Cell Hepatitis with Features of Acute Severe Autoimmune Hepatitis Probably Triggered by Diclofenac in a Patient with Primary Myelofibrosis by Pinelopi Arvaniti, Kalliopi Zachou, George K. Koukoulis, George N. Dalekos

“…Postmortem liver biopsy showed typical PIGCH lesions. Physicians must keep this catastrophic entity in mind in cases of unexplained acute liver injury as, contrary to our case, prompt rescue therapy with corticosteroids may be life-saving.…”
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Familial Blue Rubber Bleb Nevus Syndrome in Pregnancy with Spinal Epidural Involvement by Daigo Ochiai, Kei Miyakoshi, Kazumi Yakubo, Tatsuro Fukuiya, Yasunori Yoshimura

“…The mother’s postoperative course was uneventful and her VMs decreased in size after delivery. Physicians should consider the possibility of systemic diseases and familial inheritance in cases of VMs.…”
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Gastric Emphysema in a Critically Ill Patient Successfully Treated without Surgery by Hiromi Ihoriya, Tetsuya Yumoto, Masaya Iwamuro, Noritomo Fujisaki, Takaaki Osako, Hiromichi Naito, Atsunori Nakao

“…He was successfully managed nonoperatively with treatments including intravenous antibiotics, gastric decompression, and bowel rest. Physicians should be aware of this unusual condition in such critically ill patients complaining of abdominal pain and needing close monitoring and observation to exclude gastric necrosis or perforation.…”
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The Case for Improved Interprofessional Care: Fatal Analgesic Overdose Secondary to Acute Dental Pain during Pregnancy by Sarah K. Y. Lee, Rocio B. Quinonez, Alice Chuang, Stephanie M. Munz, Darya Dabiri

“…In managing the pregnant patient, healthcare providers, including physicians and dentists, must recognize and optimize the interconnected relationships shared by the health disciplines. …”
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An Intelligent Fuzzy Model for Managing Uncertainty in Diagnosis of the Breast Cancer Staging by Leila Honari mahmod, Rahil Hosseini, Mahd Mazinani

“…Due to vagueness in diagnosis of Breast cancer stages which is one of the major cause of death in women, early diagnosis of stages of this cancer can help physicians to choose the best treatment option. In this research, an intelligentModel based on fuzzy logic has been presented to manage uncertainty associated with input and outputs in the diagnosis of stages of breast cancer. …”
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Mass Casualty Incident Training in Immersive Virtual Reality: Quasi-Experimental Evaluation of Multimethod Performance Indicators by Anke Sabine Baetzner, Yannick Hill, Benjamin Roszipal, Solène Gerwann, Matthias Beutel, Tanja Birrenbach, Markus Karlseder, Stefan Mohr, Gabriel Alexander Salg, Helmut Schrom-Feiertag, Marie Ottilie Frenkel, Cornelia Wrzus

“…MethodsA total of 76 participants (mean age 25.54, SD 6.01 y; 45/76, 59% male) with different medical expertise (MFRs: paramedics and emergency physicians; non-MFRs: medical students, in-hospital nurses, and other physicians) participated in 5 virtual MCI scenarios of varying complexity in a randomized order. …”
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Preference for HIV testing among community residents in Yunnan Province, China: results from a discrete choice experiment by Jingwen Yang, Chenquan Qiu, Renhai Tang, Wenbin Dong, Enlong Yao, Huyunzhao Wang, Shuwen Lin, Minyang Xiao, Zuyang Zhang, Jin Niu, Liru Fu, Lijun Song, Xuehua Li, Yuhua Shi, Xiaowen Wang

“…Conclusions Community residents preferred an HIV testing service run by physicians in high-level health care institutions with excellent confidentiality, low cost, and available support services. …”
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Machine Learning ECG Classification Using Wavelet Scattering of Feature Extraction by Heyam A. Marzog, Haider. J. Abd

“…The suggested method is able to conduct high accuracy arrhythmia classification, with a 99.7% and 99.92% accuracy rate of the neural network (NN) and support vector machine (SVM), respectively, and will aid physicians in ECG explanation.…”
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The Rising Triad of Cesarean Scar Pregnancy, Placenta Percreta, and Uterine Rupture: A Case Report and Comprehensive Review of the Literature by Nikolina Docheva, Emily D. Slutsky, Nicolette Borella, Renee Mason, James W. Van Hook, Sonyoung Seo-Patel

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Epidemiology of Chronic Kidney Diseases (CKD) in Malaysia and Pakistan, Pathophysiology of CKD-Associated Pruritus and Other CKD-Associated Dermatological Disorders by Inayat Ur Rehman, Tahir Mehmood Khan

“…CKD-aP has become one of the upmost distressing cutaneous and most common symptom of chronic kidney disease which is often overlooked by nephrologists, primary care physicians, and other health-care professionals. Typically sleep disorders, mental and social well-being have been correlated with chronic kidney disease patients. …”
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Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status by Maria Isabel Pérez Pañart, Beatriz Sierra Bergua

“…Besides, it is important for emergency physicians to enclose the Percheron syndrome in the differential diagnosis of coma in young people so that emergent treatments such as thrombolysis can be employed.…”
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Nontyphoidal Salmonella as a Cause of Mediastinal Abscess after Aortic Valve Replacement: A Case Report and Review of Postoperative Salmonella Infections by Natasha Spottiswoode, Michael J. Peluso, Tobias Deuse, Jennifer M. Babik

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Bone Metastasis as the Only Metastatic Site in a Patient with Pancreatic Cancer following Distal Pancreatectomy by Muhammad Wasif Saif, Natalie Galanina, L. Ravage-Mass, Kristin Kaley, Daniel Cornfeld, Lynne Lamb, David Chhieng

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An Unusual Cause of Necrotising Fasciitis in a Young Male with Juvenile Dermatomyositis by Adelaide Ankomaa Asante, Josephine Nsaful, Dzifa Dey

“…This case, less commonly seen in males, highlights the occurrence of multiple phenomena—JDM complicated by skin and gastrointestinal vasculopathy with resultant development of multiple GI perforations and consequently life-threatening necrotizing fasciitis of the leg. Physicians need a high index of suspecting GI perforation in JDM patients as the delayed recognition of this complication can result in significant morbidity and/or mortality since the typical symptoms of perforation may be absent.…”
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Pembrolizumab-Induced Mobitz Type 2 Second-Degree Atrioventricular Block by Alisha Khan, Sana Riaz, Robert Carhart

“…We conclude by recommending a higher degree of caution and awareness among all physicians when treating patients on immunotherapy and a multidisciplinary approach when considering resumption of immune checkpoint inhibitor therapy.…”
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SARS-CoV-2 and Subacute Thyroiditis: A Case Report and Literature Review by Amir Mohammad Salehi, Hossain Salehi, Hossein Ali Mohammadi, Jamileh Afsar

“…It is of great importance for physicians to note that thyrotoxicosis in a patient with a recent history of COVID-19 can be due to SAT. …”
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Use of biologic response modifiers for the management of ocular inflammatory conditions by Erick Rivera-Grana, Jay Siak, James T Rosenbaum

“…While the mainstay treatment for most cases is oral or topical corticosteroids, it is very important that physicians know how other medications such as biologic response modifiers (biologics) could be used in certain cases. …”
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