
The “10 Events-per-Variable” 10 EPV Rule in Clinical Prediction Modeling
For many years, the 10 Events-per-Variable (EPV) rule was the default checkpoint for building clinical prediction models. The idea is...

The Fontan Procedure and Its Hepatic Complications: Understanding Fontan-Associated Liver Disease (FALD)
1️⃣ What Is the Fontan Procedure? The Fontan procedure is a palliative cardiac surgery performed for children with single-ventricle congenital heart defects , where only one ventricle is capable of supporting systemic circulation. ➤ Purpose: To separate systemic and pulmonary circulation in patients who cannot undergo a biventricular repair. ➤ Indications: Common congenital heart diseases requiring Fontan include: Tricuspid atresia Hypoplastic left heart syndrome (HLHS) Do

Orchitis Overview: Viral vs Bacterial Causes, Diagnosis, and Treatment Strategies
🔹 Definition Orchitis is an inflammation of the testicular parenchyma .It can occur as: Primary orchitis (rare, often...

Epididymitis Explained: Diagnosis, Causes, and Treatment by Age and Risk Factors
🔹 Definition Epididymitis is the inflammation of the epididymis , the coiled duct located posterior to the testis responsible for sperm...

ROC Curve & AUC Explained: Interpretation, Application, and Clinical Relevance
Introduction The Receiver Operating Characteristic (ROC) curve is a cornerstone metric in both diagnostic and prognostic model...

Insect Bite of Unknown Type: Diagnosis, Treatment, and Red Flag Monitoring (Bee, Wasp, Hornet, Ant, Mosquito, Flea, Bedbug, Rove beetle, Centipede, Spider, Tick, Mite, Louse, Scorpion)
Category Drug Dose & Route Frequency Duration Notes Topical steroid (first-line) Hydrocortisone 1% cream Thin layer over lesion bid 5–7...

Antifungal Regimens for Onychomycosis: Drug Choices, Dosing, and Practical Pearls (Fungi, Fungus)
Antifungal Regimens for Onychomycosis Drug Fingernails Toenails Notes Terbinafine 250 mg PO once daily × 6 weeks 250 mg PO once daily ×...

Types of Research Reviews: Literature Reviews, Systematic Reviews, and Scoping Reviews Explained
Literature Review – No strict system; risk of bias – It is informal, narrative, and selective – Purpose: to show what’s known, critique,...

Tinea Infections: Diagnosis, Lesion Patterns & Treatment by Site
Diagnosis (Lesion Characteristics) 🟢 Tinea corporis (ringworm of body) Annular (“ring-shaped”) lesion with erythematous, scaly, raised...

Internal Hemorrhoid Grading & Management by Goligher's Classification (Daflon, Diosmin, Docusate, and Rubber band ligation)
1. Grading (Goligher’s Classification) Grade I : Bleeding, no prolapse. Grade II : Prolapse with defecation, reduces spontaneously. Grade...

Management of Thrombosed External Hemorrhoids: When to Excise vs. Medicate (Daflon, Diosmin, Docusate, and Sitz bath)
✅ Setting OPD (Outpatient) if lesion is small, pain tolerable, no complications. IPD (Inpatient) only if severe pain, large thrombosis,...

The Master Chef Behind AI: Fine-Tuning (LoRA), Knowledge Files aka. Retrieval-Augmented Generation (RAG), and Chat Memory Explained
Introduction Have you ever chatted with an AI and wondered how it works? One moment it's adopting a new personality, the next it's...

Zoon’s Balanitis: Diagnosis and Management. Well-defined, shiny, reddish-orange patch at the glans penis.
🔎 Introduction Zoon’s balanitis , also known as plasma cell balanitis , is a chronic, benign inflammatory condition of the glans penis,...

Bramer Method for Deduplication in EndNote: A Validated Multi-Step Workflow
Introduction: Why Deduplication Matters Systematic reviews live or die by rigor—and that starts with your reference list. If duplicate...

GLM Families and Effect Measures: Choosing the Right Model for Y
GLM Family Y: Data Type Link Function / Model Effect Measure Gaussian Continuous (e.g., BP, cholesterol) Linear regression Mean...

Intention-to-Treat (ITT) vs Modified ITT (mITT) vs Per Protocol (PP) vs As Treated (AT) vs Complier Average Causal Effect (CACE): Choosing the Right Analysis in Clinical Trials
Strategy Core Logic Maintains Randomization? Bias Profile Best Use Case Intention-to-Treat (ITT) Analyze everyone as randomized ,...

Immortal Time Bias Explained: Time-Dependent Exposure vs Landmark Analysis
Introduction Immortal time bias arises when a period of time during which an individual must survive (i.e., cannot experience the...

Internal vs External Validation in Clinical Prediction Models: Split-Sampling, Cross-Validation, Bootstrapping, Temporal, Geographic, Domain
🎯 WHY VALIDATION? When building a Clinical Prediction Model (CPM) , the biggest trap is overestimating its true performance . This...

Calibration and Clinical Utility in Prediction Models: Intercept, Slope & DCA Explained
Evaluating a prediction model requires more than assessing discrimination. Calibration and clinical usefulness determine whether a model...

How to Evaluate Clinical Prediction Models (CPMs): Discrimination, Calibration, Overall Performance, Clinical Utility, and Validation
Introduction Clinical prediction models (CPMs)—whether prognostic or diagnostic—must be rigorously appraised before implementation in...

Case-Crossover vs Case-Control: Choosing the Right Causal Design
🎯 Context: DEPTh Classification = Etiologic (Causal) Challenge Both designs ask: Does exposure X cause outcome Y? But their logic...

What Is Prognostic Research? PROGRESS I: Overall Prognosis Research, PROGRESS II: Prognostic Factor Research, PROGRESS III: Prognostic Model Research, PROGRESS IV: Stratified Medicine Research
What Is Prognostic Research? Prognostic research aims to understand what is likely to happen to a patient after diagnosis . Unlike...

3 subtypes of analogous cross-sectional membership recruitment of Diagnostic Accuracy Research: Balanced vs. Imbalanced Index and Reference Test Results in Diagnostic Accuracy Research
Cross-Sectional Nature of Diagnostic Research Diagnostic accuracy research is cross-sectional by nature — predictors (index test) and...






