
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 is both statistically trustworthy and clinically actionable . This article explores: Calibration Intercept Calibration Slope Mechanistic Interpretation (e.g., overprediction) Calibration Plot Decision Curve Analysis (DCA) 🧭 1. Calibration Intercept: Is the Average Prediction Biased? Definition: The calibration intercept compares the aver

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...

What Is a Systematic Search? And Check Keyword validation and Noise
🔍 Definition: What Is a Systematic Search? A systematic search is a methodologically rigorous, comprehensive, and transparent process...

IV Fluids in Pancreatitis: Why Acute Needs It and Chronic Doesn’t
1. Acute Pancreatitis: Why IV Hydration Is Essential Pathophysiology Acute pancreatic inflammation → release of inflammatory mediators →...

Acute and Chronic Pancreatitis: Diagnosis and Management Essentials
I. Acute Pancreatitis 1. Diagnosis Based on Revised Atlanta Criteria (2012) — diagnosis requires ≥2 of 3 : Typical abdominal pain :...

Bias in Randomized Controlled Trials: Understanding Selection, Performance, Detection, and Attrition Bias
Bias Type Dimension Explanation Selection Bias External Validity Evaluate inclusion/exclusion criteria —do they represent the target...

Containers and Kubernetes Explained: From Takeaway Boxes to Cloud Scalability
1. Introduction Modern applications need to run reliably across different environments: laptops, servers, or cloud platforms. This is...

Synkinesis Syndromes: When Nerves Misfire After Injury
Abstract Peripheral and cranial nerve injuries may paradoxically lead not only to functional deficits but also to aberrant reinnervation....





