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Assessing the personality in Large Language Models through Diverse Prompting
No full textAs large language models (LLMs) like ChatGPT continue to evolve, questions arise regarding their ability to exhibit human-like personality traits. This study investigates LLMs’ personality by employing the Big Five Personality Test as an assessment tool. We first collected data using both the OpenAI API and the Gemini API by administering the personality test at baseline and for given pre-designed prompts. We then explored how different prompts influence the test results through statistical analyses. This research contributes to AI behavior modeling and enhances our understanding of how prompting shapes LLM responses
Substance Related and Addictive Disorders CME Review
No full textOver 46 million people over the age of 12 in America are dealing with a substance use disorder14. Roughly 30 million people suffer from alcoholism and 24 million people have a drug use disorder. These people may be unable to perform daily tasks or hold a job due to their disorder. Even with there being increased help available, only 6% of people with a substance use disorder are receiving treatment14. Without receiving the help that they need, people with substance use disorders may suffer long term consequences, such as difficulty maintaining a job, financial troubles, driving accidents, health issues including mental health problems, and more. Reviewing guidelines can help providers better support patients and encourage them to get the help they need. The goal of this article is to provide evidence-based guidelines for providers when managing and treating substance related and addictive disorders
Stress Fractures in Female Athletes: A Comprehensive Review of Risk and Prevention
Full text linkStress fractures are a common bone stress injury for female athletes and military recruits. They are closely linked to the female athlete triad which consists of low energy availability, menstrual dysfunction, and low bone mineral density. Currently screening and prophylactic treatments are being implemented and developed to aid in the prevention of stress fractures. This article aims to analyze the pathophysiology, screening, prevention, and management of stress fractures and provide recommendations for clinical application
Empathy in Medicine:Enhancing Patient Care and Improving Health Outcomes
No full textEmpathy is a critical component that allows providers to build a trusting relationship with patients, which ultimately improves patient empowerment and outcomes. This paper will examine the barriers healthcare professionals face in delivering empathetic care, explore how empathy improves patient care, and discuss strategies for cultivating and sustaining empathy in clinical settings. Within modern health systems, empathy is challenged by time constraints, provider burnout, and training gaps. Without empathy, patient outcomes and workplace culture suffer. Cultivating empathy can be achieved through training and education, institutional support, and incentivization. A systemic approach to improving healthcare personnel empathy at every level is necessary to optimize healthcare outcomes
Use of biologics in the management of refractory atopic dermatitis in pediatric patients
No full textAtopic dermatitis (AD) is a commonly seen dermatologic condition in children and adults. The pruritic, erythematous plaques which typify the condition can pose a major discomfort to patients as well as concerns of self-perception. While mild cases can be managed with topical medications, refractory and severe cases have traditionally been treated with systemic agents. The main medication of choice had previously been systemic corticosteroids, however the concerns over adverse events with chronic corticosteroid use has spurred research into alternatives with more appealing safety profiles. This article seeks to provide a background on the pathophysiology of AD, its presentation and delineation from other dermatologic conditions, briefly discuss treatment for mild cases, and look at the viability of biologics as a potential alternative to corticosteroids for severe cases. These medications have seen approval and use in adult populations, but their use in pediatric populations has only recently been explored
Chronic Management of Sickle Cell Anemia in Pediatric Patients
No full textSickle cell anemia is a blood disorder that affects 1 out of every 365 black births. It can impact every aspect of a person’s life due to the pain crises it causes among its other symptoms. Sickle cell anemia has many symptoms that an individual may experience including anemia, pain episodes, blood clots, joint pain, swelling of hands and feet, neuropathic pain, frequent infections, delayed growth or puberty, and vision problems. Although sickle cell anemia is a chronic illness that patients will always have to manage, there are modalities that can help minimize symptoms and prevent complications minimizing permanent damage. It is especially important to manage the disease early in life to establish healthy habits and empower patients to be involved in their disease management. This presentation aims to provide guidance on the chronic management of sickle cell anemia in pediatrics in the areas of prevention, treatment, and palliation
Patient Education and Screening Practices for Preeclampsia
No full textAbstract: Hypertension disorders in pregnancy, specifically preeclampsia, remain one of the leading causes of maternal morbidity in the United States today, occurring in 5-7% of all pregnancies.¹ Although the high prevalence of this condition, many patients are also not screened or identified early enough to proceed with any prophylactic treatment. The problem disproportionately hurts women of color and women from low socioeconomic classes. Studies have shown that with proper screening and focus on patient education, complications of preeclampsia/eeclampsia are signifcantly reduced. This article aims to provide an evidence-based practice guideline that encompasses proposed patient education and screening practices for preeclampsia
Early Hospice Admission is Associated with Better QOL Outcomes: Here’s Where to Start as a Provider
No full textHospice care, despite offering extensive medical, financial, emotional, and social support, remains a widely underutilized medical service. Studies indicate that patients who enter hospice care earlier experience reduced unnecessary aggressive treatments, fewer ICU visits, better adherence to their end-of-life wishes, and generally higher quality of life compared to those who either do not enter hospice or enter late. Significant barriers to earlier hospice admission include providers\u27 challenges in accurately diagnosing a prognosis of less than six months and their discomfort in initiating end-of-life discussions. This article reviews the definition of hospice, the benefits of early hospice admission, provides tools for diagnosing patients, as well as guidance on how to have end-of-life conversations with patients and their family members
KETAMINE INFUSION TREATMENT FOR DEPRESSION
Full text linkDepression remains a significant public health challenge in the U.S., affecting millions of adults and contributing to both psychological and financial burdens. Major depressive disorder impacts approximately 14.5 million U.S. adults, with about 30% of cases classified as treatment-resistant depression. Traditional antidepressant therapies, including selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors, often have delayed onset and limited efficacy, leaving a substantial portion of patients without adequate relief. Given these limitations, there is an urgent need for alternative treatment options.
Recent research has highlighted ketamine as a promising intervention for Major Depressive Disorder and Treatment Resistant Depression. Initially identified as an anesthetic, ketamine has demonstrated rapid antidepressant effects in multiple studies, offering hope for patients who do not respond to traditional therapies. However, concerns regarding its mechanism of action, potential side effects, and risk for abuse necessitate further investigation. This paper explores the current state of ketamine research, including its pharmacological mechanisms, clinical efficacy, and safety considerations. Additionally, the article examines both supporting and opposing perspectives on its use, common side effects, and the future direction of ketamine-based treatments. As research continues to evolve, understanding the long-term implications and optimizing treatment protocols will be essential for integrating ketamine into mainstream psychiatric care
Archival Presence of The Queer Experience: An Analysis of Power in Information Management
Full text link“Who controls the past, controls the future; controls the present, controls the past.”1 Archives, places in which historical records are kept, play a role in controlling the past, future, and present of society. Exploring archives and their relationship with power and authority allows us to understand their impact on documenting intersectional identities, especially those of the LGBTQ+ community. In this paper, I will examine the presence of the LGBTQ+ community within archival spaces, analyze literature regarding the three main principles of archival theory, and offer a new model for a more inclusive and queer framework for archival theory. My research seeks to understand how archival institutions wield power in storing and preserving historical narratives, particularly concerning the LGBTQ+ community, and how this impacts inclusivity within archival studies. Analyzing the three main principles of archival theory – Provenance, Respect des Fonds, and Original Order – allows readers to understand the limitations of these ideologies regarding minority groups, due to the power dynamics within archives and outside institutions. Through these findings, I introduce a queer archival framework containing three new theories: Intersectional Provenance, Queer Des Fonds, and Original Context. The production of this model allows scholars to understand the significance of inclusionary practices of documentation and how they can illuminate the current knowledge surrounding LGBTQ+ history. By finding and preserving LGBTQ+ voices within an archive, power dynamics within the archival system can be adequately addressed and rectified