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Draft a comprehensive differential diagnosis for acute substernal chest pain in a 45-year-old male with hypertension and hyperlipidemia, diaphoresis, exertional onset, and normal initial ECG/troponin; include life-threatening causes first, key distinguishing features, and immediate diagnostic next steps.

Draft a detailed differential diagnosis for new-onset unilateral throbbing headache with visual aura and brief monocular vision loss in a 32-year-old female on oral contraceptives; include red-flag symptoms, stroke/TIA considerations, and recommended initial workup.

Draft an assessment and plan for stage-2 hypertension (BP 162/98) in an obese 52-year-old with suspected obstructive sleep apnea; include ASCVD risk estimate, lifestyle prescriptions, first-line pharmacotherapy with drug/dose/targets, baseline labs/monitoring, and 4–6 week follow-up.

Draft an assessment and plan for type 2 diabetes follow-up with A1c 9.2% on metformin 1,000 mg BID and eGFR 65; compare adding a GLP-1 receptor agonist vs an SGLT2 inhibitor, address weight loss goals, hypoglycemia education, vaccinations, and micro/macrovascular screening.

Draft a history and physical for a patient presenting with chest pain, including HPI using OLDCARTS, pertinent ROS, PMH/meds/allergies, FH/SH, focused cardiac/pulmonary exam, initial labs and imaging orders, prioritized differential, HEART score risk stratification, and early management.

Draft a history and physical for a new patient with progressive exertional dyspnea, orthopnea, and bilateral leg edema; include differential (heart failure, COPD, PE, anemia, renal disease), targeted exam maneuvers, and first-line diagnostics and management.

Draft a progress note for COPD follow-up two weeks after an acute exacerbation treated with prednisone and antibiotics; include symptom trajectory, CAT score (if available), inhaler technique/adherence, oxygen needs, spirometry plan, smoking cessation counseling, and return precautions.

Draft a progress note for post-operative day 2 after total knee arthroplasty; include pain control strategy, DVT prophylaxis, PT/OT milestones, wound status, bowel/urinary function, labs/vitals review, complications screening, and discharge readiness.

Draft a discharge summary for community-acquired pneumonia admission; include admission/discharge dates, presenting symptoms, radiology/labs, pathogen if identified, inpatient therapies and response, discharge medications with durations, pending tests, follow-up appointments, and return precautions.

Draft a discharge summary for myocardial infarction managed with PCI and drug-eluting stent placement; include cath findings, complications, inpatient course, discharge medications (DAPT, statin, beta-blocker, ACEi/ARB), cardiac rehab referral, and follow-up plan.

Draft discharge instructions for a patient hospitalized with acute decompensated heart failure; include daily weights, sodium and fluid restriction amounts, medication list with dosing, signs of worsening heart failure, follow-up appointments, and lab monitoring plan.

Draft discharge instructions for an asthma exacerbation; include controller and reliever regimen, steroid taper schedule, spacer technique, trigger avoidance, a written asthma action plan, return precautions, and follow-up timing.

Draft a patient handout on managing high blood pressure in plain language; explain what BP numbers mean, key lifestyle steps (DASH diet, sodium limits, alcohol moderation), home BP monitoring instructions, medication adherence tips, and when to call the doctor.

Draft a patient handout for type 2 diabetes education in plain language; cover A1c goals, the plate method, physical activity targets, self-monitoring of blood glucose, hypoglycemia signs and the 15-15 rule, foot care basics, and a vaccination checklist.

Draft a summary of the latest CDC and WHO guidelines for managing community-acquired pneumonia in adults, including empiric antibiotic choices, duration of therapy, and follow-up recommendations.

Draft a plain-language overview of the ADA and AACE guidelines for diabetes management, focusing on A1c goals, weight management, and the use of GLP-1 receptor agonists and SGLT2 inhibitors.

Draft a summary of the 2024 USPSTF breast cancer screening recommendations, including updated screening intervals, risk-based approaches, and the role of MRI for high-risk patients.

Draft a concise summary of NCCN guidelines for melanoma management, including staging, surgical margins, adjuvant therapy, and checkpoint inhibitor recommendations.

Draft treatment alternatives for community-acquired MRSA skin infections in patients allergic to sulfa drugs; include oral and IV options, dosing, and duration.

Draft treatment alternatives for patients with type 2 diabetes who are unable to tolerate GLP-1 receptor agonists due to nausea; include medication substitutions and lifestyle recommendations.

Draft a summary of options for treating refractory depression, comparing ketamine infusions, transcranial magnetic stimulation (TMS), and electroconvulsive therapy (ECT).

Draft treatment options for advanced prostate cancer, including hormonal therapy, radiopharmaceuticals, and novel androgen receptor pathway inhibitors.

Draft a summary of recent research on mRNA vaccine technology beyond COVID-19, including applications in oncology and autoimmune disease prevention.

Draft an easy-to-understand overview of long COVID research, summarizing major symptoms, hypothesized mechanisms, and emerging treatment approaches.

Draft a summary of current research on Alzheimer’s disease biomarkers, including amyloid and tau imaging, and discuss how they influence diagnosis and trial design.

Draft an explanation of the interaction between warfarin and antibiotics such as ciprofloxacin or TMP-SMX, including INR effects and management recommendations.

Draft a summary evaluating drug interactions for patients taking Paxlovid and common cardiovascular drugs; include mechanism and recommended dose adjustments.

Draft a summary of the common and serious side effects of semaglutide, including GI intolerance, gallbladder disease, and thyroid-related warnings.

Draft an overview of potential side effects associated with long-term corticosteroid use, including osteoporosis, glucose intolerance, and adrenal suppression.

Draft a summary of essential lab tests to order in suspected acute pancreatitis, including amylase, lipase, liver enzymes, and metabolic panels, with interpretation guidance.

Draft laboratory workup recommendations for suspected hypothyroidism, including TSH, free T4, thyroid antibodies, and when to consider secondary causes.

Draft an explanation of which labs should be monitored in patients receiving methotrexate therapy, including CBC, LFTs, renal function, and frequency of monitoring.

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Research Article: Global burden of hepatitis C virus infection related to high body mass index and future forecast: an analysis based on the global burden of disease study 2021

Date Published: 2025-11-20

Abstract:
The global prevalence of obesity is rising, and prior research has established a strong link between obesity and hepatitis C prognosis. However, the impact of high body mass index (HBMI) on the HCV burden remains uncertain. This study sought to clarify the overall HCV burden related to HBMI and examine temporal trends. Public data from the Global Burden of Disease (GBD) database (1990–2021) were utilized to analyze the global and different Socio-demographic index (SDI) regional burden of HCV associated with obesity, focusing on Deaths, Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLDs), and Years of Life Lost (YLLs). Trends in the HCV burden were assessed using Estimated Annual Percentage Changes (EAPCs) and Average Annual Percentage Changes (AAPCs) via Joinpoint regression. The age-period-cohort (APC) model was used to examine the effects of age, period, and cohort on disease burden, respectively. The Das Gupta decomposition analysis method was applied to evaluate the contributions of population growth, population aging, and epidemiological changes to the burden. Frontier analysis was conducted to explore the relationship between the HCV burden linked to HBMI and Socio-demographic development. An ARIMA model was then developed to forecast the Age-standardized Mortality Rate (ASMR) and Age-standardized DALYs Rate (ASDR) of HBMI-associated hepatitis C over the next 15?years. From 1990 to 2021, global HCV deaths related to obesity rose from 3,835 to 17,090, with DALYs increasing from 94,503 to 389,263. The EAPCs for ASMR and ASDR were 2.20 and 2.10, respectively. Obesity posed a greater burden on female patients infected with HCV virus compared to males. In terms of age, the effect of HBMI on HCV patients increased with age. Over the past 30?years, ASMR and ASDR have consistently risen across all SDI regions (All regions: EAPCs > 0, 95% CIs?>?0). The High SDI region reported the highest deaths, DALYs, ASMR, and ASDR annually, indicating the greatest obesity impact on HCV burden of this area. However, obesity also had an increasingly large impact on the HCV disease burden in the Middle SDI and Low-middle SDI regions. Regionally, Africa, the Middle East, and Central Asia bear a relatively heavy burden of HCV associated with HBMI, and the burden in North America and Oceania cannot be ignored. At the national level, Mongolia and Egypt have the heaviest burden. The results of decomposition analysis show that epidemiological changes are the main cause of the increased burden. Projections suggest a continued increase in the obesity-related HCV burden globally and across different SDI regions over the next 15?years. Obesity poses an increasing disease burden for people infected with hepatitis C virus. Targeted public health interventions are urgently needed to alleviate this burden.

Introduction:
Hepatitis C remains a critical global health challenge and a leading risk factor for liver cirrhosis and cancer ( 1 ). The advent of pan-genotypic direct-acting antiviral agents (DAAs) has reduced the global incidence of hepatitis C virus (HCV) infections, with approximately 250,000 fewer cases annually between 2015 and 2019 ( 2 , 3 ). Nonetheless, only 36% of individuals with chronic HCV have been diagnosed, and a mere 20% have commenced treatment ( 4 ). According to the latest WHO data, an estimated 50 million…

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