Haroon Hameed, MD, has served as the chief executive officer of Duality, LLC, in Washington, DC, since establishing the electronic medical record software services provider in 2021. Under his leadership, Duality has developed an artificial intelligence based clinical support decision platform that integrates with the application programming interfaces (APIs) across various electronic medical record software providers, such as DrChrono and AthenaHealth. Haroon Hameed, MD, expanded his professional activities in 2022 by joining Clearway Pain Solutions in Columbia, Maryland, as an interventional pain physician focusing on aspects of regenerative medicine, anti-aging, and wellness medicine. Dr. Haroon Hameed initially joined Clearway Pain Solutions in 2019 and spent time as both an interventional pain physician and medical director of the Eastern Shore Offices, which provided services to patients in the Stevensville, Easton, and Chestertown areas. Haroon Hameed, MD, attended undergraduate and medical colleges including Concord University and Allama Iqbal Medical College, respectively. He subsequently trained at facilities including St. John Hospital and Medical Center, the SUNY Health Science Center in Brooklyn, and The Johns Hopkins Hospital. He is also pursuing an MBA and MS in Machine learning and has passed the Level 1 CFA examination.
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General Artificial Intelligence Remains Theoretical

For many Americans, artificial intelligence (AI) is a common element of daily life. Most AI systems humans interact with use machine learning models. Machine learning (ML) is a field of AI that focuses on human learning patterns, how humans use new information to perform tasks, and how humans improve their abilities by repeating the same task multiple times.
Although AI is seemingly everywhere, Americans may be surprised to find that computer scientists have yet to achieve true Artificial Intelligence. ML is used to power various advanced systems at multi-billion-dollar corporations, yet ML models require input from learning algorithms made and maintained by humans. In other words, ML would be unusable without human intervention, defeating the overriding objective of AI developers to create a completely independent system capable of human-like decision-making and creativity. Furthermore, modern AI systems cannot develop functions outside the scope of their original creation.
Apple's automated assistant Siri, introduced in 2011, is a clear example of the limits of modern AI. Humans can use speech to interact with Siri but they are limited to a series of recognizable commands. Humans cannot hold an actual conversation with Siri, nor can they "teach" the system in any way that improves functionality or allows Siri to perform tasks beyond the scope of its original design.
Scientists began making strides toward true AI in 2012 with the invention of artificial neural networks. These systems are capable of engaging in reinforcement learning, a process comparable to how the human brain processes information. This breakthrough has resulted in AI products capable of performing automated tasks, content generation, predictive maintenance, and more.
The current level of AI humans interact with today can be described as artificial narrow AI, also known as weak AI. These systems fulfill several of the foundational objectives associated with AI, but their functionality is limited to singular, highly focused tasks. While AI can perform these tasks more efficiently and with greater accuracy than humans, they cannot branch out into related activities. Individuals may wonder if OpenAI's ChatGPT has surpassed this level, but in reality, the system is limited to text-based chat interactions and related functions.
General AI (AGI), like all other forms of AI, is purely theoretical. Also referred to as strong AI, AGI describes a computerized system that performs a set of tasks, then coalesces past experiences to "learn" and expand its functionality to the point that it can begin performing new tasks without any human intervention. This means AGI would not be powered by human training models and would perform tasks on the same level as the human brain.
While many researchers and scientists believe that humans may one day create AGI, it is unclear whether AI experts will ever achieve more advanced systems, including super AI or artificial superintelligence. This level of AI is often depicted in science fiction films and involves computers and robots that possess the exact same decision-making, learning, and reasoning capabilities as humans but with the power and efficiency of a computer. These systems would not only recognize and react appropriately to human sentiments but would develop their own desires and goals.
Super artificial intelligence is closely related to the concept of self-aware AI, which is also theoretical. A self-aware AI system would understand its nature and how it differs from human thought and emotion. While the concept of AGI may seem troubling to some, it is equally likely that it will set off an unparalleled series of advancements in human knowledge from the universal to subatomic levels; and this advancement may ultimately help humanity realize its true potential.
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The Importance of Auditing in Business

In business, auditing acts as a resolute gatekeeper, protecting operational transparency and financial integrity. It permeates all corporate activities, protecting assets, guaranteeing regulatory compliance, and boosting investor trust. Resilience, sustainability, and development in corporate operations require an understanding of the complex role that auditing plays.
Auditing refers to meticulously examining and evaluating an organization's financial records, transactions, processes, and controls. This systematic scrutiny serves many purposes, each indispensable in nurturing a resilient and accountable business environment. Primarily, auditing acts as a stalwart guardian against fraud and financial irregularities. Through diligent analysis of financial statements and transactions, auditors unearth discrepancies, anomalies, or potential instances of malfeasance, thereby mitigating risks and upholding the integrity of financial data.
Moreover, auditing protects regulatory compliance. In a regulatory environment, businesses negotiate a maze-like system of laws, rules, and industry norms. Following the guidelines demonstrates moral corporate behavior. Through audits, businesses guarantee compliance with relevant rules and regulations, avoiding fines, legal complications, and damage to their brand.
Keeping up with audits actively promotes operational effectiveness and efficiency. Auditor analysis of internal controls, processes, and procedures uncovers inefficiencies, duplications, and areas that require improvement. This crucial insight enables companies to enhance performance, allocate resources more effectively, and streamline processes. Thus, auditing catalyzes operational excellence, boosting output and enhancing competitiveness in a rapidly evolving market.
The process contributes to financial responsibility and openness. In an era of heightened scrutiny and stakeholder expectations, transparency is the bedrock of credibility and trust. Audits enable companies to assure stakeholdersâinvestors, creditors, or shareholdersâabout the accuracy and reliability of financial data. This transparency strengthens connections with stakeholders, promotes long-term sustainability, and fosters informed decision-making, inspiring trust in the process.
Auditing crucially presages risk management and strategic decision-making. Through risk, opportunity, and financial performance assessments, audits provide stakeholders and management with priceless information. With this information, companies may allocate wise resources and take effective risk mitigation measures. Auditing gives companies the vision and flexibility they need to thrive in a changing environment, forge strategic alliances, enter new markets, or negotiate economic uncertainties.
Professionals have found that auditing aids financing and investment. In this day of fierce capital rivalry, creditors and investors carefully examine financial statements and performance indicators. A thorough audit report confirms the accuracy of financial data, improving credibility and reliability. Businesses strengthened by a robust auditing system are, therefore, better able to attract capital, obtain loans, and spur expansion plans.
Above and beyond its direct advantages, auditing promotes responsibility, integrity, and an ongoing culture of improvement in companies. Audits foster an environment of responsibility and openness at all company levels by encouraging compliance with set rules, moral principles, and best practices. Moreover, audits provide a testing ground for organizational learning and growth as the conclusions and suggestions guide process improvements, skill development programs, and remedial actions.
In addition to its numerous benefits, auditing plays a pivotal role in enhancing a company's reputation and fostering a culture of continuous improvement. Regular audits show openness and accountability, which may improve customer, supplier, and community relations. Positive perceptions can improve commercial and relationship prospects. Audits inspire firms to improve their processes and systems, fostering innovation and adaptation in a competitive market.
Organizations' financial health, operational performance, and long-term existence depend on auditing, which promotes openness and strategic decision-making. Proactive auditing is strategic, not legal, for organizations to prosper in a complex and interconnected global market. Auditing, as the foundation of risk management and corporate governance, helps organizations seize opportunities, handle uncertainties, and avoid long-term failure.
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Your Guide to Discovering Hidden Gem Restaurants while Traveling

Most foodies and travelers prioritize distinctive and memorable dining experiences, aiming to savor the finest local cuisine. Smaller, less advertised restaurants can satisfy this yearning. Travelers can use some strategies to find them, such as technology.
Technology has simplified the search for many things, including quality restaurants. Apps like OpenTable, with its extensive global restaurant database, enable users to find hidden local spots, view menus, and make bookings. Resy offers similar capabilities, excelling particularly in larger cities. Additionally, websites dedicated to showcasing independent dining establishments and nightlife, often through user-generated video content, provide tools for locating exceptional, under-the-radar restaurants.
Social media provides another valuable source for restaurant recommendations. Dedicated users on platforms like Instagram and TikTok focus on uncovering hidden gems, sharing videos and images of the atmosphere, and reviewing the food. While some restaurants may collaborate with influencers, these platforms' strength lies in the ability of everyday users, even those with smaller followings, to share their unbiased experiences and comment on posts. This organic perspective allows lesser-known restaurants to gain visibility and attract customers seeking genuine local flavor.
In addition, travelers can engage in on-the-ground exploration to uncover hidden culinary gems. Visitors should venture into neighborhoods, surrounding smaller towns, and up-and-coming areas that mainstream guides often overlook. For example, smaller towns near larger cities usually feature family-owned restaurants serving traditional dishes. Researching your destination and its surrounding areas beforehand can help identify potential places to explore on foot.
Local food markets are excellent starting points for finding restaurants and eateries that cater to locals and offer authentic culinary experiences. Vendors within these markets directly connect with restaurant staff, including chefs who source local ingredients such as herbs and meats. Many food markets also feature street vendors frequented by locals and tourists seeking unique experiences. In Taiwan, for instance, the Taipei night markets - the Raohe Street and Ningxia night markets - with their famous food stalls and vibrant atmosphere, allow visitors to sample different street foods and traditional dishes.
Visitors can also hire local guides, whose in-depth knowledge of the city's food scene helps them discover restaurants and experiences tourists rarely know about. While guides typically follow pre-set itineraries, they are often happy to share additional recommendations and even take visitors to these lesser-known spots. Furthermore, local guides know local event calendars, including food festivals and market days, providing opportunities to experience authentic regional cuisine.
For travelers on budgets, striking up conversations with the locals, such as cab or bus drivers, can reveal the best affordable culinary joints. Often, establishments frequented by locals, sometimes evident by long queues, indicate quality places. Making a reservation can help avoid lengthy waits upon finding these hidden gems. Some visitors observe and follow business crowds during lunch hours to locate affordable local eateries serving delicious meals.
When searching for hidden gems, practice caution. Avoid heavily touristed areas that often have trendy restaurants, such as those featuring celebrity chefs. Instead, prioritize establishments with a proven track record of longevity, menu innovation, and a steadfast commitment to quality and authenticity.
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What Is PRP and How Is It Used in Pain Management?

Platelet-rich plasma (PRP) therapy is an innovative treatment in regenerative medicine that uses the body's natural healing capabilities to alleviate pain and promote recovery. Derived from a patient's own blood, PRP comprises two primary elements: plasma, the liquid component of blood, and platelets, which are specialized blood cells vital for tissue repair and healing throughout the body.
The process of creating PRP is straightforward and starts with a simple blood draw, similar to a routine blood test. The patient's blood is then spun in a centrifuge to separate the platelets from other blood components and concentrate them within the plasma. Once the platelet-rich plasma has been created, it is injected directly into the site of pain or injury.
PRP supports pain relief by stimulating the body's healing response. This results in reduced inflammation and accelerated tissue repair, with many patients experiencing noticeable pain relief and improved function within weeks of the treatment. PRP therapy has shown promise in treating various issues, including acute ligament injuries and chronic pain caused by conditions such as osteoarthritis and tendonitis.
In addition to providing effective pain management, PRP therapy comes with minimal side effects. Also, because PRP is autologous, meaning it's derived from a person's own blood and cells, the risk of allergic reaction is much lower than with other injectable medications. Overall, PRP stands out as a safe, effective, and natural approach to pain management when administered under the care of a physician.
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Some Important Restaurant Dining Etiquettes

Dining out in a fine restaurant is not just about enjoying delicious meals; it is an experience. Maintaining proper restaurant dining etiquette is the key to making the most of this experience. There are various rules you should follow to have a great experience.
Being kind to the wait staff is one of the most essential etiquette guidelines for a beautiful restaurant dining experience. It's essential to treat them with respect. Shouting or snapping your fingers isn't the right way to gain their attention. Instead, calmly call on them or wait for them to approach you. And make sure any criticism of the food or service is constructive rather than mean and condescending.
Also, keeping your phones on silent is preferable to prevent unjustified interruptions of the eating experience for yourself and other diners. To fully enjoy the meal, avoid becoming unduly sidetracked by social media while eating. It is advisable to use a phone sparingly. If a crucial call comes in, quickly go to a specified spot to answer it. Loud phone conversations in the dining rooms might be annoying.
Finally, it's advisable to learn how to use cutleries. This includes knowing the suitable ones for every course of the meal. Also, chewing food with your mouth closed to avoid upsetting people around you, is preferable.
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Common Medical Uses of Botox Injections

Most people know that Botox injections treat facial wrinkles. However, they have medical uses beyond their cosmetic applications, such as treating chronic migraines and cervical dystonia.
Both cosmetic and medical botox contain onabotulinumtoxinA, a specific type of neurotoxin that works on the nervous system to relax the muscles. Secondary to these effects, medical professionals have used them to treat chronic migraines which respond favorably to relaxation of the muscles around the neck and skull. Chronic migraine patients refer to adults who experience more than 4 headache episodes lasting over four hours in their lifetime. The relief from these injections can last up to three months.
Also, medical professionals have used Botox injections to treat cervical dystonia or spasmodic torticollis. The condition consists of abnormal contractions of the neck muscles, causing the neck to twist. In some patients, cervical dystonia can cause the head to tilt to one side. Medical professionals use the injections to treat this condition in patients above 16 years old.
Furthermore, Botox can help relieve muscle stiffness or spasticity, which often occurs in the arms, hands, legs, and feet muscles. An unchecked increase in muscle tone is typically caused by spasticity, leading to severe issues with walking, talking, and other activities in some cases.
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Mental Health Benefits of Cooking

Cooking is an activity cherished by many for its cost-saving benefits and its ability to hone culinary skills. Yet, its often-overlooked mental health benefits make it even more valuable.
One of the foremost mental health benefits of cooking is its capacity to foster social relationships. Loneliness can take a toll on mental well-being, but cooking has a remarkable ability to bring people together, providing a sense of security and companionship. Engaging in cooking activities with loved ones not only strengthens bonds but also enhances communication, contributing to improved mental health.
Moreover, cooking can instill a sense of accomplishment, elevating self-esteem and mental well-being. Mastering a recipe and creating a delectable dish can create a deep sense of satisfaction. The transformation of raw ingredients into something delicious is not only mentally gratifying, but also serves as a confidence booster, as it signifies the creation of something enjoyable for others.
Additionally, cooking serves as an effective stress reliever. While some may view cooking as a tiresome chore, others find it to be a joyful pastime. The intricate tasks involved, from chopping vegetables to stirring dishes, demand focus, allowing individuals to immerse themselves in the present moment and temporarily set aside their worries. This experience provides a welcome reprieve from stress by redirecting attention away from stressors.
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Benefits of Membership with the ASIPP

Founded in 1998, the American Society of Interventional Pain Physicians (ASIPP) exists to support interventional pain physicians. Becoming a member of the organization offers numerous benefits to advancing the field of interventional pain management.
Members of the ASIPP receive a complimentary subscription to the Pain Physician journal, which provides valuable insights and knowledge. They also gain access to the members-only website, which offers exclusive content, including fee schedules and various resources, and a video library featuring previous courses and annual meeting lectures.
Discounted registration is provided to members for annual and spring meetings, cadaver workshops, books, and manuals. Furthermore, they receive e-mail updates on industry happenings to ensure they stay informed about the latest developments in the field.
Active members, including residents, fellows, medical students, and practitioners with varying years of experience, can choose a membership category that best suits their needs. Corporate sponsorships are also available starting at $5,000 per year and offer benefits such as free advertising and exhibit opportunities. The ASIPP board of directors appoints honorary members to recognize their significant contributions to the field.
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A Brief Introduction to Compression Fractures

The human spinal column consists of many components, including 33 vertebral discs and bodies. Vertebrae are critically important to the proper function of the axial skeletal system. People can experience various injuries to the vertebral column, including compression fractures.
A compression fracture is a break that results vertical collapse of a vertebrae. One-quarter of American women over 50 have experienced at least one, and one million Americans report compression fractures annually. Aging is a risk factor for both women and men as bones naturally weaken. Data shows that 50 percent of Americans over 80 have experienced a compression fracture. Related conditions, such as osteoporosis, are also more common at older ages and can contribute to compression fractures. A single compression fracture can be painful and cause many health issues, while multiple breaks can result in extreme spinal curvature or in rare cases even complete spinal collapse.
The severity of a compression fracture can vary considerably. Proper rest sometimes alleviates the pain and discomfort. Others may need the support of braces and medications while healing. In cases where severe pain is present, minimally invasive surgical procedures address compression fractures, including cement injections.
While individuals cannot stop themselves from aging, they can make several lifestyle changes that minimize the chances of developing osteoporosis and weakening their skeletal system. Tobacco products, alcohol, and unhealthy diets can weaken bones, while vitamin D and calcium are reliable bone-strengthening resources.
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How Lidocaine Infusions Can Relieve Chronic Pain

Chronic pain is a common condition that affects millions of Americans and, without effective intervention, can negatively impact quality of life. Lidocaine infusion via intravenous (IV) injections is an alternative, nonsurgical treatment that can help alleviate pain. Doctors often prescribe the treatment when standard medications haven't been effective in treating nerve pain.
Lidocaine IV injections are most commonly used to treat central neuropathic pain, chronic regional pain syndrome, fibromyalgia, and postherpetic pain. The treatment has also been shown to help alleviate headaches and pain associated with some types of cancer. Lidocaine is a numbing agent that, when injected into the body, numbs the nerves and blocks pain receptors in the spinal cord and brain. In some cases, patients feel immediate relief from pain.
Usually, the lidocaine infusion procedure lasts for about an hour, during which time the anesthetic flows throughout the bloodstream. While there is minimal risk of complications, there are some common side effects, including nausea, constipation, swelling or irritation near the injection site, and ringing in the ears. Serious but extremely rare side effects include changes in blood pressure, seizures, and malignant hyperthermia.
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Italy Wins the 2023 Davis Cup

For the first time since 1976, Italy won the Davis Cup title after defeating Australia 2-0 in the finals of the team international tennis tournament at Martin Carpena Arena in Malaga, Spain, on November 26. Matteo Arnaldi and Jannik Sinner won the two singles matches for Italy, defeating Alexei Popyrin and Alex De Minaur, respectively. Australia was the runner-up for the second consecutive year.
Italy advanced to the knockout stage after finishing second behind defending champions Canada in Group A. They beat Serbia 2-1 in the semifinals and the Netherlands 2-1 in the quarterfinals. After Arnaldi defeated Popyrin in a back-and-forth three-set match to begin the best-of-three championship, Sinner beat De Minaur in dominant fashion, 6-3, 6-0. It was his sixth victory in six career matches against De Minaur.
Sinner was the star of the tournament for Italy, winning all of his singles and doubles matches in the knockout stage. He saved three match points in his semifinal match against world No. 1 Novak Djokovic before rallying back to win 6-2, 2-6, 7-5. Following the Davis Cup Sinner was 20-2 in 22 matches dating back to the US Open, including winning ATP 500 titles in Beijing and Vienna. He was also runner-up to Djokovic in the Nitto ATP Finals.
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Structure of the Year End Championships in Tennis

Male and female professional tennis players compete on the Association of Tennis Professionals (ATP) and Womenâs Tennis Association (WTA) tours. Most pro tennis tournaments are contested as bracketed, single-elimination tournaments. There is a notable exception on both tours: the year-end championships.
The year-end championships differ from standard tennis tournaments in several ways. The menâs and womenâs versions of the event feature an eight-player draw. This is a much smaller draw than most tournaments; major draws, by comparison, consist of 128 players.
Qualifying for the year-end championships is similar to preparing for other events. However, because the year-end championships occur at the end of the season and permit only eight players to participate, the field is limited to the top seven players in the world. Although rare, the eighth spot is sometimes reserved for a player who won a major tournament but finished between No. 9 and No. 20 in the rankings. It is not uncommon for players to battle over the year-end No. 1 ranking.
The structure of the year-end championships is quite different from other tournaments. The eight players are divided into two groups: No. 3 and No. 4, No. 5 and No. 6, and No. 7 and No. 8 players randomly drawn into Group A and Group B.
Players contest three round-robin matches, with the best record in Group A facing the second-best record in Group B in the semifinals and vice versa. This means the top two seeds can meet each other in the semifinals, an impossibility at all other tennis events. Similarly, the final can be a rematch of a round-robin match earlier in the tournament.
Lastly, players must qualify for the year-end championships each season, even if they won the year prior. This means players may not have the opportunity to defend their title, which results in the loss of thousands of ranking points.
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Application Programming Interfaces in Health Care

An application programming interface (API) is a software intermediary that facilitates communication between two applications. APIs are tools for integrating application software that allows the software to communicate with other software without having to build an additional connectivity infrastructure. For example, when you use your smartphone to check the weather or search for a flight on a website, you are using an API.
When it comes to sharing and accessing data, healthcare organizations face major challenges, particularly as healthcare information technology infrastructure increasingly migrates to the cloud. Different data sets use different formats, which complicates interoperability between apps. Before the advent of electronic health record (EHR) systems, data interoperability was addressed manually using fax machines and phone calls.
Healthcare organizations today might have deployed one EHR in the registry, a separate EHR in the hospital for use by healthcare personnel, and a health specialist or consultant may be using a third. The biggest challenge then becomes data consistency. Often, the patient's clinical data becomes spread across several data silos and disconnected, leading to a fragmented or out of sync record. This is where APIs step in.
In the health sector, with the help of artificial intelligence, application programming interfaces (APIs) are being deployed to create a longitudinal, centralized view of the patient. Increasingly, healthcare organizations that want to create robust interoperability between EHRs, internal apps, and other digital data exchange tools are turning to APIs to manage information flow between disparate systems.
The ongoing transition to care coordination, value-based care, and population health management makes it crucial to gather actionable insights at the care delivery point. APIs can help to ensure that the EHR data is accessible on a timely basis to the right users, both internal and external, while it also stays safe from malware or external breaches and threats.
For applications that rely on a constant flow of data from several sources having an API is particularly crucial, as it reduces the time required to gather the information. It also saves storage space on endpoint devices and, more importantly, overcomes any challenges posed by different programming languages, standards, or formats. APIs act as bridges between two or more applications, thus allowing a seamless flow of data regardless of how each of the applications was originally designed.
Well-designed healthcare APIs allow different systems to receive or send data that can provide a collective record of the patient or update records for use in healthcare analytics. For example, a healthcare organization can enter a patientâs data into a digital system that works with an insurance company and automatically determine the insurance coverage for that patient for drugs or a specific procedure.
For individuals and patients, interoperability gives them the power to manage their healthcare just like they do their finances and many other aspects of life. In addition, healthcare APIs allow patients to move from one service provider to another, seamlessly transferring their health information at the same time. API healthcare exchanges usually incorporate aspects such as authentication, user authorization, and encryption to ensure data safety and secure connections.
In the coming years, APIs in healthcare will connect healthcare providers to more complete patient data that will improve patient outcomes. This is particularly important given the 21st Century Cures Act, which encourages more interoperability and standardization in health information technology.
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