Encompasses the entire field and disciplines of internal medicine, as well as family medicine and general medicine. Addresses the wide-range of non-surgical diseases and disorders (diagnosis and treatment), pharmacological therapy, evidence-based practice, and interdisciplinary patient care.
Objectives: Although healthcare disparities between rural and urban populations are documented, access to pulmonary subspecialty care in rural regions is not well characterized. This study aimed to quantify rural-urban disparities in access to pulmonology, pulmonary critical care medicine (PCCM), and sleep medicine physicians in Georgia. Methods: The Georgia Composite Medical...
Objective: Severe alcohol withdrawal (SAW) is a common cause of hospital admission in the United States. There has been increased interest in phenobarbital use for SAW treatment. We aimed to investigate variability in alcohol withdrawal management protocols at different hospitals within a geographic region, with a focus on phenobarbital use....
Objectives: Helicobacter pylori is the strongest risk factor for non-cardia gastric adenocarcinoma, the cancer with the greatest racial disparity in US cancer mortality. The 2017 American College of Gastroenterology guidelines recognized that local H pylori antibiotic resistance data are often unavailable in the United States, highlighted increasing clarithromycin resistance, and...
Constipation is a common condition seen in both the inpatient and outpatient settings that complicates discharges and affects patients’ quality of life. Chronic constipation is estimated to affect 14.6% to 25% of the world population, making it one of the most common causes for referral to a specialist.1
Objectives: Coverage by private insurance is associated with lower chronic pain prevalence, but the significance of different types of private coverage for the epidemiology of chronic pain is poorly understood. The primary outcome was pain prevalence. Among respondents with chronic pain, secondary outcomes included experiences of severe pain, high-impact pain,...
Objectives: States bordering the lower Mississippi River have large Black populations totaling 1,996,897. In 2019, 7506 Blacks there died of heart disease. These four states have high heart disease death rates. This analysis examined geographic variation in heart disease to suggest populations to target for intervention and suggest hypotheses for...
Objectives: This study aimed to assess the associations of smoking status and prescription of smoking cessation medication on rehospitalizations. Tobacco use remains a major public health issue in the United States as it is linked to a broad spectrum of serious diseases. Although intensive inpatient tobacco treatment programs have shown...
Anorexia nervosa (AN) is a severe psychiatric disorder with profound cardiovascular consequences, including QT interval prolongation and bradycardia. These abnormalities contribute to an increased risk of life-threatening arrhythmias, sudden cardiac death, and long-term cardiac dysfunction. Although electrolyte imbalances and malnutrition are also recognized as key contributors, the precise mechanisms underlying...
Objectives: This survey study investigates the factors contributing to physicians taking time off from clinical medicine and the challenges of reentry. Methods: This qualitative study used an online survey conducted from February to July 2023. The survey was e-mailed to physicians (Doctors of Medicine and Doctors of Osteopathic Medicine) licensed...
To the Editor: Rural Americans face persistent barriers in otolaryngologic care due to shortages of otolaryngologists, geographic isolation, and limited transportation. These challenges contribute to significant delays in diagnosis and treatment.
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