Medicine & Medical Specialties

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.

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SMJ Article | Original Article

Insurance Type Affects Access to Care for Young Football Athletes with Hip Labrum Tears

Objectives: Patients with Medicaid compared with private insurance have increased difficulty gaining access to orthopedic care. How insurance status affects access to care for young athletes (football; from here, all "young athletes" are football players) with hip labrum tears has yet to be assessed. The purpose of this study was...

Posted in: Rheumatology and Orthopedics26

SMJ Article | Review Article

Therapeutic Approach to Heart Failure Management: Insight from Clinical Trials

Heart failure (HF) is a global burden and, irrespective of age, sex, race, nationality, and geography, affects individuals across the world. Several reports mentioned that, globally, more than 64 million people, which accounts for 1% to 3% of the total global population, are living with HF. In the United States,...

Posted in: Cardiovascular Disease33

SMJ Article | Original Article

Outcomes of Hepatitis C Virus Testing and Treatment at a Rural Safety Net Clinic in East Tennessee

Objectives: Hepatitis C virus (HCV) is the most common bloodborne infection in the United States and a leading cause of liver-related morbidity. Tennessee is among the top 10 states for a patient population living with HCV, and it is especially prevalent in the Appalachian counties. The purpose of this study...

Posted in: Infectious Disease144

SMJ Article | Original Article

Assessment of Outcomes of Rehabilitation Program for Socially At-Risk Patients

Objectives: Safety-net hospitals are crucial in providing health care regardless of patients' financial means; however, individuals with social risk factors often face challenges in accessing post-acute rehabilitation services, leading to functional decline and extended hospital stays. The Bridge to Home program was developed to address these disparities by providing intensive...

SMJ Article | Original Article

Publication Bias in Coronary Artery Disease Clinical Trials: A Bibliometric Review

Objective: The objective of our study was to determine the extent of publication bias of clinical trials pertaining to the treatment of coronary artery disease. Specifically, studies are more likely to be published if the results are positive and have a higher citation rate. Methods: The US National Library of...

Posted in: Cardiovascular Disease33

SMJ Article | Original Article

Pilot Cross-Sectional Study Assessing the Correlation between Marijuana Use and Rheumatoid Arthritis and Systemic Lupus Erythematosus Exacerbations

Objective: Cannabis use is increasing among patients with autoimmune rheumatic diseases, often for symptom relief; however, its impact on disease activity remains unclear. This pilot study assessed whether cannabis use was associated with differences in flare frequency or duration among patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), or...

Posted in: Rheumatology and Orthopedics26

SMJ Article | Original Article

Obesity, Body Fat Distribution, and Blood Pressure in Hispanic and Non-Hispanic Whites in a National Survey

Objectives: Recent data from the National Health and Nutrition Examination Survey (NHANES) indicated that despite a higher prevalence of obesity in Hispanic women than non-Hispanic White women, their hypertension prevalence did not differ. Obesity and large upper arm (UA) circumference can affect the accuracy of BP readings. Anthropometric data were...

SMJ Article | Original Article

Distribution of the Georgia Pulmonology Workforce: A Rural-Urban Analysis

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...

SMJ Article | Perspectives

An Exploration of Alcohol Withdrawal Protocols, with a Focus on the Use of Phenobarbital

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....

SMJ Article | Original Article

Helicobacter pylori Eradication Rates among Patients Undergoing Endoscopy Remain Stagnant Despite Evolving Clinical Practice Patterns

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...

Posted in: Gastroenterology48

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