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: Hamstring strain injuries (HSI) are common among football and soccer athletes. Eccentric strength imbalance is considered a contributing factor for HSI. There is, however, a paucity of data on hamstring imbalances of soccer and American football athletes as they age and advance in skill level. High school athletes will...
Key Points Elevated lipoprotein(a) (Lp(a)) is considered an independent and causal risk factor for atherosclerotic cardiovascular disease (ASVCD) and calcific aortic valve disease, affecting approximately 20% of individuals. Lp(a) levels are established in youth and are almost exclusively genetic and minimally affected by nonpharmacologic interventions. Clinicians should suspect elevated Lp(a)...
Nonalcoholic fatty liver disease (NAFLD) represents a spectrum of liver disease without ongoing or significant alcohol use that ranges from hepatic steatosis to cirrhosis. NAFLD is associated with obesity, insulin resistance, type 2 diabetes mellitus (T2DM), hypertension, and dyslipidemia.1,2 Nonalcoholic steatohepatitis (NASH) represents the progression of NAFLD with at least...
Objectives: Eradication of Helicobacter pylori reduces the risk of gastric cancer (GC). Individuals with type 2 diabetes mellitus (T2DM) are known to be at increased risk for GC. In a cohort of H. pylori-positive individuals, we assessed whether those with T2DM were at risk of persistent infection following H. pylori...
Fibromyalgia (FM) is a complex disease that affects 2% of the US population.1 The etiology and pathophysiology of FM are largely unknown2,3; however, genetic factors, infections, and physical or emotional events are known aggravating factors. Patients with FM typically report muscle pain and tenderness, most commonly in the upper mid-trapezius...
Objectives: Do-not-resuscitate (DNR) orders are used to express patient preferences for cardiopulmonary resuscitation. This study examined whether early DNR orders are associated with differences in treatments and outcomes among patients hospitalized with pneumonia. Methods: This is a retrospective cohort study of 768,015 adult patients hospitalized with pneumonia from 2010 to...
Objectives: Pancreatic divisum (PD) is the second most common congenital abnormality of the pancreatic duct, which affects 2% to 3% of the population. Most of the population remains asymptomatic, but in people who present with symptoms, it can be a cause of anguish and should be recognized. The main goal...
Objectives: Sufficient exercise and high-quality sleep are important for good health, and they may be particularly crucial during the coronavirus pandemic. Sleeping difficulties and insufficient exercise are prevalent in the United States, however, and data indicate little to no change—or even worsening—of these health behaviors before the pandemic. This study...
To the Editor: Social media has an increasingly important role in life. Healthcare-related topics make up an important aspect of social posts because approximately 25% of social media users follow friends’ health updates online and approximately 10% post about their own health.1 The impact of social media on our actual...
Objectives: Interhospital transfer (IHT) and in-hospital delirium are both independently associated with increased length of stay (LOS), mortality, and discharge to facility. Our objective was to investigate the joint effects between IHT and the presence of in-hospital delirium on the outcomes of LOS, discharge to a facility, and in-hospital mortality....
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