Organic Chem or Nutrition as a Pre-Med Requirement?

Success in an undergraduate course in organic chemistry is one of the master keys needed to unlock the door to medical school. Organic chemistry became a requirement for admission to allopathic medical schools in 1930.1 In 2015 it continues to be required by 84% of allopathic medical schools and is recommended by an additional 11%.2 It is […]

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Air Pollution

The Health and Economic Burden of Air Pollution

Many epidemiologic data support the association between ambient air pollution and all-cause mortality and morbidity, mainly from respiratory and cardiovascular diseases, particularly in the elderly, infants, pregnant women, and people with comorbidities. In addition, air pollution has been related to higher risks for lung cancer and allergic diseases. The World Health Organization (WHO) estimated that […]

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Irritable Bowel Syndrome: Combating a Common Complaint (video)

Irritable bowel syndrome is the most common functional gastrointestinal disorder, manifesting as abdominal pain/discomfort and altered bowel function.  Despite affecting as many as 20% of adults, a lack of understanding of etiopathogenesis and evaluation strategies results in diagnostic uncertainty. In the August 2015 issue of The American Journal of Medicine, Sayuk and Gyawali detail modern […]

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prescription drugs

CME: Tools for Safe Prescribing in Chronic Pain Management

The American Journal of Medicine and the Journal of Pain and Symptom Management are sponsoring continuing medical education (CME) resource center on safe prescribing practices for opioids. The Opioid REMS Resource: Tools for Safe Prescribing in Chronic Pain Management provides you with free access to the latest peer-reviewed clinical information relating to ER/LA opioid treatment and management […]

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Diagnostic Utility of Food Terminology

Physicians use food to describe the body: Analogies add flavor, provide a lingua franca for description, and offer a mnemonic. Presenting medicine in food descriptors makes a boundless field easier to digest. We present a selection of food terms pertaining to physical diagnosis. Skin Food terminology provides a tasteful way to describe sometimes unsightly cutaneous disorders. Warts […]

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CME: Hepatitis C Screening, Diagnosis, Treatment & Management

The American Journal of Medicine, the Centers for Disease Control’s Division of Viral Hepatitis, and Elsevier have assembled a multifaceted resource center for primary care physicians and specialists who want to learn more about Hepatitis C screening, diagnosis, treatment, and management. The site includes videos, links to research articles, and links to new guidelines. Check […]

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Cardiac Stress Testing

AJM Contest: ‘Best Medical Image’ Case

Every physician has seen patients whose diagnoses and the corresponding medical images are remarkable. Now The American Journal of Medicine has created a medical imaging case report competition to help you share your most fascinating cases.  All members of the international medical community are invited to submit their most extraordinary medical imaging cases for consideration. […]

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The Perils of Country Life

The Perils of Country Life: Human Monocytic Ehrlichiosis An ordinary day began with a patient transfer from a rural hospital in Eastern Kentucky. The 26-year-old woman presented to the outside hospital with a 2-day history of shortness of breath and productive cough, which had been preceded by several days of generalized fatigue, subjective fever, and […]

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Healthcare Costs

Caveats to Consider When Calculating Healthcare Value

Concerns about the impact of healthcare costs on the economy and the exploration of new reimbursement models have colluded to encourage a transition “from volume to value” in US healthcare. “Volume” meant that healthcare providers received a payment for providing a particular service, regardless of outcomes or need; healthcare reimbursement has been volume-based for 50 […]

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Doctor at work

Solutions to the Primary Care Physician Shortage

A primary care physician shortage currently exists in this country. As millions get health insurance under the Patient Protection and Affordable Care Act, this shortage is likely to grow. It is imperative that leaders recognize the need to grow primary care capacity. This piece will explore solutions to increase primary care capacity in the United […]

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It Took a Village: Good’s Syndrome

A complex medical history became even more tangled when a 52-year-old man presented with a 4-week history of dry cough, dyspnea, weight loss, chills, subcutaneous nodules on his extremities, and fatigue. He had no fever. Initially, his primary care physician examined him and prescribed a course of clindamycin. Although the patient completed therapy, the nodules […]

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AJM’s Best of 2014: The Lives of Black Physicians in the South

Professor and Dr Richard D. deShazo et al’s series of articles dealing with the history of African American medical school applicants and physicians in the Deep South during the contentious years of desegregation represent the very best articles published in The American Journal of Medicine during 2014. Dr deShazo et al courageously detail the various ways in which discriminatory practices were used […]

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Are e-Cigarettes Safe?

As the popularity of e-cigarettes increases, concerns are being raised about their safety and lack of regulation. E-cigarettes are not regulated or taxed like normal tobacco-containing cigarettes. Unlike nicotine inhalers, the exact chemical content of the liquid that is heated in the e-cigarettes is unknown, and e-cigarettes have not been clinically proven to promote smoking cessation. […]

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