Original Article

Secondary Effects of the COVID-19 Pandemic on Pregnancy Intention

Objectives: The coronavirus disease 2019 (COVID-19) pandemic had many downstream effects, including, for some women, altering the wish to become pregnant. This study examines the effects on pregnancy intention and Edinburgh Postnatal Depression Scale (EPDS) score at the initiation of prenatal care in a low-income population during the COVID-19 pandemic….

Posted in: Infectious Disease139 Pregnancy33

Original Article

Medical Resident Perceptions of Distress during Training

Objectives: This study used a qualitative research approach to grounded theory to identify factors that contributed to resident distress during 2021–2022 in multiple different specialties and at different postgraduate years of residency. By better understanding these contributors to distress, the aim was to inform the design of optimal interventions to…

Original Article

Comparison of Standard and Extended Dexamethasone Duration on Mortality in Patients with Severe COVID-19

Objectives: Current guidelines recommend dexamethasone 6 mg/day for up to 10 days in patients with severe coronavirus disease 2019 (COVID-19) requiring supplemental oxygenation or mechanical ventilation. The practice has significant variation, however, and dexamethasone has been used for >10 days for many patients with severe COVID-19. The aim of this…

Posted in: Infectious Disease139

Multidisciplinary Clinical Case Study

Hyperphosphatemic Familial Tumoral Calcinosis

Hyperphosphatemic familial tumoral calcinosis (HFTC) is a rare, autosomal recessive condition characterized by fibroblast growth factor 23 signaling pathway dysregulation, hyperphosphatemia and ectopic calcifications (which manifest as joint motion limitations), inflammatory bony pain, and disability. Given the rarity and multiorgan involvement of HFTC, a multidisciplinary approach including Dermatology, Ophthalmology, Dentistry,…

Original Article

Qualitative Exploration of Contraceptive Knowledge in Men and Women

Objectives: The level of knowledge about contraceptives overall is low in the United States. This qualitative study adds to the literature that explores gendered differences in contraceptive knowledge. Specifically, we examined knowledge regarding different contraceptive methods, directions on use, mechanism of action, efficacy, and adverse effects. We also looked at…

Posted in: Family Planning & Reproductive Health15

Original Article

Reducing Unnecessary Laboratory Testing: A Quality Improvement Initiative at Wellstar Spalding Medical Center

Objectives: The healthcare industry is grappling with escalating expenses, partially attributed to the inefficient use of medical resources, particularly by ordering unnecessary laboratory tests. Such practices not only increase costs but also result in extended hospital stays, patient discomfort, and potential clinical complications such as iatrogenic anemia. Blood tests, although…

Original Article

Medical Communication Training: The Effect of Gender and Experience and Goals of Care Discussions

Objectives: Communication skills are increasingly recognized as a crucial component of medical training; however, little is known about the efficacy of various training methods when considering diverse student backgrounds, such as gender and prior training experience (ie, year of residency). This study explores medical learners’ perceptions of effective communication in…

Original Article

Optimizing the Dermatologic Formulary at a Free Clinic

Objectives: Free clinics provide care to underserved populations nationwide. The Birmingham Free Clinic offers dermatology care and operates an onsite dispensary. Little is known about specialty care services and medication optimization in the free clinic setting. This study analyzed dermatologic diagnoses and medication distribution patterns to optimize the dermatologic formulary…

Posted in: Dermatology15

Original Article

Patient Interest in Mental Health Screening by Endocrinologists

Objectives: Endocrine disorders often coexist with mental health issues. Little is known about patient beliefs regarding endocrinologists’ involvement in mental health screening. We studied the beliefs of patients with endocrine disorders regarding endocrinologists’ asking about mental health and whether patients perceive that endocrinologists are capable of recognizing mental health concerns….

Posted in: Dermatology15

Original Article

Examining Provider Attitudes and Barriers toward Prescribing PrEP within Primary Care Settings in Alabama

Objectives: Human immunodeficiency virus (HIV) preexposure prophylaxis (PrEP) is an effective HIV prevention tool. Expanding PrEP access and utilization is made possible by incorporating it into primary care practice. This study explored the barriers in and attitudes toward prescribing PrEP to adults among primary care providers (PCPs) in Alabama, a…

Posted in: Infectious Disease139 Acquired Immunodeficiency Syndrome (AIDS) And Human Immunodeficiency Virus (HIV) Infection21

Original Article

Understanding Trends in Pediatric Drowning Injuries in North Carolina

Objective: Drowning is a leading cause of injury-related death in the pediatric and adolescent population. This epidemiologic study describes the trends in emergency department (ED) visits for pediatric drowning injury in North Carolina and the impact of the coronavirus disease 2019 (COVID-19) pandemic on incidence rate. Methods: Data were obtained…

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