Does Age Influence Knowledge and Attitudes about Intrauterine Devices?

Primary objectives: Are there differences in attitudes and beliefs about IUDs based on age? We hypothesized that older women may be more familiar with the negative outcomes of earlier models of the IUD and therefore may hold more negative attitudes toward IUDs.https://jdc.jefferson.edu/cwicposters/1016/thumbnail.jp

Scorodite precipitation in the presence of antimony

publisher: Elsevier articletitle: Scorodite precipitation in the presence of antimony journaltitle: Chemical Geology articlelink: http://dx.doi.org/10.1016/j.chemgeo.2015.04.013 content_type: article copyright: Copyright © 2015 The Authors. Published by Elsevier B.V.© 2015 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license. The attached file is the published version of the article

Helping to Support CPC+ Initiative to Integrate Behavioral Health Within Primary Care: A Team-Based Approach to Improving Depression Management

AIM: The objective of this project is to increase the rate of documented successful treatment of depression for both new and established diagnoses of depression at Jefferson Internal Medicine Associates (JIMA) from 29% to 50% over 12 months.https://jdc.jefferson.edu/patientsafetyposters/1027/thumbnail.jp

Implementing A Surgical Pre-Operative Checklist: Improving Transparency & Communication

Our goal was to first analyze what the current practice was and if there was a need for improvement. To our knowledge, each surgical service has its own preop protocol and this is not standardized across the hospital. Furthermore, very few services have EPIC based protocols that allow for documentation and information sharing. For example, the neurosurgery service uses paper checklists, a style that is effective yet outdated. A survey was sent out to multiple departments in order to gauge the current landscape of pre-operative care. Questions were posed to analyze if there was a need for improved documentation by surgical services, whether or not nonsurgical personnel had clear operative plans for combined patients, and whether or not there was a role for a pre-operative checklist in EPIC to bring all the healthcare providers onto the same page

Expansion and Conversion of Family Medicine and Neurohospitalist Services into COVID-19 Services

What\u27s the Problem? During the COVID-19 pandemic, there was an anticipated increase in the number of patients admitted with COVID-19. To meet the increased number of admitted patients, additional providers and teams were needed to care for hospitalized patients during the pandemic. Pre-existing teams needed to find ways to expand (in the case of the Family Medicine service) and repurpose (in the case of the Neurohospitalist service) in order to care for an increased number of patients

Management of functional neurological disorder.

Functional neurological disorder (FND) is a common cause of persistent and disabling neurological symptoms. These symptoms are varied and include abnormal control of movement, episodes of altered awareness resembling epileptic seizures and abnormal sensation and are often comorbid with chronic pain, fatigue and cognitive symptoms. There is increasing evidence for the role of neurologists in both the assessment and management of FND. The aim of this review is to discuss strategies for the management of FND by focusing on the diagnostic discussion and general principles, as well as specific treatment strategies for various FND symptoms, highlighting the role of the neurologist and proposing a structure for an interdisciplinary FND service

Successional changes of epibiont fouling communities of the cultivated kelp Alaria esculenta: predictability and influences

There has been an increase in commercial-scale kelp cultivation in Europe, with fouling of cultivated kelp fronds presenting a major challenge to the growth and development of the industry. The presence of epibionts decreases productivity and impacts the commercial value of the crop. Several abiotic and biotic factors may influence the occurrence and degree of fouling of wild and cultivated fronds. Using a commercial kelp farm on the SW coast of Ireland, we studied the development of fouling communities on cultivated Alaria esculenta fronds over 2 typical growing seasons. The predictability of community development was assessed by comparing mean occurrence-day. Hypotheses that depth, kelp biomass, position within the farm and the hydrodynamic environment affect the fouling communities were tested using species richness and community composition. Artificial kelp mimics were used to test whether local frond density could affect the fouling communities. Species richness increased over time during both years, and species composition was consistent over years with early successional communities converging into later communities (no significant differences between June 2014 and June 2015 communities, ANOSIM; R = -0.184, p > 0.05). The timing of species occurrences was predictable across years for all shared species. Variations in biomass, depth and position within the farm had no significant effect on species richness and composition. Results from artificial kelp mimics suggest possible hydrodynamic effects. The ability to understand succession and the timing of occurrences of fouling organisms and predict their arrival has significant benefits for the seaweed cultivation industry