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The increase in depression during the COVID-19 pandemic underscores the importance of systematic approaches to identify individuals with mental health concerns. Primary care is often underutilized for depression screening, and it is not clear how practices can successfully increase screening rates. This study describes a quality improvement initiative to increase depression screening in five Family Medicine clinics. The initiative included four Plan-Do-Study-Act cycles that resulted in implementing a standardized workflow for depression screening, collaborative efforts with health information technology to prompt providers to perform screening via the medical record, delivering educational materials for providers and clinic staff and conducting follow-up education. Between September 2020 and April 2021 there were 23,745 clinic encounters with adult patients that were analyzed to determine whether patients were up-to-date on depression screening following their visit. A multi-level logistic regression model was constructed to determine the changes in likelihood of a patient being up-to-date on screening over the study period, while controlling for patient demographics and comorbidities. The average proportion of up-to-date patients increased from 61.03% in September 2020 to 82.33% in April 2021. Patients aged 65+ and patients with comorbidities were more likely to be up-to-date on screening; patients with telemedicine visits had lower odds of being up-to-date on depression screening. Overall, this paper describes a feasible, effective intervention to increase depression screening in a primary care setting. Additionally, we discuss lessons learned and recommendations to inform the design of future interventions.

BackgroundDespite the potential for telemedicine in public libraries to expand healthcare access to those living a long distance from care and in broadband poor areas, there are few collaborations between libraries and healthcare providers offering these programs.PurposeTo explore licensed independent providers’ perspectives (LIPs) on telemedicine in public libraries as a method of improving equitable access to care for populations lacking the ability to connect to a telemedicine video visit from home.MethodsWe used a two-phase explanatory sequential mixed methods design with a quantitative strand followed by a qualitative strand to explore LIPs’ perspective on telemedicine in public libraries. Surveys were analyzed descriptively and to determine group differences. Survey respondents were recruited to participate in interviews, which were analyzed thematically using descriptive content analysis.FindingsFifty LIPs responded to the survey, and 12 were interviewed. Respondents were overwhelmingly supportive of telemedicine in public libraires, describing how video visits could help multiple vulnerable populations connect to providers when travel was cost prohibitive. They emphasized how connecting at-risk populations to a video visit instead of a telephone call allowed for a more thorough and accurate assessment. While several LIPs were concerned with privacy, others considered a library to be more private than the home. Interviews revealed how chronic illness management may be the ideal visit type for public library-based telemedicine.ConclusionsGiven the importance of expanding access sites for telemedicine, providers should consider partnering with libraries in their catchment areas where broadband access is sparse, and patients must travel long distances to care. Managing chronic illnesses using telemedicine in public libraries may be an important approach toward reducing health disparities in populations who live long distances from care and do not have home-based internet access.

In this volume, Rebekah Compton offers the first survey of Venus in the art, culture, and governance of Florence from 1300 to 1600. Organized chronologically, each of the six chapters investigates one of the goddess's alluring attributes – her golden splendor, rosy-hued complexion, enchanting fashions, green gardens, erotic anatomy, and gifts from the sea. By examining these attributes in the context of the visual arts, Compton uncovers an array of materials and techniques employed by artists, patrons, rulers, and lovers to manifest Venusian virtues. Her book explores technical art history in the context of love's protean iconography, showing how different discourses and disciplines can interact in the creation and reception of art. Venus and the Arts of Love offers new insights on sight, seduction, and desire, as well as concepts of gender, sexuality, and viewership from both male and female perspectives in the early modern era.

The green mantle of the earth! This metaphor is a poetic image that borrows from the vocabulary of weaving and epitomizes the Renaissance interest in "fashioning green worlds" in art and poetry. Here it serves as a motto for a cultural poetics that made representing living nature increasingly popular across Italy in the Early Modern period. The explosion of landscape art in this era is often associated with the rise of interest in the literary pastoral, narrowly defined, but this volume expands that understanding to show Green’s broad appeal as it intrigued audiences ranging from the ecclesiastic to the medical and scientific to the humanistic and courtly. The essays gathered here explore the expanding technologies and varied cultural dimensions of verzure and verdancy in the Italian Renaissance, and thus the role of visual art in shaping the poetics and expression of greenery in the arts of the 16th-century and beyond.