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Articles 1 - 30 of 967
Full-Text Articles in Medicine and Health Sciences
Addressing Antifungal Resistance: Using Boric Acid Suppositories For The Treatment Of Vulvovaginal Candidiasis, Isabel Goodrich
Addressing Antifungal Resistance: Using Boric Acid Suppositories For The Treatment Of Vulvovaginal Candidiasis, Isabel Goodrich
Family Medicine Clerkship Student Projects
Antifungal resistance poses a growing challenge in the treatment of vulvovaginal candidiasis (VVC), necessitating innovative approaches for effective management. This community health project investigates the efficacy of boric acid as an alternative treatment for VVC, particularly in the context of antifungal resistance. Employing a mixed-methods approach, this study integrates interventions aimed at healthcare providers and patients alike.
Firstly, a targeted in-person presentation was delivered to family medicine residents, focusing on the use of boric acid in VVC treatment and its potential impact on addressing antifungal resistance.
Secondly, a patient informational pamphlet was developed, providing comprehensive guidance on safe utilization of …
Utilizing A Community Resource For Diabetes Lifestyle Management, Max Breidenstein
Utilizing A Community Resource For Diabetes Lifestyle Management, Max Breidenstein
Family Medicine Clerkship Student Projects
Grace Cottage Family Health & Hospital identified diabetes as a level one priority for community health improvement. VeggieVanGo is a program hosted at schools and hospitals hosted by the Vermont Foodbank which provides fresh produce to those in needs. Lifestyles modifications are essential for diabetes management including consuming fresh produce. This project sought to increase awareness of the role of diet in diabetes management for patients at Grace Cottage Hospital who may use the VeggieVanGo program.
Movement Matters: Encouraging Activity In Preventive Medicine, Stefanie Geiger Kelsey
Movement Matters: Encouraging Activity In Preventive Medicine, Stefanie Geiger Kelsey
Family Medicine Clerkship Student Projects
No abstract provided.
Modernizing Patient Outreach & Analytics, Laceyahna Munroe
Modernizing Patient Outreach & Analytics, Laceyahna Munroe
Family Medicine Clerkship Student Projects
It is challenging for providers to understand how patient's engage with different types of communications from their primary care clinic, particularly on a site-to-site basis. This project leverages a simple link-hosting platform, LinkTree, to direct patients to free publicly funded workshops in Diabetes Management. The platform allows simple data to be collected about engagement with the links that are provided to the patients and gives the host clinic an easier way to understand and hone their communication style to best reach different patient populations. In this project we chose a panel of diabetic patients with A1c's >7% to receive a …
Expanding Awareness Of Tbi Resources In The North Country, Nicholas W. Krant
Expanding Awareness Of Tbi Resources In The North Country, Nicholas W. Krant
Family Medicine Clerkship Student Projects
Disability, emotional dysregulation and financial stress are only some of the issues that many patients who suffer TBI encounter. While resources are available to alleviate some of these burdens on patients who suffer TBI in New York's North Country, patients often struggle to find these resources. This project endeavors to create a resource for patients, family members and practitioners to find available resources.
Increasing Patient Awareness And Education Surrounding Prescription Weight Loss Medications, Anirudh A. Hirve
Increasing Patient Awareness And Education Surrounding Prescription Weight Loss Medications, Anirudh A. Hirve
Family Medicine Clerkship Student Projects
Obesity is a growing problem in the United States. While it remains important for clinicians to emphasize health supportive behaviors including dietary modification and exercise when counseling patients, the advent of new weight loss medications has created a need for patient education materials regarding these interventions for a growing number of patients who request them at primary care visits. This project created a smart phrase in the electronic medical record summarizing weight loss medications currently available on the market to transform patient counseling and enable better shared decision making between patients and providers.
Health Impacts Of Remote Work, Tin Nhan Nguyen
Health Impacts Of Remote Work, Tin Nhan Nguyen
Family Medicine Clerkship Student Projects
Remote work has increased in frequency in the past few years with a notable rise in Connecticut. While working from home has certain benefits, it can also increase the risk of certain physical and mental health issues. An educational pamphlet on the health impacts of remote work with suggestions to reduce negative effects was developed and distributed to community members.
Empowering Patients Undergoing Speculum Exam, Sarah Caffry
Empowering Patients Undergoing Speculum Exam, Sarah Caffry
Family Medicine Clerkship Student Projects
No abstract provided.
Quality Improvement Of X-Ray Imaging For Unspecified Chronic Knee Pain And Suspected Knee Osteoarthritis In The Primary Care Setting, Ty E. Bever
Family Medicine Clerkship Student Projects
Although a comprehensive history and physical exam are the mainstays of initial evaluation, plain X-rays are clinically indicated for chronic knee pain of greater than 6 weeks duration and acute traumatic pain in patients who meet specific evidence-based criteria, according to the American Academy of Family Physicians (AAFP). However, there remains significant variation in what radiographic protocols are used in clinical practice, specifically in terms of what radiographic views are ordered and whether the imaging is performed with the patient weight-bearing (WB) or non-weight-bearing (NWB). In fact, several studies have shown that non-weight-bearing knee radiographs are frequently ordered by general …
Cigarette Smoking Cessation Tool, Pavan K. Anant
Cigarette Smoking Cessation Tool, Pavan K. Anant
Family Medicine Clerkship Student Projects
In Vermont, tobacco use disorder is a pervasive problem that closely rivals national averages. The Cigarette Smoking Cessation Tool seeks to identify patients with significant motivation to quit smoking cigarettes' and aims to connect them with appropriate local resources and clinic advocates.
Common Skin Rashes, Jennifer Chen
Common Skin Rashes, Jennifer Chen
Family Medicine Clerkship Student Projects
Common Skin rashes
A Pamphlet On Housing And Food Insecurity Resources In Burlington, Zachary Kramer
A Pamphlet On Housing And Food Insecurity Resources In Burlington, Zachary Kramer
Family Medicine Clerkship Student Projects
A pamphlet consolidating the most used and current resources for housing and food insecurity in Burlington Vermont in the spring of 2024. I collected the list from social workers at my clinic, as well as several unhoused members of the Burlington community. I also corresponded with a provider at the Community Health Center of Burlington who said that information on safe sharps disposal would be useful, so I created instructions on how to safely dispose sharps on the street.
Empowering Burlington's Unhoused: Discovering Community Resources And Insights, Dario Vanegas
Empowering Burlington's Unhoused: Discovering Community Resources And Insights, Dario Vanegas
Family Medicine Clerkship Student Projects
No abstract provided.
Planetary Health: Helping Providers And Patients Prepare For Climate Change, Chellam Nayar
Planetary Health: Helping Providers And Patients Prepare For Climate Change, Chellam Nayar
Family Medicine Clerkship Student Projects
Climate change has been called the greatest global health threat of the 21st century. The effects of changing temperatures and increasing pollution have been shown to increase the incidence and mortality of cardiovascular diseases, affect respiratory health, increase the risk of new infectious disease outbreaks, affect mental health, and exacerbate inequities between those with means and those without. In Vermont, climate change is leading to an increase in average temperatures, more extreme heat events, shorter winters, more storms, poor air quality due to wildfire smoke, an increase in cyanobacteria blooms, and a longer tick season, among others. This project will …
Promoting Cardiovascular Health Through Health Food, George Zhang, Vyha Do
Promoting Cardiovascular Health Through Health Food, George Zhang, Vyha Do
Family Medicine Clerkship Student Projects
Poor diet is one of the leading causes of cardiovascular disease.
Culturally Competent Resources Focused On Wellbeing & Mental Health In Vermont's Immigrant Communities, Meron Yishak
Culturally Competent Resources Focused On Wellbeing & Mental Health In Vermont's Immigrant Communities, Meron Yishak
Family Medicine Clerkship Student Projects
Recognizing the unique stressors and barriers immigrants often face, this list compiles a range of culturally-sensitive online & in-person resources here in Vermont. It includes community organizations, hotlines, online platforms, and services working to address the diverse needs of immigrant populations. By empowering immigrants with knowledge of available resources, this guide strives to promote well-being within immigrant communities.
Bridging Language Barriers In Clinical Screening: Leveraging Large Language Models (Llms) To Generate Bilingual Screening Surveys For Patients With Limited English Proficiency (Plep), Tyler Vandyk
Family Medicine Clerkship Student Projects
This study addresses the critical need for accessible clinical screening in communities with a high incidence of Patients with Limited English Proficiency (PLEP). Recognizing the limitations of existing interpreter services and the scarcity of validated translations for standard clinical surveys like PHQ-9 and GAD-7, we developed a novel approach leveraging Large Language Models (LLMs). Our method utilizes GPT-4 to create bilingual versions of these surveys, which are then formatted into printable PDFs via a Python script and LuaLaTeX compiler. The resulting surveys, validated for translation accuracy and cultural competency, are made accessible through a Google repository. Preliminary results demonstrate that …
Promoting Spine Health For Adolescent Athletes, Taylor R. Walker
Promoting Spine Health For Adolescent Athletes, Taylor R. Walker
Family Medicine Clerkship Student Projects
Based on interviews with local stakeholders in public health and literature review, developed an informational brochure for high school athletes containing prevention and management strategies and resources for low back pain. The aim of this project is to help young athletes stay healthy and live well as they age by promoting spine health.
Improving Nutrition Education And Access To Healthy Food For Low-Income Mainers, Jessica Wyn
Improving Nutrition Education And Access To Healthy Food For Low-Income Mainers, Jessica Wyn
Family Medicine Clerkship Student Projects
Many people in Androscoggin county are not able to consistently achieve a diet with the recommended food variety for improving health. Adequate nutrition for improving health outcomes requires access to healthy food at affordable prices, health literacy regarding diet and nutrition concepts, and the skills and access to equipment required to prepare and store food. A lack of resources in any one of these areas can limit a person’s ability to engage in a healthy diet, which increases their risk of developing preventable non-communicable diseases later in life.
Nutritional Support For Oncology Patients: Role For The Pcp, Annabelle S. Feist
Nutritional Support For Oncology Patients: Role For The Pcp, Annabelle S. Feist
Family Medicine Clerkship Student Projects
Adequate nutrition is a key prognostic factor in the treatment outcomes of patients with cancer diagnoses. Despite the increased morbidity and mortality of malnutrition, the importance of nutrition for oncology patients is often not well communicated and not well understood by patients. Part of this issue stems from the limited information most patient can absorb at any given doctors appointment, especially regarding their cancer. Primary care providers hold a unique position to fill this gap and have the information be heard and retained given their usual role in addressing overall health. This project compiles resources in an easily accessible and …
Improving Care For Lgbtq+ Patients, Justin Henningsen
Improving Care For Lgbtq+ Patients, Justin Henningsen
Family Medicine Clerkship Student Projects
LGBTQ+ patients are at higher risks for many health conditions. Providers and staff are not always comfortable supporting conversations about gender and sexuality. In this project, I provided training to staff members of Hardwick Area Health Center on risks and best practices.
Provider Perspectives On Implementation Of Cdc Guidelines For Opioid Maintenance Therapy, Anayis M. Antanesian
Provider Perspectives On Implementation Of Cdc Guidelines For Opioid Maintenance Therapy, Anayis M. Antanesian
Family Medicine Clerkship Student Projects
The opioid epidemic remains a complex and significant public health crisis in the United States, impacting millions with opioid use disorder (OUD). Despite efforts to raise awareness and address individual risks, high rates of opioid overdose persist, underscoring the need for more extensive and integrated prevention and management approaches. Primary care providers play a pivotal role in lowering opioid-related mortality and improving patient outcomes through office-based treatments; however they face numerous challenges in prescribing opioids. To explore these barriers, a survey was distributed to providers, aiming to assess their views, comfort levels in prescribing opioids for chronic pain, and perceived …
Towards The Elimination Of Viral Hepatitis In Clinton County, New York, Michael H. Le
Towards The Elimination Of Viral Hepatitis In Clinton County, New York, Michael H. Le
Family Medicine Clerkship Student Projects
Chronic viral hepatitis is a major public health issue, affecting approximately 300 million persons globally. In Clinton County, New York, chronic viral hepatitis remains a major concern, with incidence rates for hepatitis C virus infection (HCV) in the top quartile and hepatitis B virus infection (HBV) in the 3rd quartile for the state in 2022. This current study aimed to identify the trends in incidence and prevalence of chronic viral hepatitis in Clinton County, rates of HBV birth dose vaccination, and to reflect on the experiences in treatment and prevention of chronic viral hepatitis at a community health clinic in …
Barbershop Based Hypertension Intervention, Dhiraj Patel
Barbershop Based Hypertension Intervention, Dhiraj Patel
Family Medicine Clerkship Student Projects
Barbershop based hypertension screening and treatment interventions have been substantiated across prior literature as cost-effective and highly efficacious interventions for reducing overall blood pressure in the African American community. Researchers have also begun to explore the applicability of such an intervention to another high risk ethnic group for hypertension: Hispanic and Latino communities. With >30% of Danbury, CT's population being comprised of Hispanic and Latino populations and barbershop interventions for hypertension having already been established in the nearby city of New Haven, CT via Yale Health, this community engagement project aims to take the first step towards establishing similar services …
Barriers For Patients With Limited English Proficiency On The Usage Of The Electronic Patient Portal, Sofia Toro Alvarez
Barriers For Patients With Limited English Proficiency On The Usage Of The Electronic Patient Portal, Sofia Toro Alvarez
Family Medicine Clerkship Student Projects
99.7% of Vermont’s new incoming residents over the last 10 years were Hispanic, Black or African American, Asian, American Indian or Native Hawaiian, however, despite Vermont’s growing diversity, inequities in all fields, including healthcare, continue to affect minorities the most. At Colchester Family Medicine, 6% of patients have limited English proficiency (LEP) and over 10 languages are spoken by this patient population. While interpretation services are often readily available during these patient’s visits, communication before or after their visit is challenging. The electronic patient portal is one of the main resources for patients to not only stay in touch with …
Extended Release Buprenorphine (Sublocade) Prescribing In Primary Care, Heather Kettlewell
Extended Release Buprenorphine (Sublocade) Prescribing In Primary Care, Heather Kettlewell
Family Medicine Clerkship Student Projects
There are many barriers to accessing opioid use disorder (OUD) treatment, especially for rural communities that may be far away from healthcare providers. There is a need for interventions to increase accessibility of OUD treatment. Extended release injectable buprenorphine (Sublocade) provides an option for patients to receive treatment via once a month injections. This could make OUD treatment more accessible to rural and socioeconomically disadvantaged patients by reducing the number of times they would need to travel to the clinic. Our intervention is to create a protocol for prescribing extended release buprenorphine at Family Medicine Hinesburg.
Safe Storage: Prevention Of Drug Misuse And Overdose With Locked Medication Bags, Emily Claire Battle
Safe Storage: Prevention Of Drug Misuse And Overdose With Locked Medication Bags, Emily Claire Battle
Family Medicine Clerkship Student Projects
Safe storage of medications is critical to public health and safety in the state of Maine as well as across the country. Current public health efforts target education and prevention of accidental ingestion of medication by children and animals at home. This has become especially important in Maine with the increasing prevalence of substances used for treatment of opioid use disorder, as well as increasing prevalence of other non-prescription substances including fentanyl, cocaine, and methamphetamine. In Lewiston, Maine, interviews with public health leaders, patients, and providers at the Family Medicine Residency at Central Maine Medical Center reiterated concerns for the …
Increasing Equitable Cardiovascular Disease Screening And Prevention For Women Of Low Socioeconomic Status: You First, Isabel N. Martinez Daniel
Increasing Equitable Cardiovascular Disease Screening And Prevention For Women Of Low Socioeconomic Status: You First, Isabel N. Martinez Daniel
Family Medicine Clerkship Student Projects
Cardiovascular disease (CVD) continues to be the leading cause of death in females of all ages and races. Given the potential reduction in risk of coronary events with modifiable behaviors, primary care physicians are in a unique position to be able to use shared decision making and patient education to help dramatically reduce the potential burden of cardiovascular disease. Consideration for social determinants of health, such SES, should not be forgotten when aiming to provide adequate and accessible healthcare. Furthermore, the incorporation of unique programs, such as You First, into primary care offices can increase equitable care for patients and …
Empowering Patients: Understanding Risks Of Smoking And Strategies For Cessation, Angela Khadka
Empowering Patients: Understanding Risks Of Smoking And Strategies For Cessation, Angela Khadka
Family Medicine Clerkship Student Projects
In the US, cigarette smoking continues to be a significant contributor to preventable diseases and fatalities each year. According to the New York State Department of Health, the smoking rate among adults in Clinton County (which includes Plattsburgh) was 19.9% in 2021. In the state of NY, over 22,000 people lose their lives due to smoking and secondhand smoke exposure. During my rotation at CVPH, I encountered many patients who were smokers and had chronic health conditions such as COPD and expressed a desire to quit smoking but faced challenges in doing so.
Community Health Interventions To Reduce The Impact Of Private Drinking Water Contaminants, Ian Minearo
Community Health Interventions To Reduce The Impact Of Private Drinking Water Contaminants, Ian Minearo
Family Medicine Clerkship Student Projects
Contaminants, such as arsenic, E. Coli, and gross alpha, is found in soil, bedrock, and water and can seep into private wells and water sources. In addition, copper and lead in older homes can leech into the water in homes over time to due corrosion. In Vermont, 40% of households drink water from a private well while 40% of private drinking water systems tested for contaminants exceeded the drinking water limits. Public water is managed by the towns and state, but private water is the responsibility of the homeowner who may not know if and when they should test their …