Medicine and Health Sciences Commons^™

Socioeconomic Status And Cardiovascular Disease Risk In Vermont Adults, Brenden Green, Abigail Heydenburg, Maryann Makosiej, Shirley T. Plucinski, Julia Slessova, Kayla Donohue

Master of Public Health Culminating Projects

Objectives. To investigate the connection between socioeconomic status (SES) and cardiovascular disease in Vermont adults through the Behavioral Risk Factor Surveillance System (BRFSS) data.

Methods. Data from 4,231 participants from the BRFSS 2019 Vermont survey was used. Education level, income level, federal poverty status, and employment status were used to represent overall socioeconomic status. The study investigated the connection of those variables with a history of coronary heart disease (CHD) and myocardial infarction (MI) to represent overall cardiovascular disease (CVD). Simple and multiple logistic regressions were used.

Results. People aged 65 years or above, who smoke, have high blood pressure, …

Adult Oral Health Access And Advocacy, James Duguay

Family Medicine Clerkship Student Projects

Many adults lack adequate preventative oral healthcare due to multiple factors. Oral health is important due to its effects on systemic health as well as for quality of life issues.

Mindfulness As An Effective Strategy For Anxiety Relief In Adolescent Patients, Desiree N. Dibella

Family Medicine Clerkship Student Projects

Anxiety disorders affect 6.8 million adults over the age of 18 in the United States, and anxiety disorders are the most common mental health illness in children.

Risk Factors for anxiety disorders in young adults include the following: -Shyness, or behavioral inhibition, in childhood -Being of the female sex -Having few economic resources -Exposure to stressful life events in childhood -Anxiety disorders in close biological relatives -Parental history of mental disorders -Elevated afternoon cortisol levels in the saliva Teens and young adults increasingly suffer from anxiety disorders with the CDC reporting the rate of anxiety disorders among 3 to 17 …

A Multimodal Approach To Hypertension: Behavioral Modifications On A Budget, Jayne Manigrasso

Family Medicine Clerkship Student Projects

Hypertension is one of the most common diagnoses in the adult population in the United States. Hypertension also has various sequelae that are preventable with adequate treatment, including medication and lifestyle modification.

Beta-Blocker Use And Clinical Outcomes In Stable Outpatients With And Without Coronary Artery Disease, Elena Simon Md

Family Medicine Scholarly Works

Clinical Question: Which patients should be placed/kept on beta-blocker therapy?

Bottom Line Answer:

• Randomized control trials show beta-blockers benefit patients with systolic congestive heart failure and for the first three years after a patient has a MI.
• Beta-blocker use may not be associated with lower event rates of CV death, non-fatal MI, stroke of hospitalization in patients even with prior history of MI after 3 years.

Hepatitis C Screening, Stanley Hunter Md

Family Medicine Scholarly Works

Clinical Question: Does screening baby boomers for Hepatitis C decrease mortality and/or save money?

Bottom Line Answer: Age-based screening for hepatitis C is cost effective ($4900 per QALY gained) for those born between 1945 and 1965.

Lyme Disease Prophylaxis: Idsa Guidelines, Kristine Cruz Md

Family Medicine Scholarly Works

Clinical Question: When should patients be given antibiotics for lyme prophylaxis after a tick bite?

Bottom Line Answer: To provide antibiotic prophylaxis for Lyme disease ALL of these criteria should be met:

• Tick identified as an adult or nymphal deer tick
• Attached for > or = 36 hours (by engorgement or time of exposure)
• Treatment started within 72 hours of tick removal
• Local rate of infection of ticks with B. Bourgdorferi >=20% (assumed in Vermont)
• Doxyclycline is not contraindicated