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Articles 1 - 30 of 96
Full-Text Articles in Medicine and Health Sciences
Prostate Cancer: Screening, Current Guidelines And Patient Education, Timothy F. Flanagan
Prostate Cancer: Screening, Current Guidelines And Patient Education, Timothy F. Flanagan
Family Medicine Clerkship Student Projects
Recent changes in prostate cancer screening guidelines may create an opportunity for patient education. By creating a succinct hand-out on prostate cancer screening, providers enable their patients to understand screening, and provide sites with opportunities for further learning.
Reducing Falls: Merging Research And Community Resources, Alison Mercier
Reducing Falls: Merging Research And Community Resources, Alison Mercier
Family Medicine Clerkship Student Projects
1/3 of older adults over the age of 65 fall, 10% of these falls can lead to serious injuries like hip fractures. The average length of life for someone who fractures their hip is 6 months. The risk and reasons for falling are multifactorial and often take a long time to assess. There are a few evidence based recommendations for reducing fall risk, yet a lack of awareness of these recommendations, and community resources to address this need. This project aimed to create a standardized assessment tool based on literature research and available community resources to facilitate fall risk assessment …
Child Obesity Education: Sugar In Common Snacks, David M. Nguyen
Child Obesity Education: Sugar In Common Snacks, David M. Nguyen
Family Medicine Clerkship Student Projects
Causes of childhood and adolescent obesity are multi-factorial: sugary beverages, snack foods, portion size, activity level, environmental factors, socio-cultural factors, family factors and psychological factors to name a few. There are both immediate and long-term health effects for childhood obesity. Ultimately, it plays an economic burden with an estimated national medical cost of obesity-related illnesses in adults to be 209.7 billion. This pamphlet is an easy to read resource with the purpose of educating parents and adolescents about the hidden sugar in everyday snacks.
Emr Optimization Of Home Health, Rahul R. Gentyala
Emr Optimization Of Home Health, Rahul R. Gentyala
Family Medicine Clerkship Student Projects
Home Health is a service that provides a variety of healthcare needs to those who are unable to get out of their home due to an illness, injury, or disability. Currently paper copies are in use for Home Health, which are harder to document, decreases efficiency, and increases error. Incorporating this into EMR will go a long way to solving these issues.
Accessing Reliable Health Information On The Internet, Nathaniel Sugiyama ,Ms3
Accessing Reliable Health Information On The Internet, Nathaniel Sugiyama ,Ms3
Family Medicine Clerkship Student Projects
In a low socioeconomic farming town at a rural family medicine clinic in upstate NY, I wanted to find a way to help reduce barriers to healthcare and help patients take an active role in their health using free internet resources. My idea was to help connect patients with reliable health information without needing to travel to the clinic, understanding that some patients may be limited in their ability to travel, take time off from work or afford the copays/expenses associated with seeing their providers. As such, I chose to investigate access to the internet, the ways in which users …
Caught Between The Lines, Moshe Bitterman
Caught Between The Lines, Moshe Bitterman
Family Medicine Clerkship Student Projects
The Patient-Centered Medical Home (PCMH) is a model of primary care that combines teamwork and information technology to improve care, improve patient care experiences, and reduce health care cost.This project, conducted at the Hardwick Area Health Center, focused on quality improvement by exploring the patient experience in communicating with the health center by telephone.
Regulating Kids' Meals To Combat Childhood Obesity, Y-Lan Khuong
Regulating Kids' Meals To Combat Childhood Obesity, Y-Lan Khuong
Family Medicine Clerkship Student Projects
Obesity is an epidemic crossing genders, ages, socioeconomic status, geography, and race/ethnicity. In Vermont, 11.3% of 10 to 17-year old are considered obese, thereby increasing risk for numerous health issues. One contributing factor is an increased tendency to eat away from home. This project aims to provide qualitative evidence regarding response to policy setting nutritional standards for kids' meals in Vermont restaurants.
Tackling Obesity In Rural Vermont, Abishag Suresh
Tackling Obesity In Rural Vermont, Abishag Suresh
Family Medicine Clerkship Student Projects
Obesity is a growing epidemic across the United States. It affects rural areas such as those in Vermont deeply. An intervention addressing this problem using a health and exercise brochure was undertaken. Future direction will need to fully address the effectiveness of this intervention and take on other goals.
Confronting Barriers To Exercise In Patients With Chronic Health: Community Health Improvement Project In The Lewiston/Auburn Area Concerns, Marie R. Lemay
Confronting Barriers To Exercise In Patients With Chronic Health: Community Health Improvement Project In The Lewiston/Auburn Area Concerns, Marie R. Lemay
Family Medicine Clerkship Student Projects
The CDC recommends at least 150 minutes of moderate-intensity aerobic activity every week, but most individuals with chronic disease do not reach this goal despite its numerous health benefits. Research has shown that scheduled exercise programs and exercise partners help individuals to sustain their exercise goals. Using this premise of group mentality individuals affected from cancer at the Dempsey center and patients attending CMMC’s diabetes group in Lewiston ME were polled about exercise self –efficacy and barriers to exercise. Subsequently, a one-time walking event was offered to the diabetes group and a phone-tree was introduced to one yoga class at …
Evaluating Access And Barriers To Mindfulness Among Opioid-Dependent Patients In Bangor, Maine, Gwendolyn E. Warren, Jia Xin Jessica Huang
Evaluating Access And Barriers To Mindfulness Among Opioid-Dependent Patients In Bangor, Maine, Gwendolyn E. Warren, Jia Xin Jessica Huang
Family Medicine Clerkship Student Projects
Mindfulness has been shown to aid in addiction recovery and can help prevent relapse. The Family Medicine Center & Residency Program at Eastern Maine Medical Center (EMMC) in Bangor, Maine has provided mindfulness resources to their opioid-dependent patients; however, the center has no quantitative data on the current understanding and utilization of mindfulness techniques among this patient population. A survey tool was created and distributed to opioid-dependent patients in the clinic to identify barriers to practicing mindfulness. The collected data was submitted by one of the clinic providers in a grant proposal. Grant funding could go toward addressing these barriers.
Integrated Care: Improving Coordination Of Care Between Primary Care And Psychiatric Services, Eunice Fu
Integrated Care: Improving Coordination Of Care Between Primary Care And Psychiatric Services, Eunice Fu
Family Medicine Clerkship Student Projects
The majority of the highest utilizers of medical care are affected by mental health issues, yet multiple studies have shown that PCPs have mixed success in recognition and management of mental illness on their own. An integrated model of primary and mental healthcare is ideal to increase acceptability and availability of mental health services. However, there is a growing body of research demonstrating high rates of dissatisfaction with primary-specialty communication. Northwestern Counseling and Support Services has implemented a new care coordination model to address barriers to collaboration in Franklin and Grand Isle Counties. This project summarizes results of the 1-year …
Diabetes And Your Eyes: The Importance Of Annual Eye Exams, I-Hsiang Shu
Diabetes And Your Eyes: The Importance Of Annual Eye Exams, I-Hsiang Shu
Family Medicine Clerkship Student Projects
Diabetes is the leading cause of blindness in the United States. With diabetes, one has a 25 times higher risk of blindness than the average American and each year in the US, there are more than 12,000 new cases resulting from diabetes. This significant risk of developing blindness is because diabetic eye changes often occur silently, without symptoms, until it is too late and permanent damage to your eye has already occurred. The two most important things a diabetic can do for eye health is to properly manage blood sugars and receive an annual dilated eye exam from an eye …
Assessing Access To Smoking Cessation Resources In Rural Populations, Tristan Mcknight
Assessing Access To Smoking Cessation Resources In Rural Populations, Tristan Mcknight
Family Medicine Clerkship Student Projects
Smoking is a modifiable risk factor for cardiovascular disease. Upstate New York has a high adult smoking rate of 20.9%, compared to a New York state rate of 16.2% and a national rate of 18.1%. The Affordable Care Act has increased resources available that can help smokers quit, including tobacco use screenings, cessation interventions and stop smoking counseling; however, several patients that smoke are unaware of the resources available to them when they are ready to stop smoking. Multiple Cochrane Reviews on the effectiveness of smoking cessation programs demonstrate that some cessation interventions are more effective than others; however, some …
Resources For Moms: Opiate Use In Pregnancy, Amy Schumer
Resources For Moms: Opiate Use In Pregnancy, Amy Schumer
Family Medicine Clerkship Student Projects
Substance use in pregnancy is not uncommon and the use of substances increases the risk of complications during pregnancy. In Vermont, opiate use in pregnancy is increasing as well as the number of people seeking treatment for opiate misuse. This project was designed to give pregnant mothers using opiates an idea of what to expect during their pregnancy as well as the resources that are available to them in the Springfield, VT area.
Evaluation Of Geo-Social Networking Application Use Among Young Adults, Caleb Seufert
Evaluation Of Geo-Social Networking Application Use Among Young Adults, Caleb Seufert
Family Medicine Clerkship Student Projects
Background: Since 2009 geosocial networking applications (GNAs) have rapidly emerged as a new technological platform for users to communicate, date, and meet for sex. Popular GNAs include Tinder, Grindr, Bumble, Plenty of Fish, and many more. GNA’s are unique to traditional dating websites in that they allow users to connect with each other based on geographic proximity of their mobile phones. Given the pervasiveness of technology usage among young adults, it is important to understand the potential risks and benefits that GNA-facilitated communication poses on sexual health, emotional well-being, and safety. Popular GNA’s, like Tinder, estimate the majority of …
Increasing Naloxone Distribution In Vt Emergency Departments, Olivia M. Harris
Increasing Naloxone Distribution In Vt Emergency Departments, Olivia M. Harris
Family Medicine Clerkship Student Projects
Fatalities caused by overdose from opioids are increasing in Vermont. Evidence shows that Naloxone safely and effectively reverses the effects of opioids in overdose. This project aims to determine why physicians in VT Emergency Departments are not consistently distributing Naloxone to all patients with an overdose, and to increase awareness and implementation of this practice.
Provider Resources For Managing Complex Patients And Physician Self-Care, Elena Romana Siani
Provider Resources For Managing Complex Patients And Physician Self-Care, Elena Romana Siani
Family Medicine Clerkship Student Projects
Physician burnout has increased over the past decade and continues to increase each year. Patients with high levels of medical and social complexity can be difficult to manage and when standard treatments fail it is often difficult to know what to do next. This project aimed to address the presence of both physician burnout and the effect it can have on the care of patients and particularly the most complex ones. A list of resources for complex patient management and physician self care was compiled and presented for physicians at Berlin Family Practice.
Calcium Supplementation, Jani M. Kim
Calcium Supplementation, Jani M. Kim
Family Medicine Clerkship Student Projects
Calcium supplementation is recommended for patients with osteopenia or osteoporosis to prevent further bone density loss. However, recent studies have shown associations between high calcium supplementation and increased cardiovascular disease and kidney stones. This study looks into current recommendations for calcium supplementations in light of these new findings.
Transportation Is A Barrier To Healthcare In Central Vermont, Apoorva Trivedi
Transportation Is A Barrier To Healthcare In Central Vermont, Apoorva Trivedi
Family Medicine Clerkship Student Projects
Transportation is a significant barrier to healthcare access in Central Vermont due to a variety of reasons that include low income households, poor access to public transportation, elderly populations, and populations with disabilities. Improving access to transportation is a goal for both the local public transportation authority and the UVMHN-Central Vermont Medical Center in Berlin, VT. The purpose of this project was twofold. The first goal was to find an underutilized transportation resource in the community by heavily researching the area's transportation system and coordinating the distribution of informational sheets regarding this resource with my family medicine clerkship site members. …
Vitamin D Screening And Supplementation, Christina Cahill
Vitamin D Screening And Supplementation, Christina Cahill
Family Medicine Clerkship Student Projects
Vitamin D helps protect against osteoporosis (by promoting calcium absorption), moderates cell growth, aids in neuromuscular and immune function and reduces inflammation. However, there is insufficient data to access the benefits and harms for screening for Vitamin D deficiency. This study looks at current recommendations for Vitamin D screening and aims to provide information to providers and patients about Vitamin D.
Understanding Opioid Addiction And Relpase Risks For Patients In An Office Based Buprenorphine Treatment Program, Rachel E. Carlson
Understanding Opioid Addiction And Relpase Risks For Patients In An Office Based Buprenorphine Treatment Program, Rachel E. Carlson
Family Medicine Clerkship Student Projects
Opioid abuse is a serious problem in Maine with a societal cost of 1.4 billion dollars. Buprenorphine has been used as an office based treatment for addiction management. In Maine there is a provider shortage for substance abuse and a large need in the community for treatment. In fact there were 272 deaths in 2015 attributed to overdose. It is important that once patients begin treatment they remain in treatment without relapse. At EMMC Center for Family Medicine we explored risks for relapse from the provider perspective, patient perspective, and retrospective chart analysis in order to guide future interventions at …
Evaluating Relapse Risks For Patients In An Office Based Buprenorphine Treatment Program, Brianna Spencer
Evaluating Relapse Risks For Patients In An Office Based Buprenorphine Treatment Program, Brianna Spencer
Family Medicine Clerkship Student Projects
Opioid abuse is a serious problem in Maine with a societal cost of 1.4 billion dollars. Buprenorphine has been used as an office based treatment for addiction management. In Maine there is a provider shortage for substance abuse and a large need in the community for treatment. In fact, there were 272 deaths in 2015 attributed to overdose. It is important that once patients begin treatment they remain in treatment without relapse. At EMMC Center for Family Medicine we explored the risks for relapse from the provider perspective, patient perspective and retrospective chart analysis in order to guide future interventions …
The Implementation Of Telehealth At Brookfield Family Practice In Brookfield, Ct, Taylor Wolfgang
The Implementation Of Telehealth At Brookfield Family Practice In Brookfield, Ct, Taylor Wolfgang
Family Medicine Clerkship Student Projects
Brookfield Family Practice recently implemented the use of TeleHealth into their practice. One of the identified limitations was patient interest and participation. This project examines the perceived barriers preventing patients from using the service, as well as the perceived benefits, and patient satisfaction.
Resource Guide To Empower Walkers In The Newbury Community, Kishan Patel
Resource Guide To Empower Walkers In The Newbury Community, Kishan Patel
Family Medicine Clerkship Student Projects
The project identified the need and barriers to healthy and accessible forms of exercise in the Newbury community of VT. Surrounding areas of Groton, Ryegate, Wells River, and Haverhill in New Hampshire are also covered. Walking trails were identified as the most accessible form of exercise in the region for patients with metabolic syndrome visiting doctors at Little River Health Care in Wells River, VT,
Intimate Partner Violence: Providing Resources To Patients And Facilitating Understanding, Andrew R. Sheridan
Intimate Partner Violence: Providing Resources To Patients And Facilitating Understanding, Andrew R. Sheridan
Family Medicine Clerkship Student Projects
Intimate Partner Violence is defined as physical violence, emotional violence, sexual violence, psychological aggression and stalking against a current or former partner. High volume primary care offices like UVMHN Berlin Family Medicine address primarily medical concerns of patients. While this includes mental health, IPV is infrequently a part of doctor-patient interactions. This project assesses available data on IPV nationally and in Vermont. It aims to understand how IPV is currently addressed, recommendations regarding addressing it and provides resources to patients.
Patient Education: Airway Viral Infections In Danbury Ct, Aniruddha Bhattacharyya
Patient Education: Airway Viral Infections In Danbury Ct, Aniruddha Bhattacharyya
Family Medicine Clerkship Student Projects
Viruses are the most common cause of respiratory infections, and the most common illness encountered by patients. Antibiotics are frequently requested by the patient to treat viral infections, and efforts by physicians to educate patients on the inefficacy of this treatment plan is often unsuccessful.
E-Cigarettes: What Primary Care Providers Need To Know, Jennifer S. Albert
E-Cigarettes: What Primary Care Providers Need To Know, Jennifer S. Albert
Family Medicine Clerkship Student Projects
E-cigarettes are gaining in popularity, yet our understanding of their health effects remains uncertain. Many people believe that they can aid in smoking cessation, however the evidence is inconclusive. The conflicting information in the public media has led some providers in Central Vermont to recommend e-cigarettes to their patients. This intervention aims to educate primary care providers about e-cigarettes by creating and distributing a fact sheet that can guide patient-provider interactions.
Patient Education: Assessing The Barriers To Utilize & Create Effective Educational Resources For Type 2 Diabetes Mellitus (T2dm), Alexandra K. Miller
Patient Education: Assessing The Barriers To Utilize & Create Effective Educational Resources For Type 2 Diabetes Mellitus (T2dm), Alexandra K. Miller
Family Medicine Clerkship Student Projects
Despite a myriad of diabetic information, group classes and diabetic patient educators, patient’s with poorly controlled diabetes persist. Educating patient's on diet and lifestyle modifications are particularly challenging for the patient and provider and making the changes are even harder. The use of printed patient education material in a primary care setting and referral practices to diabetic educators was evaluated by distributing a brief survey to staff in a primary care office. The convenience sampling showed that some staff did not offer printed materials at all and patient's seldom requested these resources. The referral practices and preference of counseling patient's …
Barriers To Healthy Eating Among The Senior Populations In Brookfield, Ct, Yueyue Shen
Barriers To Healthy Eating Among The Senior Populations In Brookfield, Ct, Yueyue Shen
Family Medicine Clerkship Student Projects
In the U.S, the cost of diseases associated with unhealthy eating reaches $157 billion a year. In the Western Connecticut area, hypertension and diabetes are the top two reasons for admitting seniors to the hospital. Both of them can be managed by healthy diet and exercise. This project aims to identify the barriers to eating healthy among elderly in Brookfield, CT, and to discuss potential interventions that can be implanted to address the identified barriers.
Improving Community Health With Affordable Internet Access, Joshua Jeremy Pothen
Improving Community Health With Affordable Internet Access, Joshua Jeremy Pothen
Family Medicine Clerkship Student Projects
Internet access is associated with increases in health information seeking and benefits in health statuses. However, many individuals of low socioeconomic status (SES) lack Internet access, thereby creating significant disadvantages from a health perspective. In this project, we describe a potential project for providing affordable Internet access to a neighborhood of Newport, VT containing many SES individuals. This network includes a splash page that provides regular health event promotion and health information dissemination to everyone connecting the network. We then discuss how to determine the impacts of the Internet on multiple aspects of health within the community.