Mental and Social Health Commons^™

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.

Community Resilience In Vermont After The 2023 Flooding Event, Alex Poniz

Family Medicine Clerkship Student Projects

Between July 10th-11th 2023 Vermont experienced catastrophic flooding after receiving prolonged heavy rainfall of up to 9” over 48 hrs. Damage from the 2023 event rivals the historic destruction of Hurricane Irene in 2011 and is exceeded only by the Great Vermont Flood of 1927, an event predating modern flood controls. We collected oral histories from Vermonters to better understand their lived experience of the flood and its impacts, and identifed common themes related to community and individual resilience.

Adolescent Suicide Prevention Via Parental Education, Junelle Shepard, Mary Val Palumbo

College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications

Purpose. Up to 24% of children from the ages of 12 to 17 have reported suicidal ideation, with 7-11% reporting at least one suicide attempt in the past 12 months (Hetrick, 2017). In a study by Jones et al (2019) over 50% of parents were unaware their child was exhibiting suicidal ideation. This project aims to increase community awareness of suicidal ideation and teach community members how to talk with adolescents about this sensitive topic.

Methods. Five online training sessions were offered in Fall 2021, with each session lasting 90 minutes. Using Smith et al.’s Suicide Knowledge and Skills Questionnaire, …

Medical Repatriation In Vermont: The Current Landscape And Recommendations, Olivia Dominque, Kelly Knight, Aathmika Krishnan, Kassondra Little, Clara Maxim, Sofia Toro Alvarez, Patti Smith Urie, Mark Pasanen Md, Charles Maclean Md

UVM AHEC

Background: Medical repatriation is the practice of returning patients to their country of origin when they have major medical problems_. Forced repatriation, or “medical deportation”, disproportionately affects undocumented individuals. This project aimed to assess the prevalence of medical repatriation in Vermont, identity factors that lead to it, and recommendations to prevent it.

Methods: Interviews were conducted with ten stakeholders including physicians, lawmakers, and advocates for undocumented patients. Team members then analyzed interview transcripts for major themes.

Results: This study did not uncover any occurrences of forced repatriation. Qualitative themes included: lack of awareness about medical repatriation, inability to track …

Nature Is The Best Medicine, Nathan Schweitzer

Family Medicine Clerkship Student Projects

This project examined the cost of mental health diagnosis on the health care system and how interactions with green space and nature increase mental health wellbeing. A Vermont state government program to increase access to state parks through primary care providers offices is highlighted. Interviews were conducted with a community psychologist discussing interaction with nature and its effects on mental health. The second interview was with a member of the volunteer board for the Governors council on fitness discussing the origins of the state park program.

Increasing Mental Health Resource Access During The Covid-19 Pandemic, Valerie Braddick

Family Medicine Clerkship Student Projects

No abstract provided.

Ipv: Why Don’T We Screen For Those Committing Acts Of Violence?, Hannah K. Cook

Family Medicine Clerkship Student Projects

State of the evidence for screening for IPV in men or those who are committing acts of violence.

More Than A Meal : A Resource For Communities Striving For Food Sovereignty Through The Charitable Food System, Kaitlin J. Robertson

Food Systems Master's Project Reports

The 2020 pandemic and economic crisis showcased the fragility of the American food system. In the months of quarantine and lockdowns, a growing number of Americans searched for ways to feed themselves and their families. Community-based and volunteer-supported feeding programs worked to bridge the divide between the hungry and their next meal. In many cases, these programs rely on an unpaid workforce and donations – of time, food, and facilities. With limited resources, volunteer-led programs often lack centralized training options; this guidebook seeks to fill that void. This project is a streamlined, introductory-level guide for volunteers and community members working …

Emulating Agricultural Disease Management: Comparing Risk Preferences Between Industry Professionals And Online Participants Using Experimental Gaming Simulations And Paired Lottery Choice Surveys, Eric M. Clark, Scott C. Merrill, Luke Trinity, Gabriela Bucini, Nicholas Cheney, Ollin Langle-Chimal, Trisha Shrum, Christopher Koliba, Asim Zia, Julia M. Smith

College of Agriculture and Life Sciences Faculty Publications

Mitigating the spread of disease is crucial for the well-being of agricultural production systems. Implementing biosecurity disease prevention measures can be expensive, so producers must balance the costs of biosecurity investments with the expected benefits of reducing the risk of infections. To investigate the risk associated with this decision making process, we developed an online experimental game that simulates biosecurity investment allocation of a pork production facility during an outbreak. Participants are presented with several scenarios that vary the visibility of the disease status and biosecurity protection implemented at neighboring facilities. Certain rounds allowed participants to spend resources to reduce …

Climate Impacts Associated With Reduced Diet Diversity In Children Across Nineteen Countries, Meredith T. Niles, Benjamin F. Emery, Serge Wiltshire, Molly E. Brown, Brendan Fisher, Taylor H. Ricketts

College of Agriculture and Life Sciences Faculty Publications

It is widely anticipated that climate change will negatively affect both food security and diet diversity. Diet diversity is especially critical for children as it correlates with macro and micronutrient intake important for child development. Despite these anticipated links, little empirical evidence has demonstrated a relationship between diet diversity and climate change, especially across large datasets spanning multiple global regions and with more recent climate data. Here we use survey data from 19 countries and more than 107 000 children, coupled with 30 years of precipitation and temperature data, to explore the relationship of climate to child diet diversity while …

Improving The Therapeutic Environment In The Crisis Stabilization Unit At Glens Falls Hospital, Emma Hall

Family Medicine Clerkship Student Projects

The Crisis Stabilization Unit (CSU) at Glens Falls Hospital provides a separate, safe space within the Emergency Department for adults and children struggling with mental health crises to stabilize before discharge or admission to an inpatient psychiatric unit. An increase in mental health crises over the past 10+ years plus a shortage of nearby inpatient beds, especially for adolescents and children, has led to longer stays in the CSU. Longer stays in a place not built for therapeutic intervention but rather for crisis stabilization may lead to increased agitation, prolonged stays or prolonged time to stabilize a patient, and potentially …

Combating Seasonal Affective Disorder In Vermont, Prasanna Kumar

Family Medicine Clerkship Student Projects

Seasonal Affective Disorder (SAD) is a cyclical pattern of depression-like symptoms that occur during the winter months. In Vermont, SAD is estimated to affect up to 10% of individuals. An informational flyer was developed that explained the symptoms of SAD, what the treatment options are, and then linked individuals with local resources for wellness activities in Chittenden County using QR codes in order to prevent SAD. The flyer was distributed at the Community Health Care Centers of Burlington South End office. The flyer was met with enthusiasm and will be given out to patients at the end of this season …

Updating Evidence-Based Patient Education Resources For Sleep: Sleep Hygiene And Benzodiazepine Discontinuation, Carolyn Geraci, Madeline Fritz

Family Medicine Clerkship Student Projects

There is a major need for patient education around the topics of sleep hygiene and benzodiazepine sleep aid discontinuation in the family medicine clinic setting. Current patient-focused educational materials need updating and are not comprehensive enough. We therefore created new handouts and smartphrases which integrate into the electronic medical record system with the goal of educating patients on these topics.

Increasing Patient Access To Lgbtq+ Healthcare Through Expanding The Vermont Diversity Health Project, Rachel Harrison

Family Medicine Clerkship Student Projects

Numerous studies have documented various disparities in health outcomes and barriers to healthcare access for LGBTQ+ individuals. One major way to combat this is to increase access to healthcare for LGBTQ+ patients and increase provider knowledge of how to best care for them. Through expanding the Vermont Diversity Health Project database of providers and having providers participate in LGBTQ+ Best Practices trainings (both hosted by Pride Center of Vermont), we may reduce LGBTQ+ health disparities in our local community.

Evaluating Patient And Provider Knowledge Of Safe Pharmaceutical Disposal Procedures In Vermont Through A Public Health And Environmental Lens, Emily R. Straley

Family Medicine Clerkship Student Projects

Patient and provider knowledge of safe pharmaceutical disposal procedures is crucial from both a public health and environmental standpoint. Unfortunately, studies have shown that Vermont residents are largely unaware of safe drug disposal programs in their communities. This project evaluated patient knowledge of drug disposal practices and awareness of safe pharmaceutical disposal procedures at Hinesburg Family Medicine. A short phrase was created to better disseminate information about safe drug disposal in Hinesburg, which can be added to a patient’s after visit summary. Many patients report never discussing medication disposal with their physician. Therefore, increased provider communication regarding leftover and unused …

Assessment And Awareness Of Mental Health Conditions Among Refugees In Vermont, Sandi Caus

Family Medicine Clerkship Student Projects

Refugees experience profound hardship in their home-country, displaced country and throughout the period of re-settlement. Experiences like direct or indirect exposure to traumatic events, torture, sexual abuse and stigmatized refugee identity post-resttlement are major risk factors for the development of mental health coniditions inlcuding PTSD, depression and psychosis. Despite major risk factors for the development of mental health conditions, culturally-specific mental health stigma persists as a major barrier to addressing mental health among refugees. This project emphasizes techniques and self-education that can be utilized to improve mentah health screening and identification among refugee patients in Vermont.

Medication-Assisted Withdrawal And Alcohol Use Disorder Treatment In The Ambulatory Setting, Jacob Okie Weiss, Javad Mashkuri Md, Marissa Patrick Aprn

Family Medicine Clerkship Student Projects

Alcohol use disorder (AUD) represents a significant burden of disease in central Vermont, but receives little attention and resources compared to other drivers of morbidity and mortality. As part of a community health improvement project, primary care providers in central Vermont were surveyed regarding current practices and perceived barriers related to the effective treatment of AUD. 69% of respondents reported treating alcohol withdrawal syndrome (AWS) and 83% reported treating AUD. Respondents indicated concern about the safety and efficacy of the medications they currently prescribe and expressed interest in learning about other evidence-based treatments for AWS and AUD. The most frequently …

Erratum: Upcyclingphosphorus Recovered From Anaerobically Digesteddairy Manure To Support Production Of Vegetables And Flowers (Sustainability 2020, 12, 1139), Katherine K. Porterfield, Robert Joblin, Deborah A. Neher, Michael Curtis, Steve Dvorak, Donna M. Rizzo, Joshua W. Faulkner, Eric D. Roy

Rubenstein School of Environment and Natural Resources Faculty Publications

The authors would like to make the following correction for the published paper [1]. The changes are as follows: (1) Replacing Figure 4 (Figure presented).

Healthy Diets Can Create Environmental Trade-Offs, Depending On How Diet Quality Is Measured, Zach Conrad, Nicole Tichenor Blackstone, Eric D. Roy

Rubenstein School of Environment and Natural Resources Faculty Publications

Background: There is an urgent need to assess the linkages between diet patterns and environmental sustainability in order to meet global targets for reducing premature mortality and improving sustainable management of natural resources. This study fills an important research gap by evaluating the relationship between incremental differences in diet quality and multiple environmental burdens, while also accounting for the separate contributions of retail losses, inedible portions, and consumer waste. Methods: Cross sectional, nationally-representative data on food intake in the United States were acquired from the National Health and Nutrition Examination Survey (2005–2016), and were linked with nationally-representative data on food …

Mobilizing Crop Biodiversity, Susan Mccouch, Zahra Katy Navabi, Michael Abberton, Noelle L. Anglin, Rosa Lia Barbieri, Michael Baum, Kirstin Bett, Helen Booker, Gerald L. Brown, Glenn J. Bryan, Luigi Cattivelli, David Charest, Kellye Eversole, Marcelo Freitas, Kioumars Ghamkhar, Dario Grattipaglia, Robert Henry, Maria Cleria Valadares Inglis, Tofazzal Islam, Zakaria Kehel, Paul J. Kersey, Graham J. King, Stephen Kresovich, Emily Marden, Sean Mayes, Marie Noelle Ndjiondjiop, Henry T. Nguyen, Samuel Rezende Paiva, Roberto Papa, Peter W.B. Phillips, Awais Rasheed

College of Agriculture and Life Sciences Faculty Publications

No abstract provided.

Modeling The Influence Of Public Risk Perceptions On The Adoption Of Green Stormwater Infrastructure: An Application Of Bayesian Belief Networks Versus Logistic Regressions On A Statewide Survey Of Households In Vermont, Qing Ren, Asim Zia, Donna M. Rizzo, Nancy Mathews

College of Engineering and Mathematical Sciences Faculty Publications

There is growing environmental psychology and behavior literature with mixed empirical evidence about the influence of public risk perceptions on the adoption of environmentally friendly “green behaviors”. Adoption of stormwater green infrastructure on residential properties, while costlier in the short term compared to conventional greywater infrastructure, plays an important role in the reduction of nutrient loading from non-point sources into freshwater rivers and lakes. In this study, we use Bayesian Belief Networks (BBNs) to analyze a 2015 survey dataset (sample size = 472 respondents) about the adoption of green infrastructure (GSI) in Vermont’s residential areas, most of which are located …

Modeling Alternative Collaborative Governance Network Designs: An Agent-Based Model Of Water Governance In The Lake Champlain Basin, Vermont, Patrick Bitterman, Christopher J. Koliba

College of Agriculture and Life Sciences Faculty Publications

Published by Oxford University Press on behalf of the Public Management Research Association. With the widespread use of collaborative governance mechanisms for mitigating water pollution, an opportunity exists to test alternative institutional designs based on collaborative governance theory using computer simulation models, particularly when there is a clear relationship between governance networks, observable resource allocation decisions, and measurable outcomes. This is especially the case for wicked problems like nonpoint source water pollution where there are compelling questions regarding how best to design policies, allocate funds, and build administrative capacity to meet water quality standards. We present an agent-based model (ABM) …

Genome-Wide Association Study In Accessions Of The Mini-Core Collection Of Mungbean (Vigna Radiata) From The World Vegetable Gene Bank (Taiwan), Alena Sokolkova, Marina Burlyaeva, Tatjana Valiannikova, Margarita Vishnyakova, Roland Schafleitner, Cheng Ruei Lee, Chau Ti Ting, Ramakrishnan Madhavan Nair, Sergey Nuzhdin, Maria Samsonova, Eric Von Wettberg

College of Agriculture and Life Sciences Faculty Publications

Background: Mungbean (Vigna radiata (L.) R. Wilczek, or green gram) is important tropical and sub-tropical legume and a rich source of dietary protein and micronutrients. In this study we employ GWAS to examine the genetic basis of variation in several important traits in mungbean, using the mini-core collection established by the World Vegetable Center, which includes 296 accessions that represent the major market classes. This collection has been grown in a common field plot in southern European part of Russia in 2018. Results: We used 5041 SNPs in 293 accessions that passed strict filtering for genetic diversity, linkage disequilibrium, population …

Dynamical Climatic Model For Time To Flowering In Vigna Radiata, Konstantin Kozlov, Alena Sokolkova, Cheng Ruei Lee, Chau Ti Ting, Roland Schafleitner, Eric Bishop-Von Wettberg, Sergey Nuzhdin, Maria Samsonova

College of Agriculture and Life Sciences Faculty Publications

Background: Phenology data collected recently for about 300 accessions of Vigna radiata (mungbean) is an invaluable resource for investigation of impacts of climatic factors on plant development. Results: We developed a new mathematical model that describes the dynamic control of time to flowering by daily values of maximal and minimal temperature, precipitation, day length and solar radiation. We obtained model parameters by adaptation to the available experimental data. The models were validated by cross-validation and used to demonstrate that the phenology of adaptive traits, like flowering time, is strongly predicted not only by local environmental factors but also by plant …

Editorial: Wild Plants As Source Of New Crops, Eric Von Wettberg, Thomas M. Davis, Petr Smýkal

College of Agriculture and Life Sciences Faculty Publications

No abstract provided.

Perspective Article: Actions To Reconfigure Food Systems, Ana Maria Loboguerrero, Philip Thornton, Jonathan Wadsworth, Bruce M. Campbell, Mario Herrero, Daniel Mason-D'Croz, Dhanush Dinesh, Sophia Huyer, Andy Jarvis, Alberto Millan, Eva Wollenberg, Stephen Zebiak

Rubenstein School of Environment and Natural Resources Faculty Publications

There is broad agreement that current food systems are not on a sustainable trajectory that will enable us to reach the Sustainable Development Goals by 2030, particularly in the face of anthropogenic climate change. Guided by a consideration of some food system reconfigurations in the past, we outline an agenda of work around four action areas: rerouting old systems into new trajectories; reducing risks; minimising the environmental footprint of food systems; and realigning the enablers of change needed to make new food systems function. Here we highlight food systems levers that, along with activities within these four action areas, may …

Characterizing Heterogeneous Behavior Of Non-Point-Source Polluters In A Spatial Game Under Alternate Sensing And Incentive Designs, Asim Zia, Shanshan Ding, Kent D. Messer, Haoran Miao, Jordan F. Suter, Jacob R. Fooks, Todd Guilfoos, Simona Trandafir, Emi Uchida, Yushiou Tsai, Scott Merrill, Scott Turnbull, Christopher Koliba

College of Agriculture and Life Sciences Faculty Publications

Behavioral research on natural resource management has revealed a number of variables that can impact collective action. This research builds upon an interactive decision game using experimental economics methods with a focus on production decisions and the corresponding impact they have on ambient water quality. Using hierarchical clustering algorithms, four primary types of behavior are identified: competitive, hypercompetitive, cooperative, and hypercooperative. The results from the experiment are used to test the following three hypotheses: (1) financial incentives increase cooperative behavior, (2) increasing the number and frequency of water quality sensors increases cooperative behavior, and (3) the spatial location of the …

First Authorship Gender Gap In The Geosciences, T. Pico, P. Bierman, K. Doyle, S. Richardson

College of Arts and Sciences Faculty Publications

Although gender parity has been reached at the graduate level in the geosciences, women remain a minority in faculty positions. First authorship of peer-reviewed scholarship is a measure of academic success and is often used to project potential in the hiring process. Given the importance of first author publications for hiring and advancement, we sought to quantify whether women are underrepresented as first authors relative to their representation in the field of geoscience. We compiled first author names across 13 leading geoscience journals from January 2013 to April 2019 (n = 35,183). Using a database of 216,286 names from 79 …

Environment And Global Health: Investments In Natural Capital Can Improve Human Health, Stephen Posner, Taylor Ricketts

Reports and Policy Briefs

Gund Fellows led several key “big data” studies on how investments in nature can benefit people’s health and economic prosperity in developing countries. This policy brief summarized research evidence on links between health and the environment for stakeholders and partners, including the Biodiversity Results and Integrated Development Gains Enhanced Project (BRIDGE) managed by USAID’s Forestry and Biodiversity Office.

Growing Specialty Coffee: Economic Security And Environmental Sustainability In Global Coffee Systems, Stephen Posner, Janica Anderzen, Alejandra Guzman Luna, Ernesto Mendez

Reports and Policy Briefs

The Gund Institute has partnered with the Agroecology & Livelihoods Collaborative to create a more sustainable and just global coffee sector. Gund Fellows used this research brief to leverage our networks and engage NGOs such as The Specialty Coffee Association, funders, and companies in early discussions about how to address systemic inequity across the coffee value chain.