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Medicine and Health Sciences

2017

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Vermont

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Use Of Opioids For Pain Management: Educating Patients And Providers On Upcoming Changes To Vermont State Law, Ashley C. Hodges Jan 2017

Use Of Opioids For Pain Management: Educating Patients And Providers On Upcoming Changes To Vermont State Law, Ashley C. Hodges

Family Medicine Clerkship Student Projects

Vermont is suffering from an opioid epidemic. With 112 opioid-related deaths in 2016, nearly every community has been touched by this crisis. In an attempt to combat this problem, new legislation (effective July 1, 2017) will change how opioids are prescribed for both acute and chronic pain management in Vermont. Changes include dose limitations for acute pain, stricter monitoring requirements, and mandated prescribing of naloxone (an overdose reversal agent) for patients on high doses of opioids or on both opioids and benzodiazepines. This project aims to educate patients about upcoming changes.


Provider Education & Requirements For Opioid Prescriptions, Lawrence J. Leung Jan 2017

Provider Education & Requirements For Opioid Prescriptions, Lawrence J. Leung

Family Medicine Clerkship Student Projects

Nationally, there has been a surge in the opioid prescription crisis with associated overdose deaths. Vermont is no exception, with increasing opioid overdose related deaths within the last 10 years. A sample (n=111) of opioid addiction patients at the Community Health Centers of Burlington (CHCB) have demonstrated that 25% have their initial use due to provider prescription. New Vermont regulations to decrease opioid prescriptions are inefficient. The goal of this project is to implement a streamlined intervention to improve provider education and comfort regarding new Vermont state opioid prescribing regulations.


Acrylate Allergy To Fake Nails: Unique Presentations Of Onchodystrophy And Subungual Hyperkeratosis, Marie Kenney Jan 2017

Acrylate Allergy To Fake Nails: Unique Presentations Of Onchodystrophy And Subungual Hyperkeratosis, Marie Kenney

Family Medicine Clerkship Student Projects

Artificial nails are commonly used worldwide for cosmetic nail enhancement. Chittenden County, Vermont has 20 operating salons that offer acrylic nail procedures. Common procedures for the administration of acrylic nails include self-curing sculptured nails and light-cured nail lacquer, also known as “gel” nails. Both methods employ binding agents that utilize acrylic monomers or polymers. These acrylates are a frequent cause of allergic contact dermatitis in both manicurists and clients. A distinct presentation of allergic contact dermatitis to nail lacquer has been recently recognized in the community. It involves the sudden onset of painful nails and lack of associated eczematous changes. …


Increasing Access To Dental Services In Windham County, Vt, Adam Michael Schlauch Jan 2017

Increasing Access To Dental Services In Windham County, Vt, Adam Michael Schlauch

Family Medicine Clerkship Student Projects

Adults and children in Windham County, VT have limited access to dental care. A goal of the Community Health Team at Grace Cottage Hospital is to increase access to dental care through the proposal of a mobile dental clinic.