Medicine and Health Sciences Commons^™

Physician Attitudes Toward Screening For Social Determinants Of Health, Michael Barnum, Rosie Friedman, Tierra Lynch, Collin Montgomery, Irene Sue, Jenna Wells, Hakeem Yousef, Elizabeth Cote, Charles Maclean

Public Health Projects, 2008-present

Social determinants of health (SDH) have a significant impact on health outcomes. Screening for SDH in the clinical setting can identify at-risk patients, but follow-up and management remain challenging. Currently, there is no single preferred screening tool recommended for SDH and the screening process varies widely. The goal of this study was to determine family medicine physician attitudes and practices regarding screening and follow-up for SDH in Chittenden County, VT.

E-Cigarette And Tobacco Use On A Tobacco-Free Uvm Campus, Sameer Alidina, Lauren Gernon, Kalin Gregory-Davis, Alexa Pius, Olivia Quatela, Samuel Raszka, Zeynep Tek

Public Health Projects, 2008-present

The prevalence of e-cigarette use has significantly increased in recent years. In the US, e-cigarettes are now the most common nicotine products used by adolescents. The CDC reported 1,299 cases of lung injury correlating to the use of e-cigarette and vaping products; the current recommendation is to refrain from using e-cigarette products that contain THC and/or nicotine.

Attitudes & Roles Regarding Firearm Access And Suicide Prevention In Vermont Middle & High Schools, Cari Carpenter, Kelly Chan, Jeremy Greenberg, Alyssa Heiser, Ashleigh Peterson, Peter Twining, Emerson Wheeler, Kristin Fontaine, Wendy Davis

Public Health Projects, 2008-present

Adolescent suicide is a serious public health concern in Vermont, and the presence of firearms in the home is a known risk factor. Suicide attempts with firearms are more likely to be completed than attempts with other means, with an 85% mortality rate of suicide with firearms compared to 5% with other means. This project aimed to assess attitudes, comfort, and perceived roles among school personnel in addressing gun safety and access to firearms with Vermont students and parents.

A Comprehensive Needs Assessment Of Rural Syringe Services, Deena Chanowitz, Julia Clemens, Alim Esemenli, Matthew Hill, Erick Maclean, Adessa Morano, Adam Ross

Public Health Projects, 2008-present

The current opioid epidemic has resulted in a significant increase in opioid-related overdoses, and a corresponding rise in HIV and HCV transmission. Syringe Service Programs (SSPs) provide resources for people who inject drugs. There are fewer SSPs in rural U.S. and little research has been conducted to determine unique needs of SSP participants in rural areas.

Assessing Prenatal Care Providers’ Promotion Of Immunization In Pregnancy, Emily Eakin, Francesca Garofalo, William Holden, Sunny Hutson, Ambrose Orr, Melanie Parziale, Anya Srikureja, Emily Straley, Christine Finley, Jill Jemison, Raj Chawla

Public Health Projects, 2008-present

Accurate information regarding prenatal immunization is critical for first-time mothers. Many vaccine-hesitant mothers decide whether to vaccinate their children during pregnancy. The Centers for Disease Control and Prevention (CDC) guidelines urge providers to recommend the Tdap and influenza vaccines to pregnant patients to reduce the risk of complications from pertussis and influenza, respectively, in both expectant mothers and infants. In 2018, about half of pregnant women in the US received an influenza vaccine and Tdap vaccine; however, uptake varies state to state. This study demonstrates the first survey of providers regarding prenatal immunization practices in Vermont.

Housing Initiatives Implementation In Vermont To Improve Health Outcomes, Jose Calderon, Marlijne Cook, Benjamin Kagan, Sylvia Lane, Maha Saleem, Kayla Sturtevant, Angela Troia, Heidi Klein, Jan Carney

Public Health Projects, 2008-present

Vermont Department of Health goals include improving population health outcomes, including social determinants of health. There is compelling evidence between housing and health; research demonstrates housing insecurities increase rates of negative health outcomes. Research further demonstrates improve-ments in housing reduce hospital stays, thus reducing financial burdens on hospitals. This project sought to understand what housing initiatives Accountable Communities for Health (ACH) in Vermont are implementing to alleviate the burdens of housing insecurity.

Vermont Legislature’S Views On The Reliability And Accessibility Of Available Resources Regarding Public Health Concerns Of Youth Marijuana Use, Aram Garewal, Luke Higgins, Jeannie Lin, Kathleen O'Hara, Michelle Oberding, Anna Quinlan, Joseph Teague, Lori Augustyniak, Karen Lounsbury

Public Health Projects, 2008-present

Vermont previously legalized possession and limited cultivation of marijuana. Proposed legislation for 2020 would legalize commercial sale of marijuana. Current knowledge surrounding public health impacts of the legal commercial sale of marijuana on youth is inconsistent, insufficient, and poorly understood by the public. This study investigated legislator utilization and perception of sources contributing to growing knowledge surrounding youth marijuana use.

Development Of A Sustainable Volunteer Model To Address Food Insecurity, Abigail Belser, Adrian Berg, Leah Miller, Kaitlyn Peper, Allison Tzeng, Carolyn Gould, Linda Howe, Jan Carney

Public Health Projects, 2008-present

Food insecurity is a predictor of poor health outcomes and a critical social determinant of health. Food shelves are critical community resources aimed to counter food insecurity by providing nutrition and other resources to those in need. Food insecurity in Winooski, Vermont is substantial and increasing, with 10% of residents utilizing the Winooski Food Shelf (WFS) in 2018. To aid in the increasing demand of the WFS, we determined the greatest need(s) to implement a sustainable intervention to ensure capacity to meet demands.

Politics Of Covid-19, Emma Cigna

Student Research Poster Presentations 2020

No abstract provided.

Universal Healthcare: Good Or Bad?, Danielle Tait

Student Research Poster Presentations 2020

The topic of universal healthcare seems to come up quite a bit in political platforms, but what does it really mean for Americans? By allowing universal healthcare, instead of private insurance companies, we as a nation will see an increase in healthy citizens, the economy will save money, and patients will be more satisfied with their healthcare. Although we do not have concrete evidence, studies project that universal healthcare will bring immense benefits to America’s healthcare.

Freestanding "Er's" Come At A Cost, Krystal Whitenight

Student Research Poster Presentations 2020

No abstract provided.

Epilepsy Risk Among Survivors Of Intensive Care Unit Hospitalization For Sepsis, Tresah C. Antaya, Britney N. Allen, Lucie Richard, Salimah Z. Shariff, Gustavo Saposnik, Jorge Burneo

Neuroepidemiology Research Unit Project Summaries

Research Summary: Key Findings

• 407 (0.28%) patients developed epilepsy within 2 years of their ICU discharge, 103 (25.3%) of whom were exposed to sepsis.
• Sepsis survivors were significantly more likely to develop epilepsy, relative to non-septic ICU survivors.
• Among sepsis survivors, epilepsy risk increased with age and was higher among those with chronic kidney disease.

Be A Hero Too, Samantha S. Rohe, Sophie Cemaj

Books: Pediatrics

This children's book explains COVID-19 and how to decrease the incidence of transmissions.

Sé Un Héroe Tú También, Samantha S. Rohe, Sophie Cemaj

Books: Pediatrics

This children's book explains COVID-19 and how to decrease the incidence of transmissions.

Impact Of Diet On Colorectal Cancer, Ashley Rosenberg Md, Mirinda Gromley Msph, Nicole Weighard Md, Juan Lu J Phd Mph Md

Graduate Research Posters

Background

Colorectal cancer (CRC) is the third most common cancer diagnosed worldwide. Modifiable risk factors such as diet have been linked to the development of CRC but results of previous research have been inconsistent. We utilized the National Health and Nutrition Examination Survey (NHANES) to determine whether the consumption of dietary variables contributed to increased diagnosis of colorectal cancer.

Methods

Participants from NHANES 2015-2016 database aged 16 years or older, with available two-day dietary and CRC information were included. Study exposure included dietary consumptions (salt, cholesterol, sugar, fat, and carbohydrates); the outcome was self-reported CRC. Descriptive analysis was performed with …

Fusion, 2020, George Washington University, William H. Beaumont Medical Research Honor Society

Fusion

No abstract provided.

An Occupational Hygiene And Safety Primer, Volume 2, Tim Ryan

OHIO Open Faculty Textbooks

Intended to teach the basic tenets of occupational hygiene and safety to a wide variety of undergraduate college students with quite diverse backgrounds, the information in these volumes is open-sourced from a variety of experts on the subject.

An Occupational Hygiene And Safety Primer, Volume 1, Tim Ryan

OHIO Open Faculty Textbooks

Intended to teach the basic tenets of occupational hygiene and safety to a wide variety of undergraduate college students with quite diverse backgrounds, the information in these volumes is open-sourced from a variety of experts on the subject.

醫食文字, 嶺南大學服務研習處

OSL Students' Service-Learning Project Output: Booklet

2018-19年度，嶺南大學中文系與浸會大學中醫藥學院，連同嶺南大學服務研習處、浸會大學創新服務學習中心，舉辦全港首次跨學院、跨學科的聯校服務研習計劃。 該計劃。聯校課程為大學教育資助委員會撥款資助之「香港跨院校服務學習師資培訓」計劃 (Project No. PolyU4/T&L/16-19) 的項目之一，結合新聞寫作及中醫食療保健課程，聯繫學生相互學習，並共同推廣服務學習。

在賽馬會「關愛．服務．研習@ 屯門」計劃下，第一年的活動已經完滿結束，此書總結活動成績，以學生的角度，整理出人物故事、機構資料，也有實用的中醫知識和食譜，展示中醫藥多元的資訊。

Harm Reduction In The Emergency Department, Alexa J. Golden

Family Medicine Clerkship Student Projects

The number of overdose deaths in Vermont has been trending up over the past several years. A majority of these fatalities involved synthetic opioid fentanyl. The Emergency Department (ED) at Central Vermont Medical Center delivers medication assisted treatment (MAT) through the Rapid Access to MAT (RAM) program. This program has connected many people in the region to treatment for opiate use disorder. However it was identified that we lacked connection to harm reduction services for those not interested in MAT. Harm reduction education was provided for recovery coaches and ED nursing staff. Harm reduction kits containing life-saving supplies such as …

Easily Digestible: Addressing Food Literacy With Short Educational Videos, Kalle J. Fjeld

Family Medicine Clerkship Student Projects

Food literacy is the knowledge and skills needed to select and prepare food as well as determine food intake. These skills are necessary for a healthy diet, which is a major contributing factor to chronic disease prevention and management. People with diseases such as diabetes and cardiovascular disease can have great benefit from improving diet quality through increasing at-home food preparation and consumption of fruits and vegetables. In partnership with a Food Farmacy pilot program at Hudson Headwaters Health Network in Glens Falls, NY this project sought to use web-based food literacy education for a population of 40 patients with …

Raising Awareness About The Vermont Donor Milk Center, Rosie Friedman, Emi Eakin

Family Medicine Clerkship Student Projects

The Vermont Donor Milk Center (VDMC) is an emerging community resource that provides donated, pasteurized breast milk to new parents for their infants. Upon questioning, we identified that many providers did not know about the VDMC or how to prescribe milk. In addition, VDMC expressed that they have not been able to complete the community outreach they had initially hoped for. We chose to dedicate our project to disseminating information about VDMC to perinatal care providers in Vermont.

Baylor International Pediatric Aids Initiative (Bipai): Maseru, Lesotho, Whitney J. Cameron

Posters

Describes her experience working in Maseru, Lesotho.

A Motivational Interviewing Approach Toward Mask Wearing In Franklin County, Vermont, Ashleigh N. Peterson

Family Medicine Clerkship Student Projects

COVID-19 has caused significant morbidity and mortality in Vermont and worldwide since the start of the pandemic. Wearing cloth face masks has been proven to limit viral spread, but few studies have quantified how many people are wearing masks or what their reasons are for doing so. This study aimed to assess and encourage mask use in Franklin County, Vermont by piloting an in-office motivational interviewing intervention at a primary care office.

Improving Hpv Vaccination Rates, Emily Eichner

Family Medicine Clerkship Student Projects

HPV is a very common infection and can cause multiple types of cancers. The HPV vaccination is effective at preventing these infections and subsequent cancers. The HPV vaccine is most effective when given to adolescents; however, the vaccination rates for girls and especially boys remain low. Many reasons exist for parent's choice not to have their kids' vaccinated against HPV. Identifying and addressing these barriers through educational materials for parents will hopefully help improve HPV vaccination rates and reduce rates of these preventable cancers.

Addressing Barriers To Physical Activity In Vermont's Geriatric Population, Stephanie Udawatta

Family Medicine Clerkship Student Projects

A wide array of barriers exist which prevent many geriatric patients from engaging in regular physical activity. This project addresses the barriers unique to Vermont's population of geriatric patients and explores potential solutions.

Addressing Adolescent And Young Adult Mental Health During The Covid-19 Pandemic, Megan Boyer

Family Medicine Clerkship Student Projects

This quality improvement project at South Burlington Family Medicine aimed to investigate the mental health of individuals ages 13-25 in our practice during the COVID-19 pandemic. Eligible patients received a PHQ-9 questionnaire with two additional questions related to COVID-19. Recommendations for future interventions to serve this population were made based on these preliminary findings, with the goal of doing a full PDSA cycle in the near future.

Promoting Physical Activity In School-Aged Children During The Covid-19 Pandemic, Abigail H. Belser

Family Medicine Clerkship Student Projects

Due to the COVID-19 pandemic, children and adolescents are engaging in less physical activity and are increasing their sedentary behavior. These changes can lead to long-lasting negative lifestyle behaviors, which increases risk of health complications.

To ensure safety during the pandemic, guidelines have created restrictions on physical education and sports, which are both primary physical activity outlets for children and adolescents. Children and adolescents have to find alternate ways and resources to meet the recommended 60 minutes of physical activity daily.

An informational pamphlet was created to educate parents and children of current physical activity recommendations, with resources and ideas …

Telemedicine Quality Improvement, Isidora R. Beach

Family Medicine Clerkship Student Projects

Telemedicine use has increased dramatically since the advent of the COVID-19 pandemic in the spring of 2020. However, not all patients and physicians were prepared for this rapid change, and little evaluation of these new mechanisms for delivery of healthcare has occurred thus far. This community project explores patient and physician perspectives on the use of telemedicine in place of in-person visits and makes recommendations for future improvements. Ultimately, telemedicine use will not likely diminish any time soon, making it increasingly important to triage patient visits to determine which would lend themselves well to the telemedicine format. As this project …

Blood Pressure Management Education, Lauren G. Gernon, Cara Rathmell

Family Medicine Clerkship Student Projects

The expansion of telehealth with COVID-19 and recent recommendations to use at-home blood pressure monitoring to diagnose and monitor hypertension have increased the need for materials and education for clinicians and patients. A pilot project in Primary Care Internal Medicine UVM in Essex, VT, produced an electronic medical record dot phrase and compiled educational materials to initiate nurse visits for at-home BP measurements. Materials and experience with this pilot was researched for initiation of a similar program at UVM Family Medicine Hinesburg.