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Articles 31 - 49 of 49
Full-Text Articles in Medicine and Health Sciences
Barriers To Exercise: Patients With Diabetes In Washington County, Joshua Bruce Taylor
Barriers To Exercise: Patients With Diabetes In Washington County, Joshua Bruce Taylor
Family Medicine Clerkship Student Projects
According to the Vermont Department of Health physical inactivity is one of the three main behaviors that predisposes patients to cancer, heart disease/stroke, lung disease, and type 2 diabetes, which result in over 50 percent of deaths among Vermonters. Washington County has a higher rate of overweight adults than the statewide average, making exercise an important component to healthier living. Barriers to exercise, especially among patients with diabetes, impose serious health ramifications for the residents of Washington County, and avenues must be made available to circumvent these barriers.
Integrating Oral Health In Primary Care To Reduce Early Childhood Caries (Ecc): Evidence-Based Guidelines And Recommendations, Alyssa Heiser
Integrating Oral Health In Primary Care To Reduce Early Childhood Caries (Ecc): Evidence-Based Guidelines And Recommendations, Alyssa Heiser
Family Medicine Clerkship Student Projects
Early childhood caries (ECC) is the most common chronic disease affecting children, despite being almost 100% preventable. ECC has become associated with a multi-factorial etiology including poor feeding practices, enamel hypoplasia, oral colonization by cariogenic bacteria, and demineralized tooth structure due to metabolism of sugars by tooth-adherent bacteria. ECC can lead to school absences, poor school performance, difficulty sleeping, attention problems, slower social development, and poor overall health. According to U.S. Preventative Services Task Force (USPSTF) guidelines, all children are at potential risk for developing ECC beginning at the time of first tooth eruption. While there are no validated multivariate …
Assessing Provider Perspectives Of Transportation Difficulties For Patients At Hinesburg Family Medicine, Evan Thor Lowry
Assessing Provider Perspectives Of Transportation Difficulties For Patients At Hinesburg Family Medicine, Evan Thor Lowry
Family Medicine Clerkship Student Projects
This project aimed to assess provider perspectives on transportation difficulties at the UVMMC Hinesburg Family Medicine Clinic. Vermont has an aging population, which is above the national average. Many older patients, lower socioeconomic patients, and patients with disabilities have a hard time making their appointments due to transportation challenges. This study surveyed the experiences of providers with this issue and found that patients routinely mention issues with getting transportation to the facility. To help with this, the author created a list of transportation resources that providers and staff can use for patients at Hinesburg Family Medicine.
Assessing Prescriber And Staff Readiness For Change And Evaluation Of Chronic Pain Management, Collin J. Anderson
Assessing Prescriber And Staff Readiness For Change And Evaluation Of Chronic Pain Management, Collin J. Anderson
Family Medicine Clerkship Student Projects
Survey-based study of opioid prescribers and staff members at a community health center. Designed to assess current opioid prescribing practices, management of chronic pain patients, and readiness for future change.
Finding The Silver Linings Of The Cyberattack, Kathleen R. O'Hara, Leah Miller
Finding The Silver Linings Of The Cyberattack, Kathleen R. O'Hara, Leah Miller
Family Medicine Clerkship Student Projects
Our project aimed to identify the effects of the UVM Health Network cyberattack and subsequent month-long network downtime on the South Burlington Family Medicine providers and clinic staff. We interviewed staff members about positive adaptations made by the team during the downtime, and inquired whether they planned to keep maintaining any of these changes once the electronic systems returned.
Myth Busters: The Flu Shot During A Pandemic, Elizabeth Baumgartner
Myth Busters: The Flu Shot During A Pandemic, Elizabeth Baumgartner
Family Medicine Clerkship Student Projects
Under-vaccination is a problem across the country, including influenza vaccination in Vergennes, VT. Members of the community at PMC - Primary Care Vergennes endorsed a few common reasons when declining the annual flu shot, noted by providers at the clinic. The project yielded two flyers for the office - one that addressed these common "myths" and another that addressed new considerations for influenza vaccination during the pandemic.
Screening And Monitoring Social Determinants Of Health For Migrant Workers In Vermont, Richard Brach
Screening And Monitoring Social Determinants Of Health For Migrant Workers In Vermont, Richard Brach
Family Medicine Clerkship Student Projects
No abstract provided.
Genitourinary Effects Of Smoking In Men: An Alternative Approach To Smoking Cessation Through Patient Education, Michael J. Lawrence
Genitourinary Effects Of Smoking In Men: An Alternative Approach To Smoking Cessation Through Patient Education, Michael J. Lawrence
Family Medicine Clerkship Student Projects
Smoking remains a prominent problem in Vermont, especially outside Chittenden County. The genitourinary effects of smoking tend to be poorly appreciated among patients. This presents an opportunity for further patient education and incentivization to quit. This project focused on the genitourinary effects of smoking in men, specifically highlighting how smoking increases risk of bladder cancer, poorer outcomes in prostate cancer, and a higher risk of erectile dysfunction. The project culminated in creation of an educational poster intended for display in patient bathrooms in a medical setting.
Emphasizing Year-Round Physical Activity Of Seniors In Vergennes, Vermont, Carley R. Mulligan
Emphasizing Year-Round Physical Activity Of Seniors In Vergennes, Vermont, Carley R. Mulligan
Family Medicine Clerkship Student Projects
Many senior citizens in the Vergennes community are active in the spring, summer, and fall with various activities, community groups, and walking. However, in the winter with colder temperatures and less sunlight, these activities are difficult to maintain, even more exacerbated by the current Covid-19 pandemic. Encouraging maintenance of physical activity throughout the winter months in Vermont is difficult, but can provide many benefits to these individuals both physically and mentally.
Blood Pressure Management Education, Lauren G. Gernon, Cara Rathmell
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.
Managing Chronic Low Back Pain, Joseph Michael Teague Mr.
Managing Chronic Low Back Pain, Joseph Michael Teague Mr.
Family Medicine Clerkship Student Projects
Chronic Low Back Pain remains a leading reason for ambulatory care visits, a leading primary diagnosis for ambulatory care visits, a leading cause of global burden, and the leading cause of lost workdays in the US. US Health expenditures for adults with chronic low back pain total over 102 billion. Chronic low back pain increases the risk of unemployment, poverty, obesity, smoking, and depression. Physical therapy (PT) and cognitive behavioral therapy (CBT) have been proven to reduce chronic low back pain intensity and duration, improve function, reduce healthcare utilization and cost, and reduce sick time. This project investigated community resources …
Transition Of Care For Newly Homed Individuals, Kayla Sturtevant
Transition Of Care For Newly Homed Individuals, Kayla Sturtevant
Family Medicine Clerkship Student Projects
Homeless individuals often do not receive the appropriate level of health care to manage multiple otherwise controllable medical conditions. Continuity of care is often a challenge. Individuals may temporarily establish care with a provider but become lost to follow up when they move away or establish permanent housing. They can become lost to follow up for other reasons as well, including relapse, an inflexible work schedule, mental illness and many others.
Increasing Influenza Vaccination Access Among Migrant Farmworkers On Dairy Farms In Northern Vermont, Allyson R. Miller
Increasing Influenza Vaccination Access Among Migrant Farmworkers On Dairy Farms In Northern Vermont, Allyson R. Miller
Family Medicine Clerkship Student Projects
An immediate need exists to provide influenza vaccination to migrant workers on dairy farms in Northern Vermont as vaccination is not accessible to the farmworker population within the current framework that exists. The importance of widespread distribution of the influenza vaccine, especially during the COVID-19 pandemic, has been established but significant barriers to access prevent the migrant farmworker population from receiving the vaccine.
Medical Students And Home-Based Primary Care : Education Outside Of The Clinic, Sally Clark
Medical Students And Home-Based Primary Care : Education Outside Of The Clinic, Sally Clark
Family Medicine Clerkship Student Projects
Home-based primary care has tremendous utility for homebound patients and those who have serious functional limitations. Patients who utilize home-based primary care have significantly lower rates of hospital admission and 30-day readmissions. Incorporating a home-health visit into the Family Medicine Clerkship rotation for MS3s will help medical students understand the importance of primary care while also learning about a patient's unique environment.
Educating Patients On Flu Shot Importance In The Covid-19 Era, Nicole Delgado, Shayan Mcgee
Educating Patients On Flu Shot Importance In The Covid-19 Era, Nicole Delgado, Shayan Mcgee
Family Medicine Clerkship Student Projects
As fall approaches in 2020, it is even more important than previous years for patients to receive the influenza vaccine. The CDC believes that influenza and Covid-19 will both be spreading in the fall and winter of 2020. For this project, educational pages were designed for display in patient exam rooms at Milton Family Practice in Milton, Vermont. Information included the symptom overlap of Covid-19 and influenza, the distinct features of Covid-19, an epidemiological comparison of 2019 influenza statistics vs. Covid-19 statistics, and an emphasis on the importance of getting a flu shot to prevent a dangerous co-infection with both …
Zoom Support: Virtual Health In The Times Of Covid, Patrick Clarke
Zoom Support: Virtual Health In The Times Of Covid, Patrick Clarke
Family Medicine Clerkship Student Projects
Assessing the feasibility of implementing a "how-to" video for elderly or disabled persons utilizing Zoom to access telehealth.
Migrant Farm Workers Flu Clinic, Alice Peng
Migrant Farm Workers Flu Clinic, Alice Peng
Family Medicine Clerkship Student Projects
Vermont's dairy industry relies heavily on migrant workers. These migrant farmworkers are mostly Latino and undocumented thus ineligible for health insurance. The Open Door Clinic in collaboration with UVM Extension Bridges to Health and Colchester Family Practice provided free satellite flu clinics to Northern Vermont Latino dairy farmworkers. This project served 12 dairy farms and vaccinated 48 farmworkers.
Physical Activity Level In School-Aged Children During Covid-19, Tran Phuong
Physical Activity Level In School-Aged Children During Covid-19, Tran Phuong
Family Medicine Clerkship Student Projects
Due to COVID-19 restrictions, school-aged kids are not engaging in normal physical activities per usual, such as physical education class and team sports. This paper addresses the health concerns and community perspectives of decreased physical activity in pre teens and teens during this pandemic. Further, it provides recommendations to stay active for 60 minutes a day of moderate to vigorous exercise.
Onecare Vermont Aco Quality Metric Evaluation, Alexander Braun
Onecare Vermont Aco Quality Metric Evaluation, Alexander Braun
Family Medicine Clerkship Student Projects
This project explores OneCare Vermont ACO quality metrics and how they can be used to improve patient care and reimbursement in a Vermont family medicine practice. Perspectives of physicians within the practice and others familiar with OneCare Vermont operations are shared. Several metrics were identified as areas for improvement within the practice by comparing ACO metrics with patient data.