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Articles 1 - 30 of 54
Full-Text Articles in Medicine and Health Sciences
The Impact Of Coronavirus On Vermonters Experiencing Food Insecurity, Meredith T. Niles, Farryl Bertmann, Emily H. Morgan, Thomas Wentworth, Erin Biehl, Roni Neff
The Impact Of Coronavirus On Vermonters Experiencing Food Insecurity, Meredith T. Niles, Farryl Bertmann, Emily H. Morgan, Thomas Wentworth, Erin Biehl, Roni Neff
College of Agriculture and Life Sciences Faculty Publications
Key Findings
1. Respondents experiencing food insecurity were more likely to be people of color, female, live in households with children, and live in larger households.
2. 84.2% of respondents who experienced food insecurity at some point in the year before the coronavirus pandemic remained food insecure during the early days of the outbreak.
3. The majority of respondents experiencing food insecurity are not utilizing food assistance programs.
4. ⅔ of respondents experiencing food insecurity are already buying different, cheaper foods or eating less to make their food last.
5. ⅔ of respondents experiencing food insecurity with a job had …
Food Access And Security During Coronavirus: A Vermont Study, Meredith T. Niles, Farryl Bertmann, Emily H. Morgan, Thomas Wentworth, Erin Biehl, Roni Neff
Food Access And Security During Coronavirus: A Vermont Study, Meredith T. Niles, Farryl Bertmann, Emily H. Morgan, Thomas Wentworth, Erin Biehl, Roni Neff
College of Agriculture and Life Sciences Faculty Publications
Key Findings
1. Respondents reported a 33% increase in food insecurity since the coronavirus outbreak began in Vermont (from 18% to 24%).
2. 45% of respondents with jobs experienced a job disruption or loss.
3. Respondents said the most helpful actions for meeting their food needs would be increased trust in the safety of going to stores and more food in stores.
4. Respondents worried most about food becoming unaffordable and running out of food if they were unable to go out.
5. Vermonters are using a variety of strategies to adapt: a majority of respondents are at least somewhat …
Employment And Food During Coronavirus, Meredith T. Niles, Farryl Bertmann, Emily H. Morgan, Thomas Wentworth, Erin Biehl, Roni Neff
Employment And Food During Coronavirus, Meredith T. Niles, Farryl Bertmann, Emily H. Morgan, Thomas Wentworth, Erin Biehl, Roni Neff
College of Agriculture and Life Sciences Faculty Publications
Key Findings
1. 45% of respondents with jobs experienced some type of job disruption or loss. 19.7% had a reduction in hours or income, 9.3% had been furloughed, and 15.5% had lost their job since the coronavirus outbreak.
2. 38.5% of respondents experiencing job loss or disruption since the outbreak were classified as food insecure.
3. Respondents experiencing job disruption or loss were significantly more likely to be already implementing food purchasing or eating changes and concerned about food access compared to those who did not experience a change in employment.
4. Respondents with job disruption or loss were significantly …
Are Wolves Welcome? Hunters' Attitudes Towards Wolves In Vermont, Usa, Nelson Grima, John Brainard, Brendan Fisher
Are Wolves Welcome? Hunters' Attitudes Towards Wolves In Vermont, Usa, Nelson Grima, John Brainard, Brendan Fisher
Rubenstein School of Environment and Natural Resources Faculty Publications
Published by Cambridge University Press on behalf of Fauna & Flora International. The forests of the north-east USA were once home to the Wolf Canis lupus, a species that played an important role in the ecology of this region. However, wolves were eradicated from the region more than a century ago, altering the species composition of the landscape and driving cascading changes in this ecosystem. Outdoor recreation is a major component of the economy of this region, and outdoor recreationists, including the hunting community, have a strong influence over decision-making related to policies on natural resources. Given their powerful position, …
Assessing The Effect Of Cold Weather On Rural Cardiovascular Disease Deaths In Vermont, Alex V. Sherbrook, Madison M. Freeman, Cody A. Aspril, Jennifer A. Tomczak, Emily C. Pareles, Timothy B. Plante
Assessing The Effect Of Cold Weather On Rural Cardiovascular Disease Deaths In Vermont, Alex V. Sherbrook, Madison M. Freeman, Cody A. Aspril, Jennifer A. Tomczak, Emily C. Pareles, Timothy B. Plante
Master of Public Health Culminating Projects
Objective: To study Vermont mortality and temperature data to determine if there is an increased incidence of cardiovascular disease related death on categorically cold streak days among rural residents.
Methods: A retrospective study was conducted using a cohort of Vermont CVD deaths between 2009-2017 subset with corresponding daily temperature data. CVD deaths that occurred on a categorical cold streak day were then identified and analyzed using a Poisson Regression to assess the relationship between ambient temperature changes, CVD mortality, and rurality.
Results: As compared to non-cold streak days, risk of CVD mortality was 4% higher on cold …
Sun-Safety: Assessing Barriers And Promoting Sun-Safe Practices For Vermonters., Joy A. Benner
Sun-Safety: Assessing Barriers And Promoting Sun-Safe Practices For Vermonters., Joy A. Benner
Family Medicine Clerkship Student Projects
Skin cancer continues to be the most common cancer in Vermont and the United States. About one in five Americans will develop skin cancer in their lifetime. Vermont currently ranks second highest in the country for melanoma skin cancer rates. Rates continue to rise and skin cancer is impacting patients at younger and younger ages. Although several factors play into development of melanoma, a large risk factor for developing skin-cancer in one's lifetime is UV exposure. One way to combat this is to encourage regular sun-safe practices, such as daily sunscreen use, seeking shade, and wearing sun-protective clothing. The aim …
Identifying Barriers To Sunscreen Use And Sun Safety Education, Seneca Hutson
Identifying Barriers To Sunscreen Use And Sun Safety Education, Seneca Hutson
Family Medicine Clerkship Student Projects
No abstract provided.
Evaluating Knowledge And Educating Patients About Diabetic Retinopathy Screening In Washington County, Vt, Delaney Curran
Evaluating Knowledge And Educating Patients About Diabetic Retinopathy Screening In Washington County, Vt, Delaney Curran
Family Medicine Clerkship Student Projects
No abstract provided.
Updating Concussion Protocol Information Pamphlet, Susan K. Campbell
Updating Concussion Protocol Information Pamphlet, Susan K. Campbell
Family Medicine Clerkship Student Projects
Creating a concussion protocol pamphlet that helps guide patients through recovery with evidence based advice.
Transportation Is A Barrier To Accessing Primary Care In Vermont, Max L. Silverstein
Transportation Is A Barrier To Accessing Primary Care In Vermont, Max L. Silverstein
Family Medicine Clerkship Student Projects
Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. Rural patients are especially vulnerable to transportation barriers: In Chittenden County specifically, older adults surveyed reported difficulty with transportation, with 69% delaying medical appointments due to transportation barriers. Based on the data collected in this study, even among patients at South Burlington Family Medicine, distance from the office is correlated with declining important medical appointments.
Transportation Is A Barrier To Accessing Primary Care In Vermont, Max L. Silverstein
Transportation Is A Barrier To Accessing Primary Care In Vermont, Max L. Silverstein
Family Medicine Clerkship Student Projects
Transportation barriers lead to rescheduled or missed appointments, delayed care, and missed or delayed medication use. Rural patients are especially vulnerable to transportation barriers; in Chittenden County specifically, older adults surveyed reported difficulty with transportation, with 69% delaying medical appointments due to transportation barriers. Based on data collected in this study, even among patients at South Burlington Family Medicine, distance from the office is correlated with declining important medical appointments.
Promoting Healthy And Active Lifestyles With Home Exercises In South Burlington, Vt, Jonathan Gau
Promoting Healthy And Active Lifestyles With Home Exercises In South Burlington, Vt, Jonathan Gau
Family Medicine Clerkship Student Projects
The barriers to exercise that patients face are often multi-factorial. Whether its due to weather, financial costs, lack of time, or if the individual simply isn't a gym person, we see a number of patients everyday who are not regularly exercising. This brochure is meant to provide patients during office visits with a tangible source of information that provides examples of in-home exercises, categorized by difficulty, that they can perform without any additional equipment.
Type 2 Diabetes Medication Breakdown, Kristen Keene
Type 2 Diabetes Medication Breakdown, Kristen Keene
Family Medicine Clerkship Student Projects
There are many new medications for treatment of type 2 diabetes and these medications have many positive effects that go beyond lowering blood glucose. However, many of these medications are expensive and some insurance plans don’t cover them. Many patients struggle to pay for their diabetes medications and providers often are unsure of which medications will be covered by insurance. This project was designed to enhance patient education regarding diabetes medications and potential costs associated.
Harm Reduction In The Emergency Department, Alexa J. Golden
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 …
Evaluating Knowledge And Educating Patients About Diabetic Retinopathy Screening In Washington County, Vt, Delaney Curran
Evaluating Knowledge And Educating Patients About Diabetic Retinopathy Screening In Washington County, Vt, Delaney Curran
Family Medicine Clerkship Student Projects
Diabetic retinopathy (DR) is a leading cause of blindness in adults. Early detection and subsequent treatment of DR has been shown to be effective at saving vision and medical costs. However, adherence to annual dilated eye exams is relatively poor among people with diabetes. This project in Waterbury, VT aimed to identify patients' potential knowledge gaps about the connection between diabetes and eye disease, educate patients about DR with a 2 min educational video in the primary care office, and then assess their level of interest in getting an eye exam after watching the video.
Oral Health Screening For At-Risk Adults, Karla I. Brandao
Oral Health Screening For At-Risk Adults, Karla I. Brandao
Family Medicine Clerkship Student Projects
Oral health screening and prevention is common during well-child checks. However, this screening in adults is not as consistent. In addition, oral health has been implicated in a variety of medical conditions, making it a very important factor in systemic disease. The goal of this project is to create an oral health screening tool which can be distributed to adults, especially adults who are at high risk due to diabetes, substance use disorder, pregnancy, etc. Those with positive screening should receive a handout with some resources and information.
Type 2 Diabetes Medication Breakdown, Kristen Keene
Type 2 Diabetes Medication Breakdown, Kristen Keene
Family Medicine Clerkship Student Projects
There are many new medications for treatment of type 2 diabetes and these medications have many positive effects that go beyond lowering blood glucose. However, many of these medications are expensive and some insurance plans don’t cover them. Many patients struggle to pay for their diabetes medications and providers often are unsure of which medications will be covered by insurance. This project was designed to enhance patient education regarding diabetes medications and potential costs associated.
Food Security During Remote Schooling, Julia Lane Clemens
Food Security During Remote Schooling, Julia Lane Clemens
Family Medicine Clerkship Student Projects
This project examined how remote schooling during the coronavirus pandemic affected patients' food security. Patients were surveyed about their access to food and how this had changed during the pandemic. Recommendations were made to the clinic following data collection.
Raising Awareness About The Vermont Donor Milk Center, Rosie Friedman, Emi Eakin
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.
Adverse Childhood Experiences: Raising Awareness & Creating Easier Access To Resources, Christina Sanchez-Grew
Adverse Childhood Experiences: Raising Awareness & Creating Easier Access To Resources, Christina Sanchez-Grew
Family Medicine Clerkship Student Projects
Adverse Childhood Experiences (ACEs) such as abuse, neglect, and witnessing household dysfunction are common throughout the United States and are occurring in our own communities. ACEs impose immediate health risks to children but also are associated with poor health outcomes in adulthood including higher rates of cancer, heart disease, chronic lung disease, obesity, depression and substance use. The goal of this project was to contribute to prevention strategies for ACEs. This was accomplished by using flyers to raise awareness and educate the community on the prevalence and outcomes of ACEs, and by using QR codes to make parenting resources easily …
Pilot Study: Healthcare Cannabis Assessment, Nicole Wershoven
Pilot Study: Healthcare Cannabis Assessment, Nicole Wershoven
Family Medicine Clerkship Student Projects
Due to state legalization and increased access to cannabis, there is increasing use of cannabis in Vermont and nationwide. Cannabis is used medically for certain qualifying conditions in Vermont in addition to recreationally. In a recent study they found 45% of adult primary care patients in Vermont had used cannabis in the last year and only 18% of patients reported their clinician as being a good source of information regarding cannabis. Educating clinicians about cannabis is critical for quality comprehensive patient care. The objective of this project was the development of a short survey to deploy to primary care clinicians …
Promoting Weight-Loss Via Smartphone Health Applications (Myfitnesspal), Michael S. Barnum
Promoting Weight-Loss Via Smartphone Health Applications (Myfitnesspal), Michael S. Barnum
Family Medicine Clerkship Student Projects
Obesity has become a public health crisis in the United States. 68% of men and 64% of women in the United States are considered overweight or obese. Obesity is being addressed through a variety of strategies, the use of mobile apps is a relatively new development that could prove useful in helping people to develop healthy dietary habits. Tracking the consumption of certain foods and drinks may potentially help individuals achieve an improved understanding of their dietary patterns. The goal of this project was to develop and provide educational materials on the use of MyFitnessPal to patients seeking dietary advice.
Resource To Address Pandemic-Related Anxiety And Depression For Pregnant Patients In Vermont, Mohammed Wali
Resource To Address Pandemic-Related Anxiety And Depression For Pregnant Patients In Vermont, Mohammed Wali
Family Medicine Clerkship Student Projects
The 2019 novel coronavirus (COVID-19) has led to patient deaths, strained health care systems, and economic uncertainty. Distress during pregnancy can lead to adverse outcomes for both parent and baby. A patient-friendly handout was created for pregnant patients to offer reassurance, incorporate mind-body recommendations to address stress, and offer screening tools to empower them to address mood concerns with their obstetric providers in the COVID-era.
Increasing Public Perceptions Of Stroke, Juan A. Conde, Juan Conde Fabela
Increasing Public Perceptions Of Stroke, Juan A. Conde, Juan Conde Fabela
Family Medicine Clerkship Student Projects
Analysis of publicly available data for the selected county of Rutland Vermont was performed to understand the underlying health problems affecting the county. Although VT overall has better health status indicators, including better access to care, and lower rates of chronic diseases than the nation, pockets of the state have higher rates of chronic diseases including obesity, DM, and cerebrovascular accidents.
Increasing awareness of stroke risk factors and symptoms is a cost-effective method to reduced stroke burden and provide successful treatment.
A Motivational Interviewing Approach Toward Mask Wearing In Franklin County, Vermont, Ashleigh N. Peterson
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.
The Primary Care Shortage In Vermont And Medical Student Interest In Primary Care, Kenneth Michael Palanza
The Primary Care Shortage In Vermont And Medical Student Interest In Primary Care, Kenneth Michael Palanza
Family Medicine Clerkship Student Projects
The state of Vermont is currently faced with a primary care workforce shortage. There are currently not enough primary care physicians to meet the states needs and the problem is expected to get worse. The primary care physician workforce is aging, there is an inability to recruit primary care providers to Vermont, and there is stagnant interest of medical students in fundamental primary care fields such as family medicine. The aim of this project is to examine the barriers medical students identify that decreases their interest in pursuing a career in primary care, specifically family medicine, and how systematic changes …
Improving Hpv Vaccination Rates, Emily Eichner
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.
A Health Resource List For Transgender Patients In Vermont, Kathryn Kurchena
A Health Resource List For Transgender Patients In Vermont, Kathryn Kurchena
Family Medicine Clerkship Student Projects
Transgender folks encounter barriers to accessing healthcare for a multitude of reasons. Recent surveys have found that 28% of the transgender people delayed care due to past discrimination within healthcare. In an effort to improve upon this issue in the Burlington area, a list of affirming and effective healthcare resources, services, and providers was created to be distributed at the Community Health Centers of Burlington.
The Primary Care Shortage In Vermont And Medical Student Interest In Primary Care, Kenneth Michael Palanza
The Primary Care Shortage In Vermont And Medical Student Interest In Primary Care, Kenneth Michael Palanza
Family Medicine Clerkship Student Projects
The state of Vermont is currently faced with a primary care workforce shortage. There are currently not enough primary care physicians to meet Vermont's needs and the problem is expected to get worse. The primary care physician workforce is aging, there is an inability to recruit primary care providers to Vermont, and there is stagnant interest of medical students in fundamental primary care fields such as family medicine. The aim of this project is to examine the barriers medical students identify that decreases their interest in pursuing a career in primary care, specifically family medicine, and how systematic changes can …
The "Best Snacks Ever" Series, Catherine M. Westbom
The "Best Snacks Ever" Series, Catherine M. Westbom
Family Medicine Clerkship Student Projects
Vermont rates of obesity jump from 15.1% 10-17 year-old children to 27.5% in adults. In addition, studies show that keeping weight off is incredibly difficult with low success rates. Of the many factors that contribute to obesity, nutrition is among those that can be altered with great results. Taken in combination, this information speaks to the great change that can be made in targeting healthy eating habits in the youth population prior to the jump in obesity rates. This project aims to provide education to the child population in Montpelier, Vermont through the local Step 2 after-school program. A class …