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Articles 181 - 201 of 201
Full-Text Articles in Medicine and Health Sciences
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 …
Assessing Telehealth As A Mode Of Healthcare Delivery, Ambrose Orr, Adrian Berg
Assessing Telehealth As A Mode Of Healthcare Delivery, Ambrose Orr, Adrian Berg
Family Medicine Clerkship Student Projects
With the rise of the COVID-19 Pandemic many healthcare providers are emphasizing video messaging software to maintain ongoing patient care while respecting health guidelines that recommend social distancing and isolation measures. It is a known issue that while some patients may face barriers to healthcare in the form of transportation and timing of appointments, others might encounter barriers in the form of lack of internet access. This project seeks to identify the level of patient access to this model of healthcare and assess overall satisfaction and patient attitudes towards this adaptation.
Addressing Common Concerns About Hpv Vaccination, Gia R. Eapen
Addressing Common Concerns About Hpv Vaccination, Gia R. Eapen
Family Medicine Clerkship Student Projects
The HPV vaccine is the only vaccine that can prevent the formation of cancer, and yet it is sometimes refused by parents due to misconceptions and misinformation. This project addresses some of the common barriers to HPV vaccination and provides information about why the HPV vaccination is an essential part of adolescent preventative medicine.
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.
Connecticut Anemia Screening Guidelines, Amelia Anderson
Connecticut Anemia Screening Guidelines, Amelia Anderson
Family Medicine Clerkship Student Projects
This handout serves to educate clinicians and other providers as to when anemia screening should be done. It contains a summary of the recommendations made by several national organizations as well as Connecticut-specific requirements.
Increasing Awareness Of Added Sugar In The Outpatient Setting, Lauren Bougioukas
Increasing Awareness Of Added Sugar In The Outpatient Setting, Lauren Bougioukas
Family Medicine Clerkship Student Projects
An estimated 80% of Americans consume more than the recommended daily amount of added sugar. Added sugar consumption significantly increases risk for cardiovascular disease mortality, and is associated with body weight, type 2 diabetes, and metabolic syndrome. In the United States, added sugar consumption contributes to public health costs related to cardiovascular disease ($555 billion spent in 2016) and diabetes ($245 billion spent in 2012). Particularly in New York, nearly 40% of all New York deaths in 2014 could be attributed to cardiovascular disease and 10.5% of New York adults had diabetes in 2017. In addition to added sugar overconsumption, …
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 …
Conversations About Safe Firearm Storage With Patients: Why And How, Rose Martin
Conversations About Safe Firearm Storage With Patients: Why And How, Rose Martin
Family Medicine Clerkship Student Projects
This project outlines the need for firearm safe storage counseling in the medical encounter and provides some evidence-based suggestions regarding how to approach conversations about safe firearm storage with patients.
Hhhn Clinicians' Beliefs, Barriers, And Motivations Surrounding Mat, Casandra Nowicki
Hhhn Clinicians' Beliefs, Barriers, And Motivations Surrounding Mat, Casandra Nowicki
Family Medicine Clerkship Student Projects
Medication-assisted treatment (MAT) consists of using medications that act on the same receptors as opioids to treat opioid use disorder (OUD). MAT providers require formal training and a DEA waiver in order to prescribe certain medications. Providers were asked to complete a survey about the beliefs, barriers, and motivations surrounding MAT to provide valuable insight into what the future of MAT might look like at a specific nonprofit network of community health centers in upstate New York.
The Use Of Mindful Breathing As Part Of The Healthcare Intake Process, Deena Chanowitz, Lauren Struck
The Use Of Mindful Breathing As Part Of The Healthcare Intake Process, Deena Chanowitz, Lauren Struck
Family Medicine Clerkship Student Projects
Most Americans visit the doctor’s office for an acute or chronic condition or for preventative care. No matter what the reason, a visit to the doctor’s office can be stressful for a patient. Our study was designed to determine whether a patient’s experience of the visit can be improved using a mindful breathing exercise. We developed a system for teaching a two minute breathing exercise, with a brief questionnaire to evaluate how the patient feels before and after the intervention. We presented our study design to practitioners in primary care offices in VT and CT who were receptive to the …
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.
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
No abstract provided.
Improving Community Understanding Of Lyme Disease Prevention And Treatment In The Age Of Misinformation In Digital Media, Olivia E. Quatela, Samuel Raszka
Improving Community Understanding Of Lyme Disease Prevention And Treatment In The Age Of Misinformation In Digital Media, Olivia E. Quatela, Samuel Raszka
Family Medicine Clerkship Student Projects
Approximately 30,000 cases of Lyme disease are reported to the CDC annually, but the CDC estimates that 300,000 individuals in the US become infected. The average cost of Lyme disease is $3,000 per patient over the course of the disease costing the US healthcare system approximately $1 billion per year ($712m – $1.3b). An additional $1 billion is spent annually on treating post-treatment Lyme disease syndrome. Despite the prevalence of Lyme disease and the availability of credible patient education materials, misconceptions and knowledge gaps are still evident among community members, media sources, and some providers. There is a need for …
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.
Maintaining Oral Health In The Era Of Covid-19, Kelly Macpherson, Sameer Alidina
Maintaining Oral Health In The Era Of Covid-19, Kelly Macpherson, Sameer Alidina
Family Medicine Clerkship Student Projects
Access to oral healthcare can be challenging for many patients and limited accessibility has been further amplified during the COVID-19 pandemic. Poor oral health is linked to several health complications and insurance coverage for dental care can be restrictive or nonexistent. Recent surveys show that many Vermonters of low-income status feel that their oral health is in poor condition. This project aims to review current barriers to maintaining oral health and propose potential solutions for patients during the COVID-19 pandemic at Milton Family Practice. Two handouts for patients were created, as well as one handout and a smartphrase within the …
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.