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Articles 31 - 60 of 130
Full-Text Articles in Medicine and Health Sciences
Frequently Asked Questions By Patients About Exercise, Julie Evans
Frequently Asked Questions By Patients About Exercise, Julie Evans
Family Medicine Clerkship Student Projects
A significant portion of patient visits at Milton Family Practice are related to one or multiple aspects of metabolic syndrome. Exercise is a common topic during these visits either brought up by patients or providers. This project focused on creating a handout for patient education with answers to commonly asked questions pertaining to exercise and resources in the community.
Primary Cardiovascular Disease Prevention, Kaileen Cruden
Primary Cardiovascular Disease Prevention, Kaileen Cruden
Family Medicine Clerkship Student Projects
Cardiovascular Disease is the leading cause of death in the United States, causing about 1 in 4 deaths. Cardiac rehabilitation is often only suggested to patients AFTER a hospitalization for serious heart conditions such as heart attack or heart failure. Data demonstrates the decrease of a secondary cardiac event for individuals who were enrolled in cardiac rehab as well as an improvement in cardiac risk factors including: decrease in lipid levels and insulin resistance with increased smoking cessation and exercise tolerance. Levels of depression and anxiety also improved in this population. This leads us to ask: How can we take …
Opportunities For Patient Self-Reflection During Acute Phase Of Depression Treatment, Millen Abselab
Opportunities For Patient Self-Reflection During Acute Phase Of Depression Treatment, Millen Abselab
Family Medicine Clerkship Student Projects
This project for UVMMC Family Medicine at Hinesburg investigates the acute phase of depression treatment for adult patients and introduces opportunities for patient empowerment during this 4-to-6-week window through de-identified automated text surveys for self-reflection about treatment and pattern tracking contributory to mood. Sample text survey built on Beck Depression Inventory (BDI-II) and deployment of text surveys is based on Mosio. Future interventions can utilize mobile phone apps based on patient response to surveys.
Dashing Into A Healthier Life, Megan N. Eubank
Dashing Into A Healthier Life, Megan N. Eubank
Family Medicine Clerkship Student Projects
Almost half of all US adults have hypertension (high blood pressure), which is a major risk factor for heart disease and stroke. Hypertension can be controlled through a combination of diet, exercise, and medications. The DASH diet has been proven to lower blood pressure in as little as two weeks. I created a brochure and Epic SmartPhrase that explains and simplifies the DASH diet for patients.
Remaining Active In Vermont Winters, Sarah Kendrick
Remaining Active In Vermont Winters, Sarah Kendrick
Family Medicine Clerkship Student Projects
This project explored the challenges of remaining active during Vermont winter for patients with chronic disease. It further complies resources in the community for maintaining activity levels over the winter months.
Community Resources Addressing Peripartum Depression, Tiffany L. Lao
Community Resources Addressing Peripartum Depression, Tiffany L. Lao
Family Medicine Clerkship Student Projects
Peripartum mood disorders affect a large proportion of new mothers as well as their families, partners, and support systems. This project aims to provide patients with information about peripartum mood disorders as part of their initial prenatal packet. Also included are a list of local community resources specifically addressing peripartum mood disorders for patients seeking additional support outside of their primary care office.
Attitudes Towards The Covid Vaccine, Micheal Mikheal
Attitudes Towards The Covid Vaccine, Micheal Mikheal
Family Medicine Clerkship Student Projects
This project was done to assess the attitudes towards COVID vaccination in Berlin, Vermont. A survey was utilized to inquire if participants have received or were willing to receive the COVID vaccine. It also gathered details regarding which sources participants received their information regarding the vaccine.
Emergency Medicine Super Utilizers And The Role Of Targeted Community Paramedicine, Nathan E. Dow
Emergency Medicine Super Utilizers And The Role Of Targeted Community Paramedicine, Nathan E. Dow
Family Medicine Clerkship Student Projects
Frequent emergency department (ED) users, colloquially known as “frequent fliers,” are a small population that account for a disproportionately large number of ED visits. Depending on the criteria used, ED super users may constitute as little as 1% of the individuals seen through the department, while accounting for up to 60% of the visit volume. There is an associated stress on the 911 system and a public health concern with burdening of already busy emergency departments. Unsurprisingly, ED super users have an associated financial cost. A 2015 Milwaukee area pilot program provided community outreach to only 39 of their well-known …
Kangaroo Care In The Community: Creating Antenatal Informational Resources For Providers And Expectant Parents, Emma Dunne
Family Medicine Clerkship Student Projects
Obstetric care providers at the Community Health Centers of Burlington create, implement, and coordinate resources to help support parents through pregnancy, delivery, and child rearing. The COVID-19 pandemic has altered the accessibility of existing resources, exacerbating the need for creative support of prenatal learning, breastfeeding, and postpartum socialization. Regular skin-to-skin contact between newborn infants and their parents is a low-cost, low-risk intervention with demonstrated benefits to breastfeeding, infant and parent physiology, emotional health, and bonding. This project aimed to establish antenatal informational resources for providers and expectant parents about the potential benefits of skin-to-skin care in the community setting.
How Prepped Are Our Providers?: Assessing Vermont Primary Care Providers’ Knowledge And Awareness Of Pre-Exposure Prophylaxis (Prep) Options For Hiv Prevention, Christopher Flynn
How Prepped Are Our Providers?: Assessing Vermont Primary Care Providers’ Knowledge And Awareness Of Pre-Exposure Prophylaxis (Prep) Options For Hiv Prevention, Christopher Flynn
Family Medicine Clerkship Student Projects
In recent years, a number of pre-exposure prophylaxis (PrEP) medications and dosing strategies have become available to patients to help prevent human immunodeficiency virus (HIV) infection. The primary objective of this research was to assess current PrEP awareness and prescribing practices of family medicine providers at the Hinesburg Family Medicine practice in Hinesburg, VT.
Dry Eye: Patient Education, Mark Oet
Dry Eye: Patient Education, Mark Oet
Family Medicine Clerkship Student Projects
Recent literature has shown increased incidence of dry eye and eye strain symptomatology during the COVID-19 pandemic, coinciding with an increase in screen time for almost all populations. This project aims to address this observation at a community level by creating a patient-friendly education pamphlet for Newtown Primary Care about dry eye and digital ocular strain based on American Academy of Ophthalmology guidelines.
Lifestyle Changes In Covid-19 Pandemic And Impact On Modifiable Stroke Risk Factors, Kelly J. Chan
Lifestyle Changes In Covid-19 Pandemic And Impact On Modifiable Stroke Risk Factors, Kelly J. Chan
Family Medicine Clerkship Student Projects
Stroke is one of the leading causes of mortality and disability in the USA. Underlying conditions such as hypertension, diabetes and cardiovascular disease predispose an individual to increased risk of stroke. In addition, the Covid-19 pandemic presents many challenges to these patients in terms of active health management and maintenance. A screening tool was developed to assess patient patterns of lifestyle behavioral changes measured by modifiable risk factors for stroke (medical condition management, diet, exercise, and smoking habits).
Resources For Staying Active During The Covid-19 Pandemic, Peter K. Twining
Resources For Staying Active During The Covid-19 Pandemic, Peter K. Twining
Family Medicine Clerkship Student Projects
During the COVID-19 pandemic, many patients find it difficult to stay active. Staying active when gyms are closed and school sports are cancelled can make staying active especially difficult. The purpose of this project was to compile a list of resources for patients to use to stay active and healthy at home during the pandemic.
Perceptions On Childhood Covid-19 Vaccination, Grant M. Schumaker
Perceptions On Childhood Covid-19 Vaccination, Grant M. Schumaker
Family Medicine Clerkship Student Projects
COVID-19 vaccination, especially, in children has been a point of both political and scientific contention since its inception. The purpose of this project was to qualitatively assess patients' perceptions on COVID-19 vaccination for children between the ages of 5-11 years old using survey data. Understanding our patient's perceptions on why they may or may not support vaccination may guide how we approach discussing the topic. A total of 17 responses were collected from patients between the ages of 18-80 years old, with >75% of patients found to be in support, already vaccinated, or had a vaccine appointment scheduled for their …
Diabetes Education And Exercise, Emily H. Oliver, Lauren Coritt
Diabetes Education And Exercise, Emily H. Oliver, Lauren Coritt
Family Medicine Clerkship Student Projects
This project seeks to explore the current local options and resources for community members receiving care at Brookfield Primary Care in Brookfield, Connecticut. Furthermore, this project provided a pamphlet to increase provider and patient awareness about free and low-cost resources within the local community to encourage diabetic patients to increase their activity level. Ideally, this project will also break down notions that 'vigorous' exercise is the only good way to exercise.
Covid-19 Vaccination Hesitancy Q&A From Ridgefield Primary Care, Raj Aurora, Ashwin Sooriyakumar
Covid-19 Vaccination Hesitancy Q&A From Ridgefield Primary Care, Raj Aurora, Ashwin Sooriyakumar
Family Medicine Clerkship Student Projects
No abstract provided.
Devoloping A Primary Care Screening Protocol For Post-Miscarriage Depression, Sean Muniz
Devoloping A Primary Care Screening Protocol For Post-Miscarriage Depression, Sean Muniz
Family Medicine Clerkship Student Projects
Spontaneous abortions occur in 20-33% of pregnancies, and 10-30% of these women have clinically significant depression. These women are often unscreened by either PCPs or OBs for depressive symptoms. We developed a screening protocol using the PHQ-2 to assess for depression in patients who have had a spontaneous abortion. The protocol utilizes a nursing care manager to follow up with patients who either were seen in the ED or self report spontaneous abortions to the PCP office. Follow up phone calls should be made within 2 weeks and at 6 weeks post spontaneous abortion, with offers for in-person follow-up given …
Non-Medical Cannabis Use Screening And Advising, William Dean Brown
Non-Medical Cannabis Use Screening And Advising, William Dean Brown
Family Medicine Clerkship Student Projects
No abstract provided.
Learning Empowerment & Advocacy Together: A School-Based Youth Empowerment Program, Sheridan Finnie
Learning Empowerment & Advocacy Together: A School-Based Youth Empowerment Program, Sheridan Finnie
Family Medicine Clerkship Student Projects
LEAT is a virtual skills building leadership group for female identifying high school age students grades 9-12. Program objectives are to empower youth to develop their sense of self esteem, identity and to develop leadership skills to be active leaders in their community. Due to the impact of COVID-19 on youth, opportunities to build community and engage in skill building activities are lacking and this group aims to fill that gap.
Family Medicine Community Project, Daniel Castro
Family Medicine Community Project, Daniel Castro
Family Medicine Clerkship Student Projects
The goal of this project is to improve diet and nutrition literacy in the community. Though Vermont ranks low in the US in terms of obesity, it is still estimated the 60% of Vermonters are either overweight or obese. This represents an area of need in terms of improving diet and nutrition education to combat obesity, the health issues it produces, and the subsequent strain on the medical system
Addressing Exercise And Physical Therapy In Older Patients In Colchester, Vt, Adam Morehead
Addressing Exercise And Physical Therapy In Older Patients In Colchester, Vt, Adam Morehead
Family Medicine Clerkship Student Projects
Participation in physical activities remains low among much of the older adult population, particularly during the winter months. Many individuals who are active during warmer times of the year become more sedentary during the winter, and this physical inactivity can contribute to declining health. This project sought to develop a simple brochure outlining several simple exercises that can be performed safely at home without equipment to be distributed to patients at wellness visits to encourage indoor exercise.
The State Of Sleep: What Keeps Vermont Up At Night?, Magalie Carey
The State Of Sleep: What Keeps Vermont Up At Night?, Magalie Carey
Family Medicine Clerkship Student Projects
No abstract provided.
Examining Provider Burden From The 21st Century Cures Act, Jordan Carver
Examining Provider Burden From The 21st Century Cures Act, Jordan Carver
Family Medicine Clerkship Student Projects
The 21st Century Cures Act enacted new protocols in Spring 2021 requiring all patient notes and reports to be made available electronically as soon as they are finalized. In order to study the initial impact of this change on physician burden, a survey was sent out to Burlington, VT providers to assess impacts to their workflow.
Medication-Assisted Withdrawal And Alcohol Use Disorder Treatment In The Ambulatory Setting, Jacob Okie Weiss, Javad Mashkuri Md, Marissa Patrick Aprn
Medication-Assisted Withdrawal And Alcohol Use Disorder Treatment In The Ambulatory Setting, Jacob Okie Weiss, Javad Mashkuri Md, Marissa Patrick Aprn
Family Medicine Clerkship Student Projects
Alcohol use disorder (AUD) represents a significant burden of disease in central Vermont, but receives little attention and resources compared to other drivers of morbidity and mortality. As part of a community health improvement project, primary care providers in central Vermont were surveyed regarding current practices and perceived barriers related to the effective treatment of AUD. 69% of respondents reported treating alcohol withdrawal syndrome (AWS) and 83% reported treating AUD. Respondents indicated concern about the safety and efficacy of the medications they currently prescribe and expressed interest in learning about other evidence-based treatments for AWS and AUD. The most frequently …
Improving Identification Of Ldct Lung Cancer Screening Eligible Patients, Mckenna L. Schimmel
Improving Identification Of Ldct Lung Cancer Screening Eligible Patients, Mckenna L. Schimmel
Family Medicine Clerkship Student Projects
USPSTF updated lung cancer screening guidelines this year to include all patients 50-80 years old who have 20+ pack years of smoking history and are active smokers or who have quit within the last 15 years. While providers and patients both support lung cancer screening efforts, only a small fraction of eligible patients end up getting screened annually. One way we can improve this metric is by making sure we are correctly identifying which patients meet screening criteria.
Community Health Interventions To Reduce The Burden Of Radon-Related Lung Cancer, Benjamin Weaver
Community Health Interventions To Reduce The Burden Of Radon-Related Lung Cancer, Benjamin Weaver
Family Medicine Clerkship Student Projects
Exposure to radon is the second leading cause of lung cancer in the United States. One in seven homes in Vermont has elevated levels of radon, but most patients are unaware of radon as a risk factor for lung cancer or that radon testing and mitigation services are available to them. To promote increased testing and mitigation of radon we screened patients presenting to a Family Medicine practice in Vermont about whether they had had these services done in their home. We also developed a patient education resource for providers to give to patients who had more questions about radon …
Setting Expectations For Mental Healthcare Referral, Emily Bennett
Setting Expectations For Mental Healthcare Referral, Emily Bennett
Family Medicine Clerkship Student Projects
Patients are referred to mental health care by their primary care providers, but there is often a misunderstanding of what that process looks like. This project aimed to understand the referral process and create improvements that will help patients stay engaged to improve their mental wellbeing.
Assessing Stroke Awareness, Preparedness, And Preferred Communication Modalities, Dana I. Allison
Assessing Stroke Awareness, Preparedness, And Preferred Communication Modalities, Dana I. Allison
Family Medicine Clerkship Student Projects
Stroke is currently the fifth leading cause of death and is recognized as one of the most expensive chronic diseases in the United States, generating 30 billion dollars annually in medical costs and lost earnings. In this exploratory research study, we examine patients’ knowledge of stroke features, associated risk factors to enhance communication, and educational practices of for primary care clinicians to enhance patient preparedness and stroke outcomes for patient populations with risk factors for stroke.
Promoting Measles Prevention And Awareness, Elizabeth P. Lanata
Promoting Measles Prevention And Awareness, Elizabeth P. Lanata
Family Medicine Clerkship Student Projects
No abstract provided.
Mental Health Technology During The Era Of Covid-19, Michael Tabet
Mental Health Technology During The Era Of Covid-19, Michael Tabet
Family Medicine Clerkship Student Projects
Mental health symptoms - especially those of depression and anxiety - have become more prevalent during the COVID pandemic. As seen in previous years, direct and indirect costs of depression can be staggering. Apps exist on smart devices that are based in evidence-based practices that can be therapeutic for mental health issues such as depression, anxiety, and insomnia. A simple handout with some suggested popular mental health apps and accompanying descriptions was created to be used in the CVPH Family Medicine clinic to increase awareness of these apps among patients suffering from depression, anxiety, and insomnia.