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Articles 1 - 30 of 74
Full-Text Articles in Primary Care
Bridging The Gap, Amy Wei-Hsin Yu
Bridging The Gap, Amy Wei-Hsin Yu
Family Medicine Clerkship Student Projects
Many elders must choose between paying bills, buying medication or buying food. Some elders are unaware that they qualify for food assistance, or would feel stigmatized using it. Only 1 in 3 eligible seniors (60+) participate in 3SquaresVT (SNAP), a federal nutrition program of the USDA administered by the Vermont Department for Children and Families. Over 14,000 (11%) of Vermont seniors face the threat of hunger and almost 7,000 (5%) are at-risk for hunger (food-insecure). Food insecurity can be screened for by using Hunger Free Vermont’s Two Question Screen.
Increasing Awareness Of Community Resources And Support For Individuals With Depression, Erin Mcelroy
Increasing Awareness Of Community Resources And Support For Individuals With Depression, Erin Mcelroy
Family Medicine Clerkship Student Projects
Depression is a common mental disorder characterized by loss of interest or pleasure, feelings of guilt or low-self worth, disturbed sleep or appetite, low energy, poor concentration, insomnia or hypersomnia, and occasionally suicidal thoughts. These problems can lead to substantial impairments in an individual's daily functioning. At its worst, depression can lead to suicide. In Vermont, suicide consistently ranks as one of the top 10 leading causes of death.
Increasing The Recognition Of Generalized Anxiety Disorder In Primary Care, Sarah Rosner
Increasing The Recognition Of Generalized Anxiety Disorder In Primary Care, Sarah Rosner
Family Medicine Clerkship Student Projects
National Comorbidity Survey has shown that anxiety disorders are the most frequent disorders in the population, with a lifetime prevalence of 28.8%, and a 5.7% lifetime prevalence of Generalized Anxiety Disorder (GAD) specifically. The presence of anxiety disorders contribute in an additive fashion to poor function, reduced quality of life, and more sick days from work. Despite being as common and impairing as depressive disorders, anxiety disorders have received much less attention in terms of the media, research, and public health efforts, and are often undetected and undertreated. Only a minority of patients with anxiety, 15-36%, are recognized in primary …
Radon: The New Carbon Monoxide, Katherine M. Evans
Radon: The New Carbon Monoxide, Katherine M. Evans
Family Medicine Clerkship Student Projects
Radon is derived from breakdown of uranium naturally found in the environment all across the globe. Some geographic locations have higher levels of radon than others. Like carbon monoxide, radon is colorless and odorless. It is the second leading cause of lung cancer in the United States. Human exposure happens primarily via buildings: 1 in 8 Vermont homes exceed the recommended level. In Brattleboro, 1 in 5 homes exceed the recommended level, but between January 1993 and January 2014, the Vermont Department of Health received only 329 home testing kits from Brattleboro.
Over The Counter Medication Education Approach, Gurpinder Gill, Ian Crane
Over The Counter Medication Education Approach, Gurpinder Gill, Ian Crane
Family Medicine Clerkship Student Projects
OTC meds are essential because they give the patient the ability to avoid an unnecessary visit to the doctor's office. They also allow the health care provider to better focus on those with more serious illnesses, and some patients do not have appropriate health care access and rely solely on non-prescription meds. However, patients who use OTC meds do have a tendency to underestimate the serious risks of these meds such as potential for abuse, toxicity, adverse effects, drug interactions, and the delay in seeking a physician's advice.
Education In Over The Counter Medications, For High School Freshmen, Ian Crane
Education In Over The Counter Medications, For High School Freshmen, Ian Crane
Family Medicine Clerkship Student Projects
Over the medications offer numerous benefits, allowing short term treatment of symptoms, and reducing unnecessary Doctor’s visits for things like viral illness. Yet these medications also have potential for misuse. Roughly 10% of Danbury High School students abused OTC medications in 2013.
Screening For Developmental Delays In Brandon Vt, Flang Nguyen
Screening For Developmental Delays In Brandon Vt, Flang Nguyen
Family Medicine Clerkship Student Projects
Brandon Medical Center (BMC) currently uses the developmental milestones screening tool built into their electronic medical record to look for developmental delays. Usage of the tool has been awkward, inconvenient, and unmanageable in the office setting. BMC, being the main health care provider for newborns, infants, and toddlers of Brandon, VT, is looking to improve their screening systems for developmental delays during well-child visits
Clearing The Air: What You Need To Know About Tobacco, Brenton Nash
Clearing The Air: What You Need To Know About Tobacco, Brenton Nash
Family Medicine Clerkship Student Projects
No abstract provided.
Obesity Intervention And Prevention, Bridget Ann Colgan
Obesity Intervention And Prevention, Bridget Ann Colgan
Family Medicine Clerkship Student Projects
Obesity is a prevalent health concern at Berlin Family Practice, with 41% of the patients seen in the past two years with a BMI greater than or equal to 30, many suffering from comorbid diseases of hypertension, diabetes, high cholesterol, and stroke. In an effort to assist patients in making lifestyle changes to improve nutrition, activity level, and weight loss, this project aims to incorporate the Vermont Department of Health's Weight and Health Profile into patient visits. Feedback from both practitioners and patients on how to improve and update this tool will be provided to Vermont Department of Health Physical …
Increasing Patient Knowledge Of Obstructive Sleep Apnea And Sleep Studies, Billy Tran
Increasing Patient Knowledge Of Obstructive Sleep Apnea And Sleep Studies, Billy Tran
Family Medicine Clerkship Student Projects
Sleep Apnea is a common and shockingly under-diagnosed disorder. OSA has various health consequences, including increased risk of cardiovascular disease and stroke. Many patients don't ask about OSA due to lack of awareness and an intimidation about the process of care for OSA. This project helps to increasing understanding of the sleep study and make OSA a more approachable disorder
Application Of One Key Question At Hinesburg Family Practice, Katherine Y. Wang
Application Of One Key Question At Hinesburg Family Practice, Katherine Y. Wang
Family Medicine Clerkship Student Projects
About one half of pregnancies in the United States are unintended (mistimed or unwanted). Only 54% of pregnancies in Vermont are planned and only 29% of women in Vermont have talked to a health care worker about healthy pregnancies prior to conception. Physicians are equipped to provide the necessary information to women about preconception care and contraception, but do not regularly have these conversations with the majority of their patients. One Key Question is an initiative developed by the Oregon Foundation for Reproductive Health that allows providers to screen women patients for their pregnancy intention in the next year and …
Barriers To Recovery For Buprenorphine Patients In Bangor, Maine, Erin L. Keller, John Mclaren
Barriers To Recovery For Buprenorphine Patients In Bangor, Maine, Erin L. Keller, John Mclaren
Family Medicine Clerkship Student Projects
Opiate addiction is a major public health problem in Maine. Addiction is a chronic disease with high relapse rates. A better understanding of the demographics and barriers to recovery in opiate addicted populations can help to improve the success of buprenorphine treatment programs.
Contraception Education In Brookfield, Ct, Kiyon Naser-Tavakolian
Contraception Education In Brookfield, Ct, Kiyon Naser-Tavakolian
Family Medicine Clerkship Student Projects
I decided to educate the population on contraceptives because Danbury, CT is a heavily populated area with a low socioeconomic status and from 2002-2014 Connecticut as a whole has had 46-52% of all pregnancies considered unplanned or unintended compared to the 51% nationally. Patient knowledge regarding contraceptives is not at the level one would expect. Targeting contraceptive education is an effective primary prevention strategy for unplanned or unintended pregnancies.
Assessing The Perceptions And Knowledge Of Breast Cancer And Mammography In The Refugee Population, Patrick Silveira
Assessing The Perceptions And Knowledge Of Breast Cancer And Mammography In The Refugee Population, Patrick Silveira
Family Medicine Clerkship Student Projects
No abstract provided.
Self-Reflection Book In K-3rd Grade After School Program, Rebekah Wieland
Self-Reflection Book In K-3rd Grade After School Program, Rebekah Wieland
Family Medicine Clerkship Student Projects
Anxiety (3%) and Depression (4%) are the third and fourth most prevalent parent reported mental health diagnosis among children 3-17 years old according to the 2007 National Survey of Children’s Health Study. Both depression and anxiety are increasing in prevalence over time in the United States. Dr. Melanie Lawrence of Newbury Health Clinic reports that a lot of her practice involves anxiety and depression management, especially in young children. The creation of a self-reflection book completed and kept by young children would be a good introduction to talking about stressors and coping strategies.
Assessing Barriers To Meeting Weight Gain Goals In Obese Pregnant Women, Margo Seybolt
Assessing Barriers To Meeting Weight Gain Goals In Obese Pregnant Women, Margo Seybolt
Family Medicine Clerkship Student Projects
Obesity is a known risk factor for complications during pregnancy and birth, as well as worse outcomes. This study looked at the health risks and outcomes of pregnancy in obese women (BMI>35) at the family medicine clinic in Bangor, ME as well as what interventions are being done know to encourage women to meet their weight gain goals. Interviews and literature searches were conducted to determine possible strategies to better get obese pregnant women to meet their weight gain goals.
Bridging The Gap Between The Primary Care Physician And Accessible Resources For Patients With Mental Health Needs, Tracey Dafonte
Bridging The Gap Between The Primary Care Physician And Accessible Resources For Patients With Mental Health Needs, Tracey Dafonte
Family Medicine Clerkship Student Projects
Mental illness and maintaining mental health is a significant problem in the world, the United States, and here in Vermont. The burden of mental illness can lead to disability, lost work productivity, and at its worst, suicide. Vermont ranks 14th in the United States for rates of death by suicide. Many people struggle every day with mental health needs from depression, anxiety disorders, ADHD, and more. The aim of this project was to create a mental health resource card that can be used in primary care offices to provide patients with information to get the help they need and attempt …
Community Perception Of Electronic Cigarettes And Their Role As Smoking Cessation Aids, Alejandro Velez
Community Perception Of Electronic Cigarettes And Their Role As Smoking Cessation Aids, Alejandro Velez
Family Medicine Clerkship Student Projects
The popularity of electronic cigarettes is increasing, yet the research is lagging behind. In an effort to better understand, and therefore better advice our patients, a small number of current daily cigarette smokers were surveyed on their understanding of electronic cigarettes and their usage. Two smoking cessation counselors were also interviewed to better contextualize the role of electronic cigarettes as possible smoking cessation aids. Finally, a review of the available research was done to produce a poster, and possibly a handout, in hopes to educate all patients (regardless of their current smoking habits) regarding electronic cigarettes.
An Introduction To Alcohol Use Disorder And Motivational Interviewing At Henry Abbott Technical High School In Danbury, Ct, Laura D. Leonard, Dylan C. Hershkowitz
An Introduction To Alcohol Use Disorder And Motivational Interviewing At Henry Abbott Technical High School In Danbury, Ct, Laura D. Leonard, Dylan C. Hershkowitz
Family Medicine Clerkship Student Projects
We presented to high school students interested in careers in health about alcohol use and motivational interviewing. We demonstrated effective motivational interviewing skills including asking open ended questions, using non-judgmental language and eliciting change talk from patients. Finally we facilitated breakout sessions which allowed students to practice identifying at risk behaviors and to practice motivational interviewing.
Influenza Vaccination In The Elderly, Ayse Nur Celebioglu
Influenza Vaccination In The Elderly, Ayse Nur Celebioglu
Family Medicine Clerkship Student Projects
Influenza is responsible for an estimated 300,000 hospitalizations and 23,000 deaths annually, the majority of which occur in elderly populations. Despite a physiologic vulnerability to this infection, every year millions of seniors do not receive the seasonal flu vaccine. This project set out to understand the myths surrounding influenza vaccinations in the elderly and to educate them on the different types of vaccines available.
Increasing The Use Of Dementia Screening In The Primary Care Setting, Syed S. Shehab
Increasing The Use Of Dementia Screening In The Primary Care Setting, Syed S. Shehab
Family Medicine Clerkship Student Projects
More than 5 million people have Alzheimer’s disease today and 450,000 people in the US die of Alzheimer’s every year. By 2050 the number of people living with Alzheimer’s could triple. 40% of patients living with Alzheimer's disease are undiagnosed. Early detection promotes better dementia care, lowers costs of care, and increases quality of life
Promoting Awareness Of Hepatitis C In Burlington, Vermont’S Homeless Population, Catherine M. Lapenta
Promoting Awareness Of Hepatitis C In Burlington, Vermont’S Homeless Population, Catherine M. Lapenta
Family Medicine Clerkship Student Projects
Chronic Hepatitis C infection is the leading cause of cirrhosis and liver cancer and the most common reason for liver transplantation in the United States. Most Hep C + patients are unaware that they are infected. Chronic HCV infection represents a huge public health and financial burden. While about 1% of the general U.S. population is HCV+, the prevalence is as high as 41.7% in some homeless populations in the U.S. Awareness of Hep C is low and Vermont’s homeless patients who are HCV+ are likely severely underdiagnosed and undertreated.
Hpv Education And Prevention Amongst Danbury High School Students, Elizabeth Cochrane
Hpv Education And Prevention Amongst Danbury High School Students, Elizabeth Cochrane
Family Medicine Clerkship Student Projects
Human Papillomavirus (HPV) is currently the most prevalent sexually transmitted infection in the United States with an estimated 79 million people infected. In the state of Connecticut, HPV vaccination is not required for entrance into the 9th grade and because of this, there is less awareness of the importance of HPV prevention and immunization among high school students. As of 2013, 37.7-49.9% of females ages 13-17 living in Connecticut completed the HPV vaccine regimen. My objective for this project was to promote awareness about HPV infection and HPV vaccination among high school students.
Lewiston Community Health Improvement Project, Bryce M. Bludevich
Lewiston Community Health Improvement Project, Bryce M. Bludevich
Family Medicine Clerkship Student Projects
Community Health improvement project about low back pain and alternative treatment options. Particularly focuses on different treatment options in Lewiston, ME.
Decreasing The Smoking Rate At Emmc Family Medicinecenter And Residency In Bangor, Me, Alex Coffman
Decreasing The Smoking Rate At Emmc Family Medicinecenter And Residency In Bangor, Me, Alex Coffman
Family Medicine Clerkship Student Projects
Maine's rate of adult current smoking is 20%, which is significantly higher than all other New England states (Connecticut 16%, New Hampshire 17%, Massachusetts 16%, Vermont 17%, and Rhode Island 17%). The national adult smoking rate in the US is 17.8%. An estimated 2,200 Maine adults die each year from their own smoking.
Development And Implementation Of A Suboxone Therapy Group, David Hermel
Development And Implementation Of A Suboxone Therapy Group, David Hermel
Family Medicine Clerkship Student Projects
Implementing effective opiate detoxification is critical to the health and well-being of the Lewiston-Auburn area, which has the highest rate of admissions for substance abuse (especially non-heroin opiates) and mental health conditions in Maine. The number of Maine residents seeking treatment for prescription drug abuse topped the nation at 368 admissions per 100,000 residents in 2008.
Burnout Prevention In Primary Care Providers, Dylan M. Devlin
Burnout Prevention In Primary Care Providers, Dylan M. Devlin
Family Medicine Clerkship Student Projects
Burnout is a pervasive problem in primary healthcare. Mindfulness training has been shown in decrease symptoms associated with burnout and improve overall patient care. This project attempts to evaluate the rates of both burnout and mindfulness in healthcare workers within Rutland County, Vermont. A survey was distributed to both administrative and primary healthcare workers within the Community Health Centers of the Rutland Region system to determine if employees suffer from symptoms of burnout as well as their willingness to participate in mindfulness training.
Creating An Effective Education Pamphlet On Sun Protection And Skin Cancer Prevention, Alexandra E. Brown
Creating An Effective Education Pamphlet On Sun Protection And Skin Cancer Prevention, Alexandra E. Brown
Family Medicine Clerkship Student Projects
Melanoma and other skin cancers are increasing in incidence in the United States. In Connecticut, the melanoma rate is higher than the national average. The public health cost of skin cancer treatment ranges from $2-$8 billion annually. The costs to the individual are also high and the diagnosis of an advanced stage cancer is always emotionally challenging for a patient and his/her family. Efforts should be aimed at primary and secondary prevention of skin cancer, and patient education is an important element of this goal. The creation and use of patient education pamphlets can help to increase patient awareness of …
Preventing Lyme Disease In Windsor County, Vt, J P
Preventing Lyme Disease In Windsor County, Vt, J P
Family Medicine Clerkship Student Projects
Lyme disease is a bacterial infection caused by Borrelia burgdorferi and is transmitted primarily by deer ticks (Ixodes scapularis). A deer tick must be attached for at least 36 hours for transmission to occur. It can be prevented by preventing tick bites, removing ticks early, and providing post-bite prophylaxis when appropriate. Lyme disease has been on the rise in Vermont since 2005. The Vermont Department of Health (VDH) has launched its “Be Tick Smart” Lyme disease prevention campaign, promoting tick-bite reduction through its slogan, “Repel, Inspect, Remove.” This project extended the campaign to school children in Windsor County, Vermont.
Allergic Rhinitis: Treatment Of A Seasonal Problem, John Whittier
Allergic Rhinitis: Treatment Of A Seasonal Problem, John Whittier
Family Medicine Clerkship Student Projects
Allergic rhinitis affects up to 30% of the population yet there is evidence that it is under treated and misdiagnosed. Allergy symptoms closely mimic other common illnesses and most medication used to treat seasonal allergies is now available over the counter. This shift in therapy means that patients are now self-medicating with little knowledge of what they are actually treating. Therefore this project aims to clear common misconceptions that prevail in the general population of Vermont as well as provide some guidance on the types of medications used to treat seasonal allergies.