Primary Care Commons^™

Development Of Solitary Keratoacanthoma From A Cutaneous Wart, Joshua M. Ninan, Veronica Salazar

Research Symposium

Background: Common cutaneous warts, referred to in medicine as verrucae vulgaris, are proliferative lesions caused by human papillomavirus. These lesions are mostly benign and usually resolve without incident, except in the case of the patient mentioned in this report. Our patient developed a solitary keratoacanthoma, currently accepted as a clinical variant of squamous cell carcinoma, as a result of several risk factors and traumatic exposure. The current literature does not have an established association of HPV with solitary keratoacanthomas. This case report explores the presentation and pathogenesis of solitary keratoacanthomas within the setting of HPV.

Case Presentation: 48-year-old Caucasian female …

Cervical Cancer Screening In The Lgbtq+ Community: Dispelling Common Misconceptions And Improving Patient Comfort, Rebecca B. Rawlings

Family Medicine Clerkship Student Projects

LGBTQ+ patients are more likely to forgo cervical cancer screening due to common misconceptions/misguidance about who needs screening and increased likelihood to experience emotional and/or physical discomfort during screening visits. This project aims to educate LGBTQ+ patients on cervical cancer screening recommendations and provide them with tools to improve their experiences during screening visits.

Cervical Cancer Screening In The Lgbtq+ Community: Dispelling Common Misconceptions And Improving Patient Comfort, Rebecca B. Rawlings

Family Medicine Clerkship Student Projects

LGBTQ+ patients are more likely to forgo cervical cancer screening due to common misconceptions/misguidance about who needs screening and increased likelihood to experience emotional and/or physical discomfort during screening visits. This project aims to educate LGBTQ+ patients about cervical cancer screening and provide them with tools to improve their experiences during screening visits.

The Diagnostic Algorithm In Pre-Invasive Cervical Lesions, Mihai-George Loghin, Oana Denisa Balalau, Nicolae Bacalbasa, Adriana Vasilache, Octavian Gabriel Olaru, Andrei Vasilache, Anca Daniela Stanescu

Journal of Mind and Medical Sciences

The screening for pre-invasive cervical lesions has significantly decreased the incidence of cervical neoplasm. It is recommended to be performed starting with the age of 21 with a frequency of 3-5 years and it consists of pap smear testing and HPV genotyping, and, if required, it can be continued with colposcopy or biopsy followed by pathological assessment. The importance of the early diagnosis of pre-invasive cervical lesions has led to several studies on this topic. The paper analyzed the modern literature published on the PubMed and Scopus databases. Reference studies have found that most intraepithelial lesions are caused by the …

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.

Perceived Barriers And Trends In Hpv Vaccination Among Young Men In Newtown, Ct, Alexander D. Karabachev

Family Medicine Clerkship Student Projects

Human Papillomavirus (HPV) is the most prevalent sexually transmitted infection in the United States. Although the HPV vaccine has been proven to be effective and safe, the vaccination rates are significantly less compared to other vaccines. In males, HPV infection may lead to the development of numerous forms of cancer including oropharyngeal, anal and penile cancer, however, the HPV vaccination rate for males is significantly less than it is for females. This project aims to highlight various medical providers' opinions on the barriers to HPV vaccination for young men in Newtown, Connecticut, as well as, address methods for improvement including …

Initiating Hpv Co-Testing For Women Aged 30-65 In An Ob/Gyn Practice Setting, Stephen Cavazos

Doctor of Nursing Practice

The purpose of this project was to improve the rate of successful human papilloma virus (HPV) screening in a small Texas based Women's Health clinic through a co-testing method. The intended goal was to increase the rate of HPV screening, from a 73% baseline, to 95% over a 10-week period for women between the ages of 30-65 years old. Approximately 79 million American women are currently infected with HPV, and 14 million people contract it every year. Seventy percent of cervical cancers today are caused by HPV, leading to approximately 12,820 new diagnoses of invasive cervical cancer predicted for 2017, …

Pap Smear Compliance Study At Emmc, Bangor Maine, Do Gwak

Family Medicine Clerkship Student Projects

Many factors contribute to the accurate reporting of pap smear compliance in patients population. The factors identified during the study are system failure of EMR to track pap smear records and lack of communication among different clinics.

Increasing Patient Understanding & Provider Awareness Of Pap Smears, Stephanie Alexis Brooks

Family Medicine Clerkship Student Projects

Pap smear rates are lower than perceived by many primary care providers, and women refuse or miss pap smears for a variety of reasons. This project investigated both reasons for which women miss or refuse pap smears and ways in which physicians can increase pap smear rates, create a more positive environment during the pap smear experience, and more effectively communicate with patients about pap smears. Intervention consisted of an informational flyer about pap smears for female patients.

Hpv Vaccination: Educating And Empowering The Next Generation, Sruthi Sakamuri

Family Medicine Clerkship Student Projects

Vaccination against Human Papillomavirus (HPV) is able to protect against 70% of strains causing cervical cancer and and 90% of strains causing genital warts, yet vaccination rates for boys and girls are still well below average vaccination against many other preventable diseases. Experts agree that patient education and strong physician recommendation of HPV vaccination of pre-teens and teenagers is essential in improving vaccination rates in CT. The objective of this project was to assess and improve understanding of HPV, its implications, and vaccination in a high school population in Danbury, CT. The education session significantly improved students' understanding of HPV …

Hpv Vaccination In Vermont Males - Evaluation And Guidelines For Improvement, Carl A. Nunziato

Family Medicine Clerkship Student Projects

Despite approval from the FDA for use in males to prevent genital warts and oropharyngeal and anal carcinomas, HPV Vaccination in young males lags behind immunization rates for females. In order to improve vaccination rates at Stowe Family practice several "best practices" for improving HPV vaccination rates were researched and combined with a patient handout and flyer.

Increasing Awareness Of The Hpv Vaccine, Jonathan M. Hernandez

Family Medicine Clerkship Student Projects

Increasing the public awareness and knowledge of HPV complications and prevention through vaccination is an effective intervention to increase vaccination rates and reduce overall public health cost and burden.

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.