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Articles 1 - 29 of 29
Full-Text Articles in Primary Care
Knowledge And Misconceptions Among Lebanese Community On Immunizations, Hala Ahmadieh, Tala Safa, Ihab Nahle, Yahya Obeid, Dalal Hariri, Etaf Rawass, Tala Kanaan, Ahmad Sabalbal
Knowledge And Misconceptions Among Lebanese Community On Immunizations, Hala Ahmadieh, Tala Safa, Ihab Nahle, Yahya Obeid, Dalal Hariri, Etaf Rawass, Tala Kanaan, Ahmad Sabalbal
BAU Journal - Health and Wellbeing
Two centuries ago, immunization practices have become the greatest land mark in medical history as they significantly contributed to a decline in several major infectious diseases worldwide thus decreasing both the mortality and morbidity. Moreover, they have been able to eradicate small pox and eliminate poliomyelitis in most regions of the world. However, in recent years the general opinion towards vaccination began shifting due to the emergence of certain opposing views to it, questioning the vaccine's safety and efficacy. This study aims to shed light on the vaccination status in Lebanon by assessing the knowledge, attitude, awareness, and misconceptions among …
Improving Healthcare For Coptic Egyptian Migrants, Lorena Ayoub
Improving Healthcare For Coptic Egyptian Migrants, Lorena Ayoub
Family Medicine Clerkship Student Projects
There is very little known about Coptic Egyptian migrant health in the current literature. Exploring health beliefs and behaviors in regard to seeking medical care is important. Additionally, understanding how the Coptic church plays a role in healthcare is essential as many Coptic individuals believe spirituality influences physical health.
Increasing Patient Education On Proper Antibiotic Stewardship, Arif S. Ahsan
Increasing Patient Education On Proper Antibiotic Stewardship, Arif S. Ahsan
Family Medicine Clerkship Student Projects
Antibiotic resistance is a growing public health issue in the United States. Coinciding with this, patients often inappropriately self-treat infections using antibiotics. Locally, this causes complications in treating patients in an outpatient setting, and nationally, this causes an increased economic burden on the United States healthcare system. A handout was developed for distribution at pharmacies in order to better educate patients on proper antibiotic stewardship, based on information that providers believed to be most important for patients to know.
Tackling Access To A Healthier Life, Edom Alemayehu Girma
Tackling Access To A Healthier Life, Edom Alemayehu Girma
Family Medicine Clerkship Student Projects
Obesity is a known risk factor for complications during childhood and later in adult life. While numerous factors play a role in the prevalence of obesity, this project focused on better intervention for obesity management in the family medicine clinic located in Plattsburgh, NY. Interviews and literature searches were conducted to determine possible strategies to better assist patients in attaining their sustainable weight loss goals and an overall healthier lifestyle.
Healthcare Altruism And Dysconscious Healthism In The Delivery Of Integrated Healthcare Services To Individuals Who Are Deaf, Hard Of Hearing, And Deafblind, Jaime A.B. Wilson, Michael John Gournaris
Healthcare Altruism And Dysconscious Healthism In The Delivery Of Integrated Healthcare Services To Individuals Who Are Deaf, Hard Of Hearing, And Deafblind, Jaime A.B. Wilson, Michael John Gournaris
JADARA
Healthcare altruism and dysconscious healthism are terms proposed to recognize the barriers to healthcare access faced by not only individuals with hearing loss but also all minority populations. The implications of an integrated healthcare model to provide services to individuals who are d/Deaf, hard of hearing, or DeafBlind (D/HH/DB) are explored. Unique insights are then offered regarding existing barriers to healthcare access and the next steps.
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.
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 …
Words Without Weight, Lucy Merriam
Words Without Weight, Lucy Merriam
Family Medicine Clerkship Student Projects
BMI and weight loss are frequently recommended to patients but how weight is talked about with patients can have a negative effect on how they look at their bodies and health. The purpose of this project was to describe ways to discuss health with patients in a body positive way.
Helping Schools Support Transgender And Non-Binary Students, Nina Feinberg, Naomi Koliba
Helping Schools Support Transgender And Non-Binary Students, Nina Feinberg, Naomi Koliba
Family Medicine Clerkship Student Projects
According to the 2019 Youth Risk Behavior Survey, LGBT middle and high school students are twice as likely to be bullied and are five times more likely to attempt suicide.
Coping with a stressful environment at school puts LGBT youth at risk of detriment to mental health, educational inequities, and even physical harm.
Adults at school who have relationships with youth are in a position of power to uplift and advocate for LGBT youth, and to educate those around them to create a safe environment for everyone to learn.
While teachers and other staff may offer students support, they may …
Addressing Exercise Accessibility In Winter Conditions In Milton, Vermont, Liam Du Preez
Addressing Exercise Accessibility In Winter Conditions In Milton, Vermont, Liam Du Preez
Family Medicine Clerkship Student Projects
Exercise is a critical aspect of health maintenance, especially in the context of chronic medical problems such as diabetes, heart disease, and obesity. Weather and climate conditions in Vermont directly impact Vermonters' ability to exercise, and this results in negative impacts in their health maintenance and healthcare costs nationally and locally. This project explores the direct and indirect impact of decreased exercise and explore a modality for informing patients on how to stay active safely in the winter.
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.
Promoting Physical Activity In School-Aged Children During The Covid-19 Pandemic, Abigail H. Belser
Promoting Physical Activity In School-Aged Children During The Covid-19 Pandemic, Abigail H. Belser
Family Medicine Clerkship Student Projects
Due to the COVID-19 pandemic, children and adolescents are engaging in less physical activity and are increasing their sedentary behavior. These changes can lead to long-lasting negative lifestyle behaviors, which increases risk of health complications.
To ensure safety during the pandemic, guidelines have created restrictions on physical education and sports, which are both primary physical activity outlets for children and adolescents. Children and adolescents have to find alternate ways and resources to meet the recommended 60 minutes of physical activity daily.
An informational pamphlet was created to educate parents and children of current physical activity recommendations, with resources and ideas …
Physician Gender Impact On Obesity Care In The Academic Ambulatory Setting, Peggy R. Cyr Md, Christina Holt Md, Msc, Amy Haskins Phd, Karyn King Md, Robert Post Md, Derjung M. Tarn, Arch Mainous Phd
Physician Gender Impact On Obesity Care In The Academic Ambulatory Setting, Peggy R. Cyr Md, Christina Holt Md, Msc, Amy Haskins Phd, Karyn King Md, Robert Post Md, Derjung M. Tarn, Arch Mainous Phd
Journal of Maine Medical Center
BACKGROUND & OBJECTIVE: The purpose of this study was to assess a nationally representative sample of academic family physicians to determine whether personal physician characteristics are associated with attitudes towards and care of overweight and/or obese patients.
METHODS: Questions pertaining to physician’s interactions with overweight and obese patients was administered as the 2012 Council of Academic Family Medicine Educational Research Alliance (CERA) survey to academic family physicians. We analyzed self-reported demographic responses physicians gave with the main outcome the association between self-reported likelihood of engaging in weight loss discussions with overweight or obese patients and physicians’ personal characteristics …
Nutrition Education For The Underserved Youth Within The Greater Twin Cities Area Through The Insports Foundation, Paige D. Deters, Allison Kaper, Maura Romanshek
Nutrition Education For The Underserved Youth Within The Greater Twin Cities Area Through The Insports Foundation, Paige D. Deters, Allison Kaper, Maura Romanshek
All Electronic Theses and Dissertations
It has been examined that poor access to nutritious foods and limited opportunities for physical activity is prevalent among children from underserved families. These deficiencies contribute to increasing childhood obesity rates and emphasize the need for early interventions. Establishing nutritional literacy and understanding the importance of an active lifestyle in early childhood can lead to long-term health benefits and reduction in chronic disease later in life (HHS & USDA, 2015; Tsai et al., 2011; Wang et al., 2011). The InSports Foundation serves as a comprehensive non-profit organization that addresses many of these issues by providing children from underserved families with …
Patient Guide To Access Quality Health Information Online, Danielle Wall
Patient Guide To Access Quality Health Information Online, Danielle Wall
Family Medicine Clerkship Student Projects
A large percentage of patients use online search engines to access health information. However, there is a large amount of health information online that is unregulated and not evidence-based. As a result patients may acquire health information that is incorrect which may negatively affect patient-provider relationships and patient's healthcare. A brochure was created to highlight safe practices for accessing health information online.
Promoting Lgbtq+ Inclusivity In Sex Education, Alexis Dela Cruz
Promoting Lgbtq+ Inclusivity In Sex Education, Alexis Dela Cruz
Family Medicine Clerkship Student Projects
LGBTQ youths report less satisfaction with their sex education curriculum than their heterosexual counterparts. The discrepancy between heterosexual sex education and that of LGBTQ is alarming. Currently, as it is reported within the Unites States, students feel as though LGBTQ sex education and resources are not readily available. A brief handout of LGBTQ inclusive practices was created for educators to reference when creating future lesson plans. The aim of this presentation was to create a more open and inclusive dialogue surrounding LGBTQ+ health.
Rates Of Developmental And Behavioral Screening Of Young Children: Implications For Health Care Policy And Practice, Shirley Berger
Rates Of Developmental And Behavioral Screening Of Young Children: Implications For Health Care Policy And Practice, Shirley Berger
Dissertations and Theses
Background: The skills and capacities developed during early childhood are the foundation for a child’s future academic functioning, economic productivity, and lifelong health and mental health. When young children have developmental delays or disabilities, early identification and intervention lead to better outcomes; however, only a minority are identified before school entry. Primary care is an important setting for identification of developmental and behavioral conditions as most young children attend well-child visits regularly and parents expect developmental guidance from pediatricians. Two key pediatric preventive services are recommended: developmental monitoring/surveillance at every well-child visit and developmental screening at 9 months, 18 months, …
Domestic Health Assessment For Syrian Refugees In Rutland, Vt, Ian Grant
Domestic Health Assessment For Syrian Refugees In Rutland, Vt, Ian Grant
Family Medicine Clerkship Student Projects
The Vermont Dept. of Health/Agency of Human Services “Refugee Domestic Health Assessment Form” was reviewed, edited, and reformatted to improve provider work-flow, ensure accuracy, and ease the process of data collection. This form was redesigned specifically to be used by providers in Rutland, VT when assessing the health of newly-arrived Syrian refugees.
Talking To Your Teens About Pregnancy, Sergio Andres Munoz
Talking To Your Teens About Pregnancy, Sergio Andres Munoz
Family Medicine Clerkship Student Projects
Teen parents are at risk for a variety of adverse life outcomes. The rate of low birth weight and premature delivery is higher among teen mothers than the average population. Teen pregnancy and birth are major contributors to lower educational achievement and income as they are less likely to graduate High school and college, leading to increased rates of poverty among teen mothers. This project aims to educate parents of at risk teens on how to approach the topic with their kids and to provide them with a list of online sources to aid in the process.
Evaluation Of Geo-Social Networking Application Use Among Young Adults, Caleb Seufert
Evaluation Of Geo-Social Networking Application Use Among Young Adults, Caleb Seufert
Family Medicine Clerkship Student Projects
Background: Since 2009 geosocial networking applications (GNAs) have rapidly emerged as a new technological platform for users to communicate, date, and meet for sex. Popular GNAs include Tinder, Grindr, Bumble, Plenty of Fish, and many more. GNA’s are unique to traditional dating websites in that they allow users to connect with each other based on geographic proximity of their mobile phones. Given the pervasiveness of technology usage among young adults, it is important to understand the potential risks and benefits that GNA-facilitated communication poses on sexual health, emotional well-being, and safety. Popular GNA’s, like Tinder, estimate the majority of …
A Confidential Sms Texting Service For Lgbtq Youth Sexual And Reproductive Health, Matthew A. Shear
A Confidential Sms Texting Service For Lgbtq Youth Sexual And Reproductive Health, Matthew A. Shear
Family Medicine Clerkship Student Projects
Compared to heterosexual youth, lesbian, gay, bisexual, and transgender youth are at higher risk for depression, tobacco, alcohol and other drug use, suicide, and unhealthy sexual behaviors. The #1 priority set by Vermont's LGBTQ youth was access to queer-inclusive sex education during middle and high school. In collaboration with OutrightVT, an LGBTQ youth service organization based in Burlington, we worked to expand access to a 24 hour text-messaging based reproductive health hotline 724-888-7277 (SASS).
The number and frequency of text messages submitted to the hotline pre- and post-intervention were used measure the increase in access/awareness.
Improving Community Health With Affordable Internet Access, Joshua Jeremy Pothen
Improving Community Health With Affordable Internet Access, Joshua Jeremy Pothen
Family Medicine Clerkship Student Projects
Internet access is associated with increases in health information seeking and benefits in health statuses. However, many individuals of low socioeconomic status (SES) lack Internet access, thereby creating significant disadvantages from a health perspective. In this project, we describe a potential project for providing affordable Internet access to a neighborhood of Newport, VT containing many SES individuals. This network includes a splash page that provides regular health event promotion and health information dissemination to everyone connecting the network. We then discuss how to determine the impacts of the Internet on multiple aspects of health within the community.
Lgbtq+ Health: Creating A Welcoming Environment In The Primary Care Office, Emily Forbes-Mobus
Lgbtq+ Health: Creating A Welcoming Environment In The Primary Care Office, Emily Forbes-Mobus
Family Medicine Clerkship Student Projects
LGBTQ+ patients are at increased risk for discrimination and poor health outcomes. Many LGBTQ+ individuals report discrimination by health care workers, including being denied needed care. Culturally competent care improves overall health outcomes. Creating a welcoming clinical environment is an important component of culturally competent care.
Tackling Obesity In Rural Vermont, Abishag Suresh
Tackling Obesity In Rural Vermont, Abishag Suresh
Family Medicine Clerkship Student Projects
Obesity is a growing epidemic across the United States. It affects rural areas such as those in Vermont deeply. An intervention addressing this problem using a health and exercise brochure was undertaken. Future direction will need to fully address the effectiveness of this intervention and take on other goals.
The Affordable Care Act Dependent Health Insurance Mandate's Effect On The Life Satisfaction Of Young Adults, Kirti Chakote
The Affordable Care Act Dependent Health Insurance Mandate's Effect On The Life Satisfaction Of Young Adults, Kirti Chakote
Honors Theses
On September 23, 2010, the dependent health insurance mandate of the Affordable Care Act (ACA) increased the family health insurance coverage of young adults up to age 26. The present study principally examined the effect of this mandate on life satisfaction of young adults, in addition to health care access, self-reported health, preventative care, and labor market outcomes. Through health insurance coverage, it is hypothesized that the ACA mandate will lead to a higher life satisfaction in young adults. Using the Behavior Risk Factor Surveillance System data of 2005 through 2013 to assess the effect of the ACA mandate, this …
Celiac Is A Social Disease: Family Challenges And Strategies, Gonzalo Bacigalupe, Aleksandra Plocha
Celiac Is A Social Disease: Family Challenges And Strategies, Gonzalo Bacigalupe, Aleksandra Plocha
Gonzalo Bacigalupe, EdD, MPH
Celiac disease is the most common autoimmune inherited disorder in the United States, affecting approximately 1% of the population. Little research exists on the impact of family processes on adherence to a gluten-free diet (GFD), the only treatment for celiac disease. The objective of this qualitative study was to examine the barriers that families with a celiac child face and the strategies they use to adhere to the recommended diet. In-depth interviews were conducted with 10 families with a child between the ages of 6 and 12 diagnosed with celiac disease. Grounded theory and narrative analysis were used to analyze …
Examining Universal Primary Healthcare Through Community-Based Initiatives, Donald E. Warden
Examining Universal Primary Healthcare Through Community-Based Initiatives, Donald E. Warden
Oglethorpe Journal of Undergraduate Research
This paper examines enacting community-based primary healthcare programs and initiatives. It looks at the weaknesses of past attempts, the successes of current attempts, and gives insight into ways everyday citizens can change the way the world does healthcare. There are social, economic, and political barriers as to why these programs are not enacted. Since 1978, Member states of the United Nations strive towards healthcare for all. The original 1978 Declaration of Alma-Ata sets the bar at achieving this goal by the year 2000. Now in the 21st century, the world still battles inadequate healthcare. Nations continue to strive towards …
Elderly Patients And Their Health In Pakistan: Current Status, Issues, Challenges And Opportunities, Waris Qidwai, Tabinda Ashfaq
Elderly Patients And Their Health In Pakistan: Current Status, Issues, Challenges And Opportunities, Waris Qidwai, Tabinda Ashfaq
Department of Family Medicine
No abstract provided.
Who Cares For The Caregiver: Primary Care Practice Fact Sheet #1, Eastern Agency On Aging, University Of Maine Center On Aging, Aroostook Area Agency On Aging, Senior Spectrum, Rosscare, Norumbega Medical, Horizons Health Services, Indian Township Tribal Health Center, Bucksport Regional Health Center
Who Cares For The Caregiver: Primary Care Practice Fact Sheet #1, Eastern Agency On Aging, University Of Maine Center On Aging, Aroostook Area Agency On Aging, Senior Spectrum, Rosscare, Norumbega Medical, Horizons Health Services, Indian Township Tribal Health Center, Bucksport Regional Health Center
Maine Center on Aging Service and Consultation
Informal caregivers are crucial to society, yet often sacrifice their own health in order to maintain the proper care of others. The economic value of informal caregivers’ services is projected to be $196 billion, and approximately 15 to 25 million adults in the United States fit this profile. The health of caregivers is often overlooked, so primary care practices should focus on checking in with them and being an advocate for them. This will allow for an improvement in the health of both the caregiver and the care recipient.