46 research outputs found

    Retinopathy Screening: Assessing Knowledge & Educating Diabetic Patients in Caledonia County, Vermont

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    Diabetic retinopathy is the most common cause of severe vision loss in US adults. It is estimated that less than 50% of patients with diabetes consistently receive annual eye exams. Diabetic patients in rural communities may face additional barriers towards receiving recommended eye care as these communities generally have lower incomes, lower insurance rates and older populations. This project sought to educate diabetic patients about eye disease in a rural Vermont primary care practice using an active learning modality.https://scholarworks.uvm.edu/fmclerk/1580/thumbnail.jp

    An Introduction to Pediatric Ophthalmology

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    Pediatric ophthalmology can feel like a completely different world compared to its adult counterpart. Children can sometimes be extremely challenging to examine and pediatric ophthalmologists examine a wide variety of age groups, including the non-verbal infant, the animated toddler, the adolescent, and the nonverbal adult. Careful exams are important at each stage of development because visual development is most critical in the first decade of life. Each patient group requires a distinctive expertise to perform an effective eye exam. This review gives a brief introduction to some topics central to pediatric ophthalmology, including common clinical tests, common pathology, and some “can’t miss” diagnoses

    Canadian Shoppers in Northwest Washington State

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    The purpose of this project was to record the proportion of Canadian vehicles in prominent retail destination parking lots along the I-5 corridor in northwest Washington State. These destinations were located in Blaine, Lynden, Ferndale, Bellingham, Burlington and Marysville. Data collection was executed by dividing the locations into northern and southern zones, with each zone visited by a two-person team following a prescribed route. The teams collected data within specific mapped sections of parking lots by counting the number of cars with Canadian and U.S. license plates with the use of tally counter devices. Additionally, an I-5 overpass is located within each zone in order to look at southbound I-5 traffic at locations both north and south of Bellingham at an identical time of day. Generally, the intent is to visit every site on each of three consecutive days, Thursday through Saturday. On each field day, data collection starts prior to mid-day and is scheduled to finish by late afternoon. The information collected is then compiled in an Excel spreadsheet for further analysis

    Assessing Food Insecurity Screening Among Healthcare Providers in Vermont

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    What influences primary care providers’ screening for food insecurity and recommending food resources? This study examined the barriers primary care providers have to screening for food insecurity and recommending resources to their patients. By analyzing the factors that drive or prevent providers from making recommendations, we can help address food insecurity within the healthcare setting • Food security is defined as having access to enough food in order to maintain an active and healthy life • An estimated 1 in 8 Americans suffer from food insecurity, which is associated with adverse health outcomes and an increase of $77.5 billion in additional healthcare costs annually • Resources exist to ease the burden of food insecurity, but these resources may be underutilized and poorly integrated within the healthcare fieldhttps://scholarworks.uvm.edu/comphp_gallery/1278/thumbnail.jp

    Bending the curve of global freshwater biodiversity loss: an emergency recovery plan

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    Despite their limited spatial extent, freshwater ecosystems host remarkable biodiversity, including one-third of all vertebrate species. This biodiversity is declining dramatically: Globally, wetlands are vanishing three times faster than forests, and freshwater vertebrate populations have fallen more than twice as steeply as terrestrial or marine populations. Threats to freshwater biodiversity are well documented but coordinated action to reverse the decline is lacking. We present an Emergency Recovery Plan to bend the curve of freshwater biodiversity loss. Priority actions include accelerating implementation of environmental flows; improving water quality; protecting and restoring critical habitats; managing the exploitation of freshwater ecosystem resources, especially species and riverine aggregates; preventing and controlling nonnative species invasions; and safeguarding and restoring river connectivity. We recommend adjustments to targets and indicators for the Convention on Biological Diversity and the Sustainable Development Goals and roles for national and international state and nonstate actors

    Case of Pituitary Apoplexy After Surgery

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    Pituitary apoplexy (PA) is a rare disease typically precipitated by acute infarction or hemorrhage within the pituitary gland (1). Most cases of PA are related to the presence of a pituitary adenoma (2). Although incidence data are incomplete, PA has been reported to occur in between 1% and 26% of pituitary adenomas (3)

    Development of nap neurophysiology: preliminary insights into sleep regulation in early childhood

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    Although all young children nap, the neurophysiological features and associated developmental trajectories of daytime sleep remain largely unknown. Longitudinal studies of napping physiology are fundamental to understanding sleep regulation during early childhood, a sensitive period in brain and behaviour development and a time when children transition from a biphasic to a monophasic sleep-wakefulness pattern. We investigated daytime sleep in eight healthy children with sleep electroencephalography (EEG) assessments at three longitudinal points: 2 years (2.5-3.0 years), 3 years (3.5-4.0 years) and 5 years (5.5-6.0 years). At each age, we measured nap EEG during three randomized conditions: after 4 h (morning nap), 7 h (afternoon nap) and 10 h (evening nap) duration of prior wakefulness. Developmental changes in sleep were most prevalent in the afternoon nap (e.g. decrease in sleep duration by 30 min from 2 to 3 years and by 20 min from 3 to 5 years). In contrast, nap sleep architecture (% of sleep stages) remained unchanged across age. Maturational changes in non-rapid eye movement sleep EEG power were pronounced in the slow wave activity (SWA, 0.75-4.5 Hz), theta (4.75-7.75 Hz) and sigma (10-15 Hz) frequency ranges. These findings indicate that the primary marker of sleep depth, SWA, is less apparent in daytime naps as children mature. Moreover, our fundamental data provide insight into associations between sleep regulation and functional modifications in the central nervous system during early childhood