Parental Perceptions of Oral Health and School-Based Dental Sealant Programs

Introduction: Community Health Needs Assessment (University of Vermont Medical Center, 2013) Identified oral health in pediatric population as a primary concern Barriers to dental care cited: access, affordability, education School-Based Sealant Program (SBSP) Dental sealants are an evidence-based method of cavity prevention CDC strongly recommends delivery via SBSPs Few Vermont schools have such a program Vermont Medicaid State Plan amendment allows dental hygienists to bill without on-site dentist (2015)4 Unique opportunity to pilot an SBSP Pilot program implemented by the University of Vermont Medical Center Community Health Improvement Goal: sustainable model able to be replicated in Vermont schools Pilot School Selection – Milton Elementary-Middle School (MEMS) Demographics representative of Vermont schools (46% free & reduced lunch program); school administration supportive of an SBSP; no existing dental education (“Tooth Tutor”) program per Vermont Office of Oral Healthhttps://scholarworks.uvm.edu/comphp_gallery/1232/thumbnail.jp

Dry Bean Pest Scouting Report

A survey of dry bean pests was conducted on farms in Vermont during the 2015 season. Pests were scouted on four Vermont farm locations in the towns of Alburgh, North Hero, Glover, and Danby. Disease and insect samples were taken and identified with assistance from the UVM Plant Diagnostic Laboratory. The primary and secondary fungal and bacterial diseases documented on dry beans in Vermont are listed in Table 1

School finance in Vermont: balancing equal education and fair tax burdens

An education finance system that is constitutional under the Brigham ruling mandates sacrifices on the part of taxpayers for a public good—educated citizens. It remains to be seen if current proposals can make that sacrifice more palatable or ensure that those bearing the burden have the most stake in the outcomes of the system.Public schools - Vermont ; Local finance - Vermont ; Taxation - Vermont ; Education - Vermont

Made in Vermont: protecting the rural working landscape

Like maple syrup and milk, farms are part of Vermont’s identity. Mamie Marcuss examines the impact of agriculture on the state’s economy and the ways in which Vermonters are working to sustain their rural heritage.Rural areas ; Farm income - Vermont ; Farm produce - Vermont ; Agriculture - Vermont

Non-GMO Corn Silage Performance Trial Summary

Conducted by Dr. Heather Darby and the University of Vermont Northwest Crops and Soils Program Silage corn at Bridgeman View Farm, Franklin, Vermont Planting Date: 5/24/2017 Harvest Date: 10/18/201

Provider Education & Requirements for Opioid Prescriptions

Nationally, there has been a surge in the opioid prescription crisis with associated overdose deaths. Vermont is no exception, with increasing opioid overdose related deaths within the last 10 years. A sample (n=111) of opioid addiction patients at the Community Health Centers of Burlington (CHCB) have demonstrated that 25% have their initial use due to provider prescription. New Vermont regulations to decrease opioid prescriptions are inefficient. The goal of this project is to implement a streamlined intervention to improve provider education and comfort regarding new Vermont state opioid prescribing regulations.https://scholarworks.uvm.edu/fmclerk/1326/thumbnail.jp

Radon, From the Ground into Our Schools: Parent/Guardian Awareness of Radon Levels in Vermont Schools

Introduction. Radon is the leading cause of lung cancer among non-smokers. Ex- posure to radon in schools may be harmful to schoolchildren, faculty, and staff, but there is currently no legislation mandating testing or mitigation of radon levels in Vermont schools. Objectives. The goal of our study was to assess Vermont parents’ awareness of radon’s harmful effects, as well as awareness of and support for testing and mitigation of radon levels in their children’s schools. Methods. We distributed paper and online surveys to Vermont parents of children grades K-12. 126 surveys were received and quantitatively analyzed. We held a focus group of two Vermont parents to gather qualitative data. Results. Most surveyed parents demonstrated general knowledge of radon, but only 51% believed that radon affects the lungs. 8% were confident that their children’s schools had informed them about radon levels. 91.2% believe their children’s schools should take action to address elevated radon levels and 87% would support mandated mitigation. There is some concern and lack of knowledge about the financial implications of radon mitigation. Conclusions. Most Vermont parents of children grades K-12 are unaware that radon is a lung carcinogen and do not know their children’s school’s radon levels or mitigation status. However, most are in favor of legislation that would require testing and dis- closure of schools’ high radon levels. Educating parents about school radon levels and their association with lung cancer could be a foundation for community support of legislation that mandates testing and mitigation of radon in Vermont schools.https://scholarworks.uvm.edu/comphp_gallery/1252/thumbnail.jp

Negligible Variation and the Change of Variables Theorem

In this note we prove a necessary and sufficient condition for the change of variables formula for the HK integral, with implications for the change of variables formula for the Lebesgue integral. As a corollary, we obtain a necessary and sufficient condition for the Fundamental Theorem of Calculus to hold for the HK integral

Analysis of Care Coordination for Children with Special Health Care Needs: A Parent\u27s Perspective

Introduction. Care coordination involves organizing patient care activities and sharing information among all of the participants concerned with a patient\u27s care to achieve improved outcomes, a recent national focus. Compared to the national average, a higher percentage of Vermont children are cared for in an office that meets medical home criteria. However, there is limited research on medical home and care coordination for children with special health care needs (CSHCN) in the state of Vermont. Objectives. The goal of this study was to assess family perceptions, knowledge, and attitudes about how well care coordination is working for Vermont families with CSHCN. Methods. A paper and an electronic anonymous survey was developed for Vermont families with CSHCN. The surveys were then distributed by Vermont Family Network and the UVMMC Department of Pediatrics. Focus group interviews were also conducted at Vermont Family Network to provide family insight to explain the quantitative data. Results. 30 participants responded to the survey; only 20 completed it. The overall composite satisfaction score is 54%. This score takes into account 4 questions regarding care coordination satisfaction. Each question was formatted into a numerical value ranging from zero to five, with an overall score of 20 equating to 100% satisfaction. Discussion. Findings indicate that families with CSHCN are not satisfied with the level of care coordination currently provided. Respondents reported many barriers regarding care coordination, including lack of communication among health care providers, insurance coverage, and lack of support during transitional periods in care. Recommended improvements were identified.https://scholarworks.uvm.edu/comphp_gallery/1251/thumbnail.jp