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1.
Journal of Hunger and Environmental Nutrition ; 18(3):450-469, 2023.
Article in English | EMBASE | ID: covidwho-20244728

ABSTRACT

We examine the relationship of home food procurement (HFP) during COVID-19 to emotional eating and stress using a statewide representative survey (n = 600) in Vermont. Women and people with a job change since COVID-19 were more likely to experience higher stress and emotional eating. Engaging in HFP, especially gardening, is associated with less emotional eating. However, people who fished, hunted, or canned more since the pandemic began were more likely to eat for emotional reasons and experience higher stress. These results suggest that gardening, even during a pandemic, may contribute to stress reduction, more so than other nature-based food production activities.Copyright © 2022 Taylor & Francis Group, LLC.

2.
Schools: Studies in Education ; 20(1):122-139, 2023.
Article in English | ProQuest Central | ID: covidwho-20242629

ABSTRACT

This piece describes how the faculty of City-As-School used Descriptive Inquiry to generate shared educational principles during the 2020-21 school year during the coronavirus pandemic. City-As-School is a public experiential learning school in New York City serving older adolescents seeking an alternative to traditional high school. Descriptive Inquiry is an inquiry process developed by Patricia Carini and faculty at the Prospect School in Bennington, Vermont, that supports educators in understanding children and their own educational practice to teach for human dignity, ethical well-being, and holistic growth. The piece provides an introduction to City-As-School and briefly describes how faculty members have used Descriptive Inquiry to foster whole school professional learning and growth. The piece then details how the faculty used Descriptive Inquiry to surface and concretize shared educational principles during the 2020-21 school year, a poignant example of Patricia Carini's notion of "making and doing philosophy in a school."

3.
Journal of Agriculture, Food Systems and Community Development ; 12(2):201-214, 2023.
Article in English | CAB Abstracts | ID: covidwho-2286639

ABSTRACT

The COVID-19 pandemic tested the resilience of food system actors at all levels and across all geographies. This study focuses on the experience of Vermont local food businesses by combining two surveys conducted in the first half of 2021: one of foodservice operations that procure food locally and one of Vermont farms that sell directly to consumers. We analyzed descriptive statistics, open responses, and conducted Kruskal-Wallis rank sum tests to assess which factors were related tobusinesses'financial statusesbefore and since the pandemic. Pre-pandemic financial status was related with business type, whether the business went on to receive emergency funds, and financial status since the pandemic. The only significant factor for financial status since the pandemic was prepandemic financial status. We close with recommendations for policy and future research.

4.
Chemical Engineering Education ; 56(1):4-14, 2022.
Article in English | ProQuest Central | ID: covidwho-1893490

ABSTRACT

Online and blended learning opportunities in Chemical Engineering curriculum emerged due to COVID-19. After eight weeks of in-person Unit Operations Laboratory sessions, a remote-learning open-ended final project was assigned to student teams. The assignment involved aspects related to entrepreneurially-minded learning (EML) and community-based learning (CBL). Results show correlations between self-directed learning and the EML framework. Continuous support and involvement of a community partner correlate to students' motivation, critical for successful remote-learning implementations in engineering education.

5.
Center on Reinventing Public Education ; 2022.
Article in English | ProQuest Central | ID: covidwho-2057863

ABSTRACT

In summer 2020, the Center on Reinventing Public Education (CRPE), with support from the Barr Foundation, began observing and learning from students, parents, and educators in New England high schools as they navigated the uncertainty of the pandemic. The authors wanted to see what challenges and opportunities they faced, the ways in which they adapted to disruptions, and the new strategies and capacities that took hold. After more than a year of disruption, the boundaries of what it means to "reinvent" high school stretched, and in some systems, the momentum for change accelerated. Students and teachers learned to work in new ways and reached new understandings about each other. When COVID wanes, schools will encounter a host of new and complex demands as they make sense of the pandemic's challenges and opportunities, including addressing unfinished learning, spending a tidal wave of federal funding, and navigating continued calls for racial and social justice amid a national culture war. The path forward raises a host of critical questions: (1) Will school systems leverage momentum from the pandemic to remake high school? If so, what adaptations and innovations will they embrace? And which students will benefit from these shifts?, (2) How do school system leaders, educators, families, and students redefine success in high school? To what extent and how are these aspirations reflected in the adaptations and innovations that school systems embrace?, and (3) What opportunities and obstacles do school system leaders, educators, families, and students confront as they seek to chart a new course to high school? How can they avoid the pitfalls that threaten to stall progress, especially for the most marginalized students? As the pandemic endures, and as we emerge from it, CRPE will continue to investigate whether and how the trends described lead to a more equitable, student-centered high school experience. In this effort, Think Forward New England explores not only what shifts emerge postpandemic but also why, for whom, and with what effect.

6.
Clin Infect Dis ; 75(Supplement_2): S334-S337, 2022 Oct 03.
Article in English | MEDLINE | ID: covidwho-2051354

ABSTRACT

Vermont contact tracing consistently identified people at risk for coronavirus disease 2019 (COVID-19). However, the prevalence ratio (PR) of COVID-19 among contacts compared with noncontacts when viral transmission was high (PR, 13.5 [95% confidence interval {CI}, 13.2-13.9]) was significantly less than when transmission was low (PR, 49.3 [95% CI, 43.2-56.3]).


Subject(s)
COVID-19 , SARS-CoV-2 , Contact Tracing , Humans , Vermont
7.
Global Advances in Health and Medicine ; 11:109, 2022.
Article in English | EMBASE | ID: covidwho-1916535

ABSTRACT

Methods: Participants of the 13 week program, Partner's Aligned in Transformative Healing (PATH), receive an Anti-Inflammatory Pantry Kit containing one retail size quantity of extra-virgin olive oil, avocado oil, pumpkin seeds, Brazil nuts, green tea, ground flax seed, dried lentils, maple syrup, ground turmeric, ground ginger, and coconut milk. During week 5 of the program participants spend 90 minutes with the registered dietitian (virtual or in-person, depending on the group) for an interactive education and sensory experiential. Participants leave with the food and knowledge of the ingredients and how to use them. The registered dietitian procures the ingredients and puts together the kits. Food costs are reimbursed by Blue Cross Blue Shield of Vermont as it has been incorporated into the program's bundled payment model for each PATH participant. Results: What emerged from this experimental adjustment to the curriculum is an innovation that has engaged participants to make modifications to their diets to increase whole food sources of omega-3 fatty acids, phytonutrients, dietary fiber, zinc, selenium, plant-based protein, and healthy fat;all of which are evidenced based nutrients that have been demonstrated to impact inflammatory and immune systems in individuals experiencing chronic pain. Background: The Anti-Inflammatory Pantry Kit was designed during the covid-19 pandemic as a way to continue to offer hands-on culinary medicine to participants at the University of Vermont's Comprhensive Pain Program in the comfort and safety of their own home. Conclusion: Culinary medicine at the Comprehensive Pain Program looks different now that it did prior to the pandemic and the changes have been received with enthusiasm. The Anti-Inflammatory Pantry Kit is a dynamic tool for nutrition and culinary medicine education for chronic pain participants. This tool and approach to medical nutrition therapy has been made sustainable by the reimbursement by Blue Cross Blue Shield of Vermont and the engagement of participants.

8.
Institute of Transportation Engineers. ITE Journal ; 92(3):16-17, 2022.
Article in English | ProQuest Central | ID: covidwho-1738024

ABSTRACT

An interview with Jenn Conley, director of Vermont Transportation Systems, VHB South Burlington, VT, USA is presented. Conley said that my role as Director of Vermont Transportation Systems at VHB includes a lot of variety. In our office, Transportation Systems encompasses all aspects of Traffic Engineering. I am leading efforts in traffic operations analysis, traffic signal designs, traffic safety, and transportation planning efforts. Our group is small enough that I have a balance of the administrative duties involved in managing a group of professionals and I can still be actively involved with technical work. The pandemic definitely created challenges and forced us to find creative solutions to being able to reach our membership. The New England Section saw benefits from the move to virtual meetings. There was increased attendance at local state Chapter events.

9.
Journal of Forestry ; 120(2):198-207, 2022.
Article in English | ProQuest Central | ID: covidwho-1735597

ABSTRACT

This paper examines “e-planning,” or the use of computer-based systems to conduct planning and decision-making, in the context of community forest management. E-planning is growing in the field of environmental planning, as it promises greater equity in terms of public participation. However, a lack of scholarly work exists on the applicability for forest planning. During the COVID-19 pandemic, county foresters and other natural resource professionals in Vermont turned to e-planning when safety restrictions limited their ability to engage in face-to-face efforts. This provided an opportunity to collect empirical data about the potential for e-planning to support the public engagement process in the context of forest planning. We provide an overview of e-planning theory and examine data from Vermont to explore the promise of e-planning for forest management. We make recommendations about the applicability of e-planning in the context of forest planning, and highlight areas for future research to investigate.

10.
Molecular Genetics and Metabolism ; 132:S352-S353, 2021.
Article in English | EMBASE | ID: covidwho-1735109

ABSTRACT

Integration of genomics into health practice depends on successful implementation in non-research settings. We describe a medical home-centered implementation at the intersection of genomic medicine and population health in the UVM Health Network. In this clinical implementation, the hospital laboratory orchestrates a collaboration involving primary care providers (PCPs), patient and family advisors, health system administrators, clinical genetics services, oncologists and cardiologists, Vermont’s accountable care organization, and a commercial CLIA genomic testing laboratory. Phenotypically unselected adult primary care patients are offered “The Genomic DNATest” at no cost as part of their regular care. Testing is introduced by primary care providers and their staff using a brief animated video and printed decision aids with graded detail. Question resolution and pre- and post-test genetic counseling is offered at no cost using telephone, video, or in-person visits, and is coordinated bya single phone and email contact point, the Genomic Medicine Resource Center. 431 genes are sequenced for germline health risk and recessive carrier variants;only pathogenic and likely-pathogenic variants are reported. New reports are issued when reported and unreported variants are later reclassified. Test reports are reviewed by a clinical geneticist and genetic counselor. Two brief "action plans" are developed with PCP and patient focus in a single messaging document. This is prepended to the lab reports before release to the PCP, who reviews and then conveys them to the patient. PCPs and their staff receive initial training on the test and process and are invited to participate in an online community with monthly video case discussions. Among the first 72 patients tested, 17% had a health risk identified. This included dominantly inherited disorders and bi-allelic or hemizygous variants for common recessive disorders. Care pathways created in advance using multi-disciplinary expertise were activated for those. Free testing for blood relatives was made available. 76% of tested patients had at least one heterozygous recessive disease variant identified, and low-cost partner testingwas made available. Frequency of positive test results was in line with population frequency predictions. Pre- and post-test genetic counseling uptakewas lower than expected. This raised the question of unmet informational needs. A 2-page anonymous process quality survey mailed twice to the first 61 tested patients had a 31% return rate. Key findings included (1) pre-test engagement methods and decision aids were helpful;(2) the testing decision was influenced equally by value for the individual’s health, for their family’s health, and for researchers;(3) emotions during the ∼4-week time to results were neutral or excited, with none experiencing anxious feelings, and none reported the wait time as too long;(4) 21% reported contacting the Genomic Medicine Resource Center;(5) 16% reported referral to a specialist due to their result;(6) about half reported sharing the results with family members, but none reported any family members getting tested;(7) none indicated they were dissatisfied with the testing and result process, and only one responded they would not recommend others get the test;and (8) all agreed or somewhat agreed that the PCPs officewas the right place to do this testing.While this implementation was designed with scalability and a low management profile in mind, several systems-level barriers were encountered that contributed to lower engagement efforts and slower expansion than planned. This included lack of institutional information technology resources to surmount paper-based systems for requisitions, sample-routing, and consent forms;dependency of the patient engagement process during PCP visits on rooming and nursing staff during times of staffing shortages;susceptibility to practice model disruptions and priorities caused by the Covid-19 pandemic;and PCP time distraction resulting from user interface and polic changes in our EHR during the pilot. These barriers are targets for study and continuous process improvement activities. In summary, an example of clinical genomic population health testing using a medical-home focus has been successfully implemented in a non-research setting, supported by multi-disciplinary collaboration. This implementation depends on minimal staff, avoids financial barriers to access and genetic counseling, and offers a short, defined, test turnaround time as compared to similar biobank-based research programs. Tested patients find the program satisfactory, and meaningful test results are at least as common as in existing population health risk screening archetypes.

11.
Circulation ; 144(SUPPL 1), 2021.
Article in English | EMBASE | ID: covidwho-1629952

ABSTRACT

Introduction: Transplant centers saw a reduction in solid organ transplantation since the beginning of the coronavirus 2019 (COVID-19) pandemic in the United States. Limited data exists on the impact of COVID-19 on pediatric heart transplant volume and variation in transplant practices. We hypothesized that pediatric heart transplant activity decreased during COVID-19 with associated increased waitlist mortality. Methods: The United Network for Organ Sharing (UNOS) database was used to identify waitlisted patients from 2017-2020. Regional and Statewide data was obtained from US Census Bureau. CovidActNow project was used for Covid-19 mortality rates. Results: Among pediatric patients, average time on the waiting list decreased by 28 days. Even though the average number of pediatric transplants (n=39) did not change during 2020, there was a temporal decline in the first quarter followed by an increase. Overall pediatric waitlist mortality decreased from 5.31 to 4.73, however female mortality increased by 2%. Regional differences in pediatric mortality included: Northeast, decreased by 7.5%;Midwest, decreased by 9%;West, increased by 3.5%;and South, increased by 13%. North Dakota (0.55), Oklahoma (0.21) and Hawaii (0.33) showed higher mortality per 100,000 than other states. In adults, average time on waiting list increased by 40 days and there was an increase in the number of transplants from 242.06 to 266.09. Adult waitlist mortality had a larger decrease from 18.44 to 15.70 with increase in female mortality of 7%. Regional differences in adult mortality included: Northeast, decreased by 3%;Midwest, increased by 5.5%;West, increased by 4.5% and South, decreased by 5%. Iowa (0.37), Wyoming (0.22), Arkansas (0.18) and Vermont (0.19) had higher mortality per 100,000 than other states . Conclusions: Pediatric heart transplant volume declined in early 2020 followed by an increase, while transplant volume in adults increased. Although, overall waitlist mortality for pediatrics decreased, female waitlist mortality increased. Regional differences in waitlist mortality were also observed. Future studies are needed to understand this initial correlation and to determine the impact of COVID-9 on heart transplant recipients.

12.
The New England Journal of Political Science ; 12(1):84-110, 2020.
Article in English | ProQuest Central | ID: covidwho-1628195

ABSTRACT

This was supposed to be a happy birthday year in Maine. The Pine Tree State was due for one of those big, round number birthdays that everyone likes to celebrate, as it turned 200. There was a special flag created, a new USPS stamp commemorating Maine's bicentennial, and lots of celebratory events. But nobody had counted on what has dominated 2020 throughout the US: the COVID-19 pandemic. And just like many birthday parties, games, concerts and graduations, COVID-19, and the need for physical distancing it produced, led to the cancellation or postponement of most Bicentennial events. Not only that, but reactions to COVID-19 became the biggest theme in Maine politics in the first half of 2020. The novel coronavirus also had the effect of delaying Maine's spring primary, which had been scheduled for June, until July. Concerns over poll worker staffing--many people who normally serve in that role are older people or others among high risk categories for COVID19--and voter safety--led the state to the decision.

13.
Blood ; 138:3039, 2021.
Article in English | EMBASE | ID: covidwho-1582186

ABSTRACT

Introduction: Our previous qualitative studies of immune-mediated thrombotic thrombocytopenic purpura (iTTP) survivors revealed that patients did not communicate to their hematologists about residual cognitive and fatigue issues. A way to overcome this communication barrier is implementation of patient-reported outcomes (PROs) in routine care. Integration of PROs into the clinical care of other diseases has resulted in improved patient-provider communication, symptom management, quality of life and overall patient satisfaction. However, decisions about the mode of administration are challenging. Although 92% of the United States population has access to the internet, studies have shown minorities prefer alternative modes of administration. Given that iTTP disproportionately affects Black women, understanding patient preference is critical for integrating PRO instruments into routine care. The primary study goal was to determine the preferred mode of administration of PRO instruments in iTTP. Furthermore, many individuals use the internet as a source of medical information/advice. A study of iTTP literacy reported that only 34% of survivors correctly identified disease relapse risk factors suggesting a critical knowledge gap. A secondary goal was to describe iTTP survivors' behaviors regarding using the internet for medical information or support. Methods: We utilized a cross-sectional study design. iTTP survivors were recruited from August 2019 until present. Eligibility included: 1) age >18 years, 2) documented ADAMTS13 deficiency (< 10% activity) at diagnosis or during a relapse and 3) > 1-year clinical remission. Multi-center recruitment of survivors included: Oklahoma University, Ohio State University, University of Minnesota, Johns Hopkins University, University of Rochester, University of Pennsylvania, University of Alabama at Birmingham, University of Utah and the University of Vermont. Following informed consent, survivors were administered the PROMIS ® cognitive function ability, anxiety and fatigue instruments via their preferred mode (online, telephone, or self-administered). Typical internet usage, behaviors regarding searching for health information online and demographics were also obtained. Results: To date, 94 survivors have completed the study (83% female;54% White;34% Black;median age 49 years [range 26-85 years]). A majority (54%) preferred completing PROMIS ® surveys online vs. self-administered or telephone administered. However, among Black survivors, only 38% preferred online administration and among survivors aged ≥65 years only 22% preferred online administration. Interestingly, there was an overall shift in a preference toward online administration following the onset of the COVID-19 pandemic (45% (21/47) preferred online pre vs 66% (31/47) preferred online post). Ninety-one percent (86/94) of survivors reported at least occasional internet use vs 8 (9%) reported none. Similarly, 82% (70/85) had searched the internet for health/medical information for themselves in the past year. Also 62% (53/86) of the survivors selected ‘strongly agree’ or ‘agree’ to the statement that the internet helps them determine if symptoms are important enough to see a doctor. Likewise, 62% used the internet to interpret doctor's recommendations. Additionally, 47% (40/86) ‘strongly agree/agree’ the internet helped determine if they would take a medication/seek alternative treatment. Moreover, 64% (55/86) agreed the internet was a good way to find others experiencing similar health problems. However, when asked about behaviors over the past year, only 42% (36/85) used online social networking sites like Facebook to look for health information or find others with iTTP and only 36% (31/85) had actually participated in online iTTP support groups. Conclusions: Overall iTTP survivors preferred online PRO administration;however, Black and older survivors preferred other methods. Recognizing these preferences is a vital step toward integrating PROs into routine care. Furthermore, iTTP survivors are us ng the internet as a source of medical support and information. Therefore, it is critical to not only educate iTTP survivors about credible online resources but also to create additional content. Also, future studies are needed to further explore the impact of the COVID-19 pandemic on online health behaviors. Disclosures: Terrell: Sanofi: Consultancy;Takeda: Consultancy. Journeycake: HEMA Biologics: Honoraria;LFB: Honoraria. Mazepa: Answering TTP Foundation: Research Funding;Sanofi Aventis: Other. Cuker: Spark Therapeutics: Research Funding;Sanofi: Research Funding;Pfizer: Research Funding;Takeda: Research Funding;Novo Nordisk: Research Funding;Novartis: Research Funding;Bayer: Research Funding;Alexion: Research Funding;UpToDate: Patents & Royalties;Synergy: Consultancy. Chaturvedi: Dova: Other: Advisory board member;UCB: Other: Advisory board participation;Argenx: Other: Advisory board member;Alexion: Other: Advisory board member;Sanofi Genzyme: Other: Advisory board member. Lim: Hema Biologics: Honoraria;Sanofi Genzyme: Honoraria;Dova Pharmaceuticals: Honoraria. Gangaraju: Alexion: Consultancy;Sanofi Genzyme: Consultancy. Cataland: Alexion: Consultancy, Research Funding;Sanofi Genzyme: Consultancy;Ablynx/Sanofi: Consultancy, Research Funding;Takeda: Consultancy.

14.
Padiatr Padol ; 55(Suppl 2): 30-47, 2020.
Article in German | MEDLINE | ID: covidwho-758005

ABSTRACT

Since its foundation in 1915, the Children's Hospital Glanzing has had many innovative medical directors, whose careers and scientific activities are described here in chronological order. Leopold Moll established substantial socio-pediatric initiatives such as "Kriegspatenschaften" ("war sponsorship organizations") and vacations for poor children, as well as counseling centers for mothers in Vienna. August Reuss founded baby care wards and pediatrics departments. He established his own training for pediatricians. Alfred Rosenkranz established in 1974 the first Neonatal Intensive Care Unit in Austria.In 1992, Andreas Lischka successfully introduced quality management (QM) to the Children's Hospital Glanzing, one of the first hospitals in Europe, involving all hospital staff. The Children's Hospital Glanzing was the second European center to participate in the Vermont Oxford Neonatal Network (VONN) for the quality assurance of neonatal care. In 2000 in Wilhelminen Hospital, the first "baby hatch" was established for the anonymous abandonment of newborns without legal prosecution in order to give these unwanted babies a chance of survival (in addition to the possibility of an anonymous birth).Since 1999, music therapy has been offered at the neonatal intensive care unit in cooperation with the University of Music and Performing Arts, Vienna (mdw).Publications on the toxicity of the plasticizer diethylhexyl phthalate (DEHP) in polyvinyl chloride (PVC)-containing medical products constituted the opportunity to establish a PVC-free neonatal intensive care unit. Promotion of breast-feeding especially for premature born babies has always been a particular concern of the Children's Hospital Glanzing. Pollution with polychlorinated biphenyls (PCBs), dioxins, and furan in breast milk cannot be avoided; only a legal ban would lead to a reduction in these pollutants.To reduce the fear of hospitals in children, in 1994 the Children's Hospital Glanzing established a yearly summer children's festival before the end of the school term, with more than 2,500 parents and children attending in 2007. Great importance was attached to the comprehensive education of prospective pediatricians in all areas of our specialty, which could be taught by rotation in our own department with many focal points.The current situation of the Covid-19 pandemic indicates the great importance not only of intensive care beds but also the training of sufficient medical and supporting staff.

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