Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “FLORIDA”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 271 records · Page 15Linked to original sources
PubMed2002

Update: Neurologic illness associated with eating Florida pufferfish, 2002.

As of May 15, 2002, a total of 13 presumptive cases of saxitoxin poisoning were reported in Florida residents who ate pufferfish caught in waters near Titusville, Florida. Five cases were reported in April, and eight cases were identified through increased surveillance by Florida poison control centers, hospital emergency departments (EDs), and county health departments. This report updates the investigation of these cases.

Florida↗
PubMed2002

Emergency department overcrowding in Florida, New York, and Texas.

BACKGROUND: This study was done to determine the incidence, causes, and effects of overcrowding in emergency departments (EDs) in Florida, New York, and Texas. METHODS: Surveys were mailed to a random sample of EDs in Florida, New York, and Texas. Questions included census, area population, frequency and causes of overcrowding, and impact. Causes of overcrowding were ranked on a 5-point scale. RESULTS: A total of 300 surveys were sent, and 210 (70%) were returned. Overcrowding was reported in 194 EDs (92%): New York (90%), Florida, (92%), and Texas (95%). Causes of ED overcrowding included hospital bed shortage, high medical acuity of patients, increasing patient volume, too few examination spaces, and shortage of RN staff. Overcrowding resulted in death, permanent disability, additional procedures, and increased length of hospitalization. CONCLUSION: In this survey of EDs, overcrowding was pervasive. Many factors contribute to ED overcrowding. Poor medical outcomes may occur because of overcrowding.

Crowding↗
PubMed2003

Two decades of student career choice at the University of Florida: increasingly a lifestyle decision.

Recently, there has been a decrease in the number of graduating U.S. medical students entering surgical residency. Therefore the purpose of this study was to examine student career choice over the last two decades (1982-2002) at the University of Florida. Residency match and academic performance data for the University of Florida medical school graduates from 1982 through 2002 were obtained from the College of Medicine's Offices of Student Affairs and Education. The percentage of medical students pursuing a career in surgery rose slightly in the 1980s to peak at 22 per cent of the graduating class in 1991 and then steadily declined in the 1990s to 15 per cent in the graduating class of 2002. The percentage of women entering surgical residency has remained relatively constant (20-year mean = 6.41 +/- 0.77) despite a significant increase percentage of women in the graduating class (Class of 1983, 24%; Class of 2002, 55%). The percentage of graduating students entering a primary care residency has remained relatively constant (54.4 +/- 1.24), whereas the number of students pursuing a "lifestyle-friendly" specialty has increased substantially over the last two decades (Class of 1983, 9%; Class of 2002, 22%). In addition the mean overall grade point average of female students entering 'lifestyle-friendly' specialty residencies is significantly higher than the mean overall grade point average of all students entering a surgical residency (3.61 +/- 0.38 versus 3.48 +/- 0.35; P < 0.05). Similar to national trends the percentage of senior medical students entering surgical residency at the University of Florida is gradually declining. Although the percentage of graduating medical students entering primary care has remained relatively constant the number of students following a lifestyle-friendly specialty has steadily increased. A disproportionately low number of graduating female medical students are entering surgical residency. By one measure of academic performance the quality of female graduates entering lifestyle-friendly specialty residencies is superior to that of students entering surgical residency. Lifestyle issues are increasingly important in student career choice decisions.

Career Choice↗
PubMedDate not supplied

North Florida is part of the stroke belt.

Florida is the only State in the southeastern United States that is not part of the "stroke belt." The National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health, defines the stroke belt as those States with an age-adjusted stroke mortality rate for the years 1979 to 1981 that is more than 10 percent above the national annual rate of 40.3 per 100,000 population. By reproducing at the county level the methods that were used at the State level to describe the stroke belt, the authors identified a group of 34 contiguous northern Florida counties (population exceeds 2 million) with an age-adjusted stroke mortality rate of 47.2 per 100,000--higher than 3 of the 11 stroke belt States. They concluded that north Florida is part of the stroke belt and should be included as a priority region for stroke prevention programs. County-level analyses that are methodologically comparable with those used by NHLBI to describe the stroke belt may be a useful technique for identifying high stroke-rate regions within States which might be missed when needs assessment is based only on State-level data.

Adult↗
PubMed1992

Preliminary report: medical examiner reports of deaths associated with Hurricane Andrew--Florida, August 1992.

On August 24, 1992, at 1:40 a.m. eastern daylight time (EDT), rain bands associated with Hurricane Andrew reached the eastern coast of Florida. At 4:45 a.m. EDT, Hurricane Andrew made landfall 35 miles southeast of Miami at Homestead, with sustained winds of 145 miles per hour (mph) and gusts of 164 mph. These winds extended 45 miles outward of the storm center. The storm moved across the state at 18 mph toward the Gulf of Mexico (Figure 1). The tidal surge on the eastern coast was estimated at 7-19 feet. During the storm, approximately 2.5 million Florida residents were left without electrical power, and approximately 56,000 family dwelling units were destroyed or severely damaged. This report presents preliminary data from Florida medical examiner (ME) offices about deaths attributed to Hurricane Andrew.

Accidents↗
PubMed2004

Rapid assessment of the needs and health status of older adults after Hurricane Charley--Charlotte, DeSoto, and Hardee Counties, Florida, August 27-31, 2004.

On August 13, 2004, Hurricane Charley, a Category 4 storm with sustained winds of 145 mph, made landfall at a Gulf of Mexico barrier island in Florida, resulting in an estimated 31 deaths statewide and extensive property damage in Charlotte, DeSoto, and Hardee counties. The Florida Department of Health (FLDOH) requested that CDC conduct a rapid needs assessment of older adults (i.e., aged >/=60 years) because this vulnerable age group constitutes a substantial proportion of the population in the most severely affected counties (Charlotte County [43% older adult residents of 141,627 total population], DeSoto County [24% of 32,209], and Hardee County [18% of 36,938]). This report summarizes the findings and recommendations from three rapid needs assessments in these Florida counties. Older adult residents experienced disruptions in both quality-of-life status and medical care for preexisting conditions (e.g., cardiovascular disease, diabetes, and physical disabilities). On the basis of these findings, recommendations were provided to FLDOH for immediate use in deploying resources for response to Hurricane Charley and in planning responses to future disasters.

Aged↗
PubMed1992

Seroprevalence of babesiosis in Greyhounds in Florida.

An indirect fluorescent antibody test was used to serologically survey Greyhounds from 10 kennels that are part of the racing Greyhound industry in Florida. Age of dogs ranged from 11 months to 11 years. Additionally, 50 adult non-Greyhound pet dogs were consecutively surveyed. Of 393 Greyhounds tested, 181 (46%) were seropositive for babesiosis; pet dogs were seronegative. Slightly higher percentage of seropositive males than females was observed, but this difference was only significant (P less than 0.01) in the 2- to 5-year age class. Male dogs less than 2 years old had significantly (P less than 0.01) lower seroprevalence than did male dogs greater than 2 years old. All 46 Greyhounds that were actively racing at the time of sample collection were seronegative. Dogs were classified into 2 groups on the basis of whether the kennel owner had sought veterinary attention for anemic pups. The 5 kennel owners that had sought veterinary attention (group A) had significantly (P less than 0.01) higher seroprevalence (78.5%), compared with the 5 that had not sought veterinary attention (group B; 23.0%). Seroprevalence of babesiosis in Greyhounds in Florida was comparable to that reported in a limited survey of other southeastern states. It appears to be higher than that in the pet population. Breeding kennels in Florida and other southeastern states from which anemic pups originate should be screened for babesiosis.

Age Factors↗
PubMed2005

The changing face of access to family physician services in rural Florida.

OBJECTIVES: This study's purpose was to determine whether access to services performed by Florida family physicians in rural areas is changing and whether the recent changes in the availability or cost of professional liability insurance may be influencing service provision. METHODS: We conducted a survey of all family physicians in rural Florida, asking about changes in health care services and procedures provided, insurance coverage and premiums, satisfaction with practice, and plans for future practice. RESULTS: Of the 204 respondents, 96 (49.5%) indicated that they have decreased or eliminated some health care services during the last year. Overall, 69.8% decreased or eliminated vaginal deliveries, 66.2% Cesarean sections, 56.6% endoscopies, 50.9% hospital-based surgeries, 50.7% emergency room coverage, 40.8% office-based surgeries, and 33.6% mental health services. Malpractice premiums increased a mean of 98.5%. Difficulty with finding or paying for insurance was listed as an important factor both by those reducing or eliminating services and by those planning to leave the community within the next 2 years. CONCLUSIONS: Access to some services provided by family physicians in rural areas is decreasing and may be influenced by recent changes in professional liability insurance costs and other factors in Florida. Given the number of states currently experiencing similar insurance cost changes, access to health care in rural areas may be affected nationwide.

Adult↗
PubMed2005

Carbon monoxide poisoning from hurricane-associated use of portable generators--Florida, 2004.

The four major hurricanes that struck Florida during August 13-September 25, 2004, produced electric power outages in several million homes. After the hurricanes, the Consumer Product Safety Commission (CPSC) investigated six deaths in Florida attributed to carbon monoxide (CO) poisoning (CPSC, unpublished data, 2004). The Florida Department of Health and CDC analyzed demographic and CO exposure data from these fatal poisoning cases and from nonfatal poisoning cases among 167 persons treated at 10 hospitals, including two with hyperbaric oxygen (HBO2) chambers. This report describes the results of that analysis, which determined that misplacement of portable, gasoline-powered generators (e.g., indoors, in garages, or outdoors near windows) was responsible for nearly all of these CO exposures. Public health practitioners should recognize that post-hurricane environments present challenges to the safe operation of portable generators and should educate the public on the hazards of CO poisoning in these settings.

Carbon Monoxide Poisoning↗
PubMed2005

Adverse event reporting: lessons learned from 4 years of Florida office data.

BACKGROUND: Patient safety regulations and medical error reporting systems have been at the forefront of current health care legislature. In 2000, Florida mandated that all physicians report, to a central collecting agency, all adverse events occurring in an office setting. PURPOSE: To analyze the scope and incidence of adverse events and deaths resulting from office surgical procedures in Florida from 2000 to 2004. METHODS: We reviewed all reported adverse incidents (the death of a patient, serious injury, and subsequent hospital transfer) occurring in an office setting from March 1, 2000, through March 1, 2004, from the Florida Agency for Health Care Administration. We determined physician board certification status, hospital privileges, and office accreditation via telephone follow-up and Internet searches. RESULTS: Of 286 reported office adverse events, 77 occurred in association with an office surgical procedure (19 deaths and 58 hospital transfers). There were seven complications and five deaths associated with the use of intravenous sedation or general anesthesia. There were no adverse events associated with the use of dilute local (tumescent) anesthesia. Liposuction and/or abdominoplasty under general anesthesia or intravenous sedation were the most common surgical procedures associated with a death or complication. Fifty-three percent of offices reporting an adverse incident were accredited by the Joint Commission on Accreditation of Healthcare Organizations, American Association for Accreditation of Ambulatory Surgical Facilities, or American Association for Ambulatory Health Care. Ninety-four percent of the involved physicians were board certified, and 97% had hospital privileges. Forty-two percent of the reported deaths were delayed by several hours to weeks after uneventful discharge or after hospital transfer. CONCLUSIONS: Requiring physician board certification, physician hospital privileges, or office accreditation is not likely to reduce office adverse events. Restrictions on dilute local (tumescent) anesthesia for liposuction would not reduce adverse events and could increase adverse events if patients are shifted to riskier approaches. State and/or national legislation establishing adverse event reporting systems should be supported and should require the reporting of delayed deaths.

Ambulatory Surgical Procedures↗
PubMedDate not supplied

Effects of migration on cancer incidence and resources for prevention and treatment in Florida.

Migration adds a complex dimension to the task of those who plan and allocate resources for health care. The authors offer a methodology for estimating the contribution of migration to the incidence of cancer, allow for age- and sex-specific cancer risks, and estimate, by country, the impact of recent migration on the annual incidence of cancer in Florida. Cancer and migration data were used to develop estimates of the number of cancer cases for Florida counties that were attributable to recent migrants. A net gain and loss ratio was calculated for new cancer cases in 1980 resulting from the 1975-80 migration pattern. Florida data was used because that State has one of the highest crude cancer incidence rates in the nation, is one of the most populous States, and has a population growth from migration rather than from natural increase. Preliminary findings on the relationship between cancer health services resources and net cancer rates from migration are discussed. County cancer health services resources had a strong positive relationship to population size, but the impact of migration on cancer incidence was in a curvilinear relationship to population size.

Cancer Care Facilities↗
PubMed2006

Imported melioidosis--South Florida, 2005.

In 2005, two cases of melioidosis (one in August, one in October) were reported to the Florida Department of Health, the first cases since reporting the disease became mandatory in Florida in 2003. In one case, Burkholderia pseudomallei was not recognized as the bacterium that causes the disease melioidosis, which led to a delay in reporting the case to the local health department. In both cases, delayed recognition and unsafe laboratory practices resulted in laboratory workers being exposed to B. pseudomallei. This report summarizes the clinical and laboratory aspects of the cases and the epidemiologic study conducted by the Florida Department of Health. The findings emphasize the need for improved laboratory recognition and reporting of B. pseudomallei, safe laboratory handling of B. pseudomallei, and close adherence to antibiotic regimens for treating and preventing recurrence of melioidosis.

Aged, 80 and over↗
PubMed1990

Drownings in Florida 1977-1986.

Drowning is a serious public health problem in Florida. It is the leading cause of death among children aged one to four years. We studied Florida drownings for 1977-1986 using data from the Florida vital statistics mortality file and found that 5,525 occurred, the greatest number in 1980 (688), the fewest in 1985 (453). The reasons for this decrease are not clear, but the greatest decrease occurred in swimming pool drownings. Nonwhite males had the highest overall drowning rates, except for those under age five or 80 and above. White males had the highest drowning rates for persons under age five; most of these occurred in swimming pools. No single approach will prevent drownings in all high risk groups. Priority should be given to foursided fencing of swimming pools and to further study of nonwhite male drownings.

Accidents, Home↗
PubMed1985

Orbiviruses from Culicoides in Florida.

Between 1980 and 1983, 45,484 Culicoides spp. collected in Florida near cattle have been examined for orbiviruses by attempted isolation in cell cultures and intravenous (IV) inoculations of embryonated chicken eggs. Bluetongue virus (BTV) serotype 2 was isolated from a pool of Culicoides insignis trapped at Ona. This is the 1st recovery of BTV from this species representing the 2nd new world species of Culicoides from which BT viruses have been isolated. C. insignis is a neotropical form which extends from northern Florida through the Caribbean region and much of South America. If this species is proven capable of biological transmission of BTV, it could help explain the distribution of antibodies to BTV in areas lacking C. variipennis. Epizootic hemorrhagic disease virus (EHDV) serotype 2 was recovered from several pools of C. variipennis collected at 2 beef cattle operations in Florida. No viruses were isolated from the small number of C. arboricola, C. stellifer and C. niger examined.

Animals↗
PubMed1986

Pathways to the future. Florida's response to the geriatric imperative.

Unprecedented elderly population growth in North America raises critical policy issues at all levels of society and government. These issues have become substantial matters of public concern in Florida within the past decade as the state confronts the geriatric imperative ahead of the rest of the continent. To deal more effectively with this challenge and opportunity, innovative executive and legislative intent has recently been expressed and coordinated by the state's Committee on Aging. This article reviews key aspects of Florida's large and growing elderly population and presents policy recommendations and strategies for pathways to the future in Florida.

Aged↗
PubMed1988

Possible association between Dirofilaria tenuis infections in humans and its prevalence in raccoons in Florida.

A study was undertaken to determine the prevalence of Dirofilaria tenuis in raccoons from subtropical southern Florida as compared to the northern part of the state. The results indicate that D. tenuis is more prevalent in southern Florida and suggest that this might be why humans suffer from more D. tenuis infections in southern Florida than in other parts of the state.

Animals↗
PubMed1986

Preventable trauma deaths: Dade County, Florida.

We reviewed 1,201 trauma deaths that occurred in Dade County, Florida, in 1982 in order to evaluate the need for an organized trauma network. There were 715 deaths (59.5%) at the scene. Of the remaining 486 patients who were transported to hospitals for treatment there were 240 central nervous system (CNS) deaths and 246 non-CNS deaths. Fifty-two (21.1%) preventable non-CNS trauma deaths were identified out of the 246 non-CNS deaths. The lack of an appropriate surgical procedure or a delay to surgery accounted for 82.7% of the preventable deaths. The preventable non-CNS death rate was 12.1% at the then functional Level I hospital and 26.4% at the other 22 hospitals (p less than 0.01). The ISS scores were similar for both the functional Level I hospital and the other hospitals. A trauma network involving seven hospitals is currently being established in Dade County, Florida. Applying the 1982 data to these hospitals reveals a preventable non-CNS death rate of 12.1% for the Level I hospital, 21.5% for the six planned Level II hospitals, and 30.0% for the other 16 hospitals. We conclude that: the severely injured should be triaged directly to trauma centers, and there is a need in Dade County, Florida, for an organized trauma system.

Adolescent↗
PubMed1986

Onchocerca gutturosa and Onchocerca lienalis in cattle: effect of age, sex, and origin on prevalence of onchocerciasis in subtropical and temperate regions of Florida and Georgia.

Evaluation of 845 cattle from Florida and Georgia for onchocerciasis indicated a significantly higher prevalence of infection with Onchocerca gutturosa and a significantly lower prevalence of infection with Onchocerca lienalis in the southern portion of Florida (subtropical region) than in the northern portion of Florida or in Georgia (temperature region). In all regions, prevalence of infection with O gutturosa was significantly higher than infection with O lienalis. In the temperate region, bulls were infected more often with O lienalis than were cows. Other sex-related differences in infection with either filariid was not found. Prevalence of infection with O lienalis was similar between age groups in all regions. Rates of infection with O gutturosa differed between age groups within and between subtropical and temperate regions. Examination of cervical and umbilical skin specimens for microfilariae detected an additional 6.6% of infected animals that had not been found by examination for adult worms. However, microfilariae were not found in 21.4% of animals that were positive for adult worms.

Age Factors↗