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At least 1,099 records · Page 61Linked to original sources
PubMed1991

The impact of National Health Service Corps physicians in the lowering perinatal mortality rate in Dade County, Florida.

In some parts of Dade County, Florida, perinatal mortality rates have revealed serious problems in the delivery of health care to poor pregnant women. From 1982-1985, the reported perinatal mortality rates varied from 32-36 per 1000 live births, more than double the national average. Under the leadership of the Primary Health Care Consortium of Dade County (a federation of community health centers and other primary care providers), National Health Service Corps obstetricians and pediatricians served inner-city, medically needy patients as part of a coordinated perinatal plan from 1987-1989. Data on fetal and neonatal deaths, collected from census tracts adjacent to the community health centers, were used to study the impact of Corps obstetrician and pediatrician placement. The respective perinatal mortality rates were compared with those of 1986 as historic controls. Within a year, the overall perinatal mortality rate was reduced by 45%. As a result, an estimated 320 lives were saved between 1987-1989. This public health achievement represents a measurable impact due to assignment of National Health Service Corps physicians and can be used as a working model to reduce perinatal mortality in medically underserved communities in the United States.

Evaluation Studies as Topic↗
PubMed1991

Mosquito-transmitted malaria--California and Florida, 1990.

In 1990, two persons--one each in California and Florida--were diagnosed with malaria classified as cryptic; their infections may have been acquired in the United States through bites of mosquitoes that became infected after biting parasitemic migrant workers.

Adolescent↗
PubMed1991

Increasing breast cancer screening among the medically underserved--Dade County, Florida, September 1987-March 1991.

Efforts to detect breast cancer at early stages are critical in reducing breast cancer-associated mortality. However, in the United States, different barriers (e.g., lack of insurance, limited access to medical care, and limited awareness of the importance of early diagnosis and treatment) prevent certain groups from using early detection services. To promote early detection of breast cancer among an estimated 67,000 medically underserved women aged greater than or equal to 40 years, the Early Detection Program (EDP) was begun in Dade County, Florida, in the fall of 1987 (1). This report summarizes the progress of the program for September 1987 through March 1991.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1991

A three-year aerobiologic pollen survey of the Tampa Bay area, Florida.

An aerobiologic survey using a rotoslide sampler was conducted daily (January 1979 through December 1981) in Tampa, Florida. A major tree pollen season (Dec. through May) consisted of oak, pine, Australian pine, bald cypress, cedar, bayberry and mulberry. A minor tree season (Oct. and Nov.) consisted of Australian pine and elm. Grass pollen was found throughout the year and most prevalent April through October. A major weed pollen season (May through Dec.) consisted of ragweed, Mexican tea, pigweed, dog fennel, and false nettle. A minor weed season (March through July) consisted of sorrel and dock.

Air Pollution↗
PubMed1991

Pediatric tissue and organ transplantation in Florida.

Fifty to 100 children receive transplanted kidneys, hearts, livers, or bone marrow in Florida each year and many more bone allografts or other tissues (skin, cornea). Children are in the minority of the total solid organ transplantation but those with successful transplants are strong proponents of the procedure. Many (liver or heart failure) would have died without transplantation; others (kidney failure) would have lived but been tied to dialysis for life. The success rate varies with the organ or tissue transplanted. Some children return to a completely normal life without the need for immunosuppressive medications. Others require them continually. Cyclosporine, azathioprine and prednisone are the most frequently used. Rejection continues to be the leading cause of graft loss. Major impediments to solid organ transplantation are the paucity of acceptable organs and the high cost associated with maintenance of transplant patients.

Cadaver↗
PubMed1991

HTLV-I-associated leukemia/lymphoma in south Florida.

We report here 10 cases of adult T-cell leukemia/lymphoma (ATL) seen in South Florida between February 1988 and July 1989. All were seropositive for human T-lymphotropic virus type I (HTLV-I) and seronegative for human immunodeficiency virus type 1 (HIV-1). DNA extracted from tumor biopsies/peripheral blood lymphocytes of nine patients was shown by the polymerase chain reaction (PCR) to contain HTLV-I proviral DNA. Blot hybridization of DNA extracted from seven patients with an HTLV-I cDNA probe revealed a monoclonal pattern of proviral integration consistent with a diagnosis of ATL. Eight of the 10 patients were women. Six patients were from Haiti, three from Jamaica, and one from the Bahamas. All patients had very aggressive non-Hodgkin's lymphoma. Two patients presented with sinus and retro-orbital involvement; another had gastric lymphoma that perforated. Nine patients developed hypercalcemia. Eight patients died within 1 year of diagnosis. Two were lost to follow-up. During the course of this study, 66 new cases of non-Hodgkin's lymphoma were diagnosed at this hospital. Ten of these cases were ATL. The prevalence of HTLV-I-related lymphoma in this sample was 15%. Since tissue from all patients was not available for HTLV-I screening, however, it is possible that other cases of ATL went undetected. We conclude from this initial survey that a retroviral etiology should be considered in patients from populations known to be at risk for HTLV-I infection who present with non-Hodgkin's lymphoma.

Adult↗
PubMed1991

Update: transmission of HIV infection during invasive dental procedures--Florida.

Previous reports from an epidemiologic investigation in Florida strongly suggested that three patients (patients A, B, and C) became infected with human immunodeficiency virus (HIV) while receiving dental care from a dentist with acquired immunodeficiency syndrome (AIDS) (1,2). This report describes findings that suggest HIV was transmitted to two additional patients (patients E and G). These two patients had no other confirmed exposures to HIV, had invasive procedures performed by the dentist, and are infected with HIV strains that are closely related genetically to the strains from the three previously reported patients and from the dentist (Table 1). In addition, this report describes the epidemiologic and laboratory investigation of another HIV-infected patient of the dentist (patient F).

Dentists↗
PubMed1991

Barriers to health care for children. How's Florida doing?

Three primary barriers, financial, system, and knowledge, must be overcome to ensure quality health care for all children. Attempts to identify strengths and weaknesses in Florida's child health care system are directed at removing these barriers. Strengths include: an Institute of Child Health Planning, a legislative proposal to link child health insurance to school enrollment, several populous cities supporting good medical facilities and the availability of health care for all children. Areas of weakness include: lack of medical resources in underserved areas, disproportionate spending on health care for elderly versus young, and lack of identified financial resources to pay for school-linked health insurance.

Adolescent↗
PubMed1990

Breast Cancer Screening Project in Northeast Florida.

The American Cancer Society--Duval Unit, in June, 1987, helped organize a community demonstration screening project involving all hospitals and institutions with mammography units in the area. A Northeast Florida Cooperative Breast Cancer Screening Group was formed comprised of physicians and administrators from each institution. A total of 1,200 women agreed to participate in the project and each underwent complete screening including education, instruction in self-examination, physical examination by a physician and mammography as indicated according to ACS guidelines. Of the study group, 1,032 women were eligible for mammography at a participating center, and 628 (61%) underwent a mammogram at no cost to them as instructed. Twenty four (4%) had definite abnormalities which led to biopsy and seven (1%) of them had malignant lesions. The medical community organized to provide breast cancer screening and follow-up with low-cost mammography.

Adult↗
PubMed1990

Florida orthopedic surgeons react to liability concerns. Lower insurance coverage, protect assets, avoid trauma.

Three hundred thirty-six Florida orthopedic surgeons, an estimated 40% of those in active private practice, responded in a survey regarding liability effects on their practice. They indicated an average of 1.9 suits per surgeon, up from an average of 1.3 two years previously. Seventeen percent reported no professional liability coverage and combined with those who had dropped "tail" coverage to lower their premium, 29% are partially or completely uninsured. Half the surgeons responding reported $250,000 coverage or less; many more indicated their intention to reduce or eliminate coverage soon. Sixty-three percent have carried out estate planning asset protection steps. Responding to liability threats, 70% report significant recent practice style changes, the most common being avoidance of trauma patients and increasing the number of x-rays and tests ordered for patients. Origin of patients who subsequently became plaintiffs was usually the emergency room; however, the alleged injury usually occurred in the operating room later in that hospitalization.

Adult↗
PubMed1990

Mickey Mouse neurology. Neurological disorders in children visiting central Florida.

Seizures are the most common cause of pediatric neurological admissions in children visiting central Florida. In approximately 50%, seizures are brief, generalized and associated with fever. Most of the afebrile seizures leading to hospitalization occur in children not previously recognized as having a seizure disorder. Sleep-associated seizures ("benign epilepsy of childhood," rolandic seizures) may be recognized more easily during vacations when children often share a hotel room with parents or fall asleep in the family car.

Adolescent↗
PubMed1990

An update on Aedes albopictus in Florida.

Aedes albopictus has been reported from 2 Florida counties. This note updates those 2 infestations and reports 9 new county records, tests of pooled mosquitoes for Eastern equine encephalitis virus and the current status of regulations concerning waste tires in the state.

Aedes↗
PubMed1990

Nutrient content and nutrition labeling of several processed Florida citrus juice products.

From February 1986 to January 1988, samples of several processed Florida citrus juice products--frozen concentrated orange juice, orange juice from concentrate, pasteurized orange juice, grapefruit juice, and grapefruit juice from concentrate--were surveyed regularly during production. Samples were assayed for sodium, potassium, ascorbic acid, thiamin, calcium, iron, folic acid, phosphorus, magnesium, zinc, and copper primarily for the purpose of nutrition labeling. Means, standard deviations of the means, and maximum and minimum values of each nutrient are expressed in mg/6 fl oz for each product. In addition, the estimated percentage of the U.S. Recommended Daily Allowance (U.S. RDA) for each nutrient claimable at time of packing is given. (To be claimed on a nutrition label, a nutrient must occur at a minimum level of 2% of the U.S. RDA per serving, according to U.S. Food and Drug Administration [FDA] regulations.) The estimated percentage of the U.S. RDA claimable for ascorbic acid ranged from 90% to 100% in the orange juice products and was 70% for the grapefruit juice products. These juices are all considered significant sources of vitamin C. In the orange juice products, the percentage of the U.S. RDA for thiamin ranged from 6% to 8% and was 8% for folic acid. Significantly smaller amounts of each vitamin were noted in the grapefruit juices. Small but claimable levels of magnesium, calcium, copper, and phosphorus were found in one or more of the products tested. Neither zinc nor iron was found at the U.S. RDA minimum level of 2%. Significant amounts of potassium, for which there is no established U.S. RDA, were found in all the citrus juice products.(ABSTRACT TRUNCATED AT 250 WORDS)

Beverages↗
PubMed1990

Cysticerci (Cestoda: Taeniidae) from white-tailed deer, Odocoileus virginianus, in southern Florida.

Metacestodes (cysticerci) of Taenia omissa Lühe, 1910, and Taenia hydatigena Pallas, 1776, were found in 9 and 1 of 124 white-tailed deer, respectively, in southern Florida in 1984-1986. Intensities of T. omissa varied from 1 to 15 (mean = 4.6); only 1 cysticercus of T. hydatigena was collected. No significant difference in the prevalences of T. omissa according to sex, age, or locality was observed.

Age Factors↗
PubMed1985

Current status on the Florida Abate Monitoring program--susceptibility levels of three species of mosquitoes during 1984.

During 1984, larval susceptibility tests of temephos were performed on Aedes taeniorhynchus and Culex nigripalpus collected from the same general areas as in 1980-82, and the results compared to the susceptible laboratory strains. No resistance was detected against these two species. When strains of Culex quinquefasciatus from some new areas were tested against temephos, malathion, naled, fenthion and chlorpyrifos, their tolerance varied according to the insecticide tested and the origin of the strain. Some strains ranged from 1.6 to 43.0X more tolerant to temephos when compared to the West Florida Arthropod Research Laboratory strain (WFARL strain).

Aedes↗
PubMed1989

Trajectory analysis and bluetongue virus serotype 2 in Florida 1982.

Examination of Northern Hemisphere synoptic charts and computation of backward trajectories indicated that Culicoides infected with bluetongue virus serotype 2 could have been carried on the wind and brought the virus to Florida on the afternoon of August 19, 1982 after leaving northern Cuba the previous evening. Flight would have occurred at a height of 1-1.5 km at temperatures of 15-17 degrees C. The distance of 500 km from northern Cuba to Ona would have been covered in 20 h at an average speed of 25 km h-1. Computation of trajectories indicated that a second electropherotype, Ona B, was unlikely to have been introduced by infected Culicoides.

Animals↗
PubMed1989

Vitamin D deficiency in Florida, the Sunshine State.

Several years may be required for development of clinically evident osteomalacia in previously healthy subjects deprived of exposure to sunlight or enriched dietary sources of vitamin D. In a survey of residents of a 120 bed VA nursing home who had been patients there for two to six years, 17 were found to have x-ray or laboratory findings suggestive of the presence of vitamin D deficiency. Bone biopsy in eight of these 17 patients revealed definite osteomalacia in three patients. Thus, vitamin D deficiency may develop in confined, nonvitamin D fortified patients in Florida just as in more northern climes. Daily exposure for 30 minutes to sunshine or oral administration of 2.5 mg of vitamin D2 or D3 twice yearly has been recommended to prevent deficiency of this vitamin.

Aged↗