D J Van Durme's research while affiliated with Florida State University and other places

Publications (28)

Article
Braces and splints can be useful for acute injuries, chronic conditions, and the prevention of injury. There is good evidence to support the use of some braces and splints; others are used because of subjective reports from patients, relatively low cost, and few adverse effects, despite limited data on their effectiveness. The unloader (valgus) kne...
Article
Full-text available
The purpose of this paper is to comprehensively characterise the current use of electronic health records (EHRs) and personal digital assistants (PDAs) among family physicians in Florida; and to compare family physicians with other doctors with respect to the functions commonly used on their EHR and PDA systems. A postal survey was sent to family p...
Article
Full-text available
In 1980, 1700 people died during a prolonged heat wave in a region under-prepared for heat illness prevention. Dramatically underreported, heat-related pathology contributes to significant morbidity as well as occasional mortality in athletic, elderly, paediatric and disabled populations. Among US high school athletes, heat illness is the third lea...
Article
Full-text available
In 1980, 1700 people died during a prolonged heat wave in a region under-prepared for heat illness prevention. Dramatically underreported, heat-related pathology contributes to significant morbidity as well as occasional mortality in athletic, elderly, paediatric and disabled populations. Among US high school athletes, heat illness is the third lea...
Article
Increasing supplies of dermatologists and family physicians have been associated with earlier detection of malignant melanoma. We investigated whether physician supply was similarly related to incidence and mortality rates of malignant melanoma. Using the state tumor registry, we determined melanoma incidence and mortality rates for the years 1993...
Article
We wanted to determine the frequency with which sun protection measures are used by children at the beach. A cross-sectional study was undertaken that combined a brief, structured interview with direct observation of the sun protection methods (sunscreen, clothing, hats, shade) used for children at a public beach in Florida. Of the 139 children obs...
Article
Our goal was to determine if increasing primary care physician supply was associated with lower incidence and mortality rates for colorectal cancer. We performed an ecologic study of Florida's 67 counties, using data from the state tumor registry and the American Medical Association physician masterfile. Florida residents were included. We measured...
Article
Comorbidity may be associated with later detection of cancer. Incident cases of colorectal, breast, and prostate cancer and melanoma were determined from the 1994 Florida state tumor registry (N = 32,074). The relationship between comorbidity and late stage at diagnosis was examined using multiple logistic regression. Patients with comorbid conditi...
Article
The authors hypothesized that insurance payer and race would influence the care and outcomes for patients with breast carcinoma. The authors examined treatments and adjusted risk of death (through 1997) for all incident cases of breast carcinoma occurring in Florida in 1994 (n = 11,113) by using state tumor registry data. Patients lacking health in...
Article
Full-text available
We hypothesized that health insurance payer and race might influence the care and outcomes of patients with colorectal cancer. We examined treatments received for all incident cases of colorectal cancer occurring in Florida in 1994 (n = 9551), using state tumor registry data. We also estimated the adjusted risk of death (through 1997), using propor...
Article
Physicians are important in the early detection of melanoma. We investigated whether primary care physician supply and the supply of dermatologists were related to stage at diagnosis for malignant melanoma. From the state tumor registry in Florida in 1994, we identified incident cases of malignant melanoma for which stage at diagnosis was available...
Article
To examine sociodemographic characteristics as possible predictors of late-stage melanoma diagnosis. We hypothesized that late-stage diagnosis would be associated with the following: older age, male sex, unmarried status, lower educational attainment and income level, rural residence, and cigarette smoking. We used data from the state tumor registr...
Article
Despite widespread use, the accuracy of community-based automated blood pressure machines has been questioned. We sought to determine if these machines are as accurate and reliable as those obtained by a clinician with a mercury manometer. We randomly selected 25 pharmacies and compared blood pressure readings obtained from their automated machines...
Article
Policymakers question whether there is a relationship between the number and distribution of physicians and the outcomes for important health conditions. We hypothesized that increasing primary care physician supply would be related to earlier detection of colorectal cancer. We identified incident cases of colorectal cancer occurring in Florida in...
Article
At the University of South Florida College of Medicine, a program designed to give students four years of primary care training began in 1983. As of 1992, six classes that included program participants had graduated. The present study examined the effect of the program on the participants' choices of specialty by comparing their choices with those...
Article
Unavoidable exposure to disease and to patients susceptible and vulnerable to disease warrants that students entering medical school be immunized against many of the illnesses for which vaccines are available. The validity of immunization records presented at the time of registration, however, is largely dependent on the provision of accurate and r...
Article
Americans visit their primary care physicians several times a year. These visits provide physicians with many opportunities to reduce cancer risk in their patients by recommending periodic cancer screening. There is evidence of noncompliance among primary care physicians and their patients with regard to periodic cancer screening. Barriers to scree...
Article
Breast cancer detection and awareness projects have been implemented nationwide in an attempt to increase compliance with screening mammography. Previous studies, however, showed that the elderly, minorities, and women of lower socioeconomic status fail to respond in representative numbers. A cross-sectional analysis of 6640 participants of a Breas...
Article
Several organizations have made recommendations about medical students' health. To determine the University of South Florida College of Medicine's concurrence with published guidelines, a prospective analytic study of the 1990 entering class was carried out, using the 1989 class as a control. Enforcement measures not present in 1989 were initiated...
Article
A survey of primary care physicians in the greater Tampa Bay metropolitan area was conducted to determine compliance with screening mammography and associated physician characteristics. Information requested included their age, sex, specialty, and board certification status, and the ages and frequencies that they recommend screening mammography for...
Article
At the University of South Florida College of Medicine, there was a statistically significant drop in the number of 1990 graduates entering family practice residencies compared with the numbers entering during the previous decade. A retrospective analysis was carried out to determine what factors could have produced such a change and what specialti...

Citations

... The evidence on the effects of chronic diseases on cancer stage is mixed, with some studies indicating an association with advanced stage [27][28][29][30][31][32][33][34][35][36][37][38][39][40][41] , others showing no effect [42][43][44] and some reporting a reduced risk of advanced stage 27,30,33,36,39,40,[44][45][46] for patients with chronic diseases (Figure 1). ...
... For instance, three to four occupational heat stress fatalities are currently occurring every hour across the world [5]. While heat stress is more prevalent in working populations [2,[6][7][8][9][10][11], athletes [12,13] and other civilians, especially heat-vulnerable older adults and individuals with chronic health conditions who perform intense manual tasks are also affected by hyperthermia and heatrelated illnesses. Older individuals [4,14,15] and people with underlying cardiovascular diseases [4,[15][16][17] face significant heat-related morbidity and mortality, even when sitting or resting in hot conditions. ...
... The involvement of general practitioners (GP) or family practitioners has been recommended by several guidelines about screening program organisation [4][5][6]. Even though GPs are considered very important in any preventive practice because of their natural proximity to healthy beneficiaries, several studies have shown that GPs are not always well informed about CRCS practice, a consistent percentage of them do not trust FOBTs as an effective screening tests and finally there is a large variability in the recommendations given to their beneficiaries about CRCS [7][8][9][10][11][12][13][14]. ...
... Previous authors have found that the most significant determinants of vaccine uptake among medical students internationally relate to knowledge, professionalism, risk perception and vaccine cost [5]. There are few published examples of interventions aimed at improving medical student immunity, however several groups have had some success with mandating medical student immunity [6][7][8]. ...
... Nonpigmenting FDE (NPFDE) resemble to pigmenting FDE, but leave no residual pigmentation. A few cases of NPFDE have been reported to pseudoepinephrine-containing drugs, diflunisal, and furazolidone, especially in adult patients (4)(5)(6)(7). ...
... Few existing studies have had the specific goal of evaluating the effects of experience on the quality of medical care (11). However, length of time in clinical practice has been included as part of a set of physician characteristics that might explain variations in quality or that may be confounders of the association between quality and other factors (13)(14)(15)(16)(17)(18). ...
... The model and organisation of the service, and the knowledge, attitudes and practice of the provider may also influence the uptake of screening programmes. 31,32 Screening in school does minimise inconvenience to the child and family, but the family are required to actively participate if referral is required. This may explain why uptake at school vision screening is high in comparison to pre-school screening programmes with subsequent poor follow-up attendance for treatment. ...
... From the available literature examining this topic, the grouping established was consistent with other studies. [30][31][32] For analysis, we considered students to be interested in a technology-focused or non-technology-focused specialty based on their reported primary specialty interest. ...
... 20 However, the few studies evaluating publicly available monitors have shown them to be inaccurate. [21][22][23][24][25][26][27] Many of these studies are more than a decade old, and there remains limited evidence of how well the monitors maintain their rigour in a potentially challenging environment. Therefore, the authors assessed the accuracy of validated 28 Free blood pressure (BP) checks offered by community pharmacies provide a potentially useful opportunity to diagnose and/or manage hypertension, but the accuracy of the sphygmomanometers in use is currently unknown. ...
... The aging population, disparities in access to dermatology providers in rural areas, and increasing skin cancer rates all contribute to a high demand for dermatologic care. For skin cancer, especially melanoma, this can lead to poor health outcomes and higher mortality, as increased access to dermatologists is associated with earlier melanoma detection (16) and improved survival (17). Lower rates of skin cancer screening and melanoma awareness among marginalized communities, including Black Indigenous People of Color (BIPOC), may further impact mortality and morbidity disparities (18,19). ...