2009
Are Screening Guidelines for Abdominal Aortic Aneurysms Being Implemented within a Large VA Primary Health Care System?
Federman DG, Carbone VG, Kravetz JD, Kancir S, Kirsner RS, Bravata DM. Are Screening Guidelines for Abdominal Aortic Aneurysms Being Implemented within a Large VA Primary Health Care System? Postgraduate Medicine 2009, 121: 132-135. PMID: 19179821, DOI: 10.3810/pgm.2009.01.1962.Peer-Reviewed Original ResearchConceptsAbdominal aortic aneurysmVA health care systemPrimary health care systemHealth care systemCare systemAortic aneurysmPrimary careCare settingsVA Connecticut Healthcare SystemPrimary health care settingsAAA-related mortalityRetrospective cohort studyPrimary care settingEvidence-based recommendationsRecent imagingHealth care settingsMagnetic resonance imagingAbdominal ultrasoundCohort studyScreening ratesUltrasonographic screeningImaging evaluationAAA screeningScreening practicesPatients
2008
Psoriasis: an opportunity to identify cardiovascular risk
Federman DG, Shelling M, Prodanovich S, Gunderson CG, Kirsner RS. Psoriasis: an opportunity to identify cardiovascular risk. British Journal Of Dermatology 2008, 160: 1-7. PMID: 19016698, DOI: 10.1111/j.1365-2133.2008.08874.x.Peer-Reviewed Original ResearchConceptsCardiovascular risk factorsCardiovascular riskRisk factorsTreatable cardiovascular risk factorsPatients' cardiovascular riskMyocardial infarctionSevere diseaseHealth professionalsPsoriasisPatientsRiskLow qualityAssociationArthritisInfarctionAtherosclerosisInflammationMortalityFactorsPrevalenceDermatologistsDiseaseComplaints
2004
Full-Body Skin Examinations: The Patient's Perspective
Federman DG, Kravetz JD, Tobin DG, Ma F, Kirsner RS. Full-Body Skin Examinations: The Patient's Perspective. JAMA Dermatology 2004, 140: 530-534. PMID: 15148096, DOI: 10.1001/archderm.140.5.530.Peer-Reviewed Original ResearchConceptsPrimary care practitionersSkin cancerRisk factorsWest Haven Veterans Affairs Medical CenterVeterans Affairs Medical CenterPatient risk factorsPercent of participantsPatient questionnaireClinic appointmentsCutaneous malignanciesDermatology clinicExamination ratePrimary careLower incidencePatient reportsMedical CenterPatient's perspectiveCare practitionersCancer altersPatientsScreening testCancerConvenience samplePersonal historyLower rates
2002
Over-the-Counter sports supplements: What clinicians need to know
Kenkare Z, Federman D. Over-the-Counter sports supplements: What clinicians need to know. Comprehensive Therapy 2002, 28: 148-154. PMID: 12085464, DOI: 10.1007/s12019-002-0054-4.Peer-Reviewed Original Research
2001
Fatal Rhabdomyolysis Caused by Lipid-Lowering Therapy
FEDERMAN D, HUSSAIN F, WALTERS J. Fatal Rhabdomyolysis Caused by Lipid-Lowering Therapy. Southern Medical Journal 2001, 94: 1023-1026. PMID: 11702815, DOI: 10.1097/00007611-200110000-00016.Peer-Reviewed Original ResearchConceptsStatin therapyFatal rhabdomyolysisHigh-dose statin therapyDose statin therapySevere lipid abnormalitiesLipid-Lowering TherapyCoronary artery diseaseCombination of simvastatinTreatment of hypercholesterolemiaRenal insufficiencyLipid abnormalitiesArtery diseaseCombination therapyRisk factorsTherapyRhabdomyolysisAdditional agentsPatientsFibratesHypercholesterolemiaInsufficiencyMortalitySimvastatinAbnormalitiesCliniciansDermatology in primary care: Prevalence and patient disposition
Lowell B, Froelich C, Federman D, Kirsner R. Dermatology in primary care: Prevalence and patient disposition. Journal Of The American Academy Of Dermatology 2001, 45: 250-255. PMID: 11464187, DOI: 10.1067/mjd.2001.114598.Peer-Reviewed Original ResearchConceptsPrimary care physiciansCare physiciansSkin diseasesPrimary carePrevalence of patientsRetrospective chart reviewFrequency of patientsPrimary care settingGeneral medicine clinicPrimary care providersDiagnosis of lesionsChart reviewPatient dispositionChief complaintMedicine clinicCutaneous diseaseDermatology officeCare settingsCare providersPatientsSuspect lesionsSkin careSkin problemsDiagnostic proceduresUnknown originInterpretation of Cutaneous Biopsy Specimens
KIRSNER R, FEDERMAN D. Interpretation of Cutaneous Biopsy Specimens. Southern Medical Journal 2001, 94: 461-463. PMID: 11372790, DOI: 10.1097/00007611-200105000-00001.Peer-Reviewed Original ResearchConceptsPrimary care providersSkin biopsiesGeneral pathologistsCare providersCommon dermatologic disorderCommon skin disorderClinical-pathologic correlationCutaneous biopsy specimensDermatologic disordersBiopsy specimensHistologic interpretationHigh-quality color photographsBiopsySkin disordersDiagnostic testingClinical dermatologyLaboratory evaluationPCP scorePathologistsHistopathologyDisordersLimited trainingScoresProvidersDermatologyThe Primary Care Provider and the Care of Skin Disease: The Patient's Perspective
Federman D, Reid M, Feldman S, Greenhoe J, Kirsner R. The Primary Care Provider and the Care of Skin Disease: The Patient's Perspective. JAMA Dermatology 2001, 137: 25-29. PMID: 11176657, DOI: 10.1001/archderm.137.1.25.Peer-Reviewed Original ResearchConceptsPrimary care providersDermatology clinicPrimary careSkin diseasesDermatologist's abilityPatient's perspectiveCare providersSkin problemsVeterans Affairs Medical CenterGroup 1 patientsGroup 2 patientsPrimary care clinicsCross-sectional surveyMost patientsCare clinicsPatient satisfactionSkin biopsiesPCP's abilityMedical CenterPatient confidenceCutaneous surgeryPatientsSkin disordersPrevious careDermatologic care
2000
Pyoderma Gangrenosum and Myelodysplastic Syndrome
LITVAK D, KIRSNER R, PAKDAMAN N, FEDERMAN D. Pyoderma Gangrenosum and Myelodysplastic Syndrome. Southern Medical Journal 2000, 93: 923-925. PMID: 11005358, DOI: 10.1097/00007611-200009000-00019.Peer-Reviewed Original ResearchRecalcitrant Pyoderma Gangrenosum Treated With Thalidomide
Federman G, Federman D. Recalcitrant Pyoderma Gangrenosum Treated With Thalidomide. Mayo Clinic Proceedings 2000, 75: 842-844. PMID: 10943240, DOI: 10.4065/75.8.842.Peer-Reviewed Original ResearchFatal Bladder Cancer and Dermatomyositis
FEDERMAN D, RADONICH M, KIRSNER R. Fatal Bladder Cancer and Dermatomyositis. Southern Medical Journal 2000, 93: 492-493. PMID: 10832947, DOI: 10.1097/00007611-200005000-00009.Peer-Reviewed Original ResearchConceptsAdult-onset dermatomyositisCharacteristic cutaneous findingsUncommon inflammatory myopathyCases of dermatomyositisTransitional cell carcinomaInflammatory myopathiesCutaneous findingsInternal malignancyCell carcinomaFatal casesBladder cancerDermatomyositisCarcinomaMalignancyBladderMyopathyCancerFever and a rash in a 61 year old man
Federman D, Kirsner R. Fever and a rash in a 61 year old man. Postgraduate Medical Journal 2000, 76: 237-238. PMID: 10727572, PMCID: PMC1741540, DOI: 10.1136/pmj.76.894.237.Peer-Reviewed Original ResearchConceptsObstructive sleep apnoeaProximal lower extremity weaknessGastro-oesophageal reflux diseaseLower extremity weaknessWhite homosexual menYear old manProximal upper extremityShortness of breathWorsening rashSeronegative rheumatoid arthritisSleep apnoeaGenital ulcersTested HIVDry mouthPenile dischargeExtremity weaknessWrist painRaynaud's phenomenonMorning stiffnessReflux diseaseMedical historyBilateral handsHomosexual menRheumatoid arthritisOlder men
1999
Skin cancer screening in primary care: Prevalence and barriers
Kirsner R, Muhkerjee S, Federman D. Skin cancer screening in primary care: Prevalence and barriers. Journal Of The American Academy Of Dermatology 1999, 41: 564-566. PMID: 10495376, DOI: 10.1016/s0190-9622(99)80053-x.Peer-Reviewed Original ResearchConceptsSkin cancer screeningPrimary care providersCancer screeningSkin cancerAdult patientsPrimary careCare providersSkin cancer screening practicesCancer screening practicesHigh-risk patientsPrimary care visitsHalf of physiciansPrimary care practitionersSkin cancer incidenceFrequent deterrentsCare visitsMortality benefitCancer incidenceScreening practicesPatient embarrassmentNew Haven CountyCare practitionersSuspect lesionsCounty Medical SocietyPhysicians' lackLeukocytoclastic vasculitis, hepatitis B, and the risk of endoscopy.
Federman D, Kirsner R. Leukocytoclastic vasculitis, hepatitis B, and the risk of endoscopy. Cutis 1999, 63: 86-7. PMID: 10071736.Peer-Reviewed Original Research
1998
Epidemiology of peripheral vascular disease: a predictor of systemic vascular disease.
Federman D, Trent J, Froelich C, Demirovic J, Kirsner R. Epidemiology of peripheral vascular disease: a predictor of systemic vascular disease. Wound Management & Prevention 1998, 44: 58-62, 64, 66 passim. PMID: 9697547.Peer-Reviewed Original ResearchConceptsPeripheral vascular diseaseSystemic vascular diseaseSymptomatic peripheral vascular diseaseBody mass indexVascular diseaseRisk factorsPrevalence of PVDLower body mass indexCoronary artery diseaseCoronary heart diseasePhysical examination findingsImportant risk factorArtery diseaseHDL cholesterolExamination findingsLow ABIMass indexCerebrovascular diseaseCigarette smokingHeart diseasePhysical activityAdult populationOrgan systemsDiseasePatientsVideo Display Terminals: Risk of Electromagnetic Radiation
KIRSNER R, FEDERMAN D. Video Display Terminals: Risk of Electromagnetic Radiation. Southern Medical Journal 1998, 91: 12-16. PMID: 9438395, DOI: 10.1097/00007611-199801000-00002.Peer-Reviewed Original Research
1997
The certainty of uncertainty
Federman D. The certainty of uncertainty. Postgraduate Medicine 1997, 102: 33-34. PMID: 9411440, DOI: 10.3810/pgm.1997.11.347.Peer-Reviewed Original ResearchScreening for Skin Cancer in Primary Care Settings
Federman D, Concato J, Caralis P, Hunkele G, Kirsner R. Screening for Skin Cancer in Primary Care Settings. JAMA Dermatology 1997, 133: 1423-1425. PMID: 9371027, DOI: 10.1001/archderm.1997.03890470101016.Peer-Reviewed Original ResearchConceptsPrimary care settingSkin examinationSkin cancerCare settingsFecal occult blood testingRetrospective observational cohort studyVeterans Affairs Medical CenterOccult blood testingObservational cohort studyPrimary care visitsMedical record reviewSkin cancer screeningOutpatient medical clinicSkin-related complaintsCare visitsCohort studyAmbulatory visitsRecord reviewRectal examinationBlood testingPhysical examinationCancer screeningProstate examinationMedical CenterMAIN OUTCOMESibling rivalry?
Federman D, Federman A. Sibling rivalry? Postgraduate Medicine 1997, 102: 29-32. PMID: 9254388, DOI: 10.3810/pgm.1997.07.241.Peer-Reviewed Original ResearchCutaneous clues to systemic disease
Kirsner R, Federman D. Cutaneous clues to systemic disease. Postgraduate Medicine 1997, 101: 137-150. PMID: 9194870, DOI: 10.3810/pgm.1997.06.227.Peer-Reviewed Original Research