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 235 records · Page 13Linked to original sources
PubMed2003

"Born to be wild". The effect of the repeal of Florida's mandatory motorcycle helmet-use law on serious injury and fatality rates.

In response to political pressure, the state of Florida repealed its mandatory motorcycle helmet-use law for all operators and passengers older than the age of 21, effective July 1, 2000. Using monthly data and a multiple time-series design, the authors assessed the effect of this law change on serious injury and fatality rates for motorcycle riders aged 21 and older. Controls for serious injury and fatality rates for motorcycle riders younger than 21 years of age were included in the analyses. Maximum-likelihood results showed that the repeal of the mandatory helmet-use law in Florida had little observable effect on serious injuries or on fatalities that resulted from motorcycle crashes. Policy implications of these findings are discussed, and explanations are given as to why the repeal of the mandatory motorcycle helmet-use law in Florida was inconsequential.

Accidents, Traffic↗
PubMed1992

The Florida breastfeeding promotion project: a coalition effort to improve hospital practices and policies.

The Florida Healthy Mothers, Healthy Babies-Coalition initiated a breastfeeding promotion project. The Coalition focused on hospital policies because of their impact on breastfeeding success and because of the potential for working with other state efforts directed at pregnant women or new mothers. The Florida Healthy Mothers, Healthy Babies Coalition developed a three-part program. It consists of model hospital policies concerning breastfeeding, a lecture series which educates hospital nursing staff on the implementation of these model policies and a workshop through which trainers are prepared to present the educational program. Nurses' Association of the American College of Obstetrics and Gynecology (NAACOG), Special Supplemental Food Program for Women, Infants, and Children (WIC), and Florida Lactation Consultant Association (FLCA) all contributed to this project.

Breast Feeding↗
PubMed2005

Comparative analysis of body mass index, consumption of fruits and vegetables, smoking, and physical activity among Florida residents.

The purpose of this study was to compare body mass index (BMI), consumption of fruits and vegetables, smoking, and physical activity in residents of the 7 Florida counties with the highest reported BMI to residents of the 7 Florida counties with the lowest reported BMI utilizing 2002 data from the Florida Department of Health Behavioral Risk Factor Surveillance System. Results showed that survey respondents in counties with the lowest mean BMI consumed significantly more fruits and vegetables, compared to respondents in counties with the highest BMI. A positive relation between mean BMI and consumption of fruits and vegetables remained when controlled for physical activity, but not for smoking. Education about the importance of increased fruit and vegetable consumption, as well as physical activity, are important factors in the campaign against obesity.

Adolescent↗
PubMed2000

The jury is still in: Florida's Birth-Related Neurological Injury Compensation Plan after a decade.

Florida's Birth-Related Neurological Injury Compensation Plan (NICA) is the most significant experiment with compensation for medical injury yet undertaken in the United States. As NICA enters its second decade of operation, maintaining the scheme's jurisdictional integrity has emerged as a key challenge for policy makers in Florida. We explore the relationship that has emerged between NICA and the tort system as competing avenues for families to obtain compensation for severe birth-related neurological injury. By linking NICA claims data with data on malpractice claims filed in Florida, we found a lively persistence of "bad baby" litigation despite NICA's implementation. Many families pursued claims in both fora. An explanation for these results can be traced to key features of the plan's design--primarily, the way in which "exclusive" jurisdiction over injuries is determined and the restrictive nature of the compensation criteria used. Our findings may help efforts to consolidate NICA's role in injury compensation and inform future design of alternative compensation systems.

Birth Injuries↗
PubMed2005

The effects of Medicare Health Management Organizations on hospital operating profit in Florida.

Between 1992 and 1997, the number of members enrolled in Medicare Health Management Organizations (HMOs) nationwide in the USA more than doubled. During this period, managed care organizations wielded considerable influence over the health care of a large segment of the Medicare population in Florida. This study examined the impact on operational profit of 148 short-term, acute-care Florida hospitals in this period from Medicare HMO patients, as part of a hospital's payer mix. Three measures of hospital profitability were used: operating profit per actual bed, total operating profit with no adjustment for bed size, and operating margins. The multivariate statistical model employed in this study was a linear mixed model with an autoregressive order one (AR[1]) parametric structure on the covariance matrix. The results of the study indicate that Florida hospitals experienced greater profit pressures from Medicare HMO inpatients than from traditional Medicare inpatients. Further, these hospitals could have experienced positive profit effects with greater traditional Medicare participation and negative financial effects with greater Medicare HMO participation. Additionally, Medicare HMO patients appear to have been admitted to hospitals in worse health condition than those in traditional Medicare. Medicare HMO patients were more likely to have used emergency rooms as the source of admission than traditional Medicare patients. Also, Medicare HMO patients were more likely to have been admitted as emergent cases than traditional Medicare patients. Other research has shown that Medicare HMO patients, at the time of enrolment, are probably healthier than traditional Medicare enrollees, but here they appear to have been admitted to hospitals with higher levels of severity of illness. Explanations are offered for these findings.

Economics, Hospital↗
PubMed1995

Reproductive impairment in the Florida panther: nature or nurture?

Many of the remaining members of the endangered Florida panther (Felis concolor coryi) population suffer from one or more of a variety of physiological, reproductive, endocrine, and immune system defects including congenital heart defects, abnormal sperm, low sperm density, cryptorchidism, thyroid dysfunction, and possible immunosuppression. Mercury contamination, determined to be the cause of death of a female panther in 1989, was presented as the likely cause of thyroid dysfunction. As genetic diversity in the species was less than expected, all of the other abnormalities have been attributed to inbreeding. However, exposure to a variety of chemical compounds, especially those that have been identified as environmental endocrine disrupters (including mercury, p,p'-DDE, and polychlorinated biphenyls), has elicited all of the listed abnormalities in other species. A number of these contaminants are present in South Florida. An exposure pathway has been identified, and evidence presented in this paper, including the fact that there appears to be no significant difference between serum estradiol levels in males and females, suggests that many male panthers may have been demasculinized and feminized as a result of either prenatal or postnatal exposure. Thus, regardless of the effects of inbreeding, current evidence seems to indicate that environmental contaminants may be a major factor contributing to reproductive impairment in the Florida panther population.

Animals↗
PubMed2005

Overview of aerosolized Florida red tide toxins: exposures and effects.

Florida red tide is caused by Karenia brevis, a dinoflagellate that periodically blooms, releasing its potent neurotoxin, brevetoxin, into the surrounding waters and air along the coast of the Gulf of Mexico. Exposure to Florida red tide toxins has been associated with adverse human health effects and massive fish and marine mammal deaths. The articles in this mini-monograph describe the ongoing interdisciplinary and interagency research program that characterizes the exposures and health effects of aerosolized Florida red tide toxins (brevetoxins). The interdisciplinary research program uses animal models and laboratory studies to develop hypotheses and apply these findings to in situ human exposures. Our ultimate goal is to develop appropriate prevention measures and medical interventions to mitigate or prevent adverse health effects from exposure to complex mixtures of aerosolized red tide toxins.

Aerosols↗
PubMed1999

Political opportunism and the harassment of homosexuals in Florida, 1952-1965.

This paper examines activities by the state against homosexuals in Florida between 1952 and 1965. At the beginning of this period most of this activity took the form of police raids on gay bars, beaches and other gathering places. By the mid-1950s, however, the state government had established an investigations committee which concentrated on what the legislature saw as the "homosexual problem." The committee was particularly concerned with homosexual school teachers and faculty members in land grant universities in Florida, and attempted to purge state institutions of homosexual employees. This activity followed a similar campaign against homosexuals by the federal government and the article examines this in order to provide background for the Florida campaign. The ideology about homosexuals which was propagated by these campaigns is examined, as are the effects of the campaigns on homosexuals, and their response. Concern about the "homosexual menace" gradually abated and these discriminatory campaigns subsided. The article examines the social and political context of these campaigns and speculates on causes for the rise and demise of these campaigns. Principal among these appear to be political expediency by leaders of campaigns to extend political power by attacking a weak and defenseless target group, and a desire by conservatives to re-establish traditional values.

Faculty↗
PubMed1993

Commissions, clubs, and consensus: Florida reorganizes for health reform.

This paper explores the political dynamics by which a health reform leader state--Florida--engineered an ambitious reorganization of state health agencies as an expected prelude to bolder policy measures before the end of 1994. Demographic and fiscal pressures spurred the state to action, but its success at innovation demands a political explanation. This narrative highlights Florida's patient quest, by means of commissions and task forces, for common ground among parties of diverse dispositions; the sagacity of would-be innovators in wielding a potent policy "club"--the prospect of a single-payer system--to encourage a search for common centrist ground; and the consensus- and coalition-building skills of the state's leading executive and legislative figures. Florida's political skill has sustained impressive departures, but the hardest questions--how to finance universal coverage, how to secure universal access, and how to keep it all affordable--remain to be answered.

Budgets↗
PubMedDate not supplied

Exceptionalism or extravagance? What's different about health care in South Florida.

In posing the "puzzle" of Florida exceptionalism, Victor Fuchs raises fundamental questions about Medicare's efficiency and equity. We agree that the higher spending in Florida has little to do with lower mortality rates. However, physicians and hospitals do play a large role in making South Florida different. Miami physicians are not more generous in providing heart, hip, or back surgery, procedures that beneficiaries seeking an active lifestyle might want. Instead, end-of-life care makes Miami truly exceptional: Patients in their last six months of life see more physicians and spend more time in intensive care than is the case virtually anywhere else in the world.

Florida↗
PubMed2001

Treatment experience of multidrug-resistant tuberculosis in Florida, 1994-1997.

OBJECTIVE: To study the clinical characteristics and results of patients with diagnoses of multidrug-resistant tuberculosis (MDR-TB) in the state of Florida. METHODS: Retrospective chart review of all patients (n = 81) with diagnoses of MDR-TB in Florida between January 1, 1994, and July 31, 1997. RESULTS: The average number of resistant drugs was 4.8 (range, 2 to 11). Of 81 patients, 46 patients (57%) completed adequate therapy, 26 patients (32%) died, and 9 patients (11%) never completed a satisfactory course of treatment. Patients who received at least part of their therapy at A. G. Holley State Hospital, a specialized tuberculosis (TB) treatment center, had significantly higher treatment completion rates (79%) than those treated as outpatients alone (48% treatment completion rate, p < 0.001), even after the exclusion of patients who were acutely ill and died within 2 months of diagnosis. CONCLUSION: In Florida, a specialized TB care program for MDR-TB, including at least partial inpatient therapy, yielded higher treatment completion rates compared to outpatient treatment alone.

Adult↗
PubMed2002

Temporal and geographic genetic variation in Culex nigripalpus theobald (Culicidae: Diptera), a vector of St. Louis encephalitis virus, from Florida.

A field population of Culex (Culex) nigripalpus Theobald from Vero Beach, FL sampled monthly over a period of 24 mo, a colony sample and 10 geographic samples were analyzed for genetic variation at 14 enzyme loci using polyacrylamide gel electrophoresis. The Cx. nigripalpus colony sample showed significantly lower genetic variation than the field-collected samples, measured by mean number of alleles per locus (colony 1.4 +/- 0.1 versus field 2.1 +/- 0.22), percentage of polymorphic loci (colony 35.7% versus field 54.8 +/- 7.7%), but mean observed heterozygosity (Ho = colony 0.16 +/- 0.07 versus field 0.17 +/- 0.03) and mean Hardy-Weinberg expected heterozygosity (He = colony 0.14 +/- 0.06 versus field 0.18 +/- 0.02) did not differ significantly. Three of the 14 loci (Aldox, Gpd, and Gpi) from the Vero Beach field samples showed distinct temporal patterns in the frequency of the most common allele. Higher mean observed heterozygosity (Ho) occurred during months following high rainfall in the Vero Beach field samples than during months following low rainfall. The average Nm value of 3.6 indicated high gene flow among the temporally distributed samples of the Vero Beach population. Genetic variability values between geographic samples from Panhandle, FL and south Florida were not significant. Gene flow estimates based on F(ST) = 0.039 provided a Nm of 6.2 indicating high levels of gene flow among the geographic samples of Cx. nigripalpus. The average Nei's and modified Rogers' genetic distances among the 10 populations were 0.009 +/- 0.001 and 0.081 +/- 0.004, respectively. The cluster analysis did not suggest geographic clustering, Because Cx. nigripalpus is the vector of St. Louis encephalitis (SLE) in Florida, temporal and geographic genetic variation in this species is discussed in relation to the seasonal and geographic SLE virus activity in Florida.

Animals↗
PubMed2000

Introduction of potential heartwater vectors and other exotic ticks into Florida on imported reptiles.

Following the discovery of establishment of the African tortoise tick Amblyomma marmoreum in Florida, the present study was undertaken to determine the extent of introduction of exotic ticks into Florida on imported reptiles. Exotic ticks were identified on 29 (91%) of 32 reptile premises in 18 counties of Florida. The ticks, found on a variety of imported tortoises, snakes, and monitor lizards, belonged to 4 Amblyomma species (A. marmoreum, Amblyomma nuttalli, Amblyomma sabanerae, and Amblyomma sparsum) and 4 Aponomma species (Aponomma exornatum, Aponomma flavomaculatum, Aponomma latum, and Aponomma varanensis). The most commonly encountered ticks were A. latum and A. marmoreum. The identifications of A. marmoreum on 8 premises in 7 counties, and of A. sparsum on 1 premises, are of great concern because both species are vectors of heartwater, a lethal disease of cattle, sheep, goats, and deer.

Animals↗
PubMed2004

Parasitic helminths of black bear cubs (Ursus americanus) from Florida.

Twenty-two Florida black bear (Ursus americanus floridanus) cubs (< or = 12 mo old) from Florida were examined for endoparasites between 1998 and 2003. Eleven species of helminths were found (8 nematodes, 2 trematodes, and 1 acanthocephalan). The most prevalent helminths were Ancylostoma caninum (64%), Macracanthorhynchus ingens (36%), Strongyloides sp. (27%), Baylisascaris transfuga (23%), and A. tubaeforme (14%). New host records include A. tubaeforme and Brachylaima virginianum. This is the first report of B. transfuga in black bears from Florida.

Acanthocephala↗
PubMed2005

Parasitic helminths of Eurasian collared-doves (Streptopelia decaocto) from Florida.

Sixty-three Eurasian collared-doves (ECDs) (Streptopelia decaocto) from Florida were examined for parasitic helminths from June to December 2001. Nine species of helminths were identified (5 nematodes, 2 cestodes, and 2 trematodes). The most prevalent helminths were Ascaridia columbae (73.0%), Fuhrmannetta crassula (28.6%), Ornithostrongylus quadriradiatus (12.7%), and Bruscapillaria obsignata (11.1%). The helminths with the greatest mean intensity were Tanaisia bragai (13.5), A. columbae (9.3), and O. quadriradiatus (7.1). In Florida, the mean intensity of A. columbae in ECDs (9.3) was similar to that found in white-winged doves (Zenaida asiatica) (9.1) (P = 0.461), and both the intensities were significantly higher than that in the native mourning doves (Zenaida macroura) (3.7) (P = 0.001 and 0.005, respectively). Fuhrmannetta crassula is reported for the first time in columbids from Florida.

Animals↗
PubMed2006

An introduced generalist parasite, the sticktight flea (Echidnophaga gallinacea), and its pathology in the threatened Florida scrub-jay (Aphelocoma coerulescens).

The sticktight flea, (Echidnophaga gallinacea), a major pest of the domestic chicken (Gallus gallus) that can cause severe pathology or death if untreated, is rarely recorded in free-living avian species. Sticktight fleas, however, were observed on the federally threatened Florida scrub-jay (Aphelocoma coerulescens) in February 2004, in south central Florida. Of the 81 Florida scrub-jays (FSJs) sampled before the 2004 breeding season, 12 were infested, with from 1 to as many as 57 fleas. Subsequent survivorship and variation in health indices led us to conclude that the sticktight flea caused the death of several jays. Within 4 mo, 46% of sticktight flea-infested (INF) jays died, whereas in the nonflea-infested (NINF) jays, only 5.9% died. Adult INF birds lost body mass in the time since a previous capture compared with NINF jays, and mass gain was slowed in 1-yr-old INF jays. Hematocrit of INF jays was dramatically impacted, as low as 17%, and was negatively correlated with the extent of infestation. Leukocyte counts were highest in INF jays; however, plasma immunoglobulin levels were lowest. Physiological stress levels, measured using plasma corticosterone, increased more rapidly in INF jays than NINF jays and were positively correlated with heterophil/lymphocyte ratios. The impact of the sticktight flea on the federally threatened FSJ negates previous findings that sticktight fleas are benign in wild avian hosts.

Animals↗
PubMed2006

The influence of disturbance events on survival and dispersal rates of Florida box turtles.

Disturbances have the potential to cause long-term effects to ecosystem structure and function, and they may affect individual species in different ways. Long-lived vertebrates such as turtles may be at risk from such events, inasmuch as their life histories preclude rapid recovery should extensive mortality occur. We applied capture-mark-recapture models to assess disturbance effects on a population of Florida box turtles (Terrapene carolina bauri) on Egmont Key, Florida, USA. Near the midpoint of the study, a series of physical disturbances affected the island, from salt water overwash associated with several tropical storms to extensive removal of nonindigenous vegetation. These disturbances allowed us to examine demographic responses of the turtle population and to determine if they affected dispersal throughout the island. Adult survival rates did not vary significantly either between sexes or among years of the study. Survival rates did not vary significantly between juvenile and adult turtles, or among years of the study. Furthermore, neither adult nor juvenile survival rates differed significantly between pre- and post-disturbance. However, dispersal rates varied significantly among the four major study sites, and dispersal rates were higher during the pre-disturbance sampling periods compared to post-disturbance. Our results suggest few long-term effects on the demography of the turtle population. Florida box turtles responded to tropical storms and vegetation control by moving to favorable habitats minimally affected by the disturbances and remaining there. As long as turtles and perhaps other long-lived vertebrates can disperse to non-disturbed habitat, and high levels of mortality do not occur in a population, a long life span may allow them to wait out the impact of disturbance with potentially little effect on long-term population processes.

Animals↗
PubMed1993

Increasing frequency of heterosexually transmitted AIDS in southern Florida: artifact or reality?

Acquired immunodeficiency syndrome (AIDS) cases reported as the result of heterosexual contact have been increasing in the United States, with Florida reporting a disproportionate number. We investigated 168 such AIDS cases from southern Florida. After follow-up, 50 (30%) patients were reclassified into other transmission categories. The data suggest that the increased rate of heterosexually acquired AIDS cases reported from southern Florida was partially related to misclassification of risk.

Acquired Immunodeficiency Syndrome↗