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 361 records · Page 20Linked to original sources

Charlotte Harbor initiative: assessing the ecological health of southwest Florida's Charlotte Harbor estuary.

Charlotte Harbor is the largest and one of the least impacted estuaries on the southwest Florida coast, encompassing about 270 square miles (700 km2) with a watershed of 4400 square miles (11,400 km2). The Harbor is distinguished by extensive phosphate mining in its watershed and declining freshwater inflows, more protected submerged and intertidal areas than most Gulf ecosystems, and is part of the National Estuary Program. A hypoxic event occurs annually in the Harbor for possibly natural rather than anthropogenic reasons providing an opportunity for the study of hypoxic effects on the ecology of a large subtropical ecosystem. A 5-year, multimillion dollar study was begun in 2001 to enable scientists of Mote Marine Laboratory (MML, Sarasota, Florida) to collaborate on ecological characterization of the estuary and provide data necessary for resource managers to predict consequences of future population growth in the region. Initial studies were organized around themes of preservation, conservation and restoration while subsequent years of work are organized around a core program of physical, chemical and biological studies that track the ecological consequences of freshwater inflow, hypoxia and anthropogenic-derived contaminants. Along with MML, scientists in federal and state agencies along with a number of colleges and universities are cooperating in the project.

Animals↗

Metal levels in tissues of Florida gar (Lepisosteus platyrhincus) from Lake Okeechobee.

There is considerable concern about the effects of contaminants on organisms at higher trophic levels, as well as interest in developing bioindicators of ecological health. In this article we examine the levels of arsenic, cadmium, chromium, lead, manganese, mercury, and selenium in the gonads, liver and muscle of Florida gar (Lepisosteus platyrhincus) from Lake Okeechobee in south-central Florida. Gar are top-level predators in freshwater ecosystems. We expected that there would be differences in metal levels as a function of tissue, and predicted differences as a function of sex, size, and location around the lake. There were significant differences among tissues for all metals, but there were few differences as a function of size and gender, which may relate to the generally low levels of metals. Mercury levels were significantly higher in gar collected from the north, and arsenic levels were significantly higher in the gar collected from the south. All metal levels in the muscle of gar collected from Lake Okeechobee were similar to, or lower than those generally reported from other areas of the United States. Thus, although the levels of mercury from the Everglades to the south of Lake Okeechobee are sufficiently high to result in human fish consumption advisories, there are none for Lake Okeechobee. The mercury levels in fish muscle from Lake Okeechobee are lower than from many waters in the U.S. and do not pose a problem for humans. However, liver levels average over the 0.5 microg g(-1) level considered safe for human consumption, and might pose a problem for non-human consumers that eat the fish whole.

Animals↗

Doctor of Audiology program at the University of Florida.

The University of Florida on-campus AuD program is described. To date, 63 students have been enrolled in this program. Sixteen doctoral-level audiology faculty teach in this program, either in the classroom or clinically. Coursework spans all areas included in the audiology scope of practice. The curriculum also has classes taught by faculty in other related disciplines, such as medicine, neuroscience, pharmacology, and counseling. Clinical practicum experiences throughout the program occur in a major health science center on campus, along with a number of other clinical sites. With the support of a large faculty and the availability of a wide variety of clinical placements, the University of Florida AuD program provides the necessary knowledge and skills for students to become autonomous professionals.

Audiology↗

HIV prevention outreach in black communities of three rural north Florida counties.

Literature to guide HIV prevention outreach for southeastern rural blacks is limited despite the increasing prevalence of HIV infection in this population. Three men and one woman conducted HIV prevention outreach in three north Florida rural counties in teams of two. The workers received five days of training in additional homework assignments. The workers used HIV/AIDS outreach surveys to guide their 10- to 15-minute outreach visits. Five hundred seventy-four outreach contacts with blacks were made between January and June 2001 (329 in County 1, 176 in County 2, and 69 in County 3) with 347 women and 227 men. Eighty-four percent of the persons contacted accepted literature, 47.5% accepted male condoms, and 31.9% accepted female condoms. More women (99.4%) were knowledgeable about HIV/AIDS than men (92.5%), and they reported taking precautions against infection more often than men (98% vs. 90.3%). Many blacks in rural north Florida were receptive to an HIV prevention outreach program that provided information, literature, and condoms on the street and in homes. These findings suggest that HIV prevention outreach should be expanded to reach more rural blacks, who are increasingly at risk for HIV infection.

Adolescent↗

The prevalence of illicit-drug or alcohol use during pregnancy and discrepancies in mandatory reporting in Pinellas County, Florida.

Florida is one of several states that have sought to protect newborns by requiring that mothers known to have used alcohol or illicit drugs during pregnancy be reported to health authorities. To estimate the prevalence of substance abuse by pregnant women, we collected urine samples from all pregnant women who enrolled for prenatal care at any of the five public health clinics in Pinellas County, Florida (n = 380), or at any of 12 private obstetrical offices in the county (n = 335); each center was studied for a one-month period during the first half of 1989. Toxicologic screening for alcohol, opiates, cocaine and its metabolites, and cannabinoids was performed blindly with the use of an enzyme-multiplied immunoassay technique; all positive results were confirmed. Among the 715 pregnant women we screened, the overall prevalence of a positive result on the toxicologic tests of urine was 14.8 percent; there was little difference in prevalence between the women seen at the public clinics (16.3 percent) and those seen at the private offices (13.1 percent). The frequency of a positive result was also similar among white women (15.4 percent) and black women (14.1 percent). Black women more frequently had evidence of cocaine use (7.5 percent vs. 1.8 percent for white women), whereas white women more frequently had evidence of the use of cannabinoids (14.4 percent vs. 6.0 percent for black women). During the six-month period in which we collected the urine samples, 133 women in Pinellas County were reported to health authorities after delivery for substance abuse during pregnancy. Despite the similar rates of substance abuse among black and white women in our study, black women were reported at approximately 10 times the rate for white women (P less than 0.0001), and poor women were more likely than others to be reported. We conclude that the use of illicit drugs is common among pregnant women regardless of race and socio-economic status. If legally mandated reporting is to be free of racial or economic bias, it must be based on objective medical criteria.

Black or African American↗

Grower reported pesticide poisonings among Florida citrus fieldworkers.

In a 1981 survey of 436 Florida citrus growers, 27 pesticide related poisoning incidents were reported that were to have taken place within one year of the interview date. From these reports it is possible to estimate that there are 376 citrus fieldworker related poisonings per year in Florida. This number of estimated poisonings may be developed into an incidence rate of 113 fieldworker poisonings per 10,000 fieldworkers.

Agricultural Workers' Diseases↗

Prevalence of hepatitis C infection in patients with non-Hodgkin's lymphoma in South Florida and review of the literature.

The etiology of non-Hodgkin's lymphoma is unknown in the majority of the cases. Although Epstein-Barr virus, human T-cell leukemia-lymphoma virus and human herpes virus-8 have been established as casual agents in the pathogenesis of specific types of lymphoma, the role of hepatitis C virus (HCV) in lymphomagenesis remains controversial, with marked geographic variability. We conducted an epidemiologic study to evaluate the prevalence of hepatitis C virus infection in patients with lymphoma in South Florida. Ninety consecutive patients with lymphoma and 96 consecutive control patients with solid tumors were tested for HCV. HCV infection was detected in 2 patients with NHL (2.2%) and in 4 control patients (4.1%). Our study does not support the association between HCV and lymphoma in South Florida, US.

Case-Control Studies↗

Airborne emissions of mercury from municipal solid waste. I: new measurements from six operating landfills in Florida.

Mercury-bearing material enters municipal landfills from a wide array of sources, including fluorescent lights, batteries, electrical switches, thermometers, and general waste; however, the fate of mercury (Hg) in landfills has not been widely studied. Using automated flux chambers and downwind atmospheric sampling, we quantified the primary pathways of Hg vapor releases to the atmosphere at six municipal landfill operations in Florida. These pathways included landfill gas (LFG) releases from active vent systems, passive emissions from landfill surface covers, and emissions from daily activities at each working face (WF). We spiked the WF at two sites with known Hg sources; these were readily detected downwind, and were used to test our emission modeling approaches. Gaseous elemental mercury (Hg(O)) was released to the atmosphere at readily detectable rates from all sources measured; rates ranged from approximately 1-10 ng m(-2) hr(-1) over aged landfill cover, from approximately 8-20 mg/hr from LFG flares (LFG included Hg(O) at microg/m3 concentrations), and from approximately 200-400 mg/hr at the WF. These fluxes exceed our earlier published estimates. Attempts to identify specific Hg sources in excavated and sorted waste indicated few readily identifiable sources; because of effective mixing and diffusion of Hg(O), the entire waste mass acts as a source. We estimate that atmospheric Hg releases from municipal landfill operations in the state of Florida are on the order of 10-50 kg/yr, substantially larger than our original estimates, but still a small fraction of current overall anthropogenic losses.

Air Pollutants↗

Age shift in patterns of injection drug use among the HIV/AIDS population in Miami-Dade County, Florida.

Analysis of HIV exposure category for 20,034 persons in three age groups (13-29, 30-49, 50 and over) who were alive through 2003 and had been reported to the Florida Department of Health with HIV or AIDS in Miami-Dade County, Florida, found that having a history of injection drug use increases with increasing age (p < .001). Consideration of age-specific HIV risk profiles has implications for primary and secondary HIV prevention interventions, planning, and policy.

Adolescent↗

Secondhand smoke and earaches in adolescents: the Florida Youth Cohort Study.

The association between second-hand smoke exposure and adolescent middle ear problems has not been examined. A random sample stratified by region was drawn from a list that included approximately 40% of all Florida households with children in grades 4-7. A total of 785 Florida adolescents initially enrolled in the 4th-7th grade participated in three telephone interviews conducted over a 24-month period. At the round 3 interview, 10.3% of participants reported one or more earaches within the previous 30 days. Several second-hand smoke exposure questions asked at each of the three interviews were associated with the number of reported earaches. Stepwise polytomous logistic regression indicated that parental smoking inside the home reported at the round 3 interview was associated with the number of reported earaches (OR=3.11, 95% CI=1.70-5.66). Once this variable was selected, none of the other second-hand smoke exposure variables offered additional predictive value (p>.1). None of the non-second-hand smoke exposure variables, including the participant's own history of tobacco use, had any association with the reporting of earaches (p>.05). Second-hand smoke exposure is associated with self-reported earaches in adolescents. These findings should be replicated in a study in which clinical measures of middle ear function are performed.

Adolescent↗

Monitoring study of urinary metabolites and selected symptomatology among Florida citrus workers.

A cross-sectional monitoring study was made of citrus fieldworkers employed during an entire citrus growing season in Florida. A survey questionnaire was administered to 1811 fieldworkers employed as applicators, mixers, loaders, tractor drivers, general combination workers, and pickers on 436 citrus groves throughout Florida. The study was designed to evaluate exposure to organophosphorus pesticides by analyzing the urine of citrus fieldworkers for dimethyl phosphate (DMP), dimethyl thiophosphate (DMTP), dimethyl dithiophosphate (DMDTP), diethyl phosphate (DEP), diethyl thiophosphate (DEPT), and diethyl dithiophosphate (DEDTP), and to relate the findings to the reported occurrence of selected health symptoms associated with pesticide intoxication. Urine samples were collected for analysis from 332 spray-season workers and 265 harvest-season workers. Measurable DEP residue values were found in 68% of the spray season workers and 43% of the harvesters. However, with the exception of DEP and DETP values in the urine of spray-season workers, metabolite residues were low, often at, or just above, detection limits (which were usually 0.02 ppm but occasionally rose higher, with a few at 0.03 ppm and a very few at 0.04 ppm). Although there was clearly exposure to organophosphates among the citrus fieldworkers, there was no apparent association between the reported health symptoms and the relatively low levels of organophosphate metabolites found in the urine of the workers.

Agricultural Workers' Diseases↗

Preventive therapy for asthmatic children under Florida Medicaid: changes during the 1990s.

BACKGROUND: In response to the increasing prevalence and severity of asthma in this country, the National Institutes of Health in 1991 published an expert consensus report Guidelines for the Diagnosis and Management of Asthma. An important aspect of the report included the recommendation that children with moderate asthma may benefit from daily treatment with anti-inflammatory drugs such as inhaled corticosteroids and cromolyn. OBJECTIVES: The objective of this article is to examine changes in prescribing of daily anti-inflammatory drugs for children covered by Florida Medicaid during two 2-year periods, the first just after publication of the Guidelines and the second 7 years later; and to estimate adherence to treatment by children who received one of them. DESIGN: The study groups for each of the two 2-year periods included only children 2 to 18 years old who had medical or institutional claims to Medicaid for asthma and who were continuously covered during the period. From outpatient claims files, a record was assembled for each child containing the number of prescriptions in each category of asthma drugs during each interval. For each child who had received a prescription for any daily preventative drug, the number of such prescriptions and the time after the first were used to calculate availability of medication. RESULTS: The proportion of children receiving at least one prescription for a preventive drug rose from 26.9 per cent of children in 1990-1992 to 52.6 per cent in 1997-1998. African-American children were less likely to receive a preventive in the earlier period, but the difference narrowed by 1997. Assuming that one refill provided a month's supply of drug, the percentage of children who had enough drug dispensed to treat for more than half of the time following the initial prescription rose from 6.1 to 11.2 per cent. For children with the highest use of beta-agonist (11 or more prescriptions over 2 years), the percentage rose from 25.3 to 35.8; in those with 5 or more courses of a systemic steroid, the proportion rose from 36.6 to 40.2. During the second interval, adherence to use of oral montelukast was no better than to inhaled daily medications. CONCLUSION: In the 7 years after the publication of the NIH Guidelines, asthmatic children covered by Florida Medicaid had an approximate doubling in the proportion who received a prescription for a daily anti-inflammatory drug. However, during both intervals the adherence to treatment once prescribed remained low even among those with the severest asthma. Effective strategies to improve adherence will be needed before these drugs can realize their potential.

Adolescent↗

Pharmacy involvement in patient-focused care in Florida hospitals.

Hospital pharmacy directors in Florida were surveyed to determine the effects of patient-focused care on pharmacy practice. In a statewide mail survey in 1994, directors were asked whether their hospital had implemented patient-focused care or was planning to, what factors influenced this, whether and how the pharmacy was involved, what changes in structure and services resulted, and how they perceived the impact of patient-focused care on the practice of hospital pharmacy. They were asked to identify specific programs, interdisciplinary teams, and opportunities associated with patient-focused care programs. Usable surveys were returned by 148 respondents (48.8% response rate). Fifty-three (35.8%) of the respondents had implemented patient-focused care and 50 (34%) were planning to ; 82.5% of these respondents (85 of 103) said pharmacists were involved in the planning efforts. Respondents said hospital administration was most often responsible for initiating patient-focused care, and cost was the top-ranked reason. For pharmacy, patient-focused care brought more interdisciplinary activities and new services. Florida hospital pharmacy directors thought patient-focused care would change the practice of pharmacy and that the change would be positive.

Attitude of Health Personnel↗

Snowbirds, sunbirds, and stayers: seasonal migration of elderly adults in Florida.

OBJECTIVE: Most migration statistics in the United States focus on changes in place of usual residence, thereby missing temporary moves such as business trips, vacations, and seasonal migration. In this article, we analyze the temporary in- and out-migration of elderly adults in Florida. Our primary objectives are to develop a methodology for estimating the number of temporary migrants and to analyze their demographic characteristics. METHODS: Using survey data, we estimated the number, timing, and duration of temporary moves and the origins, destinations, and characteristics of elderly temporary migrants. We compared the characteristics of temporary in-migrants, out-migrants, and non-migrants, and we used logistic regression analysis in order to evaluate differences in those characteristics. RESULT: We estimate that Florida had more than 800,000 elderly temporary in-migrants and more than 300,000 elderly temporary out-migrants at peak times in 2005. Income, education, employment, and health status were among the major determinants of temporary migration. DISCUSSION: The temporary migration of elderly adults has a major impact on the resident populations of both sending and receiving communities. This article presents a methodology for estimating temporary migration and provides insights into migratory patterns that cannot be achieved by focusing solely on changes in place of usual residence.

Aged↗

Geographic inequalities in the availability of government-subsidized rental housing for low-income older persons in Florida.

PURPOSE: This article investigates the extent to which government-subsidized affordable rental units available to low-income older persons are unequally and unfairly distributed throughout Florida's counties. DESIGN AND METHODS: Primary data sources from the U.S. Department of Housing and Urban Development and the U.S. Census were analyzed using two location inequality statistical measures: quintile analysis and the Dissimilarity Index. Three comparison standards measuring the county locations of the community-wide low-income elderly and nonelderly populations were used to judge whether these patterns are geographically unfair. RESULTS: Compared with the overall locations of Florida's low-income older population, elder-occupied government-subsidized rental housing units are concentrated in fewer counties. On the basis of several standards, these affordable housing units are judged to be unfairly located, resulting in most of the state's low-income elderly population living in counties that are underserved by these accommodations. IMPLICATIONS: The findings offer other states and local areas guideposts to assess and compare the extent of geographic inequality and unfairness in the availability of their affordable senior housing opportunities. Why these inequalities exist and their implications for older persons are researchable questions.

Demography↗

Factors predicting lawsuits against nursing homes in Florida 1997-2001.

PURPOSE: We explore how nursing home characteristics affect the number of lawsuits filed against the facilities in Florida during the period from 1997 to 2001. DESIGN AND METHODS: We examined data from 478 nursing homes in 30 Florida counties from 1997 to 2001. We obtained the data from Westlaw's Adverse Filings: Lawsuits database, the Online Survey, Certification, and Reporting system database from the Centers for Medicare and Medicaid Services, and state complaint surveys, and we also used primary data. We used negative binomial regression to explain total lawsuit variance by year. We controlled for acuity and year effects, and our explanatory variables included (a) facility characteristics--including staffing, number of beds, multistate system membership, and for-profit ownership--and (b) quality measures--including total number and type of state licensing survey deficiencies, pressure-sore development, and medication errors per resident. RESULTS: Higher registered nurse and certified nursing assistant staffing levels were associated with fewer lawsuits. More deficiencies on the licensing survey and larger and for-profit nursing homes were positively related with higher numbers of lawsuits. IMPLICATIONS: This study suggests that nursing homes that meet long-stay staffing standards, meet minimum quality measures, are not for profit, and are smaller will experience fewer lawsuits.

Florida↗

The relative benefits and cost of medicaid home- and community-based services in Florida.

PURPOSE: We compared inpatient days, nursing home days, and total Medicaid claims for five Medicaid-funded home- and community-based services (HCBS) programs for in-home and assisted living services in Florida. DESIGN AND METHODS: We studied a single cohort of Medicaid enrollees in Florida aged 60 and older, who were enrolled for the first time in any of five Medicaid HCBS programs and who had at least one assessment (N=6,014). In this 3-year longitudinal study, we used a two-stage probit regression and ordinary least squares regression in order to test the independent effects of explanatory variables on outcomes and cost. RESULTS: After controlling for differences in frailty, chronic health conditions, presence of dementia, and available caregiver, we found that Medicaid HCBS programs had a differential effect on hospital and nursing home utilization and cost. IMPLICATIONS: Medicaid HCBS programs serve very impaired populations at a wide range of costs to Medicaid. The rates for Medicaid HCBS programs could be adjusted upward or downward in order to better reflect the level of need in each program. At the same time, providers could use titration techniques based on the relative costs of these needs in order to budget for the costs of meeting the needs of particular elders.

Aged↗

Solid waste and pancreatic cancer: an ecologic study in Florida, USA.

BACKGROUND: Other than cigarette smoking, modifiable risk factors for pancreatic cancer have not been consistently identified. This study explored the ecologic relationship between pancreatic cancer incidence and measures of cigarette smoking, income, and solid waste collection for Florida's 67 counties. METHODS: We used Florida's population-based cancer registry to compare county-specific incidence rates of pancreatic cancer among Whites to median household income, the per county prevalence of cigarette smoking, and to measures of per capita municipal solid waste collected. RESULTS: County-specific incidence rates for pancreatic cancer ranged from 0 to 8.1 per 100,000 per year and were significantly correlated with income (r = 0.35), cigarette smoking (r = 0.39), and solid waste (r = 0.47). The correlation between pancreatic cancer and solid waste was largely attributable to one sub-component of solid waste, yard trash (grass clippings, and tree and shrub trimmings) (r = 0.42). Using a stepwise regression procedure, only cigarette smoking and yard trash remained significant in the model. CONCLUSIONS: These data suggest that some factor associated with grass and tree trimmings, e.g. insecticides and herbicides, may increase the risk for pancreatic cancer. This hypothesis is consistent with several reports of pancreatic cancer and insecticide exposure in individuals and may suggest new avenues for research in pancreatic cancer.

Florida↗