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PubMed1992

Heterosexually transmitted human immunodeficiency virus infection among pregnant women in a rural Florida community.

BACKGROUND: In the United States, an increasing proportion of women infected with the human immunodeficiency virus (HIV) live in nonmetropolitan areas. Little is known, however, about the risk factors for HIV transmission in women outside large cities. METHODS: We interviewed and tested 1082 (99.8 percent) of 1084 consecutive pregnant women who registered for prenatal care at a public health clinic in western Palm Beach County, Florida. This rural agricultural area of about 36,000 people is known to have a high prevalence of HIV infection. RESULTS: The seroprevalence of HIV was 5.1 percent (52 of 1011 women). Black women who were neither Haitian nor Hispanic had the highest rate of infection (8.3 percent [48 of 575]). Only 4 of 1009 women (0.4 percent) reported ever injecting drugs, and the 4 were HIV-seronegative; however, 14 of 43 users of "crack" cocaine (33 percent) had HIV infection. At prenatal registration, 131 of 983 women (13 percent) tested positive for gonorrhea, chlamydial infection, or syphilis. By multivariate logistic-regression analysis, HIV infection was found to be independently associated with having used crack cocaine (odds ratio, 3.3; P < 0.001), having had more than two sexual partners (odds ratio, 4.6; P < 0.001), being black but neither Hispanic nor Haitian (odds ratio, 11; P < 0.001), having had sexual intercourse with a high-risk partner (odds ratio, 5.6; P < 0.001), and testing positive for syphilis (odds ratio, 3.1; P = 0.015). Nevertheless, 11 of the 52 HIV-infected women (21 percent) reported a total of only two to five sexual partners and no known high-risk partners, had never used crack cocaine, and had no positive tests for sexually transmitted disease. CONCLUSIONS: In the rural community we studied, most of the women with HIV infection acquired it through heterosexual contact. The increasing seroprevalence of HIV and the increasing incidence of syphilis and use of crack cocaine mean that other women may be at similar risk of acquiring heterosexually transmitted HIV infection.

Adult↗
PubMed1969

A bacterium capable of using phytol as its sole carbon source, isolated from algal sediment of Mud Lake, Florida.

A species of Flavobacterium that consistently attacks pure phytol and can use it as a sole source of carbon has been isolated from the blue-green algal sediment of Mud Lake, Florida. Biochemical tests demonstrate that this bacterium also readily uses various other organic compounds. This bacterium may account for the degradation products of chlorophyll and its side chain phytol, which have been found in the Mud Lake algal sediment. Phytol and its degradation products play a role in Refsum's disease, but phytol is also the most promising precursor of the isoprenoid hydrocarbons found in oil shale of the Green River Formation (Eocene) of Colorado, Utah, and Wyoming. The discovery of this species of Flavobacterium is a significant product of a protracted study of the bacteriology, phycology, zoology, and geochemistry of the algal sediment forming in Mud Lake, which is believed to be a modern analogue of the kind of algal sediment that, through geologic time, became oil shale.

Chlorophyll↗
PubMedDate not supplied

Hepatitis A epidemics from utility sewage in Ocoee, Florida.

The 1988-1989 hepatitis A epidemic in the Palms section of Ocoee, Florida, followed sewage overflows and involved 39 cases and a fetal death. Of the 18 index cases (i.e., the first hepatitis illness in a household), each had a history of contact with sewage-contaminated stormwater and no other known contact with the infection. Illnesses varied from mild to severe; 20 people reported that diarrhea, abdominal pain, varying degrees of ascites, and other symptoms continued for 2 y after the initial illness. Health injuries up to 20 y of lost life, measured by CEA-Clinical Epidemiological AnalysisSM, were found. Public records of rainfall and sewage flows provide evidence of massive stormwater entry into the utility system, which periodically appears to have flushed sewage from the utility lift station into residential areas.

Adult↗
PubMed1984

A Basidiobolus sp. and its association with reptiles and amphibians in southern Florida.

To provide information about the distribution of a Basidiobolus sp., an occasional pathogen in the subtropics and tropics, 95 reptiles and amphibians, comprising eight different species, were trapped from the beaches and inland habitats of Tampa and Miami, Florida. Five of the eight animal species were infested with Basidiobolus sp. Approximately 50% of the animals collected carried this zygomycete. Under laboratory conditions, it remained in the digestive tracts of some starved anoles for up to 3 weeks. Some animals, whose digestive tract was fungus-free, could be colonized with the Basidiobolus sp. by feeding them mealworms contaminated with propagules of this fungus. This finding alters, in a minor way, the present concept of the life history of the fungus.

Amphibians↗
PubMedDate not supplied

Crack cocaine use and sexual activity in Miami, Florida.

Data are analyzed from the Multicenter Study of Crack Cocaine and HIV Infection in Miami, Florida, examining interrelationships among use of crack cocaine, use of other drugs, sexual activity, and exchange of sex for money and drugs. This study was designed to recruit two groups of approximately equal size: persons who reported current use of crack cocaine three or more times per week, and those who had never used crack. Participants (N = 641) were recruited in Miami. Participants' median age for first use of crack cocaine was higher than for use of alcohol, marijuana or powdered cocaine. It was also higher than participants' ages at first sexual activity, and somewhat higher than the median age for reporting initiation of trading sex for money or drugs. The median age of first crack use was lower among younger participants, suggesting that crack use in older participants followed quickly upon availability of the drug. Crack users reported reduced desire for sex and diminished ability to have sex after smoking crack. However, crack use was associated with increased sexual activity, trading sex for money or drugs, and sex with multiple partners. Participants who traded sex for money or drugs (traders) reported higher rates of condom use than nontraders; however, neither traders nor nontraders reported rates of condom use sufficient to substantially reduce the transmission of sexually transmitted diseases and HIV infection.

Adolescent↗
PubMed2000

Organochlorine, PCB, PAH, and metal concentrations in eggs of loggerhead sea turtles (Caretta caretta) from northwest Florida, USA.

Composite samples of unhatched and physically unaltered loggerhead sea turtle, Caretta caretta, eggs collected from 20 nests along northwest Florida were analyzed for organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), and metals. Chemical analyses revealed that turtle eggs contained detectable amounts of metals, PAHs, and PCBs. Only one OCP, p,p'-DDD, was detected, and its presence was restricted to eggs from two nesting sites. None of the PCB concentrations exceeded the Food and Drug Administration's (FDA) action limit. Concentrations of dioxin-like PCB congeners, 105, 118, and 126, and total PCBs were also detected and are contributors to the toxic burden of loggerhead sea turtle eggs. Concentrations of PAHs, 1,2,5,6-dibenzanthracene, 1-methyl naphthalene, C1-naphthalene and naphthalene were variable at nesting sites. Comparison of mean metal burdens in eggs from different beaches suggested that no uniform geographic gradients exist. Presence of OCPs, PCBs, PAHs and metals and their additive or synergistic toxicity is a concern to loggerhead sea turtle eggs; however, additive or synergistic impacts for loggerhead sea turtles are largely undocumented.

Animals↗
PubMed1985

Pesticide poisonings reported by Florida citrus fieldworkers.

In a 1981 survey of 1811 Florida citrus fieldworkers, 25 pesticide related poisoning incidents involving 29 fieldworkers were reported. Suspected poisonings were categorized into possible and confirmed poisonings, and from these reports it was possible to project an estimated 438 possible poisonings, and 73 confirmed poisonings among all citrus fieldworkers. Confirmed pesticide poisonings were developed into an incidence rate of 34 poisonings per 10,000 permanent and semi-permanent fieldworkers. The number of possible and confirmed poisonings, for all fieldworkers, was then developed into an incidence rate of 160 poisonings per 10,000 fieldworkers.

Adolescent↗
PubMedDate not supplied

Caresharing: hiding frailty in a Florida retirement community.

This paper presents research findings generated from a study of the structure of a "caresharing system" for the elderly who reside in a Florida retirement community during the last decade of the twentieth century. A caresharing system is a combination of strategies employed in order to maximize pleasure and minimize losses that might otherwise be associated with communal and individual aging processes. In this instance, the caresharing system entailed a series of conscious efforts to hide frailty in the community. Consequences of such caresharing systems and implications for future retirement communities are discussed.

Activities of Daily Living↗
PubMed2004

HIV risk, seropositivity and predictors of infection among homeless and non-homeless women sex workers in Miami, Florida, USA.

Although homelessness has frequently been associated with substance abuse, and has been established as a predictor of HIV risk among substance abusers, little is known about the impact of homelessness on HIV risk among female sex workers. This analysis investigated the contribution of homelessness to sexual risk taking among a sample of 485 female sex workers recruited into an HIV prevention programme in Miami, Florida, 41.6% of whom considered themselves to be currently homeless. Findings indicated that in comparison to non-homeless sex workers, significantly more homeless sex workers were daily users of alcohol and crack, and their past month sex work reflected significantly more frequent vaginal and oral sex acts, higher levels of unprotected vaginal sex and more numerous sexual activities while 'high' on drugs. At the same time, a significantly greater proportion of homeless sex workers encountered customers that refused to use condoms than did the non-homeless sex workers. There were no significant differences in HIV seropositivity between the homeless and non-homeless women (22.5 and 24.9%, respectively), primarily because the majority of the women in the study cycled in and out of homelessness.

Adolescent↗
PubMed2005

The effect of serostatus on HIV risk behaviour change among women sex workers in Miami, Florida.

HIV prevention and risk reduction are especially salient and timely issues for women, particularly among those who are drug-involved or who exchange sex for drugs or money. Studies suggest that HIV-prevention measures can be effective with highly vulnerable women, and have the potential to produce significant reductions in risk behaviours among both HIV-negative and HIV-positive women. Within this context, this paper examines risk behaviours and HIV serostatus among 407 drug-involved women sex workers in Miami, Florida, and investigates the effects of participation in HIV testing, counselling, and a risk-reduction intervention on subsequent behavioural change among this population. Overall, at follow-up, the HIV-positive women were 2.4 times more likely than the HIV-negative women to have entered residential treatment for drug abuse, 2.2 times more likely to have decreased the number of their sex partners, 1.9 times more likely to have decreased the frequency of unprotected sex, 1.9 times more likely to have reduced their levels of alcohol use, and 2.3 times more likely to have decreased their crack use. These data support the importance of HIV testing and risk-reduction programmes for drug-involved women sex workers.

AIDS Serodiagnosis↗
PubMed2002

Release potential of phosphorus in Florida sandy soils in relation to phosphorus fractions and adsorption capacity.

Information on P release potential in relation to labile P and P fractions in sandy soils is limited. In this study, P release potential was determined by leaching, and labile P, soil P fractionation, and P adsorption capacity were measured in the laboratory using 96 Florida sandy soil samples to evaluate the relationship between P release in water and soil P status. The sandy soils had a very low P adsorption capacity. The adsorption maximum, as calculated from the Langmuir equation, averaged 40.4 mg P kg(-1). More than 10% of the soil P was water soluble, indicating a high risk of P leaching from soil to water. Successive leaching using deionized water released, on average, 7.7% of total P (144.5 mg kg(-1)) in different soils, whereas labile P recovered by successive water extraction accounted for 39.2% of the total P. Variation in release potential among the different soils could be explained more by the difference in amounts of extractable P than the adsorption capacity. Total amounts of P released by successive leaching were significantly correlated with all labile P indices measured by different methods and all soil P fractions except for residual P. The correlation coefficients (r) were 0.97** for water-soluble P, 0.96** for 0.01 M CaCl2-P, 0.94** for Olsen P, 0.86** for Mehlich 1-P, 0.77*** for Mehlich 3-P, and 0.64*** for Bray 1-P. There were no obvious turning points in the relationships between Olsen-P, water-soluble P, or CaCl2-P and the amounts of P released from the sandy soils. The release of P from the sandy soils appeared to be controlled by a precipitation-dissolution reaction rather than a P sorption-desorption process. Furthermore, the sequential extraction of soils using deionized water indicated that P released was not limited to the labile P (H2O-P, NaHCO3-IP) and potentially labile P (NaOH-P) pools, but also from the HCl-P, indicating that all of P fractions except for residual P in the sandy soils can contribute to P release.

Adsorption↗
PubMed2002

The effectiveness of street sweepers in removing pollutants from road surfaces in Florida.

To test the effectiveness of street sweepers in the sandy-surfaced, subtropical Florida Peninsula, a controlled experiment was set up to compare the effectiveness of two different sweeper types in removing sediments, heavy metals, and organic constituents from a paved surface. Both a rotary brush and a regenerative air sweeper were tested on an asphalt roadway. The results indicate that rotary brush sweepers are more effective in removing total sediment loads from roads in this type of environment. However, the chemical analyses proved somewhat inconclusive. Each sweeper was effective in removing particular chemicals off streets, but neither sweeper proved better in all categories. Nevertheless, the rotary brush sweeper was most effective in removing the total sediment load off streets and is therefore recommended for use in areas covered with coarse sediments in the local drainage basin.

Environmental Pollutants↗
PubMed2005

High rates of club drug use and risky sexual practices among Hispanic men who have sex with men in Miami, Florida.

This study measured use of club drugs among 262 Hispanic men who have sex with men (MSM) recruited at community venues in Miami-Dade County, Florida in 2001. More than 50% of men used club drugs, and 36% used them in the last 3 months. Lifetime and 3-month rates were: ecstasy (36% and 20%), cocaine (34% and 12%), amyl nitrates (28% and 9%), and crystal methamphetamine (20% and 15%). Thirty-six percent had used two or more drugs (polydrug use) in their lifetime and 20% reported polydrug use in the last 3 months. Club drug users had significantly more sex partners in the last 12 months than nonclub drug users. High rates (35%) of unprotected anal sex in the last 3 months were reported by both groups. Men who reported polydrug use in the last 3 months were significantly more likely than men who used a single club drug to have had sex under the influence of club drugs (83% vs. 57%; X2=7.4, p=0.006). At the multivariate level, a significant association between preference for use of English and lifetime club drug use emerged. Effective interventions to reduce club drug use and risky sex for Hispanic MSM are needed.

Adolescent↗
PubMedDate not supplied

Oxygen consumption and the energetics of island-dwelling Florida cottonmouth snakes.

We measured oxygen consumption (Vo(2)) to estimate standard metabolic rates (SMR) in cottonmouth snakes (Agkistrodon piscivorus conanti) from Seahorse Key and the adjacent peninsula of northern Florida. The island population is unusual because adult snakes feed on fish that are dropped by colonial nesting birds, and food resources are temporally limited relative to that of mainland populations. We found no differences in SMR between island and mainland snakes at any of four experimental temperatures (15 degrees -30 degrees C), suggesting that any adjustments to energy limitations involve other aspects of physiology or behavior. As with other viperid species, the SMR of cottonmouths is about one-half of that expected from interspecific allometric regressions previously reported for snakes generally. Allometric mass exponents of SMR averaged 0.76 and were not affected by temperature. We found that Vo(2) increased with temperature (Q(10) = 2.4-2.8) and was elevated 29% during scotophase compared with photophase. Neonates exhibited elevated Vo(2)compared with older juveniles of similar size, apparently due to assimilation of yolk that is present in the neonatal gut. In adult snakes, specific dynamic action (SDA) following feeding resulted in four- to eightfold increases in Vo(2), with magnitude and duration related positively to relative meal size. The total energy devoted to SDA increased with meal size and averaged 32.8%+/-4.4% of total ingested energy. We estimate that a nonreproductive 500-g adult cottonmouth at Seahorse Key uses 3,656 kJ of assimilated energy annually for maintenance and activity, which requires ingestion of approximately 1 kg of fish.

Animals↗
PubMed2002

An outbreak of typhoid Fever in Florida associated with an imported frozen fruit.

An outbreak of typhoid fever in Florida involving at least 16 persons during the winter of 1998-99 was investigated using case-control, environmental, and laboratory methods. The genomic profiles of Salmonella serovar Typhi (Salmonella Typhi) isolates from the 15 confirmed case subjects were identical. Consumption of fruit shakes made with frozen mamey, a tropical fruit, was significantly associated with illness (matched odds ratio, 7.6; 95% confidence interval, 1.4-81.4). Laboratory testing showed that the fruit was heavily contaminated with fecal coliforms; no Salmonella Typhi was isolated. The frozen mamey was prepared in plants in Guatemala and Honduras. No further cases occurred after the frozen product was recalled. As our nation's food sources become increasingly globalized, the risk of outbreaks of exotic diseases linked to contaminated imported food will increase. This outbreak highlights the need for new approaches to ensure the safety of our food supply.

Adolescent↗
PubMed2001

Simulation studies of St. Louis encephalitis virus in south Florida.

Two simulation models were used to investigate the epidemiology of St. Louis encephalitis virus (SLEv) in south Florida, one including sentinel hosts (chickens) and amplification hosts (wild birds), while the other one included age structure in the amplification host population. The overall population size of the vector, Culex nigripalpus, was a major factor in the likelihood of epizootics for both models, but the seasonal dynamics of the vector alone did not explain variation in transmission. Interactions between seasonal factors in the mosquito and reproduction in the wild amplification avian hosts appeared to be important in the likelihood of epizootics. Biased feeding between sentinel and amplification hosts affected the time course of virus prevalence and may have implications for the interpretation of sentinel data. The time of virus introduction strongly affected the timing of outbreaks but did not affect the likelihood of epizootics. In most cases, the outbreak occurred immediately after virus introduction; however, in some cases the outbreak was delayed until the mosquito population increased. This has implications for the timing of control strategies directed against mosquito populations.

Animals↗
PubMed1993

HTLV-II infection in Florida Indians.

A significantly increased prevalence of antibodies to human T-cell leukemia virus (HTLV) has been described in several native American populations in the United States and Latin America. Initial virologic studies indicate that HTLV-II is the predominant virus responsible for this antibody pattern. We obtained blood samples from 106 Seminole Indians living on four reservations in Southern Florida. Seropositivity to HTLV-I/II was found in 14 (13.2%) of these individuals. Polymerase chain reaction (PCR) documented HTLV-II and the absence of HTLV-I in 7 of the 9 donors available for follow-up testing of white blood cells. Evaluation of various risk factors excluded blood transfusion or intravenous drug use as an important contributing factor to the HTLV-II seroprevalence rate. These studies support the hypothesis that HTLV-II is endemic in many native American tribes in the Western hemisphere.

Florida↗
PubMed1994

AIDS and long-term care. An examination of Florida's Medicaid incentive reimbursement program.

People living with HIV/AIDS will have a greater need for long-term care options as the disease develops into a chronic, rather than an acute, condition. Nursing homes, a major component in the long-term care continuum, traditionally have been reluctant to admit PWAs, forcing some states to adopt incentive programs to encourage such admissions. The efficacy of such programs, however, has not been studied. This article will examine Florida's Medicaid AIDS nursing home admission incentive program, focusing on its effect on PWA admission rates in the state.

Acquired Immunodeficiency Syndrome↗