Medicine and Health Sciences Commons^™

Exploring Medical Marijuana Knowledge And Perceptions Among A Community-Based Sample, Lan'tejuana S. Cooper, Jullet Davis Weaver, Vanessa Crowther, Marisa Lewis

Florida Public Health Review

Exploring Medical Marijuana Knowledge and Perceptions among a Community-Based Sample

Abstract

Background: The increasing number of states legalizing marijuana suggests that a growing majority of adults now see marijuana as offering more benefits than risks. As use increases, the need to better understand user characteristics and the nature of their beliefs also increases. Purpose: This exploratory study investigates the knowledge and perceptions of medical marijuana among community-based individuals. We theorize that demographic characteristics, socioeconomic status, social network, health status, and knowledge about marijuana are associated with the number of conditions the person believes marijuana treats. Methods: The study utilizes a …

Risk Factors For Emergency Medical Care Or Hospitalization Due To Heat-Related Illness Or Injury: A Systematic Review, Blair Litwiller, Amber N. Barnes

Florida Public Health Review

Background: Temperatures globally have been predicted to increase due to changes in the climate. As the earth gets warmer, it is expected that heat-related illness will also increase worldwide. An effective and appropriate public health response will be critical. Purpose: The aim of this review was to identify risk factors associated with heat-related illness and injury to provide target areas for future interventions. Methods: A review of existing literature was analyzed for risk factors that may increase the likelihood of being admitted to an emergency department for a heat related illness or injury. Results: Of the …

Community Approaches To Veterans And Active-Duty Service Member Suicide Prevention Through Public Health Outreach: A Commentary, Joe Bohn, Tommy Childers, Christopher Baglivo

Florida Public Health Review

We discuss insights on a West Central Florida community-based Veterans suicide prevention effort- a series of Veterans coffee socials. Noted as a public health crisis which has been well documented, the article provides an overview of the importance of public health approaches and academic public health engagement at a local level to addressing suicide prevention at community levels. An active-duty service member’s perspective is provided that points to common pain points that that extend to the Veterans community with reintegration challenges. A community-based participatory research methodology has been applied which stressed the importance of community partners (e.g., public, private and …

Programmatic Impacts Of Utilizing Various Staffing Options For Covid-19 Contact Tracers: Recommendations And Lessons Learned, Michael Wiese, Alison Oberne, Laura Rusnak, Patrick Rodriguez, Matawal Makut

Florida Public Health Review

Background: The rapidly expanding COVID-19 pandemic created an immediate demand for the Department of Health in Hillsborough County (DOH-Hillsborough) Epidemiology Program to supplement its contact tracing workforce; and, because of the long duration of the response, a sustained workforce was needed. The DOH-Hillsborough Epidemiology Program’s COVID-19 response, broadly referred to as “contact tracing”, included case investigations, outbreaks, and identification and notifications to exposed individuals. To meet contact tracing staffing needs, several staffing options were utilized, including Core Epidemiology Staff, Reassigned DOH-Hillsborough staff (Reassigned Staff), Contracted staffing agency hires (Contract Staff), State of Florida hires (State Level Hires), County hires (DOH-Hillsborough …

Disparities In Covid-19 Case Counts And Incidence In Florida By Race And Ethnicity At The County And State Level, Elizabeth Weaver

Florida Public Health Review

Background: In 2020, as COVID-19 spread across the United States, reports of disparities in COVID-19 incidence and mortality by race and ethnicity soon followed. This study assessed COVID-19 case counts and incidence by race and ethnicity at county and state levels focusing on Florida.

Methods: Counts of COVID-19 were collected from June through December 2020. Chi square analyses assessed disparities in case distribution and linear regressions assessed disparities in incidence and potential interaction between predictors.

Results: Race and ethnicity were significant predictors of COVID-19 incidence. Mean incidence was 4.9, 6.6, and 14.3 per 1,000 people among White, Black, and Other …

The Chernobyl Nuclear Meltdown And Health Complications Among The Citizens Of Pripyat, Elizabeth A. Tarter

PANDION: The Osprey Journal of Research and Ideas

On April 25, 1986, reactor number 4 in the Chernobyl Nuclear Power Plant near the city Pripyat went into a catastrophic meltdown. In the aftermath of the atomic disaster, the Soviet government misrepresented the severity of the danger to those who lived in the immediate area near the plant. This paper uses medical studies and firsthand accounts to argue that the meltdown at the Chernobyl Nuclear Power Plant and the delay of government involvement resulted in lifelong negative impacts on the lives and health of Pripyat citizens and neighboring towns.

Occupational Health And Safety Trainees Reflect On Their Education And Future Careers During Covid-19., Jennifer Marshall Phd, Mph, Cph, Vidya Chandran Mba, Mph, Cph, Bds, Davies Toluhi Mbchb, Mph, Cph, Karen D. Liller Phd, Mph, Cph, Saloni Mehra Mph, Cph, Candace Burns Phd, Ms, Aprn, Faaohn

Florida Public Health Review

Background: The National Institute for Occupational Safety and Health (NIOSH) funded Education and Research Centers (ERCs), located at 18 universities, with the mission to train occupational safety and health (OSH) leaders. The Florida Sunshine ERC has trained hundreds of students since its inception in 1997 through seven programs that collaboratively foster interdisciplinary education and applied research and practice. The COVID-19 pandemic has presented practical challenges for educators, students, and trainees, forcing institutions to move to remote learning. The pandemic also magnifies the importance of public health and OSH.

Purpose: This evaluation elicited feedback from ERC trainees early in the …

Exploring The Association Of Physician Characteristics To Patient Requests For Genetic Testing, Vanessa B. Crowther, Sandra G. Suther, Jullet Davis Weaver, Clement K. Gwede, Matthew T. Dutton, Dongming Cui, Ivette A. López

Florida Public Health Review

Background: Cancer genomic testing improves health outcomes for individuals at risk, drives cost-efficiency, and facilitates healthcare equity; however, little is known about how physician demographic and practice characteristics influence patient requests for genetic testing. Purpose: To explore whether (and to what extent) physician demographic and practice characteristics are associated with patient requests for cancer genetic testing. Methods: A cross-sectional quantitative design survey was distributed to 1240 primary care physicians registered with the state health department who had active licenses and main practices in Florida. Primary care physicians were defined as those who practice family medicine, internal medicine, obstetrics, and gynecology. …

Covid-19 Vaccination: Public Health Lessons From A Large Indoor Gathering, Nidhi Manikkoth, Kirthika Venkatesan, Subrahmanya Bhat, Madhavan V Pillai, Nisha Nigil Haroon

Florida Public Health Review

COVID-19 transmission rates among vaccinated persons attending large gatherings have not been reported widely. This research was intended to track the potential incidence of COVID-19 among physicians and their families who attended a large in-person gathering in Atlanta in August 2021. After the successful conclusion of a large-scale indoor gathering, we encouraged all attendees to self-report the incidence of COVID-19 illness. In addition, an online questionnaire was disseminated to collect basic information about age, gender, place of residence, vaccination status including the number of doses, type, and date of each dose as well as behavioral and convention factors that would …

A Comparison Of Diet And Physical Activity Behaviors Of High School Students In Duval County And Nationally: 2019 Yrbs, Bethley Luctama, Sydney Bridges, Kaitlyn Kol, Jack Sparkman, Judith Rodriguez

Florida Public Health Review

Background: Establishing proper physical activity and dietary behaviors during adolescence is crucial because these habits will carry on with the individual into adulthood. Proper physical activity and nutrition reduce the risk of illness and ailments.

Purpose: Identifying physical activity and dietary behaviors of adolescents in Duval County, FL, and the U.S. nationally. This study examines the differences between the Duval County and national samples using gender and grade comparisons.

Methods: The study utilized data from the 2019 Youth Behavior Risk Survey for high school students. Analysis was conducted for eight questions encompassing both physical activity and dietary behaviors to examine …

Homelessness In Urban Communities In The Us: A Scoping Review Utilizing The Socio-Ecological Model, Rolando F. Trejos Saucedo, Carla Y. Salazar Marchan, Lauren Linkowski, Shannon Hall, Lynette Menezes, Karen Liller, Joe Bohn

Florida Public Health Review

Homelessness remains a core element of the current housing stability crisis in the United States, especially in urban communities. Disparities are an important part of the pathway to homelessness, but they alone are not enough to generate and perpetuate homelessness in the US. Therefore, it is crucial to analyze existing literature to provide an evidence-based framework to help inform homeless-related policies, programs, and interventions to improve the quality of life for homeless individuals. This scoping review aims to map the last five years' literature around homelessness in U.S. urban communities by utilizing the socioecological model to analyze system-based implicated factors. …

Florida Healthcare Workers Responses To Covid-19, Kristen K. Hicks-Roof

Showcase of Faculty Scholarly & Creative Activity

These two articles were published to describe the landscape of Florida healthcare professionals' responses to COVID-19. These data were collected in mid-2020 when times were unpredictable. These findings shed a lot of light on how we need to better train healthcare professionals on telehealth, interprofessional collaboration and communication among each other and patients.

Sexual Hookups Via Dating Apps: A Qualitative Study Exploring The Experiences Of Black Men Who Have Sex With Men In Florida, Brandon A. Moton, Rima Tawk, Ivette A. López, John Malone, Salimah El- Amin Witherspoon, Sandra G. Suther

Florida Public Health Review

Background: Sexual hookups via social media dating apps have been understudied among Black men who have sex with men (BMSM). Purpose: The objective of this qualitative study was to explore the role of dating apps on hookup culture and to describe the sexual experiences among BMSM in Florida. Specifically, this research delves into various sexual hookup themes. Methods: Seventeen semi-structured interviews were conducted with BMSM participants aged 18 to 25 in Florida who self-identified as frequent dating app users. A grounded theory approach was applied to thematically analyze the hookup encounters and the factors that drive these perceptions and experiences …

Analysis Of Step Therapy Reform On Floridians With Autoimmune Conditions, John M. Kirkley Iii, Eren Tatari

Florida Public Health Review

Background: Step therapy is a cost-saving measure employed by insurance companies to reduce rising drug costs; however, studies have indicated this policy has neutral or – in some cases – negative effects on patients. Specifically for indivdiuals with autoimmune diseases, the delay of proper treatment, increased risk of negative, irreversible side effects, and an underdeveloped preferred drug lists harm autoimmune patients because of the disconnect between the heterogeneity of autoimmune disease and the one-size-fits-all approach of step therapy. Objective: To determine the most effective policy for dealing with the harms of step therapy as they currently affect Floridians. Methods: Five …

The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Transgender/non-binary experiences and identities are often represented in academic literature through narratives of distress and are often pathologized through a medical lens. This holds implications for the field of psychotherapy, as interventions aimed to support transgender/nonbinary individuals often focus solely on risk mitigation. This article presents a therapeutic framework that rests on three pillars—Play, Pleasure, and Possibility—as the focal points for reimagining work with transgender/non-binary clients. This model aims to help this population explore gender transition with more ease through building practical skills, cultivating personal and collective pride, and centering pleasure equity.

Dcn Dissertation Proposal: The Impact Of A Pediatric Interdisciplinary Outpatient Feeding Clinic On Preterm Infant Weight Gain And Caregiver Compliance With Feeding Recommendations, Doretta Leung

Dean's Leadership Council Library Research Prize

Early nutrition intervention along with interdisciplinary care is important for premature infants because malnutrition often leads to poor growth in this population.1,2 Poor growth in preterm infants results in subsequent neurocognitive development as there is an association between deficient postnatal growth and poor neurologic outcome up to age 19.1,2 It is important to focus on an infant’s nutrition, feeding, and any gastroenterology concerns after hospital discharge to prevent poor growth. Most importantly, it is essential to have an interdisciplinary care monitoring infant care and outcomes in an outpatient setting; however, this service is lacking in Northeast Florida. The newly developed …

Virtual Supervised Practice During The Covid-19 Pandemic. Does Virtual Learning Affect The Quality Of Preparation For The Rd Exam Or Beginning Dietetics Practice?, Shaynee M. Roper

UNF Graduate Theses and Dissertations

The Covid-19 pandemic has seemingly altered the practice of Dietetics, and its essential supervised practice component of the Dietetic Internship programs. Telehealth, in particular telenutrition, became a necessity of practice for the entire United States and many parts of the world. Medicare and many private insurance companies amended policies for the expansion, inclusion, and provision of MNT via telephone.¹ In addition, numerous Dietetic Interns were forced to complete the supervised practice (SPE) components of ACEND (Accreditation Council for Education in Nutrition and Dietetics) accredited programs virtually. The practice of telehealth is not a new concept. Indeed, this area of …

A Two-Day Virtual Workshop On The Micronutrient-Directed Nutrition-Focused Physical Exam For Ghanaian Nutrition Professionals: Examining Perceived Self-Efficacy And Innovation, Leah Anne Qubty

UNF Graduate Theses and Dissertations

Micronutrients are key components of various physiological processes. Therefore, in the setting of deficiency, poor health outcomes ensue. In Ghana, micronutrient deficiencies are common and medical resources are limited. The Ghanaian dietetics profession is growing, and this growth is propitiously timed to address micronutrient deficiencies. Biochemical markers of nutrition status are considered the gold standard to detect micronutrient deficiencies, but are costly and require specialized medical equipment. In the absence of available biochemical markers of nutrition status, the micronutrient-directed nutrition-focused physical exam is a viable tool. Nutrition professionals such as Registered Dietitians are qualified to conduct this exam, but feel …

Implementation Of A Transitions Of Care Nutrition Intervention For Malnourished Patients, Nina Rocca

UNF Graduate Theses and Dissertations

The topic of Transitions of Care (TOC) has been investigated by physician and nursing professions for years, while only more recently by nutrition professionals. Registered Dietitians are not always involved in TOC planning. RDs can play an important role in TOC by communicating patients’ nutrition information across health care settings, especially for patients with malnutrition. The primary aim was to use a CDC based process evaluation to evaluate if a case management, nursing focused care transitions framework, adapted for a TOC nutrition intervention, can result in a successful intervention implementation. The secondary aim was to use a CDC outcomes evaluation, …

Nutrition Perception, Dietary Intake, And Anthropometric Correlations Between Autism Spectrum Disorder And Typically Developing Adolescents., Kristin M. Berg

UNF Graduate Theses and Dissertations

The adolescent’s nutrition perception is reflected in dietary intake and body composition. Obesity is prevalent among adolescents with Autism Spectrum Disorder (ASD). Dietary habits of children with ASD are affected by sensory issues, gastrointestinal factors, and parental provision of diet. This cross-sectional study identifies the relationships among variables for dietary intake, nutrition perception of intake, and anthropometric measurements for adiposity for 19 adolescents, ages 11 to 17, with ASD. Twenty-four children who are typically developing (TD) were assessed to compare all variables for significant differences. Measurements of variables of interest were obtained from the adolescent subjects: a 24-hour recall of …

Interprofessional Education Activities And New Practitioner Competence: Implications For Practice In Nutrition And Dietetics Education, Stephanie N. Petrosky

UNF Graduate Theses and Dissertations

Interprofessional education (IPE) and interprofessional collaborative practice (IPCP) are associated with improved perception, values, attitudes towards collaborative practice, and therefore benefits patients, practitioners, and health care systems. Notable organizations have long promoted standardized guidelines for best practices in interdisciplinary team-based learning to improve patient safety and health outcomes. The state of IPE in nutrition and dietetics practice was recently addressed by the Nutrition and Dietetic Educators and Preceptors (NDEP) practice group of the Academy of Nutrition and Dietetics. The authors generated a call to action to engage in IPCP while pushing the boundaries of leadership in teaching, research, and practice. …

The Potential Mediating Effects Of Social Support Network Size And Physical Activity On Cognitive Function And Mortality Risk, Madeline Zipperer

UNF Graduate Theses and Dissertations

BACKGROUND: Low cognitive function has been shown to be an independent predictor of all-cause and cardiovascular disease (CVD)-related mortality. Social support network size and total physical activity volume (TPAV) are two modifiable factors which have been shown to be independently associated with cognitive function and mortality risk. Therefore, the purpose of this study was to examine the potential mediating effects of social support network size and TPAV on cognitive function and all-cause and CVD-related mortality risk in a large, nationally representative sample of U.S. adults.

METHODS: Study sample (N =2,550) included older adult (≥ 60 years of age) participants …

Estimation Of 24-Hour Urinary Creatinine Excretion Through The Development Of A Model And Its Relationship To Outcomes In Hospitalized Critically Ill Veterans, Lynn Diane Hiller

UNF Graduate Theses and Dissertations

Background: Muscle mass is highly correlated with patient outcomes. Techniques to identify patients with low muscularity include computed tomography (CT) and bioelectrical impendence analysis (BIA) however disadvantages of cost, exposure to radiation and access make these measurements unavailable to the average dietitian. Urinary creatinine excretion (UCE) and estimation of creatinine height index (CHI) are strongly associated with muscularity and outcomes, however, require a 24-hour urine collection. The postulation that UCE may be predicted from patient variables, through mathematical modeling, would avoid the need for a 24-hour urine collection and may be clinically useful.

Methods: Input variables of age, …

Childhood Food Insecurity: A Program Impact And Evaluation Study Of The Meals On Wheels For Kids Program, Claudia Rivero

UNF Graduate Theses and Dissertations

In America, millions of families and children face hunger and food insecurity every day. According to the United States Department of Agriculture, more than thirty-eight million people experienced hunger in 2020. As many as 13 million children in the United States live in food-insecure homes. Many households that experience food insecurity do not qualify for federal nutrition programs. While valuable, barriers to these programs can block food-insecure households with children and prevent access to healthy food. The impact of adverse health and nutritional consequences, of a food-insecure household, will continue to plague our communities until efficient programming connects to those …

Exploring The Health Outcomes And Patient’S Viewpoint Of Pediatric Patients Receiving Medical Nutrition Therapy Visits With In-Person, Telephonic, And Tele-Video Modalities At A Rural Community Health Center, Valerie L. Muehleman

UNF Graduate Theses and Dissertations

The Covid-19 pandemic advanced telephonic (TP) and tele-video (TV) visits for medical nutrition therapy (MNT). This study explored the health outcomes and patient’s viewpoints of MNT by modalities in a community health center (CHC). Participants ranged in age from 1-18 years, diagnosed with overweight/obesity, and received MNT from a registered dietitian nutritionist (RDN) from January 1, 2019 to August 31, 2021. Health outcomes measured were health goal achievement, BMI percentile, pre/post lipid panel, and A1C%. Show/no-show rates and demographic characteristics of gender, age, race, insurance, county, language, and ethnicity were also compared by the visit modality. Ten interviews in the …

Identification And Characterization Of The Tssk6 Activating Co-Chaperone (Tsacc) Gene In Skeletal Muscle, Tala Shourbagi Tello

UNF Graduate Theses and Dissertations

Skeletal muscle atrophy is defined as a decrease in muscle size and occurs due to disparate physiological conditions, including aging, immobilization, and corticosteroid exposure. TSSK6 activating co-chaperone (TSACC) was identified as a gene that is significantly upregulated in skeletal muscle in response to denervation. To confirm Tsacc expression in skeletal muscle, the Tsacc cDNA was cloned from cultured myoblast cells leading to the discovery of a novel alternative splice-variant that is 49 amino acids shorter than the known full-length transcript. Quantitative PCR (qPCR) confirmed that Tsacc is expressed in skeletal muscle with expression increasing as muscle cells undergo differentiation. Characterization …