Public Health Commons^™

Distribution Of Polybrominated Diphenyl Ethers Among Demographic Categories, Giorvanni Merilis

USF Tampa Graduate Theses and Dissertations

Polybrominated Diphenyl Ethers (PBDEs) are flame retardants widely used within the United States in various products such as plastics, electronics, textiles and furniture. With an increase in production and usage, PBDEs have recently emerged as a contaminant of concern. Due to their chemical structure, PBDEs have the propensity to bioaccumulate in mammals. In fact, elevated PBDE concentrations have been recorded in human breast milk. Due to the potential widespread exposure to PBDEs, this study investigates human blood concentrations of PBDEs generated through the 2003-2004 National Health and Nutrition Examination Survey. Through the use of statistical modeling, a comparison of mean …

Identifying Nodes Of Transmission In Disease Diffusion Through Social Media, David Sebastian Lamb

USF Tampa Graduate Theses and Dissertations

The spread of infectious diseases can be described in terms of three interrelated components: interaction, movement, and scale. Transmission between individuals requires some form of interaction, which is dependent on the pathogen, to occur. Diseases spread through the movement of their hosts; they spread across many spatial scales from local neighborhoods to countries, or temporal scales from days to years, or periodic intervals. Prior research into the spread of disease have examined diffusion processes retrospectively at regional or country levels, or developed differential equation or simulation models of the dynamics of disease transmission. While some of the more recent models …

Ability Of Physiological Strain Index To Discriminate Between Sustainable And Unsustainable Heat Stress, Dwayne Wilson

USF Tampa Graduate Theses and Dissertations

Introduction: Assessment of heat strain is an alternative approach to assessing heat stress exposures. Two common measures of heat strain are body core temperature (T_C) and heart rate (HR). In this study TC was assessed by rectal temperature (T_re). Physiological Strain Index (PSI) was developed to combine both T_re and HR into one metric. Data collected from progressive heat stress trials were used to (1) demonstrate that PSI can distinguish between Sustainable and Unsustainable heat stress; (2) suggest values for PSI that demonstrate a sustainable level of heat stress; and (3) determine if clothing or …

The Effect Of Antigen Polymorphisms On Serological Antibody Detection Assays Based Upon The, Kristi M. Miley

USF Tampa Graduate Theses and Dissertations

Onchocerca volvulus is a filarial parasite transmitted to humans by female Simulium spp. black flies. Infection with this parasite can cause blindness and severe skin disease among humans in Africa and the Americas. Enzyme-linked Immunosorbent Assay serological testing of OV-16 antigen is a diagnostic tool for determining effective elimination of the parasite. Programs typically rely on OV–16 ELISA to evaluate the progress towards interruption and/or elimination of disease by mass drug distribution of ivermectin and vector larvicidal control efforts. As elimination grows closer, monoclonal antibody positive controls for OV-16 ELISA become important to develop for Onchocerca testing due to the …

Analysis Of A Potential A(H7n9) Influenza Pandemic Outbreak In The U.S., Walter A. Silva Sotillo

USF Tampa Graduate Theses and Dissertations

This dissertation presents a collection of manuscripts that describe development of models and model implementation to analyze impact of potential A(H7N9) pandemic influenza outbreak in the U.S. Though this virus is still only animal-to-human transmittable, it has potential to become human-to-human transmittable and trigger a pandemic. This work is motivated by the negative impact on human lives that this virus has already caused in China, and is intended to support public health officials in preparing to protect U.S. population from a potential outbreak of pandemic scale.

An agent-based (AB) simulation model is used to replicate the social dynamics of the …

Exploring Nutritional Needs, Roles, And Expectations Of Latina Breast Cancer Survivors, Pamela Carolina Birriel

USF Tampa Graduate Theses and Dissertations

Latina breast cancer survivors, especially those who have undergone chemotherapy, may face major disruptions to their diet and eating habits; and a major concern is their ability to function in daily life roles throughout survivorship. Food and nutrition are suggested to be significant factors that can influence the process of cancer development, yet little research has been done to understand the nutritional needs, roles, and expectations among Latina breast cancer survivors. The purpose of this study was to understand Latina breast cancer survivors’ perceptions of the role of diet and nutrition in helping them cope with the effect of chemotherapy …

Influence Of Environmental Parameters On Mold Sampling Results, Benjamin Fishman

USF Tampa Graduate Theses and Dissertations

Mold is a type of fungus present in nearly all environments. Mold thrives under several environmental parameters such as high humidity and an adequate food source. A professional, such as an industrial hygienist, can measure mold in indoor and outdoor environments. Industrial hygienists commonly use a cascade impactor with a culture plate to capture air within a sampling area. While collecting air samples, environmental parameters such as temperature, humidity, and carbon dioxide are recorded. A laboratory then cultures and analyzes the samples, identifying the types and amounts of viable mold found in the sampling area.

In this study, a data …

Deployment, Post-Traumatic Stress Disorder And Hypertensive Disorders Of Pregnancy Among U.S. Active-Duty Military Women, Michelle C. Nash

USF Tampa Graduate Theses and Dissertations

Introduction. Today women comprise 15% of the U.S. active-duty military, but are often overlooked in research of the Armed Forces. While some of the challenges faced by women are similar to men, they encounter unique stressors related to childcare while deployed, sexual harassment and assault, and gynecological needs. Women are also more likely than men to develop post-traumatic stress disorder (PTSD). Both stress and PTSD have been linked to the development of chronic hypertension and some adverse birth outcomes. We hypothesized that post-9/11/2001 era military women who deployed or who had indicators of PTSD would be at greater risk of …

Effects Of Temperature On The Emission Rate Of Formaldehyde From Medium Density Fiberboard In A Controlled Chamber, William Swankie

USF Tampa Graduate Theses and Dissertations

Formaldehyde is a colorless gas that is found naturally in the environment. It is a popular additive in many consumer products including composite wood products. Composite wood products are engineered wood panels produced from pressing pieces, chips, particles, or fibers of wood together at high temperatures held together with a bonding agent. This bonding agent is often formaldehyde-containing resins that are known to release formaldehyde over time. This is concerning because of the carcinogenic classification of formaldehyde, the wide spread application of composite wood products, and the increasing amount of time spent in the indoor environment.

In a controlled 0.53 …

Mixed Method Study Of Condom Use Among Emerging Adults With New Sex Partners Met Online Or Offline, Shana M. Green

USF Tampa Graduate Theses and Dissertations

Introduction: Emerging adults (young people age 18 to 29) are increasingly using the Internet to seek sex partners, with over 30% having tried an online or mobile dating site. As more emerging adults use dating and sex-seeking websites (DSP) for their love and sexual pursuits, it is imperative to understand how DSPs contribute to HIV/STI risk.

Objectives: The objectives of this research were accomplished by pursuing the following specific aims: Aim 1. To systematically review and quantitatively synthesize evidence from published findings to determine the association between condom use and meeting venue (online and offline). Aim 2. To determine whether …

Geospatial And Negative Binomial Regression Analysis Of Culex Nigripalpus, Culex Erraticus, Coquillettidia Perturbans, And Aedes Vexans Counts And Precipitation And Land Use Land Cover Covariates In Polk County, Florida, Joshua P. Wright

USF Tampa Graduate Theses and Dissertations

Although mosquito monitoring systems in the form of dry-ice bated CDC light traps and sentinel chickens are used by mosquito control personnel in Polk County, Florida, the placement of these are random and do not necessarily reflect prevalent areas of vector mosquito populations. This can result in significant health, economic, and social impacts during disease outbreaks. Of these vector mosquitoes Culex nigripalpus, Culex erraticus, Coquillettidia perturbans, and Aedes vexans are present in Polk County and known to transmit multiple diseases, posing a public health concern. This study seeks to evaluate the effect of Land use Land cover …

Estimating The Impact Of A Select Criteria Pollutant (Pm2.5) On Childhood Asthma In Florida, Shabnam Mehra

USF Tampa Graduate Theses and Dissertations

Asthma has been reported in children as a leading chronic illness in the US and around the world. It is also the third leading cause of hospitalization among children under the age of 15, and is also one of the most common causes of school absenteeism. Children are at higher risk of asthma attacks and they pose a higher burden on health care system. Nearly 20.6% of middle and high school children in Florida have been told they have asthma, this prevalence has grown over 3% from 2006 to 2012. Changes in air pollutant levels are often related to health …

Healthcare Costs Of Injured Youth: The Need For Prevention, Policy, And Proper Triage, Jessica Lynn Ryan

USF Tampa Graduate Theses and Dissertations

Objective

The goal of this dissertation was to identify evidence regarding potential means to reduce healthcare spending on youth injury while protecting and promoting the health of our youth. The first analysis estimated and analyzed both the financial costs and time lost from sports injuries among inpatient and ED youth patients to aid in identifying key populations, raising awareness to policy makers, and emphasizing the need of prevention programs for sports injury. The second analysis analyzed the effect of volume and trauma center (TC) ownership type on trauma alert response charges, which are billed to injured patients for a trauma …

Investing In Change: Illuminating Interactive Systems In Hiv Research, Communication Diffusion, And Financing In Lesotho, Sharon Elizabeth Watson

USF Tampa Graduate Theses and Dissertations

In the field of HIV, more than 30 years into the epidemic, the need to ensure that what researchers learn makes its way into tangible actions in the real world is especially poignant. This dissertation addresses the critical divide between research production and its translation into practice. It advances ways to measure the investments of citizens and stakeholders in qualitative studies and offers new perspectives on the losses inadvertently caused by particular investments in health research and services. Unfortunately, many of the problems in how we practice and disseminate research are rampant throughout the health and development research sector. Therefore, …

Severe Maternal Morbidity In Florida: Risk Factors And Determinants Of The Increasing Rate, Lindsay Shively Womack

USF Tampa Graduate Theses and Dissertations

Severe maternal morbidity generally refers to the most severe complications of pregnancy and includes: hemorrhage, embolism, acute renal failure, stroke, acute myocardial infarction, and other complications. These complications affect more than 50,000 women in the United States every year, with rates significantly increasing from 1998 to 2011. In an effort to reduce these increasing complication rates, clinicians and researchers have emphasized the need to identify potential modifiable risk factors for severe maternal morbidity, and the need to study the relationships between these risk factors and severe maternal morbidity. The overall goal of this study is to improve the understanding of …

Poverty In The Land Of Plenty? Deconstructing Role Of Community-Based Organizations In A Small Community, John Kevin Trainor

USF Tampa Graduate Theses and Dissertations

Using the lens of a community-based childhood obesity intervention, it is possible to examine the role of non-profit organizations in community development and to deconstruct the “community” in community-based research and identify the many competing interests within a community. This contextual understanding includes how the community is formed, how a community’s agenda is set, and who will complete the tasks outlined in that agenda. In applied anthropological settings and public health interventions that are community-based, it is essential to understand the context of community and which community (or communities) the researcher is working with to ensure that the data you …

Back Muscle Endurance As Measure By Ito Test Duration, Ronald Figueredo

USF Tampa Graduate Theses and Dissertations

Lower back pain remains one of the most common problems in public health throughout the industrialized world (Strine and Hootman) (Shiri, Solovieva and K.). The prevalence is about 39-54% annually and 60-65% in a lifetime (Hillman, Wright and Rajaranam) (Leboeuf-Yde, N. and Lauritzen). In the United States, lower back pain is the second most common cause of disability, and is the highest cause of disability among men (Center for Disease Control, 2009). An individual quantitative physical examination to detect muscle deficiencies would be very useful for proper placement of workers in demanding physical jobs where back injuries are common. Trunk …

Development Of Tools For Stable Transfection In The Human Filarial Parasite Brugia Malayi Via The Piggybac Transposon System, Johan Chabanon

USF Tampa Graduate Theses and Dissertations

Brugia malayi is one of three species of nematode known to cause lymphatic filariasis (LF) in humans. LF infects over 120 million people, causing debilitating disease. Various global programs have been launched in the past 20 years to eliminate LF. These programs have greatly scaled up the resources and efforts allocated to halting the transmission and reducing disease burden. Only a few drugs are used to treat LF, and resistance is thus a devastating possibility. Research aimed at identifying new drug targets could therefore prove essential in elimination of LF.

Genetic manipulation of B. malayi has been limited to transient …

Occupational Noise Exposure Evaluation Of A Group Of Groundskeepers At A University Campus, Monica Elisa Garcia

USF Tampa Graduate Theses and Dissertations

Every year, twenty-two million workers are exposed to potentially damaging noise at work. Last year, U.S. businesses paid more than $1.5 million in penalties for not protecting workers from noise. (OSHA, 2016). In the United States ten million people have some kind of noise related hearing loss (CDC, 2016) and noise damage to the ear may not be detected until it is great enough to cause hearing impairment.

Grounds keeper’s functions consist of a variety of activities that require the use of powered tools such as mowers, riding mowers, leaf blowers, pressure washers, trimmers/edgers and chainsaws. OSHA has stated that …

Development Of A Transfection System For The Free-Living Amoeba Naegleria Fowleri Using The Piggybac Vector, Kati Räsänen

USF Tampa Graduate Theses and Dissertations

Naegleria fowleri is a free-living amoeba that causes primary amoebic meningoencephalitis (PAM). In the United States, there are between 0-8 cases of PAM per year, with approximately 98% of cases resulting in death. High case fatality and limited treatment options highlight the need for better understanding of this organism in terms of its biology and pathogenicity. Transfection is a useful tool that allows for the study of gene function, but at present no transfection systems have been established for N. fowleri. This study attempts to establish a transfection system for N. fowleri using the piggyBac vector, with the hope of …

Reduction Of Airborne Silica Concentration Using A Novel Sand Coating Technology, Elizabeth Rains Lloyd

USF Tampa Graduate Theses and Dissertations

The health effects of silica and the connection to occupational exposure has been known for years. In March of 2016, the Occupational Safety and Health Administration (OSHA) of the Department of Labor (DOL) published a new standard meant to reduce workers’ exposure to silica. The standard update was set forth to further protect workers; OSHA estimates this revision will prevent more than 600 silica-related deaths each year.

A key feature of the updated OSHA standard emphasizes the use of engineering controls and work practices in certain industries. Material handling of industrial sand is a known cause of silica overexposure in …

A Novel Abi-Domain Protein Controls Virulence Determinant Production In Staphylococcus Aureus, Stephanie Michelle Marroquin

USF Tampa Graduate Theses and Dissertations

A major factor in the success of Staphylococcus aureus as a pathogen is its vast arsenal of virulence determinants and, more importantly, the tight and precisely- timed regulation of these factors. Here we investigate the product of the S. aureus gene, SAUSA300_1984, encoding a putative transmembrane protein. This as yet uncharacterized protein belongs to the Abi (abortive infection) family, which are commonly annotated as CAAX-proteases, and are significantly understudied in prokaryotes. In S. aureus the disruption of SAUSA300_1984 results in a drastic reduction of proteolytic and hemolytic activity, as well as diminished pigmentation. This phenotype appears to be mediated through …

An Exposure Assessment Of Paper Dust In A Coupon Manufacturing Facility, Danny C. Fink

USF Tampa Graduate Theses and Dissertations

Purpose. Exposures to paper dust, classified as Particulates Not Otherwise Regulated (PNOR), in an industrial setting can cause irritation to the eyes, skin, throat and upper respiratory tract. An exposure assessment was conducted to evaluate the paper dust exposures in the coupon manufacturing facility during a normal production working period. Methods. Total and respirable personal dust sampling was performed according to NIOSH 0500 and 0600 methods. Six total dust samples and seven respirable dust samples were taken within the sampling areas where airborne paper dust was produced to evaluate the Time Weighted Average (TWA) of the exposed employees. Results. Results …

(Not) Everything Is Good And Easy: Language-Related Healthcare Experiences Of Two Groups Of Low-Income Latina Mothers, Aria Anna Walsh-Felz

USF Tampa Graduate Theses and Dissertations

This cross-sectional, comparative, qualitative study explored language-related issues experienced by low-income Spanish-speaking mothers navigating pediatric care for their children in Hillsborough County, Florida. Hospitals, pediatric clinics, specialists, and dental care have differing degrees of linguistic accessibility and accommodations for limited English proficient families. Two groups of mothers were interviewed: bilingual (n=9) and Spanish-speaking limited-English proficient (SSLEP) mothers (n=21). These groups perceived the effect of language on navigating pediatric healthcare differently, creating tension in perceptions and experience between them. Such tensions included SSLEP mothers expressing satisfaction with pediatric care simultaneously with shortcomings in communication. SSLEP mothers said that everything was easy, …

Reducing Caregiver Burden: Fostering Healthy Aging And Social Support, Maria A. Rodriguez

USF Tampa Graduate Theses and Dissertations

Over 43.5 million Americans provide informal care to a fast-growing elderly population in the United States. Informal care allows care-recipients to remain functional members of society. However, research suggests that the demands of informal care can negatively impact the health of caregivers. For example, caregiver burden increases the risk for poor health in caregivers compared to non-caregivers. Caregiving research is on the rise, but the dynamics of informal care in active retirement communities remains widely unexplored. To provide adequate services to lessen caregiver burden and improve the Quality of Life (QoL) of informal caregivers, the various settings in which informal …

Social Supports, Stress And Birth Outcomes Among Latina Mothers In Pinellas County, Florida, Maridelys Detres

USF Tampa Graduate Theses and Dissertations

Social supports are linked in public health research to improved birth outcomes. This study explored the relationship of social supports, stress and birth outcomes among pregnant Latinas in Pinellas County, Florida. A sample of 411 Healthy Start women at risk of poor birth outcomes participated in this study (99 Latinas, 142 Black, and 158 White). Study methods included ANOVA, Principal Component Analysis, multivariable regression, logistic regression, and structural equation modeling to identify significant associations between social support scores, stress scores, demographics and health risk factors with infant birth weight, preterm and small for gestational age by ethnic group. Study findings …

Neighborhood Deprivation, Food Insecurity And Gestational Weight Gain, Sabrina Luke

USF Tampa Graduate Theses and Dissertations

Gestational weight gain outside the recommended ranges puts women at risk for pregnancy complications and adverse birth outcomes. Food insecurity and environmental factors including neighborhood deprivation may influence gestational weight gain. This research 1) examines the impact of neighborhood deprivation on gestational weight gain, 2) identifies if the association varies by selected maternal characteristics, 3) examines the relationship between food insecurity and gestational weight gain, 4) determines if stress mediates the relationship between food insecurity and gestational weight gain, and 5) examines whether selected maternal characteristics mediate this relationship. The research was conducted through the analysis of the Pregnancy Risk …

Role Of Healthcare Providers' Recommendation Style In Hpv Vaccine-Decision-Making Among Haitian Parents And Female Patients, Dudith Pierre-Victor, Dionne P. Stephens, Rachel Clarke, Kemesha Gabbidon, Purnima Madhivanan

USF St. Petersburg Campus Faculty Publications

Background and Purpose: The strong influence of physician recommendation on vaccine uptake is well established in the literature. However, its influence on HPV vaccine decision-making among young Haitian women is understudied. This study investigated the role of healthcare providers’ recommendation style in Haitian parents’ and female patients’ HPV vaccine decision-making. Methods: Thirty selfidentified Haitian women aged 17-26 years were recruited from a large university campus in the Southeastern United States (N=30). They completed in-depth face-to-face interviews regarding their HPV vaccine decision-making process. Transcripts were analyzed using thematic analysis. Results: Provider recommendation was cited as a major factor that influenced HPV …

Does Survival Vary For Breast Cancer Patients In The United States? A Study From Six Randomly Selected States, Hafiz Mohammad Rafiqullah Khan, Lisaann S. Gittner, Abhilash Perisetti, Anshul Saxena, Aamrin Rafiq, Kemesha Gabbidon, Sarah Mende, Maria Lyuksyutova

USF St. Petersburg Campus Faculty Publications

Background . Breast cancer is the most common cancer in women. Disparities in some characteristics of breast cancer patients and their survival data for six randomly selected states in the US were examined. Materials and Methods . A probability random sampling method was used to select the records of 2,000 patients from each of six randomly selected states. Demographic and disease characteristics were extracted from the Surveillance Epidemiology and End Results (SEER) database. To evaluate relationships between variables, we employed a Cox Proportional Regression to compare survival times in the different states. Results . Iowa had the highest mean age …

Expansion Of The Performance Capabilities Of The Usf Inhalation Challenge Chamber, Laura Riley

USF Tampa Graduate Theses and Dissertations

The purpose of this research was to evaluate the capability and performance of the University of South Florida’s (USF) Human Exposure Chamber (HEC) using aerosols in the thoracic range. The goals of this research were two-fold: to obtain an average particle size of 10 µm (thoracic-size range) inside the chamber during dust production and to test for evenness of dust concentration within the chamber. The USF HEC can be used for studies using gases and/or particulates. The chamber measurements are 4.16 ft x 2.67 ft x 6.75 ft, for a total volume of 75 ft³ or 2.13 m^{3 …}