Public Health Commons^™

Contextualizing Hiv/Aids Prevention And Treatment Programs In Zanzibar, Tanzania, Naheed Ahmed

USF Tampa Graduate Theses and Dissertations

International aid organizations and wealthy nations have contributed billions to combat the spread and treatment of HIV/AIDS in sub-Saharan Africa; however, these programs have been critiqued for not addressing the socioeconomic and cultural context of the epidemic, instead relying upon generalized approaches. The prevalence rate in Zanzibar, Tanzania is low in the general population, but high among vulnerable segments of Zanzibari society, resulting in interventions focusing on particular groups (e.g. sex workers, drug users, and men who have sex with men). Through interviews with government agencies, non-profit organizations, medical professionals, vulnerable populations, and HIV/AIDS patients, this paper examines how local …

The Natural History Of Human Papillomavirus Related Condyloma In A Multinational Cohort Of Men, Gabriella Anic

USF Tampa Graduate Theses and Dissertations

Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States, but few studies have examined the progression from HPV infection to disease in men. Genital condyloma are the most common clinical manifestation of HPV infection. Though not associated with mortality, condyloma are a source of emotional distress, and treatment is often painful with a high recurrence rate. The aims of this study were to examine the distribution of HPV types present on the surface of condyloma, estimate the incidence of condyloma overall and after type-specific HPV infections, assess the sociodemographic and sexual behavior factors independently associated …

Drug Courts Work, But How? Preliminary Development Of A Measure To Assess Drug Court Structure And Processes, Blake Barrett

USF Tampa Graduate Theses and Dissertations

The high prevalence of substance use disorders is well-documented among criminal offenders. Drug courts are specialty judicial programs designed to: 1) improve public safety outcomes; 2) reduce criminal recidivism and substance abuse among offenders with substance use disorders; and 3) better utilize scarce criminal justice and treatment resources. Drug courts operate through partnerships between the criminal justice, behavioral health and public health systems. Offenders participate in an intensive regimen of substance abuse treatment and case management while under close judicial supervision. Drug courts' effectiveness in reducing criminal recidivism and drug use has been documented through numerous primary studies as well …

An Examination Of The Impact Of Preconception Health On Adverse Pregnancy Outcomes Through The Theoretical Lens Of Reciprocal Determinism, Mary Elizabeth Buie

USF Tampa Graduate Theses and Dissertations

Statement of Purpose

The purpose of this study is to examine the impact of preconception health on adverse pregnancy outcomes through the theoretical lens of reciprocal determinism. Thus, this study aims to develop a preconception health conceptual framework that accounts for the interactive relationships among behavior, the environment, and the person.

Rationale for the Study

Women may not recognize a pregnancy until the first or second missed menstrual cycle, a full four to eight weeks or more after conception. Once a woman realizes the possibility of a pregnancy, it takes further time to confirm the pregnancy with a home pregnancy …

Disparities In Survival And Mortality Among Infants With Congenital Aortic, Pulmonary, And Tricuspid Valve Defects By Maternal Race/Ethnicity And Infant Sex, Colleen Conklin

USF Tampa Graduate Theses and Dissertations

Background: The etiology of congenital heart valve defects is not well understood; little is known about the risk factors that contribute to the survival and mortality outcomes of children with these defects.

Methods: Using data from the Texas Birth Defects Registry (TBDR) we conducted a retrospective cohort study of 2070 singleton infants with congenital aortic, pulmonary, or tricuspid valve atresia or stenosis born in Texas between January 1, 1996 and December 31, 2007 to Hispanic, Non-Hispanic (NH) black, and NH white women. TBDR data were death-to-birth matched by the Texas Vital Statistics Unit for deaths between January 1, 1996 and …

Adolescence Is An Ocean: A Biocultural Investigation Of Youth Food Consumption In Tanzania, Elizabeth J. Danforth

USF Tampa Graduate Theses and Dissertations

This study investigates adolescents' relationships with food and other community and household members' perceptions of youth and their food consumption to understand the multifactorial dynamic processes which create nutritional outcomes among urban and rural youth in central Tanzania. Youth are an important and demographically large population in developing countries. The identities created during this distinct stage of cultural production can be reflected in youths' food consumption and relationships with food. Nutrition likely affects how youth transition through a variety of states, including their growth and development stages, primary to secondary to higher education, child to parent, or unemployed to employed. …

Apparent Total Evaporative Resistance Values From Human Trials Over A Range Of Metabolic And Heat Stress Levels, Matthew David Dooris

USF Tampa Graduate Theses and Dissertations

Failure to maintain thermal equilibrium can cause uncontrollable increases in body core temperature beyond critical upper limits. In selecting clothing, consideration must be given to the heat transfer properties of clothing that may restrict the cooling capacity of the human body under heat stress conditions, most importantly, apparent total evaporative resistance (R_e,T,_a). This study calculated and compared R_e,T,_a for five clothing ensembles under varying heat stress conditions, including three relative humidity (RH) levels and three stages of heat stress to determine if R_e,T,_a values varied or remained the same with …

Community Cancer Services, Clinical Trials, And Quality Initiatives—Year 1 Ncccp At Lehigh Valley Health Network, Gregory R. Harper Md, Phd, Ada M. Rivera Ba, Eliot L. Friedman Md, Kathleen A. Leies Rn, Ocn, Nadesda Mack Rn, Bsn, Mba, Ocn, Lenore Mcgonigle Med, Suresh G. Nair Md, Tara Namey Ms, Cgc, Debbie Salas-Lopez Md, Mph, Facp, Ronald W. Swinfard Md, Facp

Department of Medicine

No abstract provided.

Apparent Total Evaporative Resistance For Clothing Ensembles At High Heat Stress Levels, Patrick Rodriguez

USF Tampa Graduate Theses and Dissertations

Donning protective clothing for mitigation of hazard from chemical agents poses a problem in the form of heat stress. When choosing protective clothing, many factors must be taken into account including insulative properties and evaporative resistance. This study calculated and compared R_e,T,a for three clothing ensembles at levels of heat stress past the level of compensation for heat gain to determine if R_e,T,a values varied or remained the same with changes in heat stress level. A three-way mixed model analysis of variance demonstrated significant differences for estimated R_e,T,a values among ensembles, heat stress levels and interactions among …

In Search Of Wellness: Allied Health Professionals' Understandings Of Wellness In Childhood Disability Services, Lauren Breen, Helen Wildy, Sherry Saggers, Jeannine Millsteed, P Raghavendra

Research outputs 2011

Purpose. Wellness approaches are not routine in childhood disability services, despite theoretical and empirical support and an increasing demand for them from health consumers and disability activists. We aimed to investigate how health professionals define or understand wellness and its practice in the context of childhood disability. Method. A qualitative, interpretive approach was taken. Semi-structured interviews were conducted with 23 health professionals (allied health therapists and managers) providing early intervention and ongoing therapy within four Australian childhood health and disability services. Years of experience providing services to children with disabilities and their families ranged from 6 months to 30 years …

The Effectiveness Of Back Belts In Reducing The Incidence, Duration And Cost Of Low Back Pain Claims Associated With Manual Handling Injury In A Retail Hardware Chain, Nick Merdith, Jacques Oosthuizen, Milos Nedved

Research outputs 2011

The objective of this intervention study was to examine the effect of the mandatory introduction of back belts on the incidence, days lost and cost of occupational low back injuries resulting from manual handling in a retail hardware chain in Western Australia. The pre-intervention period extended for 21 months and included 2,265,933 work hours or 647 full-time equivalent positions, while the intervention period was 32 months for 4,411,352 hours worked or 827 full-time equivalent positions. Workers’ compensation claims for all occupational injuries occurring during the study period were analysed. During the intervention period there was a 14% reduction in the …

Construction Induction Training: How Effective For The Housing And Civil Construction Industries In Wa?, Susanne Bahn, Llandis Barratt-Pugh

Research outputs 2011

Introducing practices to reduce the number of work-related injuries in the construction industry is a continual challenge, specifically in WA where the industry is adapting to the additional pressures of a second development boom this century. In 2006, Worksafe WA responded by introducing mandatory certification in safety awareness training for all employees, before they could begin work on a construction site. This paper reviews the impact of this training on the housing and civil sectors of the industry. It presents both the perceptions of the stakeholders from their survey responses and from the analyses the lost time injury/disease statistics. These …

A 'Once In A Generation Opportunity'? Narratives About The Potential Impact Of Ohs Harmonisation On Smaller Firms In Australia, Rowena Barrett, Susanne Bahn, Susan Mayson

Research outputs 2011

Regulatory reform will see the introduction of harmonised Occupational Health and Safety laws across Australia. Here we consider the potential impact of this on smaller firms as the first step in assessing how they may adapt to this regulatory change. We use textual data consisting of recent media and blogs that highlight key stakeholders’ perceptions of the purpose and outcomes of harmonisation on smaller firms. The narratives perpetuate the negative discourse of regulation, not only for smaller firms, but for other key stakeholders. Critical analysis of stakeholders’ views of the effects of harmonisation articulates constraints and possibilities of regulatory change …

Introducing Mandatory Training Systems? Investigating The Implementation Of Compulsory Pre-Site Construction Training, Llandis Barratt-Pugh, Susanne Bahn

Research outputs 2011

There can be no more effective learning than that achieved by training systems to reduce death and injury. In such cases the imposition of a mandatory course would appear justifiable, especially where there is a history of unfortunate incidents and current rapid workforce growth. Installing learning as an imperative within a vibrant industry requires considerable negotiation between stakeholders to turn evidence into policy, industry intent, regulatory curriculum and subsequent workplace practice. This paper reflects back and reviews the introduction of such training within the construction industry in Western Australia as it adapts to the additional pressures of the development boom. …

School-Based Strategies To Address Cyber Bullying, Donna Cross, Helen Monks, Marilyn Campbell, Barbara Spears, Phillips Slee

Research outputs 2011

Bullying and victimisation among school-age children are recognised as a major public health problem. In its 2009 report on the Australian Covert Bullying Prevalence Study (ACBPS), the Child Health Promotion Research Centre of Edith Cowan University reported that just over one quarter (27 per cent) of school students aged 8 to 14 years were bullied and 9 per cent bullied others on a frequent basis – every few weeks or more often (Cross et al, 2009).

The Implementation Of Electronic Health Records: A Two Country Comparison, Helen Cripps, Craig Standing, Vesna Prijatelj

Research outputs 2011

The adoption of electronic health records has been significantly slower in Australia than many European countries. This paper compares the implementation process in Australia with Slovenia, looking at the benefits, drawbacks and success factors of ehealth implementation. The authors use case studies collected in each country to discuss issues around ehealth implementation. Though Slovenia has progressed much further down the road of ehealth the commonality of the experiences between both cases was striking.

Impact Of A Wellness Clinic Visit On Cardiovascular Risk Biomarkers In Employees Of A Va Medical Center, Margaret Asomaning

USF Tampa Graduate Theses and Dissertations

Background: Worksite screening programs are increasingly being provided by employers as a means to reduce cardiovascular risk in employees. A screening program that consists of fasting serum analysis of glucose plus a lipid panel is offered yearly to employees at the VA medical center in Tampa. A retrospective study was conducted to determine if a wellness clinic exposure resulted in significant changes in employees' markers of cardiovascular risk.

Methods: Computerized records were used to follow serial outcomes for glucose, triglycerides, HDL cholesterol, and LDL cholesterol in employees whose screening results showed abnormal levels of one or more of …

Literacy And Hazard Communication Comprehension Of Employees Presenting To An Occupational Health Clinic, Christine Bouchard

USF Tampa Graduate Theses and Dissertations

More than 100 million American workers, 7 million workplaces, and 945,000 hazardous chemical products are covered under the Hazard Communication Standard (HCS), regulated by the Occupational Safety and Health Administration. There were a total of 1,183,500 recordable non-fatal illnesses and injuries in private industry workplaces in 2006 resulting in days away from work. Of these, 19,480 were due to chemicals and chemical products. In addition, there were a total of 5,703 work-related fatalities in 2006. In 191 of these, chemicals and chemical products were listed as the primary source of injury and as the secondary source of injury in 104 …

Review Of Indigenous Offender Health [Journal Article], Jocelyn Grace, Ineke Krom, Caitlin Maling, Tony Butler, Richard Midford

Research outputs 2011

This review provides an overview of health issues facing the Indigenous offender population, including some of the social and historical factors relevant to Indigenous health and incarceration. In doing so, it is important to first understand how Indigenous people conceptualise health. Health as it is understood in western society is a fairly discrete category, which differs from the traditional Indigenous perspective of health as holistic [1]. This is made explicit in the 1989 National Aboriginal health strategy that states 'health to Aboriginal peoples is a matter of determining all aspects of their life, including control over their physical environment, of …

Review Of Volatile Substance Use Among Indigenous People, Richard Midford, Sarah Mclean, Michelle Catto, Neil Thomson, Olivier Debuyst

Research outputs 2011

The purpose of this review is to summarise key information from a number of substantial reports and other documents to make it more accessible to people involved in Indigenous health in Australia. The review draws heavily on the work undertaken in the preparation of Volatile substance misuse: a review of interventions. That very important report was authored by Peter d’Abbs and Sarah MacLean, the latter a co-author of this review. This review focuses on Australian Indigenous people, so no substantial attention is directed at the use of volatile substances among other indigenous peoples, or among other disadvantaged people in Australia …