Public Health Commons^™

The Elimination Of Blindness: An Ethnographic Exploration Of The Fight Against Trachoma In Niger, Kelley Cosby Sams

USF Tampa Graduate Theses and Dissertations

The goal of this study is to explore specialized and popular cultural models of trachoma, and the interaction between the trachoma elimination program and its target audience in one trachoma hyper-endemic intervention community. Eighty four million people worldwide, mainly children, are infected with active bacterial trachoma. For some, this will lead to painful and progressive corneal opacity and eventual blindness. The disease is most commonly spread by person-to-person contact or by flies, and affects very specific populations living in resource-poor areas such as rural Niger, which has one of the highest prevalence rates worldwide.

The World Health Organization formed an …

Community And Household Management Strategies For Water Supply And Treatment In Rural And Peri-Urban Areas In The Developing World, Ryan William Schweitzer

USF Tampa Graduate Theses and Dissertations

Eighty percent of the 780 million people worldwide that access water from an unimproved source live in rural areas. In rural areas, water systems are often managed by community based organizations and many of these systems do not provide service at the designed levels. The Sustainability Analysis Tool developed in Chapter 2 can inform decision making, characterize specific needs of rural communities in the management of their water systems, and identify weaknesses in training regimes or support mechanisms. The framework was tested on 61 statistically representative geographically stratified sample communities with rural water systems in the Dominican Republic. The results …

Knowledge, Attitudes And Traditions Regarding Water Consumption And Sanitary Practices Of The Ngäbe-Buglé Indigenous Women In The Chiriquí Province In Panama, Natalia Vega

USF Tampa Graduate Theses and Dissertations

Background: In 2007, approximately 66.2% of the population of the Comarcas (indigenous reservations) in Panama had access to potable water. However, over 50% of this population lacked access to sanitation. As a result, the leading causes of death in the Comarca Ngäbe-Buglé are due to severe diarrhea and gastroenteritis of infectious origin. The present project assessed the need for an in-depth understanding of the Ngäbe-Buglé women and their communities regarding their knowledge, attitudes, beliefs and behaviors about water and sanitation. Methodology: In this cross-sectional exploratory study, a convenience sample of 52 women were interviewed, utilizing a questionnaire guided by the …

Predictors Of The Incidence And Charges For Lumbar Spinal Fusion Surgery In Florida Hospitals During 2010, Anna Ialynychev

USF Tampa Graduate Theses and Dissertations

Over the past several decades rates of spine surgeries in the U.S. have increased dramatically. Spinal fusion surgery rates, in particular, have grown exponentially despite being one of the most costly, invasive, and controversial methods for treating patients suffering from back conditions. Furthermore, lumbar fusion surgeries continue to be performed at increasing rates despite a lack of scientific evidence and consensus that they are cost-effective and produce better clinical outcomes than less radical treatment of lower back pain. As a result, large amounts of healthcare dollars continue to be invested in these costly procedures which are potentially dangerous and have …

A Monte Carlo Approach To Change Point Detection In A Liver Transplant, Alexia Melissa Makris

USF Tampa Graduate Theses and Dissertations

Patient survival post liver transplant (LT) is important to both the patient and the center's accreditation, but over the years physicians have noticed that distant patients struggle with post LT care. I hypothesized that patient's distance from the transplant center had a detrimental effect on post LT survival. I suspected Hepatitis C (HCV) and Hepatocellular Carcinoma (HCC) patients would deteriorate due to their recurrent disease and there is a need for close monitoring post LT. From the current literature it was not clear if patients' distance from a transplant center affects outcomes post LT. Firozvi et al. (Firozvi AA, 2008) …

Factors Related To The Professional Management Of Early Breastfeeding Problems: Perspectives Of Lactation Consultants, Erica Hesch Anstey

USF Tampa Graduate Theses and Dissertations

Addressing the sub-optimal breastfeeding initiation and duration rates has become a national priority. Inadequate support for addressing early breastfeeding challenges is compounded by a lack of collaboration between providers such as lactation professionals, nurses, pediatricians, and the family. The purpose of this exploratory study was to understand International Board Certified Lactation Consultants' (IBCLCs) perceived barriers to managing early breastfeeding problems. This qualitative study was guided by the symbolic interactionist framework through a grounded theory methodological approach. In-depth interviews were conducted with 30 IBCLCs from across Florida. IBCLCs were from a range of practice settings, including hospitals, WIC clinics, private practice, …

Asbestos Exposure In The Research Laboratory, Ediberto D. Garcia

USF Tampa Graduate Theses and Dissertations

Introduction: Asbestos has been employed in a myriad of industrial applications for more than a century. Of the 181 Mt of asbestos produced worldwide, over 31 Mt was consumed in the U.S. The production and consumption of this mineral eventually was found to cause asbestosis, lung cancer and mesothelioma. While the brunt of the human exposure to asbestos occurred in insulation work, many more workers in other jobs were expose to asbestos fibers. Very little is known about the potential exposure to asbestos in research labs.

Goal: In order to investigate potential research lab work exposures, we simulated lab work …

The Role Of Agency In Community Health Outcomes: Local Health Departments And Childhood Immunization Coverage Rates, James Anthony Ransom

Antioch University Dissertations & Theses

Organizational culture is defined as a system of shared meaning held by members of an organization that distinguishes it from other organizations. How organizational culture is experienced in the public sector, particularly local health departments (LHDs), is not well understood. The purpose of this study was to determine whether LHD organizational culture impacts childhood immunization coverage rates. I used a modified organizational culture survey tool, the Organizational Management Survey, to quantify organizational culture and determine whether an LHD's organizational culture helps explain variations in childhood immunization coverage rates. In addition, qualitative data from an earlier study of LHD immunization staff …

Plain Packaging For Cigarettes Improves Retail Transaction Times, Owen B. Carter, Matthew Welch, Brennen W. Mills, Tina Phan, Paul Chang

Research outputs 2013

No abstract provided.

The Ecology Of Medical Care In Beijing, Shuang Shao, Feifei Zhao, Jing Wang, Lei Feng, Xiaoqin Lu, Juan Du, Yuxiang Yan, Chao Wang, Yinghong Fu, Jingjing Wu, Xinwei Yu, Kaykeng Khoo, Youxin Wang, Wei Wang

Research outputs 2013

Background: We presented the pattern of health care consumption, and the utilization of available resources by describing the ecology of medical care in Beijing on a monthly basis and by describing the socio-demographic characteristics associated with receipt care in different settings. Methods: A cohort of 6,592 adults, 15 years of age and older were sampled to estimate the number of urbanresident adults per 1,000 who visited a medical facility at least once in a month, by the method of three-stage stratified and cluster random sampling. Separate logistic regression analyses assessed the association between those receiving care in different types of …

Tackling Overweight And Obesity: Does The Public Health Message Match The Science?, Katherine Hafekost, David Lawrence, Francis Mitrou, Therese O'Sullivan, Stephen Zubrick

Research outputs 2013

Background: Despite the increasing understanding of the mechanisms relating to weight loss and maintenance, there are currently no validated public health interventions that are able to achieve sustained long-term weight loss or to stem the increasing prevalence of obesity in the population. We aimed to examine the models of energy balance underpinning current research about weight-loss intervention from the field of public health, and to determine whether they are consistent with the model provided by basic science. EMBASE was searched for papers published in 2011 on weight-loss interventions. We extracted details of the population, nature of the intervention, and key …

Rationale, Design And Methods For A Community-Based Study Of Clustering And Cumulative Effects Of Chronic Disease Processes And Their Effects On Ageing: The Busselton Healthy Ageing Study, A James, M Hunter, L Straker, J Beilby, R Bucks, T Davis, R H. Eikelboom, D Hillman, J Hui, J Hung, M Knuiman, D A. Mackey, Robert U. Newton, L J. Palmer, A W. Musk, Investigator Group Busselton Healthy Ageing Study

Research outputs 2013

Background: The global trend of increased life expectancy and increased prevalence of chronic and degenerative diseases will impact on health systems. To identify effective intervention and prevention strategies, greater understanding of the risk factors for and cumulative effects of chronic disease processes and their effects on function and quality of life is needed.The Busselton Healthy Ageing Study aims to enhance understanding of ageing by relating the clustering and interactions of common chronic conditions in adults to function. Longitudinal (3-5 yearly) follow-up is planned. Methods/design. Phase I (recruitment) is a cross-sectional community-based prospective cohort study involving up to 4,000 'Baby Boomers' …

Thermal Stress In North Western Australian Iron Ore Mining Staff, Jermiah John Peiffer, Chris Abbiss

Research outputs 2013

Introduction: Demand for Australian mined iron ore has increased employment within this sector, thus exposing increased numbers of workers to the harsh Australian climate. This study examined the influence of hot (>30°C wet bulb globe temperature) environmental temperatures, consistent with working in North Western Australia, on iron ore mining staff.

Methods: Core temperature, hydration status, perceived exertion, mood, and fatigue state were measured in 77 participants at three time points (pre-, mid-, and post-shift) during a normal 12-h shift at an open-cut iron ore mining/processing site (n = 31; Site1) and an iron ore processing/shipping site (n = 46; …

Occupational Respiratory Health Surveillance At Minara Resources, Murrin Murrin Mine Site [Journal Article], Martyn Cross, Jacques Oosthuizen

Research outputs 2013

A respiratory health study of fly-in-fly-out workers potentially exposed to airborne contaminants, and a control group, was conducted at the Murrin Murrin mine site in Western Australia. Lung function was measured in terms of validated protocols (American Thoracic Society, 1995; Miller et al, 2005). The effect of length of service, as well as work area/department on lung function was established. Repeat lung function tests were conducted after approximately two years, in order to measure decrements over time. Furthermore, testing was conducted on a cohort of refinery workers prior to commencement and upon completion of their work period on-site (swing), in …

Patterns Of Physical And Psychological Development In Future Teenage Mothers, Daniel Nettle, Thomas E. Dickins, David A. Coall, Paul De Monrnay Davis

Research outputs 2013

Background and objectives: Teenage childbearing may have childhood origins and can be viewed as the outcome of a coherent reproductive strategy associated with early environmental conditions. Life-history theory would predict that where futures are uncertain fitness can be maximized through diverting effort from somatic development into reproduction. Even before the childbearing years, future teenage mothers differ from their peers both physically and psychologically, indicating early calibration to key ecological factors. Cohort data have not been deliberately collected to test life-history hypotheses within Western populations. Nonetheless, existing data sets can be used to pursue relevant patterns using socioeconomic variables as indices …

Mining Workers Ability To Identify Hazards Using A Picture Survey, Susanne T. Bahn

Research outputs 2013

This paper presents the first phase on a study investigating the skills of workers in the resource sector at their safety induction to identify workplace hazards. This study questioned the ability of managers and employees to identify workplace hazards correctly (phase 1) and to determine the processes that can be used to increase hazard identification skills (phase 2). Fifty-four completed surveys that contained 6 pictures displaying complex and hazardous work environments in an underground mine in WA are analysed. The analysis sought to determine the average number of hazards that each participant could identify out of a possible 10 in …

Improving Safety Culture: The Impact Of The Construction Induction Training On The Construction Industry In Western Australia, Susanne T. Bahn, Llandis G. Barratt-Pugh

Research outputs 2013

Australia strives to be a world leader in safety practice however improving safety cultures to reduce work-related injuries in the hazardous environment of the construction industry is a continual challenge. It is particularly difficult in Western Australia (WA) where the industry is engaging with the second development boom this century, often in isolated locations, and simultaneously adapting to the national harmonisation of OHS regulations. In 2006, Worksafe WA introduced 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 construction industry, presenting …

The Unmet Promise Of Occupational Health And Safety Harmonisation: Continued Complexity For Small, Multi-Jurisdictional Firms, Susanne T. Bahn, Susan Mayson, Rowena Barrett, Llandis G. Barratt-Pugh

Research outputs 2013

Harmonisation of state-based occupational health and safety (OHS) regimes is a Council of Australian Governments (COAG) initiative designed to ‘cut red tape’ for Australian firms. However Western Australia’s, South Australia’s and Victoria’s lack of harmonisation makes it problematic for firms that conduct business in multiple jurisdictions. In this paper we investigate what impacts harmonisation has on firms generally and specifically smaller, multi-jurisdictional firms. First, we look at the requirements of the model WHS Act and what it said about managerial responsibilities for OHS. We focus on the due diligence clause which places personal liability on company directors or persons conducting …

Harmonisation Of Construction Health And Safety Laws In Australia, Manikam Pillay

Research outputs 2013

For over four decades all states and territories in Australia have maintained their own and separate set of laws for the management of health and safety risks in construction. This resulted in at least ten different sets of health and safety legislation. Responding to calls for national uniformity, a harmonised set of laws wer issued in 2011 by the Federal Government, in the form of Model Work Health and safety Act and Regulations. These, together with industry-specific codes of practice, are expected to provide construction organisations their first ever common set of standards and benchmarks across the states and territories …

Plain Language Review Of Cardiovascular Health Among Indigenous Australians, Caitlin Gray

Research outputs 2013

This document summarises, in plain language, information about the cardiovascular health status of Aboriginal and Torres Strait Islander peoples. It provides information about :

• the various cardiovascular diseases and their risk factors
• the extent of cardiovascular disease (CVD) among Aboriginal and Torres Strait Islander people, including prevalence, hospitalisation and death rates
• types and levels of care for Aboriginal and Torres Strait Islander CVD patients
• strategies and programs that aim to improve the cardiovascular health status of Aboriginal and Torres Strait Islander people.

The publication is a plain language summary of the Review of cardiovascular health among Indigenous Australians (2013) by …

Overview Of The Health Of Indigenous People In Western Australia 2013, Neil Thomson, Andrea Macrae, Anomie, Jane Burns, Belinda D'Costa, Caitlin Gray, Joanne Hoareau, Leah Levitan, Miranda Poynton, Kathy Ride, Avinna Trzesinski

Research outputs 2013

This Overview has been prepared by the Australian Indigenous HealthInfoNet as a part of our contributions to ‘closing the gap’ in health between Indigenous people and other Australians by making relevant, high quality knowledge and information easily accessible to policy makers, health service providers, program managers, clinicians, researchers, students and the general community.

The main purpose of the Overview is to provide a comprehensive summary of the most recent indicators of the health of Indigenous people.

Research for this Overview involved the collection, collation, and analysis of a wide range of relevant information, including both published and unpublished material. Sources …

Review Of Physical Activity Among Indigenous People, Caitlin A. Gray, Rona Macniven, Neil J. Thomson

Research outputs 2013

Physical activity is important for all Australians, particularly in the prevention, management and treatment of chronic conditions, and for social and emotional wellbeing. Chronic health conditions, including cardiovascular conditions, endocrine conditions (such as diabetes), and certain cancers, account for 70% of the observed difference in the burden of disease between the Indigenous and non-Indigenous populations. Modifiable risk factors, particularly behavioural determinants such as physical activity, can help to reduce the extent and impact of these conditions, and assist in the prevention, management and treatment of disease. The levels and impacts of physical inactivity are greater for Indigenous people than they …

Review Of Kidney Disease Among Indigenous People, Sasha A. Stumpers, Neil J. Thomson

Research outputs 2013

Kidney disease is a significant health problem for all Australians, but severe kidney disease is more common among Indigenous people than among non- Indigenous people. In particular, the prevalence of chronic kidney disease (CKD) and the overall levels of end-stage kidney disease (ESKD) among Aboriginal and Torres Strait Islander peoples are consistently reported as significantly higher than among other Australians. Information on CKD among Indigenous Australians is available from self-reported survey data, as well as from community-based studies and screening programs [10-20] but the main focus in the literature has been on ESKD. The incidence of ESKD is especially high …

Review Of Ear Health And Hearing Among Indigenous Australians, Jane F. Burns, Neil J. Thomson

Research outputs 2013

Indigenous Australians experience some of the highest levels of ear disease and hearing loss in the world, with rates up to ten times more than those for non-Indigenous Australians [4]. Children and adolescents are particularly vulnerable to ear infections. The most common ear disease among Indigenous children is otitis media (OM), which is inflammation/infection of the middle ear typically caused by bacterial and viral pathogens. Indigenous children living in urban, rural and, particularly, remote areas, are more likely than their non-Indigenous counterparts to have OM at younger ages, more often, at a greater level of severity, and with more likelihood …

The Expected Number Of Background Disease Events During Mass Immunization In China, Youxin Wang, Lijuan Wu, Xinwei Yu, Feifei Zhao, Alyce Russell, Manshu Song, Wei Wang

Research outputs 2013

It is critical to distinguish events that are temporarily associated with, but not caused by, vaccination from those caused by vaccination during mass immunization. We performed a literature search in China National Knowledge Infrastructure and Pubmed databases. The number of coincident events was calculated based on its incidence rate and periods after receipt of a dose of hypothesized vaccine. We included background incidences of Guillain-Barre´ syndrome, anaphylaxis, seizure, sudden adult death syndrome, sudden cardiac death, spontaneous abortion, and preterm labour or delivery. In a cohort of 10 million individuals, 7.71 cases of Guillain-Barre´ syndrome would be expected to occur within …

Social Determinants Of Racial And Ethnic Disparities In Perinatal Morbidity: Social Origins Of Perinatal Health Study, Abraham A. Salinas-Miranda

USF Tampa Graduate Theses and Dissertations

BACKGROUND: The social causation of preterm birth remains elusive, without an adequate explanatory framework. Thus, this study proposed and evaluated a conceptual model of the social determinants of perinatal health for the understanding of perinatal health disparities.

METHODS: A prospective cohort study was conducted with pregnant women between 20 and 35 weeks gestation who were participating in two Healthy Start programs in Central Florida, from July 2011-August 2013. Perinatal health was operationalized based on gestational age, birth weight, and healthy start infant risk screen score. The predictors were: early life adversity, social position, maternal health-related quality of life, maternal stress, …

Fate Of Polybrominated Diphenyl Ethers During Wastewater Treatment Process Producing Reclaimed Water, Kristy Siegel

USF Tampa Graduate Theses and Dissertations

Polybrominated diphenyl ethers (PBDEs), flame retardants, have been applied to consumer goods, such as furniture, electrical devices, textiles, and appliances for decades. Due to their physico-chemical properties, PBDEs are semi-volatile and easily leach off the consumer good during aging, stress, or normal wear and tear of the good. Once airborne, they pose an environmental health threat because they can adsorb onto dust particles, soil, or other particulates that can be inhaled, ingested, or come into contact with the dermal layer. Additionally, PBDEs have a molecular structure similar to other persistent organic pollutants, such as polychlorinated biphenyls and polychlorinated dibenzo-p-dioxins and …

Development Of A Confirmatory Pcr Assay To Detect Onchocerca Volvulus In Pools Of Vector Black Flies, Alex Jeanne Talsma

USF Tampa Graduate Theses and Dissertations

Onchocerciasis, or river blindness, has historically represented one of the significant neglected tropical diseases on the planet in terms of socio-economic impact. The discovery that ivermectin was a safe and effective treatment for onchocerciasis, together with the decision of the manufacturer to donate the drug for the treatment of this disease became the basis for several large international programs to control and eventually eliminate the infection. These programs have managed to virtually eliminate transmission of the parasite causing Onchocerca volvulus from many foci in Africa and the Americas. Verifying that transmission has been halted requires sensitive and specific assays to …

Influence Of Maternal Thyroid Dysfunction On Infant Growth And Development, Ronee Elisha Wilson

USF Tampa Graduate Theses and Dissertations

Thyroid dysfunction is one of the most common endocrine disorders in women of childbearing age and the obstetric consequences of abnormal thyroid hormone levels during pregnancy have been established. Less understood is the implication of the presence of maternal thyroid autoantibodies on infant outcomes among women who are euthyroid during pregnancy. The objective of this study was two-fold: 1) to examine the influence of antenatal thyroperioxidase (TPO) status on fetal/infant brain and body growth measurements at delivery and 2) to explore the relationship of antenatal TPO status and maternal postpartum thyroid dysfunction (PPTD) on early infant growth and neurocognitive development. …

The Dynamics Of Alcohol Consumption In The Russian Federation: Implications Of Using Price Related Policies To Control Alcohol Use, Arseniy Pavlovich Yashkin

USF Tampa Graduate Theses and Dissertations

This dissertation models the dynamics of alcohol use in the Russian Federation with an emphasis on identifying policy implications most likely to be effective at controlling alcohol use. Utilizing data from The Russian Longitudinal Monitoring Survey, models of alcohol consumption are estimated using both myopic and rational specifications via ordinary least squares, fixed effects two stage least squares and, the focus of this study, two-step system generalized method of moments. Alcohol consumption is studied both as a composite good and as a distinct beverage category (wine, beer, and hard liquor). Furthermore, equations stratified by gender and rural status are included …