Publications

epidemic viral keratoconjunctivitis diagnosis and management.	the author reports an epidemic of adeno- and enteroviral eye infections at an overseas military complex in the third quarter of 1981. a similar epidemic was reported by the center for disease control, atlanta, ga to also have occurred in florida, latin america, and north carolina at approximately the same time. the differential diagnosis between epidemic keratoconjunctivitis, pharyngoconjunctival fever, acute hemorrhage conjunctivitis and chlamydial infections is described. epidemiology and mana ...	1983	6302154
measuring organizational change in human services.		1983	10289526
ergonomics: the people factor.		1983	10262549
tunga penetrans in south florida.	we have described a 25-year-old man with infestation of the feet by the burrowing flea tunga penetrans, acquired in brazil. we have also presented the microscopic characteristics of the flea and the histologic differential diagnosis.	1983	6648617
lying hopelessly ill, infant tests new law of hospital survival.		1983	11646338
stanley v. united states.	a former soldier, who allegedly had been given lsd without his knowledge as part of an army experiment for which he had volunteered in 1958, brought suit charging a violation of his civil rights. the u.s. court of appeals had reversed a prior dismissal order of the district court, and this district court opinion was issued on remand to clarify issues in the case. it found that the united states could be liable on a tort theory for injuries to soldiers where the injuries arose from active servi ...	1983	11648207
evaluating state level integration of human services.	the concept of human services integration as an efficient service delivery arrangement has been a popular idea for a number of years; but its practicality and capabilities are still relatively unclear. the authors describe an approach to developing a methodology for assessing services integration at the state level. this is a preliminary report on issues in integrated service delivery systems and their progress to date in creating research instruments for program evaluation in a large delivery s ...	1983	10309928
termination of pregnancies.		1983	12041438
bite mark science. forensic dentistry's hottest frontier.		1982	6749564
survival of vibrio cholerae and escherichia coli in estuarine waters and sediments.	in in vitro estuarine water and sediment chambers, the survival of vibrio cholerae and escherichia coli was determined by plate counting and direct counting techniques. v. cholerae strains included environmental, clinical, and serotype o1 and non-o1 isolates, whereas e. coli strains included atcc 25922 and a freshly cultured human isolate. recovery of v. cholerae varied significantly with incubation temperature. growth and extended periods of survival occurred in sterile sediments, sterile water ...	1982	7041820
dermatitis in horses and man caused by the straw itch mite.	an episode of dermatitis in 12 horses and many animal handlers in the veterinary medical teaching hospital of the university of florida was attributed to the straw itch mite, pyemotes tritici. the mite was found in abundance alfalfa hay that recently had been delivered to the hospital. papules were the most common cutaneous lesions, and these developed on areas of the body to which the mites had easiest access. the clinical course was self-limiting, remitting when the hay supply was depleted.	1982	7130009
medical and public health consequences of nuclear war on the state of florida.		1982	7153740
human interest program: from clubs to lobster.		1982	10254427
who is this man with such great plans?		1982	6951764
leptospira interrogans serovars hardjo and pomona: causes of infections in dairy cows and humans in florida.	leptospirosis was diagnosed in 11 milkers on 3 dairy farms in a florida county. serologic test results identified leptospira interrogans serovar hardjo as the infecting organism in milkers and cows on one farm, and hardjo was isolated from two cows. on the second farm, serovars hardjo and pomona were implicated serologically in the cows and milkers, and pomona was isolated from two milkers. on the third farm, hardjo infection was identified by serologic tests in one milker, and hardjo was isolat ...	1981	7232685
worker exposure to ethion in florida citrus.	dermal and respiratory exposure to ethion was determined for 17 men in eight spray crews in florida citrus spray operations. respiratory exposure was less than 1% of the total exposure. hands represented 42% of the total body exposure for applicators and 76% for suppliers. at one location, suppliers exhibited a larger decrease in che activity than applicators. this difference appeared related to the higher mean dermal ethion exposure to suppliers. acute symptoms of organophosphorous poisoning we ...	1981	7325691
human service reorganization and its effects: a preliminary assessment of florida's services integration 'experiment.'.	the present discussion reports on some of the first statewide data gathering and analysis to assess the consequences of the 1975 reorganization of the florida department of health and rehabilitative services. two major concepts guiding the reorganization were: (1) integration of services in order to cover more adequately the needs of clients, including "multi-problem" clients, and (2) decentralization of administrative authority of all programs under a single, district-wide management structure. ...	1981	10251865
helminth parasites of translocated raccoons (procyon lotor) in the southeastern united states.	raccoons (procyon lotor) typical of animals released by private hunting clubs in the appalachian mountains were examined for helminth parasites to evaluate the influence raccoon translocation might have on parasitic diseases. results were compared with data from resident raccoons from characteristic release areas. translocated raccoons harbored 19 helminth species that were exotic to resident animals. most of these exotic parasites were trematodes (74%). an additional 19 species were found in bo ...	1981	7241707
evaluation of continuing education for long-term care personnel: impact upon attitudes and knowledge.	nursing assistants (aides) and licensed practical nurses (lpns) from three proprietary nursing homes participated in a continuing education program designed to enhance knowledge and attitudes about the elderly in long-term care. the program covered six weeks for the initial 115 aides and one full-day seminar for the 83 lpns. the content covered knowledge and human anatomy, the physiology of normal aging, physical and psychosocial problems of the elderly and, for the nurses, problems associated w ...	1981	6782147
enterovirus-associated illness--florida, arizona, tennessee, 1981.		1981	6267442
determination of polyhalogenated phenotic compounds in drinking water, human blood serum and adipose tissue.		1980	7362906
epidemic outbreaks of adenovirus 7 with special reference to the pathogenicity of adenovirus genome type 7b.	adenovirus type 7 (ad 7) is the serotype among the 36 recognized adenovirus types which most frequently has been associated with severe illness. three different epidemic patterns of ad 7 infection can be distinguished: 1) the first appears during the winter among infants with median age below two years, has characteristic symptoms of high fever and pneumonia and an outcome that may be fatal: 2) the second appears in the fall among children with median age seven years, has characteristic symptoms ...	1980	6254358
public opinion on subject participation in biomedical research: new views on altruism, perception of risk, and proxy consent.		1979	10241607
symposium on drug disposition in man, american society for pharmacology and experimental therapeutics, 6-11 november 1977 in sarasota, florida.		1979	43244
increasing regulation appears as cause for future lawsuits, hospital lawyers' group told.		1979	35458
a study of older adults attending a program on human sexuality: a pilot study.	this study attempted to ascertain if significant changes took place in older adults' knowledge and attitudes about human sexuality following a two-session course on the subject. subjects were volunteers who attended a neighborhood center in miami, florida. information was gathered immediately before the first session and after the second session by use of pencil-and-paper tests. test items were adapted from the sex knowledge and attitude test and attitude and knowledge assessment. at the first s ...	1979	252702
human antirabies treatment in the united states, 1972.	data were examined on 965 persons treated in six states (delaware, florida, georgia, illinois, north dakota, and south carolina) and new york city in 1972 for possible rabies exposure. males 10-19 years were found to be the group at greatest risk, and exposures occurred most frequently during the warm months. dogs, other domestic animals, and wildlife were about equally responsible for human exposures in the six states, but 99% of the exposures in new york city involved dogs. antirabies postexp ...	1979	432411
sunlight and human cataracts.	studies of the cataractous lenses of humans in three different geographic locations indicate that where the ultraviolet components of sunlight are more intense, dark brown cataracts result at a higher frequency than in locations where they are weak. individuals exposed to sunlight regularly by virtue of their outdoor occupations seemed to develop this dark brown type of cataract much more frequently than those who work indoors. the biochemical characteristics of all brunescent cataracts were fou ...	1979	437948
dying man can stop life support, court rules.		1979	154029
hsa must abide by its own rules, court says.		1979	154054
innovations in health manpower licensure.		1979	10314491
concentrations of nitrate in normal human urine and the effect of nitrate ingestion.		1978	694939
human infection with dirofilaria.	human infection with dirofilaria is rare. fewer than 100 cases have been reported in the world's literature. among the cases reported in the united states, most of the patients have been from florida and louisiana. the majority of the patients had a single lesion that involved either the skin or the lung. the case presented here is unusual because the patient had two skin lesions, and because the condition occurred in a patient who lived in the north-central portion of the united states (upper m ...	1978	646377
effect of physical activity on human potassium metabolism in a hot and humid environment.	previous investigations have suggested that there are high potassium losses during heavy physical activities in hot climates. in order to determine if high levels of potassium losses could be offset by potassium loading, this study was conducted with five long-distance track runners who had trained in hot and humid environments. the liquid supplements containing 4.3, 98.0, and 0.0 meq/liter of potassium were given 1 to 2 hr before physical activity. the daily diet contained 2.6 g of potassium. a ...	1978	645630
rocky mountain spotted fever and jaundice. two consecutive cases acquired in florida and a review of the literature on this complication.	rocky mountain spotted fever is increasing in florida, a state that has had few cases in the past. the typical clinical illness has been well described, but jaundice has been rarely reported. in two patients with illnesses resembling leptospirosis, jaundice appeared on the sixth and ninth day of illness, and peak bilirubin levels were between 7 and 9 mg/100 ml. liver biopsy specimen from one patient showed a nonspecific hepatitis. hemolysis and renal dysfunction may have contributed to the produ ...	1978	626553
the emergence of candidosis. the dominant postmortem cerebral mycosis.	comparable human postmortem surveys in central kentucky and southern florida have demonstrated an altered pattern of cerebral mycoses due primarily to therapeutic manipulations. from both states 8,975 complete autopsies yielded 39 patients with histologically verified cerebral mycoses. the most common infection was candidosis (49%), characterized by intraparenchymal microabscesses without significant leptomeningitis in hospitalized patients compromised by antibiotic therapy for infection with gr ...	1978	567939
proceedings from two sessions of the symposium on drug disposition in man, held in sarasota, florida, november 6--11, 1977.		1978	31268
raw hamburger: an interstate common source of human salmonellosis.	an interstate common-source outbreak of salmonellosis was first detected in the united states in september and october, 1975, when a tenfold increase in salmonella newport isolates was noted through routine salmonella surveillance by the colorado department of health. eighteen primary cases with a distinctive antibiotic resistance pattern (tetracycline, streptomycin, and sulfonamides) were evaluated in a case-control study, and illness was found to be associated with eating raw hamburger (p less ...	1978	623088
human aggression and the lunar synodic cycle.	data on five aggressive and/or violent human behaviors were examined by computer to determine whether a relationship exists between the lunar syndoic cycle and human aggression. homicides, suicides, fatal traffic accidents, aggravated assaults and psychiatric emergency room visits occurring in dade county, florida all show lunar periodicities. homicides and aggravated assaults demonstrate statistically significant clustering of cases around full moon. psychiatric emergency room visits cluster ar ...	1978	641019
research in human sexuality education.	since human sexuality courses are relatively recent additions to most u.s. medical school curricula, there are no established procedures for evaluating the courses. the purpose of this study was to test medical students' attitudes toward concepts in sexuality before and after a 5-day sexuality course using the semantic differential. the concepts students rated were "my sexuality", "masturbation", "homosexuality", and "my role in understanding sexual problems". post-test scores were subtracted fr ...	1977	853965
epidemic keratoconjunctivitis at a vietnamese refugee camp in florida.	during the summer of 1975 an ongoing outbreak of conjunctivitis occurred among vietnamese refugees temporarily housed at a u.s. mainland camp. twenty-two per cent of surveyed refugees gave a history of the disease and 10% were documented as having clinical conjunctivitis at the time of the survey. fifty-six per cent of documented cases were in children less than 10 years of age. the attack rate among american camp personnel was 4%. comprehensive microbiologic analysis revealed multiple potential ...	1977	200140
trends of brucellosis in florida. an epidemiologic review.	human brucellosis in florida is documented for the 47-year period 1928-1975. of the 936 cases reported in 1930-1975, more than half (505) occurred in the decade 1940-1949. the incidence declined rapidly to an average rate of five cases per year, although there was an increase in 1974 and 1975. the analysis is mainly concerned with the years 1961-1975, since more complete epidemiologic data are available for this period. cases occurred throughout the year, with the highest incidence being between ...	1977	403760
isolation of the etiological agent of primary amoebic meningoencephalitis from artifically heated waters.	to determine whether artificial heating of water by power plant discharges facilitates proliferation of the pathogenic free-living amoebae that cause primary amoebic meningoencephalitis, water samples (250 ml) were taken from discharges within 3,000 feet (ca. 914.4 m) of power plants and were processed for amoeba culture. pathogenic naegleria fowleri grew out of water samples from two of five lakes and rivers in florida and from one of eight man-made lakes in texas. pathogenic n. fowleri did not ...	1977	596872
right to treatment: o'connor v. donaldson.		1977	873369
the overuse of single patient isolation in hospitals.	single patient isolation of adults to prevent spread of infection was studied in five high occupancy community hospitals. the acceptable standard was a guideline for isolation in hospitals, published by the center for disease control (cdc). overusage of single patient isolation was found to vary between 4% and 96% of physician's isolation orders. diagnoses of viral hepatitis, surgical wound infections, skin infections and respiratory infections accounted for the majority of overisolated patients ...	1977	910800
the association of population density, reduced space, and uncomfortable temperatures with misconduct in a prison community.	this study investigated the relation of population size, amount of personal space, and population density to the incidence of disruptive behavior over a 3-year period in a correctional institution for male youthful offenders. population size was significantly correlated with the number but not the rate of disciplinary violations. the total amount of personal space and the index of population density were significantly correlated with both the number and the rate of violations. a post hoc analysi ...	1977	910751
keeping professionals human.		1977	10236162
progress toward a second generation laboratory information system (lis).	a laboratory information system (lis) is a convenient organization of programs and hardware designed to meet the health care delivery needs of a department of pathology. a full service lis is now a commercially viable product and after 2 years of experience, certain desirable design features are evident for a second generation system. such variables as hardware configuration, physical plant, libraries, diagnostic algorithms, system usage and surveillance, and manpower and human engineering are n ...	1977	10239398
organizing human services in florida. a study of the public policy process.		1976	1037529
organizing human services in florida. response to a public policy process.		1976	1028618
organizing human services in florida. response to a public policy process.		1976	1028619
organizing human services in florida. response to a public policy process.		1976	1028620
organizing human services in florida. response to a public policy process.		1976	1028621
organizing human services in florida. response to a public policy process.		1976	1028622
organizing human services in florida. response to a public policy process.		1976	1028623
organizing human services in florida. teaching public policy.		1976	1028625
student views of human services delivery in florida.		1976	1028626
student views of human services delivery to florida.		1976	1028627
heavy metal concentrations in kidneys of urban gray squirrels.	concentrations of lead and zinc in the kidneys of 180 urban gray squirrels were determined by spectrophotometry and found similar for all age groups; however, concentrations of cadmium increased up to two years of age. values for 12 rural squirrels were significantly lower than those of the urban animals. there were no differences in mean concentrations of the metals when urban squirrels were grouped by the land usage pattern of the sites in which they were captured. grouping squirrels by human ...	1976	16498879
poe v. gerstein. 18 aug 1975.		1975	11646046
lobomycosis as a disease of the atlantic bottle-nosed dolphin (tursiops truncatus montagu, 1821).	skin lesions on an atlantic bottlenosed dolphin, captured off the coast of florida, were investigated and found to be histologically and microbiologically indistinguishable from those caused in humans by loboa loboi. all attempts to isolate the etiologic agent or to transmit the infection to mice and monkeys ended in failure. sight records of other suspected dolphin cases of lobomycosis in florida waters are described along with citations of two previously confirmed and published dolphin infecti ...	1975	1111350
arbovirus surveillance in florida: wild vertebrate studies 1965-1974.	wildlife species from 38 of florida's 67 counties were surveyed over a 10 year period for the presence of antibody to the five major arboviruses circulating in the state. the routine screening of 7891 sera from wild birds and mammals via the hemagglutination-inhibition (h1) test with selected reactors subjected to serum neutralization testing has 1) provided information regarding geographic distribution and seasonality of circulation of these viruses 2) identified enzootic foci of infection and ...	1975	1152173
detection of venezuelan equine encephalitis virus in rural communities of southern florida by exposure of sentinel hamsters.	venezuelan equine encephalitis (vee) virus strains were recovered from sentinel hamsters exposed in close proximity to homes in rural south florida. sentinel hamster surveillance methods over extended periods offer one effective way of uncovering vee virus activity in relation to human habitation.	1975	1155708
public health and the urban gray squirrel: mycology.	from 180 gray squirrels (sciurus c. carolinesis), 942 isolates of fungi representing 19 genera were recovered upon culture of hair-skin scrapings and toenails. of the isolates, 170 represented known human pathogens and 142, squirrel pathogens. a human infection of trichophyton mentagrophytes was derived from handling the squirrels. skin lesions of seven squirrels were attributable to t. mentagrophytes and mucor sp.	1975	1195491
tularemia in florida: sylvilagus palustris as a source of human infection.	the marsh rabbit, sylvilagus palustris, was epidemiologically incriminated as the source of two human cases of tularemia. this represents the first published report of involvement for this species in the human disease.	1975	1195503
editorial: mental retardation.		1975	1185143
primary care in a penal institution. a study of health care problems encountered.	the kinds of health care problems encountered in a 600-man panel institution were studied. five hundred twenty-eight problems were identified in 333 inmates seen on sick call. the large number of psychosocial problems (194 out of 528) and the wide diversity of problems (125 in 333 inmates) were documented. the questionable suitability of the medical model for health care in this type of setting is discussed. the implications for primary health care delivery and education are considered.	1975	1177542
chiropteran rabies in florida: a twenty-year analysis, 1954 to 1973.	chiropteran rabies in florida is analyzed for the 20-year period 1954 to 1973. the examination of 6,447 bats between 1954 and 1961 yielded 55 (0.85%) positive animals. from 1962 to 1973 however, 2,293 bats examined yielded 236 (10.3%) positive. the yellow bat, lasiurus intermedius floridanus, accounted for 183 (63.1%) of all cases of chiropteran rabies. sporadic cases occurred throughout the state with more being reported from the central portion of the state. cases have been reported every mont ...	1975	1119671
demonstration of virus in groundwater after effluent discharge onto soil.	the survival of virus present in secondary effluents discharged into a cypress dome was studied. isolations were made from concentrates of water drawn from 10-foot (304.80 cm) deep wells. data presented show vertical and lateral virus movement as well as survival within the dome for 28 days during a period of heavy rains when no effluent was being applied. due to the inefficiency of virus concentration procedures, it is proposed that much of the virus present was probably not demonstrated. a rap ...	1975	168809
the role of house dust in human ddt pollution.		1975	233977
human venezuelan equine encephalitis virus infection in florida.		1974	4823800
characterization of klebsiella isolates from natural receiving waters and comparison with human isolates.	two hundred sixty-six strains of klebsiella pneumoniae isolated from natural water sources in geographically diverse areas (florida, massachusetts, and oregon) were analyzed to determine the serotype, biochemical, virulence, and antimicrobial susceptibility differences between these natural strains and human klebsiella isolates. sixty of 72 defined serotypes were found among 210 typable strains. geographic patterns were present, but in general were not pronounced among serotypes. reactions with ...	1974	4607526
dentistry: a growing domain for ergonomics.		1974	4833640
letter: course in human sexuality.		1974	4835586
hemoglobin okaloosa (beta 48 (cd7) leucine leads to arginine). an unstable variant with low oxygen affinity.	a slow-moving hemoglobin with electrophoretic mobility similar to that of hemoglobin s was discovered in a white laboratory technologist. she had an elevated reticulocyte count, as did several members of her family. her red cell survival was shortened. amino acid analysis indicated that leucine at position beta48 (cd7) had been replaced by arginine. the abnormal hemoglobin, called okaloosa, was heat-precipitable and had decreased oxygen affinity. it exhibited a greater change in oxygen affinity ...	1973	4748512
methylated forms of arsenic in the environment.	environmental samples were analyzed for arsenate and arsenite ions and the methylarsenic acids in nanogram amounts. dimethylarsinic acid and methylarsonic acid were found in natural waters, bird eggshells, seashells, and human urine.	1973	4800529
the role of social class in human pesticide pollution.		1972	4637012
influenza immunization: field trial on a university campus.		1972	4559743
homicides and the lunar cycle: toward a theory of lunar influence on human emotional disturbance.		1972	5034186
josie billie, seminole doctor, medicine man and baptist preacher.		1970	4913885
good news on poly-i:c.		1970	4907287
meningococcal and echo-9 meningitis. report of an outbreak.		1970	4983417
the raccoon an emerging rabies host.	the geographic distribution of enzootic rabies in raccoons is currently limited to florida and georgia. the enzootic area has steadily expanded northward into georgia during the 1960's. an epizootic in a population of raccoons closely associated with the human residents of a small, off-shore island was investigated. forty-seven raccoons from the island were confirmed rabies positive by the state laboratory from january 22 to may 20, 1969. about 10 percent of the raccoons trapped during the peak ...	1970	16512166
an evaluation of influenza immunization: influence of route of administration and vaccine strain.	a field study was undertaken in tampa, fla., to assess the efficacy of subcutaneous and aerosol methods of administering vaccine, and to compare the protection afforded by bivalent (a2 and b) influenza virus vaccine and by a2/hong kong/68 virus vaccine. further objectives of the study included a comparison of the effectiveness of single-dose and 2-dose immunization. approximately 2100 volunteers received, in a double-blind manner, both an injection and an aerosol administration on 2 occasions 3 ...	1969	4908340
fungal flora of the normal human small and large intestine.		1969	5764842
genetics of albumin gainesville, a new variant of human serum albumin.		1969	5782617
immunization against influenza. prevention of illness in man by aerosolized inactivated vaccine.		1969	5818213
isolations of st. louis encephalitis virus from post-mortem tissues of human cases in the 1962 florida epidemic.		1968	5654947
culex nigripalpus: seasonal shift in the bird-mammal feeding ratio in a mosquito vector of human encephalitis.	blood-engorged culex nigripalpus (theob.) collected throughout the year in two florida localities were serologically tested to determine the host range of this mosquito in nature. a proportional increase in feeding on mammals occurred in early summer, reached a maximum between july and october, and was followed by a shift back to avian hosts which dominated the feeding pattern during winter and spring. this finding strengthens the hypothesis that a biphasic pattern of feeding is a basic characte ...	1968	5659128
levels of chlorinated hydrocarbon pesticides in human tissues.		1967	5226532
an album of human assets.		1966	5931652
arboviruses and human disease in south florida.		1966	5910527
human infection with filariae of animals in the united states.		1965	5891453
human hemoglobin gene linkage: report of a family with hemoglobin b2, hemoglobin s, and beta thalassemia, including a probable crossover between thalassemia and delta loci.		1965	14262130
fetal maceration. 2. an analysis of 53 human stillborn infants.		1964	14104785
a normative study of the goodenough draw-a-man test on southeastern negro elementary school children.		1964	14128818
human botfly infestation in the united states.		1964	14149031
a continuing surveillance of enterovirus infections in healthy children in six united states cities. i. viruses isolated during 1960 and 1961.		1963	14071359
the burden of dengue and chikungunya worldwide: implications for the southern united states and california.	dengue virus (denv) spreads to humans through the bite of an infected aedes aegypti or aedes albopictus mosquito and is a growing public health threat to both industrialized and developing nations worldwide. outbreaks of autochthonous dengue in the united states occurred extensively in the past but over the past 3 decades have again taken place in florida, hawaii, and texas as well as in american samoa, guam, northern mariana islands, puerto rico, and the us virgin islands. as the aedes vectors ...	0	25960096