Department of Population Health Sciences

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Analysis of environmental and economic impacts of hydropower imports for New York City through 2050
Calder, Ryan S. D.; Borsuk, Mark E.; Robinson, Celine (Duke University Nicholas Institute for Environmental Policy Solutions, 2020-10-13)
Indian Point Energy Center (IPEC), a nuclear generating facility that has provided roughly 15 TW·h per year of low-emissions power to the New York City area, will close by 2021. There has been debate over the potential responses to the closure of IPEC which include the development of new generation and transmission infrastructure. This derives in part from difficulties in comparing direct and indirect costs and benefits and environmental and social impacts, which vary substantially across energy alternatives. In particular, the potential role of increased imports of hydropower from Canada to the New York City area has been controversial because of large upfront capital costs and uncertain benefits relative to alternatives such as increased build-out of Downstate New York offshore wind and solar.
Assessing the impact of coordinated COVID-19 exit strategies across Europe
Ruktanonchai, Nick W.; Floyd, J. R.; Lai, S.; Ruktanonchai, Corrine W.; Sadilek, Adam; Rente-Lourenco, P.; Ben, X.; Carioli, A.; Gwinn, J.; Steele, J. E.; Prosper, Olivia F.; Schneider, A.; Oplinger, A.; Eastham, Paul; Tatem, A. J. (2020-09-18)
As rates of new coronavirus disease 2019 (COVID-19) cases decline across Europe owing to nonpharmaceutical interventions such as social distancing policies and lockdown measures, countries require guidance on how to ease restrictions while minimizing the risk of resurgent outbreaks. We use mobility and case data to quantify how coordinated exit strategies could delay continental resurgence and limit community transmission of COVID-19. We find that a resurgent continental epidemic could occur as many as 5 weeks earlier when well-connected countries with stringent existing interventions end their interventions prematurely. Further, we find that appropriate coordination can greatly improve the likelihood of eliminating community transmission throughout Europe. In particular, synchronizing intermittent lockdowns across Europe means that half as many lockdown periods would be required to end continent-wide community transmission.
Assessment of Two Novel Live-Attenuated Vaccine Candidates for Herpes Simplex Virus 2 (HSV-2) in Guinea Pigs
Joyce, Jonathan D.; Patel, Anant K.; Murphy, Brandie; Carr, Daniel J.J.; Gershburg, Edward; Bertke, Andrea S. (MDPI, 2021-03-13)
Treatment to ameliorate the symptoms of infection with herpes simplex virus 2 (HSV-2) and to suppress reactivation has been available for decades. However, a safe and effective preventative or therapeutic vaccine has eluded development. Two novel live-attenuated HSV-2 vaccine candidates (RVx201 and RVx202) have been tested preclinically for safety. Hartley guinea pigs were inoculated vaginally (n = 3) or intradermally (n = 16) with either vaccine candidate (2 × 10⁷ PFU) and observed for disease for 28 days. All animals survived to study end without developing HSV-2-associated disease. Neither vaccine candidate established latency in dorsal root or sacral sympathetic ganglia, as determined by viral DNA quantification, LAT expression, or explant reactivation. Infectious virus was shed in vaginal secretions for three days following vaginal inoculation with RVx202, but not RVx201, although active or latent HSV-2 was not detected at study end. In contrast, guinea pigs inoculated with wild-type HSV-2 MS (2 × 10⁵ PFU) vaginally (n = 5) or intradermally (n = 16) developed acute disease, neurological signs, shed virus in vaginal secretions, experienced periodic recurrences throughout the study period, and had latent HSV-2 in their dorsal root and sacral sympathetic ganglia at study end. Both vaccine candidates generated neutralizing antibody. Taken together, these findings suggest that these novel vaccine candidates are safe in guinea pigs and should be tested for efficacy as preventative and/or therapeutic anti-HSV-2 vaccines.
Building Interdisciplinary Partnerships for Community-Engaged Environmental Health Research in Appalachian Virginia
Satterwhite, Emily M.; Bell, Shannon E.; Marr, Linsey C.; Thompson, Christopher K.; Prussin, Aaron J. II; Buttling, Lauren G.; Pan, Jin; Gohlke, Julia M. (MDPI, 2020-03-05)
This article describes a collaboration among a group of university faculty, undergraduate students, local governments, local residents, and U.S. Army staff to address long-standing concerns about the environmental health effects of an Army ammunition plant. The authors describe community-responsive scientific pilot studies that examined potential environmental contamination and a related undergraduate research course that documented residents’ concerns, contextualized those concerns, and developed recommendations. We make a case for the value of resource-intensive university–community partnerships that promote the production of knowledge through collaborations across disciplinary paradigms (natural/physical sciences, social sciences, health sciences, and humanities) in response to questions raised by local residents. Our experience also suggests that enacting this type of research through a university class may help promote researchers’ adoption of “epistemological pluralism”, and thereby facilitate the movement of a study from being “multidisciplinary” to “transdisciplinary”.
Challenges to a Sustainable Energy Future
Viere, Erin; Chen, Junqin; Deng, Simeng; Hansen, Asger; Hiltbrand, Galen; Maddex, Sean; Lecaros, Santiago; Calder, Ryan S. D. (Duke University, 2020-10-31)
Hydropower accounts for 71% of renewable electrical generation worldwide, and installed capacity may more than double by 2050. Major hydroelectric projects involve construction of reservoirs to buffer the periodicity of river discharge, meaning hydropower typically does not suffer from supply intermittency of other renewables such as wind and solar. Meanwhile, average greenhouse gas emissions are likely substantially lower than fossil fuel alternatives per unit energy produced. Domestic hydropower production in the United States is unlikely to increase substantially in the foreseeable future, but imports from Canada play an increasingly important role in achieving renewable energy targets in northern U.S. markets...
A community-engaged approach to understanding environmental health concerns and solutions in urban and rural communities
Wang, Suwei; Richardson, Molly B.; Evans, Mary B.; Johnson, Ethel; Threadgill-Matthews, Sheryl; Tyson, Sheila; White, Katherine L.; Gohlke, Julia M. (2021-09-24)
Background Focus groups and workshops can be used to gain insights into the persistence of and potential solutions for environmental health priorities in underserved areas. The objective of this study was to characterize focus group and workshop outcomes of a community-academic partnership focused on addressing environmental health priorities in an urban and a rural location in Alabama between 2012 and 2019. Methods Six focus groups were conducted in 2016 with 60 participants from the City of Birmingham (urban) and 51 participants from Wilcox County (rural), Alabama to discuss solutions for identified environmental health priorities based on previous focus group results in 2012. Recorded focus groups were transcribed and analyzed using the grounded theory approach. Four follow-up workshops that included written survey instruments were conducted to further explore identified priorities and determine whether the priorities change over time in the same urban (68 participants) and rural (72 participants) locations in 2018 and 2019. Results Consistent with focus groups in 2012, all six focus groups in 2016 in Birmingham identified abandoned houses as the primary environmental priority. Four groups listed attending city council meetings, contacting government agencies and reporting issues as individual-level solutions. Identified city-level solutions included city-led confiscation, tearing down and transferring of abandoned property ownership. In Wilcox County, all six groups agreed the top priority was drinking water quality, consistent with results in 2012. While the priority was different in Birmingham versus Wilcox County, the top identified reason for problem persistence was similar, namely unresponsive authorities. Additionally, individual-level solutions identified by Wilcox County focus groups were similar to Birmingham, including contacting and pressuring agencies and developing petitions and protesting to raise awareness, while local policy-level solutions identified in Wilcox County included government-led provision of grants to improve septic systems, and transparency in allocation of funds. Workshops in 2018 and 2019 further emphasized water quality as the top priority in Wilcox County, while participants in Birmingham transitioned from abandoned houses as a top priority in 2018 to drinking water quality as a new priority in 2019. Conclusions Applying a community-engaged approach in both urban and rural locations provided better understanding of the unique opportunities and challenges for identifying potential interventions for environmental health priorities in both locations. Results can help inform future efforts to address locally defined environmental health issues and solutions.
Comparison between Gradual Reduced Nicotine Content and Usual Nicotine Content Groups on Subjective Cigarette Ratings in a Randomized Double-Blind Trial
Lin, Wenxue; Krebs, Nicolle M.; Zhu, Junjia; Foulds, Jonathan; Horn, Kimberly; Muscat, Joshua E. (MDPI, 2020-09-26)
In 2018, the United States Food and Drug Administration (FDA) issued an advanced notice of proposed rulemaking to reduce nicotine in tobacco products to produce a minimally addictive or nonaddictive effect, but there was a research gap in the subjective responses of reduced-nicotine-content cigarettes. We compared the responses of the modified cigarette evaluation questionnaire (mCEQ) and cigarette-liking scale (CLS) between the gradually reduced nicotine content (RNC) group and the usual nicotine content (UNC) group. Linear mixed-effects models for repeated measures were used to analyze and compare the change over time for the mCEQ and CLS across the two treatment groups (RNC and UNC). We found that the change over time for the mCEQ and CLS was significant between the RNC and the UNC treatment groups at the beginning of visit 6 with 1.4 mg nicotine/cigarette. At visits 8 and 9, the RNC group reported significantly lower satisfaction scores compared to UNC. Subscale analysis showed that smoking satisfaction decreased in RNC while other measures, such as cigarette enjoyment, did not change. Understanding the impact of nicotine reduction on cigarette subjective responses through evaluation and liking scales would provide valuable information to the FDA on nicotine reduction policies for cigarettes.
Conocimientos de la hipertension: Health beliefs about hypertension in an under-resourced community in the Dominican Republic
Abrams, Jasmine A.; Castro, Bryan; Gordhandas, Sushmita; Grzegorczyk, Anna; Maxwell, Morgan; Brawner, Bridgette; Conserve, Donaldson F.; Ryan, Mark (2020-06-23)
Understanding health beliefs is important to facilitate health promotion and disease prevention as they influence health behaviors, outcomes, and disease management. Given the rise of hypertension-related diseases in the Dominican Republic, the purpose of our study was to identify hypertension-related health beliefs of Dominicans in order to inform the development of culturally appropriate interventions for hypertension prevention, care, and treatment. Semi-structured interviews were conducted with 20 Dominicans, 15 of whom were receiving treatment for hypertension. Operating within the interpretative paradigmatic framework, we conducted thematic analyses of interview data to identify hypertension-related health beliefs and practices. Iterative data analysis revealed the following themes: 1) Negative emotions are a primary cause of hypertension, 2) Medication is the best treatment but adherence is challenging, 3) Systemic barriers impede treatment access, 4) Hypertension negatively impacts mental and physical well-being, and 5) Lifestyle changes, relaxation, and social support help manage hypertension. Data gathered from member checking validated these findings. This study enhances understanding of the beliefs and experiences of Dominicans and emphasize the importance of implementing culturally competent health programming and care.
Coupled Human-Natural Modeling for Hydroelectric Development: Understanding the Health Impacts of America’s Renewable Energy Imports
Calder, Ryan S. D. (Duke University, 2019)
Hydropower accounts for 71% of renewable electrical generation worldwide, and installed capacity may more than double by 2050. Major hydroelectric projects involve construction of reservoirs to buffer the periodicity of river discharge, meaning hydropower typically does not suffer from supply intermittency of other renewables such as wind and solar. Meanwhile, average greenhouse gas emissions are likely substantially lower than fossil fuel alternatives per unit energy produced. Domestic hydropower production in the United States is unlikely to increase substantially in the foreseeable future, but imports from Canada play an increasingly important role in achieving renewable energy targets in northern U.S. markets....
COVID-19 Reveals Vulnerabilities of the Food–Energy–Water Nexus to Viral Pandemics
Calder, Ryan S. D.; Grady, Caitlin; Jeuland, Marc; Kirchhoff, Christine J.; Hale, Rebecca L.; Muenich, Rebecca L. (American Chemical Society, 2021)
Food, energy, and water (FEW) sectors are inextricably linked, making one sector vulnerable to disruptions in another. Interactions between FEW systems, viral pandemics, and human health have not been widely studied. We mined scientific and news/media articles for causal relations among FEW and COVID-19 variables and qualitatively characterized system dynamics. Food systems promoted the emergence and spread of COVID-19, leading to illness and death. Major supply-side breakdowns were avoided (likely due to low morbidity/mortality among working-age people). However, COVID-19 and physical distancing disrupted labor and capital inputs and stressed supply chains, while creating economic insecurity among the already vulnerable poor. This led to demand-side FEW insecurities, in turn increasing susceptibility to COVID-19 among people with many comorbidities. COVID-19 revealed trade-offs such as allocation of water to hygiene versus to food production and disease burden avoided by physical distancing versus disease burden from increased FEW insecurities. News/media articles suggest great public interest in FEW insecurities triggered by COVID-19 interventions among individuals with low COVID-19 case-fatality rates. There is virtually no quantitative analysis of any of these trade-offs or feedbacks. Enhanced quantitative FEW and health models are urgently needed as future pandemics are likely and may have greater morbidity and mortality than COVID-19.
Effect of an Additional 30 Minutes Spent Outdoors during Summer on Daily Steps and Individually Experienced Heat Index
Wang, Suwei; Richardson, Molly B.; Wu, Connor Y. H.; Zaitchik, Benjamin F.; Gohlke, Julia M. (MDPI, 2020-10-17)
Spending time outdoors is associated with increased physical activity; however, high ambient temperature/humidity, together with built environment features in urban versus rural environments, may influence physical activity. We conducted an intervention trial with 89 urban and 88 rural participants performing normal activities on Days 1–2 (baseline) and spending an additional 30 min outdoors on Days 3–7 (intervention) in the summer. Participants wore a pedometer with real-time visual feedback to track daily steps taken and a thermometer clipped to their shoe to track temperatures experienced individually. Hygrometer–thermometers were deployed in participants’ neighborhoods to collect finer resolution ambient heat indexes in addition to regional weather station measurements. Using linear mixed effects models and adjusting for ambient conditions and individual-level factors, participants on average walked 637 (95%CI (83, 1192)) more steps and had a 0.59 °C (95%CI (0.30, 0.88)) lower daily mean individually experienced heat index during intervention days compared to baseline days. The intervention benefit of increased physical activity was greater in rural residents who were less active at baseline, compared to urban residents. Our results suggest adding a small amount of additional time outdoors may improve physical activity without increasing participants’ heat exposure, even during summer in a humid subtropical climate.
Environmental health disparities in the Central Appalachian region of the United States
Krometis, Leigh-Anne H.; Gohlke, Julia M.; Kolivras, Korine N.; Satterwhite, Emily M.; Marmagas, Susan West; Marr, Linsey C. (De Gruyter, 2017-09-26)
Health disparities that cannot be fully explained by socio-behavioral factors persist in the Central Appalachian region of the United States. A review of available studies of environmental impacts on Appalachian health and analysis of recent public data indicates that while disparities exist, most studies of local environmental quality focus on the preservation of nonhuman biodiversity rather than on effects on human health. The limited public health studies available focus primarily on the impacts of coal mining and do not measure personal exposure, constraining the ability to identify causal relationships between environmental conditions and public health. Future efforts must engage community members in examining all potential sources of environmental health disparities to identify effective potential interventions.
Evaluation of a mindfulness-based stress management and nutrition education program for mothers
Kennedy, Lauren E.; Hosig, Kathy L.; Ju, Young; Serrano, Elena L. (Cogent, 2019-10-31)
Background: Maternal stress is implicated in obesity and obesity-related chronic disease. This can have consequences for their children’s weight status and disease development. Interventions are needed that target both psychological stress and diet using evidence-based approaches. Objective: The objective of this study was to evaluate the perceived impact of the Slow Down intervention on participants’ self-efficacy for practicing mindfulness and the barriers and perceived benefits to adopting intervention target behaviors. The ways that knowledge was brokered and transferred provided guidance on the translation of mindfulness within dietary interventions. Design: This was a qualitative evaluation of a mixed-methods quasi-experimental pilot intervention. A focus group was conducted post-intervention and a follow-up semi-structured individual interview took place 4–6 weeks post-intervention. Results: Self-efficacy for practicing mindfulness skills was generally high or described as mixed by participants. Reported benefits from participating in the intervention included increased social support, improved sleep, and improved reaction to stressors, among others. Participants reported barriers to making changes, including family or partner buy-in. Participants cited several ways that knowledge was gained and transferred throughout the intervention that could improve the translation of mindfulness research into practice. Conclusions: With increasing evidence supporting the use of mindfulness in public health nutrition interventions, there are gaps in describing the benefits of participation in mindfulness interventions and the barriers to making health behavior changes as a result of participation. This study demonstrates the potential for nutrition interventions that include psychological health and provides guidance on how to implement mindfulness practice into public health practice settings.
Impact of demographic disparities in social distancing and vaccination on influenza epidemics in urban and rural regions of the United States
Singh, Meghendra; Sarkhel, Prasenjit; Kang, Gloria J.; Marathe, Achla; Boyle, Kevin J.; Murray-Tuite, Pamela; Abbas, Kaja M.; Swarup, Samarth (2019-03-04)
Background Self-protective behaviors of social distancing and vaccination uptake vary by demographics and affect the transmission dynamics of influenza in the United States. By incorporating the socio-behavioral differences in social distancing and vaccination uptake into mathematical models of influenza transmission dynamics, we can improve our estimates of epidemic outcomes. In this study we analyze the impact of demographic disparities in social distancing and vaccination on influenza epidemics in urban and rural regions of the United States. Methods We conducted a survey of a nationally representative sample of US adults to collect data on their self-protective behaviors, including social distancing and vaccination to protect themselves from influenza infection. We incorporated this data in an agent-based model to simulate the transmission dynamics of influenza in the urban region of Miami Dade county in Florida and the rural region of Montgomery county in Virginia. Results We compare epidemic scenarios wherein the social distancing and vaccination behaviors are uniform versus non-uniform across different demographic subpopulations. We infer that a uniform compliance of social distancing and vaccination uptake among different demographic subpopulations underestimates the severity of the epidemic in comparison to differentiated compliance among different demographic subpopulations. This result holds for both urban and rural regions. Conclusions By taking into account the behavioral differences in social distancing and vaccination uptake among different demographic subpopulations in analysis of influenza epidemics, we provide improved estimates of epidemic outcomes that can assist in improved public health interventions for prevention and control of influenza.
Implementation of the Department of Housing and Urban Development’s Smoke-Free Rule: A Socio-Ecological Qualitative Assessment of Administrator and Resident Perceptions
Horn, Kimberly; Johnson, Sallie B.; Rincón-Gallardo Patiño, Sofía; Krost, Kevin; Gray, Tiffany; Dearfield, Craig; Du, Chenguang; Bernat, Debra (MDPI, 2021-08-24)
In July 2018, the United States Department of Housing and Urban Development (HUD) implemented a mandatory smoke-free rule in public housing. This study assessed administrator and resident perceptions of rule implementation during its initial year in the District of Columbia Housing Authority (DCHA). Assessment included nine focus groups (n = 69) with residents and in-depth interviews with administrators (n = 7) and residents (n = 26) from 14 DCHA communities (family = 7 and senior/disabled = 7). Semi-structured discussion guides based on the multi-level socio-ecological framework captured dialogue that was recorded, transcribed verbatim, and coded inductively. Emerging major themes for each socio-ecological framework level included: (1) Individual: the rule was supported due to perceived health benefits, with stronger support among non-smokers; (2) Interpersonal: limiting secondhand smoke exposure was perceived as a positive for vulnerable residents; (3) Organizational: communication, signage, and cessation support was perceived as a need; (4) Community: residents perceived mobility, disability, weather, and safety-related issues as barriers; and (5) Public Policy: lease amendments were perceived as enablers of rule implementation but expressed confusion about violations and enforcement. A majority of administrators and residents reported favorable implications of the mandated HUD rule. The novel application of a socio-ecological framework, however, detected implementation nuances that required improvements on multiple levels, including more signage, cessation support, clarification of enforcement roles, and addressing safety concerns.
Leptospira Seroprevalence Among Ugandan Slaughter Cattle: Comparison of Sero-Status With Renal Leptospira Infection
Alinaitwe, Lordrick; Kankya, Clovice; Namanya, Dianah; Pithua, Patrick; Dreyfus, Anou (Frontiers, 2020-02-28)
Despite evidence of both human and animal Leptospira exposures in Uganda, the epidemiology of the disease is still not well-investigated. Contact with animals and their environments have been pointed out as potential source of infection with Leptospira species in humans; and cattle may be an important reservoir in Uganda. In this cross-sectional study, we estimated the prevalence of anti-Leptospira antibodies by the standard microscopic agglutination test (MAT); and associated risk factors among slaughtered cattle. We also compared the performance of the MAT used in this study against a lipL32 based real time PCR (qPCR) assay previously conducted on the kidneys and urine of the same slaughter cattle as tested in this reported study. Of 500 cattle sampled, 27.8% (95% CI 23.9–32.0) tested positive (titer ≥ 100) to at least one Leptospira serovar, with the majority of seropositive cattle reacting to serovars Tarassovi (sg Tarassovi) (11.6%), Sejroe (Sg Sejroe) (7.8%), and Australis (Sg Australis) (5.2%). Older animals had 2.8 times (95% CI 1.0–8.2, p-value 0.055) greater odds of being seropositive than younger ones (<1.5 years). The sensitivity and specificity of the MAT over the qPCR were 65.9% (95% CI 50.1–79.5) and 75.9% (95% CI 71.7–79.7), respectively; with a negative predictive value of 95.8% and positive predictive value of 20.9%. In conclusion, slaughter cattle in this study were significantly exposed to pathogenic Leptospira species of mainly the Tarassovi, Sejroe, and Australis serogroups, with seroprevalence being higher among older cattle. The high specificity and negative predictive value of MAT as used in this study when compared to the qPCR assay may imply a rather strong association between seronegativity and absence of renal Leptospira infection. However, MAT predictability for renal Leptospira infection may be interpreted cautiously since predictive values of diagnostic tests are dependent on prevalence.
Lung Cancer Risk Perception Among Older Smokers: a Cross-sectional Study
Zarghami, Fatemeh; Allahverdipour, Hamid; Jafarabadi, Mohammad Asghari (2021-01-11)
Background: Lung cancer is one of the deadliest cancers around the world. Also, scientific evidence proves the considerably lower lung cancer risk perceptions of smokers compared to non-smokers. Objectives: This study aimed at assessing the risk perception of smokers about their risk to contract lung cancer and their perceptions about lung cancer survival. Methods: In this cross-sectional study, the data were collected from 215 smokers in Tabriz, Iran, between April 2019 and July 2019. The data collection tool was designed, using validated questionnaires and contained questions on the perceived risk of smokers to develop lung cancer and their perception of lung cancer survival. A general linear model was conducted to model the relationship of risk perception with underlying predictors considering a significance level of 0.1. Results: The results of modeling indicated that perceived susceptibility (P-Sus) was negatively related to "years smoked" in simple regression (B = -0.035, P = 0.069) and multiple regression (B = -0.069, P = 0.007). P-Sus was also negatively related to the variable "age" in the age category of 45 to 50 years (B = -1.981, P = 0.046). Moreover, perceived severity (P-Sev) was negatively related to the variable "sex" (B = -1.037, P = 0.068). The results of the Spearman correlation indicated significant and direct correlations between "quitting intention" and P-Sus (r = 0.296, P < 0.001), P-Sev (r = 0.162, P = 0.009). Conclusions: Lung cancer risk perception of participants was moderately above the average and significant correlations were observed between "quitting intention" and "P-Sus" and "P-Sev" and "Risk Perception score". This could be utilized in developing educational programs to promote awareness about lung cancer, especially for smokers.
Maternal proximity to Central Appalachia surface mining and birth outcomes
Buttling, Lauren G.; McKnight, Molly Xi; Kolivras, Korine N.; Ranganathan, Shyam; Gohlke, Julia M. (Wolters Kluwer Health, 2021-02)
Maternal residency in Central Appalachia counties with coal production has been previously associated with increased rates of low birth weight (LBW). To refine the relationship between surface mining and birth outcomes, this study employs finer spatiotemporal estimates of exposure.
Methods
We developed characterizations of annual surface mining boundaries in Central Appalachia between 1986 and 2015 using Landsat data. Maternal address on birth records was geocoded and assigned amount of surface mining within a 5 km radius of residence (street-level). Births were also assigned the amount of surface mining within residential ZIP code tabulation area (ZCTA). Associations between exposure to active mining during gestation year and birth weight, LBW, preterm birth (PTB), and term low birth weight (tLBW) were determined, adjusting for outcome rates before active mining and available covariates.
Results
The percent of land actively mined within a 5 km buffer of residence (or ZCTA) was negatively associated with birth weight (5 km: β = -14.07 g; 95% confidence interval [CI] = -19.35, -8.79, P = 1.79 × 10^-7; ZCTA: β = -9.93 g; 95% CI = -12.54, -7.33, P = 7.94 × 10^-14). We also found positive associations between PTB and active mining within 5 km (odds ratio [OR] = 1.06; 95% CI = 1.03, 1.09, P = 1.43 × 10^-4) and within ZCTA (OR = 1.04; 95% CI = 1.03, 1.06, P = 9.21 × 10^-8). Positive relationships were also found between amount of active mining within 5 km or ZIP code of residence and LBW and tLBW outcomes.
Conclusions
Maternal residency near active surface mining during gestation may increase risk of PTB and LBW.
A Mathematical Model of Skeletal Muscle Disease and Immune Response in the mdx Mouse
Jarrah, Abdul Salam; Castiglione, Filippo; Evans, Nicholas P.; Grange, Robert W.; Laubenbacher, Reinhard C. (Hindawi, 2014-06-11)
Duchenne muscular dystrophy (DMD) is a genetic disease that results in the death of affected boys by early adulthood. The genetic defect responsible for DMD has been known for over 25 years, yet at present there is neither cure nor effective treatment for DMD. During early disease onset, the mdx mouse has been validated as an animal model for DMD and use of this model has led to valuable but incomplete insights into the disease process. For example, immune cells are thought to be responsible for a significant portion of muscle cell death in the mdx mouse; however, the role and time course of the immune response in the dystrophic process have not been well described. In this paper we constructed a simple mathematical model to investigate the role of the immune response in muscle degeneration and subsequent regeneration in the mdx mouse model of Duchenne muscular dystrophy. Our model suggests that the immune response contributes substantially to the muscle degeneration and regeneration processes. Furthermore, the analysis of the model predicts that the immune system response oscillates throughout the life of the mice, and the damaged fibers are never completely cleared.
Methods for Estimating Wet Bulb Globe Temperature From Remote and Low-Cost Data: A Comparative Study in Central Alabama
Carter, Anabel W.; Zaitchik, Benjamin F.; Gohlke, Julia M.; Wang, Suwei; Richardson, Molly B. (2020-05)
Heat stress is a significant health concern that can lead to illness, injury, and mortality. The wet bulb globe temperature (WBGT) index is one method for monitoring environmental heat risk. Generally, WBGT is estimated using a heat stress monitor that includes sensors capable of measuring ambient, wet bulb, and black globe temperature, and these measurements are combined to calculate WBGT. However, this method can be expensive, time consuming, and requires careful attention to ensure accurate and repeatable data. Therefore, researchers have attempted to use standard meteorological measurements, using single data sources as an input (e.g., weather stations) to calculate WBGT. Building on these efforts, we apply data from a variety of sources to calculate WBGT, understand the accuracy of our estimated equation, and compare the performance of different sources of input data. To do this, WBGT measurements were collected from Kestrel 5400 Heat Stress Trackers installed in three locations in Alabama. Data were also drawn from local weather stations, North American Land Data Assimilation System (NLDAS), and low cost iButton hygrometers. We applied previously published equations for estimating natural wet bulb temperature, globe temperature, and WBGT to these diverse data sources. Correlation results showed that WBGT estimates derived from all proxy data sources-weather station, weather station/iButton, NLDAS, NLDAS/iButton-were statistically indistinguishable from each other, or from the Kestrel measurements, at two of the three sites. However, at the same two sites, the addition of iButtons significantly reduced root mean square error and bias compared to other methods. Plain Language Summary Heat stress is a buildup of body heat that can lead to illness, injury, or death. One method for estimating heat stress is an index called wet bulb globe temperature (WBGT). The index is usually measured with a monitor that records three types of temperature measurements and combines them. However, this method can be expensive, time consuming, and requires careful attention. Therefore, researchers have tried to use standard measurements such as wind speed, temperature, humidity, etc., to calculate WBGT. Building on these efforts, we wanted to determine if it was possible to accurately calculate WBGT with a variety of inexpensive data sources in central Alabama. We used previously published equations to estimate WBGT. Results showed that all proxy methods accurately estimated WBGT in two Alabama locations, but that using local measurements did change estimates of the number of potentially dangerous heat episodes relative to estimates that rely on remote sources of weather data. The ability to use easily accessible measurements could be a powerful tool for studies and interventions related to heat stress.

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