Publications by authors named "David Rich"

Background: Sex steroid hormones are critical for maintaining pregnancy and optimal fetal development. Air pollutants are potential endocrine disruptors that may disturb sex steroidogenesis during pregnancy, potentially leading to adverse health outcomes.

Methods: In the Environmental influences on Child Health Outcomes Understanding Pregnancy Signals and Infant Development pregnancy cohort (Rochester, NY), sex steroid concentrations were collected at study visits in early-, mid-, and late-pregnancy in 299 participants.

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  • The study analyzed the relationship between certain types of particulate matter (PM) and hospitalizations or emergency visits for asthma and COPD in New York before and after implementing stricter automobile emission controls.
  • Using statistical methods, it identified that increases in specific PM sources like spark-ignition emissions and secondary sulfates were linked to higher rates of asthma emergency visits, while diesel emissions had a negative association.
  • After the new emission regulations were put in place, there was a decrease in COPD hospital admissions related to some PM sources, but asthma visits generally increased, highlighting the need for further investigation into these trends.
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  • The study examines PAH-hemoglobin adducts in blood samples from pregnant women in Rochester, NY, as potential long-term exposure biomarkers for air pollution.
  • Researchers measured specific hydrolysis products of PAH-hemoglobin adducts (BaPT and PHET) and linked these to cumulative exposure to particulate matter (PM) during pregnancy.
  • The results indicated positive correlations between these biomarker levels and PM exposure over specified gestational weeks, highlighting PAH-hemoglobin adducts as effective indicators of longer-term air pollution exposure, while no link was found with NO exposure.
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Bayesian phylogenetics typically estimates a posterior distribution, or aspects thereof, using Markov chain Monte Carlo methods. These methods integrate over tree space by applying local rearrangements to move a tree through its space as a random walk. Previous work explored the possibility of replacing this random walk with a systematic search, but was quickly overwhelmed by the large number of probable trees in the posterior distribution.

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  • Restricted fetal growth (RFG) is linked to higher perinatal mortality and is associated with gestational exposure to various air pollutants like PM, NO, and PAHs.
  • This study analyzed how air pollution exposure during different trimesters affects inflammatory markers in the placenta, involving a cohort of 263 pregnant women in Rochester, NY.
  • Findings indicate that increased PM exposure in early pregnancy is linked to lower placental IL-6 levels, while higher PAH levels were associated with increased TNF-α levels at different stages, suggesting air pollution can change the placenta's inflammatory response at delivery.
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  • A study found that low-level air pollution is linked to higher HbA1c levels, a marker for hyperglycemia, in pregnant individuals without diabetes.
  • Researchers analyzed blood samples from 224 pregnant people in Rochester, NY, discovering a U-shaped pattern of HbA1c throughout pregnancy.
  • Increased nitrogen oxide (NO) levels were associated with significant rises in HbA1c, particularly during crucial weeks in the first trimester, suggesting air pollution may negatively impact blood sugar control in low-risk pregnancies.
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  • Previous studies found a link between higher levels of specific types of particulate matter (PM) and increased cardiovascular hospitalizations in New York, even though overall PM levels dropped.
  • This study used STEMI patient data from the University of Rochester to analyze the effects of various PM types, particularly organic carbon, on heart attack rates from 2014 to 2019.
  • The results indicated that while certain traffic-related PM levels did not correlate with STEMI rates during the later years, higher secondary organic carbon levels might still be linked to an increased risk of heart attacks, especially when looking at data from the early period of the study.
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Background: Influenza healthcare encounters in adults associated with specific sources of PM is an area of active research.

Objective: Following 2017 legislation requiring reductions in emissions from light-duty vehicles, we hypothesized a reduced rate of influenza healthcare encounters would be associated with concentrations of PM from traffic sources in the early implementation period of this regulation (2017-2019).

Methods: We used the Statewide Planning and Research Cooperative System (SPARCS) to study adult patients hospitalized (N = 5328) or treated in the emergency department (N = 18,247) for influenza in New York State.

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Prior studies reported excess rates (ERs) of cardiorespiratory events associated with short-term increases in PM concentrations, despite implementation of pollution-control policies. In 2017, Federal Tier 3 light-duty vehicle regulations began, and to-date there have been no assessments of population health effects of the policy. Using the NYS Statewide Planning and Research Cooperative System (SPARCS) database, we obtained hospitalizations and ED visits with a principal diagnosis of asthma or chronic obstructive pulmonary disease (COPD) for residents living within 15 miles of six urban PM monitoring sites in NYS (2014-2019).

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  • Increased systemic oxidative stress during pregnancy has been linked to exposure to air pollutants like polycyclic aromatic hydrocarbons (PAHs), fine particulate matter (PM), and nitrogen dioxide (NO), but it's uncertain if low-level exposure also affects oxidative stress.
  • A study of 305 pregnant women in western New York found that higher urinary levels of 1-hydroxypyrene and PM were associated with increased markers of oxidative stress, particularly malondialdehyde (MDA), especially during the first and second trimesters.
  • The research suggests that the first and second trimesters are critical periods where pregnant women may experience heightened oxidative stress due to air pollution, even at levels below current air quality standards.
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This study assessed the spatial variability of PM source contributions across ten sites located in the South Coast Air Basin, California. Eight pollution sources and their contributions were obtained using positive matrix factorization (PMF) from the PM compositional data collected during the two sampling campaigns (2012/13 and 2018/19) of the Multiple Air Toxics Exposure Study (MATES). The identified sources were "gasoline vehicles", "aged sea salt", "biomass burning", "secondary nitrate", "secondary sulfate", "diesel vehicles", "soil/road dust" and "OP-rich".

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During the past two decades, efforts have been made to further reduce particulate air pollution across New York State through various Federal and State policy implementations. Air quality has also been affected by economic drivers like the 2007-2009 recession and changing costs for different approaches to electricity generation. Prior work has focused on particulate matter with aerodynamic diameter ≤2.

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Importance: Older adults with advanced cancer are less likely to tolerate treatment with cytotoxic chemotherapy compared with younger patients due to their aging-related conditions. Hence, oncologists sometimes opt to employ primary treatment modifications (deviation from standard of care) during the first cycle of chemotherapy.

Objective: To examine the association between primary treatment modification and treatment tolerability in older adults with advanced cancer who were starting new palliative chemotherapy regimens.

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Unlabelled: " Fast is fine, but accuracy is final. " -- Wyatt Earp.

Background: The extreme diversity of newly sequenced organisms and considerable scale of modern sequence databases lead to a tension between competing needs for sensitivity and speed in sequence annotation, with multiple tools displacing the venerable BLAST software suite on one axis or another.

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Background: Phthalate exposures are ubiquitous during pregnancy and may contribute to racial and ethnic disparities in preterm birth.

Objectives: We investigated race and ethnicity in the relationship between biomarkers of phthalate exposure and preterm birth by examining: ) how hypothetical reductions in racial and ethnic disparities in phthalate metabolites might reduce the probability of preterm birth; and ) exposure-response models stratified by race and ethnicity.

Methods: We pooled individual-level data on 6,045 pregnancies from 16 U.

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The effects of air quality control policies implemented in California from 2005 to 2019 targeting sources contributing to ambient PM concentrations, were assessed at two sampling sites in the Los Angeles Basin (N. Main Street and Rubidoux). The spatial and temporal variations of pollution source contributions obtained from dispersion-normalized positive matrix factorization, (DN-PMF) were interpreted with respect to site specific locations.

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  • Random Forest algorithms are commonly used to estimate air pollutant concentrations, but their accuracy can drop due to limited training data.
  • In this study, researchers enhanced these models' precision by incorporating data from low-cost sensors and refining variable selection to better address areas with sparse monitoring.
  • The evaluation of the models showed improved prediction accuracy, with significant correlations between predicted particulate matter levels and urinary 1-hydroxypyrene, indicating that these methods could be effective in better estimating air quality in under-monitored regions.
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Bayesian phylogenetics is a computationally challenging inferential problem. Classical methods are based on random-walk Markov chain Monte Carlo (MCMC), where random proposals are made on the tree parameter and the continuous parameters simultaneously. Variational phylogenetics is a promising alternative to MCMC, in which one fits an approximating distribution to the unnormalized phylogenetic posterior.

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  • The study explores the link between socioeconomic status (SES) and exposure to polycyclic aromatic hydrocarbons (PAHs) in pregnant women in Rochester, NY.
  • Significant findings show that lower household income and maternal education levels predict higher PAH exposure, as measured by 1-hydroxypyrene concentrations in urine samples.
  • Proximity to air pollution sources, like airports and railroads, significantly increases PAH levels, contributing to an estimated 10% of the exposure disparity linked to SES.
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Introduction: Evidence on the interaction of lifestyle and long-term ambient particle (PM) exposure on the prevalence of hypertension, diabetes, particularly their combined condition is limited. We investigate the associations between PM and these outcomes and whether the associations were modified by various lifestyles.

Methods: This was a large population-based survey during 2019-2021 in Southern China.

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  • The study analyzed hourly particle number size distributions (PNSD) from 26 European sites and 1 in the US to understand urban ultrafine particles and their air quality impacts.
  • Findings show that particle number concentrations (PNC) are highest in traffic areas compared to urban background and suburban locations, with noticeable increases as one moves from Northern to Southern Europe.
  • Recommendations highlight the need for specific PNSD monitoring to accurately assess the health effects of nanoparticles, with calls for standardized measurement practices to ensure comparability across different sites.
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Background: Evidence of the association between long-term exposure to particulate matter (PM) and chronic obstructive pulmonary disease (COPD) mortality from large population-based cohort study is limited and often suffers from residual confounding issues with traditional statistical methods. We hereby assessed the casual relationship between long-term PM (PM, PM and PM) exposure and COPD mortality in a large cohort of Chinese adults using state-of-the-art causal inference approaches.

Methods: A total of 580,757 participants in southern China were enrolled in a prospective cohort study from 2009 to 2015 and followed up until December 2020.

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Background: Risk stratification in long QT syndrome (LQTS) patients is important for optimizing patient care and informing clinical decision making. We developed a risk prediction algorithm with prediction of 5-year absolute risk of the first life-threatening arrhythmic event [defined as aborted cardiac arrest, sudden cardiac death, or appropriate implantable cardioverter defibrillator (ICD) shock] in LQTS patients, accounting for individual risk factors and their changes over time.

Methods: Rochester-based LQTS Registry included the phenotypic cohort consisting of 1,509 LQTS patients with a QTc ≥ 470 ms, and the genotypic cohort including 1,288 patients with single LQT1, LQT2, or LQT3 mutation.

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Background: Previously, we found increased rates of ST-elevation myocardial infarction (STEMI) associated with increased ultrafine particle (UFP; <100 nm) concentrations in the previous few hours in Rochester, New York. Relative rates were higher after air quality policies and a recession reduced pollutant concentrations (2014-2016 versus 2005-2013), suggesting PM composition had changed and the same PM mass concentration had become more toxic. Tier 3 light duty vehicles, which should produce less primary organic aerosols and oxidizable gaseous compounds, likely making PM less toxic, were introduced in 2017.

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