Publications by authors named "Judy LaKind"

Article Synopsis
  • In 2022, the International Society of Exposure Science launched the HB2GV Dashboard, a free online tool that compiles approximately 600 human biomonitoring guidance values for over 150 chemicals to assist risk assessors and managers.
  • The Dashboard includes various types of guidance values, primarily focusing on Biomonitoring Equivalents and Human Biomonitoring values, but new users may struggle to understand how to interpret these values effectively.
  • A case study on di-(2-ethylhexyl) phthalate (DEHP) is presented to highlight the differences in derivation methods, quality, and confident interpretation of guidance values, emphasizing the importance of selecting appropriate HB2GVs for informed health-based decisions.
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Article Synopsis
  • Observational epidemiologic studies are important for understanding how environmental, occupational, and behavioral factors impact human health, and systematic reviews help guide policies based on these studies.
  • A new assessment tool called Risk Of Bias In Non-randomized Studies - of Exposures (ROBINS-E) has been created to evaluate the risk of bias in cohort studies examining the effects of specific exposures on outcomes.
  • ROBINS-E offers a structured method to assess bias through multiple domains using signaling questions, and aims to improve how biases are integrated into evidence synthesis and causal inference in research.
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  • PFAS (per- and polyfluoroalkyl substances) can be transferred to infants through breastfeeding and infant formula, raising concerns about potential health risks during early development.
  • Levels of key PFAS compounds (PFOA, PFOS, PFHxS, and PFNA) in breast milk often surpass children's drinking water safety standards set by the ATSDR, regardless of where the samples were taken.
  • There is a critical need for better monitoring and accessible testing of PFAS levels in breast milk and water, especially for pregnant and nursing women in contaminated areas, to help them make informed decisions about infant nutrition.
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Article Synopsis
  • - Nurses are at risk for new onset occupational asthma (OA) due to exposure to cleaning and disinfection agents in healthcare, prompting a study to examine their preferences between risks of OA and respiratory viral infections.
  • - An anonymous online survey asked nurses to weigh scenarios where they had to choose between increased OA risk to maintain infection risk or vice versa, revealing that over 70% preferred to accept higher infection risk if they believed they’d recover.
  • - Most nurses were reluctant to take on a small risk of death to avoid increasing their OA risk, with personal factors like age, work experience, and knowledge of respiratory infections affecting their decisions, indicating a need for further research into these risk preferences.
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Human biomonitoring (HBM) data measured in specific contexts or populations provide information for comparing population exposures. There are numerous health-based biomonitoring guidance values, but to locate these values, interested parties need to seek them out individually from publications, governmental reports, websites and other sources. Until now, there has been no central, international repository for this information.

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The COVID-19 pandemic has resulted in an extraordinary incidence of morbidity and mortality, with almost 6 million deaths worldwide at the time of this writing (https://covid19.who.int/).

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Article Synopsis
  • There is a lack of comprehensive data on PFAS concentrations in breast milk among women in the U.S. and Canada, despite 20 years of biomonitoring studies on PFAS in serum and urine.
  • The study aims to document existing breast milk PFAS concentrations, estimate levels based on maternal serum, and compare these concentrations to children's drinking water safety values.
  • Findings show that measured and estimated levels of PFOA and PFOS in breast milk often exceed safe drinking water limits for children, while PFHxS and PFNA levels are generally below these limits, though estimates can vary significantly.
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Pyrethroid insecticides have been the subject of numerous epidemiology studies in the past two decades. We examined the pyrethroids epidemiology literature published between 2016 and 2021. Our objective with this exercise was to inform interested readers regarding information on methodological elements that strengthen a study's use for translation (i.

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Background: The Matrix is designed to facilitate discussions between practitioners of risk assessment and epidemiology and, in so doing, to enhance the utility of epidemiology research for public health decision-making. The Matrix is comprised of nine fundamental "asks" of epidemiology studies, focusing on the types of information valuable to the risk assessment process.

Objective: A 2,4-dichlorophenoxyacetic acid (2,4-D) case study highlights the extent to which existing epidemiology literature includes information generally needed for risk assessments and proffers suggestions that would assist in bridging the epidemiology/risk assessment gap.

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We utilized a practical, transparent approach for systematically reviewing a chemical-specific evidence base. This approach was used for a case study of ozone inhalation exposure and adverse metabolic effects (overweight/obesity, Type 1 diabetes [T1D], Type 2 diabetes [T2D], and metabolic syndrome). We followed the basic principles of systematic review.

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Article Synopsis
  • Biomonitoring is crucial for assessing human exposure to environmental chemicals, but relying on a single urine sample may not accurately capture non-persistent chemical exposure.
  • To address the limitations of single sampling, a new tool called the Biomarker Reliability Assessment Tool (BRAT) was developed, which uses pharmacokinetic modeling to determine the optimal number of urine samples needed for accurate exposure assessment.
  • The BRAT utilizes Monte Carlo simulations and statistical methods to evaluate the precision and accuracy of exposure estimations based on user inputs, ultimately aiming to enhance biomonitoring practices in epidemiological research.
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Article Synopsis
  • The study presents the GRADE approach for evaluating the certainty of evidence derived from modeling studies in health contexts.
  • Development involved expert consultations and an international workshop to refine concepts and terminology used for assessing evidence certainty in systematic reviews and health care decisions.
  • The framework proposed includes selecting evidence from new models, existing models, or multiple models while maintaining fidelity to GRADE domains like risk of bias and inconsistency.
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Risk assessment is a well-established process used for various types of public health decision-making, such as setting chemical site clean-up levels, developing limits on exposures to chemicals in soil, water, air and food, and determining occupational exposure limits[...

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In this paper, we review methodological approaches used in studies that evaluated the association between occupational exposure to quaternary ammonium compounds (quats) and occupational asthma. This association is of interest because quats are a common active ingredient of disinfectants and have been linked to work-related asthma in some circumstances. However, any evidence-based assessment of an exposure-outcome association needs to consider both strengths and limitations of the literature.

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Introduction: The use of biomonitoring data as an indicator of national levels of human exposure to environmental chemicals has grown in importance and prevalence. Nationally representative urinary bisphenol A (BPA) data are now available for Canada, the United States and Korea. Here we address the following questions: Are urinary BPA data from these countries comparable? What can be discerned regarding geographic and/or temporal similarities or differences? Are there generalizable lessons to be learned regarding comparison of biomonitoring results from different countries?

Methods: We examined underlying methods and resultant urinary BPA data from national surveys of three countries: Canada (Canadian Health Measures Survey, CHMS, 2009-2015); United States (National Health and Nutrition Examination Survey, NHANES, 2009-2014); and Korea (Korean National Environmental Health Survey, KoNEHS, 2009-2014).

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Recent rapid technological advances are producing exposure data sets for which there are no available data quality assessment tools. At the same time, regulatory agencies are moving in the direction of data quality assessment for environmental risk assessment and decision-making. A transparent and systematic approach to evaluating exposure data will aid in those efforts.

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Purpose Of Review: We offer here a review of intraindividual variability in urinary biomarkers for assessing exposure to nonpersistent chemicals. We provide thoughts on how to better evaluate exposure to nonpersistent chemicals.

Recent Findings: We summarized reported values of intraclass correlation coefficients and found that most values fall into categories that indicate only poor to good reproducibility.

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Background: The benefits of breastfeeding to the infant and mother have been well documented. It is also well known that breast milk contains environmental chemicals, and numerous epidemiological studies have explored relationships between background levels of chemicals in breast milk and health outcomes in infants and children.

Objectives: In this paper, we examine epidemiological literature to address the following question: Are infant exposures to background levels of environmental chemicals in breast milk and formula associated with adverse health effects? We critically review this literature a) to explore whether exposure-outcome associations are observed across studies, and b) to assess the literature quality.

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Background: Human health risk assessment methods have advanced in recent years to more accurately estimate risks associated with exposure during childhood. However, predicting risks related to infant exposures to environmental chemicals in breast milk and formula remains challenging.

Objectives: Our goal was to compile available information on infant exposures to environmental chemicals in breast milk and formula, describe methods to characterize infant exposure and potential for health risk in the context of a risk assessment, and identify research needed to improve risk analyses based on this type of exposure and health risk information.

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BackgroundPreterm infants (PTI) in the NICU are often placed in incubators that may increase their exposure to volatile organic chemicals (VOCs). To determine whether PTI in incubators have higher urinary concentrations of VOC metabolites compared with infants in cribs.MethodsUrine from 40 PTI in incubators and 40 infants in cribs was collected and analyzed for 28 urinary VOC biomarkers.

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The herbicide 2,4-dichlorophenoxyacetic acid (2,4-D) has been commercially available since the 1940's. Despite decades of data on 2,4-D in food, air, soil, and water, as well as in humans, the quality the quality of these data has not been comprehensively evaluated. Using selected elements of the Biomonitoring, Environmental Epidemiology, and Short-lived Chemicals (BEES-C) instrument (temporal variability, avoidance of sample contamination, analyte stability, and urinary methods of matrix adjustment), the quality of 156 publications of environmental- and biomonitoring-based 2,4-D data was examined.

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