Publications by authors named "M J Utell"
Article Synopsis
- 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.
Article Synopsis
- 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.
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.
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).
View Article and Find Full Text PDFRationale: Biologic medications for immune-mediated inflammatory diseases may increase the risk of tuberculosis (TB) reactivation, but data on screening for TB in low TB prevalence areas are limited.
Objective: To assess the real-world practice patterns of TB screening among prescribers of biologic medications.
Methods: We conducted a retrospective observational study at a single, university-based healthcare facility in a low TB prevalence area.