Publications by authors named "Mark 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.
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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.
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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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Rationale: 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.

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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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Combustion related particulate matter air pollution (PM) is associated with an increased risk of respiratory infections in adults. The exact mechanism underlying this association has not been determined. We hypothesized that increased concentrations of combustion related PM would result in dysregulation of the innate immune system.

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Objective: Benzo(ghi)perylene (BghiP) and 1,2,3,4,6,7,8-Heptachlorodibenzo-p-dioxin (HpCDD) were elevated in serum from personnel deployed to sites with open burn pits. Here, we investigated the ability of BghiP and HpCDD to regulate microRNA (miRNA) expression through the aryl hydrocarbon receptor (AHR).

Methods: Human lung fibroblasts (HLFs) were exposed to BghiP and HpCDD.

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Objective: A study was conducted to identifymetabolic-related effects of benzo[a]pyrene (BaP) on human lung epithelial cells and validate these findings using human sera.

Methods: Human lung epithelial cells were treated with BaP, and extracts were analyzed with a global metabolome-wide association study (MWAS) to test for pathways and metabolites altered relative to vehicle controls.

Results: MWAS results showed that BaP metabolites were among the top metabolites differing between BaP-treated cells and controls.

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Objective: To develop a computational approach to link clinical outcomes with environmental exposures and molecular variations measured in Department of Defense (DOD) serum-repository samples.

Methods: International Classification of Diseases, Ninth Division codes which corresponded to cardiopulmonary symptoms for service personnel were selected to test for associations with deployment-related inhalation hazards and metabolomics, micro-RNA, cytokine, plasma markers, and environmental exposure analyses for corresponding samples. xMWAS and Mummichog were used for integrative network and pathway analysis.

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Objective: To develop an approach for a retrospective analysis of post-exposure serum samples using diverse molecular profiles.

Methods: The 236 molecular profiles from 800 de-identified human serum samples from the Department of Defense Serum Repository were classified as smokers or non-smokers based on direct measurement of serum cotinine levels. A machine-learning pipeline was used to classify smokers and non-smokers from their molecular profiles.

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Objective: The potential health risks of deployment to sites with open burn pits remain poorly understood, in part, because personal exposure monitoring was not performed. Here, we investigated whether postdeployment serum samples contain biomarkers associated with exposure to burn pits.

Methods: A total of 237 biomarkers were measured in 800 serum samples from deployed and never-deployed subjects.

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Objective: A study was conducted to identify metabolic-related effects of benzo(ghi)perylene (BghiP) and 1,2,3,4,6,7,8-heptachlorodibenzo-p-dioxin (HpCDD), on primary human fibroblasts to verify biological associations previously found in occupational health research.

Methods: Human lung fibroblasts were exposed to BghiP or HpCDD and extracts were analyzed with a metabolome-wide association study to test for pathways and metabolites altered relative to controls. Gene expression was measured by quantitative-real time polymerase chain reaction.

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Objective: To use high-resolution metabolomics (HRM) to identify metabolic changes in military personnel associated with deployment to Balad, Iraq, or Bagram, Afghanistan.

Methods: Pre- and post-deployment samples were obtained from the Department of Defense Serum Repository (DoDSR). HRM and bioinformatics were used to identify metabolic differences associated with deployment.

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Objective: A study was conducted using serum samples and high-resolution metabolomics (HRM) to test for changes in abundance of environmental chemicals in deployment in high-risk areas (Balad, Iraq; Bagram, Afghanistan).

Methods: Pre and Post-deployment serum samples for deployment (cases) and matched controls stationed domestically were analyzed by HRM and bioinformatics for the relative abundance of 271 environmental chemicals.

Results: Of the 271 chemicals, 153 were measurable in at least 80% of the samples in one of the pre- or post-deployment groups.

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Objective: Review advances in exposure assessment offered by the exposome concept and new -omics and sensor technologies.

Methods: Narrative review of advances, including current efforts and potential future applications by the US military.

Results: Exposure assessment methods from both bottom-up and top-down exposomics approaches are advancing at a rapid pace, and the US military is engaged in developing both approaches.

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Article Synopsis
  • The Military Biomarkers Research Study (MBRS) aims to evaluate the use of biomarkers for assessing health impacts related to environmental exposures during military deployments.
  • The study is divided into four phases: feasibility of stored samples, exposure-biomarker associations, biomarker-health outcome relationships, and in vitro changes related to specific chemical exposures.
  • Key findings include the identification of new biomarkers linked to deployment exposures, with significant associations found between these biomarkers and health outcomes.
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The response of respiratory infections to source-specific particulate matter (PM) is an area of active research. Using source-specific PM concentrations at six urban sites in New York State, a case-crossover design, and conditional logistic regression, we examined the association between source-specific PM and the rate of hospitalizations and emergency department (ED) visits for influenza or culture-negative pneumonia from 2005 to 2016. There were at most = 14 764 influenza hospitalizations, = 57 522 influenza ED visits, = 274 226 culture-negative pneumonia hospitalizations, and = 113 997 culture-negative pneumonia ED visits included in our analyses.

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Prior work found increased rates for emergency department (ED) visits for asthma and hospitalizations for chronic obstructive pulmonary disease per unit mass of PM across New York State (NYS) during 2014-2016 after significant reductions in ambient PM concentrations had occurred following implementation of various policy actions and major economic disruptions. The associations of source-specific PM concentrations with these respiratory diseases were assessed with a time-stratified case-cossover design and logistic regression models to identify the changes in the PM that have led to the apparently increased toxicity per unit mass. The rates of ED visits and hospitalizations for asthma and COPD associated with increases in source-specific PM concentrations in the prior 1, 4, and 7 days were estimated for 6 urban sites in New York State.

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Prior studies reported that exposure to increased concentrations of fine particulate matter (PM) were associated with increased rates of hospitalization and emergency department (ED) visits for asthma and chronic obstructive pulmonary disease (COPD). In this study, rates were examined from 2005 to 2016 using a case-crossover design to ascertain if there have been changes in the rates per unit mass exposure given substantial reductions in PM concentration and changes in its composition. PM concentrations were reduced through a combination of policies designed to improve air quality and economic drivers, including the 2008 economic recession and shifts in the relative costs of coal and natural gas.

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Seventy-one percent of US households purchase air care products. Air care products span a diverse range of forms, including scented aerosol sprays, pump sprays, diffusers, gels, candles, and plug-ins. These products are used to eliminate indoor malodors and to provide pleasant scent experiences.

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Previous studies have reported increased risks of myocardial infarction in association with elevated ambient particulate matter (PM) in the previous hour(s). However, whether PM can trigger mechanisms that act on this time scale is still unclear. We hypothesized that increases in PM are associated with rapid changes in measures of heart rate variability and repolarization.

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