Publications by authors named "Megan Romano"

Previous research indicates that the COVID-19 pandemic catalyzed alterations in behaviors that may impact exposures to environmental endocrine-disrupting chemicals. This includes changes in the use of chemicals found in consumer products, food packaging, and exposure to air pollutants. Within the Environmental influences on Child Health Outcomes (ECHO) program, a national consortium initiated to understand the effects of environmental exposures on child health and development, our objective was to assess whether urinary concentrations of a wide range of potential endocrine-disrupting chemicals varied before and during the pandemic.

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Background: Per- and polyfluoroalkyl substances (PFAS) are a class of persistent synthetic chemicals that are found in human milk and are associated with negative health effects. Research suggests that PFAS affect both lactation and the human metabolome.

Methods: We measured perfluorooctanoate (PFOA) and perfluorooctane sulfonate (PFOS) in the milk of 425 participants from the New Hampshire Birth Cohort Study using liquid chromatography-tandem mass spectrometry (LC-MS/MS).

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Introduction: Organophosphate esters (OPEs) are increasing in use as flame retardants and plasticizers and concerns have been raised given their endocrine-disrupting activities and possible obesogenic consequences. However, longitudinal studies on gestational OPE exposure and childhood obesity are scarce. This study examined whether OPE levels in maternal urine during pregnancy were associated with the risk of childhood obesity.

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  • * The study explored connections between different types of hyperglycemia (like gestational diabetes and type 2 diabetes) and specific miRNAs in late pregnancy.
  • * Seven particular miRNAs were found to be linked to hyperglycemia and glucose levels, influencing important biological processes related to maternal and child health, such as insulin signaling and placental development.
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  • In the U.S., different government groups give advice on how safely people can eat fish caught in local waters, especially because of chemicals like mercury and PFAS.
  • PFAS, particularly one called PFOS, has been harder to create guidelines for, and different states have their own rules which can vary a lot.
  • This article talks about the problems and gaps in knowledge regarding PFAS guidelines and suggests that better science and practices are needed to protect public health.
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Per- and polyfluoroalkyl substances (PFAS) are related to various adverse health outcomes, and food is a common source of PFAS exposure. Dietary sources of PFAS have not been adequately explored among U.S.

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Background: Growing evidence suggests that cardiovascular disease develops over the lifetime, often beginning in childhood. Metal exposures have been associated with cardiovascular disease and important risk factors, including dyslipidemia, but prior studies have largely focused on adult populations and single metal exposures.

Objective: To investigate the individual and joint impacts of multiple metal exposures on lipid levels during childhood.

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Research on the neurodevelopmental effects of metal(loid)s has focused mainly on outcomes assessed at one time point, even though brain development progresses over time. We investigated biomarkers of perinatal exposure to metals and changes in child behavior over time. We followed 268 participants from the prospective New Hampshire Birth Cohort Study between birth and age 5 years.

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Background: Prior studies suggest that prenatal per- and polyfluoroalkyl substances (PFAS) exposures are associated with shorter breastfeeding duration. Studies assessing PFAS mixtures and populations in North America are sparse.

Methods: We quantified PFAS concentrations in maternal plasma collected during pregnancy in the New Hampshire Birth Cohort Study (2010-2017).

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  • Phthalates, synthetic chemicals found in consumer products, are linked to preterm births, but previous studies have methodological flaws and insufficient data on the effects of alternative phthalate compounds like di-2-ethylhexyl phthalate (DEHP).
  • Using data from the NIH's ECHO Program spanning from 1998 to 2022, researchers analyzed the impact of 20 phthalate metabolites on birth outcomes such as gestational age and birth weight, focusing on mother-child pairs with phthalate measurements during pregnancy.
  • The study found strong associations between certain phthalates (like phthalic acid and diisononyl phthalate) and negative birth outcomes,
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  • - Fescue toxicosis and reproductive ergotism cause similar toxic effects in late-pregnant mares and potentially other equine species, stemming from ergopeptine alkaloids (EPAs) produced by fungi.
  • - These toxins originate from a harmful endophyte found in tall fescue and a nonendophytic fungus affecting grains and grasses.
  • - Symptoms of equine ergopeptine alkaloid toxicosis (EEPAT) include issues with milk production, prolonged pregnancies, and complications during birth, leading to challenges for both mares and their foals; prevention focuses on eliminating toxin exposure and addressing hormonal imbalances.
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Background: Widespread exposure to organophosphate ester (OPE) flame retardants with potential reproductive toxicity raises concern regarding the impacts of gestational exposure on birth outcomes. Previous studies of prenatal OPE exposure and birth outcomes had limited sample sizes, with inconclusive results.

Objectives: We conducted a collaborative analysis of associations between gestational OPE exposures and adverse birth outcomes and tested whether associations were modified by sex.

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  • Triclosan, an antimicrobial additive linked to antibiotic resistance, may negatively impact the microbiome, prompting a review of existing studies on its effects.
  • The review analyzed evidence from various studies, primarily focusing on rodents, fish, and humans, indicating triclosan may reduce microbiome diversity and alter specific microbial communities, though findings were inconsistent.
  • The overall conclusion highlights a lack of adequate research on triclosan's effects on the microbiome, calling for more targeted studies and guidelines to improve future research comparability.
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  • Synthetic chemicals like bisphenols, parabens, and triclosan may contribute to preterm birth (PTB) and low birth weight (LBW) due to their ability to disrupt hormones and cause oxidative stress.
  • A study with 3,619 mother-infant pairs found that higher concentrations of benzophenone-3 and methylparaben during pregnancy were linked to lower birth weight and increased odds of being small for gestational age (SGA).
  • The findings suggest that while the effects are concerning, certain compounds like 2,4-dichlorophenol showed an unexpected association with lower odds of low birth weight, indicating complex interactions that need further investigation.
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Toxic Garden and Landscaping Plants.

Vet Clin North Am Equine Pract

April 2024

Many popular ornamental shrubs are not only beautiful but also toxic when ingested in sufficient quantities. Common toxic landscaping shrubs in North America include yew (Taxus spp), oleander (Nerium oleander), and rhododendrons and azaleas (Rhododendron spp). Horses are often exposed when plant trimmings are placed within reach or discarded in pastures.

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The barbiturate drug pentobarbital is commonly used by veterinarians for the euthanasia of domestic animals. During the veterinary forensic autopsy, it is sometimes necessary to determine whether the animal was chemically euthanized with pentobarbital. The use of a human immunochromatographic test for barbiturate screening utilizing dog or cat urine has been previously validated; however, the use of alternative matrices for this purpose is yet to be explored when urine is not available.

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Anecdotal evidence suggests that pancreatic acinar metaplasia (PAM) and intestinal metaplasia (IM) overlap infrequently at the gastroesophageal junction/distal esophagus (GEJ/DE). The goal of this study was to evaluate the significance of PAM at GEJ/DE in relation to IM in patients with gastroesophageal reflux disease (GERD). Group 1 comprised 230 consecutive patients with GEJ/DE biopsies (80.

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Background: Per- and polyfluoroalkyl substances (PFAS) may disrupt mammary gland development and function; thereby inhibiting milk supply and breastfeeding duration. However, conclusions on the potential effects of PFAS and breastfeeding duration are limited by prior epidemiologic studies that inconsistently adjusted for past cumulative breastfeeding duration and by a lack of examination of the joint effects of PFAS mixtures.

Methods: In Project Viva, a longitudinal cohort that enrolled pregnant participants from 1999 to 2002 in the greater Boston, MA area, we studied 1079 women who ever attempted to lactate.

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  • The study investigates the potential link between gestational exposure to PFAS (per- and polyfluoroalkyl substances) and the likelihood of obesity in children by analyzing data from 1,391 mother-child pairs in eight U.S. cohorts.* -
  • Findings indicate that higher concentrations of specific PFAS during pregnancy are associated with increased BMI-scores and a higher risk of overweight or obesity in children, though the associations are subtle and vary depending on the type of PFAS.* -
  • Results suggest that the associations do not differ based on the child's sex, and while some PFAS show clearer connections to obesity risk, the overall impact of PFAS mixtures remains less certain.*
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Introduction: Breastfeeding has significant health benefits for infants and birthing persons, including reduced risk of chronic disease. The American Academy of Pediatrics recommends exclusively breastfeeding infants for 6 months and recently extended its recommendation for continuing to breastfeed with supplementation of solid foods from one to two years. Studies consistently identify lower breastfeeding rates among US infants, with regional and demographic variability.

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Per- and polyfluoroalkyl substances (PFAS), widely used in industrial and consumer products, are suspected metabolic disruptors. We examined the association between a PFAS mixture during pregnancy and postpartum weight retention in 482 participants from the New Hampshire Birth Cohort Study. PFAS concentrations, including perfluorohexane sulfonate, perfluorooctane sulfonate (PFOS), perfluorooctanoate (PFOA), perfluorononanoate (PFNA), and perfluorodecanoate, were quantified in maternal plasma collected at ~28 gestational weeks.

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Article Synopsis
  • Milk production during breastfeeding is influenced by hormones and can be affected by exposure to endocrine-disrupting chemicals, especially per- and polyfluoroalkyl substances (PFAS).
  • PFAS exposure may result in negative outcomes such as underdeveloped mammary glands in animals and shorter breastfeeding durations in humans, prompting a review of relevant studies.
  • A systematic search identified six studies that consistently linked higher PFAS exposure to reduced breastfeeding duration, particularly with specific PFAS compounds like PFOS, PFOA, and PFNA.
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We aimed to investigate the joint, class-specific, and individual impacts of (i) PFAS, (ii) toxic metals and metalloids (referred to collectively as "metals"), and (iii) essential elements on birth outcomes in a prospective pregnancy cohort using both established and recent mixture modeling approaches. Participants included 537 mother-child pairs from the New Hampshire Birth Cohort Study. Concentrations of 6 metals and 5 PFAS were measured in maternal toenail clippings and plasma, respectively.

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