Publications by authors named "SWAN S"

Background: PAH exposure is associated with adverse health outcomes, but exposure sources in pregnancy are not well-understood.

Objectives: We examined associations between urinary OH-PAHs during pregnancy and environmental tobacco smoke (ETS) and short-term ambient air pollution exposure. Participants included 1603 pregnant non-smokers in three cohorts from 7 sites across the USA.

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  • Prospective memory (PM) impairment is a frequent issue following moderate to severe traumatic brain injury (TBI), often treated with compensatory strategy training (COMP) and rehabilitation.
  • This study investigates how COMP affects white matter integrity in TBI patients, using advanced diffusion MRI techniques to assess brain changes.
  • Results show that the COMP group experienced less neural degeneration compared to those receiving routine care, suggesting that the intervention may help preserve brain function post-injury.
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Background: Assessments of COVID-19 vaccine effectiveness are needed to monitor the protection provided by updated vaccines against severe COVID-19. We evaluated the effectiveness of original monovalent and bivalent (ancestral strain and Omicron BA.4/5) COVID-19 vaccination against COVID-19-associated hospitalization and severe in-hospital outcomes.

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  • The study investigates the potential links between maternal phthalate exposure during pregnancy and reproductive health outcomes in their teenage daughters, particularly focusing on hormone levels and reproductive anatomy indicators.
  • Subtle associations were found between the levels of phthalate metabolites in prenatal samples and reproductive hormone levels (LH and IGF-1) and uterine volume measured 16 years later.
  • The research involved 317 teenage daughters from a longitudinal study, assessing their development through hormonal analysis and ultrasound to evaluate ovarian and uterine health.*
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  • The study assessed the effectiveness of the updated 2023-2024 COVID-19 vaccine against hospitalization for two variant lineages, XBB and JN, in hospitalized patients across 26 hospitals in the U.S. between October 2023 and March 2024.
  • The results indicated a vaccine effectiveness (VE) of 54.2% against XBB and 32.7% against JN, suggesting that the JN lineage may have some level of immune escape.
  • However, the severity of cases with the JN lineage was not significantly worse compared to those with the XBB lineage, indicating similar risks of severe outcomes like ICU admission and death.
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  • * A study conducted between September 2018 and October 2022 in Tennessee and Georgia found that 12.1% of hospitalized adults with CAP had Streptococcus pneumoniae detected, with the most common serotypes being 3, 22F, 19A, and others.
  • * Findings suggest that a significant portion of detected serotypes, approximately one-third, are not covered by current vaccines like PCV15 and PCV20, indicating the need for new vaccines with broader serotype coverage to reduce disease occurrence.
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Objective: Prenatal exposure to polycyclic aromatic hydrocarbons (PAHs) is associated with adverse birth and developmental outcomes in children. We aimed to describe prenatal PAH exposures in a large, multisite U.S.

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  • The study investigates the impact of early childhood air pollution on executive function in school-aged children, using data from 1235 participants across three US pregnancy cohorts.
  • It examines the effects of pollutants like PM 2.5, nitrogen dioxide (NO2), and ozone (O3) during the ages of 0-4, assessing various cognitive abilities such as working memory and cognitive flexibility.
  • Results suggest that air pollution exposure, particularly NO2, negatively affects executive function, with stronger effects observed in areas with higher educational opportunities; further research is needed to deepen understanding of these environmental influences on child development.
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Introduction: Distal radius fracture (DRF) is one of the most common upper extremity fractures treated by hand therapists and can lead to chronic physical impairment and reduced occupational performance. This scoping review aimed to reveal what is currently known about occupational performance following DRF and to explore if and how occupational performance is defined and considered in the research.

Methods: This review was guided by the PRISMA-Scoping review and the Joanna Briggs Institute (JBI) guidelines.

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Objective: Although some studies have observed an association between birthweight and cardiovascular disease in adulthood, fewer have investigated whether birthweight is linked to cardiovascular health in early childhood. This study assesses the association between birthweight and cardiovascular outcomes in children 6 years of age.

Study Design: Birthweight, blood pressure (BP), and markers of arterial stiffness in children, including brachial artery distensibility and carotid-femoral pulse wave velocity (cfPWV), were obtained from 324 participants in The Infant Development and the Environment Study, a prospective multisite pregnancy cohort.

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Background: The European Food Safety Authority (EFSA) recommended lowering their estimated tolerable daily intake (TDI) for bisphenol A (BPA) 20,000-fold to . BPA is an extensively studied high production volume endocrine disrupting chemical (EDC) associated with a vast array of diseases. Prior risk assessments of BPA by EFSA as well as the US Food and Drug Administration (FDA) have relied on industry-funded studies conducted under good laboratory practice protocols (GLP) requiring guideline end points and detailed record keeping, while also claiming to examine (but rejecting) thousands of published findings by academic scientists.

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Importance: On June 21, 2023, the Centers for Disease Control and Prevention recommended the first respiratory syncytial virus (RSV) vaccines for adults aged 60 years and older using shared clinical decision-making. Understanding the severity of RSV disease in adults can help guide this clinical decision-making.

Objective: To describe disease severity among adults hospitalized with RSV and compare it with the severity of COVID-19 and influenza disease by vaccination status.

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We examined associations between prenatal fine particulate matter (PM), nitrogen dioxide (NO), and ozone (O) exposures and child respiratory outcomes through age 8-9 years in 1279 ECHO-PATHWAYS Consortium mother-child dyads. We averaged spatiotemporally modeled air pollutant exposures during four fetal lung development phases: pseudoglandular (5-16 weeks), canalicular (16-24 weeks), saccular (24-36 weeks), and alveolar (36+ weeks). We estimated adjusted relative risks (RR) for current asthma at age 8-9 and asthma with recent exacerbation or atopic disease, and odds ratios (OR) for wheezing trajectories using modified Poisson and multinomial logistic regression, respectively.

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  • In September 2023, the CDC recommended the updated 2023-2024 monovalent XBB.1.5 COVID-19 vaccine for everyone aged 6 months and older to help prevent COVID-19, including severe cases.
  • An analysis of vaccine effectiveness (VE) found that during the first 59 days after vaccination, the VE against COVID-19-related emergency department visits was 51%, which dropped to 39% after 60-119 days.
  • The updated COVID-19 vaccine showed increased protection, with VE against hospitalizations being 52% and 43% between two networks, supporting CDC's guidelines for vaccination.
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  • A study aimed to identify clusters of chronic obesity-related, neurodevelopmental, and respiratory issues in children, examining how these clusters relate to chemical exposure.
  • Researchers analyzed data from 1092 children collected between 2011 and 2022 across three pregnancy cohorts and identified three distinct health outcome clusters based on k-means clustering.
  • A significant association was found between exposure to certain phthalates and membership in a cluster with high rates of asthma and other respiratory problems, suggesting shared underlying causes for these health outcomes.
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  • Prolonged SARS-CoV-2 infections may pose a risk for the development of mutated variants, particularly in immunocompromised individuals, but the specific types of immunosuppressive conditions that increase this risk have not been extensively studied.
  • A study conducted across five US medical centers involved 150 immunocompromised patients to identify factors contributing to extended SARS-CoV-2 infections through regular testing and genetic sequencing.
  • Results showed that patients with B-cell dysfunction and those who had solid organ transplants or HIV had longer durations of infection compared to those with autoimmune conditions, indicating varying risks based on the type of immunosuppression.
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  • Prenatal exposure to chemicals like phthalates and psychosocial stressors may affect the developing brain, but their combined effects are not well studied.
  • Researchers analyzed data from three pregnancy cohorts, measuring phthalates in urine and mothers' reported stressful life events during pregnancy, to see how these factors impacted children's problem behaviors at ages 4-6.
  • The study found some weak links between phthalate exposure and behavior issues, with unexpected results showing that higher stress levels during pregnancy might lessen the impact of certain phthalates on child behaviors, especially in boys, indicating a need for further investigation.
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Background: Consuming ultra-processed foods may increase exposure to phthalates, a group of endocrine disruptors prevalent in food contact materials.

Objectives: Investigate associations between ultra-processed food intake and urinary phthalates during pregnancy, and evaluate whether ultra-processed foods mediate socioeconomic disparities in phthalate exposures.

Methods: In a socioeconomically diverse sample of 1031 pregnant women from the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) Study in the urban South, the Block Food Frequency Questionnaire was administered and urinary phthalate metabolites were measured in the second trimester.

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The use of a patient's own immune or tumor cells, manipulated ex vivo, enables Ag- or patient-specific immunotherapy. Despite some clinical successes, there remain significant barriers to efficacy, broad patient population applicability, and safety. Immunotherapies that target specific tumor Ags, such as chimeric Ag receptor T cells and some dendritic cell vaccines, can mount robust immune responses against immunodominant Ags, but evolving tumor heterogeneity and antigenic downregulation can drive resistance.

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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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Background: Influenza circulation during the 2022-2023 season in the United States largely returned to pre-coronavirus disease 2019 (COVID-19)-pandemic patterns and levels. Influenza A(H3N2) viruses were detected most frequently this season, predominately clade 3C.2a1b.

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Background: The way in which end-of-life care was provided changed significantly during the first 2 years of the COVID-19 pandemic. The national lockdown restrictions reduced formal care support services and increased the burden on many carers taking on the caring role for the first time. We aimed to explore decision-making about the place of care during the COVID-19 pandemic and the impact on experience from the perspectives of carers and hospice staff caring for people at the end-of-life.

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  • The study investigates the impact of ambient air pollution on anogenital distance (AGD), an indicator of androgen activity, in infants.
  • Exposure to fine particulate matter (PM) and nitrogen dioxide (NO2) during critical developmental windows showed varied effects on male AGD at birth and one year of age.
  • In males, increased PM exposure during prenatal and early postnatal periods was linked to shorter AGD at birth but longer AGD at one year; NO2 exposure appeared to have negative effects on penile width.
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