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Characterizing Dynamic Atmosphere Generation System Performance For Analytical Method Development.

Doepke, Amos ;

Streicher, Robert P.

February 2025 | Journal of Occupational and Environmental Hygiene, 2025, v. 22, no. 2

A significant portion of the work of developing and validating methods for volatile organic compound (VOC) sampling in workplace atmospheres involves the use of laboratory-generated atmospheres. The sample variability was evaluated from the dynamic atmosphere generation system used for VOC atmosphere generation and sampling. Characterization of the ...

10/09/2026

Supporting Files

Title : Characterizing Dynamic Atmosphere Generation System Performance For Analytical Method Development. Personal Author(s) : Doepke, Amos;Streicher, Robert P.;Shaw, Peter B.;Andrews, Ronnee N.;Farwick, Dawn R.;Westbrook, Emily G.;Roberts, Jennifer L.;O'Connor, Paula F.;Stastny, Angela L.;Kulkarni, Pramod S.; Published Date : February 2025 Pages in Document : 110-122 (26 pdf pages) Source : Journal of Occupational and Environmental Hygiene, 2025, v. 22, no. 2 DOI : https://doi.org/10.1080/15459624.2024.2423749 Journal Title : Journal of Occupational and Environmental Hygiene
Doepke, A., Streicher, R. P., Shaw, P. B., Andrews, R. N., Farwick, D. R., Westbrook, E. G., Roberts, J. L., O'Connor, P. F., Stastny, A. L., & Kulkarni, P. S. (2025). Characterizing Dynamic Atmosphere Generation System Performance For Analytical Method Development. Journal of Occupational and Environmental Hygiene, 22(2). https://doi.org/10.1080/15459624.2024.2423749

Doepke, Amos, Robert P. Streicher, Peter B. Shaw, Ronnee N. Andrews, Dawn R. Farwick, Emily G. Westbrook, Jennifer L. Roberts, Paula F. O'Connor, Angela L. Stastny, and Pramod S. Kulkarni. "Characterizing Dynamic Atmosphere Generation System Performance For Analytical Method Development." Journal of Occupational and Environmental Hygiene 22, no. 2 (2025). https://doi.org/10.1080/15459624.2024.2423749.

Doepke, Amos, et al. "Characterizing Dynamic Atmosphere Generation System Performance For Analytical Method Development." Journal of Occupational and Environmental Hygiene, vol. 22, no. 2, 2025. Stacks. https://doi.org/10.1080/15459624.2024.2423749.
Export RIS Citation Information. TY - Journal Article AU - Doepke, Amos AU - Streicher, Robert P. AU - Shaw, Peter B. AU - Andrews, Ronnee N. AU - Farwick, Dawn R. AU - Westbrook, Emily G. AU - Roberts, Jennifer L. AU - O'Connor, Paula F. AU - Stastny, Angela L. AU - Kulkarni, Pramod S. AB - A significant portion of the work of developing and validating methods for volatile organic compound (VOC) sampling in workplace atmospheres involves the use of laboratory-generated atmospheres. The sample variability was evaluated from the dynamic atmosphere generation system used for VOC atmosphere generation and sampling. Characterization of the bias and variability of samples was done for a variety of atmospheres containing neat n-heptane and mixtures of VOCs sampled on activated coconut shell charcoal. Estimates of sampling variability ranged from 2% for neat n-heptane to 12% for a component in the 10 VOC mix. Sample variability increased for lower concentration samples and for mixtures of VOCs compared to single component atmospheres. This study can serve as a baseline for future atmosphere sampling experiments evaluating performance at lower concentrations and mixed VOC environments. AB - Author manuscript AN - cdc:261886 C4 - PMC11842196 DO - https://doi.org/10.1080/15459624.2024.2423749 IS - 2 J2 - Journal of Occupational and Environmental Hygiene KW - Charcoal KW - Air Pollutants, Occupational KW - Volatile Organic Compounds KW - Environmental Monitoring KW - Air sampling KW - coconut shell charcoal KW - sample variability KW - VOC KW - volatile organic compound KW - Volatile Organic Compounds KW - Environmental Monitoring KW - Air Pollutants, Occupational KW - Charcoal LA - eng PY - 2025 T2 - Journal of Occupational and Environmental Hygiene T2 - Journal of Occupational and Environmental Hygiene, 2025, v. 22, no. 2 TI - Characterizing Dynamic Atmosphere Generation System Performance For Analytical Method Development. VL - 22 UR - https://stacks.cdc.gov/view/cdc/261886 ER -
Impact of Fruit and Vegetable Incentive Programs on Food Insecurity, Fruit and Vegetable Consumption, and Health Outcomes: a Community Guide Systematic Review.

Stein, Renee ;

Finnie, Ramona K.C.

March 2025 | American Journal of Preventive Medicine, 2025, v. 68, no. 3

Food and nutrition security is crucial for health, but many U.S. households experience food insecurity. This systematic review conducted in support of the Community Preventive Services Task Force examines the effectiveness of Fruit and Vegetable Incentive programs in reducing food insecurity, increasing fruit and vegetable consumption, and improvin ...

10/09/2026

Supporting Files

Title : Impact of Fruit and Vegetable Incentive Programs on Food Insecurity, Fruit and Vegetable Consumption, and Health Outcomes: a Community Guide Systematic Review. Personal Author(s) : Stein, Renee;Finnie, Ramona K.C.;Harmon, Stacy;Peng, Yinan;Pritchard, Chelsea;Vecsey, Heather;Emmons, Karen M.;Hargarten, Stephen;Simon, Melissa A.;Blanck, Heidi M.;Harris, Diane;Bellows, Laura;Coleman-Jensen, Alisha;Fleischhacker, Sheila;Koenings, Mallory M.;Odoms-Young, Angela;Seligman, Hilary K.;Grant, Clint;Powell, Amanda; Corporate Authors(s) : Community Preventive Services Task Force Published Date : March 2025 Pages in Document : 627-637 (19 pdf pages) Source : American Journal of Preventive Medicine, 2025, v. 68, no. 3 DOI : https://doi.org/10.1016/j.amepre.2024.11.016 Journal Title : American Journal of Preventive Medicine
Stein, R., Finnie, R. K., Harmon, S., Peng, Y., Pritchard, C., Vecsey, H., Emmons, K. M., Hargarten, S., Simon, M. A., Blanck, H. M., Harris, D., Bellows, L., Coleman-Jensen, A., Fleischhacker, S., Koenings, M. M., Odoms-Young, A., Seligman, H. K., Grant, C., & Powell, A. (2025). Impact of Fruit and Vegetable Incentive Programs on Food Insecurity, Fruit and Vegetable Consumption, and Health Outcomes: a Community Guide Systematic Review. American Journal of Preventive Medicine, 68(3). https://doi.org/10.1016/j.amepre.2024.11.016

Stein, Renee, Ramona K.C. Finnie, Stacy Harmon, Yinan Peng, Chelsea Pritchard, Heather Vecsey, and Karen M. Emmons, et al.. "Impact of Fruit and Vegetable Incentive Programs on Food Insecurity, Fruit and Vegetable Consumption, and Health Outcomes: a Community Guide Systematic Review." American Journal of Preventive Medicine 68, no. 3 (2025). https://doi.org/10.1016/j.amepre.2024.11.016.

Stein, Renee, et al. "Impact of Fruit and Vegetable Incentive Programs on Food Insecurity, Fruit and Vegetable Consumption, and Health Outcomes: a Community Guide Systematic Review." American Journal of Preventive Medicine, vol. 68, no. 3, 2025. Stacks. https://doi.org/10.1016/j.amepre.2024.11.016.
Export RIS Citation Information. TY - Journal Article AU - Stein, Renee AU - Finnie, Ramona K.C. AU - Harmon, Stacy AU - Peng, Yinan AU - Pritchard, Chelsea AU - Vecsey, Heather AU - Emmons, Karen M. AU - Hargarten, Stephen AU - Simon, Melissa A. AU - Blanck, Heidi M. AU - Harris, Diane AU - Bellows, Laura AU - Coleman-Jensen, Alisha AU - Fleischhacker, Sheila AU - Koenings, Mallory M. AU - Odoms-Young, Angela AU - Seligman, Hilary K. AU - Grant, Clint AU - Powell, Amanda A2 - Community Preventive Services Task Force AB - Food and nutrition security is crucial for health, but many U.S. households experience food insecurity. This systematic review conducted in support of the Community Preventive Services Task Force examines the effectiveness of Fruit and Vegetable Incentive programs in reducing food insecurity, increasing fruit and vegetable consumption, and improving health outcomes among households with lower incomes. AB - Community Guide systematic review methods were applied. Studies were identified through a literature search (inception of each database to February 2023). U.S. studies were included if they evaluated programs offering participants financial incentives to purchase fruit and vegetables; were designed for or implemented among populations with lower incomes; reported health-related outcomes; and were published in English as peer-reviewed articles or government reports. AB - This review included 30 studies. Thirteen of 14 datapoints from 12 studies indicated FVI programs reduced household food insecurity. Twenty-one of 29 datapoints from 23 studies showed increased FV consumption. Programs providing incentives to participants at risk for or with diet-related health conditions improved blood glucose levels by a median of 0.64 percentage points. AB - Based on the review findings, the Community Preventive Services Task Force recommends Fruit and Vegetable Incentive programs for populations with lower incomes to reduce household food insecurity, increase household fruit and vegetable consumption, and improve blood glucose levels in participants at risk for or with diet-related health conditions. Although the review did not find direct evidence of reducing health disparities, the Community Preventive Services Task Force expects that these programs will improve health equity across the U.S. by improving the affordability and accessibility of healthier foods for households with lower incomes. AB - Author manuscript AN - cdc:261885 C4 - PMC12019972 DO - https://doi.org/10.1016/j.amepre.2024.11.016 IS - 3 J2 - American Journal of Preventive Medicine KW - Fruit KW - Motivation KW - Food Insecurity KW - Humans KW - Poverty KW - Diet KW - Vegetables KW - Food Supply KW - Humans KW - Vegetables KW - Fruit KW - Food Insecurity KW - Motivation KW - Poverty KW - Diet KW - Food Supply LA - eng PY - 2025 T2 - American Journal of Preventive Medicine T2 - American Journal of Preventive Medicine, 2025, v. 68, no. 3 TI - Impact of Fruit and Vegetable Incentive Programs on Food Insecurity, Fruit and Vegetable Consumption, and Health Outcomes: a Community Guide Systematic Review. VL - 68 UR - https://stacks.cdc.gov/view/cdc/261885 ER -
Machine Learning Algorithms For Prediction of Ambulation and Wheelchair Transfer Ability in Spina Bifida.

McKernan, Gina ;

Mesoros, Matt

May 2025 | Archives of Physical Medicine and Rehabilitation, 2025, v. 106, no. 5

To determine which statistical techniques enhance our ability to predict ambulation and transfer ability in people with spina bifida (SB).Retrospective cohort study.Thirty-five US outpatient SB clinic sites.Individuals (n=4589) with SB aged 5-73 years (median age=13.59y).Not applicable.Ambulation ability, which consisted of the following categories ...

10/09/2026

Supporting Files

Title : Machine Learning Algorithms For Prediction of Ambulation and Wheelchair Transfer Ability in Spina Bifida. Personal Author(s) : McKernan, Gina;Mesoros, Matt;Dicianno, Brad E.; Published Date : May 2025 Pages in Document : 682-687 (13 pdf pages) Source : Archives of Physical Medicine and Rehabilitation, 2025, v. 106, no. 5 DOI : https://doi.org/10.1016/j.apmr.2024.11.013 Journal Title : Archives of Physical Medicine and Rehabilitation
McKernan, G., Mesoros, M., & Dicianno, B. E. (2025). Machine Learning Algorithms For Prediction of Ambulation and Wheelchair Transfer Ability in Spina Bifida. Archives of Physical Medicine and Rehabilitation, 106(5). https://doi.org/10.1016/j.apmr.2024.11.013

McKernan, Gina, Matt Mesoros, and Brad E. Dicianno. "Machine Learning Algorithms For Prediction of Ambulation and Wheelchair Transfer Ability in Spina Bifida." Archives of Physical Medicine and Rehabilitation 106, no. 5 (2025). https://doi.org/10.1016/j.apmr.2024.11.013.

McKernan, Gina, et al. "Machine Learning Algorithms For Prediction of Ambulation and Wheelchair Transfer Ability in Spina Bifida." Archives of Physical Medicine and Rehabilitation, vol. 106, no. 5, 2025. Stacks. https://doi.org/10.1016/j.apmr.2024.11.013.
Export RIS Citation Information. TY - Journal Article AU - McKernan, Gina AU - Mesoros, Matt AU - Dicianno, Brad E. AB - To determine which statistical techniques enhance our ability to predict ambulation and transfer ability in people with spina bifida (SB). AB - Retrospective cohort study. AB - Thirty-five US outpatient SB clinic sites. AB - Individuals (n=4589) with SB aged 5-73 years (median age=13.59y). AB - Not applicable. AB - Ambulation ability, which consisted of the following categories: community ambulators, household ambulators, therapeutic ambulators, and nonambulators. AB - Wheelchair transfer ability, as defined by the ability to transfer in and out of a wheelchair unassisted. AB - A recurrent neural network (RNN) using a multilayer perceptron discarded 76 cases during case processing, resulting in 4513 that were run through the RNN. The predictions in the resulting testing dataset were 83.22% accurate. Recall was 93.21% for community ambulators, 10.00% for household ambulators, 23.96% for therapeutic ambulators, and 76.70% for nonambulators. Precision was 85.34% for community ambulators, 16.05% for household ambulators, 16.67% for therapeutic ambulators, and 93.47% for nonambulators. Total predictions included 68.39% for community ambulators, 2.25% for household ambulators, 3.83% for therapeutic ambulators, and 25.53% for nonambulators. Correspondingly, the model accurately classified 70% of wheelchair transfers while correctly identifying 97.3% of those able to transfer unassisted. AB - RNN models hold promise for the prediction of functional outcomes such as ambulation and transfer ability in people with SB, particularly for community ambulators and nonambulators. Compared with the previous work using traditional logistic regression approaches which misclassified 16% of cases, the RNN resulted in greater prediction accuracy with fewer than 7% of cases misclassified. AB - Author manuscript AN - cdc:261884 C4 - PMC12048235 DO - https://doi.org/10.1016/j.apmr.2024.11.013 IS - 5 J2 - Archives of Physical Medicine and Rehabilitation KW - Neural Networks, Computer KW - Adolescent KW - Female KW - Walking KW - Spinal Dysraphism KW - Aged KW - Algorithms KW - Young Adult KW - Machine Learning KW - Retrospective Studies KW - Child KW - Wheelchairs KW - Male KW - Middle Aged KW - Humans KW - Child, Preschool KW - Adult KW - Ambulation KW - Machine learning KW - Myelomeningocele KW - Population outcomes KW - Registries KW - Rehabilitation KW - Spina bifida KW - Spinal dysraphism KW - Transfer KW - Walking KW - Wheelchair KW - Humans KW - Spinal Dysraphism KW - Wheelchairs KW - Middle Aged KW - Female KW - Child KW - Retrospective Studies KW - Male KW - Adolescent KW - Adult KW - Child, Preschool KW - Aged KW - Machine Learning KW - Young Adult KW - Walking KW - Algorithms KW - Neural Networks, Computer LA - eng PY - 2025 T2 - Archives of Physical Medicine and Rehabilitation T2 - Archives of Physical Medicine and Rehabilitation, 2025, v. 106, no. 5 TI - Machine Learning Algorithms For Prediction of Ambulation and Wheelchair Transfer Ability in Spina Bifida. VL - 106 UR - https://stacks.cdc.gov/view/cdc/261884 ER -
Applying Finite Mixture Models to Quantify Respirable Dust Mass in Coal and Metal-Nonmetal Mines Using Fourier Transform Infrared Spectroscopy.

Weakley, Andrew T. ;

Parks, David A.

March 2025 | Applied Spectroscopy, 2025, v. 79, no. 3

Respirable dust mass is a prevalent occupational health hazard to the mining workforce. Mineral matrices observed in the mine environment are complex, time varying, and heterogeneous. This poses a challenge to assessing dust exposure using Fourier transform infrared (FT-IR) spectrometry as calibrations for constituent dust species (e.g., crystallin ...

10/09/2026

Supporting Files

Title : Applying Finite Mixture Models to Quantify Respirable Dust Mass in Coal and Metal-Nonmetal Mines Using Fourier Transform Infrared Spectroscopy. Personal Author(s) : Weakley, Andrew T.;Parks, David A.;Miller, Arthur L.; Published Date : March 2025 Pages in Document : 364-375 (24 pdf pages) Source : Applied Spectroscopy, 2025, v. 79, no. 3 DOI : https://doi.org/10.1177/00037028241296158 Journal Title : Applied Spectroscopy
Weakley, A. T., Parks, D. A., & Miller, A. L. (2025). Applying Finite Mixture Models to Quantify Respirable Dust Mass in Coal and Metal-Nonmetal Mines Using Fourier Transform Infrared Spectroscopy. Applied Spectroscopy, 79(3). https://doi.org/10.1177/00037028241296158

Weakley, Andrew T., David A. Parks, and Arthur L. Miller. "Applying Finite Mixture Models to Quantify Respirable Dust Mass in Coal and Metal-Nonmetal Mines Using Fourier Transform Infrared Spectroscopy." Applied Spectroscopy 79, no. 3 (2025). https://doi.org/10.1177/00037028241296158.

Weakley, Andrew T., et al. "Applying Finite Mixture Models to Quantify Respirable Dust Mass in Coal and Metal-Nonmetal Mines Using Fourier Transform Infrared Spectroscopy." Applied Spectroscopy, vol. 79, no. 3, 2025. Stacks. https://doi.org/10.1177/00037028241296158.
Export RIS Citation Information. TY - Journal Article AU - Weakley, Andrew T. AU - Parks, David A. AU - Miller, Arthur L. AB - Respirable dust mass is a prevalent occupational health hazard to the mining workforce. Mineral matrices observed in the mine environment are complex, time varying, and heterogeneous. This poses a challenge to assessing dust exposure using Fourier transform infrared (FT-IR) spectrometry as calibrations for constituent dust species (e.g., crystalline silica) have historically been trained using homogeneous standards or simple mixtures therein. Investigations have considered direct-on-filter analysis, which collects FT-IR spectra directly from sampling filters for calibration, as an alternative. Direct-on-filter analysis using a partial least squares (PLS) method has gained particular interest recently due to the potential to rapidly quantify multiple species from a single filter at the mine site. By design, heterogeneity, and its presumed impact on method accuracy, cannot be addressed in the laboratory when using a direct-on-filter approach motivating the need for more advanced calibration approaches. When heterogeneity is present, mixture of experts (MoE) finite mixture models offer a promising and novel alternative to PLS direct-on-filter analysis as MoE incorporates cluster discovery, regression, and outlier identification into model fitting. Three MoE models of increasing complexity were tasked with determining respirable dust mass in 243 field samples from thirteen active coal, limestone, sandstone, and silver mines. All MoE models, including those using only "expert" spectroscopic predictors or a combination of expert and categorical "gate" variables (e.g., mine type), significantly outperform PLS in terms of accuracy (α = 0.05). Decomposing bias by mine type shows that accuracy generally improves across all types considered when MoE models are not overfitted. The MoE method's effectiveness was linked to its ability to endogenously classify outliers as well as possibly to the use of an additional cluster model for mass predictions. Overall, MoE methods appear as a capable and novel tool to addressing problems of heterogeneity for direct-on-filter quantitative analysis. AB - Author manuscript AN - cdc:261883 C4 - PMC11903167 DO - https://doi.org/10.1177/00037028241296158 IS - 3 J2 - Applied Spectroscopy KW - Occupational Exposure KW - Least-Squares Analysis KW - Air Pollutants, Occupational KW - Coal KW - Dust KW - Spectroscopy, Fourier Transform Infrared KW - Coal Mining KW - Environmental Monitoring KW - Mining KW - Mixture of experts KW - model-based clustering KW - occupational health KW - Fourier transform infrared spectrometry KW - FT-IR KW - Dust KW - Spectroscopy, Fourier Transform Infrared KW - Mining KW - Least-Squares Analysis KW - Environmental Monitoring KW - Coal Mining KW - Coal KW - Occupational Exposure KW - Air Pollutants, Occupational LA - eng PY - 2025 T2 - Applied Spectroscopy T2 - Applied Spectroscopy, 2025, v. 79, no. 3 TI - Applying Finite Mixture Models to Quantify Respirable Dust Mass in Coal and Metal-Nonmetal Mines Using Fourier Transform Infrared Spectroscopy. VL - 79 UR - https://stacks.cdc.gov/view/cdc/261883 ER -
Why is Roll-out of Long-acting PrEP Agents so Slow?

Patel, Rupa R. ;

Mayer, Kenneth H.

January 2025 | Current Opinion in HIV and AIDS, 2025, v. 20, no. 1

Injectable cabotegravir for HIV preexposure prophylaxis (PrEP) is effective, yet global implementation has been slow. We review factors which have contributed to the delayed roll-out of this medication.Fifty-three countries have approved cabotegravir for HIV prevention yet roll-out has been slow. Cabotegravir made up 2.5% of all U.S. PrEP prescript ...

10/09/2026

Supporting Files

Title : Why is Roll-out of Long-acting PrEP Agents so Slow? Personal Author(s) : Patel, Rupa R.;Mayer, Kenneth H.; Published Date : January 2025 Pages in Document : 48-53 (12 pdf pages) Source : Current Opinion in HIV and AIDS, 2025, v. 20, no. 1 DOI : https://doi.org/10.1097/COH.0000000000000899 Journal Title : Current Opinion in HIV and AIDS
Patel, R. R., & Mayer, K. H. (2025). Why is Roll-out of Long-acting PrEP Agents so Slow?. Current Opinion in HIV and AIDS, 20(1). https://doi.org/10.1097/COH.0000000000000899

Patel, Rupa R. and Kenneth H. Mayer. "Why is Roll-out of Long-acting PrEP Agents so Slow?." Current Opinion in HIV and AIDS 20, no. 1 (2025). https://doi.org/10.1097/COH.0000000000000899.

Patel, Rupa R., and Kenneth H. Mayer "Why is Roll-out of Long-acting PrEP Agents so Slow?." Current Opinion in HIV and AIDS, vol. 20, no. 1, 2025. Stacks. https://doi.org/10.1097/COH.0000000000000899.
Export RIS Citation Information. TY - Journal Article AU - Patel, Rupa R. AU - Mayer, Kenneth H. AB - Injectable cabotegravir for HIV preexposure prophylaxis (PrEP) is effective, yet global implementation has been slow. We review factors which have contributed to the delayed roll-out of this medication. AB - Fifty-three countries have approved cabotegravir for HIV prevention yet roll-out has been slow. Cabotegravir made up 2.5% of all U.S. PrEP prescriptions in 2023 and is very slowly increasing after FDA approval in 2021. Medication has not been available outside of implementation science studies in Africa and Asia. There is a lengthy process for generic medication production despite agreements signed in 2021; the first available generic dose is not anticipated until 2027. In the United States, where some of the cabotegravir medication costs can be covered under individual insurance plans, high costs and medication acquisition pathways for health centers have been complex, contributing to national implementation delays. The intensity of the staffing required for medication acquisition, insurance paperwork filing, process documentation, billing, injection administration, appointment scheduling, missed appointment monitoring and client follow up has burdened healthcare organizations. AB - Injectable cabotegravir PrEP has not reaped its potential to be an alternative in those for whom adherence to a daily PrEP pill is challenging. Lessons learned regarding cabotegravir medication acquisition pathways and clinical delivery strategies can inform the rollout of future HIV prevention long-acting agents. AB - Author manuscript AN - cdc:261882 C4 - PMC11879253 DO - https://doi.org/10.1097/COH.0000000000000899 IS - 1 J2 - Current Opinion in HIV and AIDS KW - Pyridones KW - Diketopiperazines KW - Anti-HIV Agents KW - Humans KW - HIV Infections KW - Pre-Exposure Prophylaxis KW - cabotegravir KW - HIV preexposure prophylaxis KW - long-acting antiretrovirals KW - Humans KW - Pre-Exposure Prophylaxis KW - HIV Infections KW - Anti-HIV Agents KW - Pyridones KW - Diketopiperazines LA - eng PY - 2025 T2 - Current Opinion in HIV and AIDS T2 - Current Opinion in HIV and AIDS, 2025, v. 20, no. 1 TI - Why is Roll-out of Long-acting PrEP Agents so Slow? VL - 20 UR - https://stacks.cdc.gov/view/cdc/261882 ER -
The Occurrence and Persistence of Surface Water Contaminants Across Different Landscapes.

Byers, Emily Nottingham ;

Messer, Tiffany L.

January 1, 2025 | The Science of the Total Environment, 2025, v. 958

Surface water contaminants, including both conventional contaminants (e.g., nutrients, trace elements) and emerging contaminants (e.g., pesticides, pharmaceuticals) are heavily influenced by urban and rural land use practices. The goal of the study was to characterize the influence of watershed land use practices on surface water quality. Specific ...

10/09/2026

Supporting Files

Title : The Occurrence and Persistence of Surface Water Contaminants Across Different Landscapes. Personal Author(s) : Byers, Emily Nottingham;Messer, Tiffany L.;Unrine, Jason;Barton, Christopher;Agouridis, Carmen;Miller, Daniel N.; Published Date : January 1, 2025 Pages in Document : 177837 (40 pdf pages) Source : The Science of the Total Environment, 2025, v. 958 DOI : https://doi.org/10.1016/j.scitotenv.2024.177837 Journal Title : The Science of the Total Environment
Byers, E. N., Messer, T. L., Unrine, J., Barton, C., Agouridis, C., & Miller, D. N. (2025). The Occurrence and Persistence of Surface Water Contaminants Across Different Landscapes. The Science of the Total Environment, 958. https://doi.org/10.1016/j.scitotenv.2024.177837

Byers, Emily Nottingham, Tiffany L. Messer, Jason Unrine, Christopher Barton, Carmen Agouridis, and Daniel N. Miller. "The Occurrence and Persistence of Surface Water Contaminants Across Different Landscapes." The Science of the Total Environment 958 (2025). https://doi.org/10.1016/j.scitotenv.2024.177837.

Byers, Emily Nottingham, et al. "The Occurrence and Persistence of Surface Water Contaminants Across Different Landscapes." The Science of the Total Environment, vol. 958, 2025. Stacks. https://doi.org/10.1016/j.scitotenv.2024.177837.
Export RIS Citation Information. TY - Journal Article AU - Byers, Emily Nottingham AU - Messer, Tiffany L. AU - Unrine, Jason AU - Barton, Christopher AU - Agouridis, Carmen AU - Miller, Daniel N. AB - Surface water contaminants, including both conventional contaminants (e.g., nutrients, trace elements) and emerging contaminants (e.g., pesticides, pharmaceuticals) are heavily influenced by urban and rural land use practices. The goal of the study was to characterize the influence of watershed land use practices on surface water quality. Specific objectives were to (1) identify and quantify the type and concentration of nutrients, trace elements, pesticides, pharmaceuticals and personal care products in four watersheds and (2) understand potential sources of contamination based on the watershed's land cover and land use characteristics (i.e., oil and gas, urban, mining, agriculture). Monthly polar organic chemical integrative samples and water grab samples were collected from March-October 2022. The results showed that surface water quality varied by location, season, and flood condition Specifically, aluminum (mean = 758 μg L) and iron (mean = 1130 μg L) exceeded chronic aquatic life water quality criteria in the agricultural watershed, while imidacloprid exceeded the chronic criteria limit for freshwater invertebrates in both the urban (mean = 5.96 ng L) and agricultural (mean = 4.72 ng L) watersheds. Sulfate concentrations (mean = 666 mg L) also exceeded ambient water quality criteria in the watershed with a high activity of mining. This study provides important steps for developing a comprehensive understanding of land use impacts on contaminant presence and concentration in surface waters, improved understanding of the implications to non-target species, and necessary water treatment processes to ensure a safe water supply. AB - Author manuscript AN - cdc:261881 C4 - PMC11837770 DO - https://doi.org/10.1016/j.scitotenv.2024.177837 J2 - The Science of the Total Environment KW - Trace Elements KW - Aluminum KW - Iron KW - Cosmetics KW - Goals KW - Organic Chemicals KW - Sulfates KW - imidacloprid KW - Invertebrates KW - Pharmaceutical Preparations KW - Water Quality KW - Agriculture KW - Seasons KW - Floods KW - Fresh Water KW - Pesticides KW - Water quality KW - Contaminants of emerging concern KW - Non-point source pollution KW - Pharmaceuticals and personal care products KW - Ecotoxicity KW - Pesticides KW - imidacloprid KW - Aluminum KW - Floods KW - Goals KW - Seasons KW - Trace Elements KW - Water Quality KW - Cosmetics KW - Organic Chemicals KW - Pharmaceutical Preparations KW - Invertebrates KW - Agriculture KW - Fresh Water KW - Pesticides KW - Sulfates KW - Iron LA - eng PY - 2025 T2 - The Science of the Total Environment T2 - The Science of the Total Environment, 2025, v. 958 TI - The Occurrence and Persistence of Surface Water Contaminants Across Different Landscapes. VL - 958 UR - https://stacks.cdc.gov/view/cdc/261881 ER -
Occupational Exposure to Inhalable Agents is Associated With Reduced Work Ability: a Prospective Cohort Study in Norway.

Klepaker, Geir ;

Torén, Kjell

March 2025 | Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 3

This study aimed to assess Work Ability Score (WAS) in 2018 based on self-reported data regarding inhalable occupational exposure and data from a Northern European Job-Exposure Matrix recorded in 2013.During the 5-year follow-up period of this population-based study, 4423 participants completed a postal questionnaire comprising self-reported questi ...

10/09/2026

Supporting Files

Title : Occupational Exposure to Inhalable Agents is Associated With Reduced Work Ability: a Prospective Cohort Study in Norway. Personal Author(s) : Klepaker, Geir;Torén, Kjell;Henneberger, Paul Keefer;Kongerud, Johny;Fell, Anne Kristin Møller; Published Date : March 2025 Pages in Document : 197-202 (17 pdf pages) Source : Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 3 DOI : https://doi.org/10.1097/JOM.0000000000003292 Journal Title : Journal of Occupational and Environmental Medicine
Klepaker, G., Torén, K., Henneberger, P. K., Kongerud, J., & Fell, A. K. M. (2025). Occupational Exposure to Inhalable Agents is Associated With Reduced Work Ability: a Prospective Cohort Study in Norway. Journal of Occupational and Environmental Medicine, 67(3). https://doi.org/10.1097/JOM.0000000000003292

Klepaker, Geir, Kjell Torén, Paul Keefer Henneberger, Johny Kongerud, and Anne Kristin Møller Fell. "Occupational Exposure to Inhalable Agents is Associated With Reduced Work Ability: a Prospective Cohort Study in Norway." Journal of Occupational and Environmental Medicine 67, no. 3 (2025). https://doi.org/10.1097/JOM.0000000000003292.

Klepaker, Geir, et al. "Occupational Exposure to Inhalable Agents is Associated With Reduced Work Ability: a Prospective Cohort Study in Norway." Journal of Occupational and Environmental Medicine, vol. 67, no. 3, 2025. Stacks. https://doi.org/10.1097/JOM.0000000000003292.
Export RIS Citation Information. TY - Journal Article AU - Klepaker, Geir AU - Torén, Kjell AU - Henneberger, Paul Keefer AU - Kongerud, Johny AU - Fell, Anne Kristin Møller AB - This study aimed to assess Work Ability Score (WAS) in 2018 based on self-reported data regarding inhalable occupational exposure and data from a Northern European Job-Exposure Matrix recorded in 2013. AB - During the 5-year follow-up period of this population-based study, 4423 participants completed a postal questionnaire comprising self-reported questions regarding occupational exposure, work history, and WAS. AB - Ever, weekly, and daily exposure to vapors, gas, dust, and fumes in the last 5 years in 2013 was associated with reduced WAS in 2018. The Northern European Job-Exposure Matrix data showed that exposure to irritants, wood and paper dust, and mixed agricultural agents was associated with reduced WAS. AB - Exposure to several occupational inhalable substances is associated with reduced work ability. We recommend reducing inhalable occupational exposure to prevent reduced work ability. AB - Author manuscript AN - cdc:261880 C4 - PMC11875875 DO - https://doi.org/10.1097/JOM.0000000000003292 IS - 3 J2 - Journal of Occupational and Environmental Medicine KW - Occupational Exposure KW - Female KW - Prospective Studies KW - Inhalation Exposure KW - Self Report KW - Work Capacity Evaluation KW - Surveys and Questionnaires KW - Air Pollutants, Occupational KW - Dust KW - Male KW - Middle Aged KW - Humans KW - Adult KW - Irritants KW - VGDF KW - epidemiology KW - asthma KW - occupations exposure KW - Humans KW - Occupational Exposure KW - Male KW - Female KW - Adult KW - Middle Aged KW - Prospective Studies KW - Inhalation Exposure KW - Dust KW - Air Pollutants, Occupational KW - Work Capacity Evaluation KW - Surveys and Questionnaires KW - Self Report LA - eng PY - 2025 T2 - Journal of Occupational and Environmental Medicine T2 - Journal of Occupational and Environmental Medicine, 2025, v. 67, no. 3 TI - Occupational Exposure to Inhalable Agents is Associated With Reduced Work Ability: a Prospective Cohort Study in Norway. VL - 67 UR - https://stacks.cdc.gov/view/cdc/261880 ER -
Oncology and Primary Care Involvement in Breast Cancer Survivorship Care More Than 5 Years After Initial Treatment.

Radhakrishnan, Archana ;

Furgal, Allison KC

June 2025 | JCO Oncology Practice, 2025, v. 21, no. 6

Very little is known about primary care involvement in the care of cancer survivors beyond the initial 5 years post-treatment when transitioning to primary care is guideline-recommended for many survivors.The ICanCare study is a longitudinal survey of women diagnosed with breast cancer in 2014-2015 identified in the Georgia and Los Angeles SEER reg ...

10/09/2026

Supporting Files

Title : Oncology and Primary Care Involvement in Breast Cancer Survivorship Care More Than 5 Years After Initial Treatment. Personal Author(s) : Radhakrishnan, Archana;Furgal, Allison KC;Hamilton, Ann S;Ward, Kevin C;Veenstra, Christine;Hawley, Sarah T;Katz, Steven J;Lee, Joy L;Wallner, Lauren P; Published Date : June 2025 Pages in Document : 791-800 (19 pdf pages) Source : JCO Oncology Practice, 2025, v. 21, no. 6 DOI : https://doi.org/10.1200/OP-24-00620 Journal Title : JCO Oncology Practice
Radhakrishnan, A., Furgal, A. K., Hamilton, A. S., Ward, K. C., Veenstra, C., Hawley, S. T., Katz, S. J., Lee, J. L., & Wallner, L. P. (2025). Oncology and Primary Care Involvement in Breast Cancer Survivorship Care More Than 5 Years After Initial Treatment. JCO Oncology Practice, 21(6). https://doi.org/10.1200/OP-24-00620

Radhakrishnan, Archana, Allison KC Furgal, Ann S Hamilton, Kevin C Ward, Christine Veenstra, Sarah T Hawley, Steven J Katz, Joy L Lee, and Lauren P Wallner. "Oncology and Primary Care Involvement in Breast Cancer Survivorship Care More Than 5 Years After Initial Treatment." JCO Oncology Practice 21, no. 6 (2025). https://doi.org/10.1200/OP-24-00620.

Radhakrishnan, Archana, et al. "Oncology and Primary Care Involvement in Breast Cancer Survivorship Care More Than 5 Years After Initial Treatment." JCO Oncology Practice, vol. 21, no. 6, 2025. Stacks. https://doi.org/10.1200/OP-24-00620.
Export RIS Citation Information. TY - Journal Article AU - Radhakrishnan, Archana AU - Furgal, Allison KC AU - Hamilton, Ann S AU - Ward, Kevin C AU - Veenstra, Christine AU - Hawley, Sarah T AU - Katz, Steven J AU - Lee, Joy L AU - Wallner, Lauren P AB - Very little is known about primary care involvement in the care of cancer survivors beyond the initial 5 years post-treatment when transitioning to primary care is guideline-recommended for many survivors. AB - The ICanCare study is a longitudinal survey of women diagnosed with breast cancer in 2014-2015 identified in the Georgia and Los Angeles SEER registries. Women were surveyed during initial treatment and again approximately 6 years later in survivorship (2021-2022; n = 1,412, 60% response rate). Respondents were asked which provider led their survivorship care (oncology, shared care, primary care provider [PCP]) and PCP management of eight common survivorship issues (range, 0-32). Multivariable-adjusted associations of participant characteristics with survivorship care delivery and PCP management of survivorship issues were evaluated using logistic and linear regression models, respectively. AB - Over half of the women (57.2%) reported oncologist-led survivorship care delivery, 20.5% shared care, and 22.4% PCP-led. PCP management of survivorship issues was moderate (mean, 11.4, 95% CI, 11.0 to 11.8) and was highest (often/always discussed) for medication management (50.1%), improving physical activity (49.1%), and chronic disease management (43.6%). Greater confidence in PCP's ability to manage survivorship care ( AB - no or little confidence) was associated with PCP-led delivery ( AB - = .01) and more PCP management of survivorship issues ( AB - < .0001). AB - In this diverse cohort of breast cancer survivors, primary care involvement in survivorship care delivery and management of common survivorship issues remains low even more than 5 years after completing treatment and little variation was seen across survivor sociodemographic or clinical characteristics. Confidence in PCP ability to manage survivorship care was found to be important and may represent an opportunity to foster transition to primary care-led survivorship care delivery. AB - Author manuscript AN - cdc:261879 C4 - PMC12141593 DO - https://doi.org/10.1200/OP-24-00620 IS - 6 J2 - JCO Oncology Practice KW - Longitudinal Studies KW - Cancer Survivors KW - Survivorship KW - Female KW - Medical Oncology KW - Aged KW - Middle Aged KW - Humans KW - Primary Health Care KW - Breast Neoplasms KW - Adult KW - Humans KW - Female KW - Breast Neoplasms KW - Primary Health Care KW - Middle Aged KW - Survivorship KW - Cancer Survivors KW - Aged KW - Adult KW - Medical Oncology KW - Longitudinal Studies LA - eng PY - 2025 T2 - JCO Oncology Practice T2 - JCO Oncology Practice, 2025, v. 21, no. 6 TI - Oncology and Primary Care Involvement in Breast Cancer Survivorship Care More Than 5 Years After Initial Treatment. VL - 21 UR - https://stacks.cdc.gov/view/cdc/261879 ER -
Assessing Occupational Styrene Exposure in the European and US Glass Reinforced Plastics Industry For the Period Between 1947 and 2020.

Christopher-de Vries, Yvette ;

Burstyn, Igor

March 2025 | International Journal of Hygiene and Environmental Health, 2025, v. 264

We aimed to develop a method for assessing occupational styrene exposures for application in epidemiological studies on risks of lymphohematopoietic neoplasms and other malignant and non-malignant diseases in the European and the US glass reinforced plastics industries.We estimated a linear mixed effects model based on individual airborne personal ...

10/09/2026

Supporting Files

Title : Assessing Occupational Styrene Exposure in the European and US Glass Reinforced Plastics Industry For the Period Between 1947 and 2020. Personal Author(s) : Christopher-de Vries, Yvette;Burstyn, Igor;Wulf Christensen, Mette;Notø, Hilde;Straif, Kurt;Pukkala, Eero;Schlünssen, Vivi;Bertke, Stephen;van Tongeren, Martie;Kolstad, Henrik A.;McElvenny, Damien;Basinas, Ioannis; Published Date : March 2025 Pages in Document : 114494 (23 pdf pages) Source : International Journal of Hygiene and Environmental Health, 2025, v. 264 DOI : https://doi.org/10.1016/j.ijheh.2024.114494 Journal Title : International Journal of Hygiene and Environmental Health
Christopher-de Vries, Y., Burstyn, I., Wulf Christensen, M., Notø, H., Straif, K., Pukkala, E., Schlünssen, V., Bertke, S., van Tongeren, M., Kolstad, H. A., McElvenny, D., & Basinas, I. (2025). Assessing Occupational Styrene Exposure in the European and US Glass Reinforced Plastics Industry For the Period Between 1947 and 2020. International Journal of Hygiene and Environmental Health, 264. https://doi.org/10.1016/j.ijheh.2024.114494

Christopher-de Vries, Yvette, Igor Burstyn, Mette Wulf Christensen, Hilde Notø, Kurt Straif, Eero Pukkala, and Vivi Schlünssen, et al.. "Assessing Occupational Styrene Exposure in the European and US Glass Reinforced Plastics Industry For the Period Between 1947 and 2020." International Journal of Hygiene and Environmental Health 264 (2025). https://doi.org/10.1016/j.ijheh.2024.114494.

Christopher-de Vries, Yvette, et al. "Assessing Occupational Styrene Exposure in the European and US Glass Reinforced Plastics Industry For the Period Between 1947 and 2020." International Journal of Hygiene and Environmental Health, vol. 264, 2025. Stacks. https://doi.org/10.1016/j.ijheh.2024.114494.
Export RIS Citation Information. TY - Journal Article AU - Christopher-de Vries, Yvette AU - Burstyn, Igor AU - Wulf Christensen, Mette AU - Notø, Hilde AU - Straif, Kurt AU - Pukkala, Eero AU - Schlünssen, Vivi AU - Bertke, Stephen AU - van Tongeren, Martie AU - Kolstad, Henrik A. AU - McElvenny, Damien AU - Basinas, Ioannis AB - We aimed to develop a method for assessing occupational styrene exposures for application in epidemiological studies on risks of lymphohematopoietic neoplasms and other malignant and non-malignant diseases in the European and the US glass reinforced plastics industries. AB - We estimated a linear mixed effects model based on individual airborne personal measurements of styrene from the glass reinforced plastics industry in Denmark, Norway, Sweden, UK, and the US. The most suitable model was chosen based on its predictive power as assessed using cross validation with different combinations of predictors; and by comparing their prediction errors. AB - We created a database containing 21,201 personal and area measurements but a subset of 14,440 personal measurements that spanned a period from 1962 to 2018, were used in the analysis. The selected model included fixed effects for year, sampling duration, measurement reason, product, process and random effects for country and worker. There was strong agreement between the model's predictions and actual exposure values indicating a good fit (Lin's CCC: 0.85 95% CI 0.84, 0.85). There were regional differences in exposure levels, with the UK and the US having comparable exposures that were higher than those in the Nordic countries. Higher exposures were consistent with measurements collected for inspection purposes, the lamination process, and specific products. Styrene exposure levels have decreased annually on average by 7%. AB - Our exposure model and the resulting exposure predictions will enable estimation of lifetime occupational exposure for individual workers in the European and the US glass reinforced plastics industry and possibly related health risks among employees. The approach facilitates understanding of the uncertainty in our prediction model and can inform analysis of the bias that application of our exposure assessment approach can produce in epidemiologic analyses of exposure-response associations. Addressing systematic sources of bias can increase confidence in the conclusions of the epidemiologic analysis. AB - Author manuscript AN - cdc:261878 C4 - PMC11932287 DO - https://doi.org/10.1016/j.ijheh.2024.114494 J2 - International Journal of Hygiene and Environmental Health KW - Occupational Exposure KW - Plastics KW - Glass KW - Air Pollutants, Occupational KW - Humans KW - Environmental Monitoring KW - Styrene KW - Exposure assessment KW - Exposure database KW - Personal measurements KW - Occupational exposure KW - Linear mixed-effects model KW - Styrene KW - Glass reinforced plastics KW - Occupational Exposure KW - Styrene KW - Plastics KW - Humans KW - Environmental Monitoring KW - Glass KW - Air Pollutants, Occupational LA - eng PY - 2025 T2 - International Journal of Hygiene and Environmental Health T2 - International Journal of Hygiene and Environmental Health, 2025, v. 264 TI - Assessing Occupational Styrene Exposure in the European and US Glass Reinforced Plastics Industry For the Period Between 1947 and 2020. VL - 264 UR - https://stacks.cdc.gov/view/cdc/261878 ER -
Antimicrobial Prescribing Practices For Enteric Bacterial Infections in An Integrated Health Care System, Wisconsin, 2004-2017.

Olson, Scott C. ;

Francois Watkins, Louise K.

January 2025 | Journal of Infection and Public Health, 2025, v. 18, no. 1

Few studies have evaluated antibiotic prescribing practices for bacterial enteric infections. Unnecessary antibiotics can result in adverse events and contribute to the emergence of antimicrobial resistance. We assessed treatment practices among patients with laboratory-confirmed enteric infections in a regional healthcare system in Wisconsin, USA. ...

10/09/2026

Supporting Files

Title : Antimicrobial Prescribing Practices For Enteric Bacterial Infections in An Integrated Health Care System, Wisconsin, 2004-2017. Personal Author(s) : Olson, Scott C.;Francois Watkins, Louise K.;Walter, Elaine Scallan;Friedman, Cindy R.;Nguyen, Huong Q.; Published Date : January 2025 Pages in Document : 102613 (15 pdf pages) Source : Journal of Infection and Public Health, 2025, v. 18, no. 1 DOI : https://doi.org/10.1016/j.jiph.2024.102613 Journal Title : Journal of Infection and Public Health
Olson, S. C., Francois Watkins, L. K., Walter, E. S., Friedman, C. R., & Nguyen, H. Q. (2025). Antimicrobial Prescribing Practices For Enteric Bacterial Infections in An Integrated Health Care System, Wisconsin, 2004-2017. Journal of Infection and Public Health, 18(1). https://doi.org/10.1016/j.jiph.2024.102613

Olson, Scott C., Louise K. Francois Watkins, Elaine Scallan Walter, Cindy R. Friedman, and Huong Q. Nguyen. "Antimicrobial Prescribing Practices For Enteric Bacterial Infections in An Integrated Health Care System, Wisconsin, 2004-2017." Journal of Infection and Public Health 18, no. 1 (2025). https://doi.org/10.1016/j.jiph.2024.102613.

Olson, Scott C., et al. "Antimicrobial Prescribing Practices For Enteric Bacterial Infections in An Integrated Health Care System, Wisconsin, 2004-2017." Journal of Infection and Public Health, vol. 18, no. 1, 2025. Stacks. https://doi.org/10.1016/j.jiph.2024.102613.
Export RIS Citation Information. TY - Journal Article AU - Olson, Scott C. AU - Francois Watkins, Louise K. AU - Walter, Elaine Scallan AU - Friedman, Cindy R. AU - Nguyen, Huong Q. AB - Few studies have evaluated antibiotic prescribing practices for bacterial enteric infections. Unnecessary antibiotics can result in adverse events and contribute to the emergence of antimicrobial resistance. We assessed treatment practices among patients with laboratory-confirmed enteric infections in a regional healthcare system in Wisconsin, USA. AB - We used electronic health records to identify patients with laboratory-confirmed nontyphoidal Salmonella, Shigella, Shiga toxin-producing Escherichia coli (STEC), and Campylobacter infections during 2004-2017. Relevant clinical data, including diagnosis codes for chronic conditions and receipt of immunosuppressive medications and antibiotic prescriptions, were extracted. We defined appropriate treatment based on pathogen, patient characteristics, and practice guidelines for the study period. AB - We identified 2064 patients infected with Campylobacter (1251; 61 %), Salmonella (564; 27 %), STEC (199; 10 %), or Shigella (50; 2 %). Overall, 425 (20 %) patients were immunocompromised, ranging from 17 % with Salmonella to 46 % with STEC. There were 220 (11 %) hospitalizations. Antibiotics were prescribed most frequently for Campylobacter (53 %), followed by Shigella (46 %) and Salmonella (44 %) infections. Among those prescribed antibiotics, prescriptions were appropriate for 71 % of Campylobacter, 100 % of Shigella, and 81 % of Salmonella infections. Antibiotics were prescribed for 24 % of STEC infections, despite recommendations against use. Guideline adherence generally decreased with age, except for Shigella infections, where adherence was highest for adults ≥ 50 years. AB - Antibiotic prescribing for laboratory-confirmed enteric infections was usually appropriate but did not follow practice guidelines in a substantial minority of cases, presenting opportunity for improvement. Antibiotic stewardship initiatives should address acute bacterial gastrointestinal infections in addition to other common infections. AB - Author manuscript AN - cdc:261877 C4 - PMC11875000 DO - https://doi.org/10.1016/j.jiph.2024.102613 IS - 1 J2 - Journal of Infection and Public Health KW - Adolescent KW - Shigella KW - Female KW - Enterobacteriaceae Infections KW - Aged KW - Electronic Health Records KW - Young Adult KW - Aged, 80 and over KW - Child KW - Antimicrobial Stewardship KW - Delivery of Health Care, Integrated KW - Infant KW - Male KW - Middle Aged KW - Humans KW - Anti-Bacterial Agents KW - Child, Preschool KW - Adult KW - Practice Patterns, Physicians' KW - Salmonella KW - Anti-bacterial agents KW - Gastroenteritis KW - Humans KW - Female KW - Male KW - Middle Aged KW - Adult KW - Aged KW - Anti-Bacterial Agents KW - Young Adult KW - Adolescent KW - Delivery of Health Care, Integrated KW - Child, Preschool KW - Practice Patterns, Physicians' KW - Child KW - Aged, 80 and over KW - Infant KW - Antimicrobial Stewardship KW - Electronic Health Records KW - Enterobacteriaceae Infections KW - Salmonella KW - Shigella LA - eng PY - 2025 T2 - Journal of Infection and Public Health T2 - Journal of Infection and Public Health, 2025, v. 18, no. 1 TI - Antimicrobial Prescribing Practices For Enteric Bacterial Infections in An Integrated Health Care System, Wisconsin, 2004-2017. VL - 18 UR - https://stacks.cdc.gov/view/cdc/261877 ER -
Inequities in Intimate Partner Homicide: Social Determinants of Health Mediate Racial/Ethnic Disparities.

Rowh, Adam ;

Zhang, Xinjian

March 2025 | American Journal of Preventive Medicine, 2025, v. 68, no. 3

Intimate partner violence accounts for up to one half of all homicides of women in the U.S. Rates of intimate partner homicide are associated with both race/ethnicity and social determinants of health, but their relative contribution is incompletely understood.The authors used negative binomial regression to model the relationship between counties' ...

10/09/2026

Supporting Files

Title : Inequities in Intimate Partner Homicide: Social Determinants of Health Mediate Racial/Ethnic Disparities. Personal Author(s) : Rowh, Adam;Zhang, Xinjian;Nguyen, Brenda;Jack, Shane; Published Date : March 2025 Pages in Document : 555-562 (14 pdf pages) Source : American Journal of Preventive Medicine, 2025, v. 68, no. 3 DOI : https://doi.org/10.1016/j.amepre.2024.11.021 Journal Title : American Journal of Preventive Medicine
Rowh, A., Zhang, X., Nguyen, B., & Jack, S. (2025). Inequities in Intimate Partner Homicide: Social Determinants of Health Mediate Racial/Ethnic Disparities. American Journal of Preventive Medicine, 68(3). https://doi.org/10.1016/j.amepre.2024.11.021

Rowh, Adam, Xinjian Zhang, Brenda Nguyen, and Shane Jack. "Inequities in Intimate Partner Homicide: Social Determinants of Health Mediate Racial/Ethnic Disparities." American Journal of Preventive Medicine 68, no. 3 (2025). https://doi.org/10.1016/j.amepre.2024.11.021.

Rowh, Adam, et al. "Inequities in Intimate Partner Homicide: Social Determinants of Health Mediate Racial/Ethnic Disparities." American Journal of Preventive Medicine, vol. 68, no. 3, 2025. Stacks. https://doi.org/10.1016/j.amepre.2024.11.021.
Export RIS Citation Information. TY - Journal Article AU - Rowh, Adam AU - Zhang, Xinjian AU - Nguyen, Brenda AU - Jack, Shane AB - Intimate partner violence accounts for up to one half of all homicides of women in the U.S. Rates of intimate partner homicide are associated with both race/ethnicity and social determinants of health, but their relative contribution is incompletely understood. AB - The authors used negative binomial regression to model the relationship between counties' racial/ethnic composition and their rates of intimate partner homicide of women, controlling for urbanicity, median income, gender pay gap, unemployment, school funding, and violent crime rate. Data from 49 states and the District of Columbia between 2016 and 2021 were used. Analyses were conducted in 2024. AB - In unadjusted analysis, counties with a lower proportion of White residents experienced higher rates of intimate partner homicide (incidence rate ratios [IRR]=1.11; 95% CIs=1.08, 1.13). When controlling for social determinants of health, this association was not observed (IRR=1.01; 95% CI=0.97, 1.04). Median income, school funding, and violent crime rate were independent predictors of intimate partner homicide in the multivariate model. AB - Racial/ethnic composition of a population does not independently predict its rate of intimate partner homicide when controlling for social determinants of health. Racial/ethnic inequities in intimate partner homicide are largely attributable to structural factors, which may be modifiable through policy changes. AB - Author manuscript AN - cdc:261876 C4 - PMC11931573 DO - https://doi.org/10.1016/j.amepre.2024.11.021 IS - 3 J2 - American Journal of Preventive Medicine KW - Female KW - Ethnicity KW - Homicide KW - Racial Groups KW - Social Determinants of Health KW - Male KW - Middle Aged KW - Humans KW - Intimate Partner Violence KW - Adult KW - Socioeconomic Factors KW - Humans KW - Homicide KW - Social Determinants of Health KW - Female KW - Intimate Partner Violence KW - Ethnicity KW - Male KW - Adult KW - Socioeconomic Factors KW - Middle Aged KW - Racial Groups LA - eng PY - 2025 T2 - American Journal of Preventive Medicine T2 - American Journal of Preventive Medicine, 2025, v. 68, no. 3 TI - Inequities in Intimate Partner Homicide: Social Determinants of Health Mediate Racial/Ethnic Disparities. VL - 68 UR - https://stacks.cdc.gov/view/cdc/261876 ER -
Cytomegalovirus Urinary Excretion in Children With Congenital and Postnatally Acquired Infection.

Lanzieri, Tatiana M. ;

Caviness, A. Chantal

February 2025 | Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology, 2025, v. 176

Cytomegalovirus (CMV) infection in children is associated with prolonged viral excretion in urine and saliva. This study characterizes CMV urinary excretion in children with congenital (cCMV) and postnatally acquired CMV infection.Children with virologically confirmed cCMV (75 symptomatic and 105 asymptomatic at birth) and 51 children without cCMV ...

10/09/2026

Supporting Files

Title : Cytomegalovirus Urinary Excretion in Children With Congenital and Postnatally Acquired Infection. Personal Author(s) : Lanzieri, Tatiana M.;Caviness, A. Chantal;Williams, Jill J.;Demmler-Harrison, Gail; Corporate Authors(s) : the Houston Congenital Cytomegalovirus Longitudinal Study Group Published Date : February 2025 Pages in Document : 105756 (14 pdf pages) Source : Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology, 2025, v. 176 DOI : https://doi.org/10.1016/j.jcv.2024.105756 Journal Title : Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology
Lanzieri, T. M., Caviness, A. C., Williams, J. J., & Demmler-Harrison, G. (2025). Cytomegalovirus Urinary Excretion in Children With Congenital and Postnatally Acquired Infection. Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology, 176. https://doi.org/10.1016/j.jcv.2024.105756

Lanzieri, Tatiana M., A. Chantal Caviness, Jill J. Williams, and Gail Demmler-Harrison. "Cytomegalovirus Urinary Excretion in Children With Congenital and Postnatally Acquired Infection." Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology 176 (2025). https://doi.org/10.1016/j.jcv.2024.105756.

Lanzieri, Tatiana M., et al. "Cytomegalovirus Urinary Excretion in Children With Congenital and Postnatally Acquired Infection." Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology, vol. 176, 2025. Stacks. https://doi.org/10.1016/j.jcv.2024.105756.
Export RIS Citation Information. TY - Journal Article AU - Lanzieri, Tatiana M. AU - Caviness, A. Chantal AU - Williams, Jill J. AU - Demmler-Harrison, Gail A2 - the Houston Congenital Cytomegalovirus Longitudinal Study Group AB - Cytomegalovirus (CMV) infection in children is associated with prolonged viral excretion in urine and saliva. This study characterizes CMV urinary excretion in children with congenital (cCMV) and postnatally acquired CMV infection. AB - Children with virologically confirmed cCMV (75 symptomatic and 105 asymptomatic at birth) and 51 children without cCMV were followed through median 11, 18 and 17 years of age, respectively. In children with cCMV, duration of CMV excretion was defined as uninterrupted positive results from initial to last positive culture, and recurrent CMV excretion as ≥1 positive following >1 negative result. CMV urinary excretion in children without cCMV was defined as resulting from postnatally acquired CMV infection. AB - Mean duration of persistent CMV urinary excretion in children with cCMV was 1.9 (maximum 8.7) years for symptomatic and 2.8 (maximum 9.8) years for asymptomatic children (P = 0.011). Mean duration of CMV excretion was not statistically different for 17 symptomatic children treated with ganciclovir (2.4 years) compared with 58 untreated (1.8 years); P = 0.356. Recurrent excretion occurred in 19 (25 %) symptomatic and 21 (20 %) asymptomatic children, at mean age 4.0 and 6.2 years, respectively (P = 0.084). In 16 (31 %) children with postnatally acquired CMV infection, CMV urinary excretion began at mean age 1.8 (range 0.3-7.3) years. AB - Both symptomatic and asymptomatic cCMV were associated with persistent long-term CMV excretion in urine, which was significantly longer in asymptomatic cCMV and not influenced by ganciclovir treatment in symptomatic cCMV. CMV urinary excretion was common in young children without cCMV, suggesting rapid CMV acquisition in childhood. AB - Author manuscript AN - cdc:261875 C4 - PMC12875390 DO - https://doi.org/10.1016/j.jcv.2024.105756 J2 - Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology KW - Adolescent KW - Cytomegalovirus KW - Cytomegalovirus Infections KW - Antiviral Agents KW - Female KW - Ganciclovir KW - Infant, Newborn KW - Child KW - Infant KW - Virus Shedding KW - Male KW - Humans KW - Child, Preschool KW - Urine KW - Cytomegalovirus KW - congenital KW - urinary excretion KW - culture KW - Humans KW - Cytomegalovirus Infections KW - Child KW - Cytomegalovirus KW - Adolescent KW - Female KW - Male KW - Child, Preschool KW - Infant KW - Virus Shedding KW - Urine KW - Infant, Newborn KW - Antiviral Agents KW - Ganciclovir LA - eng PY - 2025 T2 - Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology T2 - Journal of Clinical Virology : the Official Publication of the Pan American Society for Clinical Virology, 2025, v. 176 TI - Cytomegalovirus Urinary Excretion in Children With Congenital and Postnatally Acquired Infection. VL - 176 UR - https://stacks.cdc.gov/view/cdc/261875 ER -
Using ICD Codes Alone May Misclassify Overdoses Among Perinatal People.

Board, Amy ;

Vivolo-Kantor, Alana

March 2025 | American Journal of Preventive Medicine, 2025, v. 68, no. 3

As perinatal drug overdoses continue to rise, reliable approaches are needed to monitor overdose trends during pregnancy and postpartum. This analysis aimed to determine the sensitivity, specificity, positive predictive value, and negative predictive value of ICD-9/10-CM codes for drug overdose events among people in the MATernaL and Infant clinica ...

10/09/2026

Supporting Files

Title : Using ICD Codes Alone May Misclassify Overdoses Among Perinatal People. Personal Author(s) : Board, Amy;Vivolo-Kantor, Alana;Kim, Shin Y.;Tran, Emmy L.;Thomas, Shawn A.;Terplan, Mishka;Smid, Marcela C.;Sanjuan, Pilar M.;Wright, Tanner;Davidson, Autumn;Wachman, Elisha M.;Rood, Kara M.;Morse, Diane;Chu, Emily;Miele, Kathryn; Published Date : March 2025 Pages in Document : 563-570 (14 pdf pages) Source : American Journal of Preventive Medicine, 2025, v. 68, no. 3 DOI : https://doi.org/10.1016/j.amepre.2024.12.001 Journal Title : American Journal of Preventive Medicine
Board, A., Vivolo-Kantor, A., Kim, S. Y., Tran, E. L., Thomas, S. A., Terplan, M., Smid, M. C., Sanjuan, P. M., Wright, T., Davidson, A., Wachman, E. M., Rood, K. M., Morse, D., Chu, E., & Miele, K. (2025). Using ICD Codes Alone May Misclassify Overdoses Among Perinatal People. American Journal of Preventive Medicine, 68(3). https://doi.org/10.1016/j.amepre.2024.12.001

Board, Amy, Alana Vivolo-Kantor, Shin Y. Kim, Emmy L. Tran, Shawn A. Thomas, Mishka Terplan, and Marcela C. Smid, et al.. "Using ICD Codes Alone May Misclassify Overdoses Among Perinatal People." American Journal of Preventive Medicine 68, no. 3 (2025). https://doi.org/10.1016/j.amepre.2024.12.001.

Board, Amy, et al. "Using ICD Codes Alone May Misclassify Overdoses Among Perinatal People." American Journal of Preventive Medicine, vol. 68, no. 3, 2025. Stacks. https://doi.org/10.1016/j.amepre.2024.12.001.
Export RIS Citation Information. TY - Journal Article AU - Board, Amy AU - Vivolo-Kantor, Alana AU - Kim, Shin Y. AU - Tran, Emmy L. AU - Thomas, Shawn A. AU - Terplan, Mishka AU - Smid, Marcela C. AU - Sanjuan, Pilar M. AU - Wright, Tanner AU - Davidson, Autumn AU - Wachman, Elisha M. AU - Rood, Kara M. AU - Morse, Diane AU - Chu, Emily AU - Miele, Kathryn AB - As perinatal drug overdoses continue to rise, reliable approaches are needed to monitor overdose trends during pregnancy and postpartum. This analysis aimed to determine the sensitivity, specificity, positive predictive value, and negative predictive value of ICD-9/10-CM codes for drug overdose events among people in the MATernaL and Infant clinical NetworK (MAT-LINK) with medication for opioid use disorder during pregnancy. AB - People included in this analysis had electronic health record documentation of medication for opioid use disorder and a known pregnancy outcome from January 1, 2014, through August 31, 2021. Data were analyzed during pregnancy through 1 year postpartum. The Centers for Disease Control and Prevention's drug overdose case definitions were used to categorize overdose based on ICD-9/10-CM codes. These codes were compared to abstracted electronic health record data of any drug overdose. Analyses were conducted between May 2023 and May 2024. AB - Among 3,911 pregnancies with electronic health record-documented medication for opioid use disorder, the sensitivity of ICD-9/10-CM codes for capturing drug overdose during pregnancy was 32.7%, while specificity was 98.5%, positive predictive value was 23.4%, and negative predictive value was 99.0%. The sensitivity of ICD-9/10-CM codes for capturing drug overdose postpartum was 30.9%, while specificity was 98.4%, positive predictive value was 25.9%, and negative predictive value was 98.8%. AB - The sensitivity and positive predictive value of ICD-9/10-CM codes for capturing drug overdose compared with abstracted electronic health record data during the perinatal period was low in this cohort of people with medication for opioid use disorder during pregnancy, though the specificity and negative predictive value were high. Incorporating other data from electronic health records and outside the healthcare system might provide more comprehensive insights on nonfatal drug overdose in this population. AB - Author manuscript AN - cdc:261874 C4 - PMC11897912 DO - https://doi.org/10.1016/j.amepre.2024.12.001 IS - 3 J2 - American Journal of Preventive Medicine KW - International Classification of Diseases KW - Pregnancy KW - Female KW - Sensitivity and Specificity KW - Electronic Health Records KW - Humans KW - Young Adult KW - Opioid-Related Disorders KW - Drug Overdose KW - Adult KW - Pregnancy Complications KW - Humans KW - Female KW - Pregnancy KW - Drug Overdose KW - International Classification of Diseases KW - Opioid-Related Disorders KW - Electronic Health Records KW - Adult KW - Pregnancy Complications KW - Sensitivity and Specificity KW - Young Adult LA - eng PY - 2025 T2 - American Journal of Preventive Medicine T2 - American Journal of Preventive Medicine, 2025, v. 68, no. 3 TI - Using ICD Codes Alone May Misclassify Overdoses Among Perinatal People. VL - 68 UR - https://stacks.cdc.gov/view/cdc/261874 ER -
Acute Stroke Care Coordination in the United States: Variation in State Laws For Emergency Medical Services and Hospitals.

Ye, Zhiqiu ;

Gilchrist, Siobhan

February 2025 | Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association, 2025, v. 34, no. 2

Lack of care coordination between Emergency Medical Services (EMS) and hospitals contributes to delay of acute stroke (AS) treatment. In the United States, states have adopted laws to improve the quality of EMS and hospital care; the degree to which these laws create regulatory incentives to promote care coordination between them is less well known ...

10/09/2026

Supporting Files

Title : Acute Stroke Care Coordination in the United States: Variation in State Laws For Emergency Medical Services and Hospitals. Personal Author(s) : Ye, Zhiqiu;Gilchrist, Siobhan;Omeaku, Nina;Shantharam, Sharada;Ritchey, Matthew;King, Sallyann M. Coleman;Sperling, Laurence;Holl, Jane L.; Published Date : February 2025 Pages in Document : 108174 (17 pdf pages) Source : Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association, 2025, v. 34, no. 2 DOI : https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.108174 Journal Title : Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Ye, Z., Gilchrist, S., Omeaku, N., Shantharam, S., Ritchey, M., King, S. M. C., Sperling, L., & Holl, J. L. (2025). Acute Stroke Care Coordination in the United States: Variation in State Laws For Emergency Medical Services and Hospitals. Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association, 34(2). https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.108174

Ye, Zhiqiu, Siobhan Gilchrist, Nina Omeaku, Sharada Shantharam, Matthew Ritchey, Sallyann M. Coleman King, Laurence Sperling, and Jane L. Holl. "Acute Stroke Care Coordination in the United States: Variation in State Laws For Emergency Medical Services and Hospitals." Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association 34, no. 2 (2025). https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.108174.

Ye, Zhiqiu, et al. "Acute Stroke Care Coordination in the United States: Variation in State Laws For Emergency Medical Services and Hospitals." Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association, vol. 34, no. 2, 2025. Stacks. https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.108174.
Export RIS Citation Information. TY - Journal Article AU - Ye, Zhiqiu AU - Gilchrist, Siobhan AU - Omeaku, Nina AU - Shantharam, Sharada AU - Ritchey, Matthew AU - King, Sallyann M. Coleman AU - Sperling, Laurence AU - Holl, Jane L. AB - Lack of care coordination between Emergency Medical Services (EMS) and hospitals contributes to delay of acute stroke (AS) treatment. In the United States, states have adopted laws to improve the quality of EMS and hospital care; the degree to which these laws create regulatory incentives to promote care coordination between them is less well known. We examined state variation in attributes of laws that may influence AS care coordination between EMS and hospitals. AB - We selected ten law "dyads" across seven domains of EMS and hospital AS care informed by published risk assessments of critical steps for improved door-to-needle time and door-in-door-out time. We assessed concordance in prescriptiveness (degree to which levels were similar) and in adoption (degree to which laws were adopted concurrently) of the laws in effect between January 2002 and January 2018 in the United States. AB - The proportion of states with prescriptiveness concordance ranged from 47 % (e.g., inter-facility transfer agreements, comprehensive, primary stroke center certification) to 75 % (e.g., Continuous Quality Improvement (CQI) for EMS and hospitals). Adoption concordance ranged from 31 % (e.g., inter-facility transfer agreements, Acute Stroke Ready Hospital certification) to 86 % (e.g., CQI for EMS and hospitals). Laws for EMS triage were less prescriptive than laws for stroke center certification in 22 %-35 % of states adopting both laws, depending on stroke center type. AB - Subsequent policy implementation and impact studies may benefit from assessing concordance and prescriptiveness in policy intervention adoption, particularly as a foundation for evaluating delays in AS treatment due to inefficient care coordination. AB - Author manuscript AN - cdc:261873 C4 - PMC11882019 DO - https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.108174 IS - 2 J2 - Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association KW - Time-to-Treatment KW - Delivery of Health Care, Integrated KW - Stroke KW - Emergency Medical Services KW - Humans KW - Government Regulation KW - Time Factors KW - Quality Indicators, Health Care KW - Emergency Service, Hospital KW - Stroke systems of care laws KW - Emergency medical services KW - Hospitals KW - Care coordination KW - Humans KW - Emergency Medical Services KW - Stroke KW - Time-to-Treatment KW - Delivery of Health Care, Integrated KW - Emergency Service, Hospital KW - Quality Indicators, Health Care KW - Time Factors KW - Government Regulation LA - eng PY - 2025 T2 - Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association T2 - Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association, 2025, v. 34, no. 2 TI - Acute Stroke Care Coordination in the United States: Variation in State Laws For Emergency Medical Services and Hospitals. VL - 34 UR - https://stacks.cdc.gov/view/cdc/261873 ER -
Childhood Educational Outcomes of Infants Born With Esophageal Atresia With or Without Tracheoesophageal Fistula.

ElHassan, Nahed O. ;

Cen, Ruiqi

December 2024 | Birth Defects Research, 2024, v. 116, no. 12

There are limited studies on educational outcomes of children born with esophageal atresia (EA) with or without tracheoesophageal fistula (TEF). We aimed to compare 3rd to 5th grade academic proficiency among children born with EA/TEF versus unaffected children.Children born with EA/TEF (2000-2005) were identified from the Arkansas Reproductive Hea ...

10/09/2026

Supporting Files

Title : Childhood Educational Outcomes of Infants Born With Esophageal Atresia With or Without Tracheoesophageal Fistula. Personal Author(s) : ElHassan, Nahed O.;Cen, Ruiqi;Pugh, Charles P.;Akmyradov, Chary;Ying PhD, Jun;Goudie, Anthony;Nembhard, Wendy N.; Published Date : December 2024 Pages in Document : e2417 (14 pdf pages) Source : Birth Defects Research, 2024, v. 116, no. 12 DOI : https://doi.org/10.1002/bdr2.2417 Journal Title : Birth Defects Research
ElHassan, N. O., Cen, R., Pugh, C. P., Akmyradov, C., Ying PhD, J., Goudie, A., & Nembhard, W. N. (2024). Childhood Educational Outcomes of Infants Born With Esophageal Atresia With or Without Tracheoesophageal Fistula. Birth Defects Research, 116(12). https://doi.org/10.1002/bdr2.2417

ElHassan, Nahed O., Ruiqi Cen, Charles P. Pugh, Chary Akmyradov, Jun Ying PhD, Anthony Goudie, and Wendy N. Nembhard. "Childhood Educational Outcomes of Infants Born With Esophageal Atresia With or Without Tracheoesophageal Fistula." Birth Defects Research 116, no. 12 (2024). https://doi.org/10.1002/bdr2.2417.

ElHassan, Nahed O., et al. "Childhood Educational Outcomes of Infants Born With Esophageal Atresia With or Without Tracheoesophageal Fistula." Birth Defects Research, vol. 116, no. 12, 2024. Stacks. https://doi.org/10.1002/bdr2.2417.
Export RIS Citation Information. TY - Journal Article AU - ElHassan, Nahed O. AU - Cen, Ruiqi AU - Pugh, Charles P. AU - Akmyradov, Chary AU - Ying PhD, Jun AU - Goudie, Anthony AU - Nembhard, Wendy N. AB - There are limited studies on educational outcomes of children born with esophageal atresia (EA) with or without tracheoesophageal fistula (TEF). We aimed to compare 3rd to 5th grade academic proficiency among children born with EA/TEF versus unaffected children. AB - Children born with EA/TEF (2000-2005) were identified from the Arkansas Reproductive Health Monitoring System. For each child born with EA/TEF, up to two unaffected children were selected from birth certificates and matched on hospital and month of birth, sex, and race and ethnicity. Data on NICU hospitalization were abstracted from medical records at Arkansas' only pediatric specialty hospital. The study outcomes were 3rd to 5th grade proficiency on literacy and mathematic standardized achievement tests, referral to special education, and days of school absence. Regression models were used to assess the association of outcome measures with diagnosis of EA/TEF, after adjusting for differences in covariates between EA/TEF and unaffected children and accounting for paired correlations using the generalized estimating equation method. AB - The final cohort included 20 surviving children born with EA/TEF and 31 unaffected children. There was no significant difference in literacy (3rd: 70% vs. 71%; 4th: 83% vs. 81%; 5th: 94% vs. 87%, p > 0.05) or mathematics proficiency (3rd: 80% vs. 87%; 4th: 83% vs. 78%; 5th: 75% vs. 78%, p > 0.05), referral to special education (20% vs. 19%, p = 0.65), or total days of school absence (47 vs. 26 days, p = 0.07) between EA/TEF and unaffected children. AB - Children born with EA/TEF had comparable academic proficiency to unaffected children. AB - Author manuscript AN - cdc:261872 C4 - PMC13068247 DO - https://doi.org/10.1002/bdr2.2417 IS - 12 J2 - Birth Defects Research KW - Child KW - Female KW - Infant KW - Tracheoesophageal Fistula KW - Male KW - Esophageal Atresia KW - Educational Status KW - Humans KW - Esophageal atresia KW - tracheoesophageal fistula KW - education KW - outcome KW - Humans KW - Male KW - Female KW - Tracheoesophageal Fistula KW - Esophageal Atresia KW - Child KW - Educational Status KW - Infant LA - eng PY - 2024 T2 - Birth Defects Research T2 - Birth Defects Research, 2024, v. 116, no. 12 TI - Childhood Educational Outcomes of Infants Born With Esophageal Atresia With or Without Tracheoesophageal Fistula. VL - 116 UR - https://stacks.cdc.gov/view/cdc/261872 ER -
Diagnostic Test Characteristics of Ultrasound-Based Hydronephrosis For Chronic Kidney Disease in Children and Adolescents With Myelomeningocele: Results From the UMPIRE and National Spina Bifida Patient Registry Cohort Studies.

Chu, David I. ;

Liu, Tiebin

March 2025 | The Journal of Urology, 2025, v. 213, no. 3

Renal ultrasounds are performed in patients with myelomeningocele to screen for markers of kidney health, including hydronephrosis. We evaluated the diagnostic accuracy of hydronephrosis to screen for low kidney function defined by estimated glomerular filtration rate (eGFR).We performed a retrospective cross-sectional study using data from 2 cohor ...

10/09/2026

Supporting Files

Title : Diagnostic Test Characteristics of Ultrasound-Based Hydronephrosis For Chronic Kidney Disease in Children and Adolescents With Myelomeningocele: Results From the UMPIRE and National Spina Bifida Patient Registry Cohort Studies. Personal Author(s) : Chu, David I.;Liu, Tiebin;Williams, Tonya;Mix, Jacqueline;Ahn, Jennifer;Austin, J. Christopher;Baum, Michelle;Clayton, Douglass;Jarosz, Susan;Joseph, David;Roth, Elizabeth;Routh, Jonathan;Tu, Duong;Vasquez, Evalynn;Wallis, M. Chad;Wiener, John;Cheng, Earl;Yerkes, Elizabeth;Tanaka, Stacy; Published Date : March 2025 Pages in Document : 341-349 (16 pdf pages) Source : The Journal of Urology, 2025, v. 213, no. 3 DOI : https://doi.org/10.1097/JU.0000000000004342 Journal Title : The Journal of Urology
Chu, D. I., Liu, T., Williams, T., Mix, J., Ahn, J., Austin, J. C., Baum, M., Clayton, D., Jarosz, S., Joseph, D., Roth, E., Routh, J., Tu, D., Vasquez, E., Wallis, M. C., Wiener, J., Cheng, E., Yerkes, E., & Tanaka, S. (2025). Diagnostic Test Characteristics of Ultrasound-Based Hydronephrosis For Chronic Kidney Disease in Children and Adolescents With Myelomeningocele: Results From the UMPIRE and National Spina Bifida Patient Registry Cohort Studies. The Journal of Urology, 213(3). https://doi.org/10.1097/JU.0000000000004342

Chu, David I., Tiebin Liu, Tonya Williams, Jacqueline Mix, Jennifer Ahn, J. Christopher Austin, and Michelle Baum, et al.. "Diagnostic Test Characteristics of Ultrasound-Based Hydronephrosis For Chronic Kidney Disease in Children and Adolescents With Myelomeningocele: Results From the UMPIRE and National Spina Bifida Patient Registry Cohort Studies." The Journal of Urology 213, no. 3 (2025). https://doi.org/10.1097/JU.0000000000004342.

Chu, David I., et al. "Diagnostic Test Characteristics of Ultrasound-Based Hydronephrosis For Chronic Kidney Disease in Children and Adolescents With Myelomeningocele: Results From the UMPIRE and National Spina Bifida Patient Registry Cohort Studies." The Journal of Urology, vol. 213, no. 3, 2025. Stacks. https://doi.org/10.1097/JU.0000000000004342.
Export RIS Citation Information. TY - Journal Article AU - Chu, David I. AU - Liu, Tiebin AU - Williams, Tonya AU - Mix, Jacqueline AU - Ahn, Jennifer AU - Austin, J. Christopher AU - Baum, Michelle AU - Clayton, Douglass AU - Jarosz, Susan AU - Joseph, David AU - Roth, Elizabeth AU - Routh, Jonathan AU - Tu, Duong AU - Vasquez, Evalynn AU - Wallis, M. Chad AU - Wiener, John AU - Cheng, Earl AU - Yerkes, Elizabeth AU - Tanaka, Stacy AB - Renal ultrasounds are performed in patients with myelomeningocele to screen for markers of kidney health, including hydronephrosis. We evaluated the diagnostic accuracy of hydronephrosis to screen for low kidney function defined by estimated glomerular filtration rate (eGFR). AB - We performed a retrospective cross-sectional study using data from 2 cohorts of children and youth with myelomeningocele. The first cohort is from UMPIRE (2016-2022) and the second from the National Spina Bifida Patient Registry (NSBPR; 2009-2021). We identified patients aged 1 to 18 years with available eGFR data within 6 months of an ultrasound. We excluded NSBPR patients younger than 6 years to address potential duplication across cohorts. The primary outcome was eGFR < 90 mL/min/1.73 m AB - , calculated using the bedside Schwartz formula. Hydronephrosis was dichotomized into any/none. We calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of any hydronephrosis using eGFR as the reference standard. AB - In UMPIRE, 221 patients were included with median age 2.4 years (IQR, 1.9-3.8) and 24% having eGFR < 90. Any hydronephrosis vs none conferred a sensitivity/specificity/PPV/NPV of 25%/75%/24%/77%, respectively. In NSBPR, 2269 patients were included with median age 13 years (IQR, 9.6-16.3) and 17% having eGFR < 90. Any hydronephrosis vs none conferred a sensitivity/specificity/PPV/NPV of 24%/87%/26%/85%, respectively. AB - In 2 cohorts of children and youth with myelomeningocele, hydronephrosis conferred a sensitivity of ∼25% for a creatinine-based eGFR < 90 mL/min/1.73 m AB - . This low sensitivity suggests that hydronephrosis alone is a poor screening marker of kidney health. AB - Author manuscript AN - cdc:261871 C4 - PMC11805662 DO - https://doi.org/10.1097/JU.0000000000004342 IS - 3 J2 - The Journal of Urology KW - Adolescent KW - Predictive Value of Tests KW - Female KW - Sensitivity and Specificity KW - Ultrasonography KW - Meningomyelocele KW - Retrospective Studies KW - Child KW - Cohort Studies KW - Cross-Sectional Studies KW - Hydronephrosis KW - Infant KW - Renal Insufficiency, Chronic KW - Male KW - Registries KW - Humans KW - Child, Preschool KW - Glomerular Filtration Rate KW - hydronephrosis KW - chronic kidney disease KW - spina bifida KW - myelomeningocele KW - spinal dysraphism KW - Humans KW - Hydronephrosis KW - Child KW - Adolescent KW - Female KW - Meningomyelocele KW - Male KW - Child, Preschool KW - Retrospective Studies KW - Registries KW - Cross-Sectional Studies KW - Infant KW - Renal Insufficiency, Chronic KW - Ultrasonography KW - Glomerular Filtration Rate KW - Sensitivity and Specificity KW - Predictive Value of Tests KW - Cohort Studies LA - eng PY - 2025 T2 - The Journal of Urology T2 - The Journal of Urology, 2025, v. 213, no. 3 TI - Diagnostic Test Characteristics of Ultrasound-Based Hydronephrosis For Chronic Kidney Disease in Children and Adolescents With Myelomeningocele: Results From the UMPIRE and National Spina Bifida Patient Registry Cohort Studies. VL - 213 UR - https://stacks.cdc.gov/view/cdc/261871 ER -
Prevention of Invasive Pneumococcal Disease Among Black or African American Children With and Without Sickle Cell Disease in the United States After Introduction of 13-Valent Pneumococcal Conjugate Vaccine, 2005 Through 2019.

Payne, Amanda B. ;

Gierke, Ryan

March 2025 | Pediatric Blood & Cancer, 2025, v. 72, no. 3

Administration of pneumococcal vaccines and oral penicillin prophylaxis has been recommended for children with sickle cell disease (SCD) to reduce the risk of invasive pneumococcal disease (IPD). Characterizing changes in IPD cases among children with SCD after 13-valent pneumococcal conjugate vaccine (PCV13) introduction could help inform the need ...

10/09/2026

Supporting Files

Title : Prevention of Invasive Pneumococcal Disease Among Black or African American Children With and Without Sickle Cell Disease in the United States After Introduction of 13-Valent Pneumococcal Conjugate Vaccine, 2005 Through 2019. Personal Author(s) : Payne, Amanda B.;Gierke, Ryan;Xing, Wei;McGee, Lesley;Hulihan, Mary;Adamkiewicz, Thomas V.;Kobayashi, Miwako; Published Date : March 2025 Pages in Document : e31467 (14 pdf pages) Source : Pediatric Blood & Cancer, 2025, v. 72, no. 3 DOI : https://doi.org/10.1002/pbc.31467 Journal Title : Pediatric Blood & Cancer
Payne, A. B., Gierke, R., Xing, W., McGee, L., Hulihan, M., Adamkiewicz, T. V., & Kobayashi, M. (2025). Prevention of Invasive Pneumococcal Disease Among Black or African American Children With and Without Sickle Cell Disease in the United States After Introduction of 13-Valent Pneumococcal Conjugate Vaccine, 2005 Through 2019. Pediatric Blood & Cancer, 72(3). https://doi.org/10.1002/pbc.31467

Payne, Amanda B., Ryan Gierke, Wei Xing, Lesley McGee, Mary Hulihan, Thomas V. Adamkiewicz, and Miwako Kobayashi. "Prevention of Invasive Pneumococcal Disease Among Black or African American Children With and Without Sickle Cell Disease in the United States After Introduction of 13-Valent Pneumococcal Conjugate Vaccine, 2005 Through 2019." Pediatric Blood & Cancer 72, no. 3 (2025). https://doi.org/10.1002/pbc.31467.

Payne, Amanda B., et al. "Prevention of Invasive Pneumococcal Disease Among Black or African American Children With and Without Sickle Cell Disease in the United States After Introduction of 13-Valent Pneumococcal Conjugate Vaccine, 2005 Through 2019." Pediatric Blood & Cancer, vol. 72, no. 3, 2025. Stacks. https://doi.org/10.1002/pbc.31467.
Export RIS Citation Information. TY - Journal Article AU - Payne, Amanda B. AU - Gierke, Ryan AU - Xing, Wei AU - McGee, Lesley AU - Hulihan, Mary AU - Adamkiewicz, Thomas V. AU - Kobayashi, Miwako AB - Administration of pneumococcal vaccines and oral penicillin prophylaxis has been recommended for children with sickle cell disease (SCD) to reduce the risk of invasive pneumococcal disease (IPD). Characterizing changes in IPD cases among children with SCD after 13-valent pneumococcal conjugate vaccine (PCV13) introduction could help inform the need for additional prevention measures. AB - Using data from Active Bacterial Core surveillance, we characterized IPD cases among Black or African American (Black) children aged less than 18 years with SCD, non-SCD IPD risk factors, and no IPD risk factors across three time periods (pre-PCV13 [2005-2009], early-PCV13 [2010-2014], and late-PCV13 [2015-2019]), and assessed proportion of IPD cases caused by serotypes in new pneumococcal conjugate vaccines (PCV15, PCV20) recommended after 2019. We analyzed IPD incidence among children with and without SCD. AB - From 2005 to 2019, 1725 IPD cases were reported among Black children (6.9% with SCD). IPD incidence among children with SCD declined by 50% between pre-PCV13 and late-PCV13 periods (from 332 to 167 per 100,000), although IPD incidence among children with SCD was 42 times that of children without SCD in late-PCV13 period. During late-PCV13 period, greater than 95% of IPD cases among children with SCD were non-PCV13 serotypes; PCV15/non-PCV13 and PCV20/non-PCV15 serotypes caused 19% and 22% of cases, respectively. Increase in penicillin-nonsusceptible IPD cases was not observed. AB - Despite reductions in IPD incidence after PCV13 introduction, children with SCD are at increased risk of IPD compared to children without SCD. Use of higher valency PCVs may help reduce remaining IPD burden. AB - Author manuscript AN - cdc:261870 C4 - PMC11872151 DO - https://doi.org/10.1002/pbc.31467 IS - 3 J2 - Pediatric Blood & Cancer KW - Adolescent KW - Female KW - Vaccines, Conjugate KW - Pneumococcal Infections KW - Prognosis KW - Streptococcus pneumoniae KW - Pneumococcal Vaccines KW - Child KW - Risk Factors KW - Anemia, Sickle Cell KW - Follow-Up Studies KW - Infant KW - Incidence KW - Male KW - Humans KW - Child, Preschool KW - Black or African American KW - 13-valent pneumococcal conjugate vaccine KW - invasive pneumococcal disease KW - sickle cell disease KW - Humans KW - Anemia, Sickle Cell KW - Pneumococcal Vaccines KW - Pneumococcal Infections KW - Child KW - Child, Preschool KW - Male KW - Female KW - Black or African American KW - Adolescent KW - Infant KW - Incidence KW - Streptococcus pneumoniae KW - Vaccines, Conjugate KW - Follow-Up Studies KW - Risk Factors KW - Prognosis LA - eng PY - 2025 T2 - Pediatric Blood & Cancer T2 - Pediatric Blood & Cancer, 2025, v. 72, no. 3 TI - Prevention of Invasive Pneumococcal Disease Among Black or African American Children With and Without Sickle Cell Disease in the United States After Introduction of 13-Valent Pneumococcal Conjugate Vaccine, 2005 Through 2019. VL - 72 UR - https://stacks.cdc.gov/view/cdc/261870 ER -
Experiences of Communities Living in Shelters During the 2022 Eastern Kentucky Floods.

Balasuriya, Lilanthi ;

Johnson, Oshea

December 2024 | Disaster Medicine and Public Health Preparedness, 2024, v. 18

On July 28, 2022, floods in eastern Kentucky displaced over 600 individuals. With the goal of understanding mental health needs of affected families, we surveyed households living in flood evacuation shelters after the 2022 Kentucky floods.Families experiencing displacement from the 2022 Kentucky floods currently living in three different temporary ...

10/09/2026

Supporting Files

Title : Experiences of Communities Living in Shelters During the 2022 Eastern Kentucky Floods. Personal Author(s) : Balasuriya, Lilanthi;Johnson, Oshea;Riley, Tammy;Lockard, Anthony Scott;McManus, Pamela;Raleigh, Angela;Ellis, Martha;Schnall, Amy Helene;Hanchey, Arianna;Darling, Sandra;Bolen, Kristy;Thoroughman, Doug; Published Date : December 2024 Pages in Document : e309 (16 pdf pages) Source : Disaster Medicine and Public Health Preparedness, 2024, v. 18 DOI : https://doi.org/10.1017/dmp.2024.136 Journal Title : Disaster Medicine and Public Health Preparedness
Balasuriya, L., Johnson, O., Riley, T., Lockard, A. S., McManus, P., Raleigh, A., Ellis, M., Schnall, A. H., Hanchey, A., Darling, S., Bolen, K., & Thoroughman, D. (2024). Experiences of Communities Living in Shelters During the 2022 Eastern Kentucky Floods. Disaster Medicine and Public Health Preparedness, 18. https://doi.org/10.1017/dmp.2024.136

Balasuriya, Lilanthi, Oshea Johnson, Tammy Riley, Anthony Scott Lockard, Pamela McManus, Angela Raleigh, and Martha Ellis, et al.. "Experiences of Communities Living in Shelters During the 2022 Eastern Kentucky Floods." Disaster Medicine and Public Health Preparedness 18 (2024). https://doi.org/10.1017/dmp.2024.136.

Balasuriya, Lilanthi, et al. "Experiences of Communities Living in Shelters During the 2022 Eastern Kentucky Floods." Disaster Medicine and Public Health Preparedness, vol. 18, 2024. Stacks. https://doi.org/10.1017/dmp.2024.136.
Export RIS Citation Information. TY - Journal Article AU - Balasuriya, Lilanthi AU - Johnson, Oshea AU - Riley, Tammy AU - Lockard, Anthony Scott AU - McManus, Pamela AU - Raleigh, Angela AU - Ellis, Martha AU - Schnall, Amy Helene AU - Hanchey, Arianna AU - Darling, Sandra AU - Bolen, Kristy AU - Thoroughman, Doug AB - On July 28, 2022, floods in eastern Kentucky displaced over 600 individuals. With the goal of understanding mental health needs of affected families, we surveyed households living in flood evacuation shelters after the 2022 Kentucky floods. AB - Families experiencing displacement from the 2022 Kentucky floods currently living in three different temporary shelter locations were surveyed via convenience sampling. A rapid community needs assessment involving in-person interviews using modified two stage cluster methodology (CASPER) was conducted between September 6-9, 2022. AB - Teams conducted 61 household interviews. Since the flood, 27.7% reported that their household received services from behavioral health and 19.6% received grief counseling. Experiencing agitation (36.7%), difficulty concentrating (47.5%), nightmares (62.3%), or suicidal thoughts/self-harm (6.6%) were reported by households surveyed. Over one-fourth (27.0%) of individuals surveyed reported being depressed nearly every day. Over 20% reported anhedonia (inability to feel pleasure) nearly every day. Over 75% of individuals surveyed reported being anxious several days or more over the last two weeks. Over one-third of individuals (34.0%) reported being unable to stop worrying nearly every day. Of those individuals surveyed, 36.1% reported barriers to mental health services. AB - Symptoms of depressed mood, anhedonia, anxiety, and nightmares were prevalent in displaced families six weeks after the 2022 Kentucky floods. Providing and encouraging access to mental health services are important priorities during disaster recovery. AB - Author manuscript AN - cdc:261869 C4 - PMC12481233 DO - https://doi.org/10.1017/dmp.2024.136 J2 - Disaster Medicine and Public Health Preparedness KW - Adolescent KW - Surveys and Questionnaires KW - Female KW - Emergency Shelter KW - Aged KW - Male KW - Middle Aged KW - Humans KW - Floods KW - Adult KW - community assessment KW - CASPER assessment KW - rapid needs assessment KW - environmental disasters KW - public health response KW - mental health KW - Humans KW - Floods KW - Female KW - Male KW - Adult KW - Middle Aged KW - Surveys and Questionnaires KW - Adolescent KW - Emergency Shelter KW - Aged LA - eng PY - 2024 T2 - Disaster Medicine and Public Health Preparedness T2 - Disaster Medicine and Public Health Preparedness, 2024, v. 18 TI - Experiences of Communities Living in Shelters During the 2022 Eastern Kentucky Floods. VL - 18 UR - https://stacks.cdc.gov/view/cdc/261869 ER -
Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia.

Chiotos, Kathleen ;

Dutcher, Lauren

February 2025 | Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, 2025, v. 80, no. 2

Feedback reports summarizing clinician performance are effective tools for improving antibiotic use in the ambulatory setting, but the effectiveness of feedback reports in the hospital setting is unknown.Quasi-experimental study conducted between December 2021 and November 2023 within a pediatric health system measuring the impact of clinician feed ...

10/09/2026

Supporting Files

Title : Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia. Personal Author(s) : Chiotos, Kathleen;Dutcher, Lauren;Grundmeier, Robert W.;Meyahnwi, Didien;Lautenbach, Ebbing;Neuhauser, Melinda M.;Hicks, Lauri A.;Hamilton, Keith W.;Li, Yun;Szymczak, Julia E.;Muller, Brandi M.;Congdon, Morgan;Kane, Emily;Hart, Jessica;Utidjian, Levon;Cressman, Leigh;Jaskowiak-Barr, Anne;Gerber, Jeffrey S.; Published Date : February 2025 Pages in Document : 263-270 (16 pdf pages) Source : Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, 2025, v. 80, no. 2 DOI : https://doi.org/10.1093/cid/ciae593 Journal Title : Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America
Chiotos, K., Dutcher, L., Grundmeier, R. W., Meyahnwi, D., Lautenbach, E., Neuhauser, M. M., Hicks, L. A., Hamilton, K. W., Li, Y., Szymczak, J. E., Muller, B. M., Congdon, M., Kane, E., Hart, J., Utidjian, L., Cressman, L., Jaskowiak-Barr, A., & Gerber, J. S. (2025). Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia. Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, 80(2). https://doi.org/10.1093/cid/ciae593

Chiotos, Kathleen, Lauren Dutcher, Robert W. Grundmeier, Didien Meyahnwi, Ebbing Lautenbach, Melinda M. Neuhauser, and Lauri A. Hicks, et al.. "Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia." Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America 80, no. 2 (2025). https://doi.org/10.1093/cid/ciae593.

Chiotos, Kathleen, et al. "Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia." Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, vol. 80, no. 2, 2025. Stacks. https://doi.org/10.1093/cid/ciae593.
Export RIS Citation Information. TY - Journal Article AU - Chiotos, Kathleen AU - Dutcher, Lauren AU - Grundmeier, Robert W. AU - Meyahnwi, Didien AU - Lautenbach, Ebbing AU - Neuhauser, Melinda M. AU - Hicks, Lauri A. AU - Hamilton, Keith W. AU - Li, Yun AU - Szymczak, Julia E. AU - Muller, Brandi M. AU - Congdon, Morgan AU - Kane, Emily AU - Hart, Jessica AU - Utidjian, Levon AU - Cressman, Leigh AU - Jaskowiak-Barr, Anne AU - Gerber, Jeffrey S. AB - Feedback reports summarizing clinician performance are effective tools for improving antibiotic use in the ambulatory setting, but the effectiveness of feedback reports in the hospital setting is unknown. AB - Quasi-experimental study conducted between December 2021 and November 2023 within a pediatric health system measuring the impact of clinician feedback reports delivered by email and reviewed in a monthly meeting on appropriate antibiotic use in children hospitalized with community-acquired pneumonia (CAP). We used an interrupted time series analysis (ITSA) to estimate the immediate change and change over time in the proportion of CAP encounters adherent to validated metrics of antibiotic choice and duration, then used Poisson regression to estimate intervention effect as a risk ratio (RR). AB - Preintervention, 213 of 413 (52%) encounters received the appropriate antibiotic choice and duration, which increased to 308 of 387 (80%) postintervention. The ITSA demonstrated an immediate 18% increase in the proportion of CAP encounters receiving both the appropriate antibiotic choice and duration (95% confidence interval [CI]: 3-33%), with no further change over time (-0.3% per month, 95% CI: -2%-2%). In the Poisson model adjusted for age, sex, race, season, site, and intensive care unit admission, the intervention was associated with a 32% increase in the rate of appropriate antibiotic choice and duration (RR 1.32, 95% CI: 1.12-1.56, P < .01). No difference in length of stay or revisits were detected postintervention. AB - The intervention was associated with an increase in clinician adherence to antibiotic choice and duration recommendations for children hospitalized with CAP. AB - Author manuscript AN - cdc:261868 C4 - PMC12120840 DO - https://doi.org/10.1093/cid/ciae593 IS - 2 J2 - Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America KW - Adolescent KW - Pneumonia KW - Female KW - Child KW - Interrupted Time Series Analysis KW - Feedback KW - Infant KW - Hospitalization KW - Male KW - Humans KW - Anti-Bacterial Agents KW - Child, Preschool KW - Practice Patterns, Physicians' KW - Community-Acquired Infections KW - Community-Acquired Pneumonia KW - community-acquired pneumonia KW - antimicrobial stewardship KW - feedback report KW - audit and feedback KW - antibiotic KW - Humans KW - Community-Acquired Infections KW - Anti-Bacterial Agents KW - Child KW - Male KW - Female KW - Child, Preschool KW - Pneumonia KW - Hospitalization KW - Infant KW - Interrupted Time Series Analysis KW - Feedback KW - Practice Patterns, Physicians' KW - Adolescent KW - Community-Acquired Pneumonia LA - eng PY - 2025 T2 - Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America T2 - Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America, 2025, v. 80, no. 2 TI - Impact of Clinician Feedback Reports on Antibiotic Use in Children Hospitalized With Community-acquired Pneumonia. VL - 80 UR - https://stacks.cdc.gov/view/cdc/261868 ER -
Application of the Tier 3 NIOSH Occupational Exposure Banding Process For the Graphene Family of Nanomaterials: a Case Study.

Niang, Mamadou ;

Barcellos, Nicole

January 2025 | Journal of Occupational and Environmental Hygiene, 2025, v. 22, no. 1

Graphene is a class of two-dimensional (2D) nanomaterials composed of single or multiple layers of carbon atoms. To date, there are limited clinical data and no epidemiological research available to assess graphene toxicity in humans. Despite the growing amount of animal toxicity data, there are currently no occupational exposure limits (OELs) for ...

10/09/2026

Supporting Files

Title : Application of the Tier 3 NIOSH Occupational Exposure Banding Process For the Graphene Family of Nanomaterials: a Case Study. Personal Author(s) : Niang, Mamadou;Barcellos, Nicole;Edmondson, Melissa;Chen, Lilia;McCormick, Seth;Dahm, Matthew M; Published Date : January 2025 Pages in Document : 62-77 (27 pdf pages) Source : Journal of Occupational and Environmental Hygiene, 2025, v. 22, no. 1 DOI : https://doi.org/10.1080/15459624.2024.2420998 Journal Title : Journal of Occupational and Environmental Hygiene
Niang, M., Barcellos, N., Edmondson, M., Chen, L., McCormick, S., & Dahm, M. M. (2025). Application of the Tier 3 NIOSH Occupational Exposure Banding Process For the Graphene Family of Nanomaterials: a Case Study. Journal of Occupational and Environmental Hygiene, 22(1). https://doi.org/10.1080/15459624.2024.2420998

Niang, Mamadou, Nicole Barcellos, Melissa Edmondson, Lilia Chen, Seth McCormick, and Matthew M Dahm. "Application of the Tier 3 NIOSH Occupational Exposure Banding Process For the Graphene Family of Nanomaterials: a Case Study." Journal of Occupational and Environmental Hygiene 22, no. 1 (2025). https://doi.org/10.1080/15459624.2024.2420998.

Niang, Mamadou, et al. "Application of the Tier 3 NIOSH Occupational Exposure Banding Process For the Graphene Family of Nanomaterials: a Case Study." Journal of Occupational and Environmental Hygiene, vol. 22, no. 1, 2025. Stacks. https://doi.org/10.1080/15459624.2024.2420998.
Export RIS Citation Information. TY - Journal Article AU - Niang, Mamadou AU - Barcellos, Nicole AU - Edmondson, Melissa AU - Chen, Lilia AU - McCormick, Seth AU - Dahm, Matthew M AB - Graphene is a class of two-dimensional (2D) nanomaterials composed of single or multiple layers of carbon atoms. To date, there are limited clinical data and no epidemiological research available to assess graphene toxicity in humans. Despite the growing amount of animal toxicity data, there are currently no occupational exposure limits (OELs) for any type of graphene nanomaterial published by international authoritative organizations to ensure their safe handling within workplaces. In the absence of consensus OELs for graphene, the National Institute for Occupational Safety and Health (NIOSH) occupational exposure banding process was used to assign an occupational exposure band (OEB). The NIOSH banding process is organized into a three-tiered system and is a resource for occupational safety and health (OSH) professionals to guide risk management and exposure control decisions when OELs are not available. To the authors' knowledge, there are no Globally Harmonized System of Classification and Labeling of Chemicals (GHS) H-codes/statements available for graphene to conduct a Tier 1 analysis. Even though data were available from authoritative sources for three of nine health endpoints, the data were insufficient to support banding in a Tier 2 assessment. Therefore, a Tier 3 assessment using the NIOSH banding process was applied to the graphene family of nanomaterials (GFN) as a case study based on the specific physicochemical and toxicological properties with uncertainty factor adjustments. The band assignment was replicated by three individuals with advanced toxicology and industrial hygiene knowledge to ensure a consistent outcome. The results found that three of the six endpoints banded were "E," representing an air concentration ≤0.01 mg/m AB - , while the other three ranged from "A" to "C." This indicates that the graphene materials evaluated may have potential effects at low exposure concentrations (≤0.01 mg/m AB - ). These findings suggest an OEB may be a suitable option for OSH professionals attempting to mitigate risk for GFN in the absence of an OEL and may provide a reasonable initial estimate for recommended workplace exposure and control measures. AB - Author manuscript AN - cdc:261867 C4 - PMC11791868 DO - https://doi.org/10.1080/15459624.2024.2420998 IS - 1 J2 - Journal of Occupational and Environmental Hygiene KW - Occupational Exposure KW - Air Pollutants, Occupational KW - Nanostructures KW - Risk Assessment KW - Humans KW - Graphite KW - National Institute for Occupational Safety and Health, U.S. KW - Hazard evaluation KW - Health effect endpoints KW - Nanomaterials KW - Occupational exposure banding KW - Occupational Exposure KW - Graphite KW - National Institute for Occupational Safety and Health, U.S. KW - Humans KW - Nanostructures KW - Air Pollutants, Occupational KW - Risk Assessment LA - eng PY - 2025 T2 - Journal of Occupational and Environmental Hygiene T2 - Journal of Occupational and Environmental Hygiene, 2025, v. 22, no. 1 TI - Application of the Tier 3 NIOSH Occupational Exposure Banding Process For the Graphene Family of Nanomaterials: a Case Study. VL - 22 UR - https://stacks.cdc.gov/view/cdc/261867 ER -

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