Author: "Susan Hurley" - Searchworks@Jio Institute Digital Library Search Results

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111 results on '"Susan Hurley"'

1. Effectiveness of Air Filtration in Reducing PM2.5 Exposures at a School in a Community Heavily Impacted by Air Pollution

Author: McKenna Thompson, Rosemary Castorina, Wenhao Chen, David Moore, Kyle Peerless, and Susan Hurley
Subjects: indoor air quality, schools, particulate matter, air filtration, Meteorology. Climatology, QC851-999
Abstract: Reducing children’s exposure to air pollution is a priority among California communities heavily impacted by air pollution exposures. We conducted an observational air quality study at a school to investigate the effectiveness of improved Heating, Ventilation, and Cooling (HVAC) system filters and portable air cleaners (PACs) in reducing children’s exposure to fine particulate matter (PM2.5) under real-world classroom conditions. This study included five classrooms, three of which had PACs. Halfway through the study period, high-efficiency HVAC filters were installed in all five classrooms. Continuous measurements of outdoor and in-classroom PM2.5 concentrations were used to evaluate filtration effectiveness. The air filtration strategies, alone and in combination, demonstrated 14–56% reductions in indoor PM2.5 concentrations compared to outdoor levels. There were significant improvements in filtration resulting from HVAC filter upgrades in the two classrooms without PACs (11% and 22% improvement, p < 0.001). Upgrading HVAC filters in classrooms with PACs did not significantly improve filtration effectiveness, suggesting that utilizing both strategies simultaneously may not meaningfully improve air quality under these circumstances. CO2 data, as a proxy for ventilation, helped demonstrate that the observed filtration effectiveness was likely impacted by the variable HVAC system use and open doors.
Published: 2024
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2. Identification of Airborne Particle Types and Sources at a California School Using Electron Microscopy

Author: Jeff Wagner, Rosemary Castorina, Kazukiyo Kumagai, McKenna Thompson, Rebecca Sugrue, Elizabeth M. Noth, Asa Bradman, and Susan Hurley
Subjects: aerosol chemical composition, aerosol morphology, low-cost sensors, passive sampling, Meteorology. Climatology, QC851-999
Abstract: We conducted a pilot study to investigate air quality indoors in two classrooms and outdoors on the school grounds in a California community with historically high PM2.5 (fine particulate matter, diameter < 2.5 μm). We used computer-controlled scanning electron microscopy of passive samples to identify major PM types, which were used to help interpret continuous PM2.5 and black carbon sensor data. The five major PM types were sodium salt particles with sulfur, calcium, or chlorine; aluminosilicate dusts; carbonaceous combustion agglomerates; biogenic particles; and metal-rich particles. Based on morphological evidence of water droplets, the salt particles are hypothesized to be secondary aerosols formed via the reaction of sodium chloride fog droplets with sulfur from regional sources. The carbonaceous agglomerates had unusual morphologies consistent with low-temperature combustion and smoke from open-burning activities observed nearby. The passive PM sampler and continuous sensor results indicated lower concentrations in the classroom equipped with an air cleaner. Passive samples collected in one classroom exhibited enhanced PM10–2.5 crustal particles and PM2.5 metal particles, suggesting a potential local PM source in that room. Future study designs that enable longer passive sampling times would reduce detection limits and sample contamination concerns. The determination of major airborne particle types in a given environment makes this technique a useful and unique community exposure assessment tool, even in these limited-duration (48 h) deployments.
Published: 2023
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3. Methylation biomarkers of polybrominated diphenyl ethers (PBDEs) and association with breast cancer risk at the time of menopause

Author: Yuan Chun Ding, Susan Hurley, June-Soo Park, Linda Steele, Michele Rakoff, Yun Zhu, Jinying Zhao, Mark LaBarge, Leslie Bernstein, Shiuan Chen, Peggy Reynolds, and Susan L Neuhausen
Subjects: PBDEs, DNA methylation, Breast cancer, Biomarkers, EWAS, Environmental sciences, GE1-350
Abstract: Background: Exposure to polybrominated diphenyl ethers (PBDEs) may influence risk of developing post-menopausal breast cancer. Although mechanisms are poorly understood, epigenetic regulation of gene expression may play a role. Objectives: To identify DNA methylation (DNAm) changes associated with PBDE serum levels and test the association of these biomarkers with breast cancer risk. Methods: We studied 397 healthy women (controls) and 133 women diagnosed with breast cancer (cases) between ages 40 and 58 years who participated in the California Teachers Study. PBDE levels were measured in blood. Infinium Human Methylation EPIC Bead Chips were used to measure DNAm. Using multivariable linear regression models, differentially methylated CpG sites (DMSs) and regions (DMRs) associated with serum PBDE levels were identified using controls. For top-ranked DMSs and DMRs, targeted next-generation bisulfite sequencing was used to measure DNAm for 133 invasive breast cancer cases and 301 age-matched controls. Conditional logistic regression was used to evaluate associations between DMSs and DMRs and breast cancer risk. Results: We identified 15 DMSs and 10 DMRs statistically significantly associated with PBDE levels (FDR
Published: 2021
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4. A breast cancer case-control study of polybrominated diphenyl ether (PBDE) serum levels among California women

Author: Susan Hurley, Debbie Goldberg, June-Soo Park, Myrto Petreas, Leslie Bernstein, Hoda Anton-Culver, Susan L. Neuhausen, David O. Nelson, and Peggy Reynolds
Subjects: Environmental sciences, GE1-350
Abstract: Purpose: Polybrominated diphenyl ethers (PBDEs) are among the most persistent and pervasive global environmental contaminants. Their toxic and endocrine-disrupting properties have made them a focus of concern for breast cancer. Our objective was to evaluate the risk of breast cancer associated with serum PBDE levels in a case-control study nested within the California Teachers Study. Methods: Participants were 902 women with invasive breast cancer (cases) and 936 with no such diagnosis (controls) who provided 10 mL of blood and were interviewed between 2011 and 2015. Blood samples were collected from cases an average of 35 months after diagnosis. PBDEs were measured in serum using automated solid phase extraction and gas chromatography/high resolution mass spectrometry. Statistical analyses were restricted to the three congeners with detection frequencies ≥75%: 2,2′,4,4′-tetrabromodiphenyl ether (BDE-47), 2,2′,4,4′,6-pentabromodiphenyl ether (BDE-100), and 2,2′,4,4′,5,5′-hexabromodiphenyl ether (BDE-153). Unconditional logistic regression was used to estimate multivariable-adjusted odds ratios (ORs) and their 95% confidence intervals (CI) for each BDE congener, adjusting for serum lipids and other potential confounders. Results: The OR for each of the three BDE congeners was close to unity with a CI that included one. Analyses stratified by menopausal status, tumor hormone responsiveness, BMI, and changes in body weight yielded similarly null results. Conclusions: Our findings provide no evidence that serum levels of BDE-47, BDE-100 or BDE-153 are associated with breast cancer risk. These results should be interpreted in the context of study limitations which include the reliance on PBDE measurements that may not represent pre-diagnostic, early-life or chronic exposures and a lack of information on genetic polymorphisms and other factors which may affect endogenous estrogen levels. Keywords: PBDEs, Breast cancer risk, Polybrominated diphenyl ethers, Persistent organic pollutants, Case-control
Published: 2019
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5. Breast cancer risk and serum levels of per- and poly-fluoroalkyl substances: a case-control study nested in the California Teachers Study

Author: Susan Hurley, Debbie Goldberg, Miaomiao Wang, June-Soo Park, Myrto Petreas, Leslie Bernstein, Hoda Anton-Culver, David O. Nelson, and Peggy Reynolds
Subjects: Perfluoroalkyl substances, Polyfluoroalkyl substances, PFAS, Breast cancer risk, Case control, Industrial medicine. Industrial hygiene, RC963-969, Public aspects of medicine, RA1-1270
Abstract: Abstract Background Per- and poly- fluoroalkyl substances (PFASs) are a large family of synthetic chemicals, some of which are mammary toxicants and endocrine disruptors. Their potential as breast carcinogens is unclear. Our objective was to evaluate the risk of breast cancer associated with serum PFAS concentrations in a nested case-control study within the California Teachers Study. Methods Participants were 902 women with invasive breast cancer (cases) and 858 with no such diagnosis (controls) who provided 10 mL of blood and were interviewed during 2011–2015, an average of 35 months after case diagnosis. PFASs were measured using automated online SPE-HPLC-MS/MS methods. Statistical analyses were restricted to six PFASs with detection frequencies ≥ 95%: PFOA (Perfluorooctanoic acid), PFNA (Perfluorononanoic acid), PFUnDA (Perfluoroundecanoic acid), PFHxS (Perfluorohexane sulfonic acid), PFOS (Perfluorooctane sulfonic acid), and MeFOSAA (2-(N-Methyl-perfluorooctane sulfonamido) acetic acid. Unconditional logistic regression was used to calculate adjusted odds ratios (ORs), estimating the breast cancer risk associated with each PFAS. Results For all cases of invasive breast cancer, none of the adjusted ORs were statistically significant but marginally significant ORs
Published: 2018
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6. An economic evaluation of increased uptake in Q fever vaccination among meat and agricultural industry workers following implementation of the National Q Fever Management Program

Author: Michelle Kermode, Karen Yong, Susan Hurley, and Barrie Marmion
Subjects: Public aspects of medicine, RA1-1270
Abstract: Abstract Introduction:Q fever is a serious but vaccine‐preventable infectious disease that predominantly affects those working in the meat and agricultural industries. In October 2000, the Commonwealth Government introduced the National Q Fever Management Program. This economic evaluation assesses the cost‐effectiveness and cost‐utility of improved vaccine uptake among meat and agricultural industry workers. Methods:Separate analyses were conducted for meat and agricultural industry workers. Clinical and epidemiological data used to create the models were obtained from published sources. Markov modelling was used to estimate the impact of Q fever vaccination uptake on the direct costs and outcomes of Q fever over a 20‐year period. Results:Increasing vaccine uptake from 65% to 100% among meat industry workers results in an incremental cost per life year gained of $20,002, and a cost per QALY of $6,294. Increasing vaccine uptake from zero to 20% among agricultural industry workers results in an incremental cost per life year gained of $24,950, and a cost per QALY of $7,984. Including some indirect costs in the form of Workcover payments results in cost savings for both industry groups. Conclusion:The results of this evaluation indicate that public health strategies to enhance the uptake of Q fever vaccine among high‐risk workers potentially provides excellent value for the money invested.
Published: 2003
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7. Empagliflozin in Patients with Chronic Kidney Disease

Author: Herrington, William G, Staplin, Natalie, Wanner, Christoph, Green, Jennifer B, Hauske, Sibylle J, Emberson, Jonathan R, Preiss, David, Judge, Parminder, Mayne, Kaitlin J, Ng, Sarah Y A, Sammons, Emily, Zhu, Doreen, Hill, Michael, Stevens, Will, Wallendszus, Karl, Brenner, Susanne, Cheung, Alfred K, Liu, Zhi-Hong, Li, Jing, Hooi, Lai Seong, Liu, Wen, Kadowaki, Takashi, Nangaku, Masaomi, Levin, Adeera, Cherney, David, Maggioni, Aldo P, Pontremoli, Roberto, Deo, Rajat, Goto, Shinya, Rossello, Xavier, Tuttle, Katherine R, Steubl, Dominik, Petrini, Michaela, Massey, Dan, Eilbracht, Jens, Brueckmann, Martina, Landray, Martin J, Baigent, Colin, Haynes, Richard, The EMPA-KIDNEY Collaborative Group: Colin Baigent, Martin J Landray, Christoph Wanner, William G Herrington, Richard Haynes, Jennifer B Green, Sibylle J Hauske, Martina Brueckmann, Mark Hopley, Maximillian von-Eynatten, Jyothis George, Susanne Brenner, Alfred K Cheung, David Preiss, Zhi-Hong Liu, Jing Li, Laiseong Hooi, Wen Liu, Takashi Kadowaki, Masaomi Nangaku, Adeera Levin, David Cherney, Roberto Pontremoli, Aldo P Maggioni, Natalie Staplin, Jonathan Emberson, Stefan Hantel, Shinya Goto, Rajat Deo, Katherine R Tuttle, Michael Hill, Parminder Judge, Kaitlin J Mayne, Sarah Y A Ng, Xavier Rossello, Emily Sammons, Doreen Zhu, Peter Sandercock, Rudolf Bilous, Charles Herzog, Paul Whelton, Janet Wittes, Derrick Bennett, Patricia Achiri, Chrissie Ambrose, Cristina Badin, Jill Barton, Richard Brown, Andy Burke, Sebastian Butler, Rejive Dayanandan, Pia Donaldson, Robert Dykas, Lucy Fletcher, Kate Frederick, Hannah Kingston, Mo Gray, Emily Harding, Akiko Hashimoto, Lyn Howie, Susan Hurley, Ryonfa Lee, Nik Luker, Kevin Murphy, Mariko Nakahara, John Nolan, Michelle Nunn, Sorcha Mulligan, Akiko Omata, Sandra Pickworth, YanRu Qiao, Shraddha Shah, Karen Taylor, Alison Timadjer, Monique Willett, Liz Wincott, Qin Yan, Hui Yu, Louise Bowman, Fang Chen, Robert Clarke, Michelle Goonasekera, Waseem Karsan, Marion Mafham, Christina Reith, Mohammed Zayed, Ritva Ellison, Rowan Moys, Will Stevens, Kevin Verdel, Karl Wallendszus, Chris Bowler, Anna Brewer, Andy Measor, Guanguo Cui, Charles Daniels, Angela Field, Bob Goodenough, Ashley Lawson, Youcef Mostefai, Dheeptha Radhakrishnan, Samee Syed, Shuang Xia, Ruth Adewuyi-Dalton, Thomas Arnold, Anne-Marie Beneat, Anoushka Bhatt, Chloe Bird, Andrew Breach, Laura Brown, Mark Caple, Tatyana Chavagnon, Karen Chung, Sarah Clark, Luminita Condurache, Katarzyna Eichstadt, Marta Espino Obrero, Scarlett Forest, Helen French, Nick Goodwin, Andrew Gordon, Joanne Gordon, Cat Guest, Tina Harding, Michal Hozak, Matthew Lacey, David MacLean, Louise Messinger, Stewart Moffat, Martin Radley, Claire Shenton, Sarah Tipper, Jon Tyler, Lesley Weaving, James Wheeler, Elissa Williams, Tim Williams, Hamish Woodhouse, Angela Chamberlain, Jo Chambers, Joanne Davies, Denise Donaldson, Pati Faria-Shayler, Denise Fleming-Brown, Jennifer Ingell, Carol Knott, Anna Liew, Helen Lochhead, Juliette Meek, Isabel Rodriguez-Bachiller, Andrea Wilson, Patrick Zettergren, Rach AitSadi, Ian Barton, Alex Baxter, Yonghong Bu, Lukasz Danel, Sonja Grotjahn, Rijo Kurien, Michael Lay, Archie Maskill, Aleksandra Murawska, Rachel Raff, Allen Young, Rebecca Sardell, Vladimir Cejka, Marcela Fajardo-Moser, Christian Hartner, Doris Poehler, Janina Renner, Franziska Scheidemantel, Miya Bryant, Anita Hepditch, Cassandra Johnson, Erin Latore, Yolanda Miller, Lauren Price, Merilee Whalen, Ashleigh Wheeler, Jenny Ingell, Yu An, Yinghua Chen, Peiling Chen, Hao Dai, Hong Du, Fang Feng, Qing Guo, Libo Hou, Wuhanbilige Hundei, Binbin Jin, Yan Li, Jiamin Liu, Xia Song, Yanping Wang, Yanwu Yu, Ning Zhang, Lingshan Zhao, Hui Zhong, Cheng Beng Goh, Ye Mun Low, Soon Yi Sor, Farah Hanis Zulkipli, Sarojini Sivanandam, Natsuki Arai, Ai Fukasawa, Mizue Furukawa, Keisuke Habuki, Shoko Hayashi, Wakako Isari, Saki Kanegae, Maria Kawai, Reiki Kobayashi, Takako Kuramae, Chika Kuribayashi, Sawako Maeno, Satoshi Masumoto, Tomoko Morisaki, Minoru Oda, Kazue Sawada, Kenta Sugamori, Ayana Tatsuzawa, Aiko Tomita, Kazuyuki Yuasa, Hiroko Inazawa, Amanda Axler, Kerri Gallo, Ester Baldini, Barbara Bartolomei Mecatti, Francesca Bianchini, Martina Ceseri, Laura Cipressa, Gianna Fabbri, Andrea Lorimer, Donata Lucci, Sharang Ghavampour, Anja Knoppe, Hans Schmidt-Gurtler, Hubert Dumann, Sybille Merscher, Margret Patecki, Georg Rainer Schlieper, Anke Torp, Bianca Weber, Maja Zietz, Bernd Hohenstein, Urs Benck, Diliana Draganova, Thomas Weinreich, Lothar Wolf, Jasmine Gaidu, Hanna Reiner, Mandy Visnjic, Daniel Steffl, Marie Breitenfeldt, Annette Kraemer-Guth, Christine Braun, Simone Hagge, Michael Schomig, Stephan Matthias, Dominik Stoffler, Beate Schumacher, Thomas Sitter, Louise Fuessl, Julia Krappe, Jerome Loutan, Volker Vielhauer, Luciano Andriaccio, Magdalena Maurer, Bernhard Winkelmann, Martin Dursch, Linda Seifert, Linda Tenbusch, Julia Weinmann-Menke, Simone Boedecker, Wiebke Kaluza-Schilling, Daniel Kraus, Carina Krieger, Margit Schmude, Anne Schreiber, Ewelina Eckrich, Diethelm Tschope, Abdulwahab Arbi, Young Lee-Barkey, Bernd Stratmann, Natalie Prib, Sina Rolfsmeier, Irina Schneider, Lars Rump, Johannes Stegbauer, Christine Pötz, Mara Schemmelmann, Claudia Schmidt, Michael Koch, Sendogan Aker, Annika Küpper, Manuela Martin, Thiemo Pfab, Christian Albert, Michael Haase, Barbara Zander, Claudia Schneider-Danwitz, Wolfgang Seeger, Wolf-Adam Seeger, Britta Zemann, Christoph Stellbrink, Kristin Marx, Ekaterina Stellbrink, Britta Brettschneider, Stephanie Watson, Marion Iselt, Gerhard Klausmann, Inga-Nadine Kummer, Auguste Kutschat, Simone Streitenberger, Matthias Girndt, Silke Markau, Ina Girakossyan, Claudia Hanf, Joachim Beige, Ralph Wendt, Ulrike Schmidt, Andreas Schneider, Roland Veelken, Claudia Donhauser, Luis Becker, Nexhat Miftari, Ricarda Wolfling, Sarah Morlok, Christian Hugo, Alexander Paliege, Jens Passauer, Julian Stumpf, Annegret Fleischer, Kerstin Haaser, Bernhard Kraemer, Jan Jochims, Bernd Kruger, Claudia Foellinger, Anastassiya Reisler, Frank Strutz, Stefan Haack, Ursula Hohenstatt, Martin Busch, Konstantin Herfurth, Gunter Wolf, Rainer Paul, Hermann Haller, Jessica Kaufeld, Jan Menne, Elisabeth Bahlmann-Kroll, Angela Bergner, Horst Weihprecht, Aydin Er, Florian Sonntag, Elif Turan, Michael Wittmann, Franziska Klauser, Eva Voigt, Volker Schettler, Egbert Schulz, Madlen Rohnstock, Elke Schettler, Bernd Schroppel, Rene van Erp, Martin Kachele, Ulla Ludwig, Lena Schulte-Kemna, Waltraud Kmietschak, Elke Preiss, Martina Ruocco, Gunnar Heine, Martin Brzoska, Sebastian Gabel, Christina Büttner, Asma Sabarai, Bernhard Banas, Tobias Bergler, Yvonne Ehrl, Franz Putz, Antonia Schuster, Stefanie Kuhn, Torsten Schramm, Stefan Degenhardt, Gerhard Schmidt, Lea Weiland, Ulrike Giebeln-Hudnell, Jan Kielstein, Gabriele Eden, Brigitte Fuchs, Gina Morig, Manuela Winkler, Harald Darius, Charalampos Kriatselis, Carl-Philipp Roesch, Astrid Maselli, Dominik Alscher, Markus Ketteler, Moritz Schanz, Severin Schricker, Bianka Rettenmaier, Andrea Schwab, Pablo Pergola, Irene Leal, Melissa Cagle, Anna Romo, Anthony Torres, Sucharit Joshi, Kulli Barrett, Alexis Africano, Vicki Dodds, Dorleena Gowen, Ashlee Morris, Juan Fernandez, Guillermo Jimenez, Ricardo Viera, Kendaling Bruce, Ryan Barrios, Maylin Garcia, Kerelyn Garcia, Iradis Leal, David Tietjen, David Bains, Carlo Castillo, Genielle Brewer, Justin Davis, Natalie Freking, Brittany Golson, Sally Ham, Jesslyn Roesch, Pusadee Suchinda, Shameem Beigh, Usah Lilavivat, Joyce Bilton, Kim Bocchicchia, Jeffrey Turner, Neera Dahl, Aldo Peixoto, Yasemin Kavak, Lauren Liberti, Hari Nair, Nicolas Page, Stephanie Rosenberg, Kathryn Simmons, Tamara Isakova, Rebecca Frazier, Rupal Mehta, Anand Srivastava, Patrick Fox, Jonathan Hecktman, Alexander Hodakowski, Carlos Martinez, Rachel Phillips, Alexis Stevenson, Reem Mustafa, Kyle Jansson, Cassandra Kimber, Jason Stubbs, Ahmad Tuffaha, Sri Yarlagadda, Debbie Griffin, Elisabeth Laundy, Zhuo Tang, Radica Alicic, Ann Cooper, Lisa Davis, Ashwini Gore, Rebecca Goldfaden, Leslie Harvill, Lisa Hichkad, Barry Johns, Thomas Jones, Kayla Merritt, Jennifer Sheldon, Jennifer Stanfield, Lindsay Alexander, Kaitlyn Preston, Lindsey Wood, Rajesh Pradhan, Roger DeRaad, Kelli McIntosh, Louis Raymond, Michael Shepperd, Susan McLaughlin, Mary Seifert, Andrew Shepherd, Joseph Aiello, William Durham, Laurie Loudermilk, John Manley, Sabrina Burnette, Stephanie Evans, Tara Johnson, Lance Sloan, Judy Ann Acosta, Stacy Gillham, Katia Sloan, SueAnn Squyres, Michael Rocco, Amret Hawfield, Ben Bagwell, Lauren Richmond, Joseph Soufer, Subha Clarke, Amanda Aliu, Kristine Calabrese, Amanda Davis, Veronica Poma, Tracy Spinola, James Magee, Ricardo Silva, Rushab Choksi, Lorraine Dajani, John Evans, Anil George, Prasanth Krish, Gerard Martins, Mae Sheikh-Ali, David Sutton, Freda Driver, Abraham Hanburry, Laura Hume, Amber Hurst, Matthew Taddeo, Marla Turner, Veronica Yousif, Srinivasan Beddhu, Laith Al-Rabadi, Nikita Abraham, Amalia Caamano, Judy Carle, Victoria Gonce, Kaitlyn Staylor, Na Zhou, Shweta Bansal, Manoj Bhattarai, Kumar Sharma, Subrata Debnath, Aliseiya Garza, Chakradhar Velagapudi, Sergio Rovner, Javier Almeida, Pablo Casares, Verlaine Stewart-Ray, Rene Almaraz, Renata Dayrell, Ana Moncada, Ricardo Pulido, Roxana Rodriquez, Wasim Deeb, Kathryn DeGoursey, Rodel Gloria, Trevor Greene, Robert Miller, Edward Pereira, Miguel Roura, Debbie Domingo, Sasha Dorestin, William Hodge, Cathy Jackson, Deborah Lund, Katrina Taylor, Kenneth Boren, Brittany Cleveland, Sandra Gaiser, Mandeep Sahani, Logan Aldrich, Exodus Edmerson, Edmond Limon, Cole Valletta, Patricia Vasquez, Christopher Provenzano, Navkiranjot Brar, Heather Henderson, Bellovich Keith, Qur Khai, Quresh Khairullah, Gail Makos, Joel Topf, Sherry Gasko, Rosemarie Henschel, Kaitlin Knapp, Teresa Kozlowski, Paula LaFleur, Ashwathy Varughese, Hui Xue, Patricia Wu, Olga Arechiga, Shan Darbeau, Michael Fechter, Stephanie Martinez, Lenita Hanson, Nyla Cooper, Arelis Madera, Jay Cadorna, Rita Sheridan, Helen Sparks, Bradley Eilerman, Susanne Bodine, Wael Eid, Rebecca Flora, Amber Avery, Cashmere Hardy, Mihaela Biscoveanu, Steven Nagelberg, Tracey Cummins, Frederic Rahbari-Oskoui, Anju Oommen, Zohreh Forghani, Stacie Hitchcock, Darya Hosein, Diane Watkins, Minesh Patel, Anthony Lambert, Elizabeth Newman, Autumn Wood, Tammy Ross, Stephany Topping, Jeffrey Mulhern, Lorna Murphy, Ann Vasseur, Gregory Greenwood, Alexander Hadley, Denise Laurienti, Christopher Marshall, Nicholas McLean, Scott Satko, Brandy Caudill, Jacob Maris, Janice Rogers, Cindy Vanhoy, George Thomas, Georges Nakhoul, John O'Toole, Jonathan Taliercio, Leslie Cooperman, Marina Markovic, Barbara Tucky, Devasmita Dev, Alia Hasan, Hima Yalamanchili, Namita Jain, Lesley McNeil, Eric Wines, Jean Park, Adline Ghazi, Mia Hamm, Tejas Patel, Amy Mottl, Emily Chang, Vimal Derebail, Emmie Cole, Anne Froment, Sara Kelley, Jordan Osmond Foster, Vahid Mahabadi, Golriz Jafari, Anita Kamarzarian, Wendy Arriaga, Daisy Arteaga, Rosario Machicado, Genesis Naverrete, Prashant Kumar, Imran Nazeer, Karina Urquia, Tammi Glider, Vickie Jones, Savannah Rucker, Jennifer Wiley, Rahul Pandey, Jesus Arroyo, Harish Pariani, Mohammad Ahmad, Shahin Mozaffari, Erika Perez, Matthew Budoff, Sion Roy, Divya Birudaraju, Ahmed Ghanem, Sajad Hamal, Stephen Aronoff, Elisa Joye Petr, Richard Sachson, Jaime Wiebel, Sana Akram, Laurie Jones, Curtis Knight, Maurie Tarlac, Shahbaz Ahmed, Harold Szerlip, Akinwande Akinfolarin, Ankit Mehta, Shana Camp, Cindy Castro, Zanaida Cooper, Jessica Terry, Ahmed Awad, Bhavya Kothapalli, Ryan Lustig, Serine Alfaress, Hyder Jasim, Mary Parrigon, Dennis Karounos, Sadiq Ahmed, Maggie Berry, Ruth Oremus, Carlos Hernandez-Cassis, Elias Ugwu, Nazia Junejo, Nancy Suazo, Mark Segal, Amir Kazory, Sherry Brown, Tristan Daniels, Sofia Dayi, Renee Hogan, Kathy McCray, Jennifer Stickley, Mahboob Rahman, Mirela Dobre, Lavinia Negrea, Aparna Padiyar, Nishigandha Pradhan, Arash Rashidi, Nagaraju Sarabu, Vicki Donley, Tricia Young, Godson Oguchi, Judepatricks Onyema, Kahla Damianik, Jack Dienes, Judith Plummer-Morgan, Marilyn Roman, Mauver Skipper, Stacey-Ann Villaruel, Krystle Williams, Danny Sugimoto, Jeffrey Dugas, Ismeal Ahmed, Jamie Bhairoo, Dolores Rijos, Huzaifa Salim, Madita Gavrila, Kathryn Lafferty, Ria Rabara, Sally Ruse, Maria Weetman, James Bushnell, Albert Power, Alison Jenkins, Stefanie Jones, Amanda Scott, Cath Byrne, Mark Jesky, Alison Cowley, Emma McHaffie, Holly Waterfall, Jo Taylor, Laura Bough, Thomas Phillips, Barbara Winter-Goodwin, Sui Phin Kon, Iain MacDougall, Eirini Lioudaki, Sapna Shah, Claire Sharpe, Francisco Aguilar, Abegail Hernandez Pena, Conception Pugay, Amelia Te, Hugh Finn, Wasim Hanif, Samiul Mostafa, Alice Aitken, Katharine Draxlbauer, Evelina Grobovaite, Jennifer Kearney, Theresa McCarthy, Giorgio Gentile, Duncan Browne, Palanichamy Chellamuthu, Tabinda Dugal, Terri Chant, Laura Jones, Emily Laity, Megan Miners, James Muir, Elizabeth Swanson, Andrew Frankel, James Tomlinson, Marlon Alegata, Rashid Almasarwah, Anthoula Apostolidi, Maria Vourvou, Thomas Walters, Maarten Taal, Hari Dukka, Nitin Kolhe, Carly McDonald, Kelly White, Shiva Ugni, Smita Gunda, Rotimi Oluyombo, Vicki Brindle, Ping Coutts, Tracy Fuller, Evelyn Nadar, Suresh Ramadoss, Nichola Motherwell, Susannah Pajak, Louise Tonks, Sunil Bhandari, Richard Bodington, Adil Hazara, Dominic Fellowes, Christopher Wong, Christopher Goldsmith, Sherald Barnes, Ann Bennett, Claire Burston, Samantha Hope, Nicola Hunt, Lini Kurian, Richard Fish, Daniela Farrugia, Judy Lee, Emma Sadler, Hannah Turner, Christopher Hill, Henry Brown, Agnes Masengu, Peter Maxwell, Nina Bleakley, Hugh Murtagh, William Petchey, Vivian Yiu, Joanne Kellett, Angharad Williams, Helen Clarke, Victoria Carnall, Sarah Benyon, Caroline Blake, Stephanie Estcourt, Jane Piper, Neal Morgan, Carolyn Hutchinson, Teresa McKinley, Alastair Woodman, Judi Graham, Niall Leonard, John Smyth, Vicki Adell, Samantha Hagan, Ben Caplin, Amin Oomatia, Eleanor Damian, Toluleyi Sobande, Tim Doulton, Michael Delaney, Mahmoud Montasser, Jenny Hansen, David Loader, Angela Moon, Frances Morris, Smeeta Sinha, Chukwuma Chukwu, Amy Hudson, Diane Campbell, Melanie Kershaw, Stephanie Whittaker, Ayesha Irtiza-Ali, Farid Ghalli, Heba Nosseir, Allison Leslie, Kate Trivedi, Donald Fraser, Mohammad Alhadj Ali, Sian Griffin, Farah Latif, Justyna Witczak, Alexa Wonnacott, Lynda Jeffers, Yvette Webley, Paul Phelan, Eve Miller-Hodges, Ailsa Geddes, Margaret Glenwright, Amy Hunter, Thomas Pickett, Jim Moriarty, Linda Hill, Amanda Tyler, Waqar Ayub, Gail Evans, Sue Hewins, Davina Hewitt, Kerry Read, Samira Bell, Leanne Cosgrove, Rachel Craik, Shona Murray, Nitin Bhandary, Holly Coles, Rashmi Easow, Maya Joseph, Arif Khwaja, Yvonne Jackson, Angeline Mbuyisa, Rachel Sellars, Nihil Chitalia, Cynthia Mohandas, Anca Gherman, Charlotte Kamundi, Olumide Olufuwa, Kieran McCafferty, Adedolapo Adeleke, Cara Healy, Damini Jeyarajah, Edward Kinsella-Perks, Richard Smith, Brian Camilleri, Carol Buckman, Jenny Finch, Vanessa Rivers, Andrew Connor, Sheila Carr, Lisa Shainberg, Andrew Lewington, Richard Baker, Suzannah Dorey, Kay Tobin, Rosalyn Wheatley, Debasish Banerjee, Richard Hull, Sharirose Abat, Riny Paul, Mahzuz Karim, Zay Htet, Saad Tufail, Ravi Varma, Karen Convery, Deirdre Fottrell-Gould, Lisa Hudig, Emily Tropman, Thahir Abdul-Samad, Anne Grace, Marie Phipps, Rebecca Suckling, Subash Somalanka, Bhrigu Sood, Pauline Swift, Sarah Acheampong, Kwame Ansu, Martia Augustin, Anna Sampson, Lynn Vinall, Kim Wren, Shamila Wanninayake, Nicholas Wooding, Heather Edwards, Lydia Owen, Stephanie Bolton, Marion Carson, Michael Matthews, Nigel Brunskill, Jorge Jesus-Silva, Alex Howson, Mary Quashie-Akponeware, Hilary Tindall, Chidambaram Nethaji, Helen Eldon, Rajan Patel, Patrick Mark, Alastair Rankin, Michael Sullivan, Kirsty Forsyth, Rowan McDougall, Tanaji Dasgupta, Louisa Davies, Maggie Ryder, Philip Grimmer, Clare Macdonald, Mary Webster, Newcastle Newcastle, Timothy Ellam, Edwin Wong, Christine Meshykhi, Andrea Webster, Peter Wilson, Enric Vilar, Jocelyn Berdeprado, Eunice Doctolero, Lily Wilkinson, Frank McCarroll, Hesham Ammar, Ying Kuan, Conor Moran, Girish Shivashankar, Ryan Campbell, Deborah Glowski, Paula McDermott, Amar Ali, Zuber Patel, Christine Bond, Gillian Whalley, Haitao Zhang, Liu Yang, Lihua Zhang, Tingting Kan, Ling Zhu, Jinghong Zhao, Weiping Hou, Jing Wu, Hong Cheng, Weijing Bian, Zhirui Zhao, Fengmin Shao, Huixia Cao, Xiaojing Jiao, Peiyuan Niu, Jianying Niu, Yu Chen, Lihong Zhang, Shenglang Zhu, Haiyan Lin, Shaopeng Yao, Jiehui Chen, Ying Jiang, Ying Hu, Huaying Xiao, Fuye Yang, Xinzhou Zhang, Baochun Guo, Qiu Jin, Lixia Liu, Xiangcheng Xiao, Yanyun Xie, Ting Meng, Chuanwen Xu, Jie Huang, Yanmei Xu, Weixin Kong, Xiaoliang Wang, Qianpan Liu, Xueying Wang, Ming Gao, Xiumei Hu, Ying 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Tang, Zhuo, Alicic, Radica, Cooper, Ann, Davis, Lisa, Gore, Ashwini, Goldfaden, Rebecca, Harvill, Leslie, Hichkad, Lisa, Johns, Barry, Jones, Thoma, Merritt, Kayla, Sheldon, Jennifer, Stanfield, Jennifer, Alexander, Lindsay, Preston, Kaitlyn, Wood, Lindsey, Pradhan, Rajesh, Deraad, Roger, Mcintosh, Kelli, Raymond, Loui, Shepperd, Michael, Mclaughlin, Susan, Seifert, Mary, Shepherd, Andrew, Aiello, Joseph, Durham, William, Loudermilk, Laurie, Manley, John, Burnette, Sabrina, Evans, Stephanie, Johnson, Tara, Sloan, Lance, Ann Acosta, Judy, Gillham, Stacy, Sloan, Katia, Squyres, Sueann, Rocco, Michael, Hawfield, Amret, Bagwell, Ben, Richmond, Lauren, Soufer, Joseph, Clarke, Subha, Aliu, Amanda, Calabrese, Kristine, Davis, Amanda, Poma, Veronica, Spinola, Tracy, Magee, Jame, Silva, Ricardo, Choksi, Rushab, Dajani, Lorraine, Evans, John, George, Anil, Krish, Prasanth, Martins, Gerard, Sheikh-Ali, Mae, Sutton, David, Driver, Freda, Hanburry, Abraham, Hume, Laura, Hurst, Amber, Taddeo, Matthew, Turner, Marla, Yousif, Veronica, Beddhu, Srinivasan, Al-Rabadi, Laith, Abraham, Nikita, Caamano, Amalia, Carle, Judy, Gonce, Victoria, Staylor, Kaitlyn, Zhou, Na, Bansal, Shweta, Bhattarai, Manoj, Sharma, Kumar, Debnath, Subrata, Garza, Aliseiya, Velagapudi, Chakradhar, Rovner, Sergio, Almeida, Javier, Casares, Pablo, Stewart-Ray, Verlaine, Almaraz, Rene, Dayrell, Renata, Moncada, Ana, Pulido, Ricardo, Rodriquez, Roxana, Deeb, Wasim, Degoursey, Kathryn, Gloria, Rodel, Greene, Trevor, Miller, Robert, Pereira, Edward, Roura, Miguel, Domingo, Debbie, Dorestin, Sasha, Hodge, William, Jackson, Cathy, Lund, Deborah, Taylor, Katrina, Boren, Kenneth, Cleveland, Brittany, Gaiser, Sandra, Sahani, Mandeep, Aldrich, Logan, Edmerson, Exodu, Limon, Edmond, Valletta, Cole, Vasquez, Patricia, Provenzano, Christopher, Brar, Navkiranjot, Henderson, Heather, Keith, Bellovich, Khai, Qur, Khairullah, Quresh, Makos, Gail, Topf, Joel, Gasko, Sherry, Henschel, Rosemarie, Knapp, Kaitlin, Kozlowski, Teresa, Lafleur, Paula, Varughese, Ashwathy, Xue, Hui, Wu, Patricia, Arechiga, Olga, Darbeau, Shan, Fechter, Michael, Martinez, Stephanie, Hanson, Lenita, Cooper, Nyla, Madera, Areli, Cadorna, Jay, Sheridan, Rita, Sparks, Helen, Eilerman, Bradley, Bodine, Susanne, Eid, Wael, Flora, Rebecca, Avery, Amber, Hardy, Cashmere, Biscoveanu, Mihaela, Nagelberg, Steven, Cummins, Tracey, Rahbari-Oskoui, Frederic, Oommen, Anju, Forghani, Zohreh, Hitchcock, Stacie, Hosein, Darya, Watkins, Diane, Patel, Minesh, Lambert, Anthony, Newman, Elizabeth, Wood, Autumn, Ross, Tammy, Topping, Stephany, Mulhern, Jeffrey, Murphy, Lorna, Vasseur, Ann, Greenwood, Gregory, Hadley, Alexander, Laurienti, Denise, Marshall, Christopher, Mclean, Nichola, Satko, Scott, Caudill, Brandy, Maris, Jacob, Rogers, Janice, Vanhoy, Cindy, Thomas, George, Nakhoul, George, O'Toole, John, Taliercio, Jonathan, Cooperman, Leslie, Markovic, Marina, Tucky, Barbara, Dev, Devasmita, Hasan, Alia, Yalamanchili, Hima, Jain, Namita, Mcneil, Lesley, Wines, Eric, Park, Jean, Ghazi, Adline, Hamm, Mia, Patel, Teja, Mottl, Amy, Chang, Emily, Derebail, Vimal, Cole, Emmie, Froment, Anne, Kelley, Sara, Osmond Foster, Jordan, Mahabadi, Vahid, Jafari, Golriz, Kamarzarian, Anita, Arriaga, Wendy, Arteaga, Daisy, Machicado, Rosario, Naverrete, Genesi, Kumar, Prashant, Nazeer, Imran, Urquia, Karina, Glider, Tammi, Jones, Vickie, Rucker, Savannah, Wiley, Jennifer, Pandey, Rahul, Arroyo, Jesu, Pariani, Harish, Ahmad, Mohammad, Mozaffari, Shahin, Perez, Erika, Budoff, Matthew, Roy, Sion, Birudaraju, Divya, Ghanem, Ahmed, Hamal, Sajad, Aronoff, Stephen, Joye Petr, Elisa, Sachson, Richard, Wiebel, Jaime, Akram, Sana, Jones, Laurie, Knight, Curti, Tarlac, Maurie, Ahmed, Shahbaz, Szerlip, Harold, Akinfolarin, Akinwande, Mehta, Ankit, Camp, Shana, Castro, Cindy, Cooper, Zanaida, Terry, Jessica, Awad, Ahmed, Kothapalli, Bhavya, Lustig, Ryan, Alfaress, Serine, Jasim, Hyder, Parrigon, Mary, Karounos, Denni, Ahmed, Sadiq, Berry, Maggie, Oremus, Ruth, Hernandez-Cassis, Carlo, Ugwu, Elia, Junejo, Nazia, Suazo, Nancy, Segal, Mark, Kazory, Amir, Brown, Sherry, Daniels, Tristan, Dayi, Sofia, Hogan, Renee, Mccray, Kathy, Stickley, Jennifer, Rahman, Mahboob, Dobre, Mirela, Negrea, Lavinia, Padiyar, Aparna, Pradhan, Nishigandha, Rashidi, Arash, Sarabu, Nagaraju, Donley, Vicki, Young, Tricia, Oguchi, Godson, Onyema, Judepatrick, Damianik, Kahla, Dienes, Jack, Plummer-Morgan, Judith, Roman, Marilyn, Skipper, Mauver, Villaruel, Stacey-Ann, Williams, Krystle, Sugimoto, Danny, Dugas, Jeffrey, Ahmed, Ismeal, Bhairoo, Jamie, Rijos, Dolore, Salim, Huzaifa, Gavrila, Madita, Lafferty, Kathryn, Rabara, Ria, Ruse, Sally, Weetman, Maria, Bushnell, Jame, Power, Albert, Jenkins, Alison, Jones, Stefanie, Scott, Amanda, Byrne, Cath, Jesky, Mark, Cowley, Alison, Mchaffie, Emma, Waterfall, Holly, Taylor, Jo, Bough, Laura, Phillips, Thoma, Winter-Goodwin, Barbara, Phin Kon, Sui, Macdougall, Iain, Lioudaki, Eirini, Shah, Sapna, Sharpe, Claire, Aguilar, Francisco, Hernandez Pena, Abegail, Pugay, Conception, Te, Amelia, Finn, Hugh, Hanif, Wasim, Mostafa, Samiul, Aitken, Alice, Draxlbauer, Katharine, Grobovaite, Evelina, Kearney, Jennifer, Mccarthy, Theresa, Gentile, Giorgio, Browne, Duncan, Chellamuthu, Palanichamy, Dugal, Tabinda, Chant, Terri, Jones, Laura, Laity, Emily, Miners, Megan, Muir, Jame, Swanson, Elizabeth, Frankel, Andrew, Tomlinson, Jame, Alegata, Marlon, Almasarwah, Rashid, Apostolidi, Anthoula, Vourvou, Maria, Walters, Thoma, Taal, Maarten, Dukka, Hari, Kolhe, Nitin, Mcdonald, Carly, White, Kelly, Ugni, Shiva, Gunda, Smita, Oluyombo, Rotimi, Brindle, Vicki, Coutts, Ping, Fuller, Tracy, Nadar, Evelyn, Ramadoss, Suresh, Motherwell, Nichola, Pajak, Susannah, Tonks, Louise, Bhandari, Sunil, Bodington, Richard, Hazara, Adil, Fellowes, Dominic, Wong, Christopher, Goldsmith, Christopher, Barnes, Sherald, Bennett, Ann, Burston, Claire, Hope, Samantha, Hunt, Nicola, Kurian, Lini, Fish, Richard, Farrugia, Daniela, Lee, Judy, Sadler, Emma, Turner, Hannah, Hill, Christopher, Brown, Henry, Masengu, Agne, Maxwell, Peter, Bleakley, Nina, Murtagh, Hugh, Petchey, William, Yiu, Vivian, Kellett, Joanne, Williams, Angharad, Clarke, Helen, Carnall, Victoria, Benyon, Sarah, Blake, Caroline, Estcourt, Stephanie, Piper, Jane, Morgan, Neal, Hutchinson, Carolyn, Mckinley, Teresa, Woodman, Alastair, Graham, Judi, Leonard, Niall, Smyth, John, Adell, Vicki, Hagan, Samantha, Caplin, Ben, Oomatia, Amin, Damian, Eleanor, Sobande, Toluleyi, Doulton, Tim, Delaney, Michael, Montasser, Mahmoud, Hansen, Jenny, Loader, David, Moon, Angela, Morris, France, Sinha, Smeeta, Chukwu, Chukwuma, Hudson, Amy, Campbell, Diane, Kershaw, Melanie, Whittaker, Stephanie, Irtiza-Ali, Ayesha, Ghalli, Farid, Nosseir, Heba, Leslie, Allison, Trivedi, Kate, Fraser, Donald, Alhadj Ali, Mohammad, Griffin, Sian, Latif, Farah, Witczak, Justyna, Wonnacott, Alexa, Jeffers, Lynda, Webley, Yvette, Phelan, Paul, Miller-Hodges, Eve, Geddes, Ailsa, Glenwright, Margaret, Hunter, Amy, Pickett, Thoma, Moriarty, Jim, Hill, Linda, Tyler, Amanda, Ayub, Waqar, Evans, Gail, Hewins, Sue, Hewitt, Davina, Read, Kerry, Bell, Samira, Cosgrove, Leanne, Craik, Rachel, Murray, Shona, Bhandary, Nitin, Coles, Holly, Easow, Rashmi, Joseph, Maya, Khwaja, Arif, Jackson, Yvonne, Mbuyisa, Angeline, Sellars, Rachel, Chitalia, Nihil, Mohandas, Cynthia, Gherman, Anca, Kamundi, Charlotte, Olufuwa, Olumide, Mccafferty, Kieran, Adeleke, Adedolapo, Healy, Cara, Jeyarajah, Damini, Kinsella-Perks, Edward, Smith, Richard, Camilleri, Brian, Buckman, Carol, Finch, Jenny, Rivers, Vanessa, Connor, Andrew, Carr, Sheila, Shainberg, Lisa, Lewington, Andrew, Baker, Richard, Dorey, Suzannah, Tobin, Kay, Wheatley, Rosalyn, Banerjee, Debasish, Hull, Richard, Abat, Sharirose, Paul, Riny, Karim, Mahzuz, Htet, Zay, Tufail, Saad, Varma, Ravi, Convery, Karen, Fottrell-Gould, Deirdre, Hudig, Lisa, Tropman, Emily, Abdul-Samad, Thahir, Grace, Anne, Phipps, Marie, Suckling, Rebecca, Somalanka, Subash, Sood, Bhrigu, Swift, Pauline, Acheampong, Sarah, Ansu, Kwame, Augustin, Martia, Sampson, Anna, Vinall, Lynn, Wren, Kim, Wanninayake, Shamila, Wooding, Nichola, Edwards, Heather, Owen, Lydia, Bolton, Stephanie, Carson, Marion, Matthews, Michael, Brunskill, Nigel, Jesus-Silva, Jorge, Howson, Alex, Quashie-Akponeware, Mary, Tindall, Hilary, Nethaji, Chidambaram, Eldon, Helen, Patel, Rajan, Mark, Patrick, Rankin, Alastair, Sullivan, Michael, Forsyth, Kirsty, Mcdougall, Rowan, Dasgupta, Tanaji, Davies, Louisa, Ryder, Maggie, Grimmer, Philip, Macdonald, Clare, Webster, Mary, Newcastle, Newcastle, Ellam, Timothy, Wong, Edwin, Meshykhi, Christine, Webster, Andrea, Wilson, Peter, Vilar, Enric, Berdeprado, Jocelyn, Doctolero, Eunice, Wilkinson, Lily, Mccarroll, Frank, Ammar, Hesham, Kuan, Ying, Moran, Conor, Shivashankar, Girish, Campbell, Ryan, Glowski, Deborah, Mcdermott, Paula, Ali, Amar, Patel, Zuber, Bond, Christine, Whalley, Gillian, Zhang, Haitao, Yang, Liu, Zhang, Lihua, Kan, Tingting, Zhu, Ling, Zhao, Jinghong, Hou, Weiping, Wu, Jing, Cheng, Hong, Bian, Weijing, Zhao, Zhirui, Shao, Fengmin, Cao, Huixia, Jiao, Xiaojing, Niu, Peiyuan, Niu, Jianying, Chen, Yu, Zhang, Lihong, Zhu, Shenglang, Lin, Haiyan, Yao, Shaopeng, Chen, Jiehui, Jiang, Ying, Hu, Ying, Xiao, Huaying, Yang, Fuye, Zhang, Xinzhou, Guo, Baochun, Jin, Qiu, Liu, Lixia, Xiao, Xiangcheng, Xie, Yanyun, Meng, Ting, Xu, Chuanwen, Huang, Jie, Xu, Yanmei, Kong, Weixin, Wang, Xiaoliang, Liu, Qianpan, Wang, Xueying, Gao, Ming, Hu, Xiumei, Lu, Ying, Wang, Li, Peng, Kun, Wang, Wei, Gong, Qiuhong, Cai, Jianfang, Li, Xiaojue, Liu, Xuejiao, Zhou, Shuhan, Liu, Hong, Weng, Yao, Tang, Shuai, Yao, Yao, Zhao, Shi, Cheng, Chen, Wei, Wei, Li, Na, Aqashiah Mazlan, Sadanah, Zubaidah Bahtar, Alia, Katiman, Elliyyin, Othman, Noraini, Mushahar, Lily, Mazlan, Nurdiana, Sharafina Safiee, Nur, Ramasamy, Sarasa, Seng Wong, Hin, Ahmad Rosdi, Hajar, Zhao Zhi Tan, Esther, Fan Tay, Ju, Seng Teng, Kok, Yahaya, Hasnah, Jiun Liu, Wen, Wee Ee, Lik, Kay Leong Khoo, Kenneth, Mohd Yusoff, Yuana, Safhan Mohamad Nor, Fariz, Kamil Ahmad, Mohd, Ramli Seman, Mohd, Hui Hong Tan, Clare, Lui Sian Ngu, Laura, Yoke May Chan, Jaime, Peji, Javelin, Loong Loh, Chek, Yan Lee, Yee, Ramanaidu, Sridhar, Mean Thong, Kah, Hong Wong, Yik, Junus, Suria, Hua Ching, Chen, Faisal Asmee, Mohammad, Ruziana Ku Md Razi, Ku, Leong Low, Chun, Sze Bing Sim, Christopher, Duan Tham, Zhang, Kamila Abdullah, Noor, Meng Chen, Tai, Chieh Chan, Yong, Chang, Eason, Yean Kang, Huan, Quan Lee, Kai, Ann Lee, Sue, Kheng Lee, Aik, Vinathan, Jeevika, Abdul Cader, Rizna, Mustafar, Ruslinda, Kamaruzaman, Lydia, Mohd, Rozita, Ismail, Rahimah, Men Leong, Chong, Koon Low, Chee, Wei Wong, Liang, Adnan, Norlezah, Ibrahim, Sabariah, Zaimi Abdul Wahab, Mohamad, Bavanandan, Sunita, Shen Lim, Yik, Hazlina Wan Mohamad, Wan, Munirah Jaafar, Siti, Ashykeen Mohd Fauzi, Nur, Sudin, Aziee, Kun Lim, Soo, Chung Gan, Chye, Hing, Albert, Ahmad Faizal Alaidin Razali, Wan, Fong Liew, Yew, Bao Tyng Chan, Chelsia, Chih Cheng, Mei, Chen Ong, Yu, Meng Ong, Loke, Amalina Mohamed Affandi, Farah, Rahmat, Korina, Chai Peng, Ban, Amat, Masayu, Hadafi Ahmad, Nuzaimin, Yee Mah, Doo, Loon Tye, Yi, Azhari, Zaid, Nabilah Mohamad Zaini, Siti, Aidil Musa, Mohd, Ahmad Miswan, Norazinizah, Ramli, Rafizanur, Aziah Ahmad, Nor, Leong Goh, Bak, Izah Ahmad, Nurul, Huda Ibrahim, Fairol, Jian Ng, Tze, Shanmuganathan, Malini, Lian Tay, Li, Harun, Zaiha, Ramli, Salmi, 'Ain Yusof, Nurul, Abd Rahman, Rossenizal, Iqbal Abdul Hafidz, Muhammad, Hidayati Mohd Sharif, Nur, Yasmoon Awang, Irda, Nakashima, Eitaro, Imamine, Rui, Minatoguchi, Makiko, Miura, Yukari, Nakaoka, Miduki, Suzuki, Yoshiki, Yoshikawa, Hitomi, Shin, Koki, Fujita, Kanae, Iwasa, Misuzu, Sasajima, Haruka, Sato, Airi, Hamamoto, Yoshiyuki, Fujita, Yuki, Haraguchi, Takuya, Hyo, Takanori, Izumi, Kiyohiro, Komiya, Toshiyuki, Kubota, Sodai, Kurose, Takeshi, Kuwata, Hitoshi, Nakatani, Susumu, Oishi, Kaori, Okamoto, Saki, Okamura, Kaori, Takeoka, Jun, Tanaka, Nagaaki, Tanigaki, Katsuya, Toda, Naohiro, Watanabe, Koin, Komori, Hiromi, Kumuji, Rika, Takesada, Asako, Tanaka, Aya, Maruyama, Shoichi, Hasegawa, Tomonori, Ishiguro, Akiko, Ishimoto, Takuji, Ito, Kazuhiro, Kamimura, Yutaka, Kato, Noritoshi, Kato, Sawako, Kojima, Hiroshi, Kosugi, Tomoki, Maeda, Kayaho, Mizuno, Masasi, Saito, Shoji, Sato, Hitomi, Sato, Yuka, Suzuki, Yasuhiro, Tanaka, Akihito, Yasuda, Yoshinari, Hasegawa, Fujiko, Hayashi, Maiko, Higashi, Shizuka, Shimamura, Kaho, Sumi, Momoko, Tajima, Kazuki, Unekawa, Chimaki, Wakayama, Kana, Wakita, Yukiko, Otani, Takatoshi, Imai, Ayako, Kawashima, Sayaka, Kogure, Eri, Sato, Tomoe, Takezawa, Misato, Yoshida, Shinya, Araki, Hideo, Katsuda, Yuko, Konishi, Masahiro, Matsunaga, Takahiro, Oe, Masashi, Ogane, Kunihiro, Sakai, Masato, Takahashi, Tomoko, Yamano, Takahiro, Yokoyama, Takuya, Ito, Hitomi, Katayama, Masayo, Kuroda, Emi, Ikeda, Toru, Kojo, Takuma, Yoshidome, Etsuo, Mizumachi, Rieko, Yamamoto, Akane, Yamasaki, Narihisa, Yamasaki, Yoshihiko, Wada, Jun, Eguchi, Jun, Higuchi, Chigusa, Katayama, Akihiro, Kinomura, Masaru, Kitagawa, Masashi, Kitamura, Shinji, Miyamoto, Satoshi, Morinaga, Hiroshi, Nakatsuka, Atsuko, Nojima, Ichiro, Shikata, Kenichi, Sugiyama, Hitoshi, Tanabe, Katsuyuki, Tsuji, Kenji, Uchida, Haruhito, Watanabe, Mayu, Hashimoto, Chie, Kato, Takahiro, Yamamoto, Sayaka, Wada, Takehiko, Fukagawa, Masafumi, Hamano, Naoto, Koizumi, Masahiro, Komaba, Hirotaka, Nakagawa, Yosuke, Iwamoto, Michiyo, Masutani, Kosuke, Katanosaka, Akane, Kiyota, Mayu, Uchi, Hikari, Ueda, Yuka, Yamamoto, Sonoka, Nagasu, Hajime, Itano, Seiji, Iwakura, Tsukasa, Kadoya, Hiroyuki, Kanda, Eiichiro, Kashihara, Naoki, Kidokoro, Kengo, Kondo, Megumi, Sasaki, Tamaki, Satoh, Minoru, Tokuyama, Atsuyuki, Umeno, Reina, Wada, Yoshihisa, Yamamoto, Toshiya, Yamanouchi, Yu, Abe, Masumi, Inukai, Yoko, Ogawa, Wataru, Asahara, Shunichiro, Fujii, Hideki, Goto, Shunsuke, Hirota, Yushi, Hosooka, Tetsuya, Kono, Keiji, Nishi, Shinichi, Okada, Yuko, Sakaguchi, Kazuhiko, Sugawara, Kenji, Takahashi, Michiko, Takai, Tomoko, Tamori, Yoshikazu, Watanabe, Kentaro, Kitajima, Miyu, Nishi, Misaki, Wada, Junko, Ito, Yasuhiko, Kamiya, Hideki, Asai, Akimasa, Asai, Nao, Asano, Saeko, Banno, Shogo, Ejima, Yohei, Hase, Hanako, Hayami, Tomohide, Himeno, Tatsuhito, Ishikawa, Takahiro, Ito, Mayumi, Iwagaitsu, Shiho, Kasagi, Rina, Kato, Yoshiro, Kato, Makoto, Kato, Koichi, Katsuno, Takayuki, Kawai, Miyuka, Kinashi, Hiroshi, Kondo, Masaki, Koshino, Masako, Matsuoka, Naoya, Morishita, Yoshiaki, Motegi, Mikio, Nakamura, Jiro, Shimoda, Hiromi, Sugiyama, Hirokazu, Tsunekawa, Shin, Yamaguchi, Makoto, Takahashi, Kazuyo, Watada, Hirotaka, Funayama, Takashi, Furukawa, Yasuhiko, Gohda, Tomohito, Goto, Hiromasa, Kaga, Hideyoshi, Kanaguchi, Yasuhiko, Kanazawa, Akio, Kaneko, Kayo, Kano, Toshiki, Kihara, Masao, Kimura, Shogo, Kobayashi, Takashi, Maiguma, Masayuki, Makita, Yuko, Mano, Satoshi, Mita, Tomoya, Miyatsuka, Takeshi, Murakoshi, Maki, Muto, Masahiro, Nakata, Masami, Nakata, Junichiro, Nishida, Yuya, Nohara, Nao, Ogihara, Takeshi, Sato, Daisuke, Sato, Junko, Sato, Hiroaki, Suzuki, Yusuke, Suzuki, Ruka, Suzuki, Hitoshi, Takagi, Miyuki, Tamura, Yoshifumi, Uchida, Toyoyoshi, Ueda, Seiji, Asawa, Miki, Miyaji, Minako, Nagashima, Eri, Shibata, Yoshie, Yanagisawa, Eri, Yamauchi, Toshimasa, Hirakawa, Yosuke, Nishi, Hiroshi, Shojima, Nobuhiro, Horikawa, Satoko, Nakayama, Yukiko, Yamada, Naoko, Omori, Yuki, Yano, Shintaro, Ioka, Miyabi, Kuwabara, Nahoko, Nagano, Remi, Nozawa, Megumi, Osawa, Yumi, Maegawa, Hiroshi, Kume, Shinji, Araki, Shinichi, Miyazawa, Itsuko, Morino, Katsutaro, Kawai, Ikuko, Sobata, Masumi, Takaoka, Motoko, Iwaita, Yasushi, Udagawa, Takashi, Inamori, Ami, Kawase, Aya, Yamanaka, Aya, Shimano, Hitoshi, Fujita, Akiko, Iwasaki, Hitoshi, Kai, Hirayasu, Osaki, Yoshinori, Saito, Chie, Sekiya, Motohiro, Tsunoda, Ryoya, Yamagata, Kunihiro, Nakamura, Rikako, Yamada, Aiko, Ohsugi, Mitsuru, Awazawa, Motoharu, Bouchi, Ryotaro, Hashimoto, Shota, Hashimoto, Makiko, Hisatake, Tomoko, Ihana, Noriko, Ishizuka, Koko, Izumi, Kazuo, Kajio, Hiroshi, Kobayashi, Michi, Kodani, Noriko, Maruyama, Koji, Matsumoto, Michihiro, Matsushita, Maya, Nakamura, Tomoka, Sugiyama, Takehiro, Tanabe, Akiyo, Terakawa, Aiko, Ueki, Kojiro, Orimo, Yuko, Ozawa, Takako, Takahira, Eriko, Yamasaki, Yoshimitsu, Haneda, Masakazu, Tomita, Tadahiro, Akimoto, Saori, Fujimoto, Akihiro, Ishihara, Kenji, Murakami, Chiho, Nishiyama, Akiyo, Toyonaga, Yukiko, Uozumi, Kana, Yamaji, Yukihiro, Shigehara, Tetsuya, Okajyo, Jun, Shimizu, Yukihiro, Iwasaki, Shingo, Fukao, Yuki, Furusho, Megumi, Nunokawa, Shintaro, Katagiri, Hideki, Izumi, Tomohito, Kaneko, Keizo, Kodama, Shinjiro, Miyazaki, Mariko, Munakata, Yuichiro, Nagasawa, Tasuku, Oe, Yuji, Sugawara, Hiroto, Takahashi, Kei, Hirata, Kazushige, Inomata, Keiko, Otomo, Shoko, Uchida, Taeko, Yamashita, Chigusa, Kiyosue, Arihiro, Tamura, Ryota, Dube, Francoi, Bolduc, Marilene, Talbot, Marie-Christine, Cham, Leslie, Lai, Vesta, Tse, Josephine, Jolly, Shivinder, Duck, Tabbatha, Lyle, Scott, Epp, Rachel, Galloway, Camille, Haskett, Susan, Matvienko, Elizabeta, Paulsen, Liam, Moist, Louise, Lozon, Zabrina, Ramsey, Tina, Whitmore, Brittany, Al-Zeer, Bader, Macleod, Paula, O'Sullivan, Aoife, Sheriff, Zainab, Tholl, Sam, Pandey, Amritanshu, Armstrong, Samantha, Gebeyehu, Bethelihem, Toth, Patrick, Goldenberg, Ronald, Jahangiriesmaili, Mahsa, Sanguila, Shariff, Suresh, Neethi, Talsania, Tanvi, Zalunardo, Nadia, Agharazii, Mohsen, Roussel, Marie-Pier, Saillant, Annie, Samson, France, Bajaj, Harpreet, Bhavsar, Miken, Dhall, Parul, Dhillon, Gagandeep, Grewal, Bhupinder, Nimbkar, Taniya, Madore, Francoi, Marcotte, Guylaine, Steen, Oren, Bullen, Mathura, Raguwaran, Shayani, Valleteau, Andre, Langlois, Marie-France, Brown, Christine, Steele, Andrew, Garrity, Melissa, Ghate, Taneera, Robinson, Holly, Tolibas, Michael, Tailor, Chetna, Elliott, Lauren, McClary-Wright, Christine, Boreky, Fadia, Fikry, Sameh, Ali, Ayesha, Barot, Chintankumar, Basily, Wagdy, Saram, Thisun, Varad, Vinay, Khandwala, Hasnain, Aguilera, Alex, Alvarez, Patricia, Gill, Balwinder, Huda, Nazihah, Navivala, Aamir, Pinto, Daniel, Bevilacqua, Micheli, Fung, Elaine, Hernandez, Geraldine, Mann, Puneet, Saini, Jaskiran, Rabasa-Lhoret, Remi, Bovan, Danijela, Devaux, Marie, Barnini, Cecilia, Leoncini, Giovanna, Manco, Luca, Nobili, Giulia, Piemontese, Matteo, Aucella, Filippo, Grifa, Rachele, Totaro, Francesco, La Manna, Gaetano, Capelli, Irene, Cianciolo, Giuseppe, Lerario, Sarah, Zappulo, Fulvia, Rosati, Alberto, Fani, Filippo, Spatoliatore, Giuseppe, Gesualdo, Loreto, Pesce, Francesco, Russo, Maria, Zippo, Maria, Cafiero, Cesira, Motta, Daria, Bianco, Simona, Bilucaglia, Donatella, Messa, Piergiorgio, Pavone, Laura, Tripodi, Federica, Vettoretti, Simone, Fioretto, Paola, Carraro, Gianni, Farnia, Filippo, Postal, Anna, D'Amelio, Alessandro, Cardone, Antonio, Piccinni, Giovanni, Aloisi, Annalisa, Scolari, Francesco, Alberici, Federico, Guerini, Alice, Saccà, Chiara, Salviani, Chiara, Zani, Roberta, DE NICOLA, Luca, Garofalo, Carlo, Elena Liberti, Maria, Minutolo, Roberto, Pennino, Luigi, Polese, Lucio, Mené, Paolo, Barberi, Simona, Falcone, Clorinda, Russo, Francesco, Caroppo, Maurizio, Santorelli, Gennaro, Rivera, Rodolfo, Santoro, Domenico, Giuffrida, Alfio, Zirino, Fortunata, Calvi, Cristina, Estienne, Luca, Gambaro, Giovanni, Gangemi, Concetta, Ortalda, Vittorio, Pessolano, Giuseppina, Grandaliano, Giuseppe, Baccaro, Rocco, Ferraro, Pietro, Mangiacapra, Roberto, Melandri, Marco, Foligno, Nadia, Quartagno, Rita, Vezzoli, Giuseppe, Brioni, Elena, and Group, EMPA-KIDNEY Collaborative
Subjects: chronic renal disease, empagliflozin, empa-kidney, General Medicine
Abstract: Background The effects of empagliflozin in patients with chronic kidney disease who are at risk for disease progression are not well understood. The EMPA-KIDNEY trial was designed to assess the effects of treatment with empagliflozin in a broad range of such patients. Methods We enrolled patients with chronic kidney disease who had an estimated glomerular filtration rate (eGFR) of at least 20 but less than 45 ml per minute per 1.73 m2 of body-surface area, or who had an eGFR of at least 45 but less than 90 ml per minute per 1.73 m2 with a urinary albumin-to-creatinine ratio (with albumin measured in milligrams and creatinine measured in grams) of at least 200. Patients were randomly assigned to receive empagliflozin (10 mg once daily) or matching placebo. The primary outcome was a composite of progression of kidney disease (defined as end-stage kidney disease, a sustained decrease in eGFR to Results A total of 6609 patients underwent randomization. During a median of 2.0 years of follow-up, progression of kidney disease or death from cardiovascular causes occurred in 432 of 3304 patients (13.1%) in the empagliflozin group and in 558 of 3305 patients (16.9%) in the placebo group (hazard ratio, 0.72; 95% confidence interval [CI], 0.64 to 0.82; PConclusions Among a wide range of patients with chronic kidney disease who were at risk for disease progression, empagliflozin therapy led to a lower risk of progression of kidney disease or death from cardiovascular causes than placebo. (Funded by Boehringer Ingelheim and others; EMPA-KIDNEY ClinicalTrials.gov number, NCT03594110. opens in new tab; EudraCT number, 2017-002971-24. opens in new tab.)
Published: 2023

8. Fire and Water: Assessing Drinking Water Contamination After a Major Wildfire

Author: Peggy Reynolds, Gina Solomon, Catherine Carpenter, Thomas M. Young, Paul English, and Susan Hurley
Subjects: methylene chloride, Combustion, Chloride, wildfire, California, benzene, chemistry.chemical_compound, Tap water, volatile organic compounds, nontargeted analysis, medicine, Environmental Chemistry, Chemical Engineering (miscellaneous), Volatile organic compound, Benzene, Water Science and Technology, chemistry.chemical_classification, Smoke, drinking water, Contamination, chemistry, Chemistry (miscellaneous), Environmental chemistry, Environmental science, Pyrolysis, medicine.drug
Abstract: We investigated patterns of volatile organic compound (VOC) contamination in drinking water systems affected by the California 2018 Camp Fire. We performed spatial analysis of over 5000 water samples collected over a 17 month period by a local water utility, sampled tap water for VOCs in approximately 10% (N = 136) of standing homes, and conducted additional nontargeted chemical analysis of 10 samples. Benzene contamination was present in 29% of service connections to destroyed structures and 2% of service connections to standing homes. A spatial pattern was apparent. Tap water in standing homes 11 months after the fire contained low concentrations of benzene in 1% of samples, but methylene chloride was present in 19% of samples, including several above regulatory limits. Elevated methylene chloride was associated with greater distance from the water meter to the tap, longer stagnation time, and the presence of a destroyed structure on the service connection; it was inversely associated with certain trihalomethanes. Nontargeted analysis identified multiple combustion byproducts in the water at 2/10 homes. Our findings support the hypothesis that pyrolysis and smoke intrusion from depressurization contributed to the benzene contamination. Further research is needed to test the hypothesis that methylene chloride may be generated from the dehalogenation of disinfection byproducts stagnating in galvanized iron pipes.
Published: 2021

9. Associations of perfluoroalkyl substances (PFAS) with non-targeted metabolomics across two independent cohorts of elderly individuals

Author: Samira Salihovic, Susan Hurley, Miaomiao Wang, David Nelson, Lars Lind, Myrto Petreas, June-Soo Park, and Peggy Reynolds
Subjects: General Earth and Planetary Sciences, General Environmental Science
Published: 2022

10. Development of a Data Visualization Tool for Occupational Exposure to Chemicals of Concern for Breast Cancer Among California Working Women, 2010–2014

Author: Elana Silver, Peggy Reynolds, Justine Lew Weinberg, Jacqueline Chan, Matt Frederick, Susan Hurley, Stella Beckman, and Robert Harrison
Subjects: business.industry, Data Visualization, Breast Neoplasms, General Medicine, medicine.disease, 030210 environmental & occupational health, California, Chemical exposure, 03 medical and health sciences, 0302 clinical medicine, Breast cancer, Categorization, Occupational Exposure, Environmental health, medicine, Humans, Female, 030212 general & internal medicine, Occupational exposure, Occupations, business, Women, Working
Abstract: We identified the occupations that employ California women and a list of chemicals of concern for breast cancer. We evaluated the likelihood of on-the-job exposure to the categories of chemicals by occupation among formally and informally employed women. We selected 145 occupations representing more than 6.6 million women (85% of California working women), along with an additional sixteen occupations for informal workers only. We organized 1012 chemicals (including mammary gland carcinogens, developmental toxicants, and endocrine-disrupting chemicals) into twenty-five categories. More than 80 percent of occupations investigated had possible or probable exposure to at least one category of chemicals. This is the first categorization of occupational exposure to chemicals of concern for breast cancer among California working women. Our investigation revealed significant data gaps, which could be improved by policy changes resulting in enhanced collection of data on occupation and chemical exposure.
Published: 2021

11. Chronotype and risk of post-menopausal endometrial cancer in the California Teachers Study

Author: Julie Von Behren, Peggy Reynolds, Debbie Goldberg, Sophia S. Wang, Susan Hurley, and Jessica Clague DeHart
Subjects: Circadian disruption, Evening, Physiology, viruses, 030209 endocrinology & metabolism, Post menopausal, Article, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, Physiology (medical), medicine, Humans, Longitudinal Studies, Prospective Studies, Circadian rhythm, Retrospective Studies, Aged, 80 and over, business.industry, Endometrial cancer, virus diseases, Chronotype, respiratory system, medicine.disease, Preference, Circadian Rhythm, Endometrial Neoplasms, Postmenopause, Female, Sleep, business, 030217 neurology & neurosurgery
Abstract: Working at night causes circadian disruption and it has been classified as a probable carcinogen. An evening chronotype, or preference for late day activity, has been shown to increase risk for several adverse health effects, such as metabolic disorders and recently, breast cancer. To further explore this emerging area of interest, we examined the association between endometrial cancer (EC) risk, another common cancer in women, and chronotype. The women in this study were members of the California Teachers Study cohort, which was established in 1995. Chronotype was reported on a subsequent questionnaire (Q5), administered in 2012-2013. The women included in this analysis were under age 90 years, were post-menopausal at Q5, and had no hysterectomy. The cancer cases, identified through linkages to the California Cancer Registry, were diagnosed between 1996 and 2014. We used unconditional logistic regression models to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) of the associations between chronotype and EC diagnosis. There were 437 EC cases and 26,753 cancer-free controls included in this analysis. Controls were more likely to classify themselves as current morning chronotypes than were cases (39% and 34%, respectively). Compared to morning types, women who were definite evening types had a statistically significantly elevated OR of 1.44 (95% CI 1.09-1.91). This association was more pronounced among obese women as compared to non-obese women. For evening type compared to morning type, the OR among obese women was 2.01 (95% CI 1.23, 3.29) while the OR for non-obese women was 1.12 (95% CI 0.77, 1.63). To our knowledge, the association between EC risk and evening chronotype has not been previously reported, but is consistent with the small body of literature which suggests increased breast cancer risks among evening chronotypes. Because this study was based on a retrospective analysis in a cohort of mostly white female teachers in California, further analysis of chronotype as a potential EC risk factor should be considered in other cohorts and in prospective analyses in order to further explore this relationship.
Published: 2021

12. Sleep deficiency and breast cancer risk among postmenopausal women in the California teachers study (CTS)

Author: J. Clague DeHart, Susan Hurley, Debbie Goldberg, J Von Behren, Sophia S. Wang, and Peggy Reynolds
Subjects: Adult, Cancer Research, medicine.medical_specialty, Etiology, Breast Neoplasms, Logistic regression, Article, California, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Breast cancer, Risk Factors, Internal medicine, Breast Cancer, Epidemiology, medicine, Humans, Longitudinal Studies, 030212 general & internal medicine, Risk factor, Prospective cohort study, Aged, Aged, 80 and over, business.industry, Odds ratio, Middle Aged, medicine.disease, Confidence interval, Postmenopause, Case-Control, Oncology, Quartile, Case-Control Studies, 030220 oncology & carcinogenesis, Female, Sleep, business
Abstract: Purpose: There is provocative, yet inconsistent, evidence that sleep deficiency may influence the development of breast cancer. The purpose of this study was to evaluate the risk of breast cancer associated with sleep deficiency among postmenopausal women in the California Teachers Study (CTS). Methods: We conducted a case-control study of 2,856 invasive breast cancer cases and 38,649 cancer-free controls, nested within the CTS. Self-administered questionnaires were used to ascertain several components of sleep deficiency, including quality, latency, duration, disturbance and use of sleep medications. Additionally, a Global Sleep Index (GSI) was created by summing the individual sleep components and categorizing into quartiles. Multivariable logistic regression analyses were used to estimate odds ratios and 95% confidence intervals (OR, 95% CI). Results: Increased breast cancer risks were associated with sleep deficiency. With the exception of duration, linear increases in risk were associated with all the other individual components of sleep deficiency (p-trend ≤0.002). The OR for the highest GSI quartile vs. lowest was 1.24, 95% CI: 1.12 – 1.38; p-trend
Published: 2020

13. Perception And Action: Alternative Views.

Author: Susan Hurley
Published: 2001
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14. Methylation biomarkers of polybrominated diphenyl ethers (PBDEs) and association with breast cancer risk at the time of menopause

Author: Peggy Reynolds, June-Soo Park, Mark A. LaBarge, Susan L. Neuhausen, Leslie Bernstein, Yuan Chun Ding, Jinying Zhao, Yun Zhu, Shiuan Chen, Michele Rakoff, Linda Steele, and Susan Hurley
Subjects: Oncology, Adult, medicine.medical_specialty, PBDEs, Bisulfite sequencing, Breast Neoplasms, Article, Epigenesis, Genetic, Breast cancer, Polybrominated diphenyl ethers, Internal medicine, medicine, Halogenated Diphenyl Ethers, Humans, GE1-350, Epigenetics, EWAS, General Environmental Science, business.industry, dNaM, Methylation, DNA Methylation, Middle Aged, medicine.disease, Environmental sciences, CpG site, DNA methylation, Female, Menopause, business, Biomarkers
Abstract: Background: Exposure to polybrominated diphenyl ethers (PBDEs) may influence risk of developing post-menopausal breast cancer. Although mechanisms are poorly understood, epigenetic regulation of gene expression may play a role. Objectives: To identify DNA methylation (DNAm) changes associated with PBDE serum levels and test the association of these biomarkers with breast cancer risk. Methods: We studied 397 healthy women (controls) and 133 women diagnosed with breast cancer (cases) between ages 40 and 58 years who participated in the California Teachers Study. PBDE levels were measured in blood. Infinium Human Methylation EPIC Bead Chips were used to measure DNAm. Using multivariable linear regression models, differentially methylated CpG sites (DMSs) and regions (DMRs) associated with serum PBDE levels were identified using controls. For top-ranked DMSs and DMRs, targeted next-generation bisulfite sequencing was used to measure DNAm for 133 invasive breast cancer cases and 301 age-matched controls. Conditional logistic regression was used to evaluate associations between DMSs and DMRs and breast cancer risk. Results: We identified 15 DMSs and 10 DMRs statistically significantly associated with PBDE levels (FDR
Published: 2021

15. Songs for Cabo Verde

Author: Susan Hurley-Glowa
Abstract: Chronicles the work of Norberto Tavares, a Cabo Verdean musician and humanitarian who served as the conscience of his island nation during the transition from Portuguese colony to democratic republic.
Published: 2021

16. Host characteristics associated with serologic inflammatory biomarkers in women

Author: Otoniel Martinez-Maza, Marta Epeldegui, Debbie Goldberg, Elena Martinez, Peggy Reynolds, Sarah Nunes, James V. Lacey, Jessica Clague DeHart, Charlie Zhong, Sophia S. Wang, Larry Magpantay, and Susan Hurley
Subjects: Oncology, medicine.medical_specialty, T-Lymphocytes, Immunology, Inflammation, Biochemistry, Article, Body Mass Index, Immune system, Diabetes mellitus, Internal medicine, Epidemiology, medicine, Odds Ratio, Immunology and Allergy, Humans, Prospective Studies, Prospective cohort study, Molecular Biology, Exercise, B-Lymphocytes, business.industry, Macrophages, Hematology, Odds ratio, Macrophage Activation, medicine.disease, Obesity, Cross-Sectional Studies, Logistic Models, Cytokines, Female, medicine.symptom, business, Body mass index, Biomarkers
Abstract: Background There is growing evidence that exposure to low-grade inflammation may be associated with adverse health outcomes. Methods We conducted a cross-sectional study within the California Teachers Study prospective cohort, among female participants who had completed a questionnaire that asked about their health behaviors (e.g., diabetes, physical activity, body mass index, medication use) and who had donated blood within a year of their questionnaire. 822 women with stored serum were evaluated for 16 immune biomarkers. In addition, four immune pathways were constructed: Th1, pro-inflammatory/macrophage activation, B-cell activation, and T-cell activation. Odds ratios (ORs) and 95% confidence intervals (CI) for the association between host characteristics and immune biomarkers were assessed using logistic regression models. Result Compared to women of a normal BMI, obese women (>30 kg/m2) were positively associated with sTNFR2, CD27, IL6, CXCL13, sIL-2Rα, and IL6Ra levels above the median, with odds ratios ranging from 1.5 to 6.0. The pro-inflammatory/macrophage activation pathway was positively associated with diabetes (OR = 2.12, 95% CI = 1.14–3.95), fueled by individual associations between diabetes and sTNF-R2, TNFα and sCD27. Physical activity was inversely associated with sTNF-R2, TNFα, CXCL13, IL6, IL10, and IFN-γ levels, particularly for the highest category of activity (5.88+ hours/week) (ORs = 0.32–0.69). In pathway-based analyses, the Th1 pathway which includes decreased levels of IL4 and IL10 was positively associated with elevated physical activity (OR = 1.5). In contrast, the pro-inflammatory, B- and T-cell activation pathways were positively associated with higher BMI (OR ranging from 1.6 to 3) and inversely associated with increasing levels of physical activity. Conclusions Several host characteristics were associated with circulating levels of immune biomarkers, including markers of inflammation. Further understanding of associations between immune marker profiles with human disease are warranted.
Published: 2021

17. Serum Levels of Commonly Detected Persistent Organic Pollutants and Per- and Polyfluoroalkyl Substances (PFASs) and Mammographic Density in Postmenopausal Women

Author: Dennis Deapen, April Kinninger, Myrto Petreas, Giske Ursin, Peggy Reynolds, Yunzhu Wang, Miaomiao Wang, Susan Hurley, Chiu-Chen Tseng, Eunjung Lee, and June-Soo Park
Subjects: polybrominated diphenyl ethers, mammographic density, polychlorinated biphenyls, Health, Toxicology and Mutagenesis, Physiology, lcsh:Medicine, persistent organic pollutants, 010501 environmental sciences, 01 natural sciences, California, 03 medical and health sciences, 0302 clinical medicine, Breast cancer, Polybrominated diphenyl ethers, Linear regression, Halogenated Diphenyl Ethers, Medicine, Humans, 0105 earth and related environmental sciences, Aged, Breast Density, 2. Zero hunger, Pollutant, per- and polyfluoroalkyl substances, Fluorocarbons, business.industry, Communication, Confounding, lcsh:R, Public Health, Environmental and Occupational Health, MAMMOGRAPHIC DENSITY, Middle Aged, medicine.disease, 3. Good health, Postmenopause, 13. Climate action, 030220 oncology & carcinogenesis, Environmental Pollutants, Parity (mathematics), business, Body mass index
Abstract: There are little epidemiological data on the impact of persistent organic pollutants (POPs) and endocrine disruptors on mammographic density (MD), a strong predictor of breast cancer. We assessed MD in 116 non-Hispanic white post-menopausal women for whom serum concentrations of 23 commonly detected chemicals including 3 polybrominated diphenyl ethers (PBDEs), 8 per- and polyfluoroalkyl substances (PFASs), and 12 polychlorinated biphenyls (PCBs) had been measured. Linear regression analyses adjusting for potential confounders were used to examine the associations between the levels of the chemical compounds, modeled as continuous and dichotomized (above/below median) variables, and square-root-transformed MD. None of the associations were statistically significant after correcting for multiple testing. Prior to correction for multiple testing, all chemicals with un-corrected p-values < 0.05 had regression coefficients less than zero, suggesting inverse associations between increased levels and MD, if any. The smallest p-value was observed for PCB-153 (regression coefficient for above-median vs. below-median levels: −0.87, un-corrected p = 0.008). Neither parity nor body mass index modified the associations. Our results do not support an association between higher MD and serum levels of PBDEs, PCBs, or PFASs commonly detected in postmenopausal women.
Published: 2020

18. Polybrominated Diphenyl Ether and Organophosphate Flame Retardants in Canadian Fire Station Dust

Author: Darcy Tarrant, June-Soo Park, Reber Brown, Sharyle Patton, Ranjit Gill, Susan Hurley, Joginder Dhaliwal, Roshni Sarala, and Myrto Petreas
Subjects: Canada, Environmental Engineering, Fire fighter, Health, Toxicology and Mutagenesis, 0208 environmental biotechnology, 02 engineering and technology, 010501 environmental sciences, 01 natural sciences, chemistry.chemical_compound, Fire protection, Halogenated Diphenyl Ethers, Environmental Chemistry, Humans, 0105 earth and related environmental sciences, Flame Retardants, Diphenyl ether, Organophosphate, Public Health, Environmental and Occupational Health, Dust, General Medicine, General Chemistry, Pollution, Organophosphates, 020801 environmental engineering, chemistry, Environmental chemistry, Air Pollution, Indoor, Firefighters, Environmental science, Fire retardant
Abstract: Fire fighters are at a high risk for exposure to toxic chemicals during and subsequent to fire suppression activities. In the Canadian Fire Station Dust Study (CFSDS) we measured 19 polybrominated diphenyl ether (PBDE) and six organophosphate flame retardant (OPFR) chemicals in dust collected in 2017–18 by vacuuming the living quarters of 24 Canadian fire stations from four provinces. The predominant flame retardant (FR) was BDE-209, with a median concentration of 7060 ng/g, which was a magnitude higher than medians of the major congeners of the pentaBDE formulation measured at 620 ng/g (Σ5 BDE-47, 99, 100, 153 and 154). OPFR median concentrations exceeded those of pentaBDE and were on the same order of magnitude as BDE-209, with TCIPP, TDCIPP and TPHP as the dominant OPFRs with median concentrations ranging from 2350 to 4780 ng/g. Fire station age and carpeting were significantly correlated with select OPFRs and PBDEs. Furthermore, fire stations that also vacuumed equipment bays and fire truck interiors had median concentrations that were a magnitude higher (BDE-209: 81,700 ng/g) and two to three-fold higher (TCIPP, TDCIPP and TPHP) than fire stations that excluded those areas. FR concentrations in CFSDS dust were higher but on the same order of magnitude as Canadian residential dust and significantly lower than dust collected from Canadian WEEE dismantling. CFSDS FR concentrations were also significantly lower than those we reported in our 2015 U.S. fire station dust. Our data reflect the downward trend of PBDEs following their phase out and a shift toward OPFRs as replacements.
Published: 2019

19. Family Caregiver Burden of Medication Administration for Older Adults Admitted to Home Hospice

Author: Jennifer Tjia, Margaret Clayton, Jennifer Smith, Olivia Wood, Susan Hurley, Geraldine Puerto, Vennesa Duodu, and Susan DeSanto-Madeya
Subjects: Abstracts, Health (social science), Family Caregiving (HS Poster), Life-span and Life-course Studies, AcademicSubjects/SOC02600, Health Professions (miscellaneous), Session 9270 (Poster)
Abstract: OBJECTIVE To characterize FCG burden of medication administration for older adults in home hospice. METHODS Pilot clinical trial of a hospice-staff level communication and medication review program to facilitate goal-concordant prescribing, including deprescribing, for older adults in home hospice. Patients newly admitted to hospice were eligible if >=65 years, prescribed >= 5 medications and had a FCG. Exclusion criteria included being non-English speaking or having a Palliative Performance Score
Published: 2021

20. Time Trends in Per- and Polyfluoroalkyl Substances (PFASs) in California Women: Declining Serum Levels, 2011–2015

Author: Debbie Goldberg, Leslie Bernstein, June-Soo Park, Myrto Petreas, Miaomiao Wang, Susan Hurley, David O. Nelson, Peggy Reynolds, and Hoda Anton-Culver
Subjects: Fluorocarbons, Multivariable linear regression, Extramural, Time trends, business.industry, General Chemistry, Middle Aged, 010501 environmental sciences, Serum concentration, 01 natural sciences, California, 03 medical and health sciences, 0302 clinical medicine, Tandem Mass Spectrometry, Humans, Environmental Chemistry, Medicine, Environmental Pollutants, Female, 030212 general & internal medicine, business, Environmental Monitoring, 0105 earth and related environmental sciences, Demography
Abstract: After several decades of widespread use, some per- and polyfluoroalkyl substances (PFASs) were phased-out of use due to concerns raised by their persistent, bioaccumulative, and toxic properties. Our objective was to evaluate temporal trends in serum PFAS levels among 1257 middle-aged and older California women (ages 40-94) during a four year period, beginning approximately 5-10 years after these phase-outs began. An online SPE-HPLC-MS/MS was used to measure 10 long-chain PFASs in serum from blood collected cross-sectionally during 2011-2015 from a subset of participants in the California Teachers Study. Results from multivariable linear regression analyses indicated that serum concentrations of nearly all PFASs declined on average 10% to 20% per year. Serum levels of perfluorohexanesulfonic acid (PFHxS) did not significantly decline. With the exception of PFHxS, the downward trend in serum concentrations was evident for all PFASs across all ages, although declines were comparatively steeper among the oldest women. These findings suggest that the phase-out of some common PFASs has resulted in reduced human exposures to them. The lack of a decline for PFHxS suggests that these exposures may be ongoing and underscores the importance of continued biomonitoring and research efforts to elucidate current pathways of exposure.
Published: 2017

21. Continued Increase in Melanoma Incidence across all Socioeconomic Status Groups in California, 1998–2012

Author: Sally L. Glaser, Christina A. Clarke, Susan M. Swetter, Theresa H.M. Keegan, Meg McKinley, Susan Hurley, and Robert W. Haile
Subjects: Adult, Male, Gerontology, Skin Neoplasms, Dermatology, Disease, Rate ratio, Risk Assessment, Biochemistry, California, Health Services Accessibility, White People, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Ethnicity, Humans, Medicine, Registries, Melanoma, Molecular Biology, Socioeconomic status, Early Detection of Cancer, Aged, Retrospective Studies, Asian, business.industry, Incidence, Incidence (epidemiology), Retrospective cohort study, Hispanic or Latino, Cell Biology, Middle Aged, Confidence interval, Cancer registry, Socioeconomic Factors, 030220 oncology & carcinogenesis, Female, Risk assessment, business, Needs Assessment, SEER Program, Demography
Abstract: Melanoma incidence has been increasing in light-skinned populations worldwide, but the reasons for the increase have been controversial. Our prior assessment in California non-Hispanic whites showed substantial increases in invasive melanoma incidence for tumors of all thicknesses in all neighborhoods categorized by socioeconomic status (SES) between 1988-1992 and 1998-2002. To understand whether these trends continued, we updated our assessment to include the diagnosis period 2008-2012 and more accurate pathologic stage at diagnosis. We used the California Cancer Registry to calculate age-adjusted incidence rates for over 58,000 newly diagnosed melanomas. Incidence rates not only continued to rise over the 10-year period from 1998-2002 and 2008-2012 but also showed significant increases in almost all groups defined jointly by tumor thickness or stage at diagnosis and a small area (census tract) SES measure. The largest relative rate increases were seen for regional, distant, and ulcerated disease, especially among males living in the lowest SES neighborhoods. Considering tumor thickness and stage as proxies for time to screening detection and neighborhood SES as a proxy for health care access, we interpret this pattern to indicate continued, true increases in melanoma occurrence as opposed to a thin tumor phenomenon simply driven by improved access to care.
Published: 2017

22. Songs for Cabo Verde : Norberto Tavares's Musical Visions for a New Republic

Author: Susan Hurley-Glowa and Susan Hurley-Glowa
Subjects: Popular music--Social aspects--Cabo Verde--History--20th century, Popular music--Political aspects--Cabo Verde--History--20th century, Musicians--Cabo Verde--Biography, Popular music--Cabo Verde--History and criticism
Abstract: Chronicles the work of Norberto Tavares, a Cabo Verdean musician and humanitarian who served as the conscience of his island nation during the transition from Portuguese colony to democratic republic.Based on twenty years of collaborative fieldwork, Songs for Cabo Verde: Norberto Tavares's Musical Visions for a New Republic focuses on the musician Norberto Tavares but also tells a larger story about postcolonial nation building, musical activism, and diaspora life within the Lusophone sphere. It follows the parallel trajectories of Cabo Verdean independence and Tavares's musical career over four decades (1975-2010). Tavares lived and worked in Cabo Verde, Portugal, and the United States, where he died in New Bedford, Massachusetts at age fifty-four. Tavares's music serves as a lens through which we can view Cabo Verde's transition from a Portuguese colony to an independent, democratic nation, one that was shaped in part through the musician's persistent humanitarian messages.
Published: 2021

23. Temporal Evaluation of Polybrominated Diphenyl Ether (PBDE) Serum Levels in Middle-Aged and Older California Women, 2011–2015

Author: Myrto Petreas, June-Soo Park, Hyoung-Gee Baek, Hoda Anton-Culver, Leslie Bernstein, Debbie Goldberg, Peggy Reynolds, Weihong Guo, Susan Hurley, David O. Nelson, and Yunzhu Wang
Subjects: 0301 basic medicine, Polybrominated Biphenyls, Population, 010501 environmental sciences, 01 natural sciences, California, Gas Chromatography-Mass Spectrometry, Article, Toxicology, 03 medical and health sciences, chemistry.chemical_compound, Polybrominated diphenyl ethers, Environmental health, Biomonitoring, Halogenated Diphenyl Ethers, Humans, Environmental Chemistry, education, Aged, 0105 earth and related environmental sciences, education.field_of_study, Extramural, Solid Phase Extraction, Diphenyl ether, General Chemistry, Middle Aged, 030104 developmental biology, chemistry, Female, Environmental Monitoring
Abstract: In response to health concerns and widespread human exposures, two widely used commercial formulations of polybrominated diphenyl ethers (PBDEs) were banned in the United States in 2005. Initial biomonitoring data have provided early indications of reduced human exposures since these bans took effect. Our objective was to evaluate temporal trends in PBDE serum levels among a population of older California women during a four-year period, beginning approximately five years after these formulations were banned. Automated solid phase extraction and gas chromatography/high resolution mass spectrometry were used to measure PBDE levels in blood collected during 2011–2015 among 1253 women (ages 40–94) participating in the California Teachers Study. Only congeners with detection frequencies (DF) ≥ 75% were included in the present analysis: BDE-47 (DF = 88%); BDE-100 (DF = 78%); and BDE-153 (DF = 80%). Results from age- and race/ethnicity-adjusted linear regression analyses indicated modest, but statistically significant, average annual percent increases in the serum concentrations of all three PBDEs over the four-year study period. While not without limitations, these results, in the context of other biomonitoring data, suggest that earlier reported declines in PBDE levels may have plateaued and may now be starting to increase. Further biomonitoring to ascertain current trends and determinants of population exposures is warranted.
Published: 2017

24. A breast cancer case-control study of polybrominated diphenyl ether (PBDE) serum levels among California women

Author: Myrto Petreas, Leslie Bernstein, Susan L. Neuhausen, Hoda Anton-Culver, Susan Hurley, June-Soo Park, David O. Nelson, Debbie Goldberg, and Peggy Reynolds
Subjects: Adult, 010504 meteorology & atmospheric sciences, PBDEs, Physiology, Blood lipids, Breast Neoplasms, Context (language use), Endocrine Disruptors, 010501 environmental sciences, 01 natural sciences, California, Gas Chromatography-Mass Spectrometry, Article, Polybrominated diphenyl ethers, Breast cancer, Risk Factors, MD Multidisciplinary, Halogenated Diphenyl Ethers, Odds Ratio, Humans, Medicine, lcsh:Environmental sciences, 0105 earth and related environmental sciences, General Environmental Science, lcsh:GE1-350, business.industry, Solid Phase Extraction, Persistent organic pollutants, Case-control study, Odds ratio, Case-control, medicine.disease, Confidence interval, Logistic Models, Congener, Case-Control Studies, Female, business, Breast cancer risk, Environmental Sciences
Abstract: Purpose: Polybrominated diphenyl ethers (PBDEs) are among the most persistent and pervasive global environmental contaminants. Their toxic and endocrine-disrupting properties have made them a focus of concern for breast cancer. Our objective was to evaluate the risk of breast cancer associated with serum PBDE levels in a case-control study nested within the California Teachers Study. Methods: Participants were 902 women with invasive breast cancer (cases) and 936 with no such diagnosis (controls) who provided 10 mL of blood and were interviewed between 2011 and 2015. Blood samples were collected from cases an average of 35 months after diagnosis. PBDEs were measured in serum using automated solid phase extraction and gas chromatography/high resolution mass spectrometry. Statistical analyses were restricted to the three congeners with detection frequencies ≥75%: 2,2′,4,4′-tetrabromodiphenyl ether (BDE-47), 2,2′,4,4′,6-pentabromodiphenyl ether (BDE-100), and 2,2′,4,4′,5,5′-hexabromodiphenyl ether (BDE-153). Unconditional logistic regression was used to estimate multivariable-adjusted odds ratios (ORs) and their 95% confidence intervals (CI) for each BDE congener, adjusting for serum lipids and other potential confounders. Results: The OR for each of the three BDE congeners was close to unity with a CI that included one. Analyses stratified by menopausal status, tumor hormone responsiveness, BMI, and changes in body weight yielded similarly null results. Conclusions: Our findings provide no evidence that serum levels of BDE-47, BDE-100 or BDE-153 are associated with breast cancer risk. These results should be interpreted in the context of study limitations which include the reliance on PBDE measurements that may not represent pre-diagnostic, early-life or chronic exposures and a lack of information on genetic polymorphisms and other factors which may affect endogenous estrogen levels. Keywords: PBDEs, Breast cancer risk, Polybrominated diphenyl ethers, Persistent organic pollutants, Case-control
Published: 2019

25. Alaska Native Ways of Knowing and the Sustenance of Musical Communities in an Ailing Petrostate

Author: Susan Hurley-Glowa
Subjects: History, Aesthetics, Sustenance, Musical
Published: 2019

26. Geospatial Approaches to Environmental Determinants of Breast Cancer in the California Teachers Study

Author: Peggy Reynolds, David O. Nelson, Susan Hurley, and Julie Von Behren
Subjects: Geospatial analysis, Specific time, computer.software_genre, medicine.disease, Environmental data, Ambient air, Geography, Breast cancer, Environmental health, Data quality, Scale (social sciences), medicine, computer, Record linkage
Abstract: With the increasing availability of georeferenced data about people and places there are expanded opportunities to assess risk relationships for disease outcomes associated with living in areas impacted by adverse environmental insults. For the most part, particularly for cancer outcomes, estimates of exposures have been based upon a single address and single point in time, and for which traditional epidemiologic methods such as interview may be impractical for assessing earlier residences in large scale studies. Likewise environmental data are often not available for specific time periods of interest or at an appropriate geographic scale for epidemiologic studies. Using an example from the California Teachers Study (CTS), a large statewide prospective study of women, we sought to develop strategies to assess temporal and spatial changes in participant residences, temporal changes in ambient air pollutants, and the intersection between the two in time and space to form a basis for future risk analyses. Key findings suggest the importance of careful attention to data quality, to assumptions about data gaps, and the influence of modeling decisions. Nonetheless, these efforts show promise for future environmental health research.
Published: 2019

27. Chronotype and postmenopausal breast cancer risk among women in the California Teachers Study

Author: Sophia S. Wang, Peggy Reynolds, Susan Hurley, Julie Von Behren, Jessica Clague DeHart, and Debbie Goldberg
Subjects: Oncology, Circadian disruption, Adult, medicine.medical_specialty, Physiology, 030209 endocrinology & metabolism, Breast Neoplasms, California, Article, 03 medical and health sciences, 0302 clinical medicine, Breast cancer, Risk Factors, Physiology (medical), Internal medicine, medicine, Humans, Circadian rhythm, Aged, Aged, 80 and over, business.industry, Chronotype, Middle Aged, medicine.disease, Sleep in non-human animals, Health Surveys, Circadian Rhythm, Postmenopause, Female, business, 030217 neurology & neurosurgery
Abstract: Chronotype is the behavioral manifestation of an individual’s underlying circadian rhythm, generally characterized by one’s propensity to sleep at a particular time during the 24-hour cycle. Evening chronotypes (“night owls”) generally suffer from worse physical and mental health compared to morning chronotypes (“morning larks”) – for reasons that have yet to be explained. One hypothesis is that evening chronotypes may be more susceptible to circadian disruption, a condition where the coordinated timing of biologic processes breaks down. The role of chronotype as an independent or modifying risk factor for cancer has not been widely explored. The objective of the current study was to evaluate the risk of breast cancer associated with chronotype in a case-control study nested within the California Teachers Study (CTS) cohort. The study population consisted of 39686 post-menopausal CTS participants who provided information on chronotype by completing a questionnaire in 2012-2013. 2719 cases of primary invasive breast cancer diagnosed from 1995/1996 through completion of the chronotype questionnaire were identified by linkage of the CTS to the California Cancer Registry. 36967 CTS participants who had remained cancer-free during this same time period served as controls. Chronotype was ascertained by responses to an abbreviated version of the Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ) and was characterized into five categories: definite morning, more morning than evening, neither morning or evening, more evening than morning, definite evening. Multivariable unconditional logistic regression analyses were performed to estimate the odds ratios (ORs) and 95% confidence intervals (95% CIs) for each of the chronotypes, adjusted for established breast cancer risk factors. Compared to definite morning types, definite evening types had an increased risk of breast cancer with elevated ORs that were statistically significant in both the crude (OR = 1.24, 95% CI: 1.10 – 1.40) and fully-adjusted models (OR = 1.20, 95% CI: 1.06-1.35). The risk estimates in the fully-adjusted model for all other chronotypes did not significantly differ from one. These results suggest that evening chronotype may be an independent risk factor for breast cancer among a population of women who are not known to have engaged in any substantial night shift work. Further research in other populations of non-shift workers is warranted.
Published: 2019
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28. Breast cancer risk and serum levels of per- and poly-fluoroalkyl substances: a case-control study nested in the California Teachers Study

Author: Myrto Petreas, Peggy Reynolds, Miaomiao Wang, David O. Nelson, Susan Hurley, June-Soo Park, Debbie Goldberg, Hoda Anton-Culver, and Leslie Bernstein
Subjects: Oncology, Health, Toxicology and Mutagenesis, Case control, PFAS, 010501 environmental sciences, Toxicology, Logistic regression, 01 natural sciences, California, Perfluorononanoic acid, chemistry.chemical_compound, 0302 clinical medicine, Odds Ratio, Aged, 80 and over, Fluorocarbons, lcsh:Public aspects of medicine, Fatty Acids, Middle Aged, 3. Good health, Alkanesulfonic Acids, 030220 oncology & carcinogenesis, lcsh:Industrial medicine. Industrial hygiene, Perfluorooctanoic acid, Environmental Pollutants, Female, Polyfluoroalkyl substances, Environmental Monitoring, Adult, Risk, medicine.medical_specialty, Breast Neoplasms, lcsh:RC963-969, 03 medical and health sciences, Young Adult, Breast cancer, Internal medicine, medicine, Genetic predisposition, Humans, Carcinogen, 0105 earth and related environmental sciences, Aged, business.industry, Research, Public Health, Environmental and Occupational Health, Case-control study, lcsh:RA1-1270, Odds ratio, medicine.disease, Perfluoroalkyl substances, chemistry, Case-Control Studies, business, Breast cancer risk
Abstract: Background Per- and poly- fluoroalkyl substances (PFASs) are a large family of synthetic chemicals, some of which are mammary toxicants and endocrine disruptors. Their potential as breast carcinogens is unclear. Our objective was to evaluate the risk of breast cancer associated with serum PFAS concentrations in a nested case-control study within the California Teachers Study. Methods Participants were 902 women with invasive breast cancer (cases) and 858 with no such diagnosis (controls) who provided 10 mL of blood and were interviewed during 2011–2015, an average of 35 months after case diagnosis. PFASs were measured using automated online SPE-HPLC-MS/MS methods. Statistical analyses were restricted to six PFASs with detection frequencies ≥ 95%: PFOA (Perfluorooctanoic acid), PFNA (Perfluorononanoic acid), PFUnDA (Perfluoroundecanoic acid), PFHxS (Perfluorohexane sulfonic acid), PFOS (Perfluorooctane sulfonic acid), and MeFOSAA (2-(N-Methyl-perfluorooctane sulfonamido) acetic acid. Unconditional logistic regression was used to calculate adjusted odds ratios (ORs), estimating the breast cancer risk associated with each PFAS. Results For all cases of invasive breast cancer, none of the adjusted ORs were statistically significant but marginally significant ORs
Published: 2018

29. Preliminary Associations between the Detection of Perfluoroalkyl Acids (PFAAs) in Drinking Water and Serum Concentrations in a Sample of California Women

Author: June-Soo Park, Pamela L. Horn-Ross, Debbie Goldberg, Leslie Bernstein, Miaomiao Wang, Peggy Reynolds, Erika F. Houtz, David O. Nelson, Hoda Anton-Culver, Susan Hurley, and Myrto Petreas
Subjects: 0301 basic medicine, Perfluorooctanesulfonic acid, Ecology, Chemistry, Public drinking, Health, Toxicology and Mutagenesis, 010501 environmental sciences, Serum concentration, 01 natural sciences, Pollution, Zip code, 03 medical and health sciences, chemistry.chemical_compound, 030104 developmental biology, Environmental chemistry, Environmental Chemistry, Perfluorooctanoic acid, Waste Management and Disposal, 0105 earth and related environmental sciences, Water Science and Technology
Abstract: This study compared detection of perfluoroalkyl acids (PFAAs) in public drinking water with PFAA serum concentrations for 1566 California women. PFAA occurrence in drinking water from U.S. EPA’s third Unregulated Contaminant Monitoring Rule (UCMR3) database was linked by residential zip code to study participants. Detectable water concentrations of perfluorooctanoic acid (PFOA) ranged from 0.020 to 0.053 μg/L and of perfluorooctanesulfonic acid (PFOS) from 0.041 to 0.156 μg/L. Forty percent of detectable concentrations exceeded the 2016 Health Advisory Level of 0.07 μg/L for combined PFOA and PFOS concentrations. Serum concentrations of PFOS and PFOA significantly differed between participants with and without detectable measures of these compounds in water (Wilcoxon P ≤ 0.0007). Median serum concentrations of PFOS and PFOA were 29% and 38% higher, respectively, among those with detectable levels in water compared to those without detectable levels. Validation of this approach and replication of these res...
Published: 2016

30. Effects of marital status and economic resources on survival after cancer: A population-based study

Author: Iona Cheng, Maria Elena Martinez, Christina A. Clarke, Alison J. Canchola, James D. Murphy, Susan Hurley, Theresa H.M. Keegan, Scarlett Lin Gomez, and Sally L. Glaser
Subjects: 0301 basic medicine, Gerontology, Cancer Research, business.industry, Proportional hazards model, Hazard ratio, Cancer, medicine.disease, Cancer registry, 03 medical and health sciences, 030104 developmental biology, 0302 clinical medicine, Oncology, 030220 oncology & carcinogenesis, Risk of mortality, Medicine, Marital status, business, Socioeconomic status, Demography, Cohort study
Abstract: Author(s): Gomez, Scarlett Lin; Hurley, Susan; Canchola, Alison J; Keegan, Theresa HM; Cheng, Iona; Murphy, James D; Clarke, Christina A; Glaser, Sally L; Martinez, Maria Elena | Abstract: BackgroundAlthough married cancer patients have more favorable survival than unmarried patients, reasons underlying this association are not fully understood. The authors evaluated the role of economic resources, including health insurance status and neighborhood socioeconomic status (nSES), in a large California cohort.MethodsFrom the California Cancer Registry, we identified 783,167 cancer patients (386,607 deaths) who were diagnosed during 2000 through 2009 with a first primary, invasive cancer of the 10 most common sites of cancer-related death for each sex and were followed through 2012. Age-stratified and stage-stratified Cox proportional hazard models were used to estimate hazard ratios (HRs) and 95% confidence intervals (95% CIs) for all-cause mortality associated with marital status, adjusted for cancer site, race/ethnicity, and treatment.ResultsCompared with married patients, unmarried patients had an elevated risk of mortality that was higher among males (HR, 1.27; 95% CI, 1.26-1.29) than among females (HR, 1.19; 95% CI, 1.18-1.20; Pinteraction l .001). Adjustment for insurance status and nSES reduced the marital status HRs to 1.22 for males and 1.15 for females. There was some evidence of synergistic effects of marital status, insurance, and nSES, with relatively higher risks observed for unmarried status among those who were under-insured and living in high nSES areas compared with those who were under-insured and living in low nSES areas (Pinteraction = 6.8 × 10(-9) among males and 8.2 × 10(-8) among females).ConclusionsThe worse survival of unmarried than married cancer patients appears to be minimally explained by differences in economic resources. Cancer 2016;122:1618-25. © 2016 American Cancer Society.
Published: 2016

31. Differences in marital status and mortality by race/ethnicity and nativity among California cancer patients

Author: Theresa H.M. Keegan, Scarlett Lin Gomez, Alison J. Canchola, James D. Murphy, Susan Hurley, Sally L. Glaser, Christina A. Clarke, Kristin Anderson, Iona Cheng, and Maria Elena Martinez
Subjects: Gerontology, Cancer Research, business.industry, Hazard ratio, Ethnic group, Cancer, medicine.disease, Cancer registry, 03 medical and health sciences, 0302 clinical medicine, Oncology, 030220 oncology & carcinogenesis, Cohort, Marital status, Medicine, Pacific islanders, 030212 general & internal medicine, Young adult, business, Demography
Abstract: Author(s): Martinez, Maria Elena; Anderson, Kristin; Murphy, James D; Hurley, Susan; Canchola, Alison J; Keegan, Theresa HM; Cheng, Iona; Clarke, Christina A; Glaser, Sally L; Gomez, Scarlett L | Abstract: BackgroundIt has been observed that married cancer patients have lower mortality rates than unmarried patients, but data for different racial/ethnic groups are scarce. The authors examined the risk of overall mortality associated with marital status across racial/ethnic groups and sex in data from the California Cancer Registry.MethodsCalifornia Cancer Registry data for all first primary invasive cancers diagnosed from 2000 through 2009 for the 10 most common sites of cancer-related death for non-Hispanic whites (NHWs), blacks, Asians/Pacific Islanders (APIs), and Hispanics were used to estimate multivariable hazard ratios (HRs) and 95% confidence intervals (CIs) for marital status in relation to overall mortality by race/ethnicity and sex. The study cohort included 393,470 male and 389,697 female cancer patients and 204,007 and 182,600 deaths from all causes, respectively, through December 31, 2012.ResultsAll-cause mortality was higher in unmarried patients than in married patients, but there was significant variation by race/ethnicity. Adjusted HRs (95% CIs) ranged from 1.24 (95% CI, 1.23-1.26) in NHWs to 1.11 (95% CI, 1.07-1.15) in APIs among males and from 1.17 (95% CI, 1.15-1.18) in NHWs to 1.07 (95% CI, 1.04-1.11) in APIs among females. All-cause mortality associated with unmarried status compared with married status was higher in US-born API and Hispanic men and women relative to their foreign-born counterparts.ConclusionsFor patients who have the cancers that contribute most to mortality, being unmarried is associated with worse overall survival compared with being married, with up to 24% higher mortality among NHW males but only 6% higher mortality among foreign-born Hispanic and API females. Future research should pursue the identification of factors underlying these associations to inform targeted interventions for unmarried cancer patients. Cancer 2016;122:1570-8. © 2016 American Cancer Society.
Published: 2016

32. Association between Serum Polybrominated Diphenyl Ether Levels and Residential Proximity to Solid-Waste Facilities

Author: Yunzhu Wang, Myrto Petreas, June-Soo Park, David O. Nelson, Andrew Hertz, Ruiling Liu, Weihong Guo, Susan Hurley, Leslie Bernstein, and Peggy Reynolds
Subjects: 0301 basic medicine, Municipal solid waste, Polybrominated Biphenyls, 010501 environmental sciences, Solid Waste, 01 natural sciences, Article, California, 03 medical and health sciences, chemistry.chemical_compound, Polybrominated diphenyl ethers, Residence Characteristics, Environmental health, Halogenated Diphenyl Ethers, Humans, Environmental Chemistry, Medicine, Socioeconomic status, Aged, 0105 earth and related environmental sciences, Aged, 80 and over, business.industry, Diphenyl ether, Environmental engineering, General Chemistry, Middle Aged, Lipids, 030104 developmental biology, chemistry, Female, business, Environmental Monitoring
Abstract: As consumer products treated with polybrominated diphenyl ethers (PBDEs) reach the end of their life cycle, they often are discarded into solid-waste facilities, offering a potential reservoir for exposure. The likelihood of exposures to PBDEs by residents living near those sites rarely has been explored. This study collected blood samples from 923 female participants in the California Teachers Study in 2011-2013 and examined the association between participants' residential proximity to solid-waste facilities with potential release of PBDEs and serum levels of three congeners (BDE-47, BDE-100, and BDE-153). General linear regression analysis was used to examine the association, adjusting for age, race, body-mass index, neighborhood socioeconomic status, and urban residency. Compared to participants living10 km from any selected site, those living within 2 km had 45% higher BDE-47 (95% CI: 5-100%) and BDE-100 (95% CI: 0-109%) levels, and those living between 2 and 10 km had 35% higher BDE-47 (95% CI: 0-82%) and 29% higher BDE-100 (95% CI: -9 to 82%) levels. No associations were found for BDE-153. Living close to some solid waste sites may be related to higher serum BDE-47 and BDE-100 levels. Studies with comprehensive exposure assessments are needed to confirm these initial observations.
Published: 2016

33. Abstract P1-07-26: Marital status and overall mortality in breast cancer patients: Differences by socioeconomic status and race/ethnicity

Author: Alison J. Canchola, Iona Cheng, Sally L. Glaser, Christina A. Clarke, Richard Schwab, Maria Elena Martinez, Scarlett Lin Gomez, K Anderson, Thm Keegan, and Susan Hurley
Subjects: Gerontology, Cancer Research, education.field_of_study, business.industry, Hazard ratio, Population, Cancer, medicine.disease, Cancer registry, Breast cancer, Oncology, Risk of mortality, medicine, Marital status, Pacific islanders, business, education, Demography
Abstract: Background: Results of several studies show that married cancer patients have lower mortality than unmarried patients. However, data on differences by race/ethnicity are lacking. We assessed the risk of overall mortality associated with marital status among patients with breast cancer according to neighborhood socioeconomic status (SES) and race/ethnicity. Methods: We used data from the population-based California Cancer Registry to include breast cancer cases diagnosed between 2000 and 2009 with follow-up through December 31, 2012 and identified 175,154 women with invasive breast cancer. We estimated hazard rate ratios (HR) and 95% confidence intervals (CI) for overall mortality by neighborhood SES and race/ethnicity. Results: Among all cases, 42.6% were unmarried at the time of diagnosis. In adjusted models, the HR for all-cause mortality (95% CI) for unmarried compared to married women was 1.20 (1.17-1.22). There was no significant difference by SES. However, significant variation was observed by race/ethnicity. The HRs (95% CI) were 1.23 (1.20-1.26), 1.20 (1.11-1.30), 1.12 (1.04-1.21), and 1.05 (0.99-1.11) for NH Whites, NH Asians/Pacific Islanders (API), NH Blacks, and Hispanics, respectively. Among API subgroups, Chinese (HR=1.35; 95% CI, 1.12-1.62) and Filipinas (HR=1.25; 95% CI, 1.09-1.44) were the only groups with significantly higher risk of total mortality associated with unmarried status. Conclusions: Our results show that not being married at the time of breast cancer diagnosis is associated with worse overall survival compared to being married. Significant variation in risk of mortality was shown by race/ethnicity but not by neighborhood SES. Targeted, culturally-appropriate interventions to support unmarried breast cancer patients through their cancer treatment and survivorship need to be developed to improve their survival. Citation Format: Martinez ME, Anderson K, Schwab R, Hurley S, Canchola AJ, Keegan THM, Cheng I, Clarke C, Glaser S, Gomez SL. Marital status and overall mortality in breast cancer patients: Differences by socioeconomic status and race/ethnicity. [abstract]. In: Proceedings of the Thirty-Eighth Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2015 Dec 8-12; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2016;76(4 Suppl):Abstract nr P1-07-26.
Published: 2016

34. Urinary cadmium and timing of menarche and pubertal development in girls

Author: Peggy Reynolds, Alison J. Canchola, Christine Duffy, Susan L. Neuhausen, Rudolph P. Rull, Pamela L. Horn-Ross, and Susan Hurley
Subjects: Adolescent, Urinary system, Physiology, Urine, 010501 environmental sciences, 01 natural sciences, Biochemistry, White People, Article, Cohort Studies, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, medicine, Humans, Sexual Maturation, 030212 general & internal medicine, Child, 0105 earth and related environmental sciences, General Environmental Science, Menarche, Breast development, Creatinine, Proportional hazards model, business.industry, Puberty, Pubic hair, medicine.anatomical_structure, chemistry, Cohort, Body Burden, Female, business, Cadmium
Abstract: BACKGROUND: Cadmium (Cd) is a developmental toxicant that is released into the environment during industrial processes. Previous animal studies suggest that Cd may impact the onset of puberty. OBJECTIVES: To determine whether Cd exposure, measured as urinary Cd concentration, was associated with ages at menarche and pubertal development. METHODS: A cohort of 211 girls, ages 10 to 13 years at baseline, was followed for up to two years. Girls completed an interview and self-assessment of Tanner stages of breast development and pubic hair growth. They were followed monthly until menarche. Urinary Cd concentrations were measured in overnight urine specimens. Multivariable Cox regression was used to evaluate the association between urinary Cd and age at menarche and cumulative logit regression was used to evaluate the associations between Cd and breast development and pubic hair growth. RESULTS: The baseline geometric mean creatinine-adjusted Cd concentration was 0.22 μg/g creatinine (geometric standard deviation = 1.6) and decreased with increasing age (p-trend =0.04). Cd levels were higher among Asian than White girls or girls of other/mixed race/ethnicity (p = 0.04). In multivariable analyses, girls with urinary Cd ≥ 0.4 μg/L were less likely to have attained menarche than girls with urinary Cd < 0.2 μg/L (hazard ratio = 0.42; 95% confidence interval, 0.23–0.78). Urinary Cd was negatively associated with pubic hair growth (p-trend = 0.01) but not with breast development (p-trend = 0.72) at baseline. CONCLUSIONS: These findings suggest that a higher Cd body burden may delay some aspects of pubertal development among girls.
Published: 2020

35. Exploring Environmental Chemicals and Risk of Breast Cancer during the Menopausal Transition

Author: Yuan Chun Ding, Peggy Reynolds, Noriko Kanaya, Shiuan Chen, Susan L. Neuhausen, David Nelson, Susan Hurley, and June-Soo Park
Subjects: Oncology, medicine.medical_specialty, Breast cancer, Transition (genetics), business.industry, Internal medicine, General Earth and Planetary Sciences, Medicine, business, medicine.disease, General Environmental Science
Published: 2018

36. Residential History Construction and Application to Etiologic Studies of Environmental Hazards: Lessons Learned

Author: Peggy Reynolds, David O. Nelson, Julie VonBehren, and Susan Hurley
Subjects: History, General Earth and Planetary Sciences, Residential history, Environmental planning, General Environmental Science
Published: 2018

37. Breast Cancer Risk and Serum Levels of Per- and Poly-Fluoroalkyl Substances (PFASs): A Case-Control Study Nested in the California Teachers Study

Author: Miaomiao Wang, Myrto Petreas, Susan Hurley, Peggy Reynolds, Leslie R. Bernstein, David O. Nelson, June-Soo Park, Hoda Anton-Culver, and Debbie Goldberg
Subjects: Oncology, medicine.medical_specialty, Breast cancer, business.industry, Internal medicine, Case-control study, General Earth and Planetary Sciences, Medicine, business, medicine.disease, General Environmental Science
Published: 2018

38. Cape Verdeans in the Atlantic: the formation of Kriolu music and dance styles on ship and in port

Author: Susan Hurley-Glowa
Subjects: Cape verde, Violin musical styles, Dance, media_common.quotation_subject, Beauty, General Medicine, Musical, Art, Treasure, Music history, media_common, Musical form, Visual arts
Abstract: Working from the premise that Cape Verde is a member of the Black Atlantic musical family whose styles flowed freely from port to port, this study has delved deeper into the styles and time frames that figured into the mix, verifying that periods of intense transatlantic port activity correspond to the emergence of new genres. Cape Verde’s musical history might be viewed as a sandbar on the beach that is continually reshaped and born a new by waves of musical influences circling between the continents. The ideas of individual Cape Verdeans ultimately created the music, of course, and a comparative approach is not meant to lessen those musicians’ importance, or detract from the beauty and perfection of Cape Verde’s greatest treasure. The footprints of transatlantic connections in Cape Verdean musical styles can be found in its rhythms, instruments, vocabularies, scores, and ship route patterns. People create styles, and musical communication happens on the personal level - through sailors sharing a tune at sea, through encounters in harbor dancehalls, and through ideas brought back home. Generations of seafarers found safe harbor in Cape Verde, carrying music round and round the Atlantic, and this process is still shaping the local forms, although the travel is now by jet, and the exchanges are often over the worldwide web. While some details about musical communities on the high seas may be lost to us, there is still information to be gained about Cape Verdean musical forms through a study of the multi-directional movements of musicians, artifacts, repertoires, and ideas around the Atlantic rim.
Published: 2015

39. Pilot study to assess effects of collection tube types and processing delay on measurements of persistent organic pollutants and lipids in human serum

Author: June-Soo Park, Weihong Guo, David O. Nelson, Myrto Petreas, Miaomiao Wang, Peggy Reynolds, Tan Guo, and Susan Hurley
Subjects: Time Factors, Environmental Engineering, Health, Toxicology and Mutagenesis, Pilot Projects, Biomonitoring, Halogenated Diphenyl Ethers, Hydrocarbons, Chlorinated, Humans, Environmental Chemistry, Pesticides, Triglycerides, Processing delay, Pollutant, Blood Specimen Collection, Fluorocarbons, Chemistry, Public Health, Environmental and Occupational Health, General Medicine, General Chemistry, Polychlorinated Biphenyls, Pollution, Cholesterol, Environmental chemistry, Environmental Pollutants, Environmental Monitoring, Field conditions
Abstract: Glass red top tubes (RTs), traditionally used to draw blood for biomonitoring studies, have some limitations during field sampling (e.g., tube breakage, timely processing may be difficult). This pilot study examined whether serum separation tubes (SSTs) with delayed processing time (48 h) can be used instead of red top tubes (RTs) to accommodate field conditions. Using state-of-the-art methodologies, PBDEs, PCBs, OCPs, PFCs, cholesterol and triglycerides were measured to evaluate any differences among 2 test conditions (RTs with 2 h processing time; SSTs with 48 h processing time). Between the 2 test conditions, we observed high rank correlations among the measured compounds and no statistically significant differences in the levels of measured compounds. We conclude that SSTs with delayed processing time (48 h) produce similar results as RTs with short processing time (2 h), suggesting that SSTs could be good substitutes for RTs for new epidemiological and biomonitoring field studies. The use of SSTs offers a tremendous opportunity for the use of samples archived in various SSTs.
Published: 2014

40. Light at Night and Breast Cancer Risk Among California Teachers

Author: Peggy Reynolds, Leslie R. Bernstein, Pamela L. Horn-Ross, Debbie Goldberg, David Nelson, Susan Hurley, and Andrew Hertz
Subjects: Gerontology, Epidemiology, Proportional hazards model, business.industry, Hazard ratio, Social class, medicine.disease, Article, Confidence interval, Cancer registry, Breast cancer, Medicine, business, Prospective cohort study, Cancer Etiology, Demography
Abstract: Background There is convincing evidence that circadian disruption mediated by exposure to light at night promotes mammary carcinogenesis in rodents. The role that light at night plays in human breast cancer etiology remains unknown. We evaluated the relationship between estimates of indoor and outdoor light at night and the risk of breast cancer among members of the California Teachers Study. Methods Indoor light-at-night estimates were based on questionnaire data regarding sleep habits and use of nighttime lighting while sleeping. Estimates of outdoor light at night were derived from imagery data obtained from the US Defense Meteorological Satellite Program assigned to geocoded addresses of study participants. Analyses were conducted among 106,731 California Teachers Study members who lived in California, had no prior history of breast cancer, and provided information on lighting while sleeping. Five thousand ninety-five cases of invasive breast cancer diagnosed 1995-2010 were identified via linkage to the California Cancer Registry. We used age-stratified Cox proportional hazard models to calculate hazard ratios (HRs) with 95% confidence intervals (CIs), adjusting for breast cancer risk factors and neighborhood urbanization and socioeconomic class. Results An increased risk was found for women living in areas with the highest quintile of outdoor light-at-night exposure estimates (HR = 1.12 [95% CI = 1.00-1.26]; test for trend, P = 0.06). Although more pronounced among premenopausal women (HR = 1.34 [95% CI = 1.07-1.69]; test for trend, P = 0.04), the associations did not differ statistically by menopausal status (test for interaction, P = 0.34). Conclusions Women living in areas with high levels of ambient light at night may be at an increased risk of breast cancer. Future studies that integrate quantitative measurements of indoor and outdoor light at night are warranted.
Published: 2014

41. Evaluation of the agreement between modeled and monitored ambient hazardous air pollutants in California

Author: Peggy Reynolds, Robert B. Gunier, Erika Garcia, Andrew Hertz, David O. Nelson, and Susan Hurley
Subjects: Air Pollutants, Health, Toxicology and Mutagenesis, Public Health, Environmental and Occupational Health, Air pollution, Environmental engineering, General Medicine, Models, Theoretical, medicine.disease_cause, medicine.disease, Pollution, Hazardous air pollutants, California, Hazardous Substances, Breast cancer, Data Interpretation, Statistical, Environmental health, medicine, Environmental science, skin and connective tissue diseases, Environmental Monitoring, Exposure assessment
Abstract: Elevated breast cancer incidence rates in urban areas have led to speculation regarding the potential role of air pollution. In order to inform the exposure assessment for a subsequent breast cancer study, we evaluated agreement between modeled and monitored hazardous air pollutants (HAPs). Modeled annual ambient concentrations of HAPs in California came from the US Environmental Protection Agency's National Air Toxics Assessment database for 1996, 1999, 2002, and 2005 and corresponding monitored data from the California Air Resources Board's air quality monitoring program. We selected 12 compounds of interest for our study and focused on evaluating agreement between modeled and monitored data, and of temporal trends. Modeled data generally underestimated the monitored data, especially in 1996. For most compounds agreement between modeled and monitored concentrations improved over time. We concluded that 2002 and 2005 modeled data agree best with monitored data and are the most appropriate years for direct use in our subsequent epidemiologic analysis.
Published: 2013

42. Risk of colorectal cancer associated with active smoking among female teachers

Author: Debbie Goldberg, Yani Lu, David O. Nelson, Peggy Reynolds, Katherine D. Henderson, Leslie Bernstein, and Susan Hurley
Subjects: Adult, Oncology, Cancer Research, medicine.medical_specialty, Colorectal cancer, education, Article, Cohort Studies, Risk Factors, Internal medicine, Epidemiology, Confidence Intervals, medicine, Humans, Prospective Studies, Active smoking, Prospective cohort study, Aged, Proportional Hazards Models, Aged, 80 and over, business.industry, Proportional hazards model, Public health, Smoking, Middle Aged, medicine.disease, Faculty, Large cohort, Family medicine, Female, Colorectal Neoplasms, business, Cohort study
Abstract: The objective of this study was to examine the risk of colorectal cancer associated with active smoking among members of the California Teachers Study (CTS), a large cohort of female public school employees for whom highly detailed smoking information is available.The analysis was conducted among the 122,264 CTS participants who lived in California at cohort entry in 1995/1996, had no prior history of colorectal cancer, and provided detailed smoking information. 1,205 cases of invasive colorectal cancer prospectively diagnosed in 1995-2009 were identified from the California Cancer Registry, including 650 in the proximal colon, 267 in the distal colon, and 288 in the rectum. Hazard ratios and 95% confidence intervals were estimated using Cox proportional hazards models, stratified by age at cohort entry, and adjusted for race/ethnicity.Compared to never smokers, current smokers had an approximately 30% increased risk of colorectal cancer. Overall, a slightly elevated risk was also noted for former smokers. Among former smokers, risks appeared to remain elevated for up to 20 years following cessation. Risks among former and current smokers increased with greater intensity and duration of smoking. Little evidence for heterogeneity in risk was noted for colon versus rectal cancer or for different subsites within the colon.These results provide convincing evidence that heavy and/or long-term smoking is a risk factor for cancers of the colon and rectum. Such evidence should be considered when updating screening guidelines to include targeting people with long active smoking histories.
Published: 2013

43. The Association Between Neighborhood Characteristics and Body Size and Physical Activity in the California Teachers Study Cohort

Author: Leslie Bernstein, Theresa H.M. Keegan, Scarlett Lin Gomez, Pamela L. Horn-Ross, David O. Nelson, Debbie Goldberg, Susan Hurley, and Peggy Reynolds
Subjects: Adult, genetic structures, Research and Practice, Ethnic group, Level design, Overweight, California, Body Mass Index, Cohort Studies, Residence Characteristics, Surveys and Questionnaires, Body Size, Humans, Medicine, Obesity, Prospective Studies, Exercise, Aged, business.industry, Public Health, Environmental and Occupational Health, nutritional and metabolic diseases, social sciences, Middle Aged, medicine.disease, Faculty, Crowding, Social Class, Cohort, population characteristics, Environment Design, Female, medicine.symptom, business, human activities, Body mass index, Demography, Cohort study
Abstract: Objectives. We considered interactions between physical activity and body mass index (BMI) and neighborhood factors. Methods. We used recursive partitioning to identify predictors of low recreational physical activity (2) among 118 315 women in the California Teachers Study. Neighborhood characteristics were based on 2000 US Census data and Reference US business listings. Results. Low physical activity and being overweight or obese were associated with individual sociodemographic characteristics, including race/ethnicity and age. Among White women aged 36 to 75 years, living in neighborhoods with more household crowding was associated with a higher probability of low physical activity (54% vs 45% to 51%). In less crowded neighborhoods where more people worked outside the home, the existence of fewer neighborhood amenities was associated with a higher probability of low physical activity (51% vs 46%). Among non–African American middle-aged women, living in neighborhoods with a lower socioeconomic status was associated with a higher probability of being overweight or obese (46% to 59% vs 38% in high–socioeconomic status neighborhoods). Conclusions. Associations between physical activity, overweight and obesity, and the built environment varied by sociodemographic characteristics in this educated population.
Published: 2012

44. Birth size and breast cancer risk among young California-born women

Author: Michael Layefsky, Thu Quach, Debbie Goldberg, Peggy Reynolds, Susan Hurley, and Julie Von Behren
Subjects: Adult, Risk, Cancer Research, medicine.medical_specialty, Breast Neoplasms, California, Young Adult, Breast cancer, Epidemiology, Odds Ratio, medicine, Birth Weight, Humans, skin and connective tissue diseases, Obstetrics, business.industry, Public health, medicine.disease, Birth size, Logistic Models, Receptors, Estrogen, Oncology, Case-Control Studies, Female, Medical Record Linkage, Receptors, Progesterone, business
Abstract: Evaluate the risk of breast cancer associated with birth size among young California-born women.Invasive breast cancer cases diagnosed 1988-2004 among women born in California during the 1960s were identified from the California Cancer Registry. Breast cancer cases (n = 3,712) were linked to their California birth records. Controls (n = 8,615) were randomly selected from California birth records for women, frequency matched to cases by birth year. Odds ratios (ORs) and 95% confidence intervals (95% CI) were estimated from unconditional logistic regression.The adjusted OR for breast cancer associated with the highest category of birth weight (≥4,000 g) was 1.12 (95% CI 0.89-1.41), p-trend = 0.02. The adjusted OR for the highest category of birth length (20 inches) was 1.13 (95% CI 1.02-1.25), p-trend = 0.02. These relationships appeared to be confined to cases with estrogen receptor positive (ER+) tumors (p-trend ≤0.01) or progesterone receptor positive (PR+) tumors (p-trend ≤0.02). No significant associations were found among cases with ER or PR negative tumors.Our results confirm previous findings of elevated breast cancer risk associated with increases in birth size. These risks may be confined to ER+ and PR+ tumors, highlighting the potential mechanistic role of sex steroid hormonal pathways.
Published: 2011

45. Golden Matrix Families

Author: Anne Fontaine and Susan Hurley
Subjects: Algebra, Matrix (mathematics), General Mathematics, Diagonal, Regular polygon, Language of mathematics, Applied mathematics, Mathematics instruction, Student research, Education, Mathematics
Abstract: This student research project explores the properties of a family of matrices of zeros and ones that arises from the study of the diagonal lengths in a regular polygon. There is one family for each...
Published: 2011

46. Understanding Simulation1

Author: Susan Hurley
Subjects: Philosophy, History and Philosophy of Science, Psychology
Published: 2008

47. Tracing a Path to the Past: Exploring the Use of Commercial Credit Reporting Data to Construct Residential Histories for Epidemiologic Studies of Environmental Exposures

Author: Leslie Bernstein, Andrew Hertz, Dennis Deapen, Julie Von Behren, Peggy Reynolds, Michael Layefsky, Susan Hurley, and David O. Nelson
Subjects: Adult, data collection, Databases, Factual, Epidemiology, Practice of Epidemiology, Concordance, Breast Neoplasms, California, Cohort Studies, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Credit history, Environmental health, Accounting, Medicine, Humans, residential history, residential mobility, 030212 general & internal medicine, Prospective cohort study, Aged, Demography, validation studies, Aged, 80 and over, Data collection, business.industry, Environmental exposure, Environmental Exposure, Middle Aged, environmental epidemiology, Commercial credit reporting, 030220 oncology & carcinogenesis, Residence, Female, business, Epidemiologic Methods, Environmental epidemiology
Abstract: Large-scale environmental epidemiologic studies often rely on exposure estimates based on linkage to residential addresses. This approach, however, is limited by the lack of residential histories typically available for study participants. Our objective was to evaluate the feasibility of using address data from LexisNexis (a division of RELX, Inc., Dayton, Ohio), a commercially available credit reporting company, to construct residential histories for participants in the California Teachers Study (CTS), a prospective cohort study initiated in 1995–1996 to study breast cancer (n = 133,479). We evaluated the degree to which LexisNexis could provide retrospective addresses prior to study enrollment, as well as the concordance with existing prospective CTS addresses ascertained at the time of the completion of 4 self-administered questionnaires. For approximately 80% of CTS participants, LexisNexis provided at least 1 retrospective address, including nearly 25,000 addresses completely encompassed by time periods prior to enrollment. This approach more than doubled the proportion of the study population for whom we had an address of residence during the childbearing years—an important window of susceptibility for breast cancer risk. While overall concordance between the prospective addresses contained in these 2 data sources was good (85%), it was diminished among black women and women under the age of 40 years.
Published: 2015

48. Hazardous air pollutants and breast cancer risk in California teachers: a cohort study

Author: Andrew Hertz, Erika Garcia, David O. Nelson, Peggy Reynolds, and Susan Hurley
Subjects: Health, Toxicology and Mutagenesis, 010501 environmental sciences, 01 natural sciences, California, Progesterone receptor, Cohort Studies, Breast cancer, 0302 clinical medicine, Risk Factors, 11. Sustainability, Estrogen receptor, Prospective Studies, Prospective cohort study, Aged, 80 and over, Air Pollutants, National-scale Air Toxics Assessment, education.field_of_study, Hazardous air pollutant, Incidence, Hazard ratio, Environmental exposure, Middle Aged, 16. Peace & justice, Ethylidene dichloride, 3. Good health, 030220 oncology & carcinogenesis, Population study, Female, Vinyl chloride, Environmental Monitoring, Cohort study, Adult, Population, Air pollution, Breast Neoplasms, Young Adult, 03 medical and health sciences, Environmental health, medicine, Humans, Mammary Glands, Human, education, Carbon tetrachloride, Aged, Proportional Hazards Models, 0105 earth and related environmental sciences, Proportional hazards model, business.industry, Research, Public Health, Environmental and Occupational Health, Benzene, Environmental Exposure, Models, Theoretical, medicine.disease, 13. Climate action, Carcinogens, business
Abstract: Background Studies suggest that higher breast cancer rates in urban areas persist after accounting for the prevalence of known risk factors, leading to speculation that urban environmental exposures, such as air pollution, may play a role in the etiology of breast cancer. Combining modeled ambient air concentrations with data from a large prospective cohort of California women with over 15 years of follow-up, we examined the relationship between breast cancer incidence and modeled concentrations of air pollutants shown to be mammary gland carcinogens (MGCs). Methods The study population of 112,378 California Teachers Study participants included 5,676 women diagnosed with invasive breast cancer. Modeled annual average ambient air concentrations of 24 MGCs from the U.S. Environmental Protection Agency were linked to participants’ addresses. Cox proportional hazards models were used to estimate hazard rate ratios and 95% confidence intervals associated with residential MGC levels. MGCs were examined individually and as a combined summary variable for all participants, in selected subsets, and by tumor hormone responsiveness. Results Initial models yielded some evidence for increased risk for several compounds, including acrylamide, carbon tetrachloride, chloroprene, 4,4'-methylene bis(2-chloroaniline), propylene oxide, and vinyl chloride, but after adjustment for multiple comparisons, only results for propylene oxide and vinyl chloride remained statistically significant. In subset analyses, estrogen-receptor positive or progesterone-receptor positive (ER+/PR+) tumors were associated with higher ambient levels of acrylamide, benzidine, carbon tetrachloride, ethylidene dichloride, and vinyl chloride, while ER-/PR- tumors were associated with higher ambient levels of benzene. Interesting results for different compounds were observed within certain subsets of the population. Conclusion While our initial models yielded several elevated risk estimates, after adjusting for multiple comparisons and breast cancer risk factors, most hazard ratios were no longer statistically significant. Our subset analyses, however, suggest that elevated risk may be associated with some compounds for certain subgroups of interest. A summary variable for all 24 MGCs did not offer any advantage over the models for individual compounds. Results must be interpreted cautiously, as estimated exposure was limited to modeled annual average ambient air concentrations, and could not account for other sources or routes other than inhalation. Electronic supplementary material The online version of this article (doi:10.1186/1476-069X-14-14) contains supplementary material, which is available to authorized users.
Published: 2015

49. Estimating Exposure to Polycyclic Aromatic Hydrocarbons: A Comparison of Survey, Biological Monitoring, and Geographic Information System–Based Methods

Author: Sauda Yerabati, Peggy Reynolds, Paul T. Strickland, Robert B. Gunier, Pamela L. Horn-Ross, Susan Hurley, and Andrew Hertz
Subjects: Adult, Male, Meat, Epidemiology, Polycyclic aromatic hydrocarbon, Glucuronates, Urine, chemistry.chemical_compound, Surveys and Questionnaires, Environmental health, Humans, Cooking, Polycyclic Aromatic Hydrocarbons, Secondhand smoke, Aged, Aged, 80 and over, Smoke, chemistry.chemical_classification, Pyrenes, Geography, Smoking, Environmental Exposure, Environmental exposure, Middle Aged, Oncology, chemistry, Geographic Information Systems, Wood burning, Pyrene, Female, Tobacco Smoke Pollution, Urine sample, Biomarkers, Environmental Monitoring
Abstract: Our objective was to compare polycyclic aromatic hydrocarbon (PAH) exposure estimates based on survey, biological monitoring, and geographic information system (GIS) methods. The 304 participants in this study supplied a urine sample and completed questionnaires about exposure to potential PAH sources. We assayed urine samples for 1-hydroxypyrene-O-glucuronide (1-OHPG), the major metabolite of pyrene, a common PAH. We used a GIS to estimate traffic exhaust exposure using vehicle count data at the residence and workplace. The five subjects who reported smoking during the 48-hour period had median 1-OHPG concentrations 10-fold that of nonsmokers (1.6 versus 0.16 pmol/mL; P = 0.01). Among nonsmokers, those who reported eating grilled, roasted, or broiled meat had significantly higher 1-OHPG concentrations than those who did not reported eating meat prepared by these methods (0.25 versus 0.06 pmol/mL; P = 0.02). Nonsmokers who reported traveling on roads for ≥3 hours during the 48-hour period also had significantly higher 1-OHPG levels than those who traveled
Published: 2006

50. Disaggregating data on Asian American and Pacific Islander women to provide new insights on potential exposures to hazardous air pollutants in California

Author: Ruiling Liu, Peggy Reynolds, David O. Nelson, Susan Hurley, Andrew Hertz, Julie Von Behren, and Thu Quach
Subjects: Native Hawaiian or Other Pacific Islander, Epidemiology, Population, Statistics as Topic, Ethnic group, Breast Neoplasms, Risk Assessment, California, Asian americans, Humans, education, Asia, Southeastern, Language, education.field_of_study, Air Pollutants, Asian, Asia, Eastern, Incidence (epidemiology), Censuses, Environmental exposure, Environmental Exposure, Census, Carcinogens, Environmental, Geography, Oncology, Pacific islanders, Female, Risk assessment, Demography
Abstract: Background: The Asian American and Pacific Islander (AAPI) population is heterogeneous and rapidly growing in the United States, with a high proportion concentrated in California. Although traditionally assumed to have lower rates of breast cancer than non-Hispanic white women, recent studies have suggested considerable variation in incidence by AAPI ethnic group, with rates in some exceeding those in non-Hispanic whites. The potential role of environmental toxicants has not been well explored and may provide insights into these patterns. Methods: We created an exposure potential index (EPI) score for 24 hazardous air pollutants modeled by the U.S. Environmental Protection Agency National-Scale Air Toxics Assessment considered to be mammary gland carcinogens, and compared values at the census tract level for “geographically concentrated” AAPI groups throughout the State. “Geographically concentrated” populations were defined as census tracts with at least 100 individuals from a specified racial/ethnic population as enumerated by the 2000 Census. Results: Although EPI scores differed little between census tracts with aggregated AAPI (mean EPI = 0.53) and non-Hispanic white women (mean EPI = 0.63), there was substantial variation between tracts for disaggregated AAPI groups, with notably higher EPI scores for tracts enumerated for Korean or Japanese women (mean EPI of 0.78 and 0.77, respectively) compared with other AAPI groups. Conclusions: Our findings underscore the importance of disaggregating data for the heterogeneous AAPI population to identify differences in potential environmental exposures across groups. Impact: Future cancer etiology studies should examine environmental exposure differences within and across groups for the diverse AAPI population. See all the articles in this CEBP Focus section, “Cancer in Asian and Pacific Islander Populations.” Cancer Epidemiol Biomarkers Prev; 23(11); 2218–28. ©2014 AACR.
Published: 2014

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