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Publication
Economics of children's environmental healthEconomic analyses are increasingly appearing in the children's environmental-health literature. In this review, an illustrative selection of articles that represent cost analyses, cost-effectiveness analyses, and cost-benefit analyses is analyzed for the …
Publication
Epidemiological characteristics and resource use in neonates with bronchopulmonary dysplasia: 1993-2006OBJECTIVE: To determine the trends in incidence of diagnosis of bronchopulmonary dysplasia (BPD) and associated health services use for the neonatal hospitalization of patients with BPD in an era of changing definitions and management. PATIENTS AND …
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How much should we invest in preventing childhood obesity?Policy makers generally agree that childhood obesity is a national problem. However, it is not always clear whether enough is being spent to combat it. This paper presents nine scenarios that assume three different degrees of reduction in …
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Childhood lead exposure after the phaseout of leaded gasoline: an ecological study of school-age children in Kampala, Uganda.BACKGROUND: Tetraethyl lead was phased out of gasoline in Uganda in 2005. Recent mitigation of an important source of lead exposure suggests examination and re-evaluation of the prevalence of childhood lead poisoning in this country. Ongoing concerns …
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Methylmercury exposure in a subsistence fishing community in Lake Chapala, Mexico: an ecological approachBACKGROUND: Elevated concentrations of mercury have been documented in fish in Lake Chapala in central Mexico, an area that is home to a large subsistence fishing community. However, neither the extent of human mercury exposure nor its sources and routes …
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Using national and local extant data to characterize environmental exposures in the national children's study: Queens County, New YorkOBJECTIVE: The National Children's Study is a long-term epidemiologic study of 100,000 children from 105 locations across the United States. It will require information on a large number of environmental variables to address its core hypotheses. The …
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Incremental charges, costs, and length of stay associated with obesity as a secondary diagnosis among pregnant womenTrasande L, Lee M, Liu Y, Weitzman M, Savitz D. …
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Effects of childhood obesity on hospital care and costs, 1999-2005Childhood obesity is increasingly recognized as an epidemic, but the economic consequences have not been well quantified. We evaluated trends in obesity-associated hospitalizations, charges, and costs using 1999-2005 data from a nationally representative …
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A systematic review of US state environmental legislation and regulation with regards to the prevention of neurodevelopmental disabilities and asthmaBACKGROUND: While much attention is focused on national policies intended to protect human health from environmental hazards, states can also prevent environmentally mediated disease through legislation and regulation. However, relatively few analyses …
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The impact of obesity on health service utilization and costs in childhoodMost studies of the economic costs of childhood obesity have focused upon hospitalization for comorbidities of obesity, whereas increased expenditures may also be the result of additional outpatient/emergency room visits or prescription drug expenditures. …
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Environment and obesity in the National Children's StudyOBJECTIVE: In this review we describe the approach taken by the National Children's Study (NCS), a 21-year prospective study of 100,000 American children, to understanding the role of environmental factors in the development of obesity. DATA SOURCES AND …
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The role of the environment in pediatric practice in Minnesota: attitudes, beliefs, and practicesPediatricians can help limit children's exposures to environmental hazards, but few studies have assessed their comfort with discussing and dealing with environmental health issues. We surveyed the membership of the Minnesota Chapter of the American …
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Genetics, altruism, and the National Children's StudyLandrigan PJ, Trasande L, Swanson JM. …
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Applying cost analyses to drive policy that protects children: mercury as a case studyExposure in prenatal life to methylmercury (MeHg) has become the topic of intense debate in the United States after the Environmental Protection Agency (EPA) announced a proposal in 2004 to reverse strict controls on emissions of mercury from coal-fired …
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The National Children's Study: a 21-year prospective study of 100,000 American childrenProspective, multiyear epidemiologic studies have proven to be highly effective in discovering preventable risk factors for chronic disease. Investigations such as the Framingham Heart Study have produced blueprints for disease prevention and saved …
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The environment in pediatric practice: a study of New York pediatricians' attitudes, beliefs, and practices towards children's environmental healthChronic diseases of environmental origin are a significant and increasing public health problem among the children of New York State, yet few resources exist to address this growing burden. To assess New York State pediatricians self-perceived competency …
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The National Children's Study and the children of WisconsinProspective, multi-year epidemiologic studies such as the Framingham Heart Study and the Nurses' Health Study have proven highly effective in identifying risk factors for chronic illness and in guiding disease prevention. Now, in order to identify …
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Pediatrician attitudes, clinical activities, and knowledge of environmental health in WisconsinPediatricians can reduce exposures to environmental hazards but most have little training in environmental health. To assess whether Wisconsin pediatricians perceive a relative lack of self-efficacy for common environmental exposures and diseases of …
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Mental retardation and prenatal methylmercury toxicityMethylmercury (MeHg) is a developmental neurotoxicant; exposure results principally from consumption of seafood contaminated by mercury (Hg). In this analysis, the burden of mental retardation (MR) associated with methylmercury exposure in the 2000 U.S. …
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Early environmental origins of neurodegenerative disease in later lifeParkinson disease (PD) and Alzheimer disease (AD), the two most common neurodegenerative disorders in American adults, are of purely genetic origin in a minority of cases and appear in most instances to arise through interactions among genetic and …
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The role of air pollution in asthma and other pediatric morbiditiesA growing body of research supports the role of outdoor air pollutants in acutely aggravating chronic diseases in children, and suggests that the pollutants may have a role in the development of these diseases. This article reviews the biologic basis of …
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The National Children's Study: a critical national investmentTrasande L, Landrigan PJ. …
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Public Health and Economic Consequences of Environmental Methylmercury Toxicity to the Developing BrainMethyl mercury is a developmental neurotoxicant. Exposure results principally from consumption by pregnant women of seafood contaminated by mercury from anthropogenic (70%) and natural (30%) sources. Throughout the 1990s, the U.S. Environmental Protection …