14 research outputs found

    Effects of Particulate Air Pollution on Cardiovascular Health: A Population Health Risk Assessment

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    Particulate matter (PM) air pollution is increasingly recognized as an important and modifiable risk factor for adverse health outcomes including cardiovascular disease (CVD). However, there are still gaps regarding large population risk assessment. Results from the nationwide Behavioral Risk Factor Surveillance System (BRFSS) were used along with air quality monitoring measurements to implement a systematic evaluation of PM-related CVD risks at the national and regional scales. CVD status and individual-level risk factors were collected from more than 500,000 BRFSS respondents across 2,231 contiguous U.S. counties for 2007 and 2009. Chronic exposures to PM pollutants were estimated with spatial modeling from measurement data. CVD outcomes attributable to PM pollutants were assessed by mixed-effects logistic regression and latent class regression (LCR), with adjustment for multicausality. There were positive associations between CVD and PM after accounting for competing risk factors: the multivariable-adjusted odds for the multiplicity of CVD outcomes increased by 1.32 (95% confidence interval: 1.23–1.43) and 1.15 (1.07–1.22) times per 10 µg/m3 increase in PM2.5 and PM10 respectively in the LCR analyses. After controlling for spatial confounding, there were moderate estimated effects of PM exposure on multiple cardiovascular manifestations. These results suggest that chronic exposures to ambient particulates are important environmental risk factors for cardiovascular morbidity

    Hitting the distributed computing sweet spot with TSpaces

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    Our world is becoming increasingly heterogeneous, decentralized and distributed, but the software that is supposed to work in this world, usually, is not. TSpaces is a communication package whose purpose is to alleviate the problems of hooking together disparate distributed systems. TSpaces is a global communication middleware component that incorporates database features, such as transactions, persistent data, ¯exible queries and XML support. TSpaces is an excellent tool for building distributed applications, since it provides an asynchronous and anonymous link between multiple clients or services. The communication link provided by TSpaces gives application builders the advantage of ignoring some of the harder aspects of multi-client synchronization, such as tracking names (and addresses) of all active clients, communication line status, and conversation status. For many di€erent types of applications, the loose synchronization provided by TSpaces works extremely well. This paper relates our experiences in building distribute
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