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2003 Progress Report: Center for the Study of Prevalent Neurotoxicants in Children

EPA Grant Number: R829389
Center: CECEHDPR - University of Cincinnati Center for the Study of Prevalent Neurotoxicants in Children
Center Director: Lanphear, Bruce
Title: Center for the Study of Prevalent Neurotoxicants in Children
Investigators: Dietrich, Kim , Hornung, Richard , Khoury, Jane , Lanphear, Bruce
Current Investigators: Lanphear, Bruce , Barr, Dana , Bearer, Cynthia , Cecil, Kim , Dietrich, Kim , Hornung, Rick , Ris, Douglas , Roda, Sandy , Yolton, Kimberly
Institution: Children Hospital of Cincinnati
EPA Project Officer: Saint, Chris
Project Period: November 1, 2001 through October 31, 2006
Project Period Covered by this Report: November 1, 2002 through October 31, 2003
Project Amount: $7,429,010
RFA: Centers for Children's Environmental Health and Disease Prevention Research (2001)
Research Category: Children's Health , Health Effects

Description:

Objective:

The objectives of the Center are to:  (1) test the efficacy of an intervention for the primary prevention of lead toxicity, as measured by lead concentration and neurobehavioral functioning at 36 months of age; (2) serve as a model to evaluate the adverse effects of exposures to multiple prevalent toxicants among fetuses and children; (3) test meconium levels as a biomarker of fetal exposure to numerous toxicants; and (4) provide exposure and risk assessment data for residential pesticides. 

Exposure to numerous environmental agents, including lead, mercury, polychlorinated biphenyls, and environmental tobacco smoke (ETS), has been linked with adverse neurobehavioral effects.  Still, the ideal biomarker for measuring in utero exposure to specific toxicants has not been established, and the adverse effects of many potential neurotoxicants have not been tested rigorously.  Fetal exposure typically is measured with self-reported surveys, maternal blood and urine, or cord blood.  In contrast, meconium as a biomarker is a noninvasive method to test simultaneously for cumulative exposures to numerous toxicants.  It is unclear, however, whether conventional biomarkers or meconium levels are more predictive of the adverse effects linked with specific toxicants.  For lead exposure, emerging data indicate that our efforts should emphasize primary prevention, but the efficacy of lead hazard controls is uncertain, especially for children with low blood lead concentrations. 

We propose to conduct a cohort study of 400 children, followed from less than 16 weeks’ gestation to 36 months of age, to examine the effect of low-level exposures to prevalent neurotoxicants.  Endpoints include behavioral problems, such as conduct disorder and features consistent with Attention Deficit Hyperactivity Disorder, cognitive deficits, and hearing loss.  We also will conduct a nested, randomized, controlled trial to test the efficacy of lead-hazard controls on the development of adverse neurobehavioral effects.  We will test the following hypotheses: 

(1)  Children in the Lead Reduction Group will have lower blood lead levels, significantly higher cognitive scores, less hearing loss, and fewer behavioral problems than the Control Group at 36 months of age. 

(2)  Fetal and postnatal exposures to pesticides, ETS, and lead are associated with adverse neurobehavioral effects, growth delay, and hearing loss in early childhood. 

(3)  Fetal exposures are less predictive of the adverse effects of toxicants on cognition, behavioral problems, and hearing, compared with the same toxicants in meconium.

Progress Summary:

The Cincinnati Children’s Environmental Health Center has had a productive year.  The coordinating or administrative activities of the Center are described in this progress report.  The progress for each Center project is described in the individual 2003 Annual Reports for R829389C001 through R829389C005.  The supplemental project is included in the 2003 Annual Report for  R829389C001.

The Center hosted an international pooled analysis for lead-exposed cohorts to study intellectual impairments at blood lead levels below 10 μg/dL.  The findings of our National Institute of Environmental Health Sciences (NIEHS)-funded Rochester Longitudinal Study found substantial lead-associated intellectual impairments at blood lead levels below 10 μg/dL (Canfield, et al., 2003).  To test these surprising findings in a larger cohort, we convened this international collaboration, which is funded by the Centers for Disease Control and Prevention, the U.S. Environmental Protection Agency, and NIEHS. The collaboration involves more than 1,300 children enrolled in 7 prospective longitudinal cohort investigations from 4 continents.  We are pooling the raw data to test whether there are adverse consequences of lead exposure on intellectual abilities at blood lead levels below 10 μg/dL.  Further, we are testing whether the relationship is nonlinear and if there are greater impairments at blood lead levels below 10 μg/dL compared with higher blood lead levels.  Our analyses are nearing completion, and we anticipate that we will have results in the next 12 months.

The Center has continued to play an important role in training researchers and clinicians in children’s environmental health.  During the past year, we became one of the four sites for the Ambulatory Pediatric Association’s Pediatric Environmental Health (PEH) Fellowship Training Program.  We currently have two pediatricians in our PEH training program.  We also have continued to play a key role in the NIEHS-funded National Research Service Award training program in Molecular Epidemiology for Children’s Environmental Health (MECEH).  Dr. Lanphear is the coordinator for the physician trainees in the MECEH training program.

In collaboration with Drs. David Rosner and Gerald Markowitz, our Center created a Web site on deceptive advertising by the lead industry.  It includes an extensive exhibit of lead paint advertisements and the history of how the lead industry targeted children in its advertisements.  The Web site was featured in the February 7 issue of Science.  The address of the site is http://www.cincinnatichildrens.org/leadadvertising/exit EPA.

“Living on Earth,” the National Public Radio weekly environmental science show, is doing an in-depth report of the Cincinnati Children’s Environmental Health Center.  “Living on Earth” received a large grant from the National Science Foundation to do a study of nine emerging areas of research.  Our Center was the first selected to highlight emerging neuroscience research.  The purpose of the show is to relate to the audience what it is like to conduct a research study—the excitement, the hurdles, and the experiences of the research staff and participants.  The journalists have visited numerous times during the past 6 months and conducted interviews with the investigators, subjects, and research staff.  A 1-hour show featuring the Cincinnati Children’s Environmental Health Center was broadcast on April 17, 2003.  “Living on Earth” will continue to follow the progress of the studies over the next year or more.

Our community partner, the Better Housing League, created a video with the assistance of the PPS Advertising Group.  The video contains three 30-second spots about the dangers of lead exposure to children.  One focused on children living in homes built before 1978, another focused on homes built before 1978 that had been renovated, and the third focused on the effects of lead poisoning on behavior.  The video encourages viewers to telephone the Better Housing League for information.  The video was shown as a public service announcement throughout the Cincinnati metropolitan area over several months.

Future Activities:

See the individual 2003 Annual Reports for projects R829389C001 through R829389C005 for a description of future activities.


Journal Articles: 93 Displayed | Download in RIS Format

Other center views: All 126 publications 96 publications in selected types All 93 journal articles

Type Citation Sub Project Document Sources
Journal Article Adler CM, Holland SK, Schmithorst V, Wilke M, Weiss KL, Pan H, Strakowski SM. Abnormal frontal white matter tracts in bipolar disorder: a diffusion tensor imaging study. Bipolar Disorders 2004;6(3):197-203. R829389 (2003)
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  • Journal Article Adler CM, Holland SK, Schmithorst V, Tuchfarber MJ, Strakowski SM. Changes in neuronal activation in patients with bipolar disorder during performance of a working memory task. Bipolar Disorders 2004;6:540-549. R829389 (2005)
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    Journal Article Auinger P, Lanphear BP, Kalkwarf HJ, Mansour ME. Trends in otitis media among children in the United States. Pediatrics 2003;112(3):514-520. R829389 (2003)
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  • Full-text: Pediatrics Full Text
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  • Journal Article Barr DB, Bravo R, Weerasekera G, Caltabiano LM, Whitehead RD Jr, Olsson AO, Caudill SP, Schober SE, Pirkle JL, Sampson EJ, Jackson RJ, Needham LL. Concentrations of dialkyl phosphate metabolites of organophosphorus pesticides in the U.S. population. Environmental Health Perspectives 2004;112:186-200. R829389 (2005)
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    Journal Article Barr JR, Maggio VL, Barr DB, Turner WE, Sjodin A, Sandau CD, Pirkle JL, Needham LL, Patterson DG Jr. New high-resolution mass spectrometric approach for the measurement of polychlorinated biphenyls and organochlorine pesticides in human serum. Journal of Chromatography B, Analytical Technologies in the Biomedical and Life Sciences2003;794:137-48. R829389 (2005)
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    Journal Article Bearer CF, Linsalata N, Yomtovian R, Walsh MR, Singer LT. Blood transfusions: a hidden source of lead exposure. Lancet 2003;362:332. R829389 (2005)
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    Journal Article Bearer CF. Meconium as a biological marker of prenatal exposure. Ambulatory Pediatrics 2003;3(1):40-43. R829389 (2003)
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  • Journal Article Bearer CF, Jacobson JL, Jacobson SW, Barr D, Croxford J, Molteno CD, Viljoen DL, Marais A-S, Chiodo LM, Cwik AS. Validation of a new biomarker of fetal exposure to alcohol. Journal of Pediatrics 2003;143(4):463-469. R829389 (2003)
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  • Journal Article Bearer CF, Santiago LM, O’Riordan MA, Buck K, Lee SC, Singer LT. Fatty acid ethyl esters: quantitative biomarkers for maternal alcohol consumption. Journal of Pediatrics 2005;146(6):824-830. R829389 (2003)
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  • Journal Article Braun JM, Kahn RS, Froehlich T, Auinger P, Lanphear BP. Exposures to environmental toxicants and attention deficit hyperactivity disorder in U.S. children. Environmental Health Perspectives2006;114:1904-1909. R829389 (2005)
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    Journal Article Brent R, Weitzman M, Balk S, Lanphear B, Landrigan P, Reigart R. The vulnerability, sensitivity, and resiliency of the developing embryo, infant, child, and adolescent to the effects of environmental chemicals, drugs, and physical agents as compared to the adult. Pediatrics 2004:113(4):932-1172 (supplement to Pediatrics). R829389 (2003)
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  • Abstract: Pediatrics Abstract
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  • Journal Article Breysse P, Farr N, Galke W, Lanphear B, Morley R, Bergofsky L. The relationship between housing and health: children at risk. Environmental Health Perspectives 2004;112(15):1583-1588. R829389 (2003)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Other: Environmental Health Perspectives PDF
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  • Journal Article Canfield RL, Henderson Jr CR, Cory-Slechta DA, Cox C, Jusko TA, Lanphear BP. Intellectual impairment in children with blood lead concentrations below 10 μg per deciliter. New England Journal of Medicine 2003;348(16):1517-1526. R829389 (2003)
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  • Full-text: NEJM Full Text
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  • Journal Article Cecil KM, DeGrauw TJ, Salomons GS, Jakobs C, Egelhoff JC, Clark JF. Magnetic resonance spectroscopy in a 9-day-old heterozygous female child with creatine transporter deficiency. Journal of Computer Assisted Tomography 2003;27(1):44-47. R829389 (2003)
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  • Full-text: Wolters Kluwer Full Text
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  • Journal Article Cecil KM, DelBello MP, Sellars MC, Strakowski SM. Proton magnetic resonance spectroscopy of the frontal lobe and cerebellar vermis in children with a mood disorder and a familial risk for bipolar disorders. Journal of Child and Adolescent Psychopharmacology 2003;13(4):545-555. R829389 (2003)
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  • Journal Article Cecil KM, Patel NC, DelBello MP. Inositol Metabolism in Pediatric Bipolar Disorders. International Journal of Clinical Neuropsychiatry 2006;3:177-183. R829389 (2005)
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    Journal Article Cecil KM. MR spectroscopy of metabolic disorders. Neuroimaging Clinics of North America 2006;16(1):87-116. R829389 (2003)
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  • Journal Article Cecil KM, Kos RS. MRS and Metabolic Imaging in White Matter Diseases and Pediatric Disorders. Magnetic Resonance Imaging 2006;17:275-293. R829389 (2005)
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    Journal Article Chen A, Dietrich KN, Ware JH, Radcliffe J, Rogan WJ. IQ and blood lead from 2 to 7 years of age: Are the effects in older children the residual of high blood lead concentrations in 2-year-olds? Environmental Health Perspectives 2005;113:597-601. R829389 (2005)
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    Journal Article Chen A, Cai B, Dietrich KN, Radcliffe J, Rogan WJ. Lead exposure, IQ and behavior in urban 5-to 7-year-olds: Does lead affect behavior only by lowering IQ? Pediatrics2007;119:650-658. R829389 (2005)
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    Journal Article Coscia JM, Ris MD, Succop P, Dietrich KN. Cognitive development of lead exposed children from ages 6 to 15 years: an application of growth curve analysis. Child Neuropsychology 2003;9(1):10-21. R829389 (2003)
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  • Journal Article Coscia JM, Ris MD, Succop P, Dietrich KN. Neurodevelopment of lead exposed children from ages 6 to 15 years: an application of growth curve analysis. Child Neuropsychology 2003;9:10-21. R829389 (2005)
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    Journal Article De Grauw TJ, Cecil KM, Byars AW, Salomons GS, Ball WS, Jakobs C. The clinical syndrome of creatine transporter deficiency. Molecular and Cellular Biochemistry 2003;244(1-2):45-48. R829389 (2003)
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  • Journal Article DelBello MP, Cecil KM, Adler CM, Daniels JP, Strakowski SM. Neurochemical effects of olanzapine in first-hospitalization manic adolescents: a proton magnetic resonance spectroscopy study. Neuropsychopharmacology 2006;31(6):1264-1273. R829389 (2003)
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  • Full-text: NATURE Full Text
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  • Journal Article Dietrich KN, Ware JH, Salganik M, Radcliffe J, Rogan WJ, Rhoads GG, Fay ME, Davoli CT, Denckla MB, Bornschein RL, Schwarz D, Dockery DW, Adubato S, Jones RL. Effect of chelation therapy on the neuropsychological and behavioral development of lead-exposed children after school entry. Pediatrics 2004;114:19-26. R829389 (2005)
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    Journal Article Dietrich KN, Eskenazi B, Schantz S, Yolton K, Rauh VA, Johnson CB, Alkon A, Canfield RL, Pessah IN, Berman RF. Principles and practices of neurodevelopmental assessment in children: lessons learned from the Centers for Children’s Environmental Health and Disease Prevention Research. Environmental Health Perspectives 2005;113(10):1437-1446. R829389 (2005)
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    Journal Article Dinopoulos A, Cecil KM, Schapiro MB, Papadimitriou A, Hadjigeorgiou GM, Wong B, DeGrauw T, Egelhoff JC. Brain MRI and proton MRS findings in infants and children with respiratory chain defects.Neuropediatrics 2005;36:290-301. R829389 (2005)
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    Journal Article Dinopoulos A, Gorospe JR, Egelhoff JC, Cecil KM, Nicolaidou P, Morehart P DeGrauw T. Discrepancy Between Neuroimaging Findings and Clinical Phenotype in Alexander Disease. American Journal of Neuroradiology2006;27: 2088-2092. R829389 (2005)
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    Journal Article Donnelly LF, O’Brien KJ, Dardzinski BJ, Poe SA, Bean JA, Holland SK, Daniels SR. Using a phantom to compare MR techniques for determining the ratio of intraabdominal to subcutaneous adipose tissue. American Journal of Roentgenology 2003;180(4):993-998. R829389 (2003)
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  • Full-text: AJR Online Full Text
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  • Journal Article Eggleston PA, Diette G, Lipsett M, Lewis T, Tager I, McConnell R, Chrischilles E, Lanphear B, Miller R, Krishnan J. Lessons learned from the study of childhood asthma from the Centers for Children’s Environmental Health and Disease Prevention research. Environmental Health Perspectives 2005;113(10):1430-1436. R829389 (2003)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article Eskenazi B, Gladstone EA, Berkowitz GS, Drew CH, Faustman EM, Holland NT, Lanphear B, Meisel SJ, Perera FP, Rauh VA, Sweeney A, Whyatt RM, Yolton K. Methodologic and logistic issues in conducting longitudinal birth cohort studies: lessons learned from the Centers for Children’s Environmental Health and Disease Prevention Research. Environmental Health Perspectives 2005;113(10):1419-1429. R829389 (2003)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article Farkas T, Thornton SA, Wilton N, Zhong W, Altaye M, Jiang X. Homologous versus heterologous immune responses to Norwalk-like viruses among crew members after acute gastroenteritis outbreaks on 2 US Navy vessels. The Journal of Infectious Diseases 2003;187(2):187-193. R829389 (2003)
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  • Full-text: The Journal of Infectious Diseases Full Text
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  • Journal Article Froehlich TE, Lanphear BP, Dietrich KN, Cory-Slechta DA, Wang N, Kahn RS. Interactive effects of a DRD4 polymorphism, lead and sex on executive functions in children. Biological Psychiatry 2007;62: 243-249. R829389 (2005)
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    Journal Article Haynes EN, Kalkwarf HJ, Hornung R, Wenstrup R, Dietrich K, Lanphear BP. Vitamin D receptor Fok1 polymorphism and blood lead concentration in children. Environmental Health Perspectives 2003;111(13):1665-1669. R829389 (2003)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article Haynes E, Lanphear BP, Tohn E, Farr N, Rhoads GG. The effect of interior lead hazard controls on children’s blood lead concentrations: a systematic evaluation. Environmental Health Perspectives 2002;110(1):103-107. R829389 (2003)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article Hornung R, Lanphear B, Dietrich K. Response to: What is the meaning of non-linear dose-response relationships between blood lead concentration and IQ? Neurotoxicology 2006;27:635. R829389 (2005)
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    Journal Article Huang P, Farkas T, Marionneau S, Zhong W, Ruvoen-Clouet N, Morrow AL, Altaye M, Pickering LK, Newburg DS, LePendu J, Jiang X. Noroviruses bind to human ABO, Lewis, and secretor histo-blood group antigens: identification of 4 distinct strain-specific patterns. Journal of Infectious Diseases 2003;188(1):19-31. R829389 (2003)
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  • Full-text: Chicago Journals Full Text
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  • Journal Article Jusko TA, Canfield RL, Henderson CR, Lanphear BP. Comments on "Recent developments in low-level lead exposure and intellectual impairment in children." Environmental Health Perspectives 2005;113:A16. R829389 (2005)
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    Journal Article Kahn RS, Khoury J, Nichols WC, Lanphear BP. Role of dopamine transporter genotype and maternal prenatal smoking in childhood hyperactive-impulsive, inattentive, and oppositional behaviors. Journal of Pediatrics 2003;143(1):104-110. R829389 (2003)
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  • Journal Article Kalkwarf HJ, Khoury JC, Lanphear BP. Milk intake during childhood and adolescence, adult bone density, and osteoporotic fractures in US women. American Journal of Clinical Nutrition 2003;77(1):257-265. R829389 (2003)
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  • Full-text: AJCN Full Text
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  • Journal Article Lamba M, Holland SK, Schmithorst V, Dardzinski B, d’Errico F, Nath R. Fast high-resolution 3D segmented echo planar imaging for dose mapping using a superheated emulsion chamber. Magnetic Resonance in Medicine 2003;49(4):675-681. R829389 (2003)
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  • Full-text: InterScience Full Text
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  • Journal Article Lanphear BP, Hornung R, Ho M, Howard CR, Eberly S, Knauf K. Environmental lead exposure during early childhood. Journal of Pediatrics 2002;140(1):40-47. R829389 (2003)
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  • Journal Article Lanphear BP, Gergen PJ. Invited commentary: asthma surveillance in US children. American Journal of Epidemiology 2003;158(2):105-107. R829389 (2003)
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  • Full-text: Oxford Journals Full Text
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  • Abstract: Oxford Journals Abstract
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  • Journal Article Lanphear BP, Dietrich KN, Berger O. Prevention of lead toxicity in US children. Ambulatory Pediatrics 2003;3(1):27-36. R829389 (2003)
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  • Journal Article Lanphear BP, Succop P, Roda S, Henningsen G. The effect of soil abatement on blood lead levels in children living near a former smelting and milling operation. Public Health Reports 2003;118(2):83-91. R829389 (2003)
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  • Journal Article Lanphear BP, Bearer CF. Biomarkers in paediatric research and practice. Archives of Disease in Childhood 2005;90(6):594-600. R829389 (2003)
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  • Full-text: ADC Online Full Text
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  • Journal Article Lanphear BP. Childhood lead poisoning prevention: too little, too late. JAMA2005;293:2274-2276. R829389 (2005)
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    Journal Article Lanphear BP, Wright RO, Dietrich KN. Environmental neurotoxins. Pediatrics in Review 2005;26(6):191-198. R829389 (2003)
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  • Full-text: Pediatrics Full Text
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  • Journal Article Lanphear BP, Hornung R, Khoury J, Yolton K, Baghurst P, Bellinger DC, Canfield RL, Dietrich KN, Bornschein R, Greene T, Rothenberg SJ, Needleman HL, Schnaas L, Wasserman G, Graziano J, Roberts R. Low-level environmental lead exposure and children’s intellectual function: an international pooled analysis. Environmental Health Perspectives 2005;113(7):894-899. R829389 (2003)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Journal Article Lanphear BP. Origins and evolution of children’s environmental health. In: Goehl TJ, ed. Essays on the Future of Environmental Health Research: A Tribute to Dr. Kenneth Olden. Research Triangle Park, NC: Environmental Health Perspectives/National Institute of Environmental Health Sciences, 2005, pp. 24-32. R829389 (2003)
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  • Full-text: Environmental Health Perspectives Full Text
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  • Abstract: Environmental Health Perspectives Special Issue
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  • Journal Article Lanphear BP, Vorhees CV, Bellinger DC. Protecting children from environmental toxins: toxicity testing of pesticides and industrial chemicals is a crucial step. PLoS Medicine 2005;2(3):e61-e66. R829389 (2003)
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  • Full-text: PLoS Medicine Full Text
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  • Journal Article Lanphear BP, Hornung R, Ho M. Screening housing to prevent lead toxicity in children. Public Health Reports 2005;120(3):305-310. R829389 (2003)
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  • Journal Article Lanphear BP, Paulson J, Beirne S. Trials and tribulations of protecting children from environmental hazards. Environmental Health Perspectives2006;114:1609-1612. R829389 (2005)
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    Journal Article Lanphear B, Hornung R, Khoury J, Yolton K. Effects of Lead on IQ in Children. Environmental Health Perspectives2006;114:A85. R829389 (2005)
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    Journal Article Liu X, Dietrich KN, Radcliffe J, Ragan NB, Rhoads GG, Rogan WJ. Do children with falling blood lead levels have improved cognition? Pediatrics 2002;110(4):787-791. R829389 (2003)
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  • Full-text: Pediatrics Full Text
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  • Journal Article Moya J, Bearer CF, Etzel RA. Children’s behavior and physiology and how it affects exposure to environmental contaminants. Pediatrics 2004;113(Suppl 4):996-1006. R829389 (2003)
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  • Journal Article Nagaraja J, Menkedick J, Phelan KJ, Ashley P, Zhang X, Lanphear BP. Deaths from residential injuries in US children and adolescents, 1985–1997. Pediatrics 2005;116(2):454-461. R829389 (2003)
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  • Full-text: Pediatrics Full Text
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  • Journal Article Newburg DS, Ruiz-Palacios GM, Altaye M, Chaturvedi P, Meinzen-Derr J, de Lourdes Guerrero M, Morrow AL. Innate protection conferred by fucosylated oligosaccharides of human milk against diarrhea in breastfed infants. Glycobiology 2004;14(3):253-263. R829389 (2003)
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  • Journal Article Newmeyer A, Cecil KM, Schapiro M, Clark JF, Degrauw TJ. Incidence of brain creatine transporter deficiency in males with developmental delay referred for brain magnetic resonance imaging. Journal of Developmental and Behavioral Pediatrics 2005;26(4):276-282. R829389 (2003)
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  • Journal Article Noland JS, Singer LT, Arendt RE, Minnes S, Short EJ, Bearer CF. Executive functioning in preschool-age children prenatally exposed to alcohol, cocaine, and marijuana. Alcoholism: Clinical and Experimental Research 2003;27(4):647-656. R829389 (2003)
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  • Journal Article Noland JS, Singer LT, Short EJ, Minnes S, Arendt RE, Kirchner HL, Bearer C. Prenatal drug exposure and selective attention in preschoolers. Neurotoxicology and Teratology 2005;27(3):429-438. R829389 (2003)
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  • Journal Article Patel NC, DelBello MP, Cecil KM, Adler CM, Bryan HS, Stanford KE, Strakowski SM. Lithium Treatment Effects on Myo-Inositol in Adolescents with Bipolar Depresssion. Biological Psychiatry2006;60:998-1004. R829389 (2005)
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    Journal Article Patel NC, DelBello MP, Cecil KM, Stanford KE, Adler CM, Strakowski SM. Temporal Changes in N-acetyl-Aspartate Concentrations in Adolescents with Bipolar Depression Treated with Lithium. Journal of Child and Adolescent Psychopharmacology2008;18:132-139. R829389 (2005)
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    Journal Article Phelan KJ, Khoury J, Kalkwarf H, Lanphear B. Residential injuries in U.S. children and adolescents. Public Health Reports 2005;120(1):63-70. R829389 (2003)
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  • Journal Article Pyne-Geithman GJ, DeGrauw TJ, Cecil KM, Chuck G, Lyons MA, Ishida Y, Clark JF. Presence of normal creatine in the muscle of a patient with a mutation in the creatine transporter: a case study. Molecular and Cellular Biochemistry 2004;262(1-2):35-39. R829389 (2003)
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  • Journal Article Ris MD. Casual inference in lead research: introduction to the special section on the neurobehavioral effects of environmental lead. Child Neuropsychology 2003;9(1):1-9. R829389 (2003)
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  • Journal Article Ris MD. Causal inference in lead research. Child Neuropsychology 2003;9:1-9. R829389 (2005)
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    Journal Article Ris MD, Dietrich KN, Succop PA, Berger OG, Bornschein RL. Early exposure to lead and neuropsychological outcome in adolescence. Journal of the International Neuropsychological Society 2004;10(2):261-270. R829389 (2003)
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  • Journal Article Ris MD, McDonough RP, Lamba M, Brenemen J, Cecil K, Succop P, Ball WS. An improved methodology for modeling neurobehavioral late-effects of radiotherapy in pediatric brain tumors. Pediatrics Blood Cancer2005;44:1-7. R829389 (2005)
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    Journal Article Rosner D, Markowitz G, Lanphear B. J. Lockhart Gibson and the discovery of the impact of lead pigments on children’s health: a review of a century of knowledge. Public Health Reports 2005;120(3):296-300. R829389 (2003)
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  • Journal Article Salomons GS, Van Dooren SJM, Verhoeven NM, Marsden D, Schwartz C, Cecil KM, DeGrauw TJ, Jakobs C. X-linked creatine transporter defect: an overview. Journal of Inherited Metabolic Disease 2003;26(2-3):309-318. R829389 (2003)
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  • Journal Article Sandau CD, Sjodin A, Davis MD, Barr JR, Maggio VL, Waterman AL, Preston KE, Preau JL Jr, Barr DB, Needham LL, Patterson DG Jr. Comprehensive solid-phase extraction method for persistent organic pollutants. Validation and application to the analysis of persistent chlorinated pesticides. Analytical Chemistry 2003;75:71-7. R829389 (2005)
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    Journal Article Sandel M, Phelan K, Wright R, Hynes HP, Lanphear BP. The effects of housing interventions on child health. Pediatric Annals 2004;33(7):474-481. R829389 (2003)
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  • Journal Article Schapiro M, Cecil KM, Doescher J, Kiefer AM, Jones BV. MR imaging and spectroscopy in juvenile Huntington disease. Pediatric Radiology 2004;34(8):640-643. R829389 (2003)
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  • Journal Article Schmithorst VJ, Holland SK. The effect of musical training on music processing: a functional magnetic resonance imaging study in humans. Neuroscience Letters 2003;348(2):65-68. R829389 (2003)
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  • Journal Article Schmithorst VJ, Holland SK. Comparison of three methods for generating group statistical inferences from independent component analysis of functional magnetic resonance imaging data. Journal of Magnetic Resonance Imaging 2004;19(3):365-368. R829389 (2003)
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  • Journal Article Schmithorst VJ, Holland SK. Event-related fMRI technique for auditory processing with hemodynamics unrelated to acoustic gradient noise. Magnetic Resonance in Medicine 2004;51(2):399-402. R829389 (2003)
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  • Journal Article Schmithorst VJ, Holland SK. The effect of musical training on the neural correlates of math processing: a functional magnetic resonance imaging study in humans. Neuroscience Letters 2004;354(3):193-196. R829389 (2003)
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  • Journal Article Spanier A, Lanphear BP. Follow-up testing among children with elevated screening blood lead levels.Journal of Pediatrics2005;147:708-709. R829389 (2005)
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    Journal Article Stroop DM, Dietrich KN, Hunt AN, Suddendorf LR, Giangiacomo M. Lead-based paint health risk assessment in dependent children living in military housing. Public Health Reports 2002;117(5):446-452. R829389 (2003)
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  • Journal Article Swanson JM, Kinsbourne M, Nigg J, Lanphear B, Stefanatos GA, Volkow N, Taylor E, Casey BJ, Castellanos FX, Wadhwa PD. Etiologic subtypes of attention-deficit/hyperactivity disorder: brain imaging, molecular genetic and environmental factors and the dopamine hypothesis. Neuropsychology Review2007;17(1):39-59. R829389 (2005)
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    Journal Article Szaflarski JP, Holland SK, Schmithorst VJ, Dunn RS, Privitera MD. High-resolution functional MRI at 3 T in healthy and epilepsy subjects: hippocampal activation with picture encoding task. Epilepsy & Behavior 2004;5(2):244-252. R829389 (2003)
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  • Journal Article Walz NC, Cecil KM, Wade SL, Michaud LJ. Late Proton MR Spectroscopy Following Traumatic Brain Injury During Early Childhood: Relationship with Neurobehavioral Outcomes. Journal of Neurotrauma2008;25:94-103. R829389 (2005)
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    Journal Article Wigle DT, Lanphear BP. Human health risks from low-level environmental exposures: no apparent safety thresholds. PLoS Medicine 2005;2:e350. R829389 (2005)
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    Journal Article Wilke M, Sohn J-H, Byars AW, Holland SK. Bright spots: correlations of gray matter volume with IQ in a normal pediatric population. NeuroImage 2003;20(1):202-215. R829389 (2003)
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  • Journal Article Wilke M, Holland SK, Myseros JS, Schmithorst VJ, Ball Jr WS. Functional magnetic resonance imaging in pediatrics. Neuropediatrics 2003;34(5):225-233. R829389 (2003)
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  • Journal Article Wilke M, Holland SK, Ball Jr WS. Language processing during natural sleep in a 6-year-old boy, as assessed with functional MR imaging. American Journal of Neuroradiology 2003;24(1):42-44. R829389 (2003)
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  • Journal Article Wilke M, Schmithorst VJ, Holland SK. Normative pediatric brain data for spatial normalization and segmentation differs from standard adult data. Magnetic Resonance in Medicine 2003;50(4):749-757. R829389 (2003)
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  • Journal Article Wilke M, Holland SK. Variability of gray and white matter during normal development: a voxel-based MRI analysis. NeuroReport 2003;14(15):1887-1890. R829389 (2003)
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  • Journal Article Wilson SE, Kahn RS, Khoury J, Lanphear BP. Racial differences in exposure to environmental tobacco smoke among children. Environmental Health Perspectives 2005;113(3):362-367. R829389 (2003)
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  • Journal Article Yolton K, Dietrich K, Auinger P, Lanphear BP, Hornung R. Exposure to environmental tobacco smoke and cognitive abilities among U.S. children and adolescents. Environmental Health Perspectives 2005;113(1):98-103. R829389 (2003)
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  • Journal Article Yuan W, Holland SK, Cecil KM, Dietrich KN, Wessel SD, Altaye M, Hornung RW, Ris MD, Egelhoff JC, Lanphear BP. The impact of early childhood lead exposure on brain organization: a functional magnetic resonance imaging study of language function. Pediatrics2006;118:971-977. R829389 (2005)
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    Journal Article Yuan W, Holland SK, Schmithorst VJ, Walz NC, Cecil KM, Jones BV, Karunanayaka P, Michaud L, Wade SL. Diffusion Tensor MRI Reveals Persistent White Matter Alteration after Traumatic Brain Injury Experienced During Early Childhood. American Journal of Neuroradiology2007;28:1919-1925. R829389 (2005)
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    Supplemental Keywords:

    toxicology, ADHD, behavioral assessment, behavioral deficit, genetic susceptibility, pesticides, biomarkers, environmental agents, exposure, exposure assessment, hearing loss, lead, meconium, neurotoxicity, pesticide exposure, risk assessment, toxicants, lead-based paint, lead hazard control, , Toxics, Scientific Discipline, Health, RFA, Toxicology, Biology, Risk Assessments, genetic susceptability, Health Risk Assessment, Chemistry, Children's Health, pesticides, biomarkers, exposure assessment, risk assessment, toxicity, lead, toxicants, pesticide exposure, biological markers, children, exposure, biomarker, behavioral deficits, behavioral assessment, hearing loss
    Relevant Websites:

    http://www.healthyhomestoday.comexit EPA

    http://www.cincinnatichildrens.org/leadadvertising/exit EPA

    http://www.cincinnatichildrens.org/research/project/enviroexit EPA

    Progress and Final Reports:
    Original Abstract
    2004 Progress Report
    2005 Progress Report
    Final Report

    Subprojects under this Center: (EPA does not fund or establish subprojects; EPA awards and manages the overall grant for this center).
    R829389C001 Neurobehavioral Effects of Prevalent Toxicants in Children
    R829389C002 Validation of Meconium Markers of Fetal Neurotoxicant Exposures
    R829389C003 Community-Based Research Project Identifying Residential Hazards Using Home Test Kits
    R829389C004 Early Exposure to Lead and Adult Antisocial Outcome
    R829389C005 Magnetic Resonance Assessment of Brain Function Altered by Lead Exposure

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    The perspectives, information and conclusions conveyed in research project abstracts, progress reports, final reports, journal abstracts and journal publications convey the viewpoints of the principal investigator and may not represent the views and policies of ORD and EPA. Conclusions drawn by the principal investigators have not been reviewed by the Agency.


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