Showing papers by "Edmund Seto published in 2019"

A Focused Review of Smartphone Diet-Tracking Apps: Usability, Functionality, Coherence With Behavior Change Theory, and Comparative Validity of Nutrient Intake and Energy Estimates.

Abstract: Smartphone diet-tracking apps may help individuals lose weight, manage chronic conditions, and understand dietary patterns; however, the usabilities and functionalities of these apps have not been well studied. : The aim of this study was to review the usability of current iPhone operating system (iOS) and Android diet-tracking apps, the degree to which app features align with behavior change constructs, and to assess variations between apps in nutrient coding. : The top 7 diet-tracking apps were identified from the iOS iTunes and Android Play online stores, downloaded and used over a 2-week period. Each app was independently scored by researchers using the System Usability Scale (SUS), and features were compared with the domains in an integrated behavior change theory framework: the Theoretical Domains Framework. An estimated 3-day food diary was completed using each app, and food items were entered into the United States Department of Agriculture (USDA) Food Composition Databases to evaluate their differences in nutrient data against the USDA reference. : Of the apps that were reviewed, LifeSum had the highest average SUS score of 89.2, whereas MyDietCoach had the lowest SUS score of 46.7. Some variations in features were noted between Android and iOS versions of the same apps, mainly for MyDietCoach, which affected the SUS score. App features varied considerably, yet all of the apps had features consistent with Beliefs about Capabilities and thus have the potential to promote self-efficacy by helping individuals track their diet and progress toward goals. None of the apps allowed for tracking of emotional factors that may be associated with diet patterns. The presence of behavior change domain features tended to be weakly correlated with greater usability, with R2 ranging from 0 to .396. The exception to this was features related to the Reinforcement domain, which were correlated with less usability. Comparing the apps with the USDA reference for a 3-day diet, the average differences were 1.4% for calories, 1.0% for carbohydrates, 10.4% for protein, and −6.5% for fat. : Almost all reviewed diet-tracking apps scored well with respect to usability, used a variety of behavior change constructs, and accurately coded calories and carbohydrates, allowing them to play a potential role in dietary intervention studies.

Deliberating performance targets workshop: Potential paths for emerging PM2.5 and O3 air sensor progress.

Abstract: The United States Environmental Protection Agency held an international two-day workshop in June 2018 to deliberate possible performance targets for non-regulatory fine particulate matter (PM2.5) and ozone (O3) air sensors. The need for a workshop arose from the lack of any market-wide manufacturer requirement for Ozone documented sensor performance evaluations, the lack of any independent third party or government-based sensor performance certification program, and uncertainty among all users as to the general usability of air sensor data. A multi-sector subject matter expert panel was assembled to facilitate an open discussion on these issues with multiple stakeholders. This summary provides an overview of the workshop purpose, key findings from the deliberations, and considerations for future actions specific to sensors. Important findings concerning PM2.5 and O3 sensors included the lack of consistent performance indicators and statistical metrics as well as highly variable data quality requirements depending on the intended use. While the workshop did not attempt to yield consensus on any topic, a key message was that a number of possible future actions would be beneficial to all stakeholders regarding sensor technologies. These included documentation of best practices, sharing quality assurance results along with sensor data, and the development of a common performance target lexicon, performance targets, and test protocols.

Air Pollution Monitoring for Health Research and Patient Care. An Official American Thoracic Society Workshop Report.

Abstract: Air quality data from satellites and low-cost sensor systems, together with output from air quality models, have the potential to augment high-quality, regulatory-grade data in countries with in situ monitoring networks and provide much-needed air quality information in countries without them. Each of these technologies has strengths and limitations that need to be considered when integrating them to develop a robust and diverse global air quality monitoring network. To address these issues, the American Thoracic Society, the U.S. Environmental Protection Agency, the National Aeronautics and Space Administration, and the National Institute of Environmental Health Sciences convened a workshop in May 2017 to bring together global experts from across multiple disciplines and agencies to discuss current and near-term capabilities to monitor global air pollution. The participants focused on four topics: 1) current and near-term capabilities in air pollution monitoring, 2) data assimilation from multiple technology platforms, 3) critical issues for air pollution monitoring in regions without a regulatory-quality stationary monitoring network, and 4) risk communication and health messaging. Recommendations for research and improved use were identified during the workshop, including a recognition that the integration of data across monitoring technology groups is critical to maximizing the effectiveness (e.g., data accuracy, as well as spatial and temporal coverage) of these monitoring technologies. Taken together, these recommendations will advance the development of a global air quality monitoring network that takes advantage of emerging technologies to ensure the availability of free, accessible, and reliable air pollution data and forecasts to health professionals, as well as to all global citizens.

Exposures to Air Pollution and Noise from Multi-Modal Commuting in a Chinese City

Abstract: Background: Modern urban travel includes mixtures of transit options, which potentially impact individual pollution exposures and health. This study aims to investigate variations in traffic-related air pollution and noise levels experienced in traffic in Chengdu, China. Methods: Real-time PM2.5, black carbon (BC), and noise levels were measured for four transportation modes (car, bus, subway, and shared bike) on scripted routes in three types of neighborhoods (urban core, developing neighborhood, and suburb). Each mode of transportation in each neighborhood was sampled five times in summer and winter, respectively. After quality control, mixed effect models were built for the three pollutants separately. Results: Air pollutants had much higher concentrations in winter. Urban Core had the highest PM2.5 and BC concentrations across seasons compared to the other neighborhoods. The mixed effect model indicated that car commutes were associated with lower PM2.5 (−34.4 μg/m3; 95% CI: −47.5, −21.3), BC (−2016.4 ng/m3; 95% CI: −3383.8, −648.6), and noise (−9.3 dBA; 95% CI: −10.5, −8.0) levels compared with other modes; subway commutes had lower PM2.5 (−11.9 μg/m3; 95% CI: 47.5, −21.3), but higher BC (2349.6 ng/m3; 95% CI: 978.1, 3722.1) and noise (3.0 dBA; 95% CI: 1.7, 4.3) levels than the other three modes of transportation. Conclusion: Personal exposure to air pollution and noise vary by season, neighborhood, and transportation modes. Exposure models accounting for environmental, meteorological, and behavioral factors, and duration of mixed mode commuting may be useful for health studies of urban traffic microenvironments.

The Washington State Environmental Health Disparities Map: Development of a Community-Responsive Cumulative Impacts Assessment Tool

Abstract: Communities across Washington State have expressed the need for neighborhood-level information on the cumulative impact of environmental hazards and social conditions to illuminate disparities and address environmental justice issues. Many existing mapping tools have not explicitly integrated community voice and lived experience as an integral part of their development. The goals of this project were to create a new community-academic-government partnership to collect and summarize community concerns and to develop a publicly available mapping tool that ranks relative environmental health disparities for populations across Washington State. Using a community-driven framework, we developed the Washington Environmental Health Disparities Map, a cumulative environmental health impacts assessment tool. Nineteen regularly updated environmental and population indicators were integrated into the geospatial tool that allows for comparisons of the cumulative impacts between census tracts. This interactive map provides critical information for the public, agencies, policymakers, and community-based organizations to make informed decisions. The unique community-academic-government partnership and the community-driven framework can be used as a template for other environmental and social justice mapping endeavors.

Next-Generation Community Air Quality Sensors for Identifying Air Pollution Episodes.

Abstract: Conventional regulatory air quality monitoring sites tend to be sparsely located. The availability of lower-cost air pollution sensors, however, allows for their use in spatially dense community monitoring networks, which can be operated by various stakeholders, including concerned residents, organizations, academics, or government agencies. Networks of many community monitors have the potential to fill the spatial gaps between existing government-operated monitoring sites. One potential benefit of finer scale monitoring might be the ability to discern elevated air pollution episodes in locations that have not been identified by government-operated monitoring sites, which might improve public health warnings for populations sensitive to high levels of air pollution. In the Imperial Air study, a large network of low-cost particle monitors was deployed in the Imperial Valley in Southeastern California. Data from the new monitors is validated against regulatory air monitoring. Neighborhood-level air pollution episodes, which are defined as periods in which the PM2.5 (airborne particles with sizes less than 2.5 μm in diameter) hourly average concentration is equal to or greater than 35 μg m−3, are identified and corroborate with other sites in the network and against the small number of government monitors in the region. During the period from October 2016 to February 2017, a total of 116 episodes were identified among six government monitors in the study region; however, more than 10 times as many episodes are identified among the 38 community air monitors. Of the 1426 episodes identified by the community sensors, 723 (51%) were not observed by the government monitors. These findings suggest that the dense network of community air monitors could be useful for addressing current limitations in the spatial coverage of government air monitoring to provide real-time warnings of high pollution episodes to vulnerable populations.

Use of Citizen Science-Derived Data for Spatial and Temporal Modeling of Particulate Matter near the US/Mexico Border

Abstract: This paper describes the use of citizen science-derived data for the creation of a land-use regression (LUR) model for particulate matter (PM2.5 and PMcoarse) for a vulnerable community in Imperial County, California (CA), near the United States (US)/Mexico border. Data from the Imperial County Community Air Monitoring Network community monitors were calibrated and added to a LUR, along with meteorology and land use. PM2.5 and PMcoarse were predicted across the county at the monthly timescale. Model types were compared by cross-validated (CV) R2 and root-mean-square error (RMSE). The Bayesian additive regression trees model (BART) performed the best for both PM2.5 (CV R2 = 0.47, RMSE = 1.5 µg/m3) and PMcoarse (CV R2 = 0.65, RMSE = 8.07 µg/m3). Model predictions were also compared to measurements from the regulatory monitors. RMSE for the monthly models was 3.6 µg/m3 for PM2.5 and 17.7 µg/m3 for PMcoarse. Variable importance measures pointed to seasonality and length of roads as drivers of PM2.5, and seasonality, type of farmland, and length of roads as drivers of PMcoarse. Predicted PM2.5 was elevated near the US/Mexico border and predicted PMcoarse was elevated in the center of Imperial Valley. Both sizes of PM were high near the western edge of the Salton Sea. This analysis provides some of the initial evidence for the utility of citizen science-derived pollution measurements to develop spatial and temporal models which can make estimates of pollution levels throughout vulnerable communities.

Real-time particle monitoring of pesticide drift from an axial fan airblast orchard sprayer

Abstract: In Washington State, a majority of reported pesticide-related illnesses and application-related complaints involve drift. We employed real-time particle monitors (Dylos) during a series of experimental spray events investigating drift. Sections of an orchard block were randomly sprayed by an axial fan airblast sprayer, while monitors sampled particulate matter above and below the canopy at various downwind locations. We found elevated particle mass concentrations (PMC) at all distances (16–74 m). The 75th percentile PMC while spraying was significantly greater than the control periods by 107 (95% CI 94–121) μg/m3, after adjusting for sampler height and wind speed. The 75th percentile PMC below the canopy was significantly greater than above the canopy by 9.4 (95% CI 5.2–12) μg/m3, after adjusting for spraying and wind speed. In a restricted analysis of the spray events, the 75th percentile PMC significantly decreased by 2.6 (95% CI −3.2 to −1.7) μg/m3 for every additional meter away from the edge of the spray quadrant, after adjusting for canopy height and wind speed. Our results were consistent with a larger study that performed passive sampling during the same spray events, suggesting that real-time monitoring can be used as a screening tool for pesticide drift. Compared with traditional methods of drift sampling, real-time monitoring is overall an easily employed, affordable sampling technique, and it can provide minute-by-minute measurements that can be coupled with meteorological measurements to better understand how changes in wind speed and direction affect drift.

Excitation Emission Matrix Fluorescence Spectroscopy for Combustion Generated Particulate Matter Source Identification

Abstract: The inhalation of particulate matter (PM) is a significant health risk associated with reduced life expectancy due to increased cardio-pulmonary disease and exacerbation of respiratory diseases such as asthma and pneumonia. PM originates from natural and anthropogenic sources including combustion engines, cigarettes, agricultural burning, and forest fires. Identifying the source of PM can inform effective mitigation strategies and policies, but this is difficult to do using current techniques. Here we present a method for identifying PM source using excitation emission matrix (EEM) fluorescence spectroscopy and a machine learning algorithm. We collected combustion generated PM2.5 from wood burning, diesel exhaust, and cigarettes using filters. Filters were weighted to determine mass concentration followed by extraction into cyclohexane and analysis by EEM fluorescence spectroscopy. Spectra obtained from each source were used as machine learning training data for source identification in mixed samples. This method can predict the presence or absence of the three laboratory sources with an overall accuracy of 89% when the threshold for classifying a source as present is 1.1 µg/m3 in air over a 24-hour sampling time. We apply this method to a small set of field samples to evaluate its effectiveness.