Cynara Maceda

The prevalence of metabolic syndrome among law enforcement officers who responded to the 9/11 World Trade Center attacks

BACKGROUND Law enforcement officers (LEOs) experience high rates of cardiovascular events compared with the general US population. Metabolic syndrome (MetS) confers an increased risk of cardiovascular disease and all-cause mortality. Data regarding MetS among LEOs are limited. METHODS We sought to determine the prevalence of MetS and its associated risk factors as well as gender differences among LEOs who participated in the World Trade Center (WTC) Law Enforcement Cardiovascular Screening (LECS) Program from 2008 to 2010. We evaluated a total of 2,497 participants, 40 years and older, who responded to the 9/11 WTC attacks. RESULTS The prevalence of MetS was 27%, with abdominal obesity and hypertension being the most frequently occurring risk factors. MetS and its risk factors were significantly higher among male compared to female LEOs, except for reduced HDL-cholesterol levels. CONCLUSIONS MetS is a rising epidemic in the United States, and importantly, approximately one in four LEOs who worked at the WTC site after 9/11 are affected. Am. J. Ind. Med. 59:752-760, 2016.

EXPOSURE TO PARTICULATE MATTER IN WORLD TRADE CENTER LAW ENFORCEMENT AND ITS RELATIONSHIP TO CARDIOVASCULAR RISK

Background: Exposure to particulate matter (PM) is a risk factor for cardiovascular disease (CVD). Different mechanisms, including inflammatory processes, are responsible for acute and chronic toxic effects. First responders during the World Trade Center (WTC) tragedy were exposed to PM leading to

1381 LOW SERUM TESTOSTERONE IS ASSOCIATED WITH OBSTRUCTIVE SLEEP APNEA IN MIDDLE AGED MEN

reported into a volunteer, post-market registry, from July 14, 2000 to Sept 30, 2011 were reviewed and compared with infections reported in the product evaluation database. The advanced Titan includes hydrophilic coating across all components allowing for the absorption of an aqueous solution, while no components of the Alpha 1 employed a hydrophilic coating. Data was analyzed using a Pearson’s chi-square test to determine significance of reduction in reported infection between the Alpha IPP and the hydrophilic-coated Titan IPP. RESULTS: A total of 7031 implants and 322 infections (4.6%) were reported with the Alpha 1 implant, and 29,360 implants with 402 infections (1.4%) reported with the Titan implant, showing a statistically significant (p-value 0.0001) decrease in reported infections between the Alpha IPP and hydrophilic-coated Titan IPP. CONCLUSIONS: New advances in technology continue to improve efficacy and decrease adverse events for patients with severe ED treated with penile implants. Significant decreases in reported infection rates between the non-coated Alpha 1 IPP and the hydrophilic-coated Titan IPP suggest that the technology may contribute to decreased infections.