{"id":"https://openalex.org/W3016233779","doi":"https://doi.org/10.3390/ijerph17072561","title":"Potential Increased Risk of Trisomy 18 Observed After a Fertilizer Warehouse Fire in Brazos County and TX","display_name":"Potential Increased Risk of Trisomy 18 Observed After a Fertilizer Warehouse Fire in Brazos County and TX","publication_year":2020,"publication_date":"2020-04-08","ids":{"openalex":"https://openalex.org/W3016233779","doi":"https://doi.org/10.3390/ijerph17072561","mag":"3016233779","pmid":"https://pubmed.ncbi.nlm.nih.gov/32276490","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7177937"},"language":"en","primary_location":{"id":"doi:10.3390/ijerph17072561","doi":"https://doi.org/10.3390/ijerph17072561","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3390/ijerph17072561","pdf_url":"https://www.mdpi.com/1660-4601/17/7/2561/pdf","source":{"id":"https://openalex.org/S15239247","display_name":"International Journal of Environmental Research and Public Health","issn_l":"1660-4601","issn":["1660-4601","1661-7827"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","erih-plus","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Environmental Research and Public Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/1660-4601/17/7/2561/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5002391449","display_name":"Xiaohui Xu","orcid":"https://orcid.org/0000-0001-7269-4089","observed_orcids":["https://orcid.org/0000-0001-7269-4089"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Xiaohui Xu","raw_affiliation_strings":["Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA","institution_ids":["https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100708643","display_name":"Xiao Zhang","orcid":"https://orcid.org/0000-0003-0016-5342","observed_orcids":["https://orcid.org/0000-0003-0016-5342"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Xiao Zhang","raw_affiliation_strings":["Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA","institution_ids":["https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020677963","display_name":"Jeong-Won Han","orcid":"https://orcid.org/0000-0002-8751-5845","observed_orcids":["https://orcid.org/0000-0002-8751-5845"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"JeongWon Han","raw_affiliation_strings":["Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA","institution_ids":["https://openalex.org/I91045830"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068269598","display_name":"Yau Adamu","orcid":"https://orcid.org/0000-0003-2388-1085","observed_orcids":["https://orcid.org/0000-0003-2388-1085"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Yau Adamu","raw_affiliation_strings":["Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA"],"raw_orcid":"https://orcid.org/0000-0003-2388-1085","affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA","institution_ids":["https://openalex.org/I91045830"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101682658","display_name":"Bangning Zhang","orcid":"https://orcid.org/0000-0001-7499-5686","observed_orcids":["https://orcid.org/0000-0001-7499-5686"]},"institutions":[{"id":"https://openalex.org/I91045830","display_name":"Texas A&M University","ror":"https://ror.org/01f5ytq51","country_code":"US","type":"education","lineage":["https://openalex.org/I91045830"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bangning Zhang","raw_affiliation_strings":["Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA"],"raw_orcid":"https://orcid.org/0000-0001-7499-5686","affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Biostatistics, School of Public Health, Texas A&amp;M University, 212 12 Adriance Lab Road, College Station, TX 77843, USA","institution_ids":["https://openalex.org/I91045830"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5002391449"],"corresponding_institution_ids":["https://openalex.org/I91045830"],"apc_list":{"value":2300,"currency":"CHF","value_usd":2429},"apc_paid":{"value":2300,"currency":"CHF","value_usd":2429},"fwci":0.0,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.04354659,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"17","issue":"7","first_page":"2561","last_page":"2561"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11015","display_name":"Down syndrome and intellectual disability research","score":0.4641000032424927,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11015","display_name":"Down syndrome and intellectual disability research","score":0.4641000032424927,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.12759999930858612,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11089","display_name":"Radioactive contamination and transfer","score":0.051100000739097595,"subfield":{"id":"https://openalex.org/subfields/2306","display_name":"Global and Planetary Change"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/trisomy-18","display_name":"trisomy 18","score":0.8980000019073486},{"id":"https://openalex.org/keywords/down-syndrome","display_name":"Down syndrome","score":0.9900000095367432},{"id":"https://openalex.org/keywords/chemical-exposure","display_name":"chemical exposure","score":0.3930000066757202},{"id":"https://openalex.org/keywords/chromosomal-abnormalities","display_name":"chromosomal abnormalities","score":0.7540000081062317},{"id":"https://openalex.org/keywords/pregnancy-outcomes","display_name":"pregnancy outcomes","score":0.6000000238418579},{"id":"https://openalex.org/keywords/live-birth","display_name":"live birth","score":0.6460000276565552},{"id":"https://openalex.org/keywords/brazos-county-texas","display_name":"Brazos County, Texas","score":0.8220000267028809}],"concepts":[{"id":"https://openalex.org/C50416739","wikidata":"https://www.wikidata.org/wiki/Q181623","display_name":"Warehouse","level":2,"score":0.7615057229995728},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.32949793338775635},{"id":"https://openalex.org/C39432304","wikidata":"https://www.wikidata.org/wiki/Q188847","display_name":"Environmental science","level":0,"score":0.32872849702835083},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.28523391485214233},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.255201518535614},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.12189188599586487}],"mesh":[{"descriptor_ui":"D000073842","descriptor_name":"Trisomy 18 Syndrome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005308","descriptor_name":"Fertilizers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013781","descriptor_name":"Texas","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D014314","descriptor_name":"Trisomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.3390/ijerph17072561","doi":"https://doi.org/10.3390/ijerph17072561","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3390/ijerph17072561","pdf_url":"https://www.mdpi.com/1660-4601/17/7/2561/pdf","source":{"id":"https://openalex.org/S15239247","display_name":"International Journal of Environmental Research and Public Health","issn_l":"1660-4601","issn":["1660-4601","1661-7827"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","erih-plus","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Environmental Research and Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7177937","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7177937","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Environ Res Public Health","raw_type":"Text"},{"id":"pmid:32276490","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32276490","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of environmental research and public health","raw_type":"Journal Article"},{"id":"pmh:oai:RePEc:gam:jijerp:v:17:y:2020:i:7:p:2561-:d:343008","doi":null,"is_oa":false,"landing_page_url":"https://www.mdpi.com/1660-4601/17/7/2561/","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"},{"id":"pmh:oai:doaj.org/article:bbd54bc77292493482aadaea93005e16","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/bbd54bc77292493482aadaea93005e16","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal of Environmental Research and Public Health, Vol 17, Iss 2561, p 2561 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3390/ijerph17072561","doi":"https://doi.org/10.3390/ijerph17072561","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3390/ijerph17072561","pdf_url":"https://www.mdpi.com/1660-4601/17/7/2561/pdf","source":{"id":"https://openalex.org/S15239247","display_name":"International Journal of Environmental Research and Public Health","issn_l":"1660-4601","issn":["1660-4601","1661-7827"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","erih-plus","medline","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Environmental Research and Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8371999859809875,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","score":0.8600000143051147,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3016233779.pdf","grobid_xml":"https://content.openalex.org/works/W3016233779.grobid-xml"},"referenced_works_count":51,"referenced_works":["https://openalex.org/W1482548609","https://openalex.org/W1491900723","https://openalex.org/W1529533457","https://openalex.org/W1529934215","https://openalex.org/W1737332956","https://openalex.org/W1970779292","https://openalex.org/W1973733962","https://openalex.org/W1983580611","https://openalex.org/W1995867305","https://openalex.org/W1998463078","https://openalex.org/W2000636897","https://openalex.org/W2002022239","https://openalex.org/W2005325449","https://openalex.org/W2029978604","https://openalex.org/W2032701780","https://openalex.org/W2042220404","https://openalex.org/W2053361827","https://openalex.org/W2059031311","https://openalex.org/W2060763565","https://openalex.org/W2067449027","https://openalex.org/W2068381763","https://openalex.org/W2070048674","https://openalex.org/W2071488471","https://openalex.org/W2073247703","https://openalex.org/W2076807800","https://openalex.org/W2077805220","https://openalex.org/W2089951078","https://openalex.org/W2094357969","https://openalex.org/W2107095162","https://openalex.org/W2111485149","https://openalex.org/W2129023980","https://openalex.org/W2136820833","https://openalex.org/W2146477566","https://openalex.org/W2152179201","https://openalex.org/W2166617610","https://openalex.org/W2169984938","https://openalex.org/W2173125380","https://openalex.org/W2203386347","https://openalex.org/W2256149694","https://openalex.org/W2275306464","https://openalex.org/W2279250953","https://openalex.org/W2322561651","https://openalex.org/W2479401445","https://openalex.org/W2499072731","https://openalex.org/W2526989417","https://openalex.org/W2567119140","https://openalex.org/W2591952168","https://openalex.org/W2616924658","https://openalex.org/W2653584482","https://openalex.org/W2997073705","https://openalex.org/W6637801540"],"related_works":["https://openalex.org/W2982205233","https://openalex.org/W7056468450","https://openalex.org/W2620966005","https://openalex.org/W2142268853","https://openalex.org/W1983277695","https://openalex.org/W2268505524","https://openalex.org/W2565977942","https://openalex.org/W3214621173","https://openalex.org/W2955311448","https://openalex.org/W3196646943"],"abstract_inverted_index":{"BACKGROUND:":[0],"In":[1],"this":[2,183],"paper,":[3],"we":[4],"aimed":[5],"to":[6,87,98,128,189],"investigate":[7],"the":[8,53,71,89,99,115,120,152,159,164,176,190,199],"potential":[9],"impacts":[10],"of":[11,47,63,91,117,161,193],"a":[12,16],"fire":[13,185],"accident":[14,72,153],"in":[15,31,40,52,56,73,95,102,123,195],"fertilizer":[17,184],"warehouse":[18],"on":[19],"chromosomal":[20],"anomalies,":[21],"including":[22],"Trisomy":[23,27],"21":[24],"(T21)":[25],"and":[26,49,65,69,78,93,109,150],"(T18)":[28],"among":[29],"pregnancies":[30],"Brazos":[32,41,57,74,96,124,196],"County,":[33,42,197],"Texas.":[34],"We":[35],"conducted":[36],"an":[37],"observational":[38],"study":[39,179],"TX,":[43],"with":[44,112],"all":[45],"patients":[46],"T18":[48,64,92,118,194],"T21":[50,66,94,162],"cases":[51],"live":[54],"births":[55],"County":[58,75,97],"between":[59],"2005-2014.":[60],"The":[61,80],"prevalence":[62,90,101,160,192],"before,":[67],"during,":[68],"after":[70,104,151,175],"were":[76],"calculated":[77],"compared.":[79],"Standardized":[81],"Morbidity":[82],"Ratio":[83],"(SMR)":[84],"was":[85,126,141,167],"applied":[86],"compare":[88],"statewide":[100,113],"Texas":[103],"adjusting":[105],"for":[106],"maternal":[107],"race":[108],"age.":[110],"Compared":[111],"risk,":[114],"risk":[116],"during":[119,163],"impacted":[121,165],"years":[122,166],"county":[125],"found":[127],"be":[129,187],"significantly":[130,169],"higher":[131],"(SMR":[132,146,154],"=":[133,147,155],"5.0,":[134],"95%":[135],"Confidence":[136],"Interval(CI):":[137],"2.19-9.89),":[138],"while":[139],"there":[140],"no":[142],"significant":[143],"difference":[144],"before":[145,173],"0.77,":[148],"0.13-2.54)":[149],"0.71,":[156],"0.12-2.36).":[157],"However,":[158],"not":[168],"different":[170],"from":[171],"those":[172],"or":[174],"accident.":[177],"This":[178],"conclusively":[180],"suggests":[181],"that":[182],"may":[186],"related":[188],"increased":[191],"though":[198],"findings":[200],"warrant":[201],"further":[202],"investigation.":[203]},"counts_by_year":[{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-04-17T00:00:00"}
