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Dazon C, Bau S, Payet R, Fierro V, Witschger O. Towards a surface metric to measure the dustiness of nanomaterial powders. ENVIRONMENTAL SCIENCE. PROCESSES & IMPACTS 2023; 25:670-679. [PMID: 36806437 DOI: 10.1039/d2em00514j] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
The relevance of dustiness methods is increasingly recognized in the preliminary exposure evaluation of workers handling nanomaterials in powder form, and should also be transposed to the assessment of environmental risk in the future. The methods currently recommended in the European standards are mainly based on determining a mass-based dustiness index [mg kg-1], whereas surface area is regularly put forward as a more appropriate determinant to assess the pulmonary toxicity of nanoparticles. In this study, we describe an operational methodology leading us to propose a surface metric to determine the dustiness index [m2 kg-1] of nanoparticulate matter. To this end, we demonstrate the equivalence between the external specific surface area of a nanopowder and that of its aerosol with five nanomaterials produced and used on an industrial scale, and covering a range of external specific surface areas from 35 to 230 m2 g-1. Compared to the conventional mass-based dustiness index, the surface-based dustiness index (1) is more discriminating, covering an additional order of magnitude, and (2) has an impact on the powder ranking with potential consequences on the preventive measures to be implemented. Finally, our proposal has the potential to be included in future revisions of European standards for workplace exposure and dustiness measurement, provided that further experimental results on surface-based dustiness indices support these preliminary data.
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Affiliation(s)
- Claire Dazon
- Ecole Supérieure de Physique et de Chimie Industrielles de la Ville de Paris, Paris, France.
| | - Sébastien Bau
- Aerosol Metrology Laboratory, INRS, Vandoeuvre, France
| | - Raphaël Payet
- Aerosol Metrology Laboratory, INRS, Vandoeuvre, France
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Pernetti R, Galbusera F, Cattenone A, Bergamaschi E, Previtali B, Oddone E. Characterizing Nanoparticle Release Patterns of Laser Powder Bed Fusion in Metal Additive Manufacturing: First Step Towards Mitigation Measures. Ann Work Expo Health 2023; 67:252-265. [PMID: 36416452 DOI: 10.1093/annweh/wxac080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 10/24/2022] [Indexed: 11/24/2022] Open
Abstract
Laser Powder Bed Fusion (L-PBF) is a well-known Additive Manufacturing (AM) technology with a wide range of industrial applications. Potential occupational exposures to metal nanoparticles (NP) as by-products could occur in these processes, and no cogent occupational exposure limits are available. To contribute to this assessment, a monitoring campaign to measure the NP release pattern in two metal L-PBF facilities was carried out in two academic laboratories adopting L-PBF technology for research purposes. The monitored processes deal with two devices and three feedstock types, namely stainless steel (AISI 316L), aluminium-silicon alloy (A357) and pure copper, which are associated with different levels of industrial maturity. Prolonged environmental and personal real-time monitoring of NP concentration and size were performed, temperature and relative humidity were also measured during environmental monitoring. The measurements reveal a controlled NP release of the monitored processes, resulting in an average reduced exposure of the operators during the whole working shift, in compliance with proposed limit values (20 000 n cm-3 for density >6000 kg m-3 or 40 000 n cm-3 for density <6000 kg m-3). Nonetheless, the monitoring results show release events with an increase in NP concentration and a decrease in NP size corresponding with several actions usually performed during warm-up and cleaning, leading to exposures over 40-50 000 n cm-3 during a considerable time interval, especially during the manufacturing of pure copper powder. The results show that the actions of the operators, boundary conditions (relative humidity) and set-up of the L-PBF device have an impact on the amount of NP released and their size. Several release events (significant increase in NP concentration and decrease in NP size) are identified and associated with specific job tasks of the workers as well as building conditions. These results contribute to the definition of NP release benchmarks in AM processes and provide information to improve the operational conditions of L-PBF processes as well as safety guidelines for operators.
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Affiliation(s)
- Roberta Pernetti
- Department of Public Health, Experimental and Forensic Medicine - University of Pavia, via Forlanini 2, 27100, Pavia, Italy
| | - Francesco Galbusera
- Department of Mechanical Engineering - Politecnico di Milano, Via La Masa 1, 20156, Milano, Italy
| | - Alberto Cattenone
- Department of Electrical, Computer and Biomedical Engineering - University of Pavia, via Ferrata 5, 27100, Pavia, Italy
| | - Enrico Bergamaschi
- Department of Public Health and Pediatrics, University of Turin, Piazza Polonia, 94, 10126, Turin, Italy
| | - Barbara Previtali
- Department of Mechanical Engineering - Politecnico di Milano, Via La Masa 1, 20156, Milano, Italy
| | - Enrico Oddone
- Department of Public Health, Experimental and Forensic Medicine - University of Pavia, via Forlanini 2, 27100, Pavia, Italy.,Hospital Occupational Unit of Occupational Medicine (UOOML) - ICS Maugeri IRCCS, Via Maugeri 10, 27100, Pavia, Italy
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Al Harby NF, El-Batouti M, Elewa MM. Prospects of Polymeric Nanocomposite Membranes for Water Purification and Scalability and their Health and Environmental Impacts: A Review. NANOMATERIALS (BASEL, SWITZERLAND) 2022; 12:nano12203637. [PMID: 36296828 PMCID: PMC9610978 DOI: 10.3390/nano12203637] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 10/09/2022] [Accepted: 10/12/2022] [Indexed: 05/26/2023]
Abstract
Water shortage is a major worldwide issue. Filtration using genuine polymeric membranes demonstrates excellent pollutant separation capabilities; however, polymeric membranes have restricted uses. Nanocomposite membranes, which are produced by integrating nanofillers into polymeric membrane matrices, may increase filtration. Carbon-based nanoparticles and metal/metal oxide nanoparticles have received the greatest attention. We evaluate the antifouling and permeability performance of nanocomposite membranes and their physical and chemical characteristics and compare nanocomposite membranes to bare membranes. Because of the antibacterial characteristics of nanoparticles and the decreased roughness of the membrane, nanocomposite membranes often have greater antifouling properties. They also have better permeability because of the increased porosity and narrower pore size distribution caused by nanofillers. The concentration of nanofillers affects membrane performance, and the appropriate concentration is determined by both the nanoparticles' characteristics and the membrane's composition. Higher nanofiller concentrations than the recommended value result in deficient performance owing to nanoparticle aggregation. Despite substantial studies into nanocomposite membrane manufacturing, most past efforts have been restricted to the laboratory scale, and the long-term membrane durability after nanofiller leakage has not been thoroughly examined.
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Affiliation(s)
- Nouf F. Al Harby
- Department of Chemistry, College of Science, Qassim University, Qassim 52571, Saudi Arabia
| | - Mervette El-Batouti
- Chemistry Department, Faculty of Science, Alexandria University, Alexandria 21526, Egypt
| | - Mahmoud M. Elewa
- Arab Academy for Science, Technology and Maritime Transport, Alexandria P.O. Box 1029, Egypt
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Koivisto AJ, Del Secco B, Trabucco S, Nicosia A, Ravegnani F, Altin M, Cabellos J, Furxhi I, Blosi M, Costa A, Lopez de Ipiña J, Belosi F. Quantifying Emission Factors and Setting Conditions of Use According to ECHA Chapter R.14 for a Spray Process Designed for Nanocoatings-A Case Study. NANOMATERIALS (BASEL, SWITZERLAND) 2022; 12:596. [PMID: 35214925 PMCID: PMC8876979 DOI: 10.3390/nano12040596] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 02/01/2022] [Accepted: 02/08/2022] [Indexed: 12/10/2022]
Abstract
Spray coatings' emissions impact to the environmental and occupational exposure were studied in a pilot-plant. Concentrations were measured inside the spray chamber and at the work room in Near-Field (NF) and Far-Field (FF) and mass flows were analyzed using a mechanistic model. The coating was performed in a ventilated chamber by spraying titanium dioxide doped with nitrogen (TiO2N) and silver capped by hydroxyethylcellulose (Ag-HEC) nanoparticles (NPs). Process emission rates to workplace, air, and outdoor air were characterized according to process parameters, which were used to assess emission factors. Full-scale production exposure potential was estimated under reasonable worst-case (RWC) conditions. The measured TiO2-N and Ag-HEC concentrations were 40.9 TiO2-μg/m3 and 0.4 Ag-μg/m3 at NF (total fraction). Under simulated RWC conditions with precautionary emission rate estimates, the worker's 95th percentile 8-h exposure was ≤171 TiO2 and ≤1.9 Ag-μg/m3 (total fraction). Environmental emissions via local ventilation (LEV) exhaust were ca. 35 and 140 mg-NP/g-NP, for TiO2-N and Ag-HEC, respectively. Under current situation, the exposure was adequately controlled. However, under full scale production with continuous process workers exposure should be evaluated with personal sampling if recommended occupational exposure levels for nanosized TiO2 and Ag are followed for risk management.
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Affiliation(s)
- Antti Joonas Koivisto
- Air Pollution Management APM, Mattilanmäki 38, 33610 Tampere, Finland
- Institute for Atmospheric and Earth System Research (INAR), University of Helsinki, PL 64, FI-00014 Helsinki, Finland
- ARCHE Consulting, Liefkensstraat 35D, B-9032 Wondelgem, Belgium
| | - Benedetta Del Secco
- CNR-ISAC, Institute of Atmospheric Sciences and Climate, National Research Council of Italy, Via Gobetti, 101, 40129 Bologna, Italy; (B.D.S.); (S.T.); (A.N.); (F.R.); (F.B.)
| | - Sara Trabucco
- CNR-ISAC, Institute of Atmospheric Sciences and Climate, National Research Council of Italy, Via Gobetti, 101, 40129 Bologna, Italy; (B.D.S.); (S.T.); (A.N.); (F.R.); (F.B.)
| | - Alessia Nicosia
- CNR-ISAC, Institute of Atmospheric Sciences and Climate, National Research Council of Italy, Via Gobetti, 101, 40129 Bologna, Italy; (B.D.S.); (S.T.); (A.N.); (F.R.); (F.B.)
| | - Fabrizio Ravegnani
- CNR-ISAC, Institute of Atmospheric Sciences and Climate, National Research Council of Italy, Via Gobetti, 101, 40129 Bologna, Italy; (B.D.S.); (S.T.); (A.N.); (F.R.); (F.B.)
| | - Marko Altin
- Witek srl, Via Siena 47, 50142 Firenze, Italy;
| | - Joan Cabellos
- Leitat Technological Center, c/de la Innovació 2, Terrassa, 08225 Barcelona, Spain;
| | - Irini Furxhi
- Transgero Limited, Cullinagh, Newcastle West, Co. Limerick, V42 V384 Limerick, Ireland;
- Department of Accounting and Finance, Kemmy Business School, University of Limerick, V94 T9PX Limerick, Ireland
| | - Magda Blosi
- ISTEC-CNR, Institute of Science and Technology for Ceramics, CNR, National Research Council, Via Granarolo 64, 48018 Faenza, Italy; (M.B.); (A.C.)
| | - Anna Costa
- ISTEC-CNR, Institute of Science and Technology for Ceramics, CNR, National Research Council, Via Granarolo 64, 48018 Faenza, Italy; (M.B.); (A.C.)
| | - Jesús Lopez de Ipiña
- Basque Research and Technology Alliance (BRTA), Consiglio Nazionale delle Ricerche, Parque Tecnológico de Alava, Leonardo Da Vinci 11, 01510 Miñano, Spain;
| | - Franco Belosi
- CNR-ISAC, Institute of Atmospheric Sciences and Climate, National Research Council of Italy, Via Gobetti, 101, 40129 Bologna, Italy; (B.D.S.); (S.T.); (A.N.); (F.R.); (F.B.)
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Alberto AR, Matos C, Carmona-Aparicio G, Iten M. Nanomaterials, a New Challenge in the Workplace. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2022; 1357:379-402. [DOI: 10.1007/978-3-030-88071-2_15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
AbstractNanomaterials are a nanotechnological product of increasing importance given the possibilities they offer to improve quality of life and support sustainable development. Safe management of nanomaterials is needed to ensure that this emerging technology has the highest levels of acceptance among different interest groups, including workers. This chapter reviews the current state that presents the different stages of risk management applied to nanomaterials, including standardisation, regulation, risk assessment and risk control. Particularly, the chapter contextualizes the development of nanotechnologies at European level and analyses the scientific evidence available on the risks derived from nanomaterials use. Furthermore, it highlights the required conditions to encourage the responsible development of nanomaterials, as well as reflects on the lack of consensus in terms of approaches and frameworks that could facilitate standardisation adoption, regulatory enforcement and industry intervention concerning nanomaterials.
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Chen R, Yin H, Cole IS, Shen S, Zhou X, Wang Y, Tang S. Exposure, assessment and health hazards of particulate matter in metal additive manufacturing: A review. CHEMOSPHERE 2020; 259:127452. [PMID: 32629313 DOI: 10.1016/j.chemosphere.2020.127452] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 06/11/2020] [Accepted: 06/15/2020] [Indexed: 05/15/2023]
Abstract
Metal additive manufacturing (AM), also known as metal three-dimensional (3D) printing, is a new technology offering design freedom to create complex structures that has found increasing applications in industrial processes. However, due to the fine metal powders and high temperatures involved, the printing process is likely to generate particulate matter (PM) that has a detrimental impact on the environment and human health. Therefore, comprehensive assessement of the exposure and health hazards of PM pollution related to this technique is urgently required. This review provides general knowledge of metal AM and its possible particle release. The health issues of metal PM are described considering the exposure routes, adverse human health outcomes and influencing factors. Methods of evaluating PM exposure and risk assessment techniques are also summarized. Lastly, future research needs are suggested. The information and knowledge presented in this review will contribute to the understanding, assessment, and control of possible risks in metal AM and benefit the wider metal 3D printing community, which includes machine operators, consumers, R&D scientists, and policymakers.
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Affiliation(s)
- Rui Chen
- Beijing Key Laboratory of Occupational Safety and Health, Beijing Municipal Institute of Labour Protection, Beijing Academy of Science and Technology, Beijing, 100054, China
| | - Hong Yin
- School of Aerospace, Mechanical and Manufacturing Engineering, RMIT University, Melbourne, VIC 3000, Australia.
| | - Ivan S Cole
- School of Aerospace, Mechanical and Manufacturing Engineering, RMIT University, Melbourne, VIC 3000, Australia
| | - Shirley Shen
- CSIRO Manufacturing, Bayview Ave, Clayton, Vic 3168, Australia
| | - Xingfan Zhou
- Beijing Key Laboratory of Occupational Safety and Health, Beijing Municipal Institute of Labour Protection, Beijing Academy of Science and Technology, Beijing, 100054, China
| | - Yuqian Wang
- Beijing Key Laboratory of Occupational Safety and Health, Beijing Municipal Institute of Labour Protection, Beijing Academy of Science and Technology, Beijing, 100054, China
| | - Shichuan Tang
- Beijing Key Laboratory of Occupational Safety and Health, Beijing Municipal Institute of Labour Protection, Beijing Academy of Science and Technology, Beijing, 100054, China.
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Kirkegaard ML, Kines P, Jeschke KC, Jensen KA. Risk Perceptions and Safety Cultures in the Handling of Nanomaterials in Academia and Industry. Ann Work Expo Health 2020; 64:479-489. [PMID: 32155241 PMCID: PMC7313261 DOI: 10.1093/annweh/wxaa022] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 02/11/2020] [Accepted: 02/17/2020] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Work and research with nanomaterials (NMs) has primarily focused on innovation, toxicity, governance, safety management tools, and public perceptions. The aim of this study was to identify academia and industry occupational safety and health (OSH) managers' perceptions and handling of NMs, in relation to safety culture. METHODS Semistructured interviews were carried out with OSH managers at six academic institutions and six industrial companies. The interview statements were coded into five topics regarding NMs: risk comprehension, information gathering, actions, communication, and compliance. The statements were then coded according to a five-step safety culture maturity model reflecting increasing occupational safety maturity from passive, to reactive, active, proactive, and exemplary occupational safety. RESULTS The safety culture maturity of the academic institutions were primarily active and proactive, whereas the industry group were primarily active and reactive. None of the statements were rated as exemplary, with the majority reflecting an active safety culture. The topics varied from a passive approach of having no focus on NMs and regarding risks as a part of the job, to applying proactive measures in the design, production, application, and waste management phases. Communication and introduction to OSH issues regarding NMs as well as compliance provided challenges in both academia and industry, given the increasing cultural and linguistic diversity of students/staff and employees. Workplace leaders played a crucial role in establishing a legitimate approach to working safely with NMs, however, the currently available OSH information for NMs were described as insufficient, impractical, and inaccessible. There was an embedded problem in solely relying on safety data sheets, which were often not nanospecific, as this may have led to underprotection. CONCLUSIONS There is a need for more structured, up-to-date, easily accessible, and user-friendly tools and information regarding toxicity and threshold limit values, relevant OSH promotion information, legislation, and other rules. The study underscores the need for politicians and engineers to collaborate with communication experts and both natural and social scientists in effectively framing information on NMs. Such a collaboration should allow for flexible deployment of multilevel and integrated safety culture initiatives to support sustainable nanotechnology and operational excellence.
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Affiliation(s)
- Marie Louise Kirkegaard
- National Research Centre for the Working Environment, Copenhagen, Denmark
- Technical University of Denmark, Department of Technology, Management and Economics, Lyngby, Denmark
| | - Pete Kines
- National Research Centre for the Working Environment, Copenhagen, Denmark
| | - Katharina Christiane Jeschke
- National Research Centre for the Working Environment, Copenhagen, Denmark
- Department of Organization, Copenhagen Business School, Frederiksberg, Denmark
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Dazon C, Witschger O, Bau S, Fierro V, Llewellyn PL. Toward an operational methodology to identify industrial-scaled nanomaterial powders with the volume specific surface area criterion. NANOSCALE ADVANCES 2019; 1:3232-3242. [PMID: 36133619 PMCID: PMC9418128 DOI: 10.1039/c9na00010k] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2019] [Accepted: 07/09/2019] [Indexed: 05/28/2023]
Abstract
Nanoparticulate powders are increasingly found in the workplace. Inhalation exposure to airborne nanoparticles (NPs) is possible throughout the life-cycle of the powders. As the toxicity of NPs has never been demonstrated, it remains essential to evaluate the risks associated with NPs in order to propose preventative measures. The first step of a risk assessment strategy consists in the identification of the 'nano' nature of a material, which suffers from a lack of an operational methodology. Here, we present a simplified and operational strategy relying on the volume specific surface area (VSSA) for nanomaterial identification, based on the recommendation stemming from the European Commission and previous work on this topic from the European Project Nanodefine. The proposed strategy was tested on a set of 15 representative industrial powders (TiO2, SiO2, CuO, and ZnO), covering a wide range of properties, and previous published data. The VSSA classification was validated via a comparison with the particle size obtained by transmission electron microscopy (TEM). It was evidenced that the VSSA is in accordance with particle size for nanomaterial powder classification. The proposed methodology involves relatively accessible methods such as thermogravimetric analysis, nitrogen adsorption and helium pycnometry and limits the detection of false negatives. Moreover, it does not imply systematic confirmation of the results with the reference particle size criterion. Our results suggest that the VSSA is a promising parameter to be used for risk assessment and should be further investigated on powder mixings to confirm its relevancy to define nanomaterial powders.
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Affiliation(s)
- Claire Dazon
- Laboratoire de Métrologie des Aerosols F-54519 Vandoeuvre lès Nancy France
| | - Olivier Witschger
- Laboratoire de Métrologie des Aerosols F-54519 Vandoeuvre lès Nancy France
| | - Sébastien Bau
- Laboratoire de Métrologie des Aerosols F-54519 Vandoeuvre lès Nancy France
| | - Vanessa Fierro
- Institut Jean Lamour, UMR CNRS 7198 F-88051 Epinal France
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Kuijpers E, Pronk A, Koivisto AJ, Jensen KA, Vermeulen R, Fransman W. Relative Differences in Concentration Levels during Sawing and Drilling of Car Bumpers Containing MWCNT and Organic Pigment. Ann Work Expo Health 2019; 63:148-157. [PMID: 30615066 DOI: 10.1093/annweh/wxy101] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Revised: 10/24/2018] [Accepted: 11/27/2018] [Indexed: 11/13/2022] Open
Abstract
INTRODUCTION Knowledge on the exposure characteristics, including release of nanomaterials, is especially needed in the later stages of nano-enabled products' life cycles to perform better occupational risk assessments. The objective of this study was to assess the concentrations during sawing and drilling in car bumpers containing multi-walled carbon nanotubes (MWCNTs) and nanosized organic pigment (OP) under variable realistic workplace situations related to the ventilation in the room and machine settings. METHODS Twelve different experiments were performed in triplicate (N = 36) using tools powered by induction engines that allow interference-free particle measurements. A DiSCmini was used to measure particle number concentrations, whereas particle size distributions were measured using Aerodynamic Particle Sizer (TSI), Scanning Mobility Particle Sizer (TSI), and Electrical Low Pressure Impactor (Dekati). In addition, inhalable particles were sampled using IOM samplers on filters for scanning electron microscope/energy-dispersive X-ray spectrometry (SEM/EDX) analyses. Data were analysed to estimate the effects of individual exposure determinants, in a two-stage modelling strategy using Autoregressive Integrated Moving Average models (stage 1) and subsequently combining first stage results in simulations using multiple linear regression models (stage 2). RESULTS In sawing experiments, partly melted carbon-rich particles (mainly ~2 to ~8 µm) were identified with SEM/EDX, whereas drilling experiments revealed no activity-related particles. In addition, no pristine engineered nanoparticles (MWCNTs and OP) were observed to be liberated from the matrix. Statistical analyses showed significant effects of a higher sawing speed, a reduction in air concentration due to mechanical ventilation, and less exposure during sawing of car bumpers containing MWCNTs compared to bumpers containing OP. CONCLUSION The experiments in this study give an indication of the effects of different abrasive activities (sawing, drilling), machine settings (sawing speed, drill size), mechanical ventilation, and material characteristics on the manufactured nano-objects, their agglomerates, and aggregates concentration levels.
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Affiliation(s)
- Eelco Kuijpers
- TNO, Utrechtseweg 48, HE Zeist, The Netherlands.,Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Yalelaan, CM Utrecht, The Netherlands
| | | | - Antti Joonas Koivisto
- National Research Centre for the Working Environment, Lerso Parkallé, Copenhagen, Denmark
| | - Keld Alstrup Jensen
- National Research Centre for the Working Environment, Lerso Parkallé, Copenhagen, Denmark
| | - Roel Vermeulen
- Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Yalelaan, CM Utrecht, The Netherlands
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