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Moazami TN, Jørgensen RB, Svendsen KVH, Teigen KA, Hegseth MN. Personal exposure to gaseous and particulate phase polycyclic aromatic hydrocarbons (PAHs) and nanoparticles and lung deposited surface area (LDSA) for soot among Norwegian chimney sweepers. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE 2024; 21:24-34. [PMID: 37756361 DOI: 10.1080/15459624.2023.2264349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/29/2023]
Abstract
Exposure to polycyclic aromatic hydrocarbons (PAHs) of high molecular weight from chimney soot can cause cancer among chimney sweepers. These sweepers may also be exposed to high concentrations of nanosized particles, which can cause significant inflammatory responses due to their relatively greater surface area per mass. In this study, the authors aimed to assess the exposure profiles of airborne personal exposure to gaseous and particulate PAHs, and real-time samples of the particle number concentrations (PNCs), particle sizes, and lung-deposited surface areas (LDSAs), for chimney sweepers in Norway. Additionally, the authors aimed to assess the task-based exposure concentrations of PNCs, sizes, and LDSAs while working on different tasks. The results are based on personal samples of particulate PAHs (n = 68), gaseous PAHs (n = 28), and real-time nanoparticles (n = 8) collected from 17 chimney sweepers. Samples were collected during a "typical work week" of chimney sweeping and fire safety inspections, then during a "massive soot" week, where larger sweeping missions took place. Significantly higher PAH concentrations were measured during the "massive soot" week compared to the "typical work week," however, the time-weighted average (TWA) (8-hr) of all gaseous and particulate PAHs ranged from 0.52 to 4.47 µg/m3 and 0.49 to 2.50 µg/m3, respectively, well below the Norwegian occupational exposure limit (OEL) of 40 µg/m3. The PNCs were high during certain activities, such as emptying the vacuum cleaner. Additionally, during 2 days of sweeping in a waste sorting facility, the TWAs of the PNCs were 3.6 × 104 and 7.1 × 104 particles/cm3 on the first and second days, respectively, which were near and above the proposed nano reference limit TWA value of 4.0 × 104 particles/cm3 proposed by the International Workshop on Nano Reference Values. The corresponding TWAs of the LDSAs were 49.5 and 54.5 µm2/cm3, respectively. The chimney sweepers seemed aware of the potential health risks associated with exposure, and suitable personal protective equipment was used. However, the PNCs reported for the activities show that when the activities change or increase, the PNCs' TWAs can become unacceptably high.
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Affiliation(s)
- Therese Nitter Moazami
- Department of Industrial Economics and Technology Management, Norwegian University of Science and Technology (NTennesseeU), Trondheim, Norway
| | - Rikke Bramming Jørgensen
- Department of Industrial Economics and Technology Management, Norwegian University of Science and Technology (NTennesseeU), Trondheim, Norway
| | - Kristin V Hirsch Svendsen
- Department of Industrial Economics and Technology Management, Norwegian University of Science and Technology (NTennesseeU), Trondheim, Norway
| | - Krister Aune Teigen
- Department of Occupational and Environmental Medicine, University Hospital of North Norway (UiT), Tromsø, Norway
| | - Marit Nøst Hegseth
- Department of Occupational and Environmental Medicine, University Hospital of North Norway (UiT), Tromsø, Norway
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Virji MA, Kurth L. Peak Inhalation Exposure Metrics Used in Occupational Epidemiologic and Exposure Studies. Front Public Health 2021; 8:611693. [PMID: 33490023 PMCID: PMC7820770 DOI: 10.3389/fpubh.2020.611693] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 12/07/2020] [Indexed: 12/24/2022] Open
Abstract
Peak exposures are of concern because they can potentially overwhelm normal defense mechanisms and induce adverse health effects. Metrics of peak exposure have been used in epidemiologic and exposure studies, but consensus is lacking on its definition. The relevant characteristics of peak exposure are dependent upon exposure patterns, biokinetics of exposure, and disease mechanisms. The objective of this review was to summarize the use of peak metrics in epidemiologic and exposure studies. A comprehensive search of Medline, Embase, Web of Science, and NIOSHTIC-2 databases was conducted using keywords related to peak exposures. The retrieved references were reviewed and selected for indexing if they included a peak metric and met additional criteria. Information on health outcomes and peak exposure metrics was extracted from each reference. A total of 1,215 epidemiologic or exposure references were identified, of which 182 were indexed and summarized. For the 72 epidemiologic studies, the health outcomes most frequently evaluated were: chronic respiratory effects, cancer and acute respiratory symptoms. Exposures were frequently assessed using task-based and full-shift time-integrated methods, qualitative methods, and real-time instruments. Peak exposure summary metrics included the presence or absence of a peak event, highest exposure intensity and frequency greater than a target. Peak metrics in the 110 exposure studies most frequently included highest exposure intensity, average short-duration intensity, and graphical presentation of the real-time data (plots). This review provides a framework for considering biologically relevant peak exposure metrics for epidemiologic and exposure studies to help inform risk assessment and exposure mitigation.
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Affiliation(s)
- M Abbas Virji
- Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, United States
| | - Laura Kurth
- Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV, United States
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Exposure to Ultrafine Particles in the Ferroalloy Industry Using a Logbook Method. NANOMATERIALS 2020; 10:nano10122546. [PMID: 33348887 PMCID: PMC7766956 DOI: 10.3390/nano10122546] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 12/03/2020] [Accepted: 12/14/2020] [Indexed: 11/17/2022]
Abstract
Background: It is difficult to assess workers’ exposure to ultrafine particles (UFP) due to the lack of personal sampling equipment available for this particle fraction. The logbook method has been proposed as a general method for exposure assessment. This method measures the time and concentration components of the time-weighted average concentration separately and could be suitable for investigation of UFP exposure. Objectives: In this study, we have assessed workers’ exposure to UFP in a ferrosilicon plant. The main tasks of the furnace workers were identified, and the logbook method was used in combination with stationary measurements of UFP taken as close to the identified task areas as possible. In order to verify the results, respirable particles were collected using stationary sampling in close proximity to the UFP measuring instrument, and personal full-shift sampling of respirable particles was performed simultaneously. Thus, exposure to respirable particles determined using the logbook method could be compared to the results of standard measurement. Methods: The particle number concentration of ultrafine particles was determined using a NanoScan SMPS. Respirable particle concentration and exposure were determined using a sampling train consisting of a pump, filter, filter cassettes, and SKC Cyclone for the respirable fraction. Attendance times for workers at each work location were registered via thorough observations made by the research team. Results: The logbook method for exposure estimation based on stationary sampling equipment made it possible to calculate UFP exposure for workers operating the furnaces at a ferrosilicon plant. The mid-size furnace and the large furnace were evaluated separately. The workers operating the largest furnace were exposed to 1.47 × 104 particles/cm3, while workers operating the mid-size furnace were exposed to 2.06 × 104 particles/cm3, with a mean of 1.74 × 104 particles/cm3. Substantial contributions from the casting area, ladle transport corridor, and both tapping areas were made. Exposure to respirable particles was 2.04 mg/m3 (logbook); 2.26 mg/m3 (personal sampling) for workers operating the large-sized furnace, 3.24 mg/m3 (logbook); 2.44 mg/m3 (personal sampling) for workers operating the medium-sized furnace, and 2.57 mg/m3 (logbook); 2.53 mg/m3(personal sampling) on average of all tappers. The average ratio of these two methods’ results was 1.02, which indicates that the logbook method could be used as a substitute for personal sampling when it is not possible to perform personal sampling, at least within this industry. Conclusions: The logbook method is a useful supplement for exposure assessment of UFP, able to identify the most polluted areas of the workplace and the contribution of different work tasks to the total exposure of workers, enabling companies to take action to reduce exposure.
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Ochsmann E, Brand P, Kraus T, Reich S. Ultrafine particles in scanning sprays: a standardized examination of five powders used for dental reconstruction. J Occup Med Toxicol 2020; 15:20. [PMID: 32612668 PMCID: PMC7324966 DOI: 10.1186/s12995-020-00271-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Accepted: 06/18/2020] [Indexed: 11/17/2022] Open
Abstract
Background Intraoral matting sprays for chairside systems can release fine or ultrafine particles or nanoparticles at dentists’ workplaces and cause work-related health problems by inhalation exposure. Until now, little is known about the magnitude of the ultrafine fraction, when using these scanning sprays. Hence, more information is needed for workplace risk assessments in dental practices. Methods Five commonly used dental spray-powders were examined under standardized conditions. Ingredients were taken from the respective safety data sheet. Particle number-size distributions and total number concentrations were analyzed with a fast mobility particle sizer, and reported graphically as well as mean particle fractions smaller than 100 nm. Based on these measurements, risk assessments were conducted, and particle depositions in the lung were modelled. Results The mean fraction of particles smaller than 100 nm varied between 9 and 93% depending on the matting agent and mode of application of the intraoral scanning spray. Propellants can represent a large fraction of these particles. Titanium dioxide, pigment-suspensions, talcum and others particles, which can pose relevant health risks, were listed as ingredients of scanning sprays in safety data sheets. Nevertheless, the deposited fraction of hazardous particles in the lung of employees in dental practices seems to be small (15%) during this dental procedure. Conclusions Our results suggest that dentists’ personnel can be exposed to hazardous fine and ultrafine particles. Though extensive standardized measurements and systematic evaluation of safety data sheets were used for this study, they cannot sufficiently assess and categorize potential workplace-related health risks.
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Affiliation(s)
- E Ochsmann
- Institute for Occupational, Social and Environmental Medicine, Faculty of Medicine, RWTH University Hospital, Aachen, Germany.,Institute for Occupational Medicine, Prevention and Occupational Health Management, University of Lübeck, Lübeck, Germany
| | - P Brand
- Institute for Occupational, Social and Environmental Medicine, Faculty of Medicine, RWTH University Hospital, Aachen, Germany
| | - T Kraus
- Institute for Occupational, Social and Environmental Medicine, Faculty of Medicine, RWTH University Hospital, Aachen, Germany
| | - S Reich
- Department of Prosthodontics, Implantology and Biomaterials, Faculty of Medicine, RWTH University Hospital, Aachen, Germany
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Kunovac A, Hathaway QA, Pinti MV, Taylor AD, Hollander JM. Cardiovascular adaptations to particle inhalation exposure: molecular mechanisms of the toxicology. Am J Physiol Heart Circ Physiol 2020; 319:H282-H305. [PMID: 32559138 DOI: 10.1152/ajpheart.00026.2020] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Ambient air, occupational settings, and the use and distribution of consumer products all serve as conduits for toxicant exposure through inhalation. While the pulmonary system remains a primary target following inhalation exposure, cardiovascular implications are exceptionally culpable for increased morbidity and mortality. The epidemiological evidence for cardiovascular dysfunction resulting from acute or chronic inhalation exposure to particulate matter has been well documented, but the mechanisms driving the resulting disturbances remain elusive. In the current review, we aim to summarize the cellular and molecular mechanisms that are directly linked to cardiovascular health following exposure to a variety of inhaled toxicants. The purpose of this review is to provide a comprehensive overview of the biochemical changes in the cardiovascular system following particle inhalation exposure and to highlight potential biomarkers that exist across multiple exposure paradigms. We attempt to integrate these molecular signatures in an effort to provide direction for future investigations. This review also characterizes how molecular responses are modified in at-risk populations, specifically the impact of environmental exposure during critical windows of development. Maternal exposure to particulate matter during gestation can lead to fetal epigenetic reprogramming, resulting in long-term deficits to the cardiovascular system. In both direct and indirect (gestational) exposures, connecting the biochemical mechanisms with functional deficits outlines pathways that can be targeted for future therapeutic intervention. Ultimately, future investigations integrating "omics"-based approaches will better elucidate the mechanisms that are altered by xenobiotic inhalation exposure, identify biomarkers, and guide in clinical decision making.
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Affiliation(s)
- Amina Kunovac
- Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, West Virginia.,Mitochondria, Metabolism & Bioenergetics Working Group, West Virginia University School of Medicine, Morgantown, West Virginia.,Center for Inhalation Toxicology, West Virginia University School of Medicine, Morgantown, West Virginia
| | - Quincy A Hathaway
- Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, West Virginia.,Mitochondria, Metabolism & Bioenergetics Working Group, West Virginia University School of Medicine, Morgantown, West Virginia.,Center for Inhalation Toxicology, West Virginia University School of Medicine, Morgantown, West Virginia
| | - Mark V Pinti
- Mitochondria, Metabolism & Bioenergetics Working Group, West Virginia University School of Medicine, Morgantown, West Virginia.,West Virginia University School of Pharmacy, Morgantown, West Virginia
| | - Andrew D Taylor
- Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, West Virginia.,Mitochondria, Metabolism & Bioenergetics Working Group, West Virginia University School of Medicine, Morgantown, West Virginia
| | - John M Hollander
- Division of Exercise Physiology, West Virginia University School of Medicine, Morgantown, West Virginia.,Mitochondria, Metabolism & Bioenergetics Working Group, West Virginia University School of Medicine, Morgantown, West Virginia.,Center for Inhalation Toxicology, West Virginia University School of Medicine, Morgantown, West Virginia
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Comparison of four nanoparticle monitoring instruments relevant for occupational hygiene applications. J Occup Med Toxicol 2019; 14:28. [PMID: 31798666 PMCID: PMC6882232 DOI: 10.1186/s12995-019-0247-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Accepted: 10/23/2019] [Indexed: 11/10/2022] Open
Abstract
Background The aim of this study is to make a comparison of a new small sized nanoparticle monitoring instrument, Nanoscan SMPS, with more traditional large size instruments, known to be precise and accurate [Scanning Mobility Particle Sampler (SMPS) and Fast Mobility Particle Sizer (FMPS)], and with an older small size instrument with bulk measurements of 10-1000 nm particles (CPC3007). The comparisons are made during simulated exposure scenarios relevant to occupational hygiene studies. Methods Four scenarios were investigated: metal inert gas (MIG) welding, polyvinyl chloride (PVC) welding, cooking, and candle-burning. Ratios between results are compaed and Pearsson correlations analysis was performed. Results The highest correlation between the results is found between Nanoscan and SMPS, with Pearsson correlation coefficients above 0.9 for all scenarios. However, Nanoscan tended to overestimate the results from the SMPS; the ratio between the UFP concentrations vary between 1.44 and 2.01, and ratios of total concentrations between 1.18 and 2.33. CPC 3007 did not show comparable results with the remaining instruments. Conclusion Based on the results of this study, the choice of measurement equipment may be crucial when evaluating measurement results against a reference value or a limit value for nanoparticle exposure. This stresses the need for method development, standardisation, and harmonisation of particle sampling protocols before reference values are introduced. Until this is established, the SMPS instruments are the most reliable for quantification of the concentrations of UFP, but in a more practical occupational hygiene context, the Nanoscan SMPS should be further tested.
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Jørgensen RB, Kero IT. Real-Time Measurements and Characterization of Airborne Particulate Matter from a Primary Silicon Carbide Production Plant. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14121611. [PMID: 29261158 PMCID: PMC5751027 DOI: 10.3390/ijerph14121611] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 12/07/2017] [Accepted: 12/15/2017] [Indexed: 11/18/2022]
Abstract
Airborne particulate matter in the silicon carbide (SiC) industry is a known health hazard. The aims of this study were to elucidate whether the particulate matter generated inside the Acheson furnace during active operation is representative of the overall particulate matter in the furnace hall, and whether the Acheson furnaces are the main sources of ultrafine particles (UFP) in primary SiC production. The number concentration of ultrafine particles was evaluated using an Electrical Low Pressure Impactor (ELPITM, Dekati Ltd., Tampere, Finland), a Fast Mobility Particle Sizer (FMPSTM, TSI, Shoreview, MN, USA) and a Condensation Particle Counter (CPC, TSI, Shoreview, MN, USA). The results are discussed in terms of particle number concentration, particle size distribution and are also characterized by means of electron microscopy (TEM/SEM). Two locations were investigated; the industrial Acheson process furnace hall and a pilot furnace hall; both of which represent an active operating furnace. The geometric mean of the particle number concentration in the Acheson process furnace hall was 7.7 × 104 particles/cm3 for the UFP fraction and 1.0 × 105 particles/cm3 for the submicrometre fraction. Particulate matter collected at the two sites was analysed by electron microscopy. The PM from the Acheson process furnace hall is dominated by carbonaceous particles while the samples collected near the pilot furnace are primarily rich in silicon.
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Affiliation(s)
- Rikke Bramming Jørgensen
- Department of Industrial Economics and Technology Management, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway.
| | - Ida Teresia Kero
- Department of Industrial Process Technology, SINTEF Materials and Chemistry, P.O. Box. 4760, NO-7465 Trondheim, Norway.
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Campagna M, Pilia I, Marcias G, Frattolillo A, Pili S, Bernabei M, d'Aloja E, Cocco P, Buonanno G. Ultrafine Particle Distribution and Chemical Composition Assessment during Military Operative Trainings. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14060579. [PMID: 28556812 PMCID: PMC5486265 DOI: 10.3390/ijerph14060579] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2017] [Revised: 05/26/2017] [Accepted: 05/27/2017] [Indexed: 11/16/2022]
Abstract
(1) Background: The assessment of airborne particulate matter (PM) and ultrafine particles (UFPs) in battlefield scenarios is a topic of particular concern; (2) Methods: Size distribution, concentration, and chemical composition of UFPs during operative military training activities (target drone launches, ammunition blasting, and inert bomb impact) were investigated using an electric low-pressure impactor (ELPI+) and a scanning electron microscope (SEM), equipped with energy-dispersive spectroscopy (EDS); (3) Results: The median of UFPs, measured for all sampling periods and at variable distance from sources, was between 1.02 × 103 and 3.75 × 103 particles/cm3 for drone launches, between 3.32 × 103 and 15.4 × 103 particles/cm3 for the ammunition blasting and from 7.9 × 103 to 1.3 × 104 particles/cm3 for inert launches. Maximum peak concentrations, during emitting sources starting, were 75.5 × 106 and 17.9 × 106 particles/cm3, respectively. Particles from the drone launches were predominantly composed of silicon (Si), iron (Fe) and calcium (Ca), and those from the blasting campaigns by magnesium (Mg), sulphur (S), aluminum (Al), iron (Fe), barium (Ba) and silicon (Si); (4) Conclusions: The investigated sources produced UFPs with median values lower than other anthropogenic sources, and with a similar chemical composition.
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Affiliation(s)
- Marcello Campagna
- Department of Medical Sciences and Public Health, University of Cagliari, 09042, Monserrato, Italy.
| | - Ilaria Pilia
- Department of Medical Sciences and Public Health, University of Cagliari, 09042, Monserrato, Italy.
| | - Gabriele Marcias
- Department of Medical Sciences and Public Health, University of Cagliari, 09042, Monserrato, Italy.
| | - Andrea Frattolillo
- Department of Civil and Environmental Engineering and Architecture, University of Cagliari, via Marengo 2, 09123 Cagliari, Italy.
| | - Sergio Pili
- Department of Medical Sciences and Public Health, University of Cagliari, 09042, Monserrato, Italy.
| | - Manuele Bernabei
- Chemistry Department, Test Flight Centre, IAF, Pratica di Mare AFB, 00040 Pomezia, Italy.
| | - Ernesto d'Aloja
- Department of Medical Sciences and Public Health, University of Cagliari, 09042, Monserrato, Italy.
| | - Pierluigi Cocco
- Department of Medical Sciences and Public Health, University of Cagliari, 09042, Monserrato, Italy.
| | - Giorgio Buonanno
- Department of Civil and Mechanical Engineering, University of Cassino and Southern Lazio, I-03043, Cassino, Italy.
- International Laboratory for Air Quality and Health, Queensland University of Technology (QUT), 4001, Brisbane, Australia.
- Department of Engineering, University of Naples "Parthenope", 80133, Naples, Italy.
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Kero IT, Jørgensen RB. Comparison of Three Real-Time Measurement Methods for Airborne Ultrafine Particles in the Silicon Alloy Industry. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:E871. [PMID: 27598180 PMCID: PMC5036704 DOI: 10.3390/ijerph13090871] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 08/17/2016] [Accepted: 08/24/2016] [Indexed: 11/16/2022]
Abstract
The aim of this study was to compare the applicability and the correlation between three commercially available instruments capable of detection, quantification, and characterization of ultrafine airborne particulate matter in the industrial setting of a tapping area in a silicon alloy production plant. The number concentration of ultrafine particles was evaluated using an Electric Low Pressure Impactor (ELPI(TM)), a Fast Mobility Particle Sizer (FMPS(TM)), and a Condensation Particle Counter (CPC). The results are discussed in terms of particle size distribution and temporal variations linked to process operations. The instruments show excellent temporal covariation and the correlation between the FMPS and ELPI is good. The advantage of the FMPS is the excellent time- and size resolution of the results. The main advantage of the ELPI is the possibility to collect size-fractionated samples of the dust for subsequent analysis by, for example, electron microscopy. The CPC does not provide information about the particle size distribution and its correlation to the other two instruments is somewhat poor. Nonetheless, the CPC gives basic, real-time information about the ultrafine particle concentration and can therefore be used for source identification.
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Affiliation(s)
- Ida Teresia Kero
- Department of Industrial Process, Technology SINTEF Materials and Chemistry, P.O. Box. 4760, NO-7465 Trondheim, Norway.
| | - Rikke Bramming Jørgensen
- Department of Industrial Economics and Technology Management, Norwegian University of Science and Technology, Trondheim, Norway.
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Ragde SF, Jørgensen RB, Føreland S. Characterisation of Exposure to Ultrafine Particles from Surgical Smoke by Use of a Fast Mobility Particle Sizer. ANNALS OF OCCUPATIONAL HYGIENE 2016; 60:860-74. [PMID: 27255204 DOI: 10.1093/annhyg/mew033] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2015] [Accepted: 04/28/2016] [Indexed: 01/29/2023]
Abstract
INTRODUCTION Electrosurgery is a method based on a high frequency current used to cut tissue and coagulate small blood vessels during surgery. Surgical smoke is generated due to the heat created by electrosurgery. The carcinogenic potential of this smoke was assumed already in the 1980's and there has been a growing interest in the potential adverse health effects of exposure to the particles in surgical smoke. Surgical smoke is known to contain ultrafine particles (UFPs) but the knowledge about the exposure to UFPs produced by electrosurgery is however sparse. The aims of the study were therefore to characterise the exposure to UFPs in surgical smoke during different types of surgical procedures and on different job groups in the operating room, and to characterise the particle size distribution. METHODS Personal exposure measurements were performed on main surgeon, assistant surgeon, surgical nurse, and anaesthetic nurse during five different surgical procedures [nephrectomy, breast reduction surgery, abdominoplasty, hip replacement surgery, and transurethral resection of the prostate (TURP)]. The measurements were performed with a Fast Mobility Particle Sizer (FMPS) to assess the exposure to UPFs and to characterize the particle size distribution. Possible predictors of exposure were investigated using Linear Mixed Effect Models. RESULTS The exposure to UFPs was highest during abdominoplasty arithmetic mean (AM) 3900 particles cm(-3) and lowest during hip replacement surgeries AM 400 particles cm(-3). The different job groups had similar exposure during the same types of surgical procedures. The use of electrosurgery resulted in short term high peak exposure (highest maximum peak value 272 000 particles cm(-3)) to mainly UFPs. The size distribution of particles varied between the different types of surgical procedures, where nephrectomy, hip replacement surgery, and TURP produced UFPs with a dominating mode of 9nm while breast reduction surgery and abdominoplasty produced UFPs with a dominating mode of 70 and 81nm, respectively. Type of surgery was the strongest predictor of exposure. When only including breast reduction surgery in the analysis, the use of one or two ES pencils during surgery was a significant predictor of exposure. When only including hip replacement surgery, the operating room was a significant predictor of exposure. CONCLUSION The use of electrosurgery resulted in short-term high peak exposures to mainly UFPs in surgical smoke. Type of surgery was the strongest predictor of exposure and the different types of surgical procedures produced different sized particles. The job groups had similar exposure. Compared to other occupational exposures to UFPs involving hot processes, the personal exposure levels for UFPs were low during the use of electrosurgery.
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Affiliation(s)
- Siri Fenstad Ragde
- 1.Department of Occupational Medicine, St. Olav's Hospital, Trondheim University Hospital, Harald Hardrådes gt 14, 7030 Trondheim, Norway; 2.Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Erling Skjalgson gt 1, 7030 Trondheim, Norway;
| | - Rikke Bramming Jørgensen
- 3.Department of Industrial Economics and Technology Management, Norwegian University of Science and Technology, Trondheim, Norway, N-7491 Trondheim, Norway
| | - Solveig Føreland
- 1.Department of Occupational Medicine, St. Olav's Hospital, Trondheim University Hospital, Harald Hardrådes gt 14, 7030 Trondheim, Norway; 4.Department of Geology and Mineral Resources Engineering, Norwegian University of Science and Technology, N-7491 Trondheim, Norway
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