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Cumulative exposure to dust and gases as determinants of lung function decline in tunnel construction workers.

AIMS: To study the relation between lung function decrease and cumulative exposure to dust and gases in tunnel construction workers. METHODS: A total of 651 male construction workers (drill and blast workers, tunnel concrete workers, shotcreting operators, and tunnel boring machine workers) were followed up by spirometric measurements in 1989-2002 for an average of six years. Outdoor concrete workers, foremen, and engineers served as a low exposed referent population. RESULTS: The between worker component of variability was considerably reduced within the job groups compared to the whole population, suggesting that the workers within job groups had similar exposure levels. The annual decrease in FEV1 in low-exposed non-smoking workers was 21 ml and 24 ml in low-exposed ever smokers. The annual decrease in FEV1 in tunnel construction workers was 20-31 ml higher than the low exposed workers depending on job group for both non-smokers and ever smokers. After adjustment for age and observation time, cumulative exposure to nitrogen dioxide showed the strongest association with a decrease in FEV1 in both non-smokers, and ever smokers. CONCLUSION: Cumulative exposure to nitrogen dioxide appeared to be a major risk factor for lung function decreases in these tunnel construction workers, although other agents may have contributed to the observed effect. Contact with blasting fumes should be avoided, diesel exhaust emissions should be reduced, and respiratory devices should be used to protect workers against dust and nitrogen dioxide exposure.

Adult↗

Localization of airway constriction using gases of varying density and viscosity.

The relationship between the major site of airway constriction and change in total pulmonary resistance while breathing gases of varying density and viscosity was studied in five anesthetized dogs pretreated with atropine. Using an airway catheter, central and peripheral components of pulmonary resistance were measured by forced oscillation. Total pulmonary resistance was measured at 0.5 1/s with lungs air-filled, at 0.25 1/s with the lungs filled with 80% helium-20% oxygen (RL-He), and at 1.0 1/s with 80% sulfur hexafluoride-20% oxygen (RL-SF6). Intravenous histamine infusion resulted in a predominantly peripheral resistance increase as determined by the airway catheter and a much larger percentage increase in RL-He than in RL-SF6. Tracheal banding produced a purely central resistance increase and a greater change in RL-SF6 than in FL-He. These results support theoretical predictions that the predominant site of airways constriction can be determined without on airway catheter by comparing relative changes in total pulmonary resistance using different flow regimes.

Airway Resistance↗

Supersaturation by counterperfusion and diffusion of gases.

Gaseous supersaturation can be induced under steady-state conditions when two inert gases are transmitted in opposite directions across any system comprising a diffusion barrier adjacent to a zone of limited convective capacity. This has many implications for bubble formation in vivo and can explain the occurence of symptoms of decompression sickness without decompression.

Decompression Sickness↗

Susceptibility of different gases to ventilation-perfusion inequality.

Calculations of O2 and CO2 transfer in lung models of both series and parallel ventilation-perfusion (VA/Q) inequality have been performed by several investigators. In some cases, O2 uptake was found to be depressed more than CO2 output but in other examples CO2 elimination was interfered with to a greater extent. To understand the fundamental basis of differential susceptibility of various gases to VA/Q inequality, an algebraic analysis of inert gas exchange in two-compartment models of both series and parallel inequality is presented. For both types of inequality, the result is remarkably simple, in that the gas most affected is one whose partition coefficient is the geometric mean of the ventilation-to-perfusion ratios of the two compartments. Transfer of O2 and CO2 in these models was predicted well by the inert gas results not only qualitatively but even quantitatively. Similarly good quantitative predictions were obtained in more complicated multicompartment VA/Q distributions. The results therefore explain and reconcile the findings of various reported studies and in particular account for the observation that CO2 transfer is compromised in many examples of series inequality.

Carbon Dioxide↗

High-frequency ventilation in dogs with three gases of different densities.

Dogs were ventilated with a high-frequency oscillation device varying the frequency (5-15 Hz), the tidal volume (25-100 ml), and the resident gas (He, N2, SF6). Tidal volume was measured with a body plethysmograph. Blood gases were measured after a quasi-steady state was established. The kinematic viscosity of the breathing gas mixture, which changed by 1,700%, was found to have little effect on arterial PO2 and PCO2. The results are consistent with findings in a branched model that consisted of tubes with a diameter of 1 cm and with the theory of Taylor-type diffusion in turbulent flow. In addition, experiments were performed reducing and increasing the equipment dead space. This resulted in changes of PO2 and PCO2 that were appreciably less than those resulting from variations of tidal volume of the same magnitude.

Animals↗

Mass-transport models to predict toxicity of inhaled gases in the upper respiratory tract.

Mass transport (the movement of a chemical species) plays an important role in determining toxic responses of the upper respiratory tract (URT) to inhaled chemicals. Mathematical dosimetry models incorporate physical characteristics of mass transport and are used to predict quantitative uptake (absorption rate) and distribution of inhaled gases and vapors in the respiratory tract. Because knowledge of dose is an essential component of quantitative risk assessment, dosimetry modeling plays an important role in extrapolation of animal study results to humans. A survey of existing mathematical dosimetry models for the URT is presented, limitations of current models are discussed, and adaptations of existing models to produce a generally applicable model are suggested. Reviewed URT dosimetry models are categorized as early, lumped-parameter, and distributed- parameter models. Specific examples of other relevant modeling work are also presented.

Administration, Inhalation↗

Larynx and cervical trachea in humidification and heating of inhaled gases.

To evaluate the participation of the larynx and cervical trachea in conditioning inspired gases, we randomly allocated 16 mixed-breed dogs to two groups: group TT (tracheal tube; n = 8) and group LMA (laryngeal mask airway; n = 8). The dogs were anesthetized with pentobarbital sodium and mechanically ventilated for 3 hours. The parameters studied were temperature and absolute humidities of ambient, inhaled, and tracheal air. There was a small increase in tracheal air temperature compared to inhaled air temperature, but no significant difference between groups. The absolute humidity of tracheal air was greater in group LMA than in group TT (23 mg H2O * L(-1) and 14 mg H2O * L(-1), respectively; p < .0001). The difference in absolute humidity between the tracheal air and the inhaled air was higher in group LMA at all times (p < .0001). We conclude that the larynx and cervical trachea of the dog participate in humidification and heating of inhaled air by means of air contact with mucosa in this airway segment.

Administration, Inhalation↗

Evaluation of the potentialities to reduce greenhouse gases (GHG) emissions resulting from various treatments of municipal solid wastes (MSW) in moist tropical climates: application to Yaounde.

The authors here analyse the emission of greenhouse gases (GHG) resulting from the various treatment of municipal solid waste found in the town of Yaounde. Four management systems have been taken as the basis for analyses. System 1 is the traditional collection and landfill disposal, while in system 2 the hiogas produced in the landfill is recuperated to produce electricity. In systems 3 and 4, in addition to the collection, we have introduced a centralised composting or biogas plant before the landfilling disposal of refuse. A Life Cycle Inventory (LCI) of the four systems was made; this enable us to quantify the flux of matter and of energy, consumed or produced by the systems. Following this, only the greenhouse effect was taken into account to evaluate the ecological consequences of the MSW management systems. The method used to evaluate this impact takes into consideration on the one hand, GHG emissions or avoided emission following the substitution of fuel with methane recovered from landfills or produced in the digesters, and on the other hand, sequestrated carbon in the soil following the regular deposit of compost. Landfilling without recuperation of methane is the most emitting solution for greenhouse gas: it leads to the emission of 1.7 ton of carbon dioxide equivalent (tCO2E) per ton of household waste. Composting and methanisation allow one to have a comparable level of emission reduction, either respectively 1.8 and 2 tCO2E/t of MSW. In order to reduce the emission of GHG in the waste management systems, it is advisable to avoid first of all the emissions of methane coming from the landfills. System 2 seems to be a solution that would reduce the emissions of GHG at low cost (2.2 to 4 $/tCO2E). System 2 is calculated as the most effective at the environmental and economic level in the context of Yaounde. Therefore traditional collection, landfill disposal and biogas recuperation to produce electricity is preferable in moist tropical climates.

Air Pollution↗

Evaluation of cot mattress inner foam as a potential site for microbial generation of toxic gases.

Recent reports of biovolatilisation of phosphorus and antimony by anaerobic bacteria and of leaching of phosphorus and antimony fire-retardant additives from PVC cot mattress covers, indicate that the polyurethane inner-foam of cot mattresses could be a site for generation of toxic gases of group 15 elements. A toxic gas hypothesis for sudden infant death syndrome (SIDS) involving polyurethane foam of cot mattresses was proposed and tested experimentally. Levels of antimony, phosphorus, arsenic and bismuth were determined at four sites for 44 SIDS and 50 control (no death) cot mattress foams. There was no evidence to suggest that the levels of these elements in cot mattress foam have a causal relation to SIDS. Leaching of antimony trioxide from PVC mattress covers could account for detectable levels of this element in 52% of the cot mattress samples analysed. Volatile forms of antimony, phosphorus, arsenic and bismuth was not detected in the headspace of mixed or monoseptic cultures of anaerobic bacteria containing polyurethane foam. Past microbial activity had given rise to involatile methylated species of antimony in some of the cot mattress foams tested (61%, n = 24). Abiotic oxidation of biogenic trimethylantimony together with physical adsorption of methylantimony forms to the polyurethane foam matrix could account for the apparent absence of "escaped" volatile antimony species in culture headspaces of incubation vial. There was no evidence to suggest that levels of trimethylantimony or total methylantimony forms in cot mattress foams have a causal relation to SIDS.

Antimony↗

An extended equation for rate coefficients for adsorption of organic vapors and gases on activated carbons in air-purifying respirator cartridges.

Organic vapor adsorption rates in air-purifying respirator cartridges (and other packed beds of activated carbon granules) need to be known for estimating service lives. The correlation of Lodewyckx and Vansant [AIHAJ 61:501-505 (2000)] for mass transfer coefficients for organic vapor adsorption onto activated carbon was tested with additional data from three sources. It was then extended to better describe all the data, including that for gases. The additional parameter that accomplished this was the square root of molar equilibrium capacity of the vapor or gas on the carbon. This change, along with skew corrections when appropriate, resulted in better correlations with all experimental rate coefficients.

Adsorption↗

Effects of helium and other inert gases on Echinosphaerium nucleofilium (protozoa, heliozoa).

The effects of helium, nitrogen, argon and krypton on Echinosphaerium nucleofilum (Heliozoa) have been studied at partial pressures of 10-130 atm. Additional experiments have been carried out with hydrostatic pressure alone. Helium causes shortening of the axopods over the whole range of pressures, and damage to the cell body at pressures of 60-90 atm, both with a maximum at 80 atm. These effects cannot be explained in terms of hydrostatic pressure alone; a 'pressure reversal' effect may be operating, causing the peak at 80 atm. Nitrogen also causes both cell damage and axopod shortening, the severity increasing with increasing pressure. Argon and krypton cause cell damage but no shortening. The order of potency for cell damage is krypton greater than argon greater than nitrogen greater than helium. It is suggested that there may be tuo sites of action, possibly the microtubules (for axopod shortening) and the cell membrane (for cell damage). In appropriate mixtures of helium and argon, both the cell damage usually caused by argon, and the axopod shortening usually caused by helium, are prevented. Possible mechanisms include the effects of hydrostatic pressure on gas solubility coefficients, reversal of the effects of the gases by the increase in total pressure, and competition for sites of action.

Argon↗

Isolation of Lactobacillus sakei strain KJ-2008 and its removal of characteristic malodorous gases under anaerobic culture conditions.

A number of different sources, such as composts, leachates, and pig feces samples were collected from different pig farms in Korea. Several microorganisms were screened for their ability to deodorize the malodorous gases. As a result, a novel malodorous gas-deodorizing bacterial strain KJ-2008 was isolated due to the most abundant of nitrate-supplemented minimal media under anaerobic conditions. Crimp-sealed serum bottles containing nitrate-supplemented minimal medium (MM-NO(3)(-)) in airtight conditions were inoculated with KJ-2008. Nitrate concentration decreased rapidly after 20 h incubation and nitrite production reached almost zero during the time the experimental was carried out. Taxonomic identification including 16S rDNA base sequencing and phylogenetic analysis indicated that the isolate KJ-2008 had a 99.8% homology in its 16S rDNA base sequence with Lactobacillus sakei. Among the volatile fatty acids, acetic acid contained in large amounts in fresh piggery slurry decreased about 40% after 50 h incubation of the strain KJ-2008. n-Butyric acid, n-valeric acid, and iso-valeric acid gradually decreased, and iso-butyric acid and capronic acid dramatically eliminated at initial time with the treatment. Moreover, NH(3) removal efficiency reached a maximum of 98.5% after 50 h of incubation. The concentration of H(2)S did not change.

Anaerobiosis↗

The incidence of respiratory symptoms and diseases among pulp mill workers with peak exposures to ozone and other irritant gases.

OBJECTIVES: Pulp mills in Sweden started to use ozone as a bleaching agent in the early 1990s. The goal of this study was to investigate whether the incidence of selected respiratory outcomes was associated with peak exposures to ozone or other irritant gases (ie, chlorine dioxide [ClO2] or sulfur dioxide [SO2]) used in these mills. METHODS: Bleachery workers (n = 245) from three pulp mills where ozone was used participated in surveys in the mid- to late-1990s. Comparison workers (n = 80) were from two adjacent paper mills. The person-time at risk was calculated for each participant, covering the period of employment when ozone was used. Data were collected by questionnaire, and a peak exposure was defined as a self-reported exposure to an irritant gas resulting in acute respiratory symptoms. The outcomes analyzed were self-reports of physician-diagnosed asthma, attacks of wheeze, and chronic bronchitis (ie, chronic cough with phlegm). Participants also reported when the peak exposures and outcomes occurred. RESULTS: Based on proportional hazards regression (controlling for gender, age, cigarette smoking, atopy, and peak irritant exposures that occurred before follow-up), workers who reported both ozone and ClO2/SO2 peak exposures had elevated hazard ratios (HRs) for all three outcomes. Those who reported only ozone peak exposures had elevated HRs of 6.5 (95% confidence interval [CI], 1.2 to 36.3) for asthma and 3.3 (95% CI, 1.1 to 10.2) for attacks of wheeze but no increase in risk for chronic bronchitis. Workers with only ClO2/SO2 peak exposures had elevated HRs for attacks of wheeze (HR, 7.5; 95% CI, 1.9 to 29.3) and chronic bronchitis (HR, 22.9; 95% CI, 4.5 to 118.2) but not for asthma. CONCLUSIONS: These findings suggest the need for additional efforts to prevent peak exposures in pulp-bleaching operations.

Asthma↗

IFCC reference methods for measurement of pH, gases and electrolytes in blood: reference materials.

The Scientific Division Committee on pH, Blood Gases and Electrolytes of the International Federation of Clinical Chemistry (IFCC) produced recommendations to attempt to make the results of pH, blood gas and electrolyte analysis from different clinical chemistry laboratories internationally compatible. The aim of this lecture is to discuss the essential aspects of 1. the IFCC approved (1986) reference method for pH measurement in blood, 2. the IFCC approved (1988) reference method for tonometry of blood, 3. the provisionally proposed recommendations on the expression of results obtained with ion-selective electrodes for measuring sodium, potassium and calcium in serum, plasma or blood and 4. the reference method for the determination of ionized calcium in serum, plasma or blood. Also reference materials for quality control of pH, blood gas and electrolyte measurements are reviewed. Failures of several types of currently available quality control materials are discussed.

Blood Chemical Analysis↗

Comparison of arterial blood gases and acid-base balance in young and aged beagle dogs, with regard to postprandial alkaline tide.

Arterial blood pH and blood gas tensions were measured before and after feeding in seven young (1-year-old) and 6 aged (10 to 12 year-old) conscious beagle dogs with a portable "i-STAT" blood gas analyzer to obtain the fundamental physiological data on the laboratory dogs. Before feeding, arterial blood pH, HCO3- and base excess (BE) were 7.395 +/- 0.022, 20 +/- 1.0 mmol/L and -4 +/- 1.1 mmol/L in young dogs, and 7.408 +/- 0.031, 23 +/- 1.5 mmol/L and -2 +/- 1.8 mmol/L in aged ones. After feeding, the above values changed to 7.449 +/- 0.021, 25 +/- 1.1 and 1 +/- 1.3 in young dogs, and 7.456 +/- 0.022, 28 +/- 1.7 and 4 +/- 1.9 in aged ones. After feeding, each of the values for pH, HCO3- and BE was increased in comparison with those before feeding in both young and aged dogs, and alkalinization of blood, the alkaline tide, was observed in all healthy dogs. The values for PCO2 also rose from 33.6 +/- 1.91 to 36.7 +/- 1.95 (mmHg) in young dogs, and 36.4 +/- 2.97 to 40.3 +/- 3.06 (mmHg) in aged ones, and in 3 of 6 aged dogs slight hypoxia (PO2 < 80 mmHg) was noted. These changes in PCO2 and PO2 were considered to be due to compensatory hypoventilation for the alkalinization of blood. To confirm the cause of the alkaline tide phenomenon, we investigated the association of the alkaline tide with gastric acid secretion by cimetidine, an H2-blocker; and found that it was effective to inhibit postprandial alkaline tide in dogs. After feeding, ionized Ca concentration (iCa) was decreased inversely with an arterial blood pH increase in both young and aged dogs. The mean values of iCa in aged dogs after feeding was lower than those in young dogs. In the present experiments, it was demonstrated that in beagle dogs the acid-base balance and blood gas values were largely affected by feeding, especially in aged dogs. In case blood gases would be evaluated in toxicity studies, we should consider the influence of feeding and aging.

Acid-Base Equilibrium↗

Tear gases and irritant incapacitants. 1-chloroacetophenone, 2-chlorobenzylidene malononitrile and dibenz[b,f]-1,4-oxazepine.

Irritant incapacitants, also called riot control agents, lacrimators and tear gases, are aerosol-dispersed chemicals that produce eye, nose, mouth, skin and respiratory tract irritation. Tear gas is the common name for substances that, in low concentrations, cause pain in the eyes, flow of tears and difficulty in keeping the eyes open. Only three agents are likely to be deployed: (i) 1-chloroacetophenone (CN); (ii) 2-chlorobenzylidene malononitrile (CS); or (iii) dibenz[b,f]-1,4-oxazepine (CR). CN is the most toxic lacrimator and at high concentrations has caused corneal epithelial damage and chemosis. It has accounted for at least five deaths, which have resulted from pulmonary injury and/or asphyxia. CS is a 10-times more potent lacrimator than CN but is less systemically toxic. CR is the most potent lacrimator with the least systemic toxicity and is highly stable. CN, CS and CR cause almost instant pain in the eyes, excessive flow of tears and closure of the eyelids, and incapacitation of exposed individuals. Apart from the effects on the eyes, these agents also cause irritation in the nose and mouth, throat and airways and sometimes to the skin, particularly in moist and warm areas. In situations of massive exposure, tear gas, which is swallowed, may cause vomiting. Serious systemic toxicity is rare and occurs most frequently with CN; it is most likely to occur when these agents are used in very high concentrations within confined non-ventilated spaces. Based on the available toxicological and medical evidence, CS and CR have a large safety margin for life-threatening or irreversible toxic effects. There is no evidence that a healthy individual will experience long-term health effects from open-air exposures to CS or CR, although contamination with CR is less easy to remove.

Dibenzoxazepines↗

Generation pattern of sulfur containing gases from anaerobically digested sludge cakes.

Eleven dewatered sludge cakes collected from anaerobic digesters at different treatment plants were evaluated for the amount, type, and pattern of odorous gas production. All but one of the sludge cakes were from mesophilic anaerobic digesters. One was from a thermophilic digester. The pattern and quantities of sulfur gases were found to be unique for each of the samples with regard to the products produced, magnitude, and subsequent decline. The main odor-causing chemicals were volatile sulfur compounds, which included hydrogen sulfide, methanethiol, and dimethyl sulfide. Volatile sulfur compound production peaked in 3 to 8 days and then declined. The decline was a result of conversion of organic sulfur compounds to sulfide. In one side-by-side test, a high-solids centrifuge cake generated more odorous compounds than the low-solids centrifuge cake. The data show that anaerobic digestion does not eliminate the odor potential of anaerobically digested dewatered cakes.

Anaerobiosis↗

Trace gases generated in closed plant cultivation systems and their effects on plant growth.

Interactions between plants and trace gases, especially ethylene, were investigated from two different viewpoints; ethylene is toxic for plant growth, whereas the ethylene release rate of plants can be utilized as a plant growth indicator. When lettuce plants and shiitake mushroom mycelium were cultivated in closed chambers, ethylene concentration increased with time. Ethylene was released both from lettuce plant and from shiitake mushroom mycelium. Dioctyl phthalate (DOP) and Dibutyl phthalate (DBP) were detected, and these concentrations reached 3.7 ngL-1 for DOP and 2.4 ngL-1 for DBP 4 days after closing. Organic solvents such as xylene and toluene and organic siloxane were detected with GCMS. Visible injury was observed in lettuce plants cultivated in the chambers and it seemed to result from trace contaminants such as DOP, DBP, organic solvents, dimethylsiloxane polymer, and ethylene. In order to obtain basic data of ethylene evolution from plants, ethylene concentration in a closed chamber in which the plants were cultivated under a controlled environment (25 degrees C air temperature, 60-70% relative humidity, 250-300 micromoles m-2 s-1 photosynthetic photon flux density (PPFD)) was measured. Lettuce (Lactuca sativa L. cv. Okayama) released ethylene more than Brassica rapa var. pervidis, Brassica campestris var. communis, and Brassica campestris var. narinosa. Ethylene release rate of intact lettuce plant was highly correlated with plant growth parameters such as dry weight, leaf area and photosynthetic rate. Ethylene release rates of intact lettuce plant were affected by cultivation conditions such as ambient CO2 concentration, light intensity and light/dark period. Increase in ambient ethylene level influenced lettuce growth even at the concentration of 0.1 microliter L-1. The level of ethylene inhibited leaf expansion and slightly accelerated chlorophyll degradation. It did not affect photosynthesis and transpiration, and also little affected dry matter accumulation. Thus, ethylene release characteristics were clarified and an effect of ethylene on lettuce growth was revealed. These findings are useful for determination of a threshold level of ethylene and a capacity of ethylene removal system in CELSS. On the other hand, a possibility of plant growth diagnosis by measuring ethylene concentrations was evaluated. As a result, it became clear that the measurement of ethylene concentration in CELSS is one of the useful non-destructive measurement methods for plant growth diagnosis. Further research is needed to investigate the applicability of the method to environmental stresses other than Ni and Co in nutrient solution.

Basidiomycota↗