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Polygenic enrichment analysis in multi-omics levels identifies cell/tissue specific associations with schizophrenia based on single-cell RNA sequencing data.

OBJECTIVE: Understanding the specific cellular origin and tissue heterogeneity in schizophrenia is critically important for exploring the disease etiology. This study aims to investigate these aspects by performing multiple analyses based on omics data. METHOD: We performed single-cell disease relevance score (scDRS) algorithm to link brain single-cell RNA sequencing (scRNA-seq) with schizophrenia risk across multi-omics scales at single-cell resolution. This approach identified cell types with overexpression of schizophrenia-related genes implicated by multi-omics panels (ATAC-seq, RNA-seq, TWAS, and GWAS). Schizophrenia-related genes from these multi-omics panels were extracted and combined with scRNA-seq data to calculate scDRS. Subsequently, the cell-type vs. disease association and tissue heterogeneity were assessed using scDRS for each omics panel. RESULTS: We identified two novel cell subpopulations in the brain that differentially express SCUBE3 (59 cells, 7.0 %) and FN1 (21 cells, 2.5 %). At the individual cell level, schizophrenia-associated cell subpopulations included microglial cell associated with ATAC-seq panel (Passociation = 0.002, Pheterogeneity = 0.009) and deep layer neuron suggestively associated with GWAS panel (Passociation = 0.033, Pheterogeneity = 0.017). At the brain tissue level, microglial cell was significantly associated with cortical plate in ATAC-seq panel (Passociation = 0.002, Pheterogeneity = 0.011). Gene level analysis identified several genes associated with schizophrenia across multi-omics panels. CONCLUSIONS: Our study outlines the signature of cell subpopulations, brain regions, and disease risk genes in schizophrenia at single-cell resolution across multi-omics scales. These findings provide a reference for future precision medicine approaches targeting specific cell types and brain regions in schizophrenia.

Schizophrenia↗

Multi-channel compression and speech intelligibility in industrial noise.

This study examined how various forms of compression affect speech intelligibility in moderately high levels of industrial noise. Thirteen listeners with high-frequency sensorineural hearing loss were fit with a digital hearing aid programmed to operate in three modes of compression: compression limiting, compression of low frequencies only (BILL), and compression of high frequencies only (TILL). For each of these conditions, listeners attempted to recognize CID W-22 monosyllabic words delivered in a background of recorded industrial noise. Word recognition was also measured in quiet for the compression-limiting condition. The highest word identification scores were obtained in quiet (80.9%). Of the three conditions in which background noise was present, the mean score was highest for TILL compression (52.4%), and lowest for BILL (39.7%). Representative time-weighted average (TWA) exposures for each of the aided noise conditions were determined by means of a procedure outlined previously by the first author. The projected 8-hour amplified TWA with the hearing aid programmed to the TILL configuration was 94 dBA, whereas TWAs for the linear and BILL configurations were each 104 dBA. Thus, the highest intelligibility and lowest noise exposures were obtained with the aid in the TILL mode.

Adult↗

Occupational exposure to carbon/coke fibers in plants that produce green or calcined petroleum coke and potential health effects: 2. Fiber concentrations.

We monitored exposure to various fibers among workers in eight plants operated by ConocoPhillips that produce green or calcined petroleum coke. Carbon/coke and other fibers, including calcium silicate, cellulose, gypsum, and iron silicate, were found in occupational samples. Carbon/coke fibers were found in bulk samples of calcined petroleum coke, the probable source of these fibers in occupational samples. Time-weighted average (TWA) total fiber concentrations were approximately lognormally distributed; 90% were < or = 0.1 f/ml. Although consistently low, TWA total fiber concentrations varied with plant, job (tasks), and type of coke. This was expected given the substantial differences in plant configuration, technology, and workplace practices among refineries and carbon plants. Carbon/coke fibers (identified and measured using transmission electron microscopy [TEM]) were found at all plants producing all types of calcined coke and not detected at any plant producing only green coke. Approximately 98% of all carbon/coke TWAs were < or = 0.1 f/ml. Analysis of task length average (TLA) data by various statistical techniques indicates that the average carbon/coke TLA is certainly < or = 0.05 f/ml and probably < 0.03 f/ml.

Calcium Compounds↗

Exposure to chemical agents in Swedish aluminum foundries and aluminum remelting plants--a comprehensive survey.

Secondary aluminum melting is mainly performed in sand, die, and static die-casting foundries and remelting plants. In seven Swedish foundries and two remelting plants, the exposure and area concentrations of total dust, metals, organic gases, and vapors were determined mainly as daily, time-weighted averages (TWAs). For most combinations of jobs and agents, the exposure levels were well below the current threshold limits suggested by the American Conference of Governmental Industrial Hygienists (ACGIH). However, high exposure levels of mineral oil mist (geometric mean [GM] = 0.6 mg/m3) were observed in the die-casting process, with a maximum of 4 mg/m3. The findings were similar for total dust (GM = 5.1 mg/m3) and crystalline quartz (GM = 0.05 mg/m3) during molding operations in the sand foundries, maximum air concentrations being 31 mg/m3 and 0.22 mg/m3, respectively. Other agents which occasionally reached high exposure levels included furfuryl alcohol (up to 23 mg/m3 during furan binder use in sand foundries), aniline (up to 2.6 mg/m3 during thermal degradation of cold-box binders), and dimethylethylamine (up to 9 mg/m3) in the cold-box process used in static die-casting and sand foundries. The average aluminum exposure levels (GM = 0.043 mg/m3) were low in all foundries, individual values not exceeding 0.94 mg/m3. The exposures to metals were below 10 percent of their threshold limits. Similarly low levels were detected of polyaromatic hydrocarbons, phenol, formaldehyde, methylenebisphenyl diisocyanate, and phenylisocyanate. In the aluminum remelting plants, a few high exposure levels of total dust (GM = 1.4 mg/m3) up to 8 mg/m3 were detected in furnace workers. Aluminum and other metals were well below 10 percent of their threshold limits, with the exception of a few high concentrations of manganese, up to 0.14 mg/m3. The between-worker variability (GSDB) in the foundries for total dust, aluminum, and oil mist were on the order of 3-4. The heterogenicity of secondary aluminum melting requires assessment of a wide variety of chemical agents. For certain exposures, technical and medical monitoring programs are still needed.

Aluminum↗

Field evaluation of a transportable open-path FTIR spectrometer for real-time air monitoring.

To effectively and accurately evaluate human exposures to chemicals, it is important to quantify mixtures of chemicals in air, at low levels, and in real time. The purpose of this study was to evaluate, in the field, a prototype of a new transportable instrument that can fill an important gap in methods available to industrial hygienists. This instrument is a cross between extractive and open-path Fourier Transform Infrared spectrometers and measures chemicals passively and in real time in the vicinity of the breathing zone. The spectrometer has a folded optical path that can be enclosed, similar to an extractive system. The enclosure can be removed, enabling the optical path to be open to the atmosphere; thus, the instrument could be operated as an open-path spectrometer. A field study was conducted in three different occupational settings, including a prosthodontics dental laboratory, a surgery recovery area, and a cytology laboratory. Chemicals that were identified and quantified included methyl methacrylate, nitrous oxide, xylene isomers, toluene, and ethanol. Simultaneous side-by-side sampling was conducted with the prototype instrument and recognized National Institute of Occupational Safety and Health (NIOSH) analytical methods. The distinct infrared "fingerprint" of each chemical made identification and quantification of multiple chemicals possible with the prototype instrument. This attribute allowed the industrial hygienist to quantify short-term exposures and ceiling levels, correlate work practices with concentration levels, evaluate the effectiveness of engineering controls, and identify the presence of unexpected compounds. There was no significant difference between the mean time-weighted averages (TWAs) of the prototype instrument and traditional methods (p > 0.03). Regression analysis found good correlation between the two methods with no significant differences between the slope and unity and between the y-intercept and zero (p > 0.03). The technology and design of the prototype instrument incorporated a unique combination of features and advantages not found in other methods or instruments. The instrument produced results comparable to recognized analytical methods under field conditions and shows promise as a powerful tool in industrial hygiene air monitoring applications.

Air Pollutants, Occupational↗

Industrial hygiene sampling for airborne TDI in six flexible slabstock foam manufacturing facilities in the United States: a comparison of the short-term and long-term sampling data.

A majority of all the flexible polyurethane foams are produced by the continuous slabstock process using toluene diisocyanate (TDI) and polyether polyol. The commercially available TDI product is predominantly an 80:20 mixture of the 2,4-TDI and 2,6-TDI isomers. TDI can be used in many applications, but the market is dominated by the flexible slabstock foam industry. Even though there has been a considerable amount of industrial hygiene sampling conducted for airborne TDI in this industry, the focus of the sampling has generally included long-term (time-weighted average) monitoring with a limited amount of sampling for short-term (peak) episodes. By conducting only long-term sampling, which averages the exposure over some extended time period, these short-term episodes (i.e., tasks or activities) of peak exposure were often not characterized. To investigate whether long-term sampling was adequately predictive of short-term excursions, simultaneous (side-by-side) short-term and long-term breathing zone samples were collected on 31 flexible slabstock foam line employees at six manufacturing facilities throughout the United States. Four hundred three short-term samples averaging 15 minutes in length, and 78 long-term samples averaging 124 minutes in length were collected for four operator categories. From these 78 long-term samples, 31 eight-hour TWAs were projected (assuming no further exposure to airborne TDI for the remainder of the work shift) for comparison to the short-term samples. Based on the data collected, compliance with the current ACGIH TLV TWA of 5 ppb would also ensure compliance with the OSHA PEL-C of 20 ppb in a majority of the cases associated with the flexible slabstock foam industry provided that (1) the TLV TWA accounted for the 2,6-TDI isomer in addition to the 2,4-TDI isomer (at this time, exposure limits are published for only the 2,4-TDI isomer), and (2) the TLV TWA was compared to the partial shift TWA measured over the operational time of the workday rather than as an average over an eight-hour workday. Further, exceedences of the 20 ppb PEL-C did occur (e.g., when the foam line tunnel was entered, where there was an "upset" condition, or where there was close contact with hot [fresh cut] buns), but can be protected against with (1) improved work practices, (2) engineering controls, and (3) respiratory protection.

Air Pollutants, Occupational↗

Solvent vapor exposures in booth spray painting and spray glueing, and associated operations.

Time-weighted average exposures for all solvents present at detectable levels were obtained for eighty-nine solvent-using workers and thirty-six control-group (unexposed) workers in seven plants of three companies applying paints and glues, primarily by spraying. Over twenty solvents were quantified if detected. Concentrations of specific solvents and cumulative fractions of TLVs were measured for various job types. All spray painting and most spray glueing was conducted in operating spray booths. Only low to moderate exposures were observed, with one TWA exceeding the cumulative TLV and three additional TWAs exceeding 50 percent of the cumulative TLV. It may be concluded that solvent TWA exposures in spraying of paints and glues are often well-controlled by common spray booths, and further, that other solvent-use operations including light-duty solvent wiping and manual paint mixing do not frequently produce high exposures (relative to TLV levels) in the presence of ordinary general room ventilation.

Adhesives↗

A portable data-logging system for industrial hygiene personal chlorine monitoring.

The combination of suitable portable sensors or instruments with small microprocessor-based data-logger units has made it possible to obtain detailed monitoring data for many health and environmental applications. Following data acquisition in field use, the logged data may be transferred to a desk-top personal computer for complete flexibility in manipulation of data and formating of results. A system has been assembled from commercial components and demonstrated for chlorine personal monitoring applications. The system consists of personal chlorine sensors, a Metrosonics data-logger and reader unit, and an Apple II Plus personal computer. The computer software was developed to handle sensor calibration, data evaluation and reduction, report formating and long-term storage of raw data on a disk. This system makes it possible to generate time-concentration profiles, evaluate dose above a threshold, quantitate short-term excursions and summarize time-weighted average (TWA) results. Field data from plant trials demonstrated feasibility of use, ruggedness and reliability. No significant differences were found between the time-weighted average chlorine concentrations determined by the sensor/logger system and two other methods: the sulfamic acid bubbler reference method and the 3M Poroplastic diffusional dosimeter. The sensor/data-logger system, however, provided far more information than the other two methods in terms of peak excursions, TWAs and exposure doses. For industrial hygiene applications, the system allows better definition of employee exposures, particularly for chemicals with acute as well as chronic health effects.(ABSTRACT TRUNCATED AT 250 WORDS)

Air Pollutants, Occupational↗

Adjusting exposure limits for long and short exposure periods using a physiological pharmacokinetic model.

The rationale for adjusting occupational exposure limits for unusual work schedules is to assure, as much as possible, that persons on these schedules are placed at no greater risk of injury or discomfort than persons who work a standard 8 hr/day, 40 hr/week. For most systemic toxicants, the risk index upon which the adjustments are made will be either peak blood concentration or integrated tissue dose, depending on what chemical's presumed mechanism of toxicity. Over the past ten years, at least four different models have been proposed for adjusting exposure limits for unusually short and long work schedules. This paper advocates use of a physiologically-based pharmacokinetic (PB-PK) model for determining adjustment factors for unusual exposure schedules, an approach that should be more accurate than those proposed previously. The PB-PK model requires data on the blood:air and tissue:blood partition coefficients, the rate of metabolism of the chemical, organ volumes, organ blood flows and ventilation rates in humans. Laboratory data on two industrially important chemicals--styrene and methylene chloride--were used to illustrate the PB-PK approach. At inhaled concentrations near their respective 8-hr Threshold Limit Value-Time-weighted averages (TLV-TWAs), both of these chemicals are primarily eliminated from the body by metabolism. For these two chemicals, the appropriate risk indexing parameters are integrated tissue dose or total amount of parent chemical metabolized. Since methylene chloride is metabolized to carbon monoxide, the maximum blood carboxyhemoglobin concentrations also might be useful as an index of risk for this chemical.(ABSTRACT TRUNCATED AT 250 WORDS)

Air Pollutants, Occupational↗

Occupational noise exposure and hearing loss in fire fighters assigned to airport fire stations.

The National Institute for Occupational Safety and Health (NIOSH) was requested to conduct a health hazard evaluation (HHE) at a large metropolitan fire department. The request concerned the hearing levels and noise exposures of fire fighters who were assigned to two fire stations serving the international airport. There was concern that these fire fighters were at a greater risk of accruing hearing loss than fire fighters located at other fire stations because of the addition of aircraft noise to their occupational noise exposures. The city also requested that NIOSH investigate other fire stations, not influenced by the airport, for noise exposures and hearing ability among a larger population of the fire fighters. NIOSH investigators conducted noise surveys at five fire stations and examined the hearing ability of 197 fire fighters. The noise surveys consisted of personal noise dosimetry on fire fighters assigned to the fire station for the entire 24-hr tour of duty over 2 consecutive days at each of the five stations. A NIOSH investigator accompanied the fire fighters on their vehicle to log response times and activities. The audiometric examinations were pure-tone, air conduction tests administered according to the Occupational Safety and Health Administration's (OSHA's) hearing conservation amendment. The noise dosimetry results revealed time-weighted averages (TWAs) that ranged from 60 to 82 dBA. However, the levels encountered during Code 3 responses (warning lights, sirens, and air horns) reached 109 dBA for a 1-min time period. The audiometric results showed that the average fire fighter exhibited a characteristic noise-induced permanent threshold shift.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

A task-based statistical model of a worker's exposure distribution: Part II--Application to sampling strategy.

A task-based statistical model of a worker's exposure distribution for an airborne chemical toxicant is applied to estimating the long-term average exposure level, mu. The precision in estimation is represented by the variance of the sample estimator, denoted by Var[mu]. A traditional sampling strategy consists of integratively measuring the 8-hr time-weighted average exposure level on randomly selected workdays, and computing the sample mean; this strategy is termed "simple one-stage cluster sampling," where each 8-hr workday is a cluster of thirty-two 15-min periods. Three alternative strategies involving measurements of 15-min TWAs are examined: simple random sampling of 15-min periods, and stratified random sampling of 15-min periods with proportional allocation by task, and with optimum allocation by task. All four survey designs provide unbiased estimates of mu. However, for a fixed cost, the stratified sampling designs may provide a lower Var[mu] than simple one-stage cluster sampling for less work time monitored.

Air Pollutants, Occupational↗

Airborne fiber exposure assessment of dry asbestos-containing gaskets and packings found in intact industrial and maritime fittings.

This study assessed airborne fiber exposures from intact asbestos-containing gaskets and packings while activities representative of historical work practices were performed. The study design eliminated analytical interferences while systematically capturing information related to activity variables. A series of gasket and packing activities was conducted according to traditional methods while sampling was performed to determine the 8-hour time-weighted average (TWA). The fittings used during this study were obtained intact from a decommissioned industrial power plant and U.S. Navy destroyers. The activities tested included flat blade scraping, hand wire brushing, power wire brushing, making gaskets with a ball-peen hammer, and stem packing removal and replacement. All activities were performed dry. Results for every area and personal sample showed the 8-hour TWAs were well below the current Occupational Safety and Health Administration permissible exposure limit of 0.1 f/cc. A database of more than 400 points was developed to analyze information from variable factors related to the tests. These factors included, for example, type of gasket, composition of the gasket, percentage of gasket adhering to a flange surface, gasket surface area, and minutes elapsed for removal. The results demonstrate a very low rate of fiber exposure from routine activities associated with asbestos-containing elastomeric gaskets and impregnated packing.

Air Pollutants, Occupational↗

Occupational exposures during routine activities in coal-fueled power plants.

Limited information is available on occupational exposures during routine, nonoutage work activities in coal-fueled power plants. This study evaluated occupational exposures to the principal contaminants in the facilities, including respirable dust (coal dust), arsenic, noise, asbestos, and heat stress. The data were collected over a 3-month period, during the summer of 2001, in 5 facilities that were chosen to be representative of the coal-fueled power plants of a large southeastern power-generating company. Each of the facilities was divided into 5 similar exposure groups based on previous exposure assessments and job tasks performed. From 4 of the 5 facilities, 392 air samples and 302 noise samples were collected with approximately 50 respirable coal dust, 32 arsenic, 15 asbestos, and 70 noise samples from each of the 4 plants. One of the previously surveyed facilities was also evaluated for heat stress, and 1 additional coal-fueled power plant was surveyed for a total of 20 personal heat stress samples. Personal monitors and area WBGT monitors were used. Of the nearly 400 air samples collected, only 1 exceeded the allowable occupational exposure value. For the noise samples, 55 (approximately 18%) were equal to or greater than the Occupational Safety and Health Administration (OSHA) 8-hour hearing conservation program level of 85 dBA, and 12 (approximately 4%) were equal to or greater than the OSHA 8-hour permissible exposure level of 90 dBA. Heat stress monitoring at the facilities indicates that 26% of the 1-hour TWAs were exceeded for one or all of the recommended heat stress limits. The data also concluded that some work sites were above the heat stress ceiling values recommended by the National Institute for Occupational Safety and Health (NIOSH). Four of the 20 employees personally monitored exceeded the recommended limits for heart rate or body core temperature. This suggests there is a potential for heat strain if signs and symptoms are ignored. Recommendations are made to better control the heat stress exposure.

Air Pollution, Indoor↗

Occupational exposure to airborne asbestos from phenolic molding material (Bakelite) during sanding, drilling, and related activities.

In this study, a historical phenolic (Bakelite) molding material, BMMA-5353, was tested to determine the airborne concentrations of asbestos fibers released during four different activities (sawing, sanding, drilling, and cleanup of dust generated from these activities). Each activity was performed for 30 min, often in triplicate. The primary objective for testing BMMA-5353 was to quantitatively determine the airborne concentration of asbestos fibers, if any, in the breathing zone of workers. Uses of this product typically did not include sawing or sanding, but it may have been drilled occasionally. For this reason, only small quantities were sawed, sanded, and drilled in this simulation study. Personal (n = 40), area (n = 80), and background/clearance (n = 88) air samples were collected during each activity and analyzed for total fiber concentrations using phase contrast microscopy (PCM) and, for asbestos fiber counts, transmission electron microscopy (TEM). The raw PCM-total fiber concentrations were adjusted based on TEM analyses that reported the fraction of asbestos fibers, to derive a PCM-asbestos concentration that would enable calculation of an 8-hour time-weighted average (TWA). The estimated 8-hour TWAs ranged from 0.006 to 0.08 fibers per cubic centimeter using a variety of worker exposure scenarios. Therefore, assuming an exposure scenario in which a worker uses power tools to cut and sand products molded from BMMA-5353 and similar products in the manner evaluated in this study, airborne asbestos concentrations should not exceed current or historical occupational exposure limits.

Asbestos↗

Preparation of oligodeoxynucleotides containing 5-(N-methylpiperazinyl) and 5-benzyloxymethyl uracils.

Deprotected compounds 1 and 9 were allowed to react with 4,4'-dimethoxytrityl chloride in pyridine to give 5'-O-DMT nucleosides 2 and 10. The 3'-phosphoramidites 4 and 11 were incorporated into oligodeoxynucleosides (ODNs). The hybridization properties of the modified ODNs with their complementary DNA strands were studied. Interesting results were obtained when 11 was inserted as a bulged nucleoside into TWAs, duplexes, and triplexes.

Benzyl Compounds↗

Inhalation anaesthetics--exposure and control during veterinary surgery.

Results are reported for air sampling surveys carried out by the Health and Safety Executive (HSE) in 14 veterinary surgeries. For all personnel the geometric mean (GM) time-weighted average (TWA) exposures to halothane and nitrous oxide over the working period were 2.6 ppm (range: less than 0.5 119 ppm) and 100 ppm (range: 14-1700 ppm), respectively. Since surgery rarely lasted for more than 4 h the corresponding GMs for 8-h TWAs were lower, being 1.3 ppm (range: less than 0.5-34 ppm) for halothane and 34 ppm (range: 5-530 ppm) for nitrous oxide. The GM exposures of veterinarians and nurses were very similar. The size of the practice and the use of scavenging were significant factors in determining personal exposures to inhalation anaesthetics: by comparison general ventilation had little effect. The results are compared with earlier data from human surgery, and previous studies of exposure to inhalation anaesthetics during veterinary surgery are briefly reviewed.

Anesthesia, Inhalation↗

Sensory irritation of acetic acid, hydrogen peroxide, peroxyacetic acid and their mixture in mice.

The expiratory bradypnoea indicative of upper airway irritation in mice was evaluated during a period of 60 min of oronasal exposure to acetic acid, hydrogen peroxide and peroxyacetic acid vapours. The airborne concentration resulting in a 50% decrease in the respiratory rate of mice (RD50) was calculated for each chemical. The concentration-response curves of acetic acid, hydrogen peroxide and peroxyacetic acid had similar slopes. The results did however show that the three chemicals had different irritant potencies. The RD50 values of acetic acid, hydrogen peroxide and peroxyacetic acid were 227, 113 and 5.4 p.p.m. respectively. Moreover, a mixture containing 53% acetic acid, 11% hydrogen peroxide and 36% peroxyacetic acid had an RD50 of 10.6 ppm, 3.8 ppm being peroxyacetic acid, which is 1.4 times lower than the theoretical value estimated from the fractional concentrations and the respective RD50s of the individual components. On the basis of a TLV-STEL (threshold limit value for short-term exposure limit) equal to 0.1 RD50, the TLV-STELs for acetic acid, hydrogen peroxide and peroxyacetic acid should not exceed 20, 10 and 0.5 p.p.m. respectively. On the basis of a TLV-TWA (time-weighted average) equal to 0.03 RD50, the TLV-TWAs for these same chemicals should not exceed 5, 3 and 0.2 p.p.m. respectively. Finally, these values and existing TLVs in Europe and the USA are compared.

Acetic Acid↗

Occupational cocaine exposure of crime laboratory personnel preparing training aids for a military working dog program.

The potential for passive cocaine exposure was evaluated in crime laboratory employees preparing training aids for a military working dog program (MWD). The primary goal of the study was to elucidate the routes of exposure and implement procedural changes that would minimize this risk. Several work environments and laboratory procedures were examined by monitoring personal breathing zones (PBZ), ambient airborne cocaine levels in the laboratory spaces, and urinary levels of the primary cocaine metabolite, benzoylecgonine. The study was performed initially using current laboratory procedures to establish a baseline and to identify potential sources of exposure. A subsequent study was performed to determine the effectiveness of the follow-up procedure in reducing exposure. As a result of the changes, the 8-h time weighted averages (TWAs) were 40 to 80% lower in the follow-up study as compared to the baseline assessment. Dermal absorption and PBZ inhalation of cocaine during manufacture were likely the most significant source of cocaine exposure. Ambient airborne cocaine may have also contributed to the total exposure, but for most observations, the concentrations were significantly less than those determined from PBZ monitoring. The maximum ambient cocaine concentration was 0.0144 mg/m(3) compared to a maximum of 0.4004 mg/m(3) observed during PBZ monitoring. Occupational exposure decreased in the follow-up study because of the proper use of personal protective equipment and improvements in engineering controls.

Air Pollution, Indoor↗