ABSTRACT
Elemental carbon has been proposed as a marker of diesel particulate matter. The objective of this study was to investigate if water-soluble carbonaceous compounds could be responsible for positive bias of elemental carbon using NIOSH Method 5040 with a thermo-optical carbon transmittance analyzer. Filter samples from eight different aerosol environments were used: pure diesel exhaust fume with a high content of elemental carbon, pure diesel exhaust fume with a low content of elemental carbon, pure biodiesel exhaust fume, pure woodsmoke, an urban road tunnel, an urban street canyon, an urban background site, and residential woodburning in an urban area. Part of each filter sample was analyzed directly with a thermo-optical carbon analyzer, and another part was extracted with water. This water-soluble extract was filtered to remove particles, spiked onto filter punches, and analyzed with a thermo-optical transmittance carbon analyzer. The ratio of elemental carbon in the water-soluble extract to the particulate sample measurement was 18, 12, and 7%, respectively, for the samples of pure woodsmoke, residential woodburning, and urban background. Samples with diesel particulate matter and ambient samples with motor exhaust detected no elemental carbon in the water-soluble extract. Since no particles were present in the filtered water-soluble extract, part of the water-soluble organic carbon species, existing or created during analysis, are misclassified as elemental carbon with this analysis. The conclusion is that in measuring elemental carbon in particulate aerosol samples with thermo-optical transmittance analysis, woodsmoke, and biomass combustion samples show a positive bias of elemental carbon. The water-soluble EC could be used as a simple method to indicate other sources, such as wood or other biomass combustion aerosol particles.
Subject(s)
Air Pollutants/analysis , Carbon/analysis , Particulate Matter/analysis , Smoke/analysis , Vehicle Emissions/analysis , Bias , Humans , Photometry/methods , Specimen Handling/methodsABSTRACT
An epidemiologic study has demonstrated that asphalt workers show increased loss of lung function and an increase of biomarkers of inflammation over the asphalt paving season. The aim of this study was to investigate which possible agent(s) causes the inflammatory reaction, with emphasis on ultrafine particles. The workers' exposure to total dust, polycyclic aromatic hydrocarbons, and NO(2) was determined by personal sampling. Exposure to ultrafine particles was measured by means of particle counters and scanning mobility particle sizer mounted on a van following the paving machine. The fractions of organic and elemental carbon were determined. Asphalt paving workers were exposed to ultrafine particles with medium concentration of about 3.4 x 10(4)/cm(3). Ultrafine particles at the paving site originated mainly from asphalt paving activities and traffic exhaust; most seemed to originate from asphalt fumes. Oil mist exceeded occupational limits on some occasions. Diesel particulate matter was measured as elemental carbon, which was low, around 3 microg/m(3). NO(2) and total dust did not exceed limits. Asphalt pavers were exposed to relatively high concentrations of ultrafine particles throughout their working day, with possible adverse health effects.
Subject(s)
Environmental Monitoring , Hydrocarbons/toxicity , Lung Diseases/etiology , Occupational Exposure/analysis , Carbon/analysis , Carbon/toxicity , Dust/analysis , Humans , Hydrocarbons/analysis , Hydrocarbons/chemistry , Lung Diseases/chemically induced , Lung Diseases/pathology , Nitrogen Oxides/analysis , Nitrogen Oxides/toxicity , Particle Size , Polycyclic Aromatic Hydrocarbons/analysis , Polycyclic Aromatic Hydrocarbons/toxicity , Vehicle Emissions/analysis , Vehicle Emissions/toxicityABSTRACT
Breakthrough pain has been recognized as a challenging pain phenomenon in cancer. Oral transmucosal fentanyl citrate (OTFC) recently has been recommended as treatment, but OTFC is not widely available. Therefore, alternatives are needed. In two separate pilot studies, 58 patients were instructed to self-administer subcutaneous (SC) rescue opioids (hydromorphone (n=43), morphine (n=11), or sufentanil (n=4), using a standard injection-pen for breakthrough pain. Patients were asked to rate the overall efficacy of SC rescue opioids on a 3-point scale (not noticeable, moderate, or good). The efficacy was rated as good in 49 patients (84%, 95% CI: 73-91%), moderate in 8 patients (14%), and not noticeable in 1 patient (2%). The median dose per injection was equianalgesic to 25 mg of SC morphine (range: 4-150 mg). Twenty-nine patients (50%) were treated until death (n=26) or were on ongoing treatment (n=3). Patients were treated for a median of 6 weeks (1 day-41 months).
Subject(s)
Analgesics, Opioid/administration & dosage , Injections, Subcutaneous/instrumentation , Neoplasms/epidemiology , Pain, Intractable/epidemiology , Pain, Intractable/prevention & control , Palliative Care/methods , Palliative Care/statistics & numerical data , Adult , Aged , Aged, 80 and over , Comorbidity , Female , Humans , Injections, Subcutaneous/methods , Injections, Subcutaneous/statistics & numerical data , Male , Middle Aged , Neoplasms/drug therapy , Netherlands/epidemiology , Pilot Projects , Self Administration , Severity of Illness Index , Sweden/epidemiology , Treatment OutcomeABSTRACT
Continuous daily measurements of airborne particles were conducted during specific periods at an underground platform within the subway system of the city center of Stockholm, Sweden. Main emphasis was placed on number concentration, particle size distribution, soot content (analyzed as elemental and black carbon) and surface area concentration. Conventional measurements of mass concentrations were conducted in parallel as well as analysis of particle morphology, bulk- and surface composition. In addition, the presence of volatile and semi volatile organic compounds within freshly collected particle fractions of PM(10) and PM(2.5) were investigated and grouped according to functional groups. Similar periodic measurements were conducted at street level for comparison. The investigation clearly demonstrates a large dominance in number concentration of airborne nano-sized particles compared to coarse particles in the subway. Out of a mean particle number concentration of 12000 particles/cm(3) (7500 to 20000 particles/cm(3)), only 190 particles/cm(3) were larger than 250 nm. Soot particles from diesel exhaust, and metal-containing particles, primarily iron, were observed in the subway aerosol. Unique measurements on freshly collected subway particle size fractions of PM(10) and PM(2.5) identified several volatile and semi-volatile organic compounds, the presence of carcinogenic aromatic compounds and traces of flame retardants. This interdisciplinary and multi-analytical investigation aims to provide an improved understanding of reported adverse health effects induced by subway aerosols.