Determinants of Task-Based Exposures to Alpha-Diketones in Coffee Roasting and Packaging Facilities Using a Bayesian Model Averaging Approach.

Coffee production workers can be exposed to inhalational hazards including alpha-diketones such as diacetyl and 2,3-pentanedione. Exposure to diacetyl is associated with the development of occupational lung disease, including obliterative bronchiolitis, a rare and irreversible lung disease. We aimed to identify determinants contributing to task-based exposures to diacetyl and 2,3-pentanedione at 17 U.S. coffee production facilities. We collected 606 personal short-term task-based samples including roasting (n = 189), grinding (n = 74), packaging (n = 203), quality control (QC, n = 44), flavoring (n = 15), and miscellaneous production/café tasks (n = 81), and analyzed for diacetyl and 2,3-pentanedione in accordance with the modified OSHA Method 1013/1016. We also collected instantaneous activity-based (n = 296) and source (n = 312) samples using evacuated canisters. Information on sample-level and process-level determinants relating to production scale, sources of alpha-diketones, and engineering controls was collected. Bayesian mixed-effect regression models accounting for censored data were fit for overall data (all tasks) and specific tasks. Notable determinants identified in univariate analyses were used to fit all plausible models in multiple regression analysis which were summarized using a Bayesian model averaging method. Grinding, flavoring, packaging, and production tasks with ground coffee were associated with the highest short-term and instantaneous-activity exposures for both analytes. Highest instantaneous-sources of diacetyl and 2,3-pentanedione included ground coffee, flavored coffee, liquid flavorings, and off-gassing coffee bins or packages. Determinants contributing to higher exposures to both analytes in all task models included sum of all open storage sources and average percent of coffee production as ground coffee. Additionally, flavoring ground coffee and flavoring during survey contributed to notably higher exposures for both analytes in most, but not all task groups. Alternatively, general exhaust ventilation contributed to lower exposures in all but two models. Additionally, among facilities that flavored, local exhaust ventilation during flavoring processes contributed to lower 2,3-pentanedione exposures during grinding and packaging tasks. Coffee production facilities can consider implementing additional exposure controls for processes, sources, and task-based determinants associated with higher exposures to diacetyl and 2,3-pentanedione, such as isolating, enclosing, and directly exhausting grinders, flavoring mixers, and open storage of off-gassing whole bean and ground coffee, to reduce exposures and minimize risks for lung disease among workers.

[Raw Materials and End Treatment-based Emission Factors for Volatile Organic Compounds (VOCs) from Typical Solvent Use Sources].

A database of refined raw materials and end treatment-based VOCs emission factors for typical solvent use sources was developed for the Pearl River Delta. For this, the impact of composition and the content of raw materials, production process, and comprehensive end treatment on the emission of VOCs was analyzed. The solvent use sources included printing, furniture manufacturing, and electronic component and equipment manufacturing. The results showed that the main VOCs in the raw materials used in printing were ethyl acetate, propyl acetate, isopropanol, propanol, and ethanol, which contributed 60%-80% to the total amount of VOCs. Ethyl acetate and butyl acetate were the main oxygenated VOCs (OVOCs) from the raw materials used in furniture manufacturing, contributing 45%-65% of the total. The main VOCs from the raw materials used in electronic component and equipment manufacturing were OVOCs such as alcohols, ethers and phenols, BTEX, and halohydrocarbons. The uncontrolled and controlled emission factors for VOCs from printing were 415.2 kg·t-1 and 184.3 kg·t-1, respectively. Of these, solvent-based raw materials accounted for 704.9 kg·t-1 and 200.1 kg·t-1, water-based raw materials accounted for 325.6 kg·t-1 and 230.3 kg·t-1, UV raw materials accounted for 197.0 kg·t-1 and 129.0 kg·t-1, and plant-based raw materials accounted for 89.0 kg·t-1 and 89.0 kg·t-1, respectively. The uncontrolled and controlled emission factors for VOCs from furniture manufacturing were 379.0 kg·t-1 and 290.2 kg·t-1, respectively. Of these, solvent-based raw materials accounted for 603.0 kg·t-1 and 448.5 kg·t-1, water-based raw materials accounted for 80.0 kg·t-1 and 80.0 kg·t-1, and powder raw materials accounted for 230.0 kg·t-1 and 184.0 kg·t-1, respectively. In electronic component and equipment manufacturing, the uncontrolled and controlled emission factors (unit:kg·million-1) for VOCs from AC ceramic capacitors, CC ceramic capacitors, varistors, and aluminum electrolytic capacitors were 59.7 and 40.8, 394.1 and 269.6, 282.4 and 193.2, and 1.2 and 1.0, respectively. The uncontrolled and controlled emission factors for VOCs from the manufacturing of continuous terminals, enameled wire, and printed circuit boards were 56.3 kg·t-1 and 42.8 kg·t-1, 87.2 kg·t-1 and 28.3 kg·t-1, and 26.4 kg·(100 m2)-1 and 11.6 kg·(100 m2)-1, respectively.

Causes and outcomes of acute liver failure in China.

OBJECTIVES: No extensive investigation has been performed and thus no representative data are available regarding acute liver failure (ALF) in China. This study aims to investigate the causes and outcomes of ALF in China and establish a prognostic model. METHODS: Patients diagnosed as ALF in seven hospitals in different areas of China from January 2007 to December 2012 were retrospectively selected. RESULTS: Of the 177 patients included in this study, 112 (63.28%) eventually died. The common causes of ALF were drug toxicity (43.50%), indeterminate etiology (29.38%) and acute viral hepatitis (11.30%). Additionally, traditional Chinese herbs predominated in the causes of drug-induced ALF (30/77). No patients in this study received liver transplantation. In the established model for predicting death in ALF, four variables were finally selected out, including age (P=0.01), the entry hepatic encephalopathy grade (P=0.04), international normalized ratio (P<0.01) and arterial blood ammonia (P=0.02). Using a threshold value of 0.5683, this model had a sensitivity of 95.24% and a specificity of 91.30%. CONCLUSIONS: Traditional Chinese medicine was a major cause of ALF in China. The spontaneous mortality of ALF was high, whereas the rate of liver transplantation was significantly low. The established prognostic model of ALF had superior sensitivity and specificity.