Personal Exposure Research Articles

Comparison of a radiofrequency electric and magnetic field source-based job-exposure matrix with personal radiofrequency exposure measurements.

Assessing occupational exposure to radiofrequency electromagnetic fields (RF-EMF) presents significant challenges due to the considerable variability in exposure levels within and between occupations. This spatial and temporal variability complicates the reliable evaluation of potential health risks associated with RF-EMF exposure in the workplace. Accurate assessment methods are crucial to understand the extent of exposure and to evaluate potential health risks, especially given the potential for higher exposures in occupational settings compared to the general population. This study compares the historical RF-EMF exposure estimates in the INTEROCC RF-EMF job-exposure matrix (RF-JEM) with recent personal measurement data collected in 2 countries as part of the OccRF-Health study, to assess the broader applicability of the RF-JEM. Weighted kappa (k w) coefficients and Spearman rank correlation tests were performed to assess the alignment between RF-JEM estimates and measurements for 8h time-weighted average exposure intensity and prevalence estimates across various occupations. The comparisons were mainly based on 22 jobs having ≥5 measured workers in the OccRF-Health study. Poor agreement was found for both exposure prevalence and intensity between both methods (k w < 0.1). RF-JEM values likely overestimated exposure levels for both electric (E) and magnetic (H) fields (mean percentage difference >194%) compared to current personal measurements. Findings suggest that the INTEROCC-JEM likely overestimates current exposure intensity levels in the measured jobs. Adopting a semiquantitative JEM could also mitigate misclassification errors due to exposure variability, improving accuracy in exposure assessment. These findings indicate the need for more targeted personal measurements, including among highly exposed workers, and for potentially considering new exposure metrics to more accurately assess occupational RF-EMF exposures in occupational epidemiological research.

A New Method Proposed for the Estimation of Exposure to Atmospheric Pollution through the Analysis of Black Pigments on the Lung Surface

Megacities can be considered excellent laboratories for studying the effects of the urban environment on human health. Typically, exposure to pollution is estimated according to daily or annual averages of pollutant concentrations, collected at monitoring stations, using satellite data for remote sensing of pollutant levels, considering proximity to major roads, or through personal exposure monitoring with portable sensors. However, these approaches fall short in identifying individual exposure values over a lifetime. It is well established that individuals living in large urban areas inhale atmospheric particles containing carbonaceous components, resulting in the deposition of black pigments in lung tissue, known as black carbon or anthracosis. This study aims to detail the procedures for assessing the deposition of such pigments, which serve as an estimate of an individual’s exposure to atmospheric pollution particles. Data collection involves administering detailed questionnaires and capturing lung images in the autopsy room. The analysis is based on macroscopic quantification of black pigments, supplemented by an evaluation of personal habits and the clinical histories of the individuals. This method of estimating lifetime exposure to inhaled particles provides a valuable tool for understanding the correlation between urban living and its potential health effects.

The interaction of ambient ozone and personal temperature variability on blood markers of inflammation, oxidative stress, coagulation, endothelial function, and stress hormones

The interaction between ozone and temperature on cardiovascular biomarkers has not been thoroughly examined. A panel study was conducted among 40 college students with four equal interval follow-ups in Hefei, Anhui Province, China between August and October 2021. Real-time concentrations of ozone were collected from a nearby monitoring device. Temperature variability parameters included diurnal temperature range (DTR), the standard-deviation of temperature (SDT), and temperature variability (TV). A set of cardiovascular biomarkers were measured, including markers of inflammation (Granulocyte-macrophage colony-stimulating factor, GM-CSF and serum amyloid A, SAA), coagulation (D-dimer and ADAMTS13), oxidative stress (Myeloperoxidase, MPO and Growth differentiation factor-15, GDF-15), endothelial function (vascular endothelial growth factor A, VEGFA), and stress hormone (5-hydroxytryptamine, 5-HT). Linear mixed-effect models were conducted to analyze the associations between ozone, temperature variability, and all blood markers. The results showed significant associations among ozone, DTR, SDT, TV, and blood markers, suggesting harmful effects on markers. For instance, a 10-μg/m3 increase in ozone at lag 2d was associated with higher levels of SAA by 19.65% (95%CI: 13.70, 25.60), VEGFA by 10.90% (95%CI: 4.57, 17.22), GDF-15 by 5.33% (95%CI: 0.59, 10.06), and GM-CSF by 2.52% (95%CI: 1.70, 3.34), but 13.09% lower D-dimer (95%CI: 6.99, 19.19). We also found statistically significant interaction between ozone and TV exposures for GM-CSF and SAA. This study shows that ambient ozone and personal TV exposures may independently have acute effects on markers of inflammation, oxidative stress, coagulation, endothelial function, and neuroendocrine stress response. Simultaneous exposure to these factors may also lead to interactive effects on inflammation markers. These findings offer valuable insights for developing comprehensive strategies in cardiovascular disease control and prevention.

Personal air sampling for pesticides in the California San Joaquin Valley.

California is a leading agricultural state and with that, has significant applications of pesticides. Levels of exposure have been measured to be higher among residents in agricultural areas, but measures of personal inhalation exposure to a wide range of pesticides are lacking. Community members in the San Joaquin Valley have expressed concern over pesticide exposures. Working with community members, a wide range of pesticides in personal air samples were measured. Adult and school-aged participants were recruited from small agricultural towns in the San Joaquin Valley. Participants wore a backpack sampler for 8-14 h on 1-3 days. Samples were collected on two tubes, one with Tenax-TA resin and the other with XAD-2 resin. In total, 21 pesticides were analyzed using both LC/MS and GC/MS methods. Thirty-one adult participants and 11 school aged participants were recruited, and sampling occurred on a total of 92 days. Seven adults, 22% of adult participants, and one school child had detectable levels of at least one pesticide. Pesticides detected above the limit of detection were 1,3-dichloropropene, chlorpyrifos, pyrimethanil, burprofezin and penthiopyrad. When these samples were collected, chlorpyrifos was not permitted to be used in California. California, a leading agricultural state, has significant pesticide use, leading to concern about exposures among community members. Thirty-one adult and 11 school aged participants wore personal air sampling backpacks from 1-3 days. Twenty-two percent of adult participants had detectable levels of at least one pesticide. Two pesticides with established toxicity, 1,3-dichloropropene and chlorpyrifos were detected, along with first time measurements of pyrimethanil, burprofezin and penthiopyrad in the United States, which all have potential indications of toxicity. This study suggests the need to expand which pesticides are measured in agricultural communities.

The psychosocial impacts of the 15 March terrorist attack on the Christchurch Muslim community: A descriptive, cross-sectional assessment.

On 15 March 2019, a white supremacist terrorist carried out sequential attacks on two mosques in Christchurch, New Zealand during Friday prayers. This resulted in the loss of 51 lives, 40 others sustained gunshot injuries, and there were approximately 250 survivors. This study aimed to evaluate the impacts on community members, assess clinical needs, facilitate access to appropriate interventions and provide insights into working with a traumatised and diverse population. This cross-sectional study used semi-structured clinical interviews and self-report measures to assess social and demographic factors, mental health disorders and well-being for adult Muslims 11-32 months post-attack. A total of 189 participants completed assessments. The sample was diverse, representing 34 different ethnicities and participant proximity to the attack was complex, with personal and familial exposures. Elevated levels of psychological distress and psychopathology were found with 38% of participants reporting moderate/severe psychological distress on the Kessler-10, 39% reporting post-traumatic stress disorder on the post-traumatic stress disorder checklist-5, and 40% reporting poor well-being or possible depression on the World Health Organization-5 Well Being Index. Secondary stressors were also documented, as well as high scores for post-traumatic growth and the importance of faith. This study provides valuable insights into the repercussions of the Christchurch mosque attack on the affected community, describing the complexity of exposure and the substantial burden of morbidity experienced. It also highlights the high levels of social connectedness and the role of faith in promoting positive outcomes in the recovery process for this population.

Early-life ozone exposure and childhood otitis media: Unveiling critical windows of risk

BackgroundDespite increasing evidence of a strong correlation between air pollution and otitis media (OM), the impact of early-life ozone (O3) exposure on the development of OM in children remains uncertain. ObjectivesTo explore the connection between early-life O3 exposure and OM, and to identify the critical time period(s) during which O3 exposure significantly influences the development of OM in children. MethodsWe conducted a study involving 8689 children living in Changsha, China. Information regarding personal factors, health conditions, and the indoor environment was gathered using questionnaires. Personal exposure to outdoor O3 and other major pollutants at the place of residence during the periods before conception, prenatal periods, and after birth was calculated by applying the inverse distance weighted (IDW) method with data gathered from ten air quality monitoring stations. Multiple logistic regression analyses were employed to investigate the associations between O3 exposure and children's OM. ResultsAfter controlling for covariates and ambient temperature, exposure to O3 during the year preceding pregnancy was correlated with childhood lifetime OM, showing ORs (95 % CI) of 1.28 (1.01–1.64). O3 exposures in the 10th–12th, 7th–9th, and 4th–6th months before pregnancy were all linked to children's lifetime OM. Within the multi-window model, we detected that O3 exposure in the 10th to 12th month prior to pregnancy was significantly related to lifetime OM, showing ORs (95 % CI) of 1.28 (1.05–1.55). A significant link was discovered between childhood OM and O3 exposure after controlling for six other pollutants (SO2, PM2.5, NO2, PM2.5–10, CO, and PM10) during the 10th to 12th month prior to conception. Exposure to O3 during the 36th gestational week significantly raised the likelihood of childhood lifetime OM. There is a significant interaction between O3 and temperature exposure during the first trimester of pregnancy and one year before pregnancy on childhood lifetime OM. ConclusionsPreconceptional O3 exposure and its interaction with low temperature played critical roles in children's OM development, backing the hypothesis of “(pre) fetal origins of childhood OM”.

Feasibility Study on the Use of NO2 and PM2.5 Sensors for Exposure Assessment and Indoor Source Apportionment at Fixed Locations.

Recent advances in sensor technology for air pollution monitoring open new possibilities in the field of environmental epidemiology. The low spatial resolution of fixed outdoor measurement stations and modelling uncertainties currently limit the understanding of personal exposure. In this context, air quality sensor systems (AQSSs) offer significant potential to enhance personal exposure assessment. A pilot study was conducted to investigate the feasibility of the NO2 sensor model B43F and the particulate matter (PM) sensor model OPC-R1, both from Alphasense (UK), for use in epidemiological studies. Seven patients with chronic obstructive pulmonary disease (COPD) or asthma had built-for-purpose sensor systems placed inside and outside of their homes at fixed locations for one month. Participants documented their indoor activities, presence in the house, window status, and symptom severity and performed a peak expiratory flow test. The potential inhaled doses of PM2.5 and NO2 were calculated using different data sources such as outdoor data from air quality monitoring stations, indoor data from AQSSs, and generic inhalation rates (IR) or activity-specific IR. Moreover, the relation between indoor and outdoor air quality obtained with AQSSs, an indoor source apportionment study, and an evaluation of the suitability of the AQSS data for studying the relationship between air quality and health were investigated. The results highlight the value of the sensor data and the importance of monitoring indoor air quality and activity patterns to avoid exposure misclassification. The use of AQSSs at fixed locations shows promise for larger-scale and/or long-term epidemiological studies.

Evaluation of a self-monitoring protocol for assessing soot and polycyclic aromatic hydrocarbon exposure among chimney sweeps.

Traditional methods for measuring chemical exposure have challenges in terms of obtaining sufficient data; therefore, improved methods for better assessing occupational exposure are needed. One possible approach to mitigate these challenges is to use self-monitoring methods such as sensors, diaries, or biomarkers. In the present study, a self-monitored method for measuring soot exposure, which included real-time air monitoring, a work diary, and the collection of urine samples, was evaluated. To validate the method, exposure measurements during the workday and diary entries were compared with velocities calculated from GPS tracking and the expected polycyclic aromatic hydrocarbon (PAH) metabolite patterns in urine. The method was applied with chimney sweeps, an occupational group at a high risk of many severe health outcomes and for whom effective control measures for reducing exposure are needed. In the study, 20 chimney sweeps followed a self-monitoring protocol for 8 consecutive workdays. Personal exposure to soot was measured as black carbon (BC) using micro-aethalometers. A diary was used to record the work tasks performed, and urine samples were collected and analysed for PAH metabolites. From the expected 160 full day measurements, 146 (91%) BC measurements and 149 (93%) diaries were collected. From the expected 320 urine samples, 304 (95%) were collected. The tasks noted in the diaries overlapped with information obtained from the GPS tracking of the chimney sweeps, which covered 96% of the measurement time. The PAH metabolites in urine increased during the work week. Factors believed to have positively influenced the sample collection and task documentation were the highly motivated participants and the continuous presence of trained occupational hygiene professionals during the planning of the study and throughout the measurement stage, during which they were available to inform, instruct, and address questions. In conclusion, the self-monitored protocol used in this study with chimney sweeps is a valuable and valid method that can be used to collect larger numbers of samples. This is especially valuable for occupations in which the employees are working independently and the exposure is difficult to monitor with traditional occupational hygiene methods.

Urinary Thioproline and Thioprolinyl Glycine as Specific Biomarkers of Formaldehyde Exposure in Humans.

Assessment of personal formaldehyde (FA) exposure is most commonly carried out using formate as a biomarker, as it is the major product from FA metabolism. However, formate could also have originated from the metabolism of other endogenous and exogenous substances or from dietary intake, which may give rise to overestimated results with regard to FA exposure. We have developed and validated a liquid chromatography-tandem mass spectrometry (LC-MS/MS) coupled with an isotope-dilution method for rigorous quantitation of two major urinary FA conjugation products: thioproline (SPro) and thioprolinyl glycine (SPro-Gly), formed in the reaction between FA and endogenous cysteine or cysteinyl glycine, respectively, as marker molecules to assess personal FA exposure. Using this newly developed method, we measured the FA exposure levels in cigarette smokers, occupants of a chemistry research laboratory and typical domestic household, and visitors to a Chinese temple with a Pearson correlation coefficient greater than 0.94, showing a strong linear correlation between urinary adduct levels and the airborne FA level. It is believed that quantitation of urinary SPro and SPro-Gly may represent a noninvasive, interference-free method for assessing personal FA exposure.

Silicone Wristbands as a Personal Passive Sampler to Evaluate Indoor Exposure to Volatile and Non-volatile PFASs.

Exposure to per- and polyfluoroalkyl substances (PFASs) primarily occurs via consumption of contaminated drinking water and food; however, individuals can also be exposed dermally and via inhalation indoors. This study developed an analytical method for measuring volatile PFASs in silicone wristbands and used them to assess personal exposure in a Midwestern community (n = 87). Paired samples of blood and wristbands were analyzed for PFASs using LC-MS/MS and GC-HRMS to monitor both non-volatile and volatile PFASs. The most frequently detected PFASs in wristbands were: 6:2 diPAP, 6:2 FTOH, MeFOSE and EtFOSE. Females had a 4-fold higher exposure to 6:2 diPAP compared to males and age-dependent differences in exposure to 6:2 FTOH, MeFOSE and EtFOSE were observed. Exposure to MeFOSE and EtFOSE differed based on the average time spent in the home. Frequently detected PFASs in blood were: PFOA, PFOS, PFHxS, PFHpS, and N-MeFOSAA. A strong correlation was found between MeFOSE in the wristbands and N-MeFOSAA in serum (rs = 0.90, p-value <0.001), suggesting exposure to this PFAS was primarily via inhalation and dermal exposure. These results demonstrate that wristbands can provide individual level data on exposure to some polyfluoroalkyl precursors present indoors that reflect serum levels of their suspected biotransformation products.

Evaluating Saudi Arabian nurses' willingness to respond to nuclear and radiological disasters.

We evaluated Saudi Arabian nurses' willingness to engage in nuclear and radiological disaster response. In the face of rising nuclear and radiological threats, it is essential that nurses are fully prepared to handle the health consequences of such emergencies. As frontline responders, nurses play a critical role in managing high-stakes situations, making their readiness a key factor in ensuring public safety during these crises. A cross-sectional survey was conducted among 612 registered nurses in Saudi Arabia. The survey used a structured questionnaire based on the theory of planned behavior, identifying behavioral intentions as the primary outcome and attitudes toward these behaviors, subjective norms, and perceived behavioral control as influencing factors. The data were analyzed using descriptive and inferential statistics. Most respondents lacked specialized training and reported strong behavioral intentions. Attitude and perceived behavioral control were key drivers of these behavioral intentions, with less impact from subjective norms. Behavioral intentions were also shaped by education, the perceived likelihood of nuclear and radiological emergencies in their region, peer influence, perceived self-efficacy, and family concerns. Younger and married nurses showed significantly stronger behavioral intentions. Although most nurses lacked specialized training, their strong engagement intentions and positive responses to active learning and training indicate a desire to close this gap through further education. However, inadequate institutional support, trouble communicating with family, and concerns about personal radiation exposure emerged as potential barriers. Targeted educational initiatives and support systems are needed to enhance nurses' confidence, competence, and willingness to engage in radiological and nuclear emergency scenarios. Policymakers should prioritize the development of specialized training programs and support mechanisms for nurses, ensuring they are adequately prepared to respond effectively to increasing radiological and nuclear threats.

The SAM-Krom biomonitoring study shows occupational exposure to hexavalent chromium and increased genotoxicity in Denmark.

Hexavalent chromium (Cr(VI)) is a carcinogen. Exposure to Cr(VI) may occur in different industrial processes such as chrome plating and stainless steel welding. The aim of this study was to assess occupational exposure to Cr(VI) in Denmark. This cross-sectional study included 28 workers and 8 apprentices with potential Cr(VI) exposure and 24 within company controls, all recruited from six companies and one vocational school. Use of occupational safety and health (OSH) risk prevention measures were assessed through triangulation of interviews, a questionnaire and systematic observations. Inhalable Cr(VI) and Cr-total were assessed by personal air exposure measurements on Cr(VI) exposed participants and stationary measurements. Cr concentrations were measured in urine and in red blood cells (RBC) (the latter reflecting Cr(VI)). Genotoxicity was assessed by measurement of micronuclei in peripheral blood reticulocytes (MNRET). At announced visits, a consistent high degree of compliance to OSH risk prevention measures were seen in 'chromium bath plating' for both technical devices (e.g. ventilation, plastic balls, sheet coverings) and in the use of personal protective equipment (e.g. gloves, respirators), yet a lesser degree of compliance was observed in 'stainless steel welding'. The geometric mean of the air concentration of Cr(VI) was 0.26μg/m3 (95% confidence interval (CI): 0.12-0.57) for the Cr(VI)-exposed workers and 3.69μg/m3 (95% CI: 1.47-9.25) for the Cr(VI)-exposed apprentices. Subdivided by company type, the exposure levels were 0.13μg/m3 (95% CI: 0.04-0.41) for companies manufacturing and processing metal products, and 0.81μg/m3 (95% CI: 0.46-1.40) for bath plating companies. Workers with occupational exposure to Cr(VI) had significantly higher median levels of urinary Cr (2.42μg/L, 5th-95th percentile 0.28-58.39), Cr in RBC (0.89μg/L, 0.54-4.92) and MNRET (1.59 ‰, 0.78-10.92) compared to the within company controls (urinary: 0.40μg/L, 0.16-21.3, RBC: 0.60μg/L, 0.50-0.93,MNRET: 1.06 ‰, 0.71-2.06). When sub-dividing by company type, urinary Cr (4.61μg/L, 1.72-69.5), Cr in RBC (1.33μg/L, 0.95-4.98) and MNRET (1.89μg/L, 0.78-12.92) levels were increased for workers with potential Cr(VI) exposure in bath-plating companies, and when subdividing by work task, workers engaged in process operation had increased levels of urinary Cr (8.51μg/L, 1.71-69.5), Cr in RBC (1.33μg/L, 0.95-4.98) and MNRET (1.89μg/L, 0.82-12.92) levels. This biomonitoring study shows that bath platers were highly exposed to Cr(VI), as suggested by relatively high levels of urinary Cr, Cr in RBC and increased levels of micronuclei. The urinary Cr concentrations were high when compared to the French biological limit value of 2.5μg Cr/L, corresponding to the Danish occupational exposure limit of 1μg/m3. This, in turn, indirectly suggests that additional exposure routes than via air may contribute to the exposure. For welders, no statistically significant increases compared to within company controls were observed, however, the observed urinary Cr levels were similar to the levels observed in a European study (HBM4EU), and were higher than the levels observed for welders in Sweden (SafeChrom). In spite of a high degree of self-reported and observed compliance to OSH risk prevention measures during announced visits, the biomarkers of exposure reflecting recent exposure (urinary Cr) or exposure during the last four months (Cr in RBC) may point to variation in compliance to OSH risk prevention measures in general. Reduced occupational exposure to Cr(VI) may be achieved by applying the hierarchy of controls in eliminating or substituting Cr(VI), and the use of more effective technical solutions (e.g. automation).

Mpox Epidemiology and Risk Factors, Nigeria, 2022.

To investigate epidemiology of and risk factors for laboratory-confirmed mpox during the 2022 outbreak in Nigeria, we enrolled 265 persons with suspected mpox. A total of 163 (61.5%) were confirmed to have mpox; 137 (84.0%) were adults, 112 (68.7%) male, 143 (87.7%) urban/semi-urban dwellers, 12 (7.4%) self-reported gay men, and 3 (1.8%) female sex workers. Significant risk factors for adults were sexual and nonsexual contact with persons who had mpox, as well as risky sexual behavior. For children, risk factors were close contact with an mpox-positive person and prior animal exposure. Odds of being mpox positive were higher for adults with HIV and lower for those co-infected with varicella zoster virus (VZV). No children were HIV-seropositive; odds of being mpox positive were higher for children with VZV infection. Our findings indicate mpox affects primarily adults in Nigeria, partially driven by sexual activity; childhood cases were driven by close contact, animal exposure, and VZV co-infection.

Investigation into personal exposure to ultrafine particle (UFP) in Phnom Penh, Cambodia: A pilot study

This pilot study aimed to examine personal exposure to ultrafine particles (UFP or particle smaller than 100 nm) in Phnom Penh, Cambodia through the assessment of different transportation modes, travel routes, and the comparison of indoor and outdoor activities. A handheld UFP counter was used to record the UFP size, concentration and as well as Lung Deposited Surface Area (LDSA). GPS data was recorded using a GPS watch and then combined with the UFP data before further analysis with geospatial software (QGIS) along with OpenStreetMap to generate spatial data of personal exposure to UFP. The study revealed significant differences in UFP exposure between motorbike and bus users, with average UFP concentrations of approximately 114,300 and 171,700 particles/cm³ for motorbike users, and 22,600 and 37,200 particles/cm³ for bus users on lines 3 and 4A, respectively. These concentrations exceed WHO guidelines, which consider UFP levels above 20,000 particles/cm³ per hour as high and potentially harmful. The results of our study also revealed varying amounts of exposure on different roadways, with Russian Federation Blvd consistently exhibited the highest concentrations of UFP, especially during periods of peak traffic. Furthermore, indoor environments generally presented lower UFP exposure. Specific activities or events were found to generate temporary increases in particle concentration. It was shown that weekdays had elevated levels of UFP compared to weekends. Regardless of the limitations of the study, especially its small sample size, it provides significant initial observations, highlighting the urgent need for mitigation strategies and further comprehensive studies in the region.

Semites, Antisemites, and Bernard Lewis: The Life and Afterlife of a Seminal Book

Abstract: In 1986, Bernard Lewis published a highly influential book, Semites and Anti-Semites: An Inquiry into Conflict and Prejudice . For Lewis, who was then the pre-eminent British-American historian of the Islamic world, the book represented a departure from his prior research agenda. Although Lewis was Jewish, his scholarly work had touched little on Jews. In this book (and its companion, The Jews of Islam ), Lewis portrayed the legacy of Islam as one of broad toleration of Jews, tinged with contempt but void of hatred. He traced the outbreak of virulent antisemitism among Arabs not to the tradition of Islam, but to the influence of European and especially Nazi antisemitism. This interpretation may have been inspired and reinforced by Lewis's own personal exposure to Arab antisemitism during the Second World War and in the aftermath of the 1948 Arab-Israeli War.

P21-36 Effects of air pollution in asthmatic children: personal exposure to pollutants and biomarkers of effect in exhaled breath condensates

P21-36 Effects of air pollution in asthmatic children: personal exposure to pollutants and biomarkers of effect in exhaled breath condensates

A detailed methodology for estimating health-related hazards of workplace exposure to indoor formaldehyde vapours

A comprehensive risk assessment method was applied to examine the risks associated with airborne formaldehyde occupational exposure among hospital laboratory staff. The method assessed exposure levels and health impacts by integrating area and personal air sampling, biological monitoring, and self-reported health data. Samples were collected from 74 workplaces across various departments using NIOSH method 3500 and were analyzed via UV-vis spectrophotometry. The data showed significant differences in exposure levels between departments (p≤0.05) and confirmed the efficacy of the method in identifying risk differences. Despite average personal exposure levels being measured lower than occupational limits, individual assessments indicated that some participants surpassed these limits, emphasizing the necessity of personal monitoring for workers with higher risks. The high prevalence of respiratory symptoms, such as cough and wheezing among staff, indicated the need for further investigation and targeted interventions. Although estimated cancer and non-cancer risks were within safe thresholds, the study emphasized the importance of continuous exposure monitoring and the implementation of effective control measures in hospital laboratory departments with formaldehyde emission. This integrated method improved the reliability and generalizability of formaldehyde exposure risk assessments and aided in the development of safe occupational health practices.•The method integrated personal and area sampling with advanced calibration for precise occupational exposure evaluation in laboratories.•The method used of biomarkers to assess formaldehyde absorption in the body estimating both cancerous and non-cancerous health risks associated with occupational exposure.•Addressed traditional method limitations and integrated risk components to improve data reliability for workplace safety and health risk management.

Refining Children's exposure assessment to NO2, SO2, and O3: Incorporating indoor-to-outdoor concentration ratios and individual daily routine

Exposure to air pollutants like sulfur dioxide (SO2), nitrogen oxides (NOx), and ozone (O3) is associated with adverse health effects, particularly with exacerbations of asthma symptoms and new asthma cases in both children and adults. While fixed-site monitoring (FSM) stations are commonly used in air pollutant exposure studies, they may not fully capture personal exposures due to limitations such as inadequate consideration of daily routines and indoor/outdoor concentration variations. In this study, to enhance the accuracy of personal exposure calculated by using FSM data, individual's daily activity routine, encompassing both indoor and outdoor environments, were incorporated by using indoor-to-outdoor concentration ratios. Three methodologies were compared to assess the accuracy of exposure calculations: (i) direct exposure determination employing passive samplers (PS), (ii) personal exposure calculated using FSM data alone, and (iii) personal exposure calculated using FSM data refined by integrating local average individual daily activity routines and indoor-to-outdoor ratios. The results demonstrate that the refined method (iii) yields substantial improvements in estimated exposure levels, reducing the average error from 1.4% to 0.4% for NO2, from 72.1% to 12.7% for SO2, and from 323.4% to 24.9% for O3.

COASTing Through Bedside Report: An Innovative Approach to Safe Transitions of Care.

Bedside shift report improves patient satisfaction, peer accountability, communication, and decreases safety events. Clinical practice of bedside report varied prior to the pandemic. Due to limited personal protective equipment and exposure risk, bedside report was halted during the pandemic. The Iowa Model of Evidence-Based Practice was used to guide this project. To standardize communication during bedside report, safety data and literature were reviewed and grouped by themes. The acronym COAST was developed, consisting of code status, oxygen, access, safety, and tubes/drains. These elements were to be discussed at the bedside during handoff. Compliance with completing elements of COAST increased during the pilot, 9- and 12-month sustainment periods. Additional safety-related outcomes of cardiopulmonary resuscitation wristband application, falls, and good catches improved. Notably, overtime declined. A bedside report with standardized communication focusing on safety elements can improve compliance with adoption and patient safety outcomes.

Predictors of personal exposure to fine particulate matter, black carbon, and carbon monoxide among pregnant women in Rwanda

Predictors of personal exposure to fine particulate matter, black carbon, and carbon monoxide among pregnant women in Rwanda