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Current chemical exposures among Ontario construction workers. 安大略省建筑工人目前接触的化学物质。
Pub Date : 2003-12-01 DOI: 10.1080/714044193
Dave K Verma, Lawrence A Kurtz, Dru Sahai, Murray M Finkelstein

Current occupational exposures to chemical agents were assessed as part of an epidemiological study pertaining to the cancer and mortality patterns of Ontario construction workers. The task-based exposure assessment involved members from nine construction trade unions. Air samples were taken using personal sampling pumps and collection media. A DustTrak direct-reading particulate monitor was also employed. Exposure assessments included measurements of airborne respirable, inhalable, total, and silica dust; solvents; metals; asbestos; diesel exhaust and man-made mineral fibers (MMMF). In total, 396 single- or multi-component (filter/tube), 798 direct-reading, and 71 bulk samples were collected. The results showed that Ontario construction workers are exposed to potentially hazardous levels of chemical agents. The findings are similar to those reported by other researchers, except for silica exposure. In our study, silica exposure is much lower than reported elsewhere. The difficulty associated with assessing construction workers' exposures is highlighted.

作为一项与安大略省建筑工人癌症和死亡模式有关的流行病学研究的一部分,评估了目前职业接触化学剂的情况。这项基于任务的暴露评估涉及9个建筑工会的成员。空气样本采用个人采样泵和采集介质采集。还使用了DustTrak直读颗粒监测仪。暴露评估包括空气中可吸入、可吸入、总粉尘和硅尘的测量;溶剂;金属;石棉;柴油废气和人造矿物纤维(MMMF)。共收集了396份单组分或多组分(过滤器/管)、798份直读和71份大样本。结果显示,安大略省的建筑工人暴露在潜在危险水平的化学制剂中。这些发现与其他研究人员报告的结果相似,除了二氧化硅暴露。在我们的研究中,二氧化硅暴露比其他地方报道的要低得多。报告强调了评估建筑工人暴露程度的困难。
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引用次数: 43
Assessment of silica exposure and engineering controls during tuckpointing. 压缝过程中二氧化硅暴露和工程控制的评估。
Pub Date : 2003-12-01 DOI: 10.1080/714044186
Shojiro Yasui, Pam Susi, Mike McClean, Mike Flynn
Exposures to crystalline silica in the construction industry are widespread. This report documents exposures to crystalline silica and describes the effectiveness of a commercially available dust collection system designed for tuckpointing tools. Exposure to respirable crystalline silica (quartz) can result in silicosis, a serious and often fatal disease with symptoms including shortness of breath, weight loss, weakness, and the onset of autoimmune diseases. The American Conference of Governmental Industrial Hygienists (ACGIH©R ) regards silica as a suspected human carcinogen, and the National Toxicology Program (NTP) and the National Institute for Occupational Safety and Health (NIOSH) have designated crystalline silica as a potential occupational carcinogen. NIOSH estimates that more than one million workers are at risk for silicosis, with the majority of them in construction trades.(1) The NIOSH Recommended Exposure Limit (REL) and ACGIH©R Threshold Limit Value (TLV©R ) for respirable quartz are 0.05 mg/m3. The Occupational Safety and Health Administration (OSHA) Permissible Exposure Limit (PEL) for respirable dust containing crystalline silica for the construction industry is measured in millions of particles per cubic foot (mppcf) and is calculated using the following formula: PEL = 250 mppcf/% silica + 5.(2) However, OSHA compliance officers use the general industry PEL for respirable silica to test for compliance on construction sites, calculating the allowable exposure based on the measured quartz percentage for each sample in accordance with the following equation: 10 mg/m3/(% quartz + 2).(1) In this article, we used the NIOSH REL and the ACGIH TLV as the evaluation criteria, as these values reflect more current research on the health effects of silica exposure. Construction workers are routinely exposed to silica-containing dust without any engineering controls. One study showed that tuckpointing workers were exposed to silica-containing dust at levels 17 to 116 times higher than the OSHA PEL and 212 to 4300 times higher than the NIOSH REL.(3) According to NIOSH, non-powered air purifying respirators are not recommended for workers who are exposed to greater than 10 times the NIOSH REL.(4) In cases such as this, engineering controls, not only respirators, are required to reduce the exposure to the workers. OSHA also requires that engineering controls be used to the extent feasible for reducing exposures to regulated agents.(5) Exposures in construction are closely related to task.(6) For the grinding process during tuckpointing, personal silica exposures can vary substantially between the component tasks a worker conducts. Exposure assessment and the design of effective control technology require knowledge of each task component’s relative contribution to the total exposure. Detailed work task–exposure analysis using a combination of direct reading monitor and videotaping is well suited to assess the exposure associated with each task c
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引用次数: 9
Epidemiologic evidence on the carcinogenicity of metalworking fluids. 金属加工液致癌性的流行病学证据。
Pub Date : 2003-11-01 DOI: 10.1080/10473220390237539
David A Savitz

The purpose of this review is to organize and evaluate the epidemiologic evidence regarding the potential carcinogenicity of metalworking fluids. Published literature was initially examined to identify the key contributions, with a strong emphasis on the series of studies by Eisen et al. A key challenge to addressing the issue is the diversity of metalworking fluids, additives, and by-products produced in use, along with the notable changes in the composition and use of such agents over time. Although several smaller cohort studies provided useful data on this issue through the 1980s, the Eisen et al. studies offer unique information given the size of the cohort, sophistication in exposure assessment, and detailed analysis of cancer mortality risks within the cohort as a function of estimated exposure. The most notable associations, based on precision, magnitude, and evidence for increasing risk with increasing exposure are those between straight metalworking fluids and both rectal and laryngeal cancer, as well as soluble metalworking fluids and laryngeal cancer. Further progress will require additional studies of the scale of Eisen et al.'s as well as a more systematic approach to integrating information from toxicology and industrial hygiene into the interpretation of the epidemiologic literature.

本综述的目的是整理和评价有关金属加工液潜在致癌性的流行病学证据。最初对已发表的文献进行了检查,以确定关键贡献,重点强调了Eisen等人的一系列研究。解决这一问题的一个关键挑战是在使用过程中产生的金属加工液、添加剂和副产品的多样性,以及这些试剂的组成和使用随着时间的推移而发生的显著变化。尽管在20世纪80年代,一些较小的队列研究提供了关于这个问题的有用数据,但Eisen等人的研究提供了独特的信息,考虑到队列的规模,暴露评估的复杂性,以及队列中癌症死亡率风险作为估计暴露函数的详细分析。基于精度、强度和证据,最显著的关联是直接金属加工液与直肠癌和喉癌之间的关联,以及可溶性金属加工液与喉癌之间的关联。进一步的进展将需要对Eisen等人的规模进行更多的研究,以及采用更系统的方法将毒理学和工业卫生学的信息整合到流行病学文献的解释中。
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引用次数: 39
Petroleum mineral oil refining and evaluation of cancer hazard. 石油矿物油精炼及致癌危害评价。
Pub Date : 2003-11-01 DOI: 10.1080/10473220390237467
Carl R Mackerer, Larry C Griffis, John S Grabowski, Fred A Reitman

Petroleum base oils (petroleum mineral oils) are manufactured from crude oils by vacuum distillation to produce several distillates and a residual oil that are then further refined. Aromatics including alkylated polycyclic aromatic compounds (PAC) are undesirable constituents of base oils because they are deleterious to product performance and are potentially carcinogenic. In modern base oil refining, aromatics are reduced by solvent extraction, catalytic hydrotreating, or hydrocracking. Chronic exposure to poorly refined base oils has the potential to cause skin cancer. A chronic mouse dermal bioassay has been the standard test for estimating carcinogenic potential of mineral oils. The level of alkylated 3-7-ring PAC in raw streams from the vacuum tower must be greatly reduced to render the base oil noncarcinogenic. The processes that can reduce PAC levels are known, but the operating conditions for the processing units (e.g., temperature, pressure, catalyst type, residence time in the unit, unit engineering design, etc.) needed to achieve adequate PAC reduction are refinery specific. Chronic dermal bioassays provide information about whether conditions applied can make a noncarcinogenic oil, but cannot be used to monitor current production for quality control or for conducting research or developing new processes since this test takes at least 78 weeks to conduct. Three short-term, non-animal assays all involving extraction of oil with dimethylsulfoxide (DMSO) have been validated for predicting potential carcinogenic activity of petroleum base oils: a modified Ames assay of a DMSO extract, a gravimetric assay (IP 346) for wt. percent of oil extracted into DMSO, and a GC-FID assay measuring 3-7-ring PAC content in a DMSO extract of oil, expressed as percent of the oil. Extraction with DMSO concentrates PAC in a manner that mimics the extraction method used in the solvent refining of noncarcinogenic oils. The three assays are described, data demonstrating the validation of the assays are shown, and test results of currently manufactured base oils are summarized to illustrate the general lack of cancer hazard for the base oils now being manufactured.

石油基础油(石油矿物油)是从原油中通过真空蒸馏生产出几种馏分油和残余油,然后进一步精炼。芳烃包括烷基化多环芳烃化合物(PAC)是基础油中不受欢迎的成分,因为它们对产品性能有害并具有潜在的致癌性。在现代基础油炼制中,芳烃通过溶剂萃取、催化加氢处理或加氢裂化来还原。长期接触劣质的基础油有可能导致皮肤癌。慢性小鼠皮肤生物测定已成为估计矿物油致癌潜力的标准试验。从真空塔流出的原料流中烷基化3-7环PAC的水平必须大大降低,以使基础油无致癌性。可以降低PAC水平的工艺是已知的,但是处理单元的操作条件(例如,温度,压力,催化剂类型,在单元中停留时间,单元工程设计等)需要达到适当的PAC降低是炼油厂特定的。慢性皮肤生物测定法提供的信息是,所应用的条件是否可以制造出一种非致癌油,但不能用于监测当前的生产以进行质量控制,也不能用于进行研究或开发新工艺,因为这项测试至少需要78周的时间来进行。用二甲基亚砜(DMSO)提取油的三种短期非动物试验已被验证,用于预测石油基础油的潜在致癌活性:DMSO提取物的改良Ames试验,提取到DMSO中的油的重量测定(IP 346),以及测定DMSO提取物中3-7环PAC含量的GC-FID试验,以油的百分比表示。用二甲基亚砜(DMSO)萃取可浓缩聚丙烯腈(PAC),其萃取方法与溶剂精炼非致癌性油的萃取方法类似。描述了这三种检测方法,显示了验证检测方法的数据,并总结了目前生产的基础油的测试结果,以说明目前生产的基础油普遍缺乏癌症危害。
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引用次数: 57
Metalworking fluids: oil mist and beyond. 金属加工液:油雾及其他。
Pub Date : 2003-11-01 DOI: 10.1080/10473220390237313
Stephen L Gauthier

This article is based upon my own experiences with metalworking fluids and the adverse health effects and medical conditions associated with exposure to metalworking fluids. I have researched and witnessed the benefits that can be achieved when metalworking fluids are properly maintained and managed. My experiences have provided insight into how a shop operates, including comprehension of the equipment used, processes, mist generating points, engineering controls currently being adopted, and procedures that are used to maintain metalworking fluids. I have been able to share my personal experiences with the country's leading experts in the field of metalworking fluids. I have presented my insights on the topic in Washington, D.C., to the Standard Advisory Committee of OSHA, as well as at many other conferences nationwide. I have provided awareness training for a number of union and nonunion workers. Being a part of developing successful metal removal fluid programs, I realize the importance of transferring and sharing information. Many times an organization is not fully aware of certain conditions and how to combat them. My mission and intent is to properly educate those who are exposed to the harm that metalworking fluids can invoke and to inform those involved of the possible methods of reducing long- and short-term risk. One thing that must be kept in mind is the way we view these fluids. Many shops categorize the fluids as a type of "operating expense" when they should actually be seen as a sort of investment. Just as performing a scheduled maintenance on a machine promises the best possible longevity of that machine, the upkeep of metalworking fluid also provides longer "tool life." Monitoring and maintaining the fluids also provides for more effective and efficient productivity. If we fail to consider that proper management of the fluids can cut cost dramatically, then we will miss out on the financial impact they can have on a company. Try looking at the fluids as a liquid tool. Doing so I believe will bring a better understanding of the value of a successful metalworking fluids program. With this new understanding, it can be seen just who must play a role in the management of metalworking fluids. The employees who deal with the daily tasks involving the coolant play a major part. They are on the floor where these metalworking fluids are being used. In many shops, it is assumed that the environmental health & safety departments are responsible for standard operating procedures and management of fluids. The EH&S department should only be responsible for the protection from exposure and the transfer of information regarding policy and procedure to their employees. Not all shops have the resources required to develop and implement the proper standard operating procedure. Therefore, we must understand that what is feasible for one may not be for another. Companies that lack the sufficient resources should not be neglected. It is crucial t

这篇文章是基于我自己接触金属加工液的经验,以及与接触金属加工液有关的不良健康影响和医疗状况。我已经研究并目睹了当金属加工液得到适当维护和管理时可以实现的好处。我的经验提供了对车间如何运作的见解,包括对所使用的设备,工艺,雾产生点,目前采用的工程控制以及用于维护金属加工液的程序的理解。我已经能够与国内在金属加工液领域的领先专家分享我的个人经验。在华盛顿特区,我向职业安全与健康管理局的标准咨询委员会以及全国范围内的许多其他会议提出了我对这一主题的见解。我为一些工会和非工会工人提供了意识培训。作为开发成功的金属去除液项目的一部分,我意识到传递和共享信息的重要性。很多时候,一个组织并没有完全意识到某些情况以及如何与之斗争。我的任务和意图是对那些暴露在金属加工液可能引起的危害下的人进行适当的教育,并告知有关人员减少长期和短期风险的可能方法。必须记住的一件事是我们看待这些液体的方式。许多商店将液体归类为一种“运营费用”,而实际上它们应该被视为一种投资。正如对机器进行定期维护可以保证机器的最佳使用寿命一样,金属加工液的维护也可以提供更长的“工具寿命”。监测和维护流体也提供了更有效和高效的生产力。如果我们没有考虑到对流体的适当管理可以大幅降低成本,那么我们就会错过它们对公司的财务影响。试着把液体看作液体工具。我相信这样做将使人们更好地理解一个成功的金属加工流体程序的价值。有了这种新的认识,就可以看出谁必须在金属加工液的管理中发挥作用。处理与冷却剂有关的日常工作的员工起着重要作用。它们在使用金属加工液的地板上。在许多商店,假定环境健康和安全部门负责标准操作程序和流体管理。e&s部门应该只负责保护员工免受暴露,并将有关政策和程序的信息传递给员工。并非所有商店都有开发和实施适当的标准操作程序所需的资源。因此,我们必须明白,对一个人可行的可能对另一个人不可行。缺乏足够资源的公司不应被忽视。至关重要的是,与流体相关的每个人都要了解适当的标准操作程序,以便提供适当的金属加工流体管理。流体和配方本身一样动态(复杂和动态)。这些液体很快就会被外来物质和化学物质污染,从而变成雾化雾。通过适当的教育和培训,人们将能够控制被雾化的物质。
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引用次数: 31
An evaluation of ASTM method P-42-97 for sampling and analysis of metalworking fluids. 金属加工液取样和分析的ASTM方法P-42-97的评价。
Pub Date : 2003-11-01 DOI: 10.1080/10473220390237322
Robert A Glaser, Stanley Shulman, Robert Kurimo, Greg Piacitelli
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引用次数: 6
Controlling health risks from workplace exposure to metalworking fluids in the United Kingdom engineering industry. 控制英国工程行业工作场所接触金属加工液的健康风险。
Pub Date : 2003-11-01 DOI: 10.1080/10473220390237395
Martin A Stear

On October 15, 2002, the United Kingdom (UK) Health and Safety Executive (HSE) launched new guidance for the engineering industry, aimed at reducing health risks from metalworking fluids (MWFs). This guidance was the culmination of many years of work on this subject. In the early 1990s, the UK occupational exposure standards (OES) for oil mist were 5 mg/m(-3) 8-hour time-weighted average (TWA), and 10 mg/m(-3) short-term exposure limit (STEL). This was only applicable to highly refined mineral oil mists and there was no exposure limit for water-mix MWFs (emulsions, semi-synthetics, and synthetics). HSE therefore undertook to review the existing exposure limit for neat mineral oil mists (neat oils are fluids that contain highly refined mineral oils and additives, and are used neat without mixing with water) and consider developing one for water-mix MWFs. This led to the development of new air-sampling methods, a comprehensive survey, and the development of new good practice guidance in the place of statutory exposure limits. This new good practice guidance has been endorsed and launched with the help of relevant industry supplier, employer, and employee associations. The guidance builds on the philosophy of tackling health risks as a holistic approach; for example, not just tackling mist control through the use of ventilation, but also fluid selection, fluid delivery, and fluid management (fluid management means to effectively manage all aspects of the fluid, from storage and stock preparation to sump cleaning and fluid disposal, etc.). Tools, such as laminated task sheets, are provided to make it user friendly. It also demonstrates the business benefits from this approach, that managing your MWFs effectively can reduce the incidence of ill health, reduce fluid and disposal costs, increase tool life, and improve machining performance.

2002年10月15日,联合王国健康与安全执行局(HSE)为工程行业发布了新的指导方针,旨在减少金属加工液(MWFs)的健康风险。这项指导是多年来在这个问题上工作的结果。在20世纪90年代初,英国的油雾职业暴露标准(OES)为5 mg/m(-3) 8小时时间加权平均(TWA)和10 mg/m(-3)短期暴露限值(STEL)。这只适用于高度精炼的矿物油雾,对于水混合的MWFs(乳剂、半合成物和合成物)没有暴露限制。因此,HSE承诺审查纯矿物油雾(纯油是一种含有高度精炼矿物油和添加剂的液体,无需与水混合即可使用)的现有暴露限值,并考虑开发一种用于水混合MWFs的暴露限值。这导致了新的空气采样方法的发展,一项全面的调查,并在法定暴露限值的地方制定了新的良好做法指南。在相关行业供应商、雇主和员工协会的帮助下,新的良好实践指南得到了认可和发布。该指南以以整体办法处理健康风险的理念为基础;例如,不仅要通过使用通风来控制雾,还要进行流体选择,流体输送和流体管理(流体管理意味着有效管理流体的各个方面,从储存和备料到水池清洗和流体处置等)。提供了诸如层压任务表之类的工具,使其对用户友好。它还展示了这种方法的商业效益,即有效地管理您的MWFs可以减少不健康的发生率,降低流体和处理成本,延长刀具寿命,并提高加工性能。
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引用次数: 17
Control methods for mineral oil mists. 矿物油雾的控制方法。
Pub Date : 2003-11-01 DOI: 10.1080/10473220390237412
David Leith, John Volckens, Maryanne G Boundy, David Hands

Effective mist collection is important, but it is not the only determinant of mist concentration in plant air. Oil-based metalworking fluids such as straight and soluble oils contain semivolatile hydrocarbons. When these fluids form a mist, their semivolatile components partition between the vapor and mist phases depending on the makeup of the mist and on local conditions. This article addresses the relationship between the concentrations of semivolatile hydrocarbons in the vapor and mist phases using theory for partitioning developed in the field of atmospheric chemistry. Mist can be removed effectively in a collector that uses a HEPA filter as its final collection stage. Acceptable HEPA lifetime requires effective upstream stages that reduce mist loading to the HEPA; furthermore, acceptable HEPA performance requires that it be installed and maintained properly. Collectors designed to remove mist do not remove vapor, and as collector exhaust mixes into cooler plant air that already contains some mist, vapor from the collector can repartition to increase the mist concentration in the plant. Assessing the effect of vapor-to-mist repartitioning is complicated; however, repartitioning may be important for many of the compounds contained in oil-based metalworking fluids. Conditions that minimize vapor-to-mist repartitioning, such as ventilating the plant with clean outdoor air, increasing plant temperature, or controlling the release of vapor, may also be expensive, uncomfortable to plant occupants, or impractical from an engineering standpoint. As a result, very low mist concentrations in plant air may be difficult to attain.

有效的雾收集很重要,但它不是植物空气中雾浓度的唯一决定因素。油基金属加工液,如直油和可溶性油,含有半挥发性碳氢化合物。当这些流体形成薄雾时,根据薄雾的组成和当地条件,它们的半挥发性成分在蒸汽和雾相之间分裂。本文利用大气化学领域发展起来的分划理论,讨论了蒸汽和雾相中半挥发性碳氢化合物浓度之间的关系。雾可以在使用HEPA过滤器作为最后收集阶段的收集器中有效地去除。可接受的HEPA寿命要求有效的上游阶段,以减少HEPA的雾负荷;此外,可接受的HEPA性能要求其安装和维护得当。设计用于去除雾的收集器不能去除蒸汽,并且当收集器排出的气体混合到已经含有一些雾的较冷的工厂空气中时,收集器中的蒸汽可以重新分配以增加工厂中的雾浓度。评估蒸汽到雾再分配的效果是复杂的;然而,对于油基金属加工液中含有的许多化合物来说,重新分配可能是重要的。尽量减少蒸汽到雾再分配的条件,例如用清洁的室外空气给植物通风,提高植物温度或控制蒸汽的释放,也可能是昂贵的,对植物居住者来说不舒服,或者从工程的角度来看不切实际。因此,很低的雾浓度在工厂空气可能很难达到。
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引用次数: 5
Comparison of methods for the measurement of mist and vapor from light mineral oil-based metalworking fluids. 轻矿物油基金属加工液中雾和蒸气测量方法的比较。
Pub Date : 2003-11-01 DOI: 10.1080/10473220390237386
Andrew T Simpson

The measurement of oil mist derived from metalworking fluids formulated with light mineral oils can be highly inaccurate when using traditional filter sampling. This is due to evaporation of oil from the filter. In this work the practicability of an alternative approach measuring total oil mist and vapor was investigated. Combinations of inhalable particle samplers with backup sorbent vapor traps and standard vapor sampling on pumped and diffusive sorbent tubes were evaluated with gravimetric, infrared spectroscopic, and gas chromatographic analytical methods against the performance requirements of European Standard EN 482. An artificial aerosol was used to compare the methods against a reference method of filter sampler in series with three impingers. Multi-orifice samplers were used with standard 8-mm diameter charcoal tubes at 2 L/min without any signs of channelling or significant breakthrough, as were conical inhalable samplers with XAD-2 tubes at 1 L/min. Most combinations of samplers had a bias of less than 3 percent, but solitary pumped charcoal tubes underestimated total oil by 13 percent. Diffusive sampling was affected by impaction of mist particles and condensation of oil vapor. Gravimetric analysis of filters revealed significant potential sample loss during storage, with 4 percent being lost after one day when stored at room temperature and 2 percent when refrigerated. Samples left overnight in the balance room to equilibrate lost 24 percent. Infrared spectroscopy gave more precise results for vapor than gas chromatography (p = 0.002). Gas chromatography was less susceptible to bias from contaminating solvent vapors than infrared spectroscopy, but was still vulnerable to petroleum distillates. Under the specific test conditions (one oil type and mist particle size), all combinations of methods examined complied with the requirements of European Standard EN 484. Total airborne oil can be measured accurately; however, care must be taken to avoid contamination by hydrocarbon solvent vapors during sampling.

当使用传统的过滤采样时,测量由轻矿物油配制的金属加工液产生的油雾可能非常不准确。这是由于油从过滤器蒸发。本文研究了一种测量总油雾和总油蒸气的替代方法的可行性。根据欧洲标准EN 482的性能要求,用重量、红外光谱和气相色谱分析方法评估了可吸入颗粒取样器与备用吸附剂蒸汽捕集器的组合,以及在泵送和扩散吸收管上的标准蒸汽取样。用人工气溶胶与三冲击器串联过滤采样的参考方法进行了比较。多孔取样器使用标准直径8毫米的木炭管,速度为2l /min,没有任何通道或明显突破的迹象,锥形可吸入取样器使用XAD-2管,速度为1l /min。大多数采样器组合的偏差小于3%,但单独的抽炭管低估了总油量的13%。扩散取样受雾粒的撞击和油蒸气的冷凝影响。对过滤器的重量分析显示,在储存过程中,样品的潜在损失很大,在室温下储存一天后损失了4%,在冷藏时损失了2%。样品在平衡室中放置一夜以达到平衡,损失了24%。红外光谱法比气相色谱法给出了更精确的结果(p = 0.002)。气相色谱法比红外光谱法更不容易受到溶剂蒸气污染的影响,但仍然容易受到石油馏分油的影响。在特定的测试条件下(一种油类型和雾颗粒大小),所有测试方法的组合都符合欧洲标准EN 484的要求。可准确测量空气中总油量;但是,在取样过程中必须注意避免碳氢化合物溶剂蒸汽的污染。
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引用次数: 30
Updated epidemiology of workers exposed to metalworking fluids provides sufficient evidence for carcinogenicity. 接触金属加工液的工人的最新流行病学为致癌性提供了充分的证据。
Pub Date : 2003-11-01 DOI: 10.1080/10473220390237511
Franklin Mirer

The 1998 National Institute for Occupational Safety and Health (NIOSH) criteria document for metalworking fluids (MWF) is the most recent authoritative review of mortality studies of workers with these exposures. NIOSH concluded that substantial evidence exists for increased risk of cancer at several sites (larynx, rectum, pancreas, skin, scrotum, and bladder) among workers exposed to MWF before the mid-1970s, and that evidence is equivocal for cancer at several other sites, including stomach, esophagus, lung, prostate, brain, colon, and hematopoietic system. The UAW believes that systematic analysis of that body of data makes a much stronger case for stomach cancer related to MWF exposure. Since the Criteria document, the mortality experience of three of the cohorts reviewed has been either updated or reanalyzed. These updates strengthen the evidence for increased mortality from stomach and liver cancer, and non-malignant respiratory disease associated with exposure to water-based metalworking fluids. Additional toxicological data providing clear evidence for carcinogenicity of diethanolamine, a widely used ingredient, also increases the biological plausibility of these findings. Despite changes in composition of MWFs with time, and reduced exposure levels, these data contradict the notion that cancer risks have been eliminated.

1998年国家职业安全与健康研究所(NIOSH)金属加工液(MWF)标准文件是对接触这些液体的工人死亡率研究的最新权威审查。NIOSH的结论是,在20世纪70年代中期之前,有大量证据表明,在接触过MWF的工人中,几个部位(喉、直肠、胰腺、皮肤、阴囊和膀胱)的癌症风险增加,而其他几个部位(包括胃、食道、肺、前列腺、脑、结肠和造血系统)的癌症风险则不明确。美国汽车工人联合会认为,对这些数据的系统分析更有力地证明了胃癌与MWF暴露有关。自标准文件发布以来,已更新或重新分析了所审查的三个队列的死亡率经验。这些最新资料加强了与接触水基金属加工液有关的胃癌和肝癌以及非恶性呼吸道疾病死亡率增加的证据。额外的毒理学数据为二乙醇胺(一种广泛使用的成分)的致癌性提供了明确的证据,也增加了这些发现的生物学合理性。尽管随着时间的推移,MWFs的成分会发生变化,暴露水平也会降低,但这些数据与癌症风险已经消除的观点相矛盾。
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引用次数: 43
期刊
Applied occupational and environmental hygiene
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