Titanium, Sinusitis, and the Yellow Nail Syndrome

Yellow nail syndrome is characterized by nail changes, respiratory disorders, and lymphedema. In a yellow nail patient with a skeletal titanium implant and with gold in her teeth, we found high levels of titanium in nail clippings. This study aims to examine the possible role of titanium in the genesis of the yellow nail syndrome. Nail clippings from patients with one or more features of the yellow nail syndrome were analyzed by energy dispersive X-ray fluorescence. Titanium was regularly found in finger nails in patients but not in control subjects. Visible nail changes were present in only half of the patients. Sinusitis with postnasal drip and cough was the most common complaint. The dominant source of titanium ions was titanium implants in the teeth or elsewhere. The titanium ions were released through the galvanic action of dental gold or amalgam or through the oxidative action of fluorides. In other patients the titanium was derived from titanium dioxide in drugs and confectionary. Stopping galvanic release of titanium ions or canceling exposure to titanium dioxide led to recovery. In one patient with a titanium implant, the symptoms recurred after renewed exposure to titanium. Yellow nail syndrome is caused by titaniu

‘Don’t use “the weak word”’: Women brewers, identities and gendered territories of embodied work

Focusing on an unresearched group of women brewers, and drawing conceptually on embodiment and identity work, this article explores worker corporealities within the gendered landscape of microbreweries and deepens understanding of the body/work/gender nexus in the context of brewer’s work. In doing so, it challenges the marginalisation of female worker bodies in scholarly work on male-dominated occupations. Drawing on interview and observation data collected in the UK in 2015, verbal narratives of women brewers’ experiences of their working lives are utilised to provide insights into how their gendered bodily practices constitute resources for constructing a distinctive ‘brewster’ identity. Women brewers engage in identity work, on both individual and collective levels, through the material and symbolic framing of their embodied and gendered working selves; navigating their physical working environments; downplaying gender to emphasise physical competence; and foregrounding gender in relation to non-physical aspects to accentuate difference and collective contribution