Inflammatory effects of exposure to different stone types used in Norwegian asphalt

During the winter in Scandinavian countries, up to 90% of traffic-related particulate matter (PM) is from non-exhaust emissions sources such as asphalt wear. Measures to reduce urban PM have focused mainly on exhaust emissions, while the contribution from asphalt has received less attention. In vitro studies suggest that the composition of asphalt can affect the inflammatory potential of road dust. Using a whole-body human exposure chamber, we have explored whether different stone materials used in Norwegian asphalt impose different inflammatory reactions in plasma of healthy volunteers. Our results show no acute increases in the inflammatory markers SP-D, P- selectin, or CC16. However, quartz diorite induced an apparent increase in ICAM-1, not seen for rhomb porphyry or placebo dust (lactose). Although this did not reach statistical significance, it resembles previously observed fibrinogen-effects, and may suggest that different types of stone minerals provoke different inflammatory reactions in humans compared to placebo dust.publishedVersio

The association between cardiac drug therapy and anxiety among cardiac patients:results from the national DenHeart survey

BACKGROUND: Neuropsychiatric side effects of cardiac drugs such as nervousness, mood swings and agitation may be misinterpreted as symptoms of anxiety. Anxiety in cardiac patients is highly prevalent and associated with poor outcomes, thus an accurate identification is essential. The objectives were to: (I) describe the possible neuropsychiatric side effects of common cardiac drug therapies, (II) describe the use of cardiac drug therapy in cardiac patients with self-reported symptoms of anxiety compared to those with no symptoms of anxiety, and (III) investigate the association between the use of cardiac drug therapy and self-reported symptoms of anxiety. METHODS: DenHeart is a large national cross-sectional survey combined with national register data. Symptoms of anxiety were measured by the Hospital Anxiety and Depression Scale (HADS-A) on patients with ischemic heart disease, arrhythmia, heart failure and heart valve disease. Side effects were obtained from ‘product summaries’, and data on redeemed prescriptions obtained from the Danish National Prescription Registry. Multivariate logistic regression analyses explored the association between cardiac drug therapies and symptoms of anxiety (HADS-A ≥ 8). RESULTS: Among 8998 respondents 2891 (32%) reported symptoms of anxiety (HADS-A ≥ 8). Neuropsychiatric side effects were reported from digoxin, antiarrhythmics, beta-blockers, ACE-inhibitors and angiotensin receptor antagonists. Statistically significant higher odds of reporting HADS ≥ 8 was found in users of diuretics, lipid-lowering agents, nitrates, antiarrhythmics and beta-blockers compared to patients with no prescription. CONCLUSION: Some cardiac drugs were associated with self-reported symptoms of anxiety among patients with cardiac disease. Of these drugs neuropsychiatric side effects were only reported for antiarrhythmics and beta-blockers. Increased awareness about the possible adverse effects from these drugs are important. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12872-022-02724-4

Exposure to ultrafine particles in the ferroalloy industry using a logbook method

Background: It is difficult to assess workers’ exposure to ultrafine particles (UFP) due to the lack of personal sampling equipment available for this particle fraction. The logbook method has been proposed as a general method for exposure assessment. This method measures the time and concentration components of the time-weighted average concentration separately and could be suitable for investigation of UFP exposure. Objectives: In this study, we have assessed workers’ exposure to UFP in a ferrosilicon plant. The main tasks of the furnace workers were identified, and the logbook method was used in combination with stationary measurements of UFP taken as close to the identified task areas as possible. In order to verify the results, respirable particles were collected using stationary sampling in close proximity to the UFP measuring instrument, and personal full-shift sampling of respirable particles was performed simultaneously. Thus, exposure to respirable particles determined using the logbook method could be compared to the results of standard measurement. Methods: The particle number concentration of ultrafine particles was determined using a NanoScan SMPS. Respirable particle concentration and exposure were determined using a sampling train consisting of a pump, filter, filter cassettes, and SKC Cyclone for the respirable fraction. Attendance times for workers at each work location were registered via thorough observations made by the research team. Results: The logbook method for exposure estimation based on stationary sampling equipment made it possible to calculate UFP exposure for workers operating the furnaces at a ferrosilicon plant. The mid-size furnace and the large furnace were evaluated separately. The workers operating the largest furnace were exposed to 1.47 × 104 particles/cm3, while workers operating the mid-size furnace were exposed to 2.06 × 104 particles/cm3, with a mean of 1.74 × 104 particles/cm3. Substantial contributions from the casting area, ladle transport corridor, and both tapping areas were made. Exposure to respirable particles was 2.04 mg/m3 (logbook); 2.26 mg/m3 (personal sampling) for workers operating the large-sized furnace, 3.24 mg/m3 (logbook); 2.44 mg/m3 (personal sampling) for workers operating the medium-sized furnace, and 2.57 mg/m3 (logbook); 2.53 mg/m3(personal sampling) on average of all tappers. The average ratio of these two methods’ results was 1.02, which indicates that the logbook method could be used as a substitute for personal sampling when it is not possible to perform personal sampling, at least within this industry. Conclusions: The logbook method is a useful supplement for exposure assessment of UFP, able to identify the most polluted areas of the workplace and the contribution of different work tasks to the total exposure of workers, enabling companies to take action to reduce exposure.publishedVersio