A new tool for sampling airborne isocyanates.
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Biomedical subjects
Publications and source records attributed to V Dharmarajan.
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Workers with "sensitivity" to toluene diisocyanate (TDI) studied in depth in an attempt to determine mechanisms of bronchial hyperreactivity. Tests included provocative inhalation challenge (PIC) with TDI and methacholine challenge. Blood samples obtained prior to and at various times after PIC were used to measure complement and split products of complement and plasma histamine levels and to determine dose-response slopes of lymphocyte cyclic adenosine monophosphate (cAMP) following stimulation with agonists. TDI-reactive individuals were all reactive to methacholine and responded to PIC with TDI by immediate, delayed, or dual bronchospastic reactions. No change in plasma histamine, total complement levels, or split products of complement were measurable. TDI reactors gave decreased lymphocyte cAMP dose response slopes to stimulation with isoproterenol, prostaglandin E1, and TDI, which suggests that impairment of adrenergic receptors may play an important role in TDI reactivity.
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A new and versatile method for the generation of standard atmospheres of several organo isocyanates based on permeation technique has been developed. Several membranes were screened for integrity, compatibility and permeability of these isocyanates. Silicone membrane was found to be the best membrane for the construction of permeation devices. Two types of permeation are described: liquid phase and gas phase. The liquid phase permeation tubes are recommended for generation of high concentrations (ppm) and gas phase permeation is preferred for generation of atmospheres with low concentrations (ppb). Several simple designs for construction of permeation devices are described. The permeation of isocynates were evaluated gravimetrically and were shown to be constant, provided the temperature and the flow rate of air over the permeation tube are maintained constant.
Four hundred and eighty-six textile workers in three cotton mills and one wool/synthetic mill were studied for symptoms and functional effects of workroom exposure to dust. Byssinosis was found in 5.7% of 386 cotton workers, with an apparent threshold level of 0.5 mg cotton dust/m3 of air. Mean post-shift functional declines were greater in workers exposed to greater than or equal to 0.2 mg/m3. Workers with byssinosis were unequally distributed, however, with respect to job category and mill; and these variables, rather than current dust exposure levels, accounted for the observed distribution of byssinosis prevalence rates. Variation in biological potency of different samples of cotton dust could be responsible for 'mill effect', the residual variation in response rates by mill after controlling for variation due to dust exposure. A number of other potential influencing variables that are likely to be distributed unequally by mill should also be considered. Mill effect should be assessed in large-scale studies of byssinosis, most of which have analysed biological response rates by combining mill and other variables to examine first-order effects of dust dosage. In such analyses, much of the observed variability may be due to factors other than dust dosage.
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The current exposure standard of 0.02 ppm ceiling for MDI by definition refers to a gaseous species. The standard method, recommended by NIOSH, for measuring MDI in air, is also based on the the assumption that MDI is in the gas phase. Investigations in our Unit indicate that a major portion of airborne MDI, in working environments during spraying operations, is present as an aerosol. In view of this finding, the standard method would underestimate the MDI concentration and describing the airborne MDI concentration in "ppm" or "volume/volume unit" in invalid. A new method for calibration of the continuous reading monitors to measure airborne MDI concentration in mg/m3 unit is described.
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Workers at a toluene-diisocyanate manufacturing plant were studied longitudinally to determine the effects of the chemical on their health. Studies included health questionnaire, pulmonary function, environmental monitoring, and immunologic testing. Workers reporting increased lower respiratory symptoms were from the nonsmoker group. Environmental monitoring showed frequent excursions of toluene-diisocyanate concentrations above the threshold limiting value. There was poor correlation between area and personal exposure levels. No exposure-related decline of pulmonary function was demonstrable. Immunologic studies showed development of a positive skin test to a toluene-diisocyanate-human serum albumin conjugate by some persons and an increasing incidence of toluene-diisocyanate-specific IgE antibodies as measured by a radioallergosorbent test. Toluene-diisocyanate did not induce histamine release from leukocytes in vitro but did diminish the in vitro stimulation of cyclic adenosine monophosphate by isoproterenol. Most of the clinically sensitive persons demonstrated adverse bronchial response when challenged by inhalation of toluene-diisocyanate. This response was dose dependent in some persons. When challenged with Mecholyl, clinically sensitive persons showed greater reactivity of airways than nonsensitive persons.
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