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Optimal infection control. Utilizing an autoclave in the dental laboratory.

Articles in recent dental journals are strongly advising our dentist customers to require their laboratories to provide them with information regarding in-laboratory cross contamination control procedures. New strains of infectious diseases are emerging. Because of over use, some antibiotics are losing their effectiveness. The Center for Disease Control and The World Health Organization assert that emerging infections represent a global threat. Disinfection (use of glutaraldehyde, iodophors, and chlorine compounds) is generally less lethal to pathogenic organisms than sterilization. By using an autoclave in our laboratory we have taken the logical "next step" to protect our dentists and their patients.

Dental Equipment↗

Anaerobic bioventing of unsaturated zone contaminated with DDT and DNT.

Initial degradation of highly chlorinated compounds and nitroaromatic compounds found in munition waste streams is accelerated under anaerobic conditions followed by aerobic treatment of the degradation products. The establishment of anaerobic environment in a vadose zone can be accomplished by feeding appropriate anaerobic gas mixture, i.e., "anaerobic bioventing". The gas mixture contains an electron donor for the reduction of these compounds. Lab scale study was conducted to evaluate potential of anaerobic bioventing for the treatment of an unsaturated zone contaminated with 1,1,1-trichloro-2,2-bis(p-chlorophenyl)ethane (DDT) and 2,4-dinitrotoluene (DNT). Hydrogen was used as the electron donor. Using the soil columns innoculate with anaerobic microorganisms, it was observed that by feeding a gas mixture of 1% hydrogen, 1% carbon dioxide and nitrogen, methanogenic conditions were established and DDT was reductively dechlorinated. 1,1-dichloro-2,2-bis(p-chlorophenyl)ethane (DDD) accumulated as the intermediate product. The half life of DDT was calculated to be 8.5 months. DNT completely disappeared after six months of operation and no intermediates could be detected.

Air Pollutants, Occupational↗

[Dechlorination of chlorinated ethenes under different redox conditions].

Chlorinated ethenes are pollutants in contaminated soil and groundwater, and one of the efficient way to remove them is biodegradation. In this paper, the microbial breakdown of PCE, cis-DCE and VC with initial concentrations of 100 mumol/L were studied under different redox conditions at temperature 20 degrees C. The results showed that in the presence of ferric iron and carbon dioxide, PCE were dechlorinated to TCE (0.26/day) and cis-DCE (0.31/day), respectively. In the presence of fatty acids and without competition from inorganic electron acceptors, all the studied chlorinated compounds were completely dechlorinated to ethenes. However, the degradation rates of cis-DCE and VC (0.04/day) were much lower than that of PCE (0.57/day). Under denitrifying, manganese reducing and sulfate reducing conditions, no degradation of chloroethenes was observed. When the temperature was lowered to 12 degrees C, the activities of dechlorinating microbes were also reduced, nevertheless, the completely reductive dechlorination of chloroethenes still occurred.

Biodegradation, Environmental↗

NTP Toxicology and Carcinogenesis Studies of Allyl Glycidyl Ether (CAS No. 106-92-3) in Osborne-Mendel Rats and B6C3F1 Mice (Inhalation Studies).

Allyl glycidyl ether is used as a resin intermediate and as a stabilizer of chlorinated compounds, vinyl resins, and rubber. NTP Toxicology and Carcinogenesis studies were conducted by exposing groups of Osborne-Mendel rats and B6C3F1 of each sex to allyl gylcidyl ether (greater than 97% pure) by inhalation for 6 hours per day, 5 days per week for 2 weeks, 13 weeks, or 2 years. Genetic toxicology studies were conducted in Salmonella typhimurium, Chinese hamster ovary (CHO) cells, and Drosophila melanogaster. Studies of reproductive effects were conducted in rats and mice exposed to allyl glycidyl ether for 8 weeks. Two-Week Studies: Exposure concentrations ranged up to 500 ppm in rats and 100 ppm in mice. All rats that were exposed to 500 ppm died; no deaths occurred at the next lower (200 ppm) exposure concentration. All male mice and 3/5 female mice exposed to 100 ppm and 2/5 male mice and 1/5 female mice exposed to 50 ppm died. Compound-related lesions in rats and mice included acute inflammation of the nasal passage and major airways. Eight-Week Studies of Reproductive Effects: Rats were exposed to 0-200 ppm allyl glycidyl ether, and mice were exposed to 0-30 ppm, 6 hours per day, 5 days per week for 8 weeks. The mating performance of exposed male rats was markedly reduced; however, sperm motility and number were not affected. No deficiencies were seen in the reproductive performance of exposed female rats or male or female mice. Thirteen-Week Studies: Exposure concentrations ranged up to 200 ppm for rats and 30 ppm for mice. All rats lived to the end of the studies. The final mean body weights of male rats exposed to 10-200 ppm were 7%-24% lower than that of controls. Clinical signs attributable to irritation of the upper respiratory tract and eyes were seen in exposed animals. Histologic lesions included squamous metaplasia of the nasal passage in all exposure groups (4 ppm, lowest concentration) and involved both the respiratory epithelium and the olfactory epithelium. The lesions were more severe anteriorly and dorsally and with increasing concentration. At 30 ppm and higher, erosion was seen in the nasal passage and squamous metaplasia was seen in the upper airways. There were no compound-related deaths in mice. The final mean body weights of mice exposed to 30 ppm were 12% lower than those of controls for both males and females. Mice exposed to 10 or 30 ppm allyl glycidyl ether had squamous metaplasia of the nasal passage, involving both the respiratory epithelium and the olfactory epithelium, which tended to be more severe in the anterior and dorsal portions of the nasal passage. In mice exposed to 30 ppm, epithelial erosions were also found. Body Weights and Survival in the Two-Year Studies: Two-year studies were conducted by exposing groups of 50 Osborne-Mendel rats and B6C3F1 mice of each sex to 0, 5, or 10 ppm allyl glycidyl ether by inhalation for 6 hours per day, 5 days per week for 102 or 103 weeks. Mean body weights of the exposed rats were within 8% of those of controls throughout the studies. Mean body weights of mice exposed to 5 or 10 ppm were 5%-20% lower than those of controls. Deaths were seen in all groups of male rats beginning at 1 year of age (final survival-- control, 12/50; 5 ppm, 11/50; 10 ppm, 8/50). Survival of female rats was not exposure related (24/50; 30/50; 25/50). Exposed mice had slightly increased survival (male mice: 38/50; 39/50; 46/50; female mice: 33/50; 42/50; 41/50). Nonneoplastic and Neoplastic Effects in the Two-Year Studies: In male rats exposed to 10 ppm allyl glycidyl ether, three apparently unrelated neoplasms of the nasal passage were found. Two neoplasms, a papillary adenoma and a squamous cell carcinoma, appeared to arise from different cell types in the respiratory epithelium. One poorly differentiated adenocarcinoma in the olfactory region was also found. One papillary adenoma of respiratory epithelial origin was found in a female rat exposed to 5 ppm. Exposure-related nonneoplastic lesions of the nasal passages in rats included inflammation, squamous metaplasiin rats included inflammation, squamous metaplasia, respiratory metaplasia (replacement of olfactory epithelium by ciliated epithelium), hyperplasia of the respiratory epithelium, and degeneration of the olfactory epithelium. In male mice exposed to 10 ppm allyl glycidyl ether, a hemangioma and three papillary adenomas were present in the nasal passage. In female mice exposed to 10 ppm, a hemangioma and an adenoma were found in the nasal passage. Nonneoplastic lesions of the nasal passages in mice included inflammation, squamous metaplasia, hyperplasia, basal cell hyperplasia, dysplasia of the respiratory epithelium, and metaplasia of the olfactory epithelium. In male mice, there was an exposure-related decrease in the incidences of hepatocellular neoplasms; in female mice, there was a decrease in the incidences of pituitary gland adenomas. Genetic Toxicology: Allyl glycidyl ether was mutagenic in S. typhimurium strains TA100 and TA1535 with and without exogenous metabolic activation; no mutagenic activity was observed in strains TA98 or TA1537. Allyl glycidyl ether induced sister chromatid exchanges and chromosomal aberrations in CHO cells both in the presence and the absence of metabolic activation. A significant increase in sex-linked recessive lethal mutations was recorded in the germ cells of male D. melanogaster fed a sucrose solution containing allyl glycidyl ether, but no increase in reciprocal translocations occurred in these cells. Conclusions: Under the conditions of these 2-year inhalation studies, there was equivocal evidence of carcinogenic activity of allyl glycidyl ether for male Osborne-Mendel rats, based on the presence of one papillary adenoma of respiratory epithelial origin, one squamous cell carcinoma of respiratory epithelial origin, and one poorly differentiated adenocarcinoma of olfactory epithelial origin, all occurring in the nasal passage of males exposed to 10 ppm. There was no evidence of carcinogenic activity of allyl glycidyl ether for female rats. One papillary adenoma of the respiratory epithelium was present in a female rat exposed to 5 ppm. There was some evidence of carcinogenic activity of allyl glycidyl ether for male B6C3F1 mice, based on the presence of three adenomas of the respiratory epithelium, dysplasia in four males, and focal basal cell hyperplasia of the respiratory epithelium in seven males in the nasal passage of mice exposed to 10 ppm. There was equivocal evidence of carcinogenic activity of allyl glycidyl ether for female mice, based on the presence of one adenoma of the respiratory epithelium and focal basal cell hyperplasia of the respiratory epithelium in seven females exposed to 10 ppm. The sensitivity of the assay to detect potential carcinogenicity may have been reduced in male rats because of poor survival in all groups. In exposed mice, body weights were decreased 10% or more, mortality was decreased, and there were lower incidences of liver neoplasms (males) and pituitary gland adenomas (females) compared with controls. Significant exposure-related nonneoplastic lesions were restricted to the nasal passage in both rats and mice and induced inflammation, metaplasia, respiratory epithelial hyperplasia, and olfactory epithelial degeneration. Basal cell hyperplasia and dysplasia of the respiratory epithelium of the nasal passage were found only in the mice. Synonyms: allyl 2,3-epoxypropyl ether; 1-allyloxy-2,3-epoxypropane; 1,2-epoxy-3-allyloxypropane; glycidyl allyl ether; ((2-propenyloxy)methyl)oxirane; 1-(allyloxy)-2,3-epoxypropane

Journal Article↗

[Study od visual evoked potentials in employees of the Chemical Works in Bydgoszcz].

Examined was a group of 50 persons aged 25-60 years employed in the Chemical Works in Bydgoszcz. The time of professional contact counted from 4 month to 31 years. During this time the workers had contact with the following--at least 2--compounds: chlorine and its derivates, benzene, propylene, katolite, phosgene, isocyanianes, epichlorohydrine and others. In 33 among 50 examinees (66 p.c.) the authors detected a normal record of VEP. A pathological record was observed in 17 persons (34 p.c.). The greatest per cent of pathological records concerned a group of professional practice amounting 20-29 years as well as persons undertaking the work before the 25th year of life. The most frequent pathological record of VEP was a curve with reduced amplitude of the P wave; the least frequently seen was the debasement of the amplitude together with the elongation of the latent time of this wave.

Adult↗

[Antisepsis and disinfection in emerging and re-emerging viral diseases].

Prevention and therapy of emerging and re-emerging viral diseases may be inefficient due the inavailability of specific vaccines, active chemotherapic drugs, acceptable pesticides, and vector control measures. To reduce contact spreading of viral infections, some biocides, as chlorine compounds or phenolic compounds, associated with detergents, may assume a leading position as safe substances with antiviral properties for the environmental decontamination. Detailed instructions on their use may be introduced in future guidelines related to emerging and re-emerging viral diseases.

Antisepsis↗

[Distribution of polychlorinated biphenyls (PCBs) in suspended particulate matters from the Yangtze estuarine and coastal areas].

Polychlorinated biphenyls (PCBs) in suspended particulate matters (SPMs) from the Yangtze estuary and coastal areas were determined with GC-ECD. The results show that concentrations of PCBs range from 2.5 - 51.5 ng/g, with an average of 13.2 ng/g. PCBs concentrations are higher in SPMs than in surface sediments at most of sampling stations. It was also found that the distribution of PCBs had no significant relationship with grain size and organic matter. In addition, the congeners of PCBs were characterized by less chlorinated compounds, with 2 - 5CB accounting for 74.9% - 100% except at Donghai site, and 2CB was dominant among the congeners of PCBs in all samples, which maybe be related to the history of production and use for PCBs in China. But it was different from the surface sediments that dominated by 3CB, which showed that there was new inputs recently. Compared with the concentration levels of PCBs at other estuarine and coastal areas, it was shown that there existed a moderate level of contamination in the study area.

China↗

[The multifaceted effect of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) in organisms, especially dentition changes].

Dioxins are by products of various technological processes in many branches of industry and products of the combustion of chlorine compounds at low temperatures. They include polychlorated dibenzo-p-dioxins and dibenzofurans. 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) is the most dangerous to the human organism and is a model substance to define the toxicity of particular dioxins in mixture. TCDD in small doses exerts a toxic influence on embryos and maturing persons. Dioxin exposure to animals and people causes changes in the immunological system, fetus failure, and defects in fertility and in internal organs and is carcinogenic. Knowledge in this area is rather well documented and has expanded. However, there is little information about dioxin's influence on dentition development. In this review, recent literature reports and the results of own investigations of the general biological effects of dioxins, especially for dentition, are presented.

Adult↗

A sick house syndrome, possibly resulting from a landfill geologic effluvia.

A novel indoor air quality investigation was associated with carbon dioxide and methane accumulation, presumably from effluvia from geologic sources. Each of 6 workers in an office building complained of respiratory symptoms, and of difficulty with memory and concentration in the workplace, a tightly-sealed structure under negative pressure. No single contaminant was identified to explain the clinical syndromes. No detectable levels of carbon monoxide, methyl ethyl ketone, formaldehyde, ozone, carbon disulfide, nitric oxide, ethylene oxide, ammonia, aldehydes, trichloroethylene or similar chlorinated compounds were found. Carbon dioxide and methane were both present at above ambient outdoor air concentrations. Carbon dioxide was documented to accumulate over a weekend with no occupants in the building, suggesting a geologic source.

Adult↗

[Practical results and their importance for spreading chloride emissions through heat generation and fertilizer drying].

In steam generators fired with lignite which contains less than 0.1 per cent of chloride, the concentration of chlorine compounds emitted will range from 5 to 80 mg m-3, and of chlorohydrogen from 1-75 mg m-3. When rotary (drum) filters are used for phase splitting and rotary driers for drying the moist potash fertilizers the emission rate of chlorohydrogen lies between 300 and 1,000 mg m-3. Centrifugal precipitation results in a cleangas dust load of 700-2500 mg m-3. The propagation of chlorohydrogen aerosols emitted is determined by the equilibrium balance reaction.

Air Pollutants↗

[Evaluation of porphyrinogenic effect of lindane in rats].

In order to study the porphyrinogenic ability of lindane in mammals, rats were treated with the pesticide suspended with the aid of Tween or dissolved in oil during about 3 months. The urinary excretion of porphyrins and its precursors: delta-aminolaevulinate (ALA) and porphobilinogen (PBG), as well as the faecal excretion of coproporphyrin (COPRO) and protoporphyrin (PROTO) was determined weekly. At the end of the treatment the hepatic activities of ALA Synthase (ALA-S), the first and rate limiting enzyme of haem pathway, and porphyrinogen carboxy-lyase (PCL), enzyme which sequentially decarboxylates uroporphyrinogen (8 COOH) to coproporphyrinogen (4 COOH), were assayed. Lindane moderately increased the urinary excretion of porphyrins and its precursors, being the former the mainly affected parameter. The faecal excretion of COPRO and PROTO was also increased. However, the hepatic activity of ALA-S was not altered. This would suggest that the regulatory haem pool was not affected. Nor was PCL activity altered in spite of being the key enzyme for the attack of other chlorinated compounds. Although hexachlorobenzene (HCB), a very well known porphyrinogenic drug, and lindane are chemically related and generate similar metabolites, the last one produces a small and qualitatively different alteration of haem biosynthesis. This may be related with the absence or scarce formation of the reactive metabolite that accounts for the porphyrinogenic ability of HCB.

5-Aminolevulinate Synthetase↗

[Assessment of the degree of electrochemical treatment of sewage using biotesting].

Studies were conducted on estimation of the toxicity levels in various oxygen-containing chlorine compounds formed during electrochemical treatment of sewage by using a culture isolated from activated sludge purifying antibiotic production waste. It was shown that the products formed during electrocatalytic treatment of solutions (concentration of NaCl 1.5-5 g/l, pH 2.0-12.0, volumetric current density up to 10 A/l) were not toxic and stimulated the growth of P. fluorescens.

Biological Assay↗

[Does the ideal dental sterilizer exist].

Heat sterilization is still the best known method to sterilize all dental instruments. No compromise is acceptable. The use of the so-called cold sterilizing solutions is only palliative. Glutaraldehyde and chlorine compounds seem to possess some sterilizing properties, but these solutions are recognized as being toxic, allergenic and probably carcinogenic. The use of two (2) or more sterilizers may be the ideal method to sterilize the metal, plastic and rubber materials... There are many practical sterilization systems on the market today. An intensive evaluation of these systems is necessary before one is used in a dental office and subsequently an annual reevaluation is suggested. The regular use of physical, chemical and especially biological indicators is the only sure way to control the many failures associated with sterilizers. The choice of equipment is directly related to the total aseptic protocol to be implemented. The objective of this article is to review and clarify certain ideas and controversies associated with this subject matter.

Dental Equipment↗

Effect of an iron chelator on the onset of hexachlorobenzene-induced porphyria in rats.

The effect of desferrioxamine on hexachlorobenzene (HCB)-induced porphyria was studied in female rats in order to investigate the role of iron in the development of this porphyria. Repeated injections of desferrioxamine delayed and remarkably diminished the urinary excretion of precursors and porphyrins and the accumulation of porphyrins in the liver. These effects were produced because the desferrioxamine attenuated the alterations produced by HCB in two key enzymes: porphyrinogen carboxy-lyase and delta-aminolaevulinic acid synthase. The effect of desferrioxamine on both enzymes was also studied in vitro. This work showed that iron plays an important role in the onset of HCB-induced porphyria and supplied information on the mechanism of action. A common iron-involving mechanism for the production of porphyria by different chlorinated compounds is suggested.

5-Aminolevulinate Synthetase↗

Validated extraction and cleanup procedures for polychlorinated biphenyls and DDE in human body fluids and infant formula.

As part of an epidemiology study, extraction methods and extract cleanup procedures were developed and validated for polychlorinated biphenyls (PCBs) and DDE, an ubiquitous metabolite of DDT, in human milk, blood serum, and infant formula. Studies included quantitative and reproducible recovery of total lipids, and reproducible and reasonably high recoveries of these chlorinated compounds from the human body fluids and infant formula, including levels of environmental health interest. An extensive quality control and assurance program was designed for use with these methods. Some validation work on serum was done using radiolabeled 14C-Aroclor 1254. Dilution assays were developed to permit use of a constant procedure, which should minimize variability in results. Methods are based on selected organic solvent extraction and column chromatographic cleanup techniques and quantitation by electron capture gas chromatography (EC/GC). Using these extensively researched extraction and cleanup methods, the limits of detection for GC measurements were 10.0 and 2.00 ppb for PCBs and DDE, respectively, in milk and 4.00 and 0.80 ppb in serum.

Animals↗

Phenothiazine phototoxicity: an experimental study on chlorpromazine and related tricyclic drugs.

A large number of phenothiazines and chemically related tricyclic drugs have been studied with respect to their phototoxic potency. Two methods were used, an in vivo technique based on the inflammatory response of the mouse tail after systemic administration of the drug plus UVA irradiation, and an in vitro method based on growth inhibition of Candida albicans. Of 27 commercial tricyclic drugs tested in vivo, the most potent were chlorpromazine and two other chlorinated compounds, prochlorperazine and perphenazine. Tricyclic drugs lacking nitrogen, sulphur, or both in their ring system showed no activity. All compounds phototoxic in the mouse were so in the yeast test as well. Here, however, the thioxanthenes (lacking nitrogen) were also highly active.

Animals↗

PCB and dioxin re-entry criteria for building surfaces and air.

A number of fires involving polychlorinated biphenyl (PCB)-containing transformers and capacitors have occurred in the United States. PCB fires generate by-products such as polychlorinated dibenzofurans (PCDFs) and polychlorinated dibenzodioxins (PCDDs) and, when the transformer is in a building, contaminate the interior. Considerable concern exists over the potential human health effects associated with exposure by inhabitants to residual levels of PCBs, PCDFs and PCDDs. Office workers, for example, may be exposed to these chlorinated compounds via inhalation of contaminated particulates and vapors, dermal contact with contaminated surfaces, and incidental ingestion of dusts. A wide range of re-entry or cleanup levels have been developed for PCDDs and PCBs to protect workers who re-occupy a building following a PCB fire. Re-entry criteria have been used by property owners and regulatory agencies to determine whether the building is safe to re-occupy or to determine the extent of needed remediation. This paper presents a mass balance approach to deriving risk-based re-entry surface and air criteria for PCBs and PCDD/PCDFs. These criteria were based on a lifetime risk level of 10(-5), recent toxicological data on PCDDs and PCBs, and plausible exposure scenarios. Our analysis suggests that 125 ng/m2 2,3,7,8-TCDD TEQ for surfaces and 10 pg/m3 for air are acceptable. Based on Aroclor 1260, risk-based re-entry criteria for PCBs on surfaces and in air were 750 micrograms/m2 and 0.1 microgram/m3, respectively. In comparison to most previous guidelines, these risk-based criteria are less stringent, but can still be considered conservative. The surface criteria are 5 to up to 125 fold higher than previous guidelines. Air criteria range up to 5 times higher than criteria used at past PCB fire sites. Air concentrations associated with these were modeled and were negligible. For PCBs in air, the NIOSH guideline of 1 microgram/m3 is also appropriate for occupational settings.

Air Pollution, Indoor↗

Biguanide derivatives: agonist pharmacology at 5-hydroxytryptamine type 3 receptors in vitro.

The effects of 24 biguanide and four guanidine derivatives on 5-hydroxytryptamine (5-HT)3 receptors in N1E-115 neuroblastoma cells were examined using radioligand binding and whole-cell voltage-clamp techniques. Displacement of the selective 5-HT3 receptor antagonist [3H]BRL 43694 by phenylbiguanide (PBG) derivatives revealed Ki values ranging from 3.4 x 10(-4) to 4.4 x 10(-10) M. The rank order of potency of agonists was 2,3,5-trichloro-PBG > 2,3-dichloro-PBG = 2,5-dichloro-PBG = 3,5-dichloro-PBG > 3,4-dichloro-PBG = 3-chloro-PBG > 2-chloro-PBG = 4-chloro-PBG = 2-methyl-PBG = 2,4-difluoro-PBG > PBG = 2-trifluoro-5-chloro-PBG > 4-fluoro-PBG = 3-trifluoromethyl-PBG > 4-nitro-PBG = 1,5-bis-4-chloro-PBG = 3,5-ditrifluoromethyl-PBG > 4-ethoxy-PBG >> 4-sulfonic acid-PBG. All of the benzylbiguanides and indanylbiguanide were inactive on [3H]BRL 43694 binding or displaced it only weakly. The four guanidine derivatives were quite inactive. In the PBG series, all antagonist competition curves were steep (pseudo-Hill coefficients ranging from 1.05 to 1.58), monophasic, and best fit with a one-site model. Among PBG derivatives, the chlorinated compounds exhibited a good degree of selectivity for 5-HT3 receptors versus other 5-HT receptor subtypes and other neurotransmitter binding sites. Electrophysiological studies showed that the PBG derivatives tested produced rapid inward currents, at a holding potential of -65 mV, that showed rapid desensitization. The current induced by the 2,3,5-trichloro-PBG derivative was inhibited by the specific 5-HT3 receptor antagonist ICS 205-930 but was unaffected by the 5-HT2 receptor antagonist ketanserin. Analysis of concentration-response curves for the PBG derivatives gave EC50 values ranging from 2.2 x 10(-5) to 2.7 x 10(-8) M and Hill slopes ranging from 1.02 to 2.10. The rank order of potency was similar to that obtained from the binding data, and a good correlation was found between Ki and EC50 values. It is concluded that the triple-chloro substitution yielded a compound that is 30-fold more potent than 3-chloro-PBG and approximately 10-fold more potent than dichloro-PBG derivatives, making 2,3,5-trichloro-PBG the most potent 5-HT3 agonist described thus far.

Biguanides↗