Tai Chi and Workplace Wellness for Health Care Workers: A Systematic Review.

Several studies show the positive effects of new non-medical therapies known as complementary and alternative medicines (CAMs). In this context, the discipline of tai chi is obtaining a wider consensus because of its many beneficial effects both on the human body and mind. The aim of this study was to perform a systematic review of the scientific literature concerning the relationship between tai chi practice and wellness of health care workers (HCW) in their professional setting. The research was performed in September 2019, investigating the databases Cinahl, Scopus, Web of Science, and PubMed. Full-text articles, written in English language and published after 1995, were taken into account. No restrictions regarding the study design were applied. A quality assessment was developed using AMSTAR, Jadad, Newcastle-Ottawa Scale, INSA, and CASE REPORT scale. Six papers were finally included: Three clinical trials, one observational study, one systematic review, and one case report. The methodological quality of the included studies was judged as medium level. In conclusion, this systematic review suggests the potential impact of interventions such as tai chi as tools for reducing work-related stress among healthcare professionals. Further research will be needed in order to gain robust evidence of its efficacy.

Serous Ovarian Cancer Caused by Exposure to Asbestos and Fibrous Talc in Cosmetic Talc Powders-A Case Series.

OBJECTIVE: Asbestos is a known cause of ovarian cancer. We report 10 cases of serous ovarian cancer among users of Johnson & Johnson (J&J) asbestos-containing "cosmetic" talc products. METHODS: We conducted an asbestos exposure assessment during talc application and analyzed surgical tissues and talc containers for asbestos and talc. RESULTS: Talc was found in all cases and tremolite and/or anthophyllite asbestos was found in 8/10 cases. The asbestos fibers found in the "cosmetic" talc containers matched those found in tissues. We estimated inhaled asbestos dose ranged from 0.38 to 5.18 fiber years. CONCLUSION: We provide evidence that the inhaled dose of asbestos/fibrous talc from "cosmetic" talc use causes ovarian cancer. The unique combination of the types of asbestiform minerals detected in cancerous tissue and "cosmetic" talc is a fingerprint for exposure to asbestos-containing talc.

An efficient approach to eliminate steryl ethers and miscellaneous esters/ketones for gas chromatographic analysis of alkenones and alkenoates.

Long-chain alkenones (LCAs) and alkenoates (LCEs) are highly valuable biomarkers for paleotemperature reconstructions. A major problem, however, for accurate quantification of these compounds using gas chromatography (GC) is co-elution with steryl ethers, wax esters, saturated ketones and other numerous mid-polarity compounds frequently encountered in marginal marine and lake sediments. Co-elution during GC separation is prevalent, particularly if the full homologous series of alkenones and alkenoates are to be analyzed. Taking advantage of the presence of two or more double bonds in LCAs and LCEs, the conventional silica gel impregnated with silver nitrate has previously been used to remove co-eluting compounds for LCAs. However, this conventional argentation chromatography is hampered by the extreme instability of silver nitrate, poor reproducibility, low recovery and short lifetime. Here we demonstrate a highly efficient flash chromatographic approach based on silver thiolate chromatographic material (AgTCM) that overcomes the shortcomings of the traditional argentation chromatography and allows repeated sample preparation (up to 62 samples in one test) with little loss in separation efficiency. AgTCM selectively extracts LCAs and LCEs and effectively eliminates co-eluting compounds including steryl ethers and wax esters for the subsequent gas chromatography (GC) analysis. This new method, therefore, allows low-cost and high-throughput sample preparation for comprehensive quantification of the full homologous series of LCAs and LCEs in marine and lake sediments.

Phylogenetic diversity in freshwater-dwelling Isochrysidales haptophytes with implications for alkenone production.

Members of the order Isochrysidales are unique among haptophyte lineages in being the exclusive producers of alkenones, long-chain ketones that are commonly used for paleotemperature reconstructions. Alkenone-producing haptophytes are divided into three major groups based largely on molecular ecological data: Group I is found in freshwater lakes, Group II commonly occurs in brackish and coastal marine environments, and Group III consists of open ocean species. Each group has distinct alkenone distributions; however, only Groups II and III Isochrysidales currently have cultured representatives. The uncultured Group I Isochrysidales are distinguished geochemically by the presence of tri-unsaturated alkenone isomers (C37:3b Me, C38:3b Et, C38:3b Me, C39:3b Et) present in water column and sediment samples, yet their genetic diversity, morphology, and environmental controls are largely unknown. Using small-subunit (SSU) ribosomal RNA (rRNA) marker gene amplicon high-throughput sequencing of environmental water column and sediment samples, we show that Group I is monophyletic with high phylogenetic diversity and contains a well-supported clade separating the previously described "EV" clade from the "Greenland" clade. We infer the first partial large-subunit (LSU) rRNA gene Group I sequence phylogeny, which uncovered additional well-supported clades embedded within Group I. Relative to Group II, Group I revealed higher levels of genetic diversity despite conservation of alkenone signatures and a closer evolutionary relationship with Group III. In Group I, the presence of the tri-unsaturated alkenone isomers appears to be conserved, which is not the case for Group II. This suggests differing environmental influences on Group I and II and perhaps uncovers evolutionary constraints on alkenone biosynthesis.

Identification of double-bond positions in isomeric alkenones from a lacustrine haptophyte.

RATIONALE: Measurements of alkenone unsaturation ratios are widely used for paleotemperature reconstructions in ocean and lake environments. Previously, we reported the discovery of a series of tri-unsaturated alkenone positional isomers (Δ(14, 21, 28) ) from oligosaline and freshwater lakes in Greenland and Alaska. In this work we provide a detailed analysis of the structures and isotopic compositions (δ(13) C and δ(2) H) of the alkenones produced by the "Greenland haptophyte". METHODS: Alkenones were extracted from sediments of Lake BrayaSø, Greenland. Alkenone double-bond positions were determined by GC/EI-MS analysis of alkenone dimethyl disulfide and cyclobutylimine derivatives. Alkenones were purified by semi-preparative HPLC using a silver(I) thiolate stationary phase. Carbon and hydrogen isotope analysis was performed by gas chromatography/isotope ratio mass spectrometry (GC/IRMS). RESULTS: A series of novel tri-unsaturated alkenone positional isomers were identified among four alkenone homologues (i.e. C37 Me , C38 Me , C38 Et , and C39 Et ) with double-bond positions at Δ(14, 21, 28) . The hydrogen isotope compositions (δ(2) H, VSMOW) of the tri-unsaturated positional isomers from C37 Me and C38 Et were slightly depleted (~ -11 ‰) relative to the common tri-unsaturated alkenone. The carbon isotope composition (δ(13) C, VPDB) of the tri-unsaturated positional isomers from the C37 Me , C38 Me , C38 Et , and C39 Et alkenones were significantly enriched (~ +4 ‰) relative to the common alkenones (di-, tri-, and tetra-unsaturated). CONCLUSIONS: The novel tri-unsaturated alkenone positional isomers produced by the Greenland haptophyte possess Δ(14, 21, 28) double-bond positions, instead of the common Δ(7, 14, 21) double-bond positions. The hydrogen isotope values suggest the novel tri-unsaturated positional isomers could be biosynthetic precursors to the tetra-unsaturated alkenones (Δ(7, 14, 21, 28) ). However, the significantly higher carbon isotope values of the tri-unsaturated positional isomers relative to the common di-, tri- and tetra-unsaturated alkenones suggest these positional isomers may have different/additional biosynthetic precursors.

Exposure to fluoropolymers and VOCs during spray sealant product use.

Fluoropolymer based tile and fabric spray sealants were evaluated for the release of airborne fluoropolymer constituents and volatile organic compounds (VOCs) during typical product use scenarios in a simulated bathroom and a simulated recreational vehicle. Fluoride was quantified after oxygen bomb digestion of airborne spray collected from personal, area, and surface samples. VOCs were quantified by gas chromatography/mass spectrometry (GC/MS) and gas chromatography/flame ionization spectrometry (GC/FID). Tile grout sealant contained approximately 1% acrylic fluoropolymer resin and 90% VOCs not including propellants. VOCs were short- and medium- chain methylated isoparaffinic hydrocarbons. When horizontally spraying a bathroom shower floor, grout spray sealant released a non-detectable amount of fluoride (<0.8 µg/m3) and 400-1400 mg/m3 total VOCs. When vertically spraying a shower wall, up to 2.0 µg/m3 of fluoride and from 1000 to 2300 mg/m3 total VOCs were detected. Fabric spray sealant contained 1% acrylic fluoropolymer resin and approximately 90% VOCs including perchloroethylene (PERC). Fabric spray released from 0.5 to 2.3 µg/m3 fluoride inside a recreational vehicle in the absence of crosswinds and less than 0.5 µg/m3 fluoride in the presence of a 10 mph crosswind. VOC release measured 240-938 mg/m3 without crosswinds and 161-522 mg/m3 with crosswinds. These studies show that fluoropolymer constituents from fluorinated spray sealants were near non-detectable levels in the breathing zone in nearly all samples while VOCs were measured at elevated levels (>400 mg/m3). The toxicological consequences of elevated VOCs during sealant spraying and the effects of certain fluoropolymer constituents are discussed.

Emission of diacetyl (2,3 butanedione) from natural butter, microwave popcorn butter flavor powder, paste, and liquid products.

Diacetyl (2,3 butanedione), a butter-flavored diketone, has been linked to a severe lung disease, bronchiolitis obliterans. We tested a total of three natural butters and artificial microwave popcorn butter flavorings (three powders, two pastes, and one liquid) for bulk diacetyl concentration and diacetyl emissions when heated. Pastes and liquid butter flavors contained the highest amount (6% to 10.6%) while natural butter possessed up to 7500 times less diacetyl. All artificial butter flavors studied emitted diacetyl. Dry powders emitted up to 1.62 ppm diacetyl; wetted powders up to 54.7 ppm diacetyl; and pastes emitted up to 34.9 ppm diacetyl. The liquid butter flavor emitted up to 17.2 ppm diacetyl. Microwave popcorn flavoring mixtures emitted up to 11.4 ppm diacetyl. At least 93% of the dry powder particles were inhalable. These studies show that microwave butter flavoring products generate concentrations of diacetyl in the air great enough to endanger those exposed.

Zonolite attic insulation exposure studies.

Several studies were designed and conducted to evaluate amphibole asbestos exposures in homes containing Zonolite (expanded vermiculite) attic insulation (ZAI). A range of tasks selected for evaluation included cleaning, working around, moving, and removal of ZAI in attics and living spaces. The fieldwork for these studies was conducted at two homes in Spokane, WA and one home in Silver Spring, MD. Personal and area air samples were collected and analyzed as part of the exposure studies. Surface dust samples and bulk samples were also collected and analyzed. The results demonstrated that airborne concentrations of amphibole asbestos were not elevated if the material is undisturbed. The results also demonstrated that cleaning, remodeling, and other activities did produce significant concentrations of airborne amphibole asbestos when the ZAI was disturbed.

Manganese exposures during shielded metal arc welding (SMAW) in an enclosed space.

The work reported here evaluates the effectiveness of various rates of dilution ventilation in controlling welder exposures to manganese in shielded metal arc welding (SMAW) fume when working in enclosed or restricted spaces. Personal and area monitoring using total and respirable sampling techniques, along with multiple analytical techniques, was conducted during the welding operations. With 2000 cubic feet per minute (CFM) (56.63 m3/min) dilution ventilation, personal breathing zone concentrations for the welder using 1/8 inches (3.18 mm) E6010 and E7018 mild steel electrodes were within 75% of the existing threshold limit value (TLV of 0.2 mg/m3 for total manganese and were five times greater than the 2001-2003 proposed respirable manganese TLV of 0.03 mg/m3. Manganese concentrations using high manganese content electrodes were five times greater than those for E6010 and E7018 electrodes. Area samples upstream and downstream of the welder using E6010 and E7018 electrodes exceeded 0.2 mg/m3 manganese. Concentrations inside and outside the welding helmet do not indicate diversion of welding fume by the welding helmet from the welder's breathing zone. There was close agreement between respirable manganese and total manganese fume concentrations. Total fume concentrations measured by gravimetric analysis of matched-weight, mixed cellulose ester filters were comparable to those measured via preweighed PVC filter media. This study indicates that 2000 CFM general dilution ventilation per 29 CFR 1910.252 (c)(2) may not be a sufficient means of controlling respirable manganese exposures for either welders or their helpers in restricted or enclosed spaces. In the absence of site-specific monitoring data indicating otherwise, it is prudent to employ respiratory protection or source capture ventilation for SMAW with E6010, E7018, and high manganese content electrodes rather than depending solely on 2000 CFM general dilution ventilation in enclosed spaces.

Fiber release during the removal of asbestos-containing gaskets: a work practice simulation.

Work practice studies were conducted involving the removal of asbestos-containing sheet gaskets from steam flanges. These studies were performed to determine potential exposure levels to individuals who have worked with these types of materials in the past and may still work with these products today. The work practices were conducted inside an exposure characterization laboratory (ECL) and were performed by scraping and wire brushing, chrysotile-containing (65% to 85%) sheet gaskets from a number of used steam flanges. Airborne asbestos levels were measured by phase contrast microscopy (PCM) and transmission electron microscopy (TEM) for the personnel and area air samples collected during the study. These workplace simulations showed substantial asbestos fiber release using scraping, hand wire brushing, and power wire brushing techniques during the gasket removal process. The range of concentration was 2.1 to 31.0 fibers/cc greater than 5 micrometers when measured by PCM. These results contrasted with the few reported results in the published literature where lower airborne asbestos levels were reported. In these studies the airborne asbestos fiber levels measured in many of the samples exceeded all current and historical Occupational Safety and Health Administration (OSHA) excursion limits (15-30 minutes) and some previous permissible exposure limits (PEL) based on eight-hour time-weighted average (TWA) standards. Also, individuals who performed this type of work in the past may have had exposures higher than previously suspected. The results demonstrated that employees who remove dry asbestos-containing gaskets with no localized ventilation should wear a full face supplied air respirator with a HEPA escape canister and the work area should be designated a regulated area.