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Published in: Journal of Occupational Medicine and Toxicology 1/2018

Open Access 01-12-2018 | Research

Occupational exposure to ultrafine particles in police officers: no evidence for adverse respiratory effects

Authors: G. Jordakieva, I. Grabovac, E. Valic, K. E. Schmidt, A. Graff, A. Schuster, K. Hoffmann-Sommergruber, C. Oberhuber, O. Scheiner, A. Goll, J. Godnic-Cvar

Published in: Journal of Occupational Medicine and Toxicology | Issue 1/2018

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Abstract

Background

Inhalation exposure to fine and ultrafine particles (UFPs) has been associated with respiratory diseases. However, little is known on the quality, threshold levels and concentration of these particles causing adverse health effects.

Methods

The impact of occupational exposure to submicrometer and UFPs was assessed in 30 healthy police shooting instructors by clinical investigation, self-assessment questionnaire, sputum and spirometry and compared to a control group. General laboratory chemistry parameters, circulating cytokines (interleukin [IL]-2, IL-4, IL-5, IL-6, IL-8, interferon-gamma [IFN-γ]), and granulocyte macrophage colony-stimulating factor (GM-CSF) in serum were measured. UFP exposure was recorded by Scanning Mobility Particle Sizer.

Results

Concentrations of submicrometer sized airborne particles (< 700 nm) measured between 3.34 × 105/cm3 and 7.58 × 105/cm3 at shooting sites, with highest concentrations found in the UFP range (< 100 nm). The size of the monodispersed particles ranged from 54.74 ± 16.25 nm to 98.19 ± 22.83 nm. Short term exposure (4 h) to high levels of UFPs caused an increase of IFN-γ in exposed subjects (p = 0.022). 24 h after exposure a significant decrease of IgG, albumin fibrinogen and factor VII was found. Neither directly after 4 h of high levels UFPs exposure nor 24 h after exposure subjective complaints or objective measurements indicating adverse respiratory effects in exposed subjects were found.

Conclusions

No consistent indications for adverse respiratory or inflammatory effects directly following exposure and 24 h after exposure to high levels of UFPs in our study group were detected. However we showed the assessment of short-term exposure effects at a genuine occupational setting, which might is relevant when a risk assessment of high level occupational exposures to UFPs is considered.
Literature
1.
go back to reference Dockery DW, Schwartz J, Spengler JD. Air pollution and daily mortality: associations with particulates and acid aerosols. Environ Res. 1992;59:362–73.CrossRefPubMed Dockery DW, Schwartz J, Spengler JD. Air pollution and daily mortality: associations with particulates and acid aerosols. Environ Res. 1992;59:362–73.CrossRefPubMed
2.
go back to reference Dockery DW, Pope CA 3rd, Xu X, et al. An association between air pollution and mortality in six U.S. cities. N Engl J Med. 1993;329:1753–9.CrossRefPubMed Dockery DW, Pope CA 3rd, Xu X, et al. An association between air pollution and mortality in six U.S. cities. N Engl J Med. 1993;329:1753–9.CrossRefPubMed
3.
4.
go back to reference Ibald-Mulli A, Wichmann HE, Kreyling W, Peters A. Epidemiological evidence on health effects of ultrafine particles. J Aerosol Med. 2002;15:189–201.CrossRefPubMed Ibald-Mulli A, Wichmann HE, Kreyling W, Peters A. Epidemiological evidence on health effects of ultrafine particles. J Aerosol Med. 2002;15:189–201.CrossRefPubMed
5.
go back to reference Buonanno G, Marks GB, Morawska L. Health effects of daily airborne particle dose in children: direct association between personal dose and respiratory health effects. Environ Pollut. 2013;180:246–50.CrossRefPubMed Buonanno G, Marks GB, Morawska L. Health effects of daily airborne particle dose in children: direct association between personal dose and respiratory health effects. Environ Pollut. 2013;180:246–50.CrossRefPubMed
6.
go back to reference Pope CA 3rd, Dockery DW. Health effects of fine particulate air pollution: lines that connect. J Air Waste Manag Assoc. 2006;56:709–42.CrossRefPubMed Pope CA 3rd, Dockery DW. Health effects of fine particulate air pollution: lines that connect. J Air Waste Manag Assoc. 2006;56:709–42.CrossRefPubMed
8.
go back to reference Utell MJ, Frampton MW. Acute health effects of ambient air pollution: the ultrafine particle hypothesis. J Aerosol Med. 2000;13:355–9.CrossRefPubMed Utell MJ, Frampton MW. Acute health effects of ambient air pollution: the ultrafine particle hypothesis. J Aerosol Med. 2000;13:355–9.CrossRefPubMed
9.
go back to reference Donaldson K, Tran L, Jimenez LA, et al. Combustion-derived nanoparticles: a review of their toxicology following inhalation exposure. Part Fibre Toxicol. 2005;2:10.CrossRefPubMedPubMedCentral Donaldson K, Tran L, Jimenez LA, et al. Combustion-derived nanoparticles: a review of their toxicology following inhalation exposure. Part Fibre Toxicol. 2005;2:10.CrossRefPubMedPubMedCentral
10.
go back to reference MacNee W, Donaldson K. Mechanism of lung injury caused by PM10 and ultrafine particles with special reference to COPD. Eur Respir J Suppl. 2003;40:47s–51s.CrossRefPubMed MacNee W, Donaldson K. Mechanism of lung injury caused by PM10 and ultrafine particles with special reference to COPD. Eur Respir J Suppl. 2003;40:47s–51s.CrossRefPubMed
11.
go back to reference Oberdorster G, Oberdorster E, Oberdorster J. Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environ Health Perspect. 2005;113:823–39.CrossRefPubMedPubMedCentral Oberdorster G, Oberdorster E, Oberdorster J. Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environ Health Perspect. 2005;113:823–39.CrossRefPubMedPubMedCentral
12.
13.
go back to reference Oberdorster G. Pulmonary effects of inhaled ultrafine particles. Int Arch Occup Environ Health. 2001;74:1–8.CrossRefPubMed Oberdorster G. Pulmonary effects of inhaled ultrafine particles. Int Arch Occup Environ Health. 2001;74:1–8.CrossRefPubMed
14.
go back to reference Salvi SS, Nordenhall C, Blomberg A, et al. Acute exposure to diesel exhaust increases IL-8 and GRO-alpha production in healthy human airways. Am J Respir Crit Care Med. 2000;161:550–7.CrossRefPubMed Salvi SS, Nordenhall C, Blomberg A, et al. Acute exposure to diesel exhaust increases IL-8 and GRO-alpha production in healthy human airways. Am J Respir Crit Care Med. 2000;161:550–7.CrossRefPubMed
15.
go back to reference Totlandsdal AI, Cassee FR, Schwarze P, Refsnes M, Lag M. Diesel exhaust particles induce CYP1A1 and pro-inflammatory responses via differential pathways in human bronchial epithelial cells. Part Fibre Toxicol. 2010;7:41.CrossRefPubMedPubMedCentral Totlandsdal AI, Cassee FR, Schwarze P, Refsnes M, Lag M. Diesel exhaust particles induce CYP1A1 and pro-inflammatory responses via differential pathways in human bronchial epithelial cells. Part Fibre Toxicol. 2010;7:41.CrossRefPubMedPubMedCentral
16.
go back to reference Donaldson K, Brown D, Clouter A, et al. The pulmonary toxicology of ultrafine particles. J Aerosol Med. 2002;15:213–20.CrossRefPubMed Donaldson K, Brown D, Clouter A, et al. The pulmonary toxicology of ultrafine particles. J Aerosol Med. 2002;15:213–20.CrossRefPubMed
17.
go back to reference Reibman J, Hsu Y, Chen LC, et al. Size fractions of ambient particulate matter induce granulocyte macrophage colony-stimulating factor in human bronchial epithelial cells by mitogen-activated protein kinase pathways. Am J Respir Cell Mol Biol. 2002;27:455–62.CrossRefPubMed Reibman J, Hsu Y, Chen LC, et al. Size fractions of ambient particulate matter induce granulocyte macrophage colony-stimulating factor in human bronchial epithelial cells by mitogen-activated protein kinase pathways. Am J Respir Cell Mol Biol. 2002;27:455–62.CrossRefPubMed
18.
go back to reference Hohr D, Steinfartz Y, Schins RP, et al. The surface area rather than the surface coating determines the acute inflammatory response after instillation of fine and ultrafine TiO2 in the rat. Int J Hyg Environ Health. 2002;205:239–44.CrossRefPubMed Hohr D, Steinfartz Y, Schins RP, et al. The surface area rather than the surface coating determines the acute inflammatory response after instillation of fine and ultrafine TiO2 in the rat. Int J Hyg Environ Health. 2002;205:239–44.CrossRefPubMed
19.
go back to reference Riedl M, Diaz-Sanchez D. Biology of diesel exhaust effects on respiratory function. J Allergy Clin Immunol. 2005;115:221–8. quiz 9.CrossRefPubMed Riedl M, Diaz-Sanchez D. Biology of diesel exhaust effects on respiratory function. J Allergy Clin Immunol. 2005;115:221–8. quiz 9.CrossRefPubMed
20.
go back to reference Diaz-Sanchez D, Tsien A, Fleming J, Saxon A. Combined diesel exhaust particulate and ragweed allergen challenge markedly enhances human in vivo nasal ragweed-specific IgE and skews cytokine production to a T helper cell 2-type pattern. J Immunol. 1997;158:2406–13.PubMed Diaz-Sanchez D, Tsien A, Fleming J, Saxon A. Combined diesel exhaust particulate and ragweed allergen challenge markedly enhances human in vivo nasal ragweed-specific IgE and skews cytokine production to a T helper cell 2-type pattern. J Immunol. 1997;158:2406–13.PubMed
21.
go back to reference Diaz-Sanchez D, Tsien A, Casillas A, Dotson AR, Saxon A. Enhanced nasal cytokine production in human beings after in vivo challenge with diesel exhaust particles. J Allergy Clin Immunol. 1996;98:114–23.CrossRefPubMed Diaz-Sanchez D, Tsien A, Casillas A, Dotson AR, Saxon A. Enhanced nasal cytokine production in human beings after in vivo challenge with diesel exhaust particles. J Allergy Clin Immunol. 1996;98:114–23.CrossRefPubMed
22.
go back to reference Jantzen K, Roursgaard M, Desler C, Loft S, Rasmussen LJ, Moller P. Oxidative damage to DNA by diesel exhaust particle exposure in co-cultures of human lung epithelial cells and macrophages. Mutagenesis. 2012;27:693–701.CrossRefPubMed Jantzen K, Roursgaard M, Desler C, Loft S, Rasmussen LJ, Moller P. Oxidative damage to DNA by diesel exhaust particle exposure in co-cultures of human lung epithelial cells and macrophages. Mutagenesis. 2012;27:693–701.CrossRefPubMed
23.
go back to reference Nemmar A, Hoet PH, Vanquickenborne B, et al. Passage of inhaled particles into the blood circulation in humans. Circulation. 2002;105:411–4.CrossRefPubMed Nemmar A, Hoet PH, Vanquickenborne B, et al. Passage of inhaled particles into the blood circulation in humans. Circulation. 2002;105:411–4.CrossRefPubMed
24.
go back to reference Frampton MW. Systemic and cardiovascular effects of airway injury and inflammation: ultrafine particle exposure in humans. Environ Health Perspect. 2001;109(Suppl 4):529–32.CrossRefPubMedPubMedCentral Frampton MW. Systemic and cardiovascular effects of airway injury and inflammation: ultrafine particle exposure in humans. Environ Health Perspect. 2001;109(Suppl 4):529–32.CrossRefPubMedPubMedCentral
25.
26.
go back to reference Stewart JC, Chalupa DC, Devlin RB, et al. Vascular effects of ultrafine particles in persons with type 2 diabetes. Environ Health Perspect. 2010;118:1692–8.CrossRefPubMedPubMedCentral Stewart JC, Chalupa DC, Devlin RB, et al. Vascular effects of ultrafine particles in persons with type 2 diabetes. Environ Health Perspect. 2010;118:1692–8.CrossRefPubMedPubMedCentral
27.
go back to reference Vattanasit U, Navasumrit P, Khadka MB, et al. Oxidative DNA damage and inflammatory responses in cultured human cells and in humans exposed to traffic-related particles. Int J Hyg Environ Health. 2014;217:23–33.CrossRefPubMed Vattanasit U, Navasumrit P, Khadka MB, et al. Oxidative DNA damage and inflammatory responses in cultured human cells and in humans exposed to traffic-related particles. Int J Hyg Environ Health. 2014;217:23–33.CrossRefPubMed
28.
go back to reference Nemmar A, Hoylaerts MF, Hoet PH, et al. Ultrafine particles affect experimental thrombosis in an in vivo hamster model. Am J Respir Crit Care Med. 2002;166:998–1004.CrossRefPubMed Nemmar A, Hoylaerts MF, Hoet PH, et al. Ultrafine particles affect experimental thrombosis in an in vivo hamster model. Am J Respir Crit Care Med. 2002;166:998–1004.CrossRefPubMed
29.
go back to reference Mills NL, Donaldson K, Hadoke PW, et al. Adverse cardiovascular effects of air pollution. Nat Clin Pract Cardiovasc Med. 2009;6:36–44.CrossRefPubMed Mills NL, Donaldson K, Hadoke PW, et al. Adverse cardiovascular effects of air pollution. Nat Clin Pract Cardiovasc Med. 2009;6:36–44.CrossRefPubMed
30.
go back to reference Wurster U. Nanomaterialien: Arbeitsschutzpakete. In: LUBW Landesanstalt für Umwelt MuNB-W, ed. wwwlubwbadem-wuertembergde. Postfach 10 01 63, 76231 Karlsruhe: LUBW Landesanstalt für Umwelt, Messungen und Naturschutz Baden-Württemberg; 2009. Wurster U. Nanomaterialien: Arbeitsschutzpakete. In: LUBW Landesanstalt für Umwelt MuNB-W, ed. wwwlubwbadem-wuertembergde. Postfach 10 01 63, 76231 Karlsruhe: LUBW Landesanstalt für Umwelt, Messungen und Naturschutz Baden-Württemberg; 2009.
31.
go back to reference Melo G, Martiny A, Pinto AL. Nano characterization of gunshot residues from Brazilian ammunition. Forensic Sci Int. 2014;240:69–79.CrossRefPubMed Melo G, Martiny A, Pinto AL. Nano characterization of gunshot residues from Brazilian ammunition. Forensic Sci Int. 2014;240:69–79.CrossRefPubMed
35.
go back to reference Campagna M, Marcias G, Angius N, et al. 0277 Environmental exposure to nanoparticles in Sardinia, Italy: a pilot study of residential exposure nearby an industrial area and a military shooting range. Occup Environ Med. 2014;71:A99.CrossRef Campagna M, Marcias G, Angius N, et al. 0277 Environmental exposure to nanoparticles in Sardinia, Italy: a pilot study of residential exposure nearby an industrial area and a military shooting range. Occup Environ Med. 2014;71:A99.CrossRef
36.
go back to reference Quanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC. Lung volumes and forced ventilatory flows. Report working party standardization of lung function tests, European Community for steel and coal. Official statement of the European Respiratory Society. Eur Respir J Suppl. 1993;16:5–40.CrossRefPubMed Quanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC. Lung volumes and forced ventilatory flows. Report working party standardization of lung function tests, European Community for steel and coal. Official statement of the European Respiratory Society. Eur Respir J Suppl. 1993;16:5–40.CrossRefPubMed
37.
go back to reference Brown DM, Wilson MR, MacNee W, Stone V, Donaldson K. Size-dependent proinflammatory effects of ultrafine polystyrene particles: a role for surface area and oxidative stress in the enhanced activity of ultrafines. Toxicol Appl Pharmacol. 2001;175:191–9.CrossRefPubMed Brown DM, Wilson MR, MacNee W, Stone V, Donaldson K. Size-dependent proinflammatory effects of ultrafine polystyrene particles: a role for surface area and oxidative stress in the enhanced activity of ultrafines. Toxicol Appl Pharmacol. 2001;175:191–9.CrossRefPubMed
38.
go back to reference Li N, Sioutas C, Cho A, et al. Ultrafine particulate pollutants induce oxidative stress and mitochondrial damage. Environ Health Perspect. 2003;111:455–60.CrossRefPubMedPubMedCentral Li N, Sioutas C, Cho A, et al. Ultrafine particulate pollutants induce oxidative stress and mitochondrial damage. Environ Health Perspect. 2003;111:455–60.CrossRefPubMedPubMedCentral
39.
go back to reference Beckett WS, Chalupa DF, Pauly-Brown A, et al. Comparing inhaled ultrafine versus fine zinc oxide particles in healthy adults: a human inhalation study. Am J Respir Crit Care Med. 2005;171:1129–35.CrossRefPubMedPubMedCentral Beckett WS, Chalupa DF, Pauly-Brown A, et al. Comparing inhaled ultrafine versus fine zinc oxide particles in healthy adults: a human inhalation study. Am J Respir Crit Care Med. 2005;171:1129–35.CrossRefPubMedPubMedCentral
40.
go back to reference Oberdorster G, Gelein RM, Ferin J, Weiss B. Association of particulate air pollution and acute mortality: involvement of ultrafine particles? Inhal Toxicol. 1995;7:111–24.CrossRefPubMed Oberdorster G, Gelein RM, Ferin J, Weiss B. Association of particulate air pollution and acute mortality: involvement of ultrafine particles? Inhal Toxicol. 1995;7:111–24.CrossRefPubMed
41.
go back to reference Li XY, Brown D, Smith S, MacNee W, Donaldson K. Short-term inflammatory responses following intratracheal instillation of fine and ultrafine carbon black in rats. Inhal Toxicol. 1999;11:709–31.CrossRefPubMed Li XY, Brown D, Smith S, MacNee W, Donaldson K. Short-term inflammatory responses following intratracheal instillation of fine and ultrafine carbon black in rats. Inhal Toxicol. 1999;11:709–31.CrossRefPubMed
42.
go back to reference Gong H Jr, Sioutas C, Linn WS. Controlled exposures of healthy and asthmatic volunteers to concentrated ambient particles in metropolitan Los Angeles. Res Rep Health Eff Inst. 2003;(118):1-36. discussion 37-47. Gong H Jr, Sioutas C, Linn WS. Controlled exposures of healthy and asthmatic volunteers to concentrated ambient particles in metropolitan Los Angeles. Res Rep Health Eff Inst. 2003;(118):1-36. discussion 37-47.
43.
go back to reference Frampton MW, Utell MJ, Zareba W, et al. Effects of exposure to ultrafine carbon particles in healthy subjects and subjects with asthma. Res Rep Health Eff Inst. 2004;(126):1-47. discussion 49-63. Frampton MW, Utell MJ, Zareba W, et al. Effects of exposure to ultrafine carbon particles in healthy subjects and subjects with asthma. Res Rep Health Eff Inst. 2004;(126):1-47. discussion 49-63.
44.
go back to reference de Hartog JJ, Ayres JG, Karakatsani A, et al. Lung function and indicators of exposure to indoor and outdoor particulate matter among asthma and COPD patients. Occup Environ Med. 2010;67:2–10.CrossRefPubMed de Hartog JJ, Ayres JG, Karakatsani A, et al. Lung function and indicators of exposure to indoor and outdoor particulate matter among asthma and COPD patients. Occup Environ Med. 2010;67:2–10.CrossRefPubMed
46.
go back to reference Elder A, Oberdorster G. Translocation and effects of ultrafine particles outside of the lung. Clin Occup Environ Med. 2006;5:785–96.PubMed Elder A, Oberdorster G. Translocation and effects of ultrafine particles outside of the lung. Clin Occup Environ Med. 2006;5:785–96.PubMed
47.
go back to reference Schroder K, Hertzog PJ, Ravasi T, Hume DA. Interferon-γ: an overview of signals, mechanisms and functions. J Leukoc Biol. 2003;75(2):163–89.CrossRefPubMed Schroder K, Hertzog PJ, Ravasi T, Hume DA. Interferon-γ: an overview of signals, mechanisms and functions. J Leukoc Biol. 2003;75(2):163–89.CrossRefPubMed
48.
go back to reference Beck-Speier I, Karg E, Behrendt H, Stoeger T, Alessandrini F. Ultrafine particles affect the balance of endogenous pro- and anti-inflammatory lipid mediators in the lung: in-vitro and in-vivo studies. Part Fibre Toxicol. 2012 Jul 18;9:27.CrossRefPubMedPubMedCentral Beck-Speier I, Karg E, Behrendt H, Stoeger T, Alessandrini F. Ultrafine particles affect the balance of endogenous pro- and anti-inflammatory lipid mediators in the lung: in-vitro and in-vivo studies. Part Fibre Toxicol. 2012 Jul 18;9:27.CrossRefPubMedPubMedCentral
49.
go back to reference Aggarwal P, Hall JB, McLeland CB, Dobrovolskaia MA, McNeil SE. Nanoparticle interaction with plasma proteins as it relates to particle biodistribution, biocompatibility and therapeutic efficacy. Adv Drug Deliv Re. 2009;61(6):428–37.CrossRef Aggarwal P, Hall JB, McLeland CB, Dobrovolskaia MA, McNeil SE. Nanoparticle interaction with plasma proteins as it relates to particle biodistribution, biocompatibility and therapeutic efficacy. Adv Drug Deliv Re. 2009;61(6):428–37.CrossRef
50.
go back to reference Barrett EG, Rudolph K, Bowen LE, Muggenburg BA, Bice DE. Effect of inhaled ultrafine carbon particles on the allergic airway response in ragweed-sensitized dogs. Inhal Toxicol. 2003;15:151–65.CrossRefPubMed Barrett EG, Rudolph K, Bowen LE, Muggenburg BA, Bice DE. Effect of inhaled ultrafine carbon particles on the allergic airway response in ragweed-sensitized dogs. Inhal Toxicol. 2003;15:151–65.CrossRefPubMed
51.
go back to reference Kleinman MT, Hamade A, Meacher D, et al. Inhalation of concentrated ambient particulate matter near a heavily trafficked road stimulates antigen-induced airway responses in mice. J Air Waste Manag Assoc. 2005;55:1277–88.CrossRefPubMed Kleinman MT, Hamade A, Meacher D, et al. Inhalation of concentrated ambient particulate matter near a heavily trafficked road stimulates antigen-induced airway responses in mice. J Air Waste Manag Assoc. 2005;55:1277–88.CrossRefPubMed
52.
go back to reference Gilmour PS, Ziesenis A, Morrison ER, et al. Pulmonary and systemic effects of short-term inhalation exposure to ultrafine carbon black particles. Toxicol Appl Pharmacol. 2004;195:35–44.CrossRefPubMed Gilmour PS, Ziesenis A, Morrison ER, et al. Pulmonary and systemic effects of short-term inhalation exposure to ultrafine carbon black particles. Toxicol Appl Pharmacol. 2004;195:35–44.CrossRefPubMed
53.
go back to reference Ruckerl R, Greven S, Ljungman P, et al. Air pollution and inflammation (interleukin-6, C-reactive protein, fibrinogen) in myocardial infarction survivors. Environ Health Perspect. 2007;115:1072–80.CrossRefPubMedPubMedCentral Ruckerl R, Greven S, Ljungman P, et al. Air pollution and inflammation (interleukin-6, C-reactive protein, fibrinogen) in myocardial infarction survivors. Environ Health Perspect. 2007;115:1072–80.CrossRefPubMedPubMedCentral
54.
go back to reference Tsai DH, Amyai N, Marques-Vidal P, et al. Effects of particulate matter on inflammatory markers in the general adult population. Part Fibre Toxicol. 2012;9:24.CrossRefPubMedPubMedCentral Tsai DH, Amyai N, Marques-Vidal P, et al. Effects of particulate matter on inflammatory markers in the general adult population. Part Fibre Toxicol. 2012;9:24.CrossRefPubMedPubMedCentral
55.
go back to reference Miller KA, Siscovick DS, Sheppard L, et al. Long-term exposure to air pollution and incidence of cardiovascular events in women. N Engl J Med. 2007;356:447–58.CrossRefPubMed Miller KA, Siscovick DS, Sheppard L, et al. Long-term exposure to air pollution and incidence of cardiovascular events in women. N Engl J Med. 2007;356:447–58.CrossRefPubMed
56.
go back to reference Ruckerl R, Phipps RP, Schneider A, et al. Ultrafine particles and platelet activation in patients with coronary heart disease--results from a prospective panel study. Part Fibre Toxicol. 2007;4:1.CrossRefPubMedPubMedCentral Ruckerl R, Phipps RP, Schneider A, et al. Ultrafine particles and platelet activation in patients with coronary heart disease--results from a prospective panel study. Part Fibre Toxicol. 2007;4:1.CrossRefPubMedPubMedCentral
57.
go back to reference Seaton A, MacNee W, Donaldson K, Godden D. Particulate air pollution and acute health effects. Lancet. 1995;345:176–8.CrossRefPubMed Seaton A, MacNee W, Donaldson K, Godden D. Particulate air pollution and acute health effects. Lancet. 1995;345:176–8.CrossRefPubMed
58.
go back to reference Wilhelm M, Heinzow B, Angerer J, Schulz C. Reassessment of critical lead effects by the German human biomonitoring commission results in suspension of the human biomonitoring values (HBM I and HBM II) for lead in blood of children and adults. Int J Hyg Environ Health. 2010;213:265–9.CrossRefPubMed Wilhelm M, Heinzow B, Angerer J, Schulz C. Reassessment of critical lead effects by the German human biomonitoring commission results in suspension of the human biomonitoring values (HBM I and HBM II) for lead in blood of children and adults. Int J Hyg Environ Health. 2010;213:265–9.CrossRefPubMed
59.
go back to reference Riediger G, Möhlmann C. Ultrafeine Aerosole an Arbeitsplätzen. Konventionen und Beispiele aus der Praxis Gefahrenstoffe Reinhalt Luft. 2001;61:42. Riediger G, Möhlmann C. Ultrafeine Aerosole an Arbeitsplätzen. Konventionen und Beispiele aus der Praxis Gefahrenstoffe Reinhalt Luft. 2001;61:42.
Metadata
Title
Occupational exposure to ultrafine particles in police officers: no evidence for adverse respiratory effects
Authors
G. Jordakieva
I. Grabovac
E. Valic
K. E. Schmidt
A. Graff
A. Schuster
K. Hoffmann-Sommergruber
C. Oberhuber
O. Scheiner
A. Goll
J. Godnic-Cvar
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Occupational Medicine and Toxicology / Issue 1/2018
Electronic ISSN: 1745-6673
DOI
https://doi.org/10.1186/s12995-018-0187-8

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