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- Bousquet, Jean, et al.
(författare)
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Development and implementation of guidelines in allergic rhinitis – an ARIA-GA2LEN paper.
- 2010
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Ingår i: Allergy. - : Wiley. - 1398-9995 .- 0105-4538. ; 65:10, s. 1212-21
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Tidskriftsartikel (refereegranskat)abstract
- The links between asthma and rhinitis are well characterized. The Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines stress the importance of these links and provide guidance for their prevention and treatment. Despite effective treatments being available, too few patients receive appropriate medical care for both diseases. Most patients with rhinitis and asthma consult primary care physicians and therefore these physicians are encouraged to understand and use ARIA guidelines. Patients should also be informed about these guidelines to raise their awareness of optimal care and increase control of the two related diseases. To apply these guidelines, clinicians and patients need to understand how and why the recommendations were made. The goal of the ARIA guidelines is to provide recommendations about the best management options for most patients in most situations. These recommendations should be based on the best available evidence. Making recommendations requires the assessment of the quality of available evidence, deciding on the balance between benefits and downsides, consideration of patients’ values and preferences, and, if applicable, resource implications. Guidelines must be updated as new management options become available or important new evidence emerges. Transparent reporting of guidelines facilitates understanding and acceptance, but implementation strategies need to be improved.
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- Weiner, Barbara, et al.
(författare)
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Organic fluorine content in aqueous film forming foams (AFFFs) and biodegradation of the foam component 6 : 2 fluorotelomermercaptoalkylamido sulfonate (6: 2 FTSAS)
- 2013
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Ingår i: Environmental Chemistry. - : CSIRO Publishing. - 1448-2517 .- 1449-8979. ; 10:6, s. 486-493
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Tidskriftsartikel (refereegranskat)abstract
- Environmental context Total organofluorine and known fluorosurfactants were quantified in 11 aqueous film forming foams (AFFFs) used to extinguish fires in Ontario, Canada, and one commercial AFFF product. By comparing the concentrations of known fluorosurfactants with the total organofluorine, less than 10% of the fluorosurfactants were identified in half of the samples. Our biodegradation experiment with one of the fluorosurfactants using waste-water treatment plant sludge showed that it was a potential source of perfluoroalkyl carboxylates, which are persistent in the environment. Abstract Eleven aqueous film forming foam (AFFF) samples that were used to extinguish fires in Ontario, Canada, and one commercial product, were analysed using a variety of analytical techniques to obtain structural information and quantities of organofluorine and known perfluoroalkyl and polyfluoroalkyl substances (PFASs). The NMR spectra of the foams distinguished the fluorosurfactants that were synthesised by either electrochemical fluorination or telomerisation. Total organofluorine content was quantified using total organofluorine-combustion ion chromatography (TOF-CIC), which revealed that the samples contained from 475 to 18000gFmL-1. The common AFFF component 6:2 fluorotelomermercaptoalkylamido sulfonate (FTSAS) was quantified by liquid chromatography tandem mass spectrometry (LC-MS/MS) together with perfluoroalkane sulfonates (PFSAs), perfluoroalkyl carboxylates (PFCAs) and fluorotelomer sulfonates (FTSAs); in five samples, 6:2 FTSAS was present in concentrations greater than 1000gmL-1. By comparing the concentrations of these quantifiable fluorochemicals with the total organofluorine content, it was evident that in half of the AFFF samples, less than 10% of the fluorochemicals were identified; in two of the samples, perfluorooctane sulfonate (PFOS) accounted for ∼50% of the total organofluorine content. Our degradation experiment with 6:2 FTSAS using waste-water treatment plant sludge showed that 6:2 FTSAS was a potential source of FTSAs, fluorotelomer alcohols and PFCAs in the environment.
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- Loi, Eva I. H., et al.
(författare)
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Detections of Commercial Fluorosurfactants in Hong Kong Marine Environment and Human Blood : A Pilot Study
- 2013
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Ingår i: Environmental Science and Technology. - : American Chemical Society (ACS). - 0013-936X .- 1520-5851. ; 47:9, s. 4677-4685
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Tidskriftsartikel (refereegranskat)abstract
- Previously, much of the perfluoroalkyl and polyfluoroalkyl substance (PFAS) research has focused on perfluoroalkyl carboxylates (PFCAs) or perfluoroalkane sulfonates (PFSAs). Recent studies indicate that known PFCAs and PFSAs accounted for 5-95% of the organofluorine (OF) in human and wild rat blood samples suggesting that a relatively large proportion of OF remained unknown. Until recently, some studies reported commercially available compounds such as polyfluoroalkyl phosphate diesters (diPAPs) and fluorotelomer sulfonates (FTSAs) in human blood and sludge samples. The present investigation is a pilot study aiming at surveying some newly identified PFASs such as diPAPs, FTSAs, and perfluorinated phosphinates (PFPiAs) in different environmental samples including surface water, sediment, sewage treatment plant influent and effluent, sludge, benthic worm, and human blood from Hong Kong. DiPAPs (6:2, 6:2/8:2, and 8:2) were detected in some of the samples at part-per-billion (ppb) levels in sludge, sub ppb levels in influent and effluent, sediment, worm, and human blood samples, and sub part-per-trillion (ppt) levels in surface waters. Sub ppt to ppb levels of 6:2 and 8:2 FTSAs were observed in worm, surface water, and human blood samples. PFPiAs were only observed in worm samples. The detected "new PFASs" accounted for a minor proportion (less than 5%) of the total PFASs in benthic worm and human blood, but up to 95% in sewage sludge samples from Hong Kong. This is the first report of commercial fluorosurfactants (PFPiAs, diPAPs, and FTSAs) in the samples from the environment and human blood in Hong Kong; further information on the distribution, fate, and transport of "new PFASs" in other Asian cities, as well as toxicity, is needed for further assessing the human exposure and risk.
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- Yeung, Leo W. Y., 1981-, et al.
(författare)
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Bioconcentration of Aqueous Film-Forming Foam (AFFF) in Juvenile Rainbow Trout (Oncorhyncus mykiss)
- 2013
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Ingår i: Environmental Science and Technology. - : American Chemical Society (ACS). - 0013-936X .- 1520-5851. ; 47:21, s. 12505-12513
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Tidskriftsartikel (refereegranskat)abstract
- This work investigated the bioconcentration of PFASs in juvenile rainbow trout by exposing the fish in separate tanks under flow-through conditions to water continuously spiked with either of the AFFFs FC-203CF light water AFFF 3% (3M) or Niagara 1-3 (Angus Fire); a nonspiked tank served as the control. Three fish in each tank were collected after 1, 3, 6, and 11 days of exposure, and 3, 7, 14, and 25 days of depuration. Liver and carcass homogenate samples were analyzed for 20 PFASs using LC-MS/MS. PFDS, PFOS, PFHxS, and EtFOSAA were detected in fish exposed to the 3M foam, while 6:2 and 8:2 FTSASs, 6:2 and 8:2 FTSAs, 5:3 and 7:3 FTCAs were measured in fish exposed to Angus Fire foam. Bioconcentration factors and rate constants for uptake and depuration were calculated. Total and extractable organofluorine were measured in the fish samples. After fish were exposed to AFFFs, not only known PFASs but also other unknown organofluorines were bioconcentrated. Compared to the control group, significantly greater amounts (at least 10-fold) and proportion of unidentified PFASs were found in both liver and carcass homogenate ranging from ∼50% in 3M foam up to 95% in the Angus Fire foam at the end of exposure.
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