David A. Ellis

The fate and persistence of trifluoroacetic and chloroacetic acids in pond waters

The environmental fate of trichloro-, dichloro-, and monochloroacetic acids, and trifluoroacetic acid was investigated using field aquatic microcosms and laboratory sediment-water systems. Trifluoroacetic acid was extremely persistent and showed no degradation during a one-year field study, though it appeared to undergo transient partitioning within an unknown pond phase as the temperature of the surroundings was reduced. Of the three chloroacetic acids, trichloro had the longest residence time (induction and decay) (approximately 40 d), dichloro the shortest (approximately 4 d), and monochloro an intermediate residence time (approximately 14 d). Laboratory studies suggest that the biodegradation of trichloro-, dichloro-, and monochloroacetic acids leads primarily to the formation of chloride and oxalic, glyoxalic, and glycolic acids, respectively.

The carbon dioxide laser. An alternative for the treatment of actinically damaged skin.

BACKGROUND. The treatment of complex and diffuse actinic keratoses involving the face presents a problem in that they frequently recur despite traditional treatment modalities. The carbon dioxide (CO2) laser is an effective method for resurfacing actinically damaged facial skin. OBJECTIVE. The purpose of this study is to show the usefulness of the CO2 laser for the treatment of actinically damaged skin in patients with proven actinic keratoses and squamous cell carcinoma in situ of the face. METHODS. In an office surgery setting, the Sharplan 1030 or 40C CO, laser with the SilkTouch flash scanner attachment was utilized to treat various regions of the face in 14 patients. Results. All patients were satisfied with the aesthetic outcome of their laser procedures and no clinical evidence of residual or recurrent lesions have been noted. There were no long‐term complications reported. CONCLUSION. Based on this preliminary report, the CO2 laser appears to be an excellent alternative for the surgical treatment of premalignant lesions of the face and can be used effectively without significant complications.

Aging Skin: Histology, Physiology, and Pathology

Skin is a complex organ covering the entire surface of the body. Aged skin is characterized by appearance of wrinkles, laxity, and pigmentary irregularities. These changes occur under the influence of intrinsic and extrinsic factors, with sun exposure being the most deleterious to the skin. Skin changes associated with aging are the focus of many surgical and nonsurgical procedures aimed to improve the appearance of skin. Knowledge of skin histology and physiology will deepen the understanding of cutaneous changes associated with aging and will promote optimal cosmetic and functional patient outcomes.

Evaluation of monochloroacetic acid (MCA) degradation and toxicity to Lemna gibba, Myriophyllum spicatum, and Myriophyllum sibiricum in aquatic microcosms

The fate of monochloroacetic acid (MCA), a common phytotoxic aquatic contaminant, and its toxicity to the aquatic macrophytes Lemna gibba (L. gibba), Myriophyllum spicatum (M. spicatum), and Myriophyllum sibiricum (M. sibiricum) under semi-natural field conditions was studied. Replicate 12,000 l enclosures were treated with 0, 3, 10, 30 and 100 mg/l of MCA. Each microcosm was stocked with eight individual apical shoots of M. spicatum and M. sibiricum 1 day prior to initiation of exposure. Plants were sampled after 4, 7, 14 and 28 days of exposure and their response assessed using numerous somatic and biochemical endpoints. L. gibba was introduced into the microcosms the day of MCA treatment and monitored regularly for 21 days. The half-life of MCA in the water column ranged between 86 and 523 h. The most sensitive plant species was M. spicatum, followed by M. sibiricum and L. gibba. All species demonstrated toxicity within a threefold range of each other. Endpoint sensitivity varied depending on the duration of exposure and the level of effect chosen. Most species endpoint EC(x) values were less than an order of magnitude different. Citrate levels in Myriophyllum spp. were not influenced by exposure to MCA. The toxicity of MCA to M. spicatum and M. sibiricum was very similar and thus highly predictive of toxicity observed for each other. The EC(10) was a more conservative estimate of toxicity than the statistically derived no observed effect concentration. Current concentrations of MCA are not likely to pose a risk to these aquatic plants in surface waters.

Experimental characterization of the mechanism of perfluorocarboxylic acids' liver protein bioaccumulation: the key role of the neutral species.

Perfluorocarboxylic acids (PFCAs) of chain length greater than seven carbon atoms bioconcentrate in the livers of fish. However, a mechanistic cause for the empirically observed increase in the bioconcentration potential of PFCAs as a function of chain length has yet to be determined. To this end, recombinant rat liver fatty acid-binding protein (L-FABP) was purified, and its interaction with PFCAs was characterized in an aqueous system at pH 7.4. Relative binding affinities of L-FABP with PFCAs of carbon chain lengths of five to nine were established fluorimetrically. The energetics, mechanism, and stoichiometry of the interaction of perfluorooctanoic acid (PFOA) with L-FABP were examined further by isothermal titration calorimetry (ITC) and electrospray ionization combined with tandem mass spectrometry (ESI-MS/MS). Perfluorooctanoic acid was shown to bind to L-FABP with an affinity approximately an order of magnitude less than the natural ligand, oleic acid, and to have at least 3:1 PFOA:L-FABP stoichiometry. Two distinct modes of PFOA binding to L-FABP were observed by ESI-MS/MS analysis; in both cases, PFOA binds solely as the neutral species under typical physiological pH and aqueous concentrations of the anion. A comparison of their chemical and physical properties with other well-studied biologically relevant chemicals showed that accumulation of PFCAs in proteins as the neutral species is predictable. For example, the interaction of PFOA with L-FABP is almost identical to that of the acidic ionizing drugs ketolac, ibuprofen, and warfarin that show specificity to protein partitioning with a magnitude that is proportional to the K(OW) (octanol-water partitioning) of the neutral species. The experimental results suggest that routine pharmacochemical models may be applicable to predicting the protein-based bioaccumulation of long-chain PFCAs.

Potential role of sea spray generation in the atmospheric transport of perfluorocarboxylic acids

The observed environmental concentrations of perfluorooctanoic acid (PFOA) and its conjugate base (PFO) in remote regions such as the Arctic have been primarily ascribed to the atmospheric transport and degradation of fluorotelomer alcohols (FTOHs) and to direct PFO transport in ocean currents. These mechanisms are each capable of only partially explaining observations. Transport within marine aerosols has been proposed and may explain transport over short distances but will contribute little over longer distances. However, PFO(A) has been shown to have a very short half-life in aqueous aerosols and thus sea spray was proposed as a mechanism for the generation of PFOA in the gas phase from PFO in a water body. Using the observed PFO concentrations in oceans of the Northern Hemisphere and estimated spray generation rates, this mechanism is shown to have the potential for contributing large amounts of PFOA to the atmosphere and may therefore contribute significantly to the concentrations observed in remote locations. Specifically, the rate of PFOA release into the gas phase from oceans in the Northern Hemisphere is calculated to be potentially comparable to global stack emissions to the atmosphere. The subsequent potential for atmospheric degradation of PFOA and its global warming potential are considered. Observed isomeric ratios and predicted atmospheric concentrations due to FTOH degradation are used to elucidate the likely relative importance of transport pathways. It is concluded that gas phase PFOA released from oceans may help to explain observed concentrations in remote regions. The model calculations performed in the present study strongly suggest that oceanic aerosol and gas phase field monitoring is of vital importance to obtain a complete understanding of the global dissemination of PFCAs.

Survey of future injectables

There has been an explosion in the technology of injectable filler materials for soft tissue augmentation of the face in the past decade. As a result, this is an exciting field and has provided surgeons who treat the aging face with newer, minimally invasive tools and techniques to augment the soft tissues of the face. In general, there are four classes of materials available for soft-tissue augmentation: synthetic, xenogeneic, homogeneic, and autogeneic. Moreover, within each class, these materials can be further divided, according to their longevity, into permanent materials, materials that last an undefined prolonged time, and temporary fillers. These products allow the surgeon and the patient to make choices that will give the best cosmetic results.

The use of 19F NMR and mass spectrometry for the elucidation of novel fluorinated acids and atmospheric fluoroacid precursors evolved in the thermolysis of fluoropolymers

Fluoropolymers are widely used in industry and consumer products. At the thermal limit of their stability (e.g. > 260 degrees C for PTFE) numerous studies have reported a variety of thermolysis products produced upon polymer breakdown. In the current investigations our objective was to expand the knowledge of these products by advancing the techniques used to obtain their identity. The use of 19F NMR to compliment derivatization with GC-MS has been shown to facilitate the identification of novel fluorinated species, in particular fluorinated acids, that had, until recently, gone previously unreported for the thermal decomposition of fluorinated polymers using traditional techniques. The polymers chosen for the decomposition studies were poly(tetrafluoroethylene), poly(chlorotrifluoroethylene), poly(ethylene-chlorotrifluoroethylene) and poly(tetrafluoroethylene-co-tetrafluoroethylene perfluoropropyl ether) which cover the three major classes of industrially produced fluoro-polymer, co-polymer and elastomer. The use of 1D 19F and 2D 19F-19F correlation spectroscopy (COSY) NMR allowed for the observation of polyfluorinated acids and their atmospheric precursors. This in turn allowed the modification of GC-MS procedures to verify these NMR findings. NMR results also showed a plethora of unidentified and previously unreported materials, thermolysis products that await characterization.

Modeling the environmental fate of perfluorooctanoic acid and perfluorooctanoate: An investigation of the role of individual species partitioning

A multimedia multi-species environmental fate model was developed for the conjugate pair perfluorooctanoic acid (PFOA):perfluorooctanoate (PFO). The model allows assessment of the relative contribution of each individual species, in equilibrium with each other, to the overall environmental movement of the pair. The Lake Ontario (Canada/USA) watershed system was selected for this investigation and is simulated in a single-region, seven-compartment model, including a water surface microlayer, and aqueous aerosol generation and redeposition. Results indicate that in the equilibrated presence of both PFOA and PFO, the environmental fate of the pair can be accomplished by consideration of the physical properties of the neutral acid, which govern the intermedia distribution of the pair, coupled with processes of media advection, such as air or water flow. The role of the anion, while the most populous species in the aqueous phase, appears merely to be as a source of the neutral acid for subsequent partitioning. Thus, when only the bulk aqueous phase anion concentrations are of interest a multimedia fate model is not required because these concentrations are largely predictable from the magnitude of emissions to and the advection of the phase. With neutral species partitioning, all local field measurement concentrations of the conjugate pair, PFO(A), are explained by the model to within approximately an order of magnitude, with the exception of lake sediment solids. Model results indicate that bulk aqueous phase PFO acts as a net source for PFOA to the atmosphere, where it may be subject to long-range transport (LRT). Initial calculations suggest an atmospheric LRT potential for PFO(A) of thousands of kilometers, rendering it comparable to hexachlorobenzene.

Chemical ionization pathways of polyfluorinated chemicals—a connection to environmental atmospheric processes

A systematic mass spectrometry study of an industrially prolific class of polyfluorinated compounds known as telomers was conducted. The study specifically focused upon polyfluorinated alcohols along with corresponding saturated and α,β-unsaturated fluoroacids. Within each class differing fluoroalkyl chain length homologues were investigated, using negative and positive chemical ionization mass spectrometry (NCI and PCI). In the case of the fluoroalcohols, NCI resulted in the production of more elaborate spectra than the other classes. Moreover, it showed the interesting production of HF2− and the complex of this species, along with F−, with the parent molecule. These complexes resulted in the formation of the novel H2F3− ion. Results show that there is significant intra-molecular hydrogen bonding that occurs for these compounds, which influences the molecules fragmentation. This bonding will also influence the fate and disposition through environmental processes (e.g., VP, kOH, KOW, KOA) which are affected by molecular geometry. Furthermore, there is an increased accumulation and persistence potential for the molecule as a function of the fluorocarbon chain length. We have shown that in conjunction with the use of mass spectroscopy the engertics of environmental processes for polyfluorinated materials can be established.