Nanotechnology Health and Environmental Implications
Database Submission Form
Project on Emerging Nanotechnologies, Woodrow Wilson International Center for
Scholars in partnership with The Pew Charitable Trusts
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Please provide as much of the following information as possible:
New Record: __
Updated Record: __ [If this is an update, please only supply information
which needs to be updated]
1. Principle Investigator Information
Last Name:
First Name:
Initial:
Title:
Institution:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Phone Number:
Fax Number:
Email Address:
2. Check here if the PI is the primary contact for the project: __
If not, please provide primary contact information below:
Last Name:
First Name:
Initial:
Title:
Institution:
Address 1:
Address 2:
City:
State:
Zip:
Country:
Phone Number:
Fax Number:
Email Address:
Email completed document to nano@wilsoncenter.org
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3. Co-Principle Investigator Information
Last Name:
First Name:
Initial:
Title:
Institution:
Email Address:
[Please include information for each co-investigator]
4. Project Information
Project Title:
Funding Source (i.e. NSF, EPA, NIH, etc.):
Start Year:
Anticipated End Year:
Anticipated Total Funding (including all costs):
Currency:
Project Abstract/Summary:
Publications and Presentations to date:
Additional Outcomes:
Additional Notes:
Project web link:
5. Categorization
5a. Relevance to Implications (PLEASE SELECT ONLY ONE):
High
Substantial
Some
Marginal
None
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5b. Class of Nanomaterial (PLEASE SELECT ONLY ONE):
Engineered
Incidental
Natural
Generic
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5c. Impact Sector (PLEASE SELECT ONLY ONE):
Human Health
Environment
Occupational Safety
Cross Cutting
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5d. Broad Research Themes (SELECT ALL THAT APPLY):
Risk Management
Risk Assessment
Characterization
Control
Safety
Transportation, Dispersion, Transformation etc.
Response
Hazard
Exposure
Email completed document to nano@wilsoncenter.org
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5e. Keywords:
Please select all keywords and phrases that are relevant to the research:
Personal Exposure
_ Aerosol Formation
_ Exposure Route - Occular
_ Airborne Nanomaterials
_ Bioaccumulation
_ Exposure Route - Skin
_ Failure Modes
_ Measurement
_ Personal Protective Equipment
_ Process Maintenance
_ Particles
Characterization - In
_ Environment
_ Fate
_ Protective Clothing
_ Filtration
_ Recycling
_ Characterization - In Liquid
_ Characterization - In Soil
_ Good Working Practices
_ Health Effects - Animals
_ Respirators
_ Risk Assessment - Qualitative
_ Evaluation
_ Characterization Methodologies
_ Cleanup
_ Containment
_ Control Banding
_ Health Effects - General
_ Risk Assessment - Quantitative
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_ Dispersion
_ Local Exhaust Ventilation
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Characterization - Airborne
Characterization - Toxicity
Dispersive Applications
Disposal
Dose - Internal
Dose Metrics
Ecosystem
Health Effects - Occupational
health Effects - Surveillance
Life Cycle Analysis
Liquid Borne Nanomaterial
Material Substitution
Measurement - Mass
Measurement - Number
Measurement - Size Distribution
Measurement - Surface Area
Medical Diagnostics and
Therapeutics
Nanomaterial Release
Nanomaterial Tracking
Nanomaterials - Carbon Nanotubes
_ Ecotoxicity
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_ Emissions Control
_ Emissions Evaluation
_ Engineering Control
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_ Epidemiology
_ Nanomaterials - Fullerenes
_ Explosive Hazard
_ Particles
_ Nanomaterials - Metal Particles
_ Exposure - Occupational
Nanomaterials - Metal Oxide
_ Exposure Control
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_ Exposure Limits
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_ Exposure Monitoring
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_ Exposure Route - Ingestion
_ Exposure Route - Inhalation
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Nanomaterials - Multifunctional
Particles
Nanomaterials - Nanocomposites
Nanomaterials - Non-spherical
particles
Nanomaterials - Quantum Dots
Persistence
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Risk Management Strategies
Safety
Target Organ - Liver
Target Organ - Lungs
Target System Cardiovascular
Target System - CNS
Target System - Lymphatic
Target System - Renal
Target System - Respiratory
Toxic Mechanisms
_ Toxicity - In Vitro
_ Toxicity - In Vivo
_ Toxicity - Predictive Modeling
_ Toxicity - Screening
Transformation -
_ Physicochemical
Translocation Following
_ Exposure
_ Transport - Body
_ Transport - Environment
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Notes
1.
Please provide as much information as possible on the Principle Investigator. At
this point, only the Principle Investigator’s name and affiliation will be made
publicly available.
2.
If someone other than the Principle Investigator is the primary point of contact for
the research, please provide information on this person. This information will not
be made publicly available initially.
3.
Please list co-Principle Investigators involved in the project. Names will be made
publicly available, but not contact details.
4.
Please provide as much information on the project as possible, including estimated
total costs (in the native currency).
5a.
Please select just one category of relevance. As a guide, a project specifically
focused on implications research would be considered ‘High’, while applicationsbased projects with relevance to implications would be considered ‘Substantial’,
‘Some’ or ‘Marginal’, depending on the degree of relevance. Applications-specific
research with no clear relevance to implications would be considered ‘None’.
Projects within this category generally would not be entered into the database
unless there was a specific reason.
5b.
Please select a class of nanomaterials, using the following definitions:.
Engineered nanomaterials:
Manufactured materials with engineered structure
between approximately 1 nm and 100 nm.
Incidental nanomaterials:
Materials with a structure between approximately 1
nm and 100 nm, that are produced as a by-product of
a process. For instance, welding fume and diesel
emission particulates would be considered incidental
nanomaterials.
Natural nanomaterials:
Materials with a structure between approximately 1
nm and 100 nm, that are a result of natural processes.
Some particles arising from volcanic emissions, sea
spray and atmospheric gas-to-particle conversion
would be considered natural nanomaterials.
Generic:
Research that is applicable to nanomaterials,
irrespective of class.
5c.
Please enter the primary impact sector for the research. If the research is relevant
to multiple sectors, select “Cross Cutting”.
5d.
Please select all focus areas relevant to the research.
5e.
Please select all keywords and phrases relevant to the research.
Email completed document to nano@wilsoncenter.org
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