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

______

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:

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__

5b. Class of Nanomaterial (PLEASE SELECT ONLY ONE):

Engineered__

Incidental__

Natural__

Generic __

5c. Impact Sector (PLEASE SELECT ONLY ONE):

Human Health__

Environment __

Occupational Safety__

Cross Cutting __

5d. Broad Research Themes (SELECT ALL THAT APPLY):

Risk Management__

Risk Assessment__

Characterization__

Control__

Safety__

Transportation, Dispersion, Transformation etc.__

Response__

Hazard__

Exposure__

5e. Keywords:

Please select all keywords and phrases that are relevant to the research:

_ / Aerosol Formation / _ / Exposure Route - Occular / _ / Personal Exposure Measurement
_ / Airborne Nanomaterials / _ / Exposure Route - Skin / _ / Personal Protective Equipment
_ / Bioaccumulation / _ / Failure Modes / _ / Process Maintenance
_ / Characterization - Airborne Particles / _ / Fate / _ / Protective Clothing
_ / Characterization - In Environment / _ / Filtration / _ / Recycling
_ / Characterization - In Liquid / _ / Good Working Practices / _ / Respirators
_ / Characterization - In Soil / _ / Health Effects - Animals / _ / Risk Assessment - Qualitative
_ / Characterization - Toxicity Evaluation / _ / Health Effects - General / _ / Risk Assessment - Quantitative
_ / Characterization Methodologies / _ / Health Effects - Occupational / _ / Risk Management Strategies
_ / Cleanup / _ / health Effects - Surveillance / _ / Safety
_ / Containment / _ / Life Cycle Analysis / _ / Target Organ - Liver
_ / Control Banding / _ / Liquid Borne Nanomaterial / _ / Target Organ - Lungs
_ / Dispersion / _ / Local Exhaust Ventilation / _ / Target System - Cardiovascular
_ / Dispersive Applications / _ / Material Substitution / _ / Target System - CNS
_ / Disposal / _ / Measurement - Mass / _ / Target System - Lymphatic
_ / Dose - Internal / _ / Measurement - Number / _ / Target System - Renal
_ / Dose Metrics / _ / Measurement - Size Distribution / _ / Target System - Respiratory
_ / Ecosystem / _ / Measurement - Surface Area / _ / Toxic Mechanisms
_ / Ecotoxicity / _ / Medical Diagnostics and Therapeutics / _ / Toxicity - In Vitro
_ / Emissions Control / _ / Nanomaterial Release / _ / Toxicity - In Vivo
_ / Emissions Evaluation / _ / Nanomaterial Tracking / _ / Toxicity - Predictive Modeling
_ / Engineering Control / _ / Nanomaterials - Carbon Nanotubes / _ / Toxicity - Screening
_ / Epidemiology / _ / Nanomaterials - Fullerenes / _ / Transformation - Physicochemical
_ / Explosive Hazard / _ / Nanomaterials - Metal Oxide Particles / _ / Translocation Following Exposure
_ / Exposure - Occupational / _ / Nanomaterials - Metal Particles / _ / Transport - Body
_ / Exposure Control / _ / Nanomaterials - Multifunctional Particles / _ / Transport - Environment
_ / Exposure Limits / _ / Nanomaterials - Nanocomposites
_ / Exposure Monitoring / _ / Nanomaterials - Non-spherical particles
_ / Exposure Route - Ingestion / _ / Nanomaterials - Quantum Dots
_ / Exposure Route - Inhalation / _ / Persistence

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 applications-based 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.

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