• Journal of Radiation Protection and Research
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• 제31권3호
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• pp.135-140
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• 2006

비밀봉 방사성물질의 취급 사고시 방사성핵종은 흡입과 취식의 두 가지 경로로 섭취될 수 있다. 이때 일상 감시처럼 하나의 섭취경로만 가정하여 예탁유효선량을 평가하면 심각한 오차를 유발할 수 없다. 이러한 잠재 오차를 제시하기 위해 총 섭취에 대한 흡입섭취의 비율을 달리할 때 예탁유효선량의 변동을 분석하였다. $^{241}Am$(AMAD 5 ${\mu}m$, 흡수형 M)을 대상으로 핵종의 생물역동학적 모델과 데이터를 이용하여 여러 흡입섭취 분율에서 폐, 소변 및 대변에 대한 바이오어세이 측정치를 모의하였다. 섭취 3일 후 예상 측정치를 이용하고 단일 경로 섭취를 가정한 경우 평가된 예탁유효선량의 잠재 오차는 -100%에서부터 많게는 +34,000%에 이르는 것으로 나타났다. 흡입섭취가 있을 때 대변만 분석하면 큰 오차가 발생하였다. 섭취경로 오판에 따르는 선량평가의 오차를 줄이기 위해 두 종류의 바이오어세이를 이용하는 전략을 제안하였다.

• Journal of Radiation Protection and Research
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• 제48권2호
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• pp.84-89
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• 2023

Background: Food consumption is one of the most important routes for radionuclide intake for the public; therefore, there is the need to have a comprehensive understanding of the amount of radioactivity in food products. Consumption of radionuclide-contaminated food could increase potential health risks associated with exposure to radiation such as cancers. The present study aims to determine radioactivity levels in some food products (milk, rice, sugar, and wheat flour) consumed in Mali and to evaluate the radiological effect on the public health from these radionuclides. Materials and Methods: The health impact due to ingestion of radionuclides from these foods was evaluated by the determination of activity concentration of radionuclides ²³⁸U, ²³²Th, ⁴⁰K, and ¹³⁷Cs using gamma spectrometry system with high-purity germanium detector and radiological hazards index in 16 samples collected in some markets, mall, and shops of Bamako-Mali. Results and Discussion: The average activity concentrations were 9.8±0.6 Bq/kg for ²³⁸U, 8.7±0.5 Bq/kg for ²³²Th, 162.9±7.9 Bq/kg for ⁴⁰K, and 0.0035±0.0005 Bq/kg for ¹³⁷Cs. The mean values of radiological hazard parameters such as annual committed effective dose, internal hazard index, and risk assessment from this work were within the dose criteria limits given by international organizations (International Commission on Radiological Protection and United Nations Scientific Committee on the Effects of Atomic Radiation) and national standards. Conclusion: The results show low public exposure to radioactivity and associated radiological impact on public health. Nevertheless, this study stipulates vital data for future research and regulatory authorities in Mali.

• 한국지하수토양환경학회지:지하수토양환경
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• 제9권1호
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• pp.12-27
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• 2004

본 연구에서는 벤젠을 대상으로 오염된 지하수를 생활용수로 사용했을 때 발생하는 실내오염도를 모사하고 실내에서 가능한 흡입, 섭취, 피부흡수와 같은 노출경로를 고려하여 노출시나리오를 자성하였다. 인체에 유입된 벤젠에 대하여 PBPK 모델을 이용하여 인체의 각 장기에 어떻게 분포하는지를 분석하였다. 결과에서 흡입과 섭취가 주요노출 경로였으며 남성이 여성보다 많은 호흡량으로 인해 보다 높은 노출속도를 유지하였다. 노출속도에 대한 피부흡수의 공헌도는 상대적으로 매우 작았다. 단기노출의 결과 오염물 노출에 대하여 SPT, RPT,간의 정맥혈 중 벤젠농도는 빠르게 증감하는 반면 지방의 경우는 느리게 반응하였고 많은 벤젠이 지방세포에 축적되어 정맥혈에는 적은 농도로 존재하였다. 장기간 노출에서 여성은 남성보다 전체적으로 2.1배 많은 벤젠을 체내에 축적하고 있는 것으로 나타났다. 장기간 노출에서 총유입벤젠의 98%가 호흡과 대사분해에 의해 제거되었다. 흡입경로는 벤젠이 호흡배출에 의해 69.8% 제거되었으며 섭취경로는 48.4%로 오염물이 유입되는 위치에 따라 각각의 제거기작의 공헌도가 다르게 나타났다. 본 연구의 결과는 실내오염에 따라 오염물이 체내에 흡수되고 분포ㆍ제거되는 현상을 이해하고 노출저감대책을 마련하는데 필요한 자료를 제공하고자 하였다.

• Environmental Analysis Health and Toxicology
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• 제12권3_4호
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• pp.31-41
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• 1997

Public concerns about hazardous health effect from the exposure to organic by-products of the chlorination have been increased. There are numerous studies reporting that chlorination of drinking water produces numerous chlorinated organic by-products including THMs, HAAs, HANs. Some of these products are known to be animal carcinogens. The purpose of this study was to estimate health risk of DBPs by chlorinated drinking water ingestion in Seoul based on methodologies that have been developed for conducting risk assessment of complex-chemical-mixture. The drinking water sample was collected seperately at six water treatment plant in Seoul at March, April, 1996. In tap water of households in Seoul, DBPs were measured wilfh the mean value of 36.6 $\mu$g/L. Risk assessment processes,. which include processes for the estimation of human cancer potency using animal bioassay data and calculation of human exposure, entail uncertainties. In the exposure assessment process, exposure scenarios with various assumptions could affect the exposure amount and excess cancer risk. The reference dose of haloacetonitriles was estimated to be 0.0023 mg/kg/day by applying dibromoacetonitrile NOAEL and uncertainty factor to the mean concentration. In the first case, human excess cancer risk was estimated by the US EPA method used to set the MCL (maximum contaminant level). In the second and third case, the risk was estimated for multi-route exposure with and without adopting Monte-Carlo simulation, respectively. In the second case, exposure input parameters and cancer potencies used probability distributions, and in the third case, those values used point estimates (mean, and maximum or 95% upper-bound value). As a result, while the excess cancer risk estimated by US EPA method considering only direct ingestion tended to be underestimated, the risk which was estimated by considering multi-route exposure without Monte-Carlo simulation and then using the maximum or 95% upper-bound value as input parameters tended to be overestimated. In risk assessment for Trihalomethanes, considering multi-route exposure with adopting Monte-Carlo analysis seems to provide the most reasonable estimations.

• Journal of Yeungnam Medical Science
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• 제29권2호
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• pp.121-124
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• 2012

Valaciclovir is metabolized to acyclovir after ingestion and thereafter exerts its antiviral activity. Because of its superior pharmacokinetic profile, it has quickly replaced acyclovir in the treatment of herpesvirus infection. Neurotoxicity caused by valaciclovir has been reported, however, among patients with pre-existing impaired renal function. This paper reports a case of neurotoxicity of valaciclovir in a patient with end-stage renal disease who was undergoing continuous ambulatory peritoneal dialysis (CAPD). A 67-year-old female on CAPD took 500 mg of valaciclovir twice for herpes zoster. After she took her second dose orally, she developed confusion and disorientation, along with involuntary movements. Her mental confusion progressed to a coma. Discontinuation of valaciclovir showed no rapid improvement. There- fore, hemodialysis was started. After two sessions of hemodialysis, the patient became alert; and after four sessions of hemodialysis, her neurological abnormalities were completely reversed. In conclusion, valaciclovir can induce life-threatening neurotoxicity, especially in CAPD patients, even with appropriate dose reduction, which can be effectively managed by hemodialysis.

• Applied Microscopy
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• 제36권1호
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• pp.17-23
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• 2006

음용불소가 흰쥐태아의 상아모세포에 간접적으로 미치는 영향과 농도를 확인하기 위해 임신한 흰쥐에 100, 200, 300ppm의 불소가 함유된 음용수를 임신기간 동안 투여하였다. 대조군과 비교하였을 때, 농도에 의존적으로 상아모세포의 미세구조적 변화를 관찰 할 수 있었다. 조면소포체로 부터 리보솜의 탈락과 붕괴, 미토콘드리아의 팽창, 그리고 조면소포체와 미토콘드리아의 변성. 음용 불소의 농도에 따른 미세구조적인 변화로부터 100, 200ppm에서는 가역적인 그리고 300ppm에서는 비가역적인 손상이 유도되는 것을 확인하였다. 또한, 이러한 결과로 미루어 200ppm미만의 농도가 발생중인 흰쥐태아에 영향을 주지 않는 것을 알 수 있다.

• Nuclear Engineering and Technology
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• 제55권8호
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• pp.3046-3053
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• 2023

Radon is a naturally occurring carcinogenic agent, poses a serious health hazard when inhaled or ingested in significant amounts. The water of the Padma river will be used as a tertiary coolant for the soon-to-be-commissioned 'Rooppur Nuclear Power Plant'. Hence, it is important to assess the radiological status of the river prior to the commission of this power plant. Therefore, for the first time, 25 samples of water were collected from various locations of the Padma River and analyzed for radon concentration using the RAD H₂O (DURRIDGE) radon monitoring device. The radon concentrations were found in the range from 0.077 ± 0.036 to 0.494 ± 0.211 Bq/L with a mean of 0.250 ± 0.093 Bq/L. All the concentrations were found to be below the recommended limits of WHO (100 Bq/L) and USEPA (11.1 Bq/L). The mean annual effective dose due to the radon exposure via inhalation and ingestion pathways were 0.638 µSv/y and 0.629 µSv/y, respectively, which were all well below the annual effective dose recommended by WHO (0.1 mSv/y). Since Bangladesh lacks a national safety limit of radon in water, this pioneering study provides baseline data on radon levels for the environment around Rooppur Nuclear Power Plant.

• Parasites, Hosts and Diseases
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• 제55권1호
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• pp.61-64
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• 2017

We described a human case of zoonotic dog tapeworm, Dipylidium caninum (Eucestoda: Dilepidiidae), rarely occurring in China. The mother of a 17 month-old boy noted the appearance of small white and active worms over a month period in her son's feces, but the boy was asymptomatic except mild diarrhea. We observed 3 tapeworm proglottids resembling cucumber seeds in his stool sample. Microscopically, each proglottid had 2 genital pores, 1 on each lateral edge, and numerous egg capsules in the uterus. The patient was successfully treated with a single oral dose of praziquantel. Adult worms were recovered in the diarrheic stool after praziquantel treatment and purgation. His family had household pet dogs for several years, and he might have acquired the infection by ingestion of infected fleas of his pet dogs. A history of dog or cat pets and flea bites may be important clues to diagnosis of D. caninum infection. The infected pets should also be treated.

• 대한임상독성학회지
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• 제18권1호
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• pp.1-10
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• 2020

Pharmaceutical agents are the most common causes of poisoning in Korea. Calcium channel blockers (CCBs) are commonly used in Korea for the management of hypertension and other cardiovascular diseases, but are associated with a risk of mortality due to overdose. Due to the frequent fatalities associated with CCB overdose, it is essential that the emergency physician is capable of identifying CCB intoxication, and has the knowledge to manage CCB overdose. This article reviews the existing clinical guidelines, retrospective studies, and systematic reviews on the emergency management of CCB overdose. The following are the varied treatments of CCB overdose currently administered. 1) For asymptomatic patients: observation with enough time and decontamination, if indicated. 2) For symptomatic patients: infusion of calcium salt, high dose insulin therapy, and vasopressor (norepinephrine) or atropine for bradycardia. 3) For patients refractory to the first line therapy or with refractory shock or impending arrest: lipid emulsion therapy and extracorporeal membrane oxygenation. 4) As adjunct therapy: phosphodiesterase inhibitors, glucagon, methylene blue, pacemaker for AV block. Small CCB ingestion is known to be fatal for pediatric patients. Hence, close observation for sufficient time is required.

• Journal of Yeungnam Medical Science
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• 제32권1호
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• pp.17-21
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• 2015

Amlodipine, a calcium channel blocker of the dihydropyridine group, is commonly used in management of hypertension, angina, and myocardial infarction. Amlodipine overdose, characterized by severe hypotension, arrythmias, and pulmonary edema, has seldom been reported in Korean literature. We report on a fatal case of amlodipine intoxication with complications including rhabdomyolysis and oliguric acute kidney injury. A 70-year-old woman with a medical history of hypertension was presented at the author's hospital 6 hours after ingestion of 50 amlodipine (norvasc) tablets (total dosage 250 mg) in an attempted suicide. Her laboratory tests showed a serum creatinine level of 2.5 mg/dL, with elevated serum creatine phosphokinase and myoglobin. The patient was initially treated with fluids, alkali, calcium gluconate, glucagon, and vasopressors without a hemodynamic effect. High-dose insulin therapy was also started with a bolus injection of regular insulin (RI), followed by continuous infusion of RI and 50% dextrose with water. Despite intensive treatment including insulin therapy, inotropics, mechanical ventilation, and continuous venovenous hemodiafiltration, the patient died of refractory shock and cardiac arrest with no signs of renal recovery 116 hours after her hospital admission.