• 제목/요약/키워드: Internal exposure

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Internal Dosimetry: State of the Art and Research Needed

  • Francois Paquet
    • Journal of Radiation Protection and Research
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    • 제47권4호
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    • pp.181-194
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    • 2022
  • Internal dosimetry is a discipline which brings together a set of knowledge, tools and procedures for calculating the dose received after incorporation of radionuclides into the body. Several steps are necessary to calculate the committed effective dose (CED) for workers or members of the public. Each step uses the best available knowledge in the field of radionuclide biokinetics, energy deposition in organs and tissues, the efficiency of radiation to cause a stochastic effect, or in the contributions of individual organs and tissues to overall detriment from radiation. In all these fields, knowledge is abundant and supported by many works initiated several decades ago. That makes the CED a very robust quantity, representing exposure for reference persons in reference situation of exposure and to be used for optimization and assessment of compliance with dose limits. However, the CED suffers from certain limitations, accepted by the International Commission on Radiological Protection (ICRP) for reasons of simplification. Some of its limitations deserve to be overcome and the ICRP is continuously working on this. Beyond the efforts to make the CED an even more reliable and precise tool, there is an increasing demand for personalized dosimetry, particularly in the medical field. To respond to this demand, currently available tools in dosimetry can be adjusted. However, this would require coupling these efforts with a better assessment of the individual risk, which would then have to consider the physiology of the persons concerned but also their lifestyle and medical history. Dosimetry and risk assessment are closely linked and can only be developed in parallel. This paper presents the state of the art of internal dosimetry knowledge and the limitations to be overcome both to make the CED more precise and to develop other dosimetric quantities, which would make it possible to better approximate the individual dose.

속립성 결핵과 감별이 필요했던 가속형 규폐증 1례 (A Case of Accelerated Silicosis Mimicking Miliary Pulmonary Tuberculosis)

  • 김광현;김상하;권우철;이명규;최훈;이낙원;홍태원;용석중;신계철;정순희;리원연
    • Tuberculosis and Respiratory Diseases
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    • 제59권6호
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    • pp.684-689
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    • 2005
  • 규폐증은 유리규산에 노출될 수 있는 다양한 작업장에서 발생할 수 있는 질환으로 호흡성 분진의 축적에 의한 폐실질의 병리학적 변화를 가져오는 대부분 만성적인 경과를 보이는 질환이다. 하지만 드문 경우에 노출된 분진의 강도와 노출기간에 따라 임상양상이 급격하게 진행되는 경우가 있을 수 있다. 저자들은 진폐증으로 진단하였던 환자가 약 2개월 동안의 급격한 방사선학적 소견의 진행을 보여, 속립성 결핵과의 감별을 위해 시행한 경기관지 폐생검을 통하여 진단하였던 가속형 규폐증 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Severe Acute Fibrinous and Organizing Pneumonia with Acute Respiratory Distress Syndrome

  • Kang, Hyo-Jae;Choi, Sun-Mi;Jeong, Yun-Jeong;Park, Jong-Sun;Lee, Sei-Won;Yoon, Ho-Il;Lee, Jae-Ho;Lee, Choon-Tack;Cho, Young-Jae
    • Tuberculosis and Respiratory Diseases
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    • 제71권5호
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    • pp.368-372
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    • 2011
  • Acute fibrinous and organizing pneumonia is a newly recognized pattern of acute lung injury. A 49-year-old female presented with a cough and worsening dyspnea on exertion. She had no history of smoking and no specific past medical history except exposure of home humidifier containing sterilizer. A chest computed tomography scan showed patchy consolidation with fibrosis in the right lower lobe and ill-defined centrilobular ground glass opacity in both lungs. The pathological findings were patchy areas of lung parenchyma with fibrin deposits in the alveolar ducts and alveoli, and fibrin balls with hemosiderin deposition in the alveolar spaces. The histological pattern of our case is differentiated from diffuse alveolar damage by the absence of hyaline membranes, and from eosinophilic pneumonia by the lack of eosinophils. In our case, the patient was treated with corticosteroid pulse therapy. However, the clinical course became aggravated and she died within two weeks.

결핵균이 폐포대식세포의 기능에 미치는 영향에 관한 연구 -H37Ra 결핵균종에 의한 사람 몇 백서 폐포대식세포의 Superoxide 생성의 변화- (The Effects of Mycobacterium Tuberculosis on Alveolar Macrophages -The Alterations of Superoxide Production in both Human and Rat Alveolar Macrophages Exposed to Mycobacterium Tuberculosis H37Ra Strain-)

  • 김건열;이계영;현인규;김영환;한성구;심영수;한용철
    • Tuberculosis and Respiratory Diseases
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    • 제39권6호
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    • pp.526-535
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    • 1992
  • 연구배경 : 산소반응성 대사물에 의한 결핵균 살해능은 대식세포의 활성화 상태에 의해 좌우되는데 체외에서의 이러한 효과를 priming 이라 한다. priming 효과를 유도하는 물질에는 IFN-$\gamma$와 LPS가 대표적인 물질인데 이들 자체가 superoxide와 같은 산소반응성 물질의 생성을 증가시키지는 않지만 식균작용이나 PMA와 같은 화학적 물질에 반응하여 증강된 산소반응성 물질의 생성을 유도한다. 혈액단구세포와는 달리 폐포대식세포는 일상적인 외부환경에 노출되어 있기 때운에 priming 효과에 대한 논란이 있고 결핵균 세포벽의 각 성분이 대식세포의 활성화에 상반되는 결과를 보인다는 보고들이 있어 본 연구에서는 사람의 폐포대식세포와 혈액단구세포, 그리고 백서의 폐포대식세포에서 IFN-$\gamma$에 의한 priming 효과를 비교 관찰하였고 결핵균증 H37Ra 균증이 폐포대식세포에 노출되었을 때 나타나는 superoxide의 생성능의 변화를 비교하여 보았다. 방법 : 사람과 백서에서 얻은 기관지폐포세척액을 Petri dish에 부착시키고 cold shock 방법으로 부착된 대식세포를 분리하여 24시간 IFN-$\gamma$로 전처치한 후의 priming 효과와 H37Ra 결핵균종을 노출시켰을 시의 superoxide의 생성능을 ferricytochrome reduction 방법으로 측정하여 비교하였다. 결과 : 1) 사람 폐포대식세포에서는 고농도의 IFN-$\gamma$ 전처치로도 priming 효과가 관찰되지 않은 반면 혈액단구세포와 백서 폐포대식세포에서는 priming 효과를 관찰할 수 있었다. 2) 폐포대식세포를 비독력 결핵균종인 H37Ra 생균에 노출시킨 결과 사람과 백서 공히 triggering 효과를 나타내었고 그 분해물에 의한 노출 역시 유사한 결과를 나타내었다. 결론 : 사람의 폐포대식세포는 다른 대식세포와는 달리 일상적인 외부환경에 노출되어 있으으로 priming 효과가 관찰되지 않았으며 비독력 결핵균종인 H37Ra에 의해서는 폐포대식세포의 활성화를 억제하는 효과를 관찰할 수 없었다.

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Towards Quantitative Assessment of Human Exposures to Indoor Radon Pollution from Groundwater

  • Donghan Yu;Lee, Han-Soo
    • Journal of Korean Society for Atmospheric Environment
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    • 제17권E2호
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    • pp.43-51
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    • 2001
  • A report by the national research council in the United States suggested that many lung cancer deaths each year be associated with breathing radon in indoor air. Most of the indoor radon comes directly from soil beneath the basement of foundations. Recently, radon released from groundwater is found to contribute to the total inhalation risk from indoor air. This study presents the quantitative assessment of human exposures to radon released from the groundwater into indoor air. At first, a three-compartment model is developed to describe the transfer and distribution of radon released from groundwater in a house through showering, washing clothes, and flushing toilets. Then, to estimate a daily human exposure through inhalation of such radon for an adult. a physiologically-based pharmacokinetic(PBPK) model is developed. The use of a PBPK model for the inhaled radon could provide useful information regarding the distribution of radon among the organs of the human body. Indoor exposure patterns as input to the PBPK model are a more realistic situation associated with indoor radon pollution generated from a three-compartment model describing volatilization of radon from domestic water into household air. Combining the two models for inhaled radon in indoor air can be used to estimate a quantitative human exposure through the inhalation of indoor radon for adults based on two sets of exposure scenarios. The results obtained from the present study would help increase the quantitative understanding of risk assessment issues associated with the indoor radon released from groundwater.

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산업안전보건법 상 관리수준 검토를 위한 화학물질 유해성.위험성 평가대상 후보물질 선정에 관한 연구 (A Study on the Priority for the Hazard and Risk Evaluation of Chemicals (HREC) According to the Industrial Safety and Health Act (ISHA))

  • 양정선;임철홍;박상용
    • 한국산업보건학회지
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    • 제22권1호
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    • pp.73-81
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    • 2012
  • Object: The aim of this study is to suggest a list of priority chemicals for the Hazard & Risk Evaluation of Chemicals (HREC) controlled by the Industrial Safety and Health Act (ISHA). Method: Screening assessment was done for 642 chemicals whose exposure threshold limit values were set by the Ministry of Employment and Labor (MOEL). Hazard data were collected from Korea Occupational Safety & Health Agency (KOSHA) and/or other toxicity database. Exposure data were obtained from KOSHA internal database. The hazard and exposure scores of chemicals were listed by order of priority in accordance with GHS classification and exposure index data. Result: From the result of screening risk assessment for 642 chemicals, we extracted a list of 13 priority chemicals for HREC performed by the ISHA. A priority list of 27 chemicals which have carcinogen, mutagen and/or reproductive toxicity but not controlled by the ISHA was suggested for additional evaluation as "chemicals for special management".

Identification and Application of Biomarkers in Molecular and Genomic Epidemiologic Research

  • Lee, Kyoung-Mu;Han, So-Hee;Park, Woong-Yang;Kang, Dae-Hee
    • Journal of Preventive Medicine and Public Health
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    • 제42권6호
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    • pp.349-355
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    • 2009
  • Biomarkers are characteristic biological properties that can be detected and measured in a variety of biological matrices in the human body, including the blood and tissue, to give an indication of whether there is a threat of disease, if a disease already exists, or how such a disease may develop in an individual case. Along the continuum from exposure to clinical disease and progression, exposure, internal dose, biologically effective dose, early biological effect, altered structure and/or function, clinical disease, and disease progression can potentially be observed and quantified using biomarkers. While the traditional discovery of biomarkers has been a slow process, the advent of molecular and genomic medicine has resulted in explosive growth in the discovery of new biomarkers. In this review, issues in evaluating biomarkers will be discussed and the biomarkers of environmental exposure, early biologic effect, and susceptibility identified and validated in epidemiological studies will be summarized. The spectrum of genomic approaches currently used to identify and apply biomarkers and strategies to validate genomic biomarkers will also be discussed.

African-American Hair Damage Study

  • Tang, Diana
    • 대한화장품학회:학술대회논문집
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    • 대한화장품학회 2003년도 IFSCC Conference Proceeding Book I
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    • pp.413-416
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    • 2003
  • Hair fragility is a major concern to most people of African decent due to frequent chemical treatments, thermal appliance use and environmental exposure. It is extremely important to both cosmetic scientists and African-American consumers to understand the internal and external hair damage caused by these factors.(omitted)

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기관지 폐포 세척술 및 경피적 폐 생검술로 확진된 철폐증 1례 (A Case of Pulmonary Siderosis Confirmed by Bronchoalveolar Lavage and Transbronchial Lung Biopsy)

  • 김은아;방병욱;김루시아;류정선;곽승민;이홍렬;조재화
    • Tuberculosis and Respiratory Diseases
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    • 제57권5호
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    • pp.476-479
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    • 2004
  • 철폐증은 철분진을 장기간 흡입하여 발생하는 질환으로, 진단은 환자의 용접등의 철분진에 대한 노출력과 흉부 방사선 소견과 함께 폐내 철분진의 축적을 확인한다. 저자들은 기관지 폐포 세척술 및 경피적 폐생검술을 시행하여 철폐증을 진단한 1예를 경험하였기에 보고하는 바이다.