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Delayed Elimination After High-dose Methotrexate in Pediatric Patients with Acute Lymphoblastic Leukemia and Non-Hodgkin Lymphoma (소아 급성림프모구백혈병 및 비호지킨림프종 환자에서 고용량 methotrexate 투여 후 배설지연)

  • Yoon, Hye Won;Ree, Yoon Sun;Song, Hyo Sook;Kim, Jae Song;Son, Eun Sun
    • Korean Journal of Clinical Pharmacy
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    • v.29 no.2
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    • pp.101-108
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    • 2019
  • Background: High doses of methotrexate (MTX) are often used in various chemotherapy protocols to treat acute lymphoblastic leukemia (ALL) and non-Hodgkin's lymphoma (NHL) in children, but its delayed elimination increases the occurrence of adverse events, such as bone marrow suppression. The aim of this study was to investigate the elimination of MTX at 24 and 48 hours. Methods: We retrospectively analyzed electronic medical records of ALL or NHL pediatric patients who received $5g/m^2$ MTX infusion over 24 hours (between June, 2012 and July, 2018) at the Yonsei University Health System, Korea. The delayed elimination of MTX concentrations was assessed with 100 or $150{\mu}M$ MTX at 24 hours, and 2 or $5{\mu}M$ at 48 hours. Results: Among the 85 MTX cycles administered, 23 cycles were classified in delayed elimination group, and 62 cycles showed normal elimination. At 24 hours, the delayed elimination group with MTX concentration > $100{\mu}M$ showed higher percentage than group with MTX concentration < $100{\mu}M$ (45.8% vs. 19.7%, p = 0.015). However, no differences were observed at $150{\mu}M$ MTX (p = 0.66). At 48 hours, the delayed elimination was higher than the normal elimination at both concentration baselines (p < 0.001 at $2{\mu}M$, p = 0.024 at $5{\mu}M$). Conclusions: MTX concentrations greater than $100{\mu}M$ show high probability of delayed elimination at 24 hours. When MTX levels are above normal, leucovorin and hydration regimens should be continued to prevent delayed elimination.

Characteristics of airborne radon and thoron levels monitored in Seoul Subway stations and circulation lines (서울 일부 지하철 공기 중 라돈과 토론 발생 특성)

  • Kwak, Hyunseok;Kim, So-Yeon;Park, Jihoon;Choi, Sangjun;Park, Dong-Uk
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.29 no.2
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    • pp.176-184
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    • 2019
  • Objective: This study aims to characterize airborne radon and thoron levels ($Bq/m^3$) generated from working environments in three subway stations in Seoul. Method: A radon and thoron detector (EQF3220) was used to monitor real-time airborne radon and thoron levels ($Bq/m^3$) and their daughters ($Bq/m^3$) every two hours. They were monitored not only in the driver's cabin of seven circulation lines, but also three offices, platforms, and water pump reservoirs in the three stations. Results: The average levels of radon and thoron were $67.9Bq/m^3$ (range; $7.2-619.4Bq/m^3$) and $44.4Bq/m^3$ (range; $4.3-819.2Bq/m^3$), respectively. Notably, higher than legal airborne radon levels ($600Bq/m^3$) were frequently monitored in the driver's cabin of seven circulation lines. Airborne radon levels monitored in the platforms and administrative offices were found to be over $100Bq/m^3$. The average equilibrium factors (F) were 0.12 and 0.06, respectively. The percentages detected were found to be 84.9 for radon and 72.4 for thoron, respectively. Conclusions: Significant airborne radon and thoron levels were frequently found to be generated in subway facilities including water reservoirs, platforms and driver's cabins. Further study is necessary to thoroughly investigate airborne radon and thoron in all subway stations and to devise proper measures.

Assessment of Exposure to Volatile Organic Compounds in New and Sick Houses Indoor Environments

  • Moon, Kyong-Whan;Byeon, Sang-Hoon;Choi, Dal-Woong;Kim, Young-Whan;Lee, Jang-Hee;Lee, Eun-Il
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2005.06a
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    • pp.333-336
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    • 2005
  • 32 Volatile organic compounds(VOCs) were measured by thermal desorption/gas chrornatography/mass spectrometry in normal houses, new and sick houses. The sum concentrations of aromatic hydrocarbons in living room of new and sick houses showed 606 ${\mu}g/m^3$ and 645 ${\mu}g/m^3$, respectively, These figures were about 40 times higher than the values 14 ${\mu}g/m^3$ in normal houses. Among the chlorinated hydrocarbons trichloroethylene in the new and sick houses were at least 50-100 times higher than the mean concentrations in normal houses. But no significant differences could be shown for the concentration of VOCs in indoor air between new houses and sick houses (p<0.05).

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Assessment of Airborne Fungi Concentrations in Subway Stations in Seoul, Korea (서울시 일부 지하철 역사 내 공기 중 진균 농도에 관한 연구)

  • Cho, Jun-Ho;Paik, Nam-Won
    • Journal of Environmental Health Sciences
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    • v.35 no.6
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    • pp.478-485
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    • 2009
  • This study was performed to assess airborne fungi concentrations during fall in eight subway stations in Seoul, Korea. The purpose of this study was to investigate appropriate culture media and evaluate factors affecting airborne fungi concentrations. Results indicated that airborne fungi concentrations showed log-normal distribution. Thus, geometric mean (GM) and geometric standard deviation (GSD) were calculated. The GM of airborne fungi concentrations cultured on malt extract agar (MEA) media was 466 $cfu/m^3$ (GSD 3.12; Range 113~4,172 $cfu/m^3$) and the GM of concentrations cultured on DG18 media was 242 $cfu/m^3$ (GSD 4.75; Range 49~6,093 $cfu/m^3$). Both of GM values exceeded 150 $cfu/m^3$, the guideline of World Health Organization (WHO). There was no significant difference between two fungi concentrations cultured on MEA and DG18 media, respectively. Two factors, such as relative humidity and depths of subway stations were significantly related to airborne fungi concentrations. It is recommended that special consideration should be given to deeper subway stations for improvement of indoor air quality.

A Study on the Hazard Identification of Laboratory using 4M & HAZOP (4M 및 HAZOP 기법을 활용한 연구실 위험요소 분석 연구)

  • Kim, T.H.;Rhie, K.W.;Seo, D.H.;Lee, I.M.;Yoon, C.S.;Lee, Y.K.;Park, J.I.
    • Journal of the Korean Society of Safety
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    • v.28 no.3
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    • pp.88-94
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    • 2013
  • In university laboratories, areas of studies are becoming diverse and complicated according to the development of the industry. New forms of potential risk factors are increasing and they are unlike existing ones. In addition, many students are conducting various experiments in the laboratory. Therefore, they could be exposed to risk more often. Despite these risks, people do not recognize university lab safety activities properly and observe safety precautions. They are exposed to various laboratory accidents continually. In this study, we do not apply the present diagnosis method, checklist, but the safety assessment that is widely used in industry. Then we can find lots of hazard that checklist method could miss. This study will use the 4M and Hazard & Operability to design a new Laboratory safety assessments method.

Toxicity study of Wollastonite to the Respiratory Systems in Sprague-Dawely Rats (랫드에 투여된 규회석이 호흡기계에 미치는 영향 연구)

  • Chung, Yong-Hyun;Han, Jeong-Hee;Kang, Min-Gu;Lee, Sung-Bae;Kim, Jong-Kyu;Kim, Hyeon-Yeong;Yang, Jung-Sun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.20 no.4
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    • pp.263-273
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    • 2010
  • Occupational exposure to wollastonite can occur during its mining, processing and using. Wollastonite was analyzed for its physicochemical properties by transmission electron microscope and scanning electron microscope equipped with energy dispersive X-ray spectrometer. Wollastonite fibers were 3.3${\mu}m$ in diameter(av.) and were 30.5${\mu}m$ in length(av.). The atomic composition of wollastonite was Si 56.41% and Ca 43.59%. Respiratory toxicity of wollastonite has been studied in term sequential in Sprague-Dawely rats. UICC chrysotile (average diameter 0.03${\mu}m$, average length 2.93${\mu}m$) was applied as the positive control. The effects of 2mg wollastonite on respiratory system and pathological changes were evaluated after 1, 4, 8, 12 weeks instilled into rat lungs. Inflammation response broke out from 1 week after instilled with wollastonite and the pathological examination further showed increased legions of granulomatous inflammation after 4 weeks, but decreased granulomatous inflammation after 8 weeks, whereas chrysotile induced progressive interstitial granulomatous inflammation and fibrosis as a function of time.

Inhibition of Tyrosine Hydroxylase by $(1R,9S)-{\beta}-Hydrastine$ Hydrochloride in PC12 cells

  • Yin, Shou-Yu;Kim, Yu-Mi;Lee, Jae-Joon;Jin, Chun-Mei;Yang, Yoo-Jung;Lim, Kyo-Whan;Kang, Min-Hee;Lee, Myung-Koo
    • Natural Product Sciences
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    • v.10 no.3
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    • pp.114-118
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    • 2004
  • It is reported that $(1R,9S)-{\beta}-Hydrastine$ hydrochloride (BHSH) decreased the intracellular dopamine content by inhibiting tyrosine hydroxylase (TH) activity in PC12 cells. In this study, the inhibitory mechanisms on TH activity by BHSH in PC12 cells were investigated. BHSH treatment caused a reduction of TH activity and TH mRNA level in a dose-dependent manner. After the treatment of $20\;{\mu}M$ BHSH, TH activity and TH mRNA content were reduced at 15 min, reached the minimal levels at 6-24 h, and then recovered gradually to the control level. BHSH at $10-50\;{\mu}M$ caused a decrease in the basal intracellular cyclic AMP levels at 10 min in a concentration-dependent manner. In addition, BHSH at $20-100\;{\mu}M$ decreased the basal intracellular $Ca^{2+}$ concentration $([Ca^{2+}]_i)$ immediately in a dose-dependent manner. BHSH also inhibited the 56 mM $K^+ $ depolarization-induced elevation in $[Ca^{2+}]_i$, and blocked caffeine-activated store-operated $Ca^{2+}$ entry in PC12 cells. These data suggest that BHSH inhibits TH activity and TH gene expression, in part, through reducing cyclic AMP content and basal $[Ca^{2+}]_i$ in PC12 cells.

Research on the Conflicts and Future Direction of Integrative Medicine in Korea (한.양방 통합의료의 갈등과 방향에 대한 연구 - 한.양방 의료 및 관련 종사자 대상 심층면접을 중심으로 -)

  • Lim, Eun Jin;Kim, So Yun;Sohn, Myoung Sei;Choe, Pyung Nak;Oh, Byeong Sang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.2
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    • pp.243-250
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    • 2014
  • This study examined the knowledge and understanding of integrative medicine in Korea, specifically conflicts between western and oriental medicine within Parallel (Dual) health care systems. Qualitative methodology using grounded theory guided semi-structured, in-depth interviews with Western Medical Doctors (W.M.D., n = 6), Oriental Medical Doctors (O.M.D., n = 5) and Traditional Chinese Medicine Practitioners (T.C.M.P., n = 4). Thematic analysis was used to determine broad themes from the interviews. 15 professionals (W.M.D. (40%), O.M.D. (33%), T.C.M.P. (27%), 10 males (67%) and 5 females (33%), mean age 45) were interviewed, recorded, and transcribed. Thematic analysis revealed three key themes: systematic conflicts, integration and future directions. Subthemes of systematic conflicts included: credibility of Oriental Medicine, commercial imperatives, maintaining social standing of O.M.D., professional qualifications and lack structures supporting collaborative practice. Integration subthemes included lack of academic linkage and clarity for appropriate triage, opposing medical paradigms and limited social imperative. Future directions should include: social justification, guarantee of oriental medicine legitimacy, role of government and understanding of scientific evidence. To successfully integrate dual medical systems there is a need to address differences in social-environmental factors and perceptions of scientific understanding, as well as developing strong academic links in clinical practice.