• 제목/요약/키워드: toxic substance

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체외 생명유지술을 이용한 중독 환자의 치료: 체계적 고찰 (Extracorporeal Life Support in Treatment of Poisoning Patient: Systematic Review)

  • 이용희;고동률;공태영;주영선;유제성;정성필
    • 대한임상독성학회지
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    • 제14권1호
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    • pp.1-8
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    • 2016
  • Purpose: Extracorporeal life support (ECLS) is a term used to describe a number of modalities including extracorporeal membrane oxygenation (ECMO) to support cardiac and/or pulmonary systems. The purpose of this study is to review the available evidence regarding the effect of ECLS in patients with acute poisoning. Methods: Electronic literature searches with PubMed, Embase, Cochrane library, and KoreaMed were conducted for identification of relevant studies addressing ECLS in treatment of acute poisoning. The literature search was conducted by two investigators in March, 2016 with publication language restricted to English and Korean. The toxic substance, technique of ECLS, and final outcome of each case were analyzed. Results: The final analysis included 64 articles including 55 case reports. There were no articles classified according to a high level of evidence such as randomized trial and prospective cohort study. ECLS treatment was used in the management of patients poisoned with 36 unique substances. Venovenous ECMO was performed in 4 cases. Among the reported cases, 10 patients died despite treatment with ECLS. Conclusion: Evidence supporting ECLS for patients with acute poisoning is inadequate. However, many case reports suggest that early consideration of ECLS in poisoned patients with refractory cardiac arrest or hemodynamic compromise refractory to standard therapies may be beneficial.

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제올라이트와 Klebsiella pneumonia sp.을 이용한 화학-생물학적 액상 암모니아의 제거 효율 연구 (Investigation of Liquid Phase Ammonia Removal Efficiency by Chemo-biological Process of Zeolites and Klebsiella pneumonia sp.)

  • 박민섭;최권영
    • 공업화학
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    • 제28권6호
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    • pp.685-690
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    • 2017
  • 암모니아는 현대 산업에서 빠질 수 없는 유용한 물질이다. 일반적으로 농업용 폐기물의 분해과정을 통해 배출되며 인체에 매우 해로운 독극물로 알려져 있다. 산업에서 흔하게 쓰이는 물질이기에 직접 누출이나 간접 누출로 인한 수질오염의 가능성이 있다. 이 경우 암모늄이온을 빠르게 제거하는 데는 제올라이트의 흡착능을 이용하는 것이 좋지만 흡착만으로는 충분히 제거할 수 없다. 본 논문에서는 상용 제올라이트의 흡착능을 통한 암모늄이온의 제거 효율과 미생물의 생물학적 메커니즘을 통한 제거효율을 비교하였다. 추가적으로 제올라이트에 미생물을 고정하여 화학적 흡착 및 생물학적 전환 기술을 병합하여 그 효율을 비교하였다. 그 결과 100 ppm 기준 상용 제올라이트의 경우 2-4 h 사이에 67-81%의 제거효율을 보이는데 반해 선정 미생물인 Klebsiella pneumoniae subsp. Pneumoniae를 이용한 경우 8 h 내에 최대 97%의 제거 효율을 나타냈었다. 그리고 미생물을 제올라이트에 고정시켰을 때 8 h 이내에 98.5%로 제거 효율 및 속도가 증가하는 것을 확인할 수 있었다.

항암제의 치료 효율성을 높이기 위한 다양한 자극 응답성 물질이 개질된 키토산 마이셀의 응용성 고찰 (Application of Stimuli-responsive Chitosan Micelles for Improved Therapeutic Efficiency of Anticancer Agents)

  • 정경원;박준규;나재운
    • 공업화학
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    • 제29권2호
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    • pp.147-154
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    • 2018
  • 현재 항암제의 낮은 치료 효율과 부작용을 해결하기 위해 고분자 기반의 약물전달체의 연구가 활발하게 진행되고 있다. 기존의 고분자기반의 약물 전달체는 우수한 결과를 보이는 등 상당한 진전이 있었음에도 불구하고, 대부분 혈중에서 안정성이 감소하여 표적 부위에 도달하기 전에 약물이 방출될 뿐만 아니라 오랜 시간 동안에 약물을 방출함으로써 부작용 및 낮은 치료 효율을 초래한다는 문제점을 가지고 있다. 본 총론에서는 이러한 비효율적인 약물 방출의 문제점을 개선하기 위한 방법으로 독성이 없고 생체 적합한 천연 고분자 키토산에 자극 응답성 물질을 도입하여 혈중에서 안정성을 높이고 표적 부위에서 약물을 과다 방출하여 치료 효율을 극대화할 수 있는 방법을 제시하고자 한다.

SOP (Search of Omics Pathway): A Web-based Tool for Visualization of KEGG Pathway Diagrams of Omics Data

  • Kim, Jun-Sub;Yeom, Hye-Jung;Kim, Seung-Jun;Kim, Ji-Hoon;Park, Hye-Won;Oh, Moon-Ju;Hwang, Seung-Yong
    • Molecular & Cellular Toxicology
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    • 제3권3호
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    • pp.208-213
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    • 2007
  • With the help of a development and popularization of microarray technology that enable to us to simultaneously investigate the expression pattern of thousands of genes, the toxicogenomics experimenters can interpret the genome-scale interaction between genes exposed in toxicant or toxicant-related environment. The ultimate and primary goal of toxicogenomics identifies functional context among the group of genes that are differentially or similarly coexpressed under the specific toxic substance. On the other side, public reference databases with transcriptom, proteom, and biological pathway information are needed for the analysis of these complex omics data. However, due to the heterogeneous and independent nature of these databases, it is hard to individually analyze a large omics annotations and their pathway information. Fortunately, several web sites of the public database provide information linked to other. Nevertheless it involves not only approriate information but also unnecessary information to users. Therefore, the systematically integrated database that is suitable to a demand of experimenters is needed. For these reasons, we propose SOP (Search of Omics Pathway) database system which is constructed as the integrated biological database converting heterogeneous feature of public databases into combined feature. In addition, SOP offers user-friendly web interfaces which enable users to submit gene queries for biological interpretation of gene lists derived from omics experiments. Outputs of SOP web interface are supported as the omics annotation table and the visualized pathway maps of KEGG PATHWAY database. We believe that SOP will appear as a helpful tool to perform biological interpretation of genes or proteins traced to omics experiments, lead to new discoveries from their pathway analysis, and design new hypothesis for a next toxicogenomics experiments.

계절별 기상조건에 따른 사고시나리오 모델링 발전방안 - 염소 누출사고를 중심으로 - (Development Plan of Accident Scenario Modeling Based on Seasonal Weather Conditions - Focus on Chlorine Leakage Accident -)

  • 김현섭;전병한
    • 한국산학기술학회논문지
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    • 제18권10호
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    • pp.733-738
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    • 2017
  • 본 연구에서는 여러 사업장에서 많이 사용되는 대표적 독성 물질인 염소를 누출 물질로 선정하여 화학사고 통계자료에 따라 사고 발생 빈도가 높은 여름철 기상조건을 인자로 한 대안의 시나리오와 기존의 시행방법인 연평균 기상조건을 인자로 한 대안의 시나리오 비교분석을 통해 개선방안을 제시하고자 하였다. 2014년 1월부터 2016년 12월까지 발생한 총 296건의 화학 사고를 분석한 결과 사계절 중 여름에 가장 많은 사고가 발생하는 것으로 조사되었으며 전체 사고 발생건수의 35.81%를 차지하였다. 실제 염소를 취급하는 사업장을 대상으로 위험성 평가 결과 2016년의 경우 연평균 기상조건하에서 산출된 영향범위는 발생원으로부터 반경 712.4 m, 영향범위 내 주민 수는 20,090 명이였으며, 여름철 평균 기상조건하에서 산출된 영향범위는 발생원으로부터 반경 796.2 m, 영향범위 내 주민 수는 27,143 명으로 나타났다. 이와 같은 결과는 특정 조건하에서 현 대안의 시나리오 상의 영향범위가 포괄할 수 없는 부분이 존재함을 의미한다. 따라서 화학 물질별 특성을 고려한 Case Risk Assessment가 이루어져야 한다는 위험성 평가 제도의 발전방향을 제시한다.

NITRIC OXIDE와 치수 (NITRIC OXIDE AND DENTAL PULP)

  • 김영경;김성교
    • Restorative Dentistry and Endodontics
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    • 제27권5호
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    • pp.543-551
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    • 2002
  • Nitric oxide (NO) is a small molecule (mol. wt. 30 Da) and oxidative free radical. It is uncharged and can therefore diffuse freely within and between cells across membrane. Such characteristics make it a biologically important messenger in physiologic processes such as neurotransmission and the control of vascular tone. NO is also highly toxic and is known to acts as a mediator of cytotoxicity during host defense. NO is synthesized by nitric oxide synthase (NOS) through L-arginine/nitric oxide pathway which is a dioxygenation process. NO synthesis involves several participants, three co-substrates, five electrons, five co-factors and two prosthetic groups. Under normal condition, low levels of NO are synthesized by type I and III NOS for a short period of time and mediates many physiologic processes. Under condition of oxidant stress, high levels of NO are synthesized by type II NOS and inhibits a variety of metabolic processes and can also cause direct damage to DNA. Such interaction result in cytostasis, energy depletion and ultimately cell death. NO has the potential to interact with a variety of intercellular targets producing diverse array of metabolic effects. It is known that NO is involved in hemodynamic regulation, neurogenic inflammation, re-innervation, management of dentin hypersensitivity on teeth. Under basal condition of pulpal blood flow, NO provides constant vasodilator tone acting against sympathetic vasoconstriction. Substance P, a well known vasodilator, was reported to be mediated partly by NO, while calcitonin-gene related peptide has provided no evidence of its relation with NO. This review describes the roles of NO in dental pulp in addition to the known general roles of it.

1-브로모프로판의 노출 실태와 역학조사에 따른 노출기준 강화에 관한 연구 (Strengthening the Occupational Exposure Limit for 1-Bromopropane according to the Results of Epidemiological Studies and Exposure Status)

  • 하권철;김승원;피영규;이나루
    • 한국산업보건학회지
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    • 제30권3호
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    • pp.270-279
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    • 2020
  • Objective: The aim of this study was to propose revision of the occupational exposure limit(OEL) for 1-Bromopropane(1-BP) following a review of the appropriateness of the standard in light of increasing epidemiological data and handling risk. Materials and Methods: The results of toxicity and epidemiologic investigations for 1-BP and agencies' OELs were compared and reviewed through a literature review. In order to investigate the status of 1-BP handling in South Korea, data from work environment actual condition survey results and work environment measurement results were used. Results: The toxicity of 1-BP, such as central nervous system(CNS) damage, peripheral neuropathy, hematological adverse effects, and developmental and reproductive toxicity(male and female) has been reported. ACGIH recommends 0.1 ppm as a TLV-TWA value, but the OEL of South Korea stands at 25 ppm, which is 250 times higher than the TLV-TWA. Although 1-BP is a specially managed substance under the Industrial Safety and Health Law, the currently applied OEL cannot be said to be a safe level based on the results of epidemiological studies to date. In a work environment measurement in 2017, the total number of samples was 626, which were derived from 78 industries, and the average concentration was 1.173 ppm(standard deviation 2.88). Conclusions: To protect the health of workers handling 1-BP, estimated to be 780 in South Korea, it is necessary to strengthen the OEL(TWA) to a level of 0.3 ppm(lower than the 0.34 ppm with known toxic effects), which is believed to be safe as a result of epidemiological investigation. "Skin" notation should be recommended.

농산물 및 경작지 토양 시료 중 Benzo(a)pyrene 신속잔류분석법 개선 연구 (A Study on Rapid Residual Analysis of Benzo(a)pyrene in Agricultural Products and Soils)

  • 김희곤;함헌주;홍경숙;신희창;허장현
    • 한국환경농학회지
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    • 제39권1호
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    • pp.44-49
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    • 2020
  • BACKGROUND: Benzo(a)pyrene is a highly toxic substance which has been listed as a Group I carcinogen by the International Agency for Research on Cancer. There have been numerous studies by researchers worldwide on benzo(a)pyrene. Soxhlet, ultrasound-assisted, and liquid-liquid extractions have been widely used for the analysis of benzo(a)pyrene. However these extraction methods have significant drawbacks, such as long extraction time and large amount of solvent usage. To overcome these disadvantages, we aimed to establish a rapid residual analysis of benzo(a)pyrene content in agricultural products and soil samples. METHODS AND RESULTS: A Quick, Easy, Cheap, Effective, Rugged, and Safe (QuEChERS) method was used as the pretreatment procedure. For rapid residual analysis of benzo(a)pyrene, a modified QuEChERS method were used, and the best codition was demonstrated after various performing instrument analysis. The extraction efficiency of this method was also compared with Soxhlet extraction, the current benzo(a)pyrene extracting method. Although both methods showed high recovery rates, the rapid residual analysis method markedly reduced both the measurement time and solvent usage by approximately 97% and 96%, respectively. CONCLUSION: Based on these results, we suggest the rapid residual analysis method established through this study, faster and more efficient analysis of residual benzo(a)pyrene in major agricultural products such as rice, green and red chili peppers and also soil samples.

Subchronic Inhalation Toxicity of Trichloroacetonitrile on the Sprague Dawley Rats

  • Han, Jeong-Hee;Chung, Yong-Hyun;Lim, Cheol-Hong
    • Toxicological Research
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    • 제31권2호
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    • pp.203-211
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    • 2015
  • Trichloroacetonitrile is used as an intermediate in insecticides, pesticides, and dyes. In Korea alone, over 10 tons are used annually. Its oral and dermal toxicity is classified as category 3 according to the globally harmonized system of classification and labelling of chemicals, and it is designated a toxic substance by the Ministry of Environment in Korea. There are no available inhalation toxicity data on trichloroacetonitrile. Thus, the present study performed inhalation tests to provide data for hazard and risk assessments. Sprague-Dawley rats were exposed to trichloroacetonitrile at concentrations of 4, 16, or 64 ppm for 6 hour per day 5 days per week for 13 weeks in a repeated study. As a result, salivation, shortness of breath, and wheezing were observed, and their body weights decreased significantly (p < 0.05) in the 16 and 64 ppm groups. All the rats in 64 ppm group were dead or moribund within 4 weeks of the exposure. Some significant changes were observed in blood hematology and serum biochemistry (e.g., prothrombin time, ratio of albumin and globulin, blood urea nitrogen, and triglycerides), but the values were within normal physiological ranges. The major target organs of trichloroacetonitrile were the nasal cavity, trachea, and lungs. The rats exposed to 16 ppm showed moderate histopathological changes in the transitional epithelium and olfactory epithelium of the nasal cavity. Nasal-associated lymphoid tissue (NALT) and respiratory epithelium were also changed. Respiratory lesions were common in the dead rats that had been exposed to the 64 ppm concentration. The dead animals also showed loss of cilia in the trachea, pneumonitis in the lung, and epithelial hyperplasia in the bronchi and bronchioles. In conclusion, the no-observed-adverse-effect level (NOAEL) was estimated to be 4 ppm. The main target organs of trichloroacetonitrile were the nasal cavity, trachea, and lungs.

어린이 용품 중 프탈레이트류 함유량 및 전이량 분석방법 고찰 (Analytical method of phthalates in children's products)

  • 강영렬;신선경;박진수;김우일;전진원;허화진;구소현
    • 분석과학
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    • 제23권4호
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    • pp.357-362
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    • 2010
  • 프탈레이트 가소제는 환경보건법의 환경유해인자로서 인체발암물질로 분류되어 있지는 않으나 경구, 경피, 흡입 등의 경로로 체내에 흡수되어 종양발생, 변이원성, 생식독성을 나타내는 물질로 알려져 있어, 일부 국가에서는 어린이 용품 중 사용을 금지하는 물질이다. 따라서 본 연구에서는 어린이 제품에 함유된 프탈레이트류 8종에 대한 함유량 및 전이량 분석방법을 정립하고자 국내 및 미국, 일본, 유럽연합 등 국외 어린이용품에 관련된 인체 전이율 분석방법을 파악하고, 기존 연구에서 제시된 시험방법을 비교, 검토하였으며, 이를 토대로 표준화된 시험방법을 제안하였다. 또한 어린이용품에 함유된 프탈레이트의 최종 노출량을 산정하기 위해 제안된 시험방법에 따라 함유량과 전이량을 분석하고 그 상관관계를 파악하였으나 상관성이 없는 것으로 조사되었다.