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Chemical colitis caused by hydrogen peroxide enema in a child: case report and literature review. 儿童过氧化氢灌肠致化学性结肠炎1例报告并文献复习。
Q3 Medicine Pub Date : 2018-02-27 eCollection Date: 2018-01-01 DOI: 10.5620/eht.e2018005
Joon Sang Lee, Jung Kyung Yoo
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引用次数: 0
Comparative study of oxidative stress caused by anthracene and alkyl-anthracenes in Caenorhabditis elegans. 蒽和烷基蒽引起秀丽隐杆线虫氧化应激的比较研究。
Q3 Medicine Pub Date : 2018-02-26 eCollection Date: 2018-01-01 DOI: 10.5620/eht.e2018006
Ji-Yeon Roh, Pil-Gon Kim, Jung-Hwan Kwon

Oxidative stress was evaluated for anthracene (Ant) and alkyl-Ants (9-methylanthracene [9-MA] and 9,10-dimethylanthracene [9,10-DMA]) in Caenorhabditis elegans to compare changes in toxicity due to the degree of alkylation. Worms were exposed at 1) the same external exposure concentration and 2) the maximum water-soluble concentration. Formation of reactive oxygen species, superoxide dismutase activity, total glutathione concentration, and lipid peroxidation were determined under constant exposure conditions using passive dosing. The expression of oxidative stress-related genes (daf-2, sir-2.1, daf-16, sod-1, sod-2, sod-3 and cytochrome 35A/C family genes) was also investigated to identify and compare changes in the genetic responses of C. elegans exposed to Ant and alkyl-Ant. At the same external concentration, 9,10-DMA induced the greatest oxidative stress, as evidenced by all indicators, except for lipid peroxidation, followed by 9-MA and Ant. Interestingly, 9,10-DMA led to greater oxidative stress than 9-MA and Ant when worms were exposed to the maximum water-soluble concentration, although the maximum water-soluble concentration of 9,10-DMA is the lowest. Increased oxidative stress by alkyl-Ants would be attributed to higher lipid-water partition coefficient and the π electron density in aromatic rings by alkyl substitution, although this supposition requires further confirmation.

评价了秀丽隐杆线虫中蒽(Ant)和烷基-蚂蚁(9-甲基蒽[9- ma]和9,10-二甲基蒽[9,10- dma])的氧化应激,比较烷基化程度对其毒性的影响。线虫暴露在1)相同的外部暴露浓度和2)最大水溶性浓度下。在被动给药的持续暴露条件下,测定活性氧的形成、超氧化物歧化酶活性、总谷胱甘肽浓度和脂质过氧化。我们还研究了氧化应激相关基因(daf-2、sir-2.1、daf-16、sod-1、sod-2、sod-3和细胞色素35A/C家族基因)的表达,以鉴定和比较秀丽隐杆线虫暴露于Ant和烷基蚂蚁后的遗传反应变化。在相同外源浓度下,9,10- dma诱导的氧化应激最大,除脂质过氧化外,其余依次为9- ma和Ant。有趣的是,尽管9,10- dma的最大水溶性浓度最低,但当蠕虫暴露于最大水溶性浓度时,9,10- dma导致的氧化应激比9- ma和Ant更大。烷基蚂蚁氧化应激增加的原因可能是脂水分配系数和烷基取代后芳香环的π电子密度增加,但这一假设有待进一步证实。
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引用次数: 3
Health effects of environmental pollution in population living near industrial complex areas in Korea. 韩国工业园区附近居民的环境污染对健康的影响。
Q3 Medicine Pub Date : 2018-01-16 eCollection Date: 2018-01-01 DOI: 10.5620/eht.e2018004
Sang-Yong Eom, Jonghyuk Choi, Sanghyuk Bae, Ji-Ae Lim, Guen-Bae Kim, Seung-Do Yu, Yangho Kim, Hyun-Sul Lim, Bu-Soon Son, Domyung Paek, Yong-Dae Kim, Heon Kim, Mina Ha, Ho-Jang Kwon

Several epidemiological studies have reported an association between environmental pollution and various health conditions in individuals residing in industrial complexes. To evaluate the effects of pollution from industrial complex on human health, we performed a pooled analysis of environmental epidemiologic monitoring data for residents living near national industrial complexes in Korea. The respiratory and allergic symptoms and the prevalence of acute and chronic diseases, including cancer, were used as the outcome variables for health effects. Multiple logistic regression analysis was used to analyze the relationship between exposure to pollution from industrial complexes and health conditions. After adjusting for age, sex, smoking status, occupational exposure, level of education, and body mass index, the residents near the industrial complexes were found to have more respiratory symptoms, such as cough (odds ratio [OR], 1.18; 95% confidence interval [CI], 1.06 to 1.31) and sputum production (OR, 1.13; 95% CI, 1.03 to 1.24), and symptoms of atopic dermatitis (OR, 1.10; 95% CI, 1.01 to 1.20). Among residents of the industrial complexes, the prevalence of acute eye disorders was approximately 40% higher (OR, 1.39; 95% CI, 1.04 to 1.84) and the prevalence of lung and uterine cancer was 3.45 times and 1.88 times higher, respectively, than those among residents of the control area. This study showed that residents living in the vicinity of industrial complexes have a high risk of acute and chronic diseases including respiratory and allergic conditions. These results can be used as basic objective data for developing health management measures for individuals residing near industrial complexes.

一些流行病学研究报告了居住在工业园区的个人的环境污染与各种健康状况之间的联系。为了评估工业园区污染对人类健康的影响,我们对居住在韩国国家工业园区附近的居民的环境流行病学监测数据进行了汇总分析。呼吸道和过敏症状以及急性和慢性疾病(包括癌症)的患病率被用作健康影响的结果变量。采用多元logistic回归分析分析了工业园区污染暴露与健康状况之间的关系。在调整年龄、性别、吸烟状况、职业暴露、教育程度和体重指数等因素后,工业园区附近居民出现咳嗽等呼吸道症状较多(优势比[OR], 1.18;95%可信区间[CI], 1.06至1.31)和痰液产生(OR, 1.13;95% CI, 1.03 - 1.24),以及特应性皮炎的症状(OR, 1.10;95% CI, 1.01 ~ 1.20)。在工业园区的居民中,急性眼病的患病率大约高出40% (OR, 1.39;95% CI(1.04 ~ 1.84),肺癌和子宫癌患病率分别是对照区居民的3.45倍和1.88倍。该研究结果表明,居住在工业园区附近的居民患呼吸道疾病和过敏性疾病等急慢性疾病的风险很高。这些结果可作为制定工业园区周边居民健康管理措施的基本客观数据。
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引用次数: 10
Measurement and modeling of indoor radon concentrations in residential buildings. 住宅建筑室内氡浓度的测量与模拟。
Q3 Medicine Pub Date : 2018-01-08 eCollection Date: 2018-01-01 DOI: 10.5620/eht.e2018003
Ji Hyun Park, Sungim Whang, Hyun Young Lee, Cheol-Min Lee, Dae Ryong Kang

Radon, the primary constituent of natural radiation, is the second leading environmental cause of lung cancer after smoking. To confirm a relationship between indoor radon exposure and lung cancer, estimating cumulative levels of exposure to indoor radon for an individual or population is necessary. This study sought to develop a model for estimate indoor radon concentrations in Korea. Especially, our model and method may have wider application to other residences, not to specific site, and can be used in situations where actual measurements for input variables are lacking. In order to develop a model, indoor radon concentrations were measured at 196 ground floor residences using passive alpha-track detectors between January and April 2016. The arithmetic mean (AM) and geometric mean (GM) means of indoor radon concentrations were 117.86±72.03 and 95.13±2.02 Bq/m3, respectively. Questionnaires were administered to assess the characteristics of each residence, the environment around the measuring equipment, and lifestyles of the residents. Also, national data on indoor radon concentrations at 7643 detached houses for 2011-2014 were reviewed to determine radon concentrations in the soil, and meteorological data on temperature and wind speed were utilized to approximate ventilation rates. The estimated ventilation rates and radon exhalation rates from the soil varied from 0.18 to 0.98/hr (AM, 0.59±0.17/hr) and 326.33 to 1392.77 Bq/m2/hr (AM, 777.45±257.39; GM, 735.67±1.40 Bq/m2/hr), respectively. With these results, the developed model was applied to estimate indoor radon concentrations for 157 residences (80% of all 196 residences), which were randomly sampled. The results were in better agreement for Gyeonggi and Seoul than for other regions of Korea. Overall, the actual and estimated radon concentrations were in better agreement, except for a few low-concentration residences.

氡是自然辐射的主要成分,是继吸烟之后导致肺癌的第二大环境因素。为了确认室内氡暴露与肺癌之间的关系,有必要估计个人或人群的室内氡累积暴露水平。本研究试图建立一个模型来估计韩国室内氡浓度。特别是,我们的模型和方法可以更广泛地应用于其他住宅,而不是特定的地点,并且可以用于缺乏输入变量实际测量的情况。为了建立一个模型,在2016年1月至4月期间,使用被动α轨道探测器测量了196个底层住宅的室内氡浓度。室内氡浓度的算术平均值(AM)为117.86±72.03 Bq/m3,几何平均值(GM)为95.13±2.02 Bq/m3。通过问卷调查来评估每个住宅的特征、测量设备周围的环境和居民的生活方式。此外,还审查了2011-2014年7643所独立住宅室内氡浓度的国家数据,以确定土壤中的氡浓度,并利用温度和风速的气象数据来估算通风率。土壤通风量和氡呼出率分别为0.18 ~ 0.98 Bq/ hr (AM, 0.59±0.17/hr)和326.33 ~ 1392.77 Bq/m2/hr (AM, 777.45±257.39);GM = 735.67±1.40 Bq/m2/hr)。根据这些结果,将开发的模型应用于随机抽样的157个住宅(占全部196个住宅的80%)的室内氡浓度估计。与其他地区相比,京畿道和首尔的结果更为一致。总体而言,除少数低浓度住宅外,实际氡浓度和估计氡浓度比较吻合。
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引用次数: 6
Thanks to our authors, reviewers, editors, and Prof. Ha. 感谢我们的作者、审稿人、编辑和Ha教授。
Q3 Medicine Pub Date : 2018-01-01 DOI: 10.5620/eht.e2018001
Jung-Hwan Kwon
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引用次数: 0
Use of adverse outcome pathways in chemical toxicity testing: potential advantages and limitations. 化学毒性试验中不良结果通路的使用:潜在的优点和局限性。
Q3 Medicine Pub Date : 2017-12-30 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2018002
Jaeseong Jeong, Jinhee Choi

Amid revolutionary changes in toxicity assessment brought about by increasing regulation of chemicals, adverse outcome pathways (AOPs) have emerged as a useful framework to assess adverse effect of chemicals using molecular level effect, which aid in setting environmental regulation policies. AOPs are biological maps that describe mechanisms linking molecular initiating event to adverse outcomes (AOs) at an individual level. Each AOP consists of a molecular initiating event, key events, and an AO. AOPs use molecular markers to predict endpoints currently used in risk assessment, promote alternatives to animal model-based test methods, and provide scientific explanations for the effects of chemical exposures. Moreover, AOPs enhance certainty in interpreting existing and new information. The application of AOPs in chemical toxicity testing will help shift the existing paradigm of chemical management based on apical endpoints toward active application of in silico and in vitro data.

随着对化学品监管的不断加强,毒性评估发生了革命性的变化,不良后果途径(adverse outcome pathways, AOPs)作为一种利用分子水平效应评估化学品不良影响的有用框架应运而生,有助于制定环境监管政策。AOPs是描述在个体水平上将分子启动事件与不良结果(AOs)联系起来的机制的生物学图谱。每个AOP由一个分子启动事件、关键事件和一个AO组成。AOPs使用分子标记来预测目前用于风险评估的终点,促进替代基于动物模型的测试方法,并为化学品暴露的影响提供科学解释。此外,aop提高了解释现有信息和新信息的确定性。AOPs在化学毒性测试中的应用将有助于将现有的基于顶点端点的化学管理范式转变为积极应用计算机和体外数据。
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引用次数: 17
Role of local government in responding to environmental health challenges: a case study of Chungnam. 地方政府在应对环境健康挑战中的作用:以忠南为例。
Q3 Medicine Pub Date : 2017-11-24 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2017023
Hyung-Nam Myung, Hoo-Young Lee

The purpose of this study is to introduce the establishment process, policy target, and projects for "Chungnam's master plan on environmental health policy (2017-2020)" as the local government's role in addressing local environmental health challenges. We first analyzed existing studies and social issues on the media related to "Chungnam's master plan" to understand Chungnam's environmental health status and discussed domestic and international policy trends and related plans. An environmental health perception questionnaire survey and a Delphi expert questionnaire survey were conducted among provincial residents to collect various actors' opinions on Chungnam's environmental health issues and policy. An expert advisory panel was launched, and a residents' voice workshop and cities-and-guns-policy-suggestion workshop were held. The vision of Chungnam's environmental health policy is minimizing environmental hazards. We finally selected "Pleasant environment, healthy people, happy Chungnam" to represent the will to shape a pleasant environment and prevent and manage health damages for a happy Chungnam. We selected five strategies based on status analysis and a review of domestic and international policy trends and related plans and identified 2 targets (policy objectives) to accomplish the strategies. The strategies to achieve the first target, "Leader in environmental health policy: Chungnam," include 'Empowering active provincial capabilities,' 'Setting up province-specific systems for environmental health surveys and research,' and 'Preventing and managing newly emerging pollutants.' The strategies for the second target, "Everyone is healthy: Chungnam," include 'Relieving health inequalities among vulnerable regions and residents' and 'Enlarging the resident-friendly environmental health policy.' We developed 29 projects in total, according to these strategies. The establishment of "Chungnam's master plan" is highly valuable; we developed it through discussion involving diverse actors to address environmental health challenges together. It is necessary to continue to strengthen participation, communication, and cooperation among actors to develop an environmental health policy model for the future.

本研究的目的是介绍“忠南环境健康政策总体规划(2017-2020)”的制定过程、政策目标和项目,以及地方政府在应对地方环境健康挑战中的作用。我们首先分析了与“忠南总体规划”相关的现有研究和媒体上的社会问题,了解忠南的环境健康状况,并讨论了国内外的政策趋势和相关计划。通过环境健康感知问卷调查和德尔菲专家问卷调查,收集各行为主体对忠南地区环境健康问题和政策的意见。成立了专家咨询小组,举办了居民发声研讨会和城市与枪支政策建议研讨会。忠南环境健康政策的目标是将环境危害最小化。我们最终选择了“宜人的环境、健康的人、快乐的忠南”,代表了营造宜人的环境、预防和管理健康损害的意愿,以建设幸福的忠南。我们根据现状分析和对国内外政策趋势及相关计划的回顾,选择了五项战略,并确定了两项目标(政策目标)来实现这些战略。实现第一个目标“环境健康政策的领导者:忠南”的战略包括“加强地方积极力量”、“建立地方环境健康调查和研究体系”、“防止和管理新出现的污染物”。第二个目标“人人健康:忠南”的战略包括“消除脆弱地区和居民之间的健康不平等”和“扩大对居民友好的环境健康政策”。根据这些策略,我们总共开发了29个项目。“忠南总体规划”的制定具有很高的价值;我们通过让不同行为者参与讨论,共同应对环境卫生挑战,制定了该计划。必须继续加强行动者之间的参与、沟通和合作,为未来制定环境卫生政策模式。
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引用次数: 3
Modeling the effects of pollutant emissions from large industrial complexes on benzene, toluene, and xylene concentrations in urban areas. 模拟大型工业园区污染物排放对城市地区苯、甲苯和二甲苯浓度的影响。
Q3 Medicine Pub Date : 2017-11-20 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2017022
Jin-Hee Bang, Inbo Oh, Soontae Kim, Seunghee You, Yangho Kim, Ho-Jang Kwon, Geun-Bae Kim

This study utilized the Community Multiscale Air Quality model to simulate the spatial distribution of benzene, toluene, and xylene (BTX) concentrations from large national industrial complexes (IC) located in the Ulsan metropolitan region (UMR). Through controlling pollutant emissions from major IC, this study performed a quantitative analysis of the influence of pollutant emissions on BTX concentrations in surrounding urban areas. The results showed that approximately 40% of the annual average BTX concentrations in nearby urban grids were directly influenced by pollutant emissions from the IC. Seasonal modeling results indicated that average BTX concentrations were high around petrochemical complexes, with higher concentrations in the surrounding urban areas during the summer (July). All three of the BTX pollutants showed similar seasonal differences. Daily contributions differed significantly throughout the modeling period, with some values reaching a maximum of 80% during July. Overall, when urban areas were located downwind of the IC, contributions rose. Moreover, this study compared the differences in BTX contributions at each measurement point within the IC and urban areas, which showed that the influence of the IC emissions decreased significantly with distance. The spatial distribution and direct influence of the IC on BTX concentrations in the UMR identified through this study could be used to provide input data in environmental epidemiological studies.

本研究利用社区多尺度空气质量模型模拟了蔚山都市圈(UMR)大型国家工业园区(IC)苯、甲苯和二甲苯(BTX)浓度的空间分布。本研究通过控制主要城市的污染物排放,定量分析污染物排放对周边城市BTX浓度的影响。结果表明,附近城市电网中约40%的年平均BTX浓度直接受到IC污染物排放的影响。季节模拟结果表明,石化综合体周围的平均BTX浓度较高,夏季(7月)周围城市地区的浓度较高。所有三种BTX污染物都表现出相似的季节性差异。在整个建模期间,日贡献率差异显著,7月份的一些值达到80%的最大值。总体而言,当城市地区位于中心的下风位置时,贡献增加。此外,本研究还比较了IC内与城市区域内各测点BTX贡献的差异,结果表明IC排放的影响随距离的增加而显著降低。本研究确定的IC对UMR中BTX浓度的空间分布及其直接影响可为环境流行病学研究提供输入数据。
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引用次数: 4
Importance of indoor dust biological ultrafine particles in the pathogenesis of chronic inflammatory lung diseases. 室内粉尘生物超细颗粒在慢性炎症性肺病发病机制中的重要性。
Q3 Medicine Pub Date : 2017-11-17 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2017021
Jinho Yang, Yoon-Keun Kim, Tae Soo Kang, Young-Koo Jee, You-Young Kim

The role of infectious agents in the etiology of inflammatory diseases once believed to be non-infectious is increasingly being recognized. Many bacterial components in the indoor dust can evoke inflammatory lung diseases. Bacteria secrete nanometer-sized vesicles into the extracellular milieu, so-called extracellular vesicles (EV). which are pathophysiologically related to inflammatory diseases. Microbiota compositions in the indoor dust revealed the presence of both Gram-negative and Gram-positive bacteria. Escherichia coli is a model organism of Gram-negative Enterobacteriaceae. The repeated inhalation of E. coli-derived EVs caused neutrophilic inflammation and emphysema in a dose-dependent manner. The emphysema induced by E. coli-derived EVs was partially eliminated by the absence of Interferon-gamma or interleukin-17, suggesting that Th1 and/or Th17 cell responses are important in the emphysema development. Meanwhile, the repeated inhalation of Staphylococcus aureus-derived EVs did not induce emphysema, although they induced neutrophilic inflammation in the lung. In terms of microbial EV compositions in the indoor dust, genera Pseudomonas, Acinetobacter, Enterobacter, and Staphylococcus were dominant. As for the clinical significance of sensitization to EVs in the indoor dust, EV sensitization was closely associated with asthma, chronic obstructive pulmonary disorder (COPD), and lung cancer. These data indicate that biological ultrafine particles in the indoor dust, which are mainly composed of microbial EVs, are important in the pathogenesis of chronic lung diseases associated with neutrophilic inflammation. Taken together, microbial EVs in the indoor dust are an important diagnostic and therapeutic target for the control of chronic lung diseases, such as asthma, COPD, and lung cancer.

曾经被认为是非传染性的炎症性疾病的病因学中,感染因子的作用越来越被认识到。室内灰尘中的许多细菌成分可引起炎症性肺病。细菌分泌纳米大小的囊泡进入细胞外环境,即所谓的细胞外囊泡(EV)。它们在病理生理上与炎症性疾病有关。室内粉尘的微生物组成显示革兰氏阴性菌和革兰氏阳性菌的存在。大肠杆菌是革兰氏阴性肠杆菌科的一种模式生物。反复吸入大肠杆菌衍生的ev可引起嗜中性粒细胞炎症和肺气肿,并呈剂量依赖性。大肠杆菌衍生的ev诱导的肺气肿由于缺乏干扰素- γ或白细胞介素-17而被部分消除,这表明Th1和/或Th17细胞反应在肺气肿的发展中很重要。同时,反复吸入金黄色葡萄球菌衍生的ev不会诱发肺气肿,但会引起肺部中性粒细胞炎症。室内粉尘中EV微生物组成以假单胞菌属、不动杆菌属、肠杆菌属和葡萄球菌属为主。关于室内粉尘中EV致敏的临床意义,EV致敏与哮喘、慢性阻塞性肺疾病(COPD)、肺癌密切相关。这些数据表明,室内粉尘中主要由微生物ev组成的生物超细颗粒在嗜中性粒细胞炎症相关慢性肺部疾病的发病机制中起重要作用。综上所述,室内粉尘中的微生物ev是控制哮喘、COPD、肺癌等慢性肺部疾病的重要诊断和治疗靶点。
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引用次数: 27
Economic evaluation of environmental epidemiological projects in national industrial complexes. 民族工业园区环境流行病学项目经济评价。
Q3 Medicine Pub Date : 2017-11-13 eCollection Date: 2017-01-01 DOI: 10.5620/eht.e2017020
Youngchul Shin

In this economic evaluation of environmental epidemiological monitoring projects, we analyzed the economic feasibility of these projects by determining the social cost and benefit of these projects and conducting a cost/benefit analysis. Here, the social cost was evaluated by converting annual budgets for these research and survey projects into present values. Meanwhile, the societal benefit of these projects was evaluated by using the contingent valuation method to estimate the willingness-to-pay of residents living in or near industrial complexes. In addition, the extent to which these projects reduced negative health effects (i.e., excess disease and premature death) was evaluated through expert surveys, and the analysis was conducted to reflect the unit of economic value, based on the cost of illness and benefit transfer method. The results were then used to calculate the benefit of these projects in terms of the decrease in negative health effects. For residents living near industrial complexes, the benefit/cost ratio was 1.44 in the analysis based on resident surveys and 5.17 in the analysis based on expert surveys. Thus, whichever method was used for the economic analysis, the economic feasibility of these projects was confirmed.

在本次环境流行病学监测项目经济评价中,通过确定项目的社会成本和效益,进行成本效益分析,分析了项目的经济可行性。在这里,社会成本是通过将这些研究和调查项目的年度预算转换为现值来评估的。同时,采用条件评价法对工业园区内及周边居民的支付意愿进行评价。此外,通过专家调查评估了这些项目减少对健康的负面影响(即疾病过多和过早死亡)的程度,并根据疾病成本和利益转移法进行了分析,以反映经济价值单位。然后,这些结果被用来计算这些项目在减少对健康的负面影响方面的好处。对于居住在产业园区附近的居民,居民调查分析的收益/成本比为1.44,专家调查分析的收益/成本比为5.17。因此,无论采用哪种方法进行经济分析,这些项目的经济可行性都得到了证实。
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引用次数: 0
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Environmental Health and Toxicology
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