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Are we being exposed to radiation in the hospital? 我们在医院里受到辐射了吗?
Q3 Medicine Pub Date : 2016-03-14 DOI: 10.5620/eht.e2016005
Yeonghee Kim
X-rays or computed tomography (CT) scans are performed frequently in the hospital for health examination or treatment purposes. Medical radiation involves applying radiation such as X-rays, gamma-rays, or beta rays, injecting radioactive isotopes into the body, or administering them orally to take imaging studies or treat diseases such as cancer. When the human body is exposed to radiation, cells can die, become malignant, or even mutate. If cells die, it can be harmful to tissues or organs. If DNA inside a cell is damaged, the cell can turn to cancer. If DNA damage occurs in a sperm or egg, it can lead to genetic problems such as congenital anomalies in the offspring. Over-the-counter painkillers or cough medicines provide a detailed description of their side effects. In comparison, in Korea, when you undergo X-ray or CT imaging, you are not given an explanation of the harms of radiation exposure or how much radiation you would be exposed to. The rooms in the hospital where radiological exams such as Xrays, CT scans, or angiograms are performed display a sign “Radiation Zone” or “Caution: X-ray Radiation.” However, no explanation on the dose each patient would be exposed to or effects of radiation on health is offered. Moreover, when you undergo a radiological examination multiple times, you cannot learn how much radiation you had been exposed to over a certain period of time (cumulative dose). No one informs you, nor do you have any way to figure it out on your own. According to a case evaluated by the Supreme Court of Korea, when a doctor performs a medical practice on a patient, the doctor is responsible for providing an explanation of the treatment method, its necessity, and expected risks, so that the patient can weigh the benefits and risks sufficiently before deciding whether to receive the treatment. Such a principle also applies to the case of radiation studies. Significant Radiation Can Be Exposure by Imaging Tests
x射线或计算机断层扫描(CT)在医院经常用于健康检查或治疗目的。医疗辐射包括应用x射线、伽马射线或射线等辐射,将放射性同位素注射到体内,或口服放射性同位素进行成像研究或治疗癌症等疾病。当人体暴露在辐射下时,细胞会死亡,变成恶性肿瘤,甚至发生突变。如果细胞死亡,可能会对组织或器官有害。如果细胞内的DNA受损,细胞就会变成癌症。如果精子或卵子出现DNA损伤,可能会导致后代出现先天性异常等遗传问题。非处方止痛药或止咳药详细说明了它们的副作用。相比之下,在韩国,当你接受x光或CT成像时,你不会被告知辐射暴露的危害或你会暴露在多少辐射下。医院里进行x光、CT扫描或血管造影等放射检查的房间都标有“放射线区”或“注意:x射线辐射”。但是,没有解释每个病人将受到的剂量或辐射对健康的影响。此外,当你接受多次放射学检查时,你无法得知你在一段时间内受到了多少辐射(累积剂量)。没有人告诉你,你也没有办法自己弄清楚。根据大法院评价的案例,医生在对患者进行治疗时,有责任向患者解释治疗方法、必要性、可能存在的风险,以便患者充分权衡利弊后决定是否接受治疗。这一原则也适用于辐射研究。显像检查可能会暴露严重的辐射
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引用次数: 4
Humidifier disinfectants, unfinished stories 加湿器杀菌剂,未完的故事
Q3 Medicine Pub Date : 2016-02-28 DOI: 10.5620/eht.e2016004
Yeyong Choi, D. Paek
Once released into the air, humidifier disinfectants became tiny nano-size particles, and resulted in chemical bronchoalveolitis. Families had lost their most beloved members, and even some of them became broken. Based on an estimate of two million potential victims who had experienced adverse effects from the use of humidifier disinfectants, we can say that what we have observed was only the tip of the iceberg. Problems of entire airways, as well as other systemic effects, should be examined, as we know these nano-size particles can irritate cell membranes and migrate into systemic circulation. The story of humidifier disinfectant is not finished yet.
加湿器消毒剂一旦释放到空气中,就会变成微小的纳米级颗粒,导致化学支气管肺泡炎。许多家庭失去了他们最心爱的成员,甚至有些家庭变得支离破碎。根据估计有200万潜在受害者因使用加湿器消毒剂而受到不利影响,我们可以说,我们所观察到的只是冰山一角。应该检查整个气道的问题,以及其他系统影响,因为我们知道这些纳米级颗粒会刺激细胞膜并迁移到体循环中。加湿器消毒液的故事还没有结束。
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引用次数: 10
Time trend of malaria in relation to climate variability in Papua New Guinea 巴布亚新几内亚疟疾与气候变率的时间趋势
Q3 Medicine Pub Date : 2016-02-25 DOI: 10.5620/eht.e2016003
Jae-Won Park, H. Cheong, Y. Honda, M. Ha, Ho Kim, Joel Kolam, K. Inape, I. Mueller
Objectives This study was conducted to describe the regional malaria incidence in relation to the geographic and climatic conditions and describe the effect of altitude on the expansion of malaria over the last decade in Papua New Guinea. Methods Malaria incidence was estimated in five provinces from 1996 to 2008 using national health surveillance data. Time trend of malaria incidence was compared with rainfall and minimum/maximum temperature. In the Eastern Highland Province, time trend of malaria incidence over the study period was stratified by altitude. Spatio-temporal pattern of malaria was analyzed. Results Nationwide, malaria incidence was stationary. Regionally, the incidence increased markedly in the highland region (292.0/100000/yr, p =0.021), and remained stationary in the other regions. Seasonality of the malaria incidence was related with rainfall. Decreasing incidence of malaria was associated with decreasing rainfall in the southern coastal region, whereas it was not evident in the northern coastal region. In the Eastern Highland Province, malaria incidence increased in areas below 1700 m, with the rate of increase being steeper at higher altitudes. Conclusions Increasing trend of malaria incidence was prominent in the highland region of Papua New Guinea, while long-term trend was dependent upon baseline level of rainfall in coastal regions.
本研究旨在描述巴布亚新几内亚地区疟疾发病率与地理和气候条件的关系,并描述海拔对过去十年疟疾蔓延的影响。方法利用全国卫生监测资料,对1996 - 2008年5省疟疾发病情况进行统计。比较了降雨量和最低/最高气温对疟疾发病的时间变化趋势。在东部高原省,研究期间疟疾发病率的时间趋势按海拔分层。分析疟疾时空分布格局。结果全国疟疾发病率平稳。从区域上看,高原地区发病率显著增加(292.0/100000/yr, p =0.021),其他地区保持平稳。疟疾发病的季节性与降雨有关。在南部沿海地区,疟疾发病率的下降与降雨量的减少有关,而在北部沿海地区则不明显。在东部高地省,疟疾发病率在1700米以下地区有所上升,海拔越高,上升速度越快。结论巴布亚新几内亚高原地区疟疾发病率呈明显上升趋势,沿海地区疟疾发病率的长期趋势取决于基线降水水平。
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引用次数: 15
Study on the biodegradation of perfluorooctanesulfonate (PFOS) and PFOS alternatives 全氟辛烷磺酸及其替代品的生物降解研究
Q3 Medicine Pub Date : 2016-01-29 DOI: 10.5620/eht.e2016002
Bong-In Choi, S. Na, Jun-Hyo Son, Dong-Soo Shin, B. Ryu, Kyun-Suk Byeon, Seon-Yong Chung
Objectives In this study, we investigated the biodegradation features of 4 perfluorooctanesulfonate (PFOS) alternatives developed at Changwon National University compared to those of PFOS. Methods Biodegradation testing was performed with microorganisms cultured in the good laboratory practice laboratory of the Korea Environment Corporation for 28 days following the Organization for Economic Cooperation and Development guidelines for the testing of chemicals (Test No. 301 C). Results While C8F17SO3Na, PFOS sodium salt was not degraded after 28 days, the 4 alternatives were biodegraded at the rates of 20.9% for C15F9H21S2O8Na2, 8.4% for C17F9H 25S2O8Na2, 22.6% for C23F18H28S2O8Na2, and 23.6% for C25F17H32O13S3Na3. Conclusions C25F17H32S3O13Na3, C23F18H28S2O8Na2, and C15F9H21S2O8Na2 were superior to PFOS in terms of biodegradation rates and surface tension, and thus they were considered highly applicable as PFOS alternatives. Environmental toxicity, human toxicity, and economic feasibility of these compounds should be investigated prior to their commercialization.
在这项研究中,我们研究了昌原国立大学开发的4种全氟辛烷磺酸(PFOS)替代品的生物降解特性,并与全氟辛烷磺酸进行了比较。方法按照经济合作与发展组织(oecd)化学品试验指南(试验No. 301 C),在韩国环境公司优良实验室培养的微生物进行28 d的生物降解试验。结果28 d后,C8F17SO3Na、PFOS钠盐的生物降解率为20.9%,C15F9H21S2O8Na2的生物降解率为8.4%,c15f9h 25S2O8Na2的生物降解率为8.4%。C23F18H28S2O8Na2为22.6%,C25F17H32O13S3Na3为23.6%。结论C25F17H32S3O13Na3、C23F18H28S2O8Na2和C15F9H21S2O8Na2在生物降解率和表面张力方面均优于PFOS,可作为PFOS的替代品。这些化合物的环境毒性、人体毒性和经济可行性应在其商业化之前进行调查。
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引用次数: 0
Genetic radiation risks: a neglected topic in the low dose debate. 遗传辐射风险:低剂量辩论中一个被忽视的话题。
Q3 Medicine Pub Date : 2016-01-20 eCollection Date: 2016-01-01 DOI: 10.5620/eht.e2016001
Inge Schmitz-Feuerhake, Christopher Busby, Sebastian Pflugbeil

Objectives: To investigate the accuracy and scientific validity of the current very low risk factor for hereditary diseases in humans following exposures to ionizing radiation adopted by the United Nations Scientific Committee on the Effects of Atomic Radiation and the International Commission on Radiological Protection. The value is based on experiments on mice due to reportedly absent effects in the Japanese atomic bomb (Abomb) survivors.

Methods: To review the published evidence for heritable effects after ionising radiation exposures particularly, but not restricted to, populations exposed to contamination from the Chernobyl accident and from atmospheric nuclear test fallout. To make a compilation of findings about early deaths, congenital malformations, Down's syndrome, cancer and other genetic effects observed in humans after the exposure of the parents. To also examine more closely the evidence from the Japanese A-bomb epidemiology and discuss its scientific validity.

Results: Nearly all types of hereditary defects were found at doses as low as one to 10 mSv. We discuss the clash between the current risk model and these observations on the basis of biological mechanism and assumptions about linear relationships between dose and effect in neonatal and foetal epidemiology. The evidence supports a dose response relationship which is non-linear and is either biphasic or supralinear (hogs-back) and largely either saturates or falls above 10 mSv.

Conclusions: We conclude that the current risk model for heritable effects of radiation is unsafe. The dose response relationship is non-linear with the greatest effects at the lowest doses. Using Chernobyl data we derive an excess relative risk for all malformations of 1.0 per 10 mSv cumulative dose. The safety of the Japanese A-bomb epidemiology is argued to be both scientifically and philosophically questionable owing to errors in the choice of control groups, omission of internal exposure effects and assumptions about linear dose response.

目标:调查联合国原子辐射影响问题科学委员会和国际辐射防护委员会目前采用的电离辐射照射后人类遗传性疾病极低风险系数的准确性和科学性。该数值是根据日本原子弹(原子弹爆炸)幸存者据说没有受到影响而对小鼠进行的实验得出的:审查已发表的电离辐射照射后遗传效应的证据,特别是(但不限于)切尔诺贝利事故和大气层核试验尘降物污染的人群。汇编有关父母受辐照后人类早亡、先天畸形、唐氏综合症、癌症和其他遗传影响的研究结果。同时更仔细地研究日本原子弹爆炸流行病学的证据,并讨论其科学性:结果:几乎所有类型的遗传缺陷都是在剂量低至 1 至 10 mSv 时发现的。我们根据生物机制以及新生儿和胎儿流行病学中剂量与效应之间线性关系的假设,讨论了当前风险模型与这些观察结果之间的冲突。证据表明,剂量反应关系是非线性的,要么是双相关系,要么是超线性关系(猪背关系),并且在 10 mSv 以上基本达到饱和或下降:我们的结论是,目前的辐射遗传效应风险模型是不安全的。剂量反应关系是非线性的,最低剂量的影响最大。利用切尔诺贝利的数据,我们得出所有畸形的超额相对风险为每 10 mSv 累积剂量 1.0。日本原子弹流行病学的安全性在科学和哲学上都是值得怀疑的,这是因为在选择对照组、忽略内部暴露效应和假设线性剂量反应方面存在错误。
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引用次数: 0
The humidifier disinfectant incident and the self-examination of environmental toxicology and public health experts 加湿器消毒液事件与环境毒理学和公共卫生专家的自查
Q3 Medicine Pub Date : 2015-12-23 DOI: 10.5620/eht.e2015016
Jong-Ju Ahn
Asian Citizen’s Center for Environment and Health is an environmental non-governmental organization that specializes in the Environment and Public Health sector. On December 21, at the 2015 Citizen’s Awards for Environment and Public Health, they awarded the Citizen’s Award to 3 members of the UK overseas protest group for victims of humidifier disinfectant, and to Seong-Woo Ahn, who led the Busan-to-Seoul bicycle protest for the same cause. Having heard this news, it fills me with anger that our society still does not know the total number of humidifier disinfectant victims, and that Oxy Reckitt Benckiser and the other companies at fault have offered neither an apology nor any other form of compensation. Resolving the incident of mass deaths caused by humidifier disinfectant required contributions not only from physicians and epidemiologists, but also from environmental toxicologists. The fact that toxicologists were able to perform such a positive role, from another perspective, means that they might have been able to recognize the causes of widespread lung damage occurring in pregnant women and children at an earlier stage, before the incident grew in scale. Given that about 8 million people in South Korea are estimated to have used humidifier disinfectant, clearly this number will also include several toxicologists and public health experts. If even one of them had suspected that the toxic chemicals in disinfectants, such as polyhexamethylene guanidine and oligo(2-(2-ethoxy)ethoxyethyl guanidine, could damage the body when inhaled through the lungs, this disaster might have been prevented. I was in charge of editing the “White Paper on the Health-related Damage Caused by Humidifier Disinfectant,” published in December 2014 under the aegis and support of the Ministry of Health and Welfare’s Centers for Disease Control and Prevention, and in the Introduction to that paper, I described the incident as a “household-goods disaster born of corporate complacency and institutional paralysis.” The purpose of defining the nature of the incident and publishing a white paper is to create awareness and reflect upon painful experiences of the past, and thereby ensure that similar incidents do not recur. Researchers in the fields of environmental toxicology and public health need to treat this incident as a warning to pay closer attention to the household products around them, and ensure that they do not contain dangerous, life-threatening products that could damage health. After all, risks that are not apparent to the general public may be clear to the eyes of an expert. In particular, toxicologists and public health experts should always question whether various chemicals used in day-to-day life and the substances in household products are actually safe. One aspect of this incident that could be considered somewhat exceptional is that some researchers in the field of Environment and Public Health gathered their own funds to conduct an inves
亚洲公民环境与健康中心是一个专门从事环境与公共卫生领域的环保非政府组织。他们在21日举行的“2015年市民环境健康奖”上,将市民奖授予了“加湿器消毒液受害者海外抗议团体”的3名成员和“釜山-首尔自行车抗议活动”的负责人安成宇。听到这个消息后,我们的社会仍然不知道加湿器消毒液受害者的总数,而有过错的奥施妥利洁时等公司既没有道歉,也没有进行任何形式的赔偿,这让我感到愤怒。解决加湿器消毒液造成的大规模死亡事件,不仅需要医生和流行病学家的贡献,还需要环境毒理学家的贡献。从另一个角度来看,毒理学家能够发挥如此积极的作用,这意味着他们可能能够在事件扩大规模之前,及早发现孕妇和儿童广泛肺部损伤的原因。考虑到韩国约有800万人使用过加湿器消毒剂,显然这个数字还包括几位毒理学家和公共卫生专家。如果他们当中哪怕有一个人怀疑到消毒剂中的有毒化学物质,如聚六亚甲基胍和低聚(2-(2-乙氧基)乙氧基乙基胍,通过肺部吸入会损害身体,这场灾难就可以避免。2014年12月,在保健福利部疾病管理本部的支持下,我负责编辑了《加湿器消毒液的健康损害白皮书》,在白皮书的前言中,我将该事件描述为“企业的自满和制度的瘫痪导致的生活用品灾难”。界定事件性质和发表白皮书的目的是唤起人们对过去痛苦经历的认识和反思,从而确保类似事件不再发生。环境毒理学和公共卫生领域的研究人员需要将这一事件视为一个警告,以更加密切地关注他们周围的家用产品,并确保它们不含有可能损害健康的危及生命的危险产品。毕竟,对于普通大众来说不明显的风险,在专家的眼中可能是清晰的。特别是,毒理学家和公共卫生专家应该经常质疑日常生活中使用的各种化学品和家用产品中的物质是否真的安全。这次事件的一个特殊之处是,在政府对加湿器消毒液事件的受害者进行调查之前,一些环境和公共卫生领域的研究人员自行筹集资金进行了调查并发表了报告。当未来发生类似事件时,环境毒理学家和公共卫生研究人员不要把自己局限在大学和实验室里,而是走出现场,与失去家人的痛苦作斗争,等待温暖和友好的手。
{"title":"The humidifier disinfectant incident and the self-examination of environmental toxicology and public health experts","authors":"Jong-Ju Ahn","doi":"10.5620/eht.e2015016","DOIUrl":"https://doi.org/10.5620/eht.e2015016","url":null,"abstract":"Asian Citizen’s Center for Environment and Health is an environmental non-governmental organization that specializes in the Environment and Public Health sector. On December 21, at the 2015 Citizen’s Awards for Environment and Public Health, they awarded the Citizen’s Award to 3 members of the UK overseas protest group for victims of humidifier disinfectant, and to Seong-Woo Ahn, who led the Busan-to-Seoul bicycle protest for the same cause. Having heard this news, it fills me with anger that our society still does not know the total number of humidifier disinfectant victims, and that Oxy Reckitt Benckiser and the other companies at fault have offered neither an apology nor any other form of compensation. \u0000 \u0000Resolving the incident of mass deaths caused by humidifier disinfectant required contributions not only from physicians and epidemiologists, but also from environmental toxicologists. The fact that toxicologists were able to perform such a positive role, from another perspective, means that they might have been able to recognize the causes of widespread lung damage occurring in pregnant women and children at an earlier stage, before the incident grew in scale. \u0000 \u0000Given that about 8 million people in South Korea are estimated to have used humidifier disinfectant, clearly this number will also include several toxicologists and public health experts. If even one of them had suspected that the toxic chemicals in disinfectants, such as polyhexamethylene guanidine and oligo(2-(2-ethoxy)ethoxyethyl guanidine, could damage the body when inhaled through the lungs, this disaster might have been prevented. \u0000 \u0000I was in charge of editing the “White Paper on the Health-related Damage Caused by Humidifier Disinfectant,” published in December 2014 under the aegis and support of the Ministry of Health and Welfare’s Centers for Disease Control and Prevention, and in the Introduction to that paper, I described the incident as a “household-goods disaster born of corporate complacency and institutional paralysis.” The purpose of defining the nature of the incident and publishing a white paper is to create awareness and reflect upon painful experiences of the past, and thereby ensure that similar incidents do not recur. \u0000 \u0000Researchers in the fields of environmental toxicology and public health need to treat this incident as a warning to pay closer attention to the household products around them, and ensure that they do not contain dangerous, life-threatening products that could damage health. After all, risks that are not apparent to the general public may be clear to the eyes of an expert. In particular, toxicologists and public health experts should always question whether various chemicals used in day-to-day life and the substances in household products are actually safe. \u0000 \u0000One aspect of this incident that could be considered somewhat exceptional is that some researchers in the field of Environment and Public Health gathered their own funds to conduct an inves","PeriodicalId":11853,"journal":{"name":"Environmental Health and Toxicology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70820539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Existing test data for the Act on Registration & Evaluation, etc. of Chemical Substances 现有的《化学物质注册与评价法》等测试数据
Q3 Medicine Pub Date : 2015-12-23 DOI: 10.5620/eht.e2015017
Bong-In Choi, B. Ryu, S. Na, Seon-Yong Chung
Objectives In this study, the possibility of using existing test data provided in Korea and elsewhere for the registration of chemical substances was examined. Data on 510 chemical substances that are among the first subject to registration under the “Act on the Registration and Evaluation, etc. of Chemical Substances (K-REACH)” were analyzed. Methods The possibility of using existing data from 16 reference databases was examined for 510 chemical substances notified in July 2015 as being subject to registration. Results Test data with the reliability required for the registration of chemical substances under the K-REACH constituted 48.4% of the required physicochemical characteristics, 6.5% of the required health hazards, and 9.4% of the required environmental hazards. Conclusions Some existing test data were not within the scope of this research, including data used for registration in the European Union (EU). Thus, considering that 350 of these 510 species are registered in EU Registration, Evaluation, Authorisation & Restriction of Chemicals, more test data may exist that can be utilized in addition to the data identified in this study. Furthermore, the K-REACH states that non-testing data (test results predicted through Read Across, Quantitative Structure- Activity Relationships) and the weight of evidence (test results predicted based on test data with low reliability) can also be utilized for registration data. Therefore, if methods for using such data were actively reviewed, it would be possible to reduce the cost of securing test data required for the registration of chemical substances.
在本研究中,研究了利用韩国和其他地方提供的现有测试数据进行化学物质注册的可能性。分析了根据《化学物质注册和评价等法案》(K-REACH)第一批注册的510种化学物质的数据。方法对2015年7月申报注册的510种化学物质,利用16个参考数据库现有数据的可能性进行分析。结果符合K-REACH规定的化学物质注册可靠性要求的测试数据占物理化学特性要求的48.4%,健康危害要求的6.5%,环境危害要求的9.4%。一些现有的试验数据不在本研究的范围内,包括在欧盟(EU)注册的数据。因此,考虑到这510种中有350种已在欧盟化学品注册,评估,授权和限制中注册,除了本研究确定的数据外,可能还存在更多可以利用的测试数据。此外,K-REACH规定,非测试数据(通过Read Across预测的测试结果,定量结构-活性关系)和证据权重(基于低可靠性测试数据预测的测试结果)也可以用于注册数据。因此,如果积极审查使用这些数据的方法,就有可能降低获得化学物质注册所需的测试数据的成本。
{"title":"Existing test data for the Act on Registration & Evaluation, etc. of Chemical Substances","authors":"Bong-In Choi, B. Ryu, S. Na, Seon-Yong Chung","doi":"10.5620/eht.e2015017","DOIUrl":"https://doi.org/10.5620/eht.e2015017","url":null,"abstract":"Objectives In this study, the possibility of using existing test data provided in Korea and elsewhere for the registration of chemical substances was examined. Data on 510 chemical substances that are among the first subject to registration under the “Act on the Registration and Evaluation, etc. of Chemical Substances (K-REACH)” were analyzed. Methods The possibility of using existing data from 16 reference databases was examined for 510 chemical substances notified in July 2015 as being subject to registration. Results Test data with the reliability required for the registration of chemical substances under the K-REACH constituted 48.4% of the required physicochemical characteristics, 6.5% of the required health hazards, and 9.4% of the required environmental hazards. Conclusions Some existing test data were not within the scope of this research, including data used for registration in the European Union (EU). Thus, considering that 350 of these 510 species are registered in EU Registration, Evaluation, Authorisation & Restriction of Chemicals, more test data may exist that can be utilized in addition to the data identified in this study. Furthermore, the K-REACH states that non-testing data (test results predicted through Read Across, Quantitative Structure- Activity Relationships) and the weight of evidence (test results predicted based on test data with low reliability) can also be utilized for registration data. Therefore, if methods for using such data were actively reviewed, it would be possible to reduce the cost of securing test data required for the registration of chemical substances.","PeriodicalId":11853,"journal":{"name":"Environmental Health and Toxicology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70820646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mobile phone use and risk of glioma: a case-control study in Korea for 2002-2007 手机使用与神经胶质瘤的风险:2002-2007年韩国的病例对照研究
Q3 Medicine Pub Date : 2015-12-21 DOI: 10.5620/eht.e2015015
Songyi Yoon, Jae-Wook Choi, Eunil Lee, H. An, H. Choi, Nam Kim
Objectives There has been a growing concern about the possible carcinogenic effects of the electromagnetic radiofrequency fields emitted from mobile phones. The purpose of this study was to investigate the association between mobile phone use and the development of gliomas in Korea. Methods Our study methods were based on the International Interphone study that aimed to evaluate possible adverse effects of mobile phone use. This study included 285 histologically-confirmed Korean patients 15 to 69 years of age, with gliomas diagnosed between 2002 and 2007 in 9 hospitals. The 285 individually matched controls were healthy individuals that had their medical check-up in the same hospitals. Unconditional logistic regression was used to calculate the adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for use of mobile phones. Results For the entire group, no significant relationship was investigated between gliomas and regular use of mobile phones, types of mobile phones, lifetime years of use, monthly service fee, and the other exposure indices. Analyses restricted to self-respondents showed similar results. For ipsilateral users, whose the body side for usual mobile phone use match the location of glioma, the aORs (95% CIs) for lifetime years of use and cumulative hours of use were 1.25 (0.55 to 2.88) and 1.77 (0.32 to 1.84), respectively. However, the contralateral users showed slightly lower risk than ipsilateral users. Conclusions Our results do not support the hypothesis that the use of mobile phones increases the risk of glioma; however, we found a non-significant increase in risk among ipsilateral users. These findings suggest further evaluation for glioma risk among long-term mobile phone users.
人们越来越关注移动电话发出的电磁射频场可能产生的致癌作用。这项研究的目的是调查韩国手机使用与神经胶质瘤发展之间的关系。方法我们的研究方法基于国际对讲机研究,旨在评估移动电话使用可能产生的不良影响。这项研究包括285名15至69岁的韩国患者,他们在2002年至2007年期间在9家医院被诊断为胶质瘤。285名单独匹配的对照组是在同一家医院进行医疗检查的健康个体。使用无条件逻辑回归计算手机使用的调整优势比(aORs)和95%置信区间(ci)。结果在整个人群中,胶质瘤与经常使用手机、手机种类、使用寿命年数、月服务费等暴露指标之间无显著关系。仅限于自我调查对象的分析也显示了类似的结果。对于通常使用手机的身体一侧与胶质瘤位置相匹配的同侧用户,终生使用年数和累计使用小时数的aORs (95% ci)分别为1.25(0.55 ~ 2.88)和1.77(0.32 ~ 1.84)。然而,对侧使用者的风险略低于同侧使用者。结论:我们的研究结果不支持手机使用增加神经胶质瘤风险的假设;然而,我们发现同侧使用者的风险没有显著增加。这些发现建议进一步评估长期使用手机的人患神经胶质瘤的风险。
{"title":"Mobile phone use and risk of glioma: a case-control study in Korea for 2002-2007","authors":"Songyi Yoon, Jae-Wook Choi, Eunil Lee, H. An, H. Choi, Nam Kim","doi":"10.5620/eht.e2015015","DOIUrl":"https://doi.org/10.5620/eht.e2015015","url":null,"abstract":"Objectives There has been a growing concern about the possible carcinogenic effects of the electromagnetic radiofrequency fields emitted from mobile phones. The purpose of this study was to investigate the association between mobile phone use and the development of gliomas in Korea. Methods Our study methods were based on the International Interphone study that aimed to evaluate possible adverse effects of mobile phone use. This study included 285 histologically-confirmed Korean patients 15 to 69 years of age, with gliomas diagnosed between 2002 and 2007 in 9 hospitals. The 285 individually matched controls were healthy individuals that had their medical check-up in the same hospitals. Unconditional logistic regression was used to calculate the adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for use of mobile phones. Results For the entire group, no significant relationship was investigated between gliomas and regular use of mobile phones, types of mobile phones, lifetime years of use, monthly service fee, and the other exposure indices. Analyses restricted to self-respondents showed similar results. For ipsilateral users, whose the body side for usual mobile phone use match the location of glioma, the aORs (95% CIs) for lifetime years of use and cumulative hours of use were 1.25 (0.55 to 2.88) and 1.77 (0.32 to 1.84), respectively. However, the contralateral users showed slightly lower risk than ipsilateral users. Conclusions Our results do not support the hypothesis that the use of mobile phones increases the risk of glioma; however, we found a non-significant increase in risk among ipsilateral users. These findings suggest further evaluation for glioma risk among long-term mobile phone users.","PeriodicalId":11853,"journal":{"name":"Environmental Health and Toxicology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5620/eht.e2015015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70820506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 18
Comparative evaluation of the mutagenicity and genotoxicity of smoke condensate derived from Korean cigarettes 韩国香烟烟液致突变性和遗传毒性的比较评价
Q3 Medicine Pub Date : 2015-12-13 DOI: 10.5620/eht.e2015014
Ha Ryong Kim, Jeong Eun Lee, M. Jeong, Seong-Jin Choi, Kyuhong Lee, K. Chung
Objectives Cigarette smoking is associated with carcinogenesis owing to the mutagenic and genotoxic effects of cigarette smoke. The aim of this study was to evaluate the mutagenic and genotoxic effects of Korean cigarettes using in vitro assays. Methods We selected 2 types of cigarettes (TL and TW) as benchmark Korean cigarettes for this study, because they represent the greatest level of nicotine and tar contents among Korean cigarettes. Mutagenic potency was expressed as the number of revertants per μg of cigarette smoke condensate (CSC) total particulate matter whereas genotoxic potency was expressed as a concentration-dependent induction factor. The CSC was prepared by the International Organization for Standardization 3308 smoking method. CHO-K1 cells were used in vitro micronucleus (MNvit) and comet assays. Two strains of Salmonella typhimurium (Salmonella enterica subsp.enterica; TA98 and TA1537) were employed in Ames tests. Results All CSCs showed mutagenicity in the TA98 and TA1537 strains. In addition, DNA damage and micronuclei formation were observed in the comet and MNvit assays owing to CSC exposure. The CSC from the 3R4F Kentucky reference (3R4F) cigarette produced the most severe mutagenic and genotoxic potencies, followed by the CSC from the TL cigarette, whereas the CSC from the TW cigarette produced the least severe mutagenic and genotoxic potencies. Conclusions The results of this study suggest that the mutagenic and genotoxic potencies of the TL and TW cigarettes were weaker than those of the 3R4F cigarette. Further study on standardized concepts of toxic equivalents for cigarettes needs to be conducted for more extensive use of in vitro tests.
目的吸烟与致癌有关,因为吸烟具有诱变和遗传毒性。本研究的目的是评估韩国香烟的诱变和遗传毒性作用,使用体外试验。我们选择了两种类型的香烟(TL和TW)作为本研究的基准韩国香烟,因为它们代表了韩国香烟中尼古丁和焦油含量的最高水平。诱变效力表示为每μg卷烟烟气冷凝物(CSC)总颗粒物的回变物数,而基因毒性效力表示为浓度依赖的诱导因子。CSC采用国际标准化组织3308吸烟法编制。CHO-K1细胞采用体外微核(MNvit)和彗星试验。2株鼠伤寒沙门菌(肠炎沙门菌亚种);TA98和TA1537)用于Ames试验。结果所有CSCs对TA98和TA1537株均具有致突变性。此外,由于CSC暴露,在彗星和MNvit试验中观察到DNA损伤和微核形成。来自3R4F肯塔基参考卷烟(3R4F)的CSC产生了最严重的诱变和基因毒性,其次是来自TL卷烟的CSC,而来自TW卷烟的CSC产生了最不严重的诱变和基因毒性。结论TL和TW卷烟的致突变和遗传毒性弱于3R4F卷烟。为了更广泛地使用体外试验,需要对香烟毒性当量的标准化概念进行进一步研究。
{"title":"Comparative evaluation of the mutagenicity and genotoxicity of smoke condensate derived from Korean cigarettes","authors":"Ha Ryong Kim, Jeong Eun Lee, M. Jeong, Seong-Jin Choi, Kyuhong Lee, K. Chung","doi":"10.5620/eht.e2015014","DOIUrl":"https://doi.org/10.5620/eht.e2015014","url":null,"abstract":"Objectives Cigarette smoking is associated with carcinogenesis owing to the mutagenic and genotoxic effects of cigarette smoke. The aim of this study was to evaluate the mutagenic and genotoxic effects of Korean cigarettes using in vitro assays. Methods We selected 2 types of cigarettes (TL and TW) as benchmark Korean cigarettes for this study, because they represent the greatest level of nicotine and tar contents among Korean cigarettes. Mutagenic potency was expressed as the number of revertants per μg of cigarette smoke condensate (CSC) total particulate matter whereas genotoxic potency was expressed as a concentration-dependent induction factor. The CSC was prepared by the International Organization for Standardization 3308 smoking method. CHO-K1 cells were used in vitro micronucleus (MNvit) and comet assays. Two strains of Salmonella typhimurium (Salmonella enterica subsp.enterica; TA98 and TA1537) were employed in Ames tests. Results All CSCs showed mutagenicity in the TA98 and TA1537 strains. In addition, DNA damage and micronuclei formation were observed in the comet and MNvit assays owing to CSC exposure. The CSC from the 3R4F Kentucky reference (3R4F) cigarette produced the most severe mutagenic and genotoxic potencies, followed by the CSC from the TL cigarette, whereas the CSC from the TW cigarette produced the least severe mutagenic and genotoxic potencies. Conclusions The results of this study suggest that the mutagenic and genotoxic potencies of the TL and TW cigarettes were weaker than those of the 3R4F cigarette. Further study on standardized concepts of toxic equivalents for cigarettes needs to be conducted for more extensive use of in vitro tests.","PeriodicalId":11853,"journal":{"name":"Environmental Health and Toxicology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70820260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Can screening effects explain increased risk of thyroid cancer among population living near nuclear power plants in Korea? 筛查效应能否解释韩国核电站附近居民甲状腺癌风险增加的原因?
Q3 Medicine Pub Date : 2015-11-24 DOI: 10.5620/eht.e2015013
W. Lee
Following reports in Korea of an increased risk of thyroid cancer among those living near nuclear power plants (NPPs) [1], there has been debate regarding the interpretation of the findings. One suggested explanation is the screening effect on thyroid cancer risk. The basic assumption of this argument is that the screening process increases the number of detected thyroid cancer cases in a population, leading to an increase in incidence and relative risk. The Korea Hydro and Nuclear Power Company granted a project to support this assumption to gain an advantage in their legal litigation regarding thyroid cancer cases. However, these circumstances could occur in a limited condition and cannot always happen. Because the screening effect and causality are different issues, we must distinguish between the two different questions. Even if there is a screening effect, it does not mean that the observed increased risk of thyroid cancer does not result from living near NPPs. Therefore, I would like to make a few comments on this issue. Screening increases absolute risk by increasing the number of detected cancer cases, but it does not directly affect the value of relative risk. If it did not occur differently, the relative risk would not be changed. For example, if a twofold increased screening occurred in both the exposed and non-exposed population, then the relative risk would not be changed. Previously, it was reported that the slope of the dose–response relationship between radiation and thyroid cancer did not differ significantly before and after screening among patients who had received radiation therapy, indicating that the association between radiation and thyroid cancer may not be changed by intensive screening [2]. A study from the Chernobyl accident also reported screening to be a weak confounder for radiation dose and thyroid cancer [3]. Furthermore, only a certain proportion of detected cases from screening would ultimately be confirmed as cancer cases because the device used for screening (e.g., ultrasonography) is not a diagnostic method. Therefore, the twofold screening rate difference, for example, does not directly indicate a twofold difference in incidence rate. However, when the screening occurs differently, distortion of the relative risk may be occurred. Therefore, we should determine whether populations living near NPPs experience more screening than other populations. If so, we need to examine how much this occurred differentially in relation to distance from NPPs. The next issue is to separately identify the proportion of observed relative risk associated with living near NPPs and with screening. A large proportion of thyroid cancer cases is likely to be due to screening in Korea [4], but it may not account for the observed relative risk of thyroid cancer entirely. The effect is probably small, but this does not mean there is no risk from living near NPPs. For example, in a study from Fukushima, intensive thyroid screening p
在韩国有报道称居住在核电站(NPPs)附近的人患甲状腺癌的风险增加后,对研究结果的解释一直存在争议。一种可能的解释是筛查对甲状腺癌风险的影响。这一论点的基本假设是,筛查过程增加了人群中检测到的甲状腺癌病例的数量,导致发病率和相对风险增加。韩国水力核电为了在有关甲状腺癌的法律诉讼中取得优势,批准了支持这一假设的项目。然而,这些情况可能在有限的条件下发生,而不是总是发生。因为筛选效果和因果关系是不同的问题,我们必须区分这两个不同的问题。即使有筛查效果,也不意味着所观察到的甲状腺癌风险增加不是居住在核电站附近造成的。因此,我想就这个问题谈几点看法。筛查通过增加检测到的癌症病例的数量来增加绝对风险,但它并不直接影响相对风险的值。如果没有发生不同的情况,相对风险就不会改变。例如,如果暴露人群和未暴露人群的筛查增加了两倍,那么相对风险不会改变。此前有报道称,在接受放疗的患者中,放疗与甲状腺癌的剂量-反应关系斜率在筛查前后无显著差异,表明放疗与甲状腺癌的相关性可能不会因强化筛查而改变。切尔诺贝利事故的一项研究也报告说,筛查是辐射剂量和甲状腺癌bbb的微弱混杂因素。此外,由于用于筛查的设备(如超声)不是一种诊断方法,只有一定比例的筛查发现病例最终被确诊为癌症病例。因此,例如,两倍的筛查率差异并不直接表明发病率的两倍差异。然而,当筛查方式不同时,可能会发生相对风险的扭曲。因此,我们应该确定居住在核电站附近的人群是否比其他人群经历了更多的筛查。如果是这样,我们需要检查与核电站的距离有关的差异有多大。下一个问题是分别确定与居住在核电站附近和筛查相关的观察到的相对风险的比例。很大一部分甲状腺癌病例可能是由于在韩国进行了筛查,但这可能不能完全解释观察到的甲状腺癌相对风险。影响可能很小,但这并不意味着住在核电站附近没有风险。例如,在福岛的一项研究中,强化甲状腺筛查预测,甲状腺癌发病率将增加7倍,在所有筛查的癌症中,5%至10%的发病率可归因于辐射照射。虽然我们缺乏数据,但筛查率的差异与观察到的甲状腺癌相对危险度之间的差距有待进一步研究。筛查可以发现许多小的癌症,但隐匿性甲状腺癌也可能与辐射有关。筛查本身并不能区分甲状腺癌的病因。即使与辐射无关的癌症占大多数,也不能改变辐射与甲状腺癌之间的因果关系。根据国际癌症分类研究机构(http://www.iarc.fr),辐射是唯一被确认的甲状腺致癌物。重要的是要承认,筛查还发现了在常规医疗护理期间未被诊断出的与辐射有关的甲状腺癌[b]。虽然甲状腺癌风险的增加主要是在儿童中报道的,但最近的文献强调了成人患甲状腺癌的可能关联。因此,有理由认为某些甲状腺癌,无论是否通过筛查发现,都可能与辐射照射有关。然而,问题是居住在核电站附近的居民受到了多少辐射,以及辐射的来源是什么。没有对个体所受剂量的估计,就不可能确定罹患甲状腺癌的个体是否确实受到了辐射。虽然据报道,居住在韩国核电站附近的人受到的测量剂量水平非常低,但这些剂量与器官剂量没有直接关系,器官剂量包括所有可能的辐射暴露途径,包括牛奶、食物和水。 因此,重要的是研究关键问题,如估计器官剂量和确定来自核电厂、医疗照射或其他的辐射源,而不是只关注筛选效应。与其他研究相比,对居住在韩国核电站附近的人口的研究在研究设计和发现方面是独一无二的,因此,对筛查和甲状腺器官剂量提供更详细信息的进一步研究可以为区分辐射和筛查对甲状腺癌风险的影响提供极好的机会。无论是否与放射有关,筛查都会增加甲状腺癌病例的数量。甲状腺癌风险增加的大部分可能归因于检测。然而,甲状腺癌风险的增加可能也不能仅仅通过改进的检测和筛查方法来完全解释。只注重对观察到的相对风险进行筛查在科学上是不平衡的。在没有任何客观证据的情况下,这种说法可能会忽视韩国甲状腺癌的重要环境危险因素。
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引用次数: 6
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Environmental Health and Toxicology
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