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Arsenic-induced skin toxicity. 砷引起的皮肤中毒。
Pub Date : 1989-03-01 DOI: 10.1177/096032718900800203
R L Shannon, D S Strayer

We reviewed available literature on the effects of inorganic arsenic on the skin to determine the potential hazards and to collate information regarding dosage and exposure to the incidence of skin cancer. Arsenic intake may result from occupational or medicinal exposure, or from drinking well water in areas with high arsenic levels in the soil. Arsenic causes a variety of benign skin lesions including hyperpigmentation and hyperkeratosis. Some hyperkeratotic lesions and squamous cell carcinomas in situ may progress to invasive carcinoma; other invasive squamous cell carcinomas will develop de novo. These cutaneous squamous cancers may metastasize; mortality is low, but has been reported. Locally invasive but non-metastasizing basal cell carcinomas may arise as well. These lesions occur in a characteristic pattern of distribution and are usually multiple. Observers reporting medicinally administered arsenic have described dose-response relationships between the amount of arsenic ingested and the frequency of various skin lesions. For arsenic found in drinking water, however, there is more controversy regarding the doses and exposure times necessary for cutaneous toxicity.

我们回顾了现有的关于无机砷对皮肤影响的文献,以确定潜在的危害,并整理了有关剂量和暴露于皮肤癌发病率的信息。砷的摄入可能是由于职业或医疗接触,或由于在土壤中砷含量高的地区饮用井水。砷引起多种良性皮肤病变,包括色素沉着和角化过度。一些角化过度病变和原位鳞状细胞癌可发展为浸润性癌;其他侵袭性鳞状细胞癌也会重新发展。这些皮肤鳞状癌可能转移;死亡率很低,但有报道。局部侵袭性但非转移性基底细胞癌也可能出现。这些病变以一种特征性的分布模式发生,通常是多发的。报告药物给药砷的观察员描述了砷摄入量与各种皮肤损伤频率之间的剂量-反应关系。然而,对于饮用水中发现的砷,关于皮肤毒性所需的剂量和接触时间存在更多争议。
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引用次数: 81
An evaluation of the hypothesis that females are more susceptible than males to lead-induced haematological alterations. 对女性比男性更容易受到铅引起的血液学改变的假设的评价。
Pub Date : 1989-03-01 DOI: 10.1177/096032718900800204
R Ken, E J Calabrese, R W Tuthill

1. A retrospective epidemiological study was conducted to assess the hypothesis that sex differences exist with respect to selected lead-induced red blood cell parameters. The study utilized data previously collected in the Boston Childhood Lead Poisoning Prevention Program. 2. This study revealed no statistically significant difference between males and females (n = 1548) aged 1-6 years for blood FEP levels when blood lead levels were similar. 3. These findings are in contrast with previously published research with human adults, which has suggested that adult females display significantly greater FEP values at identical blood level values as similarly aged men.

1. 一项回顾性流行病学研究进行了评估假设,性别差异存在于有关选择铅诱导红细胞参数。这项研究利用了波士顿儿童铅中毒预防计划先前收集的数据。本研究显示,在血铅水平相似的情况下,1-6岁男性和女性(n = 1548)的血FEP水平无统计学差异。3.这些发现与先前发表的针对成年人的研究结果相反,该研究表明,成年女性在相同的血液水平值下,与年龄相仿的男性相比,FEP值明显更高。
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引用次数: 2
Effects of calcium entry blockers on human platelet metabolism measured by microcalorimetry. 钙进入阻滞剂对微量热法测定血小板代谢的影响。
Pub Date : 1989-03-01 DOI: 10.1177/096032718900800208
L Edvinsson, J Ikomi-Kumm, M Monti

1. The direct overall metabolic effects of calcium entry blockers on human platelets were evaluated using a sensitive microcalorimetric method. 2. The effect on platelet metabolism of four calcium entry blockers with different profiles of action was examined and compared with the relaxant response on human cerebral vessels in vitro. 3. Diltiazem (10(-8), 10(-4) M) and nifedipine (10(-10), 10(-6) M) were without effect on overall platelet metabolism. On the other hand flunarizine (10(-4) M) and verapamil (10(-4) M) significantly reduced metabolism, while lower concentrations of these agents did not change heat production. 4. The thermogenic response occurred at concentrations of the calcium entry blockers that were much higher than those observed during therapy and the concentrations which relax human cerebral arteries in vitro.

1. 钙进入阻滞剂对人血小板的直接总体代谢影响采用灵敏的微量热法进行评估。2. 研究了四种不同作用谱的钙进入阻滞剂对血小板代谢的影响,并与体外对人脑血管的舒张反应进行了比较。3.地尔硫卓(10(-8),10(-4)M)和硝苯地平(10(-10),10(-6)M)对血小板总代谢无影响。另一方面,氟桂利嗪(10(-4)M)和维拉帕米(10(-4)M)显著降低代谢,而较低浓度的这些药物没有改变产热。4. 产热反应发生在钙进入阻滞剂浓度远高于治疗期间观察到的浓度和体外放松人脑动脉的浓度时。
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引用次数: 2
Effect of homeopathic dilutions on subcellular enzymatic activity. 顺势稀释剂对亚细胞酶活性的影响。
Pub Date : 1989-03-01 DOI: 10.1177/096032718900800207
C Petit, P Belon, R Got

The activity of various inhibitors on several subcellular enzymes was studied. First we determined the inhibitory concentration required to reduce maximum enzymatic activity by 50%, then the effect of various hahnemannian dilutions of the same inhibitory agent was tested. Seven inhibitory agents were tested in this way on seven different enzymatic systems. No effects of these hahnemannian dilutions were shown.

研究了各种抑制剂对几种亚细胞酶的活性。首先,我们确定了将最大酶活性降低50%所需的抑制浓度,然后测试了同一种抑制剂的不同哈尼曼稀释度的效果。用这种方法在7种不同的酶系统上测试了7种抑制剂。这些哈尼曼稀释没有显示出任何影响。
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引用次数: 11
Radionuclides in food: a neglected branch of toxicology? 食物中的放射性核素:一个被忽视的毒理学分支?
Pub Date : 1989-03-01 DOI: 10.1177/096032718900800201
E D Rubery
The author exposes in detail at the different approaches to risk assessment that have developed in food toxicology and radiation protection, in the hope that a better understanding of how these differences arose, and what they are based upon will lead to a better understanding of how to develop compatible scientifically based criteria for action in the future
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引用次数: 4
Predictors of methanol intoxication with unfavourable outcome. 甲醇中毒不良预后的预测因素。
Pub Date : 1989-03-01 DOI: 10.1177/096032718900800209
P Mahieu, A Hassoun, R Lauwerys

In 10 adult patients acutely intoxicated with methanol, the base deficit and the total blood CO2 were highly correlated with blood formate level. No correlation was found between the same parameters and blood methanol level. Formate production is the main cause of acidosis in the early stages of methanol poisoning. The association of a latency period before treatment exceeding 10 hours and a blood formate level above 0.5 g/l (11.1 mmol/l) is predictive of severe methanol poisoning possibly leading to permanent sequelae.

在10例急性甲醇中毒的成人患者中,碱赤字和总血CO2与血甲酸水平高度相关。这些参数与血液甲醇水平没有相关性。甲酸的产生是甲醇中毒早期酸中毒的主要原因。治疗前潜伏期超过10小时和血液甲酸水平高于0.5 g/l (11.1 mmol/l)的关联可预测严重甲醇中毒可能导致永久性后遗症。
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引用次数: 56
Immunotherapy for the treatment of acute paraquat poisoning. 免疫疗法治疗急性百草枯中毒。
Pub Date : 1989-03-01 DOI: 10.1177/096032718900800206
M Nagao, T Takatori, B Wu, K Terazawa, H Gotouda, H Akabane

For the purpose of sequestering paraquat in the plasma compartment and preventing it from accumulating in tissues the effects of intravenous administration of anti-paraquat antibodies to rats were studied. After an intravenous paraquat injection of 0.1 mg/kg, the plasma paraquat concentration from rats pretreated with anti-paraquat antibodies was significantly increased and the amount of paraquat excreted in urine was significantly decreased compared to the control group. The concentration of paraquat in bile and organs except liver, was not changed by the treatment, but the paraquat level in the liver was significantly increased. Although immunotherapy succeeded in sequestering paraquat in the plasma compartment, it could not prevent paraquat from accumulating in tissues.

为了将百草枯隔离在血浆室中,防止其在组织中积累,研究了静脉注射抗百草枯抗体对大鼠的影响。静脉注射0.1 mg/kg的百草枯抗体后,与对照组相比,经抗百草枯抗体预处理的大鼠血浆中百草枯浓度显著升高,尿中百草枯排泄量显著降低。除肝脏外,各脏器及胆汁中百草枯浓度均无显著变化,但肝脏中百草枯浓度显著升高。虽然免疫疗法成功地将百草枯隔离在血浆室中,但它不能阻止百草枯在组织中的积累。
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引用次数: 21
Renal tubular acidosis with an elevated anion gap in a 'glue sniffer'. 肾小管酸中毒伴“胶水嗅探器”阴离子间隙升高。
Pub Date : 1989-03-01
J Sarmiento Martinez, J J Guardiola Sala, A Martinez Vea, E Campaña Casals
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引用次数: 0
An evaluation of the safety of ranitidine during seven years daily oral administration to beagle dogs. 雷尼替丁7年每日口服比格犬的安全性评价。
Pub Date : 1989-01-01 DOI: 10.1177/096032718900800105
N W Spurling, S A Selway, D Poynter
1 Ranitidine hydrochloride was administered orally to Beagles at doses equivalent to 50 mg once daily, or 5 mg twice daily, of ranitidine base/kg for more than 7 years. 2 Apart from looseness of faeces, seen mainly after doses of 50 mg/kg and only rarely after the first year of such treatment, there were no adverse clinical effects. There were no deaths related to treatment. 3 Periodic gastroscopy revealed nothing abnormal. 4 Peak plasma levels of ranitidine occurred within 2 h of dosing; levels were proportional to the doses administered. 5 There were no major differences in fasting plasma gastrin levels between treated and untreated dogs; the expected increase occurred in response to the provision of food and, predictably, this was greater following a dose of ranitidine. 6 A normal histamine-induced gastric secretory response was demonstrated. 7 Necropsy revealed no lesions of toxicological significance. Macroscopically the stomachs appeared normal but microscopic examination showed some gastritis in both treated and control dogs. No changes in enterochromaffin-like (ECL) cells were detected. Electron microscopy showed unimpaired secretory activity of parietal cells. 8 Thus, after more than 7 years administration to beagle dogs of doses in excess of the normal daily therapeutic dose, the stomachs showed no changes attributable to treatment and their secretory capacity was unimpaired.
1. 盐酸雷尼替丁口服给比格犬,剂量相当于雷尼替丁碱/公斤50毫克每日一次,或5毫克每日两次,持续7年以上。2. 除了主要在剂量为50 mg/kg后出现的粪便疏松,在治疗一年后很少出现外,无不良临床反应。没有与治疗相关的死亡。3.定期胃镜检查未见异常。4. 雷尼替丁的血药浓度峰值出现在给药后2小时内;水平与给药剂量成正比。5. 治疗犬和未治疗犬的空腹血浆胃泌素水平无显著差异;预期的增加发生在食物供应的反应中,可以预见的是,在服用雷尼替丁后,这种情况会更大。6. 证实了正常组胺诱导的胃分泌反应。7. 尸检未发现毒理学意义的病变。胃镜下显示正常,但镜下检查显示治疗犬和对照组均有胃炎。肠色素样细胞(ECL)未见明显变化。电镜显示壁细胞分泌活性未受损害。8. 因此,在给比格犬超过正常每日治疗剂量7年以上后,胃没有出现可归因于治疗的变化,其分泌能力未受损害。
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引用次数: 4
Ranitidine fails to suppress the growth in vitro of haemopoietic progenitors from human peripheral blood or bone marrow. 雷尼替丁不能抑制体外人外周血或骨髓造血祖细胞的生长。
Pub Date : 1989-01-01 DOI: 10.1177/096032718900800104
C D Reid, A Kirk

Ranitidine was added in various concentrations (25-1600 ng/ml) to clonal assays of haemopoietic progenitors of normal human peripheral blood or bone marrow. Although a significant reduction in colonies forming from granulocyte-macrophage progenitors (CFU-GM) was demonstrated at the lowest drug concentration, no significant growth suppression was seen at higher concentrations. There was no evidence for growth inhibition of either erythroid progenitors (BFU-E) or pluripotent progenitors (CFU-mix) at any of the drug concentrations studied. A direct toxic effect of ranitidine on normal haemopoietic progenitors thus appears an unlikely cause of cytopenias observed during treatment.

将不同浓度的雷尼替丁(25-1600 ng/ml)加入到正常人外周血或骨髓造血祖细胞的克隆测定中。尽管在最低药物浓度下,粒细胞-巨噬细胞祖细胞(CFU-GM)形成的菌落明显减少,但在较高浓度下,没有发现明显的生长抑制。在研究的任何药物浓度下,没有证据表明红细胞祖细胞(BFU-E)或多能祖细胞(CFU-mix)的生长受到抑制。因此,雷尼替丁对正常造血祖细胞的直接毒性作用似乎不太可能是治疗期间观察到的细胞减少的原因。
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引用次数: 3
期刊
Human toxicology
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