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Manganese and Rhenium 锰和铼
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX039
J. M. Davis
Manganese (Mn, atomic number 25) and rhenium (Re, atomic number 75) are group 7 (VIIB) transition elements. Before the discovery and confirmation of the existence of rhenium predicted by Mendeleev's periodic law, rhenium was provisionally termed dvi-manganese because of its expected resemblance to manganese. Manganese and rhenium share many of the general chemical characteristics of metals in the transition series, including multiple valency, the ability to form stable complex ions, paramagnetism, and catalytic properties. However, the second and third elements in the transition series generally have chemical properties more similar to each other than to the first member. Thus, in many respects, rhenium is chemically more similar to technetium than to manganese. Inhalation of particulate Mn constitutes the dominant route through which toxicity is expressed under most occupational conditions. Manganese is notably toxic to the central nervous system (CNS) and also has effects on the respiratory system and on reproductive function. Numerous clinical cases of frank Mn toxicity denote a characteristic syndrome that may include psychiatric symptoms, dystonia and rigidity, impaired manual dexterity, and gait disturbances. Several epidemiological studies provide a coherent pattern of evidence of neurotoxicity from occupational exposure to Mn at average concentrations around 1 mg/m3 or lower. The primary effects observed in such workers pertain to motor function, especially hand steadiness, eye–hand coordination, and rapid coordinated movements, which imply involvement of the CNS extrapyramidal system. Although a growing body of literature is devoted to medical applications of the radioactive isotopes 186Re and 188Re, very limited information is available on the toxicity of rhenium itself, which makes it difficult to characterize its toxicity with confidence. The few studies conducted thus far suggest that acute administrations of Re may have relatively low toxicity, at least by noninhalation routes. It has been described as “relatively inert” in the body and produces transient changes in blood pressure (both hypo- and hypertensive), tachycardia, sedation, and ataxia. In one comparative study, the lethal oral dose of Re was about eight times higher than that of molybdenum. However, one report suggests that it could be more potent as an inhalation toxicant. If true, rhenium and manganese might share the feature of having much greater toxicity by inhalation than by ingestion. Keywords: Manganese; Manganese compounds; Rhenium; Rhenium compounds; Nonhuman primates; Clinical cases; Edipemiology; Occupational exposure limits
锰(Mn,原子序数25)和铼(Re,原子序数75)是第七族(VIIB)过渡元素。在门捷列夫的周期律预言铼的存在并证实它的发现之前,由于它与锰的相似之处,铼被暂时命名为vi-锰。锰和铼具有许多过渡系列金属的一般化学特性,包括多价、形成稳定络合离子的能力、顺磁性和催化性能。然而,过渡系列中的第二和第三个元素通常具有比第一个成员更相似的化学性质。因此,在许多方面,铼在化学上更类似于锝而不是锰。在大多数职业条件下,吸入颗粒Mn是毒性表达的主要途径。锰对中枢神经系统(CNS)有明显的毒性,对呼吸系统和生殖功能也有影响。许多锰中毒的临床病例表明一种特征性综合征,可能包括精神症状、肌张力障碍和僵硬、手灵巧性受损和步态障碍。几项流行病学研究提供了一致的证据,表明职业暴露于平均浓度约为1毫克/立方米或更低的锰会产生神经毒性。在这些工人中观察到的主要影响与运动功能有关,特别是手的稳定性,眼手协调和快速协调运动,这意味着中枢神经系统锥体外系系统的参与。尽管越来越多的文献致力于放射性同位素186Re和188Re的医学应用,但关于铼本身毒性的资料非常有限,因此很难有把握地描述其毒性。迄今为止进行的少数研究表明,急性给药Re可能具有相对较低的毒性,至少通过非吸入途径。它在体内被描述为“相对惰性”,在血压(低血压和高血压)、心动过速、镇静和共济失调方面产生短暂的变化。在一项比较研究中,口服稀土的致死剂量大约是钼的8倍。然而,一份报告显示,它作为一种吸入毒物可能更有效。如果这是真的,那么吸入铼和锰的毒性可能比摄入更大。关键词:锰;锰化合物;铼;铼化合物;非人灵长类动物;临床病例;Edipemiology;职业暴露限值
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引用次数: 2
Electric and Magnetic Fields and Occupational Health 电磁场与职业健康
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX100
L. Kheifets
Electric and magnetic fields (EMF) are ubiquitous. The earth has static electric fields, which produce lightning during thunderstorms, and geomagnetic fields created by electric currents within its core. Electric and magnetic fields are also produced during electric power generation, transmission, and use. Electric power has generally been considered safe during the more than 100 years of its use, although shocks and burns from direct contact with electrical conductors are a recognized health hazard. Of the approximately 1100 deaths from electric shock that occur each year in the United States, about three-fourths result from unsafe operation of household appliances; accidents in the workplace account for the rest. The possible health consequences of electric and magnetic field exposure are a much more recent concern. Power-frequency EMF exposure—unavoidable since the use of electricity has spread throughout the world—has been under investigation since the early 1970s. Investigations have included epidemiologic as well as in vitro and in vivo laboratory studies encompassing a wide range of diseases. The literature on EMF and health is vast, comprising over 1000 published studies, and has been reviewed in depth by several authoritative committees. Of note are reviews by the National Research Council of the National Academy of Sciences (NAS), the National Institute of Environmental Health Sciences (NIEHS) and the U.K. National Radiological Protection Board (NRPB). Electric power systems in the United States, Canada, and Mexico generate and transmit electricity as alternating current (ac), which oscillates at a frequency of 60 cycles per second, or 60 hertz (Hz). Most of the rest of the world generates power at 50Hz. Power-frequency 50- and 60-Hz fields occupy the extremely low-frequency (ELF), nonionizing range of the electromagnetic spectrum. The ELF range includes frequencies from 3 to 3000Hz. Above 3000Hz are, in order of increasing frequency or decreasing wavelength, radio waves, microwaves, infrared radiation, visible light, ultraviolet radiation, x-rays, and gamma rays. Microwaves have enough photon energy to heat tissue; ionizing radiation like x-rays and gamma rays can damage biological systems by breaking chemical bonds. Extremely low-frequency electric and magnetic fields can neither break bonds nor heat tissue, and the electric currents they induce in the body are very weak. Power-frequency fields have very long wavelengths of about 5000km. Exposure distances are much shorter than this wavelength; under these circumstances, electric and magnetic fields are independent. Electric field strength increases with increasing voltage, or electric potential; magnetic field strength increases with increasing current. Both electric and magnetic fields decline rapidly with distance from their source, with a faster decline of fields from point sources such as machinery and a slower decline of fields from power lines
电场和磁场(EMF)无处不在。地球有静电场,在雷暴时产生闪电,地核内的电流产生地磁场。在发电、输电和使用过程中也会产生电场和磁场。在100多年的使用过程中,人们普遍认为电力是安全的,尽管与电导体直接接触造成的电击和烧伤是公认的健康危害。在美国,每年大约有1100人死于触电,其中约四分之三是由于家用电器的不安全操作造成的;其余原因是工作场所的事故。暴露于电场和磁场可能造成的健康后果是最近才引起关注的问题。自20世纪70年代初以来,人们一直在调查工频电磁场暴露——由于电力在世界范围内的普及,这是不可避免的。调查包括流行病学以及体内和体外的实验室研究,涉及范围广泛的疾病。关于电磁场与健康的文献非常多,包括1000多项已发表的研究,并已由几个权威委员会进行了深入审查。值得注意的是,美国国家科学院(NAS)国家研究委员会、国家环境健康科学研究所(NIEHS)和英国国家辐射防护委员会(NRPB)进行了审查。美国、加拿大和墨西哥的电力系统以交流电(ac)的形式产生和传输电力,交流电以每秒60个周期或60赫兹(Hz)的频率振荡。世界上大部分地区的电力频率为50赫兹。工频50和60赫兹的场占据了极低频(ELF),电磁波谱的非电离范围。ELF范围包括从3到3000Hz的频率。3000Hz以上,按频率增减顺序依次为无线电波、微波、红外线、可见光、紫外线、x射线、伽马射线。微波有足够的光子能量来加热组织;像x射线和伽马射线这样的电离辐射可以通过破坏化学键来破坏生物系统。极低频的电场和磁场既不能破坏化学键,也不能加热组织,它们在体内产生的电流非常微弱。工频场的波长很长,约为5000公里。曝光距离比这个波长短得多;在这种情况下,电场和磁场是相互独立的。电场强度随着电压或电势的增加而增加;磁场强度随电流增大而增大。电场和磁场都随着离源的距离而迅速衰减,机械等点源的磁场衰减较快,而电力线的磁场衰减较慢。当电场被建筑物等导电物体屏蔽时,电场会进一步减小,并且几乎没有穿透能力;另一方面,磁场能够穿透组织,而且不容易被屏蔽。由于靠近大型电机、建筑物中的电线以及使用计算机、办公机器、供暖和空调系统,职业暴露于电场和磁场中。输配电设施是电力的其他来源。准确评估电磁场暴露给流行病学研究带来了许多困难,并且仍然是一个相当大的挑战。EMF有几个独特的特征,使其比大多数其他类型的暴露更难以测量。电磁场不易检测,随时间和空间变化,在某种程度上存在于所有环境中。此外,电场会受到人体等导电物体的扰动和增强,因此在人体表面不同点测量的电场值不同。由于暴露环境的复杂性,工人的暴露报告并不可靠。关键词:电场;磁场;测量;职业暴露;接触代理人;急性效应;感应电流;中枢神经系统;心血管疾病;褪黑素;慢性影响;癌症;白血病;生殖的影响;曝光的指导方针;风险管理
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引用次数: 0
Saturated Methyl Halogenated Aliphatic Hydrocarbons 饱和甲基卤代脂肪烃
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX062
J. B. Reid
It is impossible to generalize on the saturated methyl halogenated aliphatic hydrocarbons discussed in this chapter. Physical properties and toxicological manifestations differ over a broad range depending on the particular halogen and the number of halogen atoms involved. As mentioned in the previous edition, the usefulness of these compounds has been significantly reduced because of the concern over stratospheric ozone depletion. On the other hand, toxicological interest in these compounds has increased because of concern over their production in chlorinated water systems. The USEPA (National Center for Environmental Assessment) and others are actively investigating the possible relationship between chlorination of drinking water sources and human cancer through many avenues, including sophisticated epidemiologic tools. Many of the compounds have been shown to produce cancer in animals, but their potency for humans is still under consideration, and the complex interactions with regard to human health are challenging. The other area of biochemistry that is of relevance to some of these materials is in regard to lipid peroxidation and its role in disease and in extrapolation from animal species to humans. As in the previous editions, this review relies extensively on information provided in earlier editions. Several online databases were utilized in searching for the most recent information in preparing the chapter. These included NTP (National Toxicology Program), IRIS (Integrated Risk Information Service), and the ATSDR (Agency for Toxic Substances and Disease Registry) websites. Most recent information was sought through MEDLINE, and, when possible, the original articles were reviewed. Debatably, IRIS was considered to be the last word with regard to cancer. Many of the compounds have been recently reviewed by the ATSDR and are reported in their toxicological profiles. Recent reviews were utilized in preparing this chapter. In addition, the Pocket Guide to Chemical Hazards and the ACGIH's TLV's and Other Occupational Exposure Values-1999 were utilized. Keywords: Methyl chloride; Refrigerant; Methyl bromide; Fire extinguishing agents; Methyl iodide; Methylene chloride; Cyanosis; Chloroform; Bromoform; Lacrimator; Iodoform; Carbon tetrachloride; Tetrabromomethane
在本章中讨论的饱和甲基卤代脂肪烃是不可能一概而论的。物理性质和毒理学表现在很大范围内不同,这取决于特定的卤素和所涉及的卤素原子的数量。如前一版所述,由于对平流层臭氧消耗的关注,这些化合物的用途已大大减少。另一方面,由于对这些化合物在氯化水系统中产生的担忧,对这些化合物的毒理学兴趣有所增加。美国环保署(国家环境评估中心)和其他机构正在通过多种途径,包括复杂的流行病学工具,积极调查饮用水水源氯化处理与人类癌症之间可能存在的关系。许多化合物已被证明在动物身上致癌,但它们对人类的效力仍在考虑之中,它们与人类健康的复杂相互作用具有挑战性。另一个与这些材料相关的生物化学领域是关于脂质过氧化及其在疾病中的作用以及从动物物种到人类的外推。与以前的版本一样,本综述广泛地依赖于早期版本中提供的信息。在编写本章的过程中,利用了几个联机数据库查找最新的资料。这些网站包括NTP(国家毒理学计划)、IRIS(综合风险信息服务)和ATSDR(有毒物质和疾病登记处)网站。通过MEDLINE搜索最新的信息,并且在可能的情况下,对原始文章进行了审查。有争议的是,IRIS被认为是关于癌症的最后定论。许多化合物最近已由ATSDR审查,并在其毒理学概况中进行了报告。在编写本章时利用了最近的审查。此外,还使用了《化学品危害袖珍指南》和ACGIH的TLV和其他职业暴露值-1999。关键词:氯甲烷;制冷剂;甲基溴化;灭火药剂;碘甲烷;二氯甲烷;黄萎病;氯仿;三溴甲烷;Lacrimator;碘仿;四氯化碳;四溴甲烷
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引用次数: 2
Cold Stress and Strain 冷应力与应变
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX097
H. Mahar
The human body has the thermoregulatory capacity to maintain its body temperature within about 1°C of normal (i.e., 37°C) under a variety of external environmental temperatures. When the body's heat loss to the environment is greater than its ability to maintain its internal homeostatic temperature, the body undergoes cold strain in response to the external cold temperature stress. Prolonged exposure to any temperature less than normal body temperature to which the body's thermoregulatory capacity cannot accommodate may result in cold-related injuries to tissues or cause other systemic changes, including hypothermia and death. Those injuries may involve local tissue damage that results when the tissue actually freezes (e.g., frostbite) or that can result from nonfreezing conditions in tissue sufficient to cause temporary or permanent vascular damage (e.g., chilblain, immersion foot). Heat loss sufficient to overcome the body's thermoregulatory mechanisms can produce a critical drop in the body's deep-core temperature and eventually hypothermia and death. Exposure to cold stress may also produce physiological or metabolic changes or shifts in endocrine systems, affect judgment or behavior, or exacerbate existing medical conditions (e.g., cardiovascular disease). For acute exposures, the body's response to cold stress is a function of the rate of heat loss, the temperature to which the individual is exposed, and the duration of exposure. For chronic exposures which produce subtle endocrine and metabolic shifts, the diurnal or seasonal (e.g., circannual) periodicity of that exposure may be more important than the environmental temperature to which the person is exposed. In assessing the impacts of exposures to cold stress, one should differentiate between normal changes that result as the body accommodates to that stress (homeostatic response mechanisms) and actual damage or disruption that result when the body's homeostatic response mechanisms are exceeded. Keywords: Cold stress; Prevalence response; Thermoregulatory control; Delayed thermoregulatory control; Adaptation; Injuries; Freezing cold injuries; Nonfreezing cold injuries; Hypothermia; Manual performance; Cognitive function; Endocrine function; Respiratory system; Immunological responses; Carcinogenesis; Control; Exposure standards
人体具有调节体温的能力,可在各种外界环境温度下将体温维持在正常(即37℃)的1℃以内。当人体向环境散失的热量大于其维持体内稳态温度的能力时,机体就会对外界的低温应激产生冷应变反应。长期暴露在低于正常体温的温度下,身体的体温调节能力无法适应,可能导致与寒冷相关的组织损伤或引起其他系统性变化,包括体温过低和死亡。这些损伤可能涉及局部组织损伤,当组织实际冻结时(例如,冻伤),或者由于组织中不冻结的条件足以造成暂时或永久的血管损伤(例如,冻疮,浸脚)。热量损失足以克服身体的体温调节机制,从而导致身体深处温度的严重下降,最终导致体温过低和死亡。暴露于冷应激也可能产生生理或代谢变化或内分泌系统的变化,影响判断或行为,或加剧现有的医疗状况(如心血管疾病)。对于急性暴露,身体对冷应激的反应是热损失率、个体暴露的温度和暴露时间的函数。对于产生细微内分泌和代谢变化的慢性暴露,暴露的日或季节(例如,每年一次)周期性可能比暴露的环境温度更重要。在评估暴露于冷应激的影响时,人们应该区分身体适应这种压力(体内平衡反应机制)时产生的正常变化和身体超过体内平衡反应机制时产生的实际损害或破坏。关键词:冷应力;普遍反应;体温调节的控制;延迟热调节控制;适应;伤害;冻伤;非冻害;体温过低;手动性能;认知功能;内分泌功能;呼吸系统;免疫反应;致癌作用;控制;暴露标准
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引用次数: 1
Toxic Chemical Information Sources 有毒化学品信息来源
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.tox009
B. Cohrssen
Knowing where to go to get relevant up-to-date as well as state-of-the-art information about the health effects of a chemical is essential for effective protection of workers and the environment. The means to access information is changing every day and the amount of occupational health and safety information is expanding. Finding information to prepare a MSDS, to respond to an emergency, to meet legislative and regulatory requirements, to determine the cause of an illness, or to develop a health and safety program can be challenging, overwhelming, and time-consuming. Toxicological information and data are of interest to more than workers, toxicologists, industrial hygienists, lawyers, and regulators. The general public is increasingly interested in the health effects of industrial chemicals. Depending upon who wants the information and why they want it affects the use it will have and the amount of detail required about the chemical. For some, knowing that the basic health effects are respiratory or skin irritation is enough. For others, knowing the mechanics of the way the chemical works in the body will be of interest and required. For still others, the information is needed for an emergency so that whatever information is obtained must be gained quickly. The recency of the information may affect which information sources are used. Electronic data bases, which have become a fact of life and are probably now the first source of reference for most people looking for chemical information and toxicological data, may not be the best resource. Electronic data bases can include both CD-ROMs and on-line databases available either directly from the service provider such as DIALOG, MEDLINE, or CCOHS or via the Internet. The government sources of information are usually free; however, there are fees for many of the other services. Comprehensive information and data are necessary to develop regulations to protect people and the environment from the effects of exposure from a chemical; all of this information may not be available from an electronic source. But electronic data sources are the places to go to quickly to find current toxicological data. There are a number of different methods of finding electronic data sources, and they are discussed later in the chapter. There are a number of different types of safety, health, and toxicological information sources. These include traditional paper sources such as books, journals, and periodicals which were the typical sources of information before about 1970. There are also gray data. Gray data can include private or government research reports that have not been published, company catalogs, and material safety data sheets (MSDSs). These information sources are called gray data because they are difficult to find and are not always readily available. Still other sources of health and safety data are laws, standards, and patents in print. A preamble to a Federal OSHA health standard provide
了解到哪里去获取有关化学品对健康影响的最新和最先进的信息,对于有效保护工人和环境至关重要。获取信息的手段每天都在变化,职业健康和安全信息的数量也在增加。寻找信息来准备MSDS,响应紧急情况,满足立法和监管要求,确定疾病的原因,或制定健康和安全计划可能是具有挑战性的,压倒性的和耗时的。对毒理学信息和数据感兴趣的不仅仅是工人、毒理学家、工业卫生学家、律师和监管机构。公众对工业化学品对健康的影响越来越感兴趣。这取决于谁想要这些信息,以及他们为什么想要这些信息,这将影响信息的用途,以及需要多少关于该化学品的细节。对一些人来说,知道对健康的基本影响是刺激呼吸或皮肤就足够了。对另一些人来说,了解化学物质在体内工作的机制是他们感兴趣的,也是他们所需要的。对另一些人来说,信息是紧急需要的,所以无论获得什么信息,都必须迅速获得。信息的近代性可能会影响所使用的信息源。电子数据库可能不是最好的资源,虽然电子数据库已成为生活中的一个事实,而且可能是大多数人查找化学信息和毒理学数据的第一参考来源。电子数据库可以包括cd - rom和在线数据库,这些数据库可以直接从DIALOG、MEDLINE或CCOHS等服务提供商处获得,也可以通过Internet获得。政府的信息来源通常是免费的;然而,许多其他服务都是收费的。全面的资料和数据对于制定保护人民和环境免受接触某种化学品的影响的条例是必要的;所有这些信息可能无法从电子来源获得。但电子数据源是快速查找当前毒理学数据的地方。有许多不同的方法可以找到电子数据源,这些方法将在本章后面讨论。有许多不同类型的安全、健康和毒理学信息来源。这些包括传统的纸质资源,如书籍、期刊和期刊,它们在1970年之前是典型的信息来源。也有灰色数据。灰色数据可以包括尚未发表的私人或政府研究报告、公司目录和材料安全数据表(msds)。这些信息源被称为灰色数据,因为它们很难找到,而且并不总是随时可用。健康和安全数据的其他来源还有法律、标准和公开的专利。联邦OSHA健康标准的序言提供了一种化学品的历史流行病学数据。本章讨论了信息搜索的基本机制,一般的或传统的获取信息的地方,然后是特定的资源。在这个资源极大扩展的时代,在一章中只提供特定的资源不仅浪费时间,而且对读者是一种伤害。关键词:毒理学文献检索;ca数字;互联网;Web搜索;来源;美国政府技术信息中心;软件;国立卫生研究院;疾病预防控制中心;OSHA;食品及药物管理局;有毒物质;抽象;化学文摘;索引;发布信息;图书馆;数据库;NTIS;NIST的;有毒化学物质
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引用次数: 0
Neurotoxicology and Behavior 神经毒理学和行为学
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX025.PUB2
W. Boyes
Neurotoxicity is important to consider as a component of occupational and environmental safety and health programs. The failure to do so has contributed to a number of tragic cases in which workers, consumers of manufactured products, and people exposed in the environment were irreparably harmed by exposure to industrial compounds that proved toxic to the nervous system. The National Institute for Occupational Safety and Health (NIOSH) has listed neurotoxic disorders as one of the ten leading occupational problems in the United States. Many of the most severe environmental, industrial, and commercial human health disasters attributable to chemical exposure have involved neurotoxic effects. In Detroit, Michigan, in 1934, for example, an automotive redesign required grinding large amounts of excess lead solder from each car. Inhalation of the resulting lead dust produced between 2,700 and 4,000 cases of lead poisoning whose symptoms ranged from mild gastrointestinal upset to severe neurological deficits, including peripheral neuropathy and encephalopathy. As many as 12 people may have died. In another case that occurred during the Prohibition Era, a single batch of the popular ethanol-based elixir “Ginger Jake” was adulterated with tri-o-cresylphosphate (TOCP). This batch was then distributed throughout the southeastern and midwestern United States. As many as 50,000 people suffered peripheral neuropathy caused by degeneration of the large, long axons in the peripheral nerves of the legs and spinal cord. In a food contamination episode, 459 people were killed and more than 6,500 became ill in Iraq from methylmercury which was applied as a fungicide to seed grain intended for planting, but which was instead ground into flour and cooked into bread. Methylmercury was also the cause of environmental poisonings in Minamata Bay, Japan, in which industrial effluent discharged into the Bay bioconcentrated in the food chain and eventually led to exposure of thousands of inhabitants who consumed seafood from the bay. The effects on Minamata children exposed in utero were particularly severe. Since that time methlymercury poisoning has been referred to as “Minamata disease.” Fortunately, catastrophic disasters are relatively rare occurrences that typically involve exposures to high concentrations of neurotoxic compounds. A more common concern in occupational and environmental settings is exposure to lower levels of potentially neurotoxic compounds, for long periods of time. It is important to consider neurotoxicity in long-term, low-level exposure situations. Many occupational and environmental exposure standards have been established on the basis of effects on the nervous system. There is also concern that subtle neurotoxic damage might not be evident at the time of exposure due to the plasticity and functional reserve capacity of the nervous system but may become manifest later. Damage inflicted long ago may become evident as individuals age or under
神经毒性是重要的考虑作为一个组成部分的职业和环境安全和健康计划。由于未能做到这一点,导致了许多悲剧性的案例,在这些案例中,工人、制成品的消费者和暴露在环境中的人由于暴露于工业化合物而受到无法弥补的伤害,这些化合物被证明对神经系统有毒。美国国家职业安全与健康研究所(NIOSH)将神经毒性疾病列为美国十大主要职业问题之一。许多可归因于化学品接触的最严重的环境、工业和商业人类健康灾难都涉及神经毒性作用。例如,1934年在密歇根州的底特律,重新设计汽车需要从每辆车上研磨大量多余的铅焊料。吸入由此产生的铅尘导致2700至4000例铅中毒,其症状从轻微的胃肠道不适到严重的神经功能缺损,包括周围神经病变和脑病。死亡人数可能多达12人。在另一起发生在禁酒时期的案件中,一批受欢迎的乙醇酏剂“姜杰克”被掺入了三邻甲酰磷酸(TOCP)。这批药品随后被分发到美国东南部和中西部。多达5万人患有由腿部和脊髓周围神经的大而长的轴突变性引起的周围神经病变。在伊拉克的一次食品污染事件中,有459人因甲基汞而死亡,超过6500人患病。甲基汞被用作杀菌剂,用于种植的种子,但却被磨成面粉,煮成面包。甲基汞也是日本水俣湾环境中毒的原因,排放到水俣湾的工业废水在食物链中发生生物浓缩,最终导致数千名食用该湾海鲜的居民接触到甲基汞。在子宫内暴露的水俣儿童受到的影响尤为严重。从那时起,甲基汞中毒就被称为“水俣病”。幸运的是,灾难性的灾难是相对罕见的,通常涉及暴露于高浓度的神经毒性化合物。在职业和环境环境中,更常见的问题是长期暴露于较低水平的潜在神经毒性化合物。在长期低剂量暴露的情况下考虑神经毒性是很重要的。许多职业和环境暴露标准都是基于对神经系统的影响而制定的。也有人担心,由于神经系统的可塑性和功能储备能力,轻微的神经毒性损伤可能在接触时不明显,但可能在以后显现。很久以前造成的伤害可能随着个人年龄的增长或经受其他压力而变得明显。另一种情况是,低水平接触神经毒性化合物可能导致损害的逐渐累积,这种累积只有在较长时间内才会变得明显。应该考虑在接触神经毒性化合物和功能损害变得明显的时间之间可能存在一段潜伏期的可能性。关键词:神经毒理学;职业暴露标准;神经行为的影响;神经系统;毒害神经的结果;美国环保局神经毒性指南;金属;溶剂;农药;预防
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引用次数: 13
Tuberculosis and Other Mycobacteria 结核和其他分枝杆菌
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX021
D. Gardner
The genus Mycobacterium is one of the most widely distributed bacteria genera in nature and includes those organisms that cause two of the world's most prevalent infectious diseases in humans, M. tuberculosis, the agent of tuberculosis and M. leprae, the agent of leprosy. A large number of other species in this genera are widespread and occur as contaminants in soil, water, or organic debris. These organisms may be ingested or inhaled in dust particles and produce syndromes that are indistinguishable from classic tuberculosis. The term tuberculosis (TB) is commonly applied to all cases of mycobacterial infections except leprosy. Many of these infections are now being recognized more frequently in immunosuppressed patients who have organ transplants, individuals being treated for leukemia or cancer, and patients suffering from AIDS. In most cases of TB in humans, the lungs are the major organ affected but other tissues and organs such as bone, skin, and the digestive tract may also be infected. Although this chapter focuses primarily on tuberculosis, a discussion of a few of these other opportunistic organisms in this genus that are associated with human disease are also discussed. The bibliography provided will guide the readers to works which they can consult for more detailed information about these organisms. These references contain discussions on taxonomy, growth requirements, as well as the morphological characteristics, physiology, pathogenicity, and the metabolic activity of these organisms. Keywords: Tuberculosis; Organisms; Sources; Health issues; Risk factors; Prevention; Treatment
分枝杆菌属是自然界中分布最广泛的细菌属之一,包括引起世界上最普遍的两种人类传染病——结核分枝杆菌和麻风分枝杆菌——的生物体。本属的大量其他物种广泛分布,并作为土壤,水或有机碎屑中的污染物出现。这些微生物可通过灰尘颗粒被摄入或吸入,并产生与典型结核病难以区分的综合征。结核(TB)一词通常用于除麻风病外的所有分枝杆菌感染病例。现在,在接受器官移植的免疫抑制患者、正在接受白血病或癌症治疗的患者以及艾滋病患者中,许多此类感染被发现的频率更高。在大多数人类结核病病例中,肺部是受影响的主要器官,但骨骼、皮肤和消化道等其他组织和器官也可能受到感染。虽然本章主要集中在结核病上,但也讨论了与人类疾病有关的本属其他一些机会性生物。所提供的参考书目将引导读者查阅有关这些生物的更详细信息的作品。这些参考文献包括对这些生物的分类、生长要求以及形态特征、生理学、致病性和代谢活性的讨论。关键词:结核病;生物;来源;健康问题;风险因素;预防;治疗
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引用次数: 0
Ethers of Ethylene Glycol and Derivatives 乙二醇醚及其衍生物
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX086
R. Boatman, J. Knaak
There are currently seven U.S. manufacturers of ethers and other derivatives of ethylene glycol (EG), diethylene glycol (DEG), and higher glycols. Five of them are members of the American Chemistry Council (ACC) Glycol Ethers' Panel. The glycol ethers most commonly encountered industrially are colorless liquids that have mild ethereal odors. Alkyl glycol ethers are manufactured in a closed, continuous process by reacting ethylene oxide with an anhydrous alcohol in the presence of a suitable catalyst. Depending on the molar ratios of the reactants and other process parameters, the product mixtures obtained contain varying amounts of the monoethylene-, diethylene-, triethylene-, and higher glycol ethers. Typically, the products in these mixtures are separated and purified by fractional distillation. The miscibility of most of these ethers with water and with a large number of organic solvents makes them especially useful as solvents in oil–water compositions. Their relatively slow rate of evaporation also makes them useful as solvents and coalescing agents in paints. Other uses include inks, cleaners, chemical intermediates, process solvents, brake fluids, and deicers. The ethers of the higher glycols are used as hydraulic fluids. An estimate of the U.S. production and use of representative ethylene glycol ethers is presented. Production of ethylene glycol ethers (total) in Western Europe amounted to 245 thousand metric tons in 1995. Occupational exposure to glycol ethers occurs dermally and by inhalation. Ingestion is not a concern in industrial exposure, although some cases of intentional ingestion of consumer products containing ethylene glycol ethers have been reported. A number of analytical methods have been published that are suitable for detecting glycol ethers in environmental air samples. Glycol ethers generally have low acute, single-dose toxicity, and LD50 values generally range from 1.0 to 4.0 g/kg of body weight. In animals and humans, high-dose administrations (>350 mg/kg) result in central nervous system depression, although the results from many studies show no specific damage to neural tissues. Other toxicological effects attributable to glycol ethers are associated with metabolism to the corresponding alkoxyacetic acids. In the case of EGME, EGEE, and certain other glycol ether derivatives, significant reproductive, developmental, hematologic, and immunologic effects have been associated with the formation of either methoxyacetic (MAA) or ethoxyacetic acids (EAA). For other glycol ether derivatives substituted with propyl, butyl, or higher homologues, developmental effects secondary to maternal toxicity (without teratogenic effects), as well as hematologic effects, are observed. Ethylene glycol ethers and acetates may enter the environment from manufacturing effluents and emissions and as a result of their use in commercial products. Keywords: Ethylene glycol ethers; Analytical m
目前,美国有七家醚和其他乙二醇(EG)、二甘醇(DEG)和更高级的乙二醇衍生物制造商。其中五位是美国化学理事会(ACC)乙二醇醚小组的成员。工业上最常见的乙二醇醚是无色液体,有轻微的空灵气味。在合适的催化剂存在下,通过环氧乙烷与无水醇反应,以封闭、连续的工艺生产烷基乙二醇醚。根据反应物的摩尔比和其他工艺参数,得到的产品混合物含有不同数量的单-、二-、三-和更高的乙二醇醚。通常,这些混合物中的产物通过分馏分离和纯化。这些醚与水和许多有机溶剂的可混溶性使它们作为油水组合物的溶剂特别有用。它们相对缓慢的蒸发速度也使它们成为油漆中的溶剂和凝聚剂。其他用途包括油墨、清洁剂、化学中间体、工艺溶剂、制动液和除冰剂。高级醇的醚用作液压油。对美国具有代表性的乙二醇醚的生产和使用进行了估计。1995年西欧乙二醇醚的总产量达24.5万吨。职业性接触乙二醇醚可通过皮肤和吸入发生。在工业接触中,摄入不是一个问题,尽管有一些故意摄入含有乙二醇醚的消费品的案例报道。许多分析方法已经发表,适用于检测环境空气样品中的乙二醇醚。乙二醇醚一般具有低急性、单剂量毒性,LD50值一般为1.0 ~ 4.0 g/kg体重。在动物和人类中,高剂量给药(> 350mg /kg)可导致中枢神经系统抑制,尽管许多研究结果显示对神经组织没有特异性损伤。其他可归因于乙二醇醚的毒理学效应与代谢相应的烷氧乙酸有关。在EGME、EGEE和某些其他乙二醇醚衍生物的情况下,显著的生殖、发育、血液学和免疫效应与甲氧基乙酸(MAA)或乙氧基乙酸(EAA)的形成有关。对于丙基、丁基或更高的同系物取代的其他乙二醇醚衍生物,观察到继发于母体毒性的发育效应(无致畸效应),以及血液学效应。乙二醇醚和乙酸酯可能因生产废水和排放物以及在商业产品中使用而进入环境。关键词:乙二醇醚;分析方法;消除;结构与活性关系;血液的影响;乙酸乙二醇酯;蒸汽
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引用次数: 19
Esters of Aromatic Mono‐, Di‐, and Tricarboxylic Acids, Aromatic Diacids and Di‐, Tri‐, Or Polyalcohols 芳香单羧酸、二羧酸和三羧酸酯、芳香二羧酸酯、二羧酸酯、三羧酸酯或多元醇酯
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX080
R. M. David, R. H. Mckee, J. Butala, R. Barter, M. Kayser
The simple aliphatic esters of benzoic acid are liquids used as solvents, flavors, or perfumes. The arylbenzoate benzyl is used as a miticide or plasticizer. In general, these compounds have a low order of toxicity. The primary effect expected from ingestion of moderate amounts of benzoates is gastrointestinal irritation, gastric pain, nausea, and vomiting. Available data indicate a low order of skin absorbability, and the undiluted materials may be either slight or moderate skin irritants. In rabbits, the degree of skin irritation caused by alkyl benzoates increases with an increase in molecular weight. The salicylates are used as flavorants, perfumes, or analgesics. The most commonly used member of this class of compounds is methyl salicylate. Ingestion of relatively small quantities of methyl salicylate may cause severe, rapid-onset salicylate poisoning. The lower alkyl esters of p- or 4-hydroxybenzoic acid (C1 to C4), also named the methyl-, ethyl-, propyl-, and butyl parabens, are high-boiling liquids that decompose on heating. They are widely used in the food, cosmetic, and pharmaceutical industries as preservatives, bacteristats, and fungistats. Parabens also have been used therapeutically for the treatment of moniliasis, a Candida albicans infection. By the oral route, parabens are rapidly absorbed, metabolized, and excreted. The lower paraben homologues have low potential for acute or chronic systemic toxicity and are therefore approved as human food additives. The cinnamates (phenyl acrylates, phenylpropenoic acid esters) are mainly used as fragrances in the perfume industry. The cinnamates appear to have low to moderate toxicity in mammals. In humans, dermal exposure to allyl cinnamate may cause skin irritation. Some p-aminobenzoic acid (PABA) esters occur naturally, since the free compound, PABA, is an intricate part of the vitamin B complex and is utilized for its synthesis. PABA esters exhibit a low order of acute toxicity in experimental animals. In humans, cases of methemoglobinemia after topical benzocaine or procaine use have been reported. Sunscreen agents containing PABA esters may occasionally produce allergic photosensitization. The ortho-aminobenzoates (anthranilates) are less irritating and less likely to cause sensitization than the para-aminobenzoates, but have less therapeutic usefulness. They are used in some sunscreen lotions. Anthranilates have low toxicity potential. Long-chain fatty acids of glycerides may be replaced by one or more acetyl groups to produce mono-, di-, or triacetin. Acetins, propionates, and butyrates serve as food additives, solvents or plasticizers, and surface-active agents. Available evidence indicates that these agents exhibit a low order of toxicity. Normally, no irritant effects occur upon inhalation or direct dermal contact. The higher glycerides of fatty acids with odd-numbered carbon chains (C5 to C11) are found naturally in very sma
苯甲酸的简单脂肪族酯是用作溶剂、香精或香水的液体。芳基苯甲酸苄酯用作杀虫剂或增塑剂。一般来说,这些化合物的毒性较低。摄入适量苯甲酸盐的主要作用是胃肠道刺激、胃痛、恶心和呕吐。现有数据表明,皮肤可吸收性较低,未稀释的材料可能对皮肤有轻微或中度刺激。在家兔中,烷基苯甲酸酯引起的皮肤刺激程度随着分子量的增加而增加。水杨酸盐可用作香料、香水或止痛剂。这类化合物中最常用的成员是水杨酸甲酯。摄入相对少量的水杨酸甲酯可引起严重的、快速发作的水杨酸中毒。对羟基苯甲酸或4-羟基苯甲酸(C1至C4)的低烷基酯,也被称为对羟基苯甲酸甲酯、乙基苯甲酸酯、丙基苯甲酸酯和丁基苯甲酸酯,是加热时分解的高沸点液体。它们广泛用于食品、化妆品和制药行业,作为防腐剂、抑菌剂和真菌剂。对羟基苯甲酸酯也用于治疗念珠菌感染念珠菌病。通过口服途径,对羟基苯甲酸酯被迅速吸收、代谢和排泄。较低的对羟基苯甲酸酯同系物具有较低的急性或慢性全身毒性,因此被批准作为人类食品添加剂。肉桂酸酯(苯基丙烯酸酯、苯基丙烯酸酯)在香水工业中主要用作香料。肉桂酸酯对哺乳动物似乎有低到中等的毒性。在人类,皮肤暴露于肉桂酸烯丙酯可能会引起皮肤刺激。一些对氨基苯甲酸(PABA)酯自然产生,因为游离化合物PABA是维生素B复合物的一个复杂部分,并用于其合成。PABA酯类在实验动物中表现出低阶急性毒性。在人类中,局部使用苯佐卡因或普鲁卡因后出现高铁血红蛋白血症的病例已有报道。含有PABA酯的防晒剂偶尔会产生过敏性光敏。邻氨基苯甲酸酯(邻氨基苯甲酸酯)比对氨基苯甲酸酯刺激性更小,引起致敏的可能性更小,但治疗效果较差。它们被用于一些防晒乳液中。邻氨基苯甲酸酯具有低毒性。甘油酯的长链脂肪酸可被一个或多个乙酰基取代,生成单乙酰、二乙酰或三乙酰。醋酸酯、丙酸酯和丁酸酯用作食品添加剂、溶剂或增塑剂以及表面活性剂。现有证据表明,这些药剂的毒性较低。通常情况下,吸入或直接皮肤接触不会产生刺激性作用。奇数碳链脂肪酸(C5至C11)的高甘油酯自然存在于各种生物体中,数量很少,偶数(C12至C24)酯是常见的营养成分。它们被用作食品、工业原料或非酸性洗涤剂的乳化剂。一些关于C5和C8化合物的毒性数据是可用的。偶数的C12到C18甘油是无毒的。间苯二酚酯类化合物的毒理学信息很少。没食子酸盐在化学上是三羟基苯甲酸酯。它们通常用作抗氧化剂,而没食子酸酯丙酯、没食子酸酯辛酯和没食子酸酯十二烷基已被批准作为食品添加剂。没食子酸酯在实验动物中表现出较低的急性和慢性毒性。大量证据表明它们不会致癌或致畸。草酸盐、丙二酸盐、戊二酸盐和琥珀酸盐是高闪、高沸腾的液体。草酸盐和丙二酸盐主要用作树脂的溶剂或化学中间体。这些材料的一般工业用途没有与任何特定的毒性问题联系在一起。草酸二乙酯可以发挥典型的局部溶剂和全身效应,可能是一个例外。对人类来说,草酸二乙酯可能会刺激皮肤和粘膜。综述了烷基和烷氧己二酸酯、氮二酸酯和癸二酸酯的化学和物理性质数据。这些化合物是重要的化学中间体,广泛用作增塑剂。其中一些药剂用于食品包装材料。它们具有低急性毒性,对皮肤和眼睛的刺激作用非常轻微。现有证据表明,较低的烷基己二酸酯(二甲基、二乙基、二丁基)是生殖和/或胎儿毒物。马来酸酯(顺式-2-丁烯酸酯)、富马酸酯(反式-2-丁烯酸酯)和邻戊酸酯已被用作增塑剂、化学合成原料或脂肪和油的防腐剂。烯基二羧酸酯具有低急性毒性。 它们有引起兔子皮肤或眼睛刺激的倾向。接触马来酸二丁酯的人也发生过过敏性皮炎。这些化合物的亚急性和慢性毒性数据有限。邻苯二甲酸(邻苯二甲酸酯)是最重要的工业化学品之一。它们被用作各种塑料的增塑剂;C8及以上的用于增加PVC的柔韧性。它们还与乙烯基和纤维素树脂一起使用,以增加韧性和柔韧性。它们通常用于电线电缆外壳,模具,乙烯基消费品和医疗设备。一些低分子量邻苯二甲酸酯(如甲基、乙基和丁基)用作工业溶剂而不是增塑剂。偶尔,这些低分子量邻苯二甲酸盐有应用于消费品,如油墨和漆。物理上,邻苯二甲酸盐主要以液体形式存在,具有高沸点范围和非常低的蒸汽压,这两者都有助于这些材料的高稳定性。邻苯二甲酸酯的生物反应因醇侧链和实验动物种类而异。一般来说,邻苯二甲酸酯在口服、皮肤或吸入暴露后发生急性毒性的可能性很低。它们对皮肤和眼睛没有刺激或轻微刺激,它们不是致敏剂。关键词:苯甲酸;水杨酸盐;防腐剂;Hydroxybenzoates;肉桂酸;Aminobenzoates;丙三醇醋酸盐;醋精;类;丁醇;草酸;丙二酸酯;琥珀酸;Sulfosuccinates;戊二酸;己二酸;壬二;癸二酸酯;顺丁烯二酸盐;延胡索酸酯;Itaconates;邻苯二甲酸酯;羧甲;Trimellitates
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引用次数: 48
Populations at Risk 高危人群
Pub Date : 2001-04-16 DOI: 10.1002/0471435139.TOX110
D. Pedersen, Randy Young, Rose, E. Vernon
The practice of industrial hygiene and toxicology both involve recognition, as well as anticipation of the potential for occupational health problems. In the anticipation and/or recognition phase, an assessment of the risk to health or well-being resulting from exposure to an agent (chemical, physical, or biological) is made. This phase usually involves identifying the agents to which workers are or might be exposed; assessing the agents' properties, including toxicity; and understanding the conditions surrounding the use of, or interaction with, the agents. This information allows occupational health and safety professionals to make a preliminary assessment of occupational health risk based on the inherent properties of chemical, physical, or biological agents combined with the potential for contact or exposure under actual use conditions, including environmental level and in-use exposure control measures. The two basic applications of the anticipation/recognition process can be classified as either individual or aggregate. The individual process is used by occupational health and safety practitioners who apply anticipation and recognition techniques to the exposure and conditions of exposure prevalent in a single facility or group of facilities under his or her professional jurisdiction. In that process, the individual professional needs an understanding of the toxic properties of those agents associated with these specific workplaces or processes and an understanding of the conditions of exposure existing in those situations. The data necessary for the individual process have been available to the practitioner for quite some time, either through the scientific literature or through investigation in the workplaces under his or her jurisdiction, with the possible historical exception of accurate information regarding the formulation of trade-named products. The broader aggregate process of anticipation and recognition is applicable to definable industrial or occupational populations, and is an assessment of the potential risk of these populations for adverse health effects due to occupational exposure to chemical, physical, or biological agents in the workplace. The aggregate approach is common to occupational health and safety researchers, regulatory bodies, and others interested in the extent of exposure to a specific agent or list of agents with known adverse health effects. For example, in the initial stages of an epidemiologic study, researchers might wish to identify populations of workers who are exposed to a specific agent or group of agents. Government agencies need a measure of the potential impact of research or regulatory efforts based on the number of industries and workers impacted when they decide on the priorities to assign to research or regulatory efforts or the development of occupational health standards. This type of data was not available until after the implementation of the Occupational Safety and Health Act
工业卫生和毒理学的实践都涉及到对潜在职业健康问题的认识和预测。在预测和(或)识别阶段,对接触某种物剂(化学的、物理的或生物的)对健康或福祉造成的风险进行评估。这一阶段通常包括确定工人已经或可能接触到的病原体;评估药剂的性质,包括毒性;了解使用药剂或与药剂相互作用的条件。这些信息使职业健康和安全专业人员能够根据化学、物理或生物制剂的固有特性,结合在实际使用条件下接触或暴露的可能性,包括环境水平和使用中的暴露控制措施,对职业健康风险进行初步评估。预期/识别过程的两种基本应用可以分为个体应用和群体应用。个人程序由职业健康和安全从业人员使用,他们将预测和识别技术应用于其专业管辖范围内单个设施或一组设施中普遍存在的暴露和暴露条件。在这个过程中,个人专业人员需要了解与这些特定工作场所或过程相关的这些物质的毒性,并了解在这些情况下存在的暴露条件。通过科学文献或在其管辖范围内的工作场所进行调查,从业人员可以获得个别过程所需的数据已有相当长的一段时间了,但历史上可能存在关于商标产品配方的准确信息的例外。更广泛的总体预测和识别过程适用于可定义的工业或职业人群,是对这些人群因在工作场所职业接触化学、物理或生物制剂而对健康产生不利影响的潜在风险的评估。对于职业健康和安全研究人员、监管机构和其他对特定物质或已知有害健康影响的物质清单的暴露程度感兴趣的人来说,综合方法是常用的。例如,在流行病学研究的初始阶段,研究人员可能希望确定暴露于特定病原体或一组病原体的工人群体。政府机构在决定研究或监管工作的优先次序或制定职业健康标准时,需要根据受影响的行业和工人的数量来衡量研究或监管工作的潜在影响。这类数据直到1970年《职业安全与健康法》实施后才得以获得,这需要联邦政府的几项努力。这种确定因职业接触特定个人或群体化学物剂而面临风险的工人群体的综合方法,也为一般职业卫生界提供服务,对可能发生接触的行业进行概况分析,从而能够评估选定行业中特定有害健康影响的相对潜力。这种类型的广泛概述通常不提供给个人职业卫生从业人员,并有可能改善从业人员在他或她的责任领域的职业风险的初步评估。关键词:人口;风险;数据来源;数据显示;估算的显示;NOES工人暴露;行业风险;工业化学物质;计算
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引用次数: 1
期刊
Patty's Toxicology
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