• 제목/요약/키워드: Contact toxicity

검색결과 106건 처리시간 0.02초

대장암 항암 화학요법의 처방 오류 평가 및 개선안 제시 (Guideline of Improvement and Evaluation of Prescribing Errors in Colorectal Chemotherapy)

  • 임현수;임성실
    • 한국임상약학회지
    • /
    • 제23권2호
    • /
    • pp.158-166
    • /
    • 2013
  • Background: Colorectal cancer shows a significant increase in South Korea due to westernization of diet, lack of dietary fiber, drinking and smoking, irregular defecation. There are surgery, chemotherapy, radiation therapy in treatment of colorectal cancer. There may be a medication errors in the process of chemotherapy because of its high toxicity, narrow therapeutic index and the health status of cancer patients. Consequently medication errors can cause increasing the risk of death, prolonging hospital stay and increasing the cost. Among medication errors on medication use process, prescribing errors are of particular concern due to higher risk of serious consequences. It is important for pharmacist to prevent the prescribing errors before reaching patient. Therefore we analyzed the prescriptions of colorectal cancer, classified prescribing errors, suggested guideline to reduce prescribing errors and verified the importance of pharmacist's role in prevention of medication errors activity. Methods: We collected the numbers of prescriptions of colorectal cancer(n=2,373) through anti cancer management program and EMR and analyzed the errors of prescriptions by categories from Oct 1st 2011 to Sep 30th 2012 at Chungbuk National University Hospital. We reviewed the prescriptions as follows - patients' characteristics, the result of test, previous prescriptions, characteristics of antineoplastic agents and patients' allergy, drug sensitivity, adverse events. Prescriptions are classified into inpatient and outpatient and analyzed the errors of prescriptions by categories (dosage form, dose, input, diluents, regimen, product). Results: Total prescription number of inpatient and outpatient of colorectal cancer was 1,193 and 1,180 and that of errors was 107(9%) and 22(1.9%), respectively. In case of errors of categories, the number of errors of dosage form is 69 and 8, errors of dose is 15 and 5, errors of input is 9 and 9 in inpatient and outpatient prescriptions, respectively. Errors of diluents is 8, errors of regimen is 3, errors of product is 3 in only inpatient prescriptions. In case of errors of categories by inpatient department, the number of errors of dosage form is 34 and 35, errors of dose is 7 and 8, errors of input is 6 and 3, errors of diluents is 4 and 4, errors of regimen is 2 and 1, errors of product is 2 and 1 in SG and HO, respectively. In case of outpatient department, the number of errors of dosage form is 8 in HO, errors of dose is 5 in HO, errors of input is 5 and 4 in SG and HO, respectively. Conclusions: The rate of errors of inpatient is higher than that of outpatient. Junior doctors are engaged in prescriptions of inpatient and pharmacist need to pay attention to review all prescriptions. If prescribing errors are discovered, pharmacist should contact the prescriber and correct the errors without delay. The guideline to reduce prescribing errors might be upgrading software of anti cancer management program, education for physicians as well as pharmacists and calling prescriber's attention to preventing recurrence of errors.

자몽종자추출물, 구연산, 사과산 그리고 염화벤잘코늄을 주성분으로 하는 스프레이형 소독제의 조류인플루엔자바이러스에 대한 살바이러스 효과 (Virucidal Efficacy against Avian Influenza Virus of a Disinfectant Spray Containing Grapefruit Seed Extracts, Citric Acid, Malic Acid and Benzalkonium Chloride)

  • 차춘남;박은기;정지윤;유창열;김석;이후장
    • 한국환경보건학회지
    • /
    • 제42권4호
    • /
    • pp.266-273
    • /
    • 2016
  • Objectives: This study evaluated the virucidal efficacy against avian influenza virus (AIV) of a disinfectant spray containing 0.25% grapefruit seed extract, 0.2% citric acid, 0.0625% malic acid and 0.0125% benzalkonium chloride. Methods: The disinfectant spray was diluted several times with hard water (HW) and organic matter (OM). Two point five mL of each diluent was added into each test tube, and 2.5 mL of AIV suspension was inserted into each test tube. After 30 minutes of virus-disinfectant contact reaction at $4^{\circ}C$, 2.5 mL of 10% inactivated fetal bovine serum was added into each test tube to neutralize the sanitizer efficacy. The neutralized solutions were serial 10-fold dilutions with phosphate buffer solution, and 0.2 mL of the diluents was injected into the allantoic cavity of five ten-day-old-chickens per dilution time. After incubation of the embryos for five days, the viability of the AIV was examined by hemagglutination titer. The valid dilution of the disinfectant spray was estimated according to the dilution time that the virus titer was inactivated more than $10^4$ 50% egg-infective dose (EID50)/mL compared with pathogen control. Results: In HW and OM conditions, the valid dilutions of the disinfectant spray against AIV were seven- and three-fold dilutions, respectively. The AIV titer of the pathogen control was more than 6.1 log10EID50/mL, and there was no embryonic toxicity. Conclusion: The present study showed that this disinfectant spray has effective virucidal activity against AIV.

기능화된 Zerovalent Iron에 의한 유기인계 살충제 Chlorpyrifos의 분해 특성 (Degradation Patterns of Orgaonophosphorus Insecticide, Chlorpyrifos by Functionalized Zerovalent Iron)

  • 김대현;최충렬;김태화;박만;김장억
    • Applied Biological Chemistry
    • /
    • 제50권4호
    • /
    • pp.321-326
    • /
    • 2007
  • 상업용 ZVI, nanosize ZVI 및 montmorillonite-ZVI complex 등에 의한 유기인계 살충제 chlorpyrifos의 수질 및 토양에서의 분해 특성을 조사하였다. 수용액내에서 ZVIs 처리량이 증가할수록 chlorpyrifos의 분해율 및 반응속도상수$(k_1)$는 증가되었고 cZVI

배추좀나방(Plutella xylostella)의 죽은 유충에서 분리한 Serratia marcescens 균주의 생물활성 (A Biological Activity of Serratia marcescens Strains Isolated from Dead Larva of the Diamondback Moth, Plutella xylostella (Plutellidae, Lepidoptera))

  • 전준학;진나영;이유경;이보람;윤영남;유용만
    • 농약과학회지
    • /
    • 제20권2호
    • /
    • pp.152-158
    • /
    • 2016
  • 배추좀나방의 죽은 유충을 사육상자에서 발견하여 죽은 원인을 조사 하였다. 죽은 유충으로부터 세균을 분리하여 생물검정으로 균주를 선발하였다. 선발된 세균의 형태 및 유전자 염기서열을 분석한 결과, Serratia marcescens로 동정되었다. 생물검정을 위하여 S. marcescens균주를 LB배양액으로 배양하여 증식하였다. 배양액을 100배로 희석하였을 때, 배추좀나방 3령 유충에 처리한 결과, 처리 2일 후에 100%의 사충률을 보였으며, 상청액만으로 처리하였을 경우에는 10배 희석액에서 86.6%의 사충률을 나타냈다. 또한 파밤나방유충에 접촉독성은 20%의 사충율을 나타냈고, 섭식독성은 8%의 효과를 보였으며, 접촉독성과 섭식독성을 동시에 수행하였을 경우에는 28%의 사충률을 보였다. 또한 국내 5개의 주요 식물병원성균에 대한 항균활성 검정에서 Fusarium oxysporum에 대해서는 4.7%, Rhizoctonia solani은 11.3%, Phytophthora capsici은 15.7%, Colletotrichum gloeosporioides은 20% 그리고 Sclerotinias clerotiorum은 42.6%의 control value를 보였다. 또한 S. marcescens 균주에 대하여 단백질과 chitin분해능력을 검토하였다.

대전 일부 지역 치과종사자의 화학소독제에 관한 지식도 연구 (Knowledge on the chemical disinfectants among dental workers in some Daejeon region)

  • 민희홍;안권숙
    • 한국치위생학회지
    • /
    • 제7권4호
    • /
    • pp.455-470
    • /
    • 2007
  • The usage of appropriate disinfectants is essential for infection control in dental hospitals, dental clinics. Inadequate use of disinfectants is the cause of human or environmental toxicity and is a waste of cost. This study was aimed to assess the level of knowledge on the disinfection and chemical disinfectants among dental workers in dental hospitals, dental clinics. It's ultimately intended to serve as a basis for the preparation of more effective, appropriate educational programs on the disinfection and manuals on the use of disinfectants for dental workers. This study enforced a questionnaire with 184 dental workers employed in dental hospitals, dental clinics from 15 Aug. to 15 Sep. 2007, in the area of Daejeon. The obtained result were as follows; 1. The population sociological feature of dental hospital and dental clinic showed that significant differences of dental service career(pM0.039). Dental service career of dental workers shows; below 3 years 42.9%, 4~6 years 34.7%, more than 7 years 22.4% in dental hospitals, below 3 years 30.4%, 4~6 years 26.7%, more than 7 years 43.0% in dental clinics(pM0.039). 2. The average score of dental workers knowledge in 'Critical item soaks in high-level disinfectants for 20minutes was 2.73V0.49 point, got from knowledge of dental instrument is appropriate to immerse before sterilization in the dental device disinfection(pM0.002). 3. In the general disinfection which it follows in education experience of chemical disinfectants direction for use, 'Direction for use by Spaulding process classification' responded that the correct answer was the education experience dental workers 60.0%, the education non-experience dental workers 39.5%(p=0.026). 4. In the dental device disinfection which it follows in education experience of chemical disinfectants direction for use. 'High level disinfection is not applied for the non-critical items and equipment' responded that the education experience dental workers 49.2%, the education non-experience dental workers 31.9%(pM0.045), 'Semi-critical items is applied same method in presence of the infection disease which it acts responded that the education experience dental workers 44.6% answer back, the education non-experience dental workers 24.4%(pM0.017). 5. 'A hand disinfectants of anticeptics have effect' the education experience dental workers 78.5% answer back, the education non-experience dental workers 52.9%(pM0.003). 1t uses with hand disinfectants when the instruments which be imbrued and patient contact', the education experience dental workers 78.5% answer back, the education non-experience dental workers 62.2%(pM0.026), 'Boric acid solution uses for the skin disinfectants the education experience dental workers 52.3% answer back, the education non-experience dental workers is 37.0%(pM0.016), 'Gluconate have effective difference which it follows in chemical disinfectant consistency and the solution type' education experience dental workers 72.3% answer back, education non-experience dental workers 47.9%(pM0.004). 6. The education experience dental workers were appeared higher than the education non-experience dental workers in knowledge of the disinfection and chemical disinfectants. Consequently system and the specialty education which is standardized continuously must be provided to all dental workers.

  • PDF

도로 포장방법에 따른 비점오염물질 유출특성 비교 (Characteristics of Stormwater Runoff with respect to Pavement Types)

  • 김철민;최지연;이정민;조혜진;김이형
    • 한국습지학회지
    • /
    • 제16권3호
    • /
    • pp.423-429
    • /
    • 2014
  • 도로는 높은 포장율과 자동차 운행으로 인하여 건기시 다양한 오염물질이 축적되며, 강우시 유출되어 수계에 환경수리학적 영향을 끼친다. 특히 도로노면은 아스팔트 또는 콘크리트로 포장되면서 거친 정도에 의한 오염물질의 축적과 유출정도가 다르다. 따라서 본 연구는 포장 재료에 따른 강우시 비점오염물질 유출특성을 분석하기 위하여 2012년도에 신규 개통한 구간에서 모니터링이 수행되었다. 강우 초기에 비점오염물질이 집중적으로 유출되는 초기강우현상은 포장재료와 관계없이 발생되는 것으로 나타났다. 그러나 노면과 자동차 타이어와의 마찰력이 큰 콘크리트 포장에서는 모든 수질오염항목에서 첨두농도가 높게 나타났다. 이러한 영향으로 인하여 TSS, 유기물과 영양염류의 유량가중평균농도(EMC, Event Mean Concentration)도 콘크리트 포장에서 높게 나타났다. 본 연구결과는 도로 포장방법이 수문학적 유출특성, 도로의 물리적 디자인 및 자동차의 운행대수 등과 함께 오염물질 유출에 크게 영향을 끼치는 중요한 인자라는 것을 보여준다.

동결건조에 따른 살충성 세균 Photorhabdus temperata M1021의 안정성과 살충성 평가 (Insecticidal Activity and Stability by Freeze-drying of Entomopathogenic Bacteria, Photorhabdus temperata M1021)

  • 박건석;장은경;김민성;신재호
    • Journal of Applied Biological Chemistry
    • /
    • 제55권2호
    • /
    • pp.123-127
    • /
    • 2012
  • 오늘날 환경친화적인 생물농약을 개발하기 위한 미생물로는 Bacillus thuringiensis 이외에 Photorhabdus, Xenorhabdus 및 Serratia와 같은 곤충병원성 미생물과 Pseudomonas와 같은 식물유용 미생물에 대한 연구가 활발히 진행되고 있다. 본 연구에서는 곤충병원성 미생물인 Photorhabdus temperata M1021 균주를 동결건조법을 이용하여 제제화 하였으며, 동결건조 시 세포보호를 위하여 skim milk, starch, sodium alginate, glucose와 sodium glutamate를 농도별로 첨가하여 동결 건조 후의 세포 생존율을 확인하였다. 그 결과 7% (w/v)의 skim milk가 첨가된 시료에서 가장 높은 63%의 생존율을 나타내었다. 제제화된 동결 건조균을 공기와 접촉시키면서 저온에서 생존율을 측정한 결과 4주 후에도 75% 이상의 생존율을 나타내었다. 또한 제제를 이용한 살충력 시험에서 꿀벌 부채명나방 유충에 대한 주사독성은 $2.0{\times}10^1$ cells/lavar 이상을 주사할 경우 4일 이내에 전체유충이 사멸하는 것으로 나타났으며, $2.0{\times}10^0$ cells/larva의 아주 낮은 농도에서도 50% 이상의 유충사멸 효과를 확인하였다. 본 연구에서 사용된 P. temperata M1021 균주의 동결건조 분말의 뛰어난 살충효과는 보다 현실적인 생물학적 제제로의 개발가능성을 제시하고 있다.

펄프.제지산업(製紙産業) 폐수(廢水)의 특성(特性)과 생물학적(生物學的) 처리기술(處理技術) (Characteristics of Wastewater from the Pulp.Paper Industry and its Biological Treatment Technologies)

  • 안지환;임미희
    • 자원리싸이클링
    • /
    • 제18권2호
    • /
    • pp.16-29
    • /
    • 2009
  • 본고는 펄프 제지산업 폐수에 함유된 오염물질들의 특성과 생물학적 처리기술들에 대해 설명한다. 펄프 제지산업 폐수는 고농도의 생화학적 산소요구량 (BOD)과 화학적 산소요구량 (COD)을 포함하고 높은 독성을 보이며 강한 흑갈색을 띠는 것이 특징이다. 특히, 펄프의 표백공정에서 리그닌의 염소화에 의해 다이옥신, 퓨란과 같은 독성의 유기염소화합물이 형성된다는 것이 알려져있다. 이에 따라 최근 펄프 제지산업은 기존의 표백처리를 무염소공정(TCF)으로 대체하고 있다. 펄프 제지산업 폐수처리에 사용되는 모든 생물학적 기술들은 폐수와 박테리아의 접촉 메커니즘에 기반을 두고 있는데, 이것은 박테리아가 폐수 내 유기물질을 먹이로 이용하여 세포로 전환함으로써 폐수 내 BOD농도를 감소시키는 것이다. 펄프 제지산업 폐수의 생물학적 처리에서 호기성 처리와 혐기성 처리 모두 효과적인 것으로 밝혀졌다. 뿐만 아니라, 최근 곰팡이류를 이용한 생물학적 처리, 생물-응집-여과기법을 혼용한 처리 등도 폐수처리분야에 새롭게 적용되었다. 이러한 기술들로 처리된 폐수를 펄프 제지공정에 재활용함으로써 제조공정의 물소비량을 상당히 감소시킬 수 있다.

CMIT/MIT 함유 가습기 살균제 제품의 제조 및 판매기업 형사판결 1심 재판 판결문에 대한 과학적 고찰 (I) - 제품 위험성과 노출평가 측면에서 (A Scientific Critique of a Korean Court's Acquittal for Involuntary Manslaughter Related to 5-chloro-2-methylisothiazol-3(2H)-one/2-methylisothiazol-3(2H)-one (CMIT/MIT), a Humidifier Disinfectant (HD) Part I: Material safety, exposure and delivery to target organ from an HD perspective)

  • 박동욱;조경이;김지원;최상준;권정환;전형배;김성균
    • 한국환경보건학회지
    • /
    • 제47권2호
    • /
    • pp.111-122
    • /
    • 2021
  • Objectives: There was a judgment of acquittal for the manufacturer SK Chemical and the vendor Aekyung regarding humidifier disinfectant (HD) containing 5-chloro-2-methylisothiazol-3(2H)-one/2-methylisothiazol-3(2H)-one (CMIT/MIT). The rationale used in this judgement is discussed here in the light of scientific consideration. Methods: The sentencing document for the judgements was obtained from the Korea Supreme Court Service. In particular, the judgements made by the court related to the risk of HD and external and internal exposure to CMIT/MIT are discussed based on scientific evidence. Results: Rendering a determination in a criminal trial of insufficient evidence of causation, the court dismissed the prosecution's motion that humidifier disinfectant-associated lung injuries (HDLI) and asthma were associated with the utilization of these products. However, CMIT/MIT, a strong sensitizing and corrosive substance, has been reported to be associated with brain toxicity, allergic contact dermatitis, and asthma. Furthermore, the judgment did not consider total consumption amounts or the cumulative dose of CMIT/MIT in the humidifier. Lastly, there are several cases supporting the fact that exposure to water-soluble substances including CMIT/MIT can cause lower respiratory tract diseases. In addition to cases of asthma among the workers exposed to CMIT/MIT, we identified lung injury victims who were exposed to HDs exclusively containing CMIT/MIT. Conclusions: We conclude that there is sufficient evidence supporting the assertion that HDs containing CMIT/MIT cause lung injuries, including asthma, contrary to the court's judgement.

남성 근로자의 생식보건 역학연구 (Epidemiologic Studies of Reproductive Health in Male Workers)

  • 최병주;이상길;김성규;성정민;예신희
    • 한국산업보건학회지
    • /
    • 제31권3호
    • /
    • pp.202-212
    • /
    • 2021
  • Objectives: The reproductive health of female workers has been extensively investigated in South Korea and other countries worldwide. However, few studies have discussed the reproductive health of male workers. In this study, we reviewed the recent literature that reports on the effects of occupational exposure on the reproductive health of male workers and the health of their children. Methods: In May 2020 we used the PubMed search engine to search the literature over the last 10 years and chose case-control, cohort, and cross-sectional studies and reviews. We selected epidemiological studies that investigated the association between pre-pregnant occupational exposure and the reproductive health of male workers and the health of their children. We excluded case reports, non-epidemiological studies (animal experiments, cellular-level experiments, and similar articles), and studies that described postnatal occupational exposure. Results: We eventually selected 23 studies. The studies that included exclusively male workers reported that those employed in the agricultural sector or those exposed to pesticides showed lower blood levels of reproductive hormones and a high risk of lympho-hematopoietic system cancer in their children. Male workers exposed to complex organic solvents and organic compounds showed a high risk of poor semen quality, increased time to pregnancy, decreased blood levels of reproductive hormones, and a high risk of lympho-hematopoietic system cancer in their children. Male workers employed in occupations that involved significant social contact, or in the leather and livestock industries, and in occupations with high levels of exposure to lead and organic solvents showed a high risk of malignancies, including lympho-hematopoietic system cancer, neuroblastoma, and central nervous system tumors in their children. Studies that investigated both male and female workers reported that children of male smelters showed a high risk of premature birth, and children of male workers exposed to metals showed a high risk of hypospadias and cryptorchidism. Children of male welders and workers employed in the glass, ceramic, and tile industries showed a high risk of premature birth. Conclusion: The findings of this study will serve as basic data for further research on male workers' reproductive health and provide a scientific basis for the development of strategies to protect the reproductive health of males employed in high-risk occupations. Moreover, the results of this study may provide guidelines to improve the understanding of and knowledge on male workers' reproductive health.