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Management of Acute Clonidine Poisoning in Adults: the Role of Resin Hemoperfusion
Management of Acute Clonidine Poisoning in Adults: The Role of Resin Hemoperfusion Shanshan Fang Department of Nephrology, 307 Hospital Bo Han Department of Nephrology, 307 Hospital Xiaoling Liu Department of Nephrology, 307 Hospital Dan Mao Department of Nephrology, 307 Hospital Chengwen Sun Laboratory of Poisonous Substance Detection, 307 Hospital Zhi Chen Department of Nephrology, 307 Hospital Ruimiao Wang Department of Nephrology, 307 Hospital Xishan Xiong ( [email protected] ) Aliated Hengsheng Hospital of the Southern Medical University https://orcid.org/0000-0002-8557- 8025 Methodology Keywords: clonidine poisoning, adrenergic alpha-agonists, bradycardia, hemoperfusion, hypotension Posted Date: September 21st, 2020 DOI: https://doi.org/10.21203/rs.3.rs-76660/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/14 Abstract Clonidine poisoning in adults is rare. An observational retrospective study including 102 adults with clonidine poisoning was conducted. 57 patients with relatively mild conditions were placed in the local emergency departments (EDs) for clinical observation, while the remaining 45 were transferred to the tertiary hospital for intensive treatment, of whom 9 were given supportive care only and 36 were given hemoperfusion (HP), as well as similar supportive treatment. The main symptoms of these cases were: sleepiness, dizziness, fatigue, headache, inarticulacy, tinnitus and dry mouth. Physical examination showed hypotension, bradycardia and shallow and slow breathing. Serum and urine clonidine concentrations were signicantly elevated24.4 ng/ml, 313.2 ng/ml, respectively. All cases slowly returned to their baseline state over 48 to 96 hours, which is co-related with the drawn of serum clonidine level. -
The Excretion and Storage of Ammonia by the Aquatic Larva of Sialis Lutaria (Neuroptera)
THE EXCRETION AND STORAGE OF AMMONIA BY THE AQUATIC LARVA OF SIALIS LUTARIA (NEUROPTERA) BY B. W. STADDON* Department of Zoology, University of Durham, King's College, Newcastle upon Tyne (Received 12 April 1954) INTRODUCTION Delaunay (1931), in a review of the invertebrates, showed that an excellent correla- tion existed between the nature of the major nitrogenous component of the excreta and the nature of the environment, aquatic or terrestrial, in which an animal lived. Ammonia was shown to predominate in the excreta of aquatic species, urea or uric acid in the excreta of semi-terrestrial or terrestrial species. Delaunay put forward the view that the synthesis by these terrestrial forms of more complex molecules from ammonia was essentially a detoxication mechanism necessitated by a restricted water supply. Although the insects are primarily a terrestrial group, representatives of a number of orders have become aquatic in one or more stages of their life histories. It is well known that those terrestrial species which have been examined, with the notable exception of blowfly larvae, excrete the bulk of their nitrogen in the form of uric acid (Wigglesworth, 1950). The possibility, however, that aquatic species might have reverted to ammonotelism does not seem to have been examined. Preliminary tests were carried out on the excreta of a variety of aquatic insects. In all cases ammonia was found to be the major nitrogenous excretory product. An investigation into various aspects of the metabolism, toxicity and excretion of ammonia was then undertaken on the aquatic larva of Siatis lutaria. It is the purpose of the present communication to present some observations on the excretion and storage of ammonia in this species. -
In Vitro Interactions of Epacadostat and Its Major Metabolites With
DMD Fast Forward. Published on March 10, 2017 as DOI: 10.1124/dmd.116.074609 This article has not been copyedited and formatted. The final version may differ from this version. DMD # 74609 In vitro interactions of epacadostat and its major metabolites with human efflux and uptake transporters: Implications for pharmacokinetics and drug interactions Qiang Zhang, Yan Zhang, Jason Boer, Jack G. Shi, Peidi Hu, Sharon Diamond, and Downloaded from Swamy Yeleswaram Incyte Corporation, Wilmington, DE 19803 dmd.aspetjournals.org at ASPET Journals on September 29, 2021 1 DMD Fast Forward. Published on March 10, 2017 as DOI: 10.1124/dmd.116.074609 This article has not been copyedited and formatted. The final version may differ from this version. DMD # 74609 Running title: Interactions of Epacadostat with Transporters Corresponding Author: Qiang Zhang, Ph.D. Incyte Corporation 1801 Augustine Cut-Off Wilmington, DE 19803 Downloaded from Email: [email protected] Phone: 302-498-5827 Fax: 302-425-2759 dmd.aspetjournals.org Number of Text Pages: 24 Number of Figures: 8 at ASPET Journals on September 29, 2021 Number of Tables: 6 Number of References: 24 The number of words of Abstract: 247 The number of words of Introduction: 655 The number of words of Discussion: 1487 Non-standard Abbreviations: EPAC, epacadostat; IDO1, indoleamine 2,3-dioxygenase 1; EHC, enterohepatic circulation; NME, new chemical entity; TEER, transepithelial electrical resistance; HBSS, Hank's Balanced Salt Solution; KO, knockout; CSA, cyclosporin A; IC50, half-maximal inhibitory concentration; ER, efflux ratio 2 DMD Fast Forward. Published on March 10, 2017 as DOI: 10.1124/dmd.116.074609 This article has not been copyedited and formatted. -
Victims of Seveso Disaster Face Higher Risk from Some Cancers 14 September 2009
Victims of Seveso disaster face higher risk from some cancers 14 September 2009 People living in the Seveso area of Italy, which was excess of lymphatic and hematopoietic risk. We did exposed to dioxin after an industrial accident in not identify an all-cancer excess, as seen in 1976, have experienced an increased risk of occupational cohorts which had similar, sometimes developing cancer. Researchers writing in BioMed higher, and more complex exposures". Central's open access journal Environmental Health found an increased risk of breast cancer in More information: Cancer incidence in the women from the most exposed zone and an population exposed to dioxin after the "Seveso excess of lymphatic and hematopoietic tissue accident": twenty years of follow-up; Angela Cecilia neoplasms in all but the least exposed zone. Pesatori, Dario Consonni, Maurizia Rubagotti, Paolo Grillo and Pier Alberto Bertazzi; Angela Pesatori led a team of researchers from the Environmental Health (in press); Fondazione IRCCS Ospedale Maggiore Policlinico, www.ehjournal.net/ a local hospital associated with the University of Milan, who extended a study of cancer incidence in Source: BioMed Central the area, which now covers the period 1977-96. She said, "The industrial accident that occurred in the Seveso area in 1976 exposed a large residential population to substantial amounts of TCDD [2,3,7,8-tetrachlorodibenzo-p-dioxin]. Although the International Agency for Research on Cancer and the US Environmental Protection Agency have both classified TCDD as human carcinogen, scientific debate still persists on the actual cancer risk posed to the general population. We've found that it does pose a carcinogenic hazard, although lower than anticipated from animal studies, at least at the levels experienced by this population after this accident". -
Effect of Hemoperfusion Using Polymyxin B-Immobilized Fiber on IL-6, HMGB-1, and IFN Gamma in a Neonatal Sepsis Model
0031-3998/05/5802-0309 PEDIATRIC RESEARCH Vol. 58, No. 2, 2005 Copyright © 2005 International Pediatric Research Foundation, Inc. Printed in U.S.A. Effect of Hemoperfusion Using Polymyxin B-Immobilized Fiber on IL-6, HMGB-1, and IFN Gamma in a Neonatal Sepsis Model MOHAMED HAMED HUSSEIN, TAKENORI KATO, TAKAHIRO SUGIURA, GHADA A. DAOUD, SATOSHI SUZUKI, SUMIO FUKUDA, HISANORI SOBAJIMA, INEKO KATO, AND HAJIME TOGARI Department of Pediatrics, Neonatology and Congenital Disorders [M.H.H., T.K., T.S., G.A.D., S.F., H.S., I.K., H.T.], Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan, Department of Pediatrics [S.S.], Nagoya City Johoku Hospital, Nagoya, Japan, Neonatal Intensive Care Unit [M.H.H.], Pediatric Hospital, Cairo University, Cairo, Egypt, Maternal and Child Health Department [M.H.H., G.A.D.], VACSERA, Giza, Egypt ABSTRACT To evaluate effects of polymyxin B direct hemoperfusion at 6 h. IFN-␥ was only detected in the control group at 9 h. (PMX-DHP) on a neonatal sepsis cecal ligation and perforation Survival times in the PMX-DHP group were longer than in the (CLP) model, in 24 anesthetized and mechanically ventilated control. Thus, PMX-DHP improved septic shock in a neonatal 3-d-old piglets, 16 were assigned to CLP and an arteriovenous septic model. (Pediatr Res 58: 309–314, 2005) extracorporeal circuit from 3 h until 6 h post-CLP, with a PMX-column in PMX-DHP–treated group (8 piglets) and 8 as sham. Plasma lipopolysaccharide (LPS) was measured at before Abbreviations CLP and at 3 and 9 h. -
TOXICOLOGY and EXPOSURE GUIDELINES ______(For Assistance, Please Contact EHS at (402) 472-4925, Or Visit Our Web Site At
(Revised 1/03) TOXICOLOGY AND EXPOSURE GUIDELINES ______________________________________________________________________ (For assistance, please contact EHS at (402) 472-4925, or visit our web site at http://ehs.unl.edu/) "All substances are poisons; there is none which is not a poison. The right dose differentiates a poison and a remedy." This early observation concerning the toxicity of chemicals was made by Paracelsus (1493- 1541). The classic connotation of toxicology was "the science of poisons." Since that time, the science has expanded to encompass several disciplines. Toxicology is the study of the interaction between chemical agents and biological systems. While the subject of toxicology is quite complex, it is necessary to understand the basic concepts in order to make logical decisions concerning the protection of personnel from toxic injuries. Toxicity can be defined as the relative ability of a substance to cause adverse effects in living organisms. This "relative ability is dependent upon several conditions. As Paracelsus suggests, the quantity or the dose of the substance determines whether the effects of the chemical are toxic, nontoxic or beneficial. In addition to dose, other factors may also influence the toxicity of the compound such as the route of entry, duration and frequency of exposure, variations between different species (interspecies) and variations among members of the same species (intraspecies). To apply these principles to hazardous materials response, the routes by which chemicals enter the human body will be considered first. Knowledge of these routes will support the selection of personal protective equipment and the development of safety plans. The second section deals with dose-response relationships. -
Biotransformation: Basic Concepts (1)
Chapter 5 Absorption, Distribution, Metabolism, and Elimination of Toxics Biotransformation: Basic Concepts (1) • Renal excretion of chemicals Biotransformation: Basic Concepts (2) • Biological basis for xenobiotic metabolism: – To convert lipid-soluble, non-polar, non-excretable forms of chemicals to water-soluble, polar forms that are excretable in bile and urine. – The transformation process may take place as a result of the interaction of the toxic substance with enzymes found primarily in the cell endoplasmic reticulum, cytoplasm, and mitochondria. – The liver is the primary organ where biotransformation occurs. Biotransformation: Basic Concepts (3) Biotransformation: Basic Concepts (4) • Interaction with these enzymes may change the toxicant to either a less or a more toxic form. • Generally, biotransformation occurs in two phases. – Phase I involves catabolic reactions that break down the toxicant into various components. • Catabolic reactions include oxidation, reduction, and hydrolysis. – Oxidation occurs when a molecule combines with oxygen, loses hydrogen, or loses one or more electrons. – Reduction occurs when a molecule combines with hydrogen, loses oxygen, or gains one or more electrons. – Hydrolysis is the process in which a chemical compound is split into smaller molecules by reacting with water. • In most cases these reactions make the chemical less toxic, more water soluble, and easier to excrete. Biotransformation: Basic Concepts (5) – Phase II reactions involves the binding of molecules to either the original toxic molecule or the toxic molecule metabolite derived from the Phase I reactions. The final product is usually water soluble and, therefore, easier to excrete from the body. • Phase II reactions include glucuronidation, sulfation, acetylation, methylation, conjugation with glutathione, and conjugation with amino acids (such as glycine, taurine, and glutamic acid). -
The Seveso Disaster Legacy Laura Centemeri
The Seveso disaster legacy Laura Centemeri To cite this version: Laura Centemeri. The Seveso disaster legacy. Nature and History in Modern Italy, Ohio University Press & Swallow Press, pp.251-273, 2010. hal-01016045 HAL Id: hal-01016045 https://hal.archives-ouvertes.fr/hal-01016045 Submitted on 30 Jul 2014 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. 233 The Seveso Disaster Legacy Laura Centemeri 1. Introduction In the history of the environment as a public problem, industrial disasters have been insufficiently explored.1 Such disasters are nonetheless crucial because their collective interpretation weaves technical and scientific issues with problems of social justice and controversies concerning conflicting “common goods”, by destabilizing the equilibria that has formed between these elements.2 These disequilibria open the way for episodes of normative and cognitive uncertainty, and thereby become windows of opportunity for social critique and social change, especially by opening public debates on rules, institutions, and representations about technical progress. In short, industrial disasters become opportunities for rethinking the types of "compromise" between "orders of worth"—in particular industrial and civic--upon which a society rests.3 Yet there is still little acknowledgment of the social change that industrial disasters can trigger. -
Is the European Laboratory Over-Reach-Ing
Volume 21 Issue 1 Article 4 2010 Is the European Laboratory Over-Reach-ing - The Experimentation, Reaction and Product Yielded by the European Union's Registration, Evaluation, and Authorization of Chemicals Conrad Bendetto Follow this and additional works at: https://digitalcommons.law.villanova.edu/elj Part of the Environmental Law Commons, and the European Law Commons Recommended Citation Conrad Bendetto, Is the European Laboratory Over-Reach-ing - The Experimentation, Reaction and Product Yielded by the European Union's Registration, Evaluation, and Authorization of Chemicals, 21 Vill. Envtl. L.J. 75 (2010). Available at: https://digitalcommons.law.villanova.edu/elj/vol21/iss1/4 This Comment is brought to you for free and open access by Villanova University Charles Widger School of Law Digital Repository. It has been accepted for inclusion in Villanova Environmental Law Journal by an authorized editor of Villanova University Charles Widger School of Law Digital Repository. Bendetto: Is the European Laboratory Over-Reach-ing - The Experimentation, 2010] IS THE EUROPEAN LABORATORY OVER-REACH-ING? THE EXPERIMENTATION, REACTION AND PRODUCT YIELDED BY THE EUROPEAN UNION'S REGISTRATION, EVALUATION, AND AUTHORIZATION OF CHEMICALS I. BEFORE THE REACTION: AN INTRODUCTION TO REACH On July 10, 1976, in Seveso, Italy, just north of Milan, a mush- room cloud formed above a small chemical manufacturing plant, unleashing thirty to forty kilograms of TCDD into the atmosphere. TCDD is the most dangerous form of dioxin and a major compo- nent found in Agent Orange; it has an extremely adverse effect on the ecosystem and can cause numerous human diseases.2 Due to the dioxin spill, the human population suffered severe dermato- logic and hepatic repercussions which caused potentially lethal con- ditions, while various wild and domestic animals were either instantly and fatally poisoned by the chemical or slaughtered later as a preventive measure. -
Absorption, Distribution, Metabolism, Excretion and Toxicology Dr
Draft Guidance Novel Foods Absorption, Distribution, Metabolism, Excretion and Toxicology Dr. Josef Schlatter Member of the Scientific Committee and EFSA’s WG on Novel Foods Stakeholder Meeting, 11 April 2016, Brussels Section 7 Absorption, Distribution, Metabolism, and Excretion (ADME) 2 7. ADME (1) Critical for the development of appropriate toxicity testing strategy including the selection of appropriate animal models. Important information for the interpretation of study results. Differences between experimental animals and humans. Consider tiered approach to toxicokinetic testing which are described in section 4.1 on « Toxicokinetics (ADME) » of the EFSA Guidance for food additive evaluations (EFSA ANS Panel, 2012). Negligible absorption may provide a scientific justification for not undertaking higher tiered toxicological studies. Single substances and simple mixtures should normally be tested according to the same principles as those applied to food additives. As a default, absorption of the Novel Food or its breakdown products should be assessed. 3 7. ADME (2) For food additives in the form of complex mixtures, the ANS Guidance states that «conventional metabolism and toxicokinetic studies may not be feasible for all components in the mixture, but should be provided for toxicologically relevant constituents. Toxicologically relevant constituents are generally considered to be the major components and those other components with known or demonstrable biological or toxicological activity, and should be determined on a case-by-case basis with a scientific justification and the rationale for their selection provided ». Whole foods should be tested like complex mixtures as stated in the ANS Guidance. 4 7. ADME (3) For Novel Foods, ADME assessment should also address nutritionally significant constituents where toxicokinetic data on these constituents are important considerations for the evaluation of the nutritional impact of the Novel Food. -
Pharmacology Part 2: Introduction to Pharmacokinetics
J of Nuclear Medicine Technology, first published online May 3, 2018 as doi:10.2967/jnmt.117.199638 PHARMACOLOGY PART 2: INTRODUCTION TO PHARMACOKINETICS. Geoffrey M Currie Faculty of Science, Charles Sturt University, Wagga Wagga, Australia. Regis University, Boston, USA. Correspondence: Geoff Currie Faculty of Science Locked Bag 588 Charles Sturt University Wagga Wagga 2678 Australia Telephone: 02 69332822 Facsimile: 02 69332588 Email: [email protected] Foot line: Introduction to Pharmacokinetics 1 Abstract Pharmacology principles provide key understanding that underpins the clinical and research roles of nuclear medicine practitioners. This article is the second in a series of articles that aims to enhance the understanding of pharmacological principles relevant to nuclear medicine. This article will build on the introductory concepts, terminology and principles of pharmacodynamics explored in the first article in the series. Specifically, this article will focus on the basic principles associated with pharmacokinetics. Article 3 will outline pharmacology relevant to pharmaceutical interventions and adjunctive medications employed in general nuclear medicine, the fourth pharmacology relevant to pharmaceutical interventions and adjunctive medications employed in nuclear cardiology, the fifth the pharmacology related to contrast media associated with computed tomography (CT) and magnetic resonance imaging (MRI), and the final article will address drugs in the emergency trolley. 2 Introduction As previously outlined (1), pharmacology is the scientific study of the action and effects of drugs on living systems and the interaction of drugs with living systems (1-7). For general purposes, pharmacology is divided into pharmacodynamics and pharmacokinetics (Figure 1). The principle of pharmacokinetics is captured by philosophy of Paracelsus (medieval alchemist); “only the dose makes a thing not a poison” (1,8,9). -
Isoxaflutole
ISOXAFLUTOLE First draft prepared by P.V. Shah 1 and Roland Alfred Solecki 2 1 Office of Pesticide Programs, Environmental Protection Agency, Washington, DC, United States of America (USA) 2 Federal Institute for Risk Assessment, Berlin, Germany Explanation ........................................................................................................................................... 393 Evaluation for acceptable daily intake .................................................................................................. 394 1. Biochemical aspects ............................................................................................................... 394 1.1 Absorption, distribution and excretion ............................................................................ 394 1.2 Biotransformation ........................................................................................................... 397 1.3 Dermal absorption ........................................................................................................... 399 2. Toxicological studies ............................................................................................................. 400 2.1 Acute toxicity .................................................................................................................. 400 (a) Oral administration .................................................................................................. 401 (b) Dermal application ..................................................................................................