Toxicity Forecaster (Toxcasttm)
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HISTORY of LEAD POISONING in the WORLD Dr. Herbert L. Needleman Introduction the Center for Disease Control Classified the Cause
HISTORY OF LEAD POISONING IN THE WORLD Dr. Herbert L. Needleman Introduction The Center for Disease Control classified the causes of disease and death as follows: 50 % due to unhealthy life styles 25 % due to environment 25% due to innate biology and 25% due to inadequate health care. Lead poisoning is an environmental disease, but it is also a disease of life style. Lead is one of the best-studied toxic substances, and as a result we know more about the adverse health effects of lead than virtually any other chemical. The health problems caused by lead have been well documented over a wide range of exposures on every continent. The advancements in technology have made it possible to research lead exposure down to very low levels approaching the limits of detection. We clearly know how it gets into the body and the harm it causes once it is ingested, and most importantly, how to prevent it! Using advanced technology, we can trace the evolution of lead into our environment and discover the health damage resulting from its exposure. Early History Lead is a normal constituent of the earth’s crust, with trace amounts found naturally in soil, plants, and water. If left undisturbed, lead is practically immobile. However, once mined and transformed into man-made products, which are dispersed throughout the environment, lead becomes highly toxic. Solely as a result of man’s actions, lead has become the most widely scattered toxic metal in the world. Unfortunately for people, lead has a long environmental persistence and never looses its toxic potential, if ingested. -
Acute Poisoning: Understanding 90% of Cases in a Nutshell S L Greene, P I Dargan, a L Jones
204 REVIEW Postgrad Med J: first published as 10.1136/pgmj.2004.027813 on 5 April 2005. Downloaded from Acute poisoning: understanding 90% of cases in a nutshell S L Greene, P I Dargan, A L Jones ............................................................................................................................... Postgrad Med J 2005;81:204–216. doi: 10.1136/pgmj.2004.024794 The acutely poisoned patient remains a common problem Paracetamol remains the most common drug taken in overdose in the UK (50% of intentional facing doctors working in acute medicine in the United self poisoning presentations).19 Non-steroidal Kingdom and worldwide. This review examines the initial anti-inflammatory drugs (NSAIDs), benzodiaze- management of the acutely poisoned patient. Aspects of pines/zopiclone, aspirin, compound analgesics, drugs of misuse including opioids, tricyclic general management are reviewed including immediate antidepressants (TCAs), and selective serotonin interventions, investigations, gastrointestinal reuptake inhibitors (SSRIs) comprise most of the decontamination techniques, use of antidotes, methods to remaining 50% (box 1). Reductions in the price of drugs of misuse have led to increased cocaine, increase poison elimination, and psychological MDMA (ecstasy), and c-hydroxybutyrate (GHB) assessment. More common and serious poisonings caused toxicity related ED attendances.10 Clinicians by paracetamol, salicylates, opioids, tricyclic should also be aware that severe toxicity can result from exposure to non-licensed pharmaco- -
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. -
Ethylene Glycol Ingestion Reviewer: Adam Pomerlau, MD Authors: Jeff Holmes, MD / Tammi Schaeffer, DO
Pediatric Ethylene Glycol Ingestion Reviewer: Adam Pomerlau, MD Authors: Jeff Holmes, MD / Tammi Schaeffer, DO Target Audience: Emergency Medicine Residents, Medical Students Primary Learning Objectives: 1. Recognize signs and symptoms of ethylene glycol toxicity 2. Order appropriate laboratory and radiology studies in ethylene glycol toxicity 3. Recognize and interpret blood gas, anion gap, and osmolal gap in setting of TA ingestion 4. Differentiate the symptoms and signs of ethylene glycol toxicity from those associated with other toxic alcohols e.g. ethanol, methanol, and isopropyl alcohol Secondary Learning Objectives: detailed technical/behavioral goals, didactic points 1. Perform a mental status evaluation of the altered patient 2. Formulate independent differential diagnosis in setting of leading information from RN 3. Describe the role of bicarbonate for severe acidosis Critical actions checklist: 1. Obtain appropriate diagnostics 2. Protect the patient’s airway 3. Start intravenous fluid resuscitation 4. Initiate serum alkalinization 5. Initiate alcohol dehydrogenase blockade 6. Consult Poison Center/Toxicology 7. Get Nephrology Consultation for hemodialysis Environment: 1. Room Set Up – ED acute care area a. Manikin Set Up – Mid or high fidelity simulator, simulated sweat if available b. Airway equipment, Sodium Bicarbonate, Nasogastric tube, Activated charcoal, IV fluid, norepinephrine, Simulated naloxone, Simulate RSI medications (etomidate, succinylcholine) 2. Distractors – ED noise For Examiner Only CASE SUMMARY SYNOPSIS OF HISTORY/ Scenario Background The setting is an urban emergency department. This is the case of a 2.5-year-old male toddler who presents to the ED with an accidental ingestion of ethylene glycol. The child was home as the father was watching him. The father was changing the oil on his car. -
Small Dose... Big Poison
Traps for the unwary George Braitberg Ed Oakley Small dose... Big poison All substances are poisons; Background There is none which is not a poison. It is not possible to identify all toxic substances in a single The right dose differentiates a poison from a remedy. journal article. However, there are some exposures that in Paracelsus (1493–1541)1 small doses are potentially fatal. Many of these exposures are particularly toxic to children. Using data from poison control centres, it is possible to recognise this group of Poisoning is a frequent occurrence with a low fatality rate. exposures. In 2008, almost 2.5 million human exposures were reported to the National Poison Data System (NPDS) in the United Objective States, of which only 1315 were thought to contribute This article provides information to assist the general to fatality.2 The most common poisons associated with practitioner to identify potential toxic substance exposures in children. fatalities are shown in Figure 1. Polypharmacy (the ingestion of more than one drug) is far more common. Discussion In this article the authors report the signs and symptoms Substances most frequently involved in human exposure are shown of toxic exposures and identify the time of onset. Where in Figure 2. In paediatric exposures there is an over-representation clear recommendations on the period of observation and of personal care products, cleaning solutions and other household known fatal dose are available, these are provided. We do not discuss management or disposition, and advise readers products, with ingestions peaking in the toddler age group. This to contact the Poison Information Service or a toxicologist reflects the acquisition of developmental milestones and subsequent for this advice. -
Effects of Temperature and Storage Conditions on the Electrophoretic, Toxic and Enzymatic Stability of Venom Components Sean M
Comp. Biochem. Physiol. Vol. 119B, No. 1, pp. 119±127, 1998 ISSN 0305-0491/98/$19.00 Copyright 1998 Elsevier Science Inc. All rights reserved. PII S0305-0491(97)00294-0 Effects of Temperature and Storage Conditions on the Electrophoretic, Toxic and Enzymatic Stability of Venom Components Sean M. Munekiyo and Stephen P. Mackessy Department of Biological Sciences, 501 20th St., University of Northern Colorado, Greeley, CO 80639, U.S.A. ABSTRACT. Rattlesnake venoms are complex biological products containing potentially autolytic compo- nents, and they provide a useful tool for the study of long-term maintenance of enzymes in a competent state, both in vivo and in vitro. To evaluate the stability of venom components, 15 aliquots of freshly extracted venom (from Crotalus molossus molossus) were subjected to 15 different temperature and storage conditions for 1 week and then lyophilized; conditions varied from storage at 280°C (optimal preservation of activities) to dilution (1:24) and storage at 37°C (maximal degradation potential). Effects of different storage conditions were evalu- ated using SDS-PAGE, metalloprotease zymogram gels, a cricket LD50 assay and enzyme assays (metalloprotease, serine proteases, phosphodiesterase, l-amino acid oxidase and phospholipase A2). Venom samples were remark- ably refractive to widely varying conditions; enzyme activities of some samples were variable, particularly l- amino acid oxidase, and one sample treatment showed higher toxicity, but electrophoretic results indicated very little effect on venom proteins. This study suggests that most venom activities should remain stable even if stored or collected under potentially adverse conditions, and freezing samples is not necessarily advantageous. -
From Murder to Mechanisms 7000 Years of Toxicology's Evolution
From Murder to Mechanisms 7000 Years of Toxicology’s Evolution 7000 Years of Toxicology’s Evolution Michael A. Gallo, PhD, DABT (ret), Emeritus Fellow ATS Professor Emeritus Environmental and Occupational Health Sciences Institute Rutgers-Robert Wood Johnson Medical School Piscataway, New Jersey Toxicants: Friends or Foes? “The dose makes the poison” Paracelsus 1493-1541 Objectives This presentation provides a history of toxicology with a few classic examples. The Family of Toxicology Poisons Signs, Symptoms, Adverse Reactions & Antidotes Drugs Patent Medicines and Chemotherapeutics Food Natural toxicants Industrial Chemicals Occupational and Environmental Toxicity Safety Evaluation Hazard Identification Tools to Elucidate Biology Toxicology the Borrowing Science • Pharmacology • Pathology • Physiology • Biochemistry • Synthetic Chemistry • Analytical Chemistry • Molecular and Cellular Biology • High Resolution Imaging Earliest Humans* • Use of natural toxins • Oral history evolved • Animal venoms • Toxic metals • Plant extracts – Hunting* – Warfare – Assassination * still used by indigenous people in S. America, Borneo, Pacific Islanders Ebers Papyrus ~1500 BCE • Hemlock • Aconite (buttercup family) • Opium • Lead • Copper • Antimony • Venoms Hippocrates and Friends • Defined effective dosages of toxin • Described bioavailability • Theophastus (370-286 BCE) – De Historia Plantanum • Socrates- Hemlock • Dioscorides (Nero)poison classes through 19th • Discovery of BellaDonna (scopolamine) • Discovery of Digitalis (foxglove)Dioscorides -
Signal Words Topic Fact Sheet
SIGNAL WORDS TOPIC FACT SHEET NPIC fact sheets are designed to answer questions that are commonly asked by the general public about pesticides that are regulated by the U.S. Environmental Protection Agency (US EPA). This document is intended to be educational in nature and helpful to consumers for making decisions about pesticide use. What are Signal Words? Signal words are found on pesticide product labels, and they describe the acute (short-term) toxicity of the formulated pesticide product. The signal word can be ei- ther: DANGER, WARNING or CAUTION. Products with the DANGER signal word are the most toxic. Products with the signal word CAUTION are lower in toxicity.1 The U.S. En- vironmental Protection Agency (EPA) requires a signal word on most pesticide prod- uct labels. They also require it to be printed on the front panel, in all capital letters, to make it easy for users to find. The only pesticide products that are not required to display a signal word are those that fall into the lowest toxicity category by all routes of exposure (oral, dermal, inhalation, and other effects like eye and skin irritation).2,3 See the table below titled “Toxicity Category.” CAUTION means the pesticide product is slightly toxic if eaten, absorbed through the skin, inhaled, or it causes slight eye or skin irritation. 2,4 WARNING indicates the pesticide product is moderately toxic if eaten, absorbed through the skin, inhaled, or it causes moderate eye or skin irritation. 2,4 DANGER means that the pesticide product is highly toxic by at least one route of exposure. -
The Effect of Agkistrodon Contortrix and Crotalus Horridus Venom Toxicity on Strike Locations with Live Prey
University of Nebraska - Lincoln DigitalCommons@University of Nebraska - Lincoln Honors Theses, University of Nebraska-Lincoln Honors Program 5-2021 The Effect of Agkistrodon Contortrix and Crotalus Horridus Venom Toxicity on Strike Locations with Live Prey. Chase Giese University of Nebraska-Lincoln Follow this and additional works at: https://digitalcommons.unl.edu/honorstheses Part of the Animal Experimentation and Research Commons, Higher Education Commons, and the Zoology Commons Giese, Chase, "The Effect of Agkistrodon Contortrix and Crotalus Horridus Venom Toxicity on Strike Locations with Live Prey." (2021). Honors Theses, University of Nebraska-Lincoln. 350. https://digitalcommons.unl.edu/honorstheses/350 This Thesis is brought to you for free and open access by the Honors Program at DigitalCommons@University of Nebraska - Lincoln. It has been accepted for inclusion in Honors Theses, University of Nebraska-Lincoln by an authorized administrator of DigitalCommons@University of Nebraska - Lincoln. THE EFFECT OF AGKISTRODON COTORTRIX AND CROTALUS HORRIDUS VENOM TOXICITY ON STRIKE LOCATIONS WITH LIVE PREY by Chase Giese AN UNDERGRADUATE THESIS Presented to the Faculty of The Environmental Studies Program at the University of Nebraska-Lincoln In Partial Fulfillment of Requirements For the Degree of Bachelor of Science Major: Fisheries and Wildlife With the Emphasis of: Zoo Animal Care Under the Supervision of Dennis Ferraro Lincoln, Nebraska May 2021 1 Abstract THE EFFECT OF AGKISTRODON COTORTRIX AND CROTALUS HORRIDUS VENOM TOXICITY ON STRIKE LOCATIONS WITH LIVE PREY Chase Giese, B.S. University of Nebraska, 2021 Advisor: Dennis Ferraro This paper aims to uncover if there is a significant difference in the strike location of snake species that have different values of LD50% venom. -
Asparaginase As Consolidation Therapy in Patients Undergoing Bone Marrow Transplantation for Acute Lymphoblastic Leukemia
Bone Marrow Transplantation, (1998) 21, 879–885 1998 Stockton Press All rights reserved 0268–3369/98 $12.00 http://www.stockton-press.co.uk/bmt Toxicity, pharmacology and feasibility of administration of PEG-L- asparaginase as consolidation therapy in patients undergoing bone marrow transplantation for acute lymphoblastic leukemia ML Graham1, BL Asselin2, JE Herndon II3, JR Casey1, S Chaffee1, GH Ciocci1, CW Daeschner4, AR Davis4, S Gold6, EC Halperin7, MJ Laughlin1, PL Martin8, JF Olson1 and J Kurtzberg1,9 Departments of 1Pediatrics, 3Community and Family Medicine, 5Pharmacy, 7Radiation Oncology and 9Pathology, Duke University Medical Center, Durham, NC; 2Department of Pediatrics, University of Rochester, Rochester, NY; 4Department of Pediatrics, Eastern Carolina University School of Medicine, Greenville; 6Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill; 8Department of Pediatrics, Bowman-Gray School of Medicine, Winston-Salem, NC, USA Summary: for bone marrow transplantation have occasionally been successful, but usually at the price of higher morbidity and We attempted to administer PEG-L-asparaginase (PEG- mortality rates, since most preparative regimens employ L-A) following hematologic recovery to 38 patients maximal or near maximal radiation and chemotherapy undergoing autologous or allogeneic marrow transplan- doses.6–8 tation for acute lymphoblastic leukemia (ALL). Twenty- Other strategies for reducing relapse have been explored. four patients (12 of 22 receiving allogeneic and 12 of 16 Since the development of graft-versus-host disease receiving autologous transplants) received between one (GVHD) in some series of allogeneic BMT has been asso- and 12 doses of PEG-L-A, including nine who com- ciated with a diminished relapse rate,9–12 Sullivan et al13 pleted the planned 12 doses of therapy. -
High Degree of Acute Toxicity
Appendix I High Degree of Acute Toxicity Criteria Toxic Highly Toxic Oral LD 50 50-500 mg/kg <50 mg/kg (albino rats) Skin Contact LD 50 200-1000 mg/kg <200 mg/kg (albino rabbits, 24 hour) Inhalation LD 50 200-2000 ppm/air <200 ppm/air (albino rats, one hour) High degree of acute toxicity are chemicals that are considered highly toxic or toxic chemicals which may be fatal or cause damage to target organs as a result of a single exposure or exposures of short duration. Toxic: (a) A chemical that has a median lethal dose (LD50) of more than 50 milligrams per kilogram but not more than 500 milligrams per kilogram of body weight when administered orally to albino rats weighing between 200 and 300 grams each. (b) A chemical that has a median lethal dose (LD50) of more than 200 milligrams per kilogram but not more than 1,000 milligrams per kilogram of body weight when administered by continuous contact for 24 hours (or less if death occurs within 24 hours) with the bare skin of albino rabbits weighing between two and three kilograms each. (c) A chemical that has a median lethal concentration (LC50) in air of more than 200 parts per million but not more than 2,000 parts per million by volume of gas or vapor, or more than two milligrams per liter but not more than 20 milligrams per liter of mist, fume, or dust, when administered by continuous inhalation for one hour (or less if death occurs within one hour) to albino rats weighing between 200 and 300 grams each. -
Recognition and Management of Pesticide Poisonings
HIGHLIGHTS CHAPTER 8 Derived from living systems Bacillus thuringiensis is the most important live agent Biologicals and Insecticides Generally of low-order of Biological Origin toxicity Poison control center advice can help avoid potentially harmful treatment This chapter concerns several widely used insecticidal products of natural origin, and also certain agents usually identified as biological control agents. This latter group includes many living control agents, though only the bacterial agent Bacillus thuringi- SIGNS & SYMPTOMS ensis will be discussed in detail, as it is one of the most widely used. Other agents, such as parasitic wasps and insects, are so host specific they pose little or no risk to man. Highly variable based on Many of the pesticides in this chapter, with the notable exception of nicotine, are specific agents relatively less toxic to mammals than to insects. Consequently, there may be no findings Several cause GI irritation of toxicity following ingestion of these compounds. While clinicians should always consider calling their regional poison control center (1-800-222-1222) for advice on Nicotine may have serious any poisoning, it may be of particular value in the case of some of these biological CNS effects pesticides, where no treatment is warranted and poison control center advice can help Nicotine and sabadilla may avoid potentially harmful treatments. have cardiovascular effects Agents are presented in alphabetical order. TREATMENT AVERMECTIN Specific to the agent Source and Products Skin, eye, GI Avermectin and related products are synthetically derived from the toxin of the soil decontamination may be bacterium Streptomyces avermitilis. They are used for control of mites, fire ants (ant indicated bait stations) and other insects.