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Selected environmental skin disorders.

The acute development of an irritating rash often results in a patient presenting to the Emergency Department instead of scheduling an office visit. This rash is frequently the result of the patient's interaction with the environment. Consequently, it is important that emergency physicians become more familiar with environmentally induced skin disorders. Sunburn and poison ivy are examples of these types of disorders. These and less common environmentally related skin disorders are reviewed.

Dermatitis, Contact↗

The in vitro effects of selected environmental toxicants on two heme synthesis enzymes.

Benzene and some of its substitution products become environmental toxicants due to improper disposal procedures. Benzene has been found to alter heme and globin synthesis in anucleate rabbit reticulocytes (Forte et al., 1976; Wildman et al., 1976) and based on these findings we felt it would be useful to determine what, if any, effect these derivatives would have on heme synthesis in vitro by studying their influence on delta-aminolevulinic acid synthetase (ALAS) and ferrochelatase (FC) activities in rat liver homogenates. ALAS was measured according to Ebert et al. (1970). FC was measured after Williams et al. (1980). Final concentrations of each added compound to the reaction mixture were 10(-3) to 10(-6) M. Normal values for rat liver ALAS were 250-350 nmol ALA/g protein/30 min, mean 290 +/- 40, and for FC were 12-40 mumol heme/g protein/45 min, mean 20 +/- 7. At 10(-3) M and lower concentrations these compounds inhibited ALAS and stimulated FC activities. Their effect on ALAS activity expressed as percentage of control of three analyses performed in triplicate +/- SEM was: o- and p-dinitrobenzenes-46 +/- 2; trinitrotoluenes-55 +/- 2; dinitrotoluenes-70 +/- 2; and amino-dinitrotoluenes-171 +/- 4. The stimulatory effect of these compounds expressed as percentage of control +/- SEM on FC was: dinitrotoluenes-171 +/- 3; dinitrobenzenes-152 +/- 3; trinitrotoluenes-142 +/- 4; and amino-dinitrotoluenes-130 +/- 4. Other classes of compounds tested did not significantly affect these enzymes at the same concentrations. These in vitro techniques may prove useful for predicting in vivo toxicologic effects of pollutants on species of interest.

5-Aminolevulinate Synthetase↗

The immunotoxicity of selected environmental chemicals, pesticides and heavy metals.

It is an established fact that certain environmental chemicals, pesticides and heavy metals can alter the immune response of laboratory animals and probably humans as well. In some instances, the immune system appears to be exquisitely sensitive to these agents compared to other toxicologic parameters. Both stimulation and suppression of immune responses have demonstrated in contaminant-exposed animals. Although the majority of data accumulated to date pertains to effects in small laboratory rodents, there is little reason to believe that similar quantifiable effects do not occur in domestic and food-producing animals due to basic functional similarities of the immune system of mammals in general.

Animals↗

Correlation between selected environmental exposures and karyotype in acute myelocytic leukemia.

Many bone marrow cytogenetic abnormalities in acute myelogenous leukemia (AML) are tumor specific, clonal, nonrandom, and related to prognosis; it has been hypothesized that they may be markers of exposure to etiological agents. A previous report from our institution revealed several such associations; the purpose of the current study was to determine whether previous findings were present in a new group of patients. Subjects included 84 newly diagnosed AML patients (French-American-British M1 and M2); exposure data were gathered using self-report questionnaires at the time of registration. Two sets of comparisons were made: (a) patients with all (AA) or some (AN) cytogenetically abnormal cells versus those with normal karyotypes (NN) and (b) patients with specific abnormalities [-5/5q-, -7/7q-, +8, t(8;21)] versus all others. Odds ratios (ORs) were 4.64 for the association between prior cytotoxic therapy and -5/5q- and 6.38 for the association with -7/7q-, but were <1.00 for +8 and t(8;21). There were no ORs > 2.0 for specific abnormalities in any of the other exposures evaluated (cigarette smoking, alcohol use, occupational exposure to organic chemicals, paints, or pesticides/herbicides), with the exception of exposure to paints and -7/7q- (OR, 7.50). The ORs for AA/AN versus NN patients were 1.43 and 3.81 for smoking and alcohol use, and weak dose-response trends were present. The most consistent positive associations between the two series were for prior cytotoxic therapy (-5/5q-; -7/7q-), cigarette smoking (AA/AN versus NN) and alcohol use (AA/AN versus NN). Reasoning from the known association between prior cytotoxic therapy and -7/7q-, we would have predicted relatively high ORs (> 4.0) if specific abnormalities acted as markers for the exposures assessed, but none were present. However, in both series, AA/AN patients were more likely to smoke and use alcohol than were NN patients, and weak dose-response patterns were present for both. This finding suggests that both smoking and alcohol use may play a role in the pathogenesis of cytogenetic abnormalities in AML-M1/M2; however, the mechanism by which they work and whether they are involved in the etiology of these diseases remain unclear.

Adult↗

The demographic evolution of human populations: the role of selection and environmental factors.

Selection (genetic and cultural) and environmental variation are the principal mechanisms determining patterns of demographic change in human populations. Conditions exist under which the nature and intensity of these forces can be inferred from temporal trends in the demographic variables. These conditions, which can be expressed in terms of relations between the Malthusian parameter and population entropy, provide a means for evaluating the effect of selective and nonselective factors on demographic trends in human populations. The distinction between the roles of selection and environmental factors is illustrated by a study of the demographic transition in Sweden (1778-1965). This study shows that demographic changes during the pre- and posttransitional phases are determined mainly by environmental factors, whereas the changes during the transitional phase are mainly due to cultural selection. This analysis provides, for all three phases of the demographic transition, quantitative measures of the intensity of the forces (selective and nonselective) acting on both mortality and fecundity distributions.

Anthropology, Cultural↗

Linkages between nutrients and assemblages of macroinvertebrates and fish in wadeable streams: implication to nutrient criteria development.

We sampled 240 wadeable streams across Wisconsin for different forms of phosphorus and nitrogen, and assemblages of macroinvertebrates and fish to (1) examine how macroinvertebrate and fish measures correlated with the nutrients; (2) quantify relationships between key biological measures and nutrient forms to identify potential threshold levels of nutrients to support nutrient criteria development; and (3) evaluate the importance of nutrients in influencing biological assemblages relative to other physicochemical factors at different spatial scales. Twenty-three of the 35 fish and 18 of the 26 macroinvertebrate measures significantly correlated (P < 0.05) with at least one nutrient measure. Percentages of carnivorous, intolerant, and omnivorous fishes, index of biotic integrity, and salmonid abundance were fish measures correlated with the most nutrient measures and had the highest correlation coefficients. Percentages of Ephemeroptera-Plecoptera-Trichoptera individuals and taxa, Hilsenhoff biotic index, and mean tolerance value were macroinvertebrate measures that most strongly correlated with the most nutrient measures. Selected biological measures showed clear trends toward degradation as concentrations of phosphorus and nitrogen increased, and some measures showed clear thresholds where biological measures changed drastically with small changes in nutrient concentrations. Our selected environmental factors explained 54% of the variation in the fish assemblages. Of this explained variance, 46% was attributed to catchment and instream habitat, 15% to nutrients, 3% to other water quality measures, and 36% to the interactions among all the environmental variables. Selected environmental factors explained 53% of the variation in macroinvertebrate assemblages. Of this explained variance, 42% was attributed to catchment and instream habitat, 22% to nutrients, 5% to other water quality measures, and 32% to the interactions among all the environmental variables.

Animals↗

A study on the relationship between selected oral environmental factors and the caries type in infants.

In order to clarify the relationship between selected oral environmental factors and caries type in infants, we analyzed three parameters, salivary pH, salivary buffer capacity, and Cariostat, and tested their association with caries type. As a result, we obtained a significant relationship between the caries type and salivary buffer capacity, and also between the caries type and the Cariostat. The severity of caries increased with an increase in caries activity level measured by Cariostat, while it decreased with an increase in salivary buffer capacity (p less than 0.05). The occurrence rates of severe caries types were high under the condition of both low salivary buffer capacity and high acid productivity of dental plaque.

Buffers↗

An IARC Manual series aimed at assisting cancer epidemiology and prevention. "Environmental carcinogens: selected methods of analysis".

Since 1975, the IARC has been preparing a series of volumes entitled "Environmental Carcinogens: Selected Methods of Analysis" (IARC Manual series) of which the purposes are to assist analysts, epidemiologists and regulatory authorities in planning or performing exposure measurements that are truly comparable between different studies. The Manual series provides expert information within each volume on multi-media sampling, methods of analyses and some background of epidemiology, metabolism, use/occurrence for a group of known or suspect carcinogens. So far, eleven volumes have been published or are in preparation on the following subjects: N-nitrosamines, vinyl chloride, PAH, aromatic amines, mycotoxins, N-nitroso compounds, volatile halogenated hydrocarbons, metals, passive smoking, benzene and alkylated benzenes, dioxins, PCDFs and PCBs. The presentation will discuss needs and priorities for use of analytical chemistry in estimating exposures of apparently greatest relevance to cancer causation, i.e. the approach to developing this series. Indications from epidemiology, evaluations of carcinogenic risk to humans, and recent developments in total exposure assessment are that new methods and matrices need more emphasis, e.g. as with biochemical dosimetry, exhaled breath, and in indoor air.

Carcinogens, Environmental↗

Assessing anchor damage on coral reefs: a case study in selection of environmental indicators.

Because environmental conservation can remove scarce natural resources from competing uses, it is important to gain support for conservation programs by demonstrating that management actions have been effective in achieving their goals. One way to do this is to show that selected significant environmental variables (indicators) vary between managed and unmanaged areas or change over time following implementation of a management regime. However, identifying indicators that reflect environmental conditions relevant to management practices has proven difficult. This paper focuses on developing a framework for choosing indicators in a coral reef habitat. The framework consisted of three phases: (1) information gathering to identify candidate variables; (2) field-testing candidate variables at sites that differ in intensity of human activity, thus identifying potential indicators; and (3) evaluating potential indicators against a set of feasibility criteria to identify the most useful indicators. To identify indicators suitable to measure the success of a management strategy to reduce anchor damage to a coral reef, 24 candidate variables were identified and evaluated at sites with different intensities of anchoring. In this study, measures that reflected injuries to coral colonies were generally more efficient than traditional measures of coral cover in describing the effects of anchoring. The number of overturned colonies was identified as the single most useful indicator of coral reef condition associated with anchoring intensities. The indicator selection framework developed here has the advantages of being transparent, cost efficient, and readily transferable to other types of human activities and management strategies.

Animals↗

Selective evolutionary pressure from the tissue microenvironment drives tumor progression.

Cells grow within defined environmental niches and are subject to microenvironmental control. Outside of their niche, the environment is hostile, the normal cells lack appropriate survival signals which leads to anoikis. During tumor development and progression, malignant cells must escape the local tissue control and resist anoikis. The inherent genetic instability of tumor cells makes their phenotype very plastic, which changes under continuous environmental selection pressure. In this way the microenvironment drives the somatic evolution of the tumor. In the current review, we assess how this environmental selection pressure fits into the classical scheme of tumor progression.

Animals↗

Environmental enrichment selectively increases 5-HT1A receptor mRNA expression and binding in the rat hippocampus.

Environmental enrichment augments neuronal plasticity and cognitive function and possible mediators of these changes are of considerable interest. In this study, male rats were exposed to environmental enrichment or single housing for 30 days. Rats from the enriched group had significantly higher 5-HT1A receptor mRNA expression in the dorsal hippocampus (62%, 59% and 44% increase in the CA1, CA2 and CA3 subfields, respectively). This was associated with significantly higher [3H]8-OH-DPAT binding in the inferior part of CA1. No changes were seen for 5-HT2A or 5-HT2C receptor mRNAs. The neuronal plasticity detected after environmental change may be mediated, in part, through 5-HT1A receptors.

8-Hydroxy-2-(di-n-propylamino)tetralin↗

Application of risk assessment and decision analysis to the evaluation, ranking and selection of environmental remediation alternatives.

A single framework integrating risk assessment and decision analysis methods for evaluating, ranking and selecting preferred remediation alternatives at a contaminated site was developed and demonstrated. The methodology used relies on stakeholder inputs throughout the entire process and employs those inputs to combine the results of multiple risk assessments to arrive at a total impact for each remediation alternative. The total impact values allow the ranking of the alternatives, which in turn, serves as the basis for deliberations among the stakeholders in order to identify the preferred alternative. Six major risk or impact categories were considered in the evaluation of the alternatives: human health and safety, environmental protection, life cycle cost, socio-economics, cultural, archeological and historical resources, and programmatic assumptions.

Decision Making↗