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This study conducted sterilization testing under different conditions using different strains for sterilization and crushing, the intermediate healthcare waste treatment phase, and proposed strategies for diversifying corresponding facilities in addition to promoting their installation. Five indicator microorganisms were selected to test the sterilization efficiency of steam, microwave, and chemical methods. Steam sterilization testing was conducted in accordance with legal and technological standards, microwave testing was carried out according to the legal standard, and chemical sterilization employed three typical compounds. Steam and microwave sterilization achieved 99.9999 % inactivation rates for all five strains under both conditions used; whereas under the chemical sterilization analyses, sodium hypochlorite (1000 ppm) failed to meet the inactivation requirement of the fungal strain Candida albicans , requiring further investigation. Based on these findings, this study presents strategies for diversifying sterilization·crushing facilities and promoting their installation., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 Published by Elsevier Ltd.)

Despite the efforts made to minimize the illegal trafficking of hazardous waste and prevent environmental pollution worldwide in accordance with the 1989 Basel Convention (BC), the illegal transboundary movement of waste and associated environmental pollution are ongoing. This study proposes a three-stage theoretical approach to effectively managing this waste. In stage one, the Convention, including its 2019 revisions, stipulates six primary requirements: clear declaration, hazardous waste, onsite inspection, responsibility, transport management, and final disposal after import. In stage two, the export and import management system is divided into four facets: customs preprocessing, customs processing, follow-up, and law. The challenges are presented of how to align the waste disposal with the Basel Convention's main requirements. Stage three presents a discussion of the effectiveness of the countermeasures derived in stage two for disposing of waste both within individual nations and internationally. Then, the theoretical approach was applied to analyzing South Korea Ministry of Environment's Act on the Transboundary Movement of Hazardous Waste and Their Disposal (revised in 2017). The strategy was demonstrated to be an improvement, and these study results can be foundational data to newly establish laws or revise existing acts on transboundary movement of waste (TMW) in each country., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors. Published by Elsevier Ltd.)

In South Korea, hazardous characteristics of wastes to be recycled are managed through the "Environmental Impact Assessment of Recycling" system. The ecotoxicity of medium-contact recyclable wastes, that is, those in contact with soil, groundwater, surface water, etc., is managed according to this system and is determined based on whether or not they exceed an ecotoxicity value (TU) of 2.0. The ecotoxicity of wastes is tested and determined by using pretreated eluate samples according to the Official Wastes Test Standard and applying the Official Water Pollution Process Test Standard. However, no ecotoxicity management limits are stipulated for medium-contact recycling using wastes in numerous other countries. This study aims to evaluate applicability and safety of the ecotoxicity test for wastes used in medium-contact recycling and establish an efficient management plan for hazardous characteristic wastes. Target wastes for the survey were selected based on the Wastes Control Act in South Korea. Nine types of waste were selected, which are representative types of wastes to which ecotoxicity is applied. In order to secure the representativeness of the target samples, a total of 45 samples were collected by selecting 5 cases each of the 9 waste types in consideration of the type of industry and amount of waste generated. Limit exceedance was calculated for each category of hazardous substances (leaching, total content), pH, and ecotoxicity of a total of 45 samples, and was found to increase in the order of leaching 2.22% < pH 9.09% < content 31.11% < ecotoxicity 37.21%. This indicates that the limit exceedance was maximum in the ecotoxicity category. Therefore, the application of ecotoxicity limit is efficient for identifying and comprehensively managing the environmental impacts of various types of hazardous substances contained in wastes from the perspective of comprehensive toxicity., Competing Interests: Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article., (© The Author(s) 2022.)

The indiscriminate use of plastics and careless management of plastic waste have caused serious environmental challenges globally. The Republic of Korea (ROK) aims to address the issue by reducing plastic waste generation by up to 50%, and increasing recycling rate by up to 70%, by 2030. To determine the status and future directions for plastic waste management in the ROK, the present study undertook two tasks: (i) a material flow analysis of plastic waste material from industrial sectors to assess the current status of plastic waste recycling and treatment, (ii) an analysis of the material flow of plastic waste based on the "Waste Classification Code." According to the findings, 6.202 million metric tons of plastic waste were generated in 2018, out of which 69%, 25%, and 0.5% was recycled, incinerated, and landfilled, respectively. The recycling rate of synthetic resin waste, which accounts for 96% of synthetic waste polymers discharged in the industrial sector, was 69%, which is a very high rate. However, the closed-loop recycling rate was only 33%. Therefore, the system of management of synthetic resin waste discharge without classification of raw materials should be improved to increase the closed-loop recycling rate of synthetic waste polymers. Furthermore, to increase the closed-loop recycling rate, we suggest the subdivision of synthetic resin waste (51-03-01) in plastic waste classification to improve the discharge separation system, which has been mismanaged. Furthermore, we suggest the formulation of a new management strategy for plastic waste, in accordance with those of other hazardous substances, as regulated by the Waste Control Act., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

The co-processing of secondary wastes during ordinary Portland cement (OPC) can result in high heavy metal concentrations in OPC products. However, earlier studies have not evaluated the concentrations of heavy metals (HMs) in OPC as a function of secondary input materials. Further, the health risk assessment (HRA) model has, thus far, has not been employed to assess the potential health risks associated with secondary raw materials and secondary fuels in OPC. Hence, to address these knowledge gaps, herein, monthly data for six HMs in the input materials and fuels from seven OPC manufacturers in the Republic of Korea were analyzed and modeled. Pb and Cu concentrations were found to be approximately 10-200 and 4-200 times higher than those of the other HMs, respectively. Furthermore, maximum Pb and Cu concentrations were 2-3 and 2-5 times higher than those reported in other countries, respectively. The quantity of input material had a significant influence on the observed patterns, and secondary raw materials, secondary additives, and secondary fuels were also determined to be important. Based on HRA assessment, although the risk levels were within permissible ranges, carcinogenic hazards attributable to Cr and Pb were not negligible. The results can aid in informed decision making and in implementing effective measures for managing risks associated with HMs in the OPC industry, thereby ameliorating threats to human health and environment., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

Toxic polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) in 45 stack gas samples were measured from 19 medical waste incinerators in South Korea using high-resolution gas chromatography equipped with a high-resolution mass spectrometer. The average concentrations of the sum of 17 toxic PCDD/PCDF congeners emitted from the medical waste incinerators ranged from 0.153 to 101.9 ng/Sm 3 . Based on the World Health Organization toxic equivalency factor, they ranged from 0.007 to 5.437 ng-TEQ/Sm 3 . The congener patterns of PCDDs/PCDFs were described using principal component analysis and presented four patterns. In the evaluation of annual average total TEQ concentrations, outlying stack gas samples were excluded. In this study, the number of chlorine substitutions was evaluated as an important factor in congener patterns. Coefficient of determination values were employed for evaluation of correlation between PCDDs and PCDFs. 1,2,3,4,6,7,8-HpCDF was measured as the most emitted congener, while 2,3,4,7,8-PeCDF was the greatest TEQ contributor., (Copyright © 2017. Published by Elsevier Ltd.)

Tuberculosis is one of the top causes of death among curable infectious diseases; it is an airborne infectious disease that killed 1.1 million people worldwide in 2010. Anti-tuberculosis drug-induced liver injury is the primary cause of drug-induced liver injury (DILI). Rifampicin is one of the most common anti-tuberculosis therapies and has well-known hepatotoxicity. To understand the mechanism of rifampicin-induced liver injury, we performed a global proteomic analysis of liver proteins by LC-MS/MS in a mouse model after the oral administration of 177 and 442.5 mg/kg rifampicin (LD 10 and LD 25 ) for 14 days. Based on the biochemical parameters in the plasma after rifampicin treatment, the hepatotoxic effect of rifampicin in the mouse liver was defined as a mixed liver injury. In the present study, we identified 1101 proteins and quantified 1038 proteins. A total of 29 and 40 proteins were up-regulated and 27 and 118 proteins were down-regulated in response to 177 and 442.5 mg/kg rifampicin, respectively. Furthermore, we performed Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses to characterize the mechanism of rifampicin-induced hepatotoxicity. In the molecular function category, glutathione transferase activity was up-regulated and proteins related to arachidonic acid metabolism were down-regulated. In the KEGG pathway enrichment-based clustering analysis, the peroxisome proliferator-activated receptor-γ (PPARγ) signaling pathway, cytochrome P450, glutathione metabolism, chemical carcinogenesis, and related proteins increased dose-dependently in rifampicin-treated livers. Taken together, this study showed in-depth molecular mechanism of rifampicin-induced liver injury by comparative toxicoproteomics approach., Competing Interests: The authors declare no conflict of interest.

Saccharin, the first artificial sweetener, was discovered in 1879 that do not have any calories and is approximately 200~700 times sweeter than sugar. Saccharin was the most common domestically produced sweetener in Korea in 2010, and it has been used as an alternative to sugar in many products. The interaction between artificial sweeteners and drugs may affect the drug metabolism in patients with diabetes, cancer, and liver damage, this interaction has not been clarified thus far. Here, we examined the effects of the potential saccharin-drug interaction on the activities of 5 cytochrome P450 (CYPs) in male ICR mice; further, we examined the effects of saccharin (4,000 mg/kg) on the pharmacokinetics of bupropion after pretreatment of mice with saccharin for 7 days and after concomitant administration of bupropion and saccharin. Our results showed saccharin did not have a significant effect on the 5 CYPs in the S9 fractions obtained from the liver of mice. In addition, we observed no differences in the pharmacokinetic parameters of bupropion between the control group and the groups pretreated with saccharin and that receiving concomitant administration of saccharin. Thus, our results showed that saccharin is safe and the risk of saccharin-drug interaction is very low.

In Republic of Korea, construction and demolition (C&D) waste accounts for 49.9% of the total waste. In the present work, the mineralogical composition, the concentrations of 11 heavy metals, 19 PAH, and 7 polychlorinated biphenyl (PCB) congeners present in the 6 broad category (9 subcategories) of C&D hazardous waste were discussed along with their leaching characteristics. In concrete/mixed cement waste, the concentrations of As, Cr(6+), Hg, and Zn were in the range of 1.76-7.86, ND-1.63, 0.026-0.047, and 110.90-280.17 mg/kg, respectively. The asphalt waste sample A1 possessed relatively high concentrations of phenanthrene, fluoranthene, pyrene, benz(a)anthracene, benzo(a)pyrene, and indeno(1,2,3-cd)pyrene comparing to the other samples and it contains 0.08-0.1% of coal tar. Hazardous nature of the C&D wastes greatly depends on the source of the collection. Zn concentration was above 1000 mg/kg for road asphalt waste samples A4 and A5. Total PCB concentration were high in the soil waste sample S1 (130 μg/kg) as it was the excavated soil obtained from the premises of an oil station. Leaching of As, Ba, CN(-), and F(-) were observed in most of the C&D waste samples.

Halogenated organic compounds, such as 1-bromobutane (1-BB) , have been used as cleaning agents, agents for chemical syntheses or extraction solvents in workplace. In the present study, immunotoxic effects of 1-BB and its conjugation with glutathione (GSH) were investigated in female BALB/c mice. Animals were treated orally with 1-BB at 375, 750 and 1500 mg/kg in corn oil once for dose response or treated orally with 1-BB at 1500 mg/kg for 6, 12, 24 and 48 hr for time course. S-Butyl GSH was identified in spleen by liquid chromatography-electrospray ionization tandem mass spectrometry. Splenic GSH levels were significantly reduced by single treatment with 1-BB. S-Butyl GSH conjugates were detected in spleen from 6 hr after treatment. Oral 1-BB significantly suppressed the antibody response to a T-dependent antigen and the production of splenic intracellular interlukin-2 in response to Con A. Our present results suggest that 1-BB could cause immunotoxicity as well as reduction of splenic GSH content, due to the formation of GSH conjugates in mice. The present results would be useful to understand molecular toxic mechanism of low molecular weight haloalkanes and to develop biological markers for exposure to haloalkanes.

The pharmacokinetic parameters of theophylline in rats did not change significantly when the drug was intravenously administered after three consecutive days of pretreatment with 17 mg/kg, orally, of 1-furan-2-yl-3-pyridine-2-yl-propenone (FPP-3), an investigatory drug having dual inhibitory action on cyclooxygenase (COX) and 5-lipoxygenase (5-LOX). However, significant changes were found in the pharmacokinetic parameters of the drug at doses of 34 mg/kg and more of FPP-3. Results of cytochrome P450 activity test indicated that the alteration in pharmacokinetic parameters of the drug appears to be due to the inhibitory effect of FPP-3 on cytochrome P450 1A which is responsible for the metabolism of theophylline. Methoxyresorufin-O-demethylase (MROD) and ethoxyresorufin-O-deethylase (EROD) activity assays revealed that the relative activities of cytochrome P450 1A1 and 1A2 were dose-dependently reduced in the presence of 1, 5, and 10 microM FPP-3 concentrations. Taking into consideration that FPP-3 is intended to be primarily used by geriatric patients with chronic diseases and therefore may be used in long-term basis, the investigatory drug needs to be assessed thoroughly in terms of drug interaction with other commonly prescribed medications.