Behavioral characteristics of polyhexamethyleneguanidine (PHMG) particles in aqueous solution and air when sprayed into an ultrasonic humidifier.

Polyhexamethyleneguanidine (PHMG) is widely used as a disinfectant to prevent microbial contamination in ultrasonic humidifiers in Korea; however, sales have been prohibited by the government after an outbreak of severe lung injury among humidifier disinfectant users. This study was therefore conducted to determine the characteristics of PHMG particles in aqueous solution and to investigate the behavior of airborne particles generated when using PHMG as a humidifier disinfectant. Three types of PHMG were selected (manufactured in Korea, USA, and China), with dynamic light scattering (DLS) used to determine their behavioral characteristics in aqueous solution. To determine the airborne behavioral characteristics, PHMG was diluted to obtain high (62.5-65 ppm) and low (6.25-6.5 ppm) concentrations, and then real-time monitoring instruments were used to measure the effect of using a diffusion dryer and thermodenuder to control moisture in a cleanroom. A polycarbonate filter sample was analyzed by field emission-scanning electron microscope-energy dispersive spectrometry (FE-SEM-EDS) to determine the particle morphology. The DLS intensity results for the three products showed a slightly right-shifted (~100 nm) bimodal distribution relative to the airborne particle size distribution. The size of the airborne PHMG particles increased during the spraying due to aggregation, with the particle size of aggregated particles confirmed by FE-SEM to be approximately 20 nm or more. As the PHMG concentration increased by 10 times, the airborne concentrations measured by the real-time monitoring instrument increased by 2-3 times for nanoparticles, and by 45-85 times for 1-10 µm particles during humidifier operation; however, 99% of the particles generated could be classified as PM1. Without ventilation, even after operating the humidifier, the PHMG particles could be airborne for about 2 h until the background concentration was reached. Therefore, we found that the airborne behavior was affected by PHMG concentration. Products from different manufacturers had no effect on the airborne behavior.

Integrative Korean Medicine Treatments for Traumatic Facial Palsy Following Mandibular Fracture: A Case Report and Literature Review.

Prior studies exploring the effectiveness of traditional Korean medicine (TKM) treatment for facial palsy have mainly focused on Bell's palsy, and there are few studies on the effectiveness of TKM treatments for traumatic facial palsy following mandibular fracture. The patient was a 24-year-old Korean man with left-sided facial paralysis following a left mandibular fracture. Surgery was performed for the fracture and the facial palsy was treated using conventional medicine (CM) treatments for approximately 3 months, but there was no improvement observed in the patient's condition. Subsequently, the patient underwent an integrative Korean medicine treatment regimen consisting of acupuncture, pharmacopuncture, cupping, moxibustion, and herbal medication for a duration of 2 months. After 2 months of treatments, the House-Brackmann facial grading scale changed from Ⅴ to II and Yanagihara's unweighted grading score increased from 9 to 34. This case presentation and previous studies of traumatic facial palsy using TKM treatment show that TKM treatment may be considered a complementary or alternative treatment method to CM treatment in patients with traumatic facial palsy. PROSPERO registration number: CRD42023445051.

Sources of airborne particulate matter-bound metals and spatial-seasonal variability of health risk potentials in four large cities, South Korea.

Fifteen airborne particulate matter-bound metals were analyzed at 14 sites in four large cities (Seoul, Incheon, Busan, Daegu) in South Korea, between August 2013 and June 2017. Among the seven sources resolved by positive matrix factorization, soil dust and marine aerosol accounted for the largest and second largest portions in the three cities; however, in Seoul, soil dust and traffic occupied the largest and the second largest, respectively. Non-carcinogenic risk assessed by inhalation of eight metals (Cd, Co, Ni, Pb, As, Al, Mn, and V) was greater than the hazard index (HI) of 1 at four sites located at or near the industrial complexes. Cumulative incremental lifetime cancer risk (ILCR) due to exposure to five metals (Cd, Co, Ni, Pb, and As) exceeded the 10-6 cancer benchmark at 14 sites and 10-5 at six sites, which includes four sites with HI greater than 1. The largest contributor to ILCR was coal combustion in Seoul, Incheon, and Daegu, and industry sources in Busan. Moreover, industry sources were the largest contributors to non-carcinogenic risk in Seoul, Busan, and Daegu, and soil dust was in Incheon. Incheon had the highest HI in spring because of the higher contribution of soil dust sources than in other seasons. The higher ILCR in Incheon in spring and winter and higher ILCR and HI in Daegu in autumn were mainly due to the influence of industry or coal combustion sources. Statistically significant differences in the ILCR and HI values among the sampling sites in Busan and Daegu resulted from the higher contribution of industry sources at a certain site in the respective city.

Health risk assessment and source apportionment of PM2.5-bound toxic elements in the industrial city of Siheung, Korea.

The emission sources and their health risks of fine particulate matter (PM2.5) in Siheung, Republic of Korea, were investigated as a middle-sized industrial city. To identify the PM2.5 sources with error estimation, a positive matrix factorization model was conducted using daily mean speciated data from November 16, 2019, to October 2, 2020 (95 samples, 22 chemical species). As a result, 10 sources were identified: secondary nitrate (24.3%), secondary sulfate (18.8%), traffic (18.8%), combustion for heating (12.6%), biomass burning (11.8%), coal combustion (3.6%), heavy oil industry (1.8%), smelting industry (4.0%), sea salts (2.7%), and soil (1.7%). Based on the source apportionment results, health risks by inhalation of PM2.5 were assessed for each source using the concentration of toxic elements portioned. The estimated cumulative carcinogenic health risks from the coal combustion, heavy oil industry, and traffic sources exceeded the benchmark, 1E-06. Similarly, carcinogenic health risks from exposure to As and Cr exceeded 1E-05 and 1E-06, respectively, needing a risk reduction plan. The non-carcinogenic risk was smaller than the hazard index of one, implying low potential for adverse health effects. The probable locations of sources with relatively higher carcinogenic risks were tracked. In this study, health risk assessment was performed on the elements for which mass concentration and toxicity information were available; however, future research needs to reflect the toxicity of organic compounds, elemental carbon, and PM2.5 itself.