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Sodium iodide

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Sodium iodide ( chemical formula NaI ) is an ionic compound formed from the chemical reaction of sodium metal and iodine . Under standard conditions, it is a white, water-soluble solid comprising a 1:1 mix of sodium cations (Na) and iodide anions (I) in a crystal lattice . It is used mainly as a nutritional supplement and in organic chemistry . It is produced industrially as the salt formed when acidic iodides react with sodium hydroxide . It is a chaotropic salt .

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98-838: Sodium iodide, as well as potassium iodide , is commonly used to treat and prevent iodine deficiency . Iodized table salt contains 10  ppm iodide . Sodium iodide is used for conversion of alkyl chlorides into alkyl iodides . This method, the Finkelstein reaction , relies on the insolubility of sodium chloride in acetone to drive the reaction: Some radioactive iodide salts of sodium, including Na I and Na I , have radiopharmaceutical uses for thyroid cancer and hyperthyroidism or as radioactive tracer in imaging (see Isotopes of iodine > Radioiodines I-123, I-124, I-125, and I-131 in medicine and biology ). Sodium iodide activated with thallium , NaI(Tl), when subjected to ionizing radiation , emits photons (i.e., scintillate ) and

196-500: A TH2 -mediated immune response. Many bacteria and viruses elicit a TH1 -mediated immune response, which down-regulates TH2 responses. The first proposed mechanism of action of the hygiene hypothesis was that insufficient stimulation of the TH1 arm of the immune system leads to an overactive TH2 arm, which in turn leads to allergic disease. In other words, individuals living in too sterile an environment are not exposed to enough pathogens to keep

294-458: A nuclear power plant , or in nuclear bomb fallout , volatile fission product radionuclides may be released. Of these products, I (Iodine-131) is one of the most common and is particularly dangerous to the thyroid gland because it may lead to thyroid cancer . By saturating the body with a source of stable iodide prior to exposure, inhaled or ingested I tends to be excreted, which prevents radioiodine uptake by

392-474: A runny nose , shortness of breath , or swelling. Note that food intolerances and food poisoning are separate conditions. Common allergens include pollen and certain foods. Metals and other substances may also cause such problems. Food, insect stings , and medications are common causes of severe reactions. Their development is due to both genetic and environmental factors. The underlying mechanism involves immunoglobulin E antibodies (IgE), part of

490-530: A T helper 2 (TH2)-predominant response driven by suppression of interleukin 12 by both the autonomic nervous system and the hypothalamic–pituitary–adrenal axis . Stress management in highly susceptible individuals may improve symptoms. Allergic diseases are more common in industrialized countries than in countries that are more traditional or agricultural, and there is a higher rate of allergic disease in urban populations versus rural populations, although these differences are becoming less defined. Historically,

588-596: A common form of radiation poisoning due to environmental contamination by the short-lived fission product I . Potassium iodide may also be administered pharmaceutically for thyroid storm . Allergy Allergies , also known as allergic diseases , are various conditions caused by hypersensitivity of the immune system to typically harmless substances in the environment. These diseases include hay fever , food allergies , atopic dermatitis , allergic asthma , and anaphylaxis . Symptoms may include red eyes , an itchy rash , sneezing , coughing ,

686-413: A country grows more affluent and, it is presumed, cleaner. The use of antibiotics in the first year of life has been linked to asthma and other allergic diseases. The use of antibacterial cleaning products has also been associated with higher incidence of asthma, as has birth by caesarean section rather than vaginal birth. Chronic stress can aggravate allergic conditions. This has been attributed to

784-525: A hitherto unsuspected symbiosis is at work. For more information on this topic, see Helminthic therapy . In the initial stages of allergy, a type I hypersensitivity reaction against an allergen encountered for the first time and presented by a professional antigen-presenting cell causes a response in a type of immune cell called a T H 2 lymphocyte , a subset of T cells that produce a cytokine called interleukin-4 (IL-4). These T H 2 cells interact with other lymphocytes called B cells , whose role

882-428: A large local reaction may occur in the form of an area of skin redness greater than 10 cm in size that can last one to two days. This reaction may also occur after immunotherapy . Risk factors for allergies can be placed in two broad categories, namely host and environmental factors. Host factors include heredity , sex, race , and age, with heredity being by far the most significant. However, there has been

980-449: A licensed health care provider ( e.g. , an allergy specialist) or general practitioner. Unlike skin-prick testing, a blood test can be performed irrespective of age, skin condition, medication, symptom, disease activity, and pregnancy. Adults and children of any age can get an allergy blood test. For babies and very young children, a single needle stick for allergy blood testing is often gentler than several skin pricks. An allergy blood test

1078-418: A milk allergy will have a reaction to beef. Lactose intolerance, a common reaction to milk, is not a form of allergy at all, but due to the absence of an enzyme in the digestive tract . Those with tree nut allergies may be allergic to one or to many tree nuts , including pecans , pistachios , and walnuts . In addition, seeds , including sesame seeds and poppy seeds , contain oils in which protein

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1176-423: A patient in for evaluation, some allergists will prefer an initial blood test prior to performing the skin prick test. Skin tests may not be an option if the patient has widespread skin disease or has taken antihistamines in the last several days. Patch testing is a method used to determine if a specific substance causes allergic inflammation of the skin. It tests for delayed reactions. It is used to help ascertain

1274-445: A process called degranulation , during which they release histamine and other inflammatory chemical mediators ( cytokines , interleukins , leukotrienes , and prostaglandins ) from their granules into the surrounding tissue causing several systemic effects, such as vasodilation , mucous secretion, nerve stimulation, and smooth muscle contraction. This results in rhinorrhea , itchiness, dyspnea, and anaphylaxis. Depending on

1372-440: A recent increase in the incidence of allergic disorders that cannot be explained by genetic factors alone. Four major environmental candidates are alterations in exposure to infectious diseases during early childhood, environmental pollution , allergen levels, and dietary changes. Dust mite allergy, also known as house dust allergy, is a sensitization and allergic reaction to the droppings of house dust mites . The allergy

1470-422: A risk of iodine sensitivity. There have been some reports of potassium iodide treatment causing swelling of the parotid gland (one of the three glands that secrete saliva ), due to its stimulatory effects on saliva production. A saturated solution of KI (SSKI) is typically given orally in adult doses several times a day (5 drops of SSKI assumed to be 1 ⁄ 3  mL) for thyroid blockade (to prevent

1568-555: A single brief environmental exposure nearly 60 years in the past is still present and can be detected." The development of thyroid cancer among residents in the North Pacific from radioactive fallout following the United States' nuclear weapons testing in the 1950s (on islands nearly 200 miles downwind of the tests) were instrumental in the 1978 decision by the FDA to issue a request for

1666-598: A source of iodide, may also act as a nucleophilic catalyst for the alkylation of alkyl chlorides , bromides , or mesylates . Potassium iodide has been used medically since at least 1820. Some of the earliest uses included cures for syphilis , lead and mercury poisoning . Potassium iodide's (KI) value as a radiation protective (thyroid blocking) agent was demonstrated following the Chernobyl nuclear reactor disaster in April 1986. A saturated solution of potassium iodide (SSKI)

1764-475: A stable isotope of iodine, only protect the thyroid gland from radioactive iodine. It does not offer protection against other radioactive substances. Some sources recommend alternative dosing regimens. Not all sources are in agreement on the necessary duration of thyroid blockade, although agreement appears to have been reached about the necessity of blockade for both scintigraphic and therapeutic applications of iobenguane. Commercially available iobenguane

1862-437: A systemic allergic response that is also called anaphylaxis; multiple organ systems can be affected, including the digestive system , the respiratory system , and the circulatory system . Depending on the severity, anaphylaxis can include skin reactions, bronchoconstriction, swelling , low blood pressure , coma, and death. This type of reaction can be triggered suddenly, or the onset can be delayed. The nature of anaphylaxis

1960-428: Is inherited and related to an irregularity in the immune system, but the specific allergen is not. The risk of allergic sensitization and the development of allergies varies with age, with young children most at risk. Several studies have shown that IgE levels are highest in childhood and fall rapidly between the ages of 10 and 30 years. The peak prevalence of hay fever is highest in children and young adults and

2058-460: Is 150 micrograms (0.15 mg) of iodine (as iodide) per day for an adult. A typical tablet weighs 160 mg, with 130 mg of potassium iodide and 30 mg of excipients , such as binding agents . Potassium iodide cannot protect against any other mechanisms of radiation poisoning , nor can it provide any degree of protection against dirty bombs that produce radionuclides other than those of iodine. The potassium iodide in iodized salt

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2156-507: Is a chemical compound , medication , and dietary supplement . It is a medication used for treating hyperthyroidism , in radiation emergencies , and for protecting the thyroid gland when certain types of radiopharmaceuticals are used. It is also used for treating skin sporotrichosis and phycomycosis . It is a supplement used by people with low dietary intake of iodine . It is administered orally. Common side effects include vomiting, diarrhea, abdominal pain, rash, and swelling of

2254-399: Is a white salt , which is the most commercially significant iodide compound, with approximately 37,000 tons produced in 1985. It absorbs water less readily than sodium iodide , making it easier to work with. Aged and impure samples are yellow because of the slow oxidation of the salt to potassium carbonate and elemental iodine . Since the iodide ion is a mild reducing agent , I

2352-540: Is also used as a fluorescence quenching agent in biomedical research, an application that takes advantage of collisional quenching of fluorescent substances by the iodide ion. However, for several fluorophores addition of KI in μM-mM concentrations results in increase of fluorescence intensity, and iodide acts as fluorescence enhancer. Potassium iodide is a component in the electrolyte of dye sensitised solar cells (DSSC) along with iodine. Potassium iodide finds its most important applications in organic synthesis mainly in

2450-808: Is an allergic contact dermatitis, a delayed hypersensitive reaction appearing as dry, crusted lesions. This reaction usually lasts 48–96 hours. Sweating or rubbing the area under the glove aggravates the lesions, possibly leading to ulcerations. Anaphylactic reactions occur most often in sensitive patients who have been exposed to a surgeon's latex gloves during abdominal surgery, but other mucosal exposures, such as dental procedures, can also produce systemic reactions. Latex and banana sensitivity may cross-react. Furthermore, those with latex allergy may also have sensitivities to avocado , kiwifruit, and chestnut. These people often have perioral itching and local urticaria . Only occasionally have these food-induced allergies induced systemic responses. Researchers suspect that

2548-401: Is common and can trigger allergic reactions such as asthma, eczema , or itching .The mite's gut contains potent digestive enzymes (notably peptidase 1 ) that persist in their feces and are major inducers of allergic reactions such as wheezing . The mite's exoskeleton can also contribute to allergic reactions. Unlike scabies mites or skin follicle mites, house dust mites do not burrow under

2646-609: Is easily oxidised to iodine ( I 2 ) by powerful oxidising agents such as chlorine : This reaction is employed in the isolation of iodine from natural sources. Air will oxidize iodide, as evidenced by the observation of a purple extract when aged samples of KI are rinsed with dichloromethane . As formed under acidic conditions, hydriodic acid (HI) is a stronger reducing agent. Like other iodide salts, KI forms triiodide ( I − 3 ) when combined with elemental iodine . Unlike I 2 , I − 3 salts can be highly water-soluble. Through this reaction, iodine

2744-488: Is insufficient for this use. A likely lethal dose of salt (more than a kilogram ) would be needed to equal the potassium iodide in one tablet. The World Health Organization does not recommend KI prophylaxis for adults over 40 years, unless the radiation dose from inhaled radioiodine is expected to threaten thyroid function, because the KI side effects increase with age and may exceed the KI protective effects; "...unless doses to

2842-462: Is labeled with iodine-123 , and product labeling recommends administration of potassium iodide 1 hour prior to administration of the radiopharmaceutical for all age groups, while the European Association of Nuclear Medicine recommends (for iobenguane labeled with either isotope), that potassium iodide administration begin one day prior to radiopharmaceutical administration, and continue until

2940-542: Is not itself a protein, acts as a hapten and chemically reacts with, binds to, and changes the shape of integral membrane proteins on exposed skin cells. The immune system does not recognize the affected cells as normal parts of the body, causing a T-cell -mediated immune response . Of these poisonous plants, sumac is the most virulent. The resulting dermatological response to the reaction between urushiol and membrane proteins includes redness, swelling, papules , vesicles , blisters , and streaking. Estimates vary on

3038-455: Is often guided by relevant literature. In general, a positive response is interpreted when the wheal of an antigen is ≥3mm larger than the wheal of the negative control (eg, saline or glycerin). Some patients may believe they have determined their own allergic sensitivity from observation, but a skin test has been shown to be much better than patient observation to detect allergy. If a serious life-threatening anaphylactic reaction has brought

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3136-453: Is often the practice for determining whether allergy to milk, egg, soy, and wheat have been outgrown, and the testing interval is extended to 2–3 years for allergy to peanut, tree nuts, fish, and crustacean shellfish. Results of follow-up testing can guide decision-making regarding whether and when it is safe to introduce or re-introduce allergenic food into the diet. Skin testing is also known as "puncture testing" and "prick testing" due to

3234-859: Is on the World Health Organization's List of Essential Medicines . Potassium iodide is available as a generic medication and over the counter . Potassium iodide is also used for the iodization of salt . Potassium iodide is a nutritional supplement in animal feeds and also in the human diet. In humans it is the most common additive used for iodizing table salt (a public health measure to prevent iodine deficiency in populations that get little seafood). The oxidation of iodide causes slow loss of iodine content from iodised salts that are exposed to excess air. The alkali metal iodide salt, over time and exposure to excess oxygen and carbon dioxide, slowly oxidizes to metal carbonate and elemental iodine, which then evaporates. Potassium iod ate ( K I O 3 )

3332-420: Is present, which may elicit an allergic reaction. Allergens can be transferred from one food to another through genetic engineering ; however, genetic modification can also remove allergens. Little research has been done on the natural variation of allergen concentrations in unmodified crops. Latex can trigger an IgE-mediated cutaneous, respiratory, and systemic reaction. The prevalence of latex allergy in

3430-512: Is presumed, exposed to more infectious agents through their siblings, than in children from families with only one child. It is used to explain the increase in allergic diseases that have been seen since industrialization, and the higher incidence of allergic diseases in more developed countries. The hygiene hypothesis has now expanded to include exposure to symbiotic bacteria and parasites as important modulators of immune system development, along with infectious agents. Epidemiological data support

3528-417: Is production of antibodies. Coupled with signals provided by IL-4, this interaction stimulates the B cell to begin production of a large amount of a particular type of antibody known as IgE. Secreted IgE circulates in the blood and binds to an IgE-specific receptor (a kind of Fc receptor called FcεRI ) on the surface of other kinds of immune cells called mast cells and basophils , which are both involved in

3626-480: Is recommended by the US Food and Drug Administration . A single daily dose is typically sufficient for 24-hour protection. However, in cases of prolonged or repeated exposure, health authorities may recommend multiple daily doses. Priority for prophylaxis is given to the most sensitive groups: pregnant and breastfeeding women, infants, and children under 18 years. The recommended doses of potassium iodide, which contains

3724-466: Is saline or glycerin; positive is histamine). A small plastic or metal device is used to puncture or prick the skin. Sometimes, the allergens are injected "intradermally" into the patient's skin, with a needle and syringe. Common areas for testing include the inside forearm and the back. If the patient is allergic to the substance, then a visible inflammatory reaction will usually occur within 30 minutes. This response will range from slight reddening of

3822-453: Is such that the reaction can seem to be subsiding but may recur throughout a period of time. Substances that come into contact with the skin, such as latex , are also common causes of allergic reactions, known as contact dermatitis or eczema. Skin allergies frequently cause rashes , or swelling and inflammation within the skin, in what is known as a " weal and flare" reaction characteristic of hives and angioedema . With insect stings,

3920-449: Is termed an "allergic" reaction (which usually refers to type I hypersensitivity), its pathophysiology involves a reaction that more correctly corresponds to a type IV hypersensitivity reaction. In type IV hypersensitivity, there is activation of certain types of T cells (CD8+) that destroy target cells on contact, as well as activated macrophages that produce hydrolytic enzymes . Effective management of allergic diseases relies on

4018-442: Is the same (65 mg). However, adolescents approaching adult size (i.e., >70 kg [154 lbs]) should receive the full adult dose (130 mg) for maximal block of thyroid radioiodine uptake. Neonates ideally should receive the lowest dose (16 mg) of KI." There is reason for caution with prescribing the ingestion of high doses of potassium iodide and iodate, because their unnecessary use can cause conditions such as

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4116-458: Is used in redox titrations . Aqueous KI 3 ( Lugol's iodine ) solution is used as a disinfectant and as an etchant for gold surfaces. Potassium iodide and silver nitrate are used to make silver(I) iodide , which is used for high speed photographic film and for cloud seeding : KI serves as a source of iodide in organic synthesis . A useful application is in the preparation of aryl iodides from arenediazonium salts . KI, acting as

4214-447: Is used in scintillation detectors , traditionally in nuclear medicine , geophysics , nuclear physics , and environmental measurements. NaI(Tl) is the most widely used scintillation material. The crystals are usually coupled with a photomultiplier tube , in a hermetically sealed assembly, as sodium iodide is hygroscopic . Fine-tuning of some parameters (i.e., radiation hardness , afterglow , transparency ) can be achieved by varying

4312-409: Is used to image or treat neural tissue tumors, or iodinated fibrinogen , which is used in fibrinogen scans to investigate clotting. These compounds contain iodine, but not in the iodide form. Since they may be ultimately metabolized or break down to radioactive iodide, it is common to administer non-radioactive potassium iodide to ensure that iodide from these radiopharmaceuticals is not sequestered by

4410-444: Is used to iodize some salts so that the iodine is not lost by oxidation. Dextrose or sodium thiosulfate are often added to iodized table salt to stabilize potassium iodide thus reducing loss of the volatile chemical. Thyroid iodine uptake blockade with potassium iodide is used in nuclear medicine scintigraphy and therapy with some radioiodinated compounds that are not targeted to the thyroid, such as iobenguane ( MIBG ), which

4508-549: Is useful for some types of allergies such as hay fever and reactions to insect bites. Its use in food allergies is unclear. Allergies are common. In the developed world, about 20% of people are affected by allergic rhinitis, about 6% of people have at least one food allergy, and about 20% have or have had atopic dermatitis at some point in time. Depending on the country, about 1–18% of people have asthma. Anaphylaxis occurs in between 0.05–2% of people. Rates of many allergic diseases appear to be increasing. The word "allergy"

4606-485: Is usually to proteins in the white , rather than the yolk . Milk-protein allergies —distinct from lactose intolerance —are most common in children. Approximately 60% of milk-protein reactions are immunoglobulin E –mediated, with the remaining usually attributable to inflammation of the colon . Some people are unable to tolerate milk from goats or sheep as well as from cows, and many are also unable to tolerate dairy products such as cheese. Roughly 10% of children with

4704-488: The Jod-Basedow phenomena , trigger and/or worsen hyperthyroidism and hypothyroidism , and then cause temporary or even permanent thyroid conditions. It can also cause sialadenitis (an inflammation of the salivary gland), gastrointestinal disturbances, and rashes. Potassium iodide is also not recommended for people with dermatitis herpetiformis and hypocomplementemic vasculitis  – conditions that are linked to

4802-502: The lungs , shortness of breath , coughing, and wheezing. Aside from these ambient allergens, allergic reactions can result from foods, insect stings , and reactions to medications like aspirin and antibiotics such as penicillin . Symptoms of food allergy include abdominal pain, bloating , vomiting, diarrhea , itchy skin, and hives . Food allergies rarely cause respiratory (asthmatic) reactions, or rhinitis . Insect stings, food, antibiotics , and certain medicines may produce

4900-409: The salivary glands . Other side effects include allergic reactions , headache , goitre , and depression . While use during pregnancy may harm the baby, its use is still recommended in radiation emergencies. Potassium iodide has the chemical formula K I . Commercially it is made by mixing potassium hydroxide with iodine. Potassium iodide has been used medically since at least 1820. It

4998-520: The FDA, KI should not be taken as a preventative before radiation exposure. Since KI protects for approximately 24 hours, it must be dosed daily until a risk of significant exposure to radioiodine no longer exists. Emergency 130 milligrams potassium iodide doses provide 100 mg iodide (the other 30 mg is the potassium in the compound), which is roughly 700 times larger than the normal nutritional need (see recommended dietary allowance ) for iodine, which

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5096-555: The NRC, studies after the accident showed that "As of 1996, except for thyroid cancer, there has been no confirmed increase in the rates of other cancers, including leukemia, among the... public, that have been attributed to releases from the accident." But equally important to the question of KI is the fact that radioactivity releases are not "local" events. Researchers at the World Health Organization accurately located and counted

5194-693: The US Navy instructed personnel coming within 100 miles of the reactor to take the pills. In the Netherlands, the central storage of iodine-pills is located in Zoetermeer , near The Hague . In 2017, the Dutch government distributed pills to hundreds of thousands of residents who lived within a certain distance of nuclear power plants and met some other criteria. By 2020, potassium iodide tablets are made available free of charge for all residents in all pharmacies throughout

5292-1011: The ability to make an accurate diagnosis. Allergy testing can help confirm or rule out allergies. Correct diagnosis, counseling, and avoidance advice based on valid allergy test results reduce the incidence of symptoms and need for medications, and improve quality of life. To assess the presence of allergen-specific IgE antibodies, two different methods can be used: a skin prick test, or an allergy blood test . Both methods are recommended, and they have similar diagnostic value. Skin prick tests and blood tests are equally cost-effective, and health economic evidence shows that both tests were cost-effective compared with no test. Early and more accurate diagnoses save cost due to reduced consultations, referrals to secondary care, misdiagnosis, and emergency admissions. Allergy undergoes dynamic changes over time. Regular allergy testing of relevant allergens provides information on if and how patient management can be changed to improve health and quality of life. Annual testing

5390-503: The acute inflammatory response. The IgE-coated cells, at this stage, are sensitized to the allergen. If later exposure to the same allergen occurs, the allergen can bind to the IgE molecules held on the surface of the mast cells or basophils. Cross-linking of the IgE and Fc receptors occurs when more than one IgE-receptor complex interacts with the same allergenic molecule and activates the sensitized cell. Activated mast cells and basophils undergo

5488-478: The availability of KI for thyroid protection in the event of a release from a commercial nuclear power plant or weapons-related nuclear incident. Noting that KI's effectiveness was "virtually complete" and finding that iodine in the form of KI was substantially superior to other forms including iodate (KIO 3 ) in terms of safety, effectiveness, lack of side effects, and speed of onset, the FDA invited manufacturers to submit applications to produce and market KI. It

5586-632: The best medium. Sodium iodide exhibits high solubility in some organic solvents, unlike sodium chloride or even bromide: Iodides (including sodium iodide) are detectably oxidized by atmospheric oxygen (O 2 ) to molecular iodine (I 2 ). I 2 and I complex to form the triiodide complex, which has a yellow color, unlike the white color of sodium iodide. Water accelerates the oxidation process, and iodide can also produce I 2 by photooxidation, therefore for maximum stability sodium iodide should be stored under dark, low temperature, low humidity conditions. Potassium iodide Potassium iodide

5684-536: The blood. Certain microbe-sensing proteins , known as Toll-like receptors , found on the surface of cells in the body are also thought to be involved in these processes. Parasitic worms and similar parasites are present in untreated drinking water in developing countries, and were present in the water of developed countries until the routine chlorination and purification of drinking water supplies. Recent research has shown that some common parasites, such as intestinal worms (e.g., hookworms ), secrete chemicals into

5782-401: The body's immune system, binding to an allergen and then to a receptor on mast cells or basophils where it triggers the release of inflammatory chemicals such as histamine . Diagnosis is typically based on a person's medical history . Further testing of the skin or blood may be useful in certain cases. Positive tests, however, may not necessarily mean there is a significant allergy to

5880-403: The cause of skin contact allergy or contact dermatitis . Adhesive patches, usually treated with several common allergic chemicals or skin sensitizers, are applied to the back. The skin is then examined for possible local reactions at least twice, usually at 48 hours after application of the patch, and again two or three days later. An allergy blood test is quick and simple and can be ordered by

5978-496: The conditions of the crystal growth . Crystals with a higher level of doping are used in X-ray detectors with high spectrometric quality. Sodium iodide can be used both as single crystals and as polycrystals for this purpose. The wavelength of maximum emission is 415 nm. António Egas Moniz searched for a radiocontrast agent for cerebral angiography . After experiments on rabbits and dogs he settled upon sodium iodide as

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6076-537: The country. Three companies (Anbex, Inc., Fleming Co, and Recipharm of Sweden) have met the strict FDA requirements for manufacturing and testing of KI, and they offer products (IOSAT, ThyroShield, and ThyroSafe, respectively) which are available for purchase. In 2012, Fleming Co. sold all its product rights and manufacturing facility to other companies and no longer exists. ThyroShield is currently not in production. Tablets of potassium iodide are supplied for emergency purposes related to blockade of radioiodine uptake,

6174-680: The cross-reactivity of latex with banana, avocado , kiwifruit , and chestnut occurs because latex proteins are structurally homologous with some other plant proteins. About 10% of people report that they are allergic to penicillin ; however, of that 10%, 90% turn out not to be. Serious allergies only occur in about 0.03%. One of the main sources of human allergies is insects. An allergy to insects can be brought on by bites, stings, ingestion, and inhalation. Another non-food protein reaction, urushiol-induced contact dermatitis , originates after contact with poison ivy , eastern poison oak , western poison oak , or poison sumac . Urushiol , which

6272-413: The day following the injection, with the exception of new-borns, who do not require potassium iodide doses following radiopharmaceutical injection. Product labeling for diagnostic iodine-131 iobenguane recommends potassium iodide administration one day before injection and continuing 5 to 7 days following administration, in keeping with the much longer half-life of this isotope and its greater danger to

6370-481: The delayed establishment of gut flora in infants . However, the research to support this theory is conflicting, with some studies performed in China and Ethiopia showing an increase in allergy in people infected with intestinal worms. Clinical trials have been initiated to test the effectiveness of certain worms in treating some allergies. It may be that the term 'parasite' could turn out to be inappropriate, and in fact

6468-605: The effects of previous radioactivity releases. In 1945, several hundreds of thousands of people working and residing in the Japanese cities of Hiroshima and Nagasaki were exposed to high levels of radiation after atomic bombs were detonated over the two cities by the United States. Survivors of the A-bombings, also known as hibakusha , have markedly high rates of thyroid disease; a 2006 study of 4091 hibakusha found nearly half

6566-400: The far lower dose of iodine needed in normal nutrition, which is only 150 μg per day (150 micrograms, not milligrams). At maximal doses, and sometimes at much lower doses, side effects of iodide used for medical reasons, in doses of 1000 times the normal nutritional need, may include: acne, loss of appetite, or upset stomach (especially during the first several days, as the body adjusts to

6664-602: The first line of defence in protecting the population from a radioiodine release. However, in the event of a radioiodine release too massive and widespread to be controlled by the limited stock of iodide and iodate prophylaxis drugs, then the addition of perchlorate ions to the water supply, or distribution of perchlorate tablets would serve as a cheap, efficacious, second line of defense against carcinogenic radioiodine bioaccumulation. The ingestion of goitrogen drugs is, much like potassium iodide also not without its dangers, such as hypothyroidism . In all these cases however, despite

6762-588: The general population is believed to be less than one percent. In a hospital study, 1 in 800 surgical patients (0.125 percent) reported latex sensitivity, although the sensitivity among healthcare workers is higher, between seven and ten percent. Researchers attribute this higher level to the exposure of healthcare workers to areas with significant airborne latex allergens, such as operating rooms, intensive-care units, and dental suites. These latex-rich environments may sensitize healthcare workers who regularly inhale allergenic proteins. The most prevalent response to latex

6860-466: The gut wall (and, hence, the bloodstream) that suppress the immune system and prevent the body from attacking the parasite. This gives rise to a new slant on the hygiene hypothesis theory—that co-evolution of humans and parasites has led to an immune system that functions correctly only in the presence of the parasites. Without them, the immune system becomes unbalanced and oversensitive. In particular, research suggests that allergies may coincide with

6958-460: The hygiene hypothesis. Studies have shown that various immunological and autoimmune diseases are much less common in the developing world than the industrialized world, and that immigrants to the industrialized world from the developing world increasingly develop immunological disorders in relation to the length of time since arrival in the industrialized world. Longitudinal studies in the third world demonstrate an increase in immunological disorders as

7056-462: The immune system busy. Since our bodies evolved to deal with a certain level of such pathogens, when they are not exposed to this level, the immune system will attack harmless antigens, and thus normally benign microbial objects—like pollen—will trigger an immune response. The hygiene hypothesis was developed to explain the observation that hay fever and eczema , both allergic diseases, were less common in children from larger families, which were, it

7154-496: The incidence of asthma is highest in children under 10. Ethnicity may play a role in some allergies; however, racial factors have been difficult to separate from environmental influences and changes due to migration . It has been suggested that different genetic loci are responsible for asthma, to be specific, in people of European , Hispanic , Asian , and African origins. Allergic diseases are caused by inappropriate immunological responses to harmless antigens driven by

7252-459: The individual, allergen, and mode of introduction, the symptoms can be system-wide (classical anaphylaxis) or localized to specific body systems. Asthma is localized to the respiratory system and eczema is localized to the dermis . After the chemical mediators of the acute response subside, late-phase responses can often occur. This is due to the migration of other leukocytes such as neutrophils , lymphocytes , eosinophils , and macrophages to

7350-441: The initial site. The reaction is usually seen 2–24 hours after the original reaction. Cytokines from mast cells may play a role in the persistence of long-term effects. Late-phase responses seen in asthma are slightly different from those seen in other allergic responses, although they are still caused by release of mediators from eosinophils and are still dependent on activity of T H 2 cells. Although allergic contact dermatitis

7448-507: The medication). More severe side effects that require notification of a physician are: fever, weakness, unusual tiredness, swelling in the neck or throat, mouth sores, skin rash, nausea, vomiting, stomach pains, irregular heartbeat, numbness or tingling of the hands or feet, or a metallic taste in the mouth. In the event of a radioiodine release the ingestion of prophylaxis potassium iodide, if available, or even iodate, would rightly take precedence over perchlorate administration, and would be

7546-415: The most common food allergy in adults or children. Severe or life-threatening reactions may be triggered by other allergens and are more common when combined with asthma. Rates of allergies differ between adults and children. Children can sometimes outgrow peanut allergies. Egg allergies affect one to two percent of children but are outgrown by about two-thirds of children by the age of 5. The sensitivity

7644-573: The normal affinity of the thyroid for iodide. The World Health Organization (WHO) provides guidelines for potassium iodide use following a nuclear accident. The dosage of potassium iodide is age-dependent: neonates (<1 month) require 16 mg/day; children aged 1 month to 3 years need 32 mg/day; those aged 3-12 years need 65 mg/day; and individuals over 12 years and adults require 130 mg/day. These dosages list mass of potassium iodide rather than elemental iodine. Potassium iodide can be administered as tablets or as Lugol's iodine solution. The same dosage

7742-483: The observed levels were lower than would have been expected had this prophylactic measure not been taken. The use of KI...was credited with permissible iodine content in 97% of the evacuees tested." With the passage of time, people living in irradiated areas where KI was not available have developed thyroid cancer at epidemic levels, which is why the US Food and Drug Administration (FDA) reported "The data clearly demonstrate

7840-586: The participants (1833; 44.8%) had an identifiable thyroid disease. An editorial in The Journal of the American Medical Association regarding thyroid diseases in both hibakusha and those affected by the Chernobyl disaster reports that "[a] straight line adequately describes the relationship between radiation dose and thyroid cancer incidence" and states "it is remarkable that a biological effect from

7938-493: The population fraction that will have an immune system response. Approximately 25% of the population will have a strong allergic response to urushiol. In general, approximately 80–90% of adults will develop a rash if they are exposed to 0.0050 mg (7.7 × 10  gr) of purified urushiol, but some people are so sensitive that it takes only a molecular trace on the skin to initiate an allergic reaction. Allergic diseases are strongly familial ; identical twins are likely to have

8036-481: The preparation of aryl iodides in the Sandmeyer reaction , starting from aryl amines. Aryl iodides are in turn used to attach aryl groups to other organics by nucleophilic substitution, with iodide ion as the leaving group. Potassium iodide is an ionic compound which is made of the following ions : K I . It crystallises in the sodium chloride structure. It is produced industrially by treating KOH with iodine. It

8134-671: The residents with cancer from Chernobyl and were startled to find that "the increase in incidence [of thyroid cancer] has been documented up to 500 km from the accident site... significant doses from radioactive iodine can occur hundreds of kilometers from the site, beyond emergency planning zones." Consequently, far more people than anticipated were affected by the radiation, which caused the United Nations to report in 2002 that "The number of people with thyroid cancer... has exceeded expectations. Over 11,000 cases have already been reported." The Chernobyl findings were consistent with studies of

8232-440: The risks of thyroid radiation... KI can be used [to] provide safe and effective protection against thyroid cancer caused by irradiation." Chernobyl also demonstrated that the need to protect the thyroid from radiation was greater than expected. Within ten years of the accident, it became clear that thyroid damage caused by released radioactive iodine was virtually the only adverse health effect that could be measured. As reported by

8330-410: The risks, the prophylaxis benefits of intervention with iodide, iodate or perchlorate outweigh the serious cancer risk from radioiodine bioaccumulation in regions where radioiodine has sufficiently contaminated the environment. KI is used with silver nitrate to make silver iodide (AgI), an important chemical in film photography. KI is a component in some disinfectants and hair treatment chemicals. KI

8428-479: The same allergic diseases about 70% of the time; the same allergy occurs about 40% of the time in non-identical twins . Allergic parents are more likely to have allergic children and those children's allergies are likely to be more severe than those in children of non-allergic parents. Some allergies, however, are not consistent along genealogies ; parents who are allergic to peanuts may have children who are allergic to ragweed . The likelihood of developing allergies

8526-408: The series of tiny punctures or pricks made into the patient's skin. Tiny amounts of suspected allergens and/or their extracts ( e.g. , pollen, grass, mite proteins, peanut extract) are introduced to sites on the skin marked with pen or dye (the ink/dye should be carefully selected, lest it cause an allergic response itself). A negative and positive control are also included for comparison (eg, negative

8624-534: The skin and are not parasitic. A wide variety of foods can cause allergic reactions, but 90% of allergic responses to foods are caused by cow's milk, soy , eggs, wheat, peanuts, tree nuts , fish, and shellfish. Other food allergies, affecting less than 1 person per 10,000 population, may be considered "rare". The most common food allergy in the US population is a sensitivity to crustacea . Although peanut allergies are notorious for their severity, peanut allergies are not

8722-435: The skin to a full-blown hive (called "wheal and flare") in more sensitive patients similar to a mosquito bite . Interpretation of the results of the skin prick test is normally done by allergists on a scale of severity, with +/− meaning borderline reactivity, and 4+ being a large reaction. Increasingly, allergists are measuring and recording the diameter of the wheal and flare reaction. Interpretation by well-trained allergists

8820-405: The substance in question. Early exposure of children to potential allergens may be protective. Treatments for allergies include avoidance of known allergens and the use of medications such as steroids and antihistamines . In severe reactions, injectable adrenaline (epinephrine) is recommended. Allergen immunotherapy , which gradually exposes people to larger and larger amounts of allergen,

8918-408: The thyroid from excreting thyroid hormone) and occasionally this dose is also used, when iodide is used as an expectorant (the total dose is about one gram KI per day for an adult). The anti-radioiodine doses used for I uptake blockade are lower, and range downward from 100  mg a day for an adult, to less than this for children (see table). All of these doses should be compared with

9016-493: The thyroid from inhalation rise to levels threatening thyroid function, that is of the order of about 5 Gy . Such radiation doses will not occur far away from an accident site." The U.S. Department of Health and Human Services restated these two years later as "The downward KI (potassium iodide) dose adjustment by age group, based on body size considerations, adheres to the principle of minimum effective dose. The recommended standard (daily) dose of KI for all school-age children

9114-422: The thyroid. Iodine-131 iobenguane used for therapeutic purposes requires a different pre-medication duration, beginning 24–48 hours prior to iobenguane injection and continuing 10–15 days following injection. In 1982, the U.S. Food and Drug Administration approved potassium iodide to protect thyroid glands from radioactive iodine involving accidents or fission emergencies. In an accidental event or attack on

9212-449: The thyroid. According to one 2000 study "KI administered up to 48 h before I exposure can almost completely block thyroid uptake and therefore greatly reduce the thyroid absorbed dose. However, KI administration 96 h or more before I exposure has no significant protective effect. In contrast, KI administration after exposure to radioiodine induces a smaller and rapidly decreasing blockade effect." According to

9310-548: The trees planted in urban areas were predominantly male to prevent litter from seeds and fruits, but the high ratio of male trees causes high pollen counts, a phenomenon that horticulturist Tom Ogren has called " botanical sexism ". Alterations in exposure to microorganisms is another plausible explanation, at present, for the increase in atopic allergy . Endotoxin exposure reduces release of inflammatory cytokines such as TNF-α , IFNγ , interleukin-10 , and interleukin-12 from white blood cells ( leukocytes ) that circulate in

9408-572: Was administered to 10.5 million children and 7 million adults in Poland as a preventative measure against accumulation of radioactive I in the thyroid gland. Reports differ concerning whether people in the areas immediately surrounding Chernobyl itself were given the supplement. However the US Nuclear Regulatory Commission (NRC) reported, "thousands of measurements of I-131 (radioactive iodine) activity...suggest that

9506-413: Was first used by Clemens von Pirquet in 1906. Many allergens such as dust or pollen are airborne particles. In these cases, symptoms arise in areas in contact with air, such as the eyes, nose, and lungs. For instance, allergic rhinitis, also known as hay fever, causes irritation of the nose, sneezing, itching, and redness of the eyes. Inhaled allergens can also lead to increased production of mucus in

9604-538: Was reported on 16 March 2011, that potassium iodide tablets were given preventively to U.S. Naval air crew members flying within 70 nautical miles of the Fukushima Daiichi Nuclear Power Plant damaged in the earthquake (8.9/9.0 magnitude) and ensuing tsunami on 11 March 2011. The measures were seen as precautions, and the Pentagon said no U.S. forces have shown signs of radiation poisoning. By 20 March,

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