Key Role of the Rational Laboratory Strategy in Diagnostic, Analytical and Forensic Toxicology

A. Colatutto
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Abstract

It is nevertheless not easy to define the borders between Pharmacology and Toxicology too, because the side effects of commonly used therapies could be extremely toxic, the effects of the Drug of Abuse are also toxic, and toxic substances could be found in soil, water and air. It is well known that Medicine is “rapidly changing in rapidly changing world”, but the paramount progress in laboratory technology has positively influenced the whole Medicine diagnostic process and practice. For these reasons a rational diagnostic strategy is mandatory to optimize the resources. The aim of the toxicological analysis is firstly to detect the toxicant, and to fulfill this scope so that the toxicologist can take advantage of improved technology. Even if new screening methods are easy to perform, highly automated and fit not only for highly specialized laboratory staff, confirmation analysis needs more sophisticated and extremely expensive technology. It is well known indeed that confirmation tests should be performed only by chromatographic technology, both gas chromatographic and liquid chromatographic coupled with mass spectrometry, and these kinds of tests need highly specialized personnel.
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理性实验室策略在诊断、分析和法医毒理学中的关键作用
然而,界定药理学和毒理学之间的界限也不容易,因为常用疗法的副作用可能是剧毒的,滥用药物的效果也是有毒的,有毒物质可以在土壤、水和空气中发现。众所周知,医学“在快速变化的世界中迅速变化”,但实验室技术的重大进步对整个医学诊断过程和实践产生了积极的影响。由于这些原因,合理的诊断策略是优化资源的必要条件。毒理学分析的目的首先是检测有毒物质,并完成这一范围,以便毒理学家能够利用改进的技术。即使新的筛选方法易于执行,高度自动化,不仅适合高度专业化的实验室工作人员,确认分析也需要更复杂和极其昂贵的技术。众所周知,确证检验只能通过色谱技术进行,包括气相色谱和液相色谱加上质谱,而这类检验需要高度专业化的人员。
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