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Extract of european spruce strobiles as a promising tool to minimize the risks of inflammation 欧洲云杉的提取物作为一个有前途的工具,以尽量减少风险的炎症
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.16.eng
D.K. Gulyaev, D.Yu Apushkin, A.I. Andreev, A.S. Suldin, P.S. Mashchenko, T.A. Utushkina, K.E. Yakushina
The article is devoted to examining anti-inflammatory activity of dry aqueous extract of European spruce (Picea abies) strobiles using different routes of administration. Strobiles of European spruce for extracts were harvested on the territory of the Perm region of the Russian Federation in a mixed forest with a predominance of European spruce and Scots pine (Pinus sylvestris). Dry aqueous extract was obtained according to the original patented method. Procyanidins content in spruce strobiles and dry extracts was determined by using acid cleavage of procyanidins to anthocyanidins according to the Porter method. Anti-inflammatory activity was established by using carrageenan-induced paw edema in rats. White laboratory outbred Wistar rats were used in the experiment. According to the results of the study, the procyanidin content was found to equal approximately 13 % in the samples of spruce strobiles. Intraperitoneal administration of dry extract of strobile spruce at a dose of 100 mg/kg was established to induce a pronounced anti-inflammatory activity. Intraperitoneal administration of smaller doses of strobile extract resulted in a pronounced anti-inflammatory activity at a dose of 50 mg/kg. A dose of 10 mg/kg successfully suppressed inflammation (50 % edema suppression) 1 and 3 hours after carrageenan administration (p < 0.05) according to hydrometric data, but this was not confirmed by photometric data. Oral administration of the extract showed no anti-inflammatory activity. With the rectal route of administration, no pronounced anti-inflammatory activity was found in the studied extract. The extract of spruce strobiles obtained by the original method contains 56 % procyanidins and exhibits pronounced anti-inflammatory activity when administered intraperitoneally. The use of the extract in oral and rectal routes of administration requires more in-depth study.
研究了不同给药途径下欧洲云杉(Picea abies)干水提取物的抗炎活性。在俄罗斯联邦彼尔姆地区,在以欧洲云杉和苏格兰松(Pinus sylvestris)为主的混交林中,采集了用于提取的欧洲云杉叶。按照原专利方法得到干水提物。采用波特法将原花青素酸裂解为花青素,测定了云杉叶和干提取物中原花青素的含量。用卡拉胶诱导大鼠足跖水肿建立抗炎活性。实验采用白色实验室近交系Wistar大鼠。根据研究结果,原花青素在云杉样品中的含量约为13%。以100 mg/kg的剂量腹腔注射云杉干提取物可诱导明显的抗炎活性。腹腔注射小剂量的菊石提取物,在50mg /kg的剂量下具有明显的抗炎活性。给药后1和3小时,10 mg/kg剂量成功抑制炎症(50%水肿抑制)(p <0.05),但这并没有得到光度数据的证实。口服提取物无抗炎活性。通过直肠给药途径,在所研究的提取物中没有发现明显的抗炎活性。用原始方法获得的云杉提取物含有56%的原花青素,并在腹腔注射时表现出明显的抗炎活性。在口服和直肠给药途径中使用提取物需要更深入的研究。
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引用次数: 0
On possible practical applications of the gut microbiome research in the prevention, diagnosis, assessment of, and treatment modification for multiple sclerosis in patients from risk groups 肠道微生物组研究在危险人群多发性硬化症的预防、诊断、评估和治疗调整中的可能实际应用
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.14.eng
C.K. Zjukovskaja
Research into the gut microbiota (GM) in multiple sclerosis (MS) has the potential to lead to a number of practical applications in the prevention, diagnosis, assessment of, and treatment modification for, MS. Four most promising areas include biomarkers, treatment personalization, drug development as well as disease prevention and mitigation. Changes in the GM have been observed in individuals with MS; analysis of the GM composition may help to identify individuals at risk of developing the disease or to monitor disease progression. Dietary interventions aimed at improving gut health could be used as a complementary approach to traditional MS treatments in order to reduce inflammation thereby potentially improving MS symptoms and lessening disease progression. Differences in the GM between individuals with MS suggest that personalized treatment approaches based on an individual's microbiome composition could be effective. Manipulating the GM could therefore be a potential avenue for drug development in MS. In addition, the exploration of bacteria or bacterial metabolites as therapeutic agents to modulate the immune system and reduce inflammation is also promising. Such explorations may even help identify strategies for preventing the development of MS in at-risk individuals. Overall, practical applications of gut microbiome research in MS are still in the early stages and further research is needed to fully understand the mechanisms underlying the relationship between the gut microbiome and MS and to determine the most effective interventions for improving gut health in individuals with the disease.
对多发性硬化症(MS)肠道微生物群(GM)的研究有可能在MS的预防、诊断、评估和治疗改进方面带来许多实际应用。四个最有前途的领域包括生物标志物、治疗个性化、药物开发以及疾病预防和缓解。在多发性硬化症患者中观察到GM的变化;对转基因组合物的分析可能有助于确定有患病风险的个体或监测疾病进展。旨在改善肠道健康的饮食干预可以作为传统多发性硬化症治疗的补充方法,以减少炎症,从而潜在地改善多发性硬化症症状并减缓疾病进展。多发性硬化症患者之间GM的差异表明,基于个体微生物组组成的个性化治疗方法可能是有效的。因此,操纵转基因可能是ms药物开发的潜在途径。此外,探索细菌或细菌代谢物作为治疗药物来调节免疫系统和减少炎症也很有希望。这样的探索甚至可以帮助确定在高危人群中预防多发性硬化症发展的策略。总体而言,肠道微生物组研究在多发性硬化症中的实际应用仍处于早期阶段,需要进一步研究以充分了解肠道微生物组与多发性硬化症之间关系的潜在机制,并确定改善患者肠道健康的最有效干预措施。
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引用次数: 0
Individual strategies for mitigating health risk under high epidemiological hazard (review of foreign studies) 在高流行病学危害下减轻健康风险的个别战略(审查国外研究)
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.18.eng
S.А. Sudin
The COVID-19 pandemic created elevated risks for life and health of overwhelming majority of people all over the world. The situation called for global restructuring of activities performed by social institutions as well as for adaptation of people’s routine behaviors to this new reality. Common people faced a serious challenge of selecting an optimal self-preservation model that would allow achieving the maximum possible mitigation of health risks. This review covers empirical foreign studies with their focus on people’s health-related behavior during the COVID-19 pandemic with its aim being to identify different types of individual strategies for health risk mitigation. During the pandemic, protective behavior was influenced by social, cultural, sociodemographic, and individual and personality-related factors. Effects of micro-factors (age or education) could be different depending on a country. High healthcare literacy was a factor of selecting a protective behavior model regardless of any other characteristics. We can spot out three basic strategies for mitigating health risks under high epidemiological hazard: 1) a maximum protection strategy involving adherence to most medical recommendations on prevention of the coronavirus infection; 2) a dominating protection strategy that involves adherence to some basic recommendations (face mask wearing, frequent hand washing, and self-isolation); 3) a mixed strategy that includes periodical adherence to some recommendation on prevention of the infection, on the one hand, and some risky behaviors, on the other hand. Behavior strategies aimed at mental health protection are various and include, for example, those that are oriented at social networks as much as only possible (a strategy involving search for emotional support or an attempt to keep social contacts), as well as isolation strategies and deviant strategies. Some studies covered in the review suggest ways to consider peculiarities of individual and family behavior during the pandemics when solving tasks related to risks of infections spread in future.
2019冠状病毒病大流行给全世界绝大多数人的生命和健康带来了更高的风险。这种情况要求在全球范围内调整社会机构的活动,并使人们的日常行为适应这种新的现实。普通人面临着一个严峻的挑战,即选择一种最佳的自我保护模式,以最大限度地减轻健康风险。本文综述了国外的实证研究,重点关注COVID-19大流行期间人们的健康相关行为,目的是确定不同类型的个体健康风险缓解策略。在大流行期间,保护行为受到社会、文化、社会人口学以及个人和个性相关因素的影响。微观因素(年龄或教育)的影响可能因国家而异。无论其他特征如何,高保健素养是选择保护性行为模式的一个因素。我们可以找出在高流行病学危害下减轻健康风险的三个基本策略:1)最大限度地保护策略,包括遵守预防冠状病毒感染的大多数医疗建议;2)主要的保护策略,包括遵守一些基本建议(戴口罩、勤洗手和自我隔离);3)一种混合策略,一方面定期遵守一些预防感染的建议,另一方面采取一些危险行为。旨在保护精神健康的行为策略多种多样,例如,包括尽可能以社会网络为导向的策略(一种涉及寻求情感支持或试图保持社会联系的策略),以及孤立策略和越轨策略。综述中涉及的一些研究建议,在解决与未来感染传播风险相关的任务时,应考虑大流行期间个人和家庭行为的特殊性。
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引用次数: 0
The threshold of toxicological concern for insufficiently explored chemicals occurring in drinking water during transportation 对运输过程中饮用水中出现的未充分探索的化学物质的毒理学关注阈值
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.06.eng
A.V. Alekseeva, O.N. Savostikova
Finding solutions to issues of drinking water safety is a significant component in activities aimed at public health protection. In accordance with sanitary-epidemiological requirements, drinking water, in particular, should be harmless as regards its chemical composition and have favorable organoleptic properties. It is especially vital to identify risk factors for public health associated with drinking water quality. Supplying high-quality drinking water to population is a relevant problem associated, among other things, with use of new materials and reagents. The major challenge posed by their hygienic assessment is a potential growth in human health risks caused by consuming tap drinking water contaminated with migrating organic compounds. Although each of them has been detected in low concentrations, they can cause adverse chronic health outcomes. The Threshold of Toxicological Concern (TTC) is a powerful tool of risk assessment. It is based on identifying a threshold value of effects produced on human health by chemicals for which no hygienic standards have been developed so far. Below such a threshold, there is very low (95 %) likelihood of a health risk being higher than its acceptable levels. An idea of some exposure levels unable to cause adverse health outcomes is embedded in establishing maximum permissible levels (MPLs) for chemicals with known toxicological profiles. The TTC enlarges this concept by assuming that the minimum value can be identified for many chemicals based on their composition even if there is no comprehensive database on their toxicity. The TTC can be used for evaluating up-to-date materials applied in drinking water supply in order to detect risks for human health caused by consumption of drinking water that had contacts with them. Such risk assessment relies on the results of examining water extracts and involves identifying priority chemicals for their further investigation and control.
寻找饮用水安全问题的解决办法是旨在保护公众健康的活动的一个重要组成部分。根据卫生流行病学的要求,特别是饮用水,其化学成分应无害,并具有良好的感官特性。特别重要的是确定与饮用水质量有关的公共健康风险因素。向人口提供高质量饮用水是一个相关问题,除其他外,与使用新材料和试剂有关。卫生评估提出的主要挑战是,饮用被迁移性有机化合物污染的自来水可能增加人类健康风险。虽然每一种都已被检测到低浓度,但它们可能导致不良的慢性健康后果。毒理学关注阈值(TTC)是一种强有力的风险评估工具。它的基础是确定迄今尚未制定卫生标准的化学品对人类健康产生影响的阈值。低于这一阈值,健康风险高于可接受水平的可能性非常低(95%)。在确定具有已知毒理学特征的化学品的最大允许水平时,包含了一些不能造成不良健康后果的接触水平的概念。TTC扩大了这一概念,假设即使没有关于其毒性的综合数据库,也可以根据其成分确定许多化学品的最小值。TTC可用于评价用于饮用水供应的最新材料,以便发现因饮用与这些材料有接触的饮用水而对人类健康造成的风险。这种风险评估依赖于检查水提取物的结果,并涉及确定进一步调查和控制的优先化学品。
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引用次数: 0
Assessment of neurophysiological parameters of the nervous system in non-ferrous foundry workers 有色金属铸造工人神经系统神经生理参数的评价
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.15.eng
E.V. Bakhtereva, E.L. Leiderman, E.G. Plotko, T.A. Riabkova
A comprehensive assessment of the health status includes the functional exploration of the central and peripheral nervous systems. Results of the neurophysiological examination allow elaboration of effective personified therapeutic and preventive programs for the core personnel of non-ferrous metal industry. Our objective was to study functional disorders of the central and peripheral nervous systems in smelter operators for further development of risk-based rehabilitation programs for workers engaged in production of non-ferrous metals. Two cohorts of male workers were examined. The case cohort included 60 smelter operators of a large metallurgical plant situated in the Sverdlovsk Region and the control cohort consisted of 50 unexposed employees. The cohorts were matched by age and years of work experience. The mean age of smelter operators was 37.8 ± 7.9 years and their mean length of current employment was 4.1 ± 4.6 years, while the total length of work under hazardous occupational conditions was 7.1 ± 6.0 years. The case cohort included 39 operators of refinery boilers (mean age: 35.6 ± 7.2 years, mean length of employment: 4.2 ± 4.7 years) and 21 operators of the ore thermal furnace (mean age: 41.9 ± 7.6 years, mean length of current employment: 3.9 ± 4.4 years). All subjects underwent a neurocognitive examination (higher brain function testing), electroneuromyography, the somatosensory evoked response test, and electroencephalography. The results of examining the higher brain function enabled us to form the neurocognitive profile of the workers. We revealed signs of mild cognitive impairment in 30 % and a decrease in the cognitive reserve in 35 % of the cases. The diagnosed peripheral nervous system disorders included distal sensory polyneuropathy of the upper and lower extremities, carpal and cubital tunnel syndromes, cervical and lumbar radiculopathy. The comprehensive neurophysiological examination helps detect early changes in the central and peripheral nervous systems. The findings should be taken into account when developing personal medical rehabilitation programs.
健康状况的综合评估包括中枢和周围神经系统的功能探索。神经生理检查的结果允许为有色金属工业核心人员制定有效的人格化治疗和预防方案。我们的目标是研究冶炼厂操作人员中枢和周围神经系统的功能障碍,为从事有色金属生产的工人进一步制定基于风险的康复计划。对两组男性工人进行了调查。病例队列包括位于斯维尔德洛夫斯克地区的一家大型冶金厂的60名冶炼厂操作员,对照队列包括50名未受辐射的雇员。这些队列按年龄和工作经验进行匹配。冶炼厂操作人员平均年龄为37.8±7.9岁,平均在职时间为4.1±4.6年,危险职业条件下的总工作时间为7.1±6.0年。病例队列包括39名炼油厂锅炉操作员(平均年龄:35.6±7.2岁,平均就业年限:4.2±4.7年)和21名矿石热风炉操作员(平均年龄:41.9±7.6岁,平均就业年限:3.9±4.4年)。所有受试者都接受了神经认知检查(高级脑功能测试)、神经肌电图、体感诱发反应测试和脑电图。检查高级脑功能的结果使我们能够形成工人的神经认知概况。我们发现30%的病例有轻度认知障碍的迹象,35%的病例有认知储备下降的迹象。诊断的周围神经系统疾病包括上肢和下肢远端感觉多神经病变,腕和肘管综合征,颈腰椎神经根病。全面的神经生理检查有助于发现中枢和周围神经系统的早期变化。在制定个人医疗康复计划时应考虑到这些发现。
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引用次数: 0
Age dynamics of cancer incidence intensity indicates existence of some frailty subgroups 癌症发生强度的年龄动态表明存在一些脆弱亚群
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.03.eng
V.F. Obesnyuk
The problem of managing population and occupational risks of cancer incidence or mortality presupposes knowledge on biological mechanisms of their formation. These mechanisms determine dynamics of mass processes recorded by statistics. However, there is still no clear understanding of the causal relationship between possible factors of cancer incidence and its real dynamics. The article analyzes a hypothesis about significant influence on dynamics of incidence rates between ‘health’ and ‘disease’ states exerted by an intermediate transitional and objectively existing ‘frailty’ state, which is characterized by accelerated withdrawal from observation compared with the intensity associated with the general variability of individual properties of a population. It has been statistically established that the dynamics of such common diseases as stomach cancer, lung cancer, breast cancer, prostate cancer, and thyroid cancer can be explained by the fact that almost all diagnosed cases are observed after an individual enters a vulnerable group long before the diagnosis itself. From this point of view, two fundamentally different biological mechanisms of occurrence of neoplasms should be distinguished: induction as a transition from the state of ‘health’ to the state of ‘frailty’, as well as promotion as a transition from ‘frailty’ to ‘disease’. Each of these transformations should be characterized in a population by their intensity and their dependence on endogenous or exogenous risk factors. It is shown that some known facts of paradoxical changes in radiosensitivity indicators can be satisfactorily interpreted within the concept of a frailty subgroup by using numerical modelling on the example of modifying the dynamics of thyroid cancer incidence under influence of ionizing radiation. The facts were established in 1994–2006 and have not yet received a proper explanation since the concept discussed by the authors of the studies has not been involved.
管理癌症发病率或死亡率的人口和职业风险的问题以了解其形成的生物学机制为前提。这些机制决定了统计学记录的大量过程的动力学。然而,对于癌症发病率的可能因素及其真实动态之间的因果关系,人们仍然没有明确的认识。本文分析了一个关于中间过渡状态和客观存在的“脆弱”状态对“健康”和“疾病”状态之间的发病率动态产生重大影响的假设,这种状态的特征是与种群个体属性的一般变异性相关的强度相比,从观察中加速退出。据统计,胃癌、肺癌、乳腺癌、前列腺癌、甲状腺癌等常见病的发病机制可以用以下事实来解释:几乎所有确诊病例都是在一个人进入弱势群体之后,在确诊之前很久才被观察到的。从这个角度来看,应该区分两种根本不同的肿瘤发生的生物学机制:诱导是从“健康”状态到“虚弱”状态的过渡,以及促进是从“虚弱”到“疾病”的过渡。每一种转变都应根据其强度及其对内源性或外源性危险因素的依赖程度来确定其在人群中的特征。结果表明,通过对电离辐射影响下修改甲状腺癌发病率动态的例子进行数值模拟,可以在脆弱亚群的概念内满意地解释辐射敏感性指标的矛盾变化的一些已知事实。这些事实是在1994-2006年确定的,由于研究作者所讨论的概念尚未涉及,因此尚未得到适当的解释。
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引用次数: 0
Analysis of carcinogenic risk and dynamics of population morbidity and mortality in the Irkutsk region due to malignant neoplasms 伊尔库茨克地区恶性肿瘤致癌性风险及人口发病率和死亡率动态分析
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.04.eng
I.G. Zhdanova-Zaplesvichko, N.V. Efimova, D.F. Savinykh, М.F. Savchenkov
Morbidity and mortality caused by malignant neoplasms (MNs) is a priority challenge for health care. We analyzed some rough and standardized levels (oncological morbidity and mortality) over 2009–2018 based on official statistics. We ranked the RF regions as per the standardized morbidity level and established that the Irkutsk region took the 1st rank place among 85 RF regions as per it; it took the 16th rank place as per the ‘rough’ level. Morbidity and mortality levels that were higher in the Irkutsk region than the national average were established for such localizations as trachea, bronchi and lung cancer; prostate cancer; cervical cancer. The mortality to morbidity ratios were on average equal to 0.45 in the Irkutsk region and 0.49 in the RF as a whole; we identified a certain decrease in them, by 19.3 % and 20.0 % accordingly. We provided evidence of unacceptable individual carcinogenic chemical risk for people in cities with developed chemical industry and non-ferrous metallurgy. High carcinogenic radiation risks were caused by natural radon levels in soils. We calculated some prognostic morbidity and mortality levels: in 2021, the standardized morbidity level would be between 270.9 and 329.8 cases per 100 thousand people; the ‘rough’ level, between 372.7 and 532.4. The ‘rough’ mortality level would be between 220 and 230 cases per 100 thousand people. We determined some priority tasks for future research aimed at identifying adverse effects produced by environmental factors and lifestyle-related factors as well as some tasks related to developing relevant targeted activities aimed at eliminating and mitigating cancer-inducing exposures.
恶性肿瘤(MNs)引起的发病率和死亡率是卫生保健的一个优先挑战。我们根据官方统计数据分析了2009-2018年的一些粗略和标准化水平(肿瘤发病率和死亡率)。我们根据标准化发病率水平对RF地区进行了排名,并确定伊尔库茨克地区在85个RF地区中排名第一;按照“粗略”水平,它排在第16位。伊尔库茨克地区的发病率和死亡率高于全国平均水平,例如气管、支气管和肺癌;前列腺癌;子宫颈癌。伊尔库茨克地区的死亡率与发病率之比平均为0.45,整个俄罗斯联邦为0.49;我们发现它们有一定的下降,分别下降了19.3%和20.0%。我们提供的证据表明,在化学工业和有色冶金发达的城市中,人们的个人致癌风险是不可接受的。土壤中的天然氡水平造成了高致癌辐射风险。我们计算了一些预后发病率和死亡率水平:2021年,标准化发病率水平将在每10万人270.9至329.8例之间;“粗略”水平介于372.7和532.4之间。“粗略”死亡率水平将在每10万人中220至230例之间。我们确定了未来研究的一些优先任务,旨在确定环境因素和生活方式相关因素产生的不利影响,以及一些与发展相关的目标活动有关的任务,旨在消除和减轻致癌暴露。
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引用次数: 0
Microplastics pollution in water is a threat for human health and the environment (literature review) 水中微塑料污染对人类健康和环境构成威胁(文献综述)
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.17.eng
O.O. Sinitsyna, G.B. Yeremin, V.V. Turbinskii, M.V. Pushkareva, M.A. Shiryaeva, O.L. Markova, D.S. Borisova
Microplastics pollution of water bodies and drinking water is a relevant problem caused by wide use of plastics in multiple industries, agriculture, manufacturing of household chemicals and medicines. Microplastics pose a threat for human health both due to physical effects and chemicals in their structure as well as microorganisms that can occur on their surface. Some foreign studies describe how microplastics are formed and how they can occur both in marine and fresh water. There are also studies confirming microplastics to be present in seas and rivers in the Russian Federation. Studies that address microplastics in tissues of water organisms are scarce. According to some foreign authors, micro-plastics can be absorbed by mollusks, starfish, actiniae, crabs, etc. Russian researchers provide evidence of considerable quantities of microplastics found in the digestive spruce fish caught in the Tom River. Several foreign studies have established effects produced by microplastics on reproduction, eating behavior as well as declining survivability in crustaceans and fish. Fish products are a well-known significant source of microplastics in human diets. Microplastics bioaccumulation in aquatic biota is considered a potential health threat for organisms at higher trophic levels, including humans at the top of the food chain. Unified water sampling techniques are absent; studies that address effects of microplastics on the human body are scarce; there is no available methodology for hygienic standardization of microplastics in water. All this makes it necessary to have some research aimed at identifying sources and causes of microplastics pollution in water bodies including sources of drinking water supply, to assess public health risks, and to provide safe conditions for water use.
微塑料污染水体和饮用水是塑料在多个工业、农业、家用化学品制造和药品生产中广泛使用所引起的相关问题。微塑料由于其结构中的物理效应和化学物质以及其表面可能出现的微生物而对人类健康构成威胁。国外一些研究描述了微塑料是如何形成的,以及它们是如何在海洋和淡水中出现的。也有研究证实,俄罗斯联邦的海洋和河流中存在微塑料。针对水生物组织中微塑料的研究很少。根据国外一些作者的研究,微塑料可以被软体动物、海星、活动动物、螃蟹等吸收。俄罗斯研究人员提供的证据表明,在汤姆河捕获的消化云杉鱼中发现了大量的微塑料。国外的一些研究已经确定了微塑料对甲壳类动物和鱼类的繁殖、饮食行为以及生存能力下降的影响。众所周知,鱼类产品是人类饮食中微塑料的重要来源。微塑料在水生生物群中的生物积累被认为是对高营养水平生物(包括食物链顶端的人类)的潜在健康威胁。缺乏统一的水采样技术;关于微塑料对人体影响的研究很少;目前还没有可用于水中微塑料卫生标准化的方法。所有这些都使得有必要进行一些研究,以查明水体中微塑料污染的来源和原因,包括饮用水供应来源,评估公众健康风险,并为用水提供安全条件。
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引用次数: 0
Developing model of risk-based sanitary-epidemiological control (surveillance) over food products in consumer market 建立基于风险的食品卫生流行病学控制(监测)模式
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.01.eng
N.V. Zaitseva, I.V. May, N.V. Nikiforova, D.А. Kiryanov
The relevance of this study arises from products being fixed as an independent object for state sanitary-epidemiological control in law. The contemporary stage of the public regulation involves the following: administrative pressure on economic entities ought to be easer but the best possible protection of citizens’ life and health should be provided. In this study, our aim was to test approaches to developing the risk-based model for control of food products on the consumer market in the country. The study relied on using the fundamental methodical approaches to the risk-based control model used by the Sanitary Service of Russia. A potential health risk was determined as a combination of likely violations of legal requirements to a certain product, severity of health outcomes due to such violations, and coefficients that described a scale of undesirable consequences. Food products were assigned into one of the following categories as per health risks: objects of extremely high risk, high risk, considerable risk, moderate risk, medium risk, or low risk. We suggest a fundamental scheme describing how to organize risk-based control of food products as an independent control object. It includes several basic elements, namely, creating a register of consumer food products; identifying priority groups of food products as per risk criteria at the federal level; identifying regional priorities. We provide substantiation for advisability of profound risk assessment performed for food products in each group considering specific frequency of sanitary violations, scales in which a certain food product in consumed in different regions, and priority consumer demands. Our suggestion is to integrate risk profiles of products and risk-based laboratory support for control into the general model. We’d like to highlight the relevance of creating a unified database to keep the results of all the control and surveillance activities including data obtained by laboratory tests of products bound to manufacturers, distributors, and sellers. It is also quite relevant to include algorithms and mathematical methods of science-intensive analysis of the data sets into software modules of the Rospotrebnadzor’s Unified Information System.
本研究的相关性源于产品在法律上被固定为国家卫生流行病学控制的独立对象。当代阶段的公共管制涉及以下方面:对经济实体的行政压力应该减轻,但应尽可能保护公民的生命和健康。在这项研究中,我们的目的是测试开发基于风险的模型的方法,以控制该国消费市场上的食品。这项研究依赖于使用俄罗斯卫生服务局使用的基于风险的控制模型的基本方法。潜在的健康风险被确定为下列因素的组合:可能违反某一产品的法律要求、这种违反行为造成的健康后果的严重程度以及描述不良后果规模的系数。根据健康风险,将食品分为以下几类:极高风险、高风险、相当风险、中等风险、中等风险或低风险。我们提出了一个基本方案,描述如何组织基于风险的食品控制作为一个独立的控制对象。它包括几个基本要素,即建立消费者食品登记册;根据联邦一级的风险标准确定食品的优先类别;确定区域优先事项。考虑到卫生违规的特定频率、不同地区消费某种食品的规模以及消费者的优先需求,我们为对每个群体的食品进行深入风险评估的可行性提供了证据。我们的建议是将产品的风险概况和基于风险的实验室控制支持整合到一般模型中。我们想强调建立一个统一数据库的重要性,以保存所有控制和监督活动的结果,包括与制造商、分销商和销售商绑定的产品的实验室测试获得的数据。将数据集的科学密集分析的算法和数学方法纳入Rospotrebnadzor统一信息系统的软件模块也是非常相关的。
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引用次数: 0
Analysis of reference doses of chemicals introduced with drinking water 随饮用水引入的化学品参考剂量分析
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.21668/health.risk/2023.3.05.eng
V.D. Bogdanova, М.V. Alenitсkaya, О.B. Sakharova
At present, many researchers highlight that the risk assessment methodology is rather static in Russian regulatory documents. This goes for both the essence of chemical exposures and reference doses stipulated for chemicals introduced into the body with drinking water. In this study, we aimed to analyze reference doses of chemicals introduced into the body with drinking water. Our research object was represented by the basic list of indicators that describe drinking water safety as per its chemical structure. Comparative analysis of reference doses of chemicals and their evidence base relied on the valid regulatory documents, Information System for Risk Assessment open-access electronic database on effects of environmental chemicals on health, and background research articles. The results obtained by assessing combined effects of chemicals on human health were generalized and visualized in MS Excel and a tool for working with graphs. The overall time period when reference doses of the analyzed chemicals were last revised was between 1987 and 2012. Not all health effects suggested in the Russian Guide on risk assessment are used as a basis for calculating reference doses of chemicals; hence, not all of them can be agreed upon on the international level at present since they do not rely on background research. Changes in reference doses occurred for chlorinated organic compounds (bromdichloromethane, tetrachloroethylene, tetrachloromethane, and trichloroethylene), lithium, cadmium, cobalt, iron, and copper. We identified certain limitations in establishing an oral reference dose of iron and ammonia, which are conventionally considered from organoleptic perception. Due to various reasons, we did not find any adequate data obtained by toxicological studies that would substantiate reference doses for copper, magnesium, ammonia, lead, silicon, bromine, and chromium under oral introduction with drinking water. We recommend considering our research data on reference doses when planning a study with its focus on impacts exerted by drinking water quality on public health and employing the risk assessment methodology to analyze oral chemical exposure.
目前,许多研究者强调,在俄罗斯的监管文件中,风险评估方法是相当静态的。这既适用于接触化学物质的本质,也适用于通过饮用水进入人体的化学物质规定的参考剂量。在这项研究中,我们旨在分析通过饮用水引入人体的化学物质的参考剂量。我们的研究对象用描述饮用水安全的化学结构指标的基本列表来表示。化学品参考剂量的比较分析及其证据基础依赖于有效的监管文件、风险评估信息系统对环境化学品对健康影响的开放电子数据库和背景研究文章。通过评估化学品对人体健康的综合影响所获得的结果在MS Excel和图形处理工具中进行了概括和可视化。最后一次修订所分析化学品参考剂量的总时间是在1987年至2012年之间。并非《俄罗斯风险评估指南》所建议的所有健康影响都被用作计算化学品参考剂量的基础;因此,由于它们不依赖于背景研究,因此目前在国际层面上并不是所有这些都能达成一致意见。氯化有机化合物(溴二氯甲烷、四氯乙烯、四氯甲烷和三氯乙烯)、锂、镉、钴、铁和铜的参考剂量发生了变化。我们确定了建立铁和氨的口服参考剂量的某些局限性,这通常是从感官知觉考虑的。由于各种原因,我们没有找到任何充分的毒理学研究数据来证实饮用水口服引入铜、镁、氨、铅、硅、溴和铬的参考剂量。我们建议在规划一项以饮用水质量对公众健康的影响为重点的研究时考虑我们关于参考剂量的研究数据,并采用风险评估方法分析口服化学品暴露。
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引用次数: 0
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Health Risk Analysis
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