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Microbial risks associated with microplastics in the food chain and possible control measures (literature review). Part 1. Dietary intake and influence on the gut microbiota 与食物链中微塑料有关的微生物风险和可能的控制措施(文献综述)。第 1 部分。膳食摄入量及其对肠道微生物群的影响
Pub Date : 2023-12-28 DOI: 10.47470/0016-9900-2023-102-12-1334-1347
Svetlana A. Sheveleva, Yulia M. Markova, N. R. Efimochkina, L. P. Minaeva, Irina B. Bykova, E. E. Zinurova, Yu.V. Smotrina, A. Polyanina, Valentina V. Stetsenko, Sergey A. Khotimchenko
Environmental contamination by polymer wastes and microplastics (MPs) has recently become important for health care, due to the emergence of a lot of evidence that MPs affect the health of living organisms, including humans. MPs commonly presented in drinking water and various groups of food products, and are found in human stool, colon tissue, and blood samples. When MPs are orally ingested, the first object for their interaction with the organism is the gastrointestinal microbiota. Considering the essential importance of the intestinal microbiota for human health, the study of the negative consequences of such contact becomes very important. The results of “in vitro” and “in vivo” experimental studies summarized in the review indicate MPs to have negative effects on the microbial community composition and of the intestinal barrier state, and are themselves subject to microbial degradation in the gastrointestinal tract. “In vivo” studies, the entry of MPs into the intestine is accompanied by an increase in α-diversity of the microbiota, presumably due to foreign microorganisms attached to the particles, including those in as part of biofilms formed on their surfaces. Competing with representatives of normal intestinal flora, these microorganisms are able to enzymatically degrade or overcome the mucosal barrier. Simultaneously the biofilm matrix associate with intestinal mucus and provides MPs particles with retention in the mucin layer and direct contact with the apical part of epitheliocytes. This leads to irritation, local inflammation, and damage to the intestinal barrier. MPs and their biotransformation products can also systemically affect the host organism, translocating from the intestine into the bloodstream. The review emphasizes that to identify and characterize the health risks associated with the intake of various MPs from food, studies assessing their interaction with the microbiota and biotransformation pathways in the intestine are necessary.
聚合物废物和微塑料(MPs)造成的环境污染最近已成为医疗保健的重要问题,因为有大量证据表明,MPs 会影响生物体(包括人类)的健康。 MPs通常存在于饮用水和各类食品中,并在人体粪便、结肠组织和血液样本中被发现。当口服 MPs 时,它们与生物体相互作用的第一个对象是胃肠道微生物群。考虑到肠道微生物群对人体健康的重要性,对这种接触的负面影响进行研究就变得非常重要。 综述中总结的 "体外 "和 "体内 "实验研究结果表明,MPs 对微生物群落组成和肠道屏障状态有负面影响,其本身也会在胃肠道内被微生物降解。在 "体内 "研究中,多孔质微粒进入肠道后,微生物群的α-多样性会增加,这可能是由于微粒上附着了外来微生物,包括在微粒表面形成的生物膜中的微生物。 在与正常肠道菌群的代表竞争时,这些微生物能够通过酶降解或克服粘膜屏障。同时,生物膜基质与肠道粘液结合,使 MPs 颗粒滞留在粘蛋白层中,并与上皮细胞顶端直接接触。这将导致刺激、局部炎症和肠道屏障受损。 MPs 及其生物转化产物也会对宿主机体产生系统性影响,从肠道转移到血液中。 综述强调,要确定和描述从食物中摄入各种多孔质物质对健康造成的风险,就必须开展研究,评估这些物质与肠道微生物群和生物转化途径之间的相互作用。
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引用次数: 0
Morbidity with temporal disability in workers engaged in refined copper production 从事精炼铜生产的工人的颞部残疾发病率
Pub Date : 2023-12-28 DOI: 10.47470/0016-9900-2023-102-12-1321-1326
G. Lipatov, V. I. Adrianovsky, Yu. N. Naritsyna, Alexey A. Samylkin, N. Zlygosteva, O. Gogoleva, S. R. Guselnikov
Introduction. High ductility, electrical and thermal conductivity, and resistance to corrosion determine a high demand of the national economy for refined copper, thus necessitating a comprehensive study of the occupational environment and health status in workers employed in this branch of non-ferrous metallurgy. The purpose of our study was to assess the morbidity with temporal disability in workers engaged in the fire and electrolytic refining of copper. Materials and methods. Morbidity with temporal disability in both male and female workers was studied by means of its detailed personal record at one of the large copper refineries of the Middle Urals. Results. Among those engaged in copper smelting, the highest morbidity with temporal disability rates per one hundred workers were registered among repairers and auxiliary personnel (95.3 sick leave episodes and 1,147.8 days) in men and among overhead crane operators (52.8 episodes and 657.6 days) in women. In the copper electrolysis shop, the highest rates were noted among both men (86.7 episodes and 954.0 days) and women (77.8 episodes and 841.2 days) constituting the core personnel. We established that in the study cohort lung diseases ranked first among the causes of the morbidity with temporal disability followed by musculoskeletal diseases. Limitations. Such a study is feasible only at the enterprises that record and measure morbidity with temporal disability due to work. Conclusions. Our findings may indicate work-relation of morbidity with temporal disability in male repairers and auxiliary personnel, as well as female crane operators engaged in fire refining of copper and in both male and female core personnel engaged in electrolytic refining.
导言。高延展性、导电性、导热性和抗腐蚀性决定了国民经济对精炼铜的高需求,因此有必要对有色金属冶金行业工人的职业环境和健康状况进行全面研究。 我们的研究旨在评估从事火法和电解法精炼铜的工人的发病率和暂时性残疾情况。 材料和方法通过对乌拉尔中部一家大型炼铜厂的详细个人记录,对男女工人的颞部残疾发病率进行了研究。 研究结果在从事铜冶炼的工人中,每百名工人中病残率最高的是修理工和辅助人员(95.3 次病假和 1,147.8 天),以及天车操作员(52.8 次病假和 657.6 天)。在电解铜车间,核心人员中男性(86.7 次和 954.0 天)和女性(77.8 次和 841.2 天)的病假率最高。我们发现,在研究队列中,肺部疾病是造成暂时性残疾的首要病因,其次是肌肉骨骼疾病。 局限性。只有记录和测量因工致残发病率的企业才能进行此类研究。 结论。我们的研究结果可能表明,从事铜火法精炼的男性修理工和辅助人员以及女性起重机操作员以及从事电解精炼的男性和女性核心人员的颞部残疾发病率与工作有关。
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引用次数: 0
Polycyclic aromatic hydrocarbons and petroleum products in soil samples of urban areas in Eastern Siberia 东西伯利亚城市地区土壤样本中的多环芳烃和石油产品
Pub Date : 2023-12-28 DOI: 10.47470/0016-9900-2023-102-12-1281-1285
O. Zhurba, A. Merinov, S. Shayakhmetov, A. Alekseenko
Introduction. In industrial cities, the problem of environmental pollution by supertoxicants, which include the class of polycyclic aromatic hydrocarbons (PAHs), is especially acute. Since among PAHs there are substances that have a carcinogenic effect, their quantitative identification in environmental objects is an urgent task. Materials and methods. The content of PAHs and petroleum products (PP) in the soil of an industrial city, taken in various functional zones, was studied. Determination of sixteen PAHs was carried out by gas chromatography-mass spectrometry (GC-MS) with optimized sample preparation. It is proposed to determine PAHs by GC-MS using dispersive liquid-liquid microextraction (DLLME). Petroleum products (PP) were determined by the fluorimetric method. Results. Total PAHs content (ΣPAH) varied from 7.50 to 319.11 µg/kg. ΣPAH-carcinogens in the residential and sanitary protection zones was on average 25.1–31.2 times higher than in the background site. PP content levels in urban soils ranged from 3.0 to 62.4 mg/kg. Limitations. The study is limited to the study of the upper layers of soil up to 5 cm. The possibility of PAH migration into groundwater has not been studied. Conclusion. The structure of PAHs was dominated by 4-6-nuclear structures: dibenz(a,h)anthracene, benzo(g,h,i)perylene, fluoranthene, benzo(b)fluoranthene, etc., making up > 87% of the total amount of PAHs. The proportion of these polyarenes in the total ΣPAH in the residential area increases by 1.3 times compared to the background, which indicates the possibility of their technogenic origin. The PAH and PP indicators are characterized by a scatter of data and, as a result, a large influence of the local factor on the formation of soil cover pollution.
导言。在工业城市中,包括多环芳烃(PAHs)在内的超有毒物质造成的环境污染问题尤为严重。由于多环芳烃中有些物质具有致癌作用,因此在环境物体中对其进行定量鉴定是一项紧迫的任务。 材料和方法。研究了某工业城市不同功能区土壤中多环芳烃和石油产品 (PP) 的含量。在优化样品制备的基础上,采用气相色谱-质谱法(GC-MS)测定了 16 种多环芳烃。建议使用分散液-液微萃取法(DLLME)通过气相色谱-质谱法测定多环芳烃。石油产品 (PP) 采用荧光法进行测定。 结果显示多环芳烃总含量(ΣPAH)从 7.50 微克/千克到 319.11 微克/千克不等。居民区和卫生防护区的ΣPAH-致癌物含量平均是背景区的 25.1-31.2 倍。城市土壤中的 PP 含量从 3.0 毫克/千克到 62.4 毫克/千克不等。 局限性。该研究仅限于对 5 厘米以下的上层土壤进行研究。没有研究多环芳烃迁移到地下水的可能性。 结论。多环芳烃的结构以 4-6 核结构为主:二苯并(a,h)蒽、苯并(g,h,i)苝、氟蒽、苯并(b)荧蒽等,占多环芳烃总量的 87%以上。这些多烯烃在居民区Σ PAH 总量中所占比例比背景值增加了 1.3 倍,这表明它们可能来源于技术。多环芳烃和多聚烯烃指标的特点是数据分散,因此,当地因素对土壤覆盖层污染的形成有很大影响。
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引用次数: 0
Assessment of working conditions and features of respiratory disorders in modern refractory manufacturing 现代耐火材料制造业的工作条件和呼吸系统疾病特征评估
Pub Date : 2023-12-28 DOI: 10.47470/0016-9900-2023-102-12-1315-1320
O. G. Drugova, Elena P. Kashanskaya, O. Gogoleva, G. Lipatov, A. Fedoruk
Introduction. Broad prospects for development of refractory manufacturing in Russia necessitate studies of the work environment, especially of the indoor air quality, and respiratory health effects of adverse occupational factors. The purpose of our study was to conduct a general hygienic assessment of working conditions of the core personnel engaged in contemporary refractory manufacturing for more than 10 years and establish their respiratory functional status. Materials and methods. We assessed working conditions of press operators of a Ural refractory manufacturing plant in compliance with Russian Guidelines R 2.2.2006–05. The respiratory functional status was established by the results of clinical instrumental testing of refractory production workers who were examined and/or treated at the occupational health clinic of the Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers in 2015–2021. Results. We gave a general assessment of working conditions of press operators engaged in the production of spinel periclase-carbon and fireclay-dinas molded refractories in the first refractory workshop, aluminosilicate refractories at the molding site, and corundum-graphite products in the second refractory workshop. We analyzed the results of instrumental testing and established characteristics of clinical disorders of the respiratory system. Limitations. The study has regional (Sverdlovsk Region) and occupational (workers of a refractory manufacturing plant) limitations. Conclusion. Occupational risk factors for refractory production workers include silica-containing aerosols, which levels exceed maximum allowable concentrations (Class 3.1), aerosols of disintegration of aluminum oxides (in refractory workshop No. 2), iron in concentrations below MACs (Class 2), higher concentrations of volatile products of phenol formaldehyde resins (Class 3.1 in terms of phenol and up to 3.4 in terms of formaldehyde), increased noise levels for all jobs (Class 3.2), and heavy physical labour (Classes 3.1–3.3). Features of clinical respiratory disorders in the core personnel (press operators) were scarcity of complaints and physical data, absence of pronounced coniotic (respirable dust-related) X-ray findings and inflammatory (septic and allergic) blood changes. Moderate obstructive airway disorders were observed in 30 % of the examined cases.
导言。俄罗斯耐火材料制造业发展前景广阔,因此有必要对工作环境,特别是室内空气质量,以及不良职业因素对呼吸系统健康的影响进行研究。 我们的研究目的是对从事当代耐火材料生产超过 10 年的核心人员的工作条件进行总体卫生评估,并确定他们的呼吸功能状况。 材料和方法。我们根据俄罗斯准则 R 2.2.2006-05,对乌拉尔耐火材料制造厂压力机操作员的工作条件进行了评估。呼吸功能状况是根据 2015-2021 年在叶卡捷琳堡市工业工人预防和健康保护医学研究中心职业健康诊所接受检查和/或治疗的耐火材料生产工人的临床仪器检测结果确定的。 结果。我们对在第一耐火材料车间从事尖晶石-珍珠岩-碳和火泥-白腊石模压耐火材料生产、在模压现场从事硅酸铝耐火材料生产以及在第二耐火材料车间从事刚玉-石墨制品生产的压机操作员的工作条件进行了总体评估。 我们分析了仪器检测的结果,并确定了呼吸系统临床疾病的特征。 局限性。研究存在地区(斯维尔德洛夫斯克地区)和职业(耐火材料制造厂工人)限制。 结论耐火材料生产工人的职业风险因素包括含量超过最高允许浓度(3.1 级)的含二氧化硅气溶胶、氧化铝分解气溶胶(耐火材料车间 No.2)、浓度低于 MACs 的铁(2 级)、苯酚甲醛树脂挥发物浓度较高(苯酚浓度为 3.1 级,甲醛浓度高达 3.4 级)、所有工作的噪音水平均有所提高(3.2 级)以及重体力劳动(3.1-3.3 级)。核心人员(印刷机操作员)临床呼吸系统疾病的特点是缺乏投诉和身体数据,没有明显的锥体(与可吸入粉尘有关)X 光检查结果和炎症性(化脓性和过敏性)血液变化。30% 的受检病例出现中度气道阻塞性疾病。
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引用次数: 0
Pathogenic potential of enterococcus isolated from healthy people and wastewater 从健康人和废水中分离的肠球菌的致病潜力
Pub Date : 2023-12-28 DOI: 10.47470/0016-9900-2023-102-12-1272-1280
G. Pay, Daria V. Rakitina, Marina A. Pankova, Zlata E. Fedets, T. R. Maniya, A. V. Zagaynova
Introduction. Efficiency of wastewater treatment plants is a key for protection of common health. At the same time, all criteria for its evaluation are concerned about the overall biomass reduction rather than on pathogens that, in low amount, can still be present in the efflux. Purpose of the study. Therefore it seems important to evaluate the effect of purification procedures on the pathogenic potential of bacteria. In the current study, it is performed using Enterococcus isolates, since pathogenic strains present considerable threat for human health, causing endocarditis, infections of urogenic tract, nosocomial infections, etc. Materials and methods. PCR was used to evaluate the presence of potentially pathogenic genes in the extracted DNA. Seven genes were tested: genes of adhesion proteins (Esp, Asa1), proteins with lytic activity (cytolysine CylA, hyaluronidase hyl and gelatinase gelE), and antibiotic resistance factors (vanA, vanB). Three hundred sixty six isolates from wastewater plants of Moscow agglomeration and 168 from feces of healthy people were screened. Results. Percentage of pathogenic isolates varied in different wastewater treatment plants (from 36 to 55%), with no relation with the volumes of treated sewage and the purification scheme of the plant. Similar species were recovered from wastewater plants and feces, with E. faecium (36% and 53%, correspondingly) and E. faecalis (28% and 38%) as most abundant. E. hirae was presented in different numbers (24% и 1.2%) as well as E. casseliflavus (3% and 0,6%). E. durans, E. thailandicus, E. avium, E. mundtii were found from 2.5 to 1%, in similar amounts from both sources. Minor species E. raffinosus, E. moraviensis, E. malodatus presented with single isolates in wastewater plants, and E. canintеstini – in feces. The E. faecalis was the leader in percentage of pathogenic potential (75–80%). The most abundant pathogenic gene was gelE (30–33% from both sources) and asa1 (18–19%). CylA was found at similar levels (4,4–4,8%). Esp was found in 9% of wastewater plants isolates and in 14% from feces. Hyl was specific to isolates from wastewater plants (2,5%), and was present in all non-monor species (E. faecium, E. faecalis, E. hirae, E. durans, E. thailandicus) and at different stages of water treatment. Vancomycin resistance genes were not detected. Limitations. When studying the pathogenic potential of enterococcal isolates from wastewater treatment plants in the city of Moscow and the Moscow region and the feces of practically healthy people, two samples were compared, consisting of 366 and 168 isolates, respectively, which represents a sufficient reference sample. The sample was limited by geography, so the conclusions can be applied to wastewater treatment plants in the city of Moscow and the Moscow region, where similar treatment schemes were used. Conclusions. The data from this study suggests the pathogenic potential of bacteria from wastewater treatment plants to be a littl
引言污水处理厂的效率是保护公众健康的关键。与此同时,对其进行评估的所有标准都关注整体生物量的减少,而不是污水中仍可能存在的少量病原体。 研究目的因此,评估纯化程序对细菌致病性的影响似乎很重要。本研究使用肠球菌分离物进行评估,因为致病菌株对人类健康构成相当大的威胁,可引起心内膜炎、泌尿道感染、医院感染等。 材料和方法。采用聚合酶链式反应(PCR)评估提取的 DNA 中是否存在潜在的致病基因。检测了七个基因:粘附蛋白基因(Esp、Asa1)、具有溶菌活性的蛋白(细胞溶解酶 CylA、透明质酸酶 hyl 和明胶酶 gelE)以及抗生素耐药因子(vanA、vanB)。对来自莫斯科城市群污水处理厂的 366 个分离株和来自健康人粪便的 168 个分离株进行了筛选。 结果显示在不同的污水处理厂中,病原体分离物的比例各不相同(从 36% 到 55%),与污水处理量和污水处理厂的净化方案无关。从污水处理厂和粪便中分离出的病原体种类相似,其中以粪大肠杆菌(36% 和 53%)和屎大肠杆菌(28% 和 38%)最多。E.hirae(24% 和 1.2%)以及 E. casseliflavus(3% 和 0.6%)的数量各不相同。 E.durans、E.thailandicus、E.avium、E.mundtii的含量从2.5%到1%不等,两种来源的含量相似。次要物种 E. raffinosus、E. moraviensis、E. malodatus 在废水处理厂中有单个分离物,E. canintеstini - 在粪便中。粪肠埃希氏菌的致病率最高(75-80%)。最丰富的致病基因是 gelE(两种来源均为 30-33%)和 asa1(18-19%)。CylA 的含量与之相近(4.4%-4.8%)。在 9% 的污水厂分离物和 14% 的粪便分离物中发现了 Esp。Hyl 是污水厂分离物的特异性基因(2.5%),存在于所有非特异性物种(E. faecium、E. faecalis、E. hirae、E. durans、E. thailandicus)和水处理的不同阶段。未检测到万古霉素抗性基因。 局限性。在研究莫斯科市和莫斯科地区污水处理厂中分离出的肠球菌与健康人粪便中分离出的肠球菌的致病性时,比较了两个样本,分别包含 366 个和 168 个分离物,这代表了足够的参考样本。样本受地域限制,因此结论可适用于莫斯科市和莫斯科州采用类似处理方案的污水处理厂。 结论这项研究的数据表明,污水处理厂细菌的致病性比从健康人粪便中分离出来的细菌要高一些。活性污泥可能是病原体的储藏库,会对环境造成污染。
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引用次数: 0
CYP1A1 (RS4646421) gene polymorphism and peculiarities of immune profile in children under aerogenic exposure to benzo(a)pyrene CYP1A1(RS4646421)基因多态性与接触苯并(a)芘的儿童的免疫特征
Pub Date : 2023-12-08 DOI: 10.47470/0016-9900-2023-102-11-1204-1209
N. Nikonoshina, O. Dolgikh
Introduction. The benzo(a)pyrene exposure forms the special phenotype of the immune profile in children. The study of immune system features associated with the polymorphism of detoxification genes is relevant in the conditions of health risks linked with environmental pollution. Materials and methods. There was performed clinical and laboratory examination of four hundred seventy nine children aged of 3–6 years. The observation group consisted of 308 children living in conditions of aerogenic exposure to benzo(a)pyrene. The comparison group included 171 children from a relatively clean territory. Determination of benzo(a)pyrene concentration in an atmospheric air and in blood was carried out by HPLC. The study of polymorphism of CYP1A1 (rs4646421) gene was carried out by real-time PCR. CD3+CD4+-lymphocyte phenotyping was performed by flow cytometry, IgG to benzo(a)pyrene – by allergosorbent testing. Results. Aerogenic exposure to benzo(a)pyrene at an average daily dose of 8.76•10–2 µg/(kg•day) causes an increase in the level of blood contamination with PAH, forms an imbalance of the immune profile (IgG to benzo(a)pyrene hyperproduction, CD3+CD4+-lymphocyte expression deficiency and CD4+/CD8+decrease) associated with T-allele and CT-genotype of the CYP1A1 gene (rs4646421) (OR(CI)=2.35–6.65; p<0.05). Children with the CT-genotype of the CYP1A1 gene (rs4646421) are characterized by the most pronounced changes in the immune profile (excess IgG to benzo(a)pyrene; reduction of CD3+CD4+ and CD4+/CD8+ against the background of maximum blood contamination with benzo(a)pyrene in relation to other genotypic groups (OR(CI)=1.64–3.08; p<0.05). Limitations. The limitations are related to the need to increase the sample and verify the results obtained in subsequent observations. Conclusion. The peculiarities of the immune profile in CT-genotype carriers of the CYP1A1 (rs4646421) gene under the conditions of aerogenic exposure to benzo(a)pyrene at a dose of 8.76•10–2 mcg/(kg•day) should include the formation of specific sensitization to benzo(a)pyrene, deficiency of cellular differentiation clusters: CD3+CD4+-lymphocytes, CD4+/CD8+ reduction associated with blood contamination with benzo(a)pyrene, which indicate the likelihood of hereditary predisposition realization and the formation of immune regulation disorders associated with exposure to benzo(a)pyrene.
简介接触苯并(a)芘会形成儿童免疫特征的特殊表型。研究与解毒基因多态性相关的免疫系统特征与环境污染带来的健康风险息息相关。材料和方法。对 479 名 3-6 岁儿童进行了临床和实验室检查。观察组包括 308 名生活在接触苯并(a)芘的环境中的儿童。对比组包括来自相对清洁地区的 171 名儿童。采用高效液相色谱法测定了大气中和血液中的苯并(a)芘浓度。通过实时 PCR 对 CYP1A1(rs4646421)基因的多态性进行了研究。CD3+CD4+淋巴细胞表型检测采用流式细胞仪,苯并(a)芘 IgG 检测采用过敏吸附剂检测。研究结果通过空气接触苯并(a)芘的平均日剂量为 8.76-10-2微克/(千克-天),会导致血液中多环芳烃污染水平升高,形成与CYP1A1基因(rs4646421)的T等位基因和CT基因型相关的免疫失衡(苯并(a)芘IgG产生过多、CD3+CD4+淋巴细胞表达不足和CD4+/CD8+减少)(OR(CI)=2.35-6.65;p<0.05)。具有 CYP1A1 基因 CT 基因型(rs4646421)的儿童与其他基因型组相比,其免疫特征的变化最为明显(苯并(a)芘 IgG 过高;CD3+CD4+ 和 CD4+/CD8+ 减少,而苯并(a)芘在血液中的污染程度最高(OR(CI)=1.64-3.08;p<0.05))。局限性。局限性在于需要增加样本量,并在后续观察中验证所获得的结果。结论。CYP1A1(rs4646421)基因的 CT 基因型携带者在接触 8.76-10-2 微克/(千克-天)剂量的苯并(a)芘的气源条件下,其免疫特征的特殊性应包括对苯并(a)芘形成特异性过敏、细胞分化群缺乏、CD3+CD4+淋巴细胞缺乏、CD3+CD4+淋巴细胞缺乏、CD3+CD4+淋巴细胞缺乏、CD3+CD4+淋巴细胞缺乏、CD3+CD4+淋巴细胞缺乏、CD3+CD4+淋巴细胞缺乏:与苯并(a)芘血液污染有关的 CD3+CD4+ 淋巴细胞、CD4+/CD8+ 减少,表明可能存在遗传易感性,以及与接触苯并(a)芘有关的免疫调节紊乱的形成。
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引用次数: 0
Assessment of the lung tissue fibrosis in workers exposed to silica-hazardous dust for a long time 评估长期接触二氧化硅有害粉尘的工人的肺组织纤维化情况
Pub Date : 2023-12-08 DOI: 10.47470/0016-9900-2023-102-11-1199-1203
Elena P. Kashanskaya, G. Lipatov, O. Gogoleva, Olga M. Nosyreva, Yuliya A. Ganicheva, S. R. Guselnikov
Introduction. Silicosis is the most common and severe type of pneumoconiosis caused by inhalation of dust containing more than 10% of crystalline silica in the occupational setting. The chest X-ray plays a decisive role in the diagnosis of the disease. The purpose of our work was to establish lung tissue fibrosis in industrial workers suffering from silicosis. Materials and methods. In 2015–2022, ten patients with silicosis, employed at a Ural refractory manufacturing plant as press operators (Group 1) for the average of 17.23 ± 4.31 years, were examined at the Occupational Health Clinic of the Yekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers. The comparison group (Group 2) included 34 press operators without pneumoconiosis who had worked for more than 10 years in hazardous working conditions. The control group (Group 3) consisted of 32 people of different occupations unexposed to industrial dusts. All the subjects were matched by gender (male) and age (50.7 ± 5.25 years). Lung tissue fibrosis was measured by multislice computed tomography using a GE OPTIMA 660 128 Slice CT Scanner with accessories, GE HealthCare Japan, manufactured in 2012. The data were then analyzed in Statistica for Windows 7. Results. We established a decrease in tissue fibrosis in the apexes and inferior lobes of both lungs and an increase in the fibrosis in groups of target lymph nodes (11–14R, 2L, 10L) in the silicosis cases, and an increase in Hounsfield units in target groups of lymph nodes (2R, 4R, 10R, 11–14R, 2L, 11–14L) in the comparison group. Limitations. The study includes only workers engaged in refractory manufacturing with over 10 years of exposure to silica. For CT lung densitometry, the limitation is the permissible radiation dose of less than 5 mSv per year. Conclusion. The results of CT densitometry of the lungs and targeted groups of lymph nodes demonstrate its high efficiency in the quantitative assessment of dust-related disorders in patients with silicosis and in experienced workers occupationally exposed to crystalline silica.
导言。矽肺病是一种最常见、最严重的尘肺病,是由于在职业环境中吸入含结晶二氧化硅 10%以上的粉尘而引起的。胸部 X 光检查在该病的诊断中起着决定性作用。我们工作的目的是确定患有矽肺病的产业工人的肺组织纤维化情况。材料和方法。2015-2022 年间,叶卡捷琳堡工业工人预防和健康保护医学研究中心职业健康诊所对 10 名矽肺病患者进行了检查,这些患者在乌拉尔耐火材料制造厂担任压机操作员(第 1 组),平均工龄为 17.23±4.31 年。对比组(第 2 组)包括 34 名没有患尘肺病的压力机操作员,他们在危险的工作环境中工作了 10 年以上。对照组(第 3 组)包括 32 名从事不同职业但未接触过工业粉尘的人。所有受试者的性别(男性)和年龄(50.7 ± 5.25 岁)均匹配。使用 2012 年生产的 GE OPTIMA 660 128 片 CT 扫描仪及其附件,通过多层计算机断层扫描测量肺组织纤维化。然后使用 Statistica for Windows 7 对数据进行分析。结果我们确定矽肺病例的双肺顶叶和下叶组织纤维化减少,目标淋巴结组(11-14R、2L、10L)的纤维化增加,对比组的目标淋巴结组(2R、4R、10R、11-14R、2L、11-14L)的Hounsfield单位增加。局限性。本研究仅包括从事耐火材料生产、接触二氧化硅超过 10 年的工人。对于 CT 肺部密度测定,限制条件是每年允许的辐射剂量低于 5 mSv。结论肺部和淋巴结目标组 CT 密度测定的结果表明,它在定量评估矽肺病患者和职业接触结晶二氧化硅的资深工人的粉尘相关疾病方面具有很高的效率。
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引用次数: 0
Integral indicators of cardiotoxicity of lead and cadmium on the background of physical activity 体育活动背景下铅和镉的心脏毒性综合指标
Pub Date : 2023-12-08 DOI: 10.47470/0016-9900-2023-102-11-1228-1235
S. Klinova, I. Minigalieva, M. Sutunkova, Lada V. Shabardina
Introduction. Modern metallurgical production is characterized by mixed exposure of workers to harmful chemicals, of which lead and cadmium are the most common. A high physical workload is yet another occupational risk factor for metallurgists. Objective. Experimental study of effects of lead or cadmium and physical load on integral indicators of cardiotoxicity in rats. Materials and methods. We have carried out two 6-week experiments on rats to study integral indicators of cardiotoxicity of lead or cadmium and their changes under effect of physical activity. Solutions of lead or cadmium salts were administered intraperitoneally three times a week. Physical workload was simulated on a treadmill (10 min/day, 5 days a week). At the end of the experiment, electrocardiogram and blood pressure parameters were registered non-invasively. Results. Lead and cadmium had a cardiotoxic effect manifested by ECG changes. No pronounced hemodynamic changes were observed in our studies. According to ECG parameters, physical load slightly mitigates cardiotoxic effects of lead, but enhances manifestations of cadmium toxicity. Limitations. Data comparison can be affected by the fact that both outbred and inbred rats were used in the experiments. Caution should be taken when extrapolating animal data to humans since electrophysiological processes in the work of the heart differ in small rodents and large mammals. Conclusion. The established ambiguity of the impact of the physical workload on cardiotoxic effects of heavy metals necessitates further studies of this problem.
导言。现代冶金生产的特点是工人混合接触有害化学物质,其中最常见的是铅和镉。高强度的体力劳动是冶金工人的另一个职业风险因素。研究目的实验研究铅或镉以及体力负荷对大鼠心脏毒性综合指标的影响。材料和方法。我们对大鼠进行了两次为期 6 周的实验,研究铅或镉的心脏毒性综合指标及其在体力活动影响下的变化。每周三次腹腔注射铅或镉盐溶液。在跑步机上模拟运动负荷(每天 10 分钟,每周 5 天)。实验结束时,对心电图和血压参数进行无创登记。实验结果铅和镉具有心脏毒性作用,表现为心电图变化。在我们的研究中没有观察到明显的血液动力学变化。根据心电图参数,体力负荷可稍微减轻铅的心脏毒性作用,但会增强镉的毒性表现。局限性。由于实验中使用了近交系和远交系大鼠,数据比较可能会受到影响。由于小型啮齿动物和大型哺乳动物心脏工作的电生理过程不同,因此在将动物数据推断给人类时应谨慎。结论体力工作负荷对重金属心脏毒性作用的影响不明确,因此有必要对这一问题进行进一步研究。
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引用次数: 0
Occupational diseases in construction workers in the Arctic 北极地区建筑工人的职业病
Pub Date : 2023-12-08 DOI: 10.47470/0016-9900-2023-102-11-1186-1191
S. Syurin, Aleksei N. Kizeev
Introduction. Construction is one of the most important sectors of the economy. The aim is: to study the causes of development, structure, and prevalence of occupational pathology of construction workers in the Arctic. Materials and methods. An analysis was made of the data of socio-hygienic monitoring “Working conditions and occupational morbidity” and the Register of extracts from occupational disease records (Order of the Ministry of Health of the Russian Federation dated May 28, 2001 No. 176) for 2007–2021 in the Russian Arctic. Results. Over 2007–2021, construction workers in the Arctic were exposed to thirteen occupational hazards, seven of which (labour severity, harmful chemicals, noise, whole-body and hand-arm vibration, fibrogenic aerosols, cooling microclimate) caused the development of occupational diseases (n=252). Diseases of the musculoskeletal system (38.5%), respiratory organs (16.3%), and sensorineural hearing loss (17.1%) prevailed in their structure. Occupational diseases more often developed among welders (n=31), painters (n=291), mechanics (n=23), and plasterers (n=19). The level of occupational morbidity among construction workers (2.62/10,000 workers) is 2.9–6.3 times lower than for all workers in the Russian Arctic and 20.6–194.7 times lower than for workers in the mining and metallurgical industry of the Russian Arctic. During 15 years, occupational morbidity and the risk of developing occupational pathology (RR=1.29; CI 0.82–2.02) in construction workers did not change. Limitation. The lack of data on working conditions at construction enterprises in the Russian Arctic in 1997–2006, which could have explained the changes of occupational pathology in 2007–2021. Conclusion. To preserve the health of construction workers (primarily welders, painters, mechanics, plasterers), it is necessary to improve measures to protect them from the effects of increased labour severity, harmful chemicals and noise.
导言。建筑业是最重要的经济部门之一。目的是:研究北极地区建筑工人职业病的发展原因、结构和发病率。材料和方法。对俄罗斯北极地区 2007-2021 年 "工作条件和职业发病率 "社会卫生监测数据和职业病记录摘录登记册(俄罗斯联邦卫生部 2001 年 5 月 28 日第 176 号令)进行了分析。结果。2007-2021 年间,北极地区的建筑工人接触了 13 种职业危害,其中 7 种(劳动强度、有害化学品、噪音、全身和手部振动、纤维气溶胶、冷却微气候)导致职业病的发生(n=252)。在他们的结构中,肌肉骨骼系统疾病(38.5%)、呼吸器官疾病(16.3%)和感音神经性听力损失(17.1%)占多数。职业病多发于电焊工(31 人)、油漆工(291 人)、机械工(23 人)和抹灰工(19 人)。建筑工人的职业病发病率(2.62/10 000 名工人)比俄罗斯北极地区所有工人的发病率低 2.9-6.3 倍,比俄罗斯北极地区采矿和冶金工业工人的发病率低 20.6-194.7 倍。15 年间,建筑工人的职业发病率和患职业病的风险(RR=1.29;CI 0.82-2.02)没有变化。局限性。缺乏 1997-2006 年俄罗斯北极地区建筑企业工作条件的数据,这可能是 2007-2021 年职业病变化的原因。结论。为了保护建筑工人(主要是电焊工、油漆工、机械工、抹灰工)的健康,有必要改进措施,保护他们免受日益严重的劳动强度、有害化学品和噪音的影响。
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引用次数: 0
Posterior assessment of airborne non-carcinogenic health risk of the population of a large industrial center 对一个大型工业中心人口的空气非致癌健康风险进行后评估
Pub Date : 2023-12-08 DOI: 10.47470/0016-9900-2023-102-11-1241-1250
N.V. Zaitseva, Svetlana S. Kleyn, I. May, D. Kiryanov, D. V. Goriaev, A. M. Andrishunas, S. Balashov, V. Chigvintsev, D. R. Khismatullin
Introduction. This article suggests an alternative solution to the task of quantifying and describing health harm under exposure to non-carcinogenic risk factors. Materials and methods. We have developed and tested a methodical approach that includes five subsequent steps; it is eligible for posterior quantification of non-carcinogenic health risks represented by additional diseases cases associated with poor ambient air quality. The approach relies on unified and validated methods for assessing exposure and health risks, mathematical parameterization of cause-effect relations within the "environment – public health" system, and calculation of additional incidence as well as combined assessment of all the obtained results. Results. According to calculated data, which were also verified by instrumental observations of ambient air quality, the existing hygienic standards are violated as per 27 chemicals in residential areas. Elevated hazard quotients are identified for 26 chemicals (up to 98.7HQac; up to 62.7HQch). Additive effects of the analyzed chemicals crated elevated hazard indices (HI) in residential areas that could be ranked as "alerting" (36) for respiratory organs, the cardiovascular and hematopoietic systems, liver, kidneys, eyes, development, the immune, reproductive, endocrine, and other systems. The identified levels of airborne exposure annually cause approximately 80.9 thousand additional diseases among the total population (71.0‰; 4.15% of the total incidence); 23 chemicals are considered priority risk factors (contributions vary between 0.25 and 65.0%). We have identified certain regularity for some disease classes: higher levels of additional incidence associated with ambient air quality are established in zones with higher airborne health risks. Thus, in zones where airborne risks for respiratory organs are HIch≤1, we identified no additional incidence as per such diseases; in zones with 16 (more than 1.09 million people), 5.0‰. Limitations. The suggested approaches have been obtained by calculation. Their results might differ from those obtained by targeted in-depth investigations aimed at creating an evidence base of health harm under adverse environmental conditions that do not conform to hygienic standards. The parameters of mathematical models within "the environment – public health" system have been obtained for a limited range of exposure to pollutants in ambient air and a limited list of airborne health risk factors. Conclusion. The suggested methodical approaches to posterior assessment of non-carcinogenic health risks allows quantifying these health risks as additional diseases associated with poor quality of the environment; they enlarge the results of health risk assessment and make them more precise, validate and support them with hygienic significance. They can be utilized within optimization of social and hygienic monitoring and assessment of effectiveness of implemented prevention activities.
导言。本文为量化和描述暴露于非致癌风险因素下的健康危害提出了另一种解决方案。材料与方法。我们开发并测试了一种方法,其中包括五个后续步骤;该方法适用于对与环境空气质量差相关的额外疾病病例所代表的非致癌健康风险进行事后量化。该方法依赖于评估暴露和健康风险的统一有效方法、"环境-公共卫生 "系统内因果关系的数学参数化、额外发病率的计算以及对所有获得结果的综合评估。结果。根据计算得出的数据(这些数据也通过对环境空气质量的仪器观测得到了验证),住宅区中的 27 种化学物质违反了现行的卫生标准。有 26 种化学物质的危害商数升高(最高达 98.7HQac;最高达 62.7HQch)。受分析化学品的叠加效应影响,居民区的危害指数(HI)升高,对呼吸器官、心血管和造血系统、肝脏、肾脏、眼睛、发育、免疫、生殖、内分泌和其他系统的影响可列为 "警戒 "级别(36)。已确定的空气接触水平每年在总人口中造成约 80,900 例额外疾病(71.0‰;占总发病率的 4.15%);23 种化学物质被认为是优先风险因素(贡献率在 0.25 至 65.0% 之间)。我们发现某些疾病类别具有一定的规律性:在空气传播健康风险较高的地区,与环境空气质量相关的额外发病率水平较高。因此,在呼吸器官的空气传播风险为 HIch≤1 的区域,我们没有发现此类疾病的额外发病率;在 16(超过 109 万人)的区域,发病率为 5.0‰。局限性。建议的方法是通过计算得出的。其结果可能与通过有针对性的深入调查得出的结果不同,这些调查的目的是为不符合卫生标准的不利环境条件下的健康危害建立证据基础。环境-公共卫生 "系统中的数学模型参数是针对暴露于环境空气中污染物的有限范围和有限的空气传播健康风险因素清单而获得的。结论所建议的非致癌健康风险后评估方法可以将这些健康风险量化为与环境质量差有关的额外疾病;它们扩大了健康风险评估的结果,使其更加精确、有效并具有卫生意义。它们可用于优化社会和卫生监测以及评估已实施预防活动的有效性。
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引用次数: 0
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Hygiene and sanitation
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