职业医学中的生物监测(综述文章)

Mourad H
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摘要

导言:测量生物样本中的化学物质、其代谢物或生化效应,以确定接触情况,称为生物监测。要确定职业和环境接触导致的体内物质的类型和数量,生物监测是一项基本技术。它已从一种研究工具转变为暴露评估的一个重要方面。工作目的:讨论职业医学中的生物监测主题,以便开发和评估代表特定暴露或与人类不良后果有统计学关系的生物标志物,使其能够用于风险预测、评估和管理。结论使用生物监测有利于证明对接触限值的遵守情况、职业健康研究和监测、评估干预措施的效果以及评估和管理风险。为了帮助评估接触情况和确定接触途径,生物监测和环境监测是相辅相成的。采样时间和适当的生物标志物选择都非常重要。值得注意的是,大多数检测到的生物标志物浓度与临床疾病或疾病风险并不完全一致。要得出可靠而有意义的结果,实验室条件和人际变异性至关重要。任何生物监测计划都应优先考虑伦理和社会问题。根据埃及第 12/2003 号《劳动法》,雇主必须采取一切必要措施保障工人的健康和安全,尤其是在潜在的机械、物理、化学和生物威胁方面
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BIOMONITORING IN OCCUPATIONAL MEDICINE (REVIEW ARTICLE)
Introduction: Measuring of a chemical, its metabolite, or biochemical effect in a biological sample with the aim to identify exposure is known as biomonitoring. To determine the type and quantity of substances present in the body as a result of occupational and environmental exposures, biomonitoring is an essential technique. It has changed from being a tool for study to becoming a crucial aspect of exposure assessment. Aim of Work: to discuss the topic of biomonitoring in the occupational medicine so as to develop and evaluate biomarkers that represent particular exposures or are statistically related to unfavorable outcomes in humans to enable their use in risk prediction, assessment and management. Conclusion: The use of biomonitoring is beneficial for demonstrating adherence to exposure limits, occupational health research and surveillance, evaluating the efficacy of interventions, and assessing and managing risk. In order to aid in the evaluation of exposure and the characterization of exposure routes, biological and environmental monitoring are complementary to each other. Time of sampling and proper biomarker selection are both highly important. It is important to note that the majority of detected biomarker concentrations do not fundamentally correspond with clinical illness or disease risk. To produce reliable & significant results, laboratory conditions and interpersonal variability are essential. Any biomonitoring programme should also place a priority on ethical and social issues. According to Egypt’s Labour Law No. 12/2003, the employer must take all necessary steps to guarantee worker health and safety, particularly with regard to potential mechanical, physical, chemical, and biological threats
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