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Biomedical subjects

G Muzi

Publications and source records attributed to G Muzi.

42 records · Page 3Linked to original sources

[ALAD polymorphism and indicators of dose and effects of occupational exposure to inorganic lead].

The delta-aminolevulinate dehydrase (ALAD) genetic polymorphism was investigated along with biomarkers of lead exposure and effect on 333 male workers, occupationally exposed to lead, with blood lead levels (PbB) higher than 100 microg/l. ALAD genotype frequencies were distributed as expected among Caucasians. Workers bearing at least one ALAD-2 allele showed PbB values slightly higher than those from ALAD-1-1 subjects, who also exhibited higher urinary delta-aminolevulinic acid (ALAU) and blood zinc protoporphyrin (ZPP) levels. The plasmatic lead (PbP)/PbB ratio was similar in both groups. Exposure and effect biomarkers were significantly each other correlated among ALAD-1-1 subjects only, who showed also a significant inverse relationship between ALAD activity and ZPP values. Results confirm previous studies, supporting the hypothesis that ALAD polymorphism may interfere with toxico-kinetic and toxico-dynamic parameters of occupational exposure to Pb.

Adult↗

[Effects of inorganic lead exposure on the autonomic nervous system and on the variability of heart rate among workers at a battery plant].

Inorganic Lead can cause a toxic effect on Central Nervous System, Peripheral Nervous System and Autonomic Nervous System (ANS). A damage of the ANS can determine an heart rate variability (HRV) reduction. In this study 43 battery workers exposed to inorganic lead with mean PbB = 31.63 microg/dl (DS 14.77 microg/dl) and 35 not exposed subjects underwent to an evaluation of heart rate variability by specific tests. Heart rate variability in the exposed group was, for some tests (lying to standing, lying to standing-standing to lying) reduced compared with not exposed subjects and for other tests (Valsalva manouvre, lying to standing-standing to lying) correlated with PbB and Zinc Protoporphyrin (ZPP), but not with BMI, age and smoking habits. This study, like others conducted on similar populations, suggest an effect of occupational inorganic lead exposure on Autonomic Nervous System and heart rate variability

Adult↗

Lead poisoning caused by Indian ethnic remedies in Italy.

BACKGROUND: Complementary or alternative medicine has become widespread in Western Countries and since the remedies are "natural" they are believed to be free of toxic effects and health risks. Ethnic remedies may contain lead, other metals and toxic substances. OBJECTIVES: To show how lead poisoning as a result of using ethnic remedies may be severe enough to cause serious damage to health, and to increase awareness among family doctors and occupational physicians of the risks associated with ethnic remedies. METHODS AND RESULTS: Description of ethnic remedy-related lead poisoning in 2 native Italian adults, with clinical, laboratory and toxicological data. CONCLUSIONS: When metal poisoning is diagnosed, ethnic remedies should be included among the putative sources so as to avoid erroneous attribution to workplace exposure and application of unneeded preventive measures.

Abdominal Pain↗

Clinical and diagnostic features of upper extremity work-related musculoskeletal disorders.

Upper extremity work-related musculoskeletal disorders, (UE-WMSDs) are one of the major causes of work-related disability in industrialized countries. Diagnostic criteria for many UE-WMSDs are still under debate, and several different national and international studies have attempted to reach a consensus agreement on the minimum criteria for case definition of UE-WMSDs. This paper describes clinical and diagnostic features of UE-WMSDs, focussing on carpal tunnel syndrome and rotary cuff tendinopathy.

Arm↗

Indoor air quality and health in offices and other non-industrial working environments.

BACKGROUND: Over the last 30 years, transformation of indoor environments--in particular in office blocks--has been associated with complaints from workers of discomfort, malaise and even diseases termed Building Related Illnesses (BRI) which are classified as specific (e.g. Legionnaire disease, asthma, hypersensitivity pneumonia) or non-specific (e.g. the Sick Building Syndrome). METHODS: A review was made of data from international public health organisations, epidemiological, clinical and experimental studies and congress proceedings from 1990 to 2006 on the topic of indoor air quality and health in modern, non-industrial workplaces. RESULTS: Studies focused on ventilation, temperature and air humidity and specific pollutants such as Volatile Organic Compounds, particules asbestos fibres, environmental tobacco smoke, radon and biological agents. We can now measure microclimate parameters and many indoor air pollutant levels as well as their effects on health; we can also formulate indications of threshold and guideline values for some of these and make a preventive assessment for toxic emissions from construction and furnishing materials. A stepwise, multi-disciplinary approach--with the specialist in occupational medicine playing a major role--is most suitable for dealing with BRI and the effects of poor indoor air quality on health. CONCLUSIONS: Better criteria are needed to study emission of substances into the indoor environment, adequacy of ventilation, additive or synergistic effects of mixtures of chemicals and toxicity of micro-organism decomposition products. Objective clinical tests to assess the effects of indoor pollutants on health and indices for Indoor Environmental Quality in assessing buildings need to be improved.

Air Pollutants, Occupational↗

[Respiratory diseases in confined non-industrial working environments].

Modern, non-industrial workplaces may, because of building techniques, widespread use of synthetic materials and artificial ventilation, create risks for the health and well-being of workers. Indoor air pollution by chemical, biological and sometimes physical agents constitutes a significant risk factor, particularly for the respiratory system. The most common effects of exposure to, and inhalation of, indoor air pollutants include acute and chronic inflammations, acute worsening of pre-existing respiratory symptoms or illnesses and airway sensitization to indoor allergens. Upper airway disturbances with an allergic or irritative aetiology are very frequent; Asthma and Hypersensitivity Pneumonitis are more rarely reported but may become severe and widespread when certain environmental conditions prevail. Respiratory infections may have a human source such as tuberculosis or viral diseases or may originate in ventilation systems such as Legionnaire's disease (Legionella pneumophila pneumonia). As all these pathologies may have high social and economic costs and appropriate therapy is not always available, the specialist in Occupational Medicine plays a pre-eminent role in early diagnosis and prevention of respiratory diseases linked to indoor air pollution in the workplace.

Humans↗