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Biomedical subjects

L Alessio

Publications and source records attributed to L Alessio.

At least 55 records · Page 3Linked to original sources
PubMed1992

Occupational exposure to cadmium and lung function.

A total of 69 male subjects occupationally exposed to cadmium fumes in a factory producing silver-cadmium-copper alloys for brazing, were subjected to lung function tests, including ventilation (FVC and FEV1), residual volume (RV) and alveolar-capillary diffusion capacity (TLCO and KCO). For each subject, the cumulative exposure to cadmium was calculated as the product of the number of years in the job and the average atmospheric concentration of cadmium (expressed in micrograms/m3) encountered each year. Cadmium-exposed subjects had moderately higher mean values of RV (+ 8%) as compared with the control group; the increase was greater (+ 10%) in the subgroup of workers with greater cumulative exposure to cadmium. No significant differences were observed in FVC, FEV1, TLCO and KCO.

Adult↗
PubMed1992

Definition of reference values for Cd-B and Cd-U: methodological aspects and preliminary results.

In the present study, a definition of the reference values of blood cadmium (Cd-B) and urinary cadmium (Cd-U) was attempted, adopting the same methodology as that used for Hg-B by ICOH and IUPAC. Papers published from 1976 onwards were reviewed. The majority of the studies were concerned with the formation of control groups for toxicological and epidemiological investigations rather than with the definition of reference values. Since the number of subjects for whom data on cadmium were available was small, only the data on Cd-B were considered. After evaluation, only four studies were found to be suitable for the establishment of tentative reference values for Cd-B. It is essential in all such studies to check the statistical and analytical methods for correctness, and the case-list must be selected taking smoking into account as the main interfering factor. It was found that Cd-B values show less dispersion when geometric means and standard geometric deviations are used instead of arithmetic means and standard deviations.

Cadmium↗
PubMed1992

[Evaluation of the effects of reduced glutathione in subjects with acquired and congenital changes in heme biosynthesis].

In order to evaluate the possible therapeutical effects of reduced glutathione in subjects affected by acquired or congenital heme biosynthesis alterations, two groups of subjects have been considered: the first, of 5 subjects with abnormal lead absorption, the second of 10 patients suffering from porphyria cutanea tarda (PCT). The drug was administered i.v. at the dosage of 600-1200 mg for a variable period of 3-5 days in the first group, for 7-10 days in the patients with PCT. In the lead-exposed subjects an increase in the activity of ALA-dehydratases enzyme was observed, with a decrease in the urinary excretion of delta-aminolevulinic acid, and a decrease in the percentage of urinary coproporphyrins as well. In the patients with PCT, after the therapy, a relevant reduction of urinary excretion of porphyrins, prevalently uro- and heptaporphyrins, was noticed. The results of this preliminary study suggest that glutathione can exert an effect of "normalization" on heme biosynthesis when altered in acquired and/or congenital conditions.

Aminolevulinic Acid↗
PubMed1991

Evaluation of beta-endorphin/beta-lipotropin immunoreactivity content in the CSF of patients affected by deafferentation pain syndromes.

Beta-endorphin/beta-lipotropin immunoreactivity (BE/BLPH-IR) content was evaluated in the CSF of patients suffering by deafferentation pain syndromes. BE/BLPH-IR CSF concentrations of these patients were compared with those obtained in a group of patients affected by low back pain and in a control group without pain problems. No statistically significant variation in BE/BLPH-IR levels were found between controls and subjects with different types of chronic pain.

Adult↗
PubMed1991

Primary intrasellar coccidioidomycosis simulating a pituitary adenoma.

The case of a 68-year-old woman who had relatively acute, unilateral ophthalmoplegia is reported. Radiological studies indicated a mass lesion involving the pituitary gland and left cavernous sinus. Pathological tissue obtained by the transsphenoidal approach revealed the presence of a Coccidioides granuloma. This pathological entity should be considered when evaluating patients with a pituitary mass and ophthalmoplegia.

Adenoma↗
PubMed1990

Trace element reference values in tissues from inhabitants of the European community. I. A study of 46 elements in urine, blood and serum of Italian subjects.

Neutron activation analysis-electrothermal atomic absorption spectroscopy (ETA-AAS) and inductively coupled plasma atomic emission spectrometry (ICP-AES) have been used for the determination of 46 elements in urine, 35 in blood and 26 in serum of unexposed Italian subjects living in the same region (Lombardy). The results allowed the proposal of reference values for various elements determined in more than 350 healthy subjects, these being Ag, Al, As, Be, Bi, Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, Sb, Se, Tl, V, Zn, in urine; Ag, As, Bi, Cd, Cr, Co, Cu, Hg, Pb, Se, Tl, Zn in blood; and Ag, Al, Be, Cd, Co, Cr, Cu, Hg, Mn, Ni, Pb, Se, Tl, V, Zn in serum (or plasma). For all other elements indicative values are suggested. In addition to the mean value and the "reference range", a "range of uncertainty" and an upper limit above which metabolic abnormalities could be expected have also been defined on the basis of simple statistical considerations.

Humans↗
PubMed1990

Significance and validity of a shortened lead chelation test.

We evaluated the chelation test in 38 subjects exposed to lead or with suspected lead exposure, comparing the values of lead excretion at the 3rd h (PbU EDTA/3-h) and at the 24th h (PbU EDTA/24-h) after EDTA administration. Good correlation exists between PbU EDTA/3-h and PbU EDTA/24-h (r = .86) and between them and the main biological indicators of dose and effect of lead. When a second chelation test was performed in 15 subjects, a slightly better r coefficient (.93) was observed between the two tests, without reaching statistical significance. It seems difficult, in terms of the type of exposure that we considered, to use the 3-h test, on an individual basis, to predict the PbU EDTA/24-h values.

Adult↗
PubMed1990

[Assessment of exposure to polycyclic aromatic hydrocarbons in 3 work activities using mineral oils].

The exposure to polycyclic aromatic hydrocarbons (PAH) in different industries using cutting, hardening and extruding oils, was investigated determining their concentration in oils and in environmental samples. The following compounds: phenanthrene, anthracene, fluoranthene, pyrene, benzo-a-anthracene, chrysene, triphenylene, benzo-a-pyrene, benzo-e-pyrene and perylene were evaluated by means of gas-chromatography-mass spectrometry. PAH concentrations in oils ranged from 652 to 4461 ng/gr and environmental concentrations from 63.86 to 120.54 ng/mc. In particular the BaP concentrations varied from 0.73 to 1.9 ng/mc. These results, compared with those measured in other environmental surveys and with the limit values proposed in various countries, point out the existence of a very low inhalatory risk of PAH.

Air Pollutants, Occupational↗
PubMed1989

Urinary mutagenicity tests in lead-exposed workers.

Urinary mutagenic activity detected by the bacterial fluctuation assay, using Salmonella typhimurium TA98 and Escherichia coli WP2 uvrA with and without metabolic activation (S9 mix), was studied in a group of 21 workers exposed to inorganic lead and a control group of 22 non-occupationally exposed subjects. Occupational exposure to inorganic lead had no effect on urinary mutagenicity in the strains considered, with or without metabolic activation. In smokers (exposed and non-exposed), urinary mutagenic activity appeared to increase compared to non-smokers (exposed and non-exposed), only with Salmonella typhimurium TA98 in the presence of S9 mix.

Adult↗
PubMed1989

[Qualitative and quantitative changes in the polycyclic aromatic hydrocarbons in cutting oils after their use].

The quantitative and qualitative variations in the mixture of polycyclic aromatic hydrocarbons (PAH) present in different samples of a cutting oil, unused and after 3,6 and 9 months of use, were evaluated by means of gas-chromatography mass spectrometry. Nine of the identified hydrocarbons (phenanthrene, anthracene, fluoranthene, pyrene, benzo-a-anthracene, chrysene, triphenylene, benzo-a-pyrene, benzo-e-pyrene and perylene) were studied. The total PAH concentration increased from 45 (first sample) to 915 ng/gr of oil, even if a different behaviour for various hydrocarbons was shown. In fact some of them, such as phenanthrene and anthracene increased with use, some, such as fluoranthene and pyrene decreased and the other did not exhibit a regular trend. In the light of results, the influence of variations of the PAH mixture in oil on the PAH air concentration and on the preventive measures to be adopted, is discussed.

Gas Chromatography-Mass Spectrometry↗
PubMed1988

Relationship between "chelatable lead" and the indicator of exposure and effect in current and past occupational exposure.

The behaviour of blood (PbB) and two biological indicators of effect: erythrocyte protoporphyrin (EP) and urinary aminolaevulinic acid (ALAU), were studied in subjects who had ceased working with inorganic lead for at least one year. The relationships between these indices and chelatable lead (PbU-EDTA) were also analysed. As a comparison, a group of subjects currently exposed to inorganic lead was studied. At a given PbU-EDTA level, the PbB values were significantly lower in the workers with past exposure than those found in currently exposed subjects. The relationship between EP and PbU-EDTA illustrates that, for corresponding levels of chelatable lead, the values of the erythrocyte metabolite are identical in the two groups. Considering the EP-PbB relationship, however, at a given PbB level the protoporphyrin values appear distinctly more altered in the subjects with past exposure. The relationship between ALAU and PbU-EDTA shows that, at a given PbU-EDTA level the urinary metabolite in past exposed subjects is distinctly lower than in currently exposed workers, while the relationship between ALAU and PbB shows that, at similar blood lead values, the ALAU levels are identical in both groups. On the basis of these results, it is concluded that in subjects with past exposure, erythrocyte protoporphyrin can be used in establishing the persistence and extent of an "active deposit" of lead in the organism, while PbB and ALAU are of very limited value.

Adult↗
PubMed1988

[Exposure to metals in dental laboratories].

Dental care includes handling of different types of metal alloys usually classified as "noble" and "base" in relation to the presence or absence of either gold or other precious metals. It must be born in mind that exposure to metals in this activities is due not only to those metals present in the alloys but also to those contained in the other materials used during the processes of casting and finishing. The most important metals are the following: Al, Be, Cd, Cr, Co, Cu, Au, In, Hg, Mo, Ni, Pd, Pt, Si, Ag, Sn, Ti, W, Zn. In this paper we investigated the environmental exposure to metals in dental laboratories studying the environmental air concentration of metals in casting and finishing processes estimating the "quality" of the elements present by Particle Induces X-ray Emission (PIXE) and the "quantity" of the elements by electro thermic atomic absorption spectrophotometry (ET-AAS) and the concentration of the main metals in the blood and in the urine of exposed technicians by ET-AAS. These analyses permitted to detect all the metals present in the work environment and to quantify their concentration, which always resulted to be low (except some metals during short time operations). The biological monitoring revealed the existence of moderate absorption of these metals in the exposed workers but it is not possible for us to affirm if this phenomenon represents a real risk for the health of the technicians. Hence further epidemiological and health surveillance investigations are needed to verify morbidity and mortality of the subjects employed in this activity.

Adult↗
PubMed1985

Reliability of urinary creatinine as a parameter used to adjust values of urinary biological indicators.

The values of biological indicators used in biological monitoring are usually determined on spot samples of urine. In order to reduce the variations due to dilution, it is common practice to correct the values according to reference parameters, such as urinary creatinine concentration and specific gravity. The aim of the present study was to verify whether creatinine possesses the necessary characteristics for adjustment. The levels of creatinine were not influenced by diuresis, but, contrary to what was expected, the values of the metabolite showed marked intra- and interindividual variations. These data raise serious doubts as to the validity of creatinine as a parameter that can be used for adjustment purposes, and suggest that it would be advisable to ascertain for each biological indicator whether in fact adjustment is of any use. Lastly, since there was only a slight correlation between creatinine levels and specific gravity values, it is concluded that these two parameters cannot be used indifferently for adjustment.

Adult↗
PubMed1985

Problems concerning the usefulness of adjustment of urinary cadmium for creatinine and specific gravity.

A previous study concluded that there are some doubts as to the validity of creatinine as a parameter for adjusting the values of biological indicators determined on spot samples of urine, since it is subject to marked inter- and intraindividual variations. Furthermore, since there was only a moderate correlation between creatinine levels and specific density, it can be assumed that these two parameters cannot be used indifferently for adjustment. Nevertheless, it seemed advisable to verify whether correction of cadmium values determined from spot samples offers any practical advantages. For this purpose, 105 subjects with occupational exposure to cadmium were examined. They collected their 24-h urine and spot samples separately at 8.00 h. There was a close correlation between CdU/spot samples and CdU/24 h. The correlation index was very similar both for CdU/spot values expressed in microgram/l and for values adjusted according to creatinine or 1024 specific gravity. These results show that no particular advantages are offered by adjusting CdU according to creatinine or specific gravity.

Adult↗
PubMed1985

Behaviour of biological indicators of cadmium in relation to occupational exposure.

Cadmium in blood (CdB), cadmium in urine (CdU) and beta 2-microglobulins (beta 2MU) were determined in 83 male workers exposed to cadmium fumes. CdU was measured both on 24-h urine samples and on spot samples. The behaviour of the biological indicators of cadmium was assessed in relation to degree of current exposure, length of exposure and cumulative exposure (computed as concentration of cadmium at the workplace multiplied by duration of exposure). CdB values were significantly higher in the subgroups of subjects with higher current cadmium exposure and in the subgroups of subjects with greater cumulative exposure, but the test levels were not influenced by duration of exposure. CdU levels were significantly higher in the subgroup of subjects with greater cumulative exposure, but were less influenced by current exposure or duration of exposure. Considering the entire population, a rather close correlation (r = 0.69) was observed between CdB and CdU. When the population was divided according to level of current exposure, a close relationship was observed between the two indicators in all subgroups; nevertheless, for identical CdU values, the CdB values were higher in the subjects with heavier current exposure. Even if in all Cd workers the beta 2MU levels were in the range of reference values, the highest beta 2MU levels were found in the subjects with CdU greater than 10 micrograms/l. The data confirm that CdU is prevalently influenced by the body burden of metal, but they also suggest that the CdB levels are not influenced solely by the intensity of current exposure but also depend to a considerable degree on the body burden.

Adult↗