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Biomedical subjects

M Berlin

Publications and source records attributed to M Berlin.

At least 55 records · Page 3Linked to original sources

Birth weight of children and cadmium accumulation in placentas of female nickel-cadmium (long-life) battery workers.

In a retrospective epidemiological study on the birth weight of 266 children of 137 female workers in a nickel-cadmium battery factory, 157 children of workers occupationally exposed to cadmium were compared with 109 born to non-occupationally exposed workers. No effect of cadmium exposure on birth weight was detected, but a statistically significant effect on birth weight of smoking during pregnancy was observed. In a prospective study on the same population of female battery workers, 27 placentas were collected and the cadmium distribution and concentration in tissue subsamples determined. Placental cadmium concentrations were positively correlated with maternal blood cadmium. The cadmium concentration in placentas ranged from < 0.002 to 0.095 microgram/g (wet weight), the mean concentration +/- SD was 0.021 +/- 0.022 microgram/g (wet weight). Morphological and ultrastructural studies of placental tissues did not reveal any effect of cadmium. This study did not provide any evidence in support of the hypothesis that the placenta may be the critical organ in exposure to cadmium.

Adolescent↗

Excimer laser ablation of the human lens at 308 nm with a fiber delivery system.

A 308 nm excimer laser has been used with a fiber delivery system to perform ablation of the human lens. Preliminary results demonstrate the system's ability to ablate lens nucleus and cortex selectively, preserving the anterior and posterior capsules. The total delivered energy necessary to ablate a human lens ranged from 35 to 63 joules. Laser tissue interaction and ablation rates were computed for the different components of the human lens (capsule, cortex, nucleus) for the operatively useful energy densities (fluences). Operative experience suggests that cortex and nucleus can be ablated while preserving the capsule if an adequate irrigation and aspiration system is developed. These results also suggest that this modality may be adequate for performing endocapsular cataract extraction. Laser tissue interactions were also computed at variable distances between the fiber tip and tissue. As this distance increased, the spread of the beam increased and a significant increase in energy was necessary to induce tissue ablation. This was due to the decrease in fluence with increasing distance to the target tissue and/or the absorption and scattering of the delivered energy within a short distance from the fiber tip by the ablated material. Evidence of a sonic effect was also present.

Aged↗

Congenital lead encephalopathy in monkeys.

Thirty-one squirrel monkey fetuses were exposed to lead acetate given to the mothers perorally during the last three-fourths or two-thirds of pregnancy. The mean maternal blood lead concentration of the group was 37 micrograms/100 ml and the individual means ranged from 22-82 micrograms/100 ml. Examination of the central nervous system was performed in 15 of the offspring (one abortion, eight stillborns, three neonatal deaths, two killed fetuses and one killed newborn). The mean cerebral weight was reduced for the fetal age (about 10%). Three cerebra were paradoxically overweight for the fetal age as well as for the body weight, probably due to edema. Neurohistology revealed large numbers of characteristic perivascular, petechial hemorrhages in the white matter in six of the fifteen cerebra. In two of these cases, such hemorrhages were also found in the white matter of the cerebellum, brain stem and spinal cord. Examination of four recovered placentas (two after delivery and two at hysterotomies) indicated a lead dose-dependent weight reduction and revealed various pathological lesions. The extensive brain hemorrhages, as well as varying degrees of edema, were seen in stillborns and neonates, while prenatally sacrificed fetuses showed few or no petechial hemorrhages and no signs of edema. It is suggested that lead is involved in the parenchymal growth retardation and the endothelial changes in the prenatal brain, as well as the placental damage, and that prematurity, birth-associated mechanical stress and asphyxia contribute to or precipitate vascular lesions, which may form the basis of acute, or later apparent, neurobehavioral disturbances.

Animals↗

Bronchocarcinogenic properties of welding and thermal spraying fumes containing chromium in the rat.

The possible bronchocarcinogenic effects of fumes released during the shielded metal arc welding of stainless steel and the thermal spraying of chromium oxide (Cr2O3) have been studied on the rat. The fume particles were shown to contain tri- and hexavalent chromium in soluble and low soluble forms; they were collected and implanted as pellets in the bronchi of groups of 100 rats by the method of Laskin et al. A negative control group of 100 rats was included, as well as positive controls receiving pellets containing benz(a)pyrene. The experiment was continued for 34 months; no differences of biological significance were noted between the growth rates, survival times, and terminal organ weights of the test and negative control groups. At autopsy, the macroscopic and microscopic appearance of the organs in the three groups, including the local reaction to the implanted pellet, were similar. No precancerous changes were observed at the implantation sites; one rat, who received a pellet containing welding fumes, showed squamous cell carcinoma remote from the implantation site and not associated with the bronchus. It had the appearance of a metastasis. All three benz(a)pyrene control rats developed cancer at the implantation site. The occupational health implications of these findings are discussed.

Air Pollutants, Occupational↗

Monitoring of zinc protoporphyrin levels in blood following occupational lead exposure.

The value of measurements of zinc protoporphyrin in blood (ZPP) in the surveillance of workers occupationally exposed to lead has been studied. From a group of referents, consisting of 1,088 men and 511 women, it has been established that the normal mean ZPP is in the region of 25 micrograms/100 ml, and only rarely do values exceed 45 micrograms/100 ml. The higher ZPP values are frequently associated with low blood hemoglobin concentrations and appear to be manifestations of an iron-deficiency anemia. Women have higher ZPP values than men; smoking has no influence. Measurements of ZPP and blood lead concentration (PbB) have been made every other month for 2.5 years on a group of around 200 men and 40 women exposed to lead in a storage battery factory. The mean ZPP of the group throughout the period was 70.9 micrograms/100 ml blood, and a linear relation between log ZPP and PbB in the PbB range of 10-80 micrograms/100 ml has been established. ZPP thresholds in the control of excessive occupational lead exposure, and the economic advantage of ZPP measurements over PbB, are discussed.

Adolescent↗

Effects of lead exposure on pregnancy outcome and the fetal brain of squirrel monkeys.

Eleven pregnant squirrel monkeys were perorally exposed to lead during the latter two-thirds of pregnancy [mean blood lead 0.54 microgram/ml (2.61 mumol/l), range 0.39-0.82 microgram/ml (1.88-3.96 mumol/l)], at a dosing regime producing no maternal toxic symptoms. Lesions similar to lead encephalopathy and growth retardation of the fetal cerebrum were seen in some of the offspring, as well as neurological and behavioral symptoms at adult age. Cerebral lead levels in offspring (an abortion, stillborns, a sacrificed full-term fetus, and a neonatal death) were between 0.1-0.7 microgram/g. Pre- and perinatal mortality, and prematurity, was increased, and the size of the offspring at birth was reduced. The head circumference tended to be reduced postnatally. Zinc protoporphyrin in blood was determined in four of the pregnant monkeys; the mean values were between 0.58-1.05 micrograms/ml (0.93-1.68 mumol/l). These findings represent the first clearly prenatal brain damages described for experimental peroral lead exposure.

Animals↗

Low level benzene exposure in Sweden: effect on blood elements and body burden of benzene.

Measurements for benzene exposure were performed for different work places. In addition, breath benzene concentrations were measured in different occupations in order to establish toxico-kinetics of benzene in man; chromosomal aberrations in lymphocytes of exposed workers were also examined. Smoking appears to result in a large increase in benzene concentration in exhaled breath. The smoke from one cigarette contains 60-80 micrograms of benzene. It was found that exposure levels of 10 ppm are rather uncommon among workers handling gasoline or gasoline equipment. It was concluded that the gasoline load of road tankers cannot be responsible for chromosome changes of the driver, as milk truck drivers showed the same changes. These results did not prove that benzene was the cause of the observed changes. Smoking is the confounding factor, with a potency of at least the same order of magnitude as benzene. In addition, our present knowledge about mechanisms of benzene is not sufficiently developed to permit quantitative conclusions as to the human health risks.

Air Pollutants, Occupational↗

Treatment of acute methylmercury ingestion by hemodialysis with N-acetylcysteine (Mucomyst) infusion and 2,3-dimercaptopropane sulfonate.

A case of acute methylmercury ingestion was treated sequentially with oral D-penicillamine, hemodialysis during N-acetylcysteine (NAC) infusion, and 2,3-dimercaptopropane sulfonate (DMPS) an experimental oral agent. Urinary organic mercury elimination rate increased almost 40-fold during and 84-fold after hemodialysis with NAC infusion, compared with elimination during initial D-penicillamine therapy. Mean clearance during hemodialysis was only 13 ml/min with an extraction rate of 3.7 mcg/min. Although whole blood mercury concentrations decreased from 568 to 265 ng/ml during dialysis, a rebound to 525 ng/ml occurred. A total of 1.6 mg mercury was renally eliminated during hemodialysis and in the following 24 hours. A total of 3.3 mg of predominantly organic mercury was renally eliminated during 18 days of combined therapies. Since renal elimination of inorganic mercury is seen with chronic methylmercury poisoning, the high ratio of organic to inorganic mercury in urine supports the acute nature of this exposure. DMPS was begun on day 4 and during the two weeks of administration whole blood concentrations fell by 15% to 355 ng/ml. An expected decrease in elimination half-life to 10 days was not observed during DMPS therapy, possibly due to concurrent administration of vitamins containing zinc and copper. The amount of methylmercury ingested was estimated as 45 mg, based on a post-distribution blood concentration of approximately 450 ng/ml. The patient developed no symptoms of methylmercury poisoning during the one year after the episode. We conclude that NAC may be useful to enhance renal elimination of methylmercury and merits further investigation as a potential binding agent to reduce the body burden of methylmercury.

Acetylcysteine↗

Neurophysiological effects of lead exposure.

A series of neurophysiological variables was measured for men occupationally exposed to lead. The results were related to the degree of lead exposure and to the concentrations of lead and zinc protoporphyrin in blood. A small but significant correlation was observed between lead exposure and motor and sensory conduction velocities in the lower limbs, the conduction velocities of slow motor fibers in the upper limbs, and also sensory nerve action potentials. It is suggested that a neurophysiological examination should be considered in the surveillance of the health of lead workers.

Action Potentials↗

Lead levels determined in Swedish permanent teeth by particle-induced X-ray emission.

The determination of lead in permanent teeth is a useful measure of past exposure in early childhood since these teeth are mineralized in early childhood. Particle-induced X-ray emission (PIXE) analysis has been shown to be a method with good applicability for the contamination-free analysis of elements heavier than calcium in dental hard tissues. The method is rapid and nondestructive. The purpose of this study, which used the PIXE technique, was to survey the average level of lead in the coronal dentin of permanent bicuspid teeth collected in three places representing Swedish urban and rural areas. In addition teeth from the New York City area were analyzed. The material comprised 165 teeth from Sweden and, for comparison, 14 teeth from New York City. The median value of lead in the Swedish teeth was 2.9 micrograms/g, a value indicating an insignificant influence from the environment in comparison to the New York teeth, for which the median value was 9.2 micrograms/g. There was however a statistically significant difference in the lead concentration of teeth from large and small Swedish cities; this finding may reflect different automobile traffic intensity.

Adolescent↗

Chromosome changes in workers (smokers and nonsmokers) exposed to automobile fuels and exhaust gases.

The incidence of chromosome changes in men occupationally exposed to automobile fuels and exhaust gases was investigated. Blood samples were taken from the following four groups of 12 men: drivers of diesel-engine trucks, drivers of gasoline-engine trucks, automobile inspectors, and a reference group. The men in the groups were matched with respect to age, smoking habits, and length of time in their respective jobs. Chromosome preparations from lymphocytes were made and analyzed by standardized routine methods, and the frequencies of gaps, breaks, and sister chromatid exchanges were recorded. Statistical analysis of the results gave no evidence for a marked occupational effect, though there remains a grave suspicion that working with diesel motors may cause an increased level of chromosome changes. Smokers showed a significant or near significant increase in breaks, total aberrations, and sister chromatid exchanges over the nonsmokers in three of the groups. An analysis of the data revealed a weak positive correlation between the frequencies of chromosome breaks and sister chromatid exchanges in an individual.

Adult↗