Epidemiological studies have demonstrated that serum aflatoxin B1 (AFB1) is a hepatocarcinogenic mycotoxin and contributor to the high rate of hepatocellular carcinoma (HCC). The prevalence of liver cancer in Egypt is particularly worrisome. In a registry-based analysis of occupational risk for HCC, significant excesses were observed especially for grain mill workers. The aim of this study was to assess the hepatic carcinogenicity of AFB1 in wheat handlers. Serum AFB1/albumin (AFB1/Alb), alpha-fetoprotein (AFP), alpha-l-fucosidase (AFU), and arginase were estimated in exposed wheat handlers including millers and bakers. The control group was composed of non-occupationally exposed workers. AFB1/Alb and AFU were significantly higher among workers employed as bakers compared to mill workers and controls. Mill workers had higher levels of AFB1/Alb than the controls. AFB1/Alb, AFP, and AFU were all significantly higher and arginase was significantly lower among HCC cases compared to the other groups. There was a significant correlation between AFU and AFB1/Alb in bakers and between AFP and AFB1/Alb in HCC cases. Arginase was inversely correlated with AFB1/Alb in HCC cases. AFB1/Alb was significantly correlated with the duration of exposure in bakers. Wheat handlers exposed to Aspergillus flavus have a high risk of elevated serum AFB1/Alb levels and AFU.

BACKGROUND: Silicosis is the most frequently occurring pneumoconiosis.AIM: Measurement of serum levels of Angiotensin converting enzyme (ACE), Copper (Cu) and Ceruloplasmin (Cp) in cement workers occupationally exposed to silica dust as biomarkers of exposure rather than biomarkers of effect for silicosis.METHODS: Plain chest X-ray & pulmonary functions were done for 30 silicotic and 42 non-silicotic workers and 42 controls. CT scan was done for the exposed groups. Serum levels of Cu, Cp and ACE were estimated.RESULTS: The results showed a higher significant difference between the exposed groups and controls, and between the two exposed groups regarding the mean levels of all measured biochemical parameters. The pulmonary functions were significantly lower among silicotic workers than controls and non-silicotic groups. There was a significant positive correlation between duration of employment and serum ACE and Cu.CONCLUSION: Since respirable dust exposure-linked lung fibrosis disease is non-curable, the biochemical parameters (Cu, ACE and Cp) can be used as exposure biomarkers to silica dust, providing a better way for early diagnosis of this deadly disease. Down regulating the inflammatory responses could potentially reduce the adverse clinical pulmonary effects of air pollution.

BACKGROUND: Cadmium (Cd) is used in many industries. High-level exposure is associated with severe kidney and bone damage.AIM: This study investigates the possible effect of occupational cadmium exposure on parathyroid gland and some minerals in workers.METHODS: Environmental air monitoring of cadmium was done. Serum and urine cadmium levels, kidney function, some minerals, and plasma parathormone were estimated in the studied groups. RESULTS: The exposed workers had significantly higher Cd concentration in serum and urine than controls. The mean levels of plasma parathyroid hormone, serum phosphorus and magnesium were significantly lower among the exposed group. However, the mean levels of serum creatinine and calcium were significantly higher in the same group when compared to referents. There was a significant positive correlation between Cd concentration in the serum and urine for the exposed group. The biological Cd exposure indices correlated positively with serum calcium and negatively with plasma PTH level. The prevalence of musculoskeletal complaints, bone ache, joint pain and muscle spasm were more prevalent among the exposed workers compared with the controls with odds ratio 4.316, 3.053 and 3.103 respectively.CONCLUSIONS: Occupational cadmium exposure has an adverse effect on PTH level and serum human minerals.

The current study aimed to assess mobile phone usage intensity and evaluate potential oxidative stress exerted among mobile users then evaluate the effect of antioxidants supplement on oxidative stress status. Intervention study done on 150 students using mobile phones from both technical nursing institute and faculty of nursing, Cairo.University. Only (108) students completed to the post intervention phase. Questionnaire and assessment of electromagnetic field exposure from mobile phones was done. Malondialdyde, superoxide dismutase and catalase were measured pre and post supplementation. Mobile phones with two SIM cards, non-android mobiles and mobile phones owned by the medium users group had significant higher electromagnetic emissions. Malondialdyde was significant higher in high mobile users. Significant negative correlation between emissions from mobile phone and superoxide dismutase. After supplementation, significant improvement in superoxide dismutase and Catalase among both groups using mobiles (>5years and <5years), using one or two phones, using one or two SIM cards and in android mobile users. Moreover, Malondialdyde show significant reduction among non-android mobile users. It was concluded that exposure to low emissions from mobile phones could be fixed by dietary modification and increase antioxidant intake.