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11. Blood cell gene expression profiles: A narrative review of biomarkers and effects of low-dose ionizing radiation exposure

Author

Panera, Nadia, Camisa, Vincenzo, Brugaletta, R., Vinci, Maria Rosaria, Santoro, A., Coscia, E., Pastore, A., Cannata, V., Gobba, F., Modenese, A., Chirico, Francesco, Magnavita, Nicola, Alisi, A., Zaffina, Salvatore, Panera N., Camisa V., Vinci M. R., Chirico F., Magnavita N. (ORCID:0000-0002-0988-7344), Zaffina S. (ORCID:0000-0002-8858-5423), Panera, Nadia, Camisa, Vincenzo, Brugaletta, R., Vinci, Maria Rosaria, Santoro, A., Coscia, E., Pastore, A., Cannata, V., Gobba, F., Modenese, A., Chirico, Francesco, Magnavita, Nicola, Alisi, A., Zaffina, Salvatore, Panera N., Camisa V., Vinci M. R., Chirico F., Magnavita N. (ORCID:0000-0002-0988-7344), and Zaffina S. (ORCID:0000-0002-8858-5423)

Abstract

Ionizing radiation (IR) is a ubiquitous environmental agent whose effects on organisms are well known. This review pro-vides a summary about definitions and man-made low-dose ionizing radiation (LDIR) sources and dosimeters used in radiation protection. Moreover, the main purpose of this article was to overview the pro-oncogenic effects of LDIR, and to provide experimental evidence that reinforce the use of gene expression data as biomarkers of LDIR effects. Our review showed that basic studies on biological response to LDIR are considered priority. Further, understanding occupational exposure to LDIR may provide valuable information to organize the prevention and prevent from the onset of long-term health effects in radiation workers. Currently, the biodosimetry-based assessment in certain high-risk occupational groups may be performed by using peripheral blood cells as samples for testing and validation of biomarkers specificity and sensi-tivity. Most of the studies on this topic are aimed at establishing new biomarkers and approaches to biological dosimetry, for allowing non-invasive monitoring of long-term health effects of LDIR. Analysis on changes in gene-expression, which is an early specific biological response to LDIR, could provide rapid estimates of individual dose in occupational cohorts, improving the management of periodical medical examination in subjects exposed to LDIR sources.

Published
2021

14. Protezione dei lavoratori dai campi elettromagnetici (CEM) e sorveglianza sanitaria: dati preliminari di una ricerca nell’ambito del Bando INAIL Ricerche in Collaborazione (BRiC) 2016

Author

Modenese, A., Carlotti, D., Contessa, G. M., D'Agostino, S., Falsaperla, R., Grandi, C., Lopresto, V., Pinto, R., Polichetti, A., Pozzi, R., Gobba, F. M., Modenese, A., Carlotti, D., Contessa, G. M., D'Agostino, S., Falsaperla, R., Grandi, C., Lopresto, V., Pinto, R., Polichetti, A., Pozzi, R., and Gobba, F. M.

Published
2019

16. Personal solar ultraviolet radiation dosimetry in an occupational setting across Europe

Author

Wittlich, M., primary, John, S.M., additional, Tiplica, G.S., additional, Sălăvăstru, C.M., additional, Butacu, A.I., additional, Modenese, A., additional, Paolucci, V., additional, D'Hauw, G., additional, Gobba, F., additional, Sartorelli, P., additional, Macan, J., additional, Kovačić, J., additional, Grandahl, K., additional, and Moldovan, H., additional

Published
2020
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17. Risk of cataract in health care workers exposed to ionizing radiation: a systematic review

Author

Vecchia, E. D., Modenese, A., Loney, T., Muscatello, M., Paulo, M. S., Rossi, G., and Gobba, F.

Subjects
genetic structures, interventional fluoroscopy, Health Personnel, dosimeter, Cataract, Radiation, Ionizing, Lens, Crystalline, interventional radiology, Humans, Healthcare workers, occupational injury, Radiation Injuries, dosimetry, Dosimeter, Dosimetry, Interventional fluoroscopy, Interventional radiology, Ionizing radiation, Occupational exposure, Occupational injury, Radiation, Radiation effects, Radiation protection, Radiation workers, Radiation-induced cataract, Radiologist work-related injury, Radiology, Occupational Exposure, radiation workers, occupational exposure, eye diseases, radiology, radiation, radiologist work-related injury, radiation effects, Original Article, radiation-induced cataract, sense organs, ionizing radiation, radiation protection
Abstract

Background: The eye is an important sensory organ occupationally exposed to ionizing radiation (IR) in healthcare workers (HCWs) engaged in medical imaging (MI). New evidence highlights the possible induction of cataract at IR exposure levels to be much lower than expected in the past. Objective: Conduct an updated review on the current evidence on cataract risk in healthcare workers exposed to IR. Methods: Published scientific studies on cataract risk in IR exposed healthcare workers were collected through a systematic search of two biomedical databases (MEDLINE and Scopus). Data from included studies was extracted and summarized. Study quality was also assessed. Results: All 21 eligible studies reported an increased prevalence of cataract, especially posterior subcapsular cataract, in IR exposed HCWs with a higher prevalence in interventional cardiology staff. Discussion: Our review synthesizes the latest evidence to support the hypothesis of a significantly increased risk of occupational cataract in healthcare workers operating MI and exposed to IR, especially in interventional cardiologists. Data also support a dose-response relationship between IR exposure and the prevalence of opacities, especially posterior subcapsular opacities. Conclusions: Findings highlight the need for effective control measures including appropriate training, adherence to protective procedures, and a constant use of shields and eye personal protective equipment in healthcare workers with optical exposure to IR. Periodic health surveillance programs, possibly including lens evaluation, are also important to monitor cataract risk in these MI operators.

Published
2019

18. Sun protection habits and behaviors of a group of outdoor workers and students from the agricultural and construction sectors in north-Italy

Author

Modenese, A., Loney, T., Ruggieri, F. P., Tornese, L., and Gobba, F.

Subjects
Farmers, Skin Neoplasms, integumentary system, construction industry, students, Ultraviolet Rays, Health Behavior, risk reduction behavior, occupational exposure, Occupational exposure, Construction industry, Risk reduction behavior, Students, Ultraviolet rays, Habits, Italy, Sunlight, Humans, Original Article
Abstract

Background: Despite the relevant frequency of ultraviolet induced adverse health effects in workers, solar ultraviolet radiation (UVR) exposure is an occupational risk not adequately minimized in Italy. Objective: To assess the characteristics and prevalence of sun exposure habits and behaviors in a group of students and outdoor workers (OW) from the agricultural and construction sectors of a north-Italian region. Methods: Based on a previously developed standardized questionnaire, we collected full information on individual sun exposure habits at work and during leisure activities. Results: In 2018, 380 high school students and OW from the agricultural and construction sectors participated in a sun-safety campaign. More than a third (39.0%) of OW reported never using sunglasses, 52.8% never applied sunscreens at work, and a quarter never wear a UV protective hat. Considering leisure-time, students reported more frequent sunburns compared to OW: 25.0% vs. 13.8%; half (51.6%) of students and a third (36.4%) of OW reported never wearing a UV protective hat. A third (30.1%) of students and 37.2% of OW never or only seldom applied sunscreens on holidays. Discussion: The majority of OW in our study reported poor protective solar exposure habits. Young students of the construction and agricultural sectors indicated even worse sun-protective behaviors, both during apprenticeship and leisure activities. Our study highlights the low health literacy related to solar UVR in OW and apprentices. Further educational initiatives are required in Italy to improve the adoption of protective behaviors during outdoor activities.

Published
2019

21. Global evidence on occupational sun exposure and keratinocyte cancers: a systematic review.

Author

Loney, T., Paulo, M.S., Modenese, A., Gobba, F., Tenkate, T., Whiteman, D.C., Green, A.C., and John, S.M.

Subjects
OCCUPATIONAL exposure, SOLAR ultraviolet radiation, BASAL cell carcinoma, SQUAMOUS cell carcinoma
Abstract

Summary: Individual studies have suggested that the association between occupational exposure to solar ultraviolet radiation (UVR) and the development of keratinocyte cancers (KCs) may only be valid in populations of European ancestry living in certain geographical regions. Comparative global data are scarce and so this review aimed to summarize current evidence on the association between occupational exposure to solar UVR and the development of KCs, with a specific focus on geographical location and skin colour. Ovid MEDLINE, PubMed, Embase and Web of Science were searched for potentially relevant records. Extracted data were summarized by study, country and region. We included one prospective cohort study and 18 case–control studies (n = 15 233) from 12 countries in regions where the majority of the population is white skinned (Americas, Europe and Oceania). Eighteen of the 19 studies reported effect estimates suggesting an increased risk of basal cell carcinoma (BCC) and/or squamous cell carcinoma (SCC) among outdoor workers. Only 11 studies found a significantly increased risk and many had imprecise estimates. There was a significantly increased risk of BCC and SCC in individual studies in North America, Latin America and the Caribbean, Western Europe and Southern Europe, but not across regions or countries. Overall, 95% of studies reported higher risks among outdoor workers, although the increases in risk were statistically significant in just over half of the studies. Well‐designed and sufficiently powered occupational case–control and cohort studies with adequate adjustment for confounding factors and other risk factors are required to provide more accurate risk estimates for occupational KC. [ABSTRACT FROM AUTHOR]

Published
2021
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40. Linee Guida per la Sorveglianza Sanitaria in agricoltura

Author

COLOSIO C, ANGOTZI G, ARIANO E, BORGHESI S, BOVENZI M, DE VITO G, GERARDI D, GOBBA F, L'ABBATE N, LUCCHINI R, MASO S, MATTIOLI S, MORETTO A, MUSTI M, OCCHIPINTI E, PERETTI A, RIVA MA, ROMEO L, RONCHESE F, RUBINO F, SALDUTTI E, SIMONELLI A, SOMARUGA C, VELLERE F, VITELLI N., MIRAGLIA, Nadia, SANNOLO, Nicola, Colosio, C, Angotzi, G, Ariano, E, Borghesi, S, Bovenzi, M, DE VITO, G, Gerardi, D, Gobba, F, L'Abbate, N, Lucchini, R, Maso, S, Mattioli, S, Miraglia, Nadia, Moretto, A, Musti, M, Occhipinti, E, Peretti, A, Riva, Ma, Romeo, L, Ronchese, F, Rubino, F, Saldutti, E, Sannolo, Nicola, Simonelli, A, Somaruga, C, Vellere, F, and Vitelli, N.

Published
2013

41. Linee guida per la sorveglianza in agricoltura

Author

Colosio, C, Angotzi, G, Ariano, E, Borghesi, S, Bovenzi, M, Gerardi, D, Gobba, F, L’Abbate, N, Lucchini, R, Maso, S, Mattioli, S, Messineo, A, Miraglia, N, Moretto, A, Musti, M, Occhipinti, E, Peretti, A, Romeo, L, Ronchese, F, Rubino, FM, Saldutti, E, Sannolo, N, Simonelli, A, Somaruga, C, Vellere, F, Vitelli, N., DE VITO, GIOVANNI, RIVA, MICHELE AUGUSTO, Colosio, C, Angotzi, G, Ariano, E, Borghesi, S, Bovenzi, M, DE VITO, G, Gerardi, D, Gobba, F, L’Abbate, N, Lucchini, R, Maso, S, Mattioli, S, Messineo, A, Miraglia, N, Moretto, A, Musti, M, Occhipinti, E, Peretti, A, Riva, M, Romeo, L, Ronchese, F, Rubino, F, Saldutti, E, Sannolo, N, Simonelli, A, Somaruga, C, Vellere, F, and Vitelli, N

Subjects
MED/44 - MEDICINA DEL LAVORO, Agriculture
Published
2013

42. Risk of repetitive movements in health care personnel

Author

Gobba F, Bacis M, Capodaglio E, De Michieli P, Occhionero V., LARESE FILON, FRANCESCA, Gobba, F, Bacis, M, Capodaglio, E, De Michieli, P, LARESE FILON, Francesca, and Occhionero, V.

Subjects
health care worker, repetitive movements, health care workers
Published
2010

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