V Srb

Charles University in Prague, Praha, Hlavni mesto Praha, Czech Republic

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Publications (25)8.16 Total impact

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    ABSTRACT: During the occupational preventive care check up we investigated a group of 20 stainless steel welders and grinders in the factory producing technology for chemical industry. Results have been compared with 21 healthy persons--blood donors. In the group exposed there have not been discovered any marked deviations in either their health status, or in the CBC and biochemical screening results, though there had been found substantially increased chromium and nickel concentrations, mainly in grinders. Also the levels of polycyclic aromatic hydrocarbons were in some cases even higher than on the busy city crossing. The chromosome aberrations investigations proved to be very sensitive and confirmed that employees of the followed up factory are exposed to an increased genotoxic risk.
    Acta medica (Hradec Králové). Supplementum Universitas Carolina, Facultas Medica Hradec Králové 02/2001; 44(1):29-33.
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    ABSTRACT: Polycyclic aromatic hydrocarbons (PAH) represent dangerous environmental pollutants. Many of them have toxic and carcinogenic potential. Presented work summarizes most of available data on the absorption, metabolism and elimination of PAH. The second part of article contains descriptions and evaluations of toxicological studies and epidemiological investigations and provides conclusions, where possible, on the relevance of toxicity and toxicokinetic data to public health. In the third part of article, the populations with higher susceptibility to exposure to PAH are described and the influences of chemical interaction of PAH to biological effects are mentioned.
    Acta medica (Hradec Králové). Supplementum Universitas Carolina, Facultas Medica Hradec Králové 02/2000; 43(1):37-61.
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    ABSTRACT: Polycyclic aromatic hydrocarbons (PAH) represent an extensive group of ubiquitous environmental pollutants disposing of a considerable toxic and carcinogenic potential. According to the IARC data (International Agency for Research on Cancer), PAH represent the largest group of chemical carcinogens produced during combustion, pyrolysis and pyrosynthesis of organic matter. PAH can be identified in atmosphere, water, soil, food and other materials which are in daily contact which the general population. Presented work summarizes most of available data on the biological markers used to identify or quantify the exposure to PAH and on the biological markers used to characterize the effects caused by PAH. The digest of possibilities of reduction toxic effects of PAH concludes the work.
    Acta medica (Hradec Králové). Supplementum Universitas Carolina, Facultas Medica Hradec Králové 02/2000; 43(1):63-72.
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    ABSTRACT: Occupational environment monitoring and biological-medical monitoring of persons professionally exposed to welding fumes have been performed. Chromium, manganese and polycyclic aromatic hydrocarbons in welding fumes represents an important health risk. Pollutant concentrations found in metal welding fumes represented only fractions of those acceptable ones. Polycyclic aromatic hydrocarbons have been reached the concentration found in a busy road crossing in Hradec Králové (compared with these as in Czech Republic no maximum acceptable levels for PAHs having been declared). Family, personal and occupational history have been taken. Health state including total haematological count, biochemical and cytogenetical changes of 19 stainless steel welders were checked-up. The level of mercapturates in urine were examined as well. The data were statistically compared with those of non exposed (control group). No changes witnessing the above mentioned risk factors influence on the haematological, biochemical and cytogenetical findings were ever proved. In conclusion, our results did not confirm an increased professional risk in this group of welders.
    Acta medica (Hradec Králové). Supplementum Universitas Carolina, Facultas Medica Hradec Králové 02/1999; 42(2):65-9.
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    ABSTRACT: Polycyclic aromatic hydrocarbons (PAHs) represent danger ubiquitous environmental pollutants. A lot of them have toxic and carcinogenic potential. Presented work summarises most of available data describing properties, origin and occupational and non-occupational sources of PAHs. Contamination of environment is described separately for air, water, soil, sediments and food. Possibilities of occupational and non-occupational exposure of persons are discussed and populations with potentially high exposures to PAHs are defined. The work is concluded by digest of regulations and guidelines regarding environmental contamination of PAHs.
    Acta medica (Hradec Králové). Supplementum Universitas Carolina, Facultas Medica Hradec Králové 02/1999; 42(2):77-89.
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    ABSTRACT: The immune reactivity of stainless steel welders (n = 22-53) was evaluated in a three year's study. The results (phagocytic activity, cellular and humoral immunity) were statistically compared with those in control group of non-exposed persons from the same plant (n = 14-23) and with long-term laboratory reference values (LRV) (n = 14-311). In welders several changes were found when compared to the LRV: in humoral response there were higher prealbumin, lysozyme, circulating immune complexes and lower IgG. In phagocytic tests there were lower ingestion, bactericidal activity and higher metabolic activity of peripheral mononuclear leucocytes. In cellular immunity the marked lymphocytosis, higher counts of T-lymphocytes, CD4+ and CD8+ lymphocytes were noticed. After lowering the concentrations of metals in the working area there were trends to normal values in some parameters [relative numbers of T-lymphocytes, relative number of CD4+ lymphocytes, phagocytic activity, metabolic activity of leucocytes (INT index), IgA, complement C3, transferrin]. The extent and the length of the exposure to welding fumes, smoking and changed conditions at working place were followed as well.
    Central European journal of public health 03/1998; 6(1):51-6. · 0.80 Impact Factor
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    ABSTRACT: Human health is determined by the interplay between heredity and the environment. Air, water, food and soil contain chemical, physical and biological agents some of which are known to be harmful to health. Chemical substances that pose the risk to human health and safety and to the environment are subject to governmental regulation. The regulatory decision-making process and regulatory actions are based on two distinct elements: risk assessment and risk management. Air pollution (outdoor, indoor) is a world problem afflicting densely populated urban centers and heavily industrialised areas. Industrialization and the widespread use of chemicals coupled with modern intensive agricultural practices have raised a global concern about the contamination of soil and water. Three categories of environmental chemical contaminants generally occur in food--natural and synthetic organic compounds and traces of toxic metals. Human health protection against chemical exposure can be realised in three ways. Environmental monitoring assesses exposure to a chemical agent by measuring its concentration in the environment (i.e., air, soil, food, water). Biological monitoring assesses internal exposure to a chemical agent by measuring the chemical, its metabolites or nonadverse biological response in body fluids, tissues, expired air or excreta. Health surveillance entails the periodic medical examinations of exposed humans with the purpose of protecting health and preventing disease.
    Acta medica (Hradec Králové). Supplementum Universitas Carolina, Facultas Medica Hradec Králové 02/1998; 41(1):39-47.
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    ABSTRACT: In this paper we described the biological monitoring as a capable exposure assessment tool that has provided important information used in public health decisions. Biological monitoring is based on determination of biological markers of exposure which are presented as the quantity of a chemical substance or its metabolites or as the deviation of biological parameters (enzyme activity etc.) induced by this substance in exposed humans. The greatest advantage of biological monitoring is the fact that the biological marker of exposure is more directly related to the adverse effects than any environment measurement. Another advantage of biological monitoring is based on the reality that the nonoccupational background exposure (leisure activity, residency, dietary habits, smoking, etc.) may also be expressed in the biological level. Biological parameters can be unfortunately affected by various factors that influence the fate of xenobiotic in vivo. The "BEL" (BTV-biological tolerance value for occupational exposures) is defined as the maximum permissible quantity of a chemical substance or its metabolites or the maximum permissible deviation from the norm of biological parameters during or after exposure. It should be subject to regular revision in the light of new scientific data.
    Acta medica (Hradec Králové). Supplementum Universitas Carolina, Facultas Medica Hradec Králové 02/1998; 41(1):49-54.
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    ABSTRACT: Health status indicators in 3 groups of workers professionally exposed to fibrous materials and 1 control group have been followed. In spite of the fact that asbestos as a compound of friction elements has been forbidden and replaced by non-asbestos materials, quite important changes in peripheral lymphocytes aberrations we found in persons working with these new materials.
    Acta medica (Hradec Králové). Supplementum Universitas Carolina, Facultas Medica Hradec Králové 02/1997; 40(2):107-11.
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    ABSTRACT: A short history of the close connections between human health an ambient environment (environmental health) in the global and national (Czech Republic) sense is presented. Concrete tasks and prospects for the near future are mentioned, including the human ecology education programme.
    Central European journal of public health 01/1997; 4(4):250-1. · 0.80 Impact Factor
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    ABSTRACT: Health state, as well as hematological, biochemical and cytogenetical changes of 53 stainless steel welders were checked-up. Results were compared to those of non exposed persons (control), and to a group of firemen. Urine metals concentrations correlated with the welding fumes density. In the majority of welders typical complaints appeared: aqueous nasal secretion of a clogged nose feeling. Only some of workers suffered from a metal vapours fever. No changes witnessing the above mentioned risk factors influence on the hematological and biochemical findings were ever proved. Cytogenetical analysis confirmed an increased genetic risk.
    Sborník vědeckých prací Lékařské fakulty Karlovy univerzity v Hradci Králové. Supplementum 02/1993; 36(1-2):21-7.
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    ABSTRACT: The artificial drinking water fluoridization provided as a mass preventive measure against dental decay poses another substantial problem which is a possibility of genotoxic action. Up to this date, this matter remains still obscur and is discussed with more or less intensity from time to time. The mentioned fact supported authors to study the impact of short-term 24 hrs sodium fluoride (NaF) action in concentration range of 0-500 mg.1(-1) drinking water in the frame of so-called minimal testing set (analysis of chromosomal aberrations in human peripheral lymphocytes, Ames test). For the initial NaF concentration applied, the reference value of 1 mg per 1 liter artificial fluoridization was estimated. The use of Ames test with TA 98 and TA 100 Salmonella typhimurium (+/- S9) strains showed no significant increase in revertants responsible of NaF mutagenic activity in any of applied concentrations (0-1300 mg per 1 Petri dish; = 0-520 mg.l-1 converted to the basic supplementative dose). Cytogenetic analysis of peripheral lymphocytes showed more sensitivity than prototrofic salmonella test. Yet one order higher NaF concentration than its application norm 1 mg.l-1 (i.e. 11 mg.l-1) has induced the occurrence of 3.8% ABB after single addition for 24 hrs to the "healthy" blood cultivated in vitro at short-term. This accounts for a value close to the level of statistically significant difference with regard to the application norm recommended. This level has been even exceeded as for a total count of fragments and exchanged parts. Thus the two orders higher NaF concentration (110.0 mg.l-1) resulted in a strong increase of cells with chromosomal aberrations for all of indicators observed; e.g. 27.5% ABB. Based on literary sources, obtained results and properly experience in practical proceeding artificial fluoridation, the authors concluded that the latter is not adequate to the up-to-date status of knowledge. Besides of economical and technical problems, those scientific are mainly concerned with making doubtful the auto-presumed genotoxic inertness for chronic users of fluoridated drinking water. Author's opinion is that when necessarily provided, the artificial fluoridization of drinking water should be proceeded selectively (in accord with real requirements of an appropriated population group, its age structure and location), temporarily and with intermittent checkout of fluoridization application regimen. To conclude, authors recommend further observation with use of biological model situations in vivo.
    Sborník vědeckých prací Lékařské fakulty Karlovy univerzity v Hradci Králové. Supplementum 02/1992; 35(3):219-42.
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    ABSTRACT: During the period of 1983-1985, in two of apprentice schools of P. town the health disorders were investigated in the total of 82 apprentices 15-18 years old from the environment with elevated concentrations of formaldehyde and toluene. The study was contrasted with a control total of 42 apprentices. Cytogenetical examination has been performed, and selected immunological parameters in both blood serum and saliva have been assessed with red and white blood cells counts including differential formula of white blood cells. In addition, the atmospheric toxicity of formaldehyde and vapours of organic solvents (toluene, xylene, varnish naphtha) was measured. A single biological exposure test has been performed for the detection toluene. Statistically significant were differences in occurrence of cell chromosomal aberrations between the group of long term formaldehyde and toluene exposure (averagely 3.53% ABB) and controls (2.21% ABB) as obtained in 1983 and 1984, and so were differences between the long term-to-toluene exposed group (3.30% ABB) and the above mentioned control group as obtained in 1984. No similar results were stated between the long term-to-formaldehyde exposed (3.07% ABB) and control (2.55% ABB) groups in 1985. The main evidence consisted in finding the genotoxical/clastogenic effect of observed agents associated with mainly chromosomal abnormalities of chromatide type. It outflowed from the determination of selected serum proteins (Ig and acute phase proteins) and salivary lysozyme that the group under the combined influence of formaldehyde and toluene showed significantly lower IgG and higher alpha-1-antitrypsin (A1AT). The group at risk of toluene was characteristical in elevated concentrations of alpha-2-macroglobulin (A2M) and A1AT. Most pronounced changes in first year had been revealed through the evaluation of the influence of the duration at risk (significant decrease in IgA and prealbumin, and the increase in A2M and A1AT). The infectious disease as experienced 2 month prior the collection resulted in a significant decrease of IgM, A2M and A1AT in risky groups in individuals with infection in anamnesis. Salivary lysozyme concentration of apprentice environmentally exposed to formaldehyde in the noon showed the decrease, whereas its increase occurred in controls with the difference on 5% significancy level. Blood count assessements showed no significant differences between the investigated values as well as any were assessed between the incidence of health disorders of apprentices and their correspondance to the given group.
    Sborník vědeckých prací Lékařské fakulty Karlovy univerzity v Hradci Králové. Supplementum 02/1991; 34(4):407-76.
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    ABSTRACT: The micronucleus test is one of the alternative procedures of cytogenetic analysis. Its modification with the use of cytochalasine B (Calbiochem AG) ensures safely the recording of changes of the genetic apparatus in the first cellular cycle after an attack of a mutagenic agent on human peripheral lymphocytes. The authors elaborated a reproducible modification of the original work of Fenech and Morley--published in this country by Kocisová and Srám--and describe in detail its individual steps. The cytochalasine MN-test which should become part of obligatory standard procedures of Czechoslovak preventive health services (formerly hygiene service) is thus open to confirmation.
    Casopís lékar̆ů c̆eských 11/1990; 129(40):1271-2.
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    ABSTRACT: Cytostatic effect of Iproplatinum (CHIP, cis-dichlorotrans-dihydroxy-bis-isopropylaminoplatinic complex) and Oxoplatinum (oxo-Pt, cis-diamin-dichloro-trans-dihydroxyplatinic complex) is studied as influencing genetic structures of in vitro human peripheral lymphocytes. Both mentioned substances are classed as prospective cytostatics with satisfactory effect on various tumors, and both undergo now preclinical tests in our country. They are supposed to cause less undesired side effects in comparison with previous preparation of this range--cisplatinum (cis-DDP; Platidiam). The genotoxicity of both substances is examined using the short-term test (72 hrs.), which means a cultivation of raw human peripheral blood modified according to Macek (1965). To set the testing scheme, five concentrations of substances (0, 5, 12, 60 and 120 mumol.l-1) were selected as well as three time intervals of action of a substance (3, 6 and 24 hrs.) prior the expiration of cultivation time, i.e. before the mitotic cycle stop in c-metaphase. Concentrations were determined estimating cisplatinum's dosage to patients. The concentration value 120 mumol.l-1 responds in theory to a single therapeutic dose administration of Platidiam. However, in praxis this concentration is never achieved in organism (resp. protein-binding effect). In accordance with mice LD50 values, both the Iproplatinum and Oxoplatinum showed experimentally 10 times less toxicity than cis-DDP. Cytogenetic changes were evaluated by microscopy in peripheral lymphocytes (predominantly the occurrence of chromosome abnormalities in metaphase), and mitotic activity was as well identified.
    Sborník vědeckých prací Lékařské fakulty Karlovy univerzity v Hradci Králové. Supplementum 02/1989; 32(4):319-51.
  • Sborník vědeckých prací Lékařské fakulty Karlovy university v Hradci Králové 02/1987; 30(3):337-411.
  • V Srb, E Kubzová
    Sborník vědeckých prací Lékařské fakulty Karlovy univerzity v Hradci Králové. Supplementum 02/1987; 30(4):475-83.
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    ABSTRACT: Platinum-based preparations, the commercially available Platidiam (Lachema, Brno; cis-diaminodichloroplatinum) and the second generation experimental version--ethylmalonate platinum complex--EM-Pt (Institute of Macromolecular Chemistry, Czechoslovak Academy of Sciences, Prague) were left to act 3, 6 and 24 h on human peripheral blood lymphocytes, cultured in vitro for a short period of time. The utilized concentrations affected cell mitosis, provoking chromosome aberrations. A relationship was found between the effect of the concentration employed and the duration of action of the agent. cis-DDP proved to be a more powerful clastogenic agent than EM-Pt. Under in vitro conditions, neither of the two cytostatics required metabolic activation to trigger its action.
    Neoplasma 02/1986; 33(4):465-9. · 1.64 Impact Factor
  • Sborník vědeckých prací Lékařské fakulty Karlovy univerzity v Hradci Králové. Supplementum 02/1986; 29(1-2):9-62.
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    ABSTRACT: Analyses of mitotic activities and chromosome aberrations in lymphocytes of human peripheral blood have been utilized to evaluate 24-hour cytotoxic and genetic effect of various concentrations (0, 12, 60, 120, 240, 360 mumol l-1) of ethylmalonate platinum (EM-Pt) in vitro. EM-Pt was found to exert a mutagenic action, to have the character of a clastogenic agent and to affect primarily the G1-phase of the cellular cycle. Its activity may be affected by the concentration of the agent: a direct dependence was observed as regards occurrence of chromosome aberrations and an indirect one with regard to values of mitotic activity and cytotoxicity.
    Neoplasma 02/1986; 33(5):615-20. · 1.64 Impact Factor