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At least 199 records · Page 11Linked to original sources

Non-invasive radiation-free monitoring of regional lung ventilation in critically ill infants.

OBJECTIVE: Established techniques used to examine lung function in critically ill infants cannot continuously follow regional aspects of lung ventilation although this information would be beneficial for proper therapy planning. We have studied the applicability and clinical relevance of a relatively new non-invasive radiation-free imaging method, electrical impedance tomography (EIT), in monitoring regional lung function in paediatric intensive care patients. DESIGN: Prospective study. SETTING: Neonatal and paediatric intensive care unit (ICU) at a university hospital. PATIENTS: Eight infants (1 day-7 years old) suffering from miscellaneous diseases requiring intensive care therapy. INTERVENTIONS: Adjustment of ventilator settings, surfactant administration, and postural changes. MEASUREMENTS AND RESULTS: Repeated EIT measurements were performed with the intention to monitor regional lung ventilation in mechanically ventilated and spontaneously breathing infants. The follow-up time ranged between 1 and 11 days. During individual EIT measurements of 100-s duration electrical voltages resulting from repetitive injection of small electrical currents were continuously measured on the thoracic circumference using conventional surface electrodes. Acquired data were used to generate functional cross-sectional thoracic images of regional lung ventilation. A total of 638 EIT measurements were performed. The redistribution of lung ventilation and changes in regional ventilation magnitude resulting from adjusted positive end-expiratory pressure, peak inspiratory pressure, inspiration-expiration ratio, surfactant instillation, and prone or supine positioning were identified. CONCLUSIONS: Provided that EIT hardware and software are further developed to guarantee stable and undisturbed measurements in the ICU and that practical handling is improved, this non-invasive method may become a useful bedside monitoring tool of regional lung ventilation in critically ill infants.

Child↗

Proposal for a new radiation dose control system for future manned space flights.

Radiation risk on a future long-duration manned space mission appears to be one of the basic factors in planning and designing the mission. Since 1988 different active dosimetric investigations has been performed on board the MIR space station by the Bulgarian-Russian dosimeter-radiometer LIULIN and French tissue-equivalent proportional counters CIRCE and NAUSICAA. A joint French-Bulgarian-Russian dosimetry experiment and the dosimetry-radiometry system RADIUS-MD have been developed for the future MARS-96 mission. On the base of the results and experience of these investigations a conception for a new radiation dose control system for the future orbital stations, lunar bases and interplanetary space ships is proposed. The proposed system which consists of different instruments will allow personal radiation control for crew members, radiation monitoring inside and outside each habitat, analysis and forecasting of the situation and will suggest procedures to minimize the radiation risk.

Cosmic Radiation↗

Monitoring the radiation dose to a multiprogrammable pacemaker during radical radiation therapy: a case report.

Multiprogrammable pacemakers, using complimentary metaloxide semiconductor (CMOS) circuitry, may fail during radiation therapy. We report about a patient who received 6,400 cGy for unresectable carcinoma of the left lung. In supine treatment position, arms raised above the head, the pacemaker was outside the treated area by a margin of at least 1 cm, shielded by cerrobend blocking mounted on a tray. From thermoluminescent dosimeter (TLD) measurements, we estimate that the pacemaker received 620 cGy in scatter doses. Its function was monitored before, during, and after completion of radiation therapy. The pacemaker was functioning normally until the patient's death 5 months after completion of treatment. The relevant electrocardiograms (ECGs) are presented.

Aged↗

Radiation dose monitoring in a breast cancer patient with a pacemaker: a case report.

A pacemaker-bearing patient with left-sided breast cancer was treated with adjuvant external beam radiation therapy to the intact breast. She was treated via tangential fields and a single anterior supraclavicular field using 6-MV x-rays. The pacemaker, originally in the treatment field, was removed and a new one placed 4 cm outside the radiation field prior to treatment. Silicon diode chamber Keithley-Farmer type 0.6 cc ionization chamber, and lithium fluoride (LiF) (TLD) chips were used to measure, in vivo, the dose to the pacemaker. From all the fields treated, total dose to the pacemaker was 164 cGy by diode measurements, 182 cGy by ionization chamber measurements, and 171 cGy by TLD measurements. The pacemaker functioned normally throughout the course of treatment.

Aged↗

A consistency monitor for radiation therapy treatments.

A thin, large area transparent transmission chamber mounted below the accessory tray is described and its suitability for daily treatment delivery consistency is investigated. The sensitivity of the detector to changes in monitor unit setting, field size, wedge size, missing blocks, and wedges is presented. Some of the other potential applications are also discussed.

Humans↗

Preliminary calculations and radioprotection considerations on prompt and delayed radiation from the DD-operated Frascati Tokamak Upgrade Tokamak.

This work presents a preliminary evaluation of the expected dose rate levels from prompt and delayed radiation around the Frascati Tokamak Upgrade (FTU) Tokamak machine, a future fusion experimental device operated with 2H. Great care is devoted to the machine, activation. The dose rate levels from activated materials are calculated by an ad hoc code, based on a priori semi-empirical evaluations of the neutron spectra and fluences. The most relevant nuclides contributing to the dose at different cooling times are identified. Finally, the radiation shielding design, the radiation monitoring system and the safety system are discussed.

Nuclear Energy↗

Staff exposure to ionizing radiation in a major trauma centre.

BACKGROUND: The purpose of the present paper was to determine the safety of staff members with regard to ionizing radiation in a major trauma centre in a 19-month period. METHODS AND RESULTS: A group of five doctors, five nurses and a trauma orderly wore personal radiation monitors under lead aprons while at work. The highest individual cumulative result after 586 days was 0.18 mSv for a nurse. If the exposure rate to ionizing radiation was constant, this would be equivalent to 0.114 mSv per year. Therefore the results are well below the recommended occupational dose limit of 20 mSv per year. CONCLUSION: Wearing of lead aprons during trauma resuscitation appears to be safe and provides adequate protection.

Australia↗

The use of Cerenkov radiation for monitoring reactions performed in minute volumes: examples from recombinant DNA technology.

A method in which minute volumes of initially unknown size are used to monitor reactions has been developed. It is applicable whenever 32P-labeled substrates can be distinguished from 32P-labeled products by a filter assay. Three determinations are required: the Cerenkov radiation emitted (1) by the unknown aliquots affixed to filters and dried; (2) by the identical filters after processing to remove either substrates or products; and (3) by a precisely measured, necessarily much larger, aliquot in solution. Given the value obtained in (3) and the efficiency with which Cerenkov radiation can be detected in the dry state (25%) compared with the liquid state (56%), the unknown volumes, together with their acid-insoluble radioactivity, can be calculated from (1) and (2), respectively. Since the known volume counted in solution is not lost to further manipulations, the entire procedure uses less than 0.5 microliter.

DNA, Recombinant↗

Intensity/frequency indicator for detection in space: the high values of the incident solar or laser optical radiation in comparison with the appropriate maximum permissible exposure.

The solar or laser optical radiation impact to humans in space depends on the intensity, on the exposure type (direct or indirect) & duration and on the matching of radiation wavelength to tissue characteristics. The main protection factor in space is the application of exposure limits. This paper describes the main biological optical interaction parameters, the optical exposure hazards and the development of a small active lightweight indicator, with output beeper rate depended to the ratio of optical irradiance/exposure limit. The indicator may be used as warning element on the side of helmets, goggles, spectacles, etc, with low power consumption. Electronically the indicator is an intensity/frequency converter, based on the value of the ratio of exposure/exposure limits, with audio & light beepers like the indication output of the ionizing (radioactive) radiation monitors.

Electronics↗

Cancer risk in space due to radiation assessed by determining cell lethality and mutation frequencies of prokaryotes and a plasmid during the Second International Microgravity Laboratory (IML-2) Space Shuttle experiment.

We participated in a space experiment conducted during the 2nd International Microgravity Laboratory Mission (IML-2) project. The aim of our study was to investigate the effects of space radiation, i.e., high-LET (linear energy transfer) cosmic radiation, on living organisms in the 'Realtime Radiation Monitoring Device (RRMD)'. The biological samples, dried E. coli DNA repair-deficient mutant cells and shuttle vector plasmid pZl89 DNA, were prepared and placed in a biospecimen box sandwiched between 'Harzlas' plastic radiation detectors. This box was then loaded into the RRMD sensor unit in the Space Shuttle 'Columbia' and an identical box was left in the NASA John F. Kennedy Space Center (KSC) as a control. 'Columbia' (flight No. STS-65) was launched from KSC in Florida, USA on July 8, 1994. The mission duration was 14.75 days and after 'Columbia' returned to earth, we studied (i) the lethal and mutagenic effects of high-LET cosmic radiation on E. coli mutants and (ii) the relationship between high-LET cosmic radiation and the mutation frequency of pZ189 DNA. There were virtually no differences between the cell viabilities of the space and control samples of Escherichia coli KMBL3835 (wild-type), KY383 (lexA-), KY385 (recA-) and KY386 (uvrA-), nor between the mutation frequency ratios of the space and control E. coli mutant samples. Furthermore, the survival and mutation frequency of the supF gene of pZ189 DNA space samples did not differ from those of the control samples. We concluded there was no cancer risk during this Space Shuttle flight.

Cosmic Radiation↗

[Hygienic requirement for calculation the protection, radiation control and control of the exploitation parameters for the X-ray equipment].

Comments are provided for a number of provisions of Sanitary Rules and Norms 2.6.1.1192-03 (Hygienic Requirements to the Arrangement and Functioning of X-ray Examination Rooms and to X-ray Procedures) related with detailing the demands to calculating the radiation protection, radiation monitoring and to monitoring the exploitation parameters of X-ray equipment.

Equipment Safety↗

Russian measurements of neutron energy spectra on the Mir orbital station.

Results of the experiments on neutron energy spectra measurements within broad energy range from 5 x 10(-7) to 2 x 10(2) MeV aboard the Mir orbital station and equivalent neutron dose estimation are presented. Four measurement techniques were used during the experiments. The shape of spectra and their absolute values are in good agreement. According to those experiments, an equivalent neutron dose depends upon effective shielding thickness and spacecraft mass. The neutron dose mentioned is comparable with that of ionizing radiation. Neutron flux levels measured aboard the Mir station have shown that a neutron spectrometer involving broad energy range will be used within the radiation monitoring systems in manned space flights.

Extraterrestrial Environment↗

Primary infertility in nuclear industry employees: report from the nuclear industry family study.

OBJECTIVE: To determine whether men and women who are occupationally exposed to ionising radiation are at increased risk of primary infertility. METHODS: A cross sectional analysis of reproductive outcome was reported in an occupational cohort of nuclear industry workers from the Atomic Energy Authority, Atomic Weapons Establishment, and British Nuclear Fuels in the United Kingdom. Data on employment and radiation monitoring supplied by employers were linked to data obtained from self administered questionnaires sent to all current employees and a sample of past workers. A total of 5353 men and 603 women aged 40 years or more at the time of survey whose first pregnancy, or attempt at pregnancy, had occurred after first employment in the nuclear industry were recruited to the study. Primary infertility was defined as consultation with a doctor about the failure to achieve at least one viable (24 weeks gestational age or more) pregnancy. RESULTS: 2.6% Of men and 3.7% of women reported primary infertility. For men, this proportion did not differ by amount of radiation monitored or by dose received. The prevalence of infertility was higher among monitored women than non-monitored women, but not significantly so and the numbers were too small to draw any firm conclusions. CONCLUSIONS: No support was found for a hypothesis linking exposure to low level ionising radiation among men with primary infertility. There was weak evidence of an association in women, but the relatively few monitored women prevented detailed examination of these data.

Adult↗

[Provision of radiation safety for the crew of the 2d Saliut-4 expedition].

The paper describes the radiation environment in the compartments of the orbital station Salyut-4 and in its flight orbit. It also discusses the measures taken to provide radiation safety of the crewmembers and the main results of radiation monitoring. During the flight the dose received by the crew was 1400 mrem.

Cosmic Radiation↗

Preliminary safety evaluation of a cyclotron facility for positron emission tomography imaging.

This work describes the design characteristics of a medical imaging centre which uses positron emission tomography, with a cyclotron for fluorine-18 and nitrogen-13 production, and which has provided experimental information on operational data recorded by area dosimetry since 1995. Doses to radiopharmacy and medical staff have been measured both in normal work and in some handling incidents. Data on radiation levels in the installation have also been obtained and related to design details and shielding. Area dosimetry was carried out using a five-stationary detector network, with a sampling rate of 2 min(-1), and by thermoluminescent dosimetry (TLD). Staff were also monitored by TLD, using extra chips for finger dosimetry and to duplicate individual whole-body dosimetry in order to measure doses in certain single operations. For normal work, average whole-body doses to radiopharmacy staff were between 0.03 and 0.28 mSv/month, wrist doses were between 0.42 and 2.67 mSv/month, and finger doses were between 1.4 and 7.7 mSv/day for the left hand and 0.8 and 2.4 mSv/day for the right hand; such variation reflects the differing expertise of staff and the role played by optimisation. Finger doses between 16 and 131 mSv were measured in handling incidents, and finger doses of 20.2 and 20.7 mSv for the left hand and 22.0 and 22.3 mSv for the right hand were measured during handling of a syringe without shielding, containing 3 GBq. For medical staff, contributions to the whole-body dose of 2.0 and 1.9 microSv/procedure were measured for injection and placing the patient on the examination couch, respectively. Dose measurement on the middle finger of the right hand gives an average of 70 microSv during the injection. The provisions regarding the shielding design have proved to be adequate and effective during a 3-year operational period. Operational doses to medical staff are comparatively low, while radiopharmacy staff are the most exposed. The finger doses in these professionals may exceed the annual limit, unless operational restrictions in daily practice are adopted. On-line area dosimetry records based on dose rate probes have proved to be effective both for monitoring radiation levels during the operation and for detecting changes in the behaviour of the facility in the irradiation process.

Cyclotrons↗

Risk of lung cancer and leukemia from exposure to ionizing radiation and potential confounders among workers at the Portsmouth Naval Shipyard.

Significantly elevated lung cancer deaths and statistically significantly positive linear trends between leukemia mortality and radiation exposure were reported in a previous analysis of Portsmouth Naval Shipyard workers. The purpose of this study was to conduct a modeling-based analysis that incorporates previously unanalyzed confounders in exploring the exposure-response relationship between cumulative external ionizing radiation exposure and mortality from these cancers among radiation-monitored workers in this cohort. The main analyses were carried out with Poisson regression fitted with maximum likelihood in linear excess relative risk models. Sensitivity analyses varying model components and using other regression models were conducted. The positive association between lung cancer risk and ionizing radiation observed previously was no longer present after adjusting for socioeconomic status (smoking surrogate) and welding fume and asbestos exposures. Excesses of leukemia were found to be positively, though not significantly, associated with external ionizing radiation, with or without including potential confounders. The estimated excess relative risk was 10.88% (95% CI -0.90%, 38.77%) per 10 mSv of radiation exposure, which was within the ranges of risk estimates in previous epidemiological studies (-4.1 to 19.0%). These results are limited by many factors and are subject to uncertainties of the exposure and confounder estimates.

Adult↗

Lethality of high linear energy transfer cosmic radiation to Escherichia coli DNA repair-deficient mutants during the 'SL-J/FMPT' space experiment.

We investigated the lethal and mutagenic effects of high linear energy transfer cosmic radiation on 11 strains of Escherichia coli, including DNA repair-deficient mutants, using the Radiation Monitoring Container and Dosimeter in the space shuttle 'Endeavour' as part of the 'SL-J/FMPT' space experiment, the 'Fuwatto '92' project. After the return to earth of the shuttle, we evaluated survival and mutations of samples in space and matched controls. The surviving fractions were determined by means of colony count on broth agar plates, and the mutation frequencies were estimated by appearance of arg' revertants on minimal agar plates. The average of the total equivalent dose rate during this space flight was 0.202 mSv/day as measured by the plastic radiation detectors and the thermoluminescent dosimeters in the Radiation Monitoring Container and Dosimeter. The combined action of DNA polymerase and 3'-->5' exonuclease activities was found to make the greatest contribution to the repair of cosmic radiation-induced DNA damage, 5'-->3' exonuclease and recombination repair enzyme activities made a moderate contribution, whereas UV endonuclease activity was not involved in this DNA repair process.

Colony Count, Microbial↗

On the possibility of detecting fissile nuclear materials using coincident gamma rays.

Almost every radiation monitor installed at the customs and border control points designed for detection of nuclear fissile materials uses gas neutron counters tracing decay neutrons. They have a low background level, but at the same time small efficiency. This work describes the nuclear fissile materials detection methodology based on the instantaneous gamma-radiation accompanying the decay. The tests results of designed and produced radiation monitors based on this principle to control pedestrian and vehicles are presented.

Journal Article↗