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[Chest x-ray re-examination in the dispensaries].
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Head positioning for the panorex x-ray machine. Re. no. 543.
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Bone scintigraphy in the management of X-ray-negative potential scaphoid fractures.
One hundred and eleven patients with signs and symptoms of carpal scaphoid injury, but with no fracture visible on X-ray, underwent bone scintigraphy of the wrists. The first 42 patients were re-X-rayed 10 days after injury: bone scanning had identified all fractures confirmed on this X-ray; there were no false negative bone scans. Sixty-seven patients (60%) did not have increased focal uptake over the scaphoid or distal radius, and were mobilised immediately. None of these had a fracture at follow up. Twenty-nine patients with increased uptake over the scaphoid area (26%) remained in plaster of Paris for 6 weeks. All of these had clinical signs of a scaphoid injury. Bone scanning is a practical investigation for all X-ray-negative potential scaphoid injuries, and is acceptable to patient and clinician. In the presence of a normal scan, the practice of re-X-raying patients 10 days after injury may be abandoned.
[Problems of technologic re-equipment of X-ray diagnostic services in the Russian Federation].
The paper presents the data that characterize the engineering re-equipping of therapeutical- and-prophylactic institutions with various-purpose X-ray diagnostic apparatuses in the Russian Federation. It is concluded that there is a need for and a possibility of re-equipping Russia's X-ray diagnostic service by using latest home developments. It is shown that the diagnostic properties of equipment with the minimum expenditures can be enhanced provided that the main elements of the X-ray image formation pathway, which are enlisted in the paper, are primarily replaced.
Value of re-examining x-ray films of outpatients attending accident services.
X-ray films of 4,665 patients who had attended an accident service as outpatients were reviewed by the clinicians and reported on by the radiologist the next day.In 20 cases the radiologist did not comment on bony injuries which had been diagnosed and treated by the accident service senior house officer. The radiologist, however, detected bony injuries which had been missed by the accident service senior house officer in 26 cases. In 10 cases injuries which had not been detected at the original examination or by the radiologist were noted when the x-ray films were reviewed. On two occasions the fracture was missed at all three examinations.The daily joint review of x-ray films by accident service officers and the radiologist seemed to increase the clinical and radiological acumen of the staff of the accident service.
Microelectronics effects as seen on CRRES.
A MicroElectronics Test Package (MEP) measured total dose degradation and single event upsets (SEUs) on 60 device types on the Combined Release and Radiation Effects Satellite (CRRES) in an 18 degrees inclination orbit between 350 km and 36000 km from July 1990 to October 1991. Simultaneous measurements of the high energy particle environment were used to make a direct cause and effect comparison of the energetic particle backgrounds and microelectronic performance characteristics. The galactic cosmic ray background for the period of the CRRES mission was at a minimum. The SEUs experienced from the cosmic ray background were correspondingly few in number, but surprisingly produced an equal probability of upset over an L-shell range of 8.5 Earth radii (RE) down to less than 3.0 RE. Cosmic ray induced upset frequencies in proton sensitive chips were over 2 orders of magnitude lower than those produced by protons in the heart of the inner proton radiation belts. Multiple upsets, those produced when a single particle upsets more than one memory location, were just as common from protons as from cosmic rays.
[High level Le Fort I osteotomy and bone grafting for correction of secondary mid-face deformities in cleft patients].
OBJECTIVE: To explore the feasibility of combining high level Le Fort I osteotomy with bone grafting in the same operation for correction of secondary mid-face deformities in cleft patients. METHODS: From January 2002 to January 2005, 10 patients suffering from secondary mid-face deformities were treated. There were 4 males and 6 females, aged from 16 to 32 years. The unilateral cleft was involved in 8 patients and the bilateral cleft in 2 patients. All patients received combining high level Le Fort I osteotomy with bone grafting in the same operation. The horizontal corticotomy of high level Le Fort I osteotomy on anterior wall of maxillary bone is higher than that of traditional Le Fort I osteotomy, it is only 5 mm close to infraorbital foramen. RESULTS: All 10 patients were satisfied with their appearances after operation. Dental articulation was improved greatly in 9 patients. With an X-ray re-examination, maxillary was returned to normal position in all patients. After a follow up from 6 months to 2 years, dental arch had good appearance. The X-ray films showed no obvious bone absorption. The density of grafting bone was approximation to the normal bone. CONCLUSION: High level Le Fort I osteotomy can make not only maxillary advance, but also regions of lateral and floor of nose and partial infraorbital region advance. Combining with bone grafting in the same operation can decrease the frequency of operation, save the treatment expense and obtain an ideal effect. So it is an effective method for correction of the secondary mid-face deformities in cleft patients.
Spondylolysis and spondylolisthesis after five-level lumbosacral laminectomy for selective posterior rhizotomy in cerebral palsy.
Of 163 children who have undergone five-level lumbosacral laminectomies for selective posterior rhizotomy, 20% of those re-X-rayed post-operatively (19/99) have developed incidental isthmic spondylolysis or grade I spondylolisthesis. The majority of patients were ambulatory, active, spastic diplegics. There were five children with isthmic defects at L3-4, three at L4-5 and 11 at L5-S1. Six of the 19 children had grade I spondylolisthesis, but none were symptomatic nor has there been any evidence of further slipping to date. It is postulated that the laminectomy, associated lordosis and increased mobility after rhizotomy may be factors in the causation.
A re-evaluation of x-ray diffraction patterns of DNA.
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Genetic and reproductive toxicity of butadiene and isoprene.
Butadiene (BD) and its 2-methyl analogue, isoprene, have been extensively studied in animals and BD in population studies. Both chemicals are metabolised by liver cytochrome P450 dependent monogenases to monoepoxide and diepoxide intermediates. The diepoxide intermediates of both compounds were mutagenic in Salmonella typhimurium. However, unlike the monoepoxide of BD, the monoepoxides of isoprene were not mutagenic. It appears that they have no alkylating capacity. BD did not induce somatic cell mutation and recombination or sex-linked recessive lethal mutation in Drosophila melanogaster and isoprene produced no increase in chromosomal aberrations in CHO cells in vitro. Comparative concentrations of haemoglobin adducts in the blood of mice and rats after exposure to BD indicated that reaction with blood may decrease the levels of reactive intermediates available to tissues in rats, but not in mice contributing to greater potency of BD in the mouse. For isoprene, the adducts reach approximately the same concentrations in both species. DNA adducts have also been detected in testicular and lung cells of mice after BD exposure. The level of epoxybutene haemoglobin adducts was significantly elevated in BD-exposed workers, but lower than in rats and mice. In conjunction with the toxicology and carcinogenesis studies for BD and isoprene, additional mice were included for the evaluation of cytogenetic effects. Both chemicals produced increases in sister chromatid exchanges in bone marrow cells and in the frequency of micronuclei in normochromatic and polychromatic erythrocytes, but only BD produced an increase in the percent of bone marrow cells with chromosomal aberrations. At similar doses, the effects with BD were 2-3 times larger than with isoprene. There were also increased hprt mutation frequencies in rats and mice after BD exposure. Biomonitoring studies with hprt mutations in lymphocytes showed conflicting results, with both positive and negative findings. BD has been shown to be positive in one human cytogenetic biomonitoring study and not in three others, but chromosomal aberrations were increased in BD-exposed workers after challenge with gamma rays. Re-analysis of GSTTI null individuals showed positive results. There was an increase in spermatid micronuclei in mice by BD and its metabolites and in rats only by its metabolites. The cytotoxic response of germ cells in mice is greater than in rats. Dominant lethal mutations have been induced by BD and diepoxybutane, but not by epoxybutene. There was some evidence of congenital malformations in mice after BD exposure and there was a linear concentration-related induction of heritable translocations in mice. There was no induction of dominant lethal mutations or congenital malformations in rats. Using the heritable translocation data in mice, it has been determined that if a worker is continually exposed over 5 or 6 weeks to 20-25 ppm of BD, the risk of producing a child with a balanced reciprocal translocation is twice as high as the background risk. Since genetic damage cannot be measured directly in human germ cells, risk to such cells can also be estimated from germ cells and somatic cells of the mouse and human somatic cells using the parallelogram approach. Using doubling doses, the fourth corner of the parallelogram was calculated as a doubling dose for human germ cells of 4390 ppm/h. However, it is still questioned if man is more like rat than mouse in terms of sensitivity to exposure. Similar germ cell data do not exist for isoprene. In conventional developmental studies, where rats and mice were exposed to BD, maternal toxicity was shown in rats but there was no evidence of developmental toxicity or teratogenic effects and there was a small effect on sperm morphology. After exposure to isoprene, there was no adverse effect on rat dams or other reproductive indices. In mice, there was reduced foetal body weight and decreased maternal weight gain and isoprene also affected ovarian follicles. There was a reduction in testicular function parameters such as testicular weight and sperm motility.
Re-analysis of the cosmic ray ground level enhancement of 4 May 1960.
The relativistic solar particle event of 4 May 1960, resulting in a cosmic ray ground level enhancement, occurred well before modern analysis techniques were available. We have located surviving data from 23 neutron monitors and have used these to estimate the spectrum, mean arrival direction and particle pitch angle distribution as the event progressed. We find that the apparent particle arrival direction was at equatorial latitudes, over northern South America, in contrast to contemporary analyses that proposed it to be over North America. Our modified power law spectra are broadly consistent with earlier results. Data from stations above sea level need to be corrected for altitude using a two-attenuation length technique. The standard method involves comparison of data from two relatively close stations at significantly different altitude. We have shown that this method may be unreliable in cases, such as this, of quite sharp anisotropy.
The 1972 Cuban national child growth study as an example of population health monitoring: design and methods.
A stratified 3-stage random sample of 50 360 children ages 0-19 drawn from the whole population of Cuba was measured in a large-scale growth study during 1972-73. Fifteen anthropometric measurements were taken and puberty stages and menarche status were assessed. Hand-wrist radiographs were done on 10% of the sample. Information regarding the social and education status of the parents was obtained and parental heights were measured. One year later, 30% of the sample were re-measured and 10% re-X-rayed. The overall response rate was 96% at pre-school and primary school age, and a lettle less later. Quality control sessions were held at which the nine measuring teams compared results. No significant differences were found between teams working different parts of the island. Differences between duplicate measurements of stature by individual measurers had standard deviations approximating 0.20 cm. Individual measurers' means differed from the grand means of all measurers by up to +/- 0.2 cm for stature, +/- 0.4 cm for sitting height and +/- 0.5 mm (7% of mean) for triceps skinfold. One or more measurements lay outside the 3rd-97th centile limits in 21% of individuals. Scrutiny of these individuals' records resulted in elimination of measurements in amounts ranging from 0.1% (triceps skinfold) to 1.1% (crown-rump length). Problems of planning and execution of growth surveys designed to set national standards are described, and solutions given or suggested.
Measurement of the J/ psi and psi ' resonance parameters in p-barp annihilation.
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Study of the angular distribution of the reaction p-barp--> chi c2-->J/ psi gamma -->e+e- gamma.
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Precision measurements of charmonium states formed in pp-bar annihilation.
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Proton electromagnetic form factors in the timelike region from 8.9 to 13.0 GeV2.
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