BACKGROUND With the improvement of economy and living standards,the attention paid to short stature in children has been increasingly highlighted.Numerous causes can lead to short stature in children,among which growt...BACKGROUND With the improvement of economy and living standards,the attention paid to short stature in children has been increasingly highlighted.Numerous causes can lead to short stature in children,among which growth hormone deficiency(GHD)is a significant factor.AIM To investigate the long-term efficacy and safety of different doses of long-acting polyethylene glycol recombinant human growth hormone(PEG-rhGH)in the treatment of GHD in children.METHODS We selected 44 pediatric patients diagnosed with GHD who were treated at Wuhu First People's Hospital from 2014 to 2018.Total 23 patients were administered a high dose of long-acting PEG-rhGH at 0.2 mg/kg subcutaneously each week,forming the high-dose group.Meanwhile,21 patients were given a lower dose of long-acting PEG-rhGH at 0.14 mg/kg subcutaneously each week,establishing the low-dose Group.The total treatment period was 2 years,during which we monitored the patients’height,annual growth velocity(GV),height standard deviation score(HtSDS),chronological age(CA),bone age(BA),and serum levels of insulin-like growth factor-1(IGF-1)and insulin-like growth factor-binding protein-3(IGFBP-3)before treatment and at 6 mo,1 year,and 2 years after treatment initiation.We also monitored thyroid function,fasting plasma glucose,fasting insulin,and other side effects.Furthermore,we calculated the homeostatic model assessment for insulin resistance.RESULTS After 1 year of treatment,the GV,HtSDS,IGF-1,BA,and IGFBP-3 in both groups significantly improved compared to the pre-treatment levels(P<0.05).Moreover,when comparing GV,HtSDS,IGF-1,BA,and IGFBP-3 between the two groups,there were no statistically significant differences either before or after the treatment(P>0.05).During the treatment intervals of 0-1.0 years and 1.0-2.0 years,both patient groups experienced a slowdown in GV and a decline in HtSDS improvement(P<0.05).CONCLUSION The use of PEG-rhGH in treating GHD patients was confirmed to be effective,with similar outcomes observed in both the high-dose group and low-dose groups,and no significant differences in the main side effects.展开更多
Introduction: Vaccination of children has experienced delays due to paucity of information regarding safety, effectiveness, immunogenicity, and reactogenicity. Age wise approval prioritized 12 - 17 years and later 5 -...Introduction: Vaccination of children has experienced delays due to paucity of information regarding safety, effectiveness, immunogenicity, and reactogenicity. Age wise approval prioritized 12 - 17 years and later 5 - 11 years. Those below 5 years possess na?ve immunity and not considered. In Lake Region Economic Bloc children aged 12 - 17 variably received 1, 2, and 3 doses of vaccine. This analysis looks into effectiveness of the doses administered. Method: Data providers from 84 LREB facilities submitted patients’ vaccination data to Power BI supported dashboard between June 24, 2021 and July 30, 2022. Data of 12 - 17 years old was mined, analyzed and visualized. Sample sizes considered for analysis were 0 dose, n = 8132;1 dose, n = 271;2 doses, n = 402, and 3 doses, n = 90. Data used in the analysis was facility operational and not from experimental design. Relative risk analysis of children who received 0, 1, 2, and 3 doses was done using Odds Ratio run on R software. Results: The relative risk of infection to a child with one dose against unvaccinated counterpart is 0.92 (95% CI, 0.61 - 1.43). Likewise the relative risk of infection to a child aged 12 - 17 years with 2 doses against another who received no dose is 0.87 (95% CI, 0.63 - 1.24). A child with 3 doses is 46% (95% CI, 27% - 84%) less likely to get infected compared to another not vaccinated. Also, the relative risk between having 2 doses and 1 dose for a child aged 12 - 17 years is 0.95 (95% CI, 0.55 - 1.6). For the same age group the relative risk of having 3 doses of vaccines against 1 dose is 51% (95% CI, 26% - 100%). In addition, a child who receives 3 doses of vaccine is 53% (95% CI, 28% - 100%) less likely to experience breakthrough infection compared to another with 2 doses. Whereas 1<sup>st</sup> dose offers (5%) marginal protection advantage over the 2<sup>nd</sup> dose, the 3r dose offers 49% and 47% more protection over 1<sup>st</sup> and 2<sup>nd</sup> doses, respectively, because of incremental reduced risk of infection gained from previous doses. During the period, 15 children at risk were admitted with COVID-19 infections in various regional hospitals, one had 3 doses but confounded with severe comorbidity. Conclusion: We found that 2<sup>nd</sup> dose had marginal protection over the 1<sup>st</sup> dose. However, the 3<sup>rd</sup> dose offers extensive protection compared to 1<sup>st</sup> and 2<sup>nd</sup> doses, and protects more against hospitalization. Children at risk should receive 3 doses of vaccines.展开更多
Objective: The current research study aims to calculate entrance surface air kerma for skull, chest, cervical spine, lumbar spine, and pelvic X-ray examinations in interior posterior and posterior interior positions a...Objective: The current research study aims to calculate entrance surface air kerma for skull, chest, cervical spine, lumbar spine, and pelvic X-ray examinations in interior posterior and posterior interior positions and generate a method for chest dose reduction to decrease radiation risk. Materials and Methods: The indirect dose measurement was used in the current research. The X-ray tube output was measured using RAD-CHECK Plus ionization chamber and the indirect entrance surface air kerma was calculated via applying physical acquisition parameters such as a focus on skin distance, tube current times exposure time (mAs), and applied tube voltage (kV), and applying a mathematical model. Results: The main findings were obtained from comparing the radiation doses with the reference levels of International organizations such as the American College of Radiology and the International Atomic Energy Authority. The mean entrance skin dose for the skull (AP), skull (PA), skull (LAT), cervical spine (PA), cervical spine (LAT), lumbar spine (AP), lumbar spine (LAT), pelvis (AP), and pelvis (LAT) of adult X-ray examinations was within the diagnostic reference dose level values obtained by ACR (2018) except for the ESD for chest (AP) which was 0.88 mGy. Conclusions: The results of the study concluded that by adjusting the applied tube voltage, kV, and tube current product time, mAs decreased the radiation dose to the chest X-ray by 58%.展开更多
The prognosis of patients with previously treated tuberculosis (TB) was suggested to be dependent on whether the initial treatment was in compliance with the established guidelines. The aim of this retrospective multi...The prognosis of patients with previously treated tuberculosis (TB) was suggested to be dependent on whether the initial treatment was in compliance with the established guidelines. The aim of this retrospective multicenter study was to determine the proportion of new TB patients who received standard doses of rifampicin in multiple provinces of China, and the relationship between low doses of rifampicin and frequency of rifampicin-resistance as well as treatment outcomes. A total of 713 new TB patients were treated with either once-daily dose of bulk anti-TB drugs (group I) or every other day combination blister packs of anti-TB drugs containing rifampicin (group II) at more than 30 TB treatment centers/hospitals in China. Treatment history, therapeutic doses of rifampicin, and information about patients were extracted from their medical records and analyzed, and rifampicin-resistance of isolates collected from patients following the treatment as well as treatment outcomes were compared between two treatment groups. Among 522 patients in treatment group I, 154 (29.5%) received standard and 363 (69.5%) received low doses of rifampicin;238 (45.6%) isolates were rifampicin-resistant, and 243 (46.6%) were successfully treated. Among 191 patients in treatment group II, 175 (91.6%) received standard and 15 (7.9%) received low doses of rifampicin;72 (37.7%) isolates were rifampicin-resistant, and 105 (55%) were successfully treated. When patients who received low doses of rifampicin were compared to others within the same treatment group, increased rates for rifampicin-resistance and treatment failure were observed. Results from this study showed that most new TB patients in treatment group I (69.5%) received low doses of rifampicin, and their treatment outcomes were worse than those in treatment group II, indicating that low doses of rifampicin used for the initial treatment of new TB patients were correlated to increased frequency of rifampicin-resistance and poorer treatment outcomes.展开更多
Chemotherapy is one of the curative treatmentmodality for several types of tumors. However, thedosage of antitumor drugs was limited by cytotoxicityof drugs to normal tissues, especially for bone marrow(myelosuppressi...Chemotherapy is one of the curative treatmentmodality for several types of tumors. However, thedosage of antitumor drugs was limited by cytotoxicityof drugs to normal tissues, especially for bone marrow(myelosuppression). Drug resistantce gene (hMDRI,hDHFR etc.) is expressed in many normal tissues. Itsover-expression in tumor cells give rise to the tumorresistant to many drugs. But, if we transfer the drugresistance gene into the normal hematopoietic stemcell (HSC), the expression of the foreign gene展开更多
Dear Editor,Cefuroxime is a second-generation cephalosporin and a member of theβ-lactam family of antibiotics.Intracameral cefuroxime injection(1 mg/0.1 mL)during cataract surgery was found to be beneficial in reduci...Dear Editor,Cefuroxime is a second-generation cephalosporin and a member of theβ-lactam family of antibiotics.Intracameral cefuroxime injection(1 mg/0.1 mL)during cataract surgery was found to be beneficial in reducing the risk of postoperative endophthalmitis[1-3].At the recommended dose of 1.0 mg in 0.1 mL,cefuroxime presents no ocular toxicity and is well tolerated[4-6].Acute macular edema with retinal detachment after cataract surgery is very rare[7].展开更多
For the first time it is shown that psychotropic action of acetylsalicylates at various doses is manifested as a nonmonotonic dependence having its peaks at therapeutic and ultra-low dose zones. It is discovered that ...For the first time it is shown that psychotropic action of acetylsalicylates at various doses is manifested as a nonmonotonic dependence having its peaks at therapeutic and ultra-low dose zones. It is discovered that development of effects of aspirin resembles that of acetylsalicylate zinc. Acetylsalicylate cobalt at extremely low doses zone showed the highest antidepressant activity, demonstrating toxicity at high doses. Generally, it is revealed that the use of aspirin and its salts at high doses range causes maximum psychotropic effects development, usually accompanied by side-effects. Therefore, aspirin, acetylsalicylate cobalt and zinc at extremely low doses are recommended for further study as psychotropic medications.展开更多
A field study to evaluate the “Response of various sesame (Sesamum indicum L.) varieties under the influence of nitrogen and phosphorus doses’’ was carried out at Oilseeds Section, Agriculture Research Institute, T...A field study to evaluate the “Response of various sesame (Sesamum indicum L.) varieties under the influence of nitrogen and phosphorus doses’’ was carried out at Oilseeds Section, Agriculture Research Institute, Tandojam during Kharif 2013. The experiment was laid out in a three replicated randomized complete block design (RCBD) factorial, having net plot size 6 × 3 m (18 m2). The treatments comprised two varieties such as S-17 and Pr-125, and six doses of NP i.e. (No fertilizer (Control), NP @ 30 - 30 kg·ha-1, NP @ 50 - 30 kg·ha-1, NP @ 50 - 50 kg·ha-1, NP @ 70 - 50 kg·ha-1 and NP @ 70 - 70 kg·ha-1). The analysis of variance suggested that all the doses of NP affected significantly (P < 0.05) growth and yield of sesame varieties as compared to No fertilizer (Control) treatment. In the case of fertilizer doses, NP @ 70 - 70 kg·ha-1 produced maximum plant height (102.33 cm), branches plant-1 (18.50), capsules plant-1 (42.17), seeds capsule-1 (57.67), seed weight plant-1 (37.50 g), seed index (3.10 g) and seed yield (774.17 kg·ha-1), whereas NP @ 70 + 50 kg·ha-1 and NP @ 50 - 50 kg·ha-1 ranked 2nd and 3rd in all the growth and yield traits, particularly seed yield (763.50 kg·ha-1 and 694.50 kg·ha-1). Among sesame varieties, S-17 resulted in maximum plant height (91.89 cm), branches plant-1 (15.11), capsules plant-1 (37.06), seeds capsule-1 (50.56), seed weight plant-1 (32.00 g), seed index (2.63 g) and seed yield (682.11 kg·ha-1), whereas variety Pr-125 resulted in minimum traits, particularly seed yield (657.56 kg·ha-1). In the case of interactive effects, the interaction of NP @ 70 - 70 kg·ha-1 × variety S-17 produced maximum values, particularly seed yield (782.67), whereas minimum results were recorded in the interaction of No fertilizer (Control) × variety Pr-125. Hence results concluded that the interaction of NP @ 70 - 50 kg·ha-1 variety S-17 was found most economical for obtaining optimum yield of sesame because of non-significant differences with NP @ 70 - 70 kg·ha-1.展开更多
It is represented the review about the effect of low doses of ionized radiation on different types of biological objects (Japanese quail embryos, Aspergillus niger, Spirostomum ambiguum Ehrbg., mezenchim stem cells of...It is represented the review about the effect of low doses of ionized radiation on different types of biological objects (Japanese quail embryos, Aspergillus niger, Spirostomum ambiguum Ehrbg., mezenchim stem cells of mice bone brain, dry seeds of the highest plants, blood lymphocytes of pilots and cosmonauts) and water medium. In model experiments under the chronic ionized radiation in doses comparable with the doses of ionized radiation inside the orbital space stations and during the flight in interplanetary space was shown alike with morphological deviations (Japanese quail embryos, Aspergillus niger), the phenomenon of radiation hormezis (Aspergillus niger, mezenchim stem cells), the increasing of the germination of seeds, the decreasing of spontaneous motion activity of spirostoms and DNA damage, chromosome aberrations and the increased radio-sensitivity to adding radiation load in blood lymphocytes. These data testified the fact that the definite factor of ionized radiation effect is the changing of water medium state. Thus under the interplanetary cosmic flight and long stay on the orbit in the region of magnetosphere the studying kinds of radiation first effected on the water medium of organism as a result morpho-functional structures were changed.展开更多
Arsenic Trioxide (ATO) is widely acknowledged as the treatment of choice for Acute Promyelocytic Leukemia (APL). It is a “two-sided” drug since it can induce differentiation or kill APL and other tumor cells accordi...Arsenic Trioxide (ATO) is widely acknowledged as the treatment of choice for Acute Promyelocytic Leukemia (APL). It is a “two-sided” drug since it can induce differentiation or kill APL and other tumor cells according to the dosage. Part of the cytotoxic effects of ATO on APL cells is due to its pro-oxidant activity, a characteristic which ATO shares with a number of other compounds, including high doses of ascorbate (ASC). In a comparative investigation on the cytotoxic effects of both ATO and ASC on HL60 (APL) cell lines, in Vitro, we have been able to confirm the known cytotoxic effects of ATO, but, more importantly, we have demonstrated that ASC is significantly more effective than ATO, in killing these cancer cells in Vitro, when the concentrations are maintained within the millimolar (mM) range, i.e. the range of plasma concentrations at which ASC induces oxidative damage to tumor cells. Since these plasma levels can be reached only by the intravenous administration of high doses of ASC, we propose that intravenous high doses of ASC may represent a potentially revolutionary new approach in the management of APL.展开更多
Introduction: The prevalence of </span><i><span style="font-family:Verdana;">Klebsiella pneumoniae</span></i><span style="font-family:Verdana;"> has rapidly incr...Introduction: The prevalence of </span><i><span style="font-family:Verdana;">Klebsiella pneumoniae</span></i><span style="font-family:Verdana;"> has rapidly increased in recent years and the distribution differed greatly by region, We aimed to study the relationship between antibiotic resistance and </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;">, especially carbapenem-resistant </span><i><span style="font-family:Verdana;">Klebsiella pneumoniae</span></i><span style="font-family:Verdana;"> (CRKP) in our tertiary hospitals from 2014 to 2018.</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">Methodology: The antibiotic consumption data of </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> were expressed as the defined daily dose (DDD) per 100 inpatient days</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">(DDDs). </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> which isolated from clinical samples in</span><span style="font-family:Verdana;"> hospital between January 2014 and December 2018 were retrospectively analyzed, and the correlation between antibiotic resistance rate and antibiotic frequency was analyzed.</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">Results: From 2014 to 2018, a total of 2295 strains of </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> were isolated, with the detection rates of 8.2%, 9.2%, 11.9%, 13.4% and 14.0%. There were 423 strains of CRKP, with the detection rates of 7.5%, 5.8%, 17</span></span><span style="font-family:Verdana;">.</span><span style="font-family:""><span style="font-family:Verdana;">8% 24.2% and 25.2% respectively. </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> showed di</span></span><span style="font-family:Verdana;">fferent degrees of resistance to antibiotics and showed an increasing trend year by year to carbapenems. The resistance rate of imipenem was 2.5%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2.8%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">9.9%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">12.3%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">13.4%, and the resistance rate of meropenem was 2.0%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">3.0%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">8.8%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">12.6%</span><span style="font-family:Verdana;">, </span><span style="font-family:""><span style="font-family:Verdana;">12.7%, respectively. The resistance rate of most other drugs decreased. The DDDs values of cefoperazone/sulbactam, piperacillin-tazobactam and gentamicin showed a strong positive correlation with </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> drug resistance rate</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">(r</span><span style="font-family:""> </span><span style="font-family:Verdana;">></span><span style="font-family:""> </span><span style="font-family:Verdana;">0.8, P</span><span style="font-family:""> </span><span style="font-family:Verdana;"><</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.05)</span><span style="font-family:Verdana;">. </span><span style="font-family:""><span style="font-family:Verdana;">Conclusions: The detection rate of </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> and CRKP increased year by year, which was closely related to the dose of antibiotics. Strengthening the management of antimicrobial drugs and standardising the use of antimicrobial prescriptions were of great significance for delaying the emergence of drug-resistant bacteria.展开更多
The use of computed tomography (CT) has increased over the past decades and has resulted in a concurrent increase in medical exposure to ionizing radiation. Several recent studies have examined the link between medica...The use of computed tomography (CT) has increased over the past decades and has resulted in a concurrent increase in medical exposure to ionizing radiation. Several recent studies have examined the link between medical radiation and the risk of cancer, especially in children. Results are presented in terms of the volumetric computed tomography dose index (CTDIvol) and dose length product (DLP) for head, chest and abdomen. The 75th percentile of adult CTDIvol for head, chest and abdomen are 85 mGy, 13.34 mGy and 13.29 mGy respectively and the corresponding DLP values 1437.47 mGy·cm, 417.49 and 656.02 mGy·cm. However, the paediatric head based on age group 0 - 1 yr, 1 - 5 yrs, 6 - 10 yrs and 11 - 15 years are 28.18 mGy, 32.12 mGy, 32.13 mGy and 28.20 mGy and corresponding DLP values 399.75 mGy·cm, 514.38 mGy·cm, 578.42 mGy·cm and 487.11 mGy·cm respectively and for paediatric abdomen from 1 - 5 years to 11 - 15 years are 3.98 mGy, 4.26 mGy and 5.92 mGy and the corresponding DLP 99.36 mGy·cm, 160.84 and 235.85 mGy·cm. The finding shows considerably high CTDIvol and DLP values for adult head comparable to the international standard thus optimization is required. Reduction in radiation doses for both adult and paediatric patients involve training of staff and optimize CT protocols.展开更多
Objective To investigate the effects of different doses of vecuronium on ventilatory function and mechanics of breathing during elective laparoscopic cholecystectomy. Methods Sixty - three ASA Ⅰ - Ⅱ patients aged 29...Objective To investigate the effects of different doses of vecuronium on ventilatory function and mechanics of breathing during elective laparoscopic cholecystectomy. Methods Sixty - three ASA Ⅰ - Ⅱ patients aged 29 -57 yr were randomly divided into 3 groups of twenty-one: group Ⅰ received vecuronium 1 ± ED95 , group Ⅱ 2 ± ED95 and group Ⅲ ± ED95. Patients with respiratory disease were excluded. The patients were premedicated with intramuscular scopolamine 0 . 3 mg and oral diazepam 0 . 1 mg· kg-1 . Anesthesia was induced with fentanyl 2 μg ·kg-1 ,propofol 2 mg·kg-1 and succinylcholine 1. 5 mg· kg-1 and maintained with 1.0% -1.5% isoflurance and intermittent iv boluses of propofol 1 mg·kg when needed. Vecuronium 1 ± ED95 ( group Ⅰ ) or 2 ± ED95 (group Ⅱ ) or 3 ± ED95 (group Ⅲ ) was given iv after succinylcholine when TOF showed that T1 】 70 % . The patients were mechanically ventilated. VT was set at 10 ml ·kg-1 and respiratory rate at 12 bpm. End-tidal PCO2 was maintained at 30 -展开更多
In this study, the activity concentrations of ^(226)Ra,^(232)Th,^(222)Rn, and ^(40)K, emanation fractions(P),equilibrium equivalent concentration(EEC), and mass exhalation rates(E_m) of radon released from building ma...In this study, the activity concentrations of ^(226)Ra,^(232)Th,^(222)Rn, and ^(40)K, emanation fractions(P),equilibrium equivalent concentration(EEC), and mass exhalation rates(E_m) of radon released from building materials used in Malaysia were studied using gamma-ray spectrometer with HPGe detector. Radiological parameters[activity concentration index(ACI), indoor air-absorbed dose rate(D_(in)), annual effective dose(AED_(in)) from external and internal(E_(Rn)), soft tissues(H_(ST)) and lung(H_L), and effective dose equivalent(H_(eff))] were estimated to evaluate radiological hazards due to the use of these building materials: sand, cement, gravel, bricks, tiles, fly ash, white cement, and ceramic raw materials. The measured P, EEC,and E_m vary from 10 to 30%, 0.9 to 22 Bq m^(-3), and 33 to 674 mBq h^(-1) kg^(-1), respectively, while the calculated ACI and AED_(in) vary from 0.1 ± 0.01 to 2.1 ± 0.1 and 0.1 ± 0.01 to 2.4 ± 0.6 mSv y^(-1), respectively. On the other hand, the internal annual effective dose ranges from 0.1 to 1.4 mSv y^(-1). The estimated radiological risk parameters were below the recommended maximum values, and radiological hazards associated with building materials under investigation are therefore negligible.展开更多
Fourteen samples of marble were collected from different factories in Egypt. The samples were crushed, dried in controlled furnace for around twenty four hours, and then stored for five weeks in plastic Marinelli beak...Fourteen samples of marble were collected from different factories in Egypt. The samples were crushed, dried in controlled furnace for around twenty four hours, and then stored for five weeks in plastic Marinelli beakers. Concentrations and the U- and Th-bearing minerals were studied by scanning electron microscopy (SEM) and energy dispersive X-ray spectrometry (EDS).The gamma radiation of the samples was measured, employing high resolution γ-ray spectroscopy with an accumulating time for about 80000 sec. each. From the measured γ -ray spectra, activity concentrations were determined for marble samples 226Ra (37. 6 ± 1.7 - 100.54 ± 3.2 Bq/kg), 232Th (3.57 ± 0.64 - 9.37 ± 1.80 Bq/kg) and 40K (30.68 ± 1.1 – 1196 ± 4.9 Bq/kg). The absorbed dose rates, annual effective dose rates, radium equivalent activities as well as the radiation hazard indices were estimated. The radium equivalent activities (Raeq) are lower than the limit of 370 Bq kg?1 set by the Organization for Economic Cooperation and Development (Exposure to radiation from the natural radioactivity in building materials. Report by a Group of Experts of the OECD, Nuclear Energy Agency, OECD, Paris, 1979) [1]. All obtained results referred to the fact that all the concentrations were within the allowed limits to domestic use. Comparing the results in this work with those published by International Atomic Energy Agency and local and universal researches, it was found that these concentrations were within the allowed limits for agricultural and domestic uses.展开更多
Objective:To analyze the radiation dose received by patients during hepatic artery infusion chemotherapy(HAIC)and transarterial chemoembolization(TACE)procedures and the related influencing factors.Methods:Data of 162...Objective:To analyze the radiation dose received by patients during hepatic artery infusion chemotherapy(HAIC)and transarterial chemoembolization(TACE)procedures and the related influencing factors.Methods:Data of 162 cases in the HAIC group and 230 cases in the TACE group were collected.The included covariates were Age(<45/45-59/≥60 years),BMI levels(underweight/normal weight/obesity),focus Dye of tumor(present/absent),lesion size(<5 cm/≥5 cm),superselection(present/absent),hepatic vascular variation(present/absent).The endpoints were postoperative dose-area product(DAP),exposure time and Air kerma(AK).Results:Of all included patients,the HAIC group patients were younger than those in the TACE group(P=0.028).The proportion of patients with large lesions in the HAIC group was higher than the TACE group(45.7%vs.33.9%,P=0.019).The proportion of patients who had superselection was lower in the HAIC group as compared to the TACE group(61.7%vs.82.2%,P<0.001).Generally,the HAIC group has lower DAP,exposure time and AK by 36.3%(P<0.001),38.2%(P<0.001),and 41.3%(P<0.001)than the TACE group,respectively.Linear regression analysis showed the procedure method(HAIC/TACE,P<0.001),type of DSA machine(Pheno/FD20,P<0.001),BMI levels(P<0.001),age(P=0.021),lesion size(<5 cm/≥5 cm,P=0.031)significantly correlated with low DAP.In the HAIC group,the type of DSA machine and BMI correlated with the radiation dose,while in the TACE group,the type of DSA machine,BMI,and lesion size correlated with the radiation dose.Conclusion:Compared with TACE,HAIC enables doctors and patients to receive lower radiation doses.Obese patients in both HAIC and TACE groups increase the radiation exposure in interventional doctors and patients,but large lesions only affect the radiation dose in the TACE procedure.展开更多
A dosimetry study for chest, skull and lumbar spine examinations in adults has been carried out at two hospitals. The aim of the study was the assessment of adult patient’s dose for chest PA, chest LAT, skull AP and ...A dosimetry study for chest, skull and lumbar spine examinations in adults has been carried out at two hospitals. The aim of the study was the assessment of adult patient’s dose for chest PA, chest LAT, skull AP and lumbar spine AP examinations. The Entrance Surface Dose (ESD) and the Effective Dose (ED) for each examination were obtained using DoseCal software. For each examination, different results were obtained at the two hospitals. At hospital A (IFF Hospital), the total number of patients studied was 140. The mean ESD values obtained for chest PA, chest LAT, skull AP and lumbar spine AP were 0.20 mGy, 0.47 mGy, 1.25 mGy, and 1.61 mGy, respectively. At hospital B (HGB Hospital), the total number of patients studied was 369 for similar examinations and projections. The ESD values were 0.10 mGy, 0.28 mGy, 0.66 mGy and 2.47 mGy, respectively. The mean ED values at hospital A and B were 0.02 mSv and 0.01 mSv for chest PA, 0.04 mSv and 0.03 mSv for chest LAT, 0.1 mSv and 0.06 mSv for skull AP, and 0.15 mSv and 0.26 mSv for lumbar spine AP, respectively. The results were compared with the European Community Reference Levels. Although the doses were low, there was still a need for personnel training and national guidance on good practice for optimization of patients’ doses.展开更多
In this report, the results of preliminary research on L-alanine/ESR electron dosimeters are described. They include the designs of modelling tools and experimental capsules, the preparation and irradiation of very th...In this report, the results of preliminary research on L-alanine/ESR electron dosimeters are described. They include the designs of modelling tools and experimental capsules, the preparation and irradiation of very thin dosimeters, the measurement of ESR signal spectrum and the calibration method. The physical, chemical and dosimetric properties of the alanine free radical dosimeters, such as the smallest thickness, average density, lowest detectable limit, repeatability of the method, reproducibility resulted in directivity and location in resonance cavity, linearity regions as well as relative scattering of the response to identical doses, are summarized.展开更多
The ambient dose of radiation therapy and nuclear medicine units of Clinical Oncology Hospital, Menoufia University were investigated using thermoluminescence dosimeter MTS-700 and surveymeter (Inspector Radiation Ale...The ambient dose of radiation therapy and nuclear medicine units of Clinical Oncology Hospital, Menoufia University were investigated using thermoluminescence dosimeter MTS-700 and surveymeter (Inspector Radiation Alert). The maximum% difference between read out of both MTS-700 (TLD) and surveymeter did not exceed 6% and 8% for the two hospital units respectively. Values of the annual ambient dose received in both hospital units were found to be incompliant with radiation protection regulations. In addition, the extremity effective dose Hp (0.07) of staff in nuclear medicine unit was measured using wrist and finger techniques. Results indicate in-homogenies distribution of fingertips doses. Radiation doses received by the wrists and fingertips of radiopharmaceutical staff preparing 99mTc syringe were observed to be higher by a factor of about 1.41 and 1.44 respectively than those for the administrating staff whom injecting patients by 99mTc syringe, but also still in congruent with international radiation protection regulations.展开更多
Aim: The simultaneous irradiation of target volumes of different total dose levels using intensity modulated radiotherapy leads to reduced doses per fraction and longer treatment times in target volumes of 2nd?to 4th?...Aim: The simultaneous irradiation of target volumes of different total dose levels using intensity modulated radiotherapy leads to reduced doses per fraction and longer treatment times in target volumes of 2nd?to 4th?order. Does the thereby caused reduced biological effectiveness induce an increased recurrence risk? The current work deals with the problem of recurrences of patients with head and neck carcinomas treated either with an intensitiy (IMRT) or with a volumetric modulated (VMAT) irradiation technique. Methods: From October 2002 to September 2014, 699 patients with carcinomas of the head and neck were irradiated using IMRT or VMAT. The median follow up of the patients was 21.9 months (2 to 145 months). Primary tumor regions (1st?order target volume) of 565 patients were treated with doses per fraction of 2 Gy. Accordingly, further 133 target volumes of the primary tumor received reduced doses per fraction. In 1 patient, the lymphatic drainage was treated solely without irradiation of the primary region. For the lympatic drainage, 854 1st?order target volumes were treated with a dose per fraction of 2 Gy. Reduced doses per fraction were applied to further 1780 target volumes. Results: 54 of 699 patients developed a recurrence in the primary tumor region after radio-(chemo) therapy, 4 patients developed a recurrence of the primary tumor and a unilateral recurrence of the lymphatic drainage, 2 patients a recurrence of the primary tumor and a bilateral lymph node recurrence. 18 patients showed an isolated unilateral recurrence and additionally 2 patients a bilateral recurrence of the lymphatic drainage. 619 patients stayed recurrence free. In primary tumor regions, receiving a dose per fraction of 2 Gy 55 patients (9.7%) developed a recurrence, whereas in target volumes receiving a reduced dose per fraction 5 patients (3.8%) developed a recurrence (p < 0.001). In lympatic drainage target volumes receiving a dose per fraction of 2 Gy, 25 target volumes (2.9%) developed a recurrence, whereas in target volumes receiving a reduced dose per fraction, 5 patients (0.3%) developed a recurrence (p = 0.001). Conclusion: The recurrence risk in target volumes of 2nd?to 4th?order was not increased due to reduced doses per fraction deposited by means of a simultaneous integrated boost technique. Therefore, the simultaneous irradiation of target volumes with different dose levels is safely applicable within one treatment plan.展开更多
文摘BACKGROUND With the improvement of economy and living standards,the attention paid to short stature in children has been increasingly highlighted.Numerous causes can lead to short stature in children,among which growth hormone deficiency(GHD)is a significant factor.AIM To investigate the long-term efficacy and safety of different doses of long-acting polyethylene glycol recombinant human growth hormone(PEG-rhGH)in the treatment of GHD in children.METHODS We selected 44 pediatric patients diagnosed with GHD who were treated at Wuhu First People's Hospital from 2014 to 2018.Total 23 patients were administered a high dose of long-acting PEG-rhGH at 0.2 mg/kg subcutaneously each week,forming the high-dose group.Meanwhile,21 patients were given a lower dose of long-acting PEG-rhGH at 0.14 mg/kg subcutaneously each week,establishing the low-dose Group.The total treatment period was 2 years,during which we monitored the patients’height,annual growth velocity(GV),height standard deviation score(HtSDS),chronological age(CA),bone age(BA),and serum levels of insulin-like growth factor-1(IGF-1)and insulin-like growth factor-binding protein-3(IGFBP-3)before treatment and at 6 mo,1 year,and 2 years after treatment initiation.We also monitored thyroid function,fasting plasma glucose,fasting insulin,and other side effects.Furthermore,we calculated the homeostatic model assessment for insulin resistance.RESULTS After 1 year of treatment,the GV,HtSDS,IGF-1,BA,and IGFBP-3 in both groups significantly improved compared to the pre-treatment levels(P<0.05).Moreover,when comparing GV,HtSDS,IGF-1,BA,and IGFBP-3 between the two groups,there were no statistically significant differences either before or after the treatment(P>0.05).During the treatment intervals of 0-1.0 years and 1.0-2.0 years,both patient groups experienced a slowdown in GV and a decline in HtSDS improvement(P<0.05).CONCLUSION The use of PEG-rhGH in treating GHD patients was confirmed to be effective,with similar outcomes observed in both the high-dose group and low-dose groups,and no significant differences in the main side effects.
文摘Introduction: Vaccination of children has experienced delays due to paucity of information regarding safety, effectiveness, immunogenicity, and reactogenicity. Age wise approval prioritized 12 - 17 years and later 5 - 11 years. Those below 5 years possess na?ve immunity and not considered. In Lake Region Economic Bloc children aged 12 - 17 variably received 1, 2, and 3 doses of vaccine. This analysis looks into effectiveness of the doses administered. Method: Data providers from 84 LREB facilities submitted patients’ vaccination data to Power BI supported dashboard between June 24, 2021 and July 30, 2022. Data of 12 - 17 years old was mined, analyzed and visualized. Sample sizes considered for analysis were 0 dose, n = 8132;1 dose, n = 271;2 doses, n = 402, and 3 doses, n = 90. Data used in the analysis was facility operational and not from experimental design. Relative risk analysis of children who received 0, 1, 2, and 3 doses was done using Odds Ratio run on R software. Results: The relative risk of infection to a child with one dose against unvaccinated counterpart is 0.92 (95% CI, 0.61 - 1.43). Likewise the relative risk of infection to a child aged 12 - 17 years with 2 doses against another who received no dose is 0.87 (95% CI, 0.63 - 1.24). A child with 3 doses is 46% (95% CI, 27% - 84%) less likely to get infected compared to another not vaccinated. Also, the relative risk between having 2 doses and 1 dose for a child aged 12 - 17 years is 0.95 (95% CI, 0.55 - 1.6). For the same age group the relative risk of having 3 doses of vaccines against 1 dose is 51% (95% CI, 26% - 100%). In addition, a child who receives 3 doses of vaccine is 53% (95% CI, 28% - 100%) less likely to experience breakthrough infection compared to another with 2 doses. Whereas 1<sup>st</sup> dose offers (5%) marginal protection advantage over the 2<sup>nd</sup> dose, the 3r dose offers 49% and 47% more protection over 1<sup>st</sup> and 2<sup>nd</sup> doses, respectively, because of incremental reduced risk of infection gained from previous doses. During the period, 15 children at risk were admitted with COVID-19 infections in various regional hospitals, one had 3 doses but confounded with severe comorbidity. Conclusion: We found that 2<sup>nd</sup> dose had marginal protection over the 1<sup>st</sup> dose. However, the 3<sup>rd</sup> dose offers extensive protection compared to 1<sup>st</sup> and 2<sup>nd</sup> doses, and protects more against hospitalization. Children at risk should receive 3 doses of vaccines.
文摘Objective: The current research study aims to calculate entrance surface air kerma for skull, chest, cervical spine, lumbar spine, and pelvic X-ray examinations in interior posterior and posterior interior positions and generate a method for chest dose reduction to decrease radiation risk. Materials and Methods: The indirect dose measurement was used in the current research. The X-ray tube output was measured using RAD-CHECK Plus ionization chamber and the indirect entrance surface air kerma was calculated via applying physical acquisition parameters such as a focus on skin distance, tube current times exposure time (mAs), and applied tube voltage (kV), and applying a mathematical model. Results: The main findings were obtained from comparing the radiation doses with the reference levels of International organizations such as the American College of Radiology and the International Atomic Energy Authority. The mean entrance skin dose for the skull (AP), skull (PA), skull (LAT), cervical spine (PA), cervical spine (LAT), lumbar spine (AP), lumbar spine (LAT), pelvis (AP), and pelvis (LAT) of adult X-ray examinations was within the diagnostic reference dose level values obtained by ACR (2018) except for the ESD for chest (AP) which was 0.88 mGy. Conclusions: The results of the study concluded that by adjusting the applied tube voltage, kV, and tube current product time, mAs decreased the radiation dose to the chest X-ray by 58%.
文摘The prognosis of patients with previously treated tuberculosis (TB) was suggested to be dependent on whether the initial treatment was in compliance with the established guidelines. The aim of this retrospective multicenter study was to determine the proportion of new TB patients who received standard doses of rifampicin in multiple provinces of China, and the relationship between low doses of rifampicin and frequency of rifampicin-resistance as well as treatment outcomes. A total of 713 new TB patients were treated with either once-daily dose of bulk anti-TB drugs (group I) or every other day combination blister packs of anti-TB drugs containing rifampicin (group II) at more than 30 TB treatment centers/hospitals in China. Treatment history, therapeutic doses of rifampicin, and information about patients were extracted from their medical records and analyzed, and rifampicin-resistance of isolates collected from patients following the treatment as well as treatment outcomes were compared between two treatment groups. Among 522 patients in treatment group I, 154 (29.5%) received standard and 363 (69.5%) received low doses of rifampicin;238 (45.6%) isolates were rifampicin-resistant, and 243 (46.6%) were successfully treated. Among 191 patients in treatment group II, 175 (91.6%) received standard and 15 (7.9%) received low doses of rifampicin;72 (37.7%) isolates were rifampicin-resistant, and 105 (55%) were successfully treated. When patients who received low doses of rifampicin were compared to others within the same treatment group, increased rates for rifampicin-resistance and treatment failure were observed. Results from this study showed that most new TB patients in treatment group I (69.5%) received low doses of rifampicin, and their treatment outcomes were worse than those in treatment group II, indicating that low doses of rifampicin used for the initial treatment of new TB patients were correlated to increased frequency of rifampicin-resistance and poorer treatment outcomes.
文摘Chemotherapy is one of the curative treatmentmodality for several types of tumors. However, thedosage of antitumor drugs was limited by cytotoxicityof drugs to normal tissues, especially for bone marrow(myelosuppression). Drug resistantce gene (hMDRI,hDHFR etc.) is expressed in many normal tissues. Itsover-expression in tumor cells give rise to the tumorresistant to many drugs. But, if we transfer the drugresistance gene into the normal hematopoietic stemcell (HSC), the expression of the foreign gene
文摘Dear Editor,Cefuroxime is a second-generation cephalosporin and a member of theβ-lactam family of antibiotics.Intracameral cefuroxime injection(1 mg/0.1 mL)during cataract surgery was found to be beneficial in reducing the risk of postoperative endophthalmitis[1-3].At the recommended dose of 1.0 mg in 0.1 mL,cefuroxime presents no ocular toxicity and is well tolerated[4-6].Acute macular edema with retinal detachment after cataract surgery is very rare[7].
文摘For the first time it is shown that psychotropic action of acetylsalicylates at various doses is manifested as a nonmonotonic dependence having its peaks at therapeutic and ultra-low dose zones. It is discovered that development of effects of aspirin resembles that of acetylsalicylate zinc. Acetylsalicylate cobalt at extremely low doses zone showed the highest antidepressant activity, demonstrating toxicity at high doses. Generally, it is revealed that the use of aspirin and its salts at high doses range causes maximum psychotropic effects development, usually accompanied by side-effects. Therefore, aspirin, acetylsalicylate cobalt and zinc at extremely low doses are recommended for further study as psychotropic medications.
文摘A field study to evaluate the “Response of various sesame (Sesamum indicum L.) varieties under the influence of nitrogen and phosphorus doses’’ was carried out at Oilseeds Section, Agriculture Research Institute, Tandojam during Kharif 2013. The experiment was laid out in a three replicated randomized complete block design (RCBD) factorial, having net plot size 6 × 3 m (18 m2). The treatments comprised two varieties such as S-17 and Pr-125, and six doses of NP i.e. (No fertilizer (Control), NP @ 30 - 30 kg·ha-1, NP @ 50 - 30 kg·ha-1, NP @ 50 - 50 kg·ha-1, NP @ 70 - 50 kg·ha-1 and NP @ 70 - 70 kg·ha-1). The analysis of variance suggested that all the doses of NP affected significantly (P < 0.05) growth and yield of sesame varieties as compared to No fertilizer (Control) treatment. In the case of fertilizer doses, NP @ 70 - 70 kg·ha-1 produced maximum plant height (102.33 cm), branches plant-1 (18.50), capsules plant-1 (42.17), seeds capsule-1 (57.67), seed weight plant-1 (37.50 g), seed index (3.10 g) and seed yield (774.17 kg·ha-1), whereas NP @ 70 + 50 kg·ha-1 and NP @ 50 - 50 kg·ha-1 ranked 2nd and 3rd in all the growth and yield traits, particularly seed yield (763.50 kg·ha-1 and 694.50 kg·ha-1). Among sesame varieties, S-17 resulted in maximum plant height (91.89 cm), branches plant-1 (15.11), capsules plant-1 (37.06), seeds capsule-1 (50.56), seed weight plant-1 (32.00 g), seed index (2.63 g) and seed yield (682.11 kg·ha-1), whereas variety Pr-125 resulted in minimum traits, particularly seed yield (657.56 kg·ha-1). In the case of interactive effects, the interaction of NP @ 70 - 70 kg·ha-1 × variety S-17 produced maximum values, particularly seed yield (782.67), whereas minimum results were recorded in the interaction of No fertilizer (Control) × variety Pr-125. Hence results concluded that the interaction of NP @ 70 - 50 kg·ha-1 variety S-17 was found most economical for obtaining optimum yield of sesame because of non-significant differences with NP @ 70 - 70 kg·ha-1.
文摘It is represented the review about the effect of low doses of ionized radiation on different types of biological objects (Japanese quail embryos, Aspergillus niger, Spirostomum ambiguum Ehrbg., mezenchim stem cells of mice bone brain, dry seeds of the highest plants, blood lymphocytes of pilots and cosmonauts) and water medium. In model experiments under the chronic ionized radiation in doses comparable with the doses of ionized radiation inside the orbital space stations and during the flight in interplanetary space was shown alike with morphological deviations (Japanese quail embryos, Aspergillus niger), the phenomenon of radiation hormezis (Aspergillus niger, mezenchim stem cells), the increasing of the germination of seeds, the decreasing of spontaneous motion activity of spirostoms and DNA damage, chromosome aberrations and the increased radio-sensitivity to adding radiation load in blood lymphocytes. These data testified the fact that the definite factor of ionized radiation effect is the changing of water medium state. Thus under the interplanetary cosmic flight and long stay on the orbit in the region of magnetosphere the studying kinds of radiation first effected on the water medium of organism as a result morpho-functional structures were changed.
文摘Arsenic Trioxide (ATO) is widely acknowledged as the treatment of choice for Acute Promyelocytic Leukemia (APL). It is a “two-sided” drug since it can induce differentiation or kill APL and other tumor cells according to the dosage. Part of the cytotoxic effects of ATO on APL cells is due to its pro-oxidant activity, a characteristic which ATO shares with a number of other compounds, including high doses of ascorbate (ASC). In a comparative investigation on the cytotoxic effects of both ATO and ASC on HL60 (APL) cell lines, in Vitro, we have been able to confirm the known cytotoxic effects of ATO, but, more importantly, we have demonstrated that ASC is significantly more effective than ATO, in killing these cancer cells in Vitro, when the concentrations are maintained within the millimolar (mM) range, i.e. the range of plasma concentrations at which ASC induces oxidative damage to tumor cells. Since these plasma levels can be reached only by the intravenous administration of high doses of ASC, we propose that intravenous high doses of ASC may represent a potentially revolutionary new approach in the management of APL.
文摘Introduction: The prevalence of </span><i><span style="font-family:Verdana;">Klebsiella pneumoniae</span></i><span style="font-family:Verdana;"> has rapidly increased in recent years and the distribution differed greatly by region, We aimed to study the relationship between antibiotic resistance and </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;">, especially carbapenem-resistant </span><i><span style="font-family:Verdana;">Klebsiella pneumoniae</span></i><span style="font-family:Verdana;"> (CRKP) in our tertiary hospitals from 2014 to 2018.</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">Methodology: The antibiotic consumption data of </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> were expressed as the defined daily dose (DDD) per 100 inpatient days</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">(DDDs). </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> which isolated from clinical samples in</span><span style="font-family:Verdana;"> hospital between January 2014 and December 2018 were retrospectively analyzed, and the correlation between antibiotic resistance rate and antibiotic frequency was analyzed.</span></span><span style="font-family:""> </span><span style="font-family:""><span style="font-family:Verdana;">Results: From 2014 to 2018, a total of 2295 strains of </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> were isolated, with the detection rates of 8.2%, 9.2%, 11.9%, 13.4% and 14.0%. There were 423 strains of CRKP, with the detection rates of 7.5%, 5.8%, 17</span></span><span style="font-family:Verdana;">.</span><span style="font-family:""><span style="font-family:Verdana;">8% 24.2% and 25.2% respectively. </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> showed di</span></span><span style="font-family:Verdana;">fferent degrees of resistance to antibiotics and showed an increasing trend year by year to carbapenems. The resistance rate of imipenem was 2.5%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">2.8%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">9.9%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">12.3%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">13.4%, and the resistance rate of meropenem was 2.0%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">3.0%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">8.8%</span><span style="font-family:Verdana;">, </span><span style="font-family:Verdana;">12.6%</span><span style="font-family:Verdana;">, </span><span style="font-family:""><span style="font-family:Verdana;">12.7%, respectively. The resistance rate of most other drugs decreased. The DDDs values of cefoperazone/sulbactam, piperacillin-tazobactam and gentamicin showed a strong positive correlation with </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> drug resistance rate</span></span><span style="font-family:""> </span><span style="font-family:Verdana;">(r</span><span style="font-family:""> </span><span style="font-family:Verdana;">></span><span style="font-family:""> </span><span style="font-family:Verdana;">0.8, P</span><span style="font-family:""> </span><span style="font-family:Verdana;"><</span><span style="font-family:""> </span><span style="font-family:Verdana;">0.05)</span><span style="font-family:Verdana;">. </span><span style="font-family:""><span style="font-family:Verdana;">Conclusions: The detection rate of </span><i><span style="font-family:Verdana;">K. pneumoniae</span></i><span style="font-family:Verdana;"> and CRKP increased year by year, which was closely related to the dose of antibiotics. Strengthening the management of antimicrobial drugs and standardising the use of antimicrobial prescriptions were of great significance for delaying the emergence of drug-resistant bacteria.
文摘The use of computed tomography (CT) has increased over the past decades and has resulted in a concurrent increase in medical exposure to ionizing radiation. Several recent studies have examined the link between medical radiation and the risk of cancer, especially in children. Results are presented in terms of the volumetric computed tomography dose index (CTDIvol) and dose length product (DLP) for head, chest and abdomen. The 75th percentile of adult CTDIvol for head, chest and abdomen are 85 mGy, 13.34 mGy and 13.29 mGy respectively and the corresponding DLP values 1437.47 mGy·cm, 417.49 and 656.02 mGy·cm. However, the paediatric head based on age group 0 - 1 yr, 1 - 5 yrs, 6 - 10 yrs and 11 - 15 years are 28.18 mGy, 32.12 mGy, 32.13 mGy and 28.20 mGy and corresponding DLP values 399.75 mGy·cm, 514.38 mGy·cm, 578.42 mGy·cm and 487.11 mGy·cm respectively and for paediatric abdomen from 1 - 5 years to 11 - 15 years are 3.98 mGy, 4.26 mGy and 5.92 mGy and the corresponding DLP 99.36 mGy·cm, 160.84 and 235.85 mGy·cm. The finding shows considerably high CTDIvol and DLP values for adult head comparable to the international standard thus optimization is required. Reduction in radiation doses for both adult and paediatric patients involve training of staff and optimize CT protocols.
文摘Objective To investigate the effects of different doses of vecuronium on ventilatory function and mechanics of breathing during elective laparoscopic cholecystectomy. Methods Sixty - three ASA Ⅰ - Ⅱ patients aged 29 -57 yr were randomly divided into 3 groups of twenty-one: group Ⅰ received vecuronium 1 ± ED95 , group Ⅱ 2 ± ED95 and group Ⅲ ± ED95. Patients with respiratory disease were excluded. The patients were premedicated with intramuscular scopolamine 0 . 3 mg and oral diazepam 0 . 1 mg· kg-1 . Anesthesia was induced with fentanyl 2 μg ·kg-1 ,propofol 2 mg·kg-1 and succinylcholine 1. 5 mg· kg-1 and maintained with 1.0% -1.5% isoflurance and intermittent iv boluses of propofol 1 mg·kg when needed. Vecuronium 1 ± ED95 ( group Ⅰ ) or 2 ± ED95 (group Ⅱ ) or 3 ± ED95 (group Ⅲ ) was given iv after succinylcholine when TOF showed that T1 】 70 % . The patients were mechanically ventilated. VT was set at 10 ml ·kg-1 and respiratory rate at 12 bpm. End-tidal PCO2 was maintained at 30 -
基金supported by Universiti Kebangsaan Malaysia and Lynas Advanced Material Plant under Grant Numbers GGPM-2017-084 and ST-2017-012,respectively
文摘In this study, the activity concentrations of ^(226)Ra,^(232)Th,^(222)Rn, and ^(40)K, emanation fractions(P),equilibrium equivalent concentration(EEC), and mass exhalation rates(E_m) of radon released from building materials used in Malaysia were studied using gamma-ray spectrometer with HPGe detector. Radiological parameters[activity concentration index(ACI), indoor air-absorbed dose rate(D_(in)), annual effective dose(AED_(in)) from external and internal(E_(Rn)), soft tissues(H_(ST)) and lung(H_L), and effective dose equivalent(H_(eff))] were estimated to evaluate radiological hazards due to the use of these building materials: sand, cement, gravel, bricks, tiles, fly ash, white cement, and ceramic raw materials. The measured P, EEC,and E_m vary from 10 to 30%, 0.9 to 22 Bq m^(-3), and 33 to 674 mBq h^(-1) kg^(-1), respectively, while the calculated ACI and AED_(in) vary from 0.1 ± 0.01 to 2.1 ± 0.1 and 0.1 ± 0.01 to 2.4 ± 0.6 mSv y^(-1), respectively. On the other hand, the internal annual effective dose ranges from 0.1 to 1.4 mSv y^(-1). The estimated radiological risk parameters were below the recommended maximum values, and radiological hazards associated with building materials under investigation are therefore negligible.
文摘Fourteen samples of marble were collected from different factories in Egypt. The samples were crushed, dried in controlled furnace for around twenty four hours, and then stored for five weeks in plastic Marinelli beakers. Concentrations and the U- and Th-bearing minerals were studied by scanning electron microscopy (SEM) and energy dispersive X-ray spectrometry (EDS).The gamma radiation of the samples was measured, employing high resolution γ-ray spectroscopy with an accumulating time for about 80000 sec. each. From the measured γ -ray spectra, activity concentrations were determined for marble samples 226Ra (37. 6 ± 1.7 - 100.54 ± 3.2 Bq/kg), 232Th (3.57 ± 0.64 - 9.37 ± 1.80 Bq/kg) and 40K (30.68 ± 1.1 – 1196 ± 4.9 Bq/kg). The absorbed dose rates, annual effective dose rates, radium equivalent activities as well as the radiation hazard indices were estimated. The radium equivalent activities (Raeq) are lower than the limit of 370 Bq kg?1 set by the Organization for Economic Cooperation and Development (Exposure to radiation from the natural radioactivity in building materials. Report by a Group of Experts of the OECD, Nuclear Energy Agency, OECD, Paris, 1979) [1]. All obtained results referred to the fact that all the concentrations were within the allowed limits to domestic use. Comparing the results in this work with those published by International Atomic Energy Agency and local and universal researches, it was found that these concentrations were within the allowed limits for agricultural and domestic uses.
基金supported by grants from National Natural Science Foundation of China(No.81801804)。
文摘Objective:To analyze the radiation dose received by patients during hepatic artery infusion chemotherapy(HAIC)and transarterial chemoembolization(TACE)procedures and the related influencing factors.Methods:Data of 162 cases in the HAIC group and 230 cases in the TACE group were collected.The included covariates were Age(<45/45-59/≥60 years),BMI levels(underweight/normal weight/obesity),focus Dye of tumor(present/absent),lesion size(<5 cm/≥5 cm),superselection(present/absent),hepatic vascular variation(present/absent).The endpoints were postoperative dose-area product(DAP),exposure time and Air kerma(AK).Results:Of all included patients,the HAIC group patients were younger than those in the TACE group(P=0.028).The proportion of patients with large lesions in the HAIC group was higher than the TACE group(45.7%vs.33.9%,P=0.019).The proportion of patients who had superselection was lower in the HAIC group as compared to the TACE group(61.7%vs.82.2%,P<0.001).Generally,the HAIC group has lower DAP,exposure time and AK by 36.3%(P<0.001),38.2%(P<0.001),and 41.3%(P<0.001)than the TACE group,respectively.Linear regression analysis showed the procedure method(HAIC/TACE,P<0.001),type of DSA machine(Pheno/FD20,P<0.001),BMI levels(P<0.001),age(P=0.021),lesion size(<5 cm/≥5 cm,P=0.031)significantly correlated with low DAP.In the HAIC group,the type of DSA machine and BMI correlated with the radiation dose,while in the TACE group,the type of DSA machine,BMI,and lesion size correlated with the radiation dose.Conclusion:Compared with TACE,HAIC enables doctors and patients to receive lower radiation doses.Obese patients in both HAIC and TACE groups increase the radiation exposure in interventional doctors and patients,but large lesions only affect the radiation dose in the TACE procedure.
文摘A dosimetry study for chest, skull and lumbar spine examinations in adults has been carried out at two hospitals. The aim of the study was the assessment of adult patient’s dose for chest PA, chest LAT, skull AP and lumbar spine AP examinations. The Entrance Surface Dose (ESD) and the Effective Dose (ED) for each examination were obtained using DoseCal software. For each examination, different results were obtained at the two hospitals. At hospital A (IFF Hospital), the total number of patients studied was 140. The mean ESD values obtained for chest PA, chest LAT, skull AP and lumbar spine AP were 0.20 mGy, 0.47 mGy, 1.25 mGy, and 1.61 mGy, respectively. At hospital B (HGB Hospital), the total number of patients studied was 369 for similar examinations and projections. The ESD values were 0.10 mGy, 0.28 mGy, 0.66 mGy and 2.47 mGy, respectively. The mean ED values at hospital A and B were 0.02 mSv and 0.01 mSv for chest PA, 0.04 mSv and 0.03 mSv for chest LAT, 0.1 mSv and 0.06 mSv for skull AP, and 0.15 mSv and 0.26 mSv for lumbar spine AP, respectively. The results were compared with the European Community Reference Levels. Although the doses were low, there was still a need for personnel training and national guidance on good practice for optimization of patients’ doses.
基金This project was supported by IAEA under the research contact No. 4236/RB/R1
文摘In this report, the results of preliminary research on L-alanine/ESR electron dosimeters are described. They include the designs of modelling tools and experimental capsules, the preparation and irradiation of very thin dosimeters, the measurement of ESR signal spectrum and the calibration method. The physical, chemical and dosimetric properties of the alanine free radical dosimeters, such as the smallest thickness, average density, lowest detectable limit, repeatability of the method, reproducibility resulted in directivity and location in resonance cavity, linearity regions as well as relative scattering of the response to identical doses, are summarized.
文摘The ambient dose of radiation therapy and nuclear medicine units of Clinical Oncology Hospital, Menoufia University were investigated using thermoluminescence dosimeter MTS-700 and surveymeter (Inspector Radiation Alert). The maximum% difference between read out of both MTS-700 (TLD) and surveymeter did not exceed 6% and 8% for the two hospital units respectively. Values of the annual ambient dose received in both hospital units were found to be incompliant with radiation protection regulations. In addition, the extremity effective dose Hp (0.07) of staff in nuclear medicine unit was measured using wrist and finger techniques. Results indicate in-homogenies distribution of fingertips doses. Radiation doses received by the wrists and fingertips of radiopharmaceutical staff preparing 99mTc syringe were observed to be higher by a factor of about 1.41 and 1.44 respectively than those for the administrating staff whom injecting patients by 99mTc syringe, but also still in congruent with international radiation protection regulations.
文摘Aim: The simultaneous irradiation of target volumes of different total dose levels using intensity modulated radiotherapy leads to reduced doses per fraction and longer treatment times in target volumes of 2nd?to 4th?order. Does the thereby caused reduced biological effectiveness induce an increased recurrence risk? The current work deals with the problem of recurrences of patients with head and neck carcinomas treated either with an intensitiy (IMRT) or with a volumetric modulated (VMAT) irradiation technique. Methods: From October 2002 to September 2014, 699 patients with carcinomas of the head and neck were irradiated using IMRT or VMAT. The median follow up of the patients was 21.9 months (2 to 145 months). Primary tumor regions (1st?order target volume) of 565 patients were treated with doses per fraction of 2 Gy. Accordingly, further 133 target volumes of the primary tumor received reduced doses per fraction. In 1 patient, the lymphatic drainage was treated solely without irradiation of the primary region. For the lympatic drainage, 854 1st?order target volumes were treated with a dose per fraction of 2 Gy. Reduced doses per fraction were applied to further 1780 target volumes. Results: 54 of 699 patients developed a recurrence in the primary tumor region after radio-(chemo) therapy, 4 patients developed a recurrence of the primary tumor and a unilateral recurrence of the lymphatic drainage, 2 patients a recurrence of the primary tumor and a bilateral lymph node recurrence. 18 patients showed an isolated unilateral recurrence and additionally 2 patients a bilateral recurrence of the lymphatic drainage. 619 patients stayed recurrence free. In primary tumor regions, receiving a dose per fraction of 2 Gy 55 patients (9.7%) developed a recurrence, whereas in target volumes receiving a reduced dose per fraction 5 patients (3.8%) developed a recurrence (p < 0.001). In lympatic drainage target volumes receiving a dose per fraction of 2 Gy, 25 target volumes (2.9%) developed a recurrence, whereas in target volumes receiving a reduced dose per fraction, 5 patients (0.3%) developed a recurrence (p = 0.001). Conclusion: The recurrence risk in target volumes of 2nd?to 4th?order was not increased due to reduced doses per fraction deposited by means of a simultaneous integrated boost technique. Therefore, the simultaneous irradiation of target volumes with different dose levels is safely applicable within one treatment plan.
