Spatial Variation Regularities of Cosmic Radiation and Evaluation of Exposure Doses to Aircrews

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医学工作者的职业照射:剂量水平、辐射危害和个人剂量监测

辐射的医学应用是核能应用中最为活跃的领域,特别是近20年来介入放射学突飞猛进的发展,医学工作者是职业受照群体中增长最快的,也是最大的受照群体。由于辐射防护管理和培训的滞后,辐射防护意识和装备满足不了迅猛发展的需要,医学工作者(特别是介入放射学工作者)的职业性受照剂量较高,因此医学工作者是职业受照群体中最应受到关注的群体。为此,告诫职业受照的医学工作者,在用辐射技术造福于病人的同时,要关注自已的安全和健康,加强防护,接受完整的个人剂量监测。     

Occupational Exposure of the Eye Lens in Interventional Procedures: How to Assess and Manage Radiation Dose

Occupational exposure from interventional x-ray procedures is one of the areas in which increased eye lens exposure may occur. Accurate dosimetry is an important element to investigate the correlation of observed radiation effects with radiation dose, to verify the compliance with regulatory dose limits, and to optimize radiation protection practice. The objective of this work is to review eye lens dose levels in clinical practice that may occur from the use of ionizing radiation. The use of a dedicated eye lens dosimeter is the recommended methodology; however, in practice it cannot always be easily implemented. Alternatively, the eye lens dose could be assessed from measurements of other dosimetric quantities or other indirect parameters, such as patient dose. The practical implementation of monitoring eye lens doses and the use of adequate protective equipment still remains a challenge. The use of lead glasses with a good fit to the face, appropriate lateral coverage, and/or ceiling-suspended screens is recommended in workplaces with potential high eye lens doses.     

Radiation necrosis of the brain: Time of onset and incidence related to total dose and fractionation of radiation

Summary Clinical deterioration during or after brain irradiation may be due to progression of neoplasm or radiation induced necrosis of the neoplasm and/or of normal brain tissues, or a combination of all. Eight patients with histologically documented radiation induced lesions of the brain are included in this study. The radiation therapy included the fractional schedule, group A, who received 280 to 300 rads daily, to a total dose of 4500 to 5000 rads and weekly exposure did not exceed 900 rads. Group B patients were exposed to 850 rads, daily dose on day 1, 3, 21 and 23 to a total dose of 3400 rads. The incidence of radiation induced lesions of brain was 3.4% in patients group A and 8.7% in group B patients (without) statistical significance). The median time of onset of these lesions after completion of radiation therapy was significantly shorter in group B patients (8.5 months) as opposed to group A patients (21 months).     

Assessment of the awareness of radiation protection and related concepts among nursing staff mainly working in diagnostic imaging units,cath-labs and operation theatres in Sri Lanka: A survey-based study

IntroductionThis study was carried out to evaluate the awareness of radiation protection, radiation types, medical imaging equipment and radiation effects among nurses for the first time in Sri Lanka. Since nurses are involved as direct caregivers in diagnostic and therapeutic radiography and radiation treatment procedures, they need to have a good understanding of the areas mentioned above.MethodsA self-administered questionnaire was used to collect data from 391 nurses working in hospitals, clinics, and other healthcare settings. Forwarded questions gathered the participants' demographic details and assessed their awareness of radiation protection, medical imaging equipment, radiation type and radiation effects. The average score per awareness area for each demographic characteristic was calculated based on the responses. Additionally, the percentage of participants who scored above 50 and 75 was calculated for each awareness area.ResultsThe majority were female participants (81.1%) and possessed a diploma in nursing (66.0%) with 10.8 years of average work experience. 92.3%, 74.7%, 69.8% and 22.3% of the participants scored more than 50 marks for the questions related to radiation protection, medical imaging equipment, radiation type and radiation effects, respectively. The level of nursing education and prior training in radiation protection significantly influenced all awareness areas, whereas participants with a graduate qualification in nursing and with prior radiation protection training scored the highest average marks.ConclusionBased on the scores obtained, the Sri Lankan nurses have satisfactory awareness of the essential concepts related to radiation types, medical imaging equipment and radiation protection. However, there is a significant lacking of awareness of radiation effects. This can be attributed to the fact that most participants did not have any formal training in radiation protection. The results implicate that proper training in radiation protection can significantly influence awareness of radiation protection and related concepts. Therefore, it is a timely requirement to initiate short awareness programs and continuing education programs on radiation protection for nurses working in specialised radiation units.Implications for practiceThe study suggests the necessity of initiating continuous education programs for nursing staff radiation protection to overcome the awareness gaps.     

DNA Repair: Relationship to Drug and Radiation Resistance,Metastasis and Growth Factors

Summary

DNA repair mechanisms are important for the recovery of both normal and malignant tissues from radiation and chemotherapy. Drug ‘resistance’ may merely reflect the similarity of cancer to normal tissues. Investigating the normal repair mechanisms by cloning human DNA repair genes will permit a much better comparison. Therapeutic inhibition of DNA repair may be possible with poly-ADP-ribose polymerase inhibitors. A differential effect may be obtained since less-differentiated cells have a higher poly-ADP-ribose polymerase activity. Clinical application of repair inhibitors can be achieved by using antimetabolites such as high-dose hydroxyurea which produces levels of 1–3 mmol litre ^?1/24 hours. The whole cell and tissue response to DNA damage is more complex than removal of adducts and joining strand breaks. DNA damage can result in an increase in growth-factor receptors, the release of soluble mediators that affect undamaged cells and stimulation of plasminogen activator. These changes may enhance growth and recovery as well as bypass or repair the damage. The generation of heterogeneity in a tumour population may be mediated by DNA rearrangements. Genetic instability is much higher in metastatic clones and a comparison of DNA strand-break repair in a metastatic and a non-metastatic line showed more rapid repair in the former. Aberrant use of DNA repair stimulated by growth factors may mediate tumour progression and heterogeneity as well as drug resistance.     

Chronic fatigue and immune deficiency syndrome (CFIDS), cellular metabolism,and ionizing radiation: a review of contemporary scientific literature and suggested directions for future research

Purpose: To investigate biochemical pathways known to be involved in radiation response and in CFIDS to determine if there might be common underlying mechanisms leading to symptoms experienced by those accidentally or deliberately exposed to radiation and those suffering from CFIDS. If such a link was established to suggest testable hypotheses to investigate the mechanisms with the aim of identifying new therapeutic targets.

Conclusions: Evidence for involvement of the alpha-synuclein, cytochrome c oxidase, αB-crystallin, RNase L, and lactate dehydrogenase/STAT1 pathways is strong and suggests a common underlying mechanism involving mitochondrial dysfunction mediated by ROS and disruption of ATP production. The downstream effect of this is compromised energy production. Testable hypotheses are suggested to investigate the involvement of these pathways further.