Patient exposure data and operator dose in coronary interventional procedures: Impact of body-mass index and procedure complexity

PurposeThe aim of this study was to assess patient exposure data and operator dose in coronary interventional procedures, when considering patient body-mass index and procedure complexity.MethodsTotal air kerma area product (P_KA), Air-Kerma (AK), Fluoroscopy time (FT), operator dose and patient body-mass index (BMI) from 97 patients’ procedures (62 coronary angiography (CA) and 35 Percutaneous Coronary Intervention (PCI) were collected for one year. For PCI procedures, also the complexity index-CI was collected. Continuous variables for each of the 2 groups procedures (CA and PCI) were compared as medians with interquartile range and using Mann-Whitney U test. Multiple group data were compared using Kruskal-Wallis test (significance: p < 0.05).ResultsMedian P_KA was 63 and 125 Gy cm² for CA and PCI respectively (p < 0.001); FT was 3 and 14 min, respectively (p < 0.001). P_KA and FT significantly increased (p < 0.05) with BMI class for CA procedures. P_KA and FT also increased in function of CI class for PCI, thought significantly only for FT (p < 0.001), possibly because of the low number of PCI procedures included; cine mode contributed most to P_KA. Significant dose variability was observed among cardiologists for CA procedures (p < 0.001).ConclusionsDose references levels for P_KA and FT in interventional cardiology should be defined - on a sufficient number of procedures- in function of CI and BMI classes. These could provide an additional tool for refining a facility’s quality assurance and optimization processes. Dose variability associated with cardiologists underlines the importance of continuous training.     

Local diagnostic reference levels for paediatric non-cardiac interventional radiology procedures

PurposeTo establish local diagnostic reference levels (DRLs) for non-cardiac interventional procedures in paediatrics.MethodsThe type of procedure, the patient’s weight and age and dose-related data from 279 interventions was recorded in a database completed by interventional radiologists, radiographers and technicians of the Medical Physics department. These procedures were classified into 14 categories and 6 weight ranges. Local DRLs were proposed for those ranges in which a sample of at least 15 patients could be gathered and were calculated as the third quartile (Q3) of the air kerma-area product (P_KA) values. The Q3 of the fluoroscopy time (FT) and number of digital subtraction angiography (DSA) images were also obtained. Finally, the correlation between P_KA and weight was analysed.ResultsLocal DRLs are proposed for three types of procedures: hepatic/biliary interventions (5–15 kg, 1304 cGy·cm²; 15–30 kg, 2121 cGy·cm²), sclerotherapy procedures (15–30 kg, 704 cGy·cm²; 30–50 kg, 4049 cGy·cm²; 50–80 kg, 3734 cGy·cm²) and central venous catheter (CVC) procedures (5–15 kg, 84 cGy·cm²). Hepatic/biliary interventions showed a moderate correlation (r = 0.61), while sclerotherapy procedures presented a poor correlation (r = 0.34) between P_KA and weight, possibly due to the P_KA dependence on the complexity level. Regarding CVC procedures, a clearly higher correlation was found when the fluoroscopy P_KA value was normalised to the FT (r = 0.85 vs r = 0.35).ConclusionsThe results support the feasibility of establishing DRLs for the most common procedures (sclerotherapy, hepatic/biliary and CVC interventions) despite the small number of paediatric interventions.     

Institutional Diagnostic Reference Levels and Peak Skin Doses in selected diagnostic and therapeutic interventional radiology procedures

PurposeInstitutional (local) Diagnostic Reference Levels for Cerebral Angiography (CA), Percutaneous Transhepatic Cholangiography (PTC), Transarterial Chemoembolization (TACE) and Percutaneous Transhepatic Biliary Drainage (PTBD) are reported in this study.Materials and methodsData for air kerma-area product (P_KA), air kerma at the patient entrance reference point (K_a,r), fluoroscopy time (FT) and number of images (NI) as well as estimates of Peak Skin Dose (PSD) were collected for 142 patients. Therapeutic procedure complexity was also evaluated, in an attempt to incorporate it into the DRL analysis.ResultsLocal P_KA DRL values were 70, 34, 189 and 54 Gy.cm² for CA, PTC, TACE and PTBD respectively. The corresponding DRL values for K_a,r were 494, 194, 1186 and 400 mGy, for FT they were 9.2, 14.2, 27.5 and 22.9 min, for the NI they were 844, 32, 602 and 13 and for PSD they were 254, 256, 1598 and 540 mGy respectively. P_KA for medium complexity PTBD procedures was 2.5 times higher than for simple procedures. For TACE, the corresponding ratio was 1.6. PSD was estimated to be roughly 50% of recorded K_a,r for procedures in the head/neck region and 10% higher than recorded K_a,r for procedures in the body region. In only 5 cases the 2 Gy dose alarm threshold for skin deterministic effects was exceeded.ConclusionProcedure complexity can differentiate DRLs in Interventional Radiology procedures. PSD could be deduced with reasonable accuracy from values of K_a,r that are reported in every angiography system.     

Typical values for pediatric interventional cardiology catheterizations: A standardized approach towards Diagnostic Reference Level establishment

PurposeTo define weight-stratified Diagnostic Reference Levels (DRL) typical values for pediatric interventional cardiology (IC) procedures adopting standardized methodologies proposed by ICRP135 and RP185.MethodsProcedures performed at the pediatric catheterization room of the University-Hospital of Padua were analysed. Patients were stratified into body weight (BW) classes and DRL quantities were analysed for the most performed procedures. Typical values are defined as median P_KA and K_a,r. For database consistency, sampling and exclusion methods were precisely defined. The DRL-curve methodology by means of quantile regression median curves was investigated to assess the relationship between P_KA and weight. A like-to-like comparison with literature was made.Results385 procedures were analysed. A large P_KA variability was observed in each weight group. P_KA differences across BW groups were not always statistically significant. When stratifying by procedure, P_KA variability decreased while correlations of P_KA and P_KA/FT with weight increased. The established typical values are generally lower than DRLs published data, whatever stratification method adopted. The highest P_KA median values were observed for Angioplasty (4.9 and 11.6 Gycm² for 5-<15 kg and 15-<30 kg, respectively). The DRL-curve approach shows promising results for Valvuloplasty and Angioplasty.ConclusionsTypical values for pediatric IC DRL quantities were determined according to ICRP135 and RP185 methodologies. Stratification by BW classification does not reduce the variability of the P_KA values, unlike what happens when stratifying by procedure type. Results seem to corroborate that variability and exposure are more affected by procedure type and complexity than by patient weight. DRL-curve is a feasible approach.     

Eye lens dose correlations with personal dose equivalent and patient exposure in paediatric interventional cardiology performed with a fluoroscopic biplane system

PurposeTo analyse the correlations between the eye lens dose estimates performed with dosimeters placed next to the eyes of paediatric interventional cardiologists working with a biplane system, the personal dose equivalent measured on the thorax and the patient dose.MethodsThe eye lens dose was estimated in terms of H_p(0.07) on a monthly basis, placing optically stimulated luminescence dosimeters (OSLDs) on goggles. The H_p(0.07) personal dose equivalent was measured over aprons with whole-body OSLDs. Data on patient dose as recorded by the kerma-area product (P_KA) were collected using an automatic dose management system. The 2 paediatric cardiologists working in the facility were involved in the study, and 222 interventions in a 1-year period were evaluated. The ceiling-suspended screen was often disregarded during interventions.ResultsThe annual eye lens doses estimated on goggles were 4.13 ± 0.93 and 4.98 ± 1.28 mSv. Over the aprons, the doses obtained were 10.83 ± 0.99 and 11.97 ± 1.44 mSv. The correlation between the goggles and the apron dose was R² = 0.89, with a ratio of 0.38. The correlation with the patient dose was R² = 0.40, with a ratio of 1.79 μSv Gy⁻¹ cm⁻². The dose per procedure obtained over the aprons was 102 ± 16 μSv, and on goggles 40 ± 9 μSv. The eye lens dose normalized to P_KA was 2.21 ± 0.58 μSv Gy⁻¹ cm⁻².ConclusionsMeasurements of personal dose equivalent over the paediatric cardiologist’s apron are useful to estimate eye lens dose levels if no radiation protection devices are typically used.     

Patient and staff doses in paediatric interventional cardiology derived from experimental measurements with phantoms

The aim of this paper was to determine experimentally the entrance surface air kerma (ESAK) and kerma-area product (KAP) levels to patients and scatter doses at the cardiologist's eyes during paediatric interventional cardiology (IC) procedures for Chile, on the basis of measurements taken from X-ray systems characterization for different thicknesses of polymethyl methacrylate, together with the average values of fluoroscopy time and number of cine frames for ten paediatric IC procedures. The range of cumulative ESAK values when the different clinical procedures were simulated was from 2 to 1100 mGy. KAP values ranged from 0.30 to 150 Gy cm². Scatter doses at cardiologist's eyes for the simulated procedures ranged from 0.20 to 116 µSv per procedure. Large differences between the X-ray systems were found in our study. Standardized guidelines in terms of X-ray system setting and protocols should be developed for hospitals that perform paediatric IC procedures in Chile.     

Postoperative endometrial carcinoma treated with external beam irradiation plus vaginal-cuff brachytherapy. Is there a dose relationship with G2 vaginal complications?

AimTo analyse the possible relationship between the EQD2_(α/β=3Gy) at 2 cm³ of the vagina and late toxicity in vaginal-cuff-brachytherapy (VBT) after external-beam-irradiation (EBRT) for postoperative endometrial carcinoma (EC).Materials and methodsFrom 2014 to 2016, 62 postoperative EC patients were treated with EBRT + VBT. The median EBRT dose was 45 Gy (44 Gy–50.4 Gy). VBT involved a single 7 Gy dose. Toxicity was prospectively evaluated using the RTOG score for the rectum and bladder and the objective LENT-SOMA criteria for the vagina. EQD2_{(α/β = 3Gy)} at 2 cm³ of the most exposed part of the vagina was calculated by the sum of the EBRT + VBT dose. Statistics: Boxplot, Student’s t and Chi-square tests and ROC curves.ResultsMean follow-up: 39.2 months (15–68). Late toxicity: bladder:0 patient; rectum:2 patients-G1; Vagina: 26 patients-17G1, 9G2; median EQD2_(α/β=3Gy) at 2 cm³ in G0-G1 patients was 70.4 Gy(SD2.36), being 72.5 Gy(SD2.94) for G2p. The boxplot suggested a cut-point identifying the absence of G2: 100 % of G2p received >68 Gy, ROC curves showed an area under the curve of 0.72 (sensitivity of 1 and specificity of 0.15).ConclusionsDoses >68 Gy EQD2_(α/β=3Gy) at 2 cm³ to the most exposed area of the vagina were associated with late G2 vaginal toxicity in postoperative EC patients treated with EBRT + VBT suggesting a very good dose limit to eliminate the risk of G2 late toxicity. The specificity obtained indicates the need for prospective analyses.     

Establishing the European diagnostic reference levels for interventional cardiology

Interventional cardiac procedures may be associated with high patient doses and therefore require special attention to protect the patients from radiation injuries such as skin erythema, cardiovascular tissue reactions or radiation-induced cancer. In this study, patient exposure data is collected from 13 countries (37 clinics and nearly 50 interventional rooms) and for 10 different procedures. Dose data was collected from a total of 14,922 interventional cardiology procedures. Based on these data European diagnostic reference levels (DRL) for air kerma-area product are suggested for coronary angiography (CA, DRL = 35 Gy cm²), percutaneous coronary intervention (PCI, 85 Gy cm²), transcatheter aortic valve implantation (TAVI, 130 Gy cm²), electrophysiological procedures (12 Gy cm²) and pacemaker implantations. Pacemaker implantations were further divided into single-chamber (2.5 Gy cm²) and dual chamber (3.5 Gy cm²) procedures and implantations of cardiac resynchronization therapy pacemaker (18 Gy cm²). Results show that relatively new techniques such as TAVI and treatment of chronic total occlusion (CTO) often produce relatively high doses, and thus emphasises the need for use of an optimization tool such as DRL to assist in reducing patient exposure. The generic DRL presented here facilitate comparison of patient exposure in interventional cardiology.     

Updating national diagnostic reference levels for interventional cardiology and methodological aspects

The aim of this study is to propose national diagnostic reference levels (DRL) for updating in the field of interventional cardiology and to include technical details to help plan optimization.Medical physics experts and interventional cardiologists from 14 hospitals provided patient dose indicators from coronary angiography and percutaneous coronary interventions. Information about X-ray system dose settings and image quality was also provided.The dose values from 30,024 procedures and 26 interventional laboratories were recorded. The national DRLs proposed for coronary angiography and percutaneous coronary interventions were respectively 39 and 78 Gy·cm² for air kerma area product (P_KA), 530 and 1300 mGy for air kerma at reference point (K_a,r), 6.7 and 15 min of fluoroscopy time and 760 and 1300 cine images. 36% of the KAP meters required correction factors from 10 to 35%. The dose management systems should allow these corrections to be included automatically. The dose per image in cine in reference conditions differed in a factor of 5.5.Including X-ray system dose settings in the methodology provides an insight into the differences between hospitals. The DRLs proposed for Spain in this work were similar to those proposed in the last European survey. The poor correlation between X-ray systems dose settings and patient dose indicators highlights that other factors such as operation protocols and complexity may have more impact in patient dose indicators, which allows a wide margin for optimization. Dose reduction technology together with appropriate training programs will be determinant in the future reduction of patient dose indicators.     

Adsorption characteristics of sulfur powder by bamboo charcoal to restrain sulfur allergies

Exposures to particulate matter with a diameter of 2.5 μm or less (PM2.5) may influence the risk of birth defects and make you allergic, which causes serious harm to human health. Bamboo charcoal can adsorb harmful substances,that was of benefitto people’s health. In order to figure out the optimal adsorbtion condition and the intrinsic change of bamboo charcoal, five chemicals were adsorbed by bamboo charcoal and were analyzed by FT-IR. The optimal blast time was 80 min of Na₂SO₃, 100 min of Na₂S₂O₈, 20 min of Na₂SO₄, 120 min of Fe₂(SO₄)₃ and 60 min or 100 min of S. FT-IR spectra showed that bamboo charcoal had five characteristic peaks of SS stretch, H₂O stretch, OH stretch, CO stretch or CC stretch, and NO₂ stretch at 3850 cm⁻¹, 3740 cm⁻¹, 3430 cm⁻¹, 1630 cm⁻¹ and 1530 cm⁻¹, respectively. For Na₂SO₃, the peaks at 3850 cm⁻¹, 3740 cm⁻¹, 3430 cm⁻¹, 1630 cm⁻¹ and 1530 cm⁻¹ achieved the maximum at 20 min. For Na₂S₂O₈, the peaks at 3850 cm⁻¹, 3740 cm⁻¹, 3430 cm⁻¹ and 1530 cm⁻¹ achieved the maximum at 40 min. For Na₂SO₄, the peaks at 3850 cm⁻¹, 3740 cm⁻¹ and 1530 cm⁻¹ achieved the maximum at 40 min. For Fe₂(SO₄)₃, the peaks at 3850 cm⁻¹, 3740 cm⁻¹, 1630 cm⁻¹ and 1530 cm⁻¹ achieved the maximum at 120 min. For S, the peaks at 3850 cm⁻¹ and 3740 cm⁻¹ achieved the maximum at 40 min, the peaks at 1630 cm⁻¹ and 1530 cm⁻¹ achieved the maximum at 40 min. It proved that bamboo charcoal could remove sulfur powder from air to restrain sulfur allergies.     

Effects of Metabotropic Glutamate Receptor Stimulation on Cerebral O2 Consumption and Blood Flow During Focal Cerebral Ischemia in Rats

This investigation was performed to evaluate the effects of ACPD [(1S, 3R)-1-aminocyclopentane-1,3-dicarboxylic acid], a metabotropic glutamate receptor agonist, on cerebral O₂ consumption during focal cerebral ischemia. Male Wistar rats were placed in control (n = 7) and ACPD (n = 7) groups under isoflurane anesthesia. Twenty minutes after middle cerebral artery (MCA) occlusion, gauze sponges with 10^–5 M ACPD or normal saline were placed on the ischemic cortex (IC) for a period of 40 min and were changed every 10 min. One hour after MCA occlusion, regional cerebral blood flow (rCBF) was determined using the C¹⁴-iodoantipyrine autoradiographic technique. Regional arterial and venous oxygen saturation were determined using microspectrophotometry. There were no statistical differences in vital signs, blood gases, and hemoglobin between the groups. In the control group, the cerebral blood flow and oxygen consumption of the IC were significantly lower than the contralateral cortex (rCBF: 45 ± 11 vs. 110 ± 11 ml/min/100 g, O₂ consumption: 2.9 ± 0.4 vs. 5.4 ± 1.1 ml O₂/min/100 g). ACPD did not change regional cerebral blood flow of the IC, but did significantly increase the oxygen extraction (7.8 ± 0.2 vs. 6.9 ± 0.3 ml O₂/100 ml) and oxygen consumption of the IC (4.3 ± 1.5 vs. 2.9 ± 0.4) compared to the control IC. Our data demonstrated that topical application of 10^–25 M ACPD to the ischemic area worsened cerebral O₂ balance. These data suggest that metabotropic glutamate receptors are not maximally activated during ischemia in the temporal cortex.     

Effect of AMPA on Cerebral Cortical Oxygen Balance of Ischemic Rat Brain

We tested the hypothesis that the excitatory neurotransmitter receptor agonist, alpha amino-3-hydroxy-5-methyl-4-isoxazole propionate (AMPA), would worsen cerebral cortical oxygen supply/consumption balance during focal ischemia. In this study, we compared regional cerebral blood flow, arterial and venous O₂ saturation, O₂ extraction and oxygen consumption of ischemic and AMPA treated ischemic and control regions of rat brain. Ischemia was induced by middle cerebral artery (MCA) occlusion in isoflurane (1.4%) anesthetized Wistar rats. Twenty minutes after MCA occlusion, 10^–5 M AMPA was applied to the ischemic cortex (IC) for a period of 40 min; the fluid was changed every 10 min. After 1 hr of ischemia, animals were sacrificed and regional cerebral blood flow (rCBF) was determined using the C¹⁴-iodoantipyrine autoradiographic technique. Regional arterial and venous oxygen saturation were determined microspectrophotometrically. In control, the cerebral blood flow and oxygen consumption of the IC were significantly lower than the contralateral cortex (rCBF: 46 ± 20 vs. 81 ± 39 ml/min/100g, O₂ consumption: 2.8 ± 1.4 vs. 3.6 ± 1.4 ml O₂/min/100g). 10^–5 M AMPA did not significantly alter regional cerebral blood flow and oxygen consumption of the IC, but did decrease the average venous O₂ saturation of the IC from 50.2 ± 3.9% to 46.7 ± 1.6%. AMPA also significantly increased the frequency of small veins with less than 45% O₂ saturation in the IC (8 out of 56 veins in IC vs. 18 out of 56 veins in AMPA treated IC). Thus, topical application of 10^–5 M AMPA to the ischemic area worsens cerebral O₂ balance and suggests that excitatory amino acids contribute to the degree of cerebral ischemia.     

Characteristics of activated carbon remove sulfur particles against smog

Sulfur particles, which could cause diseases, were the main powder of smog. And activated carbon had the very adsorption characteristics. Therefore, five sulfur particles were adsorbed by activated carbon and were analyzed by FT-IR. The optimal adsorption time were 120 min of Na₂SO₃, 120 min of Na₂S₂O₈, 120 min of Na₂SO₄, 120 min of Fe₂(SO₄)₃ and 120 min of S. FT-IR spectra showed that activated carbon had the eight characteristic absorption of SS stretch, H₂O stretch, OH stretch, CH stretch, conjugated CO stretch or CC stretch, CH₂ bend, CO stretch and acetylenic CH bend vibrations at 3850 cm^–1, 3740 cm^–1, 3430 cm^–1, 2920 cm^–1, 1630 cm^–1, 1390 cm^–1, 1110 cm^–1 and 600 cm^–1, respectively. For Na₂SO₃, the peaks at 2920 cm^–1, 1630 cm^–1, 1390 cm^–1 and 1110 cm^–1 achieved the maximum at 20 min. For Na₂S₂O₈, the peaks at 3850 cm^–1, 3740 cm^–1 and 2920 cm^–1 achieved the maximum at 60 min. The peaks at 1390 cm^–1, 1110 cm^–1 and 600 cm^–1 achieved the maximum at 40 min. For Na₂SO₄, the peaks at 3430 cm^–1, 2920 cm^–1, 1630 cm^–1, 1390 cm^–1, 1110 cm^–1 and 600 cm^–1 achieved the maximum at 60 min. For Fe₂(SO₄)₃, the peaks at 1390 cm^–1, 1110 cm^–1 and 600 cm^–1 achieved the maximum at 20 min. For S, the peaks at 1630 cm^–1, 1390 cm^–1 and 600 cm^–1 achieved the maximum at 120 min. It provided that activated carbon could remove sulfur particles from smog air to restrain many anaphylactic diseases.     

Time-Staged Gamma Knife Stereotactic Radiosurgery for Large Cerebral Arteriovenous Malformations: A Preliminary Report

ObjectiveWe retrospectively analyzed our experience with time-staged gamma knife stereotactic radiosurgery (GKS) in treating large arteriovenous malformation(AVM)s;≥ 10 cm³).MethodsForty-five patients who underwent time-staged GKS (2-stage, n = 37;3-stage,n = 8) between March 1998 and December 2011 were included. The mean volume treated was 20.42±6.29 cm³ (range, 10.20–38.50 cm³). Obliteration rates of AVMs and the associated complications after GKS were evaluated.ResultsMean AVM volume (and median marginal dose) at each GKS session in the 37 patients who underwent 2-stage GKS was 19.67±6.08 cm³ (13 Gy) at session 1 and 6.97±6.92 cm³ (17 Gy) at session 2. The median interval period was 39 months. After follow-up period of 37 months, the complete obliteration rate was 64.9%. The mean AVM volume (and median marginal dose) at each GKS session in the 8 patients who underwent 3-stage GKS was 23.90±6.50 cm³ (12.25 Gy), 19.43±7.46 cm³ (13.5 Gy), 7.48±6.86 cm³ (15.5 Gy) at session 1, 2, and 3, respectively. The median interval duration between each GKS session was 37.5 and 38 months, respectively. After a median follow-up period of 47.5 months, 5 patients (62.5%) achieved complete obliteration. Postradiosurgical hemorrhage developed in 5 patients (11.1%) including one case of major bleeding and 4 cases of minor bleeding. No patient suffered from clinically symptomatic radiation necrosis following radiation.ConclusionTime-staged GKS could be an effective and safe treatment option in the management of large AVMs.     

Cardiorespiratory power across adolescence in male soccer players

Despite the recognition of the beneficial role of cardiorespiratory power (CRP) for health and sport performance, the development of this physical fitness parameter in adolescent soccer players was not well studied. Aim of this cross-sectional study was to investigate the effect of age on CRP of adolescent soccer players, the influence of anthropometric characteristics and body composition on it, and to establish normative data. Male adolescent (N = 274; aged 12.07–20.98 y), classified in nine one-year age-groups, child (N = 12, aged 7.71–11.8 y) and adult players (N = 22; aged 21.12–31.59 y), all members of competitive soccer clubs, were examined for anthropometric characteristics and body composition and they performed Physical Working Capacity in heart rate 170 test (PWC₁₇₀) on cycle ergometer. Analysis of variance revealed significant difference between age groups with respect to PWC170 in absolute (F _10,.297 = 29.58, P < 0.001, η² = 0.5), relative to body mass (F _10,.297 = 5.28, P < 0.001, η² = 0.15) and relative to fat free mass values (F _10.297 = 4.98, P < 0.001, η²= 0.14). In addition, age was in positive association with these parameters (r = 0.6, P < 0.001, r = 0.24, P < 0.001 and r = 0.23, P < 0.001, correspondingly). The main finding of this study was that CRP increased during developmental period in soccer players, even when it was adjusted to body mass or FFM, which increased during development. This documentation of the development of CRP provided useful tool for coaches and fitness trainers in order to apply optimal exercise interventions for health and performance.     

Developmental changes in the potential for h(2)s emission in cucurbit plants

Based on results obtained with leaf discs exposed to sulfate, leaves on cucurbit plants (Cucurbita pepo L. cv Small Sugar Pumpkin and Cucumis sativus cv Chipper) 1 to 2.5 weeks old have a low potential for H₂S emission (less than 10 picomoles per min per cm² leaf area) in response to sulfate, whereas discs from most of the leaves on plants 3 to 4 weeks old emit H₂S at a higher rate (50 to 150 picomoles per min per cm² leaf area). This difference is determined by the age of the plant, and is independent of the leaves' age or developmental stage. In response to l-cysteine, however, discs from leaves on cucurbit plants 1 to 2.5 weeks old emit H₂S at higher rates (15 to 50 picomoles per min per cm² leaf area) than in response to sulfate. Furthermore, the potential for H₂S emission in response to l-cysteine decreases with increasing age of the individual leaf. Thus, most of the potential for H₂S emission in response to l-cysteine is developed during germination and the early growth of cucurbit plants, but most of the potential for H₂S emission in response to sulfate arises later in the development of the plants.     

Desulphurization characteristics of bamboo charcoal from sulfur solution

Sulfur powder and sulfur dioxide (SO₂) often floated in air, produced acid rain and algal blooms, and could cause diseases. Bamboo charcoal could have adsorption and filtration properties. In order to figure out the optimal adsorption condition and the intrinsic change of the bamboo charcoal, five chemicals were adsorbed by bamboo charcoal and were analyzed by FT-IR. Fe₂(SO₄)₃’s, Na₂SO₄’s, Na₂S₂O₈’s, S’s, and Na₂SO₃’s optimal adsorption condition was the concentration of 19 g/1000 g and stir time of 20 min, 21 g/1000 g and stir time of 60 min, 7 g/1000 g and stir time of 120 min, 11 g/1000 g and stir time of 120 min, 21 g/1000 g and stir time of 60 min, respectively. FT-IR spectra showed that for FT-IR spectra of Fe₂(SO₄)₃, the transmissivity of the peaks at 3435 cm⁻¹ and 2925 cm⁻¹ achieved the maximum for 60 min and the concentration was 19 g/1000 g, the transmissivity of the peaks at 1630 cm⁻¹, 1060 cm⁻¹ and 660 cm⁻¹ achieved the maximum for 60 min and the concentration was 7 g/1000 g. For FT-IR spectra of Na₂SO₄, the transmissivity of the peaks at 1630 cm⁻¹, 1060 cm⁻¹ and 660 cm⁻¹ achieved the maximum for 20 min and the concentration was 13 g/1000 g. For FT-IR spectra of Na₂S₂O₈, the transmissivity of the peaks at 3435 cm⁻¹, 2925 cm⁻¹, 1630 cm⁻¹ and 1060 cm⁻¹ achieved the maximum for 120 min and the concentration was 19 g/1000 g. For FT-IR spectra of S, the transmissivity of the peaks at 3435 cm⁻¹, 2925 cm⁻¹, 1630 cm⁻¹ and 1060 cm⁻¹ achieved the maximum for 20 min and the concentration was 11 g/1000 g, 17 g/1000 g and 21 g/1000 g. For FT-IR spectra of Na₂SO₃, the transmissivity of the peaks at 3435 cm⁻¹ achieved the maximum for 120 min and the concentration was 5 g/1000 g, the transmissivity of the peaks at 2925 cm⁻¹, 1630 cm⁻¹ and 1060 cm⁻¹ achieved the maximum for 120 min and the concentration was 11 g/1000 g. In these states, the number of the transmissivity of the maximum peaks is the largest.     

Feasibility of setting up generic alert levels for maximum skin dose in fluoroscopically guided procedures

PurposeThe feasibility of setting-up generic, hospital-independent dose alert levels to initiate vigilance on possible skin injuries in interventional procedures was studied for three high-dose procedures (chemoembolization (TACE) of the liver, neuro-embolization (NE) and percutaneous coronary intervention (PCI)) in 9 European countries.MethodsGafchromic® films and thermoluminescent dosimeters (TLD) were used to determine the Maximum Skin Dose (MSD). Correlation of the online dose indicators (fluoroscopy time, kerma- or dose-area product (KAP or DAP) and cumulative air kerma at interventional reference point (K_a,r)) with MSD was evaluated and used to establish the alert levels corresponding to a MSD of 2 Gy and 5 Gy. The uncertainties of alert levels in terms of DAP and K_a,r, and uncertainty of MSD were calculated.ResultsAbout 20–30% of all MSD values exceeded 2 Gy while only 2–6% exceeded 5 Gy. The correlations suggest that both DAP and K_a,r can be used as a dose indicator for alert levels (Pearson correlation coefficient p mostly >0.8), while fluoroscopy time is not suitable (p mostly <0.6). Generic alert levels based on DAP (Gy cm²) were suggested for MSD of both 2 Gy and 5 Gy (for 5 Gy: TACE 750, PCI 250 and NE 400). The suggested levels are close to the lowest values published in several other studies. The uncertainty of the MSD was estimated to be around 10–15% and of hospital-specific skin dose alert levels about 20–30% (with coverage factor k = 1).ConclusionsThe generic alert levels are feasible for some cases but should be used with caution, only as the first approximation, while hospital-specific alert levels are preferred as the final approach.     

Molecular Dynamics Study of High Temperature Phase-Separation in a H2O/N2 Mixture with Exp-6 Interactions

Abstract

Equimolar H₂O/N₂ fluid mixture was studied by molecular dynamics simulations for NVT ensemble. Calculations were performed with the modified Buckingham (exp-6) potentials at T = 2000 K. Particular attention was given to the phase separation at very high pressures relevant to a detonation environment. Calculations of pair correlation functions and local mole fractions clearly indicated the occurrence of the fluid separation into N₂-rich and H₂O-rich phase. The density at the phase boundary between homogeneous and inhomogeneous phase-separated state was determined to be p = 1.35 g/cm³ on the basis of the static cross correlation factor which is defined by the sum of the local mole fractions. The ratio of the self-diffusion coefficients of N₂ and H₂O at p < 1.35 g/cm³ was found to be approximately equal to the value predicted by the kinetic theory of the ideal gas, whereas the ratio was close to unity at the phase-separated state (p > 1.35 g/cm³). In addition, two distinctive behaviors of the system could be observed for the relaxation from the initial uniform mixture to the phase-separated fluid: at lower densities (1.35 < p < 2.0 g/cm³) the fluid mixture began to relax into the phase-separated system without obvious incubation time, while clear incubation period was associated for the separation at higher densities. During this incubation period, discontinuous jumps in the mean square displacements were found.     

Impact of the natural resource of UVB on the content of vitamin D2 in oyster mushroom (Pleurotus ostreatus) under subtropical settings

Vitamin D deficiency is a pandemic problem. Non-animal source of vitamin D is obtained from edible mushrooms. Oyster mushroom (Pleurotus ostreatus) was sliced into the size of 1 cm³, 4 cm³ and 9 cm³, and treated with the sun as a natural resource of UVB under subtropical settings in Ethiopia. The content of vitamin D was measured by using high-performance liquid chromatography (HPLC). After sun treatment, there was a significant increment in the content of vitamin D₂ from nil to 67.4 ± 28.0 µg/g dry weight (DW). Based on the results of the overall pairwise comparisons, 1 cm³ size of slice group had the highest content of vitamin D₂. Duration of sun exposure, sizes of mushroom slices and moisture content were identified as determining factors for vitamin D₂ synthesis. Exposing slices of oyster mushroom to the sunlight for <30 min provides the amount that satisfies the current recommended dietary allowance (RDA) of vitamin D without any visible change in color and texture. Thus, sun treatment of oyster mushroom is an effective and economically cheap strategy in the fight against vitamin D deficiency.