Evaluation of patient organ doses from kilovoltage cone-beam CT imaging in radiation therapy

BackgroundCurrently, CBCT system is an indispensable component of radiation therapy units. Because of that, it is important in treatment planning and diagnosis. CBCT is also an crucial tool for patient positioning and verification in image-guided radiation therapy (IGRT). Therefore, it is critical to investigate the patient organ doses arising from CBCT imaging. The purpose of this study is to evaluate patient organ doses and effective dose to patients from three different protocols of Elekta Synergy XVI system for kV CBCT imaging examinations in image guided radiation therapy.Materials and methodsOrgan dose measurements were done with thermoluminescent dosimeters in Alderson RA NDO male phantom for head & neck (H&N), chest and pelvis protocols of the Elekta Synergy XVI kV CBCT system. From the measured organ dose, effective dose to patients were calculated according to the International Commission on Radiological Protection 103 report recommendations.ResultsFor H&N, chest and pelvis scans, the organ doses were in the range of 0.03–3.43 mGy, 6.04–22.94 mGy and 2.5–25.28 mGy, respectively. The calculated effective doses were 0.25 mSv, 5.56 mSv and 4.72 mSv, respectively.ConclusionThe obtained results were consistent with the most published studies in the literature. Although the doses to patient organs from the kV CBCT system were relatively low when compared with the prescribed treatment dose, the amount of delivered dose should be monitored and recorded carefully in order to avoid secondary cancer risk, especially in pediatric examinations.     

Estimates of the number of patients with high cumulative doses through recurrent CT exams in 35 OECD countries

PurposeTo estimate the number of patients in OECD (Organization for Economic Co-operation and Development) countries who receive a cumulative effective dose (CED) ≥ 100 mSv from recurrent computed tomography (CT) exams.MethodsTaking into account recently published data on the number of CTs per patient and the fraction of patients with CED ≥ 100 mSv as well as country-specific data for the number of CT exams/1,000 population from OECD publication, this paper makes estimations for 35 OECD countries.ResultsThe estimated total number of patients with CED ≥ 100 mSv for all 35 OECD countries combined in a 5-year period is around 2.5 million (2,493,685) in a population of 1.2 billion (1,176,641,900), i.e., 0.21% of the population. Expressed per 1,000 population, the range is from 0.51 for Finland to 2.94 for the US, a nearly six-fold difference. Countries with more than 2 patients with CED ≥ 100 mSv in a 5-yr period per 1,000 population are: Belgium, France, Iceland, Japan, Korea, Luxembourg, Portugal, Turkey, and US.ConclusionsThe first estimates of the number of patients likely receiving CED ≥ 100 mSv through recurrent CT exams in 35 OECD countries indicate that 2.5 million patients reach this level in a 5-year period. There is an urgent need for various stakeholders including medical physicists, referring physicians, health policy makers, manufacturers of CT equipment and epidemiologists to attend to the issue in the interest of patient radiation safety.     

Evaluation of Outdoor Gamma Dose Rate and Cancer Risk in Artvin Province,Turkey

In this study, we measured environmental outdoor gamma dose rates (terrestrial and cosmic) in 204 stations across the province of Artvin. The average outdoor gamma dose rate for the province of Artvin was found to be 174.81 nGy/h. The radiological map of Artvin was drawn with the help of measured outdoor gamma dose rates. Annual effective dose equivalent and lifetime cancer risk values were figured up for the adults in Artvin province by using measured outdoor gamma dose rates. The average annual dose equivalent and excess lifetime cancer risk were 214.5 μSv/y and 7.5 × 10^?4, respectively. The values acquired were compared with the similar studies done around the world. The average annual effective dose equivalent and excess lifetime cancer risk were found to be approximately three times higher than the world average.     

Discovering the role of Patagonian birds in the dispersal of truffles and other mycorrhizal fungi

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Natural radioactivity concentrations of 226Ra, 232Th,and 40K in commercial building materials and their lifetime cancer risk assessment in dwellers

Elevated radioactivity levels of ²²⁶Ra, ²³²Th, and ⁴⁰K in building materials were measured using gamma-ray spectrometry and their associated lifetime cancer risks were also determined. The mean activity concentrations of ²²⁶Ra, ²³²Th, and ⁴⁰K are 45.72 ± 0.55, 65.90 ± 8.89, and 487.32 ± 15.20 Bq kg^?1, respectively. Statistically, the principal component (PC) analysis indicates that higher loadings were recorded in Principal Component One (PC1) with large contribution from ²³²Th and ⁴⁰K. The leverage studies indicate that BN Ceramics (BNC) contributes more to the loadings in PC1 followed by Golden Crown Ceramic (GCC) sample. The mean values of 0.399 mSv y^?1 do not surpass the world average value of 0.7 mSv y^?1. The mean gamma index from the measured samples is 0.644, whereas a mean value of 0.271 for alpha index is noted in the samples. The activity utilization index (AUI) from the samples satisfied the AUI <2, which corresponded with the annual effective dose of <0.3 mSv y^?1, except interlock Site 2 and Gomez Spain tiles. Significantly, the mean value of excess lifetime cancer risk of 0.0014 is slightly lower than the world average value of 0.29 × 10^?3.     

Aspergillus and other moulds in the air of Kuwait

A one-year survey was carried out to study the aerial prevalence of Aspergillus species and other moulds in the outdoor and indoor environments of Kuwait. Petri plates containing rose-Bengal medium were exposed for 20 minutes twice a month using a six-stage Andersen air sampler at the pre-determined sites. The exposed plates were incubated at 28 °C ± 1 °C up to 5 days and colonies were enumerated and identified by colonial and microscopic morphology. The data revealed that Aspergillus species were the predominant component (27.7%) of the outdoor aerospora of Kuwait and A. fumigatus alone accounted for 21.3% of the total aspergilli. In contrast, Cladosporium species formed the major component of the indoor aerospora (22.8%), followed by Aspergillus species (20.9%), Penicillium species (14.6%), and Bipolaris species (10.6%). A comparison of the fungi recorded in the outdoor and in the indoor air revealed that Aspergillus, Alternaria and Fusarium were significantly higher in the outdoor environment, whereas Cladosporium, Penicillium, and Bipolaris were significantly higher in the indoor environment. The relative prevalence of Aspergillus species and other moulds in the outdoor and indoor air of Kuwait was as follows: A. fumigatus 5.9 and 9.8%, A. flavus 4.9 and 3.9%, other aspergilli 16.8 and 7.0%, Alternaria species 19.8 and 7.9%, Cladosporium species 13.7 and 22.8%, Penicillium species 7.6 and 14.6%, and other moulds 31.2 and 34.1%, respectively. During the study, 25 different genera were identified, indicating a wide diversity in the spectrum of local fungal aerospora. The study provides useful information on the prevalence of allergenic fungi in the outdoor and indoor environments of Kuwait. This revised version was published online in June 2006 with corrections to the Cover Date.     

Study of radon/thoron exhalation rate,soil-gas radon concentration,and assessment of indoor radon/thoron concentration in Siwalik Himalayas of Jammu & Kashmir

In the present study, the soil-gas radon concentration was assessed at different depth intervals, i.e., 15 cm, 30 cm, 60 cm, and 100 cm from the 30 villages of Jammu &; Kashmir, India using RAD7, an electrostatic solid state alpha detector. The radon mass exhalation and thoron surface exhalation rate has also been measured in the selected 18 soil samples out of 30 of different grain sizes (i.e., 1 mm, 300 µm, 150 µm). The active radon and thoron concentrations were also assessed in the 20 villages. Both the exhalation rates and active radon/thoron concentration were measured using SMART Rn Duo, a portable radon monitor. The average values of soil-gas radon concentration were 210 ± 84 Bq m^?3, 1261 ± 963 Bq m^?3, 4210 ± 1994 Bq m^?3, and 671 ± 305 Bq m^?3 at the depth intervals of 15 cm, 30 cm, 60 cm, and 100 cm, respectively. The exhalation rate of radon and thoron from soil was found to decrease with the increase of grain size, as smaller soil particles make relatively more contribution to radon and thoron exhalations from the ground surface than larger soil particles. The measured Pearson's correlation coefficient was obtained as statistically significant between different quantities under two-tailed test.     

Risk assessment of natural radioactivity in surface water and sediments from a waterfall site in Osun State,Nigeria

Activity concentration of natural radionuclides in surface water and sediment from a waterfall site, Erin-Oke, Osun, Nigeria, has been determined by gamma spectrometry. The mean activity concentration of ⁴⁰K, ²²⁶Ra, and ²³²Th were estimated to be 61.015 ± 15.50, 8.165 ± 2.05 and 5.24 ± 1.57 Bq/l, respectively in water samples and 172.023 ± 35.433, 19.282 ± 4.95, and 17.089 ± 4.37 Bq/kg respectively in sediment samples. Total annual effective dose ingested by an individual ranges from 10.73 ± 3.36 to 15.18 ± 4.44 mSv/y, 2.50 ± 0.80 to 3.58 ± 0.96 mSv/y, and 2.30 ± 0.72 to 3.23 ± 0.93 mSv/y, with mean values of 13.25 ± 3.89, 3.10 ± 0.90, and 2.83 ± 0.83 mSv/y for infants, children, and adults, respectively. These values are greater than International Commission on Radiological Protection (ICRP) and the World Health Organization's recommended limit of 1.0 and 0.1 msv/y, respectively. Mean activity concentrations in sediment are 172.023 ± 35.433, 19.823 ± 4.95, and 17.089 ± 4.37 Bq/kg for ⁴⁰K, ²²⁶Ra, and ²³²Th, respectively, with mean absorbed dose of 26.91 nGyh^?1. This value is lesser than UNSCEAR world average value of 55 nGyh^?1. Health hazard index and radium equivalent for sediments showed lower values than absorbable limits.     

Comparative study of 222Rn/220Rn progeny concentration and estimation of age-dependent dose due to inhalation of radon progeny for different body organs

In the present study, the age-dependent doses due to inhalation of short lived decay progeny of radon, i.e., ²¹⁴Po to different body organs have been calculated for the inhabitants of the Jammu district, Jammu &; Kashmir, India. The estimated age-dependent doses for different body organs due to inhalation of radon progeny through air for all age groups varied between 0.002E-06 and 0.10 n Svy^?1 which were found to be well within the recommended limit of 1000 µ Svy^?1 (ICRP). The progeny concentration of radon and thoron was calculated and compared by two different techniques. The attached and un-attached progeny concentration of radon and thoron was calculated by using a passive time integrating, deposition-based technique. The measured attached and un-attached radon and thoron progeny concentrations have been cross-checked by on-line active technique, i.e., Flow-mode Integrated Sampler. A weak positive correlation has been observed between the two devices. The median value of un-attached fraction was found to be 0.15 and 0.12 for thoron and radon progeny, respectively and found to have a log-normal distribution. A good positive correlation has been observed between radon and thoron progeny concentrations.     

Preliminary dose estimation from indoor radon for the medical staff of Radiation Oncology and Nuclear Medicine

The aim of this preliminary study was to measure the indoor radon activity concentration in the houses and offices of Radiation Oncology and Nuclear Medicine staff at Dokuz Eylül University and to assess the results from a radiological perspective. LR-115 type II solid-state nuclear track detectors were installed in the homes and hospital and were exposed for 2 months. LR-115 type II detectors were etched for 90 min in 10% (2.5 M) NaOH solution at 60°C and radon activity concentration was determined from observed microscopic track densities. It was observed that measured indoor radon concentration ranged between 18 and 624 Bq/m³ with a geometric mean of 95 Bq/m³ in hospital, and between 22 and 560 Bq/m³ with a geometric mean of 129 Bq/m³ in homes. Estimates of the annual effective dose received by medical staff who participated in the study ranged between 0.76 and 8.79 mSv. On average, the hospital building contributed 41% to the annual effective dose. The reported values for radon concentrations and the corresponding estimated annual effective equivalent doses were within the limits recommended by the International Commission on Radiological Protection as well as the Turkish Atomic Energy Commission recommended limits for workplaces and houses.     

Soil salt and nutrient concentration in the rhizosphere of desert halophytes

North-West China is an arid region where halophyte plants are rich. Very little is known on the rhizospheric soil of the halophytes in this arid desert region. We conducted a rhizobag experiment on the desert Solonchak soil to investigate the salt and nutrient content in the rhizospheric soil of the desert halophytes. The total salt and the concentrations of 8 major kinds of salt ions increased in the rhizosphere of both succulent halophytes and salt secreting halophytes, but this increase was insignificant for salt-resisting halophytes. Accumulation of Cl^– and Na⁺ is the most significant among the 8 major kinds of salt ions. Accumulation of Cl^– was more significant than that of SO₄^2– in succulent halophytes and salt secreting halophytes. The Na⁺/K⁺, Na⁺/Ca²⁺ and Na⁺/Mg²⁺ ratios in the rhizosphere of all 7 kinds of halophytes were higher than those in the bulk soil. Total N increased significantly in the rhizosphere, but total P and total K decreased. However, the available N, P and K in the rhizosphere of the 7 kinds of halophytes except Phragmites communis Trin. behaved in such an opposite way that available N decreased but available P and available K increased. The ionic contents in the aboveground parts were higher than those in the underground parts of the 7 kinds of halophytes, in particular of both the succulent halophytes and the salt secreting halophytes. Accumulation of Cl^– and Na⁺ in the aboveground parts of the plants was the most significant among that of the 8 major kinds of salt ions.     

荒漠盐生植物根际土壤盐分和养分特征

中国西北地区是我国干旱、盐碱化土壤分布面积较广、土壤积盐较重的地区,这里发育着丰富的盐生植物。目前对于干旱荒漠区盐生植物根际特征的研究相对较少,而不同盐生植物的根际特征对于研究盐生植物适应盐渍环境的机制有着重要意义。本研究利采用盆栽根袋法对7种不同类型的荒漠盐生植物的根际盐分和养分特征进行了初步探索。结果表明:盐分在盐生植物根际发生富集,稀盐盐生植物和泌盐盐生植物根际土壤中总盐和8种主要盐分离子的含量都有所增加,而在拒盐盐生植物根际中增加不显著,其中Cl-和Na 的富集程度相对其它6种离子的富集程度要高。稀盐盐生植物和泌盐盐生植物根际土中的SO42-/Cl-比土体有显著的降低,表明在稀盐盐生植物和泌盐盐生植物根际土壤中Cl-的富集程度比SO42-高,拒盐盐生植物根际土盐分SO42-/Cl-比略有提高。7种盐生植物根际土中的Na /K ,Na /Ca2 ,Na /Mg2 比均较土体有显著的增加,芦苇根际土中的增加最小。在所有研究植物中,根际土壤中全N含量比土体的含量高,但全P和全K含量却比土体的含量低;根际土壤中有效态养分的变化则与全态相反,根际土壤中的有效N含量比土体中的都显著降低,除芦苇外,其他六种盐生植物根际土壤中有效P和有效K的含量都高于土体,但有效P的富集不及有效K富集的程度高。在研究的七种植物中,钠猪毛菜根际土壤的有效N亏缺量最高,有效P和速效K富集也最少。7种植物,尤其是稀盐盐生植物和泌盐盐生植物的地上部分的主要盐离子含量比地下部分高,如Cl-、Na 、Ca2 和K ,在根际富集程度最高的Cl-和Na ,在植株的地上部分也增加的最多。     

Comparative study of shortwave heating patterns in phantoms with polyethylene and silk partitions

Specific absorption rate (SAR) and effective depths of heating patterns induced by a shortwave, pancake diathermy applicator in fat-muscle phantom are measured. Midplane partitions of polyethylene and silk screen with and without contact chemicals are used. Thermographically obtained SAR data show nearly the same value for silk-screen partitions with and without contact chemicals and slightly lower values with polyethylene partitions, provided that the partition midplanes are tightly pressed against each other. Thermometry data indicate that for low-power exposures the major error in thermographic measurements obtained after termination of heating is due to thermal diffusion and not evaporative cooling in the opened midplane of the phantom.     

Comparative study on EUF and other methods of soil analysis for the determination of available potassium in soils from Northern Greece

Summary Twenty-one representative soils from Northern Greece could be grouped into three categories based on the EUF-K curves which displayed marked differences in the magnitude of K release by the soils employed. The cumulative K desorption by EUF within 35 min and the cumulative K-uptake values of ryegrass (10 cuts) were found to be correlated (r=0.87***). Although this correlation is rather close, the K dynamics of a soil can be better characterized by the course of the K-desorption curves. Because the quotient EUF-K-80°C/EUF-K-20°C can give information on the course of K desorption it is therefore sufficient in routine investigations to know the EUF-K-20°C contents and the numerical values of the quotients EUF-K-80°C/EUF-K-20°C.The EUF procedure does not only indicate the close relationship between K extracted and K uptake by plants, but it can also provide information on other nutrients in the same soil sample. With this extra information it was possible to explain why in some of the analysed soils K uptake was low despite high K availability, the reason being that P availability was not optimal in one of the experimental soils and that the Mn concentration of the soil solution was too high in another. At equal K availability the K uptake was also dependent on the amount of EUF-extractable N.     

Interpretation of caesium-137 profiles in lacustrine and other sediments: the role of catchment-derived inputs

The caesium-137 profiles obtained in many investigations which have attempted to use caesium-137 measurements as a means of assessing the rate of accumulation of recent lake sediments, have not conformed to the classic shape expected from the record of fallout input. Such deviations have been accounted for in terms of post-depositional mobility of the caesium-137 input (e.g. bioturbation) and delayed inputs from the drainage basin. There have, however, been few attempts to determine the likely character of the drainage basin input and to analyse the role of such inputs in influencing the precise form of the caesium-137 profile. This paper presents the results of an attempt to employ existing knowledge concerning the behaviour of caesium-137 in soils and the processes of sediment mobilization to predict the likely form of the record of caesium-137 input to a lake or river floodplain from its drainage basin. The influence of this input on the profile shape will depend on the relative importance of the atmospheric fallout to the lake or floodplain surface and the drainage basin input to the total caesium-137 inventory in the sediment core, and on the land use and sediment sources in the drainage basin. By incorporating the drainage basin input into a simple model of caesium-137 accumulation in lake and floodplain sediments, it was possible to account for the profile shapes measured in four cores investigated by the authors and therefore to verify their utility for assessing rates of sediment accumulation.     

Effective dose and image quality for intraoperative imaging with a cone-beam CT and a mobile multi-slice CT in spinal surgery: A phantom study

PurposeTo compare the effective dose (ED) and image quality (IQ) of O-arm cone-beam CT (Medtronic, Minneapolis, MN, USA) and Airo multi-slice CT (Brainlab AG, Munich, Germany) for intraoperative-CT (i-CT) in spinal surgery.MethodsThe manufacturer-defined protocols available in the O-arm and Airo systems for three-dimensional lumbar spine imaging were compared.Organ dose was measured both with thermo-luminescent dosimeters and GafChromic films in the Alderson Radiation Therapy anthropomorphic phantom.A subjective analysis was performed by neurosurgeons to compare the clinical IQ of the anthropomorphic phantom images acquired with the different i-CT systems and imaging protocols.Image uniformity, noise, contrast-to-noise-ratio (CNR), and spatial resolution were additionally assessed with the Catphan 504 phantom.ResultsO-arm i-CT caused 56% larger ED than Airo due to the high definition (HD) imaging protocol.The noise was larger for O-arm images leading to a lower CNR than that measured for Airo. Moreover, scattering and beam hardening effects were observed in the O-arm images. Better spatial resolution was measured for the O-arm system (9 lp/cm) than for Airo (4 lp/cm).For all the investigated protocols, O-arm was found to be better for identifying anatomical features important for accurate pedicle screw positioning.ConclusionsAccording to phantom measurements, the HD protocol of O-arm offered better clinical IQ than Airo but larger ED. The larger noise of O-arm images did not compromise the clinical IQ while the superior spatial resolution of this system allowed a better visibility of anatomical features important for pedicle screw positioning in the lumbar region.     

Biometeorological study of the seasonal variation of mortality in Japan and other countries on the seasonal disease calendar

The results of previously published statistical evaluations of morbidity and mortality statistics from 1900 to 1960 for various diseases in Japan,the United States, Egypt and several European countries are summarized. It was found that for all the diseases considered there is a monthly change in frequency distribution which led to the elaboration of a seasonal disease calendar. For Japan it was noted that the mortality peak has gradually moved from summer to winter for most diseases.This pattern has been found to exist in the highly industrialized European countries and the USA for some time, while a high summer mortality and typical seasonal disease distribution is still found in little industrialized countries such as Egypt. The deseasonality of diseases seems to be typical of industrialized countries with highly developed public health and medical services.

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Zusammenfassung Die in früheren Arbeiten veröffentlichten Ergebnisse statistischer Untersuchungen von Morbiditäts- und Mortalitätsstatistiken von 1900 bis 1960 für verschiedene Krankheiten in Japan, den Vereinigten Staaten,Ägypten und mehreren europäischen Ländern wurden hier im Zusammenhang beschrieben. Es war gefunden worden, dass die Häufigkeitsverteilung aller berücksichtigten Krankheiten sich von Monat zu Monat ändert. Dies wurde in einem Kalender über die jahreszeitliche Verteilung der Krankheiten zusammengefasst. In Japan hat sich die Spitze der Mortalität bei den meisten Krankheiten langsam vom Sommer in die Winterperiode verschoben. Diese Verschiebung ist in den hochindustrialisierten Ländern Europas und in den Vereinigten Staaten schon früher erfolgt. Dagegen wird in den wenig industrialisierten Ländern wie Ägypten noch eine hohe Sommer-Mortalität und die typische jahreszeitliche Krankheitsverteilung gefunden. Das Verschwinden der jahreszeitlichen Häufigkeitsverteilung von Krankheiten scheint typisch zu sein für industrialisierte Länder, in denen Medizin und Gesundheitsdienst einen hohen Stand aufweisen.

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Resume On a réuni ici les résultats de recherches statistiques publiées antérieurement sur la morbidité et la mortalité de 1900 à 1960 et concernant diverses maladies au Japon, aux Etats-Unis, en Egypte et en de nombreux pays d'Europe.On constate que la répartition des fréquences de toutes les maladies considérées varie de mois en mois. On a résumé cette constatation en un calendrier de la répartition des maladies au cours de l'année. Au Japon,le maximum de la mortalité s'est lentement déplacé de l'été vers l'hiver et cela pour la plupart des maladies. Ce décalage s'est manifesté antérieurement dans les pays hautement industrialisés d'Europe ainsi au'aux Etats-Unis. Par contre, dans les pays moins industrialisés, comme l'Egypte par exemple, on constate encore une très forte mortalité en été'et une répartition typique des maladies au cours de l'année. La disparition de la répartition des fréquence des maladies au cours de l'année semble un phénomène typique des pays industrialisés dans lesquels la médecine et les services d'hygiène publique ont atteint un niveau élevé.

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This is a summary of my previous studies published in Japan.     

User and researcher collaborations in mental health in low and middle income countries: a case study of the EMPOWER project

Background

Zinc deficiency is a major public health problem in many developing countries including Nepal. The present study was designed to assess the prevalence of zinc deficiency and to study the association of zinc deficiency with anthropometric and socio-demographic variables, in school children of eastern Nepal.

Methods

This cross-sectional study included total 125 school children of age group 6–12 years from Sunsari and Dhankuta districts of eastern Nepal. Plasma zinc level was estimated by Flame Atomic Absorption Spectroscopy.

Results

The Median interquartile range (IQR) values of zinc in the two districts Sunsari and Dhankuta were 5.9 (4.4, 7.9) μmol/L and 5.8 (4.3, 8.4) μmol/L respectively. A total of 55 children (87.3%) in Sunsari and 52 (83.9%) in Dhankuta had zinc deficiency, no significant difference was observed in the Median (IQR) plasma zinc levels (p = 0.9) and zinc deficiency patterns (p = 0.3) of the two districts. Significant differences were observed in the plasma zinc levels (p = 0.02) and zinc deficiency patterns (p = 0.001), of the school children having age groups 6–8 years than in 9–10 and 11–12 years of age, and zinc deficiency patterns between male and female school children (p = 0.04) respectively.

Conclusions

The present study showed higher prevalence of zinc deficiency among school children in eastern Nepal. In our study, zinc deficiency was associated with both sex and age. The findings from the present study will help to populate data for policy implementation regarding consumption and supplementation of zinc.     

Comparative analysis of antigenic strength and in vivo serum antibodies concentration of tetanus toxoid vaccine adsorbed in Pakistan

Clostridium tetani produce tetanospasmin, a potent exotoxin; that causes tetanus or lockjaw disease. Scientists developed an anti-tetanus toxoid to protect the body from the spasm's neurotoxic effect. In Pakistan recently, 478 cases of neonatal tetanus were reported. The study was carried out at The National Control Laboratory for Biologicals Islamabad, aiming to decipher the effectiveness of the most frequently used tetanus toxoid vaccine adsorbed in Pakistan in comparison to standard reference vaccine having earlier known consistent values. The vaccines included domestic public sector, domestic private sector, imported private sector I, and imported private sector II. The triplicate experiments on purebred Swiss albino mice were performed by immunizing with Tetanus toxoid and then tested parallel with standard reference vaccine. Various analytical tests were performed on the test organism that included flocculation test/identity test, antibody quantification using enzyme-linked immunosorbent assay (ELISA), potency test, abnormal toxicity test, osmolality, pH test, liquid sub-visible particle test, and sterility test. Results of all the vaccines were compared in comparison with the standard reference vaccine. Absorbances of test vaccines were recorded at the lowest dilution by ELISA. The domestic private sector, imported private sector I, imported private sector II and standard reference vaccine were flocculated at mean dilution (Mean: 0.24, 95% CI: 0.1903–0.2897), and the domestic public sector was flocculated at mean dilution (Mean: 0.23, 95% CI: 0.2052–0.2548). All the products were found within the normal ranges where it was concluded that the maximum average titer of 2.81 was observed at dilution 10^?1.6, indicating that these vaccines were adequate/suitable for the prevention of tetanus.     

Comparative study of different methods for detection of toxic and other enzymatic factors in Vibrio cholerae strains

The purpose of this work was to characterize the toxin profile and the presence of other virulence factors involved in the pathogenesis and biology of 13 V. cholerae O1 (11 clinical cases and 2 waters) and 6 V. cholerae non O1 strains (4 clinical cases and 2 waters) using genetic (PCR), immunological (RPLA), biochemical (NAD degradation, haemolysis, Kanagawa phenomenon, caseinase, lecithinase, mucinase, amylase, esculine hydrolysis) and cell culture (Vero E6, HEp-2) assays. The results indicated a concordance between PCR-RPLA (84%), PCR-NAD (73%) and RPLA-NAD (84%) methods. The sensitivity of RPLA and NAD degradation methods were comparable to PCR in detecting CT in Vibrio cholerae O1 strains. Although NAD degradation method was not exclusively specific for the CT detection, it proved its usefulness in screening certain virulent, CT-negative clones of V. cholerae. The cytotoxic effect on Vero E6 cells, enzyme production (Kanagawa haemolysins, lecithinase, caseinase, esculine hydrolysis) as well as adherence ability on inert substrate proved to be much more constant in V. cholerae non O1 (CT- negative) than in V. cholerae O1 (CT-positive). All V. cholerae non O1 strains isolated in diarrheal cases were Kanagawa positive. This complex of virulence factors detected in V. cholerae non O1 strains could probably contribute during interepidemic periods to human-to-human transmission and to greater resistance as compared to O1 strains in the environment.