• Title/Summary/Keyword: individual dose

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Individualization of Heparin and Protamine Dosage using a Dose-response Curve during Extracorporeal Circulation (체외순환중 용량반응곡선을 이용한 헤파린과 프로타민 투여량의 결정)

  • Won, Yong-Sun;No, Jun-Ryang
    • Journal of Chest Surgery
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    • v.24 no.3
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    • pp.253-260
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    • 1991
  • The adequacy of anticoagulation with heparin during cardiopulmonary bypass, and precise neutralization with protamine at the conclusion of cardiopulmonary bypass, were important. In sixty children undergoing cardiopulmonary bypass, ACT and heparin dose-response curve were studied. Total dose of heparin before bypass were 2.80$\pm$0.74 mg/kg and the amount of protamine administered after bypass were 3.0$\pm$1.23 mg/kg. So protamine: heparin ratio was 1.07: l.c After administration of protamine which dose is calculated with heparin dose-response curve, ACTs were returned to normal range[mean 114.8 $\pm$13 second]. The heparin sensitivity and its half-life do not have relationship with age, weight, height, surface area and urine amount during operation. And there are too much individual variations in heparin sensitivity and its half-life. So conventional heparin protocols can overestimate or underestimate the amount of heparin and protamine. Heparin dose-response curve makes it possible to maintain anticoagulation in a safe range during bypass with adequate amount of heparin individually. At the conclusion of bypass, this curve can be used to predict the precise amount of protamine amount of protamine needed for neutralization of the heparin. But heparin dose-response curve to be used clinically, further studies will be needed about relationship between ACT and heparin level in the high range, influence of hemodilution and hypothermia to ACT and discrepancy between true adequate amount of protamine and calculated amount by heparin dose-response curve.

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BETTER UNDERSTANDING OF THE BIOLOGICAL EFFECTS OF RADIATION BY MICROSCOPIC APPROACHES

  • Kim, Eun-Hee
    • Nuclear Engineering and Technology
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    • v.40 no.7
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    • pp.551-560
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    • 2008
  • Radiation has stochastic aspects in its generation, its choice of interaction mode during traveling in media, and its impact on living bodies. In certain circumstances, like in high dose environments resulting from low-LET radiation, the variance in its impact on a target volume is negligible. On the contrary, in low dose environments, especially when they are attributed to high-LET radiation, the impact on the target carries with it a large variance. This variation is more significant for smaller target volumes. Microdosimetric techniques, which have been developed to estimate the distribution of radiation energy deposited to cellular and subcellular-sized targets, contrast with macrodosimetric techniques which count only the average value. Since cells and DNA compounds are the critical targets in human bodies, microdosimetry, or dose estimation by microscopic approach, helps one better analyze the biological effects of radiation on the human body. By utilizing microbeam systems designed for individual cell irradiation, scientists have discovered that human cells exhibit radiosensitive reactions without being hit themselves (bystander effect). During the past 10 or more years, a new therapeutic protocol using discontinuous multiple micro-slit beams has been investigated for its clinical application. It has been suggested that the beneficial bystander effect is the essence of this protocol.

A Mixture of Curcumin, Vitamin C, and E Prolongs the Antioxidant Effect to Beyond That of Each Component Alone in Vivo

  • Jeon, Hee-Young;Kim, Jeong-Kee;Lee, Ji-Eun;Shin, Hyun-Jung;Lee, Sang-Jun
    • Food Science and Biotechnology
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    • v.17 no.6
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    • pp.1151-1155
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    • 2008
  • This study aimed to investigate the alterations in plasma antioxidant activity after the consumption of a single oral dose of curcumin, vitamin C, and E administered individually or in combination to (i) assess possible synergies or antagonism between the antioxidants and (ii) determine the optimal composition of the antioxidant mixture such that the duration of action is prolonged to beyond that of individual antioxidants. Each antioxidant was administered to male Sprague-Dawley rats, and blood samples were drawn at different time points up to 180 min to measure the plasma total antioxidant capacity (TAC). Five antioxidant compositions (M1-M5) were evaluated to assess the possible synergies or antagonisms among them and to determine the optimal composition of the antioxidant mixture. Blood samples were collected up to 360 min post-consumption. A single oral dose of individual antioxidants significantly increased the TAC values; however, the time to reach the peak TAC value varied. Among the 5 antioxidant compositions, M2 exhibited the highest and most prolonged antioxidant effect in plasma; this was greater than the proportional sum of the effects of the individual antioxidants in the composition. This result indicates a synergistic interaction among antioxidants in the optimal composition M2.

Intent to Use a Smartphone Application for Radiation Monitoring in Correlation with Anxiety about Exposure to Radiation, Recognition of Risks, and Attitudes toward the Use of Radiation

  • Han, Eunkyoung;Rott, Carsten;Hong, Seung-Woo
    • Journal of Radiation Protection and Research
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    • v.42 no.4
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    • pp.205-211
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    • 2017
  • Background: Radiation is used in a variety of areas, but it also poses potential risks. Although radiation is often used with great effectiveness in many applications, people perceive potential risks associated with radiation and feel anxious about the possibility of radiation exposure. Various methods of measuring radiation doses have been developed, but there is no way for the general public to measure their doses with ease. Currently, many people use smartphones, which provide information about the location of an individual phone through network connections. If a smartphone application could be developed for measuring radiation dosage, it would be a very effective way to measure individuals' radiation doses. Thus, we conducted a survey study to assess the social acceptance of such a technology by the general public and their intent to use that technology to measure radiation doses, as well as to investigate whether such an intention is correlated with anxiety and attitudes toward the use of radiation. Materials and Methods: A nationwide online survey was conducted among 355 Koreans who were 20 years old or older. Results and Discussion: Significant differences were found between the genders in attitudes, perceptions of radiation risk, and fears of exposure to radiation. However, a significant difference according to age was observed only in the intent to use a smartphone dose measurement application. Attitudes towards the use of radiation exerted a negative effect on radiation risk perception and exposure anxiety, whereas attitudes towards the use of radiation, risk perception, and anxiety about exposure were found to have a positive impact on the intent to use a smartphone application for dose measurements. Conclusion: A survey-based study was conducted to investigate how the general public perceives radiation and to examine the acceptability of a smartphone application as a personal dose monitoring device. If such an application is developed, it could be used not only to monitor an individual's dose, but also to contribute to radiation safety information infrastructure by mapping radiation in different areas, which could be utilized as a useful basis for radiation research.

Safety Assessment on the Incineration Disposal of Regulation Exempt Waste by RESRAD Code (RESRAD 코드를 활용한 규제해제 폐기물 소각처분에 대한 안정성 평가)

  • Kim, Hui-Gyeong;Han, Sang-Wook;Park, Su-Ri;Kim, Byung-Jick
    • Journal of radiological science and technology
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    • v.41 no.1
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    • pp.67-73
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    • 2018
  • In this paper, risk assessment was conducted to verify self - disposal requirements by landfill for exempted incineration ash by using Resrad Ver.6.5 computer code. The result of risk assessment by landfill for the incineration by-product is that individual dose is $6.91{\times}10^{-2}{\mu}Sv\;y-1$ and collective dose is $3.475{\times}10^{-7}man-Sv\;y-1$. It proved that the result meets reference dose of individual dose $10{\mu}Sv\;y-1$ and collective dose 1 man-Sv y-1 for general public. According to the current 'Nuclear Safety Commission Notice [No. 2014-3]', it states that the exempted wastes can be disposed of by incineration, landfill and recycling. However, most of recently documents and papers related to exempted wastes are disposed of by landfill and recyling and it could not confirm the case of exempt by incineration. If the national consensus is derived and treating the waste by using process of incineration is activated, it could be considered to treat low level of radiation wastewater and activated carbon excluded from exempted waste because of nuclide $^3H$ and $^{14}C$.

Intercomparison Exercise at Harshaw 6600, DVG-02TM, and D-Shuttle Dosimeters for the Individual Monitoring of Ionizing Radiation

  • Kim, Dmitriy Spartakovich;Murayama, Kentaro;Nurtazin, Yernat;Koguchi, Yasuhiro;Kenzhin, Yergazy;Kawamura, Hiroshi
    • Journal of Radiation Protection and Research
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    • v.44 no.2
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    • pp.79-88
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    • 2019
  • Background: The main goal of experiments is to compare various operational and technical characteristics of D-Shuttle semiconductor personal dosimeters of the Japanese company "Chiyoda Technol Corporation" and Harshaw thermoluminescent dosimeters (TLD) manufactured by "Thermo Fisher Scientific" and DTL-02 of the Russian Research and Production Enterprise (RPE) "Doza" by their occupational and calibration exposure at various dose equivalents from 0.5 to 20 mSv of gamma-radiation. Materials and Methods: Besides dosimeters DTL-02, D-Shuttle and Harshaw TLD, there were also used: (1) the primary reference radionuclide source Hopewell Designs IAEA: G10-1-12 with $^{137}Cs$ isotope (an error is not more than 6% and activity is 20 Ci), and (2) the verification device UPGD-2M of RPE "Doza" and installed in the National Center for Expertise and Certification of the Republic of Kazakhstan (Kapchagai, the National Center for Expertise and Certification). Results and Discussion: The main results of researches are the following: (1) TLDs for Harshaw 6600 and DVG-02TM have an approximately equal measurement accuracy of the individual dose equivalents in the range from 0.5 to 20 mSv of gamma-radiation. (2) Advantages of dosimeters for Harshaw 6600 are due to the high measurement productivity and opportunity to indicate the dose on the skin $H_p$(0.07). Advantages of DVG-02TM consist of operation simplicity and lower cost than of Harshaw 6600. (3) D-Shuttles are convenient for use in the current and the operational monitoring of ionizing radiation. Measurement accuracy and 10% linearity of measurements are ensured when D-Shuttle is irradiated with dose equivalents below 1 mSv at the equivalent dose rate not higher than $3mSv{\cdot}hr^{-1}$. This allows using D-Shuttle at a routine technological activity. Conclusion: The obtained results of experiments demonstrate advantages and disadvantages of D-Shuttle semiconductor dosimeters in comparison with two TLD systems of DVG-02TM and Harshaw 6600.

Sensitivity Analysis on the Priority Order of the Radiological Worker Allocation Model using Goal Programming

  • Jung, Hai-Yong;Lee, Kun-Jai
    • Proceedings of the Korean Nuclear Society Conference
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    • 1998.05b
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    • pp.577-582
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    • 1998
  • In nuclear power plant, it has been the important object to reduce the occupational radiation exposure (ORE). Recently, the optimization concept of management science has been studied to reduce the ORE in nuclear power plant. In optimization of the worker allocation, the collective dose, working time, individual dose, an total number of worker must be considered and their priority orders must be thought because the main constraint is necessary for determining the constraints variable of the radiological worker allocation problem. The ultimate object of this study s to look into the change of the optimal allocation of the radiological worker as priority order changes. In this study, the priority order is the characteristic of goal programming that is a kind of multi-objective linear programming. From a result of study using goal programming, the total number of worker and collective dose of worker have changed as the priority order has changed and the collective dose limit have played an important role in reducing the ORE.

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THE IMPORTANCE OF PATIENT-SPECIFIC DOSE CALCULATIONS IN NUCLEAR MEDICINE

  • Stabin, Michael G.
    • Nuclear Engineering and Technology
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    • v.40 no.7
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    • pp.527-532
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    • 2008
  • As therapeutic uses of radionuclides in nuclear medicine increases, the use of patient-specific methods for calculation of radiation dose becomes more important. In this manuscript basic methods and resources for internal dose calculations are outlined, with a focus on how current changes and advances are making more accurate and detailed, patient-individualized dose calculations possible. Most current resources make use of standardized models of the human body representing median individuals, but the use of image-based and more realistic models will soon take their place, and will permit adjustments to represent individual patients and tailor therapy planning uniquely for each subject.

Validation of a Model for Estimating Individual External Dose Based on Ambient Dose Equivalent and Life Patterns

  • Sato, Rina;Yoshimura, Kazuya;Sanada, Yukihisa;Sato, Tetsuro
    • Journal of Radiation Protection and Research
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    • v.47 no.2
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    • pp.77-85
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    • 2022
  • Background: After the Fukushima Daiichi Nuclear Power Station (FDNPS) accident, a model was developed to estimate the external exposure doses for residents who were expected to return to their homes after evacuation orders were lifted. However, the model's accuracy and uncertainties in parameters used to estimate external doses have not been evaluated. Materials and Methods: The model estimates effective doses based on the integrated ambient dose equivalent (H*(10)) and life patterns, considering a dose reduction factor to estimate the indoor H*(10) and a conversion factor from H*(10) to the effective dose. Because personal dose equivalent (Hp(10)) has been reported to agree well with the effective dose after the FDNPS accident, this study validates the model's accuracy by comparing the estimated effective doses with Hp(10). The Hp(10) and life pattern data were collected for 36 adult participants who lived or worked near the FDNPS in 2019. Results and Discussion: The estimated effective doses correlated significantly with Hp(10); however, the estimated effective doses were lower than Hp(10) for indoor sites. A comparison with the measured indoor H*(10) showed that the estimated indoor H*(10) was not underestimated. However, the Hp(10) to H*(10) ratio indoors, which corresponds to the practical conversion factor from H*(10) to the effective dose, was significantly larger than the same ratio outdoors, meaning that the conversion factor of 0.6 is not appropriate for indoors due to the changes in irradiation geometry and gamma spectra. This could have led to a lower effective dose than Hp(10). Conclusion: The estimated effective doses correlated significantly with Hp(10), demonstrating the model's applicability for effective dose estimation. However, the lower value of the effective dose indoors could be because the conversion factor did not reflect the actual environment.

Simulation and assessment of 99mTc absorbed dose into internal organs from cardiac perfusion scan

  • Saghar Salari;Abdollah Khorshidi;Jamshid Soltani-Nabipour
    • Nuclear Engineering and Technology
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    • v.55 no.1
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    • pp.248-253
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    • 2023
  • Directly, it is not possible to measure the absorbed dose of radiopharmaceuticals in the organs of the human body. Therefore, simulation methods are utilized to estimate the dose in distinct organs. In this study, individual organs were separately considered as the source organ or target organ to calculate the mean absorption dose, which SAF and S factors were then calculated according to the target uptake via MIRD method. Here, 99mTc activity distribution within the target was analyzed using the definition and simulation of ideal organs by summing the fraction of cumulative activities of the heart as source organ. Thus, GATE code was utilized to simulate the Zubal humanoid phantom. To validate the outcomes in comparison to the similar results reported, the accumulation of activity in the main organs of the body was calculated at the moment of injection and cardiac rest condition after 60 min of injection. The results showed the highest dose absorbed into pancreas was about 21%, then gallbladder 18%, kidney 16%, spleen 15%, heart 8%, liver 8%, thyroid 7%, lungs 5% and brain 2%, respectively, after 1 h of injection. This distinct simulation model may also be used for different periods after injection and modifying the prescribed dose.