Seasonal variations of terrestrial gamma dose, natural radionuclides and human health.

The aim of the research was to study seasonal variations in gamma radiation and the statistical significance of these variations. Moreover, we compared in-situ and laboratory analyses of uranium, thorium, radium and potassium K-40 contents. Exposure to a low level of radiation is a minor (but still is) contributor to overall cancer risk therefore we compared doses generated by gamma radiation with overall cancer risk. The research was performed in SW Poland in two granitoid massifs -Strzelin and Karkonosze. The in-situ measurements were performed seasonally using gamma-ray spectrometer Exploranium with BGO detector and Radiometer RK-100. The laboratory measurements were performed using spectrometer with HPGe detector Canberra-Packard and alpha spectrometry technique. The general trend of seasonal variations of natural radionuclides, terrestrial ambient gamma dose (TGDR) and ambient gamma dose rate (AGDR) was difficult to identify. We noticed slightly increased values of all analysed parameters in warmer seasons, and lower in colder, although there were some exceptions. These exceptions were induced by precipitation and varied soil water content, but variations were mostly not statistically significant. The statistically important deviation from the trend was registered only in equivalent uranium data when the survey was carried out during or just after intensive precipitation. We observed a good positive correlation between in-situ and laboratory results (TGDR in situ/Lab r = 0.696), therefore, we recommend using in-situ measurements in a dense measuring grid before collecting selected soil samples to better evaluate the level of natural radiation in the environment. The average ambient gamma dose in the Karkonosze Massif was 0.52 mSv y-1 whereas in the Strzelin Massif was 0.39 mSv y-1. The overall cancer risk in Karkonoski county is higher than in Strzelin county. A connection between increased gamma radiation and higher overall cancer risk is possible but should be examined during more elaborated research.

Analysis of treatment planning parameters in the Gamma Knife® technique for different prescription isodoses and volumes of meningiomas.

The following Indexes: Homogeneity, Gradient, Conformity, Paddick Conformity and New Conformity of the dose distribution were compared. The parameters to assess a high dose to the organs at risk: V10/TV, V90%/TV and the Integral Dose were discussed. The higher the prescription isodose, the more uniform the dose distribution in the target, which is highly beneficial in the case of larger tumor sizes due to the lower risk of complications. For smaller tumors, higher dose heterogeneity is desirable. This can be obtained with a 40% prescription isodose.

Hydrochemical behaviour of dissolved uranium in selected groundwaters of the Klodzko Valley (SW Poland) and its application possibilities as an environmental tracer.

Waters from the Klodzko Valley containing pharmacodynamics therapeutic agents are used for drinking and for balneotherapeutical purposes. These medicinal, highly mineralized waters are mostly of deep circulation. Moreover, outflowing water contain admixture of shallow circulation water of contemporary infiltration which negatively effects medicinal water quality. Due to the complicated pathways of groundwater circulation, the authors used uranium as an environmental indicator to gain deeper insight into the factors affecting the quality of exploited medicinal water and groundwater origin. The authors collected samples from 26 groundwater intakes from 3 Spas and from one mineral water bottling plant for analysis of 234,238U and 234U/238U activity ratios using α-spectrometry technique. Uranium was applied as a dilution tracer of medicinal mineral groundwater by shallow circulation low-mineralized water. The results of 234U/238U activity ratios in particular water intakes collected in different years were equal in the range of uncertainties although the uranium concentrations varied. The stability 234U/238U activity ratio parameter is a consequence of dilution of medicinal water by shallow circulation water of present infiltration with a very small amount or without uranium. Apart from simple water dilution, waters of deep circulation mixed with low mineralized shallow circulation water may also contain an admixture of third deeper circulation component with different both U content and 234U/238U ratio. In that case 234U/238U ratio may be applied as a hydrogeochemical tracer.

The detailed analysis of natural radionuclides dissolved in spa waters of the Klodzko Valley, Sudety Mountains, Poland.

A survey was conducted to measure natural radioactivity in spa waters from the Klodzko Valley. The main goal of this study was to determine the activity concentration of uranium, radium and radon isotopes in the investigated groundwaters. Samples were collected several times from 35 water intakes from 5 spas and 2 mineral water bottling plants. The authors examined whether the increased gamma radiation background, as well as the elevated values of radium and uranium content in reservoir rocks, have a significant impact on the natural radioactivity of these waters. The second objective of this research was to provide information about geochemistry of U, Ra, Rn radionuclides and the radiological and chemical risks incurred by ingestion of isotopes with drinking water. On the basis of results obtained, it is feasible to assess the health hazard posed by ingestion of natural radioactivity with drinking waters. Moreover, the data yielded by this research may be helpful in the process of verification of the application of these waters in balneotherapy. In addition, annual effective radiation doses resulting from the isotopes consumption were calculated on the basis of the evaluated activity concentrations. In dose assessment for uranium and radium isotopes, the authors provided values for different human age groups. The obtained uranium content in the investigated waters was compared with the currently valid regulations concerning the quality of drinking water. Based on the activity concentrations data, the activity isotopic ratios (234)U/(238)U, (226)Ra/(238)U, (222)Rn/(238)U, (222)Rn/(226)Ra and the correlations between radionuclides content were then examined. In brief, it may be concluded on the basis of the obtained results that radon solubility is inversely proportional to radium and uranium dissolution in environmental water circulation. The presented study allows conclusions to be drawn on the radionuclide circulation among different environmental biota: from lithosphere through hydrosphere to biosphere.

The study of natural and artificial radionuclides incorporation in teeth and head bones of animals lived nearby Caetité uranium mine, Brazil.

This study aimed at assessing the incorporation of radionuclides in animals in the proximity of the uranium mine in Caetité, Brazil. In 2014, samples of bovine and equine teeth and skull bones were collected and their contents of natural and artificial isotopes were assessed using nuclear spectrometry techniques. Gamma ray emission from 226,228Ra and 40K isotopes was determined using high-purity germanium (HPGe) spectrometry, 90Sr radioactivity was measured with liquid scintillation, and 234,238U, 232,230,228Th, 210Po and 239+240Pu radioactivity was assessed with alpha-spectrometry. Prior to the measurements, sample dissolutions and isotope separations were performed. Our results indicate a high 228Th isotope content in the skull bones and the teeth of animals, up to 179 Bq per kg of ash. The 226Ra and 228Ra concentrations were slightly lower. Activity concentrations of other isotopes were significantly lower or below the detection limit. We could not identify sources of technologically enhanced levels of 228Ra in the area we investigated; therefore we suggest that their origin is natural.

Correction factors for determination of annual average radon concentration in dwellings of Poland resulting from seasonal variability of indoor radon.

The method for the calculation of correction factors is presented, which can be used for the assessment of the mean annual radon concentration on the basis of 1-month or 3-month indoor measurements. Annual radon concentration is an essential value for the determination of the annual dose due to radon inhalation. The measurements have been carried out in 132 houses in Poland over a period of one year. The passive method of track detectors with CR-39 foil was applied. Four thermal-precipitation regions in Poland were established and correction factors were calculated for each region, separately for houses with and without basements.

Radon in groundwater and dose estimation for inhabitants in Spas of the Sudety Mountain area, Poland.

Studies of radon isotope (222)Rn activity concentration in underground water in the Sudety region were performed with the use of the liquid scintillation technique. Waters chosen for investigations were collected in 24 health resorts and towns of the Sudety area from 115 springs, wells and intakes. The (222)Rn activity concentration varied within the range from 4.2+/-0.4 to 1703+/-55 Bq/l. The annual effective doses due to the consumption of (222)Rn with water were calculated for 50 sources of underground spring water or tap water used for consumption. The results were within the range from 0.003 to 1.1 mSv/yr, assuming 0.5 l of tap water per day from which radon is not removed or 0.5 l of mineral spring water consumed daily. The contribution to the effective dose from the inhalation of radon during the daily usage of domestic water substantially increases its effective dose.

Natural radioactivity in underground water from the Outer Carpathians in Poland with the use of nuclear spectrometry techniques.

The investigations of natural radioactivity in underground mineral water and spring water in health resorts in the Outer Carpathians were performed. Samples from 40 water springs were collected 3-4 times over a period of 10 years (1997-2007). In order to obtain necessary data, two different nuclear spectrometry techniques were applied: WinSpectral alphabeta 1414 liquid scintillation counter from Wallac and alpha-spectrometer 7401 VR from Canberra-Packard, USA with the silicon surface barrier detector. The activity concentrations of (222)Rn in the investigated samples varied from below 1 to 50 Bq/l. For radium isotopes the concentrations were in a range from below 10 to 490 mBq/l for (226)Ra and from 29 to 397 mBq/l for (228)Ra. The highest concentrations for both radium isotopes were obtained for medicinal water Zuber III from Krynica spa. The activity concentrations for uranium isotopes varied from below 0.5 to 16 mBq/l for (238)U and from below 0.5 to 162 mBq/l for (234)U with the highest values obtained for water Zuber IV. The highest annual effective dose arising from mainly radium isotopes was obtained for Zuber III water and was equal to 75 microSv/yr. Additionally, the annual effective doses due to (222)Rn consumed with water were also estimated. The isotopic ratios between isotopes originating from the same decay chain ((234)U/(238)U, (226)Ra/(238)U) and from different radioactive decay chains ((226)Ra/(228)Ra) were determined. The correlations between different isotopes were presented.

Natural radioactivity and dose estimation in underground water from the Sudety Mountains in Poland.

Studies of natural radioactivity in spring water in Swieradów-Czerniawa Health Resort were performed with the use of nuclear and mass spectrometry techniques. The investigated region is situated in the Sudety Mountains, where uranium exploration was conducted in the early 1950s of the last century. Annual effective doses due to radionuclide intake were calculated for 4 out of 20 spring waters used for consumption by spa patients and inhabitants. The summed effective doses without 222Rn were of the range 0.4 microSv to 9.2 microSv, for patient for of a 20-day duration stay and from 1.3 microSv y(-1) to 26.7 microSv y(-1) for an inhabitant. The contribution of radon consumed with water raises these values to 209.4 microSv per 20 days and 608.3 microSv y(-1) for a patient and inhabitant, respectively.

Determination of 222Rn in natural water samples from health resorts in the Sudety mountains by the liquid scintillation technique.

A method involving a Wallac 1414 WinSpectral alpha/beta liquid scintillation counter for determining 222Rn in aqueous samples is described. Samples were collected from 23 springs and 4 taps in health resorts of the Klodzka valley in the Sudety mountains in Poland. Half of the investigated spring water samples were radon enriched with an activity concentration higher than 74 Bq/l. In the tap waters the radon concentration level is very low or below the lower limit of detection. Owing to the statistical nature of radioactive decay the uncertainty of the measurement was determined as the standard deviation of 222Rn activity. The method introduced is fast and simple and does not require a chemical sample preparation procedure.

Long-term results of treatment of chronic hepatitis B, C and D with interferon-alpha in renal allograft recipients.

The aim of this study was to evaluate the efficacy and safety of interferon-alpha (IFN-alpha) therapy of chronic hepatitis B, C and D (HBV, HCV and HDV, respectively) in renal transplant recipients. A group of 42 patients (30 males, 12 females, mean age 38 years) with documented viraemia and chronic active hepatitis (CAH) were studied, of whom 1 had HBV infection alone, 11 had HCV infection alone, 3 had HBV and HDV infection concomitantly, 12 had HBV and HCV infection concomitantly, and 2 had HBV, HCV and HDV infection concomitantly. Patients received 3 MU IFN-alpha three times weekly for 6 months. After IFN-alpha therapy, 18 patients (43%) achieved normal alanine aminotransferase (ALT) activity and a partial response was observed in 12 (29%) patients. Two patients relapsed (one with HCV and one with HBV + HCV infection) immediately after the cessation of IFN-alpha therapy. Repeated liver biopsy was performed in 16 patients after 6-24 months of therapy and revealed progression to cirrhosis in five patients, remission in two and stable disease in nine. None of the patients cleared HCV RNA, four patients cleared HBeAg (two also HDV), and one both HBV and HCV. Five patients died during IFN-alpha therapy (one as a consequence of liver failure), and four died during the 6 months after therapy (two as a consequence of liver failure). During IFN-alpha therapy renal allograft function remained stable in 31 patients and acute rejection episodes occurred in 7, of whom 5 lost their graft and all had experienced rejection episodes before. In 16 patients normalization of ALT continued during long-term follow-up (median 22 months, range 0-84 months). IFN-alpha seemed to be moderately effective in the treatment of chronic HBV or HCV infections, but cannot be recommended for recipients infected with both HBV and HCV.

[Levels of myoglobin (Myo) in blood of patients during an early phase after kidney transplantation]. / Stezenie mioglobiny (Myo) we krwi u chorych we wczesnej fazie po transplantacji nerki.

UNLABELLED: In uremic subjects Myo levels were significantly higher than in normals. In the present study we aimed to assess the Myo levels immediately after KT. Myo levels were assessed in 25 uremic patients at the early phase after KT and in 12 controls (patients immediately after cholecystectomy). All uremic patients were divided on two groups: group I--patients with immediately good graft function after KT (12 patients) and group II--patients with acute failure of the transplanted kidney (13 patients). In all examined subjects immediately before and during following 30 days after KT or cholecystectomy the Myo levels were assessed using RIA methods. There were found the significant correlations between plasma creatinine and Myo levels in uremic patients. CONCLUSIONS: 1. In all examined KTP the tendency to normalisation Myo levels after transplantation was observed. 2. Acute failure of transplanted kidney delayed normalization Myo levels. 3. Normalization of Myo levels was preferently dependent on the graft function.

[Tuberculosis in patients after kidney transplantation]. / Gruzlica u chorych po przeszczepieniu nerki.

Infection caused by Mycobacterium tuberculosis is common among population in Poland. We analyzed the effect of tuberculosis (TB) on patients and graft survival in the group of renal allograft recipients (RAR), treated in our center. Among 1669 renal allograft recipients transplanted from 1981 to 1992, tuberculosis developed in 33 (2%) patients (16 M/17F, age: 22-57 years). The patients were on following immunosuppressive regiments" Pred+Aza+CsA (12 pts), Pred+Aza (12), Pred+CsA (6) and Pred+Aza+CsA+ATG (3). Acute rejection was diagnosed in 27 of them and was treated with methyloprednisone pulses, and in a few cases additionally with ATG (2 pts) or OKT3 (1 pt). In two pts TB had been diagnosed and successfully treated in the past. In 6 pts, on chest X-ray done immediately before transplantation, healed primary lesion (Ghon complex) had been seen. In 16 pts TB developed in the early posttransplant period (median: 3.8 +/- 1.8, range: 1-6 months) and in 17--late after transplantation (median: 31.2 +/- 1.8, range: 13-156 months). In 19 pts symptoms developed soon after treatment of acute rejection. Clinical manifestations include pulmonary TB (30 pts) and extrapulmonary lesions (15 pts): pleural TB (3 pts), miliary TB (5 pts), tuberculous lymphadenitis (1 pt), uveitis (1 pt), renal allograft (2 pts), skeletal (2 pts) and GI tract (1 pt). Diagnosis of TB was made based on clinical presentation and radiologic findings and it was confirmed by positive cultures in 18 pts, by tissue biopsy in 4 pts and by autopsy examination in 9 pts. Treatment regimen included one of the following drug combinations: INH+EMB+RMP (20 pts), INH+RMB+RMP+PZA (10 pts) or INH+EMB+SM (3 pts). Three pts died before TB was recognized and 4 deaths occurred after treatment was started. All these pts developed renal failure. 26 pts were treated for 3-12 months (median, range: 7.8 +/- 2.9) and in 24 of them complete remission was achieved. In this group renal function remained stable in 16 pts and 6 pts developed terminal failure due to chronic rejection. Authors conclude: 1. TB remains a frequent complication in RAR but can be successfully treated when diagnosed early. 2. Extrapulmonary TB is common in RAR. 3. TB deteriorates one year patients (75%) and graft (49%) survivals.

Treatment of chronic hepatitis B and C with interferon-alpha in renal allograft recipients: preliminary results.

We evaluated the effects of treatment with interferon (IFN) on liver disease and renal allograft function in ten immunosuppressed cadaver kidney recipients. Two females and eight males (mean age 39 years) with biopsy-proven chronic active hepatitis (n = 8) or persistent hepatitis (n = 2) and serum positive for hepatitis B surface antigen (HBsAg) and HBe antigen (n = 5) or serum positive for anti-HCV antibodies (n = 3) or serum positive for HBsAg, anti-HCV and anti-HDV antibodies (n = 2) received 3 million units IFN thrice weekly of 6 months. All patients responded with a reduction in serum aminotransferase activity and in five of them liver function completely normalized. Three patients among five infected with HBV cleared HBeAg. During the follow-up period liver function remained stable in 9 patients after discontinuation of IFN therapy. Three patients lost their grafts due to rejection 1, 2, and 4 months after IFN therapy, respectively. In six patients renal function remained stable during and after IFN therapy. We conclude that in selected groups of renal allograft recipients IFN can be used safely and effectively for the treatment of chronic viral hepatitis.

[Levels of beta-2-microglobulin (B2MG) in blood serum of patients during the early phase after kidney transplantation]. / Stezenie beta-2-mikroglobuliny (B2MG) w surowicy krwi u chorych we wczesnej fazie po transplantacji nerki.

In uremic subjects serum B2MG levels was significantly higher than in normals. In kidney transplant patients (KTP) serum B2MG levels was 3-4 times higher than in normals. Elevated serum B2MG levels in KTP seems to depend not only on the kind of immunosuppressive therapy but also on other factors. In the present study we aimed to asses serum B2MG levels immediately after KT. B2MG were assessed in 25 uremic patients at the early phase after KT and in 12 controls (patients immediately after cholecystectomy). All uremic patients were divided on two groups: group I-patients with immediately graft function after transplantation (12 patients) and group II--patients with acute failure of the transplanted kidney (13 patients). In all examined subjects immediately before and 1, 2, 3, 4, 5, 10, 15, 20, 25, and 30 days after transplantation serum B2MG levels were assessed using RIA methods. In group I we observed gradually decline of B2MG concentrations parallel with creatinine after KT while in group II normalization of B2MG and creatinine levels were delayed (approximate 10 days). The significant positive correlation was found between plasma B2MG and creatinine levels in all examined patients. We concluded: 1. In all examined groups the tendency to normalization of B2MG levels after KT was observed. 2. Acute failure transplanted kidney delayed normalization of B2MG concentrations. 3. Normalization of B2MG levels was preferentially dependent on the graft function.