Reduction of radiation dose to patients undergoing barium enema by dose audit.

Nowadays, new fluoroscopic machines are usually equipped with a dose-area product (DAP) meter for dose measurement. In our hospital, DAP meters have been used in the Diagnostic Radiology Department for dose audit since June 1997. Demographic patient data, name of radiologist, fluoroscopic duration and DAP readings of every case were recorded by radiographers. In early 1999, questionnaires were distributed to radiologists who had performed fluoroscopic examinations during the auditing period. 23 radiologists with varying years of experience completed the questionnaire and their practice was analysed. Since familiarization with the examination technique would affect radiologists' practice, these radiologists were divided into two groups for analysis. Radiologists with less than 3 years of experience were grouped together as junior radiologists, whilst others were grouped as senior radiologists. Results of the questionnaire indicated that radiologists generally found DAP meters useful for dose evaluation in the process of technique refinement. Radiologists aware of being under continuous surveillance of their practice showed significant reduction of doses (junior radiologists 25%, p<0.005; senior radiologists 36%, p<0.05) and fluoroscopic times (junior radiologists 36%, p<0.001; senior radiologists 18%, p<0.05) compared with radiologists who were unaware that they were under surveillance but with similar radiological experience. This effect is believed to be because of increased awareness of radiation dose through audit. In addition, this "audit effect" may also affect junior radiologists in decision-making regarding the number of radiographs (p<0.05), but no effect was found for senior radiologists (p>0.5).

The growth of pure and simple microbial competitors in a moving distributed medium.

The dynamics of pure and simple competition between two microbial species are examined for the case of interaction arising in a distributed and nonstagnant environment. The environment is modeled as a tubular reactor. It is shown that for relatively small values of the dispersion coefficient (i.e., for small, but nonzero, backmixing of the medium), the two competing populations can coexist in a stable steady state. It has been assumed that the species grow uninhibited and that if there are maintenance requirements they are satisfied from endogenous sources. From numerical studies it has been found that a necessary condition for coexistence is that the net specific growth rate curves of the two competitors cross each other at a positive value of the concentration of the rate-limiting substrate. The model equations have been numerically solved by using the methods of orthogonal and spline collocation.

Operating parameters' effects on the outcome of pure and simple competition between two populations in configurations of two interconnected chemostats.

It is known from the literature that two microbial populations competing purely and simply for a common substrate in a spatially inhomogeneous environment may under certain conditions coexist in a steady state. This paper studies pure and simple competition between two microbial species in three alternate configurations of two interconnected ideal chemostats and focuses on the effects of the operating parameters-dilution rate, substrate concentration in the feed to the vessels, recycle ratio, and volume ratio of the two vessels, splitting ratio of the external feed to the chemostats-on the coexistence of the two competitors. It is shown that the coexistence steady state is practically feasible in the sense that it occurs in a finite domain of the operating parameters space. Theoretical and numerical results are presented, some of them in the form of operating diagrams projected on the two-dimensional subspace. A comparison of the three possible configurations is offered.