Custom-made silicone hand prosthesis: A case study.

Up to now, a cosmetic glove was the most common method for managing transmetacarpal (TMC) and carpometacarpal (CMC) amputations, but it is devoid of markings and body color. At this amputation level, it is very difficult to fit a functional prosthesis because of the short available length, unsightly shape, grafted skin, contracture and lack of functional prosthetic options. A 30-year-old male came to our clinic with amputation at the 1st to 4th carpometacarpal level and a 5th metacarpal that was projected laterally and fused with the carpal bone. The stump had grafted skin, redness, and an unhealed suture line. He complained of pain projected over the metacarpal and suture area. The clinical team members decided to fabricate a custom-made silicone hand prosthesis to accommodate the stump, protect the grafted skin, improve the hand's appearance and provide some passive function. The custom silicone hand prosthesis was fabricated with modified flexible wires to provide passive interphalangeal movement. Basic training, care and maintenance instructions for the prosthesis were given to the patient. The silicone hand prosthesis was able to restore the appearance of the lost digits and provide some passive function. His pain (VAS score) was reduced. Improvement in activities of daily living was found in the DASH questionnaire and Jebsen-Taylor Hand Function test. A silicone glove is a good option for more distal amputations, as it can accommodate any deformity, protect the skin, enhance the appearance and provide functional assistance. This case study provides a simple method to get passively movable fingers after proximal hand amputation.

Distribution of norm and 137Cs in soils of the Visakhapatnam region, Eastern India, and associated radiation dose.

The specific activity of naturally occurring radioactive materials and (137)Cs in surface soils around the new Bhabha Atomic Research Centre site at Visakhapatnam region, Eastern India, has been determined using high-resolution gamma-ray spectrometry as part of a baseline radiological survey. Radiation hazard for the samples was assessed by radium equivalent activity (Raeq) and absorbed gamma dose rate (D). The mean absorbed gamma dose rate was found to be 104.9 nGy h(-1). The average annual effective dose equivalent was found to be 0.13 mSv y(-1).

Age-dependent dose and health risk due to intake of uranium in drinking water from Jaduguda, India.

Uranium is a heavy metal that is not only radiologically harmful but also a well-known nephrotoxic element. In this study, occurrence of uranium in drinking water samples from locations near the uranium mining site at Jaduguda, India, was studied by Laser-induced fluorimetry. Uranium concentrations range from 0.03 ± 0.01 to 11.6 ± 1.3 µg l(-l), being well within the US Environmental Protection Agency drinking water limit of 30 µg l(-1). The ingestion dose due to the presence of uranium in drinking water for various age groups varies from 0.03 to 28.3 µSv y(-1). The excess lifetime cancer risk varies from 4.3×10(-8) to 1.7×10(-5) with an average value of 4.8×10(-6), much less than the acceptable excess lifetime cancer risk of 10(-3) for radiological risk. The chemical risk (hazard quotient) has an average value of 0.15 indicating that the water is safe for drinking.