Natural radioactivity and external dose assessment of surface soils in Vietnam.

In this study, natural radioactivity in surface soils of Vietnam and external dose assessment to human population, deduced from activities of (226)Ra, (232)Th and (40)K nuclides, were determined. From 528 soil samples collected in 63 provinces of Vietnam, including five centrally governed cities, the average activities were obtained and equal to 42.77 ± 18.15 Bq kg(-1) for (226)Ra, 59.84 ± 19.81 Bq kg(-1) for (232)Th and 411.93 ± 230.69 Bq kg(-1) for (40)K. The outdoor absorbed dose rates (OADRs) in air at 1 m above the ground level for 63 provinces were calculated, and their average value was 71.72 ± 24.72 nGy h(-1), with a range from 17.45 to 149.40 nGy h(-1). The population-weighted OADR of Vietnam was 66.70 nGy h(-1), which lies in the range of 18-93 nGy h(-1) found in the World. From the OADRs obtained, it was estimated that the outdoor annual effective dose and indoor annual effective dose to the population were 0.082  and 0.458 mSv, which are higher than the corresponding values 0.07 and 0.41 mSv, respectively, of the World. The radium equivalent activity Ra(eq) and the external hazard index H(ex) of surface soils of Vietnam are lower than the corresponding permissible limits of 370 Bq kg(-1) and 1, respectively. Therefore, soil from Vietnam is safe for the human population when it is used as a building material.

The significance of tumour cell immunophenotype in myeloma and its impact on clinical outcome.

BACKGROUND AND AIMS: Antigen expression of multiple myeloma (MM) cells is heterogeneous. We have investigated the clinical impact of expression of some of the commonly used immunohistochemical markers in the diagnostic work-up of bone marrow trephine biopsy (BMTB) samples in MM. PATIENTS AND METHODS: BMTB samples from 107 MM patients who had received an autologous stem cell transplant (ASCT) following chemotherapy were evaluated. In 75 cases, the immunophenotype had been evaluated on two or more occasions on further follow-up. RESULTS: In the cases evaluated, 32%, 79%, 73%, 39% and 60% of cases had been scored positive for CD20, CD79a, CD56, cyclin D1 and epithelial membrane antigen (EMA) respectively. Absence of CD79a was predictive of poor overall survival (OS) from the time of transplant (p = 0.029) and poor event-free survival (EFS) from the time of transplant (p = 0.003). Absence of EMA (p = 0.02) was predictive of poor EFS from the time of diagnosis. Presence of CD56 was predictive of poor EFS from the time of diagnosis (p = 0.026). On multivariate analysis, only CD79a expression (OS and EFS from the time of transplant) and EMA expression (EFS from the time of diagnosis) maintained their significance. 13 of 75 patients showed an immunophenotypic drift during the disease course. Loss of CD20 (four cases) during the disease course in cases that were previously scored positive correlated with significant worsening both, of OS (p = 0.02) and EFS (p = 0.009) from the time of diagnosis. CONCLUSION: Immunophenotype impacts on clinical outcome in MM.

Generic values for soil-to-plant transfer factors of radiocesium.

There is a need for soil-to-plant transfer factors of radionuclides that take into account all possible crops on all soil varieties to support dose assessment studies. Because only limited experimental data exist for worldwide soil systems, such values should necessarily have a generic character. This paper describes a generic system for 137Cs, mainly based on a reference soil-to-plant transfer factor which depends solely on soil properties such as nutrient status, exchangeable K-content, pH and moisture content. Crops are divided into crop groups, cereals serving as reference group. The transfer of other crop groups can be calculated by multiplying data for cereals by a conversion factor. Existing data present in the IUR (International Union of Radioecologists) databank and in large part the work of a FAO (Food and Agriculture Organisation)/IAEA(International Atomic Energy Agency)/IUR project on tropical systems provided the basis for the derivation of the conversion factors and reference values.

Environmental radionuclides in surface soils of Vietnam.

A database on 238U, 232Th, 40K, and 137Cs in surface soils was established to provide inputs for the assessment of the collective dose to the population of Vietnam and to support soil erosion studies using 137Cs as a tracer. A total of 292 soil samples was taken from undisturbed sites across the territory and the concentrations of radionuclides were determined by gamma spectrometry method. The multiple regression of 137Cs inventories against characteristics of sampling locations allowed us to establish the distribution of 137Cs deposition density and its relationship with latitude and annual rainfall. The 137Cs deposition density increases northward and varies from 178 Bq m(-2) to 1,920 Bq m(-2). High rainfall areas in the northern and central parts of the country have received considerable 137Cs inputs exceeding 600 Bq m-2, which is the maximum value that can be expected for Vietnam from the UNSCEAR global pattern. The mean activity concentrations of naturally occurring radionuclides 238U, 232Th, and 40K are 45, 59, and 401 Bq kg(-1), respectively, which entail an average absorbed dose rate in air of 62 nGy h(-1), which is about 7% higher than the world average.

Acute management of dengue shock syndrome: a randomized double-blind comparison of 4 intravenous fluid regimens in the first hour.

Dengue hemorrhagic fever is an important cause of morbidity among Asian children, and the more severe dengue shock syndrome (DSS) causes a significant number of childhood deaths. DSS is characterized by a massive increase in systemic capillary permeability with consequent hypovolemia. Fluid resuscitation is critical, but as yet there have been no large trials to determine the optimal fluid regimen. We undertook a randomized blinded comparison of 4 fluids (dextran, gelatin, lactated Ringer's, and "normal" saline) for initial resuscitation of 230 Vietnamese children with DSS. All the children survived, and there was no clear advantage to using any of the 4 fluids, but the longest recovery times occurred in the lactated Ringer's group. The most significant factor determining clinical response was the pulse pressure at presentation. A comparison of the colloid and crystalloid groups suggested benefits in children presenting with lower pulse pressures who received one of the colloids. Further large-scale studies, stratified for admission pulse pressure, are indicated.

Ring 19 mosaicism detected during prenatal diagnosis.

A ring chromosome 19 was found in 14 of 20 metaphases (67 per cent) derived from amniotic fluid cell cultures following amniocentesis because of increased maternal age. Elective termination of the pregnancy revealed a hypotrophic female fetus with mild dysmorphic signs, but no congenital malformations. The case is discussed in relation to three reports in the literature of ring chromosome 19 mosaicism in a phenotypically normal girl, a mentally retarded man, and a boy with normal psychomotor development and minor dysmorphic features.