Creatinine as a normalization factor to estimate the representativeness of urine sample - Intra-subject and inter-subject variability studies.

In-vitro bioassay monitoring generally involves analysis of overnight urine samples (~12 h) collected from radiation workers to estimate the excretion rate of radionuclides from the body. The unknown duration of sample collection (10-16 h) adds to the overall uncertainty in computation of internal dose. In order to minimize this, IAEA recommends measurement of specific gravity or creatinine excretion rate in urine. Creatinine is excreted at a steady rate with normally functioning kidneys therefore, can be used as a normalization factor to infer the duration of collection and/or dilution of the sample, if any. The present study reports the chemical procedure standardized and its application for the estimation of creatinine as well as creatinine co-efficient in normal healthy individuals. Observations indicate higher inter-subject variability and lower constancy in daily excretion of creatinine for the same subject. Thus creatinine excretion rate may not be a useful indicator for extrapolating to 24 h sample collection.

COMPARING LUNGS, LIVER AND KNEE MEASUREMENT GEOMETRIES AT VARIOUS TIMES POST INHALATION OF 239Pu AND 241Am.

In-vivo measurement of Pu/241Am in workers is carried out by placing suitable detector above lungs, liver and skeleton, as major fraction of Pu/Am is transferred to liver and skeleton, after its retention in entry organ. In this work, committed effective dose (CED) corresponding to minimum detectable activity for Type M and Type S 239Pu/241Am deposited in these organs are presented and a monitoring protocol of organ measurement giving lowest CED at different time intervals post inhalation is described. We have observed, for Type M compounds, lung measurement is most sensitive method during initial days after exposure. Liver measurement yields lowest CED between 100 and 5000 d and beyond that bone measurement gives lowest CED. For Type S compounds lung measurement remains most sensitive method even up to 10 000 d post inhalation. This study will be useful for the assessment of CED due to internally deposited 239Pu/241Am in the workers.

Evaluation of uncertainties in lung measurement of actinides due to non-uniform distribution of activity in lungs.

Various parameters can introduce uncertainties in the lung activity measurements of actinides. In this study, uncertainties due to non-uniform distribution of activity in the lungs are evaluated. To study the effect of non-uniform distribution, lungs of ICRP male thorax voxel and resized phantoms are divided into upper and lower parts of both right and left lungs as well as into anterior and posterior lung regions. Simulation of uniform and non-uniform distribution of activity in lungs is carried out using thorax voxel phantoms in FLUKA for Phoswich and an array of three HPGe detectors for 18-238keV photons. Source sampling for non-uniform distribution of activity is carried out by selecting the source points by varying the weightage to 0.4, 0.5, 0.6 and 1 in different parts of lungs. Uncertainties in lung activity estimation at different energies are quantified in the form of scattering factors (SFs) which are geometric standard deviations. The SFs due to non-uniform distribution of activity of the order of 0.4-0.6 in different parts of the lungs are found to be ~ 1.25 for Phoswich and HPGe array detectors above 18keV.

A rapid method for estimation of Pu-isotopes in urine samples using high volume centrifuge.

The conventional radio-analytical technique used for estimation of Pu-isotopes in urine samples involves anion exchange/TEVA column separation followed by alpha spectrometry. This sequence of analysis consumes nearly 3-4 days for completion. Many a times excreta analysis results are required urgently, particularly under repeat and incidental/emergency situations. Therefore, there is need to reduce the analysis time for the estimation of Pu-isotopes in bioassay samples. This paper gives the details of standardization of a rapid method for estimation of Pu-isotopes in urine samples using multi-purpose centrifuge, TEVA resin followed by alpha spectrometry. The rapid method involves oxidation of urine samples, co-precipitation of plutonium along with calcium phosphate followed by sample preparation using high volume centrifuge and separation of Pu using TEVA resin. Pu-fraction was electrodeposited and activity estimated using 236Pu tracer recovery by alpha spectrometry. Ten routine urine samples of radiation workers were analyzed and consistent radiochemical tracer recovery was obtained in the range 47-88% with a mean and standard deviation of 64.4% and 11.3% respectively. With this newly standardized technique, the whole analytical procedure is completed within 9h (one working day hour).

An anatomical subunit-based outcome assessment scale for bilateral cleft lip and palate.

As there is currently no internationally accepted outcome measurement tool available for complete bilateral cleft lip and palate (CBCLP), the goal of this prospective study was to develop a numerical evaluation scale that allows reliable scoring of this cleft deformity. Our cohort comprised 121 Indian subjects with CBCLP who underwent surgical repair (mean age at time of surgery 6.53 months) using a modified Millard technique. A panel of three professionals evaluated each subject's outcome of bilateral cleft lip repair 6 months postoperatively on two-dimensional (2D) full-face photographs in the frontal view and worm's eye view. A simple two-point rating system was applied to separately analyse a total of 12 components of lip, nose, and scar. The results and mean scores for the analysed anatomical areas were 2.2±1.01 (max=3) for nose, 5.4±1.54 (max=8) for lip, and 1.9±1.3 (max=3) for scar, with a total score 7.7±2.21 (max=12) indicating a good surgical outcome. The inter-examiner ICC for nose, lip, scar, and total score was calculated at 0.836, 0.889, 0.723, and 0.927 respectively and indicated a strong level of repeatability and reliability that was highly significant (P<0.001). In conclusion, we were able to develop and test a scoring system for measuring outcomes in CBCLP that warrants simplicity of use, reliability and reproducibility.

METHODOLOGY FOR THE ASSESSMENT OF INGESTED ACTINIDES FROM MONTE CARLO SIMULATION OF VOXEL PHANTOM.

In case of internal contamination of actinides by ingestion pathway, activity will be transferred to various regions of the alimentary tract over a period of time. In this article, counting efficiencies (CEs) of Phoswich and an array of HPGe detectors are estimated for source in alimentary tract of voxel phantom. The phantom as well as Phoswich, and an array of three HPGe detectors are incorporated in Monte Carlo code 'FLUKA'. Human alimentary tract model is solved using default parameters to identify different compartments where activity will accumulate after an ingestion intake of 1 Bq as a function of time. Accordingly, CEs are evaluated on 0.5-5 d post ingestion intake for the source distributed in the contents of alimentary tract for photon energies in 18-238 keV range representing sources of actinides. The assessment of ingested activity of actinides from abdomen measurements is discussed. Higher CEs are observed with Phoswich detector compared with HPGe array due to its large size and high effective Z. Also, the CEs observed on Days 1-5 using both the detectors are found to decrease by 16-75 % with respect to the CE on half day. Thus, there is need to use CEs according to the observed activity distribution post ingestion intake. The contribution in the abdomen measurements due to source in the lungs and vice versa is also studied for intake by both inhalation and ingestion pathways. The contribution of source in the liver is found to be ∼30-50 % in chest and 75 % in abdomen measurements.

Heralded Control of Mechanical Motion by Single Spins.

We propose a method to achieve a high degree of control of nanomechanical oscillators by coupling their mechanical motion to single spins. Manipulating the spin alone and measuring its quantum state heralds the cooling or squeezing of the oscillator even for weak spin-oscillator couplings. We analytically show that the asymptotic behavior of the oscillator is determined by a spin-induced thermal filter function whose overlap with the initial thermal distribution of the oscillator determines its cooling, heating, or squeezing. Counterintuitively, the rate of cooling dependence on the instantaneous thermal occupancy of the oscillator renders robust cooling or squeezing even for high initial temperatures and damping rates. We further estimate how the proposed scheme can be used to control the motion of a thin diamond cantilever by coupling it to its defect centers at low temperature.

Correlation of vermilion symmetry to alveolar cleft defect in unilateral cleft lip repair.

Asymmetry is a major problem in repaired unilateral cleft lip (UCL). One of the important manifestations of this is the asymmetry of the vermilion. The aim of this study was to correlate the severity of the asymmetry in the vermilion to the size of the alveolar defect. Twenty patients aged between 6 and 18 months with complete unilateral cleft lip, alveolus, and palate were included. An impression of each patient's alveolus at the time of cheiloplasty was taken using silicon rubber base material, and a study cast was prepared. The width of the cleft alveolus was measured on these casts using a transparent grid. Frontal photographs were taken at 6 months postoperative and vermilion symmetry was measured as the ratio between the cleft and non-cleft sides. The results obtained in this study showed a direct correlation between the size of the alveolar defect and the vermilion symmetry in repaired UCL. The wider the cleft alveolus and greater the antero-posterior discrepancy, the greater is the vermilion asymmetry. The asymmetry of the vermilion in UCL after repair is directly dependent on the size of the alveolar defect. The alveolar discrepancy causes 'in-rolling' of the vermilion on the cleft side and affects the vermilion symmetry.

Indirect quantum sensors: improving the sensitivity in characterizing very weakly coupled spins.

We propose a scheme to increase the sensitivity and thus the detection volume of nanoscale single molecule magnetic resonance imaging. The proposal aims to surpass the T1 limited detection of the sensor by taking advantage of a long-lived ancillary nuclear spin to which the sensor is coupled. We show how this nuclear spin takes over the role of the sensor spin, keeping the characteristic time-scales of detection on the same order but with a longer life-time allowing it to detect a larger volume of the sample, which is not possible by the sensor alone.

Applying a low energy HPGe detector gamma ray spectrometric technique for the evaluation of Pu/Am ratio in biological samples.

The estimation of Pu/(241)Am ratio in the biological samples is an important input for the assessment of internal dose received by the workers. The radiochemical separation of Pu isotopes and (241)Am in a sample followed by alpha spectrometry is a widely used technique for the determination of Pu/(241)Am ratio. However, this method is time consuming and many times quick estimation is required. In this work, Pu/(241)Am ratio in the biological sample was estimated with HPGe detector based measurements using gamma/X-rays emitted by these radionuclides. These results were compared with those obtained from alpha spectroscopy of sample after radiochemical analysis and found to be in good agreement.

Assessment of uncertainties in the lung activity measurement of low-energy photon emitters using Monte Carlo simulation of ICRP male thorax voxel phantom.

Assessment of intake due to long-lived actinides by inhalation pathway is carried out by lung monitoring of the radiation workers inside totally shielded steel room using sensitive detection systems such as Phoswich and an array of HPGe detectors. In this paper, uncertainties in the lung activity estimation due to positional errors, chest wall thickness (CWT) and detector background variation are evaluated. First, calibration factors (CFs) of Phoswich and an array of three HPGe detectors are estimated by incorporating ICRP male thorax voxel phantom and detectors in Monte Carlo code 'FLUKA'. CFs are estimated for the uniform source distribution in lungs of the phantom for various photon energies. The variation in the CFs for positional errors of ±0.5, 1 and 1.5 cm in horizontal and vertical direction along the chest are studied. The positional errors are also evaluated by resizing the voxel phantom. Combined uncertainties are estimated at different energies using the uncertainties due to CWT, detector positioning, detector background variation of an uncontaminated adult person and counting statistics in the form of scattering factors (SFs). SFs are found to decrease with increase in energy. With HPGe array, highest SF of 1.84 is found at 18 keV. It reduces to 1.36 at 238 keV.

Evaluation of sample pretreatment methods for analysis of polonium isotopes in herbal medicines.

Herbal infusions like ayurvedic aristas are widely consumed by Indian population for good health. With increasing awareness about radiological assessment, an effort was made to assess the radioactivity concentration of naturally occurring radionuclides in herbal medicines. (210)Po is an important alpha particle emitter contributing to internal dose to man from ingestion. Though (210)Po can be spontaneously deposited on silver disk for alpha spectrometric measurements with less radiochemical step, great care has to be taken during the sample pretreatment step owing to the high volatility of polonium even at low temperatures. Aim of the study was to evaluate an appropriate sample pretreatment method for estimation of polonium in herbal medicines. (209)Po was used for radiochemical yield calculation. Conventional open vessel wet ashing, physical evaporation, freeze-drying and microwave digestion in a Teflon vessel were examined. The recovery ranged between 9 and 79%. The lowest recovery was obtained for the samples that were processed by open vessel digestion without any volume reduction. The recoveries were comparable for those samples that were freeze dried and subjected to HNO3 + HClO4 + H2O2 + HF acid digestion and microwave digested samples. (210)Po concentration in the samples ranged from 11.3 to 39.6 mBq/L.

Ingestion of polonium ((210)Po) via dietary sources in high background radiation areas of south India.

PURPOSE: To study the distribution of Polonium ((210)Po) activity in dietary sources in the high background radiation zone of Puttetti in southern Tamil Nadu. MATERIALS AND METHODS: (210)Po was analyzed in the food materials consumed by the male and female individual representatives living in the high background areas by 24-h Duplicate Diet Study (DDS) and Market Basket Study (MBS). The MBS was performed by collecting the food samples such as, cereals, fruits, leafy vegetables, roots and tubers, other vegetables, fish, meat and milk grown in the high background radiation zone of southern Tamil Nadu as a part of baseline study in this region. The DDS was done by collecting the food materials consumed including the beverages in 24 h from different age groups of male and female individuals living in the village of Puttetti. The intake and ingestion dose of the radionuclide (210)Po was estimated. RESULTS: The average concentration of (210)Po in DDS (n = 33) was found to be 74 mBq.kg(- 1) of fresh weight. The MBS was collected based on food consumption representing more than 85-95% of annual supply, and were divided into eight food groups. The average concentration of (210)Po in the eight food groups namely leafy vegetables was 2176 mBq.kg(- 1) (n = 3), vegetables 55 mBq.kg(- 1) (n = 10), roots and tubers 251 mBq.kg(- 1) (n = 4), fruits 65 mBq.kg(- 1) (n = 5), fish 345 mBq.kg(- 1) (n = 2), meat food 117 mBq.kg(- 1) (n = 3), milk 20 mBq.kg(- 1) (n = 1) and cereal 290 (n = 1) mBq.kg(- 1) of fresh weight, respectively. The annual intake and ingestion dose due to (210)Po was estimated by DDS and MBS in adults, adolescents and children. The overall results showed that the MBS was moderately higher than the DDS in all age groups. Moreover, a DDS approach may even be more realistic, as cooked foodstuffs are used for dietary exposure assessment. CONCLUSION: The study confirms that the current levels of (210)Po do not pose a significant radiological risk to the local inhabitants.

Monte Carlo simulation of skull and knee voxel phantoms for the assessment of skeletal burden of low-energy photon emitters.

In case of internal contamination due to long-lived actinides by inhalation or injection pathway, a major portion of activity will be deposited in the skeleton and liver over a period of time. In this study, calibration factors (CFs) of Phoswich and an array of HPGe detectors are estimated using skull and knee voxel phantoms. These phantoms are generated from International Commission of Radiation Protection reference male voxel phantom. The phantoms as well as 20 cm diameter phoswich, having 1.2 cm thick NaI (Tl) primary and 5cm thick CsI (Tl) secondary detector and an array of three HPGe detectors (each of diameter of 7 cm and thickness of 2.5 cm) are incorporated in Monte Carlo code 'FLUKA'. Biokinetic models of Pu, Am, U and Th are solved using default parameters to identify different parts of the skeleton where activity will accumulate after an inhalation intake of 1 Bq. Accordingly, CFs are evaluated for the uniform source distribution in trabecular bone and bone marrow (TBBM), cortical bone (CB) as well as in both TBBM and CB regions for photon energies of 18, 60, 63, 74, 93, 185 and 238 keV describing sources of (239)Pu, (241)Am, (238)U, (235)U and (232)Th. The CFs are also evaluated for non-uniform distribution of activity in TBBM and CB regions. The variation in the CFs for source distributed in different regions of the bones is studied. The assessment of skeletal activity of actinides from skull and knee activity measurements is discussed along with the errors.

Counting efficiency of whole-body monitoring system using BOMAB and ANSI/IAEA thyroid phantom due to internal contamination of 131I.

In this study, the effect of Indian reference BOttle MAnnikin aBsorber (BOMAB) neck with axial cavity and American National Standards Institute (ANSI)/International Atomic Energy Agency (IAEA) thyroid phantom using pencil sources of (133)Ba ((131)I simulant) on counting efficiency (CE) is seen experimentally in static geometry for whole-body monitoring system comprising 10.16-cm diameter and 7.62-cm-thick NaI(Tl) detector. The CE estimated using the neck part of BOMAB phantom is 50.2% lower in comparison with ANSI phantom. In rest of the studies FLUKA code is used for Monte Carlo simulations using ANSI/IAEA thyroid phantom. The simulation results are validated in static geometries with experimental CE and the differences are within 1.3%. It is observed that CE for pencil source distribution is 3.97% higher for (133)Ba in comparison with CE of (131)I source. Simulated CE for pencil source distribution is 4.7% lower in comparison with uniform source distribution in the volume of thyroid for (131)I. Since the radiation workers are of different physique; overlying tissue thickness (OTT) and neck-to-detector distance play an important role in the calculation of activity in thyroid. The CE decreases with increase in OTT and is found to be 5.5% lower if OTT is changed from 1.1 to 2 cm. Finally, the simulations are carried out to estimate the variation in CE due to variation in the neck-to-detector distance. The CE is 6.2% higher if the neck surface-to-detector distance is decreased from 21.4 to 20.4 cm and it goes on increasing up to 61.9% if the distance is decreased to 15.4 cm. In conclusion, the calibration of whole-body monitoring system for (131)I should be carried out with ANSI/IAEA thyroid phantom, the neck-to-detector distance controlled or the CE corrected for this, and the CE should be corrected for OTT.

Assessment of intravenous pbi-shRNA PDX1 nanoparticle (OFHIRNA-PDX1) in yucatan swine.

PDX1 (pancreatic and duodenal homeobox 1) is overexpressed in pancreatic cancer, and its reduction results in tumor regression. Bi-functional pbi-shRNA PDX1 nanoparticle (OFHIRNA-PDX1) utilizes the endogenous micro-RNA biogenesis pathway to effect cleavage- and non-cleavage-dependent degradation of PDX1 mRNA. We have shown that OFHIRNA-PDX1 reduces pancreatic tumor volume in xenograft models. Thus, we are now exploring biorelevant large animal safety of OFHIRNA-PDX1. Mini pigs were chosen as the biorelevant species based on the similarity of human and pig PDX1 target sequence. In the initial study, animals developed fever, lethargy, hyporexia and cutaneous hyperemia following administration of OFHIRNA-PDX1. Twenty-one days later, the same animals demonstrated less toxicity with a second OFHIRNA-PDX1 infusion in conjunction with a prophylactic regimen involving dexamethasone, diphenhydramine, Indocin and ranitidine. In a new group of animals, PDX1 protein (31 kDa) expression in the pancreas was significantly repressed at 48 and 72 h (85%, P=0.018 and 88%, P=0.013; respectively) following a single infusion of OFHIRNA-PDX1 but recovered to normal state within 7 days. In conclusion, a single intravenous infusion of OFHIRNA-PDX1 in conjunction with premedication in pigs was well tolerated and demonstrated significant PDX1 knockdown.

Dark entangled steady states of interacting Rydberg atoms.

We propose a scheme for rapid generation of high fidelity steady-state entanglement between a pair of atoms. A two-photon excitation process toward long-lived Rydberg states with finite pairwise interaction, a dark-state interference effect in the individual atoms, and spontaneous emission from their short-lived excited states lead to rapid, dissipative formation of an entangled steady state. We show that for a wide range of physical parameters, this entangled state is formed on a time scale given by the strengths of coherent Raman and Rabi fields applied to the atoms, while it is only weakly dependent on the Rydberg interaction strength.

Monte Carlo simulation of NaI(TL) detector in a shadow-shield scanning bed whole-body monitor for uniform and axial cavity activity distribution in a BOMAB phantom.

This study presents the simulation results for 10.16 cm diameter and 7.62 cm thickness NaI(Tl) detector response, which is housed in a partially shielded scanning bed whole-body monitor (WBM), due to activity distributed in the axial cavities provided in the Indian reference BOMAB phantom. Experimental detection efficiency (DE) for axial cavity activity distribution (ACAD) in this phantom for photon emissions of (133)Ba, (137)Cs and (60)Co is used to validate DEs estimated using Monte Carlo code FLUKA. Simulations are also carried out to estimate DEs due to uniform activity distribution (UAD) as in the standard BOMAB phantom. The results show that the DE is ∼3.8 % higher for UAD when compared with ACAD in the case of (40)K (1460 keV) and this relative difference increases to ∼7.0 % for (133)Ba (∼356 keV) photons. The corresponding correction factors for calibration with Indian phantom are provided. DEs are also simulated for activity distributed as a planar disc at the centre of the axial cavity in each part of the BOMAB phantom (PDAD) and the deviations of these DEs are within 1 % of the ACAD results. Thus, PDAD can also be used for ACAD in scanning geometry. An analytical solution for transmitted mono-energetic photons from a two-dimensional slab is provided for qualitative explanation of difference in DEs due to variation in activity distributions in the phantom. The effect on DEs due to different phantom part dimensions is also studied and lower DEs are observed for larger parts.

Monte Carlo simulation of embedded 241Am activity in injured palm.

This paper describes a methodology to estimate embedded activity of (241)Am and Pu isotopes in a wound at an unknown depth. Theoretical calibration of an array of high-purity germanium detectors is carried out using the Monte Carlo code 'FLUKA' for a (241)Am source embedded at different depths in a soft tissue phantom of dimension 10 × 10 × 4 cm(3) simulating the palm of a worker. It is observed that, in the case of contamination due to pure (241)Am, the ratio of counts in 59.5 and 17.8 keV (Ratio 1) should be used to evaluate the depth, whereas the ratio of counts in 59.5 and 26.3 keV (Ratio 2) should be used when the contamination is due to a mixture of Pu and (241)Am compounds. Variations in the calibration factors (CFs) as well as in the Ratio 1 and Ratio 2 values are insignificant when source dimensions are varied from a point source to a 15-mm diameter circle. It is observed that tissue-equivalent polymethyl methacrylate material can be used in the phantom to estimate the embedded activity, when the activity is located at a depth of <1 cm, as the corresponding CFs do not show much variation with respect to those estimated using the phantom containing soft tissue material. In all other cases, an appropriate soft tissue-equivalent material should be used in the phantom for the estimation of CFs and ratios. The CFs thus obtained will be helpful in an accurate estimation of the depth of the wound and the activity embedded therein in the palm of a radiation worker.

Estimation of specific absorbed fractions for selected organs due to photons emitted by activity deposited in the human respiratory tract using ICRP/ICRU male voxel phantom in FLUKA.

The ICRP/ICRU adult male reference voxel phantom incorporated in Monte Carlo code FLUKA is used for estimating specific absorbed fractions (SAFs) for photons due to the presence of internal radioactive contamination in the human respiratory tract (RT). The compartments of the RT, i.e. extrathoracic (ET1 and ET2) and thoracic (bronchi, bronchioles, alveolar interstitial) regions, lymph nodes of both regions and lungs are considered as the source organs. The nine organs having high tissue weighting factors such as colon, lungs, stomach wall, breast, testis, urinary bladder, oesophagus, liver and thyroid and the compartments of the RT are considered as target organs. Eleven photon energies in the range of 15 keV to 4 MeV are considered for each source organ and the computed SAF values are presented in the form of tables. For the target organs in the proximity of the source organ including the source organ itself, the SAF values are relatively higher and decrease with increase in energy. As the distance between source and target organ increases, SAF values increase with energy and reach maxima depending on the position of the target organ with respect to the source organ. The SAF values are relatively higher for the target organs with smaller masses. Large deviations are seen in computed SAF values from the existing MIRD phantom data for most of the organs. These estimated SAF values play an important role in the estimation of equivalent dose to various target organs of a worker due to intake by inhalation pathway.