Unveiling the nongenomic actions of thyroid hormones in adult mammalian brain: The legacy of Mary B. Dratman

A comprehensive review was conducted to compile the contributions of Mary B. Dratman and studies by other researchers in the field of nongenomic actions of thyroid hormones in adult mammalian brain. Dratman and her collaborators authored roughly half of the papers in this area. It has been almost fifty years since Dratman introduced the novel concept of thyroid hormones as neurotransmitters for the first time. The characterization of unique brain-region specific accumulation of thyroid hormones within the nerve terminals in adult mammals was a remarkable contribution by Dratman. It suggested a neurotransmitter- or neuromodulator-like role of thyroid hormone and/or its derivative, 3-iodothyronamine within adrenergic systems in adult mammalian brain. Several studies by other researchers using synaptosomes as a model system, have contributed to the concept of direct nongenomic actions of thyroid hormones at synaptic regions by establishing that thyroid hormones or their derivatives can bind to synaptosomal membranes, alter membrane functions including enzymatic activities and ion transport, elicit Ca2+/NO-dependent signaling pathways and induce substrate-protein phosphorylation. Such findings can help to explain the physiological and pathophysiological roles of thyroid hormone in psychobehavioral control in adult mammalian brain. However, the exact mode of nongenomic actions of thyroid hormones at nerve terminals in adult mammalian brain awaits further study.

Nongenomic roles of thyroid hormones and their derivatives in adult brain: are these compounds putative neurotransmitters?

We review the evidence regarding the nongenomic (or non-canonical) actions of thyroid hormones (thyronines) and their derivatives (including thyronamines and thyroacetic acids) in the adult brain. The paper seeks to evaluate these compounds for consideration as candidate neurotransmitters. Neurotransmitters are defined by their (a) presence in the neural tissue, (b) release from neural tissue or cell, (c) binding to high-affinity and saturable recognition sites, (d) triggering of a specific effector mechanism and (e) inactivation mechanism. Thyronines and thyronamines are concentrated in brain tissue and show distinctive patterns of distribution within the brain. Nerve terminals accumulate a large amount of thyroid hormones in mature brain, suggesting a synaptic function. However, surprisingly little is known about the potential release of thyroid hormones at synapses. There are specific binding sites for thyroid hormones in nerve-terminal fractions (synaptosomes). A notable cell-membrane binding site for thyroid hormones is integrin αvβ3. Furthermore, thyronines bind specifically to other defined neurotransmitter receptors, including GABAergic, catecholaminergic, glutamatergic, serotonergic and cholinergic systems. Here, the thyronines tend to bind to sites other than the primary sites and have allosteric effects. Thyronamines also bind to specific membrane receptors, including the trace amine associated receptors (TAARs), especially TAAR1. The thyronines and thyronamines activate specific effector mechanisms that are short in latency and often occur in subcellular fractions lacking nuclei, suggesting nongenomic actions. Some of the effector mechanisms for thyronines include effects on protein phosphorylation, Na+/K+ ATPase, and behavioral measures such as sleep regulation and measures of memory retention. Thyronamines promptly regulate body temperature. Lastly, there are numerous inactivation mechanisms for the hormones, including decarboxylation, deiodination, oxidative deamination, glucuronidation, sulfation and acetylation. Therefore, at the current state of the research field, thyroid hormones and their derivatives satisfy most, but not all, of the criteria for definition as neurotransmitters.

Self-perceived evidence-based practice competencies: a survey of faculty and students at a chiropractic institution

OBJECTIVE

To assess the self-perceived importance, skills, and utilization of evidence-based practice (EBP) among faculty and students at a chiropractic institution without a structured EBP program. The survey also evaluated EBP satisfaction among students and EBP implementation barriers/facilitators among the faculty.

METHODS

In this cross-sectional study, a set of organized questionnaires to assess the importance of EBP and self-perceived skills, utilization, barriers, and facilitators for faculty members, and student satisfaction was administered to the students and faculty of a chiropractic institution in February-March 2016. Descriptive statistics were used to evaluate responses.

RESULTS

A total of 417 (60.1%) students and 27 (60.0%) faculty members completed the survey. Faculty members' and students' EBP importance values were similar (8.4 and 8.3 out of 10, respectively), but faculty members self-reported their EBP skills (7.3/10) at a higher level than the student self-reported skill level (6.1/10). For utilization, students reported a higher utilization of EBP than that reported by the responding faculty members. Perceived student satisfaction on the quality and content of research-related experiences decreased from the first year to the third (final) year.

CONCLUSION

This study found variance in the self-perceived EBP skills, utilization, barriers, and facilitators and that these skills are lagging at our doctor of chiropractic program, which does not have a structured EBP program. Faculty members and students identified the importance for EBP. Similar observations have been found at other chiropractic institutions prior to their implementation of a systematic EBP program. Those developing an EBP curriculum might use these findings to better design, implement, and assess a structured program.

Low Cardiac Output Syndrome: Incidence after Mitral Valve Replacement with or without Preservation of Mitral Valve Apparatus

Standard mitral valve replacement in patients with chronic mitral valve regurgitation and mitral valve stenosis consistently results in a decrease in early postoperative left ventricular ejection performance. Some studies showed that preservation of mitral valve leaflet and subvalvular apparatus can reduce postoperative left ventricular dysfunction. On the basis of the concept, this randomized clinical trial comparing mitral valve replacement with preservation of mitral subvalvular apparatus and conventional mitral valve replacement performed in National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh, in the period of July 2010 to December 2011. We included 60 patients of mitral regurgitation and mitral stenosis, among them 30 patients underwent mitral valve replacement with preservation of mitral subvalvular apparatus (Group A) and 30 patients underwent conventional mitral valve replacement (Group B). There was no significant difference between two groups in terms of peri-operative variables. But there was significant higher incidence of Low cardiac output (LOS) syndrome [36.7% vs. 6.9% (p<0.05)] and congestive heart failure in Group B than Group A. The duration of ICU stay was also significantly higher in conventional mitral valve replacement group [113.23±11.30 hours vs. 96.23±20.02 (p=0.001)]. Additionally, there was significantly less fall of left ventricular ejection fraction in preservation of mitral subvalvular apparatus group [preop 65.27±5.45, at discharge 54.31±3.78, after 3 months 58.28±5.20 (p<0.0001)] than conventional group [preop 66.43±4.58, at discharge 46.43±3.87, after 3 months 46.55±3.63 (p<0.0001)]. In this study left ventricular ejection fraction was used as measure of left ventricular function. We postulate that, this relative preservation of left ventricular ejection fraction was likely the result of preservation of mitral subvalvular apparatus.

Photo-peak area ratios for estimation of elemental concentration in aqueous solutions using prompt gamma measurements

The use of photo-peak area ratios are investigated for quantitative estimation of elements, particularly chlorine, in aqueous solutions using neutron induced prompt gamma measurements. A ratio of prompt gamma intensities avoids the need for estimating the incident total neutron fluence and is demonstrated for chlorine concentration estimation in NaCl solutions. Monte Carlo simulation results validated with experimental measurements support the present analysis. Use of several prompt gamma intensities instead of a single one improves the accuracy of the estimated results.

Primary Sclerosing Cholangitis in a Young Female

Primary sclerosing cholangitis (PSC) is a liver disease characterized by inflammation and fibrosis of both intrahepatic and extrahepatic bile ducts resulting in cholestasis. Due to nonspecific symptoms it is difficult to diagnose until complication arises. It is common in male and usually associated with other autoimmune diseases. Here, we report a case of PSC in a young female which was initially thought to be drug induced cholestasis without presence of any other autoimmunity.

Multilevel programming in Cu/NiO y /NiO x /Pt unipolar resistive switching devices

The application of a NiO y /NiO x bilayer in resistive switching (RS) devices with x > y was studied for its ability to achieve reliable multilevel cell (MLC) characteristics. A sharp change in resistance brought about by sweeping the voltage, along with an improved on/off ratio (>10(3)) and endurance (10(4)) were achieved in the bilayer structure as compared to the single NiO x layer devices. Moreover, it was found that nonvolatile and stable resistance levels, especially the multiple low-resistance states of Cu/NiO y /NiO x /Pt memory devices, could be controlled by varying the compliance current. All the multilevel resistance states of the Cu/NiO y /NiO x /Pt bilayer devices were stable for up to 500 consecutive dc switching cycles, as compared to the Cu/NiO x /Pt single layer devices. The temperature-dependent variation of the high and low resistance states of both the bilayer and single layer devices was further investigated to elucidate the charge conduction mechanism. Finally, based on a detailed analysis of the experimental results, comparisons of the possible models for RS in bilayer and single layer memory devices have also been discussed.

Neutron emission and dose distribution from natural carbon irradiated with a 12 MeV amu-1 12C5+ ion beam

Measured neutron energy distribution emitted from a thick stopping target of natural carbon at 0°, 30°, 60° and 90° from nuclear reactions caused by 12 MeV amu^-1 incident ¹²C⁵⁺ ions were converted to energy differential and total neutron absorbed dose as well as ambient dose equivalent H ^*(10) using the fluence-to-dose conversion coefficients provided by the ICRP. Theoretical estimates were obtained using the Monte Carlo nuclear reaction model code PACE and a few existing empirical formulations for comparison. Results from the PACE code showed an underestimation of the high-energy part of energy differential dose distributions at forward angles whereas the empirical formulation by Clapier and Zaidins (1983 Nucl. Instrum. Methods 217 489-94) approximated the energy integrated angular distribution of H ^*(10) satisfactorily. Using the measured data, the neutron doses received by some vital human organs were estimated for anterior-posterior exposure. The estimated energy-averaged quality factors were found to vary for different organs from about 7 to about 13. Emitted neutrons having energies above 20 MeV were found to contribute about 20% of the total dose at 0° while at 90° the contribution was reduced to about 2%.

Optimization of soybean processing into kinema, a Bacillus-fermented alkaline food, with respect to a minimum level of antinutrients

AIMS

Optimization of traditional processing of soybeans using response surface methodology (RSM) to achieve a minimum level of antinutritional factors (ANFs) in kinema.

METHODS AND RESULTS

Central composite rotatable designs were used to optimize the processing stages of kinema preparation. In each stage, the linear or quadratic effects of independent variables were significant in minimizing ANF levels. The predicted optimum condition for soaking was when the raw beans-water ratio was 1 : 10, and the soaking temperature, time and pH were 10°C, 20 h and 8·0 respectively. Here, tannins content (TC), phytic acid content (PAC) and trypsin inhibitor activity (TIA) decreased (P < 0·05). While haemagglutinating activity (HA) level remained unchanged (P < 0·05), total biogenic amines content (TBAC) increased. The optimum condition for cooking was optimally soaked beans-water ratio of 1 : 5, and cooking pressure and time were 1·10 kg cm(-2) and 20 min respectively. Here, TC, PAC, TIA and HA decreased (P < 0·05), but TBAC remained unchanged compared to optimally soaked beans. TC and HA went below the level of detection. The optimum condition for fermentation was obtained when inoculum load was 10(3) total cells g(-1) grits, and fermentation temperature and time were 37°C and 48 h respectively. Fermentation of optimally cooked beans caused a reduction (P < 0·05) of PAC. While TIA remained unchanged (P < 0·05), TBAC increased. In kinema, TC, PAC, TIA and HA decreased (P < 0·05) over raw beans by 100, 61, 71 and 100% respectively. Good agreement was observed between predicted values and experimental values.

CONCLUSIONS

The processing treatments significantly minimized the level of ANFs in soybeans.

SIGNIFICANCE AND IMPACT OF THE STUDY

RSM was successfully deployed to obtain the optimum condition for kinema-making with a minimum level of ANFs without impairing sensory attributes of the product. The results are useful for commercial production of kinema.

Selection of neutron-absorbing materials to improve the low-energy response of a Zr-based extended neutron monitor using Monte Carlo simulations

Monte Carlo simulations have been carried out using the FLUKA code to improve the neutron ambient dose equivalent [H*(10)] response of the ZReC (zirconium-lined portable neutron counter responding satisfactorily to neutrons up to 1 GeV) by introducing various neutron absorbers in the system such as cadmium, gadolinium, natural boron, enriched (10)B and borated polythene. It was found that ZReC can be effectively used as a portable neutron monitor by introducing any one of the following perforated layers: 5 mm thick natural boron, 0.5 mm thick enriched (10)B or 1 cm high-density polythene mixed with 50 % boron by weight. The integral response of the instrument was also calculated for some typical reference neutron fields. The relative ambient dose equivalent response of the said system is also found comparable with that of the existing LINUS neutron monitor.

Use of Bacillus subtilis isolates from Tua-nao towards nutritional improvement of soya bean hull for monogastric feed application

Soya bean hull (SBH) is a cheap and high-fibre content feed ingredient that obtained after soya bean oil extraction. Microbial fermentation was expected to improve SBH qualities before applying to animals, especially monogastric animals. Two bacterial strains, Bacillus subtilis MR10 and TK8 that were isolated from Tua-nao, a traditional fermented soya bean in northern Thailand, were used for fermented soya bean hull (FSBH) production. Both could easily grow at 37°C in SBH as the sole substrate. MR10 produced the highest β-mannanase activity (400 U g(-1) SBH) on day 2, while TK8 produced the highest cellulase activity (14·5 U g(-1) SBH) on day 3. After fermentation, the nutritional quality of SBH was obviously improved by an increase in soluble sugars, soluble proteins, crude protein and crude lipid, and a decrease in the content of raffinose family oligosaccharides. Scavenging activity (%) of SBH against ABTS radical cation was also increased from 14 to 27 and 20% by MR10 and TK8 fermentation, respectively. According to the GRAS property of these both strains and various improvements of nutritional values, the fermented SBH proved to be a potential feed ingredient, especially for the monogastric animals.

SIGNIFICANCE AND IMPACT OF THE STUDY

Normally, soya bean hull has been recognized as only a worthless by-product from soya bean oil production process because of its low utilizable nutrients. Our study introduced an alternative way to utilize this worthless residue using biotechnological knowledge. The nutritional quality of soya bean hull was improved by microbial fermentation. Fermented soya bean hull can be used as a cheap, safe and high-nutrient feed ingredient for livestock production, especially monogastric animals, to promote their growth performances, instead of using antibiotics in some regions of the world.

Bacillus fermentation of soybeans

Kinema fermentations of Indian and Canadian No. 1 soybeans by Bacillus sp. DK-W1 and by mixed cultures of Bacillus sp. DK-W1 and Enterococcus faecium DK-C1 were essentially identical. The viable cell count of Bacillus increased from an initial 10(5) to 10(10) c.f.u./g wet wt after 48 h incubation at 37°C. The pH of the fermentation dropped from an initial 6.9 to about 6.4 after 8 h and then rose to 8.6 after 32 h, with a coincident increase in proteolytic activity and ammonia concentration. The fermentations containing E. faecium and Bacillus exhibited a greater initial pH decline and a slightly retarded subseqent increase in pH compared with fermentations with Bacillus only. The presence of E. faecium had no detectable effects on growth of the Bacillus, proteolytic activity, ammonia production or the final pH of the fermentations.

Estimation of (41)Ar production in 0.1-1.1.0-GeV proton accelerator vaults using FLUKA Monte Carlo code

The FLUKA Monte Carlo simulations are carried out to estimate the (41)Ar concentration inside accelerator vaults of various sizes when proton beams of energy 0.1-1.0 GeV are incident on thick copper and lead targets. Generally (41)Ar concentration is estimated using an empirical formula suggested in the NCRP 144, which assumes the activation is caused only by thermal neutrons alone. It is found that while the analytical and Monte Carlo techniques give similar results for the thermal neutron fluence inside the vault, the (41)Ar concentration is under-predicted by the empirical formula. It is also found that the thermal neutrons contribute ∼41 % to the total (41)Ar production while 56 % production is caused by neutrons between 0.025 and 1 eV. A modified factor is suggested for the use in the empirical expression to estimate the (41)Ar activity 0.1-1.0-GeV proton accelerator enclosures.

Study of the transfer of 137Cs from fodder to cow milk in the region around Narora Atomic Power Station NPP Site, India

Site-specific transfer coefficient from feed to cow's milk, for (137)Cs in the villages around Narora, a nuclear power station site in India, determined over a period of 17 y, is presented in this paper. In the transport model for the prediction of the concentration of (137)Cs in milk, the transfer coefficient from feed to milk, Fm, is an important parameter. The transfer coefficient value is determined from (137)Cs concentration in milk and grass samples of the Narora region, and the result ranged from 4.28E-03 to 3.30E-02 d l(-1) with a geometric mean value of 1.15E-03 d l(-1). The highest and the lowest values were only below one order of magnitude different from the mean, regardless of the type of diet, milk yield and age of the cow. The result is compared with that for (40)K, determined concurrently at the same region and ranged from 6.92E-03 to 8.01E-03 d l(-1) with a geometric mean value of 7.45E-03 d l(-1). This parameter is quite useful in decision-making for implementing countermeasures during a large-area contamination with (137)Cs in tropical areas like Narora. The ingestion dose from fallout (137)Cs through milk intake for adult and child is also estimated.

Analysis of hydrological trend for radioactivity content in bore-hole water samples using wavelet based denoising

A wavelet transform based denoising methodology has been applied to detect the presence of any discernable trend in (137)Cs and (90)Sr activity levels in bore-hole water samples collected four times a year over a period of eight years, from 2002 to 2009, in the vicinity of typical nuclear facilities inside the restricted access zones. The conventional non-parametric methods viz., Mann-Kendall and Spearman rho, along with linear regression when applied for detecting the linear trend in the time series data do not yield results conclusive for trend detection with a confidence of 95% for most of the samples. The stationary wavelet based hard thresholding data pruning method with Haar as the analyzing wavelet was applied to remove the noise present in the same data. Results indicate that confidence interval of the established trend has significantly improved after pre-processing to more than 98% compared to the conventional non-parametric methods when applied to direct measurements.

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.

Spectral information enhancement using wavelet-based iterative filtering for in vivo gamma spectrometry

Use of wavelet transformation in stationary signal processing has been demonstrated for denoising the measured spectra and characterisation of radionuclides in the in vivo monitoring analysis, where difficulties arise due to very low activity level to be estimated in biological systems. The large statistical fluctuations often make the identification of characteristic gammas from radionuclides highly uncertain, particularly when interferences from progenies are also present. A new wavelet-based noise filtering methodology has been developed for better detection of gamma peaks in noisy data. This sequential, iterative filtering method uses the wavelet multi-resolution approach for noise rejection and an inverse transform after soft 'thresholding' over the generated coefficients. Analyses of in vivo monitoring data of (235)U and (238)U were carried out using this method without disturbing the peak position and amplitude while achieving a 3-fold improvement in the signal-to-noise ratio, compared with the original measured spectrum. When compared with other data-filtering techniques, the wavelet-based method shows the best results.

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.

Evaluation of internal dose to members of the public at the Kaiga site, India, due to the ingestion of primordial radionuclide 40K

Four 220 MWe pressurised heavy water reactors are under operation at Kaiga in the state of Karnataka in India. Environmental radiological survey of the surrounding areas of the Kaiga site is carried out by Bhabha Atomic Research Centre, Mumbai. The estimated dose to the members of the public due to ingestion of radioactive isotope of potassium, a natural radionuclide, in the surroundings of the Kaiga site is 136 μSv (13.6 mrem) per year. The value indicates that the dose to the public due to operation of the nuclear reactors in Kaiga is insignificant in comparison with the dose due to unavoidable natural radioactivity.

Effect of shodhana treatment on chronic toxicity and recovery of aconite

Aconite is one of the poisonous plants used therapeutically in practice of Ayurveda after proper treatment called as ‘Shodhana’. To determine the effect of Shodhana treatment on chronic toxicity and to assess the effect of recovery period after chronic toxicity of aconite. Raw aconite (RV), urine treated aconite (SM), and milk treated aconite (SD) were administered in 6.25 mg/kg dose in Charles Foster strain albino rats for 90 days for chronic toxicity. Six rats from each were kept for another 30 days without test drugs treatment to observe recovery from chronic toxicity. RV was found to be highly toxic in chronic exposure, SM had no apparent toxicity, but SD had mild toxicity in kidney. The toxicities of RV and SD were reversible, but sudden withdrawal of SM caused adverse effects, suggestive of tapering withdrawal. Shodhana treatments remove toxic effects from raw aconite. Chronic toxicity of aconite is reversible. Confirmed the arrangement of abstract

Detection of low level gaseous releases and dose evaluation from continuous gamma dose measurements using a wavelet transformation technique

Measurement of environmental dose in the vicinity of a nuclear power plant site (Tarapur, India) is carried out continuously for the years 2007-2010 and attempts have been made to quantify the additional contributions from nuclear power plants over natural background by segregating the background fluctuations from the events due to plume passage using a non-decimated wavelet approach. A conservative estimate obtained using wavelet based analysis has shown a maximum annual dose of 38 μSv in a year at 1.6 km and 4.8 μSv at 10 km from the installation. The detected events within a year are in good agreement with the month wise wind-rose profile indicating reliability of the algorithm for proper detection of an event from the continuous dose rate measurements. The results were validated with the dispersion model dose predictions using the source term from routine monitoring data and meteorological parameters.

Transfer coefficient of 137Cs from feed to cow milk in tropical region Kaiga, India

In the transport model for the prediction of the concentration of (137)Cs in milk, the transfer coefficient from feed to milk, F(m), is an important parameter. Site-specific transfer coefficient from feed to cow's milk, for (137)Cs in the Kaiga environment, a nuclear power station site in India, determined over a period of 10 y is presented in this paper. The value is determined from (137)Cs concentration in milk and grass samples of the Kaiga region and the result ranged from 6.43E-03 to 1.09E-02 d l(-1) with a geometric mean value of 8.0E-03 d l(-1). The result is compared with that for (40)K, determined concurrently at the same region and ranged from 3.06E-03 to 3.48E-03 d l(-1) with a geometric mean value of 3.26E-03 d l(-1). This parameter is quite useful in decision-making for implementing countermeasures during a large area contamination with (137)Cs in tropical areas like Kaiga.

Fracture-dislocation of humeral head with intrathoracic displacement

Intrathoracic displacement of fractured head of the humerus is a very rare injury. We describe a case of such injury in a 48-old-year lady who presented after a simple fall. She required chest drainage and a thoracotomy to remove the head of the humerus. She subsequently had shoulder hemiarthroplasty with a good outcome.

Environmental transportation of tritium and estimation of site-specific model parameters for Kaiga site, India

Tritium content in air moisture, soil water, rain water and plant water samples collected around the Kaiga site, India was estimated and the scavenging ratio, wet deposition velocity and ratio of specific activities of tritium between soil water and air moisture were calculated and the results are interpreted. Scavenging ratio was found to vary from 0.06 to 1.04 with a mean of 0.46. The wet deposition velocity of tritium observed in the present study was in the range of 3.3E-03 to 1.1E-02 m s(-1) with a mean of 6.6E-03 m s(-1). The ratio of specific activity of tritium in soil moisture to that in air moisture ranged from 0.17 to 0.95 with a mean of 0.49. The specific activity of tritium in plant water in this study varied from 73 to 310 Bq l(-1). The present study is very useful for understanding the process and modelling of transfer of tritium through air/soil/plant system at the Kaiga site.

Studies on the rain scavenging process of tritium in a tropical site in India

This study presents the results of one of the first systematic experiments on tritium ((3)H) concentrations in ground level air against that in rainwater near a pressurized heavy water reactor in a tropical region. The samples were collected over the rainy season of three years (2007, 2008 and 2010). For this study, 31 data sets were collected and interpreted based on the theoretical information available in the literature. The specific activity ratio of (3)H between rainwater and air moisture at ground level was calculated for each data set. The average specific activity ratio was found to be 1.96 ± 2.72. A correlation (r = 0.82, p < 0.001) was observed between the total rain hours in a day and the rainwater (3)H activity. Higher rain duration with slower rain rate yielded higher (3)H concentrations as more time was available for the scavenging/wash out process to take effect together with lower dilution. The present data also suggested the need to further investigate the influence of raindrop distribution and other local meteorological parameters on the (3)H wash out process. An attempt was also made to predict the (3)H concentration in air moisture samples using a Gaussian plume dispersion model and the values were compared with the measured (3)H activity. The measured values were generally lower than the predictions.

Soil to leaf transfer factor for the radionuclides ²²⁶Ra, ⁴⁰K, ¹³⁷Cs and ⁹⁰Sr at Kaiga region, India

Transfer factors are the most important parameters required for mathematical modeling used for environmental impact assessment of radioactive contamination in the environment. In this paper soil to leaf transfer factor for the radionuclides ⁴⁰K, ²²⁶Ra, ¹³⁷Cs and ⁹⁰Sr is estimated for Kaiga region in Karnataka state, India. Among the plants in which study is carried out, ²²⁶Ra, ⁴⁰K, ¹³⁷Cs and ⁹⁰Sr activity in leaves of herbaceous plants is higher than that of tree leaves. Soil to leaf transfer factor for ²²⁶Ra, ⁴⁰K, ¹³⁷Cs and ⁹⁰Sr was found to be in the range of 0.03-0.65, 0.32-8.04, 0.05-3.03 and 0.42-2.67 respectively.

Selected organ dose conversion coefficients for external photons calculated using ICRP adult voxel phantoms and Monte Carlo code FLUKA

The adult reference male and female computational voxel phantoms recommended by ICRP are adapted into the Monte Carlo transport code FLUKA. The FLUKA code is then utilised for computation of dose conversion coefficients (DCCs) expressed in absorbed dose per air kerma free-in-air for colon, lungs, stomach wall, breast, gonads, urinary bladder, oesophagus, liver and thyroid due to a broad parallel beam of mono-energetic photons impinging in anterior-posterior and posterior-anterior directions in the energy range of 15 keV-10 MeV. The computed DCCs of colon, lungs, stomach wall and breast are found to be in good agreement with the results published in ICRP publication 110. The present work thus validates the use of FLUKA code in computation of organ DCCs for photons using ICRP adult voxel phantoms. Further, the DCCs for gonads, urinary bladder, oesophagus, liver and thyroid are evaluated and compared with results published in ICRP 74 in the above-mentioned energy range and geometries. Significant differences in DCCs are observed for breast, testis and thyroid above 1 MeV, and for most of the organs at energies below 60 keV in comparison with the results published in ICRP 74. The DCCs of female voxel phantom were found to be higher in comparison with male phantom for almost all organs in both the geometries.

Atrial myxomas: a single unit's experience in the modern era

BACKGROUND

Although an atrial myxoma is the commonest cardiac tumor, it is still relatively rare, with an annual incidence of approximately 0.5 per million. In our unit, which performs 1000 major cardiac procedures per year, this equates to approximately 3 patients annually. We therefore sought to evaluate our experience of managing this type of tumor over the last 5 years.

METHODS

A retrospective review was performed of prospectively collected data from the departmental database. We analyzed consecutive patients who were operated upon between 2002 and 2007. Three patients with a papillary fibroelastoma on histological examination were excluded from this study.

RESULTS

We have performed excision of atrial myxoma in 18 patients. Twelve patients (66%) were female; the median age was 64 years (range, 35-80 years), and the median logistic euroSCORE was 5.22% (range, 1.51-27.82%). Fifteen patients (83%) were deemed urgent, 2 elective, and 1 emergency. Sixteen tumors (89%) were left sided. Symptoms attributable to the tumor were found in 16 of the 18 patients (embolic, n = 9; chest pain, n = 3; palpitations, n = 2; incidental finding, n = 2, others n = 4), and the mean time from diagnosis to operation was 3 days (range, 0-22 months). The median cardiopulmonary bypass time was 87 minutes (range, 28-228 minutes), with the median aortic cross clamp time being 61 minutes (16-175 minutes).The approaches used were transeptal via right atriotomy (n = 8), biatrial/Dubost (n = 4), left atrial (n = 4), and right atrial (n = 2); the interatrial septum was involved in 14 patients. The resultant defect was closed using a pericardial (n = 8) or prosthetic patch (n = 5) or directly sutured (n = 5). Concomitant procedures were performed in 8 patients (coronary artery bypass graft [CABG], n = 4; mitral valve replacement [MVR], n = 2; valve + grafts, n = 2). All tumors were completely excised.Postoperatively there were no deaths within 30 days of the procedure. Indeed, only 2 patients have died at 4 and 25 months postoperatively, respectively, both of unrelated causes. Median intensive therapy unit (ITU) stay was 2 days (range, 1-9 days), and median hospital stay was 10 days (range, 5-20 days). A permanent pacemaker was required in only 1 patient, and median blood loss was 340 mL (range, 140-1760 mL). Atrial fibrillation was the commonest complication affecting 6/18 patients (33%).

CONCLUSIONS

Excision of atrial myxoma can be performed using a variety of intraoperative approaches and closure techniques, all with acceptable postoperative morbidity and low mortality rates. To date, no recurrences have been found at median 2-year follow-up.

Comprehensive preassessment form for adult cardiac surgery

Comprehensive evaluation of our patients before putting them under "the knife" can never be overemphasized. It is our duty to care for the patients. Detailed history-taking, clinical examination, and investigations are mandatory prior to surgery. For many years, we have striven to make our method thorough and safe for all patients. We propose here a simple, comprehensive preassessment form that is easily applicable in any unit.

Non-genomic effect of L-triiodothyronine on calmodulin-dependent synaptosomal protein phosphorylation in adult rat cerebral cortex

The present study was undertaken to examine calmodulin-dependent effect of thyroid hormones (THs) on synaptosomal protein phosphorylation in mature rat brain. Effect of L-triiodothyronine (L-T3) on in vitro protein phosphorylation was measured in a hypotonic lysate of synaptosomes prepared from adult male rat cerebral cortex, incubated in presence and absence of calcium ion (Ca2+) and calmodulin. L-T3 significantly enhanced incorporation of 32P into synaptosomal proteins as compared to basal level of phosphorylation in the presence of Ca2+ and calmodulin. Under these conditions, increase in protein phosphorylation was 47, 74 and 52% for 10 nM, 100 nM and 1 microM L-T3, respectively. Chelation of Ca2+ using ethylene glycol-bis (2-aminoethylether)-N, N, N', N'-tetraacetic acid (EGTA) inhibited the effects of Ca2+/calmodulin on TH-stimulated protein phosphorylation levels. This study suggests that a high proportion of L-T3-stimulated protein phosphorylation involves Ca2+/calmodulin-dependent pathways in adult rat cerebrocortical synaptosomes.

Directional distribution of the ambient neutron dose equivalent from 145-MeV ¹⁹F projectiles incident on thick Al target

The directional distribution of the ambient neutron dose equivalent from 145-MeV (19)F projectiles bombarding a thick aluminium target is measured and analysed. The measurements are carried out with a commercially available dose equivalent meter at 0°, 30°, 60° and 90° with respect to the beam direction. The experimental results are compared with calculated doses from EMPIRE nuclear reaction code and different empirical formulations proposed by others. The results are also compared with the measured data obtained from an earlier experiment at a lower projectile energy of 110 MeV for the same target-projectile combination.

Estimation of site-specific deposition velocities and mass interception factor using 7Be and the prediction of deposition pattern of radionuclides at Kaiga site, India

Site-specific wet, dry deposition velocities and mass interception factors at Kaiga site, where three PHWR type power plants are operational, using 7Be as a tracer are presented. Mean wet and dry deposition velocities for Kaiga site were found to be 7.4 x 10(-2) m s(-1) and 3.0 x 10(-4) m s(-1), respectively. Mass interception factors for vegetation were found to be 0.7-5.6 m(2) kg(-1) dry weight with a mean of 2.4 m(2) kg(-1) dry weight. The site-specific data were used for the prediction of radionuclide distribution pattern in soil and vegetation in the case of a hypothetical air contamination.

Degradation dynamics of chlorfenapyr residue in chili, cabbage and soil

Chlorfenapyr is a pyrrole group of insecticide, [4-bromo-2-(4-chlorophenyl)-1-ethoxymethyl-5-trifluoromethyl-1H-pyrrole-3-carbonitrile]used as broad spectrum insecticide/acaricide to control whitefly, thrips, caterpillars, mites, leafminers, aphids, etc., chlorfenapyr 10% SC formulation was applied on chili and cabbage twice @ 75 and 100 g a.i./ha along with untreated control. Chlorfenapyr was dissipated in chili, cabbage and soil following the first-order kinetics (logC/C(0) = -kt). The half lives of chlorfenapyr in chili, cabbage and soil were varying from 2.93 to 2.96 days, 2.98 to 3.62 days and 4.06 to 4.36 days respectively, according to the application rate.

'Scoop and run' strategy for a resuscitative sternotomy following unstable penetrating chest injury

The optimal management strategy of an unstable penetrating thoracic trauma remains a debate. It is unclear whether a 'stay and treat' or 'scoop and run' to the nearest operating theatre with cardiothoracic expertise is the best strategy. We describe a successful outcome of a young patient with injuries to the left internal mammary artery, upper lobe and main pulmonary artery following a stab injury to his left chest. He was transferred to the nearest cardiac centre for emergency sternotomy. Thoracotomy is the classical surgical approach in emergency setting but sternotomy allows adequate exposure to repair any cardiac injury, institution of cardiopulmonary bypass, and careful inspection of the mediastinal structures to prevent any late complications including pulmonary artery pseudoaneurysm. An immediate transfer, where possible, to the nearest trauma centre with cardiothoracic expertise for 'resuscitative' sternotomy is advocated in penetrating thoracic injury for optimal outcome. An emergency room thoracotomy should be reserved to those in the extremis.

Toxicity and recovery studies of two ayurvedic preparations of iron

Lauha Bhasma and Mandura Bhasma in 55 mg/kg dose (5 times the therapeutic effective dose) for 60 days exhibited no serious toxic effects in Charles Foster albino rats. Both the drugs showed significant recovery from chronic toxic effect after 45 days of recovery period.

Direction distribution of ambient neutron dose equivalent from 20 MeV protons incident on thick Be and Cu targets

Ambient neutron dose equivalent from 20 MeV protons incident on thick Be and Cu targets are measured at 0 degrees, 30 degrees, 60 degrees and 90 degrees with respect to the beam direction using a conventional dose equivalent meter. The neutron spectra calculated using nuclear reaction model codes ALICE, PRECO and earlier reported empirical expressions are converted to the ambient dose equivalent using the ICRP fluence-to-dose conversion coefficients and are compared with the measured values. The experimental energy spectra reported in the literature for 19.08 MeV protons incident on a thick Be target are also converted to ambient neutron dose equivalent and are compared with the present experimental results. It is observed that the values estimated from the neutron spectra obtained from the nuclear reaction codes are unable to predict the measured values. The results obtained from the reported experimental energy spectra compare well with the results obtained here. An empirical relation that was used to calculate the directional dependence of the measured neutron dose equivalent from heavy ion-induced reactions is used in this study to check its effectiveness for proton-induced reactions.

Posterior reversible encephalopathy syndrome (PRES) in pregnancy: a diagnostic challenge to obstetricians

Post-partum clinical presentation with seizures and focal neurological deficit has a wide differential diagnosis. Two cases of the rare condition Posterior Reversible Encephalopathy Syndrome (PRES) associated with pregnancy are presented with complete recovery following multidisciplinary care. One of the cases was associated with Factor VII deficiency in pregnancy and the other with twin gestation and psoas abcess.

A prospective study of the correlation between genital pathogens and morbidity following diathermy loop excision of the transformation zone

A prospective study of 48 women was carried out to estimate the incidence of common genital pathogens in women referred to colposcopy clinic requiring diathermy loop excision and to compare patient morbidity in the subgroups with and without genital pathogens. Of the 43 women included in the analysis, genital pathogens were present in 24 cases (56%) and absent in 19 (44%) of the 24 positive cases, 19 (79%) women had pathogen(s) on the cervical swab, 24 (100%) had pathogen(s) on the high vaginal swab and 15 (63%) had both a positive cervical and high vaginal swab (HVS). The most frequently isolated groups of organisms were mixed anaerobes, alone (four HVS and four cervical) or in combination with Gardnerella vaginalis (four HVS and three cervical) or coliforms (two HVS and two cervical). The mean duration of bleeding and vaginal discharge in the two study groups was not statistically significant (t value 1.97, P 0.05; and t value 0.48, P 0.5, respectively). However, the mean duration of bleeding graded by the patient as being moderate to severe was significantly different in the two groups (t value 3.18 P 0.01). Fifty-six per cent of the women in the study had confirmed genital pathogens, predominantly anaerobes, and the prolonged moderate-to-severe bleeding in this group suggests a potential role for prophylactic bacteriocides, although the study size was unable to implicate a single pathogen.

The risk of fatal re-expansion pulmonary oedema in poor left ventricular reserve

Re-expansion pulmonary oedema (REPO) is an uncommon complication which may be encountered following drainage of pneumothorax, pleural effusion or haemopneumothorax. Treatment is usually supportive and some patients may require positive pressure ventilation. We provide a novel description of the mechanism of a fatal REPO in a patient with a small and non-compliant left ventricle (LV). We urge for an extreme caution when performing thoracocentesis in patients with poor LV reserve.