A rare case of acute myocardial infarction with heart failure following hump-nosed viper bite in a Sri Lankan female.

Background: Hump-nosed viper (Hypnale species) bites are an important cause of mortality and morbidity in southern India and Sri Lanka, accounting for 27 and 77% of venomous snake bites, respectively. Previously, we knew them to be moderately venomous snakes, primarily causing local envenomation. However, recent reports have indicated severe systemic envenomation incidents, which include hemostatic dysfunction, microangiopathic hemolysis, kidney injury, myocardial toxicity, and even death.

Patient size as a parameter for determining Diagnostic Reference Levels for paediatric Computed Tomography (CT) procedures.

Introduction: The paediatric radiation dose has never been studied in Sri Lanka, nor has a national diagnostic reference level (NDRL) established. Therefore, the primary aim of this study was to propose diagnostic reference levels (DRL) and achievable dose (AD) values for paediatric CT examinations based on size.

Methods: A total of 658 paediatric (0-15 years) non-contrast-enhanced (NC) studies of head, chest and abdomen regions performed during six months in two dedicated paediatric hospitals (out of the three such institutions in the country) were included.

IMPACT OF COLLIMATION ON RADIATION EXPOSURE IN ADULT AND PAEDIATRIC DIGITAL X-RAY IMAGING.

This study aimed to evaluate the collimation practices and quantify the overexposure due to extensive X-ray field area. The study was carried out in four digital X-ray units (including one paediatric X-ray unit). A total of 749 X-ray projections (555 adult and 194 paediatric) were evaluated.

Size-specific dose estimates (SSDEs) for computed tomography and influencing factors on it: a systematic review.

The actual dose received during a computed tomography (CT) examination depends on both the patient size and the radiation output of the scanner. To represent the actual patient morphometry, a new radiation dose metric named size-specific dose estimates (SSDEs) was developed by the American Association of Physicists in Medicine in 2011. The purpose of this article is to review the SSDE concept and the factors influencing it.

Paediatric diagnostic reference levels in computed tomography: a systematic review.

This study aims to review the existing literature on diagnostic reference levels (DRLs) in paediatric computed tomography (CT) procedures and the methodologies for establishing them. A comprehensive literature search was done in the popular databases such as PubMed and Google Scholar under the key words 'p(a)ediatric DRL', 'dose reference level', 'diagnostic reference level' and 'DRL'. Twenty-three articles originating from 15 countries were included.