The new NCRP Report No. 147 includes methodology to determine x-ray protective shielding for CT scanner rooms. This methodology assumes fixed values of the scatter fraction per centimeter (kappa) for the peripheral axis of the head and body CT phantoms. An investigation was performed to determine kappa for different makes and models of CT scanner and examine the consequences of the differences between these and the fixed NCRP values on a typical shielding calculation. kappa values were calculated using an equation for the scattered air kerma at 1 m from NCRP 147 (Kerma(scatter) = kappa x ScanLength x CTDI(100) x pitch(-1)) and using scattered air kerma data provided by the manufacturers and measured CTDI(100) (periphery) values. Typical barrier calculations, following NCRP 147 methodology, were performed for each CT scanner using the fixed kappa values and, separately, using the calculated scanner-specific values. Ten CT scanner models from three manufacturers were investigated. The calculated scanner-specific kappa values varied from the NCRP fixed values by as much as 82%. However, when these kappa values were used in typical barrier calculations, the final shielding requirements using the NCRP fixed values were 0.5 to 13% less than those using the scanner specific values. It is likely that such small underestimates in the shielding requirement due to using the NCRP fixed kappa values would be more than compensated by the conservative assumptions that are incorporated in a typical barrier calculation.
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http://dx.doi.org/10.1097/01.HP.0000263402.32520.18 | DOI Listing |
Ann Surg
January 2025
Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Objective: To assess performance of an algorithm for automated grading of surgery-related adverse events (AEs) according to Clavien-Dindo (C-D) classification.
Summary Background Data: Surgery-related AEs are common, lead to increased morbidity for patients, and raise healthcare costs. Resource-intensive manual chart review is still standard and to our knowledge algorithms using electronic health record (EHR) data to grade AEs according to C-D classification have not been explored.
Phytomedicine
January 2025
Department of Integrative Biotechnology, and Biomedical Institute for Convergence at SKKU, Sungkyunkwan University, Suwon 16419, Republic of Korea; Department of Biocosmetics, Sungkyunkwan University, Suwon 16419, Republic of Korea. Electronic address:
Background: Inflammation is the body's innate reaction to foreign pathogens and serves as a self-regulating mechanism. However, the immune system can mistakenly target the body's own tissues, triggering unnecessary inflammation. For millennia, medicinal plants have been employed for the treatment of diseases.
View Article and Find Full Text PDFBMC Vet Res
January 2025
College of Veterinary Medicine, Qingdao Agricultural University, Qingdao, 266109, China.
Background: Aleutian mink disease, mink viral enteritis and canine distemper are known as the three most serious diseases that cause great economic loss in the mink industry. In clinical practice, aleutian mink disease virus (AMDV), mink enteritis virus (MEV) and canine distemper virus (CDV) are common mixed infections, and they have similar clinical clinical signs, such as diarrhoea. Therefore, a rapid and accurate differential diagnosis method for use on mink ranches is essential for the control of these three pathogens.
View Article and Find Full Text PDFEur Spine J
January 2025
Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, USA.
Purpose: No studies have explored the reliability of the Rigo classification system using surface topography (ST), which would allow optimization without radiation exposure. This study aims to measure and compare the intra- and inter-observer reliability (Kappa values) and accuracy of the Rigo system between ST and X-ray for overall types and subtypes.
Methods: X-ray and ST images of 31 adolescent idiopathic scoliosis patients were selected.
Injury
December 2024
Hand and Upper Extremity Unit, Institute of Orthopedics 'Carlos E. Ottolenghi', Italian Hospital of Buenos Aires, Buenos Aires, Argentina. Electronic address:
Introduction: During revision surgery for the management of patients presenting with long-bone upper extremity nonunion, it is crucial to rule out fracture-related infection (FRI). This is especially true if there are clinical signs suggestive of FRI, or if there is a history of prior FRI, open wound fracture, or surgery. This study aimed to determine the efficacy of frozen section analysis (FSA) in providing real-time diagnosis of FRI in patients with upper-limb long-bone nonunion undergoing revision surgery.
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