Protección de embarazadas en radiología oral / Protection of pregnant women in oral radiology

Las radiografías dentales son necesarias para diagnosticar y hacer seguimiento de múltiples enfermedades orales. Sin embargo, debido a los conocidos efectos estocásticos de los rayos X dentales es imprescindible garantizar protección a los pacientes. Especial atención merecen las mujeres embarazadas por cuanto el feto es altamente vulnerable a la radiación, sobre todo enlas primeras semanas. Algunas recomendaciones de protección radiológica en esta población son: El uso de radiografías ha sido justificado; realizar el estudio 10 días después del inicio de la menstruación; informar del procedimiento a la embarazada a fin de evitar el miedo; optimizar el procedimiento (haz colimado, alto kVp, control manual de disparo, calibración regular etc.) y usar delantal plomado solo si las condiciones de optimización son insuficientes

Dental x-rays are necessary to diagnose and monitor multiple oral diseases. However, due to the well-known stochastic effects of dental X-rays, it is essential to guarantee patient protection. Pregnant women deserve special attention because the fetus is highly vulnerable to radiation, especially in the first weeks. Some recommendations for radiological protection in this population are the use of radiographs has been justified; conduct the study 10 days after the onset of menstruation; inform the pregnant woman about the procedure to avoid fear; optimize the procedure (collimated beam, high kVp, manual trip control, regular calibration etc.) and use a lead apron only if the optimization conditions are insufficient.

Monitoring on the protecting effect of lead apron of accelerator staff against radiation / 中国医学装备

Objective: To monitor the protecting effect of lead apron of accelerator staff against radiation in treatment room (dose and damage of residual radiation). Methods: In the protection experiment about lead apron, thermoluminescence dosimeter (TLD) was applied to monitor the dose corresponding various point of inside and outside of lead apron. Under the same condition of radiation, the first test aimed at un-metal dressing (the work pants without metal zipper and metal button) and the second test aimed at jeans (those with one metal zipper and one metal button). At front of the apron, there were 3 points (Left, Middle and Right) of inside and outside were monitored, respectively. And at behind, the body without shelter from apron were tested at 3 points of wearing, and then the average effective dosage were calculated. Results: ①The averagely effective dosage of inside of lead apron was significantly higher than that of outside at the first test (t=0.0002, P<0.01). And the average effective dosage of inside of lead apron was still significantly higher than that of outside at the second test (t=0.0158, P<0.05).②The averagely effective dosage of various points behind body of second test was significantly higher than that of the first test (t=0.0005, P<0.01). ③The differences of averagely effective dosages of inside and outside of lead apron between the second test and the first test were no significantly (t=0.0991, t=0.0537, P>0.05), respectively. Conclusion: Only using lead apron can't achieve prospective protection effect and it even can increase the radiation dosage for accelerator staffs, especially for woman of childbearing age. Hospital should strictly implement relevant stipulations of ICRP, IBSS and CBSS and staff should not wear any accessory with metal material. Besides, the relevant method that can reduce radiation dosage and protect health should be written in operation instruction or guidelines.

Application of platysma myocutaneous flap with apron incision in the restoration of oral and maxillofacial defects / 实用口腔医学杂志

Objective:To introduce a new style of platysma myocutaneous flap and to evaluate its application value in the restoration of oral-maxiofacial defects.Methods:Platysma myocutaneous flap with apron incision was used for the restoration of oral-maxiofacial defects after oral lesion ablation in 15 cases from January,2014 to September,2015.The platysma muocutaneous flap was harvested with a U shaped apron incision.The skin above the flap pedicle was preserved.The platysma pedicle was widened to ensure the flap survival.All the patients were followed up form 4 to 33 months.Results:Of the 15 platysma myocutaneous flaps,12 survived completely and 3 had partial flap necrosis.The total survival rate of the flaps at the recipient site of buccal mucosa,tongue and alveolar was 8/9,1/3 and 3/3 respectively.Additionally,there were 2 cases of disturbed wound healing in the neck.Except for 1 case of carcinoma of gingiva which had apparent cervical scar and 1 case of tongue carcinoma which had limited tongue mobility,the other cases showed a satisfactory recovery of oral-maxillofacial contour and fucnction.Conclusion:Compared with the traditional platysma myocutaneous flap,the platysma myocutaneous flap with apron incision can provide a larger skin paddle,and is suitable for the restoration of small and medium sized buccal mucosa and alveloar defects,but not for tongue defect.

Distribution and reproductive biology of the Electric ray Discopyge tschudii Heckel, 1846 in San Matías Gulf, Northern Patagonia, Argentina

The Electric ray Discopyge tschudii is distributed in the Southwest Atlantic from southern Brazil to southern Argentina and in the Southeast Pacific from Peru to southern Chile. The main threat to this species is fishing. Discopyge tschudii is noncommercial and individuals caught are discarded on board. The present study analyzes the distribution and the morphological and reproductive characteristics of this ray in San Matías Gulf (SMG), Argentina. A total of 1087 individuals were analyzed. The species presented an aggregate distribution, with the main concentrations in the northern and eastern areas of SMG, at depths below 100 m. Males ranged from 9 to 43 cm and females from 11 to 38 cm. The species presented sexual dimorphism. Males were larger and heavier than females and also matured at larger sizes. Size at 50 percent of maturity was estimated at 30 cm for males and 21 cm for females. A total of 199 embryos were sampled and the proportion of sexes showed no significant differences from the expected 1:1. The number of embryos per female varied from 1 to 12. The most frequent values were 2 and 5. Length at birth was estimated at 82.17 ± 3.87 mm. Based on our findings, we hypothesize that the electric ray D. tschudii completes its reproductive cycle in SMG.

La raya eléctrica Discopyge tschudii se distribuye, en el Atlántico Sudoccidental, desde el sur de Brasil hasta el sur de Argentina y en el Pacifico Sudoriental desde Perú al sur de Chile. La principal amenaza para la especie es la pesca. Es una especie sin valor comercial y debido a esto los ejemplares capturados por las embarcaciones pesqueras son descartados a bordo. En el presente estudio se analizan la distribución espacial y las características morfológicas y reproductivas de la especie en el Golfo San Matías (GSM), Argentina. Un total de 1087 ejemplares fueron analizados. La especie presentó una distribución agregada, encontrándose las principales concentraciones en el sector norte y este del GSM a profundidades menores a los 100 m. Los machos midieron entre 9 y 43 cm de largo total y las hembras entre 11 y 38 cm. La especie exhibió dimorfismo sexual, siendo los machos más grandes, más pesados y presentando mayores tallas de madurez que las hembras. La talla de madurez a la cual el 50 por ciento de la población alcanzó la madurez sexual fue estimada en 30 cm en machos y 21 cm en hembras. Se analizaron 199 embriones. Las proporciones de sexos de los embriones no mostraron diferencias significativas de lo esperado 1:1. El número de embriones por hembra varió de 1 a 12, siendo los valores más frecuentes 2 y 5. La talla de nacimiento fue estimada en 82,17 ± 3,87 mm. De acuerdo a nuestros resultados se hipotetiza que D. tschudii completa su ciclo reproductivo en el golfo.

Development of Lead Free Shielding Material for Diagnostic Radiation Beams / 의학물리

The shielding materials designed for replacement of lead equivalent materials for lighter apron than that of lead in diagnostic photon beams. The absorption characteristics of elements were applied to investigate the lead free material for design the shielding materials through the 50 kVp to 110 kVp x-ray energy in interval of 20 kVp respectively. The idea focused to the effect of K-edge absorption of variable elements excluding the lead material for weight reduction. The designed shielding materials composited of Tin 34.1%, Antimon 33.8% and Iodine 26.8% and Polyisoprene 5.3% gram weight account for 84 percent of weight of lead equivalent of 0.5 mm thickness. The size of lead-free shielder was 200x200x1.5 mm3 and 3.2 g/cm3 of density which is equivalent to 0.42 mm of Pb. The lead equivalent of 0.5 mm thickness generally used for shielding apron of diagnostic X rays which is transmitted 0.1% for 50 kVp, 0.9% for 70 kVp and 3.2% for 90 kVp and 4.8% for 110 kVp in experimental measurements. The experiment of transmittance for lead-free shielder has showed 0.3% for 50 kVp, 0.6% for 70 kVp, 2.0% for 90 kVp and 4.2% for 110 kVp within 0.1%. respectively. Using the attenuation coefficient of experiments for 0.5 mm Pb equivalent of lead-free materials showed 0.1%. 0.3%, 1.0% and 2.4%, respectively. Furthermore, the transmittance of lead-free shielder for scatter rays has showed the 2.4% in operation energy of 50 kVp and 5.9% in energy of 110 kVp against 2.4% and 5.1% for standard lead thickness within 0.2% discrepancy, respectively. In this experiment shows the designed lead-free shielder is very effective for reduction the apron weight in diagnostic radiation fields.

Musculoskeletal Symptoms and Related Factors for Nurses and Radiological Technologists Wearing a Lead Apron for Radiation Protection / 대한산업의학회지

OBJECTIVES: To determine the complaint rates of musculoskeletal symptoms and understand the related factors of musculoskeletal symptoms in nurses and radiological technologists wearing a lead apron for radiation protection. METHOD: The study subjects were 192 nurses and radiological technologists who work at the cardiac catheterization room or angioroom in the department of radiology. A self-recording questionnaire was used to investigate the general characteristics, occupational characteristics, characteristics related to wearing a lead apron, and subjective musculoskeletal symptoms designed by the National Institute for Occupational Safety and Health (NIOSH). RESULTS: Complaint rates of musculoskeletal symptoms by NOISH were 51.0% in the upper /lower back, 49.0% in the shoulder, and 47.9% in the leg/knee/ankle. From multiple logistic regression analysis, musculoskeletal symptoms of the shoulder were influenced by two-piece type apron and long time wearing an apron, symptoms of upper/lower back by long time wearing an apron, sex, higher average working hours per a day and short resting time, symptoms of leg/knee/ankle by long time wearing an apron, working career at the present department (cardiac catheterization room or angioroom) and short resting time. CONCLUSION: The complaint rates of the musculoskeletal symptoms were affected by the characteristics of wearing a lead apron for radiation protection such as wearing time and apron type. Therefore, it is suggested that the workers who are wearing an apron need the proper wearingtime and resting time, and suitable apron type and size for the body.

Penile Resurfacing after Removal of Penile Foreign Body Granuloma

The loss of penile skin, either traumatic or iatrogenic, is sometimes difficult to treat. Especially, treatment of the penile foreign body granuloma is very difficult. Surgical treatment of penile skin defect are a skin graft, flap-to-graft conversion method, and various scrotal flap. But these have many problems such as wound disruption, skin necrosis, skin contracture, and hypertrophic scar. We present our technique for penile resurfacing using apronlike scrotal flap and groin flap. Apron-like scrotal flap has several advantages: one stage operation, short operation time, avoidance of dorsal scar and flap necrosis, maintenance of erectile capacity. Also we think that groin flap is a proper method for the patients who suffer from a large penile skin defect and whose scrotal skin is not available. We did the research in patients with the penile foreign body granuloma who were used the techniques of groin flap and apron like scrotal flap in the operation from March 2000 to February 2002. All the 15 cases showed excellent outcome. Especially, apron like scrotal flap was very beneficial in patients whose scrotal skin was available.

"Apron Method", Scrotal Flap in Totally Denuded Penis due to Paraffinoma / 대한비뇨기과학회지

The loss of penile skin, either traumatic or iatrogenic, is sometimes difficult to treat. The classical modes of surgical treatment are a thick split thickness graft and burial beneath the scrotal skin. Apron method, one stage penoplasty using the scrotal skin flap in the treatment of penile denudation, is reported herein.