Inhalation dose due to residential radon and thoron exposure in rural areas: a case study at Erravalli and Narasannapet model villages of Telangana state, India.

Exposure to indoor radon has been identified as a cause of lung cancer. The corresponding inhalation radiation dose received is an important parameter in estimating the risk of cancer due to the inhalation of radon. The present investigation is aimed at the estimation of the radiation dose due to radon, its isotopes, and progeny to the public residing in dwellings constructed in model villages of Telangana state, India. The indoor activity concentrations of radon and thoron were measured using pin-hole dosimeters. The measured activities along with appropriate dose conversion and occupancy factors were used in the estimation of the dose received by the dwellers. The doses estimated were compared with those to inhabitants of control dwellings. The estimated doses received by the public due to radon were found to be 1.54 ± 0.60 mSv and 1.51 ± 1.20 mSv, in the investigated model houses and in the control dwellings, respectively. Correspondingly, radiation doses due to thoron were found to be 1.08 ± 0.81 mSv and 1.44 ± 1.04 mSv, respectively. It is concluded that the model dwellings pose no extra radiation burden to the public.

Impact of Updated 2016 ASE/EACVI VIS-À-VIS 2009 ASE Recommendation on the Prevalence of Diastolic Dysfunction and LV Filling Pressures in Patients with Preserved Ejection Fraction.

BACKGROUND: Assessment of diastolic dysfunction (DD) and left ventricular filling pressures (LVFP) by echocardiography is complex in patients with preserved ejection fraction (EF). The American Society of Echocardiography and the European Association of Cardiovascular Imaging (ASE/EACVI) jointly published recommendations in 2016 to simplify the diagnosis and classification of DD and the assessment of LVFP. We aimed to study the impact of the updated 2016 ASE/EACVI guidelines vis-à-vis the 2009 ASE recommendations on prevalence of DD and LVFP in patients with preserved EF. METHODS: Five hundred patients referred to the echocardiography laboratory from March 2020 to May 2020 were analyzed. Patients with left ventricular ejection fraction (LVEF) < 50% were excluded. All patients underwent comprehensive transthoracic echocardiography. DD and LVFP were assessed by the 2016 ASE/EACVI and 2009 ASE recommendations. The concordance between the guidelines was analyzed by kappa coefficient and overall proportion of agreement. RESULTS: Mean age was 53 ± 13 years and 63.4% were men. Prevalence of DD and abnormal LVFP were significantly lower with the 2016 recommendations than with the 2009 recommendations (9.4% vs. 16.8%, p < 0.001 and 8.4% vs. 12.8%, p < 0.05). Patients with Grade 1 DD (100%) and Grade 2 DD (46.4%) were reclassified by the 2016 recommendations. Indeterminate diastolic function (9.8%) was strikingly high according to the 2016 recommendations. The concordance between the two recommendations was moderate (kappa = 0.569). The overall proportion of agreement was 85.4%. CONCLUSIONS: Prevalence of DD and abnormal LV filling pressures were lower with application of the 2016 ASE/EACVI recommendations in patients with preserved EF. There was moderate agreement between the 2009 and 2016 recommendations.

INDOOR RADON AND THORON IN THE VICINITY OF PROPOSED URANIUM MINING SITE: A CASE STUDY AT DASARLAPALLY VILLAGE, TELANGANA STATE, INDIA.

Studies are being conducted for the past few decades in and around the uranium mining sites across the globe to identify environmental nuclear radiation risk to the common public. The area near Dasarlapally village was identified for uranium exploration by the AMDER, Hyderabad. The present study was carried out to measure the indoor radon and thoron activity concentrations in the dwellings of Dasarlapally village. For this purpose different types of dwellings were chosen randomly across the village. The measured annual average concentration of radon and thoron in dwellings were found to be 141 ± 42 and 139 ± 77 Bqm-3, respectively, and the calculated annual effective inhalation dose due to radon was determined to be 3.5 mSv. Seasonal variation and diurnal variation of radon and thoron activity concentration were investigated. The variation of radon and thoron activity concentration in different types of dwellings was also studied, and the variation was found to be statistically insignificant. The uncertainty propagated in the effective inhalation dose due to thoron was discussed.

Lipoma or hemangioma: A diagnostic dilemma?

Lipomas and hemangiomas are well-known benign lesions of the body. However, their occurrence in the oral cavity is rare. Lipoma accounts for 1-4% of benign neoplasms of mouth affecting predominantly the buccal mucosa, floor of mouth and tongue. Hemangiomas occur mostly on the lips, buccal mucosa, tongue, and palate. Lipomas when superficially placed show yellowish surface discoloration and hemangiomas usually have reddish blue to deep blue color. Here, we report an unusual case of benign tumor occurring in the buccal vestibule.