Radioactive Standards Laboratory ININ as a reference laboratory in Mexico.

The Radioactive Standards Laboratory of the National Institute of Nuclear Research is the National reference laboratory for the measurement of radioactivity in Mexico. It has a gamma-ray spectrometry system with a high-purity Ge-detector for measurements from 50 keV to 2000 keV, and develops standardized radioactive (beta-particle and gamma-ray emitting) sources in different geometries with uncertainties less than or equal to 5% for applications such as the calibration of radionuclide calibrators (clinically used dose calibrators), Ge-detectors and NaI(Tl) detectors.

Association between adherence, treatment satisfaction and illness perception in hypertensive patients.

The relationship between adherence to antihypertension medications, treatment satisfaction and illness perception has not been studied so far. The primary objective of this study was to examine the association between adherence to medication, treatment satisfaction and illness perception in Lebanese hypertensive patients. The relation between medication adherence and blood pressure (BP) control was also assessed. In this cross-sectional study, patients were recruited from the physician's practice offices and community pharmacies in Beirut. Patients who had been treated for hypertension for at least 3 months were invited to participate in the study; they completed three questionnaires: the 8-item Morisky Medication Adherence Scale (MMAS-8), the Treatment Satisfaction Questionnaire for Medication (TSQM-4) and the Brief Illness Perception Questionnaire (BIPQ). BP was also measured and recorded. A total of 117 subjects were included, of whom 29.1% had poor adherence to their antihypertension treatment (MMAS-8 scores<6). The odds of having well-controlled hypertension was 3.5 times higher in patients with high adherence compared with patients with poor adherence (P=0.010). Treatment satisfaction was significantly greater in patients with good adherence (P<0.001). Neither socio-demographic, disease- nor drug-related characteristics of the participants were significantly associated with medication adherence. As for illness perception, even though the mean BIPQ score of adherent participants was lower than the mean score of non-adherent participants, this difference did not reach statistical significance. In conclusion, treatment satisfaction was found to be a predictor of adherence. Studies are needed to determine whether interventions to increase satisfaction can improve adherence and BP control.

Consultative committee on ionizing radiation: Impact on radionuclide metrology.

In response to the CIPM MRA, and to improve radioactivity measurements in the face of advancing technologies, the CIPM's consultative committee on ionizing radiation developed a strategic approach to the realization and validation of measurement traceability for radionuclide metrology. As a consequence, measurement institutions throughout the world have devoted no small effort to establish radionuclide metrology capabilities, supported by active quality management systems and validated through prioritized participation in international comparisons, providing a varied stakeholder community with measurement confidence.

Limberg skin flap for treatment of necrosis and bleeding at haemodialysis arteriovenous angioaccess puncture sites.

OBJECTIVE: To assess the efficacy of a Limberg skin flap to treat non-infected necrosis and bleeding at angioaccess puncture sites. METHODS: Retrospective analysis of 40 selected (no infection, necrosis <20 mm diameter) patients (25 arteriovenous fistulae [AVF], 15 grafts) treated between 1998 and 2012 by rhomboid excision, vessel repair, and a locally rotated full-thickness Limberg skin flap together with early postoperative percutaneous transluminal angioplasty (PTA; n = 23/40). Success was defined as wound healing and angioaccess patency without complications. RESULTS: Success rates at 1 and 6 months were 96% (24/25) and 76% (19/25), respectively, for AVF, and 80% (12/15) and 40% (6/15) for arteriovenous grafts. Complications included flap necrosis (n = 2), graft thrombosis (n = 4), minor sepsis (n = 1), death (n = 2), and new puncture site necrosis (n = 3). Four patients were lost to follow-up. CONCLUSIONS: Vessel or graft repair, PTA for distal stenoses and local debridement followed by a Limberg skin flap for tissue defects prevented further bleeding and maintained vascular access patency in 25/40 (62%) patients.

Atributos de qualidade da carne de paca (Agouti paca): perfil sensorial e força de cisalhamento / Quality attributes of paca meat (Agouti paca): sensory profile and shear force

Avaliaram-se as características sensoriais e determinou-se a força de cisalhamento de cortes de carne de paca (Agouti paca). As análises foram realizadas nos cortes desossados de paleta, lombo e pernil de nove pacas, preparados por cocção até a temperatura interna de 70ºC. A avaliação de aspecto, cor, sabor, odor e maciez foi realizada pela aplicação de teste afetivo a 146 provadores, utilizando-se escala hedônica, e a força de cisalhamento foi determinada pela técnica Warner Bratzler. Na avaliação sensorial, os cortes de paleta, lombo e pernil de paca mostraram diferença significativa (p<0,05) para os atributos de aspecto e cor. A paleta obteve pontuação mais baixa para o aspecto e mostrou coloração mais forte em relação aos demais cortes. Para a força de cisalhamento, não houve diferença (p>0,05) entre os cortes, que se mostraram igualmente macios. A carne de paca apresentou-se sensorialmente semelhante à carne suína e com boa aceitação pelos consumidores. O estudo evidenciou o potencial da paca como uma espécie silvestre para a produção comercial de carne para o mercado de carnes vermelhas ou exóticas.

Sensory characteristics and shear force of paca meat (Agouti paca) were assessed in this study. Analyses were performed in the bonelessshoulder,loin andhamobtained from nine paca carcassesprepared by cookinguntil reaching the internal temperatureof 70°C. The evaluation of flavor, aroma, color, appearance and tenderness was carried out by the application of an affective test using the hedonic scaleand a 146 consumer panel. Shear force was determined by the Warner-Bratzler technique. Shoulder, loin and ham had significant differences (p<0.05) in appearance and color. Shoulder presented the lowest score for appearance and showed darker color compared to the other cuts. Shear force values had no significant differences (p > 0.05) among the cuts, which were similarly tender. Paca meat was found to resemble pork meat in sensory evaluation and had good acceptance by consumers. This study showed the potential of paca (Agouti paca) asa wild species for meat production in the red or exotic meat market.

Spontaneous plantar vein thrombosis: state of the art.

We aim here to highlight the importance of diagnosing and treating promptly the rarely thought of diagnosis of plantar vein thrombosis. We hereby report two cases with no known thrombotic risk factors. Less than 20 cases are reported in the literature. Detection of this unusual site of involvement of the deep venous system can be easily made by ultrasound examination if searched for. Plantar vein thrombosis is a rarely evoked pathology. Knowledge of its occurrence could further improve its diagnosis especially that it could reveal an unknown neoplasia or coagulation abnormality.

Assessing the impact of the presence of pharmacists in a clinical department of a Lebanese hospital.

BACKGROUND: Clinical pharmacy services are still in their very early implementation stages in Lebanon. The objective of this pilot study was to evaluate the impact of clinical pharmacist's presence at the infectious diseases department of Hôtel-Dieu de France University Hospital of Beirut (HDF) and to evaluate the acceptance of pharmacist's interventions by healthcare providers. MATERIAL AND METHODS: A 21-month prospective analysis was conducted, including 240 hospitalized patients in the infectious diseases department of HDF and 475 interventions performed by the pharmacist. A clinical pharmacist and pharmacy residents were present for 1 to 2hours/day in the ward. A pharmaceutical care plan was established and used to document patients' problems and pharmacist's interventions. Main criteria analyzed were: types and frequencies of pharmaceutical problems detected, types of pharmaceutical interventions performed, their acceptance by the prescribers and/or nurses, and factors affecting the interventions and their acceptance. RESULTS: The most frequent pharmaceutical problem detected was incorrect dosage and the three most frequent interventions performed by the pharmacist were stop/start/substitute a drug, change drug dosage/or daily distribution, and change administration time. The acceptance was the highest for I.TIM (change drug administration time) and the lowest for I.FOL (request a lab test/exam/clinical follow-up). DISCUSSION AND CONCLUSION: Even a short daily pharmacist's presence is an added value in inpatient care at the infectious diseases department of Hôtel-Dieu de France University Hospital. Areas of improvement are a better communication between the pharmacist and the prescribers, a direct contact between pharmacist and patient and a longer presence of the clinical pharmacist in the clinical department.

Case report of a rare spontaneous superficial temporal artery aneurysm.

Unlike posttraumatic temporal artery aneurysm, spontaneous temporal artery aneurysm is an exceptional finding. We report the case of a 34-year-old woman with no history of previous trauma who presented a progressively enlarging right temporal lump. A CT scan revealed a 1.6 cm diameter aneurysm arising from the superficial temporal artery. The aneurysm was surgically resected. The postoperative course was uneventful. Histological examination revealed the presence of intima, media and adventitia.

Calibration of HPGe gamma-ray detectors for measurement of radioactive noble gas sources.

Measurements of radioactive noble gases are routinely made with gamma-ray spectrometers. This work describes the calibration of high purity germanium detectors provided by the full-energy-peak efficiency as a function of the gamma-ray energy. A comparison of measured efficiency values with a new, simplified method based on a direct mathematical method is given here.

Development of gamma-ray emitting test sources for portal monitors.

A new set of gamma-ray emitting test sources was designed by the National Institute of Standards and Technology (NIST) for testing of radiation portal monitors for homeland security applications. This paper provides a description of the construction and characterization of these new sources that were designed and built to meet the American National Standard Institute (ANSI) N42.35-2004 and N42.38 standards' requirements.

Software studies for germanium detectors data analysis.

Efficiency calibrations of multiple high-purity germanium (HPGe) detectors are being maintained at the National Institute of Standards and Technology (NIST). Four generally available software packages for HPGe detector gamma-ray spectrum analysis, including the one currently used at NIST, were tested on spectra collected from two HPGe detectors at different source-to-detector distances and using point sources and ampoules as calibration geometries. The resulting efficiency curves were inter-compared.

Gamma-ray emitting test sources for Portal Monitors used for homeland security.

The National Institute of Standards and Technology developed a new set of test sources for testing of portal monitors against the ANSI standard N42.35-2004. The design and source specifications are provided in this work.

Evaluation of Handheld Radionuclide Identifiers.

Characterization of commercially available instruments for measurement and identification of unknown radionuclides was carried out in support of the development and testing of the American National Standards Institute (ANSI) standard, N42.34, "Performance Criteria for Hand-held Instruments for the Detection and Identification of Radionuclides." Measurements were based on the performance of the devices, i.e., the capability of the detectors to ensure a correct radionuclide identification in a given time interval for various radioactive sources.

Use of resonance ionization mass spectrometry for determination of Cs ratios in solid samples.

A method to quantitatively determine the radionuclidic content of complex samples with a minimum of chemical preparation has been under development at the National Institute of Standards and Technology (NIST). Based on earlier studies with resonance ionization mass spectrometry (RIMS), a graphite furnace was added to the RIMS system at NIST. Efficiency determinations for 133Cs in solution and isotopic ratio measurements of cesium (135Cs/137Cs) for an NIST nuclear burn-up sample using RIMS and for a sediment natural matrix standard using thermal ionization mass spectrometry are presented.

Modeling energy deposition and cellular radiation effects in human bronchial epithelium by radon progeny alpha particles.

Energy deposition and cellular radiation effects arising from the interaction of single 218Po and 214Po alpha particles with basal and secretory cell nuclei were simulated for different target cell depths in the bronchial epithelium of human airway generations 2, 4, 6, and 10. To relate the random chord lengths of alpha particle tracks through spherical cell nuclei to the resulting biological endpoints, probabilities per unit track length for different cellular radiation effects as functions of LET were derived from in vitro experiments. The radiobiological data employed in the present study were inactivation and mutation (mutant frequency at the HPRT gene) in V79 Chinese hamster cells and inactivation and transformation in C3H 10T1/2 cells. Based on computed LET spectra and relative frequencies of target cells, probabilities for transformation, mutation, and cell killing in basal and secretory cells were computed for a lifetime exposure of 20 WLM. While predicted transformation probabilities were about two orders of magnitude higher than mutation probabilities, they were still about two orders of magnitude lower than inactivation probabilities. Furthermore transformation probabilities for basal cells are generally higher than those for secretory cells, and 214Po alpha particles are primarily responsible for transformations in bronchial target cells.

Morphological text extraction from images.

This paper presents a morphological technique for text extraction from images. The proposed morphological technique is insensitive to noise, skew and text orientation. It is also free from artifacts that are usually introduced by both fixed/optimal global thresholding and fixed-size block-based local thresholding. Examples are presented to illustrate the performance of the proposed method.

Locally adaptive perceptual image coding.

Most existing efforts in image and video compression have focused on developing methods to minimize not perceptual but rather mathematically tractable, easy to measure, distortion metrics. While nonperceptual distortion measures were found to be reasonably reliable for higher bit rates (high-quality applications), they do not correlate well with the perceived quality at lower bit rates and they fail to guarantee preservation of important perceptual qualities in the reconstructed images despite the potential for a good signal-to-noise ratio (SNR). This paper presents a perceptual-based image coder, which discriminates between image components based on their perceptual relevance for achieving increased performance in terms of quality and bit rate. The new coder is based on a locally adaptive perceptual quantization scheme for compressing the visual data. Our strategy is to exploit human visual masking properties by deriving visual masking thresholds in a locally adaptive fashion based on a subband decomposition. The derived masking thresholds are used in controlling the quantization stage by adapting the quantizer reconstruction levels to the local amount of masking present at the level of each subband transform coefficient. Compared to the existing non-locally adaptive perceptual quantization methods, the new locally adaptive algorithm exhibits superior performance and does not require additional side information. This is accomplished by estimating the amount of available masking from the already quantized data and linear prediction of the coefficient under consideration. By virtue of the local adaptation, the proposed quantization scheme is able to remove a large amount of perceptually redundant information. Since the algorithm does not require additional side information, it yields a low entropy representation of the image and is well suited for perceptually lossless image compression.

Biomarkers of OH radical damage in vivo.

Mechanisms of formation of o-tyrosine (o-Tyr) and thymine glycol (TG), the two possible markers of OH radical generation in biosystems and in vivo are described. The o-Tyr measurements require invasive approaches, while TG detection may be accomplished by noninvasive analysis in the urine.

Modification of deoxyribose-phosphate residues by extracts of ataxia telangiectasia cells.

The release of DNA 5'-terminal deoxyribose-phosphate residues from enzymatically incised apurinic/apyrimidinic sites by human cell extracts has been under investigation. During the course of these studies, we observed that ataxia telangiectasia cell extracts modify deoxyribose-phosphate (dRp) residues by converting them to an altered form, dRp-X, which shows altered chromatographic properties on HPLC analysis. The chemical nature of the adduct is as yet unknown, but dRp-X is stable to both heat and acid. The modification requires an enzymatic activity and a low-molecular weight co-factor. Extracts of normal cells contain a dialyzable inhibitor that suppresses the reaction occurring with ataxia telangiectasia cell extracts. Formation of dRp-X has been observed in 7 out of 7 ataxia telangiectasia lymphoblastoid lines which represent at least 3 genetic complementation groups. Similar modification of dRp did not occur with extracts of cells of normal origin, nor those representing Fanconi's anaemia, xeroderma pigmentosum, Bloom's syndrome, Werner's syndrome or Friedreich's ataxia.

Formation of ortho-tyrosine by radiation and organic solvents in chicken tissue.

Fresh chicken breast and beef incubated in water were found to contain no o-Tyr at the current levels of detection (0.1 ppm) by capillary gas chromatography/mass spectrometry and selective ion monitoring. In contrast, samples incubated at 37 degrees C in the presence of ethanol, benzene, or carbon tetrachloride (used in fat extraction) contained large quantities (2.5-5.1 ppm) of o-Tyr. No o-Tyr was detected in the water-insoluble fraction of meat treated with carbon tetrachloride after triple extraction by water. However, reaction of radiation generated .OH in gamma-irradiated fresh chicken tissue with endogenous phenylalanine yields o-Tyr with a linear yield-dose response in both water-soluble and -insoluble tissue fractions. Nonradiolytically generated .OH is suggested to be formed through a mitochondrion-mediated Haber-Weiss reaction in association with water-soluble proteins since the yields of o-Tyr in beef, a tissue with a higher mitochondrial content, are four times greater than in the chicken breast tissue.