Probing rare earth element distributions in soils of the mineralized Singhbhum region in India using INAA.

Rare Earth Elements were measured using Instrumental neutron activation analysis in soils from the uranium mineralized Singhbhum Thrust Belt. The trend of the Rare Earth Elements was Ce > La > Nd > Sm > Yb > Eu,Tb > Lu. Light Rare Earth enrichment and Heavy Rare Earth depletion, observed using indicator ratios, showed preferential association of Light Rare Earths with clays. Geo-accumulation index <1 and Enrichment factors ranging from 0.06 to 3.54 indicate none to moderate rare earth mineralization. A positive Ce anomaly and negative Eu anomaly indicate oxidative environment and plagioclase depletion, respectively.

Correction of Toe-Walking Gait in Children with Spastic Cerebral Palsy by using Electrical Stimulation Therapy.

Toe-walking is a very common gait abnormality seen in children with Cerebral Palsy (CP). The present study aims to improvise the toe-walking gait by applying Electrical Stimulation (ES) therapy of the Tricep Surae (TS) muscles. The study was carried out on sixteen children with spastic CP with unilateral toe-walking gait problem, divided into the intervention group that received both ES therapy along with conventional physiotherapy treatment and the control group that received only conventional physiotherapy treatment. Both groups were treated for 60 (30 + 30) minutes per day, for 5 days a week, up to 12 weeks. The gait data were analyzed for spatiotemporal and parameters influencing the walking capacity. The results showed that those children who received the intervention had a significant increase in gait speed by 17.67 % (p = 0.019) and decrease in stride length by 10.25 % (p = 0.037), resulting in improvement of body balance. There was a significant percentage increase in initial contact (heel strike) of 85.71 % (p = 0.000) and flat foot position (loading response) of 49.2 % (p = 0.005), confirming reduction in toe-walking. There was also an increase in the swing power by 39.8 % (p = 0.028) and ground impact by 19.5 % (p = 0.003) suggesting a change in foot contact pattern. The results indicate that ES therapy on TS muscle along with conventional physiotherapy may correct the toe-walking gait in children with spastic hemiplegic CP.

Custom-made silicone hand prosthesis: A case study.

Up to now, a cosmetic glove was the most common method for managing transmetacarpal (TMC) and carpometacarpal (CMC) amputations, but it is devoid of markings and body color. At this amputation level, it is very difficult to fit a functional prosthesis because of the short available length, unsightly shape, grafted skin, contracture and lack of functional prosthetic options. A 30-year-old male came to our clinic with amputation at the 1st to 4th carpometacarpal level and a 5th metacarpal that was projected laterally and fused with the carpal bone. The stump had grafted skin, redness, and an unhealed suture line. He complained of pain projected over the metacarpal and suture area. The clinical team members decided to fabricate a custom-made silicone hand prosthesis to accommodate the stump, protect the grafted skin, improve the hand's appearance and provide some passive function. The custom silicone hand prosthesis was fabricated with modified flexible wires to provide passive interphalangeal movement. Basic training, care and maintenance instructions for the prosthesis were given to the patient. The silicone hand prosthesis was able to restore the appearance of the lost digits and provide some passive function. His pain (VAS score) was reduced. Improvement in activities of daily living was found in the DASH questionnaire and Jebsen-Taylor Hand Function test. A silicone glove is a good option for more distal amputations, as it can accommodate any deformity, protect the skin, enhance the appearance and provide functional assistance. This case study provides a simple method to get passively movable fingers after proximal hand amputation.

Therapeutic effects of functional electrical stimulation on motor cortex in children with spastic Cerebral Palsy.

In the present study we have evaluated the electroencephalogram (EEG) signal recorded during ankle dorsal and plantar flexion in children with spastic Cerebral Palsy (CP) after Functional Electrical Stimulation (FES) of the Tibialis Anterior (TA) muscles. The intervention group had 10 children with spastic diaplegic/hemiplegic CP within the age group of 5 to 14 years of age who received both FES for 30 minutes and the conventional physiotherapy for 30 minutes a day, while the control group had 5 children who received only conventional physiotherapy for 60(30 + 30) minutes a day only. Both group were treated for 5 days a week, up to 12 weeks. The EEG data were analyzed for Peak Alpha Frequency (PAF), sensorimotor rhythm (SMR), mu wave suppression and power spectral density (PSD) of all the bands. The results showed a decrease in SMR and mu wave suppression in the intervention group as compared to the control group, indicating a positive/greater improvement in performance of motor activities. Therefore, from this study we could conclude that FES combined with conventional physiotherapy improves the motor activity in children with spastic CP.

Effect of gender on strength gains after isometric exercise coupled with electromyographic biofeedback in knee osteoarthritis: a preliminary study.

OBJECTIVE: The objective of this trial was to evaluate the effect of gender on strength gains after five week training programme that consisted of isometric exercise coupled with electromyographic biofeedback to the quadriceps muscle. MATERIALS AND METHODS: Forty-three (20 men and 23 women) patients with knee osteoarthritis (OA), were placed into two groups based on their gender. Both groups performed isometric exercise coupled with electromyographic biofeedback for five days a week for five weeks. RESULTS: Both groups reported gains in muscle strength after five week training. However, the difference was found to be statistically insignificant between the two groups (P=0.224). CONCLUSION: The results suggest that gender did not affect gains in muscle strength by isometric exercise coupled with electromyographic biofeedback in patients with knee OA.

Distribution of norm and 137Cs in soils of the Visakhapatnam region, Eastern India, and associated radiation dose.

The specific activity of naturally occurring radioactive materials and (137)Cs in surface soils around the new Bhabha Atomic Research Centre site at Visakhapatnam region, Eastern India, has been determined using high-resolution gamma-ray spectrometry as part of a baseline radiological survey. Radiation hazard for the samples was assessed by radium equivalent activity (Raeq) and absorbed gamma dose rate (D). The mean absorbed gamma dose rate was found to be 104.9 nGy h(-1). The average annual effective dose equivalent was found to be 0.13 mSv y(-1).

Age-dependent dose and health risk due to intake of uranium in drinking water from Jaduguda, India.

Uranium is a heavy metal that is not only radiologically harmful but also a well-known nephrotoxic element. In this study, occurrence of uranium in drinking water samples from locations near the uranium mining site at Jaduguda, India, was studied by Laser-induced fluorimetry. Uranium concentrations range from 0.03 ± 0.01 to 11.6 ± 1.3 µg l(-l), being well within the US Environmental Protection Agency drinking water limit of 30 µg l(-1). The ingestion dose due to the presence of uranium in drinking water for various age groups varies from 0.03 to 28.3 µSv y(-1). The excess lifetime cancer risk varies from 4.3×10(-8) to 1.7×10(-5) with an average value of 4.8×10(-6), much less than the acceptable excess lifetime cancer risk of 10(-3) for radiological risk. The chemical risk (hazard quotient) has an average value of 0.15 indicating that the water is safe for drinking.

Comparison of energy cost in transtibial amputees using "prosthesis" and "crutches without prosthesis" for walking activities.

BACKGROUND: In a survey of 100 transtibial amputees (TTA) in the study place, it was noticed that nearly 30% of total activities performed by crutches. It was recorded nearly 52% of the amputees were totally independent, 39% had to use a crutch or cane and only 9% need not used any devices simply because they are unaware of current technology or availability. Out of 39 TTA, nine used crutches only for performing daily activities while 30 used both prosthesis and crutch. Walking is a major activity in lower limb amputees and therefore it is imperative to know the energy cost in both the mobility devices (prosthesis and crutches without prosthesis) for walking activities. OBJECTIVES: The purpose of this study was to quantify and compare the difference in energy cost between the two most commonly used assistive devices (prosthesis and axillary crutches) in adults with Transtibial amputation by indirect calorimetric method at the self-selected speed in plane surface walking. METHODS: Thirty adults who had a unilateral transtibial amputation participated in this study. Oxygen consumption was measured with a Cosmed K4 b(2) oxygen analysis telemetry unit (Rome, Italy) as the participants walked over level ground for 30 meters at a self-selected speed. The variables that were analyzed were VO(2) rate (mL/min), VO(2) cost (mL/kg/m), heart rate (bpm), self-selected walking velocity (m/min) and energy expenditure per minute (Kcal/min). RESULTS: It was observed that VO(2) uptake rate and EE comparisons were highly significant for both prosthesis and crutches without prosthesis walking in adults with transtibial amputation (P<0.025). There was significant difference between prosthesis walking and crutches without prosthesis walking in terms of VO(2) uptake rate (P<0.005) and EE/min (P<0.00001). It was noticed the adults with transtibial amputation using prosthesis walked with 21% more efficient in terms of VO(2) uptake rate and 92% more efficient in terms of EE/min as compared to crutches without prosthesis. CONCLUSIONS: The data on energy cost indicates that all below knee amputee groups walk with less effort by using prosthesis. It may be concluded that crutches without prosthesis may not be used as a permanent rehabilitative measure in transtibial amputations.

An assessment of the radiological scenario around uranium mines in Singhbhum East district, Jharkhand, India.

The present work deals with the prevalent radiological scenario around uranium-mining sites in the Singhbhum East district of Jharkhand state, India. The concentration of naturally occurring radioactive materials (NORMs) was estimated from 27 soil samples collected around three regions in the study area, namely Bagjata, Turamdih and Jaduguda. The mean activity concentrations of (238)U in Bagjata, Turamdih and Jaduguda regions were found to be 128.6, 95.7 and 49.2 Bq kg(-1), respectively. Similarly for (232)Th and (40)K the activity concentrations were found to be 57.3, 78.4, 68.9 and 530, 425 and 615 Bq kg(-1) in the Bagjata, Turamdih and Jaduguda regions, respectively, which are comparable with other reported values worldwide, except for some high values. The calculated gamma dose rate, obtained from the concentrations of (238)U, (232)Th and (40)K in the samples, was compared with the observed dose rate in air. A good correlation (0.96) was observed between the calculated and the observed gamma dose rate. The annual outdoor effective dose rate was estimated and the values falls between 0.04-0.3, 0.07-0.3 and 0.07-.14 mSv y(-1) with mean values of 0.14, 0.12 and 0.11 mSv y(-1) for the Bagjata, Turamdih and Jaduguda regions, respectively. The terrestrial dose rates in all the three regions are comparable with other reported values worldwide, except for a few high values in Greece, Rio Grande Do Norte (Brazil) and Kalpakkam (India).

Surface EMG analysis of tibialis anterior muscle in walking with FES in stroke subjects.

In this work we have examined the effect of functional electrical stimulation (FES) in the management of drop foot in stroke subjects with surface electromyographic (sEMG) analysis from the tibialis anterior (TA) muscle. Ten subjects were assigned to FES therapy combined with conventional stroke rehabilitation program 5 days a week, 60 min a day, for 12-weeks in clinical settings. Baseline and post-treatment measurements were made for temporal and spectral parameters of EMG signals of TA muscle. The evaluation results reported an increase in mean-absolute-value (MAV), root-mean-square (RMS) and also improved the amplitude and median frequency (MF) of the sEMG power spectrum in monitoring the improvement of the tibialis anterior muscle during maximum voluntary contractions (MVC). We conclude that walking with FES system combined with a conventional rehabilitation program improves the muscle strength in stroke survivors.

Suitable gamma energy for gamma-spectrometric determination of (238)U in surface soil samples of a high rainfall area in India.

The paper presents a systematic study on suitability of various gamma lines for monitoring of (238)U activity in soil samples around a uranium mineralized zone of Kylleng Pyndengsohiong Mawthabah (Domiasiat), Meghalaya in India. The area lies in a plateau region which recieves the highest average annual rainfall (12,000mm) in the world. The geochemical behaviour of the uranium and its daughter products at such wet climatic conditions imposes restrictions to assess (238)U through gamma lines of radon decay products. Soil samples were collected from nine locations around the uranium mineralization zone for analysis. The ratio of the concentration of uranium obtained from gamma energies of radium daughter products to the 63.29keV of (234)Th was found to vary from 1.01 to 2.07, which indicates a pronounced disequilibrium between uranium and radium daughters. The results obtained from various gamma energies were validated from the data generated by Instrumental Neutron Activation Analysis (INAA) technique. The (238)U activities from the two analytical methods show a well fitted regression line with correlation coefficient 0.99 which validates the reliability of 63.29keV energy for estimation of uranium in such conditions.

Radiological assessment of surface water quality around proposed uranium mining site in India.

The gross alpha and gross beta activities were estimated for radiological assessment of surface water quality around the proposed uranium mining site Kylleng Pyndengsohiong Mawthabah (Domiasiat), West Khasi Hills District, Meghalaya situated in a high rainfall area (12,000mm) in India. 189 Surface water samples were collected over different seasons of the year from nine different locations covering around 100km(2). Gross beta activities were found to vary from 144 to 361mBq/L which is much below the prescribed WHO limit of 1000mBq/L for drinking water. Gross alpha activities varied from 61 to 127mBq/L. These values are much below the reported gross alpha values by other countries. In about 7% of the samples the alpha activities remain exceeded the WHO guideline limit of 100mBq/L. Surface water samples collected during the summer season of the year show higher activity whereas low activity was found from samples collected during monsoon season. Results show that all water sources are acceptable as drinking water for human consumption from the radiological point of view, the higher gross alpha concentrations in a few locations remains so only for short duration during the summer season.

Daily intake of manganese by local population around Kylleng Pyndengsohiong Mawthabah (Domiasiat), Meghalaya in India.

Present work is carried out adjacent to world's highest rainfall area Kylleng Pyndengsohiong (KP) Mawthabah (Domiasiat), Meghalaya in India to establish the baseline value of manganese intake through dietary route by the local tribe population in view of proposed uranium mining. The locally available food items collected from villages surrounding the proposed uranium mining site at KP Mawthabah (Domiasiat) were analysed using Energy Dispersive X-Ray Fluorescence (EDXRF) Technique. The manganese concentration in different food categories varies from 2.76-12.50 mg kg(-1) in cereals, 1.8-4.20 mg kg(-1) in leafy vegetables, 0.30-13.50 mg kg(-1) in non leafy vegetables, 0.50-15.30 mg kg(-1) in roots and tubers, 0.70-1.50 mg kg(-1) in fruits and 0.12-0.96 mg kg(-1) in flesh food. The mean dietary intake of Mn was found to be 3.83+/-0.25 mg d(-1) compared to Recommended Dietary Allowances (RDAs) of 2-5 mg d(-1). The daily intake of Manganese by the local tribe population is comparable with the value (3.7 mg d(-1)) recommended by International Commission on Radiological Protection (ICRP) for reference man and lower than the intake value observed for Indian and other Asian population.