Measurements of radon exhalations and radiological doses using LR-115 (II) nuclear track detectors in Tiru region of the Naga Schuppen Belt, India.

In this present study, the nuclear track detector LR-115 (II) was employed to assess radon (222Rn) exhalation rate, effective radium (226Ra) content, and the annual effective dose from coal and soil samples collected in and around the coal mining area of Tiru region of Nagaland, India. The 222Rn mass and surface exhalation rates and 226Ra contents were found to be in the ranges of 7.3-17.3 mBq kg-1 h-1, 242.9-573.6 mBq m-2 h-1 and 1.0-2.3 Bq kg-1, respectively, for coal and 15.8-22.0 mBq kg-1 h-1, 523.8-730.4 mBq m-2 h-1 and 2.1-2.9 Bq kg-1, respectively, for soil. The 222Rn exhalation rates and 226Ra contents in soils were found to be higher than in coal. The estimated annual effective doses for coal and soils were found to be in the ranges of 17.6-41.6 and 38.0-53.0 µSv y-1, respectively. This study is an important contribution to the understanding of radiation exposure in the coal mining area of the thrust-bound sedimentary sequence of the Naga Schuppen Belt, and it would have potential impact on further human health studies. However, the measured values for all the samples were found to be within the globally recognised permissible range.

Radiological risk estimation from indoor radon, thoron, and their progeny concentrations using nuclear track detectors.

In this paper, we report the results of seasonal variations of indoor radon and thoron concentrations, equilibrium factors for gas progeny, and radiological risks to dwellers in the hilly area of Guwahati City, Assam, India. Twin-cup dosemeters with LR-115 (II) nuclear track detectors were used in this study. The findings show that values vary significantly, with winter having the highest values and summer having the lowest, with spring and autumn having moderate values. In winter, radon concentrations range from 61.6 ± 11.2 Bq m-3 (Mud) to 115.3 ± 34.3 Bq m-3 (AT), with geometric mean values of 69.2 ± 13.8 Bq m-3 and 109.4 ± 27.9 Bq m-3, and in summer, they range from 21.1 ± 5.9 Bq m-3 (Mud) to 28.4 ± 8.3 Bq m-3 (AT), with geometric mean values of 22.7 ± 6.3 Bq m-3 and 26.1 ± 7.1 Bq m-3, whereas thoron concentrations range from 13.1 ± 5.1 Bq m-3 (Mud) to 58.8 ± 12.6 Bq m-3 (AT), with geometric mean values of 27.6 ± 7.0 Bq m-3 and 52.9 ± 10.1 Bq m-3 in winter, respectively, and in summer, from 8.8 ± 2.3 Bq m-3 (Mud) to 13.0 ± 5.5 Bq m-3 (Mud), with a geometric mean value of 1.87 ± 1.29 Bq m-3. Radon and thoron progeny levels are reported to vary from 4.1 ± 0.3 mWL (Mud) to 15.1 ± 4.3 mWL (AT) and 2.6 ± 0.9 mWL (Mud) to 14.3 ± 4.2 mWL (AT) in winter and from 1.5 ± 0.7 mWL (AT) to 3.0 ± 2.5 mWL (Mud) and 0.9 ± 0.3 mWL (AT) to 2.7 ± 0.5 mWL (Mud) in summer, respectively. The equilibrium factors for radon and its progeny have been reported to range from 0.23 ± 0.1 (Mud) to 0.51 ± 0.3 (AT) in winter, whereas from 0.23 ± 0.1 (AT) to 0.48 ± 0.4 (Mud) in summer, respectively. The equilibrium factors for thoron and its progeny have been estimated in the range of 0.02 ± 0.01 (Mud) to 0.09 ± 0.06 (AT) in winter, whereas 0.02 ± 0.02 (AT) to 0.07 ± 0.05 (Mud) in summer, respectively. The inhalation dose rates differed from house to house, having values in the range of 1.2 ± 0.2 mSv year-1 (Mud) to 4.6 ± 1.3 mSv year-1 (AT) in winter, whereas 0.5 ± 0.3 mSv year-1 (AT) to 0.9 ± 0.5 mSv year-1 (Mud) in summer, respectively. The effective doses (EDs) due to the exposure of radon and thoron in the study area have been found to range from 2.5 ± 0.3 mSv (Mud) to 9.1 ± 2.7 mSv (AT) in winter and 0.9 ± 0.4 mSv (AT) to 1.8 ± 1.3 mSv (Mud) in summer, respectively. The levels of radon and thoron in similar types of construction were found to be significantly different from one house to another. The estimated radon and thoron concentrations in the houses of that region during winter are found to be substantially higher than the global averages as reported by UNSCEAR.

Oncology-Based Palliative Care Development: The Approach, Challenges, and Solutions From North-East Region of India, a Model for Low- and Middle-Income Countries.

BACKGROUND: Access to palliative care within healthcare systems of low- and middle-income countries (LMICs) has never been more pronounced than in current times. The Lancet Commission Report (2018) estimates that 80% of global serious health-related suffering (SHS), which demands access to palliative care for its relief, are in LMICs. Cancer is a major contributor to SHS and a rapidly growing burden in LMICs. Similar to many LMICs, cancer is a leading cause of death in India. The North-East Region (NER) of India has a high prevalence of cancer and paucity of services for cancer and palliative care. OBJECTIVES: To describe the strategies used to initiate and strengthen palliative care services integrated with the comprehensive cancer care initiatives in the state of Assam in NER. METHODS: After an initial assessment of the status of palliative care in the NER, a multipronged strategy was adopted that aligned with the WHO framework recommended for initiating palliative care services. A core team working with a government and private collaborative strategized and activated supportive policies, education, and training and improved access and availability to essential drugs, while implementing the components synchronously within the state. SIGNIFICANCE: This project demonstrates an informed regional adaptation of the WHO model. It highlights the strengths of integrating palliative care within cancer care program right from its inception. It emphasizes the sustainability of services activated across public healthcare systems, as compared with the donor- or champion-driven initiatives. The outcome of this project underlines the relevance of this model for LMIC regions with similar health systems and sociocultural and economic contexts.