Sample records for radiation treatment die

  1. Ultrasound motion tracking for radiation therapy; Ultraschallbewegungstracking fuer die Strahlentherapie

    Jenne, J. [Fraunhofer-Institut fuer Bildgestuetzte Medizin MEVIS, Bremen (Germany); Mediri GmbH, Heidelberg (Germany); Schwaab, J. [Mediri GmbH, Heidelberg (Germany)


    In modern radiotherapy the radiation dose can be applied with an accuracy in the range of 1-2 mm provided that the exact position of the target is known. If, however, the target (the tumor) is located in the lungs or the abdomen, respiration or peristalsis can cause substantial movement of the target. Various methods for intrafractional motion detection and compensation are currently under consideration or are already applied in clinical practice. Sonography is one promising option, which is now on the brink of clinical implementation. Ultrasound is particularly suited for this purpose due to the high soft tissue contrast, real-time capability, the absence of ionizing radiation and low acquisition costs. Ultrasound motion tracking is an image-based approach, i.e. the target volume or an adjacent structure is directly monitored and the motion is tracked automatically on the ultrasound image. Diverse algorithms are presently available that provide the real-time target coordinates from 2D as well as 3D images. Definition of a suitable sonographic window is not, however, trivial and a gold standard for positioning and mounting of the transducer has not yet been developed. Furthermore, processing of the coordinate information in the therapy unit and the dynamic adaptation of the radiation field are challenging tasks. It is not clear whether ultrasound motion tracking will become established in the clinical routine although all technical prerequisites can be considered as fulfilled, such that exciting progress in this field of research is still to be expected. (orig.) [German] In der modernen Strahlentherapie kann die Dosis mit einer Genauigkeit von 1-2 mm appliziert werden, sofern die Position der Zielstruktur genau bekannt ist. Liegt diese Zielstruktur (der Tumor) jedoch in der Lunge oder im Abdomen, koennen u. a. die Atmung oder die Peristaltik zu einer substanziellen Bewegung des Zielvolumens fuehren. Verschiedene Methoden zur intrafraktionellen Bewegungsdetektion

  2. Dying cells protect survivors from radiation-induced cell death in Drosophila.

    Amber Bilak


    Full Text Available We report a phenomenon wherein induction of cell death by a variety of means in wing imaginal discs of Drosophila larvae resulted in the activation of an anti-apoptotic microRNA, bantam. Cells in the vicinity of dying cells also become harder to kill by ionizing radiation (IR-induced apoptosis. Both ban activation and increased protection from IR required receptor tyrosine kinase Tie, which we identified in a genetic screen for modifiers of ban. tie mutants were hypersensitive to radiation, and radiation sensitivity of tie mutants was rescued by increased ban gene dosage. We propose that dying cells activate ban in surviving cells through Tie to make the latter cells harder to kill, thereby preserving tissues and ensuring organism survival. The protective effect we report differs from classical radiation bystander effect in which neighbors of irradiated cells become more prone to death. The protective effect also differs from the previously described effect of dying cells that results in proliferation of nearby cells in Drosophila larval discs. If conserved in mammals, a phenomenon in which dying cells make the rest harder to kill by IR could have implications for treatments that involve the sequential use of cytotoxic agents and radiation therapy.

  3. Heat Treatment of Die and Mould Oriented Concurrent Design

    LI Xiong; ZHANG Hong-bing; RUAN Xue-yu; LUO Zhong-hua; ZHANG Yan


    Many disadvantages exist in the traditional die design method which belongs to serial pattern. It is well known that heat treatment is highly important to the dies. A new idea of concurrent design for heat treatment process of die and mould was developed in order to overcome the existent shortcomings of heat treatment process. Heat treatment CAD/CAE was integrated with concurrent circumstance and the relevant model was built. These investigations can remarkably improve efficiency, reduce cost and ensure quality of R and D for products.

  4. The role of radiation therapy in treatment of pancreatic cancer from the viewpoint of radio-oncologists; Die Rolle der Strahlentherapie bei der Behandlung des Pankreaskarzinoms aus der Sicht des Radioonkologen

    Timke, C.; Debus, J.P. [Universitaetsklinikum Heidelberg (Germany). Abteilung Radioonkologie und Strahlentherapie


    Despite great efforts in the field of preclinical and clinical research, pancreatic cancer is still one of the most devastating cancer diagnoses and nearly always results in death. With neoadjuvant chemoradiotherapy higher R0 resection rates can be achieved in pancreatic cancer and may even lead to a secondary resection in primarily inoperable tumors. Patients who experience a disease progression due to aggressive tumor biology can be spared the unnecessary morbidity of resection by neoadjuvant therapy. Even in the adjuvant situation the rates of local relapse can be significantly reduced by combined chemoradiotherapy. Through progress in radiation techniques the toxicity of combined chemoradiotherapy could be lowered. If symptoms of the metastasized disease are caused by localized solitary or more widespread tumor manifestation, chemoradiotherapy should be considered for a rapid symptom relief. The adjunct of various biologicals to chemoradiotherapy is a promising new way to improve the prognosis of pancreatic cancer. Results from initial trials to clarify this concept are expected soon. Despite all progress in radiation techniques and in systemic therapy of pancreatic cancer, psychooncological care and good nutrition is of especially high importance in the care of this group of patients. (orig.) [German] Das Pankreaskarzinom ist, trotz intensiver Bemuehungen der Forschung, weiterhin eine fast immer zum Tode des Patienten fuehrende Krebserkrankung. Durch eine neoadjuvante Radiochemotherapie koennen hoehere R0-Resektionsraten erreicht oder primaer inoperable, lokal fortgeschrittene Tumoren derartig verkleinert werden, dass eine sekundaere Resektion moeglich ist. Patienten mit einer besonders aggressiven Tumorbiologie kann durch eine neoadjuvante Therapie die Morbiditaet der Resektion erspart werden. Auch in der adjuvanten Situation kann die kombinierte Radiochemotherapie im Vergleich zur alleinigen Chemotherapie das Lokalrezidivrisiko deutlich verringern. Durch den

  5. Radiation therapy of regional lymph nodes in the treatment of seminomas compared with retroperitoneal lymphadenectomy. A retrospective analysis of 161 patients; Die Strahlentherapie der regionaeren Lymphknotenstationen bei der Behandlung des Seminoms im Vergleich zur retroperitonealen Lymphadenektomie. Eine retrospektive Auswertung von 161 Patienten

    Warszawski, N. [Klinik fuer Strahlentherapie, Magdeburg Univ. (Germany); Schmuecking, M. [Klinik fuer Strahlentherapie, Magdeburg Univ. (Germany); Samtleben, M. [Klinik und Poliklinik fuer Urologie, Magdeburg Univ. (Germany); Gademann, G. [Klinik fuer Strahlentherapie, Magdeburg Univ. (Germany); Allhoff, E.P. [Klinik und Poliklinik fuer Urologie, Magdeburg Univ. (Germany)


    Hundred and sixty-one patients with seminoma of stage I and II were retrospectively analysed. They were treated at the University of Magdeburg between 1975 and 1991 by radiation therapy of regional lymph nodes or by retroperitoneal lymphadenectomy. After high semicastration, 98 patients were irradiated, 63 patients received a retroperitoneal lymphadenectomy. Twenty-one patients were treated by adjuvant chemotherapy, too. The 5-year survival-rates according to Kaplan-Meier were 96% for stage I, 85% for stage IIA, 92% for stage IIB, and 68% for stage IIC. The overall survival rates for all stages were 95% after 2 years, 92% after 5 years, and 89% after 10 years. Relapses located retroperitoneally occurred significantly more often after retroperitoneal lymphadenectomy (9.5%) compared with radiation therapy (2.0%), relapses outside the operation situs or radiation fields, respectively, were registrated at the same frequency (4.8% and 7.1%, respectively). Disease-free survival rates decreased significantly with increasing stage (p<0.001, Wilcoxon-test). Relapses increased from 4.1% for stage I up to 58.3% for stage IIC. After semicastration for primary treatment of seminomas radiation therapy of the regional lymph nodes is the treatment of choice. Retroperitoneal lymphadenectomy is obsolete. (orig./MG) [Deutsch] 161 Patienten mit einem histologisch gesicherten Seminom der Stadien I und II wurden von 1975 bis 1991 an der Universitaet Magdeburg behandelt und retrospektiv analysiert. Nach erfolgter hoher Semikastration erhielten 98 Patienten eine Strahlentherapie, 63 Patienten wurden einer retroperitonealen Lymphadenektomie unterzogen. 21 Patienten erhielten zusaetzlich eine adjuvante Chemotherapie. Die Fuenf-Jahres-Ueberlebensraten (Kaplan-Meier-Methode) betrugen 96% im Stadium I, 85% im Stadium IIA, 92% im Stadium IIB, 68% im Stadium IIC. Die Gesamtueberlebensraten fuer alle Stadien lagen nach zwei Jahren bei 95%, nach fuenf Jahren bei 92%, nach zehn Jahren bei 89%. Alle

  6. Radiation Therapy: Additional Treatment Options

    ... Cancer Upper GI Cancers Search x FIND A RADIATION ONCOLOGIST CLOSE SNIPEND TREATMENT TYPES SNIPSTART Home / Treatment ... novel targeted therapies can act as radiosensitizers. Systemic Radiation Therapy Certain cancers may be treated with radioactive ...

  7. Electrosmog. Effects of electromagnetic radiation. Elektrosmog. Die Wirkung elektromagnetischer Strahlung

    Nimtz, G. (Koeln Univ. (Germany)); Maecker, S. (Koeln Univ. (Germany). 2. Physikalisches Inst.)


    After a detailed explanation of the structure of electromagnetic fields, the authors discuss the mechanisms of interaction which affect biological systems in dependence of the size and frequency of electromagnetic fields. Natural and technical sources of radiation are discussed, as are the physical and physiological fundamentals from which limiting values and other protective measures are derived. The functions of national and international decision-making authorities are outlined, and addresses are given of public institutions in Germany to whom the reader may refer for further information. (orig./MG)

  8. Surgical treatment of intestinal radiation injury

    Maekelae, J.Ne.; Nevasaari, K.; Kairaluoma, M.I.


    A review of 43 consecutive patients requiring operation for serious intestinal radiation injury was undertaken to elucidate the efficacy of surgical treatment. The most common site of radiation injury was the rectum (19 cases), followed by the small bowel (13 cases), the colon (7 cases), and the combination of these (4 cases). The overall operative mortality was 14%; morbidity, 47%; and the postoperative symptom-free period, 18 +/- 30 months. Colostomy (N = 20) carried the lowest risk of mortality, 0%, as compared with resection (N = 17) and bypass procedure (N = 6), which were accompanied by the mortalities of 24% and 33%, respectively. During the follow-up (3-13 years) 12 patients (28%) died of recurrent cancer and 9 patients (21%) of persistent radiation injury, which yielded an overall mortality of 65% after resection and 50% and 65% after bypass and colostomy procedures, respectively. Continuing radiation damage led to 15 late reoperations. Ten of these were performed after colostomy, four after resection, and one after bypass. We conclude that colostomy cannot be regarded as a preferred operative method, because it does not prevent the progression of radiation injury and because it is, for this reason, associated with a higher late-complication rate. A more radical surgery is recommended but with the limitation that the operative method must be adapted to the operative finding.

  9. Study into the effects of hemopoietic growth factors on the radiation sensitivity of hemopoiesis and hemopoietic recovery; Untersuchungen ueber die Wirkung haemopoetischer Wachstumsfaktoren auf die Strahlenempfindlichkeit der Haemopoese und ihr Regenerationsvermoegen

    Nothdurft, W.; Kreja, L.; Selig, C.


    The report is dealing with experimental work performed to test therapy protocols by means of hemopoietic growth factor treatment which could be effective in accelerating hemopoietic recovery after total-body irradiation or partial-body irradiation. In dogs which were exposed to total-body irradiation (2.4 Gy) treatment with erythropoietin completely compensated the radiation induced damage to the erythroid lineage. Treatment with interleukin-6 stimulated megakaryocyte regeneration and platelet recovery in most of the animals but had adverse effects on the blood erythrocyte concentration. In dogs which had received upper body irradiation with a radiation dose of 11.7 Gy causing complete aplasia in 72% of the total bone marrow mass treatment with G-CSF (granulocyte colony-stimulating factor) and - to a lesser extent - with GM-CSF (granulocytemacrophage CSF) accelerated hemopoietic recovery in the damaged sites. (orig.) [Deutsch] Der Bericht befasst sich mit tierexperimentellen Untersuchungen, mit denen geprueft wurde, inwieweit es moeglich ist, die Regeneration der Haemopoese nach homogener Ganzkoerperbestrahlung sowie Teilkoerperbestrahlung durch Anwendung von haemopoetischen Wachstumsfaktoren zu foerdern. Bei Hunden, die eine Ganzkoerperbestrahlung (2,4 Gy) erhalten hatten, konnte die Strahlenschaedigung der Erythropoese durch Behandlung mit Erythropoetin gaenzlich kompensiert werden. Durch Behandlung mit Interleukin-6 wurde die Regeneration der Megakaryozytopoese bei den meisten Tieren deutlich beschleunigt, die Erythrozytenkonzentration aber negativ beeinflusst. Bei Hunden, bei denen 72% der gesamten Knochenmarkmasse durch Bestrahlung des Vorderkoerpers mit einer Strahlendosis von 11,7 Gy zerstoert wurde, konnte die Regeneration des zerstoerten Knochenmarks durch kurzzeitige Behandlung mit den beiden haemopoetischen Wachstumsfaktoren GM-CSF (=Granulozyten/Makrophagen-Kolonien stimulierender Faktoren) und G-CSF beschleunigt werden. (orig.)

  10. The equivalent layer density in case of dust radiation; Die gleichwertige Schichtdicke bei Staubstrahlung

    Schoenwetter, M.


    As in the case of the gas radiation, also the influence of geometry on the emissivity of isothermal scattering media can be reduced to an equivalent layer thickness. For this, the absorption and scattering terms of the radiation transfer equation are summed up by a factor K. This factor takes account of the fact that scattering will lengthen the absorption pathways relative to the emission pathways. Exact calculations of emissivity by a Monte Carlo method show good agreement with the approximation method. The new model can also take acount of transmissivity and backscattering. With the confined space method, radiation exchange between an isothermally scattering medium and its boundary surfaces can be calculated easily and in good approximation. [German] Analog zur Gasstrahlung laesst sich der Geometrieeinfluss auf den Emissionsgrad isothermer streuender Medien auf eine gleichwertige Schichtdicke zurueckfuehren. Hierzu werden die Absorptions- und Streuterme der Strahlungstransportgleichung durch einen Faktor K zusammengefasst. Dieser Faktor beruecksichtigt, dass durch die Streuung die Absorptionswege relativ zu den Emissionswegen verlaengert werden. Exakte Berechnungen der Emissionsgrade mit einem Monte-Carlo-Verfahren zeigten gute Uebereinstimmung mit dem entwickelten Naeherungsverfahren. Auch Transmissions- und Rueckstreugrade koennen mit dem neuen Modell bestimmt werden. Durch Anwendung der Methode des umschlossenen Raumes kann der Strahlungsaustausch zwischen einem isothermen streuenden Medium und seinen Begrenzungsflaechen leicht und in guter Naeherung berechnet werden. (orig.)

  11. Current treatments for radiation retinopathy

    Giuliari, Gian Paolo; Simpson, E. Rand (Princess Margaret Hospital, Univ. of Toronto, Dept. of Ophthalmology and Vision Sciences, Toronto (Canada)), e-mail:; Sadaka, Ama (Schepens Eye Research Inst., Boston, MA (United States)); Hinkle, David M. (Massachusetts Eye Research and Surgery Institution, Cambridge, MA (United States))


    Background. To review the currently available therapeutic modalities for radiation retinopathy (RR), including newer investigational interventions directed towards specific aspects of the pathophysiology of this refractory complication. Methods. A review of the literature encompassing the pathogenesis of RR and the current therapeutic modalities available was performed. Results. RR is a chronic and progressive condition that results from exposure to any source of radiation. It might be secondary to radiation treatment of intraocular tumors such as choroidal melanomas, retinoblastomas, and choroidal metastasis, or from unavoidable exposure to excessive radiation from the treatment of extraocular tumors like cephalic, nasopharyngeal, orbital, and paranasal malignancies. After the results of the Collaborative Ocular Melanoma Study, most of the choroidal melanomas are being treated with plaque brachytherapy increasing by that the incidence of this radiation complication. RR has been reported to occur in as many as 60% of eyes treated with plaque radiation, with higher rates associated with larger tumors. Initially, the condition manifests as a radiation vasculopathy clinically seen as microaneurysms and telangiectasis, with posterior development of retinal hard exudates and hemorrhages, macular edema, neovascularization and tractional retinal detachment. Regrettably, the management of these eyes remains limited. Photodynamic therapy, laser photocoagulation, oral pentoxyphylline and hyperbaric oxygen have been attempted as treatment modalities with inconclusive results. Intravitreal injections of anti-vascular endothelial growth factor such as bevacizumab, ranibizumab and pegaptanib sodium have been recently used, also with variable results. Discussion. RR is a common vision threatening complication following radiation therapy. The available therapeutic options are limited and show unsatisfactory results. Further large investigative studies are required for developing

  12. Radiation treatment of molasses

    Rodríguez, A. S.; Serrano G., J.; Lara R., O.; Reyes L., J.

    Molasses are a by-product of the sugar industry. Their annual production in México in around 1 million tons and are mainly used as a complement for animal feeding and for the production of alcohols. Their value is relatively low compared with another chemicals. When molasses are irradiated with gamma radiation or accelerated electrons, in presence of nitric acid and oxygen, it is obtained oxalic acid and several polymeric compounds. In both cases, the same products are obtained, but the yield is greater with electrons. It has been studied the effect of dose and dose rate in the yields. As example, when mixtures of molasses-nitric acid, with an initial concentration of 26% of total sugar reductors, are irradiated with 1.0 MeV electrons, in a continuous flow reactor, at 0.11 {Gy}/{sec} to a total dose of 30 KGy, the oxalic acid yield is around 44% of the total chemical reductors used. The separations of the radiolytic products was made by successive decantations and concentrations, and purified by recristallizations. From the analytical information, the minimal formula were calculated for the acid product and the polymeric compounds.

  13. Operative treatment of radiation-induced fistulae

    Balslev, I.; Harling, H.


    Out of 136 patients with radiation-induced intestinal complications, 45 had fistulae. Twenty-eight patients had rectovaginal fistulae while the remainder had a total of 13 different types of fistulae. Thirty-seven patients were treated operatively and eight were treated conservatively. Thirty-three patients were submitted to operation for rectal fistulae. Of these, 28 were treated by defunctioning colostomy, three were treated by Hartmann's method and resection and primary anastomosis was carried out in two patients. In the course of the period of observation, 35% of the patients developed new radiation damage. The frequency in the basic material without fistulae was 21% (0.05died of recurrence as compared with patients with other lesions (p<0.01). Defunctioning colostomy in the treatment of rectal fistula is a reasonable form of treatment in elderly patients and in case of recurrence. Younger patients should be assessed in a special department in view of the possibility of a sphincter-preserving procedure following resection of the rectum and restorative anastomosis. 11 refs.

  14. The power of MAIC and the challenges for radiation protection; Die Macht des MAIK und die Herausforderungen fuer den Strahlenschutz

    Gellermann, R.


    The ''radioactive'' radiation has proved to be a medial usable theme of the anti-nuclear movement in recent decades. This has caused significant political changes in Germany. The article tries to outline a phenomenon that can be described as Medial-Antinuclear Interests Complex (MAIC). The views on radiation and radiation risks propagated by MAIC to the public have demonized the disposal of radioactive waste. This results in situations, which tacitly accept unnecessary risks for the population. A new approach for raising the public awareness in particular regarding long-term safety and radiation protection is possible and necessary.

  15. Temperate radiations and dying embers of a tropical past: the diversification of Viburnum.

    Spriggs, Elizabeth L; Clement, Wendy L; Sweeney, Patrick W; Madriñán, Santiago; Edwards, Erika J; Donoghue, Michael J


    We used a near-complete phylogeny for the angiosperm clade Viburnum to assess lineage diversification rates, and to examine possible morphological and ecological factors driving radiations. Maximum-likelihood and Bayesian approaches identified shifts in diversification rate and possible links to character evolution. We inferred the ancestral environment for Viburnum and changes in diversification dynamics associated with subsequent biome shifts. Viburnum probably diversified in tropical forests of Southeast Asia in the Eocene, with three subsequent radiations in temperate clades during the Miocene. Four traits (purple fruits, extrafloral nectaries, bud scales and toothed leaves) were statistically associated with higher rates of diversification. However, we argue that these traits are unlikely to be driving diversification directly. Instead, two radiations were associated with the occupation of mountainous regions and a third with repeated shifts between colder and warmer temperate forests. Early-branching depauperate lineages imply that the rare lowland tropical species are 'dying embers' of once more diverse lineages; net diversification rates in Viburnum likely decreased in these tropical environments after the Oligocene. We suggest that 'taxon pulse' dynamics might characterize other temperate plant lineages. © 2015 The Authors. New Phytologist © 2015 New Phytologist Trust.

  16. Solar reactors for freshwater treatment in developing countries with high radiation intensity, with particular regard to part-project No. 1: Microbiology, process conception. Final report; Solarreaktoren fuer die Trinkwasseraufbereitung in Entwicklungslaendern mit hoher Sonnenstrahlungsintensitaet unter besonderer Beruecksichtigung von Teilprojekt 1: Mikrobiologie, Verfahrenskonzeption. Schlussbericht

    Watzke, E.; Roth, M.; Hoffmeier, C.


    Simple and low-cost systems for freshwater disinfestation for developing countries with high solar radiation intensity were investigated for the purpose of providing freshwater of better microbiological quality to a wider population in order to prevent infectious diseases, especially diarrhoea diseases. The bactericidic effects of short-wave and long-wave solar radiation of the UV and NIR range in combination with heat were investigated. Special glasses with high UV-permeability were developed and tested for their applicability as tube materials in freshwater disinfestation systems. the systems were designed and constructed with a view to utilising the synergistic effects of UV and thermal radiation. For higher efficacy, the water is kept in an insulated tank at elevated temperature for several hours. Further, special-purpose glass vessels with high UV permeability were developed for disinfestation. In a follow-up project, long-term tests will be carried out in practical conditions in developing countries. [German] Das Ziel der Verbundforschung bestand in der Entwicklung einfacher, kostenguenstiger Anlagen und Vorrichtungen zur Trinkwasserentkeimung in Entwicklungslaendern mit hoher Sonnenstrahlungsintensitaet. Es soll damit ein Beitrag zur Bereitstellung von Trinkwasser mit wesentlich verbesserter mikrobiologischer Qualitaet fuer breite Bevoelkerungsschichten geleistet werden, um Infektionskrankheiten, insbesondere Diarrhoeerkrankungen zurueckzudraengen. Die bakterizide Wirkung der kurz- und langwelligen Sonnenstrahlung im UV- bzw. NIR-Bereich in Kombination mit Waermeeinwirkungen wurde untersucht. Spezielle hoch UV-durchlaessige Glaeser wurden entwickelt und ihre Eignung fuer einen Einsatz in Trinkwasserentkeimungsanlagen (TWEA) getestet. Mit hoch UV-druchlaessigen Rohren aus Spezialglaesern ausgeruestete TWEA wurden konstruiert und gebaut, mit denen der synergistische Effekt von UV- und Waermestrahlung der Sonne zur Trinkwasserdesinfektion genutzt wird. Zur

  17. Radiation recall dermatitis after docetaxel chemotherapy. Treatment by antioxidant ointment

    Duncker-Rohr, Viola; Freund, Ulrich; Momm, Felix [Ortenau-Klinikum Offenburg-Gengenbach Lehrkrankenhaus der Albert-Ludwigs-Universitaet Freiburg i. Br., Radio-Onkologie, Offenburg (Germany)


    Radiation recall dermatitis (RRD) is an acute skin toxicity caused by different anticancer or antibiotic drugs within a former completely healed irradiation field. Predictive factors for RRD are not known and its mechanisms are not completely understood. A case of RRD induced by docetaxel and successfully treated by an antioxidant ointment (Mapisal {sup registered}) is presented here. Such an ointment might be useful not only in RRD therapy, but also in the treatment of high-grade dermatitis induced by radiotherapy and thus may contribute to the improvement of patients' quality of life and to the scheduled completion of cancer therapies. (orig.) [German] Die Strahlen-Recall-Dermatitis (RRD) ist eine akute Hauttoxizitaet, die durch verschiedene Chemotherapeutika oder Antibiotika innerhalb eines frueheren, komplett abgeheilten Bestrahlungsfelds hervorgerufen wird. Praediktive Faktoren fuer die RRD sind nicht bekannt und ihr Mechanismus ist nicht vollstaendig geklaert. Es wird ein Fallbericht einer durch Docetaxel induzierten RRD dargestellt, die erfolgreich mit einer antioxidativen Salbe (Mapisal {sup registered}) behandelt wurde. Solche Salben koennten nicht nur zur Therapie der RRD, sondern auch bei der Behandlung einer akuten Dermatitis waehrend der Strahlentherapie nuetzlich sein und damit zur Verbesserung der Lebensqualitaet der Patienten und zur planmaessigen Durchfuehrung der Tumortherapie beitragen. (orig.)

  18. Thermal waste treatment in China; Die thermische Abfallbehandlung in China

    Buekens, Alfons; Yan, Mi; Jiang, Xuguan; Li, Xiaodong; Lu, Shengyong; Chi, Yong; Yan, Jianhua; Cen, Kefa [Zhejiang Univ. (China). Dept. of Energy Engineering; Vehlow, Juergen [Karlsruher Institut fuer Technologie (KIT), Eggenstein-Leopoldshafen (Germany). Inst. fuer Technische Chemie


    Increasing industrialisation and urbanisation as well as fast changing consumption habits in China entail a dramatic increase in waste generation. This development goes along with a severe lack in landfill sites, especially in densely populated areas. In combination with today's growing demand for aftercare free disposal the Chinese government decided to focus on thermal treatment, preferentially with energy recovery, of all types of waste as the only environmentally compatible pre-treatment option prior to final disposal. This principle is followed by the authorities despite entailing costs and recently in few places emerging public concern over this technology. The first incineration plant for municipal solid waste in China using imported technology was commissioned in 1988. Further such plants built during the following years had severe problems with the low calorific value of Chinese waste and failed often to achieve acceptable burnout. This fact and the high costs initiated at the end of the last century the development of a circulating fluidised bed incinerator at the University of Zhejiang which burns residential waste with an addition of 20 % of coal to increase its heating value. This strategy enables a well controlled combustion with burnout as well as emission figures, including those for dioxins, which easily comply with the actual Chinese air emission limits. These are to a great extent comparable with those of the EU Incineration Directive. This technology has successfully entered the market between 2000 and 2010 and will most likely, together with a similar type developed by the Tsinghua University, become the backbone of Chinese waste incineration in future due to its moderate costs and excellent performance. (orig.)

  19. Symptoms, treatment and "dying peacefully" in terminally ill cancer patients: a prospective study

    Georges, J.J.; Philipsen, B.D.; Heide, van der A.; Wal, van der G.; Maas, van der P.J.


    GOALS: The aims of this study were to describe the symptoms, their treatment during the final months of life of terminally ill cancer patients and to assess characteristics of the dying process. PATIENTS AND METHODS: We used a prospective study design. From a representative sample of physicians who

  20. Radiation treatment and radiation reactions in dermatology. 2. ed.

    Panizzon, Renato G. [Univ. Hospital CHUV, Lausanne (Switzerland). Dept. of Dermatology; Seegenschmiedt, M. Heinrich (ed.) [Strahlenzentrum Hamburg (Germany)


    Explains the use of radiation treatment in the full range of skin cancers and precancerous lesions. Covers physical and radiobiological principles, dose definitions, radiation reactions, and risk assessments. Revised and updated edition that includes new chapters and numerous additional figures. In this book, leading experts in the dermatological and oncological field describe the use of radiation therapy for the treatment of the full range of dermatological malignancies - including basal cell carcinoma, squamous cell carcinoma, cutaneous lymphomas, Kaposi's sarcoma, melanoma, and Merkel cell tumor - as well as those precancerous lesions and non-malignant dermatological disorders which are amenable to radiation therapy. In each case the specific indications for the use of radiotherapy and its application are clearly explained with the aid of numerous high-quality illustrations. In addition, the book provides a concise introduction to physical and radiobiological principles, selection of radiation factors, dose definitions, radiation reactions, and risk assessments. The new edition has been thoroughly revised and updated to reflect advances in practical knowledge and clinical practice. It will be an invaluable source of information on the management of skin tumors and related non-malignant disorders for both dermatologists, oncologists and radiation oncologists.

  1. Does withdrawing life-sustaining treatment cause death or allow the patient to die?

    McGee, Andrew


    This article discusses recent arguments of Franklin Miller and Robert Truog about withdrawal of life-sustaining treatment and causation. The authors argue that traditional medical ethics, and the law, are mistaken to take the view that withdrawal merely allows the patient to die, rather than causing the patient's death, describing such a view as 'patently false'. They argue that the law's continued position to the contrary stems from a moral bias, resulting in the moral and legal fiction that withdrawal does not cause death but lets the patient die. In so arguing, Miller and Truog join a long line of academic criticism of the law that extends back to the seminal decision of Airedale NHS Trust v Bland [1993] AC 789 (HL) and beyond. In this article, I take issue with these claims. I argue that there are reasonable grounds upon which traditional medical ethics and the law can regard withdrawal of life-sustaining treatment as allowing the patient to die rather than causing death, and so the authors' claims that such a view is patently false cannot be sustained. I then tease out the implications of my conclusions for the authors' claim that there is not such a great distinction between withdrawal of life-sustaining treatment, euthanasia, and assisted dying. I conclude by discussing some possible objections to my own view.

  2. Balloonkyphoplasty in the treatment of back pain; Die Ballonkyphoplastie in der Behandlung des Rueckenschmerzes

    Noeldge, G.; Libicher, M.; Kauffmann, G.W. [Radiologische Universitaetsklinik, Abteilung Radiodiagnostik, Heidelberg (Germany); DaFonseca, K.; Meeder, P.J. [Chirurgische Klinik der Universitaet Heidelberg (Germany). Abteilung Unfall- und Wiederherstellungschirurgie; Grafe, I.; Kasperk, C. [Medizinische Klinik I der Universitaet Heidelberg (Germany). Abteilung Osteologie; Hillmeier, J. [St.-Vincenz-Krankenhaus Limburg (Germany). Abteilung fuer Unfall- und orthopaedische Chirurgie


    Experience of just under 5 years has shown that balloon kyphoplasty can be just as successfully employed as the longer-stablished vertebroplasty for the treatment of back pain due to recent or prior osteoporotic fractures as well as new traumatic fractures. Among 345 patients with a total of 690 treated vertebral bodies, the change in pain symptomatology was analyzed for a follow-up period of 12 months in 40 study patients who underwent kyphoplasty and a control group of 20 patients. In addition, the pain experienced by a further 29 patients with new traumatic vertebral body fractures was monitored over a 12-month period. These fractures were partly managed by fixateur interne alone and by a combination of fixateur interne and kyphoplasty. The 40 patients treated by kyphoplasty had a baseline VAS score of 26.2{+-}2.00, which increased to 44.4{+-}3.11 after 12 months, while the respective scores for the control group were 33.6{+-}4.21 and 34.3{+-}4.35. In the 29 patients with new traumatic vertebral body fractures, the initial VAS score was 62 and after 12 months a distinct reduction of pain was noted with a score of 20 (100 = maximum pain, 0 = no pain). The number of times that the 40 patients managed by kyphoplasty had to consult their general practitioner was significantly reduced by the pain therapy. Balloon kyphoplasty verifiably improved the pain symptomatology after vertebral fracture over a period of 12 months. Comparison with the control group, which received the same osteoporosis drug therapy, confirmed the effect of this minimally invasive treatment form. (orig.) [German] Die Ballonkyphoplastie hat nach der bisherigen Erfahrung von knapp 5 Jahren bewiesen, dass sie ebenso wie die deutlich laenger etablierte Vertebroplastie den Rueckenschmerz aufgrund frischer und aelterer osteoporotischer sowie frischer traumatischer Frakturen erfolgreich zu behandeln vermag. Bei 345 Patienten mit insgesamt 690 behandelten Wirbelkoerpern wurde die Veraenderung der

  3. Cellulose destruction under successive thermal and radiation treatment. [Gamma radiation

    Ershov, B.G.; Komarov, V.B.


    The influence of successive thermal and radiation effect on cellulose is investigated. The samples were ..gamma.. irradiated (/sup 60/Co) with a dose rate of 20 kGy/h (the absorbed doses ranged from 0 to 80 kGy) and heated up to 190 deg C. It is shown that the attainment of the same destruction depth for the heated-up cellulose occurs at noticeably lower absorbed doses than for the cellulose which has not been subjected to thermal treatment. For successive thermal and radiation treatment of cellulose the ratio S=S therm.+Ssub(rad) where S is a number of broken bonds in a macromolecule is correct. The radiation-chemical yield of cellulose destruction is determined to be: G=7.3 +- 0.1 mol/100 eV.

  4. Pelvic radiation disease: Updates on treatment options

    Frazzoni, Leonardo; La Marca, Marina; Guido, Alessandra; Morganti, Alessio Giuseppe; Bazzoli, Franco; Fuccio, Lorenzo


    Pelvic cancers are among the most frequently diagnosed neoplasms and radiotherapy represents one of the main treatment options. The irradiation field usually encompasses healthy intestinal tissue, especially of distal large bowel, thus inducing gastrointestinal (GI) radiation-induced toxicity. Indeed, up to half of radiation-treated patients say that their quality of life is affected by GI symptoms (e.g., rectal bleeding, diarrhoea). The constellation of GI symptoms - from transient to long-term, from mild to very severe - experienced by patients who underwent radiation treatment for a pelvic tumor have been comprised in the definition of pelvic radiation disease (PRD). A correct and evidence-based therapeutic approach of patients experiencing GI radiation-induced toxicity is mandatory. Therapeutic non-surgical strategies for PRD can be summarized in two broad categories, i.e., medical and endoscopic. Of note, most of the studies have investigated the management of radiation-induced rectal bleeding. Patients with clinically significant bleeding (i.e., causing chronic anemia) should firstly be considered for medical management (i.e., sucralfate enemas, metronidazole and hyperbaric oxygen); in case of failure, endoscopic treatment should be implemented. This latter should be considered the first choice in case of acute, transfusion requiring, bleeding. More well-performed, high quality studies should be performed, especially the role of medical treatments should be better investigated as well as the comparative studies between endoscopic and hyperbaric oxygen treatments. PMID:26677440

  5. Radiation treatment of ovarian cancer

    Morita, S.; Arai, T.; Kurisu, A. (National Inst. of Radiological Sciences, Chiba (Japan))


    We evaluated the clinical results obtained in 129 primary malignant ovarian cancer patients who had been treated by 4 modes of postoperative irradiation between 1961 and 1980 at NIRS. The 3- and 5-year survival rates were 52% (45/86) and 43% (32/75) in total and 71% (20/28) and 59% (10/17) in whole abdominal irradiation cases, respectively. Leucopenia (>2,000) occurred in 48%, ileus in 5.2% of the latter cases. The necessity of combining radiation therapy with surgery and chemotherapy was emphasized.

  6. Improved life of die casting dies of H13 steel by attaining improved mechanical properties and distortion control during heat treatment. Year 1 report, October 1994--September 1995

    Wallace, J.F.; Schwam, D. [Case Western Reserve Univ., Cleveland, OH (United States)


    Optimum heat treatment of dies (quenching) is critical in ensuring satisfactory service performance: rapid cooling rates increase the thermal fatigue/heat checking resistance of the steel, although very fast cooling rates can also lead to distortion and lower fracture toughness, increasing the danger of catastrophic fracture. Goal of this project is to increase die life by using fast enough quenching rates (> 30 F/min ave cooling rate from 1750 to 550 F, 1/2 in. below working surfaces) to obtain good toughness and fatigue resistance in Premium grade H-13 steel dies. An iterative approach of computer modeling validated by experiment was taken. Cooling curves during gas quenching of H-13 blocks and die shapes were measured under 2, 5, and 7.5 bar N2 and 4 bar Ar. Resulting dimensional changes and residual stresses were determined. To facilitate the computer modeling work, a database of H-13 mechanical and physical properties was compiled. Finite element analysis of the heat treated shapes was conducted. Good fit of modeled vs measured quenched rates was demonstrated for simple die shapes. The models predict well the phase transformation products from the quench. There is good fit between predicted and measured distortion contours; however magnitude of predicted distortion and residual stresses does not match well the measured values. Further fine tuning of the model is required.

  7. Hyperbaric oxygen treatment for haemorrhagic radiation cystitis

    Bevers, R.F.M.; Kurth, K.H. [Amsterdam Univ. (Netherlands). Academic Medical Center; Bakker, D.J. [Amsterdam Univ. (Netherlands). Depts. of Urology and Surgery


    Radiation-induced severe haemorrhagic cystitis is difficult to treat. Conventional treatments may decrease haematuria but do not affect the radiocystitis itself. Hyperbaric oxygen treatment has been reported to do both. We report the results of a prospective study of hyperbaric oxygen (20 sessions of 100% oxygen inhalation at 3 bar for 90 min in a multiplace hyperbaric chamber) to 40 patients with biopsy-proven radiation cystitis and severe haematuria. Haematuria disappeared completely or improved in 37 patients after treatment. Mean follow-up was 23.1 months (range 1-74); and the recurrence rate was 0.12/year. There were no adverse effects. Hyperbaric oxygen treatment should be considered for patients with severe radiation-induced haematuria. (author).

  8. Influence of chemical heat treatment on the mechanical properties of paper knife-edge die

    K. Dybowski


    Full Text Available Purpose: In this article mechanical properties together with wear mechanism of paper knife-edge die made of A 681 steel with TiN, TiCN and DLC coating were analyzed. A Paper knife-edge die using in stamping machine, serves a map of complicated graphical projects. However wear resistance is strongly dependent on chemical composition of a paper mainly on the TiO2 content.Design/methodology/approach: In order to optimize the wear resistance of analyzed paper knife-edge die, influence of HS6-5-2 and A 681 substrate with Duplex treatment (vacuum nitriding/ TiN, TiCN and DLC antiwear coatings deposition were compared. Morphology and mechanical properties (hardness, adhesion were measured.Findings: The present results show that the duplex treatment (nitriding/TiN is a very promising technology for protection of paper knife-edge dies due to the uniform, dense structure with a high adhesion to the HS6-5-2 substrate. Hybrid layer fabricated by the gas nitriding and vacuum arc deposition presented improved mechanical properties.Research limitations/implications: In further examinations to compare the results obtained for each layer it should be taken into consideration to manufacture the gradient DLC layers onto nitrided high-speed cutting steel. For full analysis of worked out technology additional examinations concerning investigation of friction coefficient and wear resistance and corrosion features of deposited layers should be conducted.Originality/value: Our experiments provide in this case the evidence of increased mechanical properties of HS6-5-2 steel together with Duplex treatment (TiN coating instead of A 681 substrate with TiN or TiCN coating.

  9. The role of radiotherapy in the treatment of meningeal melanocytoma; Die Rolle der Strahlentherapie bei der Behandlung des Meningealen Melanozytoms

    Rades, D.; Fehlauer, F.; Alberti, W. [Klinik und Poliklinik fuer Strahlentherapie und Radioonkologie, Universitaetsklinikum Hamburg-Eppendorf (Germany); Schild, S. [Mayo Clinic, Scottsdale, Arizona (United States). Dept. of Radiation Oncology; Tatagiba, M. [Klinik fuer Neurochirurgie, Eberhard-Karls-Universitaet Tuebingen (Germany); Molina, H. [Clinica y Maternidad Suizo-Argentina, Buenos Aires (Argentina). Lab. of Neuropathology


    Because of its great rarity an optimal therapeutic regime for this entity has yet to be found. This holds especially for the role of radiotherapy following incomplete resection. The present analysis compares four therapeutic regimes in terms of local control and survival, thus contributing to the formulation of an optimal treatment concept. [German] Angesichts der grossen Seltenheit dieser Entitaet ist das optimale Therapieregime bislang nicht hinreichend geklaert. Dies gilt insbesondere fuer die Rolle der Strahlentherapie nach inkompletter Resektion. Die vorliegende Analyse vergleicht vier Therapieschemata im Hinblick auf die lokale Kontrolle und das Gesamtueberleben, um einen Beitrag zur Definition eines optimalen Behandlungskonzepts zu leisten. (orig.)

  10. Radiation treatment of superior sulcus lung carcinoma

    Millar, J.; Ball, D.; Worotniuk, V.; Smith, J.; Crennan, E.; Bishop, M. [Peter MacCallum Cancer Inst., East Melbourne, VIC (Australia)


    The survival of patients with superior sulcus lung carcinoma and the effects of treatment were reviewed. From a prospective database of 4123 consecutive new patients with lung carcinoma, 131 (3.2%) cases of superior sulcus lung carcinoma were identified. Seventy-four patients were planned to receive radiation with palliative intent, 53 radical radiotherapy and one was observed only. The remaining three patients, with small-cell carcinoma, were treated with chemotherapy with or without radiotherapy. Of the 53 radically treated patients, nine were treated with pre-operative radiation prior to intended radical resection. Analysis was carried out on the effect on survival of performance status, nodal involvement, weight loss, vertebral body or rib involvement, treatment intent and radical combined modality treatment compared with radical radiation alone. The estimated median survival for the whole group was 7.6 months; for those treated radically it was 18.3 months, while for the palliatively treated patients it was 3.7 months. Radically treated patients with no initial nodal involvement had an estimated median survival of 22 months, while radically treated patients with nodal involvement had an estimated median survival of 8.4 months (P = 0.003). There were no statistically significant differences in survival between radically treated patients grouped according to initial weight loss, performance status, or vertebral body and rib involvement. Patients treated with pre-operative radiation did not survive significantly longer than patients treated with radiation alone, although the numbers are small. 33 refs., 2 tabs., 4 figs.

  11. Bevacizumab treatment in malignant meningioma with additional radiation necrosis. An MRI diffusion and perfusion case study

    Bostroem, J.P. [University of Bonn Medical Center, Department of Neurosurgery, Bonn (Germany); MediClin Robert Janker Clinic and MVZ MediClin, Department of Radiosurgery and Stereotactic Radiotherapy, Bonn (Germany); Seifert, M.; Greschus, S. [University of Bonn Medical Center, Department of Radiology, Bonn (Germany); Schaefer, N.; Herrlinger, U. [University of Bonn Medical Center, Division of Clinical Neurooncology, Department of Neurology, Bonn (Germany); Glas, M. [University of Bonn Medical Center, Division of Clinical Neurooncology, Department of Neurology, Bonn (Germany); University of Bonn Medical Center, Stem Cell Pathologies, Institute of Reconstructive Neurobiology, Bonn (Germany); MediClin Robert Janker Clinic, Clinical Cooperation Unit Neurooncology, Bonn (Germany); Lammering, G. [MediClin Robert Janker Clinic and MVZ MediClin, Department of Radiosurgery and Stereotactic Radiotherapy, Bonn (Germany); MediClin Robert Janker Clinic, Clinical Cooperation Unit Neurooncology, Bonn (Germany); Heinrich-Heine-University of Duesseldorf, Department of Radiotherapy and Radiation Oncology, Duesseldorf (Germany)


    Recently two retrospective cohort studies report efficacy of bevacizumab in patients with recurrent atypical and anaplastic meningioma. Another successful therapeutic option of bevacizumab seems to be treatment of cerebral radiation necrosis. However, the antiangiogenic effects in MRI diffusion and perfusion in meningiomas have not been previously described in detail. The objective of this research was to evaluate the clinical and MR imaging effects of bevacizumab in a malignant meningioma patient harboring additional cerebral radiation necrosis. We report the case of an 80-year-old woman who underwent bevacizumab therapy (5 mg/kg every 2 weeks for 2 months) for treatment of a symptomatic radiation necrosis in malignant meningiomatosis of World Health Organization (WHO) grade III. The patient was closely monitored with MRI including diffusion and perfusion studies. Upon bevacizumab therapy, the clinical situation was well stabilized over a period of 4 months until the patient unfortunately died due to pneumonia/septicemia probably unrelated to bevacizumab therapy. Consecutive MRI demonstrated 4 important aspects: (1) considerable decrease of the contrast medium (CM)-enhanced radiation necrosis, (2) mixed response with respect to the meningiomatosis with stable and predominantly growing tumor lesions, (3) a new diffusion-weighted imaging (DWI) lesion in a CM-enhanced tumor as described in gliomas, which we did not interpret as a response to bevacizumab therapy, and (4) new thrombembolic infarcts, which are a known side-effect of bevacizumab treatment. Bevacizumab is effective in the treatment of radiation necrosis. We could not confirm the potential antitumor effect of bevacizumab in this patient. However, we could describe several new radiographic effects of bevacizumab therapy in malignant meningioma. (orig.) [German] In zwei aktuellen retrospektiven Kohortenstudien konnte eine Wirksamkeit von Bevacizumab bei Patienten mit rezidivierenden atypischen und

  12. Development of Radiation Technique for Environmental Treatment

    Lee, Myun Joo; Kuk, Il Hiun; Jin, Joon Ha (and others)


    The purpose of this research is to development of technologies for 1) the removal of toxic organic chemicals in sewage sludges and the volume reduction of the sewage sludge 2) the recycling/reuse of sewage sludge 3) the reconvey of resource from fishery waste by using radiation technologies. This research project focused on the study of treatment, disposal, and recycling/reuse of sewage sludge by radiation technology, and recovery of highly value-added resources from the wastes. As basic studies with a radiation technology, an enhancement of dewaterbilities of sewage sludge, development of dewatering conditioner, reduction of trace toxic organic chemicals, and the toxicities of the byproducts were studied. Based on the basic experimental results, we developed the pilot-scale system with the continuous e-beam and dewatering unit and the advanced treatment system with the use of carbon source recovered from sewage sludge.

  13. Treatment of Die-Punch Fractures with 3D Printing Technology.

    Chen, Chunhui; Cai, Leyi; Zhang, Chuanxu; Wang, Jianshun; Guo, Xiaoshan; Zhou, Yifei


    We evaluated the feasibility, accuracy and effectiveness of applying three-dimensional (3D) printing technology for preoperative planning for die-punch fractures. A total of 107 patients who underwent die-punch fracture surgery were enrolled in the study. They were randomly divided into two groups: 52 cases in the 3D model group and 55 cases in the routine group. A 3D digital model of each die-punch fracture was reconstructed in the 3D group. The 3D digital model was imported to a 3D printer to build the full solid model. The operation time, blood loss volume, and the number of intraoperative fluoroscopy were recorded. Follow-up was performed to evaluate the patients' surgical outcomes. Treatment of die-punch fractures using the 3D printing approach reduced the number of intraoperative fluoroscopy, blood loss volume, and operation time, but did not improve wrist function compared to those in the routine group. The patients wanted the doctor to use the 3D model to introduce the condition and operative plan because it was easier for them to understand. The orthopedic surgeons thought that the 3D model was useful for communicating with their patients, but their satisfaction with the preoperative plan was much lower than the benefit of using the 3D model to communicate with their patients. 3D printing technology produced more accurate morphometric information for orthopedists to provide personalized surgical planning and communicate better with their patients. However, it is difficult to use widely in the department of orthopedics.

  14. Classification and treatment of radiation maculopathy.

    Horgan, Noel


    PURPOSE OF REVIEW: Radiation maculopathy is a sight-limiting consequence of radiotherapy in the management of uveal melanoma and other intraocular tumors. In this review, we consider clinical, fluorescein angiographic and optical coherence tomographic findings, propose a classification for radiation maculopathy and discuss the management of this condition. RECENT FINDINGS: Radiation macular edema (RME) can be classified by optical coherence tomography into noncystoid or cystoid edema, with foveolar or extrafoveolar involvement. Optical coherence tomographic grading of RME has been found to correlate with visual acuity. Focal argon laser might have some limited benefit in the treatment of RME. Intravitreal triamcinolone and intravitreal antivascular endothelial growth factor agents can be of short-term benefit in the treatment of RME. In a randomized controlled trial, periocular triamcinolone significantly reduced rates of RME and vision loss up to 18 months following plaque radiotherapy for uveal melanoma. SUMMARY: Currently, there is no proven treatment for established RME, though periocular triamcinolone has been shown to have a preventive benefit. An accepted classification system for radiation maculopathy would be of benefit in planning and comparing future treatment trials.


    L. A. Glazkov


    Full Text Available The given paper presents a development of a technological process pertaining to hardening large-size parts made of die steel. The proposed process applies a water-air mixture instead of a conventional hardening medium that is industrial oil.While developing this new technological process it has been necessary to solve the following problems: reduction of thermal treatment duration, reduction of power resource expense (natural gas and mineral oil, elimination of fire danger and increase of process ecological efficiency. 

  16. Volume visualization in radiation treatment planning.

    Pelizzari, C A; Chen, G T


    Radiation treatment planning (RTP), historically an image-intensive discipline and one of the first areas in which 3D information from imaging was clinically applied, has become even more critically dependent on accurate 3D definition of target and non-target structures in recent years with the advent of conformal radiation therapy. In addition to the interactive display of wireframe or shaded surface models of anatomic objects, proposed radiation beams, beam modifying devices, and calculated dose distributions, recently significant use has been made of direct visualization of relevant anatomy from image data. Dedicated systems are commercially available for the purpose of geometrically optimizing beam placement, implementing in virtual reality the functionality of standard radiation therapy simulators. Such "CT simulation" systems rely heavily on 3D visualization and on reprojection of image data to produce simulated radiographs for comparison with either diagnostic-quality radiographs made on a simulator or megavoltage images made using the therapeutic beams themselves. Although calculation and analysis of dose distributions is an important component of radiation treatment design, geometric targeting with optimization based on 3D anatomic information is frequently performed as a separate step independent of dose calculations.

  17. Treatment of radiation enteritis: a comparison study

    Loiudice, T.A.; Lang, J.A.


    Twenty-four patients with severe radiation injury to the small bowel seen over a 4-year period were randomized to four treatment groups: 1) methylprednisolone 80 mg intravenously plus Vivonex-HN, 2 L/day po, 2) methylprednisolone 80 mg intravenously plus total parenteral nutrition, 2.5 L/day, 3) total parenteral nutrition, 2.5 L/day, and 4) Vivonex-HN, 2 L/day po. Patients received nothing by mouth except water in groups II and III, and only Vivonex-HN in groups I and IV. Patients were treated for 8-wk periods. Improvement was gauged by overall nutritional assessment measurements, nitrogen balance data and by radiological and clinical parameters. No significant difference between groups I, II, III, and IV could be found for age, sex, mean radiation dosage, time of onset after radiation therapy, or initial nutritional assessment data. Differences statistically could be found between groups II and III and I and IV regarding nutritional assessment data, nitrogen balance, radiographic and clinical parameters after therapy, with marked improvement noted in groups II and III. We conclude that a treatment regimen consisting of total parenteral nutrition and bowel rest is beneficial in the treatment of radiation enteritis. Methylprednisolone appears to enhance this effect and indeed, may be responsible for a longer lasting response.

  18. Regulatory requirements of radiation protection for veterinary nuclear medicine; Strahlenschutzrechtliche Voraussetzungen fuer die Nuklearmedizin in der Tierheilkunde

    Ernst-Elz, Andreas [Referat Strahlenschutz, Ministerium fuer Justiz, Gleichstellung und Integration des Landes Schleswig-Holstein, Kiel (Germany)


    The application of radionuclides for diagnostic and therapy in veterinary medicine requires permission by terms of German radiation protection ordinance. Conditions for granting this licence are described. Preconditions are the requisite qualification of the veterinarian and the structural conditions of radiation protection. It is necessary to consider the possible exposure of the public by radioactive waste and by animals after their discharge from treatment. (orig.)

  19. Consequences of the amended Biomass Waste Ordinance for biological waste treatment; Konsequenzen der novellierten Bioabfallverordnung fuer die biologische Abfallbehandlung

    Kehres, Bertram [Bundesguetegemeinschaft Kompost e.V. (BGK), Koeln (Germany)


    The amended Biomass Waste Ordinance will bring about changes in biological waste treatment to which operators of composting and fermenting plants will have to adapt. The contribution outlines the most relevant changes; at the time of publication, it was not known how the Bundesrat would decide with regard to the Amendment, probably in late March 2012. (orig.) [German] Die Novelle der Bioabfallverordnung wird fuer die biologische Abfallbehandlung verschiedene Veraenderungen mit sich bringen, auf die sich Betreiber von Kompostierungs- und von Vergaerungsanlagen einzustellen haben. Auf die wesentlichen Aenderungen wird in diesem Beitrag eingegangen. Zum Zeitpunkt der Abfassung dieses Beitrages ist allerdings noch nicht vollstaendig bekannt, wie der Bundesrat - voraussichtlich Ende Maerz 2012 - ueber die Novelle abschliessend entscheiden wird. (orig.)

  20. Consequences of the new radiation protection law on the radiation protection register and the occupational radiation protection; Auswirkungen des neuen Strahlenschutzgesetzes auf das Strahlenschutzregister und die berufliche Strahlenueberwachung

    Frasch, Gerhard


    The implementation of the guideline 2013/59/EURATOM has been performed in the new radiation protection law. The most important consequences of the new radiation protection law for the occupational radiation protection are the following: the introduction of an explicit personal indicator and the actualization of occupational categories for employees. These facts require technical and administrative reorganization in data transmission of the licensee to the regulatory monitoring executive and the radiation protection register.

  1. A special radiation shielding for the radiotherapy of a pregnant patient; Eine Spezialabschirmung fuer die Strahlentherapie von Schwangeren

    Buchgeister, M.; Mondry, A. [Bereich Medizinische Physik, Universitaetsklinik fuer Radioonkologie, Tuebingen (Germany); Spillner, P.; Paulsen, F.; Belka, C.; Bamberg, M. [Strahlentherapie, Universitaetsklinik fuer Radioonkologie, Tuebingen (Germany)


    Purpose: measurement of the radiation dose of different radiotherapy techniques with a phantom at the position of the uterus of a pregnant patient with and without a special radiation shielding. Material and methods: a special radiation shielding for the radiation therapy of a pregnant patient was constructed in the shape of a tunnel over the abdomen from 1 cm thick lead to reduce scatter radiation to the uterus and the fetus therein. The reduction of the scatter radiation to the lower abdomen was measured for three typical cases (cerebrum with lateral opposed fields, 6-MV photons; tangential fields for mamma irradiation, 6 MV; and anteroposterior-posteroanterior [AP-PA] opposed fields of 15 MV for treatment of the mediastinum) at an anthropomorphic Alderson phantom with thermoluminescence dosimeters in different depths and with an ionization chamber positioned in an RW3 solid water phantom. In the case of lateral opposed fields, a movable lead wall was additionally positioned next to the accelerator's head to reduce the scatter radiation from this source. Results: depending on the geometry of the radiation fields and on the photon energy, a reduction of the dose to the lower abdomen averaged over the depths of 6, 9, and 12 cm from 16% (15 MV, mediastinum case) to 51% (6 MV, cerebrum with additional lead wall) was achieved. The absolute scattered dose with shielding in place for a 2-Gy fraction dose results to 3.85 mGy and 0.27 mGy, respectively. Conclusion: national and international recommendations on the radiation dose to a fetus of a pregnant patient state limits of 200 mSv (DGMP report no. 7) and 100 mGy (ICRP 84), below which an abortion should not be considered and above which an indication for termination of the pregnancy could be given, respectively. The dose to the fetus can be kept below these limits with the shielding described in this work. Therefore, a radiation therapy of a pregnant patient is possible when these special precautions to reduce

  2. Die binding van die konfessie

    P. J. Coetzee


    Full Text Available Ons moet waak teen twee uiterstes. Aan die een kant het die dogma as onversoenlike vyand die dogmatisme en aan die ander kant die antidogmatisme — dit hou enersyds die gevaar in van verabsolutering (oorskatting, en ander- syds die gevaar van relativisme (onderskatting.

  3. Validation of an Austrian forecasting model for biologically effective UV radiation (UV index); Validierung des oesterreichischen Vorhersagemodells fuer die biologisch-effektive UV Strahlung (UV Index)

    Schauberger, G.; Schmalwieser, A. [Veterinaermedizinische Univ., Vienna (Austria). Inst. fuer Medizinische Physik


    Since October 1995 there has been an Austrian forecasting service for the next day's UV index for the three model domains Austria, Europe and world. This forecasting model uses spectral irradiation intensity data measured for 16 specific wavelengths, taking into account solar altitude, height above sea level and atmospheric ozone concentration. Weighting spectral irradiation intensity according to the spectral erythematous effect curve yields a measure of biologically effective UV radiation, and subsequent normalisation with respect to 25 mW{sub biol}/m-2 relates the result to the dimension figure for the UV index. The model has been validated by means of data obtained by continuous measurement with Robertson-Berger measuring devices (site of the Vienna Veterinary Hospital: 48 15 15.47'N; 16 25.98E; elevation 153 amsl). The spectral sensitivity of these instruments is approximately the same as that of the human skin to reddening. Combining the UV index with the expected UV dose for the day permits issuing recommendations for the most suitable sun protection factor in sunblock creams as a function of users' photobiological skin type. Users of the UV index are expected to have enough personal initiative to select the UV index that most closely corresponds to their local population situation. According to the principles of UV radiation protection the performance of the model is considered poor if the measured UV index is greater than the forecast index. This happens in approx. 12% of all cases. The error frequency of positive errors (forecast values greater than measured values) reflects the degree to which extinction of UV radiation through the population occurs, as the present model does not take this factor into account. [German] Seit Oktober 1995 wird in Oesterreich taeglich eine Prognose des UV-Index fuer die drei Modelldomaenen: Oesterreich, Europa und weltweit, geltend fuer den darauf folgenden Tag, erstellt. Das oesterreichische Prognosemodell

  4. Die instelling van die doop

    J. L. Venter


    Full Text Available Die eerste plek in die evangeliebeskrywings waar daar van die doop as ’n opdrag van Jesus Christus gepraat word en waar die betekenis die duidelikste uitkristalliseer, staan in Matteus 28 : 16 - 20. Heilshistories gesien, is dit die begin van kerklike inlywing van die wat gehoor het hoedat Jesus sy koninkryk proklameer, die evangelie aanvaar en tot bekering kom. Vir die doel van hierdie artikel word hierdie gedeelte ondersoek om te sien hoe die instelling geskied het, wat die plek en betekenis van die Christelike doop is.

  5. Negotiated dying: a grounded theory of how nurses shape withdrawal of treatment in hospital critical care units.

    Long-Sutehall, Tracy; Willis, Helen; Palmer, Rachel; Ugboma, Debra; Addington-Hall, Julia; Coombs, Maureen


    The process of withdrawal of treatment in critical care environments has created ethical and moral dilemmas in relation to end of life care in the UK and elsewhere. Common within this discourse is the differing demands made on health professionals as they strive to provide care for the dying patient and family members. Despite reports that withdrawal of treatment is a source of tension between those nurses and doctors involved in the process, the role of the nurse in facilitating withdrawal of treatment has received relatively little attention. To illustrate how differing dying trajectories impact on decision-making underpinning withdrawal of treatment processes, and what nurses do to shape withdrawal of treatment. Qualitative methods of enquiry using clinical vignettes and applying Charmaz's grounded theory method. Single audio-recorded qualitative interviews with thirteen critical care nurses from four intensive care specialities: cardiac; general; neurological and renal were carried out. Interviews were facilitated by an end-of-life vignette developed with clinical collaborators. Across critical care areas four key dying trajectories were identified. These trajectories were shaped by contested boundaries associated with delayed or stalled decision-making around how withdrawal of treatment should proceed. Nurses provided end of life care (including collaborative and action-oriented skills) to shape the dying trajectory of patients so as to satisfy the wishes of the patient and family, and their own professional aims. Differing views as to when withdrawal of treatment should commence and how it should be operationalised appeared to be underpinned by the requirements of the role that health professionals fulfil, with doctors focusing on making withdrawal of treatment decisions, and nurse's being tasked with operationalising the processes that constitute it. Multidisciplinary teams need a 'shared' understanding of each other's roles, responsibilities, aims, and

  6. Radiation therapy of intracranial germinomas: optimum radiation dose and treatment volume

    Chang, Sei Kyung [Eulji Medical College, Taejon (Korea, Republic of); Suh, Chang Ok; Kim, Gwi Eon [College of Medicine, Yonsei Univ., Seoul (Korea, Republic of)


    To evaluate the possibility of decreasing the radiation dose and to determine optimum treatment volume in intracranial germinomas. Forty five patients with pathologically-verified or presumed germinomas by a radiosensitivity test who had been treated with radiotherapy (RT) alone between 1971 and 1992 were retrospectively analyzed. The average age was 17.2 years with 68.9% of the patients being between the ages of 10-20. The male and female ratio was 2.2:1. The locations of the primary tumors were at the pineal regions in 14 patients; the suprasellar regions in 12 patients; and multiple sites in 12 patients. Treatment volumes varied from a small local field (1Q) to the whole brain (7) or entire neuroaxis irradiation(28). All the cases after 1982 received craniospinal irradiation (CSI). Radiation .doses were 41-59 Gv (median 48.5 Gy) to the primary tumor site and 19.5-36 Gy (median 24 Gy) to the neuroaxis. The median follow-up period was 82 months with a range of 2-260 months. All the patients showed complete response after AT. Four patients suffered from recurrence 14. 65. 76, and 170 months after AT,. respectively, and two patients died with intercurrent disease. One of four recurrent cases was salvaged by re-irradiation. Therefore, a 5 and 10 year overall survival was 95.3 % and 84.7 % respectively. Five and ten year disease free survival was 97.6 % and 88.8 % respectively. All the recurrences occurred in the patients who received local RT (3/10) or whole brain RT (1/7) with a radiation dose of 48-50 Gy. None of the patients who received CSJ suffered recurrence. There was no recurrence among the 15 patients who received 45 Gy to the primary site and the 18 patients who received 24 Gy (6 patients received 19.5 Gy) to the neuroaxis. CSI is recommended for the treatment of intracranial germinomas. The radiation dose can be safely decreased to {<=}45 Gy on a primary tumor site and 19.5 Gy on the spine.

  7. Sucralfate for the treatment of radiation induced mucositis; Einsatz von Sucralfat in der Radioonkologie

    Belka, C. [Univ. Tuebingen (Germany). Abt. fuer Strahlentherapie; Hoffmann, W. [Univ. Tuebingen (Germany). Abt. fuer Strahlentherapie; Paulsen, F. [Univ. Tuebingen (Germany). Abt. fuer Strahlentherapie; Bamberg, M. [Univ. Tuebingen (Germany). Abt. fuer Strahlentherapie


    Purpose: Radiotherapy, a cornerstone in the management of head and neck cancer, pelvic cancer, and esophageal cancer is associated with a marked mucosal toxicity. Pain, malnutrition and diarrhea are the most prevalent clinical symptoms of radiation induced mucosal damage. Because there is no known way to obviate radiation mucositis all efforts to prevent aggravation and accelerate healing of mucosal changes are of great importance. Numerous agents including antimicrobials, local and systemic analgesics, antiinflammatory drugs, antidiarrheal drugs, in combination with intensive dietetic care are used to relieve symptoms. Recently coating agents like the polyaluminum-sucrose complex sucralfate were suggested for the prevention and treatment of mucosal reactions. Since sucralfate protects ulcerated epithelium by coating, liberates protective prostaglandins and increases the local availability of protective factors this drug might directly interact with the pathogenesis of mucositis. Patients and Method: The results of available studies are analysed and discussed. Results: The results of several studies indicate that sucralfate treatment especially during radiotherapy for pelvic cancer leads to a significant amelioration of clinical symptoms and morphological changes. An application of sucralfate during radiotherapy of head and neck cancer reveals only limited benefits in most studies performed. Conclusion: Nevertheless sucralfate is a save, cheap and active drug for the prevention and treatment of radiation mucositis especially in patients with pelvic irradiation. (orig.) [Deutsch] Hintergrund: Schleimhautreaktionen stellen eine wesentliche akute und chronische Nebenwirkung radioonkologischer Therapieverfahren dar. Klinisch im Vordergrund stehen Schmerzen, Ernaeherungsprobleme und Durchfaelle. Da bislang keine kausalen Therapie- oder Prophylaxemassnahmen bekannt sind, erfolgt die Behandlung symptomorientiert. Hierbei kommen insbesondere lokale und systemische

  8. The timing of death in patients with tuberculosis who die during anti-tuberculosis treatment in Andhra Pradesh, South India

    Jonnalagada Subbanna


    Full Text Available Abstract Background India has 2.0 million estimated tuberculosis (TB cases per annum with an estimated 280,000 TB-related deaths per year. Understanding when in the course of TB treatment patients die is important for determining the type of intervention to be offered and crucially when this intervention should be given. The objectives of the current study were to determine in a large cohort of TB patients in India:- i treatment outcomes including the number who died while on treatment, ii the month of death and iii characteristics associated with "early" death, occurring in the initial 8 weeks of treatment. Methods This was a retrospective study in 16 selected Designated Microscopy Centres (DMCs in Hyderabad, Krishna and Adilabad districts of Andhra Pradesh, South India. A review was performed of treatment cards and medical records of all TB patients (adults and children registered and placed on standardized anti-tuberculosis treatment from January 2005 to September 2009. Results There were 8,240 TB patients (5183 males of whom 492 (6% were known to have died during treatment. Case-fatality was higher in those previously treated (12% and lower in those with extra-pulmonary TB (2%. There was an even distribution of deaths during anti-tuberculosis treatment, with 28% of all patients dying in the first 8 weeks of treatment. Increasing age and new as compared to recurrent TB disease were significantly associated with "early death". Conclusion In this large cohort of TB patients, deaths occurred with an even frequency throughout anti-TB treatment. Reasons may relate to i the treatment of the disease itself, raising concerns about drug adherence, quality of anti-tuberculosis drugs or the presence of undetected drug resistance and ii co-morbidities, such as HIV/AIDS and diabetes mellitus, which are known to influence mortality. More research in this area from prospective and retrospective studies is needed.

  9. Bone scintigraphy in the treatment planning for hemimandibular elongation; Die Skelettszintigraphie bei der Therapieplanung der hemimandibulaeren Elongation

    Kerscher, A. [Kiel Univ. (Germany). Klinik fuer Mund-, Kiefer- und Gesichtschirurgie; Fleiner, B. [Kiel Univ. (Germany). Klinik fuer Mund-, Kiefer- und Gesichtschirurgie; Bohuslaviski, K.H. [Kiel Univ. (Germany). Klinik fuer Nuklearmedizin; Clausen, M. [Kiel Univ. (Germany). Klinik fuer Nuklearmedizin


    Hemimandibular elongation is characterized by unilateral continuous growth of the mandibular ramus and condyle. Skeletal scintigraphy is indicated for the assessment of prospective growth. When growth has ceased a correcting osteotomy may be performed. In the case of severe active growth and fast progressive facial asymmetry the growth centre should be removed surgically by condylectomy. 21 patients with facial asymmetry and/or laterognathia underwent skeletal scintigraphy. 19 patients showed symmetrical or nearly symmetrical nuclear uptake. In 11 cases a correcting osteotomy was performed without any relapse. 2 patients showed markedly unilateral increased nuclear uptake. One of them underwent condylectomy and showed a stable result 3 years postoperatively. The other patient underwent a correcting osteotomy with subsequent recurrence of laterognathia. By visualization of the pathophysiological process skeletal scintigraphy yields information for treatment planning in hemimandibular elongation. (orig.) [Deutsch] Die hemimandibulaere Elongation zeichnet sich durch ein einseitig ueberschiessendes Wachstum im Bereich des Raums und Condylus mandibulae aus. Zur Beurteilung des noch zu erwartenden Wachstums ist die Skelettszintigraphie indiziert. Bei abgeschlossenem Wachstum kann eine Umstellungsosteotomie erfolgen. Bei rasch progredienter Gesichtsasymmetrie und deutlich aktivem Wachstum sollte die Wachstumszone durch Kondylektomie operativ entfernt werden. In 21 Faellen mit Gesichtsasymmetrie und/oder Laterognathie fuehrten wir eine Skelettszintigraphie durch. 19 Patienten zeigten eine seitengleiche oder gering differente Nuklidbelegung. In 11 Faellen erfolgte eine Umstellungsosteotomie. Alle Faelle waren rezidivfrei. Zwei Patienten zeigten eine deutlich einseitige Nuklidmehrbelegung. Eine Patientin erhielt eine Kondylektomie und ist drei Jahre postoperativ rezidivfrei. Der andere Patient erhielt nur eine Umstellungsosteotomie. Die Laterognathie rezidivierte. Durch die

  10. Proton Radiation Therapy for the Treatment of Retinoblastoma

    Mouw, Kent W. [Harvard Radiation Oncology Program, Boston, Massachusetts (United States); Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts (United States); Sethi, Roshan V.; Yeap, Beow Y.; MacDonald, Shannon M.; Chen, Yen-Lin E.; Tarbell, Nancy J.; Yock, Torunn I.; Munzenrider, John E.; Adams, Judith [Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts (United States); Grabowski, Eric [Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts (United States); Mukai, Shizuo [Retina Service, Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts (United States); Shih, Helen A., E-mail: [Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts (United States)


    Purpose: To investigate long-term disease and toxicity outcomes for pediatric retinoblastoma patients treated with proton radiation therapy (PRT). Methods and Materials: This is a retrospective analysis of 49 retinoblastoma patients (60 eyes) treated with PRT between 1986 and 2012. Results: The majority (84%) of patients had bilateral disease, and nearly half (45%) had received prior chemotherapy. At a median follow-up of 8 years (range, 1-24 years), no patients died of retinoblastoma or developed metastatic disease. The post-PRT enucleation rate was low (18%), especially in patients with early-stage disease (11% for patients with International Classification for Intraocular Retinoblastoma [ICIR] stage A-B disease vs 23% for patients with ICIR stage C-D disease). Post-PRT ophthalmologic follow-up was available for 61% of the preserved eyes (30 of 49): 14 of 30 eyes (47%) had 20/40 visual acuity or better, 7 of 30 (23%) had moderate visual acuity (20/40-20/600), and 9 of 30 (30%) had little or no useful vision (worse than 20/600). Twelve of 60 treated eyes (20%) experienced a post-PRT event requiring intervention, with cataracts the most common (4 eyes). No patients developed an in-field second malignancy. Conclusions: Long-term follow-up of retinoblastoma patients treated with PRT demonstrates that PRT can achieve high local control rates, even in advanced cases, and many patients retain useful vision in the treated eye. Treatment-related ocular side effects were uncommon, and no radiation-associated malignancies were observed.

  11. Methodologies in the modeling of combined chemo-radiation treatments

    Grassberger, C.; Paganetti, H.


    The variety of treatment options for cancer patients has increased significantly in recent years. Not only do we combine radiation with surgery and chemotherapy, new therapeutic approaches such as immunotherapy and targeted therapies are starting to play a bigger role. Physics has made significant contributions to radiation therapy treatment planning and delivery. In particular, treatment plan optimization using inverse planning techniques has improved dose conformity considerably. Furthermore, medical physics is often the driving force behind tumor control and normal tissue complication modeling. While treatment optimization and outcome modeling does focus mainly on the effects of radiation, treatment modalities such as chemotherapy are treated independently or are even neglected entirely. This review summarizes the published efforts to model combined modality treatments combining radiation and chemotherapy. These models will play an increasing role in optimizing cancer therapy not only from a radiation and drug dosage standpoint, but also in terms of spatial and temporal optimization of treatment schedules.

  12. Die topkwark

    R. Tegen


    Full Text Available ’n Oorsig van die belangrikheid van die onlangs ontdekte topkwark by Fermilab in Chicago word gegee. Daar word aangetnon dat die topkwark belangrik is in fisika van die Oerknal, oftewel "Big Bang", en in die Standaard Model van Elementêredeeltjie-fisika. Toepaslike literatuur vir verdere studie kan van die lys van verwysings in hierdie kort, nietegniese artikel, nagegaan word.

  13. Radiation treatment of painful degenerative skeletal conditions; Schmerzbestrahlung bei degenerativ bedingten Skeletterkrankungen

    Schaefer, U. [Muenster Univ. (Germany). Klinik und Poliklinik fuer Strahlentherapie - Radioonkologie; Micke, O. [Muenster Univ. (Germany). Klinik und Poliklinik fuer Strahlentherapie - Radioonkologie; Willich, N. [Muenster Univ. (Germany). Klinik und Poliklinik fuer Strahlentherapie - Radioonkologie


    The study reported was intended to present own experience with irradiation for treatment of painful degenerative skeletal conditions and examine the long-term effects of this treatment. A retrospective study was performed covering the period from 1985 until 1991, examining 157 patients suffering from painful degenerative skeletal conditions who entered information on the success of their radiation treatment in a questionnaire. 94 of the questionnaires could be used for evaluation. Pain anamnesis revealed periods of more than one year in 45% of the cases. 74% of the patients had been treated without success with drug or orthopedic therapy. Immediately after termination of the radiotherapy, 38% of the patients said to be free of pain or to feel essentially relieved, while at the time the questionnaire was distributed, the percentage was 76%. Thus in our patient material, radiotherapy for treatment of painful degenerative skeletal lesions was successful in 76% of the cases and for long post-treatment periods, including those cases whith long pain anamnesis and unsuccessful conventional pre-treatment. (orig./MG) [Deutsch] Ziel dieser Untersuchung war es, die eigenen Erfahrungen mit der Schmerzbestrahlung degenerativer Skeletterkrankungen darzustellen und vor allem die Langzeitergebnisse zu untersuchen. Im Zeitraum von 1985 bis 1991 wurden 157 Patienten mit schmerzhaften degenerativen Gelenkerkrankungen retrospektiv untersucht. Der Therapieerfolg wurde mittels Fragebogenaktion ermittelt. Insgesamt waren 94 Frageboegen auswertbar. Die Schmerzanamnese betrug in 45% der Faelle ueber 1 Jahr. Bei 74% der Patienten war eine erfolglose medikamentoese oder orthopaedische Vorbehandlung erfolgt. Sofort nach Beendigung der Radiotherapie gaben insgesamt 38% der Patienten eine Schmerzfreiheit oder wesentliche Besserung der Beschwerden an, zum Zeitpunkt der Fragebogenaktion 76% der Patienten. Die Schmerzbestrahlung degenerativer Skeletterkrankungen erzielte in unserem Patientengut in

  14. Radiation treatment for newly diagnosed esophageal cancer with prior radiation to the thoracic cavity

    Sponseller, Patricia, E-mail: [University of Wisconsin at La Crosse, La Crosse, WI (United States); Lenards, Nishele [Department of Radiation Oncology, University of Washington, Seattle, WA (United States); Kusano, Aaron; Patel, Shilpen [University of Wisconsin at La Crosse, La Crosse, WI (United States)


    The purpose of this report is to communicate the use of single-positron emission computed tomography scan in planning radiation treatments for patients with a history of radiation to the thoracic cavity. A patient presented with obstructive esophageal cancer, having previously received chemotherapy and radiation therapy to the mediastinum for non-Hodgkin lymphoma 11 years earlier. Owing to a number of comorbidities, the patient was not a surgical candidate and was referred to the University of Washington Medical Center for radiation therapy. Prior dose to the spinal cord and lung were taken into account before designing the radiation treatment plan.

  15. Radiation exposure to the patient caused by single-photon transmission measurement for 3D whole-body PET; Die Strahlenexposition des Patienten durch die Einzelphotonen-Transmissionsmessung bei der PET

    Schaefer, A.; Donsch, P.; Kirsch, C.M. [Universitaet des Saarlandes, Homburg/Saar (Germany). Abt. fuer Nuklearmedizin; Seifert, H. [Universitaet des Saarlandes, Homburg/Saar (Germany). Abt. Strahlentherapie der Radiologischen Klinik


    Aim: The aim of the study was the determination of the radiation exposure to the patient caused by single-photon transmission measurement for 3D whole-body PET. Material and method: Single-photon-transmission measurement is performed using two Cs-137 pointsources (E{gamma}=662 keV, A=2*614 MBq) on a 3D PET scanner (ECAT ART). During a simulation of a whole body transmission scan (axial length: 75 cm, 6 contigous bed positions) dose measurements with thermoluminescent dosimeters were carried out using a thorax and an abdomen phantom. Following the guidelines of the ICRU report No. 60 an estimation of the effective dose caused by a single-photon transmission measurement was calculated. Results: For a total acquisition time of 360 min (6 beds with an acquisition time of 60 min per bed) the absorbed doses amounted to: Surface (xyphoid) 189 {mu}Gy, heart 196 {mu}Gy, lungs 234 {mu}Gy, vertebra 240 {mu}Gy, liver 204 {mu}Gy, gonads 205 {mu}Gy, thyroid 249 {mu}Gy and bladder 185 {mu}Gy resulting in a conversion factor of 1.7*10{sup -4} mSv/(h*MBq). The estimation of the effective dose for a patient's transmission (acquisition time of 3.2 min per bed) yields a value of 11 {mu}Sv. An estimation of the ratio of the conversion factors for transmission measurements in single-photon- and in coincidence mode (two Ge-68/Ga-68 rod sources of 40 MBq each), respectively, resulted in a value of 0.18. The comparison of the effective doses caused by single-photon transmission and by emission measurement (injection of 250 MBq of FDG) yields a ratio of 2.3*10{sup -3}. Conclusion: The radiation exposure of the patient caused by the transmission measurement for 3D whole-body-PET can be neglected. In comparison with the coincidence-transmission using uncollimated line sources of low activity the radiation exposure is still reduced using single photon transmission with collimated point sources of high activity. (orig.) [German] Ziel: Ziel war die Bestimmung der Strahlenexposition des

  16. Effect of post-welding heat treatment on wear resistance of cast-steel die with surfacing layer

    Xu Wujiao


    Full Text Available The wear resistance capability of die surfacing layer under different Post-Welding Heat Treatments (PWHT was analysed by Finite Element (FE simulation and experiments. Taking hot forging process of a crankshaft as an example, a wear model of the hot forging die coated with surfacing layer was established using FE software DEFORM-3D. The simulation results indicated that the wear resistance capability of the die surfacing layer is optimal when tempering temperature and holding time are 550 °C and 4 h respectively. To verify the wear computational results, 16 groups of PWHT orthogonal wear tests were performed at a temperature of 400 °C, which is a similar temperature to that occurs in an actual hot forging die. The wear-test result showed a good agreement with the FE simulation. SEM observation of the wear debris on 16 specimens showed that oxidative wear is dominant when the temperature was in 400 °C. Furthermore, when tempering temperature and holding time were 550 °C and 4 h respectively, the carbide alloy dispersively distributes in the metallographic structure, which helps to improve the wear resistance of the surfacing layer.

  17. Benchmark experiment to verify radiation transport calculations for dosimetry in radiation therapy; Benchmark-Experiment zur Verifikation von Strahlungstransportrechnungen fuer die Dosimetrie in der Strahlentherapie

    Renner, Franziska [Physikalisch-Technische Bundesanstalt (PTB), Braunschweig (Germany)


    Monte Carlo simulations are regarded as the most accurate method of solving complex problems in the field of dosimetry and radiation transport. In (external) radiation therapy they are increasingly used for the calculation of dose distributions during treatment planning. In comparison to other algorithms for the calculation of dose distributions, Monte Carlo methods have the capability of improving the accuracy of dose calculations - especially under complex circumstances (e.g. consideration of inhomogeneities). However, there is a lack of knowledge of how accurate the results of Monte Carlo calculations are on an absolute basis. A practical verification of the calculations can be performed by direct comparison with the results of a benchmark experiment. This work presents such a benchmark experiment and compares its results (with detailed consideration of measurement uncertainty) with the results of Monte Carlo calculations using the well-established Monte Carlo code EGSnrc. The experiment was designed to have parallels to external beam radiation therapy with respect to the type and energy of the radiation, the materials used and the kind of dose measurement. Because the properties of the beam have to be well known in order to compare the results of the experiment and the simulation on an absolute basis, the benchmark experiment was performed using the research electron accelerator of the Physikalisch-Technische Bundesanstalt (PTB), whose beam was accurately characterized in advance. The benchmark experiment and the corresponding Monte Carlo simulations were carried out for two different types of ionization chambers and the results were compared. Considering the uncertainty, which is about 0.7 % for the experimental values and about 1.0 % for the Monte Carlo simulation, the results of the simulation and the experiment coincide.

  18. A Study of the Timing of Death in Patients with Tuberculosis Who Die During Anti-Tuberculosis Treatment

    Bhavik Patel


    Full Text Available Introduction: India has 2.0 million estimated tuberculosis (TB cases per annum with an estimated 280,000 TB related deaths per year. Understanding when in the course of TB treatment patients die is important for determining the type of intervention to be offered and crucially when this intervention should be given. The objectives of the current study were to determine in a large cohort of TB patients in India: - i treatment outcomes including the number who died while on treatment, ii the month of death and iii characteristics associated with and ldquo;early and rdquo; death, occurring in the initial 8 weeks of treatment. Methodology: This was a retrospective study in C.U.Shah Medical College and Hospital in Surendranagar, Gujarat India. A review was performed of treatment cards and medical records of all TB patients (adults and children registered and placed on standardized anti-tuberculosis treatment from January 2007 to April 2012. Results: There were 376 TB patients of whom 41 (11% were known to have died during treatment. Case-fatality was higher in those previously treated (24% and lower in those with extra-pulmonary TB (1%.Most of deaths during anti-tuberculosis treatment were early, with 66% of all patients dying in the first 8 weeks of treatment. Increasing age and new as compared to recurrent TB disease were significantly associated with and ldquo;early death and rdquo;. In this large cohort of TB patients, Most of deaths occurred early after starting anti-TB treatment. Reasons may relate to i the treatment of the disease itself, raising concerns about drug adherence, quality of anti-tuberculosis drugs or the presence of undetected drug resistance and ii co-morbidities, such as HIV/ AIDS and diabetes mellitus, which are known to influence mortality. iii Late stage presentation by patients themselves. More research in this area from prospective and retrospective studies is needed. [Natl J Med Res 2016; 6(2.000: 186-190

  19. Improved Life of Die Casting Dies of H13 Steel by Attaining Improved Mechanical Properties and Distortion Control During Heat Treatment

    J. F. Wallace; D. Schwam


    The ultimate goal of this project is to increase die casting die life by using fast enough quenching rates to obtain good toughness and fatigue resistance in premium grade H-13 steel dies. The main tasks of the project were to compile a database on physical and mechanical properties of H-13; conduct gas quenching experiments to determine cooling rates of dies in difference vacuum furnaces; measure the as-quenched distortion of dies and the residual stresses; generate finite element analysis models to predict cooling rates, distortion, and residual stress of gas quenched dies; and establish rules and create PC-based expert system for prediction of cooling rates, distortion, and residual stress in vacuum/gas quenched H-13 dies. Cooling curves during gas quenching of H-13 blocks and die shapes have been measured under a variety of gas pressure. Dimensional changes caused by the gas quenching processes have been determined by accurate mapping of all surfaces with coordinate measuring machines before and after the quench. Residual stresses were determined by the ASTM E837 hole-drilling strain gage method. To facilitate the computer modeling work, a comprehensive database of H-13 mechanical and physical properties has been compiled. Finite element analysis of the heat treated shapes has been conducted using the TRAST/ABAQUS codes. There is a good fit between the predicted and measured distortion contours. However, the magnitude of the predicted distortion and residual stresses does not match well the measured values. Further fine tuning of the model is required before it can be used to predict distortion and residual stress in a quantitative manner. This last step is a prerequisite to generating rules for a reliable expert system.

  20. Treatment of Veterans with Depression Who Die from Suicide: Timing and Quality of Care at Last VHA Visit

    Smith, Eric G.; Craig, Thomas J.; Ganoczy, Dara; Walters, Heather; Valenstein, Marcia


    Objectives To examine the recency and quality of the last Veterans Health Administration (VHA) visit for patients with depression dying from suicide. Methods We obtained services and pharmacy data for all 1843 VHA patients with recognized depressive disorders dying from suicide from April 1999-September 2004. We describe the location and timing of their final VHA visit. For visits occurring within 30 days of suicide, we examined three quality indicators: 1) evidence that mental illness was a focus of the final visit; 2) adequacy of antidepressant dosage, and 3) recent receipt of mental health services. Results 51% of patients with depression diagnoses had a VHA visit within 30 days of suicide. A minority of these patients (43%) died by suicide within 30 days of a final visit with mental health services, although 64.5% had received such services within 91 days of their suicide. Among the 57% of patients dying by suicide within 30 days seen in non-mental health settings for their final visit, only 34.1% had a mental health condition coded at the final visit, and only 41.5% were receiving adequate dosages of antidepressant (versus 55.3% last seen by mental health services) (p<0.0005). Conclusions VHA patients with depression dying from suicide within 30 days of their final visit received relatively high rates of mental health services, but most final visits still occurred in non-mental health settings. Increased referrals to mental health services, attention to mental health issues in non-mental health settings, and focus on antidepressant treatment adequacy by all providers might have reduced suicide risks for these patients. PMID:20868636

  1. Treatment and long-term outcome of chronic radiation esophagitis after radiation therapy for head and neck tumors: A report of 13 cases

    Silvain, C.; Barrioz, T.; Besson, I.; Babin, P.; Fontanel, J.P.; Daban, A.; Matuchansky, C.; Beauchant, M. (CHU J Bernard, Poitiers (France))


    The natural history of chronic radiation esophagitis occurring in previously normal esophagus is still unknown. The authors describe here the long-term outcome of chronic esophagitis arising after neck irradiation for oropharynx and larynx carcinomas in 13 consecutive adult patients. The first clinical signs of radiation esophagitis were dysphagia or impossibility of oral intake, which appeared within 26 months (range 2--120 months) after the end of radiation for pyriform fossae carcinoma (N = 5), tonsil carcinoma (N = 2), larynx carcinoma (N = 2), pharynx carcinoma (N = 2), base of the tongue (N = 1), and thyroid carcinomas (N = 1). During upper endoscopy, an esophageal stenosis was found in 11 cases and was associated with ulceration in three cases. An isolated esophageal ulceration was present in only two cases. Chronic radiation esophagitis diagnosis was confirmed by histology and surgery in seven cases. In the last six cases, diagnosis was supported by the absence of first cancer relapses within a median follow-up of two years (16 months to nine years) and by endoscopic findings. Seven patients received parenteral or enteral nutrition. Ten patients were treated by peroral dilatations. These treatments allowed nearly normal oral diet in 11/13 patients. Only one patient was lost of follow-up after 20 months. Four patients died from chronic radiation esophagitis. One of these patients died from massive hemorrhage after peroral dilatation. Four patients died of a second carcinoma with no first cancer recurrence. Four patients were alive after six months to nine years of follow-up. Moderate dysphagia was still present, allowing nearly normal oral feeding. In conclusion, chronic radiation esophagitis is a severe disease with an underestimated frequency. In this study, peroral dilatations appeared to be necessary and were not associated with an increased morbidity. 21 refs., 1 tab.

  2. Mesenchymal stem cells are sensitive to treatment with kinase inhibitors and ionizing radiation

    Nicolay, Nils H.; Debus, Juergen; Huber, Peter E. [Heidelberg University Hospital, Department of Radiation Oncology, Heidelberg (Germany); German Cancer Research Center (dkfz), Department of Molecular and Radiation Oncology, Heidelberg (Germany); Sommer, Eva; Lopez Perez, Ramon; Wirkner, Ute [German Cancer Research Center (dkfz), Department of Molecular and Radiation Oncology, Heidelberg (Germany); Bostel, Tilman [Heidelberg University Hospital, Department of Radiation Oncology, Heidelberg (Germany); Ho, Anthony D.; Saffrich, Rainer [Heidelberg University Hospital, Department of Hematology, Oncology and Rheumatology, Heidelberg (Germany); Lahn, Michael [Lilly Research Laboratories, Oncology Early Clinical Investigation, Indianapolis, IN (United States)


    Mesenchymal stem cells (MSCs) can regenerate damaged tissues and may therefore be of importance for normal tissue repair after cancer treatment. Small molecule receptor kinase inhibitors (RKIs) have recently been introduced into cancer treatment. However, the influence of these drugs - particularly in combination with radiotherapy - on the survival of MSCs is largely unknown. The sensitivity of human primary MSCs from healthy volunteers and primary human fibroblast cells to small molecule kinase inhibitors of the vascular endothelial growth factor (VEGF), platelet-derived growth factor (PDGF) and transforming growth factor β (TGFβ) receptors, as well to inhibitors of c-Kit, was examined in combination with ionizing radiation (IR); cell survival and proliferation were assessed. Expression patterns of different kinase receptors and ligands were investigated using gene arrays. MSCs were highly sensitive to the tyrosine kinase inhibitors SU14816 (imatinib) and SU11657 (sunitinib), but showed only moderate sensitivity to the selective TGFβ receptor 1 inhibitor LY2109761. Primary adult human fibroblasts were comparably resistant to all three inhibitors. The addition of IR had an additive or supra-additive effect in the MSCs, but this was not the case for differentiated fibroblasts. Proliferation was markedly reduced in MSCs following kinase inhibition, both with and without IR. Gene expression analysis revealed high levels of the PDGF α and β receptors, and lower levels of the TGFβ receptor 2 and Abl kinase. IR did not alter the expression of kinase receptors or their respective ligands in either MSCs or adult fibroblasts. These data show that MSCs are highly sensitive to RKIs and combination treatments incorporating IR. Expression analyses suggest that high levels of PDGF receptors may contribute to this effect. (orig.) [German] Mesenchymale Stammzellen (MSCs) koennen die Geweberegeneration unterstuetzen und haben daher moeglicherweise eine Rolle bei der Reparatur

  3. The value of magnetic resonance imaging (MRI) in the treatment planning of vertebral metastasis considering economic aspects. A cost benefit-analysis; Die Wertigkeit der Magnetresonanztomographie (MRT) unter oekonomischen Aspekten bei der Bestrahlungsplanung von Wirbelkoerpermetastasen. Eine Kosten-Nutzen-Analyse

    Prott, F.J.; Schlehuber, E.; Scharding, B.J.; Rinast, E. [Strahlentherapie Wiesbaden, St.-Josefs-Hospital (Germany); Micke, O. [Klinik und Poliklinik fuer Strahlentherapie - Radioonkologie, Universitaetsklinikum Muenster (Germany)


    Is magnetic resonance imaging (MRI) based target volume definition for treatment planning of vertebral metastasis effective under economic considerations.From 1994 to 1999, a total of 137 patients with bone metastases affecting the vertebral column underwent MRI of the cercival, thoracic, or lumbar spine for the treatment planning of palliative radiation therapy. The following radiation treatment consisted in a irradiation of the affected vertebral region up to a total dose of 30-40 Gy.The cost calculation for radiotherapy and magnetic resonance tomography was done using the common tariff model (EBM) of the German Health Insurances.In 73% of patients (101 patients), magnetic resonance imaging resulted in marked corrections of the irradiation fields which would have resulted in the necessity of treatment for recurrence in the case of treatment planning without MRI.Consequently, the higher cost of MRI of 345.00 DEM (176,40 EUR) lead to a saving of 497.00 DEM (254,11 EUR) compared to a recurrence treatment of 10 fractions and of 1,428.00 DEM (730,12 EUR) compared to 20 fractions. The transport expenses for the second treatment could be saved as well.Even under economic considerations MRI is effective. (orig.) [German] Ist eine MRT-gestuetzte Zielvolumendefinition bei der Strahlentherapie von Knochenmetastasen ein sinnvolles Vorgehen unter oekonomischen Gesichtspunkten?1994-1999 wurde bei 137 Patienten mit einem ossaer metastasierenden Tumor und Befall der Wirbelsaeule eine Magnetresonanztomographie (MRT) zur Planung einer palliativen Radiatio durchgefuehrt. Die nachfolgende Strahlentherapie bestand aus einer Radiatio des betroffenen Wirbelkoerperabschnitts bis zu einer Gesamtherddosis von 30-40 Gy. Fuer die Berechnung der Kosten wurde der einheitliche Bewertungsmassstab der Deutschen Krankenkassen zugrunde gelegt.Aufgrund der MRT-Untersuchungen wurde bei 73% der Patienten eine Veraenderung des Bestrahlungsfeldes vorgenommen, die im Falle einer nicht MRT

  4. Treatment of cloud radiative effects in general circulation models

    Wang, W.C.; Dudek, M.P.; Liang, X.Z.; Ding, M. [State Univ. of New York, Albany, NY (United States)] [and others


    We participate in the Atmospheric Radiation Measurement (ARM) program with two objectives: (1) to improve the general circulation model (GCM) cloud/radiation treatment with a focus on cloud verticle overlapping and layer cloud optical properties, and (2) to study the effects of cloud/radiation-climate interaction on GCM climate simulations. This report summarizes the project progress since the Fourth ARM Science Team meeting February 28-March 4, 1994, in Charleston, South Carolina.

  5. An improved treatment of radiation energy flow in the radiation-hydrodynamics code CHARTD

    Rottler, J.S.


    An improved treatment of radiation transport has been added to the energy flow model in CHARTD. The new energy flow model was derived based on the assumption that the directional dependence of the radiation energy density can be represented by the first two terms of a spherical harmonic expansion, and that the photon energy spectrum can be partitioned into energy groups. This treatment of radiation transport is called the multigroup P-1 approximation, and is an effective description of radiation transport for a broad class of radiation-hydrodynamics problems. A synthetic acceleration scheme is used to solve the differenced multigroup P-1 equations. The coupling between the material field and the radiation field is fully explicit. This report describes the new energy flow model and the acceleration scheme used to solve the difference equations. 15 refs.

  6. Medical treatment of radiation injuries-Current US status

    Jarrett, D.G. [OSA - CBD and CDP, 3050 Defense Pentagon, Room 3C257, Washington, DC 20301-3050 (United States)], E-mail:; Sedlak, R.G.; Dickerson, W.E. [Uniformed Services University, Armed Forces Radiobiology Research Institute, 8901 Wisconsin Avenue, Bethesda, MD 20889-5603 (United States); Reeves, G.I. [Northrop Grumman IT, 8211 Terminal Road, Lorton, VA 22079-1421 (United States)


    A nuclear incident or major release of radioactive materials likely would result in vast numbers of patients, many of whom would require novel therapy. Fortunately, the numbers of radiation victims in the United States (USA) have been limited to date. If a mass-casualty situation occurs, there will be a need to perform rapid, accurate dose estimates and to provide appropriate medications and other treatment to ameliorate radiation injury. The medical management of radiation injury is complex. Radiation injury may include acute radiation sickness (ARS) from external and/or internal radiation exposure, internal organ damage from incorporated radioactive isotopes, and cutaneous injury. Human and animal data have shown that optimal medical care may nearly double the survivable dose of ionizing radiation. Current treatment strategies for radiation injuries are discussed with concentration on the medical management of the hematopoietic syndrome. In addition, priority areas for continuing and future research into both acute deterministic injuries and also long-term stochastic sequelae of radiation exposure have been identified. There are several near-term novel therapies that appear to offer excellent prognosis for radiation casualties, and these are also described.

  7. Improved treatment of radiation effects on the skin

    Wandl, E.O.; Kaercher, K.H.; Wandl-Hainberger, I.


    The treatment concept developed by K.H. Kaercher was extended by a therapy using Elasten S cream. In the course of a highvoltage therapy using fast electrons or cobalt-60, interesting aspects in the treatment and progression of the radiation reactions of the skin were established. The dermato-therapeutic principles layed down by K.H. Kaercher with the treatment palette used hitherto, have without doubt invariably proven their value. The exclusive powder treatment, however, may be made more practical by application of the new treatment cream in accordance with the intervals in radiation treatment or as a basic treatment towards the end of therapy. Furthermore it is ideally suited for the care and after-treatment of skin, strained by radiation. It reduces considerably the remaining visible radiation reactions. The treatment with powder and emulsion has for more than 10 years proven effective. After the excellent results of the new cream during radiation treatment, additional positive effects are expected in a long-term trial which will be reported on separately.

  8. Production of silver nanoparticles in water solution by radiation treatment

    Mikhailenko, M. A.; Korobeinikov, M. V.; Bryazgin, A. A.; Tolochko, B. P.


    Radiation-chemical synthesis of silver nanoparticles was studied. The silver nanoparticles in arabinogalactan (AG) water solution are stabilized in conglomerates, it is fixed by rise of additional bands in the optical absorption spectra. Pre-radiation treatment of AG causes crosslinking and oxidation. Pretreated AG solution increases the stability of conglomerates containing silver nanoparticles in case of dilution.

  9. Kinetic treatment of radiation reaction effects

    Noble, Adam; Gratus, Jonathan; Burton, David; Ersfeld, Bernhard; Islam, M. Ranaul; Kravets, Yevgen; Raj, Gaurav; Jaroszynski, Dino


    Modern accelerators and light sources subject bunches of charged particles to quasiperiodic motion in extremely high electric fields, under which they may emit a substantial fraction of their energy. To properly describe the motion of these particle bunches, we require a kinetic theory of radiation reaction. We develop such a theory based on the notorious Lorentz-Dirac equation, and explore how it reduces to the usual Vlasov theory in the appropriate limit. As a simple illustration of the theory, we explore the radiative damping of Langmuir waves.

  10. Die menswaardigheid van die menslike embrio : die debat tot dusver

    Vorster, J.M


    ...), "Stem cell research: the ethical issues". Rakende die gebruik van menslike embrio's in stamselnavorsing, behandel hierdie artikels die potensiaal van die menslike embrio, die morele status (menswaardigheid...

  11. Statistical Decision Theory Applied to Radiation Therapy Treatment Decisions

    Schultheiss, T. E.; El-Mahdi, Anas M.


    Statistical decision theory has been applied to the treatment planning decision of radiation therapy. The decision involves the choice of parameters which determine the radiation dose distribution. To choose among dose distributions requires a decision rule which reflects the uncertainty of possible outcomes for any specific dose distribution and the various risks associated with each outcome. A relative gravity or morbidity is assigned to each possible complication of treatment. In this stud...

  12. MINERVA - A Multi-Modal Radiation Treatment Planning System

    D. E. Wessol; C. A. Wemple; D. W. Nigg; J. J. Cogliati; M. L. Milvich; C. Frederickson; M. Perkins; G. A. Harkin


    Recently, research efforts have begun to examine the combination of BNCT with external beam photon radiotherapy (Barth et al. 2004). In order to properly prepare treatment plans for patients being treated with combinations of radiation modalities, appropriate planning tools must be available. To facilitiate this, researchers at the Idaho National Engineering and Environmental Laboratory (INEEL)and Montana State University (MSU) have undertaken development of a fully multi-modal radiation treatment planning system.

  13. Exposure to Mobile Phone Radiation Opens New Horizons in Alzheimer’s Disease Treatment

    Mortazavi, SAR; Shojaei-Fard, MB; Haghani, M; Shokrpour, N; Mortazavi, SMJ


    Alzheimer’s disease, the most common type of dementia and a progressive neurodegenerative disease, occurs when the nerve cells in the brain die. Although there are medications that can help delay the development of Alzheimer’s disease, there is currently no cure for this disease. Exposure to ionizing and non-ionizing radiation may cause adverse health effects such as cancer.  Looking at the other side of the coin, there are reports indicating stimulatory or beneficial effects after exposure to cell phone radiofrequency radiation. Mortazavi et al. have previously reported some beneficial cognitive effects such as decreased reaction time after human short-term exposure to cell phone radiation or occupational exposure to radar microwave radiation. On the other hand, some recent reports have indicated that RF radiation may have a role in protecting against cognitive impairment in Alzheimer’s disease. Although the majority of these data come from animal studies that cannot be easily extrapolated to humans, it can be concluded that this memory enhancing approach may open new horizons in treatment of cognitive impairment in Alzheimer disease. PMID:25505755

  14. Challenges With the Diagnosis and Treatment of Cerebral Radiation Necrosis

    Chao, Samuel T., E-mail: [Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio (United States); Rose Ella Burkhardt Brain Tumor and Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio (United States); Ahluwalia, Manmeet S. [Department of Medical Oncology, Cleveland Clinic, Cleveland, Ohio (United States); Rose Ella Burkhardt Brain Tumor and Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio (United States); Barnett, Gene H. [Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio (United States); Rose Ella Burkhardt Brain Tumor and Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio (United States); Stevens, Glen H.J. [Department of Neurology, Cleveland Clinic, Cleveland, Ohio (United States); Rose Ella Burkhardt Brain Tumor and Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio (United States); Murphy, Erin S. [Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio (United States); Rose Ella Burkhardt Brain Tumor and Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio (United States); Stockham, Abigail L. [Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio (United States); Shiue, Kevin [Case Western Reserve University School of Medicine, Cleveland, Ohio (United States); Suh, John H. [Department of Radiation Oncology, Cleveland Clinic, Cleveland, Ohio (United States); Rose Ella Burkhardt Brain Tumor and Neuro-oncology Center, Cleveland Clinic, Cleveland, Ohio (United States)


    The incidence of radiation necrosis has increased secondary to greater use of combined modality therapy for brain tumors and stereotactic radiosurgery. Given that its characteristics on standard imaging are no different that tumor recurrence, it is difficult to diagnose without use of more sophisticated imaging and nuclear medicine scans, although the accuracy of such scans is controversial. Historically, treatment had been limited to steroids, hyperbaric oxygen, anticoagulants, and surgical resection. A recent prospective randomized study has confirmed the efficacy of bevacizumab in treating radiation necrosis. Novel therapies include using focused interstitial laser thermal therapy. This article will review the diagnosis and treatment of radiation necrosis.

  15. Surface Treatment of Cr12MoV Steel towards Long-Life Cold-Work Dies

    SHI Wen; WANG Jun-Li; WANG Zhen; WAN Zi; XU Luo-Ping


    With the rapid development of the automobile industry in China, there is an ever-increasing demand for long-life cold working dies used for punching automobile components. However, the full potential of such advanced surface engineering technologies as PVD coatings and duplex surface treatments in cold work dies has not been realized. In the present study, Crl2MoV steel has been surface engineered by single PVD Ti/TiN coating and duplex treatment combining low temperature plasma nitriding (LTPN) with PVD Ti/TiN coatings. The properties of Ti/TiN coatings in terms of surface morphology, microhardness, load bearing capacity, bonding strength and wear resistance were evaluated by microhardness,scratch and wear tests. The experimental results show that PVD Ti/TiN coatings can significantly enhance the surface load bearing capacity (especially for duplex treatments) and wear resistance of Cr12MoV steel by more than one order of magnitude. This can be mainly attributed to the hard and well-adherent PVD Ti/TiN surface coatings and strong mechanical support of the LTPN sublayer. While two-body abrasive wear prevails for uncoated Crl2MoV, the micropolishing action of the counterface dominates in surface engineered material.

  16. Surface Treatment of Cr12MoV Steel towards Long-Life Cold-Work Dies

    SHIWen; WANGJun-Li; WANGZhen; WANZi; XULuo-Ping


    With the rapid development of the automobile industry in China, there is an ever-increasing demand for long-life cold working dies used for punching automobile components. However, the full potential of such advanced surface engineering technologies as PVD coatings and duplex surface treatments in cold work dies has not been realized. In the present study, Cr12MoV steel has been surface engineered by single PVD Ti/TiN coating and duplex treatment combining low temperature plasma nitriding (LTPN) with PVD Ti/TiN coatings. The properties of Ti/TiN coatings in terms of surface morphology, microhardness, load bearing capacity, bonding strength and wear resistance were evaluated by mierohardness,scratch and wear tests, The experimental results show that PVD Ti/TiN coatings can significantly enhance the surface load bearing capacity (especially for duplex treatments) and wear resistance of Cr12MoV steel by more than one order of magnitude. This can be mainly attributed to the hard and well-adherent PVD Ti/TiN surface coatings and strong mechanical support of the LTPN sublayer. While two-body abrasive wear prevails for uncoated Cr12MoV. the micropolishing action of the counterface dominates in surface engineered material.

  17. [Influence of ionizing radiation of low intensity on the processes of reproduction, aging and dying off of Escherichia coli bacteria].

    Morozov, I I; Petin, V G; Morozova, G V


    The influence of 60Co gamma-ray irradiation of low intensity (0.1-0.4, 0.76 x 10(3) microGy/h) on the processes of reproduction, aging and dying off of E. coli B/r and E. coli BS-1 bacteria have been investigated. It was shown that the reproduction of this bacteria strains was not dependent on the dose rate in the range 0.1-0.4 microGy/h. It was shown in comparison with the irradiated E. coli B/r cells dynamics of the aging and dying off of the irradiated E. coli BS-1 is decreased in the process of prolonged (about 190 days) irradiation with a dose rate of 0.76 x 10(3) microGy/h. It is proposed the relationship between the revealed phenomenon of the decrease in the intensity of the irradiated E. coli BS-1 cell aging and dying and the Vavilov-Cerenkov emission.

  18. Insights from radiation treatment for benign disease

    Bleehen, N.M.


    This note compares mortality figures for patients treated with low dose ionizing radiation for benign conditions between the 1920's and 1950's with figures available from the Japanese A-bomb survivors. X radiation for ringworm, ankylosing spondylitis and post-partum mastitis are considered. Figures for leukemia are roughly comparable between radiotherapy groups and A-bomb survivors. Figures for the increased relative risk of breast cancer in spondylitis patients were in marked contrast to bomb survivors who received comparable doses, but compatible with the increase among women given x-rays for acute post-partum mastitis in the 1940's and 1950's. This study also suggests the possibility of different time patterns of risk between different cancers. (U.K.).

  19. Large area radiation source for water and wastewater treatment

    Mueller, Michael T.; Lee, Seungwoo; Kloba, Anthony; Hellmer, Ronald; Kumar, Nalin; Eaton, Mark; Rambo, Charlotte; Pillai, Suresh


    There is a strong desire for processes that improve the safety of water supplies and that minimize disinfection byproducts. Stellarray is developing mercury-free next-generation x-ray and UV-C radiation sources in flat-panel and pipe form factors for water and wastewater treatment applications. These new radiation sources are designed to sterilize sludge and effluent, and to enable new treatment approaches to emerging environmental concerns such as the accumulation of estrogenic compounds in water. Our UV-C source, based on cathodoluminescent technology, differs significantly from traditional disinfection approaches using mercury arc lamps or UV LEDs. Our sources accelerate electrons across a vacuum gap, converting their energy into UV-C when striking a phosphor, or x-rays when striking a metallic anode target. Stellarray's large area radiation sources for wastewater treatment allow matching of the radiation source area to the sterilization target area for maximum coverage and improved efficiency.

  20. Rapid and Decentralized Human Waste Treatment by Microwave Radiation.

    Nguyen, Tu Anh; Babel, Sandhya; Boonyarattanakalin, Siwarutt; Koottatep, Thammarat


    This study evaluates the technical feasibility of using microwave radiation for the rapid treatment of human feces. Human feces of 1000 g were radiated with a commercially available household microwave oven (with rotation) at different exposure time lengths (30, 50, 60, 70, and 75 minutes) and powers (600, 800, and 1000 W). Volume reduction over 90% occurred after 1000 W microwave radiation for 75 minutes. Pathogen eradiation performances of six log units or more at a high range of microwave powers were achieved. Treatments with the same energy input of 1000 Wh, but at lower powers with prolonged exposure times, significantly enhanced moisture removal and volume reduction. Microwave radiation caused carbonization and resulted in a more stable end product. The energy content of the samples after microwave treatment at 1000 W and 75 minutes is 3517 ± 8.85 calories/g of dried sample, and the product can also be used as compost.

  1. Hyperbaric oxygen treatment in radiation reactions; Hyperbar oksygenbehandling ved straalereaksjoner

    Aanderud, Leif; Thorsen, Einar; Bratteboe, Guttorm; Forland, Martha; Kristensen, Gunnar


    Background: A national hyperbaric centre was established in 1994 at Haukeland Hospital with responsibility of all hyperbaric oxygen (HBO) treatment in Norway. In hypoxic tissues with symptomatic radiation reactions, hyperbaric oxygen induces the formation of collagen and angiogenesis resulting in permanently improved local microcirculation. Material and method: 234 patients received elective HBO treatment at Haukeland Hospital in 12997 with total of 4048 treatments. All 47 patients treated for radiation reactions in the pelvic area in 1997 received a questionnaire 3-15 months after HBO therapy, 81% reported. Results: Rectal bleeding and haematuria were reported as much improved in 61% and 55% respectively, while bladder incontinence was much improved in 46%. Interpretation: this treatment modality may be an alternative in symptomatic radiation reactions at the urinary bladder and the bowel when conventional treatment has given unsatisfactory results.

  2. Occupational radiation exposure in Germany in 2012. Report of the radiation protection register; Die berufliche Strahlenexposition in Deutschland 2012. Bericht des Strahlenschutzregisters

    Frasch, Gerhard; Kammerer, Lothar; Karofsky, Ralf; Mordek, Else; Schlosser, Andrea; Spiesl, Josef


    In Germany, persons who are occupationally exposed to ionising radiation are monitored by several official dosimetry services that transmit the dose records about individual radiation monitoring to the Radiation Protection Register of the Federal Office for Radiation Protection (BfS). The purpose of the Radiation Protection Register is to supervise the keeping of the dose limits and to monitor the compliance with the radiation protection principle ''Optimisation'' by performing detailed annual statistical analyses of the monitored persons and their radiation exposure. The annual report of the Radiation Protection Register provides information about status and development of occupational radiation exposure in Germany. In 2012, about 350,000 workers were monitored with dosemeters for occupational radiation exposure. The number increased continuously by totally 10 % into the past five years. 19 % of the monitored persons received measurable personal doses. The average annual dose of these exposed workers was 0.52 mSv corresponding to 2.6 % of the annual dose limit of 20 mSv for radiation workers. In total, 2 persons exceeded the annual dose limit of 20 mSv, i.e. less than one case per 100,000 monitored persons. The collective dose of the monitored persons decreased to 27.9 Person-Sv, the lowest value since the last fifty years of occupational dose monitoring. 45 airlines calculated the route doses of 40,000 aircraft crew members by using certified computer programmes for dose calculation and sent the accumulated monthly doses via the Federal Office for Civil Aviation (''Luftfahrt-Bundesamt, LBA'') to the BfS. The collective dose of the aircraft crew personnel is 78.5 person- Sv, and thus significantly higher than the total collective dose of the workers monitored with personal dosemeters. The annual average dose of aircraft crew personnel was 1.96 mSv and decreased compared to 2011 (2.12 mSv) due to solar cycle. In 2012, about

  3. Occupational radiation exposure in Germany in 2013-2014. Report of the radiation protection register; Die berufliche Strahlenexposition in Deutschland 2013-2014. Bericht des Strahlenschutzregisters

    Frasch, Gerhard; Kammerer, Lothar; Karofsky, Ralf; Mordek, Else; Schlosser, Andrea; Spiesl, Josef


    In Germany, persons who are occupationally exposed to ionising radiation are monitored by several official dosimetry services that transmit the dose records about individual radiation monitoring to the Radiation Protection Register of the Federal Office for Radiation Protection (BfS). The purpose of the Radiation Protection Register is to supervise the keeping of the dose limits and to monitor the compliance with the radiation protection principle ''Optimisation'' by performing detailed annual statistical analyses of the monitored persons and their radiation exposure. The annual report of the Radiation Protection Register provides information about status and development of occupational radiation exposure in Germany. In 2014, about 358,000 workers were monitored with dosemeters for occupational radiation exposure. The number increased continuously by totally 5 % into the past five years. 15 % of the monitored persons received measurable personal doses. The average annual dose of these exposed workers was 0.50 mSv corresponding to less than 3 % of the annual dose limit of 20 mSv for radiation workers. In total, two persons exceeded the annual dose limit of 20 mSv, i.e. less than one case per 100,000 monitored persons. The collective dose of the monitored persons decreased to 26.0 Person-Sv, the lowest value since the last fifty years of occupational dose monitoring. 45 airlines calculated the route doses of 39,500 aircraft crew members by using certified computer pro-grammes for dose calculation and sent the accumulated monthly doses via the Federal Office for Civil Aviation (''Luftfahrt-Bundesamt, LBA'') to the BfS. The collective dose of the aircraft crew personnel is 74.8 person-Sv, and thus significantly higher than the total collective dose of the workers monitored with personal dosemeters. The annual average dose of aircraft crew personnel was 1.89 mSv in 2014. In 2014, about 58,500 outside-workers were in possession of

  4. Die posisie van die Helper in die sending

    I. J. van der Walt


    Full Text Available Gedurende die aanvangsjare van die sending het die helper ’n onmisbare funksie vervul. Hulle het die onherbergsame binnelande geken, waardevolle kontakpunte vir die sendelinge geopen en hulle mense geestelik help voorlig en voorberei.

  5. Comparison of conventional and virtual simulation for radiation treatment planning of malignant lymphoma

    Dinges, S.; Koswig, S.; Buchali, A.; Wurm, R.; Schlenger, L.; Boehmer, D.; Budach, V. [Humboldt-Universitaet Berlin (Germany). Klinik fuer Strahlentherapie


    compared to conventional simulation. Conclusions: Virtual simulation based on CT scans for radiation treatment planning of malignant lymphoma gives more information about soft tissue structures than conventional treatment planning. Therefore, it allows a more precise coverage of the target volumes and better shielding of the organs at risk. Howver, the time required for the whole procedure is increased. This is justified because of the often highly curative intention when treating this group of patients. (orig.) [Deutsch] Ziel: Die exakte Erfassung der Lymphknotenstationen und eine optimale Schonung der Risikoorgane sind eine wesentliche Voraussetzung in der Strahlentherapie von Hodgkin- und Non-Hodgkin-Lymphomen, um den Heilungserfolg, verbunden mit einer moeglichst geringen Nebenwirkungsrate, in dieser Patientengruppe mit hohen kurativen Chancen zu sichern. Ziel dieser Untersuchung war es, die Erfassung von Zielvolumina und die Abschirmung von Risikoorganen mittels konventioneller Simulation mit der Computertomographie-gestuetzten virtuellen Simulation zu vergleichen. Patienten und Methode: Bei zehn Patienten mit der Diagnose eines Morbus Hodgkin und fuenf Patienten mit einem Non-Hodgkin-Lymphom wurde eine Bestrahlungsplanung fuer jeweils ein Mantelfeld und ein Paraaortalfeld unter Einschluss der Milz auf konventionelle Weise und mittels virtueller Simulation durchgefuehrt. Bei der konventionellen Methode wurden die Bestrahlungsfelder unter Roentgendurchleuchtung definiert und anschliessend eine Abschirmung der Risikoorgane, basierend auf zusaetzlicher Information vorher durchgefuehrter Roentgen-, CT- oder MRT-Untersuchungen, auf den Simulatoraufnahmen eingezeichnet. Bei der virtuellen Simulation wurden Zielvolumina und Risikoorgane (zum Beispiel die Nieren) konturiert und die Bestrahlungsfelder und Abschirmung der Risikoorgane mittels einer speziellen Planungssoftware (AcQSim {sup trademark}, Fa. Picker Inc.) auf einer VoxelQ {sup trademark} Workstation in `Beam`s eye

  6. Superficial Radiation Therapy for the Treatment of Nonmelanoma Skin Cancers.

    McGregor, Sean; Minni, John; Herold, David


    Superficial radiation therapy has become more widely available to dermatologists. With the advent of more portable machines, it has become more convenient for dermatology practices to employ in an office-based setting. The goal of this paper is to provide a deeper insight into the role of superficial radiation therapy in dermatology practice and to review the current literature surrounding its use in the treatment of both basal and squamous cell carcinomas.

  7. Hyperbaric oxygen: Primary treatment of radiation-induced hemorrhagic cystitis

    Weiss, J.P.; Neville, E.C.


    Of 8 patients with symptoms of advanced cystitis due to pelvic radiation treated with hyperbaric oxygen 7 are persistently improved during followup. All 6 patients treated for gross hematuria requiring hospitalization have been free of symptoms for an average of 24 months (range 6 to 43 months). One patient treated for stress incontinence currently is dry despite little change in bladder capacity, implying salutary effect from hyperbaric oxygen on the sphincter mechanism. One patient with radiation-induced prostatitis failed to respond. This experience suggests that hyperbaric oxygen should be considered the primary treatment for patients with symptomatic radiation-induced hemorrhagic cystitis.

  8. Efficacy of diagnostic radiation in paediatrics. 2nd report. Die Auswirkung (Efficacy) diagnostischer Strahlenanwendungen in der Kinderheilkunde. 2. Bericht

    Fendel, H.; Schneider, K.; Bakowski, C.; Glas, J.; Drews, K.; Kohn, M.M.


    Our research team was given the task of studying the efficacy of diagnostic radiation in childhood. The goal of this study is to determine which diagnostic radiation has no efficacy and, because of its uselessness, should be avoided, and which procedure has only minimal efficacy so that in most cases it could be dispensed without negatively affecting the benefits for the patient or for public health. This second report comprises an extensive introduction and 9 chapters which were written partly by different authors and contain comprehensive references to deal with various aspects of diagnostic radiation in paediatrics. An appendix contains the questionnaires covering paranasal sinuses and head trauma, and also a motivating letter which was sent along with the questionnaires to doctors participating in the project.

  9. On the importance of prompt oxygen changes for hypofractionated radiation treatments

    Kissick, Michael; Campos, David; van der Kogel, Albert; Kimple, Randall


    This discussion is motivated by observations of prompt oxygen changes occurring prior to a significant number of cancer cells dying (permanently stopping their metabolic activity) from therapeutic agents like large doses of ionizing radiation. Such changes must be from changes in the vasculature that supplies the tissue or from the metabolic changes in the tissue itself. An adapted linear-quadratic treatment is used to estimate the cell survival variation magnitudes from repair and reoxygenation from a two-fraction treatment in which the second fraction would happen prior to significant cell death from the first fraction, in the large fraction limit. It is clear the effects of oxygen changes are likely to be the most significant factor for hypofractionation because of large radiation doses. It is a larger effect than repair. Optimal dose timing should be determined by the peak oxygen timing. A call is made to prioritize near real time measurements of oxygen dynamics in tumors undergoing hypofractionated treatments in order to make these treatments adaptable and patient-specific.

  10. Radiation therapy in the treatment of metastatic renal cell carcinoma

    Onufrey, V.; Mohiuddin, M.


    Adenocarcinoma of the kidney is an unusual tumor, both in its biological behavior and in its response to radiation treatment. Historically, these tumors have been considered to be radioresistant, and the role of radiation therapy remains questionable in the primary management of this disease. However, radiation treatment is routinely used in the palliation of metastatic lesions for relief of symptoms. Therefore, we have undertaken a review of our experience in the treatment of this disease to determine the effectiveness of radiation in its palliation. From 1956 to 1981, 125 patients with metastatic lesions from hypernephroma have been treated in the Department of Radiation Therapy at Thomas Jefferson University Hospital. Most patients were referred for relief of bone pain (86), brain metastasis (12), spinal cord compression (9), and soft tissue masses (18). Total doses varied from 2000 rad to a maximum of 6000 rad. Response to treatment was evaluated on the basis of relief of symptoms, either complete, partial or no change. Our results indicate a significantly higher response rate of 65% for total doses equal to or greater than a TDF of 70, as compared to 25% for doses lower than a TDF of 70. No difference in response was observed either for bone or soft tissue metastasis or visceral disease. This leads us to believe that metastatic lesions from adenocarcinomas of the kidney should be treated to higher doses to obtain maximum response rates. Analysis of these results are presented in detail.

  11. Treatment of folliculitis decalvans using intensity-modulated radiation via tomotherapy

    Elsayad, Khaled; Kriz, Jan; Haverkamp, Uwe; Eich, Hans Theodor [University Hospital of Muenster, Department of Radiation Oncology, Muenster (Germany); Plachouri, Kerasia-Maria; Jeskowiak, Antonia [University Hospital of Muenster, Department of Dermatology, Muenster (Germany); Sunderkoetter, Cord [University Hospital of Muenster, Department of Dermatology, Muenster (Germany); University Hospital of Muenster, Department of Translational Dermatoninfectiology, Muenster (Germany)


    Folliculitis decalvans (FD) is a form of primary neutrophilic scarring alopecia that is characterized clinically by chronic suppurative folliculitis and often associated with pruritus or even pain. Treatment of FD is often difficult. Herein, we report a case of recalcitrant and painful folliculitis decalvans refractory to antibiotic and anti-inflammatory therapies, which was successfully treated by intensity-modulated radiotherapy (IMRT) in order to irreversibly eliminate hair follicles that prove to be one etiological trigger. A 45-year-old male patient with a refractory FD presented with a crusting suppurative folliculitis and atrophic scarring patches on the scalp associated with pain and pruritus. We attempted relief of symptoms by reducing scalp inflammation and eliminating hair follicles through radiation. We delivered 11.0 Gy in two radiation series using tomotherapy, 5.0 Gy in 5 equivalent fractions as a first radiation course. The symptoms markedly decreased but did not totally disappear. Therefore, we delivered a second radiation series 4 months later with an additional 6 Gy. This led to almost complete epilation on the scalp and abolished pain and pruritus on the capillitium. The patient was regularly followed up until 26 months after radiotherapy. Draining lesions or exudation did not recur. He only experienced discrete hair regrowth in the occipital region with folliculitis 12 months after radiotherapy. These residual lesions are currently treated with laser epilation therapy. A radical approach to eliminating hair follicles by repeated radiation therapy may induce lasting relief of symptoms in chronic suppurative FD associated with persistent trichodynia. (orig.) [German] Die Folliculitis decalvans (FD) ist eine Form der primaer neutrophilen Alopezie, welche klinisch durch Schmerzen und eitrige Follikel gekennzeichnet ist. Da es bisher kein einheitliches Behandlungskonzept gibt, wird hier ueber eine FD berichtet, welche trotz mehrfacher antibiotischer

  12. Dosimetry for the external radiation therapy. Dosimetry with alanine; Dosimetrie fuer die externe Strahlentherapie. Dosimetrie mit Alanin

    Anton, Mathias [Physikalisch-Technische Bundesanstalt (PTB), Braunschweig (Germany). Arbeitsgruppe ' Alanin-Dosimetrie'


    The alanine-ESR dosimetry in the PTB is described. The response power of alanine related to the water energy dose for X-rays with average energy of 10-1000 keV is presented. Furthermore the application of alanine for the quality assurance in the radiation therapy is described by means of the prostate irradiation and the therapy of a tumor in the neck region as examples. (HSI)

  13. The new radiation protection ordinance from the viewpoint of the nuclear medicine technologist; Die neue Strahlenschutzverordnung aus der Sicht der medizinisch-technischen Radiologieassistentin/des medizinisch-technischen Radiologieassistenten

    Fischer, S. [Klinik und Poliklinik fuer Nuklearmedizin, Ludwig-Maximilians-Univ. Muenchen (Germany)


    The new radiation protection ordinance for the first time acknowledges the role of the nuclear medicine technologists for the technical assistance in the use of radiopharmaceuticals and radiation with human beings in medicine. Therefore changes are required for the technologists in terms of their qualification and continuing education during their professional life and in the daily routine in a nuclear medicine department. The new ordinance clearly defines which group of people is allowed to work as nuclear medicine technologists and also which special knowledge in radiation protection is mandatory to make sure that nobody without this certified education is performing the work of a nuclear medicine technologist. The new effective dose limit for people working with radiation will not change the daily work, but new regulations for pregnant women or breastfeeding mothers working in nuclear medicine will bring dramatic changes. (orig.) [German] Die neue Strahlenschutzverordnung beruecksichtigt zum ersten Mal ausdruecklich die Rolle des medizinisch-technischen Personals bei der 'technischen Mitwirkung bei der Anwendung radioaktiver Stoffe oder ionisierender Strahlung am Menschen in der Heilkunde oder der Zahnheilkunde'. Dadurch ergeben sich fuer die MTRA neue Anforderungen in Bezug auf Ausbildungsvoraussetzungen, berufliche Fortbildung und auch auf die Ablaeufe in der taeglichen Routine. Der Personenkreis, der zur technischen Mitwirkung berechtigt ist, wurde genau definiert, ebenso wie dessen Fachkunde, mit der nun sichergestellt werden soll, dass keine Personen ohne Kenntnisse im Strahlenschutz die Taetigkeiten der MTRA ausfuehren. Die neu festgelegte Obergrenze der effektiven Dosis fuer beruflich strahlenexponiertes Personal wird fuer das technische Personal keine merkbaren Auswirkungen mit sich bringen, dafuer aber die Neuerungen bezueglich der Beschaeftigung von Schwangeren und stillenden Frauen. (orig.)

  14. The function of thermal treatment of waste in the Vienna waste management concept; Die Funktion der thermischen Abfallbehandlung im Abfallwirtschaftskonzept von Wien

    Loeschau, M. [Technische Univ. Berlin (Germany). Fachgebiet Abfallwirtschaft


    Thermal waste treatment has a key role in the waste management system of Vienna. As landfills will be prohibited and waste volumes will increase, further capacities will have to be provided. Another incinerator will be constructed in order to reduce the waste volume, to relieve landfills, to reduce the cost of land regeneration after pollution, and to provide additional energy for district heating. (orig.) [German] Die thermischen Abfallbehandlungsanlagen nehmen im Wiener Abfallwirtschaftssystem eine Schluesselrolle ein. Sie sind nach derzeitigem Stand der Technik das nachhaltigste Entsorgungsverfahren fuer nicht schadlos verwertbare Abfaelle. Aufgrund des Deponierungsverbots der Deponieverordnung fuer unzureichend behandelte Abfaelle sowie der prognostizierten Zunahme von Restmuellaufkommens muessen in Wien kuenftig weitere Behandlungskapazitaeten geschaffen werden. Mit dem Bau einer weiteren Muellverbrennungsanlage werden die abzulagernden Abfallmengen und die entstehenden Umweltbelastungen durch ihre Deponierung reduziert, Altlastenbeitraege gespart sowie zusaetzliche Energie fuer die Fernwaermeversorgung bereitgestellt. (orig.)

  15. Individual repair of radiation-induced DNA double-strand breaks in lymphocytes. Implications for radiation-induced dermatitis in breast cancer; Die individuelle Reparatur von strahleninduzierten DNA-Doppelstrangbruechen in Lymphozyten. Implikationen fuer die radiogene Dermatitis beim Mammakarzinom

    Melchior, Patrick Wilhelm


    Purpose: Adjuvant 'whole breast radiotherapy' (WBRT) is the standard of care after breast conserving surgery in women with breast cancer. Throughout different cancer stages the addition of WBRT leads to significantly improved rates of freedom from local failure and overall survival. WBRT is generally well tolerated. A 5-10%-rate of severe acute or long-term side effects is commonly observed. For both radiation-mediated tumor-cell-elimination and induction of side effects, DNA-double-strand-breaks (DSB) presumably play the decisive role. The intensity of normal tissue reactions in radiotherapy can, in part, be attributed to the intrinsic DSB repair-capacity. In this study in vivo and in vitro experiments are carried through in order to assess DSB repair-kinetics in blood lymphocytes of women with breast cancer. These findings are to be correlated with the degree of radiation-induced normal tissue toxicity. Patients and Methods: Eighteen patients with breast cancer, in whom WBRT was indicated, were examined. A total WBRT dose of 50 Gy (single dose 2 Gy) with an additional boost-radiotherapy to the initial tumor-region to a total dose of 60-66 Gy was administered. DSB repair was determined by means of counting γ-H2AX foci in blood lymphocytes at predefined points in time, i.e. before and 0.5 h; 2.5 h; 5 h and 24 h after in vivo irradiation (1st fraction of WBRT) and before and 0.5 h; 2.5 h and 5 h after in vitro irradiation with increasing radiation doses in the range of 10 - 500 mGy. Acute normal tissue toxicity was scored on the basis of a modified RTOG-classification (main aspects were erythema and dry or moist skin desquamation). Results: DSB repair-halflife-times did not differ between patients with a higher or lower than average incidence of acute side effects. In patients with 'above average' side effects larger irradiation volumes were treated (volume surrounded by the 50%-isodose). Adjusted for these, no single patients showed elevated

  16. Radiation treatment of food. A new technology for preservation

    Wetzel, K.; Huebner, G.


    The brief survey reports on irradiation of food, especially onions, potatoes, chicken meat, spices, additives, and enzyme solutions used in food industries, demonstrating examples from several countries. Advantages, microbiological aspects of irradiation treatment and chemical radiation effects are described. Technological fundamentals of radiopreservation including irradiation plants and devices are outlined.

  17. Radiation protection design of the APPA experimental hall at the FAIR facility; Strahlenschutzplanung fuer die APPA-Experimentierhalle bei FAIR

    Kissel, R.; Braeuning-Demian, A.; Conrad, I.; Evdokimov, A.; Lang, R.; Radon, T.; Zieser, B. [GSI Helmholtzzentrum fuer Schwerionenforschung GmbH, Darmstadt (Germany); Belousov, A. [NASA, Pasadena, CA (United States). Jet Propulsion Lab.; Fehrenbacher, G. [GSI Helmholtzzentrum fuer Schwerionenforschung GmbH, Darmstadt (Germany); FAIR - Facility for Antiproton and Ion Research in Europe GmbH, Darmstadt (Germany)


    The APPA-research program (Atomic, Plasma Physics and Applications) comprises experiments for fundamental research in atomic and plasma physics, biophysics and materials research. A dedicated building for the experimental areas including a technical supply annex is planned. In the hall are located four different experimental setups for the four APPA collaborations. Two beamlines for protons and heavy ions, both from the SIS18 and SIS100 synchrotrons are designed. The demands for beam energies, intensities and time structure differ significantly among the experiments. Consequently, different types of beams will be used, for example uranium beams with energies of 2 GeV/nucleon and an intensity of 3 x 10{sup 11} ions/pulse (pulse length of the order of hundred nanoseconds, repetition period 180 seconds). Another experiment requires a proton beam with energies of around 10 GeV and a primary intensity of 5 x 10{sup 10} protons/second. The highest interaction rate is expected by the plasma physics experiments with about 50 % of the primary intensity. The remaining beam will be stopped in a so called beam dump producing further radiation, especially neutron radiation which must be shielded. For the design of the shielding it is necessary to know the spatial distribution of the dose rate for uranium beams and for proton beams with different energies and intensities in the experimental hall. The aim for the shielding layout is to achieve a dose rate below 0,5 μSv/hour at the premises.

  18. Radiation-induced xerostomia: pathophysiology, clinical course and supportive treatment.

    Guchelaar, H J; Vermes, A; Meerwaldt, J H


    Xerostomia, or oral dryness, is one of the most common complaints experienced by patients who have had radiotherapy of the oral cavity and neck region. The hallmarks of radiation-induced damage are acinar atrophy and chronic inflammation of the salivary glands. The early response, resulting in atrophy of the secretory cells without inflammation might be due to radiation-induced apoptosis. In contrast, the late response with inflammation could be a result of radiation-induced necrosis. The subjective complaint of a dry mouth appears to be poorly correlated with objective findings of salivary gland dysfunction. Xerostomia, with secondary symptoms of increased dental caries, difficulty in chewing, swallowing and speaking, and an increased incidence of oral candidiasis, can have a significant effect on the quality of life. At present there is no causal treatment for radiation-induced xerostomia. Temporary symptomatic relief can be offered by moistening agents and saliva substitutes, and is the only option for patients without residual salivary function. In patients with residual salivary function, oral administration of pilocarpine 5-10 mg three times a day is effective in increasing salivary flow and improving the symptoms of xerostomia, and this therapy should be considered as the treatment of choice. Effectiveness of sialogogue treatment requires residual salivary function, which emphasizes the potential benefit from sparing normal tissue during irradiation. The hypothesis concerning the existence of early apoptotic and late necrotic effects of irradiation on the salivary glands theoretically offers a way of achieving this goal.

  19. Brain radiation necrosis following treatment of an esthesioneuroblastoma (olfactory neurocytoma)

    Baron, S.H.


    Esthesioneuroblastoma is an uncommon malignant nasal tumor which may be difficult to diagnose. Once diagnosed, selection of treatment may be a dilemma. Some advocate preoperative radiation and surgery; others, surgery and postoperative radiation if needed. A case that developed brain necrosis from postoperative radation is presented. It is felt that the possibility exists that the patient might still be living with tumor had irradiation not been given. This is a plea for the conservative approach to treatment. The author agrees with John S. Lewis that it is unwise to use all modalities at once as there is no definite evidence that any one method of treatment or a combination of surgery and irradiation will alter the prognosis. The paper stresses the brain hazards of irradiation.

  20. Die regsposisie van die gemolesteerde kind 1

    P.J. Schabort


    Full Text Available Hoe reik die reg uit na die seksueel gemolesteerde kind? As na die reg in wye verband gekyk word, sou dit alie wetgewing en alle gemeneregsbeginsels en alle regsprosedures insluit waardeur die Staat poog om molestering te voorkom en die gemolesteerde kind in beskerming te neem. Dit le baie wyd en sou byvoorbeeld die maatreels insluit van die Kindenvet 33 van 1960; die Wet op Egskeiding 70 van 1979; die Wet op Kindersorg 74 van 1983; die Wet op die Status van Kinders 82 van 1987 en die Wet op Bemiddeling in Sekere Egskeidingsaangeleenthede 24 van 1987. Eersdaags sal dit moontlik ook ’n Manifes vir die Regte van Kinders insluit wat vermoedelik geskoei sal wees op die W O se Konvensie vir die Regte van die Kind (1989 w a arv an die RSA tan s nog nie ’n ondertekenaar is nie.

  1. Successful radiation treatment of chylous ascites following pancreaticoduodenectomy

    Corradini, Stefanie; Niemoeller, Olivier M. [University of Munich, Department of Radiation Oncology, Munich (Germany); Liebig, Sylke [Gemeinschaftspraxis Prof. Zwicker and Partner, Konstanz (Germany); Zwicker, Felix [Gemeinschaftspraxis Prof. Zwicker and Partner, Konstanz (Germany); German Cancer Research Center (DKFZ), Clinical Cooperation Unit Molecular and Radiation Oncology, Heidelberg (Germany); Lamade, Wolfram [Helios Privatklinik, Allgemein- and Viszeralchirurgie, Ueberlingen (Germany)


    Chylous ascites is a rare complication following pancreaticoduodenectomy. We report on a case of chylous ascites following pancreaticoduodenectomy in a 76-year-old patient diagnosed with pancreatic cancer. There are various known conservative management strategies, including dietary measures or total parenteral nutrition. Unfortunately, conservative treatment - with total parenteral nutrition and fasting over a period of 4 weeks - was not successful in the present case. The daily output volume of chylous ascites was up to 2500 ml/day. Based on clinical experiences with successfully treated lymphocutaneous fistulas, low-dose radiotherapy was initiated. External beam radiotherapy comprising a total dose of 8.0 Gy to the paraaortic lymph node region was administered in daily single fractions of 1.0 Gy (five fractions/week). Throughout the course of external beam radiotherapy, the secretion of abdominal ascites rapidly decreased, resulting in complete resolution after 2 weeks. There was no clinical evidence of chylous ascites on follow-up. As a result of this experience, we believe that external beam radiotherapy should be considered as an alternative therapy in refractory cases of chylous ascites. (orig.) [German] Das Chyloperitoneum ist eine seltene Komplikation nach Pankreatikoduodenektomie. Wir berichten ueber einen 76-jaehrigen Patienten mit Chyloperitoneum nach Resektion eines Pankreaskarzinoms. Die konservativen Therapiestrategien, wie beispielsweise diaetetische Massnahmen oder totale parenterale Ernaehrung, waren im vorliegenden Fall ueber einen Zeitraum von 4 Wochen nicht erfolgreich. Es bestand eine persistierende Sekretion von Chylaszites von bis zu 2500 ml/Tag. Basierend auf den klinischen Erfahrungen bei erfolgreich behandelten lymphokutanen Fisteln, wurde eine perkutane Radiotherapie eingeleitet. Die Bestrahlung des paraaortalen Lymphabflusses ueber ventrodorsale Gegenfelder wurde bis zu einer Gesamtdosis von 8,0 Gy in 1,0 Gy Einzeldosis (5 Fraktionen

  2. Racial variation in the use of life-sustaining treatments among patients who die after major elective surgery.

    Hernandez, Roland A; Hevelone, Nathanael D; Lopez, Lenny; Finlayson, Samuel R G; Chittenden, Eva; Cooper, Zara


    Although various studies have documented increased life-sustaining treatments among racial minorities in medical patients, whether similar disparities exist in surgical patients is unknown. A retrospective cohort study using the Nationwide Inpatient Sample (2006 to 2011) examining patients older than 39 years who died after elective colectomy was performed. Primary predictor variable was race, and main outcome was the use of life-sustaining treatment. In univariate analysis, significant differences existed in use of cardiopulmonary resuscitation (CPR; black, 35.9%; Hispanic, 29.0%; other, 24.5%; white, 11.7%; P = .002) and reintubation (Hispanic, 75.0%; other, 69.0%; black, 52.3%; white, 45.2%; P = .01). In multivariate analysis, black (odds ratio [OR], 3.67; P = .01) and Hispanic (OR, 4.21; P = .03) patients were more likely to have undergone CPR, and Hispanic patients (OR, 4.24; P = .01) were more likely to have been reintubated (reference: white). Blacks and Hispanics had increased odds of experiencing CPR, and Hispanics were more likely to have been reintubated before death after a major elective operation. These variations may imply worse quality of death and increased associated costs. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Influence of Different Surface Treatments of H13 Hot Work Die Steel on Its Thermal Fatigue Behaviors


    Thermal fatigue checking is the general failure of hot work die steels, which is relative with the structures and properties of the steels and the stress alternated during the employment. The Uddeholm test method on thermal fatigue is used to compare the behaviors of different samples, which are treated with plasma nitriding、plasma sulfur-carbon-nitriding、 boronizing or not treated. The results show that the nitriding improves the thermal fatigue property of the tool steel, while the plasma sulfur-carbon-nitriding and the boronizing impair the property. The mechanisms are induced as follows. By increasing the hardness and changing the stress distribution in the surface layer, surface treatment can decrease the plastic deformation and the tensile stress during the cycling. Therefore,the generation and growth of the cracks are restrained. On the other hand, as results of surface treating, in the surface layer the toughness declines and the expanding coefficient ascendes; the latter change caused the strengthening of the tensile and compressive stress during the cycling. Thus the resistance to thermal fatigue is weakened. Whether or not the surface treatment is favor to thermal fatigue of tool steels relies on which factor is dominant.

  4. Radiation therapy at the end of life: a population-based study examining palliative treatment intensity.

    Kress, Marie-Adele Sorel; Jensen, Roxanne E; Tsai, Huei-Ting; Lobo, Tania; Satinsky, Andrew; Potosky, Arnold L


    To examine factors associated with the use of radiation therapy (RT) at the end of life in patients with breast, prostate, or colorectal cancer. Using data from the Surveillance, Epidemiology, and End Results (SEER) - Medicare database, patients were over age 65 and diagnosed between January 1, 2004 and December 31, 2011 with any stage of cancer when the cause of death, as defined by SEER, was cancer; or with stage 4 cancer, who died of any cause. We employed multiple logistic regression models to identify patient and health systems factors associated with palliative radiation use. 50% of patients received RT in the last 6 months of life. RT was used less frequently in older patients and in non-Hispanic white patients. Similar patterns were observed in the last 14 days of life. Chemotherapy use in the last 6 months of life was strongly correlated with receiving RT in the last 6 months (OR 2.72, 95% CI: 2.59-2.88) and last 14 days of life (OR 1.55, 95% CI: 1.40-1.66). Patients receiving RT accrued more emergency department visits, radiographic exams and physician visits (all comparisons p End-of-life RT correlated with end-of-life chemotherapy use, including in the last 14 days of life, when treatment may cause increased treatment burden without improved quality of life. Research is needed optimize the role and timing of RT in palliative care.

  5. Development of computer algorithms for radiation treatment planning.

    Cunningham, J R


    As a result of an analysis of data relating tissue response to radiation absorbed dose the ICRU has recommended a target for accuracy of +/- 5 for dose delivery in radiation therapy. This is a difficult overall objective to achieve because of the many steps that make up a course of radiotherapy. The calculation of absorbed dose is only one of the steps and so to achieve an overall accuracy of better than +/- 5% the accuracy in dose calculation must be better yet. The physics behind the problem is sufficiently complicated so that no exact method of calculation has been found and consequently approximate solutions must be used. The development of computer algorithms for this task involves the search for better and better approximate solutions. To achieve the desired target of accuracy a fairly sophisticated calculation procedure must be used. Only when this is done can we hope to further improve our knowledge of the way in which tissues respond to radiation treatments.

  6. The situation of radiation oncology patients' relatives. A stocktaking; Die Situation der Angehoerigen von Strahlentherapiepatienten. Eine Bestandsaufnahme

    Momm, Felix; Lingg, Sabine; Adebahr, Sonja; Grosu, Anca-Ligia [Klinik fuer Strahlenheilkunde, Univ. Freiburg (Germany); Xander, Carola; Becker, Gerhild [Palliativeinheit, Univ. Freiburg (Germany)


    Background and Purpose: Recent studies have shown a very high importance of relatives in decisions about medical interventions. Therefore, the situation of this group was investigated in the sense of a stocktaking by interviewing the closest relatives of radiotherapy patients. Interviewed Persons and Methods: In a defined span of time (6 weeks), a total of 470 relatives (evaluable: n = 287, 61%) of radiotherapy patients were interviewed by a newly developed questionnaire about their contentment with their inclusion in the therapy course. Further, they gave information about specific needs of relatives as well as proposals for direct improvements in the context of a radiation therapy. Results: In total, the relatives were satisfied with their inclusion in the radiotherapy course and with the patient care. As an example, more than 95% of the relatives agreed with the statement ''Here in the hospital my ill relative is cared for well.'' Nevertheless, direct possibilities for improvements were found in the interdisciplinary information about oncologic topics and in the organization of the therapy course. Conclusion: In the stocktaking the situation of radiotherapy patients' relatives was generally satisfactory. Further improvements for the future can be expected mainly from interdisciplinary cancer centers having the best suppositions to care for the relatives, if necessary. Structures known from palliative care can be used as a model. (orig.)

  7. Die Heimkunft

    Stephen Romer


    Full Text Available En hommage amical à René Gallet.Die HeimkunftRuhig glänzen indes die silberen Höhen darüber,Voll mit Rosen ist schon droben der leuchtende Schnee.- HölderlinAnd then one day the young master returnsfrom a dark placeand birdsong leads the wanderer inand the cat yawns and curls againin the headiness of this instantthe house is fragrantwith woodsmoke and honeysucklewhich is a kind of accomplishment.Returning from dogmahome to the humanehe lays asideknapsack, alpenstock and hat,goes straight to t...

  8. Acupuncture treatment of patients with radiation-induced xerostomia

    Blom, M.; Dawidson, I.; Johnson, G.; Angmar-Maansson, B. [Karolinska Inst., Huddinge (Sweden). Dept. of Cardiology; Fernberg, J.-O. [Karolinska Hospital, Stockholm (Sweden). Dept. of General Oncology


    Xerostomia is a common and usually irreversible side effect in patients receiving radiation therapy (>50 Gy) for head and neck cancer. Of 38 patients with radiation-induced xerostomia, 20 in the experimental group were treated with classical acupuncture and 18 patients in the control group received superficial acupuncture as placebo. Within both groups the patients showed significantly increased salivary flow rates after the acupuncture treatment. In the experimental group 68% and in the control group 50% of the patients had increased salivary flow rates at the end of the observation period. Among those patients who had had all their salivary glands irradiated, 50% in both groups showed increased salivary flow rates (>20%) by the end of the observation period of 1 year. The study indicates that among the patients who had increased salivary flow rates already after the first 12 acupuncture sessions, the majority had high probability of continual improvement after the completion of acupuncture treatment. (Author).

  9. Treatment of radiation- and chemotherapy-induced stomatitis

    Carnel, S.B.; Blakeslee, D.B.; Oswald, S.G.; Barnes, M. (Fitzsimons Army Medical Center, Aurora, CO (USA))


    Severe stomatitis is a common problem encountered during either radiation therapy or chemotherapy. Most therapeutic regimens are empirical, with no scientific basis. The purpose of this study is to determine the efficacy of various topical solutions in the treatment of radiation- or chemotherapy-induced stomatitis. Eighteen patients were entered into a prospective double-blinded study to test several topical solutions: (1) viscous lidocaine with 1% cocaine; (2) dyclonine hydrochloride 1.0% (Dyclone); (3) kaolin-pectin solution, diphenhydramine plus saline (KBS); and (4) a placebo solution. Degree of pain relief, duration of relief, side effects, and palatability were evaluated. The results showed that Dyclone provided the most pain relief. Dyclone and viscous lidocaine with 1% cocaine provided the longest pain relief, which averaged 50 minutes This study provides objective data and defines useful guidelines for treatment of stomatitis.

  10. Radioiodine therapy in veterinary medicine: treatment of hyperthyroidism in a cat; Die Radioiodtherapie in der Veterinaermedizin: Behandlung der Schilddruesenueberfunktion bei einer Katze

    Reinartz, P.; Sabri, O.; Zimny, M.; Buell, U. [Technische Hochschule Aachen (Germany). Klinik fuer Nuklearmedizin; Kinzel, S.; Kuepper, W. [Technische Hochschule Aachen (Germany). Inst. fuer Versuchstierkunde; Bachmann, T. [Tierarztpraxis Dr. med. vet. Thomas Bachmann, Glashhuetten (Germany)


    A nine-year-old cat with symptoms of a distinct hyperthyroidism was presented at the University Hospital of the RWTH Aachen. The clinical symptoms as well as the diagnostic procedures performed at the hospital confirmed the diagnosis. After five weeks of thyreostatic medication a regular metabolism of the thyroid gland was established, followed by a radioiodine therapy with 70.3 MBq 131-iodine. Subsequently, the cat was hospitalized for two days before it could be released in good condition. Six weeks after treatment the former drastically reduced weight of the cat recovered to near normal. Even though the chemical analysis detected a discrete hyperthyroidism, clinical symptoms were no longer prominent. Three months after treatment, the final examination showed a regular metabolism of the thyroid gland without a specific thyroidal medication. The presented case illustrates that radioiodine therapy is a safe and efficient treatment of thyroidal dysfunctions in veterinary medicine. (orig.) [Deutsch] Eine neun Jahre alte, europaeische Langhaarkatze wurde mit Symptomen einer ausgepraegten Schilddruesenueberfunktion im Universitaetsklinikum der RWTH Aachen vorgestellt. Sowohl die klinische Symptomatik als auch die Labordiagnostik und die apparativ erhobenen Befunde belegten das Vorliegen einer Hyperthyreose. Im Anschluss an eine fuenfwoechige thyreostatische Therapie, mit der eine euthyreote Stoffwechsellage erreicht werden konnte, wurde eine Radioiodtherapie mit 70,3 MBq 131-Iod durchgefuehrt. Nach einer nur zweitaegigen komplikationslosen Hospitalisierung konnte die Katze in gutem Allgemeinzustand entlassen werden. Sechs Wochen nach der Therapie hatte sich das zuvor deutlich reduzierte Koerpergewicht auf nahezu normgerechte Werte erhoeht; klinische Symptome der Schilddruesenueberfunktion liessen sich trotz einer laborchemisch diagnostizierten diskreten Gesamtthyroxiderhoehung nicht mehr nachweisen. Bei einer abschliessenden Kontrolle drei Monate nach Entlassung wies

  11. Gamma radiation induced effects on slaughterhouse wastewater treatment

    Melo, Rita; Cabo Verde, Sandra; Branco, Joaquim; Botelho, M. Luisa


    A preliminary study using gamma radiation on slaughterhouse wastewater samples was carried out. Chemical oxygen demand (COD), biochemical oxygen demand (BOD) and total suspended solids (TSS) results were obtained at a dose rate of 0.9 kGy h -1. A decrease of COD, BOD and colour was observed after irradiation at high absorbed doses. The microbiological results, following irradiation in the same conditions, correlated with the BOD results. The results obtained highlight the potential of this technology for wastewater treatment.

  12. Can radiation therapy treatment planning system accurately predict surface doses in postmastectomy radiation therapy patients?

    Wong, Sharon [National University of Singapore, Yong Loo Lin School of Medicine (Singapore); Back, Michael [Northern Sydney Cancer Centre, Royal North Shore Hospital, St Leonards, New South Wales (Australia); Tan, Poh Wee; Lee, Khai Mun; Baggarley, Shaun [National University, Cancer Institute, Department of Radiation Oncology, National University, Hospital, Tower Block (Singapore); Lu, Jaide Jay, E-mail: [National University of Singapore, Yong Loo Lin School of Medicine (Singapore); National University, Cancer Institute, Department of Radiation Oncology, National University, Hospital, Tower Block (Singapore)


    Skin doses have been an important factor in the dose prescription for breast radiotherapy. Recent advances in radiotherapy treatment techniques, such as intensity-modulated radiation therapy (IMRT) and new treatment schemes such as hypofractionated breast therapy have made the precise determination of the surface dose necessary. Detailed information of the dose at various depths of the skin is also critical in designing new treatment strategies. The purpose of this work was to assess the accuracy of surface dose calculation by a clinically used treatment planning system and those measured by thermoluminescence dosimeters (TLDs) in a customized chest wall phantom. This study involved the construction of a chest wall phantom for skin dose assessment. Seven TLDs were distributed throughout each right chest wall phantom to give adequate representation of measured radiation doses. Point doses from the CMS Xio Registered-Sign treatment planning system (TPS) were calculated for each relevant TLD positions and results correlated. There were no significant difference between measured absorbed dose by TLD and calculated doses by the TPS (p > 0.05 (1-tailed). Dose accuracy of up to 2.21% was found. The deviations from the calculated absorbed doses were overall larger (3.4%) when wedges and bolus were used. 3D radiotherapy TPS is a useful and accurate tool to assess the accuracy of surface dose. Our studies have shown that radiation treatment accuracy expressed as a comparison between calculated doses (by TPS) and measured doses (by TLD dosimetry) can be accurately predicted for tangential treatment of the chest wall after mastectomy.

  13. Usefulness of radiation treatment planning allpied respiration factor for streotatic body radiation therapy in the lung cancer

    Shin, Sung Pil; Kim, Tae Hyung; So, Woon Young; Back, Geum Mun [Dept. of Medical Health Science, Graduate School, Kangwon National University, Chuncheon (Korea, Republic of)


    We are evaluated the usefulness of radiation treatment planning applied respiration factor for stereotactic body radiation therapy in the lung cancer. Four dimensional computed tomography images were obtained in 10 patients with lung cancer. The radiation treatment plans were established total lung volume according to respiration images (new method) and conventional method. We was analyzed in the lung volume, radiation absorbed dose of lung and main organs (ribs, tracheobronchus, esophagus, spinal cord) around the tumor, respectively. We were confirmed that lung volume and radiation absorbed dose of lung and main organs around the tumor deference according to applied respiration. In conclusion, radiation treatment planning applied respiration factor seems to be useful for stereotactic body radiation therapy in the lung cancer.

  14. Radiation optic neuropathy and retinopathy with low dose (20 Gy radiation treatment

    Crandall E. Peeler


    Conclusions and importance: Though cumulative radiation doses to the anterior visual pathway of less than 50 Gy are traditionally felt to be safe, it is important to consider not just the total exposure but also the size of individual fractions. The single-dose threshold for RON in proton beam treatment has yet to be defined. Our case suggests that fractions of less than 10 Gy should be delivered to minimize the risk of optic nerve injury.

  15. Calvyn en die Skrifgesag

    L. F. Schulze


    Full Text Available Die probleem van die Skrifgesag het die (teologiese geeste nog altyd in beroering — vandag (ná die Aufklarung! nog meer as gedurende die sestiende eeu. Gedurende die laaste paar jaar is ons in Suid-Afrika hardhandig uit ons isolement geruk en skielik lewensgroot gekonfronteer met die probleem van die Skrifgesag.

  16. Severe coronary artery disease after radiation therapy of the chest and mediastinum: clinical presentation and treatment.

    Orzan, F; Brusca, A; Conte, M R; Presbitero, P; Figliomeni, M C


    OBJECTIVE--To define the clinical and angiographic features and the therapeutic problems in patients with coronary artery disease after therapeutic irradiation of the chest. DESIGN--An observational retrospective study. SETTING--The cardiac catheterisation laboratory, university medical school. PATIENTS--15 subjects (8 men and 7 women, aged 25-56 years, mean 44) examined in the cardiac catheterisation laboratory, who had significant coronary artery disease years after having radiation treatment to the chest and anterior mediastinum. In the early stages of the study angiography was performed because of typical symptoms of ischaemic heart disease. Later on it was performed because of a high index of suspicion in people with signs of extensive radiation heart damage. MAIN OUTCOME MEASURES--Clinical and electrocardiographic evidence of ischaemic heart disease; echocardiographic signs of pericardial, myocardial or valvar involvement; angiographic evidence of coronary arterial stenosis, with special attention to the ostia; haemodynamic and angiographic signs of pericardial, myocardial, and valvar disease. Survival and symptomatic and functional status were ascertained after medical or surgical treatment. RESULTS--The patients were relatively young and had no risk factors. Seven patients had no signs or symptoms of ischaemic heart disease. Ten patients had ostial stenosis, which was associated with extensive involvement of other cardiac structures in nine of them. Seven required surgical treatment for coronary artery disease. Two died, one at surgery and the other one six months later. Five patients had complications associated with irradiation. CONCLUSIONS--Coronary arterial disease can be reasonably ascribed to the effects of chest irradiation when the patients are young and free from risk factors, especially if the obstructions are ostial and there is important damage to other cardiac structures. In patients with damage to other cardiac structures angina and infarction

  17. Aspekte van die siekepastoraat

    H. J. C. Pieterse


    Full Text Available Die siekepastoraat vra ons aandag in hierdie tyd omdat die versorging van siekes ’n kenmerk is van die koms van die koninkryk van God. God se barmhartigheid het in sy volheid tot gelding gekom in die optrede van Jesus Christus. Die volle seën van die heil van die Ryk van God hou ook die versorging van die siekes in. Deur die heilswerk van Christus sien die blindes weer, loop die kreupeles, word melaatses gereinig, hoor die dowes, word dooies opgewek (Luk. 7:22.

  18. Die prediking oor die historiese stof van die Ou Testament

    F. N. Lion-Cachet


    Full Text Available Uit ’n steekproef wat gedoen is uit die preke wat in Die Kerkblad (1986- 1987 verskyn het, blyk dit dat 40% van hierdie preke historiese stof uit die Ou Testament as teks gebruik het.

  19. [Treatment of extensive acute radiation burn and its complications].

    Li, Ye-yang; Wang, Jin-lun; Li, Gang; Lin, Wei-hua; Liang, Min; Huang, Jun; Sun, Jing-en


    This article reports the treatment of a patient suffered from acute radiation burn covering 41% TBSA, with deep partial-thickness and full-thickness injury, produced by exposure to a large-scale industrial electron accelerator. An open wound began to appear and enlarged gradually 10 weeks after the exposure. Serious wound infection with methicillin-resistant Staphylococcus aureus and Pseudomonas aeruginosa, pneumonia, respiratory failure, systemic inflammatory response syndrome, nephropathy and hypoproteinemia developed successively since 3 weeks after the wound formation. Skin grafts failed to survive, resulting in enlargement of the wound. After being treated with proper measures, including parenteral nutrition, respiratory support with a ventilator, appropriate antibiotics, steroid administration for nephropathy, deep debridement for wounds followed by skin grafting, the patient was cured and discharged after undergoing 15 operations in 500 days. The clinical condition of an extensive acute radiation burn is complicated. We should pay close attention to the changes in functions of organs, and strengthen the therapeutic strategies to support the function of organs to reduce the incidence of systemic complications. The control of the infection and the timely and effective repair of the wound are still the key points of the treatment of an extensive local radiation injury.

  20. Die gesag van die Heilige Skrif

    S.C.W. Duvenage


    Full Text Available Dit geld nie maar t.o.v. ’n ongeloofsbeskouing soos dié van Karl Jaspers nie wat beweer: „Die Bibel ist das Depositum eines Jahrtausends menschlicher Grenzerfahrung” of van die Rooms-Katolieke skrifbeskouing nie wat die kerklike leertradisie, soos dogmaties op die konsilie van Trente vasgelê is, beskou as die enigste gesaghebbende kriterium vir die kanonisering en interpretasie van die Skrif.

  1. On the importance of prompt oxygen changes for hypofractionated radiation treatments

    Kissick, M.; Campos, D.; Kogel, A.J. van der; Kimple, R.


    This discussion is motivated by observations of prompt oxygen changes occurring prior to a significant number of cancer cells dying (permanently stopping their metabolic activity) from therapeutic agents like large doses of ionizing radiation. Such changes must be from changes in the vasculature tha

  2. Effect of T4 and T6 treatment on corrosion of die cast AZ91D magnesium alloys in 3.5% NaCl

    ZHOU Wan-qiu; SHAN Da-yong; HAN En-hou; KE Wei


    The effect of heat treatment on microstructure and corrosion behavior of die-cast AZ91D magnesium alloys in 3.5% NaCl solution was investigated by SEM, EDX, XRD and electrochemical technique. It is found that the distribution of β phase influences the corrosion morphology. Corrosion occurs preferentially in primary α phase and presents pitting corrosion feature in die-cast AZ91D. After homogenization of T4 treatment, β phase dissolves in α phase and forms a single phase with α matrix, and the corrosion form turns to localized corrosion. The attack initiates at local site, expands towards deep direction and produces "digging effect". After artificial aging of T6 treatment, β phase is produced in abundance and provides a great deal of effective micro-cathode for anodic dissolution, and the corrosion form exhibits in general corrosion.

  3. Treatment of retinoblastoma by precision megavoltage radiation therapy

    Schipper, J.; Peperzeel, H.A. van (Rijksuniversiteit Utrecht (Netherlands). Academisch Ziekenhuis); Tan, K.E.W.P. (Royal Dutch Eye Hospital, Utrecht, Netherlands)


    The principal treatment concept in the Utrecht Retinoblastoma Centre is megavoltage irradiation, followed by light coagulation and/or cryotherapy if there is any doubt as to whether the residual tumour is still active. Radiation therapy is administered by means of a simple but highly accurate temporal beam technique. A standardized dose of 45 Gy is given in 15 fractions of 3 Gy at 3 fractions per week. From 1971 to 1982, 39 children with retinoblastoma have been irradiated in at least one eye. Of the 73 affected eyes, 18 were primarily enucleated, one received light coagulation only, and 54 received radiation therapy. Of the 54 irradiated eyes, 32 were additionally treated by light coagulation and/or cryotherapy for suspicious residual tumour (in 29 eyes), recurrent tumour (in 1 eye), and/or new tumour (in 3 eyes) and 10 were ultimately enucleated. Two eyes also received hyperthermia. The percentages of cure of the irradiated eyes with a minimum follow-up of 2 years were 100% (14/14), 100% (9/9), 83% (10/12), 79% (11/14) and 0% (0/5) in the Reese-Ellsworth groups I to V-A, respectively. Of the saved eyes 95% achieved useful vision. Eighteen eyes developed a clinically detectable radiation cataract; in five of these the lens was aspirated. Cataracts developed exclusively in those lenses of which a posterior portion of more than 1 mm had to be included in the treatment field. The likelihood and the degree of cataract formation was found to be directly related to the dose of radiation to the germinative zone of the lens epithelium. The minimum cataractogenic dose found in this series was 8 Gy.

  4. Die ontwrigting van die Afrikanervolk en volkseenheid

    H. du Plessis


    Full Text Available Die gevare wat ons Afrikanerdom voor die deur staan, is baie en ernstig. Daar is die gevaar van immigrasie van buitelanders, daar is die al driester geroep om gelykstelling tussen blank en gekleurd, daar is die dreigende oorheersing van ’n oppervlakkige Amerikaanse „jazz”-gees.

  5. Influence of sludge digestion on the energy budgets of sewage treatment plants; Einfluss der Schlammfaulung auf die Energiebilanz von Klaeranlagen

    Kapp, H. [Fachhochschule Biberach an der Riss (Germany). Hochschule fuer Bauwesen


    Part of the energy potential of sewage is harnessed in anaerobic sludge digestion in such a way that the energy contained in the reduced carbon compounds is converted into methane, which is then used as a fuel or to generate power. The anaerobic process consumes hardly any energy at all, in other words, the accruing amount of waste heat is negligible, unlike the aerobic reaction. A more or less large proportion of the energy requirement for, especially, aerobic degradation processes can thus be covered using the high-grade energy obtained during sludge digestion. (orig.) [Deutsch] Das im Abwasser enthaltene Energiepotential wird (teilweise) bei der anaeroben Schlammfaulung in der Weise genutzt, dass eine Umwandlung der in den reduzierten C-Verbindungen enthaltenen Energie in Methan erfolgt, welches schliesslich fuer die Kraft- bzw. Stromerzeugung zur Verfuegung steht. Der anaerobe Prozess selbst verbraucht nur eine nahezu unbedeutende Energiemenge, d.h. die Abwaermemenge ist im Verhaeltnis zu jener bei der Aerobreaktion praktisch vernachlaessigbar. Damit ergibt sich die Moeglichkeit, einen mehr oder weniger grossen Anteil des, vor allem fuer die aeroben Abbauprozesse, erforderlichen Energieaufwandes durch die bei der Schlammfaulung gewonnene und hochwertig verwertbare Energie abzudecken. (orig.)

  6. Gamma radiation induced effects on slaughterhouse wastewater treatment

    Melo, Rita [Departamento de Fisica, Instituto Tecnologico e Nuclear, Estrada Nacional 10, Apartado 21, 2686-953 Sacavem (Portugal)], E-mail:; Cabo Verde, Sandra [Departamento de Fisica, Instituto Tecnologico e Nuclear, Estrada Nacional 10, Apartado 21, 2686-953 Sacavem (Portugal); Branco, Joaquim [Departamento de Quimica, Instituto Tecnologico e Nuclear, Estrada Nacional 10, Apartado 21, 2686-953 Sacavem (Portugal); Botelho, M. Luisa [Departamento de Fisica, Instituto Tecnologico e Nuclear, Estrada Nacional 10, Apartado 21, 2686-953 Sacavem (Portugal)


    A preliminary study using gamma radiation on slaughterhouse wastewater samples was carried out. Chemical oxygen demand (COD), biochemical oxygen demand (BOD) and total suspended solids (TSS) results were obtained at a dose rate of 0.9 kGy h{sup -1}. A decrease of COD, BOD and colour was observed after irradiation at high absorbed doses. The microbiological results, following irradiation in the same conditions, correlated with the BOD results. The results obtained highlight the potential of this technology for wastewater treatment.

  7. Die Nasionale Vakterminologiediens (NVD

    L. A. Genis


    Full Text Available Die Nasionale Vakterminologiediens (NVD ressorteer onder die Hoofdirektoraat Kultuur en Vakkundige Hulp- dienste van die Departement van Nasionale Opvoeding. Die hoofdoelwit van die NVD is die skepping van ’n fijnksionele vakwoordeskat in veral Afrikaans, parallel met die inter- nasionaal gebruikte terminologieë.

  8. Treatment optimisation using external beam radiation in gynaecological cancers

    V. Sharma


    Full Text Available The majority of patients with gynaecological cancers present with advanced stages in which external beam radiation forms a major component of the treatment. These patients undergo simulation for treatment planning prior to radiation. Currently the lower extent of the disease is evaluated by vaginal examination and marked using a lead wire on the anterior abdominal wall in the pelvic region. A 2 cm margin inferior to this level is used as the lower border of the treatment field. The suggested modified technique includes the placement of an indigenously designed perspex vaginal obturator with graduations at 1 cm distance from its tip. Following vaginal examination the obturator can be inserted into the vagina and fixed at the predefined length using a fixation device. The radio-opaque markers can be seen even in the lateral films. Twentyfive consecutive patients underwent the procedure and the differences between the two methods of marking the lower border were calculated. The external lead wire was inferior to the internal obturator in 19 patients (76% ranging from 0.5 cm to 3 cm (median 1.5 cm, mean 1.37 cm. It was at the same level in 4 patients (16% and 1 cm superior to the internal obturator in 2 (8%. With the modified technique using the internal obturator application for delineating the lower border of vaginal disease or vault, it was possible to decrease the length of field thereby reducing the chances of treatment-related toxicity, especially groin and vulval reactions, as well as avoiding treatment interruptions.

  9. Detection of radiation treatment of beans using DNA comet assay

    Khan, Ashfaq A.; Khan, Hasan M.; Delincée, Henry


    A simple technique of microgel electrophoresis of single cells (DNA Comet Assay) enabled a quick detection of radiation treatment of several kinds of leguminous beans (azuki, black, black eye, mung, pinto, red kidney and white beans). Each variety was exposed to radiation doses of 0.5, 1 and 5kGy covering the permissible limits for insect disinfestation. The cells or nuclei from beans were extracted in cold PBS, embedded in agarose on microscope slides, lysed between 15 and 60min in 2.5% SDS and electrophoresis was carried out at a voltage of 2V/cm for 2-2.5min. After silver staining, the slides were evaluated through an ordinary transmission microscope. In irradiated samples, fragmented DNA stretched towards the anode and the damaged cells appeared as a comet. The density of DNA in the tails increased with increasing radiation dose. However, in non-irradiated samples, the large molecules of DNA remained relatively intact and there was only minor or no migration of DNA; the cells were round or had very short tails only. Hence, the DNA comet assay provides an inexpensive, rapid and relatively simple screening method for the detection of irradiated beans.

  10. Photodegradation of etridiazole by UV radiation during drinking water treatment.

    Liu, Chao; Qiang, Zhimin; Tian, Fang; Zhang, Tao


    The photodegradation of etridiazole (ETZ) in water by UV radiation at 254 nm was investigated. Results indicate that the simulated first-order rate constants decreased with the increase of initial ETZ concentration (i.e., 5, 20 and 30 microM), and did not show any pH dependence within the range from 6.0 to 8.0. The quantum yield was 0.46+/-0.02 molE(-1) at pH 7.0. H(2)O(2) was generated at trace levels in the range from 0 to 1.0 microM during photodegradation of ETZ. Direct photodegradation was responsible for the decomposition of ETZ in distilled water by UV radiation. Three organic byproducts were identified: 5-ethoxy-3-dichloromethyl-1,2,4-thiadiazole, 5-ethoxy-1,2,4-thiadiazole-3-carboxylic acid and 5-ethoxy-3-hydroxyl-1,2,4-thiadiazole. About 90% of chloro mass in the initial ETZ was released as Cl(-) at the end of photodegradation. In contrast, the formation of sulfate and nitrate was insignificant. In general, ETZ decayed more quickly in groundwater than in sand-filtered or surface water. It is reasonably deduced that ETZ may not get removed effectively under a typical UV dose of 40 mJcm(-2) at most water treatment plants that employ UV radiation for disinfection.

  11. Off-air treatment in waste treatment systems and landfills - consequences for practical operation. 62. information meeting of ANS e.V.; Abluftbehandlung bei MBA und Deponiebetrieb - Konsequenzen fuer die Praxis. 62. Informationsgespraech des ANS e.V.

    Fricke, K.; Burth, M.; Dichtl, N.; Wallmann, R. (eds.)


    The new German Landfill Ordinance of 1 March 2001 specifies the requirements on construction and operation of mechanical-biological waste treatment plants and landfills as well as the continued operation of existing landfills. The conference provided current information of R + D projects as well as practical experience in Austria and Germany, with particular regard to the issues of off-air emissions and landfilling. [German] Seit dem 1. Maerz 2001 ist die Artikelverordnung rechtswirksam. Sie enthaelt Anforderungen an den Bau und Betrieb von mechanisch-biologischen Restabfallbehandlungsanlagen und Deponien. Die Abfallablagerungsverordnung hat darueber hinaus weitreichende Konsequenzen fuer die Betriebsdauer bestehender Deponien. Ziel der Tagung ist es, aktuelle Informationen aus laufenden Forschungs- und Entwicklungsvorhaben sowie Erfahrungen bei der praktischen Umsetzung zu praesentieren, die insbesondere zu den Themenkomplexen Abluftemissionen und Deponierung zur Zeit in Oesterreich und Deutschland vorliegen. (orig.)

  12. Die kritiese taak van die literator

    A. L. Combrink


    Full Text Available Die beoefening van die literêre kritiek was aanvanklik slegs ’n deeltydse aktiwiteit. Die vroegste literêre kritici was nie as sodanig kritici nie maar het as deel van hulle totale intellektuele aktiwiteit hulle ook uitgelaat oor die letterkunde. Die motivering wat hulle hiertoe gehad het sou in ons dag heeltemal verdag voorkom: ’n uitgesproke didaktiese of moraliserende houding was die reel.

  13. Organ donation after medical assistance in dying or cessation of life-sustaining treatment requested by conscious patients: the Canadian context.

    Allard, Julie; Fortin, Marie-Chantal


    In June 2016, following the decision of the Supreme Court of Canada to decriminalise assistance in dying, the Canadian government enacted Bill C-14, legalising medical assistance in dying (MAID). In 2014, the province of Quebec had passed end-of-life care legislation making MAID available as of December 2015. The availability of MAID has many implications, including the possibility of combining this practice with organ donation through the controlled donation after cardiac death (cDCD) protocol. cDCD most often occurs in cases where the patient has a severe neurological injury but does not meet all the criteria for brain death. The donation is subsequent to the decision to withdraw life-sustaining treatment (LST). Cases where patients are conscious prior to the withdrawal of LST are unusual, and have raised doubts as to the acceptability of removing organs from individuals who are not neurologically impaired and who have voluntarily chosen to die. These cases can be compared with likely scenarios in which patients will request both MAID and organ donation. In both instances, patients will be conscious and competent. Organ donation in such contexts raises ethical issues regarding respect for autonomy, societal pressure, conscientious objections and the dead-donor rule. In this article, we look at relevant policies in other countries and examine the ethical issues associated with cDCD in conscious patients who choose to die.

  14. Dianhydrogalactitol and radiation therapy. Treatment of supratentorial glioma.

    Eagan, R T; Childs, D S; Layton, D D; Laws, E R; Bisel, H F; Holbrook, M A; Fleming, T R


    Dianhydrogalactitol was the most active of 177 agents tested against a mouse ependymoblastoma tumor. We conducted a prospectively randomized trial comparing whole-brain irradiation alone vs identical irradiation plus dianhydrogalactitol in 42 patients with grade 3 and 4 supratentorial astrocytomas. Patients receiving dianhydrogalactitol in addition to irradiation had a significantly longer median survival time (67 vs 35 weeks) than did patients receiving only irradiation. The major toxic effect of dianhydrogalactitol is hematologic suppression of a cumulative nature. Dianhydrogalactitol may play an important role (in conjunction with radiation therapy) in the initial treatment of patients with supratentorial glioma. Our data may indicate that the mouse ependymoblastoma system is a useful screen for agents to be used in the treatment of human glioma.

  15. The new radiation protection law. What does it mean for radiography? From the view of a Federal state authority; Das neue Strahlenschutzgesetz. Was bedeutet dies fuer die Radiographie? Aus dem Blick einer Landesbehoerde

    Lorenz, Joachim [Saechsisches Staatsministerium fuer Umwelt und Landwirtschaft, Dresden (Germany)


    As a consequence of the implementation of the guideline 2013/59/EURATOM the German environmental ministry BMUB has revised the radiation protection law. The contribution discusses the impact of the revised law on the radiation protection authority in Saxonia. The new requirements concerning the application of radioactive materials for radiographic testing are summarized.

  16. Decision tools for radiation oncology. Prognosis, treatment response and toxicity

    Nieder, Carsten [Tromso Univ., Bodo (Norway). Dept. of Oncology; Gaspar, Laurie E. (ed.) [Colorado Univ., Aurora, CO (United States). Dept. of Radiation Oncology


    Comprehensive overview of prognostic and predictive models for radiation oncology, stratified by disease site. Identification of models' limits and caveats. Excellent aid to decision making in daily clinical practice. A look at the recent oncology literature or a search of one of the common databases reveals a steadily increasing number of nomograms and other prognostic models, some of which are also available in the form of web-based tools. These models may predict the risk of relapse, lymphatic spread of a given malignancy, toxicity, survival, etc. Pathology information, gene signatures, and clinical data may all be used to compute the models. This trend reflects increasingly individualized treatment concepts and also the need for approaches that achieve a favorable balance between effectiveness and side-effects. Moreover, optimal resource utilization requires prognostic knowledge, for example to avoid lengthy and aggressive treatment courses in patients with a short survival expectation. In order to avoid misuse, it is important to understand the limits and caveats of prognostic and predictive models. This book provides a comprehensive overview of such decision tools for radiation oncology, stratified by disease site, which will enable readers to make informed choices in daily clinical practice and to critically follow the future development of new tools in the field.

  17. The relevance of cytokines in the radiation-induced lung reaction. Experimental basis and clinical significance; Die Bedeutung von Zytokinen fuer die radiogene Lungenreaktion. Experimentelle Grundlagen und klinische Relevanz

    Ruebe, C.E.; Ruebe, C. [Abt. fuer Strahlentherapie, Univ. des Saarlandes, Homburg/Saar (Germany); Rodemann, H.P. [Sektion fuer Strahlenbiologie und Molekulare Umweltforschung, Universitaetsklinik fuer Radioonkologie, Tuebingen (Germany)


    Methods: published data on radiation-induced cytokine expression from experimental and clinical studies are reviewed. Results and conclusion: the major pro-inflammatory cytokines in the radiation response of the lung include tumor necrosis factor-{alpha} (TNF-{alpha}), interleukin-1 (IL-1), and interleukin-6 (IL-6). Transforming growth factor-{beta} (TGF-{beta}) appears to be of particular importance in the development of lung fibrosis. First approaches with radioprotective agents and gene therapy to modify radiation-induced cytokine expression have been investigated for prevention of late effects of irradiation lung damage in animal experiments. Preliminary data of clinical studies suggest that elevated plasma TGF-{beta}-levels during radiotherapy may predict the development of symptomatic radiation pneumonitis. The biological impacts of endogenous radiation-induced cytokine production by tumor cells in respect of tumor behavior, potential damage to normal tissue, and clinical status of the host still need to be determined more precisely. (orig.)

  18. Current state of methodological and decisions for radiation treatment of blood, its components and products

    Gordeev A.V.


    Full Text Available This article presents currently used blood transfusion media — components and blood products, therapeutic effects, reactions and complications of blood transfusion, use of radiation treatment for blood transfusion fluids. There had been discussed in detail the practice of radiation processing of blood components and for the prevention of reaction "graft versus host" and studies of plasma radiation treatment for its infectious safety. There was presented the current state of techniques and technical solutions of radiation treatment of transfusion-transmissible environments. There were also considered an alternative to radiation treatment of blood.

  19. Influence of enhanced biological phosphate removal on feedback of phosphorus from sludge treatment; Einfluss der erhoehten biologischen Phosphorelimination auf die Phosphorrueckbelastung aus der Schlammbehandlung

    Jardin, N. [Inst. WAR, TH Darmstadt (Germany); Poepel, H.J. [Inst. WAR, TH Darmstadt (Germany)


    Phosphate release and phosphate fixation during sludge treatment of excess sludge was investigated with a pilot plant for enhanced biological phosphorus removal. The major part of the eliminated phosphorus in the pilot plant was due to the storage of polyphosphate in the excess sludge and was accompanied by an uptake of magnesium and potassium. Using separate thickening systems only a small P-feedback was observed, whereas with gravity thickeners a part of the polyphosphate was hydrolysed and phosphate was released into solution. Due to only a small transfer of the released phosphate from the sludge layer into the supernatant, the P-feedback was relatively low. As a result of a complete polyphosphate hydrolysis in stabilising systems, phosphate is released, but only a small part of the released phosphate remains in solution whereas the major fraction of the released phosphate was fixed by physico-chemical fixation mechanisms. (orig.) [Deutsch] Es wird ueber systematische Untersuchungen im halbtechnischen Massstab zum Einfluss der erhoehten biologischen Phosphorelimination auf die Phosphatrueckloesung und Phosphatrueckbelastung bei der Schlammbehandlung berichtet. Die durchgefuehrten Untersuchungen zeigten, dass der groesste Teil des im erhoehten Umfang gespeicherten Phosphors auf die Einlagerung von Polyphosphat zurueckzufuehren ist, wobei gleichzeitig auch Kalium- und Magnesiumionen aufgenommen werden. Die maschinellen Verfahren zur getrennten Ueberschussschlammeindickung verursachen nur eine geringe P-Rueckbelastung, waehrend bei der Schwerkrafteindickung das Polyphosphat teilweise hydrolysiert und als Phosphat rueckgeloest wird. Allerdings wurde nur ein geringer Transfer in den Ueberstand beobachtet, so dass die P-Rueckbelastung auch bei der Schwerkrafteindickung vergleichsweise gering war. Bei der Faulung und der aerob-thermophilen Stabilisierung wird das Polyphosphat vollstaendig hydrolisiert, aber nur ein kleiner Teil des freigesetzten Phosphats verbleibt in

  20. MINERVA - a multi-modal radiation treatment planning system

    Wemple, C.A. E-mail:; Wessol, D.E.; Nigg, D.W.; Cogliati, J.J.; Milvich, M.L.; Frederickson, C.; Perkins, M.; Harkin, G.J


    Researchers at the Idaho National Engineering and Environmental Laboratory and Montana State University have undertaken development of MINERVA, a patient-centric, multi-modal, radiation treatment planning system. This system can be used for planning and analyzing several radiotherapy modalities, either singly or combined, using common modality independent image and geometry construction and dose reporting and guiding. It employs an integrated, lightweight plugin architecture to accommodate multi-modal treatment planning using standard interface components. The MINERVA design also facilitates the future integration of improved planning technologies. The code is being developed with the Java Virtual Machine for interoperability. A full computation path has been established for molecular targeted radiotherapy treatment planning, with the associated transport plugin developed by researchers at the Lawrence Livermore National Laboratory. Development of the neutron transport plugin module is proceeding rapidly, with completion expected later this year. Future development efforts will include development of deformable registration methods, improved segmentation methods for patient model definition, and three-dimensional visualization of the patient images, geometry, and dose data. Transport and source plugins will be created for additional treatment modalities, including brachytherapy, external beam proton radiotherapy, and the EGSnrc/BEAMnrc codes for external beam photon and electron radiotherapy.

  1. Die Via Dolorosa

    W. J. van der Merwe


    Full Text Available In die hartjie van Jerusalem, die heilige stad vir Jood, Mohammedaan en Christen staan daar ’n boog, die ,,Ecce Homoboog” genaamd, en 'n klein endjie daarvandaan, die Heilige Grafkerk.

  2. Cerebral protection devices for treatment of carotid stenoses. Where do we stand today?; Zerebrale Protektionssysteme fuer die Behandlung der Karotisstenose. Eine Standortbestimmung

    Mueller-Huelsbeck, S. [Klinik Diagnostische Radiologie, Univ. Kiel (Germany)


    The carotid bifurcation is currently a subject of controversial discussion within the vascular territory. These controversies are obvious for diagnostic imaging but the more so for therapy. Performing stenting as a treatment tool, controversies exist also as to whether angioplasty is performed without or obligatory with cerebral protection. Theron and colleagues first described the concept of cerebral protection during carotid angioplasty and stent placement. Currently, there are three temporary cerebral protection systems, i.e. balloon occlusion, filtration baskets, and systems for flow reversal in the internal carotid artery. While these systems provide a considerable degree of protection, as has been shown in in vitro and preliminary clinical studies, embolization might still occur, even under protection. In addition, it is still not clear what the minimum size of emboli is that need to be stopped to prevent a stroke, and what the relevance of cerebral microemboli is. Clinical evidence suggests that the usage of protection systems favours a good outcome of the intervention: however, whether or not such systems should be used routinely remains a matter of discussion and should thus be verified in further clinical studies. (orig.) [German] Die Karotisbifurkation ist ein derzeit viel und kontrovers diskutiertes Gefaessterritorium. Dies gilt sowohl fuer die Diagnostik, mehr noch fuer die Therapie. Wird die Therapievariante Stent gewaehlt, bestehen kontroverse Ansichten, ob die Angioplastie ohne oder obligat mit zerebralem Protektionssystem zu erfolgen hat. Das Konzept der Protektion waehrend der Karotisangioplastie bzw. Stentbehandlung zur Vermeidung zerebraler embolischer Komplikationen wurde erstmals von Theron et al. beschrieben. Heutzutage stehen als Protektionssysteme ausser einer temporaeren Ballonokklusion temporaere Filtrationssysteme und Systeme zur Flussumkehr in der A. carotis interna (ACI) zur Verfuegung. Es ist bis zum heutigen Tag noch nicht definiert

  3. Luther die prediker

    J. J. van der Walt


    Full Text Available ’n Prediker moet ’n getroue herder wees wat magtig is in die Heilige Skrif, want die Woord bring die kerk voort. Daarom moet die prediker in sy bediening aan mense ’n woord van sekerheid hê deur seker te wees hy het die Woord van God. Met hierdie gedagtegang het Luther se pastorale besorgdheid vaste bodem vir die prediking in die gesag van die Woord van God.

  4. Biological prevention and/or treatment strategies for radiation myelopathy. Discussion of a new perspective; Biologische Praeventions- und/oder Therapiemoeglichkeiten der Strahlenmyelopathie. Eine Diskussion neuer Perspektiven

    Nieder, C.; Ataman, F. [Texas Univ., Houston (United States). Dept. of Experimental Radiation Oncology; Price, R.E. [Texas Univ., Houston (United States). Dept. of Veterinary Medicine and Surgery; Kian Ang, K. [Texas Univ., Houston (United States). Dept. of Radiation Oncology


    Background: Radiosensitivity of the spinal cord makes both curative first-line treatment of numerous malignancies and re-irradiation of recurrent or second tumors more difficult. This review discusses recent advances in basic research that alter the view on the pathogenesis of radiation myelopathy, possibly offering strategies for prevention and/or therapy. Results: Available data of developmental neurobiology and preclinical studies of demyelinating diseases revealed interesting insights into oligodendrocyte development, intercellular signaling pathways, and myelination processes. Current findings suggest that administration of cytokines could increase proliferation of oligodendrocyte progenitor cells, enhance their differentiation, upregulate synthesis of myelin constituents, and promote myelin regeneration in the adult central nervous system. Other compounds might also be able to modulate progression of pathogenic processes that eventually lead to radiation myelopathy. This offers several possible biological prevention and/or treatment strategies, which currently are being investigated in animal studies. Conclusions: Technical options as well as optimization of fractionation parameters should be given priority in the attempt to reduce iatrogenic neurotoxicity. However, rational biological strategies could offer a new perspective for many patients. (orig.) [German] Hintergrund: Die Strahlensensibilitaet des Rueckenmarks erschwert bei zahlreichen Tumoren eine kurative Erstbestrahlung oder eine Zweitbestrahlung von Rezidiv- oder Zweittumoren. In dieser Uebersichtsarbeit werden aktuelle Ergebnisse der Grundlagenforschung diskutiert, die unser Verstaendnis der Pathogenese der Strahlenmyelopathie veraendern und Wege zur Praevention und/oder Therapie aufzeigen koennten. Ergebnisse: Neurobiologische Daten ueber die Entwicklung des zentralen Nervensystems und praeklinische Studien bei demyelinisierenden Erkrankungen fuehrten zu interessanten Erkenntnissen bezueglich der

  5. Radiation treatment parameters for re-irradiation of malignant glioma

    Niyazi, M.; Soehn, M.; Schwarz, S.B.; Lang, P.; Belka, C.; Ganswindt, U. [Ludwig-Maximilians-Univ., Muenchen (Germany). Dept. of Radiation Oncology


    Background and purpose: Most patients with malignant glioma ultimately fail locally or loco-regionally after the first treatment, with re-irradiation being a reasonable treatment option. However, only limited data are presently available allowing for a precise selection of patients suitable for re-treatment with regard to safety and efficacy. Material and methods: Using the department database, 39 patients with a second course of radiation were identified. Doses to gross tumor volume (GTV), planning target volume (PTV), and relevant organs at risk (OARs; brainstem, optic chiasm, optic nerves, brain) were retrospectively analyzed and correlated to outcome parameters. Relevant treatment parameters including D{sub max}, D{sub min}, D{sub mean}, and volume (ml) were obtained. Equivalent uniform dose (EUD) values were calculated for the tumor and OARs. To address the issue of radiation necrosis/leukoencephalopathy posttherapeutic MRI images were routinely examined every 3 months. Results: Median follow-up was 147 days. The time interval between first and second irradiation was regularly greater than 6 months. Median EUDs to the OARs were 11.9 Gy (range 0.7-27.4 Gy) to the optic chiasm, 17.6 Gy (range 0.7-43.0 Gy) to the brainstem, 4.9/2.1 Gy (range 0.3-24.5 Gy) to the right/left optic nerve, and 29.4 Gy (range 25.2-32.5 Gy) to the brain. No correlation between treated volume and survival was observed. Cold spots and dose did not correlate with survival. Re-irradiated volumes were treated with on average lower doses if they were larger and vice versa. Conclusion: In general, re-irradiation is a safe and feasible re-treatment option. No relevant toxicity was observed after re-irradiation in our patient cohort during follow-up. In this regard, this analysis provides baseline data for the selection of putative patients. EUD values are derived and may serve as reference for further studies, including intensity-modulated radiotherapy (IMRT) protocols. (orig.)

  6. Evaluation of permanent die coatings to improve the wear resistance of die casting dies. Final project report, January 1, 1995--April 30, 1997

    Shivpuri, R.


    Die Casting dies are subject to severe service conditions during the die casting operation. While these severe conditions are necessary to achieve high production rates, they cause the dies which are commonly made of H13 die steel, to suffer frequent failures. The major die failure mechanisms are erosion or washout, Heat checking, soldering and corrosion. Due to their geometrical complexity, die casting dies are very expensive (some dies cost over a million dollars), and thus a large number of parts have to be produced by a die, to justify this cost and leverage the advantages of the die casting process (high production rates, low manpower costs). A potential increase in the die service life, thus has a significant impact on the economics of the die; casting operation. There are many ways to extend die life: developing new wear resistant die materials, developing new surface treatments including coatings, improving heat treatment of existing H13 dies, using better lubricants that can protect the die material, or modifying the die geometry and process parameters to reduce the intensity of wear. Of these the use of coatings to improve the wear resistance of the die surface has shown a lot of promise. Consequently, use of coatings in the die casting industry and their wide use to decrease die wear can improve significantly the productivity of shop operations resulting in large savings in material and energy usage.

  7. Effects of ferric hydroxid sludge dosage on sludge treatment/-disposal. Final report; Einfluesse einer Eisenschlammzugabe auf die Klaerschlammbehandlung/-entsorgung. Schlussbericht

    Dammann, E.; Benzinger, S.


    A pilot plant consisting of two gravity thickeners, two sludge digesters and sludge dewatering by laboratory-frame filter press was operated on two different sewage water treatment plants. Ferric hydroxide sludge (FS) was treated together as with surplus sludge from enhanced biological removal of phosphorus (SS{sub EBPR}) as together with a mixture of primary and surplus sludge including precipitation sludge (PS+SS). One sludge treatment system was dosed with FS, the other serving as control unit operated without FS. In combined thickening in view of filterable solids, COD and P the quality of supernatant improved in most cases as well as the dried solid matter of the thickened sludge increased. In thickening of SS{sub EBPR} 45-70% P was refixed more than in the control system. Scum caused by hydrogen sulphide could be avoided in particular cases. There were no negative influences on the process of combined digestion with SS{sub EBPR} observed as well as with PS+SS. The degradation of organic solid matter was increased by FS-dosage>30 g Fe/kg TR{sub RS}. If present SS{sub EBPR}, hydrogen sulphide was reduced significantly; the content of methane in digester gas increased. Re-dissolved poly-P was refixed nearly completely. Sludge dewatering process was not influenced by FS, independent of the kind of post sludge conditioning. Nor was the sludge disposal restricted by FS. P-feedback from combined thickening, digestion and dewatering of SS{sub EBPR} decreased in comparison to the control unit with 16,8% (in relation to P{sub tot} influent) to 11,2 resp. 1,4% depending on the dosage of FS. (orig.) [Deutsch] Eine halbtechnische Versuchsanlage mit Schwerkrafteindickern, Faulbehaeltern und Entwaesserung mit einer Labor-Rahmenfilterpresse wurde auf zwei kommunalen Klaeranlagen betrieben. Eisenhydroxidschlamm (ES) wurde zum einen mit Ueberschussschlamm aus der erhoehten biologischen P-Elimination (UeSS{sub BIO-P}) und zum anderen mit einem Gemisch aus Primaer- und

  8. Immobilization for the radiation therapy treatment of the pelvic region

    Van den Heuvel, F.; De Beukeleer, M.; Nys, F.; Bijdekerke, P.; Robberechts, M.; Van Cauwenbergh, R. [Brussels Univ. (Belgium). Dept. of Radiotherapy


    Previous experience with the treatment of the pelvic region has shown that geometric setup errors are considerable in extent and incidence. A proposal to alleviate this problem is the introduction of immobilization devices in analogy with head and neck treatment. The practicality and efficacy of such a technique is investigated and compared with an earlier proposed technique using interactive adjustment and Electronic Portal Imaging (EPI). A group of 13 patients treated in the pelvic region using external radiation therapy was immobilized using an Orfit-like cast. Every fraction for every patients was imaged using an EPID. Immediately after obtaining an image it was compared to a digitized simulation image using the in-house developed OPIDUM system. Patient position was adjusted when an error in one of the main directions (transversal or longitudinal) exceeded 5 mm. Time measurements were carried out in order to asses the impact of the immobilization procedure on the patient throughput. In 68% of the cases a corrective action was necessary. The fraction of total treatment time was 50% for 26% of the fields. The range of errors measured in the longitudinal direction was between 29 and -22 mm. In the transversal direction the range was from -7 to 60 mm. A full analysis 13 patients yielding statistics for more than 200 fields is presented. Special attention has been paid to the determination of the nature of the errors (random or systematic) and the impact on patient throughput.

  9. Chronic radiation proctopathy:A practical review of endoscopic treatment

    Luciano Lenz; Rachel Rohr; Frank Nakao; Ermelindo Libera; Angelo Ferrari


    Chronic radiation proctopathy(CRP) is a troublesome complication of pelvic radiotherapy. The most common presentation is rectal bleeding. CRP symptoms interfere with daily activities and decrease quality of life. Rectal bleeding management in patients with CRP represents a conundrum for practitioners. Medical therapy is ineffective in general and surgical approach has a high morbidmortality. Endoscopy has a role in the diagnosis,staging and treatment of this disease. Currently available endoscopic modalities are formalin,potassium titanyl phosphate laser,neodymium:yttrium-aluminum-garnet laser,argon laser,bipolar electrocoagulation(BiCAP),heater probe,band ligation,cryotherapy,radiofrequency ablation and argon plasma coagulation(APC). Among these options,APC is the most promising.

  10. BNCT-RTPE: BNCT radiation treatment planning environment

    Wessol, D.E.; Wheeler, F.J. [Idaho National Engineering Lab., Idaho Fall, ID (United States); Babcock, R.S. [and others


    Several improvements have been developed for the BNCT radiation treatment planning environment (BNCT-Rtpe) during 1994. These improvements have been incorporated into Version 1.0 of BNCT-Rtpe which is currently installed at the INEL, BNL, Japanese Research Center (JRC), and Finland`s Technical Research Center. Platforms supported by this software include Hewlett-Packard (HP), SUN, International Business Machines (IBM), and Silicon Graphics Incorporated (SGI). A draft version of the BNCT-Rtpe user manual is available. Version 1.1 of BNCT-Rtpe is scheduled for release in March 1995. It is anticipated that Version 2.x of BNCT-Rtpe, which includes the nonproprietary NURBS library and data structures, will be released in September 1995.

  11. Surface treatment of CFRP composites using femtosecond laser radiation

    Oliveira, V.; Sharma, S. P.; de Moura, M. F. S. F.; Moreira, R. D. F.; Vilar, R.


    In the present work, we investigate the surface treatment of carbon fiber-reinforced polymer (CFRP) composites by laser ablation with femtosecond laser radiation. For this purpose, unidirectional carbon fiber-reinforced epoxy matrix composites were treated with femtosecond laser pulses of 1024 nm wavelength and 550 fs duration. Laser tracks were inscribed on the material surface using pulse energies and scanning speeds in the range 0.1-0.5 mJ and 0.1-5 mm/s, respectively. The morphology of the laser treated surfaces was investigated by field emission scanning electron microscopy. We show that, by using the appropriate processing parameters, a selective removal of the epoxy resin can be achieved, leaving the carbon fibers exposed. In addition, sub-micron laser induced periodic surface structures (LIPSS) are created on the carbon fibers surface, which may be potentially beneficial for the improvement of the fiber to matrix adhesion in adhesive bonds between CFRP parts.

  12. 21 CFR 579.22 - Ionizing radiation for treatment of animal diets.


    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Ionizing radiation for treatment of animal diets... for treatment of animal diets. Ionizing radiation for treatment of complete diets for animals may be... Bagged complete diets, packaged feeds, feed ingredients, bulk feeds, animal treats and chews...

  13. Treatment of advanced head and neck cancer: multiple daily dose fractionated radiation therapy and sequential multimodal treatment approach.

    Nissenbaum, M; Browde, S; Bezwoda, W R; de Moor, N G; Derman, D P


    Fifty-eight patients with advanced head and neck cancer were entered into a randomised trial comparing chemotherapy (DDP + bleomycin) alone, multiple daily fractionated radiation therapy, and multimodality therapy consisting of chemotherapy plus multiple fractionated radiation therapy. Multimodal therapy gave a significantly higher response rate (69%) than either single-treatment modality. The use of a multiple daily dose fractionation allowed radiation therapy to be completed over 10 treatment days, and the addition of chemotherapy to the radiation treatment did not significantly increase toxicity. Patients receiving multimodal therapy also survived significantly longer (median 50 weeks) than those receiving single-modality therapy (median 24 weeks).

  14. Optimizing global liver function in radiation therapy treatment planning

    Wu, Victor W.; Epelman, Marina A.; Wang, Hesheng; Romeijn, H. Edwin; Feng, Mary; Cao, Yue; Ten Haken, Randall K.; Matuszak, Martha M.


    Liver stereotactic body radiation therapy (SBRT) patients differ in both pre-treatment liver function (e.g. due to degree of cirrhosis and/or prior treatment) and radiosensitivity, leading to high variability in potential liver toxicity with similar doses. This work investigates three treatment planning optimization models that minimize risk of toxicity: two consider both voxel-based pre-treatment liver function and local-function-based radiosensitivity with dose; one considers only dose. Each model optimizes different objective functions (varying in complexity of capturing the influence of dose on liver function) subject to the same dose constraints and are tested on 2D synthesized and 3D clinical cases. The normal-liver-based objective functions are the linearized equivalent uniform dose (\\ell \\text{EUD} ) (conventional ‘\\ell \\text{EUD} model’), the so-called perfusion-weighted \\ell \\text{EUD} (\\text{fEUD} ) (proposed ‘fEUD model’), and post-treatment global liver function (GLF) (proposed ‘GLF model’), predicted by a new liver-perfusion-based dose-response model. The resulting \\ell \\text{EUD} , fEUD, and GLF plans delivering the same target \\ell \\text{EUD} are compared with respect to their post-treatment function and various dose-based metrics. Voxel-based portal venous liver perfusion, used as a measure of local function, is computed using DCE-MRI. In cases used in our experiments, the GLF plan preserves up to 4.6 % ≤ft(7.5 % \\right) more liver function than the fEUD (\\ell \\text{EUD} ) plan does in 2D cases, and up to 4.5 % ≤ft(5.6 % \\right) in 3D cases. The GLF and fEUD plans worsen in \\ell \\text{EUD} of functional liver on average by 1.0 Gy and 0.5 Gy in 2D and 3D cases, respectively. Liver perfusion information can be used during treatment planning to minimize the risk of toxicity by improving expected GLF; the degree of benefit varies with perfusion pattern. Although fEUD model optimization is computationally inexpensive and

  15. Optimizing global liver function in radiation therapy treatment planning

    Wu, Victor W; Epelman, Marina A; Wang, Hesheng; Romeijn, H Edwin; Feng, Mary; Cao, Yue; Haken, Randall K Ten; Matuszak, Martha M


    Liver stereotactic body radiation therapy (SBRT) patients differ in both pre-treatment liver function (e.g. due to degree of cirrhosis and/or prior treatment) and radiosensitivity, leading to high variability in potential liver toxicity with similar doses. This work investigates three treatment planning optimization models that minimize risk of toxicity: two consider both voxel-based pre-treatment liver function and local-function-based radiosensitivity with dose; one considers only dose. Each model optimizes different objective functions (varying in complexity of capturing the influence of dose on liver function) subject to the same dose constraints and are tested on 2D synthesized and 3D clinical cases. The normal-liver-based objective functions are the linearized equivalent uniform dose (ℓEUD) (conventional ‘ℓEUD model’), the so-called perfusion-weighted ℓEUD (fEUD) (proposed ‘fEUD model’), and post-treatment global liver function (GLF) (proposed ‘GLF model’), predicted by a new liver-perfusion-based dose-response model. The resulting ℓEUD, fEUD, and GLF plans delivering the same target ℓEUD are compared with respect to their post-treatment function and various dose-based metrics. Voxel-based portal venous liver perfusion, used as a measure of local function, is computed using DCE-MRI. In cases used in our experiments, the GLF plan preserves up to 4.6%(7.5%) more liver function than the fEUD (ℓEUD) plan does in 2D cases, and up to 4.5%(5.6%) in 3D cases. The GLF and fEUD plans worsen in ℓEUD of functional liver on average by 1.0 Gy and 0.5 Gy in 2D and 3D cases, respectively. Liver perfusion information can be used during treatment planning to minimize the risk of toxicity by improving expected GLF; the degree of benefit varies with perfusion pattern. Although fEUD model optimization is computationally inexpensive and often achieves better GLF than ℓEUD model optimization does, the GLF model directly optimizes a more clinically

  16. Magnetic Properties Improvement of Die-upset Nd-Fe-B Magnets by Dy-Cu Press Injection and Subsequent Heat Treatment

    Wang, Zexuan; Ju, Jinyun; Wang, Jinzhi; Yin, Wenzong; Chen, Renjie; Li, Ming; Jin, Chaoxiang; Tang, Xu; Lee, Don; Yan, Aru


    Ultrafine-grained die-upset Nd-Fe-B magnets are of importance because they provide a wide researching space to redesign the textured structures. Here is presented a route to obtain a new die-upset magnet with substantially improved magnetic properties. After experiencing the optimized heat treatment, both the coercivity and remanent magnetization of the Dy-Cu press injected magnets increased substantially in comparison with those of the annealed reference magnets, which is distinct from the reported experimental results on heavy rare-earth diffusion. To study the mechanism, we analyzed the texture evolution in high-temperature annealed die-upset magnets, which had significant impact on the improvement of remanent magnetization. On basis of the results, we find that the new structures are strongly interlinked with the initial structures. With injecting Dy-Cu eutectic alloy, an optimized initial microstructure was achieved in the near-surface diffused regions, which made preparations for the subsequent texture improvement. Besides, the Dy gradient distribution of near-surface regions of the Dy-Cu press injected magnets was also investigated. By controlling the initial microstructure and subsequent diffusion process, a higher performance magnet is expected to be obtained.

  17. Magnetic Properties Improvement of Die-upset Nd-Fe-B Magnets by Dy-Cu Press Injection and Subsequent Heat Treatment.

    Wang, Zexuan; Ju, Jinyun; Wang, Jinzhi; Yin, Wenzong; Chen, Renjie; Li, Ming; Jin, Chaoxiang; Tang, Xu; Lee, Don; Yan, Aru


    Ultrafine-grained die-upset Nd-Fe-B magnets are of importance because they provide a wide researching space to redesign the textured structures. Here is presented a route to obtain a new die-upset magnet with substantially improved magnetic properties. After experiencing the optimized heat treatment, both the coercivity and remanent magnetization of the Dy-Cu press injected magnets increased substantially in comparison with those of the annealed reference magnets, which is distinct from the reported experimental results on heavy rare-earth diffusion. To study the mechanism, we analyzed the texture evolution in high-temperature annealed die-upset magnets, which had significant impact on the improvement of remanent magnetization. On basis of the results, we find that the new structures are strongly interlinked with the initial structures. With injecting Dy-Cu eutectic alloy, an optimized initial microstructure was achieved in the near-surface diffused regions, which made preparations for the subsequent texture improvement. Besides, the Dy gradient distribution of near-surface regions of the Dy-Cu press injected magnets was also investigated. By controlling the initial microstructure and subsequent diffusion process, a higher performance magnet is expected to be obtained.

  18. Radiosynovectomy for the treatment of rheumatoid arthritis of the elbow; Die radiosynoviorthese zur Therapie der rheumatoiden Arthritis des Ellenbogengelenks

    Rozeboom, S.; Doerr, U.; Bihl, H. [Klinik fuer Nuklearmedizin und PET-Center Stuttgart, Katharinenhospital, Klinikum Stuttgart (Germany)


    The aim of this retrospective study was to evaluate the efficiacy of radiosynovectomy (RSO) in patients with rheumatoid elbow arthritis. Patients and Methods: 40 joints of 31 patients were evaluated. At the time of therapy, patients had been suffering from elbow arthritis for 17.5 months (2-72 months). 95% of the joints (n = 38) had severe daily pain or continuous pain, 97.5% (n = 39) had moderate to severe limitation of the mobility and 10% (n = 4) had severe swelling. RSO was performed by intraarticulaer injection of 74 MBq colloidal rhenium-186 and 15 mg triamcinolonehexacetonide. Before and six to 26 months after therapy (median follow-up 14.7 months) severity of the patients pain, mobility and swelling (transferred to a scoring system) were determined with a standardised questionaire. A clinical re-evaluation, along with an arthrosonographical follow-up was performed in 28 joints. Results: A ''good to very good'' overall long-term response was achieved in 80% (n = 32) of the treated joints and a temporary response in 10% (n = 4). Only 10% (n = 4) had a non-satisfactory response due to advanced articular destruction. The range of motion for flexion-extension increased from 103.8 {+-} 20.0 degrees to 144.0 {+-} 12.8 degrees (p <0.001). The respective scores for articular pain, impaired mobility and swelling decreased significantly (pain from 3.15 to 0.82, impaired mobility from 3.15 to 0.82, swelling from 2.40 to 0.65; p <0.001). No deterioration or complication occurred. The effects lasted throughout the entire follow-up time for 36 joints (90%). Conclusion: For patients with rheumatoid involvement of the elbow joint, radiosynovectomy results in a significant decrease of articular pain and improvement of objective parameter, i.e. joint mobility. Thus, radiosynovectomy represents a feasible and effective therapeutic option for elbow arthritis. (orig.) [German] Ziel der vorliegenden retrospektiven Untersuchung war, die Wirksamkeit der

  19. Molecular targeted treatment and radiation therapy for rectal cancer

    Marquardt, Friederike; Roedel, Franz; Capalbo, Gianni; Weiss, Christian; Roedel, Claus [Dept. of Radiation Therapy, Univ. of Frankfurt/Main (Germany)


    Background: EGFR (epidermal growth factor receptor) and VEGF (vascular endothelial growth factor) inhibitors confer clinical benefit in metastatic colorectal cancer when combined with chemotherapy. An emerging strategy to improve outcomes in rectal cancer is to integrate biologically active, targeted agents as triple therapy into chemoradiation protocols. Material and methods: cetuximab and bevacizumab have now been incorporated into phase I-II studies of preoperative chemoradiation therapy (CRT) for rectal cancer. The rationale of these combinations, early efficacy and toxicity data, and possible molecular predictors for tumor response are reviewed. Computerized bibliographic searches of Pubmed were supplemented with hand searches of reference lists and abstracts of ASCO and ASTRO meetings. Results: the combination of cetuximab and CRT can be safely applied without dose compromises of the respective treatment components. Disappointingly low rates of pathologic complete remission have been noted in several phase II studies. The K-ras mutation status and the gene copy number of EGFR may predict tumor response. The toxicity pattern (radiation-induced enteritis, perforations) and surgical complications (wound healing, fistula, bleeding) observed in at least some of the clinical studies with bevacizumab and CRT warrant further investigations. Conclusion: longer follow-up (and, finally, randomized trials) is needed to draw any firm conclusions with respect to local and distant failure rates, and toxicity associated with these novel treatment approaches. (orig.)

  20. Primary radiation therapy in the treatment of anal carcinoma

    Cantril, S.T. (Children' s Hospital of San Francisco, CA); Green, J.P.; Schall, G.L.; Schaupp, W.C.


    From 1966 to 1981, 47 patients with a diagnosis of anal carcinoma were irradiated. This group was composed of 23 males and 24 females, with age ranging from 38 to 84 years (average 64.4 years). Five patients were treated preoperatively and 34 were treated definitively with cancericidal doses of irradiation. Acute radiation reactions requiring a rest-break were noted in 28% of patients, but all were managed as outpatients without untoward chronic sequelae. Chronic complications were noted in 13 patients, including two patients who required colostomy for severe anal stenosis and two who required A-P resection for large painful ulcers. Twenty-eight of 35 patients (80%) treated with irradiation alone have remained locally controlled without further treatment. An additional four have been salvaged by surgery. Only three patients had interstitial implants as part of their treatment course. Actuarial survival at five years for the N/sub 0/ patients and the group as a whole are 95.6 and 79.3%, respectively. It is concluded that external beam irradiation alone, properly fractionated to cancericidal doses, can control anal carcinoma with acceptable morbidity rates and without the use of either chemotherapy or interstitial implants in most cases. There is also a strong correlation suggesting that anal intercourse and male homosexuality play a significant role in the etiology of this disease.

  1. Surgical management of vestibular schwannomas after failed radiation treatment.

    Nonaka, Yoichi; Fukushima, Takanori; Watanabe, Kentaro; Friedman, Allan H; Cunningham, Calhoun D; Zomorodi, Ali R


    Increasing numbers of patients with vestibular schwannoma (VS) have been treated with focused-beam stereotactic radiation treatment (SRT) including Gamma knife, CyberKnife, X-knife, Novalis, or proton beam therapy. The purpose of this study was to document the incidence of tumor regrowth or symptoms that worsened or first developed following SRT and to discuss surgical strategies for patients who have failed SRT for VS. A consecutive series of 39 patients with SRT failed VS were surgically treated. Clinical symptoms, tumor regrowth at follow-up, intraoperative findings, and surgical outcome were evaluated. There were 15 males and 24 females with a mean age of 51.8 years. Thirty-six patients (92.3%) demonstrated steady tumor growth after SRT. Two (5.1%) patients with slight increase of the mass underwent surgical resection because of development of unbearable facial pain. Symptoms that worsened or newly developed following SRT in this series were deafness (41%), dizziness (35.9%), facial numbness (25.6%), tinnitus (20.5%), facial nerve palsy (7.7%), and facial pain (7.7%). Intraoperative findings demonstrated fibrous changes of the tumor mass, cyst formation, and brownish-yellow or purple discoloration of the tumor capsule. Severe adhesions between the tumor capsule and cranial nerves, vessels, and the brainstem were observed in 69.2%. Additionally, the facial nerve was more fragile and irritable in all cases. Gross total resection (GTR) was achieved in 33.3% of patients, near-total resection (NTR) in 35.9%, and subtotal resection (STR) in 30.8% of patients. New facial nerve palsy was seen in seven patients (19.4%) postoperatively. Our findings suggest that patients with VS who fail SRT with either tumor progression or worsening of clinical symptoms will have an increased rate of adhesions to the neurovascular structures and may have radiation-influenced neuromalacia. Salvage surgery of radiation-failed tumors is more difficult and will have a higher risk of

  2. Radiation safety issues in the water treatment plant - Indoor radon and gamma radiation

    Jantsikene, A.; Kiisk, M.; Suursoo, S.; Koch, R. [University of Tartu, Institute of Physics (Estonia); Lumiste, L. [Tallinn University of Technology, Department of Chemical Engineering (Estonia)


    In order to reduce the indicative dose from drinking water consumption in Viimsi parish, Estonia, a new water treatment plant was launched in 2012 serving about 15 000 consumers. The promising new technology for groundwater purification consists of air injector, oxidation tank, patented venturi-type centrifugal degassing separation unit GDT and two-stage filtration in open filter columns. In each of the five parallel lines, approximately 95 tons of catalytic (FMH and sand) and 45 tons of non-catalytic (zeolite) filter materials were used. These filter materials proved to be very effective adsorbents of incoming radium isotopes. As a result, the columns emit direct gamma radiation. Moreover, columns' exposure to indoor air makes them radon generators that affect all rooms in the building. During the study period of two years the filter materials were not replaced and their lifespan has not been estimated yet. In order to minimize radiation risks for the workers inside the water treatment plant, a complex study and a long-term monitoring is needed. For the measurements of {sup 226}Ra and {sup 228}Ra concentrations in water and in solid filter materials gamma-ray spectroscopy was used. According to the results, the annual input of {sup 226}Ra and {sup 228}Ra is 325 MBq and 420 MBq, respectively. The average incoming concentration of {sup 226}Ra and {sup 228}Ra isotopes is 0.5 Bq/L and 0.6 Bq/L, respectively, and the radium content in the output water is below the limit of detection (about 10-15 mBq/L). This means strong accumulation of radium isotopes in the filter materials, thus causing an increase of {sup 222}Rn concentrations in the outgoing treated water. External dose rates throughout the length of the filter columns were measured with the portable dosimeter to estimate the {sup 226}Ra and {sup 228}Ra depth distribution. The results showed that distribution of these radionuclides is uneven with the maximum of 0.5 μSv/h for the first stage and 3 μSv/h for

  3. Wêreldmededingendheid en die tegnologie

    C. W. I. Pistorius


    Full Text Available Afgesien van die interne uitdagings wat die Heropbou- en Ontwikkelingsprogram (HOP aan Suid-Afrika bied, moet die land ook tred hou met die veranderende globale omgewing, spesifiek die toenemende belangrikheid van ekonomiese sekuriteit as komponent van nasionale sekuriteit. Die konsep van mededingendheid vergestalt die doelwit wat nagestreef moet word ten einde die ontluikende globale ekonomiese stryd aan te durf. As ’n belangrike drywer van ekonomiese welvaart is tegnologie een van die belangrikste sleutels tot internasionale mededingendheid. Tegnologiese innovasie is die proses wat as hefboom hiervoor gebruik moet word. Dit is egter nodig dat tegnologie, en spesifiek die proses van tegnologiese innovasie, formeel en gestruktureerd bestuur moet word, sowel op nasionale as firmavlak. Op nasionale vlak is die voorsiene Nasionale Innovasiestelsel beslis ’n stap in die regte rigting.

  4. The organization of radiation protection at German universities. An example of radiation protection organization as recommended by the working group ''issues of law''; Die Organisation des Strahlenschutzes an deutschen Hochschulen. Ein Beispiel aus der ''Empfehlung des Arbeitskreises Rechtsfragen zur Strahlenschutz-Organisation''

    Dorner, R. [Hannover Univ. (Germany). Zentrum fuer Strahlenschutz und Radiooekologie


    An example is presented of the radiation protection organization at German universities. It is a part of a draft recommendation given by the working group 'issues of law' of the Fachverband fuer Strahlenschutz. Typical structural conditions and the tasks of universities are considered. (orig.) [German] Dargestellt wird ein Beispiel zur Strahlenschutzorganisation an Hochschulen in Deutschland. Es ist dem Entwurf einer Beispielsammlung entnommen, die als Empfehlung des Arbeitskreises Rechtsfragen des Fachverbandes fuer Strahlenschutz geplant ist. Es beruecksichtigt die besonderen Gegebenheiten der Struktur und Aufgaben einer Hochschule. (orig.)

  5. Reducing the Human Burden of Breast Cancer: Advanced Radiation Therapy Yields Improved Treatment Outcomes.

    Currey, Adam D; Bergom, Carmen; Kelly, Tracy R; Wilson, J Frank


    Radiation therapy is an important modality in the treatment of patients with breast cancer. While its efficacy in the treatment of breast cancer was known shortly after the discovery of x-rays, significant advances in radiation delivery over the past 20 years have resulted in improved patient outcomes. With the development of improved systemic therapy, optimizing local control has become increasingly important and has been shown to improve survival. Better understanding of the magnitude of treatment benefit, as well as patient and biological factors that confer an increased recurrence risk, have allowed radiation oncologists to better tailor treatment decisions to individual patients. Furthermore, significant technological advances have occurred that have reduced the acute and long-term toxicity of radiation treatment. These advances continue to reduce the human burden of breast cancer. It is important for radiation oncologists and nonradiation oncologists to understand these advances, so that patients are appropriately educated about the risks and benefits of this important treatment modality.

  6. Experimental treatment of radiation pneumonitis with human umbilical cord mesenchymal stem cells

    Rui Wang; Chang-zheng Zhu; Ping Qiao; Jian Liu; Qiang Zhao; Kui-jie Wang; Ting-bao Zhao


    Objective: To evaluate of the curative effect of human umbilical cord mesenchymal stem cells (hUC-MSCs) on rat acute radiation pneumonitis. Methods: Fourty rats were randomly divided into control group, radiation group, stem cell prevention group, stem cell treatment group and prednisone treatment group. All rats except those in the control group were radiated with X ray to establish the acute radiation pneumonitis damage model. The hUC-MSCs cultured in vitro was administrated to the rats of the prevention group via tail vein (1×106 cells/kg BW) 24 h before the radiation, while the same administration was performed in the rats of the treatment group 24 h after the radiation. After 24 h post the radiation, the rats in the radiation group were given 0.4 mL physiological saline, and those in the prednisone group were given 1 mg/kg prednisone. All rats were observed and executed 72 h after the radiation to detect lung histological changes. Results:After the administration of hUC-MSCs, the survival status of the rats in the prevention group and treatment group was obviously better than that in the control group. As shown by the histological staining, the morphology, proliferation activity and bronchial state of lung tissues were better in the prevention group and treatment group than in the control group. Conclusion: The hUC-MSCs have definite therapeutic effects on acute radiation pneumonitis in rats.

  7. Die rol van die blanke werker in die motivering van die swart werker

    G. J. Oosthuizen


    Full Text Available The motivation of the Black worker can not be studied in isolation since the White worker still holds many executive positions and therefore has an influence on the Black workers' motivation. The role of the White worker in motivating the Black worker in a specific organisation and the attitude and leadership approach of the White worker on the existence/nonexistence and relative satisfaction of the needs of Black workers are discussed.Opsomming Die motivering van die Swart werker kan nie in die huidige situasie in isolasie bestudeer word nie, omdat die Blanke werker steeds in die bestuursposisie is en daarom die motivering van die Swart werker kan beïnvloed. Hierdie ondersoek was daarop gerig om die rol van die Blanke werker in die motivering van die Swart werker nader te ondersoek. Die houding en die leierskapsbenadering van die Blanke werker teenoor die Swart werker is gemeet, asook die behoeftes wat volgens die Blanke werker by die Swart werker bestaan, bevredig is, of nie bestaan nie. Die behoeftes van Swart werkers, soos deur hulleself gesien, is ook ondersoek. Ten opsigte van sekere aspekte is beduidende verskille gevind.

  8. Die verbondeling in verband

    J. A.L. Taljaard


    Full Text Available Daar is dikwels en deur groot outoriteite al geskryf oor die mens in die samelewing. Hier wil ons egter die saak probeer aanraak uit ’n nuwe hoek, veral om die Skrifbeligting van die siening te benader. Vanselfsprekend verg hierdie benaming ’n skrifmatige mensbeskouing, maar ook ’n skrifmatige verbandsbeskouing. Die mens staan egter nie slegs in verhouding tot sy medemens nie maar ook in verhou­ ding tot stof, plant en dier. Boweal staan die mens in verhouding tot God, en hierdie verhouding is deurslaggewend vir al die ander verhoudinge waarin die mens hom bevind. Tog staan die mens ook in verhouding tot homself; wie kan die diepere roersele van die menslike siel peil, wie weet van die wroeginge, vreugde, leed en genot van die mens beter as hyself? Ook hierdie aspek verdien ons aandag. Op volledigheid kan nie aanspraak gemaak word nie, dit is ook nie my bedoeling nie. Die bedoeling is maar om die omvang van die tema aan te dui, die gedagtes te prikkel en veral om aan te spoor tot nuwe denkoriëntering waarin ook terminologies gebreek behoort te word met die neo-skolastiek binne reformatoriese lyn.

  9. Die identifisering van ’n geskikte vraelys vir die bepaling van lewenskwaliteit by Suid-Afrikaanse vroue met servikskanker

    George du Toit


    Full Text Available Servikskanker is een van die algemeenste kankertipes onder Suid-Afrikaanse vroue. In die afwesigheid van ’n voldoende voorkomende servikale sitologieprogram presenteer die meer derheid vroue met servikskanker in ’n gevorderde stadium. Die prognose van dié vroue, ondanks terapie, is beperk. Menslike immuniteitsgebreksvirus-infeksie (MIV-infeksie benadeel die behandeling van servikale kanker. Servikskanker, en die behandeling daarvan, het ’n impak op die lewenskwaliteit van die vroue. Die objektiewe bepaling van lewenskwaliteit kan lei tot aanpassing van behandeling, asook toepaslike ondersteuning. Hierdie studie is gedoen om die mees geskikte vraelyste vir Suid-Afrikaanse vroue met servikskanker te identifiseer. Die twee vraelyste wat internasionaal die meeste gebruik word, is die European Organisation for the Research and Treatment of Cancer (EORTC en die Functional Assessment of Chronic Illness Therapy Measurement System (FACIT. Deur die sistematiese ondersoek van gepubliseerde artikels is die twee vraelyste aan die hand van spesifieke kenmerke geëvalueer. Hierdie kenmerke sluit in: studiestruktuur (dwarssnit of prospektief, lewenskwaliteit- uitkoms (primêr of sekondêr, tydstip van gebruik tydens die siekte en die nasionaliteit van die studiebevolking. Gebaseer op hierdie kenmerke is die EORTC as die mees geskikte vraelys geïdentifiseer.

  10. Radiation protection in medicine. Actual regulations and the new EU BSS; Strahlenschutz in der Medizin. Aktuelle Regelungen und die neuen EU-BSS

    Loose, R. [Klinikum Nuernberg-Nord, Nuernberg (Germany). Inst. fuer Diagnostische und Interventionelle Radiologie; Wucherer, M. [Klinikum Nuernberg, Nuernberg (Germany). Inst. fuer Medizinische Physik


    Medical radiation protection is based on the principles of justification, optimisation and dose limitation. Depending on the application, medical staff and patients are affected. The implementation of new basic safety standards (BSS) of the European Commission (EC) brings changes, which must be implemented into national law. They have varying effects depending on the type of application (radiology, nuclear medicine, radiation therapy) for all three principles of radiation protection. (orig.)

  11. Determination of radiation exposure of persons returning to the evacuated regions of Northern Ukraine; Ermittlung der Strahlenexposition von Rueckwanderern in die evakuierten Gebiete der noerdlichen Ukraine

    Michel, R. [Hannover Univ. (Germany). Zentrum fuer Strahlenschutz und Radiooekologie


    This paper inquires into aspects of measurement, assessment and communication of radiation exposure using the reactor disaster of Chernobyl as an example. It discusses the suitability of units of dose measurement and estimates for describing the results of accidents. The author points out problems encountered in attempting an accurate determination of radiation exposure, exemplifying his deliberations with the classification of states of the former Soviet Union into different contamination zones and the current radiation exposure of reimmigrants to the evacuated Zone II in Northern Ukraine. The final section discusses special issues in attempting to formulate a realistic model of these reimmigrants' internal radiation exposure.

  12. Wege in die Zukunft

    Kauermann, Göran; Mosler, Karl

    Die Zukunft stellt große Herausforderungen an die Arbeit der Deutschen Statistischen Gesellschaft. Sie betreffen die gestiegenen Anforderungen der Nutzer von Statistik, die Kommunikationsmöglichkeiten des Internets sowie die Dynamik der statistischen Wissenschaften und ihrer Anwendungsgebiete. Das Kapitel 5 beschreibt, wie sich die Gesellschaft diesen Herausforderungen stellt und welche Ziele sie sich in der wissenschaftlichen Zusammenarbeit und im Kampf gegen das Innumeratentum gesetzt hat.

  13. Die Gewalt der Frauen

    Angelika Ebrecht


    Full Text Available Anhand historischer Beispiele aus der Zeit der letzten Jahrhundertwende in Europa stellt die Autorin den Zusammenhang von Transgression, Aggression und Inversion dar. Gegen die gängige Auffassung, Gewalt sei männlich, setzt sie Selbst- und Fremdentwürfe von Frauen, die als Duellantinnen, Soldatinnen und Mörderinnen die gesellschaftlich festgelegten Grenzen der Gewalt verletzten. Sie interpretiert dies als Versuch, die Geschlechtergrenzen zu überschreiten und sich eine Subjektposition anzueignen.

  14. Elimination of Listeria monocytogenes in sausage meat by combination treatment: Radiation and radiation-resistant bacteriocins

    Turgis, Mélanie; Stotz, Viviane; Dupont, Claude; Salmieri, Stéphane; Khan, Ruhul A.; Lacroix, Monique


    Two new bacteria were isolated from human feces and were designated MT 104 and MT 162. They were able to produce bacteriocins that are active against five strains of Listeria monocytogenes. Bacteriocins produced by these isolated strains had 100% and 82.35% residual activity when they were treated by gamma radiation at doses of 4 and 40 kGy, respectively. A reduction of 1.0, 1.5 and 3 log CFU/g of L. monocytogenes was observed in sausage meat when treated with bacteriocins from MT 104, MT 162, and nisin, respectively. For synergic effect, the D10 value in presence of the bacteriocins produced by MT 104 showed a 1.08 fold increased relative sensitivity of L. monocytogenes as compared to control after 5 days. The highest synergic effect was observed in presence of nisin which led to 1.61 fold increased relative sensitivity. Combined treatments with nisin and γ-irradiation showed a synergic antimicrobial effect in meat after 24 h and 5 days of storage. A synergic effect was observed only after 5 days at 4 °C for the bacteriocin from MT 104, as compared to the bacteriocin produced by MT 162 that had only an additive antimicrobial effect in all conditions.

  15. Volumetric Spectroscopic Imaging of Glioblastoma Multiforme Radiation Treatment Volumes

    Parra, N. Andres [Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, Florida (United States); Maudsley, Andrew A. [Department of Radiology, University of Miami Miller School of Medicine, Miami, Florida (United States); Gupta, Rakesh K. [Department of Radiology and Imaging, Fortis Memorial Research Institute, Gurgaon, Haryana (India); Ishkanian, Fazilat; Huang, Kris [Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, Florida (United States); Walker, Gail R. [Biostatistics and Bioinformatics Core Resource, Sylvester Cancer Center, University of Miami Miller School of Medicine, Miami, Florida (United States); Padgett, Kyle [Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, Florida (United States); Department of Radiology, University of Miami Miller School of Medicine, Miami, Florida (United States); Roy, Bhaswati [Department of Radiology and Imaging, Fortis Memorial Research Institute, Gurgaon, Haryana (India); Panoff, Joseph; Markoe, Arnold [Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, Florida (United States); Stoyanova, Radka, E-mail: [Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, Florida (United States)


    Purpose: Magnetic resonance (MR) imaging and computed tomography (CT) are used almost exclusively in radiation therapy planning of glioblastoma multiforme (GBM), despite their well-recognized limitations. MR spectroscopic imaging (MRSI) can identify biochemical patterns associated with normal brain and tumor, predominantly by observation of choline (Cho) and N-acetylaspartate (NAA) distributions. In this study, volumetric 3-dimensional MRSI was used to map these compounds over a wide region of the brain and to evaluate metabolite-defined treatment targets (metabolic tumor volumes [MTV]). Methods and Materials: Volumetric MRSI with effective voxel size of ∼1.0 mL and standard clinical MR images were obtained from 19 GBM patients. Gross tumor volumes and edema were manually outlined, and clinical target volumes (CTVs) receiving 46 and 60 Gy were defined (CTV{sub 46} and CTV{sub 60}, respectively). MTV{sub Cho} and MTV{sub NAA} were constructed based on volumes with high Cho and low NAA relative to values estimated from normal-appearing tissue. Results: The MRSI coverage of the brain was between 70% and 76%. The MTV{sub NAA} were almost entirely contained within the edema, and the correlation between the 2 volumes was significant (r=0.68, P=.001). In contrast, a considerable fraction of MTV{sub Cho} was outside of the edema (median, 33%) and for some patients it was also outside of the CTV{sub 46} and CTV{sub 60}. These untreated volumes were greater than 10% for 7 patients (37%) in the study, and on average more than one-third (34.3%) of the MTV{sub Cho} for these patients were outside of CTV{sub 60}. Conclusions: This study demonstrates the potential usefulness of whole-brain MRSI for radiation therapy planning of GBM and revealed that areas of metabolically active tumor are not covered by standard RT volumes. The described integration of MTV into the RT system will pave the way to future clinical trials investigating outcomes in patients treated based on

  16. Radiation therapy in the multimodal treatment approach of pituitary adenoma

    Becker, G. [Klinik am Eichert, Goeppingen (Germany). Dept. of Radiooncology and Radiation Therapy; Radiooncologic Univ. Clinic, Tuebingen (Germany); Kocher, M.; Mueller, R.P. [Koeln Univ. (Germany). Clinic of Radiation Therapy; Kortmann, R.D.; Paulsen, F.; Jeremic, B.; Bamberg, M. [Radiooncologic Univ. Clinic, Tuebingen (Germany)


    In this paper, literature will be reviewed to assess the role of modern radiotherapy and radiosurgery in the management of pituitary adenomas. Material and Methods: Nowadays, magnetic resonance imaging for the definition of the target volume and a real three-dimensional (3-D) treatment planning with field conformation and the possibility for non-coplanar irradiation has to be recommended. Most groups irradiate these benign tumors with single doses of 1.8-2.0 Gy up to a total dose of 45 Gy or 50.4 Gy in extensive parasellar adenomas. Adenomas are mostly small, well circumscribed lesions, and have, therefore, attracted the use of stereotactically guided high-precision irradiation techniques which allow extreme focussing and provide steep dose gradients with selective treatment of the target and optimal protection of the surrounding brain tissue. Results: Radiation therapy controls tumor growth in 80-98% of patients with non-secreting adenomas and 67-89% for endocrine active tumors. Reviewing the recent literature including endocrine active and non-secreting adenomas, irradiated postoperatively or in case of recurrence the 5-, 10- and 15-year local control rates amount 92%, 89% and 79%. In cases of microprolactinoma primary therapy consists of dopamine agonists. Irradiation should be preferred in patients with macroprolactinomas, when drug therapy and/or surgery failed or for patients medically unsuitable for surgery. Reduction and control of prolactin secretion can be achieved in 44-70% of patients. After radiotherapy in acromegaly patients somatomedin-C and growth hormone concentrations decrease to normal levels in 70-90%, with a decrease rate of 10-30% per year. Hypercortisolism is controlled in 50-83% of adults and 80% of children with Cushing's disease, generally in less than 9 months. Hypopituitarism is the most common side effect of pituitary irradiation with an incidence of 13-56%. Long-term overall risk for brain necrosis in a total of 1,388 analyzed

  17. Materials on dies for pressure die casting

    E. Ragan


    Full Text Available In the contribution the stress of die materials of thermal fatigue is defi ned and material life is derived theoretically and compared with the measured values. The important properties of the die materials as thermal conductivity, coeffi cient of thermal expansivity, modulus of elasticity and mechanical properties are described. Binding to it single die materials as carbon steels and chrome-tungsten steels are analyzed. As the perspective die material for pressure die casting of ferrous metals appears molybdenum with regard to advantageous properties.

  18. Probability of involvement of the seminal vesicles in treatment of localized prostate cancer; Wahrscheinlichkeit des Samenblasenbefalls beim lokal begrenzten Prostatakarzinom. Bedeutung fuer die konformale Strahlentherapie

    Feldmann, H.J.; Zimmermann, F. [Klinik und Poliklinik fuer Strahlentherapie und Radiologische Onkologie der Technischen Universitaet Muenchen (Germany); Breul, J. [Urologische Klinik der Technischen Universitaet Muenchen (Germany); Wachter, S. [Universitaetsklinik fuer Strahlentherapie, Allgemeines Krankenhaus Wien (Austria); Wiegel, T. [Abteilung fuer Strahlentherapie, Freie Universitaet Berlin (Germany)


    Purpose: The development of objective criteria for selecting patients for seminal vesicle irradiation on radical radiotherapy for prostate cancer will be important for successful planning of 3D conformal radiotherpy. Materials and methods: Based on morphometric studies from radical prostatectomy specimens, new imaging modalities with potential in the investigation of patients with gross seminal vesicle involvement and clinical factors with potential in the identification of patients with subclinical disease the development of objective guidelines is possible. Results: Clinical tumor stage as determined by digital rectal examination, diagnostic tumor biopsy (Gleason Score), and pretherapy serum prostate-specific antigen value were significant factors for the probability of involvement of seminal vesicles. Studies show that seminal vesicle involvement is unlikely if the PSA is < 4 ng/ml or 4 to 10 ng/ml and Gleason Score < 7 and stage {<=}T2b. In contrast, involvement of seminal vesicles is highly likely with levels above 20 ng/ml. In patients with PSA levels between 10 and 20 mg/ml and Gleason Score < 7 ultrasonographic findings with regard to tumor volume and localization will be useful to determine the extent of the target volume. For treatment planning a significant reduction in the volumes of irradiation to the rectum and bladder is evident when seminal vesicles were excluded. Conclusion: Prospective use of the objective criteria will be useful in the selection of patients for seminal vesicle involvement and should be an integral part in 3D conformal radiotherapy of prostate cancer. (orig.) [Deutsch] Hintergrund: Im Rahmen der konformalen Therapie des Prostatakarzinoms wird eine Dosiseskalation angestrebt. Damit die Dosisbelastung des Normalgewebes - insbesondere des Rektums - moeglichst gering gehalten werden kann, ist es notwendig, objektive Kriterien zu erarbeiten, wann auf eine Bestrahlung der Samenblasen verzichtet werden kann. Material und Methoden: Im

  19. Antiglobalisierung die Andere Globalisierung

    Ljiljana Croce


    Das Ziel der Arbeit ist, ein je größeres Interesse an diesem Thema zu erwecken und auf die Gefahren hinzuweisen, denen wir alle verlaufen, wie die Armen, sowie auch die Reichen und die kleine Gruppe der zum mittleren Stand gehörenden, die immer mehr in die offene Armut versinken. Es wäre zu viel, in einer Welt solcher Globalisierung, die soziale Empfi ndlichkeit der Menschen zueinander zu erwarten. In Wirklichkeit geht sie immer mehr verloren. Der Mensch als Einzelperson, sowie auch die Völke...

  20. Verrekening van die kragveld van die verbond in die inkleding van die kommunikatiewe driehoeksverhouding tussen teks, hoorder en prediker


    In hierdie artikel word die kommunikatiewe driehoeksverhouding tussen die Bybelse teks, die hoorders en die prediker homileties verken. Die probleemstelling waarmee gewerk word handel oor potensiële versteurings wat kan plaasvind in hierdie driehoeksverhouding wanneer die hoorders en die prediker in hulle menslike beperktheid in verbinding gebring word met die ewige Woord van God soos dit in die Bybelse teks na vore kom. In die loop van die artikel word die volgende aspekte verken: ’n Ideale...

  1. Radiation treatment of materials - elaboration bases of radiation technology; Obrobka radiacyjna materialow - zasady opracowywania technologii

    Panta, P.P. [Institute of Nuclear Chemistry and Technology, Warsaw (Poland)


    The basic rules in design of radiation technologies have been presented and discussed. The recommendations for achieving of assigned goal in respect of obliged regulations have been done and explained on the example of radiation technology of adhesive materials and glue production.

  2. Changing Attitude Toward Radiation Carcinogenesis and Prospects for Novel Low-Dose Radiation Treatments.

    Socol, Yehoshua; Welsh, James S


    All procedures involving ionizing radiation, whether diagnostic or therapeutic, are subject to strict regulation, and public concerns have been raised about even the low levels of radiation exposures involved in diagnostic imaging. During the last 2 decades, there are signs of more balanced attitude to ionizing radiation hazards, as opposed to the historical "radiophobia." The linear no-threshold hypothesis, based on the assumption that every radiation dose increment constitutes increased cancer risk for humans, is increasingly debated. In particular, the recent memorandum of the International Commission on Radiological Protection admits that the linear no-threshold hypothesis predictions at low doses (that International Commission on Radiological Protection itself has used and continues to use) are "speculative, unproven, undetectable, and 'phantom'." Moreover, numerous experimental, ecological, and epidemiological studies suggest that low doses of ionizing radiation may actually be beneficial to human health. Although these advances in scientific understanding have not yet yielded significant changes in radiation regulation and policy, we are hopeful such changes may happen in the relatively near future. This article reviews the present status of the low-dose radiation hazard debate and outlines potential opportunities in the field of low-dose radiation therapy. © The Author(s) 2015.

  3. 偶氮类染料废水处理技术的研究进展%Research Progress in the treatment technology of Azo Dying Wastewater

    李庆云; 韩洪晶


    染料的使用伴随着大量有机废水的产生,不但对环境保护带来巨大的威胁还危及人类的身体健康。在印染工艺中,偶氮类染料是应用最广泛的一类合成染料。综述了国内外偶氮类染料废水处理技术的研究现状,对物理法、化学法、生物法在偶氮类染料废水处理中的应用进行了简要介绍,并阐述了各种方法的作用机理。根据绿色化学的要求对现有处理技术进行改进,以提高偶氮类染料废水的处理效率使其达标排放。%A lot of organic waste water is produced in use of dyes,which not only brings great threat to environmental protection, but also endangers the health of human. In printing and dying process, azo dye is a kind of synthetic dye which is most widely used. In this paper,research status of the treatment technology of azo dying wastewater at home and abroad was reviewed. Physical methods, chemical methods and biological methods of azo dyes wastewater treatment were discussed. The mechanisms of various methods were expounded. It's pointed out that the existing treatment technologies should be improved to enhance the treatment efficiency according to the requirements of green chemistry.

  4. Measurement of the Radiation Dose Rates of Patients Receiving Treatment with I-131 Using Telescopic Radiation Survey Meter

    Yehia Lahfi


    Full Text Available Introduction In order to discharge the patients receiving treatment with large radiation doses of 131I for thyroid cancer, it is necessary to measure and evaluate the external dose rates of these patients. The aim of the study was to assess a new method of external dose rate measurement, and to analyze the obtained results as a function of time. Materials and Methods In this study, a telescopic radiation survey meter was utilized to measure the external dose rates of a sample population of 192 patients receiving treatment with high-dose 131I at one, 24, and 48 hours after dose administration. Results The proposed technique could reduce the occupational radiation exposure of the physicist by a factor of 1/16. Moreover, the external dose rates of both genders rapidly decreased with time according to bi-exponential equations, which could be attributed to the additional factors associated with iodine excretion, as well as the physiology of the body in terms of 131I uptake. Conclusion According to the results of this study, telescopic radiation survey meter could be used to measure the external dose rates of patients receiving treatment with 131I. Furthermore, the average difference in the radiation exposure between female and male patients was calculated to be less than 17%.

  5. Die voorspellingswaarde van die takseersentrum: 'n Oorsig

    H. J. Pietersen


    Full Text Available The assessment centre: a brief review of predictive value. Factors such as the rise of the professional manager, industrialization and worker expectations have, over the last few decades, increasingly placed managers in the limelight as a key occupational group. In this regard the assessment centre has become prominent as a method for the identification of managerial potential. However, a brief review of the relevant research literature indicates low predictive variances for the managerial assessment centre. This fact, together with the limited scope of the assessment centre, therefore necessitates, amongst other things, a wider research perspective which will include other work and non-work related factors as well. Opsomming Verskynsels soos die opkoms van die professionele bestuurder, industrialisering en stygende werkerverwagtinge het meegebring dat die kollig die afgelope paar dekades al hoe meer op bestuurders as sleutelberoepskategone geplaas is. In hierdie verband het veral die takseersentrum aandag gekry as 'n metode vir die identifisering van bestuurs- potensiaal 'n Kort oorsig van die betrokke navorsingsliteratuur toon egter lae voorspellingsvariansiesyfers vir die takseersentrum aan. Hierdie feit, tesame met die beperkte fokus van die takseersentrum, noodsaak, onder andere, 'n wyer navorsingsperspektief wat ook ander relevante werk- en nie-werkverwante faktore msluit.

  6. Impeller bioreactors: a low-cost alternative in biological sewage treatment. Fluegelrad-Bioreaktor - kostenguenstige Alternative fuer die biologische Abwasserreinigung

    Wilk, B.U.


    In order to fulfil the present and future requirements of waste water purification, especially in the five new Federal states, cost-efficient alternatives are required which extend overstressed sewage treatment plants based on existing capacities. Especially smaller sewage treatment plants can be extended cost-efficiently by means of the impeller bioreactor. (orig.)

  7. A semi-classical treatment of channeling radiation reaction

    Huang, Zhirong; Chen, Pisin; Ruth, Ronald D.


    A semi-classical formalism is used to calculate the radiation reaction of a relativistic particle in a straight, continuous focusing system. Due to the absence of quantum excitation in such a focusing system, the radiation damping rate of the transverse action obtained using this formalism agrees exactly with the result from the classical Lorentz-Dirac radiation reaction equation. In the limit where the pitch angle of the particle is much smaller than the radiation opening angle, the transverse action damps exponentially with an energy-independent rate that is much faster than the energy decay rate. In the opposite limit, both the transverse action and the energy damp with power laws and their relative rates are comparable. The general time-dependence of the transverse action damping and the energy decay are obtained analytically from these rate equations.

  8. Argon plasma coagulation for treatment of hemorrhagic radiation gastroduodenitis

    Maekawa, Shu-Ji; Aoyama, Nobuo; Shirasaka, Daisuke; Inoue, Takashi; Kuroda, Kohei; Ebara, Shigeyuki; Tamura, Takao; Miyamoto, Masaki; Kasuga, Masato [Kobe Univ. (Japan). Graduate School of Medicine


    A 79-year-old man who had received radiotherapy for portal vein thrombosis due to hepatocellular carcinoma (HCC) 5 months earlier, showed progressive anemia and melena. Endoscopy on admission revealed diffuse bleeding from multiple telangiectasias on the anterior wall of the antrum and bulbus. We treated this patient with a new non-contact hemostatic method: the argon plasma coagulator (APC). The melena stopped after the first session and the hemoglobin level remained stable for 7 months. No delayed complications have been observed. Gastrointestinal bleeding from chronic radiation gastroduodenitis is rarely reported compared with radiation proctitis. This case demonstrates that APC is effective for hemostasis of diffuse bleeding from radiation gastroduodenitis, just as for radiation protitis. (author)

  9. Malignant mesothelioma after radiation treatment for Hodgkin lymphoma

    De Bruin, Marie L; Burgers, Jacobus A; Baas, Paul


    Malignant mesothelioma is a relatively uncommon malignancy. Although the pathogenesis is primarily related to asbestos, the disease may be associated with radiation exposure. Recently, increased risks for second primary mesothelioma after radiation for lymphoma have been reported. Because...... and survival of the mesothelioma cases were comparable with cases from the general population, asbestos exposure and the proportion of males were lower than expected. The evidence for radiotherapy as cause for mesothelioma independent of exposure to asbestos is expanding, and the diagnosis of mesothelioma...

  10. Die ontwikkeling van die bestuursmotiveringsvraelys (BMV

    A. S. Engelbrecht


    Full Text Available The development of the Managerial Motivation Questionnaire (MMQ: Several criticisms of the psychometric suitability of existing measures of managerial motivation are reported in the literature. This study aimed at developing a new psychometrically sound instrument, the Managerial Motivation Questionnaire (MMQ. This was done on the basis of a comprehensive study of the literature on managerial motivation and the role-motivation theory. The preliminary MMQ was systematically shortened and refined until the final MMQ of 98 items was composed. This was based on social desirability and semantic appraisal, item analysis and factor analysis of the questionnaire. The results indicate that it was possible to develop a final MMQ that was relatively free of social desirability. It further demonstrated satsifactory internal consistencies on two samples (a = 0/90, N = 360; a = 0/91, N = 535, where all subscale items were found to be relatively pure measures of the isolated factors. Although some evidence was found providing support for the reliability of the MMQ, a need for further research on the construct validity of managerial motivation still exists. Opsomming In die literatuur word verskeie punte van kritiek teen die psigometriese geskiktheid van bestaande meetinstrumente van bestuursmotivering gerapporteer. Die doelstelling van hierdie studie was dus om aan die hand van die konseptuele omiyning van bestuursmotivering, en die rolmotiveringsteorie as algemene verwysingsraamwerk, 'n nuwe psigometries aanvaarbare meetinstrument, die Bestuursmotiveringsvraelys (BMV, te ontwikkel. Op grond van sosiale wenslikheids- en semantiese beoordeling, itemontleding en faktorontleding van die voorlopige BMV is die vraelys stelselmatig verkort en verfyn totdat die finale BMV van 98 items saamgestel is. Die resultate dui daarop dat hierdie studie wel daarin geslaag het om 'n finale BMV te ontwikkel wat relatief vry van sosiale wenslikheid is, bevredigende interne

  11. Die sestienpersoonlikheidsfaktorvraelys as hulpmiddel by die takseersentrum

    J. C. D. Augustyn


    Full Text Available The 16PF Personality Test as an aid to the assessment centre Assessment centres still remains costly and thime consuming. This study investigates the reduction of time and costs by the use of the 16 PF Personality Test as a method for measuring management dimensions. Promising results were obtained with a relatively small sample for the prediction of initiative and perseverance. Significant multiple correlations were also found for three criteria of management success. Further research may establish the use of the 16 PF as an aid to management assessment and thereby reduce the costs and time involved in assessment centres. Opsomming Takseersentrums se grootste probleem is gelee in die koste en tyd wat dit behels. Hierdie studie ondersoek die moontlikheid om beide te verminder deur die aanwending van die 16 PF Persoonlikheidsvraelys vir die meting van bestuursdimensies. Belowende resultate is met 'n relatiewe klein steekproef bevind ten opsigte van die voorspelling van inisiatiefen deursettingsvermoe. Beduidende meervoudige korrelasies is ook ten opsigte van drie kriteria van bestuursukses bevind. Verdere navorsing kan die gebruik van die 16 PF as hulpmiddel by bestuursevaluering vestig en sodoende die tydsduur en koste van takseersentrums verminder.

  12. Radiation Therapy

    ... the area is stitched shut. Another treatment, called proton-beam radiation therapy , focuses the radiation on the ... after radiation treatment ends. Sore mouth and tooth decay. If you received radiation therapy to the head ...

  13. Bevacizumab for the Treatment of Gammaknife Radiosurgery-Induced Brain Radiation Necrosis.

    Ma, Yifang; Zheng, Chutian; Feng, Yiping; Xu, Qingsheng


    Radiation necrosis is one of the complications of Gammaknife radiosurgery. The traditional treatment of radiation necrosis carries a high risk of failure, Bevacizumab is an antiangiogenic monoclonal antibody against vascular endothelial growth factor, a known mediator of cerebral edema. It can be used to successfully treat brain radiation necrosis. Two patients with a history of small cell lung cancer presented with metastatic disease to the brain. They underwent Gammaknife radiosurgery to brain metastases. Several months later, magnetic resonance imaging showed radiation necrosis with significant surrounding edema. The patients had a poor response to treatment with dexamethasone. They were eventually treated with bevacizumab (5 mg/kg every 2 weeks, 7.5 mg/kg every 3 weeks, respectively), and the treatment resulted in significant clinical and radiographic improvement. Bevacizumab can be successfully used to treat radiation necrosis induced by Gammaknife radiosurgery in patients with cerebral metastases. It is of particular benefit in patients with poor reaction to corticosteroids and other medications.

  14. Hypo-fractionated radiation, magnetic nanoparticle hyperthermia and a viral immunotherapy treatment of spontaneous canine cancer

    Hoopes, P. Jack; Moodie, Karen L.; Petryk, Alicia A.; Petryk, James D.; Sechrist, Shawntel; Gladstone, David J.; Steinmetz, Nicole F.; Veliz, Frank A.; Bursey, Alicea A.; Wagner, Robert J.; Rajan, Ashish; Dugat, Danielle; Crary-Burney, Margaret; Fiering, Steven N.


    It has recently been shown that cancer treatments such as radiation and hyperthermia, which have conventionally been viewed to have modest immune based anti-cancer effects, may, if used appropriately stimulate a significant and potentially effective local and systemic anti-cancer immune effect (abscopal effect) and improved prognosis. Using eight spontaneous canine cancers (2 oral melanoma, 3 oral amelioblastomas and 1 carcinomas), we have shown that hypofractionated radiation (6 x 6 Gy) and/or magnetic nanoparticle hyperthermia (2 X 43°C / 45 minutes) and/or an immunogenic virus-like nanoparticle (VLP, 2 x 200 μg) are capable of delivering a highly effective cancer treatment that includes an immunogenic component. Two tumors received all three therapeutic modalities, one tumor received radiation and hyperthermia, two tumors received radiation and VLP, and three tumors received only mNP hyperthermia. The treatment regimen is conducted over a 14-day period. All patients tolerated the treatments without complication and have had local and distant tumor responses that significantly exceed responses observed following conventional therapy (surgery and/or radiation). The results suggest that both hypofractionated radiation and hyperthermia have effective immune responses that are enhanced by the intratumoral VLP treatment. Molecular data from these tumors suggest Heat Shock Protein (HSP) 70/90, calreticulin and CD47 are targets that can be exploited to enhance the local and systemic (abscopal effect) immune potential of radiation and hyperthermia cancer treatment.


    norm aan die een kant en deur die S^^eeksnorm aan die ander." (ibid. 384). ...... grondslag, hoewel die groot aantal voorbeelde uit die werke van Thomas Mann ...... Mentrup, W., & P. Kuhn, (1980) "Deutsche Sprache in Osterreich und in der.

  16. Online measuring devices at sewage treatment plants - state of the art and future market potential; On-Line-Messtechnik auf Klaeranlagen - Aktueller Stand und Marktpotential fuer die Zukunft

    Baumann, P. [Inst. fuer Siedlungswasserbau, Wasserguete- und Abfallwirtschaft der Univ. Stuttgart, Abt. Abwassertechnik (Germany); Schlegel, S. [Emschergenossenschaft, Essen (Germany)


    By means of a survey commissioned by ATV/GFA, the purposes of use and spheres of use as well as the operating experience with online measuring devices for the determination of ammonium, oxidized nitrogen compounds and orthophosphate were established and evaluated. In addition, data were acquired with the aid of other units for the continuous recording of chemical and physical parameters of sewage treatment. Finally, the future market potentials and development pospects of online measuring devices were evaluated. (orig.) [Deutsch] Anhand einer im Auftrag der ATV/GFA durchgefuehrten Umfrage wurden Einsatzzweck, Einsatzbereiche und Betriebserfahrungen von On-line-Messgeraeten zur Bestimmung von Ammonium, oxidierten Stickstoffverbindungen und Orthophosphat dargestellt und bewertet. Zusaetzlich wurden auch Daten von anderen Geraeteeinheiten zur kontinuierlichen Erfassung von chemischen und physikalischen Parametern bei der Abwasserreinigung erhoben. Anschliessend wurde das zukuenftige Marktpotential und die Entwicklungsmoeglichkeiten bei der On-line-Messtechnik bewertet. (orig.)

  17. Quality of Intensity Modulated Radiation Therapy Treatment Plans Using a (60)Co Magnetic Resonance Image Guidance Radiation Therapy System

    Wooten, H Omar; Green, Olga; Yang, Min


    % prescription reference isodoses, respectively, and heterogeneity was on average 4% greater. Comparisons of OAR mean dose showed generally better sparing with linac plans in the low-dose range doses >20 Gy. The mean doses for all (60)Co plan OARs were within......PURPOSE: This work describes a commercial treatment planning system, its technical features, and its capabilities for creating (60)Co intensity modulated radiation therapy (IMRT) treatment plans for a magnetic resonance image guidance radiation therapy (MR-IGRT) system. METHODS AND MATERIALS...... plans using a third-party linear accelerator (linac)-based planning system were also created. Plans were evaluated by attending physicians and approved for treatment. The (60)Co and linac plans were compared by evaluating conformity numbers (CN) with 100% and 95% of prescription reference doses...

  18. Does the radiation from the interim storage in Gorleben affect the sex ratio of newborn children?; Beeinflusst die Strahlung aus dem Zwischenlager in Gorleben das Geschlechterverhaeltnis von Neugeborenen?

    Engelmann, H.W.; Schulze, H.; Wede, S. [GNS Gesellschaft fuer Nuklear-Service mbH, Gorleben (Germany); Mueller, S. [Studsvik GmbH, Pforzheim (Germany)


    In the professional world but especially in public, the question is discussed whether ionizing radiation from nuclear facilities has a significant impact on the secondary sex ratio of newborn children in the vicinity of the plants. This issue is of exceptional importance in the region around Gorleben, where the opposition to nuclear facilities and activities for decades is particularly strong. At the site borders of the interim storage facility (TBL-G) of GNS the effective individual dose is about 0.2 mSv per year, mainly caused by neutron irradiation from 108 casks with high-level radioactive waste from reprocessing. In the surrounding villages there is no radiation measurable. Statistical studies allegedly have shown evidence that in some villages in the area and during certain periods, proportionately fewer girls were born in comparison to the average for the Federal Republic of Germany. Based on these purely statistical results henceforward was also alleged that neutron-induced secondary effects such as activation or secondary gamma radiation would be responsible for it. Monte Carlo calculations and special measurements yielded values of the dose at the plant border for activation products less than E-04 mSv/a and for secondary gamma radiation of about E-03 mSv/a. These results indicate that the ionizing radiation from the Gorleben interim storage facility cannot be held accountable for shifts of the secondary sex ratio.

  19. Radiation protection in brachytherapic treatment of prostatic carcinoma

    Mannino, G.; Bona, R.; Occhipinti, A. [Catania Univ. Hospital, ' Vittorio Emanuele, Ferrarotto e Santo Bambino' (Italy); Testagrossa, B.; Vermiglio, G.; Tripepi, M.G. [Messina Univ., Dept. of Protezionistica Ambientale, Sanitaria, Sociale ed Industriale (Italy)


    Purpose: To evaluate absorbed doses for medical staff and general public deriving from prostate brachytherapy with I-125 seeds. Methods And Materials: Radiation exposure measurements were made for staff and on a subset of 64 patients of the 100 trans perineal I-125 implanted seeds implants at the Vittorio Emanuele, Ferrarotto e Santo Bambino Universitary Hospital. Results: Absorbed doses for operators are very low when using radiation safety devices. The exposure rate at the anterior skin surface due to I-125 implanted seeds ranged from 32 to 120 {mu}Sv/hour. Conclusions: The evaluation of dose measurements shows that radiation risk associated to this practice is very low, both for staff that for critical group of population, if they follow the specific radioprotection statements supplied by health physicists. (authors)

  20. Radiation processing applications in the Czechoslovak water treatment technologies

    Vacek, K.; Pastuszek, F.; Sedláček, M.

    The regeneration of biologically clogged water wells by radiation proved to be a successful and economically beneficial process among other promising applications of ionizing radiation in the water supply technology. The application conditions and experience are mentioned. The potential pathogenic Mycobacteria occuring in the warm washing and bathing water are resistant against usual chlorine and ozone concentrations. The radiation sensitivity of Mycobacteria allowed to suggest a device for their destroying by radiation. Some toxic substances in the underground water can be efficiently degraded by gamma radiation directly in the wells drilled as a hydraulic barrier surrounding the contaminated land area. Substantial decrease of CN - concentration and C.O.D. value was observed in water pumped from such well equipped with cobalt sources and charcoal. The removing of pathogenic contamination remains to be the main goal of radiation processing in the water purification technologies. The decrease of liquid sludge specific filter resistance and sedimentation acceleration by irradiation have a minor technological importance. The hygienization of sludge cake from the mechanical belt filter press by electron beam appears to be the optimum application in the Czechoslovak conditions. The potatoes and barley crop yields from experimental plots treated with sludge were higher in comparison with using the manure. Biological sludge from the municipal and food industry water purification plants contains nutritive components. The proper hygienization is a necessary condition for using them as a livestock feed supplement. Feeding experiments with broilers and pigs confirmed the possibility of partial (e.g. 50%) replacement of soya-, bone- or fish flour in feed mixtures by dried sludge hygienized either by heat or by the irradiation.

  1. Ceiling art in a radiation therapy department: its effect on patient treatment experience

    Bonett, Jotham [Sunshine Hospital Radiation Therapy Centre, Melbourne, Vic. (Australia)


    A new initiative has been implemented at the Sunshine Hospital Radiation Therapy Centre, to provide a calming and comforting environment for patients attending radiation therapy treatment. As part of this initiative, the department's computed tomography (CT) room and radiation therapy bunkers were designed to incorporate ceiling art that replicates a number of different visual scenes. The study was undertaken to determine if ceiling art in the radiation therapy treatment CT and treatment bunkers had an effect on a patient's experience during treatment at the department. Additionally, the study aimed to identify which of the visuals in the ceiling art were most preferred by patients. Patients were requested to complete a 12-question survey. The survey solicited a patient's opinion/perception on the unit's unique ceiling display with emphasis on aesthetic appeal, patient treatment experience and the patient's engagement due to the ceiling display. The responses were dichotomised to ‘positive’ or ‘negative’. Every sixth patient who completed the survey was invited to have a general face-to-face discussion to provide further information about their thoughts on the displays. The results demonstrate that the ceiling artwork solicited a positive reaction in 89.8% of patients surveyed. This score indicates that ceiling artwork contributed positively to patients’ experiences during radiation therapy treatment. The study suggests that ceiling artwork in the department has a positive effect on patient experience during their radiation therapy treatment at the department.

  2. Mathematical Optimization Techniques for Multi-Phase Radiation Treatment Design

    Sonderman, David


    A mathematical model for optimal external beam radiotherapy treatment design over multiple treatment phases is presented. The solution procedure is discussed and illustrated on a case of boost treatment for lung cancer. The models are integrated with current radiobiological software to produce an optimal design over both phases of treatment displayed by means of computer graphics.

  3. Die etiek van Luther

    J. H. van Wyk


    Full Text Available Dink ons aan die etiek van Luther dan spring onmiddellik ’n paar boeiende uitsprake van hom na vore soos o.a. dat Christene vanuit die gemeenskap met Christus nuwe dekaloë moet maak wat helderder as die van Moses kan wees, of dat ons in bepaalde sin vir ons naaste ’n Christus moet word. Die bydrae van Luther 'tot die Christelike etiek is sonder twyfel van groot betekenis en die bestudering daarvan die moeite werd. Luther is geprys as rewolusionêr en verguis as konserwatis, hy is geëer as iemand wat weer die ware be­tekenis van godsdiens ontdek het toe die lewe vervloei het in etiek. Of dit egter korrek is om sy etiek as konserwatief te tipeer, soos White doen, moet betwyfel word.

  4. Image-guided radiation therapy. Paradigm change in radiation therapy; Bildgestuetzte Strahlentherapie. Paradigmenwechsel in der Strahlentherapie

    Wenz, F. [Universitaetsmedizin Mannheim der Universitaet Heidelberg, Klinik fuer Strahlentherapie und Radioonkologie, Mannheim (Germany); Belka, C. [Klinikum der Ludwig-Maximilians-Universitaet, Klinik fuer Strahlentherapie und Radioonkologie, Muenchen (Germany); Reiser, M. [Klinikum der Ludwig-Maximilians-Universitaet, Institut fuer Klinische Radiologie, Muenchen (Germany); Schoenberg, S.O. [Universitaetsmedizin Mannheim der Universitaet Heidelberg, Institut fuer Klinische Radiologie und Nuklearmedizin, Mannheim (Germany)


    The introduction of image-guided radiotherapy (IGRT) has changed the workflow in radiation oncology more dramatically than any other innovation in the last decades. Imaging for treatment planning before the initiation of the radiotherapy series does not take alterations in patient anatomy and organ movement into account. The principle of IGRT is the temporal and spatial connection of imaging in the treatment position immediately before radiation treatment. The actual position and the target position are compared using cone-beam computed tomography (CT) or stereotactic ultrasound. The IGRT procedure allows a reduction of the safety margins and dose to normal tissue without an increase in risk of local recurrence. In the future the linear treatment chain in radiation oncology will be developed based on the closed-loop feedback principle. The IGRT procedure is increasingly being used especially for high precision radiotherapy, e.g. for prostate or brain tumors. (orig.) [German] Die Einfuehrung der bildgestuetzten Radiotherapie (IGRT - ''image-guided radiotherapy'') hat wie kaum eine andere Innovation die Behandlungsablaeufe in der Radioonkologie veraendert. Eine einmalige Bildgebung zur Bestrahlungsplanung vor der Behandlungsserie beruecksichtigt nicht die Aenderung der Patientengeometrie und die Organbeweglichkeit. Das Prinzip der IGRT besteht in der raeumlichen und zeitlichen Zusammenfuehrung von Bildgebung in der Bestrahlungsposition unmittelbar vor der eigentlichen Bestrahlung. Mittels Cone-beam-CT oder stereotaktischem Ultraschall wird die Ist- mit der Sollposition verglichen. Die IGRT erlaubt die Reduktion der Sicherheitssaeume und damit die Schonung des Normalgewebes, ohne das Rezidivrisiko zu erhoehen. Zukuenftig wird die lineare Behandlungskette in der Radioonkologie durch eine geschlossene, multipel rueckgekoppelte Therapieschleife ersetzt werden. Speziell bei Praezisionsbestrahlungen wie z. B. Prostata- oder Hirntumoren kommt die IGRT

  5. Inhibition of trihalomethane formation in city water by radiation-ozone treatment and rapid composting of radiation disinfected sewage sludge

    Takehisa, M.; Arai, H.; Arai, M.; Miyata, T.; Sakumoto, A.; Hashimoto, S.; Nishimura, K.; Watanabe, H.; Kawakami, W.; Kuriyama, I.

    Humic acid and Fulvic acid in natural water are precursors of carcinogenic THM which is formed during chlorine disinfection in city water processing. The radiation-oxidation process in the presence of ozone is effective to remove the precursors. The THM formation was reduced more than the decrease in TOC by the combination treatment. This is mainly due to a change in the chemical structure of the oxidation products. A composting of radiation disinfected sludge cake for agricultural reuse could be achieved within 3 days primary fermentation in a sewage plant. The rapid fermentation with use of radiation is effective to scale down of a fermentor of composting plant and the process reduces a health risk from the workers as well as final users.

  6. A new on-board imaging treatment technique for palliative and emergency treatments in radiation oncology

    Held, Mareike


    This dissertation focuses on the use of on-board imaging systems as the basis for treatment planning, presenting an additional application for on-board images. A clinical workflow is developed to simulate, plan, and deliver a simple radiation oncology treatment rapidly, using 3D patient scans. The work focuses on an on-line dose planning and delivery process based on on-board images entirely performed with the patient set up on the treatment couch of the linear accelerator. This potentially reduces the time between patient simulation and treatment to about 30 minutes. The basis for correct dose calculation is the accurate image gray scale to tissue density calibration. The gray scale, which is defined in CT Numbers, is dependent on the energy spectrum of the beam. Therefore, an understanding of the physics characteristics of each on-board system is required to evaluate the impact on image quality, especially regarding the underlying cause of image noise, contrast, and non-uniformity. Modern on-board imaging systems, including kV and megavoltage (MV) cone beam (CB) CT as well as MV CT, are characterized in terms of image quality and stability. A library of phantom and patient CT images is used to evaluate the dose calculation accuracy for the on-board images. The dose calculation objective is to stay within 5% local dose differences compared to standard kV CT dose planning. The objective is met in many treatment cases. However, dose calculation accuracy depends on the anatomical treatment site. While on-board CT-based treatments of the head and extremities are predictable within 5% on all systems, lung tissue and air cavities may create local dose discrepancies of more than 5%. The image quality varies between the tested units. Consequently, the CT number-to-density calibration is defined independently for each system. In case of some imaging systems, the CT numbers of the images are dependent on the protocol used for on-board imaging, which defines the imaging dose

  7. 21 CFR 179.39 - Ultraviolet radiation for the processing and treatment of food.


    ... treatment of food. 179.39 Section 179.39 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH... processing and treatment of food. Ultraviolet radiation for the processing and treatment of food may be... products Without ozone production: high fat-content food irradiated in vacuum or in an inert...

  8. Intensity modulated radiation therapy for squamous cell carcinoma of the vulva: Treatment technique and outcomes

    Yuan James Rao, MD


    Conclusions: IMRT for vulvar cancer is associated with high rates of LRC in the postoperative setting and limited radiation-related toxicity. Durable LRC of disease after definitive IMRT remains challenging, and several refinements to our treatment technique are suggested.

  9. Reducing Toxicity of Radiation Treatment of Advanced Prostate Cancer


    408- mitigated mice showed lineage-balanced, long-term, multilineage potential as determined by serial bone marrow transplantation , indicative of...kappaB inhibitors alleviate and the proteasome inhibitor PS-341 exacerbates radiation toxicity in zebrafish embryos . Molecular Cancer Therapeutics 8

  10. Predictors of Psychosocial Adjustment During the Post-Radiation Treatment Transition

    Mazanec, Susan; Daly, Barbara J.; Douglas, Sara; Musil, Carol


    The aim of this study was to examine the role of cognitive appraisal in predicting psychosocial adjustment during the post-radiation treatment transition. A predictive correlational design was used in a convenience sample of 80 patients with breast, lung, and prostate cancer who were receiving radiation therapy. Two weeks prior to completion of treatment, subjects completed instruments to measure symptom distress, uncertainty, cognitive appraisal, social support and self-efficacy for coping. ...

  11. Ambrosius en die virginitas

    C. J. Malan


    Full Text Available Ambrosius het met reg die benaming “Leraar van Maagdelikheid” ontvang (Dooley, 1948:119. Die opmerking van Thamin: “C’est une vertu proprement chrétienne que la vertu de virginité, proclame tout d’abord saint Ambroise” (1895:344, gee dadelik aanleiding tot die vraag of Ambrosius dan geen waardering vir die huwelik gehad het nie. Hierdie vraag word nog meer dringend as sy beskrywing van die kruis van die getroude lewe nagegaan word.

  12. Non-medical application of radioactive materials or ionizing radiation. German legal regulations; Die Anwendung radioaktiver Stoffe oder ionisierender Strahlung ausserhalb der Medizin. Deutsche Rechtsvorschriften

    Huhn, Walter [Ministerium fuer Arbeit, Integration und Soziales NRW, Duesseldorf (Germany); Lorenz, Bernd [Lorenz Consulting, Essen (Germany)


    Non-medical imaging is regulated in Germany since the 2011 radiation protection law amendment and the simultaneous X-ray regulation amendment based on the Euratom guideline 96/29. The regulations contain lists with justified and non-justified activities.

  13. New regulations in the German Radiation Protection Ordinance. What do the changes mean?; Neues in der Strahlenschutzverordnung. Was bringt die Aenderung?

    Bickel, Angela [Wiederaufarbeitungsanlage Karlsruhe Rueckbau- und Entsorgungs-GmbH, Eggenstein-Leopoldshafen (Germany); Fehringer, Franz [Berufsgenossenschaft Energie Textil Elektro, Koeln (Germany). Inst. fuer Strahlenschutz; Feldmann, Ulrike [Wirtschaftsverband Kernbrennstoff-Kreislauf und Kerntechnik e.V., Berlin (Germany)] [and others


    Since November 1{sup st} 2011, several new regulations have become effective in the Radiation Protection Ordinance, that are described here first as a general overview and then in more detail. The first part of the contribution compiles the non-medical and the second one the medical applications. (orig.)

  14. Granulocyte Colony-Stimulating Factor in the Treatment of Acute Radiation Syndrome: A Concise Review

    Michal Hofer


    Full Text Available This article concisely summarizes data on the action of one of the principal and best known growth factors, the granulocyte colony-stimulating factor (G-CSF, in a mammalian organism exposed to radiation doses inducing acute radiation syndrome. Highlighted are the topics of its real or anticipated use in radiation accident victims, the timing of its administration, the possibilities of combining G-CSF with other drugs, the ability of other agents to stimulate endogenous G-CSF production, as well as of the capability of this growth factor to ameliorate not only the bone marrow radiation syndrome but also the gastrointestinal radiation syndrome. G-CSF is one of the pivotal drugs in the treatment of radiation accident victims and its employment in this indication can be expected to remain or even grow in the future.

  15. Treatment and prevention of acute radiation dermatitis;Traitement et prevention des radiodermites aigues

    Benomar, S.; Hassam, B. [Service de dermatologie, CHU Ibn-Sina, universite Mohamed-V, Rabat (Morocco); Boutayeb, S.; Errihani, H. [Service de d' oncologie medicale, Institut national d' oncologie, Universite Mohamed-V, Rabat (Morocco); Lalya, I.; El Gueddari, B.K. [Service de radiotherapie, Institut national d' oncologie, universite Mohamed-V, Rabat (Morocco)


    Acute radiation dermatitis is a common side-effect of radiotherapy which often necessitates interruption of the therapy. Currently, there is no general consensus about its prevention or about the treatment of choice. The goal of this work was to focus on optimal methods to prevent and manage acute skin reactions related to radiation therapy and to determine if there are specific topical or oral agents for the prevention of this acute skin reaction. The prevention and the early treatment are the two focus points of the management of the acute radiation dermatitis. (authors)

  16. Experience of laser radiation for treatment of oral mucous lesions of different etiologies

    Mosesyants, Elvira N.; Zazulevskaya, Lidiya Y.; Shevtsova, Elena


    Laser irradiation use for treatment of different manifestations of oral mucous diseases during the last 10 years. The aim of this research was study of the results of use He-Ne laser radiation in combination with main therapy for treatment of oral mucous lesions of different aetiology. He-Ne laser irradiation use for radiation of lesions were caused by different aetiology reasons. Under the observation was 116 patients 20 - 64 years old, who had and hadn't background pathology. There were biochemical, immunological controls. Data of research confirmed positive effect of use He-Ne laser radiation.

  17. The significance of radiotherapy in a multidisciplinary treatment approach of bladder cancer. Die Radiotherapie im interdisziplinaeren Behandlungskonzept des Harnblasenkarzinoms

    Dunst, J. (Erlangen-Nuernberg Univ., Erlangen (Germany). Strahlentherapeutische Klinik und Poliklinik)


    Bladder cancer accounts for approximately 3% of all malignancies. About 70% of bladder cancers are superficial tumors (Ta, Tis, T1), the remaining 30% are muscleinvasive (T2-4). Important prognostic factors include TNM-stage, histologic grade, multifocality, associated Tis, and residual tumor after TUR. Superficial cancers are managed by TUR and, if necessary, intravesical chemotherapy, and bladder preservation is possible. In case of T1 G3-cancers, we favour TUR plus irradiation with a moderate dose instead of cystectomy. Even advanced bladder cancers may be treated by an organ sparing approach. TUR plus radiotherapy or radiochemotherapy offer comparable survival figures and local control rate as compared to radical cystectomy. The 5-year survival rates are 60-70% for T1-2, 40% for T3, and 15% for T4-tumors. About 70% of long-term survivors maintain a functioning bladder. Radiochemotherapy (RCT) with platin compounds is equally effective but less toxic as compared to multi-agent chemotherapy or intraarterial administrations. We do not recommend preoperative radiotherapy or RCT with planned cystectomy because of the definitive organ loss. Optimal treatment results are achieved by complete TUR prior to irradiation. Persistent or recurrent tumor after radiotherapy requires salvage cystectomy. Intravesical recurrences in the spared bladder have a good prognosis. Adjuvant chemotherapy of bladder cancer is not established. Neoadjuvant chemotherapy may result in 20-30% complete remissions, but these figures are lower than those after radiotherapy or radiochemotherapy. Nevertheless, adjuvant treatment protocols are necessary because of the fact that even sophisticated local treatment with increased local control has not yet improved the overall survival rates. (orig./MG).

  18. Effect of high-energy radiation and alkali treatment on the properties of cellulose

    Foeldvary, Cs.M. E-mail:; Takacs, E.; Wojnarovits, L


    The effect of the treatment with NaOH or tetramethyl ammonium hydroxide solutions on preirradiated cotton-cellulose was investigated. Both the radiation and the treatment with alkali solutions caused loss of weight in cellulose; however, there was a synergism, a high weight loss was observed during alkali treatment of preirradiated samples. The radiation caused scissions of the cellulose chains and during the treatment with aqueous alkaline solutions some smaller fragments dissolved, resulting in a strong absorbance of the solutions with maximum at around 268 nm. It was attributed to the absorbance of aldehyde/keto groups.

  19. Navorsing op die gebied van die sosiale wetenskappe*

    P. M. Robbertse


    Full Text Available In Hollands is die woord scientia vertaal met wetenskap, wat sowel die natuur- as die geesteswetenskappe insluit, waardeur die woordsy oorspronklike betekenis behou. Die neiging bestaan om die Engels science met wetenskap in Afrikaans te vertaal, waarmee dan eintlik die natuurwetenskap bedoel word.

  20. Foute in die meting van die aarde se magneetveld met die protonmagnetometer

    G. P. Hancke


    Full Text Available Die tipiese foute wat voorkom wanneer die metode van periode-meting gebruik word vir die bepaling van die presessiefrekwensie van die magnetiese moment van protone, word bespreek, en metodes om dit teen te werk word voorgestel. Belangrike gevolgtrekkings wat sal lei tot die optimale funksionering van die periodemeter, word gemaak — veral ten opsigte van die meettyd, polarisasietyd en die eienskappe van die sensorvloeistof.

  1. Hypofractionated radiation therapy for the treatment of feline facial squamous cell carcinoma; Hypofractionated radiation therapy for the treatment of feline facial squamous cell carcinoma

    Cunha, S.C.S.; Corgozinho, K.B.; Holguin, P.G.; Ferreira, A.M.R., E-mail: [Universidade Federal Fluminense (UFF), Niteroi, RJ (Brazil); Carvalho, L.A.V. [Coordenacao dos Programas de Pos-Graduacao de Engenharia (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil); Canary, P.C.; Reisner, M. [Hospital Universitario Clementino Fraga Filho (HUCFF/UFRJ), Rio de Janeiro, RJ (Brazil); Pereira, A.N.; Souza, H.J.M. [Universidade Federal Rural do Rio de Janeiro (UFRRJ), Seropedica, RJ (Brazil)


    The efficacy of hypofractionated radiation protocol for feline facial squamous cell carcinoma was evaluated. Hypofractionated radiation therapy was applied to five cats showing single or multiple facial squamous cell carcinomas, in a total of ten histologically confirmed neoplastic lesions. Of the lesions, two were staged as T{sub 1}, four as T{sub 2}, two as T{sub 3}, and two as T{sub 4}. The animals were submitted to four radiation fractions from 7.6 to 10 grays each, with one week intervals. The equipment was a linear accelerator with electrons beam. The cats were evaluated weekly during the treatment and 30 and 60 days after the end of the radiation therapy. In this study, 40% of the lesions had complete remission, 40% partial remission, and 20% did not respond to the treatment. Response rates were lower as compared to other protocols previously used. However, hypofractionated radiation protocol was considered safe for feline facial squamous cell carcinoma. (author)

  2. Defect size dependent contrast reduction and additional blurring from scattered radiation reduce the quality of radiological images. A comparison of films and digital detectors; Fehlergroessenabhaengige Kontrastreduktion und zusaetzliche Unschaerfe durch Streustrahlung reduzieren die Bildqualitaet radiologischer Abbildungen. Film und digitale Detektoren im Vergleich

    Ewert, Uwe; Beckmann, Joerg; Bellon, Carsten; Jaenisch, Gerd-Ruediger; Zscherpel, Uwe; Jechow, Mirko [Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin (Germany); Grosser, Anja [Technische Fachhochschule Wildau (Germany)


    Radiographic image quality in its classic definition depends on contrast, noise (in films: grain as an equivalent to image noise), and blur. These parameters are normally measured with the aid of image quality test specimens. Scattered radiation will always reduce the quality of radiographic imaging. The various influencing parameters are analysed with a view to the available techniques like film radiograpy, computerised radiography with storage foils, and digital radiography using digital detector arrays (DDA). Textbooks and standards (e.g. ASTM E 1000) define the scattering ratio k and various contrasts, e.g. specific and relative contrast in radiographic imaging. In the case of digital media, additional arameters are introduced like the signal-noise ratio SNR and the contrast-noise ratio CNR; the inverse CNR corresponds to the well-known contrast sensitivity typically measured with the aid of image quality test specimens. In project ''FilmFree'', the optimum conditions for film substitution are investigated. The influence of scattered radiation from the measured object and the detector on image quality were investigated. Numeric modelling (Monte-Carlo modelling) is used for defining the scattered radiation and the primary radiation emitted by the object. The scattered radiation from the object and the detector generates an image that is superposed on the primary image and is more blurred than the latter, especially at higher radiation energies. The scattered radiation images have blurs in the cm range. This is an undesirable effect both in classic film radiography and in digital radiography and computed tomography. Further, an additional contrast reduction resulting from scattered radiation was found when the detector is close to the object (contact technique). This effect depends on the defect size, the distance between detector and object, and the intermediate filtering. [German] Die radiographische Bildqualitaet in ihrer klassischen

  3. Wake up and Die

    Schubart, Rikke


    Anmeldelse af den colombianske gyserfilm Volver a morir (eng. titel Wake Up and Die) af Miguel Urrutia......Anmeldelse af den colombianske gyserfilm Volver a morir (eng. titel Wake Up and Die) af Miguel Urrutia...

  4. Die radio in Afrika

    S. de Villiers


    Full Text Available Omvang van radio-uitsendings in en na Afrika. — Redes vir die versnelde tempo van uitbreiding. — Radio as die geskikste massa-kommunikasiemiddel vir Afrika. — Faktore wat die verspreiding bemoeilik. — Skouspelagtige toename in luistertalle.Toe Plinius, wat in die jaar 79 oorlede is, in sy „Historia Naturalis” verklaar het dat daar altyd iets nuuts uit Afrika afkomstig is, kon hy nouliks voorsien het dat die „iets" negentien eeue later in die lug sou setel wat hierdie reuse-vasteland oorspan — ’n Babelse spraakverwarring en ’n ongekende, verbete woorde-oorlog in die etergolwe, onder meer daarop bereken om die harte en hoofde van derduisendes te verower.

  5. [Clinical evaluation of the effectiveness of radiation treatment for endometrial cancer].

    Turkevich, V G


    The study is based on data on 306 patients with endometrial cancer treated as combined (remote + contact) and only the contact exposure with low, medium and high dose rate. For comparative radiobiological evaluation of reactions of irradiated tissues there were used the following radiobiological models: factor time-dose-fractionation, the cumulative radiation effect, linear- quadratic model in the variant of biologically effective dose. Survival of endometrial cancer patients undergone combined or only the contact radiation treatment was determined by the stage of disease. In particular, the survival of patients with Stage IB endometrial cancer (combined radiation treatment) was significantly higher than in Stage IC, while in Stage IB (contact radiation treatment) was significantly higher than in Stages IC and IIB. Long-term results of radiation treatment of patients with all Stages of endometrial cancer were significantly better by 16% when only the contact radiation treatment was performed. The most preferred component of radiotherapy in women suffering from endometrial cancer with severe comorbidities was brachytherapy with high dose rate both in the combined and only contact irradiation.

  6. Development of radiation biological dosimetry and treatment of radiation-induced damaged tissue

    Cho, Chul Koo; Kim, Tae Hwan; Lee, Yun Sil [and others


    Util now, only a few methods have been developed for radiation biological dosimetry such as conventional chromosome aberration and micronucleus in peripheral blood cell. However, because these methods not only can be estimated by the expert, but also have a little limitation due to need high technique and many times in the case of radiation accident, it is very difficult to evaluate the absorbed dose of victims. Therefore, we should develop effective, easy, simple and rapid biodosimetry and its guideline(triage) to be able to be treated the victims as fast as possible. We established the apoptotic fragment assay, PCC, comet assay, and micronucleus assay which was the significant relationship between dose and cell damages to evaluate the irradiated dose as correct and rapid as possible using lymphocytes and crypt cells, and compared with chromosome dosimetry and micronucleus assay.

  7. Die verhouding doop en geloof

    L. Floor


    Full Text Available By die aanvalle wat op die kinderdoop geloods word, kom telkens die verhouding doop en geloof ter sprake. Die geloof is so wesentlik met die doop verbonde, sodat daar nie gedoop mag word waar die geloof nie aanwesig is nie. 0ns lees inderdaad dwarsdeur die Nuwe Testament van ’n innige samehang wat daar tussen geloof en doop beslaan.

  8. Die gebruik van parallelplaatreologie vir die bepaling van die intrinsieke viskositeit van poli-etileentereftalaat

    O. C. Vorster


    Full Text Available Die bepaling van die intrinsieke viskositeit van poli-etileentereftalaat word bemoeilik deur die feit dat daar tans slegs twee metodes in gebruik is. In die eerste metode word die bepaling deur middel van oplossingsviskometrie gedoen, maar die toksisiteit van die oplosmiddel, asook die tydperk wat dit neem om die bepaling te doen, is ’n probleem. Die tweede metode word beperk deur die kompleksiteit en beskikbaarheid van die apparatuur in Suid-Afrika. In hierdie studie word ’n alternatiewe metode, gebaseer op parallelplaatreologie, voorgestel wat albei hierdie probleme oorkom en die resultate sodoende verkry, word vergelyk met dié wat met bestaande metodes verkry is.

  9. Treatment and prognosis of patients with late rectal bleeding after intensity-modulated radiation therapy for prostate cancer

    Takemoto Shinya


    Full Text Available Abstract Background Radiation proctitis after intensity-modulated radiation therapy (IMRT differs from that seen after pelvic irradiation in that this adverse event is a result of high-dose radiation to a very small area in the rectum. We evaluated the results of treatment for hemorrhagic proctitis after IMRT for prostate cancer. Methods Between November 2004 and February 2010, 403 patients with prostate cancer were treated with IMRT at 2 institutions. Among these patients, 64 patients who developed late rectal bleeding were evaluated. Forty patients had received IMRT using a linear accelerator and 24 by tomotherapy. Their median age was 72 years. Each patient was assessed clinically and/or endoscopically. Depending on the severity, steroid suppositories or enemas were administered up to twice daily and Argon plasma coagulation (APC was performed up to 3 times. Response to treatment was evaluated using the Rectal Bleeding Score (RBS, which is the sum of Frequency Score (graded from 1 to 3 by frequency of bleeding and Amount Score (graded from 1 to 3 by amount of bleeding. Stoppage of bleeding over 3 months was scored as RBS 1. Results The median follow-up period for treatment of rectal bleeding was 35 months (range, 12–69 months. Grade of bleeding was 1 in 31 patients, 2 in 26, and 3 in 7. Nineteen of 45 patients (42% observed without treatment showed improvement and bleeding stopped in 17 (38%, although mean RBS did not change significantly. Eighteen of 29 patients (62% treated with steroid suppositories or enemas showed improvement (mean RBS, from 4.1 ± 1.0 to 3.0 ± 1.8, p = 0.003 and bleeding stopped in 9 (31%. One patient treated with steroid enema 0.5-2 times a day for 12 months developed septic shock and died of multiple organ failure. All 12 patients treated with APC showed improvement (mean RBS, 4.7 ± 1.2 to 2.3 ± 1.4, p  Conclusions After adequate periods of observation, steroid suppositories

  10. Die invloed van die neo-marxistiese kultuuranalise op die Wêreldraad van Kerke en die Gereformeerde Kerke van Nederland

    J. M. Vorster


    Full Text Available Toe die studente dwarsoor die VSA en Europa in die laat sestigerjare ’n plotselinge en radikale verset openbaar het teen die bestaande orde, het hulle die deur geopen vir ’n nuwe mededinger om die hart van die Westerse kultuur. Dit is die nou reeds bekende neo-Marxisme. Sedertdien het hierdie jongeling sy voetspore op vele vlakke van die Westerse kultuur gelaat.


    I. V. Podsonnaja


    Full Text Available Aim. To assess cognitive functions in liquidators of Chernobyl accident (LCA consequences suffering from arterial hypertension (HT and to study efficacy of their treatment with cortexin (complex of polypeptide fractions.Material and methods. 60 men (aged of 39-60 y.o., LCA with HT and cognitive disorders were included in the study. Cortexin was used (10 mg intramusculary during 10 days for one or two courses. Efficacy of treatment was estimated by neuropsychological tests (Shulte test , A.R. Lurija test, serial account, test "feeling, activity, mood", headache intensity on VAS scale before and in 10 days of treatment as well as 6 and 12 months after treatment.Results. Cortexin therapy (2 courses increased of mental processes speed and retention of information volume, reduced personal and behavioral disorders.Conclusion. Treatment with cortexin (2 courses improves cognitive functions in LCA with HT.

  12. Dietary flaxseed administered post thoracic radiation treatment improves survival and mitigates radiation-induced pneumonopathy in mice

    Arguiri Evguenia


    BAL fluid revealed a significant decrease of specific inflammatory cytokines in FS-fed mice. Conclusions Dietary FS given post-XRT mitigates radiation effects by decreasing pulmonary fibrosis, inflammation, cytokine secretion and lung damage while enhancing mouse survival. Dietary supplementation of FS may be a useful adjuvant treatment mitigating adverse effects of radiation in individuals exposed to inhaled radioisotopes or incidental radiation.

  13. Dietary flaxseed administered post thoracic radiation treatment improves survival and mitigates radiation-induced pneumonopathy in mice.

    Christofidou-Solomidou, Melpo; Tyagi, Sonia; Tan, Kay-See; Hagan, Sarah; Pietrofesa, Ralph; Dukes, Floyd; Arguiri, Evguenia; Heitjan, Daniel F; Solomides, Charalambos C; Cengel, Keith A


    specific inflammatory cytokines in FS-fed mice. Dietary FS given post-XRT mitigates radiation effects by decreasing pulmonary fibrosis, inflammation, cytokine secretion and lung damage while enhancing mouse survival. Dietary supplementation of FS may be a useful adjuvant treatment mitigating adverse effects of radiation in individuals exposed to inhaled radioisotopes or incidental radiation.

  14. Counseling patients about sexual health when considering post-prostatectomy radiation treatment

    Wittmann, D; Montie, J E; Hamstra, D A; Sandler, H; Wood, D P


    Prostate cancer is the second most frequently diagnosed cancer in men in the United States. Many men with clinically localized prostate cancer survive for 15 years or more. Although early detection and successful definitive treatments are increasingly common, a debate regarding how aggressively to treat prostate cancer is ongoing because of the effect of aggressive treatment on the quality of life, including sexual functioning. We examined current research on the effect of post-prostatectomy radiation treatment on sexual functioning, and suggest a way in which patient desired outcomes might be taken into consideration while making decisions with regard to the timing of radiation therapy after prostatectomy. PMID:19609297

  15. Neutron radiation therapy: application of advanced technology to the treatment of cancer

    Maughan, R L; Kota, C; Burmeister, J; Porter, A T; Forman, J D; Blosser, H G; Blosser, E; Blosser, G


    The design and construction of a unique superconducting cyclotron for use in fast neutron radiation therapy is described. The clinical results obtained in the treatment of adenocarcinoma of the prostate with this accelerator are presented. Future use of the boron neutron capture reaction as a means of enhancing fast neutron therapy in the treatment of patients with brain tumors (glioblastoma multiforme) is also discussed.

  16. Die lebensvision des semonides

    Milivoj Sironić


    Full Text Available Der Autor analysiert die Weibersatire des Semonides und andere seiner kurzen Fragmente. Dabei kommt er zu der Schlussfolgerung, dass sich die Verse der Satire durch eine gute Technik auszeich­ nen, dass aber auch eine unnötige Weitschweifigkeit nicht zu Ubersehen ist. Trotzdem kann man jedoch dem Dichter nicht die künstlerische Überzeugungskraft absprechen, wie auch die Ten­ denz nach Detailschilderungen und die Feinheit geistreicher Charakterisierungen. Die Aussage beinhaltet manchmal eine be­ stimmte innere Ironie in der Einfachheit der Wörter.In kurzen Fragmenten wird die Fähigkeit des Semonides sichtbar, sich sehr präzise auszudrücken. Seine ironisch-epische Sprache ist sehr reich  und verdient vom linguistischen Standpunkt aus Auf­ merksamkeit wegen ihres reichhaltigen lexischen und termino­ logischen Materials, insbesondere was die Bereiche der Tier­ welt und des Essens anbelangt.Die Weltanschauung des Dichters ist in dem ersten Fragment recht deutlich erkennbar. Da sieht man, dass er düster und pessimistisch auf das Leben blickt. Das Fehlen jeglicher positiven Einstellung hat dann den Sar­ kasmus zur Folge, mit dem der Dichter die Darstellung der Weiber einkleidet, ihn aber auch auf die Menschen schlechthin ausweitet.

  17. Verskuiwing in die moraal?

    S.P. van der Walt


    Full Text Available Modewoorde het ons deesdae oorgenoeg in die Christelike sedeleer en hulle kan nogal verwarring stig. U moet my vergun om met u te spreek oor een so ’n modewoord nl „verskuiwing’’ in die moraal. Dis nogal ’n mooi woord, wat so dikwels gebruik word op baie terreine en tog meer wil aandui as maar net ’n veranderde sienswyse, ’n wysiging in opvattinge of nuwe riglyne wat al gangbaar geword het in die praktyk. Die begrip wil eintlik die ewolusionêre gang beklemtoon, want dit is dan eintlik net die ou norme wat effens anders bekyk word of nie meer so nou geneem of dik onderstreep word nie. Die verskuiwing beteken dan dat alles nog dieselfde bly, net die posisie of plek het verander. Verskuiwing beteken tog plekverandering of plekwisseling en dan sekerlik nie in die sin dat die plekke ver uitmekaar lê nie. Verskuiwing beteken net maar vlak langs die vorige te staan kom. As dit dan ’n beter plek is, is dit ewolusie, ontwikkeling, verbetering.

  18. Hyperbaric oxygen in the treatment of radiation-induced optic neuropathy

    Guy, J.; Schatz, N.J.


    Four patients with radiation-induced optic neuropathies were treated with hyperbaric oxygen. They had received radiation therapy for treatment of pituitary tumors, reticulum cell sarcoma, and meningioma. Two presented with amaurosis fugax before the onset of unilateral visual loss and began hyperbaria within 72 hours after development of unilateral optic neuropathy. Both had return of visual function to baseline levels. The others initiated treatment two to six weeks after visual loss occurred in the second eye and had no significant improvement of vision. Treatment consisted of daily administration of 100% oxygen under 2.8 atmospheres of pressure for 14-28 days. There were no medical complications of hyperbaria. While hyperbaric oxygen is effective in the treatment of radiation-induced optic neuropathy, it must be instituted within several days of deterioration in vision for restoration of baseline function.

  19. Helical Electron Avoidance Radiation Therapy (HEART) for Breast Cancer Treatment


    3. K. Li, and L. Ma, "Selective Source Blocking for Treatment of Trigeminal Neuralgia Based on Analytical Gamma Knife Dose Modeling", Phys. Med. Biol...radiosurgery of trigeminal neuralgia " Appl. Clin. Med. Phy., Vol 1(4) 116-119, 2000. (2) Major Presentations 1. The 4 th Era of Hope Conference...treatment planning", Med. Phys. 31(2004) No. 6,1824. 4. L. Ma, and K. Li, " Selective source blocking for treatment of trigeminal neuralgia based on

  20. Die karst-ekologie van die Bakwenagrot (Gauteng

    François Durand


    Full Text Available Die Bakwenagrot huisves ’n verskeidenheid organismes wat ’n ingewikkelde en verweefde voedselweb vorm. ’n Kolonie Natalse langvingervlermuise gebruik hierdie grot regdeur die jaar as blyplek. Die vlermuisguano en dooie plantmateriaal wat van buite in die grot inval, vorm die basis van die ekologie in die grot wat ook as ’n tipiese detritus-gedrewe ekostelsel beskryf kan word. Afbrekers soos bakterieë en swamme wat vir die afbraak van die guano en plantreste verantwoordelik is, word deur ’n verskeidenheid organismes, insluitend nematode en myte, as voedselbron benut. Hierdie organismes wat die volgende trofiese vlak vorm, word deur predatoriese artropode as voedselbron benut. Die Bakwenagrot is een van die weinige dolomietiese grotte in Suid-Afrika wat dit vir ‘n mens moontlik maak om tot by die grondwatervlak te kom. Die grondwater huisves verskeie tipes organismes waaronder bakterieë, swamme en diere – hoofsaaklik nematode en krustaseë. Die Bakwenagrot is ook die hoofvindplek waar varswater-amfipode in Suider-Afrika gevind is. Hierdie besondere en sensitiewe ekostelsel is hoofsaaklik van guano van die vlermuiskolonie afhanklik. Die grasveld in die gebied rondom die grot, wat as voedingsarea vir die vlermuiskolonie dien, word tans deur voorstedelike ontwikkeling en die gevolglike habitatfragmentasie en -vernietiging bedreig. Indien die vlermuise die grot sou verlaat, sal dit ’n hele domino-effek van uitsterwing van die grotbewonende organismes tot gevolg hê.

  1. Die voorgeskiedenis van kwantumberekening

    P. H. Potgieter


    Full Text Available

    Die hoofidees wat tans gestalte vind in die teorie en tegnologie van kwantumberekening is in die laat 1970’s en vroeg 1980’s deur fisici in die Weste en ’n wiskundige in die voormalige Sowjetunie neergelˆ e. Dat di´ e teorie ook wortels in die Russiestalige vakliteratuur het, is nie algemeen bekend in die Weste nie. Daar word kortliks gekyk na die idee soos deur Benioff en (veral Feynman in die Weste versprei, asook die voorstel van di´ e rekengrondslag deur Manin in die Russiese literatuur. Die outeur hoop om hiermee so ’n onpartydig moontlike sintese van die vroe ¨ e gedagtegeskiedenis rondom kwantumberekening aan te bied. Die rol van omkeerbare en onomkeerbare berekeningsprosesse word vlugtig bekyk soos dit verband hou met die ontstaan van kwantumberekening, asook die sogenaamde Inligtingsparadoks in die fisika. Die inligtingsteorie en die fisika het heelwat met mekaar te kommunikeer, soos hierdie paradoks uitwys.


    The pre-history of quantum computation

    The main ideas behind developments in the theory and technology of quantum computation were formulated in the late 1970s and early 1980s by two physicists in the West and a mathematician in the former Soviet Union. It is not generally known in the West that the subject has roots in the Russian technical literature. The idea, as propagated by Benioff and (especially Feynman, is reviewed along with the proposition of a foundation for this kind of computation by Manin in the Russian literature. The author hopes to present as impartial a synthesis as possible of the early history of thought on this subject. The role of reversible and irreversible computational processes will be examined briefly as it relates to the origins of quantum computing and the so-called Information Paradox in physics. Information theory and physics, as this paradox shows, have much to communicate to each other.

  2. Dosimetric comparison of different radiation treatment modalities for acoustic neuromas

    Kim, Dong Wook; Chung, Weon Kuu [Kyung Hee University Hospital at Gangdong, Seoul (Korea, Republic of); Shin, Dong Oh [Kyung Hee Medical Center, Seoul (Korea, Republic of); Shin, Dongho [National Cancer Center, Goyang (Korea, Republic of)


    The dosimetric differences for intensity-modulatedradiotherapy (IMRT), volumetric modulated arc therapy (VMAT), proton therapy(PROTON) and stereotactic radiosurgery (SRS) in patient with acoustic neuroma (AN) were compared by using the dose-volume histogram (DVH). In the present study, we estimated the dosimetric differences for patient with AN who received different treatment modalities. In this study, we found proton therapy is relatively effective treatment techniques than the other.

  3. Die benutting van water in die landbou: strategie vir die toekoms

    D. S. van der Merwe


    Full Text Available ’n Uiteensetting word gegee van die faktore wat die hoofrol in die toekomstige waterbenutting in die landbou gaan speel. Hierdie faktore is die hoeveelheid water beskikbaar vir landboudoeleindes; die toenemende mineraiisasie van besproeiingswater; en die invloed wat energiebehoeftes op besproeiing sal hê. Navorsing is nodig om die situasie na wense te hanteer, en die aanbevelings van besproeiingsnavorsingswerksessies in hierdie verband word kortliks aangedui en bespreek.

  4. Radiation therapy, an important mode of treatment for head and neck chemodectomas

    Verniers, D.A. (Dr. Daniel den Hoad Cancer Centre, Rotterdam (Netherlands)); Keus, R.B.; Schouwenburg, P.F.; Bartelink, H. (Nederlands Kanker Inst. ' Antoni van Leeuwenhoekhuis' , Amsterdam (Netherlands))


    Between 1970 and 1990, 22 patients with 44 chemodectomas in the head and neck region were seen at the Netherlands Cancer Institute in Amsterdam. All patients were treated with radiation therapy (17 patients with radiation therapy only and 5 in combination with surgery). One patient was treated two times with an interval of 12 years at each side of the neck. Standard dose was 50 Gy in 25 fractions over 5 weeks. A radiation portal arrangement with oblique fields with paired wedges was used most frequently. The follow-up period ranged from 1 year to 20 years. Two recurrences at 2 and 9 years after treatment were observed. The actuarial local control rate was 88% at 10 years follow-up. Comparison of the results of surgery and radiotherapy demonstrates that radiation therapy is an effective treatment modality without mutilation or severe late morbidity for chemodectomas in the head and neck region. (Author).

  5. Vacuum-UV radiation at 185 nm in water treatment--a review.

    Zoschke, Kristin; Börnick, Hilmar; Worch, Eckhard


    The vacuum-UV radiation of water results in the in situ generation of hydroxyl radicals. Low-pressure mercury vapor lamps which emit at 185 nm are potential sources of VUV radiation. The scope of this article is to give an overview of the application of VUV radiation at 185 nm for water treatment including the transformation of inorganic and organic water constituents, and the disinfection efficiency. Another focus is on the generation of ozone by VUV radiation from oxygen or air and the application of the produced ozone in combination with VUV irradiation of water in the VUV/O3 process. The advantages and limitation of the VUV process at 185 nm as well as possible applications in water treatment are outlined.

  6. Surgical treatment of radiation injuries of the colon and rectum

    Jao, S.W.; Beart, R.W. Jr.; Gunderson, L.L.


    Between 1950 and 1983, radiation-induced proctitis was diagnosed proctoscopically in 720 patients at the Mayo Clinic. Sixty-two patients with severe colorectal symptoms were treated surgically. The interval from cessation of radiotherapy to onset of symptoms ranged from 3 weeks to 24 months (mean 33 months). The 62 patients underwent a total of 143 operations with 8 operative deaths (13 percent), and 40 patients (65 percent) had 61 complications. The morbidity rate was lower after colostomy alone (44 percent in 27 patients) than after more aggressive operations (80 percent in 35 patients). Transverse loop colostomy and descending colostomy were safer than sigmoid colostomy. The dissection adhesions, opening of tissue planes, and careless manipulation of intestine may result in necrosis and perforation of the intestine, bladder, or vaginal wall; these were the main causes of fecal and other internal fistulas in our study.

  7. Contribution of radiation treatment to the breast conserving therapy

    Matsubara, Sho; Shibuya, Hitoshi; Matsumoto, Satoru; Hoshina, Masao (Tokyo Medical and Dental Univ. (Japan). School of Medicine); Nishi, Tsunehiro; Kawahito, Hirotsugu; Inoue, Yoshihiro; Horiuchi, Junichi


    Breast-conserving surgery followed by irradiation for the early breast cancer has become the alternative therapy to mastectomy in European countries and U.S.A., but not yet commonly employed in our country. Sixty-one breasts in 60 patients treated with the above mentioned therapy from September 1983 to April 1991 were surveyed. Although the distant metastases of bone and pleura were found in one patient about four years after the therapy, neither failure of local control nor death was disclosed among them. Moderate fibrotic change with slight telangiectsia was found in only one patient. Otherwise, late effect of radiation was generally found to be mild and acceptable. (author) 59 refs.

  8. Cerenkov radiation-induced phototherapy for depth-independent cancer treatment (Conference Presentation)

    Akers, Walter J.; Achilefu, Samuel; Kotagiri, Nalinikanth


    Light emitted as the result of high-energy particle transport through biological tissues (Cerenkov radiation) can be exploited for noninvasive diagnostic imaging using high sensitivity scientific cameras. We have investigated the energy transfer potential of Cerenkov radiation, discovering a new phototherapeutic technique for treatment of localized and disseminated cancers. This technique, Cerenkov radiation-induced phototherapy (CRIT), like photodynamic therapy, requires the presence of both light and photosensitive agent together to induce cytotoxicity and effective cancer treatment. But unlike conventional phototherapy strategies in which tissue ablation or activation of photoactive molecules is limited to superficial structures, radiation-induced phototherapy enables phototherapy delivery to the tumor sites throughout the body. Titanium oxide nanoparticles, which produce cytotoxic reactive oxygen species upon irradiation with UV light, were targeted to tumor tissue by surface decoration with transferrin. Subsequent administration of tumor-avid radiotracer, 18-fluorodeoxyglucose (18FDG) provided localized UV light source via Cerenkov radiation. Treatment of tumor-bearing mice with the combination of Titanium nanoparticles and 18FDG resulted in effective reduction in tumor growth, while individual agents were not therapeutic. This new strategy in cancer therapy extends the reach of phototherapy beyond what was previously possible, with potential for treatment of cancer metastases and rescue from treatment resistance.

  9. Emergency radiation treatment for paraplegia caused by extradural leukemic invasion; Report of 2 cases

    Murakami, Masao; Kuroda, Yasumasa; Sano, Akira (Tenri Hospital, Nara (Japan)) (and others)


    We present 2 cases of emergency radiation therapy for paraplegia caused by extradural leukemic invasion. Tumor regression was noted at 12 Gy, and complete disappearance at 20 Gy. MRI proved useful in early detection and in the follow-up. They were doing well for 14 months after irradiation. Irradiation should be the treatment of first choice for these tumors, and the detail such as radiation field, total dosage should be determined in consideration of other therapeutic measures. (author).

  10. Pelvic radiation - discharge

    Radiation of the pelvis - discharge; Cancer treatment - pelvic radiation; Prostate cancer - pelvic radiation; Ovarian cancer - pelvic radiation; Cervical cancer - pelvic radiation; Uterine cancer - pelvic radiation; Rectal cancer - pelvic radiation

  11. Cancer patients with cardiac pacemakers needing radiation treatment: A systematic review

    Anusheel Munshi


    Full Text Available With improving average life expectancy of individuals in most countries, there has been increase in the incidence of cardiovascular diseases and cancers. Radiation oncologists therefore are likely to encounter an increasing number of cancer patients with in situ cardiac pacemaker devices needing radiation treatments. Pacemaker technology has advanced rapidly in recent years. As a result, the potential interactions of these devices with radiation therapy have changed since American Association of Physicists in Medicine (AAPM issued guidelines in 1994. Current approaches to treatment in patients who have these devices vary among radiation oncology centers. Furthermore, the recommendations given by the devices′ manufacturers differ considerably. Common knowledge about pacemaker in radiation oncology community is vital as radiation management needs to be tailored to individual patients in accordance to the information of available for the device. Some general practical guidelines can be gleaned from the literature. It is felt that more robust information is required using web based database sharing to develop total safe practice guidelines in such patients. This article reviews the information available to help create such guidelines and presents recommendations for treatment in this increasingly common clinical situation.

  12. Quality of Intensity Modulated Radiation Therapy Treatment Plans Using a {sup 60}Co Magnetic Resonance Image Guidance Radiation Therapy System

    Wooten, H. Omar, E-mail:; Green, Olga; Yang, Min; DeWees, Todd; Kashani, Rojano; Olsen, Jeff; Michalski, Jeff; Yang, Deshan; Tanderup, Kari; Hu, Yanle; Li, H. Harold; Mutic, Sasa


    Purpose: This work describes a commercial treatment planning system, its technical features, and its capabilities for creating {sup 60}Co intensity modulated radiation therapy (IMRT) treatment plans for a magnetic resonance image guidance radiation therapy (MR-IGRT) system. Methods and Materials: The ViewRay treatment planning system (Oakwood Village, OH) was used to create {sup 60}Co IMRT treatment plans for 33 cancer patients with disease in the abdominal, pelvic, thorax, and head and neck regions using physician-specified patient-specific target coverage and organ at risk (OAR) objectives. Backup plans using a third-party linear accelerator (linac)-based planning system were also created. Plans were evaluated by attending physicians and approved for treatment. The {sup 60}Co and linac plans were compared by evaluating conformity numbers (CN) with 100% and 95% of prescription reference doses and heterogeneity indices (HI) for planning target volumes (PTVs) and maximum, mean, and dose-volume histogram (DVH) values for OARs. Results: All {sup 60}Co IMRT plans achieved PTV coverage and OAR sparing that were similar to linac plans. PTV conformity for {sup 60}Co was within <1% and 3% of linac plans for 100% and 95% prescription reference isodoses, respectively, and heterogeneity was on average 4% greater. Comparisons of OAR mean dose showed generally better sparing with linac plans in the low-dose range <20 Gy, but comparable sparing for organs with mean doses >20 Gy. The mean doses for all {sup 60}Co plan OARs were within clinical tolerances. Conclusions: A commercial {sup 60}Co MR-IGRT device can produce highly conformal IMRT treatment plans similar in quality to linac IMRT for a variety of disease sites. Additional work is in progress to evaluate the clinical benefit of other novel features of this MR-IGRT system.

  13. Openbaring, teologie en die regswetenskap

    S. Postma


    Full Text Available In die jongste tyd is telkens en weer gewaarsku teen die gevare van oorspesialisasie en die hipertrofie van professionalisme. Die gemis aan ’n totaliteitsvisie wat hiermee gepaard gaan, word dan ook tereg teengegaan en wel deur aan die Wysbegeerte as die Wetenskap van die totaliteit van die kosmos in toenemende mate sy regmatige plek as wetenskapsintegreerder te gun. Hierdie grootmoedige gun van ’n plek in die son van geleerdheid kan egter ook uit bedenklike motiewe plaasvind. Die vakwetenskaplike kan nie of wil nie die plek en betekenis van sy spesifieke vak bepaal en bepeins nie en vind dit in elk geval moeilik om die verband tussen Gods Woord en sy besondere vak in duidelike perspektief te sien; vandaar dan ’n grootmoedige toelaat dat die wysbegeerte die „veritas” dien terwyl die eie ek tevrede is om die „utilitas” onderdanig te wees.

  14. Die tug oor ampsdraers tydens die doleansie van 1886

    J. Visser


    Full Text Available In art 29 van die Nederlandse Geloofsbelydenis word bely: “Die merktekens om die ware Kerk te ken is die volgende: As die Kerk die suiwere prediking van die evangelie uitoefen, as dit die suiwer bediening van die sakramente gebruik soos Christus dit ingestel het, as die kerklike tug gebruik word om die sondes te straf.” Dit spreek vanself dat wanneer ampsdraers, aan wie Christus sy kudde toevertrou het (Hand 20 : 28, met leer en /of lewenswandel in sonde volhard en nie daarin met tug gestuit word nie, word die ware kerk nie gebou nie maar afgebreek. 0ns sal later in hierdie artikel aantoon hoedanig die suiwer tug oor ampsdraers, veral leertug, tydens die Doleansie tot skade van die kerk van Christus agterweë gebly het.

  15. Formalin treatment of radiation-induced hemorrhagic proctitis

    Rubinstein, E.; Ibsen, T.; Rasmussen, R.B.; Reimer, E.; Sorensen, B.L.


    A 71-year-old man developed severe hemorrhagic proctitis 1 year after pelvic irradiation for carcinoma of the urinary bladder. Conservative treatment as well as performance of a colostomy failed to control the rectal bleeding. After irrigation of the rectum with a formalin solution the bleeding stopped, and no recurrence has been observed for the next 14 months.

  16. Imaging-Based Treatment Adaptation in Radiation Oncology

    Troost, E.G.; Thorwarth, D.; Oyen, W.J.G.


    In many tumor types, significant effort is being put into patient-tailored adaptation of treatment to improve outcome and preferably reduce toxicity. These opportunities first arose with the introduction of modern irradiation techniques (e.g., intensity-modulated radiotherapy) combined with function

  17. Systematic review of hyperbaric oxygen therapy for the treatment of radiation-induced skin necrosis.

    Borab, Zachary; Mirmanesh, Michael D; Gantz, Madeleine; Cusano, Alessandro; Pu, Lee L Q


    Every year, 1.2 million cancer patients receive radiation therapy in the United States. Late radiation tissue injury occurs in an estimated 5-15% of these patients. Tissue injury can include skin necrosis, which can lead to chronic nonhealing wounds. Despite many treatments available to help heal skin necrosis such as hyperbaric oxygen therapy, no clinical guidelines exist and evidence is lacking. The purpose of this review is to identify and comprehensively summarize studies published to date to evaluate the effectiveness of hyperbaric oxygen therapy for the treatment of radiation-induced skin necrosis. Adhering to PRISMA guidelines, a systematic review of currently published articles was performed, evaluating the use of hyperbaric oxygen to treat skin necrosis. Eight articles were identified, including one observational cohort, five case series, and two case reports. The articles describe changes in symptoms and alteration in wound healing of radiation-induced skin necrosis after treatment with hyperbaric oxygen therapy. Hyperbaric oxygen therapy is a safe intervention with promising outcomes; however, additional evidence is needed to endorse its application as a relevant therapy in the treatment of radiation-induced skin necrosis.

  18. Ionizing radiation treatment to improve postharvest life and maintain quality of fresh guava fruit

    Singh, S. P.; Pal, R. K.


    We investigated the potential of ionizing radiation for improving physiological responses, quality, and storage time of fresh guava fruit. Ionizing radiation treatment suppressed the respiration and ethylene production rates and thus retarded the process of fruit ripening during storage. Irradiation treatment also retarded the physical and biochemical changes associated with ripening such as firmness, titratable acidity, soluble solids content, and vitamin C during storage, but for doses higher than 0.25 kGy the vitamin C content decreased. The positive effects of ionizing radiation treatment on delayed fruit ripening and other quality attributes diminished during 22 days of storage at 10 °C. Thus, a combination of ionizing radiation with low-temperature storage (10 °C) did not have much synergistic effect on storage life and quality of guava fruit. In conclusion, ionizing radiation treatment of guava fruit with 0.25 kGy dose increased the postharvest life by 3-4 days, maintained fruit quality, and reduced the decay incidence. The optimal dose (0.25 kGy) for postharvest life extension of guava fruit may be exploited to provide phytosanitary security against many insect pests including fruit flies.

  19. Ionizing radiation treatment to improve postharvest life and maintain quality of fresh guava fruit

    Singh, S.P. [Handling and Storage Laboratory, Division of Postharvest Technology, Indian Agricultural Research Institute (IARI), Pusa, New Delhi 110 012 (India)], E-mail:; Pal, R.K. [Handling and Storage Laboratory, Division of Postharvest Technology, Indian Agricultural Research Institute (IARI), Pusa, New Delhi 110 012 (India)


    We investigated the potential of ionizing radiation for improving physiological responses, quality, and storage time of fresh guava fruit. Ionizing radiation treatment suppressed the respiration and ethylene production rates and thus retarded the process of fruit ripening during storage. Irradiation treatment also retarded the physical and biochemical changes associated with ripening such as firmness, titratable acidity, soluble solids content, and vitamin C during storage, but for doses higher than 0.25 kGy the vitamin C content decreased. The positive effects of ionizing radiation treatment on delayed fruit ripening and other quality attributes diminished during 22 days of storage at 10 deg. C. Thus, a combination of ionizing radiation with low-temperature storage (10 deg. C) did not have much synergistic effect on storage life and quality of guava fruit. In conclusion, ionizing radiation treatment of guava fruit with 0.25 kGy dose increased the postharvest life by 3-4 days, maintained fruit quality, and reduced the decay incidence. The optimal dose (0.25 kGy) for postharvest life extension of guava fruit may be exploited to provide phytosanitary security against many insect pests including fruit flies.

  20. On radiation damage to normal tissues and its treatment. Pt. 2; Anti-inflammatory drugs

    Michalowski, A.S. (MRC Cyclotron Unit, Hammersmith Hospital, London (United Kingdom))


    In addition to transiently inhibiting cell cycle progression and sterilizing those cells capable of proliferation, irradiation disturbs the homeostasis effected by endogenous mediators of intercellular communication (humoral component of tissue response to radiation). Changes in the mediator levels may modulate radiation effects either by a assisting a return to normality (e.g., through a rise in H-type cell lineage-specific growth factors) or by aggravating the damage. The latter mode is illustrated with reports on changes in eicosanoid levels after irradiation and on results of empirical treatment of radiation injuries with anti-inflammatory drugs. Prodromal, acute and chronic effects of radiation are accompanied by excessive production of eicosanoids (prostaglandins, prostacyclin, thromboxanes and leukotrienes). These endogenous mediators of inflammatory reactions may be responsible for the vasodilatation, vasoconstriction, increased microvascular permeability, thrombosis and chemotaxis observed after radiation exposure. Glucocorticoids inhibit eicosanoid synthesis primarily by interfering with phospholipase A[sub 2] whilst non-steroidal anti-inflammatory drugs prevent prostaglandin/thromboxane synthesis by inhibiting cycloxygenase. When administered after irradiation on empirical grounds, drugs belonging to both groups tend to attenuate a range of prodomal, acute and chronic effects of radiation in man and animals. Taken together, these two sets of observations are highly suggestive of a contribution of humoral factors to the adverse responses of normal tissues and organs to radiation. A full account of radiation damage should therefore consist of complementary descriptions of cellular and humoral events. Further studies on anti-inflammatory drug treatment of radiation damage to normal organs are justified and desirable. (orig.).

  1. Die sterwende kindjie

    J.T. De Jongh van Arkel


    Full Text Available The thought of a child dying appears as an antithesis and thus the feelings evoked by the dying child are stronger than when older persons are dying. Around the child’s death bed there is no place for detached spectators and all become involved in caring for and supporting him. Caregivers also have a supporting responsibility towards the members of the child’s family.

  2. Ontsporing van die regstaatsbegrip en sy konsekwensies vir die afrikanervolk

    N. G.S. Van der Walt


    Full Text Available Die opvatting van die suiwere regstaat bring sy vraagstukke mee wanneer dit in verband gebring word met die leer van die soewereiniteit in eie kring. Laasgenoemde leer wortel in die geloof dat God die mens roep tot diens aan Hom, en dat die mens vry moet wees om ten opsigte van alle lewensaspekte God na die hoogste mate te kan dien. Hierdie verskeidenheid van aspekte is deur dr. A. Kuyper en sy volgelinge gesistemati- seer tot menslike verbande en lewenskringe, elk met ’n be- paalde sfeer waarin ander kringe nie mag inmeng nie. Elkeen is dan soewerein binne sy eie kring. Met verwysing na die staat is dan gespreek van die staatstaak as synde die hand- hawing van die reg, en omdat die staat in toenemende mate hom veral in die latere tyd ook besig gehou het met bedrywig- hede wat nouliks as van juridiese aard beskou kan word, is daar die onderskeid gemaak tussen die primêre en sekundêre taak van die staat. Die sistematiek van die wetsidee, deur prof. Dooyeweerd ontwikkel, waar die staat sy bestemmingsfunksie in die regsaspek vind, het vanselfsprekend geen plek vir so 'n dualistiese staatstaak nie, en die oplossing is deur sommige daarin gesoek om sulke staatsoptrede te vertolk as hebbende wel betrekking op die regsgemeenskap of die regsverkeer. Staatsondernemings soos paaie, spoorweë, spellingreëling, ens. word dan beskou as noodsaaklik vir die instandhouding van die regsgemeenskap en regsverkeer. Tereg wys A. M. Donner1 daarop dat so ’n vertolking eintlik neerkom op ’n oorspanning van die regsbegrip. Hy self sien dan die staatstaak in vrede- of orde-handhawing, wat in die eerste plaas wel regshandha- wing veronderstel. Onder orde word dan alles verstaan wat noodsaaklik is vir die gladde verkeer in die ontwikkelingsgang van die regsgemeenskap. Die wese van die staat het dan vol- gens hom te doen met reg, maar sy taak is meer as suiwere regshandhawing. Wat onrus verwek en die orde versteur, moet uit die openbare lewe verwyder word, en die

  3. Treatment of Head and Neck Paragangliomas With External Beam Radiation Therapy

    Dupin, Charles, E-mail: [Department of Radiotherapy, Comprehensive Cancer Center, Institut Bergonié, Bordeaux (France); Lang, Philippe [Department of Radiotherapy, Pitié Salpétrière, Paris (France); Dessard-Diana, Bernadette [Department of Radiotherapy, Hopital Européen Georges Pompidou, Paris (France); Simon, Jean-Marc; Cuenca, Xavier; Mazeron, Jean-Jacques; Feuvret, Loïc [Department of Radiotherapy, Pitié Salpétrière, Paris (France)


    Purpose: To retrospectively assess the outcomes of radiation therapy in patients with head and neck paragangliomas. Methods and Materials: From 1990 to 2009, 66 patients with 81 head and neck paragangliomas were treated by conventional external beam radiation therapy in 25 fractions at a median dose of 45 Gy (range, 41.4-68 Gy). One case was malignant. The median gross target volume and planning target volume were 30 cm{sup 3} (range, 0.9-243 cm{sup 3}) and 116 cm{sup 3} (range, 24-731 cm{sup 3}), respectively. Median age was 57.4 years (range, 15-84 years). Eleven patients had multicentric lesions, and 8 had family histories of paraganglioma. Paragangliomas were located in the temporal bone, the carotid body, and the glomus vagal in 51, 18, and 10 patients, respectively. Forty-six patients had exclusive radiation therapy, and 20 had salvage radiation therapy. The median follow-up was 4.1 years (range, 0.1-21.2 years). Results: One patient had a recurrence of temporal bone paraganglioma 8 years after treatment. The actuarial local control rates were 100% at 5 years and 98.7% at 10 years. Patients with multifocal tumors and family histories were significantly younger (42 years vs 58 years [P=.002] and 37 years vs 58 years [P=.0003], respectively). The association between family predisposition and multifocality was significant (P<.001). Two patients had cause-specific death within the 6 months after irradiation. During radiation therapy, 9 patients required hospitalization for weight loss, nausea, mucositis, or ophthalmic zoster. Two late vascular complications occurred (middle cerebral artery and carotid stenosis), and 2 late radiation-related meningiomas appeared 15 and 18 years after treatment. Conclusion: Conventional external beam radiation therapy is an effective and safe treatment option that achieves excellent local control; it should be considered as a first-line treatment of choice for head and neck paragangliomas.

  4. Prophylactic treatment with a potent corticosteroid cream ameliorates radiodermatitis, independent of radiation schedule

    Ulff, Eva; Maroti, Marianne; Serup, Jörgen;


    schedules as well as for anatomical sites, skin type, breast size and BMI. Patients treated the irradiated area during the radiation period and two weeks following cessation of radiation. RESULTS: Patients receiving hypofraction RT developed less skin reactions than those treated with conventional RT...... in patients with breast cancer receiving adjuvant radiotherapy (RT) after surgery. In total, 202 patients were randomized to betamethasone-17-valerate cream or Essex® cream, a moisturizer. Treatment was assessed by RTOG clinical scoring. Patients' symptoms were recorded. The analyses were stratified for RT....... Treatment with a potent steroid resulted in clinically and statistically significantly less skin reactions (p

  5. Pelvic complications after definitive treatment of prostate cancer by interstitial or external beam radiation

    Schellhammer, P.F.; El-Mahdi, A.M.


    Radiation complications, after definitive treatment of localized prostatic carcinoma by either external beam or interstitial implantation with Iodine-125 seeds, are reviewed. Late serious complications to immediately adjacent structures of the anterior rectal wall, prostatic urethra, bladder neck, and external sphincter occurred with similar frequency in both treatment groups. However, late serious complications of the remotely adjacent structures of the bladder, urethra, distal ureters, and circumferential rectal wall occurred more frequently in the external beam treatment series, a reflection of the fact that larger tissue volumes were irradiated. Rectal ulceration, while occurring in both treatment groups, was amenable to surgical correction or underwent spontaneous healing only in the 125I group. At this point in our experience, morbidity from late radiation complications has been less among those patients having interstitial implantation for definitive treatment of localized prostatic carcinoma.

  6. Analise van die Tswanaraaisel

    S. A. Swanepoel


    Full Text Available ’n Strukturele, stilistiese en funksionele bcskrywing van die Twanaraaisel bring mee dat daar aan die volgende aspekte aandag gegee moet word: •\tWat is ’n raaisel en lioe word dit in Tswana genoem. •\tTot watter studiegebied en literere genre hoort die raaisel en watter subvorme kan vir Tswana onderskei word. •\tHoe sien die struktuur van Tswanaraaisels daar uit. •\tDeur wie, waar, wanneer en hoe word Tswanaraaisels voorgedra. •\tWatter stilistiese kenmcrke kan in Tswanaraaisels onderskei word. •\tWatter funksies vervul raaisels in ’n Tswanagcmeenskap.

  7. Imaging techniques and their impact in treatment management of patients with acute flank pain; Die bildgebenden Verfahren und ihre Rolle beim Behandlungsmanagement von Patienten mit akutem Flankenschmerz

    Grosse, A.; Grosse, C.A.; Heinz-Peer, G. [Klinik fuer Radiodiagnostik der Medizinischen Universitaet Wien (Austria); Mauermann, J. [Medizinische Universitaet Wien (Austria). Klinik fuer Urologie


    The purpose of this overview is to provide a general summary of the imaging techniques applied at the Vienna Hospital for the investigation of acute flank pain and the diagnosis of stone disease and the evaluation of their efficacy and impact on therapy management. The number of publications on the issue of ''intravenous urography (IVU) vs computed tomography (CT)'' is abundant; in recent years, advocates of CT make up the majority. In the Department of Urology at the Vienna Hospital, conventional techniques such as ultrasound and IVU besides UHCT still play an important role. This overview presents the advantages and disadvantages of the various imaging techniques for diagnosis of stone disease and evaluates their significance regarding therapy management of patients with acute flank pain. (orig.) [German] Ziele der Uebersichtsarbeit sind eine zusammenfassende Darstellung der an der Universitaetsklinik fuer Urologie in Wien angewendeten Untersuchungstechniken zur Abklaerung von akutem Flankenschmerz bzw. zur Diagnostik des Steinleidens und die Bewertung ihrer Effizienz und Bedeutung im Therapiemanagement. Die Literatur zum Thema ''intravenoese Urographie (IVU) vs. Computertomographie (CT)'' zur Diagnostik der Urolithiasis bzw. Nephrolithiasis ist reichhaltig. In den letzten Jahren ueberwiegen zunehmend die Befuerworter der CT. An der Universitaetsklinik fuer Urologie in Wien kommen neben der nativen CT weiterhin konventionelle Verfahren wie die Sonographie und die IVU haeufig zum Einsatz. In dieser Arbeit werden die Vorzuege und Nachteile der verschiedenen bildgebenden Verfahren in der Steindiagnostik aufgezeigt und ihr Stellenwert beim therapeutischen Management von Patienten mit akutem Flankenschmerz evaluiert. (orig.)

  8. Die brein soos beskou deur die Grieke en Romeine

    Francois P. Retief


    Full Text Available In Ou Egipte is mummifikasie met uitgebreide reseksie of uitsnyding van organe geassosieer, maar geen kennis is geneem van die morfologie van die brein nie. Griekse skrywers van die sesde en vyfde eeue v.C. het die brein aanvanklik gesien as die setel van intelligensie, die orgaan van sensoriese waarneming en gedeeltelik die oorsprong van sperma. Pneuma het ’n belangrike rol in breinfunksie gespeel. Hippokrates was die eerste om die brein te beskryf as ’n dubbele orgaan, wat met harsingvlies (meninges bedek, funksioneel van pneuma afhanklik en vertolker van begrip is. Tydgenote soos Plato, Aristoteles en Diokles het tot die beskrywing bygedra, maar laasgenoemde twee het beweer dat die hart die middelpunt van intelligensie is en nie die brein nie. Gedurende die laaste helfte van die vierde eeu v.C. is disseksie van die menslike liggaam tydelik aan die mediese skool van Alexandrië toegelaat en het dit tot merkwaardige vooruitgang in die begrip van die menslike anatomie en fisiologie gelei. Herofilus en Erasistratus het uitstekende beskrywings van die struktuur en funksie van die brein gegee wat eers in die tweede eeu n.C. deur Galenus geëwenaar is.

  9. Radiation Therapy for the Treatment of Recurrent Glioblastoma: An Overview

    Amelio, Dante; Amichetti, Maurizio, E-mail: [ATreP-Agenzia Provinciale per la Protonterapia, Via F.lli Perini 181, Trento 38122 (Italy)


    Despite the therapeutic advances in neuro-oncology, most patients with glioblastoma ultimately experience local progression/relapse. Re-irradiation has been poorly viewed in the past, mainly due to the overestimated risk of side effects using conventional radiotherapy. To date, thanks to the improvement of several delivery techniques, together with improved imaging capabilities, re-irradiation is a viable salvage treatment option to manage such clinical scenario. A literature overview on the feasibility and efficacy of the different irradiation modalities for recurrent glioblastoma along with considerations on areas of improvement are provided.

  10. [Brain metastases: Focal treatment (surgery and radiation therapy) and cognitive consequences].

    Reygagne, Emmanuelle; Du Boisgueheneuc, Foucaud; Berger, Antoine


    Brain metastases represent the first cause of malignant brain tumor. Without radiation therapy, prognosis was poor with fast neurological deterioration, and a median overall survival of one month. Nowadays, therapeutic options depend on brain metastases presentation, extra brain disease, performance status and estimated prognostic (DS GPA). Therefore, for oligometastatic brain patients with a better prognosis, this therapeutic modality is controversial. In fact, whole-brain radiation therapy improves neurological outcomes, but it can also induce late neuro-cognitive sequelae for long-term survivors of brain metastases. Thus, in this strategy for preserving good cognitive functions, stereotactic radiation therapy is a promising treatment. Delivering precisely targeted radiation in few high-doses in one to four brain metastases, allows to reduce radiation damage to normal tissues and it should allow to decrease radiation-induced cognitive decline. In this paper, we will discuss about therapeutic strategies (radiation therapy and surgery) with their neuro-cognitive consequences for brain metastases patients and future concerning preservation of cognitive functions. Copyright © 2016 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.

  11. Extrapleural pneumonectomy, photodynamic therapy and intensity modulated radiation therapy for the treatment of malignant pleural mesothelioma.

    Du, Kevin L; Both, Stefan; Friedberg, Joseph S; Rengan, Ramesh; Hahn, Stephen M; Cengel, Keith A


    Intensity modulated radiation therapy (IMRT) has recently been proposed for the treatment of malignant pleural mesothelioma (MPM). Here, we describe our experience with a multimodality approach for the treatment of mesothelioma, incorporating extrapleural pneumonectomy, intraoperative photodynamic therapy and postoperative hemithoracic IMRT. From 2004-2007, we treated 11 MPM patients with hemithoracic IMRT, 7 of whom had undergone porfimer sodium-mediated PDT as an intraoperative adjuvant to surgical debulking. The median radiation dose to the planning treatment volume (PTV) ranged from 45.4-54.5 Gy. For the contralateral lung, V20 ranged from 1.4-28.5%, V5 from 42-100% and MLD from 6.8-16.5 Gy. In our series, 1 patient experienced respiratory failure secondary to radiation pneumonitis that did not require mechanical ventilation. Multimodality therapy combining surgery with increased doses of radiation using IMRT, and newer treatment modalities such as PDT , appears safe. Future prospective analysis will be needed to demonstrate efficacy of this approach in the treatment of malignant mesothelioma. Efforts to reduce lung toxicity and improve dose delivery are needed and provide the promise of improved local control and quality of life in a carefully chosen multidisciplinary approach.

  12. Excited atoms in the free-burning Ar arc: treatment of the resonance radiation

    Golubovskii, Yu; Kalanov, D.; Gortschakow, S.; Baeva, M.; Uhrlandt, D.


    The collisional-radiative model with an emphasis on the accurate treatment of the resonance radiation transport is developed and applied to the free-burning Ar arc plasma. This model allows for analysis of the influence of resonance radiation on the spatial density profiles of the atoms in different excited states. The comparison of the radial density profiles obtained using an effective transition probability approximation with the results of the accurate solution demonstrates the distinct impact of transport on the profiles and absolute densities of the excited atoms, especially in the arc fringes. The departures from the Saha-Boltzmann equilibrium distributions, caused by different radiative transitions, are analyzed. For the case of the DC arc, the local thermodynamic equilibrium (LTE) state holds close to the arc axis, while strong deviations from the equilibrium state on the periphery occur. In the intermediate radial positions the conditions of partial LTE are fulfilled.

  13. Surgical treatment of radiation induced injuries of the intestine

    Schmitt, E.H.; Symmonds, R.E.


    In the patient who has received high dose irradiation of the pelvis and abdomen, all abdominopelvic operations should be avoided, unless it is absolutely essential. Persisting obstruction, hemorrhage, intestinal perforation with peritonitis and with abscess and fistula formation are valid indications for surgical intervention. Ninety-three patients have been operated upon for these complications after irradiation. Some anastomotic dehiscence occurred in ten patients. Six operative deaths occurred. Of the 93 patients, 65 were managed by means of complete resection of the involved segment of intestine, followed by restoration of intestinal continuity by means of an end-to-end anastomosis. This is the treatment of choice when the involved area can be safely resected. In the absence of actual intestinal necrosis and when segments of strictured small intestine are adherent deep in the pelvis, and intestinal bypass procedure may represent the treatment of choice. This was accomplished in 20 patients, two of whom eventually required a second operation for resection of the bypassed segment of intestine.

  14. Prediking oor die poëtiese stof van die Ou Testament - Die Psalms

    E. J. Smit


    Full Text Available ’n Belangrike rede waarom die prediking uit die Psalms ’n aparte bespreking regverdig, is die feit dat die Psalms die omvangrykste verteenwoordiging van poetiese stof in die Ou Testament be vat. Dit is nie vir almal ewe maklik om poesie te lees en te verklaar nie.

  15. Die Soldering in Aluminium Die Casting

    Han, Q.; Kenik, E.A.; Viswanathan, S.


    Two types of tests, dipping tests and dip-coating tests were carried out on small steel cylinders using pure aluminum and 380 alloy to investigate the mechanism of die soldering during aluminum die casting. Optical and scanning electron microscopy were used to study the morphology and composition of the phases formed during soldering. A soldering mechanism is postulated based on experimental observations. A soldering critical temperature is postulated at which iron begins to react with aluminum to form an aluminum-rich liquid phase and solid intermetallic compounds. When the temperature at the die surface is higher than this critical temperature, the aluminum-rich phase is liquid and joins the die with the casting during the subsequent solidification. The paper discusses the mechanism of soldering for the case of pure aluminum and 380 alloy casting in a steel mold, the factors that promote soldering, and the strength of the bond formed when soldering occurs. conditions, an aluminum-rich soldering layer may also form over the intermetallic layer. Although a significant amount of research has been conducted on the nature of these intermetallics, little is known about the conditions under which soldering occurs.

  16. Adjuvant Radiation Therapy Treatment Time Impacts Overall Survival in Gastric Cancer

    McMillan, Matthew T. [Department of Radiation Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States); Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States); Ojerholm, Eric [Department of Radiation Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States); Roses, Robert E., E-mail: [Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States); Plastaras, John P.; Metz, James M. [Department of Radiation Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States); Mamtani, Ronac [Department of Hematology/Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States); Karakousis, Giorgos C.; Fraker, Douglas L.; Drebin, Jeffrey A. [Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States); Stripp, Diana; Ben-Josef, Edgar [Department of Radiation Oncology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States); Datta, Jashodeep [Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (United States)


    Purpose: Prolonged radiation therapy treatment time (RTT) is associated with worse survival in several tumor types. This study investigated whether delays during adjuvant radiation therapy impact overall survival (OS) in gastric cancer. Methods and Materials: The National Cancer Data Base was queried for patients with resected gastric cancer who received adjuvant radiation therapy with National Comprehensive Cancer Network–recommended doses (45 or 50.4 Gy) between 1998 and 2006. RTT was classified as standard (45 Gy: 33-36 days, 50.4 Gy: 38-41 days) or prolonged (45 Gy: >36 days, 50.4 Gy: >41 days). Cox proportional hazards models evaluated the association between the following factors and OS: RTT, interval from surgery to radiation therapy initiation, interval from surgery to radiation therapy completion, radiation therapy dose, demographic/pathologic and operative factors, and other elements of adjuvant multimodality therapy. Results: Of 1591 patients, RTT was delayed in 732 (46%). Factors associated with prolonged RTT were non-private health insurance (OR 1.3, P=.005) and treatment at non-academic facilities (OR 1.2, P=.045). Median OS and 5-year actuarial survival were significantly worse in patients with prolonged RTT compared with standard RTT (36 vs 51 months, P=.001; 39 vs 47%, P=.005); OS worsened with each cumulative week of delay (P<.0004). On multivariable analysis, prolonged RTT was associated with inferior OS (hazard ratio 1.2, P=.002); the intervals from surgery to radiation therapy initiation or completion were not. Prolonged RTT was particularly detrimental in patients with node positivity, inadequate nodal staging (<15 nodes examined), and those undergoing a cycle of chemotherapy before chemoradiation therapy. Conclusions: Delays during adjuvant radiation therapy appear to negatively impact survival in gastric cancer. Efforts to minimize cumulative interruptions to <7 days should be considered.

  17. Which place for stem cell therapy in the treatment of acute radiation syndrome?

    Jean-François Mayol


    Full Text Available Radiation-induced (RI tissue injuries can be caused by radiation therapy, nuclear accidents or radiological terrorism. Notwithstanding the complexity of RI pathophysiology, there are some effective approaches to treatment of both acute and chronic radiation damages. Cytokine therapy is the main strategy capable of preventing or reducing the acute radiation syndrome (ARS, and hematopoietic growth factors (GF are particularly effective in mitigating bone marrow (BM aplasia and stimulating hematopoietic recovery. However, first, as a consequence of RI stem and progenitor cell death, use of cytokines should be restricted to a range of intermediate radiation doses (3 to 7 Gy total body irradiation. Second, ARS is a global illness that requires treatment of damages to other tissues (epithelial, endothelial, glial, etc., which could be achieved using pleiotropic or tissue-specific cytokines. Stem cell therapy (SCT is a promising approach developed in the laboratory that could expand the ability to treat severe radiation injuries. Allogeneic hematopoietic stem cell transplantation (BM, mobilized peripheral blood and cord blood transplantation has been used in radiation casualties with variable success due to limiting toxicity related to the degree of graft histocompatibility and combined injuries. Ex vivo expansion should be used to augment cord blood graft size and/or promote very immature stem cells. Autologous SCT might also be applied to radiation casualties from residual hematopoietic stem and progenitor cells (HSPC. Stem cell plasticity of different tissues such as liver or skeletal muscle, may also be used as a source of hematopoietic stem cells. Finally, other types of stem cells such as mesenchymal, endothelial stem cells or other tissue committed stem cells (TCSC, could be used for treating damages to nonhematopoietic organs.

  18. Die hebsugtige seekoei en Rooikappie: Die groteske in sprokies

    Dineke van der Walt


    Full Text Available Hierdie artikel bied ’n vergelykende lees van twee volksverhale wat ook as kinderverhale getipeer kan word (een vanuit Venda-folklore en die ander ’n populêre Europese narratief met die oog daarop om spesifieke ooreenkomste uit te lig – soos die eet van mensvleis, goedgelowige mense wat deur ‘n maskerspel om die bos gelei word en ander ‘onetiese’ en ‘immorele’ aktiwiteite. In Die hebsugtige seekoei boots die monster byvoorbeeld die stem van die jong seun na om sy suster te flous en toegang tot hulle hut te verkry, terwyl die wolf in Rooikappie op sy beurt die ouma flous om die huis te kan betree sodat hy later ook vir Rooikappie kan mislei. In albei stories word die jong meisies (asook Rooikappie se ouma deur ’n seekoei óf ’n wolf opgeëet. Soos gewoonlik in sprokies, word die slagoffers gered of ontsnap en die verhale het ’n gelukkige einde. Alhoewel dit absurd mag voorkom dat kinderverhale elemente van die groteske bevat, argumenteer ek dat dit inderdaad ’n bruikbare doel dien. Hierdie verhale betrek kinders nie net op ’n emosionele vlak nie (as gevolg van die skokwaarde van die groteske; die groteske dien ook as objek van fassinasie. Sodoende word die waarskuwingsboodskap in die verhale beter oorgedra en onthou deur die kinders.

  19. Role of the Technical Aspects of Hypofractionated Radiation Therapy Treatment of Prostate Cancer: A Review

    Clemente, Stefania, E-mail: [Istituto di Ricovero e Cura a Carattere Scientifico Centro di Riferimento Oncologico della Basilicata Rionero in Vulture, Potenza (Italy); Nigro, Roberta [Azienda Sanitaria Locale Rieti, Roma (Italy); Oliviero, Caterina [Istituto di Ricovero e Cura a Carattere Scientifico Centro di Riferimento Oncologico della Basilicata Rionero in Vulture, Potenza (Italy); Marchioni, Chiara [Azienda Sanitaria Locale Rieti, Roma (Italy); Esposito, Marco [Azienda Sanitaria, Firenze (Italy); Giglioli, Francesca Romana [Azienda Ospedaliera Città della Salute e della Scienza di Torino, Torino (Italy); Mancosu, Pietro [Humanitas Clinical and Research Hospital, Rozzano, Milano (Italy); Marino, Carmelo [Humanitas Centro Catanese di Oncologia, Catania (Italy); Russo, Serenella [Azienda Sanitaria, Firenze (Italy); Stasi, Michele [Azienda Ospedaliera Ordine Mauriziano di Torino, Torino (Italy); Strigari, Lidia [Istituto Nazionale Tumori Regina Elena, Roma (Italy); Veronese, Ivan [Universita' degli Studi di Milano, Milano (Italy); Landoni, Valeria [Istituto Nazionale Tumori Regina Elena, Roma (Italy)


    The increasing use of moderate (<35 fractions) and extreme (<5 fractions) hypofractionated radiation therapy in prostate cancer is yielding favorable results, both in terms of maintained biochemical response and toxicity. Several hypofractionation (HF) schemes for the treatment of prostate cancer are available, although there is considerable variability in the techniques used to manage intra-/interfraction motion and deliver radiation doses. We performed a review of the published studies on HF regimens as a topic of interest for the Stereotactic Ablative Radiotherapy working group, which is part of the Italian Association of Medical Physics. Aspects of organ motion management (imaging for contouring, target volume definition, and rectum/bladder preparation) and treatment delivery (prostate localization, image guided radiation therapy strategy and frequency) were evaluated and categorized to assess outcome relative to disease control and toxicity. Despite the heterogeneity of the data, some interesting trends that emerged from the review might be useful in identifying an optimum HF strategy.

  20. Die entwicklung, die metamorphose, die entstehung: Die konzepte des organismus von Aristoteles bis Darwin

    Kamerer Eva


    Full Text Available (nemački In diesem Aufsatz versuche ich, die Elemente verschiedener Konzepte des Organismus in der Philosophie und in der Wissenschaft zu analysieren. Die Deutungen des Organismus und der Einheit der Natur bei Aristoteles, Kant und Goethe werden als ein Beispiel der Bewegung von einem finalistischen zum antifinalistischen Bild der Natur verstanden.

  1. Die Gattung Oerstedia

    Stiasny-Wijnhoff, G.


    Die vorliegenden Individuen von Oerstedia dorsalis (Abildg.) wurden in den Helder an der holländischen Küste gesammelt; die Art war in frühern Jahren im Hafen sehr allgemein. Sie lebte zwischen Tubularien und Muschelbrut, welche in der Gezeitenzone den Schiffsrümpfen angewachsen sind und enthielt im

  2. Die Mollusken der Njalindungschichten

    Martin, K.


    Die Versteinerungen, welche im folgenden behandelt sind, sammelten meine Frau und ich im Jahre 1910 in den Preanger-Regentschappen von Java, in der Gegend von Njalindung ¹). Sie stammen aus Sedimenten, für welche ich den Namen Njalindungschichten einführte, und für die Gastropoden wurde bereits eine

  3. Synergistic effect of ionizing radiation on chemical disinfectant treatments for reduction of natural microflora on seafood

    Kim, Hyunjoo; Ha, Ji-Hyoung; Lee, Ju-Woon; Jo, Cheorun; Ha, Sang-Do


    The purpose of this study was to determine whether combined treatments would produce synergistic disinfection effects on seafood products such as mussel and squid compared with single treatments. We investigated the bactericidal effects of chlorine and ionizing radiation on the natural microflora of mussel and squid. Total aerobic bacteria initially ranged from 102 to 104 Log CFU/g. More than 100 ppm of chlorine and irradiation at 1 kGy were sufficient to reduce the total aerobic bacteria on mussel and squid to a level lower than detection limit (10 CFU/g). Synergistic effects against natural microflora were observed for all combined treatment. These results suggest that a significant synergistic benefit results from combine chlorine-ionizing radiation treatment against natural microflora on mussel and squid.

  4. Evaluation of stability using Monte Carlo Simulation in 2 people isolation treatment room of radiation iodine

    Jang, Dong Gun [Dept. of Nuclear Medicine, Dongnam Institute of Radiological and Medical Sciences Cancer center, Busan (Korea, Republic of); Ko, Sung Jin; KIm, Chang Soo; Kim, Jung Hoon [Dept. of Radiological Science, College of Health Sciences, Catholic University of Pusan, Busan (Korea, Republic of)


    Radioactive iodine treatment that uses the 2 people isolation room is to cause unnecessary radiation exposure between patients. This research is to be tested safety of 2 people Isolation treatment room and dose-rate through conservative perspective except physiology characteristic and biology information on the assumption that patient have iodine without excretion in 2 people isolation treatment room. This research shows that 364 keV gamma rays emitted by the radioiodine was to determine that the air layer about 30 cm or lead shield 3 mm a half-layer. In addition, In addition, patients in the distance, and lead shielding, length of hospital stay (48 hours) for external radiation exposure that is received from the other patients, two of treatment as appears to be lower than the legal isolation standard dose less than 5 mSv isolation room effective analyzed that manageable.

  5. In Vivo Imaging of Microglia Turnover in the Mouse Retina After Ionizing Radiation and Dexamethasone Treatment

    Alt, C.; Runnels, J. M.; Mortensen, L. J.;


    examine if anti-inflammatory treatment can mitigate the radiation-induced turnover of retinal microglia and the replacement by bone marrow-derived cells (BMDCs). METHODS. Two-color chimeric mice were generated by lethal irradiation of heterozygous CX3CR1-GFP mice that express GFP in microglial cells...... to the microglia loss, resulting in a transient depletion of the total immune cell number in the retina. With dexamethasone treatment, both the loss of the resident microglia and the infiltration of BMDCs were suppressed by at least 50%. CONCLUSIONS. Anti-inflammatory treatment with the corticosteroidal agent......PURPOSE. Gamma irradiation and bone marrow transplantation (BMT) are established clinical procedures for the treatment of hematologic malignancies. The radiation targets cells in the bone marrow, but injury to other tissues, including the central nervous system (CNS), have been reported. Here, we...

  6. Development of a technique for environmental treatment by radiation

    Lee, Myun Joo; Jin, J. H.; Jung, Y. D. and others


    This study was carried out for the development of pilot plant which can produce industrial water from effluent of sewage treatment plant by irradiation. As a basic study, the characteristics on decomposition of organic compounds, decoloration and sterilization of bacteria were evaluated. An additive mainly composed by sponge type of TiO{sub 2} was developed for reduction of irradiation dose and enhancement of removal efficiency of organic compounds. The optimum pilot plant was composed of sysem with gamma irradiation/ozone/additive/ion exchange. The effluent with BOD 20 ppm, COD 25 ppm and color 25 ADMI could be treated to less than 5 ppm and 5 ADMI under the irradiation of 5 kGy. The disinfection of microorganism also could be done perfectively under the same irradiation. A small amount of heavy metal ions and inorganic ions, nitrogen, contained in effluent were removed by ion exchanger. From the operation of pilot plant it could be concluded that irradiation technique can be a good method for the produce of industrial water from effluent.

  7. Radiation oncology--linking technology and biology in the treatment of cancer.

    Coleman, C Norman


    Technical advances in radiation oncology including CT-simulation, 3D- conformal and intensity-modulated radiation therapy (IMRT) delivery techniques, and brachytherapy have allowed greater treatment precision and dose escalation. The ability to intensify treatment requires the identification of the critical targets within the treatment field, recognizing the unique biology of tumor, stroma and normal tissue. Precision is technology based while accuracy is biologically based. Therefore, the intensity of IMRT will undoubtedly mean an increase in both irradiation dose and the use of biological agents, the latter considered in the broadest sense. Radiation oncology has the potential and the opportunity to provide major contributions to the linkage between molecular and functional imaging, molecular profiling and novel therapeutics for the emerging molecular targets for cancer treatment. This process of 'credentialing' of molecular targets will require multi disciplinary imaging teams, clinicians and basic scientists. Future advances will depend on the appropriate integration of biology into the training of residents, continuing post graduate education, participation in innovative clinical research and commitment to the support of basic research as an essential component of the practice of radiation oncology.

  8. Application of Hydrocyclone and UV Radiation as a Ballast Water Treatment Method

    Željko Kurtela


    Full Text Available The ballast water exchange methods in open sea are, for the time being, the prevailing procedures accepted by shipowners. However, such methods do not guarantee full efficacy in elimination of allochthonous organisms. Besides, in some navigation zones, in particular in the closed seas, not even the criteria prescribed by international regulations can be fulfilled, i.e. the position of a ship exchanging ballast must be farther than 200Nm from the shore (alternatively 50Nm at the sea depth exceeding 200m. Numerous research attempts on various treatment methods lead to the conclusion that there is still no scientific opinion on the final choice of methods for wide application on board. The treatment methods, such as hydrocyclone separation in the first stage and UV radiation in the second stage, stand a good chance for application on board. Advantages of such a combined method are in the very application of treatment that can be performed during all stages of ballast water treatment, i.e. loading ballast, voyage in ballast and discharging ballast. In closed seas and on shorter routes the operational advantages of hydrocyclone and UV radiation could be the prevailing factor for application. Within the research on the possible application of ballast water treatment by hydrocyclone and UV radiation, a pilot plant with hydrocyclone cluster and UV device was constructed. The research carried out on the pilot plant installed on board the m/v ‘’Naše more’’ proved the effectiveness of such ballast water treatment method and offered a new approach in using hydrocyclone for the inactivation of organisms by hydrodynamic forces. This approach has largely increased the efficacy of the device and a new method for utilization of hydrocyclone in ballast water treatment on board has been discovered. KEY WORDS: ballast water treatment, hydrocyclone, UV radiation, application of method, pilot plant, hydrodynamic forces

  9. Psychotherapy of the dying patient.

    Stedeford, A


    The psychotherapeutic aspects of the care of the 49 terminally ill patients described in the preceeding paper are discussed. Their differing ways of coping with the stress of dying and the range of psychotherapeutic strategies used in treatment are described. The work suggests that the therapist's use of psychological insights can improve his understanding of the emotional pain of terminal illness, and well-aimed psychotherapy can contribute to its relief.

  10. Die oorsake vir die ontstaan en besondere aard van die Zion Christian Church

    M. A. Kruger


    Full Text Available Aanvanklik het die Z.C.C. geen opsienbarende groei getoon nie, maar veral sedert die veertigerjare het hulle getalle skerp toegeneem en versprei oor die hele land. In 1963 is Edward Lekganyane toegelaat tot die Stofberg Teologiese Skool van die N.G. Kerk. Sedert die stigting van die Z.C.C. het die groep al verder van die Woord af weg beweeg, maar met hierdie toetrede tot die skool het daar by Edward self ’n mate van verandering gekom.

  11. Letting die and mercy killing.

    Narbekovas, Andrius; Meilius, Kazimieras


    We are all called to make moral decisions, not only about preserving life and health, but also about accepting our death and dying. There are situations, when it is morally right, and indeed obligatory, to allow a dying person to die in peace and dignity. But there is a world of difference between allowing a peaceful death, and deliberately setting out to bring death of the person either by acts of commission (s.c. 'active euthanasia'), or by acts of omission (s.c. 'passive euthanasia'). The word "killing" seems proper for euthanasia, because "to kill" does mean " to intentionally cause the death of someone." It can be morally acceptable to withhold or withdraw a treatment precisely because it is reasonably judged as inefficacious (futile), or excessively burdensome for the patient. One's reason for withholding such treatment must not be a judgement about the desirability of putting an end to the patient's life, but a judgement about the desirability of putting an end to the treatment, which is futile or burdensome.

  12. Treatment Guidelines for Preoperative Radiation Therapy for Retroperitoneal Sarcoma: Preliminary Consensus of an International Expert Panel

    Baldini, Elizabeth H., E-mail: [Department of Radiation Oncology, Dana-Farber Cancer Institute and Brigham and Women' s Hospital, Boston, Massachusetts (United States); Wang, Dian [Department of Radiation Oncology, Rush University Medical Center, Chicago, Illinois (United States); Haas, Rick L.M. [Department of Radiotherapy, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam (Netherlands); Catton, Charles N. [Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Indelicato, Daniel J. [Department of Radiation Oncology, University of Florida Medical Center, Jacksonville, Florida (United States); Kirsch, David G. [Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina (United States); Roberge, David [Department of Radiation Oncology, Centre Hospitalier de l' Université de Montreal, Montreal, Quebec (Canada); Salerno, Kilian [Department of Radiation Oncology, Roswell Park Cancer Institute, Buffalo, New York (United States); Deville, Curtiland [Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins Sidney Kimmel Cancer Center, Washington, DC (United States); Guadagnolo, B. Ashleigh [Department of Radiation Oncology, MD Anderson Cancer Center, Houston, Texas (United States); O' Sullivan, Brian [Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, Ontario (Canada); Petersen, Ivy A. [Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota (United States); Le Pechoux, Cecile [Department of Radiotherapy, Institut Gustave-Roussy, Villejuif (France); Abrams, Ross A. [Department of Radiation Oncology, Rush University Medical Center, Chicago, Illinois (United States); DeLaney, Thomas F. [Department of Radiation Oncology, Massachusetts General Hospital, Boston, Massachusetts (United States)


    Purpose: Evidence for external beam radiation therapy (RT) as part of treatment for retroperitoneal sarcoma (RPS) is limited. Preoperative RT is the subject of a current randomized trial, but the results will not be available for many years. In the meantime, many practitioners use preoperative RT for RPS, and although this approach is used in practice, there are no radiation treatment guidelines. An international expert panel was convened to develop consensus treatment guidelines for preoperative RT for RPS. Methods and Materials: An expert panel of 15 academic radiation oncologists who specialize in the treatment of sarcoma was assembled. A systematic review of reports related to RT for RPS, RT for extremity sarcoma, and RT-related toxicities for organs at risk was performed. Due to the paucity of high-quality published data on the subject of RT for RPS, consensus recommendations were based largely on expert opinion derived from clinical experience and extrapolation of relevant published reports. It is intended that these clinical practice guidelines be updated as pertinent data become available. Results: Treatment guidelines for preoperative RT for RPS are presented. Conclusions: An international panel of radiation oncologists who specialize in sarcoma reached consensus guidelines for preoperative RT for RPS. Many of the recommendations are based on expert opinion because of the absence of higher level evidence and, thus, are best regarded as preliminary. We emphasize that the role of preoperative RT for RPS has not been proven, and we await data from the European Organization for Research and Treatment of Cancer (EORTC) study of preoperative radiotherapy plus surgery versus surgery alone for patients with RPS. Further data are also anticipated pertaining to normal tissue dose constraints, particularly for bowel tolerance. Nonetheless, as we await these data, the guidelines herein can be used to establish treatment uniformity to aid future assessments of efficacy

  13. Tweedetaalteorie vir die eerstetaalonderwyser

    Ludolph Botha


    Full Text Available In hierdie artikel word die eerstetaalonderwyser se aandag op tweedetaalteorie gevestig. Krashen se tweedetaalteorie word uitgesonder en die implikasies van sy werk vir eerstetaalonderwysersword ondersoek. Die oordrewe beklemtoning van vormen struktuur in moedertaalklasse ( oor die taal praatl lees/ skryf word vanuit die gesigspunt van Krashen se taalverwerwingsteorie beskou en die gevolgtrekking word gemaak dat daar veel meer klem op gebruiksvaardigheid behoort te val (in die taal praat!lees!skryf. In this article the first language teacher is made aware of second language teaching theory. Particularly Krashen' s second language theory is referred to and implications of his work for mother tongue teachers are discussed. The over-emphasis on form and structure in first language classes (talking/reading/writing about the language is looked at in terms of Krashen' s theory and it is concluded that the emphasis in first language classes should be far more on the functional use of the language (talking/reading/writing in the language.

  14. 21 CFR 579.40 - Ionizing radiation for the treatment of poultry feed and poultry feed ingredients.


    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Ionizing radiation for the treatment of poultry feed and poultry feed ingredients. 579.40 Section 579.40 Food and Drugs FOOD AND DRUG ADMINISTRATION... § 579.40 Ionizing radiation for the treatment of poultry feed and poultry feed ingredients....

  15. Radiation retinopathy secondary to treatment of maxillary sinus carcinoma: a dramatic case.

    Galindo-Bocero, J; Macías-Franco, S; Sánchez-García, S; Fonollá-Gil, M; García-Alonso, A


    A 53-year old male presented with visual impairment in right eye after irradiation of right maxillary sinus carcinoma. Funduscopy shows radiation retinopathy: haemorrhages, exudates, macular oedema, and peripheral retinal ischaemia. A poor outcome was achieved despite laser treatment and intravitreal injections of bevacizumab, resulting in evisceration of the affected eye. Radiation retinopathy must be considered in any loss of vision after head and neck irradiation. Ophthalmological long-term follow-up of these patients is essential for an early diagnosis. Copyright © 2017 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

  16. Die kairos van die New Age: 'n Kultuurhistoriese skets

    the whole universe, manifesting the two aspects of spirit and matter, .... vestiging van die Christendom het hierdie leer uit die Westerse kultuur verdwyn tot- ... Hegel (1770-1831) het die Simboliste aangespreek (Mathews 1986:30-31, 33). Sy.

  17. Oor die einders van die bladsy as konseptuele kuns

    Rita M.C. Swanepoel


    Full Text Available Hierdie artikel bied ’n filosofies-besinnende oorsig oor konseptuele kuns. Ek argumenteer dat, soos wat die projek Oor die einders van die bladsy die grense van boekwees oorskry en konseptueel uitbrei, dit in geheel ’n konseptuele en taalgebaseerde kunsinstallasie is wat uit verskeie komponente, naamlik kunstenaarsboeke,bestaan. Hierdie saamgestelde konseptuele kunsinstallasie daag vanweë die interdissiplinêre aard daarvan, die grense van konseptuele kuns uit. Hierdie projek en uitstallings bevestig dat kunstenaarsboeke ’n ideale medium is om kunstenaars uit verskillende dissiplines by die spel met en ontdekking van die moontlikhede van die boek te betrek. Die projek kan in die geheel as konseptuele kuns getipeer word omdat die konsep boek herdink, herskep en oor gefilosofeer word.

  18. Advances in 4D radiation therapy for managing respiration: part II - 4D treatment planning.

    Rosu, Mihaela; Hugo, Geoffrey D


    The development of 4D CT imaging technology made possible the creation of patient models that are reflective of respiration-induced anatomical changes by adding a temporal dimension to the conventional 3D, spatial-only, patient description. This had opened a new venue for treatment planning and radiation delivery, aimed at creating a comprehensive 4D radiation therapy process for moving targets. Unlike other breathing motion compensation strategies (e.g. breath-hold and gating techniques), 4D radiotherapy assumes treatment delivery over the entire respiratory cycle - an added bonus for both patient comfort and treatment time efficiency. The time-dependent positional and volumetric information holds the promise for optimal, highly conformal, radiotherapy for targets experiencing movements caused by respiration, with potentially elevated dose prescriptions and therefore higher cure rates, while avoiding the uninvolved nearby structures. In this paper, the current state of the 4D treatment planning is reviewed, from theory to the established practical routine. While the fundamental principles of 4D radiotherapy are well defined, the development of a complete, robust and clinically feasible process still remains a challenge, imposed by limitations in the available treatment planning and radiation delivery systems. Copyright © 2012. Published by Elsevier GmbH.

  19. Advances in 4D Radiation Therapy for Managing Respiration: Part II – 4D Treatment Planning

    Rosu, Mihaela; Hugo, Geoffrey D.


    The development of 4D CT imaging technology made possible the creation of patient models that are reflective of respiration-induced anatomical changes by adding a temporal dimension to the conventional 3D, spatial-only, patient description. This had opened a new venue for treatment planning and radiation delivery, aimed at creating a comprehensive 4D radiation therapy process for moving targets. Unlike other breathing motion compensation strategies (e.g. breath-hold and gating techniques), 4D radiotherapy assumes treatment delivery over the entire respiratory cycle – an added bonus for both patient comfort and treatment time efficiency. The time-dependent positional and volumetric information holds the promise for optimal, highly conformal, radiotherapy for targets experiencing movements caused by respiration, with potentially elevated dose prescriptions and therefore higher cure rates, while avoiding the uninvolved nearby structures. In this paper, the current state of the 4D treatment planning is reviewed, from theory to the established practical routine. While the fundamental principles of 4D radiotherapy are well defined, the development of a complete, robust and clinically feasible process still remains a challenge, imposed by limitations in the available treatment planning and radiation delivery systems. PMID:22796324

  20. Effect of gamma radiation and endodontic treatment on mechanical properties of human and bovine root dentin

    Novais, Veridiana Resende; Soares, Priscilla Barbosa Ferreira; Guimaraes, Carlla Martins; Schliebe, Lais Rani Sales Oliveira; Braga, Stella Sueli Lourenco; Soares, Carlos Jose, E-mail: [Universidade Federal de Uberlandia (UFU), MG (Brazil)


    This study evaluated the effect of gamma radiation and endodontic treatment on the microhardness and flexural strength of human and bovine root dentin. Forty single rooted human teeth and forty bovine incisor teeth were collected, cleaned and stored in distilled water at 4 °C. The human and bovine teeth were divided into 4 groups (n=10) resulting from the combination of two study factors: first, regarding the endodontic treatment in 2 levels: with or without endodontic treatment; and second, radiotherapy in two levels: with or without radiotherapy by 60 Gy of Co-60 gamma radiation fractioned into 2 Gy daily doses five days per week. Each tooth was longitudinally sectioned in two parts; one-half was used for the three-point bending test and the other for the Knoop hardness test (KHN). Data were analyzed by 3-way ANOVA and Tukey HSD test (α=0.05). No significant difference was found for flexural strength values. The human dentin had significantly higher KHN than the bovine. The endodontic treatment and radiotherapy resulted in significantly lower KHN irrespective of tooth origin. The results indicated that the radiotherapy had deleterious effects on the microhardness of human and bovine dentin and this effect is increased by the interaction with endodontic therapy. The endodontic treatment adds additional negative effect on the mechanical properties of radiated tooth dentin; the restorative protocols should be designed taking into account this effect. (author)

  1. Emerging Role of MRI for Radiation Treatment Planning in Lung Cancer.

    Cobben, David C P; de Boer, Hans C J; Tijssen, Rob H; Rutten, Emma G G M; van Vulpen, Marco; Peerlings, Jurgen; Troost, Esther G C; Hoffmann, Aswin L; van Lier, Astrid L H M W


    Magnetic resonance imaging (MRI) provides excellent soft-tissue contrast and allows for specific scanning sequences to optimize differentiation between various tissue types and properties. Moreover, it offers the potential for real-time motion imaging. This makes magnetic resonance imaging an ideal candidate imaging modality for radiation treatment planning in lung cancer. Although the number of clinical research protocols for the application of magnetic resonance imaging for lung cancer treatment is increasing ( and the magnetic resonance imaging sequences are becoming faster, there are still some technical challenges. This review describes the opportunities and challenges of magnetic resonance imaging for radiation treatment planning in lung cancer. © The Author(s) 2015.

  2. Photonuclear processes in the treatment room and patient during radiation therapy with 50 MV photons

    Gudowska, Irena [Karolinska Inst., Stockholm (Sweden). Dept. of Radiation Physics


    The objectives of this project were to determine the level of photoneutron radiation around the MM50 Racetrack Microtron at Karolinska Hospital, operating in different modes and to evaluate the photonuclear absorbed dose to the treated volume during therapy with a 50 MV photon beam. The photoneutron radiation has been studied both using a {sup 235}U fission chamber and by computer simulation. The estimated neutron equivalent dose due to accelerator produced neutrons delivered to the tissues inside and outside the treatment volume do not exceed the recommended values. However, there is a potential risk that the sensitive tissues (lens of the eye and gonads), outside the treatment volume, can receive a dose of about 300-500 mSv per photon treatment course of 60 Gy with a slight increase for secondary malignancies. 47 refs, 15 figs, 6 tabs.

  3. Die owerheidsinmenging met betrekking tot kerklike tughandelinge.

    L. Roeleveld


    Full Text Available Volgens art 29 NGB is die merktekens van die ware kerk die suiwere prediking van die Evangelie, die suiwere bediening van die Sakramente en die gebruik van die kerklike tug. Art. 32 NGB spreek uit dat die Kerkorde nie mag afwyk van wat Christus ingestel het nie. Menslike vindinge en wette om die gewetens te bind en te dwing, moet daarom verwerp word. Die ekskommunikasie of die ban moet toegepas word volgens die Woord van God.

  4. Abdominal radiation - discharge

    Radiation - abdomen - discharge; Cancer - abdominal radiation; Lymphoma - abdominal radiation ... When you have radiation treatment for cancer, your body goes through changes. About 2 weeks after radiation treatment starts, you might notice changes ...

  5. The Clinical Application of Vacuum Die Holder in the Treatment of Anterior Teeth Injury in Children%真空压模牙托在儿童前牙外伤治疗的临床应用



    Objective To investigate the effect of vacuum die denture in children in the treatment of traumatic anterior teeth. Methods 24 cases of traumatic anterior teeth in children patients with proven dental trauma after were chosen in our hospital, vacuum pressure die tooth supporting teeth fixed and treatment. Results 24 cases were fixed by 1 to 3 months after the injury of anterior teeth are solid, cutting function returned to normal. Conclusion Vacuum pressure die dental care in the treatment of children with traumatic anterior teeth fixed effect is good.%目的:探讨真空压模牙托在儿童前牙外伤中的治疗效果。方法选取我院治疗的24例前牙外伤患儿,探明牙外伤的情况后,用真空压模牙托来进行牙齿的固定和治疗。结果24例患儿经固定1~3个月后损伤前牙均已稳固,恢复正常的切割功能。结论真空压模牙托在治疗儿童前牙外伤中的固定作用效果良好。

  6. Stereotactic Radiosurgery and Fractionated Stereotactic Radiation Therapy for the Treatment of Uveal Melanoma.

    Yazici, Gozde; Kiratli, Hayyam; Ozyigit, Gokhan; Sari, Sezin Yuce; Cengiz, Mustafa; Tarlan, Bercin; Mocan, Burce Ozgen; Zorlu, Faruk


    To evaluate treatment results of stereotactic radiosurgery or fractionated stereotactic radiation therapy (SRS/FSRT) for uveal melanoma. We retrospectively evaluated 181 patients with 182 uveal melanomas receiving SRS/FSRT between 2007 and 2013. Treatment was administered with CyberKnife. According to Collaborative Ocular Melanoma Study criteria, tumor size was small in 1%, medium in 49.5%, and large in 49.5% of the patients. Seventy-one tumors received treatment outcome was achieved using ≥45 Gy in 3 fractions. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Orthovoltage radiation therapy treatment planning using Monte Carlo simulation: treatment of neuroendocrine carcinoma of the maxillary sinus

    Gao, Wanbao; Raeside, David E.


    Dose distributions that result from treating a patient with orthovoltage beams are best determined with a treatment planning system that uses the Monte Carlo method, and such systems are not readily available. In the present work, the Monte Carlo method was used to develop a computer code for determining absorbed dose distributions in orthovoltage radiation therapy. The code was used in planning treatment of a patient with a neuroendocrine carcinoma of the maxillary sinus. Two lateral high-energy photon beams supplemented by an anterior orthovoltage photon beam were utilized in the treatment plan. For the clinical case and radiation beams considered, a reasonably uniform dose distribution TOP"/> is achieved within the target volume, while the dose to the lens of each eye is 4 - 8% of the prescribed dose. Therefore, an orthovoltage photon beam, when properly filtered and optimally combined with megavoltage beams, can be effective in the treatment of cancers below the skin, providing that accurate treatment planning is carried out to establish with accuracy and precision the doses to critical structures.

  8. Pulmonary effects of combined blast injury and radiation poisoning.

    Johnston, A McD


    In situations with relatively small numbers of patients with pulmonary blast injury aggressive modern intensive care treatment may allow a return to normal function. The additional effects of radiation poisoning are more difficult to factor in, but new treatments such as colony stimulating factors may improve the outlook for a group with moderate to severe radiation exposure who would previously have died of infection or haemorrhage.

  9. Treatment of radiation-induced hemorrhagic gastritis with prednisolone: A case report

    Lan Zhang; Xiao-Ying Xie; Yan Wang; Yan-Hong Wang; Yi Chen; Zheng-Gang Ren


    Radiation-induced gastritis is an infrequent cause of gastrointestinal bleeding.It is a serious complication arising from radiation therapy,and the standard treatment method has not been established.The initial injury is characteristically acute inflammation of gastric mucosa.We presented a 46-year-old male patient with hemorrhagic gastritis induced by external radiotherapy for metastatic retroperitoneal lymph node of hepatocellular carcinoma.The endoscopic examination showed diffuse edematous hyperemicmucosa with telangiectasias in the whole muscosa of the stomach and duodenal bulb.Mlultiple hemorrhagic patches with active oozing were found over the antrum.Anti-secretary therapy was initiated for hemostasis,but melena still occurred off and on.Finally,he was successfully treated by prednisolone therapy.We therefore strongly argue in favor of perdnisolone therapy to effectively treat patients with radiation-induced hemorrhagic gastritis.

  10. The KrWG and the Biological Waste Ordinance. Consequences for collecting and treatment of biological waste; KrWG und Bioabfallverordnung. Konsequenzen fuer die Bioabfallerfassung und -behandlung

    Bergs, Claus Gerhard [Bundesministerium fuer Umwelt, Naturschutz und Reaktorsicherheit, Bonn (Germany)


    The next few years will bring about some changes in legal specifications for biomass waste utilisation. After the amendment of the Biomass Waste Ordinance, it must be checked whether the specifications of the new Act on Recycling and Waste Management (KrWG) concerning utilization of biomass waste, in combination with the obligation to collect biomass waste materials separately (Sect.11 No.1) must be incorporated in an amended Biomass Waste Ordinance. Further, from 1 January 2015, the priority regulations of the new KrWG will also apply to specifications for hazardous materials in fertilizer legislation. In the case of food waste, it must also be checked if waste prevention measures can be implemented realistically. National regulations will probably be influenced by impending EU legislation defining the 'waste character' of biomass waste. (orig.) [German] In den kommenden Jahren werden sich erneut wesentliche Aenderungen der rechtlichen Anforderungen an die Verwertung von Bioabfaellen ergeben. Nach Abschluss der derzeit laufenden Novelle der Bioabfallverordnung ist zu ueberpruefen, inwiefern die Vorgaben des neuen Kreislaufwirtschaftsgesetzes zur verstaerkten stofflichen Verwertung in Verbindung mit der durch paragraph 11 Abs. 1 normierten Pflicht zur Getrennterfassung von Bioabfaellen rechtlich in einer neuerlich ueberarbeiteten Bioabfallverordnung umzusetzen sind. Zudem greift zum 01.01.2015 auch die Vorrangregelung des neuen Kreislaufwirtschaftsgesetzes bei den Schadstoffanforderungen zugunsten des Duengerechtes. Bei Bioabfaellen - sprich Lebensmittelabfaellen - ist zudem zu pruefen, ob wirksame Massnahmen der Abfallvermeidung realistischerweise umsetzbar sind. Einfluss auf die nationalen Regelungen haben dabei vermutlich auch die auf europaeischer Ebene in Vorbereitung befindlichen Arbeiten fuer rechtliche Bestimmungen zum ''Ende der Abfalleigenschaft'' von Bioabfaellen. (orig.)

  11. Die verband tussen die sielkundige kontrak en organisasieverbondenheid

    K. J. Stanz


    Full Text Available The relationship between the psychological contract and organisational commitment. The aim of this study is to design a measuring instrument with acceptable metric characteristics for the strength of the psychological contract within the South African context, and to determine empirically the relation between the strength of the psychological contract and organisational commitment. The Dhammanungune Model served as foundation for the design of the Strength of the Psychological Contract Questionnaire which consists of two scales namely, a needs expectation scale and a needs fulfilment expectation scale. The items of each scale have been formulated in the manner that ensures that the respondent reacts consecutively to two instructions namely, (a the level of the expectation and (b the importance of the expectation. This questionnaire was administered together with the Organisational Commitment Questionnaire to two population groups within the military environment. The Pearson Product Moment Correlation was calculated between the strength of the psychological contract and organisational commitment and the significance of the correlations was evaluated. Opsomming Die doel van die studie is om 'n meetinstrument met aanvaarbare metriese eienskappe vir die sterkte van die sielkundige kontrak vir Suid-Afrikaanse omstandighede te ontwerp en om empirics die verband tussen die sterkte van die sielkundige kontrak en organisasieverbondenheid te bepaal. Die sterkte van die sielkundige kontrak vraelys is op grond van die Dhammanungune-model ontwerp en het uit twee skale naamlik, die behoefteverwagting- en vervullingsverwagtingskale bestaan. Items vir eike skaal is sodanig geformuleer dat die respondent agteropeenvolgens op twee instruksies naamlik (a die vlak van die verwagting en (b die belangrikheid van die verwagting moet reageer. Die vraelys is saam met die organisasieverbondenheidsvraelys op twee populasies uit 'n militere omgewing toegepas. Die Pearson

  12. Risk of second bone sarcoma following childhood cancer: role of radiation therapy treatment.

    Schwartz, Boris; Benadjaoud, Mohamed Amine; Cléro, Enora; Haddy, Nadia; El-Fayech, Chiraz; Guibout, Catherine; Teinturier, Cécile; Oberlin, Odile; Veres, Cristina; Pacquement, Hélène; Munzer, Martine; N'guyen, Tan Dat; Bondiau, Pierre-Yves; Berchery, Delphine; Laprie, Anne; Hawkins, Mike; Winter, David; Lefkopoulos, Dimitri; Chavaudra, Jean; Rubino, Carole; Diallo, Ibrahima; Bénichou, Jacques; de Vathaire, Florent


    Bone sarcoma as a second malignancy is rare but highly fatal. The present knowledge about radiation-absorbed organ dose-response is insufficient to predict the risks induced by radiation therapy techniques. The objective of the present study was to assess the treatment-induced risk for bone sarcoma following a childhood cancer and particularly the related risk of radiotherapy. Therefore, a retrospective cohort of 4,171 survivors of a solid childhood cancer treated between 1942 and 1986 in France and Britain has been followed prospectively. We collected detailed information on treatments received during childhood cancer. Additionally, an innovative methodology has been developed to evaluate the dose-response relationship between bone sarcoma and radiation dose throughout this cohort. The median follow-up was 26 years, and 39 patients had developed bone sarcoma. It was found that the overall incidence was 45-fold higher [standardized incidence ratio 44.8, 95 % confidence interval (CI) 31.0-59.8] than expected from the general population, and the absolute excess risk was 35.1 per 100,000 person-years (95 % CI 24.0-47.1). The risk of bone sarcoma increased slowly up to a cumulative radiation organ absorbed dose of 15 Gy [hazard ratio (HR) = 8.2, 95 % CI 1.6-42.9] and then strongly increased for higher radiation doses (HR for 30 Gy or more 117.9, 95 % CI 36.5-380.6), compared with patients not treated with radiotherapy. A linear model with an excess relative risk per Gy of 1.77 (95 % CI 0.6213-5.935) provided a close fit to the data. These findings have important therapeutic implications: Lowering the radiation dose to the bones should reduce the incidence of secondary bone sarcomas. Other therapeutic solutions should be preferred to radiotherapy in bone sarcoma-sensitive areas.

  13. Treatment of small cell lung cancer with TRA-8 in combination with cisplatin and radiation.

    Bonner, James A; Willey, Christopher D; Yang, Eddy S; Dobelbower, Michael C; Sanford, Leisa L; Bright, Sheila J; Buchsbaum, Donald J; Raisch, Kevin P


    Limited stage small cell lung cancer (SCLC) represents a minority of SCLC. Despite extensive clinical trials, standard treatment remains cisplatin-based chemotherapy and thoracic irradiation (TI). This study focused on the interaction of cisplatin/radiation with the anti-human DR5 monoclonal antibody TRA-8 in SCLC cells. TRA-8 binds specifically to DR5 and has been shown to activate apoptosis. Four human SCLC cell lines were utilized for experimentation (SCLC-41, SCLC-58, SCLC-68, and SCLC-74). Immunoblot analysis was used to determine relative protein levels of DR5, DR4 and pro-caspase 8 for each cell line. Using a tetrazolium-based assay (XTT), the IC(50) values for cisplatin with or without TRA-8 were determined for the SCLC cell lines. Four SCLC lines were assayed with a combination of TRA-8 (10 μg/ml), 2 Gy radiation and various concentrations of cisplatin. Apoptosis was evaluated using Annexin V-FITC and cleaved caspase immunoblotting. Using a SCLC-58 subcutaneous xenograft model, treatment began 21 d after tumor cell injection. Treatment included weekly cisplatin (4 mg/kg) and radiation of 1 Gy (24 h after cisplatin) and TRA-8 (200 μg) was administered i.p. twice weekly for three weeks. Immunoblot analysis showed similar levels of DR5 for all cell lines with variable levels of DR4. Various concentrations of TRA-8 antibody (≤ 10 μg/ml) induced no significant cytotoxicity in the SCLC cell lines. The in vitro combination treatment with TRA-8 (10 μg/ml), 1.25 μg/ml cisplatin and 2 Gy radiation showed increased cytotoxicity when compared to combinations without TRA-8. Furthermore, the triple combination demonstrated the greatest amount of apoptosis as measured by Annexin V staining. The in vivo studies showed the combination of 1G y, cisplatin and TRA-8 extended the tumor doubling time to 44 d as compared to any doublet treatment groups that ranged from 12 to 20 d. Analysis of survival data showed 100% of the combination group (RT+cisplatin+TRA-8) were

  14. Die postpolitische Stadt

    Erik Swyngedouw


    Full Text Available Die Polis ist tot, es lebe die kreative Stadt! Während die Stadt, zumindest in Teilen des städtischen Raums, blüht und gedeiht, scheint die Polis im idealisierten griechischen Sinn dem Untergang geweiht; in diesem Verständnis ist sie der Ort der öffentlichen politischen Auseinandersetzung und demokratischen Unterhandlung und somit eine Stätte (oft radikaler Abweichung und Unstimmigkeit, an der die politische Subjektivierung buchstäblich ihren Platz hat. Diese Figur einer entpolitisierten (oder postpolitischen und postdemokratischen Stadt im Spätkapitalismus bildet das Leitmotiv des vorliegenden Beitrags. Ich lehne mich dabei an Jacques Rancière, Slavoj Žižek, Chantal Mouffe, Mustafa Dikeç, Alain Badiou und andere Kritiker jenes zynischen Radikalismus an, der dafür gesorgt hat, dass eine kritische Theorie und eine radikale politische Praxis ohnmächtig und unfruchtbar vor jenen entpolitisierenden Gesten stehen, die in der polizeilichen Ordnung des zeitgenössischen neoliberalen Spätkapitalismus als Stadtentwicklungspolitik [urban policy] und städtische Politik [urban politics] gelten. Ziel meiner Intervention ist es, das Politische wieder in den Mittelpunkt der zeitgenössischen Debatten über das Urbane zu stellen. [...

  15. Androgen Induces Adaptation to Oxidative Stress in Prostate Cancer: Implications for Treatment with Radiation Therapy

    Jehonathan H. Pinthus


    Full Text Available Radiation therapy is a standard treatment for prostate cancer (PC. The postulated mechanism of action for radiation therapy is the generation of reactive oxygen species (ROS. Adjuvant androgen deprivation (AD therapy has been shown to confer a survival advantage over radiation alone in high-risk localized PC. However, the mechanism of this interaction is unclear. We hypothesize that androgens modify the radioresponsiveness of PC through the regulation of cellular oxidative homeostasis. Using androgen receptor (AR+ 22rv1 and AR− PC3 human PC cell lines, we demonstrated that testosterone increased basal reactive oxygen species (bROS levels, resulting in dose-dependent activation of phospho-p38 and pAKT, increased expression of clusterin, catalase, manganese superoxide dismutase. Similar data were obtained in three human PC xenografts; WISH-PC14, WISH-PC23, CWR22, growing in testosterone-supplemented or castrated SCID mice. These effects were reversible through AD or through incubation with a reducing agent. Moreover, testosterone increased the activity of catalase, superoxide dismutases, glutathione reductase. Consequently, AD significantly facilitated the response of AR+ cells to oxidative stress challenge. Thus, testosterone induces a preset cellular adaptation to radiation through the generation of elevated bROS, which is modified by AD. These findings provide a rational for combined hormonal and radiation therapy for localized PC.

  16. Die Anima in Eschenbachs Parzival

    Kitunen, S. (Sakari)


    In meiner Pro-Gradu -Arbeit untersuche ich die Darstellung und Entwicklung des Jungschen Animabegriffes im Parzival von Wolfram von Eschenbach. Ich werde die in Parzival vorkommenden Charaktere als Anima- und Animus-Figuren analysieren und untersuchen, wie die Interaktion zwischen ihnen die Entwicklung des Helden beeinflusst. Viele Werke, die das Thema Frauen bzw. Weiblichkeit im Mittelalter behandeln, gehen oft davon aus, dass die Frauen in der mittelalterlichen Literatur als Objekte behande...

  17. Preoperative, intraoperative, and postoperative radiation in the treatment of primary soft tissue sarcoma.

    Suit, H D; Mankin, H J; Wood, W C; Proppe, K H


    The rationale for combining radiation with conservative surgery in the treatment of sarcoma of soft tissue is discussed, as well as the advantages for performing the radiation preoperatively on the one hand and postoperatively on the other. The results of treatment of soft tissue sarcoma by radical resectional surgery or amputation in 464 patients at four centers and by conservative surgery, and postoperative radiation in 416 patients at three centers, have been reviewed. The local failure rates were 18.1% and 18.3%, respectively. The results obtained by radiation administered postoperatively (110 patients) or preoperatively (60 patients) at the Massachusetts General Hospital during the period September 1971 to August 1982 are analyzed and discussed with reference to 5-year actuarial local control and survival results as well as causes of failure with respect to AJC stage, histologic type, anatomic site, and size of tumor. The results which have been obtained by the preoperative approach are judged to be superior, particularly for the larger lesions and higher grades that predominated in that group. Of a total of 170 patients, there were 19 local failures; 13 of these were diagnosed at the time when metastatic disease was not evident. Of those 13, 12 have been subjected to salvage surgery and 7 remain with no evidence of disease at 1 to 3.5 years after the salvage procedure. A major problem in the management of these patients remains the occult metastatic disease.

  18. Die liefde wat die son beweeg en die ander sterre: Digterlike transendering – tot die vermenigvuldigde lewe ontroer

    A.S. (Rensia Robinson


    Full Text Available T.T. Cloete se oeuvre word onder andere gekenmerk deur fyn waarneming van ’n mistieke vervlegtheid in die skepping. Dit word op vele maniere ontgin en geïnterpreteer. Die poëtiese potensiaal van die vrou, in uiteenlopende gestaltes, is een van die sentrale temas waardeur die digter hieraan vorm gee. In die kunstige, bibliofiele uitgawe Uit die wit lig van my land gesny val die lig op die vrou se kreatiewe rol in die groter skepping wat haar onder andere identifiseer as haarveer vir digterlike insig en vormgewing. Vrou (alternatief Anna Perenna, universele moeder, is nie slegs draer van die lewenskiem wat tot gees transendeer nie, maar sy funksioneer as ligbron (’sonvrou’ wat selfs kosmiese insig verwesenlik. Dit raak meervoudige vorms en patrone waarin die mens ingeweef is in die universele hologram van lewe. Vir die digter is hierdie patroonvorming vergelykbaar met die maak van Persiese tapyte waarvan die patrone vasgelê is in die geheue van voorouers, en oorgedra word na opeenvolgende geslagte. In dié verkenning word digterlike transendering ontgin as ’n proses waarin die kleurvolheid van lewe en dood in en deur individuele sowel as universele vroulikheid geïnspireer word.

  19. Die liefde wat die son beweeg en die ander sterre: Digterlike transendering – tot die vermenigvuldigde lewe ontroer

    A.S. (Rensia Robinson


    Full Text Available T.T. Cloete se oeuvre word onder andere gekenmerk deur fyn waarneming van ’n mistieke vervlegtheid in die skepping. Dit word op vele maniere ontgin en geïnterpreteer. Die poëtiese potensiaal van die vrou, in uiteenlopende gestaltes, is een van die sentrale temas waardeur die digter hieraan vorm gee. In die kunstige, bibliofiele uitgawe Uit die wit lig van my land gesny val die lig op die vrou se kreatiewe rol in die groter skepping wat haar onder andere identifiseer as haarveer vir digterlike insig en vormgewing. Vrou (alternatief Anna Perenna, universele moeder, is nie slegs draer van die lewenskiem wat tot gees transendeer nie, maar sy funksioneer as ligbron (’sonvrou’ wat selfs kosmiese insig verwesenlik. Dit raak meervoudige vorms en patrone waarin die mens ingeweef is in die universele hologram van lewe. Vir die digter is hierdie patroonvorming vergelykbaar met die maak van Persiese tapyte waarvan die patrone vasgelê is in die geheue van voorouers, en oorgedra word na opeenvolgende geslagte. In dié verkenning word digterlike transendering ontgin as ’n proses waarin die kleurvolheid van lewe en dood in en deur individuele sowel as universele vroulikheid geïnspireer word.

  20. Radiation Therapy

    Radiation therapy is a cancer treatment. It uses high doses of radiation to kill cancer cells and stop them from ... half of all cancer patients receive it. The radiation may be external, from special machines, or internal, ...

  1. Live and let die

    Neves Lundin, Ana Luisa

    techniques in environmental microbiology. In manuscript 4 these techniques are employed in the evaluation of the application of gamma radiation in wastewater treatment, as the technology inactivates microorganisms even when particle associated, promotes pollutants oxidation and odor nuisance. Among others...... elsewhere. Although this machine and its associated methods have been around for a while it is only relatively recently that it has been applied in environmental and industrial microbiology. This dissertation is about flow cytometry in general and its applications in environmental microbiology...... cytometry. Aiming to develop a simple toolbox of combined single cell techniques for the assessment of cellular heterogeneity in industrial scale fermentations, a biosensor strain of E. coli MG1655 was grown with two different carbon sources (glucose and acetate) and metabolic, growth and physiology data...

  2. Die histologie en ultrastruktuur van die hepatopankreas van die bloukurper Oreochromis mossambicus

    M. M. Nel


    Full Text Available Die histologie en ultrastruktuur van die hepatopankreas van die bloukurper Oreochromis mossambicus word beskryf. ’n Dun bindweefselkapsel omring die lewer. Die hepatosietrangskikking vertoon as lobules, met die koorde van hepatosiete wat vanaf ’n sentrale vene uitradieer en met mekaar anastomaseer. Indiwiduele lewerlohules vertoon nie duidelike grense nie, maar enkele duidelike triades word wel in die lewer van O. mossambicus aangetref. Die hepatosiete bevat ’n enkele ronde kern met ’n duidelike nukleolus en die growwe endoplasmiese retikula kom in twee of meer rye om die kerne en teen die selgrense van die hepatosiete voor. Die ander sitoplasmiese organelle kom verspreid in die hepatosietsitoplasma voor. Die eksokriene pankreasselle is om die portale venes gesetel. Die kerne van hierdie selle is rond en is hasaal in die kubies- tot silindervormige selle gelee. ’n Goedontwikkelde growwe endoplasmiese retikulum — vesikulêr, tubulêr en sirkulêr in vorm — en sektretoriese granules wat apikaal in die sel gelee is, kom voor.

  3. Experimental investigations of hexagonal crimping die failure

    Veera kumar M


    Full Text Available This paper deals with the hexagonal crimping die failure of high carbon high chromium steel material. The failure modes were initially revealed and identified by the visual examination. Then the chemical analysis and metallographic examination havebeen carried at different positions of the failure die surface using scanning electron microscope (SEM. The microstructure evaluation reveals that failure occurs due to undissolved austenitic structure resulting in improper transition duringheat treatment.

  4. The peer review system (PRS) for quality assurance and treatment improvement in radiation therapy

    Le, Anh H. T.; Kapoor, Rishabh; Palta, Jatinder R.


    Peer reviews are needed across all disciplines of medicine to address complex medical challenges in disease care, medical safety, insurance coverage handling, and public safety. Radiation therapy utilizes technologically advanced imaging for treatment planning, often with excellent efficacy. Since planning data requirements are substantial, patients are at risk for repeat diagnostic procedures or suboptimal therapeutic intervention due to a lack of knowledge regarding previous treatments. The Peer Review System (PRS) will make this critical radiation therapy information readily available on demand via Web technology. The PRS system has been developed with current Web technology, .NET framework, and in-house DICOM library. With the advantages of Web server-client architecture, including IIS web server, SOAP Web Services and Silverlight for the client side, the patient data can be visualized through web browser and distributed across multiple locations by the local area network and Internet. This PRS will significantly improve the quality, safety, and accessibility, of treatment plans in cancer therapy. Furthermore, the secure Web-based PRS with DICOM-RT compliance will provide flexible utilities for organization, sorting, and retrieval of imaging studies and treatment plans to optimize the patient treatment and ultimately improve patient safety and treatment quality.

  5. A suspected case of radiation induced-cancer 13 years after initial treatment for tongue cancer

    Nakashima, Mikio; Ozeki, Satoru; Oobu, Kazunari; Ohishi, Masamichi; Matsuo, Kou [Kyushu Univ., Fukuoka (Japan). Faculty of Dentistry


    A suspected case of radiation-induced cancer 13 years after initial treatment for tongue cancer was reported. The patient was a 61-year-old female, treated by 60 Gy radiotherapy for tongue cancer of the right side. Seven years later, recurrent tongue tumor arose and was irradiated up to the total dosage of 82.5 Gy. Thirteen years after the initial treatment, a tumor arose near the flap resembling a mucocele at first, and its growth was rapid. She underwent surgery in 1993. Histopathological examination revealed partial mesenchymal features, but it was difficult to determine its origin. Based on Sakai`s criteria, the points of location, latency, and histopathological observation, the tumor was considered to be radiation-induced cancer. (author)

  6. Application of mass spectrometry based electronic nose and chemometrics for fingerprinting radiation treatment

    Gupta, Sumit; Variyar, Prasad S.; Sharma, Arun


    Volatile compounds were isolated from apples and grapes employing solid phase micro extraction (SPME) and subsequently analyzed by GC/MS equipped with a transfer line without stationary phase. Single peak obtained was integrated to obtain total mass spectrum of the volatile fraction of samples. A data matrix having relative abundance of all mass-to-charge ratios was subjected to principal component analysis (PCA) and linear discriminant analysis (LDA) to identify radiation treatment. PCA results suggested that there is sufficient variability between control and irradiated samples to build classification models based on supervised techniques. LDA successfully aided in segregating control from irradiated samples at all doses (0.1, 0.25, 0.5, 1.0, 1.5, 2.0 kGy). SPME-MS with chemometrics was successfully demonstrated as simple screening method for radiation treatment.

  7. Involved Node Radiation Therapy

    Maraldo, Maja V; Aznar, Marianne C; Vogelius, Ivan R


    PURPOSE: The involved node radiation therapy (INRT) strategy was introduced for patients with Hodgkin lymphoma (HL) to reduce the risk of late effects. With INRT, only the originally involved lymph nodes are irradiated. We present treatment outcome in a retrospective analysis using this strategy...... to 36 Gy). Patients attended regular follow-up visits until 5 years after therapy. RESULTS: The 4-year freedom from disease progression was 96.4% (95% confidence interval: 92.4%-100.4%), median follow-up of 50 months (range: 4-71 months). Three relapses occurred: 2 within the previous radiation field......, and 1 in a previously uninvolved region. The 4-year overall survival was 94% (95% confidence interval: 88.8%-99.1%), median follow-up of 58 months (range: 4-91 months). Early radiation therapy toxicity was limited to grade 1 (23.4%) and grade 2 (13.8%). During follow-up, 8 patients died, none from HL, 7...

  8. Selected examples of online measuring techniques for N and P elimination at sewage treatment plants; Ausgewaehlte Beispiele fuer die Online-Messtechnik zur N- und P-Elimination in Klaeranlagen

    Wolffson, C.


    More stringent demands on the pollutant concentration of effluents call for stricter self-monitoring and enhanced process control. Devices for measuring ammonium, nitrate and phosphate that suit practical requirements are available. The readings continuously obtained can be additionally used by the control room, within the framework of modern sewage plant process control, for process monitoring. Apart from the financial advantages of saving ventilation energy and chemicals, control loops with continuous measurements are superior in that they enhance the process stability of sewage treatment. (orig.) [Deutsch] Verschaerfte Einleitungsbedingungen erfordern verstaerkte Eigenueberwachung und verbesserte Prozessregelung. Betriebstaugliche Dauermessgeraete fuer Ammonium, Nitrat und Phosphat stehen zur Verfuegung. Die kontinuierlich anfallenden Messwerte koennen im Rahmen der modernen Klaeranlagenleittechnik neben der Prozessregelung zusaetzlich in den Schaltwarten zur Prozessueber-wachung genutzt werden. Neben den Einsparungsmoeglichkeiten fuer Belueftungsenergie und Chemikalien, die einen finanziellen Vorteil bedeuten, liegt der entscheidende Vorzug der Regelkreise mit konti-nuierlichen Messungen in der Verbesserung der Prozessstabilitaet der Abwasserreinigung. (orig.)

  9. Stereotactic body radiation therapy for the primary treatment of localized prostate cancer

    Oliai, Caspian; Lanciano, Rachelle; Sprandio, Brian; Yang, Jun; Lamond, John; Arrigo, Steven; Good, Michael; Mooreville, Michael; Garber, Bruce; Brady, Luther W.


    Objective The low alpha/beta ratio of prostate cancer suggests that hypofractionated schemes of dose-escalated radiotherapy should be advantageous. We report our experience using stereotactic body radiation therapy (SBRT) for the primary treatment of prostate cancer to assess efficacy and toxicity. Methods From 2007 to 2010, 70 patients (51 % low risk, 31 % intermediate risk, and 17 % high risk) with localized prostate cancer were treated with SBRT using the CyberKnife system. One-third of pa...

  10. Two Cases of Post-Radiation Sarcoma after Breast Cancer Treatment

    Noh, Jae Myoung; Huh, Seung Jae; Choi, Doo Ho; Park, Won; Nam, Seok Jin


    We describe two cases of post-radiation sarcoma after breast cancer treatment. The first patient was a 61-year-old woman who underwent partial mastectomy of the right breast and adjuvant whole breast irradiation 7 years previously. Subsequently, a rapidly growing mass from the anterior arc of the right fifth rib was incidentally detected on an abdomino-pelvic computed tomography scan. The second patient was a 70-year-old woman who received neoadjuvant chemotherapy and a partial mastectomy of ...

  11. Hodgkin lymphoma: Evolution and dilemma in radiation treatments; Evolution et dilemmes dans les traitements du lymphome de Hodgkin

    Girinsky, T.; Ghalibafian, M.; Paumier, A. [Institut Gustave-Roussy, Dept. des Radiations, 94 - Villejuif (France); Ghalibafian, M. [Hopital Marak, Dept. des radiations, Teheran (Iran, Islamic Republic of)


    Multiple new developments in the treatments of patients with Hodgkin lymphoma have occurred in the last 10 years. Radiation treatments have become extremely precise in localized Hodgkin lymphomas, on the other hand, they have almost completely disappeared in advanced stages. For patients with refractory or recurrent disease, it is strongly advocated, whenever feasible, to deliver a mantle field radiation treatment after an autologous stem cell transplant to avoid any further recurrence of the disease. (authors)

  12. Argon beam coagulation for treatment of symptomatic radiation-induced proctitis.

    Fantin, A C; Binek, J; Suter, W R; Meyenberger, C


    Radiation proctitis is a complication of radiotherapy for malignant pelvic disease. Argon beam coagulation is a new and rapidly evolving technology that permits a "no-touch" electrocoagulation of diseased tissue. We analyzed retrospectively the records of 7 patients with prostatic and endometrial cancers treated with irrradiation (median radiation dose was 6840 cGy, range 2400 to 7200 cGy). The median time to onset of symptoms after the conclusion of radiotherapy was 20 months (range 16 to 48 months); symptoms consisted of rectal bleeding and tenesmus in all patients. The patients underwent argon beam coagulation after colonoscopic evaluation. The usual treatment interval was 3 weeks (range 1 to 3 weeks). A median of 2 treatment sessions (range 2 to 4) was necessary for complete symptom relief. All interventions were well tolerated without complications. During follow-up (median 24 months, range 18 to 24 months), there was no recurrence of symptoms (bleeding, tenesmus). Argon beam coagulation is a safe, well tolerated, and effective treatment option in symptomatic radiation proctitis.

  13. Killing, letting die and euthanasia.

    Husak, D N


    Medical ethicists debate whether or not the moral assessment of cases of euthanasia should depend on whether the patient is 'killed' or 'allowed to die'. The usual presupposition is that a clear distinction between killing and letting die can be drawn so that this substantive question is not begged. I contend that the categorisation of cases of instances of killing rather than as instances of letting die depends in part on a prior moral assessment of the case. Hence is it trivially rather than substantively true that the distinction has moral significance. But even if a morally neutral (ie non-question begging) distinction could be drawn, its application to the euthanasia controversy is problematic. I illustrate the difficulties of employing this distinction to reach moral conclusions by critically discussing Philippa Foot's recent treatment of euthanasia. I conclude that even if an act of euthanasia is an instance of killing, and there exists a prima facie moral duty not to kill, and no more stringent duty overrides this duty, one still cannot determine such an act to be morally impermissible.

  14. A study of the radiobiological modeling of the conformal radiation therapy in cancer treatment

    Pyakuryal, Anil Prasad

    Cancer is one of the leading causes of mortalities in the world. The precise diagnosis of the disease helps the patients to select the appropriate modality of the treatments such as surgery, chemotherapy and radiation therapy. The physics of X-radiation and the advanced imaging technologies such as positron emission tomography (PET) and computed tomography (CT) plays an important role in the efficient diagnosis and therapeutic treatments in cancer. However, the accuracy of the measurements of the metabolic target volumes (MTVs) in the PET/CT dual-imaging modality is always limited. Similarly the external beam radiation therapy (XRT) such as 3D conformal radiotherapy (3DCRT) and intensity modulated radiation therapy (IMRT) is the most common modality in the radiotherapy treatment. These treatments are simulated and evaluated using the XRT plans and the standard methodologies in the commercial planning system. However, the normal organs are always susceptible to the radiation toxicity in these treatments due to lack of knowledge of the appropriate radiobiological models to estimate the clinical outcomes. We explored several methodologies to estimate MTVs by reviewing various techniques of the target volume delineation using the static phantoms in the PET scans. The review suggests that the more precise and practical method of delineating PET MTV should be an intermediate volume between the volume coverage for the standardized uptake value (SUV; 2.5) of glucose and the 50% (40%) threshold of the maximum SUV for the smaller (larger) volume delineations in the radiotherapy applications. Similarly various types of optimal XRT plans were designed using the CT and PET/CT scans for the treatment of various types of cancer patients. The qualities of these plans were assessed using the universal plan-indices. The dose-volume criteria were also examined in the targets and organs by analyzing the conventional dose-volume histograms (DVHs). The biological models such as tumor

  15. Diskussie oor die millenium en die herstel van Israel

    J. J. Engelbrecht van Waverley


    Full Text Available Dit verheug my dat daar eindelik gereageer word op my boekie. Behalwe telefoonoproepe en briewe van medechiliaste was daar tot dusver geen kommentaar van anti-chiliastiese kant. Ek het die boekie aan ongeveer 1800 predikante en professore gestuur en vriendelik uitgenooi tot nuwe besinning. Net soos oor die soteriologie, is die Bybel nêrens in teëspraak met homself oor die eskatologie nie. God gee in sy Woord nie vir ons drie verskillende toekomsbeelde om uit te kies nie. God is een en sy profetiese Woord is deurgaans eenstemmig m.b.t. die raad van God oor Israel, die nasies en die kerk.

  16. Radiation-induced bowel injury: the impact of radiotherapy on survivorship after treatment for gynaecological cancers

    Kuku, S; Fragkos, C; McCormack, M; Forbes, A


    Background: The number of women surviving cancer who live with symptoms of bowel toxicity affecting their quality of life continues to rise. In this retrospective study, we sought to describe and analyse the presenting clinical features in our cohort, and evaluate possible predictors of severity and chronicity in women with radiation-induced bowel injury after treatment for cervical and endometrial cancers. Methods: Review of records of 541 women treated within the North London Gynaecological Cancer Network between 2003 and 2010 with radiotherapy with or without chemotherapy for cervical and endometrial cancer identified 152 women who reported significant new bowel symptoms after pelvic radiation. Results: Factor analysis showed that the 14 most common and important presenting symptoms could be ‘clustered' into 3 groups with predictive significance for chronicity and severity of disease. Median follow-up for all patients was 60 months. Univariate analysis showed increasing age, smoking, extended field radiation, cervical cancer treatment and the need for surgical intervention to be significant predictors for severity of ongoing disease at last follow-up. On multivariate analysis, only age, cancer type (cervix) and symptom combinations/‘cluster' of (bloating, flatulence, urgency, rectal bleeding and per-rectal mucus) were found to be significant predictors of disease severity. Fifteen (19%) women in the cervical cancer group had radiation-induced bowel injury requiring surgical intervention compared with five (6.7%) in the endometrial cancer group. Conclusion: Women with cervical cancer are younger and appear to suffer more severe symptoms of late bowel toxicity, whereas women treated for endometrial cancer suffer milder more chronic disease. The impact of radiation-induced bowel injury and the effect on cancer survivorship warrants further research into investigation of predictors of severe late toxicity. There is a need for prospective trials to aid early

  17. Radiation absorbed dose measurement after I-131 metaiodobenzylguanidine treatment in a patient with pheochromycytoma

    Yang, Won Il; Kim, Byeung Il; Lee, Jae Sung; Lee, Jung Rim; Choi, Chang Woon; Lim, Sang Moo; Hong, Sung Woon [Korea Cancer Center, Seoul (Korea, Republic of)


    The measurement of radiation absorbed dose is useful to predict the response after I-131 labeled metaiodobenzylguanidine (MIBG) therapy and determine therapy dose in patients with unresectable or malignant pheochromocytoma. We estimated the absorbed dose in tumor tissue after high dose I-131 MIBG in a patient with pheochromocytoma using a gamma camera and Medical Internal Radiation Dose (MIRD) formula. A 64-year old female patient with pheochromocytoma who had multiple metastases of mediastinum, right kidney and periaortic lymph nodes, received 74 GBq (200 mCi) of K-131 MIBG. We obtained anterior and posterior images at 0.5, 16, 24, 64 and 145 hours after treatment. Two standard sources of 37 and 74 MBq of I-131 were imaged simulatanously. Cummulated I-131 MIBG uptake in tumor tissue was calculated after the correction of background activity, attenuation, system sensitivity and count loss at a high count rate. The calculated absorbed radiation dose was 32-63 Gy/ 74 GBq, which was lower than the known dose for tumor remission (150-200 Gy). Follow-up studies at 1 month showed minimally reduced tumor size on computed tomography, and mildly reduced I-131 MIBG uptake. We estimated radiation absorbed dose after therapeutic I-131 MIBG using a gamma camera and MIRD formula, which can be peformed in a clinical nuclear medicine laboratory. Our results suggest that the measurement of radiation absorbed dose in I-131 MIBG therapy is feasible as a routine clinical practice that can guide further treatment plan. The accuracy of dose measurement and correlation with clinical outcome should be evaluated further.

  18. Die kerk en die kommunisme, uitgangspunt en perspektief

    A. H. Murray


    Full Text Available Waar ons onmiddellike opdrag is om die konkrete taak van die kerk in die bestryding van Kommunisme en Marxisme te beskrywe, is ons gedwing om terug te dink aan die eerste grondslae van die vyandelike aanslag — die grondslae waarop sy leer en sy beleid van gewelddadige optrede berus. Want ons het nie te doen met ’n opportunistiese onderneming of ’n imperialistiese waagstuk as dit oor die Kommunisme gaan nie, en ook nie met die blinde opbruising van laere en agterlike volksklasse nie, maar wel met ’n deurdagte en afgeronde heelal-filosofie wat oor die aardbol versprei is en wat op sistematiese wyse en met wetenskaplike strategie ’n aanval op die bestaande Christelike orde maak.

  19. MO-B-BRB-03: Systems Engineering Tools for Treatment Planning Process Optimization in Radiation Medicine

    Kapur, A. [Long Island Jewish Medical Center (United States)


    The radiotherapy treatment planning process has evolved over the years with innovations in treatment planning, treatment delivery and imaging systems. Treatment modality and simulation technologies are also rapidly improving and affecting the planning process. For example, Image-guided-radiation-therapy has been widely adopted for patient setup, leading to margin reduction and isocenter repositioning after simulation. Stereotactic Body radiation therapy (SBRT) and Radiosurgery (SRS) have gradually become the standard of care for many treatment sites, which demand a higher throughput for the treatment plans even if the number of treatments per day remains the same. Finally, simulation, planning and treatment are traditionally sequential events. However, with emerging adaptive radiotherapy, they are becoming more tightly intertwined, leading to iterative processes. Enhanced efficiency of planning is therefore becoming more critical and poses serious challenge to the treatment planning process; Lean Six Sigma approaches are being utilized increasingly to balance the competing needs for speed and quality. In this symposium we will discuss the treatment planning process and illustrate effective techniques for managing workflow. Topics will include: Planning techniques: (a) beam placement, (b) dose optimization, (c) plan evaluation (d) export to RVS. Planning workflow: (a) import images, (b) Image fusion, (c) contouring, (d) plan approval (e) plan check (f) chart check, (g) sequential and iterative process Influence of upstream and downstream operations: (a) simulation, (b) immobilization, (c) motion management, (d) QA, (e) IGRT, (f) Treatment delivery, (g) SBRT/SRS (h) adaptive planning Reduction of delay between planning steps with Lean systems due to (a) communication, (b) limited resource, (b) contour, (c) plan approval, (d) treatment. Optimizing planning processes: (a) contour validation (b) consistent planning protocol, (c) protocol/template sharing, (d) semi

  20. Die Psychosen bei Epilepsie

    Glauninger G


    Full Text Available In einer Übersicht werden die verschiedenen Formen psychotischer Zustandsbilder bei Epilepsiepatienten, deren Ätiopathogenese und Möglichkeiten der Behandlung dieser Störungen beschrieben. Risikofaktoren finden sich durch neurobiologische Gegebenheiten - besonders bei Mitbeteiligung des Temporallappens, durch psychosoziale Einflüsse und manchmal auch durch medikamentöse Behandlung. Anhand von Fallbeispielen sollen dem Leser typische Krankheitsverläufe von psychotischen Episoden bei Epilepsiepatienten, die zumeist erst bei einer schon länger dauernden Epilepsie auftreten, nähergebracht werden. Es wird deutlich, daß sich die Beschwerden von Patienten mit Epilepsie nicht auf iktale Phänomene beschränken. Bei der Behandlung dieser Patienten kommt einer guten interdisziplinären Zusammenarbeit besondere Bedeutung zu.

  1. Physics strategies for sparing neural stem cells during whole-brain radiation treatments

    Kirby, Neil; Chuang, Cynthia; Pouliot, Jean; Hwang, Andrew; Barani, Igor J. [Department of Radiation Oncology, University of California San Francisco, San Francisco, California 94143-1708 (United States)


    Purpose: Currently, there are no successful long-term treatments or preventive strategies for radiation-induced cognitive impairments, and only a few possibilities have been suggested. One such approach involves reducing the dose to neural stem cell compartments (within and outside of the hippocampus) during whole-brain radiation treatments for brain metastases. This study investigates the fundamental physics issues associated with the sparing of neural stem cells during photon radiotherapy for brain metastases. Methods: Several factors influence the stem cell dose: intracranial scattering, collimator leakage, beam energy, and total number of beams. The relative importance of these factors is investigated through a set of radiation therapy plans, which are all variations of an initial 6 MV intensity-modulated radiation therapy (IMRT) plan designed to simultaneously deliver a whole-brain dose of 30 Gy and maximally reduce stem cell compartment dose. Additionally, an in-house leaf segmentation algorithm was developed that utilizes jaw motion to minimize the collimator leakage. Results: The plans are all normalized such that 50% of the PTV receives 30 Gy. For the initial 6 MV IMRT plan, 50% of the stem cells receive a dose greater than 6.3 Gy. Calculations indicate that 3.6 Gy of this dose originates from intracranial scattering. The jaw-tracking segmentation algorithm, used in conjunction with direct machine parameter optimization, reduces the 50% stem cell dose to 4.3 and 3.7 Gy for 6 and 10 MV treatment beams, respectively. Conclusions: Intracranial scattering alone is responsible for a large dose contribution to the stem cell compartment. It is, therefore, important to minimize other contributing factors, particularly the collimator leakage, to maximally reduce dose to these critical structures. The use of collimator jaw tracking in conjunction with modern collimators can minimize this leakage.

  2. Treatment Effects and Sequelae of Radiation Therapy for Orbital Mucosa-Associated Lymphoid Tissue Lymphoma

    Hata, Masaharu, E-mail: [Department of Radiology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa (Japan); Omura, Motoko; Koike, Izumi [Department of Radiology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa (Japan); Tomita, Naoto [Department of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa (Japan); Iijima, Yasuhito [Department of Ophthalmology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa (Japan); Tayama, Yoshibumi; Odagiri, Kazumasa; Minagawa, Yumiko [Department of Radiology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa (Japan); Ogino, Ichiro [Department of Radiation Oncology, Yokohama City University Medical Center, Yokohama, Kanagawa (Japan); Inoue, Tomio [Department of Radiology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa (Japan)


    Purpose: Among extranodal lymphomas, orbital mucosa-associated lymphoid tissue (MALT) lymphoma is a relatively rare presentation. We performed a review to ascertain treatment efficacy and toxicity of radiation therapy for orbital MALT lymphoma. We also evaluated changes in visual acuity after irradiation. Methods and Materials: Thirty patients with orbital MALT lymphoma underwent radiation therapy with curative intent. Clinical stages at diagnosis were stage I{sub E}A in 29 patients and stage II{sub E}A in 1 patient. Total doses of 28.8 to 45.8 Gy (median, 30 Gy) in 15 to 26 fractions (median, 16 fractions) were delivered to the tumors. Results: All irradiated tumors were controlled during the follow-up period of 2 to 157 months (median, 35 months) after treatment. Two patients had relapses that arose in the cervical lymph node and the ipsilateral palpebral conjunctiva outside the radiation field at 15 and 67 months after treatment, respectively. The 5-year local progression-free and relapse-free rates were 100% and 96%, respectively. All 30 patients are presently alive; the overall and relapse-free survival rates at 5 years were 100% and 96%, respectively. Although 5 patients developed cataracts of grade 2 at 8 to 45 months after irradiation, they underwent intraocular lens implantation, and their eyesight recovered. Additionally, there was no marked deterioration in the visual acuity of patients due to irradiation, with the exception of cataracts. No therapy-related toxicity of grade 3 or greater was observed. Conclusions: Radiation therapy was effective and safe for patients with orbital MALT lymphoma. Although some patients developed cataracts after irradiation, visual acuity was well preserved.

  3. PET-guided delineation of radiation therapy treatment volumes: a survey of image segmentation techniques

    Zaidi, Habib [Geneva University Hospital, Division of Nuclear Medicine, Geneva 4 (Switzerland); Geneva University, Geneva Neuroscience Center, Geneva (Switzerland); El Naqa, Issam [Washington University School of Medicine, Department of Radiation Oncology, St. Louis, MO (United States)


    Historically, anatomical CT and MR images were used to delineate the gross tumour volumes (GTVs) for radiotherapy treatment planning. The capabilities offered by modern radiation therapy units and the widespread availability of combined PET/CT scanners stimulated the development of biological PET imaging-guided radiation therapy treatment planning with the aim to produce highly conformal radiation dose distribution to the tumour. One of the most difficult issues facing PET-based treatment planning is the accurate delineation of target regions from typical blurred and noisy functional images. The major problems encountered are image segmentation and imperfect system response function. Image segmentation is defined as the process of classifying the voxels of an image into a set of distinct classes. The difficulty in PET image segmentation is compounded by the low spatial resolution and high noise characteristics of PET images. Despite the difficulties and known limitations, several image segmentation approaches have been proposed and used in the clinical setting including thresholding, edge detection, region growing, clustering, stochastic models, deformable models, classifiers and several other approaches. A detailed description of the various approaches proposed in the literature is reviewed. Moreover, we also briefly discuss some important considerations and limitations of the widely used techniques to guide practitioners in the field of radiation oncology. The strategies followed for validation and comparative assessment of various PET segmentation approaches are described. Future opportunities and the current challenges facing the adoption of PET-guided delineation of target volumes and its role in basic and clinical research are also addressed. (orig.)

  4. Correcting radiation survey data to account for increased leakage during intensity modulated radiotherapy treatments

    Kairn, T. [Premion Cancer Care, Wesley Medical Centre, Suite 1, 40 Chasely St, Auchenflower Qld 4066, Australia and Science and Engineering Faculty, Queensland University of Technology, G.P.O. Box 2434, Brisbane Qld 4000 (Australia); Crowe, S. B.; Trapp, J. V. [Science and Engineering Faculty, Queensland University of Technology, G.P.O. Box 2434, Brisbane Qld 4000 (Australia)


    Purpose: Intensity modulated radiotherapy (IMRT) treatments require more beam-on time and produce more linac head leakage to deliver similar doses to conventional, unmodulated, radiotherapy treatments. It is necessary to take this increased leakage into account when evaluating the results of radiation surveys around bunkers that are, or will be, used for IMRT. The recommended procedure of applying a monitor-unit based workload correction factor to secondary barrier survey measurements, to account for this increased leakage when evaluating radiation survey measurements around IMRT bunkers, can lead to potentially costly overestimation of the required barrier thickness. This study aims to provide initial guidance on the validity of reducing the value of the correction factor when applied to different radiation barriers (primary barriers, doors, maze walls, and other walls) by evaluating three different bunker designs.Methods: Radiation survey measurements of primary, scattered, and leakage radiation were obtained at each of five survey points around each of three different radiotherapy bunkers and the contribution of leakage to the total measured radiation dose at each point was evaluated. Measurements at each survey point were made with the linac gantry set to 12 equidistant positions from 0° to 330°, to assess the effects of radiation beam direction on the results.Results: For all three bunker designs, less than 0.5% of dose measured at and alongside the primary barriers, less than 25% of the dose measured outside the bunker doors and up to 100% of the dose measured outside other secondary barriers was found to be caused by linac head leakage.Conclusions: Results of this study suggest that IMRT workload corrections are unnecessary, for survey measurements made at and alongside primary barriers. Use of reduced IMRT workload correction factors is recommended when evaluating survey measurements around a bunker door, provided that a subset of the measurements used in

  5. Evaluation of planning dose accuracy in case of radiation treatment on inhomogeneous organ structure

    Kim, Chan Yong; Lee, Jae Hee; Kwak, Yong Kook; Ha, Min Yong [Dept. of Radiation Oncology, Seoul National University Hospital, Seoul (Korea, Republic of)


    We are to find out the difference of calculated dose of treatment planning system (TPS) and measured dose in case of inhomogeneous organ structure. Inhomogeneous phantom is made with solid water phantom and cork plate. CT image of inhomogeneous phantom is acquired. Treatment plan is made with TPS (Pinnacle3 9.2. Royal Philips Electronics, Netherlands) and calculated dose of point of interest is acquired. Treatment plan was delivered in the inhomogeneous phantom by ARTISTE (Siemens AG, Germany) measured dose of each point of interest is obtained with Gafchromic EBT2 film (International Specialty Products, US) in the gap between solid water phantom or cork plate. To simulate lung cancer radiation treatment, artificial tumor target of paraffin is inserted in the cork volume of inhomogeneous phantom. Calculated dose and measured dose are acquired as above. In case of inhomogeneous phantom experiment, dose difference of calculated dose and measured dose is about -8.5% at solid water phantom-cork gap and about -7% lower in measured dose at cork-solid water phantom gap. In case of inhomogeneous phantom inserted paraffin target experiment, dose difference is about 5% lower in measured dose at cork-paraffin gap. There is no significant difference at same material gap in both experiments. Radiation dose at the gap between two organs with different electron density is significantly lower than calculated dose with TPS. Therefore, we must be aware of dose calculation error in TPS and great care is suggested in case of radiation treatment planning on inhomogeneous organ structure.

  6. SU-E-J-267: Change in Mean CT Intensity of Lung Tumors During Radiation Treatment

    Mahon, R; Tennyson, N; Weiss, E; Hugo, G [Virginia Commonwealth University, Richmond, VA (United States)


    Purpose: To evaluate CT intensity change of lung tumors during radiation therapy. Methods: Repeated 4D CT images were acquired on a CT simulator during the course of therapy for 27 lung cancer patients on IRB approved protocols. All subjects received definitive radiation treatment ± chemotherapy. CT scans were completed prior to treatment, and 2–7 times during the treatment course. Primary tumor was delineated by an experienced Radiation Oncologist. Contours were thresholded between −100 HU and 200 HU to remove airways and bone. Correlations between the change in the mean tumor intensity and initial tumor intensity, SUVmax, and tumor volume change rate were investigated. Reproducibility was assessed by evaluating the variation in mean intensity over all phases in 4DCT, for a subgroup of 19 subjects. Results: Reproducibility of tumor intensity between phases as characterized by the root mean square of standard deviation across 19 subjects was 1.8 HU. Subjects had a mean initial tumor intensity of 16.5 ± 11.6 HU and an overall reduction in HU by 10.3 ± 8.5 HU. Evaluation of the changes in tumor intensity during treatment showed a decrease of 0.3 ± 0.3 HU/day for all subjects, except three. No significant correlation was found between change in HU/day and initial HU intensity (p=0.53), initial PET SUVmax (p=0.69), or initial tumor volume (p=0.70). The rate of tumor volume change was weakly correlated (R{sup 2}=0.05) with HU change (p=0.01). Conclusion: Most lung cancer subjects showed a marked trend of decreasing mean tumor CT intensity throughout radiotherapy, including early in the treatment course. Change in HU/day is not correlated with other potential early predictors for response, such as SUV and tumor volume change. This Result supports future studies to evaluate change in tumor intensity on CT as an early predictor of response.

  7. MO-D-BRB-00: Pediatric Radiation Therapy Planning, Treatment, and Late Effects



    Most Medical Physicists working in radiotherapy departments see few pediatric patients. This is because, fortunately, children get cancer at a rate nearly 100 times lower than adults. Children have not smoked, abused alcohol, or been exposed to environmental carcinogens for decades, and of course, have not fallen victim to the aging process. Children get very different cancers than adults. Breast or prostate cancers, typical in adults, are rarely seen in children but instead a variety of tumors occur in children that are rarely seen in adults; examples are germinomas, ependymomas and primitive neuroectodermal tumors, which require treatment of the child’s brain or neuroblastoma, requiring treatment in the abdomen. The treatment of children with cancer using radiation therapy is one of the most challenging planning and delivery problems facing the physicist. This is because bones, brain, breast tissue, and other organs are more sensitive to radiation in children than in adults. Because most therapy departments treat mostly adults, when the rare 8 year-old patient comes to the department for treatment, the physicist may not understand the clinical issues of his disease which drive the planning and delivery decisions. Additionally, children are more prone than adults to developing secondary cancers after radiation. For bilateral retinoblastoma for example, an irradiated child has a 40% chance of developing a second cancer by age 50. The dosimetric tradeoffs made during the planning process are complex and require careful consideration for children treated with radiotherapy. In the first presentation, an overview of childhood cancers and their corresponding treatment techniques will be given. These can be some of the most complex treatments that are delivered in the radiation therapy department. These cancers include leukemia treated with total body irradiation, medulloblastoma, treated with craniospinal irradiation plus a conformal boost to the posterior fossa

  8. Acutely exacerbated hypertension and increased inflammatory signs due to radiation treatment for metastatic pheochromocytoma

    Teno, Shinichi; Tanabe, Akiyo; Nomura, Kaoru; Demura, Hiroshi [Tokyo Women`s Medical Coll. (Japan)


    Hypertension and norepinephrine hypersecretion in a 59-year-old woman suffering from malignant pheochromocytoma with multiple metastases were appropriately controlled with {alpha}- and {beta}- blockers, and {alpha}-methyltyrosine ({alpha}-MT), a catecholamine-synthesis inhibitor. Metastasized vertebrae were treated with external radiation to relieve pain, but this treatment had to be interrupted at a total dose of 20 Gy because the patient suffered acutely exacerbated hypertension (200/110 mmHg), tachycardia (160 beats/min) and a low-grade fever. Simultaneously her serum levels of LDH, potassium, urea nitrogen, creatinine, white blood cell count, CRP and norepinephrine were significantly increased, suggesting that this episode was due to radiation-induced tissue destruction and the leakage of catecholamines and possibly interleukin-6, a cytokine mediating inflammation which is reportedly present in pheochromocytoma. The marked hypertension was controlled by continuous iv administration of phentolamine and propranolol. Although radiation therapy effectively relieves pain due to neoplasmic metastasis to the bone, physicians should be aware that life-threatening complications such as the above occur in malignant pheochromocytoma. Sufficient pretreatment with adrenergic blocking agents and/or {alpha}-MT and careful monitoring of the patient`s general condition during radiation therapy, even at a low dose, are highly recommended. (author)

  9. SU-E-T-208: Incidence Cancer Risk From the Radiation Treatment for Acoustic Neuroma Patient

    Kim, D [Kyung Hee University International Med. Serv., Seoul (Korea, Republic of); Chung, W [Kyung Hee University Hospital at Gangdong, Seoul, Seoul (Korea, Republic of); Shin, D [Kyung Hee University Hospital, Seoul, Seoul (Korea, Republic of); Yoon, M [Korea University, Seoul (Korea, Republic of)


    Purpose: The present study aimed to compare the incidence risk of a secondary cancer from therapeutic doses in patients receiving intensitymodulated radiotherapy (IMRT), volumetric modulated arc therapy (VMAT), and stereotactic radiosurgery (SRS). Methods: Four acoustic neuroma patients were treated with IMRT, VMAT, or SRS. Their incidnece excess relative risk (ERR), excess absolute risk (EAR), and lifetime attributable risk (LAR) were estimated using the corresponding therapeutic doses measured at various organs by radio-photoluminescence glass dosimeters (RPLGD) placed inside a humanoid phantom. Results: When a prescription dose was delivered in the planning target volume of the 4 patients, the average organ equivalent doses (OED) at the thyroid, lung, normal liver, colon, bladder, prostate (or ovary), and rectum were measured. The OED decreased as the distance from the primary beam increased. The thyroid received the highest OED compared to other organs. A LAR were estimated that more than 0.03% of AN patients would get radiation-induced cancer. Conclusion: The tyroid was highest radiation-induced cancer risk after radiation treatment for AN. We found that LAR can be increased by the transmitted dose from the primary beam. No modality-specific difference in radiation-induced cancer risk was observed in our study.

  10. Pastorale begeleiding van die self-mutileerder

    Wentzel C. Coetzer


    Full Text Available In hierdie artikel het  dit geblyk dat die toenemende voorkoms van self-mutilering onder jongmense in talle gevalle as uitlaatklep gedien het vir opgeboude druk en nie soseer as ‘n selfmoordpoging nie. Heel dikwels was dit ‘n uitvloeisel van mishandeling en/of seksuele misbruik en die persoon het  dan hierdie metode gebruik om van innerlike pyn ontslae te raak. Gevoelens van alleenheid, ‘n behoefte aan beheer, ‘n behoefte om net íéts te voel, asook ‘n behoefte om die self te straf, kon ook ‘n rol gespeel het. Die gesinsklimaat was oor die algemeen van besondere belang. Hierdie probleem het aan pastorale beraders en aan die kerk ‘n besondere uitdaging gebied deur onder andere veel meer op die probleem van pyn, asook die hantering daarvan te fokus. Dit het  verband gehou met die feit dat ontkenning in die verlede ‘n groot rol gespeel het in sekere kerklike kringe en ook binne sekere gesinne. As deel van ‘n pastoraal-terapeutiese strategie in die begeleiding van die self-mutileerder kon aspekte soos die identifisering van die rol van  leuens, die benutting van oplossings uit die verlede, vergifnis, nagmaal, gebed en meditasie gevolglik uiters belangrike komponente van die helingsproses gevorm het. Pastorale beraders sal hulleself ten volle op die hoogte moet bring van die verskynsel van self-mutilering ten einde in staat te wees om werklik te kan help.Pastoral guidance for the self-mutilator. In this article it seemed that the increase in the occurrence of self-mutilation among young people in many cases served as a pressure-relief valve and not a suicide attempt as such.  It was very often the outcome of ill-treatment and/or sexual abuse and the person used this method to get rid of the inner pain. Feelings of aloneness, a need to be in control, a need to feel at least something and a need to punish the self could also have played a role. The family climate was generally very important. This provided a special challenge

  11. Acquired Tumor Cell Radiation Resistance at the Treatment Site Is Mediated Through Radiation-Orchestrated Intercellular Communication

    Aravindan, Natarajan, E-mail: [Department of Radiation Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (United States); Aravindan, Sheeja; Pandian, Vijayabaskar; Khan, Faizan H.; Ramraj, Satish Kumar; Natt, Praveen [Department of Radiation Oncology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma (United States); Natarajan, Mohan [Department of Pathology, The University of Texas Health Science Center at San Antonio, San Antonio, Texas (United States)


    Purpose: Radiation resistance induced in cancer cells that survive after radiation therapy (RT) could be associated with increased radiation protection, limiting the therapeutic benefit of radiation. Herein we investigated the sequential mechanistic molecular orchestration involved in radiation-induced radiation protection in tumor cells. Results: Radiation, both in the low-dose irradiation (LDIR) range (10, 50, or 100 cGy) or at a higher, challenge dose IR (CDIR), 4 Gy, induced dose-dependent and sustained NFκB-DNA binding activity. However, a robust and consistent increase was seen in CDIR-induced NFκB activity, decreased DNA fragmentation, apoptosis, and cytotoxicity and attenuation of CDIR-inhibited clonal expansion when the cells were primed with LDIR prior to challenge dose. Furthermore, NFκB manipulation studies with small interfering RNA (siRNA) silencing or p50/p65 overexpression unveiled the influence of LDIR-activated NFκB in regulating CDIR-induced DNA fragmentation and apoptosis. LDIR significantly increased the transactivation/translation of the radiation-responsive factors tumor necrosis factor-α (TNF-α), interleukin-1α (IL-1α), cMYC, and SOD2. Coculture experiments exhibit LDIR-influenced radiation protection and increases in cellular expression, secretion, and activation of radiation-responsive molecules in bystander cells. Individual gene-silencing approach with siRNAs coupled with coculture studies showed the influence of LDIR-modulated TNF-α, IL-1α, cMYC, and SOD2 in induced radiation protection in bystander cells. NFκB inhibition/overexpression studies coupled with coculture experiments demonstrated that TNF-α, IL-1α, cMYC, and SOD2 are selectively regulated by LDIR-induced NFκB. Conclusions: Together, these data strongly suggest that scattered LDIR-induced NFκB-dependent TNF-α, IL-1α, cMYC, and SOD2 mediate radiation protection to the subsequent challenge dose in tumor cells.

  12. Wêreldgebeure gedurende die jaar 1954.

    S. du Toit


    Full Text Available Die jaar 1954 het begin sonder Stalin, die magtigste diktator van die modeme tyd, en dit wa s nog onseker hoe die nuwe regime sou optree.Teen die einde van die ja a r weet ons nou dat hulle oënskynlik meer toeskietlik is maar in wese nog net so geheimsinnig en nog net so geslepe. Die Petrof-gesjriedenis in Australië het weereens laat blyk dat daar oordie hele aarde ’n netwerk van spioene is.

  13. Die voorspelling van akademiese prestasie na die eerste universiteitsjaar

    G. K. Huysamen


    Full Text Available The prediction of academic performance after the first year at university. In agreement with findings elsewhere, the correlations of high school performance (Swedish Formula Point and the verbal and nonverbal GSAT scores with the mean percentage marks (MPMs gradually decreased from the first through sixth semester at university, whereas the decrease in the corresponding correlations with the cumulative mean percentage marks (CMPMs was less pronounced. The later the semester for which either an MPM or a CMPM was used as a predictor, the higher the latter tended to correlate with the MPMs of subsequent semesters but these correlations also decreased in size over the ensuing semesters. The best predictor of the MPM of any given semester was either the MPM of the immediately preceding semester or the CMPM of all the preceding semesters. Opsomming In ooreenstemming met bevindings elders, het die korrelasies van hoërskoolprestasie (Sweedse Formulepunt en verbale en nie-verbale ASAT-tellings met die gemiddelde persentasiepunte (GPP's geleidelik van die eerste tot die sesde semester op Universiteit afgeneem, terwyl die afname in die ooreenstemmende korrelasies met die kumulatiewe gemiddelde persentasiepunte (KGP's minder opvallend was. Hoe later die semester waarvan die GGP of KGP as voorspeller gebruik is, hoe hoër was dit geneig om met die GGP's van die daaropvolgende semesters te korreleer, maar die korrelasies het: eweneens met die toename in laasgenoemde semesters in grootte afgeneem. Die beste voorspeller van die GPP van enige gegewe semester was of die GPP van die pas afgelope semester, of die KGP van al die voorafgaande semesters.

  14. Optimization of Heart Block in the Left-sided Whole Breast Radiation Treatments

    Ning Jeff Yue


    Full Text Available Purpose: Blocks have been used to protect heart from potential radiation damage in left-sided breast treatments. Since cardiac motion pattern may not be fully captured on conventional 3DCT or 4DCT simulation scans, this study was intended to investigate the optimization of the heart block design taking the cardiac motion into consideration.Materials and Methods: Whole breast treatment plans using two opposed tangential fields were designed based on 4DCT simulation images for 10 left-sided breast cancer patients. Using an OBI system equipped to a Varian Linac, beam-eye viewed fluoroscopy images were acquired for each of the treatment beams after patient treatment setup, and the MLC heart blocks were overlaid onto the fluoroscopy images with an in-house software package. A non-rigid image registration and tracking algorithm was utilized to track the cardiac motion on the fluoroscopy images with minimal manual delineation for initialization, and the tracked cardiac motion information was used to optimize the heart block design to minimize the radiation damage to heart while avoiding the over-shielding that may lead to underdosing certain breast tissues. Results: Twenty-three sets of fluoroscopy images were acquired on 23 different days of treatment for the 10 patients. As expected, heart moved under the influences of both respiratory and cardiac motion. It was observed that for 16 out of the 23 treatments heart moved beyond the planed heart block into treatment fields and MLC had to be adjusted to fully block heart. The adjustment was made for all but one patient. The number of the adjusted MLC leaves ranged from 1 to 16 (mean = 10, and the MLC leaf position adjustment ranged from 2 mm to 10 mm (mean = 6 mm. The added heart block areas ranged from 3 mm2 to 1230 mm2 (mean = 331 mm2. Conclusion: In left-sided whole breast radiation treatments, simulation CT (and 4DCT based heart block design may not provide adequate heart protection for all the

  15. Long-term results and complications of preoperative radiation in the treatment of rectal cancer

    Reed, W.P.; Garb, J.L.; Park, W.C.; Stark, A.J.; Chabot, J.R.; Friedmann, P.


    A retrospective study of 149 patients with rectal cancer diagnosed between 1972 and 1979 was undertaken to compare survival, disease-free survival, recurrence sites, and long-term complications of 40 patients who received 4000 to 4500 rads of preoperative adjuvant radiotherapy (radiation group) with those of 109 patients treated by resection alone (control group). After a mean follow-up of 84 months and 99 months, respectively, survival of the irradiated patients was significantly better than that of controls (68% versus 52%, p less than 0.05). Disease-free survival of those patients rendered free of disease by treatment was also superior for the irradiated group (84% versus 57%, p less than 0.005). Local recurrence without signs of distant metastases developed only one-third as often in irradiated patients (6% versus 18%). Distant metastases, alone or in combination with local recurrence, were also less common after radiation (12% versus 27%). Second primary tumors developed in 15% and 10% of the respective groups, a difference that was not statistically significant. When we consider the survival benefit of preoperative radiation therapy, long-term complications were relatively mild. Delayed healing of the perineum was noted in two irradiated patients. Persistent diarrhea was severe enough to warrant treatment in only one case, and one patient required a colostomy for intestinal obstruction from pelvic fibrosis.

  16. Successful treatment of a case of extensive radiation burns with multiple organ dysfunction syndrome.

    Li, Yeyang; Wang, Jinlun; Li, Gang; Lin, Weihua; Li, Xiaojian; Tong, Renlian


    A patient sustained acute third-degree radiation burns over 41% of his body surface. The burns were due to occupational injury caused by an electron accelerator. Most of his wounds appeared and spread gradually during the 10th week after the radiation burn. Subsequently, severe wound infection with methicillin-resistant Staphylococcus aureus, severe pneumonia, respiratory failure, systemic inflammatory response syndrome, nephropathy, and hypoproteinemia had developed 3 months after the radiation injury. Most of the skin grafts could neither survive nor spread on the fresh wound after removing the necrotic tissue. This phenomenon resulted in many more wounds after operations, increasing the risk of wound infection. Parenteral nutrition, respiratory support with a ventilator, antibiotics for methicillin-resistant Staphylococcus aureus, steroid therapeutics for nephropathy, deeper debridement for wounds, and skin grafting were applied for treatment of this patient. The patient recovered gradually and was discharged from the hospital in good condition after 18 months. The authors suggest that deeper excision of necrotic tissue and skin grafting as well as appropriate antibiotics are principal measures to counteract systemic inflammatory response syndrome. Sufficient albumen by vein and steroid should be administered for treatment against nephropathy and for control of infection. Functions of organs should be carefully monitored to fine-tune the therapeutic programs and to minimize complications of organs.

  17. [Evaluation of Radiation Dose during Stent-graft Treatment Using a Hybrid Operating Room System].

    Haga, Yoshihiro; Chida, Kouichi; Kaga, Yuji; Saitou, Kazuhisa; Arai, Takeshi; Suzuki, Shinichi; Iwaya, Yoshimi; Kumasaka, Eriko; Kataoka, Nozomi; Satou, Naoto; Abe, Mitsuya


    In recent years, aortic aneurysm treatment with stent graft grafting in the X-ray fluoroscopy is increasing. This is an endovascular therapy, because it is a treatment which includes the risk of radiation damage, having to deal with radiation damage, to know in advance is important. In this study, in order to grasp the trend of exposure stent graft implantation in a hybrid operating room (OR) system, focusing on clinical data (entrance skin dose and fluoroscopy time), was to count the total. In TEVAR and EVAR, fluoroscopy time became 13.40 ± 7.27 minutes, 23.67 ± 11.76 minutes, ESD became 0.87 ± 0.41 mGy, 1.11 ± 0.57 mGy. (fluoroscopy time of EVAR was 2.0 times than TEVAR. DAP of EVAR was 1.2 times than TEVAR.) When using the device, adapted lesions and usage are different. This means that care changes in exposure-related factors. In this study, exposure trends of the stent graft implantation was able to grasp. It can be a helpful way to reduce/optimize the radiation dose in a hybrid OR system.

  18. A surrogate-based metaheuristic global search method for beam angle selection in radiation treatment planning

    Zhang, H. H.; Gao, S.; Chen, W.; Shi, L.; D'Souza, W. D.; Meyer, R. R.


    An important element of radiation treatment planning for cancer therapy is the selection of beam angles (out of all possible coplanar and non-coplanar angles in relation to the patient) in order to maximize the delivery of radiation to the tumor site and minimize radiation damage to nearby organs-at-risk. This category of combinatorial optimization problem is particularly difficult because direct evaluation of the quality of treatment corresponding to any proposed selection of beams requires the solution of a large-scale dose optimization problem involving many thousands of variables that represent doses delivered to volume elements (voxels) in the patient. However, if the quality of angle sets can be accurately estimated without expensive computation, a large number of angle sets can be considered, increasing the likelihood of identifying a very high quality set. Using a computationally efficient surrogate beam set evaluation procedure based on single-beam data extracted from plans employing equally-spaced beams (eplans), we have developed a global search metaheuristic process based on the nested partitions framework for this combinatorial optimization problem. The surrogate scoring mechanism allows us to assess thousands of beam set samples within a clinically acceptable time frame. Tests on difficult clinical cases demonstrate that the beam sets obtained via our method are of superior quality.

  19. Hafnium-doped hydroxyapatite nanoparticles with ionizing radiation for lung cancer treatment.

    Chen, Min-Hua; Hanagata, Nobutaka; Ikoma, Toshiyuki; Huang, Jian-Yuan; Li, Keng-Yuan; Lin, Chun-Pin; Lin, Feng-Huei


    Recently, photodynamic therapy (PDT) is one of the new clinical options by generating cytotoxic reactive oxygen species (ROS) to kill cancer cells. However, the optical approach of PDT is limited by tissue penetration depth of visible light. In this study, we propose that a ROS-enhanced nanoparticle, hafnium-doped hydroxyapatite (Hf:HAp), which is a material to yield large quantities of ROS inside the cells when the nanoparticles are bombarded with high penetrating power of ionizing radiation. Hf:HAp nanoparticles are generated by wet chemical precipitation with total doping concentration of 15mol% Hf(4+) relative to Ca(2+) in HAp host material. The results show that the HAp particles could be successfully doped with Hf ions, resulted in the formation of nano-sized rod-like shape and with pH-dependent solubility. The impact of ionizing radiation on Hf:HAp nanoparticles is assessed by using in-vitro and in-vivo model using A549 cell line. The 2',7'-dichlorofluorescein diacetate (DCFH-DA) results reveal that after being exposed to gamma rays, Hf:HAp could significantly lead to the formation of ROS in cells. Both cell viability (WST-1) and cytotoxicity (LDH) assay show the consistent results that A549 lung cancer cell lines are damaged with changes in the cells' ROS level. The in-vivo studies further demonstrate that the tumor growth is inhibited owing to the cells apoptosis when Hf:HAp nanoparticles are bombarded with ionizing radiation. This finding offer a new therapeutic method of interacting with ionizing radiation and demonstrate the potential of Hf:HAp nanoparticles in tumor treatment, such as being used in a palliative treatment after lung surgical procedure. Photodynamic therapy (PDT) is one of the new clinical options by generating cytotoxic reactive oxygen species (ROS) to kill cancer cells. Unfortunately, the approach of PDT is usually limited to the treatment of systemic disease and deeper tumor, due to the limited tissue penetration depth of visible

  20. Efficacy and safety of far infrared radiation in lymphedema treatment: clinical evaluation and laboratory analysis.

    Li, Ke; Zhang, Zheng; Liu, Ning Fei; Feng, Shao Qing; Tong, Yun; Zhang, Ju Fang; Constantinides, Joannis; Lazzeri, Davide; Grassetti, Luca; Nicoli, Fabio; Zhang, Yi Xin


    Swelling is the most common symptom of extremities lymphedema. Clinical evaluation and laboratory analysis were conducted after far infrared radiation (FIR) treatment on the main four components of lymphedema: fluid, fat, protein, and hyaluronan. Far infrared radiation is a kind of hyperthermia therapy with several and additional benefits as well as promoting microcirculation flow and improving collateral lymph circumfluence. Although FIR therapy has been applied for several years on thousands of lymphedema patients, there are still few studies that have reported the biological effects of FIR on lymphatic tissue. In this research, we investigate the effects of far infrared rays on the major components of lymphatic tissue. Then, we explore the effectiveness and safety of FIR as a promising treatment modality of lymphedema. A total of 32 patients affected by lymphedema in stage II and III were treated between January 2015 and January 2016 at our department. After therapy, a significant decrease of limb circumference measurements was noted and improving of quality of life was registered. Laboratory examination showed the treatment can also decrease the deposition of fluid, fat, hyaluronan, and protein, improving the swelling condition. We believe FIR treatment could be considered as both an alternative monotherapy and a useful adjunctive to the conservative or surgical lymphedema procedures. Furthermore, the real and significant biological effects of FIR represent possible future applications in wide range of the medical field.

  1. Impact of Boost Radiation in the Treatment of Ductal Carcinoma In Situ: A Population-Based Analysis

    Rakovitch, Eileen, E-mail: [Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario (Canada); Institute for Clinical Evaluative Sciences, Toronto, Ontario (Canada); University of Toronto, Toronto, Ontario (Canada); Narod, Steven A. [University of Toronto, Toronto, Ontario (Canada); Women’s College Research Institute, Toronto, Ontario (Canada); Nofech-Moses, Sharon; Hanna, Wedad [Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario (Canada); University of Toronto, Toronto, Ontario (Canada); Thiruchelvam, Deva; Saskin, Refik; Taylor, Carole [Institute for Clinical Evaluative Sciences, Toronto, Ontario (Canada); Tuck, Alan [London Health Sciences Center, London, Ontario (Canada); Youngson, Bruce; Miller, Naomi; Done, Susan J. [University Health Network, Toronto, Ontario (Canada); Sengupta, Sandip [Kingston General Hospital, Kingston, Ontario (Canada); Elavathil, Leela [University of Toronto, Toronto, Ontario (Canada); Henderson General Hospital, 711 Concession Street, Hamilton, Ontario (Canada); Jani, Prashant A. [University of Toronto, Toronto, Ontario (Canada); Regional Health Sciences Centre, Thunder Bay, Ontario (Canada); Bonin, Michel [Sudbury Regional Hospital, Sudbury, Ontario (Canada); Metcalfe, Stephanie [Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario (Canada); Paszat, Lawrence [Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario (Canada); Institute for Clinical Evaluative Sciences, Toronto, Ontario (Canada); University of Toronto, Toronto, Ontario (Canada)


    Purpose: To report the outcomes of a population of women with ductal carcinoma in situ (DCIS) treated with breast-conserving surgery and radiation and to evaluate the independent effect of boost radiation on the development of local recurrence. Methods and Materials: All women diagnosed with DCIS and treated with breast-conserving surgery and radiation therapy in Ontario from 1994 to 2003 were identified. Treatments and outcomes were identified through administrative databases and validated by chart review. The impact of boost radiation on the development of local recurrence was determined using survival analyses. Results: We identified 1895 cases of DCIS that were treated by breast-conserving surgery and radiation therapy; 561 patients received boost radiation. The cumulative 10-year rate of local recurrence was 13% for women who received boost radiation and 12% for those who did not (P=.3). The 10-year local recurrence-free survival (LRFS) rate among women who did and who did not receive boost radiation was 88% and 87%, respectively (P=.27), 94% and 93% for invasive LRFS (P=.58), and was 95% and 93% for DCIS LRFS (P=.31). On multivariable analyses, boost radiation was not associated with a lower risk of local recurrence (hazard ratio = 0.82, 95% confidence interval 0.59-1.15) (P=.25). Conclusions: Among a population of women treated with breast-conserving surgery and radiation for DCIS, additional (boost) radiation was not associated with a lower risk of local or invasive recurrence.

  2. SU-C-19A-05: Treatment Chairs for Modern Radiation Therapy Treatments

    Court, L; Fullen, D; Tharp, K; Palmer, J; Ungchusri, G; Reyes, L; Tong, T; Nguyen, S; Phillips, T; Balter, P [UT MD Anderson Cancer Center, Houston, TX (United States)


    Purpose: Treating patients in a seated position has potential advantages including improved comfort, increased lung volume, and reduced respiratory motion. We compared chair designs for head and neck, thoracic and breast patients for use with either IGRT linacs or a proposed low-cost fixed horizontal beam-line machine. Methods: Three treatment chairs were designed and constructed. Two of the chairs are based on a massage-chair, with the patient angled slightly forwards and knee rests used to minimize intra-fraction slouch. The third chair design is more conventional; the patient is angled backwards, with indexed positioning devices and the ability to attach thermoplastic masks. Patient geometries, including PTV location and patient sizes, were extracted from 137 CTs of past patients were used to model the probability of collision between the patient and the linac for various seated positions. All chairs were designed around the weight limits for couches on our linacs. At the time of writing we have just received IRB approval for imaging studies to evaluate comfort, and intra- and interfraction reproducibility. Results: The geometric analysis showed that head and neck patients and thoracic patients could be treated without collision. However, there is very limited space between the patient and the treatment/imaging devices, so careful design of the chair is essential. The position of the treatment target and extended arm positioning means that this is a particular concern for thoracic and breast patients. This was demonstrated for one of the prototype chairs designed for breast treatment where the arm holders would collide with the kV detector. The extra clearance of a dedicated fixed-beam linac would overcome these difficulties. Intra- and inter-fraction reproducibility results will be presented at the meeting. Conclusion: To take advantage of the clinical advantages of seated treatments, appropriate treatment chairs are needed. A dedicate fixed-beam linac may

  3. A pilot study of intensity modulated radiation therapy with hypofractionated stereotactic body radiation therapy (SBRT) boost in the treatment of intermediate- to high-risk prostate cancer.

    Oermann, Eric K; Slack, Rebecca S; Hanscom, Heather N; Lei, Sue; Suy, Simeng; Park, Hyeon U; Kim, Joy S; Sherer, Benjamin A; Collins, Brian T; Satinsky, Andrew N; Harter, K William; Batipps, Gerald P; Constantinople, Nicholas L; Dejter, Stephen W; Maxted, William C; Regan, James B; Pahira, John J; McGeagh, Kevin G; Jha, Reena C; Dawson, Nancy A; Dritschilo, Anatoly; Lynch, John H; Collins, Sean P


    Clinical data suggest that large radiation fractions are biologically superior to smaller fraction sizes in prostate cancer radiotherapy. The CyberKnife is an appealing delivery system for hypofractionated radiosurgery due to its ability to deliver highly conformal radiation and to track and adjust for prostate motion in real-time. We report our early experience using the CyberKnife to deliver a hypofractionated stereotactic body radiation therapy (SBRT) boost to patients with intermediate- to high-risk prostate cancer. Twenty-four patients were treated with hypofractionated SBRT and supplemental external radiation therapy plus or minus androgen deprivation therapy (ADT). Patients were treated with SBRT to a dose of 19.5 Gy in 3 fractions followed by intensity modulated radiation therapy (IMRT) to a dose of 50.4 Gy in 28 fractions. Quality of life data were collected with American Urological Association (AUA) symptom score and Expanded Prostate Cancer Index Composite (EPIC) questionnaires before and after treatment. PSA responses were monitored; acute urinary and rectal toxicities were assessed using Common Toxicity Criteria (CTC) v3. All 24 patients completed the planned treatment with an average follow-up of 9.3 months. For patients who did not receive ADT, the median pre-treatment PSA was 10.6 ng/ml and decreased in all patients to a median of 1.5 ng/ml by 6 months post-treatment. Acute effects associated with treatment included Grade 2 urinary and gastrointestinal toxicity but no patient experienced acute Grade 3 or greater toxicity. AUA and EPIC scores returned to baseline by six months post-treatment. Hypofractionated SBRT combined with IMRT offers radiobiological benefits of a large fraction boost for dose escalation and is a well tolerated treatment option for men with intermediate- to high-risk prostate cancer. Early results are encouraging with biochemical response and acceptable toxicity. These data provide a basis for the design of a phase II clinical


    Y. V. Fedosov


    Full Text Available The paper proposes a new approach to the design of the technological equipment used for surface treatment of a free-form object by laser radiation. Design advantages and disadvantages of the similar laser cutting machine with beam focusing control are considered. We propose a new scheme that improves the optical characteristics of the device by reducing the number of reflections in the collimating system. The base for the proposed mechanism is XY table with numerical control. The driven element of the apparatus is the optical head with the ability to adjust the focal distance and the system of beam stabilization based on a modified Stewart platform. Laser radiation of the ultraviolet range is transmitted from the laser source through the optical fiber. A proposed solution is implemented in experimental device for selective polymer curing.

  5. Die Kunst des Scheiterns

    Juul, Jesper


    Menschen haben von Kindesbeinen an das Verlangen, Erfolge zu erzielen und Kompetenz zu erreichen. Computerspieler entscheiden sich jedoch fortlaufend für eine Aktivität, die oft und wiederholt zum Verlieren führen muss und ein taubes Gefühl der Unfähigkeit erzeugt. Im Kino, im Theatersaal und bei...

  6. Die skool en die onderwyser as faktore in die geestesgesondheid van die kind*

    B. C. Schutte


    Full Text Available Ons hou geestesgesondheidsweke, stig beroepsentrums, samel geld in om mense wat geestelik siek is te genees, klae oor die tekort aan psigiaters, kliniese sielkundiges, bedryfsielkundiges, voorligters, skoolpsigoloë,ens. ’n Karige kwarteeu gelede het ons aan al hierdie dinge slegs akademiese aandag gewy. In hierdie kursus wordverskeie tipes kinders bespreek en geleer hoe om hulle probleme te benader.

  7. Die Kunst des Scheiterns

    Juul, Jesper


    Menschen haben von Kindesbeinen an das Verlangen, Erfolge zu erzielen und Kompetenz zu erreichen. Computerspieler entscheiden sich jedoch fortlaufend für eine Aktivität, die oft und wiederholt zum Verlieren führen muss und ein taubes Gefühl der Unfähigkeit erzeugt. Im Kino, im Theatersaal und bei...

  8. Die Creol Taal

    Rossem, van Cefas; Voort, van der Hein


    Negerhollands is the original creole language, lexically closely related to Dutch, of the Virgin Islands. It emerged as a separate language around 1700 and died out completely only a few years ago, having gradually been replaced by English in the course of the nineteenth century. Apart from giving i

  9. Die andere Revolution

    Kippenhahn, Rudolf


    War Kopernikus der größte Revolutionär des naturwissenschaftlichen Weltbildes? Seine Erkenntnisse waren der Beginn eines jahrhundertelangen Denkprozesses, welcher zur Einsicht führte, dass im Weltall die gleichen physikalischen Gesetze gelten wie auf der Erde.

  10. Die Kosmologie der Griechen.

    Mittelstraß, J.

    Contents: 1. Mythische Eier. 2. Thales-Welten. 3. "Alles ist voller Götter". 4. Griechische Astronomie. 5. "Rettung der Phänomene". 6. Aristotelische Kosmololgie. 7. Aristoteles-Welt und Platon-Welt. 8. Noch einmal: die Göttlichkeit der Welt. 9. Griechischer Idealismus.

  11. Treatment of folliculitis decalvans using intensity-modulated radiation via tomotherapy.

    Elsayad, Khaled; Kriz, Jan; Haverkamp, Uwe; Plachouri, Kerasia-Maria; Jeskowiak, Antonia; Sunderkötter, Cord; Eich, Hans Theodor


    Folliculitis decalvans (FD) is a form of primary neutrophilic scarring alopecia that is characterized clinically by chronic suppurative folliculitis and often associated with pruritus or even pain. Treatment of FD is often difficult. Herein, we report a case of recalcitrant and painful folliculitis decalvans refractory to antibiotic and anti-inflammatory therapies, which was successfully treated by intensity-modulated radiotherapy (IMRT) in order to irreversibly eliminate hair follicles that prove to be one etiological trigger. A 45-year-old male patient with a refractory FD presented with a crusting suppurative folliculitis and atrophic scarring patches on the scalp associated with pain and pruritus. We attempted relief of symptoms by reducing scalp inflammation and eliminating hair follicles through radiation. We delivered 11.0 Gy in two radiation series using tomotherapy, 5.0 Gy in 5 equivalent fractions as a first radiation course. The symptoms markedly decreased but did not totally disappear. Therefore, we delivered a second radiation series 4 months later with an additional 6 Gy. This led to almost complete epilation on the scalp and abolished pain and pruritus on the capillitium. The patient was regularly followed up until 26 months after radiotherapy. Draining lesions or exudation did not recur. He only experienced discrete hair regrowth in the occipital region with folliculitis 12 months after radiotherapy. These residual lesions are currently treated with laser epilation therapy. A radical approach to eliminating hair follicles by repeated radiation therapy may induce lasting relief of symptoms in chronic suppurative FD associated with persistent trichodynia.

  12. Moderate salt treatment alleviates ultraviolet-B radiation caused impairment in poplar plants

    Ma, Xuan; Ou, Yong-Bin; Gao, Yong-Feng; Lutts, Stanley; Li, Tao-Tao; Wang, Yang; Chen, Yong-Fu; Sun, Yu-Fang; Yao, Yin-An


    The effects of moderate salinity on the responses of woody plants to UV-B radiation were investigated using two Populus species (Populus alba and Populus russkii). Under UV-B radiation, moderate salinity reduced the oxidation pressure in both species, as indicated by lower levels of cellular H2O2 and membrane peroxidation, and weakened the inhibition of photochemical efficiency expressed by O-J-I-P changes. UV-B-induced DNA lesions in chloroplast and nucleus were alleviated by salinity, which could be explained by the higher expression levels of DNA repair system genes under UV-B&salt condition, such as the PHR, DDB2, and MutSα genes. The salt-induced increase in organic osmolytes proline and glycine betaine, afforded more efficient protection against UV-B radiation. Therefore moderate salinity induced cross-tolerance to UV-B stress in poplar plants. It is thus suggested that woody plants growing in moderate salted condition would be less affected by enhanced UV-B radiation than plants growing in the absence of salt. Our results also showed that UV-B signal genes in poplar plants PaCOP1, PaSTO and PaSTH2 were quickly responding to UV-B radiation, but not to salt. The transcripts of PaHY5 and its downstream pathway genes (PaCHS1, PaCHS4, PaFLS1 and PaFLS2) were differently up-regulated by these treatments, but the flavonoid compounds were not involved in the cross-tolerance since their concentration increased to the same extent in both UV-B and combined stresses.

  13. Risk of a second cancer from scattered radiation in acoustic neuroma treatment

    Yoon, Myonggeun; Lee, Hyunho; Sung, Jiwon [Korea University, Seoul (Korea, Republic of); Shin, Dongoh [Kyung Hee University Medical Center, Seoul (Korea, Republic of); Park, Sungho [Ulsan University Hospital, Ulsan (Korea, Republic of); Chung, Weonkuu; Jahng, Geonho; Kim, Dongwook [Kyung Hee University Hospital at Gangdong, Seoul (Korea, Republic of)


    The present study aimed to compare the risk of a secondary cancer from scattered and leakage doses in patients receiving intensity-modulated radiotherapy (IMRT), volumetric modulated arc therapy (VMAT), and stereotactic radiosurgery (SRS). Four acoustic neuroma patients were treated with IMRT, VMAT, or SRS. Their excess relative risk (ERR), excess absolute risk (EAR), and lifetime attributable risk (LAR) of a secondary cancer were estimated using the corresponding secondary doses measured at various organs by using radio-photoluminescence glass dosimeters (RPLGD) placed inside a humanoid phantom. When a prescription dose was delivered in the planning target volume of the 4 patients, the average organ equivalent doses (OED) at the thyroid, lung, liver, bowel, bladder, prostate (or ovary), and rectum were 14.6, 1.7, 0.9, 0.8, 0.6, 0.6, and 0.6 cGy, respectively, for IMRT whereas they were 19.1, 1.8, 2.0, 0.6, 0.4, 0.4, and 0.4 cGy, respectively, for VMAT, and 22.8, 4.6, 1.4, 0.7, 0.5, 0.5, and 0.5 cGy, respectively, for SRS. The OED decreased as the distance from the primary beam increased. The thyroid received the highest OED compared to other organs. A lifetime attributable risk evaluation estimated that more than 0.03% of acoustic neuroma (AN) patients would get radiation-induced cancer within 20 years of receiving radiation therapy. The organ with the highest radiation-induced cancer risk after radiation treatment for AN was the thyroid. We found that the LAR could be increased by the transmitted dose from the primary beam. No modality-specific difference in radiation-induced cancer risk was observed in our study.

  14. Assessing Response to Radiation Therapy Treatment of Bone Metastases: Short-Term Followup of Radiation Therapy Treatment of Bone Metastases with Diffusion-Weighted Magnetic Resonance Imaging

    Salvatore Cappabianca


    Full Text Available This study examined the usefulness of diffusion-weighted (DW Magnetic Resonance Imaging (MRI in monitoring bone metastases response to radiation therapy in 15 oligometastatic patients. For each metastasis, both mean apparent diffusion coefficient (ADC changes and high b-value DW metastasis/muscle signal intensity ratio (SIR variations were evaluated at 30 ± 5 days and 60 ± 7 days after the end of treatment. On baseline DW-MRI, all bone metastases were hyperintense and had signal intensities higher than normal bone marrow on calculated ADC maps. At follow-up evaluations, 4 patterns of response were identified: (I decreased high b-value DW SIR associated with increased mean ADC (83.3% of cases; (II increased mean ADC with no change of high b-value DW SIR (10% of cases; (III decreased both high b-value DW SIR and mean ADC (3.3% of cases; (IV a reduction in mean ADC associated with an increase in high b-value DW SIR compared to pretreatment values (3.3% of cases. Patterns (I and (II suggested a good response to therapy; pattern (III was classified as indeterminate, while pattern (IV was suggestive of disease progression. This pattern approach may represent a useful tool in the differentiation between treatment-induced necrosis and highly cellular residual tumor.

  15. Use of radionuclides at small water purification plants and in industrial waste water treatment by radiation adsorption method

    Brusentseva, S.A.; Egorov, G.F.; Shubin, V.N. [and others


    An irradiation technique for potable water treatment is described. Use of radionuclides as a source of radiation allows for the automation of the process. The treatment is considered to be effective in waste water treatment to remove phenols, pesticides, and other toxic compounds.

  16. Targeted therapies and radiation for the treatment of head and neck cancer

    Kim, Gwi Eon [Yonsei University College of Medicine, Seoul (Korea, Republic of)


    The purpose of this review is to provide an update on novel radiation treatments for head and neck cancer. Despite the remarkable advances in chemotherapy and radiotherapy techniques, the management of advanced head and neck cancer remains challenging. Epidermal growth factor receptor (EGFR) is an appealing target for novel therapies in head and neck cancer because not only EGFR activation stimulates many important signaling pathways associated with cancer development and progression, and importantly, resistance to radiation. Furthermore, EGFR overexpression is known to be portended for a worse outcome in patients with advanced head and neck cancer. Two categories of compounds designed to abrogate EGFR signaling, such as monoclonal antibodies (Cetuximab) and tyrosine kinase inhibitors (ZD1839 and OSI-774) have been assessed and have been most extensively studied in preclinical models and clinical trials. Additional TKIs in clinical trials include a reversible agent, Cl-1033, which blocks activation of all erbB receptors. Encouraging preclinical data for head and neck cancers resulted in rapid translation into the clinic. Results from initial clinical trials show rather surprisingly that only minority of patients benefited from EGFR inhibition as monotherapy or in combination with chemotherapy. In this review, we begin with a brief summary of erbB-mediated signal transduction. Subsequently, we present data on prognostic-predictive value of erbB receptor expression in HNC followed by preclinical and clinical data on the role of EGFR antagonists alone or in combination with radiation in the treatment of HNC. Finally, we discuss the emerging thoughts on resistance to EGFR blockade and efforts in the development of multiple-targeted therapy for combination with chemotherapy or radiation. Current challenges for investigators are to determine (1) who will benefit from targeted agents and which agents are most appropriate to combine with radiation and/or chemotherapy, (2

  17. Die ontwikkeling van 'n instrument vir die meting van die konstruk sielkundige diepte-orientasie

    L. C. De Jager


    Full Text Available The development of an instrument (the RD-Depth Questionnaire, Form B for measuring the construct psychological depth orientation is discussed. Results show that the questionnaire has satisfactory internal consistency and that the items of the questionnaire in general measure the same characteristic. Further research is needed to refine and improve the questionnaire until it meets all the psychometric requirements of a good measuring instrument.OpsommingDie ontwikkeling van 'n instrument (die RD-Diepte Vraelys, Vorm B vir die meting van die konstruk sielkundige diepteoriëntasie word bespreek. Resultate dui daarop dat die vraelys bevredigende interne bestendigheid toon en dat die items van die vraelys oor die algemeen dieselfde eienskap meet. Verdere navorsing word egter nog vereis om die vraelys te verfyn en te verbeter sodat dit aan al die psigometriese vereistes van 'n goeie meetinstrument sal voldoen.

  18. Improvement of die life in high speed injection die casting

    Yasuhiro Arisuda; Akihito Hasuno; Junji Yoshida; Kazunari Tanii


    High-speed injection die casting is an efficient manufacturing technology for upgrading aluminum die-cast products. However, deficiencies (such as die damage in eady period) due to larger load on the molding die compared with conventional technology have brought new challenges. In this study, the cause of damage generated in super high-speed injection was investigated by the combination of experimental observation of the dies and CAE simulation (e.g. die temperature analysis, flow analysis and thermal stress analysis). The potential countermeasures to solve the above problems were also proposed.

  19. Improvement of die life in high speed injection die casting

    Akihito Hasuno


    Full Text Available High-speed injection die casting is an effi cient manufacturing technology for upgrading aluminum die-cast products. However, defi ciencies (such as die damage in early period due to larger load on the molding die compared with conventional technology have brought new challenges. In this study, the cause of damage generated in super high-speed injection was investigated by the combination of experimental observation of the dies and CAE simulation (e.g. die emperature analysis, fl ow analysis and thermal stress analysis. The potential countermeasures to solve the above problems were also proposed.

  20. Die Wiege stand doch in Africka


    Kaum ein Forschungsgebiet ist so umstritten wie die Palaeoanthropologie, die Lehre yore Ursprung der Menschheit. Nicht nur die Vorgeschichte, ouch die unmittelbare Entstebung des Homo sapiens entzweit die Experten: Die einen verrnuten die Wiege in Afrika,die anderen gehen davon aus, dass sich tier moderne Mensch auf mehreren Kontinenten gleichzeifig aus Vorfahren eatwickelte,

  1. Improving efficiency and safety in external beam radiation therapy treatment delivery using a Kaizen approach.

    Kapur, Ajay; Adair, Nilda; O'Brien, Mildred; Naparstek, Nikoleta; Cangelosi, Thomas; Zuvic, Petrina; Joseph, Sherin; Meier, Jason; Bloom, Beatrice; Potters, Louis


    Modern external beam radiation therapy treatment delivery processes potentially increase the number of tasks to be performed by therapists and thus opportunities for errors, yet the need to treat a large number of patients daily requires a balanced allocation of time per treatment slot. The goal of this work was to streamline the underlying workflow in such time-interval constrained processes to enhance both execution efficiency and active safety surveillance using a Kaizen approach. A Kaizen project was initiated by mapping the workflow within each treatment slot for 3 Varian TrueBeam linear accelerators. More than 90 steps were identified, and average execution times for each were measured. The time-consuming steps were stratified into a 2 × 2 matrix arranged by potential workflow improvement versus the level of corrective effort required. A work plan was created to launch initiatives with high potential for workflow improvement but modest effort to implement. Time spent on safety surveillance and average durations of treatment slots were used to assess corresponding workflow improvements. Three initiatives were implemented to mitigate unnecessary therapist motion, overprocessing of data, and wait time for data transfer defects, respectively. A fourth initiative was implemented to make the division of labor by treating therapists as well as peer review more explicit. The average duration of treatment slots reduced by 6.7% in the 9 months following implementation of the initiatives (P = .001). A reduction of 21% in duration of treatment slots was observed on 1 of the machines (P Kaizen approach has the potential to improve operational efficiency and safety with quick turnaround in radiation therapy practice by addressing non-value-adding steps characteristic of individual department workflows. Higher effort opportunities are identified to guide continual downstream quality improvements. Copyright © 2017. Published by Elsevier Inc.

  2. Radiofrequency ablation using BarRx for the endoscopic treatment of radiation proctopathy: a series of three cases

    Patel A


    Full Text Available Anish Patel, Rahul Pathak, Vrushak Deshpande, Sunil H Patel, Prasanna C Wickremesinghe, Deepak Vadada Department of Gastrointestinal Medicine, Richmond University Medical Center, Staten Island, NY, USA Abstract: Radiation proctopathy is a complication of pelvic radiotherapy, which occurs in patients treated for carcinoma of the prostate, rectum, urinary bladder, cervix, uterus, and testes. If it presents within 6 weeks to 9 months after therapy, it is called acute radiation proctitis/proctopathy (ARP, and if it occurs 9 months to a year after treatment, it is classified as chronic radiation proctitis/proctopathy (CRP. CRP occurs in 5%–20% of patients receiving pelvic radiation, depending on the radiation dose and the presence or absence of chemotherapy. In many cases, CRP resolves spontaneously, but in some, it can lead to persistent rectal bleeding. Other symptoms of CRP include diarrhea, mucoid discharge, urgency, tenesmus, rectal pain, and fecal incontinence. Despite the availability of several therapies, many patients fail to respond, and continue to suffer in their quality of life. Radiofrequency ablation (RFA is a newer endoscopic technique that uses radiofrequency energy to ablate tissue. This is an emerging way to treat radiation proctopathy and other mucosal telangiectasia. We present three cases of radiation proctopathy treated with RFA at our institute and review the literature on treatment modalities for CRP. We were also able to find 16 other cases of CRP that used RFA, and review their literature as well as literature on other treatment modalities. Keywords: radiofrequency ablation, radiation proctopathy, BarRx, Halo catheter

  3. Die Tambaniprojek: ’n rekenaaranimasie van Die hebsugtige seekoei

    Rita M.C. Swanepoel


    Full Text Available Hierdie artikel bied ’n ondersoek na en refleksie op die tegnieke en die produksieprosesse wat gebruik is in die omskakeling van ’n tradisionele Ngano-Venda-volksverhaal, Die hebsugtige seekoei, vanaf borduurwerk in ’n digitale animasiefilm. Die artikel word gerig deur ’n metode wat afgelei is uit ’n praktykgebaseerde navorsingsmodel vir skeppende uitsette. Hierdie navorsingsmodel omskryf wyses waarvolgens skeppende uitsette as geldige navorsingsopsies gereken kan word. Die metode bestaan uit die dokumentering van en refleksie ten opsigte van die projek in drie fases, naamlik pre-produksie, produksie en post-produksie. Die Tambani-borduurwerkprojek is ’n gemeenskapsuitreikingsinisiatief wat deur Ina le Roux van stapel laat loop is. Ngano is die versamelwoord vir tradisionele Vendavolksverhale. In hierdie artikel argumenteer ons dat rekenaaranimasietegnieke wel suksesvol geïmplementeer word in die digitale omskakeling van ’n Venda-volksverhaal wat oorspronklik uit ’n mondelinge tradisie stam. Ons demonstreer hierdie argument aan die hand van Christiaan van der Westhuizen se omskakeling van Die hebsugtige seekoei in ’n rekenaaranimasie.

  4. Successful treatment of pituitary carcinoma with concurrent radiation, temozolomide, and bevacizumab after resection.

    Touma, Waseem; Hoostal, Spencer; Peterson, Richard A; Wiernik, Andres; SantaCruz, Karen S; Lou, Emil


    The optimal treatment of pituitary carcinomas (PC) is unknown. Treatment includes surgical resection, radiation, and more recently, temozolomide (TMZ). Pituitary adenomas have relatively high expression of vascular endothelial growth factor; therefore, bevacizumab, an antiangiogenic agent, has been used in a small number of aggressive or malignant pituitary tumors after recurrence. However, it has not been administered concurrently with other chemotherapeutic agents or combined with radiation therapy in PC. We present a 63-year-old man with an adrenocorticotropic hormone (ACTH)-secreting PC, causing visual loss. It was resected transsphenoidally. There were several notable factors placing the patient at high risk for recurrence including distant metastasis in the form of a pulmonary nodule. Morphologically, his tumor was a pituitary neoplasm with malignant histopathologic features. It had abundant mitotic figures and zones of necrosis. Six weeks post-surgery, the patient started concurrent chemoradiation, using combination therapy with TMZ and bevacizumab. TMZ was continued for 12 cycles in the adjuvant setting. The ACTH was effective as a serum-based tumor marker and normalized during treatment. The patient is alive, five years after diagnosis, with no recurrence to date. This is the first case of pituitary carcinoma treated successfully with concurrent chemoradiation therapy that combined TMZ and bevacizumab with a long-term follow up.

  5. Applications of radiation processing in combination with conventional treatments to assure food safety: New development

    Lacroix, M. [Canadian Irradiation Center, Research Laboratory in Sciences Applied to Food, INRS-Institut Armand-Frappier, 531 Boulevard des Prairies, Laval, Quebec (Canada)], E-mail:; Turgis, M. [Canadian Irradiation Center, Research Laboratory in Sciences Applied to Food, INRS-Institut Armand-Frappier, 531 Boulevard des Prairies, Laval, Quebec (Canada); Borsa, J. [MDS Nordion, 447 March Road, Kanata, Ontario, K2K 2P7 (Canada); Millette, M.; Salmieri, S.; Caillet, S. [Canadian Irradiation Center, Research Laboratory in Sciences Applied to Food, INRS-Institut Armand-Frappier, 531 Boulevard des Prairies, Laval, Quebec (Canada); Han, J. [Sungkyunkwan University, Department of Food Science and Biotechnology, Suwon 440-746 (Korea, Republic of)


    Spice extracts under the form of essential oils (Eos) were tested for their efficiency to increase the relative bacterial radiosensitivity (RBR) of Listeria monocytogenes, Escherichia coli and Salmonellatyphi in culture media under different atmospheric conditions. The selected Eos were tested for their ability to reduce the dose necessary to eliminate E. coli and S.typhi in medium fat ground beef (23% fat) and Listeria in ready-to-eat carrots when packed under air or under atmosphere rich in oxygen (MAP). Results have demonstrated that depending of the compound added and the combined treatment used, the RBR increased from 2 to 4 times. In order to evaluate the industrial feasibility, EOs were added in ground beef at a concentration which does not affect the taste and treated at a dose of 1.5 kGy. The content of total mesophilic aerobic, E. coli, Salmonella, total coliform, lactic acid bacteria, and Pseudomonas was determined during 28 days. The results showed that the combined treatment (radiation and EOs) can eliminate Salmonella and E. coli when done under air. When done under MAP, Pseudomonas could be eliminated and a shelf life of more than 28 days was observed. An active edible coating containing EOs was also developed and sprayed on ready-to-eat carrots before radiation treatment and Listeria was evaluated. A complete inhibition of Listeria was obtained at a dose of 0.5 kGy when applied under MAP. Our results have shown that the combination of an edible coating, MAP, and radiation can be used to maintain the safety of meat and vegetables.

  6. Applications of radiation processing in combination with conventional treatments to assure food safety: New development

    Lacroix, M.; Turgis, M.; Borsa, J.; Millette, M.; Salmieri, S.; Caillet, S.; Han, J.


    Spice extracts under the form of essential oils (Eos) were tested for their efficiency to increase the relative bacterial radiosensitivity (RBR) of Listeria monocytogenes, Escherichia coli and Salmonellatyphi in culture media under different atmospheric conditions. The selected Eos were tested for their ability to reduce the dose necessary to eliminate E. coli and S.typhi in medium fat ground beef (23% fat) and Listeria in ready-to-eat carrots when packed under air or under atmosphere rich in oxygen (MAP). Results have demonstrated that depending of the compound added and the combined treatment used, the RBR increased from 2 to 4 times. In order to evaluate the industrial feasibility, EOs were added in ground beef at a concentration which does not affect the taste and treated at a dose of 1.5 kGy. The content of total mesophilic aerobic, E. coli, Salmonella, total coliform, lactic acid bacteria, and Pseudomonas was determined during 28 days. The results showed that the combined treatment (radiation and EOs) can eliminate Salmonella and E. coli when done under air. When done under MAP, Pseudomonas could be eliminated and a shelf life of more than 28 days was observed. An active edible coating containing EOs was also developed and sprayed on ready-to-eat carrots before radiation treatment and Listeria was evaluated. A complete inhibition of Listeria was obtained at a dose of 0.5 kGy when applied under MAP. Our results have shown that the combination of an edible coating, MAP, and radiation can be used to maintain the safety of meat and vegetables.

  7. A System for Continual Quality Improvement of Normal Tissue Delineation for Radiation Therapy Treatment Planning

    Breunig, Jennifer; Hernandez, Sophy; Lin, Jeffrey; Alsager, Stacy; Dumstorf, Christine; Price, Jennifer; Steber, Jennifer; Garza, Richard; Nagda, Suneel; Melian, Edward; Emami, Bahman [Department of Radiation Oncology, Loyola University Medical Center, Maywood, Illinois (United States); Roeske, John C., E-mail: [Department of Radiation Oncology, Loyola University Medical Center, Maywood, Illinois (United States)


    Purpose: To implement the 'plan-do-check-act' (PDCA) cycle for the continual quality improvement of normal tissue contours used for radiation therapy treatment planning. Methods and Materials: The CT scans of patients treated for tumors of the brain, head and neck, thorax, pancreas and prostate were selected for this study. For each scan, a radiation oncologist and a diagnostic radiologist, outlined the normal tissues ('gold' contours) using Radiation Therapy Oncology Group (RTOG) guidelines. A total of 30 organs were delineated. Independently, 5 board-certified dosimetrists and 1 trainee then outlined the same organs. Metrics used to compare the agreement between the dosimetrists' contours and the gold contours included the Dice Similarity Coefficient (DSC), and a penalty function using distance to agreement. Based on these scores, dosimetrists were re-trained on those organs in which they did not receive a passing score, and they were subsequently re-tested. Results: Passing scores were achieved on 19 of 30 organs evaluated. These scores were correlated to organ volume. For organ volumes <8 cc, the average DSC was 0.61 vs organ volumes {>=}8 cc, for which the average DSC was 0.91 (P=.005). Normal tissues that had the lowest scores included the lenses, optic nerves, chiasm, cochlea, and esophagus. Of the 11 organs that were considered for re-testing, 10 showed improvement in the average score, and statistically significant improvement was noted in more than half of these organs after education and re-assessment. Conclusions: The results of this study indicate the feasibility of applying the PDCA cycle to assess competence in the delineation of individual organs, and to identify areas for improvement. With testing, guidance, and re-evaluation, contouring consistency can be obtained across multiple dosimetrists. Our expectation is that continual quality improvement using the PDCA approach will ensure more accurate treatments and dose

  8. Successful Treatment of an Angiosarcoma of the Nose with Radiation Therapy

    Vatsal B. Patel


    Full Text Available Angiosarcoma is a rare, aggressive malignancy of endothelial cells lining blood vessels. It poses therapeutic challenges since there is no standard established treatment. It is typically treated with resection and wide-field postoperative radiation therapy. Chemotherapy and radiation therapy have also been reported as initial therapies. Regardless of the treatment rendered, the risk of local regional failure and distant relapse remains high for this disease. We present the case of a patient who developed a well-differentiated angiosarcoma of the nose with bilateral malar extension. No commonly associated risk factors such as lymphedema, prior radiotherapy or chronic venous ulceration were present. Given her age, pre-existing renal condition and preference not to receive chemotherapy, systemic therapy was not utilized. Surgery was also refused by the patient due to the projected cosmetic deficit. The patient was ultimately treated with definitive radiotherapy, utilizing electrons to the central face, differential thickness bolus, an intraoral stent, eye shields, an aquaplast mask for immobilization and a wax-coated lead shield over the face in order to limit penumbra of the radiation beam. Right and left anterior 6-MV photons were used to tangentially treat the bilateral malar region in order to extend the field edges. At the time of this report, the patient remains disease free at nearly 2.0 years after radiotherapy. To the best of our knowledge, this represents only the second case in the literature reporting radiotherapy as a single modality treatment that resulted in complete remission of an angiosarcoma of the face.

  9. Chest radiation - discharge

    Radiation - chest - discharge; Cancer - chest radiation; Lymphoma - chest radiation ... When you have radiation treatment for cancer, your body goes through changes. About 2 weeks after your first treatment: It may be hard ...

  10. Intensity Modulated Radiation Treatment of Prostate Cancer Guided by High Field MR Spectroscopic Imaging


    for radiation treatment planning. Med Phys 2003;30:88–97. 9. Vedam SS, Keall PJ, Kini VR, Mostafavi H, Shukla HP, Mohan R. Acquiring a four-dimensional...G.; Shukla , H.; et al. Acquiring 4D thoracic CT scans using a multislice helical method. Phys. Med. Biol. 49:2053–67; 2004. 66. Low. D.A.; Nystrom...Phys 1983;10:410–5. 18. Schultheiss TE, Orton CG. Models in radiotherapy : definition of decision criteria. Med Phys 1985;12:183–7. 19. Martel MK

  11. Die historiese betroubaarheid van die aartsvadervertellinge. 'n Beknopte bespreking van die huidige debat na aanleiding van die jongste publikasie

    W. Vosloo


    Full Text Available Die afgelope twintig jaar was daar �n toenemende belangstelling in die aartsvadervertellinge in Genesis. Benewens die talle tydskrifartikels het skrywers soos die volgende ook boeke oor die onderwerp die lig laat sien: A. Parrot (1962, W. M. Clark (1964, R. Kilian (1966, R. E. Clements (1967, N. Lohfink (1967, H. Weidemann (1968, R. Martin-Achard (1969, T. L. Thompson (1974, J. van Seters (1975, J. P. Fokkelman (1975, C. Westermann (1976, R. Rendtorff (1977, J. Bright (1977, W. McKane (1979 en A. R. Millard en D. J. Wiseman (1980.

  12. Herausforderungen durch die deutsche Wiedervereinigung

    Stäglin, Reiner

    Die Wiedervereinigung stellte auch die Statistik vor große Aufgaben. Die als Organ der staatlichen Planung staatsnah orientierte Statistik der DDR musste auf das zur Neutralität und wissenschaftlichen Unabhängigkeit verpflichtete System der Bundesrepublik umgestellt werden. Ebenso verlangten die Universitäten eine Neuorientierung. Die Deutsche Statistische Gesellschaft hat sich vor allem dreier Aufgaben mit großem Engagement, aber auch mit Bedachtsamkeit angenommen: Aufnahme und Integration der Statistiker aus den neuen Bundesländern in die Gesellschaft, Begleitung der Neuausrichtung des Faches Statistik an deren Hochschulen und Sicherung sowie Nutzung von Datenbeständen der ehemaligen DDR.

  13. Gedagtes oor die begin van die kerk - 'n geskiedenis van ...

    seriously, affirm, and thankfully acknowledge Christendom, the. Church. We must ... In all this we at least approached the theology and practice of a spiritual partisan ..... Hegel se geskiedsfilosofie hou juis 'sintese' voor as die eindpunt van die.

  14. Motion management in positron emission tomography/computed tomography for radiation treatment planning.

    Bettinardi, Valentino; Picchio, Maria; Di Muzio, Nadia; Gilardi, Maria Carla


    Hybrid positron emission tomography (PET)/computed tomography (CT) scanners combine, in a unique gantry, 2 of the most important diagnostic imaging systems, a CT and a PET tomograph, enabling anatomical (CT) and functional (PET) studies to be performed in a single study session. Furthermore, as the 2 scanners use the same spatial coordinate system, the reconstructed CT and PET images are spatially co-registered, allowing an accurate localization of the functional signal over the corresponding anatomical structure. This peculiarity of the hybrid PET/CT system results in improved tumor characterization for oncological applications, and more recently, it was found to be also useful for target volume definition (TVD) and treatment planning in radiotherapy (RT) applications. In fact, the use of combined PET/CT information has been shown to improve the RT treatment plan when compared with that obtained by a CT alone. A limiting factor to the accuracy of TVD by PET/CT is organ and tumor motion, which is mainly due to patient respiration. In fact, respiratory motion has a degrading effect on PET/CT image quality, and this is also critical for TVD, as it can lead to possible tumor missing or undertreatment. Thus, the management of respiratory motion is becoming an increasingly essential component in RT treatment planning; indeed, it has been recognized that the use of personalized motion information can improve TVD and, consequently, permit increased tumor dosage while sparing surrounding healthy tissues and organs at risk. This review describes the methods used for motion management in PET/CT for radiation treatment planning. The article covers the following: (1) problems caused by organ and lesion motion owing to respiration, and the artifacts generated on CT, PET, and PET/CT images; (2) data acquisition and processing techniques used to manage respiratory motion in PET/CT studies; and (3) the use of personalized motion information for TVD and radiation treatment planning.

  15. Amelioration of radiation nephropathy in rats by postirradiation treatment with dexamethasone and/or captopril

    Geraci, J.P.; Sun, M.C.; Mariano, M.S. [Univ. of Washington, Seattle, WA (United States)


    Dexamethasone (DEX) and captopril are effective drugs in the treatment of radiation nephropathy in experimental animals. The aim of the present study was to determine the relative effectiveness of the two drugs and to see if their combination is more effective than either drug alone. For this purpose both kidneys of 143 rats were exposed surgically and irradiated with 13-20 Gy {gamma} rays. The surrounding tissues, with the exception of a segment of lumbar cord, were shielded. Each group had free access to acidified drinking water containing either DEX (94 {mu}g/l), captopril (500 mg/l), DEX (94{mu}g/l) + captopril (500 mg/l) or drug-free water. Dexamethasone treatment was stopped after 90 days, but animals continued to receive captopril until death. At approximately monthly intervals the animals were weighed and renal function (PUN, hematocrit, {sup 51}Cr-EDTA retention) was measured. A side effect of treatment with DEX and DEX + captopril was a reduced increase in body weight. Paralysis of the hind limbs developed in nine animals that received captopril and/or DEX treatment. The classical histological lesions associated with radiation myelopathy were not evident in these paretic rats. It is therefore suggested that paralysis may be attributed in part to drug-induced neurotoxicity in animals with impaired renal clearance. Macroscopically and histologically, nearly all the animals that survived more than 400 days had evidence of renal tumor development. dexamethasone and/or captopril appear to selectively ameliorate glomerular compared to tubular damage, based on histological findings. All three experimental treatments delayed but did not stop the progression of lethal renal injury as measured by kidney function tests and survival time. Median survival times for nontreated and captopril-DEX- and DEX + captopril-treated animals exposed to 14.5 to 19.0 Gy kidney irradiation were 175,242,261 and 395 days, respectively. 33 refs., 8 figs., 4 tabs.

  16. Bevacizumab for the Treatment of Radiation-Induced Cerebral Necrosis: A Systematic Review of the Literature

    Delishaj, Durim; Ursino, Stefano; Pasqualetti, Francesco; Cristaudo, Agostino; Cosottini, Mirco; Fabrini, Maria Grazia; Paiar, Fabiola


    Radiation necrosis (RN) of brain tissue is a serious late complication of brain irradiation and recently bevacizumab has been suggested as treatment option of RN. There is a lack of data in the literature regarding the effectiveness of bevacizumab for the treatment of RN. The purpose of this review was to perform a comprehensive analysis of all reported cases using bevacizumab for the treatment of brain RN. In September 2016, we performed a comprehensive literature search of the following electronic databases: PubMed, Web of Science, Scopus and Cochrane Library. The research for the review was conducted using a combination of the keywords “radiation necrosis”, “radiotherapy” and “bevacizumab” alongside the fields comprising article title, abstract and keywords. Randomized trials, non-randomized trials, prospective studies, retrospective studies and single case reports were included in the review. Our research generated 21 studies and 125 cases where bevacizumab had been used for the treatment of RN. The median follow-up was 8 months and the most frequent bevacizumab dose used was 7.5 mg/kg for 2 weeks with a median of four cycles. Low-dose bevacizumab resulted in effectiveness with improvement in both clinical and radiographic response. The median decrease in T1 contrast enhancement and in T2/FLAIR signal abnormality was 64% and 60%, respectively. A reduction in steroidal therapy was observed in majority of patients treated. Based on the data of our review, bevacizumab appears to be a promising agent for the treatment of brain RN. Future prospective studies are required to evaluate the role of bevacizumab in RN and to define the optimal scheduling, dosage and duration of therapy. PMID:28270886

  17. Combined effect of kinetin and radiation treatment on the cap opening of Agaricus bisporus

    Kovacs, E. (Koezponti Elelmiszeripari Kutato Intezet, Budapest (Hungary))


    Cultivated mushrooms (Agaricus bisporus) with a cap diameter of 3-5 cm were incubated at 20 deg C during the experimental period (30-72 h). The degree of cap opening was determined and the data were evaluated. It was found that kinetin solutions in the 0 to 32 mg kg/sup -1/ range stimulated the opening of the mushroom cap. The shorter the time elapsed between picking and treating the mushrooms, the greater was the effect. A kinetin solution with a concentration of 100 mg kg/sup -1/ inhibited the opening of the cap. Cap opening in irradiated mushrooms cannot be induced even with kinetin concentrations that stimulate cap opening. Treatment with 0, 2.5 and 10 kGy doses of radiation the stimulating effect on cap opening decreased as a function of the rising dose. The radiation effects in kinetin solutions and various natural cytokinins (zeatin, 2iP and 2iPA) were studied and it was found that cytokinin solutions lost 50-60% of their activity after a radiation dose of only 1 kGy.

  18. Bevacizumab as a treatment option for radiation-induced cerebral necrosis

    Matuschek, Christiane; Boelke, Edwin; Budach, Wilfried [Univ. Hospital Duesseldorf (Germany). Dept. of Radiation Oncology; Nawatny, Jens [Univ. Hospital Duesseldorf (Germany). Dept. of Radiology; Hoffmann, Thomas K. [Duisburg-Essen Univ., Essen (Germany). Dept. of Otorhinolaryngology; Peiper, Matthias; Orth, Klaus [Hospital Essen-Sued, Essen (Germany). Dept. of Surgery; Gerber, Peter Arne [Univ. Hospital Duesseldorf (Germany). Dept. of Dermatology; Rusnak, Ethelyn [State Univ. of New York, Buffalo, NY (United States). Dept. of Anesthesiology; Lammering, Guido [Univ. Hospital Duesseldorf (Germany). Dept. of Radiation Oncology; MAASTRO Clinic, Maastricht (Netherlands). Radiation Oncology


    Radiation necrosis of normal CNS tissue represents one of the main risk factors of brain irradiation, occurring more frequently and earlier at higher total doses and higher doses per fraction. At present, it is believed that the necrosis results due to increasing capillary permeability caused by cytokine release leading to extracellular edema. This process is sustained by endothelial dysfunction, tissue hypoxia, and subsequent necrosis. Consequently, blocking the vascular endothelial growth factor (VEGF) at an early stage could be an option to reduce the development of radiation necrosis by decreasing the vascular permeability. This might help to reverse the pathological mechanisms, improve the symptoms and prevent further progression. A patient with radiation-induced necrosis was treated with an anti-VEGF antibody (bevacizumab), in whom neurologic signs and symptoms improved in accordance with a decrease in T1-weighted fluid-attenuated inversion recovery signals. Our case report together with the current literature suggests bevacizumab as a treatment option for patients with symptoms and radiological signs of cerebral necrosis induced by radiotherapy. (orig.)

  19. Development of sterilized porridge for patients by combined treatment of food technology with radiation technology

    Kim, Jaehun; Choi, Jongil; Song, Beomseok; and others


    This research was conducted to develop patient foods of high quality using a radiation fusion technology with food processing. Radiation technique to increase calorie of porridge was established, and it was investigated that radiation effects on functional materials, which can could be added to increase functionality of patient foods. Moreover, sterilized semi-fluid meal (milk porridge) for patients with higher calorie was developed by a sterilization process by gamma irradiation, combined treatments to improve the sensory qualities, and fortification with various nutrients. Also, sensory survey on irradiated commercial patient foods was performed to find the problems and improvement points of the developed products. Optimal packaging material was selected by evaluation of effect of irradiation in packaging materials and a convenient package for consuming by patients was decided. Safety of the irradiated milk porridge was confirmed by in-vivo genotoxicological test, and its nutritional composition for patients was evaluated by nutritional analysis. Finally, the milk porridge was developed as liquid, dried, powdered, and pellet type products. This research may contribute to improve life quality of patients by supplement of various foods with high quality to immuno-compromised patients. Furthermore, economic profits and technological advances are expected by commercialization of the patient foods.

  20. Extra lethal damage due to residual incompletely repaired sublethal damage in hyperfractionated and continuous radiation treatment

    Chen, J.; van de Geijn, J.; Goffman, T. (ROB, DCT, NCI, NIH, Bethesda, Maryland 20892 (US))


    In the conventional linear--quadratic model of single-dose response, the {alpha} and {beta} terms reflect lethal damage created {ital during} the delivery of a dose, from two different presumed molecular processes, one linear with dose, the other quadratic. With the conventional one-fraction-per-day (or less) regimens, the sublethal damage (SLD), presumably repairing exponentially over time, is essentially completely fixed by the time of the next dose of radiation. If this assumption is true, the effects of subsequent fractions of radiation should be independent, that is, there should be little, if any, reversible damage left from previous fractions, at the time of the next dose. For multiple daily fractions, or for the limiting case, continuous radiation, this simplification may overlook damaged cells that have had insufficient time for repair. A generalized method is presented for accounting for extra lethal damage (ELD) arising from such residual SLD for hyperfractionation and continuous irradiation schemes. It may help to predict differences in toxicity and tumor control, if any, obtained with unconventional'' treatment regimens. A key element in the present model is the finite size and the dynamic character of the pool of sublethal damage. Besides creating the usual linear and quadratic components of lethal damage, each new fraction converts a certain fraction of the existing SLD into ELD, and creates some new SLD.

  1. Lipidsenker bei Hypertonie - Was besagt die Evidenz?

    Marte T


    Full Text Available Die Koexistenz von Risikofaktoren für atherosklerotische Prozesse, wie Hypertonie und Hypercholesterinämie, hat einen multiplikativen Effekt auf das Risiko kardiovaskulärer Ereignisse. Bislang wurden relativ wenige spezifische Daten zur Frage der Lipidintervention bei Hypertoniepatienten veröffentlicht. Post-hoc-Subgruppenanalysen der großen randomisierten kontrollierten Studien mit Statinen in der Primär- und Sekundärprävention lassen schließen, daß der relative kardiovaskuläre Benefit einer lipidsenkenden Behandlung bei normotensiven und hypertensiven Patientenpopulationen ähnlich ist. Dem Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT-LLT war es nicht möglich, einen Einfluß einer Statintherapie auf die Gesamtmortalität einer hypertensiven Kohorte zu zeigen. Die schlechte Compliance im Statin-Arm und eine hohe Rate an Statin-Einnahme in der "Kontrollgruppe" waren für dieses negative Ergebnis verantwortlich. Das Anglo-Scandinavian Cardiac Outcomes Trial – Lipid Lowering Arm (ASCOT-LLA untersuchte den Effekt der cholesterinreduzierenden Therapie in der Prävention atherosklerotischer Ereignisse bei Hypertonikern mit Gesamtcholesterinkonzentrationen von 250 mg/dl. Hier war ein Benefit ersichtlich, die absolute Risikoreduktion für diese Patientenpopulation war jedoch gering. Bezüglich der Frage, ob Antihypertensiva einen klinisch signifikanten Effekt auf die Blutfette haben, sind einige Studien durchgeführt worden. Die verfügbaren Daten zeigen aber nur einen marginalen Effekt. Zusammengefaßt sollte die Statintherapie bei gleichzeitig vorhandener Hypertonie vornehmlich in der Sekundärprävention ein integraler Bestandteil der Behandlung sein. In der Primärprävention hingegen sollte die Entscheidung bezüglich Statintherapie vom individuellen Gesamtrisiko abhängig gemacht werden.

  2. A Clinical Concept for Interfractional Adaptive Radiation Therapy in the Treatment of Head and Neck Cancer

    Jensen, Alexandra D., E-mail: [Department of Radiation Oncology, University of Heidelberg, Heidelberg (Germany); Nill, Simeon [Department of Medical Physics, German Cancer Research Centre (DKFZ), Heidelberg (Germany); Huber, Peter E. [Clinical Co-Operation Unit Radiation Oncology, German Cancer Research Centre (DKFZ), Heidelberg (Germany); Bendl, Rolf [Department of Medical Physics, German Cancer Research Centre (DKFZ), Heidelberg (Germany); Debus, Juergen; Muenter, Marc W. [Department of Radiation Oncology, University of Heidelberg, Heidelberg (Germany)


    Purpose: To present an approach to fast, interfractional adaptive RT in intensity-modulated radiation therapy (IMRT) of head and neck tumors in clinical routine. Ensuring adequate patient position throughout treatment proves challenging in high-precision RT despite elaborate immobilization. Because of weight loss, treatment plans must be adapted to account for requiring supportive therapy incl. feeding tube or parenteral nutrition without treatment breaks. Methods and Materials: In-room CT position checks are used to create adapted IMRT treatment plans by stereotactic correlation to the initial setup, and volumes are adapted to the new geometry. New IMRT treatment plans are prospectively created on the basis of position control scans using the initial optimization parameters in KonRad without requiring complete reoptimization and thus facilitating quick replanning in daily routine. Patients treated for squamous cell head and neck cancer (SCCHN) in 2006-2007 were evaluated as to necessity/number of replannings, weight loss, dose, and plan parameters. Results: Seventy-two patients with SCCHN received IMRT to the primary site and lymph nodes (median dose 70.4 Gy). All patients received concomitant chemotherapy requiring supportive therapy by feeding tube or parenteral nutrition. Median weight loss was 7.8 kg, median volume loss was approximately 7%. Fifteen of 72 patients required adaptation of their treatment plans at least once. Target coverage was improved by up to 10.7% (median dose). The increase of dose to spared parotid without replanning was 11.7%. Replanning including outlining and optimization was feasible within 2 hours for each patient, and treatment could be continued without any interruptions. Conclusion: To preserve high-quality dose application, treatment plans must be adapted to anatomical changes. Replanning based on position control scans therefore presents a practical approach in clinical routine. In the absence of clinically usable online

  3. Treatment burden in stage I seminoma: a comparison of surveillance and adjuvant radiation therapy.

    Leung, Eric; Warde, Padraig; Jewett, Michael; Panzarella, Tony; O'Malley, Martin; Sweet, Joan; Moore, Malcolm; Sturgeon, Jeremy; Gospodarowicz, Mary; Chung, Peter


    To examine the management and outcomes of patients with stage I seminoma and to relate these to overall treatment burden. A total of 764 patients with stage I seminoma underwent surveillance or adjuvant radiation therapy (RT) at a single institution. First relapse on surveillance was managed with RT alone, or with combination chemotherapy (ChT) for more extensive recurrence. Second relapse was managed with ChT. Relapse after adjuvant RT was treated with ChT. The treatment burden was measured, according to the specific treatment undertaken after orchiectomy, by defining treatment episodes as follows: surgery - one episode; one course of RT - one episode; one course of ChT - one episode. In all, 484 patients underwent surveillance and 280 received adjuvant RT. The 5- and 10-year overall survival rates were 98.6 and 97.7% for surveillance, and 97.2 and 91.4% for adjuvant RT. A total of 72 (15%) patients in the surveillance group relapsed; treatment for relapse was RT (n = 56), ChT (n = 15) and surgery (n = 1). Second relapse occurred in six patients; these patients were treated with ChT. Of the patients in the adjuvant RT group, 14 (5%) relapsed: salvage treatment was 10 - ChT (n = 10) surgery (n = 1) and further RT (n = 3). The overall treatment burden represented by number of treatment episodes per patient was 0.16 in the surveillance group and 1.05 in the adjuvant RT group. Surveillance reduces the overall treatment burden in patients with stage I seminoma and is the preferred management option. The selective use of RT at first relapse for patients on surveillance leads to a similar requirement for subsequent ChT to that for patients on adjuvant RT. © 2013 The Authors. BJU International © 2013 BJU International.

  4. Accelerated hypofractionated radiation therapy compared to conventionally fractionated radiation therapy for the treatment of inoperable non-small cell lung cancer

    Amini Arya


    Full Text Available Abstract Background While conventionally fractionated radiation therapy alone is an acceptable option for poor prognostic patients with unresectable stage III NSCLC, we hypothesized that accelerated hypofractionated radiotherapy will have similar efficacy without increasing toxicity. Methods This is a retrospective analysis of 300 patients diagnosed with stage III NSCLC treated between 1993 and 2009. Patients included in the study were medically or surgically inoperable, were free of metastatic disease at initial workup and did not receive concurrent chemotherapy. Patients were categorized into three groups. Group 1 received 45 Gy in 15 fractions over 3 weeks (Accelerated Radiotherapy (ACRT while group 2 received 60-63 Gy (Standard Radiation Therapy 1 (STRT1 and group 3 received > 63 Gy (Standard Radiation Therapy (STRT2. Results There were 119 (39.7% patients in the ACRT group, 90 (30.0% in STRT1 and 91 (30.3% in STRT2. More patients in the ACRT group had KPS ≤ 60 (p 5% (p = 0.002, and had stage 3B disease (p Conclusions Despite the limitations of a retrospective analysis, our experience of accelerated hypofractionated radiation therapy with 45 Gy in 15 fractions appears to be an acceptable treatment option for poor performance status patients with stage III inoperable tumors. Such a treatment regimen (or higher doses in 15 fractions should be prospectively evaluated using modern radiation technologies with the addition of sequential high dose chemotherapy in stage III NSCLC.

  5. Modeling the Mechanical Performance of Die Casting Dies

    R. Allen Miller


    The following report covers work performed at Ohio State on modeling the mechanical performance of dies. The focus of the project was development and particularly verification of finite element techniques used to model and predict displacements and stresses in die casting dies. The work entails a major case study performed with and industrial partner on a production die and laboratory experiments performed at Ohio State.

  6. Benefits of controlled ultraviolet radiation in the treatment of dermatological diseases.

    Situm, Mirna; Bulat, Vedrana; Majcen, Kristina; Dzapo, Antea; Jezovita, Josip


    Phototherapy is a second-line treatment modality for the most common dermatoses that is safe and effective. Most phototherapy regimens denote the use of ultraviolet (UV) radiation of different wavelengths in the management of several dermatoses. Currently, irradiations with broadband UVB (290-320 nm), narrowband UVB (311-313 nm), 308 nm excimer laser, UVA 1 (340-400 nm), UVA with psoralen (PUVA), and extracorporeal photochemotherapy (photopheresis) are being used. Beneficial effects of UV radiation are far from being completely understood. Dermatoses that may benefit from such approach are numerous, with psoriasis, parapsoriasis, atopic dermatitis, cutaneous T-cell lymphomas, morphea, and vitiligo vulgaris as main indications. UVB radiation primarily acts on cells at the epidermis and the epidermodermal junction, while UVA radiation affects epidermal and dermal components, especially blood vessels. UVradiation has im- mediate and delayed effects. Immediate effects are the formation of DNA photoproducts and DNA damage leading to apoptosis of heratinocytes, Langerhans cells, activated T-lymphocytes, neutrophils, macrophages, NK cells, fibroblasts, endothelial cells, and mast-cells, cell membrane damage by lipid peroxidation, and isomerization of chromophores such as urocanic acid. Delayed effects include synthesis of prostaglandins and cytokines that play important roles in immune suppression. Systemic and local immune suppression, alteration in cytokine expression (induction of interleukin-1 (IL-1) receptor antagonist, decrease in IL-2, increase in IL-IO, IL-15), and cell cycle arrest may all contribute to the suppression of disease activity. PUVA is a form of controlled and repeated induction of phototoxic reactions which uses UVA light to activate chemicals known as psoralens. The conjunction of psoralens with epidermal DNA inhibits DNA synthesis and causes cell apoptosis. PUVA also causes an alteration in the expression of cytokines and cytokine receptors

  7. Film Presentation: Die Urknallmaschine

    Carolyn Lee


    Die Urknallmaschine, an Austrian film by Gerd Baldauf, narrated by Norbert Frischauf (Alpha Österreich - ORF, 2009).  In CERN’s gigantic complex particles are accelerated to almost the speed of light, brought to collision and made to divide into even smaller particles. Public opinion of CERN’s research is also divided. Sceptics fear that black holes may be created. Might the goal to study the origin of the world lead to its destruction? The Austrian researcher Norbert Frischauf worked at CERN for many years. With his guidance it is possible to explore the world’s largest research centre, get a glimpse of the fascinating work the scientists do there and take a crash course in particle physics. Die Urknallmaschine will be presented on Friday, 25 June from 13:00 to 14:00 in the Main Auditorium. Language: German

  8. Dying for security

    Buchan, Bruce


    Full Text Available If political statements and media coverage are any guide, it seems Australians today are dying for security. At no other moment in our history has the spectre of war and terrorism so haunted popular, political and scholarly perceptions of Australia’s colonial past and of its geopolitical future. And yet, debates over colonial war or genocide and contemporary terrorism have been conducted in more or less complete isolation. In this article I argue that our contemporary obsession with ‘security’ is premised on the perennial threat of ‘insecurity’. This is the problem of in/security, and it has played a central role in the development of Western political thought. More importantly, its formulation in Western political thought provided a powerful justification for the violence of the early decades of Australia’s colonisation during which Indigenous Australians could also be said to have been dying for security.

  9. Dying for Security

    Bruce Buchan


    Full Text Available If political statements and media coverage are any guide, it seems Australians today are dying for security. At no other moment in our history has the spectre of war and terrorism so haunted popular, political and scholarly perceptions of Australia’s colonial past and of its geopolitical future. And yet, debates over colonial war or genocide and contemporary terrorism have been conducted in more or less complete isolation. In this article I argue that our contemporary obsession with ‘security’ is premised on the perennial threat of ‘insecurity’. This is the problem of in/security, and it has played a central role in the development of Western political thought. More importantly, its formulation in Western political thought provided a powerful justification for the violence of the early decades of Australia’s colonisation during which Indigenous Australians could also be said to have been dying for security.

  10. Advanced treatment planning methods for efficient radiation therapy with laser accelerated proton and ion beams.

    Schell, Stefan; Wilkens, Jan J


    Laser plasma acceleration can potentially replace large and expensive cyclotrons or synchrotrons for radiotherapy with protons and ions. On the way toward a clinical implementation, various challenges such as the maximum obtainable energy still remain to be solved. In any case, laser accelerated particles exhibit differences compared to particles from conventional accelerators. They typically have a wide energy spread and the beam is extremely pulsed (i.e., quantized) due to the pulsed nature of the employed lasers. The energy spread leads to depth dose curves that do not show a pristine Bragg peak but a wide high dose area, making precise radiotherapy impossible without an additional energy selection system. Problems with the beam quantization include the limited repetition rate and the number of accelerated particles per laser shot. This number might be too low, which requires a high repetition rate, or it might be too high, which requires an additional fluence selection system to reduce the number of particles. Trying to use laser accelerated particles in a conventional way such as spot scanning leads to long treatment times and a high amount of secondary radiation produced when blocking unwanted particles. The authors present methods of beam delivery and treatment planning that are specifically adapted to laser accelerated particles. In general, it is not necessary to fully utilize the energy selection system to create monoenergetic beams for the whole treatment plan. Instead, within wide parts of the target volume, beams with broader energy spectra can be used to simultaneously cover multiple axially adjacent spots of a conventional dose delivery grid as applied in intensity modulated particle therapy. If one laser shot produces too many particles, they can be distributed over a wider area with the help of a scattering foil and a multileaf collimator to cover multiple lateral spot positions at the same time. These methods are called axial and lateral

  11. Higher radiation dose with a shorter treatment duration improves outcome for locally advanced carcinoma of anal canal

    Kim Huang; Daphne Haas-Kogan; Vivian Weinberg; Richard Krieg


    AIM: To assess whether radiation dose and duration of treatment influence local control and survival of patients with locally advanced anal cancer treated with definitive chemoradiation.METHODS: Twenty-eight consecutive patients who were treated with definitive radiation therapy for bulky anal cancers(> 5 cm in size) were reviewed. Nineteen patients had T3 lesions, 8 patients had T4 lesions, and 15 patients had lymph node involvement. The median tumor size was 7.5 cm. All but one patient received concurrent chemoradiation. The median radiation dose was 54 Gy. The median duration of treatment was 58 d.RESULTS: With a median follow-up of 2.5 years in all patients and 7.8 years in living patients, the 2-year local recurrence-free probability was 57% and overall survival rate was 67%. Neither radiation dose nor duration of treatment alone was predictive of either time to local failure or overall survival. However, longer treatment breaks can potentially mask an advantage over higher radiation doses. Therefore, we examined those patients who received ≥ 54 Gy within 60 d, comparing them to the rest of the patients. Of patients who received ≥ 54 Gy within 60 d, local progression-free probability was 89% versus 42% for the rest of the group (P = 0.01).CONCLUSION: Local failure is a significant problem in locally advanced carcinomas of the anal canal. Higher radiation doses with limited treatment breaks may offer an increase in local control and survival.

  12. Dying from cardiac tamponade

    Powari Manish


    Full Text Available Abstract Background To determine the causes of cardiac tamponade (CT, focussing especially on haemopericardium (HP, as a terminal mode of death, within a 430,000 rural English population. Methods Our hospital mortuary register and, all postmortem reports between 1995 and 2004 inclusive, were interrogated for patients dying of CT or HP. The causes of CT/HP and selected morphological characteristics were then determined. Results 14,368 postmortems were performed in this period: of these, 461 patients died of CT. Three cases were due to non-haemorrhagic pericardial effusion. HP accounted for the remaining 458 cases of which, five were post-traumatic, 311 followed rupture of an acute myocardial infarction (RAMI, 138 after intra-pericardial rupture of dissecting ascending aortic aneurysms (RD3A and four were due to miscellaneous causes. HP was more commonly due to RAMI. Men tended to die from RAMI or RD3A earlier than women. RAMI or RD3A were commoner in men Two thirds of RAMI were associated with coronary artery thrombosis. Anterior free wall rupture was commonest overall, and in women, but posterior free wall rupture was commoner in men. The volume of intrapericardial blood in RAMI (mean = 440 ml and RD3A (mean = 498 ml varied between 150 and 1000 ml: intrapericardial blood volume was greater in men than in women dying from either RAMI or RD3A. Conclusion At postmortem, CT is most often related to HP, attributable to either RAMI or intrapericardial RD3A. Post-traumatic and other causes of CT are infrequent.

  13. Die medizinische Diskussion um die Fettleibigkeit 1800-1914

    Holstermann, Inga Kristine


    Gegenstand der Untersuchung ist die medizinische Diskussion um die Fettleibigkeit von 1800 bis 1914. Dargestellt werden die unterschiedlichen Betrachtungsweisen der Fettleibigkeit beeinflusst durch gesellschaftliche, industrielle und medizinische Entwicklungen im Untersuchungszeitraum unter den Aspekten der Ursachen (Lebensführung, erbliche Veranlagung, Geschlecht, Alter, Stoffwechselstörungen) und Folgen (Gesundheitsgefahren, Ästhetik, psychische Auswirkungen). Des weiteren werden Konzepte z...

  14. Die Leben Einsteins eine Reise durch die Geschichte der Physik



    Jeder kennt die Namen Einstein, Newton oder Galilei. aber was weiss man über sie? Hier ein Porträt Einsteins anhand von sechs Meilensteinen aus der Geschichte der Physik. Einstein tritt auf als Protagonist in verschiedenen Epochen und bei verschiedenen Entdeckungen, die die Welt verändert haben.

  15. Geslagsverskille in die ouditiewe ontlokte potensiaal van die brein

    Anita D Stuart


    Full Text Available Gender differences in the auditory evoked potential of the brain. Based on literature indications of an association between temperament characteristics and the evoked potential of the brain, and indications of gender differences in certain temperament traits, the purpose of this study was to ascertain whether evoked responses also differentiated between the genders. A sample of 81 male and 210 female students was randomly selected. Two auditory evoked potential procedures were applied. The results indicated statistically significant differences in evoked potential responses between the genders. The results are interpreted against the background of sensory and neurological sources of the evoked potential responses and linked to the neurophysiological foundations of temperament. Opsomming: Gegrond op aanduidings in die literatuur van ’n assosiasie tussen temperamentskenmerke en die ontlokte potensiaal van die brein, sowel as aanduidings van geslagsverskille in sekere temperamentstrekke, was die doel van die huidige studie om te bepaal of ontloktepotensiaal-response ook tussen die geslagte onderskei. ’n Steekproef van 81 manlike en 210 vroulike studente is ewekansig geselekteer. Twee ouditiewe ontloktepotensiaal- prosedures is toegepas. Die resultate het op statisties beduidende verskille tussen die geslagte gedui. Die bevindinge word teen die agtergrond van die sensoriese en neurologiese oorsprong van ontloktepotensiaal–response geïnterpreteer en verbind aan die neurofisiologiese verankering van temperament.

  16. Advances in treatment techniques: stereotactic body radiation therapy and the spread of hypofractionation.

    Kavanagh, Brian D; Miften, Moyed; Rabinovitch, Rachel A


    Radiation therapy (RT) is an essential component of the management of many cancers. Traditionally, a course of external bream RT often involved daily treatments for a duration of 6 weeks or longer in some instances. Now, however, emerging clinical evidence indicates that, for some common cancers, the total length of treatment can be substantially shortened, offering convenience to patients and opportunities for resource utilization efficiencies. This trend toward so-called hypofractionated RT has been supported by hypothesis-driven clinical research guided by a combination of radiobiological and clinical insights and technological enhancements. The present review presents the rationale behind and current status of hypofractionation for prostate, breast, and medically inoperable early stage lung cancer.

  17. Impact of ultraviolet radiation treatments on the quality of freshly prepared tomato (Solanum lycopersicum) juice.

    Bhat, Rajeev


    Impact of ultraviolet (UV-C) radiation treatments (0, 15, 30 and 60min) on freshly extracted tomato juice quality (physicochemical properties, antioxidant activity and microbial load) was evaluated. On exposure to UV-C, level of water activity, total soluble solids, and titratable acidity exhibited non-significant increase up to 30min of exposure time. Regarding colour analysis, L∗ value significantly increased with subsequent decrease in a∗ and b∗ values post UV-C treatments. Clarity, DPPH (1,1-diphenyl-2-picrylhydrazyl) radical scavenging activity and total phenolics content significantly increased, whereas ascorbic acid level significantly reduced at 60min of UV-C exposure time. So also, lycopene content exhibited a non-significant decrease after UV-C treatment. Microbial studies showed reduction in total plate count and total mould counts post UV-C treatment. Overall, UV-C treatment being a physical, non-thermal method of food preservation holds the ability to improve or preserve vital quality parameters in freshly prepared tomato juices, and henceforth possesses high scope for commercial exploration. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. State-of-the-art of external photon beam radiation treatment planning. Photon Treatment Planning Collaborative Working Group.


    A virtual revolution in computer capability has occurred in the last few years, largely based on rapidly decreasing costs and increasing reliability of digital memory and mass-storage capability. These developments have now made it possible to consider the application of both computer and display technologies to a much broader range of problems in radiation therapy, including planning of treatment, dose computation, and treatment verification. Several methods of three-dimensional dose computations in heterogeneous media capable of 3% accuracy are likely to be available, but significant work still remains, particularly for high energy x-rays where electron transport, and possibly pair production, need to be considered. Innovative display and planning techniques, as well as plan evaluation schemes, are emerging and show great promise for the future. No doubt these advances will lead to substantially improved treatment planning systems in the next few years. However, it must be emphasized that for many of these applications a tremendous software and hardware development effort is required.

  19. The Effect of High Dose Radioiodine Therapy on Formation of Radiation Retinopathy During Thyroid Cancer Treatment

    Tülay Kaçar Güvel


    Full Text Available Objective: Non-thyroidal complication of high-dose radioiodine therapy for thyroid carcinoma might cause salivary and lacrimal gland dysfunction, which may be transient or permanent in a dose-dependent manner. However, radiation retinopathy complicating 131I therapy, has not been previously well characterized. The aim of this study was to evaluate the extent of retinal damage among patients who had received high doses of radioiodine treatment. Methods: Forty eyes of 20 patients (3 male, 17 female who received 250-1000 mCi during 131I therapy and on ophthalmological follow up for a year after the last treatment were included in the study. Mean age of the study group was 50 years (range 25-70 years. In ophthalmologic examination, visual acuity was measured in order to determine visual loss. Intraocular pressure was measured in all the patients. Then lens examination was carried out with slit lamp biomicroscopy in order to investigate cataract or partial lens opacities. Fundus observation was carried out through the dilated pupil with slit lamp biomicroscopy using 90 D noncontact lens. Result: The best corrected visual aquity with Snellen chart was found as 1.0 in 36 eyes (90% and between 0.6 and 0.9 (10% in 4 eyes (10%. At the biomicroscopic fundus examination, retinal hemorrhage consistent with radiation retinopathy, microaneurysm, microinfarction, edema or exudation, vitreus hemorrhage, partial or total optical disc pallor indicating papillopathy in the optic disc were not observed in any of the eyes. Conclusion: This result indicates that there is not any significant correlation between repeated high-dose radioiodine therapy and radiation retinopathy in differentiated thyroid carcinomas. Even though there is not a significant restriction in use of higher doses of radioiodine therapy in differentiated thyroid carcinoma, more extensive studies are needed in order to obtain more accurate data on possible occurrence of retinopathy.

  20. Application of adipocyte-derived stem cells in treatment of cutaneous radiation syndrome.

    Riccobono, Diane; Agay, Diane; Scherthan, Harry; Forcheron, Fabien; Vivier, Mylène; Ballester, Bruno; Meineke, Viktor; Drouet, Michel


    Cutaneous radiation syndrome caused by local high dose irradiation is characterized by delayed outcome and incomplete healing. Recent therapeutic management of accidentally irradiated burn patients has suggested the benefit of local cellular therapy using mesenchymal stem cell grafting. According to the proposed strategy of early treatment, large amounts of stem cells would be necessary in the days following exposure and hospitalization, which would require allogeneic stem cells banking. In this context, the authors compared the benefit of local autologous and allogeneic adipocyte-derived stem cell injection in a large animal model. Minipigs were locally irradiated using a 60Co gamma source at a dose of 50 Gy and divided into three groups. Two groups were grafted with autologous (n = 5) or allogeneic (n = 5) adipocyte-derived stem cells four times after the radiation exposure, whereas the control group received the vehicle without cells (n = 8). A clinical score was elaborated to compare the efficiency of the three treatments. All controls exhibited local inflammatory injuries leading to a persistent painful necrosis, thus mimicking the clinical evolution in human victims. In the autologous adipocyte-derived stem cells group, skin healing without necrosis or uncontrollable pain was observed. In contrast, the clinical outcome was not significantly different in the adipocyte-derived stem cell allogeneic group when compared with controls. This study suggests that autologous adipocyte-derived stem cell grafting improves cutaneous radiation syndrome wound healing, whereas allogeneic adipocyte derived stem cells do not. Further studies will establish whether manipulation of allogeneic stem cells will improve their therapeutic potential.

  1. Advanced Treatment of Wastewater from UASB Reactor by Microfiltration Membrane Associated With Disinfection by Ultraviolet Radiation

    André Aguiar Battistelli


    Full Text Available The low efficiency of UASB bioreactors, regarding the removal of nutrient, organic matter and pathogens, makes it necessary to carry out a post treatment, in order to improve the quality of the effluent. Accordingly, this research has examined the use of microfiltration associated to the disinfection by the ultraviolet radiation, as an option to this post treatment. For so, were collected samples of UASB reactors’ effluent, in order to carry out some tests on a pilot microfiltration system, using in one of the samples pre-coagulation with vegetable tannin. After, all the microfiltrated samples were inserted in a UV reactor, applying different radiation doses, ranging from 43.8 to 194.9, to simulate the disinfection. The system used showed good results in terms of turbidity removal, apparent color, true color, phosphorus, nitrogen, total solids, total suspended solids and COD, reaching in the best operating condition, the following values: 1.90 uT, 15 uC, 10 uC, 0.94 mg/L, 17.64 mg/L, 123 mg/L, 0 mg/L and 10 mg/L, respectively, which represent the following removal percentages: 91.3%, 93.6%, 82.0%, 55.1%, 26.3%, 35% and 86.1%. The inactivation obtained for E. coli, total coliforms, colifagos and Clostridium perfrigens was satisfactory, achieving a higher inactivation than the detection limit of the method used, when submitted to the highests tested radiation doses. The average permeate flux ranged from 55.2 to 133.6 L.m-2.h-1.

  2. Concomitant treatment of F98 glioma cells with new liposomal platinum compounds and ionizing radiation.

    Charest, Gabriel; Paquette, Benoit; Fortin, David; Mathieu, David; Sanche, Léon


    Despite significant advances, the radiotherapy and chemotherapy protocols marginally improve the overall survival of patients with glioblastoma. Lipoplatin(TM), and Lipoxal(TM), the liposomal formulations of cisplatin and oxaliplatin respectively, were tested on the F98 glioma cells for their ability to improve the cell uptake and increase the synergic effect when combined with ionizing radiation. The cytotoxicity and synergic effect of platinum compounds were assessed by colony formation assay, while the cellular uptake was measured by Inductively Coupled Plasma Mass Spectrometer (ICP-MS). After 4 h exposure with platinum compounds, cells were irradiated (1.5-6.6 Gy) with a (60)Co source. The liposomal formulations were compared to their liposome-free analogs and to carboplatin. The concomitant treatment of F98 cells with carboplatin and radiation produced the highest radiosensitizing effect (30-fold increase). Among the platinum compounds tested, Lipoplatin(TM) produced the most promising results. This liposomal formulation of cisplatin improved the cell uptake by 3-fold, and its radiosensitizing potential was enhanced by 14-fold. Although Lipoxal(TM) can potentially reduce the adverse effect of oxaliplatin, a synergic effect with radiation was measured only when incubated at a concentration higher than its IC50. Conversely, concomitant treatment with cisplatin did not result in a synergic effect, as in fact a radioprotective effect was measured on the F98 cells. In conclusion, among the five platinum compounds tested, carboplatin and Lipoplatin(TM) showed the best radiosensitizing effect. Lipoplatin(TM) seems the most promising since it led to the best cellular incorporation and has already been reported to be less neurotoxic than other platinum compounds.

  3. Verrekening van die kragveld van die verbond in die inkleding van die kommunikatiewe driehoeksverhouding tussen teks, hoorder en prediker

    Friedrich W. de Wet


    Full Text Available In hierdie artikel word die kommunikatiewe driehoeksverhouding tussen die Bybelse teks, die hoorders en die prediker homileties verken. Die probleemstelling waarmee gewerk word handel oor potensiële versteurings wat kan plaasvind in hierdie driehoeksverhouding wanneer die hoorders en die prediker in hulle menslike beperktheid in verbinding gebring word met die ewige Woord van God soos dit in die Bybelse teks na vore kom. In die loop van die artikel word die volgende aspekte verken: ’n Ideale tipering van die verhouding tussen die teks, hoorders en prediker waarin al drie faktore ’n regmatige plek het; die maniere waarop die kommunikatiewe driehoek in die spanningsveld tussen teks, hoorders en prediker kan skeeftrek; en pneumatologiese verankering van die kommunikatiewe driehoek in die kragveld van die verbondsruimte, waarin Jesus Christus versoenend (integrerend teenwoordig is. Die gevolgtrekking waartoe gekom word, is dat die prediker in die kragveld van die verbond in staat gestel word om getrou te bly aan die teks (waarin God aan die Woord kom, aan die hoorders (as mededeelgenote in die genade van God sowel as – in missionêre konteks – mense wat geroep word om deelgenote in hierdie genade te word en aan hom- of haarself (as nuwe mens in Christus sonder dat die verbintenis aan een element in die  kommunikatiewe driehoek die verbintenis aan die ander versteur of laat disintegreer.Reckoning with the force field of the covenant in aligning the communicative triangle between text, listener and preacher. In this article the communicative triangular relationship between the Biblical text, the listeners and the preacher is reflected upon from a homiletic point of view. The problem statement deals with potential distortions in this triangular relationship when the listeners and preacher (in their human finitude are brought into contact with the eternal Word of God as it proceeds from the Biblical text. In the course of the article the

  4. Radiation dose delivery verification in the treatment of carcinoma-cervix

    Shrotriya, D., E-mail:; Srivastava, R. N. L. [Department of Radiotherapy, J.K. Cancer Institute Kanpur-208019 (India); Kumar, S. [Department of Physics, Christ Church College, Kanpur-208001 (India)


    The accurate dose delivery to the clinical target volume in radiotherapy can be affected by various pelvic tissues heterogeneities. An in-house heterogeneous woman pelvic phantom was designed and used to verify the consistency and computational capability of treatment planning system of radiation dose delivery in the treatment of cancer cervix. Oncentra 3D-TPS with collapsed cone convolution (CCC) dose calculation algorithm was used to generate AP/PA and box field technique plan. the radiation dose was delivered by Primus Linac (Siemens make) employing high energy 15 MV photon beam by isocenter technique. A PTW make, 0.125cc ionization chamber was used for direct measurements at various reference points in cervix, bladder and rectum. The study revealed that maximum variation between computed and measured dose at cervix reference point was 1% in both the techniques and 3% and 4% variation in AP/PA field and 5% and 4.5% in box technique at bladder and rectum points respectively.

  5. Radiation dose delivery verification in the treatment of carcinoma-cervix

    Shrotriya, D.; Kumar, S.; Srivastava, R. N. L.


    The accurate dose delivery to the clinical target volume in radiotherapy can be affected by various pelvic tissues heterogeneities. An in-house heterogeneous woman pelvic phantom was designed and used to verify the consistency and computational capability of treatment planning system of radiation dose delivery in the treatment of cancer cervix. Oncentra 3D-TPS with collapsed cone convolution (CCC) dose calculation algorithm was used to generate AP/PA and box field technique plan. the radiation dose was delivered by Primus Linac (Siemens make) employing high energy 15 MV photon beam by isocenter technique. A PTW make, 0.125cc ionization chamber was used for direct measurements at various reference points in cervix, bladder and rectum. The study revealed that maximum variation between computed and measured dose at cervix reference point was 1% in both the techniques and 3% and 4% variation in AP/PA field and 5% and 4.5% in box technique at bladder and rectum points respectively.

  6. Specular reflection treatment for the 3D radiative transfer equation solved with the discrete ordinates method

    Le Hardy, D. [Université de Nantes, LTN UMR CNRS 6607 (France); Favennec, Y., E-mail: [Université de Nantes, LTN UMR CNRS 6607 (France); Rousseau, B. [Université de Nantes, LTN UMR CNRS 6607 (France); Hecht, F. [Sorbonne Universités, UPMC Université Paris 06, UMR 7598, inria de Paris, Laboratoire Jacques-Louis Lions, F-75005, Paris (France)


    The contribution of this paper relies in the development of numerical algorithms for the mathematical treatment of specular reflection on borders when dealing with the numerical solution of radiative transfer problems. The radiative transfer equation being integro-differential, the discrete ordinates method allows to write down a set of semi-discrete equations in which weights are to be calculated. The calculation of these weights is well known to be based on either a quadrature or on angular discretization, making the use of such method straightforward for the state equation. Also, the diffuse contribution of reflection on borders is usually well taken into account. However, the calculation of accurate partition ratio coefficients is much more tricky for the specular condition applied on arbitrary geometrical borders. This paper presents algorithms that calculate analytically partition ratio coefficients needed in numerical treatments. The developed algorithms, combined with a decentered finite element scheme, are validated with the help of comparisons with analytical solutions before being applied on complex geometries.

  7. A Study Of The Potential For Digital Radiographic Data Acquisition For Radiation Therapy Treatment Planning

    Edwards, M.; Keller, J.; Hobson, G.


    While the quantitative nature of digital fluroscopic and digital radiographic imaging would seem to make possible many radiotherapeutic applications, significant problems must first be solved. The purpose of this study is to examine the potential benefits of digital imaging in radiation therapy, identify what problems must be solved to attain these benefits, and attempt to make some assessment as to the relative merits of developing such technologies. Among the potential benefits are ability to do contrast-subtraction studies for tumor and/or normal structure localization and portal placement, digital simulation of portal placement and treatment delivery, spatial localization and digitization of inhomogeneity boundaries, spatial localization and digitization of brachytherapy sources, and quantitative inhomogeneity acquisition for dosimetry calculations. Significant problems which must be solved include image receptor size limitations, image acquisition geometry related spatial distortion, three dimensional region calculation from limited views, and physical interpretation of digital image grey levels. Maximal benefits of digital imaging in radiation oncology is likely to be obtained by the development of large area image receptors for use in therapy simulators with direct data link to a combined image-analysis/treatment planning computer.

  8. Specular reflection treatment for the 3D radiative transfer equation solved with the discrete ordinates method

    Le Hardy, D.; Favennec, Y.; Rousseau, B.; Hecht, F.


    The contribution of this paper relies in the development of numerical algorithms for the mathematical treatment of specular reflection on borders when dealing with the numerical solution of radiative transfer problems. The radiative transfer equation being integro-differential, the discrete ordinates method allows to write down a set of semi-discrete equations in which weights are to be calculated. The calculation of these weights is well known to be based on either a quadrature or on angular discretization, making the use of such method straightforward for the state equation. Also, the diffuse contribution of reflection on borders is usually well taken into account. However, the calculation of accurate partition ratio coefficients is much more tricky for the specular condition applied on arbitrary geometrical borders. This paper presents algorithms that calculate analytically partition ratio coefficients needed in numerical treatments. The developed algorithms, combined with a decentered finite element scheme, are validated with the help of comparisons with analytical solutions before being applied on complex geometries.

  9. Die amtliche Kinder- und Jugendhilfestatistik

    Schilling, Matthias


    Unter Rückgriff auf verschiedene wissenschaftliche Methoden umfasst die Dissertation eine differenzierte Untersuchung der amtlichen Kinder- und Jugendhilfestatistik (KJH-Statistik). Da die wissenschaftliche Sozialpädagogik erst langsam und zögerlich beginnt, die amtliche Statistik der Kinder- und Jugendhilfe wahrzunehmen, liegt das Forschungsinteresse darin, dass eine grundlegende und umfassende wissenschaftliche Analyse der Möglichkeiten und Grenzen der KJH-Statistik vorgenommen wird. Die KJ...

  10. Functional analysis of molecular mechanisms of radiation induced apoptosis, that are not mediated by DNA damages; Funktionelle Analyse molekularer Mechanismen der strahleninduzierten Apoptose, die nicht ueber direkte DNA-Schaeden vermittelt werden

    Angermeier, Marita; Moertl, Simone [Helmholtz Zentrum Muenchen, Neuherberg (Germany). Inst. fuer Strahlenbiologie


    The effects of low-dose irradiation pose new challenges on the radiation protection efforts. Enhanced cellular radiation sensitivity is displayed by disturbed cellular reactions and resulting damage like cell cycle arrest, DNA repair and apoptosis. Apoptosis serves as genetically determinate parameter for the individual radiation sensitivity. In the frame of the project the radiation-induced apoptosis was mechanistically investigated. Since ionizing radiation induced direct DNA damage and generates a reactive oxygen species, the main focus of the research was the differentiation and weighting of DNA damage mediated apoptosis and apoptosis caused by the reactive oxygen species (ROS).

  11. Precision die design by the die expansion method

    Ibhadode, A O Akii


    This book presents a new method for the design of the precision dies used in cold-forging, extrusion and drawing processes. The method is based upon die expansion, and attempts to provide a clear-cut theoretical basis for the selection of critical die dimensions for this group of precision dies when the tolerance on product diameter (or thickness) is specified. It also presents a procedure for selecting the minimum-production-cost die from among a set of design alternatives. The mathematical content of the book is relatively simple and will present no difficulty to those who have taken basic c

  12. Incorporating Cancer Stem Cells in Radiation Therapy Treatment Response Modeling and the Implication in Glioblastoma Multiforme Treatment Resistance

    Yu, Victoria Y.; Nguyen, Dan; Pajonk, Frank; Kupelian, Patrick; Kaprealian, Tania; Selch, Michael; Low, Daniel A.; Sheng, Ke, E-mail:


    Purpose: To perform a preliminary exploration with a simplistic mathematical cancer stem cell (CSC) interaction model to determine whether the tumor-intrinsic heterogeneity and dynamic equilibrium between CSCs and differentiated cancer cells (DCCs) can better explain radiation therapy treatment response with a dual-compartment linear-quadratic (DLQ) model. Methods and Materials: The radiosensitivity parameters of CSCs and DCCs for cancer cell lines including glioblastoma multiforme (GBM), non–small cell lung cancer, melanoma, osteosarcoma, and prostate, cervical, and breast cancer were determined by performing robust least-square fitting using the DLQ model on published clonogenic survival data. Fitting performance was compared with the single-compartment LQ (SLQ) and universal survival curve models. The fitting results were then used in an ordinary differential equation describing the kinetics of DCCs and CSCs in response to 2- to 14.3-Gy fractionated treatments. The total dose to achieve tumor control and the fraction size that achieved the least normal biological equivalent dose were calculated. Results: Smaller cell survival fitting errors were observed using DLQ, with the exception of melanoma, which had a low α/β = 0.16 in SLQ. Ordinary differential equation simulation indicated lower normal tissue biological equivalent dose to achieve the same tumor control with a hypofractionated approach for 4 cell lines for the DLQ model, in contrast to SLQ, which favored 2 Gy per fraction for all cells except melanoma. The DLQ model indicated greater tumor radioresistance than SLQ, but the radioresistance was overcome by hypofractionation, other than the GBM cells, which responded poorly to all fractionations. Conclusion: The distinct radiosensitivity and dynamics between CSCs and DCCs in radiation therapy response could perhaps be one possible explanation for the heterogeneous intertumor response to hypofractionation and in some cases superior outcome from

  13. Gods hand in die natuur

    A. Duvenage


    Full Text Available Kan ons van so iets spreek? Daaroor bestaan daar seker geen verskil nie. Die Bybel is vol daarvan van Genesis tot Openbaring. God is Skepper. ’n Ander vraag is of ons God ook kan ken uit wat daar in die natuur gebeur? Verloop alles nie maar volgens ewige natuurwette waaraan tog niks verander kan word nie? Ons bely egter dat die Here nie net in die hart van die mens gelê het wat ons noem die „saad van die religie” nie (semen religionis, maar dat ons Hom ook ken deur die skep- ping, onderhouding en regering van die hele wêreld, aangesien dit voor ons oë is soos ’n mooi boek waarin alle skepsels, groot en klein, die letters is wat ons die onsigbare dinge van God duidelik laat sien, nl. sy ewige krag en Goddelikheid ...; dinge wat almal genoegsaam is om die mense te oortuig en hulle alle verontskuldiging te ontneem (Art. 2 Ned. Gel. Bel..

  14. Die eunug in die klassieke mitologie en samelewing

    F. P. Retief


    Full Text Available Die konsep, eunug, wat na ’n gekastreerde persoon (gewoonlik manlik verwys, het sy oorsprong in die mitologie. Van hier word dit deurgevolg na die Klassieke tydperk. Kastrering vir religieuse redes was deel van godsdiensrituele gekoppel aan verering van aardgodinne en fertiliteit. Die kultusse wat aan die godinne Kubele, Hekate, Atargatis-Dea, Astarte, Artemis en Innana-Ishtar gewy was en wat deur eunugpriesters bedien was, word beskryf. Kastrering vir niereligieuse redes, oorwegend weens sosio-ekonomiese oorwegings, het waarskynlik tydens die 2de millennium v.C. sy oorsprong in Midde-Oosterse lande gehad vanwaar dit teen ongeveer die 5de eeu v.C. na Griekeland, en twee eeue later na Rome uitgebrei het. ’n Oorsig word gelewer van die invloed en rol van die eunug ten tye van die klassieke beskawing. Die sogenaamde “kongenitale eunug” waar hipogonadisme weens ’n aangebore letsel ontstaan, ’n baie seldsame verskynsel, word nie verder bespreek nie.

  15. Quantification of beam complexity in intensity-modulated radiation therapy treatment plans

    Du, Weiliang, E-mail:; Cho, Sang Hyun; Zhang, Xiaodong; Kudchadker, Rajat J. [Department of Radiation Physics, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030 (United States); Hoffman, Karen E. [Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas 77030 (United States)


    Purpose: Excessive complexity in intensity-modulated radiation therapy (IMRT) plans increases the dose uncertainty, prolongs the treatment time, and increases the susceptibility to changes in patient or target geometry. To date, the tools for quantitative assessment of IMRT beam complexity are still lacking. In this study, The authors have sought to develop metrics to characterize different aspects of beam complexity and investigate the beam complexity for IMRT plans of different disease sites. Methods: The authors evaluated the beam complexity scores for 65 step-and-shoot IMRT plans from three sites (prostate, head and neck, and spine) and 26 volumetric-modulated arc therapy (VMAT) plans for the prostate. On the basis of the beam apertures and monitor unit weights of all segments, the authors calculated the mean aperture area, extent of aperture shape irregularity, and degree of beam modulation for each beam. Then the beam complexity values were averaged to obtain the complexity metrics of the IMRT plans. The authors studied the correlation between the beam complexity metrics and the quality assurance (QA) results. Finally, the effects of treatment planning parameters on beam complexity were studied. Results: The beam complexity scores were not uniform among the prostate IMRT beams from different gantry angles. The lateral beams had larger monitor units and smaller shape irregularity, while the anterior-posterior beams had larger modulation values. On average, the prostate IMRT plans had the smallest aperture irregularity, beam modulation, and normalized monitor units; the head and neck IMRT plans had large beam irregularity and beam modulation; and the spine stereotactic radiation therapy plans often had small beam apertures, which may have been associated with the relatively large discrepancies between planned and QA measured doses. There were weak correlations between the beam complexity scores and the measured dose errors. The prostate VMAT beams showed

  16. Automation and Intensity Modulated Radiation Therapy for Individualized High-Quality Tangent Breast Treatment Plans

    Purdie, Thomas G., E-mail: [Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Techna Institute, University Health Network, Toronto, Ontario (Canada); Dinniwell, Robert E.; Fyles, Anthony [Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Sharpe, Michael B. [Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario (Canada); Department of Radiation Oncology, University of Toronto, Toronto, Ontario (Canada); Techna Institute, University Health Network, Toronto, Ontario (Canada)


    Purpose: To demonstrate the large-scale clinical implementation and performance of an automated treatment planning methodology for tangential breast intensity modulated radiation therapy (IMRT). Methods and Materials: Automated planning was used to prospectively plan tangential breast IMRT treatment for 1661 patients between June 2009 and November 2012. The automated planning method emulates the manual steps performed by the user during treatment planning, including anatomical segmentation, beam placement, optimization, dose calculation, and plan documentation. The user specifies clinical requirements of the plan to be generated through a user interface embedded in the planning system. The automated method uses heuristic algorithms to define and simplify the technical aspects of the treatment planning process. Results: Automated planning was used in 1661 of 1708 patients receiving tangential breast IMRT during the time interval studied. Therefore, automated planning was applicable in greater than 97% of cases. The time for treatment planning using the automated process is routinely 5 to 6 minutes on standard commercially available planning hardware. We have shown a consistent reduction in plan rejections from plan reviews through the standard quality control process or weekly quality review multidisciplinary breast rounds as we have automated the planning process for tangential breast IMRT. Clinical plan acceptance increased from 97.3% using our previous semiautomated inverse method to 98.9% using the fully automated method. Conclusions: Automation has become the routine standard method for treatment planning of tangential breast IMRT at our institution and is clinically feasible on a large scale. The method has wide clinical applicability and can add tremendous efficiency, standardization, and quality to the current treatment planning process. The use of automated methods can allow centers to more rapidly adopt IMRT and enhance access to the documented

  17. Combination treatment with interleukin-2 and radiation for advanced renal cell carcinoma

    Ohnishi, Tetsuro; Machida, Toyohei; Saito, Kenichi; Ueda, Masataka; Tashiro, Kazuya; Kanehira, Chihiro; Mochizuki, Sachio (Jikei Univ., Tokyo (Japan). School of Medicine); Sawada, Takuko


    We attempted combination treatment with interleukin-2 (IL-2) and radiation for twelve advanced renal cell carcinoma patients. Treated lesions were lung in 3 (25.0%), bone in 2 (16.7%), retroperitoneal lymph node in 2 (16.7%), lung plus bone in 2 (16.7%), subcutaneous on the sternum in 1 (8.3%), renal bed in 1 (8.3%) and primary kidney in 1 (8.3%). The efficacy of this treatment modality was CR (complete remission) in 1 and PR (partial remission) in 2, with a response rate of 25.0% (3/12). As to the lesion response and response periods, there were CR in recurrence of renal bed (26 months), PR in retroperitoneal lymph node metastasis (16 weeks) and PR in subcutaneous on the sternum (6 weeks). Two of 4 patients with lung metastasis developed severe lung fibrosis, and continued no evidence of progression for 20 to 22 months. On the other hand, both of 2 patients showing PD (progressive disease) had bony metastases. The immunological changes induced by this combination treatment were an observable increase of WBC and peripheral blood lymphocytes (PBL). The subsets of PBL in responding patients revealed an increase of CD3-, CD4-, CD-8, and the ratio of CD4/CD8, CD16-and CD25-positive cells during the treatment session. In terms of complications all patients showed general fatigue and anorexia, and half of them had fever. With regard to the laboratory findings, all patients showed eosinophilia. Side effects were, however, not so serious as to prevent treatment. We concluded that this treatment modality is effective for patients with soft tissue metastasis, i.e., recurrence on the renal bed, and lung. However, it is difficult to cure patients with bony metastasis by this combination treatment. (author).

  18. Aard, funksie en invloed van die Literatuur

    J. van der Elst


    Full Text Available Binne die raam werk van die tema van hierdie simposium gaan dit om twee komponente:die Literatuur, meer bepaald die letterkundige werk of woordkunswerk met sy drie genres endie gemeenskap, die onlvangers of belewers van die Literatuur of doodgewoon die lesers.

  19. Videobasierte Unterrichtsbeobachtung: die Quadratur des Zirkels?

    Fankhauser, Regula


    Seit einigen Jahren wird Unterrichtsforschung vermehrt videobasiert angegangen. Die methodologische Diskussion, die die Weiterentwicklung des Instrumentariums begleitet, kreist dabei zentral um die Frage der Invasivität der Aufzeichnungstechnik und möglicher Kameraeffekte. Je nach methodologischer Ausrichtung wird diesem Problem anders begegnet: So versucht die abbildtheoretische Unterrichtsvideografie, die Invasivität zu kontrollieren. Qualitative Methoden wie die Kameraethnografie dagegen m...

  20. Autologous bone marrow stromal cell transplantation as a treatment for acute radiation enteritis induced by a moderate dose of radiation in dogs.

    Xu, Wenda; Chen, Jiang; Liu, Xu; Li, Hongyu; Qi, Xingshun; Guo, Xiaozhong


    Radiation enteritis is one of the most common complications of cancer radiotherapy, and the development of new and effective measures for its prevention and treatment is of great importance. Adult bone marrow stromal stem cells (ABMSCs) are capable of self-renewal and exhibit low immunogenicity. In this study, we investigated ABMSC transplantation as a treatment for acute radiation enteritis. We developed a dog model of acute radiation enteritis using abdominal intensity-modulated radiation therapy in a single X-ray dose of 14 Gy. ABMSCs were cultured in vitro, identified via immunofluorescence and flow cytometry, and double labeled with CM-Dil and superparamagnetic iron oxide (SPIO) before transplantation, which took place 48 hours after abdominal irradiation in a single fraction. The dog model of acute radiation enteritis was transplanted with cultured ABMSCs labeled with CM-Dil and SPIO into the mesenteric artery through the femoral artery. Compared with untreated control groups, dogs treated with ABMSCs exhibited substantially longer survival time and improved relief of clinical symptoms. ABMSC transplantation induced the regeneration of the intestinal epithelium and the recovery of intestinal function. Furthermore, ABMSC transplantation resulted in elevated serum levels of the anti-inflammatory cytokine interleukin-11 (IL10) and intestinal radioprotective factors, such as keratinocyte growth factor, basic fibroblast growth factor-2, and platelet-derived growth factor-B while reducing the serum level of the inflammatory cytokine IL17. ABMSCs induced the regeneration of the intestinal epithelium and regulated the secretion of serum cytokines and the expression of radioprotective proteins and thus could be beneficial in the development of novel and effective mitigators of and protectors against acute radiation enteritis.

  1. Die wisselende rol van kontinuïteit en diskontinuïteit in die geskiedenis van die filosofie en die wiskunde

    Danie F.M. Strauss


    Full Text Available Hierdie artikel wil lig werp op die onvermydelikheid van diskreetheid en kontinuïteit as primitiewe (ondefinieerbare verklaringswyses in die geskiedenis van die filosofie en die wiskunde. Dit beliggaam die algemene uitdaging om rekenskap van die samehang van iets wat uniek is te gee. Gödel beklemtoon die samehang van ‘primitiewe begrippe’. Die Griekse filosofie het reeds die ruimtelike geheel-dele-relasie – en die oneindige verdeelbaarheid daarvan – ontdek. Gedurende en na die Middeleeue het filosowe wipplank gery tussen ’n atomistiese waardering van die kontinuum en die teenoorgestelde daarvan, wat byvoorbeeld in die denke van Leibniz aangetref word as die gepostuleerde wet van kontinuïteit (lex continui. Die ontdekking van ‘inkommensurabiliteit’ (irrasionale getalle deur die Grieke het aanleiding gegee tot die eerste grondslagkrisis van die wiskunde en die geometrisering daarvan. Leibniz en Newton kon die probleme rondom die limietbegrip nie besleg nie en spoedig sou dit tot die derde grondslagkrisis van die wiskunde aanleiding gee. Dit het Frege en die ‘kontinuum-teoretici’ daartoe gebring om prioriteit aan die kontinuum te gee – diskreetheid is ’n katastrofe. Onlangs waardeer Smooth Infinitesimal Analysis kontinuïteit as iets wat ’n ‘ongebroke en ononderbroke geheel’ daarstel. Die intuïsionistiese wiskunde het opnuut aangesluit by die klem op die ruimtelike geheel-dele-relasie. Ondanks pogings om kontinuïteit eksklusief aritmeties en ruimtelik te verstaan bevestig die geskiedenis van die filosofie en die wiskunde onmiskenbaar dat die medekondisionerende rol van hierdie twee wyses van verklaring ’n konstante metgesel in die nadenke oor kontinuïteit en diskontinuïteit sou bly. (Die rol van kontinuïteit en diskontinuïteit in die fisika en biologie sal in ’n aparte artikel ondersoek word.

  2. Quarantine treatment for Sitophilus zeamais (Coleoptera: Curculionidae) through gamma radiation from Cobalt-60

    Ramos, Amanda Cristina Oliveira, E-mail: amandaramos@usp.b [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil); Potenza, Marcos Roberto, E-mail: [Instituto Biologico de Sao Paulo, Sao Paulo, SP (Brazil). Centro de Pesquisa e Desenvolvimento de Sanidade Vegetal; Arthur, Valter, E-mail: varthur@cena.usp.b [Centro de Energia Nuclear na Agricultura (CENA/USP), Piracicaba, SP (Brazil)


    Pests like beetles, moths, fungus and mites normally attack stored products such as grains, spices, flours, brans and tobacco in bale. Among these pests the Sitophilus zeamais is one of the most important pests due its elevated potential of reproduction, infesting a great number of products, inducing great damages. This work had as objective to determine the efficacy of gamma radiation from Cobalt-60 as quarantine treatment for S. zeamais. The insects used in this experiment were reared in maize grains, at the Laboratorio de Artropodes of the Instituto Biologico/SP, on climatic room with 27 +- 2 deg C of temperature and relative humidity of 70 +- 5%. Samples containing 25 adult insects were put in acrylic recipients measuring 2.8cm x 2.8cm. Each treatment had four repetitions, in a total of 100 insects for treatment. They were irradiated with growing doses of gamma radiation: 0 (control); 0,25; 0,5; 0,75; 1,0; 1,25; 1,5; 1,75; 2,0; 2,25 2,5; 2,75; 3,0; 3,5 e 4,0 kGy, in a experimental irradiator of Cobalt-60, model Gammacell-220, located at the Centro de Tecnologia da Radiacoes - CTR of the Instituto de Pesquisas Energeticas e Nucleares - IPEN/CNEN/SP. After irradiation, the samples were transferred to plastic recipients measuring 3,5cm x 10cm, with perforated lids (to allow gaseous exchanges). After the irradiation the samples were kept in climatic room (27 +- 2 deg C and 70 +- 5%). The mortality of insects was evaluated 1 hour after the irradiation and also on the next 7 days. By the results obtained we can conclude that was the dose of 2.75 kGy that induced the immediate mortality for adult insects of the specie S. zeamais. (author)

  3. Study of radiation dose attenuation by skull bone in head during radiotherapy treatment using MCNP

    Menezes, Artur F.; Boia, Leonardo S.; Trombetta, Debora M.; Martins, Maximiano C.; Reis Junior, Juraci P.; Silva, Ademir X., E-mail: ademir@con.ufrj.b [Coordenacao dos Programas de Pos-Graduacao de Engenharia (PEN/COPPE/UFRJ), RJ (Brazil). Programa de Engenharia Nuclear; Batista, Delano V.S., E-mail: [Instituto Nacional do Cancer (INCa), Rio de Janeiro, RJ (Brazil). Dept. de Fisica Medica


    In this study the MCNPX code was used to investigate possible influences of the attenuation beam by the surface bone during radiotherapy treatments of the skull. The computer simulation was performed on topographic image obtained from the National Cancer Institute, in Rio de Janeiro, database of patients treated with radiotherapy. The image segmentation process were performed using the SAPDI program developed to this purpose. The segmented image conversion for the input file recognized by MCNPX code was performed by SCAN2MCNP Software. The simulation was done using 10MeV Clinac 2300C spectrum considering two opposite parallel beams, with field size 2x2 and 4x4 cm{sup 2}, incident on a slice located above the eyes, containing two row of detectors positioned on the central region with a radius of 0.03 cm and arranged perpendicular to the radiation beams. After analyze the results, the relative error values in the range of 2 at 4% for the high dose region, and 26 at 37% for the low dose area were found, respectively. These differences were attributed to the radiation field attenuation on the bone surface at the entrance of the beam. It was observed that most situations on the high dose region the beam profile, from more realistic scenarios, became smaller than the one obtained when the tomography image was considered consisting of water. However for the low dose area the profile, obtained of the realistic situation, became higher than the one which was obtained when the tomography image was considered consisting of water. The results showed significant differences between both analyzed cases which show the need to use a correction factor by the treatment planning system used in radiotherapy services when the real chemical composition of patient head is unconsidered during the patient treatment planning. (author)

  4. Independent verification of monitor unit calculation for radiation treatment planning system.

    Chen, Li; Chen, Li-Xin; Huang, Shao-Min; Sun, Wen-Zhao; Sun, Hong-Qiang; Deng, Xiao-Wu


    To ensure the accuracy of dose calculation for radiation treatment plans is an important part of quality assurance (QA) procedures for radiotherapy. This study evaluated the Monitor Units (MU) calculation accuracy of a third-party QA software and a 3-dimensional treatment planning system (3D TPS), to investigate the feasibility and reliability of independent verification for radiation treatment planning. Test plans in a homogenous phantom were designed with 3-D TPS, according to the International Atomic Energy Agency (IAEA) Technical Report No. 430, including open, blocked, wedge, and multileaf collimator (MLC) fields. Test plans were delivered and measured in the phantom. The delivered doses were input to the QA software and the independent calculated MUs were compared with delivery. All test plans were verified with independent calculation and phantom measurements separately, and the differences of the two kinds of verification were then compared. The deviation of the independent calculation to the measurements was (0.1 +/- 0.9)%, the biggest difference fell onto the plans that used block and wedge fields (2.0%). The mean MU difference between the TPS and the QA software was (0.6 +/- 1.0)%, ranging from -0.8% to 2.8%. The deviation in dose of the TPS calculation compared to the measurements was (-0.2 +/- 1.7)%, ranging from -3.9% to 2.9%. MU accuracy of the third-party QA software is clinically acceptable. Similar results were achieved with the independent calculations and the phantom measurements for all test plans. The tested independent calculation software can be used as an efficient tool for TPS plan verification.

  5. High resolution X-ray fluorescence imaging for a microbeam radiation therapy treatment planning system

    Chtcheprov, Pavel; Inscoe, Christina; Burk, Laurel; Ger, Rachel; Yuan, Hong; Lu, Jianping; Chang, Sha; Zhou, Otto


    Microbeam radiation therapy (MRT) uses an array of high-dose, narrow (~100 μm) beams separated by a fraction of a millimeter to treat various radio-resistant, deep-seated tumors. MRT has been shown to spare normal tissue up to 1000 Gy of entrance dose while still being highly tumoricidal. Current methods of tumor localization for our MRT treatments require MRI and X-ray imaging with subject motion and image registration that contribute to the measurement error. The purpose of this study is to develop a novel form of imaging to quickly and accurately assist in high resolution target positioning for MRT treatments using X-ray fluorescence (XRF). The key to this method is using the microbeam to both treat and image. High Z contrast media is injected into the phantom or blood pool of the subject prior to imaging. Using a collimated spectrum analyzer, the region of interest is scanned through the MRT beam and the fluorescence signal is recorded for each slice. The signal can be processed to show vascular differences in the tissue and isolate tumor regions. Using the radiation therapy source as the imaging source, repositioning and registration errors are eliminated. A phantom study showed that a spatial resolution of a fraction of microbeam width can be achieved by precision translation of the mouse stage. Preliminary results from an animal study showed accurate iodine profusion, confirmed by CT. The proposed image guidance method, using XRF to locate and ablate tumors, can be used as a fast and accurate MRT treatment planning system.

  6. Reuchlin und die Kabbala


    Auszug: Hundert Jahre nachdem Johannes Reuchlin sein wissenschaftliches Werk vollendet hatte, war der von ihm hinterlassene Eindruck auf die europäische Wissenschaft und das europäische Denken so nachdrücklich, daß er - liebe- oder vorwurfsvoll - einmal >Rabbi Capnion< genannt wurde. Und wirklich - so meint Joseph Blau in seiner Darstellung der christlichen Kabbala - habe Reuchlin der hebräischen Literatur mehr gedient als mancher ordentliche Rabbiner. Ähnlich hat Gershom Scholem, der Begründ...

  7. Die Mythosphilosophie Ernst Cassirers

    Pedersen, Esther Oluffa

    Bogen undersøger Ernst Cassirers filosofiske hovedværk - Die Philosophie der symbolischen Formen - for at finde frem til, hvilken betydning det har, at Cassirer inddrager myten som den menneskelige kulturs grundform og dermed på mange måder sidestillet med videnskab, sprog og kunst. Der...... argumenteres for, at netop arbejdet med myten muliggjorde en frugtbar åbning af erkendelsesteorien i retning af udtryksfænomenet og følelsers betydning for menneskets livsverden. Bogens anden del ser nærmere på, hvordan Cassirer bruger sin mytefilosofi fra 1920'erne til at forstå 1940'ernes fascistiske...

  8. WE-G-16A-01: Evolution of Radiation Treatment Planning

    Rothenberg, L [Memorial Sloan-Kettering Cancer Center, New York, NY (United States); Mohan, R [UT MD Anderson Cancer Center, Houston, TX (United States); Van Dyk, J [Western University, London, ON (United Kingdom); Fraass, B [Cedars-Sinai Medical Center, Los Angeles, CA (United States); Bortfeld, T [Massachusetts General Hospital, Boston, MA (United States)


    Welcome and Introduction - Lawrence N. Rothenberg This symposium is one a continuing series of presentations at AAPM Annual Meetings on the historical aspects of medical physics, radiology, and radiation oncology that have been organized by the AAPM History Committee. Information on previous presentations including “Early Developments in Teletherapy” (Indianapolis 2013), “Historical Aspects of Cross-Sectional Imaging” (Charlotte 2012), “Historical Aspects of Brachytherapy” (Vancouver 2011), “50 Years of Women in Medical Physics” (Houston 2008), and “Roentgen's Early Investigations” (Minneapolis 2007) can be found in the Education Section of the AAPM Website. The Austin 2014 History Symposium will be on “Evolution of Radiation Treatment Planning.” Overview - Radhe Mohan Treatment planning is one of the most critical components in the chain of radiation therapy of cancers. Treatment plans of today contain a wide variety of sophisticated information conveying the potential clinical effectiveness of the designed treatment to practitioners. Examples of such information include dose distributions superimposed on three- or even four-dimensional anatomic images; dose volume histograms, dose, dose-volume and dose-response indices for anatomic structures of interest; etc. These data are used for evaluating treatment plans and for making treatment decisions. The current state-of-the-art has evolved from the 1940s era when the dose to the tumor and normal tissues was estimated approximately by manual means. However, the symposium will cover the history of the field from the late-1950's, when computers were first introduced for treatment planning, to the present state involving the use of high performance computing and advanced multi-dimensional anatomic, functional and biological imaging, focusing only on external beam treatment planning. The symposium will start with a general overview of the treatment planning process including imaging

  9. Die ideaal van die spreker in die satiriese gedig: M.M. Walters

    S. M. Cameron


    Full Text Available Wanneer van die satirikus gepraat word, word eintlik die spreker in die satiriese gedig veronderstel. “For the Muse ought always to be our reminder that it is not the author as man who casts these shadows on our printed page, but the author as poet” (Mack, 1971:193.

  10. Radiation treatment for the right naris in a pediatric anesthesia patient using an adaptive oral airway technique

    Sponseller, Patricia, E-mail:; Pelly, Nicole; Trister, Andrew; Ford, Eric; Ermoian, Ralph


    Radiation therapy for pediatric patients often includes the use of intravenous anesthesia with supplemental oxygen delivered via the nasal cannula. Here, we describe the use of an adaptive anesthesia technique for electron irradiation of the right naris in a preschool-aged patient treated under anesthesia. The need for an intranasal bolus plug precluded the use of standard oxygen supplementation. This novel technique required the multidisciplinary expertise of anesthesiologists, radiation therapists, medical dosimetrists, medical physicists, and radiation oncologists to ensure a safe and reproducible treatment course.

  11. Cherenkov imaging during volumetric modulated arc therapy for real-time radiation beam tracking and treatment response monitoring

    Andreozzi, Jacqueline M.; Zhang, Rongxiao; Glaser, Adam K.; Gladstone, David J.; Jarvis, Lesley A.; Pogue, Brian W.


    External beam radiotherapy utilizes high energy radiation to target cancer with dynamic, patient-specific treatment plans. The otherwise invisible radiation beam can be observed via the optical Cherenkov photons emitted from interaction between the high energy beam and tissue. Using a specialized camera-system, the Cherenkov emission can thus be used to track the radiation beam on the surface of the patient in real-time, even for complex cases such as volumetric modulated arc therapy (VMAT). Two patients undergoing VMAT of the head and neck were imaged and analyzed, and the viability of the system to provide clinical feedback was established.

  12. Influence of different treatment techniques on radiation dose to the LAD coronary artery

    Molls Michael


    Full Text Available Abstract Background The purpose of this proof-of-principle study was to test the ability of an intensity-modulated radiotherapy (IMRT technique to reduce the radiation dose to the heart plus the left ventricle and a coronary artery. Radiation-induced heart disease might be a serious complication in long-term cancer survivors. Methods Planning CT scans from 6 female patients were available. They were part of a previous study of mediastinal IMRT for target volumes used in lymphoma treatment that included 8 patients and represent all cases where the left anterior descending coronary artery (LAD could be contoured. We compared 6 MV AP/PA opposed fields to a 3D conformal 4-field technique and an optimised 7-field step-and-shoot IMRT technique and evaluated DVH's for several structures. The planning system was BrainSCAN 5.21 (BrainLAB, Heimstetten, Germany. Results IMRT maintained target volume coverage but resulted in better dose reduction to the heart, left ventricle and LAD than the other techniques. Selective dose reduction could be accomplished, although not to the degree initially attempted. The median LAD dose was approximately 50% lower with IMRT. In 5 out of 6 patients, IMRT was the best technique with regard to heart sparing. Conclusion IMRT techniques are able to reduce the radiation dose to the heart. In addition to dose reduction to whole heart, individualised dose distributions can be created, which spare, e.g., one ventricle plus one of the coronary arteries. Certain patients with well-defined vessel pathology might profit from an approach of general heart sparing with further selective dose reduction, accounting for the individual aspects of pre-existing damage.

  13. Treatment outcome of thymic epithelial tumor: prognostic factors and optimal postoperative radiation therapy

    Oh, Dong Ryul; Ahn, Yong Chan; Kim, Kwan Min; Kim, Jhin Gook; Shim, Young Mog; Han, Jung Ho [Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)


    This study was conducted to analyze treatment outcome and prognostic significance of World Health Organization (WHO)-defined thymic epithelial tumor (TET) subtype and to assess optimal radiation target volume in patients receiving surgery and adjuvant radiation therapy with TET. The record of 160 patients with TET, who received surgical resection at the Samsung medical Center, from December 1994 to June 2004, were reviewed. 99 patients were treated with postoperative radiation therapy (PORT). PORT was recommended when patients had more than one findings among suspicious incomplete resection or positive resection margin or Masaoka stage II {approx} IV or WHO tumor type B2 {approx} C. PORT performed to primary tumor bed only with a mean dose of 54 Gy. The prognostic factor and pattern of failure were analyzed retrospectively. The overall survival rate at 5 years was 87.3%. Age (more than 60 years 77.8%, less than 60 years 91.1%; {rho} = 0.03), Masaoka stage (I 92.2%, II 95.4%, III 82.1%, IV 67.5%; {rho} = 0.001), WHO tumor type (A-B1 96.0%, B2-C 82.3%; {rho} = 0.001), Extent of resection (R0 resection 92.3%, R1 or 2 resection 72.6%; {rho} = 0.001) were the prognostic factors according to univariate analysis. But WHO tumor type was the only significant prognostic factor according to multivariate analysis. Recurrence was observed in 5 patients of 71 Masoka stage I-III patients who received grossly complete tumor removal (R0, R1 resection ) and PORT to primary tumor bed. Mediastinal recurrence was observed in only one patients. There were no recurrence within irradiation field. WHO tumor type was the important prognostic factor to predict survival of patients with TET. This study suggest that PORT to only primary tumor bed was optimal. To avoid pleura-or pericardium-based recurrence, further study of effective chemotherapy should be investigated.

  14. Tertiary Treatment of Effluent from Holston AAP (Army Ammunition Plant) Industrial Liquid Waste Treatment Facility. 4. Ultraviolet Radiation and Hydrogen Peroxide Studies: TNT, RDX, HMX, TAX, and SEX


    AAP Technical Report INDUSTRIAL LIQUID WASTE TREATMENT FACILITY Feb 1983 - Aug 1983 IV. ULTRAVIOLET RADIATION AND HYDROGEN PEROXIDE 1. PERPnRUINe ORO ...ultraviolet light. The production of nitrate-nitrogen and loss of total organic carbon was reportedly indicative of the mineralization of TNT. 5...Treatment of Effluent from Holston AAP Industrial Liquid Waste Treatment Facility. II. Corona Oxidation Studies: TNT, RDX, HMX, TAX, and SEX. Technical

  15. Quality of Intensity Modulated Radiation Therapy Treatment Plans Using a ⁶⁰Co Magnetic Resonance Image Guidance Radiation Therapy System.

    Wooten, H Omar; Green, Olga; Yang, Min; DeWees, Todd; Kashani, Rojano; Olsen, Jeff; Michalski, Jeff; Yang, Deshan; Tanderup, Kari; Hu, Yanle; Li, H Harold; Mutic, Sasa


    This work describes a commercial treatment planning system, its technical features, and its capabilities for creating (60)Co intensity modulated radiation therapy (IMRT) treatment plans for a magnetic resonance image guidance radiation therapy (MR-IGRT) system. The ViewRay treatment planning system (Oakwood Village, OH) was used to create (60)Co IMRT treatment plans for 33 cancer patients with disease in the abdominal, pelvic, thorax, and head and neck regions using physician-specified patient-specific target coverage and organ at risk (OAR) objectives. Backup plans using a third-party linear accelerator (linac)-based planning system were also created. Plans were evaluated by attending physicians and approved for treatment. The (60)Co and linac plans were compared by evaluating conformity numbers (CN) with 100% and 95% of prescription reference doses and heterogeneity indices (HI) for planning target volumes (PTVs) and maximum, mean, and dose-volume histogram (DVH) values for OARs. All (60)Co IMRT plans achieved PTV coverage and OAR sparing that were similar to linac plans. PTV conformity for (60)Co was within 20 Gy. The mean doses for all (60)Co plan OARs were within clinical tolerances. A commercial (60)Co MR-IGRT device can produce highly conformal IMRT treatment plans similar in quality to linac IMRT for a variety of disease sites. Additional work is in progress to evaluate the clinical benefit of other novel features of this MR-IGRT system. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Die historiese Jesus, die Jesus-beweging en die vorming van die kerk

    Andries van Aarde


    Full Text Available The historical Jesus, the Jesus movement and the birth of the church. The article focuses on the birth of the church. The point at which the church began its existence is located within the boundaries of fonnative Judaism. The parting of the ways is explained as a movement from faction to sect, to the eventual fonnation of the church in its own right as distinct from the synagogue. The historical Jesus should therefore not be seen as the founder of the church. However, the article argues that the relation of the life and death of the historical Jesus to the resurrection belief of the post-paschal Jesus movement constitutes the cradle of the church. This continuum between Jesus and New Testament Christendom is referred to by means of the Gennan phrase die Sache Jesu. Reconsideration of this trajectory results in the conviction that the vision and program of the historical Jesus cannot be neglected when one reflects on the nature of the church in the New Testament or on the vocation of the church through history to the present day. Two thought complexes form the kernel of die Sache Jesu: God's unbounded presence and the concept that everyone has unmediated and non-hierarchical access to the grace of God.

  17. Die hermeneutiek van gereformeerde kerkreg

    Andries le Roux du Plooy


    Full Text Available Die artikel het op die belangrikheid en noodsaaklikheid van ‘n hermeneutiek vir die gereformeerde kerkreg gefokus. Die kerkregtelike dokument wat besonderlik ter sake was, is die kerkorde van die Gereformeerde kerke in Suid-Afrika, met sy besondere band met die Dordtse kerkorde van 1618 en 1619. Agtereenvolgens is aandag gegee aan die volgende aspekte soos (1 die eiesoortige aard van ‘n kerkorde as ‘n teologiese dokument en teks, in onderskeiding van regsdokumente; (2 die aard van die hermeneutiek van kerkreg; (3 enkele teorieë oor die interpretasie of uitleg van tekste, veral regstekste en (4 normatiewe vooronderstellings en reëls vir die interpretasie en verstaan van die teks en artikels van die kerkorde asook besluite van kerklike vergaderinge. Die gevolgtrekking was dat weinig indringende navorsing gedoen is oor die saak van hermeneutiek vir kerkreg, hoewel dit noodsaaklik is. Duidelike hermeneutiese reëls is gesuggereer en verduidelik, wat sou kon meehelp dat kerke en kerklike vergaderinge die artikels van die kerkorde asook besluite en reglemente wat daarop berus het, kan interpreteer en toepas.The hermeneutics of reformed church polity. The article focused on the importance and urgency of a design for reformed hermeneutics on church polity. The Church Order referred to in the article is the Church Order of the Reformed Churches in South Africa, which are closely related to the Church Order of Dordt of 1618 and 1619. The following aspects received attention namely (1  the unique character of a Church Order, in comparison to and distinguished from legal documents and statutes; (2 the character and nature of hermeneutics of church polity; (3 theories of interpretation in the common law tradition and their relevance to church polity and (4 normative presuppositions and marks for the interpretation and understanding of the text and articles of the Church Order, as well as the resolutions of church assemblies. It was found that

  18. Treatment with intensity-modulated radiation therapy (IMRT) for breast cancer

    Marta, G.N.; Hanna, S.A.; Gadia, R.


    Through the development of four relevant clinical questions related with the proposed subject, we tried to present the main evidence for safety, toxicity and effectiveness using different radiotherapy techniques. The study population consisted of female patients of all ages with primary breast cancer treated with radiation therapy to the whole breast, regardless of histological type, staging, context of treatment (radical, adjuvant or palliative) and whether comorbidities were present or not. For this, a systematic review of the literature was performed in primary scientific research databases (Medline - Pubmed; Embase - Elsevier; Lilacs - Bireme; Cochrane Library - Central Register of Controlled Trials). All articles available until July 22, 2013, were included. The search strategy used for Medline research is described in Appendix. Articles were selected based on critical evaluation in search of the best available evidence. Recommendations were prepared based on discussion with the writing group, composed of three members of the Brazilian Society of Radiotherapy. The guideline was reviewed by an independent group specializing in evidence-based clinical guidelines. After completion, the guideline was made available for public consultation for 15 days and the suggestions forwarded to the writers for evaluation and consideration into the final text. Objective: to assess the most appropriate method of radiation therapy for treating patients with primary breast tumors. (author)

  19. The effectiveness of electromagnetic terahertz radiation use in the treatment of patients with rapidly progressive periodontitis

    Zelenova A.V.


    Full Text Available The aim: to increase the efficiency of treatment of patients with rapidly progressive periodontitis (RPP using electromagnetic radiation at terahertz frequencies of molecular spectrum of radiation and absorption of nitric oxide 150,176-150,664 GHz. Material and methods. The study involved 50 patients with RPP, which according to the method of therapy were divided into 2 groups: group 1 included patients receiving conventional therapy, group 2 consisted of patients who, along with traditional therapy received EHF-therapy device "Orbit" YAKUL.941526.001. The control group consisted of 20 healthy subjects with intact periodontium. For the non-invasive study of tissue blood flow in the periodontal tissue Doppler ultrasound was used MiniMax-Doppler-Phono. The study of the microvasculature of periodontitis has been conducted. To determine the reactivity of microvascular periodontal tissue reflex functional tests on the indirect effect of the cold were performed. Results. Reductions achieved values of periodontal indices, especially important index PMA, a significant increase in the linear blood flow indices, decreased pulse pressure gradient and the index followed appropriate reduction to their cold test. Conclusion. The proposed complex therapy can accelerate the relief of inflammation in the periodontal tissues of the complex, to improve the elastic properties of blood vessels, reduce their tone and restore microcirculation in periodontal tissues.

  20. Evaluation of potent phytomedicine for treatment of psoriasis using UV radiation induced psoriasis in rats.

    Nagar, Hemant K; Srivastava, Amit K; Srivastava, Rajnish; Ranawat, Mahendra S


    The aim of present study was to determine the effect of newly formulated gels and suspensions of extractive Phytoconstituents of Woodfordia fructicosa flowers and Gardenia gummifera leaves by using UV Radiation induced psoriasis in rats. Both plants are traditionally claimed to be useful in treatment of number of skin diseases. However, there are no established scientific reports for their potential in psoriasis. Formulated Gels and Suspensions of ethanolic extract of both plants were tested for acute dermal and oral toxicity study respectively. The results of acute dermal toxicity at concentration 1% w/w and oral toxicity at dose 1000mg/kg showed that the gels and suspensions were safe. Psoriasis was induced in Wistar rats by espousing 10% area of total body by UV radiations. Anti-psoriatic activity was performed by applying 0.1% gel and orally at a dose 100mg/kg body weight in rats. Severity Index, histological study and biochemical estimation were analyzed. The results of our studies showed that the test formulations (Gels and Suspensions) of both plant extracts exhibited potential effect in anti-psoriatic activity.

  1. Modification of end-loop ileostomy for the treatment of ischemic or radiation enteritis

    Konstantinos Tepetes; Paraskevi Liakou; Ioannis Balogiannis; Maria Kouvaraki; Konstantinos Hatzitheofilou


    AIM: To evaluate a new technique of temporary ileal anastomotic stoma,following small bowel resection,in patients where the anastomosis is anticipated to have borderline margins with dubious viability.METHODS: Five patients underwent enterectomy and partially anastomosed end-loop ileostomy at the University Hospital of Larissa between 2000 and 2006.Enterectomy was performed because of conditions such as mesenteric vascular occlusive disease,radiation entritis and small bowel injury.RESULTS: Postoperatively,none of the patients developed any stoma-related or anastomotic complications.There were no major complications.All patients were discharged between the 8th and 15th day after the procedure,and the stoma was closed 3 wk to 4 wk later.CONCLUSION: We believe that our proposed modification of end-loop ileostomy is a simple,quick and safe technique with minimal stoma-related morbidity,and with simple and safe reversion.This technique can be considered as a useful option in the treatment of ischemic or radiation-induced enteritis,and in the management of severe intestinal trauma.

  2. Patient-reported outcomes after electron radiation treatment for early-stage palmar and plantar fibromatosis.

    Schuster, Jessica; Saraiya, Siddharth; Tennyson, Nathan; Nedelka, Michele; Mukhopadhyay, Nitai; Weiss, Elisabeth


    Palmar and plantar fibromatosis (PPF) is a progressive connective tissue disorder of the hand/foot that often leads to debilitating functional impairment. In Europe, orthovoltage radiation therapy (RT) has been demonstrated to prevent local disease progression for up to 80% of patients with early-stage PPF. There are limited data reporting outcomes for populations outside of Europe or using electron RT. Between 2008 and 2013, 44 early-stage PPF cases received RT. RT fields involved clinically defined targets encompassing involved areas (skin changes, cords, nodules) with at least 1.5-cm margins. En face electrons (6-12 MeV) and bolus (0.5-1 cm) were selected individually. Outcomes are reported for patients who participated in an institutional review board-approved standardized questionnaire and chart review. Thirty-three patients received 66 treatments (45 hands/15 feet and 6 reirradiations). Most frequent dose schemes were 21 Gy (3 Gy in 7 fractions) and 30 Gy (3 Gy in 10 fractions with 6- to 8-week breaks after 15 Gy). Median time to follow-up survey was 31 months. Disease progression at any location within or outside the RT treatment field occurred in 20 of 33 patients (61%). Fourteen of 60 sites (23%) developed in-field progression, but 4 sites were successfully reirradiated with final local control in 50 of 60 sites (83%). RT improved pretreatment symptoms of pain with strain at 30 of 37 sites (81%) and itch/burn sensations at 17 of 21 sites (81%). There were no reported grade ≥2 late toxicities even with reirradiation. Patient reported overall success with treatment was 31 of 33 patients (94%). PPF is a progressive disease. En face electron RT is an effective therapy that stabilizes or improves symptoms in the majority of patients. Reirradiation can be considered as a treatment option for in-field progression. Patients report minimal toxicity and a high rate of satisfaction with treatment. Copyright © 2015 American Society for Radiation Oncology. Published

  3. Is die ortodoksie se verstaan van die sondeval belemmerend vir die gesprek tussen teologie en natuurwetenskap?

    Johan Buitendag


    Full Text Available In hierdie artikel is betoog dat die Gereformeerde Ortodoksie se begrip van die sondeval ’n  belemmering  was  vir  die  gesprek  tussen  teologie  en  natuurwetenskap.  Die  rede hiervoor was dat dit ten eerste ’n bepaalde verstaan van liniêre tyd nahou en ten tweede dat dit ’n bonatuurlike ingryp veronderstel het. Albei hierdie aspekte het die debat onnodig problematiseer. Die argument is ontwikkel deur eerstens die probleem te definieer, gevolg deur ’n uiteensetting van die standpunte van Augustinus en Calvyn onderskeidelik oor die sondeval. As ’n heuristiese sleutel is die konsepte van infralapsarisme en supralapsarisme aangewend om die tema te ontleed. Die artikel is afgesluit met die oortuiging dat die imago Dei ’n beliggaamde menslike persoon is wat biologies in die geskiedenis in terme van selfbewussyn en morele verantwoordelikheid ontluik het.Is the Orthodoxy’s notion of the Fall inhibitory for the dialogue between theology and science? In this article it was argued that the Reformed Orthodoxy’s interpretation of the Fall had become an impediment in the dialogue between theology and science. The reason was that it assumed firstly a specific understanding of linear time and secondly a metaphysical intervention. Both events were unnecessarily problematising the debate. The argument was deployed by stating the problem, followed by an exposition of the views of Augustine and Calvin on the Fall. As a heuristic key, the concepts of infralapsarism and supralapsarism were applied respectively to analyse the topic. The article concluded with the conviction that the imago Dei is an embodied human person that had biologically emerged in history as a center of self-awareness, and moral responsibility.

  4. Die verband tussen lokus van beheer en die werks prestasie van swart bemarkers in die lewensversekeringsbedryf

    E. L. Coetzer


    Full Text Available The relationship between locus of control and the work performance of black marketers in the life assurance industry. The aim of the study was to establish the relationship between locus of control and the work performance of black marketers in the life assurance industry. These constructs were selected by virtue of the lack of empirical research regarding the assumed relationship between them. The Locus of Control Scale of Schepers (1995 was used for measuring locus of control. Work performance was measured by the commission earned per month by the marketer, the number of policies generated by the marketer, as well as the percentage of lapsed policies. The relevant measurements were obtained in respect of a sample of 149 black marketing personnel. The results indicated a modest but statistically significant relationship between external locus of control and the work performance of black marketers. Opsomming Die doel van die studie was om die verband tussen lokus van beheer en die werksprestasie van swart bemarkers in die lewensversekeringsbedryf te bepaal. Hierdie konstrukte is gekies op grond van die gebrek aan empiriese navorsing rakende die veronderstelde verband tussen genoemde konstrukte. Die Lokus van Beheer-vraelys van Schepers (1995 is in die meting van lokus van beheer gebruik. Werksprestasie is aan die hand van kommissie per maand verdien, aantal polisse gegenereer deur 'n bemarker en die persentasie vervalde polisse, gemeet. Die tersaaklike metinge is verkry ten opsigte van 'n steekproef van 149 swart bemarkers. Die resultate toon 'n klein, dog statisties beduidende verband tussen eksterne lokus van beheer en die werksprestasie van swart bemarkers in die lewensversekeringsbedryf.

  5. Explicit and convex optimization of plan quality measures in intensity-modulated radiation therapy treatment planning

    Engberg, Lovisa; Forsgren, Anders; Hårdemark, Björn


    Given the widespread agreement that doses-at-volume play important roles in quality assessment of radiation therapy treatment plans, planning objectives that correlate well with explicit dose-at-volume optimization are likely to correlate well with plan quality. In this study, planning objectives are formulated to explicitly either minimize or maximize convex approximations of dose-at-volume, namely, mean-tail-doses. This is in contrast to the conventionally used planning objectives, which are used to maximize clinical goal fulfilment by relating to deviations from dose-at-volume thresholds. Advantages of the proposed planning objectives are investigated through juxtaposition with conventional objectives in a computational study of two patient cases, each with three doses-at-volume to be minimized subject to PTV coverage. With proposed planning objectives, this is translated into minimizing three mean-tail-doses. Comparison with conventional objectives is carried out in the dose-at-volume domain and in the no...

  6. Laser radiation in tennis elbow treatment: a new minimally invasive alternative

    Paganini, Stefan; Thal, Dietmar R.; Werkmann, Klaus


    The epicondylitis humeri radialis (EHR) (tennis elbow), is a common disease in elbow joint pain syndromes. We treated patients with chronic pain for at least one year and no improvement with conservative or operative therapies with a new minimal invasive method, the EHR-Laser radiation (EHR- LR). With this method periepicondylar coagulations were applied to the trigger points of the patients. For this the previously established technique of facet joint coagulation with the Nd:Yag-laser was modified. In a follow-up study of between 6 weeks and 2 years all patients reported either a significant pain reduction or were symptom free. EHR-LR is a new method situated between conservative and surgical treatments for minimal invasive therapy of EHR. Several therapeutic rationales were discussed for the resulting pain reduction.

  7. A biogas plant for the digestion of distillery residue in combination with waste water treatment; Biogasanlage fuer die Vergaerung von Destillationsrueckstaenden in Kombination mit der Abwasserreinigung

    Voigtlaender, A.; Vetter, H.


    This report for the Swiss Federal Office of Energy (SFOE) describes a project at a Swiss food-processing company that produces fruit juices and beverages containing fruit components. The company uses an anaerobic pre-treatment plant to treat effluents before they are discharged to a local municipal waste water treatment plant (WWTP). The report describes the installation, which generates biogas that is used to provide heating energy for the processes used in the extraction process. The monitoring and measurement system is described and figures are quoted for energy production in the company's facilities. Also, the energy savings in the local WWTP resulting from the reduced energy consumption of the aeration blowers as a result of the pre-treatment of the wastes are discussed. Operational aspects of the installation are examined. including temperature effects on the digestion process, control strategies and waste air treatment.

  8. A Novel Approach for the Treatment of Radiation-Induced Hemorrhagic Cystitis with the GreenLight™ XPS Laser

    Daniel Roberto Martinez


    Full Text Available ABSTRACTIntroduction:The treatment of pelvic malignancies with radiotherapy can develop severe sequelae, especially radiation-induced hemorrhagic cystitis. It is a progressive disease that can lead to the need for blood transfusion, hospitalizations, and surgical interventions. This tends to affect the quality of life of these patients, and management can at times be difficult. We have evaluated the GreenLight Xcelerated Performance System (XPS with TruCoag, although primarily used for management of benign prostatic hypertrophy (BPH, for the treatment of radiation-induced hemorrhagic cystitis.Materials and Methods:After International Review Board (IRB approval, a retrospective chart review was performed in addition to a literature search. A series of four male patients, mean age of 81 years, with radiation-induced hemorrhagic cystitis secondary to radiotherapy for pelvic malignancies (3 prostate cancer, 1 rectal cancer were successfully treated with the GreenLight laser after unsuccessful treatment with current therapies described in the literature.Results:All four patients treated with the GreenLight laser had resolution of their hematuria after one treatment and were discharge from the hospital with clear urine.Conclusion:The GreenLight XPS laser shows promising results for the treatment of patients with radiation-induced hemorrhagic cystitis, and deserves further evaluation and validation, especially since there is limited data available in the literature regarding the use of this technology for the treatment of this devastating condition.

  9. Fast voxel and polygon ray-tracing algorithms in intensity modulated radiation therapy treatment planning.

    Fox, Christopher; Romeijn, H Edwin; Dempsey, James F


    We present work on combining three algorithms to improve ray-tracing efficiency in radiation therapy dose computation. The three algorithms include: An improved point-in-polygon algorithm, incremental voxel ray tracing algorithm, and stereographic projection of beamlets for voxel truncation. The point-in-polygon and incremental voxel ray-tracing algorithms have been used in computer graphics and nuclear medicine applications while the stereographic projection algorithm was developed by our group. These algorithms demonstrate significant improvements over the current standard algorithms in peer reviewed literature, i.e., the polygon and voxel ray-tracing algorithms of Siddon for voxel classification (point-in-polygon testing) and dose computation, respectively, and radius testing for voxel truncation. The presented polygon ray-tracing technique was tested on 10 intensity modulated radiation therapy (IMRT) treatment planning cases that required the classification of between 0.58 and 2.0 million voxels on a 2.5 mm isotropic dose grid into 1-4 targets and 5-14 structures represented as extruded polygons (a.k.a. Siddon prisms). Incremental voxel ray tracing and voxel truncation employing virtual stereographic projection was tested on the same IMRT treatment planning cases where voxel dose was required for 230-2400 beamlets using a finite-size pencil-beam algorithm. Between a 100 and 360 fold cpu time improvement over Siddon's method was observed for the polygon ray-tracing algorithm to perform classification of voxels for target and structure membership. Between a 2.6 and 3.1 fold reduction in cpu time over current algorithms was found for the implementation of incremental ray tracing. Additionally, voxel truncation via stereographic projection was observed to be 11-25 times faster than the radial-testing beamlet extent approach and was further improved 1.7-2.0 fold through point-classification using the method of translation over the cross product technique.

  10. Computed tomography imaging parameters for inhomogeneity correction in radiation treatment planning

    Indra J Das


    Full Text Available Modern treatment planning systems provide accurate dosimetry in heterogeneous media (such as a patient' body with the help of tissue characterization based on computed tomography (CT number. However, CT number depends on the type of scanner, tube voltage, field of view (FOV, reconstruction algorithm including artifact reduction and processing filters. The impact of these parameters on CT to electron density (ED conversion had been subject of investigation for treatment planning in various clinical situations. This is usually performed with a tissue characterization phantom with various density plugs acquired with different tube voltages (kilovoltage peak, FOV reconstruction and different scanners to generate CT number to ED tables. This article provides an overview of inhomogeneity correction in the context of CT scanning and a new evaluation tool, difference volume dose-volume histogram (DVH, dV-DVH. It has been concluded that scanner and CT parameters are important for tissue characterizations, but changes in ED are minimal and only pronounced for higher density materials. For lungs, changes in CT number are minimal among scanners and CT parameters. Dosimetric differences for lung and prostate cases are usually insignificant (<2% in three-dimensional conformal radiation therapy and < 5% for intensity-modulated radiation therapy (IMRT with CT parameters. It could be concluded that CT number variability is dependent on acquisition parameters, but its dosimetric impact is pronounced only in high-density media and possibly in IMRT. In view of such small dosimetric changes in low-density medium, the acquisition of additional CT data for financially difficult clinics and countries may not be warranted.

  11. The combination of novel targeted molecular agents and radiation in the treatment of pediatric gliomas

    Tina eDasgupta


    Full Text Available Brain tumors are the most common solid pediatric malignancy. For high-grade, recurrent or refractory pediatric brain tumors, radiation therapy (XRT is an integral treatment modality. In the era of personalized cancer therapy, molecularly targeted agents have been designed to inhibit pathways critical to tumorigenesis. Our evolving knowledge of genetic aberrations in low-grade gliomas is being exploited with targeted inhibitors. These agents are also being combined with XRT to increase their efficacy. In this review, we discuss novel agents targeting three different pathways in low-grade gliomas, and their potential combination with XRT. B-Raf is a kinase in the Ras/Raf/MAPK kinase pathway, which is integral to cellular division, survival and metabolism. In low-grade pediatric gliomas, point mutations in BRAF (BRAF V600E or a BRAF fusion mutation (KIAA1549:BRAF causes overactivation of the MEK/MAPK pathway. Pre-clinical data shows cooperation between XRT and tagrgeted inhibitors of BRAF V600E, and MEK and mTOR inhibitors in the gliomas with the BRAF fusion. A second important signaling cascade in pediatric glioma pathogenesis is the PI3 kinase (PI3K/mTOR pathway. Dual PI3K/mTOR inhibitors are poised to enter studies of pediatric tumors. Finally, many brain tumors express potent stimulators of angiogenesis. Several inhibitors of immunomodulators are currently being evaluated in in clinical trials for the treatment of recurrent or refractory pediatric central nervous system (CNS tumors. In summary, combinations of these targeted inhibitors with radiation are currently under investigation in both translational bench research and early clinical trials. We summarize the molecular rationale for, and the pre-clinical data supporting the combinations of these targeted agents with other anti-cancer agents and XRT in pediatric gliomas. Parallels are drawn to adult gliomas, and the molecular mechanisms underlying the efficacy of these agents is discussed

  12. Sedimentêre omgewings van die Inhaca-eilandstelsel met spesiale verwysing na die petrografiese en geochemiese eienskappe van die sedimente spesiale verwysing na die petrografiese en geochemiese eienskappe van die sedimente

    Marieke Peché


    Full Text Available Die Inhaca-eilandstelsel is geleë langs die suidooskus van Mosambiek. Die oostekant van die stelsel grens aan die Indiese Oseaan en die westekant aan die Baai van Maputo. Hierdie eilandstelsel bestaan uit Inhaca- en Portugese eiland, asook ’n groep sandbanke wat van die noordlike punt van Inhaca na Portugese eiland strek. Die doel van hierdie studie is om die verskillende moderne en oer-sedimentêre omgewings op die eilandstelsel te identifiseer en te beskryf, die invloed van getye en golfaksie op die moderne sedimentêre omgewing vas te stel en die geochemiese en petrografiese samestelling van die geologiese eenhede te bepaal.

  13. Voice Quality After Treatment of Early Vocal Cord Cancer: A Randomized Trial Comparing Laser Surgery With Radiation Therapy

    Aaltonen, Leena-Maija, E-mail: [Department of Otorhinolaryngology–Head and Neck Surgery, Helsinki University Central Hospital, and University of Helsinki, Helsinki (Finland); Rautiainen, Noora; Sellman, Jaana [Institute of Behavioural Sciences, University of Helsinki, Helsinki (Finland); Saarilahti, Kauko [Department of Oncology, Helsinki University Central Hospital, and University of Helsinki, Helsinki (Finland); Mäkitie, Antti; Rihkanen, Heikki [Department of Otorhinolaryngology–Head and Neck Surgery, Helsinki University Central Hospital, and University of Helsinki, Helsinki (Finland); Laranne, Jussi; Kleemola, Leenamaija [Department of Otorhinolaryngology–Head and Neck Surgery, Tampere University Hospital, and University of Tampere, Tampere (Finland); Wigren, Tuija [Department of Oncology, Tampere University Hospital, and University of Tampere, Tampere (Finland); Sala, Eeva [Department of Otorhinolaryngology–Head and Neck Surgery, Turku University Hospital, and University of Turku, Turku (Finland); Lindholm, Paula [Department of Oncology, Turku University Hospital, and University of Turku, Turku (Finland); Grenman, Reidar [Department of Otorhinolaryngology–Head and Neck Surgery, Turku University Hospital, and University of Turku, Turku (Finland); Joensuu, Heikki [Department of Oncology, Helsinki University Central Hospital, and University of Helsinki, Helsinki (Finland)


    Objective: Early laryngeal cancer is usually treated with either transoral laser surgery or radiation therapy. The quality of voice achieved with these treatments has not been compared in a randomized trial. Methods and Materials: Male patients with carcinoma limited to 1 mobile vocal cord (T1aN0M0) were randomly assigned to receive either laser surgery (n=32) or external beam radiation therapy (n=28). Surgery consisted of tumor excision with a CO{sub 2} laser with the patient under general anaesthesia. External beam radiation therapy to the larynx was delivered to a cumulative dose of 66 Gy in 2-Gy daily fractions over 6.5 weeks. Voice quality was assessed at baseline and 6 and 24 months after treatment. The main outcome measures were expert-rated voice quality on a grade, roughness, breathiness, asthenia, and strain (GRBAS) scale, videolaryngostroboscopic findings, and the patients' self-rated voice quality and its impact on activities of daily living. Results: Overall voice quality between the groups was rated similar, but voice was more breathy and the glottal gap was wider in patients treated with laser surgery than in those who received radiation therapy. Patients treated with radiation therapy reported less hoarseness-related inconvenience in daily living 2 years after treatment. Three patients in each group had local cancer recurrence within 2 years from randomization. Conclusions: Radiation therapy may be the treatment of choice for patients whose requirements for voice quality are demanding. Overall voice quality was similar in both treatment groups, however, indicating a need for careful consideration of patient-related factors in the choice of a treatment option.

  14. Die gebruik van metode in die filosofie, spesiaal in die reformatoriese tra­disie 1

    N. T. van der Merwe


    Full Text Available Die onderw erp van my voordrag, Die gebruik van metode in die fílosofie, verg ’n paar verduidelikende opinerkings vooraf. Ek dink u verm oed alreeds dat hierdie fomulering ’n versuikerde pil is om u in so ’n mate nuuskierig te maak dat una ’n heerlike vrye filosofiese ‘onderonsie’ gedurende die teepouse darem vir ’n tw eede sessie terugkeer. Want is dit nie twee smaaklike heuningdruppels nie: filosofie en sy metode’ en ‘metode in die Reformatoriese filosofiese tradisie'?! Veral as in gedagte gehou word dat in teenstelling met wat ’n mens sou verw ag, daaroor dié onderwerp as sodanig relatief maar heel weinig geskrywe is en word, selfs as die ‘Inleidings in die Metodologie’ daarby gereken word.

  15. Die derivation der slowenischen substantive

    ]ože Toporišič


    Full Text Available Von der traditionellen slowenischen Wortbildungslehre von Substantiven mit den Suffixen (s. g. Derivation wird die betreffende Problematik so dargestellt, dass man - nach Miklošič's Vorbild - von Suffixen mit einem charakteristischen Konsonanten (oder mit eine charakteristischen Konsonantengruppe aus gehend bei verschiedenen Wortartbasen (Zeitwort, Adjektiv, Substantiv die semantischen kategorien von Wortbildungen mit »demselben« Suffix aufzählt. Aber schon bei A. Bajec (Besedotvorje slovenskega jezika, 1950 findet man auch das Kapitel »Die Suffixe nach ihren Bedeutungen, worin Suffixe für 24 Bedeutungsgruppen festgehalten sind. In der Slovenska slovnica (1956 gibt es 16, im Slovenski knjižni jezik 2 (1966 aber 13 solcher Gruppen von Suffixen. Der vorliegende Ausatz geht ebenfalls von den semantischen Kategorien aus, versucht aber die Zahl der Bedeutungskategorien, die aus verhalen, adjekvsehen oder substantiviseher Basen mit Hilfe von Suffixen gebildet werden, auf 6 grosse Gruppen zu reduzieren. Diese 6 Gruppen sind: 1. die Namen der Agenten, des Eigenschaftstragers und der Verbundenheit; 2. die Namen der Werkzeuge, 3. die Namen der Handlung, der Eigenschaft und des Zustandes, 4. die Namen der vergegenständlichten Tat oder Eigenschaft, 5. die Namen der Lokalisierung und 6. Verschiedene. Nur bei den Wortbildungen aus einer substantivischen Basis gibt es noch eine besondere, die s. g. Modifikationsbedeutungsgruppe (Feminativa und Maskulinativa, Kollektiva, Gradativa, Iuvenalia, Diminutiva, Diminutivhipokoristika, Diminutivpeirotiva und Peiorativa. - Dabei wird keine Riick­ sicht darauf genommen, ob diese Suffixe genain slowenisch oder aus anderen Sprachen übernommen sind. Die Berechtigung dafiir gibt uns nicht nur die produktive Wortbildung mit den entlehnten (nichtautochtonen Suffixen im gegenwärtigen Slowenisch, sondern (was noch wichtiger ist auch das richtige Verständnisvermögen der Sprecher für solche Wortbildungen im

  16. Die invloed van herbivorie en vuur op die oorlewing van sekere meerjarige kruide langs die Sabierivier, Kruger Nasionale Park

    H. Myburgh


    Full Text Available Die groot vloede wat in die jaar 2000 in die Kruger Nasionale Park plaasgevind het, het dierivieroewerplantegroei versteur. Dit het die geleentheid gebied om heinings op te rig langsdie Sabierivier om herbivore uit sekere gebiede uit te sluit en sodoende die herstel van die rivieroewerekosisteme te monitor.

  17. Structure of the meeting of the German radiological society and scientific discourse pertaining to radiation dose and dose reduction. An analysis of 1998-2008; Die Struktur des Deutschen Roentgenkongresses und die wissenschaftliche Behandlung der Themen Strahlendosis und Dosisreduktion. Eine Analyse der Jahre 1998-2008

    Heyer, Christoph M.; Peters, S.; Lemburg, S. [Inst. fuer Diagnostische Radiologie, Interventionelle Radiologie und Nuklearmedizin, Berufsgenossenschaftliches Universitaetsklinikum Bergmannsheil, Bochum (Germany)


    Purpose: Evaluation of the emphasis of themes pertaining to radiation dose and dose reduction at the Meeting of the German Radiological Society from 1998-2008 in comparison to international data. Materials and Methods: Retrospective analysis of 9440 abstracts with documentation of study presentation character, type of imaging, and examined body region. Abstracts stating radiation dose or primarily dealing with radiation dose/dose reduction were documented. Results were compared with a Pubmed query. Results: The percentage of purely scientific presentations sank in the observation period from 88 to 66%. While contributions dealing with MRI sank from 48 to 34%, those dealing with CT rose from 30 to 34%. The percentage of abstracts dealing with radiation dose rose from 7 to 10%, while that of work primarily pertaining to dose/dose reduction grew from 4 to 6% and 2 to 4%, respectively. Of all abstracts concerning CT, 15% touched on radiation dose, while 9% and 6% primarily dealt with dose and dose reduction. The respective numbers for cardiac CT, whose relative share of all CT abstracts rose from 3% in 1998 to 12% in 2008, were 10%, 7%, and 5%. An online query produced 137,791 publications on CT, and 2% of these abstracts mentioned radiation dose and 0.5% mentioned dose reduction. Conclusion: The number of presentations dealing with dose at the Meeting of the German Radiological Society has risen with time and is higher than the international number. On the other hand, >90% of all presentations and >85% of all CT abstracts do not mention radiation dose. In light of increasing public concern relating to radiation exposure, more intensive research of these themes is warranted. (orig.)

  18. Die heelal en sy onstaan (II

    D. J. Van Rooy


    Full Text Available Ons kennis en wetenskap van die hemelliggame word volkome bepaal deur die lig wat ons van hulle ontvang, d.w.s. as ons die feite wat die Bybel daaromtrent meedeel, buite rekening laat.

  19. Spearman se G en die faktorstrukture van die senior aanlegtoetse en die algemene skolastiese aanlegtoets

    G. P. De Bruin


    Full Text Available Spearman's G and the factor structures of the Senior Aptlitude Test and the General Scholastic Aptitude Test. Scores of 1507 university students on the six subtests of the General Scholastic Aptitude Test (GSAT and on nine subtests of the Senior Aptitude Tests (SAT were subjected to a joint confirmatory factor analysis. This procedure was followed to examine (a the extent to which scores in respect of the two batteries of tests, are explained by a general factor (Spearman's g, and (b the relationship between the two general factors. Scores on the GSAT subtests were adequately explained by just one factor. With regard to the SAT three group factors could be distinguished, namely Verbal Ability, Visual-Spatial Ability and Numerical Ability. The correlations between the group factors were so high that the influence of a general factor was evident. The general factors underlying the SAT and GSAT respectively, also correlated significantly. In view of findings suggesting the general intelligence is the best single predictor of criteria such as academic success and work performance, the GSAT is recommended for selection purposes. Opsomming Tellings van 1507 universiteitstudente op die ses subtoetse van die ASAT en nege subtoetse van die SAT, is gesamentlik aan 'n bevestigende faktorontleding onderwerp. Hierdie prosedure is gevolg om ondersoek in te stel na (a die mate waartoe 'n algemene faktor (Spearman se g die tellings op die twee batterye toetse onderskeidelik onderle, en (b wat die verwantskap tussen die twee algemene faktore sou wees. Ten opsigte van die ASAT is dit duidelik dat slegs een faktor tellings op al ses subtoetse verklaar. Ten opsigte van die SAT kon drie groepsfaktore onderskei word/ naamlik Verbale Vermoe, Visueel-Ruimtelike Vermoe en Numeriese Vermoe. Die korrelasies tussen die drie groepsfaktore was egter so hoog dat dit duidelik is dat daar 'n algemene faktor onderliggend is aan die nege subtoetse. Die algemene faktore wat die

  20. Die MCI im Wandel: User Experience als die zentrale Herausforderung?

    Jetter, Christian


    Die Informationstechnologie hat heute einen Reifegrad erlangt, der stark umkämpfte Massenmärkte von interaktiven Produkten hervorgebracht hat. In diesen sind - wie auch in den herkömmlichen Konsumgütermärkten - nicht nur die pragmatische Produktqualität, sondern auch das Benutzungserlebnis und die Gesamtwirkung auf den Käufer entscheidend für den Markterfolg. Eine erfolgreiche Gestaltung dieser "User Experience" geht dabei über die reine Softwareergonomie hinaus und erfordert interdisziplinär...

  1. Meganisisme, vitalisme en holisme in die Biologie

    P.J. Botha


    Full Text Available Die Biologie word omskryf as die wetenskap van die lewende wesens (organismes. Die lewe staan dus in die brandpunt van die biologiese studie en ondersoek. Vra ons ons egter af wat onder „lewe” verstaan word, besef ons dadelik dat ons hier met ’n uiters moeilik definieerbare begrip te doen het. In verband met die aard van lewe het daar onder die bioloë en natuurfilosowe veral twee denkrigtings posgevat, nl. meganisisme en vitalism.

  2. [Palliative (symptomatic) care of (imminently) dying patients].

    Hänninen, Juha; Hamunen, Katri; Laakkonen, Marja-Liisa; Laukkala, Tanja; Lehto, Juho; Matila, Ari; Rahko, Eeva; Saarto, Tiina; Tohmo, Harri; Vuorinen, Eero


    The updated Current Care Guideline focuses on medical symptom treatment when curative treatment is no longer possible. Palliative care should be available to all dying patients at all health care levels. Pain should be treated prophylactically. Opioids are effective in cancer pain and should be chosen for moderate or severe pain in line with the WHO pain ladder. Treatment options for symptoms which call for acute interventions, such as intracranial hypertension, and options for dyspnoea, delirium, gastro-intestinal symptoms, ascites, dehydration and end-of-life treatment of elderly and demented patients are described.

  3. Design of seasonal hydrogen storage systems for the energy supply by solar radiation, wind power and environmental heat; Auslegung saisonaler Wasserstoffspeicher fuer die Energieversorgung aus Solarstrahlung, Windkraft und Umgebungswaerme

    Meurer, H.C.


    In the present study a design procedure for hydrogen storage systems in power plants with renewable energy is presented. The storage system consists of an electrolyzer, gas storage in high pressure tanks and reconversion into electricity by a fuel cell. This work is based on the experiences made by construction and operation of the demonstration plant PHOEBUS Juelich for Photovoltaik, Elektrolyse, Brennstoffzelle und Systemtechnik (photovoltaics, electrolysis, fuel cell and system engineering) at the Research Centre Juelich. These systems are treated by dynamic simulation in a high temporal resolution. The seasonal and the stochastical behaviour of the yield of renewable energy and energy consumption is taken into account by simulating over a time span of 17 years using measured meteorological data. For optimization the autarky-limit-procedure is introduced. A cost model is applied to the results of the simulation. The autarky-limit describes the correlation between the capacity of the installed gas tank and the rated power of the installed converters for renewable energy in case of exactly self-sufficient plant operation. Using the autarky-limit procedure, it is possible to size all major components for long-term operation at minimal costs. The procedure is applied for a modelled consumer at Research Centre Juelich site. Various configurations of the storage system are investigated and compared. More generalized statements about a reasonable use of hydrogen storage are derived from the results. (orig.) [German] In der vorliegenden Arbeit wird ein Auslegungsverfahren fuer Wasserstoffspeicher in Energieversorgungsanlagen mit erneuerbaren Energietraegern vorgestellt. Der Speicherpfad besteht aus Elektrolyse, Gasspeicherung in Hochdrucktanks und Rueckverstromung in einer Brennstoffzelle. Die Basis der Arbeit bilden die Erfahrungen mit Bau und Betrieb der Demonstrationsanlage PHOEBUS Juelich fuer Photovoltaik, Elektrolyse, Brennstoffzelle und Systemtechnik im

  4. TH-A-9A-04: Incorporating Liver Functionality in Radiation Therapy Treatment Planning

    Wu, V; Epelman, M; Feng, M; Cao, Y; Wang, H; Romeijn, E; Matuszak, M [University of Michigan, Ann Arbor, MI (United States)


    Purpose: Liver SBRT patients have both variable pretreatment liver function (e.g., due to degree of cirrhosis and/or prior treatments) and sensitivity to radiation, leading to high variability in potential liver toxicity with similar doses. This work aims to explicitly incorporate liver perfusion into treatment planning to redistribute dose to preserve well-functioning areas without compromising target coverage. Methods: Voxel-based liver perfusion, a measure of functionality, was computed from dynamic contrast-enhanced MRI. Two optimization models with different cost functions subject to the same dose constraints (e.g., minimum target EUD and maximum critical structure EUDs) were compared. The cost functions minimized were EUD (standard model) and functionality-weighted EUD (functional model) to the liver. The resulting treatment plans delivering the same target EUD were compared with respect to their DVHs, their dose wash difference, the average dose delivered to voxels of a particular perfusion level, and change in number of high-/low-functioning voxels receiving a particular dose. Two-dimensional synthetic and three-dimensional clinical examples were studied. Results: The DVHs of all structures of plans from each model were comparable. In contrast, in plans obtained with the functional model, the average dose delivered to high-/low-functioning voxels was lower/higher than in plans obtained with its standard counterpart. The number of high-/low-functioning voxels receiving high/low dose was lower in the plans that considered perfusion in the cost function than in the plans that did not. Redistribution of dose can be observed in the dose wash differences. Conclusion: Liver perfusion can be used during treatment planning potentially to minimize the risk of toxicity during liver SBRT, resulting in better global liver function. The functional model redistributes dose in the standard model from higher to lower functioning voxels, while achieving the same target EUD

  5. Image-guided radiation therapy; Bildgefuehrte Strahlentherapie

    Boda-Heggemann, J.; Wertz, H.; Blessing, M.; Wenz, F.; Lohr, F. [Universitaetsmedizin Mannheim, Medizinische Fakultaet Mannheim der Universitaet Heidelberg, Klinik fuer Strahlentherapie und Radioonkologie, Mannheim (Germany); Guckenberger, M. [Universitaetsklinikum Wuerzburg, Klinik fuer Strahlentherapie, Wuerzburg (Germany); Ganswindt, U.; Belka, C. [Klinikum der Ludwig-Maximilians-Universitaet, Klinik fuer Strahlentherapie und Radioonkologie, Muenchen (Germany); Fuss, M. [Oregon Health and Science University, Program in Image-guided Radiation Therapy, Department of Radiation Medicine, Portland, OR (United States)


    Radiotherapy technology has improved rapidly over the past two decades. New imaging modalities, such as positron emission (computed) tomography (PET, PET-CT) and high-resolution morphological and functional magnetic resonance imaging (MRI) have been introduced into the treatment planning process. Image-guided radiation therapy (IGRT) with 3D soft tissue depiction directly imaging target and normal structures, is currently replacing patient positioning based on patient surface markers, frame-based intracranial and extracranial stereotactic treatment and partially also 2D field verification methods. On-line 3D soft tissue-based position correction unlocked the full potential of new delivery techniques, such as intensity-modulated radiotherapy, by safely delivering highly conformal dose distributions that facilitate dose escalation and hypofractionation. These strategies have already resulted in better clinical outcomes, e.g. in prostate and lung cancer and are expected to further improve radiotherapy results. (orig.) [German] Die Strahlentherapie hat in den vergangenen 2 Dekaden von zahlreichen technischen Entwicklungen profitiert. Neue Bildgebungsmodalitaeten wie Positronenemissionstomographie (PET, PET/CT) und hochaufloesende morphologische und funktionelle MR-Sequenzen wurden in den Bestrahlungsplanungsprozess integriert. Die bildgesteuerte Strahlentherapie (''image-guided radiation therapy'', IGRT) ermoeglicht mittlerweile unmittelbar am Beschleuniger auch die 3-D-Darstellung von Weichgewebetumoren und ersetzt die Patientenpositionierung mittels Hautmarkern, rahmenbasierten stereotaktischen Verfahren im Kopf- und Koerperstamm und teilweise auch die 2-D-Verifikation der Bestrahlungsfelder. IGRT gestattet die Realisierung des vollen Potenzials fortgeschrittener Bestrahlungstechniken wie der intensitaetsmodulierten Strahlentherapie, mit deren Hilfe hochkonformale Dosisverteilungen realisiert werden koennen. Diese Strategien haben zu verbesserten

  6. Ionizing radiation exposures in treatments of solid neoplasms are not associated with subsequent increased risks of chronic lymphocytic leukemia.

    Radivoyevitch, Tomas; Sachs, Rainer K; Gale, Robert Peter; Smith, Mitchell R; Hill, Brian T


    Exposure to ionizing radiation is not thought to cause chronic lymphocytic leukemia (CLL). Challenging this notion are recent data suggesting CLL incidence may be increased by radiation exposure from the atomic bombs (after many decades), uranium mining and nuclear power facility accidents. To assess the effects of therapeutic ionizing radiation for the treatment of solid neoplasms we studied CLL risks in data from the Surveillance, Epidemiology, and End Results (SEER) Program. Specifically, we compared the risks of developing CLL in persons with a 1(st) non-hematologic cancer treated with or without ionizing radiation. We controlled for early detection effects on CLL risk induced by surveillance after 1(st) cancer diagnoses by forming all-time cumulative CLL relative risks (RR). We estimate such CLL RR to be 1.20 (95% confidence interval, 1.17, 1.23) for persons whose 1(st) cancer was not treated with ionizing radiation and 1.00 (0.96, 1.05) for persons whose 1(st) cancer was treated with ionizing radiations. These results imply that diagnosis of a solid neoplasm is associated with an increased risk of developing CLL only in persons whose 1(st) cancer was not treated with radiation therapy.

  7. Estimated cumulative radiation dose received by diagnostic imaging during staging and treatment of operable Ewing sarcoma 2005-2012

    Johnsen, Boel [Haukeland University Hospital, Centre for Nuclear Medicine and PET, Department of Radiology, P.O. Box 1400, Bergen (Norway); Fasmer, Kristine Eldevik [Haukeland University Hospital, Department of Oncology, Medical Physics Section, Bergen (Norway); Boye, Kjetil [Norwegian Radium Hospital, Oslo University Hospital, Department of Oncology, Oslo (Norway); Rosendahl, Karen; Aukland, Stein Magnus [Haukeland University Hospital, Department of Radiology, Paediatric Section, Bergen (Norway); University of Bergen, Department of Clinical Medicine, Bergen (Norway); Trovik, Clement [University of Bergen, Department of Clinical Medicine, Bergen (Norway); Haukeland University Hospital, Department of Surgery, Orthopaedic Section, Bergen (Norway); Biermann, Martin [Haukeland University Hospital, Centre for Nuclear Medicine and PET, Department of Radiology, P.O. Box 1400, Bergen (Norway); University of Bergen, Department of Clinical Medicine, Bergen (Norway)


    Patients with Ewing sarcoma are subject to various diagnostic procedures that incur exposure to ionising radiation. To estimate the radiation doses received from all radiologic and nuclear imaging episodes during diagnosis and treatment, and to determine wheth