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An additional extremity monitoring using a ring badge must be appropriately conducted for inhomogeneous exposure around radiation workers' extremity. Commercially available glass dosemeters are characterized in terms of Hp (0.07) for the application of additional extremity monitoring. A series of experiments demonstrated that the response of the model GD-352M radiophotoluminescence dosemeter fully matched the IEC's criteria for an extremity dosemeter for medical personnel. Although the model GD-302M has excellent angular dependence, the material and the shape of energy compensation filter still need to be optimized to improve its energy dependence in the range between 30 and 100 keV. The combine use of both types of glass dosemeters for 'paired dosemeter' together with introduction of a simple algorithm may be a promising method to improve the response in the energy range below 20 keV. [ABSTRACT FROM AUTHOR]

AbstractThe identification and analysis of lipid droplets in pathological images are pivotal owing to the variations in their size, shading and shape. The development of an artificial intelligence-based automatic detection method can facilitate the analysis of complex pathological images and provide essential support to pathologists. In this paper, we introduce a novel approach for the automated detection of lipid droplets, employing a limited set of images and a modest application of reinforcement learning (RL). Several filters tailored to lipid droplet size and contrast are used in combination. Through the combination of multiple filters using RL, potential lipid droplet regions are identified within pathological images. Subsequently, a random forest classifier is employed to distinguish between normal and lipid droplet images. Evaluation guided by the expertise of two pathologists with over 10 years of clinical experience indicated the hierarchical extraction of lipid droplets with consistent size and shading in pathological tissue images utilizing RL. The proposed method successfully detected lipid droplets in pathological images and facilitated the determination of both the quantity and distribution of lipid droplets within cells. The results highlight the efficacy of the approach in lipid droplet detection. This method is also useful for small to medium-sized fat droplets, which are relatively difficult for humans to detect from their morphology.

This article highlights the issues of exposure inhomogeneity that are relative to eye lens monitoring for low-energy photons from 241Am and beta-rays from 90Sr/90Y including a personal protective equipment because eye lens exposure has been concerned more than before due to the proposed reduction of relevant dose limit. These nuclides are common and concerned sources in the nuclear industry. Our previous study presented a quantitative estimation of exposure inhomogeneity, which was applied to simple but typical exposure situations. For the present study, exposure inhomogeneity of 241Am was approximately within a factor of 1.6, implying a more homogeneous situation than expected. Regarding 90Sr/90Y exposure, estimation from both H p(10) and H p(0.07) on trunk would lead to an over- or underestimation by a factor of more than 10. In contrast, H p(3) measurement on trunk will improve by up to a factor of 2. With respect to the personal protective equipment, lead apron and protective glasses are effective for the 60-keV photons for both anterior-posterior and rotational irradiations, while a full-face respirator can reduce the eye lens dose by approximately 17% for 90Sr/90Y betas. As a whole, this study demonstrated that the effect of protective equipment could be effectively incorporated into the homogeneity evaluation. [ABSTRACT FROM AUTHOR]

To manage the equivalent doses for radiation workers, exposure inhomogeneity is an important factor in the decision-making process related to protection measures and additional monitoring. Our previous study proposed the methodology to evaluate the inhomogeneity of exposure quantitatively. In this study, we applied proposed method to five different types of actual exposure situations encountered in the nuclear industry. Two of them were conventionally characterized as homogeneous exposure, and the other three were conventionally characterized as inhomogeneous exposure. The evaluation of homogeneity exposure was conducted using Monte Carlo calculations with two simplified models, which were then verified with phantom experiments. Consequently, all of the evaluations reproduced the experimental results, implying that our proposed method would be applicable for actual work conditions in the nuclear industry. Furthermore, the two presumed homogeneous exposure situations were found to be rather inhomogeneous because of the contribution of positrons and the limited source region. The results also show that the worker's posture has an impact on the inhomogeneity rather than the energy of incident radiation in nuclear works. The investigation also implies that obtaining the information on the most probable posture of the exposed worker, as well as the existence of the weekly penetrating radiation such as β± ray as a main source of exposure would be the key for more precise estimation. [ABSTRACT FROM AUTHOR]

Both a cylinder and a slab phantom have been recommended to be used as calibration phantoms for eye lens dosimetry in the International Atomic Energy Agency TECDOC. This study describes investigations on the influence of the type of phantom on the calibration of dosemeters. In order to fulfil the purpose, backscatter radiation from practically used water-filled phantoms was evaluated by calculations and experiments. For photons, the calculations showed that the cylinder phantom had 10 % lower backscattered effect at maximum than a slab phantom, and simulated well the backscattered effect of the human head or neck to within ±10 %. The irradiation results of non-filtered optically stimulated luminescence and radio-photoluminescence glass dosemeters indicated that the differences of the calibration factors between the two types of phantoms were up to 20 and 10 %, respectively, reflecting the response to backscattered photons. For electrons, no difference was found between the two types of phantoms. [ABSTRACT FROM AUTHOR]

Introduction: This article is part of the Focus Theme of Methods of Information in Medicine on "Methodologies, Models and Algorithms for Patients Rehabilitation".Background: Rheumatoid arthritis (RA) is a progressive inflammatory disease that causes damage to multiple joints, decline in functional status, and premature mortality. Thus, effective and frequent objective assessments are necessary. Then, we developed a self-assessment system for RA patients based on a smartphone application.Objective: The purpose of this study was to investigate the feasibility of a self-assessment system for RA patients using a smartphone application.Methods: We measured daily disease activity in nine RA patients who used the smartphone application for a period of three months. A disease activity score (DAS28) predictive model was used and feedback comments relating to disease activity were shown to patients via the smartphone application each day. To assess participants' RA disease activity, the DAS28 based on the C-reactive protein level was measured by a rheumatologist during monthly clinical visits.Results: The disease activity measured by the application correlated well with the patients' actual disease activity during the 3-month period, as assessed by clinical examination. Furthermore, most participants gave favourable responses to a questionnaire administered at the end of the 3-month period containing questions relating to the ease of use and usefulness of the system.Conclusions: The results of this feasibility study indicated that the DAS28 predictive model can longitudinally predict DAS28 and may be an acceptable and useful tool for assessment of RA disease activity for both patients and healthcare providers. [ABSTRACT FROM AUTHOR]

A quasi-monoenergetic neutron field generated in the ^7Li(p, n) reaction consists of a high-energy monoenergetic peak and a continuum to the low-energy region. In this study, the spectral fluence of the continuum was measured with the time-of-flight (TOF) method using a ^6Li-glass scintillation detector and an organic liquid scintillation detector for the keV and MeV region, respectively. The neutron spectral fluence was determined down to the keV region by implementing a new beam chopping system and the results showed that the neutrons that came directly from the target had a lower energy limit about 100 keV. Discussions were made also on the effect of the time-independent neutrons which are assumed to be room-scattered neutrons. The obtained information is expected to contribute to understanding the quasi-monoenergetic high-energy neutron field and improvements of calibrating neutron detectors in the field. [ABSTRACT FROM PUBLISHER]

Objectives: The American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) remission criteria for rheumatoid arthritis (RA) are more stringent than index-based criteria, making it more difficult to achieve a patient's global assessment (PGA) than an evaluator's global assessment (EGA). We investigated the reason for the discrepancy between the PGA and the EGA in a Japanese clinical cohort. Method: We assessed clinical and laboratory variables in our clinical cohort. The frequency of remission achievement according to the ACR/EULAR remission criteria and predictors of the discrepancy between the PGA and EGA were analysed. Results: Of 370 patients with RA, 89 fulfilled PGA criteria and 167 patients fulfilled EGA criteria. The PGA was highly correlated with the visual analogue scale (VAS) pain score and non-inflammatory variables including Steinbrocker class and the Health Assessment Questionnaire Disability Index (HAQ-DI). Conversely, inflammatory variables, including swollen joint count (SJC), tender joint count (TJC), and C-reactive protein (CRP) levels, were significantly associated with the EGA. The main predictors of the discrepancy between the PGA and the EGA were patient's VAS pain score, SJC, and functional disability. Conclusions: Increased pain and functional disability led to a discrepancy towards a worse PGA than EGA, whereas increased SJC led to an accordance towards a worse EGA. [ABSTRACT FROM AUTHOR]

An exceptional kind of spin splitting in the band structure of AlN/GdN/AlN double heterostructures has been studied by employing temperature-dependent spectroscopy. This spin splitting can be attributed to both the band-gap shrink and the difference between minority and majority band energies in GdN below the Curie point; these results have been established by evaluating the optical band gaps at the X-point. The temperature-dependent magnetization measurements that provide direct evidence of the magnetic ordering below 32 K and it is described by long-range spin correlation in GdN. [ABSTRACT FROM AUTHOR]

We studied the optical and magnetic properties in epitaxial AlN/GdN/AlN double heterostructures grown using reactive sputtering under ultrapure conditions. The indirect and direct optical transitions in a 95-nm-thick GdN film were found to be 0.95 and 1.18 eV, respectively. The considerable size effects of the optical band gap were observed with a decrease in the GdN thickness. The AlN/GdN/AlN double heterostructures clearly exhibited ferromagnetic states at low temperature. The short-range correlation of spins began to develop below ∼60 K, and long-range ordering that obeyed the Arrott relation was confirmed below ∼30 K. Because of the film-size independence for the ferromagnetic ordering, the cooperative correlation length in GdN was considered to be shorter than 30 nm. Furthermore, we found that the band gap is dramatically reduced with the ferromagnetic spin ordering. [ABSTRACT FROM AUTHOR]

Background: Intracellular phosphoprotein activation significantly regulates cancer progression. However, the significance of circulating phosphoproteins in the blood remains unknown. We investigated the serum phosphoprotein profile involved in pancreatic cancer (PaCa) by a novel approach that comprehensively measured serum phosphoproteins levels, and clinically applied this method to the detection of PaCa.Methods: We analysed the serum phosphoproteins that comprised cancer cellular signal pathways by comparing sera from PaCa patients and benign controls including healthy volunteers (HVs) and pancreatitis patients.Results: Hierarchical clustering analysis between PaCa patients and HVs revealed differential pathway-specific profiles. In particular, the components of the extracellular signal-regulated kinase (ERK) signalling pathway were significantly increased in the sera of PaCa patients compared with HVs. The positive rate of p-ERK1/2 (82%) was found to be superior to that of CA19-9 (53%) for early stage PaCa. For the combination of these serum levels, the area under the receiver-operator characteristics curves was showing significant ability to distinguish between the two populations in independent validation set, and between cancer and non-cancer populations in another validation set.Conclusion: The comprehensive measurement of serum cell signal phosphoproteins is useful for the detection of PaCa. Further investigations will lead to the implementation of tailor-made molecular-targeted therapeutics. [ABSTRACT FROM AUTHOR]

In the 1980s, zirconia was introduced for THA with the expectation of lower polyethylene wear and better clinical results. However, several studies have reported poor survivorship of zirconia-polyethylene THA. We performed a systematic review and meta-analysis of zirconia-polyethylene THA to confirm or refute the theoretical advantages of this combination. Of 163 studies identified by a comprehensive search, seven met our selection criteria. These involved 769 hips of 586 patients with a mean age of 56.8 years and a minimum followup of 60 months (mean, 89.2 months; range, 60-155 months). The consolidated revision rate of zirconia-polyethylene THA at 89.2 months was higher than that of nonzirconia-polyethylene THA by 5% (risk difference, 0.05; 95% confidence interval, 0.02-0.08). Subgroup meta-analysis suggested THAs with zirconia heads from Ceraver had more revision surgery than nonzirconia heads (risk difference, 0.08; 95% confidence interval, 0.03-0.14), whereas zirconia heads from DePuy did not (risk difference, 0.02; 95% confidence interval, -0.01-0.06). The meta-analysis for annual linear polyethylene wear (which did not involve zirconia heads from Ceraver because of insufficient descriptions) showed no difference between zirconia and control groups. Collectively, THAs with high-quality zirconia heads appear to have prosthesis survivorship and polyethylene wear equivalent to those of THAs with traditional materials, but differing quality among zirconia heads could lead to poor survivorship of prostheses. [ABSTRACT FROM AUTHOR]