[Diagnostic value of whole blood cell parameters logistic regression model for radiation injury on radiation workers]

Objective: To explore the diagnostic value of whole blood cell parameters logistic regression model for radiation injury on radiation workers by comparing the differences of whole blood cell parameters between occupational radiation injury population and occupational health examination population. Methods: In February 2023, 184 radiation workers who received occupational health examinations in our hospital and occurrenced chromosome aberration from July 2021 to July 2022 were retrospectively selected as the radiation injury group. And other 184 radiation workers encountered in the same period without chromosome aberration occurrence were selected as the control group. Collected whole blood cell parameters from two groups of research subjects, conducted comparative analysis, constructed a logistic regression model, and evaluated the diagnostic value of the logistic regression model for radiation injury on radiation workers by receiver operating characteristic curve (ROC) and area under curve (AUC) . In addition, with the same standard, 60 radiation workers with chromosome aberration and 60 radiation workers without chromosome aberration from August 2022 to January 2023 were included in the validation queue to validate the logistic regression model. Results: Neu_X, Neu_Y, Neu_Z, Lym_X, Lym_Y, Lym_Z, Mon_X, Mon_Y, Mon_Z, Micro, MCHC in the radiation injury group were significantly higher than those in the control group, and the difference was statistically significant (P<0.05) . And MCV and Macro in the radiation injury group were lower than those in the control group, and the difference was statistically significant (P<0.05) . Moreover, logistic regression analysis showed that Lym_X, Lym_Y, Lym_Z, MCHC, Micro were all independent risk factors for diagnosing radiation injury on radiation workers (OR=1.08、1.02、0.99、1.06、51.32, P<0.05) . ROC curve analysis showed that the AUC, sensitivity, specificity, and accuracy of the logistic regression model based by Lym_X, Lym_Y, Lym_Z, MCHC and Micro in diagnosing radiation injury on radiation workers were 0.80, 85.9%, 65.8% and 75.9% respectively. The validation queue verified the logistic regression model and the AUC, sensitivity, specificity, and accuracy of the logistic regression model were 0.80, 81.7%, 71.7% and 76.7% respectively, the model fitted well. Conclusion: Radiation damage can cause changes in multiple whole blood cell parameters of radiation workers. The logistic regression model based by Lym_X, Lym_Y, Lym_Z, MCHC and Micro showed good diagnosis ability and can be used for the screening of radiation injury on radiation workers.

Cement solidification of simulated off-gas condensates from vitrification of low-level nuclear waste solutions

Solidification in a cementitious matrix is a viable alternative for low-level nuclear waste management; it is therefore important to understand the behavior and properties of such wasteforms. We have examined the cementitious solidification of simulated off-gas waste streams resulting from the vitrification of low-level nuclear waste. Different possible methods for scrubbing the off-gasses from a vitrifier give rise to three possible types of waste compositions: acidic (from aqueous dissolution of volatile NOx and POx carried over from the vitrifier), basic (from neutralizing the former with sodium hydroxide), and fully carbonated (arising from a direct-combustion vitrifier). Six binder compositions were tested in which ordinary Portland cement was replaced at different proportions by fly ash and/or ground granulated blast furnace slag. A high solution to binder ratio of 1l/1 kg was used to minimize the volume of the wasteform and 10% attapulgite clay was added to all mixes to ensure that the fresh mix did not segregate prior to setting. The 28-day compressive strengths decreased when a high proportion of cement was replaced with fly ash, but were increased significantly when the cement was replaced with slag. The heats of hydration at early age for the various solids compositions decreased when cement was replaced with either fly ash or slag; however, for the fly ash mix the low heat was also associated with a significant decrease in compressive strength. High curing temperature (60 degrees C) or the use of extra-fine slag did not significantly affect the compressive strength. Recommendations for choice of binder formulations and treatment of off-gas condensates are discussed.

Interdomal fat pad: an important anatomical structure in rhinoplasty

OBJECTIVE

To describe the interdomal fat pad, an important anatomical structure that, to our knowledge, has not been reported in the rhinoplasty literature.

DESIGN

Anatomical observations were made during a consecutive series of external rhinoplasties, and the existence of the interdomal fat pad was documented in patients with noses of varying nasal skin thicknesses.

SETTING

Private facial plastic surgery practice.

PATIENTS

One hundred consecutive white patients undergoing external rhinoplasty were analyzed. Thirty-seven patients were undergoing secondary rhinoplasty and were excluded. Sixty-three patients undergoing primary rhinoplasty were enrolled into the study.

INTERVENTION

None.

MAIN OUTCOME MEASURES

The nasal skin type of each patient was subjectively determined preoperatively to be thin, average, or thick. The presence or absence of a distinct fat pad between the domes of the lower lateral cartilages was observed and recorded in each group of patients.

RESULTS

Among the 63 patients studied, 22 had thick skin; 31, average skin; and 10, thin skin. Well-defined interdomal fat pads were noted in 12 patients with thick skin, 13 patients with average skin, and 2 patients with thin skin.

CONCLUSIONS

There is a distinct anatomical structure that we refer to as the interdomal fat pad that exists in noses of all skin types. The awareness of this structure should encourage a careful and direct examination of the undersurface of nasal tip skin. An unrecognized, extensive fat pad may interfere with tip narrowing and refinement. It may be the cause of persistent postrhinoplasty supratip fullness and excessive tip width. Arch Facial Plast Surg. 2000;2:260-263