Comparison of 755-nm picosecond alexandrite laser versus 1064-nm Q-switched Nd:YAG laser for melasma: A randomized, split-face controlled, 2-year follow-up study

OBJECTIVES

Pulsed laser treatment of melasma has shown some promising results. To compare the effectiveness and safety of 755-nm picosecond alexandrite laser (PSAL) fitted with diffractive lens array (DLA) versus 1064-nm Q-switched neodynimum:yttrium aluminum garnet laser (QSNYL) for the treatment of melasma.

METHODS

We conducted a randomized, split face controlled, 2-year follow-up study. Each face was divided into two parts, each side receiving three treatments with either PSAL or QSNYL at 1 month intervals. Modified Melasma Area Severity Index scores (mMASI), pain scores, patient satisfaction and adverse events were recorded. In vivo reflectance confocal microscopy (RCM) images were acquired.

RESULTS

Twenty subjects were enrolled and three dropped out. At 6 months, mMASI scores were significantly lower than baseline for QSNYL sides (p = 0.022), with no statistically significant difference between PSAL sides before and after treatment, PSAL sides versus QSNYL sides, or patient satisfaction scores. QSNYL treatment was associated with less pain (p = 0.014). No serious adverse events were reported. In the PSAL sides RCM showed a large number of dendritic melanocytes infiltrated in the dermis at 2 weeks and 4 weeks after treatment. Ten patients (58.82%) reported recurrence or exacerbation at 2-year follow-up with no statistically significant difference between the two lasers.

CONCLUSIONS

QSNYL demonstrated short term clinical efficacy for melasma, but did not provide any additional benefit compared to PSAL with DLA. QSNYL was associated with less pain. There was a high recurrence rate at 2-year follow-up. RCM allowed the detection of cellular changes in melasma lesions.

Application of MLP neural network to predict X-ray spectrum from tube voltage, filter material, and filter thickness used in medical imaging systems

The X-ray energy spectrum is crucial for image quality and dosage assessment in mammography, radiography, fluoroscopy, and CT which are frequently used for the diagnosis of many diseases including but not limited to patients with cardiovascular and cerebrovascular diseases. X-ray tubes have an electron filament (cathode), a tungsten/rubidium target (anode) oriented at an angle, and a metal filter (aluminum, beryllium, etc.) that may be placed in front of an exit window. When cathode electrons meet the anode, they generate X-rays with varied energies, creating a spectrum from zero to the electrons' greatest energy. In general, the energy spectrum of X-rays depends on the electron beam's energy (tube voltage), target angle, material, filter thickness, etc. Thus, each imaging system's X-ray energy spectrum is unique to its tubes. The primary goal of the current study is to develop a clever method for quickly estimating the X-ray energy spectrum for a variety of tube voltages, filter materials, and filter thickness using a small number of unique spectra. In this investigation, two distinct filters made of beryllium and aluminum with thicknesses of 0.4, 0.8, 1.2, 1.6, and 2 mm were employed to obtain certain limited X-ray spectra for tube voltages of 20, 30, 40, 50, 60, 80, 100, 130, and 150 kV. The three inputs of 150 Multilayer Perceptron (MLP) neural networks were tube voltage, filter type, and filter thickness to forecast the X-ray spectra point by point. After training, the MLP neural networks could predict the X-ray spectra for tubes with voltages between 20 and 150 kV and two distinct filters made of aluminum and beryllium with thicknesses between 0 and 2 mm. The presented methodology can be used as a suitable, fast, accurate and reliable alternative method for predicting X-ray spectrum in medical applications. Although a technique was put out in this work for a particular system that was the subject of Monte Carlo simulations, it may be applied to any genuine system.

Effect of mechanical-chemical modification on adsorption of beryllium by calcite

The treatment of beryllium wastewater has become a major problem in industry. In this paper, CaCO3 is creatively proposed to treat beryllium-containing wastewater. Calcite was modified by an omnidirectional planetary ball mill by a mechanical-chemical method. The results show that the maximum adsorption capacity of CaCO3 for beryllium is up to 45 mg/g. The optimum treatment conditions were pH = 7 and the amount of adsorbent was 1 g/L, and the best removal rate was 99%. The concentration of beryllium in the CaCO3-treated solution is less than 5 μg/L, which meets the international emission standard. The results show that the surface co-precipitation reaction between CaCO3 and Be (II) mainly occurs. Two different precipitates are generated on the used-CaCO3 surface; one is the tightly connected Be (OH)2 precipitation, and the other is the loose Be2(OH)2CO3 precipitation. When the pH of the solution exceeds 5.5, Be2+ in the solution is first precipitated by Be (OH)2. After CaCO3 is added, CO32- will further react with Be3(OH)33+ to form Be2(OH)2CO3 precipitation. CaCO3 can be considered as an adsorbent with great potential to remove beryllium from industrial wastewater.

Dual-wavelength long-pulsed 755-nm alexandrite/1,064-nm Nd:YAG laser versus Nd:YAG alone for treatment of palmoplantar verruca

We compared the effectiveness and safety of the long-pulsed neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser alone and combined with a 755-nm alexandrite laser for treating palmoplantar warts. We divided patients into two groups to receive up to four monthly treatments with Nd:YAG alone (single-wavelength) or combined with the alexandrite laser (dual-wavelength). We assessed treatment responses (according to clearance rate), vascular/hyperkeratosis grades, and patient satisfaction and pain ratings. The differences in treatment response (p = .348), patient satisfaction (p = .560), and pain ratings (p = .728) between the groups were not significant. The single- and dual-wavelength treatment options were equally effective in treating recalcitrant palmoplantar warts.

Proposing an intelligent technique based on radial basis function neural network to forecast the energy spectrum of diagnostic X-ray imaging systems

In digital subtraction angiography (digital subtraction total cerebral angiography), cardiac and macrovascular cardiography, anorectal radiology, fluoroscopy, and computed tomography (CT), a prior knowledge to X-ray energy spectrum is crucial for assessing the image quality and also calculating patient X-ray dosage. The present investigation's main objective is to propose an intelligent technique for faster calculating X-ray energy spectrum of medical imaging systems with different exposure settings of tube voltage, filter material, and thickness based on limited specific spectra. In this study, Monte Carlo N Particle (MCNP) simulation code was initially used to generate some limited X-ray spectra for tube voltages of 20, 30, 40, 50, 80, 100, 130, and 150 kV for two different filters of beryllium and aluminum with thicknesses of 0. 4, 0.8, 1.2, 1.6 and 2 mm. Tube voltage, type, and thickness of filter were used as the 3 inputs of 150 Radial Basis Function Neural Network (RBFNN) to forecast point by point of the X-ray spectrum. After training, the RBFNNs could forecast most of the X-ray spectra for tube voltages in the range of 20-150 kV and two various filters of aluminum and beryllium with thicknesses in the range of 0-2 mm.

Elevated CO2 differentially attenuates beryllium-induced oxidative stress in oat and alfalfa

Elevated CO2 (eCO2 ) is one of the climate changes that may benefit plant growth under emerging soil contaminants such as heavy metals. In this regard, the morpho-physiological mechanisms underlying the mitigating impact of eCO2 on beryllium (Be) phytotoxicity are poorly known. Hence, we investigated eCO2 and Be interactive effects on the growth and metabolism of two species from different groups: cereal (oat) and legume (alfalfa). Be stress significantly reduced the growth and photosynthetic attributes in both species, but alfalfa was more susceptible to Be toxicity. Be stress induced reactive oxygen species (ROS) accumulation by increasing photorespiration, subsequently resulting in increased lipid and protein oxidation. However, the growth inhibition and oxidative stress induced by Be stress were mitigated by eCO2 . This could be explained, at least partially, by the increase in organic acids (e.g., citric acid) released into the soil, which subsequently reduced Be uptake. Additionally, eCO2 reduced cellular oxidative damage by reducing photorespiration, which was more significant in alfalfa plants. Furthermore, eCO2 improved the redox status and detoxification processes, including phytochelatins, total glutathione and metallothioneins levels, and glutathione-S-transferase activity in both species, but to a greater extend in alfalfa. In this context, eCO2 also stimulated anthocyanin biosynthesis by accumulating its precursors (phenylalanine, coumaric acid, cinnamic acid, and naringenin) and key biosynthetic enzymes (phenylalanine ammonia-lyase, cinnamate hydroxylase, and coumarate:CoA ligase) mainly in alfalfa plants. Overall, this study explored the mechanistic approach by which eCO2 alleviates the harmful effects of Be. Alfalfa was more sensitive to Be stress than oats; however, the alleviating impact of eCO2 on Be stress was more pronounced in alfalfa.

Removal of Unwanted Hair: Efficacy and Safety of 755-nm Alexandrite Laser Equipped with a 30 mm Spot Handpiece

Background: Alexandrite 755 nm laser has been currently recognized one of the gold standards for the permanent hair removal business because of its sufficient tissue penetration and higher affinity for melanin compared with Nd:YAG, making the treatment more incisive and effective. Objective: In this study, we evaluated an Alexandrite 755 nm laser with a 30-mm spot for a new and fast hair removal treatment. Methods: Patients of both genders, with skin Fitzpatrick's types, ranging from II to III, were asked to avoid any epilation techniques 4 weeks before the laser hair removal session. Participants underwent a minimum of three to a maximum of eight sessions of treatment, every 6 weeks. Six months after the last treatment, the final evaluation was completed. The treated body areas included arms, legs, axillae, and trunk. The subjects used a numeric scale with a range of 0 to 10 (0: no pain, 10: unbearable), to indicate the associated pain level experienced. By comparing the percentage of terminal hairs before and after laser treatment, hair reduction was determined. Results: The patients reported only slight post-treatment erythema that disappeared after a few hours and only two patients showed persistent erythema lasting a few weeks. The pain was found to be 4.9 ± 0.9 after single pass emission. Conclusions: The 755 nm laser with the new handpiece has proven to be an ideal wavelength for hair removal, allowing efficient, safe, and faster treatments to be performed for the patient.

Toxic metals and the risks of sludge from the treatment of wastewater from beryllium smelting

The release of highly toxic beryllium in sludge (BCS) produced by physico-chemical treatment of beryllium-containing wastewater from Be smelting production has become a growing concern with the widespread use of Be in the defense industry. This work investigated the potential mobility of Be in BCS. The toxicity characteristic leaching procedure (TCLP) of BCS showed that the amount of leached Be was up to 202 mg L^-1, which exceeded the regulated limit by nearly 10,000 times. The chemical fractionation analysis further revealed that the excessive amount of Be leached from BCS was contributed to the high content of acid-soluble fraction and reducible fraction of Be, which accounted for over 70% of the Be content. The results obtained from mineralogical automatic analyzer (MLA) showed that gypsum (23.23%) and epidote (19.55%) were the two major mineralogical phases of BCS. Both were small and loosely structured agglomerated particles with a D₅₀ of 6.61 μm and 3.31 μm. ToF-SIMS results revealed that the Be distribution on the surface of BCS particles was relatively dispersed, with no aggregation or encapsulation. Be co-precipitated with gypsum and chlorite in the form of unstable Be(OH)₂, which attached to the surface of these small particles. The unstable state of Be and the small size, loose structure and high liberation of the host material phases are the main reasons for the high leaching mobility of Be. The results of the risk assessment indicated that BCS posed an extremely high potential ecological risk, with Be being the most significant contributor.

Evaluating potential ecological risks of emerging toxic elements in lacustrine sediments: A case study in Lake Fuxian, China

The fragile ecosystems of plateau lakes are in face of ecological risks from emerging toxic elements. Beryllium (Be) and thallium (Tl) have been considered priority control metals in recent years owing to their persistence, toxicity, and bioaccumulation. However, the toxic factors of Be and Tl are scarce and ecological risks of them in the aquatic environment were seldom investigated. Hence, this study developed a framework for calculating the potential ecological risk index (PERI) of Be and Tl in aquatic systems and used it to assess the ecological risks of Be and Tl in Lake Fuxian, a plateau lake in China. The toxicity factors of Be and Tl were calculated to be 40 and 5, respectively. In sediments of Lake Fuxian, the concentrations of Be and Tl were between 2.18 and 4.04 mg/kg and 0.72-0.94 mg/kg, respectively. The spatial distribution indicated that Be was more abundant in the eastern and southern regions, and Tl had higher concentrations near the northern and southern banks, consistent with the distribution of anthropogenic activities. The background values were calculated as 3.38 mg/kg and 0.89 mg/kg for Be and Tl, respectively. In comparison with Be, Tl was more enriched in Lake Fuxian. The increasing Tl enrichment has been attributed to anthropogenic activities (e.g., coal burning and non-ferrous metal production), especially since the 1980s. Generally, Be and Tl contamination has decreased over the past several decades, from moderate to low, since the 1980s. The ecological risk of Tl was low, whereas Be might have caused low to moderate ecological risks. In the future, the obtained toxic factors of Be and Tl in this study can be adopted in assessing the ecological risks of them in sediments. Moreover, the framework can be employed for the ecological risk assessment of other newly emerging toxic elements in the aquatic environment.

7Be, 210Pb, airborne particulate matter and PM10 concentrations in relation to meteorological conditions in southern Poland in 1998-2016

An analysis of the concentration of ⁷Be in aerosol samples collected in one of the most polluted areas in Europe (Katowice and Krakow in southern Poland) indicated seasonal variability, with a maximum in the summer months. The average concentrations of ⁷Be were 4616.1 μBq m^-3 in Katowice and 3259.4 μBq m^-3 in Krakow, respectively, and they are among the highest values recorded in Poland in the studied period (1998-2016). These cities are also characterised by Poland's highest concentrations of ²¹⁰Pb (547.8 μBq m^-3 and 513.2 μBq m^-3). The highest radioactive concentrations of ²¹⁰Pb were observed in the winter and autumn, since in the case of these industrial areas, the combustion processes related to heating in the cold season of the year are an additional source of this isotope, next to its natural origin. The airborne particulate matter concentrations at both locations correlate with the concentrations of ²¹⁰Pb. The average values of PM10 concentrations (71.1 μg m^-3 in Krakow to 45.0 μg m^-3 in Katowice), were 2-3 times higher than the average ones recorded in northern Poland. It has been proven that air temperature is the key parameter affecting the transport of isotopes, especially in the warm season of the year, when its increase causes increased thermal convection, leading to intense vertical mixing and exchange in the troposphere. Analyses using the machine learning method allowed for an indication of the correlation between relative humidity and atmospheric precipitation, as well as higher wind speed and concentrations of ⁷Be which is inversely proportional. Geographical factors (the latitude of the station and the land elevation) have no impact on near-surface concentrations of ⁷Be in Poland.

Beryllium contamination and its risk management in terrestrial and aquatic environmental settings

Beryllium (Be) is a relatively rare element and occurs naturally in the Earth's crust, in coal, and in various minerals. Beryllium is used as an alloy with other metals in aerospace, electronics and mechanical industries. The major emission sources to the atmosphere are the combustion of coal and fossil fuels and the incineration of municipal solid waste. In soils and natural waters, the majority of Be is sorbed to soil particles and sediments. The majority of contamination occurs through atmospheric deposition of Be on aboveground plant parts. Beryllium and its compounds are toxic to humans and are grouped as carcinogens. The general public is exposed to Be through inhalation of air and the consumption of Be-contaminated food and drinking water. Immobilization of Be in soil and groundwater using organic and inorganic amendments reduces the bioavailability and mobility of Be, thereby limiting the transfer into the food chain. Mobilization of Be in soil using chelating agents facilitates their removal through soil washing and plant uptake. This review provides an overview of the current understanding of the sources, geochemistry, health hazards, remediation practices, and current regulatory mandates of Be contamination in complex environmental settings, including soil and aquatic ecosystems.

Adsorptive removal of beryllium by Fe-modified activated carbon prepared from lotus leaf

Lotus leaf was used as raw material to prepare HNO₃-activated carbon with 1.5:1 (HNO₃:lotus leaf) (wt:wt) impregnation. Then, the activated carbon was modified by Fe(NO₃)₃ to obtain Fe-activated carbon (Fe-AC). The adsorption test results show that Fe-AC maximum saturated adsorption capacity (Q_m) is 45.68 mg/g when the Fe(NO₃)₃ loading is 5% of the total activated carbon, pH = 6, and the temperature is 35 ℃. The adsorption effect of Fe-AC under neutral conditions is better than that under alkaline and acidic conditions. The modified activated carbon has better adsorption selectivity. The obtained material (Fe-AC) was characterized by N₂ adsorption-desorption isotherm, SEM, FT-IR, BET, XRD, XPS, and pH_pzc. The total pore volume, specific surface area, and zero charges of modified activated carbon were increased. The types of modified functional groups were reduced, and the iron reacted with the functional groups, providing ion exchange sites for the adsorption of beryllium. The adsorption thermodynamics showed that the adsorption process was spontaneous and endothermic. The adsorption mechanism of Fe-AC to beryllium is mainly chemical adsorption.

Environmental chemistry response of beryllium to diverse soil-solution conditions at a waste disposal site

This study evaluated how the variation in different sorption conditions of beryllium (Be) in soil-water systems (electrolytes; ionic strengths; competing, counter, and co-existing ions; concentrations of Be and soil; and temperature) affected Be's environmental behaviour. For this reason, potentially contaminated soil was collected from a legacy waste site near Sydney, Australia. The sorption-desorption plateau for Be was found at >12.5 g L^-1 (soil/solution), considering higher sorption and limited desorption. Variable surface charges developed by different added ions (competing ions, counter ions, and co-existence of all ions) were not always correlated with Be sorption. However, effects of added ions in Be sorption (increased by counter ions and decreased by competing ions) primarily occurred at low pH, with no noticeable changes at pH > 6 due to the hydration and precipitation behaviour of Be at higher pH. Both laboratory data and modelling indicated the substantial effect of counter ions on increased sorption of Be. Relatively higher amounts of sorption under the co-existence of all added ions were suggested from synergistic actions. Sorption was favourable (K_L > 0, and 0 < R_L < 1) across all concentrations and temperatures at pH 5.5, and high retention (84-97%) occurred after four desorption cycles indicated specific sorption. The sorption process was exothermic (ΔH > -43 kJ mole^-1), while desorption was endothermic (ΔH > +78.4 kJ mole^-1). All sorption-desorption reactions were spontaneous (ΔG = -Ve), and executed without any structural deformation (ΔS = nearly zero) of soil particles. However, the effect of temperature on desorption was influenced by the concentrations of Be. Higher retention and different sorption-desorption parameters (K_d-desorption > K_d-sorption; K_f-desorption > K_f-sorption; n_desorption/n_sorption < 1) indicate limited mobility of Be and the presence of desorption hysteresis in the studied soil under the experimental conditions.

Ellagic acid attenuates beryllium sulphate-induced oxidative stress and histopathological alterations of spleen in rats

CONTEXT

Ellagic acid (EA) is a phenolic constituent in certain fruits and has largely been recognized for its role as an antioxidant compound.

OBJECTIVE

To evaluate the effect of EA on beryllium sulphate-induced splenic toxicity in rats.

MATERIALS AND METHODS

Male Sprague-Dawley rats were divided into four groups. The first group was used as control. Group 2 was exposed to BeSO₄ (12 mg/kg, b.w.). Groups 3 and 4 were treated with EA (100 and 300 mg/kg, b.w.) daily for 6 weeks after exposing to BeSO₄ (12 mg/kg, b.w.). Various biochemical and molecular biomarkers were assessed in blood and spleen.

RESULTS

BeSO₄-intoxicated rats showed significant higher WBC (6.74 ± 0.20 × 10⁹/L vs. 11.02 ± 1.31 × 10⁹/L, p < 0.05), Neu (1.14 ± 0.11 × 10⁹/L vs. 2.45 ± 0.42 × 10⁹/L, p < 0.05), Lym (3.80 ± 0.83 × 10⁹/L vs. 9.64 ± 1.99 × 10⁹/L, p < 0.05), and PLT (868.4 ± 43.2 × 10⁹/L vs. 1408 ± 77.57 × 10⁹/L, p < 0.05) than normal control animals. Moreover, an increase in MDA with depletion of GSH and SOD activity (all p < 0.05) occurred in the spleen of rats treated with BeSO₄. Furthermore, BeSO₄-treated rats displayed significantly higher levels of apoptotic markers (Bax, Caspase-3, PARP) (all p < 0.05). EA administration resulted in a significant reversal of hematological and apoptotic markers in beryllium sulphate-intoxicated rats.

DISCUSSION AND CONCLUSIONS

Our results suggest EA treatment exerts a significant protective effect on BeSO₄-induced splenic toxicity in rats.

Bioavailability of potentially toxic elements influences antibiotic resistance gene and mobile genetic element abundances in urban and rural soils

Antibiotic resistance genes (ARGs) that can encode resistance traits in bacteria are found across the environment. While it is often difficult to discern their origin, their prevalence and diversity depends on many factors, one of which is their exposure to potentially toxic elements (PTE, i.e., metals and metalloids) in soils. Here, we investigated how ambient ARGs and mobile genetic elements (MGEs) relate to the relative bioavailability of different PTEs (total versus exchangeable and carbonate-bound PTE) in rural and urban soils in northeast England. The average relative abundances of ARGs in rural sites varied over a 3-log range (7.24 × 10^-7 to 1.0 × 10^-4 genes/16S rRNA), and relative ARG abundances in urban sites varied by four orders of magnitude (1.75 × 10^-6 to 2.85 × 10^-2 genes/16S rRNA). While beta-lactam and aminoglycoside resistance genes dominated rural and urban sites, respectively, non-specific ARGs, also called multidrug-resistance genes, were significantly more abundant in urban sites (p < 0.05). Urban sites also had higher concentrations of total and exchangeable forms of PTE than rural sites, whereas rural sites were higher in carbonate-bound forms. Significant positive Spearman correlations between PTEs, ARGs and MGEs were apparent, especially with bioavailable PTE fractions and at urban sites. This study found significant positive correlations between ARGs and beryllium (Be), which has not previously been reported. Overall, our results show that PTE bioavailability is important in explaining the relative selection of ARGs in soil settings and must be considered in future co-selection and ARG exposure studies.

Environmental exposure to metals and the development of tauopathies, synucleinopathies, and TDP-43 proteinopathies: A systematic evidence map protocol

BACKGROUND

Neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, and amyotrophic lateral sclerosis are incurable and expected to increase in prevalence in the upcoming decades. Environmental exposure to metals has been suggested as a contributing factor to the development of neurodegenerative disease. This systematic evidence map will identify and characterize the epidemiological and experimental data available on the intersection of eighteen metals of environmental concern (i.e., aluminum, antimony, arsenic, barium, beryllium, cadmium, chromium, cobalt, copper, lead, manganese, mercury, nickel, palladium, radium, silver, vanadium, and zinc) and three neurodegenerative disease clusters (i.e., tauopathies, synucleinopathies, and TDP-43 proteinopathies). We aim to describe the type and amount of evidence available (or lack thereof) for each metal and neurodegenerative disease combination and highlight important knowledge gaps and knowledge clusters for future research.

METHODS

We will conduct a thorough search using two databases (MEDLINE and Web of Science Core Collection) and grey literature resources. Pre-defined criteria have been developed to identify studies which evaluate at least one of the selected metals and neurodegenerative disease-relevant outcomes (e.g., neuropathology, cognitive function, motor function, disease mortality). At each phase of review, studies will be evaluated by two reviewers. Studies determined to be relevant will be extracted for population, exposure, and outcome information. We will conduct a narrative review of the included studies, and the extracted data will be available in a database hosted on Tableau Public.

CONCLUSION

This protocol documents the decisions made a priori to data collection regarding these objectives.

Microscale spatial variability of Beryllium-7 at a reference site in southwest China

Quantitative assessment of soil erosion and deposition rates using fallout radionuclides (FRNs), including Beryllium-7 (⁷Be), requires establishment of a reliable reference inventory i.e. the inventory of a non-eroding point. Little information, however, is currently available on the microscale spatial variability of ⁷Be inventory within reference sites. This is important information to inform sample design and replication, and in addition, to evaluate the uncertainty of derived soil redistribution data. In this study, soil samples were taken systematically at grid points on a 5 m × 12 m experimental reference plot with a bare soil surface, at two sampling occasions (2019 and 2021) in southwest China. ⁷Be activities were measured to explore the potential variability of ⁷Be inventory at the microscale. To determine possible causes of ⁷Be inventory variation, physicochemical characteristics including organic matter content (OM), pH, cation exchange capacity (CEC) and grain size compositions were analyzed at each sample location. ⁷Be inventories for the two periods were estimated at 211.1 ± 20.0 and 456.1 ± 43.8 Bq m^-2 (mean ± 2 SEM, n = 44), with coefficients of variation of 31.4 and 31.9% for the 2019 and 2021 sampling cases, respectively. No significant correlations were observed between ⁷Be activity and the measured soil compositional properties, suggesting observed spatial variability is primarily a result of random variation due to rainsplash and other processes, although sampling and measuring processes may contribute some uncertainties. Using the traditional method, ca. 40 independent reference samples are required to estimate the mean ⁷Be inventory, i.e. to represent input across the site, with an allowable error of 10% at 95% confidence, while application of a bootstrap approach suggests that ca. 28 would be adequate under similar accuracy. Overall, results of this study emphasize that the simple assumption of uniform distribution of ⁷Be across the reference area needs detailed examination on a case-by-case basis, if this radionuclide is to be used effectively to assess patterns and rates of soil redistribution from field to hillslope scale.

SITE-SPECIFIC DRY AND WET DEPOSITION VELOCITIES USING 7BE AND MASS INTERCEPTION FACTOR FOR VARIOUS TYPES OF PLANT LEAVES AT NARORA SITE, INDIA

Comprehensive studies were carried out during the period 2016-19 on the estimation of site-specific wet and dry deposition velocities and the mass interception factor for Narora site based on the concentrations of 7Be in air, air deposits, rain water and vegetation samples. Mean wet and dry deposition velocities for Narora site were found to be 1.64E-2 and 1.58E-3 m s-1, respectively. Mass interception factors for vegetation found to be 0.34-2.51 m2 kg-1 dry weight with a mean of 0.97 m2 kg-1 dry weight. The obtained parameters shall be used for estimation of impact due to radionuclide related to Narora Atomic Power station.

Unraveling the process of aerosols secondary formation and removal based on cosmogenic beryllium-7 and beryllium-10

The secondary formation and diffusion processes of aerosol are extraordinarily complex and significantly impact the environment and human health. Therefore, exploring the process of aerosol formation and diffusion based on independent new tracer has always been a concern. The ⁷Be and ¹⁰Be, which are generated only by the action of cosmic rays, are chemically stable and adsorbed on aerosol for transmission, so they have the potential characteristics of aerosol tracers. Here, we obtained the daily resolution atmospheric ⁷Be, ¹⁰Be, and ¹⁰Be/⁷Be without dust interference in Xi'an autumn and winter (heavy pollution period in a typical polluted area) by accelerator mass spectrometry. It is found that during the rapid formation of secondary aerosols (SA) under the stable ¹⁰Be/⁷Be ratio, which indicates the stable atmospheric vertical structure, the concentration of ⁷Be and ¹⁰Be is significantly negatively correlated (R² > 0.9) with the aerosol concentration. Therefore, SA relative content in aerosols can be estimated by the dilution amount of ⁷Be and ¹⁰Be to reveal the secondary-formation process of aerosol (33% average contribution to aerosols during the winter heavy air pollution period). Furthermore, we also revealed the physical removal process of aerosols based on ⁷Be, ¹⁰Be, and ¹⁰Be/⁷Be, including precipitation removal and diffusion of vertical atmospheric movement caused by stratospheric air intrusion. In summary, meteoric cosmogenic ⁷Be and ¹⁰Be will provide a new way to study the secondary chemical formation and physical removal of aerosols.

Innate and Adaptive Immunity in Noninfectious Granulomatous Lung Disease

Sarcoidosis and chronic beryllium disease are noninfectious lung diseases that are characterized by the presence of noncaseating granulomatous inflammation. Chronic beryllium disease is caused by occupational exposure to beryllium containing particles, whereas the etiology of sarcoidosis is not known. Genetic susceptibility for both diseases is associated with particular MHC class II alleles, and CD4⁺ T cells are implicated in their pathogenesis. The innate immune system plays a critical role in the initiation of pathogenic CD4⁺ T cell responses as well as the transition to active lung disease and disease progression. In this review, we highlight recent insights into Ag recognition in chronic beryllium disease and sarcoidosis. In addition, we discuss the current understanding of the dynamic interactions between the innate and adaptive immune systems and their impact on disease pathogenesis.

Retrieval and Characterization of a Plutonium-beryllium Source at the University of Utah

ABSTRACT

A shielded neutron irradiation facility has been constructed to contain a 74 GBq plutonium-beryllium neutron source at the University of Utah. Due to lack of information and recent use, the GEANT4 Monte Carlo Toolkit was used to perform dose assessments and validation of the designed shield and beam port for storage and operational geometries where the source was to be placed. Borated polyethylene was used as the primary shielding material with a lead-lined beam port to collimate neutrons and reduce gamma rays within the active beam profile. The lead lining was found to reduce the gamma-to-neutron ratio within the profile to 0.259 ± 0.001 and maintain an average neutron flux of 4,633.7 ± 10.2 n cm-2 s-1. The measured dose rate of the source at 30 cm from its constructed storage configuration was found to be 22.3 ± 1.1 μSv h-1 and in good agreement with simulated values. This was also close to the target rate of 20 μSv h-1, the public limit for whole-body dose accumulation, imposed on the design. Measurements of the source during its retrieval and placement into the shield show good agreement with the simulated results and provide a strong validation for the future use of the source in experiments at the University of Utah.

Antimony, beryllium, cobalt, and vanadium in urban park soils in Beijing: Machine learning-based source identification and health risk-based soil environmental criteria

The pollution situation of antimony (Sb), beryllium (Be), cobalt (Co), and vanadium (V) is poorly understood, although they are widely used in daily life and production processes. Moreover, threshold levels ("soil environmental criteria", SEC) for these pollutants are lacking in China, which impedes effective soil quality management. This study explored pollution characteristics for park soils in urban area of Beijing, China at first. Then multivariate statistical analysis and machine learning model were used to identify the main sources of pollutants. Additionally, probabilistic health risk and SEC were studied to assess the risks of pollutants and manage soil pollutants. The results revealed that the overall pollution levels of Be, Co, Sb, and V were low, but Be and Sb were enriched to varying degrees. Source apportionment showed that Sb (85.5%) was mainly derived from fuel combustion and industrial legacy, Co (66.7%) and V (82.5%) from natural processes, and Be from the natural background (39.3%) and anthropogenic sources (53.8%). Risk assessment indicated that the pollutants' carcinogenic and noncarcinogenic risks were negligible. Exposure frequency and soil ingestion rate were the most important parameters affecting health risks. The SEC of Be, Co, Sb, and V were 31, 39.7, 41.3, and 348 mg/kg, respectively, all of which are higher than the corresponding soil quality standards in China, indicating that current soil quality standards may be too conservative for urban park land. This study provides a reference for the management of soil pollutants in Beijing's urban parks, and the formulation of soil environmental quality standards.

Evaluation of Picosecond 755-nm Alexandrite Laser With a Diffractive Lens Array on Pore Size Reduction

OBJECTIVES

Medications, lasers and light therapy have all been shown to transiently minimize pore size. Current research of the 755-nm Alexandrite picosecond laser (Cynosure, MA) on pore size shows differing results regarding the efficacy, with one study of Asian volunteers (Fitzpatrick skin type IV) reporting &ldquo;marked&rdquo; improvement of pores, yet another study reporting no significant improvement in pore size in Chinese patients (Fitzpatrick skin type III&ndash;IV), causing some contention. This study aims to rectify the discordant results through the examination of the 755-nm Alexandrite picosecond laser on pore size reduction in a sample consisting of Fitzpatrick skin type I&ndash;III.

METHODS

Patients who received 755-nm Alexandrite picosecond laser treatment for photorejuvenation, (6 mm lens array) with a fluence of 0.71 J/cm2 of the face or head, with at least two treatments over four-week intervals were included in the study. A precision subject imaging system (Canfield VISIA&reg; Complexion Analysis Generation 7, NJ) was used to assess three parameters of pore size (feature count, score, percentile rank) at each time period at right lateral, left lateral and frontal views. A Wilcoxin signed rank test was performed to compare differences between time periods and a mixed model ANOVA was utilized to account for patients who received less than three treatments. Significance level set to P=&lt;0.05.

RESULTS

32 participants met criteria and underwent at least two picosecond laser treatments for photorejuvenation. There was an overall reduction in pore count in approximately 57% of participant data points from times 1 to 2 and 50% reduction from times 2 to 3. There was a 100% pore count reduction observed from baseline compared with the follow-up visit four weeks after the third treatment, at time 4. Further, there was a significant improvement of pores demonstrated by score from times 1 to 3 (Z= -2.197, P=0.028) as well as percentile rank between times 1 and 2 (Z= -2.070, P=0.038) and times 1 and 3 (Z= -2.201, P=0.028).

CONCLUSION

Future studies should investigate the longterm effect of 755-nm Alexandrite picosecond laser on pore size reduction as continued patient recruitment and data collection is necessary to effectively discern the 755-nm Alexandrite picosecond laser debate. Thus, prolonged follow up post treatment should be evaluated in order to determine if results are maintained. Nonetheless, the 755-nm Alexandrite picosecond laser shows promising results for the improvement of skin pores thus far. J Drugs Dermatol. 2021;20(12):1302-1306. doi:10.36849/JDD.6199.

Sorption of beryllium in cementitious systems relevant for nuclear waste disposal: Quantitative description and mechanistic understanding

Beryllium has applications in fission and fusion reactors, and it is present in specific streams of radioactive waste. Accordingly, the environmental mobility of beryllium needs to be assessed in the context of repositories for nuclear waste. Although cement is widely used in these facilities, Be(II) uptake by cementitious materials was not previously investigated and was hence assumed negligible. Sorption experiments were performed under Ar-atmosphere. Ordinary Portland cement, low pH cement, calcium silicate hydrated (C-S-H) phases and the model system TiO₂ were investigated. Sorption kinetics, sorption isotherms and distribution ratios (R_d, in kg⋅L^-1) were determined for these systems. Molecular dynamics were used to characterize the surface processes driving Be(II) uptake. A strong uptake (5 ≤ log R_d ≤ 7) is quantified for all investigated cementitious systems. Linear sorption isotherms are observed over three orders of magnitude in [Be(II)]_aq, confirming that the uptake is controlled by sorption processes and that solubility phenomena is not relevant within the investigated conditions. The analogous behaviour observed for cement and C-S-H support that the latter are the main sink of beryllium. The two step sorption kinetics is explained by a fast surface complexation process, followed by the slow incorporation of Be(II) in C-S-H. Molecular dynamics indicate that Be(OH)₃^- and Be(OH)₄^2- are sorbed to the C-S-H surface through Ca-bridges. This work provides a comprehensive quantitative and mechanistic description of Be(II) uptake by cementitious materials, whose retention properties can be now reliably assessed for a wide range of boundary conditions of relevance in nuclear waste disposal.

Detection of autoreactive CD4+ T cells by MHC class II multimers in HLA-linked human autoimmune diseases

Recognition of self-peptides in association with distinct HLA class II alleles by autoreactive CD4+ T cells is central for loss of immunological tolerance leading to autoimmune disease. However, identifying immunodominant self-peptides and characterizing autoreactive T cells is challenging. In this issue of the JCI, Falta et al. identify a disease-associated complementarity-determining region 3β motif specific for beryllium-modified C-C motif ligand 4 (CCL4) and CCL3 self-peptides in patients with chronic beryllium disease (CBD), a granulomatous lung disorder with a known HLA class II allelic association. Detection of these antigen-specific CD4+ T cells by beryllium-pulsed HLA-DP2 tetramers presenting CCL4/CCL3 confirms these autoantigens in humans and mice and enables monitoring in the progress of disease. Detection of autoreactive CD4+ T cells by peptide-MHC class II multimers allows for the detailed characterization of disease-promoting T cells. This knowledge has profound implications for the monitoring and development of targeted therapies in human autoimmune disorders.

The influence of soil properties on sorption-desorption of beryllium at a low level radioactive legacy waste site

This study examined the influence of soil physicochemical properties on the sorption, desorption and kinetics of beryllium (Be) uptake and release on soils from a legacy waste site in Australia. This information is needed to help explain the current distribution of Be at the site and evaluate potential future environmental risks. Sorption was determined by a batch study and key soil properties were assessed to explain Be retention. The soil was favourable for sorption of Be (up to 99%) due to organic content, negative surface charge, soil oxyhydroxides (Fe/Al/Mn-O/OH) and the porosity of the soil structure. Lesser sorption was observed in the presence of a background electrolyte (NaNO₃). Sorption closely followed pseudo second order kinetics and was best described by the Langmuir model. FTIR analysis suggested that chemisorption was the predominant mechanism of Be sorption. Desorption was very low and best described by the Freundlich model. The low desorption reflected the high K_d (up to 6624 L/kg), and the presence of hysteresis suggested partially irreversible binding of Be with active surfaces of the soil matrix (minerals, SOM, oxyhydroxides of Fe/Al/Mn etc.). Intra-particle diffusion of Be and entrapment in the pores contribute to the irreversible binding. The sorption behaviour of Be helped to explain the relative immobility of Be at the site despite the significant quantities of Be disposed. Soil physicochemical properties were significant for Be sorption, through influencing both the uptake and desorption, and this demonstrates the implications of these measurements for evaluating potential future risks to the environment.

Association of 13 Occupational Carcinogens in Patients With Cancer, Individually and Collectively, 1990-2017

IMPORTANCE

Occupational exposure to carcinogens has been shown to pose a serious disease burden at the global, regional, and national levels. Based on epidemiologic studies and clinical observations, working environment appears to have important effects on the occurrence of human malignant tumors; however, to date, no systematic articles have been published that specifically investigated cancer burden due to occupational exposure in an individual and collective manner.

OBJECTIVE

To estimate the degree of exposure and evaluate the cancer burden attributable to occupational carcinogens (OCs) individually and collectively by sex, age, year, and location.

DESIGN, SETTING, AND PARTICIPANTS

Cross-sectional study including data on 195 countries from the Global Burden of Diseases, Injuries, and Risk Factors Study from January 1, 1990, to December 31, 2017. Data were analyzed from June 24, 2020, to July 20, 2020.

EXPOSURES

Thirteen OCs (ie, arsenic, asbestos, benzene, beryllium, cadmium, chromium, diesel engine exhaust, formaldehyde, nickel, polycyclic aromatic hydrocarbons, silica, sulfuric acid, and trichloroethylene).

MAIN OUTCOMES AND MEASURES

The degree and change patterns of exposure as well as the attributable cancer burden, including deaths and disability-adjusted life years (DALYs), by sex, age, year, and location for 13 OCs. The calculation of the population-attributable fraction was based on past exposure in the population and relative risks.

RESULTS

Based on the GBD 2017 study, 13 OCs attributable to 7 cancer types were included. Most summary exposure values for the 13 OCs, particularly those of diesel engine exhaust (35.6% increase; 95% uncertainty interval [UI], 32.4%-38.5%) and trichloroethylene (30.3% increase; 95% UI, 27.3%-33.5%), increased from 1990 to 2017. Only exposure to asbestos decreased by 13.8% (95% UI, -26.7% to 2.2%). In 2017, 319 000 (95% UI, 256 000-382 000) cancer deaths and 6.42 million (95% UI, 5.15 million to 7.76 million) DALYs were associated with OCs combined, accounting for 61.0% (95% UI, 59.6%-62.4%) of the total cancer deaths and 48.3% (46.3% to 50.2%) of the DALYs. Among the 13 OCs, the 3 leading risk factors for cancer burden were asbestos (71.8%), silica (15.4%), and diesel engine exhaust (5.6%). For most OCs, the attributed cancer outcome was tracheal, bronchial, and lung cancer, which accounted for 89.0% of attributable cancer deaths. China (61 644 cancer deaths), the US (42 848), and Japan (20 748) accounted for the largest number of attributable cancer deaths in 2017; for DALYs, China (1.47 million), the US (0.71 million), and India (0.37 million) were the 3 leading countries.

CONCLUSIONS AND RELEVANCE

Results of this study suggest that although OC exposure levels have decreased, the overall cancer burden is continuously increasing.

7Be atmospheric activity concentration and meteorological data: Statistical analysis and two-layer atmospheric model

Atmospheric activity concentration of ⁷Be in the air was monitored during the period of one year from September 2015 to September 2016 at Ostrava, Czech Republic, with a two-day frequency that is shorter compared to a standard 7-day frequency of routine ⁷Be measurements. Simultaneously, relevant meteorological data (temperature, rainfall amount, precipitation particle size and speed, tropopause height, and PM₁₀ concentrations) and the sunspot number were accumulated. Weighted linear regression analysis applied to the ⁷Be atmospheric activity concentration, the measured meteorological explanatory variables and the sunspot number revealed temperature as the most statistically significant explanatory variable. The tree model proved temperature as the most important explanatory variable and predicted the threshold value separating low and high temperature behavior of ⁷Be at about 13 °C (2-day average). A simple local two-layer (stratosphere and troposphere) atmospheric model was then applied to the data analysis. The model is able to fit the data for a larger accumulation period (6 days).

ESTIMATION OF AIRBORNE 106RU ACTIVITY CONCENTRATION FROM TOTAL BETA ACTIVITY OF PM10 PARTICLE FRACTIONS

Airborne radioruthenium, as a result of an accidental release, presents a risk for occupational and public exposure. In fall 2017, a detection of 106Ru was reported by the European atmospheric radioactive contamination monitoring networks. We investigated the daily specific total beta activity of PM10 particle fractions samples. The presented method enables indirect determination of airborne 106Ru activity concentration from total beta activity, in case 106Ru was confirmed as single excess radiological pollutant. This allows for daily measurements and time-resolved 106Ru activity concentration data. We estimated the indicative committed effective dose due to 106Ru inhalation for the Croatian population during the exposure period. Although the estimated dose value of ~169.7 nSv, for ~6-d duration of ruthenium air pollution, was very low, it was ~40 times higher than the value for Hinh from inhalation of other radionuclides (90Sr + 137Cs + 40K + 7Be).

Human and environmental factors affecting the activity of 131I and 137Cs in urban wastewater: A case study

The analysis of radionuclides content in the waste product of urban wastewater treatment (i.e. sewage sludges) is of great concern for both the safety of workers and in a re-use perspective of the final product. The study of the behavior and the partitioning of radionuclides into sewage sludge samples can be useful not only to determine engineering issues in removal efficiency of radioactive pollutants, but also to determine the factors affecting the content and trends of radionuclides (natural and artificial) in urban wastewater systems. In this study we determine people-related and environmental factors that affect the activity of ¹³¹I (nuclear medicine) and ¹³⁷Cs (fallout) in urban wastewater in a large area of northern Italy. 624 sewage sludge samples coming from 17 wastewater treatment plants were collected between 2012 and 2017 and analyzed with high resolution gamma-spectrometry. In addition to ¹³¹I and ¹³⁷Cs, also the following radionuclides were analyzed for the periodic monitoring: ⁷Be, ⁴⁰K, ⁶⁰Co, ⁶⁷Ga, ¹¹¹In, ¹²⁵I, ¹³⁴Cs, ¹⁹²Ir, ²⁰¹Tl. ¹³¹I is the most frequently detected artificial radionuclide in sewage sludge samples (56%), showing a large variability (mean activity ± standard deviation 93 ± 184 Bq kg^-1). The detection frequency of this radionuclide is significantly correlated to population density (R = 0.75, p-value<0.01) and its activity concentration is significantly correlated to wastewater treatment plant size, expressed in population equivalents (R = -0.56, p-value<0.05). The detection frequency of ¹³¹I in sewage sludge samples is modeled as a function of population density, sewer length, inflow rates and population equivalents, accounting for 83% of the variability of observations. Despite the frequency of detection, the activity of ¹³¹I was relevant for workers safety only in less than 0.5% of the cases. On the other hand, ¹³⁷Cs is detected in 36% of samples and its activity shows high correlation with mean annual precipitation (R = 0.67, p-value<0.01) and the activity of natural radionuclides (R = 0.58 and 0.63, for ⁷Be and ⁴⁰K, respectively, p-values <0.05). With a hybrid geostatistical model, we demonstrate that the spatial pattern of ¹³⁷Cs activity in wastewater estimated from sewage sludge samples is consistent with soil contamination from Chernobyl fallout. Moreover, we hypothesize a possible horizontal transport of ¹³⁷Cs in the study area highlighted by different trends of ¹³⁷Cs activity concentration in sludges. The results of this study depict the sensitivity of sewage sludges to the persistent contamination of ¹³⁷Cs, after 30 years from Chernobyl accident, and can be used as a database for future monitoring activities after any accident that includes the spreading of radioactive materials into the environment.

Seasonal evolution of 7,10Be and 22Na in the near surface atmosphere of Cáceres (Spain)

Cosmogenic radionuclides provide information about air masses exchanges between stratosphere and troposphere. The ⁷Be concentration in aerosols usually shows a seasonal variability, depending also of the climatic conditions. There are, however, fewer data available of the behavior of other cosmogenic radionuclides, such as ¹⁰Be and ²²Na. In this work about 7 years of aerosols collected in Cáceres (Spain) were analyzed. The ⁷Be concentration was higher than ²²Na and ¹⁰Be, being the ²²Na/⁷Be and ¹⁰Be/⁷Be ratios (1.16 ± 0.02)·10^-4 and (1.5 ± 0.3)·10^-4 respectively. For the ²²Na/⁷Be, a seasonal variation was observed, being higher in spring/summer. Seasonal variation of ⁷Be and ²²Na were explained using a model taking into account local values of the solar radiation, rainfall and dry deposition. The effective residence time for ⁷Be and ²²Na were (9.9 ± 1.0) and (11.3 ± 1.4) d respectively. Both ⁷Be and ²²Na seemed to decrease with increasing number of sunspots, although it was not statistically significant probably due to the low solar activity reported in the analyzed period.

Investigating the metal contamination of sediment transported by the 2016 Seine River flood (Paris, France)

Fine sediment transport in rivers is exacerbated during flood events. These particles may convey various contaminants (i.e. metals, pathogens, industrial chemicals, etc.), and significantly impact water quality. The exceptional June 2016 flood of the Seine River (catchment area: 65 000 km², France), potentially mobilized and deposited contaminated materials throughout the Paris region. Flood sediment deposits (n = 29) were collected along the Seine River and its main tributaries upstream (Yonne, Loing and Marne Rivers) and downstream of Paris (Oise and Eure Rivers). Fallout radionuclides (¹³⁷Cs, ⁷Be) were measured to characterize the sources of the material transiting the river, while trace elements (e.g. Cr, Ni, Zn, Cu, As, Cd, Sb, Pb, Tl, Ag) and stable lead isotopes (²⁰⁶Pb/²⁰⁷Pb) were analyzed to quantify the contamination of sediment transported during the flood. In upper sections of the Seine River, sediment mainly originated from the remobilization of particles with a well-balanced contribution of surface and subsurface sources. In the upstream tributaries, sediment almost exclusively originated from the remobilization of subsurface particles. In Paris and downstream of Paris, recently eroded particles and surface sources dominated, suggesting particles were mainly supplied by urban runoff and the erosion of agricultural soils. The highest metal concentrations and Enrichment Factors (EF) were found in the sediment collected in the Loing, Orge and Yvette upstream tributaries. Although these inputs were diluted in the Seine River, an increase in elemental concentrations was observed, progressing downstream through Paris. However, EFs in sediment collected along the Seine River were lower or in the same range of values sampled over the last several decades, reflecting the progressive decontamination of the urbanized Seine River basin.

COMPARISON OF THE NEUTRON ENERGY RESPONSE OF TWO DIFFERENT TLD ALBEDO DOSEMETERS

Albedo dosemeters remain the most used dosemeters in neutron individual monitoring. In Brazil, most of the neutron occupational fields are from radionuclide sources, often without any moderation, where albedo dosemeters have poor energy response. The purpose of this work is to compare the HP(10) energy response of the IRD and ALNOR TLD albedo dosemeter systems, calculated by their modelling with Monte Carlo code MCNPX. Their energy responses are similar, as expected, but the IRD system is about five times more sensitive than the ALNOR one. IRD albedo system can measure the Brazilian monthly recording level of 0.2 mSv, even for bare 252Cf and 241Am-Be neutron fields. On the other hand, the ALNOR system can measure values higher than 0.2 mSv only after huge moderation of theses sources. These results show that IRD TLD albedo is more suitable than the ALNOR one to measure low doses at occupational fields from radionuclide sources.

Study of the photoneutron generation caused by a LinAc Beryllium window with a 6 MeV treatment beam

In most conventional radiation therapy treatments, special attention is payed for neutron contamination when working with energy beams above 8 MeV and generally it is only considered for shielding requirements, not for dose study in patients or employees. The present work is focused on studying the unwanted generated photoneutrons in a Medical Linear Accelerator (LinAc) Varian TrueBeam using a 6 MeV radiation treatment beam. To that, Monte Carlo (MC) simulation code MCNP6.1.1 was used. This version of the code allows the use of unstructured mesh geometries as a novelty, offering more reliable results and higher speed computation. The particularity of the studied LinAc is the presence of a beryllium filter at the treatment head. Since Beryllium causes photonuclear reactions (γ, n) at energies much lower than other LinAc composing materials, this work aims to analyze if this type of units, when using low energy treatment beams (6 MeV), produce neutron pollution and to ensure that this unwanted radiation can be considered negligible.

Ocular injuries secondary to alexandrite laser-assisted hair removal

PURPOSE

The aim of this study was to describe the clinical manifestations and outcomes of 4 patients who had sustained eye injury during alexandrite laser-assisted hair removal.

METHODS

This was a retrospective case series of 4 patients who presented to 2 tertiary eye care hospitals over 2 years. Data on ophthalmic examination, spectral domain optical coherence tomography (Heidelberg Engineering, Heidelberg, Germany), and fundus fluorescein angiography were collected.

RESULTS

Four female patients sustained injuries during alexandrite laser hair removal. One patient presented with acute anterior uveitis, 2 patients with subfoveal choroidal neovascularization, and 1 patient with intraretinal foveal hemorrhage. Visual acuity at last follow-up (range 3-6 months) was 20/15 to 20/20.

CONCLUSIONS

Ocular injuries can occur as a result of incorrect use of laser-assisted hair removal devices. Ophthalmologists should be aware of ocular damage caused by these devices.

CHOROIDAL NEOVASCULARIZATION SECONDARY TO ALEXANDRITE LASER EXPOSURE

PURPOSE

To report macular photic trauma after accidental occupational exposure to a 750-nm Alexandrite laser and management of secondary choroidal neovascularization.

METHODS

Institutional review board-approved retrospective case report.

RESULTS

A 30-year-old woman presented with immediate vision loss in her left eye after direct inadvertent exposure to a single discharge from an occupational 750-nm Alexandrite laser used for laser hair removal. Baseline Snellen visual acuity was 20/40 in the involved left eye. One week after the initial exposure, the patient experienced subjective visual decline to 20/50, was treated with oral prednisone, and then developed a subretinal hemorrhage (SRH) in the setting of choroidal neovascularization 2 weeks later, or 3 weeks after initial trauma. The patient subsequently received 5 intravitreal ranibizumab injections over 25 weeks with resolution of the SRH. Final visual acuity was 20/50.

CONCLUSION

The present case documents development and management of subretinal hemorrhage associated with choroidal neovascularization following macular photic trauma after accidental occupational to a 750-nm Alexandrite laser.

Design and verification of the shielding around the new Neutron Standards Laboratory (LPN) at CIEMAT

The construction of the new Neutron Standards Laboratory at CIEMAT (Laboratorio de Patrones Neutrónicos) has been finalised and is ready to provide service. The facility is an ∼8 m×8 m×8 m irradiation vault, following the International Organization for Standardization 8529 recommendations. It relies on several neutron sources: a 5-GBq (5.8× 10(8) s(-1)) (252)Cf source and two (241)Am-Be neutron sources (185 and 11.1 GBq). The irradiation point is located 4 m over the ground level and in the geometrical centre of the room. Each neutron source can be moved remotely from its storage position inside a water pool to the irradiation point. Prior to this, an important task to design the neutron shielding and to choose the most appropriate materials has been developed by the Radiological Security Unit and the Ionizing Radiations Metrology Laboratory. MCNPX was chosen to simulate the irradiation facility. With this information the walls were built with a thickness of 125 cm. Special attention was put on the weak points (main door, air conditioning system, etc.) so that the ambient dose outside the facility was below the regulatory limits. Finally, the Radiation Protection Unit carried out a set of measurements in specific points around the installation with an LB6411 neutron monitor and a Reuter-Stokes high-pressure ion chamber to verify experimentally the results of the simulation.

The analysis of complex mixed-radiation fields using near real-time imaging

A new mixed-field imaging system has been constructed at Lancaster University using the principles of collimation and back projection to passively locate and assess sources of neutron and gamma-ray radiation. The system was set up at the University of Manchester where three radiation sources: (252)Cf, a lead-shielded (241)Am/Be and a (22)Na source were imaged. Real-time discrimination was used to find the respective components of the neutron and gamma-ray fields detected by a single EJ-301 liquid scintillator, allowing separate images of neutron and gamma-ray emitters to be formed. (252)Cf and (22)Na were successfully observed and located in the gamma-ray image; however, the (241)Am/Be was not seen owing to surrounding lead shielding. The (252)Cf and (241)Am/Be neutron sources were seen clearly in the neutron image, demonstrating the advantage of this mixed-field technique over a gamma-ray-only image where the (241)Am/Be source would have gone undetected.

An attempt to decrease anisotropic emissions of neutrons from a cylindrical 241Am-Be-encapsulation source

An attempt to decrease the anisotropic emissions of neutrons from a cylindrical (241)Am-Be-encapsulated X3 source was conducted with Monte Carlo calculations and experiments. The influence of metal materials and shapes of the external casing to the anisotropy factor were focussed on. Results obtained by calculations using MCNP4C implied that a light and spherical-shaped external casing decreases the anisotropic emission of neutrons. Experimental results using the spherical-shaped aluminium protection case also revealed that the anisotropy factor was close to 1.0 with wide zenith angle ranges.

Sensitivity and uncertainty in the measurement of H*(10) in neutron fields using an REM500 and a multi-element TEPC

The REM500 is a commercial instrument based on a tissue-equivalent proportional counter (TEPC) that has been successfully deployed as a hand-held neutron monitor, although its sensitivity is regarded by some workers as low for nuclear power plant radiation protection work. Improvements in sensitivity can be obtained using a multi-element proportional counter design in which a large number of small detecting cavities replace the single large volume cavity of conventional TEPCs. In this work, the authors quantify the improvement in uncertainty that can be obtained by comparing the ambient dose equivalent measured with a REM500, which utilises a 5.72 cm (2(1/4) inch) diameter Rossi counter, with that of a multi-element TEPC designed to have the sensitivity of a 12.7 cm (5 inch) spherical TEPC. The results obtained also provide some insight into the influence of other design features of TEPCs, such as geometry and gas filling, on the measurement of ambient dose equivalent.

Long counter and its application for the calibration of the neutron irradiators

The Korea Research Institute of Standards and Science (KRISS) has constructed a new long counter that can be disassembled in parts and reassembled. This counter can be easily transported and used as a transfer standard instrument for neutron fluence measurements. The response function and the effective centre of the counter are investigated by calculating neutron energies from thermal to 30 MeV using MCNPX. By carrying out measurements using a (252)Cf source in the KRISS irradiation room, the accuracy of the evaluated effective centre position is confirmed. The 'distance variation method' is adopted to eliminate the effect of inscatter neutrons. This method is effective and used for the experimental determination of the effective centre. The neutron emission rates determined by the neutron fluence measurements using the long counter developed are compared with those measured by a manganese sulphate bath, and show good agreement within 3 %.

Measurement of the 250Cf component in a 252Cf neutron source at KRISS

Neutron emission rate measurements have been carried out at the Korea Research Institute of Standards and Science using a manganese sulphate bath system for (252)Cf and (241)Am-Be sources since 2004. The relative measurement method was chosen in 2012, and the neutron emission rates agreed with those by the absolute measurement method within uncertainties. The neutron emission rate of an old (252)Cf source has been measured three times: in 2004, 2009 and 2012. The (250)Cf component was fitted to a double-exponential function of (252)Cf+(250)Cf, and the ratio of the (250)Cf component to the (252)Cf component was estimated to be 7.8 % in 2004 and 46.8 % in 2012. Underestimation of the neutron emission rates of old (252)Cf sources can be corrected if the neutron emission rate of the (250)Cf component is taken into account.

Neutron detection by a CR-39 detector and analysis of proton tracks etched in the same and opposite directions

A program code to simulate neutron interactions with a CR-39 detector and calculate parameters describing the induced etched proton tracks in the CR-39 material was previously developed(( 1)). This code was used to understand the mechanisms involved during interactions with neutrons in the CR-39 material and the influence of the etching process, enabling an improvement in the efficiency of the CR-39 detector. Due to neutron interaction with atoms of the detector material, the created protons are emitted in different directions and their latent tracks are oriented randomly within the detector. The aim of this paper is to show differences between the number of visible tracks etched in the same and opposite directions from both sides of the detector. The efficiency of neutron detection was analysed as a function of the removed layer and neutron energy for both sides of detector.

Correction and verification of AECL Bonner Sphere response matrix based on mono-energetic neutron calibration performed at NPL

The AECL Bonner Sphere Spectrometer (BSS) was taken to National Physical Laboratory (NPL) for calibration in mono-energetic neutron fields and bare (252)Cf neutron fields. The mono-energetic radiations were performed using ISO-8529 prescribed neutron energies: 0.071, 0.144, 0.565, 1.2, 5 and 17 MeV. A central SP9 proportional counter was also evaluated at the NPL thermal neutron calibration facility in order to assess an effective pressure of (3)He inside the counter, i.e. number density of (3)He atoms. Based on these measurements and methods outlined by Thomas and Soochak, a new BSS response matrix was generated. The response matrix is then verified by unfolding spectra corresponding to various neutron fields. Those are NPL bare (252)Cf source, National Institute of Standards and Technology bare and heavy water moderated (252)Cf source and (241)AmBe calibration source located at National Research Council. A good agreement was observed with expected neutron fluence rates, as well as derived dosimetric quantities, such as International Commission on Radiological Protection-74 ambient dose equivalent.

Thermal neutron calibration channel at LNMRI/IRD

The Brazilian Metrology Laboratory of Ionizing Radiations (LNMRI) standard thermal neutron flux facility was designed to provide uniform neutron fluence for calibration of small neutron detectors and individual dosemeters. This fluence is obtained by neutron moderation from four (241)Am-Be sources, each with 596 GBq, in a facility built with blocks of graphite/paraffin compound and high-purity carbon graphite. This study was carried out in two steps. In the first step, simulations using the MCNPX code on different geometric arrangements of moderator materials and neutron sources were performed. The quality of the resulting neutron fluence in terms of spectrum, cadmium ratio and gamma-neutron ratio was evaluated. In the second step, the system was assembled based on the results obtained on the simulations, and new measurements are being made. These measurements will validate the system, and other intercomparisons will ensure traceability to the International System of Units.