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  1. Biological effects of ionizing radiation on aquatic biota - A critical review
    Pradhoshini KP, Priyadharshini M, Santhanabharathi B, Ahmed MS, Parveen MHS, War MUD, et al.
    Environ Toxicol Pharmacol, 2023 Apr;99:104091.
    PMID: 36870406 DOI: 10.1016/j.etap.2023.104091
    Ionizing radiation from radionuclides impacts marine aquatic biota and the scope of investigation must be wider than just invertebrates. We intend to detail and illustrate numerous biological effects that occur in both aquatic vertebrates and invertebrates, at various dose rates from all three kinds of ionizing radiation. The characteristics of radiation sources and dosages that would most effectively generate the intended effects in the irradiated organism were assessed once the biological differentiation between vertebrates and invertebrates was determined through multiple lines of evidence. We contend that invertebrates are still more radiosensitive than vertebrates, due to their small genome size, rapid reproduction rates and lifestyle, which help them to compensate for the effects of radiation induced declines in fecundity, life span and individual health. We also identified various research gaps in this field and suggest future directions to be investigated to remedy the lack of data available in this area.
    Matched MeSH terms: Radiation, Ionizing*
  2. Fulltext Dicentric assay technique for the assessment of whole body dose to low let radiation
    Noriah Jamal, Noraisyah Mohd Yusof, Rahimah Abdul Rahim, Juliana Mahamad Napiah, Bo, Nelly Nai Lee, Yahaya Talib, et al.
    Journal of Nuclear and Related Technologies, 2010;2010(1):77-83.
    MyJurnal
    For more than two decades, biodosimetry has been used in biomonitoring of occupational and envir onmental exposure to ionising radiation. Chromosome aberration analysis is a method used to dete ct unstable aberrations in the lymphocytes of irradiated personnel. The Malaysian National Biodosi metry Laboratory is a referance centre for activity relating to biodosimetry in the country. This pap er aims at presenting dicentric assay technique for the assessment of whole body dose to low LET ra diation at the Malaysian National Biodosimetry Laboratory.
    Matched MeSH terms: Radiation, Ionizing
  3. Fulltext Determination of Tube Output (kVp) and Exposure Mode for Breast Phantom of Various Thicknesses/Glandularity for Digital Mammography
    Izdihar K, Kanaga KC, Krishnapillai V, Sulaiman T
    Malays J Med Sci, 2015 Jan-Feb;22(1):40-9.
    PMID: 25892949
    BACKGROUND: Optimisation of average glandular dose (AGD) for two-dimensional (2D) mammography is important, as imaging using ionizing radiation has the probability to induce cancer resulting from stochastic effects. This study aims to observe the effects of kVp, anode/filter material, and exposure mode on the dose and image quality of 2D mammography.
    METHODS: This experimental study was conducted using full-field digital mammography. The entrance surface air kerma was determined using thermoluminescent dosimeter (TLD) 100H and ionization chamber (IC) on three types of Computerized Imaging Reference System (CIRS) phantom with 50/50, 30/70, and 20/80 breast glandularity, respectively, in the auto-time mode and auto-filter mode. The Euref protocol was used to calculate the AGD while the image quality was evaluated using contrast-to-noise ratio (CNR), figure of merit (FOM), and image quality figure (IQF).
    RESULTS: It is shown that AGD values in the auto-time mode did not decrease significantly with the increasing tube voltage of the silver filter (r = -0.187, P > 0.05) and rhodium filter (r = -0.131, P > 0.05) for all the phantoms. The general linear model showed that AGD for all phantoms had a significant effect between different exposure factors [F (6,12.3) = 4.48 and mode of exposure F (1,86) = 4.17, P < 0.05, respectively] but there is no significant difference between the different anode/filter combination [F (1,4) = 0.571].
    CONCLUSION: In summary, the 28, 29, and 31 kVp are the optimum kVp for 50%, 30%, and 20% breast glandularity, respectively. Besides the auto-filter mode is suitable for 50%, 30%, and 20% breast glandularity because it is automatic, faster, and may avoid error done by the operator.
    KEYWORDS: CDMAM; digital mammography; radiation dose
    Matched MeSH terms: Radiation, Ionizing
  4. Investigation of the dependence of inactivation coefficient on pertinent physical quality parameters to low doses ionizing radiation
    Yousif AA, Bin Bahari I, Yasir MS
    Curr Radiopharm, 2012 Jan;5(1):34-7.
    PMID: 21864247
    Inactivation constant for V79 cells has been extracted from radiobiology experiments that utilize charged particles to irradiate mammal cells in vitro. Physical parameters such as effective charge, radiation mean free path and linear ionization which characterized protons and heluim-4 particles are determined using of standard values. The relationship between inactivation constant α and physical quality parameters have been determined, in this research, for protons and heluim-4 particles. This approach allows getting the characteristic biological response of inactivation of V79 cells in terms of each selected physical quality parameter. The best regression models are formulated for each obtained relationship.
    Matched MeSH terms: Radiation, Ionizing*
  5. Gamma irradiated thermoluminescence response of Ge-doped SiO2 fibre
    Wahib N, Zulkepely NN, Mat Nawi SN, Amin YM, Ling YS, Abdul Sani SF, et al.
    Appl Radiat Isot, 2015 Nov;105:158-162.
    PMID: 26313622 DOI: 10.1016/j.apradiso.2015.08.025
    Over the past decade and more, considerable interest has been shown in the thermoluminescence (TL) properties of silica-based single-mode optical fibres, in particular investigating potential ionising radiation dosimetry applications. Herein, study has been made of TL glow curve, dose response, reproducibility and fading of 6mol% Ge-doped silica, fabricated in-house and produced in the form of cylindrical fibres. Three different pairings of doped-core and silica cladding diameters were produced: (40, 241)µm, (80, 483)µm and (100, 604)µm. The TL results were compared against that of TLD-100, one of the most sensitive commercially available LiF-based TL media. For all three pairings of diameters, closely similar TL glow curve were obtained, formed of a single peaked structure with a maximum TL yield located between the temperatures 250 and 310°C. The TL yield of the fibres were linear over the range of doses investigated, from 1Gy up to 10Gy, their dose response exceeding that of TLD-100, the samples also being found to be reusable, without evidence of degradation.
    Matched MeSH terms: Radiation, Ionizing
  6. Fulltext PVC as a potential filter material for ionising radiation
    Laila Kalidah Junet, Zafri Azran Abdul Majid, Muhammad Syahmi Che Othaman
    International Journal of Allied Health Sciences, 2017;1(2):101-107.
    MyJurnal
    Aluminum (Al) is a standard material that has been used as a filter for ionising radiation however for polyvinyl chloride (PVC) there is no solid evidence to support but has been recommended. PVC has been selected as a potential filter material due to it is a long lasting constructing material and very durable, which can be used in a variety of application. The purpose of this study was to observe the effect of PVC on entrance surface dose (ESD) values as compare to the standard X-ray filter of Al. The effect of varying thickness of the materials and difference exposure settings were observed and compared to each other. From this study, the percentage difference for both PVC and Al thickness is less than ± 25.00 % shows that PVC has a potential to be used as one of the filter materials due to its ability to reduce the ESD value
    Matched MeSH terms: Radiation, Ionizing
  7. Fulltext Measurement and Mapping of Wi-Fi Radiation Level at Students Hostel in Universiti Sains Malaysia Health Campus
    Abu Amat, N. H., Mohd Taib, N. H., Supardi, N. F., Yusoff, M. N. S.
    Physics and Technology in Medicine, 2020;1(1):38-44.
    MyJurnal
    The increasing use of wireless communication devices, particularly Wi-Fi has raised public concerns on the exposure to electromagnetic field (EMF) and its possible effect on human health. As the exposure level of the EMF radiation varies between different locations, measurement of the EMF strength at various locations is vital. In this study, we aimed to measure the EMF exposure which is described by four specific parameters, specifically 1) the frequency of the wave, 2) the electric field strength E, 3) the magnetic field strength H, and 4) the power density S. This study was performed at the second floor in Nurani hostel block in Desasiswa Murni Nurani, Universiti Sains Malaysia Health Campus. Mapping of Wi-Fi signal and measurement of Wi-Fi radiation level was performed at four specific locations, that are in a student room, television room, prayer room, and ironing room. The average radiation level was compared with the standard limit set by International Commission on Non-Ionizing Radiation Protection (ICNIRP). It was observed that the strength of Wi-Fi signal was highest in students’ room followed by television room. Both of these rooms exhibited high signal strength. While moderate but lower signal level was observed in prayer room followed by ironing room. The electromagnetic field and power density were found highest in students’ room, followed by television room, prayer room, and ironing room. Comparison with standard ICNIRP limit showed that the radiation level is still far below the acceptable limit, which is only 2% of the exposure level. To conclude, students’ room exhibited the strongest Wi-Fi signal and the highest radiation level. However, the radiation level especially power density is still far below the ICNIRP limit.
    Matched MeSH terms: Radiation, Ionizing
  8. Fulltext Radiographic considerations in endodontics
    Yusof, Z.Y.M., Nambiar, P.
    Malaysian Dental Journal, 2007;28(1):51-58.
    MyJurnal
    Quality radiographs of diagnostic value are important in root canal treatment. The dentist who has knowledge and skills in the use of radiographs for diagnostic purposes has a professional responsibility to ensure that the radiographs are obtained with minimum risk of radiation dose to and for the benefit of the patient. This article reviews the effectiveness of radiography techniques required for successful root canal treatment with the patient’s interest in mind. Awareness of effectual radiographic techniques, their constraints and applicable techniques for improvements are discussed. It seeks to reduce potentially harmful ionising radiation dose to patients and optimise the use of X-rays to produce diagnostic radiographs during root canal treatment.
    Matched MeSH terms: Radiation, Ionizing
  9. Fulltext Development of photostimulated luminescence technique for detecting irradiated food
    Ros Anita Ahmad Ramli, Ahmad Zainuri Mohd Dzomir, Zainon Othman, Wan Saffiey Wan Abdullah, Muhamad Samudi Yasir
    Jurnal Sains Nuklear Malaysia, 2015;27(1):7-13.
    MyJurnal
    The exposure of food to ionizing radiation is being progressively used in many countries to
    inactivate food pathogens, to eradicate pests and to extend shelf-life of food. To ensure free
    consumer choice, irradiated food will be labeled. The availability of a reliable method to detect
    irradiated food is important to enforce legal controls on labeling requirements, ensure proper
    distribution and increase consumer confidence. This paper reports on the preliminary application
    of photostimulated luminescence technique (PSL) as a potential method to detect irradiated food
    and perhaps be used for monitoring irradiated food on sale locally in the near future. Thus this
    study will be beneficial and relevant for application of food irradiation towards improving food
    safety and security in Malaysia.
    Matched MeSH terms: Radiation, Ionizing
  10. Fulltext Radiation damage in the silicon dioxide (SiO2) layer
    Chee, Fuei Pien, Saafie Salleh, Afishah Alias, Haider F. Abdul Amir, Abu Hassan Husin
    Journal of Nuclear and Related Technologies, 2017;12(2):81-87.
    MyJurnal
    The most sensitive part of a metal-oxide-semiconductor (MOS) structure to ionizing radiation is the
    oxide insulating layer. When ionizing radiation passes through the oxide, the energy deposited creates
    electron/hole pairs. Oxide trapped charge causes a negative shift in capacitance-voltage (C-V)
    characteristics. These changes are the results of, firstly, incre using trapped positive charge in the
    oxide, which causes a parallel shift of the curve to more negative voltages, and secondly, increasing
    interface trap density, which causes the curve to stretch-out.
    Matched MeSH terms: Radiation, Ionizing
  11. Fulltext Radiation-induced meningioma following radiotherapy for pituitary adenonoma: a case report
    Ellyda, M.N., Win Mar@Salmah, J.
    International Medical Journal Malaysia, 2013;12(1):63-66.
    MyJurnal
    It is well known that ionizing radiation has an onco-genetic activity and has been implicated in the causation of brain tumors. However, when a new growth appears adjacent to the site of previous tumor, the diagnosis is more toward recurrence. In addition to that, the possible cause might be overlooked, when it occurs many years after radiation treatment. We report a case of radiation-induced meningioma developed 20 years after the patient received radiotherapy for pituitary adenoma.
    Matched MeSH terms: Radiation, Ionizing
  12. Fulltext Ion beam elemental analysis of doped SiO2 optical fibre and its thermoluminescence response when irradiated with protons
    Bradley, D.A., Ramli, A.T., Hashim, S., Wagiran, H., Webb, M., Jeynes, C.
    ASM Science Journal, 2010;4(1):15-21.
    MyJurnal
    This research was focused on the thermoluminescence (TL) response of commercially produced single-mode telecommunication optical fibre manufactured by INOCORP (Canada). The fibres were either in the form of pure silica (SiO2) or as SiO2 doped with Ge or Al at concentrations appropriate for total internal reflection, as required for telecommunication purposes. Each of these INOCORP fibres had a core diameter of 125 ± 0.1 μm. It was noted that dopant concentration was not included among the data provided in the accompanying product data sheet. A particularly important parameter for obtaining the highest TL yield in this study was the dopant concentration of the SiO2 fibre. The dopants tended to diffuse during the production of the optical fibre. To obtain this parameter, proton induced X-ray emission (PIXE) analysis was utilised. PIXE while having limited depth resolution could unambiguously identify elements and analyse trace elements with a detection limit approaching μg g–1. For Al-doped fibres, dopant concentrations in the range of 0.98 – 2.93 mol% had been estimated, the equivalent range for Ge-doped fibres was 0.53 – 0.71 mol%. A linear dose response was observed following 2.5 MeV proton irradiation for Ge- and Al-doped fibres for up to 7 min exposure.
    Matched MeSH terms: Radiation, Ionizing
  13. Fulltext A review on current status on cytogenetic biodosimetry methods for radiation dose assessment
    Noriah Jamal, Bo, Nelly Nai Lee, Rahimah Abdul Rahim, Noraisyah Yusof, Yahaya Talib, Hasmadi Hassan, et al.
    Journal of Nuclear and Related Technologies, 2009;2009(2):17-26.
    MyJurnal
    The blooming use of ionizing radiation in industry, research, agriculture, medicine and nuclear industry increases the risk of overexposure for radiation workers as well as members of the public. Ionizing radiation is a strong clastogen, causing chromosome breakage, and resulting in cytogenetic aberrations in exposed cells. Cytogenetic analysis of human blood lymphocytes has been widely used as the biological technique for quantifying radiation dose in man. In the investigation of radiation accident, it is important to estimate the dose absorbed by the exposed person in order for the attending medical doctor to plan for their therapy. This paper reviews the current status on cytogenetic biodosimetry methods for radiation dose assessment.
    Matched MeSH terms: Radiation, Ionizing
  14. Fulltext Measurement of extremely low frequency (ELF) magnetic flux in the vicinity of the overhead high voltage transmission line in Universiti Kebangsaan Malaysia
    Faizal Mohamed, Irman Abdul Rahman, Ngu, Thieng Kui, Syazwani Mohd Fadzil, Firdaus Pozi, Amran Ab. Majid, et al.
    Journal of Nuclear and Related Technologies, 2017;14(2):1-10.
    MyJurnal
    Electricity has become one of the necessities for human daily activities. The presence of electric
    current produces electromagnetic fields (EMF) at extremely low frequency (ELF). The problem arises
    when scientists suggests a possible connection between ELF exposure to human health and safety.
    Concerned about the safety and health of students and staff, Universiti Kebangsaan Malaysia (UKM)
    took the initiative to identify possible ELF sources and measure their exposure in various locations
    around the UKM main campus in Bangi. This paper reports the results obtained from the monitoring
    of the magnetic flux density at three identified locations in the vicinity of the overhead high-voltage
    transmission line which transverses the university compound and compare the maximum value results
    with the exposure limit suggested by the International Committee on Non Ionising Radiation
    Protection (ICNIRP) for ELF. Measurements were done with an (Extech) Three Axis
    Electromagnetic Field (EMF) Meter (Model 430826) to determine the magnetic flux density. The
    lateral profile method was applied as the standard measurement methodology. Results showed that the
    maximum value of the magnetic flux density was 12.5 mG, which is below the suggested ICNIRP
    public exposure limit of 1000 mG, or in percentage ratio, 1.25% of ICNIRP public exposure limit.
    Results from the statistical Kruskal-Wallis test showed that there is a significant difference in the
    distributions of the magnetic flux densities at the different locations (P < 0.05). In conclusion, the
    measured locations are still safe for people in short-term exposure. However, long-term exposure
    measurements still need to be done to provide concrete data on the ELF-emission levels in UKM.
    Matched MeSH terms: Radiation, Ionizing
  15. Genetic and phenotype recovery of Ananas comosus var. MD2 in response to ionizing radiation
    Ma S, Mohd Raffi AN, Rosli MA, Mohd Zain NA, Ibrahim MH, Karsani SA, et al.
    Sci Rep, 2023 Jan 05;13(1):182.
    PMID: 36604574 DOI: 10.1038/s41598-022-26745-3
    Due to their sessile nature, plants are exposed to various environmental stressors such as exposure to high levels of harmful ultraviolet (UV), ionizing, and non-ionizing radiations. This exposure may result in various damages, ranging from DNA and chromosomal aberrations to phenotypic abnormalities. As an adaptation, plants have evolved efficient DNA repair mechanisms to detect and repair any damage caused by exposure to these harmful stressors to ensure their survival. In this study, the effects of gamma radiation (as a source of ionizing radiation) on clonal Ananas comosus var. MD2 was evaluated. The morphology and physiology of the clonal plantlets before and after exposure to gamma radiation were monitored at specific time intervals. The degree of genetic variation between the samples pre- and post-irradiation was also analyzed by using inter-simple sequence repeat (ISSR) markers. The resulting data revealed that the heights of the irradiated plantlets were significantly reduced (compared to control), but improved with the recovery period. Irradiated samples also exhibited relatively good photosynthetic efficiency that further improved as the plantlets recover. These observations were supported by the ISSR analysis, where the genetic dissimilarities between the irradiated samples and control were reduced by 0.1017, after 4 weeks of recovery. Overall, our findings suggested that the phenotype recovery of the clonal A. comosus var. MD2 plantlets was contributed by their ability to detect and repair the DNA lesions (as exemplified by the reduction in genetic dissimilarity after 4 weeks) and hence allow the plantlets to undergo phenotype reversion to normal plant stature.
    Matched MeSH terms: Radiation, Ionizing
  16. Thermoluminescence characteristics of Ge-doped optical fibers with different dimensions for radiation dosimetry
    Begum M, Rahman AK, Abdul-Rashid HA, Yusoff Z, Begum M, Mat-Sharif KA, et al.
    Appl Radiat Isot, 2015 Jun;100:79-83.
    PMID: 25468288 DOI: 10.1016/j.apradiso.2014.10.025
    Important thermoluminescence (TL) properties of five (5) different core sizes Ge-doped optical fibers have been studied to develop new TL material with better response. These are drawn from same preform applying different speed and tension during drawing phase to produce Ge-doped optical fibers with five (5) different core sizes. The results of the investigations are also compared with most commonly used standard TLD-100 chips (LiF:Mg,Ti) and commercial multimode Ge-doped optical fiber (Yangtze Optical Fiber, China). Scanning Electron Microscope (SEM) and EDX analysis of the fibers are also performed to map Ge distribution across the deposited region. Standard Gamma radiation source in Secondary Standard Dosimetry Lab (SSDL) was used for irradiation covering dose range from 1Gy to 10Gy. The essential dosimetric parameters that have been studied are TL linearity, reproducibility and fading. Prior to irradiation all samples ∼0.5cm length are annealed at temperature of 400°C for 1h period to standardize their sensitivities and background. Standard TLD-100 chips are also annealed for 1h at 400°C and subsequently 2h at 100°C to yield the highest sensitivity. TL responses of these fibers show linearity over a wide gamma radiation dose that is an important property for radiation dosimetry. Among all fibers used in this study, 100μm core diameter fiber provides highest response that is 2.6 times than that of smallest core (20μm core) optical fiber. These fiber-samples demonstrate better response than commercial multi-mode optical fiber and also provide low degree of fading about 20% over a period of fifteen days for gamma radiation. Effective atomic number (Zeff) is found in the range (13.25-13.69) which is higher than soft tissue (7.5) however within the range of human-bone (11.6-13.8). All the fibers can also be re-used several times as a detector after annealing. TL properties of the Ge-doped optical fibers indicate promising applications in ionizing radiation dosimetry.
    Matched MeSH terms: Radiation, Ionizing
  17. Fulltext Estimation of kidneys and urinary bladder doses based on the region of interest in (18)fluorine-fluorodeoxyglucose positron emission tomography/computed tomography examination: a preliminary study
    Mustapha FA, Bashah FAA, Yassin IM, Fathinul Fikri AS, Nordin AJ, Abdul Razak HR
    Quant Imaging Med Surg, 2017 Jun;7(3):310-317.
    PMID: 28811997 DOI: 10.21037/qims.2017.05.03
    BACKGROUND: Kidneys and urinary bladder are common physiologic uptake sites of 18fluorine-fluorodeoxyglucose ((18)F-FDG) causing increased exposure of low energy ionizing radiation to these organs. Accurate measurement of organ dose is vital as (18)F-FDG is directly exposed to the organs. Organ dose from (18)F-FDG PET is calculated according to the injected (18)F-FDG activity with the application of dose coefficients established by International Commission on Radiological Protection (ICRP). But this dose calculation technique is not directly measured from these organs; rather it is calculated based on total injected activity of radiotracer prior to scanning. This study estimated the (18)F-FDG dose to the kidneys and urinary bladder in whole body positron emission tomography/computed tomography (PET/CT) examination by comparing dose from total injected activity of (18)F-FDG (calculated dose) and dose from organs activity based on the region of interest (ROI) (measured dose).

    METHODS: Nine subjects were injected intravenously with the mean (18)F-FDG dose of 292.42 MBq prior to whole body PET/CT scanning. Kidneys and urinary bladder doses were estimated by using two approaches which are the total injected activity of (18)F-FDG and organs activity concentration of (18)F-FDG based on drawn ROI with the application of recommended dose coefficients for (18)F-FDG described in the ICRP 80 and ICRP 106.

    RESULTS: The mean percentage difference between calculated dose and measured dose ranged from 98.95% to 99.29% for the kidneys based on ICRP 80 and 98.96% to 99.32% based on ICRP 106. Whilst, the mean percentage difference between calculated dose and measured dose was 97.08% and 97.27% for urinary bladder based on ICRP 80 while 96.99% and 97.28% based on ICRP 106. Whereas, the range of mean percentage difference between calculated and measured organ doses derived from ICRP 106 and ICRP 80 for kidney doses were from 17.00% to 40.00% and for urinary bladder dose was 18.46% to 18.75%.

    CONCLUSIONS: There is a significant difference between calculated dose and measured dose. The use of organ activity estimation based on drawn ROI and the latest version of ICRP 106 dose coefficient should be explored deeper to obtain accurate radiation dose to patients.

    Matched MeSH terms: Radiation, Ionizing
  18. Reduction of Delayed Homologous Recombination by Induction of Radioadaptive Response in RaDR-GFP Mice (Yonezawa Effect): An Old Player With a New Role
    Liu C, Hirakawa H, Tanaka K, Mohd Saaya F, Nenoi M, Fujimori A, et al.
    Dose Response, 2019 03 04;17(1):1559325819833840.
    PMID: 30858771 DOI: 10.1177/1559325819833840
    Radiotherapy (RT) treats cancer effectively with high doses of ionizing radiation (IR) to killing cancer cells and shrinking tumors while bearing the risk of developing different side effects, including secondary cancer, which is most concerning for long-term health consequences. Genomic instability (GI) is a characteristic of most cancer cells, and IR-induced GI can manifest as delayed homologous recombination (HR). Radioadaptive response (RAR) is capable of reducing genotoxicity, cell transformation, mutation, and carcinogenesis, but the rational evidence describing its contributions to the reduction of radiation risk, in particular, carcinogenesis, remains fragmented. In this work, to investigate the impact of RAR on high-dose, IR-induced GI measured as delayed HR, the frequency of recombinant cells was comparatively studied under RAR-inducible and -uninducible conditions in the nucleated cells in hematopoietic tissues (bone marrow and spleen) using the Rosa26 Direct Repeat-green fluorescent protein (RaDR-GFP) homozygote mice. Results demonstrated that the frequency of recombinant cells was significantly lower in hematopoietic tissues under RAR-inducible condition. These findings suggest that reduction in delayed HR may be at least a part of the mechanisms underlying decreased carcinogenesis by RAR, and application of RAR would contribute to a more rigorous and scientifically grounded system of radiation protection in RT.
    Matched MeSH terms: Radiation, Ionizing
  19. Fulltext Radiation Safety in Emergency Medicine: Balancing the Benefits and Risks
    Azman RR, Shah MNM, Ng KH
    Korean J Radiol, 2019 03;20(3):399-404.
    PMID: 30799570 DOI: 10.3348/kjr.2018.0416
    The use of computed tomography (CT) in emergency departments has increased over several decades, as physicians increasingly depend on imaging for diagnoses. Patients and medical personnel are put at risk due to frequent exposure to and higher levels of radiation, with very little evidence of improvements in outcomes. Here, we explore why CT imaging has a tendency to be overused in emergency departments and the obstacles that medical personnel face in ensuring patient safety. The solution requires cooperation from all emergency care stakeholders as well as the continuous education of doctors on how CT scans help in particular cases.
    Matched MeSH terms: Radiation, Ionizing
  20. Lung cancer knowledge among secondary school male teachers in Kudat, Sabah, Malaysia
    Al-Naggar RA, Kadir SY
    Asian Pac J Cancer Prev, 2013;14(1):103-9.
    PMID: 23534705
    BACKGROUND: The objective of this study is to determine knowledge about lung cancer among secondary school male teachers in Kudat, Sabah, Malaysia.

    MATERIALS AND METHODS: A cross-sectional study was conducted among three secondary schools located in Kudat district, Sabah, Malaysia during the period from June until September 2012. The protocol of this study was approved by ethics committee of Management and Science University, Malaysia. The aims were explained and a consent form was signed by each participant. Respondents were chosen randomly from each school with the help of the headmasters. Self-administrated questionnaires, covering socio-demographic characteristics and general knowledge of lung cancer, were distributed. Once all 150 respondents completed the questionnaire, they passed it to their head master for collecting and recording. All the data were analyzed using Statistical Package for the Social Sciences (SPSS) version 13. ANOVA and t-test were applied for univariate analysis; and multiple linear regression for multivariate analysis.

    RESULTS: A total of 150 male secondary school teachers participated in this study. Their mean age was 35.6 ∓ 6.5 (SD); maximum 50 and minimum 23 years old. More than half of the participants were Malay and married (52%, 79%; respectively). Regarding the knowledge about lung cancer, 57.3% of the participants mentioned that only males are affected by lung cancer. Some 70.7% mentioned that lung cancer can be transmitted from one person to another. More than half (56.7%) reported that lung cancer is not the leading cause of death in Malaysian males. As for risk factors, the majority reported that family history of lung cancer is not involved. However, 91.3% were aware that cigarettes are the main risk factor of lung cancer and more than half (52%) believed that second-hand smoking is one of the risk factor of lung cancer. More than half (51.3%) were not aware that asbestos, ionizing radiation and other cancer causing substances are risk factors for lung cancer. Quitting smoking, avoiding second-hand smoking and avoiding unnecessary x-ray image of the chest (53.3%, 96.0%, 87.3%; respectively) are the main preventive measures mentioned by the participants. For the factors that influence the participants knowledge, univariate and multivariate analysis showed that only race was significant.

    CONCLUSIONS: Overall, the knowledge of school male teachers about lung cancer was low. However, few items were scored high: cigarettes are the main risk factor; avoiding second-hand smoking; and avoiding x-rays. Interventions to increase lung cancer awareness are needed to improve early detection behavior. Increase the price of pack of cigarettes to RM 20 and banning smoking in public places such as restaurants are highly recommended as primary preventive measures.

    Matched MeSH terms: Radiation, Ionizing
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