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Biomedical subjects

I Schmitz-Feuerhake

Publications and source records attributed to I Schmitz-Feuerhake.

At least 19 recordsLinked to original sources
PubMed2005

The Elbmarsch leukemia cluster: are there conceptual limitations in controlling immission from nuclear establishments in Germany?

The childhood leukemia cluster in the proximity of the German nuclear establishments of Geesthacht is unique in its spatial and temporal concentration. After a steep increase in cases in 1990, the cluster continues to show a significant increase up to the present. Early investigations of blood samples from a casual sample of local residents showed an increase in dicentric chromosomes in lymphocytes, indicating exposure exceeding dose limits. Analyses of the immission data revealed several unexpected deliveries of fission and activation products in the environment but provided no explanation of the source. Because of the observed overdispersion of dicentric chromosomes in cells, the idea of a contribution by densely ionizing emitters was compelling. The routine programs, however, do not include alpha emitters. These were measured in specific studies that proved contamination by transuranic nuclides. As shown in the present investigation, routine environmental surveillance programs support the occurrence of an accidental event near Geesthacht in September 1986. Until now, neither the cause nor the complete scenario of the activity release could be established. The ongoing discussion highlights limitations in the immission-control concept, which is predominantly based on gamma-radiation monitoring.

Air Pollutants, Radioactive↗
PubMed2003

[Mammography screening--neglected aspects of radiation risks].

It is generally assumed that the radiation risk from mass screening for breast cancer may be neglected. This is questionable in view of the high biological effectiveness of low energy X-rays used in radiography of the breasts. The hormone replacement therapy for elderly women must be considered as a further cause for unexpected high rates of radiation-induced breast cancer cases. Each normal population of women, moreover, contains a very radiosensitive subgroup: the women bearing a mutation of the gene BRCA 1 or BRCA 2. In these, repeated X-ray use must be definitely avoided.

Adult↗
PubMed2003

Transuranic isotopes and 90Sr in attic dust in the vicinity of two nuclear establishments in northern Germany.

Attic dust was chosen as the test medium in order to search for traces of man-made bone seeking alpha and beta emitters. The samples were taken from 5 houses in the community of Elbmarsch situated at the river Elbe, adjacent to the Krümmel nuclear power plant and the nuclear research center of Geesthacht. Five houses in other regions of northern Germany were taken as a control. 238Pu, (239,240)Pu, 241Am, and 244Cm were measured by alpha spectrometry after chemical separation. Additionally, 241Pu was measured by liquid scintillation spectrometry, and the fission product 90Sr was measured in a separate investigation. All nuclides except 244Cm showed activities above the detection limit in the Elbmarsch samples and an elevated mean concentration compared to the control. It can be concluded from the activity ratio 241Am/(239,240)Pu that the Elbmarsch contamination cannot be accounted for by the background levels of transuranic nuclides resulting from weapons fallout. The derived release of alpha emitters is assumed to have contributed to the induction of a leukemia cluster in children, which was observed in Elbmarsch between 1990 and 1996.

Air Pollutants, Radioactive↗
PubMed2002

Estimation of x ray overexposure in a childhood leukaemia cluster by means of chromosome aberration analysis.

Only multiple X ray diagnostics could be identified as a common risk factor in a leukaemia cluster that appeared between 1985-1989 in the municipality of Sittensen in northern Germany. In order to judge if the effect could be explained by irradiation dose, estimates were done in two of the leukaemia cases and seven former patients of a practice where some of the leukaemia cases had been treated for orthopaedic reasons. The methods used for the reconstruction of doses were physical simulation and biological dosimetry by dicentric chromosomes in peripheral lymphocytes. Compared to the Bremen laboratory control the mean frequency of dicentric chromosomes in the lymphocytes of the seven volunteers was significantly elevated. An overexposure of about 12-fold could be derived compared to state of the art X raying. At least two cases of the leukaemia cluster in Sittensen can therefore be correlated to an overexposure by diagnostic X rays.

Acute Disease↗
PubMed2001

A cluster of childhood leukaemias near two neighbouring nuclear installations in Northern Germany: prevalence of chromosomal aberrations in peripheral blood lymphocytes.

PURPOSE: Between 1990 and 1991 a leukaemia cluster was observed in children living close to the combined site of a nuclear power plant and a nuclear research facility in Elbmarsch, a region in Lower Saxony (Germany). We aim to investigate the prevalence of presumably radiation-induced chromosomal aberrations in peripheral blood lymphocytes of children in Elbmarsch and children of a control region in order to find out whether there was an uncontrolled release of radioactive material which resulted in a substantial exposure. MATERIALS AND METHODS: The frequency of dicentric and ring chromosomes in lymphocytes of the peripheral blood in 42 children in Elbmarsch and 30 children in Plön was investigated. Children in both groups had been permanent residents of the study area. RESULTS: The mean frequency of dicentric and ring chromosomes in Elbmarsch was 14/32580 cells (=0.430 x 10(-3); 95% CI 0.24-0.70 x 10(-3) cells), and in Plön it was 17/24065 cells (=0.706 x 10(-3); 95% CI 0.42-1.10 x 10(-3) cells). CONCLUSIONS: No difference in the frequency of dicentric and ring chromosomes was observed between children in Elbmarsch living close to a combined site of a nuclear power plant and a nuclear research facility and children living in the control area Plön. The power of the study to detect a threefold or higher increase in the aberration frequency was at least 0.86.

Adolescent↗
PubMed1997

Leukemia in the proximity of a German boiling-water nuclear reactor: evidence of population exposure by chromosome studies and environmental radioactivity.

Exceptional elevation of children's leukemia appearing 5 years after the 1983 startup of the Krümmel nuclear power plant, accompanied by a significant increase of adult leukemia cases, led to investigations of radiation exposures of the population living near the plant. The rate of dicentric chromosomes in peripheral lymphocytes of seven parents of children with leukemia and in 14 other inhabitants near the plant was significantly elevated and indicated ongoing exposures over the years of its operation. These findings led to the hypothesis that chronic reactor leakages had occurred. This assumption is support by identification of artificial radioactivity in air, rainwater, soil and vegetation by the environmental monitoring program at the nuclear power plant. Calculations of the corresponding source terms show that emissions must have been well above authorized annual limits. Bone marrow doses supposedly result primarily through incorporation of bone-seeking beta- and alpha-emitters.

Adult↗
PubMed1993

Radium-226-contaminated drinking water: hypothesis on an exposure pathway in a population with elevated childhood leukemia.

A recent epidemiological survey on childhood malignant disease in the region of Ellweiler, Rheinland-Pfalz, Germany, revealed a significantly increased incidence of childhood leukemia, but observed incidences of lymphoma and solid tumors were normal. Established risk factors such as individual exposure to chemicals as well as hereditary genetic disorders were ruled out in interviews with the patients or their families. The general population in the region, however, is subjected to considerable doses of ionizing radiation due to high levels of external gamma radiation and high activities of indoor radon. Radiation-specific chromosome aberrations were found in one of two healthy siblings and one father of leukemia patients as well as in any of three probands living in houses with high indoor radon activities. Radon and natural gamma radiation, however, cannot explain the geographical pattern of the cases. Four out of seven cases were observed in two particular villages near a uranium processing plant. The drinking water of these villages partly came from a small river that was contaminated with radium-226 washed out from the dumps of the uranium plant. Only sparse measurements of 226Ra are available, but derived red bone marrow doses for children in the two villages obtained from a simple radio-ecological model show the significance of the drinking water pathway. Prenatal 226Ra exposure of fetuses due to placental transfer and accumulation may have led to significant doses and may explain the excess cases of childhood leukemia in the region even in quantitative terms.

Adolescent↗
PubMed1990

Sr-90 transfer factors for rye in podzolic soils: dependence on soil parameters.

The transfer factor (TF) for Sr-90 was studied in 10 rye fields with podzolic soils near Bremen. Values between 0.10 and 0.30 were obtained with a mean of 0.18. The TF was correlated with various soil parameters (pH, organic matter, K, Ca and P content). Negative correlations were found between TF and pH-value, Ca and P content. However, the content of organic matter in the soils was positively correlated with soil and grain activity (Bq/kg).

Biological Transport↗
PubMed1989

The effect of aging and storage conditions on excised tissues as monitored by longitudinal relaxation dispersion profiles.

Knowledge about the dependence of NMR parameters of excised tissues on time and storage conditions is important for correct interpretation of in vivo clinical results based upon in vitro measurements which in many cases are easier to perform. Literature data on this topic are scarce and sometimes contradictory. In this study, we investigated the change of the proton longitudinal relaxation rate (1/T1) of freshly excised rat tissues with storage conditions over a wide range of proton Larmor frequencies (0.01-50 MHz). Special interest was paid to long-term storage in the deep frozen state. After deep freezing of tissue samples on dry ice, no significant changes in 1/T1 over the whole frequency range could be observed for brain tissue, whereas for muscle and liver tissue characteristic alterations were detected. We conclude that for normal brain tissue this storage procedure is suitable for the prediction of in vivo 1/T1 results from in vitro studies.

Animals↗
PubMed1989

The uncommon longitudinal relaxation dispersion of human brain white matter.

Human brain white matter exhibits an uncommonly strong dispersion of 1/T1 at high fields. An additional relaxation pathway via the myelin lipids, which are not directly visible to medical NMR due to their fast T2 decay, is proposed. Relaxation dispersion data are successfully analyzed on the basis of this model.

Body Water↗
PubMed1979

[Evaluation of the somatic radiation risks and the recommendations in the IRCP publication no. 26 (1977) (author's transl)].

Scientific knowledge regarding somatic radiation risks has greatly increased in recent years as a result of a series of epidemiological studies. IRCP publication no. 26 concerns largely to a collection of data published in a report of the United Nations in 1977. For weakly ionising radiation, both publications introduce a risk factor representing the risk per rem for small doses. As a result, they introduced a reduction factor for the risks from ionising radiation at small doses. An analysis of the data of the most common radiation induced cancers has shown that their estimates are not on the side of safety. It is concluded that the doses regarded as acceptable by the IRCP are too high for persons exposed to radiation in the course of their profession.

Age Factors↗
PubMed1978

[Risk estimation for thyroid cancer induced by diagnostic radiation doses (authors transl)].

Cancer of the thyroid has been detected as a late consequence of irradiation mainly for benign diseases. A survey of data from several investigators shows a strong correlation between incidence and thyroid dose. The result of a risk estimation for irradiated children assuming a linear non-threshold dose response is 60 cancers per 10(6) per rem in 20 years following irradiation. There is no evidence that adults will be much less sensitive. Radiation risks for the thyroid should be considered in nuclear medicine, because the diagnostic use of radioiodine leads to organ doses which are comparably high.

Humans↗