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Biomedical subjects

J L Lipsztein

Publications and source records attributed to J L Lipsztein.

11 recordsLinked to original sources
PubMed2003

A physiologically based biokinetic model for cesium in the human body.

A physiologically descriptive model of the biological behavior of cesium in the human body has been constructed around a detailed blood flow model. The rate of transfer from plasma into a tissue is determined by the blood perfusion rate and the tissue-specific extraction fraction of Cs during passage from arterial to venous plasma. Information on tissue-specific extraction of Cs is supplemented with information on the Cs analogues, K and Rb, and known patterns of discrimination between these metals by tissues. The rate of return from a tissue to plasma is estimated from the relative contents of Cs in plasma and the tissue at equilibrium as estimated from environmental studies. Transfers of Cs other than exchange between plasma and tissues (e.g. secretions into the gastrointestinal tract) are based on a combination of physiological considerations and empirical data on Cs or related elements. Model predictions are consistent with the sizable database on the time-dependent distribution and retention of radiocesium in the human body.

Cesium↗
PubMed2003

Retrospective study of the iodine-131 contamination of workers in the radiopharmaceutical industry.

A dose reconstruction study was performed for personnel occupationally exposed to 131I in radiopharmaceutical production, during the years 1981 to 1994, with the objective of estimating committed effective doses and critically reviewing the main causes of their exposures. The workers were selected from a group responsible for the production, labelling and distribution of all radiopharmaceutical material in Brazil. Best estimates of intakes and doses were derived from the examination of the individual monitoring records and the reports from the radiation protection supervisor, complemented by interviews with the workers and with radiation protection officers. Over this time period workers had chronic as well as acute intakes of 131I. Committed effective doses were found to be dependent on the task performed by the worker and the site of operation and inversely correlated with the amounts of iodine handled. Intakes in general were a consequence of inadequate radiation protection control.

Humans↗
PubMed2003

The ICRP working party on bioassay interpretation.

In recent years there have been many developments in modelling the behaviour of radionuclides in the human body. The current generation of models is designed to be more 'realistic' than the previous generation of simple compartment models. The International Commission on Radiological Protection (ICRP) uses these models to produce dose coefficients and recognises that there is a need to give more guidance on how these models can be used to interpret bioassay data. A working party has been set up to address the issue. This paper describes some of the problems, some approaches to solving the problems and the progress of the ICRP working party.

Advisory Committees↗
PubMed2003

NORM workers: a challenge for internal dosimetry programmes.

The mining, milling and processing of uranium and thorium bearing minerals may result in radiation doses to workers. The control of occupational exposures from these natural sources of radiation imposes a challenge to regulators and radiation protection advisers. A survey pilot programme, which included six mines in Brazil and a monazite plant, was established, consisting of the collection and analysis of concentrations of uranium, thorium and polonium in urine, faeces and air samples. Results from workers were compared to background data from their families living in the same area and from residents from the population of Rio de Janeiro. Positive exposure results were identified among the coal miners, the niobium miners and the monazite sand workers. Difficulties in the application of internal dosimetry programmes are discussed in relation to the control of NORM workers.

Administration, Inhalation↗
PubMed2003

In vivo measurement technique of 40K as an indicator of the amount of skeletal muscle tissue in the human body.

Potassium is an essential element for human metabolism. It is present in all living cells, predominantly in the skeletal muscle tissue. The energy of the 40K photon and its uniform distribution within the human body allow its in vivo measurement. Subjects of both sexes were monitored at the whole-body counter of the IRD facility for the evaluation of 40K body burden, being divided into two groups: (1) subjects who do not exercise routinely, and (2) subjects who do exercise routinely. The average values found for potassium mass and potassium concentration in group 1 were 99 +/- 17 g of K and 1.3 +/- 0.2 g of K kg(-1) of body mass, respectively, and in group 2 the average values found for potassium mass and potassium concentration were 118 +/- 33 g of K and 1.6 +/- 0.2 g of K kg(-1) of body mass, respectively. The comparison between average values for potassium mass and concentration shows a significant statistical difference.

Adult↗
PubMed2001

Exposure of workers in mineral processing industries in Brazil.

The mining, milling and processing of uranium and thorium bearing minerals may result in radiation doses to workers. A preliminary survey pilot program, that included six mines in Brazil (two coal mines, one niobium mine, one nickel mine, one gold mine and one phosphate mine), was launched in order to determine the need to control the radioactive exposure of the mine-workers. Our survey consisted of the collection and analysis of urine samples, complemented by feces and air samples. The concentrations of uranium, thorium and polonium were measured in these samples and compared to background data from family members of the workers living in the same dwelling and from residents from the general population of Rio de Janeiro. The results from the coal mines indicated that the inhalation of radon progeny may be a source of occupational exposure. The workers from the nickel, gold and phosphate mines that were visited do not require a program to control internal radiological doses. The niobium mine results showed that in some areas of the industry exposure to thorium and uranium might occur.

Brazil↗
PubMed1997

A biokinetic model for 137Cs.

An improved biokinetic model for 137Cs in humans was developed based on an analysis of data obtained from individuals internally contaminated during an accident in Goiania, Brazil, and other data. Seventeen children (ten girls and seven boys 1-10 y old), ten adolescents (four females and six males), and thirty adults, (fifteen females and fifteen males contaminated in the accident in Goiânia contributed to this study. 137Cs retention was determined through periodic measurements in a whole-body counter. In addition to the data on 137Cs retention from these individuals, data from a study on the metabolism of 137Cs in immature, adult, and aged Beagle dogs and data from the literature were used in the formulation of the 137Cs biokinetic model presented. Mathematically, the retention of cesium is described by three exponential terms, and the retention model is based on a step function of body weight. When the ICRP Publication 56 model for cesium was compared to the model suggested in this paper, it was determined that the ICRP model predicts lower effective doses in 5-y-old children and higher effective doses in infants, adolescents, and adults.

Adolescent↗
PubMed1994

137Cs internal contamination involving a Brazilian accident, and the efficacy of Prussian Blue treatment.

In an accident involving the stealing and breaching of a radiotherapy source in Goiânia, Brazil, 39 individuals had a high level of 137Cs internal contamination. Prussian Blue was used, in doses that varied from 3-10 g d-1 for adults, to enhance the elimination of 137Cs from the body. The total internal committed doses and the effect of Prussian Blue treatment for 15 contaminated adults involved in this accident have been evaluated in this paper. Prussian Blue caused dose reductions in the range of 51-84%, with an average of 71%. This reduction was shown to be independent of the dosage of Prussian Blue. Total internal committed doses were in the range of 4.6 x 10(-3) Gy to 9.7 x 10(-1) Gy for the most-contaminated adults. Data on 137Cs biological half-lives for seven children contaminated in the accident are also presented.

Accidents↗
PubMed1991

Application of in-vitro bioassay for 137Cs during the emergency phase of the Goiânia accident.

In the Goiânia accident, many individuals suffered external and internal contamination. The screening of internal contamination was done through 137Cs urinary excretion. During the first month after the accident, only in-vitro bioassay procedures were done. Incorporation into the body and committed doses were estimated using age-specific mathematical models correlating these quantities to the 137Cs excreted in urine. The ratio of feces to urine of 137Cs excretion was used to evaluate the effectiveness of the administration of Prussian Blue on removal of 137Cs from the body.

Accidents↗
PubMed1991

Studies of Cs retention in the human body related to body parameters and Prussian blue administration.

Using the in-vivo monitoring data from the individuals that suffered internal contamination in the Goiânia accident, a preliminary study on the elimination of Cs from their body was conducted. It was concluded that elimination follows a first-order linear kinetic pattern, both with and without Prussian Blue treatment. Cesium half-lives for both sexes were shown to be influenced mainly by the weight of each individual. In general, Prussian Blue seems to reduce the half-life by 32%. At the time our study was conducted, patients who were under treatment with the drug were receiving 3 g d-1, 6 g d-1, or 10 g d-1 of the medication. Our results suggest that there is an optimum dosage for a certain weight range to achieve this reduction in half-life, but one would need more data to statistically prove this assumption.

Accidents↗