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      Radiation in medical practice & health effects of radiation: Rationale, risks, and rewards

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          Abstract

          Radiation is important in health and disease. It is imperative to use properly and prevent misuse or overuse. Pertinent trends of increasing radiation in the environment need analysis. We gleaned important information, from published evidence and authoritative resources, for practicing safely and preventing harm. Science & technology progress is for the betterment of mankind, and all efforts should be made to prevent any untoward effects. Children and paediatric patients deserve special attention because of their vulnerability due to multiple reasons. Effective investigations & interventions in medical settings should be done based on best evidence. All those ordering radiological investigations should take into consideration the radiation exposure values & especially decide on clinical impact of the investigation. Prenatal exposure to radiation has risks. Computed Tomography is responsible for 24% of all radiation exposure. Dual-energy X-ray absorptiometry is useful for measuring changes in body tissue composition. Radiologists should tailor imaging individually. Radiotherapy is administered to more than half of all cancer patients. Acute toxicity alleviation and chronic toxicity consideration is important. Radiation emergencies can occur in isolation or as major catastrophe. Emergency life-support is needed. Decontamination along with using the ABCDE reduction approach components are elucidated. With increasing use of mobile phones the electro-magnetic fields produced by mobile phones use needs consideration. UV radiation overexposure prevention is with shade, clothing and hats. Applying sunscreen essential on those parts of the body that remain exposed like the face and hands. All the safety measures need popularization and continuous practice with precision & perfection.

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          Most cited references9

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          Screening for Osteoporosis to Prevent Fractures

          By 2020, approximately 12.3 million individuals in the United States older than 50 years are expected to have osteoporosis. Osteoporotic fractures, particularly hip fractures, are associated with limitations in ambulation, chronic pain and disability, loss of independence, and decreased quality of life, and 21% to 30% of patients who experience a hip fracture die within 1 year. The prevalence of primary osteoporosis (ie, osteoporosis without underlying disease) increases with age and differs by race/ethnicity. With the aging of the US population, the potential preventable burden is likely to increase in future years.
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            Brain tumour risk in relation to mobile telephone use: results of the INTERPHONE international case-control study.

            The rapid increase in mobile telephone use has generated concern about possible health risks related to radiofrequency electromagnetic fields from this technology. An interview-based case-control study with 2708 glioma and 2409 meningioma cases and matched controls was conducted in 13 countries using a common protocol. A reduced odds ratio (OR) related to ever having been a regular mobile phone user was seen for glioma [OR 0.81; 95% confidence interval (CI) 0.70-0.94] and meningioma (OR 0.79; 95% CI 0.68-0.91), possibly reflecting participation bias or other methodological limitations. No elevated OR was observed > or =10 years after first phone use (glioma: OR 0.98; 95% CI 0.76-1.26; meningioma: OR 0.83; 95% CI 0.61-1.14). ORs were or =1640 h, the OR was 1.40 (95% CI 1.03-1.89) for glioma, and 1.15 (95% CI 0.81-1.62) for meningioma; but there are implausible values of reported use in this group. ORs for glioma tended to be greater in the temporal lobe than in other lobes of the brain, but the CIs around the lobe-specific estimates were wide. ORs for glioma tended to be greater in subjects who reported usual phone use on the same side of the head as their tumour than on the opposite side. Overall, no increase in risk of glioma or meningioma was observed with use of mobile phones. There were suggestions of an increased risk of glioma at the highest exposure levels, but biases and error prevent a causal interpretation. The possible effects of long-term heavy use of mobile phones require further investigation.
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              Muscle wasting in intensive care patients: ultrasound observation of the M. quadriceps femoris muscle layer.

              Patients in intensive care exhibit a high degree of loss of muscle mass. Appropriate instruments are needed to document muscle wasting in these patients. The aim of this pilot study was to describe muscle wasting in patients in the intensive care unit. Two-fold study setting: prospective longitudinal and cross-sectional single-blind. A total of 118 patients in the intensive care unit (length of stay 1-98 days; male:female ratio 88:30; age 55 +/- 17 years) were included in a two-fold study setting. Muscle layer thickness of the M. quadriceps femoris was documented using ultrasound measurement at well-defined points. Seventeen pilot-patients were measured twice; at baseline and after 28 days. In another group of 101 patients, muscle layer thickness was determined once after a random length of stay. The results of both groups were compared and correlated. In both groups, M. quadriceps femoris thickness showed a significant negative correlation with length of stay in the intensive care unit (p < 0.01). Furthermore, muscle wasting in intensive care patients could be described using a logarithmic function. Loss of muscle mass shows a negative correlation with length of stay, and seems to be higher during the first 2-3 weeks of immobilization/intensive care unit stay. Ultrasound is a valid and practical measurement tool for documenting muscle mass (e.g. muscle layer thickness) as part of the daily routine at an intensive care unit.
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                Author and article information

                Journal
                J Family Med Prim Care
                J Family Med Prim Care
                JFMPC
                Journal of Family Medicine and Primary Care
                Wolters Kluwer - Medknow (India )
                2249-4863
                2278-7135
                April 2021
                29 April 2021
                : 10
                : 4
                : 1520-1524
                Affiliations
                [1] Department of Paediatrics, Command Hospital (Northern Command), India
                Author notes
                Address for correspondence: Col (Dr.) Sunil Jain, Professor & Head, Department of Paediatrics, Command Hospital (Northern Command), 901 131, c/o 56 APO, India. E-mail: sunil_jain700@ 123456rediff.com
                Article
                JFMPC-10-1520
                10.4103/jfmpc.jfmpc_2292_20
                8144773
                34123885
                deaa5db3-9f18-4fc0-9253-282269144e54
                Copyright: © 2021 Journal of Family Medicine and Primary Care

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 22 November 2020
                : 24 December 2020
                : 04 January 2021
                Categories
                Review Article

                decontamination,investigations,ionizing,radiation,radiation emergencies,radiotherapy,ultraviolet

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