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The biokinetics and dosimetry of radon-222 in the

human body following ingestion of groundwater.

D.J. Crawford-Brown
Department of Environmental Sciences and Engineering, University of North Carolina, Chapel Hill, NC 27516-7400, USA

???? ? ?????????? ??????????? a general model for the in a significant number of US water supplies, particularly
biokinetics of Rn-222 in the adult human body following in- supplies of groundwater. While the risk from this source of
gestion of the radon in water. Such a model is needed for the water arises primarily from inhalation after the 222Rn has
calculation of doses which would result from the ingestio.q escaped from the water into a house, an additional route of
of radon, a natural component of drinking water supplies. risk may lie in direct ingestion of the water. Unfortunately,
Information on the movement and concentration of xenon in only rough estimates of the risk from ingestion of 222Rn
the body was obtained from a separate study conducted at may be made at the present. This situation arises from a
the Massachusetts General Hospital. This information was lack of detailed information on the translocation of 222Rn
used to develop a model of radon kinetics in the body and es- from the gastro-intestinaI or GI tract and into the body tis-
timates were obtained of the rate constants associated with sues and organs. While several past studies of the biokinet-
transfer between the various body compartments. The model ics and dosimetry have been published (Anderson and Nils-
was then used to develop estimates of the dose equivalent de- son, 1964; Andreev, I963; Hursh et al., 1965; Soumela and
livered to each tissue or organ of the body following inges- Kahlos, 1972; Von Dobeln and LindeU, 1964), they focus
tion of 1 Bq of radon in water. From the reported results, it primarily on whole- body retention rather than on the indi-
appears that the stomach receives a much larger dose equiv- vidual organs. In addition, these past studies have not devel-
alent than other organs and tissues, followed in order by the oped a general predictive model for the biokinetics of 222Rn
other segments of the gastro-intestinal or GI tract, the liver, in the body. To understand better the behaviour of 222Rn in
the lungs and the general body water compartment. A com- the body, the US Environmental Protection Agency (USEPA)
parison is made between these doses and the doses delivered contracted Dr Jack Correia of Massachusetts General Hospi-
as a result of exposure to airborne radon. tal to conduct a detailed study of the movement of xenon (a
chemical analogue of radon) through the body following in-
gestion. The concentration of xenon in each organ was then
1 Introduction converted to an estimate of the equivalent radon concentra-
Humans are exposed daily to radiation from a num- tion through the use of relative solubility coefficients for the
ber of geological sources. These sources have been divided two elements (Correia, personas communication). The (as
into the categories of external terrestrial radiation and inter- yet unpublished) study by Correia used a gamma camera to
nal terrestrial radiation and have focused on radiations from follow the movement of xenon through each subject. Ap-
the uranium, thorium and actinium decay chains and on ra- proximately 103 cm 3 of saline solution, containing between
dioactive K and Ru. Fairly recently, however, attention has 4x107 and 2x108 Bq of 133Xe, was administered through a
shifted from these multiple sources to the isolated radionu- straw. The subjects then rested in a supine position md were
clide 222Rn. This shift has been the result of findings that positioned below an imaging camera. The area density of
geological sources of 222Rn may produce a risk far in excess gammas emerging from each organ was then determined at
of the risks calculated for other terrestrial radionuclides. By selected times throughout the study, with each image being
way of comparison, the annual dose equivalent from geologi- collected for approximately 5 to 30 seconds. The image time
cal sources other than 22 Rn is less than 1 mSv (NAS, 1980), was increased to 60 seconds after several hours. The pro-
while that due to 222Rn alone is 20 to 30 mSv/year in the porfionaIity constant relating areal density in the image and
United States (NCRP, 1984). Because of the dominance of organ concentration was determined from the areal density
222Rn as a source of risk due to naturally occurring radionu- in the stomach
clides, it has become the focus of increasing regulatory con-
cern. One route by which humans are exposed to 222Rn may
be found in water supplies. Recent data (Crawford-Brown
and Cothem, 1987) indicate that highly elevated concentra-
tions of 222Rn (greater than 37,000 Bq/m 3) may be present
2 Very Very Very Very Very Very Very Very Very Very
Very Long Heading Beautiful Figure
The heading is boldface with upper and lower case let-
ters. If the heading should run into more than one line, the
run-over is not left-flushed. Fig. 1. The caption of a single sentence does not have period at the
end

2.1 Second-Level Heading


The next level of heading is also boldface with upper and text within the figure should be no smaller than 7 pt. There
lower case letters. The heading is flushed left with the left should be a minimum two line spaces between figures and
margin. The spacing to the next heading is two line spaces. text. The number of a referenced figure or table in the text
should be preceded by Fig. or Tab. respectively unless the
2.1.1 Third-Level Heading. reference starts a sentence in which case Fig. or Tab. should
The third-level of heading follows the style of the be expanded to Figure or Table.
second-level heading. In the following subsections, I have inserted figures that
have been provided by authors in order to demonstrate what
to avoid. In each case the authors provided figures that are
3 Use of SI Units 3.25in wide and 600dpi in the .tif graphics format. The pa-
An ASME paper should use SI units. When preference pers containing these figures have been held from production
is given to SI units, the U.S. customary units may be given in due to their poor quality.
parentheses or omitted. When U.S. customary units are given
preference, the SI equivalent shall be provided in parentheses
6.1 The 1st Example of Bad Figure
or in a supplementary table.
In order to place the figure in this template using
MSWord, select Insert Picture from File, and use wrapping
4 Footnotes1 that is top and bottom. Make sure the figure is 3.25in wide.
Footnotes are referenced with superscript numerals and Figure ?? was taken from a recent paper that was held
are numbered consecutively from 1 to the end of the pa- from publication, because the text is fuzzy and unreadable.
per2 . Footnotes should appear at the bottom of the column in It was probably obtained by taking a screen shot of the com-
which they are referenced. puter output of the authors software. This means the original
figure was 72dpi (dots per inch) on a computer screen. There
is no way to improve the quality such a low resolution figure.
5 Mathematics In order to understand how poor the quality of this fig-
Equations should be numbered consecutively beginning ure is, please zoom in slightly, say to 200%. Notice that
with (1) to the end of the paper, including any appendices. while the font of the paper is clear at this size, the font in
The number should be enclosed in parentheses and set flush the figures is fuzzy and blurred. It is impossible to make
right in the column on the same line as the equation. An ex- out the small symbol beside the numbers along the abscissa
tra line of space should be left above and below a displayed of the graph. Now consider the labels Time and Cost. They
equation or formula. LATEX can automatically keep track of are clearly in fonts larger that the text of the article, yet the
equation numbers in the paper and format almost any equa- pixilation or rasterization, associated with low resolution is
tion imaginable. An example is shown in Eqn. (1). The num- obvious. This figure must be regenerated at higher resolution
ber of a referenced equation in the text should be preceded to ensure quality presentation.
by Eqn. unless the reference starts a sentence in which case The poor quality of this figure is immediately obvious
Eqn. should be expanded to Equation. on the printed page, and reduces the impact of the research
contribution of the paper, and in fact detracts from the per-
ceived quality of the journal itself.
Z t
dg(t)
f (t) = F(t)dt + (1)
0+ dt
6.2 The 2nd Example of Bad Figure
Figure ?? demonstrates a common problem that arises
6 Figures when a figure is scaled down fit a single column width of
All figures should be positioned at the top of the page 3.25in. The original figure had labels that were readable at
where possible. All figures should be numbered consecu- full size, but become unreadable when scaled to half size.
tively and centered under the figure as shown in Fig. 1. All This figure also suffers from poor resolution as is seen in the
jagged lines the ovals that form the chain.
This problem can be addressed by increasing the size of
1 Examine the input file, asme2ej.tex, to see how a footnote is given in a
the figure to a double column width of 6.5in, so the text is
head. readable. But this will not improve the line pixilation, and a
2 Avoid footnotes if at all possible. large low resolution figure is less desirable than a small one.
Table 1. Figure and table captions do not end with a period
definition of the ASME reference format can be found in the
ASME manual [?].
The bibliography style required by the ASME is un-
Example Time Cost
sorted with entries appearing in the order in which the cita-
1 12.5 $1,000 tions appear. If that were the only specification, the standard
B IBTEX unsrt bibliography style could be used. Unfortu-
2 24 $2,000
nately, the bibliography style required by the ASME has ad-
ditional requirements (last name followed by first name, pe-
riodical volume in boldface, periodical number inside paren-
This also significantly expands the length of the paper, and theses, etc.) that are not part of the unsrt style. There-
may cause it to exceed the JMD nine page limit. Additional fore, to get ASME bibliography formatting, you must use the
pages require page charges of $200 per page. It is best to asmems4.bst bibliography style file with B IBTEX. This
regenerate the figure at the resolution that ensures a quality file is not part of the standard BibTeX distribution so youll
presentation. need to place the file someplace where LaTeX can find it (one
possibility is in the same location as the file being typeset).
With LATEX/B IBTEX, LATEX uses the citation format set
6.3 The 3rd Example of Bad Figure by the class file and writes the citation information into the
An author provided the high resolution image in Fig. ?? .aux file associated with the LATEX source. B IBTEX reads the
that was sized to a single column width of 3.25in. Upon .aux file and matches the citations to the entries in the biblio-
seeing the poor quality of the text, the publisher scaled the graphic data base file specified in the LATEX source file by the
image to double column width as shown in Fig. ?? at which \bibliography command. B IBTEX then writes the bibli-
point it took half of a page. The publisher went on to do ography in accordance with the rules in the bibliography .bst
this for all eight figures generating four pages of figures that style file to a .bbl file which LATEX merges with the source
the author did not expect. ASME stopped production of the text. A good description of the use of B IBTEX can be found
paper even with the larger figures due to the pixilation of the in [?, ?] (see how two references are handled?). The follow-
font. ing is an example of how three or more references [?, ?, ?]
Clearly the text in this figure is unreadable, and it is show up using the asmems4.bst bibliography style file
doubtful that the author can print the output in a way that in conjunction with the asme2ej.cls class file. Here are
it is readable. This is a problem that the author must solve, some more [?, ?, ?, ?, ?, ?, ?, ?, ?, ?, ?] which can be used to
not the publisher. describe almost any sort of reference.
As you might expect, I have many more examples, but
in the end the author is the best judge of what is needed in
each figure. ASME simply requires that the image meet a 9 Conclusions
minimum standard for font and line quality, specifically the The only way to ensure that your figures are presented
font should be the appropriate size and not be blurred or pix- in the ASME Journal of Mechanical Design in the way you
ilated, and that lines should be the appropriate weight and feel is appropriate and meets the requirement for quality pre-
have minimal, preferably no, pixilation or rasterization. sentation is for you to prepare a double column version of
the paper in a form similar to that used by the Journal.
This gives you the opportunity to ensure that the figures
7 Tables are sized appropriately, in particular that the labels are read-
All tables should be numbered consecutively and cen- able and match the size of the text in the journal, and that
tered above the table as shown in Table 1. The body of the the line weights and resolutions have no pixilation or raster-
table should be no smaller than 7 pt. There should be a min- ization. Poor quality figures are immediately obvious on the
imum two line spaces between tables and text. printed page, and this detracts from the perceived quality of
the journal.
I am pleased to provide advice on how to improve any
8 Citing References figure, but this effort must start with a two-column version of
The ASME reference format is defined in the authors kit the manuscript. Thank you in advance for your patience with
provided by the ASME. The format is: this effort, it will ensure quality presentation of your research
contributions.
Text Citation. Within the text, references should
be cited in numerical order according to their or-
der of appearance. The numbered reference citation 10 Discussions
should be enclosed in brackets. This template is not yet ASME journal paper format
compliant at this point. More specifically, the following fea-
The references must appear in the paper in the order that tures are not ASME format compliant.
they were cited. In addition, multiple citations (3 or more in
the same brackets) must appear as a [1-3]. A complete 1. The format for the title, author, and abstract in the cover
page.
2. The font for title should be 24 pt Helvetica bold.
If you can help to fix these problems, please send us an up-
dated template. If you know there is any other non-compliant
item, please let us know. We will add it to the above list.
With your help, we shall make this template compliant to the
ASME journal paper format.

Acknowledgements
ASME Technical Publications provided the format spec-
ifications for the Journal of Mechanical Design, though they
are not easy to reproduce. It is their commitment to ensur-
ing quality figures in every issue of JMD that motivates this
effort to have authors review the presentation of their figures.
Thanks go to D. E. Knuth and L. Lamport for developing
the wonderful word processing software packages TEX and
LATEX. We would like to thank Ken Sprott, Kirk van Katwyk,
and Matt Campbell for fixing bugs in the ASME style file
asme2ej.cls, and Geoff Shiflett for creating ASME bib-
liography stype file asmems4.bst.

Appendix A: Head of First Appendix


Avoid Appendices if possible.

Appendix B: Head of Second Appendix


Subsection head in appendix
The equation counter is not reset in an appendix and the
numbers will follow one continual sequence from the begin-
ning of the article to the very end as shown in the following
example.

a = b + c. (2)

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