(1976). Nuclear Tracks in Solids (Principles and Applications) Nuclear Technology: Vol. 30, No. 1, pp. 91-92.

Nuclear Tracks in Solids (Principles and Applications)

Objectives To update a 2004 systematic review of health care service use and health outcomes related to differences in health literacy level and interventions designed to improve these outcomes for individuals with low health literacy. Disparities in health outcomes and effectiveness of interventions among different sociodemographic groups were also examined. Data sources We searched MEDLINE®, the Cumulative Index to Nursing and Allied Health Literature, the Cochrane Library, PsychINFO, and the Educational Resources Information Center. For health literacy, we searched using a variety of terms, limited to English and studies published from 2003 to May 25, 2010. For numeracy, we searched from 1966 to May 25, 2010. Review methods We used standard Evidence-based Practice Center methods of dual review of abstracts, full-text articles, abstractions, quality ratings, and strength of evidence grading. We resolved disagreements by consensus. We evaluated whether newer literature was available for answering key questions, so we broadened our definition of health literacy to include numeracy and oral (spoken) health literacy. We excluded intervention studies that did not measure health literacy directly and updated our approach to evaluate individual study risk of bias and to grade strength of evidence. Results We included good- and fair-quality studies: 81 studies addressing health outcomes (reported in 95 articles including 86 measuring health literacy and 16 measuring numeracy, of which 7 measure both) and 42 studies (reported in 45 articles) addressing interventions. Differences in health literacy level were consistently associated with increased hospitalizations, greater emergency care use, lower use of mammography, lower receipt of influenza vaccine, poorer ability to demonstrate taking medications appropriately, poorer ability to interpret labels and health messages, and, among seniors, poorer overall health status and higher mortality. Health literacy level potentially mediates disparities between blacks and whites. The strength of evidence of numeracy studies was insufficient to low, limiting conclusions about the influence of numeracy on health care service use or health outcomes. Two studies suggested numeracy may mediate the effect of disparities on health outcomes. We found no evidence concerning oral health literacy and outcomes. Among intervention studies (27 randomized controlled trials [RCTs], 2 cluster RCTs, and 13 quasi-experimental designs), the strength of evidence for specific design features was low or insufficient. However, several specific features seemed to improve comprehension in one or a few studies. The strength of evidence was moderate for the effect of mixed interventions on health care service use; the effect of intensive self-management inventions on behavior; and the effect of disease-management interventions on disease prevalence/severity. The effects of other mixed interventions on other health outcomes, including knowledge, self-efficacy, adherence, and quality of life, and costs were mixed; thus, the strength of evidence was insufficient. Conclusions The field of health literacy has advanced since the 2004 report. Future research priorities include justifying appropriate cutoffs for health literacy levels prior to conducting studies; developing tools that measure additional related skills, particularly oral (spoken) health literacy; and examining mediators and moderators of the effect of health literacy. Priorities in advancing the design features of interventions include testing novel approaches to increase motivation, techniques for delivering information orally or numerically, "work around" interventions such as patient advocates; determining the effective components of already-tested interventions; determining the cost-effectiveness of programs; and determining the effect of policy and practice interventions.

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Health literacy interventions and outcomes: an updated systematic review.

The information in this chapter is based on interviews conducted in collaboration with the MIDA coordinator Sefu Kawaya during a two-week visit to Kinshasa (3-17 November 2005).

The Democratic Republic of Congo

Determination of radioactivity levels and hazards of soil and sediment samples in Firtina Valley (Rize, Turkey).

Soil radioactivity levels and radiation hazard assessment in the highlands of northern Jordan

Studying 222Rn exhalation rate from soil and sand samples using CR-39 detector

Indoor radon concentration levels were measured in a number of cities in Jordan using CR-39 based cup dosemeters and were found to vary from 27 to 88 Bq.m -3 . The natural radioactivity in soil was also determined. The radon concentration levels were found to be dependent on the 226 Ra content in the soil. The average radium equivalent activities in soil were found to be within the limit set by OECD countries but according to the present 1 mSv.y -1 dose limit, Jordanian soil is not acceptable as a construction material.

Indoor Radon Levels and Natural Radioactivity in Jordanian Soils

Measurement of natural radioactivity in Jordanian sand

Determination of 238U contents in ore samples using CR-39-based radon dosimeter : disequilibrium case

In order to characterise the building materials as an indoor radon source, knowledge of the radon exhalation rate from these materials is very important. In this regard, soil, sand and brick samples were collected from different places of the North West Frontier Province (NWFP) and Federally Administered Tribal Areas (FATA), Pakistan. The samples were processed and placed in plastic containers. NRPB radon dosemeters were installed in it at heights of 25 cm above the surface of the samples and containers were then hermetically sealed. After 40-80 d of exposure to radon, CR-39 detectors were removed from the dosemeter holders and etched in 25% NaOH at 80 degrees C for 16 h. From the measured radon concentration values, (222)Rn exhalation rates were determined. Exhalation rate form soil, sand and brick samples was found to vary from 114 +/- 11 to 416 +/- 9 mBq m(-2) h(-1), 205 +/- 16 to 291 +/- 13 mBq m(-2) h(-1) and 245 +/- 12 to 365 +/- 11 mBq m(-2) h(-1), respectively.

Matiullah

Papers

Studying 222Rn exhalation rate from soil and sand samples using CR-39 detector

Indoor Radon Levels and Natural Radioactivity in Jordanian Soils

Measurement of natural radioactivity in Jordanian sand

Determination of 238U contents in ore samples using CR-39-based radon dosimeter : disequilibrium case

Radon exhalation rate from the soil, sand and brick samples collected from NWFP and FATA, Pakistan.