Medical Physics
Medical Physics
Medical Physics
BSPT, PP-DPT
Assistant Lecturer
ISRS, Isra University
Islamabad Campus
Lecture # 02
Medical Physics
THE FORMATION OF
COMPOUND
Compound; is substance formed by
union of two or more elements.
The union taking place via the
electrons of the atoms involved to
form a molecule of a compound.
Compound may be either
electrovalent or covalent
Electrovalent Compound; occurs when
an atom of 1 element gives an electron
to the atom of other element.
1st one become positive ion and 2nd
negative ion.
These atoms are held together by
opposite electrical charges.
Exmaple of electrovalent compound is
salt sodium chloride (Na+Cl-)
Covalent compound; occurs where outer shells
of the atoms of element share a number of
common or bonding electron so in effect each
atom has a complete outer shell.
E.g. carbon has 4 electron in its outer shell and
hydrogen has 1.
the compound methane is formed by the a
combination of electrons contributed by both
carbon and hydrogen atoms and have complete
outer of carbon (8 electron ) and hydrogen (2
electron )
Conductor
Conductors are element whose atoms
have few electron in their outer
orbits.
copper has a loosely held single
electron in its outer orbits.
In a copper wire or bar electron
easily drift away from parent atom.
This conducting electron facilitate the
passage of current
Insulator
are material whose atoms have few
electron in their outer orbits are
firmly held in their orbits.
They do not leave the atom in order
to conduct a current
States of Matters
Matter can be solid, liquid or gaseous.
The molecules of a substance are usually at
least two forces
Cohesive force, which attract the molecules
of substance to one another.
Kinetic force, the force of the movement of
the molecules which is dependant on the
thermal energy contained by the mass of
molecule.
Solid
In solid state there is a strong
cohesive force between the the
molecules.
There shape remains constant.
Kinetic energy only produces only a
vibration of the molecules about
mean position
Liquid
If more energy (heat) is added to the solid the
kinetic energy increases.
the movement of molecules eventually
becomes such that rigid structure collapses so
liquid state is reached.
Molecules are in contact but move freely past
one another .
Liquid thus maintain s its
volume takes on the shape of
its container.
Gas
If even more heat is applied there comes a
point when the kinetic energy is so much
greater than the cohesive forces that the
molecules fly apart to form a gas.
The molecules of gas continually colliding with
one another and with wall of container.
So gas exert pressure.
This pressure further
increases with any further
rise in temperature
Plasma
Vaporization,
Liquid to which includes Heat goes into the
gas boiling and liquid as it vaporizes.
evaporation
Heat leaves the gas
Gas to liquid Condensation
as it condenses.
Heat goes into the
Solid to gas Sublimation
solid as it sublimates.
Latent Heat; is a specific amount of
energy which is required to change
the solid form of a particular
substance into liquid or liquid into
gas.
Latent heat is energy absorb or
released for a change of state.
In case of water
1 gram ice @ 0oC requires 336 joules of
energy to convert it to 1 gram of water
@ 0oC. (latent heat of fusion)
1 gram of water @ 100oC requires 2268
joules of energy to convert it to 1 gram
of steam @ 100oC (latent heat of
vaporization)
As matter changes from state of high
kinetic energy to one of lower kinetic
energy, this latent heat is released
The concept of latent heat has
practical applications;
Ice melting on the skin takes
considerable energy from skin, thus
cooling it.
Whereas paraffin wax solidifying on the
skin gives out considerable heat to skin
thus warming it
Dr Waqar Ahmed Awan
BSPT, PP-DPT
Senior Lecturer
ISRS, Isra University
Islamabad Campus
Lecture # 03
Medical Physics
Electrostatic field
When two objects in each other's vicinity have
different electrical charges, an electrostatic
field exists between them.
An electrostatic field also forms around any
single object that is electrically charged with
respect to its environment.
An object is negatively charged (-) if it has an
excess of electrons relative to its surroundings.
An object is positively charged (+) if it is
deficient in electrons with respect to its
surroundings.
They show certain properties.
The lines of force surrounding an isolated
charged body are straight.
Line of force repel one another (as do like
charges)
Line of forces pass through more easily
through conductor than through easily.
Lines of force concentrate on that part of
surface of a charged body nearest to
another object over which they can exert an
influence.
If two bodies with opposing charges are placed
opposite one another there is force of
attraction between them.
If two similarly charge object are placed near
one another, they repel.
If charged body is placed in contact with one
anther body (charge or un charge), then
electron flow between them until they are at
the same potential
Charging by Friction
it is possible to separate positive and negative
charges from each other.
One way to do this is by rubbing two different
materials together, a process known as
charging by friction.
Since the two objects are made of different
materials, their atoms will hold onto their
electrons with different strengths.
As they pass over each other the electrons with
weaker bonds are “ripped” off of that material
and collect on the other material.
Example 1
Rub a piece of ebonite (very hard, black rubber) across a
piece of animal fur. Explain what happens.
The fur does not hold on to its electrons as strongly as
the ebonite.
At least some of the electrons will be ripped off of the fur
and stay on the ebonite.
Now the fur has a slightly positive charge (it lost some
electrons) and the ebonite is slightly negative (it gained
some electrons).
remember the preservation of charge.
No charges have been created or destroyed, just moved
around.
Example 2
Rub a glass rod with a piece of silk. Explain
what happens.
This is the same sort of situation as the one
above.
In this case the silk holds onto the electrons
more strongly than the glass.
Electrons are ripped off of the glass and go on
to the silk.
The glass is now positive and the silk is
negative
Charging by conduction
Senior Lecturer
ISRS, Isra University
Islamabad Campus
Lecture # 04
Medical Physics
Electrostatic field
When two objects in each other's vicinity have
different electrical charges, an electrostatic
field exists between them.
An electrostatic field also forms around any
single object that is electrically charged with
respect to its environment.
An object is negatively charged (-) if it has an
excess of electrons relative to its surroundings.
An object is positively charged (+) if it is
deficient in electrons with respect to its
surroundings.
They show certain properties.
The lines of force surrounding an isolated
charged body are straight.
Line of force repel one another (as do like
charges)
Line of forces pass through more easily
through conductor than through insulator`.
Lines of force concentrate on that part of
surface of a charged body nearest to
another object over which they can exert an
influence.
If two bodies with opposing charges are placed
opposite one another there is force of
attraction between them.
If two similarly charge object are placed near
one another, they repel.
If charged body is placed in contact with one
anther body (charge or un charge), then
electron flow between them until they are at
the same potential
Gold Leaf Electroscope
The electroscope is used to detect
and test of small quantities of an
electric charge.
It is constructed from a metal disc
connected to two thin leaves of gold
foil suspended from an electrode, and
enclosed in a glass envelope to
protect them from draughts, and the
envelope may be evacuated to
minimize charge leakage
When the electrode is charged by
induction or by contact, the leaves
acquire similar electric charges and
repel each other.
Their separation is a direct indication
of the net charge stored on them.
the electroscope is an instrument for
detecting the presence of static
electricity (charges).
Figure 5a: In this situation a negative
object is brought nearby the
electroscope.
This causes free moving electrons in
the electroscope to move down into
the leaves.
Since the leaves both have negative
charge they repel each other and
move apart.
Figure 5b: Bring a positive object
nearby and the free electrons in the
electroscope all start moving up
towards the top.
This means the bottom has a net
positive charge.
The leaves will spread apart again.
Figure 5c: Touch the electroscope
with any charged object and you’ll
give it an overall charge by
conduction.
The leaves will stay spread apart
even if you remove the object.
Dr Waqar Ahmed Awan
BSPT, PP-DPT
Assistant Professor
ISRS, Isra University
Islamabad Campus
Lecture # 05
Medical Physics
THE CAPACITOR
The capacitor is device for storing an
electric charge (Condenser).
In its simplest form it consist of 2
metal plates separated by insulator
called the dielectric.
If the plates are given opposite
electric charges, the line of force
concentrate between the plates.
The electric field between the plates has
an effect on the atoms of the dielectric.
The electric field cause their electron
orbits to distort as they attached toward
the positive plate.
The atom remain in this state of tension
until potential difference across the
capacitor is remove, when energy is
released.
Capacitance Of Capacitor
Assisstant Profesoor
ISRS, Isra University
Islamabad Campus
Lecture # 06
Medical Physics
Charging And
Discharging of A
Capacitor
Charging Of A Capacitor
an uncharged capacitor is shown connected to
a four-position switch.
With the switch in position1
the circuit is open and no
voltage is applied to the
capacitor.
Initially each plate of the
capacitor is a neutral body
and until a difference of
potential is impressed across
the capacitor, no electrostatic field can exist
between the plates.
To CHARGE the capacitor, the switch must be
thrown to position 2, which
places the capacitor across
the terminals of the battery.
Under the assumed perfect
conditions, the capacitor
would reach full charge
instantaneously.
At the instant the switch is thrown to position 2
(fig. (B)), a displacement
of electrons occurs
simultaneously in all parts of
the circuit.
This electron displacement is
directed away from the
negative terminal and toward
the positive terminal of the
source (the battery).
At the instant the switch is closed, the positive terminal
of the battery extracts an electron
from the bottom conductor.
The negative terminal of the battery
forces an electron into the top
conductor.
At this same instant an electron is
forced into the top plate of the
capacitor and another is pulled from
the bottom plate.
Thus, in every part of the circuit a
clockwise DISPLACEMENT of electrons occurs
simultaneously.
As electrons accumulate on the top plate of the
capacitor and others depart from the bottom
plate, a difference of potential develops across
the capacitor.
Each electron forced onto the top plate makes
that plate more negative, while each electron
removed from the bottom causes the bottom
plate to become more positive.
Notice that the polarity of the voltage which
builds up across the capacitor is such as to
oppose the source voltage.
The source voltage (EMF) forces current around
the circuit in a clockwise direction.
The EMF developed across the capacitor,
however, has a tendency to force the current in
a counterclockwise direction, opposing the
source EMF.
As the capacitor continues to charge,
the voltage across the capacitor rises
until it is equal to the source voltage.
Once the capacitor voltage equals the
source voltage, the two voltages
balance one another and current
ceases to flow in the circuit.
When a capacitor is fully charged and
the source voltage is equaled by the
counter electromotive force (CEMF)
across the capacitor, the electrostatic
field between the plates of the
capacitor is maximum.
the electrostatic field is maximum the
energy stored in the dielectric is also
maximum.
If the switch is now opened
as shown in figure (A),the
electrons on the upper plate
are isolated.
The electrons on the top
plate are attracted to the
charged bottom plate.
Because the dielectric is an
insulator, the electrons can
not cross the dielectric to the
bottom plate.
The charges on
both plates will be
effectively trapped
by the electrostatic
field and the
capacitor will
remain charged
indefinitely.
Discharging Of A Capacitor
To review briefly, when a capacitor is connected
across a voltage source, a surge of charging
current flows.
This charging current develops a CEMF across
the capacitor which opposes the applied
voltage.
When the capacitor is fully charged, the CEMF
is equal to the applied voltage and charging
current ceases.
At full charge, the electrostatic field between
the plates is at maximum intensity and the
energy stored in the dielectric is maximum.
If the charged capacitor is
disconnected from the source, the
charge will be retained for some
period of time.
The length of time the charge is
retained depends on the amount of
leakage current present.
Since electrical energy is stored in the
capacitor, a charged capacitor can act
as a source EMF.
To DISCHARGE a capacitor,
the charges on the two plates
must be neutralized.
This is accomplished by
providing a conducting path
between the two plates as
shown in figure (B).
With the switch in position (4)
the excess electrons on the
negative plate can flow to the
positive plate and neutralize
its charge.
When the capacitor is
discharged, the distorted
orbits of the electrons in the
dielectric return to their
normal positions and the
stored energy is returned to
the circuit.
It is important for you to note
that a capacitor does not
consume power.
The energy the capacitor
draws from the source is
recovered when the capacitor
is discharged.
Dr Waqar Ahmed Awan
BSPT, PP-DPT
Assistant Professor
ISRS, Isra University
Islamabad Campus
Lecture # 07
Medical Physics
THE CELL & BATTERIES
A cell is a device that transforms chemical
energy into electrical energy.
A battery is a group of two or more connected
cells.
The simplest cell, known as either a galvanic
or voltaic cell,
It consists of a piece of carbon (C) and a piece
of zinc (Zn) suspended in a jar that contains a
solution of water (H20) and sulfuric acid
(H2S04) called the electrolyte.
The cell is the fundamental unit of the
battery.
A simple cell consists of two electrodes
placed in a container that holds the
electrolyte.
In some cells the container acts as one
of the electrodes and, in this case, is
acted upon by the electrolyte
Electrodes
The electrodes are the conductors by which the
current leaves or returns to the electrolyte.
In the simple cell, they are carbon and zinc
strips that are placed in the electrolyte;
while in the dry cell they are the carbon rod in
the center and zinc container in which the cell
is assembled..
Electrolyte
The electrolyte is the solution that acts upon
the electrodes.
The electrolyte, which provides a path for
electron flow, may be a salt, an acid, or an
alkaline solution.
In the simple galvanic cell, the electrolyte is in
a liquid form.
In the dry cell, the electrolyte is a paste.
Container
The container which may be
constructed of one of many different
materials provides a means of holding
(containing) the electrolyte.
The container is also used to mount
the electrodes.
In the voltaic cell the container must
be constructed of a material that will
not be acted upon by the electrolyte.
Primary and Secondary Cells and Batteries
Overall reaction:
Zn(s) + 2MnO2(s) + 2NH4Cl(aq) → Mn2O3(s) +
ZnCl2(aq) + 2NH3(aq) + H2O(l)
Electrical energy is released by the chemical
reaction between the zinc and the ammonium
chloride,
the zinc gradually dissolving in the electrolyte
as soluble zinc chloride is formed; gaseous
ammonia is also released.
manganese dioxide reacts with hydrogen
formed near the carbon electrode, removing it
as water.
Powdered carbon was mixed with the
manganese dioxide to make a relatively
conducting mixture.
Wet Leclanche cells were popular
because they suffered relatively little
from local action, and could be
replenished easily and cheaply when
exhausted.
The zinc rod would eventually corrode
away, but could be replaced, and the
old electrolyte simply poured out and
replaced by new as required.
Dry Leclanche Cell
In 1920 Herbert describes dry Leclanche cells
thus: 'All cells consist of a zinc vessel from 13
1/2 to 22 mm in thickness with a carbon plate
or rod.
The carbon is either insulated by a layer of
paper or given a half-inch clearance from the
bottom of the zinc vessel.
The general composition of the two pastes is:
(black paste) - 10lbs each of MnO2 and carbon
or graphite or both, (white paste) –
NH4Cl, ZnCl2, and sufficient water to give the
proper amount of electrolyte to the cell
Dry Leclanché cells offer several advantages
over wet cells, including:
1. Reduced risk of leakage: The absence of
liquid electrolyte minimizes the risk of leakage,
making dry cells more suitable for portable and
consumer devices.
2. Longer shelf life: Dry cells have a longer shelf
life compared to wet cells because the solid or
gel electrolyte is less prone to evaporation or
leakage.
Maintenance-free: Dry cells do not
require periodic maintenance, such as
topping up electrolyte levels, unlike
wet cells.
Improved safety: The solid or gel
electrolyte reduces the risk of spills
and corrosive damage.
Dry Leclanché cells have been widely
used in various applications, including
flashlights, toys,
remote controls, and other
portable electronic devices. They
are known for their reliability, low
cost, and ease of use. However,
they do have limitations in terms
of energy density compared to
more modern battery
technologies like lithium-ion
batteries
Dr Hassaan Bin Adil
-DPT, CHPE , MPHILL MSK **
Medical Physics
Cells in Series and Parallel
Connections
Medical Physics
THE STATIC TRANSFORMER
E.g. in the primary coil still has 120 has turns, and
Medical Physics
Molecular Theory Of
Magnetism
The molecular theory of magnetism was given
by Weber and modified by Ewing. According to
this theory:
Each and every molecule of a magnetic
substance is a complete magnet in itself,
having a north pole and a south pole of equal
strength.
In an unmagnetized substance, the molecular
magnets are randomly oriented such that they
form closed chains.
When the substance is magnetized, the molecular
magnets are realigned so that north poles of all
molecular magnets point in one direction and south
poles of all molecular magnets point in the opposite
direction.
When all the molecular magnets are fully aligned, the
substance is said to be saturated with magnetism.
During heating the magnetized specimen, molecular
magnets acquire some kinetic energy.
Some of the molecules may get back to the closed
chain arrangement. That is why magnetism of the
specimen would reduce on heating.
Magnetic Effects Of Electric Current
Medical Physics
Moving coil meter
A moving coil meter is a type of instrument
used to measure electric current. It
operates on the principle of electromagnetic
induction.
They are preferred for DC measurements due
to their accuracy, low power consumption, and
reliability.
they are not suitable for measuring alternating
current (AC)
Moving Coil Meter
The main structure of a moving coil meter is a coil of
Which states
“that the direction of the induced
EMF is such that it tends to
oppose the force producing it”
Mutual Induction
Mutual induction is said to occur
when EMF is induced in an
adjacent conductor by the
magnetic field, setup around a
coil of wire carrying a varying
current
When an alternating current (AC) flows
through the primary coil, it generates a
changing magnetic field around it. This
changing magnetic field induces an emf
in the secondary coil according to
Faraday's law of electromagnetic
induction. The induced emf in the
secondary coil then drives an alternating
current in the load circuit.
Self Induction
Occurs within a coil carrying a varying
current.
A magnetic field is generated around
each turn of wire.
As the current increases the magnetic
lines of force move out , cutting
adjacent turn s of wire and thus
inducing EMF in them.
The self-induced emf in a
conductor is proportional to the
rate of change of current with
respect to time
Eddy Current
Any conductor lying within a varying
magnetic field has an EMF induced in
it.
If conductor is solid, the magnetic
lines off force passing through it
setup circular current call EDDY
current.
These eddy current are @ right
angle to magnetic line of fore and
producing heating effect
In most electrical apparatus eddy’s are
unwanted and prevented by laminating the
conductor
i.e. cutting it into layers and insulating each
layer from others.
However eddy currents can be used to
produce heating effect in patient tissue.
Dr Hassaan Bin Adil
-DPT, CHPE , MPHILL MSK **
Medical Physics
Generator
Assistant Professor
ISRS, Isra University
Islamabad Campus
Lecture # 14
Medical Physics
DC Generator
A single-loop generator with each terminal
connected to a segment of a two-segment
metal ring.
The two segments of the split metal ring are
insulated from each other.
This forms a simple COMMUTATOR.
The commutator in a dc generator replaces the
slip rings of the ac generator.
This is the main difference in their
construction.
The commutator mechanically reverses the
armature loop connections to the external
circuit.
This occurs at the same instant that the
polarity of the voltage in the armature loop
reverses.
Through this process the commutator changes
the generated ac voltage to a pulsating dc
voltage (known as commutation).
Current flows through loop, out of the negative
brush, through the meter and the load, and
back through the positive brush to the loop.
Voltage reaches its maximum value at point B
The generated voltage and the current fall to
zero at position C.
At this instant each brush makes contact with
both segments of the commutator.
As the armature loop rotates to position D, a
voltage is again induced in the loop.
In this case, however, the voltage is of opposite
polarity.
The voltages induced in the two sides of the
coil at position D are in the reverse direction to
that of the voltages shown at position B.
However, because the segments of the
commutator have rotated with the loop and are
contacted by opposite brushes, the direction of
current flow through the brushes and the
meter remains the same as at position D.
The voltage developed across the
brushes is pulsating and
unidirectional (in one direction only).
It varies twice during each revolt
between zero and maximum.
This variation is called RIPPLE.
A pulsating voltage, such as that
produced in the preceding
description, is unsuitable for most
applications.
Therefore, in practical generators
more armature loops (coils) and more
commutator segments are used to
produce an output voltage waveform
with less ripple.
Dr Hassaan Bin Adil
-DPT, CHPE , MPHILL MSK **
A transistor is a semiconductor
device used to amplify or switch
electronic signals and electrical
power
Transistor
These are the semiconductor with
three terminals.
They are modern equivalent of triode
valve.
They are of two kinds
1. Junction transistor
2. Field effect transistor
Junction Transistor
Two p-n junction transistor set
closely together so that the flow of
current across one junction affects
the current through the other.
The two junction include three
separate pieces of doped
semiconductor and can be either a
p-n-p and n-p-n transistor.
Field Effect Transistor
The field effect transistor; consist of
narrow channel of one kind of doped
SC on to a small piece of opposite
type doped SC (mosfets).
Regulating the charge carrier in the
channel.
Used in amplifying circuit
MOSFET (Metal-Oxide-Semiconductor Field-Effect
Transistor): This type of FET uses a metal gate insulated
from the semiconductor material by a thin layer of oxide
(usually silicon dioxide). MOSFETs are commonly used in
integrated circuits (ICs) and are widely used in digital
and analog circuits.
Rectification
Rectification is the process by
which alternating current, usually
from the mains supply, is turned
into direct current.
Senior Lecturer
ISRS, Isra University
Islamabad Campus
Medium Frequency Current
Interferential Current:
Interferential currents are also known
as Nemec’s current who discovered it
IFC intensity modulated AC obtained
by mixing two or three medium
frequency current, obtained from
independent circuits of AC to produce
low frequency effect.
+
Senior Lecturer
ISRS, Isra University
Islamabad Campus
High Frequency Current
Short Wave Diathermy
A short wave diathermic current has a
frequency of between 107 and 108 Hz
and sets up radio waves with
wavelength of between 30 and 3 meter.
The use of any current within this range
is classed as short wave diathermy.
The commonly used for medical work
has a frequency of 27.12 MHz and setup
radio wave with a wave length of 11
meter.
This current is generated in a machine
circuit, which in turn coupled to a
patient (resonator) circuit which is used
to treat the patient.
Short wave diathermy provides as deep
a form of heat as any available to the
physiotherapist
The machine circuit;
It is not possible to construct any
mechanical device which causes
sufficient rapid movement to produce
high frequency current.
So this type of current is obtained by
discharging a condenser through an
inductance of low ohmic resistance.
The basic oscillator circuit consist of
condenser and an inductance
Current of different frequency are
obtained by selecting suitable
condensers and inductance.
If a current of very high frequency is
required the capacitance and induction
are small
While to produce lower frequency
current a larger condenser and/or
inductance are used
In order to produce the high
frequency current, the condenser
must be made to charge and
discharge repeatedly
To achive this the oscillator is
incorporated in a valve circuit.
The patient circuit;
The circuit is coupled to the machine
circuit by inductors i.e. a matching high
frequency current is produced in
resonator circuit by electromagnetic
induction.
For this to happen the oscillator and
resonator circuit must be in resonance
with each other, which requires that the
product of inductance and capacitance
must be the same for both circuits
When short wave diathermy is applied
by the condenser field method, the
electrodes and the patient tissue form
capacitor.
The capacitance of which depends on
the size of electrodes and on the
distance and material between them and
so different for each application.
When cable electrodes are used it forms
an inductance the value of which varies
according to its arrangement
Consequently either the capacitance or
the inductance of the patient’s circuit is
varied at each treatment, and a variable
capacitor is incorporated in the patient
circuit to compensate for this.
When electrode have been adjusted
(tuning) until the product of the
inductance and capacitance of the
resonator circuit is equal to that in the
oscillator circuit
When the oscillator and resonator circuits are
in tune with each other, there is maximum
power transfer to the patient circuit.
Indication that is occurring are;
An indicator light on the equipment either
comes on or changes color.
An ammeter wired into the resonator circuit
shows maximum reading , which is
diminished by tuning the knob controlling
the variable capacitor
A tube obtaining a small amount of neon gas
place with in the electric field between the
electrodes or the ends of the cable, will glow
at maximum intensity when the circuit are in
resonance.
Some machine have an automatic tuning
(resonator) control.
This automatically searches for and selects the
adjustment of variable capacitor to ensure
maximum power transfer to the patient circuit
Lecture # 20
Senior Lecturer
ISRS, Isra University
Islamabad Campus
High Frequency Current
Micro Wave Diathermy
Is irradiation of the tissue with radiation
in the shorter wireless part of
electromagnetic spectrum I,e with wave
length between the IRR and SWD
radiation.
There is some variation in definition but
waves of 1-100 cm may conveniently be
classified as microwaves.
Radiation with wave length of 12.25 cm
and frequency of 2450 MHz is frequently
used
Some use is made of radiation with
wave length of 69 cm and frequency of
433.92 MHz.
The principal function of the application
of micro wave to the tissue is to produce
a local rise in temperature at point
where they are absorbed
Production of Micro wave;
Wireless are produced by high
frequency current and have the same
frequency as currents which produce
them.
The principles of production of the
currents are similar to those for other
high frequency currents
But in order to obtain the necessary
very high frequency a special type of
valve call magnetron is used.
As with other valves the magnetron
requires time to warm up so out put
is not obtained immediately the
apparatus is switch on.
A stand by switch should be provided
for use.
This enable the output circuit to be
disconnected without cutting off current to the
valve
So that repeat heating and cooling of the valve
is avoided.
Current must be carried from HF circuit by a
coaxial cable.
a coaxial cable consists of a central wire with
an outer metal sheath run parallel to each
other throughout and from output and return
wires of the circuit.
The coaxial cable carries the current
to a small aerial from which the
microwave are emitted.
The aerial is mounted in a reflector,
which is packed with some material
which transmits the wave.
The whole device is used to direct the
wave onto the tissue and may be
termed the emitter, director or
applicator.
The patient does not form part of the
circuit, which is constructed in such a
way that no tuning Is necessary for
individual treatments.
Micro wave energy is transmitted as free
space radiation and consequently needs
only this one emitter.
However as with any pure
electromagnetic radiation microwave will
subject to reflection, refraction,
interference and absorption
As with short wave diathermy,
microwave can interfere with radio
communications, so the generator must
be constructed so as to minimize the
interference.
Only specified frequencies may be used
for medical work
The frequencies of the 2459 MHz and
433.92 MHz (wavelength 12.25 and 69
cm respectively) are among those
permitted
Application of micro wave
Various types of emmiters are
available
Those most commonly used are
placed at distance from the body and
the waves pass through the
intervening air to reach the tissue.
Emitters of this type may be circular
and rectangular in shape.
The circular ones give beam of rays
which is circular in cross section and is
more dense at periphery then in centre.
The rectangular emitter provides a beam
which is oval in cross section ad greater
density centrally.
In both cases the rays given off from
emitter diverge, so that their density
become less as distance from emitter is
increases.
Reduction in intensity of the beam is
also caused by absorption of the rays
The distance from skin at which these
emitter are used depend on the
particular emitter, the output of
generator and structure to be treated.
Commonly it is between 10 – 20 cm.
Larger area required a greater distance
and greater distance required greater
out put from the emitter
Small emitters are made for use in
contact with tissues and for the
treatment of cavities but they do not
appear t be effective as distant emitters.
Recently an emitter with concave
surface which fits round the body has
been used with 69 cm waves it is
claimed that this gives a deeper effect
than other methods
Lecture # 21
Senior Lecturer
ISRS, Isra University
Islamabad Campus
SOUND
sound, any disturbance that travels
through an elastic medium such as air,
ground, or water to be heard by the
human ear.
When a body vibrates, or moves back
and forth, the oscillation causes a
periodic disturbance of the surrounding
air or other medium that radiates
outward in straight lines in the form of a
pressure wave.
The effect these waves produce upon
the ear is perceived as sound.
From the point of view of physics,
sound is considered to be the waves
of vibratory motion themselves,
whether or not they are heard by the
human ear.
Generation of Sound Waves
Sound waves are generated by any
vibrating body.
For example, when a violin string vibrates
upon being pluck, its movement in one
direction pushes the molecules of the air
before it, crowding them together in its
path.
When it moves back again past its original
position and on to the other side, it leaves
behind it a nearly empty space, i.e., a
space with relatively few molecules in it.
In other words, the vibratory motion set up by the
violin string causes alternately in a given space a
crowding together of the molecules of air (a
condensation) and a thinning out of the molecules
(a rarefaction).
Taken together a condensation and a rarefaction
make up a sound wave; such a wave is called
longitudinal, or compressional, because the
vibratory motion is forward and backward along
the direction that the wave is following.
Because such a wave travels by disturbing the
particles of a material medium, sound waves
cannot travel through a vacuum.
Characteristics of Sound Waves
Sounds are generally audible to the human ear
if their frequency (number of vibrations per
second) lies between 20 and 20,000 vibrations
per second (20 Hz-20 kHz), but the range
varies considerably with the individual.
Sound waves with frequencies less than those
of audible waves are called infrasonic;
those with frequencies above the audible range
are called ultrasonic
A sound wave is usually represented
graphically by a wavy, horizontal line;
the upper part of the wave (the crest)
indicates a condensation and the
lower part (the trough) indicates a
rarefaction. This graph, however, is
merely a representation and is not an
actual picture of a wave.
The length of a sound wave, or the
wavelength, is measured as the distance
from one point of greatest condensation
to the next following it or from any point
on one wave to the corresponding point
on the next in a train of waves.
The wavelength depends upon the
velocity of sound in a given medium at a
given temperature and upon the
frequency of vibration.
The wavelength of a sound can be
determined by dividing the numerical
value for the velocity of sound in the
given medium at the given temperature
by the frequency of vibration.
For example, if the velocity of sound in
air is 1,130 ft per second and the
frequency of vibration is 256, then the
wave length is approximately 4.4 ft.
The velocity of sound is not constant, however,
for it varies in different media and in the same
medium at different temperatures.
For example, in air at 0°C. it is approximately
1,089 ft per second
but at 20°C it is increased to about 1,130 ft
per second, or an increase of about 2 ft per
second for every centigrade degree rise in
temperature.
Sound travels more slowly in gases than in
liquids, and more slowly in liquids than in
solids.
Since the ability to conduct sound is dependent
on the density of the medium, solids are better
conductors than liquids, liquids are better
conductors than gases.
Velocity of sound in some medium are;
Air 344 ms-1
Water 1410 ms-1
Muscles 1540 ms-1
Sound waves can be reflected, refracted (or
bent), and absorbed as light waves can be.
The reflection of sound waves can result in an
echo
A sound wave can be reinforced with waves
from a body having the same frequency of
vibration, but the combination of waves of
different frequencies of vibration may produce
“beats” or pulsations or may result in other
forms of interference.
Lecture # 22
Senior Lecturer
ISRS, Isra University
Islamabad Campus
Electric Shock
A shock is painful stimulation of
sensory nerves caused by a sudden
flow, cessation or variation in the
current passing through the body.
It can be caused by poorly designed
or badly serviced electro medical
apparatus.
Severity of Shock
The greater the current which passes
through the body, the more severe is
the shock.
In accordance with ohm’s law, the
magnitude of the current depend on the
EMF and the resistance.
A high EMF is liable to produce a large
current, and so the EMF available for the
patient is limited to maximum likely to
be required for the treatment.
Most apparatus used in physiotherapy
departments is plugged into the mains
supply of 240 volt and frequency 50Hz.
This therefore represent the hazard of
electric shock.
A high resistance reduces the intensity
of current (increased resistance of skin
lower the current passes through)
The severity of shock is also depends on the
path taken by the current, and strong current
through the head, neck, heart or whole body
might prove fatal.
Shock are also generally more severe with AC
than with DC.
Because the intensity of AC is continually
changing and so it provide stronger sensory
stimulation.
It may also produce tetanic muscular
contractions, which make it impossible for the
victim to let go of conductor
Effect Of Electric Shock
Following a minor shock the victim may
be frightened and distressed, but
doesnot lose consciousness.
After a more severe electric shock there
is a fall in blood pressure and some
times loss of consciousness.
In extreme cases there is cession of
respiration, may be accompanied by
cardiac arrest due to ventricular
fibrillation resulting from electrical
stimulation of the heart.
Cessation of respiration is recognized
by lack of respiratory movement and
cyanosis.
Cardiac arrest by absence or
abnormality o respiratory
movements, absence of pulse in the
carotid artery and fully dilated pupils
Treatment of Electric Shock
In the event of a shock occurring, the 1st step
is to disconnect the victim from the source of
supply; the current should be switched off at
once.
If there is no switch in the circuit the victim
must be removed from contact with conductor.
But the rescuer must tae care of not to receive
a shock himself from touching the affected
person, contact with whom should be made
only through thick layer of insulating material
Following a minor shock the patient is
reassured and allowed to rest.
Water may be given to drink but hot
drink should be avoided as they cause
vasodilatation and sweating and
consequently a further fall in blood
pressue.
In all cases it is advisable to consult a
medical officer.
If the shock is more severe the victim is
laid flat, in such a position that
respiratory passage are clear.
Tight clothing is loosened and plenty of
air allowed.
Undue warmth is avoided as it causes
vasodilatation, sweating and fall in BP,
also external heat increases metabolism
and so the demand for O2, of which there
is already a lack in the tissue
If the patient is unconscious nothing
is given by the mouth and a medical
officer is summoned without delay.
If respiration is ceased, the airway is
cleared and artificial respiration
commenced immediately by the
mouth to mouth or mouth to nose
method, or oxygen administered by a
bag and mask.
In the event of cardiac arrest, external
cardiac massage must be applied in
addition to the above.
It all cases of respiratory failure or
cardiac arrest it is essential to call
immediately for medical help.
All persons liable to be called upon to
deal with such an emergency should
receive instruction in artificial respiration
and external cardiac massage, with
practice on a dummy
Causes Of Shock And Precautions
A patient may receive a shock in the
course of an electrical treatment as a
result of a sudden increase in the
current.
This may occur if a low-frequency (or
direct) current is switched on with the
controls turned up, or if insufficient time
is allowed for the apparatus to warm up
so that the current comes on suddenly
after the controls have been turned up.
333
It can also occur if the intensity control
is turned up unduly during the intervals
in the flow of an interrupted or surged
current, or if the patient touches an
exposed part of the circuit.
To avoid the occurrence of shocks from
these causes, all apparatus should be
tested before use, and connections
checked.
334
Controls should be checked to ensure
that they are at zero before switching
on.
Adequate warming-up time should be
allowed and the current intensity
increased with care.
Patients should never be allowed to
touch electrical equipment and all
apparatus should be serviced regularly
by a competent electrician.
335
The physiotherapist may receive a
shock when handling equipment two
live parts of the circuit are touched at
the same time.
Apparatus should always be
disconnected from the source of
supply before faults are investigated.
336
When light contact is made between two
conductors which are charged to different
electrical potentials, a spark passes between
them.
Such sparking may occur on touching short-
wave diathermy electrodes to which current is
applied, or on making contact with the metal
casing of apparatus, especially the edges and
corners where charges concentrate.
Sparking causes unpleasant sensory
stimulation but is not dangerous and should
not really be classed as an electric shock.
337
Lecture # 23
Senior Lecturer
ISRS, Isra University
Islamabad Campus
Earth Shock
Senior Lecturer
ISRS, Isra University
Islamabad Campus
Ionizing & Non-Ionizing
Radiation
Radiation having a wide range of
energies form the electromagnetic
spectrum.
The spectrum has two major
divisions:
1. Non-ionizing radiation
2. Ionizing radiation
Radiation that has enough energy to
move atoms in a molecule around or
cause them to vibrate, but not
enough to remove electrons, is
referred to as "non-ionizing
radiation.“
Examples of this kind of radiation are
sound waves, visible light, and
microwaves.
Radiation that falls within the ionizing
radiation" range has enough energy
to remove tightly bound electrons
from atoms, thus creating ions.
This is the type of radiation that
people usually think of as 'radiation.'
We take advantage of its properties
to generate electric power, to kill
cancer cells, and in many
manufacturing processes.
The energy of the radiation increases
from as the frequency rises.
Type of Radiation
Nonionizing Radiation
Non-ionizing radiation ranges from
extremely low frequency radiation,
(the audible, microwave, and visible
portions of the spectrum into the
ultraviolet range)
Extremely low-frequency radiation
has very long wave lengths (on the
order of a million meters or more)
and frequencies in the range of 100
Hertz or cycles per second or less.
Radio frequencies have wave lengths
of between 1 and 100 meters and
frequencies in the range of 1 million
to 100 million Hertz.
Microwaves that we use to heat food
have wavelengths that are about 1
hundredth of a meter long and have
frequencies of about 2.5 billion Hertz.
Ionizing Radiation
Higher frequency ultraviolet radiation
begins to have enough energy to
break chemical bonds.
X-ray and gamma ray radiation,
which are at the upper end of
magnetic radiation have very high
frequency --in the range of 100 billion
billion Hertz--and very short
wavelengths--1 million millionth of a
meter
Radiation in this range has extremely high
energy.
It has enough energy to strip off electrons or,
in the case of very high-energy radiation, break
up the nucleus of atoms.
Ionization is the process in which a charged
portion of a molecule (usually an electron) is
given enough energy to break away from the
atom.
This process results in the formation of two
charged particles or ions: the molecule with a
net positive charge, and the free electron with
a negative charge.
Each ionization releases approximately 33
electron volts (eV) of energy.
Material surrounding the atom absorbs the
energy.
Compared to other types of radiation that may
be absorbed, ionizing radiation deposits a large
amount of energy into a small area.
In fact, the 33 eV from one ionization is more
than enough energy to disrupt the chemical
bond between two carbon atoms.
All ionizing radiation is capable, directly or
indirectly, of removing electrons from most
molecules.
There are three main kinds of ionizing
radiation:
Alpha Particles Alpha particles
(symbol α ) are a type of ionizing
radiation ejected by the nuclei of
some unstable atoms.
They are large subatomic fragments
consisting of two protons and two
neutrons.
Beta Particles; Beta particles are
subatomic particles ejected from the
nucleus of some radioactive atoms.
They are equivalent to electrons.
The difference is that beta particles
originate in the nucleus and electrons
originate outside the nucleus.
Gamma Rays; A gamma ray is a
packet of electromagnetic energy--a
photon.
Gamma photons are the most
energetic photons in the
electromagnetic spectrum.
Gamma rays (gamma photons) are
emitted from the nucleus of some
unstable (radioactive) atoms.
Lecture # 25
Senior Lecturer
ISRS, Isra University
Islamabad Campus
External and Internal Radiation
Exposures to Radiation