The document discusses occupational exposure and radiation protection measures for workers in diagnostic and interventional radiology. It covers personal protective equipment, individual monitoring and dose assessment, investigation protocols for exceeding dose limits, health surveillance of workers, and record keeping requirements. Protective equipment like lead aprons and thyroid shields are required, and individual monitoring using dosimeters is used to assess exposure levels. Investigation is required if monthly effective doses exceed 0.5 mSv or doses over lead aprons exceed 5 mSv. Records of training, doses, and quality control tests must be maintained.
The document discusses occupational exposure and radiation protection measures for workers in diagnostic and interventional radiology. It covers personal protective equipment, individual monitoring and dose assessment, investigation protocols for exceeding dose limits, health surveillance of workers, and record keeping requirements. Protective equipment like lead aprons and thyroid shields are required, and individual monitoring using dosimeters like TLD badges is used to assess exposure levels. Investigation is required if monthly effective doses exceed 0.5 mSv or doses over lead aprons exceed 5 mSv. Records of training, doses, and quality control tests must be maintained.
Radiation protection course for radiologists L7Amin Amin
1) The document summarizes key aspects of radiation monitoring and protection for radiologists, including recommended dose limits, monitoring of exposed personnel, and design of radiation facilities.
2) It discusses wearing personal dosimeters under or over lead aprons to accurately measure radiation exposure to covered and uncovered body parts.
3) The document also outlines what should be included in radiation protection surveys and reports, such as equipment details, radiation measurements, and recommendations.
This document discusses Intra-cavitary Brachytherapy (ICBT) for treating cervical cancer. It describes different historical ICBT systems like Paris, Stockholm, and Manchester systems. It also discusses modern techniques like remote afterloaders and recommendations for reporting absorbed doses and volumes in ICBT. Key points include different dose rates (LDR, MDR, HDR), advantages of remote afterloaders in maintaining geometry and dose distribution, and recommending specifying absorbed dose to the target volume rather than at a single point for ICBT.
The document discusses health surveillance requirements for radiation workers. It states that employers must ensure workers receive suitable personal protective equipment, including protective clothing, aprons, gloves and organ shields. Regular health monitoring of radiation workers is also required, with examinations occurring at least every two years for workers in controlled areas. Records of occupational exposure and health monitoring must be kept confidential for at least the lifetime of each worker.
Prevention of Surgical Site Infection- SSI [compatibility mode]drnahla
Infection Control Guidelines for Prevention of Surgical Site Infection- SSI
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
The document outlines the Ionising Radiation (Medical Exposures) Regulations 2017 in the UK, which implement a European Directive on medical exposures. It discusses key definitions such as practitioner, operator, referrer, employer duties, and the duties of practitioners, operators and referrers. The employer duties include establishing written procedures, ensuring adequate training, setting diagnostic reference levels, and investigating overexposures. Practitioners are responsible for justifying exposures and authorizing operators to carry them out. Operators must ensure exposures are authorized and comply with employer procedures.
This document outlines the quality assurance processes for emergency radiology. It discusses ensuring quality through proper personnel, equipment, documentation, auditing, and continuous improvement. Safety is emphasized through infection control, radiation safety, and appropriate patient management. Key aspects include verifying patient identity, obtaining consent, using ALARA radiation principles, monitoring for equipment and staffing needs, handling incidents and complaints, conducting audits, and having management review processes in place to support high quality patient care.
The document discusses occupational exposure and radiation protection measures for workers in diagnostic and interventional radiology. It covers personal protective equipment, individual monitoring and dose assessment, investigation protocols for exceeding dose limits, health surveillance of workers, and record keeping requirements. Protective equipment like lead aprons and thyroid shields are required, and individual monitoring using dosimeters is used to assess exposure levels. Investigation is required if monthly effective doses exceed 0.5 mSv or doses over lead aprons exceed 5 mSv. Records of training, doses, and quality control tests must be maintained.
The document discusses occupational exposure and radiation protection measures for workers in diagnostic and interventional radiology. It covers personal protective equipment, individual monitoring and dose assessment, investigation protocols for exceeding dose limits, health surveillance of workers, and record keeping requirements. Protective equipment like lead aprons and thyroid shields are required, and individual monitoring using dosimeters like TLD badges is used to assess exposure levels. Investigation is required if monthly effective doses exceed 0.5 mSv or doses over lead aprons exceed 5 mSv. Records of training, doses, and quality control tests must be maintained.
Radiation protection course for radiologists L7Amin Amin
1) The document summarizes key aspects of radiation monitoring and protection for radiologists, including recommended dose limits, monitoring of exposed personnel, and design of radiation facilities.
2) It discusses wearing personal dosimeters under or over lead aprons to accurately measure radiation exposure to covered and uncovered body parts.
3) The document also outlines what should be included in radiation protection surveys and reports, such as equipment details, radiation measurements, and recommendations.
This document discusses Intra-cavitary Brachytherapy (ICBT) for treating cervical cancer. It describes different historical ICBT systems like Paris, Stockholm, and Manchester systems. It also discusses modern techniques like remote afterloaders and recommendations for reporting absorbed doses and volumes in ICBT. Key points include different dose rates (LDR, MDR, HDR), advantages of remote afterloaders in maintaining geometry and dose distribution, and recommending specifying absorbed dose to the target volume rather than at a single point for ICBT.
The document discusses health surveillance requirements for radiation workers. It states that employers must ensure workers receive suitable personal protective equipment, including protective clothing, aprons, gloves and organ shields. Regular health monitoring of radiation workers is also required, with examinations occurring at least every two years for workers in controlled areas. Records of occupational exposure and health monitoring must be kept confidential for at least the lifetime of each worker.
Prevention of Surgical Site Infection- SSI [compatibility mode]drnahla
Infection Control Guidelines for Prevention of Surgical Site Infection- SSI
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
The document outlines the Ionising Radiation (Medical Exposures) Regulations 2017 in the UK, which implement a European Directive on medical exposures. It discusses key definitions such as practitioner, operator, referrer, employer duties, and the duties of practitioners, operators and referrers. The employer duties include establishing written procedures, ensuring adequate training, setting diagnostic reference levels, and investigating overexposures. Practitioners are responsible for justifying exposures and authorizing operators to carry them out. Operators must ensure exposures are authorized and comply with employer procedures.
This document outlines the quality assurance processes for emergency radiology. It discusses ensuring quality through proper personnel, equipment, documentation, auditing, and continuous improvement. Safety is emphasized through infection control, radiation safety, and appropriate patient management. Key aspects include verifying patient identity, obtaining consent, using ALARA radiation principles, monitoring for equipment and staffing needs, handling incidents and complaints, conducting audits, and having management review processes in place to support high quality patient care.
Summary of The Egyptian Radiation Safety Guidlines for Diagnostic RadiologyAmin Amin
This document outlines the radiation safety guidelines for diagnostic radiology in Egypt. It discusses the purpose of radiation protection and outlines the responsibilities of various groups involved, including radiation safety committees, departments, authorized users, radiation safety officers, and individuals. It provides recommendations on monitoring radiation doses, maintaining records, conducting risk assessments, designing radiation facilities, performing radiation surveys on equipment, and establishing equipment specifications. The guidelines aim to justify medical exposures, keep doses as low as reasonably achievable, and ensure the safe use of radiation sources in diagnostic radiology.
Individual and area monitoring are important aspects of radiation protection. Individual monitoring involves measuring radiation doses received by individuals working with radiation, typically using dosimeters like TLD badges worn by workers in controlled and supervised areas. Area monitoring involves taking radiation measurements at different points in a workplace to assess conditions and ensure safe radiological conditions. The results of monitoring are recorded and investigated if exposure limits are exceeded.
This document outlines patient safety goals and standards. It defines key terms like risk and safety. It lists international patient safety goals such as identifying patients correctly and reducing healthcare associated infections. National patient safety goals are discussed in more detail and include accurately identifying patients, improving caregiver communication, safely using medications, reducing anticoagulant therapy harm, maintaining accurate medication information, reducing clinical alarm hazards, and preventing healthcare associated infections. The document provides specific requirements for implementing several of the national goals.
This document provides an overview of key concepts in radiation protection for diagnostic radiology, including:
- Medical exposure involves exposing patients for diagnosis or treatment, following principles of justification and optimization.
- Justification involves assessing if a procedure does more good than harm at the individual, generic, and general levels.
- Optimization aims to keep patient doses as low as reasonably achievable given image quality needs.
- Guidance levels indicate typical dose levels and help identify unusually high exposures requiring review. They are not dose limits.
Operator protection when using radiation in dentistry includes following guidelines on distance, position, and shielding from the primary x-ray beam. Distance recommendations state the radiographer should stand at least 6 feet away, while position recommends being perpendicular or at a 90-135 degree angle to the beam. Shielding like protective barriers should also be used when possible. Radiation exposure is monitored through equipment monitoring for leakage radiation and personnel monitoring using film badges, thermoluminescent dosimeters, or ionization chambers. Radiation safety legislation establishes exposure limits for public and occupational exposure to ensure protection of patients, operators, and the environment.
X-rays are a form of ionizing radiation that produces charged particles when passing through matter. The goals of radiation protection are to protect persons from both short-term and long-term effects of radiation by adhering to an established radiation protection program. Effective radiation protection employs measures to safeguard patients, personnel, and the public from unnecessary radiation exposure.
Radiation protection principles aim to safeguard patients, personnel, and the public from unnecessary exposure to ionizing radiation during medical procedures. Key concepts include justifying procedures, applying ALARA principles to minimize dose, monitoring personnel dose, and protecting sensitive populations like pregnant workers and children. Radiation safety is an ongoing responsibility requiring adherence to protection programs and guidelines.
PET - Regulation of PET Raiopharmaceutials in SaudiArabia@Saudi_nmc
This document discusses regulation of positron emission tomography (PET) radiopharmaceuticals in Saudi Arabia. It provides definitions of radiopharmaceuticals and describes their uses in oncology, cardiology, and neurology. It discusses regulations from the National Radiation Commission (NRC), International Commission on Radiological Protection (ICRP), and outlines good manufacturing practices (GMP) for PET radiopharmaceuticals including facilities, equipment, materials management, production, quality control, and documentation. The objectives of radiation protection are outlined to prevent both deterministic and stochastic effects through dose limits for occupational exposure and public exposure.
The Joint Commission Fluoroscopy Requirements 2019Marcella Lobo
Understand what is required to meet The Joint Commission standards for fluoroscopy patient dose management.
• Apply best practices for managing patient doses in fluoroscopy before, during, and after the examination.
• Apply techniques and technology to manage occupational exposure related to operating fluoroscopic equipment.
Meeting The Joint Commissions standards for fluoroscopy patient dose management may seem like a challenge.
This document outlines the course objectives and content for a Post Anesthesia Care Unit (PACU) training course. The course objectives cover topics such as postoperative patient transportation and handover, PACU equipment, monitoring and roles, postoperative pain management, complications and their treatment. The document details the sessions that will cover these topics over 4 days. It also provides the assessment methods for the course and reference materials. The overall goal of the PACU training course is to educate medical professionals on providing safe and effective postoperative care to patients in the recovery phase after anesthesia and surgery.
Patient safety goals effective january 1, 2016Hisham Aldabagh
Includes the patient safety goals which must be achieved during the year 2016, focusing on patient identification, proper patient medication, protection patient against infection, and strict per operative patient safety procedures
Radiation protection course for radiologists L6Amin Amin
1. The document outlines the responsibilities of various staff in a radiology department to ensure radiation safety for patients, users, and the public.
2. Key responsibilities include establishing a Radiation Safety Committee and Section to oversee policy and monitor compliance.
3. Department chairs must ensure justified, necessary exposures and establish codes of practice.
4. Authorized users, radiation safety officers, and individual staff all have specific duties to ensure equipment safety and minimize exposures.
The document provides an overview of principles of radiation protection including relevant organizations like ICRP, IAEA, and UNSCEAR. It discusses concepts like justification of practices, optimization of protection, and dose limitation. It describes occupational, medical, and public exposures and associated dose limits according to ICRP recommendations. The aims of radiation protection are to prevent deterministic effects and reduce stochastic effects.
X-rays are a form of ionizing radiation that produces positively and negatively charged particles when passing through matter. The goals of radiation protection are to protect persons from both short-term and long-term effects of radiation by adhering to an established radiation protection program. Effective radiation protection measures are employed by radiation workers to safeguard patients, personnel, and the general public from unnecessary exposure to ionizing radiation.
The document summarizes information and recommendations regarding the Covid-19 pandemic from the perspective of intensive care and critical care specialists. It provides worldwide case statistics and outlines anticipated critical care bed needs for a hospital. It also discusses ventilation strategies, the use of ECMO, guidelines from medical societies, PPE recommendations, management of shock, antibiotics, experimental drug treatments and ongoing clinical trials. The overall focus is on evaluating and treating critically ill Covid-19 patients from an intensive care perspective.
The document summarizes information and recommendations regarding the Covid-19 pandemic from the perspective of intensive care and critical care specialists. It provides worldwide case statistics and projections for hospital bed and ventilator needs in California. Guidelines are presented on testing, diagnosis, treatment strategies including ventilation, use of sedatives, ECMO, and experimental drugs. Risk stratification, PPE guidance, and management of complications like shock are also addressed. Clinical trials and the potential use of convalescent plasma are discussed.
The document summarizes information and recommendations regarding the Covid-19 pandemic from the perspective of intensive care and critical care specialists. It provides worldwide case statistics and projections for hospital bed and ventilator needs in California. Guidelines are presented on testing, diagnosis, treatment strategies including ventilation, use of sedatives, ECMO, and experimental drugs. Risk stratification, PPE guidance, and management of complications like shock are also addressed. Clinical trials and the potential use of convalescent plasma are discussed.
This document discusses radiological imaging findings for chronic obstructive airway diseases such as chronic bronchitis and emphysema. Chest x-rays and CT scans can reveal features of chronic bronchitis like hyper-expanded lungs, thickened bronchial walls, and irregular bronchovascular structures. Emphysema appears on CT as destruction of alveolar walls and enlargement of airspaces in various lung regions. Bullae and flattened diaphragms indicate severe COPD. Congenital lobar emphysema involves one lung lobe and appears as unilateral translucency on x-ray or hyperinflation on CT. Pulmonary interstitial emphysema shows air in the interstitium appearing as streak
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Cardiomegaly refers to an enlarged heart and can have various underlying causes. Some common causes include high blood pressure, heart attacks, heart muscle disease, and congenital heart conditions. Symptoms may include shortness of breath, fatigue, chest pain, and swelling. Diagnosis involves tests like chest x-rays, EKGs, echocardiograms and cardiac CTs or MRIs. Treatment depends on the underlying cause but may include medications to reduce blood pressure and swelling, surgery to repair or replace heart valves, or even a heart transplant in severe cases. Lifestyle changes like quitting smoking, losing weight, and exercising can also help manage the condition.
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Summary of The Egyptian Radiation Safety Guidlines for Diagnostic RadiologyAmin Amin
This document outlines the radiation safety guidelines for diagnostic radiology in Egypt. It discusses the purpose of radiation protection and outlines the responsibilities of various groups involved, including radiation safety committees, departments, authorized users, radiation safety officers, and individuals. It provides recommendations on monitoring radiation doses, maintaining records, conducting risk assessments, designing radiation facilities, performing radiation surveys on equipment, and establishing equipment specifications. The guidelines aim to justify medical exposures, keep doses as low as reasonably achievable, and ensure the safe use of radiation sources in diagnostic radiology.
Individual and area monitoring are important aspects of radiation protection. Individual monitoring involves measuring radiation doses received by individuals working with radiation, typically using dosimeters like TLD badges worn by workers in controlled and supervised areas. Area monitoring involves taking radiation measurements at different points in a workplace to assess conditions and ensure safe radiological conditions. The results of monitoring are recorded and investigated if exposure limits are exceeded.
This document outlines patient safety goals and standards. It defines key terms like risk and safety. It lists international patient safety goals such as identifying patients correctly and reducing healthcare associated infections. National patient safety goals are discussed in more detail and include accurately identifying patients, improving caregiver communication, safely using medications, reducing anticoagulant therapy harm, maintaining accurate medication information, reducing clinical alarm hazards, and preventing healthcare associated infections. The document provides specific requirements for implementing several of the national goals.
This document provides an overview of key concepts in radiation protection for diagnostic radiology, including:
- Medical exposure involves exposing patients for diagnosis or treatment, following principles of justification and optimization.
- Justification involves assessing if a procedure does more good than harm at the individual, generic, and general levels.
- Optimization aims to keep patient doses as low as reasonably achievable given image quality needs.
- Guidance levels indicate typical dose levels and help identify unusually high exposures requiring review. They are not dose limits.
Operator protection when using radiation in dentistry includes following guidelines on distance, position, and shielding from the primary x-ray beam. Distance recommendations state the radiographer should stand at least 6 feet away, while position recommends being perpendicular or at a 90-135 degree angle to the beam. Shielding like protective barriers should also be used when possible. Radiation exposure is monitored through equipment monitoring for leakage radiation and personnel monitoring using film badges, thermoluminescent dosimeters, or ionization chambers. Radiation safety legislation establishes exposure limits for public and occupational exposure to ensure protection of patients, operators, and the environment.
X-rays are a form of ionizing radiation that produces charged particles when passing through matter. The goals of radiation protection are to protect persons from both short-term and long-term effects of radiation by adhering to an established radiation protection program. Effective radiation protection employs measures to safeguard patients, personnel, and the public from unnecessary radiation exposure.
Radiation protection principles aim to safeguard patients, personnel, and the public from unnecessary exposure to ionizing radiation during medical procedures. Key concepts include justifying procedures, applying ALARA principles to minimize dose, monitoring personnel dose, and protecting sensitive populations like pregnant workers and children. Radiation safety is an ongoing responsibility requiring adherence to protection programs and guidelines.
PET - Regulation of PET Raiopharmaceutials in SaudiArabia@Saudi_nmc
This document discusses regulation of positron emission tomography (PET) radiopharmaceuticals in Saudi Arabia. It provides definitions of radiopharmaceuticals and describes their uses in oncology, cardiology, and neurology. It discusses regulations from the National Radiation Commission (NRC), International Commission on Radiological Protection (ICRP), and outlines good manufacturing practices (GMP) for PET radiopharmaceuticals including facilities, equipment, materials management, production, quality control, and documentation. The objectives of radiation protection are outlined to prevent both deterministic and stochastic effects through dose limits for occupational exposure and public exposure.
The Joint Commission Fluoroscopy Requirements 2019Marcella Lobo
Understand what is required to meet The Joint Commission standards for fluoroscopy patient dose management.
• Apply best practices for managing patient doses in fluoroscopy before, during, and after the examination.
• Apply techniques and technology to manage occupational exposure related to operating fluoroscopic equipment.
Meeting The Joint Commissions standards for fluoroscopy patient dose management may seem like a challenge.
This document outlines the course objectives and content for a Post Anesthesia Care Unit (PACU) training course. The course objectives cover topics such as postoperative patient transportation and handover, PACU equipment, monitoring and roles, postoperative pain management, complications and their treatment. The document details the sessions that will cover these topics over 4 days. It also provides the assessment methods for the course and reference materials. The overall goal of the PACU training course is to educate medical professionals on providing safe and effective postoperative care to patients in the recovery phase after anesthesia and surgery.
Patient safety goals effective january 1, 2016Hisham Aldabagh
Includes the patient safety goals which must be achieved during the year 2016, focusing on patient identification, proper patient medication, protection patient against infection, and strict per operative patient safety procedures
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2. Key responsibilities include establishing a Radiation Safety Committee and Section to oversee policy and monitor compliance.
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X-rays are a form of ionizing radiation that produces positively and negatively charged particles when passing through matter. The goals of radiation protection are to protect persons from both short-term and long-term effects of radiation by adhering to an established radiation protection program. Effective radiation protection measures are employed by radiation workers to safeguard patients, personnel, and the general public from unnecessary exposure to ionizing radiation.
The document summarizes information and recommendations regarding the Covid-19 pandemic from the perspective of intensive care and critical care specialists. It provides worldwide case statistics and outlines anticipated critical care bed needs for a hospital. It also discusses ventilation strategies, the use of ECMO, guidelines from medical societies, PPE recommendations, management of shock, antibiotics, experimental drug treatments and ongoing clinical trials. The overall focus is on evaluating and treating critically ill Covid-19 patients from an intensive care perspective.
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Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
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These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
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The Children are very vulnerable to get affected with respiratory disease.
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As the world population is aging, Health tourism has become vitally important and will be increased day by day. Because
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Acne is a common skin condition that occurs when hair follicles become clogged with oil and dead skin cells. It typically manifests as pimples, blackheads, or whiteheads, often on the face, chest, shoulders, or back. Acne can range from mild to severe and may cause emotional distress and scarring in some cases.
**Causes:**
1. **Excess Oil Production:** Hormonal changes during adolescence or certain times in adulthood can increase sebum (oil) production, leading to clogged pores.
2. **Clogged Pores:** When dead skin cells and oil block hair follicles, bacteria (usually Propionibacterium acnes) can thrive, causing inflammation and acne lesions.
3. **Hormonal Factors:** Fluctuations in hormone levels, such as during puberty, menstrual cycles, pregnancy, or certain medical conditions, can contribute to acne.
4. **Genetics:** A family history of acne can increase the likelihood of developing the condition.
**Types of Acne:**
- **Whiteheads:** Closed plugged pores.
- **Blackheads:** Open plugged pores with a dark surface.
- **Papules:** Small red, tender bumps.
- **Pustules:** Pimples with pus at their tips.
- **Nodules:** Large, solid, painful lumps beneath the surface.
- **Cysts:** Painful, pus-filled lumps beneath the surface that can cause scarring.
**Treatment:**
Treatment depends on the severity and type of acne but may include:
- **Topical Treatments:** Such as benzoyl peroxide, salicylic acid, or retinoids to reduce bacteria and unclog pores.
- **Oral Medications:** Antibiotics or oral contraceptives for hormonal acne.
- **Procedures:** Such as chemical peels, extraction of comedones, or light therapy for more severe cases.
**Prevention and Management:**
- **Cleanse:** Regularly wash skin with a gentle cleanser.
- **Moisturize:** Use non-comedogenic moisturizers to keep skin hydrated without clogging pores.
- **Avoid Irritants:** Such as harsh cosmetics or excessive scrubbing.
- **Sun Protection:** Use sunscreen to prevent exacerbation of acne scars and inflammation.
Acne treatment can take time, and consistency in skincare routines and treatments is crucial. Consulting a dermatologist can help tailor a treatment plan that suits individual needs and reduces the risk of scarring or long-term skin damage.
Selective alpha1 blockers are Prazosin, Terazosin, Doxazosin, Tamsulosin and Silodosin majorly used to treat BPH, also hypertension, PTSD, Raynaud's phenomenon, CHF
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
Allopurinol, a uric acid synthesis inhibitor acts by inhibiting Xanthine oxidase competitively as well as non- competitively, Whereas Oxypurinol is a non-competitive inhibitor of xanthine oxidase.
BBB and BCF
control the entry of compounds into the brain and
regulate brain homeostasis.
restricts access to brain cells of blood–borne compounds and
facilitates nutrients essential for normal metabolism to reach brain cells
1. Individual Monitoring
Musa Y. Dambele
Nuclear Medicine Unit/ Radiation Protection and Dosimetry Unit
Dept. of Medical Radiography
Bayero University, Kano
1
2. Legal requirements
Regulation 47
-(1) Every employer shall ensure that –
(a) in respect of each of his employees who is
designated as a classified person, an assessment is
made of all doses of ionizing radiation received by
such employee which are likely to be
significant; and
2
3. Regulations 47 (2):
For the purposes of paragraph (1) of this regulation,
the employer shall make suitable arrangements with
one or more authorised dosimetry service providers
for -
(a) the making of systematic assessments of such
doses by the use of suitable individual measurement
for appropriate periods or, where individual
measurement is inappropriate, by means of other
suitable measurements; and
(b) the making and maintenance of dose records
relating to each classified person.
3
Legal requirements
4. Regulations 47:
(3) For the purposes of paragraph (2) (b) of this
regulation, the arrangements that the employer shall
make with the authorised dosimetry service provider
shall include requirements for that service to –
(a) keep and submit to the Authority, quarterly
records made and maintained pursuant to the
arrangements or a copy thereof until the person to
whom the records relates has or would have attained
the age of 75 years or for at least 50 years from when
they were made, whichever is earlier;
4
Legal requirements
5. What is Personnel Monitoring Program
• A systematic process for monitoring, recording, evaluating, and
reporting the radiation doses received by occupationally exposed
individuals
6. 6
Purpose of Personnel Monitoring
• To ensure compliance with established dose limits
• To keep radiation doses as low as reasonably achievable (ALARA)
7. 7
Monitoring Criteria
Any occupationally exposed individual who is likely to receive a dose
in excess of 10% of any applicable limit
Any occupationally exposed individual who is likely to receive an
intake of radioactive material in excess of 10% of the annual limit on
intake (ALI)
Any person entering a high radiation area or very high radiation area
8. 8
Individual monitoring
• Individual dose monitoring shall be undertaken
for workers who are normally exposed to
radiation in controlled areas:
• Radiographers, radiologists, medical physicists, the
RSO, and nurses
• Other frequent users of X Ray systems and those
working regularly in supervised areas, or occasionally
in controlled areas should have personal doses
assessed such as endoscopists, anaesthetists,
cardiologists, surgeons etc., as well as ancillary workers
who frequently work in controlled areas, shall also be
monitored.
10. Personal Dosimeters – (External monitoring)
Types of external personal dosimeters
Passive dosimeters:
o Photographic Film
o Thermoluminescence
o Optically Stimulated Luminescence
o Nuclear Track Emulsions etc
Active dosimeters:
o Electronic Dosimeters
o Pocket Dosimeters
10
13. Personal Alarms
• Real time read-out of dose
• Audible alarm at pre-set levels (dose or dose rate)
• Used where potential dose rates are high, eg radiography, radiation
emergencies, source replacement
13
14. Internal Dosimetry
• Assess intake
• Calculate dose
• Biological dosimetry
• Whole body monitoring
• Thyroid monitoring
• Personal air sampling
14
16. Dosimeter placement
The dosimeter should be placed in a position
representative of the most highly exposed part of
the surface of the torso.
• Normally on the front of the body
16
17. Dosimeter placement
Body locations representing skin and whole
body are usually not the same.
When fields are highly non-uniform,
additional dosimeters on other parts of the
body may be useful.
17
18. Dosimeter placement
• In special situations (eg. medical
radiology where protective
clothing such as lead aprons are
used), more than one dosimeter
may be used:
• one under the protective apron, and
• one on unshielded parts of the body
to provide information on the
exposure to the unshielded part of
the body (skin, eye, etc).
18
19. Dosimeter placement
When protective clothing is worn, the
dosimeter should be worn at the position
where the skin is likely to be most seriously
exposed (i.e. either under the clothing or at
the unprotected part of the body).
If the exposure is inhomogeneous, it may be
necessary to use more than one dosimeter.
19
20. Exposure to the lens of the eye
HP(3) can be assessed from the indication of
HP(10) and HP(0.07).
Dosimeters used for this purpose should be
worn near the eyes (e.g. on the forehead or
on a cap).
If HP(10) and HP(0.07) are below the relevant
dose limits, the value of HP(3) will nearly
always be below the dose limit for the lens of
the eye (150 mSv).
Dosimeter placement
20
21. 21
Individual monitoring
when a lead apron is used
• The dosimeter should be worn under the apron
for estimating the effective dose
• The other body areas not protected by the apron
will receive higher dose
• One dosimeter worn under the apron will yield a
reasonable estimate of effective dose for most
instances
• In case of high workload (interventional radiology)
an additional dosimeter outside the apron should
be considered by the RSO
22. 22
Individual monitoring
when a lead apron is used
• When expected doses are high, two dosimeters are required:
• 1 under the apron at waist level
• 1 over the apron at collar level
• The effective dose E is given by:
E = 0.5 Hw + 0.025 Hn
where:
• Hw : dose at waist level under the apron
• Hn : dose recorded by a dosimeter worn at neck level over the
apron
• Note: The thyroid shielding allows 50% reduction of the E
• The dosimeter worn over the apron at collar level gives also an
estimation of thyroid and eye lens doses
23. 23
Special aspects of individual monitoring
• In case of loss of a dosimeter, the dose estimation may be carried out
from:
• recent dose history,
• co-workers dose
• or, workplace dosimetry
• Individual monitoring devices should be calibrated
• Laboratory performing personnel dosimetry should be approved by
the regulatory authority
24. Individual monitoring Objectives
• control of radiation exposure
• assesses ALARA
• identifies high doses
• assessment of working practices
• Fulfilling legal requirements
24
25. Demonstration of good working practices,
including adequacy of:
u supervision
u training
u engineering standards
25
Individual monitoring Objectives
26. Estimation of the actual radiation exposure
of workers, to demonstrate compliance with
legal requirements.
Evaluation and development of operating
procedures.
Provision of information that may help
motivate workers to reduce exposure.
26
Individual monitoring Objectives
27. Provision of information for evaluation of
dose following an accident.
Data for medical purposes.
Provision of data for use in epidemiological
studies.
Risk-Benefit analyses.
27
Individual monitoring Objectives
28. Health surveillance
• Objectives
• to assess fitness of workers for radiation work
• to provide baseline of information
• to support management of overexposed workers
• Periodic medical reviews
• Health Records
28
29. Personal monitoring period
Depends on the exposure situation.
A week to a month is often convenient.
More than 1 month may be undesirable,
since it is more difficult to determine
the reason for an exposure with time.
29
30. Personal monitoring period
For people who usually do not receive a measurable
dose, a 3 month monitoring period may be suitable.
Direct reading dosimeters should be worn in addition
to the official dosimeter, if daily monitoring is required.
30
31. Record keeping
• Records of dose received to be kept
• Records to include:
- Personnel data (gender, age, ...)
- Nature of work
- Dose information and means of assessment
- Dates and relevant employer
- Doses received during emergencies to be identified
Must exchange information when employee exposed to
source under another employer’s control)
31
32. Dose records
• Must be available to
- Worker
- Supervisor of health surveillance programme
- Regulatory authority
- New employer
• After the employee’s working life
- Records to be kept to 75th Birthday, or to 30 years
from cessation of radiation work.
32
33. 33
Dose Assessment
• Evaluation of dose is an important aspect of
radiation protection
• It is important that workers return dosimeters on
time for processing
• Delays in the evaluation of a dosimeter can result
in the loss of the stored information
• Licensees should make every effort to recover any
missing dosimeters
34. Reference levels
Reference level - predetermined value for: any of
the quantities, which requires a certain course of
action if, the value of the level for a quantity is
exceeded.
Reference levels often refer to effective dose, but
may apply to other quantities
These are called derived reference levels
A reference level is not a limit in itself.
The reference level action may range from just
recording the value to intervention.
34
36. Recording level
Value of dose equivalent, detected activity
above which a result should be retained
The recording level should be based on:
1/10 of the fraction of the annual limit,
corresponding to the period of time of which
the individual monitoring measurement refers
about 0.17 mSv for monthly monitoring
periods
A result smaller than the recording level may
be discarded and treated as zero in
assessing the dose
36
37. Investigation levels
l Investigation level - a value of dose
equivalent or intake, usually for a single
measurement, above which the result
justifies further investigation.
l It is often appropriate to set the
investigation level at 3/10 of the fraction
of the relevant annual limit corresponding to
the individual monitoring period.
37
38. Investigation levels
l For monthly monitoring or exchange periods,
IL= 20 mSv x 0.3 / 12 = 0.54 mSv
l Below the investigation level, further review is
not needed.
l It may be necessary to change investigation
levels, for example as conditions in a workplace
change.
38
39. Action level
l Level that for remedial or protective action.
l Applies to chronic exposure or emergency exposure
situations.
l Action levels often serve to protect the public.
l Have occupational exposure relevance in chronic exposure
situations.
l Particularly relevant to workplace radon exposure.
39
40. Employer
The employer should:
l Provide workers access to information in
their own exposure records;
l Provide access to the exposure records by
the supervisor of the health surveillance
programme, the Regulatory Authority and
the relevant employer; and
l Facilitate the provision of copies of
workers' exposure records to new
employers
40
41. Worker
l Usually through his employer
l A simplified version of the full dose record
is appropriate. Partly because the
transcript may contain unrecognizable
computer terminology
l On termination of employment, a summary
of the dose record may be given to the
worker
l Covers the period of last employment and
dose information transferred from previous
employment
41
42. Organizations
Dose reporting may be required to:
l Employer (radiation safety
officer/management)
l Radiation worker
l Local safety inspector
l Medical officer
l National legal
authorities/inspectorates.
42
43. Summary
• Controlled areas
• Supervised areas
• Local Rules
• Supervision of the work (RSO)
• Use of radiation monitors
- dose rate, contamination
- Testing, record keeping
• Individual monitoring – external exposure
• Individual monitoring – intakes
• Individual monitoring objectives
• Record keeping & Dose assessment
• Reference levels
• Health Surveillance
43
44. Conclusion
Personal Monitoring ensures:
• control over individual dose to be exercised
• abnormally high doses to be identified
• changes in working conditions to be identified
• poor working practices to be identified
• legal evidence to be provided
• security and confidence
44
45. Conclusion
Personal monitoring is an essential Technical Service:
• to authorized radiation users
• to the Regulatory Authority
Accredited Dosimetry Service provider should be
engaged
Dosimeter should be worn Properly
Dose Record Analysed properly
45