Public Health Service Safety Program

International Nuclear Information System (INIS)

McBride, J.R.

1969-01-01

Off-Site Radiological Safety Programs conducted on past Plowshare experimental projects by the Southwestern Radiological Health Laboratory for the AEC will be presented. Emphasis will be placed on the evaluation of the potential radiation hazard to off-site residents, the development of an appropriate safety plan, pre- and post-shot surveillance activities, and the necessity for a comprehensive and continuing community relations program. In consideration of the possible wide use of nuclear explosives in industrial applications, a new approach to off-site radiological safety will be discussed. (author)

Protecting and improving health through the radiological sciences. A report to the Surgeon General

Energy Technology Data Exchange (ETDEWEB)

NONE

1966-04-01

, the Committee in this report makes a number of recommendations to the Surgeon General and urges that he take appropriate steps for their early implementation. For convenience, these recommendations are summarized as follows: 1. The Public Health Service should take immediate steps to strengthen its programs in the radiological sciences by unifying their administrative direction. Such action is needed to assure an orderly development of the broad spectrum of radiological activities for which the Service is responsible and to give continuous attention to the balance of benefit and risk in all matters pertaining to the human application of ionizing radiation. 2. The Service should undertake the following training and research and development programs to upgrade the quality of the radiological services which have become such a critical part of medical and dental care and to improve radiation protection practices in the health professions: (a) a series of training programs: (i) to strengthen radiological instruction of medical students; (ii) to increase the number of academic radiologists in American medical schools; and (iii) to increase the number of practicing radiologists in the United States. (b) a series of training programs to provide increasing numbers of radiochemists, radiological engineers, radiobiologists, radiological physicists and radiological health specialists. (c) a series of training programs to provide increasing numbers of technologists in the several disciplines of the radiological sciences. (d) a series of applied research and development programs to increase the effectiveness and safety with which radiological procedures are employed in the health professions.

Protecting and improving health through the radiological sciences. A report to the Surgeon General

International Nuclear Information System (INIS)

1966-04-01

, the Committee in this report makes a number of recommendations to the Surgeon General and urges that he take appropriate steps for their early implementation. For convenience, these recommendations are summarized as follows: 1. The Public Health Service should take immediate steps to strengthen its programs in the radiological sciences by unifying their administrative direction. Such action is needed to assure an orderly development of the broad spectrum of radiological activities for which the Service is responsible and to give continuous attention to the balance of benefit and risk in all matters pertaining to the human application of ionizing radiation. 2. The Service should undertake the following training and research and development programs to upgrade the quality of the radiological services which have become such a critical part of medical and dental care and to improve radiation protection practices in the health professions: (a) a series of training programs: (i) to strengthen radiological instruction of medical students; (ii) to increase the number of academic radiologists in American medical schools; and (iii) to increase the number of practicing radiologists in the United States. (b) a series of training programs to provide increasing numbers of radiochemists, radiological engineers, radiobiologists, radiological physicists and radiological health specialists. (c) a series of training programs to provide increasing numbers of technologists in the several disciplines of the radiological sciences. (d) a series of applied research and development programs to increase the effectiveness and safety with which radiological procedures are employed in the health professions

Radiological control technician: Training program management manual

International Nuclear Information System (INIS)

1992-10-01

This manual defines and describes the DOE Radiological Control Technician Core Training Program qualification and training process, material development requirements, standards and policies, and administration. The manual applies to Radiological Control Technician Training Programs at all DOE contractor sites

The basis for a radiological protection program to the health area of the State University of Campinas (UNICAMP)

International Nuclear Information System (INIS)

Coelho, Rosangela Franco.

1994-01-01

There are some sectors in the Health Area of the State University of Campinas (UNICAMP) that present great potential risks from the viewpoint of radiation protection. The aim of this work is to establish the basis a radiological protection program applicable to these sectors. The Diagnostic Radiology Services and the Laboratory of Cardiac Catheterization of the Hospital de Clinicas have been analyzed, as well as the Radiotherapy Services of the Center for Integral Assistance to the Women Health (CAISM). This work was mainly supported by national and international regulations related to the operative and employment aspects of the equipment and radiation sources used in the health area. Regulations related to area and individual monitoring of workers were also used. Results show that the interior of the rooms where the equipment and radiation sources are located is classified as controlled area, whereas the neighborhoods of the rooms are mostly free areas. In order to improve the radiological protection conditions, only some of the operative and employment aspects need to be modified regarding equipment and radiation sources. In this way, routine personal monitoring would not be further required. Since all the workers have their annual mean equivalent doses below 3/10 of the primary limits of the applicable equivalent dose, routine individual monitoring could be exempted. (author). 23 refs., 51 figs., 83 tabs

Use of certification programs in the radiological protection of the patient

International Nuclear Information System (INIS)

Lucino, Sergio; Touzet, Rodolfo

2008-01-01

Full text: One of the main recommendations of the Congress of Malaga on Radiological Protection of the Patient is 'the qualification and training of the staff'. This goal cannot be reached in a country, in complete and systematic form, without the help of existing national programs who allow designing a program of continuous development of the professional capacities. This program must be able to adapt in permanent form to the needs of the Program of Radiological Protection of the Patient that change and evolve in constant form. In case of the Argentina it was adapted to these needs the 'National Program of Certification and Re-certification of medical professionals in Radiology and Radio-Diagnosis'. On the base of the existing program, general requirements were established for the radiological protection of the patient and in addition, special requirements for four specialties: a) General and pediatrics radiology; b) Computed tomography; c) Interventional radiology; d) Radiotherapy. The National Program of Certification was established in 1997 with a 'Top Permanent Council' formed by the National Minister of Health advised by a scientific council. It was also creates the 'National Council of Certification and professional Re-certification' integrated by the Minister of Education, the National Academy of Medicine, the Faculties of Medicine of the whole country, the medical Federations, the trade-union Associations and the Argentine Medical Association. The process of certification can be delegated to academic or university entities, medical colleges and medical chambers that have been recognized path and ethical conduct. The certification is voluntary but it becomes obligatory to be recognized as a specialist. The certification has duration of 5 years and is renewable on the basis of a system of credits that considers different elements of the developed activities and the written theoretical and practical evaluations. It is a transparent process where the ethical

Establishing a health outcomes and economics center in radiology: strategies and resources required

International Nuclear Information System (INIS)

Medina, Santiago L.; Altman, Nolan R.

2002-01-01

To describe the resources and strategies required to establish a health outcomes and economics center in radiology.Methods. Human and nonhuman resources required to perform sound outcomes and economics studies in radiology are reviewed.Results. Human resources needed include skilled medical and nonmedical staff. Nonhuman resources required are: (1) communication and information network; (2) education tools and training programs; (3) budgetary strategies; and (4) sources of income. Effective utilization of these resources allows the performance of robust operational and clinical research projects in decision analysis, cost-effectiveness, diagnostic performance (sensitivity, specificity, and ROC curves), and clinical analytical and experimental studies.Conclusion. As new radiologic technology and techniques are introduced in medicine, society is increasingly demanding sound clinical studies that will determine the impact of radiologic studies on patient outcome. Health-care funding is scarce, and therefore third-party payers and hospitals are demanding more efficiency and productivity from radiologic service providers. To meet these challenges, radiology departments could establish health outcomes and economics centers to study the clinical effectiveness of imaging and its impact on patient outcome. (orig.)

Factors Influencing the Gender Breakdown of Academic Radiology Residency Programs.

Science.gov (United States)

Campbell, James C; Yoon, Sora C; Cater, Sarah Wallace; Grimm, Lars J

2017-07-01

To determine the gender distribution of radiology residency programs and identify associations with radiology departmental factors. The residency programs affiliated with the top 50 research medical school from US News and World Report were identified. The gender of all radiology residency graduates from each program from 2011 to 2015 were collected. Radiology departmental factors were collected: gender of chairperson, gender of program director, gender of faculty, geographic location, and city population of the residency program. The median percentage of female radiology faculty and residents were calculated and classified as above or below the median. Comparisons were made between residency programs and departmental factors via a Pearson χ 2 univariate test or logistic regression. There were 618 (27.9%) female and 1,598 (72.1%) male residents in our study, with a median female representation of 26.4% in each program. Programs with a female residency program director were significantly more likely to have an above-median percentage of female residents versus a male program director (68.4% versus 38.7%, P = .04). Programs in the Northeast (70.6%) and West (70.0%) had higher above-median female representation than the South (10.0%) and Midwest (38.5%, P < .01). There was no association with city population size (P = .40), gender of faculty (P = .40), residency size (P = .91), or faculty size (P = .15). Radiology residency programs with a female residency program director and those in the Northeast or West have a greater concentration of female residents. Residency programs that aim to increase female representation should investigate modifiable factors that can improve their recruitment practices. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

US DOE Radiological Assistance Program: personnel, equipment and resources

International Nuclear Information System (INIS)

Hull, A.P.; Kuehner, A.V.; Phillips, L.F.

1982-01-01

The Radiological Assistance Program (RAP) of the US Department of Energy (DOE) is intended to provide emergency advice and assistance in the event of radiological incidents. Each of DOE's eight Regional Coordinating Offices in the US provide a 24-hour reporting and response capability. Specifically, the Brookhaven Area Office (BHO) is responsible for DOE's Region I, which includes the 11 northeastern states of the US. Although an inventory of dedicated equipment is assigned to BHO-RAP, it draws upon the resources of Brookhaven National Laboratory (BNL) for trained personnel in health physics and for other specialized personnel in both the day to day operation of the program and in the on-the-scene response to an incident. The organization of the BHO-RAP program and its response procedures are described in detail. An inventory and brief description of the contents of a variety of emergency equipment kits and of additional state-of-the-art instruments is included. The BHO-RAP guidelines and requirements for field operations are also indicated, as are other DOE resources upon which it can draw

Radiological Assistance Program (RAP) Regions

Data.gov (United States)

Department of Homeland Security — The U.S. Department of Energy (DOE) created the Radiological Assistance Program (RAP) in the 1950s to make DOE resources and expertise available to organizations...

Independent auto evaluation of an operative radiological protection program

International Nuclear Information System (INIS)

Medrano L, M.A.; Rodriguez C, C.C.; Linares R, D.; Zarate M, N.; Zempoalteca B, R.

2006-01-01

The program of operative radiological protection of a nuclear power plant consists of multiple procedures and associate tasks that have as purpose the radiological protection of the workers of the power station. It is for this reason that the constant evaluation of the one it programs it is an important tool in the identification of their weaknesses (and strengths), so they can be assisted appropriately. In this work the main elements of the program of independent auto evaluation of the program of operative radiological protection of the Laguna Verde Central that has been developed and implemented by the National Institute of Nuclear Research are described. (Author)

Radiological protection Program of CDTN

International Nuclear Information System (INIS)

1983-01-01

Radiological protection program of CDTN, its purposes and rules, responsabilities, physical control, monitoring, personnel radiation protection, radiation sources and radioactive wastes control, emergency and accidents and siting are described. (C.M.) [pt

RISKIND: A computer program for calculating radiological consequences and health risks from transportation of spent nuclear fuel

Energy Technology Data Exchange (ETDEWEB)

Yuan, Y.C. [Square Y, Orchard Park, NY (United States); Chen, S.Y.; LePoire, D.J. [Argonne National Lab., IL (United States). Environmental Assessment and Information Sciences Div.; Rothman, R. [USDOE Idaho Field Office, Idaho Falls, ID (United States)

1993-02-01

This report presents the technical details of RISIUND, a computer code designed to estimate potential radiological consequences and health risks to individuals and the collective population from exposures associated with the transportation of spent nuclear fuel. RISKIND is a user-friendly, semiinteractive program that can be run on an IBM or equivalent personal computer. The program language is FORTRAN-77. Several models are included in RISKIND that have been tailored to calculate the exposure to individuals under various incident-free and accident conditions. The incidentfree models assess exposures from both gamma and neutron radiation and can account for different cask designs. The accident models include accidental release, atmospheric transport, and the environmental pathways of radionuclides from spent fuels; these models also assess health risks to individuals and the collective population. The models are supported by databases that are specific to spent nuclear fuels and include a radionudide inventory and dose conversion factors.

RISKIND: A computer program for calculating radiological consequences and health risks from transportation of spent nuclear fuel

International Nuclear Information System (INIS)

Yuan, Y.C.; Chen, S.Y.; LePoire, D.J.

1993-02-01

This report presents the technical details of RISIUND, a computer code designed to estimate potential radiological consequences and health risks to individuals and the collective population from exposures associated with the transportation of spent nuclear fuel. RISKIND is a user-friendly, semiinteractive program that can be run on an IBM or equivalent personal computer. The program language is FORTRAN-77. Several models are included in RISKIND that have been tailored to calculate the exposure to individuals under various incident-free and accident conditions. The incidentfree models assess exposures from both gamma and neutron radiation and can account for different cask designs. The accident models include accidental release, atmospheric transport, and the environmental pathways of radionuclides from spent fuels; these models also assess health risks to individuals and the collective population. The models are supported by databases that are specific to spent nuclear fuels and include a radionudide inventory and dose conversion factors

Interventional radiology delivers high-value health care and is an Imaging 3.0 vanguard.

Science.gov (United States)

Charalel, Resmi A; McGinty, Geraldine; Brant-Zawadzki, Michael; Goodwin, Scott C; Khilnani, Neil M; Matsumoto, Alan H; Min, Robert J; Soares, Gregory M; Cook, Philip S

2015-05-01

Given the changing climate of health care and the imperative to add value, radiologists must join forces with the rest of medicine to deliver better patient care in a more cost-effective, evidence-based manner. For several decades, interventional radiology has added value to the health care system through innovation and the provision of alternative and effective minimally invasive treatments, which have decreased morbidity, mortality, and overall cost. The clinical practice of interventional radiology embodies many of the features of Imaging 3.0, the program recently launched by the ACR. We provide a review of some of the major contributions made by interventional radiology and offer general principles from that experience, which are applicable to all radiologists. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

[Regulating radiological protection and the role of health authorities].

Science.gov (United States)

Arias, César F

2006-01-01

This article summarizes the development of protection against ionizing radiation and explains current thinking in the field. It also looks at the decisive role that regulatory agencies for radiological protection must play and the important contributions that can be made by health authorities. The latter should take an active part in at least three aspects: the formal education of health personnel regarding radiological protection; the medical care of individuals who are accidentally overexposed, and the radiological protection of patients undergoing radiological procedures. To this end, health professionals must possess sufficient knowledge about radiological protection, promote the use of proper equipment, and apply the necessary quality assurance procedures. Through their effective intervention, national health authorities can greatly contribute to reducing unnecessary doses of radiation during medical procedures involving radiation sources and decrease the chances that radiological accidents will take place.

ERC Radiological Glovebag Program

International Nuclear Information System (INIS)

Nellesen, A.L.

1997-07-01

This document establishes the requirements and responsibilities for the standardized methods for installation, use, and dismantlement of glovebags within the Hanford Site Environmental Contractor Radiological Glovebag Program. This document addresses the following topics: Containment selection and fabrication, Glovebag fabrication, Containment installation and inspection, General glovebag containment work practices, Emergency situations, and Containment removal

Short radiological emergency response training program

International Nuclear Information System (INIS)

Williams, R.D.; Greenhouse, N.A.

1977-01-01

This paper presents an outline of a radiological emergency response training program conducted at Brookhaven National Laboratory by the health physics and safety training staff. This course is given to groups from local, county, state, and federal agencies and industrial organizations. It is normally three days in length, although the structure is flexible to accommodate individual needs and prior training. An important feature of the course is an emergency exercise utilizing a short lived radionuclide to better simulate real accident conditions. Groups are encouraged to use their own instruments to gain better familiarity with their operating characteristics under field conditions. Immediately following the exercise, a critical review of the students' performance is conducted

Bookshelf on radiological health

International Nuclear Information System (INIS)

Wilms, H.G.; Moss, C.E.

1975-01-01

This bookshelf is an attempt to list, categorize, and present details on the many varied sources of information available to personnel working in the field of radiological health. This particular bookshelf will not cover those sources listed in a previous publication (Bureau of Radiological Health Training Publication TP-198), but will concentrate on those sources published or revised after 1965. It is hoped that this bookshelf will help schools, public health officials, teachers, students, and others in updating their existing sources of information. It is obvious that any such attempt at developing a master list of this type has to contain only representative sources of information. The authors invite readers to inform them of any omissions or errors. Finally, this bookshelf attempts, where applicable, to restrict the number of sources to those more associated with public health aspects. The bookshelf is divided into four main sections. They are textbooks, current literature, training and educational materials, and other sources. Each one of these sections is further stratified into additional details

Influencing Factors of Radiological Technologist Image of Allied Health College Students

International Nuclear Information System (INIS)

Eom, Jong Kwon; Shin, Seong Gyu

2012-01-01

Perception level and social position of radiological technologist influence satisfaction level of their job. This study aims to use foundational data to improve perception level and social position of radiological technologists. We conducted interviews and a fill-out survey with 233 students who have been majoring in health-related fields at five universities and colleges located in Busan and who finished internship programs. The study analyzed 233 answer sheets excluding 17 inadequate answer sheets using T-test, ANOVA and multiple regression analysis with SAS9.1. The mean score of perception level was 3.33±0.56. The personal image of radiological technologist showed the best score(3.43±0.56) whereas the social image showed the worst(3.12±0.79). According to the classification of the subject, the answer, 'radiological technologist is specialized job', showed the best score(3.99±0.79). The answer 'radiological technologist suffered from less stress and workload than others when they work usually' showed the worst score(2.88±0.98). According to the classification of each health-related major, the mean score of students who are a major in the department of the radiological technologist was the best(3.46±0.46) and the students who are major in department of the physical therapy was the worst(3.24±0.40). The radiological technologist have to effort to make positive image in the hospital. It is possible to be developed their knowledge and professionalism by cooperating between school and hospital as well as advertising with mass madia.

Influencing Factors of Radiological Technologist Image of Allied Health College Students

Energy Technology Data Exchange (ETDEWEB)

Eom, Jong Kwon; Shin, Seong Gyu [Dept. of Radiology, Dong A University Medical Center, Pusan (Korea, Republic of)

2012-03-15

Perception level and social position of radiological technologist influence satisfaction level of their job. This study aims to use foundational data to improve perception level and social position of radiological technologists. We conducted interviews and a fill-out survey with 233 students who have been majoring in health-related fields at five universities and colleges located in Busan and who finished internship programs. The study analyzed 233 answer sheets excluding 17 inadequate answer sheets using T-test, ANOVA and multiple regression analysis with SAS9.1. The mean score of perception level was 3.33{+-}0.56. The personal image of radiological technologist showed the best score(3.43{+-}0.56) whereas the social image showed the worst(3.12{+-}0.79). According to the classification of the subject, the answer, 'radiological technologist is specialized job', showed the best score(3.99{+-}0.79). The answer 'radiological technologist suffered from less stress and workload than others when they work usually' showed the worst score(2.88{+-}0.98). According to the classification of each health-related major, the mean score of students who are a major in the department of the radiological technologist was the best(3.46{+-}0.46) and the students who are major in department of the physical therapy was the worst(3.24{+-}0.40). The radiological technologist have to effort to make positive image in the hospital. It is possible to be developed their knowledge and professionalism by cooperating between school and hospital as well as advertising with mass madia.

Procedures manual for the ORNL Radiological Survey Activities (RASA) Program

International Nuclear Information System (INIS)

Myrick, T.E.; Berven, B.A.; Cottrell, W.D.; Goldsmith, W.A.; Haywood, F.F.

1987-04-01

The portion of the radiological survey program performed by ORNL is the subject of this Procedures Manual. The RASA group of the Health and Safety Research Division (HASRD) at ORNL is responsible for the planning, conducting, and reporting of the results of radiological surveys at specified sites and associated vicinity properties. The results of these surveys are used by DOE in determining the need for and extent of remedial actions. Upon completion of the necessary remedial actions, the ORNL-RASA group or other OOS contractor may be called upon to verify the effectiveness of the remedial action. Information from these postremedial action surveys is included as part of the data base used by DOE in certifying a site for unrestricted use

Procedures manual for the ORNL Radiological Survey Activities (RASA) Program

Energy Technology Data Exchange (ETDEWEB)

Myrick, T.E.; Berven, B.A.; Cottrell, W.D.; Goldsmith, W.A.; Haywood, F.F.

1987-04-01

The portion of the radiological survey program performed by ORNL is the subject of this Procedures Manual. The RASA group of the Health and Safety Research Division (HASRD) at ORNL is responsible for the planning, conducting, and reporting of the results of radiological surveys at specified sites and associated vicinity properties. The results of these surveys are used by DOE in determining the need for and extent of remedial actions. Upon completion of the necessary remedial actions, the ORNL-RASA group or other OOS contractor may be called upon to verify the effectiveness of the remedial action. Information from these postremedial action surveys is included as part of the data base used by DOE in certifying a site for unrestricted use.

An overview of dental radiology: a primer on dental radiology

International Nuclear Information System (INIS)

Manny, E.F.; Carlson, K.C.; McClean, P.M.; Rachlin, J.A.; Segal, P.

1980-01-01

To provide medical and scientific background on certain selected technologies generally considered to be of particular significance, the National Center for Health Care Technology (NCHCT) has commissioned a series of overview papers. This is one of several projects entered into jointly by the Bureau of Radiological Health (BRH) and NCHCT relating to the use of radiation for health care. Dental radiation protection has been a long-time interest of BRH. Both past and on-going efforts to minimize population radiation exposure from electronic products have included specific action programs directed at minimizing unnecessary radiation exposure to the population from dental radiology. Current efforts in quality assurance and referral criteria are two aspects of NCHCT's own assessment of this technology which are described within the larger picture presented in this overview. The issues considered in this document go beyond the radiation exposure aspects of dental x-ray procedures. To be responsive to the informational needs of NCHCT, the assessment includes various other factors that influence the practice of dental radiology. It is hoped this analysis will serve as the basis for planning and conducting future programs to improve the practice of dental radiology

RISKIND: A computer program for calculating radiological consequences and health risks from transportation of spent nuclear fuel

Energy Technology Data Exchange (ETDEWEB)

Yuan, Y.C. [Square Y Consultants, Orchard Park, NY (US); Chen, S.Y.; Biwer, B.M.; LePoire, D.J. [Argonne National Lab., IL (US)

1995-11-01

This report presents the technical details of RISKIND, a computer code designed to estimate potential radiological consequences and health risks to individuals and the collective population from exposures associated with the transportation of spent nuclear fuel. RISKIND is a user-friendly, interactive program that can be run on an IBM or equivalent personal computer under the Windows{trademark} environment. Several models are included in RISKIND that have been tailored to calculate the exposure to individuals under various incident-free and accident conditions. The incident-free models assess exposures from both gamma and neutron radiation and can account for different cask designs. The accident models include accidental release, atmospheric transport, and the environmental pathways of radionuclides from spent fuels; these models also assess health risks to individuals and the collective population. The models are supported by databases that are specific to spent nuclear fuels and include a radionuclide inventory and dose conversion factors. In addition, the flexibility of the models allows them to be used for assessing any accidental release involving radioactive materials. The RISKIND code allows for user-specified accident scenarios as well as receptor locations under various exposure conditions, thereby facilitating the estimation of radiological consequences and health risks for individuals. Median (50% probability) and typical worst-case (less than 5% probability of being exceeded) doses and health consequences from potential accidental releases can be calculated by constructing a cumulative dose/probability distribution curve for a complete matrix of site joint-wind-frequency data. These consequence results, together with the estimated probability of the entire spectrum of potential accidents, form a comprehensive, probabilistic risk assessment of a spent nuclear fuel transportation accident.

RISKIND: A computer program for calculating radiological consequences and health risks from transportation of spent nuclear fuel

International Nuclear Information System (INIS)

Yuan, Y.C.; Chen, S.Y.; Biwer, B.M.; LePoire, D.J.

1995-11-01

This report presents the technical details of RISKIND, a computer code designed to estimate potential radiological consequences and health risks to individuals and the collective population from exposures associated with the transportation of spent nuclear fuel. RISKIND is a user-friendly, interactive program that can be run on an IBM or equivalent personal computer under the Windows trademark environment. Several models are included in RISKIND that have been tailored to calculate the exposure to individuals under various incident-free and accident conditions. The incident-free models assess exposures from both gamma and neutron radiation and can account for different cask designs. The accident models include accidental release, atmospheric transport, and the environmental pathways of radionuclides from spent fuels; these models also assess health risks to individuals and the collective population. The models are supported by databases that are specific to spent nuclear fuels and include a radionuclide inventory and dose conversion factors. In addition, the flexibility of the models allows them to be used for assessing any accidental release involving radioactive materials. The RISKIND code allows for user-specified accident scenarios as well as receptor locations under various exposure conditions, thereby facilitating the estimation of radiological consequences and health risks for individuals. Median (50% probability) and typical worst-case (less than 5% probability of being exceeded) doses and health consequences from potential accidental releases can be calculated by constructing a cumulative dose/probability distribution curve for a complete matrix of site joint-wind-frequency data. These consequence results, together with the estimated probability of the entire spectrum of potential accidents, form a comprehensive, probabilistic risk assessment of a spent nuclear fuel transportation accident

Radiological accidents potentially important to human health risk in the U.S. Department of Energy waste management program

International Nuclear Information System (INIS)

Mueller, C.; Roglans-Ribas, J.; Folga, S.; Nabelssi, B.; Jackson, R.

1995-01-01

Human health risks as a consequence of potential radiological releases resulting from plausible accident scenarios constitute an important consideration in the US Department of Energy (DOE) national program to manage the treatment, storage, and disposal of wastes. As part of this program, the Office of Environmental Management (EM) is currently preparing a Programmatic Environmental Impact Statement (PEIS) that evaluates the risks that could result from managing five different waste types. This paper (1) briefly reviews the overall approach used to assess process and facility accidents for the EM PEIS; (2) summarizes the key inventory, storage, and treatment characteristics of the various DOE waste types important to the selection of accidents; (3) discusses in detail the key assumptions in modeling risk-dominant accidents; and (4) relates comparative source term results and sensitivities

Assessment of radiological technologist health condition by Todai health index

Energy Technology Data Exchange (ETDEWEB)

Kim, Ham Gyum [Ansan College, Ansan (Korea, Republic of); Kim, Wha Sun [College of Medicine, Hanyang Univ., Seoul (Korea, Republic of)

2001-04-01

The purpose of this study was to examine the general health status of radiological technologists by using Todai Health Index(THI) that has been employed as a standard health assessment tool for a specific group. The subjects in this study were 800 radiological technologists who were working in clinics, hospitals and university hospitals in and around Seoul and in some provincial cities. A survey was conducted directly or by mail in June and July, 2001. And the response rate was 68%. Using THI, the following findings were acquired: 1. By gender, both male and female radiological technologists complained about multiple subjective symptom(I) the most, And the women made more significant complaint of eight items including irregular life. 2. By age group, the radiological technologists whose age ranged from 20 to 24 got higher marks in most of the items, including multiple subjective symptom(I) and symptoms related to eyes and skin. 3. For career, those who had worked for a year or less or for one to five years got higher marks in most of the items. 4. Concerning marital status, the unmarried people complained about many items more, and the married people's symptom was more associated with live scale(L). 5. By the type of medical institution, the radiological technologists in the university hospitals got higher marks in two items including aggressiveness(F), but those in the clinics complained about the others more. 6. Regarding a place of service, there were little differences between the radiological technologists in basement and on the ground.

Assessment of radiological technologist health condition by Todai health index

International Nuclear Information System (INIS)

Kim, Ham Gyum; Kim, Wha Sun

2001-01-01

The purpose of this study was to examine the general health status of radiological technologists by using Todai Health Index(THI) that has been employed as a standard health assessment tool for a specific group. The subjects in this study were 800 radiological technologists who were working in clinics, hospitals and university hospitals in and around Seoul and in some provincial cities. A survey was conducted directly or by mail in June and July, 2001. And the response rate was 68%. Using THI, the following findings were acquired: 1. By gender, both male and female radiological technologists complained about multiple subjective symptom(I) the most, And the women made more significant complaint of eight items including irregular life. 2. By age group, the radiological technologists whose age ranged from 20 to 24 got higher marks in most of the items, including multiple subjective symptom(I) and symptoms related to eyes and skin. 3. For career, those who had worked for a year or less or for one to five years got higher marks in most of the items. 4. Concerning marital status, the unmarried people complained about many items more, and the married people's symptom was more associated with live scale(L). 5. By the type of medical institution, the radiological technologists in the university hospitals got higher marks in two items including aggressiveness(F), but those in the clinics complained about the others more. 6. Regarding a place of service, there were little differences between the radiological technologists in basement and on the ground

Interactive, Computer-Based Training Program for Radiological Workers

International Nuclear Information System (INIS)

Trinoskey, P.A.; Camacho, P.I.; Wells, L.

2000-01-01

Lawrence Livermore National Laboratory (LLNL) is redesigning its Computer-Based Training (CBT) program for radiological workers. The redesign represents a major effort to produce a single, highly interactive and flexible CBT program that will meet the training needs of a wide range of radiological workers--from researchers and x-ray operators to individuals working in tritium, uranium, plutonium, and accelerator facilities. The new CBT program addresses the broad diversity of backgrounds found at a national laboratory. When a training audience is homogeneous in terms of education level and type of work performed, it is difficult to duplicate the effectiveness of a flexible, technically competent instructor who can tailor a course to the express needs and concerns of a course's participants. Unfortunately, such homogeneity is rare. At LLNL, they have a diverse workforce engaged in a wide range of radiological activities, from the fairly common to the quite exotic. As a result, the Laboratory must offer a wide variety of radiological worker courses. These include a general contamination-control course in addition to radioactive-material-handling courses for both low-level laboratory (i.e., bench-top) activities as well as high-level work in tritium, uranium, and plutonium facilities. They also offer training courses for employees who work with radiation-generating devices--x-ray, accelerator, and E-beam operators, for instance. However, even with the number and variety of courses the Laboratory offers, they are constrained by the diversity of backgrounds (i.e., knowledge and experience) of those to be trained. Moreover, time constraints often preclude in-depth coverage of site- and/or task-specific details. In response to this situation, several years ago LLNL began moving toward computer-based training for radiological workers. Today, that CBT effort includes a general radiological safety course developed by the Department of Energy's Hanford facility and a

The health physics and radiological health handbook

International Nuclear Information System (INIS)

Shleien, B.

1992-01-01

This handbook was conceived in order to fill the need of health physics practitioners, technicians, and students for an easy to use, practical handbook containing health physics and radiological health data. While briefer and more specific data sources are sources are available on single subject areas, as are multi-volume compendia, there is no current up-to-date compilation of information useful on a daily basis by the health physicist. Separate abstracts have been prepared for 16 chapters in this book

Radiological health aspects of uranium milling

International Nuclear Information System (INIS)

Fisher, D.R.; Stoetzel, G.A.

1983-05-01

This report describes the operation of conventional and unconventional uranium milling processes, the potential for occupational exposure to ionizing radiation at the mill, methods for radiological safety, methods of evaluating occupational radiation exposures, and current government regulations for protecting workers and ensuring that standards for radiation protection are adhered to. In addition, a survey of current radiological health practices is summarized

Radiological health aspects of uranium milling

Energy Technology Data Exchange (ETDEWEB)

Fisher, D.R.; Stoetzel, G.A.

1983-05-01

This report describes the operation of conventional and unconventional uranium milling processes, the potential for occupational exposure to ionizing radiation at the mill, methods for radiological safety, methods of evaluating occupational radiation exposures, and current government regulations for protecting workers and ensuring that standards for radiation protection are adhered to. In addition, a survey of current radiological health practices is summarized.

Continuous quality improvement programs provide new opportunities to drive value innovation initiatives in hospital-based radiology practices.

Science.gov (United States)

Steele, Joseph R; Schomer, Don F

2009-07-01

Imaging services constitute a huge portion of the of the total dollar investment within the health care enterprise. Accordingly, this generates competition among medical specialties organized along service lines for their pieces of the pie and increased scrutiny from third-party payers and government regulators. These market and political forces create challenge and opportunity for a hospital-based radiology practice. Clearly, change that creates or builds greater value for patients also creates sustainable competitive advantage for a radiology practice. The somewhat amorphous concept of quality constitutes a significant value driver for innovation in this scenario. Quality initiatives and programs seek to define and manage this amorphous concept and provide tools for a radiology practice to create or build more value. Leadership and the early adoption of these inevitable programs by a radiology practice strengthens relationships with hospital partners and slows the attrition of imaging service lines to competitors.

Efficient radiologic reading environment by using an open-source macro program as connection software.

Science.gov (United States)

Lee, Young Han

2012-01-01

The objectives are (1) to introduce an easy open-source macro program as connection software and (2) to illustrate the practical usages in radiologic reading environment by simulating the radiologic reading process. The simulation is a set of radiologic reading process to do a practical task in the radiologic reading room. The principal processes are: (1) to view radiologic images on the Picture Archiving and Communicating System (PACS), (2) to connect the HIS/EMR (Hospital Information System/Electronic Medical Record) system, (3) to make an automatic radiologic reporting system, and (4) to record and recall information of interesting cases. This simulation environment was designed by using open-source macro program as connection software. The simulation performed well on the Window-based PACS workstation. Radiologists practiced the steps of the simulation comfortably by utilizing the macro-powered radiologic environment. This macro program could automate several manual cumbersome steps in the radiologic reading process. This program successfully acts as connection software for the PACS software, EMR/HIS, spreadsheet, and other various input devices in the radiologic reading environment. A user-friendly efficient radiologic reading environment could be established by utilizing open-source macro program as connection software. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

Efficient radiologic reading environment by using an open-source macro program as connection software

International Nuclear Information System (INIS)

Lee, Young Han

2012-01-01

Purpose: The objectives are (1) to introduce an easy open-source macro program as connection software and (2) to illustrate the practical usages in radiologic reading environment by simulating the radiologic reading process. Materials and methods: The simulation is a set of radiologic reading process to do a practical task in the radiologic reading room. The principal processes are: (1) to view radiologic images on the Picture Archiving and Communicating System (PACS), (2) to connect the HIS/EMR (Hospital Information System/Electronic Medical Record) system, (3) to make an automatic radiologic reporting system, and (4) to record and recall information of interesting cases. This simulation environment was designed by using open-source macro program as connection software. Results: The simulation performed well on the Window-based PACS workstation. Radiologists practiced the steps of the simulation comfortably by utilizing the macro-powered radiologic environment. This macro program could automate several manual cumbersome steps in the radiologic reading process. This program successfully acts as connection software for the PACS software, EMR/HIS, spreadsheet, and other various input devices in the radiologic reading environment. Conclusion: A user-friendly efficient radiologic reading environment could be established by utilizing open-source macro program as connection software.

Evaluating the radiological health compliance of some beach ...

African Journals Online (AJOL)

Journal of Applied Sciences and Environmental Management ... Evaluating the radiological health compliance of some beach environments in Delta State ... as well as specified members of the public (customers) are not at radiological risk.

Region 8 radiological assistance program team response manual

International Nuclear Information System (INIS)

Webb, D.E.

1997-01-01

The purpose of this manual is to provide guidance so that a request for radiological assistance is responded to in an effective and consistent manner. These procedures are specific to the trained and qualified members of the Region 8 Radiological Assistance Program (RAP) team. Procedures provide steps for responding to the request, notification and activation of the team members, position descriptions, and checklists

An operational health physics quality assurance program

International Nuclear Information System (INIS)

Costigan, S.A.; McAtee, J.L. III; Somers, W.M.; Huchton, R.L.

1996-01-01

DOE Order 5700.6C, Quality Assurance, stipulates QA requirements for all DOE activities. This order is now codified as 10CFR830.120, Nuclear Safety Management, Quality Assurance Requirements, which is applicable to DOE nuclear facilities. A Quality Assurance Management Plan (QAMP) was developed by the Health Physics Operations Group (ESH-1) at Los Alamos National Laboratory (LANL). The goal of the ESH-1 QAMP is to ensure that operational radiation protection activities meet the criteria outlined in DOE Order 5700.6C, DOE-ER-STD-6001-92 and 10CFR830.120. The ten required elements are QA Program, Personal Training and Qualifications, Quality Improvement, Documents and Records, Work Processes, Design, Procurement, Inspection and Acceptance Testing, Management Assessment and Independent Assessment. The QAMP has been useful for the development of QAMPs at nuclear facilities and has helped ensure uniformity of institutional requirements where Health Physics services are deployed to facilities. To implement a subset of QAMP requirements, a Quality Assurance Self-Evaluation Program (QASE) was established. This program provides a novel self-audit mechanism for the formal identification and correction of non-conforming items related to Operational Health Physics. Additionally, the QASE is a useful management tool for Radiological Control Technician Supervisors and staff and provides a tracking mechanism for ongoing problem areas. Data have been Collected for two calendar years on a number of concerns that fall into four general categories: radiological posting and labeling, instrumentation, monitoring requirements, and radiological documents/records

The R+D radiological protection program in the European Communities

International Nuclear Information System (INIS)

Mingot Buades, F.

1993-01-01

The R+D program a radiological protection for the year 1992 has lied basically on three areas: I .- Radiological exposure of man II .- Radiation effects on man (evaluation, prevention and treatment) III.- Risks and management of radiation exposure

Quality assurance program in diagnostic radiology; Programa de garantia de qualidade em radiologia diagnostica

Energy Technology Data Exchange (ETDEWEB)

Yacovenco, Alejandro; Borges, J.C. [Universidade Federal, Rio de Janeiro, RJ (Brazil). Coordenacao dos Programas de Pos-graduacao de Engenharia; Lira, S.H. [Hospital Central da Policia Militar, Rio de Janeiro, RJ (Brazil). Servico de Radiologia; Mota, H.C. [Instituto de Radioprotecao e Dosimetria (IRD), Rio de Janeiro, RJ (Brazil)

1994-07-01

Aiming to elaborate a methodology to optimize the performance of the Radiology Service of the Military Police Hospital, in Rio dee Janeiro, some goals were established: improvement of the attendance to patients; improvement of the qualification of technicians; achievement and maintenance of high degrees of quality in each step of the radiological process; improvement of the image quality; optimization of dose per examination and cost reduction. The procedure used to detect faults in the radiological process was the analysis of causes of film losses. Results show a 70% reduction in the film rejection rate. 74% of total identified faults were due to equipment, 11% to films, 10% to patients and 5% to developing. The reduction in the cost of developed film reached 75%. A training course given to the staff of the radiological service fully reached its goals, contributing, with the staff motivation, mostly to the success of the program. This success indicates that, with a serious persistent work, it is possible to offer to patients services within their expectations, even at a public hospital. Such programs should be supported by health authorities, not only due to their technical and economic needs but, mostly, due to their social implications. (author). 10 refs., 11 figs.

Quality assurance programs from laboratories offering radiological protection services

International Nuclear Information System (INIS)

Marrero Garcia, M.; Prendes Alonso, M.; Jova Sed, L.; Morales Monzon, J.A.

1998-01-01

The implementation of an adequate program for quality assurance in institutions servicing radiological protection programs will become an additional tool to achieve security targets included in that program. All scientific and technical services offered by CPHR employ quality assurance systems

Radiological/Health physics program assessement at Rocky Flats, the process

International Nuclear Information System (INIS)

Psomas, P.O.

1996-01-01

The Department of Energy, Rocky Flats Office, Safety and Health Group, Health Physics Team (HPT) is responsible for oversight of the Radiation Protection and Health Physics Program (RPHP) of the Integrating Management Contractor (IMC), Kaiser-Hill (K-H) operations at the Rocky Flats Environmental Technology Site (RFETS). As of 1 January 1996 the Rocky Flats Plant employed 300 DOE and 4,300 contractor personnel (K-H and their subcontractors). WSI is a subcontractor and provides plant security. To accomplish the RPHP program oversight HPT personnel developed a systematic methodology for performing a functional RPHP Assessment. The initial process included development of a flow diagram identifying all programmatic elements and assessment criteria documents. Formulation of plans for conducting interviews and performance of assessments constituted the second major effort. The generation of assessment reports was the final step, based on the results of this process. This assessment will be a 6 person-year effort, over the next three years. This process is the most comprehensive assessment of any Radiation Protection and Health Physics (RPHP) Program ever performed at Rocky Flats. The results of these efforts will establish a baseline for future RPHP Program assessments at RFETS. This methodology has been well-received by contractor personnel and creates no Privacy Act violations or other misunderstandings

The role of radiologic technologist in radiation protection and quality assurance programs

International Nuclear Information System (INIS)

Djurovic, B.; Spasci -Jokic, V.; Misovic, M.

2001-01-01

The most important sources of ionizing radiation for general public are medical sources. Good working protocols and radiological protections measurements provided significant reduction of patients and professional doses. Medical users of ionizing radiation are radiological technologists. The purpose of this paper is to point out to several facts and errors in radiation protection educational programs for radiological technologists. Medical College educational program covers main specific topics in radiation protection, but there are some omissions in training process. Radiological technologists must be actively involved in radiation protection. Following ethical standards they will reach higher standards than the law requires

Evaluation of Stress and a Stress-Reduction Program Among Radiologic Technologists.

Science.gov (United States)

Reingold, Lynn

2015-01-01

To investigate stress levels and causes of stress among radiologic technologists and determine whether an intervention could reduce stress in a selected radiologic technologist population. Demographic characteristics and data on preintervention stress sources and levels were collected through Internet-based questionnaires. A 6-week, self-administered, mindfulness-based stress-reduction program was conducted as a pilot intervention with 42 radiologic technologists from the Veterans Administration Medical Center. Data also were collected postintervention. Identified sources of stress were compared with findings from previous studies. Some radiologic technologists experienced improvement in their perceptions of stress after the intervention. Sources of stress for radiologic technologists were similar to those shown in earlier research, including inconsistent management, poor management communication, conflicting demands, long work hours, excessive workloads, lack of work breaks, and time pressures. The mindfulness-based stress-reduction program is an example of an inexpensive method that could improve personal well-being, reduce work errors, improve relationships in the workplace, and increase job satisfaction. More research is needed to determine the best type of intervention for stress reduction in a larger radiologic technologist population.

Analysis of Influencing Factors Related to Health Promotion Behavior in Hospital Radiological Technologists

International Nuclear Information System (INIS)

Ko, Jong Kyung; Kwon, Duk Mun; Kang, Yeong Han

2009-01-01

The purpose of this study was to analyze factors that could affect health of radiological technologists, which is useful for health care and development of programs for health promotion. Subjects were 234 of radiological technologists who work in general hospitals. Some questionnaires were made about perceptions of health condition and promotional behavior of health for this study. The questionnaires of health perception were 20 items that consist of the present condition of health, health concern and sensitivity. The reliability was sufficient(Cronbach's α=0.79). The other questionnaires about health promotion behavior were 47 items that consist of self-realization, health responsibility, exercise, nutrition, personal relationships, and stress management. The results turned out to be was sufficient (Cronbach's α=0.93). Every data was treated statistically, comparison of average(t-test, ANOVA), correlation, and multiple regression. Related factors to health promotion behavior were age, marriage, salary, class of one's position, career, employment, and religion, in general features. In health life habit, related factors were smoke and exercise. Results of health promotion behavior was 2.90 of mean score, 0.37 of standard deviation. Correlations between factors of health perception and health promotion behavior was positive(p<0.01). Health promotion behavior were affected by sensitivity, presents condition of health, exercise, smoke, career. Sensitivity was the most affectable variable, which means that promotional behavior score became higher and higher as the score of sensitivity and present condition were increased. In addition, persons who exercise regularly, had been smoked, and has higher career showed higher score of promotional behavior. Radiological technologists have to keep their health, trying not to infected by a disease. Most of all, no smoking and regular exercise are the most important thing to all of members.

Analysis of Influencing Factors Related to Health Promotion Behavior in Hospital Radiological Technologists

Energy Technology Data Exchange (ETDEWEB)

Ko, Jong Kyung [Kim, In Hwan Internal Medicine Health Promotion Cnter, Youngcheon (Korea, Republic of); Kwon, Duk Mun [Dept. of Radiology Technology, Daegu Health College, Daegu (Korea, Republic of); Kang, Yeong Han [Dept. of Diagnostic Radiology, Daegu Catholic Univesity Hospital, Daegu (Korea, Republic of)

2009-12-15

The purpose of this study was to analyze factors that could affect health of radiological technologists, which is useful for health care and development of programs for health promotion. Subjects were 234 of radiological technologists who work in general hospitals. Some questionnaires were made about perceptions of health condition and promotional behavior of health for this study. The questionnaires of health perception were 20 items that consist of the present condition of health, health concern and sensitivity. The reliability was sufficient(Cronbach's {alpha}=0.79). The other questionnaires about health promotion behavior were 47 items that consist of self-realization, health responsibility, exercise, nutrition, personal relationships, and stress management. The results turned out to be was sufficient (Cronbach's {alpha}=0.93). Every data was treated statistically, comparison of average(t-test, ANOVA), correlation, and multiple regression. Related factors to health promotion behavior were age, marriage, salary, class of one's position, career, employment, and religion, in general features. In health life habit, related factors were smoke and exercise. Results of health promotion behavior was 2.90 of mean score, 0.37 of standard deviation. Correlations between factors of health perception and health promotion behavior was positive(p<0.01). Health promotion behavior were affected by sensitivity, presents condition of health, exercise, smoke, career. Sensitivity was the most affectable variable, which means that promotional behavior score became higher and higher as the score of sensitivity and present condition were increased. In addition, persons who exercise regularly, had been smoked, and has higher career showed higher score of promotional behavior. Radiological technologists have to keep their health, trying not to infected by a disease. Most of all, no smoking and regular exercise are the most important thing to all of members.

The US Public Health Service's radioactive materials program

International Nuclear Information System (INIS)

Villforth, J.C.

1996-01-01

This review concentrates primarily on the U.S. Public Health Service's radiological health programs that are related to the use of radium in medicine. The history of program development is given, with a focus on legal and regulatory aspects. Federal and state cooperative actions are outlined, including congressional radium hearings, National Advisory Committee on Radiation, and Federal Radiation Council rulings. Problems associated with the medical use of radium, such as contamination and disposal, are also described. 30 refs

Radiological health training resources, 1979

International Nuclear Information System (INIS)

Munzer, J.E.; Sauer, K.G.

1979-08-01

The training collection maintained by the Division of Training and Medical Applications includes videocassettes, movies, and printed material. Titles are limited to radiological health subjects only and include a variety of topics ranging from basic fundamentals to historical perspectives to current state-of-the-art

Standarized radiological hazard analysis for a broad based operational safety program

International Nuclear Information System (INIS)

Wadman, W.W. III; Andrews, L.L.

1992-01-01

The Radiological hazard Analysis (RHA) Manual provides a methodology and detailed guidance for systematic analysis of radiological hazards over a broad spectrum of program functions, housed in a wide variety of facilities. Radiological programs at LANL include: research and experimentation; routine materials operations; production; non-destructive examination or testing; isotope and machine produced radiations; chemistry; and metallurgy. The RHA permits uniform evaluation of hazard types over a range of several orders of magnitude of hazard severity. The results are used to estimate risk, evaluate types and level or resource allocations, identify deficiencies, and plan corrective actions for safe working environments. 2 refs

Standardized radiological hazard analysis for a broad based operational safety program

International Nuclear Information System (INIS)

Wadman, W. III; Andrews, L.

1992-01-01

The Radiological Hazard Analysis (RHA) Manual provides a methodology and detailed guidance for systematic analysis of radiological hazards over a broad spectrum of program functions, housed in a wide variety of facilities. Radiological programs at LANL include: research and experimentation routine materials operations; production; non-destructive examination or testing; isotope and machine produced radiations; chemistry; and metallurgy. The RHA permits uniform evaluation of hazard types over a range of several orders of magnitude of hazard severity. The results are used to estimate risk, evaluate types and level of resource allocations, identify deficiencies, and plan corrective actions for safe working environments. (author)

A report on the current status of grand rounds in radiology residency programs in the United States.

Science.gov (United States)

Yablon, Corrie M; Wu, Jim S; Slanetz, Priscilla J; Eisenberg, Ronald L

2011-12-01

A national needs assessment of radiology program directors was performed to characterize grand rounds (GR) programs, assess the perceived educational value of GR programs, and determine the impact of the recent economic downturn on GR. A 28-question survey was developed querying the organizational logistics of GR programs, types of speakers, content of talks, honoraria, types of speakers invited, response to the economic downturn, types of speaker interaction with residents, and perceived educational value of GR. Questions were in multiple-choice, yes-or-no, and five-point Likert-type formats. The survey was distributed to the program directors of all radiology residencies within the United States. Fifty-seven of 163 programs responded, resulting in a response rate of 36%. Thirty-eight programs (67%) were university residencies and 10 (18%) were university affiliated. Eighty-two percent of university and 60% of university-affiliated residencies had their own GR programs, while only 14% of community and no military residencies held GR. GR were held weekly in 18% of programs, biweekly in 8%, monthly in 42%, bimonthly in 16%, and less frequently than every 2 months in 16%. All 38 programs hosting GR reported a broad spectrum of presentations, including talks on medical education (66%), clinical and evidence-based medicine (55%), professionalism (45%), ethics (45%), quality assurance (34%), global health (26%), and resident presentations (26%). All programs invited speakers from outside the institution, but there was variability with regard to the frequency of visits and whether invited speakers were from out of town. As a result of recent economic events, one radiology residency (3%) completely canceled its GR program. Others decreased the number of speakers from outside their cities (40%) or decreased the number of speakers from within their own cities (16%). Honoraria were paid to speakers by 95% of responding programs. Most program directors (79%) who had their own

Plan for radiological security at a university health center

International Nuclear Information System (INIS)

Huiaman Mendoza, G.M.; Sanchez Riojas, M.M.; Felix JImenez, D.

1998-01-01

This work shows a radiological security plan applied to a Basic Radiological Service at a university health center. Factors taken into account were installation designs, equipment operation parameters, work procedures, image system and responsibilities

CSU-FDA Collaborative Radiological Health Laboratory annual report 1979

International Nuclear Information System (INIS)

1981-01-01

Highlights of findings by the Collaborative Radiological Health Laboratory (CRHL) on lifetime hazards associated with prenatal and early postnatal exposure to discrete doses of gamma radiation are presented in this volume. The CRHL study is designed to provide information that will facilitate the evaluation of risks to human beings from medical exposure during early development. It is a life span study using beagles exposed at one of several specific times in early development. The CRHL program is multidisciplinary in nature and involves evaluation of a variety of diseases of potential concern for human health. Problems of growth and development, reproductive capacity, degenerative diseases, and aging are among those addressed. Separate abstracts of 20 studies have been prepared for inclusion in the Energy Data Base

Development of interactive patient-based multimedia computer programs in veterinary orthopedic radiology

International Nuclear Information System (INIS)

Kraft, S.L.; Hoskinson, J.J.; Mussman, J.M.; Michaels, W.E.; Mclaughlin, R.; Gaughan, E.M.; Roush, J.K.

1998-01-01

Three computerized multimedia programs on large and small animal veterinary orthopedic radiology were developed and implemented for the radiology curriculum as an alternative to traditional film-based laboratory learning. Programs utilized ''hot words'' (colored text words that displayed an overlaid image label that highlighted lesions) and interactive quizzes which responded appropriately to selected answers. ''Hot words'' helped students develop confidence in accurate lesion detection and the interactive quizzes transformed learning from a passive to an active process. Multiple examples were provided for reinforcement and concepts were incorporated from other clinical disciplines for curriculum integration. Programs were written using a presentation software program, Toolbook for DOS based platform, and contained radiographic images made by laser-scanning digitization. Multiple students could simultaneously access the programs through a network server. These pilot programs were implemented successfully and computerized multimedia presentation proved to be well suited to teaching radiology. Development of the programs required attention to a number of hardware, software, time and cost factors

Mississippi Curriculum Framework for Medical Radiologic Technology (Radiography) (CIP: 51.0907--Medical Radiologic Technology). Postsecondary Programs.

Science.gov (United States)

Mississippi Research and Curriculum Unit for Vocational and Technical Education, State College.

This document, which is intended for use by community and junior colleges throughout Mississippi, contains curriculum frameworks for the course sequences in the radiologic technology program. Presented in the introductory section are a description of the program and suggested course sequence. Section I lists baseline competencies for the program,…

Generic radiological characterization protocol for surveys conducted for DOE remedial action programs

International Nuclear Information System (INIS)

Berven, B.A.; Cottrell, W.D.; Leggett, R.W.; Little, C.A.; Myrick, T.E.; Goldsmith, W.A.; Haywood, F.F.

1986-05-01

This report describes goals and methodology that can be used by radiological survey contractors in surveys at properties associated with the Department of Energy's remedial action programs. The description includes: (1) a general discussion of the history of the remedial action programs; (2) the types of surveys that may be employed by the Radiological Survey Activities (RASA) contractor; (3) generic survey methods that may be used during radiological surveys; and (4) a format for presenting information and data in a survey report. 9 refs

Request for information about radiological risks in the health area. A cross-cultural study

International Nuclear Information System (INIS)

Prades, A.; Martinez-Arias, R.; Arranz, L.; Macias, M.T.

2000-01-01

This paper will present some of the key findings of a comparative Latin-American study on radiological risk perception in the health area. The project used a survey method to examine the social demands for information about radiological risks with regard to diagnostic and therapeutic applications. The following topics will be analysed: 1) The role of information as a means for feeling safe; 2) who should inform the public on radiological risks; and 3) what type of information the public would like to receive. A questionnaire was distributed to outpatient samples from ten countries: Argentine, Brazil, Colombia, Cuba, Ecuador, Mexico, Panama, Peru, Uruguay, and Spain, thanks to the collaboration of the different National Radioprotection Societies of the above mentionned countries, and of other concerned professionals (in case they didn't had any association at the time). Correspondence analysis and other techniques of optimal scaling will be used. The paper will discuss the main cross-cultural differences with regard to social demand for information about radiological risks. Our findings may have relevant implications for radiological risks communication programs. (author)

Request for information about radiological risks in the health area. A cross-cultural study

Energy Technology Data Exchange (ETDEWEB)

Prades, A. [Ciemat, Madrid (Spain); Martinez-Arias, R. [Universidad Complutense, Madrid (Spain); Arranz, L. [Hospital Ramon y Cajal, Madrid (Spain); Macias, M.T. [CSIC, Madrid (Spain)

2000-05-01

This paper will present some of the key findings of a comparative Latin-American study on radiological risk perception in the health area. The project used a survey method to examine the social demands for information about radiological risks with regard to diagnostic and therapeutic applications. The following topics will be analysed: 1) The role of information as a means for feeling safe; 2) who should inform the public on radiological risks; and 3) what type of information the public would like to receive. A questionnaire was distributed to outpatient samples from ten countries: Argentine, Brazil, Colombia, Cuba, Ecuador, Mexico, Panama, Peru, Uruguay, and Spain, thanks to the collaboration of the different National Radioprotection Societies of the above mentionned countries, and of other concerned professionals (in case they didn't had any association at the time). Correspondence analysis and other techniques of optimal scaling will be used. The paper will discuss the main cross-cultural differences with regard to social demand for information about radiological risks. Our findings may have relevant implications for radiological risks communication programs. (author)

The American Board of Radiology Maintenance of Certification (MOC) Program in Radiologic Physics

International Nuclear Information System (INIS)

Thomas, Stephen R.; Hendee, William R.; Paliwal, Bhudatt R.

2005-01-01

Maintenance of Certification (MOC) recognizes that in addition to medical knowledge, several essential elements involved in delivering quality care must be developed and maintained throughout one's career. The MOC process is designed to facilitate and document the professional development of each diplomate of The American Board of Radiology (ABR) through its focus on the essential elements of quality care in Diagnostic Radiology and its subspecialties, and in the specialties of Radiation Oncology and Radiologic Physics. The initial elements of the ABR-MOC have been developed in accord with guidelines of The American Board of Medical Specialties. All diplomates with a ten-year, time-limited primary certificate in Diagnostic Radiologic Physics, Therapeutic Radiologic Physics, or Medical Nuclear Physics who wish to maintain certification must successfully complete the requirements of the appropriate ABR-MOC program for their specialty. Holders of multiple certificates must meet ABR-MOC requirements specific to the certificates held. Diplomates with lifelong certificates are not required to participate in the MOC, but are strongly encouraged to do so. MOC is based on documentation of individual participation in the four components of MOC: (1) professional standing, (2) lifelong learning and self-assessment, (3) cognitive expertise, and (4) performance in practice. Within these components, MOC addresses six competencies: medical knowledge, patient care, interpersonal and communication skills, professionalism, practice-based learning and improvement, and systems-based practice

Evaluation of radiological teaching programs in the Internet

International Nuclear Information System (INIS)

Seitz, J.; Schubert, S.; Voelk, M.; Scheibl, K.; Paetzel, C.; Schreyer, A.; Djavidani, B.; Feuerbach, S.; Strotzer, M.

2003-01-01

Evaluation of web based training programs,which can be contacted from the homepages of radiological departments of German universities.Material and method From june 2000 to january 2002 the 75 web based training programs of 57 providers,which can be contacted from the web pages of the radiological departments of german universities were evaluated in a prospective study.A medical student experienced in using the world wide web examined each training program three times in an interval of six months using the following criteria: availability of the web sites,target group,kind of training program,contents and structure and the technical solution. 51 of the 57 the homepages were fully available at each visit. 64 of the 75 web based training programs which could be connected from these sites were available at all three visitis.One program was only partially available at one spot check. 8 of the 75 programs were designed for physicians and medically trained personal, 23 were made for medical students and 44 addressed both target groups (partially more than once mentioned).The number of the presented cases ranged between one single and 3700. In 31 of 75 training programs links to other teaching files were found.A complete presentation of cases was presented by 48 of the 75 web sites.5 of the 75 web sites offered physiological images for comparison. In 20 training programs the pathological changes were optically marked in the x-ray images.A logical and didactical structure was found in 24 teaching files, 14 gave the possibility to check the learning results.No provider made use of the possibility to pass credits to the students or physicians acount with regard to official training programs. Multimedia techniques were used in 15 training programs.43 sites used data reduced preview images (thumbnails).The latest update of the site is mentioned in 55 of the 75 web sites. 19 of 57 providers had either no possibility of contact or did not answer to an e-mail. From the homepages

Practical Implications for an Effective Radiology Residency Quality Improvement Program for Milestone Assessment.

Science.gov (United States)

Leddy, Rebecca; Lewis, Madelene; Ackerman, Susan; Hill, Jeanne; Thacker, Paul; Matheus, Maria; Tipnis, Sameer; Gordon, Leonie

2017-01-01

Utilization of a radiology resident-specific quality improvement (QI) program and curriculum based on the Accreditation Council for Graduate Medical Education (ACGME) milestones can enable a program's assessment of the systems-based practice component and prepare residents for QI implementation post graduation. This article outlines the development process, curriculum, QI committee formation, and resident QI project requirements of one institution's designated radiology resident QI program. A method of mapping the curriculum to the ACGME milestones and assessment of resident competence by postgraduate year level is provided. Sample projects, challenges to success, and lessons learned are also described. Survey data of current trainees and alumni about the program reveal that the majority of residents and alumni responders valued the QI curriculum and felt comfortable with principles and understanding of QI. The most highly valued aspect of the program was the utilization of a resident education committee. The majority of alumni responders felt the residency quality curriculum improved understanding of QI, assisted with preparation for the American Board of Radiology examination, and prepared them for QI in their careers. In addition to the survey results, outcomes of resident project completion and resident scholarly activity in QI are evidence of the success of this program. It is hoped that this description of our experiences with a radiology resident QI program, in accordance with the ACGME milestones, may facilitate the development of successful QI programs in other diagnostic radiology residencies. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Interactive computer-based training program for radiological workers

International Nuclear Information System (INIS)

Trinoskey, P.A.; Camacho, P.I.; Wells, L.

2000-01-01

Lawrence Livermore National Laboratory is redesigning its existing Computer-Based Training (CBT) programs for radiological workers. The redesign represents a major effort that is aimed at producing a single highly interactive and flexible CBT program. The new CBT program is designed to address a variety of radiological workers, including researchers, x-ray operators, and individuals working in tritium, uranium, plutonium, and accelerator facilities. The program addresses the diversity of backgrounds found at a national laboratory. The CBT program includes photographs, line drawings and illustrations, sound, video, and simulations, and it allows for easy insertion and replacement of text, graphics, sound, and video. The new design supports timely updates and customization for use at other University of California sites. The CBT program is divided into ten basic modules. Introduction and Lessons Learned, History and Uses, Fundamentals, Background Radiation, Biological Effects of Radiation, Characteristics of Radionuclides, Radiological Controls, Monitoring, Emergency Response, Responsibilities. Some of the main modules features as many as seven or eight submodules. For example, the module on Characteristics of Radionuclides features submodules on common radionuclides, tritium uranium, plutonium, x-ray machines, E-beam devices, radiographic devices, and accelerators. Required submodules are tailored to an individual's type of work and facility, and they are determined by the answers to an onscreen questionnaire given at the outset of training. Individuals can challenge most individual modules, but certain submodules will be mandatory based on the initial survey. For example, individuals working in the uranium facility will be required to complete the submodule on 'History and Uses of Uranium'. However, all other submodules under the main module, 'History and Uses', will be available if selected for preview. For each module, an opportunity is provided for further

Radiological protection and public health: crossbreeding

International Nuclear Information System (INIS)

Smeesters, Patrick; Pinak, Miroslav

2008-01-01

Full text: This paper summarizes the scope of activities, ongoing experience and current results of the Expert Group on the Public Health Perspective in Radiological Protection (EGPH) of the Committee of Radiological Protection and Public Health, OECD Nuclear Energy Agency. While the prime and general task of the EGPH group is looking at how the public health and radiation protection can better take an advantage of their respective perspectives, the following four areas have been explored in detail: a) Exposure to radon; b) Justification of medical exposures; c) Public health judgement and decision making based on new scientific evidence; and d) Management of individual differences. In most of these areas, a targeted telephone survey on public policies in selected countries was used for collecting information from stake holders (public, consumers groups, public health and radiation protection regulators, governmental bodies, medical practitioners, patients, scientific communities, NGOs, etc.). The presented paper also highlights key issues of collected information and summarises existing approaches and policies. The case study on exposure to radon collects national information on approaches to the management of domestic radon risks, focusing on the integration of radiation protection and public health aspects (quality of dwellings, overall quality of indoor air, perception of radon levels, position of radon risk in the pool of other risks). In the case of justification of medical exposures, the Group studies the applications of the justification principle in opportunistic screenings (responsibilities, management of the situation, risk assessment). The precautionary principle and its impact on policy judgement in the light of significant scientific uncertainties can have a large influence on radiological-protection decision making. The case study on public health judgement and decision making based on new scientific evidence is exploring how these uncertainties and

Environmental Radiological Impact of Nuclear Power. Monitoring and Control Programs

International Nuclear Information System (INIS)

Ramos, L. M.

2000-01-01

Radioactive contamination of the environment and public exposure to ionizing radiation may result from releases from programmed or accidental operations in regulated activities, or they may be due to preexisting situations such as contamination caused by past accidents, radioactive rain caused by nuclear tests, or increased natural radioactivity resulting from human activities. In many cases, both the emission sources and the environment should be monitored to determine the risk to the population and verify to what extent the limits and conditions established by competent authorities are being observed. Monitoring can be divided into three categories: monitoring of the emission source, of the receiving medium and of members of the public; individual monitoring of the population is extremely rare and would only be considered when estimated doses substantially exceed the annual public dose limit. In practices likely to produce significant radioactive releases, as is the case of nuclear fuel cycle facilities, the limits and conditions for monitoring and controlling them and the requirements for environmental radiological monitoring are established in the licensing process. Programs implemented during normal operation of the facilities form the basis for monitoring in the event of accidents. in addition to environmental radiological monitoring associated with facilities, different countries have monitoring programs outside the facilities zones of influence, in order to ascertain the nationwide radiological fund and determine possible increases in this fund. In Spain, the facilities that generate radioactive waste have effluent storage, treatment and removal systems and radiological monitoring programs based on site and discharge characteristics. The environmental radiological monitoring system is composed of the network implemented by the owners in the nuclear fuel cycle facilities zones of influence, and by nationwide monitoring networks managed by the Consejo de

Advance of the National Program of Radiological Protection and Safety for medical diagnostic with X-rays

International Nuclear Information System (INIS)

Verdejo S, M.

1999-01-01

The National Program of Radiological Protection and Safety for medical diagnostic with X-ray (Programa Nacional de Proteccion y Seguridad Radiologica para diagnostico medico con rayos X) was initiated in the General Direction of Environmental Health (Direccion General de Salud Ambiental) in 1995. Task coordinated with different dependences of the Public Sector in collaboration between the Secretary of Health (Secretaria de Salud), the National Commission of Nuclear Safety and Safeguards (Comision Nacional de Seguridad Nuclear y Salvaguardias) and, the National Institute of Nuclear Research (Instituto Nacional de Investigaciones Nucleares). The surveillance to the fulfilment of the standardization in matter of Radiological Protection and Safety in the medical diagnostic with X-rays has been obtained for an important advance in the Public sector and it has been arousing interest in the Private sector. (Author)

Effective radiological safety program for electron linear accelerators

International Nuclear Information System (INIS)

Swanson, W.P.

1980-10-01

An outline is presented of some of the main elements of an electron accelerator radiological safety program. The discussion includes types of accelerator facilities, types of radiations to be anticipated, activity induced in components, air and water, and production of toxic gases. Concepts of radiation shielding design are briefly discussed and organizational aspects are considered as an integral part of the overall safety program

A radiological control implementation guide

International Nuclear Information System (INIS)

Hamley, S.A.

1993-01-01

A manual is being developed to explain to line managers how radiological controls are designed and implemented. The manual also fills a gap in the Health Physics literature between textbooks and on-the-floor procedures. It may be helpful to new Health Physicists with little practical experience and to those wishing to improve self-assessment, audit, and appraisal processes. Many audits, appraisals, and evaluations have indicated a need for cultural change, increased vigor and example, and more effective oversight by line management. Inadequate work controls are a frequent and recurring problem identified in occurrence reports and accident investigations. Closer study frequently indicates that many line managers are willing to change and want to achieve excellence, but no effective guidance exists that will enable them to understand and implement a modern radiological control program. The manual is now in draft form and includes information that will be of use to line managers dealing with improving radiological performance and the practical aspects of radiological controls implementation. The manual is expected to be completed by the fall of 1993 and to be used in conjunction with a performance-based self-assessment training program at the Oak Ridge National Laboratory

Surface radiological free release program for the Battelle Columbus Laboratory Decommissioning Project

International Nuclear Information System (INIS)

Horton, C.N.

1995-01-01

This paper was prepared for the Second Residual Radioactivity and Recycling Criteria Workshop and discusses decommissioning and decontamination activities at the Battelle Columbus Laboratories Decommissioning Project (BCLDP). The BCLDP is a joint effort between the Department of Energy (DOE) and Battelle Columbus Operations to decontaminate fifteen Battelle-owned buildings contaminated with DOE radioactive materials. The privately owned buildings located across the street from The Ohio State University campus became contaminated with natural uranium and thorium during nuclear research activities. BCLDP waste management is supported by an extensive radiological free-release program. Miscellaneous materials and building surfaces have been free-released from the BCLDP. The free-release program has substantially reduced radioactive waste volumes and supported waste minimization. Free release for unrestricted use has challenged regulators and NRC licensees since the development of early surface-release criteria. This paper discusses the surface radiological free-release program incorporated by the BCLDP and the historical development of the surface radiological free-release criteria. Concerns regarding radiological free-release criteria are also presented. (author)

Key Performance Indicators in Radiology: You Can't Manage What You Can't Measure.

Science.gov (United States)

Harvey, H Benjamin; Hassanzadeh, Elmira; Aran, Shima; Rosenthal, Daniel I; Thrall, James H; Abujudeh, Hani H

2016-01-01

Quality assurance (QA) is a fundamental component of every successful radiology operation. A radiology QA program must be able to efficiently and effectively monitor and respond to quality problems. However, as radiology QA has expanded into the depths of radiology operations, the task of defining and measuring quality has become more difficult. Key performance indicators (KPIs) are highly valuable data points and measurement tools that can be used to monitor and evaluate the quality of services provided by a radiology operation. As such, KPIs empower a radiology QA program to bridge normative understandings of health care quality with on-the-ground quality management. This review introduces the importance of KPIs in health care QA, a framework for structuring KPIs, a method to identify and tailor KPIs, and strategies to analyze and communicate KPI data that would drive process improvement. Adopting a KPI-driven QA program is both good for patient care and allows a radiology operation to demonstrate measurable value to other health care stakeholders. Copyright © 2015 Mosby, Inc. All rights reserved.

Use of the analytical tree technique to develop a radiological protection program

International Nuclear Information System (INIS)

Domenech N, H.; Jova S, L.

1996-01-01

The results obtained by the Cuban Center for Radiological Protection and Hygiene by using an analytical tree technique to develop its general operational radiation protection program are presented. By the application of this method, some factors such as the organization of the radiation protection services, the provision of administrative requirements, the existing general laboratories requirements, the viability of resources and the current documentation was evaluated. Main components were considered such as: complete normative and regulatory documentation; automatic radiological protection data management; scope of 'on the-job'and radiological protection training for the personnel; previous radiological appraisal for the safety performance of the works and application of dose constrains for the personnel and the public. The detailed development of the program allowed to identify the basic aims to be achieved in its maintenance and improvement. (authors). 3 refs

AECL'S (Atomic Energy Canada Limited) R and D program in health and environmental sciences

International Nuclear Information System (INIS)

Osborne, R.V.

1996-01-01

Radiological protection is a fundamental requirement in any nuclear technology endeavour. It is also an area where public concerns are often expressed. If protection is inadequate, or is believed to be so, or if concerns are not addressed, the beneficial application of nuclear technologies is inhibited. Historically. AECL, as the driver of nuclear technology in Canada, has ensured that the growing Canadian nuclear industry and other users of the technology have a sound technical base to support, explain and confirm all aspects of radiological protection. Meeting this need has meant developing and maintaining R%D programs in environmental sciences, health physics, radiation biology, and radiological health matters in general. The programs undertaken encompass the links from sources of radiation exposure and radionuclides to potential impact on biota and on human health. The behaviours of radionuclides released to the atmosphere, surface waters, or ground waters are examined and described quantitatively to enable predictions to be made of the radiation doses received in different parts of the biosphere and by people. Radiation properties and human physiological and biokinetic processes are studied to provide quantitative links from exposure to radiation dose in tissues and organs. Biological processes involved in determining whether there are any consequences to health from small absorbed doses are identified at levels ranging from molecular level, to cells in tissue culture, and animals. Throughout the programs, required measurement technologies are developed. The results of the R%D have contributed to radiological protection programs being soundly based and, equally important, are being seen to be soundly based. (author)

Radiological field survey problems and solutions

International Nuclear Information System (INIS)

Deming, E.J.; Boerner, A.J.

1986-01-01

Situations often arise during radiological field surveys which require the health physicist to improvise and/or make spot decisions. At times these situations can be humorous, but they can also present hazards more serious than normal radiological considerations. This presentation will depict various problematic situations encountered by Oak Ridge Associated Universities Radiological Site Assessment Program in the course of performing field environmental surveys. Detailing these potential hazards can alert other field survey groups to problems they may encounter

Creating a comprehensive customer service program to help convey critical and acute results of radiology studies.

Science.gov (United States)

Towbin, Alexander J; Hall, Seth; Moskovitz, Jay; Johnson, Neil D; Donnelly, Lane F

2011-01-01

Communication of acute or critical results between the radiology department and referring clinicians has been a deficiency of many radiology departments. The failure to perform or document these communications can lead to poor patient care, patient safety issues, medical-legal issues, and complaints from referring clinicians. To mitigate these factors, a communication and documentation tool was created and incorporated into our departmental customer service program. This article will describe the implementation of a comprehensive customer service program in a hospital-based radiology department. A comprehensive customer service program was created in the radiology department. Customer service representatives were hired to answer the telephone calls to the radiology reading rooms and to help convey radiology results. The radiologists, referring clinicians, and customer service representatives were then linked via a novel workflow management system. This workflow management system provided tools to help facilitate the communication needs of each group. The number of studies with results conveyed was recorded from the implementation of the workflow management system. Between the implementation of the workflow management system on August 1, 2005, and June 1, 2009, 116,844 radiology results were conveyed to the referring clinicians and documented in the system. This accounts for more than 14% of the 828,516 radiology cases performed in this time frame. We have been successful in creating a comprehensive customer service program to convey and document communication of radiology results. This program has been widely used by the ordering clinicians as well as radiologists since its inception.

Application of computers in a Radiological Survey Program

International Nuclear Information System (INIS)

Berven, B.A.; Blair, M.S.; Doane, R.W.; Little, C.A.; Perdue, P.T.

1984-01-01

A brief description of some of the applications of computers in a radiological survey program is presented. It has been our experience that computers and computer software have allowed our staff personnel to more productively use their time by using computers to perform the mechanical acquisition, analyses, and storage of data. It is hoped that other organizations may similarly profit from this experience. This effort will ultimately minimize errors and reduce program costs

The health care value transparency movement and its implications for radiology.

Science.gov (United States)

Durand, Daniel J; Narayan, Anand K; Rybicki, Frank J; Burleson, Judy; Nagy, Paul; McGinty, Geraldine; Duszak, Richard

2015-01-01

The US health care system is in the midst of disruptive changes intended to expand access, improve outcomes, and lower costs. As part of this movement, a growing number of stakeholders have advocated dramatically increasing consumer transparency into the quality and price of health care services. The authors review the general movement toward American health care value transparency within the public, private, and nonprofit sectors, with an emphasis on those initiatives most relevant to radiology. They conclude that radiology, along with other "ancillary services," has been a major focus of early efforts to enhance consumer price transparency. By contrast, radiology as a field remains in the "middle of the pack" with regard to quality transparency. There is thus the danger that radiology value transparency in its current form will stimulate primarily price-based competition, erode provider profit margins, and disincentivize quality. The authors conclude with suggested actions radiologists can take to ensure that a more optimal balance is struck between quality transparency and price transparency, one that will enable true value-based competition among radiologists rather than commoditization. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radiological Assistance Program, DOE Region 6 response plan

International Nuclear Information System (INIS)

Jakubowski, F.M.

1993-02-01

This program plan meets all the requirements identified in DOE Order 5530.3, Radiological Assistance Program and supports those requirements leading to the establishment of a Federal Radiological Monitoring and Assessment Center (FRMAC) as required by DOE 5530-5. Requests for radiological assistance may come from other DOE facilities, Federal or state agencies, tribal officials, or from any private corporation or individual. Many of the requests will be handled by a telephone call, a conference or a letter, teletype or memorandum. Other requests for assistance may involve radioactive material in serious accidents, fire, personal injuries, contamination or possible hazards to the general public. Some occurrences may require the dispatch of trained personnel equipped with radiation monitoring instruments and related equipment necessary to evaluate, control and neutralize the hazard. The primary responsibility for incidents involving radioactive material always remains with the party having custody of the radioactive materials. In addition, the DOE recognizes that the assistance provided shall not in any way preempt state, tribal, or local authority and/or responsibility on state or tribal properties. Toward this end, DOE assistance for non-DOE radioactive materials, is limited to technical assistance, advice, measurement and other resources as deemed necessary by the local authorities but excludes DOE interface with the public media. This is a function handled by the local or state Incident Commander

Radiology Aide. Instructor Key [and] Student Manual.

Science.gov (United States)

Hartwein, Jon; Dunham, John

This manual can be used independently by students in secondary health occupations programs or by persons receiving on-the-job training in a radiology department. The manual includes an instructor's key that provides answers to the activity sheets and unit evaluations. The manual consists of the following five units: (1) orientation to radiology;…

Application of computers in a radiological survey program

International Nuclear Information System (INIS)

Berven, B.A.; Blair, M.S.; Doane, R.W.; Little, C.A.; Perdue, P.T.

1984-01-01

Computers have become increasingly important in data analysis and data management as well as assisting in report preparation in the Oak Ridge National Laboratory (ORNL) Radiological Survey Activities (RASA) Program. The primary function of the RASA program is to collect, analyze, report, and manage data collected to characterize the radiological condition of potentially contaminated sites identified in the Department of Energy's (DOE) remedial action programs. Three different computer systems are routinely utilized in ORNL/RASA operations. Two of these systems are employed in specific functions. A Nuclear Data (ND) 682 is used to perform isotopic analysis of gamma spectroscopic data generated by high-purity germanium detectors for air, water and soil samples. The ND682 employs a 16,000-channel analyzer that is routinely used with four germanium spectrometers. Word processing and data management are accomplished using the INtext system implemented on a DEC PDP-11 computer. A group of personal computers are used to perform a diverse number of functions. These computer systems are Commodore Business Machines (CBM) Model 8032 with a dual floppy disk storage medium and line printers (with optional X-Y plotters). The CBM's are utilized for: (1) data analysis -- raw data from radiation detection instrumentation are stored and manipulated with customized computer programs; (2) data reduction -- raw data are converted into report-ready tables using customized programs; (3) data management -- radionuclide data on each air, water and soil sample are stored on diskettes along with location of archived samples; and (4) program management -- site surveys and report status are tracked by computer files as well as program budget information to provide contemporary information of program status

Association of Lifestyle with Physical and Mental Health in Japanese Radiological Technologists

OpenAIRE

Tahara, Hiroyuki; Kondo, Hisayoshi; Ueya, Etsuo

2003-01-01

To elucidate the effects of low-dose radiation exposure and lifestyle on physical health and mental health, we evaluated the relationship of age, cumulative radiation dose, and lifestyle (cigarette smoking, alcohol drinking and physical exercise) to physical and mental health in Japanese radiological technologists. The study subjects were 932 Japanese radiological technologists who participated in a health study from 1981 to 1985. A self-administered questionnaire was mailed to each subject t...

Collaborative Branding of Partnered Health Systems in Radiology.

Science.gov (United States)

Kalambo, Megan; Parikh, Jay R

2018-01-01

In an effort to expand clinical reach and achieve economies of scale, academic radiology practices are strategically expanding into the community by establishing partnerships with existing community health systems. A challenge with this model is to effectively brand the collaboration in a way that underscores the strengths of both partners. In this article, the authors look at the benefits and risks of cobranding and review cobranding strategies for implementation by academic radiology practices considering partnership-based network expansion. Published by Elsevier Inc.

The Radiological Safety Analysis Computer Program (RSAC-5) user's manual

International Nuclear Information System (INIS)

Wenzel, D.R.

1994-02-01

The Radiological Safety Analysis Computer Program (RSAC-5) calculates the consequences of the release of radionuclides to the atmosphere. Using a personal computer, a user can generate a fission product inventory from either reactor operating history or nuclear criticalities. RSAC-5 models the effects of high-efficiency particulate air filters or other cleanup systems and calculates decay and ingrowth during transport through processes, facilities, and the environment. Doses are calculated through the inhalation, immersion, ground surface, and ingestion pathways. RSAC+, a menu-driven companion program to RSAC-5, assists users in creating and running RSAC-5 input files. This user's manual contains the mathematical models and operating instructions for RSAC-5 and RSAC+. Instructions, screens, and examples are provided to guide the user through the functions provided by RSAC-5 and RSAC+. These programs are designed for users who are familiar with radiological dose assessment methods

Radiological Safety Analysis Computer (RSAC) Program Version 7.0 Users’ Manual

Energy Technology Data Exchange (ETDEWEB)

Dr. Bradley J Schrader

2009-03-01

The Radiological Safety Analysis Computer (RSAC) Program Version 7.0 (RSAC-7) is the newest version of the RSAC legacy code. It calculates the consequences of a release of radionuclides to the atmosphere. A user can generate a fission product inventory from either reactor operating history or a nuclear criticality event. RSAC-7 models the effects of high-efficiency particulate air filters or other cleanup systems and calculates the decay and ingrowth during transport through processes, facilities, and the environment. Doses are calculated for inhalation, air immersion, ground surface, ingestion, and cloud gamma pathways. RSAC-7 can be used as a tool to evaluate accident conditions in emergency response scenarios, radiological sabotage events and to evaluate safety basis accident consequences. This users’ manual contains the mathematical models and operating instructions for RSAC-7. Instructions, screens, and examples are provided to guide the user through the functions provided by RSAC-7. This program was designed for users who are familiar with radiological dose assessment methods.

Radiological Safety Analysis Computer (RSAC) Program Version 7.2 Users’ Manual

Energy Technology Data Exchange (ETDEWEB)

Dr. Bradley J Schrader

2010-10-01

The Radiological Safety Analysis Computer (RSAC) Program Version 7.2 (RSAC-7) is the newest version of the RSAC legacy code. It calculates the consequences of a release of radionuclides to the atmosphere. A user can generate a fission product inventory from either reactor operating history or a nuclear criticality event. RSAC-7 models the effects of high-efficiency particulate air filters or other cleanup systems and calculates the decay and ingrowth during transport through processes, facilities, and the environment. Doses are calculated for inhalation, air immersion, ground surface, ingestion, and cloud gamma pathways. RSAC-7 can be used as a tool to evaluate accident conditions in emergency response scenarios, radiological sabotage events and to evaluate safety basis accident consequences. This users’ manual contains the mathematical models and operating instructions for RSAC-7. Instructions, screens, and examples are provided to guide the user through the functions provided by RSAC-7. This program was designed for users who are familiar with radiological dose assessment methods.

Radiological Safety Analysis Computer (RSAC) Program Version 7.0 Users Manual

International Nuclear Information System (INIS)

Schrader, Bradley J.

2009-01-01

The Radiological Safety Analysis Computer (RSAC) Program Version 7.0 (RSAC-7) is the newest version of the RSAC legacy code. It calculates the consequences of a release of radionuclides to the atmosphere. A user can generate a fission product inventory from either reactor operating history or a nuclear criticality event. RSAC-7 models the effects of high-efficiency particulate air filters or other cleanup systems and calculates the decay and ingrowth during transport through processes, facilities, and the environment. Doses are calculated for inhalation, air immersion, ground surface, ingestion, and cloud gamma pathways. RSAC-7 can be used as a tool to evaluate accident conditions in emergency response scenarios, radiological sabotage events and to evaluate safety basis accident consequences. This users manual contains the mathematical models and operating instructions for RSAC-7. Instructions, screens, and examples are provided to guide the user through the functions provided by RSAC-7. This program was designed for users who are familiar with radiological dose assessment methods

Study of graduate curriculum in the radiological science: problems and suggestions

International Nuclear Information System (INIS)

Ko, Seong Jin; Kim, Hwa Gon; Kang, Se Sik; Park, Byeong Rae; Kim, Chang Soo

2006-01-01

Currently, Educational program of radiological science is developed in enormous growth, our educational environments leading allied health science education program in the number of super high speed medical industry. Radiological science may be the fastest growing technologies in our medical department today. In this way, Medical industry fields converged in the daily quick, the fact that department of radiological science didn't discharged ones duties on current educational environments. The curriculum of radiological technologists that play an important part between skill and occupation's education as major and personality didn't performed one's part most effectively on current medical environments and digital radiological equipment interface. We expect improvement and suggestion to grow natural disposition as studies in the graduate of radiological science. Therefore, in this paper, current curriculum of radiological science are catched hold of trend and problems on digital radiology environments, on fact the present state of problems, for Graduate program of radiological science, graduate courses of MS and ph.D. are suggested a reform measure of major education curriculum introduction

DOE Radiological Calibrations Intercomparison Program: Results of fiscal year 1987

International Nuclear Information System (INIS)

Cummings, F.M.; McDonald, J.C.

1988-06-01

This report presents the FY 1987 results of the radiological calibrations intercomparison program. The intercomparison operation is discussed, and the equipment is described, particularly the instrument set, the beta source set, and relevant calculations. Solutions to problems and improvements in the program are suggested, and conclusions are then introduced. 9 refs., 3 figs., 8 tabs

Health physics educational program in the Tennessee Valley Authority

International Nuclear Information System (INIS)

Holley, Wesley L.

1978-01-01

In the spring of 1977, the Radiological Hygiene Branch of the Tennessee Valley Authority (TVA) instituted a training program for health physics technicians to ensure availability of qualified personnel for the agency, which is rapidly becoming the world's largest nuclear utility. From this, a health physics education program is developing to also include health physics orientation and retraining for unescorted entry into nuclear power plants, health physics training for employees at other (non-TVA) nuclear plants, specialized health physics training, and possibly theoretical health physics courses to qualify technician-level personnel for professional status. Videotaped presentations are being used extensively, with innovations such as giving examinations by videotape of real-life, in-plant experiences and acted out scenarios of health physics procedures; and teaching health physics personnel to observe, detect, and act on procedural, equipment, and personnel deficiencies promptly. Video-taped lectures are being used for review and to complement live lectures. Also, a 35-mm slide and videotape library is being developed on all aspects of the operational health physics program for nuclear plants using pressurized and boiling water reactors. (author)

Radiological control FY 1995 site support program plan WBS 6.7.2.4

International Nuclear Information System (INIS)

1994-09-01

The 1995 Site Support Program Plan (SSPP) brings year planning and execution year planning into a single document. The plan presented consists of the following four major sections: Overview and Introduction - Health physics has been renamed Radiological Control (RadCon) with the role of protecting workers, the public and the environment from the harmful effects of radiation resulting from the DOE Hanford Site Operations; Cost Baselines which contains cost, technical and schedule baselines; Execution Year work Plan - cost summaries and detailed descriptions of the work to be done; Appendix - including brief description of other project activities directly coupled to RadCon

Radiological control FY 1995 site support program plan WBS 6.7.2.4

Energy Technology Data Exchange (ETDEWEB)

1994-09-01

The 1995 Site Support Program Plan (SSPP) brings year planning and execution year planning into a single document. The plan presented consists of the following four major sections: Overview and Introduction - Health physics has been renamed Radiological Control (RadCon) with the role of protecting workers, the public and the environment from the harmful effects of radiation resulting from the DOE Hanford Site Operations; Cost Baselines which contains cost, technical and schedule baselines; Execution Year work Plan - cost summaries and detailed descriptions of the work to be done; Appendix - including brief description of other project activities directly coupled to RadCon.

Administrative organization in diagnostic radiology residency program leadership.

Science.gov (United States)

Webber, Grant R; Mullins, Mark E; Chen, Zhengjia; Meltzer, Carolyn C

2012-04-01

The aim of this study was to document the current state of administrative structure in US diagnostic radiology (DR) residency program leadership. A secondary objective was to assess for correlation(s), if any, with DR residency programs that equipped positions such as assistant, associate, and emeritus program director (PD) with respect to residency size and region of the country. The Fellowship and Residency Electronic Interactive Database, as well as direct communication and programmatic Web site searches, were used to gather data regarding current US DR residency leadership. Data collected included the presence of additional leadership titles, including assistant PD, associate PD, and PD emeritus, and how many faculty members currently held each position. Programs were excluded if results could not be identified. Analysis of variance and t tests were used to estimate the correlations of the size of a residency with having additional or shared PD positions and the types of positions, respectively. Chi-square tests were used to assess for any regional differences. As of the time of this project, the Fellowship and Residency Electronic Interactive Database defined 186 US DR residency programs. A total of 173 programs (93%) were included in the analysis; the remainder were excluded because of unavailability of relevant data. Seventy-two percent (124 of 173) of programs had additional DR leadership positions. Of these, 30 programs (17%) had more than one such position. There were no significant differences in the sizes of the programs that used these additional positions (mean, 25 ± 12; range, 6-72) compared with those that did not (mean, 24 ± 12; range, 7-51). There were no significant differences between programs that had additional positions with respect to region of the country. The majority of US DR residency programs used some form of additional DR leadership position. In the majority of cases, this was in the form of an assistant or associate PD. Nearly one

Evidence-based Practice of Radiology.

Science.gov (United States)

Lavelle, Lisa P; Dunne, Ruth M; Carroll, Anne G; Malone, Dermot E

2015-10-01

Current health care reform in the United States is producing a shift in radiology practice from the traditional volume-based role of performing and interpreting a large number of examinations to providing a more affordable and higher-quality service centered on patient outcomes, which is described as a value-based approach to the provision of health care services. In the 1990 s, evidence-based medicine was defined as the integration of current best evidence with clinical expertise and patient values. When these methods are applied outside internal medicine, the process is called evidence-based practice (EBP). EBP facilitates understanding, interpretation, and application of the best current evidence into radiology practice, which optimizes patient care. It has been incorporated into "Practice-based Learning and Improvement" and "Systems-based Practice," which are two of the six core resident competencies of the Accreditation Council for Graduate Medical Education and two of the 12 American Board of Radiology milestones for diagnostic radiology. Noninterpretive skills, such as systems-based practice, are also formally assessed in the "Quality and Safety" section of the American Board of Radiology Core and Certifying examinations. This article describes (a) the EBP framework, with particular focus on its relevance to the American Board of Radiology certification and maintenance of certification curricula; (b) how EBP can be integrated into a residency program; and (c) the current value and likely place of EBP in the radiology information technology infrastructure. Online supplemental material is available for this article. © RSNA, 2015.

The practice of radiology education. Challenges and trends

International Nuclear Information System (INIS)

Van Deven, Teresa; Hibbert, Kathryn M.; Chhem, Rethy K.; Ulm Univ.

2010-01-01

The role of medical imaging is increasingly integral to health care, drug discovery, biology, and other life sciences. The changes that are occurring call for innovation in the training of the medical imaging experts of tomorrow. In their previous book, Radiology Education: The Scholarship of Teaching and Learning (2008), the editors addressed the philosophical and theoretical underpinnings of scholarship in radiology education. Now, in The Practice of Radiology Education: Challenges and Trends, they focus on the application of these concepts within educational programs for radiology residents and fellows. The book has three sections on Curriculum, Programs and Trainees, and Leadership and Resources. Within this framework, each chapter addresses theory and principles, practical issues, and resources and literature relevant to educational practice. The contributors are educators in radiology from around the world, providing a global perspective on the main challenges facing medical imaging education and the potential strategies required to meet these challenges. It is hoped that the book will assist in attaining the ultimate goal of radiology education: to help patients. (orig.)

Difficulties of adaptation to Order 453 by radiology services

International Nuclear Information System (INIS)

Padilha Filho, L.G.; Chernicharo, C.C.; Montone Junior, V.; Lenine, R.C.; Berquo, F.R.; Koch, H.A.; Costa, V.C.M. da; Rodrigues, I.V.; Duarte, N.S.; Silva, M.O. da

2001-01-01

This work has as its objective to present some difficulties of adaptation of a Radiological Service to Order 453, of Health Ministry. The Order 453, gives regulations to use of radiodiagnostic techniques and require the implementation of Quality Assurance Programs in all institution that make use of ionizing radiation. A survey of functioning conditions of General Hospital - Radiological Service of Santa Casa de Misericordia do Rio de Janeiro, was performed with basis on Order 453. After analysis of these conditions, were noticed some needs as, improvement of professional competence about radiation protection and implementation of a Quality Assurance Program in radiological unit of this hospital

Teaching the Healthcare Economics Milestones to Radiology Residents: Our Pilot Curriculum Experience.

Science.gov (United States)

Prober, Allen S; Mehan, William A; Bedi, Harprit S

2016-07-01

Since July 2013, the Accreditation Council for Graduate Medical Education (ACGME) has required radiology residency programs to implement a set of educational milestones to track residents' educational advancement in six core competencies, including Systems-based Practice. The healthcare economics subcompetency of Systems-based Practice has traditionally been relatively neglected, and given the new increased ACGME oversight, will specifically require greater focused attention. A multi-institutional health-care economics pilot curriculum combining didactic and practical components was implemented across five residency programs. The didactic portion included a package of online recorded presentations, reading, and testing materials developed by the American College of Radiology (ACR's) Radiology Leadership Institute. The practical component involved a series of local meetings led by program faculty with the production of a deliverable based on research of local reimbursement for a noncontrast head computed tomography. The capstone entailed the presentation of each program's deliverable during a live teleconference webcast with a Radiology Leadership Institute content expert acting as moderator and discussion leader. The pilot curriculum was well received by residents and faculty moderators, with 100% of survey respondents agreeing that the pilot met its objective of introducing how reimbursement works in American radiology in 2015 and how business terminology applies to their particular institutions. A health-care economics curriculum in the style of a Massive Open Online Course has strong potential to serve as many residency programs' method of choice in meeting the health-care economics milestones. Copyright © 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

The effects on health of radiological and chemical toxicity

International Nuclear Information System (INIS)

Toledano, M.; Flury-Herard, A.

2003-01-01

Future trends in the protection against the effects on health of radiological and/or chemical toxicity will certainly be based on improved knowledge of specific biological mechanisms and individual sensitivity. Progress in these areas will most likely be made at the interfaces between research, health care and biomedical monitoring. (authors)

Program for the radiological protection of the embryos-fetuses due to the medical exposure of him mother

International Nuclear Information System (INIS)

Lopez B, G.M.; Martinez G, A.; Cardenas H, J.; Gonzalez R, N.; Valdes R, M.; Zaldivar H, W.

2006-01-01

In the last years the organizations in charge of the regulation in matter of radiological protection, its have adopted measures to minimize the risks derived of the medical exposures, paying special attention to those that involve women in age of procreation, gestating and in period of lactation, because the embryo - fetus and the newborn babies ones are very vulnerable to the risks of the ionizing radiations, which can end up producing them multiple effects of variable severity. In Cuba, a Maternal-children program that includes the genetic advice to the pregnant woman from the medical point of view exists but didn't so the evaluation of the radiological risk; which is only carried out by the Medical Surveillance Service of the Protection and Hygiene of the Radiations Center (CPHR), without that mediates an official link among both parts and whose existence is only known by a reduced group of professionals of the health and of specialists in Radiological Protection. On the other hand is not established a strategy at national level for the differentiated information and systematic in these topics that it contributes to the control of the exposures of the embryo fetus and the breast-fed baby. Keeping in mind the above-mentioned the specialists of the CPHR have elaborated a proposal of national program for the radiological protection of the embryo- fetus due to the medical exposure of its progenitor. In the same one it is settles down the interrelation between work groups and multidisciplinary institutions to achieve the detection, communication and consultant ship of the cases of exposure to the fetus or breast-fed baby that happen in the country and at the same time include the training so much of the professionals of the health like of the public in general. Presently work the program and the elements that conform it among those that are, the on-line system developed for the automation of the medical dosimetric evaluation, the technician-methodological documents

Program of radiological monitoring environmental a nuclear facility in latency

International Nuclear Information System (INIS)

Blas, A. de; Riego, A.; Batalla, E.; Tapia, C.; Garcia, R.; Sanchez, J.; Toral, J.

2013-01-01

This paper presents the Radiological Environmental Monitoring program of the Vandellos I nuclear power plant in the latency period. This facility was dismantled to level 2, as defined by the International Atomic Energy Agency. The program is an adaptation of the implanted one during the dismantling, taking into account the isotopes that may be present, as well as the main transfer routes. Along with the description of the program the results obtained in the latent period from 2005 until 2012 are presented.

Radiological control implementation guide

International Nuclear Information System (INIS)

Hamley, S.A.

1993-01-01

A manual is being developed to explain to line managers how radiological controls are designed and implemented. The manual also fills a gap in the Health Physics literature between textbooks and on-the-floor procedures. It may be helpful to new Health Physicists with little practical experience and to those wishing to improve self-assessment, audit, and appraisal processes. Many audits, appraisals, and evaluations have indicated a need for cultural change, increased vigor and example, and more effective oversight by line management. Inadequate work controls are a frequent and recurring problem identified in occurrence reports and accident investigations. Closer study frequently indicates that many line managers are willing to change and want to achieve excellence, but no effective guidance exists that will enable them to understand and implement a modern radiological control program

Comparison of radiology residency programs in ten countries

International Nuclear Information System (INIS)

Willatt, J.M.G.; Mason, A.C.

2006-01-01

The purpose of our study was to compare various aspects of radiology training schemes in ten countries. A questionnaire was sent to senior residents in the UK, USA, Canada, Australia, New Zealand, Italy, Egypt, India, Malaysia and Greece. The questions concerned length of training, required pre-training experience, the organization of the training scheme, teaching, resources, stages at which residents can independently perform and report examinations, fellowships, and progression to jobs. A wide variety of training, ranging from highly scheduled programs with detailed aims and objectives, to self-learning occurs across the world. Examinations and assessments are also variable. There are lessons to be learned from varying practices; more exchanges of ideas should be encouraged. In view of the ''internationalization'' of radiology services and the variation in training styles an international qualification for quality assurance purposes may be desirable. (orig.)

Imaging and radiology

Science.gov (United States)

Interventional radiology; Diagnostic radiology; X-ray imaging ... DIAGNOSTIC RADIOLOGY Diagnostic radiology helps health care professionals see structures inside your body. Doctors that specialize in the interpretation ...

Radiological health training resources 1979. Report for September 1977-August 1979

International Nuclear Information System (INIS)

Munzer, J.E.; Sauer, K.G.

1979-08-01

In an effort to reach radiation control personnel and user groups in greater numbers than is possible through direct training methods, the Training Resources Center distributes many types of radiological health movies, videocassettes, and course listings. The training collection maintained by the Division of Training and Medical Applications includes videocassettes, movies, and printed material. Titles in this publication are limited to radiological health subjects only and include a variety of topics ranging from basic fundamentals to historical perspectives to current state of the art. This publication is published and updated biennially

Radiological safety programs in the petroleum and petrochemistry industry of Venezuela

International Nuclear Information System (INIS)

Romero M, C.

1996-01-01

A diagnosis carried out five years ago showed that in Petroleos de Venezuela (PDVSA) and its subsidiaries, exist about 530 radioactive sources. Also, about 1500 workers were also occupationally exposed, during operations such as industrial radiography and well logging. The same study determined the occurrence of some non-reported accidents and incidents with the overexposure of workers, specially contractors. Most of these problems were the result of the bad application of the radiological protection practices, and on the other hand, the disregarding of the governmental authorities in applying the regulatory standards. In order to solve this situation, PDVSA settled the safety guide for working with ionizing radiation, in which guidelines and technical advice are stablished to perform a safer work with radioactive elements. A radiological protection program was also organized in all the company operational areas. The paper includes the programs, practices and procedures implemented by PDVSA and its subsidiaries. Besides, the result of applying this comprehensive radiation protection program will be showed. (author). 1 ref

Overview of past activities for the use of short-lived radionuclides and the role of the Bureau of Radiological Health

International Nuclear Information System (INIS)

Paras, P.

1985-01-01

The Bureau of Radiological Health has developed a national program to control unnecessary medical radiation exposures to man and to assure the safe and effective use of radiation. The continuing interest and the role of the Bureau in the use of short-lived radionuclides (SLR's) are emphasized. An overview of the Bureau's SLR program, past accomplishments, and the status of production and use of iodine-123 are presented

Development of a Program on quality assurance in radiotherapy and radiology

International Nuclear Information System (INIS)

Tovar, Julio

2000-01-01

In this paper the development of a program of QA in radiotherapy and radiology is described. The objectives, resources, manpower and the cooperation between the IAEA and the Direccion General de Energia are outlined

Monitoring activities review of the Radiological Environmental Surveillance Program

International Nuclear Information System (INIS)

Ritter, P.D.

1992-03-01

The 1992 Monitoring Activities Review (MAR) is directed at the Radiological Environment Surveillance Program (RESP) activities at the Radioactive Waste Management Complex (RWMC) of Idaho Engineering Laboratory (INEL). MAR panelists studied RESP documents and discussed their concerns with Environmental Monitoring Unit (EMU) staff and other panel members. These concerns were subsequently consolidated into a collection of recommendations with supporting discussions. Recommendations focus on specific monitoring activities, as well as the overall program. The MAR report also contains pertinent comments that should not require further action

Independent auto evaluation of an operative radiological protection program; Autoevaluacion independiente de un programa de proteccion radiologica operativa

Energy Technology Data Exchange (ETDEWEB)

Medrano L, M.A.; Rodriguez C, C.C.; Linares R, D.; Zarate M, N.; Zempoalteca B, R. [Gerencia Subsede Sureste Instituto Nacional de Investigaciones Nucleares, 52045 Ocoyoacac, Estado de Mexico (Mexico)]. e-mail: maam@nuclear.inin.mx

2006-07-01

The program of operative radiological protection of a nuclear power plant consists of multiple procedures and associate tasks that have as purpose the radiological protection of the workers of the power station. It is for this reason that the constant evaluation of the one it programs it is an important tool in the identification of their weaknesses (and strengths), so they can be assisted appropriately. In this work the main elements of the program of independent auto evaluation of the program of operative radiological protection of the Laguna Verde Central that has been developed and implemented by the National Institute of Nuclear Research are described. (Author)

Bureau of Radiological Health publications index

International Nuclear Information System (INIS)

1979-08-01

The Key Word in Context (KWIC) index to the publications of the Bureau of Radiological Health was prepared to aid in the retrieval and identification of publications originated or authored by Bureau staff or published by the Bureau. These publications include journal articles, government publications and technical reports, selected staff papers, and Bureau news releases issued by HEW. For convenience, the document is divided into four sections, KWIC Index, Author Index, Bibliography Index, and BRH Publications Subject Index

Strategic planning and radiology practice management in the new health care environment.

Science.gov (United States)

Sharpe, Richard E; Mehta, Tejas S; Eisenberg, Ronald L; Kruskal, Jonathan B

2015-01-01

Current comprehensive health care reform in the United States demands that policy makers, insurers, providers, and patients work in reshaping the health care system to deliver care that is both more affordable and of higher quality. A tectonic shift is under way that runs contrary to the traditional goal of radiology groups to perform and interpret large numbers of imaging examinations. In fact, radiology service requisitions now must be evaluated for their appropriateness, possibly resulting in a reduction in the number of imaging studies performed. To be successful, radiology groups will have to restructure their business practices and strategies to align with the emerging health care paradigm. This article outlines a four-stage strategic framework that has aided corporations in achieving their goals and that can be readily adapted and applied by radiologists. The four stages are (a) definition and articulation of a purpose, (b) clear definition of strategic goals, (c) prioritization of specific strategic enablers, and (d) implementation of processes for tracking progress and enabling continuous adaptation. The authors provide practical guidance for applying specific tools such as analyses of strengths, weaknesses, opportunities, and threats (so-called SWOT analyses), prioritization matrices, and balanced scorecards to accomplish each stage. By adopting and applying these tools within the strategic framework outlined, radiology groups can position themselves to succeed in the evolving health care environment. RSNA, 2015

The economics of interventional radiology

International Nuclear Information System (INIS)

Price, G.W.

1988-01-01

At a time when policy makers and regulators are scheming to reduce the costs and utilization of medical services, interventional radiology is poised for growth. Part of this potential for growth is based on wider acceptance of the procedures performed by interventional radiologists. A second factor in the growth potential is the relative value in cost of these procedures compared with alternative therapies. The author presents a discussion of the differences in the relative value of these procedures when performed by physicians of different specialties. This paper reviews the status of the economic climate in the health care delivery system and the role and potential growth of interventional radiology. This includes a review of current data on the utilization of interventional radiology procedures in the Medicare program. This overview includes a discussion of the initiatives of the federal government which directly impact interventional radiology

Sampling on radiological protection training in diagnostic radiology

International Nuclear Information System (INIS)

Gaona, E.

2001-01-01

Radiological security aspects were evaluated in radiology departments from Mexico City. The study was carried out in two stages, the first one evaluated 40 departments just before the implementation of the new Official Mexican Standards related to Radiological Security and Quality Control in Radiology; in the second stage 33 departments were evaluated 2 years after those standards were implanted, showing a favorable impact of the training programs for the type of answers obtained [es

Learning on human resources management in the radiology residency program

Energy Technology Data Exchange (ETDEWEB)

Oliveira, Aparecido Ferreira de; Lederman, Henrique Manoel; Batista, Nildo Alves, E-mail: aparecidoliveira@ig.com.br [Universidade Federal de Sao Paulo (EPM/UNIFESP), Sao Paulo, SP (Brazil). Escola Paulista de Medicina

2014-03-15

Objective: to investigate the process of learning on human resource management in the radiology residency program at Escola Paulista de Medicina - Universidade Federal de Sao Paulo, aiming at improving radiologists' education. Materials and methods: exploratory study with a quantitative and qualitative approach developed with the faculty staff, preceptors and residents of the program, utilizing a Likert questionnaire (46), taped interviews (18), and categorization based on thematic analysis. Results: According to 71% of the participants, residents have clarity about their role in the development of their activities, and 48% said that residents have no opportunity to learn how to manage their work in a multidisciplinary team. Conclusion: Isolation at medical records room, little interactivity between sectors with diversified and fixed activities, absence of a previous culture and lack of a training program on human resources management may interfere in the development of skills for the residents' practice. There is a need to review objectives of the medical residency in the field of radiology, incorporating, whenever possible, the commitment to the training of skills related to human resources management thus widening the scope of abilities of the future radiologists. (author)

Learning on human resources management in the radiology residency program

International Nuclear Information System (INIS)

Oliveira, Aparecido Ferreira de; Lederman, Henrique Manoel; Batista, Nildo Alves

2014-01-01

Objective: to investigate the process of learning on human resource management in the radiology residency program at Escola Paulista de Medicina - Universidade Federal de Sao Paulo, aiming at improving radiologists' education. Materials and methods: exploratory study with a quantitative and qualitative approach developed with the faculty staff, preceptors and residents of the program, utilizing a Likert questionnaire (46), taped interviews (18), and categorization based on thematic analysis. Results: According to 71% of the participants, residents have clarity about their role in the development of their activities, and 48% said that residents have no opportunity to learn how to manage their work in a multidisciplinary team. Conclusion: Isolation at medical records room, little interactivity between sectors with diversified and fixed activities, absence of a previous culture and lack of a training program on human resources management may interfere in the development of skills for the residents' practice. There is a need to review objectives of the medical residency in the field of radiology, incorporating, whenever possible, the commitment to the training of skills related to human resources management thus widening the scope of abilities of the future radiologists. (author)

RIMS/sup tm/ - radiological information management system: software package EI-029-S86

International Nuclear Information System (INIS)

Anon.

1988-01-01

RIMS/sup tm/ has been developed for health physics record keeping and reporting. It provides for the management needs relating to radiological information control at a nuclear facility. The program is comprised of the following modules: Personnel Radiological Information, Radiological Work Permit, Radiation Survey Records, Access Control, ALARA Reporting, and Respirator and Survey Instrument Inventory Modules

RIMS/sup tm/ - radiological information management system: software package EI-029-S86

Energy Technology Data Exchange (ETDEWEB)

1988-01-01

RIMS/sup tm/ has been developed for health physics record keeping and reporting. It provides for the management needs relating to radiological information control at a nuclear facility. The program is comprised of the following modules: Personnel Radiological Information, Radiological Work Permit, Radiation Survey Records, Access Control, ALARA Reporting, and Respirator and Survey Instrument Inventory Modules.

Radiological monitoring of food in Cuba

International Nuclear Information System (INIS)

Jerez V, S.F.

1996-01-01

The appearing of the problem for protecting the environment from radioactive contamination is not an accidental matter. The introduction into the earth crust of radioactive material coming from nuclear weapons, accidents, wastes, etc, has caused, as a consequence, the contamination of the biosphere. The extensive trade of food in our country has made necessary the establishment of radiological monitoring in food, which was organized by the Department of Public Health. The structure, functions, characteristics and aspects related to radiological monitoring of food in Cuba are shown in the present paper. The organization and resources for performing the monitoring program, both for normal conditions and for nuclear and/or radiological emergency cases, are detailed. (author). 12 refs., 2 figs

Westinghouse corporate development of a decision software program for Radiological Evaluation Decision Input (REDI)

International Nuclear Information System (INIS)

Bush, T.S.

1995-01-01

In December 1992, the Department of Energy (DOE) implemented the DOE Radiological Control Manual (RCM). Westinghouse Idaho Nuclear Company, Inc. (WINCO) submitted an implementation plan showing how compliance with the manual would be achieved. This implementation plan was approved by DOE in November 1992. Although WINCO had already been working under a similar Westinghouse RCM, the DOE RCM brought some new and challenging requirements. One such requirement was that of having procedure writers and job planners create the radiological input in work control procedures. Until this time, that information was being provided by radiological engineering or a radiation safety representative. As a result of this requirement, Westinghouse developed the Radiological Evaluation Decision Input (REDI) program

Westinghouse corporate development of a decision software program for Radiological Evaluation Decision Input (REDI)

Energy Technology Data Exchange (ETDEWEB)

Bush, T.S. [Westinghosue Idaho Nuclear Co., Inc., Idaho Falls, ID (United States)

1995-03-01

In December 1992, the Department of Energy (DOE) implemented the DOE Radiological Control Manual (RCM). Westinghouse Idaho Nuclear Company, Inc. (WINCO) submitted an implementation plan showing how compliance with the manual would be achieved. This implementation plan was approved by DOE in November 1992. Although WINCO had already been working under a similar Westinghouse RCM, the DOE RCM brought some new and challenging requirements. One such requirement was that of having procedure writers and job planners create the radiological input in work control procedures. Until this time, that information was being provided by radiological engineering or a radiation safety representative. As a result of this requirement, Westinghouse developed the Radiological Evaluation Decision Input (REDI) program.

Radiologic safety program for ionizing radiation facilities in Parana, Brazil

International Nuclear Information System (INIS)

Schmidt, M.F.S.; Tilly Junior, J.G.

1997-01-01

A radiologic safety program for inspection, licensing and control of the use of ionizing radiation in medical, industrial and research facilities in Parana, Brazil is presented. The program includes stages such as: 1- division into implementation phases considering the activity development for each area; 2-use of the existing structure to implement and to improve services. The development of the program will permit to evaluate the improvement reached and to correct operational strategic. As a result, a quality enhancement at the services performed, a reduction for radiation dose exposure and a faster response for emergency situations will be expected

Radiological health risks from accidents during transportation of spent nuclear fuels

International Nuclear Information System (INIS)

Chen, S.Y.; Yuan, Y.C.

1988-01-01

Potential radiological health risks from severe accident scenarios during the transportation of spent nuclear fuels are estimated. These extremely low probability, but potentially credible, scenarios are characterized by the U.S. Nuclear Regulatory Commission's Modal Study in terms of the maximum credible structural responses and/or the maximum credible cask temperature responses. In some accident scenarios, the spent nuclear fuel casks are assumed to be breached, resulting in the release of radioactivity to the atmosphere. Models have been developed to estimate radiological health consequences, including potential short-term exposures and health effects to individuals and potential long-term environmental dose commitments and health effects to the population. The population risks are calculated using state-level data, and the resulting overall health risks are compared for several levels of cleanup effort to determine the relative effects on long-term risks to the population in the event of an accident. 4 refs., 3 figs., 3 tabs

SHIELD 1.0: development of a shielding calculator program in diagnostic radiology

International Nuclear Information System (INIS)

Santos, Romulo R.; Real, Jessica V.; Luz, Renata M. da; Friedrich, Barbara Q.; Silva, Ana Maria Marques da

2013-01-01

In shielding calculation of radiological facilities, several parameters are required, such as occupancy, use factor, number of patients, source-barrier distance, area type (controlled and uncontrolled), radiation (primary or secondary) and material used in the barrier. The shielding design optimization requires a review of several options about the physical facility design and, mainly, the achievement of the best cost-benefit relationship for the shielding material. To facilitate the development of this kind of design, a program to calculate the shielding in diagnostic radiology was implemented, based on data and limits established by National Council on Radiation Protection and Measurements (NCRP) 147 and SVS-MS 453/98. The program was developed in C⌗ language, and presents a graphical interface for user data input and reporting capabilities. The module initially implemented, called SHIELD 1.0, refers to calculating barriers for conventional X-ray rooms. The program validation was performed by the comparison with the results of examples of shielding calculations presented in NCRP 147.

Radiological control aspects of the fabrication of the Light Water Breeder Reactor core (LWBR Development Program)

International Nuclear Information System (INIS)

Schultz, B.G.

1979-05-01

A description is presented of the radiological control aspects of the fabrication of the Light Water Breeder Reactor (LWBR) core. Included are the radiological control criteria applied for the design and use of fabrication facilities, the controls and limits imposed to minimize radiaion exposure to personnel, and an evaluation of the applied radiological program in meeting the program objectives. The goal of the LWBR program is to develop the technology to breed in light water reactors so that nuclear fuel may be used significantly more efficiently in these reactors. This technology is being developed by designing and fabricating a breeder reactor core, utilizing thoria (ThO 2 ) and binary thoria--urania (ThO 2 - 233 UO 2 ) fuel, to be operated in the existing pressurized water reactor plant owned by the Department of Energy at Shippingport, Pennsylvania

Model for the elaboration of program of environmental radiological monitoring reports

International Nuclear Information System (INIS)

2005-11-01

This Regulation refers to the requirements of the Regulation CNEN-NN.3.01 'Basic Guidelines for Radiation Protection', expressed in the section 5.14, and its application related to the emission of reports of Environmental Radiological Monitoring Program to be submitted to CNEN evaluation

Training Programs on Radiological Safety for users of Ionizing Radiations in Peru

International Nuclear Information System (INIS)

Medina Gironzini, E.

2003-01-01

In Peru, people who work with ionizing radiations must have an authorization (Individual License) as established in the Radiological Safety Regulations, which are the mandatory rules. The Technical Office of the National Authority (OTAN), which is the technical organ of the Peruvian Institute of Nuclear Energy (IPEN) in charge of controlling radiations within the country , grants the authorization after the candidate demonstrates that he/she knows the specific use of the technique using radiations, as well a s the aspects related to safety and radiological protection. Since it was created in 1972, the Superior Center of Nuclear Studies (VSEN) from IPEN has carried out different training courses so that people can work safety with ionizing radiations in medicine, industry and investigation. The analysis of the radiological safety programs carried out by CSEN during the last 30 years, which allowed the training of more than 2200 people in the country and, at the same time, made possible the securing of the respective Individual License, is presented in this work. The courses, nuclear medicine, radiotherapy, industrial radiography, nuclear gauges gamma irradiator, etc...) and are part of the continuous education program of CSEN. (Author)

Precision Radiology Residency Training: Special Distinction Tracks for Noninterpretative Professional Development.

Science.gov (United States)

Snyder, Elizabeth; Solnes, Lilja; Horton, Karen M; Johnson, Pamela T

2018-06-01

The role of a radiologist has expanded beyond the tripartite mission of patient care, education, and research to include cross-specialty consultation for patient management, innovative solutions to improve health-care quality and safety, device design, and policy advocacy. As such, radiology residency programs should incorporate formalized training to prepare residents for these various professional roles. Since the 2015-2016 academic year, five training tracks focused on noninterpretative skills have been integrated into our residency training program: Clinician Educator, Quality Improvement, Entrepreneurship/Innovation, Health Policy Advocacy, and High-Value Care. Each track is longitudinal, with a set of requirements throughout the residents' training necessary to achieve certification at graduation. To date nine residents have participated in the programs, including two who received distinction in two separate tracks. Residents in each of the tracks have implemented successful initiatives related to the focus area. As such, these tracks enrich training by ensuring that residents make meaningful contributions to the department and institution during their training and disseminate successful initiatives through presentation at national meetings and publications. The duration of a radiology residency and resources available in an academic center provide opportunities for residency program directors to advance residents' skills in important noninterpretative components of radiology practice. Regardless of whether residents pursue academic medicine or private practice, these skills are necessary for graduates to become valuable members of a radiology practice and serve as national leaders in the field of radiology. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

Radiology Reporting System Data Exchange With the Electronic Health Record System: A Case Study in Iran.

Science.gov (United States)

Ahmadi, Maryam; Ghazisaeidi, Marjan; Bashiri, Azadeh

2015-03-18

In order to better designing of electronic health record system in Iran, integration of health information systems based on a common language must be done to interpret and exchange this information with this system is required. This study provides a conceptual model of radiology reporting system using unified modeling language. The proposed model can solve the problem of integration this information system with the electronic health record system. By using this model and design its service based, easily connect to electronic health record in Iran and facilitate transfer radiology report data. This is a cross-sectional study that was conducted in 2013. The study population was 22 experts that working at the Imaging Center in Imam Khomeini Hospital in Tehran and the sample was accorded with the community. Research tool was a questionnaire that prepared by the researcher to determine the information requirements. Content validity and test-retest method was used to measure validity and reliability of questioner respectively. Data analyzed with average index, using SPSS. Also Visual Paradigm software was used to design a conceptual model. Based on the requirements assessment of experts and related texts, administrative, demographic and clinical data and radiological examination results and if the anesthesia procedure performed, anesthesia data suggested as minimum data set for radiology report and based it class diagram designed. Also by identifying radiology reporting system process, use case was drawn. According to the application of radiology reports in electronic health record system for diagnosing and managing of clinical problem of the patient, with providing the conceptual Model for radiology reporting system; in order to systematically design it, the problem of data sharing between these systems and electronic health records system would eliminate.

Radiology fundamentals

CERN Document Server

Singh, Harjit

2011-01-01

""Radiology Fundamentals"" is a concise introduction to the dynamic field of radiology for medical students, non-radiology house staff, physician assistants, nurse practitioners, radiology assistants, and other allied health professionals. The goal of the book is to provide readers with general examples and brief discussions of basic radiographic principles and to serve as a curriculum guide, supplementing a radiology education and providing a solid foundation for further learning. Introductory chapters provide readers with the fundamental scientific concepts underlying the medical use of imag

Quality assurance programme in diagnostic radiology

International Nuclear Information System (INIS)

Yacovenco, A.A.

1996-01-01

One hundred years after the discovery of X-rays, they continue being nowadays part of physicians' daily activities, and the diagnosis through the use of X-ray equipment is one of the most important fields in clinical medicine, thus becoming the most important cause of human exposure to artificial sources. For this reason, in the last twenty years, most of the developed countries did the utmost to establish programs which could warrant the quality of the radiographic image. Aiming the protection of human being against the harmful effects of ionizing radiations, in December 1980, World Health Organization decided to form a group of professionals highly experienced in medical radiology, and initiate an inspection and quality control program. In September 1988, the Group of Studies of the Program Related to Radiological Protection of the Commission in the European Communities, prepared a working paper in which guidelines were set up regarding quality of images, dosage to patient, and associated radiographic factors, necessary to obtain acceptable radiologic performance. In Brazil, efforts driven in this direction, guided by some equipment testing, starting in 1990, began to be more known. When the Director and the Head of Radiology in the Military Police Hospital of the State of Rio de Janeiro (HPM) reamed about these efforts, they decided to contact the Institute for Radioprotection and Dosimetry (IRD) of Comissao Nacional de Energia Nuclear and submit the problem of low radiologic performance and increasing rates of rejection. Thus, with the coincidence of interests and needs, along with a proposal from the Commission of the European Communities (CEC), IRD decided to offer the author laboratory support to elaborate a Quality Assurance Program (QAP) to be implemented in HPM. (author)

Compilation of historical radiological data collected in the vicinity of the WIPP site

International Nuclear Information System (INIS)

Bradshaw, P.L.; Louderbough, E.T.

1987-01-01

The Radiological Baseline Program (RBP) at the Waste Isolation Pilot Plant (WIPP) has been implemented to characterize the radiological conditions at the site prior to receipt of radioactive wastes. Because southeastern New Mexico was the site of an underground nuclear test in 1961, various sampling programs have intermittently monitored background and elevated radiation levels in the vicinity of the WIPP. In addition, radiological characterization of the site region was performed during the 1970's in support of the WIPP Environmental Impact Statement. The historical data are drawn primarily from monitoring activities of the US Public Health Service (PHS), the Environmental Protection Agency (EPA), US Geological Survey (USGS) and Sandia National Laboratories, Albuquerque (SNLA). Information on air and water quality, meat, milk, biota and vegetation is included in the report. This survey is intended to provide a source of reference for historical data on radiological conditions in the vicinity of the WIPP site prior to the establishment of a systematic Radiological Baseline Program. 31 refs., 1 fig

Bureau of Radiological Health Publications Index, August 1978. Report for 1953--1978

International Nuclear Information System (INIS)

1978-08-01

The Bureau of Radiological Health Publications Index to the publications of the Bureau of Radiological Health was prepared to aid in the retrieval and identification of publications originated or authored by Bureau staff or published by the Bureau. These publications include journal articles, government publications and technical reports, selected staff papers and Bureau news releases issued by HEW. For convenience, the document is divided into three sections, KWIC Index, Author Index, and Bibliography Index as described. A section on BRH Technical Reports Index by Subject is included. This portion of the Publications Index lists only those reports published by BRH since 1972

Radiological English

Energy Technology Data Exchange (ETDEWEB)

Ribes, R. [Hospital Reina Sofia, Cordoba (Spain). Servicio de Radiologia; Ros, P.R. [Harvard Medical School, Boston, MA (United States). Div. of Radiology

2007-07-01

The book is an introductory book to radiological English on the basis that there are a lot of radiologists, radiology residents, radiology nurses, radiology students, and radiographers worldwide whose English level is indeterminate because their reading skills are much higher than their fluency. It is intended to help those health care professionals who need English for their work but do not speak English on a day-to-day basis. (orig.)

Radiological English

International Nuclear Information System (INIS)

Ribes, R.; Ros, P.R.

2007-01-01

The book is an introductory book to radiological English on the basis that there are a lot of radiologists, radiology residents, radiology nurses, radiology students, and radiographers worldwide whose English level is indeterminate because their reading skills are much higher than their fluency. It is intended to help those health care professionals who need English for their work but do not speak English on a day-to-day basis. (orig.)

FDA (Food and Drug Administration) Compliance Program Guidance Manual (FY 88). Section 4. Medical and radiological devices

International Nuclear Information System (INIS)

1988-01-01

The FDA Compliance Program Guidance Manual provides a system for issuing and filing program plans and instructions directed to Food and Drug Administration Field operations for project implementation. Section IV provides those chapters of the Compliance Program Guidance Manual which pertain to the areas of medical and radiological devices. Some of the areas of coverage include laser and sunlamp standards inspections, compliance testing of various radiation-emitting products such as television receivers and microwave ovens, emergency response planning and policy, premarket approval and device manufacturers inspections, device problem reporting, sterilization of devices, and consumer education programs on medical and radiological devices

Environmental and radiological remediation under Canada's global partnership program 2004-11 - 59185

International Nuclear Information System (INIS)

Washer, Michael J.

2012-01-01

Following the '911' attack on the USA in 2001 the international community under Canada's G8 leadership established a $20 billion Global Partnership initiative in 2002 to collaboratively address threats to global security posed by the proliferation and potential terrorist use of Weapons and Materials of Mass Destruction (WMMD) and related materials and knowledge. This major international initiative addressed four priority areas: (1) Chemical Weapon Destruction (2) Nuclear powered submarine eliminations (3) Nuclear and radiological security; and (4) Employment for former weapon scientists. Additionally the initiative has addressed Biological Non- Proliferation. Canada's execution of all these program areas has resulted in substantial environmental benefits aside from the eradication and securing of WMMD. This paper reviews the environmental and radiological remediation achievements of the four primary Global Partnership program areas addressed under Canadian funding 2004 through 2011. (author)

U.S. Department of Energy Region 6 Radiological Assistance Program response plan. Revision 2

International Nuclear Information System (INIS)

Jakubowski, F.M.

1998-02-01

Upon request, the DOE, through the Radiological Assistance Program (RAP), makes available and will provide radiological advice, monitoring, and assessment activities during radiological incidents where the release of radioactive materials is suspected or has occurred. Assistance will end when the need for such assistance is over, or if there are other resources available to adequately address the incident. The implementation of the RAP is usually accomplished through the recommendation of the DOE Regional Coordinating Office's (RCO) on duty Regional Response Coordinator (RRC) with the approval of the Regional Coordinating Office Director (RCOD). The DOE Idaho Operations Office (DOE-ID) is the designated RCO for DOE Region 6 RAP. The purpose of this document is: to describe the mechanism for responding to any organization or private citizen requesting assistance to radiological incidents; to coordinate radiological assistance among participating federal agencies, states, and tribes in DOE Region 6; and to describe the RAP Scaled Response concept of operations

The current child and adolescent health screening system: an assessment and proposal for an early and periodic check-up program

Directory of Open Access Journals (Sweden)

Baik-Lin Eun

2010-03-01

Full Text Available Purpose : Recent changes in the population structure of Korea, such as rapid decline in birth rate and exponential increase in old-aged people, prompted us to prepare a new health improvement program in children and adolescents. Methods : We reviewed current health screenings applied for children and adolescents in Korea and other developed countries. We collected and reviewed population-based data focused on mortality and morbidity, and other health-related statistical data. We generated problem lists in current systems and developed new principles. Results : Current health screening programs for children and adolescents were usually based on laboratory tests, such as blood tests, urinalysis, and radiologic tests. Almost all of these programs lacked evidence based on population data or controlled studies. In most developed countries, laboratory tests are used only very selectively, and they usually focus on primary prevention of diseases and health improvement using anticipatory guidance. In Korea, statistics on mortality and morbidity reveal that diseases related to lifestyle, such as obesity and metabolic syndrome, are increasing in all generations. Conclusion : We recommend a periodic health screening program with anticipatory guidance, which is focused on growth and developmental surveillance in infants and children. We no longer recommend old programs that are based on laboratory and radiologic examinations. School health screening programs should also be changed to meet current health issues, such as developing a healthier lifestyle to minimize risk behaviors&#8212;for example, good mental health, balanced nutrition, and more exercise.

Radiology Resident Supply and Demand: A Regional Perspective.

Science.gov (United States)

Pfeifer, Cory M

2017-09-01

Radiology was subject to crippling deficits in the number of jobs available to graduates of training programs from 2012 through 2015. As the specialty transitions to the assimilation of osteopathic training programs and the welcoming of direct competition from new integrated interventional radiology programs, the assessment of growth in radiology training positions over the 10 years preceding this pivotal time will serve to characterize the genesis of the crisis while inspiring stakeholders to avoid similar negative fluctuations in the future. The number of per capita radiology trainees in each region was derived from data published by the National Resident Matching Program, as were annual match statistics over the years 2012 through 2016. Data regarding new interventional radiology and diagnostic radiology enrollees were also obtained from the National Resident Matching Program. The seven states with the most per capita radiology residents were in the Mid-Atlantic and Northeastern United States in both 2006 and 2016, and three of these seven also showed the greatest per capita growth over the course of the 10 years studied. New radiology programs were accredited during the peak of the job shortage. Integrated interventional radiology training created 24 de novo radiology residents in the 2017 match. Fill rates are weakly positively correlated with program size. Unregulated radiology program growth persisted during the decade leading up to 2016. The region with the fewest jobs available since 2012 is also home to the greatest number of per capita radiology residents. Numerous published opinions during the crisis did not result in enforced policy change. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Training in radiological protection: Curricula and programming

International Nuclear Information System (INIS)

1964-01-01

An important activity of the International Atomic Energy Agency is the promotion of training in radiological protection. Through its organized training courses, its fellowship training programme and its field experts, the Agency has assisted many Member States to train an essential group of scientists in radiological protection. Many Member States are now developing their own national training programmes in radiological protection and this report has been prepared to provide the guidance that may be required in this development. In the report the various types of training which are encountered in a radiological protection programme are fully discussed, curricula are suggested and examples of established training courses are annexed

Overview of the aerial radiological measuring system (ARMS) program

International Nuclear Information System (INIS)

Deal, L.J.; Doyle, J.F. III.

1975-01-01

Since 1960 EG and G, Inc. has developed and maintained for the U.S. Energy Research and Development Administration (ERDA) a state-of-the-art radiation surveillance program called the Aerial Radiological Measuring System (ARMS). Radiological surveys covering more than 300,000 square miles have been performed. In addition to the radiation detector gear, the system includes an inertial navigation system, radar altimeter, meteorological probes, air sampler, air sample analyzer, multispectral cameras, aerial mapping camera and infrared scanner. The recently improved data acquisition system, REDAR, records all inputs digitally on magnetic tape and is readily mounted in fixed-wing aircraft or helicopters. The data analysis system, REDAC, is mounted in a mobile processing laboratory which accompanies the aircraft on surveys. Radiation isopleth maps, both for gross counts and selected isotopes, can be prepared in the field. Special computer software enables the ARMS to detect changes of less than 1.0 μR/hr in exposure rates between successive surveys of a given site

ORNL necessary and sufficient standards for environment, safety, and health. Final report of the Identification Team for other industrial, radiological, and non-radiological hazard facilities

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-07-01

This Necessary and Sufficient (N and S) set of standards is for Other Industrial, Radiological, and Non-Radiological Hazard Facilities at Oak Ridge National Laboratory (ORNL). These facility classifications are based on a laboratory-wide approach to classify facilities by hazard category. An analysis of the hazards associated with the facilities at ORNL was conducted in 1993. To identify standards appropriate for these Other Industrial, Radiological, and Non-Radiological Hazard Facilities, the activities conducted in these facilities were assessed, and the hazards associated with the activities were identified. A preliminary hazards list was distributed to all ORNL organizations. The hazards identified in prior hazard analyses are contained in the list, and a category of other was provided in each general hazard area. A workshop to assist organizations in properly completing the list was held. Completed hazard screening lists were compiled for each ORNL division, and a master list was compiled for all Other Industrial, Radiological Hazard, and Non-Radiological facilities and activities. The master list was compared against the results of prior hazard analyses by research and development and environment, safety, and health personnel to ensure completeness. This list, which served as a basis for identifying applicable environment, safety, and health standards, appears in Appendix A.

ORNL necessary and sufficient standards for environment, safety, and health. Final report of the Identification Team for other industrial, radiological, and non-radiological hazard facilities

International Nuclear Information System (INIS)

1998-07-01

This Necessary and Sufficient (N and S) set of standards is for Other Industrial, Radiological, and Non-Radiological Hazard Facilities at Oak Ridge National Laboratory (ORNL). These facility classifications are based on a laboratory-wide approach to classify facilities by hazard category. An analysis of the hazards associated with the facilities at ORNL was conducted in 1993. To identify standards appropriate for these Other Industrial, Radiological, and Non-Radiological Hazard Facilities, the activities conducted in these facilities were assessed, and the hazards associated with the activities were identified. A preliminary hazards list was distributed to all ORNL organizations. The hazards identified in prior hazard analyses are contained in the list, and a category of other was provided in each general hazard area. A workshop to assist organizations in properly completing the list was held. Completed hazard screening lists were compiled for each ORNL division, and a master list was compiled for all Other Industrial, Radiological Hazard, and Non-Radiological facilities and activities. The master list was compared against the results of prior hazard analyses by research and development and environment, safety, and health personnel to ensure completeness. This list, which served as a basis for identifying applicable environment, safety, and health standards, appears in Appendix A

MARC - the NRPB methodology for assessing radiological consequences of accidental releases of activity

International Nuclear Information System (INIS)

Clarke, R.H.; Kelly, G.N.

1981-12-01

The National Radiological Protection Board has developed a methodology for the assessment of the public health related consequences of accidental releases of radionuclides from nuclear facilities. The methodology consists of a suite of computer programs which predict the transfer of activity from the point of release to the atmosphere through to the population. The suite of programs is entitled MARC; Methodology for Assessing Radiological Consequences. This report describes the overall framework and philosophy utilised within MARC. (author)

Improving the interactivity and functionality of Web-based radiology teaching files with the Java programming language.

Science.gov (United States)

Eng, J

1997-01-01

Java is a programming language that runs on a "virtual machine" built into World Wide Web (WWW)-browsing programs on multiple hardware platforms. Web pages were developed with Java to enable Web-browsing programs to overlay transparent graphics and text on displayed images so that the user could control the display of labels and annotations on the images, a key feature not available with standard Web pages. This feature was extended to include the presentation of normal radiologic anatomy. Java programming was also used to make Web browsers compatible with the Digital Imaging and Communications in Medicine (DICOM) file format. By enhancing the functionality of Web pages, Java technology should provide greater incentive for using a Web-based approach in the development of radiology teaching material.

Ethnic and Gender Diversity in Radiology Fellowships.

Science.gov (United States)

West, Derek L; Nguyen, HaiThuy

2017-06-01

The purpose of the study is to assess ethnic and gender diversity in US radiology fellowship programs from 2006 to 2013. Data for this study was obtained from Journal of the American Medical Association supplements publications from 2005 to 2006 to 2012-2013 (Gonzalez-Moreno, Innov Manag Policy Pract. 15(2):149, 2013; Nivet, Acad Med. 86(12):1487-9, 2011; Reede, Health Aff. 22(4):91-3, 2003; Chapman et al., Radiology 270(1):232-40, 2014; Getto, 2005; Rivo and Satcher, JAMA 270(9):1074-8, 1993; Schwartz et al., Otolaryngol Head Neck Surg. 149(1):71-6, 2013; Simon, Clin Orthop Relat Res. 360:253-9, 1999) and the US census 2010. For each year, Fisher's exact test was used to compare the percentage of women and under-represented minorities in each Accreditation Council for Graduate Medical Education (ACGME)-certified radiology fellowship to the percentage of women and under-represented minorities in (1) all ACGME-certified radiology fellowships combined, (2) radiology residents, (3) ACGME-certified fellows in all of medicine combined, (4) ACGME-certified residents in all of medicine combined, and (5) graduating medical students. Chi-Squared test was used to compare the percentage of women and under-represented minorities and the 2010 US census. p gender and ethnic disparities. Outreach efforts, pipeline programs, and mentoring may be helpful in addressing this issue.

Radiological protection and quality control for diagnostic radiology in China

International Nuclear Information System (INIS)

Baorong, Yue

2008-01-01

Full text: There are 43,000 diagnostic departments, nearly 70,000 X-ray diagnostic facilities, 7,000 CT, 250 million for the annual total numbers of X-ray examinations, 120,000 occupationally exposed workers in diagnostic radiology. 'Basic standards for protection against ionizing radiation and for the safety of radiation sources' is promulgated on October, 2002. This basic standard follows the BSS. 'Rule on the administration of radio-diagnosis and radiotherapy', as a order of the Ministry of Health No. 46, is promulgated by Minister of Health on January 24, 2006. It includes general provisions, requirements and practice, establishment and approval of radio-diagnosis and radiotherapy services, safeguards and quality assurance, and so on. There are a series of radiological protection standards and quality control standards in diagnostic radiology, including 'radiological protection standard for the examination in X-ray diagnosis', 'radiological health protection standards for X-ray examination of child-bearing age women and pregnant women', 'radiological protection standards for the children in X-ray diagnosis', 'standards for radiological protection in medical X-ray diagnosis', 'specification for radiological protection monitoring in medical X-ray diagnosis', 'guide for reasonable application of medical X-ray diagnosis', 'general aspects for quality assurance in medical X-ray image of diagnosis', 'specification of image quality control test for the medical X-ray diagnostic equipment', 'specification of image quality assurance test for X-ray equipment for computed tomography', 'specification for testing of quality control in computed radiography (CR)' and 'specification for testing of quality control in X-ray mammography'. With the X-ray diagnostic equipment, there are acceptant tests, status tests and routing tests in large hospitals. It is poor for routing test in middle and smaller hospitals. CT is used widely in diagnostic radiology, however most workers in CT

Radiological Control Manual

Energy Technology Data Exchange (ETDEWEB)

1993-04-01

This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records.

Radiological Control Manual

International Nuclear Information System (INIS)

1993-04-01

This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records

Costing in Radiology and Health Care: Rationale, Relativity, Rudiments, and Realities.

Science.gov (United States)

Rubin, Geoffrey D

2017-02-01

Costs direct decisions that influence the effectiveness of radiology in the care of patients on a daily basis. Yet many radiologists struggle to harness the power of cost measurement and cost management as a critical path toward establishing their value in patient care. When radiologists cannot articulate their value, they risk losing control over how imaging is delivered and supported. In the United States, recent payment trends directing value-based payments for bundles of care advance the imperative for radiology providers to articulate their value. This begins with the development of an understanding of the providers' own costs, as well as the complex interrelationships and imaging-associated costs of other participants across the imaging value chain. Controlling the costs of imaging necessitates understanding them at a procedural level and quantifying the costs of delivering specific imaging services. Effective product-level costing is dependent on a bottom-up approach, which is supported through recent innovations in time-dependent activity-based costing. Once the costs are understood, they can be managed. Within the high fixed cost and high overhead cost environment of health care provider organizations, stakeholders must understand the implications of misaligned top-down cost management approaches that can both paradoxically shift effort from low-cost workers to much costlier professionals and allocate overhead costs counterproductively. Radiology's engagement across a broad spectrum of care provides an excellent opportunity for radiology providers to take a leading role within the health care organizations to enhance value and margin through principled and effective cost management. Following a discussion of the rationale for measuring costs, this review contextualizes costs from the perspectives of a variety of stakeholders (relativity), discusses core concepts in how costs are classified (rudiments), presents common and improved methods for measuring

How to optimize radiological images captured from digital cameras, using the Adobe Photoshop 6.0 program.

Science.gov (United States)

Chalazonitis, A N; Koumarianos, D; Tzovara, J; Chronopoulos, P

2003-06-01

Over the past decade, the technology that permits images to be digitized and the reduction in the cost of digital equipment allows quick digital transfer of any conventional radiological film. Images then can be transferred to a personal computer, and several software programs are available that can manipulate their digital appearance. In this article, the fundamentals of digital imaging are discussed, as well as the wide variety of optional adjustments that the Adobe Photoshop 6.0 (Adobe Systems, San Jose, CA) program can offer to present radiological images with satisfactory digital imaging quality.

Emergency radiological monitoring and analysis United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Thome, D.J.

1994-01-01

The United States Federal Radiological Emergency Response Plan (FRERP) provides the framework for integrating the various Federal agencies responding to a major radiological emergency. Following a major radiological incident the FRERP authorizes the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC). The FRMAC is established to coordinate all Federal agencies involved in the monitoring and assessment of the off-site radiological conditions in support of the impacted states and the Lead Federal Agency (LFA). Within the FRMAC, the Monitoring and Analysis Division is responsible for coordinating all FRMAC assets involved in conducting a comprehensive program of environmental monitoring, sampling, radioanalysis and quality assurance. This program includes: (1) Aerial Radiological Monitoring - Fixed Wing and Helicopter, (2) Field Monitoring and Sampling, (3) Radioanalysis - Mobile and Fixed Laboratories, (4) Radiation Detection Instrumentation - Calibration and Maintenance, (5) Environmental Dosimetry, and (6) An integrated program of Quality Assurance. To assure consistency, completeness and the quality of the data produced, a methodology and procedures handbook is being developed. This paper discusses the structure, assets and operations of FRMAC monitoring and analysis and the content and preparation of this handbook

RSVP radiology

International Nuclear Information System (INIS)

Kirks, D.R.; Chaffee, D.J.

1990-01-01

This paper develops a relative scale of value for pediatric radiology (RSVPR). Neither the HCFA/ACA Relative Value Scale nor the Workload Measurement System developed by Health and Welfare Canada specifically addressed pediatric radiologic examinations. Technical and professional charges for examinations at Children's Hospital Medical Center were reviewed and compared with time and cost analysis. A scale was developed with chest radiography (PA and lateral views) assigned a value of 1. After review by pediatric radiologic technologists, radiologic administrators, pediatric radiologists, and chairs of departments of children's hospitals, this proposed scale was modified to reflect more accurately relative value components of pediatric radiologic and imaging examinations

Radiological protection guidelines for the Formerly Utilized Sites Remedial Action Program and remote Surplus Facilities Management Program

International Nuclear Information System (INIS)

Gilbert, T.L.

1985-01-01

The need for a definitive basis for radiological guidelines and criteria for FUSRAP became apparent by 1981 and led ORO to sponsor a joint ANL/BNI/LANL/ORO effort under the chairmanship of Wayne Hansen (LANL) that resulted in a final FUSRAP radiological guidelines document in March 1983. A separate effort to develop guidelines for remedial action criteria for SFMP was in progress at PNL. The need to coordinate both efforts with impending revisions of DOE Radiological Protection Standards and impending new developments in EPA and NRC Radiological Protection Standards led to convening of the first DOE Workshop on Remedial Action Criteria in Gaithersburg, Maryland, in February 1984, followed by a second workshop in June 1984 at ANL. The major decisions were to base the criteria on dosimetry models and basic limits currently recommended by the International Commission on Radiological Protection, to emphasize the development and use of site-specific rather than generic guidelines and criteria for residual radionuclide concentrations in the ground, and to prepare a manual to accompany the guidelines that would present procedures and tables for deriving site-specific soil guidelines and criteria for the remedial action programs. A joint ANL/LANL/ORNL/PNL effort to prepare a definitive set of guidelines and a manual has been initiated. The scope, status, and current plans for this effort, and some of the key issues, are presented. 10 references, 1 table

Radiological protection guidelines for the Formerly Utilized Sites Remedial Action Program and Remote Surplus Facilities Management Program

International Nuclear Information System (INIS)

Gilbert, T.L.

1984-01-01

The need for a definitive basis for radiological guidelines and criteria for FUSRAP became apparent by 1981 and led ORO to sponsor a joint ANL/BNI/LANL/ORO effort under the chairmanship of Wayne Hansen (LANL) that resulted in a final FUSRAP radiological guidelines document in March 1983. A separate effort to develop guidelines for remedial action criteria for SFMP was in progress at PNL. The need to coordinate both efforts with impending revisions of DOE Radiological Protection Standards and impending new developments in EPA and NRC Radiological Protection Standards led to convening of the first DOE Workshop on Remedial Action Criteria in Gaithersburg, Maryland, in February 1984, followed by a second workshop in June 1984 at ANL. The major decisions were to base the criteria on dosimetry models and basic limits currently recommended by the International Commission on Radiological Protection, to emphasize the development and use of site-specific rather than generic guidelines and criteria for residual radionuclide concentrations in the ground, and to prepare a manual to accompany the guidelines that would present procedures and tables for deriving site-specific soil guidelines and criteria for the remedial action programs. A joint ANL/LANL/ORNL/PNL effort to prepare a definitive set of guidelines and a manual has been initiated. The scope, status, and current plans for this effort, and some of the key issues, are presented. 10 references, 1 table

The Role of Artificial Intelligence in Diagnostic Radiology: A Survey at a Single Radiology Residency Training Program.

Science.gov (United States)

Collado-Mesa, Fernando; Alvarez, Edilberto; Arheart, Kris

2018-02-21

Advances in artificial intelligence applied to diagnostic radiology are predicted to have a major impact on this medical specialty. With the goal of establishing a baseline upon which to build educational activities on this topic, a survey was conducted among trainees and attending radiologists at a single residency program. An anonymous questionnaire was distributed. Comparisons of categorical data between groups (trainees and attending radiologists) were made using Pearson χ 2 analysis or an exact analysis when required. Comparisons were made using the Wilcoxon rank sum test when the data were not normally distributed. An α level of 0.05 was used. The overall response rate was 66% (69 of 104). Thirty-six percent of participants (n = 25) reported not having read a scientific medical article on the topic of artificial intelligence during the past 12 months. Twenty-nine percent of respondents (n = 12) reported using artificial intelligence tools during their daily work. Trainees were more likely to express doubts on whether they would have pursued diagnostic radiology as a career had they known of the potential impact artificial intelligence is predicted to have on the specialty (P = .0254) and were also more likely to plan to learn about the topic (P = .0401). Radiologists lack exposure to current scientific medical articles on artificial intelligence. Trainees are concerned by the implications artificial intelligence may have on their jobs and desire to learn about the topic. There is a need to develop educational resources to help radiologists assume an active role in guiding and facilitating the development and implementation of artificial intelligence tools in diagnostic radiology. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radiology education: a radiology curriculum for all medical students?

NARCIS (Netherlands)

Zwaan, Laura; Kok, E.M.; van der Gijp, Anouk

2017-01-01

Diagnostic errors in radiology are frequent and can cause severe patient harm. Despite large performance differences between radiologists and non-radiology physicians, the latter often interpret medical images because electronic health records make images available throughout the hospital. Some

Medical preparedness and response in nuclear accidents. The health team's experience in joint work with the radiological protection area

International Nuclear Information System (INIS)

Maurmo, Alexandre Mesquita

2007-01-01

The interaction between the health and the radiological protection areas has proved fundamental, in our work experience, for the quality of response to victims of accidents, involving ionizing radiation. The conceptions and basic needs comprehension of the adequate response, on these two areas, have brought changes to the essential behavior related to the victim's care, the protection response, the environment and waste production. The joint task of health professionals and radiological protection staff, as first responders, demonstrates that it is possible to adjust practices and procedures. The training of professionals of the radiological protection area by health workers, has qualified them on the basic notions of pre-hospital attendance, entitling the immediate response to the victim prior to the health team arrival, as well as the discussion on the basic concepts of radiological protection with the health professionals, along with the understanding of the health area with its specific needs on the quick response to imminent death risk, or even the necessary procedures of decontamination. (author)

Does gender impact upon application rejection rate among Canadian radiology residency applicants?

Science.gov (United States)

Baerlocher, Mark O; Walker, Michelle

2005-10-01

To determine if and how gender ratios have changed within Canadian radiology, and to determine if gender discrimination occurs at the level of the radiology resident selection committee. The Canadian Medical Association, Canadian Association of Radiologists, Canadian Institute for Health Information, Royal College of Physicians and Surgeons of Canada, and Canadian Residency Matching Service provided gender-specific data. We compared the proportion of female applicants who ranked a radiology program as their top choice and were rejected from any radiology program with the corresponding proportion for male applicants. The numbers of women and men being awarded an MD from a Canadian university equalized nearly a decade ago. Women continue to be numerically underrepresented among practicing radiologists; however, the proportion of women continues to increase so that there is 1 female radiologist in practice to every 3 male radiologists in practice in 2005. More male medical students ranked a radiology residency training program as their top choice in the residency match; however, of those who did, they were as likely as women to be rejected from a radiology residency training program. Grouping all female and male graduating medical students participating in the residency match and ranking a radiology residency as their top choice between 1993 and 2004, the odds of men being rejected were 1.4 times (95% CI 0.99-1.9, p = 0.07) greater than for women. There continues to be more men than women radiologists in practice; however, the female-to-male ratio continues to increase. Our data suggest that discrimination against female applicants at the level of radiology residency selection does not occur.

Analysis of a quality assurance program in diagnostic radiology

International Nuclear Information System (INIS)

Goethlin, J.H.

1986-01-01

Retake analysis before and after introduction of a quality assurance program showed a 45% reduction of the retake rate. The most important changes concerning equipment and organizing of labour were: (1) More detailed inspection of development machines and X-ray generators, (2) new cassettes and intensifying screens, (3) reduction of the number of film formats used, (4) information and instruction of personnel. Cost reductions and profit from increased examination rate amounted to 4.5% of the overall operating costs of the radiologic department. (author)

Cost accounting of radiological examinations. Cost analysis of radiological examinations of intermediate referral hospitals and general practice.

Science.gov (United States)

Lääperi, A L

1996-01-01

The purpose of this study was to analyse the cost structure of radiological procedures in the intermediary referral hospitals and general practice and to develop a cost accounting system for radiological examinations that takes into consideration all relevant cost factors and is suitable for management of radiology departments and regional planning of radiological resources. The material comprised 174,560 basic radiological examinations performed in 1991 at 5 intermediate referral hospitals and 13 public health centres in the Pirkanmaa Hospital District in Finland. All radiological departments in the hospitals were managed by a specialist in radiology. The radiology departments at the public health care centres operated on a self-referral basis by general practitioners. The data were extracted from examination lists, inventories and balance sheets; parts of the data were estimated or calculated. The radiological examinations were compiled according to the type of examination and equipment used: conventional, contrast medium, ultrasound, mammography and roentgen examinations with mobile equipment. The majority of the examinations (87%) comprised conventional radiography. For cost analysis the cost items were grouped into 5 cost factors: personnel, equipment, material, real estate and administration costs. The depreciation time used was 10 years for roentgen equipment, 5 years for ultrasound equipment and 5 to 10 years for other capital goods. An annual interest rate of 10% was applied. Standard average values based on a sample at 2 hospitals were used for the examination-specific radiologist time, radiographer time and material costs. Four cost accounting versions with varying allocation of the major cost items were designed. Two-way analysis of variance of the effect of different allocation methods on the costs and cost structure of the examination groups was performed. On the basis of the cost analysis a cost accounting program containing both monetary and

Quality assurance program on diagnostic radiology

International Nuclear Information System (INIS)

Yacovenco, Alejandro; Borges, Jose Carlos; Mota, Helvecio Correa

1995-01-01

Aiming to elaborate a methodology to optimize the performance of the Radiology Service of the Military Police Hospital, in Rio de Janeiro, some goals were established: improvement of the attendance to patients; improvement of the qualification of technicians; achievement and maintenance of high degrees of quality in each step of the radiological process; improvement of the image quality; optimization of dose per examination and cost reduction. (author). 8 refs., 3 figs

Collaborative learning in radiologic science education.

Science.gov (United States)

Yates, Jennifer L

2006-01-01

Radiologic science is a complex health profession, requiring the competent use of technology as well as the ability to function as part of a team, think critically, exercise independent judgment, solve problems creatively and communicate effectively. This article presents a review of literature in support of the relevance of collaborative learning to radiologic science education. In addition, strategies for effective design, facilitation and authentic assessment of activities are provided for educators wishing to incorporate collaborative techniques into their program curriculum. The connection between the benefits of collaborative learning and necessary workplace skills, particularly in the areas of critical thinking, creative problem solving and communication skills, suggests that collaborative learning techniques may be particularly useful in the education of future radiologic technologists. This article summarizes research identifying the benefits of collaborative learning for adult education and identifying the link between these benefits and the necessary characteristics of medical imaging technologists.

Research Resources Survey: Radiology Junior Faculty Development.

Science.gov (United States)

Krupinski, Elizabeth A; Votaw, John R

2015-07-01

To assess resources available to junior faculty in US academic radiology departments for research mentorship and funding opportunities and to determine if certain resources are more common in successful programs. An anonymous survey covering scientific environment and research mentorship and was sent to vice-chairs of research of radiology departments. Results were evaluated to identify practices of research programs with respect to mentorship, resources, and opportunities. Academy of Radiology Research's 2012 National Institutes of Health (NIH) grants and awards list was used to determine if environment and practices correlate with funding. There was a 51% response rate. A greater fraction of clinical faculty gets promoted from assistant to associate professor than research faculty. Research faculty overall submits more funding applications. Most programs support start-up costs and K-awards. Over half of the departments have a vice-chair for faculty development, and most have formal mentorship programs. Faculty members are expected to teach, engage in service, publish, and apply for and get research funding within 3 years of hire. Top-tier programs as judged by NIH awards have a combination of MDs who devote >50% effort to research and PhD faculty. Key factors holding back both clinical and research junior faculty development were motivation, resources, and time, although programs reported high availability of resources and support at the department level. Better marketing of resources for junior faculty, effort devoted to mentoring clinical faculty in research, and explicit milestones/expectations for achievement could enhance junior faculty success, promote interest in the clinician–scientist career path for radiologists, and lead to greater research success.

A project: 'Radiological protection in radiology', IAEA - Universidad Central de Venezuela

International Nuclear Information System (INIS)

Diaz, A.R.; Salazar, G.; Fermin, R.; Gonzalez, M.

2001-01-01

For several years a reference center of the UCV has been working on the project VEN/9/007 on dose reduction in diagnostic radiology sponsored by the IAEA. The dose and quality image was evaluated for different types of radiological study (conventional radiology, CT, mammography, interventional radiology) in different facilities at Caracas and others regions of the Venezuela. TL dosimeters were used to assess dose and reduction in dose. Based on the recommendations given by CEC documents on diagnostic quality criteria, a quality control program in radiological protection of patients and staff has been developed, for example: Pilot study by using TLD in personnel radiation monitoring. Comparative study between high and low kVp in chest. Evaluation and dose reduction in chest pediatric. Reduction of radiation dose in studies of billiards via Quality Image and reduction of the dose in studies of colon by enema. Radiation dose of staff in fluoroscopy procedures. Evaluation and dose reduction in dental radiography in public Institutions. A mammography accreditation program for Venezuela, applied to public hospitals. (author)

Problems with radiological surveillance instrumentation

International Nuclear Information System (INIS)

Swinth, K.L.; Tanner, J.E.; Fleming, D.M.

1984-09-01

Many radiological surveillance instruments are in use at DOE facilities throughout the country. These instruments are an essential part of all health physics programs, and poor instrument performance can increase program costs or compromise program effectiveness. Generic data from simple tests on newly purchased instruments shows that many instruments will not meet requirements due to manufacturing defects. In other cases, lack of consideration of instrument use has resulted in poor acceptance of instruments and poor reliability. The performance of instruments is highly variable for electronic and mechanical performance, radiation response, susceptibility to interferences and response to environmental factors. Poor instrument performance in these areas can lead to errors or poor accuracy in measurements

Problems with radiological surveillance instrumentation

International Nuclear Information System (INIS)

Swinth, K.L.; Tanner, J.E.; Fleming, D.M.

1985-01-01

Many radiological surveillance instruments are in use at DOE facilities throughout the country. These instruments are an essential part of all health physics programs, and poor instrument performance can increase program costs or compromise program effectiveness. Generic data from simple tests on newly purchased instruments shows that many instruments will not meet requirements due to manufacturing defects. In other cases, lack of consideration of instrument use has resulted in poor acceptance of instruments and poor reliability. The performance of instruments is highly variable for electronic and mechanical performance, radiation response, susceptibility to interferences and response to environmental factors. Poor instrument performance in these areas can lead to errors or poor accuracy in measurements

Mobile technology in radiology resident education.

Science.gov (United States)

Korbage, Aiham C; Bedi, Harprit S

2012-06-01

The authors hypothesized that ownership of a mobile electronic device would result in more time spent learning radiology. Current trends in radiology residents' studying habits, their use of electronic and printed radiology learning resources, and how much of the funds allotted to them are being used toward printed vs electronic education tools were assessed in this study. A survey study was conducted among radiology residents across the United States from June 13 to July 5, 2011. Program directors listed in the Association of Program Directors in Radiology e-mail list server received an e-mail asking for residents to participate in an online survey. The questionnaire consisted of 12 questions and assessed the type of institution, the levels of training of the respondents, and book funds allocated to residents. It also assessed the residents' study habits, access to portable devices, and use of printed and electronic radiology resources. Radiology residents are adopters of new technologies, with 74% owning smart phones and 37% owning tablet devices. Respondents spend nearly an equal amount of time learning radiology from printed textbooks as they do from electronic resources. Eighty-one percent of respondents believe that they would spend more time learning radiology if provided with tablet devices. There is considerable use of online and electronic resources and mobile devices among the current generation of radiology residents. Benefits, such as more study time, may be obtained by radiology programs that incorporate tablet devices into the education of their residents. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

The radiologic technologists' health study in South Korea: study design and baseline results.

Science.gov (United States)

Lee, Won Jin; Ha, Mina; Hwang, Seung-sik; Lee, Kyoung-Mu; Jin, Young-Woo; Jeong, Meeseon; Jun, Jae Kwan; Cha, Eun Shil; Ko, Yousun; Choi, Kyung-Hwa; Lee, Jung-Eun

2015-08-01

To describe the study design, methods, and baseline results of a prospective cohort of radiologic technologists which we have initiated in South Korea. The cohort participants were enrolled through a self-administered questionnaire survey administered from April 2012 to May 2013. Survey data were linked with radiation dosimetry, a cancer registry, and health insurance data by personal identification numbers. A nationwide representative survey was also conducted using a stratified random sampling design with face-to-face interviews. A total of 12,387 radiologic technologists were enrolled, which accounted for approximately 63% of all diagnostic radiologic technologists working in South Korea. For nationwide survey, 585 workers were interviewed using the detailed questionnaire, and buccal cells were also collected by scraping the inside of the cheek. The majority of study subjects were under 50-year-old and male workers. The average annual effective dose of radiation declined both men (from 2.75 to 1.43 mSv) and women (from 1.34 to 0.95 mSv) over the period of 1996-2011. A total of 99 cancers (66 cancers in men and 33 in women) were reported from 1992 to 2010. The standardized incidence ratio of all cancer combined was significantly lower in men (SIR = 0.75, 95% CI 0.58-0.96) than general population, but the ratios for thyroid cancer were significantly higher than expected among both men and women. This cohort provides comprehensive information on work activities and health status of diagnostic radiologic technologists. In addition, the nationwide representative sample provides unique opportunities compared with previous radiologic technologist studies.

The radiologic technologists' health study in South Korea. Study design and baseline results

International Nuclear Information System (INIS)

Lee, Won Jin; Ha, Mina; Hwang, Seung-sik

2015-01-01

To describe the study design, methods, and baseline results of a prospective cohort of radiologic technologists which we have initiated in South Korea. The cohort participants were enrolled through a self-administered questionnaire survey administered from April 2012 to May 2013. Survey data were linked with radiation dosimetry, a cancer registry, and health insurance data by personal identification numbers. A nationwide representative survey was also conducted using a stratified random sampling design with face-to-face interviews. A total of 12,387 radiologic technologists were enrolled, which accounted for approximately 63 % of all diagnostic radiologic technologists working in South Korea. For nationwide survey, 585 workers were interviewed using the detailed questionnaire, and buccal cells were also collected by scraping the inside of the cheek. The majority of study subjects were under 50-year-old and male workers. The average annual effective dose of radiation declined both men (from 2.75 to 1.43 mSv) and women (from 1.34 to 0.95 mSv) over the period of 1996-2011. A total of 99 cancers (66 cancers in men and 33 in women) were reported from 1992 to 2010. The standardized incidence ratio of all cancer combined was significantly lower in men (SIR = 0.75, 95 % CI 0.58-0.96) than general population, but the ratios for thyroid cancer were significantly higher than expected among both men and women. This cohort provides comprehensive information on work activities and health status of diagnostic radiologic technologists. In addition, the nationwide representative sample provides unique opportunities compared with previous radiologic technologist studies.

Development of archetypes of radiology for electronic health record

International Nuclear Information System (INIS)

Araujo, Tiago V.; Pires, Silvio R.; Paiva, Paulo B.

2013-01-01

This paper presents a proposal to develop archetypes for electronic patient records system based the openEHR Foundation model. Archetypes were developed specifically for the areas of radiology and diagnostic imaging, as for the early implementation of an electronic health records system. The archetypes developed are related to the examinations request, their execution and report, corresponding to both the administrative as diagnostic workflow inside a diagnostic imaging sector. (author)

Effectiveness of a radiology-anatomy instructional module in a clinical course on oral radiology

International Nuclear Information System (INIS)

Imanaka, Masahiro; Tamaki, Yoh; Nomura, Yoshiaki

2007-01-01

An insufficient knowledge of anatomy often complicates the interpretation of radiological findings by students learning clinical medicine. During a 3-week clinical course in oral radiology, students attended lectures on anatomy for half of each day. Our objectives were to evaluate this program and determine why some students remained unmotivated to learn anatomy. Surveys were carried out using two questionnaires, one for evaluating the students' beliefs regarding the necessity of knowing anatomy and their understanding of radiology and anatomy, and the other for determining the value of the educational program. In total, 126 questionnaires were analyzed. Structural equation modeling and decision analysis were used to analyze the data obtained. Beliefs regarding the necessity of knowing anatomy were explained by three variables: the necessity of knowing imaging anatomy, the necessity of knowing gross anatomy, and understanding of anatomy. Awareness of the necessity of knowing anatomy and understanding of graphical images were not strongly correlated. The educational program was characterized by two factors: 'value' and 'appropriateness' These were strongly correlated. Student interest in the content of the course was found to be the most important factor in student evaluations of the educational program. Students who answered 'agree', 'disagree' or 'strongly disagree' to three items, interested in the content of the course', 'obtained knowledge through the course' and 'expected the course to be useful in the near future were likely to have insufficient understanding of and awareness of the necessity of radiology and anatomy. The inclusion of lectures on anatomy is beneficial for improving student understanding of oral radiology. Student interest in the content is important in evaluations of radiology-anatomy programs. (author)

Environmental health program activities

Science.gov (United States)

Bergtholdt, C. P.

1969-01-01

Activities reported include studies on toxic air contaminants, excessive noise, poor lighting, food sanitation, water pollution, and exposure to nonionizing radiation as health hazards. Formulations for a radiological health manual provide guidance to personnel in the procurement and safe handling of radiation producing equipment and Apollo mission planning. A literature search and development of a water analysis laboratory are outlined to obtain information regarding microbiological problems involving potable water, waste management, and personal hygiene.

eLearning-radiology.com. Sustainability for quality assurance; eLearning-radiology.com. Nachhaltigkeit im Sinne der Qualitaetssicherung

Energy Technology Data Exchange (ETDEWEB)

Ketelsen, D. [Tuebingen Univ. (Germany). Abt. fuer Diagnostische und Interventionelle Radiologie; Talanow, R. [Cleveland Clinic, Cleveland, OH (United States). Abt. fuer Nuklearmedizin; Uder, M. [Erlangen-Nuernberg Univ. (Germany). Inst. fuer Diagnostische Radiologie; Grunewald, M. [Erlangen-Nuernberg Univ. (Germany). Nuklearmedizinische Klinik

2009-04-15

Purpose: The aim of the study was to analyze the availability of published radiological e-learning tools and to establish a solution for quality assurance. Materials and Methods: Substantial pubmed research was performed to identify radiological e-learning tools. 181 e-learning programs were selected. As examples two databases expanding their programs with external links, Compare (n = 435 external links) and TNT-Radiology (n = 1078 external links), were evaluated. A concept for quality assurance was developed by an international taskforce. Results: At the time of assessment, 56.4 % (102/181) of the investigated e-learning tools were accessible at their original URL. A subgroup analysis of programs published 5 to 8 years ago showed significantly inferior availability to programs published 3 to 5 years ago (p < 0.01). The analysis of external links showed 49.2 % and 61.0 % accessible links for the programs Compare (published 2003) and TNT-Radiology (published 2006), respectively. As a consequence, the domain www.eLearning-radiology.com was developed by the taskforce and published online. This tool allows authors to present their programs and users to evaluate the e-learning tools depending on several criteria in order to remove inoperable links and to obtain information about the complexity and quality of the e-learning tools. (orig.)

Radiological incident preparedness for community hospitals: a demonstration project.

Science.gov (United States)

Jafari, Mary Ellen

2010-08-01

In November 2007, the Wisconsin Division of Public Health Hospital Disaster Preparedness Program State Expert Panel on Radiation Emergencies issued a report titled The Management of Patients in a Radiological Incident. Gundersen Lutheran Health System was selected to conduct a demonstration project to implement the recommendations in that report. A comprehensive radiological incident response plan was developed and implemented in the hospital's Trauma and Emergency Center, including the purchase and installation of radiation detection and identification equipment, staff education and training, a tabletop exercise, and three mock incident test exercises. The project demonstrated that the State Expert Panel report provides a flexible template that can be implemented at community hospitals using existing staff for an approximate cost of $25,000.

Patient throughput times for orthopedic outpatients in a department of radiology: results of an interdisciplinary quality management program

International Nuclear Information System (INIS)

Hodler, J.; Zanetti, M.; Strehle, J.; Gerber, C.; Schilling, J.

1999-01-01

The purpose of this project was to employ quality management methods in order to decrease throughput times for orthopedic outpatients sent to the department of radiology. The following intervals were measured at the onset of the study and after 6 and 12 months: (a) between arrivals at outpatient clinic and radiology counter; (b) between arrival at radiology counter and time of last radiograph; and (c) between time of last radiograph and radiology report printing time. After the initial measurement, numerous changes were initiated both in radiology and in orthopedic surgery. The mean interval between arrival at the outpatient clinic and in radiology decreased by one third from 60 min during the first measurement to 40 (p < 0.001) and 41 min during the second and third measurement. The proportion of patients with total radiology times of more than 30 min decreased from 41 to 29 % between the first and third measurements (p < 0.001). The corresponding results for radiology times of more than 45 min were 17 and 11 % (p = 0.03). A standard type of quality management program can be employed successfully in order to reduce radiology throughput times for orthopedic outpatients. (orig.)

Sensitivity analysis on the priority order of the radiological worker allocation model using goal programming

International Nuclear Information System (INIS)

Jung, Hae Yong; Lee, Kun Jai

1998-01-01

In nuclear power plant, it has been the important object to reduce the occupational radiation exposure (ORE). Recently, the optimization concept of management science has been studied to reduce the ORE in nuclear power plant. In optimization of the worker allocation, the collective dose, working time, individual dose, and total number of worker must be considered and their priority orders must be thought because the main constraint is necessary for determining the constraints variable of the radiological worker allocation problem. The ultimate object of this study is to look into the change of the optimal allocation of the radiological worker as priority order changes. In this study, the priority order is the characteristic of goal programming that is a kind of multi-objective linear programming. From a result of study using goal programming, the total number of worker and collective dose of worker have changed as the priority order has changed and the collective dose limit have played an important role in reducing the ORE

Medical intervention in radiological emergencies, formation and training

International Nuclear Information System (INIS)

Cardenas H, J.

2006-01-01

The work exposes the national experience in the development of training programs in medical aspects of the radiological emergencies. Implemented after valuing the existent situation, identified the necessities and the reach of the training, additionally it was elaborated the content of the training program whose purpose is guided to the invigoration of the medical answer capacity in radiological emergencies The content of the modular program it approaches theoretical- practical aspects on preparation and medical answer in radiological emergencies. The program includes an exercise that simulates a radiological accident, to evaluate during the same one, the answer capacity before this situation. The training concludes with the design of a strategy for the preparation and answer in radiological emergencies in correspondence with the potential accidental scenarios that the participants can face. (Author)

Program of training and technical expertise in radiation protection for personnel of medical radiology

International Nuclear Information System (INIS)

Oliveira, Sergio R. de

2013-01-01

This work aims to verify the actual conditions for the training of technicians in Radiology, in relation to the knowledge of radiation protection in the field of Medical Diagnostic Radiology. To evaluate the knowledge of professionals was prepared a questionnaire on the topic, having been answered by workers with varied experience. The questionnaire was divided into three parts, being the initial self-evaluation, followed by closed and open issues, all specific knowledge. With a total of 55 questionnaires answered, it was found that 85% of respondents consider themselves able to work in the area performing the function, but when questioned about the technical details regarding the exposure to ionizing radiation, it was found that only 15% of respondents had some knowledge about the subject. In relation to Radiological Protection, was found that little more than 10% of the respondents know about the subject. The results found in this survey outlined the creation of a technical specialization course in radiation protection, which is part of the permanent staff of course of the Polytechnical School of Health of FIOCRUZ, solving, partially, one of the problems pointed out today by health bodies, that is the lack of trained personnel

Web-based system for radiological protection programs: a repository for research, consultation and information

Energy Technology Data Exchange (ETDEWEB)

Levy, Denise S.; Sordi, Gian Maria A.A., E-mail: gmsordi@ipen.br [Instituto de Pesquisas Energeticas e Nucleares (IPEN/CNEN-SP), Sao Paulo, SP (Brazil)

2014-07-01

In order to establish a Radiation Protection Plan or a Radiation Emergency Plan, Brazilian facilities should take into account all procedures based on national and international guidelines and recommendations. This information can be found in several documents published by different organizations over the past decades: the International Commission on Radiological Protection (ICRP), International Atomic Energy Agency (IAEA) and Comissao Nacional de Energia Nuclear (CNEN). Therefore, this project aims the informatization of the radiological protection programs in a single system in order to offer unified programs and inter-related information in Portuguese, providing Brazilian facilities a complete repository for research, consultation and information, combining computer technology and radiological protection in order to enhance the best benefits from information technology. This research work includes programs about: (1) Monitoring of Workplace (Monitoring for External Radiation, Monitoring for Surface Contamination, Monitoring for Air Contamination) and (2) Individual Monitoring (Monitoring of External Exposure and Monitoring of Internal Exposure, Monitoring for Skin and Clothing). WEB platform tools and functionalities were developed according to target public needs, regarding new possibilities of media, mobile access, and information sharing. The servers processing power added to the technology of relational databases allow to integrate information from different sources, enabling complex queries with reduced response time. Moreover, taking into account this is a pioneer project with the prospect of long-term use, the challenge involves the combination of multiple computer technologies that allows a robust, effective and flexible system, which can be easily adapted to future technological innovations. (author)

Web-based system for radiological protection programs: a repository for research, consultation and information

International Nuclear Information System (INIS)

Levy, Denise S.; Sordi, Gian Maria A.A.

2014-01-01

In order to establish a Radiation Protection Plan or a Radiation Emergency Plan, Brazilian facilities should take into account all procedures based on national and international guidelines and recommendations. This information can be found in several documents published by different organizations over the past decades: the International Commission on Radiological Protection (ICRP), International Atomic Energy Agency (IAEA) and Comissao Nacional de Energia Nuclear (CNEN). Therefore, this project aims the informatization of the radiological protection programs in a single system in order to offer unified programs and inter-related information in Portuguese, providing Brazilian facilities a complete repository for research, consultation and information, combining computer technology and radiological protection in order to enhance the best benefits from information technology. This research work includes programs about: (1) Monitoring of Workplace (Monitoring for External Radiation, Monitoring for Surface Contamination, Monitoring for Air Contamination) and (2) Individual Monitoring (Monitoring of External Exposure and Monitoring of Internal Exposure, Monitoring for Skin and Clothing). WEB platform tools and functionalities were developed according to target public needs, regarding new possibilities of media, mobile access, and information sharing. The servers processing power added to the technology of relational databases allow to integrate information from different sources, enabling complex queries with reduced response time. Moreover, taking into account this is a pioneer project with the prospect of long-term use, the challenge involves the combination of multiple computer technologies that allows a robust, effective and flexible system, which can be easily adapted to future technological innovations. (author)

Occupational Analysis: Hospital Radiologic Technologist. The UCLA Allied Health Professions Project.

Science.gov (United States)

Reeder, Glenn D.; And Others

In an effort to meet the growing demand for skilled radiologic technologists and other supportive personnel educated through the associate degree level, a national survey was conducted as part of the UCLA Allied Health Professions Project to determine the tasks performed by personnel in the field and lay the groundwork for development of…

UK legislation on radiological health and safety. Pt. 1

Energy Technology Data Exchange (ETDEWEB)

Evans, H D

1983-02-01

A brief survey is given of current UK legislation on radiological health and safety in areas in which ''Ionising Radiations Regulations 1982'' do not apply. Such areas in which separate Acts or Regulations for ionising radiations operate include: 1) Factories Act Regulations; 2) the disposal of radioactive wastes; 3) the transport of radioactive materials by air, sea, road, rail and post; 4) nuclear reactors and allied plants; 5) schools and further educational establishments and 6) research laboratories.

Environmental monitoring program for radiological emergencies at the Almirante Alvaro Alberto Nuclear Power Plant, Angra dos Reis, Rio de Janeiro, Brazil

Energy Technology Data Exchange (ETDEWEB)

Ferreira, Lilia M.J. Belem; Ramos Junior, Anthenor C.; Gomes, Carlos A.; Carvalho, Zenildo L.; Gouveia, Vandir; Estrada, Julio; Ney, Cezar [Instituto de Radioprotecao e Dosimetria (IRD), Rio de Janeiro, RJ (Brazil)

1997-12-31

In order to respond to a major radiological emergency at the Almirante Alvaro Alberto Nuclear Power Plant, located in Angra do Reis, Rio de Janeiro, the Emergency Response Team of the Institute of Radiation Protection and Dosimetry (IRD/CNEN) established a program of environmental monitoring. A monitoring trend to assess the off-site radiological conditions and give support to decision making for implementing protective measure in case of a radiological accident is presented. For the selection of the monitoring points, the program takes into account atmospheric diffusion, population conglomerates and their habits, water and land use; it includes the entire Emergency Planning Zone of 15 km radius. The program has been organized in the form of a handbook to facilitate handling by field teams 2 refs., 1 fig.; e-mail: lilia at ird.gov.br

The radiologic technologists' health study in South Korea. Study design and baseline results

Energy Technology Data Exchange (ETDEWEB)

Lee, Won Jin [Korea Univ. College of Medicine, Seoul (Korea, Republic of). Dept. of Preventive Medicine; Ha, Mina [Dankook Univ. College of Medicine, Cheonan (Korea, Republic of). Dept. of Preventive Medicine; Hwang, Seung-sik [Inha Univ. School of Medicine, Incheon (Korea, Republic of). Dept. of Social and Preventive Medicine; and others

2015-08-15

To describe the study design, methods, and baseline results of a prospective cohort of radiologic technologists which we have initiated in South Korea. The cohort participants were enrolled through a self-administered questionnaire survey administered from April 2012 to May 2013. Survey data were linked with radiation dosimetry, a cancer registry, and health insurance data by personal identification numbers. A nationwide representative survey was also conducted using a stratified random sampling design with face-to-face interviews. A total of 12,387 radiologic technologists were enrolled, which accounted for approximately 63 % of all diagnostic radiologic technologists working in South Korea. For nationwide survey, 585 workers were interviewed using the detailed questionnaire, and buccal cells were also collected by scraping the inside of the cheek. The majority of study subjects were under 50-year-old and male workers. The average annual effective dose of radiation declined both men (from 2.75 to 1.43 mSv) and women (from 1.34 to 0.95 mSv) over the period of 1996-2011. A total of 99 cancers (66 cancers in men and 33 in women) were reported from 1992 to 2010. The standardized incidence ratio of all cancer combined was significantly lower in men (SIR = 0.75, 95 % CI 0.58-0.96) than general population, but the ratios for thyroid cancer were significantly higher than expected among both men and women. This cohort provides comprehensive information on work activities and health status of diagnostic radiologic technologists. In addition, the nationwide representative sample provides unique opportunities compared with previous radiologic technologist studies.

FDA (Food and Drug Administration) compliance program guidance manual and updates (FY 86). Section 4. Medical and radiological devices. Irregular report

International Nuclear Information System (INIS)

1986-01-01

The FDA Compliance Program Guidance Manual provides a system for issuing and filing program plans and instructions directed to Food and Drug Administration Field operations for project implementation. Section IV provides those chapters of the Compliance Program Guidance Manual which pertain to the areas of medical and radiological devices. Some of the areas of coverage include laser and sunlamp standards inspections, compliance testing of various radiation-emitting products such as television receivers and microwave ovens, emergency response planning and policy, premarket approval and device manufacturers inspections, device problem reporting, sterilization of devices, and consumer education programs on medical and radiological devices

Efficient quality assurance programs in radiology and nuclear medicine in Oestergoetland (Sweden)

International Nuclear Information System (INIS)

Sandborg, M.; Althen, J. N.; Gustafsson, A.

2010-01-01

Owners of imaging modalities using ionising radiation should have a documented quality assurance (QA) program, as well as methods to justify new radiological procedures to ensure safe operation and adequate clinical image quality. This includes having a system for correcting divergences, written imaging protocols, assessment of patient and staff absorbed doses and a documented education and training program. In this work, how some aspects on QA have been implemented in the County of Oestergoetland in Sweden, and efforts to standardise and automate the process as an integrated part of the radiology and nuclear medicine QA programs were reviewed. Some key performance parameters have been identified by a Swedish task group of medical physicists to give guidance on selecting relevant QA methods. These include low-contrast resolution, image homogeneity, automatic exposure control, calibration of air kerma-area product metres and patient-dose data registration in the radiological information system, as well as the quality of reading stations and of the transfer of images to the picture archive and communication system. IT-driven methods to automatically assess patient doses and other data on all examinations are being developed and evaluated as well as routines to assess clinical image quality by use of European quality criteria. By assessing both patient absorbed doses and clinical image quality on a routine basis, the medical physicists in our region aim to be able to spend more time on imaging optimisation and less time on periodic testing of the technical performance of the equipment, particularly on aspects that show very few divergences. The role of the Medical Physics Expert is rapidly developing towards a person doing advanced data-analysis and giving scientific support rather than one performing mainly routine periodic measurements. It is concluded that both the European Council directive and the rapid development towards more complex diagnostic imaging systems

International Perspectives on Radiology in Preventive Screening.

Science.gov (United States)

Brus-Ramer, Marcel; Lexa, Frank J; Kassing, Pamela; McGinty, Geraldine

2016-11-01

Several years ago, the International Economics Committee of the ACR began a study of comparisons among nations regarding the practice of radiology. This article is the second in a series. The purpose here is to compare the use across countries of imaging modalities in the screening algorithms of a variety of common diseases. In conjunction with the initial study, this will allow radiologists to understand in greater detail how health system practices differ among a selected set of nations. In this study, a standardized survey was administered to committee members from 10 countries in the developed and developing world. As with the prior study, there were both striking differences and similarities, even among a small cohort of nations that are all (except India) members of the Organisation for Economic Co-operation and Development. For example, breast cancer screening with mammography involves similar radiographic techniques for screening evaluations and has similarly high levels of insurance coverage, but the recommended ages at initial screening and end of screening differ. Other diseases, such as lung cancer and abdominal aortic aneurysm, have variable, but overall lower, levels of estimated participation among surveyed countries and significantly lower insurance coverage. Although this data set relies on survey data from individual practitioners, it provides an important perspective of the role of radiology in screening programs. Given the increasing pressure from domestic and foreign governments to reign in health care costs, the comparative differences in screening programs, and especially their use of (often costly) imaging techniques, may be a harbinger for future health policy decisions in the United States and abroad. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

[Telecommunications, health and radiology: potential synergies for the new millennium].

Science.gov (United States)

Lagalla, R

2001-01-01

validation of Teleradiology. The Scientific Societies SIRM-AIMN-AINR and the Academic Institutions, together with the SNR, AIFM and the F.N.C.TSRM, the Regional Bodies and the Italian National Health Trusts are required to make a positive and constructive commitment to this new field, which has become the object of considerable attention and interests. While confirming that, if used correctly, this methodology will no doubt increase the overall efficiency of Diagnostic Imaging - in the primary interest of the patient's right to health - it is felt that attention should also be paid to the working practices of the Radiology Specialists and Radiology Technicians and to the training of both. It is necessary to standardise training and practice, and to make an integrated and coherent use of resources with respect to the healthcare goals we wish to attain. Many have described the undisputed advantages of Teleradiology, but there have been relatively few reports on the related risks and recommendations for its use. It is certain that an improper use of the method (forced& interpretation of the bill on complementary diagnostic activities, operational misunderstandings between Radiology Specialists and Radiology Technicians, rarefaction of the relationship between Radiologist and Patient, obligation to use teleconsultation in all situations) will lead to considerable disadvantages for all those working in the field of Radiology, specialists and radiology technicians alike. Therefore, by adopting this document, which is by no means against Teleradiology but for a rational use of the method and full awareness of what it actually implies, the Scientific Society intends on the one hand to participate actively and concretely in the process of regulating all those aspects of Teleradiology for which it is competent - rather than waiting for regulations to be imposed from above - and, on the other, to provide, through its highly qualified Study Group (Specialists in Radiology, Nuclear

2016 RAD-AID Conference on International Radiology for Developing Countries: Gaps, Growth, and United Nations Sustainable Development Goals.

Science.gov (United States)

Mollura, Daniel J; Soroosh, Garshasb; Culp, Melissa P

2017-06-01

The 2016 RAD-AID Conference analyzed the accelerated global activity in the radiology community that is transforming medical imaging into an effective spearhead of health care capacity building in low- and middle-income countries. Global health efforts historically emphasized disaster response, crisis zones, and infectious disease outbreaks. However, the projected doubling of cancer and cardiovascular deaths in developing countries in the next 15 years and the need for higher technology screening and diagnostic technologies in low-resource regions, as articulated by the United Nations' new Sustainable Development Goals of 2016, is heightening the role of radiology in global health. Academic US-based radiology programs with RAD-AID chapters achieved a threefold increase in global health project offerings for trainees in the past 5 years. RAD-AID's nonprofit radiology volunteer corps continue to grow by more than 40% yearly, with a volunteer base of 5,750 radiology professionals, serving in 23 countries, donating close to 20,000 pro bono hours globally in 2016. As a high-technology specialty interfacing with nearly all medical and surgical disciplines, radiology underpins vital health technology infrastructure, such as digital imaging archives, electronic medical records, and advanced diagnosis and treatment, essential for long-term future health care capacity in underserved areas of the world. Published by Elsevier Inc.

Interprofessional Education Perceptions of Dental Assisting and Radiologic Technology Students Following a Live Patient Experience.

Science.gov (United States)

Reddington, Amanda R; Egli, Amy J; Schmuck, Heather M

2018-05-01

Health professions students are often unaware of other health care providers' roles or professional expertise due to most education taking place within their single profession. This pattern may be even more prevalent for baccalaureate and associate degree programs since most interprofessional education (IPE) occurs in predoctoral programs and, when IPE is incorporated into allied health professions education, it often utilizes simulation instead of live patient experiences. The aim of this study was to determine if radiologic technology and dental assisting students' perceptions changed regarding interprofessional practice and teamwork after an IPE activity with actual patients. The participants were students in the University of Southern Indiana (USI) radiologic technology and dental assisting programs. This mixed-methods pilot study conducted in 2017 collected quantitative and qualitative data from pre and post surveys, the researchers' observations of student interactions during live patient assessment and acquisition of panoramic images, and large-group discussion. Twenty-five of the 26 students who participated in the IPE program completed both pre and post surveys, for a 96% response rate. The results showed significant differences in the participants' perceptions from the pre to post surveys on a wide variety of survey items. Most notable were the positive changes in perceptions related to trust in judgment of others within their profession (p=0.001), relationships with other professions (p=0.002), and thinking highly of other professions (p=0.002). Overall, this study found that incorporating the IPE activity with a live patient into these radiologic technology and dental assisting programs improved the students' perceptions of other allied health professionals. Future research should include more participants to increase sample size and add quantitative data collection.

Medical Ethics in Radiology

International Nuclear Information System (INIS)

Kim, Kyung Won; Park, Jae Hyung; Yoon, Soon Ho

2010-01-01

According to the recent developments in radiological techniques, the role of radiology in the clinical management of patients is ever increasing and in turn, so is the importance of radiology in patient management. Thus far, there have been few open discussions about medical ethics related to radiology in Korea. Hence, concern about medical ethics as an essential field of radiology should be part of an improved resident training program and patient management. The categories of medical ethics related with radiology are ethics in the radiological management of patient, the relationship of radiologists with other medical professionals or companies, the hazard level of radiation for patients and radiologists, quality assurance of image products and modalities, research ethics, and other ethics issues related to teleradiology and fusion imaging. In order to achieve the goal of respectful progress in radiology as well as minimizing any adverse reaction from other medical professions or society, we should establish a strong basis of medical ethics through the continuous concern and self education

Acting of the radiological surveillance of food in Cuba before anomalous situations

International Nuclear Information System (INIS)

Fernandez G, I.M.; Rodriguez C, G.; Carrazana G, J.; Capote F, E.

2006-01-01

Keeping in mind the real possibility of that would be imported to Cuba polluted foods with radionuclides, product of a nuclear or radiological accident happens one contamination of foods inside the national territory, it was designed and was into effect in January, 2000, a Program of Radiological Surveillance of Foods and Water, in the marks of the National Program of Surveillance of Pollutants in Foods and Water. This surveillance is executed in group among the National Unit of Health Environmental of the Ministry of Health and the Center of Protection and Hygiene of those Radiations of the Ministry of Sciences, Technology and Environment. In this work the design in the way of acting of the Radiological Surveillance of Foods and Water in Cuba, in the event of detection of anomalous situations is presented. The same one includes, the establishment of investigation levels for radionuclides in foods, the ways of performance of the System, of to be overcome or to be equaled the performance levels or established investigation, the flow of the information, as well as the work routine to continue by the essay laboratories, in the event of an anomalous situation. (Author)

Guidelines for a radiology department

International Nuclear Information System (INIS)

1981-05-01

This manual presents guidelines for hospitals on a radiology quality assurance and dose measurement audit program and a system of planned actions that monitor and record the performance and effectiveness of the radiological service

Decision-making and radiological protection at Three Mile Island. Response of the Department of Health, Education and Welfare

International Nuclear Information System (INIS)

Fabrikant, J.I.; California Univ., San Francisco

1982-01-01

The author's comments are limited to only three acts dealing with radiological health and protection: the struggle for power and assertion of leadership in response to possible health consequences of the accident; the decisions to evacuate the area during the radiological emergency; and the use of potassium iodide as a means of protecting the public and the workers from the hazards of exposure to radioactive iodine released to the environment. (author)

Training on Radiological Protection in Peru

International Nuclear Information System (INIS)

Medina Gironzini, E.

2004-01-01

Since they were created in 1973 and 1988 respectively, the Superior Center of Nuclear Studies (CSEN) of the Peruvian Institute of Nuclear Energy (IPEN), together with the Peruvian Radioprotection Society (SPR) have carried out different training courses on radiological protection so that people can work safely with ionizing radiations in medicine, industry and investigation. Additionally, radiological protection is taught to pre graduate students of Medical Technology in four Universities. These courses are a must since national regulations demand that people working with ionizing radiations have an authorization, which is granted by the Technical Office of the National Authority - the technical organ of IPEN - after the candidate demonstrates that he or she knows the specific use of the technique using radiations, as well as all aspects related to safety and radiological protection. The analysis of the radiological protection programs is presented in this document. These programs were carried out by CSEN, during the last 30 years, and by the SRP, and they allowed the training of more than 2200 and 1500 people in the country, respectively. The content of both courses is aimed at specific work with radiations (diagnostic radiology, dental radiology, nuclear medicine, radiotherapy, industrial radiography, nuclear gauges, gamma irradiator, etc..) and fulfill the regulatory requirements. The Universities have different programs on radiological protection for the students of Medical Technology. (Author)

21 CFR 892.1980 - Radiologic table.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiologic table. 892.1980 Section 892.1980 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1980 Radiologic table. (a) Identification. A radiologic...

Joint CDRH (Center for Devices and Radiological Health) and state quality-assurance surveys in nuclear medicine: Phase 2 - radiopharmaceuticals

International Nuclear Information System (INIS)

Hamilton, D.R.; Evans, C.D.

1986-08-01

The report discusses survey results on aspects of the quality assurance of radio-pharmaceuticals from 180 nuclear-medicine facilities in the United States. Data were collected from facilities in 8 states. Demographic information about nuclear-medicine operations and quality-assurance programs was gathered by state radiation-control-program personnel. The data collected from the survey show an incomplete acceptance of quality-assurance practices for radiopharmaceuticals. Most of the facilities in the survey indicated that, because an inferior radiopharmaceutical was prepared so infrequently, they did not believe it was cost-effective to perform extensive quality-assurance testing. The Center for Devices and Radiological Health hopes that the information from the survey will stimulate nuclear-medicine professionals and their organizations to encourage appropriate testing of all radiopharmaceuticals

Quality assurance program plan for the radiological survey activities program: Uranium Mill Tailings Remedial Action Project

International Nuclear Information System (INIS)

Ramos, S.J.; Berven, B.A.; Little, C.A.

1986-08-01

The Radiological Survey Activities (RASA) program at Oak Ridge National Laboratory (ORNL) is responsible for surveying designated sites in the vicinity of 24 inactive mill sites involved in the Department of Energy's (DOE) Uranium Mill Tailings Remedial Action Project (UMTRAP). The purpose of these surveys is to provide a recommendation to DOE whether to include or exclude the site from UMTRAP based on whether the onsite residual radioactive material (if any) originated from the former mill sites, and radiation levels onsite are in excess of appropriate Environmental Protection Agency (EPA) criteria. This report describes the quality assurance program plan for the RASA program in conducting all activities related to the UMTRA project. All quality assurance provisions given by the DOE, DOE/UMTRA, and ORNL organizations are integrated into this plan. Specifically, this report identifies the policies and procedures followed in accomplishing the RASA/UMTRAP QA program, identifies those organizational units involved in the implementation of these procedures, and outlines the respective responsibilities of those groups

Quality assurance program plan for the Radiological Survey Activities Program - Uranium Mill Tailings Remedial Action Project

International Nuclear Information System (INIS)

Ramos, S.J.; Berven, B.A.; Little, C.A.

1986-01-01

The Radiological Survey Activities (RASA) program at Oak Ridge National Laboratory (ORNL) is responsible for surveying designated sites in the vicinity of 24 inactive mill sites involved in the Department of Energy's (DOE) Uranium Mill Tailings Remedial Action Project (UMTRAP). The purpose of these surveys is to provide a recommendation to DOE whether to include or exclude the site from UMTRAP based on whether the onsite residual radioactive material (if any) originated from the former mill sites, and radiation levels onsite are in excess of appropriate Environmental Protection Agency (EPA) criteria. This report describes the quality assurance program plan for the RASA program in conducting all activities related to the UMTRA project. All quality assurance provisions given by the DOE, DOE/UMTRA, and ORNL organizations are integrated into this plan. Specifically, this report identifies the policies and procedures followed in accomplishing the RASA/UMTRAP QA program, identifies those organizational units involved in the implementation of these procedures, and outlines the respective responsibilities of those groups

Overview of environmental radiological monitoring program of Institute of Radiation Protection And Dosimetry - IRD

Energy Technology Data Exchange (ETDEWEB)

Gomes, Sarah Barreto Oliveira de Christo; Peres, Sueli da Silva, E-mail: suelip@ird.gov.br, E-mail: sarah.barreto1@gmail.com [Instituto de Radioproteção e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil). Div. de Radioproteção

2017-07-01

As a branch of the Brazilian Nuclear Energy Commission (CNEN), the Institute of Radiation Protection and Dosimetry (IRD) performs extensive activities in the fields of radiation protection, metrology, and dosimetry, as well as specific education, onto a wide operational scope that includes the technical support to national regulatory authorities in the licensing process for nationwide nuclear and radioactive facilities. IRD has several laboratories where are performed radiometric and radiochemical analyses and others radioactivity evaluation procedures in different types of samples obtained in the inspection activities, production of radioactivity metrological standards and reference material by National Laboratory of Metrology of Ionizing Radiation (LMNRI), besides others research activities. In this laboratories can be used sealed or unsealed radioactive sources and radiation-producing devices and are classified with radioactive installations in accordance to national regulations. This way, radioactive liquid effluents can be eventually produced and released into the environment in the course of such activities and an effluent monitoring program to control and reduce the releases to environment is carried out. Additionally, IRD maintains the Radioactive Waste Management Program and Environmental Radiological Monitoring Program (ERMP) in accordance to national regulations requirements. The primary focus of ERMP comprises the validation of the dose prognostics for the public members due to effluents discharge and the provision of consistent projections of the radiation levels at the monitoring sites. In this study, a long term ERMP data survey is discussed, spanning the last thirteen years of activities. On the basis of such discussions and prognostics, it could be observed that the radiological environmental radiological impact due to operation of IRD installations is negligible. (author)

Overview of environmental radiological monitoring program of Institute of Radiation Protection And Dosimetry - IRD

International Nuclear Information System (INIS)

Gomes, Sarah Barreto Oliveira de Christo; Peres, Sueli da Silva

2017-01-01

As a branch of the Brazilian Nuclear Energy Commission (CNEN), the Institute of Radiation Protection and Dosimetry (IRD) performs extensive activities in the fields of radiation protection, metrology, and dosimetry, as well as specific education, onto a wide operational scope that includes the technical support to national regulatory authorities in the licensing process for nationwide nuclear and radioactive facilities. IRD has several laboratories where are performed radiometric and radiochemical analyses and others radioactivity evaluation procedures in different types of samples obtained in the inspection activities, production of radioactivity metrological standards and reference material by National Laboratory of Metrology of Ionizing Radiation (LMNRI), besides others research activities. In this laboratories can be used sealed or unsealed radioactive sources and radiation-producing devices and are classified with radioactive installations in accordance to national regulations. This way, radioactive liquid effluents can be eventually produced and released into the environment in the course of such activities and an effluent monitoring program to control and reduce the releases to environment is carried out. Additionally, IRD maintains the Radioactive Waste Management Program and Environmental Radiological Monitoring Program (ERMP) in accordance to national regulations requirements. The primary focus of ERMP comprises the validation of the dose prognostics for the public members due to effluents discharge and the provision of consistent projections of the radiation levels at the monitoring sites. In this study, a long term ERMP data survey is discussed, spanning the last thirteen years of activities. On the basis of such discussions and prognostics, it could be observed that the radiological environmental radiological impact due to operation of IRD installations is negligible. (author)

The Emergency Radiological Monitoring and Analysis Division of the United States Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Thome, D.J.

2000-01-01

The U.S. Federal Radiological Emergency Response Plan (FRERP) provides the framework for integrating the various Federal agencies responding to a major radiological emergency. The FRERP authorises the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC), which is established to co-ordinate all Federal agencies involved in the monitoring and assessment of the off-site radiological conditions in support of the impacted States and the Lead Federal Agency (LFA). Within the FRMAC, the Monitoring and Analysis Division is responsible for co-ordinating all FRMAC assets involved in conducting a comprehensive program of environmental monitoring, sampling, radioanalysis, and quality assurance. This program includes: 1. Aerial Radiological Monitoring - Fixed-Wing and Helicopter; 2. Field Monitoring and Sampling; 3. Radioanalysis - Mobile and Fixed Laboratories; 4. Radiation Detection Instrumentation - Calibration and Maintenance; 5. Environmental Dosimetry; 6. Integrated program of Quality Assurance. To assure consistency, completeness, and the quality of the data produced, a methodology and procedures manual is being developed. This paper discusses the structure, assets, and operations of the FRMAC Monitoring and Analysis Division and the content and preparation of the manual. (author)

Development of radiology in Mongolia

International Nuclear Information System (INIS)

Gonchigsuren, D.; Munkhbaatar, D.; Tuvshinjargal, D.; Onkhuudai, P.

2007-01-01

Full text: Radiology had been introduced in Mongolia by the establishment of the first X-Ray room at the First State Central Hospital in 1934. First radiologists in Mongolia were invited from the former Soviet Union; V. Sokolov, P. Omelchenko and others worked at the ''Burevestnik'' X-ray equipment of Russian production with high X-ray exposure and low capacity; they could perform only limited arts of Xray studies like fluoroscopy of thorax, stomach, esophagus and roentgenography of skull and extremities. The second X- ray equipment has been presented by the close friend of Lenin, the Director of People's Commissariat of Health Protection of the Soviet Union, Dr. N.A. Semashko; the present had been dedicated to the 10th Anniversary of Mongolian Health Care sector. During the military maneuvers at Khalkhin- Gol in 1939, several province hospitals and military hospitals had been supplied by the Xray equipment. During the period 1959-1960 all province hospitals, specialized hospitals had got X-ray unit. In 1955, Radii 226 had been used at first time in Mongolia for a treatment. In 1959, the State Radiological Clinic had been founded as a branch of X-ray cabinet of the First State Central Hospital. By the initiative of the absolvent of University of Leipzig, German Democratic Republic, Dr. P. Onkhuudai, Laboratory of Nuclear Medicine was established on 31 PstP March 1975 at the First State Central Hospital, which performed urography, thyroid and liver studies using Iod-131, Au-198, Hg-203 isotopes. In 1982, the gamma-camera and radio immunological equipment had been donated by the World Health Organization, and the Laboratory of Nuclear Medicine had been reorganized into Department of Nuclear Laboratory. Afterwards, in 1992 CT and SPECT diagnostics had been introduced at the First State Central Hospital, therefore new possibilities for high quality radiological diagnostic in Mongolia had been created. In 2007 the Siemens Magnetom 0.3 Tesla had been installed at the

Quality assurance applied to Radiological Protection Program of CPHR - Centro de Proteccion Y Higiene de las Radiaciones

International Nuclear Information System (INIS)

Marrero Garcia, M.; Jova Sed, L.; Domenech Nieves, H.; Hernandez Sainz, A.

2001-01-01

The quality assurance in establishment that use ionizing radiation sources, is according to international recommendations of radiation protection programs. This work intends to present the experience of the Centro de Proteccion y Higiene de las Radiaciones (CPHR), in the implementation of requirements of quality in their Radiological Protection Program

Radiology and social media: are private practice radiology groups more social than academic radiology departments?

Science.gov (United States)

Glover, McKinley; Choy, Garry; Boland, Giles W; Saini, Sanjay; Prabhakar, Anand M

2015-05-01

This study assesses the prevalence of use of the most commonly used social media sites among private radiology groups (PRGs) and academic radiology departments (ARDs). The 50 largest PRGs and the 50 ARDs with the highest level of funding from the National Institutes of Health were assessed for presence of a radiology-specific social media account on Facebook, Twitter, Instagram, Pinterest, YouTube, and LinkedIn. Measures of organizational activity and end-user activity were collected, including the number of posts and followers, as appropriate; between-group comparisons were performed. PRGs adopted Facebook 12 months earlier (P = .02) and Twitter 18 months earlier (P = .02) than did ARDs. A total of 76% of PRGs maintained ≥1 account on the social media sites included in the study, compared with 28% of ARDs (P Instagram, 2%. The prevalence of radiology-specific social media accounts for ARDs was: Facebook, 18%; LinkedIn, 0%; Twitter, 24%; YouTube, 6%; Pinterest, 0%; and Instagram, 0%. There was no significant difference between ARDs and PRGs in measures of end-user or organizational activity on Facebook or Twitter. Use of social media in health care is emerging as mainstream, with PRGs being early adopters of Facebook and Twitter in comparison with ARDs. Competitive environments and institutional policies may be strong factors that influence how social media is used by radiologists at the group and department levels. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

NCRP Program Area Committee 3: Nuclear and Radiological Security and Safety.

Science.gov (United States)

Taylor, Tammy P; Buddemeier, Brooke

2016-02-01

Program Area Committee (PAC) 3 provides guidance and recommendations for response to nuclear and radiological incidents of both an accidental and deliberate nature. Leadership of PAC 3 was transitioned in March 2015, and the newly composed PAC has been working to delineate and then prioritize the landscape of possible activities for PAC 3. The major activity of PAC 3 during the past year was the establishment of Scientific Committee 3-1 to begin producing a report on Guidance for Emergency Responder Dosimetry.

Radiological protection of patients in diagnostic and interventional radiology, nuclear medicine and radiotherapy. Contributed papers

International Nuclear Information System (INIS)

2001-01-01

An International Conference on the Radiological Protection of Patients in Diagnostic and Interventional Radiology, Nuclear Medicine and Radiotherapy organized by the International Atomic Energy Agency and co-sponsored by the European Commission, the Pan American Health Organization and the World Health Organization was held in Malaga, Spain, from 26 to 30 March 2001. The Government of Spain hosted this Conference through the Ministerio de Sanidad y Consumo, the Consejo de Seguridad Nuclear, the Junta de Andalucia, the Universidad de Malaga and the Grupo de Investigacion en Proteccion Radiologica de la Universidad de Malaga (PRUMA). The Conference was organized in co-operation with the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), the International Commission on Radiological Protection (ICRP) and the following professional societies: International Organization of Medical Physicists (IOMP), International Radiation Protection Association (IRPA), International Society of Radiation Oncology (ISRO), International Society of Radiology (ISR), International Society of Radiographers and Radiological Technologists (ISRRT) and World Federation of Nuclear Medicine and Biology (WFNMB). This publication contains contributed papers submitted to the Conference Programme Committee. The papers are in one of the two working languages of this Conference, English and Spanish. The topics covered by the Conference are as follows: Radiological protection of patients in general diagnostic radiology (radiography), Radiological protection of patients in general diagnostic radiology (fluoroscopy), Radiological protection issues in specific uses of diagnostic radiology, such as mammography and computed tomography (with special consideration of the impact of digital techniques), Radiological protection in interventional radiology, including fluoroscopy not carried out by radiologists, Radiological protection of patients in nuclear medicine, Developing and

Radiological protection of patients in diagnostic and interventional radiology, nuclear medicine and radiotherapy. Contributed papers

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

An International Conference on the Radiological Protection of Patients in Diagnostic and Interventional Radiology, Nuclear Medicine and Radiotherapy organized by the International Atomic Energy Agency and co-sponsored by the European Commission, the Pan American Health Organization and the World Health Organization was held in Malaga, Spain, from 26 to 30 March 2001. The Government of Spain hosted this Conference through the Ministerio de Sanidad y Consumo, the Consejo de Seguridad Nuclear, the Junta de Andalucia, the Universidad de Malaga and the Grupo de Investigacion en Proteccion Radiologica de la Universidad de Malaga (PRUMA). The Conference was organized in co-operation with the United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), the International Commission on Radiological Protection (ICRP) and the following professional societies: International Organization of Medical Physicists (IOMP), International Radiation Protection Association (IRPA), International Society of Radiation Oncology (ISRO), International Society of Radiology (ISR), International Society of Radiographers and Radiological Technologists (ISRRT) and World Federation of Nuclear Medicine and Biology (WFNMB). This publication contains contributed papers submitted to the Conference Programme Committee. The papers are in one of the two working languages of this Conference, English and Spanish. The topics covered by the Conference are as follows: Radiological protection of patients in general diagnostic radiology (radiography), Radiological protection of patients in general diagnostic radiology (fluoroscopy), Radiological protection issues in specific uses of diagnostic radiology, such as mammography and computed tomography (with special consideration of the impact of digital techniques), Radiological protection in interventional radiology, including fluoroscopy not carried out by radiologists, Radiological protection of patients in nuclear medicine, Developing and

Quantitative computed tomography (QCT) as a radiology reporting tool by using optical character recognition (OCR) and macro program.

Science.gov (United States)

Lee, Young Han; Song, Ho-Taek; Suh, Jin-Suck

2012-12-01

The objectives are (1) to introduce a new concept of making a quantitative computed tomography (QCT) reporting system by using optical character recognition (OCR) and macro program and (2) to illustrate the practical usages of the QCT reporting system in radiology reading environment. This reporting system was created as a development tool by using an open-source OCR software and an open-source macro program. The main module was designed for OCR to report QCT images in radiology reading process. The principal processes are as follows: (1) to save a QCT report as a graphic file, (2) to recognize the characters from an image as a text, (3) to extract the T scores from the text, (4) to perform error correction, (5) to reformat the values into QCT radiology reporting template, and (6) to paste the reports into the electronic medical record (EMR) or picture archiving and communicating system (PACS). The accuracy test of OCR was performed on randomly selected QCTs. QCT as a radiology reporting tool successfully acted as OCR of QCT. The diagnosis of normal, osteopenia, or osteoporosis is also determined. Error correction of OCR is done with AutoHotkey-coded module. The results of T scores of femoral neck and lumbar vertebrae had an accuracy of 100 and 95.4 %, respectively. A convenient QCT reporting system could be established by utilizing open-source OCR software and open-source macro program. This method can be easily adapted for other QCT applications and PACS/EMR.

Coincidence of needs in radiological and toxicological protection

International Nuclear Information System (INIS)

Osborne, R.V.

1988-01-01

Research needs for radiological protection and research programs that have evolved to meet these needs parallel closely those in the chemical toxicology field. The similarity of these needs is described as perceived from the radiological side. Further, the frame work for radiologically-related research, out lines of the research programs, and the development of the facilities at Chalk River Nuclear Labs were presented

Dosimetric evaluation program for dental radiology practices

International Nuclear Information System (INIS)

Gregori, B.; Milat, J.; Fernandez, J.; Micinquevich, S.; Andrieu, J.

1992-01-01

The preliminary results of a program undertaken to estimate the doses to patients associated with dental radiology practices in Argentine, are presented. Information collected from the search demonstrated that the Dieck and coronal techniques are the most commonly used practices, while all the examinations are performed by using a circular collimator. For both practices, the dosimetric studies were carried out on a Rando Alderson phantom. All dose measurements were made using thermoluminescent detectors LiF and Ca 2 F. In addition, a mathematical model was developed by applying the Monte Carlo method to a MIRD-V phantom. Circular and rectangular collimators were used. Absorbed dose distribution on head and neck, as well as surface dose distribution, were estimated. The comparison of the performance of both collimators shows that the use of the rectangular one allows for a dose reduction of 80%. Besides, a good correlation between the physical and mathematical models applied was found. (author)

Ethics in radiology: wait lists queue jumping.

Science.gov (United States)

Cunningham, Natalie; Reid, Lynette; MacSwain, Sarah; Clarke, James R

2013-08-01

Education in ethics is a requirement for all Royal College residency training programs as laid out in the General Standards of Accreditation for residency programs in Canada. The ethical challenges that face radiologists in clinical practice are often different from those that face other physicians, because the nature of the physician-patient interaction is unlike that of many other specialties. Ethics education for radiologists and radiology residents will benefit from the development of teaching materials and resources that focus on the issues that are specific to the specialty. This article is intended to serve as an educational resource for radiology training programs to facilitate teaching ethics to residents and also as a continuing medical education resource for practicing radiologists. In an environment of limited health care resources, radiologists are frequently asked to expedite imaging studies for patients and, in some respects, act as gatekeepers for specialty care. The issues of wait lists, queue jumping, and balancing the needs of individuals and society are explored from the perspective of a radiologist. Copyright © 2013 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

75 FR 384 - Event Problem Codes Web Site; Center for Devices and Radiological Health; Availability

Science.gov (United States)

2010-01-05

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA-2009-N-0576] Event Problem Codes Web Site; Center for Devices and Radiological Health; Availability AGENCY: Food and Drug Administration, HHS. ACTION: Notice. SUMMARY: The Food and Drug Administration (FDA) is announcing...

Education and training of medical physicists in radiology

International Nuclear Information System (INIS)

Todorov, V.; Vassileva, J.

2006-01-01

Full text: Medical radiology is chronologically the first and widest field of work of medical physicists. Therefore the education and training of medical radiological physicists is of big importance for both diagnostics and therapy. The education of medical radiological physicists in Bulgaria is organized in two levels: university and postgraduate, which is a good achievement of Bulgarian educational system. University education is in the framework of the M. Sc. program in Medical physics with a prevalent training in medical radiological physics. Three universities in the country have been carrying out this education since more than ten years. Postgraduate education covers specialties Medical Radiological Physics and Radiation Hygiene. It is organized by the Medical University but the training is opened also to specialists outside the health care system. The interests in both levels of education and training in Medical Physics is increasing with about 40 trainees in last years. The university and postgraduate education has good quality in theory but still inadequate in practical aspects. The continuous training and qualification of medical physicists has also difficulties; the main reasons are insufficient technical and financial resources as well as the lack of interest of the staff of the training centers. The responsibilities for education and training of medical physicists in radiology should be shared between physicists and physicians in the country

Radiological controls integrated into design

Energy Technology Data Exchange (ETDEWEB)

Kindred, G.W. [Cleveland Electric Illuminating Co., Perry, OH (United States)

1995-03-01

Radiological controls are required by law in the design of commercial nuclear power reactor facilities. These controls can be relatively minor or significant, relative to cost. To ensure that radiological controls are designed into a project, the health physicist (radiological engineer) must be involved from the beginning. This is especially true regarding keeping costs down. For every radiological engineer at a nuclear power plant there must be fifty engineers of other disciplines. The radiological engineer cannot be an expert on every discipline of engineering. However, he must be knowledgeable to the degree of how a design will impact the facility from a radiological perspective. This paper will address how to effectively perform radiological analyses with the goal of radiological controls integrated into the design package.

BNL ALARA Center's development of a computerized radiological assessment and design system (RADS)

International Nuclear Information System (INIS)

Dionne, B.J.; Masciulli, S.; Connelly, J.M.

1993-01-01

The US Department of Energy's (DOE) Office of Health Physics and Industrial Hygiene sponsored a study of Radiological Engineering Programs at selected DOE contractor facilities. This study was conducted to review, evaluate, and summarize techniques and practices that should be considered in the design phase that reduce dose and the spread of radioactive materials during subsequent construction and operation of DOE radiological facilities. As in a previous study on operational ALARA programs, a variety of good-practice documents will be generated. It is envisioned that these documents will serve as a resource to assist radiological engineers in the process of designing radiological facilities, and in performing radiological safety/ALARA design reviews. This paper presents the features for three good-practice documents and related software applications that are being developed based on the findings of this study. The proposed software called Radiological Assessment and Design System (RADS) will be a menu-driven database and spreadsheet program. It will be designed to provide easy, consistent, and effective implementation of the methodologies described in the three good-practice documents. These documents and the associated RADS software will provide the user with the following three functions: (1) enter dose assessment information and data into computer worksheets and provide printed tables of the results which can then be inserted into safety analysis reports or cost-benefit analyses, (2) perform a wide variety of sorts of radiological design criteria from DOE Orders and produce a checklist of the desired design criteria, and (3) enter cost/benefit data and qualitative rating of attributes for various design alternatives which reduce dose into computer worksheets and provide printed reports of cost-effectiveness results

Chernobyl ten years after-sum-up of the radiological and health effects as reported by IAEA and WHO

Energy Technology Data Exchange (ETDEWEB)

Koch, J [Israel Atomic Energy Commission, Yavne (Israel). Soreq Nuclear Research Center; Ilberg, D [Israel Atomic Energy Commission, Tel Aviv (Israel). Licensing Div.

1996-12-01

This paper will summarize the main findings presented by the scientific community at international conferences convened to sum-up the consequences of the Chernobyl accident at its tenth anniversary. It will only deal with the radiological and health consequences, as they were presented at the EC/lAEA/WHO International Conference `One Decade after Chernobyl` (Vienna, 8-12 April 1996) and the WHO International Conference on Health Consequences of the Chernobyl and Other Radiological Accident (authors).

Chernobyl ten years after-sum-up of the radiological and health effects as reported by IAEA and WHO

International Nuclear Information System (INIS)

Koch, J.; Ilberg, D.

1996-01-01

This paper will summarize the main findings presented by the scientific community at international conferences convened to sum-up the consequences of the Chernobyl accident at its tenth anniversary. It will only deal with the radiological and health consequences, as they were presented at the EC/lAEA/WHO International Conference 'One Decade after Chernobyl' (Vienna, 8-12 April 1996) and the WHO International Conference on Health Consequences of the Chernobyl and Other Radiological Accident (authors)

A health survey of radiologic technologists

International Nuclear Information System (INIS)

Boice, J.D. Jr.; Mandel, J.S.; Doody, M.M.; Yoder, R.C.; McGowan, R.

1992-01-01

A health survey of more than 143,000 radiologic technologists is described. The population was identified from the 1982 computerized files of the American Registry of Radiologic Technologists, which was established in 1926. Inactive members were traced to obtain current addresses or death notifications. More than 6000 technologists were reported to have died. For all registrants who were alive when located, a detailed 16-page questionnaire was sent, covering occupational histories, medical conditions, and other personal and lifestyle characteristics. Nonrespondents were contacted by telephone to complete an abbreviated questionnaire. More than 104,000 responses were obtained. Most technologists were female (76%), white (93%), and employed for an average of 12 years; 37% attended college, and approximately 50% never smoked cigarettes. Radiation exposure information was sought from employer records and commercial dosimetry companies. Technologists employed for the longest times had the highest estimated cumulative exposures, with approximately 9% with exposures greater than 5 cGy. There was a high correlation between cumulative occupational exposure and personal exposure to medical radiographs, related, in part, to the association of both factors with attained age. It is interesting that 10% of all technologists allowed others to practice taking radiographs on them during their training. Nearly 4% of the respondents reported having some type of cancer, mainly of the skin (1517), breast (665), and cervix (726). Prospective surveys will monitor cancer mortality rates through use of the National Death Index and cancer incidence through periodic mailings of questionnaires. This is the only occupational study of radiation employees who are primarily women and should provide new information on the possible risks associated with relatively low levels of exposure

eLearning-radiology.com. Sustainability for quality assurance

International Nuclear Information System (INIS)

Ketelsen, D.; Talanow, R.; Uder, M.; Grunewald, M.

2009-01-01

Purpose: The aim of the study was to analyze the availability of published radiological e-learning tools and to establish a solution for quality assurance. Materials and Methods: Substantial pubmed research was performed to identify radiological e-learning tools. 181 e-learning programs were selected. As examples two databases expanding their programs with external links, Compare (n = 435 external links) and TNT-Radiology (n = 1078 external links), were evaluated. A concept for quality assurance was developed by an international taskforce. Results: At the time of assessment, 56.4 % (102/181) of the investigated e-learning tools were accessible at their original URL. A subgroup analysis of programs published 5 to 8 years ago showed significantly inferior availability to programs published 3 to 5 years ago (p < 0.01). The analysis of external links showed 49.2 % and 61.0 % accessible links for the programs Compare (published 2003) and TNT-Radiology (published 2006), respectively. As a consequence, the domain www.eLearning-radiology.com was developed by the taskforce and published online. This tool allows authors to present their programs and users to evaluate the e-learning tools depending on several criteria in order to remove inoperable links and to obtain information about the complexity and quality of the e-learning tools. (orig.)

Socioeconomic trends in radiology

International Nuclear Information System (INIS)

Barneveld Binkhuysen, F.H.

1998-01-01

For radiology the socioeconomic environment is a topic of increasing importance. In addition to the well-known important scientific developments in radiology such as interventional MRI, several other major trends can be recognized: (1) changes in the delivery of health care, in which all kinds of managed care are developing and will influence the practice of radiology, and (2) the process of computerization and digitization. The socioeconomic environment of radiology will be transformed by the developments in managed care, teleradiology and the integration of information systems. If radiologists want to manage future radiology departments they must have an understanding of the changes in the fields of economics and politics that are taking place and that will increasingly influence radiology. Some important and recognizable aspects of these changes will be described here. (orig.)

Course NICER in gastrointestinal and urogenital radiology

International Nuclear Information System (INIS)

Aksel Kruse; Nolan, D.J.; Allison, D.J.; Jackson, J.; Gibson, R.

1998-01-01

Course of NICER (Nycomed Intercontinental Continuing Education in Radiology) in gastrointestinal and urogenital radiology in the frameworks of NICER program. This program is one of the best educational programs the purpose of which consists in education of maximum good quality, free of marketing and advertisement accessible to roentgenologists of all the countries. The above course was presented in Hua Dong Hospital, Shanghai, China, April 18-21, 1996

[eLearning-radiology.com--sustainability for quality assurance].

Science.gov (United States)

Ketelsen, D; Talanow, R; Uder, M; Grunewald, M

2009-04-01

The aim of the study was to analyze the availability of published radiological e-learning tools and to establish a solution for quality assurance. Substantial pubmed research was performed to identify radiological e-learning tools. 181 e-learning programs were selected. As examples two databases expanding their programs with external links, Compare (n = 435 external links) and TNT-Radiology (n = 1078 external links), were evaluated. A concept for quality assurance was developed by an international taskforce. At the time of assessment, 56.4 % (102 / 181) of the investigated e-learning tools were accessible at their original URL. A subgroup analysis of programs published 5 to 8 years ago showed significantly inferior availability to programs published 3 to 5 years ago (p eLearning-radiology.com was developed by the taskforce and published online. This tool allows authors to present their programs and users to evaluate the e-learning tools depending on several criteria in order to remove inoperable links and to obtain information about the complexity and quality of the e-learning tools. More than 50 % of investigated radiological e-learning tools on the Internet were not accessible after a period of 5 to 8 years. As a consequence, an independent, international tool for quality assurance was designed and published online under www.eLearning-radiology.com .

American College of Radiology Accreditation Program for mammographic screening sites: Physical evaluation criteria

International Nuclear Information System (INIS)

Hendrick, R.E.; Haus, A.G.; Hubbard, L.B.; Lasky, H.J.; McCrohan, J.; McLelland, R.; Rothenberg, L.N.; Tanner, R.L.; Zinninger, M.D.

1987-01-01

The American College of Radiology has initiated a program for the accreditation of mammographic screening sites, which includes evaluation by mail of image quality and average glandular breast dose. Image quality is evaluated by use of a specially designed phantom (a modified RMI 152D Mammographic Phantom) containing simulated microcalcifications, fibrils and masses. Average glandular dose to a simulated 4.5-cm-thick (50% glandular, 50% fat) compressed breast is evaluated by thermoluminescent dosimeter measurements of entrance exposure and half value layer. Standards for acceptable image quality and patient doses are presented and preliminary results of the accreditation program are discussed

2009 Annual Health Physics Report for the HEU Transparency Program

International Nuclear Information System (INIS)

Radev, R.

2010-01-01

During the 2009 calendar year, Lawrence Livermore National Laboratory (LLNL) provided health physics support for the Highly Enriched Uranium (HEU) Transparency Program for external and internal radiation protection. LLNL also provided technical expertise related to BDMS radioactive sources and Russian radiation safety regulatory compliance. For the calendar year 2009, there were 159 person-trips that required dose monitoring of the U.S. monitors. Of the 159 person-trips, 149 person-trips were SMVs and 10 person-trips were Transparency Monitoring Office (TMO) trips. There were 4 monitoring visits by TMO monitors to facilities other than UEIE and 10 to UEIE itself. LLNL's Hazard Control Department laboratories provided the dosimetry services for the HEU Transparency monitors. In 2009, the HEU Transparency activities in Russia were conducted in a radiologically safe manner for the HEU Transparency monitors in accordance with the expectations of the HEU Transparency staff, NNSA and DOE. The HEU Transparency Program now has over fifteen years of successful experience in developing and providing health and safety support in meeting its technical objectives.

Marshall Islands radiological followup

International Nuclear Information System (INIS)

Greenhouse, N.A.; McGraw, T.F.

1976-01-01

In August, 1968, President Johnson announced that the people of Bikini Atoll would be able to return to their homeland. Thereafter, similar approval was given for the return of the peoples of Enewetak. These two regions, which comprised the Pacific Nuclear Testing Areas from 1946 to 1958, will probably be repopulated by the original inhabitants and their families within the next year. As part of its continuing responsibility to insure the pulbic health and safety in connection with the nuclear program under its sponsorship, ERDA (formerly AEC) has contracted Brookhaven National Laboratory to establish radiological safety and environmental monitoring programs for the returning Bikini and Enewetak peoples. These programs are designed to define the external radiation environment, assess radiation doses from internal emitters in the human food chain, make long range predictions of total doses and dose commitments to individuals an to each population group, and to suggest actions which will minimize doses via the more significant pathways

Marshall Islands radiological followup

International Nuclear Information System (INIS)

Greenhouse, N.A.; McCraw, T.F.

In August, 1968, President Johnson announced that the people of Bikini Atoll would be able to return to their homeland. Thereafter, similar approval was given for the return of the peoples of Enewetak. These two regions, which comprised the Pacific Nuclear Testing Areas from 1946 to 1958, will probably be repopulated by the original inhabitants and their families within the next year. As part of its continuing responsibility to insure the public health and safety in connection with the nuclear programs under its sponsorship, ERDA (formerly AEC) has contracted Brookhaven National Laboratory to establish radiological safety and environmental monitoring programs for the returning Bikini and Enewetak peoples. These programs are described in the following paper. They are designed to define the external radiation environment, assess radiation doses from internal emitters in the human food chain, make long range predictions of total doses and dose commitments to individuals and to each population group, and to suggest actions which will minimize doses via the more significant pathways

Quality measures and pediatric radiology: suggestions for the transition to value-based payment

Energy Technology Data Exchange (ETDEWEB)

Heller, Richard E. [Radiology Partners, El Segundo, CA (United States); Coley, Brian D. [University of Cincinnati, Department of Radiology and Medical Imaging, Cincinnati Children' s Hospital Medical Center, Cincinnati, OH (United States); Simoneaux, Stephen F. [Emory University School of Medicine, Department of Radiology, Children' s Healthcare of Atlanta, Atlanta, GA (United States); Podberesky, Daniel J. [Nemours Children' s Hospital, Department of Radiology, Nemours Children' s Health System, Orlando, FL (United States); Hernanz-Schulman, Marta [Vanderbilt University School of Medicine, Department of Radiology, Monroe Carell Jr. Children' s Hospital at Vanderbilt, Nashville, TN (United States); Robertson, Richard L. [Harvard Medical School, Department of Radiology, Boston Children' s Hospital, Boston, MA (United States); Donnelly, Lane F. [Texas Children' s Hospital, Department of Radiology, Houston, TX (United States)

2017-06-15

Recent political and economic factors have contributed to a meaningful change in the way that quality in health care, and by extension value, are viewed. While quality is often evaluated on the basis of subjective criteria, pay-for-performance programs that link reimbursement to various measures of quality require use of objective and quantifiable measures. This evolution to value-based payment was accelerated by the 2015 passage of the Medicare Access and CHIP (Children's Health Insurance Program) Reauthorization Act (MACRA). While many of the drivers of these changes are rooted in federal policy and programs such as Medicare and aimed at adult patients, the practice of pediatrics and pediatric radiology will be increasingly impacted. This article addresses issues related to the use of quantitative measures to evaluate the quality of services provided by the pediatric radiology department or sub-specialty section, particularly as seen from the viewpoint of a payer that may be considering ways to link payment to performance. The paper concludes by suggesting a metric categorization strategy to frame future work on the subject. (orig.)

Quality measures and pediatric radiology: suggestions for the transition to value-based payment

International Nuclear Information System (INIS)

Heller, Richard E.; Coley, Brian D.; Simoneaux, Stephen F.; Podberesky, Daniel J.; Hernanz-Schulman, Marta; Robertson, Richard L.; Donnelly, Lane F.

2017-01-01

Recent political and economic factors have contributed to a meaningful change in the way that quality in health care, and by extension value, are viewed. While quality is often evaluated on the basis of subjective criteria, pay-for-performance programs that link reimbursement to various measures of quality require use of objective and quantifiable measures. This evolution to value-based payment was accelerated by the 2015 passage of the Medicare Access and CHIP (Children's Health Insurance Program) Reauthorization Act (MACRA). While many of the drivers of these changes are rooted in federal policy and programs such as Medicare and aimed at adult patients, the practice of pediatrics and pediatric radiology will be increasingly impacted. This article addresses issues related to the use of quantitative measures to evaluate the quality of services provided by the pediatric radiology department or sub-specialty section, particularly as seen from the viewpoint of a payer that may be considering ways to link payment to performance. The paper concludes by suggesting a metric categorization strategy to frame future work on the subject. (orig.)

Advance of the National Program of Radiological Protection and Safety for medical diagnostic with X-rays; Avance del Programa Nacional de Proteccion y Seguridad Radiologica para diagnostico medico con rayos X

Energy Technology Data Exchange (ETDEWEB)

Verdejo S, M. [Direccion de Riesgos Radiologicos, Direccion General de Salud Ambiental (Mexico)

1999-07-01

The National Program of Radiological Protection and Safety for medical diagnostic with X-ray (Programa Nacional de Proteccion y Seguridad Radiologica para diagnostico medico con rayos X) was initiated in the General Direction of Environmental Health (Direccion General de Salud Ambiental) in 1995. Task coordinated with different dependences of the Public Sector in collaboration between the Secretary of Health (Secretaria de Salud), the National Commission of Nuclear Safety and Safeguards (Comision Nacional de Seguridad Nuclear y Salvaguardias) and, the National Institute of Nuclear Research (Instituto Nacional de Investigaciones Nucleares). The surveillance to the fulfilment of the standardization in matter of Radiological Protection and Safety in the medical diagnostic with X-rays has been obtained for an important advance in the Public sector and it has been arousing interest in the Private sector. (Author)

The American Board of Radiology perspective on maintenance of certification: Part IV: Practice quality improvement in radiologic physics

International Nuclear Information System (INIS)

Frey, G. Donald; Ibbott, Geoffrey S.; Morin, Richard L.; Paliwal, Bhudatt R.; Thomas, Stephen R.; Bosma, Jennifer

2007-01-01

Recent initiatives of the American Board of Medical Specialties (ABMS) in the area of maintenance of certification (MOC) have been reflective of the response of the medical community to address public concerns regarding quality of care, medical error reduction, and patient safety. In March 2000, the 24 member boards of the ABMS representing all medical subspecialties in the USA agreed to initiate specialty-specific maintenance of certification (MOC) programs. The American Board of Radiology (ABR) MOC program for diagnostic radiology, radiation oncology, and radiologic physics has been developed, approved by the ABMS, and initiated with full implementation for all three disciplines beginning in 2007. The overriding objective of MOC is to improve the quality of health care through diplomate-initiated learning and quality improvement. The four component parts to the MOC process are: Part I: Professional standing, Part II: Evidence of life long learning and periodic self-assessment, Part III: Cognitive expertise, and Part IV: Evaluation of performance in practice (with the latter being the focus of this paper). The key components of Part IV require a physicist-based response to demonstrate commitment to practice quality improvement (PQI) and progress in continuing individual competence in practice. Diplomates of radiologic physics must select a project to be completed over the ten-year cycle that potentially can improve the quality of the diplomate's individual or systems practice and enhance the quality of care. Five categories have been created from which an individual radiologic physics diplomate can select one required PQI project: (1) Safety for patients, employees, and the public, (2) accuracy of analyses and calculations, (3) report turnaround time and communication issues, (4) practice guidelines and technical standards, and (5) surveys (including peer review of self-assessment reports). Each diplomate may select a project appropriate for an individual

Role of radiology in occupational medicine

International Nuclear Information System (INIS)

Vehmas, T.

2004-01-01

This review discusses the contribution of radiology to occupational medicine as well as work-related problems in radiology dept.s. Research issues are emphasized. Radiology has been used especially when diagnosing occupational respiratory and locomotive system problems and solvent-induced encephalo- and hepatopathy. The aim of research in these areas is usually to characterize occupational diseases and to identify physico-chemical hazards in the work place by comparing between groups of workers and non-exposed controls. Radiological imaging allows an objective characterization of the disease, and it may clarify the pathogenesis of the process and provide a useful epidemiological tool. Advanced statistical methods are often needed to adjust analyses for confounding variables. As the diagnostic requirements are increasing, more sensitive and sophisticated radiological methods, such as high-resolution computed tomography, magnetic resonance imaging and magnetic resonance spectroscopy, may be required for the early recognition of occupational health risks. This necessitates good cooperation between occupational health units and well-equipped imaging dept.s. Considering occupational problems in radiology departments, the increasing use of digital radiology requires ergonomic measures to control and prevent locomotive problems caused by work with computers. Radiation protection measures are still worth concern, especially in interventional radiology

BNL ALARA center's development of a computerized Radiological Assessment and Design System (RADS)

International Nuclear Information System (INIS)

Dionne, B.J.; Connelly, J.M.

1993-01-01

The US Department of Energy's (DOE) Office of Health Physics and Industrial Hygiene sponsored a study of Radiological Engineering Programs at selected DOE contractor facilities. This study was conducted to review, evaluate, and summarize techniques and practices that should be considered in the design phase that reduce dose and the spread of radioactive materials during subsequent construction and operation at DOE radiological facilities. As in a previous study on operational ALARA programs, a variety of open-quotes good-practice documentsclose quotes will be generated. It is envisioned that these documents will serve as a resource to assist radiological engineers in the process of designing radiological facilities, and in performing radiological safety/ALARA design reviews. This paper presents the features for three good-practice documents and related software applications that are being developed based on the findings of this study. The proposed software called open-quotes Radiological Assessment and Design Systemclose quotes (RADS) will be a menu-driven database and spreadsheet program. It will be designed to provide easy, consistent, and effective implementation of the methodologies described in the three good-practice documents. These documents and the associated RADS software will provide the user with the following three functions: (1) enter dose assessment information and data into computer worksheets and provide printed tables of the results which can then be inserted into safety analysis reports or cost-benefit analysis, (2) perform a wide variety of sorts of radiological design criteria from DOE Orders and produce a checklist of the desired design criteria, and (3) enter cost/benefit data and qualitative ratings of attributes for various design alternatives which reduce dose into computer worksheets and provide printed reports of cost-effectiveness results

Emergency radiological monitoring and analysis: Federal Radiological Monitoring and Assessment Center

International Nuclear Information System (INIS)

Thome, D.J.

1995-01-01

The US Federal Radiological Emergency Response Plan (FRERP) provides the framework for integrating the various Federal agencies responding to a major radiological emergency. The FRERP authorizes the creation of the Federal Radiological Monitoring and Assessment Center (FRMAC), which is established to coordinate all Federal agencies involved in the monitoring and assessment of the off-site radiological conditions in support of the impacted State(s) and the Lead Federal Agency (LFA). Within the FRMAC, the Monitoring and Analysis Division (M ampersand A) is responsible for coordinating all FRMAC assets involved in conducting a comprehensive program of environmental monitoring, sampling, radioanalysis, and quality assurance. To assure consistency, completeness, and the quality of the data produced, a methodology and procedures manual is being developed. This paper discusses the structure, assets, and operations of the FRMAC M ampersand A and the content and preparation of the manual

The Fukushima radiological emergency and challenges identified for future public health responses.

Science.gov (United States)

Miller, Charles W

2012-05-01

On 11 March 2011, northern Japan was rocked by first a magnitude 9.0 earthquake off the eastern coast and then an ensuing tsunami. The Fukushima Daiichi Nuclear Power Plant complex was hit by these twin disasters, and a cascade of events was initiated that led to radionuclide releases causing widespread radioactive contamination of residential areas, agricultural land, and coastal waters. Radioactive material from Japan was subsequently transmitted to locations around the globe, including the U.S. The levels of radioactive material that arrived in the U.S. were never large enough to be a concern for health effects, but the presence of this material in the environment was enough to create a public health emergency in the U.S. The radiation safety and public health communities in the U.S. are identifying challenges they faced in responding to this incident. This paper discusses three of those challenges: (1) The growing shortage of trained radiation subject matter experts in the field of environmental transport and dosimetry of radionuclides; (2) the need to begin expressing all radiation-related quantities in terms of the International System of Units; and (3) the need to define when a radiation dose is or is not one of "public health concern." This list represents only a small subset of the list of challenges being identified by public health agencies that responded to the Fukushima incident. However, these three challenges are fundamental to any radiological emergency response. Addressing them will have a significant positive impact on how the U.S. responds to the next radiological emergency.

Capacity for Cancer Care Delivery Research in National Cancer Institute Community Oncology Research Program Community Practices: Availability of Radiology and Primary Care Research Partners.

Science.gov (United States)

Carlos, Ruth C; Sicks, JoRean D; Chang, George J; Lyss, Alan P; Stewart, Teresa L; Sung, Lillian; Weaver, Kathryn E

2017-12-01

Cancer care spans the spectrum from screening and diagnosis through therapy and into survivorship. Delivering appropriate care requires patient transitions across multiple specialties, such as primary care, radiology, and oncology. From the program's inception, the National Cancer Institute Community Oncology Research Program (NCORP) sites were tasked with conducting cancer care delivery research (CCDR) that evaluates structural, organizational, and social factors, including care transitions that determine patient outcomes. The aim of this study is to describe the capacity of the NCORP to conduct multidisciplinary CCDR that includes radiology and primary care practices. The NCORP includes 34 community and 12 minority and underserved community sites. The Landscape Capacity Assessment was conducted in 2015 across these 46 sites, composed of the 401 components and subcomponents designated to conduct CCDR. Each respondent had the opportunity to designate an operational practice group, defined as a group of components and subcomponents with common care practices and resources. The primary outcomes were the proportion of adult oncology practice groups with affiliated radiology and primary care practices. The secondary outcomes were the proportion of those affiliated radiology and primary care groups that participate in research. Eighty-seven percent of components and subcomponents responded to at least some portion of the assessment, representing 230 practice groups. Analyzing the 201 adult oncology practice groups, 85% had affiliated radiologists, 69% of whom participate in research. Seventy-nine percent had affiliated primary care practitioners, 31% of whom participate in research. Institutional size, multidisciplinary group practice, and ownership by large regional or multistate health systems was associated with research participation by affiliated radiology and primary care groups. Research participation by these affiliated specialists was not significantly

Proposal of inspection methodology for environment radiological control

International Nuclear Information System (INIS)

Martins, Nadia Soido Falcao

2005-01-01

The Radiation Protection and Dosimetry Institute (IRD) of the Brazilian Nuclear Energy Commission (CNEN) is in charge of verifying that the self-monitoring operator is effective to control the radiological quality of environmental around the nuclear facilities and carried out in accordance with the regulatory requirements. While a long time, the verification of compliance was kept by the conduction of large scale monitoring programs around all the authorized installations. The IRD decided to reformulate its performance behavior, starting another kind of control program, due to the number increase of nuclear installations and the diversity of activities conducted by the operators. This program, so-called Monitoring Control Program (PCM) is a regulatory activity developed by the Environmental Impact Assessment Service (SEAIA) of IRD and has the aim of check the effectiveness of authorized self-control. Actually the regulatory control of environmental radiological integrity around the authorized nuclear installation essentially depends on the effectiveness of regulatory inspections fulfilled by the SEAIA/IRD. Due to the implementation of modern practices of management in the IRD, specially the quality management system on regulatory inspection activities, emerged the need of unify these actions. It was also necessary to establish standard procedures required for inspection conduction. This work proposes one methodology for the inspections of environmental radiological control suitable to assure the compliance and effectiveness of environmental and effluent monitoring programs conducted by the operator, through the systematic verification of compliance and data quality assessment. The proposed methodology seeks to attend the appeals for high control standards of environment protection and public health. Here, we presented as products of this work: The inspection handbook and checklists for inspections; one framework for sampling, handling, recording and reporting of

Public health preparedness and response to a radiological terrorist attack

International Nuclear Information System (INIS)

Yamaguchi, Ichiro

2016-01-01

Given the potential for intentional malevolent acts, the security of radioactive sources should be ensured. In the event of a terrorist attack using a radioactive source, we should care not only about health concerns of victims, especially including first responders who suffer from radiation injury, but also public health activities with affected people during the long recovery phase. Regarding the radiological public health viewpoint, preventive efforts are also important. In fact, regulatory reform is progressing in Japan according to the code of conduct issued by IAEA. One of the difficulties of countermeasures for the security of radioactive sources in Japan is to establish a disposal facility for disused sealed radioactive sources, since radioactive waste has been additionally a point of contention in society since the nuclear disaster. This paper presents an overview of countermeasures for terrorist attacks using a radioactive source, from the viewpoint of public health in Japan including the results of survey targeted hospitals equipped with blood irradiation machines. (author)

Global view on the radiological protection of patients: PAHO position paper

International Nuclear Information System (INIS)

Borras, C.

2001-01-01

The Pan American Health Organization/World Health Organization (PAHO/WHO), founded in 1902, initiated a radiological health programme in the 1950s. Within this programme, there are currently three lines of work: (a) radiology services; (b) radiation safety; and (c) radiological emergencies. Radiology services deals with health services for diagnostic and interventional imaging, and for radiation therapy. Radiation safety studies the three types of exposures to both ionizing and non-ionizing radiation: occupational; medical; and public. Radiological emergencies involve radioactive waste management programmes and emergency plans. The radiological protection of patients is addressed in each of these areas: (a) when analysing the infrastructure of radiology services; and (b) when determining medical exposures; and (c) when investigating overexposures in interventional or therapeutic procedures or under-doses in radiation therapy. (author)

Radiology education: a radiology curriculum for all medical students?

Science.gov (United States)

Zwaan, Laura; Kok, Ellen M; van der Gijp, Anouk

2017-09-26

Diagnostic errors in radiology are frequent and can cause severe patient harm. Despite large performance differences between radiologists and non-radiology physicians, the latter often interpret medical images because electronic health records make images available throughout the hospital. Some people argue that non-radiologists should not diagnose medical images at all, and that medical school should focus on teaching ordering skills instead of image interpretation skills. We agree that teaching ordering skills is crucial as most physicians will need to order medical images in their professional life. However, we argue that the availability of medical images is so ubiquitous that it is important that non-radiologists are also trained in the basics of medical image interpretation and, additionally in recognizing when radiological consultancy should be sought. In acute situations, basic image interpretations skills can be life-saving. We plead for a radiology curriculum for all medical students. This should include the interpretation of common abnormalities on chest and skeletal radiographs and a basic distinction of normal from abnormal images. Furthermore, substantial attention should be given to the correct ordering of radiological images. Finally, it is critical that students are trained in deciding when to consult a radiologist.

Follow-up radiological surveillance, Marshall Islands

International Nuclear Information System (INIS)

Greenhouse, N.A.

1978-01-01

The political approvals have been given for the return of Bikini and Enewetak Atolls to their original inhabitants. These two regions, which comprised the Pacific Nuclear Testing Areas from 1946 to 1958, are now being repopulated by their original inhabitants and their families. Recent assessments of internal and external exposure pathways at Bikini and Enewetak have indicated that doses and dose commitments in excess of current radiation protection guidelines are possible or even likely for persons living in these areas. Rongelap and Utirik Atolls, which were downwind of the 1954 Bravo event, also received significant fallout; potential radiological problems exist in these areas as well. In view of this prospect, follow-up environmental monitoring and personnel monitoring programs are being established to maintain our cognizance of radiological conditions, and to make corrective action where necessary. The unexpected finding of detectable amounts (above background) of plutonium in the urine of individuals at Bikini and Rongelap Atolls also raises the possibility of radiological problems in the long term from environmentally-derived plutonium via pathways which are not completely understood. This finding adds further impetus to the surveillance programs for an area where real radiological concerns for the general public are already known to exist. The continuing environmental and personnel monitoring programs which this paper describes are a necessary part of the BNL radiological safety program in the Marshall Islands, which is designed to do the following: (1) elucidate the internal exposure pathways; (2) define the external radiation environment; (3) assess the doses and dose commitments from radioactivity in the environment; (4) provide the feedback necessary to improve existing predictive modelling of radiological trends; and (5) suggest actions which will minimize doses via the more significant pathways. (author)

The Importance of Human-Computer Interaction in Radiology E-learning.

Science.gov (United States)

den Harder, Annemarie M; Frijlingh, Marissa; Ravesloot, Cécile J; Oosterbaan, Anne E; van der Gijp, Anouk

2016-04-01

With the development of cross-sectional imaging techniques and transformation to digital reading of radiological imaging, e-learning might be a promising tool in undergraduate radiology education. In this systematic review of the literature, we evaluate the emergence of image interaction possibilities in radiology e-learning programs and evidence for effects of radiology e-learning on learning outcomes and perspectives of medical students and teachers. A systematic search in PubMed, EMBASE, Cochrane, ERIC, and PsycInfo was performed. Articles were screened by two authors and included when they concerned the evaluation of radiological e-learning tools for undergraduate medical students. Nineteen articles were included. Seven studies evaluated e-learning programs with image interaction possibilities. Students perceived e-learning with image interaction possibilities to be a useful addition to learning with hard copy images and to be effective for learning 3D anatomy. Both e-learning programs with and without image interaction possibilities were found to improve radiological knowledge and skills. In general, students found e-learning programs easy to use, rated image quality high, and found the difficulty level of the courses appropriate. Furthermore, they felt that their knowledge and understanding of radiology improved by using e-learning. In conclusion, the addition of radiology e-learning in undergraduate medical education can improve radiological knowledge and image interpretation skills. Differences between the effect of e-learning with and without image interpretation possibilities on learning outcomes are unknown and should be subject to future research.

Big Data Analyses in Health and Opportunities for Research in Radiology.

Science.gov (United States)

Aphinyanaphongs, Yindalon

2017-02-01

This article reviews examples of big data analyses in health care with a focus on radiology. We review the defining characteristics of big data, the use of natural language processing, traditional and novel data sources, and large clinical data repositories available for research. This article aims to invoke novel research ideas through a combination of examples of analyses and domain knowledge. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Development of education programs using HANARO

International Nuclear Information System (INIS)

Ser, K. W.; Cho, H. J.; Won, J. Y.; Ju, Y. C.; Lee, H. Y.; Choi, Y. M.

2001-01-01

The purposes of the study is to development of the education program using HANARO, which is one of the programs for HANARO Utilization. These consist of four fields; radioisotope production application, neutron activation analysis, examination of irradiated fuel/material and neutron beam application. This program provides various special research courses to faculties, researchers, universities and the industrial sector. In the development of the education program using HANARO, we have plan to the graduate thesis research course for the students, such a plan identifies the actual and potential capabilities of the reactor as well as its current and potential future specialists. Also, we have designed the development of actual training and education programs on radiological emergency preparedness, its necessary to the on-site and off-side public health and safety around near the reactor and relation facilities. These course topics involve the introduction of radiological emergency, actual technical method on radiation measurement, radiological emergency exercise and so on

Preventing radiological threat in the Republic of Azerbaijan

International Nuclear Information System (INIS)

Gabulov, I.A.

2005-01-01

Full text: Azerbaijan is a developing and transit country in the Caucasus, connecting East and West. In addition, Azerbaijan is neighboring countries with pronounced political instability, some of which have extensive nuclear infrastructure or try to develop nuclear infrastructure. Furthermore, in the recent past fundamentalist religious terrorism has taken roots in some of these countries. Therefore, in spite of the fact that the Republic of Azerbaijan has no nuclear facilities or nuclear materials in its own territory, it could be interesting for terrorist groups trying to develop a crude radiological dispersal device using radioactive sources that are widely used in everyday life especially in such areas as oil industry, medicine, agriculture and scientific researches. The issues of reduction and prevention of both radiological and nuclear terrorism threat are one of the main global challenges around the world. The Republic of Azerbaijan is a part of world community and so we are concerned that radioactive sources used for peaceful applications could be stolen by the terrorist groups and used in the development of radiological dispersal devices sometimes referred to as a 'dirty bomb'. It is obvious that using highly radioactive materials in radiological dispersal devices could be very disruptive to society, causing panic, environmental contamination, and large financial losses. One of the ways for reduction and prevention of radiological threat for the countries like Azerbaijan with underdeveloped nuclear security and radiation safety infrastructure is closely participation in the international cooperation programs. As an example of such cooperation, I would like to present the United States Department of Energy's International Radiological Threat Reduction (IRTR) Program. Good progress has made in the field of radiological security within the framework of this program that was started 2003. Actually, in comparison with any IAEA programs, the progress reached by

The emergency medical programs of japan and foreign countries for radiation accidents in nuclear power stations

International Nuclear Information System (INIS)

Aoki, Yoshiro

1994-01-01

In our country, the medical emergency programs for the people living near nuclear power stations are well organized, however, preparation of medical staffs who are well trained is considered to be not sufficient. In the USA, on call 24 hours response to a radiological emergency is provided and funded by Department of Energy(DOE) or electric companies. Especially, REAC/TS is a part of DOE response network, in which there are provided well-trained physicians, nurses, health physicists, coordinators and support personnels. In United Kingdom, National Radiological Protection Board(NRPB) is responsible to a radiological emergency program. Each nuclear power station has its own emergency program consisting of a team of physicians, nurses and health physicists. In France, French Atomic Energy Commission (CEA) is a responsible agency for a radiological emergency program. On call 24 hours response to a radiological emergency is provided in Fontenay-aux Roses Institute and Curie Institute. Curie Institute also responds to radiological emergencies in other countries at the request of WHO. In Germany(West Germany), compulsory assurance system covers a radiological emergency program and a radiological protection. There are seven centers in West Germany, in which well-trained medical staffs are provided against radiological injuries. In this report, I tried to propose a new concept about emergency medical programs for nuclear power station accidents in Japan. I think it is a very urgent theme to provide on call 24 hours radiological emergency program, in which patients suffered from acute radiation sickness with internal contamination or contaminated radiation burns will be treated without any trouble. We have to make our best efforts to complete basic or clinical research about radiation injuries including bone marrow transplantation, radioprotectors, chelating agents and radiation burns etc. (J.P.N.)

Toward raising the higher level of radiological nursing

International Nuclear Information System (INIS)

Kusama, Tomoko; Ban, Nobuhiko; Ono, Koji

2013-01-01

The role and purpose of nursing in the radiological field are discussed with essentials of radiological nursing for raising its higher level and needed fundamental education. The discussion is from the thought that, at Fukushima Nuclear Power Plant Accident (Mar. 2011), general medical staff including nurses are rather insufficient of radiological knowledge like the exposure, radiation effect and risk. In the medical radiological field, nurses are expected to play roles of arranging the circumstance for patient's ease like explanation about health effect/risk, appropriate nursing of them after radiological diagnosis, radiation protection of nurses themselves, and of environment. At such an emergency as the Accident, care for the acutely exposed victims, their decontamination and responding to patient's concern are necessary. At the later phase, also needed are nursing of victims undergoing health management done by authorities and of radiological workers concerned as well as the third item above. Therefore, fundamentals of radiological knowledge such as physics, exposure, health effects, protection, contamination, legal rules and risk communication are required in the education of nurses. Otherwise, this education can be conducted as a part of safety security and physical assessment. The Accident also gives us the importance of radiological risk communication with its victims. (T.T.)

Health physics training of plant staff

International Nuclear Information System (INIS)

Heublein, R.M. Jr.

1982-01-01

The scope of this document entitled Health Physics Training of Plant Staff addresses those critical elements common to all health physics training programs. The incorporation of these elements in a health physics training program will provide some assurances that the trainees are competent to work in the radiological environment of a nuclear plant. This paper provides sufficient detail for the health physicist to make managerial decisions concerning the planning, development, implementation, and evaluation of health physics training programs. Two models are provided in the appendices as examples of performance based health physics training programs

Radiological Control Manual. Revision 0, January 1993

Energy Technology Data Exchange (ETDEWEB)

1993-04-01

This manual has been prepared by Lawrence Berkeley Laboratory to provide guidance for site-specific additions, supplements, and clarifications to the DOE Radiological Control Manual. The guidance provided in this manual is based on the requirements given in Title 10 Code of Federal Regulations Part 835, Radiation Protection for Occupational Workers, DOE Order 5480.11, Radiation Protection for Occupational Workers, and the DOE Radiological Control Manual. The topics covered are (1) excellence in radiological control, (2) radiological standards, (3) conduct of radiological work, (4) radioactive materials, (5) radiological health support operations, (6) training and qualification, and (7) radiological records.

Assessment of the radiological quality of tap waters 2008-2009

International Nuclear Information System (INIS)

Caamano, Delphine; Tracol, Raphael; Guillotin, Laetitia; Jedor, Beatrice; Davezac, Henri; Loyen, Jeanne

2011-06-01

After a recall of the context (radioactivity, origin of natural radioactivity in waters, exposure of population to natural radioactivity and health impact, indicators of water radiological quality, presence of uranium in water), this document reports a study which is based on the health control of water radiological quality by regional health agencies, on the analysis of natural and artificial radionuclides, on a survey on tap water radiological quality performed in 2009 by regional health agencies, and on an inventory of results related to the presence of radon in water performed by the IRSN and these agencies. The obtained results are presented and discussed in terms of factors impacting the result representativeness, of generalisation of the implementation of a health control, of tap water radiological quality. It is outlined that the uranium-related chemical risk is higher than the radiological risk

Existing Approaches to Chemical, Biological, Radiological, and Nuclear (CBRN) Education and Training for Health Professionals: Findings from an Integrative Literature Review.

Science.gov (United States)

Kako, Mayumi; Hammad, Karen; Mitani, Satoko; Arbon, Paul

2018-04-01

This review was conducted to explore the literature to determine the availability, content, and evaluation of existing chemical, biological, radiological, and nuclear (CBRN) education programs for health professionals. An integrative review of the international literature describing disaster education for CBRN (2004-2016) was conducted. The following relevant databases were searched: Proquest, Pubmed, Science Direct, Scopus, Journals @ OVID, Google Scholar, Medline, and Ichuschi ver. 5 (Japanese database for health professionals). The search terms used were: "disaster," "chemical," "biological," "radiological," "nuclear," "CBRN," "health professional education," and "method." The following Medical Subject Headings (MeSH) terms, "education," "nursing," "continuing," "disasters," "disaster planning," and "bioterrorism," were used wherever possible and appropriate. The retrieved articles were narratively analyzed according to availability, content, and method. The content was thematically analyzed to provide an overview of the core content of the training. The literature search identified 619 potentially relevant articles for this study. Duplicates (n=104) were removed and 87 articles were identified for title review. In total, 67 articles were discarded, yielding 20 articles for all-text review, following 11 studies were retained for analysis, including one Japanese study. All articles published in English were from the USA, apart from the two studies located in Japan and Sweden. The most typical content in the selected literature was CBRN theory (n=11), followed by studies based on incident command (n=8), decontamination (n=7), disaster management (n=7), triage (n=7), personal protective equipment (PPE) use (n = 5), and post-training briefing (n=3). While the CBRN training course requires the participants to gain specific skills and knowledge, proposed training courses should be effectively constructed to include approaches such as scenario-based simulations

Radiological protection program in x-ray diagnostic facilities

International Nuclear Information System (INIS)

Melara F, N.E.

1996-01-01

This paper presents a basic document to initiate a discussion which will originate a Unified Protocol in Latin America and the Caribbean for radiological protection in the installations of medical radiology. The following principal elements are considered an inherent part of radiology protection: 1. Quality control of equipment. 2. Conditions in the dark room which coincide in the quality of the image. Levels of patient exposure and the processes for the quality control of the processors are not discussed, and it is limited to the installation of radiographic medical x-ray equipment, stationary and mobile. Each point to be put into effect is presented in a diagram, frequency and criteria for acceptance. A detailed explanation of each point along with a clear explanation of the recommended method for each follows in the same order in which they are presented in the diagram. Finally adequate forms for easily acquiring data are presented. (author)

Proceedings of the 3. Regional Meeting on Radiological and Nuclear Safety. Radiological protection in Latin America and the Caribbean. Vol. 1,2

International Nuclear Information System (INIS)

1996-08-01

Two volumes contain more than 183 complete papers presented during the Third Regional Meeting on Radiological Protection and Nuclear Safety held on 23-27 October, 1995 in Cusco-Peru. Latin american specialist talk about nuclear safety and radiological protection, radiation natural exposure, biological effect of radiation, radiotherapy and medical radiological safety, radiological safety in industry and research. Also we deal with subjects related to radiological safety of nuclear and radioactive facilities, radioactive waste management, radioactive material transport, environmental radiological monitoring program, radiological emergency and accidents, instruments and dosimetry, basic safety standards of protection against radiation

Smartphone applications in paediatric radiology: availability and authority

International Nuclear Information System (INIS)

Shelmerdine, Susan C.; Lynch, Jeremy O.

2015-01-01

With the widespread ownership of smartphones, many health care professionals question the degree to which medically related smartphone applications are reliable. To assess the variety of smartphone applications relating to paediatric radiology and the presence of health care professional involvement in their development. As a secondary objective, we explore whether there are gaps within the paediatric radiology app market. The most popular smartphone marketplaces (Apple iTunes App Store, Blackberry Mobile Market, Google Play Android Market, Nokia Ovi, Samsung and Microsoft Windows Marketplace) were searched for terms relating to paediatric radiology. Cost, review ratings, number of downloads, health care involvement and target audience were recorded. Nine paediatric radiology applications were found in the Apple iTunes App Store and nine in the Google Play Android Market. The target audiences for all applications were health care professionals. None were available for patients or their caregivers. All applications were reported to have medical expertise in their development. All paediatric radiology applications were developed with the aid of a health care professional. Due to the small number available online, there is a potential gap in the marketplace for further applications in this field, possibly aimed at patients and their families. (orig.)

Smartphone applications in paediatric radiology: availability and authority

Energy Technology Data Exchange (ETDEWEB)

Shelmerdine, Susan C. [Great Ormond Street Hospital, Specialist Registrar in Clinical Radiology, Department of Clinical Radiology, London (United Kingdom); Lynch, Jeremy O. [Chelsea and Westminster Hospital, Specialist Registrar in Clinical Radiology, Department of Clinical Radiology, London (United Kingdom)

2015-08-15

With the widespread ownership of smartphones, many health care professionals question the degree to which medically related smartphone applications are reliable. To assess the variety of smartphone applications relating to paediatric radiology and the presence of health care professional involvement in their development. As a secondary objective, we explore whether there are gaps within the paediatric radiology app market. The most popular smartphone marketplaces (Apple iTunes App Store, Blackberry Mobile Market, Google Play Android Market, Nokia Ovi, Samsung and Microsoft Windows Marketplace) were searched for terms relating to paediatric radiology. Cost, review ratings, number of downloads, health care involvement and target audience were recorded. Nine paediatric radiology applications were found in the Apple iTunes App Store and nine in the Google Play Android Market. The target audiences for all applications were health care professionals. None were available for patients or their caregivers. All applications were reported to have medical expertise in their development. All paediatric radiology applications were developed with the aid of a health care professional. Due to the small number available online, there is a potential gap in the marketplace for further applications in this field, possibly aimed at patients and their families. (orig.)

21 CFR 892.1830 - Radiologic patient cradle.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiologic patient cradle. 892.1830 Section 892.1830 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1830 Radiologic patient cradle. (a...

Text Simplification Using Consumer Health Vocabulary to Generate Patient-Centered Radiology Reporting: Translation and Evaluation.

Science.gov (United States)

Qenam, Basel; Kim, Tae Youn; Carroll, Mark J; Hogarth, Michael

2017-12-18

Radiology reporting is a clinically oriented form of documentation that reflects critical information for patients about their health care processes. Realizing its importance, many medical institutions have started providing radiology reports in patient portals. The gain, however, can be limited because of medical language barriers, which require a way for customizing these reports for patients. The open-access, collaborative consumer health vocabulary (CHV) is a terminology system created for such purposes and can be the basis of lexical simplification processes for clinical notes. The aim of this study was to examine the comprehensibility and suitability of CHV in simplifying radiology reports for consumers. This was done by characterizing the content coverage and the lexical similarity between the terms in the reports and the CHV-preferred terms. The overall procedure was divided into the following two main stages: (1) translation and (2) evaluation. The translation process involved using MetaMap to link terms in the reports to CHV concepts. This is followed by replacing the terms with CHV-preferred terms using the concept names and sources table (MRCONSO) in the Unified Medical Language System (UMLS) Metathesaurus. In the second stage, medical terms in the reports and general terms that are used to describe medical phenomena were selected and evaluated by comparing the words in the original reports with the translated ones. The evaluation includes measuring the content coverage, investigating lexical similarity, and finding trends in missing concepts. Of the 792 terms selected from the radiology reports, 695 of them could be mapped directly to CHV concepts, indicating a content coverage of 88.5%. A total of 51 of the concepts (53%, 51/97) that could not be mapped are names of human anatomical structures and regions, followed by 28 anatomical descriptions and pathological variations (29%, 28/97). In addition, 12 radiology techniques and projections represented

Chemical toxicity and radiological health detriment associated with the inhalation of various enrichments of uranium

International Nuclear Information System (INIS)

3C Limited, Queen Square House, 18-21 Queen Square, Bristol BS1 4NH (United Kingdom))" data-affiliation=" (SR3C Limited, Queen Square House, 18-21 Queen Square, Bristol BS1 4NH (United Kingdom))" >Bryant, P A

2014-01-01

The occupational risks associated with the chemical toxicity of uranium can be overlooked during the processing, handling and storage of the material, as the radioactivity of the material is often used alone to assess the health consequences of exposure to uranium compounds. This note provides a summary of the current United Kingdom occupational standards for uranium based on radiation dose and/or chemical toxicity with a particular focus on intake via inhalation. A simple model is subsequently presented to allow a comparison to be drawn between the occupational exposure standard for chemical toxicity and radiological dose limit. Using these data a set of suggested limits on occupational exposure to airborne uranium is proposed that indicate where the legal annual radiological dose limit for workers or the Health and Safety Executive occupational exposure standard for chemical toxicity are at risk of being breached. (note)

Occupational training in the health physics curriculum

International Nuclear Information System (INIS)

Vetter, R.J.; Ziemer, P.L.

1976-01-01

In response to projected demands for health physics personnel with field training at the bachelor's degree level, the Bionucleonics Department has revised its curriculum in Radiological Health to provide applied training in health physics. The basic program provides a strong background in math, physics, chemistry and biology and an in-depth background in the fundamentals of health physics and field training in applied health physics. The field training is also open to graduate students. The field exercises are coordinated with Purdue's Radiological Control Program and include such tasks as contamination and direct radiation surveys; facility and personnel decontamination; reactor, accelerator, and analytical and diagnostic X-ray monitoring; instrument calibration; personnel monitoring; and emergency planning and accident evaluation. In a weekly discussion period associated with the field exercises, the students evaluate their field experience, discuss assigned problems, and receive additional information on regulations, regulatory guides, and management of radiation protection programs

The World Health Organization's Basic Radiological System (WHO-BRS). How to provide a better service with less cost

International Nuclear Information System (INIS)

Gomez Crespo, G.; Hanson, G.P.

1986-01-01

This article describes the application of the World Health Organization - Basic Radiological System (WHO-BRS) in Latin America in particular in Colombia. Various aspects of the radiological system are discussed including the X-ray equipment, radiation safety, training, manuals for operating and maintenance of the equipments, supply of spare parts, etc. The difficulties encountered in applying medical radiography in Latin America are pointed out. 6 refs

Methodology for establishing of a control and assurance program on a Radiology Department of a university hospital

International Nuclear Information System (INIS)

Almeida, Carlos Domingues de; Almeida, Carlos Eduardo de

1995-01-01

The purpose of this work is to present a proposal of a quality assurance program developed for a typical diagnostic radiology department of a University Hospital. The aim of this program is to reduce the number of films lost due to several kinds of problems, equipment malfunction, incorrect selection of the physical parameters of the X-ray equipment, poor conditions of the film ecrans and chassis, excessive temperature fluctuations on the processor, personnel training and organizational related aspects. The preliminary results shows that the main causes of problems are film overexposure, film under exposure, unexposed films taken back to the dark room, inadequate positioning of the film in the couch, inadequate positioning of the patient and the X-ray processor in addition to others of minor importance. It is very important to emphasize that the data acquisition methodology must contemplate a professional posture of respect for those involved in the procedures and as result of this one would expect their active participation in the program. As result of the first year of study, this program has demonstrated that the annual losses in the department studied are over US$ 125.000,00 and the goal of this program now is to reduce this figure to an acceptable number, US$40.000,00 a reasonable value for a large diagnostic radiology facility. (author). 6 refs., 4 figs

National radiology standards in X-ray diagnostic incl. interventional radiology

International Nuclear Information System (INIS)

Valek, V.; Kratochvil, P.

2005-01-01

In 2004 the Ministry of Health care started within the frame of the program for support of quality in health care a project consisting of 4 separate tasks: creating of standards for medical irradiation in radiodiagnostics, in radiotherapy , in nuclear medicine and creating of standards for patients dose assessment in radiophysics. This document continues with description of a part of the project aimed on X-ray radiodiagnostics. The authors of the project were chosen based on their bids to the public grant issued by the Ministry of Health care. The authors used recommendations, guidelines and instructions of international professional societies and IAEA, as well as the already existing procedures and practices while considering possibilities and state of the praxis in the Czech Republic. The outcome of authors work is now an interim version of a document that will be published in the bulletin of the Ministry of Health care. The document contains a set of standards that cover the whole range o fall complimentarily performed ways of patients irradiation in X-ray diagnostics and interventional radiology . The standards are divided to several categories according to the requirement of the Ministry of Health care based on the diagnostic appliances used for diagnostic irradiation i.e. radiography , fluoroscopy, mammography, stomatology, computer tomography, angiography, interventional radiography and cardiography. (authors)

Computer program for storage of historical and routine safety data related to radiologically controlled facilities

International Nuclear Information System (INIS)

Marsh, D.A.; Hall, C.J.

1984-01-01

A method for tracking and quick retrieval of radiological status of radiation and industrial safety systems in an active or inactive facility has been developed. The system uses a mini computer, a graphics plotter, and mass storage devices. Software has been developed which allows input and storage of architectural details, radiological conditions such as exposure rates, current location of safety systems, and routine and historical information on exposure and contamination levels. A blue print size digitizer is used for input. The computer program retains facility floor plans in three dimensional arrays. The software accesses an eight pen color plotter for output. The plotter generates color plots of the floor plans and safety systems on 8 1/2 x 11 or 20 x 30 paper or on overhead transparencies for reports and presentations

Distribution of scholarly publications among academic radiology departments.

Science.gov (United States)

Morelli, John N; Bokhari, Danial

2013-03-01

The aim of this study was to determine whether the distribution of publications among academic radiology departments in the United States is Gaussian (ie, the bell curve) or Paretian. The search affiliation feature of the PubMed database was used to search for publications in 3 general radiology journals with high Impact Factors, originating at radiology departments in the United States affiliated with residency training programs. The distribution of the number of publications among departments was examined using χ(2) test statistics to determine whether it followed a Pareto or a Gaussian distribution more closely. A total of 14,219 publications contributed since 1987 by faculty members in 163 departments with residency programs were available for assessment. The data acquired were more consistent with a Pareto (χ(2) = 80.4) than a Gaussian (χ(2) = 659.5) distribution. The mean number of publications for departments was 79.9 ± 146 (range, 0-943). The median number of publications was 16.5. The majority (>50%) of major radiology publications from academic departments with residency programs originated in Pareto rather than a normal distribution. Copyright © 2013 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Student Perceptions of Educational Quality in Radiologic Technology Programs: A Comparative Analysis of Specialized and Institutional Accreditation

Science.gov (United States)

Vander Hoek, Nancy

2012-01-01

The purpose of this study was to determine if students' perceptions of quality differed between Joint Review Committee on Education in Radiologic Technology (JRCERT) accredited and non JRCERT-accredited radiography programs using the quality dimensions of curriculum, faculty, facilities and equipment, integrity, student outcomes, and overall…

Contrast reaction training in US radiology residencies: a COARDRI study.

Science.gov (United States)

LeBedis, Christina A; Rosenkrantz, Andrew B; Otero, Hansel J; Decker, Summer J; Ward, Robert J

To perform a survey-based assessment of current contrast reaction training in US diagnostic radiology residency programs. An electronic survey was distributed to radiology residency program directors from 9/2015-11/2015. 25.7% of programs responded. 95.7% of those who responded provide contrast reaction management training. 89.4% provide didactic lectures (occurring yearly in 71.4%). 37.8% provide hands-on simulation training (occurring yearly in 82.3%; attended by both faculty and trainees in 52.9%). Wide variability in contrast reaction education in US diagnostic radiology residency programs reveals an opportunity to develop and implement a national curriculum. Copyright © 2017 Elsevier Inc. All rights reserved.

Nevada Test Site Radiological Control Manual

International Nuclear Information System (INIS)

2009-01-01

This document supersedes DOE/NV/11718--079, 'NV/YMP Radiological Control Manual,' Revision 5 issued in November 2004. Brief Description of Revision: A complete revision to reflect the recent changes in compliance requirements with 10 CFR 835, and for use as a reference document for Tenant Organization Radiological Protection Programs.

Radiological procedures: Quality criteria and dose optimisation: French status

International Nuclear Information System (INIS)

Grenier, Ph.; Marshall-Depommier, E.; Bourguignon, M.; Beauvais-March, H.; Valero, M.; Lacronique, J.F.; Frijal, G.

2001-01-01

The Council Directive 97/43/Euratom of June 30 1997 on health protection of individuals against the dangers of ionising radiation in relation to medical exposure has come into force on May, 13 th 2000. French health directorate has entrusted the 'Office de Protection contre les Rayonnements Ionisants (OPRI)' together with the 'Societe Francaise de Radiologie' (SFR) to implement article 6 related to radiological procedures, in order to bring into operation the principle of optimisation. The most frequent diagnostic radiology and interventional procedures (120 protocols) have been standardised in writing. Corresponding patient dosimetry has been determined from measurements on site, calculations and literature review. The criteria for optimisation have been highlighted for each protocols. With the help of the French Society of Medical Physicists (SFPM), measurements are being collected on a large scale in France. Then, knowing more precisely the patient dosimetry of each protocol, referral criteria will be reviewed and prioritised to implement the principle of justification. The authors will present and explain the chosen methodology (methodology of the Accreditation and Evaluation in Health Agency: ANAES) for completing this two years workload program, and will demonstrate clinical examples as well. (author)

Discussion on concepts for radiological dosimetric quantities in the Japan Health Physics Society

International Nuclear Information System (INIS)

Takahashi, Fumiaki; Oda, Keiji

2007-01-01

Many dosimetric quantities have been used for radiation protection purpose. The International Commission on Radiological Protection (ICRP) has recommended protection quantities and the International Commission on Radiation Units and Measurements (ICRU) has introduced operational quantities to provide a reasonable estimate of the protection quantities. Enthusiastic discussions are continuously made on the issues of the dosimetric quantities, such as basic biological data for the definition of these quantities and applicability of the quantities to actual radiation protection practice. At the moment, some changes are being proposed concerning dosimetric quantities in the draft recommendations of ICRP, opened for consultation in recent years. Thus, the Japan Health Physics Society (JHPS) established the Expert Committee on concepts of Dosimetric Quantities used in radiological protection (ECDQ) in April 2005 to reviewed and discuss issues in the dosimetric quantities. (author)

Radiological Threat Reduction (RTR) program: implementing physical security to protect large radioactive sources worldwide

International Nuclear Information System (INIS)

Lowe, Daniel L.

2004-01-01

The U.S. Department of Energy's Radiological Threat Reduction (RTR) Program strives to reduce the threat of a Radiological Dispersion Device (RDD) incident that could affect U.S. interests worldwide. Sandia National Laboratories supports the RTR program on many different levels. Sandia works directly with DOE to develop strategies, including the selection of countries to receive support and the identification of radioactive materials to be protected. Sandia also works with DOE in the development of guidelines and in training DOE project managers in physical protection principles. Other support to DOE includes performing rapid assessments and providing guidance for establishing foreign regulatory and knowledge infrastructure. Sandia works directly with foreign governments to establish cooperative agreements necessary to implement the RTR Program efforts to protect radioactive sources. Once necessary agreements are in place, Sandia works with in-country organizations to implement various security related initiatives, such as installing security systems and searching for (and securing) orphaned radioactive sources. The radioactive materials of interest to the RTR program include Cobalt 60, Cesium 137, Strontium 90, Iridium 192, Radium 226, Plutonium 238, Americium 241, Californium 252, and Others. Security systems are implemented using a standardized approach that provides consistency through out the RTR program efforts at Sandia. The approach incorporates a series of major tasks that overlap in order to provide continuity. The major task sequence is to: Establish in-country contacts - integrators, Obtain material characterizations, Perform site assessments and vulnerability assessments, Develop upgrade plans, Procure and install equipment, Conduct acceptance testing and performance testing, Develop procedures, and Conduct training. Other tasks are incorporated as appropriate and commonly include such as support of reconfiguring infrastructure, and developing security

Importance of establishing radiation protection culture in Radiology Department.

Science.gov (United States)

Ploussi, Agapi; Efstathopoulos, Efstathios P

2016-02-28

The increased use of ionization radiation for diagnostic and therapeutic purposes, the rapid advances in computed tomography as well as the high radiation doses delivered by interventional procedures have raised serious safety and health concerns for both patients and medical staff and have necessitated the establishment of a radiation protection culture (RPC) in every Radiology Department. RPC is a newly introduced concept. The term culture describes the combination of attitudes, beliefs, practices and rules among the professionals, staff and patients regarding to radiation protection. Most of the time, the challenge is to improve rather than to build a RPC. The establishment of a RPC requires continuing education of the staff and professional, effective communication among stakeholders of all levels and implementation of quality assurance programs. The RPC creation is being driven from the highest level. Leadership, professionals and associate societies are recognized to play a vital role in the embedding and promotion of RPC in a Medical Unit. The establishment of a RPC enables the reduction of the radiation dose, enhances radiation risk awareness, minimizes unsafe practices, and improves the quality of a radiation protection program. The purpose of this review paper is to describe the role and highlight the importance of establishing a strong RPC in Radiology Departments with an emphasis on promoting RPC in the Interventional Radiology environment.

A prior authorization program of a radiology benefits management company and how it has affected utilization of advanced diagnostic imaging.

Science.gov (United States)

Levin, David C; Bree, Robert L; Rao, Vijay M; Johnson, Jean

2010-01-01

Radiology benefits management companies have evolved in recent years to meet the need to control the rapid growth in advanced diagnostic imaging. The Obama administration and other key policymakers have proposed using them as a cost-control mechanism, but little is known about how they operate or what results they have produced. The main tool they use is prior authorization. The authors describe the inner workings of the call center of one radiology benefits management company and how its prior authorization program seems to have slowed the growth in the utilization of MRI, CT, and PET in the large markets of one commercial payer. Copyright 2010 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Accountable care organizations and radiology: threat or opportunity?

Science.gov (United States)

Abramson, Richard G; Berger, Paul E; Brant-Zawadzki, Michael N

2012-12-01

Although the anticipated rise of accountable care organizations brings certain potential threats to radiologists, including direct threats to revenue and indirect systemic changes jeopardizing the bargaining leverage of radiology groups, accountable care organizations, and other integrated health care delivery models may provide radiology with an important opportunity to reassert its leadership and assume a more central role within health care systems. Capitalizing on this potential opportunity, however, will require radiology groups to abandon the traditional "film reader" mentality and engage actively in the design and implementation of nontraditional systems service lines aimed at adding differentiated value to larger health care organizations. Important interlinked and mutually reinforcing components of systems service lines, derived from radiology's core competencies, may include utilization management and decision support, IT leadership, quality and safety assurance, and operational enhancements to meet organizational goals. Such systems-oriented service products, tailored to the needs of individual integrated care entities and supported by objective performance metrics, may provide market differentiation to shield radiology from commoditization and could become an important source of new nonclinical revenue. Copyright © 2012 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Handling of overexposed persons in radiological emergencies

International Nuclear Information System (INIS)

Estrada, E.

2000-01-01

The purpose of this standard procedure of the criteria in case of radiological emergencies is to describe the standard procedures used to define an radiological accident in terms of the doses received, and to describe the medical procedures for diagnoses and treatment of health hazards caused by external and internal irradiation in radiological emergencies

Nevada Test Site Radiological Control Manual

Energy Technology Data Exchange (ETDEWEB)

Radiological Control Managers' Council - Nevada Test Site

2009-10-01

This document supersedes DOE/NV/11718--079, “NV/YMP Radiological Control Manual,” Revision 5 issued in November 2004. Brief Description of Revision: A complete revision to reflect the recent changes in compliance requirements with 10 CFR 835, and for use as a reference document for Tenant Organization Radiological Protection Programs.

Health Care Delivery Meets Hospitality: A Pilot Study in Radiology.

Science.gov (United States)

Steele, Joseph Rodgers; Jones, A Kyle; Clarke, Ryan K; Shoemaker, Stowe

2015-06-01

The patient experience has moved to the forefront of health care-delivery research. The University of Texas MD Anderson Cancer Center Department of Diagnostic Radiology began collaborating in 2011 with the University of Houston Conrad N. Hilton College of Hotel and Restaurant Management, and in 2013 with the University of Nevada, Las Vegas, William F. Harrah College of Hotel Administration, to explore the application of service science to improving the patient experience. A collaborative pilot study was undertaken by these 3 institutions to identify and rank the specific needs and expectations of patients undergoing imaging procedures in the MD Anderson Department of Diagnostic Radiology. We first conducted interviews with patients, providers, and staff to identify factors perceived to affect the patient experience. Next, to confirm these factors and determine their relative importance, we surveyed more than 6,000 patients by e-mail. All factors considered important in the interviews were confirmed as important in the surveys. The surveys showed that the most important factors were acknowledgment of the patient's concerns, being treated with respect, and being treated like a person, not a "number"; these factors were more important than privacy, short waiting times, being able to meet with a radiologist, and being approached by a staff member versus having one's name called out in the waiting room. Our work shows that it is possible to identify and rank factors affecting patient satisfaction using techniques employed by the hospitality industry. Such factors can be used to measure and improve the patient experience. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Reevaluation of environmental monitoring program for radiological emergency at Almirante Alvaro Alberto Nuclear Power Plant, Angra dos Reis, Rio de Janeiro - Brazil

International Nuclear Information System (INIS)

Ferreira, Lilia M.J. Belem; Ramos Junior, Anthenor C.; Gomes, Carlos A.; Carvalho, Zenildo L.; Gouveia, Vandir; Estrada, Julio; Ney, Cezar

1996-01-01

In order to respond to a major radiological emergency at the Almirante Alvaro Alberto Nuclear Power Plant, located in Angra dos Reis, Rio de Janeiro, the Emergency Response Team of the Institute for Radiation Protection and Dosimetry (IRD/CNEN) established a program of environmental monitoring. The purpose of this program is to define a monitoring trend to assess the off-site radiological conditions and give support to decision making for implementing protective measures in case of a radiological accident, taking into account atmospheric diffusion, population conglomerates and their habits, water and land use, contemplating the entire Emergency Planning Zone of 15 km radius. This program has been reevaluated recently, aiming to optimize it and keep it up to date to assure adequacy of environmental surveillance data in support to a prompt response in case of an emergency situation in the nuclear power plant. It has been organized in the form of a handbook to facilitate handling by field teams. Future revisions will be necessary to incorporate additional pertinent information and keep the handbook up to date, since Angra dos Reis is a summer resort region, subject to constant changes. This paper discusses the structure of the environmental monitoring program and describes the content and preparation of this handbook. (author)

Development and maintenance of the Hanford Site Radiological Control Manual

International Nuclear Information System (INIS)

Munson, L.H.; Selby, J.M.; Vargo, G.J.; Clark, D.L.

1993-04-01

In June 1992 the US Department of Energy (DOE) issued DOE N5480.6, Radiological Control, which set forth DOE's Radiological Control Program and established the framework for its implementation at sites nationwide. Accompanying the Order was the DOE Radiological Control Manual (DOE RCM), which provided the detailed requirements for the program. The Order also mandated Field Office issuance of site-specific radiological control manuals by December 1, 1992. This paper presents the approach taken to develop, review, approve, implement, and subsequently maintain the site-specific manual for the DOE Richland Field Office (RL) at Hanford Site

Conditions of radiological protection in the health unities

International Nuclear Information System (INIS)

Sa, L.R.B.S.; Neto, A.T.; Pires, A.; Azevedo, H.F.; Boasquevisque, E.M.

1987-01-01

The objective of this study was explained which conditions is practiced for occupational and environmental radiological protection. Fifteen hospitables and ambulatories services, pertaining to the public system are studies, verifying that the professional group that are preoccupied with the radioprotection conditions are the assistants services and technician. The common knowledge about Basic Standards of Radiological Protection was also observed, of which is rather precarious. (C.G.C.) [pt

White Paper Report of the RAD-AID Conference on International Radiology for Developing Countries: identifying challenges, opportunities, and strategies for imaging services in the developing world.

Science.gov (United States)

Mollura, Daniel J; Azene, Ezana M; Starikovsky, Anna; Thelwell, Aduke; Iosifescu, Sarah; Kimble, Cary; Polin, Ann; Garra, Brian S; DeStigter, Kristen K; Short, Brad; Johnson, Benjamin; Welch, Christian; Walker, Ivy; White, David M; Javadi, Mehrbod S; Lungren, Matthew P; Zaheer, Atif; Goldberg, Barry B; Lewin, Jonathan S

2010-07-01

The RAD-AID Conference on International Radiology for Developing Countries was an assembly of individuals and organizations interested in improving access to medical imaging services in developing countries where the availability of radiology has been inadequate for both patient care and public health programs. The purpose of the meeting was to discuss data, experiences, and models pertaining to radiology in the developing world and to evaluate potential opportunities for future collaboration. Conference participants included radiologists, technologists, faculty members of academic medical institutions, and leadership of nongovernmental organizations involved in international health care and social entrepreneurship. Four main themes from the conference are presented in this white paper as important factors for the implementation and optimization of radiology in the developing world: (1) ensuring the economic sustainability of radiologic services through financial and administrative training support of health care personnel; (2) designing, testing, and deploying clinical strategies adapted for regions with limited resources; (3) structuring and improving the role of American radiology residents interested in global health service projects; and (4) implementing information technology models to support digital imaging in the developing world. Published by Elsevier Inc.

Study of radiation protection at the Department of Radiology and Toxicology, Faculty of Health and Social Studies of University of South Bohemia

International Nuclear Information System (INIS)

Singer, J.; Kuna, P.

2005-01-01

In this paper authors deals with study of radiation protection at the Department of Radiology and Toxicology, Faculty of Health and Social Studies of University of South Bohemia. This department providing awareness of the concept of radiation protection in persons of different professions, who will come into contact with ionizing radiation sources. These are e.g. specialists in health services, employees in defectoscopy and industry, members of police and fire fighting services, etc. For these persons, the Department of Radiology and Toxicology was established at the Faculty of Health and Social Studies of University of South Bohemia that offer their relevant education in theory and practice of radiation problems that are accredited in following direction: bachelor study in Applied radiobiology and toxicology; bachelor study in Biophysics and medical techniques; and master study in Crisis radiobiology and toxicology. These specified subjects are arranged in such a way that the student can be introduced into the teaching text based on the concept and history of relevant problems, for example: radiation physics, ionizing radiation dosimetry, clinical dosimetry. In accordance with a survey implemented in the field of health services it was found that there is a lack of people with technical education in the field of radiation at the level of Bachelors. These requirements are most properly adhered to by the specialty 'Radiological Technician' that is currently being planned at the Faculty of Health and Social Studies and that will be subjected to the accreditation process. The specialty 'Radiological Assistant' was formerly accredited at the faculty, whose activity is different from that of the 'Radiological Technician', as defined by Law of the Czech Republic No. 96/2004 Sb

21 CFR 892.1940 - Radiologic quality assurance instrument.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiologic quality assurance instrument. 892.1940 Section 892.1940 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1940 Radiologic quality assurance...

Spanish Radiology in the second half of the XX Century: A view from inside

International Nuclear Information System (INIS)

Bonmati, Jose

2008-01-01

Radiology was born in 1896 with the immediate recognition of the diagnostic value of X-rays in medicine and progressed throughout the XX Century with the increasing knowledge of its properties and clinical applications. By mid-century Radiology was a respected clinical specialty in advanced countries, the radiological report was a requirement in hospital practice and radiologists' opinions requested in scientific meetings. In the last decades of the century has had a spectacular expansion with the emergence of new imaging modalities and revolutionary technologies that have transformed the specialty worldwide. In Spain Radiology lagged behind needs and demand in 1950. Radiological practice was unregulated and performance of X-ray exams by non-radiologists was common. Teaching of Radiology was non-existent in Medical Schools or postgraduation. The diagnostic value of the specialty was unrecognized by physicians and the role of radiologists ignored. Most hospital radiology services were poorly equipped and functionally inadequate. The shadow of the Civil War (1936-39) was conditioning Radiology in the country. The point of inflexion in the development of Radiology in Spain was the inclusion of film reading sessions in the 1965 academic program of the Society of Radiology. It was in the presentation of cases at these conferences that Clinical Radiology found the finest demonstration ground and as a result was immediately adopted by radiologists and progressively applied in scientific meetings, clinical practices and training programs. Its influence was important in reforming hospital practice, legislation on specialization and education, as well as in national health care plans. At the end of the century radiology in Spain was at a par with the standards of other western nations. The author was a witness of the evolution of Radiology during his 50 years of professional life. This article does not pretend to be exhaustive in names or contributions. It is an overview of

Curricular Guidelines for Dental Auxiliary Radiology.

Science.gov (United States)

Journal of Dental Education, 1981

1981-01-01

AADS curricular guidelines suggest objectives for these areas of dental auxiliary radiology: physical principles of X-radiation in dentistry, related radiobiological concepts, principles of radiologic health, radiographic technique, x-ray films and intensifying screens, factors contributing to film quality, darkroom, and normal variations in…

Building a Culture of Continuous Quality Improvement in an Academic Radiology Department.

Science.gov (United States)

Katzman, Gregory L; Paushter, David M

2016-04-01

As we enter a new era of health care in the United States, radiologists must be adequately prepared to prove, and continually improve, our value to our customers. This goal can be achieved in large part by providing high-quality services. Although quality efforts on the national and international levels provide a framework for improving radiologic quality, some of the greatest opportunities for quality improvement can be found at the departmental level, through the implementation of total quality management programs. Establishing such a program requires not only strong leadership and employee engagement, but also a firm understanding of the multiple total quality management tools and continuous quality improvement strategies available. In this article, we discuss key tools and strategies required to build a culture of continuous quality improvement in an academic department, based on our experience. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radiological Protection Science and Application

International Nuclear Information System (INIS)

Janssens, Augustin; ); Mossman, Ken; Morgan, Bill

2016-01-01

Since the discovery of radiation at the end of the 19. century, the health effects of exposure to radiation have been studied more than almost any other factor with potential effects on human health. The NEA has long been involved in discussions on the effects of radiation exposure, releasing two reports in 1994 and 2007 on radiological protection science. This report is the third in this state-of-the-art series, examining recent advances in the understanding of radiation risks and effects, particularly at low doses. It focuses on radiobiology and epidemiology, and also addresses the social science aspects of stakeholder involvement in radiological protection decision making. The report summarises the status of, and issues arising from, the application of the International System of Radiological Protection to different types of prevailing circumstances. Reports published by the NEA Committee on Radiation Protection and Public Health (CRPPH) in 1998 and 2007 provided an overview of the scientific knowledge available at that time, as well as the expected results from further research. They also discussed the policy implications that these results could have for the radiological protection system. The 2007 report highlighted challenges posed by developments in relation to medical exposure and by intentions to include the environment (i.e. non-human species), within the scope of the radiological protection system. It also addressed the need to be able to respond to a radiological terrorist attack. This report picks up on where the 1998 and 2007 reports left off, and addresses the state of the art in radiological prevention science and application today. It is divided into five chapters. Firstly, following broadly the structural topics from the 1998 and 2007 reports, the more purely scientific aspects of radiological protection are presented. These include cancer risk of low dose and dose rates, non-cancer effects and individual sensitivity. In view of the increasing

Stress Management and Resiliency Training (SMART) program among Department of Radiology faculty: a pilot randomized clinical trial.

Science.gov (United States)

Sood, Amit; Sharma, Varun; Schroeder, Darrell R; Gorman, Brian

2014-01-01

To test the efficacy of a Stress Management and Resiliency Training (SMART) program for decreasing stress and anxiety and improving resilience and quality of life among Department of Radiology physicians. The study was approved by the institutional review board. A total of 26 Department of Radiology physicians were randomized in a single-blind trial to either the SMART program or a wait-list control arm for 12 weeks. The program involved a single 90-min group session in the SMART training with two follow-up phone calls. Primary outcomes measured at baseline and week 12 included the Perceived Stress Scale, Linear Analog Self-Assessment Scale, Mindful Attention Awareness Scale, and Connor-Davidson Resilience Scale. A total of 22 physicians completed the study. A statistically significant improvement in perceived stress, anxiety, quality of life, and mindfulness at 12 weeks was observed in the study arm compared to the wait-list control arm; resilience also improved in the active arm, but the changes were not statistically significant when compared to the control arm. A single session to decrease stress among radiologists using the SMART program is feasible. Furthermore, the intervention afforded statistically significant and clinically meaningful improvement in anxiety, stress, quality of life, and mindful attention. Further studies including larger sample size and longer follow-up are warranted. Copyright © 2014. Published by Elsevier Inc.

Environmental and emergency response capabilities of Los Alamos Scientific Laboratory's radiological air sampling program

International Nuclear Information System (INIS)

Gunderson, T.C.

1980-05-01

Environmental and emergency response radiological air sampling capabilities of the Environmental Surveillance Group at Los Alamos Scientific Laboratory are described. The air sampling program provides a supplementary check on the adequacy of containment and effluent controls, determines compliance with applicable protection guides and standards, and assesses potential environmental impacts on site environs. It also allows evaluation of potential individual and total population doses from airborne radionuclides that may be inhaled or serve as a source of external radiation. The environmental program is sufficient in scope to detect fluctuations and long-term trends in atmospheric levels of radioactivity originating onsite. The emergency response capabilities are designed to respond to both onsite unplanned releases and atmospheric nuclear tests

DOE radiological calibrations intercomparison program: Results of fiscal year 1986

International Nuclear Information System (INIS)

Cummings, F.M.; Roberson, P.L.; McDonald, J.C.

1987-05-01

The Department of Energy Radiological Calibration Intercomparison Program was initiated in January 1986, under the research portion of the DOE Laboratory Accreditation Program. The program operates via the exchange of transfer standards, consisting of instrument sets and standard secondary beta sources. There are two instrument sets and the scheduled use has been staggered such that one set is available for use during each month. One set of secondary standard beta sources is available for use bimonthly. During the 1986 fiscal year, five laboratories used the instrument sets and three laboratories used the beta source set. Results were reported for all the measurements. The average and one standard deviation of the ratios of participant results to Pacific Northwest Laboratory calibration values were 1.12 +- 0.17 for gamma measurements. Those ratios for the gamma measurements varied from 0.98 to 3.06. The larger differences of results from measurements performed at two facilities were directly attributable to unfamiliarity with the intercomparison instruments. The average and one standard deviation of the ratios of participant results to PNL calibration values obtained using the secondary 90 Sr beta source was 1.02 +- 0.05, which is well within measurement uncertainties. The one participant who performed measurements using 147 Pm and 204 Tl sources obtained ratios of 0.68 and 1.11, respectively. No measurements were performed using neutron or x-ray sources

Planning for a radiological emergency in health care institutions

International Nuclear Information System (INIS)

Jerez Vegueria, S.F.; Jerez Vegueria, P.F.

1998-01-01

The possible occurrence of accidents involving sources of ionizing radiation calls for response plans to mitigate the consequences of radiological accidents. An emergency planning framework is suggested for institutions which use medical applications of ionizing radiation. Bearing in mind that the prevention of accidents is of prime importance in dealing with radioactive materials and other sources of ionizing radiation, it is recommended that emergency instructions and procedures address certain aspects of the causes of these radiological events. Issues such as identification of radiological events in medical practices and their consequences, protective measures, planning for an emergency response and maintenance of emergency capacity are considered. (author)

Radiological protection of patients: conceptual framework and new international recommendations

International Nuclear Information System (INIS)

Gisone, Pablo A.; Perez, Maria del R.

2005-01-01

Medical exposures represent the largest man-made source of radiation exposure. Within the concept medical exposures includes different kind of exposure: of patients as part of their own medical diagnosis or treatment; of individuals as part of occupational health surveillance; of individuals as part of health screening programs; of volunteers participating in biomedical research programs; of individuals as part of medico-legal procedures and of voluntary patient caregivers (relatives or friends). Radiological protection of patients (RPP) is founded on two basic principles: justification and optimization. The justification of a medical exposure is founded in the consideration that it will give a sufficient net benefit, including the direct health benefits to the patients and the potential benefits to society, against the individual detriment that the exposure might cause, taking into account the efficacy, benefits and risks of available alternative techniques having the same objective but involving no or less exposure to ionizing radiation. Concerning optimization in diagnosis, the radiological protection objective is to keep doses as low as reasonably achievable while obtaining the necessary diagnostic information. In therapy, the objective is to ensure that the target tissue is given the prescribed dose while minimizing the dose to surrounding healthy tissue. In this presentation we analyze new international recommendations concerning RPP, with emphasis in the Directive 97/43/EURATOM. The importance of referral guidelines to help physicians during the process of justification and use of diagnostic reference levels (to help in optimization) is discussed. (author)

Bureau of radiological health compliance testing procedures for cabinet S-ray systems

International Nuclear Information System (INIS)

Miller, E.A.; Sprau, D.

1976-01-01

A manual has been developed by the Bureau of Radiological Health of the Food and Drug Administration to establish procedures for the routine field testing of cabinet x-ray systems to determine compliance with the Federal Performance Standard for Cabinet X-Ray Systems, 21 CFR 1020.40. The manual provides specific instructions for testing each model of cabinet x-ray system. Results from the inspection are recorded on a data from which is designed to permit automatic data processing

Development of a computer program for supporting to the radiological adviser in the management of an emergency situation

International Nuclear Information System (INIS)

Loureiro, E.C.M.; Ferreira F, A.L.; Andrade L, F.R. de

2006-01-01

One of the more important aspects of the handling of a radiological emergency it is the capacity for, in an immediate and appropriate way, to take the actions to protect the public members and the personnel that intervenes in the emergency. The evaluation of the radiological accident should keep in mind the whole available pertinent information in any moment and it should be an iterative and dynamic process directed to examine the answer in the measure that more complete and detailed information is available. This work presents a program in Delphi, with the tools, generic procedures and the necessary data to support to the radiological advisory in the initial answer to a radiological accident. It is based on the IAEA document, Generic Procedures for the Evaluation and Answer during a radiological emergency, the IAEA-TECDOC-1162. These procedures offer clear, concise and predetermined action criteria, based on the current knowledge and in the accumulated experiences, allowing the immediate decision making. The philosophy is to maintain the simple and quick, but effective process. The objective is to toast, through a laptop, practical and quick orientation for the answer to emergencies that of being implemented, it will provide an estimation or basic evaluation of the situation and it will guarantee the capacity of necessary answer to protect the public and the workers in the event of different types of radiological emergencies. Besides the recommendations of actions of appropriate protection, also it will toast, when it is necessary, orientations on the recovery of sources and initial operations of cleaning. (Author)

Perceived barriers to online education by radiologic science educators.

Science.gov (United States)

Kowalczyk, Nina K

2014-01-01

Radiologic science programs continue to adopt the use of blended online education in their curricula, with an increase in the use of online courses since 2009. However, perceived barriers to the use of online education formats persist in the radiologic science education community. An electronic survey was conducted to explore the current status of online education in the radiologic sciences and to identify barriers to providing online courses. A random sample of 373 educators from radiography, radiation therapy, and nuclear medicine technology educational programs accredited by the Joint Review Committee on Education in Radiologic Technology and Joint Review Committee on Educational Programs in Nuclear Medicine Technology was chosen to participate in this study. A qualitative analysis of self-identified barriers to online teaching was conducted. Three common themes emerged: information technology (IT) training and support barriers, student-related barriers, and institutional barriers. Online education is not prevalent in the radiologic sciences, in part because of the need for the clinical application of radiologic science course content, but online course activity has increased substantially in radiologic science education, and blended or hybrid course designs can effectively provide opportunities for student-centered learning. Further development is needed to increase faculty IT self-efficacy and to educate faculty regarding pedagogical methods appropriate for online course delivery. To create an excellent online learning environment, educators must move beyond technology issues and focus on providing quality educational experiences for students.

Environmental radioactivity in Canada 1988. Radiological monitoring annual report

Energy Technology Data Exchange (ETDEWEB)

1992-12-31

The radiological surveillance program of the Department of National Health and Welfare is conducted for the purpose of determining levels of environmental radioactivity in Canada and assessing the resulting population exposures. Following major changes to the CAMECO Port Hope operations to reduce uranium emissions, a study was initiated to measure uranium levels in air in the community. Studies continued on lung cancer and domestic exposure to radon, and current levels of cesium-137 in caribou, a major source of food in northern communities. The movement of tritium on the Ottawa and St. Lawrence rivers was studied following an accidental release into the Ottawa River. Monitoring continued of fallout contamination from Chernobyl in imported foods. All measurements recorded during 1988 were below the limits recommended by the International Commission on Radiological Protection. (14 refs., 14 figs., 15 tabs.).

Radiology education: a glimpse into the future

Energy Technology Data Exchange (ETDEWEB)

Scarsbrook, A.F. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)]. E-mail: andyscarsbrook1@aol.com; Graham, R.N.J. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom); Perriss, R.W. [Department of Radiology, John Radcliffe Hospital, Headley Way, Headington, Oxford (United Kingdom)

2006-08-15

The digital revolution in radiology continues to advance rapidly. There are a number of interesting developments within radiology informatics which may have a significant impact on education and training of radiologists in the near future. These include extended functionality of handheld computers, web-based skill and knowledge assessment, standardization of radiological procedural training using simulated or virtual patients, worldwide videoconferencing via high-quality health networks such as Internet2 and global collaboration of radiological educational resources via comprehensive, multi-national databases such as the medical imaging resource centre initiative of the Radiological Society of North America. This article will explore the role of e-learning in radiology, highlight a number of useful web-based applications in this area, and explain how the current and future technological advances might best be incorporated into radiological training.

Radiology education: a glimpse into the future

International Nuclear Information System (INIS)

Scarsbrook, A.F.; Graham, R.N.J.; Perriss, R.W.

2006-01-01

The digital revolution in radiology continues to advance rapidly. There are a number of interesting developments within radiology informatics which may have a significant impact on education and training of radiologists in the near future. These include extended functionality of handheld computers, web-based skill and knowledge assessment, standardization of radiological procedural training using simulated or virtual patients, worldwide videoconferencing via high-quality health networks such as Internet2 and global collaboration of radiological educational resources via comprehensive, multi-national databases such as the medical imaging resource centre initiative of the Radiological Society of North America. This article will explore the role of e-learning in radiology, highlight a number of useful web-based applications in this area, and explain how the current and future technological advances might best be incorporated into radiological training

Radiological Control Technician: Phase 1, Site academic training study guides

International Nuclear Information System (INIS)

1992-10-01

This volume is a study guide for training Radiological Control Technicians. Provided herein are support materials for learning radiological documentation, communication systems, counting errors and statistics, dosimetry, contamination control, airborne sampling program methods, respiratory protection, radiological source control, environmental monitoring, access control and work area setup, radiological work coverage, shipment and receipt for radioactive material, radiological incidents and emergencies, personnel decontamination, first aid, radiation survey instrumentation, contamination monitoring, air sampling, and counting room equipment

Physical correlates of radiologic heart volume

International Nuclear Information System (INIS)

Christie, D.

1978-01-01

Radiologic heart volume was calculated on a 10 per cent random sample of subjects examined in the London Civil Service Health Survey. Data were available for 1 188 men over the age of 40, and the importance of correcting radiologic heart volume for body size, age and heart rate was demonstrated. After these variables were taken into account, the most important association found was with blood pressure. Radiologic heart volume has potential value in cardiovascular screening programmes. (Auth.)

Guidelines for training and qualification of radiological protection technicians

International Nuclear Information System (INIS)

1987-08-01

These guidelines, used in combination with plant-specific job analysis, provide the framework for a training and qualification program for radiological protection technicians at nuclear power plants. Radiological protection technicians are defined as those individuals, both plant and contractor, who will be engaged in the evaluation of radiological conditions in the nuclear plant and the implementation of the necessary radiological safety measures as they apply to nuclear plant workers and members of the general public. An important aspect of this work is recognizing and handling unusual situations involving radioactivity, including incidents related to degraded core conditions. These guidelines incorporate the results of an industry-wide job analysis and task analysis (JTA) combined with industry operating experience review. However, the industry-wide analyses did not identify all important academic and fundamental knowledge and skills. Further in-depth analysis by subject matter experts produced additional knowledge and skills that were added to these guidelines. All utilities should use these guidelines in conjunction with plant-specific and industry-wide JTA results to develop or validate their radiological protection technician training program. Plant-specific information should be used to establish appropriate training program content. This plant-specific information should reflect unique job duties, equipment, operating experience, and trainee entry-level qualifications. Revisions to these guidelines should be reviewed for applicability and incorporated into the training program using each utility's training system development (TSD) procedures. Plant-specific job analysis and task analysis data is essential to the development of performance-based training programs. These analyses are particularly useful in selecting tasks for training and in developing on-the-job training (OJT), laboratory training, and mock-up training. Qualification programs based on these

Organization and management of health physics support for a research reactor

International Nuclear Information System (INIS)

Bates, E.F.; Neff, R.D.; Randall, J.D.

1980-01-01

The Radiological Safety Office administers the radiological safety and surveillance programs for Texas A and M University. This program includes the assignment of a health physics group to the Texas A and M University Nuclear Science Center. By mutual agreement, the Nuclear Science Center health physics group acts as an integral part of the NSC staff which provides a system for making positive contributions to the decision-making process and the management of its time and resources to accomplish the design objectives of the radiation safety program. These personnel administer a continuous program of hazard analyses and evaluations to minimize and eliminate radiological hazards in terms of occupational exposures to radiation, contamination control, and release of radioactive effluents to the environs. This program has been effective in reducing occupational exposures to radiation in terms of total manrem expended and maintaining effluent releases to the environment at approximately 2% of the limits specified in 10CFR20. This paper presents' an organizational method for establishing an operational and functional research reactor health physics group and the resultant benefits from its contribution to the overall organization. (author)

Radiological training for tritium facilities

International Nuclear Information System (INIS)

1996-12-01

This program management guide describes a recommended implementation standard for core training as outlined in the DOE Radiological Control Manual (RCM). The standard is to assist those individuals, both within DOE and Managing and Operating contractors, identified as having responsibility for implementing the core training recommended by the RCM. This training may also be given to radiological workers using tritium to assist in meeting their job specific training requirements of 10 CFR 835

Radiological training for tritium facilities

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-12-01

This program management guide describes a recommended implementation standard for core training as outlined in the DOE Radiological Control Manual (RCM). The standard is to assist those individuals, both within DOE and Managing and Operating contractors, identified as having responsibility for implementing the core training recommended by the RCM. This training may also be given to radiological workers using tritium to assist in meeting their job specific training requirements of 10 CFR 835.

Radiological protection in underground uranium mines

International Nuclear Information System (INIS)

Napolitano, Celia Marina

1978-01-01

The radiosanitary hazards that workers of an uranium ore can suffer were studied. The more used control methods for the the evaluation of doses received by the workers was studied too. It was developed a technique using the scintillation chamber method for the detection of radon. Emanation and diffusion methods were used for extraction of radon from water. A program of radiological protection based on ICRP recommendation was analysed for uranium mines. This program includes: ventilation needs calculation methods, a study of radiological protection optimization based on 'cost-benefit' analysis, a monitoring plan and a study about radioactive waste management. (author)

A frequency survey of radiological examinations carried out in National Health Service hospitals in Great Britain in 1977 for diagnostic purposes

International Nuclear Information System (INIS)

Kendall, G.M.; Darby, S.C.; Harries, S.V.; Rae, S.

1980-06-01

Medical irradiation is the largest man-made contributor to the radiation dose received by the population of Great Britain, and diagnostic radiology is the most important component of medical irradiation. The work described here is a survey of the numbers and types of radiological examinations carried out in National Health Service hospitals in Great Britain in 1977. The overall level of diagnostic radiology in Great Britain as a whole is reported and separate estimates for England, Wales and Scotland are given. Discussion of topics such as the frequency of particular types of examination, the number of films per examination and the use of gonad shields is included, and the results of the present survey are compared with those of the last national survey which was carried out in 1957. Also reported is an estimate of the amount of radiology undertaken outside the Health Service. The findings will be combined with estimates of gonadal doses from the different examinations and child expectancy data to estimate the genetically significant dose to the population of Great Britain. (author)

Radiological assessment of dam water and sediments for natural ...

African Journals Online (AJOL)

Radiological assessment of dam water and sediments for natural radioactivity and its overall health detriments. ... No artificial gamma emitting radionuclide was detected in the samples. The projected ... However, the chances of radiological hazard to the health of human from radioactivity in the soil were generally low.

NV/YMP RADIOLOGICAL CONTROL MANUAL

Energy Technology Data Exchange (ETDEWEB)

U.S. DEPARTMENT OF ENERGY, NATIONAL NUCLEAR SECURITY ADMINISTRATION NEVADA SITE OFFICE; BECHTEL NEVADA

2004-11-01

This manual contains the radiological control requirements to be used for all radiological activities conducted by programs under the purview of the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) and the Yucca Mountain Office of Repository Development (YMORD). Compliance with these requirements will ensure compliance with Title 10 Code of Federal Regulations Part 835 (10 CFR 835), Occupational Radiation Protection. Programs covered by this manual are located at the Nevada Test Site (NTS); Nellis Air Force Base and North Las Vegas, Nevada; Santa Barbara and Pleasanton, California; and at Andrews Air Force Base, Maryland. In addition, field work by NNSA/NSO at other locations is also covered by this manual.

NV/YMP RADIOLOGICAL CONTROL MANUAL

International Nuclear Information System (INIS)

2004-01-01

This manual contains the radiological control requirements to be used for all radiological activities conducted by programs under the purview of the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) and the Yucca Mountain Office of Repository Development (YMORD). Compliance with these requirements will ensure compliance with Title 10 Code of Federal Regulations Part 835 (10 CFR 835), Occupational Radiation Protection. Programs covered by this manual are located at the Nevada Test Site (NTS); Nellis Air Force Base and North Las Vegas, Nevada; Santa Barbara and Pleasanton, California; and at Andrews Air Force Base, Maryland. In addition, field work by NNSA/NSO at other locations is also covered by this manual

Health Risks of Diagnostic Radiology

International Nuclear Information System (INIS)

Al-Oraby, M.N.A.

2014-01-01

Exposure to ionizing radiation during diagnostic radiologic procedures carries small but real risks. Children, young adults and pregnant women are especially vulnerable. Exposure of patients to diagnostic energy levels of ionizing radiation should be kept to the minimum necessary to provide useful clinical information and allay patients concerns about radiation-related risks. Computerized Tomography (CT) accounts for two thirds of the cumulative patient dose from diagnostic radiological procedures and the cumulative dose from CT is rising as technological advances increase the number of indications and the capabilities of CT. Carcinogenesis and teratogenesis are the main concerns with ionizing radiation. The risk increases as the radiation dose increases. There is no minimum threshold and the risk is cumulative: a dose of 1 mSv once a year for 10 years is equivalent to a single dose of 10 mSv. Whenever practical, choose an imaging test that uses less radiation or no radiation and lengthen the periods between follow-up imaging tests. Some patients may avoid screening mammography because of fear of radiation-induced cancer, yet this test uses a very small radiation dose (0.6 mSv, much less than the annual dose from background radiation, 3.6 mSv). (author)

Recommended radiological controls for tritium operations

International Nuclear Information System (INIS)

Mansfield, G.

1992-01-01

This informal report presents recommendations for an adequate radiological protection program for tritium operations. Topics include hazards analysis, facility design, personnel protection equipment, training, operational procedures, radiation monitoring, to include surface and airborne tritium contamination, and program management

Educational treasures in Radiology: The Radiology Olympics - striving for gold in Radiology education

OpenAIRE

Talanow, Roland

2010-01-01

This article focuses on Radiology Olympics (www.RadiologyOlympics.com) - a collaboration with the international Radiology community for Radiology education, Radiolopolis (www.Radiolopolis.com). The Radiology Olympics honour the movers and shakers in Radiology education and offer an easy to use platform for educating medical professionals based on Radiology cases.

Radiology

International Nuclear Information System (INIS)

Bigot, J.M.; Moreau, J.F.; Nahum, H.; Bellet, M.

1990-01-01

The 17th International Congress of Radiology was conducted in two separate scientific sessions, one for radiodiagnosis and one for radiation oncology. Topics covered are: Radiobiology -radioprotection; imaging and data processing; contrast media; MRI; nuclear medicine; radiology and disasters; radiology of tropical diseases; cardiovascular radiology; interventional radiology; imaging of trauma; imaging of chest, gastro-intestinal tract, breast and genito-urinary tract; imaging in gynecology;imaging in oncology; bone and joint radiology; head and neck-radiology; neuro-radiology. (H.W.). refs.; fig.; tabs

Science and Values in Radiological Protection

International Nuclear Information System (INIS)

Lochard, J.; Eggermont, G.; Britt-Marie, Drottz Sjoberg; Tirmarche, M.; Geard, Ch.R.; Atkinson, M.; Murith, Ch.; Grant, K.G.; Luccioni, C.; Mays, C.; Sisko, Salomaa; Kelly, N.G.; Oughton, D.; Shannoun, F.; Grant, K.G.; Cooper, J.; Mays, C.; Weiss, V.; Oughton, D.; Kazuo, Sakai; Carroll, S.

2010-01-01

The workshop provides a forum for exchange of information and experience among regulators, scientists and governmental and non-governmental organisations in the areas of radiological protection and public health. This is the second in the series of NEA workshops on this subject. The first Science and Values in Radiological Protection workshop was held in Helsinki in January 2008 and hosted by the Radiation and Nuclear Safety Authority of Finland (STUK). The workshop focussed on developing a shared understanding between various stakeholders and identifying the elements of a framework more suited to the integration of new scientific and technological developments and socio-political considerations in radiological protection. This second workshop focusses on radiological protection issues that are currently facing us, and that continue to pose challenges to our world today. This document gathers the available slides of the presentations given at the workshop: - Science and Values in Radiological Protection: Towards a Framework (Jacques Lochard): This talk makes the link with the Science and Values in Radiological Protection workshop in Helsinki, and lay out the overall goals of the present workshop. It explains the format of plenary/break-out sessions. - Public Health Perspective in Radiological Protection in Challenging Topical Areas (Gilbert Eggermont): This talk gives more detail on the choice of the three case topics and the linkage to public health concerns in radiological protection. It makes a specific link with Helsinki workshop findings and the CRPPH Expert Group on the Public Health. Perspective in Radiological Protection work. - Civil Society Needs (Britt-Marie Drottz Sjoeberg): This talk briefly reviews the radiation protection concerns and communication needs of civil society. It points out different categories of stakeholders and their understanding of radiation risks implied by the three case topics. It addresses the question of how radiological

Improving patient safety in radiology: a work in progress

International Nuclear Information System (INIS)

Sze, Raymond W.

2008-01-01

The purpose of this paper is to share the experiences, including successes and failures, as well as the ongoing process of developing and implementing a safety program in a large pediatric radiology department. Building a multidisciplinary pediatric radiology safety team requires successful recruitment of team members, selection of a team leader, and proper and ongoing training and tools, and protected time. Challenges, including thorough examples, are presented on improving pediatric radiology safety intradepartmentally, interdepartmentally, and institutionally. Finally, some major challenges to improving safety in pediatric radiology, and healthcare in general, are presented along with strategies to overcome these challenges. Our safety program is a work in progress; this article is a personal account and the reader is asked for tolerance of its occasional subjective tone and contents. (orig.)

Comparison of the Ministry of Health's tariffs with the cost of radiology services using the activity-based costing method.

Science.gov (United States)

Kalhor, Rohollah; Amini, Saeed; Emami, Majid; Kakasoltani, Keivan; Rhamani, Nasim; Kalhor, Leila

2016-02-01

Efficient use of resources in organizations is one of the most important duties of managers. Appropriate allocation of resources can help managers to do this well. The aim of this study was to determine the cost of radiology services and to compare it with governmental tariffs (introduced by the Ministry of Health in Iran). This was a descriptive and applied study that was conducted using the retrospective approach. First, activity centers were identified on the basis of five main groups of hospital activities. Then, resources and resource drivers, activities, and hospital activity drivers were identified. At the next step, the activities related to the delivery of radiology process were identified. Last, through allocation of activities cost to the cost objects, the cost price of 66 services that were delivered in the radiology department were calculated. The data were collected by making checklists, using the hospital's information system, observations, and interviews. Finally, the data were analyzed using the non-parametric Wilcoxon test, Microsoft Excel, and SPSS software, version 18. The findings showed that from the total cost of wages, materials, and overhead obtained, the unit cost of the 66 cost objects (delivered services) in the Radiology Department were calculated using the ABC method (Price of each unit of Nephrostogram obtained $15.8 and Cystogram obtained $18.4). The Kolmogorov-Smirnov test indicated that the distribution of data of cost price using the ABC method was not normal (p = 0.000). The Wilcoxon test showed that there was a significant difference between the cost of services and the tariff of radiology services (p = 0.000). The cost of delivered services in radiology departments was significantly higher than approved tariffs of the Ministry of Health, which can have a negative impact on the quality of services.

Training program for radiologic technologists for performing chest X-rays at inspiration in uncooperative children

International Nuclear Information System (INIS)

Langen, Heinz Jakob; Muras, S.; Kohlhauser-Vollmuth, C.; Stenzel, M.; Beer, M.

2009-01-01

A computer program was created to train technologists to perform chest X-rays in crying infants at maximum inspiration. Videos of 4 children were used. Using a computer program, the moment of deepest inspiration was determined in the video in the single frame view. During the normal running video, 14 technologists (3 with significant experience, 3 with little experience and 8 with very little experience in pediatric radiography) simulated a chest radiograph by pushing a button. The computer program stopped the video and the period of time to the optimal moment for a chest x-ray was calculated. Every technologist simulated 10 chest X-rays in each of the 4 video clips. The technologists then trained themselves to perform chest X-rays at optimal inspiration like playing a computer game. After training, the test was repeated. Changes were evaluated by t-test for unpaired samples (level of significance p < 0.05). Although the differences improved in all children, minimal deviation from the optimal moment for taking an X-ray at inspiration occurred in the periodically crying child (0.21 sec before and 0.13 sec after training). In a non-periodically crying infant, the largest differences were shown. The values improved significantly from 0.29 sec to 0.22 sec. The group with substantial experience in pediatric radiology improved significantly from 0.22 sec to 0.15 sec. The group with very little experience in pediatric radiology showed worse results (improvement from 0.29 sec to 0.21 sec). (orig.)

Occupational safety and health textbook for radiological personnel employed in structural material testing

International Nuclear Information System (INIS)

Abraham, J.

1981-01-01

The comprehensive textbook for X-ray and radiological testing personnel includes requirements and rules of occupational safety and health on the basis of Hungarian and international (mainly German) literature. In the chapter Fundamentals, X-ray and radioactive radiations, their measurements and biological effects, doses etc are described. In the chapter Occupational safety and health, the jobs representing radiation hazards are listed and safety regulations for them are reported. Finally, information for prevention and first aid is presented. Control questions are added to each part. The Appendix contains safety standards and regulations, information on legal aspects of safety and radiation protection as well as recommendations. (Sz.J.)

Intervention of the army health service in the case of radiological accident in peace time

International Nuclear Information System (INIS)

Curet, P.M.; Croq, M.

2001-01-01

The Army Health Service has conceived an organisation and has at its disposal the means necessary to answer the consequences of an accident having a radiological type in peace time in the military field. Its intervention area can be extended to the civil medium at the public authorities demand to give assistance. (N.C.)

42 CFR 415.120 - Conditions for payment: Radiology services.

Science.gov (United States)

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Conditions for payment: Radiology services. 415.120... Services to Beneficiaries in Providers § 415.120 Conditions for payment: Radiology services. (a) Services to beneficiaries. The carrier pays for radiology services furnished by a physician to a beneficiary...

Medical rescue for nuclear or radiologic emergencies

International Nuclear Information System (INIS)

Chen Xiaohua; Nie Suifeng

2011-01-01

Nuclear or radiologic emergencies are defined as incidents that are caused by radioactive substance or by other sources of radiation and can pose a serious hazard to public health. In case of nuclear or radiologic emergencies, radioactive rays will damage the human body and bring about psychological and mental stress, resulting in a series of social psychological effects. The key to medical rescue for nuclear or radiologic emergencies is to take effective measures which can minimize the body harm resulting from nuclear or radiologic emergencies and maintain social stability. This article reviews the personnel protection, on-the-spot salvage, treatments of various harm, and prevention of public psychological effect following nuclear or radiologic emergencies. (authors)

Hanford Radiological Protection Support Services Annual Report for 2000

Energy Technology Data Exchange (ETDEWEB)

Lynch, Timothy P.; Bihl, Donald E.; Johnson, Michelle L.; Maclellan, Jay A.; Piper, Roman K.

2001-05-07

During calendar year 2000, the Pacific Northwest National Laboratory performed its customary radiological protection support services in support of the U.S. Department of Energy Richland Operations Office and the Hanford contractors. These services included: 1) external dosimetry, 2) internal dosimetry, 3) in vivo monitoring, 4) radiological records, 5) instrument calibration and evaluation, and 6) calibration of radiation sources traceable to the National Institute of Standards and Technology. Each program summary describes the routine operations, program changes and improvements, program assessments, supporting technical studies, and professional activities.

Proceedings of the 3. Regional Meeting on Radiological and Nuclear Safety, Regional Meeting on International Radiation Protection Association (IRPA)and 3. Peruvian Meeting on Radiological Protection

International Nuclear Information System (INIS)

1995-10-01

There we show works of the Third Regional Meeting on Radiological and Nuclear Safety held on 23-27 October, 1995 in Cusco-Peru. Latin americans specialists talk about nuclear safety and radiological protection, radiation natural exposure, biological effect of radiation, radiotherapy and medical radiological safety, radiological safety in industry and research. Also we deal with subjects related to radiological safety of nuclear and radioactive facilities, radioactive waste management, radioactive material transport, environmental radiological monitoring program, radiological emergency and accidents, instruments and dosimetry, basic safety standards of protection against radiation. More than 225 works were presented on the meeting

Informatics in radiology: evaluation of an e-learning platform for teaching medical students competency in ordering radiologic examinations.

Science.gov (United States)

Marshall, Nina L; Spooner, Muirne; Galvin, P Leo; Ti, Joanna P; McElvaney, N Gerald; Lee, Michael J

2011-01-01

A preliminary audit of orders for computed tomography was performed to evaluate the typical performance of interns ordering radiologic examinations. According to the audit, the interns showed only minimal improvement after 8 months of work experience. The online radiology ordering module (ROM) program included baseline assessment of student performance (part I), online learning with the ROM (part II), and follow-up assessment of performance with simulated ordering with the ROM (part III). A curriculum blueprint determined the content of the ROM program, with an emphasis on practical issues, including provision of logistic information, clinical details, and safety-related information. Appropriate standards were developed by a committee of experts, and detailed scoring systems were devised for assessment. The ROM program was successful in addressing practical issues in a simulated setting. In the part I assessment, the mean score for noting contraindications for contrast media was 24%; this score increased to 59% in the part III assessment (P = .004). Similarly, notification of methicillin-resistant Staphylococcus aureus status and pregnancy status and provision of referring physician contact information improved significantly. The quality of the clinical notes was stable, with good initial scores. Part III testing showed overall improvement, with the mean score increasing from 61% to 76% (P radiology services, and the experience typically afforded to interns does not address this lack of knowledge. The ROM program was a successful intervention that resulted in statistically significant improvements in the quality of radiologic examination orders, particularly with regard to logistic and radiation safety issues.

National Radiological Fixed Lab Data

Data.gov (United States)

U.S. Environmental Protection Agency — The National Radiological Fixed Laboratory Data Asset includes data produced in support of various clients such as other EPA offices, EPA Regional programs, DOE,...

Annual Radiological Environmental Monitoring Program Report for the Three Mile Island, Unit 2, Independent Spent Fuel Storage Installation

International Nuclear Information System (INIS)

Hall, Gregory Graham

2002-01-01

This report presents the results of the 2001 Radiological Environmental Monitoring Program conducted in accordance with 10 CFR 72.44 for the Three Mile Island, Unit 2, Independent Spent Fuel Storage Installation. A description of the facility and the monitoring program is provided. The results of monitoring the two predominant radiation exposure pathways, potential airborne radioactivity releases and direct radiation exposure, indicate the facility operation has not contributed to any increase in the estimated maximum potential dose commitment to the general public.

Program for the radiological protection of the embryos-fetuses due to the medical exposure of him mother; Programa para la proteccion radiologica del embrio-feto debido a la exposicion medica de su progenitora

Energy Technology Data Exchange (ETDEWEB)

Lopez B, G M; Martinez G, A; Cardenas H, J; Gonzalez R, N; Valdes R, M; Zaldivar H, W [CPHR, Calle 20 No. 4113 e/41 y 47, Playa C.P. 11300, La Habana (Cuba)

2006-07-01

In the last years the organizations in charge of the regulation in matter of radiological protection, its have adopted measures to minimize the risks derived of the medical exposures, paying special attention to those that involve women in age of procreation, gestating and in period of lactation, because the embryo - fetus and the newborn babies ones are very vulnerable to the risks of the ionizing radiations, which can end up producing them multiple effects of variable severity. In Cuba, a Maternal-children program that includes the genetic advice to the pregnant woman from the medical point of view exists but didn't so the evaluation of the radiological risk; which is only carried out by the Medical Surveillance Service of the Protection and Hygiene of the Radiations Center (CPHR), without that mediates an official link among both parts and whose existence is only known by a reduced group of professionals of the health and of specialists in Radiological Protection. On the other hand is not established a strategy at national level for the differentiated information and systematic in these topics that it contributes to the control of the exposures of the embryo fetus and the breast-fed baby. Keeping in mind the above-mentioned the specialists of the CPHR have elaborated a proposal of national program for the radiological protection of the embryo- fetus due to the medical exposure of its progenitor. In the same one it is settles down the interrelation between work groups and multidisciplinary institutions to achieve the detection, communication and consultant ship of the cases of exposure to the fetus or breast-fed baby that happen in the country and at the same time include the training so much of the professionals of the health like of the public in general. Presently work the program and the elements that conform it among those that are, the on-line system developed for the automation of the medical dosimetric evaluation, the technician-methodological documents

Program for the radiological protection of the embryos-fetuses due to the medical exposure of him mother; Programa para la proteccion radiologica del embrio-feto debido a la exposicion medica de su progenitora

Energy Technology Data Exchange (ETDEWEB)

Lopez B, G.M.; Martinez G, A.; Cardenas H, J.; Gonzalez R, N.; Valdes R, M.; Zaldivar H, W. [CPHR, Calle 20 No. 4113 e/41 y 47, Playa C.P. 11300, La Habana (Cuba)]. e-mail: gladys@cphr.edu.cu

2006-07-01

In the last years the organizations in charge of the regulation in matter of radiological protection, its have adopted measures to minimize the risks derived of the medical exposures, paying special attention to those that involve women in age of procreation, gestating and in period of lactation, because the embryo - fetus and the newborn babies ones are very vulnerable to the risks of the ionizing radiations, which can end up producing them multiple effects of variable severity. In Cuba, a Maternal-children program that includes the genetic advice to the pregnant woman from the medical point of view exists but didn't so the evaluation of the radiological risk; which is only carried out by the Medical Surveillance Service of the Protection and Hygiene of the Radiations Center (CPHR), without that mediates an official link among both parts and whose existence is only known by a reduced group of professionals of the health and of specialists in Radiological Protection. On the other hand is not established a strategy at national level for the differentiated information and systematic in these topics that it contributes to the control of the exposures of the embryo fetus and the breast-fed baby. Keeping in mind the above-mentioned the specialists of the CPHR have elaborated a proposal of national program for the radiological protection of the embryo- fetus due to the medical exposure of its progenitor. In the same one it is settles down the interrelation between work groups and multidisciplinary institutions to achieve the detection, communication and consultant ship of the cases of exposure to the fetus or breast-fed baby that happen in the country and at the same time include the training so much of the professionals of the health like of the public in general. Presently work the program and the elements that conform it among those that are, the on-line system developed for the automation of the medical dosimetric evaluation, the technician

Experience in the development of an automated data retrieval system in radiology

International Nuclear Information System (INIS)

Zhakov, I.G.; Kratenok, V.E.; Gorel'ko, K.P.; Leoshkevich, N.V.

1988-01-01

The first version of an automated data retrival system in radiology, radiobiology and oncology has been developed in the Research Institute of Oncology and medical Radiology of the Ministry of Health, Byelorussian Soviet Socialist Republic. The system is realized on the basis of a packet of applied programs of an automated document processing system, computerized data-bases of the All-Union Scienctific and Technical Information Institute and the ES-1022 computer. the system functions in the following modes: 1 - selective propagation of information on 194 fixed requests of users; 2 - personal search in the dialogue mode; 3 - updating of data files. The use of the automated system made it possible to enhance the effectiveness and quality of document search as compared to conventinal forms of operation

Application gives the technique the analytic tree in the evaluation the effectiveness programs to radiological protection

International Nuclear Information System (INIS)

Perez Gonzalez, F.; Perez Velazquez, R.S.; Fornet Rodriguez, O.; Mustelier Hechevarria, A.; Miller Clemente, A.

1998-01-01

In the work we develop the IAEA recommendations in the application the analytic tree as instrument for the evaluation the effectiveness the occupational radiological protection programs. Is reflected like it has been assimilated and converted that technique in daily work istruments in the evaluation process the security conditions in the institutions that apply the nuclear techniques with a view to its autorization on the part of the regulatory organ

95. German Roentgen congress and 7. joint congress of the DRG and OeRG. Program with abstracts

International Nuclear Information System (INIS)

Diederich, Stefan; Lammer, Johannes

2014-01-01

The volume contains the program and the abstracts of the 95th German Roentgen congress and the 7th joint congress of the DRG and OeRG. The radiological focal points of the congress were thorax radiology (pneumology: lung fibrosis, emphysema); oncological radiology: skeletal carcinoma, lung carcinoma, kidneys, lung metastases, primary liver carcinoma, liver metastases. Further topics included radiology in hospitals and medical centers, tele-radiology, ambulant health care, legal issues, financial accounting and management issues. Several courses an specific radiological issues and radiological techniques were offered, including radiation protection and legal aspects.

Planning for spontaneous evacuation during a radiological emergency

International Nuclear Information System (INIS)

Johnson, J.H. Jr.

1984-01-01

The Federal Emergency Management Agency's (FEMA's) radiological emergency preparedness program ignores the potential problem of spontaneous evacuation during a nuclear reactor accident. To show the importance of incorporating the emergency spatial behaviors of the population at risk in radiological emergency preparedness and response plans, this article presents empirical evidence that demonstrates the potential magnitude and geographic extent of spontaneous evacuation in the event of an accident at the Long Island Lighting Company's Shoreham Nuclear Power Station. The results indicate that, on the average, 39% of the population of Long Island is likely to evacuate spontaneously and thus to cast an evacuation shadow extending at least 25 miles beyond the plant. On the basis of these findings, necessary revisions to FEMA's radiological emergency preparedness program are outlined

Advanced radiological protection course 1993: 15 November - 3 December

International Nuclear Information System (INIS)

1993-01-01

This pamphlet describes an advanced radiological protection course organised by the NRPB and aimed at experienced health physicists and others who have worked in radiological protection for some years. A knowledge of basic radiological protection is assumed. The course concentrates on developing awareness of the policies and philosophy upon which radiological protection is based. Emphasis is given to managerial and professional responsibilities in radiological protection and to involvement with problems of industrial and public relations. The 1994 course is 3 - 21st October. (Author)

School Health: Findings from Evaluated Programs.

Science.gov (United States)

Public Health Service (DHHS), Rockville, MD. Office of Disease Prevention and Health Promotion.

This publication presents findings from evaluations of many school health programs from across the United States. Each program includes at least one of the following eight components of a comprehensive school health program: health education, clinical services, counseling and mental health services, school environment, school food programs,…

Health effects models for off-site radiological consequence analysis on nuclear reactor accidents (II)

Energy Technology Data Exchange (ETDEWEB)

Homma, Toshimitsu [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Takahashi, Tomoyuki [Kyoto Univ., Kumatori, Osaka (Japan). Research Reactor Inst; Yonehara, Hidenori [National Inst. of Radiological Sciences, Chiba (Japan)] [eds.

2000-12-01

This report is a revision of JAERI-M 91-005, 'Health Effects Models for Off-Site Radiological Consequence Analysis of Nuclear Reactor Accidents'. This revision provides a review of two revisions of NUREG/CR-4214 reports by the U.S. Nuclear Regulatory Commission which is the basis of the JAERI health effects models and other several recent reports that may impact the health effects models by international organizations. The major changes to the first version of the JAERI health effects models and the recommended parameters in this report are for late somatic effects. These changes reflect recent changes in cancer risk factors that have come from longer followup and revised dosimetry in major studies on the Japanese A-bomb survivors. This report also provides suggestions about future revisions of computational aspects on health effects models. (author)

Health effects models for off-site radiological consequence analysis on nuclear reactor accidents (II)

International Nuclear Information System (INIS)

Homma, Toshimitsu

2000-12-01

This report is a revision of JAERI-M 91-005, 'Health Effects Models for Off-Site Radiological Consequence Analysis of Nuclear Reactor Accidents'. This revision provides a review of two revisions of NUREG/CR-4214 reports by the U.S. Nuclear Regulatory Commission which is the basis of the JAERI health effects models and other several recent reports that may impact the health effects models by international organizations. The major changes to the first version of the JAERI health effects models and the recommended parameters in this report are for late somatic effects. These changes reflect recent changes in cancer risk factors that have come from longer followup and revised dosimetry in major studies on the Japanese A-bomb survivors. This report also provides suggestions about future revisions of computational aspects on health effects models. (author)

Workplace Bullying in Radiology and Radiation Oncology.

Science.gov (United States)

Parikh, Jay R; Harolds, Jay A; Bluth, Edward I

2017-08-01

Workplace bullying is common in health care and has recently been reported in both radiology and radiation oncology. The purpose of this article is to increase awareness of bullying and its potential consequences in radiology and radiation oncology. Bullying behavior may involve abuse, humiliation, intimidation, or insults; is usually repetitive; and causes distress in victims. Workplace bullying is more common in health care than in other industries. Surveys of radiation therapists in the United States, student radiographers in England, and physicians-in-training showed that substantial proportions of respondents had been subjected to workplace bullying. No studies were found that addressed workplace bullying specifically in diagnostic radiology or radiation oncology residents. Potential consequences of workplace bullying in health care include anxiety, depression, and health problems in victims; harm to patients as a result of victims' reduced ability to concentrate; and reduced morale and high turnover in the workplace. The Joint Commission has established leadership standards addressing inappropriate behavior, including bullying, in the workplace. The ACR Commission on Human Resources recommends that organizations take steps to prevent bullying. Those steps include education, including education to ensure that the line between the Socratic method and bullying is not crossed, and the establishment of policies to facilitate reporting of bullying and support victims of bullying. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Radiology and the law in South Africa

International Nuclear Information System (INIS)

Muller, C.J.B.

1978-01-01

In terms of regulations gazetted in 1973, the Department of Health has control of the practice of medical radiology in South Africa. The regulations and the rules of the South African Medical and Dental Council that apply to radiology are discussed, and the legal position of workers is noted

Training for the medical response in radiological emergency experiences and results

International Nuclear Information System (INIS)

Cardenas Herrera, J.; Lopez Forteza, Y.

2003-01-01

The use of the nuclear techniques int he social practice confers a special imporatnce to the relative aspects to the safety of the practices and radiationsources, for what the implementation of efficient programs of radiation protection constitutes a priority. However in spite of the will before expressed, regrettably radiological situations happen accidental assocaited to multiple causes taht suggest the creation of response capacities to intervention before these fortuitous facts. The experiences accumulated in the last decades related with accidental exposures have evidenced the convenience of having properly qualified human resources for the Medical Response in Radiological Emergencies. The training in the medical aspects of the radiological emergencies acquires a singular character. In such a sense when valuing the national situation put onof manifest deficiences as for the training in medical aspects of the radiological emergencies that advised the development of training programs in such aspects for the different response groups linked to the topic. After identified the training necessities and the scope of the same ones, the contents of the training program were elaborated. The program has as general purpose the invigoration of the capacity of the medical response in front of accidental radiological situations, by means of actions that they bear to prepare groups of medical response in the handling of people accident victims and to the identification of potentials,accidental scenarios, as well as of the necessary resources to confront them. The program content approaches theoretical and paractical aspects to the medical aspect to radiological emergencies. The program include the different topics about fundamental of physical biological to radiation protection, radiation protection during exposure of radiological accidents, medical care for overexposed or contaminated persons, drill, exercises and concludes with designation of a strategy as preparation and

Occupational Safety and Health Program at the West Valley Demonstration Project

International Nuclear Information System (INIS)

L. M. Calderon

1999-01-01

The West Valley Nuclear Services Co. LLC (WVNS) is committed to provide a safe, clean, working environment for employees, and to implement U.S. Department of Energy (DOE) requirements affecting worker safety. The West Valley Demonstration Project (WVDP) Occupational Safety and Health Program is designed to protect the safety, health, and well-being of WVDP employees by identifying, evaluating, and controlling biological, chemical, and physical hazards in the work place. Hazards are controlled within the requirements set forth in the reference section at the end of this report. It is the intent of the WVDP Occupational Safety and Health Program to assure that each employee is provided with a safe and healthy work environment. This report shows the logical path toward ensuring employee safety in planning work at the WVDP. In general, planning work to be performed safely includes: combining requirements from specific programs such as occupational safety, industrial hygiene, radiological control, nuclear safety, fire safety, environmental protection, etc.; including WVDP employees in the safety decision-making processes; pre-planning using safety support re-sources; and integrating the safety processes into the work instructions. Safety management principles help to define the path forward for the WVDP Occupational Safety and Health Program. Roles, responsibilities, and authority of personnel stem from these ideals. WVNS and its subcontractors are guided by the following fundamental safety management principles: ''Protection of the environment, workers, and the public is the highest priority. The safety and well-being of our employees, the public, and the environment must never be compromised in the aggressive pursuit of results and accomplishment of work product. A graded approach to environment, safety, and health in design, construction, operation, maintenance, and deactivation is incorporated to ensure the protection of the workers, the public, and the environment

Radiological impacts of uranium recovery in the phosphate industry

International Nuclear Information System (INIS)

Ryan, M.T.

1981-01-01

This article characterizes the occupational and public radiological health impacts associated with phosphate mining and milling. These impacts are related to the phosphate industry's uranium production potential and are compared with those associated with conventional uranium mining and milling. The radiological impacts resulting from occupational and nonoccupational exposures are assessed. Occupational exposures in phosphate facilities are compared to background exposures and radiological population dose assessments, which characterize important radionuclides and exposure pathways. The following conclusions were reached: (1) public consequences of phosphate mining will occur whether or not uranium is recovered as a by-product, (2) radiological consequences of phosphate mining may be comparable to those associated with uranium mining and milling per unit uranium production, (3) radiological impacts via surface waterways and crops fertilized with uranium-bearing phosphates are of minor consequence, and (4) major radiological public health problems associated with phosphate mining are related to radon and radon progeny exposures in structures built on reclaimed lands or with phosphate mining residues, although the magnitudes of these impacts are difficult to evaluate with current data

Digital Radiology Image Learning Library

International Nuclear Information System (INIS)

Arenson, R.L.; Greenes, R.; Allman, R.; Swett, H.

1989-01-01

The Digital Radiology Image Learning Library (DRILL) is designed as an interactive teaching tool targeted to the radiologic community. The DRILL pilot comprises a comprehensive mammographic information base consisting of factual data in a relational database, an extensive knowledge base in semantic nets and high-resolution images. A flexible query module permits the user to browse and retrieve examination data, case discussions, and related images. Other applications, including expert systems, instructional programs, and skill building exercises, can be accessed through well-defined software constructs

Society of Interventional Radiology

Science.gov (United States)

... Picture yourself in L.A. Register now SIR Essentials Purchase/register Search SIR's entire catalog for educational ... Quality Improvement Clinical practice MACRA Matters Health Policy, Economics, Coding Toolkits Society of Interventional Radiology 3975 Fair ...

Radiological safety and control

Energy Technology Data Exchange (ETDEWEB)

Chang, Sea Young; Yoo, Y S; Lee, J C; Lee, T Y; Lee, J L; Kim, B W; Lee, B J; Chung, K K; Chung, R I; Kim, J S; Lee, H S; Han, Y D; Lee, J I; Lee, K C; Yoon, J H; Sul, C W; Kim, C K; Yoon, K S; Seo, K W; Yoon, Y C [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

1996-01-01

This report describes the annual results of radiological safety and control program of 1995. This program consists of working area monitoring including HANARO, personnel radiation monitoring, education for radiation protection. As a result, the objectives of radiation protection have been achieved satisfactorily through the activities mentioned above. Also, the calibration services were provided to insure accurate radiation measurement in the radiation working places. 21 figs., 39 tabs., 5 refs. (Author) .new.

Radiological aspects of in situ uranium recovery

International Nuclear Information System (INIS)

BROWN, STEVEN H.

2007-01-01

In the last few years, there has been a significant increase in the demand for Uranium as historical inventories have been consumed and new reactor orders are being placed. Numerous mineralized properties around the world are being evaluated for Uranium recovery and new mining / milling projects are being evaluated and developed. Ore bodies which are considered uneconomical to mine by conventional methods such as tunneling or open pits, can be candidates for non-conventional recovery techniques, involving considerably less capital expenditure. Technologies such as Uranium in situ leaching in situ recovery (ISL / ISR), have enabled commercial scale mining and milling of relatively small ore pockets of lower grade, and may make a significant contribution to overall world wide uranium supplies over the next ten years. Commercial size solution mining production facilities have operated in the US since 1975. Solution mining involves the pumping of groundwater, fortified with oxidizing and complexing agents into an ore body, solubilizing the uranium in situ, and then pumping the solutions to the surface where they are fed to a processing plant. Processing involves ion exchange and may also include precipitation, drying or calcining and packaging operations depending on facility specifics. This paper presents an overview of the ISR process and the health physics monitoring programs developed at a number of commercial scale ISL / ISR Uranium recovery and production facilities as a result of the radiological character of these processes. Although many radiological aspects of the process are similar to that of conventional mills, conventional-type tailings as such are not generated. However, liquid and solid byproduct materials may be generated and impounded. The quantity and radiological character of these by products are related to facility specifics. Some special monitoring considerations are presented which are required due to the manner in which Radon gas is evolved in

Workplace Participatory Occupational Health/Health Promotion Program

Science.gov (United States)

Zhang, Yuan; Flum, Marian; Kotejoshyer, Rajashree; Fleishman, Jane; Henning, Robert; Punnett, Laura

2018-01-01

Nursing home employees experience high physical and psychosocial workloads, resulting in poor health outcomes. An occupational health/health promotion program, designed to facilitate employee participation, was initiated in three nursing homes. The aim of the current study was to evaluate facilitators and barriers of the program after 3-year implementation. Focus groups with employees and in-depth interviews with top and middle managers were conducted. The Social Ecological Model was used to organize the evaluation. Facilitators and barriers were reported from both managers’ and employees’ perspectives, and were categorized as intrapersonal, interpersonal, institutional, and corporate level. Management support, financial resources, and release time for participation were identified as the three most important factors. Supports from multiple levels including both human and environment, and managers and employees, are important for a successful participatory occupational health/health promotion program. PMID:26977705

Enhancement of the radiological protection in the Nuclear Medicine Centres in Peru

International Nuclear Information System (INIS)

Lopez, Edith; Gonzales, Susana; Zapata, Luis

2008-01-01

Full text: The Laboratory of Internal Dosimetry (LDI) of the Nuclear Energy Peruvian Institute (IPEN) is the laboratory which offers the service of internal dosimetry to the IPEN personnel who works handling non sealed radioactive sources. The Laboratory has participated in several intercomparison exercises featuring in vivo measurements, in vitro methods and dose calculations with acceptable results, which are indicators that the laboratory results are reliable. The National Program of Radiological Protection for occupational exposed workers, who handles non sealed radioactive sources, allows involving the IPEN occupational exposed workers and the Nuclear Medicine Centres Personnel. In Peru, there are 5000 occupational exposed workers, 3500 of them are controlled through external dosimetry. There are approximately 230 occupational exposed workers to non sealed radioactive sources, 67 of them are registered in the National Regulatory Authority and 20 are controlled radiologically. The aim of this study is the enhancement of the radiological safety of the personnel who works in the Nuclear Medicine Centres and handles non sealed radioactive sources. As part of this work, activities addressed to improve the radiological safety of the occupational exposed workers were taken place such as: supply of technical documents about radiological safety, performance of surveys and polls and the organization of a workshop involving the participation of several health professionals working in this field. The situation of the control measures in the radiation protection of the patients and occupational exposed workers, based in updated regulatory documents, have been assessed and it allowed knowing and learning that the occupational exposed workers of the Nuclear Medicine Centres could perform their own monitoring program since they have potential capabilities like Iodine Uptake Systems and calibrated Gamma cameras. This study involves 15 public and private institutions. (author)

Radiological safety by design

International Nuclear Information System (INIS)

Gundaker, W.E.

1977-01-01

Under the Radiation Control for Health and Safety Act enacted by the U.S. Congress in 1968, the Food and Drug Administration's Bureau of Radiological Health may prescribe performance standards for products that emit radiation. A description is given of the development of these standards and outlines the administrative procedures by which they are enforced. (author)

Radiological Dispersal Polonium-210, and Lessons for Public Health

International Nuclear Information System (INIS)

Whitcomb, R. C.; Miller, C. W.

2007-01-01

On November 23, 2006, Alexander Litvinenko died in London as a result of being poisoned with Polonium-210. Public health authorities in the United Kingdom (UK) subsequently found Polonium-210 contamination at a number of locations in and around London. UK authorities have determined that citizens of 48 countries other than the UK, including the United States, may have been exposed to this contamination. UK authorities asked the CDC to contact approximately 160 individuals who may have been exposed to Po-210. These citizens have been advised that their risk of adverse health effects is likely to be low, but, if they are concerned, they should contact their primary health care provider. In turn, physicians are referred to state and local public health departments or CDC for further information on Po-210, including where they can seek testing of 24 hour urine samples for Po-210, if desired. CDC posted guidance for members of the public and physicians on its web site, and it responded to numerous inquiries from national media. Working with our UK colleagues, CDC developed guidelines for judging when a measurement of Po-210 in urine was or was not a level of concern. Because the death of Mr. Litvinenko is an ongoing criminal investigation, one of the major challenges of this response to what is a radiological dispersal device event has been the inability to obtain all of the technical detail desired to perform assessments. This has complicated the ability to communicate effectively with citizens and members of the public health community. These and other lessons learned from this response will help prepare the public health community to respond more effectively to future contamination events involving radioactive dispersal in the environment.(author)

Informatics in radiology: evaluation of an e-learning platform for teaching medical students competency in ordering radiologic examinations.

LENUS (Irish Health Repository)

Marshall, Nina L

2011-09-01

A preliminary audit of orders for computed tomography was performed to evaluate the typical performance of interns ordering radiologic examinations. According to the audit, the interns showed only minimal improvement after 8 months of work experience. The online radiology ordering module (ROM) program included baseline assessment of student performance (part I), online learning with the ROM (part II), and follow-up assessment of performance with simulated ordering with the ROM (part III). A curriculum blueprint determined the content of the ROM program, with an emphasis on practical issues, including provision of logistic information, clinical details, and safety-related information. Appropriate standards were developed by a committee of experts, and detailed scoring systems were devised for assessment. The ROM program was successful in addressing practical issues in a simulated setting. In the part I assessment, the mean score for noting contraindications for contrast media was 24%; this score increased to 59% in the part III assessment (P = .004). Similarly, notification of methicillin-resistant Staphylococcus aureus status and pregnancy status and provision of referring physician contact information improved significantly. The quality of the clinical notes was stable, with good initial scores. Part III testing showed overall improvement, with the mean score increasing from 61% to 76% (P < .0001). In general, medical students lack the core knowledge that is needed for good-quality ordering of radiology services, and the experience typically afforded to interns does not address this lack of knowledge. The ROM program was a successful intervention that resulted in statistically significant improvements in the quality of radiologic examination orders, particularly with regard to logistic and radiation safety issues.

Hazardous radiological waste-dental and environmental perspective

International Nuclear Information System (INIS)

Tripathi, Anurag

2014-01-01

Dental radiology is concerned with maxillo-facial radiological diagnostic procedure. It is meant for patient welfare and to generate diagnostically useful information, which can be utilized for patient welfare. If injudiciously used, it can become a source of harmful effluents and solid waste, which may pose risk to health and environment. Professionals of dental radiology should be aware about their responsibility to dispose such waste in the rightful manner to fulfil their medical pledge and ethics of doing no harm. (author)

Radiologic protection in intensive therapy units

International Nuclear Information System (INIS)

Andrea, H.; Juliana, C.; Gerusa, R.; Laurete, M.B.; Suelen, S.; Derech, Rodrigo D.A.

2013-01-01

The discovery of X-ray was a great achievement for humanity, especially for the medical community. In Intensive Care Units (ICUs), the RX tests, performed with mobile devices, add immense value to the diagnosis of inpatients who do not have the option to carry them out of bed. Following the technology and its improvements, fatalities arose from misuse of ionizing radiation, which mostly gave up for lack of knowledge of the biological effects caused by them, which leads to fear among professionals and often prevents a quick job and effectively by professionals of radiological techniques. The research it is a systematic review of the literature and justified by the scarcity of materials that reflect on the radiological protection in ICUs. For this study we found the Virtual Health Library (VHL) and Pubmed were indexed terms radiological protection and intensive care units, the search in Portuguese and English terms were used radiological protection and intensive care unit. The study aims to inform professionals of ICUs on the main aspects that refer to X-rays in hospital beds, the standards of radiological protection and personal protective equipment, thus avoiding possible damage to the biological health of workers, addressing subjects in rules and laws about the X radiation, emphasizing the protection of professionals in intensive care. It is clear, finally, that little research is conducted in the context of radiological protection of workers ICU's and this is a place that receives daily RX equipment, deserving more attention to protect the worker. (author)

1980 annual radiological environmental report. Volume 2

International Nuclear Information System (INIS)

1980-01-01

This report describes the Radiological Environmental Monitoring Program conducted during 1980 in the vicinity of the Beaver Valley Power Station and the Shippingport Atomic Power Station. The Radiological Environmental Program consists of on-site sampling of water and gaseous effluents and off-site monitoring of water, air, river sediments, soils, food pathway samples, and radiation levels in the vicinity of the site. This report discusses the results of this monitoring during 1980. The environmental program outlined in the Beaver Valley Power Station Technical Specifications was followed throughout 1980. There were no radioactive liquid effluents released from the Shippingport Atomic Power Station since radioactive liquids are processed and re-cycled within the plant systems. The results of this environmental monitoring program show that Shippingport Atomic Power Station and Beaver Valley Power Station operations have not adversely affected the surrounding environment

Radiological assessments for the National Ignition Facility

International Nuclear Information System (INIS)

Hong, Kou-John; Lazaro, M.A.

1996-01-01

The potential radiological impacts of the National Ignition Facility (NIF), a proposed facility for fusion ignition and high energy density experiments, were assessed for five candidate sites to assist in site selection. The GENII computer program was used to model releases of radionuclides during normal NIF operations and a postulated accident and to calculate radiation doses to the public. Health risks were estimated by converting the estimated doses into health effects using a standard cancer fatality risk factor. The greatest calculated radiation dose was less than one thousandth of a percent of the dose received from natural background radiation; no cancer fatalities would be expected to occur in the public as the result of normal operations. The highest dose conservatively estimated to result from a postulated accident could lead to one in one million risk of cancer

Teaching Critical Thinking in Graduate Medical Education: Lessons Learned in Diagnostic Radiology.

Science.gov (United States)

Morrissey, Benjamin; Heilbrun, Marta E

2017-01-01

The 2014 Institute of Medicine report, Graduate Medical Education that Meets the Nation's Health Needs , challenged the current graduate medical training process and encouraged new opportunities to redefine the fundamental skills and abilities of the physician workforce. This workforce should be skilled in critically evaluating the current systems to improve care delivery and health. To meet these goals, current challenges, motivations, and educational models at the medical school and graduate medical education levels related to formal training in nonclinical aspects of medicine, especially critical thinking, are reviewed. Our diagnostic radiology training program is presented as a "case study" to frame the review.

Analysis of radiology business models.

Science.gov (United States)

Enzmann, Dieter R; Schomer, Donald F

2013-03-01

As health care moves to value orientation, radiology's traditional business model faces challenges to adapt. The authors describe a strategic value framework that radiology practices can use to best position themselves in their environments. This simplified construct encourages practices to define their dominant value propositions. There are 3 main value propositions that form a conceptual triangle, whose vertices represent the low-cost provider, the product leader, and the customer intimacy models. Each vertex has been a valid market position, but each demands specific capabilities and trade-offs. The underlying concepts help practices select value propositions they can successfully deliver in their competitive environments. Copyright © 2013 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Comparison of the radiological and chemical toxicity of lead

Energy Technology Data Exchange (ETDEWEB)

Beitel, G.A.; Mott, S.

1995-03-01

This report estimates the worst-case radiological dose to an individual from ingested lead containing picocurie levels of radionuclides and then compares the calculated radiological health effects to the chemical toxic effects from that same lead. This comparison provides an estimate of the consequences of inadvertently recycling, in the commercial market, lead containing nominally undetectable concentrations of radionuclides. Quantitative expressions for the radiological and chemical toxicities of lead are based on concentrations of lead in the blood stream. The result shows that the chemical toxicity of lead is a greater health hazard, by orders of magnitude, than any probable companion radiation dose.

Comparison of the radiological and chemical toxicity of lead

International Nuclear Information System (INIS)

Beitel, G.A.; Mott, S.

1995-03-01

This report estimates the worst-case radiological dose to an individual from ingested lead containing picocurie levels of radionuclides and then compares the calculated radiological health effects to the chemical toxic effects from that same lead. This comparison provides an estimate of the consequences of inadvertently recycling, in the commercial market, lead containing nominally undetectable concentrations of radionuclides. Quantitative expressions for the radiological and chemical toxicities of lead are based on concentrations of lead in the blood stream. The result shows that the chemical toxicity of lead is a greater health hazard, by orders of magnitude, than any probable companion radiation dose

Implementation of procedures of radiological protection in the section of Radiology of the emergency Hospital of Porto Alegre-Brazil

Energy Technology Data Exchange (ETDEWEB)

Lorenzini, F.; Rizzati, M.R. [Emergency Hospital of Porto Alegre, HPS (Brazil)

1998-12-31

The Emergency Hospital of Porto Alegre (HPS) is one of the main reference centers for the population in the attendance of medical emergencies/urgencies. The Section of Radiology, which informs the patients clinical conditions based on radiological images, is the most demanded section of the hospital (81.43 % of the medical cases request radiological exams) in the aid of the diagnosis, in which excels for the search of the quality in the health branch. In this work are presented the procedures to have been implemented about radiological protection according to effective norm, methods, ways and conditions to satisfy the radiation workers and the internal and external patients. (Author)

Implementation of procedures of radiological protection in the section of Radiology of the emergency Hospital of Porto Alegre-Brazil

International Nuclear Information System (INIS)

Lorenzini, F.; Rizzati, M.R.

1998-01-01

The Emergency Hospital of Porto Alegre (HPS) is one of the main reference centers for the population in the attendance of medical emergencies/urgencies. The Section of Radiology, which informs the patients clinical conditions based on radiological images, is the most demanded section of the hospital (81.43 % of the medical cases request radiological exams) in the aid of the diagnosis, in which excels for the search of the quality in the health branch. In this work are presented the procedures to have been implemented about radiological protection according to effective norm, methods, ways and conditions to satisfy the radiation workers and the internal and external patients. (Author)

Medical intervention in radiological emergencies, formation and training; Intervencion medica en emergencias radiologicas, formacion y adiestramiento

Energy Technology Data Exchange (ETDEWEB)

Cardenas H, J. [CPHR, Calle 20 No. 4113, e/41 y 47 Playa, CP 11300, La Habana (Cuba)]. e-mail: cardenas@cphr.edu.cu

2006-07-01

The work exposes the national experience in the development of training programs in medical aspects of the radiological emergencies. Implemented after valuing the existent situation, identified the necessities and the reach of the training, additionally it was elaborated the content of the training program whose purpose is guided to the invigoration of the medical answer capacity in radiological emergencies The content of the modular program it approaches theoretical- practical aspects on preparation and medical answer in radiological emergencies. The program includes an exercise that simulates a radiological accident, to evaluate during the same one, the answer capacity before this situation. The training concludes with the design of a strategy for the preparation and answer in radiological emergencies in correspondence with the potential accidental scenarios that the participants can face. (Author)

Training in radiological protection

International Nuclear Information System (INIS)

Medina G, E.

2014-08-01

In the Peru, according to the current regulations, people that work with ionizing radiations should have an authorization (individual license), which is granted by the Technical Office of the National Authority that is the technical body of the Instituto Peruano de Energia Nuclear (IPEN) manager of the control of ionizing radiations in the country. The individual license is obtained after the applicant fulfills the requested requirements, as having safety knowledge and radiological protection. Since its founding in 1972, the Centro Superior de Estudios Nucleares (CSEN) of the IPEN has carried out diverse training courses in order to that people can work in a safe way with ionizing radiations in medicine, industry and research, until the year 2013 have been organized 2231 courses that have allowed the training of 26213 people. The courses are organized according to the specific work that is carried out with radiations (medical radio-diagnostic, dental radiology, nuclear medicine, radiotherapy, industrial radiography, nuclear meters, logging while drilling, etc.). In their majority the courses are directed to people that will make use of radiations for first time, but refresher courses are also granted in the topic. The CSEN also carries out the Master degree programs highlighting the Second Professional Specialization in Radiological Protection carried out from the year 2004 with the support of the National University of Engineering. To the present has been carried out 2 programs and there is other being developed. In this work is shown the historical evolution of the radiological protection courses as well as the important thing that they are to work in a safe way in the country. (Author)

The association of departmental leadership gender with that of faculty and residents in radiology.

Science.gov (United States)

Shah, Anand; Braga, Larissa; Braga-Baiak, Andresa; Jacobs, Danny O; Pietrobon, Ricardo

2007-08-01

Although the number of women graduating from medical school continues to increase, their representation in radiology residency programs has not increased over the past 10 years. We examined whether the gender of radiology faculty and residents differed according to the gender of the departmental leadership. We issued an anonymous Web-based survey via e-mail to all 188 radiology residency program directors listed in the Fellowship and Residency Electronic Interactive Database (FREIDA Online). Data regarding the gender of the department chairperson, residency program director, faculty, and residents were collected. The institutional review board granted a waiver for this study, and all subjects provided informed consent. Of the 84 program directors who responded, 9 (10.7%) were chaired by females and 75 (89.3%) by males; residency program director positions were held by 36 (42.9%) females and 48 (57.1%) males. More programs were located in the northeastern United States (n = 31, 36.9%) than in any other region, and more were self-described as academic (n = 36, 42.9%) than any other practice type. Programs that were led by a male chairperson had a similar proportion of female faculty (25.2% versus 27.3%; P = .322) and residents (26.2% versus 27.4%; P = .065) compared with those led by a female. Similarly, radiology departments with a male residency program director had a similar proportion of female residents (24.8% versus 28.7%; P = .055) compared with programs with a female residency program director. The gender composition of radiology faculty and residents does not differ significantly according to the gender of the departmental chairperson or residency program director. Nevertheless, there continues to be a disparity in the representation of women among radiology faculty and residents.

Nevada Test Site Radiological Control Manual. Revision 1

Energy Technology Data Exchange (ETDEWEB)

None, None

2010-02-09

This document supersedes DOE/NV/25946--801, “Nevada Test Site Radiological Control Manual,” Revision 0 issued in October 2009. Brief Description of Revision: A minor revision to correct oversights made during revision to incorporate the 10 CFR 835 Update; and for use as a reference document for Tenant Organization Radiological Protection Programs.

Quality Measurements in Radiology: A Systematic Review of the Literature and Survey of Radiology Benefit Management Groups.

Science.gov (United States)

Narayan, Anand; Cinelli, Christina; Carrino, John A; Nagy, Paul; Coresh, Josef; Riese, Victoria G; Durand, Daniel J

2015-11-01

As the US health care system transitions toward value-based reimbursement, there is an increasing need for metrics to quantify health care quality. Within radiology, many quality metrics are in use, and still more have been proposed, but there have been limited attempts to systematically inventory these measures and classify them using a standard framework. The purpose of this study was to develop an exhaustive inventory of public and private sector imaging quality metrics classified according to the classic Donabedian framework (structure, process, and outcome). A systematic review was performed in which eligibility criteria included published articles (from 2000 onward) from multiple databases. Studies were double-read, with discrepancies resolved by consensus. For the radiology benefit management group (RBM) survey, the six known companies nationally were surveyed. Outcome measures were organized on the basis of standard categories (structure, process, and outcome) and reported using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search strategy yielded 1,816 citations; review yielded 110 reports (29 included for final analysis). Three of six RBMs (50%) responded to the survey; the websites of the other RBMs were searched for additional metrics. Seventy-five unique metrics were reported: 35 structure (46%), 20 outcome (27%), and 20 process (27%) metrics. For RBMs, 35 metrics were reported: 27 structure (77%), 4 process (11%), and 4 outcome (11%) metrics. The most commonly cited structure, process, and outcome metrics included ACR accreditation (37%), ACR Appropriateness Criteria (85%), and peer review (95%), respectively. Imaging quality metrics are more likely to be structural (46%) than process (27%) or outcome (27%) based (P < .05). As national value-based reimbursement programs increasingly emphasize outcome-based metrics, radiologists must keep pace by developing the data infrastructure required to collect outcome

Radiological assessment. A textbook on environmental dose analysis

Energy Technology Data Exchange (ETDEWEB)

Till, J.E.; Meyer, H.R. (eds.)

1983-09-01

Radiological assessment is the quantitative process of estimating the consequences to humans resulting from the release of radionuclides to the biosphere. It is a multidisciplinary subject requiring the expertise of a number of individuals in order to predict source terms, describe environmental transport, calculate internal and external dose, and extrapolate dose to health effects. Up to this time there has been available no comprehensive book describing, on a uniform and comprehensive level, the techniques and models used in radiological assessment. Radiological Assessment is based on material presented at the 1980 Health Physics Society Summer School held in Seattle, Washington. The material has been expanded and edited to make it comprehensive in scope and useful as a text. Topics covered include (1) source terms for nuclear facilities and Medical and Industrial sites; (2) transport of radionuclides in the atmosphere; (3) transport of radionuclides in surface waters; (4) transport of radionuclides in groundwater; (5) terrestrial and aquatic food chain pathways; (6) reference man; a system for internal dose calculations; (7) internal dosimetry; (8) external dosimetry; (9) models for special-case radionuclides; (10) calculation of health effects in irradiated populations; (11) evaluation of uncertainties in environmental radiological assessment models; (12) regulatory standards for environmental releases of radionuclides; (13) development of computer codes for radiological assessment; and (14) assessment of accidental releases of radionuclides.

Radiological assessment. A textbook on environmental dose analysis

International Nuclear Information System (INIS)

Till, J.E.; Meyer, H.R.

1983-09-01

Radiological assessment is the quantitative process of estimating the consequences to humans resulting from the release of radionuclides to the biosphere. It is a multidisciplinary subject requiring the expertise of a number of individuals in order to predict source terms, describe environmental transport, calculate internal and external dose, and extrapolate dose to health effects. Up to this time there has been available no comprehensive book describing, on a uniform and comprehensive level, the techniques and models used in radiological assessment. Radiological Assessment is based on material presented at the 1980 Health Physics Society Summer School held in Seattle, Washington. The material has been expanded and edited to make it comprehensive in scope and useful as a text. Topics covered include (1) source terms for nuclear facilities and Medical and Industrial sites; (2) transport of radionuclides in the atmosphere; (3) transport of radionuclides in surface waters; (4) transport of radionuclides in groundwater; (5) terrestrial and aquatic food chain pathways; (6) reference man; a system for internal dose calculations; (7) internal dosimetry; (8) external dosimetry; (9) models for special-case radionuclides; (10) calculation of health effects in irradiated populations; (11) evaluation of uncertainties in environmental radiological assessment models; (12) regulatory standards for environmental releases of radionuclides; (13) development of computer codes for radiological assessment; and (14) assessment of accidental releases of radionuclides

Fifty years of radiological protection

International Nuclear Information System (INIS)

2007-01-01

On 21 March 1957, the Steering Committee for Nuclear Energy of the Organisation for European Economic Co-operation established the Working Party on Public Health and Safety. From this early date onwards, radiological protection formed a central part of the work of what was to become the OECD Nuclear Energy Agency. Now, 50 years later, the Committee on Radiation Protection and Public Health (CRPPH) has commissioned this historical review of half a century of work and accomplishments. Over this period, the key topics in radiological protection have been identified, debated and addressed by the CRPPH. This report brings this history to life, presenting the major questions in the context of their time, and of the personalities who worked to address them. The developments and views of the past condition how we are able to assess and manage radiological risks today, as well as how we may adjust to challenges that will or could emerge in the coming years. This heritage is thus an important element for the CRPPH to consider as it looks forward to its next 50 years of accomplishments. (author)

Radiological health assessment of natural radioactivity in the vicinity of Obajana cement factory, North Central Nigeria

Directory of Open Access Journals (Sweden)

Omoniyi Matthew Isinkaye

2015-01-01

Full Text Available Measurements of activity concentrations of natural radionuclides in and around Obajana cement factory, North Central Nigeria have been carried out in this study to determine the activity levels of natural radionuclides in different environmental matrices in order to assess the radiological health hazards associated with the use of these matrices by the local population. A low-background Pb-shielded gamma spectroscopic counting assembly utilizing NaI (Tl detector was employed for the measurements. The results show that sediment samples have the highest activity concentrations of all the radionuclides relative to soil, farmland soil, and rock samples. The radium equivalent activity and indoor gamma dose rates together with the corresponding annual effective indoor doses evaluated were found to be lower than their permissible limits. It suffices to say, that contrary to age-long fear of radiation risks to the population in the vicinity of the cement factory, no excessive radiological health hazards either indoors and/or outdoors is envisaged. Therefore, the environmental matrices around the factory could be used without any restrictions.

Improving diagnosis in health care: perspectives from the American College of Radiology.

Science.gov (United States)

Allen, Bibb; Chatfield, Mythreyi; Burleson, Judy; Thorwarth, William T

2017-09-26

In September of 2014, the American College of Radiology joined a number of other organizations in sponsoring the 2015 National Academy of Medicine report, Improving Diagnosis In Health Care. Our presentation to the Academy emphasized that although diagnostic errors in imaging are commonly considered to result only from failures in disease detection or misinterpretation of a perceived abnormality, most errors in diagnosis result from failures in information gathering, aggregation, dissemination and ultimately integration of that information into our patients' clinical problems. Diagnostic errors can occur at any point on the continuum of imaging care from when imaging is first considered until results and recommendations are fully understood by our referring physicians and patients. We used the concept of the Imaging Value Chain and the ACR's Imaging 3.0 initiative to illustrate how better information gathering and integration at each step in imaging care can mitigate many of the causes of diagnostic errors. Radiologists are in a unique position to be the aggregators, brokers and disseminators of information critical to making an informed diagnosis, and if radiologists were empowered to use our expertise and informatics tools to manage the entire imaging chain, diagnostic errors would be reduced and patient outcomes improved. Heath care teams should take advantage of radiologists' ability to fully manage information related to medical imaging, and simultaneously, radiologists must be ready to meet these new challenges as health care evolves. The radiology community stands ready work with all stakeholders to design and implement solutions that minimize diagnostic errors.

Quality assurance program on the individual monitory service of the Protection Radiology Laboratory of the Universidade Federal de Pernambuco, Recife, PE (Brazil): preliminary results

International Nuclear Information System (INIS)

Antonino, Paulo H.D.; Filho, Joao A.; Silveira, Sueldo V.

1996-01-01

The current stage of the quality assurance program on the individual monitoring service of the Protection Radiology Laboratory of the Universidade Federal de Pernambuco, Recife, PE (Brazil) is presented. The program emphasizes the personnel training and its development is focused to meet national and international standards requirements

Experience in training of health personnel for response to radiological and nuclear accidents

International Nuclear Information System (INIS)

Maurmo, Alexandre M.; Leite, Teresa C.S.B.

2013-01-01

Eletronuclear Healthcare Foundation is the Institution responsible for the actions of health response involving ionizing radiation in the area of Nuclear Power Plant Almirante Alvaro Alberto in Angra dos Reis. Because of their specific assignments and references for being in training health manpower in the field of ionizing radiation developed a range of Training Courses for Professionals Area Health to prepare them for Response to Radiological and Nuclear Accidents. Modules are proposed specifically for the professional response of the Technical Level and Higher Level, the level Pre-hospital and hospital. These modules are further divided into specific levels or modules, Basic or Introductory, Intermediate and Advanced. Are applied pretests and post tests to monitor the content of fixing, maintaining a historical series of reviews. Your content is theoretical and practical applications developed in 30 to 48 hours, with simulations (drills) and distribution of educational materials. We already have more than 80 applications training, focusing on internal staff and external to the institution, developing interesting partner with the Armed Forces and Civil Defense. It still maintained a link on the institution seeking access and download over 400 titles on the subject and exchange of information and experiences. For improving the teaching material, the authors launched in 2011 the first manual in Portuguese on the subject with new revised edition in 2013: 'Manual of Medical Actions In Radiological Emergencies'. The results indicate increased knowledge and appropriateness of the themes and the strategy proposed for this activity, demonstrating yet passed that information can be multiplied and meets the growing demand of the country that has hosted and will host international events relevant at QBNRE risk. (author)

Environmental monitoring radiological programs for the nuclear centre and the low level radioactive waste facility in Mexico

International Nuclear Information System (INIS)

Quintero, E.; Cervantes, L.; Rojas, V.

2006-01-01

The National Institute of Nuclear Research of Mexico (ININ) has its Laboratory of Environmental Radiological Monitoring, (LVRA), to assure the critical population and the environment they are not exposed to radiation doses greater than the limits established by the national and international legislation, this laboratory carries out environmental monitoring radiological programs the Nuclear Centre and its surroundings and the Low Level Radioactive Waste Facility (CADER) and its around. In order to carry out these programs the LVRA has rooms for evaporation, drying, grinding, ashing of environmental and food samples, and a laboratory for gamma ray spectrometry, liquid scintillation, alpha-beta gross counting and computer room. Since the year 2000 the (ININ) has tried to implant the quality system ISO 9001:2000 including a its (LVRA). This quality system includes: a Plan of Quality, Quality Manual, programs of technical and administrative document elaboration, technical and administrative procedures, technical and administrative qualification programmes for the laboratory staff, maintenance and calibration programs for measurement systems and finally participation in national and international exercises of intercomparison. The ININ counts with the management of quality assurance to verify these programs, in addition, our Nuclear Regulatory Commission (CNSNS) carries out periodic audits to authorize the of use and handling of radioactive and nuclear material licenses of these facilities. In this work we presented the advances and difficulties found in the implantation of the quality system, also we present the benefits obtained with uses of this system, the samples analyses results, and the calculation of the annual dose to the critical population for the last five years. In addition, we presented the calculation the radionuclides concentration tendencies in different sample types, according to our (CNSNS) requirements. In the same way the results of the calibrations

Radiological Dispersion Devices: are we prepared?

Energy Technology Data Exchange (ETDEWEB)

Sohier, Alain [Decision Strategy Research Department (Radiation Protection Division), Belgian Nuclear Research Centre (SCK-CEN), Boeretang 200, B-2400 Mol (Belgium)]. E-mail: asohier@sckcen.be; Hardeman, Frank [Decision Strategy Research Department (Radiation Protection Division), Belgian Nuclear Research Centre (SCK-CEN), Boeretang 200, B-2400 Mol (Belgium)

2006-07-01

Already before the events of September 11th 2001 concern was raised about the spread of orphan sources and their potential use in Radiological Dispersion Devices by terrorist groups. Although most of the simulated scenarios foresee a rather limited direct health impact on the population, the affected region would suffer from the indirect consequences such as social disruption, cleanup requirements and economic costs. The nature of such a radiological attack would anyway be different compared to conventional radiological accidents, basically because it can happen anywhere at any time. Part of the response resides in a general preparedness scheme incorporating attacks with Radiological Dispersion Devices. Training of different potential intervention teams is essential. The response would consist of a prioritised list of actions adapted to the circumstances. As the psychosocial dimension of the crisis could be worse than the purely radiological one, an adapted communication strategy with the public aspect would be a key issue.

Radiological Dispersion Devices: are we prepared?

International Nuclear Information System (INIS)

Sohier, Alain; Hardeman, Frank

2006-01-01

Already before the events of September 11th 2001 concern was raised about the spread of orphan sources and their potential use in Radiological Dispersion Devices by terrorist groups. Although most of the simulated scenarios foresee a rather limited direct health impact on the population, the affected region would suffer from the indirect consequences such as social disruption, cleanup requirements and economic costs. The nature of such a radiological attack would anyway be different compared to conventional radiological accidents, basically because it can happen anywhere at any time. Part of the response resides in a general preparedness scheme incorporating attacks with Radiological Dispersion Devices. Training of different potential intervention teams is essential. The response would consist of a prioritised list of actions adapted to the circumstances. As the psychosocial dimension of the crisis could be worse than the purely radiological one, an adapted communication strategy with the public aspect would be a key issue

Radiological assessment of decommissioned nuclear facilities

International Nuclear Information System (INIS)

Dickson, H.W.; Cottrell, W.D.

1976-01-01

A radiological survey of the former Middlesex Sampling Plant, Middlesex, New Jersey, has been completed. The surveyed property served as a uranium ore sampling plant during the 1940's and early 1950's. It was released for unrestricted use in 1967 following a radiological survey by the Atomic Energy Commission and is now a reserve training center for the U. S. Marine Sixth Motor Transport Battalion. The present survey was undertaken to determine whether the existing radiological status of the property is consistent with current health standards and radiation protection practices. The radiological survey included measurement of residual alpha, beta, and gamma contamination levels, radon and radon daughter concentrations in buildings, external gamma radiation levels on the site and on adjacent property, and radium concentrations in soil on the site and on adjacent property

Value management program: performance, quantification, and presentation of imaging value-added actions.

Science.gov (United States)

Patel, Samir

2015-03-01

Health care is in a state of transition, shifting from volume-based success to value-based success. Hospital executives and referring physicians often do not understand the total value a radiology group provides. A template for easy, cost-effective implementation in clinical practice for most radiology groups to demonstrate the value they provide to their clients (patients, physicians, health care executives) has not been well described. A value management program was developed to document all of the value-added activities performed by on-site radiologists, quantify them in terms of time spent on each activity (investment), and present the benefits to internal and external stakeholders (outcomes). The radiology value-added matrix is the platform from which value-added activities are categorized and synthesized into a template for defining investments and outcomes. The value management program was first implemented systemwide in 2013. Across all serviced locations, 9,931.75 hours were invested. An annual executive summary report template demonstrating outcomes is given to clients. The mean and median individual value-added hours per radiologist were 134.52 and 113.33, respectively. If this program were extrapolated to the entire field of radiology, approximately 30,000 radiologists, this would have resulted in 10,641,161 uncompensated value-added hours documented in 2013, with an estimated economic value of $2.21 billion. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Quality Control in Diagnostic Radiology: Experiences and Achievements

International Nuclear Information System (INIS)

Mohd Khalid Matori; Husaini Salleh; Muhammad Jamal Md Isa

2015-01-01

Malaysian Nuclear Agency through its Medical Physics Group has been providing Quality Control (QC) services for medical X-ray apparatus used in diagnostic radiology to private clinics and hospitals since the year 1997. The Medical Physics Groups services is endorsed by the Malaysian Ministry Of Health (MOH) and is in accordance with the Malaysian Standard MS 838 and the Atomic Energy Licensing Act, 1984. Until today, the scopes of testing services also include all types of medical x-ray apparatus. The quality control (QC) in diagnostic radiology is considered as part of quality assurance program which provide accurate diagnostic information at the lowest cost and the least exposure of the patients to radiation. Many experience and obstacles were faced by Medical Physics Group. This paper will discuss the experiences and achievements of providing QC service from early stage until now so that it can be shared by the citizens of the Malaysian Nuclear Agency. The results of quality assurance inspection of all types of X-ray apparatus for medical conducted by Agency Nuclear Malaysia will be presented in brief. (author)

Radiological safety training for uranium facilities

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-02-01

This handbook contains recommended training materials consistent with DOE standardized core radiological training material. These materials consist of a program management guide, instructor`s guide, student guide, and overhead transparencies.

The program director and accreditation

International Nuclear Information System (INIS)

Tristan, T.A.; Capp, M.P.; Krabbenhoft, K.L.; Armbruster, J.S.

1987-01-01

Field Survey is contrasted with the Specialist Site Visitor. The discussion addresses the reasons for different types of surveys and how the surveys and the Hospital Information Form are used in evaluating a graduate residency program in radiology for accreditation. The Residency Review Committee for Radiology (RRC) and the staff of the Accreditation Council for Graduate Medical Education (ACGME) of Residencies in Radiology offer a program for program directors and other interested leaders in graduate programs in radiology. The authors explain the review and accreditation process for residencies in radiology with special emphasis on the preparation for inspection by accurate and full completion of the Hospital Information Form on which the program is judged, and the nature of the inspection procedures

Radiology's value chain.

Science.gov (United States)

Enzmann, Dieter R

2012-04-01

A diagnostic radiology value chain is constructed to define its main components, all of which are vulnerable to change, because digitization has caused disaggregation of the chain. Some components afford opportunities to improve productivity, some add value, while some face outsourcing to lower labor cost and to information technology substitutes, raising commoditization risks. Digital image information, because it can be competitive at smaller economies of scale, allows faster, differential rates of technological innovation of components, initiating a centralization-to-decentralization technology trend. Digitization, having triggered disaggregation of radiology's professional service model, may soon usher in an information business model. This means moving from a mind-set of "reading images" to an orientation of creating and organizing information for greater accuracy, faster speed, and lower cost in medical decision making. Information businesses view value chain investments differently than do small professional services. In the former model, producing a better business product will extend image interpretation beyond a radiologist's personal fund of knowledge to encompass expanding external imaging databases. A follow-on expansion with integration of image and molecular information into a report will offer new value in medical decision making. Improved interpretation plus new integration will enrich and diversify radiology's key service products, the report and consultation. A more robust, information-rich report derived from a "systems" and "computational" radiology approach will be facilitated by a transition from a professional service to an information business. Under health care reform, radiology will transition its emphasis from volume to greater value. Radiology's future brightens with the adoption of a philosophy of offering information rather than "reads" for decision making. Staunchly defending the status quo via turf wars is unlikely to constitute a

Health literacy in vascular and interventional radiology: a comparative analysis of online patient education resources.

Science.gov (United States)

Hansberry, David R; Kraus, Carl; Agarwal, Nitin; Baker, Stephen R; Gonzales, Sharon F

2014-08-01

The Internet is frequently accessed by patients as a resource for medical knowledge. However, the provided material is typically written at a level well above the recommended 7th grade level. A clear understanding of the capabilities, limitations, risks, and benefits of interventional radiology by patients, both current and prospective, is hindered when the textual information offered to the public is pitched at a level of sophistication too high for general comprehension. In January 2013, all 25 patient education resources from the Cardiovascular and Interventional Radiology Society of Europe (CIRSE) Web site ( http://www.cirse.org ) and all 31 resources from the Society of Interventional Radiology (SIR) Web site ( http://www.sirweb.org ) were analyzed for their specific level of readability using ten quantitative scales: Flesch Reading Ease, Flesch-Kincaid Grade Level, Simple Measure of Gobbledygook, Gunning fog index, New Fog Count, Coleman-Liau index, FORCAST formula, Fry graph, Raygor Readability Estimate, and New Dale-Chall. Collectively, the patient education resources on the CIRSE Web site are written at the 12.3 grade level, while the resources on the SIR Web site are written at the 14.5 grade level. Educational health care materials available on both the CIRSE and the SIR Web sites are presented in language in the aggregate that could be too difficult for many lay people to fully understand. Given the complex nature of vascular and interventional radiology, it may be advantageous to rewrite these educational resources at a lower reading level to increase comprehension.

Scoring methods and results for qualitative evaluation of public health impacts from the Hanford high-level waste tanks. Integrated Risk Assessment Program

International Nuclear Information System (INIS)

Buck, J.W.; Gelston, G.M.; Farris, W.T.

1995-09-01

The objective of this analysis is to qualitatively rank the Hanford Site high-level waste (HLW) tanks according to their potential public health impacts through various (groundwater, surface water, and atmospheric) exposure pathways. Data from all 149 single-shell tanks (SSTs) and 23 of the 28 double-shell tanks (DSTs) in the Tank Waste Remediation System (TWRS) Program were analyzed for chemical and radiological carcinogenic as well as chemical noncarcinogenic health impacts. The preliminary aggregate score (PAS) ranking system was used to generate information from various release scenarios. Results based on the PAS ranking values should be considered relative health impacts rather than absolute risk values

Public financing systems for radiology: experience in 12 European countries

International Nuclear Information System (INIS)

Kesteloot, K.

1999-01-01

This paper illustrates the evolution in public health care financing systems in 12 European countries, in terms of the financing of radiology services. The financing systems for radiology used by public health care financing agencies are described in detail. The implications of these new financing conditions for health care delivery are briefly sketched. The paper concludes with some strategies to help radiologists cope with the tightening financing conditions for medical imaging. (orig.) (orig.)

75 FR 2549 - Health Center Program

Science.gov (United States)

2010-01-15

... Program AGENCY: Health Resources and Services Administration, HHS ACTION: Notice of Noncompetitive Replacement Award to Regional Health Care Affiliates. SUMMARY: The Health Resources and Services Administration (HRSA) will be transferring Health Center Program (section 330 of the Public Health Service Act...

Routine Radiological Environmental Monitoring Plan

International Nuclear Information System (INIS)

Bechtel Nevada

1998-01-01

The U.S. Department of Energy manages the Nevada Test Site in a manner that meets evolving DOE Missions and responds to the concerns of affected and interested individuals and agencies. This Routine Radiological Monitoring Plan addressess complicance with DOE Orders 5400.1 and 5400.5 and other drivers requiring routine effluent monitoring and environmental surveillance on the Nevada Test Site. This monitoring plan, prepared in 1998, addresses the activities conducted onsite NTS under the Final Environmental Impact Statement and Record of Decision. This radiological monitoring plan, prepared on behalf of the Nevada Test Site Landlord, brings together sitewide environmental surveillance; site-specific effluent monitoring; and operational monitoring conducted by various missions, programs, and projects on the NTS. The plan provides an approach to identifying and conducting routine radiological monitoring at the NTS, based on integrated technical, scientific, and regulatory complicance data needs

Comparison of the MARC and CRAC2 programs for assessing the radiological consequences of accidental releases of radioactive material

CERN Document Server

Hemming, C R; Charles, D; Ostmeyer, R M

1983-01-01

This report describes a comparison of the MARC (Methodology for Assessing Radiological Consequences) and CRAC2 (Calculation of Reactor Accident Consequences, version 2) computer programs for assessing the radiological consequences of accidental releases of radioactive material. A qualitative comparison has been made of the features of the constituent sub-models of the two codes, and potentially the most important differences identified. The influence of these differences has been investigated quantitatively by comparison of the predictions of the two codes in a wide variety of circumstances. Both intermediate quantities and endpoints used as a measure of risk have been compared in order to separate the variables more clearly. The results indicate that, in general, the predictions of MARC and CRAC2 are in good agreement.

Environmental Tools and Radiological Assessment

Science.gov (United States)

This presentation details two tools (SADA and FRAMES) available for use in environmental assessments of chemicals that can also be used for radiological assessments of the environment. Spatial Analysis and Decision Assistance (SADA) is a Windows freeware program that incorporate...

Worker radiological protection: occupational medical aspects

International Nuclear Information System (INIS)

Cardenas Herrera, Juan; Fernandez Gomez, Isis Maria

2008-01-01

Radiation exposures experienced by workers are widely explained. The first evidences of biological effects, the implications for human health and the radiological protection have been covered. The conceptual structure that covers the radiological protection and adequate protection without limiting benefits, the scientific basis of radiology, the benefits and risks of the radiological protection are specified. The effective per capita doses are exposed in medical uses both for Latin America and for other regions in the average radiology, dental radiology, nuclear medicine and radiotherapy. The manners of occupational exposures in the medicine are presented. Industrial uses have also its average effective dose in the industrial irradiation, industrial radiography and radioisotopes production. Within the natural radiation the natural sources can significantly contribute to occupational exposure and have their average effective dose. Occupational medical surveillance to be taken into industrial sites is detailed. In addition, the plan of international action for the solution of dilemmas of occupational exposures is mentioned and the different dilemmas of radioactive exposure are showed. The external irradiation, the acute diseases by radiations, the cutaneous syndrome of the chronic radiation, the radioactive contamination, the internal radioactive contamination, the combined lesion and accidental exposures are also treated [es

2011 Annual Health Physics Report for the HEU transparency Program

International Nuclear Information System (INIS)

Radev, R.

2012-01-01

During the 2008 calendar year, Lawrence Livermore National Laboratory (LLNL) provided health physics support for the Highly Enriched Uranium (HEU) Transparency Program for external and internal radiation protection. They also provided technical expertise related to BDMS radioactive sources and Russian radiation safety regulatory compliance. For the calendar year 2008, there were 158 person-trips that required dose monitoring of the U.S. monitors. Of the 158 person-trips, 148 person-trips were SMVs and 10 person-trips were Transparency Monitoring Office (TMO) trips. There were 6 monitoring visits by TMO monitors to facilities other than UEIE and 8 to UEIE itself. There were three monitoring visits (source changes) that were back-to-back with a total of 24 monitors. LLNL's Hazard Control Department laboratories provided the dosimetry services for the HEU Transparency monitors. In 2008, the HEU Transparency activities in Russia were conducted in a radiologically safe manner for the HEU Transparency monitors in accordance with the expectations of the HEU Transparency staff, NNSA and DOE. The HEU Transparency now has thirteen years of successful experience in developing and providing health and safety support in meeting its technical objectives.

Radiology today

International Nuclear Information System (INIS)

Donner, M.W.; Heuck, F.H.W.

1981-01-01

The book encompasses the proceedings of a postgraduate course held in Salzburg in June 1980. 230 radiologists from 17 countries discussed here the important and practical advances of diagnostic radiology, nuclear medicine and ultrasound as they contribute to gastrointestinal, urologic, skeletal, cardiovascular, pediatric, and neuroradiology. The book contains 55 single contributions of different authors to the following main themes: Cardiovascular, Radiology, pulmonary radiology, gastrointestinal radiology, urinary tract radiology, skeletal radiology, mammography, lymphography, ultrasound, ENT radiology, and neuroradiology. (orig./MG)

Cardiovascular and interventional radiology

International Nuclear Information System (INIS)

White, R.I. Jr.

1985-01-01

A symposium of eight short but complete papers giving an overview of interventional radiology is presented. Organized by Dr. William Casarella, this symposium is certainly the most current review of the subject available. This year's cardiovascular section is again heavily weighted toward interventional radiology. Abrams and Doubilet's article on the underutilization of angioplasty is important because it describes the cost effectiveness of this method. Most health planners, right or wrong, have complained about overutilization of diagnostic radiology procedures. In general, the opposite is true for interventional procedures - they are underutilized. If the authors draw the attention of their hospital administrators to these approaches and also produce the data on long-term follow-up for our medical colleagues, interventional radiology may realize its full potential. Articles on cardiac magnetic resonance imaging are beginning to appear and this technique seems to have great potential. An important article, which is the first prospective study comparing lung scintigraphy and pulmonary angiography in the diagnosis of pulmonary embolism, supports the increased use of pulmonary angiography. Finally, an article on complications of percutaneous biliary drainage provokes some discussion of its value for routine preoperative use

Hanford radiological protection support services annual report for 1987

International Nuclear Information System (INIS)

Lyon, M.; Fix, J.J.; Kenoyer, J.L.; Leonowich, J.A.; Palmer, H.E.; Sula, M.J.

1988-08-01