Background: This study aimed to estimate occupational doses and patient peak skin doses (PSDs) during interventional radiology procedures. Materials and Methods: We examined data from brain embolization (n = 30), hepatic chemoembolization (n = 50), and uterine embolization (n = 12). The PSDs were measured using radiochromic film around the patient' s head (group 1) or abdominal/pelvic region (group 2). Acquisition technical data and kerma-area products (KAP) were also recorded. Occupational doses were measured using Instadose TM dosimeters near the left eye region (LER), chest, and left ankle. Results and Discussion: The third quartile (median) KAP values were 408.1 (235.3) Gy• cm 2 for group 1 and 584.4 (449.4) Gy• cm 2 for group 2. The average PSDs were greatest during vascular procedures, reaching 1,004.4 (786.4) mGy, and the highest PSD was 2,352.6 mGy (during hepatic chemoembolization). The third quartile (median) occupational doses were 0.35 (0.21) mSv at the LER, 0.25 (0.15) mSv at the chest, and 1.47 (0.64) mSv at the left ankle. Occupational doses at the LER were higher than at the chest, which highlights the importance of protective glasses and suspended shields. The occupational doses at the ankle region were also high, which highlights the importance of using a lead-lined curtain attached to the table. Conclusion: The results indicate that physicians can reach, for eye region, the weekly occupational dose limit after around 15 procedures, even when using proper protection. The average PSD values were below the threshold for tissue reactions, although the complexity of these procedures emphasises the importance of considering related risks.
Background
Posterior subcapsular cataract is a tissue reaction commonly found among
professionals exposed to ionizing radiation.
Objective
To assess the prevalence of cataract in professionals working in hemodynamics
in Brazil.
Methods
Professionals exposed to ionizing radiation (group 1, G1) underwent slit lamp
examination with a biomicroscope for lens examination and compared with
non-exposed subjects (group 2, G2). Ophthalmologic findings were described
and classified by opacity degree and localization using the Lens Opacities
Classification System III. Both groups answered a questionnaire on work and
health conditions to investigate the presence of risk factors for cataract.
The level of significance was set at 5% (p < 0.05).
Results
A total of 112 volunteers of G1, mean age of 44.95 (±10.23) years, and
88 volunteers of G2, mean age of 48.07 (±12.18) years were evaluated;
75.2% of G1 and 85.2% of G2 were physicians. Statistical analysis between G1
and G2 showed a prevalence of posterior subcapsular cataract of 13% and 2%
in G1 and G2, respectively (0.0081). Considering physicians only, 38% of G1
and 15% of G2 had cataract, with the prevalence of posterior subcapsular
cataract of 13% and 3%, respectively (p = 0.0176). Among non-physicians, no
difference was found in the prevalence of cataract (by types).
Conclusions
Cataract was more prevalent in professionals exposed to ionizing radiation,
with posterior subcapsular cataract the most frequent finding.
Objective To develop and test a beat-to-beat blood pressure monitoring device during coronary angiography, and compare it with invasive blood pressure monitoring.Methods Twenty-eight patients with an indication for hemodynamic study were selected for this investigation, and kept in supine position. Before starting the coronary angiography, they were instructed about the use of the left radial bracelet for beat-to-beat blood pressure monitoring.Results There was a significant difference between the time required for the catheterization laboratory team to acquire the first invasive blood pressure reading and the time to obtain the first beat-to-beat reading (11.1±5.1 and 1.5±1.8, respectively; p<0.0001). The intraclass correlation coefficients (95%CI) of systolic and diastolic blood pressures were 0.897 (0.780-0.952) and 0.876 (0.734-0.942), indicating good reproducibility.Conclusion This study showed the process to develop a beat-to-beat blood pressure monitoring device. When compared to invasive blood pressure monitoring, there were no significant differences between the two methods. This technique may play a promising coadjuvant role when combined with invasive monitoring during coronary angiography procedures.
This introductory note stems from the organization of a special edition of articles from the World Conference on Qualitative Research. Some researchers put forth criticisms about using software in qualitative data analysis, such as losing control in the coding process and leading researchers to use a particular method of analysis according to tool characteristics. Moreover, a number of the scientists believe that the advantages of using specific tools in data analysis are numerous, such as the analysis of an enormous amounts of data, but doing research involves personal or institutional aspects that enter the field of ethics. In the case of specific qualitative data analysis software, it would be possible to list a set of principles that would begin with the organization and importing of data, proceed with their interpretative and descriptive codification followed by questioning the data, up to exporting results to their written dissemination. Such principles could set the boundaries or define ethics in the use of software, referring to any research activity that touches what is right or wrong, good or bad, moral or immoral. This text is in line with the belief shared by others that work studies that can be performed on computational ethics will influence not only the use of Qualitative Data Analysis software but also their development.
The growing production of solid waste is proportional to the advance of globalization and urban expansion. Many cities find it difficult to manage urban solid waste (MSW), concerning its operationalization and evaluation, due to the few informations about its main source which lead to limitations in the various dimensions involved in this process. Therefore, the present study used a matrix of indicators developed by Ramos (2013) to analyze the sustainability of MSW management in the city of Tucuruí-PA through the Solid Waste Management Quality Index (IQGRS). Using the Delphi Method, questionnaires were applied to specialists in the environmental research field and the company responsible for waste collection and management services. As a matter of fact the IQGRS found characterized the city management as unfavorable in terms of sustainability according to a study by Santiago and Dias (2012). The study noticed the necessity of a integrated management involving all environmental agents and variables, as long as the local management failed, according to the National Solid Waste Policy (PNRS) rules.
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