Radiographic repeat rate data in diagnostic radiology in King Fahad Hospital (KFH), King Abdulaziz Hospital (KAH), and Maternity and Children Hospital (MCH) in Jeddah, Saudi Arabia, have been studied. The study provided valuable information to suggest preventive measures to reduce repeats. The variables included in the study are exposure techniques, examination types, total number of films used, number of films repeated, the film sizes, gender, the age groups of the patients, and reason for repetition. The total number of examinations in all three hospitals is 6001 using 8887 films on 5412 patients. The average repeat rate was 7.93%, where the individual hospital repeat rates were 9.57% in the MCH, 7.84% in KAH, and 7.44% in KFH. The repeat rate for children and infants was found to be undesirable. The quality assurance (QA) programme can effectively reduce the unnecessary exposure and can identify the cause of the exposure. The overexposure, underexposure, and position fault were the foremost contributors for repeats and constitute 32.91%, 28.94%, and 22.98% of the total respectively. The QA study identified that human error and equipment malfunction are the major contributors to these causes of repeats. The highest repetition rate was for pelvis, 13.64%, followed by skull, 11.59%, and abdomen, 10.41%. It is estimated that the total area of wasted film in all three hospitals is 74.3 m2. As per the average repeat rate, the cost of repeat films in the entire kingdom per year has been projected to be about 1.82 million US dollars (SR 6.83 million) in the government hospitals only. Based on the findings of this study a set of recommendations have been prescribed for the radiology department to reduce the repeat rate and to improve the safety culture.
Twenty-nine groundwater samples, collected from Wadi Nu'man wells, were analyzed for natural radioactivity to check for compliance with the national guideline values. Gross α and gross β screening, in addition to radon ( 222 Rn) measurements, were performed for all samples. Samples of gross activity levels exceeding the national guideline values set out for drinking water were subjected to further investigation for radium and uranium isotopes using liquid scintillation counting and α-spectrometry, respectively. The results showed that the anomalous source was natural uranium. The water contains high concentrations of 222 Rn and considerable levels of natural uranium. The 222 Rn concentration ranged from 10-100 Bq/L with an average value of about 40 Bq/L. The uranium concentration, in samples of gross activity levels exceeding the national guideline value, ranged from 9 to 55 μg/L. The levels of 226 Ra and 228 Ra were below the detection limit of the counting system in all samples. The variation in the 222 Rn and uranium concentrations was found to be linked with the local lithology. The higher values were recorded in the wells of Nu'man complex aquifer, where the predominating mineral is foliated monzonite. Recommendations and advices for water management to reduce radiation exposure to users are presented.
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