OCCUPATIONAL DOSE AND RADIATION PROTECTION PRACTICE IN UAE: A RETROSPECTIVE CROSS-SECTIONAL COHORT STUDY (2002–2016)

2019 ◽  
Vol 187 (4) ◽  
pp. 426-437 ◽  
Author(s):  
Wiam Elshami ◽  
Mohamed Abuzaid ◽  
Albert D Piersson ◽  
Ola Mira ◽  
Mohamed AbdelHamid ◽  
...  

Abstract A two-phased retrospective cross-sectional study analysed the occupational dose and radiation protection practice among medical workers in two hospitals in the UAE. Phase 1 evaluated radiation protection practice using a questionnaire, whereas phase 2 assessed the occupational dose. Readings of 952 thermoluminescence dosimeters were analyzed. The result showed 52% of medical workers have a good level of radiation protection practice. Readings of 952 thermoluminescence dosimeters were analyzedAverage annual effective dose per worker ranged from 0.39 to 0.83 mSv. Cardiologists and nurses displayed a higher average of occupational radiation dose compared to other workers. There were no significant correlations between radiation protection practice and hospital, occupation or department. Finally, the occupational dose was within the international and national limits, but the reduction of radiation dose to cardiologist and nurses is essential. Moreover, training is essential to promote radiation safe practice among medical workers.

Radiography ◽  
2019 ◽  
Vol 25 (4) ◽  
pp. e108-e112 ◽  
Author(s):  
L. Hirvonen ◽  
T. Schroderus-Salo ◽  
A. Henner ◽  
S. Ahonen ◽  
M. Kääriäinen ◽  
...  

2020 ◽  
Author(s):  
Kathryn Lee Hopkins ◽  
Khuthadzo E Hlongwane ◽  
Kennedy Otwombe ◽  
Janan Dietrich ◽  
Mireille Cheyip ◽  
...  

Abstract Background: While HIV Testing Services (HTS) have increased, many South Africans have not been tested. Non-communicable diseases (NCDs) are the top cause of death worldwide. Integrated NCD-HTS could be a strategy to control both epidemics. Healthcare service strategies depends partially on positive user experience. We investigated client satisfaction of services and clinic flow time of an integrated NCD-HTS clinic. Methods: This prospective, cross-sectional study evaluated HTS client satisfaction with an HTS clinic at two phases. Phase 1 (February–June 2018) utilised standard HTS services: counsellor-led height/weight/BP measurements, HIV rapid testing, and symptoms screening for sexually transmitted infections/Tuberculosis. Phase 2 (June 2018–March 2019) further integrated counsellor-led obesity screening (BMI/abdominal measurements), rapid cholesterol/glucose testing; and nurse-led Chlamydia and HPV/cervical cancer screening. Socio-demographics, proportion of repeat clients, clinic flow time, and client survey data (open/closed-ended questions using five-point Likert scale) are reported. Fisher’s exact test, chi-square analysis, Kruskal Wallis test conducted comparisons. Multiple linear regression determined predictors associated with clinic time. Content thematic analysis was conducted for free response data. Results: 284 and 333 participants were from Phase 1 and 2, respectively (N=617). Phase 1 participants were significantly older (median age 36.5 (28.0–43.0) years vs. 31.0 (25.0–40.0) years; p=0.0003), divorced/widowed (6.7%, [n=19/282] vs. 2.4%, [n=8/332]; p=0.0091); had tertiary education (27.9%, [n=79/283] vs. 20.1%, [n=67/333]; p=0.0234); and were less female (53.9%, [n=153/284] vs 67.6%, [n=225/333]; p=0.0005), compared to Phase 2. Phase 2 had 10.2% repeat clients (n=34/333), and 97.9% (n=320/327) were ‘ very satisfied’ with integrated NCD-HTS, despite standard HTS having significantly shorter median time for counsellor-led HTS (36.5, interquartile range [IQR]: 31.0-45.0 vs. 41.5, IQR: 35.0-51.0; p<0.0001). Phase 2 associations with longer clinic time were clients living together/married (est=6.548; p=0.0467), more tests conducted (est=3.922; p<0.0001), higher overall satisfaction score (est=1.210; p=0.0201). Matriculated clients experienced less clinic time (est=-7.250; p=0.0253). Conclusions: It is possible to integrate counsellor-led NCD rapid testing into standard HTS within historical HTS timeframes, yielding client satisfaction. Rapid cholesterol/glucose testing should be integrated into standard HTS. Research is required on the impact of cervical cancer/HPV screenings to HTS clinic flow to determine if it could be scaled up within the public sector.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Adaeze Ayuk ◽  
Chizalu Ndukwu ◽  
Samuel Uwaezuoke ◽  
Eno Ekop

Abstract Background Global standards require that spirometry should be performed by trained and experienced personnel, who would be able to assess the correct performance of tests by patients and assure good quality of the result. The complete achievement of this requires a two-step assessment where competency in both knowledge and skills are tested. This study aims to assess the impact of a one-day hands-on spirometry training (Phase1), on the knowledge and application of spirometry among health workers. Methods This was a descriptive cross-sectional study, which describes a one-day (seven hours) spirometry training and skills impartation done at two conference city locations in Enugu and Calabar in the southern part of Nigeria. All the verbally consenting attendees who completed the training assessment tests constituted the study population. The assessment of the spirometry knowledge base before and after the theory and practical sessions, on the various aspects of spirometry, according to international best practices, quality assurance and the interpretation of results, was done and the outcome was analyzed. Factors that could affect the outcome were also assessed. Results There were 64 consenting participants of whom 54.7% (35/64) were females. Theparticipants demonstrated much improved post-intervention knowledge and could satisfactorily perform spirometry, calibration, interpretation of test results and quality control as evidenced by the post test scores after practical sessions were conducted. Pre-test mean scores improved by a mean difference of 12% (p < 001) and were affected by the year of academic graduation and availability of spirometers at the place of work, an effect that was no longer seen at post-test following the hands-on spirometry training. Conclusion The present study has shown that a one-day spirometry workshop significantly improved the knowledge of spirometry practice. There is need to set up more frequent locally-organized spirometry workshops since a one-day seven-hour effective knowledge and practical training would most likely have significant impact on participants’ spirometry practice with its expected positive outcome on respiratory health in Nigeria.


2016 ◽  
Vol 17 (4) ◽  
pp. 391-401 ◽  
Author(s):  
Yohei Inaba ◽  
Koichi Chida ◽  
Ryota Kobayashi ◽  
Masayuki Zuguchi

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018333 ◽  
Author(s):  
Seulki Ko ◽  
Hwan Hoon Chung ◽  
Sung Bum Cho ◽  
Young Woo Jin ◽  
Kwang Pyo Kim ◽  
...  

IntroductionAlthough fluoroscopically guided procedures involve a considerably high dose of radiation, few studies have investigated the effects of radiation on medical workers involved in interventional fluoroscopy procedures. Previous research remains in the early stages and has not reached a level comparable with other occupational studies thus far. Furthermore, the study of radiation workers provides an opportunity to estimate health risks at low doses and dose rates of ionising radiation. Therefore, the objectives of this study are (1) to initiate a prospective cohort study by conducting a baseline survey among medical radiation workers who involve interventional fluoroscopy procedures and (2) to assess the effect of occupational radiation exposure and on the overall health status through an in-depth cross-sectional study.Methods and analysisIntervention medical workers in Korea will be enrolled by using a self-administered questionnaire survey, and the survey data will be linked with radiation dosimetry data, National Health Insurance claims data, cancer registry and mortality data. After merging these data, the radiation organ dose, lifetime attributable risk due to cancer and the risk per unit dose will be estimated. For the cross-sectional study, approximately 100 intervention radiology department workers will be investigated for blood tests, clinical examinations such as ultrasonography (thyroid and carotid artery scan) and lens opacity, the validation of badge dose and biodosimetry.Ethics and disseminationThis study was reviewed and approved by the institutional review board of Korea University (KU-IRB-12-12-A-1). All participants will provide written informed consent prior to enrolment. The findings of the study will be disseminated through peer-reviewed scientific journals, conference presentations, and a report will be submitted to the relevant public health authorities in the Korea Centers for Disease Control and Prevention to help with the development of appropriate research and management policies.


2021 ◽  
Vol 6 (2) ◽  
pp. 93
Author(s):  
Ali Aldhebaib ◽  
OinamGokulchandra Singh ◽  
FayazUl Haq ◽  
SalehTalal Alqurbani ◽  
AbdullahIbrahim Barakheel Albarkheel ◽  
...  

2020 ◽  
Vol 190 (1) ◽  
pp. 1-5
Author(s):  
Mohammad Rasoul Tohidnia ◽  
Azmoonfar Rasool ◽  
Amiri Fatemeh ◽  
Seyed Ali Rahimi ◽  
Amiri Neda ◽  
...  

Abstract The aim of this study is to assess the evaluation of radiation protection principles observance in dental radiography centers and hazards. This cross-sectional study was designed to assess level of radiation protection principles in dentistry centers. The present cross-sectional study was conducted by enrolling 103 dentistry centers in Kermanshah province (west of Iran). Our finding illustrates 75.7% of the centers were equipped with an intraoral radiography. Although observance principles of radiation protection for patient at dentistry center were at appropriate level (97.3%), the observance of the protective principles was not adequate for the skilled workers in any center. The most commonly used protective measure was the observance of a distance from patient (97.3%) and the minimum protective measures such as the use of high-speed film (1.4%). According to results in this study, the knowledge and practice of radiation protection are not satisfactory.


2019 ◽  
Vol 2 (2) ◽  
pp. 53-59
Author(s):  
Ashis Shrestha ◽  
Sumana Bajracharya

Introduction: Patan Academy of Health Sciences (PAHS) emergency department adopted a standard protocol for case management which was further modified to sustain the influx of patient. In standard protocol dengue test was sent for all patient while in modified protocol the test was sent in limited patients. This study was designed to predict the number of investigations that would have been sent using these protocol during the outbreak. Methods: This was a cross sectional study conducted at emergency department of PAHS, during a dengue outbreak (September 2019). Patients with a screening test sent and those with a positive screening test were analyzed using regression for the number of dengue screening test sent using standard and modified protocol. Results: Total of 10,773 patients visited emergency department from 15 August to 14 October 2019. Suspected dengue was 2567 (23.8%), out of which dengue screening test was positive in 658 patients. Standard protocol was used in phase 1, the median test sent per day was 95.5, if modified protocol had been used the median test would have been 89.0, this was statistically significant. In phase 2 median test sent per day using modified protocol was 60.5, if standard protocol had been continued median test would have been 61.0 per day. It was not statistically significant. Conclusions: Modifying protocol according to surge of patient during epidemic is helpful if it is sent early during outbreak. Case management protocols need to be dynamic to manage the surge of patient.


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