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Legal basic and aspects of regulation of the diagnostic reference level (DRL) in Indonesia 印度尼西亚诊断参考水平(DRL)的法律基础和监管方面
S. Sudradjat, R. Rusmanto
Diagnostic and interventional radiology facilities are among the supporting facilities in establishing the diagnosis of a disease in a hospital or others health facility. Diagnostic radiology is an activity related to the use of facilities for diagnostic purposes. Every use of nuclear power, including x-rays, which are sources of ionizing radiation, must follow radiation protection and safety principles. One of the principles of radiation protection and safety is optimization. Ionizing radiation given to patients in diagnostic and interventional radiological activities must also follow the rules or guidelines provided by the standards of radiation protection and safety principles. One practical tool in carrying out the optimization measures in radiation protection and safety is the Diagnostic Reference Level (DRL) level. To ensure and strive for the licensees to meet the optimization principle, BAPETEN establishes laws and regulations that must be implemented and complied with by the permit holder to utilize ionizing radiation. The principle of optimization in radiation protection and safety is one of the radiation safety requirements that must be fulfilled by permit holders as mandated in article 21, article 34, and article 35 in Government Regulation (GR) Number 33 Year 2007 [1] concerning Ionizing Radiation Safety and Radioactive Source Security. Medical practitioners must use the level of medical exposure guidance when carrying out the diagnostic and interventional radiological procedures to optimize protection for patients. Licensees play an important role in making and submitting patient dosage record reports for the benefit of optimization in radiation protection and safety. When establishing this level of diagnostic guidance or DRL, the licensees must be based on patient dosage records for patients who have performed diagnostic and interventional radiological examinations. Patient dosage records must always be done to ensure that the examination is in accordance with the established operational procedures. In addition, recording the patient’s dose also needs to be done in order to evaluate the examination and evaluation procedures if under certain conditions, the administration of doses to patients is too high or too low. If, during an examination, a high dose is obtained, it is necessary to investigate and consider the use of a high dose. Another second thing that will receive the effects or effects of the DRL determination is related to the profession of medical physicists. The medical physicist profession gets the mandate from BAPETEN to deliver and supervise reports related to patient dosage records. These patient dosage records will be used as a basis for the preparation and establishment of DRL or diagnostic guidance levels.
诊断和介入放射学设施是在医院或其他卫生设施中确定疾病诊断的辅助设施之一。诊断放射学是一项与使用诊断设备有关的活动。核电的每一次使用,包括作为电离辐射源的x射线,都必须遵守辐射防护和安全原则。辐射防护和安全的原则之一是优化。在诊断和介入放射活动中给予病人的电离辐射也必须遵循辐射防护标准和安全原则所规定的规则或准则。诊断参考水平(DRL)是实施辐射防护和安全优化措施的一个实用工具。为了确保和争取持牌人符合优化原则,BAPETEN制定了许可证持有人必须执行和遵守的法律法规,以利用电离辐射。辐射防护和安全优化原则是2007年政府法规(GR)第33号[1]中关于电离辐射安全和放射源安全的第21条、第34条和第35条规定的许可证持有人必须满足的辐射安全要求之一。医生在进行诊断和介入放射治疗时必须使用医疗照射水平指导,以优化对患者的保护。持牌人在制作和提交病人剂量记录报告方面发挥重要作用,以优化辐射防护和安全。当建立这一水平的诊断指导或DRL时,被许可人必须基于进行诊断和介入性放射检查的患者的患者剂量记录。必须始终做好患者剂量记录,以确保检查符合既定的操作程序。此外,如果在一定条件下,给病人的剂量过高或过低,还需要记录病人的剂量,以便对检查和评估程序进行评估。如果在检查过程中获得高剂量,则有必要调查和考虑使用高剂量。受DRL决定影响的另一件事与医学物理学家职业有关。医学物理学家专业获得BAPETEN的授权,交付和监督与患者剂量记录相关的报告。这些患者剂量记录将作为制定和建立DRL或诊断指导水平的基础。
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引用次数: 0
Establishment of a networking to support the effective nuclear reactor licensing process through a transdisciplinary approach 建立网络,通过跨学科方法支持有效的核反应堆许可程序
W. Wiryono, A. Awalludin
The complexity problem and challenges encountered in nuclear installation licensing services incapacitate the license evaluation to be executed by BAPETEN. A transdisciplinary approach is demanded to overcome the problem of nuclear reactor licensing evaluation. The establishment of networking and collaboration between generalist and specialist evaluators by involving several stakeholders can provide solutions for licensing evaluation to satisfy the evaluation and revision time according to the applicable laws and regulations. Stakeholder’s support for the establishment of networking and collaborations is 61 % latents, 19.4 % promoters, 2.8 % from apathetics, and 16.8 % defenders. Persuasive communication strategies can change stakeholder support for the establishment of the networking and collaborations by 33.9 % latents, 46.5 % promoters, 2.8 % apathetics, and 16.8 % defenders. With the shift from latents stakeholders provoking an increase in promoters from 19.4 % to 46.5 % is expected to accelerate the collaboration of generalists and specialists in assisting the licensing process of nuclear installations and materials.
核装置许可服务中遇到的复杂问题和挑战使BAPETEN无法执行许可证评估。为了解决核反应堆许可评估的问题,需要采用跨学科的方法。通过多方利益相关者的参与,在通才审评员和专家审评员之间建立网络和协作,可以为许可审评提供解决方案,以满足适用法律法规的审评和修订时间。利益相关者对建立网络和合作的支持是61%的潜在者,19.4%的推动者,2.8%的冷漠者和16.8%的捍卫者。有说服力的沟通策略可以改变利益相关者对建立网络和合作的支持,其中33.9%为潜在者,46.5%为促进者,2.8%为冷漠者,16.8%为捍卫者。随着潜在利益攸关方的转变,促使推动者从19.4%增加到46.5%,预计将加速通才和专家在协助核设施和材料许可程序方面的合作。
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引用次数: 0
BAPETEN challenge for the development of the Indonesian diagnostic reference level (I-DRL) BAPETEN对印度尼西亚诊断参考水平(I-DRL)发展的挑战
I. Iswandarini, E. Kunarsih
Optimization of radiation protection and safety in medical exposures for diagnostic and interventional radiology (DIR) examinations is based on the effort to provide minimal doses by taking into account the sufficient image quality to diagnose the patient’s disease. To facilitate the evaluation of the effectiveness of the optimization implementation in medical exposure, especially for diagnostic purposes, an indicator called the Diagnostic Reference Level (DRL) is used. BAPETEN has provided a web-based database application called Si-INTAN (National Patient Dose Information System) for online input of patient dose data on CT Scan, Fluoroscopy, Diagnostic Nuclear Medicine, General Radiography, Dental Radiography, Mammography modalities. This application functions as a comprehensive tool for establishing and providing Indonesian DRL (I-DRL) values so that it can be referred to by all DIR facilities in Indonesia. To improve the capability of this application in its role as a tool for determining the value of national DRL, the authors identify the challenges and propose action plans as a solution. It is concluded that it is necessary to stipulate regulations on reporting patient dose data, support of international and professional organizations, and hospital management support in mitigating patient dose data. Coordination is performed with the Indonesian Ministry of Health regarding the integration of the Si-INTAN system with the QUADRIL (Quality Assurance Audit for Diagnostic Radiology Improvement and Learning) application system and hospital accreditation systems.
在诊断和介入放射学(DIR)检查中,优化医疗照射的辐射防护和安全,其基础是考虑到诊断病人疾病所需的足够图像质量,努力提供最小剂量。为了便于评估医疗照射优化实施的有效性,特别是用于诊断目的,使用了一种称为诊断参考水平(DRL)的指标。BAPETEN提供了一个基于网络的数据库应用程序Si-INTAN(国家患者剂量信息系统),用于在线输入CT扫描,透视,诊断核医学,普通放射学,牙科放射学,乳房x光检查模式的患者剂量数据。该应用程序作为建立和提供印度尼西亚DRL (I-DRL)值的综合工具,以便印度尼西亚的所有DIR设施都可以引用它。为了提高该应用程序作为确定国家DRL价值的工具的能力,作者确定了挑战并提出了行动计划作为解决方案。结论是,有必要制定报告患者剂量数据的规定,国际和专业组织的支持,以及医院管理部门在减轻患者剂量数据方面的支持。与印度尼西亚卫生部就Si-INTAN系统与QUADRIL(诊断放射学改进和学习质量保证审计)应用系统和医院认证系统的整合进行协调。
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引用次数: 0
Study of the toxic effects (synergistic or antagonistic) of bisphenol A and methylparaben on the formation of DNA-adduct (8-OHdG) 双酚A和对羟基苯甲酸甲酯对dna加合物(8-OHdG)形成的毒性(协同或拮抗)研究
R. Debora, B. Budiawan, S. Handayani, I. C. Dani
Bisphenol A (BPA) is a chemical that is commonly applied in the manufacture of polycarbonate plastic and epoxy resins which are often used in food and beverage containers. Methylparaben (MeP) is commonly applied as food preservatives, products of personal cares, and medicines. This study was conducted to define the BPA and MeP effects on the formation of DNA-Adduct 8-Hydroxy-2’deoxyguanosine (8-OHdG) compounds. Analysis of 8-OHdG compounds was performed by applying a reverse-phase HPLC with a UV/Vis detector at the wavelength of 254nm. The optimum condition of HPLC was obtained with the mobile phase consisted of phosphate buffer solution and methanol at a ratio of 85:15 (v/v) and a flow rate of 1.2 mL/min. This research was conducted at pH 7.4 and temperature 37 °C with a variation of incubation time of 5 and 7 h. In this study, it was found that the presence of BPA and MeP in the mixtures produced an antagonistic effect to the formation of 8-OHdG compared to BPA and MeP in the separate reaction at the same condition of incubations.
双酚A (BPA)是一种化学物质,通常用于制造聚碳酸酯塑料和环氧树脂,这些塑料和环氧树脂经常用于食品和饮料容器。对羟基苯甲酸甲酯(MeP)通常用作食品防腐剂、个人护理产品和药品。本研究旨在确定BPA和MeP对dna -加合物8-羟基-2 '脱氧鸟苷(8-OHdG)化合物形成的影响。8-OHdG化合物的分析采用反相高效液相色谱法,紫外/可见检测器,波长为254nm。以磷酸缓冲液与甲醇为流动相,流动相比为85:15 (v/v),流速为1.2 mL/min,获得了高效液相色谱的最佳条件。本研究在pH 7.4,温度37℃下进行,孵育时间为5和7 h。本研究发现,在相同的孵育条件下,BPA和MeP的存在对8-OHdG的形成产生了拮抗作用,而在单独的反应中,BPA和MeP的存在对8-OHdG的形成产生了拮抗作用。
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引用次数: 0
Determining the weight value of safety indicator for nuclear installation in Indonesia using analytic hierarchy process 运用层次分析法确定印尼核设施安全指标权重值
D. Hermawan, A. Y. Pristianto, R. Palapa
BAPETEN, as a regulatory body for nuclear energy utilization in Indonesia, requires an indicator to evaluate the safety and security of nuclear installations. BAPETEN has made BAPETEN Regulation Number 1 Year 2017 concerning the Implementation of Inspections in the Supervision of Nuclear Energy Utilization which regulates the implementation of inspections and also mentions the use of safety and security indicators (SSI). SSI is an indicator of compliance of safety and security requirements used by BAPETEN to assess the performance of nuclear installations in Indonesia. Indicators that indicate the safeguard and security level of nuclear installations consist of two aspects, namely safeguard and additional protocol aspect and also the security aspect. Indicators that indicate the safety level of nuclear installations consist of 6 aspects, namely operation aspects, maintenance and ageing management aspects, radiation protection aspects, environmental management and monitoring aspects, nuclear emergency preparedness aspects, and management system aspects. Although each of these aspects will contribute to the level of nuclear installations safety and security, each of these aspects may have different weight values. BAPETEN Regulation Number 1 Year 2017 has determined weight values for safeguard and security aspects. However, the weight value for the safety aspect has not been determined in this regulation. Hence, this paper proposes the Analytic Hierarchy Process (AHP) method to determine the weight value of each aspect of nuclear installation safety indicators. The results of the study show that the AHP method can be used to determine the weight value of each aspect of the safety indicators of nuclear installations to be used by BAPETEN in assessing the performance of nuclear installation in Indonesia.
BAPETEN作为印度尼西亚核能利用的管理机构,需要一个指标来评价核设施的安全和保障。BAPETEN已经制定了BAPETEN 2017年第1号条例,关于在核能利用监督中实施检查,该条例规定了检查的实施,并提到了安全和安保指标(SSI)的使用。SSI是BAPETEN用于评估印度尼西亚核设施性能的安全和安保要求遵守情况的指标。表明核设施保障和安全水平的指标包括两个方面,即保障和附加议定书方面以及安全方面。核设施安全水平的指标包括6个方面,即运行方面、维护与老化管理方面、辐射防护方面、环境管理与监测方面、核应急准备方面和管理体系方面。虽然每一个方面都将有助于核设施的安全和保障水平,但每一个方面都可能具有不同的权重值。BAPETEN 2017年第1号法规确定了安全保障方面的重量值。然而,安全方面的重量值尚未在本条例中确定。为此,本文提出了层次分析法确定核设施安全指标各方面权重值的方法。研究结果表明,AHP方法可用于确定核设施安全指标各方面的权重值,供BAPETEN用于评估印度尼西亚核设施的性能。
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引用次数: 0
Radon gas concentration analysis in the area of STTN-BATAN Yogyakarta 日惹市batan - stn地区氡气浓度分析
P. Oktavianto, R. Setiawan, I. Ariyanti, A. Saputra
Living things cannot be escaped from the radiation in their everyday life. The existing radiation is known as natural radiation. The largest source of radiation received by humans comes from natural radiation, which estimated about 87 %. It turns out that about 47 % of the natural radioactivity comes from radon and the rest comes from other radiation sources. The danger of radon gas internal radiation is when inhaled by humans and flows into the body through the respiratory system. Radon decay in the form of a solid will settle in the lungs. Radon is an alpha transmitting radioactive element, so that its presence in the lungs can cause damage to cell tissue. Damaged tissue can die or live abnormally (cancer cells). This study aims to determine the amount of radon gas concentration in the STTN-BATAN environment. Radon measurements were carried out using a RAD7 detector and other supporting equipment. The measurement mode used is the sniff mode. Solid state detectors are semiconductor materials (usually silicon) that convert alpha radiation directly into electrical signals. RAD7 does not measure the concentration of radon decay products, but only the concentration of radon gas. Radon gas measurements were carried out in several areas of STTN-BATAN for 15 min with repetitions of 3 times when the academic community was doing the normal activities. The results showed that the concentration of radon gas in the STTN-BATAN Yogyakarta region had results below the threshold recommended by ICRP Publication 65 (< 1500 Bq/m3) at several measurement points. Only at one point of measurement showed the results above the recommendation of ICRP Publication 65, which is 2153 Bq/m3. The estimated effective dose of radon gas to the academic community is still below the threshold recommended by UNSCEAR in 2000, so it can be assured that the academic community activity is in safe conditions.
生物在日常生活中无法逃脱辐射。现有的辐射被称为自然辐射。人类接受的最大辐射源来自自然辐射,估计约占87%。事实证明,大约47%的天然放射性来自氡,其余来自其他辐射源。氡气内部辐射的危险是当人体吸入并通过呼吸系统流入体内时。氡以固体形式衰变后会在肺部沉淀。氡是一种发射α的放射性元素,因此它在肺部的存在会对细胞组织造成损害。受损组织可能死亡或异常存活(癌细胞)。本研究旨在确定stn - batan环境中氡气的浓度。使用RAD7探测器和其他辅助设备进行了氡测量。使用的测量模式是嗅探模式。固态探测器是一种半导体材料(通常是硅),它能将α辐射直接转换成电信号。RAD7不测量氡衰变产物的浓度,只测量氡气的浓度。在学术界进行正常活动时,在STTN-BATAN的几个地区进行了15分钟的氡气测量,每次重复3次。结果表明,stn - batan Yogyakarta地区的氡气浓度在几个测量点的结果低于ICRP第65号出版物推荐的阈值(< 1500 Bq/m3)。只有一个测量点的结果高于ICRP第65号出版物的建议值,即2153 Bq/m3。氡气体对学术界的估计有效剂量仍低于科委会在2000年建议的阈值,因此可以确信学术界的活动是在安全的条件下进行的。
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引用次数: 0
Preface: 6th International Symposium on Current Progress in Mathematics and Sciences (ISCPMS 2020) 第六届国际数学与科学进展研讨会(ISCPMS 2020)
A. IvandiniTribidasari, G. ChurchillDavid, LeeYoungil, A. Binti, MargulesChris
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引用次数: 0
The conception of national nuclear emergency preparedness system from the state defense perspective 国防视域下的国家核应急体系构想
D. Apriliani, S. Maarif, H. Heridadi
This study analyzed the conception of national nuclear emergency preparedness system (NNEPS) from the state defense perspective approach. A case study qualitative method was used to explore and analyze comprehensively the NNEPS problems in Indonesia. The study used requirements from relevance regulations either from nuclear energy regulations, disaster management regulations, and state defense regulations as the tool to assess the implementations of the system. Results showed that current problem of the NNEPS is the system has not been synergized and integrated into the disaster management system. This condition answering question why the NNEPS has not been fully implemented at local government and central government levels. From the state defense perspective, the integrated NNEPS from the licensee level to the central government levels is needed to be prepared early by the government. It is as an effort to prevent the development of nuclear incident becomes a nuclear emergency or disaster which may disrupt national security, public security and human security. Thus, there is a need for the government to undertake collaborative governance policies and facilitative leadership approach to solve current problems. Through collaboration capacity and resources, weaknesses at one institution are strengthened by capacity and resources from other institutions. The suggested approach is in line with the essence of the state defense that is to build our own national resilience by using all national resources.
本文从国家防御的角度分析了国家核应急体系的概念。本文采用案例研究定性方法,对印尼新能源政策存在的问题进行了全面探讨和分析。本研究使用核能法规、灾害管理法规和国防法规的相关法规要求作为评估系统实施情况的工具。结果表明,NNEPS目前存在的问题是系统没有与灾害管理系统进行协同和整合。这一情况回答了为什么新经济发展计划没有在地方政府和中央政府层面全面实施的问题。从国防角度看,从被许可方层面到中央政府层面的综合NNEPS需要政府尽早准备。这是为了防止核事件发展成为可能破坏国家安全、公共安全和人类安全的核突发事件或核灾难。因此,政府有必要采取协同治理政策和促进型领导方法来解决当前的问题。通过协作能力和资源,一个机构的弱点可以通过其他机构的能力和资源得到加强。我们提出的方法符合国防的本质,即利用所有国家资源建立我们自己的国家弹性。
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引用次数: 1
Review on the use of low energy X-ray equipment in diagnostic radiology, case study: X-ray with detector system using FDR nano technology 低能量x射线设备在诊断放射学中的应用综述,案例研究:使用FDR纳米技术的x射线带探测器系统
T. Kartika, I. B. G. P. Pratama
Currently, the use of low energy X-ray equipment in diagnostic radiology is still limited and has caused much controversy. The problem is caused by X-ray with low energy generally produces poor quality diagnostic images. So that there is often repeated exposure and difficulty in analyzing the image properly. A review has been conducted on the new development of mobile X-ray equipment detector by using FDR Nanotechnology to increase X-ray detectors’ sensitivity in generating diagnostic images with low energy. FDR Nano X-ray equipment technology uses EDR (Enhancement Data Recognizer), Dynamic Visualization II, Virtual Grid, Noise Reduction Circuit, and ISS (Irradiated Side Sampling), can result in adequate medical images even though the radiation exposure is low. The FDR Nano X-ray equipment also has a feature that automatically adjusts the exposure conditions with thickness variations to obtain an optimal image. The test has been carried out on thick objects (obese patients) and motion objects (heart and breathing rate motion of infant), and it produces better images than using conventional mobile X-ray equipment. Therefore, FDR Nano X-ray equipment technology can increase the optimization of protection radiation and safety. This review recommends that the use of low energy X-rays equipment can be used to provide adequate diagnostic images and meets the radiation protection and safety requirements.
目前,低能x射线设备在诊断放射学中的应用仍然有限,并引起了很大的争议。问题是由于低能量的x射线通常产生的诊断图像质量较差。这样往往会出现重复曝光和难以正确分析图像的情况。本文综述了利用FDR纳米技术在移动x射线设备探测器上的新发展,以提高x射线探测器在产生低能量诊断图像方面的灵敏度。FDR纳米x射线设备技术使用EDR(增强数据识别器)、动态可视化II、虚拟网格、降噪电路和ISS(辐照侧采样),即使辐射暴露较低,也能产生足够的医学图像。FDR纳米x射线设备还具有随厚度变化自动调整曝光条件以获得最佳图像的功能。该测试已经在厚的物体(肥胖患者)和运动的物体(婴儿的心跳和呼吸频率运动)上进行,并且比使用传统的移动x射线设备产生更好的图像。因此,FDR纳米x射线设备技术可以增加防护辐射的优化和安全性。本文认为,使用低能x射线设备可以提供足够的诊断图像,满足辐射防护和安全要求。
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引用次数: 0
Moment of inertia of a slowly rotating compact star in Eddington-inspired Born Infeld theory 爱丁顿启发的玻恩因菲尔德理论中缓慢旋转致密恒星的转动惯量
I. Prasetyo, A. Sulaksono, H. S. Ramadhan
In this paper, we report our current progress on constructing the machinery to calculate the moment of inertia of a compact star in the Eddington-inspired Born Infeld theory. As a result of translating the metric functions from apparent metric to physical metric, we obtain that the resulting physical moment of inertia is shifted by a term that is linear to κ, one of the parameters of EiBI.
在这篇论文中,我们报告了在爱丁顿启发的玻恩因菲尔德理论中构建计算致密恒星转动惯量的机器的最新进展。将度量函数从表观度量转换为物理度量,我们得到得到的物理惯性矩平移了一个与EiBI参数之一κ线性的项。
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引用次数: 0
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PROCEEDINGS OF THE 6TH INTERNATIONAL SYMPOSIUM ON CURRENT PROGRESS IN MATHEMATICS AND SCIENCES 2020 (ISCPMS 2020)
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