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Patients' perspectives on radiation in health care. 患者对医疗保健中辐射的看法。
Pub Date : 2020-12-01 Epub Date: 2020-07-31 DOI: 10.1177/0146645320931972
L A Hunt

As radiation therapy is needed by approximately 50% of patients with cancer there needs to be ongoing research to ensure that radiation therapy targets the tumour effectively and minimises potential side effects. Major advances in radiation therapy, due to improvements in engineering and computing, have made it more precise, reducing side effects and improving cancer control. Patients need to be informed of its risks, both short and long term, to enable them to be active participants in their cancer treatment path.

由于大约50%的癌症患者需要放射治疗,因此需要进行持续的研究,以确保放射治疗有效地靶向肿瘤并将潜在的副作用降至最低。由于工程和计算机技术的进步,放射治疗取得了重大进展,使其更加精确,减少了副作用,改善了癌症控制。患者需要被告知其短期和长期的风险,使他们能够积极参与他们的癌症治疗道路。
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引用次数: 0
Miner studies and radiological protection against radon. 矿工研究和氡辐射防护。
Pub Date : 2020-12-01 Epub Date: 2020-07-31 DOI: 10.1177/0146645320931984
D Laurier, J W Marsh, E Rage, L Tomasek

Fundamental estimates of radon-associated health risk have been provided by epidemiological studies of miners. In total, approximately 15 studies have been conducted worldwide since the 1960s. These results have contributed directly to radiological protection against radon. The present article summarises the main results, with a focus on analyses of miners exposed more recently, estimates of radon lifetime attributable risk, and interaction between radon and smoking. The potential for the upcoming Pooled Uranium Miner Analysis project to further improve our knowledge is discussed.

对矿工进行的流行病学研究提供了与氡有关的健康风险的基本估计。自1960年代以来,全世界总共进行了大约15项研究。这些结果直接有助于氡的放射防护。本文总结了主要结果,重点分析了最近暴露的矿工,氡终生归因风险的估计,以及氡与吸烟之间的相互作用。讨论了即将到来的汇集铀矿分析项目进一步提高我们知识的潜力。
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引用次数: 13
Practicalities of dose management for Japanese astronauts staying at the International Space Station. 国际空间站日本宇航员剂量管理的实用性。
Pub Date : 2020-12-01 Epub Date: 2020-09-24 DOI: 10.1177/0146645320944278
T Komiyama

Japanese astronauts started staying at the International Space Station (ISS) in 2009, with each stay lasting for approximately 6 months. In total, seven Japanese astronauts have stayed at the ISS eight times. As there is no law for protection against space radiation exposure of astronauts in Japan, the Japan Aerospace Exploration Agency (JAXA) created its own rules and has applied them successfully to radiation exposure management for Japanese ISS astronauts, collaborating with ISS international partners. Regarding dose management, JAXA has implemented several dose limits to protect against both the stochastic effects of radiation and dose-dependent tissue reactions. The scope of the rules includes limiting exposure during spaceflight, exposure during several types of training, and exposure from astronaut-specific medical examinations. We, therefore, are tasked with calculating the dose from all exposure types applied to the dose limits annually for each astronaut. Whenever a Japanese astronaut is at the ISS, we monitor readings of an instrument in real-time to confirm that the exposed dose is below the set limits, as the space radiation environment can fluctuate in relation to solar activity.

2009年,日本宇航员开始在国际空间站(ISS)停留,每次停留大约6个月。总共有7名日本宇航员在国际空间站停留过8次。由于日本没有保护宇航员免受空间辐射照射的法律,日本宇宙航空研究开发机构(JAXA)制定了自己的规则,并与国际空间站的国际合作伙伴合作,成功地将这些规则应用于日本国际空间站宇航员的辐射照射管理。关于剂量管理,JAXA已经实施了几个剂量限制,以防止辐射和剂量依赖性组织反应的随机效应。规则的范围包括限制在航天飞行期间的接触、在若干类型的训练期间的接触以及宇航员特定医疗检查的接触。因此,我们的任务是计算每名宇航员每年适用于剂量限值的所有照射类型的剂量。每当日本宇航员在国际空间站时,我们都会实时监测仪器的读数,以确认暴露剂量低于规定限值,因为空间辐射环境可能随着太阳活动而波动。
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引用次数: 2
ICRP Publication 146: Radiological Protection of People and the Environment in the Event of a Large Nuclear Accident : Update of ICRP PUBLICATIONS 109 AND 111. ICRP第146号出版物:发生重大核事故时人类和环境的辐射防护:ICRP第109和111号出版物的更新。
Pub Date : 2020-12-01 DOI: 10.1177/0146645320952659
M Kai, T Homma, J Lochard, T Schneider, J F Lecomte, A Nisbet, S Shinkarev, V Averin, T Lazo
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 MAIN POINTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 EXECUTIVE SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
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引用次数: 23
ICRP recommendations on radon. ICRP对氡的建议。
Pub Date : 2020-12-01 Epub Date: 2020-08-03 DOI: 10.1177/0146645320931974
J D Harrison, J W Marsh

The International Commission on Radiological Protection (ICRP) publishes guidance on protection from radon in homes and workplaces, and dose coefficients for use in assessments of exposure for protection purposes. ICRP Publication 126 recommends an upper reference level for exposures in homes and workplaces of 300 Bq m-3. In general, protection can be optimised using measurements of air concentrations directly, without considering radiation doses. However, dose estimates are required for workers when radon is considered as an occupational exposure (e.g. in mines), and for higher exposures in other workplaces (e.g. offices) when the reference level is exceeded persistently. ICRP Publication 137 recommends a dose coefficient of 3 mSv per mJ h m-3 (approximately 10 mSv per working level month) for most circumstances of exposure in workplaces, equivalent to 6.7 nSv per Bq h m-3 using an equilibrium factor of 0.4. Using this dose coefficient, annual exposure of workers to 300 Bq m-3 corresponds to 4 mSv. For comparison, using the same coefficient for exposures in homes, 300 Bq m-3 corresponds to 14 mSv. If circumstances of occupational exposure warrant more detailed consideration and reliable alternative data are available, site-specific doses can be assessed using methodology provided in ICRP Publication 137.

国际放射防护委员会(ICRP)出版了关于在家庭和工作场所预防氡的指南,以及用于评估为保护目的而进行的照射的剂量系数。ICRP第126号出版物建议,家庭和工作场所暴露的最高参考水平为300 Bq m-3。一般来说,可以通过直接测量空气浓度来优化防护,而无需考虑辐射剂量。但是,当氡被认为是一种职业接触时(例如在矿井中),以及当持续超过参考水平时在其他工作场所(例如办公室)的较高接触时,需要对工人进行剂量估计。ICRP第137号出版物建议,对于工作场所的大多数暴露情况,剂量系数为每mJ h m-3 3毫西弗(每个工作水平月约10毫西弗),按平衡系数0.4计算,相当于每Bq h m-3 6.7毫西弗。使用这个剂量系数,工人每年接触300 Bq - m-3相当于4毫西弗。相比之下,在家庭中使用相同的暴露系数,300 Bq m-3相当于14毫西弗。如果职业接触的情况需要更详细的考虑,并且有可靠的替代数据,则可以使用ICRP第137号出版物中提供的方法评估特定地点剂量。
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引用次数: 14
Radiological protection of the patient in veterinary medicine and the role of ICRP. 兽医学中病人的放射防护及ICRP的作用。
Pub Date : 2020-12-01 Epub Date: 2020-09-04 DOI: 10.1177/0146645320946619
R J Pentreath, K E Applegate, K A Higley, K Peremans, M Natsuhori, E Randall, J Gambino

At the request of the Main Commission of the International Commission on Radiological Protection (ICRP), Task Group 107 (TG107) was set up to consider the issue of radiological protection of the patient in veterinary medicine. TG107, who authored this article, brought together information relating to the use of diagnostic imaging and radiation oncology in veterinary medicine. A number of specific areas were identified that appeared to be appropriate for attention by ICRP. These included the use of dose quantities and units, the need for re-evaluation of stochastic and deterministic risks from ionising radiation in animals, and the growing use of imaging and therapeutic equipment for animals that is little different from that available to humans. TG107 unanimously recommended that it was both appropriate and timely for ICRP to consider and advise on these issues, and the Main Commission agreed. This paper summarises the findings of TG107.

应国际放射防护委员会(ICRP)主要委员会的要求,设立了第107任务组(TG107),以审议兽医学中患者的放射防护问题。TG107是这篇文章的作者,她汇集了兽医学中使用诊断成像和放射肿瘤学的相关信息。确定了一些似乎值得ICRP注意的具体领域。这些问题包括剂量和单位的使用,需要重新评估动物电离辐射的随机和确定性风险,以及越来越多地使用与人类几乎没有区别的动物成像和治疗设备。专家组第107次一致建议,ICRP审议这些问题并提供咨询意见是适当和及时的,主要委员会也同意。本文综述了TG107的研究结果。
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引用次数: 9
Protection of the environment. 保护环境。
Pub Date : 2020-12-01 Epub Date: 2020-08-26 DOI: 10.1177/0146645320944291
D Copplestone, G A Hirth, T Cresswell, M P Johansen

The International Commission on Radiological Protection's (ICRP) system to protect the living components of the environment is designed to provide a broad and practical framework across different exposure situations. The framework recognises the need to be able to demonstrate an adequate level of protection in relation to planned exposure situations, whilst also providing an ability to manage existing and emergency situations in an appropriate way. In all three exposure situations, the release of radionuclides into the natural environment leads to exposures of non-human biota (wildlife), as well as having the potential for exposures of the public. How the key principles of the ICRP system of radiological protection apply in each of these exposure situations will be discussed. Using examples, we will demonstrate how the overall approach provides a mechanism for industry to assess and demonstrate compliance with the environmental protection objectives of relevant (national) legislation, and to meet stakeholder expectations that radiological protection of the environment is taken into consideration in accordance with international best practice. However, several challenges remain, and these will be discussed in the context of the need for additional guidance on the protection of the environment.

国际放射防护委员会(ICRP)保护环境中有生命成分的系统旨在为不同的照射情况提供一个广泛和实用的框架。该框架认识到,必须能够对计划的暴露情况显示出充分的保护水平,同时也提供以适当方式管理现有情况和紧急情况的能力。在所有三种照射情况下,放射性核素释放到自然环境中导致非人类生物群(野生动物)的照射,并有可能使公众受到照射。将讨论ICRP辐射防护系统的关键原则如何适用于每一种照射情况。通过实例,我们将展示整体方法如何为行业提供一种机制,以评估和证明符合相关(国家)立法的环境保护目标,并满足利益相关者的期望,即根据国际最佳实践考虑对环境的辐射保护。但是,仍然存在一些挑战,这些挑战将在需要关于保护环境的额外指导的范围内加以讨论。
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引用次数: 2
Abstracts from the 44th Conference of the Australasian Radiation Protection Society, Held in Conjunction with the 5th International Symposium of the International Commission on Radiological Protection. 第44届澳大利亚辐射防护学会会议摘要,与国际放射防护委员会第五届国际研讨会同时举行。
Pub Date : 2020-12-01 Epub Date: 2020-11-06 DOI: 10.1177/0146645320960680
s from the 44th Conference of the Australasian Radiation Protection Society, Held in Conjunction with the 5th International Symposium of the International Commission on Radiological Protection This section is dedicated to presentations given in sessions at the 44th Conference of the Australasian Radiation Protection Society. This includes the Boyce Worthley Oration given in the opening session; oral presentations in sessions on future challenges, naturally occurring radioactive material (NORM) and natural radiation, radiation biology and protection, aviation and beyond: radiation biology and protection, nuclear facilities and training, and radiation protection in medicine; and poster presentations. 1. Boyce Worthley Oration A controversy that needs to be resolved D. Higson Honorary Fellow of the Australasian Radiation Protection Society (Retired) The atomic bombing of Japan that ended World War II was the first public demonstration of nuclear power, and the Life Span Study of the Japanese bomb survivors has provided most of the data on the risks of long-term health effects of radiation exposure, viz: doses >500mSv certainly caused significantly increased risk of cancer, and doses <100mSv did not cause any discernible risk but this may be because the risks (if they exist) are too small to be statistically significant. However, it has been This paper does not necessarily reflect the views of the International Commission on Radiological Protection.
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引用次数: 0
Operational radiation protection for human space flight: the flight surgeon's perspective. 人类太空飞行的操作辐射防护:飞行外科医生的观点。
Pub Date : 2020-12-01 Epub Date: 2020-11-10 DOI: 10.1177/0146645320966570
U Straube
Yuri Gagarin was the first human in space in 1961 almost 60 years ago. Eight years later Neil Armstrong left his footprints on the Moon – the first human on the surface of a celestial body other than Earth. By now long-duration missions of up to 1 year have become a reality for humans in space. Nearly 19 years of continuous human presence at the International Space Station (ISS) have provided a unique insight into human life in space. Humans are reaching out for more – targeting missions to take us outside the protective hull of low earth orbit into deep space. The challenges to human health and well-being remain significant and increase with distance and time from Earth. The lack of gravity, the ubiquitous ionising radiation, remoteness, and confinement are just some examples of the hostile environment of space. More hurdles have to be overcome prior to the human endeavour of reaching out into deep space and radiation is one such primary and inevitable factor that is key to crew health, safety and overall mission success. This presentation will provide an introduction into operational space medicine and radiation protection for humans in space as executed on ISS, in low earth orbit and in preparation for the scenarios ‘beyond’.
大约60年前的1961年,尤里·加加林成为第一个进入太空的人。八年后,尼尔·阿姆斯特朗在月球上留下了他的脚印,这是人类第一个在地球以外的天体表面上留下脚印的人。到目前为止,长达1年的长期太空任务已经成为人类在太空中的现实。人类在国际空间站(ISS)连续存在了近19年,为人类在太空中的生活提供了独特的视角。人类正在寻求更多目标明确的任务,将我们带出低地球轨道的保护外壳,进入深空。人类健康和福祉面临的挑战仍然很大,并且随着离地球的距离和时间的增加而增加。缺乏重力、无处不在的电离辐射、偏远和禁闭只是太空恶劣环境的一些例子。在人类努力进入深空之前,还需要克服更多的障碍,辐射是其中一个主要和不可避免的因素,是机组人员健康、安全和整个任务成功的关键。本报告将介绍在国际空间站、近地轨道和为“未来”情况做准备时为人类提供的空间医学和辐射防护。
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引用次数: 1
Australian action to reduce health risks from radon. 澳大利亚为减少氡对健康的危害而采取的行动。
Pub Date : 2020-12-01 Epub Date: 2020-08-03 DOI: 10.1177/0146645320931983
S A Long, R A Tinker

In Australia, worker exposure to radon in underground uranium mines has been a focus of policy makers and regulators, and has been well controlled in the industry sector. That cannot be said for public exposure to radon. Radon exposure studies in the late 1980s and early 1990s demonstrated that the levels of radon in Australian homes were some of the lowest in the world. The International Basic Safety Standards, published by the International Atomic Energy Agency, requires the government to establish and implement an action plan for controlling public exposure due to radon indoors. When considering different policy options, it is important to develop radon prevention and mitigation programmes reflecting elements that are unique to the region or country. The Australian Radon Action Plan is being considered at a national level, and presents a long-range strategy designed to reduce radon-induced lung cancer in Australia, as well as the individual risk for people living with high concentrations of radon. In Australia, workers who are not currently designated as occupationally exposed are also considered as members of the public. In the Australian context, there are only a limited set of scenarios that might give rise to sufficiently high radon concentrations that warrant mitigation. These include highly energy efficient buildings in areas of high radon potential, underground workplaces, workplaces with elevated radon concentrations (e.g. spas using natural spring waters), and enclosed workspaces with limited ventilation. The key elements for a successful plan will rely on collaboration between government sectors and other health promotion programmes, cooperative efforts involving technical and communication experts, and partnering with building professionals and other stakeholders involved in the implementation of radon prevention and mitigation.

在澳大利亚,工人在地下铀矿中接触氡一直是决策者和监管机构关注的焦点,并在工业部门得到了很好的控制。但对于公众暴露于氡的情况就不是这样了。20世纪80年代末和90年代初的氡接触研究表明,澳大利亚家庭中的氡水平是世界上最低的。国际原子能机构发布的《国际基本安全标准》要求政府制定并实施一项行动计划,以控制公众在室内接触氡。在考虑不同的政策选择时,重要的是要制定反映该区域或国家特有因素的氡预防和缓解方案。目前正在国家一级审议《澳大利亚氡行动计划》,该计划提出了一项长期战略,旨在减少澳大利亚氡诱发的肺癌,以及生活在高浓度氡环境中的人的个人风险。在澳大利亚,目前未被指定为职业暴露的工人也被视为公众成员。在澳大利亚的情况下,只有一组有限的情景可能产生足够高的氡浓度,需要采取缓解措施。这些措施包括高氡潜势地区的高能效建筑、地下工作场所、氡浓度升高的工作场所(例如使用天然泉水的水疗中心)以及通风有限的封闭工作空间。一项成功计划的关键要素将取决于政府部门与其他健康促进规划之间的协作、技术和传播专家的合作努力,以及与建筑专业人员和参与实施预防和缓解氡的其他利益攸关方结成伙伴关系。
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引用次数: 1
期刊
Annals of the ICRP
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