Radiation hazards during cobalt 60 plaque therapy for choroidal melanoma

Jefferies, Peter; Clemett, Richard; Turner, John R.

doi:10.1111/j.1442-9071.1993.tb00128.x

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…The use of lower energy radioisotopes ( 125 I and 106 Ru) and gold-shielded radiation-blocking devices are two measures which have reduced the radiation exposure to surrounding ocular structures [11, 16, 25]. Investigators have also studied the use of adjuvant hyperthermia as a means of reducing the amount of radiation necessary for tumor control [26–30].…”

Section: Commentmentioning

confidence: 99%

Long-Term Followup Comparing Two Treatment Dosing Strategies of¹²⁵I Plaque Radiotherapy in the Management of Small/Medium Posterior Uveal Melanoma

Murray¹,

Markoe

Gold³

et al. 2013

Journal of Ophthalmology

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Objective. To investigate the efficacy of two different dosing strategies of radioactive iodine-125 (125I) in the management of small- and medium-sized posterior uveal melanoma. Patients and Methods. The medical records of consecutive patients with choroidal melanomas between 1.5 and 5.0 mm in apical height treated initially with 125I plaque radiotherapy were reviewed. Patients were treated with one of the following two treatment dosing strategies: (1) 85 Gy to the apical height of the tumor (group 1) or (2) 85 Gy to a prescription point of 5.0 mm (group 2). Results. Of 95 patients, 55 patients were treated to the apical height of the tumor, and 40 were treated to a prescription point of 5.0 mm. Comparative analysis of the incidence rates of specific complications between the two groups demonstrates that group 2 had a significantly higher incidence of radiation retinopathy, radiation optic neuropathy, and/or visually significant cataract formation than group 1 (P = 0.028). Conclusion. Treatment of choroidal melanomas less than 5 mm in apical height with 125I brachytherapy to the true apical height is equally effective when compared to treatment with 85 Gy to 5.0 mm. Treatment to the apical height of the tumor may result in lower incidence of radiation-related complications.

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Section: Commentmentioning

confidence: 99%

Long-Term Followup Comparing Two Treatment Dosing Strategies of¹²⁵I Plaque Radiotherapy in the Management of Small/Medium Posterior Uveal Melanoma

Murray¹,

Markoe

Gold³

et al. 2013

Journal of Ophthalmology

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“…Physical hazards in the general working environment that are also encountered in the hospital sector include temperature, illumination, noise, vibration, changes in atmospheric pressure, and ionizing and non-ionizing radiation [14-18]. A review of the international and Greek literature revealed the following physical hazards in the hospital working area: lighting, microclimate, noise, ionizing, and non ionizing radiation [19-22]. Lighting is a hazard that concerns all workers, especially during the night shift, in all hospital departments.…”

Section: Introductionmentioning

confidence: 99%

Risk Assessment of Physical Hazards in Greek Hospitals Combining Staff’s Perception, Experts’ Evaluation and Objective Measurements

Tziaferi

Sourtzi

Kalokairinou

et al. 2011

Safety and Health at Work

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ObjectivesThe promotion of health and safety (H&S) awareness among hospital staff can be applied through various methods. The aim of this study was to assess the risk level of physical hazards in the hospital sector by combining workers' perception, experts' evaluation and objective measurements.MethodsA cross-sectional study was designed using multiple triangulation. Hospital staff (n = 447) filled in an H&S questionnaire in a general hospital in Athens and an oncology one in Thessaloniki. Experts observed and filled in a checklist on H&S in the various departments of the two hospitals. Lighting, noise and microclimate measurements were performed.ResultsThe staff's perception of risk was higher than that of the experts in many cases. The measured risk levels were low to medium. In cases of high-risk noise and lighting, staff and experts agreed. Staff's perception of risk was influenced by hospital's department, hospital's service, years of working experience and level of education. Therefore, these factors should be taken into account in future studies aimed at increasing the participation of hospital workers.ConclusionThis study confirmed the usefulness of staff participation in the risk assessment process, despite the tendency for staff to overestimate the risk level of physical hazards. The combination of combining staff perception, experts' evaluation and objective measures in the risk assessment process increases the efficiency of risk management in the hospital environment and the enforcement of relevant legislation.

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“…Physical hazards in the general working environment that are also encountered in the hospital environment include temperature, illumination, noise, vibration, slips, trips and falls, changes in atmospheric pressure, and ionizing and nonionizing radiation [5,[33][34][35][36][37][38].…”

Section: Introductionmentioning

confidence: 99%

Hazards Exposures and the Common Health and Safety Complaints Among Hospital Laundry Workers: A Comparative Study

Omoijiade¹,

Evbuomwan²

2019

JHER

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Healthcare workers are exposed to various hazards in their workplaces that pose threats to their health and safety, however, exposure depends on the job category and their work environment. In the healthcare facilities, occupational safety and health hazards can be grouped according to location or service offered. Contaminated laundry, noise, heat, lifting, sharps, slips, trips, falls and fire hazards are among those located in the laundry department. In industrial laundries, chemical exposure, injuries from sharps left in linen, slips from wet floors, and exposure to pathogens in contaminated linen are among the most common accidents. The purpose of the study was to provide information on the exposure of hospital laundry workers to previously identified workplace hazards, in order that appropriate interventions to minimize occupational risks due to workers exposures to hazards in the healthcare laundries would be established. Furthermore, it also provides information on the common health and safety complaints among laundry workers. The study adopted a comparative cross-sectional study design, conducted in hospitals with a laundry department in Benin, Nigeria. A survey was conducted as semi-structured questionnaires were issued to the study participants to obtain data on their exposure to different workplace hazards as well as on work-related injuries and diseases. Also, body mapping exercise was conducted to obtain workers' health information resulting from exposures to ergonomic hazards. All the respondents handled clean linen but only 74% handled dirty linen, while 62% handled soiled linen. In addition, respondents reported that they were exposed to sharps (62%), ergonomic (40%), illumination (2%), noise (28%), electrical (50%), heat (38%) and chemical (68%) hazards in the workplace. The common workplace injuries or illnesses reported were sharps injury (20%), musculoskeletal pain (92%), hearing disorder (4%), burns (8%), electric shocks (6%), slips, trips, or falls (28%) and cuts or bruises (18%). The most common musculoskeletal complaints were that of the lower back (74%), shoulders (42%), upper back (34%), and knee (34%). Various types of hazards were identified in all the health facilities. Hospital laundry workers in both secondary and tertiary health facilities alike suffered from various adverse health and safety conditions due to exposure to occupational hazards in the workplace. It is recommended that laundry workers be frequently educated on the occupational health and safety risks associated with their job.

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Radiation hazards during cobalt 60 plaque therapy for choroidal melanoma

Cited by 6 publications

References 6 publications

Long-Term Followup Comparing Two Treatment Dosing Strategies of¹²⁵I Plaque Radiotherapy in the Management of Small/Medium Posterior Uveal Melanoma

Long-Term Followup Comparing Two Treatment Dosing Strategies of¹²⁵I Plaque Radiotherapy in the Management of Small/Medium Posterior Uveal Melanoma

Risk Assessment of Physical Hazards in Greek Hospitals Combining Staff’s Perception, Experts’ Evaluation and Objective Measurements

Hazards Exposures and the Common Health and Safety Complaints Among Hospital Laundry Workers: A Comparative Study

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Radiation hazards during cobalt 60 plaque therapy for choroidal melanoma

Cited by 6 publications

References 6 publications

Long-Term Followup Comparing Two Treatment Dosing Strategies of125I Plaque Radiotherapy in the Management of Small/Medium Posterior Uveal Melanoma

Long-Term Followup Comparing Two Treatment Dosing Strategies of125I Plaque Radiotherapy in the Management of Small/Medium Posterior Uveal Melanoma

Risk Assessment of Physical Hazards in Greek Hospitals Combining Staff’s Perception, Experts’ Evaluation and Objective Measurements

Hazards Exposures and the Common Health and Safety Complaints Among Hospital Laundry Workers: A Comparative Study

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Long-Term Followup Comparing Two Treatment Dosing Strategies of¹²⁵I Plaque Radiotherapy in the Management of Small/Medium Posterior Uveal Melanoma

Long-Term Followup Comparing Two Treatment Dosing Strategies of¹²⁵I Plaque Radiotherapy in the Management of Small/Medium Posterior Uveal Melanoma