Implementação do protocolo eNAL num serviço de radioterapia: um estudo de caso

Mestrado em Radioterapia

Evaluation of the noise exposure of symphonic orchestra musicians

For musicians, the impact of noise exposure is not yet fully characterized. Some inconsistencies can be found in the methodology used to evaluate noise exposure. This study aims to analyze the noise exposure of musicians in a symphonic orchestra to understand their risk for hearing loss, applying the methodology proposed by ISO 9612:2009. Noise levels were monitored among musicians during the rehearsal of eight different repertoires. Test subjects were selected according to their instrument and position in the orchestra. Participants wore noise dosimeters throughout the rehearsals. A sound meter was used to analyze the exposure of the conductor. The results showed that musicians are exposed to high noise levels that can damage hearing. Brass, woodwind and percussion and timpani musicians were exposed to noise levels in excess of the upper exposure action level of 85 dB (A), while the other instrumental groups had a lower exposure action level of 80 dB (A). Percussion musicians were exposed to high peak noise levels of 135 dB (C). Sound levels varied by instrument, repertoire and position. Octave frequency analyses showed differences among musicians. This study suggests that musicians are at risk for hearing loss. There is a need for more effective guidelines applicable to all countries, which should define standardized procedures for determining musician noise exposure and should allow exposure level normalization to the year, including different repertoires.

Potencial das atividades desenvolvidas por docentes de música para a perda auditiva induzida por ruído

A perda auditiva por exposição ao ruído é um problema de saúde ocupacional, não reconhecido nas escolas de música. Em Portugal, a legislação relativa a ruído ocupacional não possui indicações específicas para músicos, existindo apenas um código de conduta europeu, proveniente da Diretiva 2003/10/CE que estabelece as orientações gerais relativas a como devem ser protegidos do ruído músicos e trabalhadores de setores de entretenimento. Avaliou-se o nível sonoro contínuo equivalente (LAeq), individualmente no decorrer das atividades letivas, o que permitiu determinar o nível exposição pessoal diária ao ruído (Lex,8h) de 20 docentes de música. Paralelamente, os docentes preencheram um questionário relativo a fatores intrínsecos e individuais e todos efetuaram audiogramas tonais simples. Os dados recolhidos foram estatisticamente tratados através do programa Statistical Package for Social Sciences (SPSS) versão 21. Existem atividades letivas que implicam níveis de exposição pessoal diária ao ruído superiores ao nível de ação inferior (25%), pelo que se devem adotar medidas para sensibilizar e alertar os docentes para a adoção de medidas de proteção. A atividade dos docentes expostos a níveis de exposição pessoal diária mais elevados correspondeu a aulas de grupo e a aulas individuais, com utilização de instrumentos musicais direcionais. A manifestação de sintomatologia relevante relativa a perda auditiva (audição de zumbidos, dificuldades de perceção do diálogo e dificuldade em adormecer) e a evolução da surdez profissional, não parecem estar diretamente relacionadas com os níveis de exposição pessoal diária ao ruído nem atividades com exposição ao ruído desenvolvidas nos tempos livres.

State of Iowa Public Drinking Water Program 2006 Annual Compliance Report, June 2007

The Iowa Department of Natural Resources (IDNR) administers the Public Drinking Water Program in Iowa under delegation of authority from the United States Environmental Protection Agency (EPA). The 1996 re-authorized Safe Drinking Water Act (SDWA) requires that each state that has been granted primary implementation authority prepare an annual report on violations of national primary drinking water regulations within the state, make the report readily available to the public, and submit it to the EPA. This report fulfills this responsibility in Iowa for the 2006 calendar year, and includes violations of maximum contaminant levels, maximum residual disinfectant levels, treatment technique requirements, major monitoring or reporting requirements, action level exceedances, and operation certification requirements.

State of Iowa Public Drinking Water Program 2008 Annual Compliance Report.

This report includes violations of maximum contaminant levels, maximum residual disinfectant levels, treatment technique requirements, action level exceedances, major monitoring or reporting requirements, and operation certification requirements of public water supplies in the state of Iowa.

Chlordane Contamination Study of the Cedar River, Cedar Rapids, Iowa, Spring-Summer 1985

This report from the University Hygienic Laboratory contains the results of a chlordane study of the Cedar River taken in the spring and summer of 1985 after it was discovered from a routine fish tissue monitoring program in Iowa that it contained levels of chlordane in excess of the FDA action level.

Altistuminen PAH-yhdisteille kreosoottikyllästetyn puun käsittelyssä

Tässä työssä selvitettiin altistutaanko kreosoottikyllästetyn puun käsittelyssä polysyklisille aromaattisille hiilivedyille ja mistä työsuojelullisista syistä altistumista tapahtuu. Lisäksi työssä selvitettiin mitä altistuminen tarkoittaa työnantajan kannalta. Altistumista tarkasteltiin työturvallisuuden näkökulmasta. Lähtöaineisto koostui maastossa toteutetuista tutkimuksista. Aineisto kerättiin kesällä 2009 kolmesta Itä-Suomessa sijaitsevasta kohteesta, joissa käsiteltiin kreosootilla kyllästettyä puuta. Altistumisen todentamiseksi tutkimukseen osallistuneilta työntekijöiltä pyydettiin virtsanäytteet, joista analysoitiin yhden yleisimmän PAH-altistumista indikoivan merkkiaineen, virtsan 1-pyrenolin pitoisuuksia työntekijöillä. Altistumisen syiden selvittämiseksi työntekijöitä haastateltiin ja havainnoitiin. Tulosten perusteella työntekijät altistuvat PAH-yhdisteille työssään. PAH-altistumisen merkkiaineena olleelle virtsan 1-pyrenolille ei toimenpiderajaa tällä hetkellä ole, mutta se on Työterveyslaitoksella suunnitteilla. Lainsäädäntö velvoittaa erinäisin toimenpitein työnantajaa minimoimaan työntekijöiden altistumisen syöpäsairauden vaaraa aiheuttaville aineille, kuten PAH-yhdisteille. Tulosten perusteella työsuojelutoimenpiteitä on syytä tehostaa altistumisen minimoimiseksi ja etenkin ihon suojaamiseen on syytä kiinnittää erityistä huomiota.

Forming i barnehagen i lys av Reggio Emilias atelierkultur

Forming (Arts and crafts) and children’s creative action with materials and tools are less in use in the kindergarten than before. Political focus on children’s early learning has led to shifts in kindergartens toward other specific disciplines, and requirements for individual testing also of the smallest children’s competencies within these. Kindergarten teachers, educators, researchers and participants in social debate have pointed out that there are epistemological contradictions in descriptions of kindergarten quality as well as between current kindergarten policy documents and requirements for the kindergartens’ staff. Meanwhile, the content and methods in many kindergartens are inspired by practice and philosophy in the municipal kindergartens in Reggio Emilia, Italy. Correlation between kindergartens’ formingprojects and experiences from Reggio Emilia is actualized in particular through the workshop and the studio’s role in children’s learning processes. One starting point for the thesis’ problem area is a documented need for more knowledge about kindergarten’s educational content. The overarching goal of the thesis is to develop new knowledge about how learning takes place in kindergarten through examining the field of forming in kindergartens inspired by Reggio Emilia’s atelier culture. The thesis is theoretically anchored within pragmatism, and ties kindergarten’s aesthetic operations with materials and tools to socio-cultural perspective, social constructivism and post humanistic theory. The empirical material is obtained through a qualitative study with ethnography as methodological approach. The fieldwork is conducted in kindergarten, with two leading research questions: 1) How is atelierism perceived and unfolded in Norwegian Reggio Emilia-inspired kindergartens, and 2) how is forming perceived and unfolded in Norwegian Reggio Emilia-inspired kindergartens. A comprehensive and multifaceted material is analyzed, and the results are presented in the form of three themes: The physical environment, Relations and actions in interplay, and Expression forms and forms of expression. Each of these topics are supported by examples from kindergartens’ adult voices and the constructed empirical material. Insights into how learning takes place in the kindergarten subject of forming with inspiration from the Reggio Emilia atelier culture is discussed in the tension between educational philosophy, Nordic kindergarten tradition and neoliberal trends that kindergarten teachers must adhere to. Learning potentials in children’s opportunities for action in forming in light of the atelier appears in the results of the empirical study. The educational context described is characterized by experimental and playful actions where children’s sensations, curiosity and resistance are interacting with the identity of materials and tools. The results imply aesthetic, ethical, democratic and ecological reflections, which are also valid on a practical action level. The thesis contributes to description and understanding of kindergarten’ content and young children’s learning, the importance of atelier culture as inspiration for the kindergarten, and the further development of methodology and documentation of knowledge expressions.

Quality indicators and shelf life of red octopus (Octopus maya) in chilling storage

Abstract There are no precedents concerning the quality of Octopus maya during chilled storage. This study evaluated the shelf life of the red octopus in chilling storage (4oC) and the correlation of the sensory quality index with microbiological counting and the biochemical indicators (hypoxanthine, histamine and volatile amines). A total of 112 whole raw octopi (average weight of 896 g) were randomly selected from seven batches and exposed to 4°C for 18, 24, 48, 72, 84, 96, and 100 h. The histamine concentration (91.7%), followed by the counts of psychrotrophic bacteria (5.5%) and hypoxanthine (2.2%), were the predictors from the redundancy analysis that better explained the changes taking place during the chilling hours. After 72 h of chilling, the microbial count was determined to be log 4.7 CFU/g, and the octopus samples were classified as B quality (minor sensory quality defects) based on the sensory quality scale. Although the samples were not classified as unacceptable at 100 h of refrigeration by the sensory index, the level of histamine reached the defect action level (5 mg/100 g) as ruled by the International Food Safety Authorities. The shelf life of the red octopus in chilling storage was predicted to be 119 h.

Assessment the Health Hazard from (222)Rn in Old Metalliferous Mines in San Luis, Argentina

Radon levels in two old mines in San Luis, Argentina, are reported and analyzed. The radiation dose and environmental health risk of (222)Rn concentrations to both guides and visitors were estimated. CR-39 nuclear track detectors were used for this purpose. The values for the (222)Rn concentration at each monitoring site ranged from 0.43 +/- 0.04 to 1.48 +/- 0.12 kBq m(-3) in the Los Cndores wolfram mine and from 1.8 +/- 0.1 to 6.0 +/- 0.5 kBq center dot m(-3) in the La Carolina gold mine, indicating that, in this mine, the radon levels exceed up to four times the action level of 1.5 kBq m(-3) recommended by the International Commission on Radiological Protection. The patterns of the radon transport process revealed that the La Carolina gold mine can be interpreted as a gas confined into a single tube with constant cross-section and air velocity. Patterns of radon activity, taking into account the chimney-effect winds, were used to detect tributary currents of air from shafts or larger fissures along the main adit of the Los Cndores mine, showing that radon can be used as an important tracer of tributary air currents stream out from fissures and smaller voids in the rock of the mine.

Occupational exposure to radon and natural gamma radiation in the La Carolina, a former gold mine in San Luis Province, Argentina

Radon and gamma radiation level measurements were carried out inside the La Carolina mine, one of the oldest gold mining camps of southern South America, which is open for touristic visits nowadays. CR-39 track-etch detectors and thermoluminescent dosimeters of natural CaF(2) and LiF TLD-100 were exposed at 14 points along the mine tunnels in order to estimate the mean (222)Rn concentration and the ambient dose equivalent during the summer season (November 2008 to February 2009). The values for the (222)Rn concentration at each monitoring site ranged from 1.8 +/- 0.1 kBq m(-3) to 6.0 +/- 0.5 kBq m(-3), with a mean value of 4.8 kBq m(-3), indicating that these measurements exceed in about three times the upper action level recommended by ICRP for workplaces. The correlations between radon and gamma radiation levels inside the mine were also investigated. Effective doses due to (222)Rn and gamma rays inside the mine were determined, resulting in negligible values to tourists. Considering the effective dose to the mine tourist guides, values exceeding 20 mSv of internal contribution to the effective doses can be reached, depending on the number of working hours inside the mine. (C) 2009 Elsevier Ltd. All rights reserved.

Monitoramento da broca-pequena-do-fruto para tomada de decisão de controle em tomateiro estaqueado

Avaliou-se a relação entre o índice de plantas com ovos e de adultos da broca-pequena-do-fruto capturados em armadilhas com feromônio sexual, bem como a influência da infestação na produção da cultura do tomate. Estas avaliações objetivaram aperfeiçoar a tomada de decisão de controle pela densidade de adultos capturados nas armadilhas. em Monte Mor, estado de São Paulo, áreas comerciais de cultivo de tomate foram divididas em parcelas experimentais para a instalação de armadilhas. em intervalos médios de 3,7 dias foi avaliada a densidade de adultos capturados e a infestação de plantas com ovos nos frutos. O estudo foi conduzido entre as safras de 2003 e 2007 para os cultivos em ciclo de verão e inverno. As avaliações foram realizadas até o término da colheita e foi definida a produção comercializada e a descartada. O controle químico foi realizado quando a infestação atingia o nível de 5% de plantas com ovos nos frutos. A pressão populacional foi mais expressiva nos cultivos em ciclo de verão. O aumento no número de machos capturados nas armadilhas com feromônio sexual correspondeu a um incremento na infestação de ovos nos frutos e houve influência positiva da infestação de plantas com a produção descartada. A instalação das armadilhas deve anteceder o florescimento e a tomada de decisão de controle ocorrer no prazo médio de oito dias após a captura média de 0,24 e 0,23 adultos na armadilha por dia para os cultivos de tomate em ciclo de verão e inverno, respectivamente.

Redução de aplicações de inseticidas através da adoção de táticas de manejo integrado do Triozoida limbata (Enderlein, 1918) (Hemiptera: triozidae) em goiabeira

The guava tree pest that has been requesting larger control frequency, in the area of Jaboticabal - São Paulo in the last years, is the psilideo Triozoida limbata. Thus, the objectives of this research were: a) Compare control tactics T. limbata based on monitoring and selectivity of insecticide to decrease the applications; b) To register and to correlate the natural enemies in habitants in guava tree ecosystem with the key pest and with meteorological factors; c) See if the control of T. limbata affects the population of fruit flies and d) To verify the efficiency of appropriate insecticides to IMP, in control of T. limbata. The experiment was conducted in 2004, in an orchard of Paluma cultivar in Vista Alegre do Alto, SP. The used strategies were (doses in g.a.i./100L water): control; imidacloprid + beta-cyfluthrin (2.5 + 0.3); acetamiprid (4.0); fenpropathrin (15.0) and regional conventional treatment. It was concluding that is possible to reduce the number of applications of less aggressive insecticides to the environment and the man, with the adoption of monitoring of T. limbata and implementing the action level. The natural enemies' populations densities (Scymnus spp., Cycloneda sanguinea, Azia luteipes, Crysoperla spp., Polybia spp., Brachygastra ssp.) present positive correlations with the populations of T. limbata. Population fluctuations of T. limbata and natural enemies are not altered by meteorological factors (precipitation and temperature) in irrigated orchard. The population of Anastrepha spp. is minimized when of the applications is for control T. limbata. The insecticides imidacloprid, imidacloprid + beta-cyfluthrin, acetamiprid and fenpropathrin are efficient in the control of T. limbata.

Tomada de decisão de controle da traça-do-tomateiro através de armadilhas com feromônio sexual

Visou-se estabelecer a relação entre a infestação da traça-do-tomateiro, Tuta absoluta, na planta e adultos capturados em armadilhas com feromônio sexual e a produtividade, para avaliar a influência da infestação na produção da cultura do tomate e aperfeiçoar a tomada de decisão de controle pela densidade de adultos. Armadilhas com feromônio sexual foram instaladas e avaliadas duas vezes por semana, em três áreas de cultivo comercial de tomateiro em São Paulo (Mogi-Guaçu, Tambaú e Sorocaba), em sistema estaqueado, divididas em áreas experimentais com cerca de 18.000 plantas cada (1,5 ha). Nas mesmas datas foi avaliada a infestação de pragas nas plantas, estendendo-se até o término da colheita. A produtividade foi definida pelo total de caixas (24 kg) comercializadas/1.000 plantas. A relação entre a produção da cultura do tomate e a infestação de T. absoluta na planta ou nas armadilhas com feromônio foi expressa por uma equação linear e negativa. A ocorrência de adultos nas armadilhas e a infestação da praga em plantas foram relacionados significativamente com a redução da produtividade. O nível de controle de T. absoluta através do monitoramento com feromônio sexual foi de 45 ± 19,50 insetos/dia na armadilha.

Avaliação cardiorrespiratória e analgésica da ropivacaína isolada e associada ao fentanil ou ao tramadol, administrados pela via peridural em cães

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)