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Cobas H.T.,Direccion Provincial de Higiene | Haza U.J.J.,Instituto Superior Of Ciencias Y Tecnologias Aplicadas | Placeres M.R.,Instituto Nacional Of Higiene | Del Puerto Rodriguez A.,Instituto Nacional Of Higiene | And 4 more authors.
IFMBE Proceedings | Year: 2013

The activities in the health assistance units, even when they go to improve the health and welfare of man and society, generate risks to human health and environment, especially the management and disposal of wastes. This work shows the results of the management of hazardous waste in three hospitals in Havana city in 2009 through the use of the integrated system EIASA-Ambiente. The total volume of hazardous wastes generated was of 11.3 m3 of liquid wastes and 19 ton of solid wastes. The overall indicator of generation by number of beds was 0.16 kg/(bed x day). The main point of impact is the use of disinfectants and cleaning chemicals. © 2013 Springer. Source

Ramos D.,Instituto Superior Of Ciencias Y Tecnologias Aplicadas | Abreu N.J.,Instituto Superior Of Ciencias Y Tecnologias Aplicadas
IFMBE Proceedings | Year: 2013

In the last 10th years, the use of sentinel node technique has been increased; its success is connected with the proper performance of intraoperative gamma probes and the right application of quality control procedures to assure the good functioning of this equipment at clinical practice. There are a few developed works that show methodologies to make all controls, and every country have a freedom to apply each selected criteria depending its proper conditions. The clinical efficiency of these procedures requires the existence of well-trained professionals and implementation of quality assurance programs. Probes' parameters must remain within the acceptance limit; that is why they should be checked periodically. NEMA Standards Publication NU 3-2004 "Performance Measurement and Quality Control Guidelines for Non-Imaging Intraoperative Gamma Probes" recommends thirteen tests; only three of them are considered as steadiness tests. These tests are considerably complex since open radioactive sources are used in a liquid medium in most of the procedures and the probe is immersed; so its represents risks of radioactive contamination and of damages to the equipment. On the other hand, tests in air demand a good reproducibility and should also be easy and quick. This paper shows the gradual performance of quality control tests implementation to obtain harmonized criteria to all nuclear medicine services. The use of NEMA guidelines was useful to develop a proper methodology according with the equipment and local conditions. For its implementation were designed specials devices that make possible a quick and reproducible measurement guaranteeing stable measurement geometry, expandable to all the services in Cuba. © 2013 Springer. Source

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