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The Congressional Record is the official record of the proceedings and debates of the United States Congress. It is published daily when Congress is in session. The Congressional Record began publication in 1873. Debates for sessions prior to 1873 are recorded in The Debates and Proceedings in the Congress of the United States (1789-1824), the Register of Debates in Congress (1824-1837), and the Congressional Globe (1833-1873)
Medical X-rays, including fluoroscopy and CT scans, are a major cause of both cancer and coronary heart disease, according to this new study. This reader-friendly work uses no complex statistical operations. It shows each step between raw data and conclusions, and defines basic terms and concepts. Startling conclusions are supported by detailed reviews of medical studies from the 1940s through the 1990s. The author recommends X-ray procedures at much lower dosage levels. Includes a booklet summarizing conclusions of the study. The author is a professor of molecular and cell biology at the University of California-Berkeley, and has investigated the effects of medical X- rays since the 1960s. Paper edition (unseen), $27. Annotation copyrighted by Book News, Inc., Portland, OR
This is a positive and accessible account of the effect of radiation on life that brings good news for the future of mankind. For more than half a century the view that radiation represents an extreme hazard has been accepted. This book challenges that view by facing the question "How dangerous is ionising radiation?" Briefly the answer is that radiation is about a thousand times less hazardous than suggested by current safety standards. For many this will come as a surprise and then quickly raise a second question "Why are people so worried about radiation?" This is the out-of-date result of Cold War politics combined with a concern about radiation that was appropriate in an earlier age when the scientific understanding was limited. In the book these answers are explained in accessible language and related directly to modern scientific evidence and understanding, for instance the high levels of radiation used to the benefit of health in every major hospital. Four facts illustrate the need for a new understanding. 1. The radiation levels in the nuclear waste storage hall at Sellafield, UK are so low (1 micro-sievert per hour) that anyone would have to stay there for a million hours to receive the same dose that any patient on a course of radiotherapy treatment receives to their healthy tissue in a single day (1 sievert or gray). 2. The radiation dose experienced by the survivors of the Hiroshima and Nagasaki bombs caused 0.6% to die of radiation-induced cancer between 1950 and 2000, that is about 1/20 of the chance of dying of cancer anyway and less than the chance of being killed on US highways in that period. 3. The wildlife at Chernobyl today is reported to be thriving, despite being radioactive. 4. The mortality of UK radiation workers before age 85 from all cancers is 15-20% lower than comparable groups. The case for a complete change in attitude towards radiation safety is unrelated to the effects of climate change. But the realisation that radiation and nuclear energy are much safer than is usually supposed is of extreme importance to the current discussion of alternatives to fossil fuels and their relative costs.
Hormesis is a poorly understood phenomenon affecting all forms of life on earth. This groundbreaking book summarizes and analyzes the various positives of hormesis in an attempt to reveal hormesis as a fundamental principle of biomedical sciences as a whole.
This is the proceedings of an international workshop on justification of medical exposure in diagnostic imaging, jointly organized by the International Atomic Energy Agency and the European Commission. The workshop brought together experts from many countries and organizations to discuss how to ensure more effective application of justification in diagnostic imaging. Major areas that need action were identified, such as the coordination of methods and evidence used for basis of clinical imaging recommendations, engagement of all relevant organizations in deployment of these recommendations, and involvement of manufacturers and referring healthcare providers. Furthermore, the important role of education and training was re-emphasized. In the conclusion the workshop participants highlighted that regulatory authorities have a key role in ensuring effective justification, and that an effective partnership with the medical community must be maintained to do this.
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.