Araştırma Makalesi
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TIPTA RADYASYON GÜVENLİĞİNİN EVRİMİ: ARAŞTIRMA TRENDLERİNE BİBLİYOMETRİK BİR BAKIŞ (1990-2023)

Yıl 2024, Cilt: 27 Sayı: 3, 459 - 480, 26.09.2024
https://doi.org/10.61859/hacettepesid.1434188

Öz

Bu çalışmanın amacı sağlık hizmetleri alanında radyasyon güvenliğine yönelik yapılan çalışmaların bibliyometrik analizini yapmaktır. Araştırmada kapsamına alınan veriler Web of Science veri tabanından indirilmiş ve bibliyometrik analizi SciMAT yazılımı ile yapılmıştır. İlgili literatürün veri tabanından filtrelenmesi için, 1990-2023 yılları arasında "radyasyon güvenliği", "radyasyondan korunma" (konu) ve tıp (tüm alanlarda arama), makale (belge türleri)" arama kriterleri kullanılmıştır. Bu kriterlere uyan 4439 makaleye ulaşılmıştır. En sık kullanılan anahtar kelime “radyasyon güvenliğidir” (n=1250). İlgili literatürde en çok yayın yapan ülkeler Amerika Birleşik Devletleri (n=1172) ve Almanya’dır (n=519). Türkiye 145 yayınla on beşincidir. 1990’lı yıllarda radyasyondan korunmada pasif korunma tedbirlerine yönelik çalışmalar öne çıkarken, 2000’li yıllarda bilgisayarlı tomografi ve girişimsel radyoloji gibi radyasyona maruziyetin yüksek olduğu modalitelerde bilimsel çalışmaların odaklandığı tespit edilmiştir. 2010 yılından günümüze ise radyasyondan aktif korunma yöntemleri ile ilgili çalışmalar ön plana çıkmaktadır. Tıpta radyasyon güvenliğinde çalışan odaklı yaklaşımdan hasta ve çalışan odaklı yaklaşıma, pasif korunma önlemlerinden pasif ve aktif koruma önlemlerine doğru bir değişim eğilimi görülmektedir. Özellikle girişimsel radyoloji ve bilgisayarlı tomografi gibi alanlarda optimizasyon çalışmaları önem kazanmaktadır. Bu çalışma, sağlık hizmetlerinde radyasyon güvenliği konusundaki bilimsel literatürün bibliyometrik analizi ile alandaki tarihsel gelişimi ve mevcut araştırma eğilimlerini kapsamlı bir şekilde ortaya koymaktadır. Bu analiz, araştırma alanındaki önemli boşlukları ve gelecekte odaklanılması gereken konuları belirleyerek, akademisyenler, politika yapıcılar ve sağlık profesyonelleri için değerli bilgiler sunması yönü ile literatüre katkı sunacağı değerlendirilmektedir.

Kaynakça

  • Adlienė, D., Gilys, L., & Griškonis, E. (2020). Development and characterization of new tungsten and tantalum containing composites for radiation shielding in medicine. Nuclear Instruments and Methods in Physics Research Section B: Beam Interactions with Materials and Atoms, 467, 21-26.
  • Akyüz, S., Uğrak, U., & Çelik, Y. (2021). Evolution of Clinical Practice Guidelines: A Science Mapping Analysis.Turkiye Klinikleri Journal of Health Sciences Journal Identity, 6(2), 350-366.
  • Al Kharji, S., Connell, T., Bernier, M., & Eisenberg, M. J. (2019). Ionizing radiation in interventional cardiology and electrophysiology. Canadian Journal of Cardiology, 35(4), 535-538.
  • Alhasan, A. S., & Aalam, W. A. (2022). Eye lens opacities and cataracts among physicians and healthcare workers occupationally exposed to radiation: A systematic review and meta-analysis. Saudi Medical Journal, 43(7), 665-677.
  • Allison, J., Amako, K., Apostolakis, J., Araujo, H., Dubois, P. A., Asai, M., Barrand, G., Capra, R., Chauvie, S., & Chytracek, R. (2006). Geant4 developments and applications. IEEE Transactions on Nuclear Science, 53(1), 270-278.
  • Allison, J., Amako, K., Apostolakis, J., Arce, P., Asai, M., Aso, T., Bagli, E., Bagulya, A., Banerjee, S., & Barrand, G. (2016). Recent developments in Geant4. Nuclear instruments and methods in physics research section A: Accelerators, Spectrometers, Detectors and Associated Equipment, 835, 186-225.
  • Andreassi, M. G., Cioppa, A., Botto, N., Joksic, G., Manfredi, S., Federici, C., Ostojic, M., Rubino, P., & Picano, E. (2005). Somatic DNA damage in interventional cardiologists: a case‐control study. The FASEB Journal, 19(8), 998-999.
  • Andreassi, M. G., Sagliano, I., Cioppa, A., Manfredi, S., & Picano, E. (2007). Chronic low-dose radiation exposure from interventional cardiology procedures induces chromosomal abnormalities in originally genetically identical twins. International Journal of Cardiology, 118(1), 130-131.
  • Armao, D., & Smith, J. K. (2014). The health risks of ionizing radiation from computed tomography. North Carolina Medical Journal, 75(2), 126-131.
  • Arramraju, S. K., Janapati, R. K., Sanjeeva Kumar, E., & Mandala, G. R. (2020). National interventional council data for the year 2018-India. Indian Heart Journal, 72(5), 351-355.
  • Balter, S., Hopewell, J. W., Miller, D. L., Wagner, L. K., & Zelefsky, M. J. (2010). Fluoroscopically guided interventional procedures: A review of radiation effects on patients’ skin and hair. Radiology, 254(2), 326-341.
  • Bartal, G., Sailer, A. M., & Vano, E. (2018). Should we keep the lead in the aprons? Techniques in Vascular and Interventional Radiology, 21(1), 2-6.
  • Bartal, G., Vano, E., Paulo, G., & Miller, D. L. (2014). Management of patient and staff radiation dose in interventional radiology: current concepts. Cardiovascular and Interventional Radiology, 37, 289-298.
  • Beir, V. (2005). Health risks from exposure to low levels of ionizing radiation. The National Academies Report in Brief. The National Academies Press, 1-406.
  • Bennardo, L., Passante, M., Cameli, N., Cristaudo, A., Patruno, C., Nisticò, S. P., & Silvestri, M. (2021). Skin manifestations after ionizing radiation exposure: A systematic review. Bioengineering, 8(11), 153.
  • Berti, S., Varbella, F., Marchese, A., Pastormerlo, L. E., & Musumeci, G. (2017). Italy: coronary and structural heart interventions from 2010 to 2015. EuroIntervention, 13(Z), Z37-Z41.
  • Blettner, M., Schlehofer, B., Samkange-Zeeb, F., Berg, G., Schlaefer, K., & Schüz, J. (2007). Medical exposure to ionising radiation and the risk of brain tumours: Interphone study group, Germany. European Journal of Cancer, 43(13), 1990-1998.
  • Bolch, W. E., Eckerman, K. F., Sgouros, G., & Thomas, S. R. (2009). MIRD pamphlet No. 21: A generalized schema for radiopharmaceutical dosimetry--standardization of nomenclature. Journal of Nuclear Medicine, 50(3), 477-484.
  • Cardis, E., Vrijheid, M., Blettner, M., Gilbert, E., Hakama, M., Hill, C., Howe, G., Kaldor, J., Muirhead, C. R., Schubauer-Berigan, M., Yoshimura, T., Bermann, F., Cowper, G., Fix, J., Hacker, C., Heinmiller, B., Marshall, M., Thierry-Chef, I., Utterback, D.,…Veress, K. (2005). Risk of cancer after low doses of ionising radiation: retrospective cohort study in 15 countries. Bmj, 331(7508), 77.
  • Cataldo, F., & Prata, M. (2019). New composites for neutron radiation shielding. Journal of Radioanalytical and Nuclear Chemistry, 320(3), 831-839.
  • Ciraj‐Bjelac, O., Rehani, M. M., Sim, K. H., Liew, H. B., Vano, E., & Kleiman, N. J. (2010). Risk for radiation‐induced cataract for staff in interventional cardiology: Is there reason for concern? Catheterization and Cardiovascular Interventions, 76(6), 826-834.
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  • Fukushima, Y., Tsushima, Y., Takei, H., Taketomi-Takahashi, A., Otake, H., & Endo, K. (2012). Diagnostic reference level of computed tomography (CT) in Japan. Radiation Protection Dosimetry, 151(1), 51-57.
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  • Harris, A. M., Loomis, J., Hopkins, M., & Bylund, J. (2019). Assessment of radiation safety knowledge among urology residents in the United States. Journal of Endourology, 33(6), 492-497.
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  • IAEA. (2016). Radiation Protection and Safety in Medical Uses of Ionizing Radiation. International Atomic Energy Agency, DS399.
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  • Martínez, M. A., Cobo, M. J., Herrera, M., & Herrera-Viedma, E. (2015). Analyzing the scientific evolution of social work using science mapping. Research on Social Work Practice, 25(2), 257-277.
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  • Miller, D. L. (2020). Review of air kerma‐area product, effective dose and dose conversion coefficients for non‐cardiac interventional fluoroscopy procedures. Medical physics, 47(3), 975-982.
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EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023)

Yıl 2024, Cilt: 27 Sayı: 3, 459 - 480, 26.09.2024
https://doi.org/10.61859/hacettepesid.1434188

Öz

This study aims to conduct a bibliometric analysis of the publications on radiation safety in healthcare. The data in the study was obtained from the Web of Science, and bibliometric analysis was performed with SciMAT software. To filter the literature from the database, the search criteria “radiation safety,” or “radiation protection” (topic), and “medicine” (search in all fields), and “articles” (document types) were used between 1990 and 2023. Four-thousand-four-hundred-thirty-nine (4439) publications meeting these criteria were found. The most frequent keyword was “radiation safety” (n=1250). The countries with the most publications in the literature were the United States of America (n=1172) and Germany (n=519). Türkiye (n=145) ranked fifteenth. Studies on passive protection in radiation protection came to the fore in the 1990s. Scientific studies focused on high radiation exposure modalities, such as computed tomography and interventional radiology, in the 2000s. Since 2010, studies on active radiation protection have come to the fore. A changing trend can be seen in radiation safety in medicine, from an employee-oriented approach to a patient- and employee-oriented approach and from passive protection to passive and active protection measures. Optimization studies are gaining importance, especially in interventional radiology and computed tomography. This study provides a comprehensive bibliometric analysis of the scientific literature on radiation safety in medicine, revealing the field’s historical development and current research trends. By identifying significant gaps and future focal points in the research area, this analysis offers valuable insights for academics, policymakers, and healthcare professionals, thus contributing significantly to the literature.

Kaynakça

  • Adlienė, D., Gilys, L., & Griškonis, E. (2020). Development and characterization of new tungsten and tantalum containing composites for radiation shielding in medicine. Nuclear Instruments and Methods in Physics Research Section B: Beam Interactions with Materials and Atoms, 467, 21-26.
  • Akyüz, S., Uğrak, U., & Çelik, Y. (2021). Evolution of Clinical Practice Guidelines: A Science Mapping Analysis.Turkiye Klinikleri Journal of Health Sciences Journal Identity, 6(2), 350-366.
  • Al Kharji, S., Connell, T., Bernier, M., & Eisenberg, M. J. (2019). Ionizing radiation in interventional cardiology and electrophysiology. Canadian Journal of Cardiology, 35(4), 535-538.
  • Alhasan, A. S., & Aalam, W. A. (2022). Eye lens opacities and cataracts among physicians and healthcare workers occupationally exposed to radiation: A systematic review and meta-analysis. Saudi Medical Journal, 43(7), 665-677.
  • Allison, J., Amako, K., Apostolakis, J., Araujo, H., Dubois, P. A., Asai, M., Barrand, G., Capra, R., Chauvie, S., & Chytracek, R. (2006). Geant4 developments and applications. IEEE Transactions on Nuclear Science, 53(1), 270-278.
  • Allison, J., Amako, K., Apostolakis, J., Arce, P., Asai, M., Aso, T., Bagli, E., Bagulya, A., Banerjee, S., & Barrand, G. (2016). Recent developments in Geant4. Nuclear instruments and methods in physics research section A: Accelerators, Spectrometers, Detectors and Associated Equipment, 835, 186-225.
  • Andreassi, M. G., Cioppa, A., Botto, N., Joksic, G., Manfredi, S., Federici, C., Ostojic, M., Rubino, P., & Picano, E. (2005). Somatic DNA damage in interventional cardiologists: a case‐control study. The FASEB Journal, 19(8), 998-999.
  • Andreassi, M. G., Sagliano, I., Cioppa, A., Manfredi, S., & Picano, E. (2007). Chronic low-dose radiation exposure from interventional cardiology procedures induces chromosomal abnormalities in originally genetically identical twins. International Journal of Cardiology, 118(1), 130-131.
  • Armao, D., & Smith, J. K. (2014). The health risks of ionizing radiation from computed tomography. North Carolina Medical Journal, 75(2), 126-131.
  • Arramraju, S. K., Janapati, R. K., Sanjeeva Kumar, E., & Mandala, G. R. (2020). National interventional council data for the year 2018-India. Indian Heart Journal, 72(5), 351-355.
  • Balter, S., Hopewell, J. W., Miller, D. L., Wagner, L. K., & Zelefsky, M. J. (2010). Fluoroscopically guided interventional procedures: A review of radiation effects on patients’ skin and hair. Radiology, 254(2), 326-341.
  • Bartal, G., Sailer, A. M., & Vano, E. (2018). Should we keep the lead in the aprons? Techniques in Vascular and Interventional Radiology, 21(1), 2-6.
  • Bartal, G., Vano, E., Paulo, G., & Miller, D. L. (2014). Management of patient and staff radiation dose in interventional radiology: current concepts. Cardiovascular and Interventional Radiology, 37, 289-298.
  • Beir, V. (2005). Health risks from exposure to low levels of ionizing radiation. The National Academies Report in Brief. The National Academies Press, 1-406.
  • Bennardo, L., Passante, M., Cameli, N., Cristaudo, A., Patruno, C., Nisticò, S. P., & Silvestri, M. (2021). Skin manifestations after ionizing radiation exposure: A systematic review. Bioengineering, 8(11), 153.
  • Berti, S., Varbella, F., Marchese, A., Pastormerlo, L. E., & Musumeci, G. (2017). Italy: coronary and structural heart interventions from 2010 to 2015. EuroIntervention, 13(Z), Z37-Z41.
  • Blettner, M., Schlehofer, B., Samkange-Zeeb, F., Berg, G., Schlaefer, K., & Schüz, J. (2007). Medical exposure to ionising radiation and the risk of brain tumours: Interphone study group, Germany. European Journal of Cancer, 43(13), 1990-1998.
  • Bolch, W. E., Eckerman, K. F., Sgouros, G., & Thomas, S. R. (2009). MIRD pamphlet No. 21: A generalized schema for radiopharmaceutical dosimetry--standardization of nomenclature. Journal of Nuclear Medicine, 50(3), 477-484.
  • Cardis, E., Vrijheid, M., Blettner, M., Gilbert, E., Hakama, M., Hill, C., Howe, G., Kaldor, J., Muirhead, C. R., Schubauer-Berigan, M., Yoshimura, T., Bermann, F., Cowper, G., Fix, J., Hacker, C., Heinmiller, B., Marshall, M., Thierry-Chef, I., Utterback, D.,…Veress, K. (2005). Risk of cancer after low doses of ionising radiation: retrospective cohort study in 15 countries. Bmj, 331(7508), 77.
  • Cataldo, F., & Prata, M. (2019). New composites for neutron radiation shielding. Journal of Radioanalytical and Nuclear Chemistry, 320(3), 831-839.
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  • Fiorilli, P. N., Kobayashi, T., Giri, J., & Hirshfeld Jr, J. W. (2020). Strategies for radiation exposure-sparing in fluoroscopically guided invasive cardiovascular procedures. Catheterization and Cardiovascular Interventions, 95(1), 118-127.
  • Fukushima, Y., Tsushima, Y., Takei, H., Taketomi-Takahashi, A., Otake, H., & Endo, K. (2012). Diagnostic reference level of computed tomography (CT) in Japan. Radiation Protection Dosimetry, 151(1), 51-57.
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  • Harris, A. M., Loomis, J., Hopkins, M., & Bylund, J. (2019). Assessment of radiation safety knowledge among urology residents in the United States. Journal of Endourology, 33(6), 492-497.
  • Hinton, J. (2020). Radiation safety in the cath lab: does it still matter? British Cardiovasculer Society, BCS Editorial.
  • IAEA. (2016). Radiation Protection and Safety in Medical Uses of Ionizing Radiation. International Atomic Energy Agency, DS399.
  • IAEA. (2023). Patient radiation exposure monitoring in medical imaging. International Atomic Energy Agency.
  • ICRP. (2007a). Late effects of radiation in normal tissues and organs–threshold doses for tissue reactions in a radiation protection context. Annals of the ICRP Publication, 103.
  • ICRP. (2007b). Radiological Protection in Medicine. ICRP Publication 105. Ann. ICRP, 37 (6). https://journals.sagepub.com/doi/pdf/10.1177/ANIB_37_6#page=3.00
  • JCI. (2021). Joint Commission International accreditation standards for hospitals (159940141X). Retrieved 19.07.2024 from https://store.jointcommissioninternational.org/assets/3/7/ EBJCIH24_Sample_Pages.pdf
  • Kamiya, K., Ozasa, K., Akiba, S., Niwa, O., Kodama, K., Takamura, N., Zaharieva, E. K., Kimura, Y., & Wakeford, R. (2015). Long-term effects of radiation exposure on health. The Lancet, 386(9992), 469-478.
  • Kumar, G., & Rab, S. T. (2016). Radiation safety for the interventional cardiologist–a practical approach to protecting ourselves from the dangers of ionizing radiation. Retrieved 19.07.2024 from https://www.acc. org/latest-in-cardiology/articles/2015/12/31/10/12/radiation-safety-for-theinterventional-cardiologist.
  • Kurutkan, M. N., & Orhan, F. (2018). Sağlık Politikası Konusunun Bilim Haritalama (Science Mapping) Teknikleri ile Analizi. İksad Publishing.
  • Langabeer, J. R., Henry, T. D., Kereiakes, D. J., DelliFraine, J., Emert, J., Wang, Z., Stuart, L., King, R., Segrest, W., & Moyer, P. (2013). Growth in percutaneous coronary intervention capacity relative to population and disease prevalence. Journal of the American Heart Association, 2(6), e000370.
  • Little, M. P. (2009). Cancer and non-cancer effects in Japanese atomic bomb survivors. Journal of Radiological Protection, 29(2A), A43.
  • Martin, C. J., & Sutton, D. G. (2015). Practical radiation protection in healthcare. Oxford University Press, USA.
  • Martínez, M. A., Cobo, M. J., Herrera, M., & Herrera-Viedma, E. (2015). Analyzing the scientific evolution of social work using science mapping. Research on Social Work Practice, 25(2), 257-277.
  • McCollough, C. H. (2010). Diagnostic reference levels. Image Wisely [Internet], 1-6.
  • Mettler, F. A., Upton, A. C., Kelsey, C. A., Ashby, R. N., Rosenberg, R. D., & Linver, M. N. (1996). Benefits versus risks from mammography: A critical reasessment. Cancer: Interdisciplinary International Journal of the American Cancer Society, 77(5), 903-909.
  • Mettler Jr, F. A., Bhargavan, M., Faulkner, K., Gilley, D. B., Gray, J. E., Ibbott, G. S., Lipoti, J. A., Mahesh, M., McCrohan, J. L., & Stabin, M. G. (2009). Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources—1950–2007. Radiology, 253(2), 520-531.
  • Miller, D. L. (2020). Review of air kerma‐area product, effective dose and dose conversion coefficients for non‐cardiac interventional fluoroscopy procedures. Medical physics, 47(3), 975-982.
  • Moore, Q. T. (2021). Validity and reliability of a radiation safety culture survey instrument for radiologic technologists. Radiologic Technology, 92(6), 547-560.
  • Muhlberger, V., Kaltenbach, L., Bates, K., & Ulmer, H. (2020). Cardiac catherization in Austria : Results from the Austrian National Cardiac Catheterization Laboratory Registry (ANCALAR) 2012-2018. Wien Klin Wochenschr, 132(3-4), 79-89.
  • Murgado-Armenteros, E. M., Gutiérrez-Salcedo, M., Torres-Ruiz, F. J., & Cobo, M. J. (2015). Analysing the conceptual evolution of qualitative marketing research through science mapping analysis. Scientometrics, 102(1), 519-557.
  • Neriishi, K., Nakashima, E., Akahoshi, M., Hida, A., Grant, E. J., Masunari, N., Funamoto, S., Minamoto, A., Fujiwara, S., & Shore, R. E. (2012). Radiation dose and cataract surgery incidence in atomic bomb survivors, 1986–2005. Radiology, 265(1), 167-174.
  • Ozasa, K., Takahashi, I., & Grant, E. J. (2016). Radiation-related risks of non-cancer outcomes in the atomic bomb survivors. Annals of the ICRP, 45(1suppl), 253-261.
  • Parks, E. T., & Williamson, G. F. (2002). Digital radiography: An overview. The Journal of Contemporary Dental Practice, 3(4), 23-39.
  • Partap, A., Raghunanan, R., White, K., & Seepaul, T. (2019). Knowledge and practice of radiation safety among health professionals in Trinidad. SAGE Open Medicine, 7, 2050312119848240.
  • Paulo, G., Damilakis, J., Tsapaki, V., Schegerer, A. A., Repussard, J., Jaschke, W., Frija, G., & Clark, E. S. o. R. c. m. o. M. H. J. (2020). Diagnostic Reference Levels based on clinical indications in computed tomography: A literature review. Insights into Imaging, 11, 1-9.
  • Pawel, D. J., & Puskin, J. S. (2012). U.S. Environmental Protection Agency Radiogenic Risk Models and Projections for the U.S. Population. Health Physics, 102(6), 646-656.
  • Picano, E., Vano, E., Rehani, M. M., Cuocolo, A., Mont, L., Bodi, V., Bar, O., Maccia, C., Pierard, L., & Sicari, R. (2014). The appropriate and justified use of medical radiation in cardiovascular imaging: a position document of the ESC Associations of Cardiovascular Imaging, Percutaneous Cardiovascular Interventions and Electrophysiology. European Heart Journal, 35(10), 665-672.
  • Preston, D., Ron, E., Tokuoka, S., Funamoto, S., Nishi, N., Soda, M., Mabuchi, K., & Kodama, K. (2007). Solid cancer incidence in atomic bomb survivors: 1958–1998. Journal of Radiation Research , 168(1), 1-64.
  • Purohit, E., Karimipour, D., & Madder, R. D. (2021). Multiple cutaneous cancers in an interventional cardiologist: Predominance in unprotected skin nearest the radiation source. Cardiovascular Revascularization Medicine, 28, 206-207.
  • Silva, M. D. R. (2015). Ionizing radiation detectors. Evolution of Ionizing Radiation Research, 189-209.
  • Stewart, F., Akleyev, A., Hauer-Jensen, M., Hendry, J., Kleiman, N., & MacVittie, T. (2012). Early and late effects of radiation in normal tissues and organs-threshold doses for tissue reactions in a radiation protection context. ICRP Publication, 118, 322.
  • Sun, Z., AbAziz, A., & Khairuddin Md Yusof, A. (2013). Radiation-induced noncancer risks in interventional cardiology: Optimisation of procedures and staff and patient dose reduction. BioMed research international, 976962, 11.
  • Suzuki, S., Furui, S., Yamakawa, T., Isshiki, T., Watanabe, A., Iino, R., Kidouchi, T., & Nakano, Y. (2009). Radiation exposure to patients' skin during cardiac resynchronization therapy. Europace, 11(12), 1683-1688.
  • TBMM. (2000). Radyasyon Güvenliği Yönetmeliği, Resmî Gazete Sayısı: 23999.
  • Uma Devi, P., Ganasoundari, A., Vrinda, B., Srinivasan, K. K., & Unnikrishnan, M. K. (2000). Radiation protection by the ocimum flavonoids orientin and vicenin: Mechanisms of action. Journal of Radiation Research, 154(4), 455-460.
  • Uthirapathy, I., Dorairaj, P., Ravi, S., & Somasundaram, S. (2022). Knowledge and practice of radiation safety in the Catherization laboratory among Interventional Cardiologists – An online survey. Indian Heart Journal, 74(5), 420-423.
  • Vano, E., Kleiman, N. J., Duran, A., Rehani, M. M., Echeverri, D., & Cabrera, M. (2010). Radiation cataract risk in interventional cardiology personnel. Radiation research, 174(4), 490-495.
  • Vañó, E., Miller, D., Martin, C., Rehani, M., Kang, K., Rosenstein, M., Ortiz-López, P., Mattsson, S., Padovani, R., & Rogers, A. (2017). ICRP publication 135: Diagnostic reference levels in medical imaging. Annals of the ICRP, 46(1), 1-144.
  • Vassileva, J., & Rehani, M. (2015). Diagnostic reference levels. American Journal of Roentgenology, 204(1), W1-W3.
  • Vrinda, B., & Devi, P. U. (2001). Radiation protection of human lymphocyte chromosomes in vitro by orientin and vicenin. Mutation Research/Genetic Toxicology and Environmental Mutagenesis, 498(1-2), 39-46.
  • Warren, S. (1959). Ionizing radiation and medicine. Scientific American, 201(3), 164-179.
  • WHO. (2024). Ionizing radiation and health effects. World Health Organization Fact Sheet. Retrieved 19.07.2024 from https://www.who.int/news-room/fact-sheets/detail/ionizing-radiation-and-health-effects
  • Wilson-Stewart, K. S., Fontanarosa, D., Malacova, E., & Trapp, J. V. (2023). A comparison of patient dose and occupational eye dose to the operator and nursing staff during transcatheter cardiac and endovascular procedures. Scientific Reports, 13(1), 2391.
Toplam 80 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hasta Güvenliği, Hastane İşletmeciliği
Bölüm Makaleler
Yazarlar

Ugur Ugrak 0000-0002-6043-835X

Selahattin Akyüz 0000-0002-4591-5461

Yayımlanma Tarihi 26 Eylül 2024
Gönderilme Tarihi 8 Şubat 2024
Kabul Tarihi 10 Eylül 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 27 Sayı: 3

Kaynak Göster

APA Ugrak, U., & Akyüz, S. (2024). EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023). Hacettepe Sağlık İdaresi Dergisi, 27(3), 459-480. https://doi.org/10.61859/hacettepesid.1434188
AMA Ugrak U, Akyüz S. EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023). HSİD. Eylül 2024;27(3):459-480. doi:10.61859/hacettepesid.1434188
Chicago Ugrak, Ugur, ve Selahattin Akyüz. “EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023)”. Hacettepe Sağlık İdaresi Dergisi 27, sy. 3 (Eylül 2024): 459-80. https://doi.org/10.61859/hacettepesid.1434188.
EndNote Ugrak U, Akyüz S (01 Eylül 2024) EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023). Hacettepe Sağlık İdaresi Dergisi 27 3 459–480.
IEEE U. Ugrak ve S. Akyüz, “EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023)”, HSİD, c. 27, sy. 3, ss. 459–480, 2024, doi: 10.61859/hacettepesid.1434188.
ISNAD Ugrak, Ugur - Akyüz, Selahattin. “EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023)”. Hacettepe Sağlık İdaresi Dergisi 27/3 (Eylül 2024), 459-480. https://doi.org/10.61859/hacettepesid.1434188.
JAMA Ugrak U, Akyüz S. EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023). HSİD. 2024;27:459–480.
MLA Ugrak, Ugur ve Selahattin Akyüz. “EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023)”. Hacettepe Sağlık İdaresi Dergisi, c. 27, sy. 3, 2024, ss. 459-80, doi:10.61859/hacettepesid.1434188.
Vancouver Ugrak U, Akyüz S. EVOLUTION OF RADIATION SAFETY IN MEDICINE: A BIBLIOMETRIC INSIGHT INTO RESEARCH TRENDS (1990-2023). HSİD. 2024;27(3):459-80.