PubMed · 11155843
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J J Caro. 2000. Introduction: practice guidelines. Helpful aids or paradigm shift?. https://doi.org/10.1017/s0266462300103022
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The increasing number of industrial radiographers and their considerable occupational exposure has been one of the main concerns of the Iran Nuclear Regulatory Authority (INRA) in recent years. In 2002, a quantitative system of evaluating the safety performance of licensees and a complementary enforcement system was introduced by the National Radiation Protection Department (NRPD). Each parameter of the practice is given a weighting factor according to its importance to safety. Assessment of the licensees is done quantitatively by summing up their scores using prepared tables. Implementing this system of evaluation showed a considerable decrease in deficiencies in the various centres. Tables are updated regularly as a result of findings during the inspections. This system is used in addition to enforcement to promote safety performance and to increase the culture of safety in industrial radiography.
GPs and family physicians will play the key role not only in prevention and treatment but in providing information about influenza and the merits of vaccination. It is thus vital to incorporate their expertise and experience into national planning efforts--at every stage of the plan from its inception to its implementation. The current low levels of even the annual flu inoculations suggest that governments must get GP "buy-in" if even the basic vaccination recommendations are to be respected. From the frontline of disease control their concerns about distribution of medicines and the inadequate stocks of anti-virals and vaccines must be taken on board. Without this necessary buy-in doctors may find it difficult to balance their Hippocratic oath to treat all equally with the political necessity of treatment prioritisation.