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Needs of the patient undergoing radioiodine therapy
PAVLOVIČOVÁ, Adéla
The aim of this bachelor thesis was to map the needs of patients who are treated by radioiodine therapy. Two research questions were chosenin connection with the main objective of the thesis. The research questions are: "What are the specifics of the biological needs of patients undergoing radioiodine treatment?" and "What are the specifics of the psycho-social needs of patients undergoing radioiodine treatment?" The empirical part of the bachelor thesis was elaborated by method of qualitative research. The research itself was conducted in the form of semi-structured interview. Each interview consisted of 19 pre-repaired questions, which were supplemented by additional sub-questions, if it was possible. The interviews took place in the private environment of the Department of Nuclear Medicine and Endocrinology. There were also made the audio recording of this interviews, based on the consent of all interviews. The recordings were rewritten and processed by using the open-coding method - ,,pencil-paper'' technique. There were 8 informants aged 19-72 years, in the research group. The results of the research are presented in the form of three categories and two of them are also divided into subcategories. The subcategories are shown schematically, because of the clarity. These thematically selected categories represent answers of the previously mentioned research questions of this bachelor thesis. The results of the research allow a complex view of the period before, after and also application the radioiodine. These results can be used like educational material for nurses who take care of patients with thyroid disease, or as s source of information for patients waiting for this treatment.
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The role of radiologist assistant in radioiodine diagnostics and treatment of thyroid cancer
Hrbek, Jaroslav ; Táborská, Kateřina (referee) ; Vlček, Petr (advisor)
The bachelors thesis on the task of a radiological assistant during radioiodine diagnostics and treatment of thyroid gland carcinomas deals with the issue of thyroid gland carcinomas in the Czech Republic. It contains a brief overview of the types of carcinomas that affect the thyroid gland, their classification, diagnostics and therapy, concentrating on utilisation of modern examination methods and therapeutic practices, including among others application of radioiodine. The thesis also contains cases of four patients with similar diagnoses, the comparison of the development of whose respective illnesses I found interesting. Last but not least, the thesis includes a number of annexes comprising among others tables with important instructions for patients before and after application of radioiodine, and photographs from the site where the radioiodine application takes place Powered by TCPDF (www.tcpdf.org)
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The Dependency of the Volume Activity of I-131 in a Hospital Sewage Treatment Plant on the Amount of I-131 Used as a Medical Treatment in the Nuclear Medicine Ward
KAMPELSHEIMEROVÁ, Šárka
The subject of the work is radiation protection at a nuclear medicine workplace with a bed section in connection with the therapy of thyroid gland diseases using radioisotope 131I. In the theoretical part, the work briefly deals with the anatomy and pathology of the thyroid gland and ways of therapy, and outlines the basic characteristics of radioisotope 131I and history of nuclear medicine and radiation protection. In the practical part, there is a verification of the efficiency of radiation protection when handling liquid waste and a verification of the correlation of the activity of liquid waste with the activity of radiopharmaceutical administered. The malignant tumours of the thyroid gland constitute 0,5?1 % of all tumoral diseases. Some types of this tumour, which are histologically differentiated, retain the capability of extracting iodine from blood and are thus suitable for being treated using iodine radioisitope. That's why these types of tumour are treated most frequently at nuclear medicine departments. The basis of therapy is the surgical removal of tumoral tissue, usually of the whole thyroid gland, and administration of radioisotope 131I. When treating the thyroid gland, the patient is always hospitalized at a nuclear medicine department with a bed section. Radioisotope 131I is mixed ? and ? emitter and after being administred to a patient, it is the source of radiation danger for hospital personnel, possibly for others individuals. At the same time it is excreted from the organism by urine, stool and sweat. On that score due attention must be paid to safety measures. In view of the magnitude of this problem and the emphasis that is currently laid to protection against ionizing radiation, I chose this issue as a subject of my bachelor's work. The goal of the practical part of the work was to verify whether the limits set by Decree No. 307/2002 Coll., as amended by Decree No. 499/2005 Coll. on radiation protection were observed under the current system of handling liquid waste in the bed section of the Nuclear Medicine Department of the České Budějovice Hospital. Two hypotheses were set: Operation regulations and current programme equipment of the technical installations for the automatic draining of waste water from the bed section of the Nuclear Medicine Department are sufficient for the limits set by Decree not being exceeded; the other hypothesis assumes that the values of the volume activity of waste water in the drainage tank of the hospital's sewage plant conform to the activity of a radiopharmaceutical administered to patients treated at the Nuclear Medicine Department of the České Budějovice Hospital. For the purposes of this work, the activity of waste in the drainage tank of the hospital's sewage plant was measured with a well detector once a week for a period of two month to verify that the activity does not exceed a release level of 455 Bql-1 set in an addendum to Decree No. 307/2002 Coll. It was ascertained by measuring that the average activity of waste in the watched period was 279,8 Bql-1, the highest activity measured on March 18, 2013 being 373 Bql-1. In the watched period, the release activity set by the law was not exceeded in any week. At the same time, the correlation of the values of radioactivity administered with the radioactivity of waste water was proved. Consequently, both hypotheses of the work were proved. The work proved that the limits set by Decree No. 307/2002 Coll., as amended by Decree No. 499/2005 Coll. on radiation protection, were observed under the current system of handling liquid waste in the bed section of the Nuclear Medicine Department of the České Budějovice Hospital.
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Comparison of the gaseous and liquid releases of the Czech and world nuclear power plants
DOBEŠ, Petr
In this work, which deals with problematics of releases from nuclear power plants, I tried to make an overview of various types of nuclear power plants and radioizotopes which are released through liquid and gasseous effluents. As a part of this comparison evaluation of czech and world nuclear power plants gaseous and liquid releases was made. Introductory part of this work contains information about different types of nuclear power plants and radioizotopes, which are produced in their reactors. It continues with today{\crq}s legislative and information about releasing levels and methods and systems used for measurement of radioactive gaseous and liquid effluents from nuclear power plants. Second part of this work describes the aim of this work and hypothesis. Third part explains the methods, which were used for completing of this work. Fourth part contains results in the form of tables and graphs. Fifth part represents discussion of the results. Last part is a summarization of the results.
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The time slope of radioiodine retention in patients a few days after 131I curative dose administration
MACHÁČKOVÁ, Věra
After comparison diagnostic half time and therapeutic half time was found out bigger diference then established variation. It leads to result that therapeutic half time and indirect radioiodine retention too is depending on applicated activity. According the measurement I can establish the date of dismission in patients with benign thyroid gland disease on the second day (at lower therapeutic activity) and the tenth day (at higher therapeutic activity) after administration therapeutic dose. In patients with malign thyroid gland disease the date of dismission can be established on the third day (at lower therapeutic activity) and the fifth day (at higher therapeutic activity) after administration therapeutic dose.
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Use of methods nuclear medicine in endocrinology
PEŠTÁLOVÁ, Petra
The contemporary situation of the nuclear medicine is desrcibed and its head using in heamadenology is hit in my diploma thesis. The most important points of anatomy and physiology concerning endocrines are revised in brief in the begining of my thesis. The next part is devoted to the possibilities of nuclear medicine in thyroid gland diagnosis. In the following part the possibilities of adrenal cortex and adrenal medulla investigation are presented. The entire part of nuclear medicine and its using in heamadenology is the open emmiters therapy. Therefore the last part of my thesis is dedicated to thyroid gland tumour therapy per radioactive iodine.Thyroid gland carcinoma can recur after many years. Therefore all the patients having this diagnosis are observed for life. Some nuclear medicine methods also serve for it.
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