Tools for harmonized data collection at exposure situations with naturally occurring radioactive materials (NORM).

Naturally occurring radioactive materials (NORM) contribute to the dose arising from radiation exposure for workers, public and non-human biota in different working and environmental conditions. Within the EURATOM Horizon 2020 RadoNorm project, work is ongoing to identify NORM exposure situations and scenarios in European countries and to collect qualitative and quantitative data of relevance for radiation protection. The data obtained will contribute to improved understanding of the extent of activities involving NORM, radionuclide behaviours and the associated radiation exposure, and will provide an insight into related scientific, practical and regulatory challenges. The development of a tiered methodology for identification of NORM exposure situations and complementary tools to support uniform data collection were the first activities in the mentioned project NORM work. While NORM identification methodology is given in Michalik et al., 2023, in this paper, the main details of tools for NORM data collection are presented and they are made publicly available. The tools are a series of NORM registers in Microsoft Excel form, that have been comprehensively designed to help (a) identify the main NORM issues of radiation protection concern at given exposure situations, (b) gain an overview of materials involved (i.e., raw materials, products, by-products, residues, effluents), c) collect qualitative and quantitative data on NORM, and (d) characterise multiple hazards exposure scenarios and make further steps towards development of an integrated risk and exposure dose assessment for workers, public and non-human biota. Furthermore, the NORM registers ensure standardised and unified characterisation of NORM situations in a manner that supports and complements the effective management and regulatory control of NORM processes, products and wastes, and related exposures to natural radiation worldwide.

A methodology for the systematic identification of naturally occurring radioactive materials (NORM).

Naturally occurring radioactive materials (NORM) are present worldwide and under certain circumstances (e.g., human activities) may give radiation exposure to workers, local public or occasional visitors and non-human biota (NHB) of the surrounding ecosystems. This may occur during planned or existing exposure situations which, under current radiation protection standards, require identification, management, and regulatory control as for other practices associated with man-made radionuclides that may result in the exposure of people and NHB. However, knowledge gaps exist with respect to the extent of global and European NORM exposure situations and their exposure scenario characteristics, including information on the presence of other physical hazards, such as chemical and biological ones. One of the main reasons for this is the wide variety of industries, practices and situations that may utilise NORM. Additionally, the lack of a comprehensive methodology for identification of NORM exposure situations and the absence of tools to support a systematic characterisation and data collection at identified sites may also lead to a gap in knowledge. Within the EURATOM Horizon 2020 RadoNorm project, a methodology for systematic NORM exposure identification has been developed. The methodology, containing consecutive tiers, comprehensively covers situations where NORM may occur (i.e., minerals and raw materials deposits, industrial activities, industrial products and residues and their applications, waste, legacies), and thus, allows detailed investigation and complete identification of situations where NORM may present a radiation protection concern in a country. Details of the tiered methodology, with practical examples on harmonised data collection using a variety of existing sources of information to establish NORM inventories, are presented in this paper. This methodology is flexible and thus applicable to a diversity of situations. It is intended to be used to make NORM inventory starting from the scratch, however it can be used also to systematise and complete existing data.

Prevalencia de alteraciones del estado de ánimo en las mujeres puérperas / Prevalence of mood disorders in postpartum women

OBJETIVO: conocer la prevalencia de alteraciones del estado de ánimo en las mujeres puérperas. METODOLOGÍA: estudio descriptivo transversal, cuyo ámbito de estudio fue los centros de Atención Primaria de Madrid Sureste. La población de estudio incluyó a toda mujer puérpera que acudió a la visita postparto o grupos postparto desde octubre de 2012 hasta febrero de 2013 y que cumpliese los criterios de inclusión, cumplimentando un registro de recogida de datos que incluía, además de una serie de variables sociodemográficas y clínicas, las escalas de Golberg y de Edimburgo para evaluar depresión y ansiedad. RESULTADOS: se recopiló información de 120 mujeres. El 80% eran españolas, con una edad media de 32 años (DE: 5,64), primíparas que en la gran mayoría ha sido embarazo deseado y tienen pareja estable, con un nivel medio educativo y económico. Con respecto a su situación social, en el 60% de los casos presentaron un nivel de estudios superiores y una situación económica con nivel medio el 85%. El 81% de las mujeres contaba con apoyo familiar para la crianza del recién nacido y un 80% vivía en el domicilio con su pareja. El 90% no presenta ninguna patología psiquiátrica a lo largo de su vida, alcanzando una prevalencia del 45% de ansiedad y un 27% de depresión postparto. CONCLUSIONES: el puerperio es un periodo de cambios y adaptación al nuevo rol maternal, en el cual se debe proporcionar un apoyo adecuado por parte de los profesionales de salud para la identificación de síntomas de manera temprana y poder llevar a cabo un tratamiento para prevenir situaciones graves además de favorecer los grupos postparto

OBJECTIVE: to understand the prevalence of mood disorders in postpartum women. METHODOLOGY: a transversal descriptive study, in the setting of Primary Care Centres in South-East Madrid. the study population included all women who attended their post-partum visit or post-partum groups from October, 2012 to February, 2013, and who met the inclusion criteria, by completing a data collection record which included, as well as a series of sociodemographical and clinical variables, the Goldberg and Edinburgh Scales to assess depression and anxiety. RESULTS: information was collected for 120 women; 80% were Spanish, with a mean age of 32-years (SD: 5.64), first-time mothers who in the majority of cases had wanted to become pregnant and had a stable partner, with a medium level of education and income. Regarding their social situation, in 60% of cases they presented a high level of education, and a medium level of income in 85% of cases. An 81% of women had family support for raising the newborn, and 80% lived at home with their partner. A 90% did no present any psychiatric condition throughout their lives, reaching a 45% prevalence of anxiety and a 27% of postpartum depression. CONCLUSIONS: the postpartum period is a time of changes and adaptation to the new role as a mother, where adequate support must be provided by health professionals for an early detection of symptoms, allowing treatment initiation in order to prevent severe situations; postpartum groups should also be encouraged