[Radiation exposure of staff during endovascular brachytherapy with Re-188 after PTA in the peripheral blood stream]. / Strahlenexposition des Personals bei der endovaskulären Brachytherapie (EVBT) mit Re-188 nach PTA im peripheren Stromgebiet.

Endovascular brachytherapy using a balloon catheter filled with Re-188 solution is a promising method for the prophylaxis of restenosis in peripheral blood circulation after percutaneous transluminal angioplasty (PTA) treatments. Thereby about 20 GBq Re-188 with a specific activity of about 5 GBq/ml are used. The high ionisation density of the beta radiation with high energy leads to selective irradiation of the blood vessel wall near the catheter, whereas the surrounding tissue remains almost unaffected. However the hospital staff has to carry out some work steps within close range to the high activity during preparation and therapy, causing a high risk of skin exposure, in particular at the hands. Estimations and measurements of the maximal local skin dose were made with thin-layered thermoluminescence dosimeters. It was assessed that the annual dose limit for skin of 500 mSv may be exceeded considerably when using conventional procedures and considering the expected number of 75 treatments per annum. By using the newly developed rhenium-188 application device "FlowMedical Application System" the exposure risk for the staff could be reduced drastically. The maximum skin dose of 76 mSv for the radiologist and of 50 mSv for the physicist was decreased to 2 mSv per treatment for both of them. Consequently, from the radiation protection point of view, the itm Rhenium-PTA is a safe method. Any exceeding of the dose limit can be prevented.

Scale-dependence of land use effects on water quality of streams in agricultural catchments.

The influence of land use on water quality in streams is scale-dependent and varies in time and space. In this study, land cover patterns and stocking rates were used as measures of agricultural development in two pasture and one native grassland catchment in New Zealand and were related to water quality in streams of various orders. The amount of pasture per subcatchment correlated well to total nitrogen and nitrate in one catchment and turbidity and total phosphorous in the other catchment. Stocking rates were only correlated to total phosphorous in one pasture catchment but showed stronger correlations to ammonium, total phosphorous and total nitrogen in the other pasture catchment. Winter and spring floods were significant sources of nutrients and faecal coliforms from one of the pasture catchments into a wetland complex. Nutrient and faecal coliform concentrations were better predicted by pastural land cover in fourth-order than in second-order streams. This suggests that upstream land use is more influential in larger streams, while local land use and other factors may be more important in smaller streams. These temporal and spatial scale effects indicate that water-monitoring schemes need to be scale-sensitive.