PubMed · 15694953
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Phil Mackie, Fiona Sim. 2005. Future imperfect.. https://doi.org/10.1016/j.puhe.2004.10.006
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BACKGROUND: International collaboration could facilitate systematic development of guidelines to regulate and improve clinical practice. To promote European collaboration in guideline development in reproductive medicine, insight into existing subfertility guidelines in Europe is essential. The study aim was to explore the number and quality of clinical practice guidelines on homologous intrauterine insemination (IUI) in Europe. METHODS: To identify IUI guidelines in Europe, electronic databases and Internet were systematically searched and key experts on assisted reproduction in 25 European countries were questioned. The quality of IUI guidelines was systematically assessed with the internationally validated Appraisal of Guidelines for Research and Evaluation (AGREE) Instrument. Qualitative methods were used to appraise IUI guideline recommendations and references. RESULTS: National guidelines on IUI are available in four of 25 European countries. The quality of IUI guidelines in Europe is moderate to high, but the recommendations and references differ considerably. CONCLUSIONS: The number of IUI guidelines in Europe is surprisingly small, and differences in their recommendations and references are considerable. To overcome these deficiencies in clinical guidance on IUI care in Europe, a central body with expertise in up-to-date guideline development methodology and sufficient resources could be established in Europe for central selection and international exchange of evidence to support guideline recommendations.
Among the activities of EURADOS Working Group 2 formed by experts from several European countries is the harmonisation of individual monitoring as part of radiation protection of occupationally exposed persons. Here, we provide information about thermoluminescent detectors (TLDs) applied by the European dosimetric services and the dosimetric characteristics of dosemeters in which these detectors are applied. Among 91 services from 29 countries which responded to the EURADOS questionnaire, 61 apply dosemeters with TLDs for the determination of personal dose equivalent H(p)(10) for photons and beta radiation, and 16 services use TLDs for neutron albedo dosemeters. Those most frequently used are standard lithium fluoride TLDs (mainly TLD-100, TLD-700, Polish MTS-N and MTS-7, Russian DTG-4), high-sensitive lithium fluoride (GR-200, MCP-N) and lithium borate TLDs. Some services use calcium sulphate and calcium fluoride detectors. For neutron dosimetry, most services apply pairs of LiF:Mg,Ti TLDs with (6)Li and (7)Li. The characteristics (energy response) of individual dosemeters are mainly related to the energy response of the detectors and filters applied. The construction of filters in dosemeters applied for measurements of H(p)(10) and their energy response are also reviewed.