By International Atomic Energy Agency
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Extra resources for Accidental Overexposure of Radiotherapy Patients in San Jose, Costa Rica
Jr. , Institut de protection et de sûreté nucléaire, Fontenay-aux-Roses, France; Ortiz López, P. , Universidad de Costa Rica, Defensoría de los Habitantes, Servicio de Oncología, Hospital México, San José, Costa Rica. 3. C. M. B. Ramírez, San Juan de Dios Hospital. The members of the Defensoría de los Habitantes who assisted in terms of logistics throughout the Expert Team’s work were: S. Piszk, Defensora de los 27 Habitantes; L. J. Valerio, Quality of Life Department; J. Tischler Fuchs, Universidad de Costa Rica; L.
Larger fraction sizes weigh more heavily in the incidence of chronic effects than of acute effects. The incidence of complications is also directly dependent on the volume treated. Large treatment fields were often used for these patients. Some examples of the patients examined with these complications included: (1) 52 Patient No. 83, who had received a total dose of 72 Gy (AP/PA) to the bowel in 25 fractions and 12 Gy from lateral fields in five fractions. The patient had TABLE III. 1 (page 321) of Ref.
In addition, some had partially lost confidence in certain of their physicians. This was apparently quite physician specific and can be explained by the fact that when the patients had initially complained of severe side effects during the treatments, they felt that they had been either ignored or taken too lightly. The Expert Team was impressed by the attitudes and activities of the relatives of many of the patients. Many were obviously very concerned and had spent a great deal of time and energy dealing with the problems directly related to the accident.