JOURNAL DESCRIPTION
The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
Members of the editorial board are scientists specializing in the field of radiation biology and medicine, radiation protection, radiation epidemiology, radiation oncology, radiation diagnostics and therapy, nuclear medicine and medical physics. The editorial board consists of academicians (members of the Russian Academy of Science (RAS)), the full member of Academy of Medical Sciences of the Republic of Armenia, corresponding members of the RAS, Doctors of Medicine, professor, candidates and doctors of biological, physical mathematics and engineering sciences. The editorial board is constantly replenished by experts who work in the CIS and foreign countries.
Six issues of the journal are published per year, the volume is 13.5 conventional printed sheets, 88 printer’s sheets, 1.000 copies. The journal has an identical full-text electronic version, which, simultaneously with the printed version and color drawings, is posted on the sites of the Scientific Electronic Library (SEL) and the journal's website. The journal is distributed through the Rospechat Agency under the contract № 7407 of June 16, 2006, through individual buyers and commercial structures. The publication of articles is free.
The journal is included in the List of Russian Reviewed Scientific Journals of the Higher Attestation Commission. Since 2008 the journal has been available on the Internet and indexed in the RISC database which is placed on Web of Science. Since February 2nd, 2018, the journal "Medical Radiology and Radiation Safety" has been indexed in the SCOPUS abstract and citation database.
Brief electronic versions of the Journal have been publicly available since 2005 on the website of the Medical Radiology and Radiation Safety Journal: http://www.medradiol.ru. Since 2011, all issues of the journal as a whole are publicly available, and since 2016 - full-text versions of scientific articles. Since 2005, subscribers can purchase full versions of other articles of any issue only through the National Electronic Library. The editor of the Medical Radiology and Radiation Safety Journal in accordance with the National Electronic Library agreement has been providing the Library with all its production since 2005 until now.
The main working language of the journal is Russian, an additional language is English, which is used to write titles of articles, information about authors, annotations, key words, a list of literature.
Since 2017 the journal Medical Radiology and Radiation Safety has switched to digital identification of publications, assigning to each article the identifier of the digital object (DOI), which greatly accelerated the search for the location of the article on the Internet. In future it is planned to publish the English-language version of the journal Medical Radiology and Radiation Safety for its development. In order to obtain information about the publication activity of the journal in March 2015, a counter of readers' references to the materials posted on the site from 2005 to the present which is placed on the journal's website. During 2015 - 2016 years on average there were no more than 100-170 handlings per day. Publication of a number of articles, as well as electronic versions of profile monographs and collections in the public domain, dramatically increased the number of handlings to the journal's website to 500 - 800 per day, and the total number of visits to the site at the end of 2017 was more than 230.000.
The two-year impact factor of RISC, according to data for 2017, was 0.439, taking into account citation from all sources - 0.570, and the five-year impact factor of RISC - 0.352.
Medical Radiology and Radiation Safety. 2021. Vol. 66. № 3. P. 13–18
N.A. Metlyaeva, M.A. Lartsev, A.Yu. Bushmanov, I.А.Galstyan, M.Yu. Sukhova,
L.A. Ryabinina, E.S. Skorobogatykh, A.P. Kirilchev, O.V. Shcherbatykh, F.S. Torubarov
Psychophysiological Aspects in the Clinical Picture of Disease in Patients
Who Received Local Radiation Injury
AI Burnasyan Federal Medical Biophysical Center, Moscow, Russia
Contact person: Nelli Andreevna Metlyaeva: This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract
Purpose: To evaluate in dynamics the psychophysiological adaptation of a patient who received local radiation damage to the tissues of the left half of the chest IV (extremely severe) severity (23 years of observation).
Material and methods: Patient KTS, 66 years old, as the main diagnosis are the effects of local radiation damage to the skin and underlying tissues of the left half of the chest from external radiation (about 3 % of body surface area) IV extremely severe. Before receiving a radiation injury, she was able-bodied and socially adapted, worked as a nurse. In 1996, she was diagnosed with stage I left breast cancer T1N0M0 stage I, in connection with which she underwent a sectoral resection of the mammary gland. Then the patient underwent a course of radiation therapy. By retrospective assessment, the total dose of therapeutic effect before the incident was 10 Gy. At the time of the next session of radiation therapy in connection with the breakdown of the apparatus, a sharp uncontrolled increase in the dose of ionizing radiation (more than 100 Gy) occurred, causing serious injury. The patient was admitted to the Institute of Biophysics Сlinic on the 5th day. Psychophysiological research was carried out with the use of automated software and methodic complex «Expert», designed to study the personal characteristics of a person, cognitive and intellectual personality characteristics in 2001 – 2017 years.
Results: The effects of local radiation damage to the skin and underlying tissues of the left half of the chest from external irradiation of IV (extremely severe) degree in the form of cicatricial-atrophic changes of the soft tissues, with no bone skeleton remain. Disorders of mental adaptation are expressed in the form of senesto-hypochondria disorders, autism of perception, demonstrativeness, apathetic depression and introversion. The most profound contribution to the reduction of the adaptation of the victim is brought about by the features of deep internal disharmony caused by contradictory combinations of demonstrativeness, schizoid traits, anxious depression and affective rigidity.
Conclusion: The data obtained indicate that impaired mental adaptation is an integral part of the clinical picture of local radiation injuries, and reveal the urgent need not only of specific treatment of radiation injury, but also of psychotropic pharmacotherapy and psychotherapy.
Key words: local radiation injury, psychophysiological examination, infringement of mental adaptation
For citation: Metlyaeva NA, Lartsev MA, Bushmanov AYu, Galstyan IА, Sukhova MYu, Ryabinina LA, Skorobogatykh ES, Kirilchev AP, Shcherbatykh OV, Torubarov FS. Psychophysiological Aspects in the Clinical Picture of Disease in Patients Who Received Local Radiation Injury. Medical Radiology and Radiation Safety. 2021;66(3):13-18.
DOI: 10.12737/1024-6177-2021-66-3-13-18
References
- Barabanova AV, Baranov EA, Bushmanov AYu, Guskova AK. Radiation Damage to Humans. Moscow, Slovo Publ., 2007. 296 p (In Russian).
- Berezin FB, Miroshnikov MP, Sokolova ED. Methods of Multilateral Research of Personality. Structure, Basics of Interpretation, Some Applications. Moscow Publ., 1999. 175 p. (In Russian).
- Kolodzin B. How to Live After a Mental Injury. Moscow, Shans Publ., 1992. 92 p. (In Russian).
- Lazarus R. Theory of Stress and Psycho-Physiological Research. Emotional Stress. Trans. from English. Moscow Publ., 1970. 178-208 p. (In Russian).
- Lartsev MA., Bagdasarova MG., Koloshuk OP. Psychophysiological Support for Emergency Response Participants: a Practical Guide. Moscow, VTSMK Zachshita Publ., 2005. 212 p. (In Russian).
- Lieberman AN. Radiation and Stress. Socio-Psychological Consequences of the Chernobyl Accident. St. Petersburg Publ., 2002. 215 p. (In Russian).
- Metlyaeva MA. Evoluation of the Effectiveness of Psychological Adaptation to the Social Environment of Patients with Acute Radiation Sickness and Participants in the Liquidation of the Chernobyl Accident. Medical Radiology and Radiation Safety. 2009;54(5):36-42 (In Russian).
- Nadezhina NM., Sachkov AV., Filin SV et al. Diagnostics, Treatment and Prediction of Local Radiation Injuries in Victims of Radiation Accidents. Modern Aspects of the Organization, Diagnosis and Treatment of Surgical Patients. Materials of Proceedings of the Scientific Conference of Surgeons of the Federal Administration "Medbioextrem", September 27-29, 2000. Moscow Publ., 2000. P. 95-98 (In Russian).
- Narkevich BYa, Kostylyov VA, Levchuk AV, et al. Radiation Safety in Medical Radiology. Part 2. Ensuring the Radiation Safety of Patients. Clinical Medicine. 2009;54(3):46-58 (In Russian).
- Bromet EJ, Parkinson DK, Dunn LO. Long-term mental health consequences of the accident at Three Mile Island. Intern. J. Mental Health. 1990;19(2):48-60.
- Metlyaeva NA, Bushmanov AYu, Krasnyuk VI, et al. Psychophysiological Adaptation of Patients with Local Radiation Injuries Depending on the Presence or Absence of an Established Connection with an Accident at Work in Connection with a Radiation Accident or Incident. Medical Radiology and Radiation Safety. 2018;63(5):11-18. DOI: 10.12737/article_5bc895f377f578.86526226 (In Russian)
PDF (RUS) Full-text article (in Russian)
Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 18.11.2020.
Accepted for publication: 21.02.2021.