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. 2019. Vol. 64. No. 1. P. 31–37

DIAGNOSTIC RADIOLOGY

DOI: 10.12737/article_5c55fc2cb98140.01495008

N.S. Vorotyntseva, V.V. Orlova

Radiation Examination of Newborns with General Therapeutic Hypothermia

Kursk State Medical University, Kursk Regional Perinatal Center, Kursk, Russia. E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

N.S. Vorotyntseva – Head of Dep., Dr. Sci. Med., Prof.;
V.V. Orlova – Junior Researcher

Abstract

Purpose: Revealing the features of the parenchymal organs of newborns subjected to general non-invasive therapeutic hypothermia (GNTН) and the development of radiation monitoring for such patients.

Material and methods: Under our supervision were 69 children with a severe degree of perinatal asphyxia, born from January 2014 to April 2018 in the Kursk Regional Perinatal Center. In the first hours of life, 50 patients were initiated GNTH, expressed in a decrease in body temperature to 34 °C in the rectum. Hypothermia was not performed 19 newborns for objective reasons. All children underwent radiation examination, including ultrasound of the brain, heart and internal organs, chest x-ray.

Results and discussion: The study revealed a high neuroprotective effect (assessed by ultrasound) of general non-invasive therapeutic hypothermia, depending on the Apgar score at the 5th minute of life: 66.7 % of children had a normal ultrasound pattern of the brain with the 21st day ≥4 points and received GNTH, 50 % of children ≤ 3 points after therapeutic hypothermia and 36.8 % of newborns without GNTH (p ≤ 0.001). The complex 5-step radiation monitoring, which included chest x-ray, ultrasound of the brain, heart and internal organs (liver, pancreas, spleen, kidneys, adrenals), revealed the features of neonatal period in children in the background GNTH: increased risk of development of parenchymal hemorrhages on the 3rd day and postnatal pneumonia on the 7th day of life.

Conclusion: A complex stage radiological examination of newborns in need of GNTH is the key to timely effective diagnosis, prevention and treatment of severe pathological conditions of the neonatal period.

Key words: newborns, asphyxia of severe degree, general therapeutic hypothermia, radiation monitoring

REFERENCES

1. Medico-Demographic Indicators of the Russian Federation in 2014. Moscow. 2015. 186 p. (Russian).

2. Baranov AA, Ilyin AG, Konova SR, Antonova EV. Ways to improve the quality and accessibility of medical care for children in primary care. Questions of Modern Pediatrics. 2009;4(8):5-8. (Russian).

3. Jacobs SE, Morley CJ, Inder TE, et al. Infant Cooling Evaluation Collaboration. Whole-body hypothermia for term and near-term newborns with hypoxic-ischemic encephalopathy: a randomized controlled trial. Arch Pediatr Adolesc Med. 2011;165(8):692-700.

4. TOBY Protocol and Handbook. 2009. Available at: https: www.npeu.ox.ac.uk./tobyregister/docs. (accessed 25 October 2015).

5. Robertson NJ, Nakakeeto M, Hagmann С, et al. Therapeutic hypothermia for birth asphyxia in low-resource settings: a pilot randomised controlled trial. Lancet. 2008;372(9641):801-3.

6. Shah P, Riphagen S, Beyene J, Perlman M. Multiorgan dys­func­tion in infants with post-asphyxial hypoxic-ishaemic ence­phalopathy. Arch Dis Child Fetal Neonatal Ed. 2004;89:152-5.

7. Ionov OV. The protocol of medical hypothermia of children born in asphyxia. Neonatology. 2014;2:43-5. (Russian).

8. Edwards AD, Brocklehurst P, Gunn AJ, et al. Neurological outcomes at 18 months of age after moderate hypothermia for perinatal hypoxic ischemic encephalopathy: synthesis and meta-analysis of trial data. BMJ. 2010;9:340-63.

9. Grigoryev EV, Shukevich DL, Plotnikov GP, Tikhonov NS. Therapeutic hypothermia: possibilities and prospects. Clinical Medicine. 2014;9:9-16. (Russian).

For citation: Vorotyntseva NS, Orlova VV. Radiation Examination of Newborns with General Therapeutic Hypothermia. Medical Radiology and Radiation Safety. 2019;64(1):31-7. (Russian).

DOI: 10.12737/article_5c55fc2cb98140.01495008

PDF (RUS) Full-text article (in Russian)

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