SCIENTIFIC AND INFORMATION-ANALYTICAL MAGAZINE

ISSN 1024-6177 (Print), ISSN 2618-9615 (Online)

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.

Issues journals

Medical Radiology and Radiation Safety. 2021. Vol. 66. № 3. P. 29–34

A.A. Ilyin1, T.A. Fazylova1, A.P. Dergilev2, A.V. Sudarkina2, E.E. Olesov1, V.N. Olesova1

Radiation Diagnostics in Treatment of Displacement
of a Joint Disk of a Temp-Jaw Joint and Myofascial Disorders

1 Institute of Continuing Vocational Education functions A.I. Burnasyan Federal Medical Biophysical Center, Moscow, Russia

2 Novosibirsk State Medical University, Novosibirsk, Russia

Contact person: Alexandr Alexandrovich Ilyin: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Purpose: Determination of the volume and sequence of radiation studies in the treatment of patients with displacement of the articular disc of the temporomandibular joint (TMJ)and myofascial pain disorders.

Material and methods: The study included 48 patients with displacement of the articular disc of the TMJ and myofascial pain disorders. Clinical criteria for articular displacement were confirmed by MRI and CBCT. Studies of the function of the masticatory muscles were carried out at the Synapsis electromyograph. All patients underwent complex treatment, including relaxation of the masticatory muscles and relief of pain using injections of botulinum toxin in the actual masticatory, temporal and lateral pterygoid muscles (LPM), followed by repositioning split therapy. For the introduction of muscle relaxant in LPM, we have developed and applied external periarticular injection access to LPM. The method is based on reaching the zone of joint attachment of the upper and lower heads of the LPM with MRI navigation. Surveillance continued for up to 12 months with MRI monitoring of the position of the articular disc.

Results: The stages of treatment of SJS of the TMJ with control use of MRI and CT, as well as a method for the administration of botulinum toxin under MRI navigation, have been developed. The first stage included CT and MRI of the temporomandibular joint, the second stage – injections of botulinum toxin into the masticatory muscles using the developed periarticular access to the LPM with MRI navigation, as well as CBCT with a splint to control the new (established) position of the lower jaw; the third and fourth stages included continuation of the reduction splint therapy, correction of the splint, observation for 3-6 months with control CBCT after 6 months to assess the position of the mandible without splint. Achieved an increase in the posterior and upper temporomandibular joint distances and the correct position of the lower jaw.

Conclusion: Performing radiation studies on time at certain stages of treatment, differing in their content and volume, provided a complete diagnosis, planning treatment measures and monitoring the results.

Key words: radiation diagnostics, temporomandibular joint, myofascial disorders

For citation: Ilyin AA, Fazylova TA, Dergilev AP, Sudarkina AV, Olesov EE, Olesova VN. Radiation Diagnostics in Treatment of Displacement of a Joint Disk of a Temp-Jaw Joint and Myofascial Disorders. Medical Radiology and Radiation Safety. 2021;66(3):29-34.

DOI: 10.12737/1024-6177-2021-66-3-29-34

References

  1. Schiffman E, Ohrbach R, Truelove E, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: Recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J. Oral Facial Pain Headache. 2014;28;1:6-27. DOI: 10.11607/jop.1151.
  2. Sysolyatin PG, Il'in AA, Dergilev AP. Classification of Diseases and Injuries of the Temporomandibular Joint. Moscow, Meditsinskaya Kniga Publ.; Nizhniy Novgorod, NGMA Publ., 2001. 79 p. (In Russian).
  3. Orlova OR, Konovalova ZN, Alekseeva AYu, et al. The Relationship of Bruxism and Pain Dysfunction of the Temporomandibular Joint. Russian Medical Journal. 2017;25;24:1760-63 (In Russian).
  4. Gazhva SI, Zyzov DM, Bolotova TV, et al. Comparison of Additional Methods for the Diagnosis of Temporomandibular Joint Dysfunction. International Research Journal. 2017;1;55:98-101 (In Russian).
  5. Lelis ER., Guimaraes Hnriques, Tavares M, et al. Cone-beam Tomography Assessmant of the Condylar Position in Asymptomatic and Symptomatic Young Individuals. J. Prostthet. dent. 2015;114:420-25. 
  6. Schnabl D, Rottler A-K, Schupp W, et al. CBCT and MRT Imaging in Patients Clinicaly Diagnosed with Temporomandibular Joint Arthralgia. Heliyon 4. 2018:e00641. DOI:10.1016
  7. Mor N, Tang C, Blitzer A. Temporomandibular Myofacial Pain Treated with Botulinum Toxin Injection. Toxins. 2015;7;8:2791-800.
  8. Chen YW, Chiu YW, Chen CY, Chuang SK. Botulinum Toxin Therapy for Temporomandibular Joint Disorders: a Systematic Review of Randomized Controlled Trials. Int J Oral Maxillofac Surg. 2015;44;8:1018-26. DOI: 10.1016/j.ijom.2015.04.003. 
  9. Kumar S. The Emerging Role of Botulinum Toxin in the Treatment of Orofacial Disorders: Literature Update. Asian J Pharmaceutic Clin Res. 2017;10;9:21-9. DOI: 10.22159/ajpcr.2017.v10i9.16914.
  10. Dimitroulus G. Management of Temporomandibular Joint Disorders: A Surgical Prospective. Aust Dent J. 2018;63:79-90. DOI: 10.1111/adj.12593.
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  12. Al-Rawi NH, Uthman AT, Sodeify S. Spatial Analysis of Mandibular Condyles in Patients with Temporomandibular Disorders and Normal Controls Using Cone Beam Computed Tomography. European Journal of Dentistry. 2017;11;1:99-105. DOI: 10.4103/ejd.ejd_202 _16.
  13. Al-Salech Mohammed AQ, Alsuhyani Noura A, Saltaji Humam, et al. MRI and CBCT Image Registration of Temporomandibular Joint: a Systematic Review. J. Otolaryngol Head Neck Surg. 2016;45:30. DOI:10.1186/s40463-0144-4.
  14. Focal Dystonia; Dystonia and Botulinum Therapy Treatment: Textbook. Ed. Orlov OR, Kostenko EV. Moscow Publ., 2018. 112 p. (In Russian).
  15. Pons M, Meyer C, Euvrard E, et al. MR-guided Navigation for Botulinum Toxin Injection in Lateral Pterygoid Muscle. First Results in Treatment of Temporomandibular Joint Disorders. J Stomatol Oral Maxillofac Surg. 2019;120;3:188-95. DOI: 10.1016/j.jormas.2018.11.002.

 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: 23.12.2020. 

Accepted for publication: 20.01.2021

 

 

Medical Radiology and Radiation Safety. 2021. Vol. 66. № 3. P. 19–28

G.P. Frolov, Yu.A. Salenko, M.I. Grachev, I.A. Galstian, V.N. Klochkov

Decontamination of Victims in the Event of a Radiation Accident
at the Stages of Provision Medical Care

AI Burnasyan Federal Medical Biophysical Center Moscow, Russia

Contact person: Yuri Anatolyevich Salenko: This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Purpose: To summarize and analyze the results of research and practical recommendations on the decontamination of victims in the event of radiation accidents, including taking into account the authors’ experience gained in the initial period of the Chernobyl accident (April – August 1986) and in other local radiation accidents (incidents), as well as during emergency exercises.

Results: The indications for carrying out decontamination and the technique of its implementation were considered, a comparative assessment of the effectiveness of skin decontamination agents was presented. Recommendations were formulated for determining the priority (urgency) of carrying out decontamination, depending on the level of external radioactive contamination of the victims. Criteria, rules and methods for carrying out decontamination were proposed for use in relation to the practice of medical and hygienic measures at the stages of medical evacuation (accident site, enterprise health center, enterprise sanitary inspection department, triage site, hospital admission department). The features of decontamination of victims with combined radiation injuries and contaminated wounds (burns) were considered, issues of ensuring the radiation safety of medical personnel who provide assistance to victims are touched upon.

Conclusion: Timely and correctly performed decontamination reduces the exposure of the skin, prevents the entry of radioactive substances into the body and the transfer (spread) of radioactive substances to the subsequent stages of medical evacuation. The main criteria for the urgency (priority) of carrying out decontamination are the levels of radioactive contamination of the skin, contamination nature (radionuclide composition, physicochemical form, etc.) and the presence of victim’s skin lesions (wounds, burns). Decontamination of victims with high levels of radioactive contamination should be considered as a part of the first and subsequent emergency health care and should be carried out as prescribed or with the direct participation of a healthcare professional. At the stages of medical evacuation, decontamination can be carried out if the victim’s condition is stabilized. In the case of a serious condition of the victim, the priority is evacuation to a hospital, while in the prehospital period, as a rule, only partial decontamination of skin areas with high levels of contamination can be carried out. The procedure and rules for decontamination, including the use of skin decontaminating agents, should be reflected in the action plans of the personnel of radiation hazardous enterprises and the plans for medical support of medical units of the FMBA of Russia. 

Keywords: radiation accident, victims, decontamination, radioactive contamination, skin decontaminatio, radiation injury, medical care, dosimetric control, personal protective equipment

For citation: Frolov G.P., Salenko Yu.A., Grachev M.I., Galstian I.A., Klochkov V.N. Decontamination of Victims in the Event of a Radiation Accident at the Stages of Provision Medical Care. Medical Radiology and Radiation Safety. 2021;66(3):19–28.

DOI: 10.12737/1024-6177-2021-66-3-19-28

References

  1. Ilyin LA. Bases Protect the Body From Exposure to Radioactive Substances. Moscow, Atomizdat Publ., 1977. 256 p. (In Russian).
  2. Ilyin LA, Norets TA, Shvydko NS, Ivanov EV. Radioactive Substances and Skin (Metabolism and Decontamination). Moscow, Atomizdat Publ., 1972. 304 p. (In Russian).
  3. Tarasenko NY, Khodyreva MA, Vorobiev AM. Protection and Cleaning of the Skin From Radioactive Contamination. Moscow, Medicine, Publ., 1972. 175 p. (In Russian).
  4. Khodyreva MA. Hygienic Assessment of the Effectiveness of Certain Detergents in the Treatment of Hands Contaminated with Radioactive Substances. Proceedings of the All-Union Conference on Medical Radiology. Hygiene and Dosimetry Issues. V.1. Moscow, Medgiz Publ., 1957. P. 52-57 (In Russian).
  5. Khodyreva MA, et al. Skin Decontamination From Transuranic Elements. Hygiene and Sanitation. 1972;12: 57-61 (In Russian).
  6. Kalistratova VS, Belyaev IK, Zhorova EC, et al. Radiobiology of Incorporated Radionuclides. Ed. Kalistratova VS. Moscow Publ., 2012. 464 p. (In Russian).
  7. Osanov DP, Ershov EB, Klickov OV, Rackova VA. Kinetics of Dose Distribution in Structural Layers of Skin Contaminated with Radioactive Materials. Health Phys. 1971;20;6:559-66. DOI: 10.1097/00004032-197106000 -00002. PMID: 5568707.
  8. Osanov DP, Klykov OV. Dosimetric Substantiation of the Permissible Surface Density of Skin Contamination by Beta-Emitters. The Effect of Ionizing Radiation on the Skin. Moscow Publ., 1970. 31 p. (In Russian).
  9. Grachev MI, Salenko YuA, Abramov YuV, Frolov GP, Klochkov VN, Kukhta BA, et al. Operational Values of Radioactive Skin Contamination in the Case of Radiological Accident. Medical Radiology and Radiation Safety. 2020;65;3:20-6 (In Russian). DOI: 10.12737/1024-6177-2020-65-3-20-26.
  10. Radiation Safety Standards (RSS-99/2009). Sanitary Rules and Regulations SanPiN 2.6.1.2523-09. Moscow Publ., 2009. 100 p. (In Russian).
  11. Aleksakhin RM, Buldakov LA, Gubanov VA, Drozhko EG, Ilyin LA, Kryshev II, et al. Major Radiation Accidents: Consequences and Protective Measures. Eds. Ilyin LA, Gubanov VA. Moscow, IzdAT Publ., 2001. 752 p. (In Russian).
  12. Organization of Sanitary-Hygienic and Treatment-and-Prophylactic Measures in Radiation Accidents: Manual. Ed. Ilyin L.A. Moscow Publ., 2005. 524 p. (In Russian). 
  13. Klochkov VN, Avetisov GM, Goncharov SF, Rubtsov VI, Surovtsev NA. Ensuring Radiation Safety of Personnel and the Public During the Mitigation of the Consequences of a Radiation Accident: a Manual for Doctors. Moscow Publ., 2005. 65 p. (In Russian). 
  14. Klochkov VN. Ensuring radiation safety of personnel of nuclear fuel and energy complex Enterprises in Conditions of Radioactive Contamination of Surfaces and air of Industrial Premises. Doctor’s Thesis of Technical Sciences, 05.26.02. Moscow Publ., 2009. 324 p. (In Russian).
  15. MU 2.6.5.029–2016. Individual Dosimetric Control in the Event Plutonium and Americium. Enter the Wound. General Requirements. Guidelines. (In Russian).
  16. Typical Content of the Plan of Medical and Sanitary Provision of Personnel and Public by FMBA of Russia Institutions in the Event of a Radiation Accident. Guidelines. Approved Head of FMBA of Russia 16.04.2010. Medical and Sanitary Provision in Case of Radiation Accidents. Collection of Methodological Documents. Moscow Publ., 2018. P. 21-32 (In Russian).
  17. ICRP, 2007. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Ann. ICRP 37 (2-4) (In Russian).
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  20. Immediate and Distant Consequences of the Radiation Accident at the Chernobyl Nuclear Power Plant. The Results of the Work of Scientific and Practical Health Care Institutions to Mitigate the Consequences of the Accident in 1986. Collection of Materials of the All-Union Symposium. Eds. Ilyin LA, Buldakov LA. Moscow Publ., 1987. 773 p. (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: 23.12.2020. 

Accepted for publication: 20.01.2021.

 

Medical Radiology and Radiation Safety. 2021. Vol. 66. № 3. P. 9–12

O.V. Parinov, A.M. Lyaginskaya, N.K. Shandala, E.G. Metlyaev, V.V. Kuptsov

Problems of Assessing the Health Status of Personnel Working
in Conditions of New Technologies for Nuclear Fuel Production

AI Burnasyan Federal Medical Biophysical Center, Moscow, Russia

Contact person: Oleg Victorovich Parinov:  This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Purpose: To identify the problem of assessing the health status of personnel working under the conditions of new technologies for the production of nuclear fuel.

Material and method: The object of the research was the general morbidity of workers in the production of mixed nitride uranium-plutonium fuel (MNUP-fuel). The material for the study was the data presented in the «Health Passports». The paper used the method of comparative analysis of the overall morbidity of workers in the production of MNUP-fuel and workers in enterprises dealing with nuclear fuel.

Results and analysis: At present, in our country, within the framework of the «Breakthrough» project, new technologies are being developed for the fabrication and refurbishment of mixed uranium-plutonium (MNUP) fuel. In the absence of radiation and hygienic standards for the content of fuel products in working rooms, in order to assess the influence of production factors, along with the radiation dose, the incidence of personnel is studied as an integral indicator of health. A study of the incidence of 50 workers in the production of MNUP fuel revealed: Relatively high incidence of general morbidity – 1122 diseases per 100 people or an average of 93.5 diseases per 100 people per year, regardless of the length of service. The leading diseases in the overall morbidity structure are diseases of the respiratory system – 26.0 % 

(1st place), eyes – 13.4 % (2nd place), musculoskeletal system – 11.4 % (3rd place), circulatory system – 10,9 % (4th place), injuries and poisoning – 8.4 % (5th place), digestive organs and genitourinary system – 7.7 % and 7.0 %, respectively (6th place), which make up 84.7 % of the total morbidity. Obviously, the effective dose of 4.6 mSv/year cannot be the only reason for the high morbidity in workers in complex radiochemical production, but characterizes only the influence of one of the many nonspecific factors of production. The existing system for assessing the health of personnel working in radiochemical production, in addition to analyzing the risks of deterministic and stochastic effects, should include an assessment of the overall morbidity of personnel.

Keywords: personnel, morbidity, mixed uranium-plutonium nitride fuel, integral health indicators

For citation: Parinov OV, Lyaginskaya AM, Shandala NK, Metlyaev EG, Kuptsov VV. Problems of assessing the health status of personnel working in conditions of new technologies for nuclear fuel production. Medical Radiology and Radiation Safety. 2021;66(3):9-12.

DOI: 10.12737/1024-6177-2021-66-3-9-12

References

  1. Radiation Safety Standards (RSS-99/2009). Sanitary rules and regulations SanPiN 2.6.1.2523-09. Moscow: Federal Center of Hygiene and Epidemiology of Rospotrebnadzor. 2009. 100 p. (In Russian).
  2. Buldakov LA, Kalistratova VS Radioactive radiation and health. M .: Inform-Atom, 2003 .– 165p.
  3. Adamov EO, Vlaskin GN, Lopatkin AV, Rachkov VI, Khomyakov YU. S. Radiation equivalent treatment of radioactive nuclides in nuclear fuel cycle – effective alternative to the delayed solution of spent nuclear fuel accumulation problem. Bulletin of the Academy of Sciences. Energy. 2015;(6):15-25.
  4. Batova ZG, Kochetkov OA, Monastyrskaya SG, Sayapin NP, Simakov AV, Stepanov SV, Isaev OV. Occupational hygiene in the nuclear industry and energy. Production of mixed uranium-plutonium fuel Radiation Medicine 2002;(3):211-230.
  5. Adamov E.O., Zibudko L.M., Mashiveev V.I., Rachkov V.I., Troyanov V.M., Khomyakov Yu.S., Monov V.N. Comparative analysis of the advantages and disadvantages of using metallic and nitride uranium-plutonium fuel in fast reactors. Bulletin of the Academy of Sciences. Energy. 2015;(2):3-15.
  6. Interim report Conclusion on the state of morbidity of workers in the production of MNUP fuel based on the results of the comparative analysis Contract No. 11 / 1391D dated 01.10.2020 57 p. FSBI SSC  A.I. Burnazyan FMBC them FMBA of Russia.
  7. The final report on the research work "Substantiation of sanitary and hygienic requirements for the objects of the ODEC of JSC SKhK" FSBI SSC A.I. Burnazyan FMBC them FMBA of Russia M. 2018 inv. No. 902271.
  8. Samoilov A.S., Shandala N.K., Bushmanov A. Yu., Shinkarev S.M., Tsovyanov A.G., Gantsovsky P.P., Karev A.E., Kukhta B.A., Simakov A.V., Klochkov V.N. Assessment of the radiation dose for the personnel of complex experimental installations at the Siberian Chemical Combine. Medical radiology and radiation safety 2020;(4):23-29
  9. Ushakov A.B., Shtemberg A.S., Shifirkin A.V. Approaches to Programming the Individual Radioresistance of the Body Based on the Assessment of the Initial Functional State of Regulatory Systems. Conference Abstracts Medical and Biological Problems of Radiation Effects, ”International Conference April 10-11, 2012 Moscow.
  10. Additional recommendations for medical examination of workers involved in the production of MNUP fuel. Unscheduled report under the contract dated 04.06.2018 No. 33.

 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: 23.12.2020. 

Accepted for publication: 20.01.2021.

 

 

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

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  11. 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.

 Medical Radiology and Radiation Safety. 2021. Vol. 66. № 3. P. 5–8

Functional Reliability of the Employee in Operation Safety Management System
Facilities for the Use of Nuclear Energy

A.F. Bobrov, V.I. Sedin, V.Yu. Shcheblanov, N.A. Metlyaeva, M.Yu. Kalinina

A.I .Burnasyan Federal Medical Biophysical Center, Moscow, Russia

Contact person: Victor Ivanovich Sedin:  This email address is being protected from spambots. You need JavaScript enabled to view it.

Abstract

Ensuring the safety of operation of particularly radiation-hazardous and nuclear-hazardous industries and facilities in the field of nuclear power is carried out using various methods, one of which is medical professional selection, selection and admission of personnel to perform official duties. The implementation of medical selection measures in the course of medical examinations using lists of medical contraindications is focused on the possibility of issuing permits to perform certain types of activities at the oiae to persons who do not have appropriate diagnoses. The presence of a disease included in the list of medical contraindications, detected during preliminary and periodic medical examinations and psychophysiological examinations, is evidence of late diagnosis and lack of data on pre-nosological disorders that are important for the selection and implementation of preventive rehabilitation and health measures. There was a need to introduce the concept of functional reliability (FR) and methods of its assessment into the practice of medical and psychophysiological support. FR is considered as a property of the functional systems of the employee's body to ensure the performance of prescribed job duties for a certain time and with a given quality, without reducing the psychophysiological adaptation (a person's systemic response to external and internal stimuli and factors aimed at achieving a useful adaptive result to an unacceptable level). The obtained data allowed us to draw a conclusion about the need to take into account the medical component of professional reliability – FR, along with assessments of the motives for choosing a profession and moral qualities, professional competence, compliance of psychological qualities and physical endurance with the requirements of the profession.

Key words:medical examination, professional selection, psychophysiological adaptation, functional reliability

For citation: A.F. Bobrov, V.I. Sedin, V. Yu. Shcheblanov, N.A. Metlyaeva, M.Yu. Kalinina. Functional Reliability of the Employee in Operation Safety Management System Facilities for the use of Nuclear Energy. Medical Radiology and Radiation Safety. 2021;66(3):5–8.

DOI: 10.12737/1024-6177-2021-66-3-5-8

References

  1. Bobrov AF, Bushmanov AYu, Denisova EA, Isaeva NA, Sedin VI, Torubarov FS, et al. Psychophysiological Examinations of the Personnel of Radiation and Nuclear Hazardous Enterprises and Industries in Medical Institutions of the FMBA of Russia in the Light of the Requirements of the Federal law of 08.03.2011 No. 35. Clinical Hospital No. 122 Named after L.G. Sokolova FMBA. 2013;4;6:6-8 (In Russian).
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  3. Torubarov FS, Zvereva ZF, Denisova EA, Lukyanova SN. The Role of Psychophysiological Examination in Assessing the Functional State of the Central Nervous System in Workers at Radiation and Nuclear Hazardous Enterprises. Emergency Medicine. 2017;60;(2):157-69 (In Russian).
  4. Decree of the Government of the Russian Federation dated March 01, 1997 No. 233 "On the List of Medical Contraindications and the List of Positions Covered by These Contraindications, as well as Requirements for Medical Examinations and Psychophysiological Examinations of Employees of Nuclear Energy Facilities" (In Russian).
  5. Order of the Ministry of Health dated July 28, 2020 No. 749n "On Approval of the Requirements for Medical Examinations and Psychophysiological Examinations of Employees of Nuclear Facilities, the Procedure for Their Conduct, a List of Medical Contraindications for Issuing a Permit to Carry out Certain Activities in the Field of Atomic Energy use and the List of Positions of Employees of Atomic Energy Facilities to Which these Contraindications Apply, as Well as Forms of a Medical Report on the Presence (Absence) of Medical Contraindications for Issuing a Permit to Perform Certain Activities in the Field of Atomic Energy Use "(available at 01.01.2021) (In Russian).
  6. Bodrov VA. Psychology of Professional Fitness. Textbook for Universities. Moscow. PER SE Publ.  2006. 511 p. (In Russian).
  7. Bodrov VA, Orlov V.Ya. Psychology and Reliability. Moscow, Institute of Psychology RAS Publ. 1998. 288 p. (In Russian).
  8. Nikiforov GS. Reliability of Professional Activity. St. Petersburg, St. Petersburg State University Publ. 1996. 172 p. (In Russian).
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  10. Sedin VI. Psychological Criteria for Objectifying the Attestation Characteristics of the Command Personnel of the Navy.  St. Petersburg, VMII Publ. 2003. 80 p. (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: 23.12.2020. 

Accepted for publication: 20.01.2021.

 

  1. 82-88_Kuznetsova_et_al_eng
  2. 5-10_Belousov_et_al_eng
  3. 11-18_Buskmanov_et_al_eng
  4. 19-31_Ivanov_et_al_eng

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