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[Toxicity and side effects of antibiotics in radiation sickness and during the use of aminothiol group radioprotective agents].

It was shown in experiments on mice, rats and rabbits that resistance of animals in the state of acute radiation sickness to severe intoxication by aminoglycoside antibiotics, such as streptomycin, dihydrostreptomycin and monomycin did not significantly change. The exception was kanamycin the toxicity of which during the period of the acute state of radiation sickness increased by 30 per cent. The use of cystamine and merkamine before irradiation or their administration to non-irradiated animals resulted in lowering of the antibiotic tolerance by 1.5--2 times. The above aftereffects of the radioprotectors was observed within 3--12 days after their use and was most pronounced for the combination of cystamine and streptomycin. The acute toxicity of tetracyclines did not significantly differ at various stages of radiation disease and at the background of cystamine use. No significant cumulation of the toxicity of aminoglycoside antibiotics and tetracyclines or signs of adaptation in the healthy and irradiated animals was observed on prolong treatment with therapeutic doses. Cystamine had no effect on the tolerance of the antibiotics on their prolonged use.

Animals↗

[Multivariate statistical analysis of tissue basophils in acute radiation sickness].

By means of mark scale estimation method, discriminant and factor analyses, changes in integral indices on the state of mast cells in the rat mesentery have been investigated in dynamics of medullary, intestinal and cerebral forms of an acute radiation sickness. The integral indices are calculated basing on the morphometric parameters of the cells, that are obtained after the histological preparations are treated in a special automatic system for analysing images. At the medullary form of the acute radiation sickness, the greatest structural rearrangements of the mast cells take place during the first hours after the radiation, as well as during the climax of the disease, at the intestinal form, the analogous changes are revealed 1-3 days after the effect, and at the cerebral form--3 h after the radiation. The integral indices, calculated by means of the three methods, are well correlated with each other.

Acute Disease↗

[The principles of and some experience with component therapy in acute radiation sickness].

The previous experience gained with the treatment of acute radiation sickness supported during the treatment of the victims to the disaster at the Chernobyl NPP has shown the multimodality treatment to be indispensable for the bone marrow syndrome, particularly in terms of correcting postradiation thrombocytopenia and counteracting bleeding sickness. The use of the whole blood was found to be inadvisable because of the low efficacy, with the risk of transfusion complications being fairly high. Adequate replacement therapy with donor's platelets is capable of a complete modifying of the hemorrhagic syndrome.

Accidents↗

[The anti-autotoxic immunotherapy of experimental radiation sickness].

A mechanism of formation of autointoxication is described together with the course of rapidly progressing pathology: soon after the injury brought down upon there occur changes in the intercellular fluid protein composition, which are in the nature of things in adaptive processes. Albuminous proteins start appearing, which event suggests to us some deviation from the norm. Such proteins were noted to easily find their way into the blood circulation where they bind with the rest of tissue or blood proteins. This results in formation of protein complexes in the intercellular fluid and blood, with these being not stable in blood for they undergo decomposition with blood coagulation. The above complexes are no longer detectable with deautotoxication using antitoxic serum early after the lethal radiation injury sustained. This is direct evidence in conformation of relatedness of lethal injuries in radiation sickness to complexes of the intercellular fluid proteins. Employment of antiautotoxic sera early in the course of radiation sickness in the experiment to prevent the autointoxication syndrome development makes it possible to derive 100% therapeutic benefit from treatment of lethal injuries with a single AATS injection in a dose of 0.05 ml.

Animals↗

[The functional status of the small intestine in rats in the dynamics of a bone marrow form of acute radiation sickness].

A study was made of 75Se-methionine absorption rate and contraction and choline-reactivity of smooth muscle cells of rat jejunum longitudinal layer. Whole-body X-irradiation with a dose of 5.8 Gy (LD50/30) caused a sharp decrease in the rate of absorption of 75Se-methionine by the blood from the intestine on days 3--4 after irradiation followed by an incomplete recovery of absorption by the 14th day. At the height of acute radiation sickness there was an 8- to 10-fold decrease in the sensitivity of the smooth muscle cell membrane to acetylcholine the contractile capacity being retained. This was perhaps the cause of the intestine motor activity inhibition. It is concluded that rat intestine functions are suppressed considerably with the bone marrow form of acute radiation sickness.

Acute Disease↗

[Radiation-induced cytogenetic markers detected 8 years after the accident at the Chernobyl Atomic Electric Power Station by different methods of analyzing metaphase chromosome preparations in persons who have had acute radiation sickness].

A comparative cytogenetic observation of 10 patients suffered from acute radiation sickness of second and third degree as a result of Chernobyl accident has been carried out. The new data about the level of unstable and stable biomarkers of irradiation delayed exposure were established using conventional G-banding and FISH-staining.

Acute Disease↗

[Quantitative regularities and peculiarities of the development of the cerebral form of radiation sickness at fractionated irradiation].

Several peculiarities in manifestations of cerebral form of radiation sickness have been revealed at a fractionated double irradiation with equal and unequal doses per fraction and different intervals between the fractions. A reliable increase in average lifespan of rats irradiated with (100 + 100 Gy) equal doses at 10 and 60 min intervals between two fractions compared to the single radiation exposure to 200 Gy has been obtained. Lifespan of rats irradiated with a total dose greater than 200 Gy in most cases of double exposures with 10 min interval was reliably less than that for animals after a single exposure. The influence of the first dose on the reduction of animal average lifespan increased with fraction dose increasing from 150 to 300 Gy and was most pronounced at the total exposure dose of 400 Gy. Reaction of rats on the repeated irradiation was significantly weakened in comparison with the reaction on the first exposure. At a study of capacitation the interval of 30 min appeared to be more favorable compared to 10 min interval. Importance of a dose value in the first fraction has been demonstrated: the higher this value the worse the capacity of the rats 3 hours after the repeated exposure.

Animals↗

[Brain lesions in mild radiation sickness].

It is indicated that all subjects who had acute grade I radiation sickness of the Chernobyl accident showed disorders of the brain functions 5-6 years later. They evidence involvement of all brain structures but especially the subcortical brainstem portions. Marked memory reduction was also noted. The neurological deficit was not pronounced but the patients developed a syndrome of significant disadaptation, which had a progressive character. The authors propose to term these changes as postradiation encephalopathy of primary-radiation and intoxication genesis.

Accidents↗

[Use of lithium carbonate as a leukocyte stimulant in acute radiation sickness in humans].

A total of 50 patients, who had suffered from acute radiation sickness (I-III degree of severity) as a result of the accident at the Chernobyl Nuclear Power Plant, were followed up for hematological changes. The absorbed dose of relatively even gamma-irradiation assessed by karyometry fluctuated from 0.5 to 5.7 Gy. In 17 of the patients the influence of lithium carbonate on the course of radiation neutropenia was evaluated. No appreciable effect of the agent administration in a dose of 900 mg/patient/day was recorder from 9 to 42 day after irradiation. The authors have also considered the correlations of the values of irradiation doses calculated by varying methods of biological dosimetry.

Accidents↗

[Analysis of the modifying effect of liver injury on the course and outcome of acute radiation sickness].

In studying the aggravating effect of liver injury on the development of radiation sickness in irradiated rats it was found that the death rate increased within the range of minimal and median lethal doses and was not associated with the aggravation of both the haematologic and the hemorrhagic syndromes; it was not related to infectious complications as well. The data are presented on auto-intoxication as a factor aggravating the outcome of the combined radiation injury.

Acute Disease↗

[Quantitative patterns in the clinical manifestations of radiation sickness in large laboratory animals exposed to radiation at superlethal doses. Changes in the regulation of cardiovascular system function].

Dog exposure to doses from 39 to 124 Gy results in an increase of heart rate and tension in control of the cardiac rhythm, the extent being dose dependent. An additional physical load on the cardiovascular animals system reveals a high functional control reserves of the cardiovascular system which provides stable functioning even after exposure to the above doses.

Animals↗

[Chronic radiation sickness in man caused by long-term gamma rays].

A retrospective analysis was made of the leading syndromes of chronic radiation sickness (CRS) induced by external gamma-radiation in a dose of 1.0-9.33 Gy during the disease formation and in the long-term period (30-35 years after diagnosis). The frequency of the hematological and neurological syndromes, secretory alterations in the stomach, efficacy of rehabilitation measures, morbidity in specialists with a history of the clinical manifestations of CRS, who continue working are estimated. The incidence of the main somatic diseases is presented.

Aged↗