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Variation in mitochondrial DNA control region haplotypes in populations of the bank vole, Clethrionomys glareolus, living in the Chernobyl environment, Ukraine.

Bank vole, Clethrionomys glareolus, specimens have been annually sampled from the radioactive Chernobyl, Ukraine, environment and nonradioactive reference sites since 1997. Exposed voles continually exhibit increased mitochondrial DNA haplotype (h) and nucleotide diversity (ND), observed in the hypervariable control region (1997-1999). Increased maternal mutation rates, source-sink relationships, or both are proposed as hypotheses for these differences. Samples from additional years (2000 and 2001) have been incorporated into this temporal study. To evaluate the hypothesis that an increased mutation rate is associated with increased h, DNA sequences were examined in a phylogenetic context for novel substitutions not observed in haplotypes from bank voles from outside Ukraine or in other species of Clethrionomys. Such novel substitutions might result from in situ mutation events and, if largely restricted to samples from radioactive environments, support an increased maternal mutation rate in these areas. The only unique substitution meeting this criterion was found in an uncontaminated reference site. All other substitutions are found in other haplotypes of the bank vole or in other species. Increased maternal mutation rates do not appear to explain trends in h and ND observed in northern Ukraine. Studies examining ecological dynamics will clarify the reasons behind, and significance of, increased levels of h in contaminated areas.

Animals↗

Effects of radiation on the production of immunoglobulins in children subsequent to the Chernobyl disaster.

Studies on the immediate and long-term effects of radiation on the B-system immunity of children who were affected by radiation after the Chernobyl disaster (from 1986-1992) are summarized in this paper. Complete clinical and immunological examination of more than 6000 children have been carried out. The dynamics of the immune system, with ongoing reactions of cell proliferation and differentiation, gene amplification, transcription, translation, biosynthesis and switching production of isotypes and subclasses of immunoglobulins, as well as specific and nonspecific (natural) antibodies, make it highly susceptible to the action of radiation in addition to other ecological factors. B-system of immunity (B-cel level, concentration of immunoglobulins-M, G, A, E; subclasses of IgG (IgG1-IgG4) in the serum and saliva, and the level of nonspecific heterophilic autoantibodies (RF, antithyroglobulin) were investigated in children of differing ages and sex living in the territories of the Republic of Belarus contaminated with radionuclides. Research showed decreased levels of B-cell and IgM and IgG isotopes 40-50 days after the disaster and increased levels of IgA immunoglobulins at that time. Long-term effects of low doses of radiation showed increased concentrations of IgM and IgG, correlating changes in the B-system of immunity with the level of 137Cs contamination in the territory of residence and also with the amount of 137Cs found in the children.

Adolescent↗

Outcome of pregnancy in one Norwegian county 3 years prior to and 3 years subsequent to the Chernobyl accident.

Pregnancy outcome was studied in a county in Norway 3 years prior to and 3 years subsequent to the Chernobyl nuclear plant accident on 26th April 1986. More detailed analyses have been performed for the 12 months prior to and subsequent to the accident. A significant increase in the spontaneous abortion rate the first year after the accident was followed by a slight decrease during the second and third years, but figures were still higher than the period prior to the accident. The rate of legal abortions was unchanged. During the entire observation period the number of births increased continuously, with the exception of a decrease in the last 2 months of 1986 and the first month of 1987. A higher incidence of spontaneous abortions was found for pregnancies conceived during the first 3 months after the accident. This increase in the spontaneous abortion rate is noteworthy, and more especially its long-term persistence, which cannot be the result of external radiation. The internal radiation from food polluted by radioactive fallout is a possible explanation. Changes in nutrition in order to avoid polluted food may also be of importance.

Abortion, Legal↗

Male reproductive system in patients exposed to ionizing irradiation in the Chernobyl accident.

Twelve men with different forms and stages of chronic radiation dermatitis caused by accidental exposure to beta and gamma irradiation during and after the Chernobyl atomic power plant accident were examined. Two patients had impotentia coeundi, and the others reported various impairments of sexual function. One patient had aspermia, two patients had azoospermia, one had oligospermia, and four had normal sperm counts. In three samples abnormal forms of spermatozoa were increased. Sperm motility was decreased in 3 samples and was normal in another. Hormonal analyses demonstrated low testosterone plasma levels in two patients, an increase of follicle stimulating hormone (FSH) levels in six patients, and a decrease of luteinizing hormone (LH) in one patient. In one patient who showed an increase of plasma prolactin level, associated with low testosterone and LH, a microadenoma of the pituitary gland (prolactinoma) was detected. It would appear that there is an association between accidental exposure to ionizing radiation of varying severity and the impairment of exocrine and endocrine testicular function, sometimes resulting in long-lasting physiological and psychological problems.

Accidents↗

Radioactive iodine and cesium in travellers to different parts of Europe after the Chernobyl accident.

Thyroid uptake of 131I was measured in 130 volunteers following the nuclear power plant accident at Chernobyl in April 1986. Ninety of these volunteers had been travelling in different parts of eastern Europe at the time of or immediately after the accident while 40 persons were permanently in Sweden. Also, 28 additional healthy volunteers, living in Sweden, were chosen for a long-term follow-up of the time-course of 134Cs and 137Cs whole body uptake. The highest levels of 131I were found in persons having visited Poland (mean value 3.27 kBq +/- 3.68 SD, extrapolated to April 27) while persons that had stayed in other parts of eastern or northern Europe showed significantly lower levels (p less than 0.01). The whole body burdens of cesium radionuclides were barely detectable immediately after the accident but increased gradually throughout the observed period. After five months nine farmers from a high fallout area in central Sweden had reached mean values of 4.20 kBq (+/- 3.34 SD) of 134Cs and 137Cs while six nonfarmers from the Stockholm area showed significantly lower levels, 0.64 kBq (+/- 0.24 SD, p less than 0.05). The radiation doses from the observed amounts of iodine and cesium isotopes reported in this study reflect only a marginal addition to the already existing dose from the natural environmental background radiation.

Accidents↗

[The reactor accident at Chernobyl': identification of radionuclides in fallout in Niigata City].

The fallout caused by the accident of Chernobyl' nuclear reactor has been monitored in Niigata City (April 30-June 3, 1986). Twelve nuclides (131I, 132I, 129Te, 129mTe, 132Te, 134Cs, 136Cs, 137Cs, 103Ru, 99mTc, 140La, 140Ba) were identified in aerosol samples. The same nuclides plus 7Be were identified in rain-water. Gaseous and particle-bound 131I were separately trapped on a glass filter and a charcoal filter, respectively. Results indicate 50-60% of atmospheric 131I is gaseous and the rest is particle-bound. Chloroform extraction of rain-water revealed that 40-60% of 131I in the rain-water sample exists in the form of IO3- and 131IO3- (131IO4-)/131I- seemed to increase with the lapse of time after the accident.

Accidents↗

[Influence of nuclear reactor accident at Chernobyl' on the environmental radioactivity in Toyama].

The environmental radioactivity caused by the reactor accident at Chernobyl' was investigated from May 7 to May 31 of 1986 in Toyama. Measurement of radioactivities in airborne particles, rain water, drinking water, milk, and mugwort are carried out by gamma-ray spectrometry (pure Ge detector; ORTEC GMX-23195). Ten different nuclides (103Ru, 106Ru, 131I, 132Te-I, 134Cs, 136Cs, 137Cs, 140Ba-La) are identified from samples of airborne particles. In the air samples, a maximum radioactivity concentration of each nuclide is observed on 13th May 1986. The time of the reactor shut-down and the flux of thermal neutron at the reactor were calculated from 131I/132I and 137Cs/134Cs ratio. The exposure dose in Toyama by this accident is given as follows: internal exposure; [thyroid] adult-59 microSv, child-140 microSv, baby-130 microSv, [total body] adult-0.2 microSv, child, baby-0.4 microSv, external exposure; 7 microSv, effective dose equivalent; adult-9 microSv, child-12 Sv, baby-11 microSv.

Accidents↗

Reduction of births in Italy after the Chernobyl accident.

After the Chernobyl accident serious concern spread throughout Italy about the possible effects of the consequent exposure to radioactivity on fetuses. A reduction of births in the first three months of 1987, and particularly in February (7.2% reduction in the birth rate), was observed throughout Italy. In April-June 1987 a 4.8% increase in the number of births was observed. The magnitude of both phenomena varied in different areas of the country. The total number of births in the first six months of 1987 was very similar to the expected (264,241 versus 263,659). Induced abortions increased in Lombardia (northern Italy) in June (+1.6%) and July of 1986 (+3.4%) and in Campania (southern Italy) in June (+12.7%) and August (+4.3%). No increase in legal abortions was detected in Lazio (central Italy). Italian data suggest a voluntary decrease in the number of planned pregnancies and the termination of some of them in the first weeks after the accident as a consequence of postdisaster stress.

Abortion, Induced↗

[Metabolic disorders in digestive and hepatobiliary pathology in those who worked in the cleanup of the aftermath of the accident at the Chernobyl Atomic Electric Power Station].

A clinical observation over 57 liquidators of the Chernobyl accident aftermath (ChAAL) with associated diseases of the digestive and hepato-biliary system revealed abnormalities in blood enzymic activity, presenting as elevation of, in particular, alanine aminotransferase as well as of asparagine aminotransferase, gamma-glutaminetranspeptidase, alkaline phosphatase, lactate dehydrogenase, and of blood mineral composition at the expense of an increase in certain minerals. Disturbances in underlying process of bodily metabolism promote the development and association of erosive and ulcerous lesions of the stomach and duodenum with chronic noncalculous cholecystitis, persistent hepatitis in ChAAL.

Adult↗

[The neuro-otological aspects of diseases in persons who took part in the cleanup of the aftermath of the accident at the Chernobyl Atomic Electric Power Station].

An examination carried out in 224 patients presenting with different neurologic pathologies, who took part in the elimination of the aftereffects of the Chernobyl accident, revealed a substantial increase in the latent periods of vestibular evoked potentials and disturbances in brain bioelectrical regulation together with a cerebral circulatory disorder, as evidenced by EEG and ultrasonic investigation respectively. 94.7% percent of patients demonstrated varying degree vestibular dysfunction, which fact is to be considered in prescribing treatments to be administered.

Central Nervous System Diseases↗

[Homeopathic therapy of chronic prostatitis in participants of the Chernobyl AES accident clean-up].

An accident on the Chernobyl Atomic Power Station (CHAPS) caused unprecedented ecological catastrophe and the problems of studying of the ionizing radiation action on human organism appeared. Irradiation causes occurrence of local reactions in prostatic gland. The efficacy of complex homeopathic remedies produced by firm "Heel" is established in the treatment of chronic prostatitis in participants of an accident liquidation on the CHAPS.

Adult↗

The psychological development of children from Belarus exposed in the prenatal period to radiation from the Chernobyl atomic power plant.

This study examined psychological development in 138 children at the age of 6-7 and 10-11 years, who had suffered prenatal radiation exposure at the time of the Chernobyl accident in 1986. These children were compared to a control group of 122 children of the same age from noncontaminated areas of Belarus. The examination included neurological and psychiatric examination, intellectual assessment, and clinical psychological investigation of parents as well as the estimation of thyroid exposure in utero. The exposed group manifested a relative increase in psychological impairment compared with the control group, with increased prevalence in cases of specific developmental speech-language disorders (18.1% vs. 8.2% at 6-7 years; 10.1% vs. 3.3% at 10-11 years) and emotional disorders (20.3% vs. 7.4% at 6-7 years; 18.1 vs. 7.4% at 10-11 years). The mean IQ of the exposed group was lower than that of the control group, and there were more cases of borderline IQ (IQ = 70-79) (15.9% vs. 5.7% at 6-7 years; and 10.1% vs. 3.3% at 10-11 years). The mean value of thyroid doses from 131I 0.4 Gy was estimated for children exposed in utero. No correlation was found between individual thyroid doses and IQ at age 6-7 years or 10-11 years. We notice a positive moderate correlation between IQ of children and the educational level of their parents. There was a moderate correlation between high personal anxiety in parents and emotional disorders in children. We conclude that a significant role in the genesis of borderline intellectual functioning, specific developmental disorders of speech, language and scholastic skills, as well as emotional disorders in the exposed group of children was played by unfavourable social-psychological and social-cultural factors such as a low educational level of parents, the break of microsocial contacts, and adaptational difficulties, which appear following the evacuation and relocation from the contaminated areas.

Anxiety↗

[Morphologic and molecular-genetic characterization of lung cancer developing in people who have worked at nuclear facilities and who have lived in Russian territories polluted after the accident at the Chernobyl power plant].

Clinicomorphological analysis of 15 lung carcinomas of patients who had been exposed for a long time to the radiation after the Chernobyl accident was performed. The material consisted of 10 surgical and 5 autopsy cases and was studied at the light, electron microscopic and immunohistochemical level. There were 6 peripheral, 8 central carcinomas and one massive tumor. Fibrous areas with many dust particles were found in peripheral carcinomas. In central tumors chronic obstructive bronchitis with epithelial dysplasia and metaplasia was observed. Carcinoma was represented by various histologic types: small cell (4 cases), combined small cell with squamous differentiation (5 cases), adenocarcinoma (5 cases), adenosquamous type (1 case). Peculiar calcium deposits in both stroma and parenchyma were found in tumors with glandular differentiation. Morphogenesis of calcium microdeposits may be connected with dust radioactive particles elimination. Central carcinoma had, in the majority of cases, a neuroendocrine differentiation and can be related to some types of small cell carcinoma. Peripheral cancer was mostly of a glandular differentiation and was, as a rule, carcinoma in the scar. Lung carcinomas studied had peculiar molecular-genetic features: lack or low bcl-2 expression, low Ki-67 expression and a high degree of c-myc expression. Tumors were characterized by a low apoptosis index independently of a histologic type. Apoptosis was not complete: lack of apoptotic bodies phagocytosis this resulting in postapoptotic detritus formation.

Adult↗

[The assessment of the status of the cardiovascular system in people who were victims as a result of the accident at the Chernobyl Atomic Electric Power Station (based on ultrasonic diagnostic data)].

A lack of compliance has been disclosed of left ventricular parameters and those parameters characterizing myocardial contractility with age-scale norms in a major proportion of cases in a series of 229 patients presenting with different abnormalities of the internals who had become victims of the Chernobyl accident, as per echocardiographic examination. By comparison with other groups of nosological entities the most pronounced changes were seen in those patients presenting with cardiovascular disorders, their degree being dependent upon the functional class in ischemic heart disease and stage of hypertensive disease. The ejection fraction approaching the norm under changed volumes of left ventricular cavity suggests some bodily compensatory potential.

Adult↗

[The dynamics of the autonomic indices in participants in the cleanup of the aftermath of the accident at the Chernobyl Atomic Electric Power Station at the stages of therapeutic hyperoxia].

Time-related course was studied of vegetative indicators during the hyperbaric oxygenation (HBO) sessions in 36 liquidators of the effects of the Chernobyl Nuclear Power Plant breakdown, who suffered from early forms of cerebrovascular insufficiency. Shown for the first time in therapeutic hyperoxia in the liquidators are features of the time-related course of vegetative regulation. Significant group particularities of changes in vegetative regulation have been stated, that suggest a different approach to the tactics of HBO employment. Those patients experiencing a higher tenseness of vegetative regulation demonstrated antecedents of toxic action of oxygen at minute 35 to 40 HBO. The employed vegetative indicators monitoring technology allowed the establishment of individualized hyperoxia doses, with the early signs of oxygen overdose being revealed in real time.

Adult↗

[The characteristics of the clinical picture and of the psychotherapy of somatogenically induced neurosis-like disorders in people subjected to ionizing radiation exposure as a result of the accident at the Chernobyl Atomic Electric Power Station].

In a 10-year follow-up the time-related course was studied of neurosis-like disorders in those subjects presenting with digestive abnormalities. The group of examinees was 108 patients--liquidators of the Chernobyl accident who had come to be exposed to the doses of irradiation of the order of 0.7 Gy and higher, persons who had suffered acute radiation sickness. Rise in morbidity is shown. Some principles are suggested of devising rehabilitation measures together with therapeutic ones aimed to correct somatic disorders presenting with concurrent psychoneuronal type problems.

Adult↗

[An epidemiological analysis of the health status of the participants in the cleanup of the aftermath of the accident at the Chernobyl Atomic Electric Power Station].

A comparative analysis has been carried out of indices for health status in 137,072 persons who took part in the elimination of the aftermath of the Chernobyl accident, using records of the National Register of Ukraine. The above-mentioned indices were for time-related general morbidity, mortality, disability during the period of 1988-1996. There has been revealed yearly increase in morbidity rates in all classes of diseases, in particular those of the circulatory system, nervous system, and sense organs, digestive, and respiratory systems. High morbidity rates are recordable with respect to that class of diseases afflicting the endocrine system, blood, and hemopoietic organs, neoplasms including malignant tumours. The disability rates tended to increase above average statistical ones for Ukraine.

Adult↗

[Effectiveness of nondrug treatment of chronic bronchitis in persons exposed to radiation due to Chernobyl AES accident].

AIM: Assessment of efficacy of combined treatment of chronic bronchitis (CB) in subjects exposed to radiation after the Chernobyl accident including nonpharmacological (NP) modalities vs conventional chemotherapy (CT). MATERIALS AND METHODS: 149 patients with different forms of CB in exacerbation were divided into 2 groups. The study group of 62 patients received NP + CT. Control group of 87 patients received CT alone. The response was judged by achievement of partial or complete remission, general condition score, external respiration function. RESULTS: The combined treatment significantly more frequently (p < 0.05) led to CB remission, more marked improvement of the patient's condition. External respiration improved insignificantly. CONCLUSION: NP in combined treatment of CB exacerbation improved the treatment results.

Adolescent↗