International aspects of nuclear accidents

International Nuclear Information System (INIS)

Uematsu, K.

1989-09-01

The accident at Chernobyl revealed that there were shortcomings and gaps in the existing international mechanisms and brought home to governments the need for stronger measures to provide better protection against the risks of severe accidents. The main thrust of international co-operation with regard to nuclear safety issues is aimed at achieving a uniformly high level of safety in nuclear power plants through continuous exchanges of research findings and feedback from reactor operating experience. The second type of problem posed in the event of an accident resulting in radioactive contamination of several countries relates to the obligation to notify details of the circumstances and nature of the accident speedily so that the countries affected can take appropriate protective measures and, if necessary, organize mutual assistance. Giving the public accurate information is also an important aspect of managing an emergency situation arising from a severe accident. Finally, the confusion resulting from the unwarranted variety of protective measures implemented after the Chernobyl accident has highlighted the need for international harmonization of the principles and scientific criteria applicable to the protection of the public in the event of an accident and for a more consistent approach to emergency plans. The international conventions on third party liability in the nuclear energy sector (Paris/Brussels Conventions and the Vienna Convention) provide for compensation for damage caused by nuclear accidents in accordance with the rules and jurisdiction that they lay down. These provisions impose obligations on the operator responsible for an accident, and the State where the nuclear facility is located, towards the victims of damage caused in another country

Sociological and medical aspects of Chernobyl accident

International Nuclear Information System (INIS)

Kotlyarov, I.V.; Terebov, A.S.

1993-01-01

The sociological survey data, the results of the state of health service in some districts of Gomel and Mogilev regions as well as of the completeness of the fulfillment of state resolutions concerning the liquidation of the Chernobyl accident after effects are given

[The medical organizational aspects of decreasing of preventable mortality in the case of traffic accident in municipal district].

Science.gov (United States)

Voloshina, L V; Plutnitskiĭ, A N

2010-01-01

The article deals with the results of the study of such actual issue as decreasing of preventable mortality in the case of traffic accident in municipal district. The analysis was based on the mortality statistical data and the expertise of causes of lethal outcomes of traffic accidents. The results are used to develop the measures of improving the organization and quality of medical care of victims of road accident on the pre-hospital and hospital stages on the level of municipal health care to decrease the human losses caused by traffic accident.

Abandonment of the Road Accident Place: Legal Aspects

Directory of Open Access Journals (Sweden)

Polyakov D. N.

2013-10-01

Full Text Available In this article the legal aspects of drivers’ behavior are considered, of those ones who abandon places of road accidents. The author separates the cases when leaving the place of the road accident is allowed and the cases when such actions bring to administrative punishment.

Medical consequences of a nuclear plant accident

International Nuclear Information System (INIS)

Olsson, S.E.; Reizenstein, P.; Stenke, L.

1987-01-01

The report gives background information concerning radiation and the biological medical effects and damages caused by radiation. The report also discusses nuclear power plant accidents and efforts from the medical service in the case of a nuclear power plant accident. (L.F.)

Chernobylsk NPP accident and its medical effects

International Nuclear Information System (INIS)

Gus'kova, A.K.

2000-01-01

Medical effects of the Chernobyl accident for various groups of people engaged in liquidation of the accident aftereffects and residents of the regions affected are assessed. Specific medical and social recommendations for each of the five groups of patients are made. Special attention is paid to the health of children who were exposed to external radiation in combination with intake of iodine isotopes. Extremely unfavourable influence of the mass media on the health of people involved in the Chernobyl accident is painted out. The necessity of adequate rehabilitation measures for various categories of patients involved in a large-scale accident is emphasized [ru

Medical experience: Chernobyl and other accidents

International Nuclear Information System (INIS)

Densow, D.; Kindler, H.; Fliedner, T.M.

2000-01-01

A radiation accident can be defined as an involuntary relevant exposure of man to ionising radiation or radioactive material. Provided one of the ensuing criteria is met with at least one person involved in an excursion of ionising radiation and or radioactive material, the respective incident can be considered a radiation accident in accordance with ICRP, NCRP (US), and WHO: ≥0.25 Sv total body irradiation with lesions of the rapidly dividing tissues; ≥6 Sv cutaneous and local irradiation; ≥0.4 Sv local irradiation of other organ systems through external sources; incorporation equal to or in excess of more than half of the maximum permissible organ burden; and medical accidents meeting one of the above criteria. Several actions have been taken to categorise radiation accidents in order to learn from previous accidents in terms of both managerial and medical experience. For this presentation three approaches will be discussed concerning their relevance to the individual treatment and risk management. This will be obtained by applying three classification schemes to all known radiation accidents: 1. classification with respect to the accident mechanism, 2. classification concerning the radiation injury, and 3. classification concerning the extent of the accident. In a fourth chapter the efficacy of bone marrow transplantation will briefly be commented on based on the accumulated experience of about 400 radiation accidents world-wide. (author)

Medical aid in the initial period of radiation accident

International Nuclear Information System (INIS)

Selidovkin, G.D.

1995-01-01

The main tasks of medical arrangements on the initial stage of rendering aid after radiation accident are the prime medical classification of the injured persons among the personnel of the plant and population, and realization of measures to avoid the increase of doses. The volume of medical aid depends on the type of accident, on the after-accident radiation situation, on the influence of hazardous factors, on the number of people involved in accident situation and the spectrum of sanitary losses, etc., which is to be predicted in advance and to be taken into consideration when rendering aid. The proper and sufficient aid on the initial stage will build the foundation of the ultimate efficiency of medical aid after radiation accident. 14 refs

Medical follow up of ten patients victims of the radiological accident occurred in Goiania, Goias State, Brazil 1988/1992

International Nuclear Information System (INIS)

Curado, M.P.; Morais, M.S.A.; Silva, J.F.; Assis, P.R.; Oliveira, A.R.; Santos, E.A.

1992-01-01

The author makes an update of the medical aspects of ten victims of the radiological accident occurred in Goiania in September 1987. These patients received specialized treatment during the critical phase at Marcilio Dias Naval Hospital in Rio de Janeiro. Actually these patients are under medical follow-up at Leide das Neves Ferreira Foundation since march 1988. The clinical, haematological and laboratorial results are presented and discussed. The importance of a close medical follow-up direct victims of a radiological accident is stressed. (author)

Societal and ethical aspects of the Fukushima accident.

Science.gov (United States)

Oughton, Deborah

2016-10-01

The Fukushima Nuclear Power Station accident in Japan in 2011 was a poignant reminder that radioactive contamination of the environment has consequences that encompass far more than health risks from exposure to radiation. Both the accident and remediation measures have resulted in serious societal impacts and raise questions about the ethical aspects of risk management. This article presents a brief review of some of these issues and compares similarities and differences with the lessons learned from the 1986 Chernobyl Nuclear Power Plant accident in Ukraine. Integr Environ Assess Manag 2016;12:651-653. © 2016 SETAC. © 2016 SETAC.

Impact of accidents on organizational aspects of nuclear utilities

OpenAIRE

Spurgin, A. J.; Stupples, D.

2012-01-01

This paper applies the Beer Viable Systems Model (VSM) approach to the study of nuclear accidents. It relates how organizational structures and rules are affected by accidents in the attempt to improve safety and reduce risk. The paper illustrates this process with reference to a number of accidents. The dynamic cybernetic aspect of the VSM approach to organizations yields a better understanding of the need for good decision-making to minimize risk and how organizations really operate.

Psychological and social aspects verified after the Goiania's radioactive accident

International Nuclear Information System (INIS)

Helou, Suzana

1995-01-01

Psychological and social aspects verified after the radioactive accident occurred in 1987 in Goiania - brazilian city - are discussed. With this goal was going presented a public opinion research in order to retract the Goiania's radioactive accident residual psychological effects. They were going consolidated data obtained in 1.126 interviews. Four involvement different levels groups with the accident are compared with regard to the event. The research allowed to conclude that the accident affected psychologically somehow all Goiania's population. Besides, the research allowed to analyze the professionals performance quality standard in terms of the accident

[Child-pedestrian injuries inflicted in the road traffic accidents as a forensic medical problem].

Science.gov (United States)

Savenkova, E N; Efimov, A A

The road traffic accidents are known to make the greatest contribution to the overall structure of pediatric traumatism with the fatal outcome. The problem of pediatric traumatism remains on top of its relevancy despite numerous administrative, legal, technical, and financial measures taken at the government level in an attempt to reduce the mortality rate associated with the child-pedestrian injuries inflicted in the road traffic accidents. The objective of the present study was to summarize and interpret the results published in the scientific literature concerning child-pedestrian injuries inflicted in the road traffic accidents with special reference to the age of the victims and the type of the injury. The analysis of the publications of the domestic and foreign authors has demonstrated that the available data of interest remain to be systematized and that the forensic medical aspects of the problem in question are poorly represented in these materials. It was shown that forensic medical expertises of child-pedestrian injuries inflicted in the road traffic accidents are frequently carried out without taking into consideration the peculiar anatomical and physiological features of the child's organism. The available data concerning the mechanisms and evaluation of severe injuries inflicted to the children in the road traffic accidents are insufficient for the development of the algorithms for the relevant adequate forensic medical expertise. In the light of these findings, the problem of the child-pedestrian injuries inflicted in the road traffic accidents takes on new significance when considered in the context of pediatric traumatism. There is evidently the growing necessity to formulate the universal database containing systematized objective information for the development of new methods of forensic medical expertise for the elucidation of the mechanisms of road traffic injuries inflicted to the children of different age groups depending on the type of the

Methodological aspects to elaborate the management and procedure guides of severe accidents

International Nuclear Information System (INIS)

Gonzalez Gonzalez, F.; Jimenez Fernandez, A.

1995-01-01

The management guides in severe accidents are very important to know the procedures in these accidents. The present articles summarizes the methodological aspects to elaborate the management guides, in order to prevent the severe accidents

Explanation of procedure on site medical emergency response for nuclear accident

International Nuclear Information System (INIS)

Liu Yulong; Jiang Zhong

2012-01-01

National occupational health standard-Procedure on Site Medical Emergency Response for Nuclear Accident has been approved and issued by the Ministry of Health. This standard is formulated according to the Emergency Response Law of the People's Republic of China, Law of the People 's Republic of China on Prevention and Control of Occupational Diseases, Regulations on Emergency Measures for Nuclear Accidents at Nuclear Power Plants, and Health Emergency Plans for Nuclear and Radiological Accidents of Ministry of Health, supporting the use of On-site Medical Emergency Planning and Preparedness for Nuclear Accidents and Off-site Medical Emergency Planning and Preparedness for Nuclear Accidents. Nuclear accident on-site medical response procedure is a part of the on-site emergency plan. The standard specifies the basic content and requirements of the nuclear accident on-site medical emergency response procedures of nuclear facilities operating units to guide and regulate the work of nuclear accident on-site medical emergency response of nuclear facilities operating units. The criteria-related contents were interpreted in this article. (authors)

[Current status of medical accident prevention in our pathology section].

Science.gov (United States)

Uehara, Takeshi; Kobayashi, Yukihiro; Honda, Takayuki

2010-08-01

Preventive measures against medical accident should be addressed in the pathology section. Medical accidents occur while preparing tissue specimens and making pathological diagnoses. For the preparation of tissue specimens, we have developed a work manual in consultation with past incident reports and update this manual regularly. We can reduce medical accidents by including a check system for each task. For pathological diagnosis, we perform some of the same checks as for tissue specimen preparation and can make more correct diagnoses by conferring with other departments. It is also important to check each other's work to prevent medical accidents.

The Human Aspect of the Fukushima Daiichi Accident

International Nuclear Information System (INIS)

Anegawa, T.; Kawano, A.

2016-01-01

Recognizing itself as the main party involved in the nuclear accident triggered by the Tohoku-Chihou-Taiheiyo-Oki Earthquake on March 11, 2011, Tokyo Electric Power Company (TEPCO) has performed accident investigation from various aspects. Results of the investigation are reported mainly in two reports; (1) Fukushima Nuclear Accident Analysis Report (June 20, 2012), which identified the timeline and the proximate causes of the accident, and (2) Summary of Fukushima Nuclear Accident and Nuclear Safety Reform Plan (March 29, 2013) to set forth the results of the investigation and provide an analysis of the background factors surrounding the accident and countermeasures taken. This presentation will first provide overview of the accident response at Fukushima Daiichi and Daini Nuclear Power Stations. Voices from the first responders at the sites will be introduced in order to share thoughts of individuals involved in the emergency response. Summary of retrospective study of the accident by one of the shift supervisors at the time of the accident will be presented in order to share the facts that happened at main control rooms. The shift supervisor and his crew had to manage the situation for extended period of time that exceeded the scenarios that they had been trained, in a situation with no lightning and high radiation condition. During the accident response, shift supervisors had to decide to dispatch some of his crew members to the field to open valves, check the status of equipment etc., in the situation where the high radiation exposure is foreseen. The presentation will include conflict of shift supervisors and crew focusing on the human aspects. In addition, actions being taken at the Emergency Response Centers (ERC) set up at the seismic-isolated building on-site and the Headquarters in Tokyo will be shared focusing on the human aspects related to the accident progress. This includes difficult decisions to dispatch first responders to the field, in the

Accidents and emergency conditions: Legal aspects

International Nuclear Information System (INIS)

Peinsipp, N.

1985-01-01

The currently valid versions of the Federal German Atomic Energy Act, the Radiation Protection Ordinance, and the X-Ray Ordinance show differences with regard to the use of the terms 'accident' or 'emergency', respectively, preferring either one or the other term, or using both terms. The author comments on this lack of harmonization in terminology and goes into details on aspects such as legislation and application of law. (DG) [de

The 1987 radiation accident in Goiania: medical and organizational experiences

International Nuclear Information System (INIS)

Oliveira, A.R. de; Souza, P.C. de

1989-12-01

The present works describes the circumstances of the accident occurred on 13 September 1987, in Goiania (Brazil), when two scavengers removed a teletherapy device a 50.9 TB q (1375Ci) cesium source, from a clinic. They took the apparatus home and tried to dismantled it. The authors describe the circumstances of the event, the first aid measures taken on the site, and the medical structure organized to triage and treat the casualties. Aspects relating to hospital contamination control, the environment, and radioprotection and decontamination procedures are also discussed. (L.M.J.) [pt

Radiation accidents

International Nuclear Information System (INIS)

Nenot, J.C.

1996-01-01

Analysis of radiation accidents over a 50 year period shows that simple cases, where the initiating events were immediately recognised, the source identified and under control, the medical input confined to current handling, were exceptional. In many cases, the accidents were only diagnosed when some injuries presented by the victims suggested the radiological nature of the cause. After large-scale accidents, the situation becomes more complicated, either because of management or medical problems, or both. The review of selected accidents which resulted in severe consequences shows that most of them could have been avoided; lack of regulations, contempt for rules, human failure and insufficient training have been identified as frequent initiating parameters. In addition, the situation was worsened because of unpreparedness, insufficient planning, unadapted resources, and underestimation of psychosociological aspects. (author)

Criticality accident in Argentina

International Nuclear Information System (INIS)

Oliveira, A.R. de.

1984-01-01

A recent criticality type accident, ocurred in Argetina, is commented. Considerations about the nature of the facility where this accident took place, its genesis, type of operation carried out on the day of the event, and the medical aspects involved are done. (Author) [pt

A medical follow-up of 137 Cs Goiania radiation accident: un update (1990-1992)

International Nuclear Information System (INIS)

Brandao-Mello, Carlos Eduardo; Oliveira, Alexandre Rodrigues de; Farina, Rosana

1995-01-01

The aim of this paper is to describe the main aftereffects of the 137 Cs accident in the last two years, giving emphasis on clinical, hematological, radiological and psychological aspects. A medical follow-up protocol was established by CNEN and the Leide das Neves Ferreira Foundation of the State of Goias, in order to prospectively follow more than 150 victims. (author). 6 refs

The medical implications of nuclear power plant accidents

International Nuclear Information System (INIS)

Tyror, J.G.; Pearson, G.W.

1989-11-01

This paper examines the UK position regarding the potential for an accident at a nuclear power plant, the safeguards in place to prevent such an accident occurring and the emergency procedures designed to cope with the consequences should one occur. It focuses on the role of the medical services and examines previous accidents to suggest the nature and likely scale of response that may need to be provided. It is apparent that designs of UK nuclear power stations are robust and that the likelihood of a significant accident occurring is extremely remote. Emergency arrangements are, however, in place to deal with the eventuality should it arise and these incorporate sufficient flexibility to accommodate a wide range of accidents. Analysis of previous nuclear accidents at Windscale, Three Mile Island and Chernobyl provide a limited but valuable insight into the diversity and potential scale of response that may be required. It is concluded that above all, the response must be flexible to enable medical services to deal with the wide range of effects that may arise. (author)

The early medical response to the Goiania accident

International Nuclear Information System (INIS)

Valverde, N.J.; Oliveira, A.R.

2000-01-01

The Goiania accident was the most severe radiological one that ever happened in the western hemisphere. The response to its human, social, environmental, economical and psychological burdens represented a huge challenge. Thanks to a multi-institutional intervention the consequences of the accident were greatly minimised. The medical response followed the same pattern and was based on a three-level system of progressive assistance. The early medical response encompassed medical and 'radiological' triage, admission to a specially prepared ward of a local hospital and treatment at a reference center in Rio de Janeiro. (author)

Safety in the Chemical Laboratory. Epidemiology of Accidents in Academic Chemistry Laboratories, Part 2. Accident Intervention Study, Legal Aspects, and Observations.

Science.gov (United States)

Hellmann, Margaret A.; And Others

1986-01-01

Reports on a chemistry laboratory accident intervention study conducted throughout the state of Colorado. Addresses the results of an initial survey of institutions of higher learning. Discusses some legal aspects concerning academic chemistry accidents. Provides some observations about academic chemistry laboratory accidents on the whole. (TW)

Immediate medical consequences of nuclear accidents: lessons from Chernobyl

International Nuclear Information System (INIS)

Gale, R.P.

1987-01-01

The immediate medical response to the nuclear accident at the Chernobyl nuclear power station involved containment of the radioactivity and evacuation of the nearby population. The next step consisted of assessment of the radiation dose received by individuals, based on biological dosimetry, and treatment of those exposed. Medical care involved treatment of skin burns; measures to support bone marrow failure, gastrointestinal tract injury, and other organ damage (i.e., infection prophylaxis and transfusions) for those with lower radiation dose exposure; and bone marrow transplantation for those exposed to a high dose of radiation. At Chernobyl, two victims died immediately and 29 died of radiation or thermal injuries in the next three months. The remaining victims of the accident are currently well. A nuclear accident anywhere is a nuclear accident everywhere. Prevention and cooperation in response to these accidents are essential goals

Planning the medical response to radiological accidents

International Nuclear Information System (INIS)

1998-01-01

Radioactive substances and other sources of ionizing radiation are used to assist in diagnosing and treating diseases, improving agricultural yields, producing electricity and expanding scientific knowledge. The application of sources of radiation is growing daily, and consequently the need to plan for radiological accidents is growing. While the risk of such accidents cannot be entirely eliminated, experience shows that most of the rare cases that have occurred could have been prevented, as they are often caused by human error. Recent radiological accidents such as those at Chernobyl (Ukraine 1986), Goiania (Brazil 1987), San Salvador (El Salvador 1989), Sor-Van (Israel 1990), Hanoi (Viet Nam 1992) and Tammiku (Estonia 1994) have demonstrated the importance of adequate preparation for dealing with such emergencies. Medical preparedness for radiological accidents must be considered an integral part of general emergency planning and preparedness and established within the national framework for radiation protection and safety. An IAEA Technical Committee meeting held in Istanbul in 1988 produced some initial guidance on the subject, which was subsequently developed, reviewed and updated by groups of consultants in 1989, 1992 and 1996. Special comments were provided by WHO, as co-sponsor of this publication, in 1997. This Safety Report outlines the roles and tasks of health authorities and hospital administrators in emergency preparedness for radiological accidents. Health authorities may use this document as the basis for their medical management in a radiological emergency, bearing in mind that adaptations will almost certainly be necessary to take into account the local conditions. This publication also provides information relevant to the integration of medical preparedness into emergency plans

Medical and psychological aspects of crisis management during a nuclear accident

International Nuclear Information System (INIS)

Drottz-Sjoeberg, B.M.

1993-06-01

Crisis handling in most kinds of disasters is affected by e.g. the information situation, prior experience and preparedness, availability of resources, efficiency of leadership and coordination, and type of disaster. A nuclear accident creates a situation which differs from many 'normal' disasters and natural catastrophes, for example with respects to the invisible nature of radiation and radioactive contamination and thus the dependence on access to specific technical equipment and expertise, and to information about the radiation situation. The scope of the accident, and the existing levels of radiation, define subsequent actions; information policies and existing channels of communication lay the foundation for public reactions. The present paper explores some examples of public reactions, and crisis handling of some previous radiation accidents on the basis of two dimensions, i.e. degree of information availability and degree of impact or 'environmental damage'. The examples include the radiation accidents in the Chelyabinsk region in the southern Urals, at Three Mile Island, USA, at Chernobyl in the Ukraine, and in Goiania, Brazil. It is concluded that public reactions differ as a function of existing expectations, and the crisis handling is more affected by the existing organizational and social structures than by needs and reactions of potential victims. Another conclusion is that pre-disaster preparedness regarding public information, and organization of countermeasures, are crucial to the outcome of a successful crisis handling and for enhancing public trust in crisis management. 39 refs, 2 figs

Medical and psychological aspects of crisis management during a nuclear accident

Energy Technology Data Exchange (ETDEWEB)

Drottz-Sjoeberg, B M

1993-06-01

Crisis handling in most kinds of disasters is affected by e.g. the information situation, prior experience and preparedness, availability of resources, efficiency of leadership and coordination, and type of disaster. A nuclear accident creates a situation which differs from many `normal` disasters and natural catastrophes, for example with respects to the invisible nature of radiation and radioactive contamination and thus the dependence on access to specific technical equipment and expertise, and to information about the radiation situation. The scope of the accident, and the existing levels of radiation, define subsequent actions; information policies and existing channels of communication lay the foundation for public reactions. The present paper explores some examples of public reactions, and crisis handling of some previous radiation accidents on the basis of two dimensions, i.e. degree of information availability and degree of impact or `environmental damage`. The examples include the radiation accidents in the Chelyabinsk region in the southern Urals, at Three Mile Island, USA, at Chernobyl in the Ukraine, and in Goiania, Brazil. It is concluded that public reactions differ as a function of existing expectations, and the crisis handling is more affected by the existing organizational and social structures than by needs and reactions of potential victims. Another conclusion is that pre-disaster preparedness regarding public information, and organization of countermeasures, are crucial to the outcome of a successful crisis handling and for enhancing public trust in crisis management. 39 refs, 2 figs.

Medical management of radiological accidents in non-specialized clinics: mistakes and lessons

International Nuclear Information System (INIS)

Jikia, D.

2009-01-01

In 1996-2002 three radiological accidents were developed in Georgia. There were some people injured in those accidents. During medical management of the injured some mistakes and errors were revealed both in diagnostics and scheme of the treatment. The goal of this article is to summarize medical management of the mentioned radiological accidents, to estimate reasons of mistakes and errors, to present the lessons drawn in result of Georgia radiological accidents. There was no clinic with specialized profile and experience. Accordingly due to having no relevant experience late diagnosis can be considered as the main error. It had direct influence on the patients' health and results of treatment. Lessons to be drawn after analyzing Georgian radiological accidents: 1. informing medical staff about radiological injuries (pathogenesis, types, symptoms, clinical course, principles of treatment and etc.); 2. organization of training and meetings in non-specialized clinics or medical institutions for medical staff; 3. preparation of informational booklets and guidelines.(author)

Biological and medical consequences of nuclear accidents

International Nuclear Information System (INIS)

Latarjet, R.

1988-01-01

The study of the medical and biological consequences of the nuclear accidents is a vast program. The Chernobyl accident has caused some thirty deceases: Some of them were rapid and the others occurred after a certain time. The particularity of these deaths was that the irradiation has been associated to burns and traumatisms. The lesson learnt from the Chernobyl accident is to treat the burn and the traumatism before treating the irradiation. Contrary to what the research workers believe, the first wave of deaths has passed between 15 and 35 days and it has not been followed by any others. But the therapeutic lesson drawn from the accident confirm the research workers results; for example: the radioactive doses band that determines where the therapy could be efficacious or not. the medical cares dispensed to the irradiated people in the hospital of Moscow has confirmed that the biochemical equilibrium of proteinic elements of blood has to be maintained, and the transfusion of the purified elements are very important to restore a patient to health, and the sterilization of the medium (room, food, bedding,etc...) of the patient is indispensable. Therefore, it is necessary to establish an international cooperation for providing enough sterilized rooms and specialists in the irradiation treatment. The genetic consequences and cancers from the Chernobyl accident have been discussed. It is impossible to detect these consequences because of their negligible percentages. (author)

Analysis of the experience in participation of army medical service in medical arrangement in case of radiation accident

International Nuclear Information System (INIS)

Zhilyaev, E.G.; Goncharov, S.F.; Vorontsov, I.V.; Legeza, V.I.; Berzin, I.A.

1995-01-01

The paper presented calculations of manpower and money funds for rendering aid to the injured persons in case of radiation accident. The authors offered a scheme of using medical anti-radial aids on various stages of radiation accident; immediately after the accident in case of non-predicted and controlled radiation exposure. Army Medical Service is capable of solving promptly the tasks of medical aid with the help of highly mobile specialized medical units, the use of which is stipulated in the system of the Russian Service of disaster medicine. 10 refs.; 1 tab

Nuclear, biological and chemical warfare. Part I: Medical aspects of nuclear warfare.

Science.gov (United States)

Kasthuri, A S; Pradhan, A B; Dham, S K; Bhalla, I P; Paul, J S

1990-04-01

Casualties in earlier wars were due much more to diseases than to weapons. Mention has been made in history of the use of biological agents in warfare, to deny the enemy food and water and to cause disease. In the first world war chemical agents were used to cause mass casualties. Nuclear weapons were introduced in the second world war. Several countries are now involved in developing nuclear, biological and chemical weapon systems, for the mass annihilation of human beings, animals and plants, and to destroy the economy of their enemies. Recently, natural calamities and accidents in nuclear, chemical and biological laboratories and industries have caused mass instantaneous deaths in civilian population. The effects of future wars will not be restricted to uniformed persons. It is time that physicians become aware of the destructive potential of these weapons. Awareness, immediate protective measures and first aid will save a large number of persons. This series of articles will outline the medical aspects of nuclear, biological and chemical weapon systems in three parts. Part I will deal with the biological effects of a nuclear explosion. The short and long term effects due to blast, heat and associated radiation are highlighted. In Part II, the role of biological agents which cause commoner or new disease patterns is mentioned. Some of the accidents from biological warfare laboratories are a testimony to its potential deleterious effects. Part III deals with medical aspects of chemical warfare agents, which in view of their mass effects can overwhelm the existing medical resources, both civilian and military.(ABSTRACT TRUNCATED AT 250 WORDS)

NASA Medical Response to Human Spacecraft Accidents

Science.gov (United States)

Patlach, Robert

2011-01-01

This slide presentation reviews NASA's role in the response to spacecraft accidents that involve human fatalities or injuries. Particular attention is given to the work of the Mishap Investigation Team (MIT), the first response to the accidents and the interface to the accident investigation board. The MIT does not investigate the accident, but the objective of the MIT is to gather, guard, preserve and document the evidence. The primary medical objectives of the MIT is to receive, analyze, identify, and transport human remains, provide assistance in the recovery effort, and to provide family Casualty Coordinators with latest recovery information. The MIT while it does not determine the cause of the accident, it acts as the fact gathering arm of the Mishap Investigation Board (MIB), which when it is activated may chose to continue to use the MIT as its field investigation resource. The MIT membership and the specific responsibilities and tasks of the flight surgeon is reviewed. The current law establishing the process is also reviewed.

Helicopter emergency medical services response to equestrian accidents.

Science.gov (United States)

Lyon, Richard M; Macauley, Ben; Richardson, Sarah; de Coverly, Richard; Russell, Malcolm

2015-04-01

Horse riding is a common leisure activity associated with a significant rate of injury. Helicopter emergency medical services (HEMS) may be called to equestrian accidents. Accurate HEMS tasking is important to ensure appropriate use of this valuable medical resource. We sought to review HEMS response to equestrian accidents and identify factors associated with the need for HEMS intervention or transport of the patient to a major trauma centre. Retrospective case review of all missions flown by Kent, Surrey & Sussex Air Ambulance Trust over a 1-year period (1 July 2011 to 1 July 2012). All missions were screened for accidents involving a horse. Call details, patient demographics, suspected injuries, clinical interventions and patient disposition were all analysed. In the 12-month data collection period there were 47 equestrian accidents, representing ∼3% of the total annual missions. Of the 42 cases HEMS attended, one patient was pronounced life extinct at the scene. In 15 (36%) cases the patient was airlifted to hospital. In four (10%) cases, the patient underwent prehospital anaesthesia. There were no specific predictors of HEMS intervention. Admission to a major trauma centre was associated with the rider not wearing a helmet, a fall onto their head or the horse falling onto the rider. Equestrian accidents represent a significant proportion of HEMS missions. The majority of patients injured in equestrian accidents do not require HEMS intervention, however, a small proportion have life-threatening injuries, requiring immediate critical intervention. Further research is warranted, particularly regarding HEMS dispatch, to further improve accuracy of tasking to equestrian accidents.

Historical aspects of radiation accidents

International Nuclear Information System (INIS)

Mettler, F.A. Jr.; Ricks, R.C.

1990-01-01

Radiation accidents are extremely rare events; however, the last two years have witnessed the largest radiation accidents in both the eastern and western hemispheres. It is the purpose of this chapter to review how radiation accidents are categorized, examine the temporal changes in frequency and severity, give illustrative examples of several types of radiation accidents, and finally, to describe the various registries for radiation accidents

Medical treatment of radiation damages and medical emergency planning in case of nuclear power plant incidents and accidents

International Nuclear Information System (INIS)

Ohlenschlaeger, L.

1981-03-01

Medical measures in case of radiation damages are discussed on the basis of five potential categories of radiation incidents and accidents, respectively, viz. contaminations, incorporations, external local and general radiation over-exposures, contaminated wounds, and combinations of radiation damages and conventional injuries. Considerations are made for diagnostic and therapeutic initial measures especially in case of minor and moderate radiation accidents. The medical emergency planning is reviewed by means of definations used in the practical handling of incidents or accidents. The parameters are: extent of the incident or accident, number of persons involved, severity of radiation damage. Based on guiding symptoms the criteria for the classification into minor, moderate or severe radiation accidents are discussed. Reference is made to the Medical Radiation Protection Centers existing in the Federal Republic of Germany and the possibility of getting advices in case of radiation incidents and accidents. (orig.) [de

Medical emergency planning in case of severe nuclear power plant accidents

International Nuclear Information System (INIS)

Ohlenschlaeger, L.

1980-01-01

This paper is an attempt to discuss a three-step-plan on medical emergency planning in case of severe accidents at nuclear power plants on the basis of own experiences in the regional area as well as on the basis of recommendations of the Federal Minister of the Interior. The medical considerations take account of the severity and extension of an accident whereby the current definitions used in nuclear engineering for accident situations are taken as basis. A comparison between obligatory and actual state is made on the possibilities of medical emergency planning, taking all capacities of staff, facilities, and equipment available in the Federal Republic of Germany into account. To assure a useful and quick utilization of the existing infra-structure as well as nation-wide uniform training of physicians and medical assistants in the field of medical emergency in case of a nuclear catastrophe, a federal law for health protection is regarded urgently necessary. (orig.) [de

Medical management of radiation accidents

Energy Technology Data Exchange (ETDEWEB)

NONE

1982-12-31

The film gives advice on actions to be taken in case of a radiation accident. It addresses involving external irradiation of the whole and partial body, very localized exposure, uptake of radioiodine, inhalation of transuranium elements and a wound of a finger. The film is intended to illustrate the Agency`s Safety Series No. 47 entitled ``Manual on Early Medical Treatment of Possible Radiation Injury`` published in 1978

Latin American radio pathology net, training program for the medical response in cases of accidents

International Nuclear Information System (INIS)

Perez, M. R.; Valverde, N.; Sanhueza, S.; Di Tramo, J. L.; Gisone, P.; Cardenas, J.

2003-01-01

, in spite of the will to strengthen the structures regulators and their legal bases, as well as in the implementation of notification systems, licences and control of sources. In our region in the frame work of ARCAL Program has been executed medical Treatment in Radiological Accidents Project. With the purpose to consolidate and integrate four reference centers as regards medical attention to overexposed people. As a result of this project it was elaborated an educational methodological document that contains the proposal of training program so that the health professionals for confront radiological accidents. The project considers the following aspect: definition of the theoretical and practical contents to be included in training programmes, setting quality standards for medical education in the region, planning activities for medical education to be performed at national and regional levels and organization of scientifically exchanges and practical training stays. (Author)

SPECIFIC ASPECTS OF THE OFFENSE OF LEAVING THE PLACE OF THE ACCIDENT

Directory of Open Access Journals (Sweden)

Alin-Sorin NICOLESCU

2018-05-01

Full Text Available The legislator has adopted the respective texts of law to the new social realities once with the repeal of the criminal segment of GEO no. 195/2002 relating to the circulation on public roads, republished and the introduction of this one in the content of the New Criminal Code. The offence of leaving the place of the accident, actually found in the content of the provisions of art. 338 of Criminal Code is one of the eight offences against the safety on public roads. Knowing important modifications, the legal text may appear relatively ambiguous if we refer to the old indictment, meaning that certain factual situations remained outside the criminal law. We will analyse in this regard the obligations that arise to the driver in case of a traffic accident, bringing into question even the decriminalization of the prohibition of the consumption of alcohol after the road event. Furthermore, we will treat even aspects related to the causes of special no imputation that, on a closer analysis, can create problems of interpretation. Through the phrase “it does not constitute the offence of leaving the place of the accident when only material damages occurred after the accident”, the legislator has chosen to indict this offence even if the victim has evaluable lesions within 1-2 days of medical care, on condition that for the same fact, in the old regulation, 10 days were required or it was an oversight of the legislator that it is to be resolved at some point?

Juridical-penal aspects of the cesium-137 accident

International Nuclear Information System (INIS)

Soares, Carolina Chaves

1997-01-01

The study of the juridical-penal aspects of the Cesium-137 accident, has, as a base, the police inquiry and the penal lawsuit concerning to the episode. Due to the lack of a law which typified activities related with radioisotope material as crime, the responsible were sentenced according to the penalties of body injury crime and homicide. Among the 10 investigated people, only 5 were condemned by the Judiciary and only 4 serve the sentence. (author)

Medical and policy considerations for nuclear and radiation accidents, incidents and terrorism.

Science.gov (United States)

Gale, Robert Peter

2017-11-01

The purpose of this review is to address the increasing medical and public concern regarding the health consequences of radiation exposure, a concern shaped not only by fear of another Chernobyl or Fukushima nuclear power facility accident but also by the intentional use of a nuclear weapon, a radiological dispersion device, a radiological exposure device, or an improved nuclear device by rogue states such as North Korea and terrorist organizations such as Al Qaeda and ISIS. The United States has the medical capacity to respond to a limited nuclear or radiation accident or incident but an effective medical response to a catastrophic nuclear event is impossible. Dealing effectively with nuclear and radiation accidents or incidents requires diverse strategies, including policy decisions, public education, and medical preparedness. I review medical consequences of exposures to ionizing radiations, likely concomitant injuries and potential medical intervention. These data should help haematologists and other healthcare professionals understand the principles of medical consequences of nuclear terrorism. However, the best strategy is prevention.

Lessons learned from radiological accidents at medical exposures in radiotherapy

International Nuclear Information System (INIS)

Fagundes, J.S.; Ferreira, A.F.; Lima, C.M.A.; Silva, F.C.A. da

2017-01-01

An exposure is considered accidental in radiotherapy when there is a substantial deviation in the prescription of treatment. In this work, an analysis of published radiological accidents, both in Brazil and internationally, was performed during medical exposures in radiotherapy treatments, removing the main lessons learned. Of the research carried out, we highlight Brazil with four radiological accidents and one death in the period between 2011 and 2014; the United States of America with 169 accidents with two deaths from 2000 to 2010 and France from 2001 to 2014 had 569 deaths without patients. Lessons learned have been described, for example, that maintenance personnel training should specify limitations or restrictions on the handling or adjustment of critical parts on the accelerator. It is recommended to apply the 10 main lessons learned due to radiological accidents during medical exposures in radiotherapy treatments to avoid future events

Medical emergency and first aid for radiation accident

International Nuclear Information System (INIS)

Suzuki-Yasumoto, Masashi

1980-01-01

The thinkings concerning the injuries to human beings in nuclear accidents differ somewhat between Japan and the U.S.A. and other European countries. In accordance with the historical evolution of nuclear power and the characteristics of medical system in respective countries, there are more or less modified measures in the scheme of three phases; i.e. first aid stations on the sites of nuclear facilities, support hospitals, and radiation injury centers, in order. So far, easy reliance on such as the National Institute of Radiological Sciences was large, but with the Three Mile Island nuclear plant accident as the turning point, the emergency and first aid systems are being studied intensively both in the Government and private nuclear power enterprises. The following matters are described: the differences in thinkings between Japan and other countries; fundamentals in the medical emergency scheme in radiation accidents; the systems in U.S.A., U.K., France and West Germany; and the problems and measures in the scheme of Japan. (J.P.N.)

The radiological accident in Yanango

International Nuclear Information System (INIS)

2000-01-01

The use of nuclear technologies has fostered new, more effective and efficient medical procedures and has substantially improved diagnostic and therapeutic capabilities. However, in order that the benefits of the use of ionizing radiation outweigh the potential hazards posed by this medium, it is important that radiation protection and safety standards be established to govern every aspect of the application of ionizing radiation. Adherence to these standards needs to be maintained through effective regulatory control, safe operational procedures and a safety culture that is shared by all. Occasionally, established safety procedures are violated and serious radiological consequences ensue. The radiological accident described in this report, which took place in Lilo, Georgia, was a result of such an infraction. Sealed radiation sources had been abandoned by a previous owner at a site without following established regulatory safety procedures, for example by transferring the sources to the new owner or treating them as spent material and conditioning them as waste. As a consequence, 11 individuals at the site were exposed for a long period of time to high doses of radiation which resulted inter alia in severe radiation induced skin injuries. Although at the time of the accident Georgia was not an IAEA Member State and was not a signatory of the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency, the IAEA still provided assistance to the Government of Georgia in assessing the radiological situation, while the World Health Organization (WHO) assisted in alleviating the medical consequences of the accident. The two organizations co-operated closely from the beginning, following the request for assistance by the Georgian Government. The IAEA conducted the radiological assessment and was responsible for preparing the report. The WHO and its collaborating centres within the Radiation Emergency Medical Preparedness and Assistance Network

Preliminary report about Goiania radiological accident, Brazil

International Nuclear Information System (INIS)

Oliveira, A.R. de.

1988-05-01

The events that originate the Goiania radiological accident involving the rupture of Cesium 137 source, the source characteristics, the medical aspects related to the triage of victims, the medical attendance, and the special measurements of decontamination in the Goiania General Hospital (HGG), are described. (M.C.K.) [pt

Medical features of the radiological accident in Chernobyl

International Nuclear Information System (INIS)

Oliveira, A.R. de

1987-01-01

The main medical features concerning the recent nuclear accident occurred in Chernobyl power station is summarized. The first measures taken by the Soviet medical authorities to minimize the effects of ionizing radiation on the victims are briefly commented on. The specialized laboratory analyses and therapeutic procedures adopted by the physicians during the course of the acute phase of the major syndromes are also discussed. (author) [pt

Do failures in non-technical skills contribute to fatal medical accidents in Japan? A review of the 2010-2013 national accident reports.

Science.gov (United States)

Uramatsu, Masashi; Fujisawa, Yoshikazu; Mizuno, Shinya; Souma, Takahiro; Komatsubara, Akinori; Miki, Tamotsu

2017-02-16

We sought to clarify how large a proportion of fatal medical accidents can be considered to be caused by poor non-technical skills, and to support development of a policy to reduce number of such accidents by making recommendations about possible training requirements. Summaries of reports of fatal medical accidents, published by the Japan Medical Safety Research Organization, were reviewed individually. Three experienced clinicians and one patient safety expert conducted the reviews to determine the cause of death. Views of the patient safety expert were given additional weight in the overall determination. A total of 73 summary reports of fatal medical accidents were reviewed. These reports had been submitted by healthcare organisations across Japan to the Japan Medical Safety Research Organization between April 2010 and March 2013. The cause of death in fatal medical accidents, categorised into technical skills, non-technical skills and inevitable progress of disease were evaluated. Non-technical skills were further subdivided into situation awareness, decision making, communication, team working, leadership, managing stress and coping with fatigue. Overall, the cause of death was identified as non-technical skills in 34 cases (46.6%), disease progression in 33 cases (45.2%) and technical skills in two cases (5.5%). In two cases, no consensual determination could be achieved. Further categorisation of cases of non-technical skills were identified as 14 cases (41.2%) of problems with situation awareness, eight (23.5%) with team working and three (8.8%) with decision making. These three subcategories, or combinations of them, were identified as the cause of death in 33 cases (97.1%). Poor non-technical skills were considered to be a significant cause of adverse events in nearly half of the fatal medical accidents examined. Improving non-technical skills may be effective for reducing accidents, and training in particular subcategories of non-technical skills may be

Manual on the medical management of individuals involved in radiation accidents

International Nuclear Information System (INIS)

Swindon, T.N.

1991-09-01

This manual is concerned with accidents or emergencies which involve sources of ionizing radiation. It does not cover other forms of radiation such as non-ionizing radiation (ultra-violet, light, radiofrequency radiations), heat, etc. Most radiation accidents have involved individuals either at the workplace or with medical misadministrations; they have received external exposure from X-ray or gamma-ray sources or have been contaminated with radioactive material. A few members of the public have also been involved through misadventures with radioactive sources although these may not be thought of as accidents; more commonly, they are referred to as 'incidents'. For the purpose of this manual, there is not differentiation between an accident and an incident, as the medical care required is the same in both situations. Some of the reference papers are reprinted at the back of the manual. 17 refs., 12 tabs., 9 figs

Aspects of risk analysis application to estimation of nuclear accidents and tests consequences and intervention management

International Nuclear Information System (INIS)

Demin, V.F.; Hedemann-Jensen, P.; Rolevich, I.V.; Schneider, T.S.; Sobolev, B.G.

1996-01-01

For assessment of accident consequences and a post-accident management a risk analysis methodology and data bank (BARD) with allowance for radiation and non-radiation risk causes should be developed and used. Aspects of these needs and developments are considered. Some illustrative results of health risk estimation made with BARD for the Bryansk region territory with relatively high radioactive contamination from the Chernobyl accident are presented

Further studies into the emergency medical care of radiation accidents

International Nuclear Information System (INIS)

Nakao, Isamu

1989-01-01

The emergency medical care of radiation accidents constitute a peculier characteristics of radiation protection including the works of the administrative management, environmental radiological monitoring and health physics around the clinical medicine. It is thought to be an interdisciplinary medical field which is designated as a comprehensive medicine for radiation hazard. Moreover, it will be thought that the radiological medicine is not only the medical science which deals with the use of radiant energy in the diagnosis and treatment of disease, but also the art and science of maintenance of health and cure for radiation injuries, just as the two wheels of a cart. It should reward the needs of today. We would like to expect that this symposium will be a clue to the theoretical systematization of the comprehensive medicine of radiation accidents. (author)

Do failures in non-technical skills contribute to fatal medical accidents in Japan? A review of the 2010–2013 national accident reports

Science.gov (United States)

Uramatsu, Masashi; Fujisawa, Yoshikazu; Mizuno, Shinya; Souma, Takahiro; Komatsubara, Akinori; Miki, Tamotsu

2017-01-01

Objectives We sought to clarify how large a proportion of fatal medical accidents can be considered to be caused by poor non-technical skills, and to support development of a policy to reduce number of such accidents by making recommendations about possible training requirements. Design Summaries of reports of fatal medical accidents, published by the Japan Medical Safety Research Organization, were reviewed individually. Three experienced clinicians and one patient safety expert conducted the reviews to determine the cause of death. Views of the patient safety expert were given additional weight in the overall determination. Setting A total of 73 summary reports of fatal medical accidents were reviewed. These reports had been submitted by healthcare organisations across Japan to the Japan Medical Safety Research Organization between April 2010 and March 2013. Primary and secondary outcome measures The cause of death in fatal medical accidents, categorised into technical skills, non-technical skills and inevitable progress of disease were evaluated. Non-technical skills were further subdivided into situation awareness, decision making, communication, team working, leadership, managing stress and coping with fatigue. Results Overall, the cause of death was identified as non-technical skills in 34 cases (46.6%), disease progression in 33 cases (45.2%) and technical skills in two cases (5.5%). In two cases, no consensual determination could be achieved. Further categorisation of cases of non-technical skills were identified as 14 cases (41.2%) of problems with situation awareness, eight (23.5%) with team working and three (8.8%) with decision making. These three subcategories, or combinations of them, were identified as the cause of death in 33 cases (97.1%). Conclusions Poor non-technical skills were considered to be a significant cause of adverse events in nearly half of the fatal medical accidents examined. Improving non-technical skills may be effective for

Medical follow up of ten patients victims of the radiological accident occurred in Goiania, Goias State, Brazil 1988/1992; Acompanhamento clinico de dez pacientes vitimas do acidente radiologico de Goiania - 1988/1992

Energy Technology Data Exchange (ETDEWEB)

Curado, M.P.; Morais, M.S.A.; Silva, J.F.; Assis, P.R.; Oliveira, A.R.; Santos, E.A

1992-12-31

The author makes an update of the medical aspects of ten victims of the radiological accident occurred in Goiania in September 1987. These patients received specialized treatment during the critical phase at Marcilio Dias Naval Hospital in Rio de Janeiro. Actually these patients are under medical follow-up at Leide das Neves Ferreira Foundation since march 1988. The clinical, haematological and laboratorial results are presented and discussed. The importance of a close medical follow-up direct victims of a radiological accident is stressed. (author) 13 refs., 5 tabs., 2 graphs.

Generalities on nuclear accidents and their short-dated and middle-dated management; Generalites sur les accidents nucleaires et leur gestion a court terme et a long terme

Energy Technology Data Exchange (ETDEWEB)

NONE

2003-03-01

All the nuclear activities present a radiation risk. The radiation exposure of the employees or the public, may occur during normal activity or during an accident. The IRSN realized a document on this radiation risk and the actions of protection. The sanitary and medical aspects of a radiation accident are detailed. The actions of the population protection during an accident and the post accident management are also discussed. (A.L.B.)

Soviet medical response to the Chernobyl nuclear accident

International Nuclear Information System (INIS)

Linnemann, R.E.

1987-01-01

The nuclear accident at Chernobyl was the worst in the history of nuclear power. It tested the organized medical response to mass radiation casualties. This article reviews the Soviet response as reported at the 1986 postaccident review meeting in Vienna and as determined from interviews. The Soviets used three levels of care: rescue and first aid at the plant site; emergency treatment at regional hospitals; and definitive evaluation and treatment in Moscow. Diagnosis, triage, patient disposition, attendant exposure, and preventive actions are detailed. The United States would be well advised to organize its resources definitively to cope with future nonmilitary nuclear accidents

Preclinical diagnosis and emergency medical care in case of radiation accidents

International Nuclear Information System (INIS)

Ohlenschlaeger, L.

1990-01-01

Reference is made to preclinical diagnosis and emergency medical care at the site of a potential radiation accident. Possibilities and limits, respectively, of the medical measures are shown. Cooperation between the experts of the technical and medical rescue services is described. Exposition to radiation for the emergency medical staff resulting from the medical care of contaminated persons, is negligible if the personal precautions are observed. (orig.) [de

The radiological accident in Goiania. Environmental aspects

International Nuclear Information System (INIS)

Rochedo, E.R.R.

2000-01-01

In 1987 a radioactive source containing CsCl powder was removed from a teletherapy machine in Goiania, Brazil. Subsequently it was ruptured in a residential garden, causing the dissemination of the 137 Cs powder over about 1 km 2 in an urbanized area of the city. The radioactive material was passed on to several people with consequent contamination of their families, houses, and surrounding environments. Mechanisms of resuspension/deposition spread the material over roofs, trees and home gardens. Environmental surveys were performed by helicopter and by car; contaminated places were mapped following monitoring with hand held instruments and an extensive environmental sample monitoring programme was undertaken. Dose assessments were performed: the criteria established by the authorities for decontamination were a dose of 5 mSv in the first year and an average lifetime dose of 1 mSv per year. The first-year dose criterion was found to be the most restrictive. Significant contamination was found at 85 houses: 41 of these had to be evacuated. Houses were first decontaminated indoors, by washing, scraping and/or removing contaminated items and furniture, and then outdoors by tearing out walls, roofs and pavements. Layers of soil were removed from contaminated gardens. Follow-up monitoring of the environment showed that several years after the accident, the residual activity had not migrated and no further spread through resuspension or deposition had occurred. A weathering half-life of 13 years was observed for gamma dose rates. Lessons learned included the need to improve several aspects of emergency response preparedness such as general management and interface between institutions, medical and paramedical support teams, dealing with the media and adequate prospective models for dose assessment. (author)

Generalities on nuclear accidents and their short-dated and middle-dated management

International Nuclear Information System (INIS)

2003-03-01

All the nuclear activities present a radiation risk. The radiation exposure of the employees or the public, may occur during normal activity or during an accident. The IRSN realized a document on this radiation risk and the actions of protection. The sanitary and medical aspects of a radiation accident are detailed. The actions of the population protection during an accident and the post accident management are also discussed. (A.L.B.)

The Fukushima major accident. Seismic, nuclear and medical considerations

International Nuclear Information System (INIS)

Carpentier, Alain; Friedel, Jacques; Brezin, Edouard; Baulieu, Etienne-Emile; Courtillot, Vincent; Dercourt, Jean; Jaupart, Claude; Le Pichon, Xavier; Poirier, Jean-Paul; Salencon, Jean; Tapponnier, Paul; Dautray, Robert; Taquet, Philippe; Blanchet, Rene; Le Mouel, Jean-Louis; Chapron, Jean-Yves; Fanon, Joelle; BARD, Pierre-Yves; Bernard, Pascal; Montagner, Jean-Paul; Armijo, Rolando; Shapiro, Nikolai; Tait, Steve; Cara, Michel; Madariaga, Raul; Pecker, Alain; Schindele, Francois; Douglas, John

2011-01-01

The first part of this voluminous report addresses mega-earthquakes and mega-tsunamis: scientific data, case of France (West Indies and metropolitan France), and socioeconomic aspects (governance, regulation, para-seismic protection). The second part deals with the nuclear accident at Fukushima: event sequence, situation of the nuclear industry in France after Fukushima, fuel cycle and future opportunities. The third part addresses health and environmental consequences. Each part is completed by a large number of documents in which some specific aspects are more precisely reported, commented and discussed

Medical aspects of the treatment of irradiated persons

International Nuclear Information System (INIS)

Carpaij, W.J.M.

1976-01-01

The possibilities of a medical assistance of patients after a nuclear accident and also the specific demands that supposes such an assistance, are discussed. On the basis of literary subjects, prevention as well as diagnostic and treatment are examined. It appears that such a medical assistance program cannot be drafted in detail beforehand, but must be fixed on the basis of the accidental situation. (author)

General medical and related aspects of the Goiania accident, Brazil

International Nuclear Information System (INIS)

Oliveira, A.R. de; Brandao-Melo, C.E.; Hunt, J.G.

1988-01-01

In a recent radiation accident occurred in the city of Goiania, central area of Brazil, approximately 250 people were exposed to a 137Cs source from a radiotherapy unit abandoned in a amedical clinic in that city. At least twelve patients showed some degree of bone marrow depression, from which eight developed the classical signs and symptoms of Acute radiation Syndrome (ARS). 28 people presented local radiation burns ranging from first to third degree. Around 100 people showed evidences of internal contamination due to the dissemination of the source powder. The authors describe the circumstances of the event, the first-aid measures taken at place, the criteria adopted during the triage of victims and the radiation protection procedures used during the management and treatment of the irradiated individuals. (author) [pt

Psychological aspects of accident prevention in mines

Energy Technology Data Exchange (ETDEWEB)

Lukestikova, M

1981-04-01

This paper duscusses ways of preventing work accidents and increasing work safety in underground black coal mines. Specific conditions of underground operations in coal mines are stressed. Elements of work accident prevention are analyzed: reducing hazards by introducing safer technology, automation and mechanization of operations associated with hazards, introducing special measures within the framework of safety engineering. Dependence of accident rate on such factors as personnel training, age, motivation, qualifications, and labor discipline is discussed. Investigations indicate that miner motivation plays a significant role in accident prevention. A high degree of labor motivation successfully reduces accident rate and a low degree of motivation increases accident rate. Role of labor collective in labor motivation as well as a correct system of wage incentives are evaluated. Methods of personnel training aimed at reducing accident rate are described. Role of a technique by which a group of miners attempts to find a solution to a work safety problem by amassing all ideas spontaneously contributed by participants is stressed.

Childhood accidents: the relationship of family size to incidence, supervision, and rapidity of seeking medical care.

Science.gov (United States)

Schwartz, Shepard; Eidelman, Arthur I; Zeidan, Amin; Applebaum, David; Raveh, David

2005-09-01

Large family size may be a risk factor for childhood accidents. A possible association with quality of child supervision and rapidity of seeking medical care has not been fully evaluated. To determine whether children with multiple siblings are at increased risk for accidents, to assess whether quality of child supervision varies with family size, and to evaluate the relationship of family size with the rapidity of seeking medical care after an accident. We prospectively studied 333 childhood accidents treated at TEREM (emergency care station) or the Shaare Zedek Medical Center. Details on family composition and the accident were obtained through parental interview. Family size of the study population was compared with that of the Jerusalem population. Families with one to three children (Group 1) and four or more children (Group 2) were compared with regard to type of supervision and different "Gap times" - the time interval from when the accident occurred until medical assistance was sought ("Gap 1"), the time from that medical contact until arrival at Shaare Zedek ("Gap 2"), and the time from the accident until arrival at Shaare Zedek for those children for whom interim medical assistance either was ("Gap 3A") or was not ("Gap 3B") sought. Children from families with 1, 2, 3, 4 and > or =5 children comprised 7.2%, 18.3%, 14.4%, 18.6% and 41.4% of our sample compared to 20.4%, 21.8%, 18.4%, 14.7% and 24.7% in the general population respectively. Children from Group 2 were less often attended to by an adult (44.5% vs. 62.0%) and more often were in the presence only of other children at the time of the accident (27.0% vs. 10.5%). Gaps 1, 2 and 3A in Group 2 (6.3 hours, 16.5 hours, 27.8 hours respectively) were longer than for Group 1 (2.7, 10.7, 13.3 hours respectively). The risk for accidents is increased among children from families with four or more children. The adequacy of child supervision in large families is impaired. There is a relative delay from the time

Legal aspects of nuclear and radiological accidents

International Nuclear Information System (INIS)

El-baroudy, M.M.

2005-01-01

Aiming at preventing nuclear and radiological accidents and maintaining safety and security, the State extends its jurisdiction over nuclear and radiological activities through the promulgation of regulatory legislations and providing criminal protection to these activities. The State, in its legislation, defines an authority responsible for the planning of preparedness for emergency situations. That Authority cooperates with other competent authorities in the State as well as with other relevant international organizations and other States in a coordinated way aiming at dealing effectively with and mitigating the consequences of nuclear and radiological accidents through promulgating relevant international conventions and plans for reinforcement of international cooperation in accidents situations. Moreover, the International Atomic Energy Authority (IAEA) can provide specialized consultations and offer assistance in case of accidents. The present study is divided into an introduction and two chapters. In the introduction, the nature of nuclear or radiological accidents is defined. The first chapter deals with the national legal system for preventing the occurrence of nuclear and radiological accidents and mitigating their consequences. The second chapter deals with the international cooperation for facing nuclear or radiological accidents and mitigating their consequences

All-Russian service of disaster medicine organizes response of radiative accidents

International Nuclear Information System (INIS)

Avetisov, G.M.; Goncharov, S.F.; Grachev, M.I.

1996-01-01

Theoretical base to establish the All-Russian service for disaster medicine (ARSDM) is elaborated. The arrangement system for medical aid for the population of the Chernobyl NPP (including the aspects of planning and management) is proved in action. COnclusion is made about the necessity to introduce special structure of measures aimed at provision of medical aid of accident victims, of their evacuation and treatment under elimination of radiation accidents. This structure requires to unify all abilities and means of health service into the single system for Medical Provision of population under the emergencies. 4 figs., 2 tabs

Workshop on iodine aspects of severe accident management. Summary and conclusions

International Nuclear Information System (INIS)

2000-03-01

Following a recommendation of the OECD Workshop on the Chemistry of Iodine in Reactor Safety held in Wuerenlingen (Switzerland) in June 1996 [Summary and Conclusions of the Workshop, Report NEA/CSNI/R(96)7], the CSNI decided to sponsor a Workshop on Iodine Aspects of Severe Accident Management, and their planned or effective implementation. The starting point for this conclusion was the realization that the consolidation of the accumulated iodine chemistry knowledge into accident management guidelines and procedures remained, to a large extent, to be done. The purpose of the meeting was therefore to help build a bridge between iodine research and the application of its results in nuclear power plants, with particular emphasis on severe accident management. Specifically, the Workshop was expected to answer the following questions: - what is the role of iodine in severe accident management? - what are the needs of the utilities? - how can research fulfill these needs? The Workshop was organized in Vantaa (Helsinki), Finland, from 18 to 20 May 1999, in collaboration with Fortum Engineering Ltd. It was attended by forty-six specialists representing fifteen Member countries and the European Commission. Twenty-eight papers were presented. These included four utility papers, representing the views of Electricite de France (EDF), Teollisuuden Voima Oy and Fortum Engineering Ltd (Finland), the Nuclear Energy Institute (USA), and Japanese utilities. The papers were presented in five sessions: - iodine speciation; - organic compound control; - iodine control; - modeling; - iodine management; A sixth session was devoted to a general discussion on iodine management under severe accident conditions. This report summarizes the content of the papers and the conclusions of the workshop

Medical aspects of 137Cs decorporation: The Goiania radiological accident

International Nuclear Information System (INIS)

Farina, R.; Brandao-Mello, C.E.; Oliveira, A.R.

1991-01-01

In September 1987, the Goiania radiological accident involving a source of 137 Cs culminated in about 140 victims who presented internal and/or external contamination and/or external exposure to radiation and/or radiation burns. Internal contamination was verified through analysis of urine and fecal samples. Internal contamination was also evaluated by measurements performed at the whole-body counter installed in Goiania in November 1987. To enhance the decorporation of 137Cs, patients were treated with the following: (1) Prussian Blue, oral administration, in 46 patients; (2) diuretics, oral administration, in 17 patients; (3) induced perspiration, increasing 137 Cs elimination. These procedures were done under rigorous clinical evaluation and considering the data from assay of excreta and data obtained from the whole-body counter. The doses of Prussian Blue exceeded about 6.5 times the dose previously indicated in the literature. It was the first time diuretics were used in humans to treat 137 Cs internal contamination. The results of these procedures are discussed

Helicopter type and accident severity in Helicopter Emergency Medical Services missions.

Science.gov (United States)

Hinkelbein, Jochen; Schwalbe, Mandy; Wetsch, Wolfgang A; Spelten, Oliver; Neuhaus, Christopher

2011-12-01

Whereas accident rates and fatal accident rates for Helicopter Emergency Medical Services (HEMS) were investigated sufficiently, resulting consequences for the occupants remain largely unknown. The present study aimed to classify HEMS accidents in Germany to prognosticate accident severity with regard to the helicopter model used. German HEMS accidents (1 Sept. 1970-31 Dec. 2009) were gathered as previously reported. Accidents were categorized in relation to the most severe injury, i.e., (1) no; (2) slight; (3) severe; and (4) fatal injuries. Only helicopter models with at least five accidents were analyzed to retrieve representative data. Prognostication was estimated by the relative percentage of each injury type compared to the total number of accidents. The model BO105 was most often involved in accidents (38 of 99), followed by BK117 and UH-1D. OfN = 99 accidents analyzed, N = 63 were without any injuries (63.6%), N = 8 resulted in minor injuries of the occupants (8.1%), and N = 9 in major injuries (9.1%). Additionally, N = 19 fatal accidents (19.2%) were registered. EC135 and BK1 17 had the highest incidence of uninjured occupants (100% vs. 88.2%) and the lowest percentage of fatal injuries (0% vs. 5.9%; all P > 0.05). Most fatal accidents occurred with the models UH-1D, Bell 212, and Bell 412. Use of the helicopter models EC135 and BK117 resulted in a high percentage of uninjured occupants. In contrast, the fatality rate was highest for the models Bell UH-I D, Bell 222, and Bell 412. Data from the present study allow for estimating accident risk in HEMS missions and prognosticating resulting fatalities, respectively.

Accident at Chernobyl and the medical response

International Nuclear Information System (INIS)

Geiger, H.J.

1986-01-01

The author was in the Soviet Union in early June 1986, leading a medical lecture tour under an exchange program sponsored by Physicians for Social Responsibility. This provided an opportunity for extensive discussions with the Soviet physicians in charge of the medical response to Chernobyl, for a visit to Moscow Hospital number 6, the center of care for those acutely injured for observation of seven acutely irradiated patients and reviews of their clinical courses, and for discussion with the medical teams providing the acute care and planning the necessary long term epidemiologic and environmental investigations. This report is based on information provided by these sources and on data released in Moscow by Robert P. Gale, MD, the American physician from UCLA who, with his associates, flew to the Soviet Union within days to join the team already caring for irradiated victims of the accident

Medical and biological aspects of the Chernobyl nuclear accident influence on the population of the Republic of Moldova

International Nuclear Information System (INIS)

Koretskaya, L.; Bahnarel, I.; Cechirlan, N.

2007-01-01

Complete test of publication follows. Stress factors action on the population health evaluation, especially on the emergency workers remains on e of the most important problems of the contemporary medicine. In this line the Chernobyl nuclear accident (CNA) that look place on the 26th April 1986 at the Chernobyl Nuclear Power Station (CNPS) is an eloquent example. Radioactive substances produced in the result of CNA fell out in a significant part of the Europe, including the Republic of Moldova territory, affecting more than 5,000,000 persons. In CNA consequences liquidation participated a lot of military staff including a great number of reservists. Lack of previous experience in the field (it was the first large-scale nuclear accident) made it impossible to prepare specially trained personnel for CNA limitation and liquidation. Consequently a lot of military staff even from the first days presented to medical authorities with a gamma of symptoms, which were henceforth characterized as somatic diseases after detailed investigations. Ionizing radiation influence on the health status of the participants in diminishing of consequences of the Chernobyl nuclear accident (PDCCNA) evaluation is difficult enough and so calls for an ample multilateral study applying modern diagnostic techniques. Large studies were yet conducted in the Russian Federation, the Ukraine and the Republic of Belarus. Acquired data suggests the existence of noticeable deteriorating effect of ionizing radiation produced secondary to CNA with the increased incidence of health status disturbances in affected population. Approximately 3500 inhabitants from the Republic of Moldova took part in the Chernobyl nuclear accident consequences liquidation. Study objective comprises the determination of clinical, immunological and cytogenetic features in PDCCNA from the Republic of Moldova and their descendants. Between 1996 and 2005 period 850 patients - participants in removal of consequences of Chernobyl

Medical and biological aspects of the Chernobyl nuclear accident influence on the population of the Republic of Moldova

International Nuclear Information System (INIS)

Coretchi, L.S.; Bahnarel, I.N.

2007-01-01

Complete text of publication follows. Stress factors action on the population health evaluation, especially on the emergency workers remains one of the most important problems of the contemporary medicine. In this line the Chernobyl nuclear accident (CNA) that took place on the 26th April 1986 at the Chernobyl nuclear power station (NPS) is an eloquent example. Radioactive substances produced in the result of CNA fell out in a significant part of the Europe, including the Republic of Moldova territory, affecting more than 5,000,000 persons. In CNA consequences liquidation participated a lot of military staff including a great number of reservists. Lack of previous experience in the field (it was the first large-scale nuclear accident) made it impossible to prepare specially trained personnel for CNA limitation and liquidation. Consequently a lot of military staff even from the first days presented to medical authorities with a gamma of symptoms, which were henceforth characterized as somatic diseases after detailed investigations. Ionizing radiation influence on the health status of the participants in diminishing of consequences of the Chernobyl nuclear accident (PDCCNA) evaluation is difficult enough and so calls for an ample multilateral study applying modern diagnostic techniques. Large studies were yet conducted in the Russian Federation, the Ukraine and the Republic of Belarus. Acquired data suggests the existence of noticeable deteriorating effect of ionizing radiation produced secondary to CNA with the increased incidence of health status disturbances in affected population. Approximately 3500 inhabitants from the Republic of Moldova took part in the Chernobyl nuclear accident consequences liquidation. Study objective comprises the determination of clinical, immunological and cytogenetic features in PDCCNA from the Republic of Moldova and their descendants. Between 1996 and 2005 period 850 patients - participants in removal of consequences of Chernobyl

Accidents - Chernobyl accident; Accidents - accident de Tchernobyl

Energy Technology Data Exchange (ETDEWEB)

NONE

2004-07-01

This file is devoted to the Chernobyl accident. It is divided in four parts. The first part concerns the accident itself and its technical management. The second part is relative to the radiation doses and the different contaminations. The third part reports the sanitary effects, the determinists ones and the stochastic ones. The fourth and last part relates the consequences for the other European countries with the case of France. Through the different parts a point is tackled with the measures taken after the accident by the other countries to manage an accident, the cooperation between the different countries and the groups of research and studies about the reactors safety, and also with the international medical cooperation, specially for the children, everything in relation with the Chernobyl accident. (N.C.)

Build-up forces at Military Institute of Medical Radiology and Oncology for emergency medical response to some eventualities of radiological accidents - some suggestions

International Nuclear Information System (INIS)

Ho Van Cu; Nguyen Huu Nghia

2011-01-01

Nowadays, the use of various nuclear sources in some fields of the life has brought many practical advantages in general; especially in the next several years, our country will begin construction of the first nuclear plant. However, if there were user carelessness or objective disadvantageous factors (earthquake, tsunami, etc.), that disadvantages could lead to a radiation accident or nuclear accident which causes damages not only for economy but also for public health. Therefore, the emergency response to radiation accident, especially the emergency medical response that has a great important position. To satisfy this real demand, in 1996, Vietnam Ministry of Defence made the decision to establish Center for Nuclear Medicine and Radiation Protecting (now becomes Military Institute of Medical Radiology and Oncology) with the main missions are research, applying radiation protecting methods and organizing treatments to radiation injured victims. To fulfill above main missions, with the help of Vietnam Atomic Energy Institute (VAEI), Vietnam Agency for Radiation and Nuclear Safety (VARANS), the doctors and staffs of our Institute have been participated in the international training courses and workshops that organized in Vietnam or in regional countries about emergency medical response to radiation accidents, they get valuable information, knowledge and documents from these courses and workshops. Depending on the principles of radiation emergency medical response to nuclear/ radiation accidents that International Atomic Energy Agency (IAEA) guided, and with the experience learned from other countries in Asia region, our Institute have been gradually improving on organization and curing processes for the radiation victims and also setting the preparedness for emergency medical response to radiation accidents if maybe they could occur. (author)

Chernobyl accident

International Nuclear Information System (INIS)

Bar'yakhtar, V.G.

1995-01-01

The monograph contains the catastrophe's events chronology, the efficiency assessed of those measures assumed for their localization as well as their environmental and socio-economic impact. Among materials of the monograph the results are presented of research on the radioactive contamination field forming as well as those concerning the investigation of biogeochemical properties of Chernobyl radionuclides and their migration process in the environment of the Ukraine. The data dealing with biological effects of the continued combined internal and external radioactive influence on plants, animals and human health under the circumstances of Chernobyl accident are of the special interest. In order to provide the scientific generalizing information on the medical aspects of Chernobyl catastrophe, the great part of the monograph is allotted to appraise those factors affecting the health of different population groups as well as to depict clinic aspects of Chernobyl events and medico-sanitarian help system. The National Programme of Ukraine for the accident consequences elimination and population social protection assuring for the years 1986-1993 and this Programme concept for the period up to the year 2000 with a special regard of the world community participation there

Accidental poisoning in childhood: a multicentre survey. 2. The role of packaging in accidents involving medications.

Science.gov (United States)

Wiseman, H M; Guest, K; Murray, V S; Volans, G N

1987-07-01

To assess the effectiveness of child-resistant closures (CRCs) and unit dose packaging in preventing childhood poisoning with medications, a survey by 14 hospitals of accidental suspected poisoning in children under 5-years-old, was compared with a survey of a representative sample of households with children under 5 living in the catchment areas of the hospitals. Nine hundred and thirty-eight medications thought to have been ingested by 877 children were compared with 5827 medications found in households with children. The relationship between availability of packs or medications in the home and their involvement in accidents was quantified by means of an Accident Association Index (AAI). A low AAI indicated that the involvement of a pack or medication was less than expected from availability and therefore safe. A high AAI indicated that involvement was greater than expected and therefore unsafe. Medications involved in suspected poisoning were most frequently packed in containers without CRCs (63%) or transparent blisters (20%); both had high AAIs. CRCs, strips, sachets and opaque blisters had low AAIs. Analgesics, expectorants and gastrointestinal medications, had low AAIs, while oral contraceptives, hypnotics, sedative/tranquillizers, antidepressants, anticonvulsants, anti-emetics, and anti-infectives had high AAIs. Prescription medications were more frequently involved in accidents than over-the-counter (OTC) medications and had a higher AAI. Comparison of the AAIs of different kinds of medication in each of their various pack types showed that safe packaging reduced the risk from medications which had a high average AAI. Only 40% of medications were in their normal storage place at the time of the accident. Medicine and bathroom cabinets, and kitchen cupboards and drawers were the safest places to store medications. Handbags, fridges, and shelves or ledges in the bathroom were the most unsafe places. No pack had a low AAI when stored on open shelves

Utilization technique of 'radiation management manual in medical field (2012).' What should be learnt from the Fukushima nuclear accident

International Nuclear Information System (INIS)

Kikuchi, Toru

2014-01-01

From the abstract of contents of the 'Radiation management manual in medical field (2012),' the utilization technique of the manual is introduced. Introduced items are as follows: (1) Exposure management; exposure management for radiation medical workers, patients, and citizens in the medical field, and exposure management for radiation workers and citizens involved in the emergency work related to the Fukushima nuclear accident, (2) Health management; health management for radiation medical workers, (3) Radiation education: Education/training for radiation medical workers, and radiation education for health care workers, (4) Accident and emergency measures; emergency actions involved in the radiation accidents and radiation medicine at medical facilities

Medical Aspects of Surfing.

Science.gov (United States)

Renneker, Mark

1987-01-01

The medical aspects of surfing include ear and eye injuries and sprains and strains of the lower back and neck, as well as skin cancer from exposure to the sun. Treatment, rehabilitation, and prevention of these problems are discussed. Surfing is recommended as part of an exercise program for reasonably healthy people. (Author/MT)

Statistical aspects of carbon fiber risk assessment modeling. [fire accidents involving aircraft

Science.gov (United States)

Gross, D.; Miller, D. R.; Soland, R. M.

1980-01-01

The probabilistic and statistical aspects of the carbon fiber risk assessment modeling of fire accidents involving commercial aircraft are examined. Three major sources of uncertainty in the modeling effort are identified. These are: (1) imprecise knowledge in establishing the model; (2) parameter estimation; and (3)Monte Carlo sampling error. All three sources of uncertainty are treated and statistical procedures are utilized and/or developed to control them wherever possible.

Emergency Victim Care. A Training Manual for Emergency Medical Technicians. Module 2. Equipment, Safe Driving Practices, Legal Aspects, Controlling the Situation, Action Evaluation Conference. Revised.

Science.gov (United States)

Ohio State Dept. of Education, Columbus. Div. of Vocational Education.

This student manual, the second in a set of 14 modules, is designed to train emergency medical technicians (EMTs) in Ohio. The module contains five sections that cover the following course content: ambulance equipment, safe driving practices for emergency vehicle drivers, legal aspects of the EMT's job, how to maintain control at an accident scene…

Structural aspects of the Chernobyl accident

International Nuclear Information System (INIS)

Murray, R.C.; Cummings, G.E.

1988-01-01

On April 26, 1986 the world's worst nuclear power plant accident occurred at the Unit 4 of the Chernobyl Nuclear Power Station in the USSR. This paper presents a discussion of the design of the Chernobyl Power Plant, the sequence of events that led to the accident and the damage caused by the resulting explosion. The structural design features that contributed to the accident and resulting damage will be highlighted. Photographs and sketches obtained from various worldwide news agencies will be shown to try and gain a perspective of the extent of the damage. The aftermath, clean-up, and current situation will be discussed and the important lessons learned for the structural engineer will be presented. 15 refs., 10 figs

Report on recent over-exposure accidents with a medical linac in Japan

International Nuclear Information System (INIS)

Kudoh, Hisaaki

2003-01-01

On December 21, 2001, at a hospital in Tokyo, an engineer setting a medical-linac was over-exposed by the equipment due to lack of communication between workers. The exposed dose was initially reported as 1000 mSv (1 Sv), but later revised to 200 mSv at most. The outline of the accident and the statistical data on radiation exposure accidents in Japan and the world are briefly overlooked. (author)

Problems associated with the organization and planning of medical aid for radiation accident casualties

International Nuclear Information System (INIS)

Jammet, H.P.

1977-01-01

Problems associated with the organization and planning of medical treatment for radiation accident casualties are considered for different types of radiation accident: whole-body or partial irradiation, external or internal contamination and small or large numbers of cases. The problems posed are ones of competence, urgency and capacity; on the diagnostic side there is the problem of evaluating the exposure or contamination and assessing the resultant damage, while on the treatment side the questions of first aid, conventional treatment and specialized treatment have to be considered. The solutions envisaged involve organization at the local and national levels and planning of medical treatment by skilled, multidisciplinary medical teams. (author)

Organizational forms of medical care in the event of radiation accidents in the German Democratic Republic

International Nuclear Information System (INIS)

Nack, P.; Arndt, D.; Schuettmann, W.

1977-01-01

Medical care of radiation casualties in the German Democratic Republic (GDR) is organized on two levels. On the level of users the responsible Medical Officers guarantee both the routine control of persons occupationally exposed to radiation and first aid in the event of accidents. On the second level medical treatment is given either in the Clinical Department of the National Board of Nuclear Safety and Radiation Protection or in specialized national health system clinics having facilities for intensive medical care. A decision on hospitalization is made according to the conditions of the accident and the necessary diagnostic and therapeutic measures as a rule are based on consultations between the responsible Medical Officer and the departments of the Board (Emergency Assistance Service, Clinical Department, Consultative Committee). For serious cases where haematological complications can be expected, a central medical clinic with facilities for bone-marrow transplants is available. The casualties are treated in local clinics which are provided with continuous support and advice by the Board. This support consists in: (i) immediate activity by a consultative committee of the Board's physicians and scientists experienced and trained in radiation protection and the treatment of radiation accidents; (ii) the requirement of compulsory examination methods and take-over of specialized laboratory investigations; and (iii) the use of a mobile emergency measuring system in cases of additional incorporation. It is the main principle of medical care in case of radiation accidents to consult, as early as possible, a medical consultative committee of the Board in the field of radiation protection at each step of medical care. (author)

STUDY OF ROAD TRAFFIC ACCIDENTS WITH SPECIAL REFERENCE TO THE ACCIDENT VICTIMS ADMITTED IN GAUHATI MEDICAL COLLEGE AND HOSPITAL, ASSAM

Directory of Open Access Journals (Sweden)

Rocket Chandra

2016-05-01

Full Text Available BACKGROUND In the present scenario, road traffic accidents have become a major cause of human mortality and morbidity. Accidents are increasing at alarming rates in India. The objective of our study was to assess the socio-demographic profile of road traffic accident victims admitted in a tertiary care setting, and to assess the pattern of injuries. METHODOLOGY The present study is prospective and analytical hospital based study. RESULTS The present studies show that more than 70% of the victims are in the age group of below 45 years (n=3196 and with male preponderance. Out of 14364 accident patients visiting the emergency department of Gauhati Medical College and Hospital, 4953 patients were admitted. The majorities of the patients (n=2995 were admitted in surgery department and 1586 in orthopaedic department. CONCLUSIONS Several factors are responsible for causing road accidents such as drunk driving, lack of awareness of traffic rules, nonadherence to safety measures. To reduce morbidity and mortality following road accidents, comprehensive policy has to be adopted by the government

Medical countermeasure for Tokyo Electric Power Co. Fukushima Nuclear Power Plant accident

International Nuclear Information System (INIS)

Kondo, Hisayoshi

2013-01-01

DMAT (Disaster Medical Assistance Team) is a group of professional medical personnel organized to provide rapid-response medical care at the emergent stage of disasters. At the accident of Fukushima Daiichi Nuclear Power Plant, medical response was difficult because many infrastructures were destroyed. Under this situation, emergent medical treatment for heavy irradiation or contamination, cares for habitants and transportation of patients were conducted. Through these activities, it is suggested that rapid response for the radiation exposure should be definitely include in the medical system for usual disasters. (J.P.N.)

Radiation safety and regulatory aspects in Medical Facilities

International Nuclear Information System (INIS)

Banerjee, Sharmila

2017-01-01

Radiation safety and regulatory aspect of medical facilities are relevant in the context where radiation is used in providing healthcare to human patients. These include facilities, which carry out radiological procedures in diagnostic radiology, including dentistry, image-guided interventional procedures, nuclear medicine, and radiation therapy. The safety regulations provide recommendations and guidance on meeting the requirements for the safe use of radiation in medicine. The different safety aspects which come under its purview are the personnel involved in medical facilities where radiological procedures are performed which include the medical practitioners, radiation technologists, medical physicists, radiopharmacists, radiation protection and over and above all the patients. Regulatory aspects cover the guidelines provided by ethics committees, which regulate the administration of radioactive formulation in human patients. Nuclear medicine is a modality that utilizes radiopharmaceuticals either for diagnosis of physiological disorders related to anatomy, physiology and patho-physiology and for diagnosis and treatment of cancer

[Medical certificates in occupational accidents, in common law and social affairs].

Science.gov (United States)

El Banna, S; Van de Vyvere, A; Beauthier, J-P

2013-09-01

Physicians are asked to complete certificates within their profession. These certificates relate to various aspects of an individual's life, from birth to the end of life. The nature of requests is striking by its diversity. As a first step, the authors recall the outline of a certificate and its structure, as well as traps, hazards and risks to avoid. In a second step they describe three specific situations for the certificate: in the context of work accidents, common law accidents and social matters. All materials can not be treated in this space, so they refer the reader to the main bibliographic sources useful in this matter.

Special radiation protection aspects of medical accelerators

CERN Document Server

Silari, Marco

2001-01-01

Radiation protection aspects relevant to medical accelerators are discussed. An overview is first given of general safety requirements. Next. shielding and labyrinth design are discussed in some detail for the various types of accelerators, devoting more attention to hadron machines as they are far less conventional than electron linear accelerators. Some specific aspects related to patient protection are also addressed. Finally, induced radioactivity in accelerator components and shielding walls is briefly discussed. Three classes of machines are considered: (1) medical electron linacs for 'conventional' radiation therapy. (2) low energy cyclotrons for production of radionuclides mainly for medical diagnostics and (3) medium energy cyclotrons and synchrotrons for advanced radiation therapy with protons or light ion beams (hadron therapy). (51 refs).

Some medical aspects of radionuclide intakes

International Nuclear Information System (INIS)

Poda, G.A.

1983-01-01

In the field of medicine, particularly industrial medicine, the radiation aspect of the practice probably takes about 1/10 of 1% of our time. All the health physicist's tools of principles of internal dosimetry, lung models, mathematics, chemistry, etc. have little meaning until applied to an individual who has had an intake. This article discusses some of the medical aspects of internal dosimetry

MEDICAL ERROR: CIVIL AND LEGAL ASPECT.

Science.gov (United States)

Buletsa, S; Drozd, O; Yunin, O; Mohilevskyi, L

2018-03-01

The scientific article is focused on the research of the notion of medical error, medical and legal aspects of this notion have been considered. The necessity of the legislative consolidation of the notion of «medical error» and criteria of its legal estimation have been grounded. In the process of writing a scientific article, we used the empirical method, general scientific and comparative legal methods. A comparison of the concept of medical error in civil and legal aspects was made from the point of view of Ukrainian, European and American scientists. It has been marked that the problem of medical errors is known since ancient times and in the whole world, in fact without regard to the level of development of medicine, there is no country, where doctors never make errors. According to the statistics, medical errors in the world are included in the first five reasons of death rate. At the same time the grant of medical services practically concerns all people. As a man and his life, health in Ukraine are acknowledged by a higher social value, medical services must be of high-quality and effective. The grant of not quality medical services causes harm to the health, and sometimes the lives of people; it may result in injury or even death. The right to the health protection is one of the fundamental human rights assured by the Constitution of Ukraine; therefore the issue of medical errors and liability for them is extremely relevant. The authors make conclusions, that the definition of the notion of «medical error» must get the legal consolidation. Besides, the legal estimation of medical errors must be based on the single principles enshrined in the legislation and confirmed by judicial practice.

International Conference 'Twenty Years after Chernobyl Accident. Future Outlook'. Abstracts proceeding

International Nuclear Information System (INIS)

Anon

2006-01-01

This conference concludes a series of events dedicated to the 20 anniversary of the Chernobyl accident and promote an effective implementation of the accumulated international experience in the following areas: Radiation protection of the population and emergency workers, and the environmental consequences of Chernobyl accident; Medical and public health response to radiation emergencies; Strengthening radiological emergency management of radiation accidents; Economic and legal aspects of radioactive waste management and nuclear power plants decommissioning; Radioactive waste management: Chernobyl experience; Nuclear power plant decommissioning: Chernobyl NPP; Transformation of the Chernobyl Sarcophagus into an ecologically safe system

Organization of medical aid and treatment of individuals affected in radiation accidents

International Nuclear Information System (INIS)

Mikhajlov, M.G.; Andreev, E.A.; Bliznakov, V.

1979-01-01

The emergency programme of the medical service for radiation accidents constitutes part of the whole emergency programme of the establishment whose production process is derectly connected with the utilization of ionizing radiation sources. The chief of the establishment health centre also heads the operative radiation accident group. When a radiation accident occurs the medical personnel, according to a previously developed plan, reports at the Health centre. The medical aid is based on the principle of step treatment and evacuation of the affected persons, according to the prescriptions. The first step of the medical evacuation is the health centre; the second - the District hospital, where a team of specialists is formed, all of them previously well trained in the recognition and treatment of radiation sickness. The third step is the specialized clinic for radiation injuries. Persons, who have received irradiation dose of up to 100 rad, or are in a shock state, or have incorporated radioactive substances, are temporarily hospitalized at the health centre. The assistance rended to them consists of: control of shock, asphyxia and bleeding, primary surgical treatment of wounds in cases of complex injuries, deactivation under dosimetric control, attempt for accelerated removal of the radioactive substances, etc. At the District hospital and the specialized clinic the therapeutic measures are conformed to the pathogenetic mechanism and severity of clinical symptoms, and their dynamics. Their aim is first of all to block the earlier radiation effects, to prevent and to treat the haemorrhagic phenomena and infectious complications, to restore the activity of the blood organs, etc. (A.B.)

Domino effect in chemical accidents: main features and accident sequences

OpenAIRE

Casal Fàbrega, Joaquim; Darbra Roman, Rosa Maria

2010-01-01

The main features of domino accidents in process/storage plants and in the transportation of hazardous materials were studied through an analysis of 225 accidents involving this effect. Data on these accidents, which occurred after 1961, were taken from several sources. Aspects analyzed included the accident scenario, the type of accident, the materials involved, the causes and consequences and the most common accident sequences. The analysis showed that the most frequent causes a...

Accidents - Chernobyl accident

International Nuclear Information System (INIS)

2004-01-01

This file is devoted to the Chernobyl accident. It is divided in four parts. The first part concerns the accident itself and its technical management. The second part is relative to the radiation doses and the different contaminations. The third part reports the sanitary effects, the determinists ones and the stochastic ones. The fourth and last part relates the consequences for the other European countries with the case of France. Through the different parts a point is tackled with the measures taken after the accident by the other countries to manage an accident, the cooperation between the different countries and the groups of research and studies about the reactors safety, and also with the international medical cooperation, specially for the children, everything in relation with the Chernobyl accident. (N.C.)

The Fukushima major accident. Seismic, nuclear and medical considerations; L'accident majeur de Fukushima. Considerations sismiques, nucleaires et medicales

Energy Technology Data Exchange (ETDEWEB)

Carpentier, Alain; Friedel, Jacques; Brezin, Edouard; Baulieu, Etienne-Emile; Courtillot, Vincent; Dercourt, Jean; Jaupart, Claude; Le Pichon, Xavier; Poirier, Jean-Paul; Salencon, Jean; Tapponnier, Paul; Dautray, Robert; Taquet, Philippe; Blanchet, Rene; Le Mouel, Jean-Louis; Chapron, Jean-Yves; Fanon, Joelle [Academie des sciences, 23, quai de Conti, 75006 Paris (France); BARD, Pierre-Yves [Observatoire des sciences de l' Univers de l' universite de Grenoble (France); Bernard, Pascal; Montagner, Jean-Paul; Armijo, Rolando; Shapiro, Nikolai; Tait, Steve [Institut de physique du globe de Paris (France); Cara, Michel [ecole et Observatoire des sciences de la Terre de l' universite de Strasbourg (France); Madariaga, Raul [ecole normale superieure, 45, rue d' Ulm / 29, rue d' Ulm, F-75230 Paris cedex 05 (France); Pecker, Alain [Academie des technologies, Grand Palais des Champs Elysees - Porte C - Avenue Franklin D. Roosevelt - 75008 Paris (France); Schindele, Francois [CEA-DAM, Arpajon (France); Douglas, John [BRGM, 3 avenue Claude-Guillemin - BP 36009, 45060 Orleans Cedex 2 (France)

2011-07-01

The first part of this voluminous report addresses mega-earthquakes and mega-tsunamis: scientific data, case of France (West Indies and metropolitan France), and socioeconomic aspects (governance, regulation, para-seismic protection). The second part deals with the nuclear accident at Fukushima: event sequence, situation of the nuclear industry in France after Fukushima, fuel cycle and future opportunities. The third part addresses health and environmental consequences. Each part is completed by a large number of documents in which some specific aspects are more precisely reported, commented and discussed

Health physics evaluation of an accident involving acute overexposure to a radiography source

International Nuclear Information System (INIS)

Basson, J.K.; Hanekom, A.P.; Coetzee, F.C.; Lloyd, D.C.

1981-10-01

An accident, involving the loss of an iridium-192 radiographic source and the subsequent serious overexposure of a third party, is described. Health physics aspects, particularly dosimetrical aspects are addressed and compared with results obtained by means of chromosome aberration dosimetry. Details are provided on the medical observations and treatment of the patient [af

Organizational aspects of the handling of radiation accidents in the Federal Republic of Germany

International Nuclear Information System (INIS)

Fliedner, T.M.

1977-01-01

In the Federal Republic of Germany it is a legal requirement that persons exposed to ionizing radiation as a consequence of their employment in radiation facilities should be monitored. Some 90000 persons constitute the population 'at risk' for occupational radiation exposure. The actual radiation accident rate has been very low indeed. Nevertheless, precautions must be taken. Four radiation accident categories may be distinguished: uncomplicated, complicated, contamination and incorporation accidents. In the Federal Republic, the 'Berufsgenossenschaften' (BGS) are required to organize radiation accident care if necessary and take all measures to prevent them. The BGS has issued a pamphlet 'First Aid in case of Increased Exposure to Ionizing Radiation' as a guide to all personnel concerned. The BGS has also organized 5 'Regional Radiation Protection Centres' available to give advice 7 days a week, 24 hours a day in Hamburg, Homburg (Saar), Juelich, Karlsruhe und Munich. These centres are all equipped to provide first aid and decontamination and to cater for a short term stay until a decision is reached as to how to handle a particular accident. The special burns hospital of the BGS in Ludwigshafen is equipped with sterile rooms to handle 'complicated accidents', in particular when skin burns are involved. Two mobile 'radiation protection units' are available in Karlsruhe and Munich to provide help in all problems of dosimetry and health physics. A medical advisory team has been formed to supplement local physicians in dealing with special problems in the handling of radiation accident victims. (author)

The radiological accident in Lilo

International Nuclear Information System (INIS)

2000-01-01

The use of radioactive materials offers a wide range of benefits throughout the world in medicine, research and industry. Precautions are, however, necessary in order to limit the exposure of persons to the radiation that is emitted. Where the amount of radioactive material is substantial, such as with sources used in radiotherapy or industrial radiography, extreme care is necessary to prevent accidents that may result in severe consequences for the affected individuals. Nevertheless, in spite of the precautions taken, accidents with radiation sources continue to occur, albeit infrequently. As part of its activities dealing with the safety of radiation sources, the IAEA follows up severe accidents with a view to providing an account of their circumstances and the medical aspects from which those organizations with responsibilities for radiation protection and the safety of sources may learn. A serious radiological accident occurred in Peru in February 1999 when a welder picked up an 192 Ir industrial radiography source and put it in his pocket for several hours. This resulted in his receiving a high radiation dose that necessitated the amputation of one leg. His wife and children were also exposed, but to a much lesser extent. The Peruvian authorities requested assistance from the IAEA in obtaining advice on medical treatment. They also agreed to assist the IAEA with the subsequent review of the circumstances surrounding the accident. The IAEA is grateful to the Instituto Peruano de Energia Nuclear for its willingness to assist in the reparation of this report and, thereby, share its experience with other Member States

Pilot Domain Task Experience in Night Fatal Helicopter Emergency Medical Service Accidents.

Science.gov (United States)

Aherne, Bryan B; Zhang, Chrystal; Newman, David G

2016-06-01

In the United States, accident and fatality rates in helicopter emergency medical service (HEMS) operations increase significantly under nighttime environmentally hazardous operational conditions. Other studies have found pilots' total flight hours unrelated to HEMS accident outcomes. Many factors affect pilots' decision making, including their experience. This study seeks to investigate whether pilot domain task experience (DTE) in HEMS plays a role against likelihood of accidents at night when hazardous operational conditions are entered. There were 32 flights with single pilot nighttime fatal HEMS accidents between 1995 and 2013 with findings of controlled flight into terrain (CFIT) and loss of control (LCTRL) due to spatial disorientation (SD) identified. The HEMS DTE of the pilots were compared with industry survey data. Of the pilots, 56% had ≤2 yr of HEMS experience and 9% had >10 yr of HEMS experience. There were 21 (66%) accidents that occurred in non-visual flight rules (VFR) conditions despite all flights being required to be conducted under VFR. There was a statistically significant increase in accident rates in pilots with pilots with >10 yr HEMS DTE. HEMS DTE plays a preventive role against the likelihood of a night operational accident. Pilots with limited HEMS DTE are more likely to make a poor assessment of hazardous conditions at night, and this will place HEMS flight crew at high risk in the VFR night domain.

Social aspects concerning the cesium-137 accident

International Nuclear Information System (INIS)

Chaves, Elza Guedes

1997-01-01

The present work aims to understand how social representations constructed upon nuclear energy have influenced on molding and orienting public's behavior in the presence of the accident that occurred in Goiania with the capsule of Cesium-137. As a starting point, it is accepted here that panic caused by that accident could be properly understood only if dimension of subjectivity is taken into consideration. This perspective is required whenever events that put human life and environment in risk happen. Facing the accident, people internalized radioactivity, an unknown element, as certainty of cancer and death despite the fact that cancer and death could only outcome in case there had been excessive exposure to radioactivity. (author)

Preliminary report about nuclear accident of Chernobylsk reactor

International Nuclear Information System (INIS)

Oliveira, A.R. de.

1986-07-01

The preliminary report of nuclear accident at Chernobyl, in URSS is presented. The Chernobyl site is located geographically and the RBMK type reactors - initials of russian words which mean high power pressure tube reactors are described. The conditions of reactor operation in beginning of accident, the events which lead to reactor destruction, the means to finish the fire, the measurements adopted by Russian in the accident location, the estimative of radioactive wastes, the meteorological conditions during the accident, the victims and medical assistence, the sanitary aspects and consequences for population, the evaluation of radiation doses received at small and medium distance and the estimative of reffered doses by population attained are presented. The official communication of Russian Minister Council and the declaration of IAEA general manager during a collective interview in Moscou are annexed. (M.C.K.) [pt

Regulatory aspects of nuclear accidents

International Nuclear Information System (INIS)

Caoui, A.

1988-01-01

The legislative systems used in different countries insist on requiring the license of the nuclear installations exploitation and on providing a nuclear safety report. For obtaining this license, the operators have to consider all situations of functioning (normal, incidental and accidental) to make workers and the public secure. The licensing procedures depend on the juridical and administrative systems of the country. Usually, protection of people against ionzing radiation is the responsibility of the ministry of health and the ministry of industry. In general, the regulations avoid to fix a definite technical standards by reason of technological development. An emergency plan is normally designed in the stage of the installation project planification. This plan contains the instructions and advices to give to populations in case of accident. The main lesson learnt from the nuclear accidents that happened is to enlarge the international cooperation in the nuclear safety field. 4 refs. (author)

Emergency preparedness: medical management of nuclear accidents involving large groups of victims

International Nuclear Information System (INIS)

Parmentier, N.; Nenot, J.C.

1988-01-01

The treatment of overexposed individuals implies hospitalisation in a specialized unit applying hematological intense care. If the accident results in a small number of casualties, the medical management does not raise major problems in most of the countries, where specialized units exist, as roughly 7% of the beds are available at any time. But an accident which would involved tens or hundreds of people raises much more problems for hospitalization. Such problems are also completely different and will involve steps in the medical handling, mainly triage, (combined injuries), determination of whole body dose levels, transient hospitalization. In this case, preplanning is necessary, adapted to the system of medical care in case of a catastrophic event in the given Country, with the main basic principles : emergency concerns essentially the classical injuries (burns and trauma) - and contamination problems in some cases - treatment of radiation syndrome is not an emergency during the first days but some essential actions have to be taken such as early blood sampling for biological dosimetry and for HLa typing

Information on economic and social consequences of the Chernobyl accident

International Nuclear Information System (INIS)

1990-07-01

This ''Information on economic and social consequences of the Chernobyl accident'' was presented to the July 1990 session of the Economic and Social Council of the United Nations by the delegations of the Union of Soviet Socialist Republics, the Byelorussian Soviet Socialist Republic and the Ukrainian Soviet Socialist Republic. It presents the radiation situation, the medical aspects of the accident, the evacuation of the inhabitants from areas affected by radioactive contamination and their social welfare, the agro-industrial production and forestry in these areas, the decontamination operations, the scientific back-up for the work dealing with the consequences of the accident and the expenditure and losses resulting from the Chernobyl disaster

Initial medical management of criticality accident victim; Conduite a tenir aux victimes d'un accident de criticite

Energy Technology Data Exchange (ETDEWEB)

Miele, A; Bebaron-Jacobs, L

2005-07-01

The extremely severe criticality accidents known to this day, and the subsequent deaths recorded (Sarov 1997 and Tokai Mura 1999), demonstrate the need for sustained surveillance and constant adapted training for the teams in charge of irradiated and/or contaminated victims. The aim of this work group, composed of occupational health services and associated medical biology laboratories, is to present, in leaflet format, the essential data on the documentation and the conduct to be held when facing the victims of a criticality accident. The studies of this work group confirm the difficulties involved in managing this type of accident, both from the dosimetric evaluation point of view and from the therapeutic management point of view. That is why several research themes and perspectives are developed. During the different phases of victim triage, the recommendations given on these leaflets describe the operational conducts to be held. This work will have to be updated according to the evolution in knowledge and means: short and long term effects of exposure to neutrons, multi-competence hospital cooperation, expertise networks related to dosimetric reconstitution. (authors)

Accidents caused by Bothrops and Bothropoides in the State of Paraiba: epidemiological and clinical aspects.

Science.gov (United States)

Oliveira, Fagner Neves; Brito, Monalisa Taveira; Morais, Isabel Cristina Oliveira de; Fook, Sayonara Maria Lia; Albuquerque, Helder Neves de

2010-01-01

Bothrops and Bothropoides snakes cause 70% of the ophidic accidents in Brazil. The species that cause ophidic accidents in State of Paraíba are Bothropoides erythromelas, Bothrops leucurus and Bothropoides neuwiedi. This is a prospective and transverse study, following a quantitative approach of accidents involving Bothrops and Bothropoides admitted to the Toxicological Assistance and Information Centers of Campina Grande and João Pessoa (Ceatox-CG and Ceatox-JP), aimed at identifying the epidemiological and clinical profile of such accidents. All of the patients admitted had medical diagnoses and were monitored at Ceatox-CG or Ceatox-JP. The genera Bothrops and Bothropoides caused 91.7% of the ophidic accidents reported. Snake bites were frequent in men (75.1%), rural workers (65.1%), literate individuals (69%) between 11 and 20 years-old (21.7%), and toes the most common area attacked (52.7%). Most (86.6%) patients were admitted within 6 hours after the accident/bite, with a predominance of mild cases (64.6%). The annual occurrence in Paraíba was 5.5 accidents/100,000 inhabitants and lethality was 0.2%. Positive changes in the profiles of these accidents were verified, such as the non-application of inadequate solutions, including the use of tourniquet, coffee grounds, garlic, suction and/or cutting the bitten area. Moreover, the Itinerant Laboratory project, linked to Paraíba State University in partnership with Ceatox-CG, has contributed positively, providing several cities of the state with information regarding the prevention of accidents involving venomous animals. The local press has also contributed, reporting the educational work developed by the centers.

Reactor accidents and nuclear catastrophes

International Nuclear Information System (INIS)

Kirchhoff, R.; Linde, H.J.

1979-01-01

Assuming some preliminary knowledge of the fundamentals of atomic physics, the book describes the effects of ionizing radiation on the human organism. In order to assess the potential hazards of reactor accidents and the extent of a nuclear catastrophe, the technology of power generation in nuclear power stations is presented together with its potential dangers as well as the physical and medical processes occurring during a nuclear weapons explosion. The special medical aspects are presented which range from first aid in the case of a catastrophe to the accute radiation syndrome, the treatment of burns to the therapy of late radiolesions. Finally, it is confirmed that the treatment of radiation injured persons does not give rise to basically new medical problems. (orig./HP) [de

Medical and biological aspects of ionizing radiation influence in consequence with accident at ChNPP

International Nuclear Information System (INIS)

Shidlovs'ka, T.A.

2011-01-01

This monograph presents the issues on systematic influence of ionizing radiation on the biological systems. The results of personal complex studies because of influence of ionizing radiation in consequence with accident at ChNPP on auditory analyzer, creating voice, cardiovascular system and central nervous system are submitted.

[Pediatric victims of traffic accidents admitted to a university hospital: epidemiological and clinical aspects].

Science.gov (United States)

Feitas, Juliana Pontes Pinto; Ribeiro, Lindioneza Adriano; Jorge, Miguel Tanús

2007-12-01

This study analyzes epidemiological and clinic characteristics of victims of traffic accidents. Data were obtained from medical records of children under 15 years of age (n = 1,123) admitted to a university hospital in Uberlândia, Minas Gerais State, Brazil, from 1999 to 2003. Mean age was eight years, 65.7% were boys, 76.6% were cyclists or pedestrians, 45.9% suffered head injuries, and 9% remained in hospital for more than two weeks. Fourteen (1.2%) died, 78.6% of these within 48 hours of hospitalization, and 85.7% with brain injuries. Among the passengers of motorcycles and larger vehicles, 58.8% were not using security devices properly at the time of the accident. Among the cyclists, 61% suffered isolated limb injuries. Meanwhile, pedestrians tended to suffer multiple lesions (57.5%) and be admitted to intensive care (7.1%), and represented 66.7% of the deaths. Epidemiological data on pediatric traffic victims can be useful for accident prevention programs.

National emergency medical assistance program for commercial nuclear power plants

International Nuclear Information System (INIS)

Linnemann, R.E.; Berger, M.E.

1987-01-01

Radiation Management Consultant's Emergency Medical Assistance Program (EMAP) for nuclear facilities provides a twenty-four hour emergency medical and health physics response capability, training of site and off-site personnel, and three levels of care for radiation accident victims: first air and rescue at an accident site, hospital emergency assessment and treatment, and definitive evaluation and treatment at a specialized medical center. These aspects of emergency preparedness and fifteen years of experience in dealing with medical personnel and patients with real or suspected radiation injury will be reviewed

Evaluation of selected ex-reactor accidents related to the tritium and medical isotope production mission at the FFTF

Energy Technology Data Exchange (ETDEWEB)

Himes, D.A.

1997-11-17

The Fast Flux Test Facility (FFTF) has been proposed as a production facility for tritium and medical isotopes. A range of postulated accidents related to ex-reactor irradiated fuel and target handling were identified and evaluated using new source terms for the higher fuel enrichment and for the tritium and medical isotope targets. In addition, two in-containment sodium spill accidents were re-evaluated to estimate effects of increased fuel enrichment and the presence of the Rapid Retrieval System. Radiological and toxicological consequences of the analyzed accidents were found to be well within applicable risk guidelines.

REAC/TS radiation accident registry. Update of accidents in the United States

International Nuclear Information System (INIS)

Ricks, R.C.; Berger, M.E.; Holloway, E.C.; Goans, R.E.

2000-01-01

Serious injury due to ionizing radiation is a rare occurrence. From 1944 to the present, 243 US accidents meeting dose criteria for classification as serious are documented in the REAC/TS Registry. Thirty individuals have lost their lives in radiation accidents in the United States. The Registry is part of the overall REAC/TS program providing 24-hour direct or consultative assistance regarding medical and heath physics problems associated with radiation accidents in local, national, and international incidents. The REAC/TS Registry serves as a repository of medically important information documenting the consequences of these accidents. Registry data are gathered from various sources. These include reports from the World Heath Organization (WHO), International Atomic Energy Agency (IAEA), US Nuclear Regulatory Commission (US NRC), state radiological health departments, medical/health physics literature, personal communication, the Internet, and most frequently, from calls for medical assistance to REAC/TS, as part of our 24-hour medical assistance program. The REAC/TS Registry for documentation of radiation accidents serves several useful purposes: 1) weaknesses in design, safety practices, training or control can be identified, and trends noted; 2) information regarding the medical consequences of injuries and the efficacy of treatment protocols is available to the treating physician; and 3) Registry case studies serve as valuable teaching tools. This presentation will review and summarize data on the US radiation accidents including their classification by device, accident circumstances, and frequency by respective states. Data regarding accidents with fatal outcomes will be reviewed. The inclusion of Registry data in the IAEA's International Reporting System of Radiation Events (RADEV) will also be discussed. (author)

[Psychosocial aspects and accidents in land transport].

Science.gov (United States)

Morales-Soto, Nelson; Alfaro-Basso, Daniel; Gálvez-Rivero, Wilfredo

2010-06-01

Road traffic accidents are a public health problem in Peru, having caused 35 596 deaths in Peru between 1998 and 2008. Lima is the most affected region, presenting 61.7% of the accidents, the annual cost reached one thousand million dollars, equivalent to a third part of the investment in health. Available studies give emphasis to the protagonists--the drivers, the pedestrians--or to equipment and roads; the laws have been modified and containment plans for accidents have been implemented, but the incidence remains the same. We raise the possibility of exploring behavioral and social factors that could be relevant in the genesis of the problem, revising those related to current disorder in transport, the behaviors of drivers and pedestrians and the permissiveness of society in general particularly of the authority. We propose research and a multidisciplinary and intersectoral intervention.

Possibilities for Hospital Treatment of Industrial Accident Victims in Military Medical Academy

International Nuclear Information System (INIS)

Todorovic, V.; Jevtic, M.; Jovanovic, D.; Jovic-Stosic, J.

2007-01-01

Possibility of mass injuries in traffic, industrial accidents or terrorist attack is every day reality. Management of victims may need complex measures including activities on the site, transportation, and hospital care. Preparedness for hospital treatment of mass trauma or poisoning is among the main duties of Military Medical Academy (MMA). It is medical institution of tertiary level with the capacity of 1214 beds in 13 surgical clinics, 12 internal medicine clinics, 2 neuropsychiatry clinics, poison control centre and organ transplantation centre. National Poison Control Centre is the only specialized institution for treatment of adult's acute poisonings in the country. Centre includes: 1. Clinic of Toxicology and Clinical Pharmacology with Intensive Care Unit and Toxicology Information Department; 2. Institute of Experimental Toxicology and Pharmacology; 3. Mobile Toxicological - Chemical Squad. Being a part of MMA, Centre benefits from all advantages of central type hospital, including possibilities for contemporary diagnostic and therapeutic procedures of different specialities, and other necessary medical and logistic support. Except hospital organization and preparedness for admission of mass injuries victims, one of strategic goals of MMA is functional integration in civilian health care system including more detailed planning for collaboration in case of chemical accidents.(author)

Aspects of accident management in Cernavoda NPP

International Nuclear Information System (INIS)

Dascalu, N.

1999-01-01

As a general conclusion, the accident management system as implemented at Cerna voda NPP is expected to be appropriate for handling a severe accident, should it occur, in such a way that the environmental radiological consequences would be insignificant and radiation exposure of the personnel be within recommendations. It is recognized, however, that continued development and verification of the system as well as effective personnel training programs are essential to maintain the safety level achieved. (author)

Initial medical management of criticality accident victim; Conduite a tenir aux victimes d'un accident de criticite

Energy Technology Data Exchange (ETDEWEB)

Miele, A.; Bebaron-Jacobs, L

2005-07-01

The extremely severe criticality accidents known to this day, and the subsequent deaths recorded (Sarov 1997 and Tokai Mura 1999), demonstrate the need for sustained surveillance and constant adapted training for the teams in charge of irradiated and/or contaminated victims. The aim of this work group, composed of occupational health services and associated medical biology laboratories, is to present, in leaflet format, the essential data on the documentation and the conduct to be held when facing the victims of a criticality accident. The studies of this work group confirm the difficulties involved in managing this type of accident, both from the dosimetric evaluation point of view and from the therapeutic management point of view. That is why several research themes and perspectives are developed. During the different phases of victim triage, the recommendations given on these leaflets describe the operational conducts to be held. This work will have to be updated according to the evolution in knowledge and means: short and long term effects of exposure to neutrons, multi-competence hospital cooperation, expertise networks related to dosimetric reconstitution. (authors)

Crash Injury Management: Emergency Medical Services for Traffic Law Enforcement Officers. Student Study Guide.

Science.gov (United States)

National Highway Traffic Safety Administration (DOT), Washington, DC.

To assist in the continuing efforts to improve the safety of the motorist on the nation's highways and roads, this student guide provides a standardized approach for first responders to traffic accidents to learn emergency medical care. Training is provided in all aspects of emergency medical care required at the scene of a traffic accident.…

The radiological accident in Istanbul

International Nuclear Information System (INIS)

2000-01-01

The use of radioactive materials offers a wide range of benefits throughout the world in medicine, research and industry. Precautions are, however, necessary in order to limit the exposure of persons to the radiation that is emitted. Where the amount of radioactive material is substantial, as in the case of radiotherapy sources or industrial radiography sources, extreme care is necessary to prevent accidents which may have severe consequences. Nevertheless, in spite of the precautions taken, accidents with radiation sources continue to occur, albeit infrequently. As part of its subprogramme on the safety of radiation sources, the IAEA conducts follow-up reviews of such serious accidents to give an account of their circumstances and of the medical aspects, from which organizations with responsibilities for radiation protection and the safety of sources may learn. A serious radiological accident occurred in Istanbul, Turkey, in December 1998 and January 1999 when two packages used to transport 60 Co teletherapy sources were sold as scrap metal. The persons who purchased the two packages opened them and broke open the shielded containers, thereby unknowingly exposing themselves and several others to radiation from at least one unshielded 60 Co source. The persons who dismantled the containers suffered from acute radiation syndrome. The accident came to the attention of the relevant national authority when a doctor who had examined the victims reported that he suspected the possibility of radiation exposure. The national authorities identified other individuals who might have undergone acute radiation exposures, and a total of 18 persons (including seven children) were admitted to hospital. Of these, ten adults exhibited clinical signs and symptoms of acute radiation exposure. Under the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency, the Turkish authorities requested assistance from the IAEA in terms of advice on the medical

Emergency room management of radiation accidents

International Nuclear Information System (INIS)

Rosenberg, R.; Mettler, F.A. Jr.

1990-01-01

Emergency room management of radioactively contaminated patients who have an associated medical injury requiring immediate attention must be handled with care. Radioactive contamination of the skin of a worker is not a medical emergency and is usually dealt with at the plant. Effective preplanning and on-the-scene triage will allow the seriously injured and contaminated patients to get the medical care they need with a minimum of confusion and interference. Immediate medical and surgical priorities always take precedence over radiation injuries and radioactive contamination. Probably the most difficult aspect of emergency management is the rarity of such accidents and hence the unfamiliarity of the medical staff with the appropriate procedures. The authors discuss how the answer to these problems is preplanning, having a simple and workable procedure and finally having 24-h access to experts

The main principles of medical rehabilitation of the injured persons in the system of organization of medical aid after radiation accident

International Nuclear Information System (INIS)

Nadezhina, N.M.; Lelyuk, V.G.; Galstyan, I.A.; Uvacheva, I.V.; Chubchenkova, Zh.N.; Kutuzova, A.B.

1995-01-01

Results of clinical examination of participants of liquidation of the after-effects of the accident (LAA) at Chernobyl for several years are presented. For participants of LAA with an acute radial disease of various degree of severity, a great importance is attached to the aspect of local radial injuries (LRI). The following principles of their medical rehabilitation have been elaborated; generally roborant treatment along with psycho-therapeutic correction, therapy of radial cataract (surgical); prophylaxis and therapy of late manifestations of LRI; treatment and prophylaxis of concomitant somatic diseases; efficient provision of employment of patients and their return to active social position in family and society life. The complex of rehabilitation measures for participants of LAA exposed to radiation without development of acute radial disease should contain generally accepted principles; thorough and timely diagnostics and treatment of general somatic diseases; correction of the consequences of mental stress, sanitation of life regimen with rational nutrition and physical strain. 13 refs.; 1 tab

Medical aspects of nuclear armament

Energy Technology Data Exchange (ETDEWEB)

Janse, M.J.; Schene, A.; Koch, K.

1983-06-18

The authors highlight a few medical, biological and psycological aspects of the use of nuclear weapons, drawing attention to their viewpoint that doctors should actively participate in the fight against nuclear armament. The short and long-term radiation effects on man and ecology are presented based on the Hiroshima and Nagasaki experiences. The danger of human error within this framework is emphasised and it is suggested that it is the medical profession's duty to point out how the effect of stress and boredom can lead to a nuclear catastrophe. Medical expertise may also help in the identification of unstable personalities among those who have access to nuclear weapons and in the understanding of the psycology of international conflicts and the psychopathology of those leaders who would use nuclear war as an instrument of national policy. Finally the effects of the nuclear war threat on children and teenagers are considered.

Medical aspects of nuclear armament

International Nuclear Information System (INIS)

Janse, M.J.; Schene, A.; Koch, K.

1983-01-01

The authors highlight a few medical, biological and psycological aspects of the use of nuclear weapons, drawing attention to their viewpoint that doctors should actively participate in the fight against nuclear armament. The short and long-term radiation effects on man and ecology are presented based on the Hiroshima and Nagasaki experiences. The danger of human error within this framework is emphasised and it is suggested that it is the medical profession's duty to point out how the effect of stress and boredom can lead to a nuclear catastrophe. Medical expertise may also help in the identification of unstable personalities among those who have access to nuclear weapons and in the understanding of the psycology of international conflicts and the psychopathology of those leaders who would use nuclear war as an instrument of national policy. Finally the effects of the nuclear war threat on children and teenagers are considered. (C.F.)

Estimation of cost per severe accident for improvement of accident protection and consequence mitigation strategies

International Nuclear Information System (INIS)

Silva, Kampanart; Ishiwatari, Yuki; Takahara, Shogo

2013-01-01

To assess the complex situations regarding the severe accidents such as what observed in Fukushima Accident, not only radiation protection aspects but also relevant aspects: health, environmental, economic and societal aspects; must be all included into the consequence assessment. In this study, the authors introduce the “cost per severe accident” as an index to analyze the consequences of severe accidents comprehensively. The cost per severe accident consists of various costs and consequences converted into monetary values. For the purpose of improvement of the accident protection and consequence mitigation strategies, the costs needed to introduce the protective actions, and health and psychological consequences are included in the present study. The evaluations of these costs and consequences were made based on the systematic consequence analysis using level 2 and 3 probabilistic safety assessment (PSA) codes. The accident sequences used in this analysis were taken from the results of level 2 seismic PSA of a virtual 1,100 MWe BWR-5. The doses to the public and the number of people affected were calculated using the level 3 PSA code OSCAAR of Japan Atomic Energy Agency (JAEA). The calculations have been made for 248 meteorological sequences, and the outputs are given as expectation values for various meteorological conditions. Using these outputs, the cost per severe accident is calculated based on the open documents on the Fukushima Accident regarding the cost of protective actions and compensations for psychological harms. Finally, optimized accident protection and consequence mitigation strategies are recommended taking into account the various aspects comprehensively using the cost per severe accident. The authors must emphasize that the aim is not to estimate the accident cost itself but to extend the scope of “risk-informed decision making” for continuous safety improvements of nuclear energy. (author)

Medical activities at nuclear disaster. Experience in the accident of Fukushima nuclear power plant

International Nuclear Information System (INIS)

Hasegawa, Arifumi

2013-01-01

The Great East Japan Earthquake brought multiple disaster resulting nuclear accident at Fukushima. Existing medical system for emergency radiation exposure did not work well. Present medical system for the nuclear disaster is maintained temporary with supports by teams from regions other than Fukushima Pref. The radiation protection action must be both for the public and the medical persons. Medical activities for nuclear disaster are still in progress now. Medical system for radiation exposure should be maintained in future for works of decommissioning of reactors. Problems, however, may exist in economy and education of medical personnel. (K.Y.)

Clinical aspects of Chernobyl's accidents response (the researches of Military-medical academy)

International Nuclear Information System (INIS)

Shevchenko, Yu.L.

1996-01-01

The results of medical examinations of the persons taking part in elimination of consequences of Chernobyl's disaster obtained by the specialists of Military-medical academy allowed to verify the conseption of damage action of radiation and nonradiation complex of injury factors, to estimate well-information of stale and new biological indicators of radiation dose, to plan the ways of rescuers reabilitation during stationary, policlinic and sanatorium stages of treatment

The physician-administrator as patient: distinctive aspects of medical care.

Science.gov (United States)

Cappell, Mitchell S

2011-01-01

This article examines distinctive aspects of medical care experienced by a 55-year-old hospitalized for quintuple coronary artery bypass surgery who was also a senior physician-administrator (chief of gastroenterology) at the same hospital. The article describes eight distinctive aspects of administrator-physicians as patients, including special patient treatment; exalted patient expectations by hospital personnel; patient suppression of emotions; patient denial; self-doctoring; job stress contributing to disease; self-sacrifice to achieve better health; and rational medical decisions when not under stress. Health-care workers should recognize how these distinctive aspects of medical care and behavior affect administrator-physicians as patients, in order to mitigate their negative effects, potentiate their positive effects, and optimize the care of these patients.

The History, Biology and Medical Aspects of Leprosy.

Science.gov (United States)

Eichman, Phillip

1999-01-01

Presents information about the history, biology, and medical aspects of leprosy, including its description in historical documents, its cause and effects, statistics on its prevalence, and various attempts at treatment. Notes that leprosy is one of the few infectious diseases that, although treatable with medication, remains incurable. Contains 30…

Aspects of severe accidents in transmutation systems

International Nuclear Information System (INIS)

Wider, H.U.; Karlson, J.; Jones, A.V.

2001-01-01

The different types of transmutation systems under investigation include accelerator driven (ADS) and critical systems. To switch off an accelerator in case of an accident initiation is quite important for all accidents. For a fast ADS the grace times available for doing so depend strongly on the total heat capacity and the natural circulation capability of the primary coolant. Cooling with heavy metal Pb-Bi has considerable advantages in this regard compared to gas cooling. Moreover it allows passive ex-vessel cooling with natural air or water circulation. In the remote likelihood of fuel melting, oxide fuel appears to mix with the Pb-Bi coolant. Fast critical systems that are cooled by Pb-Bi will automatically shut off if the flow or heat sink is lost. Reactivity accidents can be limited by a low total control rod worth. High temperature reactors can achieve only incomplete burning of actinides. If an accelerator is added to increase burn-up, a fast spectrum region is needed, which has a low heat capacity. (author)

Quality assurance in military medical research and medical radiation accident management.

Science.gov (United States)

Hotz, Mark E; Meineke, Viktor

2012-08-01

The provision of quality radiation-related medical diagnostic and therapeutic treatments cannot occur without the presence of robust quality assurance and standardization programs. Medical laboratory services are essential in patient treatment and must be able to meet the needs of all patients and the clinical personnel responsible for the medical care of these patients. Clinical personnel involved in patient care must embody the quality assurance process in daily work to ensure program sustainability. In conformance with the German Federal Government's concept for modern departmental research, the international standard ISO 9001, one of the relevant standards of the International Organization for Standardization (ISO), is applied in quality assurance in military medical research. By its holistic approach, this internationally accepted standard provides an excellent basis for establishing a modern quality management system in line with international standards. Furthermore, this standard can serve as a sound basis for the further development of an already established quality management system when additional standards shall apply, as for instance in reference laboratories or medical laboratories. Besides quality assurance, a military medical facility must manage additional risk events in the context of early recognition/detection of health risks of military personnel on deployment in order to be able to take appropriate preventive and protective measures; for instance, with medical radiation accident management. The international standard ISO 31000:2009 can serve as a guideline for establishing risk management. Clear organizational structures and defined work processes are required when individual laboratory units seek accreditation according to specific laboratory standards. Furthermore, international efforts to develop health laboratory standards must be reinforced that support sustainable quality assurance, as in the exchange and comparison of test results within

Cohort formation for epidemiological study of medical consequences of the Chernobyl accident

International Nuclear Information System (INIS)

Rozhko, A.V.; Masyakin, V.B.; Vlasova, N.G.

2008-01-01

Belarus State Registry of the Chernobyl-affected population contains information about 276 000 residents of the Republic of Belarus exposed due to the Chernobyl NPP accident. Evidently, the population who lived in the evacuation zone was exposed mostly to radiation and also people participating in the liquidation of the Chernobyl accident consequences (emergency workers) within this zone in early post accident period of the catastrophe. Taking into account this criterion, we singled out the group out of all data files including all people who stayed in the evacuation zone not later than on May 31, 1986. The total number of the group made up 39 548 people including 4251 people who were under 18 at the moment of the accident. By preliminary estimation the number of person-years taking into account the deceased and left out of observation made up at the beginning of 2007- 735 600. During the period since 1986 there was detected 2671 cases of malignant tumors in the cohort and among people who were children and adolescents in 1986 there was registered 106 cases of malignant tumors (82% -thyroid cancer). Among 7483 of the deceased, malignant tumors is the cause of death at 1260 people. At present the real number of alive and remained subjects under observation makes up 25359 people including 2321 people who were under 18 at the moment of the accident. This group will form the base for further prospective research aiming at assessment of medical consequences of the Chernobyl NPP accident. (author)

Medical deficiencies and traffic accidents : a review of the literature and a programme for research (summary).

NARCIS (Netherlands)

Griep, D.J.

1965-01-01

In 1964 a working part was established by the Dutch Government (Public Health Department) to study "Medical Deficiencies in the Prevention of Traffic Accidents. Study of the literature was directed at temporary and permanent medico-psychological disorders, and medical disorders in road users that

SEVERE ACCIDENT ISSUES RAISED BY THE FUKUSHIMA ACCIDENT AND IMPROVEMENTS SUGGESTED

OpenAIRE

SONG, JIN HO; KIM, TAE WOON

2014-01-01

This paper revisits the Fukushima accident to draw lessons in the aspect of nuclear safety considering the fact that the Fukushima accident resulted in core damage for three nuclear power plants simultaneously and that there is a high possibility of a failure of the integrity of reactor vessel and primary containment vessel. A brief review on the accident progression at Fukushima nuclear power plants is discussed to highlight the nature and characteristic of the event. As the severe accide...

Criteria for the decision adoption on participating of Zashchita Special Centre of Emergency Medical (SCEMA) in special medical care at radiation accidents

International Nuclear Information System (INIS)

Bad'in, V.I.; Grachev, M.I.; Kamyshenko, I.D.

1992-01-01

Problem concerning the establishment of criteria for the decision adoption on participating of Zashchita SCEMA in special medical care during radiation accidents is considered as well as intervention level. General reasons used for the establishment of intervention levels of Zashchita SCEMA, dose criteria, decision adoption, assessment of the accident character and scale, need in additional specialists and equipment. Attention is paid to the national and foreign documents on the above problems. 11 refs.; 7 tabs

Management of a radiological emergency. Experience feedback and post-accident management

International Nuclear Information System (INIS)

Dubiau, Ph.

2007-01-01

In France, the organization of crisis situations and the management of radiological emergency situations are regularly tested through simulation exercises for a continuous improvement. Past severe accidents represent experience feedback resources of prime importance which have led to deep changes in crisis organizations. However, the management of the post-accident phase is still the object of considerations and reflections between the public authorities and the intervening parties. This document presents, first, the nuclear crisis exercises organized in France, then, the experience feedback of past accidents and exercises, and finally, the main aspects to consider for the post-accident management of such events: 1 - Crisis exercises: objectives, types (local, national and international exercises), principles and progress, limits; 2 - Experience feedback: real crises (major accidents, other recent accidental situations or incidents), crisis exercises (experience feedback organization, improvements); 3 - post-accident management: environmental contamination and people exposure, management of contaminated territories, management of populations (additional protection, living conditions, medical-psychological follow up), indemnification, organization during the post-accident phase; 4 - conclusion and perspectives. (J.S.)

Review of U.S. Army Aviation Accident Reports: Prevalence of Environmental Stressors and Medical Conditions

Science.gov (United States)

2017-10-18

terminology related to an aforementioned stressor or medical condition. Table 1 presents the identified operational stressor with the keywords extracted...USAARL Report No. 2018-02 Review of U.S. Army Aviation Accident Reports: Prevalence of Environmental Stressors and Medical Conditions By Kathryn...Environmental Stressors and Medical Conditions N/A N/A N/A N/A N/A N/A Feltman, Kathryn A. Kelley, Amanda M. Curry, Ian P. Boudreaux, David A. Milam

Some aspects of the population relocation from Bryansk region areas contaminated due to the Chernobyl NPP accident

International Nuclear Information System (INIS)

Kislov, M.V.; Karlin, N.E.; Liberman, A.N.; Bronshtejn, I.Eh.; Nuralov, V.N.; Karlina, L.V.

1993-01-01

The paper presents the results of the investigations carried out in 1992 linked with the resettlement of people from the Bryansk region areas affected by the Chernobyl accident with analysis of some use-harm indices. Resettlement is shown to be the most radical way of protection and to prevent completely the effect of irradiation, but to be accomplished with the essential money expenses ad inadequately determined social-and-psychological and medical-and-biological consequences for people health. Decision about people resettlement, especially at the accident latest stage, should be obligatory based on the use-harm analysis

Regarding the question of medical aid for the population after reactor accidents

International Nuclear Information System (INIS)

1981-01-01

The members of the study group ''Medical Aid after Reactor Accidents'' form a body of scientists from the most different specialities. On the basis of their own investigation results and previous scientific reports, they studied and processed information material. The volume contains summarizing manuscripts with recommendations, guidelines and organizational suggestions in answer to the different special problem formulations. (DG) [de

Abstracts of papers of international scientific conference 'Fundamental and applied aspects of radiobiology: Biological effects of low doses and radioactive contamination of environment (Radioecological and medical biological consequences of the Chernobyl NPP accident)'

International Nuclear Information System (INIS)

Konoplya, E.F.; Astakhov, A.I.; Bogdevich, I.M.; Borisevich, N.Ya.; Zubovich, V.K.; Knat'ko, V.A.; Lobanok, L.M.; Matsko, V.P.; Mrochek, A.G.

1998-05-01

The results of research works executed in Belarus, as well as in Ukraine and Russia, on various aspects of the Chernobyl problematic are given: radiation medicine and risks, radiobiological effects and their forecasting, radioecology and agricultural radiology, decontamination and radioactive wastes management, socio economic and psychological problems caused by the Chernobyl NPP accident

Program of medical advice in radioprotection of the Argentinean nuclear regulatory authority

International Nuclear Information System (INIS)

Perez, M.R.; Gisone, P.; Di Trano, J.L.; Dubher, D.; Michelin, S.

1998-01-01

The objective of this program is to have a system with the aim of guaranteing an appropriate medical response in the case of radiological or nuclear accidents and to offer medical advice in aspects related to the biological effects of ionizing radiations

Organization of accident medical service in emergency situations in the system of Federal administration board for medical-biological and emergency problems at the Ministry of public health and medical industry of Russia

International Nuclear Information System (INIS)

Parfenova, L.N.

1995-01-01

Federal Administration Board for medical-biological problems at the Ministry of Public Health and Medical Industry of Russia, in accordance with the entrusted functions, provides medical-sanitary service for the workers of the branches of industry with especially dangerous labour conditions. For these purpose, there is functioning in its system a network of therapeutic-prophylactic, sanitary, scientific-research, educational and other establishments. A high degree of accident danger of the attended industrial plants determines the state policy of organizations and administrations as well as scientific-practical establishments of the Federal Administration Board in respect of elaboration and introduction of a complex of measures which would enable to guarantee the safe functioning of the plants. All sub-administration establishments have the necessary structures, settle the questions of liquidation of medical-sanitary after-effects of accidents at the attended plants, and are regarded to be the organizations of specialized emergency medical aid of the Federal Administration Board

Lessons learned from MONJU sodium leak accident

International Nuclear Information System (INIS)

Nakai, Ryodai; Ito, Kazumoto; Nagata, Takashi

2000-01-01

MONJU sodium leak accident was a small accident with a large public impact. There was no injures or exposure to radiation, nor was there any loss of safety function such as reactor shutdown or reactor cooling. On the contrary a social impact is considerably large, whereby the plant remains shutdown. This paper describes the lessons learned from the accident, i.e. the impact of the accident and its cause, and the features on risk management in view of social aspect as well as technical aspect. (author)

Domino effect in chemical accidents: main features and accident sequences.

Science.gov (United States)

Darbra, R M; Palacios, Adriana; Casal, Joaquim

2010-11-15

The main features of domino accidents in process/storage plants and in the transportation of hazardous materials were studied through an analysis of 225 accidents involving this effect. Data on these accidents, which occurred after 1961, were taken from several sources. Aspects analyzed included the accident scenario, the type of accident, the materials involved, the causes and consequences and the most common accident sequences. The analysis showed that the most frequent causes are external events (31%) and mechanical failure (29%). Storage areas (35%) and process plants (28%) are by far the most common settings for domino accidents. Eighty-nine per cent of the accidents involved flammable materials, the most frequent of which was LPG. The domino effect sequences were analyzed using relative probability event trees. The most frequent sequences were explosion→fire (27.6%), fire→explosion (27.5%) and fire→fire (17.8%). Copyright © 2010 Elsevier B.V. All rights reserved.

Specialized medical sections for the treatment of radiation injuries from accidents in nuclear power plants

International Nuclear Information System (INIS)

Deanovic, Z.; Boranic, M.; Vitale, B.

1980-01-01

Presented is the organization of the final, highly specialized treatment (diagnostic and therapeutic) of persons that have been severely injured in a radiation or nuclear accident. In this organizational scheme, the leading idea was to group and establish suitable medical sections for the acceptance, diagnosic work-up, and treatment of radiation casualties, around a strong medical center in which the different specialists would be available

Oncological aspects of the Chernobyl accident in Ukraine

International Nuclear Information System (INIS)

Gluzman, D.; Chekhun, V.; Guslitser, L.

1998-01-01

The data on cancer and leukemia incidence in adult and childhood population of Ukraine within 11 years after Chernobyl accident have been presented. A sharp increase in thyroid cancer incidence in children living in the areas contaminated by radionuclides has been notable. Nevertheless up to present there is no unequivocal evidence of significant increase of any other malignancies. Further long-term studies are required since the peak incidence of the majority of the forms of cancer may occur within more than 10-20 years after the accident

Dutch National Plan combat nuclear accidents

International Nuclear Information System (INIS)

1988-01-01

This document presents the Dutch National Plan combat nuclear accidents (NPK). Ch. 2 discusses some important starting points which are determining for the framework and the performance of the NPK, in particular the accident typology which underlies the plan. Also the new accident-classification system for the Dutch nuclear power plants, the standardization for the measures to be taken and the staging around nuclear power plants are pursued. In ch. 3 the legal framework of the combat nuclear accidents is described. In particular the Nuclear-power law, the Accident law and the Municipality law are pursued. Also the role of province and municipality are described. Ch. 4 deals with the role of the owner/licensee of the object where the accident occurs, in the combat of accident. In ch. 5 the structure of the nuclear-accident combat at national level is outlined, subdivided in alarm phase, combat phase and the winding-up phase. In ch.'s 6-12 these phases are elaborated more in detail. In ch.'s 10-13 the measures to be taken in nuclear accidents, are described. These measures are distinguished with regard to: protection of the population and medical aspects, water economy, drinking-water supply, agriculture and food supply. Ch. 14 describes the responsibility of the burgomaster. Ch.'s 15 and 16 present an overview of the personnel, material, procedural and juridical modifications and supplements of existing structures which are necessary with regard to the new and modified parts of the structure. Ch. 17 indicates how by means of the appropriate education and exercise it can be achieved that all personnel, services and institutes concerned possess the knowledge and experience necessary for the activities from the NKP to be executed as has been described. Ch. 18 contains a survey of activities to be performed and a proposal how these can be realized. (H.W.). figs.; tabs

[Essential aspects of ophthalmological expert assessment in private accident insurance].

Science.gov (United States)

Tost, F

2014-06-01

Commissions for an expert assessment place basically high demands on commissioned eye specialists because this activity differs from the normal routine field of work. In addition to assessing objective symptoms and subjective symptomatics in a special analytical manner, eye specialists are expected to have knowledge of basic legal terminology, such as proximate cause, evidence and evidential value. Only under these prerequisites can an ophthalmologist fulfill the function of an expert with a high level of quality and adequately adjust the special medical ophthalmological expertise to the requirements of the predominantly legally based clients commissioning the report and oriented to the appropriate valid legal norms. Particularly common difficulties associated with making an ophthalmological expert report for private accident insurance, e.g. determination of the reduction in functional quality, consideration of partial causality and assessment of diplopia are discussed.

Scientific aspects of the Tohoku earthquake and Fukushima nuclear accident

Science.gov (United States)

Koketsu, Kazuki

2016-04-01

We investigated the 2011 Tohoku earthquake, the accident of the Fukushima Daiichi nuclear power plant, and assessments conducted beforehand for earthquake and tsunami potential in the Pacific offshore region of the Tohoku District. The results of our investigation show that all the assessments failed to foresee the earthquake and its related tsunami, which was the main cause of the accident. Therefore, the disaster caused by the earthquake, and the accident were scientifically unforeseeable at the time. However, for a zone neighboring the reactors, a 2008 assessment showed tsunamis higher than the plant height. As a lesson learned from the accident, companies operating nuclear power plants should be prepared using even such assessment results for neighboring zones.

Criticality accident of nuclear fuel facility. Think back on JCO criticality accident

International Nuclear Information System (INIS)

Naito, Keiji

2003-09-01

This book is written in order to understand the fundamental knowledge of criticality safety or criticality accident of nuclear fuel facility by the citizens. It consists of four chapters such as critical conditions and criticality accident of nuclear facility, risk of criticality accident, prevention of criticality accident and a measure at an occurrence of criticality accident. A definition of criticality, control of critical conditions, an aspect of accident, a rate of incident, damage, three sufferers, safety control method of criticality, engineering and administrative control, safety design of criticality, investigation of failure of safety control of JCO criticality accident, safety culture are explained. JCO criticality accident was caused with intention of disregarding regulation. It is important that we recognize the correct risk of criticality accident of nuclear fuel facility and prevent disasters. On the basis of them, we should establish safety culture. (S.Y.)

Aspects of water and air ingress accidents in HTRs

International Nuclear Information System (INIS)

Wolters, J.

1981-01-01

The work has contributed towards improving the understanding of the processes taking place during water and air ingress accidents. The favourable design features of the THTR limit the pressure build-up in the primary circuit to values below critical values in water ingress accidents even when the source of water is not identified and shut-off. A pressure reduction by safety valves is in this case not necessary so that the accident consequences remain confined in the primary circuit. The expected air ingress rates following a depressurization accident through an opening in the top head of the PCRV are extremely small in the case of complete integration of the primary circuit in the PCRV. The chemical processes in the primary circuit remain so limited that no danger for the fuel elements and the containment exists. The often feared ''graphite fire'' can be excluded even in the case when the circulators of the after-heat removal systems take in a high percentage of containment atmosphere. The core is cooled down safely

School sports accidents: analysis of causes, modes, and frequencies.

Science.gov (United States)

Kelm, J; Ahlhelm, F; Pape, D; Pitsch, W; Engel, C

2001-01-01

About 5% of all school children are seriously injured during physical education every year. Because of its influence on children's attitude toward sports and the economic aspects, an evaluation of causes and medical consequences is necessary. In this study, 213 school sports accidents were investigated. Besides diagnosis, the localization of injuries, as well as the duration of the sick leave were documented. Average age of injured students was 13 years. Most of the injured students blamed themselves for the accident. The most common injuries were sprains, contusions, and fractures. Main reasons for the accidents were faults in basic motion training. Playing soccer and basketball were the most frequent reasons for injuries. The upper extremity was more frequently involved than the lower extremity. Sports physicians and teachers should work out a program outlining the individual needs and capabilities of the injured students to reintegrate them into physical education.

Uncertainty analysis of accident notification time and emergency medical service response time in work zone traffic accidents.

Science.gov (United States)

Meng, Qiang; Weng, Jinxian

2013-01-01

Taking into account the uncertainty caused by exogenous factors, the accident notification time (ANT) and emergency medical service (EMS) response time were modeled as 2 random variables following the lognormal distribution. Their mean values and standard deviations were respectively formulated as the functions of environmental variables including crash time, road type, weekend, holiday, light condition, weather, and work zone type. Work zone traffic accident data from the Fatality Analysis Report System between 2002 and 2009 were utilized to determine the distributions of the ANT and the EMS arrival time in the United States. A mixed logistic regression model, taking into account the uncertainty associated with the ANT and the EMS response time, was developed to estimate the risk of death. The results showed that the uncertainty of the ANT was primarily influenced by crash time and road type, whereas the uncertainty of EMS response time is greatly affected by road type, weather, and light conditions. In addition, work zone accidents occurring during a holiday and in poor light conditions were found to be statistically associated with a longer mean ANT and longer EMS response time. The results also show that shortening the ANT was a more effective approach in reducing the risk of death than the EMS response time in work zones. To shorten the ANT and the EMS response time, work zone activities are suggested to be undertaken during non-holidays, during the daytime, and in good weather and light conditions.

Radiological protection aspects regarding to assistance of the cesium-137 radiation accident victims in Goiania

International Nuclear Information System (INIS)

Hunt, John Graham; Oliveira Filho, Denizart Silveira de; Rabelo, Paulo Ney Pamplona

1997-01-01

The radiological protection measures taken in the general hospital of Goiania (HGG/INAMPS) and in the FEBEM institution, due to the accident involving Cesium-137 are described, as well as the work of the IRD personnel in the areas of: radiological protection of the medical and auxiliary staff, contamination control of the ward, radiological monitoring of the patients, waste management, personnel and area decontamination and patient transportation. (author)

Fallout: The experiences of a medical team in the care of a Marshallese population accidently exposed to fallout radiation

Energy Technology Data Exchange (ETDEWEB)

Conard, R.A.

1992-09-01

This report presents an historical account of the experiences of the Brookhaven Medical Team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Noteworthy has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities.

Fallout: The experiences of a medical team in the care of a Marshallese population accidently exposed to fallout radiation

International Nuclear Information System (INIS)

Conard, R.A.

1992-09-01

This report presents an historical account of the experiences of the Brookhaven Medical Team in the examination and treatment of the Marshallese people following their accidental exposure to radioactive fallout in 1954. This is the first time that a population has been heavily exposed to radioactive fallout, and even though this was a tragic mishap, the medical findings have provided valuable information for other accidents involving fallout such as the recent reactor accident at Chernobyl. Noteworthy has been the unexpected importance of radioactive iodine in the fallout in producing thyroid abnormalities

Accident management insights after the Fukushima Daiichi NPP accident

International Nuclear Information System (INIS)

Degueldre, Didier; Viktorov, Alexandre; Tuomainen, Minna; Ducamp, Francois; Chevalier, Sophie; Guigueno, Yves; Tasset, Daniel; Heinrich, Marcus; Schneider, Matthias; Funahashi, Toshihiro; Hotta, Akitoshi; Kajimoto, Mitsuhiro; Chung, Dae-Wook; Kuriene, Laima; Kozlova, Nadezhda; Zivko, Tomi; Aleza, Santiago; Jones, John; McHale, Jack; Nieh, Ho; Pascal, Ghislain; ); Nakoski, John; Neretin, Victor; Nezuka, Takayoshi; )

2014-01-01

The Fukushima Daiichi nuclear power plant (NPP) accident, that took place on 11 March 2011, initiated a significant number of activities at the national and international levels to reassess the safety of existing NPPs, evaluate the sufficiency of technical means and administrative measures available for emergency response, and develop recommendations for increasing the robustness of NPPs to withstand extreme external events and beyond design basis accidents. The OECD Nuclear Energy Agency (NEA) is working closely with its member and partner countries to examine the causes of the accident and to identify lessons learnt with a view to the appropriate follow-up actions to be taken by the nuclear safety community. Accident management is a priority area of work for the NEA to address lessons being learnt from the accident at the Fukushima Daiichi NPP following the recommendations of Committee on Nuclear Regulatory Activities (CNRA), Committee on the Safety of Nuclear Installations (CSNI), and Committee on Radiation Protection and Public Health (CRPPH). Considering the importance of these issues, the CNRA authorised the formation of a task group on accident management (TGAM) in June 2012 to review the regulatory framework for accident management following the Fukushima Daiichi NPP accident. The task group was requested to assess the NEA member countries needs and challenges in light of the accident from a regulatory point of view. The general objectives of the TGAM review were to consider: - enhancements of on-site accident management procedures and guidelines based on lessons learnt from the Fukushima Daiichi NPP accident; - decision-making and guiding principles in emergency situations; - guidance for instrumentation, equipment and supplies for addressing long-term aspects of accident management; - guidance and implementation when taking extreme measures for accident management. The report is built on the existing bases for capabilities to respond to design basis

Aspects Concerning The Rules And The Investigation Of Traffic Accidents As Work Accidents

Science.gov (United States)

Tarnu, Lucian Ioan

2015-07-01

When Romania joined the European Union, it was imposed that the Romanian legislation in the field of the security and health at work be in line with the European one. The concept of health as it is defined by the International Body of Health, refers to a good physical, mental and social condition. The improvement of the activity of preventing the traffic accidents as work accidents must have as basis the correct and accurate evaluation of risks of getting injured. The goal of the activity of prevention and protection is to ensure the best working conditions, the prevention of accidents and occupational diseases and the adjustment to the scientific and technological progress. In the road transport sector, as in any other sector, it is very important to pay attention to working conditions to ensure a workforce motivated and well qualified. Some features make it a more difficult sector risk management than other sectors. However, if one takes into account how it works in practice this sector and the characteristics of drivers and how they work routinely, risks, dangers and threats can be managed efficiently and with great success.

Latin American radio pathology net, training program for the medical response in cases of accidents; Red Latioamericana de radiopatologia programa de capacitacion para la respuesta medica en casos de accidentes

Energy Technology Data Exchange (ETDEWEB)

Perez, M. R.; Valverde, N.; Sanhueza, S.; Di Tramo, J. L.; Gisone, P.; Cardenas, J.

2003-07-01

situations, in spite of the will to strengthen the structures regulators and their legal bases, as well as in the implementation of notification systems, licences and control of sources. In our region in the frame work of ARCAL Program has been executed medical Treatment in Radiological Accidents Project. With the purpose to consolidate and integrate four reference centers as regards medical attention to overexposed people. As a result of this project it was elaborated an educational methodological document that contains the proposal of training program so that the health professionals for confront radiological accidents. The project considers the following aspect: definition of the theoretical and practical contents to be included in training programmes, setting quality standards for medical education in the region, planning activities for medical education to be performed at national and regional levels and organization of scientifically exchanges and practical training stays. (Author)

Radiation protection during the medical assistance to the victims of the accident in Goiania

International Nuclear Information System (INIS)

Silva, L.H.C.; Fajardo, P.W.; Rosa, R.

1989-01-01

Some of the casualities of the radiological accident occured in Goiania (Brazil), consequence of the violation of a Cs-137 source were assisted at Marcillo Dias Naval Hospital. The risks associated to the contact with the patients were radioactive contamination and external exposure. To deal with this problem, a Radiation Protection Group was formed and a Radiation Protection Program was developed and implemented in order to assure that risks would be maintained as low as reasonably achievable. The objective of this paper is to present the acquired experience on the radiation protection support in case of emergency medical assistance in radiological accidents. (author). 1 ref.; 2 tabs

Medical consequences of Chernobyl accident

Directory of Open Access Journals (Sweden)

Galstyan I.A.

2015-12-01

Full Text Available Aim: to study the long-term effects of acute radiation syndrome (ARS, developed at the victims of the Chernobyl accident. Material and Methods. 237 people were exposed during the accident, 134 of them were diagnosed with ARS. Dynamic observation implies a thorough annual examination in a hospital. Results. In the first 1.5-2 years after the ARS mean group indices of peripheral blood have returned to normal. However, many patients had transient expressed moderate cytopenias. Granulocytopenia, thrombocytopenia, lymphopenia and erythropenia were the most frequently observed things during the first 5 years after the accident. After 5 years their occurences lowered. In 11 patients the radiation cataract was detected. A threshold dose for its development is a dose of 3.2 Gy Long-term effects of local radiation lesions (LRL range from mild skin figure smoothing to a distinct fibrous scarring, contractures, persistently recurrent late radiation ulcers. During all years of observation we found 8 solid tumors, including 2 thyroid cancers. 5 hematologic diseases were found. During 29 years 26 ARS survivors died of various causes. Conclusion. The health of ones with long-term ARS effects is determined by the evolution of the LRL effects on skin, radiation cataracts, hema-tological diseases and the accession of of various somatic diseases, not caused by radiation.

Radiation emergency planning for medical organizations

International Nuclear Information System (INIS)

Jerez Vergueria, Sergio F.; Jerez Vergueria, Pablo F.

1997-01-01

The possible occurrence of accidents involving sources of ionizing radiation demands response plans to mitigate the consequences of radiological accidents. This paper offers orientations in order to elaborate emergency planning for institutions with medical applications of ionizing radiation. Taking into account that the prevention of accidents is of prime importance in dealing with radioactive materials and others sources of ionizing radiation, such as X-rays, it is recommended that one include in emergency instructions and procedures several aspects relative to causes which originate these radiological events. Topics such as identification of radiological events in these practices and their consequences, protective measures, planning for and emergency response and maintenance of emergency capacity, are considered in this article. (author)

Legislative aspects of the development of medical devices.

Science.gov (United States)

Marešová, Petra; Klímová, Blanka; Krejcar, Ondřej; Kuča, Kamil

2015-09-01

European industry of medical device technologies represents 30% of all worlds sales. New health technologies bring effective treatment approaches, help shorten stays in hospital1),bring better treatment results and accelerate rehabilitation which leads to the earlier patients recovery.Legislative aspects are one of the key areas influencing the speed of development of medical devices and their launching. The aim of this article is to specify current state of legislation in the development of medical devices in the European Union in comparison with the market leaders such as China, Japan and USA.The best established market of medical devices is in the USA. Both Japan and China follow the USA model. However, a non-professional code of ethics in China in some respect contributes to the decrease of quality of medical devices, while Japan as well as the EU countries try really hard to conform to all the regulations imposed on the manufacturing of medical devices.

Medical Preparedness in Radiation Accidents: a Matter of Logistics and Communication not Treatment!

Directory of Open Access Journals (Sweden)

A Staudenherz

2011-06-01

Full Text Available The currently reactor wreckage in Fukushima raised the following important questions: Is our knowledge of the possible dangers of ionizing radiation sufficient to warrant special action? What is the role of the medical community in technical radiation accidents from Windscale to Fukushima? What is the role of the medical community in terrorist radiation attacks? Are we prepared for those challenges? How can medical services communicate information in the media framework? What have we learned recently? And, what should be improved? In this review of the current literature on ionizing radiation, we try to answer these questions. Our conclusion is that medical services have to improve their communication skills and convince the public that the dangers of ionizing radiation can be quantitated within certain limits to support a qualified discussion about its risks and benefits.

Criticality accident in uranium fuel processing plant. Emergency medical care and dose estimation for the severely overexposed patients

Energy Technology Data Exchange (ETDEWEB)

Akashi, Makoto; Ishigure, Nobuhito [National Inst. of Radiological Sciences, Chiba (Japan)

2000-08-01

A criticality accident occurred in JCO, a plant for nuclear fuel production in 1999 and three workers were exposed to extremely high-level radiation (neutron and {gamma}-ray). This report describes outlines of the clinical courses and the medical cares for the patients of this accident and the emergent medical system for radiation accident in Japan. One (A) of the three workers of JCO had vomiting and diarrhea within several minutes after the accident and another one (B) had also vomiting within one hour after. Based on these evidences, the exposure dose of A and B were estimated to be more than 8 and 4 GyEq, respectively. Generally, acute radiation syndrome (ARS) is assigned into three phases; prodromal phase, critical or manifestation phase and recovery phase or death. In the prodromal phase, anorexia, nausea, vomiting and diarrhea often develop, whereas the second phase is asymptotic. In the third phase, various syndromes including infection, hemorrhage, dehydration shock and neurotic syndromes are apt to occur. It is known that radiation exposure at 1 Gy or more might induce such acute radiation syndromes. Based on the clinical findings of Chernobyl accident, it has been thought that exposure at 0.5 Gy or more causes a lowering of lymphocyte level and a decrease in immunological activities within 48 hours. Lymphocyte count is available as an indicator for the evaluation of exposure dose in early phase, but not in later phase The three workers of JCO underwent chemical analysis of blood components, chromosomal analysis and analysis of blood {sup 24}Na immediately after the arrival at National Institute of Radiological Sciences via National Mito Hospital specified as the third and the second facility for the emergency medical care system in Japan, respectively. (M.N.)

Accidents with biological material and immunization against hepatitis B among students from the health area.

Science.gov (United States)

Gir, Elucir; Netto, Jeniffer Caffer; Malaguti, Silmara Elaine; Canini, Silvia Rita Marin da Silva; Hayashida, Miyeko; Machado, Alcyone Artioli

2008-01-01

Undergraduate students from the health area often handle piercing-cutting instruments in their academic activities, which exposes them to the risk of contracting infections. This study aimed to analyze accidents with biological material among these students. Out of 170 accidents registered, 83 (48.8%) occurred with Dentistry students, 69 (40.6%) with Medical students, 11 (6.5%) with Nursing students and in 06 (3.5%) of the cases there was no such information in the files. Most accidents, 106 (62.4%), occurred with students from private schools and 55 (32.3%) with those from public schools. Percutaneous accidents occurred in 133 (78.2%) exposures and there was immediate search for specialized health care in only 38 (21.3%) accidents. In 127 (74.7%) accidents, the immunization schedule against hepatitis B was complete. Therefore, schools need to offer courses and specific class subjects regarding biosafety measures, including aspects related to immunization, especially the vaccine against hepatitis B.

Radioprotection program to attend of radiation accidents

International Nuclear Information System (INIS)

Fajardo, P.W.; Costa Silva, L.H. da; Rosa, R.

1989-04-01

The aspects of a radioprotection program to be implanted in hospitals to cases of medical treatment to external and internal contamined people are presented. It is based in the experience acquired in the coordination of radioprotection of the Marcilio Dias Naval Medical Center, Rio de Janeiro, due to accident happened in Goiania in 1987. The infra-structure necessary of a ward and the procedures of radioprotection to acess control, entrance and way out of material area and patients monitoring, decontamination and the activities in the support area such as the control and maintenance of detection equipments and radioactive waste management are described. The radiologic protection materials necessaries and the quantity of radioactive waste generated by patient for day are estimated. (V.R.B.)

Human Factors Aspects of Aircraft Accidents

Science.gov (United States)

1982-10-01

invaatiaaamanta traa important« : chainaa da grand entratian avion, revision daa motaura at banca d’aaaala, reviaion daa Equipements nEceaaitant daa...defectueux. Sur le plan des accidents d’apparells militaires, qui sort quelque peu de ma specia- lite, les renseignements disponibles dans la presse ...Undoubtedly, a compelling reason for staying with the aircraft was to try to regain pitch attitude control in view of a large audience of press and

Indonesian Sea Accident Analysis (Case Study From 2003 – 2013)

Science.gov (United States)

Arya Dewanto, Y.; Faturachman, D.

2018-03-01

There are so many accidents in sea transportation in Indonesia. Most of the accidents happen because of low concern aspects of the safety and security of the crew. In sailing, a man as transport users to interact with the ship and the surrounding environment (including other ships, cruise lines, ports, and the situation of local conditions). These interactions are sometimes very complex and related to various aspects of. Aware of the multiplicity of aspects related to the third of these factors, seeking the safety of cruise through a reduction in the number of accidents and the risk of death and serious injuries due to accidents and goods transported is certainly not enough attempted through mono-sector approach, but rather takes a multi-sector approach to the efforts. In this paper, we described the Indonesian Sea Transportation accident analysis for eleven years divided into four items: total of ship accident type, ship accident factor, total of casualties, region of ship accidents. All data founded from Marine Court (Mahkamah Pelayaran). From that 4 items we can find Indonesia Sea Accident Analysis from 2003-2013.

Aspects of radiation protection to attend the victims of radiological accident with cesium 137 in Goiania

International Nuclear Information System (INIS)

Hunt, J.G.; Oliveira Filho, D.S. de; Rabello, P.N.P.

1988-01-01

The radiological protection measures taken in the general hospital of Goiania (HGG/INAMPS) and in the FEBEM institution, due do the accident involving cesium 137 are described, as well the work of the NUCLEI personnel in the areas of: radiological protection of the medical and auxiliary staff, contamination control of the ward, radiological monitoring of the patients, waste management, personnel and area decontamination and patient transportation. (author) [pt

The Fukushima nuclear accident: insights on the safety aspects

Energy Technology Data Exchange (ETDEWEB)

Thome, Zieli D.; Vellozo, Sergio O., E-mail: zielithome@gmail.com, E-mail: vellozo@cbpf.br [Instituto Militar de Engenharia (IME), Rio de Janeiro, RJ (Brazil). Secao de Engenharia Nuclear; Gomes, Rogerio S., E-mail: rogeriog@cnen.gov.br [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil); Silva, Fernando C., E-mail: fernando@con.ufrj.br [Coordenacao do Programas de Pos-Graduacao em Engenharia (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil)

2013-07-01

The Fukushima nuclear accident has generated doubts and questions which need to be properly understood and addressed. This scientific attitude became necessary to allow the use of the nuclear technology for electricity generation around the world. The nuclear stakeholders are working to obtain these technical answers for the Fukushima questions. We believe that, such challenges will be, certainly, implemented in the next reactor generation, following the technological evolution. The purpose of this work is to perform a critical analysis of the Fukushima nuclear accident, focusing at the common cause failures produced by tsunami, as well as an analysis of the main redundant systems. This work also assesses the mitigative procedures and the subsequent consequences of such actions, which gave results below expectations to avoid the progression of the accident, discussing the concept of sharing of structures, systems and components at multi-unit nuclear power plants, and its eventual inappropriate use in safety-related devices which can compromise the nuclear safety, as well as its consequent impact on the Fukushima accident scenario. The lessons from Fukushima must be better learned, aiming the development of new procedures and new safety systems. Thus, the nuclear technology could reach a higher evolution level in its safety requirements. This knowledge will establish a conceptual milestone in the safety system design, becoming necessary the review of the current acceptance criteria of safety-related systems. (author)

The Fukushima nuclear accident: insights on the safety aspects

International Nuclear Information System (INIS)

Thome, Zieli D.; Vellozo, Sergio O.; Silva, Fernando C.

2013-01-01

The Fukushima nuclear accident has generated doubts and questions which need to be properly understood and addressed. This scientific attitude became necessary to allow the use of the nuclear technology for electricity generation around the world. The nuclear stakeholders are working to obtain these technical answers for the Fukushima questions. We believe that, such challenges will be, certainly, implemented in the next reactor generation, following the technological evolution. The purpose of this work is to perform a critical analysis of the Fukushima nuclear accident, focusing at the common cause failures produced by tsunami, as well as an analysis of the main redundant systems. This work also assesses the mitigative procedures and the subsequent consequences of such actions, which gave results below expectations to avoid the progression of the accident, discussing the concept of sharing of structures, systems and components at multi-unit nuclear power plants, and its eventual inappropriate use in safety-related devices which can compromise the nuclear safety, as well as its consequent impact on the Fukushima accident scenario. The lessons from Fukushima must be better learned, aiming the development of new procedures and new safety systems. Thus, the nuclear technology could reach a higher evolution level in its safety requirements. This knowledge will establish a conceptual milestone in the safety system design, becoming necessary the review of the current acceptance criteria of safety-related systems. (author)

Epidemiological profile of work-related accidents with biological exposure among medical students in a surgical emergency room.

Science.gov (United States)

Reis, Phillipe Geraldo Teixeira de Abreu; Driessen, Anna Luiza; da Costa, Ana Claudia Brenner Affonso; Nasr, Adonis; Collaço, Iwan Augusto; Tomasich, Flávio Daniel Saavedra

2013-01-01

To evaluate the accidents with biological material among medical students interning in a trauma emergency room and identify key related situations, attributed causes and prevention. we conducted a study with a quantitative approach. Data were collected through a questionnaire applied via internet, with closed, multiple-choice questions regarding accidents with biological material. The sample comprised 100 students. thirty-two had accidents with biological material. Higher-risk activities were local anesthesia (39.47%), suture (18.42%) and needle recapping (15.79%). The main routes of exposure to biological material were the eyes or mucosa, with 34%, and syringe needle puncture, with 45%. After contamination, only 52% reported the accident to the responsible department. The main causes of accidents and routes of exposure found may be attributed to several factors, such as lack of training and failure to use personal protective equipment. Educational and preventive actions are extremely important to reduce the incidence of accidents with biological materials and improve the conduct of post-exposure. It is important to understand the main causes attributed and situations related, so as general and effective measures can be applied.

Psychosocial aspects of nuclear accidents: the role of the World Health Organisation

International Nuclear Information System (INIS)

De Girolamo, G.

1991-01-01

Since the Chernobyl nuclear reactor incident in the USSR in 1986, the World Health Organisation (WHO) has devoted a large part of its activities and research towards improving both national and transnational capabilities for dealing with radiation emergencies. This presentation concentrates on the psychosocial aspects of radiation accidents and the measures which should be taken to combat them. Although public information was sparse during the Chernobyl disaster, afterwards there was a flood of conflicting information and rumours from a variety of organisations and governments resulting in an ''overload'' on the public and creating fear and mistrust of the authorities. The author argues that as the leading world organisation on health matters, WHO should be seen as the natural co-ordinator, authority and information-provider in ''transnational'' incidents such as this to avoid this public confusion and unnecessary ill-effects. (author)

Training for the medical response in radiological emergency experiences and results

International Nuclear Information System (INIS)

Cardenas Herrera, J.; Lopez Forteza, Y.

2003-01-01

The use of the nuclear techniques int he social practice confers a special imporatnce to the relative aspects to the safety of the practices and radiationsources, for what the implementation of efficient programs of radiation protection constitutes a priority. However in spite of the will before expressed, regrettably radiological situations happen accidental assocaited to multiple causes taht suggest the creation of response capacities to intervention before these fortuitous facts. The experiences accumulated in the last decades related with accidental exposures have evidenced the convenience of having properly qualified human resources for the Medical Response in Radiological Emergencies. The training in the medical aspects of the radiological emergencies acquires a singular character. In such a sense when valuing the national situation put onof manifest deficiences as for the training in medical aspects of the radiological emergencies that advised the development of training programs in such aspects for the different response groups linked to the topic. After identified the training necessities and the scope of the same ones, the contents of the training program were elaborated. The program has as general purpose the invigoration of the capacity of the medical response in front of accidental radiological situations, by means of actions that they bear to prepare groups of medical response in the handling of people accident victims and to the identification of potentials,accidental scenarios, as well as of the necessary resources to confront them. The program content approaches theoretical and paractical aspects to the medical aspect to radiological emergencies. The program include the different topics about fundamental of physical biological to radiation protection, radiation protection during exposure of radiological accidents, medical care for overexposed or contaminated persons, drill, exercises and concludes with designation of a strategy as preparation and

The historic and national aspects of medical ethics and deontology.

Directory of Open Access Journals (Sweden)

Prikhoda Igor' Viktorovich

2009-02-01

Full Text Available Researches of problems of medical ethics and deontology in activity of the medical worker presented. Historical and national aspects of the delivered problem are considered. They open diversity and complexity of realization of problems of formation of the person of the medical worker. The humanism in medicine makes its ethical basis and morals. The humanism serves moral development of the person of the medical worker. Without humanism the medicine loses the right on existence. Its scientific and professional principles conflict to its basic purpose - to serve the person.

Transporting radioactive materials and possible radiological consequences from accidents as might be seen by medical institutions

International Nuclear Information System (INIS)

Jefferson, R.M.

1990-01-01

This paper discusses how medical personnel faced with treating victims of an accident involving radioactive material should be suspicious concerning possible radiological involvement. At the same time, they should be careful to obtain the necessary information in order to make a rational decision as to the likelihood of such involvement. Having made that decision, it is entirely possible then to approach the problem from a medical standpoint in such a way as to determine the extent of radiological involvement and to apply proper medical treatment consistent with that exposure

The nuclear reactor accident at Windscale - October, 1957: Environmental aspects

Energy Technology Data Exchange (ETDEWEB)

Loutit, J F; Marley, W G; Russell, R S

1960-12-01

The nature and cause of the nuclear reactor accident at Windscale in October, 1957, have been described in the summary report of the Committee of Inquiry set up by the Atomic Energy Authority. This report was published in a Command Paper Atomic Energy Office, 1957). The events leading up to the accident occurred on the 8th October, during a routine release of the energy which had become stored in the graphite moderator as a result of the normal operation of the reactor. The Committee concluded that the accident had been caused by local overheating of the uranium fuel elements, the canning of which then failed exposing the uranium and allowing it to oxidize. The temperatures in the affected channels continued to rise, leading to the combustion of the graphite. The amount of radioactivity released during the accident is not known precisely, but approximate estimates were made from the measurements of the radioactive iodine deposited on the ground in this country, and from measurements on air filters obtained both in the United Kingdom and on the continent of Europe.

The nuclear reactor accident at Windscale - October, 1957: Environmental aspects

International Nuclear Information System (INIS)

Loutit, J.F.; Marley, W.G.; Russell, R.S.

1960-01-01

The nature and cause of the nuclear reactor accident at Windscale in October, 1957, have been described in the summary report of the Committee of Inquiry set up by the Atomic Energy Authority. This report was published in a Command Paper Atomic Energy Office, 1957). The events leading up to the accident occurred on the 8th October, during a routine release of the energy which had become stored in the graphite moderator as a result of the normal operation of the reactor. The Committee concluded that the accident had been caused by local overheating of the uranium fuel elements, the canning of which then failed exposing the uranium and allowing it to oxidize. The temperatures in the affected channels continued to rise, leading to the combustion of the graphite. The amount of radioactivity released during the accident is not known precisely, but approximate estimates were made from the measurements of the radioactive iodine deposited on the ground in this country, and from measurements on air filters obtained both in the United Kingdom and on the continent of Europe

Medical management of patients overexposed to irradiation in acute and subacute accidents

Energy Technology Data Exchange (ETDEWEB)

Genyao, Ye; Guilin, Wang; Shimin, Huang; Xiyuan, Cheng; Bingzhi, Mao; Yingqi, Li [North Taiping Road Hospital, Beijing, BJ (China)

1991-11-01

The authors summarize the experiences in the medical management of 7 radiation accidents resulting in 5 cases of acute radiation sickness, 3 cases of subacute radiation sickness and 8 cases of overexposed persons with estimated physical doses below 1 Gy in the past 5 years. The therapeutic measures including the application of antiradiation drugs such as estriol and herbal medicine '208', measures to improve the microcirculation and transfusion of fetal liver cells, etc., were emphasized in the treatment of acute radiation sickness. For subacute radiation sickness, large doses of stanozolum (18 mg/d) in combination with 654-2 (60 mg/d) were administered as the principal therapeutic agents. The advances in the medical management of acute accidentally overexposed cases in China are briefly reviewed and discussed.

Lessons of TEPCO's Fukushima accident from human and organizational aspects and challenge for nuclear safety reform

International Nuclear Information System (INIS)

Kawano, Akira

2013-01-01

The author participated in international experts' meeting held by IAEA on May 21, 2013 and presented the paper focusing on human and organizational aspects of the Fukushima nuclear accident. It clarified TEPCO's basic recognition: 'The cause of the accident should not be treated merely as a natural disaster due to an enormous tsunami being something difficult to anticipate and we believe it is necessary to seriously acknowledge the result that TEPCO failed to avoid an accident which might have been avoided if ample preparations had been made in advance with thorough use of human intellect' and then reconsidered the Fukushima nuclear accident: 'could we predict an enormous tsunami and take whatever countermeasures?' and 'could we respond to the accident better?' for the worldwide operators to avoid such an accident, which moved meeting's participants deeply. Presentation's contents followed 'Reassessment of the Fukushima Nuclear Accident and Nuclear Safety Reform Plan' published by TEPCO on March 29. This article described outline of the presentation. Though the only way to explore the possibility to save Unit 1 was that operators could bravely go up to the 4th floor of reactor building and open the isolation valves to start IC, it was given up without any clear communication among key decision makers for confirming the IC operational status. As for Unit 3, operators could not achieve thorough focus on ensuring core cooling such that proactive transfer from RCIC/HPCI to low pressure water injection was not challenged, mainly because of low trust on Diesel/Driven Fire Protection Pump (DDFP). During the design stage and afterward, ample consideration was not given to common cause failures originating in external events, which led to a severe situation where almost all the power supplies and safety system functions were lost. Continuous efforts to reduce risks were not ample, including the collection, analysis and utilization of information on safety enhancement

Possibility of reducing costs of mining operations - economic aspects of workplace accidents

Science.gov (United States)

Duda, Adam

2017-11-01

The article presents methods of calculating costs of workplace accidents incurred by an employer, and the influence of the number and severity of accidents on changes in the amount of accident insurance contribution paid by an employer within the framework of the social security system.

Managing severe reactor accidents. A review and evaluation of our knowledge on reactor accidents and accident management

International Nuclear Information System (INIS)

Gustavsson, Veine

2002-11-01

The report gives a review of the results from the last years research on severe reactor accidents, and an opinion on the possibilities to refine the present strategies for accident management in Swedish and Finnish BWRs. The following aspect of reactor accidents are the major themes of the study: 1. Early pressure relief from hydrogen production; 2. Recriticality in re-flooded, degraded core; 3. Melt-through; 4. Steam explosion after melt-through; 5. Coolability of the melt after after melt-through; 6. Hydrogen fire in the reactor containment; 7. Leaking containment; 8. Hydrogen fire in the reactor building; 9. Long-time developments after a severe accident; 10. Accidents during shutdown for overhaul; 11. Information need for remedial actions. Possibilities for improving the strategies in each of these areas are discussed. The review shows that our knowledge is sufficient in the areas 1, 2, 4, 6, 8. For the other areas, more research is needed

The Impact of CPOE Medication Systems' Design Aspects on Usability, Workflow and Medication Orders A Systematic Review

NARCIS (Netherlands)

Khajouei, R.; Jaspers, M. W. M.

2010-01-01

Objectives: To examine the impact of design aspects of computerized physician order entry (CPOE) systems for medication ordering on usability, physicians' workflow and on medication orders. Methods: We systematically searched Pub-Med, EMBASE and Ovid MEDLINE for articles published from 1986 to 2007.

Licensing aspects in the verification of the SNR 300 design concept against hypothetical accidents

International Nuclear Information System (INIS)

Kugler, E.; Wiesner, S.

1976-01-01

The German prototype of a fast breeder reactor, the SNR 300, is being built near Kalkar on the Lower Rhine. It is a loop-type fast sodium-cooled reactor, designed and constructed by Interatom, Bensberg. Experiences gained from the first phase of construction are described. The report is restricted to the aspects of the SNR 300 design against a core disruptive accident (CDA) and its consequences and to the difficulties having arisen in the verification of the design concept so far. Some examples of the detailed design are described and discussed from the licensing authority's point of view showing that the difficulties have been typical for a prototype reactor subjected to a regular licensing procedure

Comorbidity and radiation: methodological aspects of health assessment of persons exposed to the Chornobyl accident factors.

Science.gov (United States)

Nosach, O V

2013-01-01

Comorbidity is one of the most challenging problems of a modern medicine. In a population exposed to the factors of the Chornobyl accident there is an obvious increase in the number of diseases occurring simultaneously against the background of rising prevalence of different classes of chronic medical nosology. The scientific data analysis are presented on the methodological approaches that can be used to create a specialized system for integrated assessment of the health of patients with comorbid disorders. Developing such a system it should be taken into account the trends of changes in the incidence, prevalence and structure of chronic disease, factors and regularities of comorbid disease in the cohorts of Chornobyl accident clean-up workers, evacuees and dwellers of contaminated territories. The system should provide a non-random selection of combinations (clusters) of the most common diseases with serious consequences for the survivors. Nosach O. V., 2013.

Cesium-137: psychological and social consequences of the Goiania's accident

International Nuclear Information System (INIS)

Helou, Suzana; Costa Neto, Sebastiao Benicio da

1995-01-01

The book care for radioactive accident occurred in 1987 in Goiania - brazilian city. The accident had origin by the hospitable equipment incorrect handling which contained a stainless steel capsule, in which interior there was cesium-137 chloride. The main boarded aspects are: psychological and social aspects verified after the accident; psychological and social analysis of population of Goiania three years after the accident; essay on the pertinence of Luscher's abbreviate test in psychological evaluation of the radioactive accident victims of Goiania; and psychological and mobile evaluation of intra-uterus children exposed to the radiation with cesium-137

International Conference 'Twenty Years after Chernobyl Accident. Future Outlook'. Abstracts proceeding; Myizhnarodna konferentsyiya 'Dvadtsyat' rokyiv Chornobil's'koyi katastrofi. Poglyad u majbutnje'. Zbyirka tez

Energy Technology Data Exchange (ETDEWEB)

Anon,

2006-07-01

This conference concludes a series of events dedicated to the 20 anniversary of the Chernobyl accident and promote an effective implementation of the accumulated international experience in the following areas: Radiation protection of the population and emergency workers, and the environmental consequences of Chernobyl accident; Medical and public health response to radiation emergencies; Strengthening radiological emergency management of radiation accidents; Economic and legal aspects of radioactive waste management and nuclear power plants decommissioning; Radioactive waste management: Chernobyl experience; Nuclear power plant decommissioning: Chernobyl NPP; Transformation of the Chernobyl Sarcophagus into an ecologically safe system.

Sexual and psychological aspects of health status of men who participated in the Chernobyl accident aftermath

International Nuclear Information System (INIS)

Leshchinskij, Valerij; Kirkeh, Luchiya; Andronik, Zinaida; Toma, Victoriya; Postovan, Alla

2011-01-01

The paper deals with results of a ten years medical follow-up of 188 men aged 21 to 55 years who participated in liquidation of Chernobyl accident consequences. Survey of patients included physical examination, echography of urogenital organs, semen and prostatic secretions analysis, bacterial inoculation of prostate secretion, hormone studies, sexological questionnaire. Sexual dysfunctions were diagnosed in 38 % of men. It was found that sexual dysfunction occur against the background of neurotic disorders that accompany vegetative dysfunctions.

Occupational Accident Declaration Form (HS50)

CERN Multimedia

HR Department

2007-01-01

https://cern.ch/service-procedures/AdminMan/Forms/HS50E.doc •\tIt must be completed within 10 working days of the date on which the accident occurred (§ 29.2.1), unless the person concerned is materially unable to meet this deadline. • The completed formula must be accompanied by a medical certificate giving details of any bodily injuries resulting from the accident (Annex 1, § 5). The medical certificate must be obtained from the doctor who has been consulted for that purpose. Benefits resulting from illnesses and accidents Medical treatment will cease to be reimbursed under the occupational scheme in the event of cure (defined in § 15 as the certified end to the impairment of the patient’s state of health caused by the illness or accident), or consolidation (defined in § 14 as certification that no further improvement in the patient’s state of health can be expected from appropriate medical treatment). The right to such reimbursement shall resume only in the...

Lessons learned from accidents investigations

Energy Technology Data Exchange (ETDEWEB)

Zuniga-Bello, P. [Consejo Nacional de Ciencia y Tecnologia (CONACYT), Mexico City (Mexico); Croft, J. [National Radiological Protection Board (United Kingdom); Glenn, J

1997-12-31

Accidents from three main practices: medical applications, industrial radiography and industrial irradiators are used to illustrate some common causes of accidents and the main lessons to be learned. A brief description of some of these accidents is given. Lessons learned from the described accidents are approached by subjects covering: safety culture, quality assurance, human factors, good engineering practice, defence in depth, security of sources, safety assessment and monitoring and verification compliance. (author)

Lessons learned from accident investigations

International Nuclear Information System (INIS)

Zuniga-Bello, P.; Croft, J.R.; Glenn, J.

1998-01-01

Accidents in three main practices - medical applications, industrial radiography and industrial irradiators - are used to illustrate some common causes of accidents and the main lessons to be learned from them. A brief description of some of these accidents is given. Lessons learned from the accidents described are approached bearing in mind: safety culture, quality assurance, human factors, good engineering practice, defence in depth, security of sources, safety assessment and monitoring and verification compliance. (author)

Report about the radiological accident in Goiania

International Nuclear Information System (INIS)

Schrimer, H.P.; Gomes, C.A.; Recio, J.C.A.

1997-01-01

This work reports the activities developed by the technical groups who worked during the radiological accident in Goiania, held on September 1997. Several aspects of the accident are described. The final solution for the disposal of the radioactive wastes generated during the accident is presented, according to the Brazilian waste management policy. (author)

Legal aspects of the Chernobyl reactor accident

International Nuclear Information System (INIS)

Zuck, R.

1986-01-01

The brief article presents questions arising after the Chernobyl reactor accident, primarily those of compensation for damage and the relationship between citizens and the state. As existing laws do not offer suitable instruments for reacting to such a disaster, the author outlines ways and means that should be created on an international level in order to be able to react more efficiently in future. (HSCH) [de

Proceedings of the specialist meeting on selected containment severe accident management strategies

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-07-15

Twenty papers were presented at the first specialist meeting on Selected Containment Severe Accident management Strategies, held in Stockholm, Sweden, in 1994, half of them dealing with accident management strategies implementation status, half of them with research aspects. The four sessions were: general aspects of containment accident management strategies, hydrogen management techniques, other containment accident management strategies (spray cooling, core catcher...), surveillance and protection of containment function

Proceedings of the specialist meeting on selected containment severe accident management strategies

International Nuclear Information System (INIS)

1995-07-01

Twenty papers were presented at the first specialist meeting on Selected Containment Severe Accident management Strategies, held in Stockholm, Sweden, in 1994, half of them dealing with accident management strategies implementation status, half of them with research aspects. The four sessions were: general aspects of containment accident management strategies, hydrogen management techniques, other containment accident management strategies (spray cooling, core catcher...), surveillance and protection of containment function

Normal Accident at Three Mile Island.

Science.gov (United States)

Perrow, Charles

1981-01-01

Discusses some aspects of the accident at the Three Mile Island nuclear power plant. Explains a number of factors involved including the type of accident, warnings, design and equipment failure, operator error, and negative synergy. Presents alternatives to systems with catastrophic potential. (MK)

Juridical-penal aspects of the cesium-137 accident; Implicacoes juridico-penais do acidente com o cesio-137

Energy Technology Data Exchange (ETDEWEB)

Soares, Carolina Chaves [Goias Univ., Goiania, GO (Brazil)

1997-12-31

The study of the juridical-penal aspects of the Cesium-137 accident, has, as a base, the police inquiry and the penal lawsuit concerning to the episode. Due to the lack of a law which typified activities related with radioisotope material as crime, the responsible were sentenced according to the penalties of body injury crime and homicide. Among the 10 investigated people, only 5 were condemned by the Judiciary and only 4 serve the sentence. (author) 5 refs.; e-mail: mariliag at netline.com.br

Medical aspects of radiation protection law contribution to Austrian radiation protection law

International Nuclear Information System (INIS)

Moser, B.

1977-01-01

Some medical aspects of the radiation protection law, esp. in conjunction with medical surveillance of persons exposed to radiation, are dealt with. The discussion refers to the countries of the European Community and Austria and Switzerland. (VJ) [de

Accident management strategy in Sweden - implementation and verification

International Nuclear Information System (INIS)

Loewenhielm, Gustaf; Engqvist, Alf; Espefaelt, Ralf

1994-01-01

A comprehensive program for severe accident mitigation was completed in Sweden by the end of 1988. As described in this paper, this program included plant modifications such as the introduction of filtered containment venting, and an accident management system comprising emergency operating strategies and procedures, training and emergency drills. The accident management system at Vattenfall has been further developed since 1988 and some results and experience from this development are reported in this paper. The main aspects covered concern the emergency organization and the supporting tools developed for use by the emergency response teams, the radiological implications such as accessibility to various locations and the long-term aspects of accident management. ((orig.))

Radiation accident/disaster

International Nuclear Information System (INIS)

Kida, Yoshiko; Hirohashi, Nobuyuki; Tanigawa, Koichi

2013-01-01

Described are the course of medical measures following Fukushima Daiichi Nuclear Power Plant (FNPP) Accident after the quake and tsunami (Mar. 11, 2011) and the future task for radiation accident/disaster. By the first hydrogen explosion in FNPP (Mar. 12), evacuation of residents within 20 km zone was instructed, and the primary base for measures of nuclear disaster (Off-site Center) 5 km afar from FNPP had to work as a front base because of damage of communicating ways, of saving of injured persons and of elevation of dose. On Mar. 13, the medical arrangement council consisting from stuff of Fukushima Medical University (FMU), National Institute of Radiological Sciences, Nuclear Safety Research Association and Prefectural officers was setup in residents' hall of Fukushima City, and worked for correspondence to persons injured or exposed, where communication about radiation and between related organizations was still poor. The Off-site Center's head section moved to Prefectural Office on Mar. 15 as headquarters. Early in the period, all residents evacuated from the 20 km zone, and in-hospital patients and nursed elderly were transported with vehicles, >50 persons of whom reportedly died mainly by their base diseases. The nation system of medicare for emergent exposure had consisted from the network of the primary to third facilities; there were 5 facilities in the Prefecture, 3 of which were localized at 4-9 km distance from FNPP and closed early after the Accident; and the secondary facility of FMU became responsible to all exposed persons. There was no death of workers of FNPP. Medical stuff also measured the ambient dose at various places near FNPP, having had risk of exposure. At the Accident, the important system of command, control and communication was found fragile and measures hereafter should be planned on assumption of the worst scenario of complete damage of the infrastructure and communication. It is desirable for Disaster Medical Assistance Team which

Validity aspects in Chernobyl at twenty years of the accident

International Nuclear Information System (INIS)

Arredondo, C.

2006-01-01

inventory of rare gases of the core. The consequences of the accident have been studied during the twenty lapsed years since it happened. In this work the more recent discoveries on the effects in the health, the environment and economic that have been reported, as well as the current advances regarding the solution of the problems with the sarcophagus are commented. Other aspects little mentioned that consequences of the accident can be considered are discussed also, like they are the increment in the nuclear safety in the reactors in operation in the entire world and the termination of the cold war with the consequent dismantlement of a great one numbers of nuclear weapons. Finally it is remembered that the lessons learned in Chernobyl should never be forgotten. (Author)

Drug abuse-related accidents leading to emergency department visits at two medical centers.

Science.gov (United States)

Chen, Isaac Chun-Jen; Hung, Dong-Zong; Hsu, Chi-Ho; Wu, Ming-Ling; Deng, Jou-Fang; Chang, Chin-Yu; Shih, Hsin-Chin; Liu, Chen-Chi; Wang, Chien-Ying; Wen, Yi-Szu; Wu, Jackson Jer-Kan; Huang, Mu-Shun; Yang, Chen-Chang

2012-05-01

Drug abuse is becoming more prevalent in Taiwan, as evidenced by increasing reports of drug trafficking and drug abuse-related criminal activity, and the wide use of more contemporary illicit drugs. Consequently, drug abuse-related accidents are also expected to occur with greater frequency. However, no study has yet specifically evaluated the prevalence, pattern, and outcomes of drug abuse-related accidents among patients visiting emergency departments (EDs) in Taiwan. We conducted an ambidirectional study with patients who visited the EDs of Taipei Veterans General Hospital (TVGH) and China Medical University Hospital (CMUH) due to drug abuse-related accidents from January 2007 through September 2009. Information on the patients' baseline characteristics and clinical outcomes was collected and analyzed. During the study period, a total of 166 patients visited the EDs of one of the two study hospitals due to drug abuse-related accidents. This yielded a prevalence of drug abuse of 0.1% among all patients visiting the ED due to accident and/or trauma. Fifty-six out of the 166 patients visited the ED at TVGH, most patients being between 21 and 40 years old. Opioids (41.1%) were the drugs most commonly abused by the patients, followed by benzodiazepines (32.1%). More than two-thirds of the patients (n=38, 67.9%) required hospitalization, and three patients died (5.4%). In contrast, 110 patients with drug abuse-related accidents visited the ED at CMUH during the study period. Most of these subjects had abused benzodiazepines (69.1%), were between 21 and 40 years old, and were female. Fewer than one-fifth of the patients (n=19, 17.3%) required hospitalization, with no deaths reported. There were significant between-hospital differences in terms of patient gender, drugs of choice, injury mechanisms, method and time of the ED visit, triage levels, and need for hospitalization. Although the prevalence of drug abuse-related accidents was low, and only three patient deaths

Accidents with damage to nuclear core. A perspective for TMI-2

International Nuclear Information System (INIS)

Alonso, A.

1980-01-01

The most direct consequence of the TMI-2 accident was the destruction of substantial fraction of the fuel element cladding. With the aim of given a certain perspective to that accident, an analysis is made of the causes by which the fuel element clad may lose its integrity. The Windscale, SL-1 and Enrico Fermi accidents constitute important examples to that end. These accidents are analyzed giving special emphasis to those aspects which apear later on at TMI-2. The general consequences of the latter are examined with a certain details, including the social, institutional, technological and economic aspects of the accident. (author)

[Myocardial infarction as cause of an accident. The role of multislice CT in polytrauma management, differential diagnosis and insurance aspects].

Science.gov (United States)

Kleber, C; Oswald, B; Bail, H J; Haas, N P; Kandziora, F

2008-12-01

We present for the first time the use of contrast-enhanced multislice computed tomography in trauma care to detect acute myocardial infarction and verify it as the cause of a traffic accident. In addition to the case report, cardiac contusion, coronary dissection, and facets of insurance law are discussed. The determination of acute myocardial infarction, cardiac contusion, and coronary dissection can be challenging, but answers can be found in the medical history and accident details. The trauma surgeon in the emergency department must always be interested in clarifying the cause of trauma and keeping a secondary diagnosis in mind to strive for the goal of optimal and complete polytrauma care.

Final results of the Cuban program for children from areas affected by the Chernobyl accident

International Nuclear Information System (INIS)

Medina, Julio; García, Omar

2016-01-01

From 1990 till 2011, a free health care program for children from areas affected by the Chernobyl accident was organized and implemented by the Cuban Government. A significant number of qualified personal in medicine and science collaborated with this program. The information gathered for more than 21 years and the conclusive results obtained in the program are presented here. During this time, 26 114 patients, 84 % children, mostly from Ukraine, Russia and Belarus were treated in the mentioned program. Other aspects of the Cuban medical assistance in Ukraine and the main results obtained in the radiological impact evaluation of the accident on the children treated in Cuba are also included. (author)

Bicycling-related accidents and factors contributing to injury

Energy Technology Data Exchange (ETDEWEB)

Gonzalez Perez, L.M.; Wideberg, J.; Gonzalez Perez-Somarriba, B.

2016-07-01

Objective: This study was conducted to find the epidemiological characteristics of bicycling-related maxillofacial fractures in a defined population, and identify factors contributing to injury. Methodology: A prospective study was carried out involving patients presenting with maxillofacial fractures sustained in bicycling-related accidents. Results: Between 908 of all cycling accidents attending for medical treatment, 122 patients (13% of all cycling accidents) were admitted with facial fractures between 2007 and 2014. Male and female ratio was 2.6:1, and the mean age was 29.4 years (standard deviation: 12.8, range: 12-79 years). Causes of injury included collisions (63%) and accidental falls (37%). The fracture patterns seen were mandibular (49%), zygomatic (32%), orbital (13%), nasal (7%), maxillary (2%), and frontal (2%). Condylar fractures were the most common of the mandibular fractures (63%). The most frequently observed concomitant lesions were orthopedic injuries. Conclusions: Bicycling-related maxillofacial injuries are common and therefore important to identify in order to design a sustainable transport system and for units that provide assistance to traffic accident victims. Missed diagnosis or delayed treatment can lead to facial deformities and functional problems. Wearing protective helmets and the improvement of the helmets design is one aspect that would be of interest for the prevention of injuries. Keywords: Cycling; bicycle-related trauma; maxillofacial fractures; risk factors; helmets. (Author)

Radiological accidents balance in medicine

International Nuclear Information System (INIS)

Nenot, J.C.

1995-01-01

This work deals with the radiological accidents in medicine. In medicine, the radiation accidents on medical personnel and patients can be the result of over dosage and bad focusing of radiotherapy sealed sources. Sometimes, the accidents, if they are unknown during a time enough for the source to be spread and to expose a lot of persons (in the case of source dismantling for instance) can take considerable dimensions. Others accidents can come from bad handling of linear accelerators and from radionuclide kinetics in some therapies. Some examples of accidents are given. (O.L.). 11 refs

Accidents on ships in the Danish International Ship register

DEFF Research Database (Denmark)

Ádám, Balázs; Rasmussen, Hanna Barbara

to report accidents causing at least one day off work beyond the day of accident but the first source contains several accidents not fulfilling this criterion, too. Radio Medical is an independent service where all Danish ships may seek medical advice. The data sets were merged by identification number...... of our study is to describe trend of accidents and their contributing factors, with special focus on nationality, occurring in ships under Danish flag in the period 2010-2012. The study used two independent data sources, the Danish Maritime Authority and the Danish Radio Medical. It is mandatory...... to create a single database that has been studied by descriptive statistics and regression analysis. Findings show a stabilised number of accidents in the analysed period. The occurrence of accidents is influenced by nationality. There is a higher frequency of reported injuries found among Danish and other...

Report on the radiological accident in Goiania, Goias, Brazil

International Nuclear Information System (INIS)

Alves, R.N.

1988-01-01

The report describes the radiological accident occured in Goiania, Brazil, in september 1987. The following aspects concerning the accident are presented in specific chapters: 1- evaluation of the accident and the first aids, 2- attendance to the victims of Goiania radiological accident, 3- decontamination, 4- radioactive wastes arising from the accident, 5- working personnel and technical cooperation, 6- equipments and 7- radiation protection: limits and recommendations [pt

Medical intervention in radiological emergencies, formation and training

International Nuclear Information System (INIS)

Cardenas H, J.

2006-01-01

The work exposes the national experience in the development of training programs in medical aspects of the radiological emergencies. Implemented after valuing the existent situation, identified the necessities and the reach of the training, additionally it was elaborated the content of the training program whose purpose is guided to the invigoration of the medical answer capacity in radiological emergencies The content of the modular program it approaches theoretical- practical aspects on preparation and medical answer in radiological emergencies. The program includes an exercise that simulates a radiological accident, to evaluate during the same one, the answer capacity before this situation. The training concludes with the design of a strategy for the preparation and answer in radiological emergencies in correspondence with the potential accidental scenarios that the participants can face. (Author)

Scientometric analysis of the means of scientific communication of the problem of medical consequences of Chernobyl Nuclear accident

International Nuclear Information System (INIS)

Artamonova, N.O.; Kulyinyich, G.V.; Pavlyichenko, Yu.V.; Gorvan', A.Je.; Zakrut'ko, L.Yi.; Novgorods'ka, L.M.; Byilan, L.G.

2014-01-01

In this paper evaluation of the structure and trends in the development of the Ukrainian scientific communication tools on the medical consequences of the Chernobyl nuclear accident using bibliometric methods has been given. The main developers of methodical documents are allocated, the dynamics of the distribution of methodical references, information letters and innovations is estimated. The importance of scientific communications tools in dissemination and use of new medical knowledge is demonstrated

Introduction of new terms and lessons for radiological protection after Fukushima Dai-Ichi accident

International Nuclear Information System (INIS)

Singh, Vishwanath P.; Managanvi, S.S.; Bhat, H.R.

2012-01-01

, evacuation timing, appropriate evacuation decision, increase in coverage area of EPZ, limit of activity in water, milk and foodstuff during accident. In addition, the training for knowledge of radiation, effects, understanding of the definitions to public, medical staff is also equally important. During the nuclear crises management, radioactivity measurement, personal monitoring, instruments, dose limits, evacuation decision, forecast of the dose/dose rate in public domain, decontamination of the person/land, radioactive waste management are the main concern for radiological protection professionals as an advisor. Conclusion: The Fukushima accident was one of the worst kind for Japan as well as international societies for radiation protection however we have learnt a lot from the accident, The accident has introduced new terms; review of the emergency zoning concept, dose limit, activity limit on food stuff, personnel monitoring equipment, waste management. India is working out the radiological aspect to enhance the safety during emergency. (author)

Leave for illness/accident or in the event of illness of a close relative - New medical certificate templates

CERN Multimedia

HR department

2016-01-01

Medical certificate templates are now available in the Admin e-guide (follow the “Forms and templates” link):    Medical certificate for illness/accident Medical certificate for a medical examination or treatment Medical certificate in the event of illness of a close relative These templates are provided for the convenience of members of the personnel and their use is recommended but not compulsory. Other forms of medical certificates issued by a medical doctor may also be submitted, provided they contain the same items of information as those given in the templates. More information on the applicable rules and on the way leave is managed at CERN can be found in the Admin e-guide web pages. Human Resources department HR.leave@cern.ch

Medical consequences of Chernobyl disaster in Ukraine

International Nuclear Information System (INIS)

Serduk, A.M.; Bobylyova, O.A.

1997-01-01

Some aspects of health deterioration in population of Ukraine affected after the Chernobyl accident are presented. The survived population division in groups, peculiarities of morbidity incidence and prevalence are described. The dynamics of some medical demography parameters are discussed concerning adults and paediatric population. The precise values of incidence and prevalence for the main classes of diseases are shown in comparison of 1995-1996 to 1987. (author)

Medical and radiological aspects of emergency preparedness and response at SevRAO facilities.

Science.gov (United States)

Savkin, M N; Sneve, M K; Grachev, M I; Frolov, G P; Shinkarev, S M; Jaworska, A

2008-12-01

Regulatory cooperation between the Norwegian Radiation Protection Authority and the Federal Medical Biological Agency (FMBA) of the Russian Federation has the overall goal of promoting improvements in radiation protection in Northwest Russia. One of the projects in this programme has the objectives to review and improve the existing medical emergency preparedness capabilities at the sites for temporary storage of spent nuclear fuel and radioactive waste. These are operated by SevRAO at Andreeva Bay and in Gremikha village on the Kola Peninsula. The work is also intended to provide a better basis for regulation of emergency response and medical emergency preparedness at similar facilities elsewhere in Russia. The purpose of this paper is to present the main results of that project, implemented by the Burnasyan Federal Medical Biophysical Centre. The first task was an analysis of the regulatory requirements and the current state of preparedness for medical emergency response at the SevRAO facilities. Although Russian regulatory documents are mostly consistent with international recommendations, some distinctions lead to numerical differences in operational intervention criteria under otherwise similar conditions. Radiological threats relating to possible accidents, and related gaps in the regulation of SevRAO facilities, were also identified. As part of the project, a special exercise on emergency medical response on-site at Andreeva Bay was prepared and carried out, and recommendations were proposed after the exercise. Following fruitful dialogue among regulators, designers and operators, special regulatory guidance has been issued by FMBA to account for the specific and unusual features of the SevRAO facilities. Detailed sections relate to the prevention of accidents, and emergency preparedness and response, supplementing the basic Russian regulatory requirements. Overall it is concluded that (a) the provision of medical and sanitary components of emergency

Aspects epidémiologiques des accidents domestiques de l'enfant à ...

African Journals Online (AJOL)

2. Clinics in Mother and Child Health. Tableau 1: Types d'accidents domestiques retrouvés. Type d'accident. Nombre. Pourcentage. Chute. 26. 46,4. Intoxication au pétrole. 9. 16,1. Brûlure. 5. 8,9. Coupure. 5. 8,9. Corps étranger. 4. 7,1. Collusion avec un objet contondant. 4. 7,1. Morsure. 2. 3,7. Suffocation. 1. 1,8. Total. 56.

Management of severe accidents

International Nuclear Information System (INIS)

Jankowski, M.W.

1987-01-01

The definition and the multidimensionality aspects of accident management have been reviewed. The suggested elements in the development of a programme for severe accident management have been identified and discussed. The strategies concentrate on the two tiered approaches. Operative management utilizes the plant's equipment and operators capabilities. The recovery managment concevtrates on preserving the containment, or delaying its failure, inhibiting the release, and on strategies once there has been a release. The inspiration for this paper was an excellent overview report on perspectives on managing severe accidents in commercial nuclear power plants and extending plant operating procedures into the severe accident regime; and by the most recent publication of the International Nuclear Safety Advisory Group (INSAG) considering the question of risk reduction and source term reduction through accident prevention, management and mitigation. The latter document concludes that 'active development of accident management measures by plant personnel can lead to very large reductions in source terms and risk', and goes further in considering and formulating the key issue: 'The most fruitful path to follow in reducing risk even further is through the planning of accident management.' (author)

Management of severe accidents

International Nuclear Information System (INIS)

Jankowski, M.W.

1988-01-01

The definition and the multidimensionality aspects of accident management have been reviewed. The suggested elements in the development of a programme for severe accident management have been identified and discussed. The strategies concentrate on the two tiered approaches. Operative management utilizes the plant's equipment and operators capabilities. The recovery management concentrates on preserving the containment, or delaying its failure, inhibiting the release, and on strategies once there has been a release. The inspiration for this paper was an excellent overview report on perspectives on managing severe accidents in commercial nuclear power plants and extending plant operating procedures into the severe accident regime; and by the most recent publication of the International Nuclear Safety Advisory Group (INSAG) considering the question of risk reduction and source term reduction through accident prevention, management and mitigation. The latter document concludes that active development of accident management measures by plant personnel can lead to very large reductions in source terms and risk, and goes further in considering and formulating the key issue: The most fruitful path to follow in reducing risk even further is through the planning of accident management

[Fundamental aspects for accrediting medical equipment calibration laboratories in Colombia].

Science.gov (United States)

Llamosa-Rincón, Luis E; López-Isaza, Giovanni A; Villarreal-Castro, Milton F

2010-02-01

Analysing the fundamental methodological aspects which should be considered when drawing up calibration procedure for electro-medical equipment, thereby permitting international standard-based accreditation of electro-medical metrology laboratories in Colombia. NTC-ISO-IEC 17025:2005 and GTC-51-based procedures for calibrating electro-medical equipment were implemented and then used as patterns. The mathematical model for determining the estimated uncertainty value when calibrating electro-medical equipment for accreditation by the Electrical Variable Metrology Laboratory's Electro-medical Equipment Calibration Area accredited in compliance with Superintendence of Industry and Commerce Resolution 25771 May 26th 2009 consists of two equations depending on the case; they are: E = (Ai + sigmaAi) - (Ar + sigmaAr + deltaAr1) and E = (Ai + sigmaAi) - (Ar + sigmaA + deltaAr1). The mathematical modelling implemented for measuring uncertainty in the Universidad Tecnológica de Pereira's Electrical Variable Metrology Laboratory (Electro-medical Equipment Calibration Area) will become a good guide for calibration initiated in other laboratories in Colombia and Latin-America.

Explanatory memorandum on European Community Document -mutual medical assistance in the case of a nuclear accident

International Nuclear Information System (INIS)

1987-01-01

The report lists the Commissions proposals for further action on its suggestion of mutual health assistance in the event of a nuclear accident. These include surveys and studies, further research on the medical treatment of radiation casualties and the methodology of epidemiological investigations, the promotion of contacts between experts and the attempt to assemble a handbook listing facilities and procedures for mutual assistance. The memorandum explains some of the points further under the headings, ministerial responsibility, legal and procedural issues and policy implications. The United Kingdom position is then stated. The UK government welcomes the proposals provided there is no duplication of work already covered by the IAEA Convention on Assistance in the case of a Nuclear Accident or Radiological Emergency. (U.K.)

Contribution to evaluating nuclear power plant accidents

International Nuclear Information System (INIS)

Razga, J.; Horacek, P.

1990-01-01

Large-scale accidents pose the highest risk in the use of nuclear power. They are the major factor that has to be taken into account when assessing the effect of nuclear power plants on human health and on the environment. In Czechoslovak conditions, the effectiveness of provisions made to reduce the hazard of large-scale nuclear power plant accidents must be considered from the following aspects: effect on human health, consequences of long-term disabling of the infrastructure, potential of human and material reserves in coping with the accident, consequences of power failure for the electricity system, effect on agricultural production and catering, risk of ground and surface water contamination in the Labe or Danube river basin, and international political aspects. (Z.M.). 3 tabs., 18 refs

Some aspects of strategies and solutions in accident prevention.

Science.gov (United States)

Häkkinen, K

1983-04-01

Accident prevention measures are traditionally classified into technical, organizational and behavioral solutions. A review of some commonly used strategies for accident prevention illustrates some discrepancies between different approaches and the need to develop more comprehensive strategies. Several factors, including protective efficiency and disadvantages at work, must be taken into account when the solutions are evaluated. Some solutions to prevent load disengagement from cranes were evaluated. Measurements of the pressing force showed that the efficiency of the safety latch of a clamp for plate lifting is inadequate to provide protection under all exceptional lifting conditions and in all situations for which the safety latch is intended. The delay caused by the attachment of a lifting hook equipped with a safety latch was measured. The handling of some of the most reliable and technically safe latches requires additional operations and thereby limits their practical application.

Civilian Helicopter Search and Rescue Accidents in the United States: 1980 Through 2013.

Science.gov (United States)

Worley, Gordon H

2015-12-01

Helicopters are commonly used in search and rescue operations, and accidents have occurred during helicopter search and rescue (HSAR) missions. The purposes of this study were to investigate whether the HSAR accident rate in the United States could be determined and whether any common contributing factors or trends could be identified. Searches were conducted of the National Transportation Safety Board aviation accident database, the records of the major search and rescue and air medical organizations, and the medical and professional literature for reports of HSAR accidents. A total of 47 civilian HSAR accidents were identified during the study. Of these, 43% involved fatal injuries, compared with a 19% fatality rate for US helicopter general aviation accidents during the same time period and a 40% rate for helicopter emergency medical services. The HSAR accidents carried a significantly higher risk of fatal outcomes when compared with helicopter general aviation accidents (2-tailed Fisher's exact test, P .05). The number of HSAR missions conducted annually could not be established, so an overall accident rate could not be calculated. Although the overall number of HSAR accidents is small, the percentage of fatal outcomes from HSAR accidents is significantly higher than that from general helicopter aviation accidents and is comparable to that seen for helicopter emergency medical services operations. Further study could help to improve the safety of HSAR flights. Copyright © 2015 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

Visualization of Traffic Accidents

Science.gov (United States)

Wang, Jie; Shen, Yuzhong; Khattak, Asad

2010-01-01

Traffic accidents have tremendous impact on society. Annually approximately 6.4 million vehicle accidents are reported by police in the US and nearly half of them result in catastrophic injuries. Visualizations of traffic accidents using geographic information systems (GIS) greatly facilitate handling and analysis of traffic accidents in many aspects. Environmental Systems Research Institute (ESRI), Inc. is the world leader in GIS research and development. ArcGIS, a software package developed by ESRI, has the capabilities to display events associated with a road network, such as accident locations, and pavement quality. But when event locations related to a road network are processed, the existing algorithm used by ArcGIS does not utilize all the information related to the routes of the road network and produces erroneous visualization results of event locations. This software bug causes serious problems for applications in which accurate location information is critical for emergency responses, such as traffic accidents. This paper aims to address this problem and proposes an improved method that utilizes all relevant information of traffic accidents, namely, route number, direction, and mile post, and extracts correct event locations for accurate traffic accident visualization and analysis. The proposed method generates a new shape file for traffic accidents and displays them on top of the existing road network in ArcGIS. Visualization of traffic accidents along Hampton Roads Bridge Tunnel is included to demonstrate the effectiveness of the proposed method.

Clinical and paraclinical aspects of children's health ten years after the Chernobyl accident

International Nuclear Information System (INIS)

Lukyanova, E.M.; Antipkine, Y.G.; Omelchenko, L.I.; Chernyshov, V.P.; Apuhovskaya, L.I.; Ossinskaya, L.F.

1997-01-01

These investigations are devoted to the problem of medical consequences of Chernobyl catastrophe to the children's population of Ukraine. Concerning different reports, Chernobyl accident negatively influenced to the children health indexes. Astonishing fact is that among children under radiation action only 2,1% have no functional deflexions (I group of health) and 28% have chronical diseases with frequent aggravation. Our previous investigation in children evacuated from 30 km zone showed unfavourable changes in immune system. We have shown the data of investigation carried out in the frames of National Program ''Children of Chernobyl''. We have studied the morbidity, some immune functional characteristics and metabolism indexes in 2700 children aged 0-15 years, continually living within radiation contaminated territories. The results were compared with the control indexes, obtained during examination of 980 children from relatively ''clean'' regions. 15 refs, 5 figs, 1 tab

Specialist meeting on selected containment severe accident management strategies. Summary and conclusions

International Nuclear Information System (INIS)

1994-01-01

The CSNI Specialist Meeting on Selected Containment Severe Accident Management Strategies held in Stockholm, Sweden in June 1994 was organised by the Task Group on Containment Aspects of Severe Accident Management (CAM) of CSNI's Principal Working Group on the Confinement of Accidental Radioactive Releases (PWG4) in collaboration with the Swedish Nuclear Power Inspectorate (SKI). Conclusions and recommendations are given for each of the sessions of the workshops: Containment accident management strategies (general aspects); hydrogen management techniques and other containment accident management techniques; surveillance and protection of containment function

The social and psychological aspects of the ChNPP accident

International Nuclear Information System (INIS)

Ferents, V.I.; Primenko, V.A.

1992-01-01

The conditions and the life style of the population living on the controlled areas and of the accident-result lequidators have been studied. As a base for the investigation the conception of the life style was taken into consideration as a factor forming the health. The process of forming a new artificial social and ecological focus characterized by the changes in the inhabitance among the population, the destruction of the routine life style, the high risk radiation incidence, the increase of the migration, the poor health has been found out to be taking place in the regions exposed to the ChNPP accident. 5 refs

Character and consequence of nuclear criticality accident

International Nuclear Information System (INIS)

Liu Xinhua; Liu Hua; Wu Deqiang; Li Bing

2001-01-01

The author describes some concepts, the process and magnitude of energy release and the destruction of the nuclear criticality accident and also describes the radiation consequence of criticality accidents from three aspects: prompt radiation, contamination in working place and release of fission products to the environment. It shows that the effects of radioactivity release from criticality accidents in the nuclear fuel processing plants on the environment and the public is minor, the main danger is from the external exposure of prompt rays. The paper make as have a correct understanding of the nuclear criticality accident and it would be helpful to take appropriate emergency response to potential criticality accident

Aerospace Accident - Injury Autopsy Data System -

Data.gov (United States)

Department of Transportation — The Aerospace Accident Injury Autopsy Database System will provide the Civil Aerospace Medical Institute (CAMI) Aerospace Medical Research Team (AMRT) the ability to...

Revisiting the Goiania Accident: Medical and Dosimetric Experiences

International Nuclear Information System (INIS)

Oliveira, A.R.; Valverde, C.E.; Brandao Mello, N.J.L.; Almeida, C.E.V.

1998-01-01

Retrospective dosimetry can be accomplished by means of a physical reconstruction using mathematical or anthropomorphic phantoms or biological or clinical indicators. Biological dosimetry, based on biochemical, cytological and cytogenetic indicators, reduces the uncertainties in dose estimation. Micronuclei, PCC and FISH are techniques now available to radiobiologists and radiation specialists, which will complement the role played by conventional cytogenetics. After the Chernobyl accident, reliance was on various bioclinical dosemeters, such as the onset of vomiting, lymphocytes and neutrophils and biochemical indicators. The onset of prodromal manifestations, haematological behaviour and other indicators presented by eight caesium patients were analysed and correlated with the biological dosimetry performed immediately after the accident. Clinical and haematological indicators matched to a good extent with the cytogenetic dosimetry performed in Brazil and the USA. It was concluded that in an accident involving the public, retrospective dosimetry could be helpful in aiding dose estimation and also in validating dosimetry established by conventional physical and biological techniques. (author)

Legal aspects of radiactive installations

International Nuclear Information System (INIS)

Malheiros, T.M.M.; Knoefell, T.M.J.

1988-01-01

The goal of this paper is to discuss the main legal aspects related to the application of ionizing radiation in the industry, medicine, agriculture, scientific activities to envisage from the in force legislation the competence and responsibility for the control of radiation facilities comprising regulation, licensing and inspection. Legislation does not embrace all the aspects related to radiation facilities regarding to the specific provisions on civil liability concerning damages caused by non nuclear radiological accidents. The law nr.6.453 is applied only to nuclear accident, as defined in its rules. (author) [pt

Radiological attacks and accidents. Medical consequences

International Nuclear Information System (INIS)

Sakuta, Hidenari

2007-01-01

Probability of the occurrence of radiological attacks appears to be elevated after the terrorist attacks against the United States on September 11 in 2001. There are a lot of scenarios of radiological attack: simple radiological device, radiological disperse device (RDD or dirty bomb), attacks against nuclear reactor, improvised nuclear device, and nuclear weapons. Of these, RDD attack is the most probable scenario, because it can be easily made and can generate enormous psychological and economic damages. Radiological incidents are occurring to and fro in the world, including several cases of theft to nuclear facilities and unsuccessful terrorist attacks against them. Recently, a former Russian spy has allegedly been killed using polonium-210. In addition, serious radiological accidents have occurred in Chernobyl, Goiania, and Tokai-mura. Planning, preparation, education, and training exercise appear to be essential factors to cope with radiological attacks and accidents effectively without feeling much anxiety. Triage and psychological first aid are prerequisite to manage and provide effective medial care for mass casualties without inducing panic. (author)

Ethical and deontological aspects of media coverage in technological disasters: case study of the Santiago de Compostela railway accident (2013

Directory of Open Access Journals (Sweden)

Alba ALMENARA LORENZO

2016-12-01

Full Text Available This study examines the ethical-deontological aspects in media coverage of technological disasters, taking as case subject the most important railway accident in Spain of the last 40 years, which took place on the 24 of July 2013 in Santiago de Compostela. To do so, in first place, it presents a systematic review of Spanish selfregulation of journalistic documents related to the coverage of accidents, disasters, in particular technological disasters. Secondly, an analysis of text and photograph is carried out taking as examples four of the most influential online newspapers amongst the Spanish and Galician public media. The results allow us to confirm that deontological transgressions occurred to some extent in all the digital media studied, both in photographs and text. Lastly, a proposal is included with guidelines for a better coverage of technological disasters, using as a reference the findings of previous analysis.

Nuclear laws and radiologic accidents

International Nuclear Information System (INIS)

Frois, Fernanda

1997-01-01

Some aspects of the nuclear activities in Brazil, specially concerning the Goiania s accident are demonstrated using concepts from environmental and nuclear law. Nuclear and environmental competence, the impossibility of the states of making regional laws, as the lack of regulation about the nuclear waste, are discussed. The situation of Goiania when the accident happened, the present situation of the victims and the nuclear waste provisionally stored in Abadia de Goias is reported

The Host-Agent-Environment Concept of Accidents.

Science.gov (United States)

Phillips, Don

Background information is presented to indicate that accidents are an environmental health problem. While accidents are seldom thought to be a disease process, in many ways there are remarkable similarities--not only in terms of causal relationships, but also in preventive aspects. These parallels are described in terms of host-agent-environment…

Medical follow-up of the radiation accident with 137Cs in Goiania - an update (1990-1994)

International Nuclear Information System (INIS)

Brandao-Mello, C.E.; Farina, R.; Rodrigues de Oliveira, A.; Curado, M.P.; Filho, J.F.; Santos, Q.C.B.

2000-01-01

On September 13, 1987 a shielded 137 Cs source was removed by two scavengers from a teletherapy unit in abandoned clinic in Goiania, Brazil, and was later broken open. The source was handled by many people from the time it was removed (Sept 13) until it was taken to the sanitary surveillance division (Sept 28). Many of these people (approximately 250) were exposed to large external and internal doses of radiation from the radioactive source; of these, 50 showed signal and symptoms of whole-body irradiation and local acute irradiation and also showed signs of external or internal contamination from ingested or absorbed 137 Cs. Fourteen of those 50 developed moderate to severe bone marrow (BM) injury and required intensive medical care at a specialised unit in Rio de Janeiro. None were subjected to BM transplants. Ultimately, 4 of these casualties died of bleeding and sepsis despite the administration of GM-CSF (Granulocyte Macrophage Colony Stimulating Factor). Internal contamination due to ingestion or absorption of 137 Cs was successfully removed by means of administration of Prussian Blue at doses ranging from 1.5-10.0 gm/day. Radiation induced skin injuries were observed in 28 patients requiring surgical and post-operative procedures. Since March 1988 a medical follow up protocol was established by NNEC and the Leide Das Neves Ferreira Foundation of the state of Goias, in order to prospectively follow more than 150 victims. The aim of this paper is to describe the main after-effects of the 137 Cs accident in the last 4 years, giving emphasis on clinical, haematological, radiological and psychological aspects. (author)

Self-mutilations in private-accident-insurance cases.

Science.gov (United States)

Dotzauer, G; Iffland, R

1976-04-21

Self-inflicted injuries can be classified in groups. One group deals with the simulation of illness, another with the occurrence itself and the application of chemical, thermic or mechanical methods. One sector concerns self-mutilation, which, from a psychiatrist's point of view, is interesting. At this time we are more concerned with the problems of proving it. In wartime and even during military service in peace-time soldiers inflict mutilating injuries on themselves. They are motivated by the notion that they will gain benefit from their action. Economic gain plays a role in the case of people who have taken out private accident insurance: self mutilation to simulate the result of an accident. Our investigation into self-mutilation started with an analysis under the following aspects of 123 cases: age, sex, occupation, place of residence, place and time of deed, method employed (weapon used), localisation, single or multiple wound, direction of injury, position of fingers, nature of edges of wound. Whether or not an injury was suffered voluntarily or involuntarily can only be determined with the help of auxiliary facts. It must be clarified whether or not the information given by the injured person ties in with facts concerning the place where the injury was sustained, its position and its direction. The medico-legal expert should not interpret medical findings without relating them to the facts of the case. Indeed, he should start by examining the claimant's account of the accident. To some extent it almost requires the work of a general staff to compare the findings of a careful medical investigation with the injuries themselves. If the injury was inflicted by a certain tool information must be available regarding, for example, the "accident with the saw" together with an assessment of the wounds sustained (utilization of clinical material). Sometimes tests on corpses need to be carried out because these can provide information on mechanical and physical

ANS [American Nuclear Society] topical meeting on radiological accidents: Perspectives and emergency planning: Proceedings

International Nuclear Information System (INIS)

1987-03-01

The increasing use of radioactive materials and the increasing public concern about possible accidents involving these materials has led to greater emphasis on preparing for such emergencies. The ANS Topical Meeting on Radiological Accidents - Perspectives and Emergency Planning provided a review of experiences with radiological accidents. The meeting covered some of the most important aspects of radiological accidents. Papers were presented which dealt with radiological accident experience. Technical response to accidents is of primary interest to many in the nuclear community; most of the papers submitted fell into this area. So many of these papers dealt with the use of computers in response that a session on that topic was arranged. A very significant impact of most radiological accidents is the cost, especially the cost of cleanup. There were papers on what is known about costs and associated current topics, such as modification and extension of the Price-Anderson Act. At least as important as the technical response to accidents is how society attempts to deal with them. A session on institutional issues was included to discuss how governments and other organizations respond to and deal with accidents. Medical effects of accidents are of great concern to the public. Invited papers to review the effects of high doses of radiation as well as very low doses were included in that session. Although the nuclear industry has an excellent safety record, this fact often does not agree with the public perception of the industry. The final session explored the public response to and perception of radiological emergencies and accidents. This subject will ultimately determine the future use of radioactive materials in this country

Documentation of Occupational Accidents and Diseases caused by Ionising Radiation

International Nuclear Information System (INIS)

Fehringer, F.; Seitz, G.

2004-01-01

. One of the major goals of the institutions for statutory accident insurance is the prevention of occupational diseases. To perform a successful prevention work it is necessary not only to count the number of accidents or diseases in the various working fields but to look for details of the conditions of work and the human response to those conditions. The institutions for statutory accident insurance have engaged the institution for statutory accident insurance in the precision engineering and electrical industry to carry out documentation, in form of a data bank, for all cases of occupational diseases which could be caused by ionising radiation. Those are not only the cases which are accepted as occupational disease but also the cases where a suspicion of an occupational disease is announced but finally rejected. At the moment about 1700 cases are included in the data bank. For preserving the anonymity information to name and residence are deleted. Various data to one single case are linked by a case-specific key-number. Information to occupation and field of working, to details of a possible exposure to ionising radiation like kind of radiation, time and duration of radiation, exposure of the whole body or of parts of the body and whole body or organ doses are collected. Additional information refers to medical aspects like diagnosis and date of diagnosis. (Author)

Reactivity accident analysis in MTR cores

International Nuclear Information System (INIS)

Waldman, R.M.; Vertullo, A.C.

1987-01-01

The purpose of the present work is the analysis of reactivity transients in MTR cores with LEU and HEU fuels. The analysis includes the following aspects: the phenomenology of the principal events of the accident that takes place, when a reactivity of more than 1$ is inserted in a critical core in less than 1 second. The description of the accident that happened in the RA-2 critical facility in September 1983. The evaluation of the accident from different points of view: a) Theoretical and qualitative analysis; b) Paret Code calculations; c) Comparison with Spert I and Cabri experiments and with post-accident inspections. Differences between LEU and HEU RA-2 cores. (Author)

Utilisation of a Helicopter Emergency Medical Service (HEMS) for equestrian accidents in a regional major trauma network in the United Kingdom.

Science.gov (United States)

McQueen, Carl; Crombie, Nick; Cormack, Stef; George, Arun; Wheaton, Steve

2015-05-01

The utilisation of Helicopter Emergency Medical Services (HEMS) in response to equestrian accidents has been an integral part of operations for many years throughout the UK. The recent establishment of major trauma networks in the UK has placed great emphasis on the appropriate tasking of HEMS units to cases where added benefit can be provided and the incidence of time critical injury in cases of equestrian accidents has been shown to be low. This study assesses the impact made on the utilisation of the different HEMS resources for cases of equestrian accidents within the West Midlands following the launch of the regional trauma network. We present a retrospective analysis of all equestrian accidents attended by Midlands Air Ambulance (MAA) between 1 April 2012 and 1 April 2013. Data were abstracted from the MAA operational database relating to mission activations/scene attendances; team configuration (physician led and Critical Care Paramedic (CCP) led); on-scene interventions; mission timings and patient conveyance by helicopter. A total of 114 activations involved equestrian accidents (6% of overall workload). The contribution of equestrian accidents to overall workload was similar for physician led and CCP-led (69/1069) platforms (5% vs. 6%, p=0.50). Only three patients (3%) required pre-hospital RSI during the period analysed and there were no recorded cases of ketamine administration for analgesia/conscious sedation. In approximately half of all scene attendances patients did not require any medication to be administered by the HEMS team. The vast majority of incidents occurred in rural locations with over 80% of patients conveyed to hospital by helicopter. The average mission time for scene attendances resulting in conveyance by helicopter was in excess of 90 min on both types of platform. There is a clear requirement for the design and implementation of informed and intelligent tasking models to respond to the need for assistance in equestrian accidents

[Thrombosis and post-thrombotic syndrome as a consequence of an accident].

Science.gov (United States)

Wahl, U; Hirsch, T

2015-10-01

Phlebothromboses represent alarming complications in accident victims since they can cause fatal pulmonary embolisms. More than half of those affected also develop post-thrombotic syndrome in the course of the illness. In addition to making clinical assessments, the traumatologist should also have fundamental knowledge about diagnostic methods and be familiar with interpreting internal findings. Colour-coded duplex sonography plays a central role in diagnosing thrombosis and in assessing functional limitations. Further information can be gathered from various phlebological procedures. The expert evaluation of the immediate, as well as the long-term consequences of an accident frequently require leg swelling to be classified. It is not uncommon for post-thrombotic syndrome to be diagnosed for the first time during this process. An additional vascular appraisal is often required. An appreciation of social-medical and insurance-related aspects means a high degree of responsibility is placed on the expert.

[Motor vehicle driving and diabetes mellitus - medical aspects].

Science.gov (United States)

Brož, Jan; Kriváňová, Lenka Syčová; Fedáková, Zuzana; Petrosyan, Lilit; Kvapil, Milan; Polák, Jan

2016-03-01

Diabetes mellitus is a disease which may affect the eligibility to hold a driving license and increase the risk of a road accident. Hypoglycemia while driving is considered to be the most risky situation, with diabetes increasing the mentioned risk for instance due to impaired vision in the case of possible retinopathy. The group of drivers with diabetes being at the greatest risk as to accidents are those with a case history of severe hypoglycemia or hypoglycemia occurred while driving, or possibly of a road accident. Measuring glycaemia before driving and their knowledge how to prevent and treat hypoglycemia - those are the two crucial preventive elements indispensable for insulin treated diabetes patients in order to secure safe road traffic.

Medical handling of accidentally exposed individuals

International Nuclear Information System (INIS)

1988-01-01

In 1978 the International Atomic Energy Agency issued a publication in the IAEA Safety Series entitled Manual on Early Medical Treatment of Possible Radiation Injury (Safety Series No. 47). The contents were directed to first aid and early medical treatment of workers who might be concerned in an accident involving exposure to radiation, whether external or internal. The present manual is the first of a set of three safety series publications dealing with assessment and treatment of overexposures which will constitute an articulated system of documents covering all aspects of diagnosis, prognosis and treatment of overexposures. This document establishes a set of general criteria and recommendations to aid specialists involved in the medical handling of overexposed persons. It deals with the medical management of individual patients or small groups of patients under close medical supervision. 14 refs, 7 figs, 7 tabs

Medical aspects of pediatric rehabilitation after moderate to severe traumatic brain injury.

Science.gov (United States)

Cantore, Lisa; Norwood, Kenneth; Patrick, Peter

2012-01-01

Recovery from severe traumatic brain injury (TBI) is prolonged, complicated and challenging. Medical rehabilitation is the bridge from acute medical care and stabilization to community reintegration. The process of caring for the recovering brain introduces unknown challenges of neural plasticity with demands to restore and to also move the child and family back to the developmental trajectory they once knew. While the ongoing focus is to maintain and advance medical stability, co- morbid conditions are addressed, and a plan for ongoing health is established. While no one manuscript can cover all of the medical aspects, this article will present in a "systems review" manner the most challenging and demanding medical conditions that children may confront following severe brain injury.

Lessons learned from early direct measurements at Fukushima Medical University after the Fukushima Nuclear Power Station accident

Energy Technology Data Exchange (ETDEWEB)

Miyazaki, Makoto; Ohba, Takashi; Ohtsuru, Akira [Fukushima Medical Univ., Dept. of Radiation Health Management, Fukushima, Fukushima (Japan)

2012-11-15

The Fukushima Daiichi Nuclear Power Station (FDNPS) accident resulted in a month-long discharge of radioactive materials into the environment. These radioactive materials were detected at Fukushima Medical University (FMU), which is 57 km northwest of the FDNPS. Significant levels of six nuclides (i.e., {sup 131}I, {sup 132}Te, {sup 132}I, {sup 133}Xe, {sup 134}Cs, and {sup 137}Cs) were detected by a whole body counter (WBC) on March 15, 2011 when the ambient dose rate was suddenly elevated for the first time. This WBC has a dual detector system consisting of two NaI(Tl) detectors and two Ge detectors. We conducted periodical measurements of 32 humans and the background using the WBC. Because the three nuclides {sup 131}I, {sup 134}Cs and {sup 137}Cs were still detected in the background by the WBC a few months after the accident, accurate WBC measurements were difficult. Here we describe the limitations of our measurements conducted in the early stage of the FDNPS accident. (author)

Nutritional variables and work-related accidents: a case-control study.

Science.gov (United States)

de Medeiros, M A T; Zangirolani, Lia Thieme Oikawa; Cordeiro, Ricardo Carlos; da Costa, Proença Rossana Pacheco; Diez-Garcia, Rosa Wanda

2014-01-01

Nutritional aspects are important for the prevention of diseases and disorders, and few studies have focused on the relationship between risk of work injury and nutritional variables. This study aimed to verify whether nutritional variables constitute risk factors for work-related accidents. 1,422 industrial workers (600 cases plus 822 controls). A case-control study was carried out in an industrial city in south-east Brazil. A multiple logistic regression model was adjusted using work-related accidents as the response variable and nutritional variables as predictors. The associations were assessed by Odds Ratio (OR), with a p-value work-related accidents were (a) attending formal education for an above average number of years (OR=0.91, pwork-related accidents. This indicates the need, during the formulation of policies for these kinds of government benefits, to include nutrition aspects in order to minimize work-related accidents risks.

Considerations regarding the implementation of EPR dosimetry for the population in the vicinity of Semipalatinsk nuclear test site based on experience from other radiation accidents

International Nuclear Information System (INIS)

Skvortsov, Valeriy; Ivannikov, Alexander; Tikunov, Dimitri; Stepanenko, Valeriy; Borysheva, Natalie; Orlenko, Sergey; Nalapko, Mikhail; Hoshi, Masaharu

2006-01-01

General aspects of applying the method of retrospective dose estimation by electron paramagnetic resonance spectroscopy of human tooth enamel (EPR dosimetry) to the population residing in the vicinity of the Semipalatinsk nuclear test site are analyzed and summarized. The analysis is based on the results obtained during 20 years of investigations conducted in the Medical Radiological Research Center regarding the development and practical application of this method for wide-scale dosimetrical investigation of populations exposed to radiation after the Chernobyl accident and other radiation accidents. (author)

Main aspects of the design of a support structure of a LMFBR with particular reference to the explosive accident consequences

International Nuclear Information System (INIS)

Giuliano, V.; Lazzeri, L.

1977-01-01

The aim of this paper is a review of the main aspects of the design of a support structure of a LMFBR tank, with particular reference to the analysis of the non-linear dynamic behavior of the structure in the plastic range under the effect of an explosive accident within the tank. The structure is composed by a L-shaped flange, which supports the tank, connected by means of nine square beams to a rigid box-type ring, fixed to the concrete. The plug of the tank is connected to the L-shaped flange by means of a group of SS bars. The non-linear dynamic analysis of the explosive accident has been carried out on a lumped mass model, with elastic-plastic elements which simulate main components of the support structure and tank. The impulsive load connected to the explosive accident has been modelled (on the basis of extensive comparative studies carried out) as two triangular pressure impulses has been the object of a parametric evaluation. The dynamic transient on the support structure during and after the explosive accident for each couple of pressure impulses has been analyzed by means of modified version of the NON SAP code running on a CDC 7600 computer. A large amount of results, which describe displacements, velocities and accelerations of the plug, of the tank, and of the support structure, together with the forces and stresses acting on the main structural components are presented and discussed, with particular reference to the influence of the various parameters involved in the analysis

An introduction to serious nuclear accident chemistry

Directory of Open Access Journals (Sweden)

Mark Russell St. John Foreman

2015-12-01

Full Text Available A review of the chemistry occurring inside a nuclear power plant during a serious reactor accident is presented. This includes some aspects of the behavior of nuclear fuel, its cladding, cesium and iodine. This review concentrates on the chemistry of an accident in a water-cooled reactor loaded with uranium dioxide or mixed metal oxide fuel.

Prevention of the causes and consequences of a criticality accident - measures adopted in France; Prevention des causes et des consequences d'un accident de criticite - solutions adoptees en France

Energy Technology Data Exchange (ETDEWEB)

Fruchard, Y; Lavie, J M

1966-07-01

The question of safety in regard to criticality accident risks has two aspects: prevention of the cause and limitation of the consequences. These two aspects are closely connected. The effort devoted to prevention of the causes depends on the seriousness of the possible human psychologic and economic consequences of the accident. The criticality accidents which have occurred in the nuclear industry, though few in number, do reveal the imperfect nature of the techniques adopted to prevent the causes, and also constitute the only available realistic basis for evaluating the consequences and developing measures to limit them. The authors give a analysis of the known causes and consequences of past criticality accidents and on this basis make a number of comments concerning: the validity of traditional safety criteria, the probability of accidents for different types of operations, characteristic accidents which can serve as models, and the extent of possible radiological consequences. The measures adopted in France to limit the consequences of a possible criticality accident under the headings: location, design and lay-out of the installations, accident detection, and dosimetry for the exposed personnel, are briefly described after a short account of the criteria used in deciding on them. (author) [French] La surete relative aux risques d'accidents de criticite presente deux aspects: la prevention des causes et les parades aux consequences. Ces deux aspects sont tres lies. L'effort consenti a la prevention des causes decoule de l'importance des consequences humaines economiques et psychologiques possibles d'un eventuel accident. Les accidents de criticite survenus dans l'industrie nucleaire, malgre leur rarete, d'une part devoilent les imperfections des techniques de prevention des causes, d'autre part constituent la seule base realiste disponible d'evaluation des consequences et de mise au point des parades a ces consequences. Les auteurs presentent une analyse des

Radiological accidents: education for prevention and confrontation

International Nuclear Information System (INIS)

Cardenas Herrera, Juan; Fernandez Gomez, Isis Maria

2008-01-01

The purpose of this work is to train and inform on radiological accidents as a preventive measure to improve the people life quality. Radiological accidents are part of the events of technological origin which are composed of nuclear and radiological accidents. As a notable figure is determined that there have been 423 radiological accidents from 1944 to 2005 and among the causes prevail industrial accidents, by irradiations, medical accidents and of laboratories, among others. Latin American countries such as Argentina, Brazil, Mexico and Peru are some where most accidents have occurred by radioactivity. The radiological accidents can have sociological, environmental, economic, social and political consequences. In addition, there are scenarios of potential nuclear accidents and in them the potential human consequences. Also, the importance of the organization and planning in a nuclear emergency is highlighted. Finally, the experience that Cuba has lived on the subject of radiological accidents is described [es

Radiation accidents over the last 60 years

International Nuclear Information System (INIS)

Nenot, Jean-Claude

2009-01-01

Since the end of the Second World War, industrial and medical uses of radiation have been considerably increasing. Accidental overexposures of persons, in either the occupational or public field, have caused deaths and severe injuries and complications. The rate of severe accidents seems to increase with time, especially those involving the public; in addition, accidents are often not immediately recognised, which means that the real number of events remains unknown. Human factors, as well as the lack of elementary rules in the domains of radiological safety and protection, such as inadequate training, play a major role in the occurrence of the accidents which have been reported in the industrial, medical and military arenas. (review)

Sarnet lecture notes on nuclear reactor severe accident phenomenology

International Nuclear Information System (INIS)

Trambauer, K.; Adroguer, B.; Fichot, F.; Muller, C.; Meyer, L.; Breitung, W.; Magallon, D.; Journeau, C.; Alsmeyer, H.; Housiadas, C.; Clement, B.; Ang, M.L.; Chaumont, B.; Ivanov, I.; Marguet, S.; Van Dorsselaere, J.P.; Fleurot, J.; Giordano, P.; Cranga, M.

2008-01-01

The 'Severe Accident Phenomenology Short Course' is part of the Excellence Spreading activities of the European Severe Accident Research NETwork of Excellence SARNET (project of the EURATOM 6. Framework programme). It was held at Cadarache, 9-13 January 2006. The course was divided in 14 lectures covering all aspects of severe accident phenomena that occur during a scenario. It also included lectures on PSA-2, Safety Assessment and design measures in new LWR plants for severe accident mitigation (SAM). This book presents the lecture notes of the Severe Accident Phenomenology Short Course and condenses the essential knowledge on severe accident phenomenology in 2008. (authors)

Containment severe accident management - selected strategies

International Nuclear Information System (INIS)

Duco, J.; Royen, J.; Rohde, J.; Frid, W.; De Boeck, B.

1994-01-01

The OECD Nuclear Energy Agency (NEA) organized in June 1994, in collaboration with the Swedish Nuclear Power Inspectorate (SKI), a Specialist Meeting on Selected Containment Severe Accident Management Strategies, to discuss their feasibility, effectiveness, benefits and drawbacks, and long-term impact. The meeting focused on water reactors, mainly on existing systems. The technical content covered topics such as general aspects of accident management strategies in OECD Member countries, hydrogen management techniques and other containment accident management strategies, surveillance and protection of the containment function. The main conclusions of the meeting are summarized in the paper. (author)

Treatment of radiation burns, 1987 [videorecording][Radiation injuries following an accident at a nuclear power plant, 1986. Medical aspects of Chernobyl, 1986

Energy Technology Data Exchange (ETDEWEB)

NONE

1987-07-01

After the accident at Chernobyl, patients with various degrees of radiation burns were given treatment at Moscow hospital No. 6. The video shows the radiation injuries as well as therapy and treatment in detail.

Accident proneness, does it exist? A review and meta-analysis

OpenAIRE

Visser, Ellen; Pijl, Ysbrand J.; Stolk, Ronald P.; Neeleman, Jan; Rosmalen, Judith G. M.

2007-01-01

Accident related health problems have been suggested to cluster within persons. This phenomenon became known as accident proneness and has been a subject of many discussions. This study provides an overview of accident proneness. Therefore, 79 articles with empirical data on accident rates were identified from databases Embase, Medline, and Psychinfo. First, definitions of accidents varied highly, but most studies focused on accidents resulting in injuries requiring medical attention. Second,...

RADIOLOGICAL AND MEDICAL CONSEQUENCES OF THE CHERNOBYL ACCIDENT

Directory of Open Access Journals (Sweden)

V. G. Bebeshko

2012-01-01

Full Text Available From the position of a 25-years’ experience to overcome the health effects of Chernobyl the dynamics of the radiation environment, the first summarizing at the international level (1988, the results of completed research and practical monitoring are analyzed. Cohort of acute radiation syndrome (ARS survivors under medical observation at the S.I. "Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine" is the largest. Within the 25 years the functional state of the major organs and body systems, and metabolic homeostasis for this category of persons were studied, a comprehensive assessment of their health, mental and physical performance were given, and risk factors and peculiarities of stochastic and non-stochastic pathology courses were identified, as well as a system of rehabilitation patients after ARS was developed. ARS survivors are suffering from chronic diseases of internal organs and systems (from 5-7 to 10-12 diagnoses at the same time. A correlation between acute radiation effects and specific HLA phenotypes were revealed. The dynamics of the immune system recovery after irradiation was studied. The role and prognostic value of telomere length and programmed cell death of lymphocytes in the formation of the cellular effects of ionizing radiation were determined for the first time. Differences between spontaneous and radiation-induced acute myeloid leukemias were found. Dose-dependent neuropsychiatric, neurophysiological, neuropsychological and neuroimaging deviations were identified after irradiation at doses above 0.3 Sv. It was shown that the lymphocytes of Chernobyl clean-up workers with doses 350 – 690 mGy can induce "the bystander effect" in the non-irradiated cells even after 19 years after exposure. The rates of cancer incidence and mortality of victims, the lessons and key problems to be solved in the third decade after the Chernobyl accident are considered.

Health Physics aspects of the use of tritium

International Nuclear Information System (INIS)

Martin, E.B.M.

1982-01-01

The health physics aspects of the use of tritium in university laboratories and similar establishments are considered. These aspects include discussion on the behaviour and hazards of tritium in the body, derived limits for contamination, monitoring methods, designation of workers, medical and dosimetric supervision, classification of laboratories, safety precautions, accidents and decontamination, and waste disposal. The radiation hazards from some special uses of tritium, e.g. tritium foil sources, luminous devices, gaseous light sources, are also considered. It was concluded that little harm is likely to come from careful handling of tritium labelled compounds at the millicurie level in a research laboratory. It would, however, be most unwise to be complacent about the use of tritium at the curie level, particularly when high specific activities, organic compounds and chronic exposure over long periods are involved. (U.K.)

LWR and HTGR coolant dynamics: the containment of severe accidents

International Nuclear Information System (INIS)

Theofanous, T.G.; Gherson, P.; Nourbakhsh, H.P.; Hu, K.; Iyer, K.; Viskanta, R.; Lommers, L.

1983-07-01

This is the final report of a project containing three major tasks. Task I deals with the fundamental aspects of energetic fuel/coolant interactions (steam explosions) as they pertain to LWR core melt accidents. Task II deals with the applied aspects of LWR core melt accident sequences and mechanisms important to containment response, and includes consideration of energetic fuel/coolant interaction events, as well as non-explosive ones, corium material disposition and eventual coolability, and containment pressurization phenomena. Finally, Task III is concerned with HTGR loss of forced circulation accidents. This report is organized into three major parts corresponding to these three tasks respectively

[Management of medical care for the victims of road accidents in traumatology centers of Saint-Petersburg].

Science.gov (United States)

Tulupov, A N; Afonchikov, V Iu; Chikin, A E; Taniia, S Sh; Ganin, A S

2014-01-01

The number of road accidents, fatal outcomes and victims exceeded in 1.5 times in Saint-Petersburg in comparison with Moscow. At the average, 600 victims were treated in each of 6 first-level traumatology centers every year. The quantity of patients, who were admitted to 3 second-level traumatology centers, numbered 10 times less. About 300 people entered to others hospitals. The lethality consisted of 15%, 20% and 37%, respectively. There are a lot of matters, that should be discussed, such as an importance of better treatment financing of multitrauma by using compulsory medical insurance system, an optimization of pre-admission treatment and a necessity of patient delivery by mobile medical team using the anaesthesiology and resuscitation.

Clinical and paraclinical aspects of children`s health ten years after the Chernobyl accident

Energy Technology Data Exchange (ETDEWEB)

Lukyanova, E M; Antipkine, Y G; Omelchenko, L I; Chernyshov, V P; Apuhovskaya, L I; Ossinskaya, L F [Institute of Pediatrics, Obstetrics and Gynecology, Kiev (Ukraine)

1997-09-01

These investigations are devoted to the problem of medical consequences of Chernobyl catastrophe to the children`s population of Ukraine. Concerning different reports, Chernobyl accident negatively influenced to the children health indexes. Astonishing fact is that among children under radiation action only 2,1% have no functional deflexions (I group of health) and 28% have chronical diseases with frequent aggravation. Our previous investigation in children evacuated from 30 km zone showed unfavourable changes in immune system. We have shown the data of investigation carried out in the frames of National Program ``Children of Chernobyl``. We have studied the morbidity, some immune functional characteristics and metabolism indexes in 2700 children aged 0-15 years, continually living within radiation contaminated territories. The results were compared with the control indexes, obtained during examination of 980 children from relatively ``clean`` regions. 15 refs, 5 figs, 1 tab.

Prevention of the causes and consequences of a criticality accident - measures adopted in France; Prevention des causes et des consequences d'un accident de criticite - solutions adoptees en France

Energy Technology Data Exchange (ETDEWEB)

Fruchard, Y.; Lavie, J.M

1966-07-01

The question of safety in regard to criticality accident risks has two aspects: prevention of the cause and limitation of the consequences. These two aspects are closely connected. The effort devoted to prevention of the causes depends on the seriousness of the possible human psychologic and economic consequences of the accident. The criticality accidents which have occurred in the nuclear industry, though few in number, do reveal the imperfect nature of the techniques adopted to prevent the causes, and also constitute the only available realistic basis for evaluating the consequences and developing measures to limit them. The authors give a analysis of the known causes and consequences of past criticality accidents and on this basis make a number of comments concerning: the validity of traditional safety criteria, the probability of accidents for different types of operations, characteristic accidents which can serve as models, and the extent of possible radiological consequences. The measures adopted in France to limit the consequences of a possible criticality accident under the headings: location, design and lay-out of the installations, accident detection, and dosimetry for the exposed personnel, are briefly described after a short account of the criteria used in deciding on them. (author) [French] La surete relative aux risques d'accidents de criticite presente deux aspects: la prevention des causes et les parades aux consequences. Ces deux aspects sont tres lies. L'effort consenti a la prevention des causes decoule de l'importance des consequences humaines economiques et psychologiques possibles d'un eventuel accident. Les accidents de criticite survenus dans l'industrie nucleaire, malgre leur rarete, d'une part devoilent les imperfections des techniques de prevention des causes, d'autre part constituent la seule base realiste disponible d'evaluation des consequences et de mise au point des parades a ces consequences

The radioiodine problem following the Chernobyl accident: ecology, dosimetry and medical effects

International Nuclear Information System (INIS)

Zvonova, I.A.

1991-01-01

Following the Chernobyl accident radioisotopes of iodine constituted the main dose-forming factor among the people who stayed on in the radioactively contaminated areas, and in a number of places the effective doses to the thyroid gland were up to two orders of magnitude higher than the whole-body dose stemming from uniform internal and external irradiation. We consider the mechanisms involved in the radioiodine contribution to the doses in the human organism, depending on intake path, life style and social and ecological factors. We illustrate, by means of examples, thyroid gland dose distribution for various age groups in the population, and discuss the medical effects and predict the long-term risks for the population of exposure to radioisotopes of iodine. (author)

Dose assessment in radiological accidents

International Nuclear Information System (INIS)

Donkor, S.

2013-04-01

The applications of ionizing radiation bring many benefits to humankind, ranging from power generation to uses in medicine, industry and agriculture. Facilities that use radiation source require special care in the design and operation of equipment to prevent radiation injury to workers or to the public. Despite considerable development of radiation safety, radiation accidents do happen. The purpose of this study is therefore to discuss how to assess doses to people who will be exposed to a range of internal and external radiation sources in the event of radiological accidents. This will go a long way to complement their medical assessment thereby helping to plan their treatment. Three radiological accidents were reviewed to learn about the causes of those accidents and the recommendations that were put in place to prevent recurrence of such accidents. Various types of dose assessment methods were discussed.(au)

Radiation protection program for assistance of victims of radiation accidents

International Nuclear Information System (INIS)

Fajardo, P.W.; Costa Silva, L.H. da; Rosa, R.

1991-11-01

The principles aspects of a radiological protection program for hospitals in case of medical assistance to external and internal contaminated persons are showed. It is based on the experience obtained at Centro Medico Naval Marcilio Dias during the assistance to the victims of Goiania accident in 1987. This paper describes the basic infrastructure of a nursery and the radiation protection procedures for the access control of people and materials, area and personal monitoring, decontamination and the support activities such as calibration of radiation monitors and waste management. Is is also estimated the necessary radiation protection materials and the daily quantity of waste generated. (author)

Lessons learned from radiological accidents at medical exposures in radiotherapy; Lições aprendidas com acidentes radiológicos nas exposições médicas em radioterapia

Energy Technology Data Exchange (ETDEWEB)

Fagundes, J.S.; Ferreira, A.F. [Faculdade Casa Branca, SP (Brazil); Lima, C.M.A. [MAXIM Cursos, Rio de Janeiro, RJ (Brazil); Silva, F.C.A. da, E-mail: franciscodasilva13uk@gmail.com [Instituto de Radioproteção e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)

2017-07-01

An exposure is considered accidental in radiotherapy when there is a substantial deviation in the prescription of treatment. In this work, an analysis of published radiological accidents, both in Brazil and internationally, was performed during medical exposures in radiotherapy treatments, removing the main lessons learned. Of the research carried out, we highlight Brazil with four radiological accidents and one death in the period between 2011 and 2014; the United States of America with 169 accidents with two deaths from 2000 to 2010 and France from 2001 to 2014 had 569 deaths without patients. Lessons learned have been described, for example, that maintenance personnel training should specify limitations or restrictions on the handling or adjustment of critical parts on the accelerator. It is recommended to apply the 10 main lessons learned due to radiological accidents during medical exposures in radiotherapy treatments to avoid future events.

The Radiological Accident in Lia, Georgia

Energy Technology Data Exchange (ETDEWEB)

NONE

2014-12-15

The use of radioactive material offers a wide range of benefits to medicine, research and industry throughout the world. Precautions are necessary, however, to limit the exposure of people to the radiation emitted. Where the amount of radioactive material is substantial, as in the case of radiotherapy or industrial radiography sources, great care is required to prevent accidents which could have severe consequences. Nevertheless, in spite of the precautions taken, serious accidents involving radiation sources continue to occur, albeit infrequently. The IAEA conducts follow-up reviews of such serious accidents to provide an account of their circumstances and consequences, from which organizations with responsibilities for radiation protection, safety of sources and emergency preparedness and response may learn. A serious radiological accident occurred in Georgia on 2 December 2001, when three inhabitants of the village of Lia found two metal objects in the forest while collecting firewood. These objects were {sup 90}Sr sources with an activity of 1295 TBq. The three inhabitants used the objects as heaters when spending the night in the forest. The major cause of the accident was the improper and unauthorized abandonment of radiation sources in Georgia and the absence of clear labels or radiation signs on the sources warning of the potential radiation hazard. Under the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), the Georgian authorities requested assistance from the IAEA to advise on the dose assessment, source recovery and medical management of those involved in the accident. This publication describes the circumstances and events surrounding the accident, its management and the medical treatment of the people exposed. It also describes the dose reconstruction calculations and biodosimetry assessments conducted. A number of uncertainties remain relating to some details of the accident. However

The Radiological Accident in Lia, Georgia

International Nuclear Information System (INIS)

2014-12-01

The use of radioactive material offers a wide range of benefits to medicine, research and industry throughout the world. Precautions are necessary, however, to limit the exposure of people to the radiation emitted. Where the amount of radioactive material is substantial, as in the case of radiotherapy or industrial radiography sources, great care is required to prevent accidents which could have severe consequences. Nevertheless, in spite of the precautions taken, serious accidents involving radiation sources continue to occur, albeit infrequently. The IAEA conducts follow-up reviews of such serious accidents to provide an account of their circumstances and consequences, from which organizations with responsibilities for radiation protection, safety of sources and emergency preparedness and response may learn. A serious radiological accident occurred in Georgia on 2 December 2001, when three inhabitants of the village of Lia found two metal objects in the forest while collecting firewood. These objects were 90 Sr sources with an activity of 1295 TBq. The three inhabitants used the objects as heaters when spending the night in the forest. The major cause of the accident was the improper and unauthorized abandonment of radiation sources in Georgia and the absence of clear labels or radiation signs on the sources warning of the potential radiation hazard. Under the Convention on Assistance in the Case of a Nuclear Accident or Radiological Emergency (Assistance Convention), the Georgian authorities requested assistance from the IAEA to advise on the dose assessment, source recovery and medical management of those involved in the accident. This publication describes the circumstances and events surrounding the accident, its management and the medical treatment of the people exposed. It also describes the dose reconstruction calculations and biodosimetry assessments conducted. A number of uncertainties remain relating to some details of the accident. However, sufficient

[Diagnosis and treatment of diving accidents. New German guidelines for diving accidents 2014-2017].

Science.gov (United States)

Jüttner, B; Wölfel, C; Liedtke, H; Meyne, K; Werr, H; Bräuer, T; Kemmerer, M; Schmeißer, G; Piepho, T; Müller, O; Schöppenthau, H

2015-06-01

In 2015 the German Society for Diving and Hyperbaric Medicine (GTÜM) and the Swiss Underwater and Hyperbaric Medical Society (SUHMS) published the updated guidelines on diving accidents 2014-2017. These multidisciplinary guidelines were developed within a structured consensus process by members of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI), the Sports Divers Association (VDST), the Naval Medical Institute (SchiffMedInst), the Social Accident Insurance Institution for the Building Trade (BG BAU), the Association of Hyperbaric Treatment Centers (VDD) and the Society of Occupational and Environmental Medicine (DGAUM). This consensus-based guidelines project (development grade S2k) with a representative group of developers was conducted by the Association of Scientific Medical Societies in Germany. It provides information and instructions according to up to date evidence to all divers and other lay persons for first aid recommendations to physician first responders and emergency physicians as well as paramedics and all physicians at therapeutic hyperbaric chambers for the diagnostics and treatment of diving accidents. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose and the following key action statements: on-site 100% oxygen first aid treatment, still patient positioning and fluid administration are recommended. Hyperbaric oxygen (HBO) recompression remains unchanged the established treatment in severe cases with no therapeutic alternatives. The basic treatment scheme recommended for diving accidents is hyperbaric oxygenation at 280 kPa. For quality management purposes there is a need in the future for a nationwide register of hyperbaric therapy.

The management of severe accidents

International Nuclear Information System (INIS)

Pelce, J.; Brignon, P.

1987-01-01

In considering severe accidents in water power reactors, a major problem that arises is how to manage them in such a way that the situation can be controlled as well as possible, from the aspects both of preventing serious damage to the core of limiting the discharge of radioactivity. A number of countries have announced provisions in the field of accident management, some already set up, others planned, but these mainly apply to preventing damage to the core. Part of this report deals with this aspect, to show that there is a fairly wide consensus on how problems should be approached. Attitudes vary, on the other hand, in the approach to mitigate radioactive release. In fact, few countries have proposed concrete steps to manage severe accidents in the final stages when the core is seriously damaged. Since it is difficult to compare different approaches, only the French approach is described. This description is however very brief, because in the five or six years since it was defined, the approach has been presented many times. The stress is placed more on the comments which this type of approach suggests, to make the subsequent general discussion easier

[Diving accidents. Emergency treatment of serious diving accidents].

Science.gov (United States)

Schröder, S; Lier, H; Wiese, S

2004-11-01

Decompression injuries are potentially life-threatening incidents mainly due to a rapid decline in ambient pressure. Decompression illness (DCI) results from the presence of gas bubbles in the blood and tissue. DCI may be classified as decompression sickness (DCS) generated from the liberation of gas bubbles following an oversaturation of tissues with inert gas and arterial gas embolism (AGE) mainly due to pulmonary barotrauma. People working under hyperbaric pressure, e.g. in a caisson for general construction under water, and scuba divers are exposed to certain risks. Diving accidents can be fatal and are often characterized by organ dysfunction, especially neurological deficits. They have become comparatively rare among professional divers and workers. However, since recreational scuba diving is gaining more and more popularity there is an increasing likelihood of severe diving accidents. Thus, emergency staff working close to areas with a high scuba diving activity, e.g. lakes or rivers, may be called more frequently to a scuba diving accident. The correct and professional emergency treatment on site, especially the immediate and continuous administration of normobaric oxygen, is decisive for the outcome of the accident victim. The definitive treatment includes rapid recompression with hyperbaric oxygen. The value of adjunctive medication, however, remains controversial.

A systemic analysis of patterns of organizational breakdowns in accidents: A case from Helicopter Emergency Medical Service (HEMS) operations

International Nuclear Information System (INIS)

Kontogiannis, Tom; Malakis, Stathis

2012-01-01

In recent years, many accident models and techniques have shifted their focus from shortfalls in the actions of practitioners to systemic causes in the organization. Accident investigation techniques (e.g., STAMP) have been developed that looked into the flaws of control processes in the organization. Organizational models have looked into general patterns of breakdown related to structural vulnerabilities and gradual degradation of performance. Although some degree of cross-fertilization has been developed between these two trends, safety analysts are left on their own to integrate this gap between control flaws and patterns of organizational breakdown in accident investigation. This article attempts to elaborate the control dynamics of the Systems Theoretic Accident Model and Process (STAMP) technique on the basis of a theoretical model of organizational viability (i.e., the Viable Systems Model). The joint STAMP–VSM framework is applied to an accident from a Helicopter Emergency Medical Service (HEMS) organization to help analysts progress from the analysis of control flaws to the underlying patterns of breakdown. The joint framework may help analysts to rethink the safety organization, model new information loops and constraints, look at the adaptation and steering functions of the organization and finally, develop high leverage interventions. - Highlights: ► This article bridges the gap between two parallel trends in systemic accident models. ► Investigation techniques (i.e., STAMP) have looked into the flaws of safety management processes. ► The literature has highlighted many patterns (or archetypes) of organizational breakdowns. ► The Viable System Model is used with STAMP to link control flaws and organizational breakdowns.

Main aspects of the design of a support structure of a LMFBR with particular reference to the explosive accident consequences

International Nuclear Information System (INIS)

Giuliano, V.; Lazzeri, L.

1977-01-01

The aim of this paper is a review of the main aspects of the design of a support structure of a LMFBR tank, with particular reference to the analysis of the non-linear dynamic behaviour of the structure in the plastic range under the effect of an explosive accident within the tank. The structure is composed by a L-shaped flange, which supports the tank, connected by means of nine square beams to a rigid box-type ring, fixed to the concrete. The plug of the tank is connected to the L-shaped figure by means of a group of SS bars. The non-linear dynamic analysis of the explosive accident has been carried out on a lumped mass model, with elastic-plastic elements which simulate main components of the support structure and tank. The impulsive load connected to the explosive accident has been modelled (on the basis of extensive comparative studies carried out) as two triangular pressure impulses acting on the plug and on the botton of the tank. A large amount of results, which describe displacements, velocities and accelerations of the plug, of the tank, and of the support structure, together with the forces and stresses acting on the main structural components are presented and discussed, with particular reference to the influence of the various parameters involved in the analysis. (Auth.)

Radioactivity control after Fukushima accident

International Nuclear Information System (INIS)

Vukovic, D.; Mitrovic, R.; Vicentijevic, M.; Pantelic, G.

2011-01-01

Fukushima nuclear accident has influence on more attention when radioactivity of fish were controlled. Sea fish, freshwater fish, fish products and fish flour were analysed ( 95 samples). All products were safe for use with radiation-hygienic aspects. [sr

Vessel-related problems in severe accidents, International Research Projects

International Nuclear Information System (INIS)

Figueras, J. M.

2000-01-01

The paper describes those most relevant aspects of research programmes and projects, on the behavior of vessel during severe accidents with partial or total reactor core fusion, performed during the last twenty years or still on-going projects, by countries or international organizations in the nuclear community, presenting the most important technical aspects, in particular the results achieved, as well as the financial and organisational aspects. The paper concludes that, throughout a joint effort of the international nuclear community, in which Spain has been present via private and public organizations, actually exist a reasonable technical and experimental knowledge of the vessel in case of severe accidents, but still there are aspects not fully solved which are the basis for continuing some programmes and for proposal of new ones. (Author)

Plant specific severe accident management - the implementation phase

International Nuclear Information System (INIS)

Prior, R.

1999-01-01

Many plants are in the process of developing on-site guidance for technical staff to respond to a severe accident situation severe accident management guidance (SAMG). Once the guidance is developed, the SAMG must be implemented at the plant site, and this involves addressing a number of additional aspects. In this paper, approaches to this implementation phase are reviewed, including review and verification of plant specific SAMG, organizational aspects and integration with the emergency plan, training of SAMG users, validation and self-assessment and SAMG maintenance. Examples draw on experience from assisting numerous plants to implement symptom based severe accident management guidelines based on the Westinghouse Owners Group approach, in Westinghouse, non-Westinghouse and VVER plant types. It is hoped that it will be of use to those plant operators about to perform these activities.(author)

A systematic review of social, economic and diplomatic aspects of short-term medical missions.

Science.gov (United States)

Caldron, Paul H; Impens, Ann; Pavlova, Milena; Groot, Wim

2015-09-15

Short-term medical missions (STMMs) represent a grass-roots form of aid, transferring medical services rather than funds or equipment. The objective of this paper is to review empirical studies on social, economic and diplomatic aspects of STMMs. A systematic literature review was conducted by searching PubMed and EBSCOhost for articles published from 1947-2014 about medical missions to lower and middle income countries (LMICs). Publications focused on military, disaster and dental service trips were excluded. A data extraction process was used to identify publications relevant to our objective stated above. PubMed and EBSCOhost searches provided 4138 and 3262 articles respectively for review. Most articles that provide useful information have appeared in the current millennium and are found in focused surgical journals. Little attention is paid to aspects of volunteerism, altruism and philanthropy related to STMM activity in the literature reviewed (1 article). Evidence of professionalization remains scarce, although elements including guidelines and tactical instructions have been emerging (27 articles). Information on costs (10 articles) and commentary on the relevance of market forces (1 article) are limited. Analyses of spill-over effects, i.e., changing attitudes of physicians or their communities towards aid, and characterizations of STMMs as meaningful foreign aid or strategic diplomacy are few (4 articles). The literature on key social, economic and diplomatic aspects of STMMs and their consequences is sparse. Guidelines, tactical instructions and attempts at outcome measures are emerging that may better professionalize the otherwise unregulated activity. A broader discussion of these key aspects may lead to improved accountability and intercultural professionalism to accompany medical professionalism in STMM activity.

Procedural aspects of healthcare quality control in Latvia and its effect on legal protection of patients

Directory of Open Access Journals (Sweden)

Liepins A.

2018-01-01

Full Text Available According to the European Commission data, 8–12% of patients cared for in hospitals throughout the European Union have suffered accidents related to the healthcare provided for them. The Directive 2011/24/EU of the European Parliament and Council of 9th March 2011 on the application of patients’ rights in cross-border healthcare provides that the Member States shouldensurethat patients have easily accessible and transparent appeal procedures and mechanisms that provide possibilities for legal remedies in cases of inflicted harm during medical treatment according to regulations of the respective Member State. Healthcare quality control mechanisms are intended for two major purposes: to identify accidents that have occurred during medical treatment and to prevent similar accidents from reoccurring in the future. The aim of this article is to evaluate, firstly, the procedural aspects of healthcare quality control mechanisms in Latvia and, secondly, how healthcare quality control mechanisms have been affected with the implementation of the Directive 2011/24/EU in Latvian legal order, providing for a specific legal remedy – the newly created Medical risk fund. Conclusions are made on the procedural nature of the patients’ right to submit complaints and also the developments in Latvian court practice related to the healthcare quality control. The authors have also analysed regulations related to the Medical risk fund, its influence on the civil liability mechanisms of medical practitioners, as well as the patient’s right to obtainjust compensation for the harm inflicted to his health and the legal nature of opinions of the Health Inspectorate of Latvia.

Crash Injury Management: Emergency Medical Services for Traffic Law Enforcement Officers. Instructor's Lesson Plans.

Science.gov (United States)

National Highway Traffic Safety Administration (DOT), Washington, DC.

To assist in the continuing efforts to improve the safety of the motorist on the nation's highways and roads, this instructor's guide provides a standardized approach for providing training in emergency medical care for first responders to traffic accidents. The objective of the course is to provide training in all aspects of emergency medical…

[Analysis on on-site rescue and traumatic features of victims involved in gas explosion accident in Hangzhou].

Science.gov (United States)

Wang, X G; Jin, R H; Liu, F P; Han, C M

2017-10-20

.3%) victims were combined with burns. According to the classification of burn severity, there were one case of mild, one case of serious, and 4 cases of severe. Conclusions: The gas explosion accident in Hangzhou caused massive casualties with complex injuries. The local emergency medical rescue responded quickly, but during the rescue process, lots of aspects should be further improved.

[Research on accidents in a tire-producing plant].

Science.gov (United States)

Mete, R; Sabatucci, A

1989-09-30

In the autumn of 1987 the U.S.L. health service (prevention, hygiene and occupational safety section) began a study about the accidents in a firm manufacturing tyres, placed in its own area. The retrospective enquiry starts from the analysis of typology, diffusion and seriousness of occupational accidents. The firm's accident register has been analyzed and integrated with other necessary information provided by the firm, by I.N.A.I.L. and by the air force metereological service. The study has been carried out on data concerning the following years: 1984-1985-1986. The accidents considered, implied absence from work and were divided as follows: for absence up till 3 days (in franchise), and more than 3 days (indemnified), applying the average value calculated on one year of the three analyzed. Every accident has been analyzed per year, month, day, hour of event. According to the classes: circumstances, kind of lesion, site of lesion, period of absence from work. The indices of: frequency, seriousness, incidence, mean duration have been calculated. The average monthly values of temperature: max and min. of the area and to the average monthly amount of processed elastomer (rate of production). The statistics we obtained, justified the study and showed the operative solution. The aspect of sanitary education and the general psychological aspect regarding the accident have been considered. Moreover the general operative solutions for the firm and specific ones for every department and for every position have been shown and faced up to. In this way, according to the risks that have emerged from the enquiries on previous accidents and thanks to direct inspection. it was possible to prevent accidents.

Management of a radiological emergency. Experience feedback and post-accident management; Gestion d'une urgence radiologique. Retour d'experience et gestion post-accidentelle

Energy Technology Data Exchange (ETDEWEB)

Dubiau, Ph. [Institut de Radioprotection et de Surete Nucleaire (IRSN), 92 - Clamart (France)

2007-07-15

In France, the organization of crisis situations and the management of radiological emergency situations are regularly tested through simulation exercises for a continuous improvement. Past severe accidents represent experience feedback resources of prime importance which have led to deep changes in crisis organizations. However, the management of the post-accident phase is still the object of considerations and reflections between the public authorities and the intervening parties. This document presents, first, the nuclear crisis exercises organized in France, then, the experience feedback of past accidents and exercises, and finally, the main aspects to consider for the post-accident management of such events: 1 - Crisis exercises: objectives, types (local, national and international exercises), principles and progress, limits; 2 - Experience feedback: real crises (major accidents, other recent accidental situations or incidents), crisis exercises (experience feedback organization, improvements); 3 - post-accident management: environmental contamination and people exposure, management of contaminated territories, management of populations (additional protection, living conditions, medical-psychological follow up), indemnification, organization during the post-accident phase; 4 - conclusion and perspectives. (J.S.)

Training for the medical response in radiological emergency experiences and results; Capacitacion para la respuesta medica en emergencias radiologicas experiencias y resultados

Energy Technology Data Exchange (ETDEWEB)

Cardenas Herrera, J.; Lopez Forteza, Y.

2003-07-01

The use of the nuclear techniques in the social practice confers a special imporatnce to the relative aspects to the safety of the practices and radiationsources, for what the implementation of efficient programs of radiation protection constitutes a priority. However in spite of the will before expressed, regrettably radiological situations happen accidental assocaited to multiple causes taht suggest the creation of response capacities to intervention before these fortuitous facts. The experiences accumulated in the last decades related with accidental exposures have evidenced the convenience of having properly qualified human resources for the Medical Response in Radiological Emergencies. The training in the medical aspects of the radiological emergencies acquires a singular character. In such a sense when valuing the national situation put onof manifest deficiences as for the training in medical aspects of the radiological emergencies that advised the development of training programs in such aspects for the different response groups linked to the topic. After identified the training necessities and the scope of the same ones, the contents of the training program were elaborated. The program has as general purpose the invigoration of the capacity of the medical response in front of accidental radiological situations, by means of actions that they bear to prepare groups of medical response in the handling of people accident victims and to the identification of potentials,accidental scenarios, as well as of the necessary resources to confront them. The program content approaches theoretical and paractical aspects to the medical aspect to radiological emergencies. The program include the different topics about fundamental of physical biological to radiation protection, radiation protection during exposure of radiological accidents, medical care for overexposed or contaminated persons, drill, exercises and concludes with designation of a strategy as preparation and

Some aspects of thyroid system status in persons exposed to the Chernobyl accident

International Nuclear Information System (INIS)

Cheban, A.K.; Afanasyev, D.E.; Boyarskaya, O.Y.

1997-01-01

The thyroid system status estimation held in post-accidental period dynamics among 7868 children evacuated from the 30-km Chernobyl zone and resident now in Slavutich city (Cs-137 contaminated area), among contaminated regions permanent residents, among native kievites and evacuated from 30-km zone. The thyroid pathology incidence dependence on residence place during Chernobyl Accident and after that was revealed. The immune-inflammatory thyroid disorders are characteristic for 30-km zone migrants, goitre different forms - for the radionuclides contaminated territories residents. No thyroid function abnormalities frequency confidential increase was registered during the research activities run. The total serum cholesterol level application unavailability is revealed in Chernobyl accident survivors thyroid hormones metabolic effects estimation. Data concerning Chernobyl accident consequences cleaning up participants (CACCP) presented additionally. (author)

ONCOLOGICAL ASPECTS OF DEONTOLOGY IN MEDICAL AND SOCIAL REHABILITATION

Directory of Open Access Journals (Sweden)

S. B. Shakhsuvaryan

2015-01-01

Full Text Available Rehabilitation of the patients is one of the main medical and social problems. The operation happened to be successful from the oncological positions is quite unsatisfactory in a social aspect as it deprives the patient of a possibility to live in an ordinary life style. Keeping to the rules of deontological principles, the solution of a problem of normal communication with the patient, meeting a common language with him are of the most important meaning in everyday practical work of an oncologist.

Development of an informative system on aspects of radiological protection in the medical practices

International Nuclear Information System (INIS)

Lopez B, G.M.; Martinez G, A.; Gonzalez R, N.; Hernandez A, R.; Valdes R, M.; Cardenas H, J.; Zaldivar H, W.; Diaz B, M.; Machado T, A.

2006-01-01

Today in day is difficult to imagine the development of the medical practices in the diagnosis and treatment of diverse illnesses without the use of the ionizing radiations. In spite of the diffusion and application of these practices, the patients and the public in general don't have full conscience of like the procedures are carried out and the risks that these involve. For it diverse international and national organizations in the last years recommend to include in the programs of radiological protection, all the information that should be given to the patients and the one public that attend as users to the medical institutions to undergo to procedures that imply the use of the ionizing radiations. In Cuba a growing and quick tendency exists to the introduction of nuclear techniques for medical ends, however paradoxically the relative aspects to the communication to the patients and the public in general about the risks of the procedures to that they will be subjected and in consequence on the measures to minimize them is not adequate. Keeping in mind the above-mentioned, specialists of national centers linked to the control and consultant ship in the topics of radiological protection in the medical practices that use ionizing radiations, they worked in the country in the design of an information system that should contribute to elevate the population's culture before the mentioned aspects. The present work describes the structure of this system in function of the different medical attention levels of our national health system. Additionally it exposes the development of a package of varied informative and training tools among those that are folding, posters, guides, instructions, CD Show that its approach general and specific aspects of the uses and risks of medical practices in nuclear medicine, radiodiagnostic and radiotherapy directed so much to health professionals, patients as public in general. (Author)

Accident management for PWRs in France and Germany

International Nuclear Information System (INIS)

Heili, F.; Lecomte, C.; L'Homme, A.

1991-11-01

The results of risk analyses, research and particularly the two severe accidents in the nuclear power plants TMI-2 and Chernobyl let to a worldwide re-examination of all aspects dealing with the capability to cope with severe accidents. Strategies have been developed or are under development providing actions that can be taken to prevent severe accidents or to mitigate their consequences. Those strategies are investigated and discussed using the term 'accident management'. The purpose of this report is to present the respective views in France and Germany and to point out differences and commonalties of the approaches. This report also includes proposals for further work

The accidents due to ionizing radiations - the situation on a half century

International Nuclear Information System (INIS)

2007-02-01

This report takes stock updated in 2006, serious accidents occurred in the four sectors in civil, industrial, medical and military. Its goal is to provide an explanatory and critical review of the most representative accident that caused serious harm to victims. The report analyses for each accident, and whenever reliable data exist, the reasons for its occurrence, consequences for victims and possibly to the environment, remedial actions that have been made and medical treatments when they were innovative. Using a combination of accidents with common features, the report offers key lessons to be learned from these tragic events. This report is intended for practitioners of radiation protection in general and does not target particular experts in any technical or medical specialty. (N.C.)

Impact of the great east Japan earthquake, tsunami, nuclear power plant accident

International Nuclear Information System (INIS)

Hosoya, Mitsuaki

2013-01-01

The title subject is described mainly from the pediatric aspect. Shortly after the Quake (Mar. 11, 2011), Disaster Medical Assistance Team (DMAT) and Japan Medical Association Team (JMAT) started on their disaster emergent activity with various personnel and students of Fukushima Medical University (FMU). The Power Plant Accident broke out on the next day, and FMU was the base in charge of multiple managements of radiological medicare as well as the ordinary emergent one. Number of children emergently admitted in or requiring the general pediatric consultation was rather small, and problems of insufficient pediatric articles were virtually solved within 2 weeks. Pediatric support by FMU was done from April to May end for children in evacuation places. At 3 months after the disaster, the birth number markedly decreased near the Plant, and pediatric in- and out-patient number also diminished in the whole Fukushima prefecture, suggesting that many at pregnancy or having infants had evacuated out of the prefecture probably because of their concern of possible radiation health hazard. In consideration of epidemiology of A-bomb survivors and of victims in Chernobyl Accident, so much increased prevalence of pediatric thyroid cancer is conceived to be hardly observed after Fukushima Accident. The project of Fukushima Health Management Survey involves fundamental and detailed examinations. The former subject is to all of prefectural residents who lived at the time of the Quake and the latter, to all children's thyroid with the age <18 y by ultrasonographic follow-up, to all residents dwelled in the evacuation areas by the detailed physical and mental/life-style examinations and to pregnant women by questionnaire and follow-up. Residents' concern is mostly toward the health of infants who are sensitive to radiation. (T.T.)

Summary and conclusions of the specialist meeting on severe accident management programme development

International Nuclear Information System (INIS)

1992-01-01

The CSNI Specialist meeting on severe accident management programme development was held in Rome and about seventy experts from thirteen countries attended the meeting. A total of 27 papers were presented in four sessions, covering specific aspects of accident management programme development. It purposely focused on the programmatic aspects of accident management rather than on some of the more complex technical issues associated with accident management strategies. Some of the major observations and conclusions from the meeting are that severe accident management is the ultimate part of the defense in depth concept within the plant. It is function and success oriented, not event oriented, as the aim is to prevent or minimize consequences of severe accidents. There is no guarantee it will always be successful but experts agree that it can reduce the risks significantly. It has to be exercised and the importance of emergency drills has been underlined. The basic structure and major elements of accident management programmes appear to be similar among OECD member countries. Dealing with significant phenomenological uncertainties in establishing accident management programmes continues to be an important issue, especially in confirming the appropriateness of specific accident management strategies

A brief review of the accident at Three Mile Island

International Nuclear Information System (INIS)

Corey, G.R.

1979-01-01

A question-and-answer format is used to discuss the Three Mile Reactor accident and the lessons learned. The aspects touched upon include the hydrogen bubble, the radiation levels the public was exposed to, and the consequences of the accident to the nuclear power program

Trend data for administration of medications in patients with acute cerebrovascular accidents and its sequelae

Directory of Open Access Journals (Sweden)

Levytska Oksana

2017-06-01

Full Text Available The trends in drug utilization in patients with acute cerebrovascular accidents (ACVA and its sequelae were investigated in the Neurological Department of Lviv Regional Hospital, Ukraine, in 2007 and 2015. From the 10 anatomical groups of the Anatomical Therapeutic Chemical (ATC classification system, in 2007, 181 medications were prescribed for treatment of ACVA and concomitant diseases, compared to 198 medications in 2015. The medications of Group C (Cardiovascular system were of the maximal proportion in both analyzed periods (28.1% in 2007 and 29.8% in 2015. Moreover, the largest proportion of the prescribed medications of the 3rd level groups of the ATC classification system were of group В01А - “Antithrombotic agents” (7.2% in 2007 and 6.6% in 2015. Furthermore, three medications (Magnesium sulfate, L-lysini aescinas and Potassium chloride were prescribed for 50% and more patients in both analyzed periods, while the prescriptions of other medications were characterized by high variability. АТС/DDD analysis also revealed the tendency toward an increase in prescription and drug utilization of the main medication groups, and that these were used for nonspecific and specific therapy for ACVA, as well as for secondary prevention (antihypertensives, anticoagulants, antiplatelet agents and statins. Totally, the drug utilization of these medication groups was 38.5% in 2007 and 58.0%, respectively, in 2015, compared to the overall number of DDDs. The results of our study suggest the existence of a positive tendency in prescriptions, and of compliance with the current principles of treatment, in patients with ACVA, in Ukraine.

Intervention organization in case of accident

International Nuclear Information System (INIS)

Genesco, M.

1987-01-01

In France spent fuels are transported according to international regulations, safety is based on packagings. Spent fuel reprocessing requires development of physical protection. Administrative aspects in case of accident and emergency organization are reviewed [fr

Goiania radiological accident: five years talking with the population

International Nuclear Information System (INIS)

Rozental, J.J.

1993-01-01

This article presents an overview five years after the Goiania radiological accident. It reviews from a number of important aspects the psychological impact and conflicting opinions, the public hearings and debates and, particularly describes the victims that still have difficulties to understand the accident and its consequences. (B.C.A.). 05 refs

[Health-related consequences of obstructive sleep apnea: daytime sleepiness, accident risk and legal aspects].

Science.gov (United States)

Orth, M; Kotterba, S

2012-04-01

Daytime sleepiness for any reason leads to impairment of daytime performance and an increased accident rate. The consequences are an increase of illness- and accident-related costs for the health system. Obstructive sleep apnea (OSA) is one of the major reasons for increased daytime sleepiness, especially in professional drivers. The accident frequency in OSA can be significantly reduced by adequate continuous positive airway pressure (CPAP) therapy. Up till now there are no uniform legal regulations about the handling of OSAS patients or patients with daytime sleepiness due to other diseases as far as driving ability is concerned.

[The notion of occupational skin disease. Medical and legal aspects].

Science.gov (United States)

Elsner, P; Schliemann, S

2015-03-01

The different definitions of skin disease in medicine and in law are frequently confusing for dermatologists. While a skin disease may be defined medically referring to the definition of health by the WHO as a pathological condition of the skin leading to a disruption of the physical, mental and social well-being of the individual, legal definitions vary depending on the field of insurance law that is referred to. In the law of private health insurance, a skin disease is defined as an anomalous condition of the skin requiring medical treatment that exists independently of the subjective judgement of the insured person and needs to be objectively confirmed by a medical evaluation. In contrast, in the law of the social health insurance, the Federal Court of Social Justice defines disease as irregular physical or mental condition, deviating from the perception of a healthy human being that requires medical treatment or leads to inability to work. Substantial bodily disfigurement may be regarded as an irregular physical condition. In the law of the statutory accident insurance, occupational skin diseases are defined under clause 5101 of the occupational disease regulation as serious or repeatedly relapsing skin diseases that have forced a person to refrain from any work activities causal for the development, the aggravation or the recurrence of the disease. The Federal Court of Social Justice interprets the term "skin disease" from the protective purpose of the law, i.e. the protection against the economic and health consequences of the exposure to harmful agents and a thereby forced change of profession. This broad interpretation of the term "skin disease" leads to the recognition of diseases of the conjunctiva of the eye or diseases of the blood vessels of the skin due to cold damage as skin diseases according to clause 5101. For the correct treatment and possibly notification of occupational skin diseases in collaboration with various insurance carriers

Strategies for dealing with resistance to recommendations from accident investigations

OpenAIRE

Lundberg, Jonas; Rollenhagen, Carl; Hollnagel, Erik; Rankin, Amy

2012-01-01

Accident investigation reports usually lead to a set of recommendations for change. These recommendations are, however, sometimes resisted for reasons such as various aspects of ethics and power. When accident investigators are aware of this, they use several strategies to overcome the resistance. This paper describes strategies for dealing with four different types of resistance to change. The strategies were derived from qualitative analysis of 25 interviews with Swedish accident investigat...

Aspects anatomocliniques et thérapeutiques des accidents de la ...

African Journals Online (AJOL)

46,7%), méatoplastie (13,3%), pansement humide + antibiothérapie ( 6,7%), urétroplastie par lambeau de muqueuse buccale (6,7%), désenlisement de verge (6,7%), vésicostomie ( 6,7%) et hémostase de l'artère du frein (6,7%). Les accidents ...

Longitudinal investigation into implicit stigma of epilepsy among Japanese medical students before and after mass media coverage of car accidents associated with people with epilepsy.

Science.gov (United States)

Nagamori, Chizuko; Hara, Keiko; Ohta, Katsuya; Akaza, Miho; Sumi, Yuki

2017-08-01

Public attitudes and stigma toward epilepsy may limit patient motivation for treatment and participation in social activities. Stigma research requiring individuals to report personal beliefs is useful but is subject to social desirability bias. Self-reporting methods often do not capture implicit attitudes; therefore, in this study, implicit stigma was measured using the implicit association test (IAT), which is a word sorting task to minimize this bias. Recently, in Japan, several serious car accidents caused by people with epilepsy (PWE) resulted in pedestrian fatalities. Traffic accidents involving PWE have been reported extensively and repeatedly in the media since 2011. The present study aimed to examine differences in implicit stigma toward epilepsy among medical students in 2010, 2013, and 2016. We recruited 41 medical students in 2010, 44 medical students in 2013 and 42 medical students in 2016. We investigated the strength of conceptual associations between the words "Epilepsy" or "Hypertension", and "Safety" or "Danger" in the IAT. The association between the words "Epilepsy" and "Danger" was stronger in 2013 compared with that in 2010; however, the association was weaker in 2016 compared with that in 2013. There was no significant difference between 2010 and 2016. The change in IAT results between 2010 and 2013 might be due to the traffic accident involving PWE in Japan. However, the result in 2016 might indicate that the implicit attitudes toward epilepsy were improved to the same level as those in 2010. Copyright © 2017 Elsevier Inc. All rights reserved.

Accident analysis for nuclear power plants

International Nuclear Information System (INIS)

2002-01-01

calculation results. This safety report also discusses various factors that need to be considered to ensure that the accident analysis is of an acceptable quality. The report is intended for use primarily by analyses coordinating, performing or reviewing accident analyses for NPPs, on both the utility and regulatory sides. The report will also be of use as a background document for relevant IAEA activities, such as training courses and workshops. While the main body of the report does not focus exclusively on a single reactor type, the examples provided in the annexes are related mostly to the accident analysis of NPPs with pressurized water reactors. The report: Applies to both NPPs being built and operating plants; deals with internal events in reactors or in their associated process systems; thus the emphasis is on the physical transient behaviour of reactors and their systems, including reactor containment; discusses both best estimate and conservative accident analyses; covers design basis accidents as well as beyond design basis accidents, although the design basis accidents are covered in greater detail; focuses on thermohydraulic aspects of safety analysis; neutronic, structural and radiological aspects are also covered to some extent; covers the course of an accident from the initiating event up to source term estimation. The main body of the report is intended to be as generally applicable as possible to all reactor types

Multidisciplinary accident investigation : volume 1

Science.gov (United States)

1976-09-01

The final report of the Multidisciplinary Accident Investigation Team of the Maryland Medical-Legal Foundation, Inc. is presented. The report describes the methodology, results, discussions, conclusions and recommendations pertaining to the investiga...

Radiation accidents in the former Soviet Union: Medical consequences and experience in the application of radiation protection measures

International Nuclear Information System (INIS)

Anon.

2002-01-01

The Institute of Biophysics of the Russian Federation is a scientific center which has extensive archives containing scientific studies and information on radiation safety problems and occurrences since the early days of nuclear science and research and nuclear weapons tests in the Soviet Union. Some of this classified, top secret material has recently been published by Prof. L.A. Iljin in a renowned Russian scientific journal in the form of a review of radiation accidents in the Soviet Union, general medical reports, case reports, and the effects of nuclear weapons tests. He also added his own expert view of the accidents and their effects, and his conclusions relating to public health effects and required radiation protection policy. The article in this issue of Strahlenschutz Praxis is a German translation of excerpts from the original journal article. (orig./CB) [de

Review of severe accidents and the results of accident consequence assessment in different energy systems (Contract research)

International Nuclear Information System (INIS)

Matsuki, Yoshio; Muramatsu, Ken

2008-05-01

The cases of severe accidents and the consequence assessments in different energy systems, Coal, Oil, Gas, Hydro and Nuclear, were collected, and then they were further analyzed. In this report, the information on the accidents in various energy systems were collected from the sources of the Paul Scherrer Institute (hereinafter, 'PSI') and the International Atomic Energy Agency (hereinafter, 'IAEA'). The information on the severe accidents of nuclear power plants were collected from the report of the US Presidential Commission on Catastrophic Nuclear Accidents and several relevant reports issued in the countries of the European Union, together with the reports of the PSI and the IAEA. To analyze the collected information, several parameters, which are numbers of fatalities, injuries, evacuees and the costs of the damages, were chosen to characterize those accidents in different energy systems. And then, upon the comparison of these characteristics of different accidents, the impacts of the accidents in nuclear and other energy systems were compared. Upon the results of the analysis, it is pointed out that the cost caused by the Chernobyl Accident, the severe accident in nuclear energy, tends to be higher than in the other energy systems. On the other hand, from the aspects of fatalities and injuries, it is not confirmed that the damages of the Chernobyl Accident are larger than in the other energy systems. However, it is also recognized, as the specific characteristics of the severe nuclear accident, that the impacts of the accident spread in a wider area, and stay for a longer period, in comparison with the ones in the other energy systems. (author)

Analysis of construction accidents in Spain, 2003-2008.

Science.gov (United States)

López Arquillos, Antonio; Rubio Romero, Juan Carlos; Gibb, Alistair

2012-12-01

The research objective for this paper is to obtain a new extended and updated insight to the likely causes of construction accidents in Spain, in order to identify suitable mitigating actions. The paper analyzes all construction sector accidents in Spain between 2003 and 2008. Ten variables were chosen and the influence of each variable is evaluated with respect to the severity of the accident. The descriptive analysis is based on a total of 1,163,178 accidents. Results showed that the severity of accidents was related to variables including age, CNAE (National Classification of Economic Activities) code, size of company, length of service, location of accident, day of the week, days of absence, deviation, injury, and climatic zones. According to data analyzed, a large company is not always necessarily safer than a small company in the aspect of fatal accidents, experienced workers do not have the best accident fatality rates, and accidents occurring away from the usual workplace had more severe consequences. Results obtained in this paper can be used by companies in their occupational safety strategies, and in their safety training programs. Copyright © 2012 National Safety Council and Elsevier Ltd. All rights reserved.

Thermophysical aspects of WWER safety

International Nuclear Information System (INIS)

Kolochko, Vladimir N.

1999-01-01

The paper presents a review of the main thermophysical aspects of NPPs safety and efficiency increase applied to WWERs. Improvement of operating WWER units is the main short-term and medium-term tasks of the utilities in Ukraine. The new generation of reactors for increasing the reactor facilities efficiency should utilize achievements of thermo physics research results. The thermophysical aspects of NPPs safety and efficiency are envisaged in the context of the atomic energy development strategy. The analysis of thermophysical processes occurring in the core shows that a number of problems concerning boiling crisis and heat exchange intensification during transient and accidents are not solved in spite of numerous calculations and experimental research. The up-to-date safety conception includes severe accidents consideration for safety assessment. Review of severe accidents management is presented. Additional validation of the West advanced thermal hydraulic codes which are applied for WWERs reassessment calculations is required. Contribution of the processes which might occur in WWER containment to safety problems solving is considered as well. (author)

Psychosocial aspects of the victims of the accident with caesium-137 in Goiania (1987-1994)

Energy Technology Data Exchange (ETDEWEB)

Curado, M P [Fundacao Leide das Neves Ferreira, Goias (Brazil); Costa Neto, S B [Universidade de Brasilia, Instituto de Psicologia, Rio de Janeiro (Brazil)

2000-05-01

In September of 1987 two men took possession of and violated a source containing Caesium-137, which caused the Radiological Accident of Goiania. Besides the direct victims, a significant part of the community of Goiania was directly involved with this accident. The psychosocial impact in the social groups involved in this radiological accident - the population as a whole, immediate neighbours of contaminated sites, professionals and the victims themselves - gave rise to specific behaviour and attitudes which will be discussed in this paper. (author)

Psychosocial aspects of the victims of the accident with caesium-137 in Goiania (1987-1994)

International Nuclear Information System (INIS)

Curado, M.P.; Costa Neto, S.B.

2000-01-01

In September of 1987 two men took possession of and violated a source containing Caesium-137, which caused the Radiological Accident of Goiania. Besides the direct victims, a significant part of the community of Goiania was directly involved with this accident. The psychosocial impact in the social groups involved in this radiological accident - the population as a whole, immediate neighbours of contaminated sites, professionals and the victims themselves - gave rise to specific behaviour and attitudes which will be discussed in this paper. (author)

Mechanical Thrombectomy in Anterior Circulation Occlusion Could Be More Effective than Medical Management Even in Low DWI-ASPECTS Patients.

Science.gov (United States)

Ohta, Tsuyoshi; Morimoto, Masanori; Okada, Kenji; Fukuda, Maki; Onishi, Hirokazu; Masahira, Noritaka; Matsuoka, Toshiki; Tsuno, Takaya; Takemura, Mitsuhiro

2018-04-15

The purpose of this study was to investigate whether patients with low preoperative Diffusion-weighted Imaging Alberta Stroke Program Early Computed Tomography Score (DWI-ASPECTS) could benefit from mechanical thrombectomy for acute anterior circulation occlusion. This was a retrospective, non-blinded, cohort study. From September 2012 to August 2016, 83 consecutive patients of acute anterior circulation occlusion were treated with thrombectomy using second-generation devices or medical management. The DWI-ASPECTS was scored after the first MRI. Patient characteristics and clinical outcomes were compared between the treatment groups. Significant dependence was defined as a modified Rankin scale score ≥3 at 90 days. As a result, 33 patients underwent mechanical thrombectomy and 50 received medical management. In the mechanical thrombectomy group, the variable of lower DWI-ASPECTS (5, 4-6 vs. 8, 7-8, P < 0.001), especially ≤6, was significantly associated with poor prognosis. However, compared with patients of DWI-ASPECTS ≤ 6 who received medical management, there were significantly fewer patients with poor outcomes in thrombectomy (dependent in 11 of 15 vs. 23 of 23, respectively; P = 0.019). Although patients with lower pretreatment DWI-ASPECTS could benefit less from thrombectomy, their outcomes were still better than medical management. Therefore, mechanical thrombectomy could be considered in some patients with low pretreatment DWI-ASPECTS.

Chernobyl reactor accident: medical management

International Nuclear Information System (INIS)

Iyer, G.K.

1996-01-01

Chernobyl reactor accident on 26th April, 1986 is by far the worst radiation accident in the history of the nuclear industry. Nearly 500 plant personnel and rescue workers received doses varying from 1-16 Gy. Acute radiation syndrome (ARS) was seen only in the plant personnel. 499 individuals were screened for ARS symptoms like nausea, vomitting, diarrhoea and fever. Complete blood examination was done which showed initial granulocytosis followed by granulocytopenia and lymphocytopenia. Cytogenetic examinations were confirmatory in classifying the patients on the basis of the doses received. Two hundred and thirty seven cases of ARS were hospitalised in the first 24-36 hrs. No member of general public suffered from ARS. There were two immediate deaths and subsequently 28 died in hospital and one of the cases died due to myocardial infarction, making a total of 31 deaths. The majority of fatal cases had whole body doses of about 6 Gy, besides extensive skin burns. Two cases of radiation burns had thermal burns also. Treatment of ARS consisted of isolation, barrier nursing, replacement therapy with fluid electrolytes, platelets and RBC transfusions and antibiotic therapy for bacterial, fungal and viral infections. Bone marrow transplantations were given to 13 cases out of which 11 died due to various causes. Radiation burns due to beta, gamma radiations were seen in 56 cases and treated with dressings, surgical excision, skin grafting and amputation. Oropharangeal syndrome, producing extensive mucous in the oropharynx, was first seen in Chernobyl. The patients were treated with saline wash of the mouth. The patients who had radioactive contamination due to radioactive iodine were given stable iodine, following wash with soap, water and monitored. Fourteen survivors died subsequently due to other causes. Late health effects seen so far include excess of thyroid cancer in the children and psychological disorders due to stress. No excess leukemia has been reported so

Monitoring and surveillance in accident situations

International Nuclear Information System (INIS)

Chadwick, K.; Menzel, H.

1993-01-01

The Chernobyl accident, which occurred on 26 April 1986, presented major challenges to the European Community with respect to the practical and regulatory aspects of radiation protection, public information, trade -particularly in food - and international politics. The Chernobyl accident was also a major challenge to the international scientific community which had to evaluate rapidly the radiological consequences of the accident and advise on the introduction at Chernobyl, countermeasures to reduce the consequences of radioactive contamination had been conceived largely in the context of relatively small accidental releases and for application over relatively small areas. Less consideration had been given to the practical implications of applying such measures in the case of a large source and a spread over a very large area

The management of individuals involved in radiation accidents

Energy Technology Data Exchange (ETDEWEB)

Swindon, T N [Australian Radiation Lab., Melbourne (Australia)

1991-09-01

The author defines the objectives and the coverage of two radiation accident courses presented in 1990 by the US Radiation Emergency Assistance Centre and Training Site of the Oak Ridge Associated Universities together with some Australian Medical institutions. It is estimated that the courses, directed towards physicians, radiotherapists and nurses gave plenty practical advices and details on how to go about radiation accident managements. A manual on handling radiation accidents is also to be prepared after the courses.

Medical care of radiation accidents

International Nuclear Information System (INIS)

Nakao, Isamu

1986-01-01

Focusing on the population exposed to radioactivity released from a nuclear power plant, the paper gives an overview of medical strategies in emergency care, steps in medical care, and clinical procedures including decontamination and oral administration of iodine-131. Strategies for evacuation are presented depending on predicted exposure doses to the whole body and thyroid gland. Medical care consists of three steps. When the thyroid gland is supposed to be exposed to 5 - 50 rem or more, the oral administration of iodine-131 is recommended. (Namekawa, K.)

Multidisciplinary accident investigation : volume 2

Science.gov (United States)

1976-05-01

The Task II final report for 1974 of the Multidisciplinary Accident Investigation : Team of the Maryland Medical-Legal Foundation, Inc. is presented. This report describes some preliminary findings emanating from a series of comprehensive, multivaria...

Antenatal exposure following the Chernobyl accident: neuropsychiatric aspects

International Nuclear Information System (INIS)

Igumnov, S.A.; Drozdovitch, V.V.

2004-01-01

Ten years follow-up investigation of intellectual development of 250 persons from Belarus exposed in utero following the Chernobyl accident and a control group of 250 persons from non- and slightly contaminated regions has been conducted. Neuropsychiatry and psychological examinations were performed among persons of both groups at the age of 6-7, 0-12, and 15-16 years. Mean antenatal external dose among persons of exposed group is 10 ± 13 mGy, maximal dose - 91 mGy. No statistically significant correlation was found in exposed group between individual thyroid dose as well as individual antenatal external dose and IQ at the age of 6-7 years, 10-12 years, and 15-16 years

The victim of the nuclear accident

International Nuclear Information System (INIS)

Carvalho, A.B. de.

1990-01-01

This paper shows the effects of the nuclear accident in the victims, in their lives, changes in the behaviour, neurosis including all the psychological aspects. The author compare the victims with nuclear accident like AIDS patients, in terms of people's discrimination. There is another kind of victims. They are the people who gave helpness, for example physicians, firemen and everybody involved with the first aids that suffer together with the victims trying to safe them and to diminish their suffering, combating the danger, the discrimination and the no information. (L.M.J.)

Psycho-social impact of the cesium-137 accident in the Brazilian society

International Nuclear Information System (INIS)

Chaves, E.G.

1993-01-01

The author intends to question the assumed current public opinion that the psycho-social impact, resulting from the Goiania accident, is related with the ignorance of those who handled the caesium-137 source capsule, as well as the way media explained the accident. Some important aspects related to social behaviour during and after the accident are also shown. (B.C.A.)

Internal dose assessment in radiation accidents

International Nuclear Information System (INIS)

Toohey, R.E.

2003-01-01

Although numerous models have been developed for occupational and medical internal dosimetry, they may not be applicable to an accident situation. Published dose coefficients relate effective dose to intake, but if acute deterministic effects are possible, effective dose is not a useful parameter. Consequently, dose rates to the organs of interest need to be computed from first principles. Standard bioassay methods may be used to assess body contents, but, again, the standard models for bioassay interpretation may not be applicable because of the circumstances of the accident and the prompt initiation of decorporation therapy. Examples of modifications to the standard methodologies include adjustment of biological half-times under therapy, such as in the Goiania accident, and the same effect, complicated by continued input from contaminated wounds, in the Hanford 241 Am accident. (author)

System response of a DOE Defense Program package in a transportation accident environment

International Nuclear Information System (INIS)

Chen, T.F.; Hovingh, J.; Kimura, C.Y.

1992-01-01

The system response in a transportation accident environment is an element to be considered in an overall Transportation System Risk Assessment (TSRA) framework. The system response analysis uses the accident conditions and the subsequent accident progression analysis to develop the accident source term, which in turn, is used in the consequence analysis. This paper proposes a methodology for the preparation of the system response aspect of the TSRA

Strategies for dealing with resistance to recommendations from accident investigations

DEFF Research Database (Denmark)

Lundberg, J.; Rollenhagen, C.; Hollnagel, E.

2012-01-01

Accident investigation reports usually lead to a set of recommendations for change. These recommendations are, however, sometimes resisted for reasons such as various aspects of ethics and power. When accident investigators are aware of this, they use several strategies to overcome the resistance....... This paper describes strategies for dealing with four different types of resistance to change. The strategies were derived from qualitative analysis of 25 interviews with Swedish accident investigators from seven application domains. The main contribution of the paper is a better understanding of effective...... strategies for achieving change associated with accident investigation. (C) 2011 Elsevier Ltd. All rights reserved....

Strategies for dealing with resistance to recommendations from accident investigations.

Science.gov (United States)

Lundberg, Jonas; Rollenhagen, Carl; Hollnagel, Erik; Rankin, Amy

2012-03-01

Accident investigation reports usually lead to a set of recommendations for change. These recommendations are, however, sometimes resisted for reasons such as various aspects of ethics and power. When accident investigators are aware of this, they use several strategies to overcome the resistance. This paper describes strategies for dealing with four different types of resistance to change. The strategies were derived from qualitative analysis of 25 interviews with Swedish accident investigators from seven application domains. The main contribution of the paper is a better understanding of effective strategies for achieving change associated with accident investigation. Copyright © 2011 Elsevier Ltd. All rights reserved.

Medical intervention in radiological emergencies, formation and training; Intervencion medica en emergencias radiologicas, formacion y adiestramiento

Energy Technology Data Exchange (ETDEWEB)

Cardenas H, J. [CPHR, Calle 20 No. 4113, e/41 y 47 Playa, CP 11300, La Habana (Cuba)]. e-mail: cardenas@cphr.edu.cu

2006-07-01

The work exposes the national experience in the development of training programs in medical aspects of the radiological emergencies. Implemented after valuing the existent situation, identified the necessities and the reach of the training, additionally it was elaborated the content of the training program whose purpose is guided to the invigoration of the medical answer capacity in radiological emergencies The content of the modular program it approaches theoretical- practical aspects on preparation and medical answer in radiological emergencies. The program includes an exercise that simulates a radiological accident, to evaluate during the same one, the answer capacity before this situation. The training concludes with the design of a strategy for the preparation and answer in radiological emergencies in correspondence with the potential accidental scenarios that the participants can face. (Author)

First Response to Medical Emergency

International Nuclear Information System (INIS)

Manisah Saedon; Sarimah Mahat; Muhamad Nurfalah Karoji; Hasnul Nizam Osman

2015-01-01

Accident or medical emergencies, both minor and critical, occurs each day and can happen in any workplace. In any medical emergencies, time is a critical factor because the first person to arrive at the scene of an accident has a key role in the rescue of a victim. With the knowledge of some common medical procedures and emergency actions, this first responder can make a positive contribution to the welfare of the accident victim. In some cases, this contribution can make difference between life and death. Improper response to medical emergencies by an untrained person can result in worsen injuries or death. Therefore, first aids training are necessary to provide the information. (author)

Analyses of severe accident scenarios in RBMK-1500

International Nuclear Information System (INIS)

Kaliatka, A.; Rimkevicius, S.; Uspuras, E.; Urbonavicius, E.

2006-01-01

Even though research of severe accidents in light water reactors is performed around the world for several decades many questions remain. Research is mostly performed for vessel-type reactors. RBMK is a channel type light water reactor, which differs from the vessel-type reactors in several aspects. These differences impose some specifics in the accident phenomena and processes that occur during severe accidents. Severe accident research for RBMK reactors is taking first steps and very little information is available in the open literature. The existing severe accident analysis codes are developed for vessel-type reactors and their application to the analysis of accidents in RBMK is not straightforward. This paper presents the results of an analysis of large loss-of-coolant accident scenarios with loss of coolant injection to the core of RBMK-1500. The analysis performed considers processes in the reactor core, in the reactor cooling system and in the confinement until the fuel melting started. This paper does not aim to answer all the questions regarding severe accidents in RBMK but rather to start a discussion, identify the expected timing of the key phenomena. (orig.)

Radiation accidents: occurrence, types, consequences, medical management, and the lessons to be learned

International Nuclear Information System (INIS)

Turai, I.; Veress, K.

2001-01-01

The paper reviews the frequency, causes and occurrence of radiation accidents with some significant exposure to human. More detailed information is provided in tabulated form on the health consequences of those twenty severe radiation accidents that occurred in 1986-2000, world-wide. Reference is given to the very low cumulative incidence of significant radiation accidents, as during the last 57 years there were, in average, seven registered accidents annually in all countries of the world. Thus, the chance for most of the physicians to meet a patient with symptoms of acute radiation injury during their professional career is very low

Action to be taken in the event of a radiological accident

International Nuclear Information System (INIS)

Bresson, G.; Nenot, J.C.

1977-01-01

In the event of a radiological accident affecting people, the measures that have to be taken are the responsibility of a large number of persons whose original disciplines differ widely. In the interest of efficiency, it is obviously essential that these measures should be co-ordinated; this implies smoothly functioning liaison between the persons responsible for action at different levels. These levels of action are numerous and differ very considerably; they include, in the first place, the links between the nuclear facility and the medical authorities, either directly within the hospital framework or through the intermediary of an industrial medicine service; then the links between the hospital sector and the large number of experts concerned with the highly specialized aspects of the diagnostic, therapeutic and prognostic problems of irradiation or contamination by radioisotopes; lastly, the links between these various specialists. In view of the wide variety of the parameters involved in accidents, the organization of the action to be taken cannot be encompassed within a rigid framework, especially as it should be possible to apply this organization at both the national and the international level, taking into account the diversity of the medico-legal aspects. The efficiency of the means applied is therefore governed by the flexibility of the procedure; however, the relative scarcity of accidents, i.e. the absence of any involvement of persons and equipment on a true scale, makes it imperative that a high degree of precision be applied in preparing emergency plans, since the omission of one step or one link may have serious or irreparable consequences which cannot always be offset by improvization. The outline of such an operational organization is presented and discussed in the light of past experience. (author)

Radiation emergency planning for medical organizations; Plan de emergencia radiologica en entidades de salud

Energy Technology Data Exchange (ETDEWEB)

Jerez Vergueria, Sergio F. [Instituto de Medicina del Trabajo, La Habana (Cuba); Jerez Vergueria, Pablo F. [Centro Nacional de Seguridad Nuclear, La Habana (Cuba)

1997-12-31

The possible occurrence of accidents involving sources of ionizing radiation demands response plans to mitigate the consequences of radiological accidents. This paper offers orientations in order to elaborate emergency planning for institutions with medical applications of ionizing radiation. Taking into account that the prevention of accidents is of prime importance in dealing with radioactive materials and others sources of ionizing radiation, such as X-rays, it is recommended that one include in emergency instructions and procedures several aspects relative to causes which originate these radiological events. Topics such as identification of radiological events in these practices and their consequences, protective measures, planning for and emergency response and maintenance of emergency capacity, are considered in this article. (author) 16 refs., 1 tab.; e-mail: sfjerez at rdc.puc-rio.br

Experience and lessons learned from emergency disposal of Fukushima nuclear power station accident

International Nuclear Information System (INIS)

Xu Xiegu; Zhen Bei; Yang Xiaoming; Chen Xiaohua

2012-01-01

After Fukushima nuclear accident, we visited the related medical aid agencies for nuclear accidents and conducted investigations in disaster-affected areas in Japan. This article summarizes the problems with emergency disposal of Fukushima nuclear accident while disclosing problems should be solved during the emergency force construction for nuclear accidents. (authors)

The 24 victims of the Epinal radiotherapy accident

International Nuclear Information System (INIS)

Benderitter, M.; Francois, A.; Clairand, I.; Trompier, F.; Huet, C.; Bottelier-Depois, J.F.; Gourmelon, P.; Gorin, N.

2008-01-01

Full text: During the last 4 years, several incidents/accidents at radiotherapy department occurred in France. The accident at the Public General Hospital in Epinal is the more severe. It was classified level 6 on a 10 degree scale of the ASN/SFRO (Autorite de Surete Nucleaire/Societe Francaise de Radiotherapie Oncologique). This accident is linked to a succession of dysfunctions and human errors. IRSN was elected by the Health Ministry for the identification and medical management of the victims. Concerning the patients treated for their prostate cancer with conformational RT between 2004 and 2005, 24 patients were exposed to 28% excess of dose and suffer from severe late effects (rectitis, cystitis) ranged from grade II to grade IV, some of them suffer from huge dilapidation. Some innovative medical strategies were proposed to the more severe affected patients. A medical follow-up of these patients is actually on the way in parallel to the development of a new research program concerning the improvement of the knowledge and prediction of radiotherapy complications. (author)

The accident at Chernobyl and its implications for the safety of CANDU reactors

International Nuclear Information System (INIS)

1987-05-01

In August 1986, a delegation of Canadians, including two members of the staff of the AECB (Atomic Energy Control Board), attended a post-accident review meeting in Vienna, at which Soviet representatives described the accident and its causes and consequences. On the basis of the information presented at that meeting, AECB staff conducted a study of the accident to ascertain its implications for the safety of CANDU nuclear reactors and for the regulatory process in Canada. The conclusion of this review is that the accident at Chernobyl has not revealed any important new information which would have an effect on the safety requirements for CANDU reactors as presently applied by the AECB. All important aspects of the accident and its causes have been considered by the AECB in the licensing process for currently licensed reactors. However a number of recommendations are made with respect to aspects of reactor safety which should be re-examined in order to reinforce this conclusion

Cesium-137 accident lessons in Goiania, Goias State, Brazil

International Nuclear Information System (INIS)

1990-11-01

This document relates the experience obtained by several professionals which had an important role in the cesium-137 accident occurred in Goiania, Goias State, Brazil in September, 1987. It's divided into chapters, according to the action area - medical, nursing, social assistance, odontological and psychological. At first, some notions of radioprotection are explained, followed by the accident history and by the doctors and nurses action during the emergency phase and the medical, odontological, social and psychological assistance to the victims. The social assistance report shows some statistical data about the economic, occupational and social conditions of the accident victims. It is shown some information about the health institutions and the sanitary care in the ionizing radiation and about the occupational radiological protection in Goiania

Reconstruction of the Chernobyl emergency and accident management

International Nuclear Information System (INIS)

Schinner, F.; Andreev, I.; Andreeva, I.; Fritsche, F.; Hofer, P.; Lettner, E.; Seidelberger, E.; Kromp-Kolb, H.; Kromp, W.

1998-01-01

Full text of publication follows: on April 26, 1986 the most serious civil technological accident in the history of mankind occurred of the Chernobyl Nuclear Power Plant (ChNPP) in the former Soviet Union. As a direct result of the accident, the reactor was severely destroyed and large quantities of radionuclides were released. Some 800000 persons, also called 'liquidators' - including plant operators, fire-fighters, scientists, technicians, construction workers, emergency managers, volunteers, as well as medical and military personnel - were part of emergency measurements and accident management efforts. Activities included measures to prevent the escalation of the accident, mitigation actions, help for victims as well as activities in order to provide a basic infrastructure for this unprecedented and overwhelming task. The overall goal of the 'Project Chernobyl' of the Institute of Risk Research of the University of Vienna was to preserve for mankind the experience and knowledge of the experts among the 'liquidators' before it is lost forever. One method used to reconstruct the emergency measures of Chernobyl was the direct cooperation with liquidators. Simple questionnaires were distributed among liquidators and a database of leading accident managers, engineers, medical experts etc. was established. During an initial struggle with a number of difficulties, the response was sparse. However, after an official permit had been issued, the questionnaires delivered a wealth of data. Furthermore a documentary archive was established, which provided additional information. The multidimensional problem in connection with the severe accident of Chernobyl, the clarification of the causes of the accident, as well as failures and successes and lessons to be learned from the Chernobyl emergency measures and accident management are discussed. (authors)

Medical and Toxicological Factors in Aircraft Accidents,

Science.gov (United States)

1980-04-01

are routinely screened for in accident victims, but positive results are unusual. marihuana is a drug of more widespread use, but it has been...suspected of having smoked marihuana , alcohol swabs may be made of the fingers, lips, and mucous membranes of the mouth. A relatively simple chemical...reaction can detect marihuana ingredients extracted into the alcohol, but this test is qualitative and only heightens one’s suspicion that the pilot

Procedure for the classification of professional accidents of members of the personnel – REMINDER

CERN Multimedia

HR Department

2011-01-01

HR Department would like to remind members of the personnel that, according to the procedure for an accident deemed to be occupational and according to paragraph 29 of Administrative Circular No. 14 (Rev.2), they are requested to complete an accident declaration form (HS 50) within ten working days after the accident has occurred*). Once this deadline has passed, HR Department will be unable to proceed with the classification of the accident and, consequently, medical expenses that may arise linked to this accident will be reimbursed under the non-occupational scheme. In addition, any request for the classification of occupational accidents must be accompanied by a medical certificate detailing the bodily injuries resulting from the accident in question.   _______________ *) Or within three months of its occurrence if the victim or his beneficiaries are materially unable to meet this deadline.

Traumatology of the knee joint - radiological and accident surgery aspects. Pt. 1

International Nuclear Information System (INIS)

Schild, H.; Ahlers, J.; Mainz Univ.

1987-01-01

Lesions of the knee joint are relatively frequent and are on the increase due to the increasing number of sports and traffic accidents. Violent force exercised on the knee can lead basically to two different kinds of injury sequels. As a rule, injuries to the bone do not present diagnostic problems if there is a clear break in continuity. On the other hand, it is often very difficult to detect chondral or osteochondral lesions and also certain types of longitudinal patellar fractures and fractures of the head of the tibia. Their visualisation requires more far-reaching diagnostic measures. Fundamentally more difficult to identify: the second group of lesions, namely, those of the internal structures of the knee, unless there is a marked instability which is usually accessible to clinical examination. Relatively slight osseous tears or ruptures of a ligament often remain unnoticed on the plain X-ray film. Other diagnostic techniques are imperative in such cases. The first part deals specifically with the radiological aspects of knee injuries. The majority of injuries close to the knee region can be visualized by making use of all techniques of roentgenology. However, if the examination methods get too costly and complicated without ensuring an absolutely safe diagnosis other techniques must be employed. An example in this regard are the chondral or osteochondral lesions. It is here that arthroscopy often yields better results while offering at the same time a possibility to remove individual small fragments. (orig.) [de

Development of Krsko Severe Accident Management Guidance (SAMG)

International Nuclear Information System (INIS)

Cizel, F.

1999-01-01

In this lecture development of severe accident management guidances for Krsko NPP are described. Author deals with the history of severe accident management and implementation of issues (validation, review of E-plan and other aspects SAMG implementation guidance). Methods of Westinghouse owners group, of Combustion Engineering owners group, of Babcock and Wilcox owners group, of the BWR owners group, as well as application of US SAMG methodology in Europe and elsewhere are reviewed

A Review of Supplementary Medical Aspects of Post-Cold War UN Peacekeeping Operations: Trends, Lessons Learned, Courses of Action, and Recommendations.

Science.gov (United States)

Johnson, Ralph J

2015-01-01

Post-Cold War United Nations Peace Keeping Operations (UN PKOs) have been increasingly involved in dangerous areas with ill-defined boundaries, harsh and remote geographies, simmering internecine armed conflict, and disregard on the part of some local parties for peacekeepers' security and role. In the interest of force protection and optimizing operations, a key component of UN PKOs is healthcare and medical treatment. The expectation is that UN PKO medical support will adjust to the general intent and structure of UN PKOs. To do so requires effective policies and planning informed by a review of all medical aspects of UN PKO operations, including those considered supplementary, that is, less crucial but contributing nonetheless. Medical aspects considered paramount and key to UN PKOs have received relatively thorough treatment elsewhere. The intent of this article is to report on ancillary and supplemental medical aspects practical to post-Cold War UN PKO operations assembled through an iterative inquiry of open-source articles. Recommendations are made about possible courses of action in terms of addressing trends found in such medical aspects of PKOs and relevance of US/NATO/European Union models and research.

Criticality accident studies and methodology implemented at the CEA

International Nuclear Information System (INIS)

Barbry, Francis; Fouillaud, Patrick; Reverdy, Ludovic; Mijuin, Dominique

2003-01-01

Based on the studies and results of experimental programs performed since 1967 in the CRAC, then SILENE facilities, the CEA has devised a methodology for criticality accident studies. This methodology integrates all the main focuses of its approach, from criticality accident phenomenology to emergency planning and response, and thus includes aspects such as criticality alarm detector triggering, airborne releases, and irradiation risk assessment. (author)

Follow-up of delayed health consequences of acute radiation exposure. Lessons to be learned from their medical management

International Nuclear Information System (INIS)

2002-07-01

While the use of radioactive materials around the world offers a wide range of benefits in medicine, industry and research, safety precautions are essential to limit the exposure of persons to harmful radiation. When the quantity of radioactive material employed is substantial, as when radioactive sources are used for radiotherapy in medicine or for industrial radiography, extreme care is necessary to prevent accidents that may lead to severe health consequences for the individuals involved. Despite the fact that the precautions to be taken are clearly established, accidents with radiation sources continue to occur, albeit infrequently. The IAEA, as part of its 'Safety of Radiation Sources' and 'Emergency Response' subprogrammes, follows up severe accidents of this kind. In so doing, the IAEA attempts to document both the circumstances leading to the accident and the subsequent medical treatment in order to define the lessons to be learned from these events. The overall objective is to provide information that will be of benefit to organizations with responsibilities for radiation protection, the safety of radiation sources and the medical management of radiation accidents. The International Atomic Energy Agency has issued a number of publications on radiation accidents which have occurred in the past 15 years, reporting on the causes, radiation safety aspects and medical management of those affected particularly in the acute phase following an accident. These reports cover the accidents in Chernobyl, Ukraine (the Republic of the former Soviet Union) and Goiania (Brazil), and those in El Salvador, Vietnam, Belarus, Israel, Estonia, Costa Rica, Georgia, Russian Federation, Turkey, Peru and Panama. In 1998 the IAEA published three Safety Reports, co-sponsored by the World Health Organization, aimed at disseminating medical information on the recognition and treatment of radiation injuries, planning the medical response to radiation accidents and occupational health

Follow-up of delayed health consequences of acute radiation exposure. Lessons to be learned from their medical management

Energy Technology Data Exchange (ETDEWEB)

NONE

2002-07-01

While the use of radioactive materials around the world offers a wide range of benefits in medicine, industry and research, safety precautions are essential to limit the exposure of persons to harmful radiation. When the quantity of radioactive material employed is substantial, as when radioactive sources are used for radiotherapy in medicine or for industrial radiography, extreme care is necessary to prevent accidents that may lead to severe health consequences for the individuals involved. Despite the fact that the precautions to be taken are clearly established, accidents with radiation sources continue to occur, albeit infrequently. The IAEA, as part of its 'Safety of Radiation Sources' and 'Emergency Response' subprogrammes, follows up severe accidents of this kind. In so doing, the IAEA attempts to document both the circumstances leading to the accident and the subsequent medical treatment in order to define the lessons to be learned from these events. The overall objective is to provide information that will be of benefit to organizations with responsibilities for radiation protection, the safety of radiation sources and the medical management of radiation accidents. The International Atomic Energy Agency has issued a number of publications on radiation accidents which have occurred in the past 15 years, reporting on the causes, radiation safety aspects and medical management of those affected particularly in the acute phase following an accident. These reports cover the accidents in Chernobyl, Ukraine (the Republic of the former Soviet Union) and Goiania (Brazil), and those in El Salvador, Vietnam, Belarus, Israel, Estonia, Costa Rica, Georgia, Russian Federation, Turkey, Peru and Panama. In 1998 the IAEA published three Safety Reports, co-sponsored by the World Health Organization, aimed at disseminating medical information on the recognition and treatment of radiation injuries, planning the medical response to radiation accidents and occupational health

OSTEOPOROSIS IN RUSSIAN FEDERATION: EPIDEMIOLOGY, SOCIO-MEDICAL AND ECONOMICAL ASPECTS (REVIEW)

OpenAIRE

O. M. Lesnyak; I. A. Baranova; K. Yu. Belova; E. N. Gladkova; L. P. Evstigneeva; O. B. Ershova; T. L. Karonova; A. Yu. Kochish; O. A. Nikitinskaya; I. A. Skripnikova; N. V. Toroptsova; R. M. Aramisova

2018-01-01

The authors performed an analysis of published stadies devoted to osteoporosis situation in Russian Federation including epidemiological, social, medical and economical aspects of this pathology. The analysis demonstrated that osteoporosis is reported in every third woman and every forth man of 50 years old and older. Seven vertebra fractures happen every minute and one fracture of proximal femur — every 5 minutes in Russia. An overall number of all key osteoporotic fractures will increase fr...

The report of the criticality accident in a uranium conversion test plant in Tokai-mura

International Nuclear Information System (INIS)

Murata, Hajime; Akashi, Makoto

2002-03-01

The criticality accident in the title occurred at around 10:35, on Sep. 30, 1999, cost the lives of two workers and caused many residents concern on their health. Moreover, rumors had both social and economic consequences. This report is a detailed account of the roles that many individuals and groups in the National Institute of Radiological Sciences (NIRS) performed in a range of the areas, and is published to discharge NIRS responsibilities in regards to the accident. The report involves chapters of detailed outline of the accident; acceptance of the victims and communications until the identification of the ''criticality'' accident; initial treatment; dose estimation (medical, hematological, physical and biological ones and that by dental metals activated by the neutron); decision making for therapeutic strategies; cooperation with the Network Council for Radiation Emergency Medicine and other medical facilities; emergency importation of medical supplies; treatment and progress (nursing system and radiation injuries); protection from radiation in medical facilities; response to nearby residents of the Plant; international response; press release; Uranium Processing Plant Criticality Accident Investigation Committee and the Health Management Committee organized by the Nuclear Safety Commission; handling of information; and radiation emergency medical preparedness at the NIRS (future issues and prospect). The report is hoped to be useful in preventing the occurrence of future accidents. (K.H.)

The handling of radiation accidents

International Nuclear Information System (INIS)

1977-01-01

The symposium was attended by 204 participants from 39 countries and 5 international organizations. Forty-two papers were presented in 8 sessions. The purpose of the meeting was to foster an exchange of experiences gained in establishing and exercising plans for mitigating the effects of radiation accidents and in the handling of actual accident situations. Only a small number of accidents were reported at the symposium, and this reflects the very high standards of safety that has been achieved by the nuclear industry. No accidents of radiological significance were reported to have occurred at commercial nuclear power plants. Of the accidents reported, industrial radiography continues to be the area in which most of the radiation accidents occur. The experience gained in the reported accident situations served to confirm the crucial importance of the prompt availability of medical and radiological services, particularly in the case of uptake of radioactive material, and emphasized the importance of detailed investigation into the causes of the accident in order to improve preventative measures. One of the principal themes of the symposium involved emergency procedures related to nuclear power plant accidents, and several papers defining the scope, progression and consequences of design base accidents for both thermal and fast reactor systems were presented. These were complemented by papers defining the resultant protection requirements that should be satisfied in the establishment of plans designed to mitigate the effects of the postulated accident situations. Several papers were presented describing existing emergency organizational arrangements relating both to specific nuclear power plants and to comprehensive national schemes, and a particularly informative session was devoted to the topic of training of personnel in the practical conduct of emergency arrangements. The general feeling of the participants was one of studied confidence in the competence and

Methodological aspects of core meltdown accidents frequency estimates

International Nuclear Information System (INIS)

Matthis, P.

1984-01-01

A survey is given of the work of the ecological institute relating to models and methods used in the German Risk Study for the assessment of core meltdown accident frequency. A statistical model used by the ecological institute for the estimation of the outage behaviour of components is taken as a comparison, which leads to the conclusion that no appropriate methods for the assessment of component reliability are available to date. Furthermore, there are no secured methods for error propagation computation. The lower limits for the ranges of reliability of components are calculated by approximation. As a result of imperfect modelling and of a number of methodical inaccuracies and neglects, the German Risk Study underestimates the ranges of component reliability by a factor of 3 to 70 (depending on the type of component). (RF) [de

Medical Surveillance Monthly Report (MSMR). Volume 17, Number 07, July 2010

Science.gov (United States)

2010-07-01

14. Knapik JJ, Reynolds KL, Harman E. Soldier load carriage: historical, physiological, biomechanical , and medical aspects. Mil Med. 2004 Jan;169(1...transport accidents and their sequelae 3110 2 2.4 Pedal cyclist involved in collision with motor vehicle 2970 1 1.2 Total 85 100% Figure 5. Number...corticosteroids on the biomechanical strength of rat rotator cuff tendon. J Bone Joint Surg Am. 2009 May; 91(5):1172-80. 7. Sode J, Obel N, Hallas J

Prevention of the causes and consequences of a criticality accident - measures adopted in France

International Nuclear Information System (INIS)

Fruchard, Y.; Lavie, J.M.

1966-01-01

The question of safety in regard to criticality accident risks has two aspects: prevention of the cause and limitation of the consequences. These two aspects are closely connected. The effort devoted to prevention of the causes depends on the seriousness of the possible human psychologic and economic consequences of the accident. The criticality accidents which have occurred in the nuclear industry, though few in number, do reveal the imperfect nature of the techniques adopted to prevent the causes, and also constitute the only available realistic basis for evaluating the consequences and developing measures to limit them. The authors give a analysis of the known causes and consequences of past criticality accidents and on this basis make a number of comments concerning: the validity of traditional safety criteria, the probability of accidents for different types of operations, characteristic accidents which can serve as models, and the extent of possible radiological consequences. The measures adopted in France to limit the consequences of a possible criticality accident under the headings: location, design and lay-out of the installations, accident detection, and dosimetry for the exposed personnel, are briefly described after a short account of the criteria used in deciding on them. (author) [fr

Improvement of Severe Accident Analysis Computer Code and Development of Accident Management Guidance for Heavy Water Reactor

International Nuclear Information System (INIS)

Park, Soo Yong; Kim, Ko Ryu; Kim, Dong Ha; Kim, See Darl; Song, Yong Mann; Choi, Young; Jin, Young Ho

2005-03-01

The objective of the project is to develop a generic severe accident management guidance(SAMG) applicable to Korean PHWR and the objective of this 3 year continued phase is to construct a base of the generic SAMG. Another objective is to improve a domestic computer code, ISAAC (Integrated Severe Accident Analysis code for CANDU), which still has many deficiencies to be improved in order to apply for the SAMG development. The scope and contents performed in this Phase-2 are as follows: The characteristics of major design and operation for the domestic Wolsong NPP are analyzed from the severe accident aspects. On the basis, preliminary strategies for SAM of PHWR are selected. The information needed for SAM and the methods to get that information are analyzed. Both the individual strategies applicable for accident mitigation under PHWR severe accident conditions and the technical background for those strategies are developed. A new version of ISAAC 2.0 has been developed after analyzing and modifying the existing models of ISAAC 1.0. The general SAMG applicable for PHWRs confirms severe accident management techniques for emergencies, provides the base technique to develop the plant specific SAMG by utility company and finally contributes to the public safety enhancement as a NPP safety assuring step. The ISAAC code will be used inevitably for the PSA, living PSA, severe accident analysis, SAM program development and operator training in PHWR

Improvement of Severe Accident Analysis Computer Code and Development of Accident Management Guidance for Heavy Water Reactor

Energy Technology Data Exchange (ETDEWEB)

Park, Soo Yong; Kim, Ko Ryu; Kim, Dong Ha; Kim, See Darl; Song, Yong Mann; Choi, Young; Jin, Young Ho

2005-03-15

The objective of the project is to develop a generic severe accident management guidance(SAMG) applicable to Korean PHWR and the objective of this 3 year continued phase is to construct a base of the generic SAMG. Another objective is to improve a domestic computer code, ISAAC (Integrated Severe Accident Analysis code for CANDU), which still has many deficiencies to be improved in order to apply for the SAMG development. The scope and contents performed in this Phase-2 are as follows: The characteristics of major design and operation for the domestic Wolsong NPP are analyzed from the severe accident aspects. On the basis, preliminary strategies for SAM of PHWR are selected. The information needed for SAM and the methods to get that information are analyzed. Both the individual strategies applicable for accident mitigation under PHWR severe accident conditions and the technical background for those strategies are developed. A new version of ISAAC 2.0 has been developed after analyzing and modifying the existing models of ISAAC 1.0. The general SAMG applicable for PHWRs confirms severe accident management techniques for emergencies, provides the base technique to develop the plant specific SAMG by utility company and finally contributes to the public safety enhancement as a NPP safety assuring step. The ISAAC code will be used inevitably for the PSA, living PSA, severe accident analysis, SAM program development and operator training in PHWR.

Chinese experience on medical response to radiation emergencies

International Nuclear Information System (INIS)

Liu, Ying; Qin, Bin; Lei, Cuiping; Chen, Huifang; Han, Yuhong

2008-01-01

Full text: Chinese Center for Medical Response to Radiation Emergency (CCMRRE) was established in 1992, based on the National Institute for Radiological Protection, China CDC (NIRP, China CDC). CCMRRE is a liaison of WHO/REMPAN and functions as a national and professional institute for medical preparedness and response to emergencies involving radioactive material. CCMRRE participates in drafting National Medical Assistant Program for Radiation Emergency and relevant technical documents, develops preventive measures and technique means of medical preparedness and response to radiation emergency. CCMRRE is responsible for medical response to radiological or nuclear accident on national level. CCMRRE holds training courses, organizes drills and provides technical support to local medical organizations in practicing medical preparedness and response to radiation emergency. CCMRRE collects, analyzes and exchanges information on medical response to radiological and nuclear emergency and establishes relevant database. CCMRRE also guides and participates in radiation pollution monitoring on accident sites. In the past ten years, we accumulate much knowledge and experience on medical response to radiation emergencies. In this context, we will discuss Xinzhou Accident, which took place in 1992 and involved in three deaths, and Ha'erbin Accident that took place in 2005 and involved one death. A father and two brothers in Xinzhou Accident died of over-exposed to 60 Co source and misdiagnosis and improper treatment, which indicates that most general practitioners are uncertain about the health consequences of exposure to ionizing radiation and the medical management of exposed patients. When Ha'erbin Accident happened in 2005, the local hospital gave the right diagnosis and treatment based on the clinic symptoms and signs, which prevent more people suffering from over-expose to 192 Ir source. The distinct changes comes from the education and training to primary doctors related

[Frequently accidents and injury at school].

Science.gov (United States)

Gautier Vargas, María; Martínez González, Vanesa

2011-01-01

During the time we have been in a private company that provide schools with medical care, we were surprised by the frequent and constant phone calls received to ask for our services. This fact made us take the decision to carry out a survey to find out the accidents and the most frequent injuries. According to the retrospective study we realized throughout two different academic courses in several schools in Cantabria, the 3.23% of the students have any accidents or injuries. We found out children between 11 and 15 have the highest accident rate, being 10.8 % higher when boys (rather than girls) are involved. The most common injuries are contusions 42.85%, followed by sprains 23.45%, being blows the reason in 42% of the cases, and surprisingly acts of aggression in 1%. It was also unexpected to learn that gyms, where children are taught in physical education, have the highest percent on accident rate. All these inquiries lead us to think that age, play and sports are determinant factors in the accidents happened in the school area.

Industrial accidents in radiological controlled areas: the importance of radiation protection in the organisation of the emergency aid

International Nuclear Information System (INIS)

Fenolland, J.L.; Laporte, E.

2003-01-01

After some disappointments when the first French nuclear units were started, it became clear that all the aspects linked to radio-protection needed to be taken into account in the context of emergency aid in the case of an industrial accident in radiological controlled area. In the case of an accident involving people, on-site first aid is provided by permanent services of the power plant. These teams are trained in first aid and fire-fighting. They are well trained in radioprotection. The specificity of an industrial event in controlled zone is that the victims' conventional injuries, whether it be a wound, a burn or a fracture, can be complicated by radioactive contamination. If it is justified, the exterior emergency services (firemen and medical teams) sire immediately called in. These teams are not necessarily trained in radioprotection. (authors)

Interventions to reduce accidents in childhood: a systematic review.

Science.gov (United States)

Barcelos, Raquel S; Del-Ponte, Bianca; Santos, Iná S

2017-12-30

To review the literature on interventions planned to prevent the incidence of injuries in childhood. The PubMed, Web of Science, and Bireme databases were searched by two independent reviewers, employing the single terms accidents, accident, injuries, injury, clinical trial, intervention, educational intervention, and multiple interventions, and their combinations, present in the article title or abstract, with no limits except period of publication (2006-2016) and studies in human subjects. Initially, 11,097 titles were located. Fifteen articles were selected for the review. Eleven were randomized trials (four carried out at the children's households, five in pediatric healthcare services, and two at schools), and four were non-randomized trials carried out at the children's households. Four of the randomized trials were analyzed by intention-to-treat and a protective effect of the intervention was observed: decrease in the number of risk factors, decrease in the number of medical consultations due to injuries, decrease in the prevalence of risk behaviors, and increase of the parents' knowledge regarding injury prevention in childhood. Traumatic injuries in childhood are amenable to primary prevention through strategies that consider the child's age and level of development, as well as structural aspects of the environment. Copyright © 2017 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.

Heat transfer phenomena revelant to severe accidents

International Nuclear Information System (INIS)

Dallman, R.J.; Duffey, R.B.

1990-01-01

A number of aspects of severe accidents have been reviewed, particularly in relation to the heat transfer characteristics and the important phenomena. It is shown that natural circulation, forced convection, and entrainment phenomena are important for both the reactor system and ex-vessel events. It is also shown that the phenomena related to two component enhanced heat transfer is important in the pool of molten core debris, in relation to the potential for attack of the liner structure and the concrete. These mechanisms are discussed within the general context of severe accident progression

Heat transfer phenomena relevant to severe accidents

International Nuclear Information System (INIS)

Dallman, R.J.; Duffey, R.B.

1990-01-01

A number of aspects of severe accidents have been reviewed, particularly in relation to the heat transfer characteristics and the important phenomena. It is shown that natural circulation, forced convection, and entrainment phenomena are important for both the reactor system and ex-vessel events. It is also shown that the phenomena related to two component enhanced heat transfer is important in the pool of molten core debris, in relation to the potential for attack of the liner structure and the concrete. These mechanisms are discussed within the general context of severe accident progression. 26 refs

A Web-based survey on students' conceptions of 'accident'.

Science.gov (United States)

Blank, Danilo; Hohgraefe Neto, Guilherme; Grando, Elisa; Siqueira, Pauline Z; Lunkes, Roberta P; Pietrobeli, João Leonardo; Marzola, Norma Regina; Goldani, Marcelo Z

2009-12-01

To report the implementation of an open source web survey application and a case study of its first utilisation, particularly as to aspects of logistics and response behaviour, in a survey of Brazilian university students' conceptions about injury causing events. We developed an original application capable of recruiting respondents, sending personal e-mail invitations, storing responses and exporting data. Students of medical, law, communication and education schools were asked about personal attributes and conceptions of the term accident, as to associations and preventability. The response rate was 34.5%. Half of the subjects responded by the second day, 66.3% during the first week. Subjects around 4.2% (95% CI 3.3-5.4) refused to disclose religious persuasion, and 19.2% (95% CI 17.2-21.3) refused to disclose political persuasion, whereas only 2.8% (95% CI 2.1-3.8), on average, refused to answer questions on conceptions and attitudes. There was no significant difference between early and late respondents in respect to selected attributes and conceptions of accident (P-value varied from 0.145 to 0.971). The word accident evoked the notion of preventability to 85.1% (95% CI 83.2 to 87.0) of the subjects, foreseeability to 50.3% (95% CI 47.7-53.0), fatality to 15.1% (95% CI 13.3-17.1) and intentionality to 2.3% (95% CI 1.6-3.2). Web surveying university students' conceptions about injuries is feasible in a middle-income country setting, yielding response rates similar to those found in the literature.

What is a medical physicist?

International Nuclear Information System (INIS)

Endo, Masahiro

2011-01-01

The modern radiotherapy requires a medical physicist who optimizes treatment plans, assures delivered dose equal to prescription, and performs QA (quality assurance) of radiotherapy equipments. However, medical physicist has not been established as a medical profession in Japan mainly because importance of radiotherapy was not sufficiently recognized until recently. Between 2000 and 2004, several accidents of radiotherapy including hundreds of patients were found and these accidents were mainly caused by lack of QA. The necessity and importance of medical physicist were recognized by these accidents as well as by the advent of high-precision radiotherapy such as IMRT (intensity modulation radiation therapy). JRS (Japan Radiological Society) that certified medical physicists with the help of JSMP (Japan Society of Medical Physics), decided to extend eligibility in order to increase certified medical physicists rapidly in 2003. After the decision certified medical physicists were rapidly increased in number. The government supports this tendency to enact that certified medical physicists is necessary to reimbursement for high-precision therapy. It also started to supply grants for medical physics training in physical and health science graduate schools. In this program several universities have started medical physics course in their graduate schools. If these movements continue, medical physicist will be established as a medical profession in the near future. (author)

Report about the radiological accident in Goiania; Documentario do acidente radiologico de Goiania

Energy Technology Data Exchange (ETDEWEB)

Schrimer, H.P.; Gomes, C.A.; Recio, J.C.A. [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil). Coordenacao de Rejeitos Radioativos

1997-12-31

This work reports the activities developed by the technical groups who worked during the radiological accident in Goiania, held on September 1997. Several aspects of the accident are described. The final solution for the disposal of the radioactive wastes generated during the accident is presented, according to the Brazilian waste management policy. (author) 7 refs., 6 figs., 2 tabs.; hebe at cnen.gov.br

REAC/TS Radiation Accident Registry: An Overview

Energy Technology Data Exchange (ETDEWEB)

Doran M. Christensen, DO, REAC/TS Associate Director and Staff Physician Becky Murdock, REAC/TS Registry and Health Physics Technician

2012-12-12

Over the past four years, REAC/TS has presented a number of case reports from its Radiation Accident Registry. Victims of radiological or nuclear incidents must meet certain dose criteria for an incident to be categorized as an “accident” and be included in the registry. Although the greatest numbers of “accidents” in the United States that have been entered into the registry involve radiation devices, the greater percentage of serious accidents have involved sealed sources of one kind or another. But if one looks at the kinds of accident scenarios that have resulted in extreme consequence, i.e., death, the greater share of deaths has occurred in medical settings.

Toxicological findings in fatally injured pilots of 979 amateur-built aircraft accidents.

Science.gov (United States)

2011-12-01

"Biological samples collected from fatally injured pilots in aviation accidents involving all types of aircraft, including : amateur-built aircraft, are submitted to the Civil Aerospace Medical Institute (CAMI) for accident investigation. : These sam...

Lifetime followup of the 1976 americium accident victim: [Final report

International Nuclear Information System (INIS)

Breitenstein, B.D. Jr.; Palmer, H.E.

1988-05-01

This report describes the 11 year medical course of Harold R. McCluskey, a Hanford nuclear chemical operator, who, at age 64, was involved in an accident in an americium recovery facility in August 1976. As a result of the accident, he was heavily contaminated with americium (Am-241), sustained a substantial internal deposition of this isotope, and was burned with concentrated nitric acid and injured by flying debris about the face and neck. The immediate and long-term medical care is summarized, including decontamination procedures, chelation therapy, and routine and special clinical laboratories studies. The estimates of the operator's Am-241 deposition, post accident and during the remainder of his life and the special techniques and equipment used to make the estimates, are reported. Post-accident, the total amount of Am-241 excreted in his urine and feces was 41 MBq (1.1 mCi). He died of complications of chronic coronary artery disease on August 17, 1987. 20 refs., 2 figs

Core fusion accidents in nuclear power reactors. Knowledge review

International Nuclear Information System (INIS)

Bentaib, Ahmed; Bonneville, Herve; Clement, Bernard; Cranga, Michel; Fichot, Florian; Koundy, Vincent; Meignen, Renaud; Corenwinder, Francois; Leteinturier, Denis; Monroig, Frederique; Nahas, Georges; Pichereau, Frederique; Van-Dorsselaere, Jean-Pierre; Cenerino, Gerard; Jacquemain, Didier; Raimond, Emmanuel; Ducros, Gerard; Journeau, Christophe; Magallon, Daniel; Seiler, Jean-Marie; Tourniaire, Bruno

2013-01-01

This reference document proposes a large and detailed review of severe core fusion accidents occurring in nuclear power reactors. It aims at presenting the scientific aspects of these accidents, a review of knowledge and research perspectives on this issue. After having recalled design and operation principles and safety principles for reactors operating in France, and the main studied and envisaged accident scenarios for the management of severe accidents in French PWRs, the authors describe the physical phenomena occurring during a core fusion accident, in the reactor vessel and in the containment building, their sequence and means to mitigate their effects: development of the accident within the reactor vessel, phenomena able to result in an early failure of the containment building, phenomena able to result in a delayed failure with the corium-concrete interaction, corium retention and cooling in and out of the vessel, release of fission products. They address the behaviour of containment buildings during such an accident (sizing situations, mechanical behaviour, bypasses). They review and discuss lessons learned from accidents (Three Mile Island and Chernobyl) and simulation tests (Phebus-PF). A last chapter gives an overview of software and approaches for the numerical simulation of a core fusion accident

Medical procedures in the event of nuclear power plant accidents. Guidelines for: Medical consultants for emergency response commander; physicians in emergency care centres; physicians in outpatient and inpatient care

International Nuclear Information System (INIS)

Genkel, Simone

2008-01-01

The author of the contribution under consideration reports on medical procedures in the event of nuclear power plant accidents. This contribution consists of the following sections: protective measures, tasks of radiation protection physicians, emergency care centres. It has been pointed out that differentiation of the hospitals is acquired which accept radiation accident patients. However, only a small number of hospitals will be able to professionally treat patients with suspected gastrointestinal or pronounced (muco)cutaneous type of hospitals with haemotological-oncological departments. Thus they should be able to treat patients who have been exposed to radiation doses between 1 and 6 Gy without any difficulties. Even larger is the number of hospitals which can accept patients who were exposed to a radiation dose of less than 1 Gy, but suffer from other complicating diseases (injuries, general diseases)

Planning of emergency medical treatment in nuclear power plant

International Nuclear Information System (INIS)

Kusama, Tomoko

1989-01-01

Medical staffs and health physicists have shown deep concerning at the emergency plans of nuclear power plants after the TMI nuclear accident. The most important and basic countermeasure for accidents was preparing appropriate and concrete organization and plans for treatment. We have planed emergency medical treatment for radiation workers in a nuclear power plant institute. The emergency medical treatment at institute consisted of two stages, that is on-site emergency treatment at facility medical service. In first step of planning in each stage, we selected and treatment at facility medical service. In first step of planning in each stage, we selected and analyzed all possible accidents in the institute and discussed on practical treatments for some possible accidents. The manuals of concrete procedure of emergency treatment for some accidents were prepared following discussion and facilities and equipment for medical treatment and decontamination were provided. All workers in the institute had periodical training and drilling of on-site emergency treatment and mastered technique of first aid. Decontamination and operation rooms were provided in the facillity medical service. The main functions at the facility medical service have been carried out by industrial nurses. Industrial nurses have been in close co-operation with radiation safety officers and medical doctors in regional hospital. (author)

Concept of radiological, medical and social protection of the population of Russia affected by accidental exposure

International Nuclear Information System (INIS)

Osechinski, I.V.; Ivanov, E.V.; Ramzaev, P.V.; Balonov, M.I.; Tsyb, A.F.

1997-01-01

Main principles of population radiation protection from various accidental exposure, including the Chernobyl accident, have been implemented in officially approved Concept ''On radiological, medical, social protection and rehabilitation of the Russian Federation population affected by accidental radiation exposure''. The concept includes basic principles of radiation protection, designation of regional radionuclide contaminated territories, records and registers of exposed persons, health protection and rehabilitation, socio-economic and legal aspects

Medical emergency protection in case of radiologic or nuclear accidents in Germany; Medizinischer Notfallschutz bei radiologischen oder nuklearen Notfaellen in Deutschland

Energy Technology Data Exchange (ETDEWEB)

Port, Matthias [Ulm Univ. (Germany); Institut fuer Radiobiologie der Bundeswehr, Muenchen (Germany)

2017-07-01

Radiological or nuclear accidents with an overexposure of ionizing radiation are extremely seldom events in Germany. Even physicians in nuclear medicine working with high-dose radiotherapy will very probably never be confronted with real radiation injuries. This is also true for authorized physicians in the medical care for persons with occupational exposures. A smart radiation protection system provides a comprehensive protection even in accidental and unplanned situations.

Courses on emergency preparedness and medical procedures in case of a nuclear accident organised in Zagreb, Croatia

International Nuclear Information System (INIS)

Kasal, B.; Dodig, D.; Tezak, S.

2000-01-01

As a part of the postgraduate education at the Medical School of the University of Zagreb, different short courses are offered. It has been realised that the knowledge about radiation and its uses among the Croatian doctors is more than insufficient, especially if any action for treatment of radiation victims will ever be needed. The specialised courses of the I. category, offered and described bellow, are meant to provide the sufficient theoretical knowledge about ionising radiations as well as practical workshops and exercises in treatment of persons accidentally injured in a nuclear power plant or similar accident. (author)

Development of an Accident Reproduction Simulator System Using a Hemodialysis Extracorporeal Circulation System

OpenAIRE

Nishite, Yoshiaki; Takesawa, Shingo

2016-01-01

Background Accidents that occur during dialysis treatment are notified to the medical staff via alarms raised by the dialysis apparatus. Similar to such real accidents, apparatus activation or accidents can be reproduced by simulating a treatment situation. An alarm that corresponds to such accidents can be utilized in the simulation model. Objectives The aim of this study was to create an extracorporeal circulation system (herein...

Accident Assessment

International Nuclear Information System (INIS)

Tripputi, Ivo; Lund, Ingemar

2002-01-01

There is a general feeling that decommissioning is an activity involving limited risks, compared to NPP operation, and in particular risks involving the general public. This is technically confirmed by licensing analysis and evaluations, where, once the spent fuel has been removed from the plant, the radioactivity inventory available to be released to the environment is very limited. Decommissioning activities performed so far in the world have also confirmed the first assumptions and no specific issue has been identified, in this field, to justify a completely new approach. Commercial interests in international harmonization, which could drive an in-depth discussion about the bases of this approach, are weak at the moment. However, there are several reasons why a discussion in an international framework about the Safety Case for decommissioning (and, in particular, about Accident Assessment) may be considered necessary and important, and why it may show some specific and peculiar aspects. An effort for a comprehensive and systematic D and D accident safety assessment of the decommissioning process is justified. It is necessary also to explore in a holistic way the aspects of industrial safety, and develop tools for the decision-making process optimization. The expected results are the implementation of appropriate and optimized protective measures in any event and of adequate on/off-site emergency plans for optimal public and workers protection. The experience from other decommissioning projects and large-scale industrial activities is essential to balance provisions and an Operating Experience review process (specific for decommissioning) should help to focus on real issues

Medical assistance in the management of nuclear power plant accidents. Guide for: medical personnel of emergency preparedness services, doctors of emergency departments, doctors for out-patient or in-patient treatment. 2. rev. ed.

International Nuclear Information System (INIS)

Gumprecht, D.; Haehnel, S.

1995-01-01

The guide explains the medical tasks and activities in the context of the emergency preparedness programmes and provisions established by the Laender. The medical expert for radiation injuries is a particularly important function in the radiologial accident management services. The provisions for medical care have been determined on the basis of knowledge drawn among other sources from the German Nuclear Power Plant Risk Study, Phase B. In addition, the guide's provisions are based on international knowledge about the consequences of enhanced radiation exposure, and the medical tasks and the required organisational infrastructure have been determined accordingly. A further source of reference for planning the activities are the data accumulated during emergency preparedness training activities in the various Laender. (orig./MG). 3 figs., 5 tabs [de

Medical management of nuclear disaster

International Nuclear Information System (INIS)

Kinugasa, Tatsuya

1996-01-01

This report briefly describes the measures to be taken other than ordinary duties when an accident happens in nuclear facilities such as atomic power plant, reprocessing plant, etc. Such nuclear disasters are assigned into four groups; (1) accidents in industrial levels, (2) accidents in which the workers are implicated, (3) accidents of which influence to environments should be taken into consideration and (4) accidents to which measures for inhabitants should be taken. Therefore, the measures to be taken at an emergency were also grouped in the following four; (1) treatments for the accident, itself, (2) measures to minimize the effects on the environment, (3) rescues of the victims and emergency cares for them and (4) measures and medical cares to protect the inhabitants from radiation exposure. Presently, medical professionals, especially doctors, nurses etc. are not accustomed to control nuclear contaminations. Therefore, it is needed for radiological professionals to actively provide appropriate advises about the control and measurement of contamination. (M.N.)

Dosimetric management during a criticality accident

International Nuclear Information System (INIS)

Lebaron-Jacobs, L.; Fottorino, R.; Racine, Y.; Miele, A.; Barbry, F.; Briot, F.; Distinguin, S.; Le Goff, J.P.; Berard, P.; Boisson, P.; Cavadore, D.; Lecoix, G.; Persico, M.H.; Rongier, E.; Challeton-De Vathaire, C.; Medioni, R.; Voisin, P.; Exmelin, L.; Flury-Herard, A.; Gaillard-Lecanu, E.; Lemaire, G.; Gonin, M.; Riasse, C.

2008-01-01

A working group from health occupational and clinical biochemistry services on French sites has issued essential data sheets on the guidelines to follow in managing the victims of a criticality accident. Since the priority of the medical management after a criticality accident is to assess the dose and the distribution of dose, some dosimetric investigations have been selected in order to provide a prompt response and to anticipate the final dose reconstruction. Comparison exercises between clinical biochemistry laboratories on French sites were carried out to confirm that each laboratory maintained the required operational methods for hair treatment and the appropriate equipment for 32 P activity in hair and 24 Na activity in blood measurements, and to demonstrate its ability to rapidly provide neutron dose estimates after a criticality accident. As a result, a relation has been assessed to estimate the dose and the distribution of dose according to the neutron spectrum following a criticality accident. (authors)

Historical update of past and recent skin damage radiation accidents

International Nuclear Information System (INIS)

Lushbaugh, C.C.; Fry, S.A.; Ricks, R.C.; Hubner, K.F.; Burr, W.W.

1986-01-01

Records of radiation accidents worldwide since 1944 are maintained at the Radiation Accident Registry of the Radiation Emergency Assistance Center/Training Site (REAC/TS) in Oak Ridge. These records show that in 263 major radiation accidents there have been 150 severe local radiation injuries, of which 117 have been exposure to sealed radioactive sources. Most lesions resulted from the unsafe handling of 192 Ir radiography sources. Recent redesign of these devices, used for testing the integrity of welds, promises to eliminate these accidents. However, many other kinds of irradiators used in industry and scientific research still remain in the public domain, capable of causing irreparable dermal damage. Registry records reveal many unsolved physical and medical problems whose solution is urgently needed to improve the prognosis and therapy of such lesions. Pathologically, radiation-induced skin lesions are well described and an approximate dose-response relationship is univerally accepted even though the actual 'dose' is rarely known at first. Radiation dose is estimated biologically after the lesion has run its pathological course or after a medical physicist has prepared a retrospective 'mock-up' of the accident. (author)

Technical basis for nuclear accident dosimetry at the Oak Ridge National Laboratory

International Nuclear Information System (INIS)

Kerr, G.D.; Mei, G.T.

1993-08-01

The Oak Ridge National Laboratory (ORNL) Environmental, Safety, and Health Emergency Response Organization has the responsibility of providing analyses of personnel exposures to neutrons and gamma rays from a nuclear accident. This report presents the technical and philosophical basis for the dose assessment aspects of the nuclear accident dosimetry (NAD) system at ORNL. The issues addressed are regulatory guidelines, ORNL NAD system components and performance, and the interpretation of dosimetric information that would be gathered following a nuclear accident

[Aspects of post-tramatic stress disorder after a traffic acident].

Science.gov (United States)

Noll-Hussong, M; Herberger, S; Grauer, M T; Otti, A; Gündel, H

2013-09-01

Post-traumatic stress disorder (PTSD) occurs most frequently in the general population after traffic accidents and affects up to 15 % of those involved. Mental and physical comorbidity, preliminary damage or injury can herald the development of PTSD, but the scope of social support after the accident plays a crucial role in whether and to what extent potential PTSD develops. Against this background, preventive and injury reduction aspects of the interaction between insurance companies and their customers are conceivable, which could also positively affect health economic and aspects of job or customer satisfaction.

In situ gamma spectrometry aspects of an European intercomparison of national networks used to provide early warning of a nuclear accident

International Nuclear Information System (INIS)

Gurriaran, R.; Lemercier, M.; Bouisset, P.; Cagnat, X.; Saez-Vergara, J. C.; Tyler, A. N.

2006-01-01

In 2002, the EURADOS Working Group on Environmental Monitoring organised the second European intercomparison exercise of national network systems used to provide early warning in case of a nuclear accident. The aim of the exercise is to ensure consistent and comparable results reported by different countries during a nuclear accident, hence avoiding that the dose rate measurements reported present steps at national borders due to different calibrations or different measurement quantities being used. The exercise studied the response of the detectors to different situations: Free field site, a flat area covered with grass. The detectors where in presence of environmental radiation and point sources. Radioactive plume simulator. An incident was simulated by gradually increasing the ambient dose rate by values up to 50% of the normal value. Cosmic radiation site. A platform installed in the middle of a lake permitted to study the response of detectors to cosmic rays in the absence of other components. Ultra low background laboratory (UDO). Situated at 925 m in a salt mine this unique facility has a very low ambient dose (<1 nSv/h) and permitted the study of the response of detectors to collimated beams, in the absence of other components. The exercise was focused on the systems that continuously monitor the ambient dose rate but a novelty in the 2002 intercomparison was the participation of in situ gamma spectrometry teams. This presentation will focus on the in situ gamma spectrometry aspects: The interest of having the energy spectra information in order to discriminate the different contributors to the ambient dose, and the work that has been done in order to ensure an agreement between the dosimetry aspects and the spectrometry results

Report on the accident at the Chernobyl Nuclear Power Station

International Nuclear Information System (INIS)

1987-01-01

This report presents the compilation of information obtained by various organizations regarding the accident (and the consequences of the accident) that occurred at Unit 4 of the nuclear power station at Chernobyl in the USSR on April 26, 1986. The various authors are identified in a footnote to each chapter. An overview of the report is provided. Very briefly the other chapters cover: the design of the Chernobyl nuclear station Unit 4; safety analyses for Unit 4; the accident scenario; the role of the operator; an assessment of the radioactive release, dispersion, and transport; the activities associated with emergency actions; and information on the health and environmental consequences from the accident. These subjects cover the major aspects of the accident that have the potential to present new information and lessons for the nuclear industry in general

Role of the man-machine interface in accident management strategies

International Nuclear Information System (INIS)

Oewre, Fridtjov

2001-01-01

First, this paper gives a short general review on important safety issues in the field of man-machine interaction as expressed by important nuclear safety organisations. Then follows a summary discussion on what constitutes a modern Man-Machine Interface (MMI) and what is normally meant with accident management and accident management strategies. Furthermore, the paper focuses on three major issues in the context of accident management. First, the need for reliable information in accidents and how this can be obtained by additional computer technology. Second, the use of procedures is discussed, and basic MMI aspects of computer support for procedure presentation are identified followed by a presentation of a new approach on how to computerise procedures. Third, typical information needs for characteristic end-users in accidents, such as the control room operators, technical support staff and plant emergency teams, is discussed. Some ideas on how to apply virtual reality technology in accident management is also presented

Precept from the management for the accident of Fukushima daiichi

International Nuclear Information System (INIS)

Miyaushiro, Norihiro

2013-01-01

At 17 hours after the accident of Fukushima Daiichi Nuclear Power Plant due to the Great East Japan Earthquake, National Institute of Radiological Sciences sent the first REMAT (Radiation Emergency Medical Assistance Team) in the 20 km range from the Plant. The team members were confronted by two issues: (1) Medical activities under the infrastructures destructed by a multiple disaster caused by earthquake, tsunami and nuclear accident, which was not presumed. (2) Radiation protection management for dispatched staff. Measures for this situation worked out by activities on the site are presented. (K.Y.)

Radiologic protection: technical and legal aspects

International Nuclear Information System (INIS)

Pinto, A.V.A.

1987-01-01

Radiologic units are described with the aim to decodify the technical dosimetric language. The legal aspect of radiologic protection in Brazil is reported. Information about help in case of radiation accident is presented. (M.A.C.) [pt

Fundamental hematological parameters in peripheral blood of inhabitants from zones affected by the Chernobyl accident, who have received medical attention in Cuba

International Nuclear Information System (INIS)

Garcia, O.; Cardenas, J.; Valdes, M.

1993-01-01

The fundamental hematological parameters in peripheral blood of 2537 children from 409 Ukrainian localities were studied to evaluate the radiological impact produced by the accident. The hematological analyses were performed as part of the ordinary program of medical examination. The results were grouped taking into account the superficial contamination levels by 137C s of the zones where the infants came from

Accidentes biológicos en estudiantes de Medicina de la Universidad Industrial de Santander, Bucaramanga, Colombia Biological accidents among Medical students from Universidad Industrial de Santander, Bucaramanga, Colombia

Directory of Open Access Journals (Sweden)

Luis Felipe Tapias-Vargas

2010-12-01

Full Text Available Introducción: Los accidentes biológicos representan un riesgo ocupacional significativo para los trabajadores de la salud, y para los estudiantes de medicina. Objetivo: Establecer la prevalencia de accidentes biológicos y los factores y comportamientos asociados en la población de estudiantes de medicina. Materiales y métodos: Se encuestaron los estudiantes de medicina del área clínica de la Universidad Industrial de Santander. El instrumento de encuesta preguntaba sobre utilización de elementos de protección, caracterización y comportamientos asociados al último accidente biológico sufrido. La información obtenida fue analizada mediante porcentajes y promedios. Para evaluar los factores asociados al accidente se calcularon Razones de Prevalencia y sus IC 95%. Resultados: Se encuestaron 330 estudiantes. El uso rutinario de guantes se reportó en un 99,3%, de doble guante en 13,9%, tapabocas en 77,4% y de gafas en 30,7%. La prevalencia de accidentes biológicos fue de 18%, la cual aumentaba de acuerdo al año de estudio. El accidente no fue reportado en 48% de los casos. Se encontró una asociación positiva entre el sufrimiento de al menos un accidente biológico durante lo cursado de la carrera y el uso completo de medidas de protección en tercer y cuarto año, RP=2,92 (IC 95% 0,95 - 8,93; y negativa para quinto y sexto año, RP=0,84 (IC 95% 0,50-1,41, p=0,0479. Conclusión: Los accidentes biológicos son frecuentes en nuestros estudiantes de medicina. Se debe insistir desde los primeros semestres en la importancia del uso de elementos de protección, el reporte del accidente y los protocolos postexposición. Salud UIS 2010; 42: 192-199Introduction: Biological accidents represent a significant occupational risk to healthcare workers including medical students. Objective: To establish the prevalence of biological accidents, and its associated factors and behaviors among medical students. Materiales and methods: Medical students in

Radioprotection in the medical applications of the ionizing radiations

International Nuclear Information System (INIS)

2001-01-01

This publication presents information about of the radiological safety in the medical application of the ionizing radiation compiled in 11 chapter and 1 annex. The first four chapters are principally dedicated to technical uses in radioprotection, the external and internal irradiation and the biological radiation effects. The radioprotection principles, the individual monitoring techniques, and the radioprotection systems are developed afterwards in the followings three chapters. The second half of the document is dedicated entirely to the medical practices using ionizing radiations, specially to the radioprotection aspects in radiodiagnosis, nuclear medicine and radiotherapy. The final chapter is dedicated to radiological accidents happened worldwide in the field of the medical applications of the ionizing radiations. The annex, about of the regulatory area, established a set of standards, laws, decrees and other force regulations in radiological safety, related in radiodiagnosis, nuclear medicine and radiotherapy

We are to do everything possible to prevent severe accidents

International Nuclear Information System (INIS)

Asmolov, V.

2011-01-01

The fundamental approach to safety assurance at a nuclear power plant is the principle of defence-in-depth. It means two key aspects: prevention of accidents through the creation and maintenance of engineering barriers, as well as mitigation of the consequences of accident. After Fukushima-1 accident re-evaluation was carried out of the effectiveness the defence-in-depth measures at Russian nuclear power plants, particularly in view of the very low-probability external events. The results of this evaluation demonstrated that all plants are fully compliant with the requirements of the current Russian safety standards [ru

Comparative assessment of severe accident risks in the energy sector

International Nuclear Information System (INIS)

Hirschberg, S.; Spiekerman, G.; Dones, R.

1997-01-01

This paper addresses one of the major limitations of the current comparative studies of environmental and health impacts of energy systems, i.e. the treatment of severe accidents. The work covers technical aspects of severe accidents and thus primarily reflects an engineering perspective on the energy-related risk issues. The assessments concern full energy chains associated with fossil sources (coal, oil and gas), nuclear power and hydro power. A comprehensive severe accidents database has been established. Thanks to the variety of information sources used, it exhibits in comparison with other corresponding databases a far more extensive coverage of the energy-related accidents. For hypothetical nuclear accidents the probabilistic approach has been employed and extended to cover the economic consequences of power reactor accidents. Results of comparisons between the various energy chains are shown and discussed along with a number of current issues in comparative assessment of severe accidents. As opposed to the previous studies, the aim of the present work has been, to cover whenever possible, a relatively broad spectrum of damage categories of interest. (author) 5 figs., 1 tab., 18 refs

Validation of the complex of measures of medical rehabilitation of children victims of Chernobyl accident

International Nuclear Information System (INIS)

Paramonov, Z.M.

1999-01-01

Special complex program including social medical, organizational and hygienic aspects of studying state of health of children and the characteristics of the system of medical service have been worked out. The peculiarities of changes in the state of health in children and its correlation with the level of the internal irradiation as well as the ways to form the latter in the chain 'soil-water complex - food stuffs - organism' have been determined. Special rehabilitation measures and their application in the network of therapeutic sanatorium centers for radiation protection are validated. The expediency and necessity of medico-hygienic protection of children was established

Aspects of Global Health Issues: Diseases, Natural Disasters, and Pharmaceutical Corporations and Medical Research.

Science.gov (United States)

Brown, Geraldine

2016-01-01

Global health issues are concerns of all public health officials throughout the world. This entails reviewing aspects such as the impact of poverty and the lack of access to quality health care, ignored global killers such as Diseases (Infectious diseases-Malaria, HIV/AIDS), Natural Disasters (Earthquakes, Tsunamis, Floods, and Armed Conflict), Health in the Media, and the Involvement of Pharmaceutical Corporations and Medical Research. These issues are challenges to many needless deaths. Global initiatives are not advancing as they should, such as access to drugs and medications, which some are political.

Decontamination of persons and other medical measures

International Nuclear Information System (INIS)

Ohlenschlaeger, L.

1982-01-01

Medical measures in case of radiation damages are discussed on the basis of five potential categories of radiation incidents or accidents, namely contaminations, incorporations, external local and general radiation over-exposures, contaminated wounds, and combinations of radiation damages and conventional injuries. Considerations are made for diagnostic and therapeutic initial measures especially in case of minor and moderate radiation accidents. The medical emergency planning is reviewed by means of definitions used in the practical handling of radiation incidents or accidents. The parameters are: extent of the incident or accident, number of persons involved, severity of the radiation damage. Based on guiding symptoms the criteria for the classification into minor, moderate or severe radiation accidents are discussed. (orig./RW)

Studies of severe accidents in light water reactors. Containment performance

International Nuclear Information System (INIS)

Hayns, M.R.; Phillips, D.W.; Young, R.L.D.

1987-01-01

The containment system of a LWR is an obvious component of the plant which performs an important safety function in preventing the release of fission products to the environment in the event of design basis accidents. With over 260 LWRs in service worldwide, and others still under construction, there is a considerable diversity of containment types and combinations of containment safeguards systems. All of these satisfy local regulatory requirements which are principally aimed at the design basis accidents, and these requirements naturally have a considerable uniformity. However, their design diversity becomes more relevant to the performance of the containment in severe accident conditions, and this aspect of containment performance is reviewed in this paper. The ability of the containment to mitigate severe accident consequences introduces the potential for accident management and recovery and this in turn points towards a range of new containment systems and concepts. PSA helps in judging these possibilities and in forming policies and procedures for accident management. It is perhaps in accident management that severe accident containment performance will be most beneficial in the future, and where additional effort in containment analysis will be focused

ECONOMIC ASPECTS OF "WHIPLASH" INJURY.

Science.gov (United States)

SNOW, G H

1964-10-01

The term "whiplash," used to describe a neck injury received in an automobile accident, has no foundation in medical science to support the complaints of persons suing for damages. The term is gaining unwarranted popularity as a term describing an injury, even though there are no clinical or pathological findings to support it."Whiplash" cases today account for an estimated 30 per cent of all injuries in automobile accidents. Direct compensation for damages paid to persons injured in automobile accidents in the United States in 1961 amounted to approximately one billion, seven hundred million dollars. It has been estimated that five hundred and eighty million dollars of that amount was paid in compensation on allegation of neck injuries.

Review of current status for designing severe accident management support system

Energy Technology Data Exchange (ETDEWEB)

Jeong, Kwang Sub

2000-05-01

The development of operator support system (OSS) is ongoing in many other countries due to the complexity both in design and in operation for nuclear power plant. The computerized operator support system includes monitoring of some critical parameters, early detection of plant transient, monitoring of component status, plant maintenance, and safety parameter display, and the operator support system for these areas are developed and are being used in some plants. Up to now, the most operator support system covers the normal operation, abnormal operation, and emergency operation. Recently, however, the operator support system for severe accident is to be developed in some countries. The study for the phenomena of severe accident is not performed sufficiently, but, based on the result up to now, the operator support system even for severe accident will be developed in this study. To do this, at first, the current status of the operator support system for normal/abnormal/emergency operation is reviewed, and the positive aspects and negative aspects of systems are analyzed by their characteristics. And also, the major items that should be considered in designing the severe accident operator support system are derived from the review. With the survey of domestic and foreign operator support systems, they are reviewed in terms of the safety parameter display system, decision-making support system, and procedure-tracking system. For the severe accident, the severe accident management guideline (SAMG) which is developed by Westinghouse is reviewed; the characteristics, structure, and logical flow of SAMG are studied. In addition, the critical parameters for severe accident, which are the basis for operators decision-making in severe accident management and are supplied to the operators and the technical support center, are reviewed, too.

Review of current status for designing severe accident management support system

International Nuclear Information System (INIS)

Jeong, Kwang Sub

2000-05-01

The development of operator support system (OSS) is ongoing in many other countries due to the complexity both in design and in operation for nuclear power plant. The computerized operator support system includes monitoring of some critical parameters, early detection of plant transient, monitoring of component status, plant maintenance, and safety parameter display, and the operator support system for these areas are developed and are being used in some plants. Up to now, the most operator support system covers the normal operation, abnormal operation, and emergency operation. Recently, however, the operator support system for severe accident is to be developed in some countries. The study for the phenomena of severe accident is not performed sufficiently, but, based on the result up to now, the operator support system even for severe accident will be developed in this study. To do this, at first, the current status of the operator support system for normal/abnormal/emergency operation is reviewed, and the positive aspects and negative aspects of systems are analyzed by their characteristics. And also, the major items that should be considered in designing the severe accident operator support system are derived from the review. With the survey of domestic and foreign operator support systems, they are reviewed in terms of the safety parameter display system, decision-making support system, and procedure-tracking system. For the severe accident, the severe accident management guideline (SAMG) which is developed by Westinghouse is reviewed; the characteristics, structure, and logical flow of SAMG are studied. In addition, the critical parameters for severe accident, which are the basis for operators decision-making in severe accident management and are supplied to the operators and the technical support center, are reviewed, too

[Model of Analysis and Prevention of Accidents - MAPA: tool for operational health surveillance].

Science.gov (United States)

de Almeida, Ildeberto Muniz; Vilela, Rodolfo Andrade de Gouveia; da Silva, Alessandro José Nunes; Beltran, Sandra Lorena

2014-12-01

The analysis of work-related accidents is important for accident surveillance and prevention. Current methods of analysis seek to overcome reductionist views that see these occurrences as simple events explained by operator error. The objective of this paper is to analyze the Model of Analysis and Prevention of Accidents (MAPA) and its use in monitoring interventions, duly highlighting aspects experienced in the use of the tool. The descriptive analytical method was used, introducing the steps of the model. To illustrate contributions and or difficulties, cases where the tool was used in the context of service were selected. MAPA integrates theoretical approaches that have already been tried in studies of accidents by providing useful conceptual support from the data collection stage until conclusion and intervention stages. Besides revealing weaknesses of the traditional approach, it helps identify organizational determinants, such as management failings, system design and safety management involved in the accident. The main challenges lie in the grasp of concepts by users, in exploring organizational aspects upstream in the chain of decisions or at higher levels of the hierarchy, as well as the intervention to change the determinants of these events.

Safety culture and the accident at Three Mile Island

International Nuclear Information System (INIS)

Erp, Jan B. van

2002-01-01

Prior to the accident at Three Mile Island, little attention was being paid to the human role in the safe operation of civilian nuclear power plants. The investigation of the TMI accident showed that its root causes were primarily human-related. The Kemeny Report on the TMI accident does not use the term 'safety culture'; however, it fully identifies all relevant aspects of safety culture. It was only after the accident at Chernobyl that the term 'safety culture' came into widespread use. However, it should be noted that, during the years after TMI and before Chernobyl, already major changes had been instituted concerning human factors and human reliability in the civilian nuclear energy programs of many countries. Greater credit should be given to the remarkable insights developed by the Kemeny Commission as contained in the Kemeny Report. (author)

Legal aspects related to workers and ionizing radiation

International Nuclear Information System (INIS)

Faria, N.M. de; Fischer, D.

1985-01-01

The legal aspects related to protection of the worker during its activity and in case of accident which involves dead or invalidity or occupation disease are presented. The aspects concerning to employment relation for workers in nuclear installations, and the professional liability for workers who handle ionizing radiation are discussed. (M.C.K.) [pt

In-plant considerations for optimal offsite response to reactor accidents

International Nuclear Information System (INIS)

Burke, R.P.; Heising, C.D.; Aldrich, D.C.

1982-11-01

Offsite response decision-making methods based on in-plant conditions are developed for use during severe reactor-accident situations. Dose projections are used to eliminate all LWR plant systems except the reactor core and the spent-fuel storage pool from consideration for immediate offsite emergency response during accident situations. A simple plant information-management scheme is developed for use in offsite response decision-making. Detailed consequence calculations performed with the CRAC2 model are used to determine the appropriate timing of offsite-response implementation for a range of PWR accidents involving the reactor core. In-plant decision criteria for offsite-response implementation are defined. The definition of decision criteria is based on consideration of core-accident physical processes, in-plant accident monitoring information, and results of consequence calculations performed to determine the effectiveness of various public-protective measures. The benefits and negative aspects of the proposed response-implementation criteria are detailed

The radiological accident at the irradiation facility in Nesvizh

International Nuclear Information System (INIS)

1996-01-01

More than 40 years of experience in radiation processing has shown that such technology is generally used safely, and steady improvement in the design of facilities and careful selection and training of operators have contributed to this good safety record. However, some cases of circumvention of safety systems have been registered and it is documented that the consequences of radiological accidents at industrial radiation facilities can be extremely serious. The causes of accidents may have some points in common, but at the same time may be highly specific. A detailed study of these common and specific features seems to be of great importance for further improvements in safety systems. One such event occurred on 26 October 1991 at an industrial sterilization facility in Nesvizh, Belarus, when the operator entered the irradiation chamber and was severely exposed to a lethal dose of radiation. The significant feature of this case was related to the medical management. It should be underlined that some circumstances of the accident only came to light during the post-accident review made by the IAEA. To document the causes and consequences of the accident and to define the lessons learned are of help to those people with responsibility for the safety of such facilities and to those medical authorities who might be involved in the management of a radiation event. 16 refs, figs, tabs, photographs

Road safety and road traffic accidents in Saudi Arabia

OpenAIRE

Mansuri, Farah A.; Al-Zalabani, Abdulmohsen H.; Zalat, Marwa M.; Qabshawi, Reem I.

2015-01-01

Objectives: To identify the changing trends and crucial preventive approaches to road traffic accidents (RTAs) adopted in the Kingdom of Saudi Arabia (KSA) over the last 2.5 decades, and to analyze aspects previously overlooked. Methods: This systematic review was based on evidence of RTAs in KSA. All articles published during the last 25 years on road traffic accident in KSA were analyzed. This study was carried out from December 2013 to May 2014 in the Department of Family and Community Med...

Medical Emergencies in Goa

Science.gov (United States)

Saddichha, Sahoo; Saxena, Mukul Kumar

2010-01-01

Background: Most emergencies in Goa arise due to road traffic accidents and drowning, which have been compounded by the rise in number of recorded accidents in 2007 to be above 4000. It is believed that 11 people meet with an accident on Goa's roads every day and this is expected to rise by 10% by next year. Similar is the case with drownings and other medical emergencies. We therefore aimed to conduct a cross-sectional survey of medical emergencies and identify various types of emergencies presenting to emergency departments. Materials and Methods: Using a stratified random sampling design, all emergencies presenting to the three government hospitals in Goa, which handle 90% of all emergencies currently, were studied on specially designed data sheets in order to collect data. Emergency medical technicians (ETs) were placed in the Casualty Ward of the medical colleges and they recorded all emergencies on the data sheet. The collected data were then analyzed for stratification and mapping of emergencies. Results: GMC Hospital attended to majority of emergencies (62%), which were mainly of the nature of accidents or assaults (17%) and fever related (17%). Most emergencies were noncritical and about 1% expired. Maximum emergencies also presented from Salcette and Bardez, and occurred among young males in the age group of 19-45 years. Males were also more prone to accidents while females had pregnancies as emergencies. Conclusion: Potential emergency services need to target young males with higher concentrations required in Salcette in South Goa and Bardez in North Goa. PMID:20606921

Pilot Certification, Age of Pilot, and Drug Use in Fatal Civil Aviation Accidents.

Science.gov (United States)

Akparibo, Issaka Y; Stolfi, Adrienne

2017-10-01

This study examined the association between mean age of pilot, pilot license, pilot medical certificate and drug use trends in pilots fatally injured in aircraft accidents. The prevalence of prescription drugs, OTC drugs, controlled drugs and drugs that may be potentially impairing was also examined. This study was a descriptive observational study in which the NTSB Aviation Accident Database was searched from the period beginning January 1, 2012 to December 31, 2014. During the study period a total of 706 accidents involving 711 fatalities were investigated by the NTSB. This study included 633 of these accidents, involving 646 fatalities. Of these pilots, 42.1% had drugs in their biological samples. The prevalence of prescription drugs, controlled drugs, OTC drugs, opioids, and potentially impairing drugs in the fatally injured pilot population over the study period was 28.9%, 15.0%, 20.1%, 5.1%, and 25.5%, respectively. Pilots with any drugs in their samples were significantly older than those without drugs. Medical certificate held was associated with drug use; pilots who held third class certificates had the highest prevalence at 54.1%. Pilot license was not associated with drug use. In 3.8% of the accidents, drugs were a contributing factor in the cause. Despite current FAA medical regulations, potentially impairing drugs are frequently found in biological samples of fatally injured pilots in the U.S. More education of airmen by aviation medical examiners is needed on the safety of drug use.Akparibo IY, Stolfi A. Pilot certification, age of pilot, and drug use in fatal civil aviation accidents. Aerosp Med Hum Perform. 2017; 88(10):931-936.

The international cooperation using the example of the reactor accident in Chernobyl

International Nuclear Information System (INIS)

Molitor, Norbert

2017-01-01

The explosion of the reactor unit 4 of the NPP Chernobyl and the subsequent fire was up to now the most severe accident in the civil nuclear industry. The consequences of the accident far outside the Ukraine and the former Soviet Union demonstrated that nuclear safety is a trans-border challenge. The mitigation of the accident consequences and the recovery of safety for the public, the workers and the environment required outstanding efforts and the international cooperation was of significant importance. The contribution discusses experiences and practical aspects of the international cooperation and implications for future cooperation options for the long-term removal of accident consequences.

10-year evaluation of train accidents.

Science.gov (United States)

Akkaş, Meltem; Ay, Didem; Metin Aksu, Nalan; Günalp, Müge

2011-09-01

Although less frequent than automobile accidents, train accidents have a major impact on victims' lives. Records of patients older than 16 years of age admitted to the Adult Emergency Department of Hacettepe University Medical Center due to train accidents were retrospectively evaluated. 44 patients (30 males, 14 females) with a mean age of 31.8±11.4 years were included in the study. The majority of the accidents occurred during commuting hours. 37 patients were discharged, 22 of them from the emergency department. The mortality rate was 7/44 (16%). Overall mean Revised Trauma Score (RTS) was 10.5 (3 in deaths and 11.9 in survivors). In 5 patients, the cause of death was pelvic trauma leading to major vascular injury and lower limb amputation. In 1 patient, thorax and abdomen trauma and in 1 patient head injury were the causes of mortality. Primary risk factors for mortality were alcohol intoxication (100%), cardiopulmonary resuscitation on admittance (100%), recurrent suicide attempt (75%), presence of psychiatric illness (60%), and low RTS. In this study, most train accidents causing minor injuries were due to falling from the train prior to acceleration. Nevertheless, train accidents led to a mortality rate of 16% and morbidity rate of 37%. These findings draw attention to the importance of developing preventive strategies.

Comparative risk assessment of severe accidents in the energy sector

International Nuclear Information System (INIS)

Burgherr, Peter; Hirschberg, Stefan

2014-01-01

Comparative assessment of accident risks in the energy sector is a key aspect in a comprehensive evaluation of sustainability and energy security concerns. Safety performance of energy systems can have important implications on the environmental, economic and social dimensions of sustainability as well as availability, acceptability and accessibility aspects of energy security. Therefore, this study provides a broad comparison of energy technologies based on the objective expression of accident risks for complete energy chains. For fossil chains and hydropower the extensive historical experience available in PSI's Energy-related Severe Accident Database (ENSAD) is used, whereas for nuclear a simplified probabilistic safety assessment (PSA) is applied, and evaluations of new renewables are based on a combination of available data, modeling, and expert judgment. Generally, OECD and EU 27 countries perform better than non-OECD. Fatality rates are lowest for Western hydropower and nuclear as well as for new renewables. In contrast, maximum consequences can be by far highest for nuclear and hydro, intermediate for fossil, and very small for new renewables, which are less prone to severe accidents. Centralized, low-carbon technology options could generally contribute to achieve large reductions in CO 2 -emissions; however, the principal challenge for both fossil with Carbon Capture and Storage and nuclear is public acceptance. Although, external costs of severe accidents are significantly smaller than those caused by air pollution, accidents can have disastrous and long-term impacts. Overall, no technology performs best or worst in all respects, thus tradeoffs and priorities are needed to balance the conflicting objectives such as energy security, sustainability and risk aversion to support rationale decision making. - Highlights: • Accident risks are compared across a broad range of energy technologies. • Analysis of historical experience was based on the

[Accidents of the everyday life (AcVC) in children in Dakar: about 201 cases].

Science.gov (United States)

Mohamed, Azhar Salim; Sagna, Aloïse; Fall, Mbaye; Ndoye, Ndeye Aby; Mbaye, Papa Alassane; Fall, Aimé Lakh; Diaby, Alou; Ndour, Oumar; Ngom, Gabriel

2017-01-01

Accidents of everyday life (AcVC) are common in children and can led to disabling injuries and death. This study aimed to analyze the epidemiological aspects of AcVC and the related injury mechanisms in Dakar. We conducted a descriptive, cross-sectional study conducted from 1 January 2013 to 30 June 2013. All the children victims of domestic accidents, sport and leisure accidents or school accidents were included. We studied some general parameters and some parameters related to each type of AcVC. Two hundred and one children were included, accounting for 27% of emergency consultations. There were 148 boys and 53 girls. Children less than 5 years of age were most affected (37.8%). Football and wrestling game were the main causes of AcVC. AcVC occur mainly at home (58.2%) and in the areas of sport and recreation (31.8%). The fractures predominated in the different types of AcVC: 54.9% of domestic accidents, 68.8% of sport and recreation accidents and 40% of school accidents. From an epidemiological perspective, our results are superimposable to literature. Fractures predominated contrary to literature where bruises were preponderant. Wrestling game is the main cause of these fractures, after football. The acquisition of knowledge about the epidemiological aspects of AcVC and the related injury mechanisms will allow for prevention campaigns in Dakar.

Rehabilitation of life conditions in territories contaminated by Chernobyl accident. ETHOS project in Ukraine

International Nuclear Information System (INIS)

Rolevitch, I.; Pachkievitch, V.; Petroviet, V.; Lepicard, S.; Livolsi, P.; Lochard, J.; Schneider, T.; Ollagnon, H.; Pupin, V.; Heriard-Dubreuil, G.; Girard, P.; Guyonnet, J.F.; Le Cardinal, G.; Monroy, M.; Pena-Vega, A.; Rigby, J.

1999-01-01

This article presents the ETHOS project funded by European Union and whose aim is to stimulate a lasting rehabilitation of life conditions in the territories contaminated by Chernobyl nuclear accident. The daily life of people living in the contaminated regions has been affected not only on medical aspect but also on economic, ecological, social and cultural aspects. The strict regulations imposed by radiation protection authorities have been a major element to the degradation of the standard of living. ETHOS project is based on a cooperation between the authorities and the inhabitants and on a strong motivation of the people, for instance in the Olmany village 6 work groups have been organized around themes such as: the improvement of the quality of the milk and meat produced in the village, the radiation protection of children, the practical basics to know when living in a contaminated area, and the right management of home wastes like ashes that are particularly contaminated. (A.C.)

Five year report on the medical follow up of Marshallese receiving special medical care related to 1954 Bravo fallout radiation (January 1992--1996)

Energy Technology Data Exchange (ETDEWEB)

Vaswani, A.N.; Howard, J.E.

1999-06-01

This is the 17th and final report of the Marshall Islands Medical Program as carried out by the Brookhaven National Laboratory (BNL). The purpose of these publications has been to provide information on the medical status of 253 Marshallese exposed to radiation fallout in 1954. The medical program fulfills a commitment to disclose unique medical information relevant to public health. Details of the Bravo thermonuclear accident that caused the exposure have been published. A 1955 article in the Journal of the American Medical Association, which described the acute medical effects on the population that required special medical care, remains a definitive and relevant description of events. Marshallese participation in this Congressionally mandated program is voluntary. Throughout the 44 years of the program, each participating individual`s relevant medical findings, laboratory data, disease morbidity, and mortality have been published in the BNL reports in a manner preserving patient confidentiality. In each report, there has been an attempt to interpret these findings and to infer the role of radiation exposure in their development. An equally important aspect of the reports has been the presentation of data that allows for analyses of the medical consequences of the Marshallese exposure.

Five year report on the medical follow up of Marshallese receiving special medical care related to 1954 Bravo fallout radiation (January 1992 -1996)

International Nuclear Information System (INIS)

Vaswani, A.N.; Howard, J.E.

1999-06-01

This is the 17th and final report of the Marshall Islands Medical Program as carried out by the Brookhaven National Laboratory (BNL). The purpose of these publications has been to provide information on the medical status of 253 Marshallese exposed to radiation fallout in 1954. The medical program fulfills a commitment to disclose unique medical information relevant to public health. Details of the Bravo thermonuclear accident that caused the exposure have been published. A 1955 article in the Journal of the American Medical Association, which described the acute medical effects on the population that required special medical care, remains a definitive and relevant description of events. Marshallese participation in this Congressionally mandated program is voluntary. Throughout the 44 years of the program, each participating individual's relevant medical findings, laboratory data, disease morbidity, and mortality have been published in the BNL reports in a manner preserving patient confidentiality. In each report, there has been an attempt to interpret these findings and to infer the role of radiation exposure in their development. An equally important aspect of the reports has been the presentation of data that allows for analyses of the medical consequences of the Marshallese exposure

An Elective Seminar to Teach First-Year Students the Social and Medical Aspects of AIDS.

Science.gov (United States)

Goldman, Jonathon D.

1987-01-01

A seven-week seminar Northwestern University introduces medical students to a comprehensive approach to biological, psychological, and social aspects of AIDS. The course includes: a television movie and documentary film; roundtable discussions with AIDS patients, volunteers, and health care professionals; reading materials and lectures; and…

NIRS report of the criticality accident in a uranium conversion test plant in Tokai-mura

International Nuclear Information System (INIS)

2001-01-01

This report is a detailed account of the roles that National Institute of Radiological Sciences (NIRS) played at the criticality accident in the title, which occurred at around 10:35, on Sep. 30, 1999 and resulted in death of two workers after all, and is published to discharge NIRS responsibilities in regards to the accident. The accident caused many residents concern on their health and rumors had both social and economic consequences. The report involves chapters of detailed outline of the accident; demand for acceptance of the victims and communications until the identification of the criticality'' accident; the acceptance and initial treatment; the exposure dose estimation (based on acute symptoms, on physics, on chromosomal analyses and on neutron-activated dental metals, and detailed analyses for dose distribution); decision made for therapeutic strategies; cooperation with the Network Council for Radiation Emergency and with other medical facilities; the urgent import of medicine; treatment and processes (patients, nursing system and radiation injuries); radiation protection in medical facilities; response to nearby residents of the Plant; international response; press release; Uranium Processing Plant Criticality Accident Investigation Committee and the Health Management Committee organized by the Nuclear Safety Commission; handling of information; and radiation emergency medical preparedness at the NIRS (future issues and prospect). The report is hopefully useful in preventing the occurrence of future accidents. (N.I.)

Accident management for severe accidents

International Nuclear Information System (INIS)

Bari, R.A.; Pratt, W.T.; Lehner, J.; Leonard, M.; Disalvo, R.; Sheron, B.

1988-01-01

The management of severe accidents in light water reactors is receiving much attention in several countries. The reduction of risk by measures and/or actions that would affect the behavior of a severe accident is discussed. The research program that is being conducted by the US Nuclear Regulatory Commission focuses on both in-vessel accident management and containment and release accident management. The key issues and approaches taken in this program are summarized. 6 refs

Severe accident research activities at Helmholtz-Zentrum Dresden-Rossendorf (HZDR)

Energy Technology Data Exchange (ETDEWEB)

Wilhelm, Polina; Jobst, Matthias; Schaefer, Frank; Kliem, Soeren [Helmholtz-Zentrum Dresden-Rossendorf e.V., Dresden (Germany)

2016-05-15

In the frame of the nuclear safety research program of the Helmholtz Association HZDR performs fundamental and applied research to assess and to reduce the risks related to the nuclear fuel cycle and the production of electricity in nuclear power plants. One of the research topics focuses on the safety aspects of current and future reactor designs. This includes the development and application of methods for analyses of transients and postulated accidents, covering the whole spectrum from normal operation till severe accident sequences including core degradation. This paper gives an overview of the severe accident research activities at the Reactor Safety Division at the Institute of Resource Ecology.

Radiological aspects of nuclear accident scenarios. Volume 2 the Rade-Aid system post-Chernobyl action

International Nuclear Information System (INIS)

Sinnaeve, J.

1991-01-01

In the event of a nuclear accident, there is a need for a rapid assessment of the resulting levels of environmental contamination in order to facilitate decisions on possible countermeasures. Volume 2 describes the RADE-AID project to develop a computer system which can be used to support the formulation of decisions on countermeasures following an accidental release of radionuclides. The system is intended as an aid following an actual accident and a tool for assistance in planning and training

A literature review of medical aspects of post-cold war UN peacekeeping operations: trends, lessons learnt, courses of action and recommendations.

Science.gov (United States)

Johnson, Ralph Jay

2016-08-01

Post-Cold War United Nations Peace Keeping Operations (UN PKOs) have been increasingly involved in dangerous areas with ill-defined boundaries, harsh and remote geographies, simmering internecine armed conflict and disregard on the part of some local parties for peacekeepers' security and role. In the interest of 'force protection' and optimising operations, a key component of UN PKOs is healthcare and medical treatment. The expectation is that UN PKO medical support will conform to the general intent and structure of UN PKOs. To do so requires effective policies and planning informed by a review of medical aspects crucial to UN PKOs. The intent of this article is to report on a review of principal medical aspects practical to post-Cold War UN PKOs. This review was assembled through a comprehensive, grounded, systematic iterative inquiry of open-source articles. This inquiry revealed that the principal medical aspects in post-Cold War UN missions were the following: (1) the changed nature of UN PKOs, (2) new challenges in terms of proximity and distance to medical care, (3) expanded need for preventive medicine and disease contagion prevention and (4) increased propensity for psychological morbidity and need for intervention. Post Cold War, the dramatically changed nature of UN PKOs has resulted in new challenges mainly in terms of medical logistics, preventive medicine and psychiatry. The changed nature of post-Cold War UN PKOs altered the character of medical support most notably regarding (1) a need for emphasis on immediate response proximate to medical events and rapid transport over long distances and traversing barriers to higher levels of care, (2) proactive contagion and hazard identification and prevention and (3) interventions designed to reduce psychological morbidity. Recommendations are offered about possible courses of action in terms of addressing trends found in identified medical aspects of PKOs. Published by the BMJ Publishing Group Limited. For

Contamination measurements on persons after a nuclear accident

International Nuclear Information System (INIS)

Maushart, R.

1992-01-01

The purpose of contamination measurements after accidents is threefold: to detect and localize contaminations; to determine the level of contamination as a base for medical decisions; and to check the scope and efficiency of the decontamination measures. Persons involved in accidents should never measure their contamination themselves. The radiation protection personnel, whether it belongs to the medical team or to the disaster control squads, must be familiar with the measuring instruments and experienced in handling these instruments. A high priority has to be placed on training and constant practice. The monitors used must meet the special requirements of an emergency situation. This includes resistance against environmental factors - temperature, humidity, vibrations - as well as the simplicity of handling the instrument, and the clear presentation of the results. (author)

[The role of "competent physician" for prevention of accidents at work].

Science.gov (United States)

Ramistella, E; Bergamaschi, A; Mosconi, G; Rossi, O; Sallese, D

2008-01-01

Using at best the professional and legal tools at his/her disposal, the "competent physician" can have a relevant role in reducing accidents in the workplace. In assessing the worker's suitability to specific tasks, the competent physician checks the presence of pathologies or functional impairments of organs or apparatuses that can be an additional risk for the occurrence of accidents at work. The activity aimed to preventing accidents at work translates also in taking part in the planning and implementation of information activities and workers' training within the company. The various risk factors inherent in the workplace and so-called "human factors" can interact in a negative way to the point of becoming a cause of accidents. The human variables of accident risk at the industrial, occupational and even individual level, may be numerous. In this paper we shall review these important aspects and attempt to clarify the role that can be played by the competent physician in the prevention of accidents at work.

The Three Mile Island accident. Diagnosis and prognosis

International Nuclear Information System (INIS)

Toth, L.M.; Malinauskas, A.P.; Eidam, G.R.; Burton, H.M.

1986-01-01

The Three Mile Island accident occurred on March 29, 1979. The decision to hold a symposium on the TMI accident aftermath was reached when it was realized that enough information had been gathered during the past 6 years to provide a fairly complete picture of the damage and of the activities required for eventual recovery. The symposium was organized into three sessions: the first dealt with a description of the accident, the second focused on the chemical aspects involved, and the third addressed the strategy and progress made toward recovery. The symposium was intended to focus on these three subjects and leave the environmental considerations to future meetings and reports. Although it might appear shortsighted to exclude the environmental impact, the exclusion was considered necessary in order to maintain the focus we sought

Environmental aftermath of the radiation accident at Tomsk-7

International Nuclear Information System (INIS)

Porfiriev, B.N.

1996-01-01

An analysis is presented of the environmental effects of the most serious radiation accident recorded after Chernobyl, which occurred in the formerly secret town of Tomsk-7 in Siberia, Russia, on 6, April 1993. Fortunately, it appears not to have become a major industrial crisis or disaster. The causes of the accident are described. It is argued that a mixture of both objective and subjective prerequisites, including specific human, organizational, and technological factors, were responsible for the explosion or directly facilitated it. The Tomsk-7 accident's ecological, medical, social, and psychological consequences are discussed. 33 refs., 1 figs., 1 tab