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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Pediatric Considerations Before, During, and After Radiological or Nuclear Emergencies
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Pediatric Considerations Before, During, and After Radiological or Nuclear Emergencies

机译:在放射或核紧急情况下之前,期间和之后的小儿考虑因素

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Infants, children, and adolescents can be exposed unexpectedly to ionizing radiation from nuclear power plant events, improvised nuclear or radiologic dispersal device explosions, or inappropriate disposal of radiotherapy equipment. Children are likely to experience higher external and internal radiation exposure levels than adults because of their smaller body and organ size and other physiologic characteristics as well as their tendency to pick up contaminated items and consume contaminated milk or foodstuffs. This technical report accompanies the revision of the 2003 American Academy of Pediatrics policy statement on pediatric radiation emergencies by summarizing newer scientific data from studies of the Chernobyl and the Fukushima Daiichi nuclear power plant events, use of improvised radiologic dispersal devices, exposures from inappropriate disposal of radiotherapy equipment, and potential health effects from residential proximity to nuclear plants. Also included are recommendations from epidemiological studies and biokinetic models to address mitigation efforts. The report includes major emphases on acute radiation syndrome, acute and long-term psychological effects, cancer risks, and other late tissue reactions after low-to-high levels of radiation exposure. Results, along with public health and clinical implications, are described from studies of the Japanese atomic bomb survivors, nuclear plant accidents (eg, Three Mile Island, Chernobyl, and Fukushima), improper disposal of radiotherapy equipment in Goiania, Brazil, and residence in proximity to nuclear plants. Measures to reduce radiation exposure in the immediate aftermath of a radiologic or nuclear disaster are described, including the diagnosis and management of external and internal contamination, use of potassium iodide, and actions in relation to breastfeeding.
机译:婴儿,儿童和青少年可以意外地暴露,以电离核电站事件的辐射,即兴核电或放射学分散装置爆炸,或放射治疗设备的不恰当处置。由于其体内和器官规模和其他生理特征,儿童可能会比成年人经历更高的外部和内部辐射暴露水平,以及他们拿起污染物品的倾向并消耗受污染的牛奶或食品的倾向。本技术报告伴随着2003年美国儿科专家学院对儿科辐射急流的声明,通过总结了切尔诺贝利和福岛Daiichi核电站事件的研究,使用即兴的放射学分散装置,从不恰当处置的曝光放射疗法设备,以及核电站住宅邻近的潜在健康影响。还包括流行病学研究和生物模型的建议,以解决缓解努力。该报告包括对急性辐射综合征,急性和长期心理效应,癌症风险和其他晚期组织反应的重大重点介绍,低于高度辐射暴露后。结果,以及公共卫生和临床意义,涉及日本原子弹幸存者,核植物事故(例如,三英里岛,切尔诺贝利和福岛)的研究,不当地处置了Goiania,巴西和住所的放射治疗设备对核植物的邻近。描述了减少放射学或核灾难的直接后辐射暴露的措施,包括诊断和管理外部和内部污染,碘化钾的使用以及与母乳喂养有关的动作。

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