Further development and application of a method for assessing radionuclide surface activity distribution and source location based on measurements of ambient dose equivalent rate. Examples for Andreeva Bay, Chernobyl NPP and Istiklol.

A method for reconstructing surface activity density (SAD) maps based on the solution of the Fredholm equation has been developed and applied. The construction of SAD maps was carried out for the site of the temporary storage (STS) of spent fuel and radioactive waste (RW) in Andreeva Bay using the results of measuring campaign in 2001-2002 and for the sheltering construction of the solid RW using the results of measurements in 2021. The Fredholm equation was solved in two versions: under conditions of a barrier-free environment and taking into account buildings and structures located on the industrial site of the STS Andreeva Bay. Lorenz curves were generated to assess the compactness of the distributions of SAD and ambient dose equivalent rate (ADER) for the industrial site and the sheltering construction at STS Andreeva Bay, the area of the IV stage uranium tailing site near the city of Istiklol in the Republic of Tajikistan, and for roofs of the Chernobyl nuclear power plant. The nature of impact of the resolution (fragmentation) of the raster, the value of the radius of mutual influence of points (contamination sites), the height of the radiation detector above the scanned surface and the angular aperture of the radiation detector on the accuracy of the SAD reconstruction is shown. The method developed allows more accurate planning of decontamination work when only ADER measurements data is available. The proposed method can be applied to support the process of decontamination of radioactively contaminated territories, in particular during the remediation of the STS Andreeva Bay.

Radiation survey and environmental impact assessment at the site of temporary storage at Andreeva Bay (16 years of studies).

The site of temporary storage for spent fuel and radioactive waste at Andreeva Bay is a largest nuclear legacy site in the Russian Northwest. The radiation situation within the industrial site and in the surrounding health protection zone (HPZ) is characterised by significant local contamination of the topsoil, which is a source of environmental contamination and potential spread of radioactivity within and outside the HPZ, including the adjacent marine environment. The highest levels of radioactive contamination of soil due to manmade radionuclides have been registered around the spent nuclear fuel storage facilities, where the specific activity of Cs-137 reaches 5 × 107Bq kg-1, and that of Sr-90, 5.7 × 106Bq kg-1. Determination of the mobility of these main dose-forming radionuclides has demonstrated that about 90% of the Sr-90 and 30% of the Cs-137 in the soil are in a mobile form. The corresponding figures for bottom sediments are 75% and 60%. The assessment of the impact of contamination in the different areas of the Andreeva Bay site, and the assessment of the adequacy of the previously developed remediation criteria for environmental protection (Sneveet al2015J. Radiol. Prot.35571) demonstrated that when carrying out remedial work according to any scenario provided for in the Guidelines 'Criteria and norms for remediation of sites and facilities contaminated with manmade radionuclides', of the Federal State Unitary Enterprise 'The Northern Federal Enterprise for Radioactive Waste Management' for the supervision area, recommendations for environmental protection are followed. For scenarios such as conversion and conservation, reference levels of biota exposure for some species of representative organisms could be exceeded, based on a preliminary conservative assessment.

[RADIATION SAFETY DURING REMEDIATION OF THE "SEVRAO" FACILITIES].

Within a framework of national program on elimination of nuclear legacy, State Corporation "Rosatom" is working on rehabilitation at the temporary waste storage facility at Andreeva Bay (Northwest Center for radioactive waste "SEVRAO"--the branch of "RosRAO"), located in the North-West of Russia. In the article there is presented an analysis of the current state of supervision for radiation safety of personnel and population in the context of readiness of the regulator to the implementation of an effective oversight of radiation safety in the process of radiation-hazardous work. Presented in the article results of radiation-hygienic monitoring are an informative indicator of the effectiveness of realized rehabilitation measures and characterize the radiation environment in the surveillance zone as a normal, without the tendency to its deterioration.

[RADIATION HYGIENIC MONITORING AT THE AREA OF THE LOCATION OF THE FAR EASTERN CENTER FOR RADIOACTIVE WASTE MANAGEMENT (FEC "DALRAO"--BRANCH OF FSUE "ROSRAO")].

Intensification ofactivities in the field of spent nuclear fuel (SNF) and radioactive waste (RW) management in the Far East region of Russia assumes an increase of the environmental load on the territories adjacent to the enterprise and settlements. To ensure radiation safety during works on SNF and radioactive waste management in the standard mode of operation and during the rehabilitation works in the contaminated territories, there is need for the optimization of the existing system of radiation-hygienic monitoring, aimed at the implementation of complex dynamic observation of parameters of radiation-hygienic situation and radiation amount of the population living in the vicinity of the Far Eastern Center for Radioactive Waste Management (FEC "DALRAO"). To solve this problem there is required a significant amount of total and enough structured information on the character of the formation of the radiation situation, the potential ways of the spread of man-made pollution to the surrounding area, determining the radiation load on the population living in the vicinity of the object. In this paper there are presented the results of field studies of the radiation situation at the plant FEC "DALRAO", which were obtained during the course of expedition trips in 2009-2012.

Radiation safety during remediation of the SevRAO facilities: 10 years of regulatory experience.

In compliance with the fundamentals of the government's policy in the field of nuclear and radiation safety approved by the President of the Russian Federation, Russia has developed a national program for decommissioning of its nuclear legacy. Under this program, the State Atomic Energy Corporation 'Rosatom' is carrying out remediation of a Site for Temporary Storage of spent nuclear fuel (SNF) and radioactive waste (RW) at Andreeva Bay located in Northwest Russia. The short term plan includes implementation of the most critical stage of remediation, which involves the recovery of SNF from what have historically been poorly maintained storage facilities. SNF and RW are stored in non-standard conditions in tanks designed in some cases for other purposes. It is planned to transport recovered SNF to PA 'Mayak' in the southern Urals. This article analyses the current state of the radiation safety supervision of workers and the public in terms of the regulatory preparedness to implement effective supervision of radiation safety during radiation-hazardous operations. It presents the results of long-term radiation monitoring, which serve as informative indicators of the effectiveness of the site remediation and describes the evolving radiation situation. The state of radiation protection and health care service support for emergency preparedness is characterized by the need to further study the issues of the regulator-operator interactions to prevent and mitigate consequences of a radiological accident at the facility. Having in mind the continuing intensification of practical management activities related to SNF and RW in the whole of northwest Russia, it is reasonable to coordinate the activities of the supervision bodies within a strategic master plan. Arrangements for this master plan are discussed, including a proposed programme of actions to enhance the regulatory supervision in order to support accelerated mitigation of threats related to the nuclear legacy in the area.

[The use of mexidol in the intensive treatment of acute severe ischemic stroke]. / Primenenie meksidola v intensivnoi terapii ostrogo tiazhelogo ishemicheskogo insul'ta.

OBJECTIVE: To study the efficacy and safety of early use of mexidol in the acute stage of severe ischemic stroke (IS). MATERIAL AND METHODS: A study included 112 patients, aged from 35 to 85 years, with a severe IS. Patients were stratified into two age and sex- matched groups. The main group (n=59) received mexidol in dose of 500 mg daily intravenously during 10 days in addition to standard treatment. The comparison group (n=53) received standard treatment only. RESULTS: In the main group, the percentage of good outcomes, assessed by the Rankin scale, was higher in earlier as well in delayed treatment and the fatality was lower compared to the comparison group. CONCLUSION: Mexidol increased the efficacy of treatment and may be recommended for treatment of patients with severe carotid IS.

[Migration of industrial radionuclides in soils and benthal deposits at the coastal margins of the temporary waste storage facility (TWSF) of the Northwest Center for Radioactive Waste Management (SevRAO) and its influence on the possible contamination of the sea offshore waters].

For obtaining the integral information about the current radiation situation in the sea offshore waters of the temporary waste storage facility (TWSF) of the Northwest Center for Radioactive Waste Management "SevRAO" in the Andreeva Bay and in the settle Gremikha with a purpose of a comprehensive assessment of its condition there was performed radiation-ecological monitoring of the adjacent sea offshore waters of the TWSF. It was shown that in the territory of industrial sites of the TWSF as a result of industrial activity there are localized areas of pollution by man-made radionuclides. As a result of leaching of radionuclides by tidal stream, snowmelt and rainwater radioactive contamination extends beyond the territory of the sanitary protection zone and to the coastal sea offshore waters. To confirm the coastal pollution of the sea offshore waters the levels of mobility of 90Sr and 137Cs in environmental chains and bond strength of them with the soil and benthal deposits were clarified by determining with the method of detection of the forms of the presence of radionuclides in these media. There was established a high mobility of 137Cs and 90Sr in soils and benthal deposits (desorption coefficient (Kd) of 137Cs and 90Sr (in soils - 0.56 and 0.98), in the sediments - 0.82). The migration of radionuclides in environmental chains can lead to the contamination of the environment, including the sea offshore waters.

[Radio-ecological situation in the area of JSC "Priargunsky Production Mining and Chemical Association"].

In order to assess the radioecological situation created in the area of the location of diversified uranium mining enterprise "Priargunsky Production Mining and Chemical Association" (PIMCU) there was investigated the radioactivity of a number of the compartments of environment, both at the industrial site and beyond it, as well as the volume activity of radon inside the ground and working premises. Radioecological situation in the vicinity of the uranium mines was performed in comparison with the background (fixed reference, control) district, where there is no uranium mining. Performed studies have shown the significant excess content of 226Ra, 232Th, 210Pb, 222Rn in soil, water open water bodies and local foods near uranium mines compared to areas outside the zone of influence of uranium mining that allows to make a conclusion about the significant technogenic pollution of local areas of the plant and adjoining territory.

[Regulatory supervision and radiation survey in the area of location of former military technical bases].

Activities related to the rehabilitation of areas and facilities of the temporary storage of spent nuclear fuel and radioactive waste (SNF and RW) at Andreeva Bay and Gremikha on the Kola Peninsula and in the Primorsky Krai in the Russian Far East is an important component of the regulatory functions of the Federal Medical biological Agency (FMBA of Russia). Technical support to the FMBA of Russia in this activity is provided by A.L Burnazyan Federal Medical Biophysical Center Main research interests include evaluation of radiological threats to determine the priority directions of regulation, a detailed analysis of the radiation situation at areas, territories and in vicinity of temporary waste storage facilities, radiation control and environmental monitoring, the development of digital maps and geoinformation systems, project expertise in the field of rehabilitation of PVC including the management of SNF and RW Implementation of these natural, practical and theoretical works is completed by development a set of regulatory documents ensuring adherence to radiation safety for the stuff population and the environment, and the also documents governing the management of SNF and RW waste in the territories of PVC.

Independent regulatory examination of radiation situation in the areas of spent nuclear fuel and radioactive wastes storage in the Russian far east.

This paper describes the findings of the radiation situation analysis on-site near Sysoeva and Razbojnik Bays. The results of radiation monitoring performed by radiological laboratory of DalRAO and studies performed by the experts from the Burnasyan Federal Medical Biophysical Centre have been used in the course of analysis. On the industrial sites, gamma dose rate reaches 60 µSv h(-1), and the specific activities of man-made radionuclides in soil reach 2.5 × 10(4) Bq kg(-1) for (137)Cs, 7.6 × 10(3) Bq kg(-1) for (90)Sr and 2.0 × 10(3) Bq kg(-1) for (60)Co. Beyond the industrial sites, there are three local parts of the area on the coast and in the off-shore water area, contaminated with man-made radionuclides. Gamma dose rate reaches 8 µSv h(-1). The radionuclide contents in soil at this area reach 3.6 × 10(3), 2.8 × 10(3) and 19 Bq kg(-1) for (137)Сs, (90)Sr and (60)Со, respectively. At the remaining part of the area nearby Sysoeva Bay, the radiation situation complies with natural background.

Radiological criteria for the remediation of sites for spent fuel and radioactive waste storage in the Russian Northwest.

In the 1960s, two technical bases of the Northern Fleet were created in Northwest Russia, at Andreeva Bay in the Kola Peninsula and Gremikha village on the coast of the Barents Sea. They maintained nuclear submarines, performing receipt and storage of radioactive waste and spent nuclear fuel, and are now designated sites of temporary storage (STSs). An analysis of the radiation situation at these sites demonstrates that substantial long-term remediation work will be required after the removal of the waste and spent nuclear fuel. Regulatory guidance is under development to support this work. Having in mind modern approaches to guaranteeing radiation safety, the primary regulatory focus is on a justification of dose constraints for determining acceptable residual contamination which might lead to exposure to workers and the public. For these sites, four principal options for remediation have been considered-renovation, conversion, conservation and liquidation. This paper describes a system of recommended dose constraints and derived control levels formulated for each option. The unconditional guarantee of long-term radioecological protection provides the basis for criteria development. Non-exceedance of these dose constraints and control levels implies compliance with radiological protection objectives related to the residual contamination. Dose reduction below proposed dose constraint values must also be carried out according to the optimisation principle. The developed criteria relate to the condition of the facilities and the STS areas after the termination of remediation activities. The proposed criteria for renovation, conversion, conservation and liquidation are entirely within the dose limits adopted in Russia for the management of man-made radiation sources, and are consistent with ICRP recommendations and national practice in other countries. The proposed criteria for STS remediation and new industrial (non-radiation-hazardous) facilities and buildings on the remedied sites had, until now, no analogues in the Russian system of regulation of radiation-hygienic standardisation. The proposals made here may serve as a basis for corresponding standards at other sites.

Regulatory supervision of sites for spent fuel and radioactive waste storage in the Russian northwest.

In the 1960s two technical bases for the Northern Fleet were created in the Russian northwest at Andreeva Bay in the Kola Peninsula and Gremikha village on the coast of the Barents Sea. They maintained nuclear submarines, receiving and storing radioactive waste and spent nuclear fuel. No further waste was received after 1985, and the technical bases have since been re-categorised as temporary storage sites. The handling of these materials to put them into a safe condition is especially hazardous because of their degraded state. This paper describes regulatory activities which have been carried out to support the supervision of radiological protection during recovery of waste and spent fuel, and to support regulatory decisions on overall site remediation. The work described includes: an assessment of the radiation situation on-site; the development of necessary additional regulatory rules and standards for radiation protection assurance for workers and the public during remediation; and the completion of an initial threat assessment to identify regulatory priorities. Detailed consideration of measures for the control of radiation exposure of workers and radiation exposure of the public during and after operations and emergency preparedness and response are complete and provided in sister papers. The continuing requirements for regulatory activities relevant to the development and implementation of on-going and future remediation activities are also outlined. The Norwegian Radiation Protection Authority supports the work, as part of the Norwegian Government's plan of action to promote improvements in radiation protection and nuclear safety in northwest Russia.

Nd: YAG interstitial laser thermotherapy in the treatment of breast cancer.

BACKGROUND AND OBJECTIVE: "Minimal treatment strategy" is desirable in certain breast cancer patients. The main objective of the present study is to examine the use of interstitial laser thermotherapy (laserthermia) for this purpose. STUDY DESIGN/MATERIALS AND METHODS: Thirty-five patients with primary breast cancer were treated with laserthermia using the Nd:YAG (1,064 nm) pulse-wave laser. In 28 patients, laserthermia was performed before radical resection, and in seven patients it was the only invasive treatment. RESULTS: One gaseous rupture of tumor occurred at 3 Watts. The diameter of single focus of laser-induced damage after 1-2 Watts was less than 1 cm, and after 2.5-6 Watts it reached 1.5-2.5 cm. Of seven patients treated without surgery, local tumor control was achieved in five, and in three stage I-III patients disease-free survival followed for 19-60 months. After laserthermia plus surgery, 3-year disease-free survival was 27% in premenopausal and 92% in menopausal patients. CONCLUSIONS: It seems that laser destruction of relatively small primary breast cancer is possible. Provisionally, laserthermia should not be used in premenopausal patients.

[Estimation of the extent of malignant tumor damage in laser interstitial thermal therapy]. / Raschet razmerov zony porazheniia zlokachestvennoi opukholi pri lazernoi interstitsial'noi termoterapii.

A one-dimensional mathematical model has been developed for the thermal malignant tumor damage caused by Nd:YAG laser infrared radiation through a light guide. The model is based on the transient thermal conduction equation and considers the effects of intratissue blood flow, tissue radiation absorption, phase transition (evaporation) and varying tissue thermal tolerance. Examples of computer-aided numerical calculations are presented. A relation of the sizes of the specific areas of thermal tumor tissue damage to the magnitude of radiation, treatment time, blood flow rates, and tissue thermal tolerance is shown. The calculation results are compared with the experimental data obtained on laboratory animals. The calculation model and programme are proposed to be clinically used while planning laser interstitial thermal therapy for human malignant tumors.

[Gastrointestinal hemorrhage after operations for perforated gastroduodenal ulcers]. / Zheludochno-kishechnye krovotecheniia posle operatsii po povodu perforativnykh gastroduodenal'nykh iazv.

On the basis of clinical observation over 521 patients who underwent operations in the clinic for perforating gastric and duodenal ulcer, the authors determined the frequency of massive gastrointestinal hemorrhage (3.2%) in the early postoperative period and the mortality rate in this complication. It is shown that the performance of radical surgical interventions instead of simple closure of the perforating ulcer with sutures, in the absence of life-threatening concomitant diseases and the terminal phase of peritonitis, may improve the results of operative management of this disease.

[Surgical tactics in acute hemorrhage from the upper segments of the digestive tract]. / Khirurgicheskaia taktika pri ostrykh krovotecheniiakh iz verkhnikh otdelov pishchevaritel'nogo trakta.

Results of diagnosis and treatment of 1337 patients with esophageal and gastroduodenal hemorrhages were analyzed. The diagnostic and curative endoscopy is recommended. Variants of tactics of the operative and conservative treatment are proposed for the conditions of specialized hospitals of emergency medical service.

[Iodine metabolism in uranium poisoning according to whole-body radiometry and activation analysis]. / Obmen ioda pri uranovom otravlenii po dannym radiometrii tela i aktivatsionnogo analiza

Experiments on rats showed that in chronic uranium poisoning the value of the intrathyroid iodine pool changed and time-dependent radioiodine recirculation relationship between the thyroid and the organism was upset. The process of the thyroid adaptation is a complex one, viz. the hormonal capacity of the organism being kept up through an increase in the mass of the thyroid as well as by a higher rate of iodine exchange.

[Iodine metabolism in the thyroid gland in chronic uranium poisoning]. / Obmen ioda v shchitovidnoi zheleze pri khronicheskoi uranovoi intosikatsii

The exchange of radioactive and stable iodine was studied for 21 days after the I131 injection in the thyroid gland and the blood of rats against the background of chronic uranium intoxication. The latter was accompanied by a decrease in the number of iodine-transport loci of the gland, as well as of the value of the intrathyroid iodine pool and of the stable iodine concentration in the thyroid tissue. The compensatory reaction of the thyroid gland was expressed in the increase of its mass and the rate of the thyroid metabolism as well.