Military Radiobiology

1. Military Radiobiology: A Perspective

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2. Physical Principles of Nuclear Weapons

I. Fundamental Concepts

II. Model of the Nucleus

III. Fission

IV. Chain Reaction

V. Fusion

VI. Detonation

VII. Partition of Energy

Suggested Readings


3. Nuclear Weapons Fallout

I. Origins of Fallout

II. Design and Deployment of Weapons Related to Fallout

III. Yield and Atmospheric Conditions

IV. Fallout Patterns

V. Radiological Properties of Fallout

VI. Internal Hazards from Fallout

VII. Management of Fallout

References

Suggested Readings


4. Ionizing Radiations and Their Interactions with Matter

I. The Basics

II. The Radiation Types

III. Units of Ionizing Radiation

IV. Radiobiology: A Brief Introductory Synopsis

Bibliography


5. Cellular Radiation Biology

I. Radiation Interactions

II. Radiation Chemistry

III. Comparison of Ionizing Radiations

IV. Cellular Radiation Biology

V. Tissue and Organ Sensitivity to Ionizing Radiation

References


6. Radiation Effects on the Lymphohematopoietic System: A Compromise in Immune Competency

I. Pluripotent Stem Cell

II. Survival of Mature Blood Cells after Irradiation

III. Effect of Radiation on Immune Competency

References


7. Effect of Ionizing Radiation on Gastrointestinal Physiology

I. Prodromal Effects

II. The Gastrointestinal Syndrome

References


8. Postirradiation Cardiovascular Dysfunction

I. Introduction

II. Etiology of Postirradiation CVD

III. Neurovascular Dysfunction

References


9. Acute Radiation Syndrome

I. Sources of Data on Human Response to Prompt Radiation

II. Acute Radiation Sequelae

III. Detailed Description of the ARS

IV. Modifying Factors

References


10. The Combined Injury Syndrome

I. Pathophysiology

II. Hematopoietic-Immune Dysfunction

III. Gastrointestinal Dysfunction

IV. Changes in Endogenous Flora

V. Metabolic Requirements

VI. Healing of Traumatic Wounds

VII. Management of Wounds

References


11. Mechanisms and Management of Infectious Complications of Combined Injury

I. Abnormal Colonization of Epithelial Surfaces

II. Interaction of Host and Parasite during Infection

III. Summary

References


12. Diagnosis, Triage, and Treatment of Casualties

I. Decontamination of the Patient

II. Evaluation of Radiation Injury

III. Symptoms Frequently Occurring in Whole-Body Irradiated Casualties within the First Few Hours Postexposure

IV. Initial Treatment for Patients with Whole-Body Radiation Injury

V. Diagnosis and Treatment of the Patient with Combined Injuries

VI. Management of Infection

VII. Future Concerns for Management of Radiation Injuries

References


13. Internal Contamination with Medically Significant Radionuclides

I. Routes of Entry and Distribution

II. Internal Contamination through Wounds and Injection into the Systemic Circulation

III. Physical and Metabolic Characteristics of Radioisotopes Common in Internal Contamination

IV. Therapeutic Management of Internal Contamination

V. Prevention of Gastrointestinal Absorption

References


14. Radioprotectants

I. Military Applications of Radioprotectors

II. Characteristics of a Field-Usable Radioprotector

III. Historical Perspective

IV. Mechanisms of Radiation Injury and Protection

V. Screening and Assessment of Radioprotectors

VI. Radioprotectors

VII. Summary

Appendix A: Factors Affecting Survival Studies

References


15. Psychological Effects of Nuclear Warfare

I. Psychological Milieu before Conflict

II. Acute Psychological Reactions

III. Chronic Psychological Reactions

IV. Summary of Psychological Effects

V. Requirements and Problems of Care

VI. Prevention of Adverse Psychological Reactions to Nuclear Warfare

References


16. Effects of Ionizing Radiation on Behavior and the Brain

I. Behavioral Alterations

II. Physiological Mechanisms and Performance Decrement

III. Summary

References


17. Nuclear Weapons Accident Response Procedure

Response to a Nuclear Weapon Accident

Appendix A: Contamination Hazards and Basic Principles of Radiation Protection

Appendix B: Checklist for Actions to Restore a Site

Appendix C: Checklist for Actions before an Accident

Appendix D: Checklist for Immediate Actions

Appendix E: Checklist for Actions as Soon as Resources and Personnel Permit


18. Management of Radiation Accidents

I. Role of the Military Physician in Management of Radiation Accidents

II. Planning for Radiation Accidents

III. Management of Radiation Accidents

IV. Bone Marrow Transplantation

V. Local Radiation Injury

VI. Decontamination and Decorporation after External Contamination by Radioactive Materials

VII. Skin Decontamination

References


19. Medical Operations in Nuclear War

I. Planning

II. Casualties

III. Combined Injury

IV. Patient Management

V. Advice to the Tactical Commander

Suggested Readings


20. Low-Level Effects

I. Late Effects of Radiation

II. Conclusions

References

Index