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Information × Registration Number 0221U102693, 0118U003766 , R & D reports Title Scientific substantiation of methodological approaches and principles of the medical examination due diseases that lead to disability and death from the effects of the Chernobyl accident in a remote post-emergency period popup.stage_title Head Sushko Viktor O., Доктор медичних наукFedirko Pavlo A., Доктор медичних наук Registration Date 08-02-2021 Organization State Institution "National Research Centre For Radiation Medicine of National Academy of Medical Sciences of Ukraine" popup.description2 Retrospective analysis of 41,407 cases of ChNPP accident victims, considered in relation to the causal relationship of the diseases development and progression with radiation exposure (RE) and other harmful factors of the accident during 2013-2020 allowed to determine that share of diseases of the circulatory system was 39.62 %, oncological pathology - 53.69 %. The share of cases of AH was 28.4 % of the total number of clean-up workers CWs. In the structure of diseases of CWs that led to death, the share of AH was 17.8 %. In studying the evidentiary criteria for the causal relationship of AH with participation in the clean-up works (WLAc), it is determined that in main group the AH developed in (9.4 ± 6.2) years, which is on average 6 years earlier than in the comparison group (р < 0.001). AH in the main group of CWs developed at the age of 5.8 years younger than in the comparison group (р = 0.0005). The need for inpatient treatment come 8.6 years earlier (14.6 ± 7.7 years) than in CWs comparison group (р < 0.001). At the dose of external radiation exposure (DERE) 0.05 Sv and over, increases the probability of development and progression of AH that has causal relationship with WLAc. At DERE 0.20 Sv and over the significant evidence value have the next criteria: terms of Somatoform Vegetative Dysfunction (SVD) development (within 3.5 years) and its transformation into AH (within 7 years), verification of the AH diagnosis (within 9.5 years), inpatient treatment for SVD or AH (within 15 years), vascular events (Stroke – within 24 years after participation in the WLAc or 11 years after the AH diagnosed, myocardial infarction – 22 years and 10.5 corespondingly), the establishment of permanent disability. Radiation factor has an evidence influence on the development and progression of AH in CWs at DERE more than 0.20 Sv. Criteria of this influence can be used for expertise for estimation of the causal relationship of the disease with the WLAc. Product Description popup.authors Bilaya Viktoria V Babenko Tetyana F Berestjana Zhana M. Hapieienko Daria D Dorichevska Raisa Yu Dubrovina Galyna V. Kolosynska Olena O Sushko Viktor O Tatarenko Olga M Fedirko Pavlo A popup.nrat_date 2021-02-08 Close