D » Amount of Dosage Some radiation phenomena, such as genetic effects, are apparently independent of the rate of delivery of the radiation, and depend only on the total dosage. In the majority of instances, however, the biological effect of a given dose of radiation decreases as the rate of exposure decreases. Thus, to cite an extreme case, 600r would certainly be fatal if absorbed by the whole body in one day, but it would probably have no noticeable consequences if spread over thirty years. The most reasonable explanation of this fact is that if the dosage rate, that is, the amount of radiation taken per day, is very small, the damaged tissues have a chance to recover. If the intensity or rate of delivery of the radiation is increased, re- covery cannot keep up with the damage. It is apparently the ~~), a Hereditary Factors Because of the possible importance of the subject for the future of the human race, no discussion of radiation injury would be complete without consideration of the genetic (hereditary) effects. These effects differ from most other changes produced by radiation in mutations may actually be ultra- and, within limits, independent of an individual must receive the mutated gene from both parents be- that they appear to be cumulative the dosage rate of the energy of the radiation. The mechanism of heredity is essentially similar in al! sexually reproducing plants and animals, including man. The material re- sponsible for inheritance is organ- ized into discrete structures, the chromosomes, Which are visible microscopically in the nuclej of dividing cells. The chromosomes, rod-shaped bodies, are considered to be fine threads of nucleoproteins (group recovery of proteins combined with nucleic human beings to accept limited doses of radiation, at least 0.3 r per week for long periods without any apparent harmful conse- length into thousands of distinctive but submicroscopic units, the factor that makes it possible for quences. While little of a specific nature can be done in the treatment of radiation sickness where the acute dose is 600r or more, there is a possibility that where the dose is smaller, particularily 400r, or less, many lives can be saved with proper treatment. Immediate hospitalization, to insure complete rest, and avoidance of chills and fatigue, is an essential first step. Whole blood transfusion should be given, as required, until the bone marrow, the blood-forming tissue quickly damaged by radiation, has had time to regenerate and produce blood cells. Adequate nourishment could be provided by intravenous feeding to supply the necessary sugars, proteins, vita- mins, etc. The danger of infection, from destruction of the germ-fighting white blood cells, may be con- trolled by the use of penicillin and other antibiotics. The whole sub- ject of radiation sickness, a rare occurrence before the bombings of Hiroshima and Nagasaki, is in- tensively studied. and important advances in its treatment may be expected. 3 acid, the latter a constituent of the nuclei of living cells), which are differentiated along their genes, The development of inherited characteristics is controlled by the action of the genes. Chromosomes, A Matter of Time Incomplete experimental work on mice leads to the important microscopic changes in chromosome structure. Mutated genes are commonly classified as either dominant over the normal genes, in which case the individual will show the particular characteristic if he receives the mutated gene from either parent, or recessive, in which case practical conclusion that the prob- ability of passing on chromosome aberrations to the next generation will be greatly reduced if individ- uals exposed to doses of radiation refrain from begetting offspring for two to three months after exposure. It should, however, be stressed that, fore exhibiting the characteristic. deleterious, the occurrence éf beneficial mutations being very rare. calculate the exact magnitude of the risk. It is obvious, therefore, There is a large body of data which indicates that any doSe of radiation. no matter how small, increases the probability of genetic changes. Until recently the risk would have been thought to apply mainly to distant descendants, that until more basic knowledge is available, exposures of personnel should be kept to a minimum. It may be mentioned, however, that the possibility of the produc- tion of a race of monsters in Japan as a result of radiation emitted by the atomic bombs is extremely im- when the probability of two recessives mating would be greater. New information on the frequency of partial dominants indicates that the risk may not be negligible even to the first generation. probable in the opinion of geneticists who have made careful study of the subject. classified roughly into two categories. Microscopically detectable changes in chromosome structure are called chromosomal] mutations or aberrations. They may be re- sponsible for visible changes in inherited characteristics, may cause reduced fertility, and frequently may be lethal, preventing development of the embryos. The Gene Mutations The second category, gene mutations, include those cases in which sudden changes in inherited charthe result of demonstrable changes in chromo- some structure but rather are believed to be from changes in the chemical composition of the nor- mal gene. evidence man populations have not yet been obtained. We are not yet able to Mutations, defined as changes in inherited characteristics, may be not the Many of the basic data necessary for a reliable estimate of the genetic effects of radiation in hu- contributed by each parent through the sperm or egg. are to little or no reduction in the risk of transmitting gene mutations. pear to be recessive, recent evidence indicates that many socalled recessives are partially dominant. Almost all mutations are and hence the genes, occur in pairs in the nuclei of the cells of individuals, one member of each pair acteristics according available, this practice would cause While most gene mutations ap- The possibility remains, however, that many so-called gene tI

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