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Sudebno-Meditsinskaya Ekspertisa最新文献

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[Innovations in forensic medicine: accuracy, evidence and effectiveness of expertises in emergencies in case of mass fatality]. [法医学的创新：在发生大规模死亡事件的紧急情况下专家的准确性、证据和有效性]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246704122
Yu I Pigolkin, O I Kosukhina, E E Fomina, S V Leonov, V Yu Turbachkin, E N Leonova
{"title":"[Innovations in forensic medicine: accuracy, evidence and effectiveness of expertises in emergencies in case of mass fatality].","authors":"Yu I Pigolkin, O I Kosukhina, E E Fomina, S V Leonov, V Yu Turbachkin, E N Leonova","doi":"10.17116/sudmed20246704122","DOIUrl":"https://doi.org/10.17116/sudmed20246704122","url":null,"abstract":"<p><p>The article presents the main innovative methods used in forensic expert practice at the current stage, reveals the principle and algorithms of the developed software complex for registration and identification of the deceased. The proposed program automatically generates four documents, which reduces the time required for forensic expertise in the conditions of mass admission of deceased. The article's authors substantiate prospects of further application of computer technologies in forensic practice to improve organizational and methodological activities in emergencies with a large number of deceased.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Possibilities of using results of head computed tomography in victims with traumatic brain injuries]. [在脑外伤患者中使用头部计算机断层扫描结果的可能性]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246703124
E V Egorova, E M Kildyushov, D V Burenchev
{"title":"[Possibilities of using results of head computed tomography in victims with traumatic brain injuries].","authors":"E V Egorova, E M Kildyushov, D V Burenchev","doi":"10.17116/sudmed20246703124","DOIUrl":"https://doi.org/10.17116/sudmed20246703124","url":null,"abstract":"<p><p>The constant increase in the number of neurotraumas in the country leads to an increase in forensic examinations of a persons. In Russia, about 600 thousand people receive craniocerebral injuries annually, of which 50 thousand die, others are potentially will be in forensic examination during or after treatment. With an increase in the total number of such examinations, the number of erroneous conclusions is expected to increase. If it is impossible for the radiologist included in the commission to review the results of computed tomography of the head performed in the hospital, the experts are forced to use the data that are recorded in the medical documents. The present study revealed the percentage of erroneous interpretations in such descriptions, systematized typical errors, calculated the sensitivity, specificity and accuracy of computed tomography in craniocerebral injury.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Is this iatrogenic pathology or rare disease?] [这是先天性病理还是罕见疾病？］
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246703145
O D Yagmurov, E P Fedotova, V A Fetisov, E Yu Kalinina, Z V Davydova, Yu V Shabanova
{"title":"[Is this iatrogenic pathology or rare disease?]","authors":"O D Yagmurov, E P Fedotova, V A Fetisov, E Yu Kalinina, Z V Davydova, Yu V Shabanova","doi":"10.17116/sudmed20246703145","DOIUrl":"10.17116/sudmed20246703145","url":null,"abstract":"<p><p>The article is devoted to the problem of diagnosis and treatment strategy of Buerger's disease rarely found in the expert and clinical practice, that is inflammatory disease of unknown etiology, affecting mainly small and medium arteries and veins of limbs. Vascular surgeons around the world have been solving this problem for many years, both in terms of timely diagnosis of this disease and its proper pathogenic treatment. The authors of the article described an expert case of Buerger's disease larvated course in 15-years-old girl, which primarily was mistakenly assessed by specialists as iatrogenic pathology of right forearm vessels in injecting aminazin solution that, according to the clinicians' opinion, led to dry gangrene formation of right wrist and its subsequent amputation. The results of the forensic histological study and retrospective analysis of all child's medical documents allowed to correctly diagnose this rare pathology but only on the stage of commission forensic medical examination in the framework of the initiated criminal proceeding against several leading medical organizations in Saint-Petersburg with a pediatric profile. The authors noted the role of routine medical manipulation in manifestation of larvated pathologic process in a teenage girl in addition to full health and well-being. The objective of present article is devoted to understanding this problem.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Fatal radiation-induced injury resulting from the deliberate use of ionizing radiation source for illegal purposes]. [为非法目的蓄意使用电离辐射源造成的致命辐射伤害]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246702139
Yu E Kvacheva, A V Kovalev, Yu P Gribunov, I N Shestakova
{"title":"[Fatal radiation-induced injury resulting from the deliberate use of ionizing radiation source for illegal purposes].","authors":"Yu E Kvacheva, A V Kovalev, Yu P Gribunov, I N Shestakova","doi":"10.17116/sudmed20246702139","DOIUrl":"https://doi.org/10.17116/sudmed20246702139","url":null,"abstract":"<p><p>A rare clinical observation of death from prolonged uneven external irradiation due to the deliberate use of an ionizing radiation source for illegal purposes has been presented. The main difficulties of postmortem diagnosis of this type of radiation-induced injury, considering the features of histological examinations and special methods of retrospective dosimetric evaluations, have been identified.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Development of a carbamazepine determination method based on high-performance liquid chromatography with diode array]. [基于二极管阵列高效液相色谱法的卡马西平测定方法的开发]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246701125
N A Khabieva, E N Lyust, M I Timerzyanov
{"title":"[Development of a carbamazepine determination method based on high-performance liquid chromatography with diode array].","authors":"N A Khabieva, E N Lyust, M I Timerzyanov","doi":"10.17116/sudmed20246701125","DOIUrl":"10.17116/sudmed20246701125","url":null,"abstract":"<p><p>Carbamazepine is used in the treatment of convulsive disorders, trigeminal neuralgia and mental illnesses such as bipolar disorder and pain syndromes. It has been found in clinical applications that carbamazepine causes many serious adverse drug reactions, which are associated with drug concentration in blood and dosage in clinical use. Due to its pharmacological properties, carbamazepine can be life-threatening in an overdosage, making the therapeutic drug control of carbamazepine important in any clinical settings. Creation of a method for carbamazepine quantification in biological objects during forensic chemical examinations is an urgent problem. A method of high-performance liquid chromatography with diode array detection is proposed for carbamazepine quantitation. The stability of proposed conditions for carbamazepine analysis has been proved in the modifying study conditions (flow rate of eluent, its composition, pH of buffer, column oven temperature). The relative standard deviation of retention time and areas of chromatographic peaks of carbamazepine did not exceed 0.5%.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Changes in court practice in cases of poor quality of dental care]. [牙科护理质量差案件中法院做法的变化]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246703114
S V Andreeva, S V Shigeev
{"title":"[Changes in court practice in cases of poor quality of dental care].","authors":"S V Andreeva, S V Shigeev","doi":"10.17116/sudmed20246703114","DOIUrl":"https://doi.org/10.17116/sudmed20246703114","url":null,"abstract":"<p><p>The study objective is to analyze changes in court practice over a 10-year period (from 2013 to 2022) including the quantitative and qualitative composition of complaints for conducted dental treatment, considering legislative changes in the procedure for the provision of dental service and formalization of the relationship between patient and medical organization. An investigation of 1800 legal cases containing complaints, forensic reports and court decisions allowed to identify tendencies in increasing the number of cases in which patients' demands were fully or partially satisfied, from 54% in 2013-2017 up to 61% in 2018-2022. At the same time, the amounts of payments determined by the courts increased by 14 times. In addition, the percentage of claims against medical organizations providing care under the CHI program increased significantly (from 5% in 2013-2017 to 15% in 2018-2022). A significant impact of changes in normative legal documents regulating the provision of dental care on the qualitative composition of complaints and the issues formed for medical experts by court has been noted.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Legal and forensic medical problems of postmortem donation]. [死后捐赠的法律和法医问题]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed2024670315
A L Kochoyan, A D Ivanova, R E Marchenkov, Yu B Chupilkin, D P Berezovskiy
{"title":"[Legal and forensic medical problems of postmortem donation].","authors":"A L Kochoyan, A D Ivanova, R E Marchenkov, Yu B Chupilkin, D P Berezovskiy","doi":"10.17116/sudmed2024670315","DOIUrl":"https://doi.org/10.17116/sudmed2024670315","url":null,"abstract":"<p><p>The article is devoted to legal and forensic medical problems of postmortem donation. The substantive provisions of postmortem donation, as well as normative legal documents regulating the processes of organs harvesting from deceased persons for subsequent transplantation and governing the work of transplantologists and forensic medical experts have been considered. The practical examples illustrating the essence and nature of the problem of postmortem forensic medical expertise of persons with absent organs has been given and the importance of the participation of a forensic medical expert involved in the decision-making process on possibility (or impossibility) of the corpse's organs and tissues explantation without prejudice to the further expert examination has been emphasized. The authors pay particular attention to the inadequacy of the legal framework, including the lack of a clear understanding of the legal status of the person holding the position of forensic medical expert, who provides an expert opinion on the organs' explantation.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Forensic assessment of meteorological conditions as risk factors of sudden death from arterial hypertension]. [气象条件作为动脉高血压猝死风险因素的法医评估]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246704165
Yu I Pigolkin, I N Ryzhenenkova, T V Maksimova, E A Sazhaev, S N Zakharov
{"title":"[Forensic assessment of meteorological conditions as risk factors of sudden death from arterial hypertension].","authors":"Yu I Pigolkin, I N Ryzhenenkova, T V Maksimova, E A Sazhaev, S N Zakharov","doi":"10.17116/sudmed20246704165","DOIUrl":"https://doi.org/10.17116/sudmed20246704165","url":null,"abstract":"<p><p>Arterial hypertension is a disease that significantly increases the risk of sudden death in different age groups. It is of high scientific interest to study the relationship of arterial hypertension manifestations with different weather conditions. The article provides a review of literature data on the variability of arterial hypertension course depending on meteorological conditions as a risk factor for sudden death.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Forensic toxicological characteristics of modern occupational injuries]. [现代职业伤害的法医毒理学特征]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246704158
I O Chizhikova, S V Shigeev, G V Zolotenkova
{"title":"[Forensic toxicological characteristics of modern occupational injuries].","authors":"I O Chizhikova, S V Shigeev, G V Zolotenkova","doi":"10.17116/sudmed20246704158","DOIUrl":"https://doi.org/10.17116/sudmed20246704158","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the contribution of alcohol and drug intoxication to fatal occupational injuries and sudden death at the workplace in Moscow.</p><p><strong>Material and methods: </strong>A number of death cases of various organizations' employees equal 357 in Moscow in 2023 were investigated. The mean age of the deceased was 48.29±13.9 years, 92.4% of them were men.</p><p><strong>Results: </strong>Ethanol in blood has been determined in 15% of the deceased. Narcotic drugs and psychotropic medications have been found in 6.7% of cases. Signs of chronic intoxication have been established in 16.5% of the deceased. Chronic intoxication accompanied or aggravated the course of 70% of cardiomyopathies. The proportion of deceased in an accident at an industry or construction site equal 23.9%, as well as <sup>1</sup>/<sub>2</sub> of the deceased in an accident on the street and in a residential building were impaired by alcohol.</p><p><strong>Conclusion: </strong>The study of the contribution of alcohol and drug consumption to occupational mortality will allow to plan measures for reducing the mortality of working-age population.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Causal links in forensic medicine in cases of acute enteric infections]. [急性肠道传染病法医学中的因果关系]。
Sudebno-Meditsinskaya Ekspertisa Pub Date : 2024-01-01 DOI: 10.17116/sudmed20246703119
O Yu Gritskevich, Yu A Khrustaleva, D S Kadochnikov
{"title":"[Causal links in forensic medicine in cases of acute enteric infections].","authors":"O Yu Gritskevich, Yu A Khrustaleva, D S Kadochnikov","doi":"10.17116/sudmed20246703119","DOIUrl":"https://doi.org/10.17116/sudmed20246703119","url":null,"abstract":"<p><p>One of the main tasks in expertise of living persons is to determine the harm caused to human health. According to the regulations, only harm to human health caused by an injury and causally related with it is taken into account in the forensic examination of a living person. The establishment of a causal link allows to assess correctly the harm severity caused to human health. In this respect, the study of the effect of biological damaging factor on human body (cause) and the result of this interaction (effect) is a new step in modern science. The article presents the analysis of data from the reports of the Russian Reference Center on monitoring of enteric infection agents for 2016-2021; the results of examinations of subjects who suffered from acute enteric infections for 2018-2019 to study causal links in forensic medicine in cases of acute intestinal infections.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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