S V Leonov, A V Khodulapov, P V Pinchuk, E N Leonova
{"title":"[Forensic medical characteristics of bullet injuries caused by shots from smoothbore 12-gauge firearms].","authors":"S V Leonov, A V Khodulapov, P V Pinchuk, E N Leonova","doi":"10.17116/sudmed20256801134","DOIUrl":"10.17116/sudmed20256801134","url":null,"abstract":"<p><p>The article presents the results of experimental study of the features of injuries of clothing imitators (coarse calico) and parts of the human body as a result of shots from smoothbore 12-gauge firearms (12×70) with cartridges, equipped with metal alloy and plastic bullets. The distinctive features of morphology of experimental gunshot injuries caused by bullets of different construction have been given.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 1","pages":"34-37"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524756","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}
M O Yagmurov, I A Tolmachev, A P Bozhchenko, Yu A Khrustaleva
{"title":"[On the challenges and shortfalls of expert assessment of maxillofacial injuries with concussions according to medical documents only].","authors":"M O Yagmurov, I A Tolmachev, A P Bozhchenko, Yu A Khrustaleva","doi":"10.17116/sudmed20256801154","DOIUrl":"10.17116/sudmed20256801154","url":null,"abstract":"<p><strong>Objective: </strong>To determine the shortfalls of medical documents for victims with facial injuries and concussions and the related challenges during forensic medical expert assessment of the injury.</p><p><strong>Material and methods: </strong>The medical records of the victims and the reports of forensic examination of living persons were examined.</p><p><strong>Results and conclusion: </strong>Facial injuries with concussion account for about 20% of all examinations of living persons. The morphological essence of the described lesions differs significantly among forensic medical experts and clinical doctors. Clinicians provide an excessive or insufficiently validated diagnosis of concussion, which is not confirmed during forensic medical examination in nearly 40% of cases. Forensic medical experts could determine the nature of trauma based on the study of medical documents only in 68% of cases. The efficacy of in-person expert examinations of victims is low. Some ambiguous provisions of regulations and medical criteria for determining the severity of harm caused to human health allow for arbitrary interpretation.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 1","pages":"54-58"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524689","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}
{"title":"[Method of autopsy study of thalamus and basal nuclei].","authors":"A S Konakov, Yu S Brikova, E M Koludarova","doi":"10.17116/sudmed20256803143","DOIUrl":"https://doi.org/10.17116/sudmed20256803143","url":null,"abstract":"<p><p>Thalamus and basal nuclei are deep structures of the brain which play a crucial role in regulating consciousness level. Traumatic injuries in them occur in craniocerebral injury (CCI), post-traumatic alterations - at the 2nd stage of dislocation syndrome. Non-traumatic hemorrhages are most often located in these structures. The existing methods of the brain autopsy study have not been effective enough for their focused detailed examination.</p><p><strong>Objective: </strong>To develop the rational and effective method of thalamus and basal nuclei autopsy examination for identification of pathomorphological changes and their characteristics.</p><p><strong>Material and methods: </strong>The brain of 42 males and 31 females aged 18-65 years who died due to CCI at different times of post-traumatic period, as well as 22 males and 25 females aged 35-68 years who died due to various causes of non-violent death, was examined according to autopsy data. The cases were divided into 2 groups for study of the thalamus and basal nuclei: in the 1st group (69 observations) the brain was examined by traditional methods (Virchow, Pitre, Fisher), in the 2nd group (51 observations) - by own developed method.</p><p><strong>Results: </strong>In the 1st study group hemorrhages in thalamus were found in 15% of cases, in basal nuclei - in 12%, in the 2nd group -hemorrhages in thalamus were identified in 32%, in basal nuclei - in 21% of observations. The application of newly developed method of thalamus and basal nuclei autopsy examination has shown its advisability and efficacy.</p><p><strong>Conclusion: </strong>The method of autopsy study of the thalamus and basal nuclei has been developed and proposed for practice that will allow to increase the objectivity and evidence of forensic medical examination of the corpse.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 3","pages":"43-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327085","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}
A V Kopylov, E M Kildyushov, M V Berlay, I I Fedko, Kh A Avanesyan, S M Karpov
{"title":"[Stillbirth: historical aspects and current state of the problem].","authors":"A V Kopylov, E M Kildyushov, M V Berlay, I I Fedko, Kh A Avanesyan, S M Karpov","doi":"10.17116/sudmed20256803151","DOIUrl":"10.17116/sudmed20256803151","url":null,"abstract":"<p><p>The world literature data characterizing the problem of stillbirth are summarized and systematized in this article. We studied scientific publications of the first half of the 20th century discussing issues that are still relevant today: the feasibility of creating a unified system for consideration of the stillbirth criteria, the importance of managing pregnant women in the antenatal period, the need for comprehensive training of doctors in order to prevent stillbirth. Attention has been focused on the features of performing forensic and coroner's autopsies of fetuses and deceased newborns. The current state of the problem of stillbirth has been considered. The importance of using theoretical knowledge in the field of obstetrics and gynecology, pathological anatomy for the purposes of forensic medical practice has been noted.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 3","pages":"51-56"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327087","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}
{"title":"[To determination of the causal relationship between the actions of medical professionals and the occurrence of adverse outcome in expertises on medical malpractice cases].","authors":"S A Povzun","doi":"10.17116/sudmed20256804111","DOIUrl":"10.17116/sudmed20256804111","url":null,"abstract":"<p><p>Two expert reports of medical malpractice cases, in one of which there was a conclusion about the presence of a direct causal relationship with the natural course of the disease, and the other - with the incorrect actions of the doctor, were analyzed. Methodological approaches to solving such issues are discussed. It is recommended to use the logical method of hypothetical elimination of incorrect actions of medical professionals in order to avoid errors.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 4","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030994","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}
A A Gusarov, V L Sidorov, O D Yagmurov, M N Nagornov
{"title":"[Methodology for performing intralaboratory quality control in establishing species of the blood by IgGtotal with the use of quantitative enzyme-linked immunosorbent assay].","authors":"A A Gusarov, V L Sidorov, O D Yagmurov, M N Nagornov","doi":"10.17116/sudmed20256801138","DOIUrl":"10.17116/sudmed20256801138","url":null,"abstract":"<p><p>The objective of the study is to develop the methodology for conducting intralaboratory quality control of total IgG investigations in establishing species of the blood by quantitative enzyme-linked immunosorbent assay (ELISA) using the Russian «IgG-total-ELISA-BEST» kit. A sequential 3-step algorithm presented by the article's authors can be used by experts of forensic biological units in carrying out quantitative ELISA to reveal possible errors that could invalidate the obtained results.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 1","pages":"38-42"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524686","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}
I S Edelev, E A Kalyuzny, I V Mukhina, E S Bogomolova, E S Baklanova, I A Khomyakova, A K Gorbacheva, T K Fedotova
{"title":"[Expertise of anthropometric indicators of children and adolescents of the Nizhny Novgorod Region in 1944/45-1959/60-2019/22].","authors":"I S Edelev, E A Kalyuzny, I V Mukhina, E S Bogomolova, E S Baklanova, I A Khomyakova, A K Gorbacheva, T K Fedotova","doi":"10.17116/sudmed20256801111","DOIUrl":"10.17116/sudmed20256801111","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the main anthropometric indicator - body length of children and adolescents - with a view to applying the current regional standard in the practice of forensic medical examinations in the constituent entity of the Volga Federal District.</p><p><strong>Material and methods: </strong>Analysis of retrospective regional standards of the «body length» anthropometric indicator in 218 109 children and adolescents in 1944/45 and 1959/60, biometric systematics of the indicator for the modern population of children and adolescents aged 7-17 years (11 392 cases) in the Nizhny Novgorod Region were performed.</p><p><strong>Results: </strong>Significant increases in the indicators of body length have been found in all age-sex groups. Evaluation tables, which allow to more argumentatively carry out age-sex identifications of anthropometric indicators im appropriate examinations, have been proposed.</p><p><strong>Conclusion: </strong>It has been shown that modern environmental factors of natural and anthropogenic character make a corresponding contribution to the modifications of physical development's indicators in general and position body length in particular in the population of children and adolescents of the Nizhny Novgorod Region.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 1","pages":"11-16"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524629","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}
{"title":"[Finite-element simulation of solar radiation impact on corpse's cooling].","authors":"G V Nedugov","doi":"10.17116/sudmed20256802131","DOIUrl":"https://doi.org/10.17116/sudmed20256802131","url":null,"abstract":"<p><strong>Objective: </strong>To find out the regularities of solar radiation impact on the corpse's temperature field by means of a finite-element simulation of this physical process.</p><p><strong>Material and methods: </strong>A finite-element simulation of the temperature field of the corpse's head was performed using the ELCUT 6.5 application.</p><p><strong>Results: </strong>A two-dimensional finite-element model of finding the postmortem temperature field of the head under conditions of convective heat exchange with and without solar radiation, considering the cyclical dynamics of the external temperature and surface density of the heat flow, as well as the presence of shadow zone on the corpse, has been developed. It has been proven during simulation that solar radiation, depending on the heat flow density and the integral sum of absorbed thermal radiation, is accompanied by a proportional heating of the corpse's superficial tissues on the insolation side with delayed change in the temperature gradients' directions and asymmetric temperature field formation. Diffused solar radiation is enough for change of the corpse's cooling dynamics even if its location is not under direct sunlight.</p><p><strong>Conclusion: </strong>It is recommended to use the finite-element simulation of corpse's cooling in determining the age of death under conditions of combined postmortem heat exchange with the presence of solar radiation.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 2","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017403","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}
G V Zolotenkova, D P Kalashnikov, T A Tareeva, D A Syrova
{"title":"[Methods of diatom extraction: current status and future directions].","authors":"G V Zolotenkova, D P Kalashnikov, T A Tareeva, D A Syrova","doi":"10.17116/sudmed20256802150","DOIUrl":"https://doi.org/10.17116/sudmed20256802150","url":null,"abstract":"<p><p>Forensic diagnosis of drowning as a death cause is a complicated expert task in some cases. Diatom test is still the «gold standard» of drowning diagnosis. Systematic analysis of studies published in the period 2000-2024 in PubMed and Springer Link international databases in English and Russian was carried out to investigate existing scientific developments related to forensic diatomology. The article presents data on current methods of diatom extraction with regard to effectiveness and safety. The obtained results can be used both to form the development direction of this scientific issue, and to realize in practice - introduction of methods into expert practice.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 2","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022487","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}
{"title":"[On the forensic significance of corpse's «posture» in death from general hypothermia].","authors":"A Yu Chudakov, I A Tolmachev, V V Gaivoronskaya","doi":"10.17116/sudmed20256801122","DOIUrl":"10.17116/sudmed20256801122","url":null,"abstract":"<p><p>Examination of the corpses of people who died from general hypothermia in conditions of non-obviousness often causes difficulties in forensic evaluation. The article presents the reports of forensic medical experts and personal observations in relation to corpses of individuals who died from hypothermia on land (150 observations), and the personal photo archives of A.Yu. Chudakov. The signs of fatal general cold injury, obtained in conditions of human presence, on land (sometimes with combined cooling, pre-soaking in water), have been supplemented and specified by descriptions of various body positions (postures). The nature of postmortem postures of corpses of people has been evaluated. The data recorded in the reports of the corpses' examination at the site of detection (on the scene) were relevant for analysis.</p>","PeriodicalId":35704,"journal":{"name":"Sudebno-Meditsinskaya Ekspertisa","volume":"68 1","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524799","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}