Sudebno-Meditsinskaya Ekspertisa最新文献

The article presents the results of scientometric analysis of theses, defended in the period from 1800 to 2020 yrs. on the «Forensic medicine» specialty, which are devoted to personality identification. Based on the analysis of defended theses for a significant period of time, a change of scientific directions was established and their dynamics, main tendencies and prospects were revealed. This allowed to determine the potential vector of research development on the forensic medical identification of personality. The conducted research can be used as a scientific and theoretical basis for predicting the relevance of future scientific investigations.

During the study of forensic medical examinations conducted in 2013-2022 in cases related to poor-quality dental care, the main features of the implementation of expert assessments were identified. The most common (in 46% of cases) assessment of comprehensive dental care is carried out. In 6% of cases, claims are made to 2-5 medical organizations at once. In 15-20% of cases, during the forensic medical examination, the condition in the oral cavity has already been changed by subsequent dental treatment. In the course of the study, it was determined that payments from dental organizations are on average 10 times higher than the cost of treatment and account to about 40% of the amounts requested by patients in claims. In 15% of cases, forensic medical examination was carried out on dental care provided within the framework of state guarantees of free medical care. Claims for compensation for moral damage were contained in 97% of cases, in 56% of cases the court confirmed their validity. The growth rate of cases where claims for compensation for moral damage were satisfied for 10 years amounted to 36%. The amount of compensation payments has increased. The revealed features of judicial practice in dentistry necessitate the development of objective, evidence-based, reproducible assessments and the introduction of evaluation criteria in clinical recommendations for the relevant nosology.

Pathomorphological changes in internal organs due to the toxic effects of the black mamba venom are nonspecific in nature and presume its neurotoxic and cardiotoxic effects with the development of the DIC syndrome, pulmonary edema, and brain edema in the terminal period. In forensic medicine, the development of specific diagnostic criteria, as well as an algorithm for detecting toxins of the black mamba venom in biological fluids and tissues of internal organs can become a promising topic for scientific research.

The authors' idea of the "scientific school" concept is presented. The evolution of the forensic school formation is shown, starting from the student years, through professional specialization and scientific analysis of forensic practice to independent thesis. The basic principles of training military forensic experts in the Military Medical Academy are demonstrated. A summary of 40 candidates and doctoral theses performed under the scientific supervision and with the scientific advice of Professor V.L. Popov is presented as well.

Aim of this study is to research the fatal electrical injury rate in the Russian Federation, identified during the forensic medical investigation/examination of corpses for the period of 2003 to 2021, and to detect Russian regions, where fatal electrical injury rates are significantly higher than the national average. Based on research of annual reports, it has been established, that the fatal electrical injury reaches insignificant, but relatively stable part in the total amount of violent death and fatal mechanical injury in the Russian Federation. The analysis of fatal electrical injury rates depending on Russian regions showed that the Republics of Adygea and Kalmykia, Krasnodar Territory, Rostov, Kursk and Astrakhan regions are areas with the greatest prevalence of fatal electrical injury. A comparative data analysis for the Russian Federation with the European Union countries and the CIS countries demonstrates that the fatal electrical injury has a high frequency of occurrence in our country.

Aim of this study is to establish the distance and spacing of gunshot wound in the conditions of after-penetration target location. The experimental studies series on shooting coarse colico targets located behind a triplex (car windshield) with record of results by a high-speed camera with a frequency of 1000 frames per second, followed by a study of the affected targets by routine and modern methods (scanning electron microscopy and energy dispersion analysis) were performed. Established results showed that fragments of projectile that overcame an obstacle and secondary projectiles have a rather stable zoning distribution behind an obstacle at a distance up to 2.5 m from the obstacle. The most informative diagnosis of an after-penetration wound distance zone is based on the character of the firearm projectile fragments dispersion, manifestation of lead particles thermal exposure from its sleeve and secondary projectiles fragments formed under the effect of shock wave superimposement in the obstacle material.

The aim of the study: Was to assess the possibility of using chemical analysis of bone mineral content by the means of an energy dispersive X-Ray spectroscopy to determine the age of unidentified corpses for forensic identification. A semi-quantative chemical microanalysis of bone fragments of 85 male and female corpses aged between 21 and 91 was done through the use of energy dispersive X-Ray spectrometer. The association of bone tissue apatite mineral composition with age is confirmed and a formula, connecting age and chemical composition change, is proposed. The possibility of using quantitive evaluation of chemical elements content in the normative mineral to determine the unidentified corpse's age in a standard laboratory, equipped with an energy dispersive X-Ray spectrometer, was proved.

The aim of the study: Was to conduct the epidemiological analysis of juveniles' deaths by hanging, registered in the Bureau of Forensic Medical Expertise, Moscow for 2017-2021 years. The number of incidents equal 61 was revealed (2.65% of whole hanging incidents for the researched period). The amount of hanging deaths among juveniles and their percent in the total quantity of deaths from this type of strangulated asphyxia increased in 2017, 2018 and 2019 years to 8 (1.6%), 15 (3.1%) and 18 (3.6%) incidents respectively; decreased in 2020 year to 7 (1.7%) incidents and increased again in 2021 year to 13 (3.0%) incidents. Juveniles died by hanging were mostly male (73.8%) aged from 15 to 18 years (63.9%). The median age for girls was 16 years (IQR 15.0-16.75) and for boys 15 years (IQR 13.0-16.5). Most of juveniles' corps were found in their place of residence: in apartments or residential houses (the whole number was 49 or 80.4%). Generally, juvenile hanging occurred between November and January (36.1% of all incidents) and in April (11.5%); less frequently were in February (1.6%), June and July (9.8%). Alcohol was found in blood of 18.2% juveniles aged from 15 to 18.

The algorithm of spleen and sterno-vertebrocostal segment models creation, the use of which allows to simulate various variants of conditions of spleen damage occurrence, is proposed. These data can be used for simulation of blunt abdominal trauma as a part of situational forensic medical examinations production. The results of performed experimental works on this issue showed the efficacy and adequacy of created models, which makes implementation of spleen injuries modelling into routine forensic medical expert practice promising.

The problem of flight safety and aviation injury were considered, data on aviation accidents in Civil aviation were shown, the main causes of aviation accidents were presented: technical failure, difficult meteorological conditions, deficiencies in flight organization and «human factor». The conditional classification of aviation injury was presented. Detection of primary injuries is especially important for aeromedicine (head impact on dashboard, bone fracture at the ankle, «loss of vital space», laceration between 1st and 2nd fingers from the control wheel), that determine the pattern of pilots' actions in an emergency situation. A three-link flight medical support system was remained to prevent flying under the influence of alcohol, drugs and psychoactive substances. The Department of Aerospace Medicine developed the algorithm of pilots' examination suspected of using toxic substances. The materials of pilot's psychological examination after an aviation accident in the state of posttraumatic stress disorder are presented.