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[Forensic medical differential diagnosis of craniocerebral trauma in children].

It is emphasized that history, complaints, a comprehensive neurological examination, craniography are not often sufficient for differentiation between brain concussion and mild brain contusion in children because of specific characteristics of craniocerebral trauma (CCT) in such patients. To make an adequate forensic medical diagnosis of CCT in children, it is necessary to take into consideration anatomophysiological peculiarities of a child, biomechanical conditions of the brain injury, to apply modern methods of neurovisualization (ultrasonography, computed and MR imaging), to follow up brain function with quantitative electroencephalography. Improvement of differential forensic-medical assessment of CCT severity in childhood should be made according to the principles of evidence-based medicine.

Child↗

[Mechanogenesis and morphology of a closed trauma of the liver inflicted by blunt hard objects (mathematical estimation)].

A retrospective analysis was made on traumas associated with hepatic injury. Signs-lesions in different kinds of trauma are characterized. A mathematic probabilistic method for differential diagnosis of a traumatic impact by hepatic lesion was applied. The findings can be used in conduction of forensic-medical examinations for the kind and mechanism of trauma.

Forensic Pathology↗

[Posttraumatic neurosensory hypoacusis in forensic medical practice].

Literature data and results of epidemiological examination show that traumas play a significant role in emergence of neurosensory hypoacusis (NSHA) in young healthy population. The diagnosis of NSHA is often missed in forensic-medical examination and this may cause a social problem. Audiometric signs of NSHA were studied in subjects with trauma of the labyrinth. Pure tone audiometry results can be used for differential diagnosis of mechanical and barotraumas and as additional criteria in determination of the harm to health.

Adolescent↗

[Prognosis of basic somatic characteristics of humans in expert examination of fragments of human body].

To develop a method of assessing human body somatometric parameters by its fragmentation, we used individual data on the series G. van Vark (1975) from corpses of 62 males and 39 females aged from 23 to 95 years. Statistical processing with SPSS package calculated regression equations allowing prediction of head size, length of the upper and lower limbs and their segments. The data can be used in forensic medicine in expert examination of dismembered corpses and in emergency situations with mass human victims.

Adult↗

[Forensic-medical significance of the characteristics of gunshot perforating fractures of the skull bones].

The study was made of gunshot perforating fractures of calvarial bones in cases of lethal perforating head wounds in long distance shots from a 9-mm Makarov gun. Morphological characteristics of inlet and outlet perforating fractures and bone fragments were found to differ. Gunshot fractures in calvarial bones inflicted by bullets from a 9-mm Makarov gun were studied in experiments with different kinetic energy. In low kinetic energy, bullets make oval holes on the outer table of the skull and round holes on the inner table with radial prominences on the walls of bullet channels, large bone fragments; in moderate kinetic energy--make round holes in the outer table and oval on the inner table with skew prominences on the walls of the outlet part of the channels, large and middle-sized flat bone fragments; in high kinetic energy injuries on both tables were round, prominences were cross, bone fragments were flat, small and middle-sized.

Adult↗

[A complex study of damages inflicted by traumatic shots from the unstem gun PB-4].

Possibilities of a complex study of the damage to the body and clothes caused by shots from non-lethal arms (unstem gun PB-4 from a complex Osa) are illustrated by real expert tasks from forensic medical practice. A combination of experimental shots with emission spectral analysis of the objects of the study and targets is validated for determination of the patron characteristics and composition as well as shooting diastance.

Firearms↗

[Investigation of osteoporotic changes of the long tubular leg bones for identification of human biological age].

The authors propose to introduce into expert practice a number of methods estimating age-related osteoporosis by such quantitative characteristics as coefficient of optical transmission, optic density, porosity. The data confirm nonlinear dependence of age dynamics of osteoporotic changes which can be more effectively described by equations of polynomial regression.

Aging↗

[Identification of blunt objects according to the injuries caused by them].

The article presents principles of forensic-medical identification of blunt objects by injuries inflicted with them. It is shown that each injury has its own complexes of identifying signs. It is necessary to consider mechanisms of action of blunt objects inflicting contact, noncontact and other injuries. Mathematical methods should be employed to estimate probability of identification of traumatic blunt object.

Biomechanical Phenomena↗

[Circumstances and toxicological characteristics of deadly opiates poisoning].

Facts of prehospital death of 109 heroin addicts are analysed and systematized. It is shown that examination of the corpse at the point of detection may provide information on the circumstances of death and its cause. Correlation between morphine concentration in the corpse tissues and circumstances of death is studied. It is found that information about the victim and facts of his/her death suggest cause of death and help in directions of post-mortem examination and choice of diagnostic procedures.

Adult↗

Infanticide in Eastern Croatia.

For the layperson no crime is more difficult to comprehend than the killing of a child by his or her own parents. This is a retrospective study of neonaticide and infanticide in Eastern Croatia from 1980 to 2004. Judicial records of infanticide cases stored in Regional and County Courts were analyzed for the circumstances surrounding the offense. Twenty-four babies were discovered in various places during investigating period of time. The victims were almost equally divided between boys (12) and girls (11). The gender of one baby was unknown. The mean weight of babies was 2.7 SD = 0.66 kg. The perpetrators preferred rubbish-heaps (33.4%), burying in soil (16.7%), various premises in or around the house (16.7%) and garbage cans (12.5%) as places for hiding the dead babies. The most dominant cause of death in sixteen cases of live birth was asphyxia (37%) with equal distribution of smothering, stuffing the mouth with rags and strangulation. Other frequent causes of death were placing the child in a plastic bag and abandonment (25%), brain injury (25%) and wounding using a sharp weapon (12.5%). The cause of death for six babies remained unknown due to advanced decomposition. Two babies were stillborn. The age of accused mothers varied from 16 to 33, mean 24 SD=5.2 years. Most of them were unmarried (60%) and had limited formal education. They usually kept the pregnancy a secret (73%) and gave birth (93%) without public welfare assistance. The mother lived in the terror of shame and with the guilt that accompany conception without marriage. Fear seemed to be a pronounced motivating factor for committing infanticide. The data on court proceedings were available in fifteen cases. The mothers were officially indicted in all cases for infanticide under the Croatian Criminal Code. The perpetrator remained unidentified in nine suspicious crimes. The court convicted ten mothers of the crime of infanticide. Often juries were unwilling to punish the mother, citing the mother's lifelong guilt of having killed her child as enough punishment.

Adolescent↗

[Preliminary application on test paper of gold-labelled antibody against fibronectin EIIIA splicing variant].

OBJECTIVE: To develop the test Paper of gold-labelled antibody against fibronectin EIIIR A splicing variant, which can be available in forensic wound interval estimation. METHODS: Two sensitive antibodies were compared with enzyme link immunoabsorband assay (ELISA). After colloid gold labeled, the effects of the two antibodies were tested by methods of Dot immunogold filtration assay and gold immunochromatography assay, respectively. The test paper was finally appraised by applied in experimental skin injury in rats. RESULTS: On the test paper, detected line appeared in three hours wound age group, and then the darkness of positive staining became darker with injury time prolonging, while control normal skin cannot found to be positive staining. CONCLUSION: The gold-labeled test paper can be useful in estimation of wounding interval in forensic science.

Alternative Splicing↗

[Relationship between the injury time and DNA fragmentation and its quantity in rat brain].

OBJECTIVE: To observe the changes of DNA fragmentation and its quantity along with the time of injury in nerve cells after brain contusion. METHODS: The model of brain contusion caused by free drop hammer was established. TUNEL and Feulgen's DNA staining conjoined with image analysis technique were used for exploration. RESULTS: With the gradually rising of DNA fragmentation, DNA quantity was declining in the brain tissue after contusion. CONCLUSION: TUNEL and Feulgen's DNA staining conjoined with image analysis technique could be utilized in the timing of brain injury and provide a new approach for this issue.

Animals↗

[Structural alterations in the human brain in chronic alcohol intoxication].

Different brain samples were studied in 23 male alcoholics and 14 healthy victims who had died of heart and major vessels wounds to determine histological changes in the brain and quantitative relations between its tissue structures. The complex of histological, stereo- and morphometric examinations has shown that the brain of alcoholics is characterized by sclerosis and hyalinosis of the vascular branches as well as dystrophic, atrophic and hypertrophic changes of neurocytes. Moreover, there were calcinated petrificates and the cysts, foci of demyelination, diffuse microglyosis. These alterations are accompanied with impairment of quantitative correlations between tissue brain structures. The diameter of cerebral capillaries narrows with resultant lessening of vascular bed capacity and chronic brain ischemia. The concentration of nervous cells decreased because of their progressive atrophy and death while the indices of the glyal component development rose. The findings are important for tanatogenesis and postmortem forensic-medical diagnosis of alcoholism.

Adult↗