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PubMedDate not supplied

[Forensic-medical aspects in assessment of damage to health as the result of chest and low back spinal traumas].

By the law of the Russian Federation, forensic medical examination is obligatory to assess damage to health in chest and low back spinal traumas. In persons who survived spinal trauma the assessment of its severity is regulated by the rules of assessment of the severity of bodily damage and harm to health. Difficulties arising in this assessment are outlined. Damage to health is proposed to be evaluated not only by clinical data on the condition of the patients but also by macro- and microscopic results of forensic-medical examination of the dead body, by the presence and severity of edema of the spinal cord tissue.

Forensic Pathology↗
PubMedDate not supplied

[Dependence of acute opiate poisoning lethal outcome on the gender, age, and duration of addiction].

The article presents toxicological characteristics of 198 cases of acute parenteral poisoning with morphine and heroin in the range of concentrations of their metabolites in the blood and urine which occur in practice. Risk of death is quantified in the range of possible morphine concentrations in the blood in acute opiates intoxication with reference to gender and age. Assessment of the criteria of quantitative opiates toxicity was made according to the method of logit regression and dose-effect curve suitable for analysis of correlations between probability of death and blood concentrations of opiates metabolites. Conditional lethal doses in respect to gender and age are calculated.

Adolescent↗
PubMedDate not supplied

[Micromorphometric parameters of human skin as a marker of skin involution in age determination in forensic medicine].

The mathematical analysis of quantitative micromorphometric parameters of different human skin sites on section material has revealed a significant age-related thinning of the skin and its layers, decreased depth of the salivary and sweat glands position. It is proposed to use micrometric skin parameters for expert examination to define a biological age of the examinee.

Adolescent↗
PubMedDate not supplied

[Possibilities of spectral investigations of injuries inflicted by special arms].

Quantitative characteristics and application of different spectral methods are compared in experiment. Stab and gunshot wounds were studied by roentgenospectral fluorescent and emission spectral analyses. The above spectral methods detected significant quantities of alien material on the wounds depending on the kind of the weapon.

Forensic Ballistics↗
PubMed2006

[Using of scanning electron microscopy for detection of gunshot residue].

Scanning electron microscope improves the possibility of investigation of surroundings near of gunshot wounds in forensic medicine, it is the next subsequent method for differentiating of area of entrance and exit wound, supplemental method for determination of firing distance, permit of detection (GSR) on the hand of shooter and ensured describing of samples and their stored. Detection of GSR provides many information about composition of bullet and primer. Authors are demonstrating the possibility of detection of GSR on experimental shooting to the krupon (pigs' skin) in different situation (such as in a room and in outside area) and using of different weapon (hand gun CZ No.75 and machine gun No.58).

Animals↗
PubMed2006

A fatal case of saponated cresol ingestion.

We describe here a case of suicidal poisoning by saponated cresol ingestion. A 41 year-old male was found unconsciousness in a park in the early morning, and an empty bottle of saponated cresol was found beside him. His death was confirmed approximately 2 hours later, despite attempts at resuscitation and intensive care. The autopsy revealed severe morphological damage of the upper gastrointestinal tract and congestion of the lung. We also observed by histopathological examination severe lung edema and severe erosion of the esophagus and stomach. Toxicological analysis also identified a high concentration of cresol isomer in the blood and gastric contents. The cause of death was given as cresol poisoning, based on the results of the autopsy and toxicological examination.

Adult↗
PubMed2006

[Unexpected sudden death after percutaneous coronary intervention].

BACKGROUND: Myocarditis is one of several important differential diagnoses in patients presenting with chest pain or symptoms of heart failure. The prevalence of myocarditis is probably underestimated. In young patients with sudden cardiac death, myocarditis is a common finding at autopsy. MATERIAL AND METHODS: A previously healthy 54-year-old man presented with a first episode of chest pain. Smoking was the only risk factor for coronary artery disease. RESULTS: Plasma levels of both Troponin-I and CK-MB mass were negative at admission, but were elevated in a second sample. A subtotal stenosis in the left anterior descending artery was treated with PCI. The patient was discharged after four days. He was found dead at home six days after PCI. Autopsy revealed a massive myocarditis, no signs of myocardial necrosis and only minor coronary artery disease. INTERPRETATION: This case illustrates the importance of keeping less frequent differential diagnoses in mind when patients present with chest pain. Also, this case underscores the importance of keeping a high autopsy rate; for feedback to clinicians, for correct cause-of-death statistics and for research.

Angina Pectoris↗
PubMedDate not supplied

[A comparative analysis of types, causes and circumstances of deaths based on autopsy reports from the periods of 1945-50 and 1990-1993].

The authors presented a comparative analysis of types of deaths, their causes and circumstances based on autopsy reports of postmortem examinations performed in the Department of Forensic Medicine in Lódź in the years 1945-1950 (1210 reports), and in the period 1990-1993 (1393 reports). In both the analyzed time frames, the most common type of death was violent deaths (59,88% and 78,39%, respectively). Gunshot wounds were a far more common cause of death in 1945-50 as compared to 1990-93 (16,99% and 0,92% of all violent deaths, respectively). In the years 1990-1993, the incidence rate of blunt injures was much higher than in the previous period (38,12% and 51,37% of all violent deaths, respectively), similarly as ethanol poisonings (4,42% and 10,44% of all violent deaths, respectively). In almost one half of instances, the available archival records for the years 1945-50 did not allow for determining the circumstances of deaths (42,82% of all violent deaths); in the years 1990-1993, the majority of deaths occurred in consequence of accidents (60,26% of all violent deaths). Contrary to expectations, the ratio between road traffic-related and other accidents increased only slightly in the years 1990-1993 as compared to the period of 1945-1950 (traffic accidents: 61,09% and other accidents: 38,91% of all accidents in the first period, vs. traffic accidents: 57,62% and other accidents: 42,38% of all accidents in the second period).

Autopsy↗
PubMed2006

[The clinical forensic medicine identification on pseudoseizures after head trauma].

Two pseudoseizures after head trauma are reported. We summarize the clinical manifestation of pseudoseizures, and identify difference of pseudoseizures and Seizures after head trauma. The forensic identification of pseudoseizures after head trauma should base on the extend and position of cerebral trauma, sequelae focus in cerebral, and the clinical manifestation.

Adult↗
PubMedDate not supplied

[Mechano- and morphogenesis of gunshot fractures in the flat bones].

Gunshot fractures in flat bones, bullet defects in the continuum were studied in experiment. The laws of gunshot fracture formation were formulated. In far distance, bullet has a direct and radial blow action. The direct blow induces comminution and disintegration of the bone tissue with dislocation of bone fragments; radial blow potentiates bone destruction. Morphological characteristics of gunshot fractures of flat bones depend on the force of the direct and radial impact action and can be used for estimation of the far shot distance, kinetic energy and shape of the head of the shell.

Firearms↗
PubMedDate not supplied

[Infectious endocarditis in drug addicts].

Clinicomorphological features of infectious endocarditis (IE) were studied on autopsy material from chronic drug addicts. Of special interest were morphological changes in the lymphoid organs. The experience of the author and literature data suggest that IE in drug addicts is a manifestation of secondary immunodeficiency syndrome on the background of chronic narcotic intoxication.

Adolescent↗
PubMedDate not supplied

[Forensic-medical assessment of the damage to sex organs unrelated to sexual crimes].

The analysis was made of forensic medical examinations for assault (427 cases) and commission examinations made in the department of complex expert examinations for decision on the relation between pregnancy interruption and injury (46 cases). A documented posttraumatic stress reaction to assault damage to health is determined with consideration of duration of psychic rehabilitation. The author presents cases from her practice of direct and indirect damage to sexual organs observed in different situations and their effect on pregnancy interruption.

Adolescent↗