Sudebno-meditsinskaia ekspertiza
-
Monoclonal antimorphine antibodies both free and conjugated with horse- radish peroxidase have been raised and used to develop an assay kit for the detection of narcotic opiate-based drugs by an immuno-enzyme assay (IEA). The kit contains all ingredients necessary for the enzymatic reaction. ⋯ False negative results were absent while false positive (inconclusive) results were recorded in three cases, probably due to the fact that sensitivity of IEA is higher than that of control methods. It is concluded that the kit may be used in laboratory screening studies for detecting opiates in biological fluids.
-
The authors propose and discuss approaches to the expert evaluation of the severity of harm to the health in the form of mental disorder associated with the traumatic impact. The following qualifying signs of the degree of harm to the health included in the current legislation are considered in terms of forensic psychiatry: "life-threatening harm" (Criminal Code of the Russian Federation, article 111) and "length/brevity of impairment of the health" (Criminal Code of the Russian Federation, articles 112, 115). The well-grounded proposals of changes in the existing legislation envisage that the qualifying sign "permanent maladjustment" should be introduced into the corresponding legal innovations of the Criminal Code as useful for the forensic medical examination of victims with mental disorders. Substantive definition of such notions as "transient disadaptation", "permanent maladjustment" and degree of its manifestation (mild, moderate, severe) are given.
-
Criteria are proposed for the diagnosis of the origin and time- lapse of subdural accumulations of liquor in patients with repeated craniocerebral injury. The set of this criteria includes specific features of association and relative position of subdural liquor accumulations, their volume, and intracranial manifestations of primary and repeated craniocerebral injuries. Algorithms and nomograms have been developed in the course of the study allowing for accurate differentiation between subdural liquor accumulations as consequences of primary and repeated craniocerebral injuries. The results of the study have implications for practical forensic medical evaluation of repeated craniocerebral injuries with subdural liquor accumulation.
-
Historical Article
[Forensic medical personnel of Moscow and philanthropy].