Sudebno-meditsinskaia ekspertiza
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An important aspect of the problem of iatrogenic poisoning is the lack of comprehensive relevant information. Many experts employed at the bureaus of forensic medical expertise believe that this problem can be resolved only based on a multifaceted approach. The results of questionnaire studies and cause-and-effect analysis allowed the following recommendations to be proposed for addressing the problem under consideration: making a minimal list of equipments necessary to maintain activities of forensic medical departments, updating the list of toxic substances to be studied in the laboratories of bureaus of forensic medical expertise, modification of the reporting form No 42 to be filled by such bureaus. The optimal approach is thought to be the equipment of all bureaus in compliance with the universal requirements, introduction of standard methods and technologies for the analysis of the materials included in the list of toxic substances to be determined.
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The medical documentation pertaining to 767 victims of traffic accidents was revised. These subjects were classified in the acute post-traumatic period as experiencing serious harm to health in terms of the qualifying sign "substantial persistent loss of at least of one third of general working ability" (SPLGWA) based on the results of primary examination. It was shown that in the course of therapeutic and rehabilitative treatment of the subjects with bone fractures listed in articles 6.11.1, 6.11.2, 6.11.4 to 6.11.10 of the Medical Criteria most of the patients have their compromised functions repaired up to complete recovery of the working ability. According to the repeated evaluation the substantial (35%) loss of the working ability persisted only in 25.8% of the victims. 56.7% of the victims were estimated to have lost 10-30% of their working ability; SPLGWA was absent in 17.5% of the examined subjects.
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The authors developed a system of criteria for the evaluation of the results of education of forensic medical students based on the scoring and rating scale. The major requirements for the organization of academic activities are considered. It is emphasized that the compliance with these requirements is an indispensable prerequisite for the introduction of the above system in the training routine at the Department of Forensic Medicine.
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This paper reports the results of analysis of the data obtained in experimental studies and practical expert assessments of body injuries inflicted by rubber balls for traumatic weapons. The causes accounting for the polymorphism of such injuries and the mechanisms of their development were elucidated by means of damage simulation taking into consideration the physical and dynamic properties of elastic ball-type destructive agents and the morphological structure of different anatomical regions of the human body. The results of the study may be of interest for differential diagnostics of gunshot lesions caused by elastic destructive agents.