Sudebno-meditsinskaia ekspertiza
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The authors consider the necessity of determining the severity of harm inflicted to human health by the inaction of the officials and other persons responsible for rendering assistance to a patient in accordance with article 124 of the Criminal Code of the Russian Federation. The absence of the normative formulation of the forensic medical criteria for the assessment of the degree of the harm to human health as a result of inaction of the subjects responsible for rendering medical aid creates difficulties for the enforcement of article 124 of the Criminal Code of the Russian Federation in its present wording. This problem awaits further studies for the possible adoption of the uniform normative and regulatory documents for the consistent application of the definition of inaction with reference to the assessment of not rendering medical assistance.
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The objective of the present experimental study was to develop the qualitatively new method for the determination of stomach contents left on the material objects and in the environment with special reference to the cases of aspiration asphyxia. We proposed the original approach for the determination of the origin of the traces of stomach contents based on the detection of pepsin, an enzyme that digests in the acidic milieu protein substances, such as gelatin (hydrolyzed collagen), a component of the emulsion layer of X-ray and photographic films. Samples of the stomach contents were taken from a corpse and placed on the surface of various materials that did not absorb moisture or repulsed it. ⋯ A specially developed method was employed to detect pepsin, the main enzyme of the gastric juice. The majority of the studied samples including the control ones exhibited pepsin activity. The results of the study suggest the possibility of application of the proposed method for the detection of stomach contents on the environmental objects provided the material being studied avoided putrefactive modification.
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Biography Historical Article
[Adelaida Petrovna Zagriadskaia, the founder of the Nizhniĭ Novgorod School of Forensic Medical Experts].