Vol 2, No 1 (2016)

This article deals with forensic and law enforcement experience of applying of medical criteria of bodies injuries during the period 2007–2014 years. Statistical data about registered crimes and offences, and also persons punished for it.

Growth of forensic examinations in criminal and civil cases for low-quality obstetric care has been registered. The index of operative accouchement in the country grew by 17.5% in 2001 and in 2012 amounted to 159.1 per 1000 births. The most frequently used by caesarean operation is an operation in the lower uterine segment crosssectional. All classic manipulation of extracting the baby cause the compression of the head as the between subjects with the prevailing contact surface (inner surface of the hands of an obstetrician) and a limited-contact surface (fingers of an obstetrician). The stronger the pressure on the head, the more distortion can be formed by classical brain injury of compression. During emergency cesarean operation with the baby’s head getting stuck in a narrow part of the pelvis is sometimes applied squeezing the baby’s head through the vagina into the uterus, which further deforms the nape joint and local pressure on the parietal bones can lead to their linear fractures. Classic manipulation of obstetrician’s hands when removing the baby’s head during a cesarean operation may cause deformation of the baby’s head and to traumatic spinal injury. To identify the mechanism of injury requires careful analysis of the entire delivery period and comparing it with the neurosonography, MRI, CT, X-ray of the skull and spine. The analysis is based on the physiological characteristics of the baby and newborn.

The article is devoted to clinical and anatomical epicrisis in forensic medical expert practice. Experience mapping clinical and forensic diagnoses accumulated in the Bureau of forensic medical examination of the Moscow region, allows authors to give their own definition of clinical-anatomical discharge summary as a separate definition, its role and place in the practice of medical forensic expert.

The analysis of morphological studies of the brain in 33 cases of acute poisoning with opiates in 20 cases of stroke at a young age with a fatal outcome. In the first group drug encephalitis was detected in 23.0% of the observed cases. Studies suggest that, along with morphological signs of encephalopathy (ischemia neuronal proliferation of ependymal cells of the ventricles of the brain, perivascular and pericellular edema, etc.) take place with the formation of neuronophagia microglial nodules at the site of nerve cells lysed. There was a special kind of encephalitis in chronic addiction — ventriculitis histologically manifested plethora subependimarnyh vessels ependymal destruction, infiltration of the ventricular wall and the vascular plexus polymorphonuclear leukocytes. In forensic practice there is a need to differentiate drugs ventriculitis with secondary changes in the ventricles of the brain, which are often accompanied by encephalopathy. When forensic histological examination identified some morphological differences opium encephalitis and focal brain lesions, including vascular origin. Also found that in chronic opiate poisoning characterized by morphological changes in the brain that are not a manifestation of sepsis and associated with primary infection of the brain and can be attached to the drug encephalopathy. Particular attention is paid to specific features, informative for determining the pathological changes of the internal elastic membrane of brain vessels. Identify options tanatogenesis encephalitis drugs, including bacterial, viral and fungal etiology, cerebrovascular disease, and demyelinating diseases.

The article refers to two cases with stab wounds of the heart, which at different times experience injuries were fatal.

We present a case of death from anaphylactic shock as an immediate reaction, which occurred after lidocaine injection during medical manipulations.

The article is devoted to the expert interpretation of the usage of the definition p. 6.1.2. of the Medical criteria of the determination severity of the harm caused to the human’s health approved by the Order № 194n by the health Ministry of Russia the 24th of April 2008 in the anatomical elements of the fracture of ethmoid bone. The article shows the procedure of the expert analysis in a casus based on the principle of the examination of the topography of the fracture of ethmoid bone regarding to the anatomical architectonics of the bones of the scull’s basis. That feature is laid in the definition of the given paragraph of the medical criteria.

21 марта 2016 года исполняется 95 лет со дня рождения старейшего судебно-медицинского эксперта Московской области, бывшего начальника Бюро СМЭ Московской области Додиной Людмилы Николаевны, а 19 апреля — 5 лет со дня ее кончины.