电邮这篇文章 The use of specialized knowledge in the field of forensic medicine and toxicology in the case of deprivation of the right to drive a car: organizational and methodological conclusions
- 作者: Kuznetsov S.1,2, Molin Y.A.3, Reinuk V.L.1, Lodyagin A.N.4, Sinenchenko A.G.4, Balabanova O.L.4, Antonova A.M.1,4, Batotsyrenov C.B.1, Demidova E.O.1, Varioshkin P.N.1, Pshennikova D.A.4,1, Sukhonos N.Y.5
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隶属关系:
- The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
- Federal State Budgetary Educational Institution of Higher Education «Saint Petersburg State Pediatric Medical University», Saint Petersburg, Russian Federation
- Department of forensic medicine of the North-Western State Medical University Mechnikov, Saint Petersburg, Russian Federation
- State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
- S.M. Kirov Military Medical Academy of the Russian Defense Ministry, Saint Petersburg, Russian Federation
- 栏目: 临床病例报告
- ##submission.dateSubmitted##: 28.12.2024
- ##submission.dateAccepted##: 22.04.2025
- ##submission.datePublished##: 23.07.2025
- URL: https://for-medex.ru/jour/article/view/16240
- DOI: https://doi.org/10.17816/fm16240
- ID: 16240
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详细
The article presents the controversial points of the medical examination for intoxication. The data are presented on the basis of a practical case of assistance from a specialist in the field of forensic medicine and toxicology in resolving the issue of the legality of the deprivation of the right to drive a car in an administrative case.
Based on the analysis of real-life observation, errors in the interpretation of the results of chemical and toxicological studies in situations of unreliable determination of psychoactive substances in human biological environments are clearly demonstrated. Using the example of the considered situation of gamma butyrolactone detection in a professional car driver, arguments are given for the inadmissibility of using unreliable methods for determining a particular chemical compound. Additionally, omissions in the training of doctors of clinical laboratory diagnostics are shown, the problem of the inadmissibility of a mechanistic approach in their work is highlighted, and ways to eliminate existing shortcomings are proposed.
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作者简介
Semyon Kuznetsov
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation; Federal State Budgetary Educational Institution of Higher Education «Saint Petersburg State Pediatric Medical University», Saint Petersburg, Russian Federation
编辑信件的主要联系方式.
Email: nachsml@mail.ru
ORCID iD: 0000-0002-3132-8522
SPIN 代码: 5122-0242
candidate of medical sciences, associate professor
leading researcher; associate professor of the department of extreme medicine, traumatology, orthopedics and military field surgery
俄罗斯联邦, 192019, Saint Petersburg, Bekhtereva str., house 1Yuri Molin
Department of forensic medicine of the North-Western State Medical University Mechnikov, Saint Petersburg, Russian Federation
Email: juri.molin@yandex.ru
ORCID iD: 0000-0002-4343-4656
SPIN 代码: 7439-0540
doctor of medical sciences, professor, Honored doctor of the Russian Federation, professor of the department
俄罗斯联邦, 195067, Saint Petersburg, Piskarevsky ave., house 47, pav. 26Vladimir Reinuk
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: institute@toxicology.ru
ORCID iD: 0000-0002-4472-6546
SPIN 代码: 5828-0337
doctor of medical sciences, associate professor, acting director
俄罗斯联邦, 192019, Saint Petersburg, Bekhtereva str., house 1Aleksei Lodyagin
State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
Email: alodyagin@mail.ru
ORCID iD: 0000-0002-8672-2906
SPIN 代码: 4886-8890
doctor of medical sciences, associate professor, head of the clinical toxicology department
俄罗斯联邦, 192242, Saint Petersburg, Budapeshtskaya str., house 3Andrej Sinenchenko
State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
Email: andreysin2013@yandex.ru
ORCID iD: 0000-0003-2815-3108
SPIN 代码: 6059-1125
candidate of medical sciences, associate professor, head of the emergency psychiatry department
俄罗斯联邦, 192242, Saint Petersburg, Budapeshtskaya str., house 3Olga Balabanova
State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
Email: o.l.ya@mail.ru
ORCID iD: 0000-0002-8636-9858
SPIN 代码: 6286-3797
candidate of medical sciences, head of the chemical and toxicology department
俄罗斯联邦, 192242, Saint Petersburg, Budapeshtskaya str., house 3Anna Antonova
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation; State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation
Email: ama-spb@yandex.ru
ORCID iD: 0009-0004-2690-5200
SPIN 代码: 1576-7890
candidate of medical sciences, radiologist; researcher at the clinical toxicology
俄罗斯联邦, 192019, Saint Petersburg, Bekhtereva str., house 1Chimit Batotsyrenov
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: steelfire282@gmail.com
ORCID iD: 0000-0002-2693-6283
SPIN 代码: 9446-5175
PhD student of the first year of full-time education in the specialties of «Toxicology» and «Anesthesiology and resuscitation»
俄罗斯联邦, 192019, Saint Petersburg, Bekhtereva str., house 1Ekaterina Demidova
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: bedskaya.667@yandex.ru
ORCID iD: 0009-0003-0820-8471
SPIN 代码: 1618-1510
junior researcher of laboratory of morphology and electron microscopy; PhD student of the first year of full-time education in the specialties of «Toxicology» and «Forensic medicine»
俄罗斯联邦, 192019, Saint Petersburg, Bekhtereva str., house 1Pavel Varioshkin
The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: zonner17@list.ru
ORCID iD: 0009-0000-3863-3602
SPIN 代码: 6563-9541
researcher, head of the testing center of the laboratory of chemical and toxicological diagnostics; PhD student of the first year of full-time education in the specialty «Toxicology»
俄罗斯联邦, 192019, Saint Petersburg, Bekhtereva str., house 1Darya Pshennikova
State Budgetary Institution of Saint Petersburg «Research Institute of Ambulance named I.I. Dzhanelidze», Saint Petersburg, Russian Federation; The Federal State-Financed Institution Golikov Research Clinical Center of Toxicology, Saint Petersburg, Russian Federation
Email: dneoberdina@yandex.ru
ORCID iD: 0009-0004-2531-410X
SPIN 代码: 3810-1510
doctor of clinical laboratory diagnostics of the chemical and toxicology department; PhD student of the first year of full-time education in the specialties of «Toxicology» and «Clinical laboratory diagnostics»
俄罗斯联邦, 192242, Saint Petersburg, Budapeshtskaya str., house 3Nickodim Sukhonos
S.M. Kirov Military Medical Academy of the Russian Defense Ministry, Saint Petersburg, Russian Federation
Email: Kazisuv1@yandex.ru
ORCID iD: 0009-0001-6036-4581
fourth-year cadet in the specialty «Medical Science» of the second faculty (training doctors for Missile, Land and Airborne Troops)
俄罗斯联邦, 196603, Saint Petersburg, Pushkin, Gusarskaya str., house 4, building 6, sq. 62参考
- Klimenko T.V., Klevno V.A., Maksimov A.V. Problematic aspects of chemical and toxicological research of psychoactive substances. Russian Journal of Forensic Medicine. 2018;4(4):36–40. (In Russ).
- Loban I.E., Gorbacheva T.V., Bychkov V.A. Chemical and toxicological examination of GHB in biological objects and interpretation of analysis results. Forensic Medical Expertise. 2018;61(5):25–30. (In Russ).
- Batotsyrenov C.B., Kuznetsov S.V., Lodyagin A.N. et al. Thanatogenesis and forensic medical assessment of severe acute methadone poisoning. Russian Journal of Forensic Medicine. 2024;10(3):334–344. (In Russ).
- Petrova O.S., Matveeva L.V., Sukhova N.A. The relevance of the determination of barbituric acid derivatives in chemical and toxicological analysis using the example of cyclobarbital. International Research Journal. 2020;93(3-1):155–159. (In Russ).
- Kuznetsov S.V. Problems of forensic medical training of doctors working in settlements remote from administrative centers. Medical Expertise and Law. 2014;5:16–18. (In Russ).
- Kuznetsov SV. Methodology of expert support of investigation of crimes on facts of improper provision of medical care: Monograph. 2nd ed., revised and updated. Moscow: RUSAINS; 2021. 350 p. (In Russ).
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