On the issue of choosing the accuracy of a temperature meter when determining of the time since death using the thermal method



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Justification: To date, the thermometric method for determining TSD has not established what accuracy of temperature measurement is satisfactory from the point of view of the requirements of forensic medical examination practice.

Objective of the work: Creating practical recommendations for choosing the instrumentation used in the process of expert examination of a dead body, based on a study of the effect of the instrumental accuracy of measuring the temperatures of a corpse and the environment on the magnitude of the error in determining TSD of a person by calculation.

Methods: Based on the phenomenological mathematical model of C. Henssge, the dynamics of body temperature in various diagnostic zones (brain, liver, rectum) was simulated at ambient temperatures of 0°C and 20°C, and for the specified external conditions, the instrumental error of the method was calculated for thermometers with different measurement accuracies - 1°C, 0.1°C, 0.01°C. The instrumental error was expressed both as an absolute value and as a relative value (%) - as a ratio to the TSD value at which it was obtained.

Results: It was found that the highest values ​​of the relative error are recorded at the initial stage of body cooling and at the stage of equalization of the temperatures of the body and the environment. At the same time, in all cases, the use of thermometers with a temperature measurement accuracy of 1°C was accompanied by the formation of a relative error exceeding 15% of the TSD value. At the same time, the use of devices measuring temperature with an error of 0.1°C and 0.01°C made it possible to achieve a relative instrumental error of no more than 5% throughout the entire modeling period (2-24 hours).

Conclusion: From the point of view of the requirements established for medical and biological research, a satisfactory result is fundamentally possible only in cases of fixing the temperatures of the corpse and the environment with an accuracy of 0.1° or 0.01°C. For ease of practical use, the authors have implemented an algorithm for calculating the instrumental error of determining the DNS in the form of a Microsoft Excel calculation sheet.

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作者简介

Alexey Yu. Vavilov

Izhevsk State Medical Academy

编辑信件的主要联系方式.
Email: izhsudmed@hotmail.com
ORCID iD: 0000-0002-9472-7264
SPIN 代码: 3275-3730

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, Izhevks

Airat A. Khalikov

Bashkir State Medical Universit

Email: airat.expert@mail.ru
ORCID iD: 0000-0003-1045-5677
SPIN 代码: 1895-7300

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Ufa

Tatiana V. Naidenova

Izhevsk State Medical Academy

Email: abhasvar@mail.ru
ORCID iD: 0000-0001-7847-4706
SPIN 代码: 7697-5731

MD, Cand. Sci. (Med.)

俄罗斯联邦, Izhevks

参考

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  2. Novikov PI, Shved EF, Natsentov EO, Korshunov NV, Vavilov AYu. Modeling of pro-cesses in forensic medical diagnostics of the prescription of death. Chelyabinsk–Izhevsk; 2008. 312 p. (In Russ).
  3. Novikov PI. Determination of the optimal zone for measuring the body temperature of a corpse to establish the duration of death. Forensic Medical Expertise. 1986;29(1):11–14. (In Russ).
  4. Henssge C, Madea B. Estimation of the time since death. Forensic Sci Int. 2007;165(2-3):182-184. doi.org/10.1016/j.forsciint.2006.05.017
  5. Kulikov VA, Vavilov AYu. Software and hardware implementation of a thermometric method for diagnosing how long ago a person died (for forensic and forensic practice) Aktual'nyye problemy prava i pravoprimenitel'noy deyatel'nosti na sovremennom etape: materialy mezhdunarod-noy nauchno-prakticheskoy konferentsii. Krasnodar; 2013. P. 235-240. (In Russ).
  6. Shved EF, Novikov PI, Vlasov AYu. Implementation on a microcomputer of an adaptive method for modeling the process of changing the temperature of a corpse. Forensic Medical Exper-tise. 1989;32(2):4–6. (In Russ).
  7. Kulikov VA, Vavilov AYu. Forensic examiner's device. Med Expertise Law. 2013;(6):59–61. (In Russ)
  8. Glanz S. Medical and biological statistics: trans. from English. Buzikashvili NE, Samoilo-va DV, editor. Moscow: Praktika; 1999. 459 p. (In Russ).
  9. Vavilov AYu., Khalikov AA, Shchepochkin OV, et al. On the error of the thermometric method for determining the age of death. Problemy ekspertizy v meditsine. 2004;4(3):16–17. (In Russ).
  10. Henssge C, Knight B, Krompecher Th, Madea B, Nokes L. The estimation of the time since death in the early postmortem period (2nd Edition). London: Hodder Arnold. 2002. 272 p.
  11. Kildyushov ЕМ, Vavilov АYu, Kulikov VА. Diagnosis of time of death using thermo-metric method in early postmortal period (New medical technology). Vestnik sudebnoy meditsiny. 2012;1(1):19 – 23. (In Russ).

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