卷 1, 编号 3 (2015)

HEALTH CARE OF THE MOSCOW REGION — 2015. INTERIM RESULTS

IDENTIFICATION OF THE PERSON: WHAT GUY HE WAS to the 75th anniversary of Professor Sergey Sergeevich ABRAMOV

This article deals with evaluation of health injury’s severity in cases with mental disorders. There are descriptions of different kinds of maladjustment. Main criteria of evaluation are temporary and permanent maladjustment.

The article represents the results of experimental calculations of error ratio of vector models of digital panoramic X-rays photos using method of contrast trace contour for dental interventions during person identification. The calculations were performed on 112 patients’ panoramic X-ray photos in digital scale ratios of 1:1, 1:1,25, 1:1,32 with calculation levels of relative and absolute errors. Theoretically proved the effectiveness of the method of contrast trace contour in the three experimental groups by mathematically calculating the deviation of mean quadratic values of the coordinates of each test contour.

This article deals with forensic evaluation of lethal case as a result of multiple bees’ stings. Presence of severe craniocerebral trauma with skull’s fracture and cerebral contusion, which duration was about 3–4 days, don’t lead to deadly complications and was evaluated as concomitant disease.

This article deals with detailed classification of cranial trauma from practical experience of Burdenko Neurosurgery Institute. Focal and diffuse brain injuries were detailed. Description of levels of consciousness of patients with cranial trauma: clear consciousness, mediocre and severe deafening, coma — mediocre, deep and terminal. Criteria of definition of general patient conditions by general, brainstem and local symptoms were described. Correspondence of clinical diagnosis with ICD–10 (International Statistical Classification of Diseases and Related Health Problems) was showed.

The article deals with the expert interpretation of the weight and the mechanism of the formation of the casus of fracture-dislocation of the forearm’s bones composing elbow joint. The author shows the exchange of the arguments and the counter-evidence in the long forensic process. The main subject of the confrontation was the opposite evaluation of the trauma weight (harm to the health grave or medium-gravity). The principle difference of the expert judgements on the fact of the discussed trauma is in the use of the definitions p. 6.11., p. 6.11.3., p. 6.11.11.,p. 7.1. of the Medical criteria of the severity determination 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 . At the same time it is morphology that determines the mechanism of the formation of the trauma and the way of its receiving. So the dilemma has come across the counter-evidence: “trauma caused by the fall” and “trauma caused by the straight blow of the dull object”. The article shows the importance for the expert process of the proper vision of the initial morphology of the trauma noted by the X-ray on the fact of the first application of the patient for the medical aid.

The article tells about the main direction of training and methodological commission’s actions in forensic medicine. The analysis of the edition “Forensic diagnosis. The guide” for its compliance with educational literature was carried out. The article emphasizes the practicability of using this edition for optimization of the educational process in higher educational institutions that train specialists in the forensic field.

Alexander Sergeevich Semenov on the occasion of his 60th birthday

In memory of David Ilyich Raigorodsky