[Mechanical asphyxia in the structure of violent death in the Russian Federation from 2013 to 2022 years]. / Mekhanicheskaya asfiksiya v strukture nasil'stvennoi smerti v Rossiiskoi Federatsii s 2013 po 2022 g.

The objective of the study is to examine the death incidence from mechanical asphyxia in the Russian Federation in the period from 2013 to 2022 yr., to determine the dynamics of changes in indicators of its main types and to reveal territorial specificity. The results obtained with the use of medical statistics methods can be applied to implement measures for health protection, prevent risk factors of fatal outcome among population, to improve the training of forensic medical experts.

[Foreign body in the esophagus as a reason to assess the medical aid quality during the forensic medical examination]. / Inorodnoe telo pishchevoda kak povod dlya ustanovleniya pravil'nosti okazaniya meditsinskoi pomoshchi pri proizvodstve sudebno-meditsinskoi ekspertizy.

THE AIM OF THE STUDY: Was to investigate in detail the case of a combination of esophageal injury and aortic aneurysm from the standpoint of the perspective of medical care. It was established that the circumstances of the improper provision of medical care in this case were the subjective nature in the form of insufficient and incorrect provision of it. It is shown that continuous training of doctors and mid-level medical workers within the continuing medical education is a gurantee of proper medical care.

[Quantitative assessment of brain hydration in determination of death speed and type of tanatogenesis in forensic medical practice].

Brain hydration was determined in death of strangulation mechanical asphyxia, acute alcoholic poisoning, acute poisoning with opiates, cancer of stage IV, coronary heart disease with acute heart failure, hemorrhagic stroke. Brainstem edema (BSE) occurred in 69.2% cases (upper BSE - 20.2%, lower BSE - 17.3%, BSE of the all parts - 31.7%). BSE was present in all cases of opiate poisoning; 52.9% cases of hemorrhagic strokes, 61.3% cases of coronary heart disease. The data obtained show prevalence of brain tanatogenesis in death of the above diseases. Hypohydration and hyperhydration of the brain were observed in short and slow agony, respectively.

[Assessment of edema fluid distribution in the brain].

The technique is proposed allowing quantitation of brain edema and typing of liquor distribution in different parts of brain tissue. In combination with other assays this test can determine a variant of tanatogenesis, detect cause of death and duration of the terminal period. The method application is illustrated by the study of brain hydration in mechanical strangulation asphyxia. It is shown that this death is associated with hypohydration of cerebral structures, especially pronounced in the cortical compartments.