[Forensic and medical aspects of lethality from thromboembolytic complications of trauma, diseases and certain pathological conditions]. / Sudebno-meditsinskie aspekty letal'nykh iskhodov ot tromboémbolicheskikh oslozhnenii travm, zabolevanii i nekotorykh patologicheskikh sostoianii.

A total of 743 lethal outcomes of thromboembolytic complications of trauma, diseases and certain pathological conditions as observed in 1999-2001 and in the three quarters of 2002 were studied. The undertaken analysis confirmed two factors provoking the pathological thrombosis, i.e. 1. Pathological changes observed in the surface vascular wall preconditioned by mechanical damages, atherosclerotic process and aging; and 2. A slower blood flow due to an impaired blood circulation, a forced positioning and to hypodynamics. While deciding on a possibility of a direct cause-effect relation between past traumas, surgeries, poisonings and death of thromboembolism of the pulmonary arteries (TEPA), such relation can be mentioned only on rare occasions. It is more often the case that an indirect, mediated relationship is found, when TERA evolves due to an unfavorable combination of risk factors, i.e. a forced immobility, changing coagulated blood system, impaired blood vessels etc.

[Various aspects of thanatogenesis and forensic medical diagnosis of combined poisoning with ethanol and psychotropic substances]. / Nekotorye aspekty tanatogeneza i sudebno-meditsinskoi étanolom i psikhotropnymi sredstvami.

Epidemiological and some medicolegal aspects of fatal poisonings with basic groups of psychotropic drugs in combination with ethanol are discussed and some recommendations concerning the improvement of medicolegal diagnosis of such poisonings are presented.