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1.
Sud Med Ekspert ; 67(3): 60-66, 2024.
Artículo en Ruso | MEDLINE | ID: mdl-38887074

RESUMEN

Identification of a person by general group characteristics does not lose its relevance over a long period. An analysis of publications (2000-2023) devoted to the possibilities of using the sternum to determine gender and age showed a fairly large amount of work on this topic, with very promising results. The trend in the development of this area is the use of modern methods of medical imaging. This becomes the starting point for conducting such studies on the territory of the Russian Federation and developing a methodology that includes the Russian population, taking into account their population characteristics.


Asunto(s)
Antropología Forense , Esternón , Esternón/diagnóstico por imagen , Esternón/patología , Esternón/anatomía & histología , Humanos , Antropología Forense/métodos , Determinación de la Edad por el Esqueleto/métodos , Determinación del Sexo por el Esqueleto/métodos , Femenino , Masculino , Federación de Rusia
2.
Sud Med Ekspert ; 67(2): 47-52, 2024.
Artículo en Ruso | MEDLINE | ID: mdl-38587159

RESUMEN

Interest in the topic of age assessment for forensic medical identification of personality has not decreased for over the past decade. Establishing an exact age have a critical importance for law enforcement authorities, for example in case of wrongdoing by illegal migrants without identity documents. The search and systemic analysis of published researches devoted to age assessment by dental status in children and adolescents with subsequent updating of the directions of development in this scientific subject theme and the possibility of their realization in practice in the Russian Federation were carried out in order to have an objective concept of used methods of dental status assessment in the world practice.


Asunto(s)
Determinación de la Edad por los Dientes , Aplicación de la Ley , Niño , Humanos , Adolescente , Rayos X , Federación de Rusia
3.
Sud Med Ekspert ; 67(2): 12-16, 2024.
Artículo en Ruso | MEDLINE | ID: mdl-38587152

RESUMEN

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.


Asunto(s)
Asfixia , Humanos , Asfixia/etiología , Federación de Rusia
4.
Adv Gerontol ; 36(2): 227-233, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37356099

RESUMEN

The paper presents the results of a histomorphometric study of age-related changes in hyaline cartilage tissue by the example of studying cricoid cartilage from 88 corpses of males of various ages. A comparative assessment of the parameters between the groups was carried out and the dynamics of age-related changes in the main ones was studied. As a result of the studies, the greatest correlation with age was recorded in the following indicators: length (r=0,88) and width (r=0,89) of the ossification zone, the area of bone (r=0,87), adipose (r=0,77) and reticular tissue (r=0,86), the number of chondroblasts (r=-0,7). It was found that the transformations of cricoid cartilage occurring with age are characterized by a decrease in the area of cartilage tissue, the average number of chondrocytes and chondroblasts also tends to decrease steadily with increasing age. Age-related bone tissue transformations are characterized by an increase in the area of bone tissue and the transformation of the tissue structure itself: the number of bone beams and their dimensional characteristics (length and width) change. The results of the study allow us to evaluate the age dynamics of quantitative markers of involution processes of hyaline cartilage tissue in men by the example of studying cricoid cartilage and supplement the existing ideas about the pathogenesis of age-associated cartilage diseases.


Asunto(s)
Huesos , Cartílago Cricoides , Masculino , Humanos , Cartílago Cricoides/patología , Condrocitos
5.
Morphologie ; 107(359): 100602, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37230829

RESUMEN

The external human ear is considered to be highly variable among individuals. Hence, forensic applications could be explored for human identification. This research compares the usefulness of Cameriere's ear identification method, in samples originating from six different countries (Brazil, India, Japan, Russia, South Africa and Turkey) in order to examine possible differences in their accuracy values. A sample of 2,225 photographs of the external human ear (1,134 left and 1,091 right ears) from 1,411 individuals (633 females and 778 males) was collected. The samples included healthy subjects with no systemic disorders and without any craniofacial trauma, maxillofacial abnormalities, auricular anomalies, ear diseases or previous auricular surgery. Cameriere's ear identification method was applied and measurements were performed on the images of each ear, considering four anatomic regions: helix, antihelix, concha, and lobe. The quantified measurement values were converted into a proposed coded number system. A search for identical codes was accomplished to find out the distinctiveness of the morphology of the human ear. The combined codes of left and right ears of each of the 814 subjects were not repeated in this multi-ethnic study sample. Dirichlet's distribution and the inherent study equation showed that the probability of two different individuals having the same code (false-positive identification) was found to be <0.0007. Because of the distinctive metrics of the ratios of external human ears, studies with Cameriere's ear identification method may be valuable for human identification. Studying the differences between the left and right ears of the same individual and across different ethnic groups could contribute to the development of supplementary tools for human identification.


Asunto(s)
Oído Externo , Etnicidad , Masculino , Femenino , Humanos , Oído Externo/anatomía & histología , Brasil
6.
Sud Med Ekspert ; 66(4): 5-8, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37496474

RESUMEN

A comprehensive analysis of research and development results of Sechenov University forensic medicine department for the last 5 years (from 2018 to 2022) was performed. The thematic structure and citation indices of scientific publications were presented. The most promising directions of the department's research activities were identified.


Asunto(s)
Medicina Legal , Facultades de Medicina , Humanos , Universidades , Medicina Legal/métodos , Investigación
7.
Sud Med Ekspert ; 66(4): 73-76, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37496487

RESUMEN

A historical and medical study of preconditions and circumstances of the forensic anthropology establishment is presented. Official demographic statistics and P.A. Minakov's scientific publication on anthropology and forensic medicine were used. The circumstances of forensic anthropology occurrence (a new scientific direction in forensic medicine) were studied. The precondition of its appearance was a strong migration process, with a prevalent concentration of population in large industrial cities. The fact that studied occurrence took place in Moscow can be explained by the high level of development of the anthropological school at Moscow University, and by the fact that one of its leaders, P.A. Minakov, simultaneously headed the university's department of forensic medicine. The idea of anthropology scientific integration into forensic medicine, which was successfully implemented at the Forensic Medicine Department of the Moscow University, belonged to him.


Asunto(s)
Antropología Forense , Medicina Legal , Humanos , Moscú , Universidades , Medicina Legal/educación , Ciudades
8.
Sud Med Ekspert ; 66(6): 49-54, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-38093430

RESUMEN

The article presents the results of scientometric analysis of theses, defended in the period from 1800 to 2020 yrs. on the «Forensic medicine¼ specialty, which are devoted to personality identification. Based on the analysis of defended theses for a significant period of time, a change of scientific directions was established and their dynamics, main tendencies and prospects were revealed. This allowed to determine the potential vector of research development on the forensic medical identification of personality. The conducted research can be used as a scientific and theoretical basis for predicting the relevance of future scientific investigations.


Asunto(s)
Medicina Legal , Personalidad , Medicina Legal/métodos
9.
Sud Med Ekspert ; 66(4): 41-45, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37496481

RESUMEN

THE AIM OF THE STUDY: Was to conduct the comparative analysis of the age groups' separation accuracy (<18 years old; ≥18 years old) by orthopantomogram depending on the examination's side in Russian population sample. The number of orthopantomograms equal 600 (190 of male and 410 of female) aged from 14 to 23 were investigated. Index value of third molar (Im3) was calculated by the R. Cameriere method, in female and male, on the right and left sides. Index of third molar on the right and left sides shows a high correlation. In the male sample the result specificity was 0.97 on the left and 1.0 on the right, the sensitivity was 0.96 on the left and 0.94 on the right. In the female sample the values were as follows: the specificity was 0.96 on the left and 0.98 on the right, the sensitivity was 0.92 on the left and 0.94 on the right. The results showed the possibility of Im3 (0.08) use to determine the target age group for Russian citizens of both sexes regardless of examination side.


Asunto(s)
Determinación de la Edad por los Dientes , Masculino , Humanos , Femenino , Adolescente , Determinación de la Edad por los Dientes/métodos , Tercer Molar , Radiografía Panorámica , Medicina Legal , Federación de Rusia
10.
Sud Med Ekspert ; 66(4): 46-51, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37496482

RESUMEN

THE AIM OF THE STUDY: Was to develop the age determination's technology by the morphometric features of the human cricoid cartilage using a regression analysis method. Cricoid cartilages of 65 variously-aged males were examined. The number of histomorphometric parameters equal 16 for each sample were determined and measured on the histological sections. A descriptive statistical processing of data using the regression analysis method was done, as a result of which the model of age determination was developed. This model has a high predictive accuracy, where the prediction error was less than 5 years in 64.62% of cases. The practical use of this model may be limited by the morphometric parameters' number translating complication to calculate the formula. The developed method can be improved while increasing the sample and conducting further statistical processing, and in the future it can be used in the age determination in forensic medical examination.


Asunto(s)
Determinación de la Edad por el Esqueleto , Cartílago Cricoides , Anciano , Humanos , Masculino , Cartílago Cricoides/anatomía & histología
11.
Sud Med Ekspert ; 66(5): 11-17, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37796454

RESUMEN

The article presents the results of the study of quantitative indicators and analytical compilation of forensic medical expert practice data in terms of the age of living persons in Russia examination as a whole and in individual federal districts and subjects of Russia in the period from 2003 to 2021. It has been established that against the background of the rather low number of expert examinations, performed to determine the living persons age, there has been an increase in this indicator since 2018, mainly due to the Central Federal District. Regional differences in the studied indicators were identified. A systematic survey study of literature (electronic search of publications in PubMed, Science Direct Scopus and eLIBRARY databases) was conducted on the issue of forensic medical assessment of living persons' age, including the methodical support of this examination type, to form an idea of existing scientific clusters. Search modes allowed to form an array of 184 publications indexed in the database Scopus, PubMed, and 8 publications presented in Russian Science Citation Index. The study results were used as a predictor of the efficacy of the package of measures to modernize this type of expert study. The proposed set of measures to improve the scientific and methodical support of forensic medical examination for age establishment will optimize practical activities and increase the evidential efficacy of expert opinions.


Asunto(s)
Testimonio de Experto , Medicina Legal , Humanos , Medicina Legal/métodos , Federación de Rusia , Encuestas y Cuestionarios
12.
Sud Med Ekspert ; 66(4): 34-40, 2023.
Artículo en Ruso | MEDLINE | ID: mdl-37496480

RESUMEN

Age assessment of living persons plays an important role in clinical and sports medicine, as well as in law practice. Traditional methods have a number of problems: age restrictions, technical difficulties of visualization, low reproducibility and subjectivity of estimation. The proposed approach, which implies the use of multispiral computed tomography (MSCT) and database mining, will eliminate these drawbacks and improve the estimation of age. The aim of the study was to investigate the use of deep learning algorithms to classify the age groups (with a threshold level of 18 years) for CT images of knee joint. The study included 455 MSCT images of the knee joint of male and female subjects aged from 13 to 24. The method included score assessment of the distal femur's epiphyseal synostosis stages, tibia and fibula proximal epiphyses and a preliminary statistical analysis of correlations between age and stages of synostosis. The challenge of binary classification of target age groups with the use of convolutional neural networks was implemented at the second phase of the trial. Various architectures of convolutional neural networks and their ensembles were tested. The result of the study showed that the total score of epiphyseal synostosis has the highest correlation with the age (r=0.88). The proposed method of chronological age assessment on the basis of the knee area CT images research using deep learning algorithms demonstrated a good result. The classification accuracy (threshold level of 18 years) was 0.86.


Asunto(s)
Articulación de la Rodilla , Redes Neurales de la Computación , Adolescente , Femenino , Humanos , Masculino , Algoritmos , Articulación de la Rodilla/diagnóstico por imagen , Reproducibilidad de los Resultados , Tomografía Computarizada por Rayos X , Adulto Joven
13.
Biometals ; 35(5): 1077-1094, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35922585

RESUMEN

One of the most common scientific methods to study the chemical composition of bone matter is energy-dispersive X-ray spectroscopy (EDS). However, interpretation of the data obtained can be quite complicated and require a thorough understanding of bone structure. This is especially important when evaluating subtle changes of chemical composition, including the age-related ones. The aim of current study is to create a method of processing the obtained data that can be utilized in clinical medicine and use it to evaluate the age evolution of bone chemical composition. To achieve this goal, an elemental composition of 62 samples of cadaver compact bone, taken from the skull base (age: Me = 57.5; 21/91(min/max); Q1 = 39.5, Q3 = 73.75), was studied with EDS. We used the original method to estimate the amount of Mg2+ cations. We detected and confirmed an increase of Mg2+ cation formula amount in the bone apatite, which characterizes age-related resorption rate. Analysis of cation estimated ratio in a normative bone hydroxylapatite showed an increase of Mg2+ amount (R = 0.43, p = 0.0005). Also, Ca weight fraction was shown to decrease with age (R = - 0.43, p = 0.0005), which in turn confirmed the age-dependent bone decalcification. In addition, electron probe microanalysis (EPMA) and X-ray diffraction analysis (XRD) were performed. EDS data confirmed the EPMA results (R = 0.76, p = 0.001). In conclusion, the proposed method can be used in forensic medicine and provide additional data to the known trends of decalcification and change of density and crystallinity of mineral bone matter.


Asunto(s)
Apatitas , Durapatita , Apatitas/química , Cationes , Humanos , Microscopía Electrónica de Rastreo , Base del Cráneo , Espectrometría por Rayos X , Rayos X
14.
Sud Med Ekspert ; 65(5): 5-10, 2022.
Artículo en Ruso | MEDLINE | ID: mdl-36196832

RESUMEN

This article presents the results of the study of the quantitative performance indicators of medical forensic departments of state forensic medical expert institutions in Russia as a whole and in individual federal districts from 2009 to 2018. Medical statistics methods were used. We analyzed absolute and intensive indicators, their percentages, and correlation relationships. Trends and patterns were studied to identify causal relationships and assess the effect of various factors. A steady trend of reducing the total number of expert examinations performed in the medical forensic departments was shown. However, their share of the total number of violent death cases is increasing. The labor intensity of medical forensic examinations and the number of examination methods used are increasing. Regional differences in the studied indicators are revealed. The presented metadata can be used to improve the workflow management of forensic medical departments and monitor the effectiveness of improvements. The findings confirm the need to modernize and adapt the regulatory and procedural framework of the expert work.


Asunto(s)
Medicina Legal , Proyectos de Investigación , Medicina Legal/métodos , Federación de Rusia
15.
Int J Legal Med ; 135(6): 2423-2436, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34228192

RESUMEN

The diagnostic accuracy of the I3M to assess the legal age of 18 years has already been tested in several specific-population samples. The left lower third molar has been extensively used for discriminating between minors and adults. This research aimed to compare the usefulness of lower third molar maturity indexes, from both left and right side (I3ML and I3MR), in samples originating from four distinct continents in order to examine possible differences in their accuracy values. For this purpose, a sample of 10,181 orthopantomograms (OPGs), from Europe, Africa, Asia and America, was analysed and previously scored in other studies. The samples included healthy subjects with no systemic disorders with both third molars and clear depicted root apices. Wilcoxon Signed Rank test for left and right asymmetry did not show any significant differences. Data about sensitivity, specificity, predictive values, likelihood ratio and accuracy were pooled together and showed similar results for I3ML and I3MR, respectively. In addition, all these quantities were high when only the I3MR was considered to discriminate between adults and minors. The present referable database was the first to pool third molar measurements using panoramic radiographs of subjects coming from different continents. The results highlighted that both I3ML and I3MR are reliable indicators for assessing the legal age of 18 years old in those jurisdictions where this legal threshold has been set as the age of majority.


Asunto(s)
Determinación de la Edad por los Dientes/métodos , Tercer Molar/diagnóstico por imagen , Tercer Molar/crecimiento & desarrollo , Grupos Raciales , Etnicidad , Femenino , Humanos , Masculino , Mandíbula/diagnóstico por imagen , Mandíbula/crecimiento & desarrollo , Radiografía Panorámica , Sensibilidad y Especificidad
16.
Sud Med Ekspert ; 64(1): 24-28, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-33511830

RESUMEN

THE AIM OF THE STUDY: Is to establish the morphometric features of the human cricoid cartilage structure using anthropometric research. Cricoid cartilage was examined from 37 men and 30 women. Using an electronic caliper and scales, 17 metric parameters and the mass of the cricoid cartilage were established, and a statistical analysis of the results obtained was carried out. It was found that the greatest relationship with the gender had the following dimensions: the distance from the upper outer edge of the plate to the outer edge of the arch and the height of the cricoid cartilage plate, the distance between the arytenoid articular surfaces, and the mass of cricoid cartilage. The data obtained confirmed the gender dimorphism of the cricoid cartilage. The data of this study can be used in expert practice for forensic medical identification of a person.


Asunto(s)
Cartílago Cricoides , Caracteres Sexuales , Antropometría , Femenino , Humanos , Masculino
17.
Sud Med Ekspert ; 64(1): 12-17, 2021.
Artículo en Ruso | MEDLINE | ID: mdl-33511827

RESUMEN

The paper presents the results of an epidemiological analysis of statistical data on the number of deaths from violent deaths, which cause has not been established; unidentified and unclaimed corpses in forensic medical expertise in Russia as a whole and in individual federal districts for the period from 2009 to 2018. Percentage indicators and share values of the circumstances due to which the death cause was not established are given. It was found that on the basis of a steady decreasing trend in number of violent deaths, the number of corpses with an unknown death cause is growing, mainly due to putrefactive changes in corpses of adults and due to the burning of children corpses. The presence of a strong correlation between the number of unclaimed and unidentified corpses with the number of forensic medical expertise, when the cause of death was not established, was shown. Based on the analysis results at the macro level (federal districts), some interregional differences in the structure of the analyzed indicators were revealed. The results obtained make it possible to confirm the relevance of existing clusters of scientific research and to form new ones, to place accents in the directions of the postgraduate education of specialists.


Asunto(s)
Accidentes , Medicina Legal , Adulto , Cadáver , Causas de Muerte , Niño , Humanos , Federación de Rusia/epidemiología
18.
Sud Med Ekspert ; 63(2): 58-63, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32297501

RESUMEN

The analysis of the publications of the journal "Forensic medical examination" in the field of research «identification¼ for the period from 1980 to 2018 is carried out. Using the scientometric method, we studied the dynamics of publications on the study of the development of the scientific direction in order to objectively evaluate its relevance and possible prospects. The results of the analytical study demonstrated a wide range of objects and research methods. The leading scientific development trends in the field of forensic medical identification of the person are established.


Asunto(s)
Bibliometría , Medicina Legal , Publicaciones/tendencias , Proyectos de Investigación
19.
Sud Med Ekspert ; 63(3): 45-50, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32597611

RESUMEN

This paper presents a review of modern fundamental research studies investigating the age-related changes of connective, cartilage, nervous and bone tissues. A methodological and mathematical basis for the analysis of the obtained results is proposed. The conducted analysis enabled the formulation of a new scientific direction - the forensic medical determination of age in the identification of individuals in emergency situations with mass casualties. A scientifically grounded theory of digital forensic diagnostics of age, general regularities of development and some differences of age adaptation of connective, cartilage, nervous and bone tissues, including the phenomena of heterochronicity, heterotopy and heterogeneity resulted. The results of this research determine the direction of further research by improving the methods of quantitative age morphology, molecular autopsy, digital technologies and the formation of a technologically based concept for the registration of identifying biological features.


Asunto(s)
Determinación de la Edad por el Esqueleto , Huesos , Autopsia , Humanos
20.
Sud Med Ekspert ; 63(3): 51-55, 2020.
Artículo en Ruso | MEDLINE | ID: mdl-32597612

RESUMEN

The aim of the study is to analyze the features of commissioning and conducting the forensic situational studies and expertises and to consider variants for their practical implementation. The importance of a situational analysis when conducting various types of forensic medical expertises is considered. The variants for conducting situational studies and situational expertises in practical work are proposed.


Asunto(s)
Medicina Legal , Humanos
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