RESUMO
Forty-four cases with pelvic injuries in children resultant from strikes inflicted in the pubic symphysis from the front with blunt hard objects (30 experimental observations, 230 fractures, and 14 expert cases, 119 fractures) are analyzed. The results indicate that in children subjected to strikes in the pubic symphysis with blunt objects it is possible to determine the mechanogenesis of injuries, and, hence, the angle between the direction of traumatic force and pelvic plane (in the pelvic ring plane or at a 45 or 90 degrees angle to it).
Assuntos
Direito Penal/legislação & jurisprudência , Saúde , Humanos , Federação Russa , Terminologia como AssuntoRESUMO
Possibility of using principles of criminalistic identification theory in investigation of objects of medicolegal expert evaluation is discussed. These principles were analyzed and shown to extend the objects of medicolegal identification, which however possess certain features influencing the specific character of their investigation.
Assuntos
Criminologia/métodos , Medicina Legal/métodos , Prova Pericial/métodos , Humanos , U.R.S.S.RESUMO
The paper is concerned with the results of radiation and combined therapy of 122 patients with Stage III-IV laryngeal cancer, divided into 2 groups: 74 controls and 48 patients of the study group. The patients of the study group received radiotherapy in combination with local administration of 5% solution of metronidazole in dimethyl sulfoxide. According to biopsy findings, the average concentration of metronidazole in tumor was 569.5 +/- 196 micrograms/g. Therapeutic results were evaluated by the degree of expression of tumor radiation injury and by direct and short-term results. A statistically significant increase in the frequency of Stage IV tumor radiation injury from 31.1 +/- 5.4% in the control group to 58.3 +/- 7.2% in the study group (P less than 0.05) was revealed. The direct and short-term therapeutic results indicate an increase in tumor radiation injury in the patients of the study group.
Assuntos
Neoplasias Laríngeas/radioterapia , Metronidazol/uso terapêutico , Adulto , Idoso , Biópsia , Terapia Combinada , Dimetil Sulfóxido/administração & dosagem , Humanos , Neoplasias Laríngeas/patologia , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Tolerância a Radiação , Dosagem Radioterapêutica , Soluções , Fatores de TempoRESUMO
The standards of treatment of laryngeal cancer in Sverdlovsk Region within the last 8 years were evaluated. 1,534 patients have been registered. Combined therapy formed the basis of treatment. Good results were obtained in the treatment of laryngeal cancer at a specialized department of head and neck tumors. The frequency of postoperative complications dropped by 15% and cancer mortality rates--from 3.2 to 2.3 per 100,000 of population.
Assuntos
Institutos de Câncer/organização & administração , Departamentos Hospitalares/organização & administração , Hospitais Especializados/organização & administração , Neoplasias Laríngeas/terapia , Planejamento de Assistência ao Paciente/organização & administração , Terapia Combinada , Humanos , Neoplasias Laríngeas/mortalidade , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Federação RussaAssuntos
Asfixia/etiologia , Morte , Violência , Afogamento/etiologia , Medicina Legal , Humanos , Pesquisa , U.R.S.S.RESUMO
Morphological changes of all links of the terminal vascular bed during acute hypoxic hypoxia were studied in experiment and in postmortem material. A complex of methods was used including microdissection, injection with India ink - gelatin, clearing, silver nitrate impregnation after V. V. Kuprijanov, staining after Van Gieson and with hematoxylin-eosin, biomicroscopy and reoencephalography. Signs of desorganization of the vascular bed were revealed which manifested themselves as changes in microangioarchitectonics and diameters of vascular lumens, increased permiability of their walls with saturation of them with white and escape of its forming elements of the blood outside the limits of the vessels, as well as in destruction of the aggregate state of the blood. It considerably enlarges our knowledge of the state and changes in the vascular bed during hypoxic hypoxia.