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1.
Georgian Med News ; (286): 126-132, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30829604

RESUMO

The estimation of death coming prescription (DCP) is one of the most important issues that confronts a medical examiner during the corpse examination right at the scene of death. The most promising biological object for the DCP estimation is cerebrospinal fluid. Aim - to compare the effectiveness of methods being used: stokes-polarimetry, stokes-colorimetry, autofluorescence polarimetry in order to improve the accuracy of DCP for the long - and short-term time intervals. The object of the study - cerebrospinal fluid from 75 cadavers (study group) and 20 live individuals (control group). Methods used: stokes polarimetry, stokes-colorimetry, autofluorescence polarimetry. When analyzing the image of the biological sample within the statistical analysis using the stokes polarimetry it is possible to obtain some quantitative characteristics about the amount of the statistical moments of the 1st - 4th orders, which can be used to find the relationship between them and the DCP. However, the coordinate and morphological structure of biological samples are ignored when using this approach. A correlation method in this context is more functional and sensitive. Due to this a higher accuracy of DCP is achieved in a short period. The analysis revealed that the spatial-frequency filtration of polarization-inhomogeneous images of polycrystal films of cerebrospinal fluid improves the time monitoring sensitivity of biochemical changes in optically active molecular compounds. Speaking about fluorescence microscopy - it carries the information about the concentration of molecular complexes of proteins, NADH, flavins, porphyrins, etc. As in the postmortem period the changes in the cerebrospinal fluid begin with the changes in the concentration of biochemical compounds, and crystalline changes are secondary, this method is the most effective for diagnosing the death coming prescription in the first 8 hours. The fluorescent methods of laser polarimetric are precise at a short interval of DCP estimation, and the polarization ones allow us to estimate this parameter at the long-term time intervals, though with less accuracy.


Assuntos
Líquido Cefalorraquidiano , Medicina Legal , Lasers , Cadáver , Líquido Cefalorraquidiano/química , Cristalização , Morte , Humanos , Luz , Análise Espectral , Fatores de Tempo
2.
Georgian Med News ; (283): 166-170, 2018 Oct.
Artigo em Russo | MEDLINE | ID: mdl-30516516

RESUMO

Objective - to develop a method of two-dimensional Stokes-polarimetric spatial-frequency mapping of small-scale components of cerebrospinal fluid to improve the accuracy of post-mortem interval estimation. The object of the study was polycrystalline cerebrospinal fluid films taken from 69 corpses (the main study group) and 20 healthy volunteers (comparison group). For each sample, the coordinate distribution of the values of the complex degree of mutual polarization was determined in the optical arrangement of the Stokes polarimeter. The value of the statistical moments of 1 - 4 orders with further statistical processing was calculated. Time dependences of the variation of the value of the most sensitive statistical moments were built to achiev of values stabilization. The interval and the accuracy of the post-mortem interval were estimated by generalizing of the time dependences of the third and fourth order statistical moments of the polarization maps obtained by the two-dimensional mapping of the values distributions of the complex degree of mutual polarization of the small-scale component of polycrystalline networks of cerebrospinal fluid films. An interval of 10 h and the accuracy of post-mortem interval estimation ΔT = ± 12.5 min was established.


Assuntos
Líquido Cefalorraquidiano/diagnóstico por imagem , Morte , Patologia Legal/métodos , Microscopia de Polarização/métodos , Mudanças Depois da Morte , Anisotropia , Birrefringência , Cadáver , Líquido Cefalorraquidiano/química , Diagnóstico por Imagem , Patologia Legal/instrumentação , Microscopia de Polarização/instrumentação , Espalhamento de Radiação
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