FORENSIC MEDICAL ANALYSIS OF POPULATION MORTALITY

2020 ◽  
Vol 93 (1) ◽  
pp. 27-29
Author(s):  
S. Imomov ◽  
◽  
Sh. Islamov ◽  
R. Ismailov ◽  
B. Sherbekov
Keyword(s):  
Main Part ◽  
Medical Service ◽  
Medical Examination ◽  
Mechanical Trauma ◽  
Working Age ◽  
Regional Branch ◽  
Population Mortality ◽  
Scientific Practical ◽  
Medical Analysis ◽  
Mechanical Asphyxia

To study the mortality rate, a retrospective analysis of 973 conclusions of the forensic medical examination of corpses was carried out in 2019 in the Samarkand regional branch of the Republican Scientific Practical Center for Forensic Medical Examination and its regional units. According to the forensic medical service, the structure of mortality is dominated by mechanical trauma, as well as mechanical asphyxia and cardiovascular disease. Among the mechanical damages, the main part was a transport injury, especially an automobile one. A certain part is death from a traumatic brain injury, mainly as a result of a car injury and exposure to blunt objects. In gender terms, it prevails in men, in the age aspect in people of working age.

scholarly journals Anniversary scientific-practical conference «Actual issues of medical support of the Navy».

2019 ◽  
Vol 21 (4) ◽  
pp. 94-96
Author(s):  
O G Chernikov ◽  
V S Chernyi ◽  
S A Kupriyanov
Keyword(s):  
Medical Service ◽  
Medical Support ◽  
Surgery Training ◽  
80Th Anniversary ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Scientific Practical ◽  
Practical Conference ◽  
Training Faculty

A report on the held at the S.M.Kirov Military Medical Academy jubilee scientific and practical conference dedicated to the 80th anniversary of the departments of the organization and tactics of medical service fleet (with the course of the tactics and weapons of war fleet), naval surgery, training faculty physicians for Navy of the S.M. Kirov Military Medical Academy is presented.

scholarly journals Forensic medical aspects of the problematic issues of legal nature arising in the work of the department of forensic medical examination of corpses

2016 ◽  
pp. 69-74
Author(s):  
Vasyl Grigoriychuk
Keyword(s):  
Medical Service ◽  
Death Certificate ◽  
Criminal Procedure ◽  
Medical Examination ◽  
Legal Documents ◽  
Forensic Examination ◽  
Legal Nature ◽  
Legal Document ◽  
The Law ◽  
Medical Examiners

This survey article presents a review and analysis of the most pressing problematic issues of legal nature arising in the work of the department of forensic examination of corpses of medical examiner’s offices of Ukraine with reference to relevant legal documents, orders and regulations. In our opinion such topical issues causing debates are: contents of article 238 (part 4) of the Criminal Procedure Code of Ukraine, regarding the issue of when the corpse can be handed over for burying - only after performing (that is, completion) of forensic medical examination and establishment of the cause of death with drawing up the “Medical examiner’s conclusion”, or after the autopsy of the body, to whom exactly the corpse has to be handed over; to whom medical certificate of death has to be issued, taking into consideration provisions of item 2 of the “Regulations for filling out and issuance of medical death certificate”, who is to establish relatives of the deceased in compliance with the effective laws and how to understand the definition “a person who is undertaking to bury the deceased”; how to deal with the letters and inquiries pertaining to the disclosure of data obtained in the result of forensic medical examination sent to the bureau’s address by the “not judicial-investigative authorities”, presence or absence of legal documents, regulating actions of the medical examiner connected with the procedure of performance (or non-performance) of forensic medical examination of corpses of the nationals of foreign countries. At the same time conclusions have been made from this article pertaining to the vision of the ways for resolving the presented problematic issues in order to make easier, improve and optimize functioning of the department of forensic examination of corpses. The main legal document the most often referred to in the work of the department of forensic examination of corpses is the Code of Criminal Procedure of Ukraine (with amendments made in accordance with the Law #5076-VI of 05.07.2012) that brought in new requirements and innovations in the work of forensic medical service of Ukraine. It should be noted, that in this legal document we have found 19 articles that deal directly or indirectly with the work of doctors medical examiners. Aside from this document we must also take into consideration the following effective legislative acts: “Regulations for filling out and issuance of medical death certificate (Form #106/o)”, approved on the order of the Ministry of Public Health of Ukraine #545 of 08.08.2006; “The procedure of carrying out investigation and registration of casualties, occupational diseases and industrial accidents”, approved by the Decree of the Cabinet of Ministers of Ukraine #1232 of 30.11.2011; the Law of Ukraine “On advocacy and legal practice”, the Law of Ukraine “On burial and undertakers’ business”. Conclusions: to improve the quality of work of the department of forensic medical examination of corpses in particular and forensic medical service in general, to avoid and bring down to the minimum the problems of legal nature arising in practical work of doctors-medical examiners it is necessary, in our opinion, to resolve the following problematic issues: To provide explanation of contents of article 238 (part 4) of the Code of Criminal Procedure of Ukraine in the part stating, that “the corpse can be handed over … only after performing forensic medical examination and establishing the cause of death”. Solicit competent authorities to make additions or amendments to article 238 of the Code of Criminal Procedure of Ukraine binding indication of the name of person to whom the corpse can be handed over from the morgue for To resolve the problem of responding to the inquiries from various enterprises, establishments and organizations requesting to provide results of the performed forensic medical examination of corpses, copies of the conclusions of expert examination taking into consideration provisions of article 69 (part 5) and article 222 (parts 1, 2) of the Code of Criminal Procedure of Ukraine. Resolve the problem of legal aspects of performing forensic medical examination of corpses of foreign

scholarly journals Ischemic heart disease among the population of working age in Kyiv region: statistical analysis of the modern epidemiological situation

2020 ◽  
Vol 24 (4) ◽  
pp. 694-699
Author(s):  
А. V. Ivanyuk ◽  
N. M. Orlova
Keyword(s):  
Myocardial Infarction ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Ischemic Heart ◽  
Medical Statistics ◽  
Working Age ◽  
Disability Prevalence ◽  
Working Age Population ◽  
Population Mortality ◽  
Epidemiological Situation

Annotation. Ischemic heart disease (IHD) is one of the main causes of high mortality, disability and a decrease in the quality of life of the working-age population (WAP) in Ukraine. Aim of the work: to determine the modern features of mortality, disability, prevalence and incidence of ischemic heart disease in the working-age population of the Kyiv region. The analysis of the epidemiology of IHD in the Kyiv region was carried out in dynamics for 2010–2019 and compared to Ukraine. The statistical data of the State Statistics Committee of Ukraine, the Center for Medical Statistics of the Ministry of Health of Ukraine, and the Kyiv Regional Center for Medical Statistics on mortality, disability, prevalence and incidence of IHD in the working-age population of the Kyiv region were analyzed with the medical-statistical method. It has been established that IHD is a significant cause of the loss of labor potential in the Kyiv region. IHD accounts for every fourth (25.0%) death in the working age, and the regional level of working-age population mortality from IHD is the highest in Ukraine. In the Kyiv region working-age population dies from ischemic heart disease 1.5–1.7 times, and from myocardial infarction – 1.7–1.9 times more often than the average in Ukraine. Regional levels of incidence IHD among working-age population exceed similar indicators in Ukraine by 1.2 times, the incidence of myocardial infarction – 1.5 times, the prevalence of ischemic heart disease – 1.7 times. Identified unfavorable dynamic trends in mortality and prevalence of IHD among the working-age population of the Kyiv region. The mortality rate from IHD among working-age population increased in the Kyiv region in 2019 compared to 2010, by 7.9%. The prevalence of IHD increased during 2010–2018 by 14.4%, and the primary incidence of myocardial infarction – by 14.9%. The unfavorable epidemiological situation with IHD among working-age population in the Kyiv region necessitates improving the system for the prevention and the organization of medical care for patients with IHD in this region.

scholarly journals Death from mechanical asphyxia as a result of drowning in Ivano-frankivsk region for 2012-2016

2017 ◽  
pp. 93-95
Author(s):  
Volodymyr Voloshinovych ◽  
Ihor Ivaskevych
Keyword(s):  
Risk Factor ◽  
Causes Of Death ◽  
Medical Examination ◽  
Older Person ◽  
Male Sex ◽  
Mechanical Asphyxia

The article analyzes deaths from mechanical asphyxia as a result of drowning in Ivano-Frankivsk region during the last five years on the basis of materials from the Ivano-Frankivsk Regional Bureau of Forensic Medical Examination. It was found that among all the causes of death, mechanical asphyxia set 19.1% (1502 cases), and mechanical asphyxia as a result of drowning set 23.6% (354 cases) of all types of mechanical asphyxia. The risk factor for mortality in mechanical asphyxia as a result of drowning is male sex. The possibility of dying due to mechanical asphyxia as a result of drowning in men is 5 times higher than that of women. The increase in the number of drowning cases is related to the age of the person. The older person is, the risk of dying due to mechanical asphyxia as a result of drowning is greater.

scholarly journals The age vector of risk factors for mortality of young Muscovites

2021 ◽  
Vol 2 (2) ◽  
pp. 15-25
Author(s):  
Victoria G. Semyonova ◽  
Alla E. Ivanova ◽  
Tamara P. Sabgayda ◽  
Galina N. Evdokushkina
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Mental Disorders ◽  
Age Groups ◽  
Mortality Rates ◽  
Health Priorities ◽  
Working Age ◽  
External Causes ◽  
Population Mortality ◽  
High Level

European-like life expectancy levels in Moscow are attributable to the prevalence of older population and the manifold increase in the working-age population mortality, especially among young people. The goal of the study is to identify the age-specific risk factors for Moscow youth mortality. This analysis is based on the official Russian Statistics Service’ data on mortality in the age groups of 15–24 and 25–34 years between 2000 and 2019. As demonstrated, during the study period, the Moscow youth mortality rates decreased twofold between both age groups. Starting from 2017, the mortality rate of Moscow youth began to increase, mainly among the 15–24-year-olds. The age vector of the youth mortality structure indicates a change in risk factors associated with age: while adolescents die from external causes, i.e. specific risks directly leading to death, later on youth mortality is more often associated with long-term behavioral factors indirectly resulting in death (such as sexual conduct as a risk factor for HIV/AIDS mortality, alcohol as the main cause for deaths from digestive system diseases and mental disorders, drugs as a risk factor for deaths from cardiovascular diseases and mental disorders). It is important to take note of the wide age range of the population classified as «young»: while it might be justified in legal and social context, in the demographic context it blurs the differences in mortality among people of different ages. Moreover, the abnormally high level and contribution of mortality from inaccurately described conditions, which the Moscow youth suffered from in the 2000s, calls into question the official rates of mortality due to underlying causes, primarily injuries, poisonings, and circulatory diseases. At the same time, given the increase in the young people’s overall mortality in the recent years, the extremely high mortality rates from inaccurately described conditions make it difficult to identify health priorities for the Moscow youth and, therefore, do not allow determining the reserves for their effective decline.

scholarly journals ANALYSIS OF MORBIDITY WITH THE ARTERIAL HYPERTENSION AMONG CITIZENS OF THE KRASNODAR CITY

2018 ◽  
Vol 19 (1) ◽  
pp. 36-39
Author(s):  
A. S. Bagdasar’yan ◽  
A. A. Sirunyants ◽  
S. N. Linchenko ◽  
D. V. Pukhnyak ◽  
E. V. Gerashyenko ◽  
...  
Keyword(s):  
Control System ◽  
Statistical Analysis ◽  
Arterial Hypertension ◽  
Automatic Control ◽  
Older Women ◽  
Medical Service ◽  
Medical Aid ◽  
Working Age ◽  
Cardiovascular Pathologies ◽  
Methodological Approaches

The clinic-statistical analysis of complaints of Krasnodar citizens about the arterial hypertension according to the data of the first medical aid service has been performed to optimize the organizational and methodological approaches to prevention and medical service for population. As the material of the study the database of the complex automatic control system of emergency stations in 2015–2016 has been considered. The study has revealed that the arterial hypertension is one of the severest diseases in the structure of the cardiovascular pathologies in men of working age and older women which provides the significant working area for the first medical aid service and demands the principal reorganization in the activity of the out-patient and polyclinic departments responsible for the clinical examination of the population.

Prediction Mortality Rate Due to the Road-Traffic Accidents in Kazakhstan

2020 ◽  
Author(s):  
Nurbek IGISSINOV ◽  
Alma AUBAKIROVA ◽  
Galiya ORAZOVA ◽  
Gulnur Akpolatova ◽  
Saltanat URAZOVA ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Age Group ◽  
Road Traffic Accidents ◽  
The Road ◽  
Age Related ◽  
Working Age ◽  
The Republic ◽  
Population Mortality

Background: As a result of the road traffic accidents 1.25 mln. of working-age people die each year on the roads. Frequency of the RTA is 11 times higher in our country than in Europe, that influence on demographic and economic situation in the republic. Creation of the math modeling and prediction of traffic mortality rate in Kazakhstan will allow to develop measure on its decrease. Methods: Short-term dotted prediction of population mortality level of Kazakhstan was used, in particular – methods of regressive analysis. General prognosis throughout the country up to 2021 was made on the basis of data for 1999-2018. The more relevant method for prediction is exponential function taking into account the features of mortality rate level trend. Results: Prediction of traffic fatalities without division into the age-related groups for 2019 is 2132±181 case with a probability 2/3. Expected levels for 2020-2027 cases, for 2021-1927 cases. Annual mortality decrease rate according to the 0-19 age-related at an average is 6.4% among men and 5.8% among women, according to age group as a whole – by 6.2%; from 20 up to 64 age related group – 5.1 % on all population category; older 65 age –group is by 2.2 %, 3.7 % among men, 2.9% among women as a whole. Conclusion: In the foreseeable future the number of traffic deaths in Kazakhstan will tend to decrease at a slower pace. Mortality rates due to road traffic accidents among working-age men will be 3 times higher than women in this age group.

scholarly journals Some population mortality indicators of the large region of Volga federal district

2021 ◽  
Vol 21 (1) ◽  
pp. 44-48
Author(s):  
Svetlana V. Ustavshchikova ◽  
Keyword(s):  
Total Population ◽  
Alcohol Exposure ◽  
Federal District ◽  
Mortality Rates ◽  
Physical And Mental Health ◽  
Working Age ◽  
External Causes ◽  
Population Mortality ◽  
Regional Authorities ◽  
Drug And Alcohol

Reducing the mortality rate of the population: general, in childhood and people of working age is a priority goal of the federal and regional authorities. However, an increase in the proportion of the population in older ages in the total population, and an increase in life expectancy leads to an aging of the population as a whole, and, consequently, to an increase (all other things being equal) of the relative mortality rates of the entire population. The potential for mortality reduction is a reduction in mortality due to external causes: from accidents, poisoning, injuries, drug and alcohol exposure. Strengthening the physical and mental health of the population will also contribute to this component decrease.

scholarly journals FORENSIC MEDICAL EXAMINATION IN CASES OF NON-LETHAL LARYNX TRAUMAS

2019 ◽  
Vol 6 (2) ◽  
pp. 88-92
Author(s):  
Mykola Gubin ◽  
Vasil Olkhovsky ◽  
Edgar Grygorian
Keyword(s):  
Soft Tissues ◽  
Clinical Analysis ◽  
Medical Diagnostics ◽  
Medical Examination ◽  
Medical Expert ◽  
Short Term ◽  
Laryngeal Trauma ◽  
Medical Evaluation ◽  
Judicial Investigation ◽  
Mechanical Asphyxia

FORENSIС MEDICAL EXAMINATION IN NON-FATAL LARYNGEAL TRAUMA Olkhovsky V.O., Gubin M.V., Grygorian E.K.  Victims with non-fatal laryngeal trauma become the object of forensic medical evaluation of the severity of bodily injuries in alive persons, carried out during pre-judicial and judicial investigation. The purpose of the study was to provide morphological and clinical analysis and characteristics of bodily injuries in cases of blunt laryngeal trauma in forensic medical examination of alive persons, to determine ways to improve the effectiveness of forensic medical diagnosis of the specified injury. Subjects and Methods. The study involved morphological and clinical analysis of 47 forensic medical expert conclusions in the leading forensic medical examination institution of Kharkiv region. Results. Frequency and types of blunt traumas of the larynx at examination of alive persons were determined. Specific features of forensic medical expert evaluation of bodily injuries severity in alive persons with blunt traumas of larynx were determined. Severe bodily injuries were defined in 3 cases (6.4 % of cases) of laryngeal traumas with the development of mechanical asphyxia. Moderate bodily injuries were determined by experts in 9 cases (19.1 % of cases) of blunt traumas of the larynx, accompanied by fractures of its cartilage; in 4 persons (8.5 % of cases) of blunt traumas of the larynx, accompanied by hematoma, edema of soft tissues of the larynx; in one case of blunt laryngeal trauma with acute edema, its second-degree stenosis. Mild bodily injuries which caused short-term disorder in 25 persons (53.2 % of cases) and mild bodily injuries which caused slight transitory effects in 4 persons (21.1 % of cases) were determined by experts in forensic medical examination of blunt laryngeal trauma with the development of acute posttraumatic laryngitis. The study implied elaboration of methods and an algorithm for improvement of forensic medical diagnostics in this type of injuries. Conclusions. Medico-legal diagnosis of blunt laryngeal trauma can be associated with underestimation and overestimation of the severity of bodily injuries by experts, which requires further research in the field of establishing unbiased expert diagnostic criteria for assessing such injuries. Keywords: criteria of diagnosis, forensic medical examination, expert conclusion, laryngeal trauma.   Резюме СУДОВО-МЕДИЧНА ЕКСПЕРТИЗА У ВИПАДКАХ НЕЛЕТАЛЬНИХ ТРАВМ ГОРТАНІ Ольховський В.О., Губін М.В., Григорян Е.К. Постраждалі з нелетальними травмами гортані, стають об'єктом судово-медичної оцінки тяжкості тілесних ушкоджень у живих осіб, яка проводиться під час досудового та судового слідства. Мета роботи: морфо-клінічний аналіз та характеристика тілесних ушкоджень при тупій травмі гортані, під час судово-медичної експертизи живих осіб для визначення шляхів підвищення ефективності судово-медичної діагностики зазначеної травми. Суб'єкт і методи. Проведено морфо-клінічний аналіз 47 висновків експерта провідної судово-медичної експертної установи Харківського регіону. Результати дослідження. Визначено частоту і типи тупої травми гортані при експертизі живих осіб. Встановлено особливості судово-медичної експертизи при визначенні ступеня тяжкості тілесних ушкоджень у живих осіб з тупою травмою гортані. Тяжкі тілесні ушкодження встановлені експертами в 3 випадках (6,4% спостережень) травм гортані з розвитком механічної асфіксії. Ушкодження середньої тяжкості встановлені експертами в 9 випадках (19,1% спостережень) тупих травм гортані, що супроводжувалися переломами її хрящів; у 4 випадках (8,5% спостережень), що супроводжувались гематомою, набряком м'яких тканин гортані; в одному випадку тупої травми гортані з гострим набряком, її стенозом II ступеня. Легкі тілесні ушкодження, що спричинили короткочасний розлад здоров'я в 25 випадках (53,2% спостережень ) та що викликали незначні транзиторні ефекти в 4 випадках (21,1% спостережень) встановлені експертами  при експертизі тупих травм гортані з розвитком гострих посттравматичних ларингітів. Визначено шляхи та алгоритм вдосконалення судово-медичної експертної діагностики цієї травми. Висновки. При судово-медичній діагностиці тупої травми гортані, мають місце випадки недооцінки та переоцінки тяжкості тілесних ушкоджень експертами, що вимагає проведення подальших наукових досліджень у напрямку встановлення чітких експертних діагностичних критеріїв оцінки таких травм.  Ключові слова: критерії діагностики, судово-медична експертиза, висновок експерта, травми гортані.   Резюме. СУДЕБНО-МЕДИЦИНСКАЯ ЭКСПЕРТИЗА В СЛУЧАЯХ НЕЛЕТАЛЬНИХ ТРАВМ ГОРТАНИ Ольховский В.А., Губин Н.В., Григорян Е.К. Пострадавшие с нелетальными травмами гортани, становятся объектом судебно-медицинской оценки тяжести телесных повреждений у живых лиц, которая проводится в ходе досудебного и судебного следствия. Цель работы: морфо-клинический анализ и характеристика телесных повреждений при тупой травме гортани, во время судебно-медицинской экспертизы живых лиц для определения путей повышения эффективности судебно-медицинской диагностики указанной травмы. Субъект и методы. Проведен морфо-клинический анализ 47 заключений экспертов ведущего судебно-медицинского экспертного учреждения Харьковского региона. Результати исследования. Определены частота и виды тупой травмы гортани при экспертизе живых лиц. Установлены особенности судебно-медицинской экспертизы при определении степени тяжести телесных повреждений у живых лиц с тупыми травмами гортани. Тяжкие телесные повреждения установлены экспертами в 3 случаях (6,4% наблюдений) травм гортани с развитием механической асфиксии. Повреждения средней тяжести установлены экспертами в 9 случаях (19,1% наблюдений) тупых травм гортани, сопровождавшихся переломами ее хрящей; в 4 случаях (8,5% наблюдений),  сопровождавшихся гематомой, отеком мягких тканей гортани; в одном случае тупой травмы гортани с острым ее отеком, стенозом II степени. Легкие телесные повреждения, повлекшие  кратковременное расстройство здоровья в 25 случаях (53,2% наблюдений) и которые вызвали незначительные транзиторные эффекты в 4 случаях (21,1% наблюдений) установлены экспертами при экспертизе тупых травм гортани с развитием острых посттравматических ларингитов. Определены пути и алгоритм совершенствования судебно-медицинской экспертизы данной травмы. Выводы. При судебно-медицинской диагностике тупой травмы гортани, имеют место случаи недооценки и переоценки тяжести телесных повреждений экспертами, что требует проведения дальнейших научных исследований в направлении установления четких экспертных диагностических критериев оценки таких травм.   Ключевые слова: критерии диагностики, судебно-медицинская экспертиза, заключение эксперта, травмы гортани.

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