Saratov JOURNAL of Medical and Scientific Research

Efimov A.A.

Saratov State Medical University, Head of Department of Forensic Medicine named after M.I. Raisky, Assistant Professor, Candidate of Medical Science

Clinical manifestations and forensic medical evaluation of hemothorax

Year: 2017, volume 13 Issue: №2 Pages: 221-224
Heading: Forensic medicine Article type: Original article
Authors: Kupryushin A.S., Efimov А.А., Loginov S.N., Vishnyakova Zh.S., Latynova I.V., Semina M.N., Godukhina E.M.
Organization: Penza State University, Saratov State Medical University
Summary:

Objtctive: to determine the degree of validity of the allocation of traumatic hemothorax as a medical criterion of a qualifying trait in respect of serious harm to health, which is life-threatening. Material and Methods. A retrospective analysis of 130 case histories of the patients of the Department of Thoracic Surgery was carried out at Penza Clinical Hospital n.a. N.N. Burdenko. The sex, age, severity of the patient's condition, the volume of blood in the pleural cavity, complications of hemothorax (GT), the time between trauma and seeking medical help, and other injuries were analyzed. Results. It was found out that among patients with HT men were 4,2 times more than women. HT developed after traumatic exposure to the thorax in patients of both gender groups. Conclusion. The severity of the condition of patients with HT is determined by the volume of blood in the pleural cavity, complications, the presence of concomitant damages, the number of days between receiving an injury and contacting a medical organization. In the formulation of p. 6.1.10 Order No. 194n of the Ministry of Health and Social Development of April 24, 2008, "On the Approval of Medical Criteria for Determining the Severity of Harm to Human Health" we should add the phrase: "...or a severe or medium hemothorax that causes a life threatening condition..." aiming at an objective forensic evaluation of traumatic h e moth о rax.

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Modern issue on the role of microorganisms in the induction and the development of atherosclerosis

Year: 2016, volume 12 Issue: №2 Pages: 113-117
Heading: Macro- and Micromorphology Article type: Review
Authors: Kupryushin AS, Chudaeva DG, Fedorova MG, Latynova IV, Vishnyakova ZhS, Kuprushyna NV, Efimov AA.
Organization: Penza State University
Summary:

More than 70 literature sources are presented and analyzed in the work. Data sources are devoted to the connection between infection and development of atherosclerotic changes. It has been found out that the infection and the presence of pathogenic microorganisms influence the progression of atherosclerosis.

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Forensic medical evaluation age-related changes aorta and pair large arteries

Year: 2015, volume 11 Issue: №2 Pages: 118-122
Heading: Forensic medicine Article type: Original article
Authors: Efimov А.А., Savenkova E.N.
Organization: Saratov State Medical University
Summary:

Objective: differentiation of age-dependence indices of aorta, carotid, brachial, femoral arteries and drawing the mathematical model for forensic age determinations on their basis. Material and methods. Objects were: aorta, fragments of right and left carotid, brachial and femoral arteries taken in a complex of 186 male and female corpses, died at the age of 17-94. Research methods consisted of organometrical, histological, micrometrical, correlative and regressive analysis. The Results. Correlative and regressive analysis of 35 indicators of aorta, carotid, brachial and femoral arteries was conducted. All material was divided into figures with a significant correlation with age and performance of age-independent. The mathematical model was composed for calculation of age. Conclusion. Indicated involution of arterial wall and compiled on the basis of a mathematical model for determination the age could be taken as the basis for forensic method of age determination.

Keywords: age, arteries, morphology
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Use potential of large arteries age elasticity changes for forensic medical determination of body parts of corpse

Year: 2009, volume 5 Issue: №4 Pages: 491-493
Heading: Macro- and Micromorphology Article type: Short message
Authors: A.A. Efimov
Organization: Saratov State Medical University
Summary:

The results of study of elasticity age changes of walls of right and left carotid, brachial and femoral arteries based on the autopsy material have been presented. Mathematical analysis has shown the unidirectional dynamics and absence of essential differences of indices of arterial walls elasticity between right and left equally topographically placed arteries (carotid, brachial and femoral) in various age groups. The conclusion about use perspective of age changes of arterial walls elasticity during the forensic medical expertise of fragmented bodies has been made

Keywords: age, artery, elasticity
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DEFINITION OF AGE ON MORPHOLOGICAL STRUCTURE OF INTERNAL BODIES AND SOFT FABRICS

Year: 2006, volume 2 Issue: №3 Pages: 3-8
Heading: Macro- and Micromorphology Article type: Original article
Authors: Yu.D. Alexeev, A.A. Efimov, Yu.A. Neklyudov, A.V. Pavlov, E.N. Savenkova
Organization: Saratov State Medical University
Summary:

On the basis of biometric research of an aorta, glands internal secretion (testes, prostate and thyroid glands), leather and roentgenograms of brushes from 587 corpses of persons man`s and a female in the age of from 17 and more 75 years are calculated the equations of pair and plural linear regress for diagnostics of age. It is shown, that a difference between biological and passport age considerably if diagnostics spend on separately taken to object and separately taken attribute. Complex research of the several objects described on the big number of attributes is recommended.

Keywords: morphometry

THE EXPRESS TRAIN A METHOD OF DIAGNOSTICS OF AGE AT RESEARCH OF CORPSES OF UNKNOWN PERSONS ON FACTOR ELASTICITY LEATHER

Year: 2006, volume 2 Issue: №1 Pages: 47-51
Heading: Macro- and Micromorphology Article type: Original article
Authors: E.N. Savenkova, A.A. Efimov, A.E. Lunkov
Organization: Saratov State Medical University
Summary:

In clause results of an experimental research of factor elasticity various areas of leather of the person on section material are stated. The mathematical analysis of the received data has revealed significant statistically authentic reduction of the specified parameter with the years. The express train-method of diagnostics of age is developed at research of corpses of unknown persons on factor elastmethod of diagnostics of age.

Keywords: morphometry

LIPOFUSCIN ROLE IN INVOLUTIVE AND PATHOLOGICAL PROCESSES

Year: 2009, volume 5 Issue: №1 Pages: 11-115
Heading: Reviews Article type: Review
Authors: A.A. Efimov, Maslyakova
Organization: Saratov State Medical University
Summary:

The modern data on the lipofuscin role in the processes of intracellular exchange have been analysed in the review. The ambiguity of the interpretation of lipofuscin accumulation according to its importance in involutive and pathological processes has been considered in the study. Nowadays there are no data of morphological character, which allow objectively (in a digital equivalent) to find out the solution of the question about the functional importance of lipofuscin during the ageing of an organism or development of pathological processes.

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