Fatal doses and concentrations of drugs in biological objects

Information on the lethal doses and concentrations of drugs in biological objects is essential for the diagnosis of drug poisoning. Methods for measuring the concentrations of some drugs in the blood and urine have been developed and tables of lethal doses, concentrations, and metabolism coefficients for drugs most often occurring in forensic medical practice are offered. A method for estimating the drug dose which led to a lethal outcome is suggested.     

Opiate poisoning (an analysis of section material)

Section specimens from subjects dead from narcotic poisoning in 1998-1999 are analyzed. The results indicate that narcotic poisonings were primarily due to opiates or their combinations with other drugs (primarily ethanol). The ratio of male to female mortality was 3:1. Death after narcotic poisoning occurs at home in the majority of cases. The concentration of morphine/heroin in the blood and urine of victims varied within a very wide range. Acute renal failure, myoglobulinuremic nephrosis, and compression syndrome are not typical of acute narcotic poisoning. Use of immunotest for urinary morphine-heroin deserves further investigation.     

New possibilities of detecting blood and seminal fluid in traces on material evidence using Fluorat-02-3M analyzer

Fluorat-02-3M liquid analyzer essentially extends the range of hemoglobin measurements, increasing its concentration in the studied extract from 0.1 to 100 micrograms in a 100 microliters sample (the lower threshold concentration remains unchanged: 0.005 in a 100-microliters sample) in detection of the blood in stains on material evidence pieces by fluorescent hemotest. This allows detection of blood in both washed and clearly seen blood stains on pieces of material evidence. Examples of using this method for measuring mass concentrations of zinc in water extracts on a Fluorat-02-3M analyzer are presented. The analyzer was developed at the Bureau of Forensic Medical Expert Evaluations of the Leningrad region for tentative detection of seminal fluid in stains on material evidence pieces. The results of this method are objectively recorded.     

Ascertainment of the cause and tempo of death in forensic medical practice

In order to develop a method of ascertaining a cause of death and of evaluating its tempo the authors undertook a histological study and a study of a dehydration degree in 76 cases of death due to the below reasons: mechanical trauma, mechanical asphyxia, burn shock, and carbon monoxide intoxication. Acute emphysema of lungs, lack of edemas in lungs and brain, desquamation of pulmonary macrophages, hyperemia of renal capillaries, primary urine in some glomerules, prevalence of ischemic changes with karyopyknosis in medulla and hypohydration of brain were typical of fast death. Prevalence of dystelectasis in lungs, emptying of pulmonary capillaries, evident edema of lungs and brain, desquamation of pulmonary macrophages, lack of primary urine in glomerular capsules, acute circulatory disorders of renal hemodynamics with sweating of fibrin and erythrocyte glomerules into cavities, necrotic nephrosis, pigment cylinders in renal tubules, thrombi in vessels, prevalence of chromatolysis, karyolysis and cytolysis in medulla, pronounced glial reaction as well as pronounced edema of brain and its hyperhydration were typical of slow death.     

Morphological study of the corpus striatum in forensic medical diagnosis of chronic opiate abuse

Morphological analysis of the corpus striatum in morphine intoxication was carried out on experimental and autopsy specimens. The resultant morphometrical data characterize various stages of opium narcomania and abstinence. The severity of involvement of neuronal structures and specific features of the glial reaction are described, which can be used in forensic medical diagnosis of such intoxications.     

Development and application of hydrogel oligonucleotide microchips for forensic-medical personal identification as illustrated by ABO locus

The article describes the method defining 5 alleles of ABO blood group typing system by molecular hybridization in hydrogel oligonucleotide microchip. The testing points were SNP variants in positions 261 and 297of exon 6 and in positions 646 and 657 of exon 7. Therefore, 5 ABO blood groups can be easily revealed: A, B, 0(1), 0(1v), 0(2). The method was tested on 10 DNA samples isolated from blood and saliva of unrelated individuals. The results were confirmed by sequencing of the identified allelic fragments. Estimation sensitivity was 25 pg of total DNA input. This technique is cost-effective and easy for use and, therefore, promising for forensic-medical personal identification.     

Diagnosis of acute intoxication with ethyl alcohol in expert practice

Significant chemical and biochemical signs of acute alcoholic intoxication are considered tanatologically. A complex approach to diagnosis of acute poisoning with ethyl alcohol is proposed.