Alcoholic hepatosis in pathogenesis of hepatic encephalopathy

The problem of chronic alcoholism has a great social importance. In the literature there are not methodological grounds for verification of causes and mechanisms of unexpected death caused by chronic alcoholic intoxication. Given literature data show the reasonability of study of hepatic encephalopathy in combination with pathomorphological, histochemical and biochemical analyses in comparison with forensic chemical analysis of alcohol concentration in human organism. That will make possible to determine the mechanisms of tanatogenesis of alcoholic intoxication.     

Current approaches to analysis of narcotic drugs in biological substances

A method of analysis of basic narcotic drugs in urine is described. It consists in isolation by solid phase extraction, derivation and identification by gas chromatography with mass-selective detector. The approaches applied in the above method can be used for analysis of narcotic drugs undetectable by preliminary investigations as well as for urine examination for pharmacological or other biologically active substances.     

Pathology of the heart conducting system in the thanatogenesis of sudden death from alcoholic cardiomyopathy and coronary heart disease

The present literature review is focused on the contribution of various pathological changes in the heart conducting system to the tanatogenesis of sudden death from alcoholic cardiomyopathy and coronary heart disease viewed from the perspective of a forensic medical expert. The currently available data on the disorders in the heart conducting system in the subjects with these diseases are presented. Various aspects of pathology of the heart conducting system are considered in the modern and historical contexts. The prospects for the further investigations into the tanatogenic mechanisms of sudden death by reason of alcoholic cardiomyopathy and coronary heart disease are outlined.     

Racial Differences in Battered Women’s Experiences and Preferences for Treatment from Physicians

The present study evaluated racial differences in battered women’s experiences and preferences for treatment from physicians when seeking help for abuse-related issues. Prior research revealed unexpected findings that African American women rated certain physician behaviors related to victim blaming and expression of sympathy for the male partner less negatively than White women. The present study found that when potential confounders, such as source of care, education level, and income were controlled, racial differences in approval ratings of physician behaviors almost disappeared. Only one physician behavior—blaming the patient for the abuse—differentiated the two groups. However, despite racial differences, both groups rated the behavior negatively. Other findings were that, overall, African American women are more likely than White women to seek abuse-related health care from emergency and urgent care settings and have fewer preferences for the race of their physician provider. Both White and African American women preferred to see a female physician. Implications of these findings for future research are discussed.     

A study of cadaveric mycobiota at the late stages of post-mortem changes within the forensic-medical verification of death coming and of bury place

Data are described on the late stages of fungus populating in cadaveric remains (soil and other fungi). By week 2 after bury, the soil fungi grow through the cloths and skin of cadaver with the species mycobiotic composition of remains corresponding, on the whole, to a bury place. The woodland soils are distinguished through a more diversified species composition and total mycobiotic content, which can be valuable in establishing the fact and route of transfers of cadaver or of its remains even at late cadaveric changes.     

The forensic-biochemical diagnosis of different-genesis hypoxic conditions in cadavers of newborns and babies

Some parameters of anaerobic glycolysis were examined in trauma and hypoxia of different types. Statistically reliable differences were detected in the level of glucose in blood, of glycogen and of lactic acid as well as in the activity of lactatodrogenases in the liver and cardiac and skeleton muscles as observed in different-type hypoxia versus trauma. Diagnosis criteria were designed for the diagnosis of hypoxic conditions in newborns and babies.