Relationships between size and shape of the face with somatic type in women

We studied correlations between size of the face, different complexes of somatic signs and constitutional types according to the I.B. Galant's scheme basing on the materials of a complex anthropometric examination of 1153 Russian girls 16-21 years of age. We found a mean level of correlations (maximum 0.5 of the coefficient of canonic correlation) between the parameters of various morphological subsystems "face-body" The factorial analysis allowed us to obtain two integrative indices describing a total size and shape of the face. Statistical processing revealed a trend to macroprosopia in the groups from leptosomic to megalosomic constitutional types of girls from the Galant's scheme (p < 0.001). The athletic girls have more pronounced maxillofacial (visceral) part and a reduced size of the frontal face. For application in forensic-medical practice we present equations for individual estimation of the variant of a total size and shape of the face as well as female somatotype.     

Forensic medical differential diagnosis of craniocerebral trauma in children

It is emphasized that history, complaints, a comprehensive neurological examination, craniography are not often sufficient for differentiation between brain concussion and mild brain contusion in children because of specific characteristics of craniocerebral trauma (CCT) in such patients. To make an adequate forensic medical diagnosis of CCT in children, it is necessary to take into consideration anatomophysiological peculiarities of a child, biomechanical conditions of the brain injury, to apply modern methods of neurovisualization (ultrasonography, computed and MR imaging), to follow up brain function with quantitative electroencephalography. Improvement of differential forensic-medical assessment of CCT severity in childhood should be made according to the principles of evidence-based medicine.     

Dependence of acute opiate poisoning lethal outcome on the gender, age, and duration of addiction

The article presents toxicological characteristics of 198 cases of acute parenteral poisoning with morphine and heroin in the range of concentrations of their metabolites in the blood and urine which occur in practice. Risk of death is quantified in the range of possible morphine concentrations in the blood in acute opiates intoxication with reference to gender and age. Assessment of the criteria of quantitative opiates toxicity was made according to the method of logit regression and dose-effect curve suitable for analysis of correlations between probability of death and blood concentrations of opiates metabolites. Conditional lethal doses in respect to gender and age are calculated.     

A complex study of damages inflicted by traumatic shots from the unstem gun PB-4

Possibilities of a complex study of the damage to the body and clothes caused by shots from non-lethal arms (unstem gun PB-4 from a complex Osa) are illustrated by real expert tasks from forensic medical practice. A combination of experimental shots with emission spectral analysis of the objects of the study and targets is validated for determination of the patron characteristics and composition as well as shooting diastance.     

Circumstances and toxicological characteristics of deadly opiates poisoning

Facts of prehospital death of 109 heroin addicts are analysed and systematized. It is shown that examination of the corpse at the point of detection may provide information on the circumstances of death and its cause. Correlation between morphine concentration in the corpse tissues and circumstances of death is studied. It is found that information about the victim and facts of his/her death suggest cause of death and help in directions of post-mortem examination and choice of diagnostic procedures.     

Strategy of multiplex analysis of STR-loci polymorphism of Y-chromosome on the basis of "minimal haplotype"

A molecular-genetic analysis of Y chromosome is a convenient tool of paternal affinity determination. This method is now widely introduced in expert practice. Previous experience in typing of Y chromosome is outlined. Strategy of development and experience in operating a multiplex system for a simultaneous analysis of seven STR loci of Y chromosome is discussed.     

Amended forensic autopsy legal procedures in Turkey during integration with the European Union (EU)

European Union (EU) is expanding its territories, and Turkey has been making adaptive changes in many aspects for an integration with EU. In this regard, amendments on forensic autopsy procedures have been effective from June 1, 2005. This article delineates these changes, emphasizing the differences between the previous and the current procedures.     

Horses or unicorns: can paying for performance make quality competition routine?

The competitive benefits of pay-for-performance (P4P) financial incentives are widely assumed. These incentives can affect health care through several mechanisms, however, not all of which involve competition. This insight has three implications. First, federal antitrust enforcement should continue to scrutinize P4P arrangements. Second, government needs to play a larger role in P4P than through antitrust oversight. Third, widespread enthusiasm for a particular health policy reform does not relieve policy makers of the obligation to understand its theoretical basis.