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[用于颌面区域损伤调查的法医医学文件的专家特征]

[The expert characteristic of the forensic medical documentation for the purpose of investigations of the injuries to the maxillofacial region].

作者信息

Popov V L, Yagmurov M O, Troshin E L

机构信息

Department of Public Law, Admiral S.O. Makarov State University of Marine and Inland Shipping, Ministry of Education and Science of the Russia, Saint-Petersburg, Russia, 198035.

Department of Forensic Medicine and Jurisprudence Science, I.P. Pavlov First Saint-Petersburg State Medical University, Saint-Petersburg, Russia, 197022.

出版信息

Sud Med Ekspert. 2018;61(2):45-47. doi: 10.17116/sudmed201861245-47.

DOI:10.17116/sudmed201861245-47
PMID:29667637
Abstract

The injuries to the maxillofacial region (MFR) are among the most frequently occurring problems encountered if the forensic medical practice. The objective of the present study was the analysis of the quality of the medical record documentation of the victims of the injuries to the maxillofacial region for obtaining the information necessary for forensic medical experts to make the well-founded conclusions. We undertook the in-depth analysis of random samples from the materials stored in the archive of living subjects at the Saint-Petersburg Bureau of forensic medical expertise for the period from 2010 to 2014. The results of a total of 438 forensic medical examinations were available for the analysis. The study has demonstrated the generally low forensic medical value of the expert conclusions that frequently fail to conform to the requirements of the departmental instructions on the description of MFR injuries. In all the cases, neurologists and radiologists were counselled. The results of analysis of the drawbacks of forensic medical examinations give evidence that they originate first and foremost from subjective circumstances which opens up the promising prospects for the improvement of expertise quality based on the enhancement of the professional responsibility of the forensic medical experts.

摘要

颌面区域(MFR)损伤是法医实践中最常遇到的问题之一。本研究的目的是分析颌面区域损伤受害者的病历记录质量,以便获取法医专家做出有充分依据结论所需的信息。我们对2010年至2014年期间圣彼得堡法医鉴定局活体档案中存储的材料进行了随机抽样深入分析。共有438份法医鉴定结果可供分析。研究表明,专家结论的法医价值普遍较低,经常不符合部门关于颌面区域损伤描述的指示要求。在所有案例中,都咨询了神经科医生和放射科医生。对法医鉴定缺陷的分析结果表明,这些缺陷首先源于主观情况,这为基于增强法医专家职业责任感来提高鉴定质量开辟了广阔前景。

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