Voronov V.T., Gavrylyuk A.O., Moroz L.V., Voronova T.V.

FORENSIC QUALIFICATION OF MECHANICAL TRAUMA IN COMBINATION WITH TETANUS INFECTION IN THE TRAUMATIC INFECTIOUS PROCESS

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About the author:	Voronov V.T., Gavrylyuk A.O., Moroz L.V., Voronova T.V.
Heading	CLINICAL MEDICINE
Type of article	Scentific article
Annotation	The role of Cl. tetanus which complicates the traumatic process of mechanical damage to the body is well-known in cases of presence and activation in the wound duct of tetanus infection. Combined bodily injury requires a forensic qualification of the severity of the injury, taking into account the effects of Cl. tetanus. However, the regulations of the forensic medical examination (FM) do not offer experts comprehensive information on the methods of diagnosis of the specific time of entering the spores of tetanus into the body, as well as the beginning of pathogenic manifestation of infection. Therefore, expert findings on the qualification of mechanical trauma, which is burdened with a tetanus disease, often cause controversial debate. In order to solve the problem of FM in the qualification of combined trauma, the methods of retrospective causal system modeling of causal dependence of traumatic-infectious process and method of quasi-formal reproduction of simulated objects. Shown in the model is an example of a traumatic-infectious process, which is the object of Cl. tetanus manifests in the body as a pathogenic pathogen, and thus determines the tetanus disease. However, it is proved that the infectious process is formed at an unpredictable time after the introduction of the spores Cl. tetanus into the body through damaged skin. Thus, it was determined that the forensic qualification of the severity of the combined trauma (mechanical damage to the skin and tetanus infection) could not be specified at a specific time. The results of the causal system analysis allow to improve the informative recommendations of forensic experts regarding the establishment of qualification of the degree of severity of mechanical damage that is combined with tetanus infection.
Tags	object Cl. tetanus, dependence of traumatic process, dependence of infectious process, combined traumatic-infectious trauma, methodology of causal systemic combined pathological process
Bibliography	Anin EA. Meretukov GM, redaktor. Sudebno-meditsinskaya travmatologiya. Uchebnoye posobiye dlya yuridicheskikh vuzov. Krasnodar: KubGAU, 2013. 328 s. [in Russian] Lysenko MV, redaktor. Voyenno-polevaya khirurgiya: ruk. k prakt. zanyatiyam. Moskva: GEOTAR; 2010. 576 s. [in Russian] Klipko YeP. Meretukov GM, redaktor. Sudebnaya meditsina. Uchebnoye posobiye. Krasnodar: KubGAU; 2013. 328 s. [in Russian] Nakaz MOZ Ukrayiny № 6 vid 17.01.1995 «Instruktsiya pro provedennya sudovo-medychnoyi ekspertyzy» [Internet] Dostupno na: https://zakon.rada.gov.ua/laws/main/z0254-95. [in Ukrainian] Tenkov AA. Oshibki sudebno-meditsinskikh ekspertov i puti ikh predotvrashcheniya: Prakticheskoe rukovodstvo v 3-h tomah. Kursk: 2012;. 417-421. [In Russian] Chereshnev VA., Davydov VV. Patologiya: Uchebnik: v 2 t. Moskva: GEOTAR- Media; 2009. 608 s. [In Russian] Shcho treba znaty pro pravets: prychyny, symptomy, profilaktyka i likuvannya [Internet] Kyiv: 2018. [tsytovano 2018 Lyst. 30] Dostupno na: https://moz.gov.ua/article/health/scho-treba-znati-pro-pravec-prichini-simptomi-profilaktika-i-likuvannja. [in Ukrainian] Kozhokaru AA. Rozrobka ta udoskonalennya zakhodiv profilaktyky pravtsya u zbroynykh sylakh Ukrayiny [dysertatsiya]. Kyiv: Ukrayinska viyskovo-medychna akademiya MO Ukrayiny; 2009. 30 s. Protsaylo MD, Protsaylo OM. “Khvoroba bosykh nih” – pravets. Visnyk naukovykh doslidzhen. 2015; 1. [Internet] Dostupno na: https://doi.org/10.11603/2415-8798.2015.1.4579. [in Ukrainian]
Publication of the article	«World of Medicine and Biology» №4(70), 2019 year, 045-049 pages, index UDK 616-06:616-079.66:122:167.7:167.2
DOI	10.26724/2079-8334-2019-4-70-45-49