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The Use of the Stereomicroscopy in the Forensic Medicine Practice


Authors: D. Valent
Authors place of work: Súdnolekárske pracovisko Úradu pre dohľad nad zdravotnou starostlivosťou, Bratislava
Published in the journal: Soud Lék., 55, 2010, No. 4, p. 46-50

Summary

Intro:
In everyday medico-legal practice the situations occur when it is necessary to magnify something and bring it up to the level of magnifying glass and closer to the eye of the examiner, and this way to determine the character of wounds, the way and angle of the attack, vicinity of the instrument of assault and where necessary also to determine the option of other person being present and causing the injury mentioned above. One of the options which enables the forensic pathologist to evaluate the case is the stereomicroscopic examination. It can be done at the place of the autopsy being performed (in vivo) and also in a laboratory (in vitro) after taking samples.

Objective:
The objective of the work is to present methodically quite simple, for time, space and finances not too demanding a method, the results of which is possible to apply in medico-legal practice.

Methods:
The work provides the inside of the cases selected by the author in which the stereomicroscopy has been used as one of the examination methods. The clothing of the victim was examined where the victim suffered thoracic injury caused by gunshot in one case, and the skin and parietal bone in the second case of gunshot injury of the head. Furthermore the appearance of stabbing wounds to the skin was investigated with the identification of angles, of the residue of the paint of a motor vehicle on the clothing of a female pedestrian; and the plant seeds obtained from the crime scene which were found on the body of the victim namely in the head wounds.

Results:
By further investigations into these cases other options were discovered as to the next more detailed examinations of the cases and the confirmation of the diagnosis. There is a certain value in the photo documentation which was made with every case.

Conclusion:
Stereomicroscopic examination is a suitable method by means of which it is possible to follow all the morphological findings which the forensic pathologist has to deal with in his work. It significantly broadens the knowledge spectre and the substance and the meaning of the autopsy as such, i. e. it supports the process of determination of the cause of death and the circumstances of the death. It is a simple method which has a great potential to become one of the major investigation methods. The author is the first to present the results of using of the stereomicroscopy in our conditions. This method is not even often used abroad.

Key words:
stereomicroscopy – stereomicroscopic examination – glass magnifying – diagnosis – medico-legal practice – photo documentation


Zdroje

1. Adachi, Y., Mori, M., Enjoji, M., Sugimachi, K.: Microvascular architecture of early gastric carcinoma. Microvascular – histopatologic correlates, Cancer, 1993, 72, s. 32–36

2. Beyer, H.: Handbuch der mikroskopie, VEB Verlag Technik Berlin, 1973, 1973, s. 504–514

3. Beyer, H., Riesenberg, H.: Handbuch der mikroskopie, VEB Verlag Technik Berlin, 1988, s. 346–352

4. Celleno, D., Capogna, G., Costantino, P., Catalano, P.: An anatomic study of the effects of dural puncture with different spinal needels, Reg Anesth, 1993, 18, s. 218–221

5. Chaudhuri, Tr., Cao, Z., Rodríguez – Burford, C., Lobuglio, Af., Zinn, Hr.: A non invasive approach for monitoring breast tumor cells during therapeutic intervention, Cancer Biother Radiopharm, 2002, 17, s. 205–212

6. Fenger, C., Nielsen, K.: Stereomicroscopic investigation of the anal canal epithelium, Scand J Gastroenterol, 1982, 1, s. 416–418

7. Fonollosa, V., Simeón, Cp., Castells, L., Garcia, F., Castro, A., Solans, R., Lima, J., Vargas, V., Guardia, J., Vilardell, M.: Morphologic capillary changes and manifestations of connective tissue diseases in patients with primary biliary cirrhosis, Lupus, 2001, 10, s. 628–631.

8. Görgül, G., Alacam, T., Kivanc, Bh., Uzun, O., Tinaz, Ac.: Microleakage of packable composites used in post spaces condensed using different methods, Journal of contemporary dental practice, 2002, 3, s. 23–30

9. Habrová, V.: Biologická technika, Statní pedagogické nakladatelství Praha, 1986, s. 69

10. Hajda, J.: Optika a optické prístroje, Slovenské vydavateľstvo technickej literatúry Bratislava, 1956, s. 183–186, s. 283–289

11. James, J.: Light microscopic techniques in biology and medicine, Martinus Nijhoff medical division, 1976, s. 32–38, 324

12. Karger, B., Nüsse, R., Bajanowski, T.: Backspatter on the firearm and hand in experimental close- range gunshots to the head, Am J Forensic Med Pathol, 2002, 23, s. 211–213

13. Kolektív autorov: Soudní lékařství, Grada Publishing, 1999, s. 243–253

14. Leuenberger, S., Faulborn, J., Gülecek, O.: Histologic studies on the effect of light coagulation of the retina on the vitreous body, Klin Monatsbl Augenheilkd, 1985, 186, s. 272–274

15. Mattsson, C., Berggren, D., Hellström, S.: Myringotomized thympanic membranes cultured in vitro do not develop myringosclerosis, Acta Otolaryngol, 2002, 122, s. 168–172

16. Mazzoni, A.: The vascular anatomy of the vestibular labyrinth in man, Acta Otolaryngol Suppl, 1990, 472, s. 1–83

17. Onuki, Y., Kouchi, Y., Yoshida, H., Wu, Mh., Shi, Q., Sauvage, Lr.: Early presence of endothelial – like cells on the flow surface of porous arterial protheses implanted in the descending thoracic aorta of the dog, Ann Vasc Surg, 1997, 11, s. 604–611

18. Pfänder, H. J.: Farbatlas der Drogenanalyse unter Verwendung des Stereomikroskops, Gustav Fischer Verlag, 1991, s. 3–9

19. Soyer, Hp., Smolle, J., Kresbch, H., Hödl, S., Glavanovitz, P., Pachernegg, H., Kerl, H.: Direct light microscopy of pigment tumors of the skin, Hautarzt, 1988, 39, s. 223 – 227

20. Van Tenten, Y., Schuitmaker, HJ., De Groot, V., Willekens, B., Urensen, GF., Tassignon, MJ.: A preliminary study on the prevention of posterior capsule opacification by photodynamic therapy with bacteriochlorin a in rabbits, Ophthalmic Research, 2002, 34, s. 113–118

21. Wagner, G., Willis, EA., Bro – Rasnussen, F., Nielsen, MH.: New theory on the mechanizm ef erection involving hitherto undescribed vessels, Lancet, 1982, s. 416–418

22. Weiger, R., Elayouti, A., Löst, C.: Efficiency of hand and rotary instruments in shaping oval root canals, J Endod, 2002, 28, s. 580–583

23. Yoshino, T., Yamaguchi, I.: Possible involvement of 5 – HT2 receptor activation in aggravation of diet – induced acute pancreatitis in mice, J Pharmacol Exp Ther, 1997, 283, s. 1495–1502

Štítky
Anatomical pathology Forensic medical examiner Toxicology
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