Monitoring HIV infection morbidity in Moscow based on the data of forensic medical expertise

Михайлович, Кильдюшов Евгений; Ковалев, А. В.; Morozov, Yu. E.; Мазус, А. И.; Serebryakov, E. M.; Kudimov, I. N.; Ds, Kadochnikov; Minaeva, P V

doi:10.17116/sudmed20155854-8

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…В результате возросло количество запросов о наличии у умершего ВИЧ-инфекции: 71 407 учтенных запросов до вскрытия, 31 196 учтенных запросов после вскрытия. Резкий рост данного показателя после 2013 г. обусловлен началом со-трудничества БСМЭ (на примере БСМЭ Москвы) с цен-тром СПИД [6]. Стабильно большое количество запросов до вскрытия преобладает ввиду отлаженной (с 2001 г.)…”

Section: оригинальные статьиunclassified

Forensic medical assessment of the cases of HIV infection and hemocontact viral hepatitis B and C during the period from 2011 till 2015 in different subjects of the Russian Federation

Ds¹,

Minaeva

2016

Sud.-med. ekspert.

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Section: оригинальные статьиunclassified

Forensic medical assessment of the cases of HIV infection and hemocontact viral hepatitis B and C during the period from 2011 till 2015 in different subjects of the Russian Federation

Ds¹,

Minaeva

2016

Sud.-med. ekspert.

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“…In 2010, it increased by 73.8%, and in St. Petersburg it reached 124.4 incidents per 100 thousand, which is 3 times higher than the average in Russia. This problem is exacerbated by the high prevalence of drug addiction and indiscriminate unprotected sex [4,5].…”

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Hepatic cirrhosis according to the forensic medical autopsy data from Moscow for the period of 2007-2016

et al. 2019

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Study purpose is to demonstrate the dynamics of mortality due to hepatic cirrhosis according to forensic medical autopsy data over the period from 2007 to 2016. Material and methods ― 268,139 protocols of forensic autopsies were studied to identify the number of deaths by hepatic cirrhosis over ten years between 2012 and 2016 and to determine the number of cases of liver failure associated with cirrhosis. To clarify the dynamics of mortality due to hepatic cirrhosis, a comparative analysis of two chronologically consecutive five-year periods, 2007-2011 and 2012-2016, has been conducted. The age of deceased by hepatic cirrhosis was studied. The number of cases with a histologically verified form of hepatic cirrhosis was specified. The average values and the percentage ratio of the number of examinations performed to the total number of all autopsies for non-violent death cases were calculated. Results ― Over ten years of study, death by hepatic cirrhosis was diagnosed 3,092 times, including 749 times with histologically confirmed liver failure. In 2009, there was an abrupt increase in mortality due to hepatic cirrhosis by the factor of 3.8, and the lowest mortality level was found in 2016. When comparing the mentioned two quinquennia, the first of them, 2007-2011, was characterized by an increase in the number of diagnosed hepatic cirrhosis. During the second one, 2012-2016, on the contrary, the dynamics of a decrease in the number of hepatic cirrhosis was revealed. At the average, the annual decrease in the number of hepatic cirrhosis diagnosed during the forensic medical examinations of corpses was 7.7%. The number of established cases of liver failure during the first five-year period compared with the data on the second one was significantly greater. In 2010, there were 109 such cases, in 2016 only 13. Among the histologically verified diagnoses, micronodular and mixed forms of hepatic cirrhosis prevailed. Most of the cases of hepatic cirrhosis were found in men aged within 31-40. Conclusion ― It has been found that over the past five years there has been a shift in the forensic-medical mortality values due to hepatic cirrhosis from the increasing trend to the decreasing one. If within the period of 2007-2011 an increase in diagnosed hepatic cirrhosis was observed, then during 2012-2016 a pronounced decreasing tendency in the number of such diagnoses was disclosed. During that time the number of histologically verified cases of hepatic failure decreased by 43.0%. As a cause of death, hepatic cirrhosis was more often recorded in men aged within 30–40.

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The HIV-associated diseases encountered in the practice of forensic medical autopsies

2018

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The present article deals with the problems pertaining to the forensic medical diagnostics of the HIV-associated pathological conditions taking into consideration the materials available from the Moscow City Centre for AIDS Prophylaxis and Control with special reference to the number and structure of the diagnosed HIV-associated diseases. We undertook the analysis of co-morbid HIV/AIDS causes of violent and sudden deaths documented at the Bureau of Forensic Medical Expertise of the Moscow Health Department during the period from 2013 till 2016. The study revealed the tendency toward a rise in the number of deaths from the HIV-associated infections including tuberculosis, pneumonias, chronic immunodeficiency conditions refractory to the treatment, and from malignant neoplasms. A peculiar feature of the aforementioned period was the increased age of the deceased subjects. In the cases of violent deaths, the HIV-associated conditions were diagnosed as the concomitant diseases, with the markedly predominant ones being acute drug and alcohol intoxication, injures, and attempts at suicide. The available results of the studies give evidence of the necessity and importance of the cooperative work of the specialists for the further improvement of forensic medical diagnostics and monitoring of HIV-associated conditions.

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Monitoring HIV infection morbidity in Moscow based on the data of forensic medical expertise

Cited by 3 publications

References 2 publications

Forensic medical assessment of the cases of HIV infection and hemocontact viral hepatitis B and C during the period from 2011 till 2015 in different subjects of the Russian Federation

Forensic medical assessment of the cases of HIV infection and hemocontact viral hepatitis B and C during the period from 2011 till 2015 in different subjects of the Russian Federation

Hepatic cirrhosis according to the forensic medical autopsy data from Moscow for the period of 2007-2016

The HIV-associated diseases encountered in the practice of forensic medical autopsies

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