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The Problem of Diagnostics of Intoxicated Drivers

Journal «MEDICINA» ¹ 2, 2023, pp.11-28 (Research)

Authors

Burtsev A. A.
MD, PhD, Leading Researcher1

ORCID 0000-0003-2710-1285

Buvin A. A.
Junior Researcher1

ORCID 0000-0003-2710-1285

Nadezhdin A. V.
MD, PhD, Leading Researcher1

ORCID 0000-0003-3368-3170

Fedorov M. V.
Junior Researcher1

Kolgashkin A. J.
Senior Researcher1

ORCID 0000-0002-5592-4521

1 - Moscow Research and Practical Centre on Addictions, Moscow, Russian Federation

Remarks

Corresponding Author: Burtsev Aleksandr; e-mail: burtsev@mail.ru. Conflict of interest. None declared. Funding. The study had no sponsorship.

Abstract

The article is devoted to a study to identify factors that influence the results of a medical examination on the state of intoxication of sober drivers. A continuous study was conducted of 867 medical examination reports drawn up during the year in relation to sober drivers in one of the offices of the medical examination department for intoxication in Moscow. The socio-demographic characteristics of doctors and sober drivers examined by them were studied. Statistically significant differences were found between the conclusions about the presence or absence of intoxication and its severity among sober drivers, depending on the gender of the doctor who conducted the examination, as well as the duration of the general medical experience. An analysis was made of the relationship between the identified clinical signs of intoxication in sober drivers and the conclusions made about the severity of intoxication. The main possible causes of clinical signs of intoxication in relation to sober drivers are considered. The results of the study indicate the existence of a problem of subjective assessment by doctors of those examined as part of a medical examination for the state of intoxication.

Key words

medical examination, state of intoxication, diagnosis of intoxication, intoxication of the driver, clinical signs of intoxication, vehicle, drug

DOI

References

1.     Postanovlenie Pravitel'stva RF ot 23.10.1993 ¹ 1090 "O Pravilah dorozhnogo dvizheniya" [Decree of the Government of the Russian Federation of October 23, 1993 No. 1090 "On the Traffic Rules".] Available at: https://www.consultant.ru/document/cons­_doc­_LAW­_2709/ Assessed: 15.05.2023. (In Russ.)

2.     "Kodeks Rossijskoj Federacii ob administrativnyh pravonarusheniyah" ot 30.12.2001 ¹ 195-FZ. ["Code of the Russian Federation on Administrative Offenses" dated December 30, 2001 No. 195-FZ.] Available at: https://www.consultant.ru/document/cons­_doc­_LAW­_34661/ Assessed: 15.05.2023. (In Russ.)

3.     Postanovlenie Konstitucionnogo Suda RF ot 24.11.2022 ¹ 51-P "Po delu o proverke konstitucionnosti primechaniya k stat'e 12.8 Kodeksa Rossijskoj Federacii ob administrativnyh pravonarusheniyah v svyazi s zaprosom Salekhardskogo gorodskogo suda Yamalo-Neneckogo avtonomnogo okruga". [Decree of the Constitutional Court of the Russian Federation of November 24, 2022 No. 51-P "On the case of checking the constitutionality of the note to Article 12.8 of the Code of Administrative Offenses of the Russian Federation in connection with the request of the Salekhard City Court of the Yamalo-Nenets Autonomous District".] Available at: http://publication.pravo.gov.ru/Document/View/0001202211290001 Assessed: 15.05.2023. (In Russ.)

4.     Postanovlenie Plenuma Verhovnogo Suda RF ot 25.06.2019 g. ¹ 20 "O nekotoryh voprosah, voznikayushchih v sudebnoj praktike pri rassmotrenii del ob administrativnyh pravonarusheniyah, predusmotrennyh glavoj 12 Kodeksa Rossijskoj Federacii ob administrativnyh pravonarusheniyah". [Decree of the Plenum of the Supreme Court of the Russian Federation of June 25, 2019 No. 20 "On some issues arising in judicial practice when considering cases of administrative offenses provided for by Chapter 12 of the Code of the Russian Federation on Administrative Offenses".] at:https://www.consultant.ru/document/cons­_doc­_LAW­_327611/ Assessed: 15.05.2023. (In Russ.)

5.     Bryun E.A., Burtsev A.A., Bakanov K.S. Analiz pokazatelej upravleniya transportnymi sredstvami v sostoyanii op'yaneniya v Rossijskoj Federacii v 2007-2019 gg. [Analysis of indicators of driving under intoxication in the Russian Federation in 2007-2019]. Narkologiya 2020; 19(6): 32-43, doi: 10.25557/1682-8313.2020.06.32-43 (In Russ.)

6.     Burtsev A.A., Bakanov K.S. Analiz pokazatelej upravleniya transportnym sredstvom v sostoyanii op'yaneniya v Moskve v 2008-2017 gg. [Analysis of the indicators of vehicle of intoxicated in Moscow in 2008-2017]. Narkologiya 2019; 18(10): 32-45, doi: 10.25557/1682-8313.2019.10.32-45 (In Russ.)

7.     Prikaz Minzdrava Rossii ot 18.12.2015 ¹ 933n "O poryadke provedeniya medicinskogo osvidetel'stvovaniya na sostoyanie op'yaneniya (alkogol'nogo, narkoticheskogo ili inogo toksicheskogo)" [Order of the Ministry of Health of Russia dated December 18, 2015 No. 933n "On the procedure for conducting a medical examination for intoxication (alcoholic, narcotic or other toxic)".] Available at: https://www.consultant.ru/document/cons­_doc­_LAW­_195274/ Assessed: 15.05.2023. (In Russ.)

8.     Burtsev A.A., Buvin A.A. O provedenii issledovaniya po ocenke dostovernosti vyyavlennyh klinicheskih priznakov op'yaneniya pri medicinskom osvidetel'stvovanii na sostoyanie op'yaneniya. [On conducting a study to assess the reliability of detected clinical indicators of alcoholic intoxication during medical examinations to evaluate the condition of alcoholic intoxication]. Narkologiya 2021; 20(2): 3-15, doi: 10.25557/1682-8313.2021.02.3-15 (In Russ.)

9.     Burtsev A.A. Obzor mezhdunarodnogo opyta ob"ektivizacii priznakov narkoticheskogo op'yaneniya u voditelej transportnyh sredstv. [Overview of international experience in ensuring objectivity of a medical examination of vehicle drivers on the state of drug intoxication]. Voprosy narkologii [Journal of Addiction Problems] 2021; 2(197): 60-73, doi: 10.47877/0234-0623­_2021­_02­_60 (In Russ.)

10.   Gusev E.I., Konovalov A.N., Gekht A.B. Nevrologiya: Nacional'noe rukovodstvo. Kratkoe izdanie. [Neurology: National Guidelines. Abridged edition]. Moscow: GEOTAR-Media; 2014. (In Russ.) 

11.   Cohen H.S., Sangi-Haghpeykar H. Differences in Responses on the Modified Clinical Test of Sensory Interaction and Balance on Medium Firm and Medium Density Foam in Healthy Controls and Patients with Vestibular Disorders. Biomed Hub 2020; 5(1): 1548-55, doi: 10.1159/000507180

12.   Tishutin N.A., Kharitonov E.S., Vasilevich A.V. Vzaimosvyaz' rezul'tatov vypolneniya testa Romberga s urovnem tekushchej vegetativnoj regulyacii u futbolistov. Cennosti, tradicii i novacii sovremennogo sporta: materialy II Mezhdunar. nauch. kongr. Sbornik nauchnyh trudov. [Relationship of the results of performing the Romberg test with the level of the current autonomic regulation in football players. Values, traditions and innovations of modern sport: materials of the II Intern. scientific congr. Collected papers.] Minsk: 2022, Ğ. 379-83. (In Russ.)

13.   Efimova Y.S., Loginov S.I., Bazhenova A.E. Sravnitel'nyj analiz mekhanizmov postural'noj ustojchivosti sportsmenov i lic, ne zanimayushchihsya sportom, po dannym testa Romberga. Sovershenstvovanie sistemy fizicheskogo vospitaniya, sportivnoj trenirovki, turizma i ozdorovleniya razlichnyh kategorij naseleniya: sbornik materialov XII Vserossijskoj s mezhdunarodnym uchastiem nauchno-prakticheskoj konferencii. [Comparative analysis of the mechanisms of postural stability of athletes and non-athletes, according to the Romberg test. Improving the system of physical education, sports training, tourism and health improvement of various categories of the population: a collection of materials of the XII All-Russian scientific and practical conference with international participation.] Surgut. 2013. Ğ. 46-49. (In Russ.) 

14.   Zaharyeva N.N., Kardash D.A., Privezentseva M.P. Znachenie pokazatelej stabilometricheskogo testirovaniya v ocenke vertikal'noj ustojchivosti u yunyh tancorov. [The value of the indicators of stabilometric testing in the assessment of vertical stability in young dancers]. International Journal of Medicine and Psychology 2022; 5(3): 133-140. (In Russ.)

15.   Shcherbakov I.A. Stabilometricheskie issledovaniya ustojchivosti gimnastov razlichnoj kvalifikacii [Stabilometric research of the stability of gymnasts of various qualifications]. Uchenye zapiski universiteta im. P.F. Lesgafta [Scholary notes of P.F. Lesgaft university] 2021; 8(198):397-404. (In Russ.) doi: 10.34835/issn.2308-1961.2021.8.p397-404

 16. Sedochenko S.V., Bogdanova A.V. Stabilometricheskij test Romberga kak vysokotochnyj indikator funkcii ravnovesiya. [Romberg's stabilometric test as a high-precision indicator of the equilibrium function.] Collected scientific papers. Rostov-on-Don. 2022. Ğ. 87-90. (In Russ.) 

17.   Kubryak O.V., Krivoshey I.V., Kriklenko E.A. [Study of human posture using a force platform (stabilometry): the Russian corps of experts and consensus-building] Obshchestvennoe zdorov'e i zdravookhranenie [Public health and healthcare] 2019; 4(64):32-37. (In Russ.) 

18.   Mezenchuk A.I., Kubryak O.V. Proba Romberga: ot hod'by v temnote do testov na stabiloplatforme. [The Romberg's sign: from walking in the dark to tests on the force plate] Al'manah klinicheskoj mediciny [Almanac of Clinical Medicine] 2022; 50(5): 335-47, doi: 10.18786/2072-0505-2022-50-040 (In Russ.)

19.   Prikaz Minzdrava Rossii ot 14.07.2003 ¹ 308 (red. ot 18.12.2015) "O medicinskom osvidetel'stvovanii na sostoyanie op'yaneniya". [Order of the Ministry of Health of Russia dated July 14, 2003 ¹ 308 "On a medical examination for intoxication".] Available at: https://www.consultant.ru/document/cons­_doc­_LAW­_43507/32830eae53e2708e419bd682b3b31702d367e978/ Assessed: 15.05.2023. (In Russ.)

20.   Kirzhanova V.V., Grigorova N.I., Bobkov E.N., Kirzhanov V.N., Sidoryuk O.V. Deyatel'nost' narkologicheskoj sluzhby v Rossijskoj Federacii v 2019-2020 godah: Analiticheskij obzor. [Activities of the Narcological Service in the Russian Federation in 2019-2020. An Analytical Review] Moscow: V.P. Serbsky National Research Centre for Psychiatry and Narcology. 2021, 192 p. (In Russ.) 

21.   Kirzhanova V.V., Grigorova N.I., Bobkov E.N., Kirzhanov V.N., Sidoryuk O.V. Sostoyanie i deyatel'nost' narkologicheskoj sluzhby v Rossijskoj Federacii v 2021 godu: Analiticheskij obzor. [Activities of the Narcological Service in the Russian Federation in 2021. An Analytical Review.] Moscow: V.P. Serbsky National Research Centre for Psychiatry and Narcology. 2022, 202 ğ. (In Russ.)