事故死의 法醫剖檢 統計

黃迪駿 中央醫學社 1987 中央醫學 Vol.52 No.11

In order to evaluate the death structures of the accidental death in legal autopsy, a total of 1,751 cases out of 6,256 legal autopsies performed in National. Institute of Scienti-fic Investigation, during 1982-1986 were analyzed with. emphasis on types and causes of accidental death. The results obtained were as follows: 1. The annual death of accidental cases was 28.0% and the male to female sex ratio in the legal autopsy cases of accident was 1.78. 2. In age distribution, the most prevalent group was 20's (37.6% followed by 30's (18.6%, 10's (18.3%) and 40's (11.5%). 3. Pneumonia was the leading cause of death below 9, while carbon monoxide poisoning in other age groups. 4. In accidents the major types of death were poisoning (42.6%), asphyxia (17.6%), medical accidents (14.6%). traffic .accidents (8.0%) and fall from height (6.3%). 5. In. death related to medical care, the major causes of death were pneumonia (16.9%), atonic uterine bleeding (10.6%), coronary atherosclerosis (8.6%) and congestive heart failure (7.0%).

폐장에 발생한 원발성악성혼합종양 : 폐아세포종과 폐암육종 각 1 예 Case report of pulmonary blastoma and carcinosarcoma

황적준,허만하 고신대학교 의학부 1985 高神大學校 醫學部 論文集 Vol.1 No.1

Primary mixed malignancy of the lung-carcinosarcoma and pulmonary blastoma-are rare malignant neoplasms that contain both carcinomatous and sarcomatous components intermingled. Since the original description of pulmonary carcinosarcoma, about 44 cases have been reported in the literature. In 1945, a second type of mixed pulmonary malignancy was reported by Barrett and Barnard in which the carcinoma and sarcoma morphologically resembled embryonic lung in that well-differentiated, epithelial-lined tubules were distributed in a sarcomatous background that resembled primitive mesenchyme. They later named this tumor embryoma. In 1961, Spencer reported three new cases and suggested the name pulmonary blastoma because of the resemblance to Wilms' tumor and his concept that these tumors arose from primitive pleuri-potential mesenchyme(blastema). About 50 cases similar to that of pulmonary blastoma have been reported in the literature and one case have reported in the domestic area. The Purpose of this paper is to review the literature and to present our new cases, one pulmonary blastoma and one carcinosarcoma, which occurred in male parients of 39 and 45 years features of carcinosarcoma of the lung and pulmonary blastoma.

車事故時 運轉者의 鑑別

黃迪駿 大韓法醫學會 1990 대한법의학회지 Vol.14 No.2

Problems related to crash injuries on the road and eventually to the death of victim of the accident may call upon the entire spectrum of forensic expertise. The forensic pathologist is entrusted with assessment of the injuries, of mechanism by which they have been induced, and finally of the cause of death. The investigation of a road crash that involves fatalities or serious injuries must be directed to the assessment of 1) the pattern of the injuries, 2) the eventual role played by a concurrent natural disease, 3) the crash as a possible method of self-destruction or masking a homicide, 4) the role played by intoxicating agents, and 5) the discrimination of drivers involved in traffic accidents. However, it is one of the most important doctor's duty to discriminate driver involved in accidents. Here are described the recent methods for the medicolegal discrimination of driver involved in a road crash by means of both medicolegal analysis and traffic technological reconstruction.

생물학적 증거물의 채취

황적준 大韓法醫學會 2000 대한법의학회지 Vol.24 No.2

As physical evidence can prove that a crime has been committed or establish key elements of a crime, police investigators deal with evidence on a daily basis. When its collection is performed with a selectivity governed by the collector's thorough knowledge of the crime laboratory's techniques, capabilities, and limitations, physical evidence can only achieve its optimum balue in criminal investigations. Also, their ability to recognize, collect, and use evidence effectively in criminal investigations determines to a large degree their success as the crime investigators. If the investigator cannot recognize physical evidence or cannot preserve it for laboratory examination, no mount of sophisticated laboratory instrumentation or technical expertise can salvage the situation. The know-how for conducting a proper crime-scene search for physical evidence is not beyond the grasp of any police department and forensic practitioners. With proper training, the techniques of crime-scene investigation including collection and preservation of physical evidence are not difficult to master and certainly lie within the bounds of comprehension of the average police officer.

氣管切開術後 合倂症으로 發生된 溺死 1例

黃迪駿 大韓法醫學會 1987 대한법의학회지 Vol.11 No.1

The case of a 30-year-old male who died suddenly and unexpectedly of asphyxia due to intrabronchial bleeding is presented and the pathomechanism of hemorrhage following tracheostomy is breiefly reviewed. It is suggested that the intrabronchial bleeding occured as a late complication of tracheotomy results in asphyxia by drowning even through no more than a few ounce of blood are lost. It is hoped that the comment may help in diminishing the number of post-tracheotomy bleeding especially of hemorrhage due to erosion.

浴槽內事故

黃迪駿 大韓法醫學會 1983 대한법의학회지 Vol.7 No.1-2

Accidents in and about the home are extremely frequent and account for a dist-ressing proportion of fatal accidents as well as disabling injuries and other degree of trauma. Until recently, fatal domestic accidents equaled or even exceeded deaths from motor vehicle accidents. Persons at the extremes of life are more at risk, although all age groups are still too prone to home accidents. The fatality rate of accidents in the home was almost identical, being 12.6 per 100,000 in the United States and 12.0 per 100,000 in En-gland, but in Korea was not known. The main causes of the domestic accidents are not only falls, fires, asphyxiation and poisoning but not infrequent firearms, eletrocution and drowning in the bathtub. Among accidents in the home, the author discussed about drowning in the bathtub about manner of death, motives and autopsy findings, etc.

韓國産 植物 Sorbus commixta HEDL이 사람 淋巴球에 미치는 細胞毒性 反應에 관한 硏究

黃迪駿 고려대학교 의과대학 1982 고려대 의대 잡지 Vol.19 No.1

The immune response is a complex process involving interactions among several different immunocompetent cells and their products. Receptors or allcantigens on the surface of these cells mediate some of the interactions and considerable investigation has been focused on components of the lymphocyte surface membrane. The precise dissection of the cellular mechanisms and interactions involved in the generation of the human immune response has been facilitated by recent advances in three interrelated areas; the development of in vitro methods for the characterization and identification of human lymphocyte classes by cell surface marker, the development of new techniques for isolation of highly purified subclasses of human lymphocytes and monocytes, and the development of in vitro techniques to discriminate the functional properties and interaction of the isolated subsets of lymphocytes. More than 30 loci determining alloantigen of the cell surface by use these in vitro methods have been reported in mice, and the number is steadily increasing. The loci now known are conviniently divided into three groups: histocompatibility loci, blood group loci, and loci demonstrable by cytotoxicity of lymphocytes or lymphocyte-derived cells The purpose of the present paper is to describe whether Sorbus commixta HEDI, extract can be used as a reagent detecting and alloantigen on lymphoid cells, or not. By use of Sorbus commixta HEDL extract, lymphocyte cytotoxicity test: was performed with samples from 70 normal persons and 129 patients, and obtained following results: 1. On the basis of the results, human lymphocytes can be classified into two groups, one in cytotoxicity-positive group (11.0%) by Sorbus commixta HEDL extract, and the other is cytotoxicity-negative group (89.0%) 2. Sorbus commixta HEDL extract could be used as a reagent to detect some alloantigens on lymphocyte surface membrane. 3. To clarify the relationship between cytotoxycity test by Sorbus commixta HEDL, extract and certain diseases is required further studies.

심장의 물리적손상

황적준 大韓法醫學會 1995 대한법의학회지 Vol.19 No.2

Numerous physical agents may impart energy in harmful form to body tissues or may create an injurious environment so that, under proper circumstances, some are capable, directly or indirectly, of damaging the various kinds of body tissue including cardiovascular structures as environmental disorders. However, it is impossible to consider all the disorders encompassed within even our limited interpretation of the term environmental pathology. Here our consideration is restricted to the legally significant causes of heart disorder. : The physical agents most commonly alleged as possibly injurious to the heart are 1) ultraviolet, infrared, and microwave radiation, 2) the ionizing radiation, 3) abnormal temperature and humidity, 4) abnormal barometric pressures, 5) vibrations, unpleasant sounds and noises, and 6) electric currents.

硬組織에서 DNA를 이용한 個人識別

黃迪駿 大韓法醫學會 1999 대한법의학회지 Vol.23 No.2

For both legal and psychological reasons, positive identification of a decedent is desired and often may be accomplished by means of the traditional scientific methods of comparative dental radiography, friction ridge analysis(fingerprinting matching), and/or thorough osteological examination(including comparative radiography). Howerer, because of extensive putrefaction of soft tissues, dearticulation and destruction of key skeletal landmarks, and unavailable pre-mortem records, these traditional methods may not be useful. Recent development in the DNA analysis and their application to forensic identification of biologic evidences have revolutionized the possibility of identifying hyman remains. The use of human bone and teeth as sources for DNA typing is relatively recent in forensic science. A common problem that plagues this type of analysis is the preservation of the DNA. This paper describes a method for the successful extraction of DNA from hard tissues which can then be typed potentially by PCR-based procedure, and a statistical concept for evaluating the weight of DNA evidences which have revealed via DNA typing.

事故死의 法醫剖檢 統計

黃迪駿 大韓法醫學會 1987 대한법의학회지 Vol.11 No.2

In order to evaluate the death structures of the accidental death in legal autopsy, a total of 1,751 cases out of 6,256 legal autopsies performed in National Institute of Scientific Investigation during 1982-1986 were analysed with emphasis on types and causes of accidental death. The results obtained were as follows: 1. The annual death of accidental cases was 28.0% and the male to female sex ratio in the legal autopsy cases of accident was 1.78. 2. In age distribution, the most prevalent group was 20's (37.6%) followed by 30's(18.6%), 10's(18.3%) and 40's(11.5%). 3. Pneumonia was the leading cause of death below 9, while carbon monoxide poisonining in other age groups. 4. In accidents the major types of death were poisoning (42.6%), asphyxia(17.6%), medical accidents(14.6%) traffic accidents(8.0%) and fall from heigh(6.3%). 5. In death related to medical care, the major causes of death were pneumonia(16.9%), atonic uterine bleeding(10.6%), coronary atherosclerosis(8.6%) and congestive heart failure(7.0%).