시간 경과에 따른 카르복시헤모글로빈 농도 변화에 관한 연구

이윤성,김준호,이정빈 大韓法醫學會 1989 대한법의학회지 Vol.13 No.1

The diagnosis of carbon monoxide (CO) poisoning in clinics and forensic practice largely rests on the determination of carboxyhemoglobin (HbCO) in blood. It is generally known that HbCO remains unchanged gor a couple of days, and such a delay in determination of HbCO may be acceptable. However, there were some incidences of prolonged delay because of initial lack of concern to CO poisoning and other limitations on postmortem examination. The question may be raised on that the prolonged delay would be acceptable for the diagnosis of original CO poisoning. The study was preformed to obtain the changes of HbCO concentration in vitro. Fifteen rabbits were intoxicated with CO in the system which was made on purpose. Initial levels of hemoglobin (Hb) and HbCO were determined by CO-Oximeter (IL 182). And the samples were stored in the refrigerator and in room temperature for 1 and 2 months to check same parameters. The HbCO decreased 5.85±8.37% at one month in room temperature (p<0.01). Meanwhile, after 1 month storage, the HbCO levels of the bloods stored in room temperature were lower as much 4.37±8.24% than those in the refrigerator. The results indicates that the diagnosis of CO poisoning could be obtained after 2 months or later in refrigerated blood, and 1 month after storage in room temperature. It is presumed that the low levels of HbCO in stored blood are partly because of the decreased combining capacity of hemoglobin to CO, which is affected by temperature. And, if the blood is determined for toxic level of CO poisoning after some delay, it should be considered that there is a presumable decrease in HbCO concentration according to the storage temperature.

Cytochrome B 유전좌를 이용한 종 감별

이숭덕,이윤성,이정빈 대한법의학회 2001 대한법의학회지 Vol.25 No.1

The feasibility of species identification using sequence analysis of the cytochrome B (Cyt B) gene in mitochondrial DNA was investigated DNA was extracted from rune different animals that could be easily met in our surroundings and Cyt B gene was amplified. Direct sequencing results for the amplified PCR products were compared with each other. Human was also included Nucleotide sequence of the Cyt B gene for earth animals was also compared with the previously known ones registered in nucleotide databases, Genebank. The inter-species sequence variation was high as the percent similarity of each sequences ranged 64.6-83.5%. Compared to this the percent similarity of sequences obtained here were high when compared to the sequences of the same species registered in the database showing relatively low intra-species variation. This data shows that the nucleotide sequences of Cyt B gene in t certain biological materials can be identified at species level. The applicability of this method to the forensic field is also demonstrated by performing a casework, determination of the origin for the placentae which were commercial available as "invogorant". Points about the use of Cyt B gene in forensic field was also reviewed.

Amelogenin 유전좌를 이용한 성별검색의 유용성에 관한 연구

이숭덕,이정빈,이윤성 大韓法醫學會 2000 대한법의학회지 Vol.24 No.1

The aim of this study was to validate the sex typing based on amplification of X-Y homologous Amelogenin locus in Korean including mutation rate in this locus. It was found that there was no case with reported mutation that may hinder the exact sex typing among 240 Koreans, and the sex typing was successful even with subnanogram quantities of male and female DNA. There was no difference in the sensitivity of reaction among male and female. Differential amplification between X and Y amelogenin bands in some samples was noted, and dilution study revealed that this phenomenon was more frequent when the quantity of sample was low, usually less than 10 ng. That phenomenon was variable between amplification reactions, and was also dependent on different Taq enzyme used for the amplification. When there was differential amplification, the intensity ratio (Y band/X band) ranged about 0.68-0.87.

미학과 사회적 이슈를 연계한 전시디스플레이 작품 연구 -저출산에 대한 인식 개선 프로젝트 "나쁜 엄마, 최고의 아빠"의 전시디자인 프로세스를 중심으로-

강미선,박수빈,윤정원,오정은,이소원,이진민,신은별 숙명여자대학교 디자인연구소 2017 숙명디자인학 연구 Vol.23 No.-

본 연구는 전시디스플레이 디자인 분야에 미학을 기반으로 예술적, 사회적, 디자인적 측면으로 다각적으로 접근하여 전시 디자인 분야의 색다른 코딩 프로세스를 체계화하고, 동시에 기존의 전시와는 차별화되는 새로운 전시 공간 프로세스를 제안하는데 목적이 있다. 본 연구의 대상은 2016년 9월-12월까지 15주간 숙명여자대학교 미술대학 환경디자인학과<전시디스플레이 디자인>교과목에서 진행된 프로젝트 중 일부이다. 본 연구의 과정은 총 3과정으로 이루어져 있으며, 미학적 개념과 사회적 문제, 전시관련 학문에 대한 이론적 고찰을 한 뒤 이를 전시디자인에 코딩하는 작업을 선행하였다. 두 번째로는 코딩한 작업을 바탕으로 전략적 모티브를 빛으로 선정하고, 전시디자인 전략게획을 진행하였다. 마지막으로 자료를 바탕으로 만든 스토리텔링을 기반으로 전시전개구성을 하고 이를 통해 스토리가 있는 차별화된 공간구성을 하였다. 로고디자인, 포스터디자인, 리플렛디자인, 영상 디자인 등 전시디자인 E.I작업을 통해 전시를 표현하였다. 끝으로 본 연구는 '미학 + 사회문제 + 전시디자인의 코딩'이라는새로운 창의적 전시 디자인 프로세스를 제안하였고, 이는 미학과 사회문제의 이론적 고찰을 반영한 전시디스플레이 프로세스 개발에 있어 향후 기초 자료로 활용될 것으로 기대한다.

이른바 '자의 퇴원(DAMA)'에 관한 의료법학적 고찰

김장한,이정빈,이윤성 大韓法醫學會 1998 대한법의학회지 Vol.22 No.1

All along the medical procedures, the patient's right of self determination may conflict with the medical doctor's professional decisions. The discharge against medical advice (DAMA) is a kind of conflict which becomes a hot issue recently. We tried to summarize various epidemiologic studies to know how many DAMAs have been. And we consider the limits on DAMA. Patient's right to self-DAMA is to be esteemed within a limit of other interests, especially a life self-DAMA is to be esteemed within a limit of other interests, especially a life of fetus in pregnancy woman as the proxy-DAMA is to a life of patient. Through the balance of these interests, the legitimation of DAMA can be established. When patient or proxy violates the principles in DAMA, the method of punishment on doctor in question. Lastly, we inquire into the types of punishment on doctor, intentional type of crime, negligence type of crime, or not guilty. We concludes with the preference on the negligence type of crime.

지속적 식물상태(PVS)에 관한 의료법학적 고찰

김장한,이정빈,이윤성 大韓法醫學會 1999 대한법의학회지 Vol.23 No.1

This treatise summarizes the medical facts about the persistent vegetative state(PVS) and the associated issues. In August 1998, the opinions of the 380 neurologists and the 1007 neurosurgeons are inquired about the diagnostic criteria of PVS, the degree and the withdrawal of treatment on PVS patients. Theresponse rate is 18,8%. The diagnostic criteria of PVS is determined by the items approved above 50% of responses. (1) no evidence of cerebral function and an inability to interact with visual, auditory stimuli and follow commands.(2) maintaining the respiratory function with spontaneous respiration and normal respiratory pattern. (3) spontaneous eye opening and eye ball movements without sustained tracking. (4) variably preserved brain stem reflexes. (5) presence of sleep-wake cycles. (6) (1)-(5) symptoms should be persist for 6 months after the development of vegetative state. (7) the diagnostic criteria of PVS should be applied more than 3 times during the minimum observation period. (8) this diagnostic criteria of PVS could be applied to adults over 7 ages. As to the degree of treatment, nasogastric tube feeding and air-way keeping through the tracheostomy are approved over 90% . Also antibiotics can be used in infection. As to the withdrawal of treatment, do not resuscitate order of patient's family is accepted by 46.1% in an emergency condition like cardiac arrest. But discharge against medical advice by the patient's family is accepted by 73.1% in non-emergency condition. In the case of neonates, parents' decision is more determinative than any other thing.

서울지역 의과대학에서의 법의부검 : 서울의대에서 과거 5년동안 실시한 부검 경험 보고

이숭덕,이정빈,이윤성 대한법의학회 2000 대한법의학회지 Vol.24 No.1

This is the statistical analysis about the medicolegal autopsy cases performed by the Department of Forensic Medicine, Seoul National University Medical College during the last 5 years. 1.The total number of cases was 330, among which male took 256(77.5%) cases, female 74(22.5%) cases. The natural death took 134(40.6%) cases, unnatural death 177(53.6%) cases. For remaining 19(5.8%) cases the cause of death was known, although thorough analyses including microscopic examination, toxicology study were done. The thirties were most as 25.4% of the total cases and the forties followed the second. 2.The number of autopsy showed severe variation annually or monthly in a year. 3.Among unnatural death, death by violent injury took 87(49.2%) cases, asphyxia 48(27.1%) cases, intoxication 17(9.6%) cases and death by thermal injuries or electric injuries 25(14.1%) cases. 4.Among natural death the abnormality in cardiovascular system were the most as 73(54.5%) cases, gastrointestinal system 38(28.4%) cases and central nervous system 12(8.9%) cases. 5.There were some differences between these and the data from other institute in the ratio of male to female, ratio of natural death to unnatural death and the ratio of specific cause of death among natural and unnatural death. 6.During this work, there were some difficulties in the aspect the irregularity of the work, in requesting toxicology and in the expense needed for the process. Considering the educational aspect for the students and the residents in pathology, performing medicolegal autopsy in medical college should be encouraged. The small number of autopsy and the closeness of the scene made the scene investigation possible in several cases, which is the ideal form that we must consider when we set up our system for the postmortem investigation.

대량재해에 있어 미토콘드리아 DNA의 다형성을 이용한 개인식별

이숭덕,김기범,이윤성,최영태,신창호,이정빈 大韓法醫學會 1996 대한법의학회지 Vol.20 No.1

The mitochondrial DNA(mtDNA) is a small extranuclear DNA molecule that has been sequenced in man. the mtDNA has distinct characteristics over nuclear DNA. First, the evolutionary rate of nucleotide substitution appears to be larger compared with the nuclear DNA. Second, mtDNA is maternally inherited, so the determination of the various haplotype is unequivocal and no recombination has to be involved. Third, there is a 1.1 kb long control region, which shows severe polymorphism. These characteristics have been applied for several evolutionary study. Furthermore, they exist in cytoplasm with numerous copy number and their size, 16,569 bp is small relative to nuclear DNA, so they are more resistant to degradation or can be types in samples with only cytoplasm such as hair shaft without hair root. These presented the possibility of mtDNA as a tool in individual identification, especially when the nuclear DNA be unavailable. Actually, polymorphism in control region has been applied to individual identification for the skeletal remain found in Vietnam war. So we decided to apply the polymorphism of mtDNA in control region for the individual identification in case of mass disaster-"Downfall of Sampoong Department". Human remains from total 27 different individuals and 178 control persons were submitted for the individual identification. As the mtDNA comparison could be done through maternal lineage, 12 individual from 9 families from the control group were ruled out, because these families were consisted of father or were seeking for their father. Sequencing for the mtDNA control region was done using ABI automatic sequencer and DyeDeoxy Terminator Cycle Sequencing Kit. For convenience, sequencing reaction was done for two separate control region, region I from 16016-16401 in Anderson sequence, and regionⅡ from 048-388. First, sequences in regionⅡ of all samples and control persons were compared, and 20 samples were ruled out with no identical sequences in control group. Remaining 7 samples showed identical sequences with some of the control persons in three groups, and these identical pairs underwent mtDNA region I study. After region I study all samples except two dropped out in blood relationship. For the confirmation, STR and VNTR study such as MCT118, apoB, YNZ22, vWF, MBP, D21S11, TC-11 were done for remaining the two samples. The result denied the blood relationship between these two samples and any of the control group.

한국인에서 Quadruplex PCR을 이용한 8종류 상염색체 STR 유전좌의 다형성 분석

장영길,김기범,신창호,이숭덕,이윤성,이정빈 大韓法醫學會 2001 대한법의학회지 Vol.25 No.1

Two quadruplex PCR reactions were designed for 7 tetrameric (D3S2406, D4S2368, D5S818, D7S821, D9S925, D13S317, D19S253) and one trimeric (D6S1043) short tandem repeats loci to study the allele frequency and the applicability of genetic variation in these loci in forensic case works. For 310 unrelated Koreans DNA was isolated from peripheral blood using phenol/chloroform method. Quadruplex I was consisted of D4S2368, D6S1043, D7S821, D9S925 and quadruplex II D3S2406, D5S818, D13S317, D19S253. The amplified products were analyzed by 5% polyacrylamide gel electrophoresis followed by silver staining. The heterozygosity in each loci ranged 92.91-66.13%, and PD(Power of Discrimination) was above 085 in each loci. Every loci except D6S1043 followed hardy-Weinberg expectation. The cumulative PI was low as 1.65×10-10. Two mutations were noted, one in D19S253 and the other in D9S925 among 234 gametes. With these results above eight STR loci studied here preyed to be highly polymorphic enough to be used in forensic field. This study provides valuable population data in these loci for Korean.

다량재해에 있어 미토콘드리아 DNA의 다형성을 이용한 개인식별 : 삼풍백화점 사건에 대하여

이숭덕,신창호,김기범,최영태,이윤성,이정빈 內務部 國立科學搜査硏究所 1996 國立 科學 搜査 硏究所 年報 Vol.28 No.-