화재감식평가기술사 제도 신설의 필요성 및 타당성 분석

김동자,유상우,신동일 표준인증안전학회 2021 표준인증안전학회지 Vol.11 No.2

최근 건축물의 대형화, 고층화, 복잡화와 더불어 다양한 에너지사용으로 화재발생 패턴도 날로 복잡해지고 있는 양상이다. 화재발생 건수는 2019년 40,103건으로 2018년 대비 2,235건이 증가하였고, 재산피해는 2018년보다 2,987억원 정도 증가한 8,584억원으로 나타났다. 화재건수의 증가에 따라 방화 또는 실화와 관련된 책임소재 여부로 인한 민․형사상의 분쟁이나 소송의 양도 증가하므로 객관적인 민간 화재조사나 감식 전문가가 요구됨을 알 수 있다. 본 연구에서는 소방의 화재감식평가 영역에 국가기술자격제도상, 기술사 등급이 운영되고 있지 않고 있다. 과학적이고 체계적인 화재조사를 위해 국가기술자격제도 내에 가칭 『화재감식평가기술사』 제도를 도입하고자 신설타당성에 관해 조사․분석하였다. 기존 연구자료를 바탕으로 화재조사의 미흡한 부분을 도출하였으며, 자격신설타당성에 대한 설문을 실시하였다. 설문대상은 소방기술사 자격취득자, 소방설비(산업)기사․화재감식평가(산업) 기사 영역의 채점위원, 경북 및 서울지역 화재감식업무 담당자 등이며, 그 결과를 정리․종합하면 다음과 같다. 첫째, 현재 소방기술사 자격에 대한 인지도, 자격활용도, 화재분야 반영정도, 현장직무 반영도 조사 결과, 모든영역이 90%이상이나 화재분야에 대한 자격의 반영도는 80% 수준으로 나타났다. 둘째, 화재감식평가기술사 자격의 신설과 관련하여 86%가 긍정적으로 응대하였으며, 화재조사의 중요성과 화재조사 전문가의 필요성 측면에서 신설이 필요한 것으로 조사되었다. 현재 소방기술사제도와 차별화에 대해 85%가 긍정적으로 응대하였다. 셋째, 향후 국가자격으로 신설되는 자격의 평가항목 개선 필요성에 대해 90%이상 필요하다고 판단하고 있으며, 자격수요의 정확성과 더불어 산업 및 직업변화에 따른 요인과 산업현장-교육․훈련-자격의 연계성에 대해 고려해야할 것으로 조사되었다.

Gastromalacia (Postmortem Gastric Perforation): Two Cases Reports

김동자,이상한 대한법의학회 2020 대한법의학회지 Vol.44 No.1

Gastromalacia refers to the postmortem acute autolytic erosion of the gastric wall. It should be distinguished from gastric perforations caused by antemortem injuries or other pathologic processes, such as ulcer perforations. It appears as a slimy brownish-black perforation of the gastric wall. The diagnosis is based on the presence of a typical macroscopic perforation in the fundic portion of the stomach, lack of vital reactions in the adjacent organs, and lack of clinical or autopsy evidence of trauma. Here, we report two cases of gastromalacia: one in a 53-year-old woman who died from severe head injury and another in a 2-year-old child who died from neglect by his father. Gastromalacia is a welldefined phenomenon, but due to its rarity in the practical work, it could be misdiagnosed as other causes of gastric perforation.

임신과 연관된 급성 심근경색에 의한 사망: 증례보고

김동자 대한법의학회 2017 대한법의학회지 Vol.41 No.1

Pregnancy-related acute myocardial infarction (AMI) is very rare and can be lethal if the diagnosis and management are delayed. The physiological changes during pregnancy, including in hemodynamics and hormonal status, can increase the risk of AMI even in young women. While atherosclerosis is the leading cause of AMI in the general population, coronary artery dissection is most common in pregnancy-related AMI. Pregnancy-related AMI, which is caused by coronary atherosclerosis, has been rarely reported in Korea. We report an autopsy case of postpartum sudden cardiac death in a 32-year-old woman.

Sudden Child Death due to Thrombotic Giant Coronary Artery Aneurysms Complicated by Atypical Kawasaki Disease: An Autopsy Case

김동자,한만훈,이상한 대한병리학회 2018 Journal of Pathology and Translational Medicine Vol.52 No.4

폐에 발생한 원발성 인환세포암종 - 2예 보고 -

김동자,이숙희,손윤경,Kim, Dong-Ja,Lee, Sook-Hee,Sohn, Yoon-Kyung 대한세포병리학회 1997 대한세포병리학회지 Vol.8 No.1

Signet ring cell carcinoma is a variant of adenocarcinoma and has been rarely reported in the lung as a primary site. Recently, we experienced two cases of primary signet ring cell carcinoma in the lung without any other extrapulmonary lesion. Sputum cytology was performed and the tumor cells which have eccentrically located nuclei and abundnat mucinous cytoplasm were dispersed in diffuse sheets. On resected specimen, the signet ring cells occupied about $50{\sim}80%$ of all tumor cell nests. Histochemical staining revealed that the mucin produced by tumor cells was mostly carboxylated acid mucins. Ultrastructurally, the tumor cells contained variable sized membrane-bound mucin granules with weak central osmilophilic density and showed numerous surface microvilli, which represented that tumor cells arose from bronchial epithelial cells. In general, this tumor has diffusely infiltrative nature and the prognosis is fatal due to widespread metastasis before clinical discovery.

Spindle cell oncocytoma of the sella turcica with anaplastic features and rapid progression in short-term follow-up: a case report with proposal of distinctive radiologic features

김동자,이상한,김미선,황정현,함명훈 대한병리학회 2021 Journal of Pathology and Translational Medicine Vol.55 No.3

We present a rare case of spindle cell oncocytoma (SCO) of the sella turcica with malignant histologic features and rapid progression. A 42-year-old woman experienced bilateral blurred vision and was preoperatively misdiagnosed as having a pituitary macroadenoma on magnetic resonance imaging. After surgery, SCO was diagnosed by the histopathologic features of interlacing fascicles of spindle tumor cells with finely granular, eosinophilic cytoplasm. Focal anaplastic changes and necrosis were present. Immunohistochemically, the tumor cells were positive for vimentin, epithelial membrane antigen, S-100, galectin-3, and thyroid transcription factor 1. Four months later, the tumor had progressed, and second surgery with adjuvant radiotherapy was performed; the patients remains under observation. In this report, we proposed distinctive radiologic features for differential diagnosis between SCO and other pituitary tumors.

에크린 땀샘종의 세침흡인 세포소견 -1예 보고-

김동자,Kim, Dong-Ja 대한세포병리학회 2005 대한세포병리학회지 Vol.16 No.2

Eccrine spiradenoma is a rare adnexal tumor of the skin and its cytomorphology has seldom been described in literature. To evaluate the cytologic features and diagnostic pitfalls of eccrine spiradenoma, we report a case of 33-year-old male whose clinical presentation was a painful subcutaneous mass at the right preauricular area. Fine needle aspirates revealed tight clusters of multilayered, uniform, cuboidal cells arranged around hyalinized perivascular spaces. Some epithelial cells showed tubules or rosette formations. The background showed scattered, naked nuclei. The histologic findings confirmed the eccrine spiradenoma. The recognition of peculiar cytologic features and clinical correlation could be helpful in the diagnosis of skin adnexal tumors.

성상세포종의 악성도와 Ki-67, PCNA, AgNORs 및 p53 단백 발현의 상관관계

김동자,임재원,손윤경 대한병리학회 1999 Journal of Pathology and Translational Medicine Vol.33 No.1

Extramedullary tanycytic ependymoma of the lumbar spinal cord

김동자,Man-Hoon Han,이상한 영남대학교 의과대학 2020 Yeungnam University Journal of Medicine Vol.37 No.2

Tanycytic ependymoma is a rare variant of ependymoma that commonly affects the cervical and thoracic spinal cord. It usually arises as intramedullary lesions, and extramedullary cases are extremely rare. We report a case of a 44-year-old woman who was diagnosed with tanycytic ependymoma in her lumbar spine at level 2-3. The tumor mass developed in an intradural extramedullary location. Histopathologically, tanycytic ependymoma can be misdiagnosed as schwannoma or pilocytic astrocytoma. Immunohistochemical findings such as strong positivity for glial fibrillary acidic protein, perinuclear dot-like positive patterns for epithelial membrane antigen, and focal positivity for S-100 are helpful in diagnosing tanycytic ependymoma. It is important to be aware of this rare tumor to ensure appropriate patient management and accurate prognosis.

갑상선 종괴로 촉지된 흉선종의 세침흡인 세포학적 진단 - 2예 보고 -

김동자,박지영,금윤섭,박태인,손윤경,Kim, Dong-Ja,Park, Ji-Young,Kum, Yoon-Seup,Park, Tae-In,Sohn, Yoon-Kyung 대한세포병리학회 2000 대한세포병리학회지 Vol.11 No.1

Thymoma is the most common anterior mediastinal tumor in adults. Rarely, it is presented as the anterior neck mass, commonly located in the anterolateral aspect of the neck or adjacent to the thyroid. We experienced two cases of fine needle aspiration cytology of thymoma, mimicking thyroid mass. The first case was an ectopoic cervical thymoma in a 31-year-old female. The fine needle aspiration cytology was misinterpreted as reactive hyperplasia of lymph node. But the histologic diagnosis was thymoma, predominantly lymphocytic type. The second case was an invasive thymoma in a 66-year-old female, who complained a large anterior neck mass. The fine needle aspiration cytology revealed biphasic population of some clusters of epithelial cells and scattered lymphocytes. The cytologic diagnosis was thymoma and was confirmed as invasive thymoma after the biopsy. Therefore, when the cytologic feature of anterior neck mass shows the both lymphocyte and epithelial component, the differential diagnosis should Include the possibility of thymoma.