突然死의 檢屍

朴宜雨 中央醫學社 1989 中央醫學 Vol.54 No.10

Every unexpected death has an actual or potential medicolegal aspect, and such deaths come under the scrutiny of a medicolegal investigative official. He has the responsibility for establishing the cause and manner of death in these unanticipated fatalities and also in those in which violence of some type is known or alleged to have played a part. The more unexpected the death, the more likely it is to be unexplained. From the medicolegal point of view, the principal objective in the investigation of sudden, unexpected death is the determination of the manner of death. One basis for the deep interest of the law in sudden and unexpected death derives from the fact that one type (manner) of death frequently masquerades as another. Conclusions without an autopsy cannot always be accurate. Deaths from natural causes often occur so rapidly or in such fashion or under such circumstances as to suggest erroneously that violence has somehow been involved. On the contrary, there is always a possibility that a death presumed to be natural may be an unnatural one. The presence of previously diagnosed, far-advanced natural disease affords no guarantee that violence played no part in the death. A systematic listing of pathological lesions causing sudden and unexpected natural death is provided.

正常人 및 各種患者의 Cl血型分布에 關한 硏究

朴宜雨 大韓法醫學會 1986 대한법의학회지 Vol.10 No.1

It is well established that seed extracts(lectins) are used as diagnostic reagents for blood grouping and for biochemical studies. Moon and Wiener succeded in fractionating a potent anti-Cl lectin from extracts of seeds of Korean Clerodendron trichotomum Thunberg¹. Thereafter, not only nature and distribution of Cl blood type but also distribution in animal blood and secretor status in human saliva were also reported by Moon et al.³⁴ During the past years, hundreds of reports have been published on distributions of blood groups among patients with such conditions as schizophrenia(dementia praecox), general paresis, rheumatic fever, epilepsy, longevity, arteriosclerosis, poliomyelitis, hypertension, gastric and duodenal ulcers, stomach cancer, pernicious anemia, and many others.² It is this respect that the author is interested in the subject. The purpose of the present paper is to consider association between Cl blood type and susceptibility to diseases. The purpose of the present paper is to consider association between Cl blood type and susceptibility to diseases. The material used consisted of anti-Cl lectin extracted from seeds of the Korean Clerodendron trichotomum Thunberg absorbed with Cl negative red cells and 5 per cent red cell suspension collected from many kinds of patients. The technique employed was agglutination test essentially the same as that described by Rhee et al³. The experiments yielded the following results: 1. In 779 specimens of red blood cells of healthy individuals, the frequency of Cl positive type was 67 per cent and that of Cl negative type was 33 per cent. 2. There were no significant sexual differences in the distribution of Cl blood type of healthy individuals. However, higher frequency of Cl positive type (80 per cent, Z score=3.7475) was noted which compared with that of healthy individuals. 3. In the experiment on a series of 1,089 blood specimens of various patients, lower frequency in Cl negative type was noted in patients of viral hepatitis and those of pneumonia.

植物凝集素 Vicia unijuga에 의한 사람 唾液의 型分類에 關한 硏究

朴宜雨,文國鎭 고려대학교 의과대학 1987 고려대 의대 잡지 Vol.24 No.1

Phytagglutinins, which have agglutination activities to human or animal red blood cells, are widely used for the classification of human blood groups, serum types or secretion types, using various methods. Among them, Vicia unijuga, which is panphytagglutin to human red blood cells, shows specific agglutination activities to N and MN blood types by treatment of arabinose. In order to classify the saliva types, the author carried out agglutination inhibition test to anti-N lectin prepared from Vicia unijuga with human saliva, and the results could be summarized as follows: 1. Types N and MN red cells were specifically agglutinated by arabinose-treated Vicia unijuga. 2. Human saliva was classified into two groups. One group namely inhibitor, inhibited agglutination activities of arabinose treated Vicia unijuga. Another group, namely noninhibitor, failed to inhibit. The distribution of inhibitor and noninhibitor were 32% and 68% respectively. 3. The distribution of inhibitor and noninhibitor showed high correlation with MN blood group system. The frequency of inhibitor was significantly higher in M blood type than in N blood type. 4. The distribution of inhibitor and noninhibior showed no constant relation with secretor or nonsecretor, ABO blood group and Ss blood group. 5. It could be used for classification of saliva stains by arabinose-treated Vicia unijuga extract.

醫師의 說明 및 童意義務의 問題點

朴宜雨 大韓法醫學會 1993 대한법의학회지 Vol.17 No.2

Informed consents are essential requirements in medical care. At the present day, physician's duties are increasing more and more with alteration of form of medical cares and deindividualization of patients. practical problems related with physician's explanation and consent duties are reviewed and discussed in this paper ; such as explanation partner, explanation for medical diagnosis and prognosis, explanation on the risks, causality of violation of explanation duty, realization possibility of self-determination of patient in medical cares, possibility of medical care atrophy and informed consent, discrepancy of determination on the violation of consent duty, consent duty and reliability between physician and patient, presumptive intention of patient and limit of unauthorized medical care, and vicarious execution of consent refusal in medical care.

車事故患者의 自殺과 그 責任

朴宜雨 大韓法醫學會 1996 대한법의학회지 Vol.20 No.2

The number of car accidents is rising in spite of every efforts in our country. There are cases where suicides are committed due to sufferings during medical care in hospitals or after discharge from the hospitals. Based on five cases of suicides of traffic accident victims in Korea and fifty-four cases of those in Japan, author reviewed and compared the trends of the judicial decisions between the two countries.

突然死의 檢屍

朴宜雨 大韓法醫學會 1989 대한법의학회지 Vol.13 No.2

Every unexpected death has an actual or potential medicolegal aspect, and such deaths come under the scrutiny of a medicolegal investigative official. He has the responsibility for establishing the cause and manner of death in these unanticipated fatalities and also in those in which violence of some type is known or alleged to have played a part. The more unexpected the death, the more likely it is to be unexplained. From the medicolegal point of view, the principal objective in the investigation of sudden, unexpected death is the determination of the manner of death. One basis for the deep interest of the law in sudden and unexpected death derives from the fact that one type (manner) of death frequently masquerades as another. Conclusions without an autopsy cannot always be accurate. Deaths from natural causes often occur so rapidly or in such fashion or under such circumstances as to suggest erroneously that violence has somehow been involved. On the contrary, there is always a possibility that a death presumed to be natural may be an unnatural one. The presence of previously diagnosed, far-advanced natural disease affords no guarantee that violence played no part in the death. A systematic listing of pathological lesions causing sudden and unexpected natural death is provided.

日本의 檢視制度

朴宜雨 大韓法醫學會 1992 대한법의학회지 Vol.16 No.2

According to recent developments and strong public interest on the issues of organ transplantation and brain death, undoubtedly a more expansive role of the death investigation system in Korea is necessary. This article is concerned with the medicolegal investigative system in Japan for the purpose of development in our country. The medicolegal system in Japan was taken from China and Korea. In the late 19th century, Japan adopted knowledge of medical and scientific investigation from the western world. In Japan, Katayama established the department of judicial medicine within the College of Medicine at Tokyo University in 1888. Thereafter, the term "judicial medicine" was renamed "legal(or forensic) medicine". All medical schools presently have a department of forensic medicine mainly performing judicial medicolegal inspections and/or autopsies. Meanwhile, the medical examiner system was adopted under the influence of the United States after the second World War. Cities having a medical examiner's office are Tokyo, Osaka, Yokohama, Nagoya and Kobe. Along with police officials, the medical examiner's offices perform administrative medicolegal investigations and autopsies. The Japanese police department conducted the investigations of over 68,000 cases in 1989. About 9,100 autopsies were conducted.

診斷書와 鑑定書에 대한 法醫學的 要求

朴宜雨 大韓法醫學會 1997 대한법의학회지 Vol.21 No.2

There are several types of medical certificates and written expert opinions (or judicial reports) which medical doctors have to issue. Author summarized medicolegal demand on medical certificates and written expert opinions separately. Kinds and items of medical certificates were listed. And 10 cases of death certificate in Japan were introduced and analyzed. About judicial reports, definition and legal background as well as general principles of framing of judicial reports including preface, examination records, explanation of results and considerations, and judicial examination and signature were also mentioned.

銃器類 死亡 事例의 統計的 考察

박의우 건국대학교 의과학연구소 1996 건국의과학학술지 Vol.6 No.-

Out of all autopsies performed in Korea less than 1 per cent is related to firearms. Deaths due to firearms can usually be seen in the military, and a large portion of these deaths are due to suicides. The part of the body one selects to commit suicide differs on which type of firearms used. This study was based on M16A1 semi-automatic military rife. There was a total of 379 postmortem examination cases performed by the Ministry of National Defense Scientific Investigation Laboratory between January of 1981 and October of 1983. Out of the 379 postmortem examination cases, 70 were related to firearms, and the manners of death, firearm types, the number of shots fired, ratio of penetration to perforation gunshots, and the areas around the entrance wounds were investigated. Out of these 70 cases, 64 cases were due to M16A1, and 58 of them were due to suicides. Of the suicide cases, anterior neck (hyoid bone area) was the part of the body most often selected.

승낙해부제도(承諾解剖制度)

박의우 대한법의학회 2011 대한법의학회지 Vol.35 No.2

Medicolegal autopsy is divided into judicial autopsy and administrative autopsy in Korea and Japan. Recently a new concept of "consented autopsy" has been developed in Japan. Consented autopsy is a kind of administrative autopsy which performed by informed consent of the bereaved of the dead. In Japan, all medicolegal autopsies are strictly divided into judicial autopsy and administrative autopsy. The latter is called to consented autopsy in the most prefectures of Japan except the five cities that have Japanese medical examiner system. Consented autopsy is a procedure that enhances people's recognition of legal medicine in the society and universities. Author introduce the peculiar procedures of consented autopsy in the Department of Legal Medicine, Kitasato University and Kyushu University in Japan. We can expect that the universities and other organs in Korea will establish our own methods of medicolegal activities in the future referring to the Japan's consented autopsy system.