전의의무(轉醫義務)의 문제점(問題點)

윤중진 大韓法醫學會 1993 대한법의학회지 Vol.17 No.2

Physicians have a variety of duty in meidcal practices. One of them, there is a duty of consultation and reference of the patients to other physician in case of his or her ability and facilities do not cover the patients. However there are many problems confronted in dealing with such a duty. There are also only limited references and practical cases in this part, so the author proposed various problems for further discussion.

전의의무(轉醫義務)의 문제점(問題點)

윤중진 中央醫學社 1994 中央醫學 Vol.59 No.11

Physicians have a variety of duty in medical practices. One of them, there is a duty of consultation and reference of the patients to other physician in case of his or her ability and facilities do not cover the patients. However there are many problems confronted in dealing with such a duty. There are also only limited references and practical cases in this part, so the author -proposed various problems for further discussion.

우리나라의 검시제도

윤중진 中央醫學社 1993 中央醫學 Vol.58 No.7

Postmortem investigation and examination are very essential part in crime investigation. The postmortem investigation systems of every countries are somewhat different from each other according to their law systems, politics, cultures, customs, etc. So we need to review our postmortem investigation system in consideration of the present problems.

우리나라의 검시제도

윤중진 大韓法醫學會 1992 대한법의학회지 Vol.16 No.2

Postmortem investigation and examination are very essential part in crime investigation. The postmortem investigation systems of every countries are somewhat different from each other according to their law systems, politics, cultures, customs, etc. So we need to review our postmortem investigation system in consideration of the present problems.

전의의무(轉醫義務)의 문제점(問題點)

윤중진 내무부 국립과학수사연구소 1994 國立科學搜査硏究所年報 Vol.26 No.-

법의부검과 오진 : 1990년 국립과학수사연구소 부검예를 중심으로

윤중진,강신몽 中央醫學社 1992 中央醫學 Vol.57 No.7

Misdiagnosis is frequently confronted in clinical medicine as a cause of medical dispute. However, misdiagnosis itself is not medical malpractice. The decision of medical error or fault has to be performed through careful investigation about violation of due care. There were 54 cases of misdiagnosis, clarified by medicolegal autopsy in National Institute,of Scientific Investigation at 1990, among 118 deaths associated with medical care. Misdiagnosis held the first place as a cause of medical dispute in death cases. Medical part (internal medicine and pediatrics) occupied 57.4 %, and surical part (surgery and ObGy), 31.5 %, and remaining minor parts, 11.1 %. The rate of misdiagnosis were more remarkable in medical part thar surgical part. It showed characteristic differences between medical and surgical cases in subtypes of misdiagnosis. Wrong and under diagnosis were main subtypes in medical cases and skipped diagnosis in surgical cases. Unfortunately, this report dose not include comments on error of the cases due to shortage of materials. But the status and patterns of misdiagnosis could be appreciated through this report.

유기인성 농약이 혈액및 신장에 미치는 영향에 관한 실험적 연구

윤중진,구국희 한양대학교 의과대학 1984 한양의대 학술지 Vol.4 No.1

With the progress of faming, raising and foresting, the demand of agricultural pesticide has been remarkably increased, and accordingly, its intoxication has been widely publicized. Since DDT has been synthesized in 1938, many organic pesticides have been developed with the renovation of pasticide circles. Among these pesticides, organophosphrous chemicals have been believed to be almost nontoxic because they are not accumulative in the tissue. And therefore, organophosphrous chemicals have been used most frequently. However, some studies have reported quite many cases of farmers, cattle feeders and foresters who have been suffered from organophosphorous pesticides, and others have described on the incidence of aggricultural pesticides ranging 20-45% of chemical intoxication. Thus, it has been gradually recognized that the intoxication from oraanophoshorous pesticide needs to be reviewed. This study is in this relevance, attempted to examine the effects of organophoshorous pesiticide on the blood and kidney. In doing this, five different organophosphorous pesticides being used frequently in Korea have been selected. And they were divided into normal and experimental groups and studied hematologically and morphologically. The results obtained from this experiment are as follows: 1. Serum hemoglobulin is decreased in the groups of parathion, EPN, DDVP and methyl systox administered in order. 2. Neutrophils are decreased but lymphocytes increased in the groups of parathion, EPN, DDVP administered in order. 3. Blood urea nitrogen is somewhat increased in the groups of parathion and EPN administered in order. 4. Serum creatinine is increased in the groups of parathion, EPN, DDVP and methyl systox administered in order. 5. Serum cholinesterase is significantly suppressed in the groups of parathion, EPN DDVP, methyl systox and elsan administered in order. 6. Light microscopically, swelling and degeneration of the tubular cells and hyaline casts are observed in the groups of EPN and DDVP administered. In addition, desquamation or necrosis of the cells is found in the parathion administered group. 7. Electron microscopically, swelling of mitochondria, partial fragmentation of cristae and electron dense bodies are observed in the groups of EPN and DDVP administered. Additionally, fragmentation of cytoplasmic content, residual bodies and prominant electron dense bodies, some of with are most likely fat droplets, are visible in the parathion administered group.

Cortisone의 局所投與가 免疫家兎淋巴結節에 미치는 影響에 關한 實驗的硏究

尹重鎭 고려대학교 의과대학 1964 고려대 의대 잡지 Vol.1 No.2

There have been numerous investigations and report concerning effects of antibody production which bases upon number of plasmacell. The purpose of this study is to investigate the pathohistological changes of the affected lymohnodes and alteration of the lymphfluid in rabbits which might be influenced by concurrent administration of the cortisone and the antigen. Materials and Methods The animal used for this study is healthy white rabbits, weighing around 2.5Kg. For immunization, 0.2 cc. of horse serum is injected into the subcutaneous tissue of the right foot pad 3 times every other day. After 7 days from the completion of the initial immunization, 0.2 cc horse serum was reinjected for the purpose of producing for reimmunization. Another Set of experiment consisted of mixed injection of cortison acetate and horse serum into the right food pad as same methods. After the completion of injection, animals were examined for lymphfluid at regular intervals of 1 day, 2 days, 4 days, 7 days, 10 days and 14 days respectively. Smear and imprinted specimens were made. This specimens were fixed in Methanol and 10 % neutral formaline. The tissues were stained routinley with hematoxylin & eosin and Unna-Pappenheim, and the smears & imprinted specimens ,were stained with Giemsa and Unna-Pappenheim. Results and Summary 1. The result of study showed marked increasing of W.B.C., plasmacyte, preplasmacyte and plasmablast in simple immunized group. However, No notable alteration in cortisone treated group. 2. Macroscopically, the lymphnodes were swelling in simple group, but not remarkeble in cortisone treated group. 3. In simple immunized group, the plasmacytes, reticulum cells and lymphocyte in lymphnodes were markedly increased which showed maximum value (level) on 4-7 days from the completion of the initial immunization, and cortisone treated group did not show any notable difference. 4. From the results obtained by above experiments, it is the opinion of this investigator that the cortisone was definitely inhibited to the reactions of secondary immunization.

鑑定書 作成 要領

尹重鎭 大韓法醫學會 1989 대한법의학회지 Vol.13 No.2

Autopsy report, one of the medical documents, in the medicolegal field, is utilized for the assistance of adequate judicial decision in the case of unusual death. So it must be made exactly through appropriate postmortem examination in the positive attitude with easy nonmedical terms, description of negative findings in the proper forms.

法醫剖檢重要例 檢討(1981年度)

尹重鎭 大韓法醫學會 1982 대한법의학회지 Vol.6 No.1-2

Case 1. Drowning (59-yr, male) Case 2. Death by Fire (40-yr, male) Case 3. Death due to Cold (22-yr, male) Case 4. Death from Electrocution (23-yr, male)