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文國鎭 大韓法醫學會 1986 대한법의학회지 Vol.10 No.2
The postmortem investigation of unnatural death in Korea is conducted by four different occupations; legally responsible profession is public prosecutor, conduct responsibility belongs to policeman, permission of autopsy is determined by judge, and postmortem examination of the corpse is carried out by medical doctor. The knowledge and information of verification are greatly emphasized throughout the large part of the postmortem investigation, especially the scene investigation. Since this article is addressed to a wide range of professional disciplines, some of the subjects are inevitably directed more towards readers with medical backgrounds, whereas others are suited for general understanding.
文國鎭 大韓法醫學會 1987 대한법의학회지 Vol.11 No.1
The purpose of this article is to provide a basic understanding of medical malpractice from a legal and practical point of view that can be related to the practice of medicine. Such an understanding will not, of course, guarantee immunity from claims or from adverse verdicts, but it can reduce the possibility of malpractice claim and greatly enhance the chances of physician's winning if he is sued. Therefore, author discussed the liabilities to medical malpractices and accidents, problems of decision for medical malpractics, the liabilities of unlawful acts and undischarge of obligation in medical cares, and adjusted liabilities in medical practice, etc.
文國鎭,李旼圭 고려대학교 의과대학 1983 고려대 의대 잡지 Vol.20 No.2
Sex crimes are increasingly a social problem, therefore a statistical study was conducted on seventy-three cases of sex-related homicides autopsied in Seoul during ten year period from 1972 to 1981. The data was compared with those from other cities and municipalities and the results are summarized as follows; 1. Sex-related homicides comprised 0.9 percent of all medicolegal autopsies performed in Seoul during the 10 year period from 1972 to 1981. 2. Most victims of sex-related homicides were in their twenties. This is contrast to reports from other countries where the victims were mostly in their teens. 3. Greater number of sex-related homicides occured in women who were not employed. Both in Korea and abroad, a single woman was more likely to become a victim of a sex crime. 4. Greater number of sex-related homicides occured in autumn and weekends. 5. Greater number of sex-related homicides occured at night and outside buildings. 6. Hymenal injury occured more often on the lower half. 7. The most common cause of death in sex crimes was manual strangulation. 8. A positive test form seminal fluid was obtained in 94.5 percent of the cases, and spermatozoa was identified in 64.4 percent of the cases.
醫療에 對한 社會的 價値觀의 變化와 이에 따르는 法的 理論
文國鎭 고려대학교 의과대학 1981 고려대 의대 잡지 Vol.18 No.2
The increasing concern over the right of human being has made new concept to social value of medical care, and physicians are required more strict duties for their patients. Therefore, reviewed physician's duties for the patients and discussed due care, informed consent, clarification of the medical procedures performed, privacy of patients, transfer of patient to adequate physician, compensation for damage by medical care, duties related administrative law and judicial doctrines for arbitration of medical negligence.
문국진 中央醫學社 1990 中央醫學 Vol.55 No.9
The postmortem investigation of unnatural death in Korea is conducted by four different occupations; legally responsible profession is public prosecutor, conduct responsibility belongs to policeman, permission of autopsy is determined by judge, and postmortem examination of the corpse is carried out by medical doctor. The knowledge and information of verification are greatly emphasized throughout the large part of the postmortem investigation, especially the scene investigation. Since this article is addressed to a wide range of professional disciplines, some of the subjects are inevitably directed more towards readers with medical backgrounds, whereas others are suited for general understanding.
文國鎭 고려대학교 의과대학 1987 고려대 의대 잡지 Vol.24 No.2
The malpractice crisis has many roots. Practically it also can be traced to medicine's magnificent technological advances in the diagnosis and care of diseases. Advances which, on the one hand, have introduced new problems such as iatrogenic disturbances, drug induced sufferings etc. Among them drug induced suffering is a rapidly expanding problem that has become increasingly well recognized. Especially when compete the liabilities between medical cares and drug manufactures in drug induced suffering produce many difficult problems. Therefore, author reviewed physician's due care and drug manufacture's duty when drug induced suffering occurred and discussed significance of pharmaceutical package insert, relation of contraindication and careful dosage, limits of careful observation, and criteria of liability by pharmaceutical package insert.
文國鎭 고려대학교 의과대학 1988 고려대 의대 잡지 Vol.25 No.2
New druge are being produced in quantities there days, contributing tremendously to treatment of diseases and promotion of health of the people. And yet not every drug is always proven safe and effective Some drugs may cause unwanted and harmful side-reactions not anticipated and even death in some instances Even If no one disagrees that the occurrences of so-called "drug included suffering" are not intentional, they in most cases end up in claims for damages involving doctors, druggists and nurses as providers and manufacturers on one side and the victims on the other because they are directly connected with human body and health Quite naturally, no one would admit the responsibility for the mishaps Those who administered the offending drugs insist that they simply followed the directions in the literature provided by the manufacturers. The drug manufacturers, meanwhile, maintain their innocence on the ground. that all others using the drug are without any harmful effects. That leaves the victims of the drug damages in the middle, not knowing who and where to turn to for exoneration of their plights Consequently, they are led to seek legal aid and in these instances what becomes most crucial in determining the outcome will be the drug's literature supplied by the manufacturers These documents, therefore, are not only useful as the source of information necessary for proper use of the drug but also valuable material that provides important clue in determining where the true responsibilitylies at an increasing ratio In other words the enclosed literature will be the central issue in the conflict between the claims of the administrator and manufacturer There papers are characteristically having some problems of interpretation and some cause those who administer the drugs to be in disadvantageous situations. This study. therefore, conducted a comprehensive and analytical investigation on the literatures enclosed in the drugs packages currently supplied in Korea in order to sort out the medicolegal problems related there to 936 literatures enclosed in the packages of the medica1 drugs commonly used in Korea at the present are studied and analyzed for their legal connotations and effectiveness as the instructional materials with the following results l In 359, or 38.4%, of the 936 literatures studied, contraindications are indicated not as absolute entities, they are rather confusingly shown as something relative in significance 2 In 152 literatures, or 16.2%, in the study. the only precautionary phrase given was 'administer with care' so that the people administering the drugs might have been confused with respect to the responsibility to pay due attention in order to prevent unwanted reactions 3 In 109 literatures, or 11.6%, of those in the study, the phrase 'fully observe' is used so that those administering the drug may be affected with respect to their duty to pay attention in foreseeing the outcomes. 4. Accordingly. the literatures enclosed in the drugs packages should be recommended to use more specific expressions, such as the methods and scope of administration, rather than the vague expressions such as 'administer with care' and 'fully observe 5. The literatures accompanying the drugs should be prepared with respect to the required statement of 'the attention to be given at the time of use' in ways as suggested in items 1 and 2 of this article so that clear distinctions be made between the responsibilities of those administering and the manufacturers.
한국재,이창섭,이상호,김현식 大韓小兒齒科學會 1997 大韓小兒齒科學會誌 Vol.24 No.4
The patients visiting pediatric dental office have been being younger than the previous, and they were often combined with systemic disease. But, we aren't able to perform the verbal communication, because of their impediment and youthfullness. And, we can't carry out the behavior control via physical restraint, as the developed social structure and the attitude of children and their parents. So, the importance and concerning of conscious sedation using sedative medicine are increased by time and time. Among the various conscious sedation, Chloral Hydrate and Nitrous Oxide inhalation are most popularly used, and barbiturates, benzodiazepine, opioids and hydroxyzine are used often. But, these medications have some side-effects and adverse reactions, may be failed to sedate the children. And limited use of medically compromised patients, especially for ASA class Ⅲ, Ⅳ or more dangerous patients. We, the Department of Pediatric Dentistry, Chosun University have met some dangerous situation due to unfavorable pharmacogenic reactions, but we can control the situation and get well healed results. The below results are common situations and their solutions during conscious sedation. 1. By the intravenous administration, thrombophlebitis is the most common side-effects, but it may be healed with time without any special treatment. 2. Under the definitive guidelines about conscious-sedation, we can perform a safe conscious sedation for ASA class Ⅲ patients. 3. When adversed reaction of Benzodiazepine is occured, it could be cared effectively with benzodiazepine antagonist, named Flumazenil.
文國鎭 大韓法醫學會 1991 대한법의학회지 Vol.15 No.2
Misdiagnosis of a patient's condition is the cause of substantial proportion of all malpractice suits. The others, of course, allerge that the diagnosis was correct, but somehow the treatment was negligent or inadequate. Misdiagnosis may involve either of two situations the one is the physician fails to discover a disease which the patient has, and the other is that he tells a patient who is free of disease that he has a condition from which he does not actually suffer. The standard of care required in diagnosis is the use of same degree of skill. Care and knowledge as would be used by average prudent physician with his training in the same geographical area. In any area of medicine, therefore, in which a diagnosis cannot be made with mathematical certainty and precision, which includes virtually all, the simple fact that a misdiagnosis has occurred does not impose liability. Therefore, fragile areas of medical diagnosis such as misdiagnosis by understanding disturbances, misdiagnosis related with management of disease course, Misdiagnosis due to lack of patient's cooperation and malingery was discussed in this article.