第21次 大韓法醫學會 學術大會 發表 演題 및 抄錄

大韓法醫學會 大韓法醫學會 1997 대한법의학회지 Vol.21 No.2

The Forensic Pathology in Scotland and the Analysis of Post-mortem Examinations at Glasgow

Peter Vanezis,Park,Hee Kyung 大韓法醫學會 1999 대한법의학회지 Vol.23 No.2

스코틀랜드는 잉글랜드와는 다른 독자적인 법체계와 분리된 행정부를 가지고 있다. 스코틀랜드에서 법의경리는 중앙 정부의 재정적 지원 하에 위의 4 개 도시의 대학을 중심으로 행하여지고 있으며, 법과학 실험실은 각 도시 경찰의 직접적 지휘하에 운영되고 있다. 글라스고 지역에서의 법의부검은 글라스고우대학의 법의학 및 법과학과에 소속된 법의 병리학자 6명이 시행하고 있다. 1998년도 일년간 이 대학에서 처리한 부검을 사인, 사망의 종류별로 분석하여 부검에 대한 법적 처리를 알아보고 우리 나라의 통계와 비교치를 삼고자 한다. 1998년 한 해 동안 법의 부검은 1764 예가 이루어졌으며, 남자가 1270 예로 72%를 차지하였다. 월별 분포는 비슷하였으며, 연령별로는 40 대, 50 대, 70 대 순으로 41-80 세의 연령군에서 약 3분의 2를 차지하였다. 사망의 종류별로 살펴보면 내인사가 1131 예 (64.1%), 외인사가 602 예 (34.1%), 그리고 사인 불명이 31 예 (1.8%)로 나타났다. 이는 우리 나라에 비하여 내인사에 대한 부검을 훨씬 많이 시행하고 있음을 보여 준다. 내인사의 경우 심혈관계 이상으로 인한 사망이 589 예 (52.1%)로 가장 많았고, 그 다음이 소화기계 질환이 259 예 (22.9%), 호흡기계 질환 169 예 (14.9%), 중추신경계 질환이 56 예 (5%) 순이었다. 뇌혈관 질환은 심혈관계 질환으로 분류하고 있었다. 외인사의 경우 사고사 278 예 (46.2%), 자살 219 예 (36.1%), 타살 69 예 (11.5%) 이었다. 우리 나라의 경우 경찰 조사에서 자살과 사고사로 추정되는 경우 부검을 적게 하는 것으로 보인다. 자살은 중독 (93 예)으로 인한 경우가 가장 많았고, 그 다음이 의사 (79 예) 이었다. 타살의 경우는 예기에 의한 손상 (28 예), 둔기에 의한 손상 (19 예) 순 이었다. 사고사의 경우는 중독 (103 예), 교통사고 (62 예), 추락 (49 예) 순 이었다. 그리고 의료와 관련된 부검예가 76 건, 산업재해 관련 건이 11 예 이었다. 이상의 법의 부검 체제와 부검 통계 분석의 결과는 그 사회의 전반적인 여건, 건강 및 범죄율을 반영하는 것으로 보이며, 앞으로 다양한 부검 체제와 부검 통계에 대한 분석 자료는 우리 나라의 법의학에 관한 보다 나은 정책 결정에 중요한 자료로 활용할 수 있을 것으로 생각한다. scotland has a different legal system to that of England. This paper introduces a brief description of the legal system concerning the practice of forensic pathology and forensic medicine in Scotland. To aid understanding of forensic pathologic practice, the statistical analysis of post-mortem emaminations at Glasgow, in 1998 is shown.

農藥被害의 새로운 面에 關한 法醫學的 考察 : 보팔 慘事를 中心으로 On the Mass Disaster of Bophal

文國鎭 大韓法醫學會 1986 대한법의학회지 Vol.10 No.1

The deaths in Bophal caused by Union Carbides noxious fumes should not have happened at all. Equally unnecessary and unwarranted is the continuing suffering of those who managed to survive. Situations that caused a tragedy of such magnitude could and should have been averted. Death and suffering visited an unsuspecting populace due to the use without sufficient safeguards of an extremely hazardous technology. It was already passed over one year from the tragedy but the social, medical and judicial problems which had been produced by the tragedy still have remained as like an archetype, and it must be ensured that such tragedies caused by sheer human negligence will never be repeated in any other part of the world. Therefore, author reviewed the tragedy on the medicolegal aspects and discussed.

社會發展과 法醫學 및 法醫鑑定

文國鎭 大韓法醫學會 1990 대한법의학회지 Vol.14 No.2

Unfortunately, the development of legal medicine in Korea has been comparatively slow, sporadic and quite often superficial. And courses in legal medicine at medical schools in Korea are relatively few in number, and most of these are quite inadequate and incomplete because of the limited time that is made available to the instructors. Outside of medical schools, there are only a few post-graduate seminars, lectures and monthly meeting by the Korean society for legal medicine. For these deficiencies are being corrected, first of all, must be reviewed the historical background and problems of legal medicine in past time of Korea, therefore, in this article reviewed the ancestor's legal medicine and medicolegal system in past time of Korea, and discussed the themes and prospects for development of legal medicine in each field of forensic pathology, forensic serology and clinical jurisprudence respectively. The problems of Medicolegal appraisals especially related with application for them and social problem were also discussed.

대한법의학회지 40년에 대한 역사적 고찰: 대한법의학회 40주년에 즈음하여

나주영,김형건,김형석,이호 대한법의학회 2016 대한법의학회지 Vol.40 No.4

The Korean Society for Legal Medicine (KSLM) was founded in 1976 and launched its official journal, the Korean Journal of Legal Medicine (KJLM), in 1977. They have played an important role in Korea’s forensic medicine and science, the demand for which has increased in Korean society over the years. A historical review is important and has a significant value in the advancement of forensic medicine and science in Korea. Accordingly, this study reviews and analyzes all papers published in KJLM for 39 years, from Volume 1, Issue No. 1 in 1977 to Volume 39, Issue No. 4 in 2015. There are 891 published papers, which are categorized into 318 review articles, 339 original articles, and 234 case reports. Of the total 891 papers, 377 (42.3%) are related to forensic pathology, whereas 111 (12.5%) concern forensic genetics. The major submitting institutes are forensic medicine departments of universities and the National Forensic Service. KJLM’s history can be divided into two phases. The first phase is from the 1970s to the 1990s, and the second, from the 2000s to the present. Many review articles were published in the first phase; approximately 10% of these articles concern clinical forensic medicine and law. Articles on forensic genetics, identification, and entomology also started to be published in the first phase. In the next phase, many case reports from the National Forensic Service were published, and the number of articles on forensic pathology and forensic genetics multiplied. The results of this study provide KSLM and KJLM with direction toward sustainable development. This study is part of the organization’s 40th anniversary celebration, and in commemoration of its contribution to advancing human rights and social stability in Korea.

임신중절과 관련된 법적 문제

정규원 大韓法醫學會 2000 대한법의학회지 Vol.24 No.2

In Korea, abortion is punished by criminal law. But some of them are legalized by "Health Care Act of Mother and Infant.", "Health Care Act of Mother and Infant", enacts the indications of legalized abortions. So it follows the model of "Abortion an Cause.", These indications are genetic indications, ethical indications, and medical indications. But there is not social indications in that Act. And the Act enacts that abortion must be operated by doctors until 28 weeks after pregnancy. I think that the Korean legal system that regulates abortion is not good. I think that abortion must be allowed until some period of early pregnancy. And it is also legalized after that period because of indications. We can not compel the ethical values by the criminal law.

두개강내 추골동맥의 박리성 동맥류 : 2부검례 보고

이상용,조갑래,서중석 大韓法醫學會 2000 대한법의학회지 Vol.24 No.1

Two autopsied cases of dissecting aneurysms of intracranial vertebral artery are reported and the appropriate literature is reviewed to investigate the pathological characteristics and pathogenesis. The location and pathological features of the aneurysms are similar in the two cases. The aneurysms in both cases are confined to the intracranial vertebral artery and massive subarachnoid hemorrhage in basal cistern develop caused by the rupture of the arterial wall. And the aneurysms show mainly subadventitial dissection and display intimal thickening, disruption of internal elastic lamina, and degeneration of the media. Based on their pathological investigation of these two cases and a review of reported cases, the authors propose that weakness of internal elastic lamina may be responsible for initiating dissection in susceptible individuals and hypertention is one of contributing factors that result in weakness of internal elastic lamina.

자원자 저속추돌실험을 통한 두부와 경부 충격량 연구

박성지,양경무,이홍석,박남규,홍성우,유재호,김한성 대한법의학회 2013 대한법의학회지 Vol.37 No.2

Whiplash injury in low-speed traffic accidents are not objectively verified by medical equipment, thereby creating scope for misuse, which has resulted in huge social losses worldwide. The aim of this study was to examine the influence of low-speed vehicular rear-impact collisions on middle-aged men, and to analyze the head and neck injury criteria for the symptomatic human volunteers. Data was examined from the results of 50 dynamic sled tests, originally performed by Hong et al. (2012). In the previous tests, 50 men aged 3050 years were exposed to an impulse equivalent to a bumper-to-bumper rear collision under medical supervision, and no resulting whiplash injury was identified. In this study, for 6 subjects who experienced dull aches over their bodies, head injury criteria (HIC15) and neck injury criteria (Nkm) were calculated according to the accelerations, forces, and moments at the occipital condyle measured by motion capture system. Although there were no changes in magnetic resonance imaging findings in all subjects at the pre-/post-test orthopedic examination, 6subjects revealed mild aches around the shoulder, back, or lumbar area, and their symptoms disappeared within 2 days. The head and neck injury criteria, HIC15 (3.086± 2.942) and Nkm (0.077 ± 0.064) were obtained, and the maximum HIC15 and Nkm were found to be significantly lower than the critical injury assessment reference values (HIC15: 700, Nkm: 0.3). Moreover, even though 2 subjects were exposed to the same level of change of velocity (7.9 km/h), each Nkm was significantly different (0.179, 0.057). One can therefore conclude that Nkm can vary according to voluntary movements in the human subject.

변사체 부검을 위한 영장제도에 관한 고찰

김윤신 大韓法醫學會 2001 대한법의학회지 Vol.25 No.1

The purpose of this thesis is to examine the warrant system for legal autopsy. The notion of warrant system is originated from concept of the doe process of law guaranteed by the Constitution, and the warrant is a fundamental model to guarantee all human lights. But in the cases of legal autopsy, the Procedural Due process of Law about warrant is overemphasized arid sometimes it hampers to find the substantial troth. Therefore, the author wants review the warrant system for legal autopsy and to propose the alternative method to replace the warrant for legal autopsy.

위장관에 형성된 티로신 결정체 : 부패에 의한 간섭현상

이상용,최영식,임미애 大韓法醫學會 2000 대한법의학회지 Vol.24 No.1

Distinction of antemortem changes from postmortem artifacts is of obvious importance in determining the cause of death. Problems in differential diagnosis may occur as a result of faulty autopsy technique, decomposition changes and destructive environmental factors. Recently we experienced a formation of tyrosine crystals on the gastric and esophageal mucosa of decomposed corpse. The tyrosine crystals found on the gastric and esophageal mucosa were very similar and small pin-head sized whitish gray granules. At first we suspected them as a certain drugs or toxic substances. But the granular materials were confirmed as tyrosine crystals by infrared spectrum analysis. So we report here as a first confirmed case in korea. We think the tyrosine crystal is formed by putrefactive processes and consider as one of the putrefactive artifacts.