毛髮,精液,尿 및 그 斑欣檢査

姜信夢 中央醫學社 1988 中央醫學 Vol.53 No.3

It is one of the important items for crime investigation and for trial to examine the various evidences including human tissue, secretion, excretion, etc. in the me licolegal fields. Among them hair has been used. as first choice of evidence, when no available finger-print or bloodstain is found at the scene. Also identification & vertification of semen or its stain offers diagnostic clue for sexual offence or sexual intercourse. So all the men, who participate in the scene investigation or postmortem examination, have to be well acquainted with proper cellection, conservation, transportation and interpretation of evidential specimens from the scene, the victim and the suspect. At this viewpoint, the author summarized the methods of collection and examination of hair, semen, urine and their stains for the doctors, who perform medicolegal inquest or autopsy.

몇가지 條件이 血痕豫備檢査에 미치는 影響에 關한 硏究

姜信夢 大韓法醫學會 1984 대한법의학회지 Vol.8 No.1-2

Of all analytic tests for various substances, that for blood stain is the most important from the viewpoint of legal medicine. Among blood stain preliminary examinations, which are basic for the blood stain determination, the benzidine, leukomalachite green, and phenolphthalein tests have been commonly used. Especially, the benzidine test was most frequently had recourse for its high sensitivity and ease to be carried out. Since the ban of this method for carcinogenic substance, however, there have been no comparable tests and the leukomalachite green and phenolphthalein tests seem to be the conventional methods at present. So, the author studied on the sensitivities of these blood stain preliminary examinations by lapsed time in shady and sunny place. Also, the sensitivities of preliminary examinations in other several conditions and the materials which react as positive to preliminary examinations were examed. The results could be summarized as follows. 1. The sensitivity to blood dilution of benzidine test was 120,000∼160,000 times, and that of leukomalachite green and phenolphthalein tests was 8,000∼10,000 times. But after blood stain formation, the sensitivities dropped to about half in all preliminary tests. 2. By lapse of time, the sensitivities of all preliminary examinations dropped simultaneousely. 3. The sunlight on the blood stain does not affect on the sensitivities of preliminary examinations which performed this experiment until 4 months. 4. Ultraviolet ray or infrared ray on the blood stain and culture or decomposition of blood did not affect on the sensitivities of preliminary examinations which performed this experiment. 5. The juice of gimchi, made of garlic, onions and other raw materials, reacted as positive to benzidine test.

車事故 剖檢의 統計

姜信夢 大韓法醫學會 1990 대한법의학회지 Vol.14 No.2

The author analysed 361 traffic accident death case among 8,637 legal autopsy during 1985-1989 according to driver, passenger and pedestrian on the base of request paper and autopsy report. The results are as follows: 1) The rate of legal autopsy among traffic accident death case was 2.29% and traffic accident among total case was 4.17%. 2) The pedestrian, 15-40 age group, the accident between 0:00 and 6:00 and the person under the influence of alcohol showed high autopsy rate comparing with distribution in total death or accidents. 3) Trauma and its complication or sequella occupied 82.8% in cause of death and remaining 17.2% had no relation with traffic accident among 361 cases requested as traffic accident.

法醫剖檢과 誤診 : 1990년 국립과학수사연구소 부검예를 중심으로

尹重鎭,姜信夢 大韓法醫學會 1991 대한법의학회지 Vol.15 No.2

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 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 than 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 does 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.

법의부검에서 보는 내인사의 사망양태에 관한 보고

강신몽 내무부 국립과학수사연구소 1999 國立科學搜査硏究所年報 Vol.31 No.-

檢視 및 檢屍와 그 制度

姜信夢 大韓法醫學會 1989 대한법의학회지 Vol.13 No.2

Postmortem investigation and examination are essential for the right of the dead through clarification of cause and manner of death. The systems of postmortem investigation and examination are different to each other according to law systems. So we need to reconsider out ones through the review and comparison of various systems.

성인의 급성 심장사에서 정상 심장례의 분석

강신몽,이원태,이한영,서중석,최영식,권일훈,정낙은 大韓法醫學會 2000 대한법의학회지 Vol.24 No.2

The authors analysed 53 cases of sudden cardiac death(SCD) without prominent structural abnormalies of heart out of witnessed 300 cases. Thirty four cases were associated with sleep and 19 with activity or rest. Twenty one cases were classified as having normal hearts, and the rest as structurally mild abnormal ones. Male was predominant, and almost of the victims were suffered in their twenties or thirties. All cases collapsed instantaneously or in very short time with various and not specific terminal symptoms. Inducing or trigger factors are not clarified in almost of the cases. Mechanisms or causes of death could not be defined clearly. We concluded that careful heart examination with detailed clinical history under the appropriate postmortem investigation system is only effective approach for the true mechanism and cause of death.

車事故시 運轉者 및 同乘者 損傷의 鑑定

尹重鎭,姜信夢 大韓法醫學會 1990 대한법의학회지 Vol.14 No.2

Careful examination and proper interpretation of injuries of the occupants (driver and passenger) sustained at motor vehicle accident will provide us many informations about the mechanism of accident including cause of death, manner of death and differentiation of driver. So, the authors reviewed the characteristics of the injuries of occupants including steering wheel injury, dashboard injury, windshield injury, seat belt injury, whiplash injury and others. And also reviewed about distribution of injuries and medicolegal problems.

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

姜信夢,文國鎭 고려대학교 의과대학 1987 고려대 의대 잡지 Vol.24 No.1

The author attempted to classify types of urines by their inhibition properties on the agglutination activities of Vicia unijuga extract, which is previously known as panphytagglutinin to human red blood cells. At the same time, urine stains were prepared for the experiments to compare with the results of whole urine. Also other human secretions, such as semen, serum and saliva, were studies for the comparison with the inhibition activities of urines. Among 769 urine specimens tested, 61 cases (7.9%) inhibited the agglutination activities, while 708 cases (92.1%) did not. And the substance that inhibits agglutination activities is thought protein or glycoprotein based upon elimination test by boiling or protein-free state. This substance is not proved in human semen, saliva, and serum. This urine type had no relation with ABO and MN blood groups. The urine stains revealed high accordance rate with whole urine in inhibiting the agglutination activities of Vicia unijuga. The exact biochemical nature of the inhibiting substance and its perpetuity in the individuals would be clarified in the next study.

San Diego County Medical Examiner's Office의 운영

강신몽 內務部 國立科學搜査硏究所 1996 國立 科學 搜査 硏究所 年報 Vol.28 No.-