法醫剖檢重要例 檢討

尹重鎭 中央醫學社 1983 中央醫學 Vol.45 No.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)

車事故死의 檢屍

尹重鎭 大韓法醫學會 1987 대한법의학회지 Vol.11 No.2

The automobile, which provides an unparalleled degree of personal mobility, exacts a high tariff in mortality and morbidity. The roadway is the major coliseum of violence in modern society. This tragedy is compounded by the fact that the majority of serious injuries and fatalities are preventable even though the crash occurs. The forensic pathologist and the treating physician are in unique positions to identify injury patterns related to types of vehicles and crash circumstances. Therefore, the author thinks that this observation can add to advance in our knowledge of the pathogenesis of vehicular generated trauma.

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)

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.

任婦傷害의 剖檢統計分析

尹重鎭,黃迪駿 大韓法醫學會 1986 대한법의학회지 Vol.10 No.2

In order to evaluate the death structures of the pregnant women autopsied, a total of 267 cases out of 10,650 legal autopsies in the Department of Legal medicine, National Institute of Scientific Investigation during 1976-1985 were analyzed with emphasis on Cause and Manner of Death. The results obtained were as follows: 1. The annual death of the pregnant women autopsied was 2.5% and its trend was downward slowly. 2. In age distribution, the most prevalent grop was the first half of 20's (35.6%), followed by the latter half of 20's (25.1%), of 10's (13.5%)and the first half of 30's (13.1%). 3. In manner of death, natural death was 55.4%, comparing with 40.1% of violent death which includes 22.8% of accident, 9.0% suicide and 8.2% homicide. 4. Hemorrhage (39.3%) was the leading cause of death in the pregnant women autopsied and some others such as poisoning (15.0%), infection (7.9%), congestive heary failure (7.5%), toxemia (6.0%) and asphyxia (5.2%) ranked in that order. 5. Among 105 cases of hemorrhage, 75.3% was found to be obstetric, while 24.7% to be non-obstetric. 6. In accidents, the major cause of death was carbon monoxide poisoning (34.4%) and hemorrhage (29.5%) and infection (24.6) occured by medical interventions. 7. In suicides, poisoning (79.2%) was found to be a major cause of death and the major agents used were cyanide(37.5%) and agricultural chemicals (16.7%). 8. In homicides, asphyxia such as manual and ligature strangulation was the leading cause of death. 9. In the pregnant women autopsied, 39.0% were died in the full term of pregnancy, followed by the first trimester (22.8%), the second trimester (17.2%) and the third trimester (10.9%) of pregnancy. 10. It could be inferred that most of the violent death were frequently occured in the first trimester of pregnancy, while the natural death predominantly being in the full term of pregnancy. However, hemorrhage and infection caused by medical intervention had a tendency to be occured in the second trimester and full term of pregnancy.

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.

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.

車事故 損害의 鑑定

尹重鎭 大韓法醫學會 1990 대한법의학회지 Vol.14 No.1

The automobile provides good mobility in modern society, however, it also produce high mortality and morbidity. When traffic accident occurs, impartial sharing of the loss is final resolution of the matter. The forensic pathologist or physician participitate in this work, taking role of estimating injury and reconstruction of accident. And, also, investigator, serologist, physicist, chemist, and engineer are involved for this purpose. Impartial sharing of the loss can be achieved by correct reconstruction of the accident, precise interpretation of injury and cause of death. Under these backgrounds, the loss should be divided properly to the persons concerned.

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.

突然死의 法醫剖檢的 考察

尹重鎭 大韓法醫學會 1984 대한법의학회지 Vol.8 No.1-2

The author reviewed the 1,609 sudden unexpected death (SUD) cases autopsied at National Institute of Scientific Investigation from 1979 to 1983 for the purpose to provide basic material in solving medical, social and legal problems of SUD. The author arrived at the conclusion as follows by analysis of SUD cases according to sex, season, age, place, occupation, motive, and cause of death. 1. Male to female ratio was 3 : 1. 2. Spring was highest in seasonal incidence, and the incidence of other seasons was not significantly variable. 3. In distribution of age, in male, 30s, 20s, 40s and 50s in sequence but in female, 20s, 40s, 30s and 50s in sequence. 4. Home was the most frequent place of SUD, followed by street, work, hospital and etc. 5. The places of occurrence had some relation with victim's occupations. 6. Among the motives of SUD, overexertion was the prime cause, and the next was medical care. Drinking, trauma, psychiatric stress, physical exercise and coitus were also important factors. 7. Heart diseases, intracranial bleeding and pulmonary edema were the common causes of SUD.