突然死의 檢屍

朴宜雨 中央醫學社 1989 中央醫學 Vol.54 No.10

Every unexpected death has an actual or potential medicolegal aspect, and such deaths come under the scrutiny of a medicolegal investigative official. He has the responsibility for establishing the cause and manner of death in these unanticipated fatalities and also in those in which violence of some type is known or alleged to have played a part. The more unexpected the death, the more likely it is to be unexplained. From the medicolegal point of view, the principal objective in the investigation of sudden, unexpected death is the determination of the manner of death. One basis for the deep interest of the law in sudden and unexpected death derives from the fact that one type (manner) of death frequently masquerades as another. Conclusions without an autopsy cannot always be accurate. Deaths from natural causes often occur so rapidly or in such fashion or under such circumstances as to suggest erroneously that violence has somehow been involved. On the contrary, there is always a possibility that a death presumed to be natural may be an unnatural one. The presence of previously diagnosed, far-advanced natural disease affords no guarantee that violence played no part in the death. A systematic listing of pathological lesions causing sudden and unexpected natural death is provided.

日本의 檢視制度

朴宜雨 大韓法醫學會 1992 대한법의학회지 Vol.16 No.2

According to recent developments and strong public interest on the issues of organ transplantation and brain death, undoubtedly a more expansive role of the death investigation system in Korea is necessary. This article is concerned with the medicolegal investigative system in Japan for the purpose of development in our country. The medicolegal system in Japan was taken from China and Korea. In the late 19th century, Japan adopted knowledge of medical and scientific investigation from the western world. In Japan, Katayama established the department of judicial medicine within the College of Medicine at Tokyo University in 1888. Thereafter, the term "judicial medicine" was renamed "legal(or forensic) medicine". All medical schools presently have a department of forensic medicine mainly performing judicial medicolegal inspections and/or autopsies. Meanwhile, the medical examiner system was adopted under the influence of the United States after the second World War. Cities having a medical examiner's office are Tokyo, Osaka, Yokohama, Nagoya and Kobe. Along with police officials, the medical examiner's offices perform administrative medicolegal investigations and autopsies. The Japanese police department conducted the investigations of over 68,000 cases in 1989. About 9,100 autopsies were conducted.

診斷書와 鑑定書에 대한 法醫學的 要求

朴宜雨 大韓法醫學會 1997 대한법의학회지 Vol.21 No.2

There are several types of medical certificates and written expert opinions (or judicial reports) which medical doctors have to issue. Author summarized medicolegal demand on medical certificates and written expert opinions separately. Kinds and items of medical certificates were listed. And 10 cases of death certificate in Japan were introduced and analyzed. About judicial reports, definition and legal background as well as general principles of framing of judicial reports including preface, examination records, explanation of results and considerations, and judicial examination and signature were also mentioned.

判例로 본 美容成形의 問題點

박의우 大韓法醫學會 1998 대한법의학회지 Vol.22 No.2

Recently, the numbers of medical dispute in cosmetic surgery are increasing according to the increasing demand of this surgery. The 5 judicial decisions of Korea and the 7 those of Japan are introduced, and three points of problems about cosmetic surgery are proposed in this paper as follows: 1. whether cosmetic surgery is one of medical practice or not 2. Misusage of cosmetic surgery in wrongful directions 3. The proposals for prevention of medical disputes in cosmetic surgery

鎭痛醫療時 醫師의 注意義務

朴宜雨 大韓法醫學會 1990 대한법의학회지 Vol.14 No.2

A variety of disorders producing pain and the management of pain have been known. In the evaluation and treatment of patients with chronic intractable pain, the anesthesiologists provide diagnostic and therapeutic regional anesthesia, including nerve blocks for both pain relief and therapy. To suggest physician's due care duty for analgesic medical care, legal background of due care in medical practice is reviewed and some previously suggested principles related to analgesic medical care are provided.

突然死의 檢屍

朴宜雨 大韓法醫學會 1989 대한법의학회지 Vol.13 No.2

Every unexpected death has an actual or potential medicolegal aspect, and such deaths come under the scrutiny of a medicolegal investigative official. He has the responsibility for establishing the cause and manner of death in these unanticipated fatalities and also in those in which violence of some type is known or alleged to have played a part. The more unexpected the death, the more likely it is to be unexplained. From the medicolegal point of view, the principal objective in the investigation of sudden, unexpected death is the determination of the manner of death. One basis for the deep interest of the law in sudden and unexpected death derives from the fact that one type (manner) of death frequently masquerades as another. Conclusions without an autopsy cannot always be accurate. Deaths from natural causes often occur so rapidly or in such fashion or under such circumstances as to suggest erroneously that violence has somehow been involved. On the contrary, there is always a possibility that a death presumed to be natural may be an unnatural one. The presence of previously diagnosed, far-advanced natural disease affords no guarantee that violence played no part in the death. A systematic listing of pathological lesions causing sudden and unexpected natural death is provided.

銃器類 死亡 事例의 統計的 考察

박의우 건국대학교 의과학연구소 1996 건국의과학학술지 Vol.6 No.-

Out of all autopsies performed in Korea less than 1 per cent is related to firearms. Deaths due to firearms can usually be seen in the military, and a large portion of these deaths are due to suicides. The part of the body one selects to commit suicide differs on which type of firearms used. This study was based on M16A1 semi-automatic military rife. There was a total of 379 postmortem examination cases performed by the Ministry of National Defense Scientific Investigation Laboratory between January of 1981 and October of 1983. Out of the 379 postmortem examination cases, 70 were related to firearms, and the manners of death, firearm types, the number of shots fired, ratio of penetration to perforation gunshots, and the areas around the entrance wounds were investigated. Out of these 70 cases, 64 cases were due to M16A1, and 58 of them were due to suicides. Of the suicide cases, anterior neck (hyoid bone area) was the part of the body most often selected.

연구개에 발생한 거대한 혼합종양 치험 1례

강성호,임대준,홍석찬,박의우 건국대학교 의과학연구소 1997 건국의과학학술지 Vol.7 No.-

저자들은 66세 여자에서 연구개에 5.0×4.4×4.0cm 크기의 둥글고 단단하고 고정되어 있으면서 약간의 압통이 있는 종괴가 있어므녀서 병리조직소견상 혼합종양으로 확진된 1례를 경험하였기에 관계문헌 고찰과 함께 보고하는 바이다. Pleomorphic adenoma is the most common benign salivary gland tumor. In majority of case, they develop on parotid gland ad well as submandibular gland and minor salivary gland of hard palate or soft palate. Usually they found as a incidental mass in the cheek or near the angle of the mandible. Authors experienced one case of a huge pleomorphic adenoma arising from soft palate. The mass was excised from palate muscle and some of normal tissue was also removed at base of mass. The mass was well marginated, encapsulated, easily dissected and measured about 5.0 ×4.4 ×4.0 ㎝ in size.

帝王切開手術과 母體死亡

朴宜雨 大韓法醫學會 1995 대한법의학회지 Vol.19 No.2

Cases of maternal death related to the Caesarean section are rare. In order to analyze the causes of the medical disputes by maternal death after the Caesarean section, the author introduced a civil judicial precedent of Korea, a criminal judicial precedent of Japan, and 8 cases of the medical disputes of the Osaka prefecture in Japan. These 10 cases are largely divided into the one related to anesthesia, and the other. The latter includes tetanus infections, heart failure, hemorrhagic (hypovolemic) shock by total placenta previa, amniotic fluid embolism, DIC (disseminated intravascular coagulation), and uncertain causes of death with improper postoperative care.

대장암을 동반한 가족성 용종증 2예-증례보고-

성무경,박형석,박의우 건국대학교 의과학연구소 1997 건국의과학학술지 Vol.7 No.-

Familial adenomatous polyposis(FAP), a rare condition, is characterized by multiple polyposis of colon and rectum, an early age onset, an autosomal dominant inheritance and association extracolonic lesions. The polyps usually appear at puberty and have a marked tendency malignant change while the patient is still relatively young The risk of malignant transformation is virtually 100% without undergoing removal of the large bowel. Therefore, most untreated patients die before the age of 50 from carcinoma of the colon and rectum. Common symptoms are bloody stool and diarrhea, but usually cannot be identified before adolescence because the sympoms only occur once polyps have developed. They usually appear in the third or fourth decade and are rare under the age of 10. The diagnosis of FAP depends on clinical symptoms, family history digital rectal examination, barium enema, and colonoscopy exhibiting innumerable adenomatous epithelium(CHRPE) and chromosomal study for the chromosome 5q21 developed the treatment is complete removal of the diseased colon and rectum, but alternative procedure, the total colectomy with ileorectal anastomosis still has place for functional convenience of patients. We experienced two cases of FAP with malignant transformation, and reported them with review of literature.