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.

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.

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.

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.

Traumatic Rupture of the Middle Cerebral Artery Followed by Acute Basal Subarachnoid Hemorrhage: Tailored Approach in Forensic Pathology by Aid of Post-mortem Angiographic Findings

박소형,이숙영,양경무,김덕훈,이헌,차장규 대한법의학회 2019 대한법의학회지 Vol.43 No.1

We present the case of a 23-year-old man who suddenly collapsed during a physical altercation with his friends while in a drunken state. The post-mortem computed tomography (CT) with angiography revealed acute basal subarachnoid hemorrhage with rupture of the left middle cerebral artery. On autopsy, the head, face, mandible and neck showed multifocal hemorrhages with fracture of the hyoid bone, and the pathologic findings of the brain was consistent with CT findings. However, the vascular rupture site was not observed macroscopically. On histologic examination, a microscopic focal rupture was identified at the proximal portion of the middle cerebral artery, and possibility of arteriopathy was considered. This case illustrates that other parts of intracerebral arteries (other than the vertebral arteries) can be the culprit of rupture in the case of traumatic basal subarachnoid hemorrhage, and the post-mortem angiographic findings can be helpful in targeting the site of vascular injury. Furthermore, meticulous sampling of intracranial vessels could help find the vascular rupture site and identify any histologic findings suspicious of arteriopathy. Therefore, we suggest that post-mortem angiography can be an effective and adjunctive tool for a tailored approach in finding the vascular injury, and that histologic examination of both the intracranial and extracranial arteries be important to medicolegally ensure the death of traumatic basal subarachnoid hemorrhage and to examine presence of arteriopathy as a predisposing factor.

전기톱을 이용한 자살: 부검 증례 보고

정용한,장선정,박혜진,이수경 대한법의학회 2020 대한법의학회지 Vol.44 No.1

In autopsy practice, we encounter case of suicide or murder using various methods or tools. Damage caused by tools such as a knife or hammer is commonly encountered, but a case of damage using a chainsaw is not commonly encountered. We present an autopsy case of a suicide due to neck injury using a chainsaw. A 56-year-old man was found dead with a neck injury and a chainsaw below him. Soft tissue of the neck, thyroid cartilage, trachea, carotid vessels, cervical vertebrae, and cervical spinal cord were found to be cleaved, and a cogwheel-shaped pattern was observed in the injured area.

아나필락시스성 쇼크의 사후 진단을 위한 비만세포 트립타제 검사의 유용성

박종필,구본영,이낙원 대한법의학회 2020 대한법의학회지 Vol.44 No.1

Anaphylactic shock (AS) is a systemic and life-threatening type I hypersensitivity reaction and is often encountered at an autopsy. However, postmortem diagnosis of AS can be difficult due to non-specific autopsy findings. Clinically, the analysis of serum mast cell tryptase (MCT) is well known as a useful ancillary test for the diagnosis of AS. However, in order to apply this test to forensic autopsy, it is necessary to confirm its usefulness due to postmortem changes. We carried out serum MCT analysis in 299 autopsy cases including nine AS cases at National Forensic Service from January 2013 to May 2015 and analyzed the difference according to the cause of death and degree of postmortem change. As a result, the MCT level in AS was significantly increased compared to others, and the appropriate cutoff value for postmortem diagnosis of AS was 63.0 μg/L (sensitivity 88.9%, specificity 98.6%). Conclusively, serum MCT analysis is a useful test for postmortem diagnosis of AS and seems to be more appropriate for screening rather than confirmation.

Tri-Allelic Patterns of Short Tandem Repeat Markers in the Korean Population

이재은,홍은정,한복기,전재필 대한법의학회 2011 대한법의학회지 Vol.35 No.2

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