• 제목/요약/키워드: Autopsy

검색결과 331건 처리시간 0.025초

간호대학생의 부검 관련 태도와 법의학 교육의 효과 (Effect of Forensic Education and Autopsy Attitude of Nursing Student)

  • 민순;하윤주;문지영
    • Journal of Korean Biological Nursing Science
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    • 제16권3호
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    • pp.211-218
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    • 2014
  • Purpose: This research was designed to investigate the effects of forensic education and autopsy attitude of nursing students. Methods: Data on autopsy attitude were determined and collected by means of a self-reporting questionnaire including 14 questions on perception of a need for an autopsy and 11 questions on resistance to autopsy, the respondents being 846 nursing students. The collected data were analyzed by means of an independent t-test with one-way ANOVA in an SPSS WIn 18.0 program. Results: The perception of a need for an autopsy was 4.06 on average and resistance to autopsy was 2.64 on average. The nursing students taking a forensic course showed a relatively higher level of perception of the need for an autopsy (t=-5.63, p <.001) than those not attending such a course (t=2.93, p <.001). Perception of the need for an autopsy and resistance to autopsy show a negative correlation (r=-.382, p=.003). Conclusion: A forensic medicine course raises the level of perception of the need for an autopsy by nursing students and reduces the level of resistance to autopsy.

심리부검에 대한 고찰과 제언 (Recommendation for psychological autopsy Studies)

  • 권호인 ;고선규
    • 한국심리학회지 : 문화 및 사회문제
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    • 제22권4호
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    • pp.623-641
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    • 2016
  • 심리부검이란 주변인의 진술과 기록을 통해 자살자의 심리행동 양상을 파악하여 자살의 원인을 추정하는 절차를 의미한다. 심리부검은 자살의 원인을 통합적으로 밝혀낼 수 있을 뿐 아니라, 자살 예방을 위한 효과적인 정책 수립의 기반이 될 수 있기 때문에 그 필요성이 지속적으로 제기되어왔다. 국내에서도 각 지자체와 지역사회 자살예방센터를 중심으로 확대 실시되고 있으나 다양한 실행주체들이 추진하고 있는 심리부검의 타당성과 그 효과에 대해서는 아직까지 논의된 바가 거의 없다. 본 연구에서는 국내 자살률 감소를 위한 장기 정책 목표를 바탕으로 국내외에서 실시된 심리부검의 절차, 심리부검에 포함할 내용, 선행 연구결과를 검토한 후, 향후 심리부검을 실시할 때 고려할 점을 제언하였다.

청소년 자살자에 대한 심리적 부검 방법론에 대한 고찰 (A Methodological Review of Psychological Autopsy for Adolescents)

  • 권호인;김란;방수영;홍현주;권용실
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제25권3호
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    • pp.121-127
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    • 2014
  • Recently, local governments and suicide prevention centers have been trying to implement psychological autopsy. This effort has focused on adult suicide so far ; however, there are some difficulties in its application to adolescent suicide. Therefore, in this study, psychological autopsy studies of Korea were reviewed, and a methodology for adolescents' psychological autopsy was suggested. For the effective performance of the psychological autopsy in adolescent suicide, cooperation with each area of the government and implementation of bodies is necessary. In addition, the central system, which disseminates the standardized interview to the community and manages the data nationwide, should be prepared. Also, in order to improve the accuracy of diagnosis and to obtain various types of information, a structured interview should be adopted as the psychological autopsy, as well as considering the use of social media. Investigation of specific risk factors for adolescent suicide through psychological autopsy can enable determination of the intervention point for effective suicide prevention.

사법부검에 대한 수사경찰의 인식분석 및 함의 - P 경찰서의 사례를 중심으로 - (Criminal Investigators' Recognition of Judicial Autopsy and It's Implications - With the Case of P Police Station -)

  • 박동균;최무찬
    • 한국콘텐츠학회논문지
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    • 제8권12호
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    • pp.256-263
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    • 2008
  • 본 연구는 범죄로 인한 사망의 원인을 수사하는 최일선 국가기관인 수사경찰관의 사법부검에 대한 인식을 분석하여 문제점을 파악하고, 정책적 함의를 제시하였다. 본 연구에서는 다음과 같은 정책대안을 도출하였다. 첫째, 유족의 부검동의를 이끌어 내기 위하여 검안의사와 수사경찰이 합동으로 수사 상황과 검안의 결과를 유족의 대표 등에게 설명하는 합동설명의 기회와 사전 유족의 의견수렴의 절차가 필요하다. 둘째, 부검 참관인을 최소화하고, 여성변사자에 대한 특별한 배려가 있어야 할 것이다. 부검의 견학은 반드시 유족의 동의를 얻도록 하고, 외부인의 부검실 출입을 금지하여야 한다. 셋째, 부검절차의 신속을 기하기 위하여 일정한 범위내의 변사체의 경우 사후 영장이 가능한 가이드 라인을 설정하는 것이 필요하다. 또한 유족이 적극적으로 부검을 원하는 경우 가칭 ‘부검요청서’ 등으로 부검이 가능토록 하여야 할 것이다. 끝으로, 부검시행여부에 대하여 현장에서 변사사건을 직접 수사한 경찰과 검찰의 의견이 다른 경우, 검사와 수사경찰이 합동으로 현장 수사 후 부검을 결정하는 절차가 필요하며, 부검은 유족의 의사를 가능한 존중하여 필요한 경우에 한하여 실시해야 할 것이다.

대학병원 직원들의 부검에 대한 인식도 (Personnel's Perception toward Conducting an Autopsy in General Hospital)

  • 이호범;곽정식
    • 대한수사과학회지
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    • 제2권2호
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    • pp.30-49
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    • 2007
  • 부검은 검안만으로 사인 또는 사망의 종류를 확인할 수 없는 경우 시체를 해부하여 이를 확인하는 검시(檢屍)방법이다. 본 연구자는 대학병원 직원들의 부검에 대한 인식도를 알아보기 위해 설문지를 이용하여 2007년 4월 2일부터 5월 4일까지 1개월간 대구광역시 영남대학교의료원의 직원들을 대상으로 설문조사를 실시하였다. 전체 286 명 중 남자가 121 명(42.3%), 여자가 165 명(57.7%)이었으며, 의사 57 명(19.9%), 간호사 71 명(24.8%), 의료기술직 83 명(29.0%), 행정사무직 58 명(20.3%), 기타 직종 17 명(5.9%)이었다.대상자들의 설문조사를 살펴보면 부검에 대한 교육정도에서 의사는 2회 이상이 61.4%인데, 간호사는 1.4%, 의료기술직은 15.7%, 행정사무직은 1.7%, 기타 직종은 5.9%로 의사들에 비해 교육정도가 많이 부족하였다. 본인이나 가족이 갑자기 쓰러져 사망했을 때 부검을 의뢰하겠는가라는 질문에 의사는 의뢰한다가 59.6%로 높았으나, 간호사는 22.5%, 의료기술직은 39.8%, 행정사무직은 41.4%, 기타 직종은 35.3%로 낮게 나타났다. 직장 동료가 근무 중 갑자기 쓰러져 사망한 경우 부검을 해야 한다고 생각하는가라는 질문에서도 의사는 그렇다가 66.7%로 높았으나, 간호사는 33.8%, 의료기술직은 39.8%, 행정사무직은 43.1%, 기타 직종은 17.6%로 낮게 나타났다. 병원내 환자가 병사했을 때 부검을 해야 한다고 생각하는가라는 질문에서도 의사는 그렇다가 50.9%, 간호사는 8.5%, 의료기술직은 19.3%, 행정사무직은 24.1%, 기타 직종은 17.6%로 낮게 나타났다. 부검은 어떤 곳에서 해야 하는가라는 질문에 의사는 의과대학 법의학교실이 73.7%로 가장 높았고, 다른 직종에서는 국립과학수사연구소가 가장 높게 나타났는데, 간호사는 62.0% 의료기술직은 59.0%, 행정사무직은 46.6%, 기타 직종은 58.8%이었다. 부검의 주체는 모든 직종에서 대부분의 대상자들이 전문 법의병리의사가 되어야 한다고 생각하는 것으로 나타났는데, 의사는 98.2%, 간호사는 94.4%, 의료 기술직은 96.4%, 행정사무직은 89.7%, 기타 직종은 88.2%이었다. 평소 부검의 필요성은 의사는 73.7%, 간호사는 23.9%, 의료기술직은 47.0%, 행정사무직은 34.5%, 기타 직종은 23.5%로 의사들이 평소 부검의 필요성을 많이 느끼는 것으로 나타났다. 사후 본인의 사체를 의과대학이나 연구기관 등에 기증할 용의가 있는가라는 질문에 의사는 22.8%, 간호사는 11.3%, 의료기술직은 24.1%, 행정사무직은 22.4%, 기타 직종은 23.5%만이 있다라고 답했다. 대상자들의 설문조사를 분석한 결과, 의사들에 비해 다른 직종의 대상자들이 부검에 대한 교육정도나 거부감이 더 큰 것으로 나타났다. 부검에 대한 부정적 의식의 개선을 위해 전문 인력의 양성과 관련 법률을 정비하여 우리나라 실정에 맞는 올바른 검시제도의 정착과 국민들에 대한 체계적인 법의학교육에 힘써야 할 것이다.

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고지 사육 도태유우의 번식실태와 생식기 부검에 관한 연구 (Studies on the Reproductive Performence and Organs Autopsy of Culled Dairy Cow at Alpine Area)

  • 이상영;김정익
    • 한국가축번식학회지
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    • 제17권4호
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    • pp.295-303
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    • 1994
  • The present study was conducted to examine the reprodutive performance and organs autopsy of culled dairy cows at alpine area. 795 culled dairy cows were managed and 206 culled dairy cows were examined by autopsy of reproductive organs at above 800m of sea level around the Daegwallryoung alpine area. The results of this study were at follows ; 1. Age and parity of culled dairy cows were 60.8 months and 3.0, respectively. 2. Age of first AI of heifer was 18.7 months, and age of pregnancy and parturition of heifer were 19.5 months and 28.6 months, respectively. 3. Al time per pregnancy was 1.7 and time of pregnancy after parturition, pregnancy period and calving interval were 140.9, 279.6 and 424.9 days, respectively. 4. Culled months after last parturition was 4.3 and the highest urogenital deseases of culled reason were 358(45.0%). 5. Reproductive organs deseases by autopsy were 120(58.4%), the highest ovary disease were 75(43.6%). 6. The highest ovary adhesions of reproductive organ diseases were 46(26.7%), infundibulum adhesion, obstruction of the oviduct and endometritis were 38(22.1%), 15(8.7%), and 14(8.2%), respectively. 7. In culled dairy cow for the reproductive organ disease, parity, age, culled months and AI number after last parturition were 3.2, 66.5 months, 7.9 months and 2.1, respectively.

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수도권 부검시료에서 중독사 관련 사용물질 현황(2014-2016) (Analysis of Death Due to Poisoning in the National Capital Region (2014-2016))

  • 박미정;박종신;이상기;인상환
    • 대한임상독성학회지
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    • 제15권2호
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    • pp.101-106
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    • 2017
  • Purpose: This study examined the patterns of drugs, poisons, and chemicals detected in autopsy samples performed in the Seoul Institute and other regional forensic offices of the National Forensic Service (NFS) between 2014 and 2016. Methods: The investigation carried out using the laboratory information management system. Forensic toxicological identification and quantitation were performed in autopsy samples, including heart blood, peripheral blood, liver, kidney, vitreous humor and etc. Gas chromatography/mass spectrometry (GC-MS) and liquid chromatography-tandem mass spectrometry (LC-MS/MS) were used to analyze the drugs and poisons. Results: Forensic autopsies were performed on 9,674 cases in this period. Based on the autopsy reports, 699 cases (7.2%) were considered as unnatural deaths caused by fatal intoxication. The number of male deaths was higher than that of female deaths, with the age of 50-59 being the most common age group. Conclusion: Drugs comprised the largest number of deaths due to poison, followed by alcohol, agrochemicals, drug with alcohol, carbon monoxide, and cyanide, in that order. Zolpidem was the most frequently used drug in all drug-related intoxication cases.

Disseminated Postnatal Cytomegalovirus Infection in a Preterm Neonate: Autopsy Case Report

  • Kim, Ka-Young;Kim, Ee-Kyung;Park, Sung-Hye;Kim, Yoo Jinie;Shin, Seung-Han;Kim, Han-Suk
    • Neonatal Medicine
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    • 제28권2호
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    • pp.83-88
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    • 2021
  • Treatment guidelines for postnatal cytomegalovirus (pCMV) infection in preterm have not been established yet. Neutropenia, thrombocytopenia, hepatitis, colitis, and sepsis-like disease are among the clinical manifestations, which range from moderate to serious. We present a case of autopsy diagnosed as pCMV infection in a premature infant delivered at gestational age of 24 weeks and 5 days. On the 7th and 14th days of birth, urinary CMV polymerase chain reaction samples were negative, ruling out congenital CMV infection. However, autopsy examination revealed that the patient had disseminated pCMV infection. CMV inclusion bodies were found in the majority of tissues, including the lung, liver, pancreas, breast, kidney, and adrenal gland, but not the placenta. The thymus exhibited significant cortical atrophy and T-cell immunodeficiency, possibly induced by dexamethasone treatment for bronchopulmonary dysplasia or by pCMV infection itself. If dexamethasone treatment is extended or high doses are considered, it may be beneficial to test the CMV infection status to prevent aggravation of infection. This case demonstrates that, despite the low prevalence, pCMV infection should be considered a differential diagnosis in preterm if other conditions or etiology cannot justify clinical deterioration.

근이영양증으로 인한 사망의 사법부검 사례 경험: 증례 보고 (An Experience of Judicial Autopsy for a Death by Muscular Dystrophy: An Autopsy Case)

  • 김윤신;박지혜
    • The Korean Journal of Legal Medicine
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    • 제42권4호
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    • pp.159-163
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    • 2018
  • Progressive muscular dystrophy (PMD) is a primary muscle disease characterized by progressive muscle weakness and wasting, which is inherited by an X-linked recessive pattern and occurs mainly in males. There are several types of muscular dystrophies classified according to the distribution of predominant muscle weakness including Duchenne and Becker, Emery-Dreifuss, facioscapulohumeral, oculopharyngeal, and limb-girdle type. Clinical manifestations of PMD are clumsy, unsteady gait, pneumonia, heart failure, pulmonary edema, hydropericardium, hydrothorax, aspiration, syncopal attacks, and sudden cardiac death. The deceased was a 34-year-old man, and the onset of the first clinical symptom, gait disturbance, was in his late teens. His elder brother had the same disease and experienced brain death after a head trauma and died after mechanical ventilation was discontinued. After an autopsy, we found contracture of the joints, pseudohypertrophy of the calf, wasting and fat replacement of the thigh muscle, pericardial effusion (80 mL), fibrosis and fat replacement of the cardiac ventricular wall, pulmonary edema, and froth in the bronchus. The cause of death was heart failure and dyspnea due to muscular dystrophy. There was no sign or suspicion of foul play in his death.

『난경(難經)』에 나타난 오장(五臟)의 무게에 대한 소고(小考) (A Study of Organ Weights in Nanjing(難經))

  • 김상운;정현종
    • 대한한의학원전학회지
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    • 제28권3호
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    • pp.67-77
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    • 2015
  • Objectives : This study is to verify the organ weights in Nanjing based on the weights of five viscera (五臟) in autopsy studies of modern times. Methods : Contents on organ weights from many annotations and articles on Nanjing were collected. Organ weights in autopsy studies dealt in many countries including China, India, U.S. and Korea were collected. Among the data, the average weights of liver, heart, spleen, pancreas, lung and kidney of males in the age of 18 to 60 were calculated, and the ratio of each organ was examined. Based on those results, the organ weights of Nanjing were evaluated. Results & Conclusions : There is a close correspondence between the organ weight ratios of liver(肝), heart(心), lung(肺) and kidney(腎) in Nanjing and those in autopsy studies. It proves that the organ weights in Nanjing were recorded based on an actual dissection. As a result of the analysis on autopsy studies, the average organ weights and the ratio among the organs were: liver 1416g(43.0%), heart 296g(9.0%), lung 1047g(31.8%), kidney 273g(8.3%), spleen 264g(4.5%) and pancrease 113g(3.4%). The weight of liver in Nanjing shall be 4 jin and 4 liang(4斤4兩) instead of 2 jin and 4 liang(2斤4兩) to occupy proper proportion out of other organs. It is highly possible that the weight of spleen(脾) in Nanjing is including the weight of pancrease(散膏), and the weight shall be 1 jin and 1 liang(1斤1兩) or 1 jin and 2 liang(1斤2兩) instead of 2 jin and 3 liang(2斤3兩) to occupy proper proportion out of other organs.