• Journal of Chest Surgery
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• 제10권1호
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• pp.106-112
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• 1977

Transposition of the great arteries is one of the commonest forms of severe congenital heart disease and produces severe cyanosis threatening survival from the day of birth. Anatomical anomalies which the aorta arises from the infundibulum of the right ventricle and the pulmonary artery arises from the outflow tract of the left ventricle make the deranged circulation. Survival is possible only if additional anomalies are present which allow mixing of the pulmonary and systemic circulations. Preoperative diagnosis as TGA was taken on the 15 day old female via the preoperative examination and the right cordioangiography. As palliative treatment for cyanosis, Blalock-Hanlon operation was performed in this patient. The results were good as 54 mmHg changed from 27 mmHg of $PO_2$ in aorta, but sudden cardiac arrest was developed in postoperative 12 hours. In order to confirm the cause of death and the cardiac anomalies, autopsy was performed on the date of death. The diagnosis of the autopsy showed; [1] Transposition of the Great Arteries. [2] Patent Ductus Arteriosus. [3] Patent Foramen Ovale. [4] Ventricular Septal Defect, 2 Muscular Type. [5] Double Ureter, Right. [6] Artificial Atrial Septal Defect. [7] Total Collapse of the left lung and Intraparenchymal hemorrhage of right lung.

• The Korean Journal of Legal Medicine
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• 제42권4호
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• pp.164-167
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• 2018

Aspergillus infection is the most common cause of death due to fungi in immunocompromised hosts. Aspergillus tracheobronchitis is an uncommon but severe form of invasive pulmonary aspergillosis, which is limited entirely or mainly to the tracheobronchial tree and can often be life-threatening. We report a case of a 54-year-old man who died from Aspergillus tracheobronchitis without an underlying disease. Autopsy revealed an extensive yellowish plaque adhering to the trachea and bronchial wall. The microscopic examination of the trachea and bronchus revealed septate branching hyphae of Aspergillus.

• The Korean Journal of Legal Medicine
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• 제42권4호
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• pp.153-158
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• 2018

Staphylococcus aureus is an important cause of human infections, and it is also a commensal that colonizes the nose, axillae, vagina, throat, or skin surfaces. S. aureus has increasingly been recognized as a cause of severe invasive illness, and individuals colonized with this pathogen are subsequently at increased risk of its infections. S. aureus infection is a major cause of skin, soft tissue, respiratory, bone, joint, and endovascular disorders, and staphylococcal bacteremia may cause abscess, endocarditis, pneumonia, metastatic infection, foreign body infection, or sepsis. The authors describe a case of a fisherman who died of sepsis on a fishing boat during sailing out for fish. The autopsy shows paravertebral abscess, pus in the pericardial sac, infective endocarditis with vegetation on the aortic valve cusp, myocarditis, pneumonia and nephritis with bacterial colonization, and also liver cirrhosis and multiple gastric ulcerations.

• The Korean Journal of Legal Medicine
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• 제42권4호
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• pp.168-171
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• 2018

In Korea, small octopus (Octopus minor) and webfoot octopus (Octopus ocellatus) are food items and fatal laryngeal choking due to ingestion of live octopus is not uncommon. We recently encountered two autopsy cases of accidental choking on small octopus and webfoot octopus. Case 1 involved a 58-year-old fisherman who ingested two live webfoot octopuses in his fishing boat and collapsed. He was immediately taken to the hospital but died. During autopsy, one of the webfoot octopuses was found between his pharynx and esophagus; it was obstructing the epiglottis and upper esophagus. His blood alcohol concentration was 0.140%. Case 2 involved a 55-year-old man who ingested an intact body part of a small octopus and was found dead in his house. He had a history of cerebral infarction and angina pectoris. During autopsy, an intact body part of the small octopus was found to be lodged in the laryngeal inlet.

• 대한환경공학회지
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• 제22권12호
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• pp.2205-2213
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• 2000

NF와 RO를 이용한 용존성 물질의 제거특성을 관찰하기 위해 UF로 전처리된 지하수가 파일럿플랜트에 6개월 동안 연속 공급되었다. 그리고 NF와 RO에서 발생한 막 오염의 특성을 파악하고 막 오염물질을 규명하기 위해서 파일럿플랜트에서 NF와 RO를 분리하여 autopsy test를 실시하였다. Autopsy test에서는 파일럿플랜트에서 사용된 막의 투과플럭스와 화학세정에 따른 플럭스의 회복율을 측정하였다. 아울러 여기서 발생한 폐세정액의 수질을 분석하여 막 오염물질의 구성성분을 알아보고자 하였다. NF와 RO1의 비플럭스는 운전시간 100일 이후에 급격히 감소하기 시작하였고 RO1에서의 감소율이 NF에서보다 컸다. 회수율이 낮온 RO2의 비플럭스는 점진적으로 감소하였다. 파일럿플랜트에서 용존성 무기물질의 제거율은 전기전도도로 NF, RO1, RO2 막에서 각각 76.3%, 88.2%, 95.3%로 RO2에서 가장 높았다. 용존성 유기물질의 제거율은 TOC로 80%정도였다. 와권형 NF와 RO의 막 오염은 원수 유입부보다는 농축수 유출부에서 많이 발생하였다. 이것은 유출부로 갈수록 막면선속도가 낮아지고 원수 중 오염물질의 농도가 높아졌기 때문이다. 막 오염물질의 주성분은 무기성 Ca염과 유기성 Si염인 것으로 생각되며 비가역적 막 오염에 기여도가 가장 큰 물질은 Fe인 것으로 생각된다. 막 오염물질의 형상을 SEM으로 관찰한 결과 최근접 표면에 유기물질이 부착되어 있고 그 위에 판상모양의 무기성분이 쌓여 있는 형태가 관찰되었다. 미생물 막 오염은 거의 관찰되지 않았는데 이것은 UF에서 1차로 대부분의 미생물이 제거되었기 때문이다.

• 약학회지
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• 제54권5호
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• pp.341-347
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• 2010

The majority of forensic autopsies in Korea are performed by the National Institute of Scientific Investigation (NISI), and the NISI has carried out about 4,000 cases annually. Total 4,578 autopsies were performed by NISI in 2009, among them 2,918 cases (64%) were carried out at main office of NISI in Seoul, which is in charge of Seoul, Incheon and Gyeonggi province. In this study we investigated pattern of drugs & poisons in autopsy cases for recent three years in Korea. Postmortem specimens (bloods, gastric contents, etc) from autopsy cases by main office of NISI during 2007~2009 were screened for drugs & poisons. Using laboratory information management system of NISI (iLIMS), the kinds of drugs & poisons and the frequency were investigated. As the results, 1,705 cases were negative to drugs & poisons, it occupied 58% of total 2,918 autopsy cases in 2009. During three years (2007~2009), the kinds of drugs & poisons detected in specimens were 206, 185 and 203, respectively, and top three drugs were atropine (anticholinergic), chlorpheniramine (antihistamine) and lidocaine (local anaesthetic/anti-arrythmic). These drugs were supposed to be used not so much for suicidal or homicidal purpose as for therapeutic purpose in hospital. Meanwhile cyanide showed the highest frequency of poisons during 2007~2009, and the frequency was 32 cases in 2009. In case of pesticides, poisoning by paraquat (herbicide, 17 cases) showed the highest frequency, and methomyl (insecticide, 9 cases) and glyphosate (herbicide, 7 cases) were followed. Finally we selected 62 drugs as target drugs for systematic toxicological analysis (STA) for Korea. Poisons such as pesticides, natural toxins, volatile compounds should be included for STA in further study.

• 한국심리학회지 : 문화 및 사회문제
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• 제21권2호
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• pp.119-130
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• 2015

본 연구의 목적은 심리부검을 통해 전북지역의 자살실태를 파악하는 것이었다. 연구대상은 2013년 5월부터 2014년 4월까지 1년간 전북지역에서 발생한 자살사망자 중 심리적 부검에 동의한 42건의 사례로, 사망자의 직계가족을 대상으로 반구조화된 심리면담을 실시하였다. 그 결과 자살 사망자중 71%가 과거의 자살시도 경험이 있었으며, 50%에서 자살가족력이 보고되었다. 자살의 추정원인으로는 정신 질환(38%)이 가장 빈번하였으며, 그 다음으로는 대인관계 문제(31%), 가정 문제(11%)순이었다. 사망자가 진단받은 정신 질환은 우울증이 가장 빈번하였는데, 대부분이 과거에 치료를 받았지만 사망 당시에는 치료를 받지 않았던 것으로 나타났다. 이러한 결과는 자살이 정신 질환과 정신질환에 대한 적절한 개입 실패와 연관되어 있음을 시사한다. 또한 과거 자살시도나 자살 가족력이 있는 대상에 대한 집중적 자살예방개입의 중요성을 시사한다. 끝으로 본 연구의 의의, 제한점에 대해 논의하였다.

• Journal of Chest Surgery
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• 제15권3호
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• pp.331-337
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• 1982

Complete TGA is a common congenital cardiovacular anomaly, and without palliative or corrective surgery, the infant born with TGA rarely survives the first year of life. Hemodynamically, recirculated blood flow in the systemic and pulmonary circuit has a key role in systemic arterial oxygen saturation and the status of the pulmonary vascular bed. Recently a d-TGA with VSD and PS, in a 12 year old male patient had been tried for inversion of the ventricular flow with Rastelli operation. An intracardiac tunnel was constructed between the VSD and the aortic orifice to connect the ventricle to the aorta. The right ventricle was connected with the pulmonary circulation by anastomosis of an valved conduit between the right ventricle and the distal end of the pulmonary artery. During the postop, period, the irreversible renal failure, accompanied by metabolic acidosis and pulmonary edema, occured under relative stabilized cardiac performance state. The autopsy was done, which revealed diffuse infarcted area in both kidney and preserved intra & extracardiac graft constructed.

• The Korean Journal of Pain
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• 제7권2호
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• pp.170-174
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• 1994

Stellate Ganglion (SG) of l0 cadavers were removed during autopsy at Saga Medical College. Length, width, thickness, shape and location of SG were measured before formalin fixation. The results are as follows; 1) Length, width, thickness of SG were 22.33+5.23mm, 9.34+2.23mm and 5.03+1.19mm in right respectively, and 29.67+10.56 mm, 11.29+3.20mm and 5.51+1.09mm respectively in left. 2) Weight of right SG is 0.69+0.25 gm and weight of left SG is 1.04+0.63 gm. 3) Shape of SG is oval and snowman type. 4) Location of SG is variably located from the base of 7th cervical vertebra to first thoracic vertebra.

• 한국동물위생학회지
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• 제44권2호
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• pp.113-117
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• 2021

Cocklebur poisoning in livestock can cause sudden death, with clinical signs include depression, inappetite, blindness, reluctance to move, hypersensitivity, ataxia and coma. The cause of cocklebur poisoning is ingestion of cocklebur sprout or seed, which contains carboxyatractyloside. In December 2020, a 47 month-old Hanwoo suddenly developed ataxia, and died after several hours. Hay mixed cocklebur seeds was fed to Hanwoo for 4 days before the symptoms. At autopsy, petechia and ecchymosis were seen on serous membrane of rumen and intestines. Peritoneal cavities contained a yellowish fluid and, hypoglycemia (Glu <20 mg/dL) was measured in blood test result. Microscopic lesions were karyolysis of centriloular hepatocyte and hemorrhage. Based on autopsy, blood and histopathological test, we diagnosed this case as cocklebur poisoning in Hanwoo.