• Journal of Korean Biological Nursing Science
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• v.16 no.3
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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.

• Korean Journal of Culture and Social Issue
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• v.22 no.4
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• pp.623-641
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• 2016

The psychological autopsy is a method to estimate causes of suicidal death by collecting data from interviewing suicide victim's family added with additional life records. Recently, local governments and suicide prevention centers have been trying to implement psychological autopsy. but there is paucity of efforts examining the validity and effectiveness of the psychological autopsy. Therefore, this paper reviewed psychological autopsy studies and risk factors in Western and Asia countries. and then a methodology for the Korean version of psychological autopsy was suggested. After investigating the specific risk factors for korean suicide through psychological autopsy, then it can be possible to grasp the intervention point for effective suicide prevention. We also propose future directions for psychological autopsy study and interventions in Korea.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.25 no.3
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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.

• The Journal of the Korea Contents Association
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• v.8 no.12
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• pp.256-263
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• 2008

Based on the analysis of criminal investigators' recognition of judicial autopsy, this study presented policy alternatives as follows. First, a procedure is needed that optometrists and investigators jointly make previous explanations to bereaved families the status of investigation and the results of examination to their satisfaction and collect their opinions, for the purpose of obtaining an agreement to autopsy from them. Second, the dignity of the dead should be kept. To this end, particular consideration should be given to women bodies. Also, we need to minimize the number of autopsy witnesses and obtain agreement from bereaved families when there is an on-the-spot study. Third, we need to establish a guideline that investigators could request a warrant later in certain cases of dead bodies. Also, if a bereaved family positively asks for autopsy, it should be allowed through tentatively named ‘Request for Autopsy.’ Finally, To make a careful decision on whether an autopsy should be made or not, we can form a joint investigation team of public prosecutors and criminal investigators; however, an autopsy should be done only if it is deemed inevitable, considering the bereaved family's opinion.

• Journal of forensic and investigative science
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• v.2 no.2
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• pp.30-49
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• 2007

An autopsy is a postmortem assessment or examination of a body to determine cause of death or manner of death. The author had surveyed Personnel's perception toward conducting an autopsy in general hospital with autopsy at YeungNam University Medical Center, Daegu, Korea from April, to May, 2007. The total number of 286 personnel consisted of 121 men(42.3%), 165 women(57.7%). There were 57 doctors(19.9%), 71 nurses(24.8%), 83 medical technicians (29.0%), 58 office workers(20.3%), and 17 others(5.9%). 61.4% of doctors had an experience of education for autopsy more than 2 times, but nurses(1.4%), medical technicians(15.7%), office workers(1.7%), and others(5.9%) had little experience. Response of conducting an autopsy for sudden death of respondent or respondent's family member was 59.6% of doctors, 22.5% of nurses, 39.8% of medical technicians, 41.4% of office workers, and 35.3% of others. Response of conducting an autopsy for sudden death of respondent's companion was 66.7% of doctors, 33.8% of nurses, 39.8% of medical technicians, 43.1% of office workers, and 17.6% of others. Response of conducting an autopsy for sudden death of patients in general hospital was 50.9% of doctors, 8.5% of nurses, 19.3% of medical technicians, 24.1% of office workers, and 17.6% of others. Survey about a proper institution for autopsy showed 73.7% of doctors for department of forensic medicine in medical school, and 62.0% of nurses, 59.0% of medical technicians, 46.6% of office workers, and 58.8% of others for National Institute of Scientific Investigation. Most of the respondents agreed with the forensic pathologist as the director of autopsy:98.2% of doctors, 94.4% of nurses, 96.4% of medical technicians, 89.7% of office workers, and 88.2% of others. Survey for necessity for autopsy showed responsiveness of doctors, 23.9% of nurses, 47.0% of medical technicians, 34.5% of office workers, and 23.5% of others. Survey for donation of him- or herself after death to the medical school or institution for the death investigation revealed responsiveness of 22.8% of doctors, 11.3% of nurses, 24.1% of medical technicians, 22.4% of office workers, and 23.5% of others. The result of the survey questionnaire showed more negative awareness for autopsy in nurses, medical technicians, office workers, others and than doctors. To improve the negative awareness for autopsy and settle proper postmortem inspection system, education of professional manpower for forensic medicine and inaction of law which is adequate for the actual circumstance of Korea should be considered.

• Korean Journal of Animal Reproduction
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• v.17 no.4
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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.

• Journal of The Korean Society of Clinical Toxicology
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• v.15 no.2
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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.

• Neonatal Medicine
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• v.28 no.2
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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.

• The Korean Journal of Legal Medicine
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• v.42 no.4
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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.

• Journal of Korean Medical classics
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• v.28 no.3
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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.