Y. Oh, S. Ham, Jeong-woo Park, Hyung-Seok Kim, Jong-Tae Park, Joo-Young Na
{"title":"Study of the Test for Postmortem C-Reactive Protein in Routine Autopsy Practice","authors":"Y. Oh, S. Ham, Jeong-woo Park, Hyung-Seok Kim, Jong-Tae Park, Joo-Young Na","doi":"10.7580/KJLM.2016.40.1.8","DOIUrl":"https://doi.org/10.7580/KJLM.2016.40.1.8","url":null,"abstract":"C-Reactive protein (CRP) is an acute phase response protein synthesized in the liver as a response to various inflammation. CRP is extensively used as a general marker for inflammation in clinical medicine. A forensic applications of the CRP using postmortem samples have been studied in oversea. We have compared CRP in the between antemortem and postmortem samples and studied stability of postmortem blood samples for CRP test. In 69 consecutive autopsy cases, we have analysed heart blood samples (69 cases), peripheral blood samples (33 cases), and vitreous humor samples (60 cases). Postmortem CRP was elevated in 25 cases (36.2%) and possible causes of CRP elevation were inflammatory disease except one case (unknown). Postmortem CRP test shows sensitivity 86.7%, specificity 80%, positive predictive value 92.9%, and negative predictive value 66.7% for inflammation based on 20 cases with antemortem CRP results. The postmortem CRP levels were similar in the heart blood samples and peripheral blood samples. Vitreous humor samples are not useful in postmortem CRP testing. And both whole blood and serum samples are stable in room temperature until 31 days. We conclude that serum from heart blood is best suitable sample for postmortem CRP test and postmortem CRP test is useful in routine autopsy practice to detect inflammatory disease such as sepsis. From the view of postmortem point, we desire that this valuable test should be used in routine autopsy practice in Korea.","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132171457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Hwang, Chang Hyun Kim, Young Joo Kim, Hongil Ha
{"title":"Sudden Cardiac Death due to Subaortic Left Ventricular Aneurysm","authors":"C. Hwang, Chang Hyun Kim, Young Joo Kim, Hongil Ha","doi":"10.7580/KJLM.2016.40.1.23","DOIUrl":"https://doi.org/10.7580/KJLM.2016.40.1.23","url":null,"abstract":"Subaortic left ventricular aneurysm is a rare, mostly congenital condition, and occurs as a result of a defect in the alveolar fibrosa between the mitral and aortic annuli. Clinically, most subaortic left ventricular aneurysms are asymptomatic, but some of them cause arrhythmia, chest pain, and even sudden cardiac death. We report an autopsy case of sudden cardiac death due to subaortic left ventricular aneurysm in a 38-year-old male sailor.","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127461784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Linking Wound Interpretation to Behavioral Evidence Analysis","authors":"Youn Shin Kim, M. Park","doi":"10.7580/KJLM.2016.40.1.1","DOIUrl":"https://doi.org/10.7580/KJLM.2016.40.1.1","url":null,"abstract":"범죄인상 분석(criminal profiling)은 어떤 범죄 행동과 관 련된 개인의 특성을 추론하는 것으로 정의되고[1], 행동분 석(behavioral analysis)은 사건 현장과 가해 행동의 분석 을 통해서 사건의 전체를 재구성하여 향후 수사에 도움이 될 수 있는 정보를 추출하는 과정이라고 정의된다[2]. 그러나 이 분야에 종사하는 사람들의 전공영역이 다양한 것만큼이 나 그 명칭도 다양해서 행동증거분석(behavioral evidence analysis), 범죄현장분석(crime scene analysis), 가해자분석 (offender profiling), 심리적분석(psychological profiling), 수사심리학(investigative psychology) 등으로 불리고 있고, 각 명칭의 분명한 정의에 대한 합의나 일관성이 없이 서로 혼 용되고 있다[1]. 행동분석이란 어떤 범죄행위에 있어서 행동 특징을 통해 범죄의 재구성을 시도하는 것으로, 그 기본 전제 는 범죄행위의 결과는 범죄현장에 반영되리라는 것이다[3]. Korean J Leg Med 2016;40:1-7 http://dx.doi.org/10.7580/kjlm.2016.40.1.1","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"170 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114346729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spontaneous Extracranial Vertebral Artery Dissection in a Neurofibromatosis 1 Patient with Bilateral Intrathoracic Spinal Meningoceles around the Scoliosis: Report of an Autopsy Case","authors":"J. Park, Jaehong Park","doi":"10.7580/KJLM.2016.40.1.14","DOIUrl":"https://doi.org/10.7580/KJLM.2016.40.1.14","url":null,"abstract":"Neurofibromatosis 1 (NF1) is a common autosomal dominant disorder that causes several systemic diseases. Many studies have reported that NF1 is associated with intrathoracic meningoceles and scoliosis. The incidence of vertebral artery dissection is estimated to be 1 -1.5 per 100,000 population. We experienced an autopsy case of massive intrathoracic hemorrhage due to spontaneous vertebral artery dissection in a patient with NF1, who had intrathoracic spinal meningoceles and scoliosis. A 47-year-old man was found dead at his home in the morning. He had a history of NF1 including numerous cutaneous neurofibromas and hyperpigmented macules, scoliosis, and deformity of the leg. The autopsy revealed the dissection and rupture of the left vertebral artery, and a pseudocyst that had formed due to arterial leakage on the wall of the meningocele on the left side. The pseudocyst had eventually ruptured and leaked blood, resulting in a massive hemothorax on the left side. Thus, it was revealed that the patient had suffered from NF1-associated intrathoracic meningoceles and scoliosis, and we concluded that the cause of his death was a massive hemothorax on the left side, caused by the dissection and rupture of the left vertebral artery.","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131648370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jung Sik Jang, S. Jang, B. Choi, Han-Young Lee, Nak-Eun Chung, J. Seo
{"title":"A Statistical Analysis of Legal Autopsies Performed in Korea in 2014","authors":"Jung Sik Jang, S. Jang, B. Choi, Han-Young Lee, Nak-Eun Chung, J. Seo","doi":"10.7580/KJLM.2015.39.4.99","DOIUrl":"https://doi.org/10.7580/KJLM.2015.39.4.99","url":null,"abstract":"99 pISSN 2383-5702 eISSN 2383-5710 cCopyright 2015 by the Korean Society for Legal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Korean J Leg Med 2015;39:99-108 http://dx.doi.org/10.7580/kjlm.2015.39.4.99","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130921948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Eye Movements on Recognition in a Manipulated- Face Memory Task","authors":"Keunsoo Ham, Chuyeon Pyo, S. H. Yoo, Jihye Kwon","doi":"10.7580/KJLM.2015.39.4.120","DOIUrl":"https://doi.org/10.7580/KJLM.2015.39.4.120","url":null,"abstract":"120 pISSN 2383-5702 eISSN 2383-5710 cCopyright 2015 by the Korean Society for Legal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Korean J Leg Med 2015;39:120-126 http://dx.doi.org/10.7580/kjlm.2015.39.4.120","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132261466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case Report of Suicide by Cutting the Tongue with a Pair of Scissors","authors":"Y. Jo, SangHan Lee","doi":"10.7580/KJLM.2015.39.4.132","DOIUrl":"https://doi.org/10.7580/KJLM.2015.39.4.132","url":null,"abstract":"자살은 죽을 의도를 가지고 스스로 목숨을 끊는 행위를 말하는 것으로, 연령과 개인이 처한 여러 상황 등에 따라서 다르지만 노인의 경우 빈곤, 질병, 경제적 문제 등이 주된 동기이다. 2013년도에 시행된 국내 부검 4,861예에 대한 분석 결과를 보 면 자살에 이용되는 수단으로는 목맴, 음독, 외상(투신), 익사 등의 순이었다[1]. 우리나라의 역사 드라마나 영화에서는 자 살의 수단으로서 혀를 깨물어 사망하는 사례가 있다고 알려져 왔다. 그러나 현대 의학문헌에 실제로 혀를 깨물거나 가위로 절단하여 사망한 사례가 보고된 경우는 매우 드물고, 안면부 외상이나 사고로 인해 혀가 완전히 잘렸더라도 성공적으로 치 료가 된 증례만 보고되어 있다[2,3]. 이에 저자들은 혀를 가위 로 절단 후 자살에 성공한 매우 드문 증례를 소개하고자 한다. 증 례","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121992738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
De-Hi Kim, Mikyung Lyu, Jeongin Yang, Sunbum Kim, M. Kim
{"title":"Gender-Dependent Characteristics of Bipolar Patients in the National Forensic Psychiatric Hospital","authors":"De-Hi Kim, Mikyung Lyu, Jeongin Yang, Sunbum Kim, M. Kim","doi":"10.7580/KJLM.2015.39.4.109","DOIUrl":"https://doi.org/10.7580/KJLM.2015.39.4.109","url":null,"abstract":"109 pISSN 2383-5702 eISSN 2383-5710 cCopyright 2015 by the Korean Society for Legal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Korean J Leg Med 2015;39:109-114 http://dx.doi.org/10.7580/kjlm.2015.39.4.109","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133156619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Estimation of Eyewitness Identification Accuracy by Event-Related Potentials","authors":"Keunsoo Ham, Chuyeon Pyo, Taeik Jang, S. H. Yoo","doi":"10.7580/KJLM.2015.39.4.115","DOIUrl":"https://doi.org/10.7580/KJLM.2015.39.4.115","url":null,"abstract":"사건 관련 전위는(event-related potential, ERP)는 뇌에서 어 떠한 자극에 대해 반응의 결과로 나타나는 전위차로 주로 뇌전 도를 통해 측정될 수 있다. 여러 기억 연구들에서 사건 관련 전 위를 이용하여 기억 인출과 관련된 여러 ERP 성분을 밝히고, 각 ERP 성분의 역할에 대해 다양한 견해들을 제시하였다[1]. ERP 성분 중의 하나인 P300은 자극 제시 후 약 200 msec에 서 시작하여 약 300 msec에 정점에 도달하며, 400 msec 이후 까지 효과를 보이는 정적파로서 주의나 지각 등의 다양한 인지 적 처리과정을 반영한다. ERP 중에서 인지작용과 연관되어 가 장 활발하게 연구되고 있는 P300은 제시 확률이 낮은 목표 자 극에 대해서, 그 자극이 실험참가자의 과제와 관련이 있을 때, 그리고 실험참가자가 그 자극에 주의를 기울일 때 나타난다. 또한 P300은 일반적으로 맥락 정보 처리과정(contextual updating process)과 관련이 있다고 알려져 있는데, 이는 들어 온 자극이 이미 저장되어 있는 기억과 서로 비교, 처리되는 과 정과 관련이 있다는 것이다[2,3]. P300의 기능에 대해 외현적 재인(recognition) 기억 과정을 반영한다고 알려져 있을 뿐 아 니라 암묵적인 재인 과정에서도 나타난다는 증거가 있다[4]. 또다른 ERP 성분인 N400은 자극 제시 후 약 400 msec에서 정점에 도달하는 부적파로서, 의미기억에의 접근과 단어식별 [5], 또는 의미적 요인을 반영하거나[6], 현재의 자극 표상을 그 자극이 발생한 맥락 표상에 통합시키는 재인 후 과정 등을 반영한다[7]. Rugg 등[8]은 참가자에게 제시된 단어를 의미적 또는 지각적으로 처리하게 한 후 재인기억 검사를 실시하였다. 재인기억 검사 도중 ERP를 측정하여, 자극 제시 후 300-500 msec에서 ERP 파형의 평균 진폭을 분석하였다. 그 결과,","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116751707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Genetic Testing for Additional Evidence during Investigations: Focus in Ethics","authors":"J. Lee, Hwan Young Lee, K. Jung, Soong-Deok Lee","doi":"10.7580/KJLM.2015.39.4.93","DOIUrl":"https://doi.org/10.7580/KJLM.2015.39.4.93","url":null,"abstract":"93 pISSN 2383-5702 eISSN 2383-5710 cCopyright 2015 by the Korean Society for Legal Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Korean J Leg Med 2015;39:93-98 http://dx.doi.org/10.7580/kjlm.2015.39.4.93","PeriodicalId":401663,"journal":{"name":"The Korean journal of legal medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128101088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}