The Role of Chief Medical Examiner and Some Experiences of Victim Identification in an Aircraft Crash on Guam

No abstract available.

Suggested Protocol for Investigation of Airplane Crash

It has become our common knowledge nowadays that the airplane crash occurs so often in late years. as the aviation transportation is in wide use for both domestic and international travels. The following operational protocol is suggested based on my personal experience with investigation of the Air Manila crash we had here on Guam in 1976 killing 46 people plus the lessons we learned from United Airlines Flight 232, a wide-bodied DC-10 crash at Sioux City, iowa, in July 1989, killing 112 people. Whenever we encounter such a disaster, we tend to be apprehensive and we do not know what to start off first. The most important thing is to calm down and make a well-thought-out plan by forming a disaster management team. The main purpose of the operation is first to give medical aids to those survivors, then identify the deceased, determine the cause of death, investigate into the cause of crash, protect the valuable personal properties of the passengers, and finally to find ways to prevent such tragedy in the future. In this regard, we should pay attention to the pilots and maintenance crew of the aircraft. Following this, we must field any mechanical defects of aircraft with a high index of suspicion for a possible sabotage, i .c. deliberate destruction of the airplane with an explosive device. The following is a step-by-step plan which I strongly recommend in the event of an airplane disaster.

A Case of Malignant Atrophic Papulosis (Degos' Disease) / 대한피부과학회지

A 31-year-old male patient had malignant atrophic papulosis that afected the skin only. He had multiple typical porcelain-white skin lesion on the face and trunk without abdominal symptoms. Histopathologic studies showed moderate inflammatory infiltration in addition to the typical cone-shaped region of necrobiosis, There are no satisfactory treatment modes, and in the present case, the patient's condition improved transiently on oral medication of aspirin, but we lost the contact with him afterwards.

A Case of Cutaneous Sarcoidosin in Scars / 대한피부과학회지

We present herein a 36-year-old female patient with cutaneous sarcoidosis resulting from scars produced by blepharoplasty and trauma in the past. The patient showed multiple nodules in the scar areas simultaneously and there was no evidence of systemic involvement. Diagnosis of sarcoidosis was confirmed by histological findings of biopsy and Kveim test.

A Case of Lichen Aureus / 대한피부과학회지

Lichen aureus is a rare disorder classified as a pigmented purpuric dermatosis. This case report is of a 46-year-old female in whom a coin sized, gold tinted, erythematous maculopapule developed on the right lower quadrant of the abdomen l0 years ago which showed characteristic histological findings of lichen aureus consisting of lymphohistiocytic infiltration in the upper dermis and extravasation of red blood cells.

Treatment of Witiligo with Oral Methoxsalen and UVA / 대한피부과학회지

Among ]20 vitiligo patients who visited our clinic during the period of January 1984 to February 1985, 39 patients were treated with oral methoxsalen (8-MOP) and UVA for more than 6 months, The following conclusions were obtained by analysis of the clinical histories and efficacy of PUVA treatment: 1. The mean age of 39 patients was 31 and that of onset was 21. An average of 1() years elapsed from the onset of the disease prior to visiting our clinic. The initial involvement was observed, in decreasing order of frequency, on the trunk, face and/or neck and extremities. 3, The repigmentation started most frequently from the trunk followed by the extremities, face and/or neck after treatment of 2 months and 14 irradiations on the average. 4, There was a direct relationship between the frequency and duration of treatment and its effectiveness. 5. The trunk showed the best response to the treatment, followed by the extremities; face and/or neck. The most resistant sites were the the hand and/or foot. 6. No specific relationship was found between the patient's age, duration of illness and responsiveness to the treatment. 7. The side effects were minimal and transient.

A Case of Atypical Fibroxanthoma / 대한피부과학회지

We described a 65-year-old woman with a papule on the left temple area of } year duration. The lesion showed typical findings of atypical fibroxanthoma and was located on the lesion of solar keratosis, So sunlight may be the most important one among the various insults to atypical fibroxanthoma of the skin.