• 대한신경과학회지
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• 제36권4호
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• pp.358-362
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• 2018

Delayed anoxic encephalopathy after carbon monoxide (CO) poisoning is characterized by neurological deterioration that occurs after recovery from acute CO intoxication. There has been no established therapy. We report a patient recovered from acute CO intoxication developed various neurological symptoms. After the administration of high dose prednisolone and anticholinesterase inhibitor, the therapeutic effect was remarkable and confirmed by quantitative analysis of diffusion-tensor imaging (DTI). DTI could be used to evaluate the therapeutic effect for delayed anoxic encephalopathy after CO poisoning.

• 대한임상독성학회지
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• 제14권1호
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• pp.47-53
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• 2016

Purpose: Intentional poisoning is a major public health issue in many parts of the world. This study was conducted to provide details regarding the epidemiology of intentional poisoning in a metropolitan emergency department and to identify the changing patterns and epidemiology of poisoning. Methods: A retrospective study was conducted to evaluate intentional poisoning of patients who visited the emergency department in a tertiary teaching hospital between 2001 and 2015. All intentional poisoning-related emergency department visits over three five year periods (2001-2005 (P1), 2006-2010 (P2) and 2011-2015 (P3)) were reviewed to investigate trends in intentional poisoning patients. Information regarding patient sex, age, time from episode to admission, psychiatric history, type of intoxicants, alcohol co-ingestion, gastric lavage, charcoal administration, any previous suicide attempts, need for hospitalization and death before discharge was reviewed. Results: A total of 1269 patients were enrolled in this study. The number of patients admitted during each period was P1=515, P2=439 and P3=315. Comparison of the three groups revealed significant differences according to age (p<0.001), psychiatric history (p<0.001), alcohol co-ingestion (p=0.013), gastric lavage (p<0.001), charcoal administration (p<0.001), need for hospitalization (p=0.044), repeated attempt (p<0.001) and type of intoxicants (p<0.001). Conclusion: The average age of intentional poisoning patients has increased. While the use of sedatives and multiple drugs increased, the use of pesticides and the antihistamine decreased.

• 대한임상독성학회지
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• 제10권2호
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• pp.80-85
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• 2012

Purpose: The aim of this study was to describe the epidemiologic characteristics of adult patients with carbon monoxide poisoning who presented to the emergency department in recent years. Methods: This was a retrospective cohort study on adult consecutive patients with carbon monoxide (CO) poisoning who presented to the emergency department of a tertiary care university-affiliated hospital from January 1, 2008 to December 31, 2011. Results: A total of 91 patients were included in this study; there were 56(61.5%) unintentional and 35(38.5%) intentional poisonings. For the unintentional CO poisonings, the principal sources of exposure to CO were fire (39.3%), charcoal (17.9%), briquette charcoal (7.1%), wood burning boiler (7.1%), gas boiler (5.4%), automobile heater (3.6%), briquette boiler (3.6%), firewood (3.6%), and other items (12.5%). For the intentional CO poisonings, the sources were ignition charcoal (60.0%), briquette (31.4%), charcoal (5.7%) and butane gas (2.9%). For the unintentional CO poisonings, the places of poisoning were the home (58.9%), workplace (10.7%), public accommodation (8.9%), tent (8.9%), automobile (3.6%) and parking place (1.8%). For the intentional CO poisonings, the places of poisoning were the home (77.1%), public accommodation (11.4%) and automobile (11.4%). The proportion of intentional CO poisonings among total poisonings has increased significantly in recent years; 0.0% in 2008, 3.3% in 2009, 5.5% in 2010, and 29.7% in 2011. Conclusion: This study showed that in recent years in Korea, the source of CO has diversified broadly and intentional CO poisonings from burning ignition charcoal or briquettes has increased. Prevention efforts should consider these factors.

• 한국가스학회지
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• 제11권1호
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• pp.51-54
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• 2007

78개 셀의 전극유효 면적이 $295cm^{2}$인 고분자 전해질 연료전지(PEMFC) 스택의 운전특성과 CO 피독에 대한 영향을 조사하였다. 전류밀도 $325mA/cm^{2}$에서 출력 5.4kW를 6시간 유지시키는 동안 셀들의 전압편차는 2.3%로 매우 안정함을 보였다. 개질과정의 부산물로 생성되는 CO는 PEHFC의 성능에 중요한 영향을 끼치는 스택의 주 오염물질중의 하나이다. 시간에 따른 연속적인 CO 피독 실험(5-20ppm)은 스택의 피독과 재생과정의 route를 알 수 있었다.

• 한국수소및신에너지학회논문집
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• 제27권5호
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• pp.503-509
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• 2016

Fuel cell is a device for producing electricity by using the hydrogen produced by the fuel processor. At this time, CO is also created by the fuel processor. The resulting CO enters the stack where is produce electricity and leads to the adsorption of anode catalyst, finally the CO poisoning occurs. Stack which occurred CO poisoning has a reduction in performance and shelf life are gradually fall because they do not respond to hydrogen. In this paper, experiments that using a PROX reactor to prevent CO poisoning were carried out for removing the CO concentration to less than 10ppm range available in the fuel cell. Furthermore experiments by the PROX reaction was designed and manufactured with a water-cooling heat exchange reactor to maintain a suitable temperature control due to the strong exothermic reaction.

• 대한임상독성학회지
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• 제16권2호
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• pp.102-107
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• 2018

Purpose: This study examined the association between smoking and delayed neuropsychological sequelae (DNS) in acute carbon monoxide (CO) poisoning. Methods: Patients admitted to the medical center emergency department from March 2016 to March 2017 because of CO poisoning were examined retrospectively. The patients were divided into two groups: DNS and Non-DNS group. Multiple factors were analyzed to explain DNS, which was assessed by motor disturbances, cognitive impairment, dysphagia, Parkinson-like syndromes, epilepsy, and emotional lability in CO poisoning. Results: A total of 120 patients were included. The factors related to DNS were smoking (pack-years) (p=0.002) and initial carbon monoxide-hemoglobin level (p=0.015). On the other hand, after multivariate logistic regression analysis, smoking (Odds ratio 1.07; 95% CI, 1.02-1.13; p=0.004) was the only factor associated with DNS. Conclusion: Smoking is a very reliable factor for predicting the occurrence of DNS. A history of smoking in patients who suffer from CO intoxication is important. If a patient smokes, treatment should be started actively and as soon as possible.

• 한국가스학회지
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• 제15권3호
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• pp.26-30
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• 2011

개방형 순간 가스온수기는 설치와 관리가 적절히 되지 않아 일산화탄소 중독과 질식과 같은 인명사고를 발생시킬 수 있다. 연소기에 공기가 충분히 공급되지 않거나 배기구가 막히면 배기가스 중의 일산화탄소(CO)의 농도가 증가하는 특성을 보인다. 본 연구는 가정집에서 사용 중인 개방형 가스온수기를 회수하여 연소기 주변 공기 중산소농도 및 배기가스 중 CO농도의 변화를 확인하였다. 환기구 면적에 따른 산소농도 측정 실험에서 환기구의 면적이 바닥면적의 3.5%에서 산소농도가 약 17.7%로 나타났고, 배기구를 폐쇄한 상태에서 CO농도를 측정한 결과 4,000ppm이상이 측정되었다. 따라서 정기적으로 배기구를 점검하는 것이 환기구 크기보다 일산화탄소 중독사고를 예방하기 위하여 중요하다.

• 대한임상독성학회지
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• 제16권2호
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• pp.116-123
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• 2018

Purpose: The social environment of easy access to medicines and arbitrary personal decisions leading to overdose aggravate unintentional medicine poisoning. This study aimed to investigate the characteristics of patients who visited emergency departments with unintentional medicine poisoning and reasons for poisoning based on age group. Methods: We retrospectively collected patients who experienced unintentional medicine poisoning based on data from the national injury surveillance system between 2013 and 2016. Subjects were classified into three groups based on age (0-14 years, 15-64 years, and ${\geq}65\;years$). We identified sex, insurance, time of poisoning, place, alcohol co-ingestion, hospitalization, death, and reason for poisoning in each age group. Results: A total of 27,472 patients visited an emergency department with poisoning during the study period; 1,958 patients who experienced unintentional poisoning were enrolled in this study. Respiratory medicine was the most frequent medicine in those younger than 15 years of age, and sedatives and antipsychotic drugs were the most common in patients older than 15 years of age. In total, 35.1% of patients older than 65 years were hospitalized. The most common reasons for poisoning were careless storage of medicine in those younger than 15 years of age and overdose due to arbitrary decisions in those older than 15 years of age. Conclusion: Unintentional medicine poisoning has distinct characteristics based on age group, and strategies to prevent poisoning should be approached differently based on age.

• 한국신재생에너지학회:학술대회논문집
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• 한국신재생에너지학회 2007년도 춘계학술대회
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• pp.180-183
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• 2007

CO in the reformed gas for proton exchange membrane fuel cell(PEMFC) has a strong tendency to adsorb on the surface of the catalyst and thus to block the sites that hydrogen needs for reactions. Even part per million levels of CO can cause serious poisoning. This CO poisoning can overcome to bleed trace amounts of air into the anode. In this study, we indicated the alteration of stack performance in various CO concentration and then bled a small amount of air. The performance of stack was reduced by increasing CO amount, and recovered by air bleeding. But the air-bleeding have an impact on performance of anode should be further explored.

• 한국수소및신에너지학회논문집
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• 제27권6호
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• pp.670-676
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• 2016

Hydrogen town in Republic of Korea was established in 2013. Hydrogen as a byproduct produced by various processes of factories is used in hydrogen town facilities. As cell performance is affected by contaminations in fuel gas, various standards about impurities of fuel have been determined by many countries. This study shows performance degradation of single cell with impurities concentrations. Traces of carbon monoxide (CO) and hydrogen sulfide ($H_2S$)can cause considerable cell performance losses. For comparing the performances by poisoning of CO, acceleration test, I-V curve, constant current are performed. Both the CO and $H_2S$ poisoning rate are a function of their concentration. With the higher concentrations the higher poisoning rates are observed. And, it was confirmed that, oxidation behavior and side reaction generation are not affected. Under the lower $H_2S$ concentration condition, the poisoning rate is much higher than that of CO because of its different adsorption intensity. It can be possible that the result of this study can be used for enacting regulation as a baseline data.