• 대한임상독성학회지
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• 제21권2호
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• pp.135-142
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• 2023

Purpose: In patients with glufosinate poisoning, severe neurological symptoms may be closely related to a poor prognosis, but their appearance may be delayed. Therefore, this study aimed to determine whether the Acute Physiology and Chronic Health Evaluation II (APACHE II) score could predict the neurological prognosis in patients with glufosinate poisoning who present to the emergency room with alert mental status. Methods: This study was conducted retrospectively through a chart review for patients over 18 years who presented to a single emergency medical center from January 2018 to December 2022 due to glufosinate poisoning. Patients were divided into groups with a good neurological prognosis (Cerebral Performance Category [CPC] Scale 1 or 2) and a poor prognosis (CPC Scale 3, 4, or 5) to identify whether any variables showed significant differences between the two groups. Results: There were 66 patients (67.3%) with good neurological prognoses and 32 (32.8%) with poor prognoses. In the multivariate logistic analysis, the APACHE II score, serum amylase, and co-ingestion of alcohol showed significant results, with odds ratios of 1.387 (95% confidence interval [CI], 1.027-1.844), 1.017 (95% CI, 1.002-1.032), and 0.196 (95% CI, 0.040-0.948), respectively. With an APACHE II score cutoff of 6.5, the AUC was 0.826 (95% CI, 0.746-0.912). The cutoff of serum amylase was 75.5 U/L, with an AUC was 0.761 (95% CI, 0.652-0.844), and the AUC of no co-ingestion with alcohol was 0.629 (95% CI, 0.527-0.722). Conclusion: The APACHE II score could be a useful indicator for predicting the neurological prognosis of patients with glufosinate poisoning who have alert mental status.

• 공업화학
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• 제23권6호
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• pp.561-566
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• 2012

PtRuW/C 촉매를 Pt : Ru : W 비를 5 : 4 : 1, 2 : 1 : 1, 1 : 1 : 1, 1 : 2 : 2로 각각 합성하였다. 촉매의 조성은 EDX분석을 통해 이론값과 비슷하다는 것을 확인하였다. TEM분석과 XRD분석으로부터 3.5~5.5 nm의 균일한 입자 크기 및 결정질 분포를 가지고 있음을 확인하였다. 유효표면적, 전류밀도, 고유 활성 및 피독률과 같은 전기화학적 특성은 CO 스트리핑, 선형쓸음 전기량 측정법, 대시간 전류법 등과 같은 방법으로 분석하였다. 이러한 분석으로부터, $PtRu_2W_2/C$를 제외한 촉매는 상업촉매보다 우수한 반응성과 안정성을 가지고 있음을 확인하였다. 이 중 가장 우수한 촉매는 $Pt_5Ru_4W/C$였으며, $121.05mA{\cdot}m^{-2}$의 specific activity와 $0.01%{\cdot}s^{-1}$의 피독률을 보였다.

• 한국가스학회지
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• 제25권3호
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• pp.27-38
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• 2021

본 연구에서는 가스보일러 가동 중 배기통이 이탈하는 상황이 발생했을 때, 시스템적으로 인지하고 자동으로 보일러 가동을 중지하여 일산화탄소를 포함한 유해 배기가스가 실내로 유입되는 상황을 근원적으로 차단하는 방안을 제시하였다: (1) 연소에 필요한 공기량을 제어하기 위해 설치된 풍압센서(APS : Air Pressure Sensor)의 출력전압을 측정하여 배기통의 정상상태와 이탈상태를 감시하는 기능을 추가한다. (2) 배기통이 이탈하면 APS의 출력전압이 상시 운전범위에서 일시적으로 상승하게 된다. 보일러 제어부인 PCB가 이 상태를 배기통 이탈로 간주하여 보일러 가동을 멈추면서 배기통 이탈 상태를 실내온도 조절기에 표시하도록 한다. 또한 국토교통부령으로 정한 「건축물의 설비기준 등에 관한 규칙」에서 명시한 공동주택 및 다중이용시설의 환기시설 기준에 따라, 실내공기 교환횟수에 맞는 풍량을 적용하여 실내공기를 환기하는 실험을 실시하였다. 이 실험 결과 실제 일산화탄소가 실내에 누출된 최악의 상태에서, 중독사고 예방이 가능하다는 것을 확인하였다. 다만, 동 규칙에서 정의한 시간당 실내공기 교환횟수를 기존 0.7회에서 0.5회로 2013년부터 완화하여 운영하고 있는데, 실험결과 8시간 가중평균 노출기준인 TWA 30 ppm을 초과하는 농도가 측정되어 기준을 강화할 필요성이 있다. 본 연구 결과에 기초하여 가스보일러 배기압력의 기계적 인지를 통해 배기통 이탈을 감지하는 기술과 일산화탄소 경보기와 연동된 실내공기 환기시스템 기술을 도입한다면 일산화탄소 중독사고가 크게 감소될 것으로 판단된다. 제조 및 검사단계의 문제점을 보완하고, 올바른 설치 및 수리, 사용자의 배기통 이탈에 대한 관심이 더해졌을 때, 일산화탄소 중독으로 인한 인명사고를 예방하는데 효과적인 대책이 될 것으로 사료된다.

• 한국신재생에너지학회:학술대회논문집
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• 한국신재생에너지학회 2006년도 추계학술대회
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• pp.411-412
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• 2006

PEM(proton exchange membrane) fuel cell have been receiving considerable interest as power source because of high-energy efficiency. However by using reforming hydrogen gas, CO poisoning occur in anode. To improve CO tolerance PtRu catalysts were prepared by galvanostatic pulse electrodeposition. The composition(atomic ratio) of catalysts are controllable by using different concentrations of PtRu solutions. Also, the particle sizes of PtRu on carbon are similar to about $3.5{\sim}4nm$ regardless of concentration.

• 대한임상독성학회지
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• 제4권2호
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• pp.122-127
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• 2006

Purpose: It is not easy to detect carbon monoxide (CO) leakage, and CO-intoxicated patients do not show a specific set of symptoms. The aims of this study are to clinically evaluate patients with CO gas intoxication from a CO leak at an underground shopping center, and to discuss the establishment of a disaster prevention plan. Methods: A total of 51 patients intoxicated by CO gas exposure in a gas disaster at a underground shopping center in Seoul on September 8, 2006 were enrolled in this study, and the patients' medical records were retrospectively reviewed. Results: The mean patient age was $29.4{\pm}6.3$. The initial mean COHb level was $14.98{\pm}6.97%$. The number of patients with COHb greater than 25% was three, and six patients experienced a syncopal attack. Only one patient-was treated with hyperbaric oxygen therapy. However, none of the patients complained of severe neurologic or cardiovascular symptoms. Conclusion: The symptoms of CO intoxication are non-specific and difficult to define, and the detection of CO leak-age is difficult. Thus, workplaces should be equipped with leakage sensors and automatic alarm systems and should have develop disaster prevention plans.

• 한국수산과학회지
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• 제42권4호
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• pp.366-372
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• 2009

This study looked at toxicity of Mediterranean mussels, Mytilus galloprovincialis, which had accumulated paralytic shellfish toxins (PST) from early March to late May 2005 at Jinhae Bay, Korea. Alexandrium sp. was observed in low densities (< 1,000 cells/L) at the beginning of the study in March, increased rapidly in April, declined rapidly and disappeared in May. Although low densities of Alexandrium sp. were observed in March, mussel toxicity exceeded regulation level ($80{\mu}g$ STXeq. /100 g). Peak PSP (Paralytic Shellfish Poisoning) toxicity in the mussels occurred during high Alexandrium sp. cell densities in April. Mussels toxicity decreased with decline of Alexandrium sp. cell density. Major toxin components identified were $GTX_1$, $GTX_4$, followed by $C_1$, $C_2$, $GTX_2$, $GTX_3$ and neoSTX. Trace or sporadic toxin components were STX, $GTX_5$, $dcGTX_2$, $dcGTX_3$ and dcSTX. Toxin component analysis from the middle to end of the study showed that $11{\beta}$-epimers ($GTX_{3,4}$, $C_2$) were converted into $11{\alpha}$-epimers ($GTX_{1,2}$, $C_1$) and started to determine STX.

• 대한임상독성학회지
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• 제14권2호
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• pp.71-77
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• 2016

Purpose: No studies have been conducted to investigate the acute toxicity of aryloxyphenoxypropionate herbicides in humans following ingestion. Therefore, this study was conducted to investigate the clinical characteristics of aryloxyphenoxypropionate herbicide poisoning and provide guidance for physicians treating patients who have ingested these types of herbicides. Methods: A retrospective observational case series was conducted using ten patients with history of aryloxyphenoxy propionate herbicide. Data were collected for clinical manifestation, management and final outcome. Results: The most common symptoms were gastrointestinal irritation and an altered mental state (Glasgow Coma Scale<15). An elevated lactate level was a common laboratory abnormality, and prolonged QTc interval was commonly observed. These clinical features normalized within one day of supportive treatment. Conclusion: The acute toxicity of aryloxyphenoxypropionate herbicides in humans is manageable with supportive treatment. However, physicians should take into account depressed consciousness, the possibility of arrhythmia, and an elevated lactate level when planning their treatment strategy.

• 한국세라믹학회지
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• 제44권12호
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• pp.715-719
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• 2007

STS444 with or without $La_{0.9}Sr_{0.1}MnO_3$ (LSM)-coating was contacted to $La_{0.6}Sr_{0.4}Co_{0.2}Fe_{0.8}O_3$ (LSCF) cathode on various electrolyte materials and the polarization resistance $(R_p)$ was measured by impedance spectroscopy. By making a symmetric half-cell and contacting only one side of the cathode with the interconnect, the effect of chromium (Cr) poisoning was separated from the aging effects. When the LSCF cathode was contacted with LSM-coated STS (stainless steel), $R_p$ of LSCF was lower than that contacted with the uncoated STS. Impedance patterns measured for the working electrode (W.E.), the counter electrode (C.E.) at $600^{\circ}C$ in air were analyzed. Normalized data of net Cr effect showed that $Ce_{0.9}Gd_{0.1}O_2$ (GDC) electrolyte is more tolerant to the chromium poisoning than $La_{0.9}Sr_{0.1}Ga_{0.8}Mg_{0.2}$ (LSGM) or 8 mol% $Y_2O_3-doped$ $ZrO_2$ (YSZ) electrolytes.

• 대한임상독성학회지
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• 제18권1호
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• pp.42-46
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• 2020

Tetramine toxicity due to sea snail ingestion is generally mild and has a good prognosis. Tetramine toxicity acts on the acetylcholine receptor, affecting the neuromuscular junction and autonomic nervous system. A 78-year-old female patient visited the emergency room with vomiting and dyspnea after eating sea snails. At the time of admission, the vital signs recorded were 140/80 mmHg-105/min-24/min-36.5℃, and 90% oxygen saturation. Arterial blood test revealed hypercapnia (pCO₂ 58.2 mmHg) and respiratory acidosis (pH 7.213, HCO₃^- 22.5 mmol/L), whereas other blood tests showed no specific findings. Due to decreased consciousness and hypoxia, endotracheal intubation and mechanical ventilation were administered to the patient. Successful weaning was accomplished after 12 hrs, and the patient was discharged without any further complications. Although tetramine toxicity rarely results in acute respiratory failure due to paralysis of the respiratory muscle, caution is required whilst treating the patient.

• Journal of Medicine and Life Science
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• 제18권1호
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• pp.20-23
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• 2021

Methemoglobin is generated by the oxidation of ferrous iron to ferric iron within a hemoglobin molecule. Methemoglobin is unable to bind and transport oxygen, resulting in methemoglobinemia, which can lead to fatal tissue hypoxia. The most common cause of methemoglobinemia is poisoning by oxidizing agents such as dapsone, benzocaine, and primaquine. However, methemoglobinemia can also be caused by normal dietary sources. We present two cases of methemoglobinemia that developed after a normal diet in two male patients. In this case report, the patients suddenly developed dyspnea and cyanosis after eating the same meal. They had no history of suspected poisoning, such as the use of drugs, exposure to chemicals, or gas inhalation. Their symptoms did not improve even after a high dose of oxygen was administered; further, an abnormal 'oxygen saturation gap' was observed. Because of CO-oximetry, the methemoglobin levels of the patients were 50.0% and 46.6%, respectively. We administered methylene blue (1 mg/kg), and the patients recovered completely without any complications. Emergency physicians should, therefore, be aware that methemoglobinemia can also be caused by normal dietary sources. In addition, if the source and route of contamination are unclear, an epidemiological investigation should be conducted.