• 대한약학회:학술대회논문집
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• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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• pp.117.1-117.1
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• 2003

Colchicine is a drug well known for its use in the therapy of acute attacks of gouty arthritis. Two death caused by oral ingestion of colchicine was reported. Two persons were all women. The one was 34 years old woman and with his boyfriend in a inn and the other was a housewife. The first one was a alcoholic but his boyfriend was afflicted with gout. So her boy friend carried over about 60 tablets of colchicine, 4 tablets of naltrexone and 22 tablets of fluoxetine. After her death there were remained colchicine, 2 tabs, naltraxone 4 tabs and fluoxetine 22 tabs. (omitted)

• 대한영상의학회지
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• 제83권6호
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• pp.1354-1359
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• 2022

글루포시네이트 암모늄은 세계적으로 널리 사용되는 제초제로서, 글루포시네이트 암모늄을 함유하는 제초제의 사용이 증가하면서 그에 따른 급성중독 사례도 증가하고 있는 추세이다. 이에 저자들은 글루포시네이트 암모늄 중독 후 발견되는 뇌 확산자기공명영상 소견에 대해 보고하고자 한다. 증례에서 환자는 양측 속섬유막, 중간소뇌다리, 뇌량팽대에서 세포독성부종 소견을 보였다.

• 대한임상독성학회지
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• 제4권1호
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• pp.69-72
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• 2006

Dicamba is a benzoic acid and classified as a chemically related chlorophenoxy herbicide which is widely used for the control of broad-leaved weeds. While the chlorophenoxy herbicide poisoning is known to be uncommon, its ingestion can result in serious or sometimes fatal outcome. A 65-year-old man ingested about 300 ml of dicamba in a suicidal attempt and three hours later he was admitted hospital, complaining abdominal pain, nausea and vomiting. On admission his vital signs were normal and laboratory findings were not remarkable except metabolic acidosis in arterial blood gas analysis. Shortly after the admission endotracheal tube was inserted due to altered mental state and activated charcoal was given after performing gastric lavage. However, his vital signs became unstable 6hrs after the ingestion and mechanical ventilation was started with administration of inotropic agents. In spite of urine alkalization for rapid elimination of the absorbed dicamba, the metabolic acidosis was aggravated with concomitant rhabdomyolysis and acute renal failure, and he died 24 hrs after the ingestion.

• 대한수의학회지
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• 제48권2호
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• pp.131-137
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• 2008

Pesticides are extensively used for the control of crop pests in agriculture and forestry. Organophosphate (OP) and carbamate pesticides are especially effective for the control of a variety of harmful insects. However, these cholinesterase inhibitors are also dangerous to non-target organisms (wildlife and other animals) because of their high acute toxicity. Most poisonings by pesticides occur as a result of misuse or accidental exposure, but intentional killing of unwanted animals also occurs. At the request of a local autonomous entity, we investigated wild bird poisonings by pesticides from 2003 to 2007. The 207 suspicious samples of pesticide poisoning based on the necropsy were analyzed by GC/NPD, GC/FPD, or GC/MSD. We looked for trends in the identification of pesticides in wild birds thought to have died from poisoning. Pesticides were determined in 59% of the total samples analyzed. Phosphamidon and monochrotophos were the most common pesticides identified, which amounted to 77% of the subtotal. Other OP and carbamate pesticides were also found in various concentrations from dead wild birds. The determined rates of pesticides were as high as 86% and 76% in 2003 and 2006, respectively, during an outbreak of avian influenza in Korea.

• 한국산업보건학회지
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• 제28권2호
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• pp.230-239
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• 2018

Objective: The purpose of this study is to identify the kinds and exposure levels of health hazards in the metalworking process in relation to acute poisoning accidents caused by methanol in 2016. Methods: The number of industries, workplaces, exposed workers, regional distribution, and exposure level of health hazards in metalworking process were investigated based on employee exposure assessment database provided by KOSHA (the Korea Occupational Safety and Health Agency), which was collected from workplace hazard evaluation programs in Korea. Exposure metrics for methanol were assessed by RCR (risk characterization ratio). Results: The numbers of processes, workplaces, and exposed workers of metalworking, which include CNC (computer numerical control) were 25, 14,405, and 169,102 respectively. The numbers of samples of chemical hazards including methanol were 91,325, and it was found that workers in metalworking were exposed to 249 kinds of chemical hazards. There were 16 kinds of special controlled substances including beryllium. It is estimated that the number of workplaces involving CNC process was 2,537, and the number of exposed workers was 27,976. In CNC process, the total number of workplaces handling methanol was 36, and 298 workers were estimated to be exposed. There was no exceeded that surpassed the OEL and 49% of samples were below the limit of detection. Methanol exposure concentrations in Gyeonggido Province were statistically significantly higher than in other areas (p <0.0001). Conclusions: In the metalworking process including CNC, there is exposure to a wide variety of health hazards. There was no sample exceeding the OEL for methanol. Therefore, it is necessary to recognize the limits of the employee exposure assessment system and urgently improve measures to prevent the occurrence of events like methanol poisoning.

• The Korean Journal of Physiology and Pharmacology
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• 제20권1호
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• pp.35-39
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• 2016

To conduct a kinetic study of paraquat (PQ), we investigated 9 patients with acute PQ intoxication. All of them ingested more than 20 ml of undiluted PQ herbicide to commit suicide and arrived at our hospital early, not later than 7 h after PQ ingestion. The urine dithionite test for PQ in all of the nine patients was strongly positive at emergency room. Blood samples were obtained every 30 min for the first 2~3 h and then every 1 or 2 h, as long as the clinical progression was stable among the patients for 30 h after PQ ingestion. The area under the plasma concentration-time curve ($AUC_{inf}$), which was extrapolated to infinity, was calculated using the trapezoidal rule. Toxicokinetic parameters, such as the terminal elimination half-life, apparent oral clearance, and apparent volume of distribution ($V_d/F$) were calculated. The maximum PQ concentration ($C_{max}$) and the time to reach maximum PQ concentration ($T_{max}$) were also obtained. Plasma PQ concentrations in nine patients were well described by a bi-exponential curve with a mean terminal elimination half-life of $13.1{\pm}6.8h$. $C_{max}$ and $AUC_{inf}$ were $20.8{\pm}25.7mg/l$ and $172.5{\pm}160.3h{\cdot}mg/l$, respectively. Apparent volume of distribution and apparent oral clearance were $50.9{\pm}61.3l/kg$ and $173.4{\pm}111.2l/h$, respectively. There were a significant correlation (r=0.84; p<0.05) between the PQ amount ingested and $C_{max}$. $AUC_{inf}$ also showed a significant correlation (r=0.83; p<0.05) with the PQ amount ingested. These correlations provide evidence that PQ has dose-linear toxicokinetic characteristics.

• 대한임상독성학회지
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• 제19권1호
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• pp.31-37
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• 2021

Purpose: Acetaminophen (APAP) is a widely available drug responsible for a large part of drug-induced hepatotoxicity in developed countries. Although acetaminophen overdose cases in Korea are being continuously reported, there are no reports related to the level of this drug in the patient's blood or of laboratory analysis at emergency departments (ED). This study sought to analyze the acetaminophen overdose cases at a toxicological laboratory and to survey APAP analysis services offered at select EDs. Methods: We analyzed the demographic and analytic data at a toxicological laboratory run by the National Emergency Medical Center (NMC) in 2019-2020. We surveyed the APAP laboratory service in the 38 regional emergency medical centers (EMCs) and 68 local EMCs near the toxicological laboratory. Results: We studied 175 acute poisoning cases (112 women) with positive blood APAP results (mean age 47.0±24.1 years). Suicide attempts comprised 40.0% of the cases and 30.3% APAP overdose events. In the univariate analysis, we observed that patients were significantly younger, with fewer underlying medical diseases. There were a higher number of APAP overdose events, more favorable initial mental status, more toxic quantity intake in the above treatment line group (p<0.05), In multivariate analysis, the toxic amount intake was significantly more frequent in the above treatment line group (p<0.01). Hospital APAP analysis services were available in six EMCs (3/38 regional and 3/68 local). The hospital blood APAP level reporting intervals were shorter than outside-hospital laboratory services (p<0.01, regional 7.0±3.0 vs. 40.6±27.5, local 5.3±3.1 vs. 57.9±45.1 hours). The NMC toxicological laboratory reporting interval was shorter than the other outside-hospital laboratories (p<0.01, regional 5.7±0.6 vs. 50.2±22.7 local 7.5±3.0 vs. 70.5±41.5 hours). Conclusion: Over the treatment line group, toxic amount intake was significantly more frequent. Only six of 106 EMCs have their own APAP analysis service in their hospitals.

• 농약과학회지
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• 제5권4호
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• pp.57-61
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• 2001

영농에서 노동력 절감을 위해 $2{\sim}3종$ 농약을 혼용하여 살포하는 것은 흔한 농약살포 방법이다. 과수 재배시 널리 사용되고있는 4종 살충제의 상호혼합 및 혼용이 인체에 미치는 영향을 구명하고 안전성을 확보할 목적으로 급성독성시험, 유기인계 및 카바메이트계 농약의 주 저해효소인 콜린에스테라제의 활성에 미치는 영향을 평가하였다. 포스팜액제, 디디브이피 유제, 피레스 유제 및 푸라치오카브 유제의 단제 및 혼합제에 대한 급성독성 및 콜린에스트라제의 활성에 미치는 영향을 시험한 결과 포스팜 액제 및 디디브이피 유제의 급성경구독성 $LD_{50}$은 랫드에서 각각 30 mg/kg, 93 mg/kg로 고독성이었으며 나머지는 보통독성이었다. 혼합에 의한 급성경구 및 경피독성 시험결과, $LD_{50}$이 이론치보다 $0.29{\sim}1.0$ 배정도 낮은 상승독성이 발현되었다. 혼용에 의한 급성경구독성 시험결과 포스팜+디디브이피 조합의 경우, $LD_{50}$이 16 mg/kg로 맹독성 농약으로 구분되었으며, 그 외의 조합은 모두 고독성 농약으로 구분되었다. 급성경피독성시험의 경우도 경구와 동일한 결과로 독성발현이 전체적으로 상승되었다. 농약의 혼합에 의한 혈장내 cholinesterase 의 $ID_{50}$의 변화는 약제처리 30분에는 이론치보다 현저한 효소억제가 인정되었으나, 60분에는 이론치와 큰 차이가 없었다.

• 농촌의학ㆍ지역보건
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• 제25권2호
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• pp.245-263
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• 2000

본 연구는 자기기입식 설문조사를 통해 농약살포를 대부분 담당하는 남성 농민들에 대하여, 농부증을 포함한 만성증상과 농약살포시의 이상증상경험, 이상증상 경험시 살포한 농약, 농약살포시의 안전수칙 준수, 보호구의 착용실태, 가족 중 농약으로 인한 사고경험을 조사하고, 농약노출과 연관된 변수들간의 연관성, 급성중독경험 및 만성증상과 관련된 요인을 고찰하였다. 만성증상으로는 '몸이 나른하고 힘이 없다', '허리가 아프다'. '밤중에 소변을 보기 위해 깬다' 등의 증상이 많았으며, 농약살포 시의 임상증상 경험율은 '피부발진/가려움증', '어지러움/두통'의 경우가 가장 높은 것으로 조사되었다. 또한, 조사 대상자의 7.1%가 가족중 농약으로 인한 사고경험이 있는 것으로 조사되었으며, 이중 농약살포시 중독, 안전사고 및 자살사례를 확인할 수 있었다. 농약살포 시의 준수사항 중, '뿌린 후 목욕을 한다'와 '뿌린 후 바로 옷을 갈아입는다' 등의 경우가 준수율이 높았으나, '보호구를 잘 세탁해서 보관한다', '뿌린 후 용변을 볼 경우 손을 씻는다', '한낮에는 뿌리지 않는다' 등의 경우는 낮은 준수율을 보였다. 농약살포시 보호구는 '물에 타서 살포할 경우', '입제를 살포할 경우'에 비해 보호구를 더 잘 착용하였으며, 착용율은 모자, 장화, 마스크, 장갑, 방제복 하의의 순이었다. 농약살포시 이상증상경험과 관련된 요인은 농약살포시 준수사항 준수, 살포시간, 과수재배, 경작면적, 연간 농약살포일 등이었으며, 농민의 만성증상과 관련된 관련된 요인은 농약살포시 이상증상 경험, 경작면적, 농사경력, 농약살포시 준수사항 준수, 전업여부, 농약에 대한 노출 등이었다. 본 연구결과를 통해 농약살포시 준수사항의 준수율과 보호구 착용율을 높이며 농약으로 인한 안전사고를 방지하기 위한 체제적인 교육 및 홍보가 필요함을 알 수 있다. 또한, 농약에 대한 노출이 농민의 만성증상의 한 원인이라는 결론을 내리기는 어려우나, 원인적 연관성일 가능성을 배재할 수는 없을 것으로 생각되며, 따라서, 농약노출을 정확히 산출하고, 좀더 명확한 건강영향의 생물학적 지표(biological marker)를 측정하여 이들의 연관성을 고찰하는 연구가 이루어져야 할 것으로 생각된다.

• 대한임상독성학회지
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• 제10권1호
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• pp.22-32
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• 2012

Purpose: The purpose of this study was to examine the occurrence of toxic exposure cases in Korean emergency centers using a toxic exposure surveillance system-based report form and to provide guidelines for the prevention and treatment of toxic exposures. Methods: We retrospectively reviewed the medical records of toxic exposure patients who had visited emergency centers from January 2009 to December 2009. Epidemiology data points for the toxic exposure cases included age, gender, type of exposure, number and kind of substances involved, reason and route of poison exposure, management of the patients in the emergency departments, and the clinical outcome. Results: A total of 3,501 patients from 12 emergency departments were enrolled in the study. 50.0% of the total exposure patients were male and 63.0% of the total cases were fatal. Acute intoxication occurred in 91.3% of the total patients and suicidal intent was the most common (43.3%) reason for exposure. The most common route of exposure was ingestion (75.9%). Of the total cases, pesticides were involved in 26.3%, sedatives/hypnotics/antipsychotics were involved in 22.0%, and bites and envenomations were involved in 15.7%. Conclusion: We provided a database of patients who were admitted to emergency departments after poisoning incidents. We recommend that toxicology professionals develop a classification scheme for toxicants which is adequate for Korean domestic circumstances and initiate a toxic surveillance system for all types of exposures. With support of a psychiatric surveillance system for suicidal patients and establishment of social mediation for pesticide poisoning, major reductions in poison exposures can be achieved.