• 대한임상독성학회지
• /
• 제2권1호
• /
• pp.1-6
• /
• 2004

Purpose: A number of reports about the intoxicated patients have been introduced, but there were few multicenter studies. The purpose of this study was to analyse the patients with toxic exposure in the Daejon province. Methods: The patients who were presented to the four academic emergency departments in Daejon with toxic exposure were enrolled from January to June 2003. The collected variables were according to the form which modified from the Toxic Exposure Surveillance System (TESS) of the American Association of Poison Control Centers. Results: The toxic exposure patients were 362 cases which is $0.78\%$ of total patients presented to the emergency department. The most common exposure site was home ($84\%$). Eighteen percent of cases were exposed by two or more substances. The most common substance was the pesticides ($34.8\%$), and the non-prescription drugs ($32.6\%$) was followed. The suicidal attempt was the top reason for exposure ($67.1\%$). The route of exposure other than ingestion was $3.6\%$. Although the most patients left the hospital within a day, the average treatment period was 4.4 days. Thirty-one patients ($8.6\%$) were expired, and 22 among them were exposed to the paraquat. Conclusion: We reported the current status of toxic exposure in Daejon province by modified TESS style.

• 대한임상독성학회지
• /
• 제15권2호
• /
• pp.86-93
• /
• 2017

Purpose: Some advanced countries have reported annual statistics for poisoning based on data from poison control centers. This study was conducted to propose a baseline format and statistics of poisoning in Korea from a national representative database. Methods: This study was a retrospective analysis of poisoning patients based on data from an emergency department (ED) based injury in-depth surveillance project by the Korea Centers for Disease Control and Prevention in 2016. Bite or sting injuries were not included. Variables related to poisoning were summarized using a similar format as the National Poison Data System in the United States. Results: A total of 7,820 poisoning patients presented to 23 EDs. Adults ${\geq}20$ years accounted for 84% of the population, while the proportion of intentional poisoning was 59.4%. The most common poisoning substances were therapeutic drugs (45%), gas (21%), pesticides (15%), and artificial toxic substances (13%). Overall, 34.5% of patients were admitted for further treatment. The mortality was 3.2% (248 cases), and the most common causative substances were carbon monoxide, glyphosate, and paraquat, in order. Conclusion: This study showed the recent status of poisoning in Korea. However, a comprehensive poisoning registry based on poison control centers may be required to provide more accurate national statistics in the future.

• Molecules and Cells
• /
• 제21권2호
• /
• pp.261-268
• /
• 2006

The Drosophila methuselah (mth) mutant has an approximately 35 percent increase in average lifespan, and enhanced resistance to various forms of stress, including starvation, high temperature, and dietary paraquat. To examine the transcriptional regulation of mth, we used luciferase assays employing Drosophila S2 cells. Two positive control elements were found at -542 ~ -272 (PE1) and +28 ~ +217 (PE2), where putative binding sites for transcription factors including Dorsal (Dl) were identified. Cotransfection of a Dl expression plasmid with a mth-luciferase reporter plasmid resulted in decreased reporter activity. PE1 and PE2, the minimal elements for strong promoter activity, were required for maximal repression by Dl protein. The N-terminal Rel homology domain (RHD) of Dl was not sufficient for repression of mth. We demonstrated by chromatin affinity precipitation (ChAP) assays in S2 cells that Dl bound to the putative PE1 binding site. Unexpectedly, semi-quantitative RT-PCR analysis revealed that the level of mth transcripts was reduced in dl flies. However, the in vivo result support the view that mth expression is regulated by dl, since it is well known that Dl functions as both a transcriptional activator and repressor depending on what other transcription factors are present. These findings suggest that both innate immunity and resistance to stress are controlled by Dl protein.

• 한국잡초학회지
• /
• 제16권3호
• /
• pp.176-180
• /
• 1996

지속적 농업을 구현하는 차원에서 제안된 논 무경운체계에서 이앙전 발생한 둑새풀을 효과적으로 방제하기 위하여 제초제의 종류와 처리시기 및 처리약량을 달리하여 둑새풀 방제가, 재생정도 및 전년도 탈립된 벼의 발생정도를 조사한 결과는 다음과 같다. 1. 둑새풀은 4월중순부터 생육이 급격히 진전되었으며, 무경운 경관년수가 깊어질수록 그 발생량은 많아졌다. 2 둑새풀 방제를 위하여 Glyphosate를 이앙전 20일경에 살포하는 것이 적당하였다. 3. 벼 이앙시 결주율은 비선택성 제초제 처리시기가 늦을수록 높아졌으며, 이앙후 생육은 처리시가가 빠를수록 양호하였다. 4. 잡벼 발생은 비선택성 제초제를 살포하지 않을 경우 1,600개체/10a 정도 발생하였으며, 제초제 처리시기가 늦을수록 적게 발생하였다.

• 동의생리병리학회지
• /
• 제23권6호
• /
• pp.1292-1298
• /
• 2009

Sipjeon-Daebo-Tang (SDT) is indicated for deficiency syndrome of both gi and blood, marked by pale or sallow complexion, dizziness, lassitude, shortness of breath, dislike for talking, poor appetite, pale tongue with thin whitish fur, thready and weak pulse. Gami-Sipjeon-Daebo-Tang(GSDT) is composed of 10 herbs within SDT and Cervi Pantotrichum Cornu (CPC). CPC can noursh kidney-yang, promote the production of the essence and blood, strengthen tendons and bones. Recently SDT is known as anti-cancer drug. Especially CPC is reported to have anti-oxidative action. For these reasons, we investigated the protective effects on cell death induced by chemicals such as paraquat, hydrogen peroxide and anti-oxidative effects in C6 glioma cells. In our results, GSDT accelerated proliferation rates of C6 cells in vitro. In addition, protective effects on cell death induced by hydrogen peroxide and rotenone. In addition, SOD activities were increased by treatment with both SDT and GSDT. In conclusion, these results suggest the possibility of GSDT to protect brain cell or neuronal cell from damage induced by oxidative stress. And also suggest that related mechanisms are involved in SOD activities.

• 한국잡초학회지
• /
• 제15권2호
• /
• pp.141-147
• /
• 1995

Glyphosate (N-[phosphonomethyl)glycine)에 의한 식물체(植物體)의 피해양상(被害樣相)을 알아보기 위하여 토마토(Lycopersicon esculentum Mil)를 대상으로 하여 동화부위(同化部位)에 부분처리(部分處理)하거나 전(全) 식물체(植物體)에 분무처리(噴霧處理)하였다. Glyphosate는 처리 24시간(時間)이내에 shikimic acid의 급속한 체내(體內) 축적(蓄積)을 유도(誘導)하였다. Shikimic acid의 축적(蓄積)은 정단엽(頂端葉)의 분열조직(分裂組織)에서 엽록소(葉綠素)의 감소(減少)를 동반(同伴)하였다. 이때 나타나는 황화(黃化)현상은 생장하는 어린잎의 정단조직(頂端組織)에서 향정성(向頂性)인 현상(現象)이었다 엽록소(葉綠素)의 감소(減少)는 glyphosate의 이차효과(二次效果) 내지 삼차효과(三次效果)인 것으로 보인다. 그렇지만 축적(蓄積)된 shikimic acid의 감소(減少)는 처리 5일째부터 정단엽과 뿌리를 제외하고는 감소(減少)하였다. Shikimic acid의 축적(蓄積) 정도는 처리(處理)된 부위(部位)에 따라 매우 다르게 나타났으며, paraquat를 처리(處理)한 하위(下位) 3엽(葉)에서는 3일 후(後)에 토마토의 정단분열조직(頂端分裂組織)에서 shikimic acid의 수준(水準)이 가장 높게 나타났다.

• Journal of Nutrition and Health
• /
• 제23권6호
• /
• pp.434-442
• /
• 1990

과산화지질 반응 계에서 말론알데히드 정량을 위한 HPLC방법을 개발하였으며, 알파-,베타- 카로텐, 루테인 및 리코펜의 간 마이크로좀 시스템에서의 항산화작용을 새로 개발한 HPLC 방법과 TBA 값으로 비교하였다. 해동횟수에 따른 간 마이크로좀의 말론알데히드 형성능력을 비교하였다. 결과로서, 말론알데히드는 5$\cdot6분만에 확인되었으며, pack area와 농도는 직선 관계를 나타내었다. 해동횟수 증가에 따라 마이크로좀의 지질과 산화 능력은 감소되었으며, 이는 세포막의 파괴에 기인한것으로 사료된다. Fe$^{+3}$-ADP/NADPH와 paraquar/NADPH 반응계에서 리코펜, 루테인 및 알파-카로텐은 베타-카로텐이나 토코페롤보다 강력한 항산화효과를 나타내었다. Fe$^{+3}$-ADP/NADPH 반응 계에서 카로테노이드와 토코페롤의 과산화지질 형성 억제효과는 TBA 값과 HPLC에 의한 말론알데히드 정량에 의해 비교해볼때 유사한 효과를 나타내었다.

• 대한임상독성학회지
• /
• 제8권2호
• /
• pp.51-60
• /
• 2010

Purpose: The aim of this study was to investigate toxic exposures in emergency centers with using a toxic exposure surveillance system-based report form as a preliminary study. Methods: We retrospectively reviewed the medical records of toxic exposure patients who visited emergency centers from January to December 2008. Results: 3,157 patients from 11 emergency centers were enrolled. Males were involved in 47.9% of the total cases of exposure and in 60.1% of the cases of fatal exposure. Suicidal intent was the most common (61.0%) reason and most (87.4%) fatal exposures were suicidal. Pesticides were involved in 30.7% of the cases and sedative/hypnotics/antipsychotics were involved in 20.5%. The substances most frequently involved in fatalities were pesticides, and a 48.4% fatality rate was recorded for paraquat exposure. Conclusion: The toxic exposure data showed the preliminary poisoning events in emergency centers. It is recommended that toxicology professionals should develop a toxic surveillance system and serial reporting should be performed.

• 대한임상독성학회지
• /
• 제19권2호
• /
• pp.133-138
• /
• 2021

Glufosinate-containing herbicides is a non-selective herbicide commonly used worldwide. As the use of them increased gradually since paraquat was banned in 2012, the number of suicides by their ingestion is also increasing continuously. Complications of glufosinate-containing herbicide poisoning include various central nervous system (CNS) toxicities such as convulsions, loss of consciousness, memory impairment, and respiratory depression, which may be accompanied by hemodynamic changes such as bradycardia and hypotension. However, it is very rare that arrhythmias other than bradycardia occurred and Takotsubo cardiomyopathy was combined due to cardiotoxicity. A 71-year-old female patient was transferred to our hospital after ingesting 500 mL of glufosinate-containing herbicide and receiving 5 L of gastric lavage at a local hospital. A few hours later, she presented stuporous mentality, respiratory depression, and convulsions, and was accompanied by hypotension and bradycardia. On the second day of admission, electrocardiogram (ECG) showed bradycardia and QTc prolongation with hemodynamic Instability. Accordingly, we conducted the early treatment with continuous renal replacement therapy (CRRT) and the application of temporary cardiac pacemaker. An echocardiogram demonstrated decreased ejection fraction (EF) and Takotsubo cardiomyopathy on the third day of admission. Then, she was discharged safely with conservative treatment. At the follow-up after 1 year, Takotsubo cardiomyopathy, EF and QTc prolongation were recovered on echocardiogram and ECG. Because cardiac toxicity after glufosinate-containing herbicide poisoning may cause life-threatening consequences, caution is required while treating the patient. Therefore, if electrocardiogram changes are seen in the elderly with a large amount of glufosinate herbicide ingestion, additional cardiac function test through echocardiography should be concerned, and early treatment through CRRT or artificial cardiac pacing should be considered.

• 대한임상독성학회지
• /
• 제2권2호
• /
• pp.83-89
• /
• 2004

Acute poisoning is one of the diseases which need the most fastest emergency measures at the very beginning. However, at present, The Korea doesn't manage the toxication all over the country, and in particular, there is no guide to medical cure paying due regard to the traits of each area. This paper focused on the issue that the necessary data in preparing the facilities for the treatment of the poisoned patients and materials for medical treatment including antidote would have to be collected, after finding the special features of the symptoms by searching the present conditions of the poisoning in small towns next to farm villages in the North area of Youngseo, Kangwon province. This study was based on the questionnaires from 111 patients who were carried into the emergency room by the poisoning in two university hospitals of the North area of Youngseo, Kangwon, for one year, 2002. Upon investigation, the patients(111) visiting emergency room by the acute poisoning during the research period was found to be 0.37 percent of all patients(30,085) visiting emergency room. Among them, the most high percentage was given in their twenties and thirties at the rate of $39.6\%$, and the ratio($40.5\%$) of the poisoned patients after their fifties was much higher than a research($10\%$) of other areas. Many poisoned patients came to their rescue in an emergency room generally in spring and in winter, from 7 a.m. to 3 p.m. Agricultural chemical of the toxic materials had a majority at a ratio of $57.7\%$, and paraquat of the agricultural chemicals was found to have a lot of toxicity by $31.7\%$. As the trace of the toxication, the oral poisoning was common by $89.2\%$, and $55.9\%$ in the case of operating gastric lavage and nasogastric irrigation, but only $14.4\%$ for prescribing antidote. The mortality of the acute poisoned patients was $17.2\%$, and the toxication by paraquat held a majority. As a result, the acute poisoning of the North area in Youngseo, Kangwon had both of the characteristics of the rural and the city, and the patients over their fifties by the population aging had more attack of the disease than other regions. Also, with the high ratio of the toxication by the agricultural chemicals, especially, the lethal agricultural chemical was used frequently. Therefore, these dangerous situations need to find the ways to cope with.