• Journal of The Korean Society of Clinical Toxicology
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• v.4 no.2
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• pp.151-154
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• 2006

Acute toxic methemoglobinemia is an infrequent complication of the use of various drugs. Severe methemoglobinemia is very often fatal. Methylene blue is an effective drug in the treatment of methemoglobinemia patients. However, failure to respond to methylene blue has been described in patients with sulfhemoglobinemia, chlorate poisoning, and glucose-6-phosphate dehydrogenase deficiency. It is even possible that hemolysis may occur due to methylene blue treatment itself. We encountered a case of a 71-year-old woman who developed methemoglobinemia caused by alprazolam intoxication. She presented with hemolytic anemia and did not respond to methylene blue. In spite of concerted N-acetylcysteine therapy, the hemolytic anemia became aggravated and the patient died eleven days after intoxication.

• Journal of The Korean Society of Clinical Toxicology
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• v.9 no.2
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• pp.113-116
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• 2011

Superwarfarin, such as brodifacoum, is a highly lethal vitamin K antagonist used as a rodenticide. Brodifacoum has a particularly long half-life in the body, which ranges to several months, and therefore requires prolonged treatment with antidotal vitamin K. We experienced a case whereby an 18-year-old male was presented to the hospital with a severe bleeding disorder. It was discovered that he had ingested brodifacoum rodenticide with intent to commit suicide. Despite continual treatment with vitamin K, the bleeding disorder persisted for several months before he recovered. We report this case with literature review.

• Journal of The Korean Society of Clinical Toxicology
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• v.9 no.2
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• pp.39-48
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• 2011

In mass casualty situation due to radiological accidents, it is important to start aggressive management with rapid triage decisions. External contamination needs immediate decontamination and internal contamination should be treated with special expertise and equipment to prevent the rapid uptake of radionuclides by target organs. Acute radiation syndrome shows a sequence of events that varies with the severity of the exposure. More severe exposures generally lead to more rapid onset of symptoms and severe clinical findings. After the massive exposure, various systems of the body reflect their severe damages that can lead to death within hours or up to several months. The disease progression has classically been divided into four stages: prodromal, latent, manifest illness, and recovery or death. Three characteristic clusters of symptoms including the hematopoietic syndrome, the gastrointestinal syndrome and the cerebrovascular syndrome are all associated with the acute radiation syndrome. The standard medical management of the patients with a potentially survivable radiation exposure includes good medical, surgical and supportive measures. Specific treatment with cytokines and bone marrow transplantation should be considered. The management of internal contamination is much the same as the treatment of poisoning. The standard decontamination should be applied to reduce uptake, and the chelating agents can be administered to enhance the clearance of radioisotopes. Radioactive iodine ($^{131}I$) as one of the nuclear fission products can increase the incidence of thyroid cancer in children. Potential benefit of potassium iodide prophylaxis is greater especially in neonates, infants and small children.

• Journal of The Korean Society of Clinical Toxicology
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• v.8 no.1
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• pp.1-6
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• 2010

Methylene blue is a very effective reducer of drug-induced methemoglobinemia. It has dose-dependent oxidation or reduction properties. In most cases, a dose of 1 to 2 mg/kg IV given over 5 minutes and immediately followed by a 15- to 30-mL fluid flush to minimize the local pain is both effective and relatively safe. The onset of action is quite rapid, and the effects are usually seen within 30 minutes. The dose may be repeated after 30 to 60 minutes and then every 2 to 4 hours as needed. The total dose should not exceed 7 mg/kg as a single dose or 15 mg/kg within 24 hours. Repeated treatment may be needed for treating compounds that have prolonged elimination or those compounds that undergo enterohepatic recirculation (e.g., dapsone). Methylene blue can cause dose-related toxicity. At high doses, methylene blue can also induce an acute hemolytic anemia and rebound methemoglobinemia. The reasons for treatment failure with methylene blue include ineffective GI decontamination, the existence of other forms of hemoglobin (e.g., sulfhemoglobin), a low or high dose of methylene blue and the toxicokinetics of some agents, such as aniline, benzocaine or dapsone.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.7 no.1
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• pp.153-165
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• 1997

This study investigated the current industrial hygiene status of China, a socialistic country, to explore the future direction of industrial hygiene of in Korea. In China, the industrial hygiene is called as labor hygiene, which includes industrial health and industrial hygiene. The main goal of labor hygiene is to protect the health of laborers, promote the productivity and ensure the development of industry and agriculture. Started since the foundation of People's Republic of China in 1949, the labor hygiene developed with the occupational disease science which belongs to clinical medicine, has grown today as an independent science. The labor hygiene has made a rapid progress, especially for the last 20 years. The scope of industrial hygiene was expanded from the prevention and treatment of silicosis to pneumoconiosis and o.ther occupational poisoning caused toxic substances. In addition, not only the prevention of industrial toxication but also the prevention of hazards of phisical causes were included in the scope of industrial hygiene. Based on activation of health centers, the organization for the prevention & treatment of occupational diseases was established at the city, county and state. The industrial hygiene monitoring is being carried out through clear division and partition system.

• Applied Chemistry for Engineering
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• v.2 no.1
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• pp.38-46
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• 1991

Regeneration of Ni catalyst deactivated by carbon-deposition and sulfur-poisoning was studied. When a carbon-deposited catalyst was regenerated by hydrogen, the final recovery of catalytic activity for benzene hydrogenation was large but relatively long period of regeneration was required, and futhermore the deposited carbon could not be removed completely. In case of oxygen-treatment, the regeneration rate was high and the deposited carbon could be removed almost completely after a subsequent reduction treatment. When a sulfur-poisoned catalyst was regenerated by hydrogen and water vapor, the catalytic activity was not recovered. The regeneration treatment with oxygen at $650^{\circ}C$ recovered the catalytic activity up to 60 % of the initial value. When $Cl^-$ was added to oxygen, the activity was easily recovered to 45 % of the initial value even after treatment at $500^{\circ}C$. Sintering of the dispersed Ni particles was enhanced by water vapor but was hindered by oxygen and chlorine addition.

• Archives of Reconstructive Microsurgery
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• v.5 no.1
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• pp.128-136
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• 1996

Radial nerve injury is caused by variety of etiologies, mainly traumatic. It is primarily a motor nerve and loss of it's function leads to a significant disability. Surgical treatments of radial nerve comprise of neurolysis(internal or external), neurorrhaphy(eineural, perineural or epi-perineural), nerve graft and tendon transfer. However, there is still controversies in treatment methods and time of operation. Authors experienced 23 cases of radial nerve injuries who were treated by operative methods and followed up over 1 year's duration. The male to female ratio was 18 to 5 and mean age was 30.7 years old. The causes were 13 cases in fractures, 5 cases in crushing injury, 3 cases in laceration, 1 case in CO poisoning and 1 case in unknown cause. The summary of the study were as follows ; 1. Excellent or good results were obtained in overall 16 cases among 23 cases; 5 of 9 cases in neurolysis, 3 of 3 cases in neurorrhaphy, 2 of 3 cases in nerve graft and 6 of 8 cases in tendon transfer. 2. In cases of neurorrhaphy and nerve graft, primary or delayed repair showed excellent or good results and neurolysis performed before 6 months leads to better results. But there was no correlations between the time of injury and operation in tendon transfer. 3. The radial nerve injury associated with extensive soft tissue defect or any conditions that leads to nerve ischemia results poor prognosis. 4. The patients aged under 40 years showed better prognosis in clinical results according to the age of surgical treatment. 5. If the surgeon decide the method and the time of operation through the exact evaluation of the factors which influencing the end result such as age of the patient, level and type of injury, extent of nerve lesion and the associated tissue injury, good result could be expected.

• Korean Journal of Fisheries and Aquatic Sciences
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• v.47 no.5
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• pp.501-507
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• 2014

Norovirus (NoV) is a major cause of food poisoning outbreaks in Korea. Most NoV outbreaks originate from environmental contamination, but bivalves such as oysters are also important vectors. Oyster Crassostrea gigas contamination by NoV has been reported in Korea, but no quantitative analyses of NoV have been performed. We investigated the NoV concentration in 21 oyster samples from a Korean commercial oyster-growing area with confirmed fecal contamination from January to December 2012, using real-time reverse transcription-polymerase chain reaction. Additionally, we assessed the NoV concentration after heating to investigate the effects of heat treatment on NoV-infected oysters. In NoV-positive samples, the cycle threshold (Ct) values were 37.43-39.41 and 36.77-39.30, while viral concentrations were $8.97{\times}10^2-2.24{\times}10^2$ and $3.05{\times}10^2-7.47{\times}10^1$ copies/g for genogroups I and II, respectively. After heat treatment, NoV genogroup I decreased by 83.4%, 88.0%, 89.4% and 100% at $60^{\circ}C$, $68^{\circ}C$, $70^{\circ}C$, and $100^{\circ}C$, respectively, for 15 min, while genogroup II respectively decreased by 67.3%, 76.3%, 80.1%, and 89.8% under the same conditions.

• Transactions of the Korean hydrogen and new energy society
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• v.22 no.5
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• pp.714-720
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• 2011

Ethanol was used as reducing agent to remove $NO_x$ exhaust from the stationary source. Pre-treatment with sulfuric acid over $Ag/Al_2O_3$ catalyst was dedicated to overcome the $SO_2$ poisoning effect. The $NO_x$ reduction experiment was performed under the simulated condition of power plant The increased surface area with higher CPSI devoted to increase de-$NO_x$ yield. De-$NO_x$ yield of the $NO_x$ exhaust containing 20 ppm of $SO_2$ increased after acid treatment with 0.7% $H_2SO_4$ over 4.0% $Ag/Al_2O_3$, where the increased dispersion of Ag found from the results of XRD and XPS was the dominant factor for the increased de-$NO_x$ yield. However, the reason for the decreased de-$NO_x$ yield with the acid treatment of higher concentration (1.0% and 2.0%) of $H_2SO_4$ was found to be due to the formation of $Ag_2SO_4$ crystallites found from XRD result. Acid-treated $Ag/Al_2O_3$ catalyst showed maximum de-$NO_x$ yield at higher temperature than non-treated $Ag/Al_2O_3$ catalyst did.

• Journal of Haehwa Medicine
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• v.9 no.1
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• pp.711-724
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• 2000

I reached following conclusion through a bibliographic study about the drug dependence. 1. The drug dependence is the case that taking drugs continually in order to get around discomfort and get mental drug efficacy. that is also the state of poisoning that shows compulsions that using all means to get drugs. the drug dependence is coincident with alcolism in Oriental Medicine. 2 Medicinal matters that causes the drug dependence consist of two field. one is licit drugs, including a tranquilizer, a sleeping pill, anti-anxiety drug, alcohol, caffeine, tobacco, etc. the other is illict drugs, including opium products, psychostimulant, a hallucinogen, aromatic agent(adhesives, LSD, etc.) 3. Drugs that causes dependences has the habit which causing mental dependences and the medicinal poisining which causing physical dependences. 4. A syndrome of abstain from the drug which rides on all kinds of drugs is analogous to depressive psychosis, epilepsy, insanity, depressive syndromes, disorder of internal organs, histery, dizziness, etc. 5. The drug dependence causes visceral dysfunction, that is chiefly inflammatory lesion of brain, heart lung etc. (inflammatory lesions os mainly due to infect.) and injuries liver which removes toxic agents and kidney which is an excretory organ. 6. The treatment of the drug dependence, which needs at first check the medical record and the syndrome, is consist of the expectant treatment and isolating treatment as a rule and sometimes mental therapeutics is going on at the same time. 7. The oriental medical cure of the drug dependence needs more concrete study.