Radiocarbon Dating of Skeletal Remains: Case Report / 대한법의학회지

While radioactive isotope analysis has proved to be a useful method in disciplines such as archaeology and forensic anthropology, more recently, radiocarbon dating has allowed for a more nuanced biological profile of human skeletal remains. Radiocarbon dating has been made possible by the above ground nuclear bomb test conducted in 1963, which raised the level of atmospheric radiocarbon concentration to almost twice the natural level. Because the annually measured tropospheric ¹⁴C concentrations are integrated into the bomb peak curve, the time of birth and death of an individual can be estimated by comparing the radiocarbon content of a skeletal sample to the bomb-curve value. In July 2017, about 1,000 skeletal remains were excavated at the construction site of Sokcho. For medico-legal purposes, we conducted anthropological and odontological examinations of all the human remains. We then conducted the radiocarbon analysis on seven femora (head and body portions), five mandibular teeth, and soil from the site through a request to the Korea Institute of Geoscience and Mineral Resources. The results demonstrated that the estimated year of birth or death was prior to the 1950s. Due to the diverse distribution of results, we deduced that the human remains were from the local mass grave. This study supports and suggests the use of radiocarbon dating more frequently in the analysis of human skeletal remains.

Representación mediática de la acción de protesta juvenil: la capucha como metáfora / Media representaitons of youth protests: The hood as a metaphor / Representação midiática da ação do protesto juvenil: O capuz como metáfora

Este estudio muestra cómo un reportaje televisivo construye a los estudiantes como actores inherentemente agresivos y socialmente desviados, retratándolos como responsables de la colocación de una bomba en una estación de metro en Santiago (Chile) el año 2014. Se aborda la figura del 'encapuchado' como representante de la juventud movilizada, la cual es sistemáticamente marginalizada y excluida de la esfera pública en el relato periodístico. Las metodologías provienen de los Estudios Críticos del Discurso, a partir de las cuales tanto el texto como las imágenes se analizaron en relación con la recontextualización de acciones y motivaciones en la estructura narrativa. Los resultados sugieren que el joven encapuchado se utiliza metafóricamente para deslegitimar al movimiento estudiantil en su conjunto. También se destacan contribuciones interdisciplinarias al campo de los Estudios de Juventud.

This study aims to demonstrate how one particular television report constructs an image of students as inherently aggressive and socially deviant social actors, portraying them as the ones responsible for the placement of a bomb in an underground station in Santiago (Chile) in 2014. The authors approach the figure of the hooded demonstrator ('encapuchado') as representative of mobilized youth, who are systematically marginalized and excluded from the public sphere through the news story. Methodologies from Critical Discourse Studies are used in the study, in which textual and visual modes of discourse are analyzed in relation to the recontextualization of actions and motives included in the narrative structure. Results suggest that young hooded students are metaphorically used to delegitimize the student movement as a whole, actively contributing to the interdisciplinary field of Youth Studies.

Este estudo revela como uma reportagem televisiva constrói estudantes como atores sociais intrinsecamente agressivos e socialmente desviados, retratando-os como os responsáveis pela colocação de uma bomba em uma estação do metrô em Santiago (Chile) em 2014. Aproximamo-nos da figura do 'encapuzado' como representante da juventude mobilizada, sistematicamente marginalizada e excluída da esfera pública através da notícia. As metodologias estão ligadas aos Estudos Críticos de Discurso, do qual tanto o texto como as imagens foram analisadas em relação à recontextualização de açôes e motivos na estrutura narrativa. Os resultados sugerem que os jovens encapuzados são usados metaforicamente para deslegitimar o movimento estudantil como um todo. Também são destacadas contribuiçôes interdisciplinares para o campo dos Estudos da Juventude.

Efecto agudo de Complex Training en press banca sobre la distancia del lanzamiento de la granada / Acute effect of a Complex Training over grenade throwing distance

Objetivo: determinar el efecto agudo de un Complex Training en press banca sobre el lanzamiento de la granada en pentatletas militares profesionales y aficionados. Métodos: diecinueve pentatletas militares divididos en dos grupos fueron parte del estudio. Las variables medidas fueron: distancia máxima del lanzamiento de la granada y potencias máximas en press banca. El protocolo consistió en: 4 series de 5 repeticiones al 30 por ciento de una repetición máxima, más 4 repeticiones al 60 por ciento de una repetición máxima, más 3 lanzamientos de granada con pausa de 15 segundos. Para el análisis estadístico se utilizó ANOVA de medias. Resultados: la distancia máxima del lanzamiento de la granada presentó un aumento significativo entre la Serie Control y las cuatro series experimentales para el Grupo Profesional (p= 0,0019, tamaño del efecto= 0,370) y un descenso significativo en el Grupo Aficionado (p= 0,0128, tamaño del efecto = 0,305); las potencias máximas en press banca no sufrieron modificaciones significativas en ambos grupo (Grupo Profesional p= 0,15, tamaño del efecto= 0,166; Grupo Aficionado p= 0,17, tamaño del efecto= 0,199). Conclusión: el efecto agudo positivo del Complex Training fue atribuido a la Potenciación Posactivación de la musculatura involucrada en el lanzamiento. El descenso significativo en el lanzamiento de la granada observado en el Grupo Aficionado fue atribuido a la imposibilidad de sintetizar ATP posesfuerzo, lo que indujo una fatiga muscular(AU)

Purpose: Determining the acute effect of a Complex Training in bench press over grenade throwing in professional and amateur military pentathletes. Methods: Nineteen military pentathletes divided into two groups were part of the study (Professional Group = 10 and Amateur Group = 9). Variables measured were: Distance maximum in grenade throwing and peak power in bench press. Complex Training protocol consisted of: 4 sets of 5 repetitions at 30 percent of one repetition maximum + 4 repetitions at 60 percent of one repetition maximum + 3 grenade throws with a 15-second rest. For the statistical analysis, repeated measures ANOVA was used, the effect size was estimated with Eta Partial Squared. Results: Distance maximum of grenade throwing showed a significant increase between the Control Set and the four experimental sets for the Professional Group (p = 0.0019, effect size = 0.370) and a significant decrease in the Amateur Group (p = 0.0128, effect size = 0.305); peak power in bench press did not suffer significant modifications in both groups (Professional Groupp = 0.15, effect size = 0.166; Amateur Group p = 0.17, effect size = 0.199). Conclusions: The results of the study showed a positive acute effect from Complex Training on the distance of grenade throwing only for professional military pentathletes, such effect was attributed to a Post-Activation Potentiation of the muscles involved in throwing. The significant decline in grenade throwing observed in the amateur military pentathletes was attributed to the impossibility of synthetizing ATP post-workout(AU)

Well-being and post-traumatic stress disorder due to natural and man-made disasters on adults

Research has shown that man-made disasters effect people more severely than natural disasters. Females are affected more severely as compared to males in disasters. The most prominent effects are low well-being and high post traumatic stress disorder [PTSD]. To compare the differences in well-being and PTSD among adults exposed to natural and man-made disasters. This cross-sectional survey was conducted on 150 young adults exposed to flood in Punjab [50], terrorism in KPK [50] and suicide bombing [terrorism] in Islamabad [50]. Adults exposed to natural disaster like flood scored significantly higher on well-being as compared to adults exposed to man-made disaster like terrorism and suicide bombing. Post-traumatic stress disorder was more in terrorism exposed adults as compared to flood exposed adults. Within gender, females adapted better to man-made disasters. Adults exposed to natural disaster adapt better than those exposed to man-made disaster and females adapt to man-made disasters better than men

Transverse Fracture of the Stapes Anterior Crus Caused by the Blast Pressure from a Land Mine Explosion

Stapes fractures without other ossicle problems are rare and ossicle problems due to explosion pressure are also rare. We describe a very rare case of stapes anterior crural fracture resulting from a land mine explosion. As this case suggests, a close examination of the ossicles is necessary during an exploration tympanotomy.

A Case of Pupillary Block and Increased Intraocular Pressure after Nd:YAG Laser Posterior Capsulotomy

PURPOSE: To report a case of pupillary block and increased intraocular pressure caused by vitreous prolapse after Nd:YAG laser posterior capsulotomy. CASE SUMMARY: A 70-year-old male visited the hospital for decreasing visual acuity and ocular pain in the left eye. Two days earlier, he had undergone Nd:YAG laser posterior capsulotomy in the left eye. Best corrected visual acuity (BCVA) was 0.63 in the right eye and FC 60 cm in the left eye. Intraocular pressure (IOP) was 14 mm Hg in the right eye and 64 mm Hg in the left eye. Slit-lamp examination revealed diffuse corneal stromal edema and iris bombe with vitreous prolapse in the anterior chamber. Gonioscopy confirmed a closed angle. Pupillary block and increased intraocular pressure were diagnosed. A Nd:YAG laser iridotomy was performed. Three days after the iridotomy, BCVA was 0.2 and IOP was 11 mm Hg in the treated eye. Slit-lamp examination revealed reduced vitreous prolapse in the anterior chamber. CONCLUSIONS: This is the first report of pupillary block and increased IOP caused by vitreous prolapse after Nd:YAG laser posterior capsulotomy in Korea. Physicians should be aware that pupillary block could be caused by prolapsed vitreous after Nd:YAG laser posterior capsulotomy and Nd:YAG laser iridotomy could be performed effectively in such cases.

Craniocerebral injuries in war against terrorism --- a contemporary series from Pakistan / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>Terrorism-related bomb attacks on civilian population have increased dramatically over the last decade. Craniocerebral injuries secondary to improvised explosive devices have not been widely reported in the context of unarmored civilians. This series intends to report the spectrum of these injuries secondary to suicidal and implanted bombs as encountered at the Aga Khan University Hospital, Pakistan (AKUH). Further, a few pertinent management guidelines have also been discussed.</p><p><b>METHODS</b>The hospital database and clinical coding during a 5-year period were examined for head injuries secondary to terrorism-associated blasts. In addition to patient demographics, data analysis for our series included initial Glasgow Coma Scale, presenting neurological complaints, associated non-neurological injuries, management (conservative or operative) to associated complications, and discharge neurological status.</p><p><b>RESULTS</b>A total of 16 patients were included in this series. Among them 9 were victims of suicidal blasts while 7 were exposed to implanted devices. The patients presented with diverse patterns of injury secondary to a variety of shrapnel. A follow-up record was available for 12 of the 16 patients (mean follow-up: 7.8 months), with most patients having no active complaints.</p><p><b>CONCLUSION</b>The results of this series show that civilian victims of suicidal and improvised bombings present with a wide range of neurological symptoms and injury patterns, which often differ from the neurological injuries incurred by military personnel in similar situations, and thereby often require individualized care.</p>

Serial bomb blasts in north-east India: A postmortem study.

Terrorism has become a global phenomenon and most of the countries, whether developed or developing, are facing terror activities. Recently the terror activities have become a regular feature in India where more than 15 major terrorist strikes occurred from 2008 to 2010. Assam, the gateway of northeast India, on 30th October 2008 witnessed a strategically planned terrorist multiple consequential serial bomb blast attack where more than 13 bombs were exploded within a span of merely 10-20 minutes. The news on the next day indicated the initial death of 66 persons; and 470 sustained minor to severe injuries during the explosions in different places. Out of these ultimately 90 persons had died, which was the highest mortality in any blast in the Assam till that date. The dead bodies of 56 victims were brought to Gauhati Medical College and Hospital mortuary for postmortem examination. During autopsy apart from the demographic data collected on interaction with police, relatives of the victims and inquest papers of every victim, the postmortem findings were recorded in details and the difficulties faced in the management of this disaster in mortuary will be discussed in this paper.

Unrecognized Bomb Hidden in the Babies' Room: Fatal Pulmonary Damage Related with Use of Biocide in Humidifiers

No abstract available.

Post-traumatic stress disorder - a psychological aspect of maxillofacial trauma

The purpose of this study is to find out the incidence of Post-Traumatic Stress Disorder in patients with maxillofacial trauma and to provide a circumstantial evidence for certain precautionary measures which will play a basic role in the prevention and management of Post-Traumatic Stress Disorder amongst such patients. The study was carried out at the Department of Oral and Maxillofacial Surgery, Khyber College with maxillofacial Pakhtunkhwa, Peshawar from June 2009 to May 2010. Two hundred and Ninety patients with maxillofacial trauma were recruited in this study. For the collection of data, Post-Traumatic Stress Disorder Checklist Civilian version consisting of 17 items was used. The collected data and all relevant information were analysed using SPSS Version 17.0. The results of the present study showed that out of 290 patients, 90 patients [31.03%] had Post-Traumatic Stress Disorder symptoms in which 40 [44.44%] were males and 50 [55.56%] were females. The largest age group suffered from Post-Traumatic Stress Disorder symptoms were 16-25 years and 26-35 years [33.33% each]. Thirty four patients [27.78%] scored 50 or above on Check list indicating severe symptoms, where 27 females [30%] had severe symptoms as compared to 7 males [7.78%]. Young patients between ages 16-35 were the most common group who suffered from severe symptoms. The severe symptoms of Post-Traumatic Stress Disorder were seen in victims of road traffic accidents and bomb injuries [22.22% and 13.33% respectively] with poor and middle socioeconomic status. The importance of psychological morbidity after major trauma is continuing to gain attention in trauma outcomes research. Taking into account the burden of psychological consequences of maxillofacial trauma, further research and preventive strategies are needed to cope with this hidden epidemic in our society

Professor Charles I. McLaren, MD (1) : His Life and Medical Philosophy / 신경정신의학

Professor Charles I. McLaren (1882-1957) was an Australian Christian missionary and a professor of psychiatry in Korea. As the first psychiatrist from a Western country, he accomplished tremendous achievements in clinical, teaching and writing activities as well as in his missionary work. He graduated from the University of Melbourne in 1906 and, after residency training under Professor Dr. Sir Richard Stawell at the Royal Melbourne Hospital, he and his wife came to Korea in 1911. He practised medicine at Margaret Whitecross Paton Memorial Hospital in Chinju, Korea and later was appointed as a professor of psychiatry at the Severance Union Medical School in Seoul, Korea. He left Korea for a while to participate in WWII as a military doctor and he also once traveled to Vienna to learn new skills, including fever therapy and psychoanalysis. Because of his love for the Korean people, Dr. McLaren not only introduced into Korean society modern Western psychiatry and a humanitarian approach to patients with mental disorders, but he also practised medicine according to his own unique medical philosophy drawn from Christian spirituality and he educated Korean native students in psychiatry and Christianity. He and his wife also made efforts to improve old customs in Korean society. Because he argued against Japan's enforcement of emperor-worship, he had to resign from the Severance Medical College in 1939, and he returned to Chinju. Immediately after the bombing of Pearl Harbour, he was arrested, imprisoned, interned, and subequently expelled to Australia in 1942. In Melbourne, received wide press coverage and great controversy. He lectured widely and contributed to various professional and other publications, covering not only subjects in Christianity and medicine/psychiatry, but also his opinions about the war and Japan, communism and the White Australia policy. As a Christian me-dical doctor and scientist, he was interested in the "nature of man", the relationship or interaction between body (brain and/or material) and mind/spirituality, the origin of human consciousness in relation to time-space energy, the healing of disease, and the etiology of mental illness and spiritual treatment. He was passionate in his stated belief that God's Word applied to the whole spec-trum of human relationships, from personal to international, as well as to the natural world. Dr. McLaren kept his conservative Christian beliefs, but he respected traditional Asian philosophies. His thoughts and experiences were publically expressed through lectures, journals and books, not only in Korea but also in China and Australia. He was a man of compassion, courage and ceaseless intellectual activity, a pioneer of psychiatry and a lifelong explorer of the Bible. Korean psych-iatrists, who may feel confused by the many complicated new medical theories and advanced technologies, still find Dr. McLaren's simple and clear teachings on science, medicine, and human nature and his practice of caring for mental patients with a compassionate, humanitarian and Christian attitude a challenging example to emulate.

An unusual case of penetrating ocular trauma with metallic spoon.

Ocular trauma is an important cause of vision loss. The agents incriminated in such injuries are diverse. We present a case of ocular trauma with a metallic spoon causing deep laceration of lid and temple region with sclerocorneal laceration. After assessment of the general condition and stabilization of the systemic parameters the operative procedure was undertaken on elective basis. Though the final visual outcome was not rewarding due to the severity of the injury, any potential hemostatic catastrophe was averted.

The Super Ferry 14 bombing

The worst recorded man-made maritime disaster in the country and in Asia was the bombing of Super Ferry 14 last February 27, 2004. The pre-disaster and post disaster events surrounding the bombing incident were reviewed and summarized. The maritime disaster plan of the Philippine Coast Guard and the responding hospitals were reviewed and evaluation of the medical management of the casualties made. Investigation proved the incident to be due to explosive device brought in by a terrorist due to lapses in security. Prompt response of the disaster management team provided immediate rescue of survivors and provision of emergency management to the injured.

The Evaluation of Metabolizable Energy of Angelica Keiskei (Angelica utilis Makino) Products

We conducted comparative study on metabolizable energy content of extracts of angelica keiskei and its byproduct. Total six different groups consisting of five test groups treated with angelica keiskei and one control group were compared. Each of the five test groups were given 30% of one of whole plant, extracts, fermented of extracts, byproduct and extracts plus byproduct, respectively, mixed with AIN93M. After 3 days of adjustment period, all groups were subjected to 4 days of test period during which the amounts of feed intake and excretion were measured everyday. All feces were treated for the prevention of decomposition and changes before its energy content were measured using a bomb calorimeter. The amount of excretion was 4.8 +/- 0.3 g/rat/3 days in control group and 9.9-15.0 g/rat/3 days in the groups were added with extracts of angelica keiskei indicating that the angelica keiskei-treated groups produce 2-3 times more excretion. Metabolic energy of control diet was 4,133.3 kcal. This was found to be 15 to 20% higher compared with the metabolic energy content ranging from 3,117.0 kcal/kg (extracts of angelica keiskei) to 3,259.8 kcal/kg (extracts plus byproducts) angelica keiskei-treated groups. This is interpreted as the result of the decreased metabolic energy in the test diets were substituted with 30% of ngelica keiskei-treated ingredient which has low metabolic content itself. One notable finding is that the metabolic content of the group mixed with byproducts and extracts (1,763.0 kcal/kg) is 27% higher than that of extracts of angelica keiskei (1,286.8 kcal/kg) indicating that mechanical grinding increases the rate of digestion and absorption increasing, in turn, the energy content used in the body. The results of analysis of overall caloric absorption showed absorption rate in order of Whole plant < extracts < byproduct < extract plus byproduct < fermented of extract.

Injuries associated with landmines and unexploded ordnances in Iran

Although in the last few years there has been increasing awareness of the problem of landmines, there are still an increasing number of people especially children, illed and injured by landmine every week in the world including Iran which is estimated to have the second rank for landmine injuries. Eighteen years after cessation of Iraq-Iran war, the provinces located near the west border of Iran still suffer from the burden of vast areas highly infested with Landmines. This study aims to gather more information on the particulars of mine associated incidents and victims. This is a retrospective study of people with documented deaths or injuries due to landmine and/or unexploded ordnances [UXO] explosions, as documented in their medical files between Jul 1988 [after ceasefire] and Feb 2003. 3713 victims from 3 main organizations in charge of providing health care services for them were included in this study. Of these, 3461 [93.2] were male, and 252 [6.8%] were female. Most of the victims were civilians and the majority of them [40.4%] had one or more amputations. Most of the patients were injured in the period between1994 and 1998. The majority of them were young, and 41.8% were children. The occurrence of death and injuries due to landmine in Iran is regrettably high; this places a significant burden on the health care system, rendering increased commitment of the government a must. Collecting data on accident particulars and landmine victims can provide meaningful information on the risk factors

The Investigation for Damage Patterns by Experimental Detonations of a Hand Grenade / 대한법의학회지

Deaths caused by grenades hardly occur except for during wartime, and can be seen as a particular incident that can be observed only within the military or by acts of terrorism. However, there has never been any data which tried to analyze the damage patterns through mock grenade explosions. So far, the processes leading to deaths were merely inferred by reconstructing the situation with limited intelligence after the incidents have already occurred. Therefore, the authors believe that having mock grenade explosions in order to compare and study the observances with those of the actual incident will be helpful for a more precise and objective medical jurisprudence, and thus have summarized the damage patterned obtained on 8 butchered pigs, that were 6~8 months old, about 100 cm in length and 70~100 kg in weight by photographing with radioactive rays and running autopsies after detonating grenades on them. In conclusion, if there was extensive loss of body parts, the grenade probably exploded when in contact with the lost body parts. If fractures were found the grenade is likely to have detonated contacting or within 25 cm of distance with the body, and if there were no lacerations or loss of body parts the grenade probably exploded at a distance of at least 50 cm. If soot was prevalent on the deceased's body, the grenade is likely to have exploded within a distance of 25 cm from the body at a free floating state, in which it was not in contact with the ground or the body. Lastly, if no soot was found, the grenade most probably detonated at a distance of 50 cm or more. The posture or the direction of the body cannot give precise clues of the victim's state before theexplosion, and a hasty presupposition could be very dangerous in case of contact explosions especially.

Missile diaphragmatic injuries: Kashmir experience

Importance of repairing a diaphragmatic tear due to a missile injury cannot be overemphasized.Even a small diaphragmatic rent should be repaired because of morbidity and mortality caused by subsequent herniation and strangulation. Fifty-three cases with diaphragmatic injuries caused by penetrating missiles were studied from January 1997 to January 2007. All the patients were primarily explored either for thoracic or abdominal penetrating trauma; the diaphragmatic injury was an associated incidental intraoperative finding. Thoracotomy was performed in 18 patients, Laprotomy in 33 patients and in two patients combined thorocoabdominal approach was utilised for managing associated visceral injuries. Overall mortality was 37.7%. Mortality was dependent on associated injuries of thoracic and abdominal viscera. Most patients died due to associated injuries and septicaemia. None of the patients had any sequelae of diaphragmatic repair. Immediate repair of diaphragmatic injury is of paramount importance to prevent subsequent complications of herniation and strangulation

Epidemiological Multi-center Study of Blast Injury in Military Centers

PURPOSE: Recently, the incidence of blast injury has been on the increase worldwide. The purpose of this study was to evaluate and analyze blast injuries in South Korea. METHODS: This was a retrospective multi-center study of blast injuries in three tertiary military centers. The medical records of patients with blast injuries from January 2003 to December 2007 were reviewed. The injury severity was evaluated according to the Injury Severity Score (ISS), the Revised Trauma Score (RTS), and the Trauma Score and the Injury Severity Score (TRISS). RESULTS: This study revealed epidemiological data of blast injury in the three tertiary military hospital. A total of 94 cases of blast injury had occurred. Various body regions were involved. The most frequently injured site was the upper extremity (52.1%). The mechanisms for the blast injuries were primary (41.5%), secondary (74.5%), tertiary (7.4%), and quaternary (29.8%). The mean injury-to-hospital arrival time was 3.2+/-1.7 hour. The rate of admission was 88.3%, and the rate of ICU admission was 32.5%. Thirty-six (36) cases required an emergency operation. Most were performed by an Orthopedist (55.6%), an Ophthalmologist (19.4%), or a general surgeon (13.9%). The mortality rate from blast injury was 4.3%. CONCLUSION: This was the first paper to present data on the type of injury, the site of injury, the cause of death, and the mortality from blast injury in South Korea. Chest injury, brain injury, tertiary injury mechanisms, ISS> or = 16, and a Maximal Abbreviated Injury Scale Score (ABI)> or =4 were significantly associated with death.

A Falsely Reported Case That Cell Phone Battery Explosion Caused Death / 대한법의학회지

A 34 year-old excavator driver was found dead at stone quarry in Cheongwon, North Chungcheong Province, with a severely burnt mobile phone in his shirt pocket and with his chest bruised and ribs fractured. An emergency physician examined him and said that high pressure from an explosion damaged his lungs and heart, leading to his death. So, a number of Korean and foreign newspapers reported that phone battery explosion killed the man. Autopsy showed that the deceased had fractures all over the chest and lacerations of the heart and the lungs. The damages seemed too extensive to be caused by a single mobile phone explosion. Lithium-ion polymer batteries used in mobile phones can catch fire by external forces but they hardly explode like a bomb. We recommended police to reinvestigate the scene and co-worker. So, police reinvestigated the accident scene and the co-worker. The co-worker told police that he hit the deceased while reversing his drill rig at a stone quarry. The incident reminds of us that our postmortem investigation system must be revised.

Acute Arsine (AsH3) Intoxication / 대한신장학회지

The present report describes a case of arsine intoxication. A 36-year-old male technician who handled gas in a semiconductor laboratory was admitted with severe abdominal pain and dark-red-colored urine. He was exposed to arsine gas while changing a gas bomb, since he mistook an arsine bomb for another, a different kind of a bomb. About 30 minutes after exposure, he suffered colicky abdominal pain, nausea, vomiting and dizziness. He noticed gross hematuria one hour later. On hospital in-patient day 2, the 24 h urine arsenic level was >1,000 microgram/day, and the serum arsenic level was 309.4 microgram/L. Since BUN/ creatinine level had risen to 33/2.0 mg/dL at this stage, a hemoperfusion was performed. And then hydration was used to maintain urine output at 2 mL/kg/h. His condition had improved, although he complained of a severe headache which was a neuropathic sequela of arsenic exposure. He was discharged with a normal blood arsine level. To our knowledge, this is the second report of arsine poisoning in Korea but somewhat different from the first case.