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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 孫家棟(Chia-Tung Shun) | |
dc.contributor.author | Chao-Fung Cheng | en |
dc.contributor.author | 鄭兆峰 | zh_TW |
dc.date.accessioned | 2021-06-16T08:08:05Z | - |
dc.date.available | 2014-10-09 | |
dc.date.copyright | 2014-10-09 | |
dc.date.issued | 2014 | |
dc.date.submitted | 2014-06-03 | |
dc.identifier.citation | 1. Chang, S.-S., et al., 'Hidden' suicides amongst deaths certified as undetermined intent, accident by pesticide poisoning and accident by suffocation in Taiwan. Social Psychiatry And Psychiatric Epidemiology, 2010. 45(2): p. 143-152.
2. Gunnell, D., et al., The global distribution of fatal pesticide self-poisoning: systematic review. BMC Public Health, 2007. 7: p. 357-357. 3.Gunnell, D. and Eddleston, M., Suicide by intentional ingestion of pesticides: a continuing tragedy in developing countries. International Journal of Epidemiology, 2003. 32: p. 902–909. 4. Chang, S.-S., et al., The impact of pesticide suicide on the geographic distribution of suicide in Taiwan: a spatial analysis. BMC Public Health, 2012. 12: p. 260-260. 5. Desapriya, E.B.R., et al., Demographic risk factors in pesticide related suicides in Sri Lanka. Injury Prevention: Journal Of The International Society For Child And Adolescent Injury Prevention, 2004. 10(2): p. 125-125. 6.Alex, R., et al., Self-poisoning with pesticides in India. BJP, 2007. 190: p. 274-275. 7. Lin, J.J. and Lu, T.H., Suicide mortality trends by sex, age and method in Taiwan, 1971-2005. BMC Public Health, 2008. 8: p. 6. 8. Eddleston, M., et al., Identification of strategies to prevent death after pesticide self-poisoning using a Haddon matrix. Injury Prevention, 2006. 12: p. 333-337. 9. Lee, W.J. and Cha, E.S., Overview of Pesticide Poisoning in South Korea. J Rural Med, 2009. 4(2): p. 53-58. 10. Solomon, C., et al., Acute symptoms following work with pesticides. Occupational Medicine, 2007. 57: p. 505–511. 11. Strong, L.L., et al., Health Symptoms and Exposure to Organophosphate Pesticides in Farmworkers. AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, 2004. 46: p. 599-606. 12. van der Hoek, W. and Konradsen F., Risk factors for acute pesticide poisoning in Sri Lanka. Tropical Medicine & International Health: TM & IH, 2005. 10(6): p. 589-596. 13. Phillips, M.R., et al., Risk factors for suicide in China: a national case-control psychological autopsy study. The Lancet, 2002. 360(9347): p. 1728-1736. 14. Parron, T., HernCindez, A.F. and Villanuevah, E., Increased risk of suicide with exposure to pesticides in an intensive agricultural area. A 12- year retrospective study. Forensic Science International, 1996. 79: p. 53-63. 15. The WHO Recommended Classification of Pesticides by Hazard in Guidelines to Classification 20092010, World Health Organization. 16. Mohamed, F., et al., Pattern of pesticide storage before pesticide self-poisoning in rural Sri Lanka. BMC Public Health, 2009. 9: p. 405-405. 17. 行政院內政部. 統計查詢網. Available from: http://statis.moi.gov.tw/micst/stmain.jsp?sys=100. 18. CPO生理健康網. Available from: http://www.zgxl.net/sljk/imgbody/tongkong.htm 19. Saukko, P.J. and Knight, B., Knight's Forensic pathology, 3ed. 3 ed. 2004. 20. Aggrawal A., Web Mystery Magazine summer 2005. 3(1). 21. Li C, Miller WT, Liang J, Pulmonary edema due to ingestion of organophosphate insecticide. AJR, 1989. 152: p. 265-266. 22. 蔡文仁 and 潘吉豐, 巴拉刈中毒的治療新進展. 內科學誌, 2013. 24: p. 48-63. 23. Warren, A.G., The correction of foot drop in leprosy. Journal of bone and joint surgery, 1968. 50(3): p. 629-634. 24. Hoek, W.v.d. and Konradsen, F., Risk factors for acute pesticide poisoning in Sri Lanka. Tropical Medicine and International Health, 2005. 10(6): p. 589–596. 25. Wagner SL, Diagnosis and treatment of organophosphate and carbamate intoxication. Occup Med, 1997. 12(2): p. 239-49. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/58199 | - |
dc.description.abstract | 台灣自殺方式明顯存有城鄉之間的差距,都會地區大多以燒炭為主,而鄉村地區則以農藥自殺為大宗。以全台統計,農藥自殺為所有自殺方式第三位。南投是以農業經濟為主的縣市,統計發現從2008年至2012年間以農藥自殺占總自殺案件數30.99%,相較其他自殺方式為最多者,足見農藥自殺在法醫實務中之重要性,因此本研究收集上述地區及時間範圍內以農藥自殺者共143例,按照個人因素、農藥因素、環境因素逐項分析,發現以男性(69.2%)、職業為務農者(62.2%)以及大於45歲中老年族群(74.9%)為主。所使用的農藥以巴拉刈(37.1%),氨基甲酸鹽 (25.2%),有機磷殺蟲劑 (16.8%)為前三位。農藥自殺事件發生時大多會在現場遺留農藥(86.7%),並且多發生在室內(67.8%),家中原有存放農藥比例較高(65.7%)。另外以農藥種類與住院天數、屍體各項表徵進行費雪精確性檢定,發現住院天數、瞳孔大小、屍體表面農藥染色、鞏膜黃疸變化在統計上有顯著相關(p<0.05)。由於台灣對於農藥的販售管制並不嚴謹,取得農藥容易,因而成為主要的自殺方式之一,因此,因農藥造成的相關死亡問題,成為法醫實務上重要的課題,希望藉由本篇研究,能清楚描繪出農藥自殺死亡的基本樣態,希對未來法醫實務上之使用有所幫助。 | zh_TW |
dc.description.abstract | In Taiwan, the means of suicide significantly vary between urban and rural area. The most common mean in urban is charcoal burn, while in rural is pesticide-ingested. Previous study showed that suicide with pesticide is the third of all suicidal deaths in Taiwan. In Nantou, an agricultural-economic county, we collected 143 case of pesticide-ingested from 2008 to 2012, which is the most means of all (30.99%). In this study, we analyzed the factors related self-poisoning with pesticide, including hosts, the kinds of pesticides and circumstance. Most cases occurred among male (69.25), farmer (62.2%) and larger than 45 years old people (74.9%). Compared all kinds of pesticides for self-poisoning, the most common pesticide is paraquat (37.1%), followed by carbamate (25.2%) and organophosphate (16.8%). In 124(86.7%) cases, the pesticide had been found in the scene, and the most of scene was inside the house (67.8%). In 94(65.7%) cases, the pesticide had been stored either inside or outside the house. In addition, among the kinds of pesticide, the pesticide related sign and admission days were assessed by Fisher’s exact test. We found that admission days, pupil size, related stain on corpse and sclera icterus vary significantly with different kinds of pesticide (p<0.05). In Taiwan, because of convenient access to pesticide, pesticide ingestion becomes a major of means of suicide. From the study, we sketch the findings of the pesticide ingestion. We hope those results will give some help in future forensic practice. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T08:08:05Z (GMT). No. of bitstreams: 1 ntu-103-R98452007-1.pdf: 703029 bytes, checksum: 734816564dd2bb5456312f384b2746a1 (MD5) Previous issue date: 2014 | en |
dc.description.tableofcontents | 口試委員會審定書 I
誌謝 II 中文摘要 III 英文摘要 IV 目錄 V 表目錄 IX 圖目錄 X 第一章 緒論 1 第一節 研究背景與動機 1 第二章 文獻探討 2 第一節 農藥自殺(self-poisoning with pesticide)的流行病學 2 第二節 農藥自殺的性別與年齡背景 2 第三節 哈登距陣(Haddon matrix)分析農藥中毒事件背景 3 第四節 農藥種類與農藥中毒症狀 3 第五節 農藥自殺之個人因素 4 第六節 農藥自殺之農藥因素 5 第七節 農藥自殺之環境因素 6 第三章 研究材料與方法 7 第一節 研究樣本資料收集與來源 7 第二節 農藥分類 7 第三節 自殺方式粗死亡率估計(Crude mortality rate) 7 第四節 各類研究項目之定義 8 第一項 個人因素 8 第二項 農藥因素 9 第三項 環境因素 9 第四項 相驗屍體狀況 9 4.1 瞳孔變化 9 4.2 眼瞼變化 10 4.3 口鼻狀況 10 4.4 屍體表面外傷 11 4.5 屍體外表農藥染色 11 4.6 黃疸變化 11 4.7 垂足變化 12 第五節 統計方法 12 第四章 結果 13 第一節自殺方式統計 13 第二節資料呈現與描述 13 第三節 農藥種類與各項因素之分析 14 第一項 農藥種類與性別 14 第二項 農藥種類與年齡分層 14 第三項 農藥種類與住院治療時間分層 14 第四項 農藥種類與相驗屍體狀況 14 4.1 瞳孔狀況 14 4.2 眼瞼狀況 15 4.3 口鼻狀況 15 4.4 屍體表面外傷 15 4.5 屍體表面農藥染色 15 4.6 手指甲床發紺 16 4.7 垂足 16 4.8 黃疸 16 第四節 農藥自殺死亡者死亡原因之研判 16 第一項 僅相驗無解剖抽血案例死亡原因之研判 16 第二項 2008至2012年五例解剖及五例抽血毒藥物鑑驗案例之分析 16 2.1 五例解剖案例解剖發現及毒藥物鑑驗情形 16 2.2 五例抽血案例毒藥物鑑驗情形 17 第五章 討論 18 第一節 農藥自殺死亡率之探討 18 第二節 農藥自殺的性別與年齡背景探討 18 第三節 農藥自殺與個人因素之探討 19 第三節 農藥自殺與環境因素之探討 20 第四節 農藥自殺之農藥因素探討 20 第五節 農藥自殺之屍體表徵探討 22 第六章 研究限制 24 第一節 死亡時間估計之限制 24 第二節 對照組選取之限制 24 第三節 解剖案例數量之限制 24 第四節 數據估計誤差之限制 25 第七章 結論 26 參考文獻 27 附錄 29 | |
dc.language.iso | zh-TW | |
dc.title | 台灣南投地區2008年至2012年農藥中毒自殺死亡案例分析 | zh_TW |
dc.title | The Analysis of Fatal Pesticide Self-poisoning in Nantou County, Taiwan, 2008-2012 | en |
dc.type | Thesis | |
dc.date.schoolyear | 102-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 郭宗禮(Tsung-Li Kuo),蔡崇弘(Chung-Hung Tsai) | |
dc.subject.keyword | 台灣,自殺,農藥中毒, | zh_TW |
dc.subject.keyword | Taiwan,suicide,pesticide poisoning, | en |
dc.relation.page | 57 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2014-06-04 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 法醫學研究所 | zh_TW |
顯示於系所單位: | 法醫學科所 |
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