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지방중소도시 충주지역의 개발단지규모와 공동주택 단지내 상가 업종구성 연구
노정우(Noh, Jeong-Woo),강윤식(Kang, Yun-Sik),김기수(Kim, Gi-Soo) 대한건축학회 2013 대한건축학회논문집 Vol.29 No.3
The purpose of this study examines the correlation between the development scale of the housing complex and the types of retail among the adjunct commercial facilities and estimates the optimal types of retail and their volumes to offer a standard that could be applicable in the future housing planning. The commercial facilities of apartment housing development in Chung-ju area is examined in details as a case study. The scope is limited to examine the correlation between the development scale of apartment housing and the commercial facilities in Chung-ju city and produce the direction for planning the types of retail of commercial facilities with focus on the case study. Based on the preliminary research, site visits, and the analysis of the apartment housing complex ledgers, the correlation between the development scale of apartment housing and the commercial facilities in Chung-ju city was concretely analyzed, and the demand and the manageable types of retail were estimated, which eventually leads to offering a guideline for planning specific items and their volumes for adjunct commercial facilities.
Paraquat 중독 환자에 대한 hemoperfusion 과 continuous veno-venous hemofiltration 의 치료 효과
노희종(Hee Jong Noh),구자룡(Ja Ryong Koo),이정열(Jeong Yeol Lee),주민하(Min Ha Joo),전만조(Man Jo Jeon),김진철(Jin Cheol Kim),김근호(Gheun Ho Kim),전노원(Rho Won Chun),김형직(Hyung Jik Kim),채동완(Dong Wan Chae),노정우(Jung Woo Noh) 대한내과학회 2000 대한내과학회지 Vol.59 No.6
N/A Background : In Korea, paraquat accounts for most of fatal poisoning with 500 or more deaths per year. It has been known that patients who ingested more than 1/2 mouthful of 20% concentrate paraquat usually die of multiorgan failure and pulmonary fibrosis. But the effect of charcoal hemoperfusion which can enhance elimination of paraquat remains controversial. Because acute paraquat poisoning is also characterized by multiorgan failure including kidney and marked rebound in plasma paraquat level after hemoperfusion, Continuous veon-venous hemofiltration(CVVH) may have theoretical benefits in the treatment of paraquat poisoning. So we evaluated the effect of early charcoal hemoperfusion and prophylactic CVVH after hemoperfusion in patients with paraquat poisoning. Methods : There were 80 patients with paraquat poisoning admitted within 24 hours after ingestion (August 1996 - March 1998). All of them were treated with hemoperfusion (duration of hemoperfusion, 6.4±3.0 hours) within 24 hours of ingestion. The amount of ingestion was 2.1±1.0 mouthful (as 20% concentrate) and 78 (98%) were urine sodium dithionite test positive which is a poor prognosis factor. Forty-four patients received hemoperfusion only and 36 were followed by CVVH (duration, 50.4±20.9 hours; ultrafiltration volume, 33.8±3.9 L/day) after hemoperfusion. Results : There was no difference between the hemoperfusion group and hemoperfusion+CVVH group in age, sex, initial serum creatinine, arterial oxygen saturation, severity of poisoning (as assessed by serum paraquat level determined by HPLC and amount of ingestion), or in the time elapsed from ingestion to the beginning of hemoperfusion. The total mortality was 65% (52/80) with no difference between the hemoperfusion group (64%, 28/44) and hemoperfusion+CVVH group (67%, 24/36). The mortality according to amount of ingestion was as follows: 〈 1 mouthful, 0% (0/5); 1 mouthful, 53% (8/15); 2 mouthful, 65% (11/17); ≥ 3 mouthful, 82% (27/33); unknown, 60% (6/10). Conclusion : Early hemoperfusion can be effective in reducing mortality in patients who ingest less than 2 mouthful. Even though prophylactic CVVH after hemoperfusion has no additional benefit in reducing mortality in paraquat poisoning, it prolonged the time to death after ingestion.(Korean J Med 59:651-656, 2000)
증례 : 신장 ; 복막투석 환자에서 allopurinol 복용 후 발생한 무과립구증 1예
김진경 ( Jin Kyung Kim ),이영기 ( Young Ki Lee ),노정우 ( Jung Woo Noh ),안병무 ( Byung Moo Ahn ),김정한 ( Jung Han Kim ),정영옥 ( Young Ok Jung ),박민정 ( Min Jeong Park ) 대한내과학회 2009 대한내과학회지 Vol.76 No.3
Agranulocytosis is a rare, but sometimes dangerous, adverse reaction to allopurinol. We report the unusual case of a 43-year-old man with agranulocytosis, who received allopurinol while undergoing peritoneal dialysis. The bone marrow biopsy indicated that the agranulocytosis was drug-induced. After ceasing all drugs, isolating the patient, and administering granulocyte colony-stimulating factor (G-CSF), the leukocyte count returned to normal. A relationship between allopurinol therapy and agranulocytosis was presumed. (Korean J Med 76:365-369, 2009)
증례 : 신동맥협착증 환자에서 신동맥 우회재건술 후에 재발한 급성 폐부종 1예
오숙의 ( Sook Eui Oh ),이영기 ( Young Ki Lee ),이해리 ( Hae Ri Lee ),노정우 ( Jeong Woo Noh ),신상준 ( Sang Joon Shin ) 대한내과학회 2006 대한내과학회지 Vol.71 No.3
저자들은 호흡 곤란으로 내원한 환자에서 우측 신동맥의 완전 폐쇄로 신동맥 우회재건술을 시행하였던 환자에서 재발한 flash pulmonary edema 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. 또한 신동맥 협착에 대해 수술적 처치를 한 후에도 드물게 재협착이 올 수 있으므로 지속적인 경과 관찰이 필요할 것으로 생각된다. Renal artery stenosis is a rare cause of acute pulmonary edema. So-called flash pulmonary edema is associated with bilateral renal artery stenosis or stenosis in a single functioning kidney. Flash pulmonary edema has been recognized as an absolute indication for vascular intervention. A 33-year old man was admitted with acute shortness of breath. Renal angiography showed occlusion of the right renal artery. He underwent a right renal artery bypass graft. However, after the renal artery bypass graft, episodes of pulmonary edema recurred. A renal angiography showed complete obstruction of the right renal artery and bypass graft. The left renal angiography showed an intact renal artery and decreased kidney size.(Korean J Med 71:322-327, 2006)
Fanconi 증후군 치료 후 골동통이 호전된 다발성 골수종
권혜리 ( Hye Lee Kwon ),조성진 ( Seung Jin Cho ),송영수 ( Young Soo Song ),송헌호 ( Hun Ho Song ),오지은 ( Ji Eun Oh ),김수진 ( Soo Jin Kim ),김형직 ( Hyeong Jik Kim ),노정우 ( Jeong Woo Noh ) 대한신장학회 2008 Kidney Research and Clinical Practice Vol.27 No.4
Adult Fanconi syndrome is characterized by variable abnormalities caused by renal proximal transport defects, resulting in glycosuria, aminoaciduria, bicarbonaturia, uricosuria and phosphaturia. A 57-year-old man with κ-light chain multiple myeloma, undergoing chemotherapy with prednisolone and melphalan for 17 month, was admitted with spontaneous femoral neck fracture and was consulted due to polyuria and refractory metabolic acidosis immediately after hemiarthroplasty. The laboratory values showed normal anion gap metabolic acidosis with normal urinary anion gap, hypokalemia, hypouricemia, hypophosphatemia at the time of consultation. After partial correction of acidemia, the fractional excretion of HCO3-was 11.9%, it was interpreted as proximal renal tubular acidosis. 24-hour urine collection showed increased level of excretion for most aminoacids. Diffuse osteopenia and multiple compression fractures on spine were detected on radiological examinations. Also, osteoporosis and osteomalacia was suggested during his clinical course. After the diagnosis of Fanconi syndrome was made, treatment was started with sodium bicarbonate, potassium citrate, calcitriol, calcium carbonate along with phosphate rich diet. Laboratory abnormalities were corrected and refractory multiple bone pain was ameliorated with these treatment.
김진철,이정열,구자룡,윤종우,채동완,김근호,전노원,노정우,김형직,노희종,주민하,전만조 대한내과학회 2001 대한내과학회지 Vol.60 No.5
Paraquat, a very potent herbicide, has produced many fatalities through indiscriminate usage and suicides. It is known that with ingestion of more than one mouthful of 20% paraquat, death usually occurs by pulmonary fibrosis. We experienced two cases of successful outcome in patients with paraquat poisoning complicated with pulmonary fibrosis through active, intensive treatment from the early phase after ingestion. They swallowed one to two mouthfuls of the 20% commercial paraquat, and received hemoperfusion within 2-3 hours after ingestion. Then, combination therapy with steroid, vitamin C, D-penicillamine, allopurinol, colchicine was administered from the early phase. They showed moderate to severe hypoxemia and pulmonary fibrosis on chest HRCT during hospital course, but recovered from hypoxemia and remained very well on follow up over 3 months and 12 months after ingestion, respectively. We report these cases with literature review on treatment and prognosis of paraquat poisoning. (Korean J Med 60:490-495, 2001)
혈액투석으로 전환하여 성공적으로 치료한 복막투석치료중인 당뇨병성 만성신부전환자에서 발생한 고삼투압성 혼수
구자룡,이형철,김형직,채동완,박규용,노정우,권성희,이준상,전로원,고경식,박경창,윤정이,김근호 대한내과학회 1999 대한내과학회지 Vol.57 No.5
Continuous ambulatory peritoneal dialysis(CAPD) is now the most important and effective therapeutic modality as well as hemodialysis(HD) and renal transplantation in patients with chronic renal failure. It is frequently recommended to diabetic renal failure patients because of poor, athersclerotic vascularity of them. Hyperglycemia and obesity are not uncommon complications of CAPD therapy. But there were only few reports of very severe hyperglycemia or hyperosmolar coma in CRF patients on CAPD therapy, especially with 7% dextrose CAPD dialysate in foreign countries in the past. Moreover, no specific management for hyperosmolar coma is established in those situations yet. In Korea, only three cases of hyperosmolar coma in non diabetic renal failure patient on CAPD therapy have been reported in one case report. And only one case among them whose CAPD therapy was changed to HD survived. Authors also experienced a case of diabetic hyperosmolar coma treated successfully with conversion to HD in chronic renal failure patient on CAPD therapy. So we report this case with a review of literature. Taken together with this case and review of literature, changing CAPD therapy to HD is regarded to be an important part of treatment when hyperosmolar coma develops in chronic renal failure patients. (Korean. J. Med 57:946-949, 1999)