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      • 골격근 침범과 다발성 림프종성 용종증의 임상양상으로 나타난 Mantle Cell Lymphoma 1예

        임현정,최바울,허진욱,김동완,이지영,박무인,박선자,이재화,구자영 대한소화기내시경학회 2003 Clinical Endoscopy Vol.27 No.1

        Multiple lymphomatous polyposis (MLP) is an uncommon type of primary non-Hodgkin's gastrointestinal B cell-lymphoma characterized by the presence of multiple lymphomatous polyps along the gastrointestinal tract. Unlike MALT-lymphoma, MLP has a strong tendency for histologically monomorphic character, extra-digestive localization, rare lymphoepithelial lesion and poor prognosis. The malignant cells of MLP share morphological, immunohistologic and cytogenetic similarities with cells of node-based mantle cell lymphoma. We report a case of mantle cell lymphoma presenting with MLP involving various segments of the gastrointestinal tract, skeletal muscles of the right thigh and bone marrow observed in a 71-year-old woman who complained of lower abdominal pain and a palpable right thigh mass. (Korean J Gastrointest Endosc 2003;27:15-20) 다발성 림프종성 용종증(multiple lymphomatous polyposis, MLP)은 위장관을 따라 생기는 다발성 용종들로 발현하는 특징을 보이는 원발성 비호지킨스 위장관 B세포 림프종의 드문 종류이다. 위장관에서 발생하는 점막연관 림프조직(mucosa-associated lymphoid tissue, MALT)형의 림프종과는 달리 흔히 소화기계외 침범을 하고, 신생물의 침윤이 대개 단형성(monomorphic character)이며, 림프상피병변(lymphoepithelial lesion)은 드물고, 나쁜 예후를 보인다. MLP의 악성 림프종 세포는 외투세포 림프종(mantle cell lymphoma, MCL)와 유사한 형태학적, 면역학적 및 세포 유전학적 특징을 보여, 1994년 제안된 림프종의 REAL 분류(revised European-American classification of lymphoid neoplasms)에서는 이러한 MLP를 MCL의 한 아형으로 분류하고 있다. 저자들은 하복부 복통과 우측 대퇴부 종괴를 주소로 내원한 환자에서 위, 대장에 걸쳐 다발성 용종으로 발현하고, 다발성 림프절 침범과 골수 침범 그리고 대퇴부 골격근 침범을 동반한 병리 소견상 MCL에 해당하는 MLP 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

      • KCI등재
      • KCI등재

        댐유역 하천생태계평가를 통한 생태보전우선지역설정 -용담다목적댐 유역을 사례로-

        임현정,이명우,Lim, Hyun-Jeong,Lee, Myung-Woo 한국조경학회 2011 韓國造景學會誌 Vol.39 No.2

        본 연구의 목적은 댐 유역 하천코리도 생태경관 구역의 설정과 하천생태계평가를 통해서 생태적 가치가 높은 보전지역을 설정하는데 있다. 본 연구는 2008년에서 2009년까지 수행된 "용담 다목적 댐 및 저수지 주변지역 생태조사"의 일환으로 수행된 연구결과에 기초하였다. 연구대상지역인 용담호는 그 유역면적이 $930km^2$로서 진안, 장수, 무주에 걸쳐 있으며, 주요 유입하천에는 주자천, 정자천, 진안천, 구량천 등이 있다. 이 댐 호는 상수원으로 이용되고 있으나, 유역 내 골프장, 체육공원 등의 난개발이 발생하여 수질오염 및 생태계 훼손이 우려되는 지역이다. 하천코리도의 경관단위구역은 조사 및 도면 정밀도 등을 고려하여 250mm, 500mm, 750mm의 3단계 세부구역으로 구분하였다. 하천생태계 평가는 하천환경평가와 코리도권 식생환경평가의 2가지로 구분하였다. 하천환경평가에서는 어류 및 저서 생물의 종다양성과 고유화 빈도, 하천환경의 자연도 평가를 수행하였다. 식생환경평가에는 임상도, 식생보전등급, 조류 및 포유류의 종다양성과 법정 보호종의 유무 등에 대해서 평가하였다. 각각의 생태공간정보를 그 중요도에 따라 3등급화하였고, 최종적으로 이를 중첩하여 보전우선가치가 높은 지역을 설정하였다. 법정 보호종 출현지점은 절대보전지역으로 설정하였다. 본 연구는 자연환경지역의 보전가치를 평가하는 댐 유역 하천생태계 평가방법을 제시하여, 개별적 생태조사의 결과를 통합할 수 있는 틀을 제시하였다는데 의의가 있다. 야생동물의 행동권과 계절별 서식환경, 생물종 간 관계 등에 대한 연구와 이를 바탕으로 한 에코톱과의 관련성에 관한 연구가 진행되어야 할 것으로 판단한다. The purpose of this study is to specify the prior eco-preserve zone by establishing the eco-landscape unit on the stream corridor and evaluating the stream ecosystem in the dam basin. The fundamental ecological data was surveyed and collected through "the ecosystem project on Yongdam multipurpose dam watershed" from 2008 to 2009. The Yongdam Dam Watershed has several streams, Jujacheon, Jeongjacheon and Guryangcheon, of which the area is $930km^2$, stretching to Jinangun, Jangsugun and Mujugun Jellabukdo. In spite of being used for drinking purpose, the dam water quality and ecosystem is threatened by in-watershed pollution produced by development, golf course grounds and sports complex, etc. The landscape unit of stream corridor was zoned across by 250m, 500m, and 750m from the vicinity line of stream, which was decided to the accuracy of mapping and surveying. Types of evaluation are the Stream Corridor Evaluation(SCE) and the Vegetated Area Evaluation(VAE). In the process of SCE, several indices were analysed, fish species diversity, species peculiarity, and stream naturality. Indices for VAE were forest stand map, vegetation protection grade, species diversity and peculiarity for wild bird and mammal life. The importance of the ecological items is categorized into three levels and overlapped for specifying the prior preserve zone. The area at which legally protecting species appeared is categorized as absolute preserve area. This study might be meaningful for proposing the evaluation process of a stream corridor ecosystem, which can synthesize a lot of individual ecological surveys. We hope further research will be actively performed about the ecotope mapping which is based on a individual wildlife territory and habitats and also their relationships.

      • 갑상선암 예측에 있어 초음파적 변수 분석

        임현정,최영식,박요한,오경승,이강대 고신대학교(의대) 고신대학교 의과대학 학술지 2004 고신대학교 의과대학 학술지 Vol.19 No.1

        Background : The introduction of high resolution sonography has made it possible to detect nodules in the thyroid gland. However, there has been no reliable sonographic sign for distinguishing between benign and malignant thyroid conditions. The aim of present study was to evaluate ultrasonographic (US) parameters in predicting thyroid cancer. Methods : One hundred fifty three patients who underwent thyroidectomy at Kosin Medical Center from January, 2000 to April, 2002 were included in the study. All patients were checked high resolutional US before surgery. Of the 153 patients 89 were malignant tumors and 64 benign. Malignant US parameters were defined as calcification, irregular margin, more taller than wide, and fat line obliteration. Calcification pattern was classified with single, punctated, and amorphous calcification. The US characteristics to predict malignancy were evaluated by means of multiple logistic regression analysis. Results : All of the malignant sonographic parameters such as calcification, irregular margin, and more taller than wide were significant. Of 59 patients whose ultrasounds showed calcification, 53 (89.8%) were thyroid carcinoma. The incidence rate of malignancy was 55.9% in solitary nodules and 65.7% in multiple nodules (p=0.303). Even though nodule size was less than 1.5cm, the incidence of malignant tumor was 69.5% (p=0.04). Of 53 malignant nodules with calcification, the incidence of single, punctated, and amorphous calcification pattern was 6 (11.3%), 22 (41.5%), 25 (47.2%), respectively. The sensitivity, specificity, positive and negative predictive value, and accuracy of sonographic parameters were 76.4%, 87.5%, 89.5%, 72.7% and 81.0%, respectively. Upon the correlation of US-guided FNA cytology with pathologic diagnosis, the sensitivity of ultrasound-guided FNA cytology in differentiating benign and malignant nodule was 85.9%, the specificity 100% and overall diagnostic accuracy was 91.2%. The sensitivity, specificity, and accuracy of US parameters associated to follicular neoplasm, all were 75.0%. Conclusion : All the malignant US parameters including calcification, irregular margin, and more tall than wide showed high level of sensitivity, specificity and accuracy. Of these parameter, calcification and irregular margin were more significants. The more presence of calcifications with punctated and amorphous pattern could suggest the higher possibility of malignancy. However, further study is needed for clinical application of malignant US parameters in the thyroid tumors.

      • KCI등재

        Condition index와 혈구 apoptosis 분석을 통한 서해안 굴, Crassostrea gigas의 건강도 평가

        임현정,임매순,이원영,최은희,윤주현,박승윤,이승민,김수경 한국패류학회 2014 The Korean Journal of Malacology Vol.30 No.3

        A significant production decrease has been witnessed for the Pacific oysters, Crassostrea gigas farmed in the western coastal waters of Korea, presumably by the loss of physiological viability. We evaluated the viability in terms of health indicators, the condition indices and hemocyte apoptosis rates of the oysters inhabiting two representative farming sites, Incheon and Taean each with different environmental variables. In our monthly measurements for the whole year 2013, the indicators were location specific. The condition indices of Incheon were highly variable, 1.67-8.58%, while those of Taean were less, 2.28-5.57%. The condition indices decreased during the spawning seasons, July and September in common. The two oysters exhibited also differed in the apoptotic activities of hemocyte, highly active, 4.03-30.15% for Incheon oysters and less active, 2.87-17.48% for Taean oysters. One thing we could identify was the two measurements were adverse during the critical seasons of spawning, reminiscent of being a useful tool for a health indicator for the oysters. Similar trend was also observed in the time when change in temperature was extreme. The findings in this study are highly indicative of health indicators for the oyster aquaculture.

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