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위 MALT 림프종에서 다발성 림프절 전이로 오인된 동시성 림프절 결핵 1예
김성은,김규종,김도현,송준영,문대성,장리라,유찬희,문원,박무인,박선자,김영옥 고신대학교의과대학 2008 고신대학교 의과대학 학술지 Vol.23 No.2
28세 남자가 내시경적 점막절제술을 통해 저등급 위MALT 림프종으로 진단되었다. 병기설정을 위해 18F-FDG PET 검사를 시행하였고 우측 쇄골상부, 우측상/하부 기관주위, AP window 부위에 강한 섭취가 관찰되어 전이성 림프절로 판단하였다. 그러나, 우측 쇄골상부 림프절에서 시행한 절제생검에서 만성육아종성염증소견이 관찰되었고 조직의 결핵 중합효소연쇄반응에서도 양성 반응을 보였다. 2개월간 항결핵제의 사용 후 시행한 추적 컴퓨터단층촬영 검사에서 림프절 크기의 감소를 보여 최종적으로 위 MALT 림프종에서 광범위 림프절 전이로 오인된 동시성 림프절 결핵으로 진단되었다. A 28-year-old man was diagnosed as gastric MALT lymphoma in diagnostic EMR (endoscopic mucosal resection). He subsequently underwent an 18F-FDG PET. 18F-FDG PET showed intense multifocal uptake in right supraclavicular, right upper and lower paratracheal, and AP window areas that was considered radiologically to represent widespread metastatic lymphadenopathy. Excisional biopsy of a supraclavicular lymph node, however, revealed chronic granulomatous lymphadenitis with a positive reaction of Tb-nested PCR. After antituberculosis treatment for 2 months, a follow-up CT scan showed complete resolution of the lesions. Intense 18F-FDG uptake could be due to an infectious process such as synchronous tuberculous lymphadenitis. Therefore, this could mimic a malignant condition such as lymphoma with extensive lymph node metastasis due to a false-positive finding, which may lead to a misdiagnosis.
신현무, 이상화 경성대학교 환경문제연구소 2000 環境硏報 Vol.10 No.1
Surfactant washing process being operated in ex-situ mode could be appropriate one of the most effective remediation alternatives for NAPLs(non-aqueous phase liquids) in soil. The adsorption of sufactants has been concern of the reduction of expenditure and the increase of efficiency. Through the result of estimating the extent of adsorption of surfactants to soils, notion sufactants showed higher adsorption to soils than anion surfactants. From the results of evaluating which model could explain the surfactant adsorption to soils, it was determined that anionic surfactants were described well with Langmuir adsorption isotherm model, while nonionic surfactants were with Freundlich model.
임익성,장무경 남서울대학교 2010 남서울대학교 논문집 Vol.16 No.1-1
환경에 대한 관심이 점점 높아지면서 국제표준화기구에서 제정한 환경경영에 관한 국제규격인 ISO14001을 인증을 받는 기업들이 증가하고 있다. 본 연구에서는 우리나라 환경경영보고서의 현 주소를 파악한 후 대기업과 중소기업의 환경경영보고서 가이드라인의 차이점을 살펴보았다. 우리나라 중소기업의 환경경영보고서는 기업의 실정을 감안하여 대기업과 달리 약화되어 차별화되어 있다. 환경경영에 기여할 수 있는 커다란 축의 하나는 재제조 및 재활용 이기 때문에 이것들에 대한 개념 및 현 주소를 살펴보았다. 본 연구의 목적은 환경경영가이드라인의 현 상태를 정리해서 현재 전세계적으로 추진되고 있는 그린혁명과 연계하여 환경경영에 기여할 수 있는 방향을 찾는것이며, 또한 향 후 우리나라 기업의 환경경영을 정량적으로 평가 및 기여할 수 있는 그린비율의 새로운 측도 방향을 제시하였다. Key Words : Envrionmental Report Guideline, Green Ratio, ISO14001, Remanufacturing
尙戊達 嶺南大學校社會科學硏究所 1982 社會科學硏究 Vol.2 No.1
Seomun market in Daegu city has not been threatened its position up to now but as a matter of fact Seomun market is losing its customer in the parts of textiles, clothes, household furnishings and processed foods and so on because of the appearance of the new organization-Department Store, Super-market and Arcade. But Seomum market still remain in its powerful position because of unchanged buying pattern of customer, buying habit of customer and income level. The distribution organizations in Korea have both the phase of recovering promodernity and the phase of following the old order. It is necessary that we should be prudent to the policy to be taken and it needs to be studied in this transitional period. In this point, Seomun Market should be like the followings. 1) We must arrange each floor goods according to costumer's purchasing custom of each goods and give special attractiveness to absorb customer to the building. 2) Street vendors at Seomun market should be put in good order. 3) We should develop Seomun market which is divided completely into wholsale and retail functions. 4) It is essential that physical distribution facilities-trnasportation, loading and unloading and storage-should be equipped. 5) When transaction is done in large quantities, physical distribution activity should be carried out at physical distribution base and goods distribution function should be carried out only or it must be limited to wholesale transaction in small quantities. 6) Seomum market can be developed to a modern retail market like shopping center. 7) Bulletin board of public information and guide map should be equipped at important places, main passages and near the entrance. 8) Parking lots should be established to enjoy shopping for the consumer and standing night market should be opened at particular place. 9) The quality and price of the selling goods must be controled and the committee of quality inspection and the committe of price assessment is needed to do it. 10) It is necessary that large cafeteria and large restaurant should be opened for the merchants and customers of Seomum market. 11) It is necessary to strength the training of needed personnel-the executive mumbers of market welfare association, store owner and salesman of Seomun market.