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장결핵의 감별진단에 있어서 3 개월 추적 대장내시경 검사의 의의
연종은(Jong Eun Youn),박이병(Ie Byung Park),권소영(So Yung Kwon),김재선(Jae Seon Kim),변관수(Kwan Soo Byun),박영태(Young Tae Bak),김종극(Jong Guk Kim),이창홍(Chang Hong Lee),김진호(Jin Ho Kim) 대한내과학회 1996 대한내과학회지 Vol.50 No.2
Objectives: A therapeutic trial with antituberculous drugs is reasonable if the clinical and colonoscopic features are compatible, in countries with a high prevalence of intestinal tuberculosis. But Crohn's disease, lymphoma and other infectious disease should be differentiated from the disease. There have been no established monitoring modalities to assess the efficacy of the therapeutic trial and to differentiate these diseases yet. Therefore, this study was done to assess the usefulness of follow-up colonoscopy at 3 months of antituberculous treatment as a monitoring modality. Methods: 42 patients with tentative diagnosis of intestinal tuberculosis which was made on the basis of clinical and colonoscopic findings were enrolled, The patients were divided into 2 groups according to the symptomatic improvement after the therapy : (A) 30 patients with improved symptom : (B) 12 patients with persistent symptom. Colonoscopy with biopsy was performed before and at 3 months of therapeutic trial. Standard four-drug antituberculous chemotherapy was done at least for 9 months and patients were followed for more than a year after completion of therapy. Final diagnoses were made on the basis of satisfactory outcome of therapeutic trial, operative findings and another follow-up colonoscopy. Results: 1) colonscopic findings at 3 months of therapy improved in 31 cases. 27 of them were finally diagnosed as tuberculosis, 1 was as ulcerative colitis and 3 were lost. Among 11 endoscopically unimproved cases, 7 were finally diagnosed as Crohn's disease, 2 were as tuberculosis and 2 were lost. 2) 27 of 29 patients with final diagnosis of intestinal tuberculosis improved colonoscopically at 3 months of therapy. 2 unimproved cases had a complicated disease(stenosis) or an atypical mycobacterial infection, respectively. 3) In group A, 1 was diagnosed as ulcerative colitis and in group H, 3 were diagnosed as tuberculosis finally. Conclusion: Follow-up colonoscopy at 3 months of antituberculous therapeutic trial in patients with tentative diagnosis of intestinal tuberculosis seems to be a valuable modality for monitoring the efficacy of therapy and differentiating intestinal tuberculosis from other diseases.
김웅진,박영태 한국물류학회 1997 물류학회지 Vol.7 No.-
This paper analyzes the problems of the construction of the High-Speed railway, through which it is possible to decrease the Physical Disrtibution cost, activate the railway transportation efficiency and secure the competitiveness of the railway transportation. And also this paper suggests the solutions of the main problems. The main problems of the Kyung-bu High-Speed project are, construcrtion period's postpone, increasing investment expenses, quality control and getting trust of safety, the main authority of the project, the national system and regulation, the exterior Environment, and shortage of the software technology of the construction. So the solutions of these problems are as follows. First, it is required to organize the special department under the main bureau responsible for estimating the gross expenses of the project and reestimating the construcrtion period's systemically in order to realize the investment expenses. Secondly, it is required to turn to the comprehensive quality management system which meets the standard of ISO 9000, the international quality standard, in response to the quality and safety. The third, they have to unify the main authority, making it excercise as the leading one, and to apply permanent tenure system to the chief. The fourth, regarding to the system and regulation, it is necessary to set a $quot;special law$quot; for Kyung-pu High-Speed railway construction momently which has priority to other regulation and law. The fifth, it is suggested that the department of public resentment be set for the amicable treatment of public needs region by region, and the line passing Kyung-joo be changed to the Taegu-Pusan line. The last solutions are introductioning the constriction management system and reinforcing the softwear and technology force.