혈액투석시 Double Lumen Silicone Rubber Catheter ( = Permcath ) 사용의 임상적 경험

차대룡(Dae Ryong Cha),김선숙(Sun Sook Kim),이영호(Young Ho Lee),권영주(Young Joo Kwon),조원용(Won Yong Cho),김형규(Hyoung Kyu Kim),선경(Kung Sun),김정숙(Jung Sook Kim),함인귀(In Gui Ham),김미경(Mi Kyung Kim) 대한내과학회 1994 대한내과학회지 Vol.46 No.4

N/A Background: Repeated, long-term access of the vascular system is a prerequisite for successful extended care of the patients with end stage renal disease (=ESRD) treated with hemodialysis. Despite recent technical advances in percutaneous venous cannulation, vascular access remains a major problem in patients requiring acute Hemodialysis. Although the subclavian cannula has gained a large clinical acceptance in recent years, it carries specific risks such as hemothorax, pneumothorax, venus stenosis, thrombus formation and infection. Recently, a double-lumen, central venous catheter made of Silicone Rubber (=Perm cath) has developed for use as a vascular access device, This device is particularly useful in patients who have exhausted other vascular access sites or who have severe cardiovascular disease. Methods: A total of 23 dual-lumen silicone rubber catheters were placed through the internal jugular vein in 23 patients as a vascular access at our institution during the period of April, 1992 through November, 1992. The perm-cath (Hemocath, Quinton, Seattle) is 36 Cm long and each lumen has an internal diameter of 2 mm. Implantation of the catheters occurred in the operating room and under strict aseptic conditions through the right internal jugular vein. A 10 cm subcutaneous tunnel was then created, which extended from the in-cison to a point 2 cm above the ipsilateral clavicle. The catheter was passed out through the upper portion of the subcutaneous tunnel with the Dacron cuff placed 2 cm from the lower end of the tunnel, acting as both an anchor and a barrier to infection. The tip of the catheter was inserted through an internal jngular vein terminating in the right atrium under EKG monitoring. Each lumen of the catheter was filled with 1000 units of heparin sodium (1.5 ml in venous line, 1.5 ml in arterial line) and capped. Results : The mean duration of catheter use was 24±16 days (8 to 119 days), and the complication of perm-cath occurred in 3 cases such as venous thrombosis in 1 case, catheter exit site infection in 1 case, and exit site hematoma in 1 case. During hemodialysis, blood flow rate ranged from 190 to 313ml/min (mean:235±26ml/ min), and venous retrun pressure ranged from 20 to 150 mmHg(mean:65±16mmHg). Total 14 catheters were removed during treatment and the causes of catheter removal were patient death in 8 cases, venous thrombosis 1, recovery from acute rena1 failure 2, fistula maturation 2, infection 1. Conclusion: Internal jugular vein cannulation with silastic catheter which offers a new percutaneous method was provided safe and reliable as the temporary central vein access. The catheters are well tolerated by the patients and have the advantages of immediate use after placement, high blood flow rates, no repetitive venipuncture, and no cardiac dysfunction. Permcath is particulary useful in patients who have exhausted other vascular access site, severe cardiovascular disease, and terrified by repetitive venipuncture. Though our initial experience has been favorable, there will be needed to evaluate the outcome of permcath over longer period of time.

구강암 세포주의 이소위 누드마우스 종양 모델

김종현(Jong-Hyun Kim),황영선(Young-Sun Hwang),김현실(Hyun-Sil Kim),남웅(Woong Nam),차인호(In-Ho Cha) 대한구강악안면외과학회 2009 대한구강악안면외과학회지 Vol.35 No.2

In order to make successful oral cancer treatment, we need to understand about tumor biology and effective chemotherapeutic agents. To achieve these studies, it is necessary to develope a proper in-vivo model. Therefore the author will make try to develop more improved animal model of more applicable in various method of cancer study. In this study, the author induced in-vivo tumorigenesis in nude mice by YD-10Bmod cell line used by YD-10B cell line originated from oral tongue squamous cell carcinoma and observed tumor formations and invasiveness of surrounding tissue, and found some results as follows : 1. The experimental group (YD-10Bmod, subcutaneous injection) produced tumors 13 out of 15 mice, while the control group produced none of 5 mice. 2. The inoculation of 1×106cells/mouse produced tumors 3 out of 5 mice and inoculation of 1×107cells/mouse, 2×107cells/mouse produced tumors in every 5 mice. 3. In the histopathologic studies, the inoculation of 1×106cells/mouse group showed the characteristic features of well-differentiated squamous cell carcinoma and demarcated expansile growth, while the inoculation of 1×107cells/mouse, 2×107cells/mouse group showed the expansile growth with partial central necrosis and invasive growth to surrounding fat & connective tissue. These findings suggest that atopic xenograft of YD-10Bmod cell line in nude mice has a improved productivity of tumors, produced tumors showed the characteristics feature of human tumor and invasive growth to surrounding tissue in histopathologic appearance. These atopic nude mouse model of tongue carcinoma might assist in studying oral cancer biology and effective choice of chemotherapeutic agents.

Preliminary assessment of correlation between T-lymphocyte responses and control of porcine reproductive and respiratory syndrome virus (PRRSV) in piglets born after in-utero infection of a type 2 PRRSV

Cha, Sang-Ho,Bandaranayaka-Mudiyanselage, Carey,Bandaranayaka-Mudiyanselage, Chandima B.,Ajiththos, Dharani,Yoon, Kyoung-Jin,Gibson, Kathleen A.,Yu, Ji-Eun,Cho, In-Soo,Lee, Stephen S.,Chung, Chungwon The Korean Society of Veterinary Science 2018 大韓獸醫學會誌 Vol.58 No.1

A preliminary study into the protective mechanisms of adaptive immunity against porcine reproductive and respiratory syndrome virus (PRRSV) in piglets (n = 9) born to a gilt challenged intranasally with a type-2 PRRSV. Immune parameters (neutralizing antibodies, $CD3^+CD4^+$, $CD3^+CD8^+$, $CD3^+CD4^+CD8^+$ T-lymphocytes, and PRRSV-specific interferon $(IFN)-{\gamma}$ secreting T-lymphocytes) were compared with infection parameters (macro- and microscopic lung lesion, and PRRSV-infected porcine alveolar macrophages ($CD172{\alpha}^+PRRSV-N^+\;PAM$) as well as with plasma and lymphoid tissue viral loads. Percentages of three T-lymphocyte phenotypes in 14-days post-birth (dpb) peripheral blood mononuclear cell (PBMC) had significant negative correlations with percentages of $CD172{\alpha}^+PRRSV-N^+\;PAM$ (p < 0.05) as well as with macroscopic lung lesion (p < 0.01). Plasma and tissue viral loads had significant (p < 0.05) negative correlations with $CD3^+CD4^+CD8^+$ T-lymphocyte percentage in PBMC. Frequencies of $CD3^+CD8^+$ and $CD3^+CD4^+$ T-lymphocytes in 14-dpb PBMC had significant negative correlations with of lymph node (p = 0.04) and lung (p = 0.002) viral loads. $IFN-{\gamma}$-secreting T-lymphocytes frequency had a significant negative correlation with gross lung lesion severity (p = 0.002). However, neutralizing antibody titers had no significant negative correlation (p > 0.1) with infection parameters. The results indicate that T-lymphocytes contribute to controlling PRRSV replication in young piglets born after in-utero infection.

절제된 정상위벽의 자기공명영상기법에 관한 연구:조직소견과의 비교

서보경,설혜영,이남준,차인호,정규병,김정혁,박철민,이지영,Seo, Bo-Gyeong,Seol, Hye-Yeong,Lee, Nam-Jun,Cha, In-Ho,Jeong, Gyu-Byeong,Kim, Jeong-Hyeok,Park, Cheol-Min,Lee, Ji-Yeong 대한영상의학회 2001 대한영상의학회지 Vol.45 No.5

목적:급속자기공명영상기법을 이용하여 절제된 정상위벽을 관찰하고,이를 조직소견과 비교 연구하여,위벽의 관찰을 위한 최적기법을 찾고자 하였다. 대상과 방법:25명 환자의 모두 41개 절제된 정상위조직을 수술후 수지(polyethylene)통에 넣고,생리식염수로 채워 자기공명영상을 시행하였다.T1강조FLASH,지방억제T1강조FLASH, T2강조TSE와 True-FISP 등 4가지 기법으로 위조직의 영상을 얻었다.자기공명영상에서는 위벽의 층수와 각층의 신호강도를 관찰하였고,이를 조직소견과 비교하였다.자기공명영상소견을 조직소견과 비교한 후 위벽 각층의 명확성과 각층간의 구분,및 전체 영상의 질에 대하여 비교하였다.4가지 기법 중 가장 좋은 방법은 3,가장 나쁜 방법은 0으로 하여 등급을 판정하였다. 결과:자기공명영상에서 위벽의 층수는 T1강조FLASH에서 2층이 41예 중 6예(14.6%),3층 31예(75.6%),및 4층 4예(9.8%)였고,지방억제T1강조FLASH에서 2층 6예(14.6%)와 3층 35예(85.4%),T2강조TSE에서 3층 24예(58.5%),4층 11예(26.8%),및 5층 6예(14.6%)였으며,True-FISP에서 1층 2예(4.9%),2층 8예(19.5%),3층 23예(56.0%),4층은 4예(9.8%), 및 5층 4예(9.8%)이었다.위벽의 신호강도는 T1강조FLASH와 지방억제T1강조FLASH에서 2층으로 보인 예는 위내강으로부터 고-중등도,3층인 경우는 고-저-고/중등도,4층인 예는 고-저-고-중등도신호강도였다.T2강조TSE에서는 3층으로 보인 예는 등도/고-저-중등도,4 층인 경우는 중등도-저-고-중등도/저,5층인 예는 저-고-저-고-저신호강도였다.자기공명 영상소견을 조직소견과 비교하였을 때 위벽이 3층으로 보인 경우 이것은 “점막층-점막하층-근층 ”에 해당하였다.관찰한 3가지 면 모두에서 T1강조FLASH,지방억제T1강조FLASH,T2강조TSE 기법이 True-FISP보다 통계적으로 유의하게 우수하였다(p=0.001).점막층의 명확성에 있어서 가장 우수한 기법은 T1강조FLASH와 지방억제T1강조FLASH이었고(p<0.05),점막하층의 명확성과 점막하층과 근층간의 구분은 T2강조TSE가 가장 우수하였다(p<0.05).전체적인 영상의 질은 T1강조FLASH와 T2강조TSE에서 가장 우수하였다(p<0.05). 결론:자기공명영상은 위벽의 각 층을 구별할 수 있는 우수한 검사로 조직소견과 높은 연관성을 보이며,전체 영상의 질,점막하층의 명확성 및 점막하층과 근층간의 구분이 T2강조TSE에서 가장 우수한다. Purpose: To evaluate normal human gastric wall layers in vitro using magnetic resonance*(MR) imaging, to correlate the results with the histologic findings, and to determine the optimal technique for evaluation of the gastric wall. Materials and Methods: Forty-one normal resected gastric specimens obtained from 25 patients were dissected and placed in a polyethylene tube filled with normal saline. MR imaging with four MR sequences, T1-weighted FLASH*(T1FLASH), fat-saturated T1-weighted FLASH, T2-weighted TSE*(T2TSE), and True-FISP, was performed. The number of gastric wall layers and signal intensity of each layer were determined, and after correlating MR images with the histologic findings, the conspicuity of each layer*(mucosa, submucosa, and muscle), the distinction between each layer, and overall image quality were assessed. results: The gastric wall was shown by TIFLASH to have two (n=6, 14-6%), three (n=31, 75.6%) and four layers (n=4, 9.8%); by fat-saturated TIFLASH to have two (n=6, 14.6%) and three (n=35, 85.4%) ; by T2TSE to have three (n=24, 58.5%), four (n=11, 26.8%), and five (n=6, 14.6%); and by True-FISP to have one (n=2, 4.9%), two (n=8, 19.5%), three (n=23, 56%), four (n=4, 9.8%), and five (n=4, 9.8%) . The signal intensity of each layer at T1FLASH and fat-saturated T1FLASH was high-intermediate from the lumen in two-layer cases, high-low-high/intermediate in three-layer cases, and high-low-high-intermediate in four-layer cases. The signal intensity of each layer at T2TSE was intermediate/high-low-intermediate in three-layer cases, intermediatelow-high-intermediate/low in four-layer cases, and low-high-low-high-low in five-layer cases. Three-layered gastric wall corresponded mostly to mucosa, submucosa, and muscle from the inner to outer layers, respectively. T1FLASH, fat-saturated T1FLASH, and T2TSE were superior to True-FISP in evaluating the gastric wall. T1FLASH and fat-saturated T1FLASH were the best sequences for demonstrating mucosa (p<0.05), and T2TSE was the best for submucosa and the distinction between this and muscle (p<0.05). Both T1FLASH and T2TSE provided the best overall image quality (p<0.05). Conclusion: In-vitro MR imaging is an excellent technique for the evaluation of layers of normal gastric wall. T2TSE is the sequence which best demonstrates the conspicuity of submucosa, the distinction between submucosa and muscle, and overall image quality.

중학교 과학 수업에서 협동을 위한 협동학습 모형의 적용 방안 연구

김인환,이승민,차정호 대구대학교 2006 대구대학교 학술논문집 Vol.1 No.2

과학 수업을 더욱 의미 있는 학습 경험으로 구성하기 위해서는 학생들의 능동적인 수업참여와 활발한 토의를 유도할 수 있는 교수-학습 전략이나 학습 환경에 대한 연구가 필요하다. 우리나라에서는 다양한 협동학습 방법이 소개되었으나 과학과에 적용된 수업 모형으로는 STAD, LT, Jigsaw, 등에 국한되어 있는 것으로 나타나고 있다. 따라서 과학과 수업에 적용해 볼 수 있는 좀 더 변화된 수업 모형 적용에 관하여 연구해 볼 필요가 있다. 본 연구에서는 학생들 사이의 협동기술을 증진시킬 수 있는 과학과에서의 새로운 협동학습 모형으로 협동을 위한 협동학습(Co-op Co-op)모형을 선정하여 적용가능성을 탐색해 보고 일선 교육 현장에서 곧바로 활용할 수 있는 교수-학습 자료를 개발하고자 하였다. 이 수업 모형이 중학교 과학과에 적합한지, 중학교 교과 수업에 적합한지, 중학교 교과에 적용시 기대되는 효과는 어떠한 것들이 있는지에 관하여 검토하였으며, 중학교 과학1 교과 '물질의 세가지 상태' 단원을 적용시켜 6차시 분량의 수업지도안과 탐구 활동지를 개발하였다. 협동을 위한 협동학습(Co-op Co-op)모형은 교사들이 교단에서 쉽게 적용할 수 있는 수업 모형으로 적절히 사용한다면 과학 수업에서 결여된 협동성과 사회성이 가미되어 과학과 탐구 실험 활동에서 보다 나은 참여와 효과적인 수업이 될 수 있다고 생각된다. 본 연구에서는 중학교 교과에서 협동을 위한 협동학습(Co-op Co-op)모형의 적용가능성을 검토했지만, 더 나아가 고등학교 교과에 적용 시킬 수 있는 연구도 요구된다. A study is needed on strategies or learning environment to form science classes as meaningful learning experience. In our country, various methods of cooperative learning have been introduced, but learning models applied in the science subject are limited in STAD, LT, Jigsaw, etc. Thus, it is neccessary to study application of more changed learning models for science classes. In this study, Co-op Co-op model was selected as a new cooperative learning model to promote cooperative technique between students in the science subject and its applicability was examined. Based on this process, this study purposed to develop teaching-learning material which can be directly used in the educational field. Accordingly, whether this learning model is suitable to the science subject of middle school was examined. Laying emphasis on whether Co-op Co-op model is fit for the science subject and classes of middle schools, and what effects are expected when it is applied in subjects of middle schools, a study and an analysis were conducted and teaching plan, research activity sheet and assessment sheet of the sixth session were developed by applying it in the unit of "three states of material" of the science subject of middle schools. Co-op Co-op model should be conducted with a class model which is fit for our actual situations and the most suitable to students, and teachers easily apply in the class instead of applying cooperative learning in science classes unconditionally. If this is implemented, cooperation spirit and sociality that science classes lack in are added and it is expected that better participation and effective learning are performed in experimental activity. In this study, applicability of Co-op Co-op model was examined only in subjects of middle schools, alternative plans are demanded to apply it in subjects of high schools.

흰쥐의 원위콩팥단위내 칼슘결합단백질 (calbindin-D28k)에 관한 면역세포화학적 연구

김영희,김완영,김인범,한승호,오수자,차정호,김진 대한해부학회 1997 Anatomy & Cell Biology Vol.30 No.6

형광직접접합법에 의한 인간정자의 연령별 염색체이상에 관한 연구

이숙환(Sook Hwan Lee),윤태기(Tae Ki Yoon),차광열(Kwang Yul Cha),곽인평(In Pyung Kwak),이재호(Jae Ho Lee),엄기봉(Ki Boong Oum),손지은(Jie Ohn Shon),고정재(Jung Jae Ko) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.2

N/A Determmation of the chomosomal constitution of human spermatozoa has been camed out though the human-hamster interspecific in vitro fertilization(IVF) system. In recent years, the introduction of fluorescence in-situ hybridization(FISH) technique has provided an alternative approach to evaluate the cbmmosomal constitution of human spermatozoa. The nuclei of mature spermatozoa are highly condensed with interpmtamine disulphide bridges, therefore the success of FISH on interphase human spermatozoa relies on partial decondensation of the sperm chromatin. In early studies, dithioothreitol(DTT) has been known as an efficient decondensation agent. Since then, several different decondensation methods using D1T have been establisdhed, and in terms of decondensation, we were tried to fix the optimal decondensation protocol using DlT. In our study, the optimal concentration and treatment time were 1-mM and 30 min, respectively. We examined chromosome complements of human sperm to investigate the effect of paternal age on the hequency of nondisjunction in human sperm. We investgated sperm karyotypes ftom two diffaent age groups)28+-0.5, 46+-6), A minimum of 1000 spermatozoa for one patient were analyzed. The mean frequencies of YY, XX, XY, 21-disamy spermatozoa ware 0.04%, 0.45%, 0.40%, 0.45% respectively in young age group and 1.06%, 0.62%, 1.06%, 0.76% in old ages. The mean frequency of disomy spermatozoa was higher in old age poup compare with those of young age group.

Clinical impact of admission hyperglycemia on in-hospital mortality in acute myocardial infarction patients

Kim, Eun Jung,Jeong, Myung Ho,Kim, Ju Han,Ahn, Tae Hoon,Seung, Ki Bae,Oh, Dong Joo,Kim, Hyo-Soo,Gwon, Hyeon Cheol,Seong, In Whan,Hwang, Kyung Kuk,Chae, Shung Chull,Kim, Kwon-Bae,Kim, Young Jo,Cha, Kwa Elsevier 2017 INTERNATIONAL JOURNAL OF CARDIOLOGY Vol.236 No.-

<P><B>Abstract</B></P> <P><B>Background</B></P> <P>Acute hyperglycemia on admission is common in acute myocardial infarction (AMI) patients regardless of diabetic status, and is known as one of prognostic factors. However, the effect of hyperglycemia on non-diabetic patients is still on debate.</P> <P><B>Methods</B></P> <P>A total of 12,625 AMI patients (64.0±12.6years, 26.1% female) who were enrolled in Korea Acute Myocardial Infarction Registry-National Institute of Health between November 2011 and December 2015, were classified into 4367 diabetes (65.4±11.6years, 30.4% female) and 8228 non-diabetes (63.3±13years, 23.9% female). Patients were analyzed for in-hospital clinical outcome according to admission hyperglycemic status.</P> <P><B>Results</B></P> <P>In diabetic patients, independent predictors of in-hospital mortality were old age, high HbA<SUB>1</SUB>C, pre-Thrombolysis In Myocardial Infarction (TIMI) flow 0, left ventricle ejection fraction<40%, cardiogenic shock and ventricular tachycardia. In non-diabetic patients, independent predictors of in-hospital mortality were old age, high admission glucose (≥200mg/dL), pre TIMI flow 0, failed percutaneous coronary intervention, low left ventricle ejection fraction<40%, cardiogenic shock, stent thrombosis and decreased Hb≥5g/dL. In hospital mortality was significantly higher in diabetic patients compared to non-diabetic patients (5.0% vs. 3.4%, <I>p</I> <0.001). However, non-diabetic patients with hyperglycemia have significantly higher mortality compared to diabetic patients (17.4% vs. 7.2%, <I>p</I> <0.001). Comorbidity including cardiogenic shock (<I>p</I> <0.001), cerebral hemorrhage (<I>p</I> =0.012), decreased Hb≥5g/dL (<I>p</I> =0.013), atrioventricular block (<I>p</I> <0.001) and ventricular tachycardia (<I>p</I> =0.007) was higher in non-diabetic with hyperglycemia than in diabetic patients.</P> <P><B>Conclusions</B></P> <P>These findings underscore clinical significance of admission hyperglycemia on in-hospital mortality in non-diabetic AMI patients.</P>

A군 연쇄구균성 인두편도염 진단을 위한 두 종류 신속항원검사법의 비교

송승규,홍미애,오경창,안승인,태미현,신혜정,장진근,차성호,Song, Seung Kyu,Hong, Mi Ae,Oh, Kyung Chang,Ahn, Seung In,Tae, Mi Hyon,Shin, Hye Jung,Chang, Jin Keun,Cha, Sung Ho 대한소아청소년과학회 2002 Clinical and Experimental Pediatrics (CEP) Vol.45 No.8

목 적: A군 베타용혈성 연쇄구균은 급성 인두편도염의 원인이 되는 세균으로 류마티스성 열 및 사구체 신염과 같은 심각한 합병증을 유발할 수 있어 정확한 진단과 치료를 해야 하는 질병이다. A군 연쇄구균성 인두편도염은 증상만으로는 진단하기 어렵고, 가장 좋은 검사방법인 인두배양검사는 시간을 요하는 단점이 있다. 최근에 비교적 검사과정이 간단한 신속항원검사법을 이용할 수 있게 되었다. 이에 저자들은 두 종류의 신속항원검사법의 민감도와 특이도를 알아보고, 일치도를 평가하기 위해 본 연구를 시행하였다. 방 법: 2001년 11월부터 2002년 2월까지 한일병원 소아과 외래를 방문한 환자 중 인두의 발적과 부종, 인두의 삼출물, 인두의 점상 출혈이 있는 61명의 환자를 대상으로 인두배양검사와 신속항원검사를 시행하였다. 신속항원검사법은 BD $LINK2^{TM}$ Strep A(Becton, Dickinson & Company, U.S.A.)와 $QuickVue^{(R)}$ $In-LINK^{TM}$(Quidel Corporation, U.S.A.)를 사용하였다. 결 과 : 1) 61례의 검체 중 22례(36.1%)에서 인두배양검사상 A군 베타용혈성 연쇄구균이 배양되었다. 2) 집락수 1+는 2례(9.1%), 집락수 2+는 1례(4.5%), 집락수 3+는 10례(45.5%), 집락수 4+는 9례(40.9 %)로 배양되었다. 3) 인두배양검사에서 양성으로 나온 환자 중 3세에서 5세 사이가 14례(63.6%)로 본 연구에서 A군 연쇄구균성 인두편도염의 가장 흔한 연령층이었다. 4) 인두배양검사상 양성으로 나온 환자의 임상 증상 및 징후는 발열과 림프절 종대가 각각 18례(81.8%)에서 나타났고, 인두통 16례(72.7%), 구토 11례(50.0%), 성홍열양 피부발진 8례(36.4%), 두통 7례(31.8%), 복통 7례(31.8%), 딸기모양의 혀는 6례(27.7%)에서 관찰되었다. 5) 민감도는 BD $LINK2^{TM}$ Strep A가 81.8%(18례/22례), $QuickVue^{(R)}$ $In-LINK^{TM}$이 77.3%(17례/22례)이었다. 특이도는 BD $LINK2^{TM}$ Strep A가 89.7%(35례/39례), $QuickVue^{(R)}$ $In-LINK^{TM}$이 100%(39례/39례)이었다. 6) 양성 예측도는 BD $LINK2^{TM}$ Strep A가 81.8%, $QuickVue^{(R)}$ $In-Line^{TM}$이 100%이었다. 음성 예측도는 BD $LINK2^{TM}$ Strep A가 89.7%, $QuickVue^{(R)}$ In-Line$^{TM}$이 88.6%이었다. 7) 인두배양검사에 대한 BD $LINK2^{TM}$ Strep A의 k값은 0.72로 일치도 좋음을 보였고, $QuickVue^{(R)}$ $In-Line^{TM}$의 k값은 0.81로 일치도 아주 좋음을 나타냈다. 결 론 : 신속항원검사법인 BD $LINK2^{TM}$ Strep A와 $QuickVue^{(R)}$ $In-LINK^{TM}$은 민감도와 특이도, 일치도가 높을 뿐 아니라 신속하고 간편하게 결과를 알 수 있어서 인두배양검사와 병행하여 급성 인두편도염을 진단하고 치료하는데 많은 도움이 될 수 있을 것으로 사료된다. Purpose : Recently, a number of rapid antigen detection tests have been available to diagnose group A streptococcal pharyngotonsillitis. The purpose of this study was to determine the sensitivity, specificity and consistency of the two rapid antigen detection tests. Methods : Among the patients who visited our clinic from November 2001 to February 2002, 61 patients who had clinical findings of pharyngeal erythema or edema, pharyngeal exudates and soft palatine petechiae were enrolled in our study. A total of 61 patients were tested with rapid antigen detection tests and throat culture. BD $LINK2^{TM}$ Strep A(Becton, Dickinson & Company, U.S.A.) and $QuickVue^{(R)}$ $In-Line^{TM}$(Quidel Corporation, U.S.A.) were selected for rapid antigen detection tests. Results : Of the 61 patients tested, 22 patients were confirmed as group A streptococcal pharyngotonsillitis by throat culture. The BD $LINK2^{TM}$ Strep A had a sensitivity of 81.8% and a specificity 89.7%. The positive and negative predictive values were 81.8% and 89.7%, respectively. The $QuickVue^{(R)}$ $In-Line^{TM}$ had a sensitivity of 77.3% and a specificity of 100%. The positive and negative predictive values were 100% and 88.6%, respectively. The kappa values of BD $LINK2^{TM}$ Strep A and $QuickVue^{(R)}$ $In-Line^{TM}$ were 0.72 and 0.81, respectively. Conclusion : In addition to high sensitivity, specificity and consistency, both kits are easy to use and simple to interpret, and therefore have the potential to be used with backup throat culture for diagnosis of acute pharyngotonsillitis.

外國人에 대한 大學生의 態度-1992년

차재호,최인철 서울大學校 社會科學大學 心理科學硏究所 1992 心理科學 Vol.1 No.-

1992년 여름에 서울지역 대학생들 (무선표본 n=150)의 外國人에 대한 能度調査 결과를 보고하였다. 모든 태도대상(나라 사람 범주)은 1988년의 전국 조사(차재호, 1992)와 동일했다. 1988년 이래 일본, 미국, 북한 및 러시아에 대한 태도가 호전된 것으로 나타났다. 1992년 봄의 LA지역에 있었던 흑인폭동에도 불구하고 미국 흑인에 대한 태도의 악화정도는 미약했고 오히려 흑인에 대한 태도는 악화됐다. 미국 흑인 외에 사우디 아라비아와 이스라엘에 대한 태도도 악화된 것으로 드러났다. 固定槪念의 시대간 변화 내용 속에서 가치차원의 변화가 드러난다는 증거를 제시했다. 그밖에 고정관념에서의 '原型的 特性'이라는 개념이 갖는 의미를 고찰했다. college student's attitude toward foreigners was assessed using a random sample of 150 students representing schools in the Seoul area. The data considered of rankings, scale values based on the rankings, like-dislike responses, and open-ended descriptions of traits. The results showed that the students' attitudes toward Americans, Japanese, North Korean, and Russians improved since 1988(Cha, 1992) while those toward Saudi Arabians, Israelis, and blacks took a downtown. The downward change for "American" blacks was modest despite the recent black riots in the LA area in which ethnic Koreans bore the brunt of the rampage. Evidence was presented showing that a set of values underlay the stereotypes and that such values had undergone change since early 60's. The notion of "prototypic traits" of stereotypes was introduced and its implications discussed.