임신 제삼분기에 진단된 선천성 후복막 기형종 1례

강미지 ( Mi Ji Kang ),백은정 ( Eun Jeong Baik ),신종철 ( Jong Chul Shin ),문희봉 ( Hee Bong Moon ),노승혜 ( Seung Hye Rho ),김사진 ( Sa Jin Kim ),김수평 ( Soo Pyung Kim ) 대한주산의학회 2000 Perinatology Vol.11 No.1

라이프스타일 샵의 공간구성 및 실내표현 계획에 관한 연구

강미지(Kang, Mi-Ji),강철희(Kang, Chul-Hee) 한국실내디자인학회 2020 한국실내디자인학회 학술대회논문집 Vol.22 No.1

면역방사계수측정법의 민감도 향상을 위한 변법의 평가

권원현,강미지,김나경,박지솔,김정인,이경재,Won-Hyun Kwon,Mi-Ji Kang,Ji-Sol Park,Jung-In Kim,Kyung-Jae Lee 대한핵의학기술학회 2023 핵의학 기술 Vol.27 No.1

Purpose The concentration of PSA (Prostate Specific Antigen) after radical prostatectomy in prostate cancer patients is a predictor of biochemical recurrence, and the AUA (American Urological Association) is defined as biochemical recurrence when the concentration of PSA is measured at 0.2 ng/mL or more, and when the concentration is measured at 0.2 ng/mL or more at the retest. This standard is also applied our hospital. In this laboratory, the PSA reagent using IRMA (Immunoradiometric Assay) is used, and the sensitivity at a very low value was not as good as the reagent used in the department of laboratory medicine. This study aims to increase the reliability of the results by improving the precision and sensitivity of very low values. Materials and Methods As a reagent for the study, PSA reagent using IRMA was used. As a method to improve the precision and sensitivity of very low values, a variation method on the serum volume(25 uL, 50 uL, 100 uL, 200 uL) was studied, and variation usefulness evaluation was conducted. The evaluation items were compared the results of precision, analytical sensitivity, recovery rate, dilution test, high-dose hook effect test, parallel test and very low concentration values(n = 20). Results The validation results were displayed in the order of 25 uL, 50 uL, 100 uL, 200 uL. As the serum volume increased, it was confirmed that CV (Coefficient of Variation)(%) improved. Analytical sensitivity(ng/mL) was 0.038, 0.041, 0.017, 0.015 and recovery rate(%) was 101±3, 101±3, 99±2, 97±4. very low concentration values(ng/mL) between each volume(n=20) were 0.135±0.068, 0.076±0.050, 0.048±0.034, 0.046±0.034. and high dose hook effect appeared as the serum volume increased. Conclusion Through the variation usefulness evaluation, it was confirmed that as the serum volume increased, the precision and sensitivity improved at very low concentration values. However, it is necessary to pay special attention to the occurrence of high-dose hook effect as the serum volume increases. In the case of tests that requires very low concentration values, it is thought that the reliability of the result will be increased if the variation method is properly used after the variation usefulness evaluation.

핵의학과 검체 접수 환경시스템의 개선사례 보고

김정인,강미지,김나경,박지솔,권원현,이경재,Kim, Jung In,Kang, Mi Ji,Kim, Na Kyung,Park, Ji Sol,Kwon, Won Hyun,Lee, Kyung Jae 대한핵의학기술학회 2021 핵의학 기술 Vol.25 No.2

Purpose Sample reception environment system in nuclear medicine has not changed much compared to 20 years ago. When preparing sample for in vitro test, there was no significant change because the test was carried out by generating an own specimen from the parent specimen. In this study, We would like to introduce a method that automatically removes the sample cap using the automated decapper equipment and enables automatic reception at the same time. In addition, including a provisional reception system. Materials and Methods In 2019, it was intended to get a device that automatically removes the cap of a patient's blood sample. This equipment is the same as the equipment used in the Department of Laboratory Medicine (Vacuette Ⓡ Unicap Belt Decapper, Greiner bio-one, Austria). However, the purchase was delayed due to differences in tube size, budget, and space. In January 2020, we borrowed domestic automatic decapper equipment and modified it to suit our laboratory environment. After 9 months, we were able to introduce a system that automatically removes the lid of a patient's blood sample and at the same time automatically accepts the test. And, through the provisional reception system, it was possible to know the arrival of the specimen in a short time. Results With the use of an automatic decapper device, the sample cap was automatically removed, and the reception proceeded at the same time. So, it was very efficient at work because it shortened the sample preparation time by about 20 minutes. In addition, it was possible to prevent the examiner's musculoskeletal disorders caused by repeated wrist use. After using the provisional reception system, patients were able to be discharged quickly, and the number of phone calls to confirm the arrival of samples was reduced. Conclusion Most hospitals have about four employees in the nuclear medicine in vitro laboratory. It is effective to use automatic decapper equipment and a provisional reception system for organizations that perform work with the minimum number of personnel. 핵의학과 검체 접수 환경시스템은 20년 전과 비교하여 보았을 때 크게 달라지지 않은 채 동일한 시스템으로 검체 접수 업무가 이루어지고 있다. 핵의학과 검사 특성상 진단검사의 학과와 달리 검체 용기 자체로 검사가 시행되는 것이 아니라 모검체에서 자검체를 생성하여 검사를 시행하는 시스템이기 때문에 지금까지 큰 변화 없이 이어져 온 것으로 보인다. 본원에서는 이러한 검체 접수 환경시스템을 개선하고자 검체의 뚜껑을 자동으로 제거해 주고 동시에 자동접수가 가능한 decapper 자동화 장비를 도입한 사례와 가접수 시스템 적용 사례에 대해서 소개해 보고자 한다. 본원에서는 2019년 환자의 검체 뚜껑을 자동으로 제거해 주는 장비를 도입하고자 진단검사의학과 응급검사실에서 사용하는 Vacuette ® Unicap Belt Decapper(Greiner bio-one, Austria) 제품을 벤치마킹하여 구매를 시도하였으나 5 ml SST, 8 ml SST 튜브를 사용하는 핵의학과 검체를 처리하려면 2대의 장비가 필요하여 예산과 공간 문제에 부딪혀 구매가 지연되었다. 2020년 1월 국산 decapper 자동화 장비를 대여 받아 검체 검사실 접수 실정에 맞게 지속적인 아이디어 제공과 테스트로 수정 보완하여 2020년 10월 검체 뚜껑을 자동으로 제거해 주는 동시에 자동접수 해주는 decapper 자동화 장비를 도입하게 되었다. 또한 검체 접수 전 단계에서 가접수 시스템을 도입하여 병동과 응급실, 건강증진센터 이송사원이 검체를 갖고 검사실에 도착하면 검체를 셀프로 가접수 하여 빠른 시간 내에 검체 도착 여부를 알릴 수 있도록 개선하였다. Decapper 자동화 장비가 도입되면서 자동으로 검체 뚜껑이 제거되고 접수되는 순간에 다른 업무를 수행할 수 있게 되어 검사자의 업무 효율성을 크게 증대 시킬 수 있었고 검사 소요시간에 영향을 미칠 수 있는 검체 접수 마감시간이 단축되어 검사시작을 10분~20분 정도 단축시킬 수 있는 효과를 볼 수 있었다. 또한 반복된 손목 사용으로 인하여 발생되는 근골격계 질환의 감소로 검사자의 건강장해를 예방할 수 있었다. 가접수 시스템을 설치한 후 병동에서는 빠른 퇴원이 가능해졌고 검체 도착 여부를 묻는 불필요한 전화문의 횟수도 감소하게 되었다. 대부분의 핵의학과 검체 검사실은 소규모의 인력으로 운영되고 있는 것이 현실이다. 최소 인력으로 검체 검사와 검체 접수 업무를 동시에 수행해야 되는 소규모 기관에서는 decapper 자동화 장비와 가접수 시스템을 도입 시 업무를 보다 원활히 수행하는데 도움이 될 수 있을 것으로 사료된다.

배양된 인간영양배엽세포에서 PGE2 와 Prostacyclin 이 혈관내피 성장인자와 염기성 섬유아세포 성장인자의 발현에 미치는 영향

노성래(Sung Rae Roh),김동주(Dong Joo Kim),안현영(Hyun Young Ahn),강미지(Mi Ji Kang),이방현(Bang Hyun Lee),이지현(Ji Hyun Lee),오민정(Min Jeong Oh),신종철(Jong Chul Shin),김수평(Soo Pyung Kim) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.8

N/A Background : Several angiogenic factors such as bFGF and VEGF have been shown angiogenesis of placenta. PGE2 and PGI2 may be important in successful establishment of pregnancy. Objective : We studied to investigate whether PGE2 and PGI2 regulate expression of VEGF and bFGF gene in the cultured human trophoblast cells. Methods : Human trophoblasts were isolated from the placenta of early gestation (6-12 weeks). Isolated trophoblasts were cultured in the different concentration of PGE2 and PGI2 and according to the different cultured time of PGE2 and PGI2, respectively. Total RNA was extracted and RT-PCR was performed. Result : Expression of bFGF was increased in 10-7M and 10-6M of PGE2 and was always increased in the all different concentration of PGI2. Four isoforms (VEGF121, VEGF165, VEGF189, VEGF206) were always expressed in the all different PGE2 and PGI2 concentration compared to the control group. However, there was no significant difference in the all different PGE2 and PGI2 concentration. In both PGE2 and PGI2 treatment group, expression of bFGF was decreased at 60 min compared to the control group and was gradually increased in time-dependent pattern. At 180 min, its expression was similar to the control group. Conclusion : Our data suggest that the expression of bFGF gene is influenced by cultured time and concentration of PGE2 and PGI2, although the expression of VEGF gene is not influenced.

융모성 성선자극호르몬과 태반 락토젠이 태반 영양배엽세포의 분화와 성장에 미치는 영향

김동주 ( Dong Joo Kim ),신종철 ( Jong Chul Shin ),안현영 ( Hyun Young Ahn ),남궁성은 ( Sung Eun Namkoong ),백은정 ( Eun Jeong Baik ),노성래 ( Sung Rae Roh ),강미지 ( Mi Ji Kang ),배석년 ( Seog Nyeon Bae ) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.7

N/A Background: There are many factors that influence the differentiation and growth of trophoblasts. During differentiation of trophoblasts, two major hormones are secreted; human chorionic gonadotropin (hCG) and human placental lactogen (hPL). These two hormones are secreted in a peculiar pattern during pregnancy and function of these hormones is not yet fully understood. Also, it is not known whether these hormones directly influence the differentiation and growth of trophoblasts. On the other hand, it is known that choriocarcinoma cells are undifferentiated, so they are unable to form syncytiotrophblasts. And many factors may be associated with this inhibitory potential. Objective :The purpose of this study was to observe whether the hCG and hPL are associated with differentiation and growth of early placental trophoblasts and becoming malignant. Method: The hCG, hPL, IL-6 and insulin were added to cytotrophoblasts isolated from normal 8 to 10 gestational weeks placental tissues by a degree of concentration, and observed the secreted hPL concentration and morphological change to syncytiotrophoblasts daily. And it was performed in Bewo cells in same manner. Result: The increased hPL secretion was noted in hCG, hPL, IL-6 and insulin were added normal trophoblasts and this may result from differentiation of cytotrophoblasts to syncytiotrophoblasts. Also, morphological changes to syncytiotrohoblasts was observed at the same time. But, Increased hPL secretion and syncytiotrophoblasts formation was not detected in Bewo cells. Conclusion .In this study, it seems that hCG, hPL, IL-6 and insulin had an influence on differentiation and growth of normal trophoblasts. On the other hand, no changes in hPL secretion and morphology at the choriocarcinoma cell line tells us that defects of differentiation in choriocarcinoma is due to abnormalities of the receptors on hCG and hPL or a differentiation associated gene, not a defect of these hormones themselves.