• 간호행정학회지
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• 제2권1호
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• pp.35-56
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• 1996

Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

• 한국과학교육학회지
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• 제15권2호
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• pp.173-184
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• 1995

The purpose of this study was to analyse the problems of 'Science Inquiry Experiment Contest(SIEC)' which was one of 8 programs of 'The 2nd Student Science Inquiry Olympic Meet(SSIOM)'. The results and conclusions of this study were as follows: 1. It needs to reconsider the role of practical work within science experiment because practical work skills form one of the mainstays in current science. But the assessment of students' laboratory skills in the contest was made little account of. It is necessary to remind of what it means to be 'good at science'. There are two aspects: knowing and doing. Both are important and, in certain respects, quite distinct. Doing science is more of a craft activity, relying more on craft skill and tacit knowledge than on the conscious application of explicit knowledge. Doing science is also divided into two aspects, 'process' and 'skill' by many science educators. 2. The report's and checklist's assessment items were overlapped. Therefore it was suggested that the checklist assessment items were set limit to the students' acts which can't be found in reports. It is important to identify those activities which produce a permanent assessable product, and those which do not. Skills connected with recording and reporting are likely to produce permanent evidence which can be evaluated after the experiment. Those connected with manipulative skills involving processes are more ephemeral and need to be assessed as they occur. The division of student's experimental skills will contribute to the accurate assess of student's scientific inquiry experimental ability. 3. There was a wide difference among the scores of one participant recorded by three evaluators. This means that there was no concrete discussion among the evaluators before the contest. Despite the items of the checklists were set by preparers of the contest experiments, the concrete discussions before the contest were necessary because students' experimental acts were very diverse. There is a variety of scientific skills. So it is necessary to assess the performance of individual students in a range of skills. But the most of the difficulties in the assessment of skills arise from the interaction between measurement and the use. To overcome the difficulties, not only must the mark needed for each skill be recorded, something which all examination groups obviously need, but also a description of the work that the student did when the skill was assessed must also be given, and not all groups need this. Fuller details must also be available for the purposes of moderation. This is a requirement for all students that there must be provision for samples of any end-product or other tangible form of evidence of candidates' work to be submitted for inspection. This is rather important if one is to be as fair as possible to students because, not only can this work be made available to moderators if necessary, but also it can be used to help in arriving at common standards among several evaluators, and in ensuring consistent standards from one evaluator over the assessment period. This need arises because there are problems associated with assessing different students on the same skill in different activities. 4. Most of the students' reports were assessed intuitively by the evaluators despite the assessment items were established concretely by preparers of the experiment. This result means that the evaluators were new to grasp the essence of the established assessment items of the experiment report and that the students' assessment scores were short of objectivity. Lastly, there are suggestions from the results and the conclusions. The students' experimental acts which were difficult to observe because they occur in a flash and which can be easily imitated should be excluded from the assessment items. Evaluators are likely to miss the time to observe the acts, and the students who are assessed later have more opportunity to practise the skill which is being assessed. It is necessary to be aware of these problems and try to reduce their influence or remove them. The skills and processes analysis has made a very useful checklist for scientific inquiry experiment assessment. But in itself it is of little value. It must be seen alongside the other vital attributes needed in the making of a good scientist, the affective aspects of commitment and confidence, the personal insights which come both through formal and informal learning, and the tacit knowledge that comes through experience, both structured and acquired in play. These four aspects must be continually interacting, in a flexible and individualistic way, throughout the scientific education of students. An increasing ability to be good at science, to be good at doing investigational practical work, will be gained through continually, successively, but often unpredictably, developing more experience, developing more insights, developing more skills, and producing more confidence and commitment.

• Tuberculosis and Respiratory Diseases
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• 제48권2호
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• pp.191-202
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• 2000

목 적: 기관지 천식은 기도의 과민 반응을 특정으로 하는 기도 내 염증 질환이다. 최근 염증반응에 관여하는 cyclooxygease(COX) 에 대해 90년대 초 새로운 형태의 COX2가 발견되었다. 또한 최근 COX2만을 선택적으로 억제하는 약제가 개발되어 이에 대한 연구가 활발히 진행 중이다. 따라서 저자는 기도 내 염증 반응을 특징으로 하는 기관지 천식에서 COX2 발현 양상과 혈중 프로스타글란딘 E2를 측정하고 COX2 억제제를 사용한 후 COX2 발현, 프로스타글란딘 E2의 변화 및 기도 저항의 변화를 알아보았다. 대상 및 방법: 총 38마리의 Sprague-Dawley 백서(250-300g)를 대상으로 정상 대조군, 천식 대조군, 치료군의 3군으로 나누어 실험하였다. 각 세 군에 대해 제 28 연구일에 즉시형 기관지 수축 반응을 유발시킨 후 기도 저항을 측정하였다. 제 30연구일에 혈장 내 프로스타글란딘 E2 수치를 측정하고 기도 및 폐 실질 내 호산구 침윤 정도 및 COX2 면역 조직 화학 염색에 대한 발색 정도를 image analysis를 통해 확인하였다. 결 과: 기관지 및 폐 실질 내 호산구 침윤은 천식 대조군과 치료군의 두 군간에 통계적으로 유의한 차이가 없었다. COX2 면역 조직 화학 염색 및 혈중 프로스타글란딘 E2 농도에 있어서 정상 대조군, 천식 대조군, 치료군의 세 군에서 통계적으로 유의한 차이가 없었다. 치료군에서 nemesulide 투여 후 OVA으로 즉시형 기관지 수축 반응을 일으킨 상태에서 측정한 기도 저항은 nemesulid를 투여하기 전과 비교해서 통계적으로 유의한 차이가 없었다. 결 론: 결론적으로 COX2는 알레르겐 유발성 천식의 병태 생리에 있어서 주된 경로가 아니며 향후 천식 모델에서 COX2 억제제를 사용한 후 lipoxygenase 의한 대사산물과의 상관 관계와 COX2 억제제의 투여하는 방법에 있어서 투여 용량 또는 투여 횟수를 달리하거나 COX2에 대한 선택성이 더 높은 약제를 투여한 후 기도 내 COX2의 변화에 대한 연구가 필요하리라 사료된다.

• Asian-Australasian Journal of Animal Sciences
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• 제22권6호
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• pp.819-826
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• 2009

An in vitro study was conducted to investigate the effect of malate or fumarate on fermentation characteristics, and production of conjugated linoleic acid (CLA) and methane ($CH_4$) by rumen microbes when incubated with linolenic acid (${\alpha}-C_{18:3}$). Sixty milligrams of ${\alpha}-C_{18:3}$ alone (LNA), or ${\alpha}-C_{18:3}$ with 24 mM malic acid (M-LNA) or ${\alpha}-C_{18:3}$ with 24 mM fumaric acid (F-LNA) were added to the 150 ml culture solution consisting of 75 ml strained rumen fluid and 75ml McDougall's artificial saliva. Culture solution for incubation was also made without malate, fumarate and ${\alpha}-C_{18:3}$ (Control). Two grams of feed consisting of 70% concentrate and 30% ground alfalfa (DM basis) were also added to the culture solution of each treatment. In vitro incubation was made anaerobically in a shaking incubator up to 12 h at $39^{\circ}C$. Supplementation of malate (M-LNA) or fumarate (F-LNA) increased pH at 6 h (p<0.01) and 12 h (p<0.001) incubation times compared to control and linolenic acid (LNA) treatments. Both malate and fumarate did not influence the ammonia-N concentration. Concentration of total VFA in culture solution was higher for M-LNA and F-LNA supplementation than for control and LNA treatments from 6 h (p<0.040) to 12 h (p<0.027) incubation times, but was not different between malate and fumarate for all incubation times. Molar proportion of $C_3$ was increased by F-LNA and M-LNA supplementation from 6 h (p<0.0001) to 12 h (p<0.004) incubation times compared to control and LNA treatments. No differences in $C_{3}$ proportion, however, were observed between M-LNA and F-LNA treatments. Accumulated total gas production for 12h incubation was increased (p<0.0002) by M-LNA or F-LNA compared to control or LNA treatment. Accumulated $CH_4$ production for 12 h incubation, however, was greatly reduced (p<0.0002) by supplementing malate or fumarate compared to the control, and its production from M-LNA or F-LNA treatment was smaller than that from LNA treatment. Methane production from LNA, M-LNA or F-LNA treatment was steadily lower (p<0.01 - p<0.001) from 3 h incubation time than that from the control, and was also lower for M-LNA or F-LNA treatment at incubation times of 6 h (p<0.01) and 9 h (p<0.001) than for LNA treatment. Methane production from LNA, however, was reduced (p<0.01 - p<0.001) from 3 h to 9 h incubation times compared to the control. Both malate and fumarate increased concentration of trans11-$C_{18:1}$ from 3 h to 12 h incubation (p<0.01), cis9,trans11-CLA up to 6 h incubation (p<0.01 - p<0.01), trans10,cis12-CLA at 3 h (p<0.05) and 12 h (p<0.01), and total CLA for all incubation times (p<0.05) compared to corresponding values for the ${\alpha}-C_{18:3}$ supplemented treatment (LNA). In conclusion, malate and fumarate rechanneled the metabolic $H_2 pathway to production of propionate and CLA, and depressed the process of biohydrogenation and methane generation. Linolenic acid alone would also be one of the optimistic alternatives to suppress the $CH_4$ generation.

• 한국병원경영학회지
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• 제9권1호
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• pp.66-94
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• 2004

The objective of this study is to examine how to maximize the efficiency of hospital management by minimizing the unit cost of hospital operation. For this purpose, this paper proposes to develop a model of the profit maximization based on the cost minimization dictum using the statistical tools of arriving at the maximum likelihood values. The preliminary survey data are collected from the annual statistics and their analyses published by Korea Health Industry Development Institute and Korean Hospital Association. The maximum likelihood value statistical analyses are conducted from the information on the cost (function) of each of 36 hospitals selected by the random stratified sampling method according to the size and location (urban or rural) of hospitals. We believe that, although the size of sample is relatively small, because of the sampling method used and the high response rate, the power of estimation of the results of the statistical analyses of the sample hospitals is acceptable. The conceptual framework of analyses is adopted from the various models of the determinants of hospital costs used by the previous studies. According to this framework, the study postulates that the unit cost of hospital operation is determined by the size, scope of service, technology (production function) as measured by capacity utilization, labor capital ratio and labor input-mix variables, and by exogeneous variables. The variables to represent the above cost determinants are selected by using the step-wise regression so that only the statistically significant variables may be utilized in analyzing how these variables impact on the hospital unit cost. The results of the analyses show that the models of hospital cost determinants adopted are well chosen. The various models analyzed have the (goodness of fit) overall determination (R2) which all turned out to be significant, regardless of the variables put in to represent the cost determinants. Specifically, the size and scope of service, no matter how it is measured, i. e., number of admissions per bed, number of ambulatory visits per bed, adjusted inpatient days and adjusted outpatients, have overall effects of reducing the hospital unit costs as measured by the cost per admission, per inpatient day, or office visit implying the existence of the economy of scale in the hospital operation. Thirdly, the technology used in operating a hospital has turned out to have its ramifications on the hospital unit cost similar to those postulated in the static theory of the firm. For example, the capacity utilization as represented by the inpatient days per employee tuned out to have statistically significant negative impacts on the unit cost of hospital operation, while payroll expenses per inpatient cost has a positive effect. The input-mix of hospital operation, as represented by the ratio of the number of doctor, nurse or medical staff per general employee, supports the known thesis that the specialized manpower costs more than the general employees. The labor/capital ratio as represented by the employees per 100 beds is shown to have a positive effect on the cost as expected. As for the exogeneous variable's impacts on the cost, when this variable is represented by the percent of urban 100 population at the location where the hospital is located, the regression analysis shows that the hospitals located in the urban area have a higher cost than those in the rural area. Finally, the case study of the sample hospitals offers a specific information to hospital administrators about how they share in terms of the cost they are incurring in comparison to other hospitals. For example, if his/her hospital is of small size and located in a city, he/she can compare the various costs of his/her hospital operation with those of other similar hospitals. Therefore, he/she may be able to find the reasons why the cost of his/her hospital operation has a higher or lower cost than other similar hospitals in what factors of the hospital cost determinants.

• KSBB Journal
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• 제23권3호
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• pp.257-262
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• 2008

본 연구에서는 lipase를 이용한 라세믹-naproxen 2,2,2-trifluoroethyl thioester의 광학분할 반응을 향상시키기 위하여 반응 용매, 반응 온도, 기질 및 lipase 농도 그리고 교반속도의 변수들을 최적화 하였고, isooctane과 물의 계변을 증가시키기 위한 계면 활성제의 영향을 조사하였다. 조사된 유기용매 중 isooctane이 가장 높은 전환율 (92.19%), $V_s\;(2.340{\times}10^{-2}mM/h)$, E값 (36.12) 그리고 $V_s/(E_t)$ ($7.80{\times}10^{-4}mmol/h{\cdot}g$)를 나타내어 lipase 를 이용한 라세믹-naproxen2,2,2-trifluoroethyl thioester의 광학 분할 반응을 위한 가장 효과적인 유기용매로 판단하였다. 반응 표면 분석법을 이용한 반응조건 최적화에서는 반응 온도 $48.2^{\circ}C$, 기질 농도 3.51 mM, lipase 농도 30.11 mg/ml 그리고 교반속도 180 rpm을 최적 반응 조건으로 도출하였고, 이 최적화된 반응 조건으로 광학분할 반응을 수행한 결과, $V_s$, $V_s/(E_t)$ 그리고 전환 율이 각각 19.54%, 19.12%, 4.05% 증가하였다. 계면활성제로써 첨가된 NP-10은 (S)-naproxen 2,2,2-trifluoroethyl thioester의 가장 높은 전환율 (89.43%)을 나타내었고, 반응속도의 감소를 둔화시켰으며, lipase의 광학선택성 (E=59.24)을 향상시켰다.

• 한국식품영양과학회지
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• 제46권6호
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• pp.671-680
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• 2017

본 연구 결과 검은콩 물 에탄올 추출물과 Lactobacillus rhamnosus GG(LGG)와 Bifidobacterium animals subsp. lactis BB-12(BB-12)를 이용하여 발효시킨 발효검은콩 물 에탄올 추출물의 발효 전과 후의 성분변화를 분석하고, 검은콩과 검은콩 발효 추출물이 모유두 세포 성장에 미치는 효과를 알아보기 위해 primary 인간 모유두 세포(HFDPC)에 검은콩 추출물(BWE, BEE)과 발효검은콩 추출물(BWE-F, BEE-F)을 다양한 농도로 처리하여 세포독성을 확인하였으며, 이를 바탕으로 적정 처치 농도를 결정하여 모발 성장촉진(VEGF와 KGF/FGF7)과 억제($TGF-{\beta}1$과 AR)에 관여하는 유전자 발현을 mRNA 수준에서 확인하였다. 나아가 검은콩 추출물이 HFDPC의 생존 촉진에 미치는 영향을 Akt와 Erk의 인산화 활성을 통해 비교 분석하였다. LGG와 BB-12를 이용하여 발효시킨 검은콩은 발효가 진행됨에 따라 pH, 총폴리페놀, 총당 환원당의 함량이 감소하였으며, 검은콩 4종 추출물(BWE, BEE, BWE-F, BEE-F) 중 BWE, BEE, BWE-F가 VEGF의 mRNA 발현을 증가시키고, 모든 처리군에서 KGF/FGF7의 mRNA 발현을 유의적으로 증가시킴을 확인할 수 있었다. 나아가 BWE, BEE, BWE-F가 Erk의 활성을 증가시켰음을 확인할 수 있었다. 따라서 검은콩 물 추출물과 검은콩 에탄올 추출물, 그리고 발효검은콩 물 추출물이 인간 모유두 세포의 세포성장에 모발 성장 촉진인자의 활성과 Erk의 활성화 등을 통한 기전으로 긍정적인 영향을 미침으로써 모발 성장 및 모발 건강을 위한 기능성원료로서의 가능성을 확인할 수 있었으며, 유산균 2종(LGG, BB-12)을 이용한 발효검은콩이 검은콩과 비교하여 모발 성장 촉진 관련 단백질 발현에서는 유의적인 우월성을 가지지는 않음을 확인하였다. 추후 다른 유산균 균 총을 이용한 발효검은콩의 연구와 더불어 보다 정밀한 발효를 통한 검은콩 추출물의 성분과 조성의 변화를 바탕으로 한 모발 성장 및 모주기 관련 연구가 이루어져야 할 것이라 생각된다.

• 한국의학물리학회지:의학물리
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• 제20권4호
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• pp.208-215
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• 2009

2차원의 영상을 이용한 돌출형 전립선 비대증의 부피 평가방법에서 돌출부위를 포함시킬 경우와 포함시키지 않을 경우의 부피변화를 3차원 볼륨 렌더링(volume rendering, VR)을 이용하여 비교 평가하고자 한다. 돌출형 전립선 부피측정을 위한 가상 전립선 모델은 곤약을 이용해 임의로 평균 1 cm 정도로 돌출되도록 하여 10 ml에서 각각 10 ml씩 부피를 변화시켜 100 ml까지 총 10 개의 모델을 제작하였다. 이 때 제작된 모델의 부피측정은 64 channel 전산화단층촬영(computed tomography, CT)과 3.0 Tesla 자기공명영상(magnetic resonance image, MRI)을 이용하여 획득된 3차원 볼륨 영상자료로 계측하였다. 산출한 CT와 MRI영상들의 3차원 볼륨데이터 근접성 평가를 위해 wilcoxon 부호순위(signed rank) 검정을 하였다. 또한 획득한 영상자료는 3차원 영상처리를 통하여 볼륨 렌더링으로 재구성한 후 타원체부피공식법을 이용하여 돌출부위를 포함시킬 때와 포함하지 않을 때의 부피를 구하였다. 이 때 돌출 유무에 따라 각각 측정된 부피와 3차원 볼륨 렌더링의 부피를 wilcoxon 부호순위(signed rank) 검정을 사용하여 유의성을 평가했으며 상관계수(pearson's correlation coefficient, r)를 사용하여 상관관계를 분석하였다. 계측된 가상 전립선 모델의 돌출부위길이는 CT에서 $0.90{\pm}0.18\;mm$, MRI에서 $0.75{\pm}0.11\;mm$이었으며, CT와 MRI에서 계측된 3차원 영상 부피의 p-value는 0.414로 유의한 차이는 없었다. 그러나 MRI에서 측정된 3차원 영상 부피와 2차원 영상에서 돌출부위를 포함시킬 때의 p-value는 0.005인 반면 포함하지 않을 때의 p-value는 0.139로 나타났으며, CT에서도 측정된 3차원 영상 부피와 2차원 영상에서 돌출부위를 포함시킬 때의 p-value는 0.005인 반면 포함하지 않을 때의 p-value는 0.057로 나타났다. 돌출형 전립선의 부피측정은 돌출부위를 제외하고 상하길이를 측정하는 것이 3차원 볼륨 렌더링에 의한 부피 값과 더 가까운 부피 값을 얻을 수 있었다.

• 대한핵의학회지
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• 제34권1호
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• pp.82-93
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• 2000

목적: 이 논문에서는 본 연구진이 개발한 소형 감마카메라 시스템에서 사용한 NaI(Tl)섬광결정-위치민감형 광전자증배관 검출기와 각 전자회로에서의 입 출력 신호특성을 조사하고, 시스템 개발을 위해 각 전자회로에서 결정한 변수들에 대하여 고찰하고자 한다. 대상 및 방법: 크기가 $60{\times}60{\times}6mm^3$인 NaI(Tl) 섬광결정을 위치민감형 광전자증배관에 접합하고, 저항 회로와 전치증폭기, 여러 가지 전자회로, 아날로그-디지털 변환기 그리고 개인용 컴퓨터를 이용하여 소형 감마카메라 시스템을 개발하였다. 섬광결정에서 검출된 신호들을 위치민감형 광전자증배관을 통하여 증폭한 후, 전하분할방법으로 34개의 교차된 양극채널 신호를 4개($X^+,\;X^-,\;Y^+,\;Y^-$) 위치신호로 출력시켰다. 출력된 신호를 전치증폭기와 층폭기를 사용하여 증폭 정형하였으며, 핵기기 모듈(nuclear instrument modules, NIMs)을 이용하여 위치신호와 트리거 신호를 처리하였고, 각 단계에서 신호특성을 분석 고찰하였다. 이 신호들을 아날로그-디지털 변환기와 앵거로직을 사용하여 처리한 후, 일반 개인용 컴퓨터에서 그래픽 프로그램을 이용하여 감마카메라 영상을 구현하였다. 결과: 연구에서 분석 고찰한 신호특성을 그림을 통하여 나타내었으며, 이러한 신호처리를 이용하여 개발한 감마카메라는 약 $8{\times}10^3$ counts/sec/${\mu}Ci$의 계수율을 보였다. 140 keV에 대하여 18% FWHM의 에너지 분해능과 X, Y 방향으로 각각 2.2, 2.3 mm FWHM의 내인성 위치 분해능을 나타내었다. 또한 평행구멍형 조준기를 장착한 상태에서 유방모형에 위치한 $2{\sim}7mm$ 직경의 방사능 분포를 정확하게 영상화할 수 있었다. 결론: 이 연구에서 개발한 소형 감마카메라 시스템을 구성하고 있는 각 전자회로에서 결정한 매개변수와 신호특성 고찰결과를 나타내었다. 이 신호처리 시스템 분석을 통하여 감마선 검출을 이용한 영상표현 기술을 확보할 수 있었으며, 소형 감마카메라 개발을 위한 간단한 신호처리 방법을 고안하여 제시하였다.

• Nuclear Medicine and Molecular Imaging
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• 제41권3호
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• pp.226-233
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• 2007

목적: 광학과 핵의학 및 자기공명 분자영상 기술은 생체내에서 리포터 유전자의 발현을 비침습적으로 평가할 수 있다. 한가지 이상의 유전자 발현을 영상화 할 수 있는 복합분자영상은 유전자의 발현과 유전자 치료 후 효능의 평가를 다양한 방법으로 반복하여 평가할 수 있다는 장점이 있다. 본 연구에서는 핵의학 영상이 가능한 NIS와 광학 영상이 가능한 EGFP 두가지 유전자를 동시에 발현하는 HepG2-Retro-PNRGW (PGKp-NIS-RSVp-EGFP-WPRE) plasmid를 이용한 간암 세포주(HepG2-NE)를 구축하고, NIS와 EGFP 리포터 유전자의 기능 발현을 체내에서 광학영상과 핵의학 영상으로 확인하고자 하였다. 재료 및 방법: pcDNA-NIS로 부터 NIS 유전자를 분리하여 pRetro-PN vector를 만든 후, pLNRGW (LTR-NeoR-RSV-EGFP-WPRE)로부터 RSV-EGFP-WPRE 조각을 분리하여 최종적으로 NIS와 EGFP 유전자가 동시에 발현할 수 있는 pRetro-PNRGW vector를 구축하였다. 구축된 vector를 이용하여 Retro-PNRGW retrovirus를 생산하였으며, 이를 HepG2 세포에 감염시켜 HepG2-NE 세포주를 만들었다. 이 세포주의 NIS 유전자의 발현은 역전사효소 중합효소 연쇄반응으로 mRNA 발현을 확인하였고, EGFP 유전자의 발현은 형광현미경을 통하여 EGFP 단백질이 발현하는 녹색형광을 관찰함으로써 확인하였다. 이중 리포터 유전자 중 NIS 유전자의 기능은 세포에서 방사능 옥소의 섭취량과 유출량의 측정을 통해서 확인하였다. 이렇게 만들어진 세포를 누드마우스에 이식하여 형광 영상, I-123을 이용한 감마카메라 영상과 I-124를 이용한 소동물용 PET 영상을 획득하였다. 결과: NIS와 EGFP의 이중 리포터 유전자를 가지고 있는 HepG2 세포주가 성공적으로 만들어졌다. 세포의 약 50% 정도가 형광 현미경 아래에서 관찰되었다. NIS 유전자의 발현은 역전사효소 중합효소 연쇄반응 실험을 통해서 확인하였고, NIS가 발현된 세포의 방사능옥소 섭취량은 대조군에 비하여 약 9배 정도 높게 나타났다. 방사능옥소 유출량 실험에서는 약 9분에 반 정도의 옥소가 유출되는 것이 확인되었다. 구축된 세포주를 이식한 후 획득한 형광 영상, 감마카메라과 소동물용 PET 영상에서는 반대쪽의 대조군 세포를 이식한 것에 비하여 뚜렷한 형광신호가 보였고, 더 높은 방사능옥소 섭취가 확인되었다. 결론: NIS와 EGFP의 이중 리포터 유전자를 가지는 간암 세포주가 성공적으로 구축되었고, 소동물에서 두 유전자를 각각 치료용 리포터 유전자와 영상 리포터 유전자로의 사용이 가능할 것이라고 생각된다.