• Title/Summary/Keyword: R&D3.0

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Equivalent Transmission-Line Sections for Very High Impedances and Their Application to Branch-Line Hybrids with Very Weak Coupling Power

  • Ahn, Hee-Ran;Kim, Bum-Man
    • Journal of electromagnetic engineering and science
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    • 제9권2호
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    • pp.85-97
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    • 2009
  • As operating frequency is raised and as more integration with active and passive elements is required, it becomes difficult to fabricate more than 120 ${\Omega}$ characteristic impedance of a mierostrip line. To solve this problem, an equivalent high impedance transmission-line section is suggested, which consists mainly of a pair of coupled-line sections with two shorts. However, it becomes a transmission-line section only when its electrical length is fixed and its coupling power is more than half. To have transmission-line characteristics(perfect matching), independently of coupling power and electrical length, two identical open stubs are added and conventional design equations of evenand odd-mode impedances are modified, based on the fact that the modified design equations have the linear combinations of conventional ones. The high impedance transmission-line section is a passive component and therefore should be perfectly matched, at least at a design center frequency. For this, two different solutions are derived for the added open stub and two types of high impedance transmission-line sections with 160 ${\Omega}$ characteristic impedance are simulated as the electrical lengths of the coupled-line sections are varied. The simulation results show that the determination of the available bandwidth location depends on which solution is chosen. As an application, branch-line hybrids with very weak coupling power are investigated, depending on where an isolated port is located, and two types of branch-line hybrids are derived for each case. To verify the derived branch-line hybrids, a microstrip branch-line hybrid with -15 dB coupling power, composed of two 90$^{\circ}$ and two 270$^{\circ}$ transmission-line sections, is fabricated on a substrate of ${\varepsilon}_r$= 3.4 and h=0.76 mm and measured. In this case, 276.7 ${\Omega}$ characteristic impedance is fabricated using the suggested high impedance transmission-line sections. The measured coupling power is -14.5 dB, isolation and matching is almost perfect at a design center frequency of 2 GHz, showing good agreement with the prediction.

Video Self-Instruction Program을 이용한 보육교사의 소아심폐소생술 교육의 효과 (The Effects of Child Cardiopulmonary Resuscitation Education for Childcare Teachers with a Video Self-Instruction Program)

  • 김건희
    • 한국응급구조학회지
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    • 제13권2호
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    • pp.87-98
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    • 2009
  • Purpose : This study set out to compare the educational effects of a video self-instruction program for child CPR education on childcare teachers by applying the 2006 KACPR Guideline. By adopting the nonequivalent control group posttest quasi-experimental design, the study examined the educational effects on a group that did not receive instructions from the instructor, another group that received his instructions, and the other group that received an extra three-minute practice training session in addition to instructions. Methods : Data were gathered from August 6 to 18, 2008. As for research tools, the Knowledge Instrument of CPR by Connolly (2006) was used along with the National Practice Test Protocol for C1ass 1 Emergency Medical Technicians (2007) and Common Protocol for CPR (2006) to examine the performance of child CPR. By shooting the guide screen of $Resusci^{(R)}$ Junior CPR Manikin of Leardal with a video camera and using the Skill Guide Checklist of the Common Protocol for CPR (2006), the subjects' technical accuracy of chi1d CPR was evaluated. There were three subject groups: 29 childcare teachers randomly assigned to received the video self-instruction program training for chi1d CPR and no instructions from the instructor made up the control group; 22 childcare teachers randomly assigned to received the program training and instructions from the instructor made up experiment group I; 23 childcare teachers randomly assigned to received an extra three-minute practice training session in addition to the program training and the instructions made up experiment group II. The gathered data were analyzed with SPSS/PC+ (Version 14.0) in frequency, percentage, $X^2$-test, ANOVA, Scheffe test. Results : 1) There were no statistically significant differences (F=1.030, p=.362) among the groups in terms of knowledge scores after the child CPR education. 2) There were statistically significant differences (F=13.625, p=.000) among the groups in terms of performance abilities after the child CPR education. 3) There were no statistically significant differences (F=1.610, p=.207) among the groups in terms of technical accuracy of mouth-to-mouth resuscitation after the child CPR education 4) There were no statistically significant differences (F=1.484, p=.234) among the groups in terms of technical accuracy of chest compression after the child CPR education. Conclusion : The results indicate that childcare teachers can improve their performance abilities in child CPR when the instructors are active with their instructions and extra practice hours are secured through a VSI program. It's also needed to provide education with increasing concentration ratio about the items of lower knowledge points in order to help the teachers learn the accurate theory of child CPR. And there should be VSI programs of diverse conditions to increase the effects of child CPR training among childcare teachers.

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Comparison of Indigenous Browses and Sunflower Seed Cake Supplementation on Intake and Growth Performance of Dual-purpose Goats Fed Buffel Grass (Cenchrus ciliaris) Hay

  • Komwihangilo, D.M.;Chenyambuga, S.W.;Lekule, F.P.;Mtenga, L.A.;Muhikambele, V.R.M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제18권7호
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    • pp.966-972
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    • 2005
  • A study to compare the effects of supplementing Delonix elata, Grewia similis, Tamarindus indica and sunflower seed cake on intake and growth rate of dual-purpose goats fed low quality Buffel grass (Cenchrus ciliaris) hay was carried out. Twenty-eight male goats aged five to seven months (mean weight 12.93${\pm}$3.94 kg) were randomly allocated to four dietary groups in a completely randomised design. The diets were hay plus Grewia similis, hay plus Delonix elata, hay plus Tamarindus indica and hay plus sunflower seed cake. All diets were supplemented with maize bran. The experimental period was 90 days. Voluntary dry matter intake of the supplements was higher for Tamarindus indica (275.5 g/day) and Grewia similis (201.8 g/day) and lowest for sunflower seed cake (81g/day). Goats supplemented with Grewia similis had the highest hay intake (183.8 g/day) while those supplemented with sunflower seed cake had the lowest hay intake (98.9 g/day). Animals fed browse supplements gained significantly more weight (p<0.001) than those with sunflower seed cake. There were no significant differences in live weight change between goats fed the different browses. However, those fed Tamarindus indica gained an average of 20.79 g/d which was slightly higher than the gains for those on Grewia similis and Delonix elata while those fed sunflower seed cake lost weight. Correspondingly, goats supplemented with browse leaf meals had higher feed conversion ratios than those supplemented with sunflower seed cake and required 23.91 to 35.06 g DM of feed to produce one g of weight gain per day. In a separate study, the DM disappearance pattern indicated that Grewia similis and Delonix elata were highly degradable compared to Tamarindus indica. At 24 h of incubation, DM degradability was 627, 588 and 345 g/kg DM for Grewia similis, Delonix elata and Tamarindus indica, respectively. In another study in vivo DM digestibility ranged from 46.1% (for hay alone) to 56.2% (for hay plus Grewia similis). It was concluded that the addition of Tamarindus indica, Grewia similis and Delonix elata leaf meals to Cenchrus ciliaris hay resulted in increased total DM intake, in vivo digestibility and growth rate. Therefore, leaf meals of indigenous browses particularly Tamarindus indica and Grewia similis could be used as supplementary feeds for small ruminants grazing on poor quality roughages during the dry season rather than use of expensive, less effective and intermittently available sunflower seed cake.

CIDR를 이용한 재래 흑염소의 발정동기화와 인공수정 (Effect of CIDR on Estrus Synchronization and Artificial Insemination of Korean Native Goat)

  • 최창용;강다원;조상래;김현종;최선호;최순호;김영근;노규진;최상용;손동수
    • 한국수정란이식학회지
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    • 제20권3호
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    • pp.297-302
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    • 2005
  • 본 연구는 재래 흑염소의 인공수정기술을 개발하여 우수한 재래 흑염소의 이용효율을 극대화시키는데 그 목적을 두고 축산연구소 가축유전자원 시험장에서 사육하고 있는 재래 흑염소의 정액을 채취하여 이를 동결보존한 후 필요시 사용하였다. 발정동기화 처리로 인위적으로 발정을 유기한 개체에 인공수정을 실시하여 처리방법별 발정 유기율, 호르몬의 변화양상 및 분만율을 조사하였다. 발정동기화 방법 중 CIDR+$PGF_2a$ 방법에서 $55.6\%$, CIDR+PMSG 방법에서 $40.0\%$ 발정이 발현되었다. CIDR+$PGF_2a$와 CIDR+PMSG 두 처리구에서 CIDR삽입 후 progesterone 농도가 상승하여 CIDR 제거하는 당일까지 높은 수준의 progesterone의 혈중 농도를 유지하였다. 그러나 CIDR를 제기하면 다음날 바로 그 농도가 1 ng/mL 수준으로 급격히 떨어지는 것을 확인함으로써 재래 흑염소의 발정동기화를 위해 CIDR를 이용하는 것이 유용한 방법으로 확인되었다. 이들 중 CIDR+$PGF_2a$를 사용하였을 경우 신선 정액에서 $25\%$, 동결정액에서 $20\%$의 분만율을 나타내었다.

The New X-ray Induced Electron Emission Spectrometer

  • Yu.N.Yuryev;Park, Hyun-Min;Lee, Hwack-Ju;Kim, Ju-Hwnag;Cho, Yang-Ku;K.Yu.Pogrebitsky
    • 한국결정학회:학술대회논문집
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    • 한국결정학회 2002년도 정기총회 및 추계학술연구발표회
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    • pp.5-6
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    • 2002
  • The new spectrometer for X-ray Induced Electron Emission Spectroscopy (XIEES) .has been recently developed in KRISS in collaboration with PTI (Russia). The spectrometer allows to perform research using the XAFS, SXAFS, XANES techniques (D.C.Koningsberger and R.Prins, 1988) as well as the number of techniques from XIEES field(L.A.Bakaleinikov et all, 1992). The experiments may be carried out with registration of transmitted through the sample x-rays (to investigate bulk samples) or/and total electron yield (TEY) from the sample surface that gives the high (down to several atomic mono-layers in soft x-ray region) near surface sensitivity. The combination of these methods together give the possibility to obtain a quantitative information on elemental composition, chemical state, atomic structure for powder samples and solids, including non-crystalline materials (the long range order is not required). The optical design of spectrometer is made according to Johannesson true focusing schematics and presented on the Fig.1. Five stepping motors are used to maintain the focusing condition during the photon energy scan (crystal angle, crystal position along rail, sample goniometer rail angle, sample goniometer position along rail and sample goniometer angle relatively of rail). All movements can be done independently and simultaneously that speeds up the setting of photon energy and allows the using of crystals with different Rowland radil. At present six curved crystals with different d-values and one flat synthetic multilayer are installed on revolver-type monochromator. This arrangement allows the wide range of x-rays from 100 eV up to 25 keV to be obtained. Another 4 stepping motors set exit slit width, sample angle, channeltron position and x-ray detector position. The differential pumping allows to unite vacuum chambers of spectrometer and x-ray generator avoiding the absorption of soft x-rays on Be foil of a window and in atmosphere. Another feature of vacuum system is separation of walls of vacuum chamber (which are deformed by the atmospheric pressure) from optical elements of spectrometer. This warrantees that the optical elements are precisely positioned. The detecting system of the spectrometer consists of two proportional counters, one scintillating detector and one channeltron detector. First proportional counter can be used as I/sub 0/-detector in transmission mode or by measuring the fluorescence from exit slit edge. The last installation can be used to measure the reference data (that is necessary in XANES measurements), in this case the reference sample is installed on slit knife edge. The second proportional counter measures the intensity of x-rays transmitted through the sample. The scintillating detector is used in the same way but on the air for the hard x-rays and for alignment purposes. Total electron yield from the sample is measured by channeltron. The spectrometer is fully controlled by special software that gives the high flexibility and reliability in carrying out of the experiments. Fig.2 and fig.3 present the typical XAFS spectra measured with spectrometer.

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벼 건답직파(乾畓直播) 재배시기별(栽培時期別) 잡초발아양상(雜草發芽樣相) 및 방제체계(防除體系) (Weed Occurrence Accompanied by Sowing Time and Control System in Dry-seeded Rice Fields)

  • 최충돈;최장수;김칠용;최부술;여수갑
    • 한국잡초학회지
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    • 제18권2호
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    • pp.116-121
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    • 1998
  • 벼 건답직파재배(乾畓直播栽培)에서 재배시기별(栽培時期別) 잡초발생(雜草發生) 양상(樣相)의 구명(究明)으로 효과적(效果的)인 제초체계(除草體系)를 확립(確立)하기 위하여 수행(遂行)한 일연(一連)의 시험결과(試驗結果)를 요약(要約)하면 다음과 같다. 1. 벼 건답직파재배(乾畓直播栽培)에서 초기(初期)에 발생(發生)하는 잡초(雜草)는 피와 바랭이가 주종(主種)이였으며, 생육(生育)이 진전(進展)될수록 피가 점차(漸次) 우점(優占)하였고, 파종시기(播種時期)가 늦으면 알방동사니의 발생(發生)이 많았다. 2. 잡초발생량(雜草發生量)은 파종시기(播種時期)가 늦을수록 생육초기(生育初期)에는 많았으나 후기(後期)에는 만파(晩播)에 비하여 조파(早播)할수록 많았으며, 잡초발생(雜草發生)에 의한 수량감소(收量減少)는 파종시기(播種時期)가 빠를수록 큰 편이었다. 3. 발생(發生)하는 잡초종(雜草種)은 파종시기(播種時期)가 늦을수록 특정초종(特定草種)의 우점현상(優占現象)이 적어지는 다양성(多樣性)이 높았으며, 파종시기(播種時期)에 관계(關係)없이 생육(生育)이 진전(進展)될수록 특정초종(特定草種)의 우점현상(優占現象)이 심화(深化)되었다. 4. 파종후(播種後) 15일 이전(以前) 잡초방제(雜草防除)는 방제효과(除草效果)가 파종후(播種後) 35일까지는 탁월(卓越)하였으나 이후(以後)로는 점차 낮아져 출수기(出穗期)에는 60% 미만(未滿)이었으며, 일발처리(一發處理)로는 담수직전(湛水直前) 처리(處理)가 유리(有利)하고, 체계처리(體系處理)는 잡초발생전(雜草發生前)+담수후(湛水後)의 처리(處理)가 잡초방제(雜草防除) 효과(效果)및 수량성(收量性)에서 완전방제(完全防除)와 차이(差異)가 없었다.

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구면과 토릭 소프트 렌즈로 교정한 약도 난시안의 대비감도와 눈부심 (Contrast Sensitivity and Glare with Spherical and Toric Soft Contact Lenses in Low-astigmatic Eyes)

  • 이민아;김현정;김재민
    • 한국안광학회지
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    • 제14권1호
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    • pp.39-45
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    • 2009
  • 목적: 본 연구는 약도의 근시성 난시안의 토릭 소프트 렌즈와 다른 교정 방법의 효과를 알아보기 위해 대비감도 검사와 눈부심 장애 검사를 이용하여 시력의 질을 비교하였다. 방법: 1.50D이하의 경도 난시의 근시안인 남녀 대학생 20명(40안)을 대상으로 5가지 다른 방법(소프트렌즈 등가구면, 토릭 소프트 렌즈, RGP 렌즈, 난시교정 안경, 안경 등가구면)으로 교정하였다. 모든 대상자는 교정시력이 20/20(1.0) 이상이었다. 대비감도 검사와 눈부심 장애 검사는 OPTEC$^{(R)}$ 6500을 이용하여 밝은 조도과 어두운(글레어) 조도에서 실시하였다. 결과: 밝은 조도 하에서 난시교정 안경이 모든 공간주파수에서 가장 높은 대비감도를 나타내었고, 토릭 소프트 렌즈, RGP 렌즈, 안경 등가구면, 소프트 콘택트렌즈 등가구면 처방 순으로 대비감도가 낮아지는 것으로 나타났다. 그러나 모두 정상 범위의 대비감도 영역에 포함되었다. 어두운 조도(글레어) 하에서는 토릭 소프트 렌즈 착용자가 가장 높은 대비감도를 나타내었고, RGP렌즈, 안경 등가구면, 난시교정 안경, 소프트 렌즈 등가구면 처방 순으로 대비감도가 낮아지는 것으로 나타났다. 구면 소프트렌즈 착용자는 어두운 조도(글레어) 하에서 정상 영역보다 낮은 대비감도 값을 보였다. 결론: 약도의 근시성 난시안의 교정으로 토릭 소프트 렌즈 교정이 구면 소프트렌즈보다 좋은 시력의 질(대비감도)을 보인 것으로 나타났다. 어두운 조명에서 콘택트렌즈를 착용해야할 경우에는 토릭 소프트렌즈가 우수한 것으로 사료된다.

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Feasibility of Emotional Freedom Techniques in Patients with Posttraumatic Stress Disorder: a pilot study

  • Yujin Choi;Yunna Kim;Do-Hyung Kwon;Sunyoung Choi;Young-Eun Choi;Eun Kyoung Ahn;Seung-Hun Cho;Hyungjun Kim
    • 대한약침학회지
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    • 제27권1호
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    • pp.27-37
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    • 2024
  • Objectives: Posttraumatic stress disorder (PTSD) is a prevalent mental health condition, and techniques using sensory stimulation in processing traumatic memories have gained attention. The Emotional Freedom Techniques (EFT) is a psychotherapy that combines tapping on acupoints with exposure to cognitive reframing. This pilot study aimed to assess the feasibility of EFT as a treatment for PTSD by answering the following research questions: 1) What is the compliance and completion rate of patients with PTSD with regard to EFT protocol? Is the dropout rate reasonable? 2) Is the effect size of EFT protocol for PTSD sufficient to justify a future trial? Methods: Thirty participants diagnosed with PTSD were recruited. They received weekly EFT sessions for five weeks, in which they repeated a statement acknowledging the problem and accepting themselves while tapping the SI3 acupoint on the side of their hand. PTSD symptoms were evaluated using the PTSD Checklist for DSM-5 (PCL-5) before and after the intervention. Results: Of the 30 PTSD patients (mean age: 34.1 ± 9.1, 80% female), 96.7% showed over 80% compliance to the EFT sessions, and 86.7% completed the entire study process. The mean PCL-5 total score decreased significantly after the intervention, with a large effect size (change from baseline: -14.33 [95% CI: -19.79, -8.86], p < 0.0001, d = 1.06). Conclusion: The study suggests that EFT is a feasible treatment for PTSD, with high session compliance and low dropout rates. The effect size observed in this study supports the need for a larger trial in the future to further investigate EFT as a treatment for PTSD. However, the lack of a control group and the use of a self-rated questionnaire for PTSD symptoms are limitations of this study. The findings of this pilot study can be used to plan a future trial.

접착강화제 도포후 인공타액에 오염된 표면의 처리방법에 따른 복합레진의 번연누출과 전단결합강도 (MARGINAL MICROLEAKAGE AND SHEAR BOND STRENGTH OF COMPOSITE RESIN ACCORDING TO TREATMENT METHODS OF ARTIFICIAL SALIVA-CONTAMINATED SURFACE AFTER PRIMING)

  • 조영곤;고기종;이석종
    • Restorative Dentistry and Endodontics
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    • 제25권1호
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    • pp.46-55
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    • 2000
  • During bonding procedure of composite resin, the prepared cavity can be contaminated by saliva. In this study, marginal microleakage and shear bond strength of a composite resin to primed enamel and dentin treated with artificial saliva(Taliva$^{(R)}$) were evaluated. For the marginal microleakage test, Class V cavities were prepared in the buccal surfaces of fifty molars. The samples were randomly assigned into 5 groups with 10 samples in each group. Control group was applied with a bonding system (Scotchbond$^{TM}$ Multi-Purpose plus) according to manufacture's directions without saliva contamination. Experimental groups were divided into 4 groups and contaminated with artificial saliva for 30 seconds after priming: Experimental 1 group ; artificial saliva was dried with compressed air only, Experimental 2 group ; artificial saliva was rinsed and dried. Experimental 3 group ; cavities were etched with 35% phosphoric acid for 15 seconds after rinsing and drying artificial saliva. Experimental 4 group ; cavities were etched with 35% phosphoric acid for 15 seconds and primer was reapplied after rinsing and drying artificial saliva. All the cavities were applied a bonding agent and filled with a composite resin (Z-100$^{TM}$). Specimens were immersed in 0.5% basic fuschin dye for 24 hours and embedded in transparent acrylic resin and sectioned buccolingually with diamond wheel saw. Four sections were obtained from one specimen. Degree of marginal leakage was scored under stereomicroscope and their scores were averaged from four sections. The data were analyzed by Kruscal-Wallis test and Fisher's LSD. For the shear bond strength test, the buccal or occlusal surfaces of one hundred molar teeth were ground to expose enamel(n=50) or dentin(n=50) using diamond wheel saw and its surface was smoothed with Lapping and Polishing Machine(South Bay Technology Co., U.S.A.). Samples were divided into 5 groups. Treatment of saliva-contaminated enamel and dentin surfaces was same as the marginal microleakage test and composite resin was bonded via a gelatin capsule. All specimens were stored in distilled water for 48 hours. The shear bond strengths were measured by universal testing machine (AGS-1000 4D, Shimaduzu Co., Japan) with a crosshead speed of 5 mm/minute. Failure mode of fracture sites was examined under stereomicroscope. The data were analyzed by ANOVA and Tukey's studentized range test. The results of this study were as follows : 1. Enamel marginal microleakage showed no significant difference among groups. 2. Dentinal marginal microleakages of control, experimental 2 and 4 groups were lower than those of experimental 1 and 3 groups (p<0.05). 3. The shear bond strength to enamel was the highest value in control group (20.03${\pm}$4.47MPa) and the lowest value in experimental 1 group (13.28${\pm}$6.52MPa). There were significant differences between experimental 1 group and other groups (p<0.05). 4. The shear bond strength to dentin was higher in control group (17.87${\pm}$4.02MPa) and experimental 4 group (16.38${\pm}$3.23MPa) than in other groups, its value was low in experimental 1 group (3.95${\pm}$2.51 MPa) and experimental 2 group (6.72${\pm}$2.26MPa)(p<0.05). 5. Failure mode of fractured site on the enamel showed mostly adhesive failures in experimental 1 and 3 groups. 6. Failure mode of fractured site on the dentin did not show adhesive failures in control group, but showed mostly adhesive failure in experimental groups. As a summary of above results, if the primed tooth surface was contaminated with artificial saliva, primer should be reapplied after re-etching it.

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Henoch-$Sch\ddot{o}nlein$ 자반증 환아에서 신침범에 대한 위험인자 분석 및 tumor necrosis factor-$\alpha$의 의의 (The Analysis of Risk Factors and Significance of Tumor Necrosis Factor(TNE)-$\alpha$ in Henoch-$Sch\ddot{o}nlein$ Nephritis)

  • 송영준;하태선
    • Childhood Kidney Diseases
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    • 제4권1호
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    • pp.40-47
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    • 2000
  • 목 적 : Henoch-$Sch\ddot{o}nlein$(HS)자반증에서 신증상은 가장 심각한 증상이고 HS자반증의 예후와 관련되어 중요성이 강조되고 있다. 이에 대하여 immunoglobulins, 보체계, interleukin(IL)-1, interleukin(IL)-6 또는 tumor necrosis factor(TNF)-$\alpha$등과 같은 pro-inflammatory cytokines 등의 병인론적 연구가 진행되고 있다. 본 연구의 목적은 HS자반증의 임상 증상들을 신침범 유무에 따라 비교하여 신침범의 임상적 위험인자를 알아보고자 하였고 급성기와 회복기 혈청 및 뇨중 TNF-$\alpha$의 농도를 각각 측정하여 신침범 환아에서 병인론적 역할을 검증해 보고자 하였다. 대상 및 방법 : 1998년 3월부터 1999년 4월까지 충북대학교병원 소아과를 방문한 HS자반증 환아 12명, HS 신염 환아 7명, 연령별 대조군 5명을 대상으로 환아의 연령, 성별, 전구증상, 복통, 관절통, 자반의 정도와 지속기간, 스테로이드의 사용유무 등에 따른 신증상 발현의 상관관계를 조사하였다. 또한 대상 환아들의 혈청은 내원 당시 채혈하여 3,000g, 5분 동안 원심분리하여 $-20^{\circ}C$에 보관하였으며 소변은 내원 당시 채취하여 $-20^{\circ}C$에 보관 후,R & D system(Mineapolis, USA)의 $Quantikine^{TM}$ human TNF-$\alpha$ immunoassay kit를 이용하여 TNF-$\alpha$의 농도를 측정하였다. 결 과 :임상인자 중 자반이 4주 이상 지속되는 지속성 자반증 환아에서 신염 발생율이 의미있게 높았으며 (P=0.0018), 복통이나 관절통 등으로 인하여 급성기에 사용한 스테로이드는 신염의 발생율과는 연관성이 없었고 자반의 지속기간에도 영향을 주지 않았다. 급성기 혈청 TNF-$\alpha$는 신염을 동반한 HS자반증 환아에서 연령별 대조군이나 신염이 없는 HS자반증 환아보다 의미있게 증가하였으나(P=0.027, P=0.012) 뇨중 TNF-$\alpha$농도는 연광성을 발견할 수 없었다. 또한 혈청 TNF-$\alpha$의 상승과 임상적 위험인자와의 연관성을 조사해 보았을 때 지속적 자반군에서 통계적으로 유의한 증가를 보였다(P=0.038). 결 론 :혈청 TNF-$\alpha$농도는 HS자반증에서 신염의 발생과 관련이 있으므로 임상적 위험인자로 자반의 지속기간과 함께 HS자반증 환아의 신침범에 대한 예측인자로 활용할 수 있을 것이며 따라서 HS신염의 예방과 치료에 있어서 TNF-$\alpha$에 대한 생성억제제나 특이항체 등의 이용가능성에 대한 연구가 필요할 것이다.

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