• 대한불안의학회지
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• 제5권2호
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• pp.103-111
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• 2009

Objectives : We examined quality of life, psychosocial adjustments to illness, changes in sexual functioning, and prevalence of psychiatric disorders in AIDS patients compared to patients with chronic hepatitis B virus infection (CHB). Methods : Thirty-one men with AIDS and 50 men with CHB were enrolled. The Short-Form 12-Item Health Survey (SF-12), the Psychosocial Adjustment to Illness Scale (PAIS), and the Changes in Sexual Functioning Questionnaire short form (CSFQ-14) were administered. Results on these assessments were compared between the 31 AIDS patients and 50 CHB patients. The Structured Clinical Interview for DSMIV (SCID) was administered to determine the psychiatric diagnosis only for the AIDS patients. Results : The Physical Component Summary score (PCS) was lower in AIDS patients than in CHB patients (p<0.001). In the section examining sexual relationships, AIDS patients exhibited a lower level of adjustment (p<0.05) and had more changes in sexual function (p<0.05) than did CHB patients. Administration of the SCID to AIDS patients indicated that the lifetime prevalence of any psychiatric disorder was 56.7% ; 43.3% for mood disorders, 33.3% for alcohol use disorders, 26.7% for anxiety disorders, and 20% for adjustment disorder. Patients who had experienced any psychiatric disorder had more severe psychosocial distress (p=0.004) and evidenced a lower level of overall psychosocial adjustment (p=0.030) than patients who had not. Conclusion : We showed that AIDS patients have a high prevalence of psychiatric disorders, and that AIDS patients with psychiatric disorders were particularly low in levels of psychosocial adjustment. Thus, careful attention should be given to psychiatric aspects of AIDS patients emphasizing the early diagnosis and treatment of psychiatric disorders.

• 한국치위생학회지
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• 제4권2호
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• pp.135-151
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• 2004

The purpose of this study was to examine how much knowledge dental-hygiene students had about AIDS and how they looked at that. The subjects in this study were 370 freshmen, sophomores and juniors who were majoring in dental hygiene. The findings of this study were as follows : The rate of the students who were accurately aware of AIDS dissemination ranged from 59 to 92 percent. Those who knew that the disease didn't spread through routine daily contacts stood at 63 to 91 percent, and the students who were correctly cognizant of the cause of AIDS numbered 41 to 77 percent. Those who grasped the seriousness of that disease stood at 45 to 83 percent. The students weren't properly aware of how to prevent AIDS, as just 33 to 68 percent knew about that. Concerning connections between school year and AIDS knowledge, the sophomores had a better knowledge on its dissemination, cause and AIDS itself than the freshmen and juniors. As for attitude toward AIDS, 72.4 percent considered themselves not to be susceptible to that disease, but 361 percent felt that they were likely to develop it. 44.6 percent weren't afraid of being attacked by that disease, but more students feared about that possibility. Most of the students, who ranged from 77 to 88 percent, hoped to continue to be educated about that, and as many as 92 percent believed that AIDS patients should separatedly be treated. A lot of the students, which accounted for 90 percent, felt fear in the course of treatment, but 44 percent believed that AIDS patients should equally be treated, which indicated that they had a sense of responsibility. As to the relationship of school year to altitude toward AIDS, when their ideas about the danger of AIDS were asked, the freshmen and juniors considered themselves not to be susceptible to that disease more than the sophomores did, and the former group felt, more than the latter, that AIDS infection should be more thoroughly prevented than hepatitis in dental clinic. The juniors had a stronger tendency to find themselves to be exposed to AIDS as equally as most other people, compared to the freshmen and sophomores. The sophomores felt higher need for AIDS - related education, and had a stronger sense of duty about treating AIDS patients, and were more apprehensive of the disease in the course of treatment than the freshmen and juniors did. The above-mentioned findings suggested thai every individual should be cautious not to develop AIDS, as there is still no workable vaccine. Since the nation is not free from the horrible disease, the government should put more efforts into researching and preventing it. But what's most important is that dental-hygiene students, who will be committed to dental treatment in the future, should precisely be cognizant of the seriousness of that disease, and try to stay away from it by using protective devices and handling dental supplies properly. And the type of treatment system thai could prevent AIDS infection should be established.

• Tuberculosis and Respiratory Diseases
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• 제68권2호
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• pp.97-100
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• 2010

A 73-year-old man was admitted with a sudden onset of dyspnea. He had never smoked. The chest radiograph and computed tomography revealed bilateral ground glass opacity and an enlarging perihilar consolidation with lymphadenopathies. There was a higher percentage of eosinophils (72%) in the bronchoalveolar lavage fluid (BALF) than normal. The patient was diagnosed with acute eosinophilic pneumonia and managed with steroid. Pneumocystis pneumonia (PCP) was diagnosed by an examination of the BALF, and the patient was treated with trimethoprim-sulphamethoxazole. The patient tested positive to the HIV antibody and the peripheral blood CD-4 positive lymphocyte count was only $33/{\mu}L$. The percentage of eosinophils in the BALF can increase in some cases of PCP that is complicated with AIDS. Only a few cases of eosinophilic pneumonia associated with PCP pneumonia have been reported in patients with AIDS but there are no case reports in Korea. This case highlights the need to consider PCP when the percentage of eosinophils in the BALF is elevated.

• 생명과학회지
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• 제32권9호
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• pp.734-741
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• 2022

전세계적으로 약 4천만 명의 사람들이 인체면역결핍증바이러스(HIV) 감염이 되어 있으며, HIV에 감염된 세포의 수가 치명적인 수준에 다르면 후천성면역결핍증후군을 일으키게 된다. HIV에 감염이 되면 완치 치료가 어려우며 현재 알려진 치료방법으로는 감염, 복제 및 바이러스 방출 억제를 위해 항레트로 바이러스 치료법이 병용되고 있다. 하지만 HIV 바이러스는 지속적인 돌연변이 유발 및 약물에 대한 내성을 갖게 하므로 장기간 약물복용 시 심각한 부작용을 초래한다. 이에 새로운 치료방법과 효능약물에 대한 연구가 필요한 실정이다. 식물유래 천연물은 수많은 생리활성물질들이 보고되어 있으며, 이는 항HIV 효능 지닌 잠재성을 가진 후보 물질이 될 수 있다. 1990년 세계보건기구에서는 플라보노이드, 쿠마린, 탄닌 및 테르펜의 항 HIV 효능을 보고하였으며, 이러한 물질은 SARS-CoV-2와 같은 바이러스 감염을 또한 억제하는 것으로 밝혀졌다. 따라서, 본 연구에서는 항 HIV 효능을 나타내는 식물 추출물 및 파이토케미컬에 대한 최신 연구동향(2021-현재)을 검토하였으며, 이를 통해 항HIV 효능을 지닌 새로운 천연물 발굴의 기초자료로 활용될 것으로 사료된다.

• Tuberculosis and Respiratory Diseases
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• 제45권4호
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• pp.805-812
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• 1998

연구배경: 주폐포자충 페렴은 면역 부전 환자들에게서 발생하는 흔한 기회감염증이다. 주폐포자충폐렴 환자의 기관지폐포 세척액에서 동반 검출되는 거대세포바이러스의 주폐포자충 폐렴의 예후에 미치는 영향에 대한 보고들은 후천성 면역 결핍 증후군 환자들을 대상으로 하고 있으며 그 결과에 대해서는 논란이 있다. 이에 저자들은 기관지폐포 세척액에서 거대세포바이러스가 동반 검출된 환자군이 포함된 주폐포자충 폐렴으로 증명된 환자들을 대상으로 임상 소견을 고찰 하였다. 방 법: AIDS가 아닌 주폐포자충 폐렴이 진단된 10명의 의무기록을 분석 하였으며 흉부 단순 촬영 소견은 폐 침윤, 결절 형성, 늑막액 여부등을 조사 하였다. 각 수치는 중앙값(범위)로 표기하였고 주폐포자충 폐렴의 사망 관련 인자 분석에는 Fisher's exact test와 Mann-Whitney U test를 이용하였다. 결 과: 기저 질환은 신 이식(n=4), 특발성 폐 섬유화증(n=1), 혈관염 (n=1), 전신성 홍반성 낭창(n=1), 뇌 종양(n=1), 만성 골수성 백혈병(n=1)과 기저질환을 모르는 환자가 1예였다. 단독으로 주폐포자충 폐렴이 있는 군과 거대세포바이러스 동반 검출 군 사이에 임상 경과의 차이는 없었으며, 기계 환기 여부(p=0.028), APACHE III 점수 (p=0.018), 혈중 알부민 농도(p=0.048)등이 주폐포자충 폐렴의 예후와 관련이 있었다. 결 론: 기관지폐포 세척액에서 거대세포바이러스가 동반 검출된 주폐포자충 폐렴 환자의 임상 경과는 비검출 환자들과 유사 하였으며 호흡 부전 동반, 고 APACHE III 점수, 부실한 영양 상태등이 주폐포자충 폐렴의 불량한 예후와 연관 되어 있었다.

• Journal of Hospice and Palliative Care
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• 제20권4호
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• pp.226-234
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• 2017

목적: '연명의료결정법'의 시행으로 호스피스 완화의료의 대상이 암뿐 아니라 후천성면역결핍증(acquired immunodeficiency syndrome, AIDS)을 포함한 비암성 질환에까지 확대된다. 하지만, AIDS에 대해서는 부정적인 인식과 낙인, 편견이 많아 호스피스 완화의료 확대에 대한 우려가 많다. 이에 본 연구에서는 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도에 영향을 주는 요인들을 알아보고자 하였다. 방법: 우리나라의 19개 기관의 326명의 호스피스 자원봉사자들을 대상으로 자가 기입식 설문지를 이용해 조사하였다. 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도는 11단계 숫자등급을 통해 파악하였다. 인구사회학적 변수들, 자원봉사와 관련된 변수들, 자원봉사에 대한 만족도, AIDS에 대한 지식 수준, AIDS에 대한 태도('AIDS 환자에 대한 두려움', 'AIDS 환자에 대한 부정적인 태도', '개인적인 낙인', '낙인적 태도')를 조사하였다. 다중회귀분석을 이용하여 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도에 영향을 주는 요인들을 알아보았다. 결과: 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도 점수는 암환자에 대해서보다 평균 2.82점 낮았고 이는 통계적으로 유의하였다(P<0.001). 다중회귀분석 결과 자원봉사에 대한 만족도가 높을수록(P=0.002) '개인적인 낙인' 점수가 낮을수록(P<0.001) 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도는 높아졌다. 결론: 본 연구의 결과 호스피스 자원봉사자들의 말기 AIDS 환자들에 대한 자원봉사 제공의향 정도와 관련이 있는 요인은 자원봉사에 대한 만족도와 AIDS에 대한 태도 중 '개인적인 낙인'이었다.