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사람면역결핍바이러스 감염인 및 후천면역결핍증후군 환자에 대한 사회적 낙인과 차별
권소리,서보경,소성욱,이소중 대한의사협회 2024 대한의사협회지 Vol.67 No.3
Background: Social stigma and discrimination are major barriers to an effective national response to human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), and there have been repeated calls to transform the current surveillance-focused policy. Serious instances of discrimination and clinical service failings increase the urgency and importance of addressing issues relevant to AIDS-related stigma. Yet, progress in achieving effective and people-centered responses to AIDS is insufficient. Current Concepts: Based on a comprehensive multi-sectoral review of a wide range of literature, this article examines the key features of AIDS-related stigma in South Korea and evaluates governmental and organizational efforts to redress them. Three major areas, of issues and possibilities for change, are identified: (1) addressing discrimination in health care settings, (2) decriminalization of HIV transmission, according to the Undetectable=Untransmittable (U=U) principle, (3) improving the quality of life and social inclusion of people living with HIV. Discussion and Conclusion: An extensive examination of existing evidence on AIDS-related stigma, guided by the authors’ long-term experience of public participation and civic empowerment, suggests that by placing these three issues at the center of the national response to AIDS, significant improvement in the AIDS care continuum is achievable. People-centered service delivery models that focus on dismantling structural barriers and incorporating leadership from key populations will enable high-impact public health responses to AIDS and HIV infection.
권혜민,양소리,김지형,전진우,Kwon, H.,Yang, S.,Kim, J.H.,Jun, J.W. Korea National University of Agriculture and Fishe 2021 현장농업연구지 = Journal of practical agricultural resear Vol.23 No.1
2020년 11월, 국내의 넙치 양식장에서 양식 중이던 넙치가 이상 유영 소견을 보이다가, 지속적으로 폐사하였다. 질병 진단 과정 중, 폐사어의 신장에서 세균(KNCFKW-PN1)이 분리되었다. gyrase B subunit 유전자의 시퀀스 분석 결과, KNCFKW-PN1 분리주는 기존에 보고된 LMG 2227<sup>T</sup> 균주의 해당 유전자 시퀀스와 99.59% 유사도를 보여 Pseudoalteromonas nigrifaciens 로 동정이 되었다. 항생제 감수성 실험 결과에 따르면, KNCFKW-PN1 분리주는 ciprofloxacin에 대하여 중등도의 내성을 나타내었고, ampicillin, cefepime, cefotaxime, ceftazidime, amikacin에 내성을 나타내었다. 본 사례는 다제 내성 Pseudoalteromonas nigrifaciens 세균이 넙치로부터 분리된 최고의 보고이다. Olive flounders which were cultured in commercial fish farm showed abnormal swimming behavior in November 2020. Then, gradual mortality was observed in the fish farm. During the diagnosis, bacterial strain KNCFKW-PN1 was isolated from the kidney of the dead fish. Based on the sequence of gyrase B subunit gene, KNCFKW-PN1 was proved to be Pseudoalteromonas nigrifaciens, showing 99.59% nucleotide identity with that of P. nigrifaciens LMG 2227<sup>T</sup>. According to the result of antibiotic susceptibility test, P. nigrifaciens KNCFKW-PN1 showed intermediate resistance to ciprofloxacin, and was resistant to ampicillin, cefepime, cefotaxime, ceftazidime, and amikacin. This is the first report of the isolation of multiple-antibiotic-resistant P. nigrifaciens from olive flounder.