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內科病棟에서 본 有熱疾患의 現況 : 俗稱 不明熱에 대한 檢討
尹吉子,全鍾暉,楊愛琳 대한감염학회 1975 감염 Vol.7 No.1
Clinical observation was made in 317 patients with febrile diseases was admitted to the department of internal medicine of St. Mary's hospital from July 1973 to June 1975. 1) Of 98 patients with clinical impression of Typhoid fever, 78 patients was confirmed bacteriologically (71 cases) or serologically (7cases) as Typhoid fever. Of 219 patients without typical clinical symptoms of Typhoid fever, 44 cases was proved to be Typhoid fever. 2) Incidence of positive blood culture was high in patients with typical classical manifestations of Typhoid fever. (severe cases!) 3) In view of the fact that incidence of serological or bacterological positivity was low in patients with Typhoid fever who was previously treated with antibiotics. It is suggested that significant portion of the patients with FUO particularly the patient who improved symptomatically on antibiotics application, may turn out to be the Typhoid fever. Bone marrow-and Liver-biopsies could be supplementary diagnostic procedures in the cases of bacterioseronegative suspicious Typhoid fever.
근로자지원프로그램 이용자와 비이용자의 생산성 차이에 대한 예비연구
우종민,윤길자,김대호 대한신경정신의학회 2010 신경정신의학 Vol.49 No.5
ObjectivesZZOrganizations have recently introduced Employee Assistance Programs (EAPs) to pro-mote work performance by helping employees to solve their current problems and reduce stress levels. This cross-sectional, retrospective study was conducted to measure features of work performance among EAP users in Korea. MethodsZZMeasurements were taken by employee surveys and employee records. Lost productivity time, job/organizational involvement, and job satisfaction were measured among 332 EAP users in ten organizations in Korea, which had introduced EAPs as of 2009. EAP users responded to measurements after one to three months after enrollment in EAP counseling service. A conveni-ence sample of 297 workers, who had not used an EAP counseling service during the study period, was used as a comparison group. ResultsZZCompared with non-users, the EAP users showed more presenteeism (53.22 vs. 47.63 hours per four weeks, p=0.025) and more total lost productivity time (p=0.020). Job satisfaction was correlated with presenteeism. ConclusionZZEAP users showed decreased productivity. It would appear that EAP counseling is a useful program for those who are present at workplace but suffering from decreased performance due to personal stress. This study indicates the need for a prospective outcome study to assess the economic and clinical value of EAPs.
李光學,鄭圭源,鄭喜泳,尹吉子,姜文元 대한감염학회 1975 감염 Vol.7 No.1
A 15 year old girl with documented typhoid fever manifested very severe symptoms and unusual complications. These included (1) typoid myocarditis characterized by serial EKG changes and clinically severe dyspnea, lethargy, drowsiness, and marked elevations of LDH and serum transaminase activity, (2) pneumonia, (3) typhoid hepatitis presumed histologically and clinically, and (4) clinical evidence of typhoid nephritis. Diagnosis of typhoid fever was confirmed by growth of Salmonella typhi both in blood and bone marrow aspirates culture. She was discharged on the 21st hospital day with full recovery.