• Title/Summary/Keyword: Special Medical Examination

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Cohort Profile: Gachon Regional Occupational Cohort Study (GROCS)

  • Lee, Wanhyung;Lee, Yongho;Lee, Junhyeong;Kim, Uijin;Han, Eunsun;Ham, Seunghon;Choi, Won-Jun;Kang, Seong-Kyu
    • Safety and Health at Work
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    • v.13 no.1
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    • pp.112-116
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    • 2022
  • Background/Aims: The Gachon Regional Occupational Cohort Study (GROCS) is a large-scale longitudinal study of occupational safety and health data (covering Work Environment Monitoring, Workers' Health Surveillance, and Occupational Health Service) conducted by the Gachon University Gil Medical Center (GUGMC) in Incheon, Republic of Korea. We conducted GROCS to identify the health effects of workers' occupational risks, behavior, socioeconomic status, and life style. Methods: The GROCS includes data from Work Environment Monitoring, Workers' Health Surveillance, and Occupational Health Service. The baseline year for all data collection was 2018. Work Environment Monitoring was conducted in 240 companies located in Incheon. General Health Examination and Special Health Examination were performed on 32,725 and 9,504 workers, respectively. Occupational Health Services were provided to 16,883 workers in 171 companies. These data have been collected and operated at an external data management institution and were provided as a retrospective cohort after removing personal identification information. Results: In 2018, the total number of companies was 2,854, among which which 488 special Health Examination, 171 Work Environment Monitoring, and 240 Occupational Health Service. The proportion of companies undergoing Special Health Examination was 17.1%, the proportion of companies undergoing Work Environment Monitoring was 8.4%, and the proportion of Companies undergoing Occupational Health Service was 6.0%. Conclusion: GROCS expects researchers to utilize its useful and reliable resource for occupational health and surveillance with for academic or political purposes to lead to improved workers' health and working environment.

Analysis of Noise Special Medical Examination and Work Environment Monitoring results (소음에 대한 특수건강진단 및 작업환경측정 결과 분석)

  • Kim, Kab Bae;Park, Hae Dong
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2014.10a
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    • pp.698-698
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    • 2014
  • According to the analysis of special medical examination and work environment monitoring data, the rate of C1 and D1 on noise hazard exceeded 90% among those of total hazardous factors. The rate of company exceeding noise exposure limit was also more than 90%. The analysis result shows that main ages diagnosed with C1 and D1 was age of 50s. The majority scale company having workers diagnosed with C1 and D1 was the companies employing 5~49 workers. Types of industries which have a large number of companies exceeding noise exposure limit were automobile and trailer manufacturing, metal processing industry and primary metal manufacturing. A large number of work processes exceeding noise exposure limit were forming and processing work, cutting and bending work and grinding. To reduce the number of company exceeding noise exposure limit, the reduction counterplan should be focused on the type of industry and the work process which exceeded noise exposure limit frequently. However, the reduction counterplan is preemptively necessary to the type of industry and the work process which exceeded noise exposure limit consecutively if the purpose of reduction counterplan is not to merely reduce the number of company exceeding noise exposure limit but to abate workers' suffering from noise.

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A Study on The Periodic Medical Examination, and Health Care Management Programs of Industries -Busan City Province- (산업장의 건강검진과 보건관리실태에 관한연구 -부산 지역을 중심으로-)

  • Huang, Bo-Sun;Shin, Yu-Sun;Yun, Suk-Ok;Lee, Ji-Hyun;Kim, Jung-Soon;Kim, Lee-Soon;Kim, Bok-Yong;Kang, Young-Mee
    • Research in Community and Public Health Nursing
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    • v.4 no.1
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    • pp.14-24
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    • 1993
  • The Purpose of this study was to explore the condition of periodic medical examination and the health care services of industries in order to offer some basic data on developing industrial nursing care. To achieve this goal a self - administered questionnaire (developed by the academic affairs of community health nursing) was provieded to the nurses in 56 industries from Dec. 10, 1992 to Jan. 20, 1993. The statistical computer package, SPSS, was used to manipulate the data along with T-test and ANOVA. The results were as follows : 1. General characteristics: The greater part of the industries were manufacturing company, and below 300 employees of industry were 55.4%. The shift system was mostly one shift(66.1%) and three shift(23.2%), and 50.0% them organized the Industrial Safety and Health Commitee. Average a number of employees was 631 person. 2. Periodic Medical Examination: Most of the workers were receiving periodic medical examination from the designated hospital (95.71%). From the about 12.89% were gone through a colse medical examination. In colse medical examination 58.41% were decided 'C' and 36.73% were decided 'D'. About 6.23% off those who had any clinical findings were work-time shortening(7.84%), work-transition(8.12%), recoverating at home. The majority of the workers receive the result of the periodic medical examination individually (78.5%). 3. Special medical examination: The rate of those who are receiving special medical examination were 76.82% and about 8.24% were decided 'C' and 1.23% were decided 'D' Those who had any health problems were receiving follow-up checking (9.10%) and medical treatment while working (15.04%). The health managers in the company can consult (85.7%) those who had any suspicious sign and symptoms of occupational disease. 4. Health care services: The average score of health care services were 17.57 point out of 28 point, and the score was lower in health assessment and environmental hygiene than medical diagnosis and health education. There were significant differences in environmental hygine (F=3.72, P=0.017), health care services(F=3.94, P=0.013) according to the size of the size of the industries The other's significancy is not shown by any type of industrial nurse. The level of health care services were higher in the wokers who had better health and showed no singificant differences(T=-0.73, P=0.470).

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A Study on the Periodic Medical Examination, and Health Care Management Programs in Industries -Kwang-Ju city and Chonnam Province- (산업장의 특성별 건강검진과 보건관리 -광주.전남지역-)

  • Kang, Heoi-Young;Park, In-Hee;Choi, Young-Ae;Oh, Mi-Sung;Choi, Hee-Jung;You, Su-Ok
    • Research in Community and Public Health Nursing
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    • v.4 no.1
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    • pp.58-66
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    • 1993
  • The purpose of this study was to explore the condition of periodic medical examination, and health care services in industries. This will offer some basic data in developing industrial nursing care requirements. To achieve this goal a self-administered questionnaire (developed by the academic affairs of community health nursing) was provided to the nurses working in 40 industries from Dec 20, 1992 to Jan 20, 1993. The statistical computer package SAS, along with t-test, and ANOVA was used to manipulate the date. The results were as follows : 1. General Characteristics: The greater part of the industries studied were manufacturing company, with over 500 employees. The shift system was used with most companies using one or three shifts, and 75.0% of them were organized with Industrial Safety and Health Committees. 2. Periodic Medical Examination : Most of the workers were receiving periodic medical examination from a designated hospital (96.7%). Of those 15.8% had a close medical examination. In the medical examination 9.4% were evaluated at 'C' and 3.8 were evaluated at 'D'. About 55.0% of those workers received the result of the periodic medical examination individually(95.0%). 3. Special Medical Examination : The rate of those who were receiving special medical examination was 98.4% and about 11.7% were evaluated at 'C' and 3.9% were evaluated at 'D'. Those who had any health problems (54.2%) were receiving follow-up care, 52.4% of them had medical treatment while working. The health care managers in the company consulted 97.1% of them who had any suspicious signs and symptoms of occupational diseases. 4. Health Care Services : The average score of health care services was 13.8 out of a possible 28 point. The score of health education and health assessment, was lower than medical diagnosis and environmental hygiene. There were no significant differences in health care services according to the size of the industries(F=.95, P=.429). The score of health care services was higher in the worker who had better health and showed significant differences (F=4.50, p=.025).

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Experiment and verification of the O-ring test (O-링 테스트의 실험적 검토)

  • 최기훈;김영탁;여인철
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2000.11a
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    • pp.64-67
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    • 2000
  • It is usual that the medical examination of human body need special knowledpe and equipments. Thus we have to spend Lime and energy on going to special place such as hospital where doctors and equipments are. Which often cause missing a good chance af medical treatment as well as giving us inconvenience. However many simple and convenient equipments were developed for checking our health conditions recently. O-ring test is accepted a3 one of useful methods to examine our heallb conditions. Also the test is recognized as a uscful means to judge, withoul any special equipment and medical knowledge, if some medical substances or foods are beneficial or harmful to our health. However, the judgement may be mcorrect because it depend on doctor's subjective point of view.In this study, we developed an automatic O-ring t a r mach~ne which enable us to check our health conditions objectively and quantitatively. The validity of the idea to develope the machine was proved by experiments.

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Korean Medical Treatment and Language Therapy in Patient with Fluent Aphasia after Stroke : Case Report (한방치료 및 언어치료를 병행한 중풍 유창성 실어증 환자 치험 1례)

  • Yeo, Jin-Ju;Jang, In-Soo;Yoo, Gyung;Jeong, Eun-Hee;Kim, Lak-Hyung
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.1
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    • pp.137-143
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    • 2006
  • In this study, we evaluated the effects of herbal medicine, acupuncture and language therapy in a patient with fluent aphasia after stroke. We treated the patient with Jihwangumja, special acupuncture points and Language-Oriented Treatment(LOT). The language abilities of the patient in this study was markedly increased in Korean-Western Aphasia Battery(K-WAB) and Communicative Ability in Daily Living Test(CADLT). Aphasia quotient, fluency, comprehension, repetition and naming score of K-WAB were improved in second and third examination compared with those of the first examination. Each item of CADLT was improved in second examination compared with that of the first examination.

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Understanding of Neurological Examination for Clinical Therapist (임상치료사를 위한 신경학적 검사의 이해)

  • Kim, Byung-Jo
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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    • pp.229-236
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    • 2007
  • Clinical therapist use neurological examination to acquire the necessary information from the patients who is neurological damaged. It is necessary to have enough neurological knowledge and clinical experience to collect useful data. Neurological disease of symptom is well correspond with anatomical location and function, therefore neurological examination is one of the powerful tool to diagnosis. These tools will be a great help to clinical therapist to evaluate the patients and helps to select most pertinent treatment approach to patients. Neurological examination can classified and evaluate with Mental Status Examination, Cranial Nerves Examination, Motor and Sensory System Examination, Reflexes, Gait and Station Evaluation, Special Maneuver. Generally, various neurological examination tools are used by therapist in clinical field. Understanding of method of Neurological examination tools and understanding of result of examination from patients's response is very important. Therefore, this research will help to understand clinical meaning by neurological examination.

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Analysis of Noise Special Medical Examination and Work Environment Monitoring Results (소음에 대한 특수건강진단 및 작업환경측정 결과 분석)

  • Kim, Kab Bae;Park, Hae Dong
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.25 no.1
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    • pp.5-12
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    • 2015
  • According to the analysis of special medical examination and work environment monitoring data, the rate of C1 and D1 on noise hazard exceeded 90 % among those of total hazardous factors. The rate of company exceeding noise exposure limit was also more than 90 %. The analysis result shows that main ages diagnosed with C1 and D1 was age of 50s. The majority scale company having workers diagnosed with C1 and D1 was the companies employing 5~49 workers. Types of industries which have a large number of companies exceeding noise exposure limit were automobile and trailer manufacturing, metal processing industry and primary metal manufacturing. A large number of work processes exceeding noise exposure limit were forming and processing work, cutting and bending work and grinding. To reduce the number of company exceeding noise exposure limit, the reduction counterplan should be focused on the type of industry and the work process which exceeded noise exposure limit frequently. However, the reduction counterplan is preemptively necessary to the type of industry and the work process which exceeded noise exposure limit consecutively if the purpose of reduction counterplan is not to merely reduce the number of company exceeding noise exposure limit but to abate workers' suffering from noise.

A Study on the medical decision making for an optimum medical treatment (최적 진료를 위한 의학적 의사결정에 대한 고찰)

  • Nam, Tae-Hee
    • Journal of the Korea Computer Industry Society
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    • v.9 no.1
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    • pp.1-10
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    • 2008
  • This treatise wishes to proposal of most suitable about happened patient's disease when a doctor achieves medical treatment action about patient and decision-making methodology that decide treatment does presentation low class informer. That is, when a doctor treats patient, case that do medical examination and treatment to experience about disease at medical examination and treatment process is general. In case is like this, unexpected treatment side effect can be happened doing not consider patient's special quality or conditions. Use a medical decision-making tool to minimize these problem. Treatise that see therefore investigated validity about if arrange medical decision-making system concept, and analyze several tools(decision-making tools) that help in decision-making, and can help in medical examination and treatment decision-making of most suitable.

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A Study on The Training Curriculum for The Emergency Medical Technician (응급구조사(應急救助士) 교육과정(敎育課程)에 관(關)한 연구(硏究))

  • Sohn, Shin-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.2
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    • pp.32-55
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    • 1996
  • It was enacted 'Emergency Medical Act' in January, 1994 beginning the emergency medical service system from 1982, and while it was established the emergency medical department in junior college providing the detailed agenda about emergency medical technician and the regulation relative to the application of a law on the emergency medical act in 1995, the fire school and the National Medical Center are enforced the curriculum. It is very important subject faced for the construction of emergency medical system to produce a number of emergency medical technicians to be sufficient to the role of emergency aid. In this study it is analysed the training curriculum for the emergency medical technician and presented the improvement plans. 1. Though it needs the qualification level of first and second class in the selection process, the more important thing needs the detailed qualification level by term of one's service and the skills of business accomplishment. 2. In the examination management, (1) written examination is composed of the questions to understand how much faithfully they carry out the practical business as the emergency medical technicians, (2) it is added practical examination as the item to appraise the situation disposal ability. 3. It is necessary to prescribe the activity in the medical institution and ambulance arrangement through the development of 'Business Treatment Guide'. 4. For the regional balanced disposition of emergency medical personnel it is selected balanceably the educational institution by eight medical service areas, and considering the characteristics of region it is necessary to manage, in the practical business training course, another special course such as the mountains medical aid and sea medical aid. 5. In the period of education the first class needs the practical business training period of a certain period after passing examination, and the second class needs the extension of the period. 6. As the problems to improve in the curriculum [1] in the first class course (1) intensification of practical educaiton (2) reinforcement of curriculum (3) the development of standardized curriculum etc., [2] in the second class course (1) varieties of curriculum (2) intensification of basic first aid treatment education.

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