• 제목/요약/키워드: Time of Examination

검색결과 2,545건 처리시간 0.032초

Suggestion of Risk Assessment Models for Cardiovascular Disease in the Workplace

  • Choi, Eui Rak;Jeong, Byung Yong
    • 대한인간공학회지
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    • 제33권4호
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    • pp.289-297
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    • 2014
  • Objective: The purpose of this study is to identify the incidence risk of cardiovascular disease (CVD) in the workplace, and to suggest the prediction models for level of CVD incidence risk. Background: CVD can be caused by various factors related to personal habits such as diet and exercise, or genetics. However it can also be caused and aggravated by work, making the elimination of such risk factors at work crucial disease (KOSHA, 2013). Method: The distribution of CVD risk assessment levels of 162 workers was compared with the acquired medical examination data to discuss the necessity of assigning additional risk factors. Two alternative risk assessment models were given to enhance the accuracy of the evaluation; adjusting risk scores given in the KOSHA GUIDE H-1-2013 (alternative 1) and building a matrix of KOSHA GUIDE H-1-2013 and risk assessment results based on work condition levels (alternative 2). To verify the suggested models, medical examination results of 12 workers approved of convalescence were referred to. Results: The second alternative showed more relevance between the results and workers approved of convalescence in predicting the risk group when applied to actual heath examination data from the approved workers. The power of description of the new method for determining the risk of CVD incidence, 83.3%, is higher than that of KOSHA GUIDE H-1-2013, 25%. Conclusion: Results of this study imply that more approved workers had been from unmanaged normal groups than managed risk groups, raising the importance of CVD management. Application: The new prediction model considering working time and shift work developed in this study is expected to be a fundamental data for risk analysis and management of CVD in the workplace.

Pediatric Orbital Medial Wall Trapdoor Fracture with Normal Computed Tomography Findings

  • Lee, Hyun Rok;Jung, Gyu Yong;Lee, Dong Lark;Shin, Hea Kyeong
    • 대한두개안면성형외과학회지
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    • 제18권2호
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    • pp.128-131
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    • 2017
  • With advances in diagnostic technology, radiologic diagnostic methods have been used more frequently, and physical examination may be neglected. The authors report a case of pediatric medial orbital trapdoor fracture in which the surgery was delayed because computed tomography (CT) findings did not indicate bone displacement, incarceration of rectus muscle, or soft tissue herniation. A healthy 6-year-old boy was admitted to the emergency room for right eyebrow laceration. We could not check eyeball movement or diplopia, because the patient was irritable. Thus, we performed facial CT under sedation, but there was normal CT finding. Seven days later, the patient visited our hospital due to persistent nausea and dizziness. We were able to perform a physical examination this time. Lateral gaze of right eye was limited. CT still did not show any findings suggestive of fracture, but we decided to perform exploratory surgery. We performed exploration, and found no bone displacement, but discovered entrapped soft tissue. We returned the soft tissue to its original position. The patient fully recovered six weeks later. To enable early detection and treatment, thorough physical examination and CT reading are especially needed when the patient shows poor compliance, and frequent follow-up observations are also necessary.

중장년층 당뇨병환자의 구강관리실태와 치주질환 (Oral care status and periodontal disease of middle aged diabetic patients)

  • 김명선;김건엽;문보애
    • 한국치위생학회지
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    • 제16권1호
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    • pp.1-9
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    • 2016
  • Objectives: The purpose of the study was to identify the oral care status and periodontal disease of middle aged daibetic patients in Korea. Methods: The primitive data were taken from 238 diabetic people in the 5th Korea National Health and Nutrition Examination Survey(KNHANES) in 2010 - 2012. The variables included general profiles(gender, age, occupied area, education, and smoking), oral care status(brushing time, brushing time, use of oral hygienic supplies, availability of oral hygienic supplies, oral examination, and recognition of oral health state), and diabetes management(morbidity period, treatment, education, and glycosylated hemoglobin levels). Results: Most of the subjects took gargling more than twice a day and it accounted for 73.5%. Oral hygienic supply users accounted for 24.8%, and most of them used floss brush. Oral examination was done in 19.3% of the respondents and 55.0% thought that their oral health status were very poor. The prevalence rate of the periodontal diseases was 46.6%. Female tended to have a higher rate of periodontal disease than the male. Oral hygienic supply users had lower rate of periodntal disease than those who did not use. Those who had poor subjective oral health status had higher prevalence rate of periodontal disease than those who did not. Conclusions: Periodontal disease is closely related to good oral care of middle aged diabetic patients. It is necessary to develop the program for the prevention of the periodontal disease for the diabetic patients.

EQ-5D Index 이용 성인 암 환자의 인구사회학적 특성별 건강관련 삶의 질 측정 -국민건강영양조사를 중심으로- (Measurement of Quality of Life related to Health by demographic characteristics of adult patients with cancer using EQ-5D Index -Focused on the Korea Health & Nutrition Examination Survey-)

  • 김종규;권이승
    • 디지털융복합연구
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    • 제11권8호
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    • pp.281-291
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    • 2013
  • 본 연구는 국내 처음으로 2007년부터 2011년까지 지난 5개 년간 국민건강영양조사 자료를 근거로 19세 이상 성인을 대상으로 위암, 유방암, 자궁경부암, 간암, 대장암 및 폐암 환자의 인구사회학적 특성과 삶의 질을 EQ-5D 측정도구로 분석하였다. 측정 결과 전체 연구대상자 26,260명 중에서 암 유병은 201명으로 조사대상자의 약 0.8%이다. 암 환자의 삶의 질은 연령이 낮을수록(p<0.0001), 전문직 종사자일수록(p<0.0001), 고학력일수록(p=0.0002) 높았고, 또한 아파트 거주자(p<0.0001)와 미혼자(p<0.0001)의 암 환자 삶의 질이 높았다. 특히 우리나라 의료보장 형태변수에 따른 암 환자의 삶의 질 측정은 국내 최초로 시도한 연구이다.

시간-주파수 변환을 이용한 고속철도차량의 동특성 분석 (Analysis of Dynamic Characteristics of High Speed Trains Using a Time Varying Frequency Transform)

  • 이준석;최성훈;김상수;박춘수
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2008년도 춘계학술대회 논문집
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    • pp.841-848
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    • 2008
  • This paper examined dynamic characteristics of high speed trains using a time varying frequency transform. Fourier transform based methods are frequently used for the calculation of the dynamic characteristics of trains in the frequency domain, but they cannot represent the time-varying characteristics. Therefore it is necessary to examine their characteristics using a time-varying frequency transform. For the examination, the non-stationary vibration of wheelset, bogie, and carbody are measured using accelerometers and stored in a data aquisition system. They are processed with localization of the data by modulating with a window function, and Fourier transform is taken to each localized data, called the short-time Fourier transform. From the processed results, time varying auto-spectral density, cross-spectral density, frequency response, and coherence functions have been calculated. From the analysis, it is confirmed that the time varying frequency transform is a useful method for analyzing the dynamic characteristics of high speed trains.

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개의 발정 진단 방법에 따른 효율 비교 (Comparison of Various Methods for Estrus Stage Determination in Bitch)

  • 고영진;강은주;이성림
    • 한국수정란이식학회지
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    • 제24권3호
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    • pp.131-137
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    • 2009
  • In dogs, correct diagnosis of estrus is important and the exact time of ovulation can be determined by variouse methods. Vaginal cytology has commonly used in conjunction with the physical examination, clinical history, vaginoscopy, and hormonal assays to determine the stage of the reproductive cycle. This study was therefore investigated the effectiveness of direct ovulation detector designed by changes of electrical resistance in vaginal mucus following different estrus cycles with several methods; vaginal cytology, concentration of plasma estrogen and progesterone, and direct examination by laparotomy. A total of 12 bitches was selected for the study and observed estrus signs. The bitches were evaluated clinical sign (vulvar swelling and bleeding), cytological examination (keratocyte and RBC), electrical resistance, plasma estrogen and progesterone concentration for estrus assessment. Accuracy of ovulation detection by vaginal cytology was significantly (p<0.05) lower than those by electrical resistance and plasma progesterone concentration, based on the confirmation by laparotomy. Vaginal smear is not confidential method compared to detection of electrical resistance and plasma progesterone concentration at ovulation. Although the value of electrical resistance was varied at the same points of estrus in individuals, ovulation was occurred at the first day which shown the peak of electrical resistance and mating time was third day after peak. In conclusion, ovulation detector designed by changes of electrical resistance is an effective and economic instrument for predicting estrus and ovulation in bitches.

다중채널 실시간 부정맥 검출 시스템 설계에 관한 연구 (Multi-channel Real Time Arrhythmia Detection System)

  • 이경중;송향봉
    • 대한의용생체공학회:의공학회지
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    • 제8권2호
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    • pp.215-222
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    • 1987
  • This paper describes the design of a real time arrhythmia detection system using five variables : heart rate, QS width, morphology, alls deviation, and ST segment. To detect individual variables for four patients, we designed multi-processor system. The results of the analysis derived from simulators and 50 patients are compared with the medical diagnoses. The results show that the analysis was able to detect irregularly occuring arrhythmia which does not show up in routine medical examination.

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조선시대(朝鮮時代) 임금들의 온천욕(溫泉浴)과 질병(疾病) (Successive kings of Chosun period took hot spring-bath to heal their diseases)

  • 김훈
    • 한국의사학회지
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    • 제14권1호
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    • pp.61-78
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    • 2001
  • Time and places of hot spring-bath were diverse such as at succeeding to the throne, after abdication, during Crown Prince and etc. Generally, average staying time was about 20 days. Beside the healing purpose, hot spring-bath was taken to inspect the people's conditions, to reduce compulsory labor or tax, to carry out "Kwagoh", the old state examination or to console the people.

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Developing a Best-Evidence Pre-employment Medical Examination: An Example from the Construction Industry

  • Gouttebarge, Vincent;van der Molen, Henk F.;Frings-Dresen, Monique H.W.;Sluiter, Judith K.
    • Safety and Health at Work
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    • 제5권3호
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    • pp.165-167
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    • 2014
  • The Dutch construction industry has introduced a compulsory preemployment medical examination (PE-ME). Best-evidence contents related to specific job demands are, however, lacking and need to be gathered. After the identification of job demands and health problems in the construction industry (systematic literature search and expert meeting), specific job demands and related requirements were defined and instruments proposed. Finally, a work ability assessment was linked to the instruments' outcomes, resulting in the modular character of the developed PE-ME. Twenty-two specific job demands for all Dutch construction jobs were identified, including kneeling/squatting, working under time pressure, and exposure to hazardous substances. The next step was proposing self-report questions, screening questionnaires, clinical tests, and/or performance-based tests, leading to a work ability judgment. "Lifting/carrying" is described as an example. The new modular PE-ME enables a job-specific assessment of work ability to be made for more than 100 jobs in the Dutch construction industry.