• 한국산업보건학회지
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• 제31권4호
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• pp.540-548
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• 2021

Introduction: Preplacement health examination (PHE) is performed when a worker starts a certain work task which is designated as having occupational risks by the Ministry of Employment and Labor (MOEL). All data related to health examination except PHE are reported to the MOEL by the law. This study has been performed to understand the status of PHE at certain workplaces. Methods: PHE data gathered in a university hospital were analyzed and they were followed with results of the special health examination (SHE) in 2019 and 2020. Those who were evaluated as unfit to work as it was, were interviewed directly or indirectly through an occupational health manager to follow up the management status of their recognized health problems. Results: The unfit to work (unFTW) rate of PHE was 2.8%, and was not different according to the size of workplace or having occupational health service. The major cause of unfit to work was the uncontrolled life-style diseases such as hypertension and diabetes. The rate of SHE followed by PHE was 31.1%. It was not different by the unFTW rates, however, they were different according to having a full time in-house occupational health manager. Thirty-one among 71 examinees who were evaluated as unFTW underwent SHE after controlling their health condition and were finally evaluated as fit to work. Nineteen among 31 started to take medicine and eight have been placed in the work without designated risks. Conclusion: PHE can be used for new workers, who may have unknown or uncontrolled life-style diseases, to be asked to manage life-style diseases as well as work-related risks such as shift work. In order to have a better tracking system for work-related risks, the information of PHE should be analyzed together with other data from health examination.

• 한국직업건강간호학회지
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• 제12권2호
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• pp.146-155
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• 2003

This study was conducted for investigating the status of management of preemployment health examination and to have an effect on the worker's employment. Health managers of 103 companies in Incheon metropolitan city and Gyeonggi were interviewed by telephone. Of 103 companies, 67(65.1%) said they don't hire the applicants who have an active pulmonary tuberculosis, 80(77.7%) companies said they health HBV carrier is acceptable but active HBV carrier is not 29(28.2%) companies said they don't hire the applicants who have a hypertension or diabetes mellitus, 42(40.8%) companies said they don't hire the applicants who have a hearing disturbance. If HIVD is suspicious in X-ray lumbar-sacral region, 37(78.7% of 47 companies) said they do not hire the applicants. 29(35% of 83 companies) said they cancel the employment of the applicants who are suspicious of noise induced hearing loss on preplacement health examination. From our survey, preemployment health examination was utilizing mainly as a tool for the selection of health employees who don't have a disease. Furthermore, in many companies, additional test items are being included and getting more strict the selection criteria for preemployment health examination. For the right use of preemployment health examination, author suggested that further studies were needed to select the adequate test items and establish the reasonable criteria for preemployment health examination.

• Journal of Trauma and Injury
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• 제36권4호
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• pp.385-392
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• 2023

Purpose: This study investigated the epidemiology, management, outcomes, and postoperative disabilities of degloving soft tissue injuries (DSTIs) treated at a tertiary care center in northern India. Methods: A prospective study of patients with DSTIs was conducted over 15 months. The type of degloving injury, the mechanism of injury, and any associated injuries were analyzed using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0 along with the management, outcomes, and disabilities at a 3-month follow-up. Results: Among 75 patients with DSTIs, the average age was 27.5 years, 80.0% were male, and 76.0% had been injured in traffic accidents. The majority (93.3%) were open degloving injuries. Lower limbs were affected most often (62.7%), followed by upper limbs (32.0%). Fractures were the most commonly associated injuries (72.0%). Most patients required more than two procedures, including secondary debridement (41.3%), split skin grafting (80.0%), flap coverage (12.0%), or vacuum-assisted closure (24.0%), while five patients underwent conservative management for closed degloving injuries. Postoperative complications included surgical site infections (14.7%) and skin necrosis (10.7%). Two patients died due to septic shock and multiple organ dysfunction syndrome. The mean length of hospital stay was 11.5±8.1 days, with injuries affecting the lower limbs and perineum requiring longer hospital stays. The mean WHODAS 2.0 disability score at 3 months was 19. Most patients had mild disabilities. Time away from work depended largely upon the site and severity of the injury. Approximately 75% of patients resumed their previous job or study, 14% changed their job, and 8% stopped working completely due to residual disability. Conclusions: DSTIs are common injuries in trauma and management is challenging. Although open DSTI are clinically evident at secondary survey, closed degloving injuries may be missed in the primary survey, necessitating a high index of suspicion, thorough clinical examination, and protocol-based management. Primary preventive strategies (e.g., road safety protocols, preplacement training, and proper protective equipment in industries) are also needed to reduce the incidence of these injuries.

• Journal of Preventive Medicine and Public Health
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• 제16권1호
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• pp.59-65
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• 1983

구미공단내의 체용신체검사자 및 근로자 정기건강진단시 남자 1,060명과 여자 818명을 대상으로 피검자 본인이 인지하고 있는 신장 및 체중과 실측체중 및 실측신장과의 오차에 영향을 줄 수 있는 변수를 연령, 실측신장, 실측체중, 비체중, 교육수준, 취업상태 및 혼인상태로 구분하여 cross-tubulation, 회귀분석에 의한 상관계수 및 분산분석에 의한 검정을 하여 분석하였다. 신장은 남녀 공히 실측치보다 크게 표현하였으며 체중은 실측치보다 남자는 높게 여자는 낮게 표현하였지만 그 오차는 평균 1% 미만으로 적었다. 연령에 있어서 체중은 남자가 $20{\sim}29$세군과 여자 40세 이상군에서 가장 정확한 체중을 표현하였으며, 남자는 연령이 높아짐에 따라 점차 실측치보다 무겁게, 여자는 연령이 낮아짐에 따라 점차 가볍게 표현하였다. 실측체중이 남자는 $60{\sim}64kg$군에서, 여자는 49kg이하군에서 정확하며 남여 공히 체중이 무거울수록 실체중보다 가볍게 표현하였으며 남자는 75kg 이상군에서 4.25% 적게, 여자는 65kg 이상군에서 4.06% 적게 나타났다. 비체중이 $100{\pm}10%$군인 경우 남녀가 가장 정확한 체중을 알고 있으며 비만에 가까울수록 실체중보다 적게 표현하였다. 교육수준이 높을수록 정확한 체중을 표현하나 국졸군에서 가장 정확함을 보인 것은 좀더 정신보건면에서의 연구 관찰이 요망된다. 신장에 있어서 가장 정확한 군은 최상위 실측신장군에서 남녀 공히 나타났으며 신장이 적어질수록 실신장보다 점차 크게 표현하였다. 여성 체중에 영향을 주는 인자 중 유의하게 나타난 변수는 비체중, 실측체중, 연령, 교육수준 및 취업상태이며 여자 신장에 영향을 주는 인자 중 유의한 변수는 실측신장, 실측체중 및 교육수준으로 나타났으며 한국여자는 신장보다 체중에 관심이 있음을 나타내고 있다.