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| Analysis of reasons for the missing of some required examination items in the health examination of population exposed to vocational radiation |
| ZHAO Xuemei, LI Ye, MA Shaoyuan, WANG Wenming |
| The Fourth People's Hospital of Qinghai Occupational Disease Department, Xining 810000 China |
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Abstract Objective To grasp the implementation of required examination items and missing examination items,enhance the quality of health supervision and assessment works, control the deterministic effect of radiation workers better,reduce the occurrence rate of stochastic effect and alleviate the vocational radiation injury of radiation workers by carrying out heath examination for population exposed to vocational radiation.Methods 1116 radiation workers in Qinghai in 2016 were chosen, including those who operate medical ordinary X-rays radiography, CT, interventional therapy, nuclear medicine, radiotherapy and other radiological equipment in non-medical units, for the statistical analysis of their health examination data.Results The highest examination missing rate was found in X-ray chest film examination (56.8%), which was followed by ophthalmological slit-lamp examination (37.0%), laboratory examination (11.2%), electrophysiological examination (5.8%) and internal medicine examination (0.3%). Among the population of different types of work exposed to vocational radiation, workers from CT department had the highest missing rate of X-rays chest film examination (84.9%), the radiotherapy personnel had the highest missing rate of ophthalmological slit-lamp examination (51.9%), the nuclear medical personnel had the highest missing rate of laboratory examination (14.8%), CT department workers had the highest missing rate of electrophysiological examination (9.2%). it is worth-noticing that internal medicine examination had the lowest examination missing rate. Among the general population, the county and district-level medical units had the highest examination-missing rate (27.1%) while individual clinics and hospitals had the lowest (11.6%).Conclusions The missing of required health examination items fails to comprehensively reflect the health conditions of radiation workers and judge whether these workers should continue with their works. The incomplete medical examination reports directly affect the assessment of radiation places and the control over the occurrence of deterministic effect of radiation workers and the reduction of occurrence rate of stochastic effect.
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Received: 09 December 2017
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