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KMID : 0386819930030020097
Journal of the Institute of Health Environmental Sciences
1993 Volume.3 No. 2 p.97 ~ p.111
Methodological Principle in Diagnosis of Occupational Diseases


Abstract
Valid diagnosis for an occupational disease is neither easy nor simple. It is a complex and complicated task, especially when it is involved with compensation implicating worker, employer, and lawyer beside medical professionals.
In order to ascertain the quality of causal relationship between a suspected condition and hazardous factor(s) exposed, validities of diagnostic criteria of the condition and measurements of exposure level should be verified exhaustively.
Diagnostic algorithm for CS2 poisoning is presented as an example taking cost-effectiveness of each test, diagnostic values of the test by simple and/or combined ones based on sensitivity and specificity, and intra/interpersonal errors of each
observation into consideration.
Decision on diagnosis of any occupational disease should be made by expert group consensus rather than by an individual professional to be objective and publicly confident.
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