Advice from an industrial physician (Truck Times)
Hi, Hello.
In the newsletter "Truck Times" published by the Tokyo Trucking Association twice a month, there is useful information about the health of truck pilots this time, so I would like to share it with you in the hope that you will refer to it as a means of reflecting on your lifestyle.
I feel that the content posted under the title "The Importance of Follow-up Measures for Health Examinations" is very useful information not only for truck drivers but also for office workers working in general companies. It is a difficult content, but it is very important from the perspective of the human body.
Unfortunately, the majority of drivers who have died due to health causes in recent years are due to heart disease, brain disease, aortic aneurysm, and discrepancies. In order to prevent this, an industrial physician gave an explanation.
In the first place, what are cerebrovascular disease and heart disease?
"Cerebrovascular disease is a disease of the brain.Blood flowIt is a general term for diseases caused by deterioration. These include cerebral infarction (when a blood vessel becomes clogged and oxygen cannot reach the cells of the brain) and cerebral hemorrhage (when a blood vessel ruptures, causing bleeding in the brain). In either case, symptoms can appear suddenly, and if they occur while driving, they can cause a major accident. For example, if you can't turn your rhythm, if you can't move your limbs or face on one side, if you have difficulty moving, if you have difficulty moving, if you have difficulty applying strength to your hands, if you have difficulty seeing, you may have a cerebral infarction or cerebral hemorrhage. In a cerebellar infarction, you will have staggered feet and talking, as if you were drunk. With cerebral hemorrhage or subarachnoid hemorrhage, a sudden headache may also occur. In particular, the headache of subarachnoid hemorrhage is described as a severe headache that I have never experienced before, like being hit with a hammer."
"Among the heart diseases, the most common driving accidents are angina pectoris, myocardial infarction, aortic aneurysm and dissection. Angina pectoris is caused by clogged blood vessels in the heart that prevent oxygen from reaching the heart. If the blood vessels of the heart become completely blocked, it leads to myocardial infarction. Both diseases cause sudden and intense chest pain, cold sweat and nausea. Angina pectoris lasts for several minutes and is relieved by rest and taking nitroglycerin. Symptoms of myocardial infarction last for more than 30 minutes, and angina pectoris can be a precursor to myocardial infarction. Aortic aneurysms and dissections are diseases in which the aorta tears. It has a very high mortality rate and is a scary disease. An aneurysm is a bump. If the blood pressure continues to be high and the walls of the arteries become brittle due to arteriosclerosis, bumps will form in the arteries on the hose. If it is only a bump, there are no symptoms, but if it is torn due to an increase in blood pressure, it will cause a decrease in blood pressure due to bleeding and loss of consciousness along with intense chest and back pain as aortic dissection.
Cerebral hemorrhage disease, heart disease, aortic aneurysm, and dissection account for 78% of health-related fatal accidents (according to data from the Ministry of Land, Infrastructure, Transport and Tourism: Reiwa 5 Business Automobile Health Accident Countermeasures Council).
This is one example, but if the blood pressure was untreated at 190/100 mm Hg at the medical examination, mostIndustrial PhysicianMr. JudgmentRestrictions on Employment(Prohibition of driving cars, prohibition of work at heights, prohibition of night shifts, prohibition of overtime) is judged to be necessary. The reason is that there is a high risk of cerebral infarction. We will consider the situation, such as restricting work until treatment is started or until the attending physician determines that you can work normally. In response to this, the company hears from the industrial physician and the worker concerned and decides on the details of the work restrictions. Of course, the company can conclude that the worker is able to drive based on a different judgment than the industrial physician, but if the worker causes a health-related accident during work, the company may be liable.
Although there is no fixed standard for how many or more results of a medical examination must be used to restrict work, it is reported that the values that many industrial physicians consider restricting work are blood pressure of 180/110 milligram Hg, fasting blood glucose 200 milligrams, blood glucose 300 milligrams at any time, hemoglobin Alc 10%, and hemoglobin 8 grams.
Finally, an industrial physician will talk about what you can do on a daily basis to maintain good results in your health checkup results.
First of all, blood pressure. If your blood pressure is 120/80 mm Hg or less, there is no problem, and if it exceeds that, start improving your lifestyle habits such as reducing salt, losing weight, reducing smoking and drinking, and securing sleep time. If it exceeds 140/90 millimeters Hg, it is at a level where you should consider taking medication or going to the hospital. Some people are reluctant to take blood pressure medication, but I can assure you that modern antihypertensive drugs are more effective than over-the-counter supplements because they have a protective effect (anti-aging) on the heart and kidneys without lowering blood pressure too much. If you take it, it will prevent cerebral infarction, myocardial infarction, dementia, etc. Next is hyperlipidemia (dyslipidemia), which is a stirrup in the blood, and if there is a lot of it, the walls of blood vessels will be greasy, which will cause so-called arteriosclerosis, which increases the risk. The key to improving lifestyle habits is diet. Eat good fat and fiber. Weight loss and exercise are also effective.
In order to prevent work-related health-related accidents, it is important to build a system to support health management throughout the company, such as creating a work environment in which employees can immediately report to the company or their superiors when they are unwell, and checking their physical condition at roll calls before work, based on in-house education and enlightenment on follow-up measures for health checkups, how to read the results of medical examinations, how to improve lifestyle habits, and symptoms of illness.
< Excerpt from No.1317 published on 3/25/Reiwa 7 Tokyo Metropolitan Truck Times Bulletin Health Support for the Realization of "Driver First" Logistics>This page has been automatically translated. Please note that it may differ from the original content.
In the newsletter "Truck Times" published by the Tokyo Trucking Association twice a month, there is useful information about the health of truck pilots this time, so I would like to share it with you in the hope that you will refer to it as a means of reflecting on your lifestyle.
I feel that the content posted under the title "The Importance of Follow-up Measures for Health Examinations" is very useful information not only for truck drivers but also for office workers working in general companies. It is a difficult content, but it is very important from the perspective of the human body.
Unfortunately, the majority of drivers who have died due to health causes in recent years are due to heart disease, brain disease, aortic aneurysm, and discrepancies. In order to prevent this, an industrial physician gave an explanation.
In the first place, what are cerebrovascular disease and heart disease?
"Cerebrovascular disease is a disease of the brain.Blood flowIt is a general term for diseases caused by deterioration. These include cerebral infarction (when a blood vessel becomes clogged and oxygen cannot reach the cells of the brain) and cerebral hemorrhage (when a blood vessel ruptures, causing bleeding in the brain). In either case, symptoms can appear suddenly, and if they occur while driving, they can cause a major accident. For example, if you can't turn your rhythm, if you can't move your limbs or face on one side, if you have difficulty moving, if you have difficulty moving, if you have difficulty applying strength to your hands, if you have difficulty seeing, you may have a cerebral infarction or cerebral hemorrhage. In a cerebellar infarction, you will have staggered feet and talking, as if you were drunk. With cerebral hemorrhage or subarachnoid hemorrhage, a sudden headache may also occur. In particular, the headache of subarachnoid hemorrhage is described as a severe headache that I have never experienced before, like being hit with a hammer."
"Among the heart diseases, the most common driving accidents are angina pectoris, myocardial infarction, aortic aneurysm and dissection. Angina pectoris is caused by clogged blood vessels in the heart that prevent oxygen from reaching the heart. If the blood vessels of the heart become completely blocked, it leads to myocardial infarction. Both diseases cause sudden and intense chest pain, cold sweat and nausea. Angina pectoris lasts for several minutes and is relieved by rest and taking nitroglycerin. Symptoms of myocardial infarction last for more than 30 minutes, and angina pectoris can be a precursor to myocardial infarction. Aortic aneurysms and dissections are diseases in which the aorta tears. It has a very high mortality rate and is a scary disease. An aneurysm is a bump. If the blood pressure continues to be high and the walls of the arteries become brittle due to arteriosclerosis, bumps will form in the arteries on the hose. If it is only a bump, there are no symptoms, but if it is torn due to an increase in blood pressure, it will cause a decrease in blood pressure due to bleeding and loss of consciousness along with intense chest and back pain as aortic dissection.
Cerebral hemorrhage disease, heart disease, aortic aneurysm, and dissection account for 78% of health-related fatal accidents (according to data from the Ministry of Land, Infrastructure, Transport and Tourism: Reiwa 5 Business Automobile Health Accident Countermeasures Council).
This is one example, but if the blood pressure was untreated at 190/100 mm Hg at the medical examination, mostIndustrial PhysicianMr. JudgmentRestrictions on Employment(Prohibition of driving cars, prohibition of work at heights, prohibition of night shifts, prohibition of overtime) is judged to be necessary. The reason is that there is a high risk of cerebral infarction. We will consider the situation, such as restricting work until treatment is started or until the attending physician determines that you can work normally. In response to this, the company hears from the industrial physician and the worker concerned and decides on the details of the work restrictions. Of course, the company can conclude that the worker is able to drive based on a different judgment than the industrial physician, but if the worker causes a health-related accident during work, the company may be liable.
Although there is no fixed standard for how many or more results of a medical examination must be used to restrict work, it is reported that the values that many industrial physicians consider restricting work are blood pressure of 180/110 milligram Hg, fasting blood glucose 200 milligrams, blood glucose 300 milligrams at any time, hemoglobin Alc 10%, and hemoglobin 8 grams.
Finally, an industrial physician will talk about what you can do on a daily basis to maintain good results in your health checkup results.
First of all, blood pressure. If your blood pressure is 120/80 mm Hg or less, there is no problem, and if it exceeds that, start improving your lifestyle habits such as reducing salt, losing weight, reducing smoking and drinking, and securing sleep time. If it exceeds 140/90 millimeters Hg, it is at a level where you should consider taking medication or going to the hospital. Some people are reluctant to take blood pressure medication, but I can assure you that modern antihypertensive drugs are more effective than over-the-counter supplements because they have a protective effect (anti-aging) on the heart and kidneys without lowering blood pressure too much. If you take it, it will prevent cerebral infarction, myocardial infarction, dementia, etc. Next is hyperlipidemia (dyslipidemia), which is a stirrup in the blood, and if there is a lot of it, the walls of blood vessels will be greasy, which will cause so-called arteriosclerosis, which increases the risk. The key to improving lifestyle habits is diet. Eat good fat and fiber. Weight loss and exercise are also effective.
In order to prevent work-related health-related accidents, it is important to build a system to support health management throughout the company, such as creating a work environment in which employees can immediately report to the company or their superiors when they are unwell, and checking their physical condition at roll calls before work, based on in-house education and enlightenment on follow-up measures for health checkups, how to read the results of medical examinations, how to improve lifestyle habits, and symptoms of illness.
< Excerpt from No.1317 published on 3/25/Reiwa 7 Tokyo Metropolitan Truck Times Bulletin Health Support for the Realization of "Driver First" Logistics>
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