{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T16:23:37Z","timestamp":1732033417142},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2010,10,7]],"date-time":"2010-10-07T00:00:00Z","timestamp":1286409600000},"content-version":"vor","delay-in-days":36,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Occupational Health"],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:sec><jats:label \/><jats:p><jats:bold>Effect of a Two\u2010hour Training on Physicians' Skill in Interpreting Pneumoconiotic Chest Radiographs: Nlandu Roger N<jats:sc>gatu<\/jats:sc>, <jats:italic>et al<\/jats:italic>. Department of Environmental Medicine, Kochi Medical School, Kochi University<\/jats:bold><\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Occupational lung diseases have specific radiographic manifestations not always well known by physicians. In Japan, asbestos\u2010related diseases became a public health concern after the \u201cKubota Shock\u201d, when a number of workers and residents living nearby a manufacturer of asbestos\u2010made ducts developed mesothelioma caused by asbestos exposure. This preliminary intervention trial evaluated the effect of two\u2010hour training on inexperienced physicians' skill in interpreting pneumoconiotic chest radiographs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundred\u2010two Japanese physicians participated in two reading\u2010tests, using 12 radiographs, before and after the two\u2010hour training with ILO\/ICRP and Japan Pneumoconioses Study Group (JPSG) reading materials. Physicians had to check for the presence or absence of <jats:italic>small opacity<\/jats:italic> and <jats:italic>pleural plaque<\/jats:italic> consistent with pneumoconiosis. Sensitivity and specificity equal or greater than 70% were considered good, 50 to 69% acceptable and less than 50%, poor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Post\u2010training improvements in physicians' skills were seen. For <jats:italic>small opacity<\/jats:italic>, there was an increase in the proportion of physicians with good specificity, from 42% to 60%. For <jats:italic>pleural plaque,<\/jats:italic> the proportion of physicians with good specificity and good sensitivity increased, from 60% to 67% and from 18% to 25%, respectively. Also, significant improvements were observed in overall sensitivity for <jats:italic>pleural plaque<\/jats:italic>, from 46% to 60% (<jats:italic>p<\/jats:italic>&lt;0.0001), and specificity for <jats:italic>small opacity<\/jats:italic>, from 65% to 73% (<jats:italic>p<\/jats:italic>&lt;0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study showed that two\u2010hour participatory training may enhance physicians' skill in interpreting pneumoconiotic chest radiographs. There are countries without any pneumoconiosis screening program despite the WHO\/ILO call for worldwide cooperation in eliminating it. Although the two\u2010hour course cannot replace the five\u2010day ILO workshop, such a program would be useful in areas with environmental or occupational exposure to dust.<\/jats:p><\/jats:sec>","DOI":"10.1539\/joh.l10065","type":"journal-article","created":{"date-parts":[[2010,8,6]],"date-time":"2010-08-06T05:20:26Z","timestamp":1281072026000},"page":"294-301","source":"Crossref","is-referenced-by-count":9,"title":["Effect of a Two\u2010hour Training on Physicians' Skill in Interpreting Pneumoconiotic Chest Radiographs"],"prefix":"10.1093","volume":"52","author":[{"given":"Nlandu Roger","family":"Ngatu","sequence":"first","affiliation":[{"name":"Department of Environmental Medicine Kochi Medical School, Kochi University Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shun","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Environmental Medicine Kochi Medical School, Kochi University Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukinori","family":"Kusaka","sequence":"additional","affiliation":[{"name":"Department of Environmental Health School of Medicine, Fukui University Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisao","family":"Shida","sequence":"additional","affiliation":[{"name":"Rosai Silicosis Hospital Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Akira","sequence":"additional","affiliation":[{"name":"Department of Radiology, NHO\u2010Kinki Chuo Chest Disease Center Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narufumi","family":"Suganuma","sequence":"additional","affiliation":[{"name":"Department of Environmental Medicine Kochi Medical School, Kochi University Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2010,10,7]]},"reference":[{"key":"e_1_2_1_2_1","unstructured":"World Health Organization.The Global Occupational Health Network Gohnet Newsletter. 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