• 한국치위생학회지
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• 제17권1호
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• pp.63-76
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• 2017

Objectives: The purpose of this study is to investigate the factors affecting medical knowledge and practice of dental treatment for systemic disease among dental health care workers. Methods: A self-reported questionnaire was filled out by 222 dental health care workers working in Seoul, Daejeon, Busan, Gyeonggi province, Chungcheong province, and Jeolla province within the period between May 1 - June 30, 2016. Knowledge and medical knowledge about the clinical treatment of patients suffering from systemic disease and their practice were composed of items that were corrected, supplemented, and developed by themselves based on previous research. Results: Factors affecting knowledge about clinical treatment of patients suffering from systemic disease were place of employment, treatment about systemic disease, and practice of dental treatment for systemic diseases. Predictive power was 38.5%. Factors affecting practice of clinical treatment of patients suffering from systemic disease were sex, place of employment, treatment about systemic disease, the basic equipment and drugs needed for emergency care, and knowledge of dental treatment for systemic diseases. Predictive power was 39.1%. Conclusions: Dental health care workers' knowledge and practice of dental treatment of patients suffering from systemic diseases were important factors influencing each other.

• 한국치위생학회지
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• 제22권3호
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• pp.189-197
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• 2022

Objectives: The purpose of this study was to investigate the level of systemic disease-related knowledge among dental hygienists and analyze the effect on their job performance, empowerment, and satisfaction to provide basic data for expanding education on systemic diseases among dental hygienists and improving their job performance, empowerment and satisfaction. Methods: A survey was conducted among dental hygienists working in Busan and Gyeongsangnam-do region, South Korea, from October 27 to November 10, 2020, with a total of 245 questionnaires included in the final analysis. Results: Results of analysis revealed an average score for systemic disease-related knowledge among dental hygienists of 16.53±3.33 points and the higher the systemic disease-related knowledge, the higher the job performance, empowerment, and satisfaction. The higher the coronary artery disease knowledge and respiratory and infectious disease knowledge, the higher the job performance, and the higher the respiratory and infectious disease knowledge, the higher the job empowerment and job satisfaction. Conclusions: This study revealed that the higher dental hygienists' level of systemic disease-related knowledge, the higher their job performance, empowerment, and satisfaction. Therefore, this study suggests that dental hygienists' education on systemic disease-related knowledge should be expanded, and diverse systemic disease education programs should be developed for application in clinical practice.

• 치위생과학회지
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• 제16권1호
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• pp.9-17
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• 2016

이번 연구의 목적은 치과위생사의 전신질환 지식 확산 정도를 파악하는 것이다. 종합(대학)병원 치과, 치과 병 의원 및 보건(지)소에 근무하고 있는 치과위생사 211명을 대상으로 2015년 8월 31일부터 9월 20일에 걸쳐 설문지를 배부하여 조사하였으며 회수된 자료는 서술통계와 t-검정, 일원분산분석으로 분석하여 다음과 같은 결과를 얻었다. 치과위생사의 전신질환 관련 지식 정도는 전체 평균 0.64점으로 나타났다. 치과위생사의 일반적 특성에 따른 전신질환 지식에서는 연령, 학력, 경력, 교육경험에서 유의한 차이가 나타났다(p<0.01). 치과위생사의 전신질환 관련 지식에 대한 유용성 인식 정도는 전체 평균점수가 0.61점(1점 만점)으로 나타났다. 전신질환 관련 지식의 유용성 인식에서는 연령(p<0.001), 학력(p<0.01), 경력(p<0.001), 교육경험(p<0.01)에서 유의한 차이가 나타났다. 치과위생사의 전신질환 관련 지식에 대한 실무적용 정도는 전체 평균 0.86점(2점 만점)으로 나타났다. 전신질환 관련 지식 실무적용에서는 연령(p<0.01), 학력(p<0.01), 경력(p<0.01), 교육경험(p<0.001)에서 유의한 차이가 나타났다. 치과위생사의 전신질환 지식 확산정도는 2.17점으로 '실무에 유용하다고 생각함' 단계로 나타났다. 이상의 결과로 볼 때 치과위생사의 전신질환 지식의 확산 과정을 파악하고 장애요인을 파악하는 연구가 필요하다. 아울러 치과위생사에게 전신질환 지식에 대한 실무 교육 기회를 제공하기 위해 교육 프로그램을 개발하고 그 효과를 확인하는 연구가 필요하다.

• Archives of Plastic Surgery
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• 제33권1호
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• pp.116-119
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• 2006

Management of chronic wound has been a great problem to many surgeons because the wound is usually associated with an underlying disease of the patient. Without accurate diagnosis and treatment of the disease, the wound can not be healed. Systemic vasculitis is a rare systemic disease which causes inflammation and obstruction of the vessels. This autoimmune disease involves multiple organs and may inflict skin wound spontaneously without traumas. It would improve or aggravate the wound in proportion to the activities of the disease. Our experience is a case of 28-year-old female who has had chronic ulcers on her right foot, especially on the great toe for 1 year. Although she had several operations of sympathectomy, debridement and artificial dermal graft, her wound was not improved. She has been diagnosed as systemic vasculitis during the evaluation for histopathology and cause of fever and pancytopenia. After medical treatments, she had the operation of adipofascial turnover flap coverage and skin graft, and the wound was improved without any complication or relapse. The diagnosis and treatment of the underlying disease should be ahead of the management of chronic wound.

• Journal of Oral Medicine and Pain
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• 제33권2호
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• pp.111-120
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• 2008

다양한 전신질환으로 입원한 환자들의 전신질환별 구강질환의 주소와 치료내용을 조사하여 기본적인 구강질환의 실태를 파악하고자 본 연구를 시행하였는데, 전신질환으로 입원하여 구강질환의 진단과 치료를 위하여 내원한 환자를 대상으로 연구한 결과 다음과 같은 결론을 얻었다. 1. 주된 전신질환인 내분비, 영양 및 대사 질환의 경우 구강질환은 치은염 및 치주질환 44.9%, 타액선의 질환 22.4%, 치아우식증 12.2%, 치수 및 치근단주위의 질환 4.1%, 매몰치와 매복치, 치아경조직의 기타질환 각각 2% 순서로 나타났다. 2. 주된 구강질환인 치은 및 치주질환의 경우 전신질환은 인슐린-비의존성 당뇨 39.2%, 뇌경색 29.4%, 신경근 및 신경총장애 5.6%, 뇌내출혈 3.9%, 위의 악성 신생물, 갑상선기능항진증, 정신분열증, 알콜성 간질환, 신증후군 각각 2% 순서로 나타났다. 이상의 결과로 전신질환이 있는 환자의 구강질환과 구강질환이 있는 환자의 전신질환에 대해서는 일정부분 파악이 되었으나 향후 전신질환으로 입원한 환자의 구강질환과 전신질환과의 상관관계에 대한 연구가 이루어져야 한다고 사료된다.

• Journal of Oral Medicine and Pain
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• 제34권2호
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• pp.123-132
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• 2009

다양한 전신질환으로 입원한 환자들 중에서 구강질환을 진료받기 위해 내원한 구강내과적인 문제가 있는 54명 환자의 전신질환 상태와 치과적인 주소 그리고 구강질환 진단명을 조사함으로써 입원한 전신질환자의 구강내과적인 진료의 실태를 파악하고자 본 연구를 시행하여 다음과 같은 결과를 얻었다. 1. 구강내과 질환이 있는 환자는 남자 24명(44%) 여자 30명(56%) 이었으며, 연령은 50대 20명(37%), 60대 14명(26%), 40대 12명(22%), 30대 4명(7%) 순 이었다. 2. 전신질환의 진단명은 내분비, 영양 그리고 대사장애 36%, 순환계질환 36%, 신경계질환 10% 순 이었다. 3. 구강질환의 주소는 정기검사 26%, 두개하악장애 18%, 연조직 문제 18% 순 이었다. 4. 구강질환의 진단명은 타액선질환 32%, 치은염 및 치주질환 23%, 치아안면 이상증 16% 순 이었다. 이상의 결과로 입원한 전신질환자를 통해서 전신질환이 있는 환자의 구강질환과 구강내과적인 질환의 특성을 일정부분 파악하였으나 향후 구강질환과 전신질환과의 상관관계에 대한 연구가 계속적으로 이루어져야 한다고 사료된다.

• Radiation Oncology Journal
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• 제32권4호
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• pp.266-271
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• 2014

In the clinical state of oligometastases or oligorecurrence, a transitional state between localized and widespread systemic disease, local control of the disease may yield improved systemic control. Radiotherapy may be a good means for controlling oligometastatic tumors, particularly in very old patients for whom surgery may be infeasible. A combination of systemic therapy and local therapy is necessary to prevent systemic progression. Some kinds of cancers found in the elderly are known to be somewhat indolent for systemic progression. So, for very old patients who refuse or cannot tolerate chemotherapy, the use of radical radiotherapy alone to treat oligorecurrences may be very helpful. We successfully treated an 87-year-old patient who had been diagnosed with oligorecurrences three times over six years with radiotherapy alone. The patient is now, about four years after his first radiotherapy for liver metastasis, alive without any evidence of cancer and with fully active performance status.

• 대한치과의사협회지
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• 제48권1호
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• pp.20-26
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• 2010

The fundamental goal of dental treatment is rehabilitation of oral health thus various dental treatment are done. Most of the dental procedures are not life threatening but patients who are medically compromised are exceptional. Fortunately systemic disease can be easily diagnosed by medical insurance(medicare) or annual medical check examination in Korea. Diseases which were fatal at the past are successfully treated nowadays and consequently the population of the elder increases. As the population of elder increases, patients who need medical care as well as dental patient with compromised medical condition increases. It is essential to find out if the patient has any systemic disease. Consultant to the appropriated physician of medically compromised patients? is demanded and also for a successful dental treatment, deep knowledge of the systemic disease is necessary.

• 대한치과보철학회지
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• 제9권1호
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• pp.59-62
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• 1969

The causes of periodontal disease have been descried as malocclusion, trauma from occlusion, local irritants and poor oral hygien. The systemic factor has also been considered as a etiologic factor of periodontal disease. On the other aspect systemic condition could be affected by periodontal disease. For the study of relationships between periodontal disease and systemic condition, twenty patients with periodontal disease and twenty persons with no periodontal involvement were evaluated for inorganic elements and organic materials in the blood. The results of the blood analysis of the two groups were as follows. : Phosphorus and alkline-phoshatase in the group with periodontal disease showed slightly increased phenomenon compared to the control group, and on the other hand calcium and calcium-phosphorus ratio decreased phenomenon. But there is no any significant alteration in the content of each element between the two groups.

• 한국컴퓨터정보학회논문지
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• 제26권12호
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• pp.187-193
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• 2021

연구의 목적은 전신질환의 활동제한과 구강건강의 연관성을 알아보고자 국민건강영양조사 제7기 원시자료를 활용하여 19세 이상 남자 2,574명, 여자 3,250명전체성인 5,824명의 응답을 분석하였다. 구강건강의 씹기와 말하기 문제가 있을 때 성인의 전신질환 활동제한이 많은 것으로 나타났으며, 치주질환 치료, 발치 및 구강 내 소수술, 보철물 제작·수리의 치과치료를 받았을 때 전신질환의 활동제한이 유의미하게 높았다(p<.001). 전신질환으로 인한 활동제한에 영향력을 주는 요인으로는 연령(1.03배), 남자(0.84배), 교육수준(0.57, 0.45, 0.31배), 음주(0.32배), 씹기(1.86배)와 말하기(1.84배)문제, 치주질환 치료(1.27배), 부러진 치아치료(2.1배)를 받았을 때 전신질환의 활동제한이 발생할 확률이 높았다. 또한 씹기와 말하기 문제가 있을 때 삶의 질이 낮아지는 것이 통계적으로 유의미하게 나타났다.