Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who...Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who have undergone radiotherapy have serious disabilities such as oral mucositis, mucosal weakening, soft tissue fibrosis, salivary gland disorder, and osteoradionecrosis. Dental hygienists must understand the characteristics of patients after surgical tumor resection and/or radiotherapy. In this report, the oral health management of three patients after maxillectomy, mandibulectomy, and radiotherapy was shown. Case Description: Case 1: A 53-year-old male patient visited our clinic after chemotherapy, radiotherapy, and partial maxillectomy for cancer of the right maxillary gingiva. Case 2: A 65-year-old male patient visited our clinic after radiotherapy for a right-sided tongue cancer, partial mandibulectomy of the right tongue to the oropharynx, a right-sided segmental mandibulectomy and a speech aid and a mandibular prosthesis were provided. Case 3: A 36-year-old female visited our clinic for radiotherapy for left-sided tongue cancer. Dental hygienists provided oral health management to the patients. In oral health management, it was suggested that intervention before cancer treatment, oral hygiene instructions tailored to patients’ symptoms, and frequent professional care are important. Conclusion: Oral health management by dental hygienists is extremely important for patients undergoing maxillofacial cancer treatment to maintain their quality of life in the long term.展开更多
Introduction: Musculoskeletal disorders (MSD) are the most frequent cause of disability in the working population, exceeding accidental trauma in frequency. The risk of developing work-related upper limb disorders (WU...Introduction: Musculoskeletal disorders (MSD) are the most frequent cause of disability in the working population, exceeding accidental trauma in frequency. The risk of developing work-related upper limb disorders (WURLDs) is high among dental hygienists and the most frequently affected are elderly subjects and women. Since such disorders can have a negative effect on the working life and on the quality of life, it is of vital importance to put in place preventive measures. Aim: To make a comparative analysis of the hand-pieces of three different manual instruments used for root planning. Materials and Methods: To evaluate the physical characteristics (section, diameter, external surface, weight) of the hand-pieces of three series of instruments for root planning, twenty-nine dental hygienists students were videoed while working clinically. They were also interviewed using a specific questionnaire to determine subjective preferences in terms of perceived efficacy, safety, comfort and general acceptability of the hand-piece used. Results: Lightness, full-cylindrical section with larger-diameter ends, and coating with anti-slip silicone are the most appreciated characteristics of a hand-piece. Conclusions: Ergonomic analyses of manual instruments are not frequent in the dental field, and the literature reports no guidelines to guide selection of the type of hand-piece of manual instruments. The data gathered may help manufacturers in designing new manual instruments, and guiding professionals in their selection.展开更多
Objective To assess the risk factors for upper extremity-work-related musculoskeletal disorders(UE-WMSD) on 13 prod ucti on lines in an airbag factory using the threshold limit values-American conference of industrial...Objective To assess the risk factors for upper extremity-work-related musculoskeletal disorders(UE-WMSD) on 13 prod ucti on lines in an airbag factory using the threshold limit values-American conference of industrial hygienists-hand activity level(TLV-ACGIH-HAL) method and introduce the ergonomic improvement to reduce the repe titi veness and the peak force(Pf).Methods Professional exposure level on 13 production lines in a automobile factory was measured using the TLV-ACGIH-HAL method and a further risk was assessed according to the ergonomic improvement.Results The first assessment of 9 produc tion lines showed that the professional exposure level was above the TLV or HAL limit.The second assessment showed that the professional exposure level was below the AL limit on all production lines except 1,in which the professional exposure level was between TLV and HAL.Conclusion The assessment of UE-WMSD-related risk can ide ntif y the riskiest emplacements and evaluate the reduc tion of risk in professional exposure through interventi ons of structuralorganizati onal type.展开更多
目的构建口腔卫生士岗位胜任力的培养指标,为今后建立口腔专科护士向口腔卫生士岗位转变的指标体系提供客观的依据。方法检索PubMed、Medline、Web of Science、中国知网、万方数据知识平台等数据库与口腔卫生士岗位胜任力培养的相关文...目的构建口腔卫生士岗位胜任力的培养指标,为今后建立口腔专科护士向口腔卫生士岗位转变的指标体系提供客观的依据。方法检索PubMed、Medline、Web of Science、中国知网、万方数据知识平台等数据库与口腔卫生士岗位胜任力培养的相关文献,检索时间从建库至2021年3月,通过专家预咨询制订函询问卷,2021年5—11月对来自北京市、重庆市、江苏省、四川省和吉林省的20名口腔医护专家开展德尔菲专家咨询,确定口腔卫生士岗位胜任力培养的模型指标和权重赋值。结果共开展3轮德尔菲专家咨询,问卷的有效回收率均为100%,专家咨询的权威系数分别为0.81、0.81、0.83,专家咨询的变异系数分别为0.000~0.386、0.000~0.300、0.000~0.250,第3轮咨询专家意见的协调程度为0.679、0.428、0.389(均P<0.01)。最终形成的口腔卫生士岗位胜任力培养指标包括一级指标4项、二级指标20项、三级指标60项。结论本研究所构建的口腔卫生士岗位胜任力培养指标体系具有科学性、可靠性和可实践性,为我国口腔卫生士岗位胜任力的培养和考核提供参考,为今后建立口腔专科护士向口腔卫生士岗位转变的指标体系提供客观依据。展开更多
目的分析口腔卫生士近10年发展现状及研究热点,为我国该领域的相关研究提供借鉴。方法检索Web of Science数据库核心合集2009年1月1日—2019年12月2日的口腔卫生士相关文献,采用文献计量学方法对文献的年度发文量、研究方向、研究类型...目的分析口腔卫生士近10年发展现状及研究热点,为我国该领域的相关研究提供借鉴。方法检索Web of Science数据库核心合集2009年1月1日—2019年12月2日的口腔卫生士相关文献,采用文献计量学方法对文献的年度发文量、研究方向、研究类型、国家和机构发文情况、发文作者、出版物、基金资助机构以及引用频次分布进行分析。结果共纳入778篇文章,发文量整体呈上升趋势;研究方向主要集中于口腔外科学、公众环境职业健康、卫生保健服务等;文献类型主要以期刊论文和综述论文为主;发表文献最多的杂志是英国的《International Journal of Dental Hygiene》;出资最多的是美国卫生部人力服务部。结论随着全球口腔卫生士数量的增长,越来越多的国家和地区重视口腔卫生士的培养,欧美等先进国家不断拓展工作范围、完善教育体制、增强治疗干预能力,向着跨学科合作发展。目前,我国尚处于口腔卫生士理论研究及探索阶段,需提高对口腔卫生士领域研究热点的关注度,建议借鉴先进国家口腔卫生士发展经验,建立适合我国的口腔卫生士制度。展开更多
文摘Introduction: Oral health management is often difficult in patients after surgical tumor resection and/or radiotherapy due to defects, bulky flaps, limitation of tongue movement, and trismus. In addition, patients who have undergone radiotherapy have serious disabilities such as oral mucositis, mucosal weakening, soft tissue fibrosis, salivary gland disorder, and osteoradionecrosis. Dental hygienists must understand the characteristics of patients after surgical tumor resection and/or radiotherapy. In this report, the oral health management of three patients after maxillectomy, mandibulectomy, and radiotherapy was shown. Case Description: Case 1: A 53-year-old male patient visited our clinic after chemotherapy, radiotherapy, and partial maxillectomy for cancer of the right maxillary gingiva. Case 2: A 65-year-old male patient visited our clinic after radiotherapy for a right-sided tongue cancer, partial mandibulectomy of the right tongue to the oropharynx, a right-sided segmental mandibulectomy and a speech aid and a mandibular prosthesis were provided. Case 3: A 36-year-old female visited our clinic for radiotherapy for left-sided tongue cancer. Dental hygienists provided oral health management to the patients. In oral health management, it was suggested that intervention before cancer treatment, oral hygiene instructions tailored to patients’ symptoms, and frequent professional care are important. Conclusion: Oral health management by dental hygienists is extremely important for patients undergoing maxillofacial cancer treatment to maintain their quality of life in the long term.
文摘Introduction: Musculoskeletal disorders (MSD) are the most frequent cause of disability in the working population, exceeding accidental trauma in frequency. The risk of developing work-related upper limb disorders (WURLDs) is high among dental hygienists and the most frequently affected are elderly subjects and women. Since such disorders can have a negative effect on the working life and on the quality of life, it is of vital importance to put in place preventive measures. Aim: To make a comparative analysis of the hand-pieces of three different manual instruments used for root planning. Materials and Methods: To evaluate the physical characteristics (section, diameter, external surface, weight) of the hand-pieces of three series of instruments for root planning, twenty-nine dental hygienists students were videoed while working clinically. They were also interviewed using a specific questionnaire to determine subjective preferences in terms of perceived efficacy, safety, comfort and general acceptability of the hand-piece used. Results: Lightness, full-cylindrical section with larger-diameter ends, and coating with anti-slip silicone are the most appreciated characteristics of a hand-piece. Conclusions: Ergonomic analyses of manual instruments are not frequent in the dental field, and the literature reports no guidelines to guide selection of the type of hand-piece of manual instruments. The data gathered may help manufacturers in designing new manual instruments, and guiding professionals in their selection.
文摘Objective To assess the risk factors for upper extremity-work-related musculoskeletal disorders(UE-WMSD) on 13 prod ucti on lines in an airbag factory using the threshold limit values-American conference of industrial hygienists-hand activity level(TLV-ACGIH-HAL) method and introduce the ergonomic improvement to reduce the repe titi veness and the peak force(Pf).Methods Professional exposure level on 13 production lines in a automobile factory was measured using the TLV-ACGIH-HAL method and a further risk was assessed according to the ergonomic improvement.Results The first assessment of 9 produc tion lines showed that the professional exposure level was above the TLV or HAL limit.The second assessment showed that the professional exposure level was below the AL limit on all production lines except 1,in which the professional exposure level was between TLV and HAL.Conclusion The assessment of UE-WMSD-related risk can ide ntif y the riskiest emplacements and evaluate the reduc tion of risk in professional exposure through interventi ons of structuralorganizati onal type.
文摘目的构建口腔卫生士岗位胜任力的培养指标,为今后建立口腔专科护士向口腔卫生士岗位转变的指标体系提供客观的依据。方法检索PubMed、Medline、Web of Science、中国知网、万方数据知识平台等数据库与口腔卫生士岗位胜任力培养的相关文献,检索时间从建库至2021年3月,通过专家预咨询制订函询问卷,2021年5—11月对来自北京市、重庆市、江苏省、四川省和吉林省的20名口腔医护专家开展德尔菲专家咨询,确定口腔卫生士岗位胜任力培养的模型指标和权重赋值。结果共开展3轮德尔菲专家咨询,问卷的有效回收率均为100%,专家咨询的权威系数分别为0.81、0.81、0.83,专家咨询的变异系数分别为0.000~0.386、0.000~0.300、0.000~0.250,第3轮咨询专家意见的协调程度为0.679、0.428、0.389(均P<0.01)。最终形成的口腔卫生士岗位胜任力培养指标包括一级指标4项、二级指标20项、三级指标60项。结论本研究所构建的口腔卫生士岗位胜任力培养指标体系具有科学性、可靠性和可实践性,为我国口腔卫生士岗位胜任力的培养和考核提供参考,为今后建立口腔专科护士向口腔卫生士岗位转变的指标体系提供客观依据。
文摘目的分析口腔卫生士近10年发展现状及研究热点,为我国该领域的相关研究提供借鉴。方法检索Web of Science数据库核心合集2009年1月1日—2019年12月2日的口腔卫生士相关文献,采用文献计量学方法对文献的年度发文量、研究方向、研究类型、国家和机构发文情况、发文作者、出版物、基金资助机构以及引用频次分布进行分析。结果共纳入778篇文章,发文量整体呈上升趋势;研究方向主要集中于口腔外科学、公众环境职业健康、卫生保健服务等;文献类型主要以期刊论文和综述论文为主;发表文献最多的杂志是英国的《International Journal of Dental Hygiene》;出资最多的是美国卫生部人力服务部。结论随着全球口腔卫生士数量的增长,越来越多的国家和地区重视口腔卫生士的培养,欧美等先进国家不断拓展工作范围、完善教育体制、增强治疗干预能力,向着跨学科合作发展。目前,我国尚处于口腔卫生士理论研究及探索阶段,需提高对口腔卫生士领域研究热点的关注度,建议借鉴先进国家口腔卫生士发展经验,建立适合我国的口腔卫生士制度。
