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Rola opieki stomatologicznej nad pacjentami onkologicznymi poddanymi radioterapii głowy i szyi

Oborska-Kumaszyńska Dominika

Inżynier i Fizyk Medyczny

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2022

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Vol. 11, nr 5

447--451

PL

Nowotwory głowy i szyi obejmują heterogenną grupę nowotworów wywodzących się z górnych dróg oddechowych i przewodu pokarmowego, zatok przynosowych oraz ślinianek i tarczycy. Optymalne postępowanie w leczeniu tych nowotworów wymaga multidyscyplinarnego podejścia. Radioterapia jest jedną z technik oferowanych w kompleksowym leczeniu tego regionu anatomicznego. Głównym celem radioterapii jest uzyskanie miejscowej kontroli guza przy jednoczesnym zminimalizowaniu uszkodzeń narządów krytycznych i tkanek zdrowych. Przy tak złożonym anatomicznie regionie i bliskości poszczególnych struktur anatomicznych radioterapia wymaga zastosowania niezwykle złożonych technik i zapewnienia bardzo wysokiego poziomu zgodności dostarczania dawki promieniowania w oparciu o proces optymalizacji leczenia (pokrycie targetów przepisaną dawką vs o chrona zdrowej t kanki). J ednym z głównych p roblemów jest wpływ promieniowania na normalne komórki. Głównymi tkankami/narządami dotkniętymi promieniowaniem podczas radioterapii dla obszaru głowy-szyi są gruczoły ślinowe, błona śluzowa jamy ustnej, kubki smakowe oraz kości i zęby. Zniszczenie tkanek/narządów powoduje w jamie ustnej powstanie wielu niepożądanych skutków ubocznych. Ważne jest, aby w procesie terapeutycznym zapobiegać i leczyć powikłania ustno-twarzowe. Wymagają one multidyscyplinarnego podejścia, które obejmuje dedykowany zespół radioterapii, chirurga głowy i szyi, lekarza dentysty, pielęgniarki, dietetyka, fizjoterapeuty, pracownika socjalnego, a w niektórych przypadkach chirurga plastycznego, protetyka i psychologa.

EN

Head and neck tumors include a heterogeneous group of cancers originating in the upper respiratory and gastrointestinal tract, paranasal sinuses, and the salivary glands and the thyroid gland. Optimal management of these cancers requires a multidisciplinary approach. Radiation is one possible treatment method for cancers in this area of the body. This treatment method is utilized to treat the tumor while minimizing damage to critical organs and healthy tissue. The head and neck area is anatomically complex and is proximal to numerous vital structures. Therefore, radiotherapy treatment of tumors in this region requires extreme precision involving complex techniques. These techniques must ensure a high level of compliance for radiation dose delivery with respect to optimization of treatment processes (target coverage with prescribed dos vs protection of healthy tissue). One of the main problems is the effect of radiation on normal cells. The main tissues / organs affected by radiation in the head-neck area are the salivary glands, oral mucosa, taste buds, and bones and teeth. The destruction of tissues/organs causes many undesirable side effects in the oral cavity. It is important to prevent and treat orofacial complications. Such complications require multidisciplinary treatment which would involve a dedicated radiation therapy team, head and neck surgeon, dentist, nurse, dietitian, physical therapist, social worker, and, in some cases, plastic surgeon, prosthetist, and a psychologist.

2

Model biznesu dla potrzeb zarzadządzania usługami medycznymi w zakresie stomatologii

Dohn K., Łyp K, Mocny-Pachońska K., Hüpsch-Marzec H.

Zeszyty Naukowe. Organizacja i Zarządzanie / Politechnika Śląska

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2018

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z. 121

75--86

PL

Celem artykułu jest zbadanie zależności przyczynowo-skutkowej pomiędzy cechami określającymi standardy obsługi klienta z ostatecznym wyborem świadczeniodawcy usług medycznych w zakresie stomatologii oraz opracowanie modelu biznesu dla jednostki medycznej o profilu stomatologicznym, umożliwia-jącego stałą analizę potrzeb klientów oraz działań konkurencji. W artykule, w celu weryfikacji postawionej hipotezy badawczej, przeprowadzono badania bezpo-średnie metodą wywiadu kwestionariuszowego wśród pacjentów gabinetów stomatologicznych woj. śląskiego. Uzyskane wyniki posłużą budowaniu strategii opartej na więzi i właściwej relacji pomiędzy dostawcą a odbiorcą usług stomatologicznych.

EN

The purpose of this article is to investigate the causal relationship between the characteristics of customer service standards and the final choice of the dental services provider, and to develop a business model of a dental health services that allows the continuous analysis of customer needs and competition. In the article, in order to verify the hypothesis of the research, direct examination was conducted, using the questionnaire survey method in the patient's dental practice of Silesian voivodship. The results will be used to build a relationship-based strategy and a proper relationship between the supplier and the recipient of dental services.

3

Charakterystyka rynku usług stomatologicznych

Urbańczyk E., Świderska J.

Zeszyty Naukowe. Prace Instytutu Ekonomiki i Organizacji Przedsiębiorstw / Uniwersytet Szczeciński

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2006

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Nr 48, t. 2

967-974

EN

The article describes the specificity of dentistry services market, demonstrating the activities of the public and private sectors. A detailed analysis was conducted regarding the use of dentistry services on the basis of various criteria. An attempt was made to establish the costs of dentistry health care incurred by the Health-Insurance Fund and the National Health Fund for the insured in the years 2003 - 2004. The article presents also average spending on dentistry health care incurred by an average household. The last part of the article concerns the employment of dental surgeons.

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Exposure to Methyl Methacrylate and Its Subjective Symptoms Among Dental Technicians, Tehran, Iran

Golbabaei F., Mamdouh M., Jelyani K. N., Shahtaheri S. J.

International Journal of Occupational Safety and Ergonomics

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2005

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Vol. 11, No. 3

283--289

EN

Exposure to methyl methacrylate (MMA), total dust and health symptoms were investigated in 20 dental laboratories located in Tehran, Iran. Time-weighted average (TWA) of MMA and peak concentrations were determined, using XAD-2 tubes followed by GC-ID analysis. Total dusts were evaluated gravimetrically. Health symptoms were asked using a questionnaire. TWA for technicians with direct and indirect exposure to MMA were 327.28 ± 79.42 and 282.9 ± 41.84 mg/m3, respectively. Peak concentration of MMA for those technicians were 337.0 ± 36.81 and 328.88 ± 45.40 mg/m3, respectively. There were no significant differences between TWA of MMA and peak concentration in different weekly workdays; however, within-day variations were observed (P < .05). TWA of MMA and peak concentration correlation with the laboratory volume were 0.61–0.65. Dust exposure of technicians was 2.35 ± 2.70 mg/m3. Cough and skin dryness were the common health symptoms. Smoking and asbestos exposure history were factors influencing cough prevalence (p < .05). It is concluded that the current Short-Term Exposure Limit (STEL) is not low enough to protect technicians against the adverse effects caused by MMA.

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Working Conditions and Dentists’ Attitude Towards Proprioceptive Derivation

Chaikumarn M.

International Journal of Occupational Safety and Ergonomics

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2004

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Vol. 10, No. 2

137--146

EN

Proprioceptive derivation (Pd), a new method of organising a dentist workstation as well as a working procedure, was introduced to Thailand. The aim of this study was to assess the working conditions and the attitude to Pd among experienced users. Questionnaires were distributed among 12 dentists. The results showed that all dentists chose to work in a sitting posture and mostly worked without breaks between patients. They spent less time on dental examination and crown and bridge therapy tasks. Solving problems in patients with physical limitations resulted in a low stress level. Seven dentists (58.3%) always used Pd and liked it. Five dentists (41.7%) sometimes used Pd, with 3 of them liking it. Only 2 dentists, who sometimes used Pd, did not like it because it could not cover all dental tasks and treatment, and it was difficult and complex.

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Permeability of Medical Gloves to Mono- and Dimethacrylate Monomers in Dental Restorative Materials

Lonnroth E. C., Ruyter I. E.

International Journal of Occupational Safety and Ergonomics

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2002

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Vol. 8, No. 4

497--509

EN

Dental personnel manually handle methacrylate-based restorative materials, which can cause skin irritation and allergies. The protection given by different types of medical gloves is not well known. Breakthrough time (BTT, min) was used as a measure of protection according to a European standard, using 2 test mixtures consisting of respectively 3 and 5 monomers. Fourteen gloves representing natural rubber latex, synthetic rubber, and synthetic polymeric material were tested. The BTT ranged from some minutes to more than 2 hrs for the 4 monomers with a molecular mass less than 300. The longest protection was recorded for Nitra Touch (nitrile rubber), Tactylon (synthetic rubber), and Metin (PVC).

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Users’ Demands Regarding Dental Safety Glasses. Combining a Quantitative Approach and Grounded Theory for the Data Analysis

Lonnroth E. C., Shahnavaz H.

International Journal of Occupational Safety and Ergonomics

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2001

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Vol. 7, No. 1

49--59

EN

Eye infections are common among dentists and many are concerned, but few are using proper eye protection. To understand users’ demands behind the low use of safety glasses, all dental teams in Sweden were asked which factors they found most important when choosing dental safety glasses, and rate the importance of 31 statements regarding ergonomic aspects of dental safety glasses in a questionnaire. Data were analysed using the Grounded Theory and a quantitative approach. Results showed that dentists ranked the visual aspects as most important and chair assistants the protective aspects. The highly visual demanding work performed by dentists requires safety glasses that are not yet available on the market, which might explain the low use.

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Perceptions of the Importance and Control of Professional Problems in the Clinical Setting

Maupome G., Borges-Yanez S. A., Diez-de-Bonilla F. J., Pineda-Cruz A.

International Journal of Occupational Safety and Ergonomics

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2001

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Vol. 7, No. 3

247--262

EN

The objective of this study was to identify the relative importance of culturally relevant professional problems and the degree of control over them, as perceived by dentists and dental students in Mexico City, Mexico. The dentists and students ranked 13 problems according to importance and then according to the perceived degree of control over each one. Novice clinicians were less secure about their ability to cope with the legal, financial, and clinical performance problems, whereas experienced clinicians were more concerned about occupational hazards and the dental market and culture. Both reported similar perceptions of their control of the problems. This preliminary information should support introducing into dental schools relevant practice-management courses, targeting continuing education efforts, and instituting professional counseling measures to meet the challenges posed by these problems.