著者

Fumiaki Sato Koji Kino Masashi Sugisaki Tadasu Haketa Yoko Amemori Takayuki Ishikawa Toshihisa Shibuya Teruo Amagasa Tomoaki Shibuya Haruyasu Tanabe Tetsuya Yoda Ichiro Sakamoto Ken Omura Hitoshi Miyaoka

出版者

Tokyo Medical and Dental University (TMDU)

雑誌

Journal of Medical and Dental Sciences (ISSN:13428810)

巻号頁・発行日

vol.53, no.2, pp.103-109, 2006 (Released:2016-10-24)

参考文献数

47

被引用文献数

23

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Many different factors are known to cause and perpetuate the symptoms of temporomandibular disorders (TMD). However, the roles of parafunctional factors have not been clearly elucidated. We found one of these habits in the clinical setting. This parafunctional habit involves daily light touching of the upper and lower teeth, when the mouth is closed. We named this habit Teeth Contacting Habit (TCH). [Objectives] To investigate the following hypotheses: 1) TCH is associated with perpetuation of chronic pain of TMD patients; 2) TCH is associated with other behavioral factors. [Methods] Two hundred and twenty-nine TMD outpatients with chronic pain were analyzed with multivariate logistic regression models. [Results] TCH was found in 52.4% of patients. Patients with TCH and pain lasting for more than four months were less likely to experience improvements in pain at the first visit (OR = 1.944, p = 0.043). Other factors associated with TCH were as follows: unilateral chewing (OR = 2.802) and involvement in a precision job (OR = 2.195). [Conclusion] TCH can prolong TMD pain and is associated with other behavioral factors.

著者

南郷 栄秀 田中 雄二郎

出版者

Tokyo Medical and Dental University (TMDU)

雑誌

Journal of Medical and Dental Sciences (ISSN:13428810)

巻号頁・発行日

vol.57, no.1, pp.109-118, 2010 (Released:2016-09-26)

参考文献数

30

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BACKGROUND: The effect of multidisciplinary education on clinical decision making by medical students is not well known. METHODS: Twenty of fourth, fifth or sixth year medical students were randomly assigned to multidisciplinary groups (MultiG, n = 7) with two medical, pharmacy and nursing students or medical student groups (MedG, n = 10) with six medical students only and given a two-day PBL program using evidence-based medicine (EBM) methodology. The main outcome measure is clinical decision making by medical students for the case, measured by a 100 mm visual analog scale (VAS). Additional patient information requested and self-evaluation of the PBL program were also measured. RESULTS: Correct answers to assess clinical epidemiology knowledge increased significantly in both groups (4.1 to 9.9 points in MultiG, p < 0.001: 3.6 to 9.7 points in MedG, p = 0.002), while scores at baseline and post-program were not significantly different. The number of additional patient information cards requested was not significantly different (p = 0.10). After the program, the VAS for clinical decision making was significantly different (54 mm and 89 mm, p = 0.013), although preprogram values for both groups were similar. CONCLUSION: Pharmacy and nursing students may have potential to change the clinical decision making by medical students.

著者

梅田 慈子 三串 伸哉 天笠 光雄 小村 健 植松 宏

出版者

Tokyo Medical and Dental University (TMDU)

雑誌

Journal of Medical and Dental Sciences (ISSN:13428810)

巻号頁・発行日

vol.58, no.2, pp.69-77, 2011 (Released:2016-09-12)

参考文献数

26

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Objectives: This study investigated the effects of reclining position on swallowing functions in the patients who had undergone surgery for oral tumors. Subjects and Methods: 53 Patients after oral tumor surgery who had undergone the videofluoroscopic swallowing study in the sitting position and reclining position were sampled. We measured Oral transit time (OTT), Pharyngeal transit time (PTT), Penetration-Aspiration scale, Locating of the leading edge of bolus at swallow onset, Route of bolus transit and Transit velocity. Results: Laryngeal penetration and aspiration were less likely to occur in the reclining position. The mean OTT was significantly shorter in the reclining position than in the sitting position. The leading edge of bolus at swallow onset was significantly lower in the reclining position than in the sitting position. The bolus went along the posterior wall of the pharynx in more patients in the reclining position. The mean PTT and the transit velocity did not significantly differ between the reclining position and the sitting position. Conclusion: This study suggested that, in patients after surgery on oral tumors, the reclining position is a useful posture to aid oral transit and to readily prevent aspiration and laryngeal penetration.