남서울대학교 일부 재학생들의 흡연 실태 조사

유미현 남서울대학교보건의료개발연구소 2005 보건복지 연구 논집 Vol.2 No.1

In this study, we have investigated the smoking pattern of the students in Namseoul University. The 156 students were recruited as subjects. Questionnaire survey was performed about current smoking pattern, past smoking pattern, present oral diseases and the awareness between the smoking and oral diseases. The smoking rate of the students was 28.8% and among ex-smokers, 64.9% of smokers had smoked during 5-10 years. The 50.8% of current smokers smoked 10 cigarettes per day. The reasons of quit-smoking were due to health's condition 35.7%, harmful to health 22.8%. The 90.5% of smokers never had used the quit smoking appratus and 49.1% participated in the program of quit smoking. The awareness of relationship between smoking and oral disease was 92.9%. An understanding of the characteristics of smoking of the students and awareness of relationship between smoking and oral disease may provide guidance for preventive quit smoking program with adolescents.

치위생 과정에서의 치료 계획 수립

유미현 남서울대학교 2005 남서울대학교 논문집 Vol.11 No.1

After the initial assessment is completed, the data are assembled, sequenced, and analyzed in preparation for planning strategies for helping and the patient acquire and maintain oral health. The dental hygiene diagnosis will focus attention on the behavioral aspects as well as deviations from normal oral health. The care diagnosis and plan is selected identify those patients needs that the dental hygienist will treat in dental hygiene appointments. The care plan is selected to conform with and be integrated wi소 the total treatment plan of the patients. The overall objectives of the dental helath care team focus on the oral health of the patients. The ultimate goal will be the control of oral diseases.

구강의 연조직 질환과 생검

유미현 남서울대학교보건의료개발연구소 2005 보건복지 연구 논집 Vol.2 No.1

Oral soft tissue lesions are consisted of three parts, such as infectious disease, immune-mediated lesion, and oral cancer. The common viral infections are herpes simplex infections and Varicella-zoster infection. The common bacterial infections are tuberculosis, syphilis and actinomyces. The common fungal infection is caused by Candida albicans. The well-known immune-mediated lesions in oral cavity are pemphigus vulgaris, mucous membrane pemphigoid, epidermolysis bullosa, erythema multiforme, recurrent aphthous ulcer, Bechet syndrome and lichen planus. Squamous cell carcinoma is the most common lesion in oral cancer. Exfoliative cytology and biopsy can be used to confirm the final diagnosis and treat them. These lesions hold signs and symptoms in common, so it is difficult to diagnose them exactly. Dentist and dental hygienist can examine oral soft lesions and differentiate from other lesions.

구강 내 자극성 섬유종에서 EGFR 발현 양상

유미현 남서울대학교보건의료개발연구소 2004 보건복지 연구 논집 Vol.1 No.1

The aim of the present study was to investigate whether epidermal growth factor recetor(EGFR) are expressed in oral irritation fibroma. Irritation fibromas from 90 patients and control normal mucosa were studied by immunohistochemistry using EGFR. Immunohistochemistry demonstrated that the overlying mucosa of irritation fibroma revealed the strong positive expression in the prickle layer. And fibroblasts in the mass of irritation fibroma showed restricted positive expression. The macropages and fibroblasts located in the subepithelial area and the vessles in the mass of irritation fibroma showed strong positive expression. These suggest that EGFR expression by overlying epithelium, the autocrine and paracrine stimulation by EGFR in the fibroblasts and macrophages and angiogenesis via EGFR may be involved in the pathogenesis of oral irritation fibroma.

전신 질환의 구강 증상

유미현 남서울대학교보건의료개발연구소 2005 보건복지 연구 논집 Vol.2 No.1

In this review we have elected to discuss those diseases of systemic diseases have significant manifestations in oral cavity. Many systemic diseases can occur or show symptoms in oral cavity. Brief outline of the pathogenesis, epidermiology, and systemic components of each disease is given, followed by a more detailed analysis of the oral manifestations.

치과에서 일어나는 교차 감염과 감염 관리에 관하여

유미현 남서울대학교 2005 남서울대학교 논문집 Vol.11 No.1

Based on the latest information on the transmission of infections in hospitals, infection control is recommended about patient care in dental clinics/hospitals during dental practice. Precautions in the place of additional categories of airborne, droplet, and contact precautions have been developed to manage specific diseases transmitted via such routes. The concept of isolating patients with transmissible diseases is the cornerstone of a hospital's program of infection prevention and control. This concept is an outgrowth of earlier practices where persons diagnosed with a transmissible infectious disease were "quarantined." Traditional systems of isolation precautions have relied on an understanding of the mechanisms by which disease can be spread and have focused the use of protective barrier equipment, such as gloves, gowns, masks, and protective eyewear in order to interrupt transmission and to break the chain of infection.

고삼투압성 비케톤성 상태의 예후인자

안성훈,김양원,김미란,진헌철,안지영,이상래,류석용,김홍용,김성준,이병권,김경환 대한응급의학회 2001 대한응급의학회지 Vol.12 No.2

Background: A hyperosmolar nonketotic state has been known to have a high mortality, and even now, despite this high mortality, only a few studies of this disease have been performed. We studied the prognostic factors for the hyperosmolar nonketotic state. Methods: We retrospectively studied the cases of 40 patients who were in a hypersomolar nonketotic state when admitted to Sanggye Paik Hospital during the 6-year Period from 1995 through 2000. We divided the hyperosmolar nonketotic patients into two groups, the complete recovery group and the incomplete recovery group, and compared the clinical features, the laboratory findings, and the precipitating factors between two groups. Results: 1) A total of 40 patients were studied: 24 in the complete recovery group and 16 patients in the incomplete recovery group. The mortality rate was 32.5%. 2) No significant statistical difference existed among the clinical features of the two groups, except for the sex(p<0.01). 3) Among the laboratory findings of both groups, analysis revealed that the effective osmolarity was significantly higher among those in the incomplete recovery group(p<0.01). Serum sodium concentration was also significantly higher among those in the incomplete recovery group(p<0.01). Serum creatinine was also significantly higher among those in the incomplete recovery group(p<0.05). Serum bicarbonate concentration, on the other hand, was significantly lower among those in that group(p<0.05).4) Infection was identified as the most common precipitating factor(62.5%). Among the precipitating factors of the two groups, there were significant statistical difference in pneumonia, UTI, and inappropriate glucose control. 5) A significant statistical difference existed among the initial level of consciousness of both groups(p<0.05). 6) The only significant independent factor responsible for prognosis of nonketotic hyperosmolar state patients was the sex. Conclusion: The sex was only significant independent prognostic factor of nonketotic hyperosmolar state patients.

잇몸의 국소 증식 질환

유미현(Mi Heon Ryu) 대한치과의사협회 2014 대한치과의사협회지 Vol.52 No.12

Localized gingival enlargement is a common finding and tends to be reactive hyperplasia. Gingival reactive lesions are usually asymptomatic and respond to conservative treatment. However, a small entity of localized gingival enlargement is distinct from non neoplastic growth, including developmental and neoplastic lesions. Since their clinical characteristics are similar with other lesions of gingiva, it can cause diagnostic dilemma, and is recommended to submit biopsy and confirm pathologic diagnosis. Their incidence of recurrence are different, therefore method of treatment should vary depending on the diagnosis. This review explains identification and treatment of localized gingival lesions.

구강 백반증과 편평태선의 임상,병리조직학적 소견 비교 분석

유미현 ( Mi Heon Ryu ) 한국치위생과학회 2005 치위생과학회지 Vol.5 No.4

구강점막질환

유미현(Mi Heon Ryu) 대한치과의사협회 2017 대한치과의사협회지 Vol.55 No.7

A wide variety of benign and malignant lesions and other diseases can develop on oral mucosa. Oral mucosal lesions can also be associated with an underlying systemic disease, so their correct diagnosis, which may even share similar clinical and demographic features, is always a challenge for a dentist. Common oral mucosal lesions include candidiasis, herpes viral infection, leukoplakia, recurrent aphthous stomatitis, pemphigus, lichen planus and benign migratory glossitis. The differential diagnosis of these lesions are based on a thorough review of the patient’s past medical and dental history and a complete oral examination. The knowledge of clinical features such as size, location, morphology, color, and pain is helpful in establishing a diagnosis. In addition, diagnostic tests, including microbiologic and laboratory tests and biopsies are usually required for establishing a proper diagnosis.