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상악골괴사 환자에서 페니실린 정주 후 아나필락틱 쇼크: 증례보고
오지현,손정석,최병호,이정섭,김지훈,유재하,Oh, Ji-Hyeon,Son, Jeong-Seog,Choi, Byung-Ho,Lee, Jeong-Sub,Kim, Ji-Hun,Yoo, Jae-Ha 대한치과마취과학회 2014 Journal of Dental Anesthesia and Pain Medicine Vol.14 No.4
Generalized anaphylaxis is a most dramatic and acutely life-threatening allergic reaction and may cause death within a few minutes. Differential diagnosis of anaphylaxis is made by clinical signs, such as, mental change, respiratory distress, hypotension, hypoglycemia, urticaria and angioedema. Especially, insulin reaction, myocardial infarction and vasovagal syncope are considered as differential diagnosis. In cases of fatal anaphylaxis, respiratory and cardiovascular disturbances predominate and are evident early in the reaction. This is a case report of the intensive care of anaphylactic shock after intravenous injection of the penicillin in a old medically compromised patient with the maxillary osteonecrosis. The anaphylactic shock symptoms, such as, unconsciousness, respiratory disorder, no pulsation on carotid artery and cardiopulmonary arrest are occurred in intravenous injection of augmentin 1.2 g after the skin test. In spite of immediate emergency cares, such as intravenous injection of epinephrine, endotracheal intubation, cardiopulmonary resuscitation, and continuous intensive care, the patient is expired in 58 hours after anaphylactic shock attack.
진행성 치성 감염병소에서 부적절한 진정요법과 국소마취 시행하 절개 배농술에 따른 과환기증
오지현,손정석,유재하,김종배,Oh, Ji-Hyeon,Son, Jeong-Seog,Yoo, Jae-Ha,Kim, Jong-Bae 대한치과마취과학회 2014 Journal of Dental Anesthesia and Pain Medicine Vol.14 No.1
Extension of advanced odontogenic infection from deep neck fascial spaces into the mediastinum is heralded by chest pain, dyspnea, fever, and radiographic demonstration of mediastinal widening. The critical care should be done in a team approach by multiple medical and dental departments, such as, oral & maxillofacial surgery, otolaryngology, anesthesiology, chest surgery, and infection medicine. Especially, fluid & drug therapy, adequate incision & drainage and systemic supportive psychosedation care are important. But, acute hyperventilation can be produced by several distinct causes: severe anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The orofacial fears about acute pain, trismus, dysphagia, swelling and oral surgical treatment lead to the severe anxiety and increased blood catecholamine level by stress. Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the care, hyperventilation was occurred during psychosedation and local anesthesia for incision and drainage of the masticatory fascial space abscess with deep neck infection & mediastinitis. We suggest that the dental patient with advanced odontogenic infection must be attention for the manifestation of hyperventilation, especially in the medically compromised conditions.
장애환자에서 치성감염에 의한 아관긴급과 구강피부누공의 관리
오지현(Ji-Hyeon Oh),손정석(Jeong-Seog Son),유재하(Jae-Ha Yoo),김종배(Jong-Bae Kim) Asia association of Disability and Oral health 2013 International Journal of Disability and Oral Healt Vol.9 No.2
Some odontogenic infections erode into fascial spaces directly and spread toward lymphatic tissues and blood streams. The principal maxillary primary spaces are the canine, buccal, and infratemporal space, the next secondary spaces are the masseteric, temporal and pharygeal space. As a result of the infection, trismus and orocutaneous fistula may be occurred. Trismus is owing to conditions not associated with temporomandibular joint itself and may be of myogenic, neurogenic, or psychogenic nature. Muscular trismus is due to infection adjacent to the elevator muscles of the jaw. The four principles of treatment of infection are as follows: (1) removal of the cause, (2) establishment of drainage, (3) institution of antibiotic therapy, and (4) provision of supportive care, including rest, nutrition and physiotherapy. Jaw physiotherapy is necessary to increase the amount of mouth opening and regain normal muscle tone. If proper care of odontogenic infection could be attained, the orocutaneous fistula will heal and close spontaneously by wound contraction mechanism of natural homeostatic response. This is a case report of the care of trismus and orocutaneous fistula due to fascial space abscess by advanced odontogenic infection in a physically disabled patient.
다발성 손상을 가진 정신지체 환자에서 치료 우선순위로 구강출혈의 조절
오지현(Ji-Hyeon Oh),김지훈(Ji-Hun Kim),유재하(Jae-Ha Yoo) Asia association of Disability and Oral health 2016 International Journal of Disability and Oral Healt Vol.12 No.1
저자 들은 뺑소니 차량에 다발성 손상을 입고 응급실로 내원된 정신지체 장애환자에서, 초기 평가와 관리의 단계에서부터 다발성 외상환자 진료우선 순위에 따라 먼저 경척수를 안정시키고, 구강출혈부 지혈위한 구개횡단 강선결찰술과 비강출혈부 바셀린 거즈 전색 압박술 및 구강주위 개방창상내 습윤거즈 전색 압박술 등을 신속하게 시행하여 기도폐쇄를 방지하고서, 임상 병리검사와 방사선 사진검사를 시행한 다음에, 기관내 삽관술, 비위장관 삽입술, 전신상태 모니터링 장비 활용, 수액 약물요법 등을 시행하였고, 보호자와 뒤늦게 연락이 되어서 체계적인 관련의학과적 관리를 장기간 시행해서, 비교적 양호한 예후를 관찰할 수 있었다. Sympathetic reaction to grotesque facial injuries with oral bleeding can trigger confusion and generate inefficiency among emergency room personnel. Regardless of the extent of the injury, or of the sympathy elicated, the victim must be evaluated and treated as a whole patient with multiple trauma. There must be no confusion as to order of importance in the steps of evaluation : 1. airway 2. hemorrhage 3. shock 4. associated injuries 5. local injury 6. triage of facial injuries. The most dangerous aspect of oral hemorrhage is the possibility of its obstructing the upper airway. Swallowing large amounts of blood will usually cause gastric irritation and lead to vomiting, thus further complicating the management of the patient. Once a clear airway is assured and hemorrhage have been controlled, consideration is given to possible associated injuries before undertaking treatment of the facial injuries themselves. Status of the cardiopulmonary, gastrointestinal and neuromuscular systems all have a bearing on decisions concerning facial injury treatment. In this light, treatment priority becomes exceeding important. On the other hand, the importance of facial injuries should never be minimized, especially in a mentally retarded patient with oral hemorrhage. This is a case report about oral hemorrhage control as treatment priority in a mentally retarded patient.
동형암호를 이용한 인공지능 학습 데이터 보안 연구 동향
오지현(Oh Ji Hyeon),김명현(Kim Myeong Hyun),이준영(Lee Joon Young),박영호(Park Young Ho) 한국통신학회 2021 한국통신학회 학술대회논문집 Vol.2021 No.6
동형암호는 암호화된 데이터에 대한 연산 및 처리를 가능하게 하는 암호시스템으로 데이터의 기밀성 및 처리 효율성을 보장하기 위해 스마트 그리드, IoT 및 의료 진단 시스템 등 다양한 환경에서 동형암호를 적용한 연구가 이루어지고 있다. 본 논문에서는 다양한 환경에서 동형암호 기반의 인공지능 학습 데이터 보안 시스템을 제안한 기존 연구들의 동향 및 문제점을 분석하고 향후 연구 방향을 제시한다.
대학생의 불안정 애착이 우울에 미치는 영향: 거부민감성과 대인존재감의 병렬다중 매개효과
오지현(Ji-Hyeon Oh),강영신(Young-Shin Kang) 충남대학교 사회과학연구소 2024 사회과학연구 Vol.35 No.2
This study investigated the effects of the insecure attachment of college students on depression and verified the multi-parallel mediating effects of rejection sensitivity and interpersonal mattering in the effects of insecure attachment on depression. To that end, the insecure attachment, depression, rejection sensitivity, and mattering of 401 Korean college students residing across the country were measured and the multi-parallel mediating effects were analyzed. The major results indicated that rejection sensitivity and mattering partially mediated the relationship between insecure attachment and depression. This implies that people with insecure attachment are highly likely to have high rejection sensitivity, eventually leading to depression. Also, people with insecure attachment are highly likely to have low mattering, eventually leading to depression. Especially, college students who experience depression without feeling a mattering in their relationships with others may continue to have difficulty adapting their social life after graduation. Accordingly, the study suggests that counseling interventions that lower rejection sensitivity and increase mattering, both of which are interpersonal variables, may serve as effective strategies to alleviate depression. Based on the findings, implications and suggestions for future research avenues were discussed.
오지현(Ji-Hyeon Oh),유재하(Jae-Ha Yoo),김종배(Jong-Bae Kim) Asia association of Disability and Oral health 2015 International Journal of Disability and Oral Healt Vol.11 No.1
Pain and sensory disorder resulting from injury to peripheral nerves of the face and jaws are a major source of patient dissatisfaction and suffering. The majority of patient who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but orderly return of sensation that is functional and tolerable in quality, if not “normal”. For many patients, however, the long-term effects are a source of aggravation, and for a few, a significant cause of suffering. Common complaints relate to reduced sensory information causing embarrassing food accumulations or drooling, biting a burning the lip or tongue, and difficulty in performing routine activities such as shaving and apply makeup. For some patients posttraumatic symptoms become pathological and frankly painful. The predominent pain components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning, aching causalgiaform pain, and (4) phantom pain. This is a report of cases about posttraumatic pain syndrome associated with dental treatment in a psychologically disabled patient.