National Healthcare Service and Its Big Data Analytics

남다정,권혁원,이해연,안은경 대한의료정보학회 2018 Healthcare Informatics Research Vol.24 No.3

“Spray-as-you-go” medical technique for awake intubation using a combination of an epidural catheter and the OptiScope in a patient with Ludwig’s angina - A case report -

남다정,조정구,강상화,강수정 대한마취통증의학회 2018 Anesthesia and pain medicine Vol.13 No.3

A 73-year-old woman presented to the emergency department with submandibular pain and swelling. The patient was diagnosed to have Ludwig’s angina, and she was planned to undergo urgent incision and drainage under general anesthesia. However, her physical examination revealed severe diffuse swelling extending from the bilateral submandibular spaces to the submental space and further down to the neck. As our view was blocked by the patient’s neck swelling, we did not perform a regional anesthesia of the airway or a transtracheal block. Several non-invasive alternatives were considered. The “spray-as-you-go” technique was chosen, and it was performed using the OptiScope®. However, the OptiScope did not have a working channel or syringe adaptor for the administration of the local anesthetic solution. To solve this problem, we combined the OptiScope with a 27-G tunneled epidural catheter (100 cm) for the administration of lidocaine and this combination made the awake intubation successful.

Does desflurane need more irrigating-pump pressure for the visibility in arthroscopic shoulder surgery than sevoflurane?

남다정,김성훈,박상훈,이혜연,강보배,이재호 대한마취통증의학회 2020 Anesthesia and pain medicine Vol.15 No.1

Background: In arthroscopic shoulder surgery, a mechanical fluid-irrigation system is used to wash out blood from the joint. If used at high pressure, it can cause side effects such as fluid extravasation, leading to airway obstruction after surgery. Desflurane is prone to increasing sympathetic nerve activity and plasma catecholamine release more than another inhalation anesthetics. The objective of this study was to determine whether desflurane could increase in the irrigation pump pressure than sevoflurane in shoulder arthroscopy. Methods: Patients were randomized into a sevoflurane group (group S) and a desflurane group (group D). Each included 20 patients. For group S, sevoflurane 1.2 MAC and intravenous remifentanil were administered for anesthesia maintenance. Group D received desflurane 1.2 MAC and intravenous remifentanil. Starting at 20 mmHg of pump pressure, the surgeon estimated the visibility of the surgical field (grade I–IV). After that, the pressure was freely adjusted by the surgeon to obtain clear vision with the arthroscope during the surgery. Results: The maximum pressure of the mechanical water pump was higher in group D than group S (54.0 ± 6.8 mmHg vs. 48.9 ± 5.7 mmHg, P = 0.017), but the difference was not statistically significant at a significance level of 0.01. The arthroscopic visibility at the surgical site did not differ significantly between the two groups (P = 0.284). Conclusions: When desflurane is used in arthroscopic shoulder surgery, it does not require more pressure from the irrigating-fluid pump to secure a clear vision of the surgical site, compared to sevoflurane.

용비어천가

남다정,박지현 대구대학교 국어교육과 2017 나랏말쌈 Vol.32 No.-

황혼시(黃昏時)

남다정 대구대학교 국어교육과 2015 나랏말쌈 Vol.30 No.-

한국관광 품질인증제(Korea Quality)의 개선방향에 관한 연구

남다정,박은성,박진아,손승호,이예슬 한국품질경영학회 2019 한국품질경영학회 학술대회 Vol.2019 No.-

2018년 문화체육관광부는 지방자치단체나 공공기관 등이 개별적으로 관광 분야 인증 제도를 운영하고 있던 과거에서 벗어나 전문적이고 체계적인 통합 관리·평가를 실시하여 궁극적으로 관광업계의 질적 성장을 추구하기 위한 ‘한국관광 품질인증제(KQ)’를 도입하였다. KQ는 일반·생활숙박업, 외국인관광 도시민박업, 한옥체험업과 관광면세업, 외국인 관광객 면세판매장을 대상으로 시설 및 서비스 관리, 인력의 전문성, 재난 및 안전관리 부문을 현장평가를 통해 점검하고, 70% 이상의 점수를 획득해야 인증을 부여하고 있다. 부여된 인증마크를 통해 관광객은 구매 리스크를 줄일 수 있을 뿐만 아니라 선택의 다양성 까지도 확보할 수 있다. 본 연구진은 관광 품질인증제를 사용하고 있는 해외 국가들(프랑스 'QT', 영국 'QiT', 홍콩 'QTS', 뉴질랜드 'Qualmark' 등)의 운영 현황과 실태를 조사한 결과를 바탕으로, 최근의 관광 트렌드 변화와 글로벌 관광객 수준에 발맞춰 KQ도 일부 개선이 필요하다고 보았으며, 향후 개선 방향을 수립하는 데 도움을 주고자 한다. 한 예로 뉴질랜드 'Qualmark'의 경우 과거에는 기본적인 평가항목 외에 친환경적인 부분만 추가로 강조하였으나, 최근 지속 가능한 관광업에 대한 관심이 고조되면서 건강과 안전, 환경, 사회/인적, 경제적의 4개 분야로 보다 폭넓은 평가를 지향하고 있으며, ‘숙박 시설’에 대한 인증 중심인 타 인증제도와 달리 공원 등의 관광지, 관광객 활동, 교통, 서비스, 여행사, 안내센터 부문에서도 품질 보증에 대한 인증을 실시하는 것이 특징적이다. KQ는 관광 품질을 결정하는 근본적 요인에 대한 관리 부족 문제를 해결하지 못하고 있으며, 인증제도에 대한 인식과 홍보가 아직은 미약한 실정이다. 또한 일반·생활숙박업, 한옥체험업의 경우 인증마크를 2가지로 차등 부여하고 있으나 품질 보증에 대한 사회적 문제가 꾸준히 발생하는 외국인관광 도시민박업과 같은 분야에서도 보다 세부적인 등급 부여가 필요하다고 판단된다. 장기적으로 KQ를 적용할 수 있는 신규 분야가 다양하게 확대될 수 있도록 점진적으로 노력해야 할 것이다.

Frailty-Based Comparative Analysis of Survival Outcomes in Multiple Myeloma Patients

남한준,이호섭,김다정,손종원,박현우,길송이,이호섭 대한내과학회 2023 대한내과학회 추계학술대회 Vol.2023 No.2

Secondary Erythromelalgia - A Case Report -

강병찬,남다정,안은경,윤덕미,조정구 대한통증학회 2013 The Korean Journal of Pain Vol.26 No.3

Erythromelalgia is a rare neurovascular pain syndrome characterized by a triad of redness, increased temperature, and burning pain primarily in the extremities. Erythromelalgia can present as a primary or secondary form, and secondary erythromelalgia associated with a myeloproliferative disease such as essential thrombocythemia often responds dramatically to aspirin therapy, as in the present case. Herein, we describe a typical case of a 48-year-old woman with secondary erythromelalgia linked to essential thrombocythemia in the unilateral hand. As this case demonstrates, detecting and visualizing the hyperthermal area through infrared thermography of an erythromelalgic patient can assist in diagnosing the patient, assessing the therapeutic results, and understanding the disease course of erythromelalgia.

Comparison of the antiemetic effect of ramosetron with ondansetron in patients undergoing microvascular decompression with retromastoid craniotomy: a preliminary report

하상희,김현주,주향미,남다정,민경태 대한마취통증의학회 2015 Korean Journal of Anesthesiology Vol.68 No.4

Background: Microvascular decompression with retromastoid craniotomy carries an especially high risk of postoperative nausea and vomiting. In this study, we compare the antiemetic efficacy of ramosetron and ondansetron in patients undergoing microvascular decompression with retromastoid craniotomy. Methods: Using balanced anesthesia with sevoflurane and remifentanil infusion, ondansetron 8 mg (group O, n = 31) or ramosetron 0.3 mg (group R, n = 31) was administered at the dural closure. The incidence and severity of postoperative nausea and vomiting, required rescue medications and the incidence of side effects were measured at post-anesthetic care unit, 6, 24 and 48 hours postoperatively. Independent t-tests and the chi-square test or Fisher’s exact test were used for statistical analyses. Results: There were no differences in the demographic data between groups, except for a slightly longer anesthetic duration of group R (P = 0.01). The overall postoperative 48 hour incidences of nausea and vomiting were 93.6 and 61.3% (group O), and 87.1 and 51.6% (group R), respectively. Patients in group R showed a less severe degree of nausea (P = 0.02) and a lower incidence of dizziness (P = 0.04) between 6 and 24 hours. Conclusions: The preventive efficacy of ramosetron when used for postoperative nausea and vomiting was similar to that of ondansetron up to 48 hours after surgery in patients undergoing microvascular decompression with retromastoid craniotomy. A larger randomized controlled trial is needed to confirm our findings.

Cross-cultural Adaptation and Linguistic Validation of the Korean Version of the Leeds Assessment of Neuropathic Symptoms and Signs Pain Scale

박철희,이윤우,윤덕미,김도완,남다정,김도형 대한의학회 2015 Journal of Korean medical science Vol.30 No.9

Distinction between neuropathic pain and nociceptive pain helps facilitate appropriate management of pain; however, diagnosis of neuropathic pain remains a challenge. The aim of this study was to develop a Korean version of the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale and assess its reliability and validity. The translation and cross-cultural adaptation of the original LANSS pain scale into Korean was established according to the published guidelines. The Korean version of the LANSS pain scale was applied to a total of 213 patients who were expertly diagnosed with neuropathic (n = 113) or nociceptive pain (n = 100). The Korean version of the scale had good reliability (Cronbach’s α coefficient = 0.815, Guttman split-half coefficient = 0.800). The area under the receiver operating characteristic curve was 0.928 with a 95% confidence interval of 0.885-0.959 (P < 0.001), suggesting good discriminate value. With a cut-off score ≥ 12, sensitivity was 72.6%, specificity was 98.0%, and the positive and negative predictive values were 98% and 76%, respectively. The Korean version of the LANSS pain scale is a useful, reliable, and valid instrument for screening neuropathic pain from nociceptive pain.