麻醉와 中道

진수남 한국의학사 1994 診斷과治療 Vol.14 No.5

手術室 汚染에 對한 原因的 考察

진수남,유영자,김숙조 국군의무사령부 1964 대한군진의학학술지 Vol.3 No.1

手術室 汚染에 對한 原因的 考察

진수남,유영자,김숙조 육군본부 1964 군진의학 Vol.3 No.1

A Study on the multilateral cooperation for FDI(Foreign Direct Investment) to MICE industry in North Korea: Construction of Convention Complex in the optimum place among North Korea's Special Economic Zones

진수남,윤유식 (사)한국관광레저학회 2018 관광레저연구 Vol.30 No.6

This study focuses on the possible multilateral cooperation for FDI (Foreign Direct Investment) to MICE industry in North Korea. This study is to explore the construction of convention complex in the optimum place among North Korea's Special Economic Zones. Usually the goal of a structure is to increase foreign direct investment (FDI) by foreign investors. First of all, North Korea should find optimum place for the construction of convention complex to ensure the success of North Korea's MICE industry among special economic zones. In this context, it suggests that joint cooperation would be needed for North Korea to attract investment to the North's convention complex in the special economic zones such as Gaesung Economic Zone. Finally, prospects for the MICE industry through FDI in North Korea should be based upon win-win strategy for investors and North Korea.

강원도 환동해권 웰니스 의료관광 활성화 방안

진수남 관광경영학회 2011 관광경영연구 정기학술 세미나 Vol.2011 No.02

성대주위의 수술을 위한 간편한 마취법

진수남,정운혁 대한마취과학회 1976 Korean Journal of Anesthesiology Vol.9 No.1

Anestheiologists face the difficulty of mainatining patent airway in performing anestheia for surgery around vocal cords. Because the simplicity of the above operation, the surgeons and patients tend to avoid the preparatory tracheostomy which is a safe way of maintaining anesthesia. The difficulties and problems occurring during anesthesia without performing tracheotomy were considered. The problems were; 1) Operating field interfering the anesthetic procedures. 2) Possibility of aspiration of blood during operation. 3) Apnea time of surgery limiting to 5 minutes or less. 4) Repeated intubation for anestheic procedure. Apneic insufflation method was modified by spontaneous respiration. The tehnicc was; the endotrachel tube was removed after induction of general anesthesia when patients spontaneous respiration regained Then suction catheter, 12 fr. size, was inserted to above the carina of trachea. Next, for ventilation, oxygen with high flow rate (9~10 L/Min) was insufflated in trachea through the catheter. This insufflation of high flow oxygen brought continuous positive pressure in trachea, also it acted effectively as PEEP (positive end expiratory presure) effect .and provided protective mechanism from the aspiration. The addition of potent anesthetics such as halothane and ether insufflating oxygen allowed the control of depth of anestheia effectively. With this insufflation technic, two cases of excision of singers nodule were performed uneventfully.

남북 교류협력분야, 활성화의 조건과 장애요인 ; 관광교류협력의 의미와 전망 민족동질성 회복을 위한 가장 확실한 길이다

진수남 평화문제연구소 1998 통일한국 Vol.174 No.-

의료관광 이해관계자간 협력활동에 따른 관계품질, 관계성과와 의료관광 지지도 연구

진수남,윤유식 한국관광학회 2020 관광학연구 Vol.44 No.6

The purpose of this study is to present an advanced role for stakeholders of medical tourism by developing suitable models for cooperation, establishing theoretical frameworks, and analyzing factors and variables on cooperative activities. The attributes of cooperative activities by type were divided into four dimensions depending on their interdependence, involvement and type of cooperation. A total of 440 valid samples were used in the final analysis. This study suggests that the implementation of the cooperative activities among the stakeholders based on communication, value sharing, and role sharing would lead to an enhancement of the relational quality such as trust, relational immersion and relational satisfaction, as well as the creation of relational performance and the support of medical tourism. This study provides a theoretical basis for the establishment of ecosystem of Korean medical tourism by enhancing its service level and diversifying its products based on the cooperative relationship among the stakeholders. As mediation did not significantly affect the relational quality, it should be noted that mediation one of the cooperative activities to resolve business risks. This study also provide implications that Korean medical tourism can be developed into a large-scale industry by strengthening cooperative activities among the stakeholders, while lowering the access barriers to medical tourism services through the convergence of medical technology and tourism. 이 연구는 의료관광 협력 모델을 개발하고, 이론적인 프레임웍을 정립하며, 이해관계자 간 협력 활동에 미치는 요인과 변수들을 도출 및 분석하여 의료관광의 지속적인 발전을 위한 실증적인 대안을 제시하기 위함이다. 따라서 유형별 협력활동의 속성 요인을 도출하였고, 협력 활동을 상호의존성, 연계성, 협력 유형 등에 따라 4차원으로 구분하였다. 이 연구에서는 440개의 유효 표본을 추출하여 최종 분석에 사용했다. 한국 의료관광의 지속적인 발전을 위해서는 이해관계자간 협력활동이 소통, 가치공유, 역할분담 등의 기조 하에 원활히 이행됨으로써 신뢰와 관계 몰입 및 관계만족 등 관계품질을 제고하고, 관계성과 구축과 한국의료관광 지지도 제고로 귀결되어야함을 알 수 있었다. 또한. 이 연구는 이해관계자들을 주축으로 한, 시장 참여자들 간 협력관계를 바탕으로 의료관광의 서비스 수준을 높이고, 의료관광상품을 다양화함으로써 선순환 구조의 한국의료관광생태계를 구축하는데 있어서 그 이론적 근거가 되고 있다. 더욱이, 일반적 의미에서의 조정(coordination)에서 더 나아가 시장리스크뿐만 아니라 사업리스크, 각종 법적리스크 예방과 공동 대응 및 정책과 제도적 측면에서의 이해관계자간 갈등이나 마찰을 예방하거나 해결하는데 역점을 두는 조정(mediation)을 의료관광 이해관계자간 협력활동으로 중시해야 함을 제시하였다. 이는 이해관계자간 협력 활동중 조정협력이 신뢰감이란 관계품질에 유의한 영향을 미치지 않은 것으로 나타났기 때문이다. 아울러, 이해관계자간 협력활동 활성화를 통해, 의료관광서비스에 대한 접근장벽을 낮추며, 의료테크놀로지와 관광분야의 융·복합을 통해 한국의료관광이 규모있는 산업으로 발전할 수 있음을 시사해 주고 있다.

폐수종 환자의 마취 3예 : Report of 3 Cases

진수남 中央醫學社 1973 中央醫學 Vol.24 No.6

Acute pulmonary edema is one of the serious problems encountered during anesthesia. The basical knowledge’s about the effective anesthesia maintenance, oxygenation of capillary blood of the edematous pulmonary alveoli and the treatment of pulmonary edema are mandatory. Also the understandings of gas physics, hydrostatics of blood, and various mechanisms which brought about pulmonary edema, are important. When such patients were no-t an emergency case, it would be recommended to postpone the surgery until the condition of the pulmonary edema were controlled. Reports have shown how the pattern of mechanical ventilation of the lung affects to the efficiency of pulmonary gas exchange. In dogs with artificial pulmonary edema, Burham, Martin and Cheney found that the application of tidal volume of 15 ml/kg by continuous positive pressure ventilation (CPPV) method were more effective than tidal volume of 24 ml/kg by intermittent positive pressure ventilation (IPPV) method in improving arterial oxygen tension (PaO2). The high effective oxygenation of alveolar blood of the pulmonary edema patient is the result of decreased. alveolar collapse during pulmonary, ventilation. The end expiratory pressure of 10 cm H2O were applied to the patients. The author performed general anesthesia for the three patients suffering from pulmonary edema. The CPPV method was applied for these cases and end expiratory pressure of 10 cm H2O was maintained during ventilation. The anesthesia was kept at very light level and high oxygen flow technique was applied. Diuretics, digitalis and steroid were administered. All surgeries were performed successfully. And the anesthetic point of views concerning to pulmonary edema was discussed.

Ruben-Ambu 蘇生器를 利用하여 考案한 簡便한 麻醉器와 이에 對한 硏究

陳秀南,鄭雲赫 최신의학사 1972 最新醫學 Vol.15 No.3

The author designed simple type of anesthesia apparatus, and has had many experiences with it since 1964. This apparatus is modified by the useful Oxford E. M. O. Inhaler which had been developed at Nufield Department of Anesthetics in England. This simple apparatus is assembled with RubenAmbu Resuscitator and Heid brink No. 8 type of ether vaporizer. The device is very convenient and valuable in the view point of simple and portable as well as possessing all the conditions of ordinary anesthesia apparatus. It is also available with ether and room air instead of oxygen. It can be used for anesthesia the both of newborn baby and adult patient up to about 3 hours operation. The author has discribed the functional datas and principles of the device compared with the ordinary close circle type of apparatus. The above mentioned device has a little higher resistance than the close circle type of apparatus. It is, however, within the normal limit of resistance for the adult. For the newborn baby or child, the device could be used with assisting respiration during anesthesia even for the adult used muscle relaxant when availed with the close circle type of apparatus such as having lower resistance. The author evaluates the humidity and oxygen concentration during anesthesia on useing the device with room air. The device also gets good results with Azeotropic Mixture in practice.