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혈액투석 중인 당뇨병성 신병증 환자에서 발생한 Calciphylaxis 1예
김권수,구자룡,김근호,박민숙,노정우,김형직,박혜림,채동완,손진희,전노원,한성우 대한신장학회 1997 Kidney Research and Clinical Practice Vol.16 No.2
Calciphylaxis is a rare but life-threatening complication in patients with end stage renal disease (ESRD). Clinical presentation consists of violaceous skin lesions that progress to nonhealing ulcers and gangrene. Secondary infection of skin lesions is common, often leading to sepsis and death. We report a case presenting in 16 months after maintenance hemodialysis for diabetic ESRD with painful violaceous skin discoloration on distal fingers of both hands and toes of left foot. X-ray of both hands and left foot showed vascular calcification along the course of the arteries. Despite symptomatic treatement, skin lesions progressed to nonhealing ulcers and became necrotic, and amputation of the second and fifth fingers of right hand was required. The surgical biopsy specimen revealed circumferential calcium deposition in the intima and media of the arteries by von Kossa stain. Two months after the operation, the patient died of cachexia.
김권수 한국관광정책학회 2003 觀光政策學硏究 Vol.9 No.2
Helping employee working for the Food & Beverage(F&B) Department in hotel to understand their job process and efficient F&B service system to be made, the service map suggested by Kingman-Brundage, Jane(1996) The desired service map of hotel F&B departmen is created through considering customer logic, technology logic and employee logic. The desired service map of hotel F&B department by being adjusted and supplemented provides useful reference to make appropriate service system to hotel. And the desired service map of hotel F&B department play roles as a method by which hotel test new service concept and analyzes the effect that the new service concept has on customer, employee and hotel.
김권수 한국관광정책학회 2002 觀光政策學硏究 Vol.8 No.3
A distribution channel of hotel is defined as a mechanism that provides sufficient information to the right people at the right time and in the right place to allow a purchase decision to be made, and also allows the consumer to make a reservation and pay for the required product. Effective distribution is especially important for hotels because of their perishable inventories. For reasons of it, hotels are trying to accept the most suitable distribution system. Hotel information distribution system depending on brochure, telephone, FAX and so on was revolutionized with the appearance of GDS based on computer. And Internet appeared letter is constructing new hotel distribution system. But many hotels still use traditional media such as brochure and telephone to distribute and sell their product. Thus this article considers the advancement of hotel information distribution system and the characteristic and the relationship of each media to help hotel manager accept new hotel distribution system.