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비판 조직이론 : Denhardt's Perspective 덴하트의 경우
柳光鎬 尙志大學校 1998 論文集 Vol.20 No.-
This essay is an attempt to analyse Denhardt's perspective on organization theory. He is well known as a principal contributor to the critical theory of public administration, using Harbermas's notion of communicative action to diagnos an apparent crisis of legitimacy in the public service. Especially through a critical approach to the theory and practice of public organizations he has dealt with exposing patterns of power and domination both within bureaucracy and in its relations with the citizens who are served by it. Also he proposes that we may find the basis for an alternative personalist approach to life in an organizational life through developments in phenomenology, critical theory, deph psychology. Although this essay confines itself to several aspects and phases of Denhardt' writing - mainly In the Shadow of Organization, Theories of Public Organization - we think that his main attitude toward organization is fully presented in his suggestion that we have to give primacy to the growth of the individual rather than the efficiency of the productive process.
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신세포암에서 근치적 신적출술 시 일상적인 동측 부신절제술의 필요성
류광호,이현무,최한용 대한비뇨의학회 2005 Investigative and Clinical Urology Vol.46 No.8
Purpose: The incidence and characteristics of ipsilateral adrenal involvement in patients with renal cell carcinoma(RCC) were assessed to determine whether a routine ipsilateral adrenalectomy is still required during radical nephrectomy. Materials and Methods: Between October 1994 and June 2003, the records of 543 patients with RCC, who underwent radical nephrectomy, were retrospectively reviewed. Patients were divided into two subgroups: 325 patients that had undergone a radical nephrectomy with ipsilateral adrenalectomy, and 218 with adrenal-sparing. The medical records, pathologic specimens, preoperative and postoperative computerized tomography(CT) finding were reviewed. The influence of an adrenalectomy on the disease- specific survival rate was also analyzed by the Kaplan-Meier method. Results: There were no significant differences between the ipsilateral adrenalectomy and adrenal-sparing groups in terms of age, sex, location and T and M stages. There were no significant differences in the disease-specific survival rates between the two groups(p=0.092). Of the 325 patients with ipsilateral adrenalectomy, 12(3.7%) had adrenal involvement, all of which were diagnosed as cT3 or greater, with 9 detected with preoperative CT. Preoperative CT had 75% sensitive, a 33% positive predictive value, 94.2% specificity and a 99% negative predictive value for adrenal involvement by RCC. Among patients without adrenal involvement, there were no significant differences in the disease-specific survival rates between patients with an ipsilateral adrenalectomy and adrenal-sparing. Conclusions: A routine ipsilateral adrenalectomy during a radical nephrectomy does not improve the survival rate. A routine ipsilateral adrenalectomy may not be needed, particularly when no ipsilateral adrenal involvement is found to exist on the preoperative CT.
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저혈류형 음경지속발기증 치료 후 발생한 고혈류형 음경지속발기증
김진현,최형준,류광호,정용상,최양수,이성원 대한비뇨의학회 2005 Investigative and Clinical Urology Vol.46 No.8
Priapism is a pathologic state of persistent penile erection in the absence of sexual stimulation. Low flow priapism is more common, which is caused by a venous outflow obstruction. However, high flow priapism is rare, and is caused by uncontrolled arterial flow into penis following perineal or penile blunt injuries. We report a case of high flow priapism secondary to the treatment of low flow priapism
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배뇨근-외요도괄약근 협조장애 환자에서 외요도괄약근 보툴리눔 톡신 주입요법의 효과
정경진,최양수,류광호,이규성 대한비뇨의학회 2005 Investigative and Clinical Urology Vol.46 No.6
Purpose: Botulinum toxin(BTX) acts by inhibiting acetylcholine(ACh) release at the presynaptic cholinergic neuromuscular junction, and is applied in various urethral and bladder dysfunctions, including detrusor external sphincter dyssynergia(DESD). We investigated the use of BTX in DESD patients as a reversible chemical sphincterotomy. Materials and Methods: A total of 6 patients(male 3, female 3) with DESD were included. Their mean age was 45.5 years. The underlying diseases were multiple sclerosis(1), meningomyelocele(1), spinal cord injury(1), multiple systemic atrophy(1) and transverse myelitis(2). All the patients had severe voiding symptoms and large residual urine, despite anticholinergics and α-adrenoceptor antagonists with clean intermittent catheterization(CIC). Urodynamic studies were performed before and 1 month after treatment. A total of 100 units of BTX-A(BotoxⓇ) were injected at 4 sites, 3, 6, 9 and 12 o'clock relative to the external sphincter, under anesthesia, on an outpatient basis. The α-adrenoceptor antagonist medication was discontinued for evaluation after surgery. Results: At 1 month after the injection, the mean maximal flow rate was increased(from 8.4 to 12.2ml/sec) and mean residual urine was decreased (from 258 to 120ml) compared to the baseline values. The external sphincter pressure was decreased. All patients were able to discontinue the CIC. There were no systemic complications, such as respiratory distress or myasthenic crisis. Conclusions: Transurethral BTX-A injections were safe and effective for releasing or ameliorating a lower urinary tract obstruction due to DESD, and a safe and valuable therapeutic option in DESD patients not desiring surgery or CIC, and who are resistant to medications.
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