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특집 - 역사적 도시에 있어서의 경관 : 도시경관 계획의 방향 ( Issues in Townscape Design Practice )
김기호 대한건축학회 1992 建築 Vol.36 No.1
도시의 경관 관리는 그 필요성이 절실하며 그 의미가 크다는 주장에도 불구하고 우리나라의 오늘의 현실에서 과연 어떤 구체적 결과를 가져올 수 있을지에 대해서는 많은 사람들이 회의적인 반응을 보일지도 모른다. 이는 무엇보다도 우리사회의 빠른 변화 그리고 그와도 관련이 있는 토지 및 건물에 대한 공공적 개념의 미성숙에 기인할 것이다. 이러한 상황에서의 도시경관 관리를 위하여는 많은 사람들이 무엇인가 객관적인 기준이 만들어져야 한다고 생각할 것이다. 그러나 도시경관이란 말과 같이 쉽게 객관화, 계량화 될 수 없는 부분이 많고, 이는 많은 경우 가치판단의 문제와 연결 된다. 즉 시민 전문가들의 문화적 합의의 수준에 따라 결정될 수 있다.
하부요관석의 요관경하배석술 후 관례적인 요관부목 유치가 필요한가?
김기호,이경섭,서영진 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.10
Purpose: This study was conducted to evaluate whether postoperative ureteral stenting is necessary after ureteroscopic removal of lower ureteral stones. Materials and Methods: A total of 97 patients with distal ureteral calculi, amenable to ureteroscopic treatment, were retrospectively divided into the stented(55, group 1) and nonstented(42, group 2) groups, and analyzed. The ureteroscopic stone removal was performed using a semirigid ureteroscope(7.5Fr). The symptoms were recorded on the 7th postoperative day. The operative time, stone size, success rate and postoperative symptoms were analyzed in each group. Results: There were no statistically significant differences in the 2 groups regarding the stone size, success rate and operative time. Patients with stents had more statistically significant suprapubic discomfort(p=0.001), bladder irritative symptoms(p=0.019) and overall pain(p<0.05) than the nonstented group. Conclusions: Ureteral stents increase the incidence of pain and bladder irritative symptoms. Therefore, it is our belief that routine stenting after ureteroscopic stone removal is not required, as long as the procedure is uncomplicated. (Korean J Urol 2004;45:1035-1038)
전이성 전립선암 환자에서 내분비요법 후 예후에 영향을 미치는 인자
김기호,서영진,이경섭 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.1
Purpose: To assess the prognostic value of clinical factors in patients with metastatic prostate cancer after androgen deprivation treatment. Materials and Methods: Fifty-three patients with metastatic prostate cancer treated with androgen deprivation therapy were included in this analysis. We analyzed a variety of possible prognostic factors, such as age, pretreatment prostate specific antigen(PSA), Gleason score, extent of metastasis, PSA at 3 and 6 months, nadir PSA, hemoglobin, performance status using Kaplan-Meier's survival curve and Cox proportional hazard model. Results: Age, pre-treatment PSA, PSA at 3 months, antiandrogen, nadir PSA, Gleason score, and hemoglobin did not influence survival. PSA at 6 months, extent of metastasis and performance status proved to have prognostic value in univariate analysis. However, multivariate analysis demonstrated that PSA at 6 months and extent of metastasis were significantly correlated with survival rate, but performance status was not. Conclusions: The results of present study suggest that PSA at 6 months and extent of metastasis are significant prognostic indicators for survival in patients with metastatic prostate cancer treated with androgen deprivation therapy. Korean J Urol 2004;45:24-28)
중합효소연쇄반응법 (PCR)을 이용한 요중 결핵균 핵산 검출
김기호,하경임,이경섭 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.9
Purpose: Recent developments in the polymerase chain reaction(PCR) technology have brought an extraordinary opportunity for the rapid detection of Mycobacterium Tuberculosis in clinical specimens for the diagnosis of tuberculosis. In this study, the efficacy of PCR was evaluated for detection of mycobacterial tuberculosis in urine. Materials and Methods: 115 patients that attended the urology clinic between July 2000 and July 2003, with symptoms suggestive of genitourinary tuberculosis, were evaluated. The male to female patient ratio was 69 to 46, with a mean age of 54.2(range 19 to 82) years. The results obtained from PCR were compared with those obtained from standard microbiological methods, acid-fast bacilli(AFB) stain and culturing. Results: A total of 11 cases were confirmed as genitourinary tuberculosis, and 2 were positive on both PCR and AFB staining, and 4 and 2 cases were positive only in PCR and AFB stain, respectively, and one case on AFB staining was negative, but positive in both PCR and AFB culturing. The sensitivity of PCR, AFB staining and culturing were 63.6, 36.4 and 9.1%, respectively. Conclusions: We conclude that PCR is a rapid and sensitive method for the early diagnosis of tuberculosis. (Korean J Urol 2004;45:924-928)