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      • SCISCIESCOPUS

        Characteristics of wind pressures on retractable dome roofs and external peak pressure coefficients for cladding design

        YC, Kim,SW, Yoon,DJ, Cheon,JY, Song Elsevier 2019 Journal of wind engineering and industrial aerodyn Vol.188 No.-

        <P><B>Abstract</B></P> <P>This study investigates the characteristics of wind pressures on retractable dome roofs. Wind tunnel tests were conducted on spherical dome roofs with various wall height-span ratios (0.1–0.5) and opening ratios (0%, 10%, 30% and 50%). After the characteristics of mean and peak pressure coefficients were examined, the peak pressure coefficients on closed dome roofs were compared with those of the current Japanese wind load code (AIJ-RLB (2015)), and peak pressure coefficients on dome roofs with openings for cladding design were proposed. The analysis results can be summarized as follows. As wall height-span ratio increases, the absolute values of mean and minimum pressure coefficients increase, and the absolute values of minimum pressure coefficients on the outermost interior of open dome roofs increase with opening ratio. For cladding design of dome roofs with openings, dome roofs were divided into two zones, and negative and positive peak pressure coefficients were proposed based on experimental results.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Characteristics of external pressures on retractable spherical dome roofs were investigated. </LI> <LI> Five wall height-span ratios and four opening ratios were considered. </LI> <LI> Absolute values of peak pressure coefficients were larger for the flow with <I>α</I> = 0.21. </LI> <LI> Absolute values of <I>C</I> <SUB> <I>pi,min</I> </SUB> increased with opening ratio and those for <I>α</I> = 0.21 were larger. </LI> <LI> Zones and external peak pressure coefficients for cladding design were proposed. </LI> </UL> </P>

      • KCI등재

        희귀한 파괴성유모선종의 1예

        부영철(YC Boo),김두상(DS Kim) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.12

        최근 23세의 미산부에서 우측난소낭종염전 및 임신 제 7주의 임상진단하에 응급수술중 우연히 자궁근층 및 광인대내에 파괴성융모선종을 발견하고 자궁강내에서 육안적으로나 조직학적으로 그 월발소를 찾지 못한 희귀한 예를 경험하였기에 그 발생원인 및 치료에 관한 문헌적 고찰을 가하여 보고 하는 바이다. A rare case of chorioadenoma destruens, the primary focus of which was not found in the endometrium of uterine cavity either grossly or microscopically, was experienced during the operation for the right ovarian dermoid cyst in a 23 year-old woman. The molar tissue was noted in the deep layer of myometrium, mesosalpinx and broad ligaments.

      • KCI등재

        자궁내번증 1예

        김영철(YC Kim),김득구(DK Kim),장윤석(YS Chang),신면우(MW Shin) 대한산부인과학회 1963 Obstetrics & Gynecology Science Vol.6 No.6

        A case of puerperal inversion of the uterus was presented which was caused by mismanagement in the 3rd stage of labor. And a brief review of literature on the puerperal inversion of the uterus was made.

      • KCI등재

        원발성 난소융모암의 1례

        부영철(YC Boo),윤정웅(CW Yun),이홍재(HJ Lee),신안식(AS Shin),정현복(HB Chung) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.5

        17세의 처녀에 생긴 난소기형종내에 원발성으로 융모암이 생겨 폐에까지 전이된 1례를 보았기에 보고한다. A case of primary choriocarcinoma of the ovary in 17 years school girl is presented and the literatures on the primary ovarian choriocarcinoma are briefly reviewed.

      • Impact of perception of socioeconomic burden on advocacy for patient autonomy in end-of-life decision making: a study of societal attitudes

        Kwon, YC,Shin, DW,Lee, JH,Heo, DS,Hong, YS,Kim, S-Y,Yun, YH SAGE Publications 2009 Palliative medicine Vol.23 No.1

        <P>We investigated the impact of perception of socioeconomic burden on beliefs regarding a patient’s autonomy in end-of-life (EOL) decision making. We also sought to identify the characteristics of individuals who advocate patient autonomy and their attitudes toward other EOL issues. A total of 1055 individuals from the Korean general population were interviewed through a telephone survey using a structured questionnaire that was designed to investigate public attitudes toward various EOL issues. Of 1019 individuals included in the analysis, 635 (62.3%) specified the patient and 221 (21.7%) the family, when asked who is the appropriate decision maker in terms of EOL decisions in the absence of perception of socioeconomic burden. In contrast, the numbers were 458 (44.9%) and 500 (49.1%), respectively, if substantial burden was assumed. Respondents who favoured the patient’s right to make decisions regardless of perception of socioeconomic burden numbered only 312 (30.6%) and were likely to be younger and have knowledge of hospice than who favoured family decision. Former group also favoured the disclosure of terminal illness to patients, withholding life-sustaining treatment, and preparation of advanced directives. Societal attitudes toward patient autonomy were significantly influenced by perception of socioeconomic burden. Open and balanced discussion about burden to family and adequate welfare support are thus suggested.</P>

      • KCI등재

        만기임신양수의 산염기균형에 관한 연구

        신용철(YC Shin) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.11

        In recente year a number of components of the amniotic fluid have been noted to change progressively during pregnancy and accordingly have been intensively investigated as indicators of fetal maturity and well-beings for better management of mothers and babies. Amniotic fluid has also become of practical interest with the advent of dragnostic amniocentesis: water and solute exchange directly between amniotic fluid and various parts of pregnant uterus across extracellular membrane as extracellular compartment of human tissues. It is the object of the present study to show that a proper interpretation of the acid-base value of the amniotic fluid may offer important information about general conditions of the fetus and neonate. Experiments were designed with each group of twenty vigorous and depressed babies delivered by cesarean section under spinal anesthesia in healthy Korean women without O2 inhalation.l Acid-base values were measured in arterial blood of mothers radial artery and fetal umbilical vein, and amniotic fluid which aspirated just before taking out babies from amniotic sac. Following result were obtained: 1. Average values of partial pressure of oxygen and carbon dioxide and hydrogenion concentration(pH) in the amniotic fluid of twenty vigorous babies(above Apgar score 8) were 45 0.28 mmHg, 51 0.30 mmHg, and 62 0.34 nEq/L(pH=7.21) respectively. 2. Average values of partial pressure of oxygen and carbon dioxide and hydrogenion concentration(pH) in the amniotic fluid of twenty depressed babies(under Apgar score 4) were 20 0.21 mmHg. 80 0.20 mmHg, and 123 0.84 nEq/L(pH=6.91) respectively. 3. Correlation of hydrogenion concentration with PO2 and PCO2 was not observed. 4. There was a good correlation in the acid-base status of the amniotic fluid of vigorous and depressed babies with those of neonate. 5. It is suggestive that the values of acid-base status in amniotic fluid near term reflect the general condition of neonate and may serve the estimation of fetal status.

      • KCI등재

        임신과 동반된 후복막 신경섬유초종 1 례

        김영찬(YC Kim),김진홍(CH Kim),강재성(JS Kang),홍성봉(SB Hong) 대한산부인과학회 1988 Obstetrics & Gynecology Science Vol.31 No.12

        저자들은 임신중에 난소종양과 요추간판탈출증 과 감별진단이 어려웠던 임신과 동반된 후복 막 신경섬유초종 1예를 경험하였기에 문헌적 고찰과 함께 보고하는 바이다. retroperitoneal neurilemmoma is relatively rare and benign tumor. during the pregnancy, its symptoms and signs are similar to ovarian cyst and HNP. And its relationship to pregnancy is not well identified. We present 1 case of retroperitoneal neurilemmoma assocated with pregnancy and brief review of the literatures.

      • KCI등재

        분만중 자궁경관차단 마취의 효과 및 위험성에 관한 임상적 고찰

        김용철(YC Kim),박형무(HM Park),이강보(KB Lee),차인식(IS Cha) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.5

        1. 산과적 합병증이 없는 분만 제 1기 산모 32예에서 PCB를 시행하였으며 평균연령 23.6세, 초산부 20예이며 경산부는 12예였다. 2. 32예의 PCB를 시행시 자궁개대정도는 평균 4.2cm(3-6cm)였으며 4cm이상이 약 89%였다. 3. 32예의 PCB군의 분만제 1기 중 자궁개대가 3cm에서 10cm까지의 평균시간은 대조군과 비교하면 초산모 215.8/255.0분, 경산부가 135.0/157.5분이었다. 4. PCB진통효과의 작용시간은 평균 53.2분(30-89분)이었으며 45-59분의 군이 11예(34.4%)로 제일 높았다. 5. PCB의 진통효과의 결과는 good이상의 예가 25예로서 약 78%의 높은 비율을 보였다. 6. PCB의 진통효과가 자궁수축에 미치는 영향은 PCB전과 변화가 없었던 예가 17예(53.1%), 저하 8예(25.0%)그리고 증가가 7예(21.9%)의 분포를 나타냈다. 7. 32예의 PCB군의 분만방법은 정상질식분만이 23예로 71.9%였고, 나머지 기계분만이 9예 였다. 8 PCB후 태아심음의 변동은 서맥이 2예(6.3%), 빈맥이 1예(3.1%)였으며 25예(78.1%)에서는 변화가 없었다. 9. 32예의 PCB군에서 산후 태아의 Apgar score는 1분에서 6미만이 1예였다. 10. 신생아체중은 PCB군에서 평균 3,250gm으로 대조군(3140gm)과 큰 차이를 발전 할 수 없 었으며 3000-3499gm군에서 15예(45.6%)로 제일 높은 분포를 보였다. Paracervical blocks administered during normal labor were undertaken 32 patients with the use of lidocaine one percent. Fetal heart rate and uterine contractions were monitored and electronically recorded. The mean duration and efficacy of PCB anesthesia were 53.2 minutes with satisfaction (good or excellent ; 78%). The effect of PCB on the uterine contraction was variable. Bradycardia after PCB was the most common hazard in literature, of which incidence was 6.3%. Apgar score of 32 PCB group was high.

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