한말 충청수영 객사·동헌의 위치와 존치상태 연구

김명래,Kim, Myung-Rae 한국건축역사학회 2018 건축역사연구 Vol.27 No.2

The study on the government office building in Chungcheong Suyeong(忠淸水營) is very rare. How were the Gaeksa(客舍) and Dongheon(東軒) which are representative government office buildings in Suyeong, maintained and what was the aspect of it, while passing through the upheaval period of the end of Joseon(朝鮮)? And where was the original place and was there any change in use? It is so regrettable that these subjects were not figured out yet. So I thought it is very important task to figure out its actual aspect by investigating the maintain state of the Gaeksa and Dongheon and the change of their places. So this study examined the related historical records and, based on it, analyzed "Ocheon GoonJi(鰲川郡誌)" in various view points. Through this analysis, this study could figured out the maintain aspect of the gaeksa and dongheon and the change of their places, and be able to deduce the other change of the government office building. This study could assume the places of each government office buildings by comparing this investigated result and the analyzed result of the original cadastral map in various view points. As the result of the study done by this method, this study confirmed the maintain state of the Gaeksa and Dongheon in Chungcheong Suyeong while passing through the upheaval period of the end of Joseon. And this study figured out the places of the Gaeksa and Dongheon, and be able to confirm their places by the lot number on the original cadastral map. Along with this, this study could estimate Jo(趙) family's confliction with the residents at that time by verifying the lot numbers of the Sapaeji(賜牌地) which this family received from the government. And among the names of the government office buildings, for the Jangkyocheong(將校廳) which is in dispute because of the name, this study figured out that the author of "Ocheon GoonJi" made a mistake in writing Dongheon.

Lag-Screw를 이용한 하악과두 골절의 정복후 경과

김명래(Myung Rae Kim),오주호(Ju Ho Oh),최장우(Jang Woo Choi) 대한구강악안면외과학회 1997 대한구강악안면외과학회지 Vol.23 No.4

Purpose : This is to evaluate the clinical results and radiologic changes of the mandibular condyle fractures following the open reduction and fixation using the Lag-screws introduced by Eckelt and Martin Co. Materials & Methods : Ten patients who had been treated by the Lag-screw fixation for the unilateral fracture of the mandibular condyle at the high level and followed up for over 6 months(ranged from 24 weeks to 33 weeks). The incisal opening by time elapsed, displacement of the fragments, bone resorption around the Lag-screws, operating time consumed, and untoward complications were evaluated. The data were tested by repeated measure ANOVA and paired t-test. Results : The maximum mouth opening was increased by time as follows ; 20.2± 2.8mm soon after reduction. 26.3± 3.9 at the 2nd week, 37.7± 4.2mm at the 4th week, 44.4± 4.3mm in PO 2 months(P<0.05). The bone resorption at anterior to lag-screw nut was measured to 1.9±1.0mm, while the posterior resorption was 2.6±1.9mm on average(P<0.05). Reduction and fixation of the fragments by Lag-screw were done within 80 minutes including the skin closure. The clicking sound of the TMJ(40%), weakness of the marginal branch(60%) were complicated but transient for 4-8weeks. There were no signs of bony displacement, but loosening of screws were observed at the time of removal. Conclusion : Open reduction and fixation with condylar Lag-screw(Martin co., Germany) thru the ramus can be a good option to reduce the high level(Kruger s Level III & IV) fracture of the mandibular condyle with anterior or medial displacement. However, this procedure requires 2nd surgery to remove the devices and it may complicate improper reduction for delayed fractures and in case of s curved mandibular ramus.

증예보고 : 분절골절단술에 의한 치조악교정 4 예

김명래(Myung Rae Kim),상재우(Jai Woo Sang) 대한악안면성형재건외과학회 1984 Maxillofacial Plastic Reconstructive Surgery Vol.6 No.1

This is to report 4 cases of dento-alveolar corrections by the segmental osteotomies with a review of literatures; 2 cases of retropositioning of protruded anterior maxillas, 1 case of superior repositioning of anterior mandibular segment, and 1 case of intrusive repositioning of extruded posterior maxillary segment. The summary and results are as follows; 1. Wassmund approach, combined labial & midpalatal sagittal incision, keeps better dual vascular supply by preservation of both palatal & labio-buccal soft-tissue pedicle. However, it seems to be more difficult to gain adequate access to the superior and palatal aspects of the anterior maxilla with this procedure. Because the actual osteotomies in these area are done in a relatively blind fashion. 2. Wunderer approach of a transverse palatal arcing incision provides direct access to the planned palatal osteotomy site and excellent visulalization of the bony area that is most apt to be incompletely ostectomized. This procedure is considered to be more profittalbe than the Wassmund approach in the retropositioning when the significant superior or posterior movement is required. 3. KOle modification of anterior mandibular segmental osteotomy (a segment of bone removed during the concomitant horizontal sliding genioplasty is grafted to the space created below the superiorly repositioned alveolar segment) was useful to correct protrusion of the mandibular teeth with anterior open bite and also to reduce the height & length of anterior mandible. 4. Posterior maxillary segmental osteotomy to get superior repositioning of the extruded alveolar segment was done by 2 stage operation under the local anesthesia. The osteotomy was preceded by palatal flap approach, and 3 weeks later the surgical repositioning as completed by buccal bony cut. 2 months later, 1ower patial denture could be delivered onto the recreated denture space with uneventful prognosis. 5. Above all repositioned alveolar segments were immobilized by prefabricated palatal or lingual resin splint for 6 weeks, and therefore intermaxillary fixation was not necessary, 6. Common sequelas such as ecchymosis and swelling disappeared in 5 to 10 days after surgery, and the sensory & pulp vital response were recovered in 3 to 6 months later. 7. Radiologic examination of osteotomy site revealed definite finding of bony union in 3 months and completion in an year.

임의적 발치-근관치료후 재식된 치아의 보존율과 예후

김명래(Myung Rae Kim) 대한구강악안면외과학회 1994 대한구강악안면외과학회지 Vol.20 No.1

Of the 136 teeth which had been examined for over 2 years(2-12.7 years; 6.7±4.3 years) following the replantatin after the extra-oral endodontic treatmet[Intentional Replantation], 120 teeth(88.2%) survived with good function, but 16 teeth(11.8%) were extracted. By the clinical and roentgenologic examination; 78 teeth(57.4%) showed successful peridontal healing without root resorption, 14 teeth(10.3%) followed by some degree of transient root resorption without any clinical discomfortness, but 7 teeth(5.1%) in progressive root resorption. 21 teeth(15.4%) were grouped as undetermined status due to some degree of mobility or uncertain root resorption.

임플란트 식립후 발생한 동통성 지각이상의 미세외과적 처치와 경과

김명래(Myung Rae Kim),이원호(Won Ho Lee),최장우(Chang Woo Choi),정현주(/Hyun Ju Chung) 대한구강악안면외과학회 1998 대한구강악안면외과학회지 Vol.24 No.4

Purpose : This study is to examine the painful dysesthesia of lip & gingiva followed after implant surgeries and to evaluate the prognosis of microsurgical epineurotomy & tubulization with e-PTFE tubes. Method : Three patients who had been suffered from painful anesthesia and dysesthesia following dental implant surgeries were examined periodically and followed for over 1 year after epineurotomy and e-PTFE tubulization. Neurosensory dysfunctions were examined by Static Light Touch Threshold, Moving Direction Discrimination, Two Point Discrimination, Pin-Prick Nociception Visual Analog Scales and Tinel sign. The subjective symptoms were confirmed by SSEP and DITI prior to surgical exploration. Result : Two patients complained of continuous tearing and lancinating pain disclosed complete avulsion of IAN and degenerative changes with neuroma. One patient complained of mild painful dysesthesia revealed partial adhesion & fibrous epineural changes. Two patients whose IAN were explored after over 1 year resulted in only mild improvement in sensory recovery and moderate reduction of pain score. While the patient to whom decompression & epineural repair were given in 3 months after nerve injuries resulted in satisfactory improvement in sensory function and pain reduction. Conclusion : Painful dysesthesias occurred after implant placement were resulted from neurotmesis and disclosed degenerative neuropathy. Therefore, the micro-surgical explorations and repairs (epineurotomy, decompression neurolysis, and neurorrhaphy) can be recommended for known injuries as early as possible. For the delayed painful dysesthesia lasted over one year, however, epineurotomy & tubulization could be an option to improve the painful discomfort but not satisfactory.

Prognosis of the temporo - mandibular joint prosthesis

김명래(Myung Rae Kim),M Franklin Ddwick 대한구강악안면외과학회 1991 대한구강악안면외과학회지 Vol.17 No.2

측두하악관절 원판의 절제후 Silastic(Dow-corning Co., USA)으로 대치된 55예(43명)와 Proplast-Teflon(Vitek Co., USA)으로 대치된 53예(31명)를 6개월이상 9년간 관찰하고 이를 Life-table 분석과 Mantel-Haenszel logrank test로 처리하였으며, 또한 VK-total joint에 의한 전관절치환 22예(13명)와 하악과두 만의 보철치환 15예(10명)를 6개월이상 7년간 관찰하고 불량한 경과에 의한 재수술율을 Acturarial incidene로 추적조사한 결과 다음과 같은 결과를 얻었다. 1. 관절원판의 치환수술후 2년에 Silastic implant의 40.7%, Proplast implants의 62.5%가 제거되었고 술후 5년에는 Silastic의 26.7%, Proplast의 19.8% 만이 기능하고 있었다. 2. 인공관절에 의한 전관절치환 재건술 후에는 첫 1년에 9.1%가 제거되었고 이후에는 더 이상의 재수술이 없었다. 그러나 하악과두만의 부분 치환재건에서는 술후 2년에 26.7%가 제거되었고 술후 5년에는 40.0%가 재수술 받았다. 3. 따라서 관절원판의 절제 후에 이형성치환물을 삽입하는 것은 바람직하지 못하며, Proplast에서 더 예후가 불량하지만 Silastic의 경우에도 장기적으로 보면 큰 차이가 없었다. 4. 극도로 변성 파괴된 악관절의 재건에는 하악과두와 관절와의 동시 재건(관절전치환 : Total-joint prosthesis)이 유용하며, 하악과두 만의 보철치환은 영구적이지 못한 것같다. 55 joints(43 patients) of Silastic implants and 53 joints(31 patients) of Proplast - Teflon implants were examined periodically for 6 to 106 months. They were analyzed by Life-table calculation and tested by Mantel-Haenszel logrank test. In 2 years, 59.3% of Silastic implants and 37.5% of Proplast-Teflon were retained, and only 26.7% of Silastics and 19.8% of Proplast-Teflon were survived until 5 years after interpositioning in the TMJ. Also, 22 joints(13 patients) of Total-joint prostheses and 15 joints(10 patients) of Partial-joint prostheses were reviewed for 6 months to 7 years. The revision rate was calculated by the actuarial incidence. 9.1% of Total-joints were removed within post-operative 1 year and others had been remained in good function until post-operative 6 years, but 26.7% of partial-joint prostheses were removed within postoperative 2 years and 40.0% of them were revised in postoperative 5 years.

개교증을 수반한 소아하악전돌증의 와과적 치험례

김명래(Myung Rae Kim),함수완(Soo Mahn Hahm),김동호(Dong Ho Jun) 대한악안면성형재건외과학회 1981 Maxillofacial Plastic Reconstructive Surgery Vol.3 No.1

This is to report a case of surgical correction for the mandibular prognathism with extreme open bite of a child. The downward overgrowth of the mandible was induced by gigantic lymphangioma of the. tongue which might have resulted in disruption of the entire occlusion forming extreme open bite, 21 mm in interincisal distance, as well as inability to close her jaw and lips. The lingual neoplasm was excised by the subtotal glossectomy about 6 months before coming to our department. After the precise cephalometric & model analysis with the special clinical consideration about the following growth, the rhombiod ostectomy in the mandibular body was modified with inferior triangular cut for better osseous coaptation. In reviewing this case the processes was summarized as follows and some points should be considered again. 1, Dingman`s 2 stage operation was thought to be more appropriate to this case; intra-oral indentation prior to extra-oral ostectomy in the mandibular body. 2 An acrylic resin splint embedding arch bar was of much value in fixation of fragments by circummandibular wiring and ijnt0rmaMary fixation. Pyriform aperture of the maxilla and root-completed 1st molars were d to get supplemental fixation. 3. After the orthognathic surgery the decompressed anterior teeth continued the eruption to get incisal contact in 6 months. 4. Post-operative swelling & numbness were disappeared in 2 weeks, and functional-esthetic improvement could be achieved without any noticeable complications. Therefore, even though such a mandibular disfigurement was occurred in a child, the surgical correction in the body should not be abandoned until the completion of the growth.

해수냉열원을 이용한 태양열계간축열시스템의 건물냉방 적용에 관한 연구

김명래(Kim Myung-Rae),윤재옥(Yoon Jae-Ock) 한국태양에너지학회 2009 한국태양에너지학회 학술대회논문집 Vol.2009 No.11월

Paradigm depending only on fossil fuel for building heat source is rapidly changing. Accelerating the change, as it has been known, is obligation for reducing green house gas coming from use of fossil fuel, i.e. reaction to United Nations Framework Convention on Climate Change. In addition, factors such as high oil price, unstable supply, weapon of petroleum and oil peak, by replacing fossil fuel, contributes to advance of environmental friendly renewable energy which can be continuously reusable. Therefore, current new energy policies, beyond enhancing effectiveness of heat using equipments, are to make best efforts for national competitiveness. Our country supports 11 areas for new renewable energy including sun light, solar heat and wind power. Among those areas, ocean thermal energy specifies tidal power generation using tide of sea, wave and temperature differences, wave power generation and thermal power generation. But heat use of heat source from sea water itself has been excluded as non-utilized energy. In the future, sea water heat source which has not been used so far will be required to be specified as new renewable energy. This research is to survey local heating system in Europe using sea water, central solar heating plants, seasonal thermal energy store and to analyze large scale central solar heating plants in German. Seasonal thermal energy store necessarily need to be equipped with large scale thermal energy store. Currently operating central solar heating system is a effective method which significantly enhances sharing rate of solar heat in a way that stores excessive heat generating in summer and then replenish insufficient heat for winter. Construction cost for this system is primarily dependent on large scale seasonal heat store and this high priced heat store merely plays its role once per year. Since our country is faced with 3 directional sea, active research and development for using sea water heat as cooling and heating heat source is required for seashore villages and building units. This research suggests how to utilize new energy in a way that stores cooling heat of sea water into seasonal thermal energy store when temperature of sea water is its lowest temperature in February based on West Sea and then uses it as cooling heat source when cooling is necessary. Since this method utilizes seasonal thermal energy store from existing central solar heating plant for heating and cooling purpose respectively twice per year maximizing energy efficiency by achieving 2 seasonal thermal energy store, active research and development is necessarily required for the future.

냉방에너지용 계간축열조의 특성 해석

김명래(Kim, Myung-Rae),이주희(Lee, Ju-Hee),윤재옥(Yoon, JaeOck) 대한건축학회 2016 大韓建築學會論文集 : 構造系 Vol.32 No.11

In Korean, the seawater temperature of the Mid-West area in February is less than 3℃ on average, staying unchanged more than 8 days. The seawater cold thermal resource is worthwhile to be used as the stored energy of seasonal thermal energy storage for cooling and heating energy. Regarding hot water thermal energy storage, the countries in Northern Europe commercialize and develop central solar heating plants with seasonal thermal storage. Nevertheless, there is no case of research on seasonal storage and experiment of the heat source for large heating and cooling. Therefore, the purpose of this study is to analyze the temperature characteristics and discharge characteristics of seasonal thermal storage when seawater cold thermal resource is stored into seasonal thermal storage In Korean environmental conditions, and suggest the practical performance and validity of seasonal thermal storage system. A volume of seasonal thermal storage was set to 2,500㎥. As a thermal storage medium, water that features easy purchase and treatment and has large thermal capacity was used. The initial storage temperature of the medium in seasonal thermal storage was 5℃, and its storage period was 130 days. Seasonal thermal storage was buried in the earth, and the earth temperature up to 5m of earth was the earth temperature value observed by Korea Meteorological Administration. For the earth temperature of the more depth, the predicted value calculated by prediction formula was used. The temperature characteristics were analyzed by TRNSYS simulation. The discharge characteristics in the thermal storage were analyzed by CFD simulation. The calculated analysis values and characteristics were analyzed. The 100-days temperature maintenance performance of seasonal thermal storage was found to be 93%, which has almost the same as a German commercial system. Regarding to discharge characteristics of seasonal thermal storage, after stopping in discharge mode, it had immediately stable turbulent motion which was found by CFD analysis. Therefore, it is judged that the seasonal thermal storage for cooling energy is applicable to local cooling or building cooling system.

인텔리전트빌딩의 에너지節減을 위한 節約方法 - 에너지節約政策 適用을 中心으로 -

김명래(Kim Myung-Rae),윤재옥(Yoon Jae-Ock) 대한건축학회 2003 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.23 No.2

본 연구는 인텔리전트빌딩의 에너지절감을 위한 에너지절약 방법에 관한 것이다. 최근의 건축경향은 일반상업용 건물은 물론이고 공공건물과 주거용 아파트까지 초고층화하고 있다. 초고층 건물은 편리성과 쾌적성을 만족시키기 위하여 더 많은 에너지가 필요할 것이다. 또한 복잡한 설비시스템의 운영과 경제적인 관리를 하기 위해서 건물의 인텔리전트화는 당연히 필요할 것이다. 인텔리전트빌딩은 다른 일반건축물에 비하여 에너지관련 시스템이 우수하고, 에너지절약형 프로그램으로 운전하지만 그래도 에너지절감의 여지는 있기 마련이다. 따라서 에너지절약은 인텔리전트빌딩이라고 해서 예외일 수 없는 것이다. 본 연구에서는 정부의 에너지절약정책에 따른 절감방법을 고찰하여 인텔리전트빌딩에 적용하는 방법과 그 효과를 제시하고자 한다.