교사 평가제의 쟁점 연구

고영호,김병희 경북대학교사범대학부속 중등교육연구소 2005 중등교육연구 Vol.53 No.1

본 연구는 공교육 회생의 주된 정책방안의 하나로 논의되고 있는 교사평가제의 주요 쟁점들을 검토하고, 그 대안을 제시하기 위한 것이다. 여기에서 다루어진 내용은 평가의 목적, 평가의 주체, 평가의 내용 영역에서 논의되고 있는 주요 쟁점들로서, 그 구체적인 여러 논점들이 갖는 이론적, 실천적 함의들을 검토하고 타당성을 분석하였다. 이런 분석을 바탕으로, 타당한 교사평가제가 시행되기 위해서는 교사의 직무수행에 대한 합리적인 평가방법과 평가도구의 개발과 함께 교사평가에 대한 교육적철학적 문제들에 대한 검토가 필수불가결하다는 점을 제안하였다. The study aims to analyze the controversial points at issue relating to the teacher evaluation system and get better ideas or plans enough to cope with the problems. ChapterI introduces the background situations where the teacher evaluation system has begun to be discussed. In ChapterII, the purposes of the system are discussed in the aspect of teacher's self-development, the education improvement in quality, personnel management, promotion, teacher grading, reward systems and filtering out the unsuitable teachers. ChapterIII deals with the topic of who evaluates the teachers. It can be achieved by the teachers themselves evaluating their colleagues. Teachers of a higher position such as a principal can do it, Or the evaluation by parents or students is also possible. All these cases are respectively considered in this chapter. In ChapterIV, the discussion is developed to analyze the issue concerning what should be evaluated, focusing on the administrative abilities and basic qualifications as a teacher such as teaching and counseling skills. Finally, ChapterV draws the conclusions from all of the viewpoints involved in the light of validity, objectivity and reliability. The suggestion made here indicates that the evaluation by students is most suitable as a way of teacher evaluation, for it helps the teachers improve their teaching skills.

모래쥐의 양측 목동맥차단에 의한 전뇌허혈이 대뇌겉질 혈관의 미세순환에 미치는 영향

고운산,황성희,이병철 대한신경과학회 1998 대한신경과학회지 Vol.16 No.5

脂肪肝 患者의 體質別 特徵에 대한 臨床的 硏究

한기환,고병희,송일병 경희대학교 1998 慶熙醫學 Vol.14 No.3-4

전신성 홍반성 루푸스 환자에서 병발된 Coxsackievirus B3 심근염 1예

송봉근,임병관,김민형,신성철,정재홍,김동희,김정환,박건우,고은미,전은석 대한순환기학회 2003 Korean Circulation Journal Vol.33 No.12

악성 임파종 임파절의 치료에 대한 전산화 단층 촬영상의 변화

함창곡,조온구,임현철,고병희,김성태,김선미 한양대학교 의과대학 1994 한양의대 학술지 Vol.14 No.1

Thrity one lymph njodes in thirty follow-up CT studies in 9 patients with a diagnosis of malignant lymphoma were reviewed to determine the efficacy of CT studies for determining response of the therapy. In these 9 patients, CT findings are subdivided to 5 groups by the gross appearances of lymph nodes; (a)complete disappear, (b)multiple strands, (c)decreasd size without changes in internal characteristics, (d)decreased size with central low density, (e)increased size. Clinical correlation preceding the follow-up CT examination was obtained and it's correlation was very excellent. The group (a) to (d)were matched with good clinical course and group (e)was matched with poor clinical course. The appearances of the lymph nodes were not correlated with the histologic cell types and methods of therapy. The CT examination is satisfactory in the post-therapy follow-up of lymphoma patients.

직업적 노출에 의한 스티븐스-존슨 증후군에서 트리클로로에틸렌의 노출수준 : 3예의 사례와 문헌고찰을 중심으로

이선웅,김은아,김대성,고동희,강성규,김병규,김민기 大韓産業醫學會 2008 대한직업환경의학회지 Vol.20 No.2

배경: TCE는 심각한 전산적 피부염과 관련 있는 것으로 몇몇 사례들을 통해서 보고되어 왔으나,기존의 사례 보고들에서 노출평가가 수행된 사례는 드물었고 추정되는 노출량 역시 매우 다양하였다. 본 연구에서는 TCE 노출에 의한 것으로 판단되는 스티븐스-존슨 증후군 3예를 확인하고 각 사례들에 대한 작업재연을 통해 노출수준을 추정하였으며,이를 통해 TCE의 직업적 노출수준과 스티븐스-존슨 증후군을 포함하는 전신적 박탈성 피부염 발생의 관계를 이해하고자 하였다. 증례: 사례 1은 24세 필리핀인 여자로 TCE를 이용한 탈지작업을 시작한 35일 후 발진을 포함한 피부증상이 발생하였고 증상이 진행되면서 간기능 이상이 발견되었다. 환자는 스티븐스 존슨 증후군과 독성간염으로 진단되었고 증상발생 39일 간부전으로 사망하였다. 증상발생 전 약물 복용력은 없었고 바이러스 감염 등의 비직업적 원인은 찾을 수 없었으며,작업재연을 통한 TCE의 개인 노출수준 은 TWA 21.9 ppm과 32.3 ppm이었다. 사례 2는 47세 한국인 남자로 TCE를 이용한 탈지 작업을 시작한 20일 후 발진을 포함한 피부증상이 발생하였고 증상이 진행되면서 간기능 이상이 발견되었다. 환자는 중독성 표피괴사증 또는 스티븐스 -존슨 증후군, 전격성간염 및 동반된 패혈증으로 진단되었고 증상발생 42일 간부전 및 패혈증으로 사망하였다. 증상발생 전 약물복용력은 없었고 바이러스 감염 등의 비직업적 원인은 찾을 수 없었으며,작업재연을 통한 TCE의 개인 노출수준은 TWA 30.1 ppm이었으며 세척조 주위의 지역시료는 TWA 116.5 ppm∼229. 7 ppm 이었다. 사례 3은 22세 베트남인 여자로 TCE를 이용한 탐지작업을 시작한 30일 후 발전을 포함한 피부증상이 발생하였고 증상이 진행되면서 간기능 이상이 발견되었다. 환자는 스티븐스-존슨 증후군 및 동반된 독성간염으로 진단되었고 증상발생 37일 증세 호전되어 퇴원하였다. 증상발생전 약물복용력은 없었고 바이러스 감염 등의 비직업적 원인은 찾을 수 없었으며,작업재연을 통한 TCE의 개인 노출수준은 TWA 107.2 ppm이었다. 고찰: TCE에 노출된 일부의 사람들에서 노출 후 2주에서 5주 사이에 심각한 급성 간염이 동반되는 스티븐스­존슨 증후군이 발생할 수 있음을 확인 하였고,이번의 연구결과와 기존의 연구를 종합 할 때 TCE에 대한 감수성이 있는 사람의 상당수는 노출기준 이상의 고 노출에 노 출 후 스티븐스- 존슨 증후군이 발생함을 확인할 수 있었다. 따라서. TCE에 대한 고 노출을 막기 위해 TCE 세척작업에 대한 작업환경 확인과 개선이 우선적으로 필요하며,동시에 노출 후 증상발생기간의 일관성과 노출기준 이하의 저 노출에서의 감작 가능성을 배제할 수 없음을 고려하여,작업시작 후 1개월경의 특수건강검진 역시 고려되어야 할 것으로 판단된다. Back ground: Trichloroethylene (TCE) has been reported to be related to severe generalized exfoliative dermatitis frequently accompanied by toxic hepatitis. The measurements of environmental exposure were limited in the previous case reports and the reported exposure values were also diverse. We reviewed three cases of Stevens-Johnson syndrome associated with TCE. The work environment was measured by the Korea Occupational Safety and Health Agency (KOSHA) after the cases occurred. From the study results, we intended to clarify the relationship between TCE exposure level and Stevens-Johnson syndrome. Case report: Case 1. A 24-year-o1d Filipino female worker developed a skin rash 35 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. She was diagnosed with Stevens-Johnson syndrome and toxic hepatitis. She died of hepatic failure 39 days after the onset of the first symptom. She had no previous history of taking medicine or viral infection. The work environment measured 22.0 to 32.3 ppm (Personal exposure level) with TWA. Case 2. A 47-year-o1d Korean male worker developed a skin rash, 20 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. He was diagnosed with Stevens-Johnson syndrome, toxic hepatitis and sepsis. He died of hepatic failure and sepsis 42 days after the onset ofthe first symptom. He had no previous history of taking medicine or viral infection. The work environment measured 30.1 ppm (Personal exposure level) and 116.5∼229.7 ppm (area exposure level close to the degreasing rnachine) with TWA. Case 3. A 22-year-old Vietnamese female worker developed a skin rash 30 days after starting to use TCE for degreasing. The skin rash developed into a bullous eruption and the liver function findings were abnormal. She was diagnosed with Stevens-Johnson syndrome and toxic hepatitis. Her symptoms improved and she was discharged 37 days after the onset of the first symptom. She had no previous history of taking medicine or viral infection. The work environment measured 107.2 ppm (Personal exposure level) with TWA. Discussion: These three case reports and the previously reported cases indicated that the majority of people susceptible to TCE develops Stevens-Johnson syndrome after high-level TCE exposure (above the TWA occupational exposure limit of 50 ppm). Therefore, work environmental survey and improvements to the TCE degreasing process are essential to prevent high exposure. Furthermore, considering the consistency of the latency period in symptoms and the possibility of sensitization in low-level exposure, we recommend that the first specific health examination also should be conducted 1 month after workers have commenced working.

재발성 류마티즘 환자에서 발작의 유발인자

주유철,이동민,양종태,신병철,임태영,서정균,정기영,최동헌,김원,조영신,고희관 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and Objectives : Palindromic rheumatism (PR) is known to be triggered without any obviously inciting events in most patients, although, in a few cases, attacks have been noted to relate to another events such as weather change, childbirth, ingestion of certain foods, or over-exercise. The aim of this study was to characterize the triggering factors on palindromic attacks. Materials and Methods : We evaluated sixty-four patients with PR for the presence of triggering factors and the relationship between attacks and triggering factors by interview of patients. We considered that there was an probable association between episodes and PR, if episodes within 24 hours prior to PR had triggered at least 50% of all attacks and a definite association between episodes and PR, if episodes within 24 hours prior to PR had triggered 100% of all attacks. Results : In 15 patients (35.9%), there was a possible association between episodes of PR and initiating events. In 8 patients (12.5%), there was a definite association between episodes of PR and initiating events. The triggering factors were physical over-activity including exercise (19/64: 29.7%), foods, such as rawfish, crab, and chicken, including alcohol (19/96: 19.8%). However, there were no difference between the groups with and without the triggering factor in sex ratio, duration and onset of PR, the positive rate of rheumatoid factor and involved sites. Conclusion : Our observations showed that PR was triggered by physical over-activity more than in previous reports and hypersensitivity to foods was a causative factor in some patients with PR. However, patients with triggering factors had a similiar clinical profile to patients without triggering factors.

위절제술 후 Carboxy-Methylcellulose를 이용한 위장관 조영술

오재천,김용수,문원진,임현철,고병희,조온구 한양대학교 의과대학 1997 한양의대 학술지 Vol.17 No.1

The purpose of this study was to determine the usefluness of the UGI study with Carboxy-Methylcellulose (CMC) and 140% barium in the patient undergone gastrectomy We reviewed the UGI study with effervescent agent and barium and the UGI study with CMC and 140% barium of twenty one patients, undergone gastrectomy (Billroth-Ⅱ:12, Billroth-Ⅰ:4 total gastrectomy:5). The average interval between these studies was 19 months. The coating quality of the remnant stomach, anastomosis sit e, jejunum and proximal ileum in two studies were compared. The maximum luminal diameter of the same site and the maximum distance between a adjacent valvulae conniventes were measured for evaluating the distensibility of these studies. Compared with the coating quality of the remnant stomach, the UGI study with effervescent agent and barium was superior to the UGI study with C MC and barium in 68% (11/16) patients. The difference of coating quality between these studies was marginal in the anastomosis site and jejunum. The UGI study with CMC and barium provided a better coating quality in the proximal ileum of 95%(20/21). The maximum luminal diameter of the anastomosis site, jejunum and proximal ileum was respectively 2.75cm, 3.36cm, and 2.82cm inthe UGI study with effervescent agent and barium, 3.2cm 3.35cm, and 3.40cm in the UGI study with CMC and barium(p〈0.01). The maximum distance between a adjacent valvulae conniventes of the jejunum and proximal ileum was respectively 0.61cm and 0.51cm in the UGI study with effervesent agent and barium, 0.74cm and 0.72cm in the UBI study with CMC and barium (p〈0.05). Compared with the distensibility, the UGI study with CMC and barium was superior. The UGI study with CMC and barium in subjects, undergone gastectomy, showed the advantage the mucosa distal to anastomosis site except for the remnant stomach and must be supply the more information in finding lesion such as adhesion and peritoneal dissemination.

북미지역주민(北美地域住民)의 사상체질(四象體質) 분포(分布)에 관(關)한 연구(硏究)

Koh, Byung-hee,Kim, Seon-ho,Park, Byung-gwan,Lavelle, Jonathan D,Tecun, Marianne,Anthony Jr., Ross,Hobbs, Ron,Zolli, Frank,Chin, Kyung-hee 사상체질의학회 1999 사상체질의학회지 Vol.11 No.2

In spite of recent remarkable recent development in both western and oriental medical sciences, there is still only a shallow understanding of individual differences for various prognoses of incurable diseases and immunopathy diseases. Nevertheless, the care, cure and prevention methods of Sasang Constitutional Medicine are broadly used as an effective treatment of incurable diseases like immunopathy diseases and stress-related diseases and diseases due to aging. In this sense, the establishment of classification norms is urgent and essential for the worldwide application of Sasang Constitutional Medicine(SCM). This study began with the confirmation process of whether Sasang Constitutional types exist in Americans. To accomodate for cultural differences, the distinguishing tool was readjusted so that Sasang Constitutional Types in Americans could be determined. Hence, the selected tool is the new QSCCII+, which is a newly revised English version of the QSCCII. QSCCII was made and standardized by Dept. of SCM in Kyung Hee Medical Center and Dr. Kim7). The evaluation methods of the old version were improved in the new QSCCII+ through necessary statistical manipulation. The original QSCCII was officially authorized by the Korean Society of Sasang Constitutional Medicine as the only computerized version of Sasang diagnostics. This study is the first attempt to design a new diagnostic tool for the classification of Sasang Constitutional types in North Americans with the revision of QSCCII. The subjects of this study were selected from the cooperative people among the students and staffs of the University of Bridgeport and the patients who visited the Clinic in the Health Science Center. This study takes for about 1 year from 1998. 8 to 1999. 8 The conclusions of the study can be summarized as follows: 1. Sasang constitutional types also exist in Americans. It can also naturally be inferred that Sasang Constitutional types exist in all human beings, for there are many different human races in America. 2. There are more So-Yang In's than any other types in American white people. This result confirms the hypothesis that there also exist Sasang Constitutional types in westerners. 3. The result of repetitive tests suggests that the new QSCCII+ is an effective diagnostic tool for westerners when we consider the constant diagnostic results of the QSCCII+. 4. Sasang Constitutional types exit in the sample group regardless of racial difference. 5. The question items that were not often checked by Americans need to be modified into more understandable expressions. 6. The standardization of diagnosis for Americans should be established by use of the QSCCII+ 7. It can be guessed that there are many Tae-yang In's among the 71 persons who could not be clearly classified by the QSCCII+. Due to the scarcity of Tae-yang-In in general, it is important to improve upon the discernability of the QSCC II+. 8. The results of the Sasang Constitutional distribution in North Americans are as follows: The percentage of So-yang In distribution in the sample group is 36.25%(87persons), that of Tae-eum In is 13.75%(33persons), and that of So-eum In is 20.41%(49persons). 동(東) 서양의학(西洋醫學)이 여러 방면(方面)으로 눈부시게 발전(發展)해 왔음에도 불구(不拘)하고 동일질병(同一疾病)에 대한 약(藥) 효과(效果)의 개인별(個人別) 차이(差異)나 질병(疾病)에 대한 개인별(個人別) 감수성(感受性)의 차이(差異)에 따른 여러 가지 면역관계(免疫關係) 질환(疾患)의 다양성(多樣性)이나 난치병(難治病)의 다양(多樣)한 예후(豫後) 등(等)의 이유(理由)를 정확(正確)히 이해(理解)하지 못하고 따라서 적절(適切)한 대처(對處)를 하지 못하고 있는 것이 현실(現實)이다. 그런데 사상의학(四象醫學)의 네 체질(體質)에 따른 질병(疾病) 관리(管理), 치료(治療) 및 예방법(豫防法)은 현대(現代)의 난치병(難治病)이라고 할 수 있는 성인병(成人病), 면역계(免疫係) 질환(疾患), 스트레스성(性) 질환(疾患)의 관리(管理)에 효과적(效果的)으로 적용(適用)할 수 있으므로 현재(現在) 한방임상의학(韓方臨床醫學)에서 많이 응용(應用)되고 있다. 이러한 사상의학(四象醫學)을 세계(世界)에 폭넓게 적용하기 위해서는 국제적(國際的)으로 응용(應用)할 수 있는 체질진단(體質診斷)의 기준(基準)이 마련되어야 한다. 우선(于先) 본(本) 연구(硏究)는 외국인(外國人)에게도 과연(果然) 체질(體質)이 존재(存在)할까 하는 의문점(疑問点)을 해결(解決)하기 위(爲)하여 미국인(美國人)을 대상(對象)으로 체질(體質) 분류(分類)를 시도하여 체질(體質) 존재(存在) 여부(與否)를 확인(確認)하는 작업(作業)부터 시작(始作)하였다. 또 체질(體質)이 존재(存在)한다면 체질(體質) 진단(診斷) 도구(道具)로는 어떤 것이 좋을까를 알아보기 위(爲)한 연구(硏究)를 병행(竝行)하였다. 선택(選擇)된 체질(體質) 진단(診斷) 도구(道具)로는 경희대학교(慶熙大學校) 사상의학(四象醫學) 교실(敎室)에서 개발(開發)되어 학회(學會)에서 공인후(公認後) 임상(臨床)에서 널리 사용(使用)되는 체질(體質) 진단(診斷) 도구(道具)인 QSCCII를 바탕으로 이를 영문(英文)으로 번역(飜譯)하고 채점(採點) 방법(方法)을 보완(補完)하여 새롭게 제작(製作)된 new QSCCII + 사용(使用)하였다. 본(本) 연구(硏究)는 국내(國內)에서 표준화(標準化)되어 사용(使用)하고 있는 체질진단진단도구(體質診斷診斷道具)인 QSCCII를 보완하여 미국(美國)에서 응용(應用)할 수 있는 새로운 진단(診斷) 도구(道具)를 마련하고자 처음으로 시도(試圖)된 연구(硏究)이다. 조사(調査) 대상(對象)은 University of Bridgeport. Connecticut. U.S.A의 학생(學生), 교직원(敎職員)그리고 Health Science Center의 Clinic을 방문(訪問)한 사람중(中) 본(本) 조사(調査)에 협력(協力)한 사람이 주(主)로 그 대상(對象)이 되었으며 기타(其他) 주변(周邊)의 현지인(現地人)들이 대상(對象)이 되었다. 년(年) 조사대상인원(調査對象人員) 344명(名)이었고 전체(全體) 조사(調査) 대상(對象)에서 재검사(再檢査)를 할 수 있었던 인원(人員)은 240명(名)이었다. 연구기간(硏究期間)은 1998년(年) 9월(月)부터 1999년(年) 8월(月)까지 약(約) 1년(年) 여(餘)에 걸쳐 실시(實施)되었다. 이러한 연구결과(硏究結果)를 고찰(考察)해 볼 때 아래와 같은 결론(結論)을 얻었다. 1. 미국(美國) 사람에게도 사상체질(四象體質)은 존재(存在)한다. 추론(推論)컨데 미국(美國)에는 다양(多樣)한 인종(人種)이 섞여 살고 있으므로 외국인(外國人) 모두에게 역시(亦是) 체질(體質)이 존재(存在)한다고 볼 수 있다. 2. 미국인(美國人)에게 특(特)히 백인(白人)에게

The Combination of the Traditional and the Modern Medicine in Korea : Trends and Perspectives

Koh, Byung-Hee 경희대학교 2001 INTERNATIONAL SYMPOSIUM ON EAST-WEST MEDICINE Vol.2001 No.1

Though western modern medicine was introduced early in the 20th century and dual medical system(traditional Korean medicine(TKM) and modern medicine) began in 1951, it's no more than 10 years that substantial attempts of the combination of two medicines was begun in Korea. That's why the combination of two medicines have developed very sluggishly in theoretical and philosophical aspects as well as clinical aspect. For example, there was first dispute on the viewpoint, objects and methodology of two medicines in the 1930's Japanese colonial era. but main issues and confronting points at that moment still have been in existence in recent years. New trends about the combination have appeared since 1990's. Under the socio-economic circumstances encouraging the substantial combination, various attempts of combination were tried in clinical and academic fields. Objects of this assay includes finding out recent clinical and academic status on the combination, and consideration of the human, systemic and academic conditions of developmental cooperation between two medicines.