국가 수준의 대학 입시 국사 문항에서 오답시비 유형 분석

金秀美(Kim Su-Mi) 歷史敎育硏究會 2010 역사교육 Vol.114 No.-

This study set out to identify items that could cause controversy over incorrect answers in Korean history items from the preliminary examination, which was the full-scale national-level college entrance exam, through the achievement test to the current college scholastic ability test. It also aimed to sort them out according to types and analyze the trends in changes to those types. The types of controversy over incorrect answers were categorized inductively by examining the components of an item, namely the item stem, instruction, and alternative, by item unit and identifying items that could possibly cause controversy over incorrect answers. As for changes to the types of controversy over incorrect answers, the “formal type” of error items abounded. With the absence of a basic manual for item creation, controversy over incorrect answers was usually able to happen when the item stem and alternative were not clear and the question was about historical evaluation. There was no accuracy guaranteed in the item stem and alternative, the most important elements of an item form. As a result, validity could not be secured about whether to measure the attributes intended for measurement the right way, and the level of completion was low. However, the “content type” errors continued in terms of item completion level. In the college scholastic ability test, controversy over incorrect answers has occurred when the limited item stem and alternative do not provide enough information, or the historical facts of the textbooks do not match the interpretation of special data in instruction. In the achievement test, questions were made based on the academic results so far and textbooks, which created no problem at the time of question creation. However, controversy over wrong answers would occur later as new academic results were presented and denied or supplemented the old theories. The college scholastic ability test has increasing controversy over incorrect answers due to disagreement between the high school curriculum and academic ground. In other words, most of the errors in the content type happen because new academic results are not properly reflected in the textbooks and curricula. That type of controversy over wrong answers has been consistent since the preliminary examination and is the most widespread in other subjects as well as Korean history in the college scholastic ability test. In order for those measures to be taken, it is urgent to secure teachers, professors, and experts in history education evaluation who have accumulated capabilities in question creation and are armed with professionalism. There should be institutional supplementation among the three axes: the teachers should be well aware of the question creation principles in the high school curriculum; the professors should exercise their professionalism in content and knowledge of the current academic research results; and experts in history education evaluation should review the completion level of items. In addition, professors as well as high school teachers should be included in the review committee, which has been active since the preliminary examination, to test the possibility of controversy over wrong answers in advance and secure objectivity and fairness.

Graves` 병에 동반된 Guillain-Barre 증후군 1예

최종원,이지현,안기성,손호상,박진형,배정동,최지용,금수미,박용범,이상채,장성국 대한내분비학회 1997 Endocrinology and metabolism Vol.12 No.4

Graves disease, an autoimmune endocrine disorder, which causes defects in cellular and humoral immunity, is associated with insulin-dependent diabetes mellitus, Addisons disease, pemicious anemia, and rheumatoid arthritis. Graves disease' is associated with various neuro-muscular disorders, such as myopathy, exophalmous oculopathy, periodic paralysis, myastenia gravis and rarely Guillain-Barre syndrome. Guillain-Barre syndrome is considered as an autoimmune disease which can occur concurrently with other autoimmune disorders. This syndrome is characterized by segmental demyelination and axonal degeneration in electrophysiology due to autoantibody to nervous systems via cellular and humoral autoimmunity. In Graves' disease, the exact mechanism of the associated Guillain-Barre syndrome is not well understood but it is considered that the autoimmunity is the leading cause of development of both diseases. A 37 year-old man had suffered from thyrotoxic symptoms and progressive symmetrical muscular paralysis. In nerve conduction velocity studies, the result shows peripheral neuropathy; axonopathy; myelinopathy; motor nerve and sensory nerve derangement; right first sacral nerve neuropathy; and decreased CMAP amplitude. The patient was treated with propylthiouracil and high dose intravenous immunoglobulin (400mg/kg/day for Sdays). He responded to the therapy well and became euthyroid state with improvement of muscle weakness. We report a case of Graves' disease associated with Guillain-Barre syndrome with brief review of literature which shows a possible relationship between both diseases. (J Korean Soc Endocrinol 12:614-620, 1997)

과량의 Furosemide에 의한 저칼륨혈증에서 발생한 횡문근융해증 및 급성 신부전

박용범,박준형,손호상,안기성,이상채,배정동,신재욱,금수미,최종원,김이근,장성국 대한신장학회 1997 Kidney Research and Clinical Practice Vol.16 No.2

Though hypokalemia often goes unrecognized as a cause of rhabdomyolysis, its causal relation for acute renal failure can be considered in cases of extreme hypokalemia when combined with rhabdomyolysis. We present the case of a 21-year-old female in whom acute renal failure was developed by myoglobinuria which was associated with furosemide ind- uced hypokalemia. She had taken 2 grams of furosemide daily over 6 months before developing rhabdomyolysis. Initial neurologic examination revealed painful quadriplegia and laboratory findings showed markedly elevated blood CPK, LDH and AST levels with azotemia. Arterial blood gas analysis showed pH 7.439, serum Na 128mEq/L, K 1.5mEq/L, Cl 87mEq/L, HC% 12.6mmol/L and calculated anion gap of 29.9 which indicated that she was under the condition of mixed metabolic alkalosis and metabolic acidosis. Though intravenous infusion of potassium chloride improved muscle strength, azotemia and acidemia persisted for several days. This case suggest that large amount of furosemide, when used for a long time, can be result in the acute renal failure by rhabdomyolysis which was caused by hypokalemia.

류마티스 관절염 환자에서 Azathioprine 으로 유발된 급성 췌장염 1 예

최종원,박용범,최정윤,배정동,박진형,금수미,김호각,신재욱 대한내과학회 1998 대한내과학회지 Vol.54 No.1

Drug-induced pancreatitis is now recognized as a distinct, although uncommon, entity. Azathioprine has been incriminated as a causative agent of acute pancreatitis. We report a 36-year-old female who developed acute pancreatitis in the course of treatment with azathioprine for rheumatoid arthritis. She was admitted due to epigastric pain, radiating to the back, for four days. Serum amylase and lipase levels were 226U/L (normal: 30-110U/L) and 1300U/L (normal: 23-300U/L), respectively. The abdominal ultrasonogram and CT scan revealed diffuse enlargement of the pancreas. We diagnosed it as acute pancreatitis. There was no history of alcohol use or gallbladder disease, We considered drugs, especially azathioprine, as the cause of acute pancreatitis. The patient was treated conservatively with intravenous fluid and analgesics. The symptoms subsided within three days. Thirteen days later, azathioprine was resumed. After six hours, the patient complained of epigastric pain. The elevated level of serum lipase (542U/L) confirmed the recurrence of pancreatitis. Her symptoms subsided when azathioprine intake stopped, and the serum lipase level returned to normal within four days.

항생제 사용으로 치유된 간의 염증성 가종양 2례

최종원 ( Jong Won Choi ),박용범 ( Yong Beom Park ),박재복 ( Jae Bok Park ),박진형 ( Jin Hyung Park ),배정동 ( Jung Dong Bae ),금수미 ( Soo Mi Keum ),이영환 ( Yeong Hwan Lee ),김호각 ( Ho Gak Kim ),신재욱 ( Jae Uk Shin ),유용운 ( Y 대한소화기학회 1997 대한소화기학회지 Vol.30 No.5

Inflammatory pseudotumor of the liver is a rare benign tumor, consisting of stroma with fibroblast, connective tissue and mixed infiltration of lymphocyte, plastna cell, histiocyte and occasionally polymorphonuclear leukocytes. Inflammatory pseudotumor in the liver was often isdiagnosed as hepatoma or hepatic abscess due to its clinical and radiological sirnilarity and usually confirmed histologically in the hepatic resection. So it is important to recognize and distinguisn this entity from hepatoma or hepatic abscess in order to avoid unneccesary hepatic resection. We experienced two cases of inflammatory pseudotumor of the liver present with fever, right upper quadrant pain and weight loss, the one had a solitary lesion and the other had rnultiple lesions. Both cases were diagnosed by radiological findings and histologic findings by CT-guided fine needle biopsy. Both tumors were completely regressed under conservative antibiotic therapy. We now report two cases and review the literature. (Korean J Gastroenterol 1997; 30:695-701)