과학교육 연구의 실태와 과제

최병순 韓國敎員大學校 敎育硏究院 1995 敎員敎育 Vol.11 No.1

진폐증의 연구와 진단을 위한 방사선학적 방법들의 비교 : Simple Radiography and Computed Tomography 단순 방사선검사와 컴퓨터 단층촬영

최병순 大韓産業醫學會 1995 대한직업환경의학회지 Vol.7 No.2

The classification for pneumoconiosis which was developed by International Labour Office(ILO) on the basis of Radiological findings of simple chest radiography has been widely used for the study and diagnosis of pneumoconiosis. But many problems have been revealed during the pneumoconiosis study using this classification. Those problems come from simple radiography itself or classification systems. Among those, inter-reader and intra-reader variability are the severest problems, even though many efforts have been devoted to lessen the variability. With introduction of computed tomography(conventional CT and HRCT), we are learning many new aspects about the occupational lung diseases, especially pneumoconiosis. So the studies for pneumoconiosis using tomography are reviewed, focusing on silicosis, coalworkers' pneumoconiosis, and asbestosis. But in our country, the studies of that kind are very scant. It is necessary to study and diagnose pneumoconiosis by CT, because that is the need of workers and the responsibility of physicians working in the field of occupational medicine. CT is superior to simple radiography in early detection, determination of severity, and follow-up of pneumoconiosis. But simple radiography is and should be the main method for the study and diagnosis of pneumoconiosis. Although, because of radiation hazard, cost, time, and geographical availability, the method can not and should not be used on the routine basis, we have to consider the use of CT, if possible and if necessary. Before using CT widely, we should develop the standardized criteria regarding to scanning methods and reading criteria. If not, the same problems as those of simple radiography will be occurred, and then there will be no progress in occupational medicine and workers' health.

우리나라 일부 석면사업장의 석면폐 유병률

백도명,백남원,최정근,손미아,임정기,이원진,문영한,박정선,최병순 大韓産業醫學會 1995 대한직업환경의학회지 Vol.7 No.1

Asbestos industry has been in operation over 60 years in Korea. However, the prevalence of asbestosis has not been yet reported. With rapid turn-over of workers, previous cross-sectional studies of current workers on the job could not find cases with exposures long enough for the development of asbestosis. This study was done to evaluate asbestosis prevalence of those worksites with operation history of more than 20 years. In total, 139 workers from 5 worksites were examined. Asbestos industries covered in the study include 2 asbestos textile, 1 brake lining, and 2 ship repairing worksites. Chest x-ray was taken from all workers and read by two experts familiar with pneumoconiosis classification according to 1980 ILO guidelines. Those with findings compatible with asbestosis were further ckecked with high resolution computerized tomography (HRCT). Pulmonary function tests were done according to ATS guidelines, and occupational and previous medical history was taken through a standardized interview. Air-borne asbestos was measured according to NIOSH method 7400. The air-borne asbestos concentrations ranged from 0.2-1.3 f/cc for asbestos textile, from 0.7-1.0 f/cc for brake lining, and from 6.3-7.8 f/cc during asbestos removal at ship repairing worksite. Of the 139 workers 25 had abnormal chest radiographic findings, and 10 of them had findings compatible with pneumoconiosis. When work history and current asbestos measurements were accounted, 9 workers who had more than 10 years of asbestos exposure history showed chest radiographic findings of pneumoconiosis with Finally, 4 workers showed finding of pulmonary fibrosis and/or pleural thickening at HRCT, and 2 of them had restrictive lung function changes. The study results showed that, among 139 subjects, there were 4(3%) definite asbestosis cases confirmed with HRCT. The prevalence of probable asbestosis was 7% for 10-14 years of exposure, 13% for 15-19 years of exposure, and 23% for 20 or more years of exposure. The prevalence of compensable asbestosis with abnormal lung function was 4-6% for those with 15 or more years of exposure.

근로자 폐기능검사 현황과 정도관리 요인에 대한 연구

최정근,손미아,김현경,백도명,최병순 大韓産業醫學會 1994 대한직업환경의학회지 Vol.6 No.2

Lung function test can be influenced by technical as well as biological variables, and the quality control of test has been stressed as an important part of lung function test program. This study was done to survey the current status of lung function test program in workers' health examination, and examine the variability of test results when quality control is not achieved. Forty nine Workers' Health Examination Institutes and 7 Pneumoconiosis Referal Centers were surveyed for their current lung function tests, types of spirometers, and performance of technicians. To examine the effect of quality control program of lung function tests on the variability of test results, 118 miners were tested under a quality control guideline and the results were compared to those obtained ignoring 4 major areas of the guideline - spirometer calibration, minimum number of tests per session, suitable prediction equations, and selection process of final results for each tested subject. Among surveyed Institutes and Centers, only 38%(20/53) are performing any calibration of spirometers, and most of those calibrations are done automatically by the machine. All the surveyed Institutes and Centers obtain acceptable tests no more than 2 times. The background of technicians include office workers and nurse aids without an adequate training in pulmonary physiology, and the testing posture and formats vary among Institutes and Centers. When the types of pulmonary dysfunction under the definition of the Ministry of labor were compared between those obtained with and without quality control guidelines, spirometer calibration affected the test results in 6(5.1%) out of 118 subjects. The change in the minimum number of adequate tests from 1 to 3 and more brought changes in 19(16.1%) subjects. The test results of 9(7.6%) subjects differed between two different prediction equations, and the results of 7(5.9%) subjects differed between two different selection process of final results. The current practice of lung function tests of workers needs quality control programs, and the results of this study indicate that the first remedy should be to bring the minimum number of acceptable test to more than 3.

핵심역량 기반 리더십 프로그램의 개발 및 운영 방안 : 공군 영관장교 리더십 프로그램 개발 사례를 중심으로

최병순 숙명여자대학교숙명리더십개발원 2008 숙명리더십연구 Vol.7 No.-

최근들어 많은 조직에서 리더십 핵심역량을 도출하고, 이를 기반으로 한 리더십 프로그램을 개발하고 있다. 한국군에서도 각군 리더십센터를 중심으로 군 간부들의 계급별 핵심역량을 도출하고, 이를 강화할 수 있는 리더십 프로그램을 개발하는 노력을 하고 있다. 본 연구는 이러한 노력의 일환으로 공군 영관장교들의 핵심역량을 도출하고, 이를 강화할 수 있는 리더십 프로그램의 설계 및 운영 방안을 제시하였다. 먼저 일반적으로 이용되고 있는 핵심역량 도출 절차인 선행연구 분석, 전문가 집단 인터뷰 및 설문, 전문가 집단 델파이조사, 핵심역량 선정의 과정을 거쳐 18개의 핵심역량을 도출하였다. 그리고 체계적인 프로그램 구성을 위해 이러한 핵심역량들을 대인관계역량군, 과업수행역량군, 조직관리역량군, 환경관리역량군의 4가지 역량군으로 분류하였다. 다음으로 식별된 핵심역량 중 단기간 교육만으로는 강화가 어려운 핵심역량과 기존의 교육 프로그램에 이미 반영되어 있기 때문에 교육의 중복을 피하기 위해 포함할 필요가 없는 핵심역량은 프로그램에서 제외하도록 하였다. 그러나 역량 도출과정에서 공군 영관장교의 핵심역량으로 식별되지는 않았지만 향후 진급시 수행 업무와 공군의 특성 등을 고려하여 본 프로그램에 포함할 필요가 있다고 판단된 핵심역량은 별도로 추가하여 총 12개의 핵심역량으로 재정리하고, 이를 모듈화하여 프로그램을 구성하도록 하였다. 그리고 각 모듈은 핵심역량 자기진단(Assessment), 해당 핵심역량 관련 개념 및 이론에 대한 학습(Learning), 토의 및 사례연구 등을 통한 역량 개발(Practice), 그리고 실천방안을 작성(Action)하는 4단계로 구성하여 효과적인 교육이 이루어 지도록 하였다. 마지막으로 공군의 특성과 교육여건을 고려한 리더십 프로그램의 효과적인 운영 방안과 교육 후 성과 평가 방안을 제시하였다. This paper introduces the development process of a competency-based leadership program for middle-level officers in the R.O.K. Air Force. The eighteen core competencies were identified through the four-step process of Literature Review. Focus Group Interview, Questionnaire, and the Delphi Method, followed by the Selection of Core Competencies for the development of a core competency-based leadership program. Then they were categorized into the four competency clusters (people-related, task-related, organization-related, and environment-related clusters) for the design of a systematic and effective leadership program. I suggested that the leadership program consisted of modules associated with re-classified twelve competencies for designing a program effectively. These modules include the following: Understanding Self and Others, Communication, Problem Solving Organizing, Team Building, Networking, Vision & Strategy, etc. The presentation of each of the modules was suggested to organize according to the four-step model (ALPA model) composed of four components (Assessment, Learning, Practice and Action) for improving each core competency effectively. Finally, I recommended some effective methods for operating the program and the follow-up evaluation (learning evaluation and transfer evaluation).

생존 진폐증자 현황 및 추계

최병순,이정오,이유림 대한직업환경의학회 2011 대한직업환경의학회 학술대회 논문집 Vol.2011 No.11

중학교 과학과 교육과정 및 그 운영진단 ( Ⅱ ) : 지적 발달수준과 학업성취도

최병순,권재술,허명 한국과학교육학회 1987 한국과학교육학회지 Vol.7 No.2

To examine the effect of students' Cognitive level upon their achievement on Science, the students' cognitive levels were tested by using GALT(Group Assessment of Logical Thinking) and examined the Correlation between the cognitive level and achievement. According to the results, most students were still in the conerete level Only 60% of 9th grade students could handle the logic of displacement volume. In case of proportional logic and logic of probability, only 40% of 9th graders could handle them. Only 10% of the students could understand Correlational logic. Cognitive level and students achievement were estimated to be in a very closely related. Students who were in a high cognitive level showed better achievement scores on knowledge, comprehensive, inquiry, and application items than those who were in low cognitive level. Therefore, this study suggests that the content of the current middle school science should be revised in a way to match the students' cognitive level.

직업성 순환기질환

최병순,Choe, Byeong-Sun 대한산업보건협회 2005 산업보건 Vol.204 No.-

특발성 폐섬유증의 합병증으로 사망한 석공 및 탄광부 사례

최병순 대한직업환경의학회 2010 대한직업환경의학회 학술대회 논문집 Vol.45 No.-

일 병원의 의료 이미지 향상을 위한 조사연구

최병순 대한간호협회 1995 대한간호 Vol.34 No.4