개에서 지알디아증의 치료 1례

신에스더,박희서,이시예,송우리,김명철,김덕환,송근호 충남대학교 수의과대학 동물의과학연구소 2004 動物醫科學硏究誌 Vol.12 No.-

A 3-month-old, 3.85kg female Jin-do dog with chief complaint of bloody diarrhea and depression was referred to the Veterinary Teaching Hospital, Chungnam National University. In fecal examination, trophozoites of giardia were observed and It was diagnosed as canine giardiasis. For treatment, metronidazole was administered orally for 5 days at a dose of 22mg/kg q12h. Diarrhea was not observed on 3 days after medication and most of clinical signs were disappeared on 7 days after medication with metronidazole. General conditions and activitivities became good on 13 days after medication. In addition, cysts or trophozoites of giardia were not detected any more in fecal examination using floating method with zinc sulphate solution. The present patient was a case of canine giardiasis that showed favorable response to metronidazole.

기후 변화에 따른 제주도 표선 유역의 함양률 및 수위변화 예측

신에스더,고은희,하규철,이은희,이강근,Shin, Esther,Koh, Eun-Hee,Ha, Kyoochul,Lee, Eunhee,Lee, Kang-Kun 한국지하수토양환경학회 2016 지하수토양환경 Vol.21 No.6

Global climate change could have an impact on hydrological process of a watershed and result in problems with future water supply by influencing the recharge process into the aquifer. This study aims to assess the change of groundwater recharge rate by climate change and to predict the sustainability of groundwater resource in Pyoseon watershed, Jeju Island. For the prediction, the groundwater recharge rate of the study area was estimated based on two future climate scenarios (RCP 4.5, RCP 8.5) by using the Soil Water Balance (SWB) computer code. The calculated groundwater recharge rate was used for groundwater flow simulation and the change of groundwater level according to the climate change was predicted using a numerical simulation program (FEFLOW 6.1). The average recharge rate from 2020 to 2100 was predicted to decrease by 10~12% compared to the current situation (1990~2015) while the evapotranspiration and the direct runoff rate would increase at both climate scenarios. The decrease in groundwater recharge rate due to the climate change results in the decline of groundwater level. In some monitoring wells, the predicted mean groundwater level at the year of the lowest water level was estimated to be lower by 60~70 m than the current situation. The model also predicted that temporal fluctuation of groundwater recharge, runoff and evapotranspiration would become more severe as a result of climate change, making the sustainable management of water resource more challenging in the future. Our study results demonstrate that the future availability of water resources highly depends on climate change. Thus, intensive studies on climate changes and water resources should be performed based on the sufficient data, advanced climate change scenarios, and improved modeling methodology.

간호사의 직장내 괴롭힘이 직무열의에 미치는 영향 : 심리적 계약위반의 매개효과 및 직장내 프렌드십의 조절된 매개효과

신에스더 보건의료산업학회 2023 보건의료산업학회지 Vol.17 No.1

Objectives: This study investigated the effect of workplace bullying on job engagement among nurses, focusing on the mediating effect of psychological contract violations and the moderated mediating effect of workplace friendship. Methods: Using a self-administered structured questionnaire, data were collected from 124 nurses under 30 years of age working at a general hospital in Busan, Korea. Results: Workplace bullying had a direct negative effect on job engagement. Psychological contract violation partially mediated the relationship between workplace bullying and job engagement, and workplace friendship moderately mediated this relationship. Conclusions: The results indicate that managing workplace bullying and psychological contract violation perception is necessary. Moreover, friendships must be promoted to improve positive working attitudes among hospital nurses.

지하철에 의한 서울특별시 광역 지하수 유동 특성

신에스더,김형수,하규철,윤희성,이은희,Shin, Esther,Kim, Hyoung-Soo,Ha, Kyoochul,Yoon, Heesung,Lee, Eunhee 한국지하수토양환경학회 2015 지하수토양환경 Vol.20 No.3

Hydrogeologic environment of the Mega City such as Seoul, suffers from rapid changes caused by urbanization, construction of underground subway or buildings, and contaminant loading by diverse anthropogenic activities. Understanding the present condition of groundwater environment and water budget is necessary to prevent natural and manmade disasters and to prepare for sustainable water resource management of urban environment. In this study, regional groundwater flow and water budget status of Seoul was analyzed using numerical simulation. Modeling result indicated that groundwater level distribution of Seoul generally followed the topography, but the significant decreases in groundwater level were observed around the subway network. Steady-state water balance analysis showed groundwater recharge by rainfall and leakage from the water supply network was about 550,495 m³/day. Surface water inflow and baseflow rate via Han River and major streams accounted for 799,689 m³/day and 1,103,906 m³/day, respectively. Groundwater usage was 60,945 m³/day, and the total groundwater leakage along the subway lines amounted to 114,746 m³/day. Modeling results revealed that the subway could decrease net groundwater baseflow by 40%. Our study result demonstrated that the subway system can have a significant influence on the groundwater environment of Seoul.

애완견 매개활동이 노인의 자기존중감, 우울 및 인지기능에 미치는 효과

신에스더(Esther-Shin),이성국(Sung-Kook Lee) 한국농촌의학 지역보건학회 2010 농촌의학·지역보건 Vol.35 No.3

본 연구는 애완견매개활동이 양로원 노인들의 자기존중감, 우울 및 인지기능에 미치는 효과를 조사하기 위하여 대구광역시 소재의 1개 양로원의 90여명의 노인들 중 65세 이상의 노인들 22명을 선정하여 실험군으로 하고 대구광역시 소재의 또 다른 곳에 위치하고 있는 1개 양로원의 90여명의 노인 중 65세 이상의 노인들 22명의 노인들을 선정하여 대조군으로 하였다. 일반적 특성과 건강상태 및 행위에 관한 특성, 자기존중감, 우울 및 인지기능에 관한 특성이 동일한 자들로 실험군과 대조군을 선정하여 실험군에게는 주 1회 3실험군간 12회기의 애완견매개활동에 참여하게 한 후 실험 전과 실험 후의 자기존중감, 우울 및 인지기능, 우울 및애완견매개활동을 하지 않고 정기적인 방문만을 한 대조군과 비교하여 분석하였다. 실험군 중 애완견매개활동 12회 중 10회이상 참여한 19명과 대조군 중 실험 종료 1주 후 그리고 실험 종료 4주 후의 척도검사에 모두 응답한 20명을 최종분석 대상자로 하여 자기존중감, 우울 및 인지기능의 변화를 비교하였더니 실험군에서 자기존중감, 우울 및 인지기능의 점수가 긍정적으로 변화하였으며 이들의 변화는 통계적으로 유의하게 나타났다. 이상의 결과를 볼 때 애완견매개활동은 노인층 인구의 증가, 이혼율의 증가, 출생율의 저하, 핵가족화, 개인화 및 디지털 문화의 확산 등으로 인해 소외감과 외로움을 느끼는 사람들이 늘고있는 이러한 사회적 여건 속에서 애완견매개활동은 이들에게 정신적, 사회적으로 유용한 치료 및 긍정적 향상으로서의 역할을 할 수 있을 것이라 사료된다. 특히 신체적·정신적·사회적 능력의 퇴보로 심리·정서적인 문제들을 가지고 있는 노인들에게는 매우 효과적인 중재방안이 될 수 있으며 여러 종류의 의료 시설, Care시설 및 교화목적을 위한 시설 등에도 활발하게 적용 가능한 방안으로서의 관련프로그램 개발도 이루어져야 할 것이다. Objectives: The purpose of this study was to investigate the effects of pet dog-assisted activities on self-esteem, depression and cognitive function of elderly people Method: The experimental group(pet dog-assisted group) consisted of 22 people over 65 years old out of about 90 elderly people registered with a home for the aged and the control group(non-pet dog assisted group) consisted of 22 people over 65 years old out of about 90 elderly people registered with another home for the aged in Daegu. Both groups had similar general characteristics, state of health, conduct on health and self-esteem, depression and cognitive abilities. Nineteen people who participated in the program at least 10 times out of 12, were chosen for the final analysis from the experimental group. For the control group, 20 people who responded to all three tests, which had been conducted before, 1 week after, and four week after the experiment, were analyzed. Result: Mean(±SD) differences between before and 1 week after the experiment for self-esteem, depression, and cognitive function were 5.84(±3.06), -3.26(±1.76), 1.47(±1.26), respectively. Those between before the experiment and 4 weeks after the experiment was 5.68(±3.64), -3.94(±2.32), 1.63(±0.96), respectively. Those for control group between before and after the experiment were -0.40(±1.27), 0.00(±0.92), 0.15(±0.93), respectively. Those for control group between before and 4 weeks after the experiment were -0.45(±2.24), 0.25(±1.68), 0.15(±0.93), respectively. All the differences between experiment and control group in mean differences between before and 1 week after experiment, between before and 4 weeks after experiment were statistically significant(p<0.05). Conclusion: This study suggests that the pet-assisted activities can be useful solution for elderly people who have psychological and emotional problems caused by retrogression of physical, mental and social ability.

병원 조직의 환자중심간호문화 측정도구 개발

신에스더(Shin, Esther),윤숙희(Yoon, Sook-Hee) 한국간호과학회 2019 Journal of Korean Academy of Nursing Vol.49 No.5

중소병원 종업원의 리더십 인식이 직무열의에 미치는 영향과 잡 크래프팅의 매개효과 및 긍정심리자본의 조절된 매개효과

이정진,신에스더 보건의료산업학회 2020 보건의료산업학회지 Vol.14 No.2

Objectives: To investigate the effect of authentic leadership and servant leadership on job engagement among hospital employees, focusing on the mediating effect of job crafting and moderated mediating effect of positive psychological capital. Methods : Data were collected from 329 employees working at hospitals through a self-administered questionnaire-based survey. Results : Job crafting had a direct positive effect on job engagement and a mediating effect between the servant leadership and job engagement. Self-efficacy among positive psychological capital had a moderating effect on the relationship between job crafting and job engagement and a moderated mediating effect on the relationship among servant leadership, job crafting, and job engagement. Conclusions : Results imply that manager’s authentic leadership and servant leadership is required to instill enthusiasm among hospital employees regarding their job crafting and job engagement. Additionally, development of self-efficacy among employees would lead to the improvement of job engagement.

개에서 교통사고에 의한 폐좌성 1례

송우리,이시예,신에스더,박희서,정성목,송근호,김명철 충남대학교 수의과대학 동물의과학연구소 2004 動物醫科學硏究誌 Vol.12 No.-

A 4 years old, mixed male dog with a history of traffic accident was presented to the Veterinary Medical Teaching Hospital of Chungnam National University with tachypnea and respiratory distress. Physical examination showed that the dog was auscultated crackles sounds, dysynchronous abdominal breathing pattern, hemoptysis, hematuria, urodynia and right and left scleral congestion. Blood and blood chemical examination revealed that WBC, AST and ALT was highly elevated. Parenchymal pulmonary fluid and closed pneumothorax were observed by thoracic radiography. This case was diagnosed as pulmonary contusion. Intravenous fluid and oxygen was administered and also dexamethasone(1mg/kg, Ⅳ), furosemide(2mg/kg, Ⅳ), (ampicillin, 20mg/kg, Ⅳ) and meloxicam(0.2mg/kg, PO) were intravenously injected for 5 days. Abnormal clinical signs were disappeared after treatment.

석면 이해집단의 석면관리정책 인식도에 관한 연구

손지화,심상효,신에스더,김윤신 한국실내환경학회 2013 한국실내환경학회지 Vol.10 No.3

The aim of this study was to investigate the perception of government's asbestos management policy for asbestos managers in school and asbestos industries, who are stakeholders related to asbestos, and the general public. The purpose is to suggest preliminary data for the establishment of communication methodology of asbestos risk, fit for the features of each audiences, by grasping the features of risk communication by each element for each group survey. For this study, a questionnaire survey has been conducted from May to August in 2012 and the responses of 617 people including 214 school asbestos managers, 95 managers related to asbestos industry and 308 the general people have been analyzed. As a result of the measurement of asbestos risk, the perception degree of general asbestos risk is higher in general public than the expert group's one, women than men, and nonsmokers than smokers. For the reliability of government's asbestos risk management, it was shown that it is the highest in school asbestos managers with public official personalities, who are a quasi-expert group for asbestos, than any other groups, the expert group of managers related to asbestos industry is in the middle level and general public group is in the lowest level. For trust in of government policy, it was shown that it is higher in school asbestos managers, than in group of managers related to asbestos industry, and the general public has a similar level of reliability with the group of managers related to asbestos industry. After consideration of path coefficient by structural equation modeling in order to investigate the relation between factors that the trust affects of asbestos management policy among the variables of awareness of asbestos management policy, it has been shown that the main factor in reliability of asbestos policy in all investigated groups was an awareness of information sharing for asbestos policy, and the second factor was reliability in government's asbestos risk management.

Urethral erosion and Perineal Cellulitis after Midurethral Sling Procedure

김종민,배장호,송필현,신에스더,정희창 대한배뇨장애요실금학회 2011 International Neurourology Journal Vol.15 No.2

Midurethral tension-free sling procedure has become one of the most popular techniques for the treatment of stress urinary incontinence. As the time elapsed, however, complications associated with a synthetic tape have been reported to occur. Recently, we experienced a rare case of urethral erosion with perineal cellulitis at anterior wall of vagina after midurethral sling procedure. So our experience was presented with a review of literature.