문화와 신앙 : 기도시 ; 골고다 언덕길

박에스더 기독교대한성결교회 활천사 2001 활천 Vol.569 No.-

Clinical Significance of Random Urinary Vanillylmandelic Acid in Patients with Neuroblastoma

박에스더,박효정,조희원,마영은,이수연,이지원,유건희,성기웅,구홍회 대한소아혈액종양학회 2018 Clinical Pediatric Hematology-Oncology Vol.25 No.2

Background: To evaluate the value of random urinary vanillylmandelic acid (VMA) as a surrogate marker for monitoring tumor response and predicting outcome in patients with neuroblastoma (NB). Methods: Medical records of 91 patients newly diagnosed with NB at the Samsung Medical Center between June 2014 and August 2017 were reviewed. Clinical associations and other prognostic factors, including age at diagnosis, stage, pathologic subtype, MYCN amplification, and other cytogenetic aberrations, were analyzed. Furthermore, the significance of random urinary VMA level in predicting outcome and tumor response was also evaluated. Results: The median random urinary VMA level at diagnosis was 27.9 (range: 1.7-600) mg/g creatinine. Abdominal primary site, male sex, advanced stage, less differentiated pathology (poorly differentiated, undifferentiated), 11q deletion, and high-risk tumor were associated with a higher VMA level at diagnosis. The VMA level decreased during chemotherapy (28.4%, 16.9%, and 9.6% of the VMA level at diagnosis after 3, 6, and 9 cycles of chemotherapy, respectively). A higher VMA level at diagnosis tends to be associated with a better overall survival in high-risk patients with borderline significance (58.3±18.6% vs. 76.5±13.4%, P=0.050). However, in the multivariate analysis, the VMA level was not a significant predictor of survival. A slower reduction in VMA level during chemotherapy was not associated with a worse overall survival. However, event free survival was significantly better in the rapid responder group. Conclusion: A higher VMA level was associated with high-risk features at diagnosis of NB. Random urinary VMA is a valuable marker for monitoring NB response during chemotherapy.

한 성폭력 피해자의 성폭력 예방교육 교수 경험에 관한 자문화기술지: ‘쭈구리’에서 ‘원더우먼’으로

박에스더 한국교육인류학회 2020 교육인류학연구 Vol.23 No.2

This study, focuses on the instruction experience on the preventive education for sexual violence of this researcher, a victim of sexual violence, through autoethnography. The study aims to find answers to the research questions: "as a victim of sexual violence, how the instruction experience helped" and "what is the significance of the instruction as a victim of sexual violence," in the emic perspective. For this purpose, the collected data were analyzed in introspection. This researcher, who was able to do any action at the scene of sexual violence, felt frustrated and vulnerable like 'the weak.' However, the experience of sexual violence has become a 'conclusive event' in defining career paths. By discovering a sense of duty and studying sexual violence, this researcher finally became an instructor in the preventive education of sexual violence. Although this researcher had been victimized with digital sexual crime (illegal filming) while working as an instructor in the preventive education for sexual violence, this researcher felt that the inner strength had been built up by acting differently from the previous sexual violence situation. This researcher became Wonder Woman. Furthermore, from the perspective of sexual violence victims, this researcher developed an insight into the big problem in the preventive education on sexual education, which this researcher has taught. This researcher realized that he/she is experiencing evolutionary process as an instructor on sexual violence prevention while changing the direction of the preventive education for sexual violence. This study will contribute to understanding victims of sexual violence and will help instructors in their preventive education for sexual violence. 본 연구에서는 자문화기술지 연구 방법으로 성폭력 피해를 경험한 연구자의 성폭력 예방교육 교수 경험을 중심으로 “성폭력 피해자로서 성폭력 예방교육 교수경험은 어떠한가?”와 “성폭력 피해자로서 성폭력 예방교육 교수 경험의 의미는 무엇인가?”라는 연구 질문에 대한 답을 내부자적 관점에서 심층적으로 찾고자 하였다. 이를 위해, 수집된 자료를 성찰적으로 분석하였다. 성폭력 피해 현장에서 아무런 행동도 하지 못했던 나는 ‘쭈구리’처럼 좌절감과 무력감을 느꼈다. 하지만 성폭력 피해 경험은 진로 설정에 ‘결정적 사건’이 되었다. 사명감을 발견하고 성폭력에 관해 공부하며 마침내 바라던 성폭력 예방교육 강사가 되었다. 성폭력 예방교육 강사로 활동 중 디지털 성범죄(불법 촬영) 피해를 겪으며 이전 성폭력 피해 상황과는 다른 행동을 하여 내면의 힘이 강해졌음을 느꼈다. 나는 ‘원더우먼’이 되었다. 뿐만 아니라 성폭력 피해자의 관점에서 그간 내가 해 온 성폭력 예방교육에 큰 문제가 있었음을 통찰하였다. 이후 성폭력 예방 교육의 방향성을 바꾸며 성폭력 예방 강사로서의 진화 과정을 겪었음을 깨달았다. 본 연구를 통해 알게 된 부분은 성폭력 피해자들을 조금이나마 이해하고 성폭력 예방교육을 진행하는 교수자에게 작은 도움이 될 수 있을 것이다.

국내 성매매 피해 청소년 연구동향에 관한 체계적 문헌고찰: 국내 학술지 논문을 중심으로

박에스더 미래를 여는 청소년학회 2022 미래청소년학회지 Vol.19 No.3

This study aimed to systematically organize the existing papers on adolescent victims of prostitution in Korea and to present a direction for future research through a systematic review. To this end, 20 final articles were selected according to the selection criteria among academic papers published from 2001 to 2021 by using domestic web-based academic databases. The articles were then reviewed according to the publication year, research fields, methods, and results. The key results of this study are as follows. First, the research on adolescent victims of prostitution increased in number after 2009, when the「Act on the Protection of Youth Against Sex Offenses」was renamed to「Act on the Protection of Children and Youth Against Sex Offenses, which strictly stipulated prostitution for children and adolescents as a criminal activity. Second, the research was conducted in the fields of social sciences (75%) and complex studies (25%), and among the social sciences, the majority of the research was conducted in social welfare. Third, as for the research method, 14 qualitative studies (70%), 5 quantitative studies (25%), and 1 mixed method study (5%) were conducted, with qualitative studies taking up the highest proportion. Fourth, the 10 out of 20 studies focused on exploring what factors are involved in adolescents falling victim to prostitution such as psychological and social determinants, running away from home, continuation and disconnection, and habituation. Based on these results, this study provides a direction for follow-up research on adolescents affected by prostitution. 본 연구의 목적은 국내 성매매 피해 청소년을 다룬 기존 논문을 체계적으로 정리하고 향후 연구 방향을 제시하고자 체계적 문헌고찰(Systematic Review)을 실시하였다. 이를 위해 국내 웹 기반 학술데이터베이스를 활용해 성매매 피해 청소년을 연구한 문헌을 검색하여 2001년에서 2021년까지 출판된 학술논문 중 설정된 연구대상의 선정기준에 따라 최종 20편을 선정하고 발행연도별, 연구분야별, 연구방법별, 연구주제별, 연구결과별에 따라 검토하였다. 본 연구의 주요 연구 결과는 다음과 같다. 첫째, 성매매 피해 청소년을 대상으로 한 연구는「청소년의 성보호에 관한 법률」이「아동․청소년의 성보호에 관한 법률」로 명칭이 변경되고 아동․청소년 대상 성매매를 엄격한 범죄 행위로 규정한 2009년 이후부터 관련 연구가 증가하였다. 둘째, 사회과학(75%)과 복합학(25%) 분야에서 연구가 이루어졌고, 사회과학분야 중 사회복지학에서 가장 많은 연구가 진행되었다. 셋째, 연구방법은 질적연구 14편(70%), 양적연구 5편(25%), 혼합 방법연구 1편(5%)으로 질적 연구방법으로 연구된 비중이 가장 높았다. 넷째, 성매매 피해 청소년에 대한 연구주제는 심리․사회적 결정요인, 가출, 지속과 단절, 상습화 과정 등 성매매 피해 유입을 주제로 한 연구가 전체 20편 중 10편(50%)으로 가장 많았다. 이러한 연구 결과를 바탕으로 본 연구에서는 성매매 피해 청소년에 관한 후속 연구의 방향성에 대해 논의하였다.

중등 영어 교사의 직무만족도

박에스더,이진화 한국영어교육학회 2017 ENGLISH TEACHING(영어교육) Vol.72 No.2

Teachers’ job satisfaction is a crucial factor to determine the quality of education in that it affects their dedication and participation. While teachers’ job satisfaction in general has been widely investigated, subject-related job satisfaction has been sparsely explored. Thus, this study investiaged both general and subject-related job satisfaction and compared them. A total of 117 secondary English teachers in Seoul participated in a survey which measures job satisfaction in terms of seven factors: relationship with people, job duties, work environments, opportunities for professional development, compensations, administration systems, and recognitions. Overall, the participants showed a modest level of satisfaction in both general and subjet-related jobs. Yet, subject-related job satisfaction was higher than general job satisfaction. They were particularly satisfied with their relationship with students and teachers. They also showed high satisfaction with recognition they receive as a teacher as well as an English teacher. In contrast, they were dissatisfied with compensations and workloads in general, and the number of students in charge and administrative support in teaching English. Finally, their job satisfaction was affected by gender, school type, position, and marriage. Based on the results, suggestions to enhance secondary English teachers’ job satisfaction were made.

LG전자 스마트폰 사업의 문제점과 대응방안 관련 사례 연구

박에스더,박혜주,조혜정,정무섭 한국경영컨설팅학회 2015 경영컨설팅연구 Vol.15 No.3

LG전자는 고객 중심적이고 창의적인 기술력을 바탕으로 전자제품에 대해 높은 인지도와 신뢰도를 가지고 있다. 그러나 점유율 분석결과 스마트폰 시장에서는 국내시장뿐 아니라 아시아 및 유럽시장에서의 부진을 발견할 수 있었다. 이를 극복 및 대처하기 위해 스마트폰에 대한 전문적인 연구가 있었으나, 이를 적용하여 구체적인 전략제시에까지 미치지 못했다. 따라서 본 연구는 기존연구를 바탕으로 LG전자 스마트폰의 국내외 성장 부진에 대한 원인을 구체화하고, 해결방안을 제시하여 향후 G3에 이은 G시리즈의 전성기를 지속시킬 수 있는 전략을 제시한다. 현황분석에서는 스마트폰시장의 점유율을 국내시장과 세계시장으로 나누어 분석하였으며, 중국기업의 맹추격과 차별화 된 이미지 부재를 중심으로 문제점을 제시하고, 이에 따른 현재 LG전자의 대응 방안을 전개하였다. 특히 본 연구에서는 차별화 된 이미지 부재에 초점을 두고 크게 두 가지 해결방안과 전반적인 홍보 전략을 제시하였다. 첫째, LG전자만의 이미지 구축을 위한 전략으로 1) 대표이미지구축, 2) 제품혁신, 3) 디자인제휴를 제시하였다. 둘째, 홍보전략은 이전에 부진했던 홍보방법에 시대의 흐름을 반영하여 SNS를 통한 적극적인 마케팅으로 개선하였으며, 지속성과 파급효과를 강조하여 기존 홍보방법과 차별을 두었다. 본 전략은 LG전자의 약점을 보완 및 강화하고, 강점과 기회 요소를 극대화하는 전략으로써 포화된 선진시장에서 탄탄한 자리매김과 신흥시장의 획기적인 진출이 가능하게 할 것이다. 이는 장차 LG전자 사업 전반에 긍정적인 파급효과를 줄 것으로 보이며, 현재 거대 소비시장임에도 불구하고, 전자계열 전체에 난항을 겪는 중국시장 진출의 돌파구가 될 것이다. LG Electronics had awareness and trust in devices based on creative technologies and a consumer-intimate concept. However, the smart phone's market share analysis showed a slump in Europe and Asia markets. Although many researchers have tried to study deep into a subject in order to solving it, they didn't utilize above results from suggesting a specific strategies. Therefore, this study specifies a cause of poor growth based on the exciting studies and suggest an effective solution. The section of current state consists of smart phone’s market share of a domestic and overseas, problems about chase of China and absence from a competitive image and current strategies. Especially, this study mentions solutions focused on solving the absence from a competitive image. Also there is all-around advertising strategy. First, it is ways for making the special image 1) To build the representative image 2) Revolution of productions and 3) To cooperate with a design part. Second, new public relations promote(PR) is improved as aggressive marketing throughout SNS by following of trends and distincts from exciting marketing as durability and a great ripple effect. The strategies make LG to dramatically go into an emerging market, solidify its place at an advanced market by complementing and enhancing LG's weakness and maximize strength and opportunities. These will be a breakthrough in successfully re-enter into a huge China’s market with deterioration all over the electronic part.

그리 아니하실지라도 왕의 신들을 섬기지도 아니하고

박에스더 새가정사 1996 새가정 Vol.- No.-

The prevalence of hypertension in Haiti : A retrospective study

박에스더,장군자 한국데이터정보과학회 2015 한국데이터정보과학회지 Vol.26 No.4

The purpose of this study was to explore the prevalence of hypertension in Haiti and to describe regional characteristics, and thus to speculate Haitian specific regional risk factors. This is a descriptive and comparative study. Subjects were 145 male/female Haitians, who aged between 30 and 59 and have lived in rural areas, had their hypertension indicators being screened. Data were analyzed with descriptive statistics, t-test and ANOVA. More than four fth of the subjects (82.8%) showed pre-hypertensive or moderate to severe hypertensive condition. 65.5% of the total had abnormal pulse pressure (PP≥50) and 13.8% of the sample showed tachycardia (Heart Rate≥100). Female Haitian tended to have higher diastolic blood pressure and faster heart rate than male Haitian. The residents who lived in Part 5-1 area with less accessibility to drinking water tended to have higher systolic and diastolic pressure. Hydration status of Haitians was highly considered as an affecting factor on the distribution of hypertension as evidenced by different level of accessibility to drinking water.

나는 '프로'이고 싶다

박에스더 인구보건복지협회 2000 가정의벗 Vol.33 No.9

신생아 후기에 증상을 발현하여 비교적 양호한 예후를 보이는 Carbamoyl Phosphate Synthetase 1 Deficiency 1례

박에스더,김민선,송아리,임민지,장자현,김지혜,조성윤,진동규,Park, Esther,Kim, Min-sun,Song, Ari,Im, Min Ji,Jang, Ja-Hyun,Kim, Ji Hye,Cho, Sung Yoon,Jin, Dong-Kyu 대한유전성대사질환학회 2018 대한유전성대사질환학회지 Vol.18 No.1

Carbamoyl phosphate synthetase 1 (CPS1) 결핍은 고암모니아혈증을 특징으로 하는 요소 회로 이상 질환 중 하나로 상염색체 열성으로 유전되며 2q35 염색체에 존재하는 CPS1 유전자 변이로 인해 발생된다. CPS1 결핍은 발병 연령에 따라 신생아형과 신생아기 이후에 발생하는 지연형으로 나뉜다. CPS1 결핍의 임상 양상의 중증도는 주로 효소 활성 결핍의 정도에 따라 다를 수 있으며, 고암모니아혈증으로 신경 기능 이상 및 장애를 초래하게 된다. 본 증례는 생후 25일 즈음 구토, 의식 저하, 고암모니아혈증을 보여 시행한 생화학적, 분자유전학적 검사(targeted gene panel sequencing)를 통해 CPS1 결핍을 진단하였다. 수액 치료, 관장, 소듐 벤조에이트 치료로 고암모니아혈증 및 임상 양상 호전 보여 응급 투석을 시행하지 않았으며 생후 17개월까지 관찰한 결과 고암모니아혈증의 재발없이 성장과 발달 및 신경학적 예후가 좋음을 보고하는 바이다. Carbamoyl phosphate synthetase 1 deficiency (CPS1D) is a rare autosomal recessive urea cycle disorder characterized by hyperammonemia. CPS1D is caused by mutations in the CPS1 gene on chromosome 2q35. Based on the age of onset, there are two phenotypes: the neonatal type and the delayed-onset type. The severity of clinical manifestation depends on the degree of CPS1 residual enzymatic activity, and can result in hyperammonemia and neurological dysfunction. We report a case of CPS1D in a neonate who developed vomiting, decreased consciousness and hyperammonemia at 25th day after birth. She showed excellent response to treatment including hydration, ammonia-lowering drugs and a low-protein diet without hemodialysis. Her growth, development and neurological outcomes were fair at the last follow-up at 17 months of age.