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Background: Safety climate and occupational stress are related with occupational accident. The present study tried to identify the differences in safety climate and occupational stress according to occupational accidents experience and employment type (e.g., direct workers and subcontract workers). Methods: In this study, we conducted a survey using safety climate scale and Korean Occupational Stress Scale and classified the participants into four groups: direct workers working for accident-free departments, direct workers working for accident departments, subcontract workers working for accidentfree departments, and subcontract workers working for accident departments for 2 years within the same workplace in the shipbuilding industry. Results: The direct workers and subcontract workers showed diverse results in subscales of safety climate and occupational stress. This result is supported by existing studies; however, further study is necessary for more supporting evidence and elaborative methodological approach. Conclusion: The necessity of management for safety climate and psychosocial factor such as occupational stress for both direct workers and subcontract workers as a whole is suggested by this study.
Primary care physicians who can deliver high quality primary care services are essential for strengthening the primary health care system. In Korea, primary care was regarded as substandard services practiced by any medical doctor without postgraduate education in primary care. The current and future health care systems are challenged by increasing complexity and co-morbidity and healthcare costs in medical care. The developed countries are preparing for the future by increasing support for basic, postgraduate, and continuing medical education in primary care. To strengthen the primary care in Korea, basic medical education programs should require experience in primary care clinics with a teaching and education function. Postgraduate primary care medical education must be enhanced to be qualified to practice in the community. The recognition of the importance of primary care and the need for changes in the current education and healthcare system among medical professionals and other stakeholders and support systems such as legislation and finance for primary care medical education.
Was transmitting by word of mouth came and is old became the record which oral tradition literature flowed and stopped, there is a possibility of doing. Is old according to the communicator who crawls and periodic quality the transfiguration which is various is possible,was a literature the many people will be able to participate. The Korean modern fairy tale became oral tradition literature and the fairy tale format of the base lower part foreign nation old was and to flow developed and came. Features of the actuality which the children is placed and the actual fairy tale which is model of modern fairy tale which as life fairy tale comes to call or maintains the narrative form of the West Europe much, becomes oral tradition and the model old is accomplishing the base. The transmission fairy tale is having the questionable matter which is important is oral tradition literature extension of today when accommodates a narrative style. Not only currently and time the children with subject matter provides sympathy to the children of future and makes a historical ceremony and a populace ceremony cherish naturally. The transmission fairy tale oral tradition literature extension is to belong in the modern oral tradition literature category which exists,currently is read future of transmission fairy tale new direction,presents rewrite and re-creative writing method evening twilight which make oral tradition most of characteristics. An old tale namely transmission fairy tales only the wall which pushes knows until mythical legend and accusation opinion the style concept rewrite and re-creative writing year came without with an old tale. From old is this giga ancient times and becomes oral tradition to surpass a space-time is a form which becomes accomplished from connection. As the style where the transmission fairy tale the place catching today clearly from style inside of assimilation is expanded one the place charging, will be able to present about the possibility which is the possibility of doing. Also study at once about modern rewrite and re-creative writing of transmission fairy tale about story changes study. According to time and culture and subject the talk is changed how and is created newly about study. The play and movie and drama lives one talk in the time when develops or with the character goods. an old tale plots various are transfigured in the form which is various and to prepare the creation water and, a value and is to make to be. Come to become oral, tradition an old tale rewrite and re-creative writing which not only oral tradition literature genre expansions present story source provision and rewrite and re-creative writing meaning and the method with today to plan the variety of assimilation, will be able to expect the effect which the child literature the children will be able to participate together presents a new model. An from old tale ancient surpasses a space-time and is succeeded and is come but, the transmission fairy tale of today is gratulating a new situation. The interest and the research which are active only oral tradition literature know with juvenile literature develop the literary area which is various also one are for a long time thick thing about transmission fairy tale.
Transfusion-related acute lung injury (TRALI) is defined as a new episode of acute lung injury that occurs during or within 6 hours of a completed transfusion, which has been the leading cause of transfusion-related death. We present a suspected case of TRALI in a 30-year-old parturient with gestational ITP scheduled for cesarean section. The parturient developed hypoxemia and pulmonary edema after platelet concentrate transfusion during perioperative period. The parturient completely recovered after an oxygen support for 4 days. It is important to recognize TRALI as soon as possible to minimize perioperative morbidity and mortality. (Anesth Pain Med 2011; 6: 275∼279)
We experienced a case of venous vessel wall entrapment between the introducer needle and the guide wire during an attempt to perform right internal jugular vein (IJV) catheterization. The guide wire was introduced with no resistance but could not be withdrawn. We performed ultrasonography and C-arm fluoroscopy to confirm the entrapment location. We assumed the introducer needle penetrated the posterior vessel wall during the puncture and that only the guide wire entered the vein; an attempt to retract the wire pinched the vein wall between the needle tip and the guide wire. Careful examination with various diagnostic tools to determine the exact cause of entrapment is crucial for reducing catastrophic complications and achieving better outcomes during catheterization procedures.