• 제목/요약/키워드: Cause by case

검색결과 3,354건 처리시간 0.03초

인과지도를 활용한 건설 안전사고 원인 분석 : 안전문화 관점 (A Cause Analysis of the Construction Incident Using Causal Loop Diagram : Safety Culture Perspective)

  • 최윤길;조근태
    • 한국안전학회지
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    • 제35권2호
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    • pp.34-46
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    • 2020
  • Unlike research focused on existing technologies and individual errors to analyze the causes of incidents, this study approached them from an organization and culture. And this study is not a one way study but cyclical study what can track cause down using causal loop diagram methodology. Four diagnostic criteria for the negative state of the safety culture : secretive, blame, failure to learning, and incremental learning, combine literature study and expert opinion to derive 41 variables. Connecting these variable make 4 causal loop diagrams and total causal loop diagram. Case accumulation in secretive, accident report in blame, knowledge accumulation in failure to learning, near miss discovery in incremental learning are the main variables. Safety incident is the objective variable by classifying them into 4 stages in total loop, leading track as the most affect is case accumulation, and Step 4 as you can see accident report and near miss discovery are the result of tracking down the cause. This study can be used as a basis for improving the management priority and the system in incident prevention.

승강기용 웜기어 방식 권상기의 점식 발생 사례 (Case Study for Pitting of Elevator's Worm Gear Type Traction Machine)

  • 서상윤;최병근;양보석;이선순;김성협
    • 한국소음진동공학회논문집
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    • 제22권11호
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    • pp.1064-1070
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    • 2012
  • This paper analyzes the pitting's cause of elevator's worm gear type traction machine. To find a cause of pitting problem, we analyzed vibration, a proper design allowance and lubrication. We brought a conclusion that the cause of pitting is not a simple vibration problem, such as misalignment of worm reducer and rail, but mostly related to a designed allowance. In this case, the allowance is tight. In general, the allowance of traction machine and lubrication is varied by manufacturers. When the allowance is tight, a proper lubrication can diminish the pitting problem.

R&D 지원제도와 기업 R&D 지출액간 관계 분석: 정부 R&D 보조금과 세제혜택을 중심으로 (An Analysis of Relationship between R&D Policies and Firm R&D Expenditures: Focused on R&D Subsidies and Tax Incentives)

  • 서규원;이창양
    • 기술혁신연구
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    • 제14권1호
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    • pp.101-118
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    • 2006
  • The relationship between R&D Polices(R&D subsidy, tax incentives) and firm R&D expenditures is analyzed through firm's profit maximization function. As a result, the relationship between R&D policies and fmn R&D expenditures is determined by the relationship between firm R&D expenditures and market price. In case of major innovation which cause the fall of market price, the elasticity R&D subsidy and firm R&D expenditures is negative(substitution). In case of minor innovation which cause the rise of market price, the elasticity R&D subsidy and firm R&D expenditures is positive(complement). Tax incentives is bring about the increase of firm R&D expenditures. R&D subsidy and tax incentives are substitutively influenced at firm R&D expenditures.

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전력케이블 고장원인 분석에 관한 사례연구 (A Case Study on the Failure Cause Analysis of Power Cables)

  • 황광수;최종수;정종욱;정진수
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2007년도 추계학술대회 논문집
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    • pp.345-347
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    • 2007
  • 본 논문에서는 전력케이블 및 그 부속설비에 대한 사고원인을 분석한 사례를 서술하였다. 사고원인을 정밀하게 분석하기 위해서 케이블 외관의 육안검사 단계부터 케이블 해체 단계까지 전기적 검사 및 화학적 검사를 실시하였다. 분석결과, 전력케이블은 시공방법을 준수하지 않아서 수축튜브의 마감부위에 전계가 집중되어 가압 이후 지속적인 부분방전이 발생하여 케이블에 누적된 스트레스로 인해 발생한 고장으로 추정되었다.

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우측 근위부 쇄골하 동맥류의 수술치험 - 1예 보고 - (Aneurysm of the Proximal Subclavian Artery - A case report -)

  • 조재민;조혜원
    • Journal of Chest Surgery
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    • 제41권5호
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    • pp.655-658
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    • 2008
  • 쇄골하 동맥류는 매우 드문 질환으로 전체 말초혈관동맥류의 약 1%로 알려져 있다. 원인은 동맥경화증이 가장 흔하며 파열, 혈전 및 색전증, 국소적 압박 등을 야기할 수 있다. 치료는 외과적 수술이 일반적이다. 저자들은 우측 쇄골하 동맥의 근위부에 발생한 동맥류를 배제법으로 수술하여 좋은 결과를 얻었기에 보고하는 바이다.

Ileal Perforation with Norovirus Gastroenteritis in a 3-Month-Old Infant

  • Wi, Seol Woo;Lee, Su Jin;Kang, Eun Kyeong;Cho, Sung Min
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제20권2호
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    • pp.130-133
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    • 2017
  • Noroviruses have been recognized as the leading cause of epidemic and sporadic gastroenteritis since the advent of molecular diagnostic technique. They have been documented in 5-31% of pediatric patients hospitalized with gastroenteritis. Although norovirus gastroenteritis is typically mild and self-limited, it causes severe, but sometimes fatal, conditions in the vulnerable population such as immunocompromised patients, young children, and the elderly. Bowel perforation due to norovirus infection is rare. We report a case of small bowel perforation with norovirus gastroenteritis in the infant with Down syndrome during the hospitalization with pneumonia. Severe dehydration may cause bowel ischemia and could have triggered bowel perforation in this case. Physicians should be alert to the potential surgical complications followed by severe acute diarrhea, especially in high risk groups.

후두에 발생한 소낭낭포 1례 (A Case of Laryngeal Saccular Cyst)

  • 최홍식;김영호;이성민;홍원표
    • 대한후두음성언어의학회지
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    • 제8권2호
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    • pp.235-238
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    • 1997
  • Laryngeal saccular cyst may develop when obstruction of the orifice of the saccule occurs with resultant dilatation of saccule. It is classified into anterior saccular cyst and lateral saccular cyst. When saccular cyst occurs in infancy, it usually may cause respiratory distress, inspiratory stridor, cyanosis and dysphagia. In adults, it may cause hoarseness, dyspnea, dysphagia, pain and neck mass. The laryngeal saccular cyst may be treated by its removal with endoscopic or external approach, depending on the classification of saccular cysts, its size and individual patient factor. Recently, we have experienced a case of laryngeal saccular cyst so we report our clinical experience with brief review of literature.

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경부에 발생한 기무라씨병 1례 (A Case of Kimura's disease)

  • 김춘일;김상후;정대건;박용수
    • 대한기관식도과학회지
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    • 제3권2호
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    • pp.323-326
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    • 1997
  • Kimura's disease is a chronic inflammatory disease which often presents as a tumor like swelling in the head and neck region. This lesion is benign but it may easily be mistaken for a malignant tumor. Kimura's disease has been confused with angiolymphoid hyperplasia with eosinophilia(ALHE). The cause is unknown, but theories include autoimmune, allergic, neoplastic, and infectious cause by insect bites and parasites. The treatment of choice is surgical removal. Recently we experienced a case of Kimura's disease occuring in the both side of posterior neck triangle area of a 37 year old male patient who was treated with surgical excision and systemic corticosteroid administration.

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Extradigit Glomus Tumor Causing Abdominal Pain - A Case Report -

  • Kim, Yeon-Dong;Son, Ji-Seon;Lee, Jung-Woo;Han, Young-Jin;Choi, Hoon;Jeong, Yeon-Jun
    • The Korean Journal of Pain
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    • 제25권2호
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    • pp.108-111
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    • 2012
  • Glomus tumors are small vascular tumors that are usually benign and rarely occur. They originate from glomus bodies and present in the reticular dermis. They are clinically distinguished by their small size and their ability to cause extreme pain. Most of these tumors are subungually located. However, atypical locations of the tumors sometimes cause misdiagnosis, particularly when the lesion is rarely reported. Therefore, we report a case of glomus tumor which presented with chronic abdominal pain, found in the abdominal wall that has never been reported before.

판막치환술 후 심한 용혈 현상으로 재치환한 경험 (Severe Hemolysis after St. Jude Medical Valve Replacement in the Aortic Position -A Redo Case Report -)

  • 조영철
    • Journal of Chest Surgery
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    • 제21권4호
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    • pp.706-710
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    • 1988
  • Intravascular hemolysis occurs in the majority of patient with mechanical valve prosthesis. The primary cause is mechanical trauma to red cells from turbulent blood flow through the prosthesis. Degree of hemolysis is dependent upon the type, size and material of valve and aggravated by paravalvular leakage. Clinically important hemolytic anemia is required medical management or consideration of reoperation. In severe hemolysis, reoperation is recommended without delay when seems to be renal failure. In this case, postoperative severe mechanical hemolysis was developed immediately after aortic valve replacement with St. Jude medical valve in a 13 year-old male patient. Neither significant paravalvular leakage nor valvular dysfunction was found through redo, but the mechanical valve was strongly suspected the cause of severe hemolysis. The St. Jude Medical valve was changed with Ionescu-Shiley bioprosthesis and any significant clinical problems were not noted through the postoperative course.

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