• Title/Summary/Keyword: Human cause

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Comparative Analysis on the Causes and Frequency of Recent Gas Pipelines Accidents in Major Overseas Countries (해외 주요국에서의 최근 가스배관 사고의 원인과 빈도의 비교 분석)

  • Kim, Dae-Woong;Bae, Kyung-Oh;Shin, Hyung-Seop;Kim, Woo-Sik
    • Journal of the Korean Institute of Gas
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    • v.22 no.3
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    • pp.53-64
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    • 2018
  • Natural gas is an explosive fluid and can cause severe human/material damage when buried high-pressure pipeline is failure, and there have been reported cases of considerable human life damage to actual buried pipeline failure. In domestic cases, the length and duration of pipeline operating are short due to rapid growth. Therefore, it is a fact that the establishment of effective accident data is insufficient for the cause of the accident. In order to systematically construct an accident database, the operation history of natural gas pipeline is longer than domestic, and the cause and frequency analysis of recent natural gas pipeline related accidents occurred in overseas major countries with a long pipeline network was conducted. Then, after grasping the trend of occurrence frequency by incident cause, we tried to establish the foundation for securing the stability of the domestic high-pressure gas transport pipeline network.

An Analysis of Operating Experience Reports on the Foreign JIT (해외 JIT에 수록된 운전경험 분석)

  • Lee, Sang-Hoon;Kim, Jae-Hun;Song, Tae-Young
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.10 no.1
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    • pp.70-74
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    • 2014
  • An Operating Experience Report(OER) has written about events and accidents happened at a Nuclear Power Plant(NPP). The purpose of publishing the OER is to prevent the similar event or accident repeatedly by spreading the experience of a single plant to other plants personnel. In this paper, it is analyses that the foreign NPPs' OERs on JIT published by the International Nuclear Agency(WANO, INPO, COG, BE). The analysis introduced in this paper is performed along with the various factors such as type of work, root-cause, and equipment. The root-cause analysis about the OERs shows that the Human-error is the major factor in foreign NPPs, but on the other hand equipment problem is the main part of the Domestic NPPs. The ratio of the foreign NPP's OERs on JIT according to the type of work was applied to KHNP-JIT developed nowadays for the first time in KOREA.

An Analysis of Operating Experience Reports Published in the Domestic Nuclear Power Plants for Resent 5 Years (최근 5년간 국내원전 운전경험보고서 분석)

  • Lee, Sang-Hoon;Kim, Je-Hun;Hur, Nam-Young
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.9 no.1
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    • pp.35-39
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    • 2013
  • The Operating Experience Report(OER) has written about the event and accident happened at a Nuclear Power Plant(NPP). The purpose of publishing the OER is to prevent the similar event or accident repeatedly by spreading the experience of a single plant to other plants personnel. Before initiating the analysis mentioned in this paper, 2,298 review reports for the same number of OER published from 2007 to June 2012 have been written to achieve the correct and objective statistics. The analysis introduced in this paper is performed with the various factors such as year, plant type, equipment, type of work, root-cause. The root-cause analysis is showed that the equipment problem is the major factor in domestic NPPs, but on the other hand human-error is the main part of the foreign NPPs. Moreover, while the number of the man-made event is decreasing, the equipment-made event is rapidly increasing in domestic NPPs.

Theoretical Model for Accident Prevention Based on Root Cause Analysis With Graph Theory

  • Molan, Gregor;Molan, Marija
    • Safety and Health at Work
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    • v.12 no.1
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    • pp.42-50
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    • 2021
  • Introduction: Despite huge investments in new technology and transportation infrastructure, terrible accidents still remain a reality of traffic. Methods: Severe traffic accidents were analyzed from four prevailing modes of today's transportations: sea, air, railway, and road. Main root causes of all four accidents were defined with implementation of the approach, based on Flanagan's critical incident technique. In accordance with Molan's Availability Humanization model (AH model), possible preventive or humanization interventions were defined with the focus on technology, environment, organization, and human factors. Results: According to our analyses, there are significant similarities between accidents. Root causes of accidents, human behavioral patterns, and possible humanization measures were presented with rooted graphs. It is possible to create a generalized model graph, which is similar to rooted graphs, for identification of possible humanization measures, intended to prevent similar accidents in the future. Majority of proposed humanization interventions are focused on organization. Organizational interventions are effective in assurance of adequate and safe behavior. Conclusions: Formalization of root cause analysis with rooted graphs in a model offers possibility for implementation of presented methods in analysis of particular events. Implementation of proposed humanization measures in a particular analyzed situation is the basis for creation of safety culture.

The Study on the Pityriasis Rosea in Oriental-Western Medicine (장미색비강진에 대한 동서의학적 고찰)

  • Lee, Kyou-Young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.35 no.4
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    • pp.106-122
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    • 2022
  • Objectives : In this study, we aimed to analyze the latest knowledge of pityriasis rosea(PR) through oriental-western medical review on PR. Methods : We searched Pubmed, CNKI, and OASIS to select papers related to the cause, mechanism, diagnosis, classification, treatment, and herbal treatment of PR. Results : The results are as follows. 1. Although the exact cause of PR is not known, it has recently been found that reactivation of latent human herpesvirus-6 and human herpesvirus-7 infection is a possible etiology. Most patients require emollients, antihistamines, topical steroids, and macrolides. Acyclovir, and narrow-band UVB therapy are also used. 2. The cause and mechanism of PR in Chinese and Korean medicine can be mainly summarized as wind-heat, blood heat, and blood deficiency and wind-dryness. Most of the herbal medicine used have the effects of clearing heat, cooling the blood, detoxifying, dispelling wind, relieving itching, nourishing blood, and moistening dryness. Conclusions : In Chinese and Korean medicine, it is necessary to organize the representative prescriptions according to pattern identification, and it is also necessary to study the atypical types of PR and its treatment methods. It is thought that research on oriental and western combination therapy should be continuously conducted, and efforts to develop Korean medicine formulations are needed to revitalize clinical research in Korea.

Characteristics Analysis of Accident Factors of UK Civil Unmanned Aircraft Using SHELL Model and HFACS (SHELL 모델과 HFACS를 활용한 영국 민간 무인 항공기 사고 요인 특징 분석)

  • Do Yun Kim;Jo Won Chang
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.32 no.1
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    • pp.1-9
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    • 2024
  • The unmanned aerial vehicle industry has developed a lot, but the possibility of accidents is increasing due to potential risks. In this study, SHELL models and HFACS were used to analyze unmanned aerial vehicle accidents in the UK and to identify the main causes and characteristics of accidents. The main cause analyzed by the SHELL model was identified as an abnormality in the alarm system. The main cause of the accident analyzed by HFACS was identified as the technical environment. The common cause identified by the SHELL model and HFACS was identified as a mechanical problem of unmanned aerial vehicles. This is due to the lack of accurate information or functionality of the alarm system in the operator interface, which often prevents the operator from responding to sensitive information. Therefore, in order to prevent civil UAV accidents, the stability and reliability of the system must be secured through regular inspections of the UAV system and continuous software updates. In addition, an ergonomic approach considering human interfaces is needed when developing technologies.

Study on the Human Error Prevention Collision Avoidance Model using Merchant Ship Collision Accident Analysis (상선 충돌사고 분석을 이용한 인적과실 예방 충돌회피모델 연구)

  • Kim, Do-Hoon
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.6
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    • pp.918-927
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    • 2022
  • The purpose of this study was to investigate the causes of collisions by examining 668 cases of merchant ship collision accidents that occurred during the past 12 years (2010-2021) and analyzed them statistically. Further, the analysis results were applied to propose a human error prevention collision avoidance (HEPCA) model. The statistical annual report of the Korea Maritime Safety Tribunal (KMST) and the collision investigation report were investigated to collect data on the causes of collisions of merchant ships, and frequency analysis was performed using the statistical analysis tool, SPSS Statistics. In the first-stage analysis, the causes of collisions were analyzed targeting 668 merchant ship collision accidents, and in the second-stage analysis, the identified maximum frequency cause factors were analyzed in detail. The analysis results identified that 98 % of the cause of the collision was the human error of the navigator, and the highest frequency was in the order of neglect of look-out > violation of navigation regulations > improper maneuvering. The cause of the neglect of look-out was mainly neglecting continuous monitoring after the first recognition of the target ship. The HEPCA model for human error prevention was proposed by applying the analysis results to the collision case of the investigation report. The results of this study are expected to be used as educational materials at marine navigator educational institutions and in practice for avoiding collisions caused by human errors of navigators.

Coevolution between Human's Anticancer Activities and Functional Foods from Crop Origin Center in the World

  • Zeng, Ya-Wen;Du, Juan;Pu, Xiao-Ying;Yang, Jia-Zhen;Yang, Tao;Yang, Shu-Ming;Yang, Xiao-Meng
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.6
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    • pp.2119-2128
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    • 2015
  • Cancer is the leading cause of death around the world. Anticancer activities from many functional food sources have been reported in years, but correlation between cancer prevalence and types of food with anticancer activities from crop origin center in the world as well as food source with human migration are unclear. Hunger from food shortage is the cause of early human evolution from Africa to Asia and later into Eurasia. The richest functional foods are found in crop origin centers, housing about 70% in the world populations. Crop origin centers have lower cancer incidence and mortality in the world, especially Central Asia, Middle East, Southwest China, India and Ethiopia. Asia and Africa with the richest anticancer crops is not only the most important evolution base of humans and origin center of anticancer functional crop, but also is the lowest mortality and incidence of cancers in the world. Cancer prevention of early human migrations was associated with functional foods from crop origin centers, especially Asia with four centers and one subcenter of crop origin, accounting for 58% of the world population. These results reveal that coevolution between human's anticancer activities associated with functional foods for crop origin centers, especially in Asia and Africa.

Analysis of factors involved in brain-death donor processing for face transplantation in Korea: How much time is available from brain death to transplantation?

  • Hong, Jong Won;Chung, Soon Won;Ahn, Sung Jae;Lee, Won Jai;Lew, Dae Hyun;Kim, Yong Oock
    • Archives of Plastic Surgery
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    • v.46 no.5
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    • pp.405-413
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    • 2019
  • Background Face transplantation has naturally evolved from reconstructive procedures. However, few institutions perform face transplantations, because it is time-consuming and it is necessary to justify non-vital organ transplantation. We investigated the process of organ donation from brain-dead patients and the possibility of incorporating face transplantation into the donation process. Methods A retrospective review was performed of 1,074 brain-dead patients from January 2015 to December 2016 in Korea. We analyzed the time intervals from admission to brain death decisions (first, second, and final), the causes of brain death, and the state of the transplanted organs. Results The patient base (n=1,074) was composed of 747 males and 327 females. The average period between admission to the first brain death decision was 8.5 days (${\pm}15.3$). The average time intervals between the first brain death decision and medical confirmation using electroencephalography and between the first brain death decision and the final determination of brain death were 16 hours 58 minutes (${\pm}14hours$ 50 minutes) and 22 hours 57 minutes (${\pm}16hours$ 16 minutes), respectively. The most common cause of brain death was cerebral hemorrhage/stroke (42.3%), followed by hypoxia (30.1%), and head trauma (25.2%). Conclusions When face transplantation is performed, the transplantation team has 22 hours 57 minutes on average to prepare after the first brain death decision. The cause of brain death was head trauma in approximately one-fourth of cases. Although head trauma does not always imply facial trauma, surgeons should be aware that the facial tissue may be compromised in such cases.

Deep Learning-Based Outlier Detection and Correction for 3D Pose Estimation (3차원 자세 추정을 위한 딥러닝 기반 이상치 검출 및 보정 기법)

  • Ju, Chan-Yang;Park, Ji-Sung;Lee, Dong-Ho
    • KIPS Transactions on Software and Data Engineering
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    • v.11 no.10
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    • pp.419-426
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    • 2022
  • In this paper, we propose a method to improve the accuracy of 3D human pose estimation model in various move motions. Existing human pose estimation models have some problems of jitter, inversion, swap, miss that cause miss coordinates when estimating human poses. These problems cause low accuracy of pose estimation models to detect exact coordinates of human poses. We propose a method that consists of detection and correction methods to handle with these problems. Deep learning-based outlier detection method detects outlier of human pose coordinates in move motion effectively and rule-based correction method corrects the outlier according to a simple rule. We have shown that the proposed method is effective in various motions with the experiments using 2D golf swing motion data and have shown the possibility of expansion from 2D to 3D coordinates.