• Title/Summary/Keyword: Root Cause Analysis

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Problem Analysis and Improvement Strategy for the Suicide Prevention Act (자살예방법의 문제점과 개선방안)

  • Shin, Kwon-Chul
    • Journal of Legislation Research
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    • no.44
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    • pp.689-723
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    • 2013
  • Suicide is Korea's first leading cause of death in their twenties and thirties. at a rate of 31.2 per 100,000 in 2010. The Korea suicide rate is over twice higher than OECD's average rate. Because of this reality the suicide prevention act(full title, the Act on Prevention of Suicide and Creation of Culture that Respects Life) was enacted in 2011. In 2008, the Korean government planned the suicide prevention programs to decrease the incidence of suicide to approximately 20 per 100,000 by the end of 2013. Despite the plan the suicide rate in Korea has increased to over 30 per 100,000 since 2009 and the plan was proved to be failed. Consequently, the government was unable to lower the suicide rate in last decade. It has shown that the reduction of suicide rate is a difficult and complex problem. This study shows that the root cause of suicide is based on social and legal exclusion and proposes that suicide prevention measures should be aimed at social cohesion and legal protection.

Finding Hazard Factors by New Risks on Maritime Safety in Korea

  • Park, Deuk-Jin;Park, Seong-Bug;Yang, Hyeong-Sun;Yim, Jeong-Bin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.3
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    • pp.278-285
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    • 2016
  • The key features of maritime accidents are the change of their attributes by new risks from time to time. To prevent maritime accidents in Korea, the impacts by new risks on domestic safety environments should be identified or predicted. The purpose of this paper is to find the hazard factors by new risks on maritime safety in Korea. The meaning of new risks is the elements of accident hazard which is compiled from new or rare or unprecedented events in the worldwide maritime transportations. The problems of new risks are the lacks of optimum countermeasures to mitigate accident risks. Using the questionnaires with 152 event scenarios classified by 20 accident causes, the hazard identification and risk analysis of new risks was performed based on the Formal Safety Assessment (FSA) by IMO. A total of 22 Influence Diagrams, which is to depict the transit flows between accident causes to consequences, is used in the construction of 152 event scenarios. A total of 20 accidents causes is the same contents as the causation factors represented in Statistical Year Book for Maritime Accidents of Korean Maritime Safety Tribunals. After defining the evaluation equations to the response results of questionnaires by 46 experts, the work for risk analysis is carried out. As results from the analysis of 152 scenarios, it is known that the root cause to affect on maritime safety in Korea is the pressure of business competition and it led to the lacks of well experienced crews, the overload of vessel operations and crew's fatigue. In addition, as results from the analysis of 20 accident causes, the three accident causes are to be candidate as main issues in Korea such as the inadequate preparedness of departure, the neglecting of watch keeping in bridge and the inadequate management of ship operations. All of the results are thought to be as basic hazard factors to safety impediments. It is thus found that the optimum Risk Control Options to remove the hazard factors and to mitigate consequences required are the following two factors: business competition and crewing problems.

Stress Relaxation Coefficient Method for Concrete Creep Analysis of Composite Sections (합성단면의 콘크리트 크리프 해석을 위한 이완계수법)

  • Yon, Jung-Heum;Kyung, Tae-Hyun;Kim, Da-Na
    • Journal of the Korea Concrete Institute
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    • v.23 no.1
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    • pp.77-86
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    • 2011
  • The concrete creep deformation of a hybrid composite section can cause additional deformation of the composite section and the stress relaxation of pre-compressive stress on the concrete section due to partial restraint of the deformation. In this study, the stress relaxation coefficient method (SRCM) is derived for simple analysis of complicate hybrid or composite sections for engineering purpose. Also, an equation of the stress relaxation coefficient (SRC) required for the SRCM is proposed. The SRCM is derived with the parameters of a creep coefficient, section and loading properties using the same method as the constant-creep step-by-step method (CC-SSM). The errors of the SRCM is improved by using the proposed SRC equation than the average SRC's which were estimated from the CC-SSM. The root mean square error (RMSE) of the SRCM with the proposed SRC equation for concrete with creep coefficient less than 3 was less than 1.2% to the creep deformation at the free condition and was 3.3% for the 99% reliability. The proposed SRC equation reflects the internal restraint of composite sections, and the effective modulus of elasticity computed with the proposed SRC can be used effectively to estimate the rigidity of a composite section in a numerical analysis which can be applied in analysis of the external restrain effect of boundary conditions.

A Study on the Improvement of Brake Judder in Korean Light Tactical Vehicles (한국형 전술차량 제동 시 차체 떨림 개선에 관한 연구)

  • Kim, Sung-Gon;Kim, Seon-Jin;Shin, Cheol-Ho;Yun, Seong-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.6
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    • pp.432-439
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    • 2020
  • Brake judder has been identified in some operating military units of Korean Light Tactical Vehicles(KLTV) with In-board brake systems to improve braking performance. Severe vibration generated while driving the vehicle may reduce the KLTV's driving stability and further lead to accidents. For the prevention of this, this study analyzes the root cause through the failure analysis on the vehicles with the brake judder identified. Furthermore, the improvement factor was derived by identifying a vibration transmission path by analyzing the vibration transmission mechanism. The study analysis confirmed that the vibration of the frame during braking in the tactical vehicle is a cold judder phenomenon, which is caused by an increase in disk thickness variation due to rust and foreign substances under excessive brake disc's run-out. In addition, it was confirmed that such vibration can be reduced by improving the mounting structure. So, an improvement method for each factor was suggested and its effectiveness was verified by comparison test. Finally, it is expected that the improvement plans derived through this study can be used in the development of a next military vehicle.

Spontaneous bone regeneration after surgical extraction of a horizontally impacted mandibular third molar: a retrospective panoramic radiograph analysis

  • Kim, Eugene;Eo, Mi Young;Nguyen, Truc Thi Hoang;Yang, Hoon Joo;Myoung, Hoon;Kim, Soung Min
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.4.1-4.10
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    • 2019
  • Background: The mandibular third molar (M3) is typically the last permanent tooth to erupt because of insufficient space and thick soft tissues covering its surface. Problems such as alveolar bone loss, development of a periodontal pocket, exposure of cementum, gingival recession, and dental caries can be found in the adjacent second molars (M2) following M3 extraction. The specific aims of the study were to assess the amount and rate of bone regeneration on the distal surface of M2 and to evaluate the aspects of bone regeneration in terms of varying degree of impaction. Methods: Four series of panoramic radiographic images were obtained from the selected cases, including images from the first visit, immediately after extraction, 6 weeks, and 6 months after extraction. ImageJ software® (NIH, USA) was used to measure linear distance from the region of interest to the distal root of the adjacent M2. Radiographic infrabony defect (RID) values were calculated from the measured radiographic bone height and cementoenamel junction with distortion compensation. Repeated measures of analysis of variance and one-way analysis of variance were conducted to analyze the statistical significant difference between RID and time, and a Spearman correlation test was conducted to assess the relationship between Pederson's difficulty index (DI) and RID. Results: A large RID (> 6 mm) can be reduced gradually and consistently over time. More than half of the samples recovered nearly to their normal healthy condition (RID ≤ 3 mm) by the 6-month follow-up. DI affected the first 6 weeks of post-extraction period and only showed a significant positive correlation with respect to the difference between baseline and final RID. Conclusions: Additional treatments on M2 for a minimum of 6 months after an M3 extraction could be recommended. Although DI may affect bone regeneration during the early healing period, further study is required to elucidate any possible factors associated with the healing process. The DI does not cause any long-term adverse effects on bone regeneration after surgical extraction.

Fault Localization for Self-Managing Based on Bayesian Network (베이지안 네트워크 기반에 자가관리를 위한 결함 지역화)

  • Piao, Shun-Shan;Park, Jeong-Min;Lee, Eun-Seok
    • The KIPS Transactions:PartB
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    • v.15B no.2
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    • pp.137-146
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    • 2008
  • Fault localization plays a significant role in enormous distributed system because it can identify root cause of observed faults automatically, supporting self-managing which remains an open topic in managing and controlling complex distributed systems to improve system reliability. Although many Artificial Intelligent techniques have been introduced in support of fault localization in recent research especially in increasing complex ubiquitous environment, the provided functions such as diagnosis and prediction are limited. In this paper, we propose fault localization for self-managing in performance evaluation in order to improve system reliability via learning and analyzing real-time streams of system performance events. We use probabilistic reasoning functions based on the basic Bayes' rule to provide effective mechanism for managing and evaluating system performance parameters automatically, and hence the system reliability is improved. Moreover, due to large number of considered factors in diverse and complex fault reasoning domains, we develop an efficient method which extracts relevant parameters having high relationships with observing problems and ranks them orderly. The selected node ordering lists will be used in network modeling, and hence improving learning efficiency. Using the approach enables us to diagnose the most probable causal factor with responsibility for the underlying performance problems and predict system situation to avoid potential abnormities via posting treatments or pretreatments respectively. The experimental application of system performance analysis by using the proposed approach and various estimations on efficiency and accuracy show that the availability of the proposed approach in performance evaluation domain is optimistic.

A Root Cause Analysis for Drought in Taeback City, Kangwon-do in 2008 (강원도 태백지역 2008년 가뭄의 원인분석 연구)

  • Kim, Joo-Hwan;Choi, Gye-Woon;Park, Sang-Woo
    • Journal of Korean Society of Water and Wastewater
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    • v.24 no.3
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    • pp.351-359
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    • 2010
  • Recently, there have been flood damages due to the climate change and the flash flood continuously in Korea and there are several flood disaster mitigation plans that are normally most of management plan for water related disasters even though drought disasters are as important as flood disasters. In this study, it is underlined that the research on solution of water shortness due to the drought disasters is currently required since the frequency of drought damage is not very many but continuously increasing. There was big drought damage in TaeBaek City of Kangwon province due to the serious lack of water during autumn, 2008 to spring, 2009. This study therefore analyses the characteristics of hydrometeorological conditions by rainfall frequency analysis and the operations of Gwangdong dam that is a source of multi-regional water supply by analysing water demand. As results of study, there was a drought with 20 years returning period which is not really available to fill the reservoir as usual and which could only filled 52% of reservoir. The rainfall during the dry season was less than normal, however, the water demand from the TaeBaek City was higher than normal. As researching several reasons of water shortness including the reasons described above, this study might be useful for drought mitigation plan.

Evaluation and Test Method Characterization for Mechanical and Electrical Properties in BGA Package (BGA 패키지의 기계적${\cdot}$전기적 특성 평가 및 평가법)

  • Koo Ja-Myeong;Kim Jong-Woong;Kim Dae-Gon;Yoon Jeong-Won;Lee Chang-Yong;Jung Seung-Boo
    • Journal of the Microelectronics and Packaging Society
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    • v.12 no.4 s.37
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    • pp.289-299
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    • 2005
  • The ball shear force was investigated in terms of test parameters, i.e. displacement rate and probe height, with an experimental and non-linear finite element analysis for evaluation of the solder joint integrity in area array packages. The increase in the displacement rate and the decrease in the probe height led to the increase in the shear force. Excessive probe height could cause some detrimental effects on the test results such as unexpected high standard deviation and probe sliding from the solder ball surface. The low shear height conditions were favorable for assessing the mechanical integrity of the solder joints. The mechanical and electrical properties of the Sn-37Pb/Cu and Sn-3.5Ag/Cu BGA solder joints were also investigated with the number of reflows. The total thickness of the intermetallic compound (IMC) layers, consisting of Cu6Sn5 and Cu3Sn, was increased as a function of cubic root of reflow time. The shear force was increased up to 3 or 4 reflows, and then was decreased with the number of reflows. The fracture occurred along the bulk solder, in irrespective of the number of reflows. The electrical resistivity was increased with increasing the number of reflows.

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The study on enhanced micro climate of the oyster mushroom cultivation house with multi-layered shelves by using CFD analysis (CFD 분석에 의한 느타리버섯 재배사 환경균일성 향상 연구)

  • Lee, Sung-Hyoun;Yu, Byeong-Kee;Lee, Chan-Jung;Lim, Yeong-Taek
    • Journal of Mushroom
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    • v.15 no.1
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    • pp.14-20
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    • 2017
  • The oyster mushroom cultivation house typically has multiple layers of growing shelves that cause the disturbance of air circulation inside the mushroom house. Due to this instability in the internal environment, growth distinction occurs according to the area of the growing shelves. It is known that minimal air circulation around the mushroom cap facilitates the metabolism of mushrooms and improves their quality. For the purpose of this study, a CFD analysis FLUENT R16 has been carried out to improve the internal environment uniformity of the oyster mushroom cultivation house. It is found that installing a section of the working passage towards the ceiling is to maintain the internal environment uniformity of the oyster mushroom cultivation house. When all the environment control equipment - including a unit cooler, an inlet fan, an outlet fan, an air circulation fan, and a humidifier - were operated simultaneously, the reported Root Mean Square (RMS) valuation the growing shelves were as follows: velocity 23.86%, temperature 6.08%, and humidity 2.72%. However, when only a unit cooler and an air circulation fan operated, improved RMS values on the growing shelves were reported as follows: velocity 23.54%, temperature 0.51%, and humidity 0.41%. Therefore, in order to maintain the internal environment uniformity of the mushroom cultivation house, it is essential to reduce the overall operating time of the inlet fan, outlet fan, and humidifier, while simultaneously appropriately manage the internal environment by using a unit cooler and an air circulation fan.

Diversity and Pathogenic Characteristics of Fusarium Species isolated from Wilted Soybeans in Korea (콩 시들음병에 관여하는 Fusarium균의 다양성 및 병원학적 특성)

  • Choi, Hyo-Won;Kim, Seungnoh;Hong, Sung Kee
    • The Korean Journal of Mycology
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    • v.48 no.3
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    • pp.297-312
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    • 2020
  • Wilted soybean plants were collected from soybeans cultivation fields in Korea from 2014 to 2016. Fusarium spp., Colletotrichum spp., Rhizoctonia spp., Macrophomina sp., Phytophthora spp., and Calonectria ilicicola were obtained from the infected samples. Out of these, Fusarium spp. were the dominant species (79.1%). In total, 53 isolates were identified as F. solani species complex, F. oxysporum species complex, F. graminearum species complex, and F. fujikuroi species complex based on mycological characteristics. Sequence typing analysis was conducted using translation elongation factor 1 alpha (TEF) to confirm the identification of isolates. All isolates were identified as F. solani, F. oxysporum, F. commune, F. asiaticum, and F. fujikuroi based on phylogenetic analysis of TEF sequences. Pathogenicity of 44 isolates was tested on three cultivars of soybean using the root dip inoculation method. Out of 5 Fusarium species, only F. asiaticum could not cause the symptoms or be weak. Ten isolates were selected based on pathogenic characters and species identification to investigate the host range and screen soybean cultivars for resistance. Fusarium solani, F. oxysporum, and F. commune were aggressive only to soybean, and F. fujikuroi was aggressive to kidney bean, yellow cowpea, black cowpea, adzuki bean as well as soybean. All 13 Korean soybean cultivars were susceptible to F. commune and F. fujikuroi. Out of 13 cultivars, cv. Janggi, cv. Poongsannamul, and cv. Socheongja were resistant to Fusarium wilt, while cv. Hwanggeumol and Chamol were susceptible to Fusarium wilt.