• Title/Summary/Keyword: major accidents

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Infection Control in Parenteral Nutrition Preparation and Compounding (정맥영양의 조제와 감염관리)

  • Choe, Ji Hyeong;Baek, Jin Hee;Jo, Yun Hee;Cho, Yoon Sook
    • Journal of Clinical Nutrition
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    • v.10 no.2
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    • pp.31-37
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    • 2018
  • Recently, in Korea, the importance of preparation and use of injectable drugs has been emphasized due to successive fatal accidents caused by injection infections. Parenteral nutrition (PN) has also been identified as a cause of infection. Cases of infection due to PN have been reported not only in Korea, but also abroad, and contamination occurs mainly during the preparation of PN. Because sterile preparation and compounding of injections are very important for infection control and patient safety, this article reviews the major guidelines outlined thus far. The Korea Ministry of Food and Drug Safety in 2006 published guidelines and the KSHP (Korean Society of Health-System Pharmacists) recently issued guidelines for the aseptic preparation of injections. In addition, as US guidelines, the ASHP (American Society of Health-System Pharmacists) guidelines and United States Pharmacopeia (USP) <797> are also reviewed. The recent guidelines published by the KSHP have significance in that they were adopted in accordance with the domestic reality, even though they conform to foreign guidelines, and are expected to be guidelines for hospital pharmacists performing aseptic preparation work. In addition, the Korea Ministry of Health and Welfare is considering appropriate guidelines for the safe management of medications, training staff for infection prevention and strengthening staff capacity. Furthermore, the gradual expansion of aseptic compounding facilities and human resources, as well as the provision of adequate medical costs are also considered. Based on the establishment and standardization of injectable drugs compounding guidelines for Korean hospitals, it is believed that if human resources and facilities are supported and medical charges are improved, it will be possible to expect the safer preparation and use of injections.

A classification of electrical component failures and their human error types in South Korean NPPs during last 10 years

  • Cho, Won Chul;Ahn, Tae Ho
    • Nuclear Engineering and Technology
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    • v.51 no.3
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    • pp.709-718
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    • 2019
  • The international nuclear industry has undergone a lot of changes since the Fukushima, Chernobyl and TMI nuclear power plant accidents. However, there are still large and small component deficiencies at nuclear power plants in the world. There are many causes of electrical equipment defects. There are also factors that cause component failures due to human errors. This paper analyzed the root causes of failure and types of human error in 300 cases of electrical component failures. We analyzed the operating experience of electrical components by methods of root causes in K-HPES (Korean-version of Human Performance Enhancement System) and by methods of human error types in HuRAM+ (Human error-Related event root cause Analysis Method Plus). As a result of analysis, the most electrical component failures appeared as circuit breakers and emergency generators. The major causes of failure showed deterioration and contact failure of electrical components by human error of operations management. The causes of direct failure were due to aged components. Types of human error affecting the causes of electrical equipment failure are as follows. The human error type group I showed that errors of commission (EOC) were 97%, the human error type group II showed that slip/lapse errors were 74%, and the human error type group III showed that latent errors were 95%. This paper is meaningful in that we have approached the causes of electrical equipment failures from a comprehensive human error perspective and found a countermeasure against the root cause. This study will help human performance enhancement in nuclear power plants. However, this paper has done a lot of research on improving human performance in the maintenance field rather than in the design and construction stages. In the future, continuous research on types of human error and prevention measures in the design and construction sector will be required.

A Study on the Improvement of the Intelligent Robots Act

  • Park, Jong-Ryeol;Noe, Sang-Ouk
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.1
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    • pp.217-224
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    • 2019
  • The intelligent robot industry is a complex which encompasses all fields of science and technology, and its marketability and industrial impact are remarkable. Major countries in the world have been strengthening their policies to foster the intelligent robot industry, but discussions on liability issues and legal actions that are accompanied by the related big or small accidents are still insufficient. In this study, therefore, the patent law by artificial intelligence robots and the legislation for relevant legal actions at the criminal law level are presented. Patent law legislation by artificial intelligence robots should comply with the followings. First, the electronic human being other than humans ought to be given legal personality, which is the subject of patent infringement. Even if artificial intelligence has legal personality, legal responsibility will be varied depending on the judgment of whether the accident has occurred due to the malfunction of the artificial intelligence itself or due to the human intervention with malicious intention. Second, artificial intelligence as a subject of actors and responsibility should be distinguished strictly; in other words, the injunction is the responsibility of the intelligent robot itself, but the financial repayment is the responsibility of the owner. In the criminal law legislation, regulations for legal punishment of intelligent robot manufacturing companies and manufacturers should be prepared promptly in case of legal violation, by amending the scope of application of Article 47 (Penal Provisions) of the Intelligent Robots Development and Distribution Promotion Act. In this way, joint penal provisions, which can clearly distinguish the responsibilities of the related parties, should be established to contribute to the development of the fourth industrial revolution.

Priority of Challenges for Activation of MyData Business: K-MyData Case

  • Park, Jeong Kwan;Park, Soo Kyung;Lee, Bong Gyou
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.15 no.10
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    • pp.3513-3533
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    • 2021
  • This paper identifies challenging factors that hinder the successful settlement of the MyData industry, which is drawing global attention, and it analyzes the priority of solutions. To this end, a mixed-methodology including analytic network process technique was borrowed step-by-step to identify variables, analyze them, and provide interpretations. From the first step, the study found that the market aspect was the most important for the success of the K-MyData business, and the release of interesting representative services was found to be the easiest way to inspire market growth. From the second step, as a socio-cultural issue, the lack of consensus on data provisioning was found to present a major obstacle. To achieve consensus, it is very important for business participants to gain the trust of consumers. From the third step, it was found that the scope of data collection and responsibility for accidents needs to be clarified. Government and business-related persons must observe the principles of MyData while tackling these obstacles. It is also necessary for the government to be sensitive to changes in the environment as a focal actor. Doing so will lead to data industry activation and will help guarantee of rights of data subjects in a balanced manner. Finally, it is notable that technical barriers now have the lowest priority. Although technology is important, MyData business must also overcome market, socio-cultural, and institutional challenges. The study selected Korea as its research target, but it is expected to provide useful insights to other countries that are planning MyData business similar to Korea.

Analysis and Design of FRT Detection System Using PMU (PMU를 사용한 FRT 검출시스템 설계 및 분석)

  • Kwon, Dae-Yun;Moon, Chae-Joo;Jeong, Moon-Seon;Yoo, Do-Kyeong
    • The Journal of the Korea institute of electronic communication sciences
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    • v.16 no.4
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    • pp.643-652
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    • 2021
  • Accidents or faults in the transmission and distribution system are never completely avoidable, and short-circuit and earth faults are occurs despite the efforts of the TSO and DSO. Recently, the connection to the transmission and distribution system of large-capacity new and renewable distributed power has increased rapidly and has various effects on the operation of the system. In order to minimize this, connection standards such as FRT (Fault-Ride-Through) have been established to provide wind turbines or solar inverters. In the event of a major faults of the power system, the operation support shall be provided so that the operator can stably operate the system by smoothly performing connection maintenance or rapid system separation. In this paper, in order to appropriately determine whether the FRT condition, which is the grid connection criterion for a representative DERs, is sufficient, a detection system using a PMU (Phasor Measurement Unit) that measures a synchro-phasors was designed and deployment and a system accident due to a generator step-out to analyze and evaluate the proposed system based on the case.

A Study on the Analysis of Environmental Hazards when Dismantling Non-Structure of Old Residential Buildings (노후 주거용 건축물 비구조체 해체 시 환경유해인자 분석)

  • Son, Byeung-Hun
    • Journal of Urban Science
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    • v.10 no.1
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    • pp.29-37
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    • 2021
  • The number of old buildings older than 30 years in Korea continues to increase from 29.9% in 2005 to 38.8% in 2020. Considering the growing urban regeneration projects, urban maintenance projects, the suppression of urban expansion, and the lack of idle land in the city, the dismantling of old buildings is expected to increase further in the future. As major accidents at building dismantling sites continue to occur, related agencies are also strengthening safety management of building dismantling works. While physical safety management such as collapse and fall is strengthened, there is a relative lack of interest in the health of workers at dismantling sites due to environmental hazards. Since relevant laws stipulate that construction waste should be separated and discharged, old buildings need to be considered for environmental hazards such as fine dust, floating bacteria, and floating molds when dismantling. In this study, we intend to find important safety management elements in the management of building dismantling sites, measure environmental factors harmful to dismantling workers, and present basic data for the management of dismantling sites in the future. "Safety management" was the highest priority, followed by "dust," "vibration," "noise," "bacteria," and "smell." The perception of the importance of "physical damage prevention" with workers working on dismantling and managers managing the site came out similar, but the perception of "work efficiency" and "health disorder prevention" through environmental hazard management showed different priorities. In the process of dismantling, floating bacteria and floating mold were collected, cultured, and measured the concentration in the indoor air. The measurement was measured by dividing it into pre-dismantling and during dismantling.

Evaluation on Blast Resistance Performance of Reinforced Concrete Wall Strengthened by FRP Sheet (FRP 시트로 보강된 철근콘크리트 벽체의 방호성능 평가)

  • Lee, Kun-Ho;Kim, Jae-Min;Kim, Jae Hyun;Lee, Sang-Hoon;Kim, Kang Su
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.26 no.5
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    • pp.151-160
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    • 2022
  • Owing to the recent increase in the frequency of explosion accidents, blast resistive design has garnered attention to reduce the damage of important structural elements. However, domestic research on the blast resistive structures is still insufficient, and domestic design guideline against blast loads are not documented yet. In this study, a numerical study on the RC blast resistive walls, where the test variable was the presence of FRP sheet, was performed using LS-DYNA program. Based on the numerical results, displacement-time hysteretic curve, pressure-impulse diagram, and fragility curve of the test specimens were derived. It was shown that the FRP sheet strengthening method is efficient to improve the blast resistive performance of the RC wall. Also, the strengthening effect of FRP sheet on the RC wall was stronger when the magnitude of the blast load was greater.

Why Should I Ban You! : X-FDS (Explainable FDS) Model Based on Online Game Payment Log (X-FDS : 게임 결제 로그 기반 XAI적용 이상 거래탐지 모델 연구)

  • Lee, Young Hun;Kim, Huy Kang
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.32 no.1
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    • pp.25-38
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    • 2022
  • With the diversification of payment methods and games, related financial accidents are causing serious problems for users and game companies. Recently, game companies have introduced an Fraud Detection System (FDS) for game payment systems to prevent financial incident. However, FDS is ineffective and cannot provide major evidence based on judgment results, as it requires constant change of detection patterns. In this paper, we analyze abnormal transactions among payment log data of real game companies to generate related features. One of the unsupervised learning models, Autoencoder, was used to build a model to detect abnormal transactions, which resulted in over 85% accuracy. Using X-FDS (Explainable FDS) with XAI-SHAP, we could understand that the variables with the highest explanation for anomaly detection were the amount of transaction, transaction medium, and the age of users. Based on X-FDS, we derive an improved detection model with an accuracy of 94% was finally derived by fine-tuning the importance of features that adversely affect the proposed model.

Structural safety evaluation of decrepit gray cast iron water valves for the control of water supply (노후 회주철 수도용 제수밸브의 구조적 안전성 평가)

  • Lee, Ho-Min;Choi, Tae-Ho;Park, Jeong-Joo;Bae, Cheol-Ho
    • Journal of Korean Society of Water and Wastewater
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    • v.36 no.5
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    • pp.261-273
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    • 2022
  • In this study, we collect water control valves that have had accidents due to existing cracks, etc. are collected, and propose investigation items for strengthening the valve structural safety evaluation through a series of analyzes from valve specifications to physicochemical properties are proposed. The results of this study are as follows. First, there was a large variation in the thickness of the body or flange of the valves to be investigated, which is considered to be very important factor, because it may affect the safety of the valve body against internal pressure and the flange connected with the bolt nut. Second, 60% of the valves under investigation had many voids in the valve body and flange, etc. and the decrease in thickness due to corrosion was relatively large on the inner surface in contact with water rather than the outer surface. It is judged that the investigation of depth included voids is very important factor. Third, all valves to be investigated are made of gray cast iron foam, and therefore it is judged that there is no major problem in chemical composition. It is judged that the chemical composition should be investigated. Fourth, as a physical investigation item, the analysis of metal morphology structure seems to be a very important factor for nodular cast iron from rather than a gray cast iron foam water valve with a flake structure. As it was found to be 46.7~68.8% of the standard recommended by KS, it could have a direct effect on damage such as cracks, and therefore it is judged that the evaluation of tensile strength is very important in evaluating the safety of the valve.

Influence of moisture content on main mechanical properties of expansive soil and deformation of non-equal-length double-row piles: A case study

  • Wei, Meng;Liao, Fengfan;Zhou, Kerui;Yan, Shichun;Liu, Jianguo;Wang, Peng
    • Geomechanics and Engineering
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    • v.30 no.2
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    • pp.139-151
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    • 2022
  • The mechanical properties of expansive soil are very unstable, highly sensitive to water, and thus easy to cause major engineering accidents. In this paper, the expansive soil foundation pit project of the East Huada Square in the eastern suburb of Chengdu was studied, the moisture content of the expansive soil was considered as an important factor that affecting the mechanics properties of expansive soil and the stability of the non-equal-length double-row piles in the foundation pit support. Three groups of direct shear tests were carried out and the quantitative relationships between the moisture content and shear strength τ, cohesion c, internal friction angle φ were obtained. The effect of cohesion and internal friction angle on the maximum displacement and the maximum bending moment of piles were analyzed by the finite element software MIDAS/GTS (Geotechnical and Tunnel Analysis System). Results show that the higher the moisture content, the smaller the matrix suction, and the smaller the shear strength; the cohesion and the internal friction angle are exponentially related to the moisture content, and both are negatively correlated. The maximum displacement and the maximum bending moment of the non-equal length double-row piles decrease with the increase of the cohesion and the internal friction angle. When the cohesion is greater than 33 kPa or the internal friction angle is greater than 25.5°, the maximum displacement and maximum bending moment of the piles are relatively small, however, once crossing the points (the corresponding moisture content value is 24.4%), the maximum displacement and the maximum bending moment will increase significantly. Therefore, in order to ensure the stability and safety of the foundation pit support structure of the East Huada Square, the moisture content of the expansive soil should not exceed 24.4%.