• Title/Summary/Keyword: Comparison Model

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Comparison of Integrated Health and Welfare Service Provision Projects Centered on Medical Institutions (의료기관 중심 보건의료·복지 통합 서비스 제공 사업 비교)

  • Su-Jin Lee;Jong-Yeon Kim
    • Journal of agricultural medicine and community health
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    • v.49 no.2
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    • pp.132-145
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    • 2024
  • Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.

The Effect of CSR Authenticity on Organizational Attractiveness for Job seekers: Value Congruence as a Mediator and Moral Identity as a Moderator (CSR 진정성이 구직자의 조직매력도에 미치는 영향: 가치일치성의 매개효과와 도덕적 정체성의 조절효과)

  • Dooeun Shin;Young Woo Sohn
    • Korean Journal of Culture and Social Issue
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    • v.30 no.2
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    • pp.101-120
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    • 2024
  • Due to the expanding roles of corporations, the significance of Corporate Social Responsibility (CSR) has escalated, fostering continued efforts for organizations to integrate CSR into the context of recruitment. Additionally, demand for CSR authenticity is increasing. Damaged CSR authenticity can give rise to negative consequences, but research on the CSR authenticity is lacking, particularly within the realms of job search and recruitment. Consequently, this study aimed to investigate whether organizational attractiveness varies with CSR authenticity (high CSR authenticity, low CSR authenticity, and control conditions) through a scenario design. Additionally, the study examined the mediating effects of value congruence, as well as the moderating effect of moral identity in this relationship. Conducted among 300 undergraduate students, the results indicated that the organizational attractiveness was highest in the high CSR authenticity condition, followed by the control condition, and the lowest in the low CSR authenticity condition. However, the difference between the high CSR authenticity condition and the control condition was not statistically significant. PROCESS macro was employed to analyze the mediating model of value congruence. The results revealed that the mediating effect of value congruence was significant across all conditions. In sequence, examining the moderating effect and the moderated mediating effect of moral identity, it was found that these effects were significant in the high CSR authenticity condition in comparison to the other conditions. The findings of this study suggest the importance of considering CSR authenticity in the context of job search and recruitment and also, provides an insight into the mechanism through which CSR authenticity influences organizational attractiveness.

Comparison of CT Volumetry and RECIST to Predict the Treatment Response and Overall Survival in Gastric Cancer Liver Metastases (위암 간전이 환자의 반응평가와 생존율 예측을 위한 종양 부피 측정과 RECIST 기준의 비교 연구)

  • Sung Hyun Yu;Seung Joon Choi;HeeYeon Noh;In seon Lee;So Hyun Park; Se Jong Kim
    • Journal of the Korean Society of Radiology
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    • v.82 no.4
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    • pp.876-888
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    • 2021
  • Purpose The aim of this study was to compare the diameter and volume of liver metastases on CT images in relation to overall survival and tumor response in patients with gastric cancer liver metastases (GCLM) treated with chemotherapy. Materials and Methods We recruited 43 patients with GCLM who underwent chemotherapy as a first-line treatment. We performed a three-dimensional quantification of the metastases for each patient. An independent survival analysis using the Response Evaluation Criteria in Solid Tumors (RECIST) was performed and compared to volumetric measurements. Overall survival was evaluated using Kaplan-Meier analysis and compared using Cox proportional hazard ratios following univariate analyses. Results When patients were classified as responders or non-responders based on volumetric criteria, the median overall survival was 23.6 months [95% confidence interval (CI), 8.63-38.57] and 7.6 months (95% CI, 3.78-11.42), respectively (p = 0.039). The volumetric analysis and RECIST of the non-progressing and progressing groups showed similar results based on the Kaplan-Meier method (p = 0.006) and the Cox proportional hazard model (p = 0.008). Conclusion Volumetric assessment of liver metastases could be an alternative predictor of overall survival for patients with GCLM treated with chemotherapy.

Numerical and experimental investigations on the aerodynamic and aeroacoustic performance of the blade winglet tip shape of the axial-flow fan (축류팬 날개 끝 윙렛 형상의 적용 유무에 따른 공기역학적 성능 및 유동 소음에 관한 수치적/실험적 연구)

  • Seo-Yoon Ryu;Cheolung Cheong;Jong Wook Kim;Byeong Il Park
    • The Journal of the Acoustical Society of Korea
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    • v.43 no.1
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    • pp.103-111
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    • 2024
  • Axial-flow fans are used to transport fluids in relatively low-pressure flow regimes, and a variety of design variables are employed. The tip geometry of an axial fan plays a dominant role in its flow and noise performance, and two of the most prominent flow phenomena are the tip vortex and the tip leakage vortex that occur at the tip of the blade. Various studies have been conducted to control these three-dimensional flow structures, and winglet geometries have been developed in the aircraft field to suppress wingtip vortices and increase efficiency. In this study, a numerical and experimental study was conducted to analyze the effect of winglet geometry applied to an axial fan blade for an air conditioner outdoor unit. The unsteady Reynolds-Averaged Navier-Stokes (RANS) equation and the FfocwsWilliams and Hawkings (FW-H) equation were numerically solved based on computational fluid dynamics techniques to analyze the three-dimensional flow structure and flow noise numerically, and the validity of the numerical method was verified by comparison with experimental results. The differences in the formation of tip vortex and tip leakage vortex depending on the winglet geometry were compared through a three-dimensional flow field, and the resulting aerodynamic performance was quantitatively compared. In addition, the effect of winglet geometry on flow noise was evaluated by numerically simulating noise based on the predicted flow field. A prototype of the target fan model was built, and flow and noise experiments were conducted to evaluate the actual performance quantitatively.

Comparison of Radioactive Waste Transportation Risk Assessment Using Deterministic and Probabilistic Methods (결정론적 및 확률론적 방법을 이용한 방사성폐기물 운반 위험도 평가 비교·분석 )

  • Min Woo Kwak;Hyeok Jae Kim;Ga Eun Oh;Shin Dong Lee;Kwang Pyo Kim
    • Journal of Radiation Industry
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    • v.17 no.1
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    • pp.83-92
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    • 2023
  • When assessing the risk of radioactive wastes transportation on land, computer codes such as RADTRAN and RISKIND are used as deterministic methods. Transportation risk assessment using the deterministic method requires a relatively short assessment time. On the other hand, transportation risk assessment using the probabilistic method requires a relatively long assessment time, but produces more reliable results. Therefore, a study is needed to evaluate the exposure dose using a deterministic method that can be evaluated relatively quickly, and to compare and analyze the exposure dose result using a probabilistic method. The purpose of this study is to evaluate the exposure dose during transportation of radioactive wastes using deterministic and probabilistic methods, and to compare and analyze them. For this purpose, the main exposure factors were selected and various exposure situations were set. The distance between the radioactive waste and the receptor, the size of the package, and the speed of vehicle were selected as the main exposure factors. The exposure situation was largely divided into when the radioactive wastes were stationary and when they were passing. And the dose (rate) model of the deterministic overland transportation risk assessment computer code was analyzed. Finally, the deterministic method of the RADTRAN computer code and the RISKIND computer code and the probabilistic method of the MCNP 6 computer code were used to evaluate the exposure dose in various exposure situations during transportation of radioactive wastes. Then we compared and analyzed them. As a result of the evaluation, the tendency of the exposure dose (rate) was similar when the radioactive wastes were stationary and passing. For the same situation, the evaluation results of the RADTRAN computer code were generally more conservative than the results of the RISKIND computer code and the MCNP 6 computer code. The evaluation results of the RISKIND computer code and the MCNP 6 computer code were relatively similar. The results of this study are expected to be used as basic data for establishing the radioactive wastes transportation risk assessment system in Korea in the future.

Fracture Toughness of Concrete Brazilian Disk according to Maximum Size of Coarse Aggregate (굵은골재의 최대치수에 따른 콘크리트 브라질리언 디스크의 파괴인성)

  • Lee, Seung-Hoon;Kim, Hee-Sung;Jang, Hee-Suk;Jin, Chi-Sub
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.10 no.3
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    • pp.185-196
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    • 2006
  • Fracture toughness is a material property for crack initiation and propagation in fracture mechanics. For mode I fracture toughness measurement in concrete, RILEM committees 89-FMT proposed three-point bend tests based on the two-parameter fracture model. But, there is no proposed test method as a standard for mixed mode test for now. And RILEM three-point bend test procedure is complicate. Therefore, in this study, brazilian disks of various size were designed as the concrete with a similar specified concrete strength and maximum size of coarse aggregate($G_{max}$) were respectively 20mm and 40mm. And mode I fracture toughness of brazilian disks was compared with that of RILEM three-point bend test. As a result, it was suggested appropriate size(thickness, diameter) and notch length ratio of brazilan disk on the $G_{max}$. And it was verified that stress intensity factors for mixed mode can be easily calculated with the disk specimen. Stress intensity factors of a concrete brazilian disk were evaluated with finite element analysis and five terms approximation for comparison.

Safety assessments of recombinant DTaP vaccines developed in South Korea

  • Gi-Sub Choi;Kyu-Ri Kang;Seung-Bum Kim;Joon-Hwan Ji;Gyu-Won Cho;Hyun-Mi Kang;Jin-Han Kang
    • Clinical and Experimental Vaccine Research
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    • v.13 no.2
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    • pp.155-165
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    • 2024
  • Purpose: Pertussis bacteria have many pathogenic and virulent antigens and severe adverse reactions have occurred when using inactivated whole-cell pertussis vaccines. Therefore, inactivated acellular pertussis (aP) vaccines and genetically detoxified recombinant pertussis (rP) vaccines are being developed. The aim of this study was to assess the safety profile of a novel rP vaccine under development in comparison to commercial diphtheria-tetanus-acellular pertussis (DTaP) vaccines. Materials and Methods: The two positive control DTaP vaccines (two- and tri-components aP vaccines) and two experimental recombinant DTaP (rDTaP) vaccine (two- and tri-components aP vaccines adsorbed to either aluminum hydroxide or purified oat beta-glucan) were used. Temperature histamine sensitization test (HIST), indirect Chinese hamster ovary (CHO) cell cluster assay, mouse-weight-gain (MWG) test, leukocytosis promoting (LP) test, and intramuscular inflammatory cytokine assay of the injection site performed for safety assessments. Results: HIST results showed absence of residual pertussis toxin (PTx) in both control and experimental DTaP vaccine groups, whereas in groups immunized with tri-components vaccines, the experimental tri-components rDTaP absorbed to alum showed an ultra-small amount of 0.0066 IU/mL. CHO cell clustering was observed from 4 IU/mL in all groups. LP tests showed that neutrophils and lymphocytes were in the normal range in all groups immunized with the two components vaccine. However, in the tri-components control DTaP vaccine group, as well as two- and tri-components rDTaP with beta-glucan group, a higher monocyte count was observed 3 days after vaccination, although less than 2 times the normal range. In the MWG test, both groups showed changes less than 20% in body temperature and body weight before the after the final immunizations. Inflammatory cytokines within the muscle at the injection site on day 3 after intramuscular injection revealed no significant response in all groups. Conclusion: There were no findings associated with residual PTx, and no significant differences in both local and systemic adverse reactions in the novel rDTaP vaccine compared to existing available DTaP vaccines. The results suggest that the novel rDTaP vaccine is safe.

Correlates of Subjective Well-being in Korean Culture (한국문화에서 주관안녕에 영향을 미치는 사회심리 요인들)

  • Hahn, Doug-Woong
    • Korean Journal of Culture and Social Issue
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    • v.12 no.5_spc
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    • pp.45-79
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    • 2006
  • The purpose of this paper was to review the results of the subjective well-being(swb) studies performed by Hahn and coworkers in Korean culture. As the correlates of swb, we dealt with demographic/individual difference variables, intrapersonal variables, interpersonal process variables, and Korean cultural variables. We proposed that the components of swb were consisted of quality of life(cognitive swb) and overall happy feelings about one's own life(emotional swb). It was also assumed that a measure of total swb could be calculated by summated mean of cognitive swb and emotional swb measures. The data of the swb studies were analyzed and interpreted according to the above three measures of swb. The results of a nationwide survey(Hahn, 2004) from age of 19 to 75 years ald(n=2,230) showed significant simple correlation coefficients between the following demographic/individual difference variables and swb: Gender difference in swb was found(total swb r=.08, p<.001; life satisfaction r=.10, p<.001; overall emotional swb r=.05, p<.05). Men were happier than women in terms of all three measures of swb. It was also found that women appeared to experience greater positive and negative emotions. Correlation between age and emotional swb(r=.09, p<.001) was significant, but life satisfaction was not significant(r=.04, n.s). Correlations between economic status and swb were also significant(total swb r =.23, p<.001; life satisfaction r=.15 p<.001; overall emotional swb r=.15, p<.001l). Although existence of father was negatively related to emotional swb(r=-.05, p<.05), the existence of mother was not related to any of swb measures. Similarly existence of brothers was related positively to overall emotional swb, but existence of sisters was not. Though existence of son was not related to swb, daughter contributed negatively to swb(total swb -.12, p<.01; life satisfaction -.09, p<.05; emotional swb r=-.12, p<.01). We assumed that family member-in-Iaw also contributed to swb because the extended dose social networks were important in Korean culture. The results showed that the following family member-in-law variables were related to swb: Parents-in-law(total swb r=.11, p<.01; life satisfaction r=.10, p<.01; emotional swb r=.10, p<.01), father-in-law(total swb r=.11, p<.01; life satisfaction r=.11, p<.01; emotional swb r=.06, n.s). The result suggested that especially father-in-law contributed to swb through financial and social support. Correlations between emotional experiences in everyday life and swb were also presented. The range of correlation coefficients between the positive emotion measures and swb were r=.30~.48(p<.001) when the above two measures obtained at same time. But the range decreased to r=.19~32(p<.001) when the swb measure was obtained 9 month later longitudinally. Intercorrelations between positive emotional experience; and life satisfaction were r=.37~58(p<.001) when two measures were obtained at same time. We also examined the effects of the intrapersonal cognitive responses to the most stressful life event upon swb. The results of nationwide survey(n=1,021) showed that self-disclosure(total swb r=.09, p<.010; life satisfaction r=.10, p<.01; emotional swb r=.07, p<.01), rumination(total swb r=-.17, p<.001), thought avoidance(total swb r=.12, p<.001; life satisfaction r=-.08; emotional swb r=-.12, p<.001) and suppression(total swb r=-.13, p<.001; life satisfaction r=-.08, p<.05: emotional swb r=-.13, p<.001) contributed to swb. It was also suggested that mismatch between self-guide and regulatory focus contributed negatively to emotional swb. It was also found that social comparison motives and fulfillment of the motives contributed to swb. The results of a survey research(n=363 college students) revealed that the higher the general social comparison motive, the lower the swb(total swb r=-.15, P<.01: life satisfaction r=-.17. p<.01; emotional swb r=-.10, p<.05). It was also found that satisfaction level of self-evalution motive contributed positively to swb(total swb r=-.14. p<.01: life satisfaction r=-.12, p<.05; emotional swb r=.15, p<.001). Both of self-improvement motive(r=.13, p<.05) and satisfaction level of self-improvement motive(r=.12, p<.05) contributed positively to emotional swb, respectively. The above results suggested that swb was depended upon the interaction effect of social comparison motive; and level of fulfillment of the motives. We also reported the significant multiple predictors of swb in a sample of age from 60years to 89years olds. The results of multiple regression analysis showed that the significant multiple predictors of swb were past illness(β=.174, p<.001), economic status(β=.418, p<.001), marital satisfaction(β=.0841, p<.001), satisfaction of offsprins(β=.065, p<.01), expectation level of social support from offsprings(β=-.049, p<.001), and negative emotions(β=-.454. p<.001) among 16 social psychological factors. It was also found that swb was an important multiple predictors of physical health. This finding was replicated in a longitudinal study. Both of positive and negative emotional experiences were significant multiple predictors of physical health one year later. The results of the discriminant analysis showed both of total swb and positive emotional experiences contributed to discriminate the happy and healthy olds from unhappy and unhealthy olds. We paper also examined the effects of the nonnative social behaviors upon swb in Korean culture. The main hypotheses of the study(Hahn, 2006, in press) was that the important nonnative behaviors would influence on swb through both of the mediation processes of adjustment to social relationships and psychological stress. The survey data were collected from 2,129 adults age of 19 to 75, from 7 regional areas in Korea. The results of the study revealed that almost all of correlation coefficients between 15 normative social behaviors and the above three criteria w-ere significant. The fitness test results of the covariance structural equation model showed that all of the fitness indices were satisfactory (GFI=.974, AGFI=.909, NNFI=.922, NFI=.973, CFI=.974. RMR=.049, RMSEA=.073). The results of the analysis revealed that the following five path coeffi6ents from behaviors to social adjustment were significant; behavior tor family and family members(t=5.87, p<.001), courteous behavior(t=4.39, p<.001), faithful behavior (t=2.15. p<.05). collectivistic behavior(t=8.31, p<.001). Seven path coefficients from the normative behaviors to psychological stress were significant; behavior for family and family members (t=-4.63, p<.001), faithful behavior(t=-3.86, p<.001). suppression of emotional expression(t=3.99, p<.001), trustworthy and dependable behavior(t=-2.21, p<.05), collectivistic behavior(t=3.72, p<.001), effortful and diligent behavior(t=2.94, p<.001), husbandry and saving behavior(t=3.40, p<.001). The above results suggested that four normative behaviors among seven behaviors contributed negatively to psychological stress in current Korean society. The results abo confirmed the hypothesized paths from social adjustment (t=10.40, p<.001) to swb and from psychological stress(t=-19.74, p<.001) to swb. The important results of the study were discussed in terms of the Confucian traditions and recent social changes in Korean culture. Finally limitations of this review paper were discussed and the suggestions for the future study were also proposed.

Evaluation on the adsorption and desorption capabilities of filter media applied to the nonpoint source pollutant management facilities (비점오염 저감시설에 적용되는 여재의 흡착 및 탈착 능력 평가)

  • Moon, Soyeon;Hong, Jungsun;Choi, Jiyeon;Yu, Gigyung;Kim, Lee Hyung
    • Journal of Wetlands Research
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    • v.17 no.3
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    • pp.228-236
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    • 2015
  • Urbanization causes many environmental, hydrological and ecological problems such as distortion of the natural water circulation system, increase in nonpoint source pollutants in stormwater runoff, degradation of surface water quality, and damage to the ecosystem. Due to the increase in impervious surface by urbanization, developed countries apply low impact development (LID) techniques as important alternatives to reduce the impacts of urbanization. In Korea, LID techniques were employed since 2012 in order to manage nonpoint source pollutants. LID technology is a technique for removing pollutants using a variety of physical, chemical and biological mechanisms in plants, microorganisms and filter media with the reduced effluence of stormwater runoff by mimicking natural water circulation system. These LID facilities are used in a variety of filter media, but an assessment has not been carried out for the comprehensive comparison evaluation of adsorption and desorption characteristics for the pollutant removal capacity. Therefore, this study was conducted to analyze the adsorption and desorption characteristics of various filter media used in the LID facilities such as sand, gravel, bioceramic, wood chips and bottom ash etc. in reducing heavy metals(Pb, Cu). In this study, the adsorption affinity for Pb in all filter media was higher than Cu. Pseudo second order equation and Langmuir-3 isotherm are more applicable in the adsorption kinetic model and adsorption isotherm model, respectively. As a result of the desorption experiment, the filter media does not exceed KSLT which is the hazardous substance leaching limit, showing the capability of the filter media in LID. The bioceramic and woodchip as filter medias were evaluated and exhibited excellent adsorption capacity for Pb.

Assessment of Carsington Dam Failure by Slope Stability and Dam Behavior Analyses (사면안정 해석과 댐 거동분석을 통한 Carsington Dam 파괴의 고찰)

  • 송정락;김성인
    • Proceedings of the Korean Geotechical Society Conference
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    • 1991.10a
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    • pp.87-102
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    • 1991
  • It has been reported that the failure of Carsington Dam in Eng1and occured due to the existence of a thin yellow clay layer which was not identified during the design work, and due to pre-existing shears of the clay layer. The slope stability analyses during the design work, which utilized traditional circular arc type failure method and neglected the existence of the clay layer, showed a safety factor of 1.4. However, the post-failure analyses which utilized translational failure mode considering the clay layer and the pre-existing shear deformation revealed the reduction of safety factor to unity. The post-failure analysis assumed 10。 inclination of the horizontal forces onto each slice based on the results of finite element analyses. In this paper, Bishop's simplified method, Janbu method, and Morgenstern-Price method were used for the comparison of both circular and translational failure analysis methods. The effects of the pre-existing shears and subsquent movement were also considered by varying the soil strength parameters and the pore pressure ratio according to the given soi1 parameters. The results showed factor of safefy 1.387 by Bishop's simplified method(STABL) which assumed circular arc failure surface and disregarding yellow clay layer and pre-failure material properties. Also the results showed factor of safety 1.093 by Janbu method(STABL) and 0.969 by Morgenstern-Price method(MALE) which assumed wedge failure surface and considerd yellow clay layer using post failure material properties. In addition, dam behavior was simulated by Cam-Clay model FEM program. The effects of pore pressure changes with loading and consolidation, and strength reduction near or at failure were also considered based on properly assumed stress-strain relationship and pore pressure characteristics. The results showed that the failure was initiated at the yellow clay layer and propagated through other zones by showing that stress and displacement were concentrated at the yel1ow clay layer.

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