Purpose: The aims of this study were to describe and interpret the nature of the experience inherent in the sex life of female breast cancer patients after treatment and understand the meaning behind it. Methods: The participants were 10 female breast cancer patients who were married. Data were collected from March to September 2010. Van Manen's hermeneutic phenomenology was adopted in this qualitative study as a research method. Results: There were 4 essential topics in the participants' experience of sex life; 'Sex life alert' was a result of negative changes in sexual relationships with spouse that they had never experienced before the breast cancer diagnosis; 'Precarious situation for pending divorce' was an experience of deteriorated sex life because of the failure to overcome 'sex life alert'; 'Sublimation of the difficulties by discovering an alternative solution' was an experience of discovering a solution to overcome the 'sex life alert'. 'Leaving it as unsettled' was an experience of a condition in which the participants did not have any intension to resolve the difficulties in sex life due to the lack of appropriate support, thus tried to ignore the challenges faced. Conclusion: This study illustrates the necessity to develop proper nursing intervention on the issues related to sex life among breast cancer patients. Given the fact that the sexual topics are often considered taboo in day to day nursing practice, special attention and efforts need to be given in this area to build up nursing knowledge and evidence-based practice.
Lee Seung-Cheol;Hahm Shee-Young;Kim Jae-Joong;Han Duck-Jong;Song Meong-Gun
Journal of Chest Surgery
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v.39
no.9
s.266
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pp.714-717
/
2006
Heart and kidney transplantation has made great progress in the modern era. Coupled with the growing successes in individual solid organ transplantation, there has also been an increase in the number of multiple organ transplants, such as heart-kidney transplantation. This trend has been in part due to a better understanding of immunobiology, advances in surgical technique and postoperative care, and an often-common pathologic association between dual-organ failure. This pathologic course is representative for end-stage heart failure leading to secondary renal dysfunction or failure, or for end-stage renal failure as a cause for (uremic) cardiomyopathy. However, refractory cardiac failure has long been considered a contraindication to kidney transplantation. Additionally, cardiac transplantation has been denied for patients with end-stage renal disease. Over recent years, combined heart-kidney transplantation has been offered to select patients who were once denied transplantation. We report the first experience of combined heart-kidney transplantation with one year follow-up results.
Journal of Korean Society of Industrial and Systems Engineering
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v.42
no.3
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pp.206-216
/
2019
The present study identified several antecedents that create perceived resistance to supply chain management (SCM) change. This work particularly emphasizes SCM change, which is notable given its central role in reacting market orientation and varied environmental and managerial conditions. A careful case study on a small and medium sized food production company in South Korea leads to the formulation of our framework including one second-order construct of 'resistance' as well as eight first-order constructs of 'implementing the payment terms', 'balancing of business process', 'fear of responsibility', 'business sustainability transparency', 'past experience of failure', 'competence of work personnel', 'cooperation with third parties' and 'sharing personnel information with partner'. The hypothesized relation of first- and second-order construct was validated using survey sample data collected from 350 respondents who completed their questionnaire instrument. Results from confirmatory factor analysis revealed that nomological validity was established at statistical significance level by identifying six first order constructs of 'implementing the payment terms', 'fear of responsibility', 'business sustainability transparency', 'past experience of failure', a conbined construct of 'competence of work personnel/cooperation with third parties' and 'sharing personnel information with partner'. The findings from our work are expected to provide important insights to the strategy for SCM risk management for small and medium sized company.
Journal of the Korean Society of Manufacturing Technology Engineers
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v.22
no.3
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pp.343-348
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2013
In line with the advances in factory automation, various pieces of equipment are now operated in batch processes controlled by computers. However, many kinds of faults can occur in complicated and large systems, which can result in low productivity and economic loss. The reliability and safety of systems have been studied because of the difficulty of determining the severity and location of faults. Therefore, it is necessary to detect and diagnose such faults in order to guarantee the reliability and safety of the equipment. In this paper, a diagnosis method for the ball bearings of a hydraulic pump is applied using a vibration signal for the maintenance of injection molding equipment. The bearings' defects are selected as a main failure mode through a failure mode and effect analysis (FMEA). Usually, there are nonlinear and impulse components of vibration in a ball bearing with faults. For the effective fault diagnosis of a ball bearing, nonlinear diagnostic methods and time-frequency analysis are applied, in addition to the methods currently used, such as power spectrum, time series analysis, and statistical methods. As a result of this study, a failure diagnosis system is provided that is useful even for non-experts. This is a condition-based method that makes it possible to resolve problems in a timely and economical way, in contrast to the prior method, which required regular but wasteful maintenance based on the experience of expensive external experts.
Journal of Korean Library and Information Science Society
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v.22
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pp.139-169
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1995
The purpose of this study is to analyze the search pattern and search outcome of the National Central Library OPAC users by measuring their success rates and identifying the factors of failure and the personal background which bring about the differences of the search outcome. Various methods have been used for the study. Personal interview was used to find the pattern of the search, observation method was used to investigate the search process and the failure factors, and a questionnaire was used to survey personal background of searchers. The data were collected during the period of 7 days from April 17, 1995 through April 23, 1995. The search of 1, 217 cases, sampling systematically 25% out of the whole users, were collected and analyzed for the study. The findings of the study can be summarized as follows : First, in regard to the pattern, known-item search(72.6%) was preferred to the subject search(27.4%) and in case of known-item search the access point used were in the order of title, author, title and author. Second, the overall success rate of known-item search was 50.3% and the success rates were in order of author and date, title, and author. The failure factors of known-item search were divided into users factor of 67% and the database factor of 33%, respectively. Third, in case of subject search, its overall success rate was 44.1% and the keyword was the major access point, and the average of precision ratio was very low. Fourth, the analysis of the personal background related to the search outcome has shown significant differences by sex, the experience of using OPAC, education level, and the frequency of using other information retrieval systems. Based on the results the following suggestions can be made to improve the search outcome : First, the system should be su n.0, pplemented online help function to assist users to overcome the failure during search. Second, user instruction in group or individual should be implemented for the users to understand the system.
Kim, Tae Hyung;Kim, Mi Sun;Choi, Seo Hee;Suh, Yang Gun;Koh, Yoon Woo;Kim, Se Hun;Choi, Eun Chang;Keum, Ki Chang
Radiation Oncology Journal
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v.32
no.3
/
pp.125-131
/
2014
Purpose: We reviewed treatment outcomes and prognostic factors for patients with salivary ductal carcinoma (SDC) treated with surgery and postoperative radiotherapy from 2005 to 2012. Materials and Methods: A total of 16 patients were identified and 15 eligible patients were included in analysis. Median age was 61 years (range, 40 to 71 years) and 12 patients (80%) were men. Twelve patients (80%) had a tumor in the parotid gland, 9 (60%) had T3 or T4 disease, and 9 (60%) had positive nodal disease. All patients underwent surgery and postoperative radiotherapy. Postoperative radiotherapy was delivered using 3-dimensional conformal radiotherapy or intensity-modulated radiotherapy. Locoregional failure-free survival (LRFFS), distant failure-free survival (DFFS), progression-free survival (PFS), and overall survival (OS) were calculated using the Kaplan-Meier method. Differences in survival based on risk factors were tested using a log-rank test. Results: Median total radiotherapy dose was 60 Gy (range, 52.5 to 63.6 Gy). Four patients received concurrent weekly chemotherapy with cisplatin. Among 10 patients who underwent surgery with neck dissection, 7 received modified radical neck dissection. With a median follow-up time of 38 months (range, 24 to 105 months), 4-year rates were 86% for LRFFS, 51% for DFFS, 46% for PFS, and 93% for OS. Local failure was observed in 2 patients (13%), and distant failure was observed in 7 (47%). The lung was the most common involved site of distant metastasis. Conclusion: Surgery and postoperative radiotherapy in SDC patients resulted in good local control, but high distant metastasis remained a major challenge.
This study evaluated the short message service (SMS) and multimedia message service (MMS) usability of mobile phones and wireless internet services by performance failure rates and flowcharts that adopted the concept of state diagrams. Forty-eight participants who had an experience of using mobile phones were recruited by posting an advertisement on websites for the experiment. They carried out both SMS and MMS tasks with the mobile phones of LG Cyon and Samsung Anycall as well as the wireless internet services of LGT ez-i, KTF magicN, and SKT NATE. In general, Cyon had the lower performance failure rate than Anycall for SMS, and ez-i had the lowest performance failure rate than the other services for MMS. More specifically through the workflow analysis, most participants used hot keys to take 7-8 steps to send a SMS including a symbol and had a difficulty in typing the symbol. They also took 10-11 steps to send a MMS after taking and attaching two pictures. Anycall, magicN, and NATE had significantly large error and failure rates due to the limited option of the menu paths that users could take and poor compatibilities of menu names and between menu and navigation keys. This study showed the possibility of use of flowcharts for systematic and specific usability evaluation methods and found the causes of performance errors and failures with mobile phones and wireless internet services to provide insight into their design.
Journal of the Institute of Electronics and Information Engineers
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v.53
no.2
/
pp.10-16
/
2016
For higher reliability against a link failure of a control network in railway vehicles, a recovery mechanism is needed. We introduce a problem that, when a link failure occurs in a ring-topology control network, a node may experience a significant increase of transmission delay depending on its relative position within the network. We then propose two mechanisms to solve this problem: (1) differentiating and prioritizing node traffic in forwarding; and (2) switching some nodes to a backup bus-topology network. Our simulation study shows that, while the first mechanism achieves a limited gain by only compensating queuing delay, the second one gets a sufficient gain which is impacted by the number of nodes switched to the bus network.
Journal of Information Technology Applications and Management
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v.26
no.2
/
pp.41-60
/
2019
O2O(Online-to-Offline) commerce, a kind of multi-channel, is used in various industries such as accommodation, food and beverage, transportation, and real estate. The O2O commerce, a channel of integrating online and offline, overcomes the limitations of traditional online commerce, where a customer made a purchase decision without direct experience. Despite this advantage of O2O, if the online-offline channel is not effectively linked, customer's complaints would occur due to service failure. This study, with regard to O2O service failure circumstances, intends to investigate the effect of customer's perceived justice on their emotional response, recovery satisfaction, followed by intention to repurchase. Perceived justice in this study is composed of distributive justice, interactional justice, and procedural justice. Furthermore, this study explores the moderation effect of O2O industry types in the relationship between perceived justice and emotion. An O2O industry type is classified into accommodation, food and beverage, and transportation. A hypothesized research model was empirically tested using a structural equation model. The current study collected 433 questionnaires and the target respondents are customers who have experienced service failure in O2O commerce. The empirical results showed that O2O commerce more effectively conducts service recovery strategy and causes positive customer response by integrating online and offline channel. One of the ultimate purposes of O2O service providers is to reduce the likelihood of service failures and to recover more quickly and efficiently by linking two channels rather than using a single channel. This study suggested that the O2O channel is effective in influencing customer satisfaction and loyalty by inducing customer's positive emotions in recovering service failure.
The application of chatbots on e-commerce platforms is becoming increasingly widespread. With the rapid development of artificial intelligence technology, previous research has predominantly focused on service failures occurring with the chatbots themselves. There is limited research on scenarios where chatbots handle service failures that are controllable by the sellers. This paper conducted online surveys through two experiments involving a total of 546 participants. The results indicate that, in the event of a service failure, customers are more likely to spread negative word-of-mouth about the store and have lower repurchase intentions when served by chatbots compared to human customer service representatives. This is because customers experience higher levels of anger with the chatbots. However, when customers perceive the service failure as uncontrollable by the seller, the impact of the type of customer service provider on negative word-of-mouth via customer anger is weakened while when customers perceive it as controllable the impact is strengthened. This study provides theoretical contributions for online retail enterprises to apply intelligent customer service while preventing further deterioration of service failures.
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