• Title/Summary/Keyword: Loss Experiences

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Appraisal of Breast Cancer Symptoms by Iranian Women: Entangled Cognitive, Emotional and Socio-Cultural Responses

  • Khakbazan, Zohreh;Roudsari, Robab Latifnejad;Taghipour, Ali;Mohammadi, Eesa;Pour, Ramesh Omrani
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.19
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    • pp.8135-8142
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    • 2014
  • Background: Breast cancer is the most common cancer in Iranian women and usually features delayed presentation and late diagnosis. Interpretation of symptoms, as the most important step, has a significant impact on patient delay in seeking treatment. There is a dearth of studies on symptom appraisal and the process leading to seeking help in breast cancer patients. This study explored the perceptions and experiences of Iranian women with self-detected possible breast cancer symptoms. Materials and Methods: A qualitative method was conducted involving in-depth semi-structured interviews with 27 Iranian women with self-discovered breast cancer symptoms. Participants were purposefully selected from women who attended Cancer Institute of Tehran University of Medical Sciences during June 2012 to August 2013. The audiotaped interviews were transcribed and analyzed using conventional content analysis with MAXQDA soft ware version 10. The trustworthiness of the study was verified by prolonged engagement, member validation of codes, and thick description. Results: The main concepts emerging from data analysis were categorized in four categories: symptom recognition, labeling of symptoms, interactive understanding, and confronting the fear of cancer. Symptom recognition through breast self-examination, symptom monitoring and employing prior knowledge distinguished normal from abnormal symptoms and accompanied with perception of being at risk of breast cancer led to symptom labeling. Social interaction by selective disclosure and receiving reassurance from a consultant led to confirmation or redefinition of the situation. Perceived seriousness of the situation and social meanings of breast cancer as a stigmatized and incurable illness associated with loss of femininity were reasons for patient worries and fear. Conclusions: This study emphasized that entangled cognitive, emotional and socio-cultural responses affecting understanding of symptom seriousness require further investigation. It is suggested that programs aimed at shortening patient delay in breast cancer should be focused on improving women's knowledge and self-awareness of breast cancer, in addition to correcting their social beliefs.

A Design for Realtime Monitoring System and Data Analysis Verification TA to Improve the Manufacturing Process Using HW-SW Integrated Framework (HW-SW 통합 프레임워크를 활용한 제조공정 개선을 위한 실시간 모니터링 시스템과 데이터 분석검증 TA설계)

  • Kim, Jae Chun;Jin, Seon A;Park, Young Hee;Noh, Seong Yeo;Lee, Hyun Dong
    • KIPS Transactions on Software and Data Engineering
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    • v.4 no.9
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    • pp.357-370
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    • 2015
  • Massive data occurred in a manufacturing place is able to fulfill very important roll to improve the manufacturing process. Domestic manufacturing business has been making an multilateral effort to react the change of manufacturing circumstance, but it undergoes many difficulties due to technical weakness. Coatings is a type of paint. It protect products by forming a film layer on the products and assigns various properties to those. The research of coatings is one of the fields studied actively in the polymer industry. The importance of the coatings in various industries is more increased. However, the industry still performs a mixing process in dependence on operator's experiences. In this paper, we propose a design for realtime monitoring system and data analysis verification TA to improve the manufacturing process using HW-SW integrated framework. Analysis results from the proposed framework are able to improve the coatings formulation process by collecting more quantitative reference data for work and providing it to work place. In particular, the framework may reduce the deterioration and loss cost which are caused by absence of a standard data as a accurate formulation criteria. It also may suggest a counterplan regarding errors which can be occurred in the future by deriving a standard calibration equation from the analysis using R and Design of Experiments about an error data generated in the mixing step.

Exploring the Characteristics of Science Gifted Students' Task Commitment (과학 영재들의 과제집착력 특성 탐색)

  • Jang, Jyungeun;Chung, Yoonsook;Choi, Yanghee;Kim, Sung-Won
    • Journal of The Korean Association For Science Education
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    • v.33 no.1
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    • pp.1-16
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    • 2013
  • In this research, we tried to discover the characteristics of gifted students by analyzing their experience in showing task commitment. In order to do this, we asked science gifted students to specifically describe their experiences while deeply experimenting on a scientific cause or theory. From their responses, we inductively explored the characteristics of science gifted students by extracting and analyzing the characteristics that show task commitment. Consequentially, the characteristics of the gifted students are divided into nine categories, which are confidence, setting a challenging goal, challenging approach for solving problems, sense of potential control, loss of self-consciousness, time distortion, submission to difficult task, initiative, and endurance, all of which appear repeatedly among the gifted students. With consensus among three experts who have experience in research on gifted education, these nine characteristics can be categorized into 3 characteristics; challenge, flow, and willingness. The three characteristics such as challenge, flow, and willingness well represent a definition of task commitment. These characteristics can explain the level of task commitment exhibited by science gifted students. It is possible to develop the tool and framework for judging the task commitment of gifted students on the basis of their characteristics.

Noise Prediction of Korea High Speed Train (KHST) and Specification of Sub-components (한국형 고속전철 차량소음 예측 및 부품 소음관리방안)

  • ;;;H.W. Thrane
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.12 no.10
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    • pp.758-765
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    • 2002
  • KITECH and ODS performed a study of internal and external noise prediction of the Korean high speed prototype test train(HSR 350X). The object of this study was 3 kinds of cars, trailer car(TT2), motorized car(TMI ) and power car(TPI) and the predicted noise was for the two different driving speeds in free field and tunnel conditions. Data of carbody design and noise sources were delivered from manufactures. Some of noise sources which were not available in the project team, were chosen by experiences of ODS. Internal noise level of each car was predicted for two cases i.e, at 300 km/h and 350 km/h. In addition sound transmission path and dominant noise sources were also investigated for each section of the car, which is circular shell typed part of whole carbody. In case of TT2, the dominating sound transmission path is the (floor in terms of structure-borne noise and air-borne noise. The main noise sources are structure-borne noise from the yaw-damper and air-borne noise from the wheel/rail contact, whereas the dominating sound transmission path of TMI are floor and sidewall below the window in terms of structure-borne noise. The main noise sources of TMI are structure-borne noise from motor/gear unit and the yaw-damper in the free field, and air-borne noise from the wheel/rail contact and structure-borne noise from motor/gear unit in the tunnel. Through the external noise prediction for the KHST test train formation, the noise form the wheel/rail contact is estimated as one of the major sources. In addition, the noise specification of sub-component was proposed for managing each sub-surpplier to reach the KHST noise requirement. The specification provide the sound power of machinery part and transmission loss of component of carbody structure. The predicted noise level in each case exceeded the required limit. Through this study, the noise characteristics of the test train were investigated by simulation, and then the actual test will be performed in near future. Both measured and calculated data will be compared and further work for noise reduction will be continued.

The Impact of Preoperative Chemotherapy on the Surgical Management of Unresectable Gastric Cancer (수술 전 항암요법이 절제 불가능한 위암 환자의 수술에 미치는 영향)

  • Yoon, Sam-Youl;Kim, Min-Gyu;Oh, Sung-Tae
    • Journal of Gastric Cancer
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    • v.9 no.4
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    • pp.269-274
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    • 2009
  • Purpose: There have been reported that preoperative chemotherapy for treating noncurative gastric cancer could increase the R0 resection rate by downstaging the gastric cancer. Yet there have been only rare reports about the effect of preoperative chemotherapy on performing surgery for noncurative gastric cancer. Our study was designed to analyze our experiences with these effects. Materials and Methods: We retrospectively analyzed 46 patients who had undergone gastrectomy after chemotherapy between December 2001 and January 2009. The patients' preoperative condition, the operative findings and the postoperative clinical coursed were analyzed. Results: Preoperative chemotherapy was performed for a mean of 4.4 cycles. Four patients showed a level of ANC below 1,500 (${\mu}/L$) and above a 10 percentile weight loss, respectively. For an operation, we found fibrosis or fixation between the tumor and the adjacent organs in 29 patients, and 4 of the 13 patients who underwent resection with another organ were documented to have invasion by tumor. Forty one patients underwent curative resection. Ten patients developed postoperative complications. There was no mortality at postoperative 60 days. Conclusion: We assumed that preoperative chemotherapy had little effect on the patient preoperatively, and it had some effect on down-staging pathologically. Preoperative chemotherapy didn't increase the postoperative complication rate.

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A Revisit to the Recent Human Error Events in Nuclear Power Plants Focused to the Organizational and Safety Culture

  • Lee, Yong-Hee
    • Journal of the Ergonomics Society of Korea
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    • v.32 no.1
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    • pp.117-124
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    • 2013
  • Objective: This paper presents additional considerations related to organization and safety culture extracted from recent human error incidents in Korea, such as station blackout(i.e., SBO) in Kori#1. Background: Safety culture has been already highlighted as a major cause of human errors after 1986 Chernobyl accident. After Fukushima accident in Japan, the public acceptance for nuclear energy has taken its toll. Organizational characteristics and culture became elucidated as a major contributor again. Therefore many nuclear countries are re-evaluating their safety culture, and discussing any preparedness and its improvement. On top of that, there was an SBO in 2012 in the Kori#1. Korean public feels frustrated due to the similar human errors causing to a catastrophe like Fukushima accident. Method: This paper reassesses Japan's incidents, and revisits Korea's recent incidents. It focuses on the analysis of the hazards rather than the causes of human errors, the derivation of countermeasures, and their implementation. The preceding incidents and conclusions from Japanese experience are also re-analyzed. The Fukushima accident was an SBO due to the natural disaster such as earthquakes and a successive tsunami. Unlike the Fukushima accident, the Kori#1 incident itself was simple and restored without any loss and radioactive release. However, the fact that the incident was deliberately concealed led to massive distrust. Moreover, the continued violation of rules and organized concealment of the accident are serious signs of a new distorted type of human errors, blatantly revealing the cultural and fundamental weakness of the current organization. Result: We should learn from Japanese experiences who had taken pride in its safety technology and fairly high confidence in safety culture. Japan's first criticality accident in JCO facility splashed cold water on that confidence. It has turned out to be a typical case revealing the problems in the organization and safety culture. Since Japan has failed to gain lessons and countermeasure, the issue persists to the Fukushima incident. Conclusion: Safety culture is not a specific independent element, which makes it difficult to either evaluate it properly or establish countermeasures from the lessons. It may continue to expose similar human errors such as concealment of incident and manipulation of bad data. Application: Not only will this work establish the course of research for organization and safety culture, but this work will also contribute to the revitalization of Korea's nuclear industry from the disappointment after the export contract to UAE.

An Ethnography of the Concept of Illness by the Elderly (노인의 질병 관념에 관한 문화기술적 연구)

  • Cho, Myoung Ok
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.690-705
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    • 2000
  • This ethnography was based on Kleinman's explanatory model of a health care system. It is conducted to make thick discription of illness conception of the elderly in a sociocultural context. The basic assumptions were as follows. 1) A health care system is a cultural system, and as with any other cultural system, it is a system of symbolic meanings anchored in a particular arrangement of social institutions and patterns of interpersonal relationships; 2) In all societies health care activities are more or less interrelated. Therefore, they need to be in a holistic manner as socially organized responses to disease that constitute a special cultural system; health care system; 3) Health and illness experiences are the natural process of disease. Individuals who recognized a for state of health, their family, neighbors, and communities define the state, search for causes of the health problems, and response to it. According by, they proceed to search for healing stratagies. So, understanding of the illness experience is the starting point for health care. The study participants were 12 elders aged 60 or more. The fieldwork was conducted in an agricultural clan village of Namwon city. The data collection and analysis were cyclic, from descriptive observation, domain analysis, focused observation, taxanomic analysis, selected observation, componential analysis, and finally cultural themes were all analysed. Proxemic and text analysis techniques were used according to the characteristics of the data. The data of sociocultural context and descriptive data were collected from 1990 to 1992. Informations on illness concepts were collected during 1994 using focused observation. Data confirming and contrast observations were conducted from 1997 and 1999. Illness concepts of the elderly were taxonomized supernatural cause, non-supernatural cause, immediate cause, and ultimate cause. The supernatural ones were ancestors, god of home, god of village, and ghost such as 'sal(evil force of dead man)' and 'gagqui(ghost of begger)'. The non-supernatural ones were Ki, natural phenomenones, natural objects, foods, human and human behaviors. Immediate ones were insufficiency and overflows, discretion and consolidation, disorder and out of order, cloudness and contamination, and fluctuation and stagnation of supernatural cause and non-supernatural ones. Ultimate causes were intrusion and loss of supernatural and nonsupernatural ones. The cultural themes of illness concepts of the elderly are: 1) illness concepts are not based on causality principle, but on reciprocal principle; 2) illness concepts are affected by social level and charicteristics of the patients; 3) the causes of disease are recognized as imposed both positive and negative effects on health based on interpretation of the indiviuals; 4) illness concepts reflects on principles of everyday life of the society members such as hierachial structure and group cohesiveness; 5) illness concepts are ruled on principle of reciprocity and spread; 6) illness concepts are interrelated with physical environment of the participants. It can be concluded that the illness concepts of the elderly in a traditional clan village are a component of health care system as a cultural system based on these results. The these results can be a useful basis for gerontological nursing practice and education.

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TCP Performance Study in Vertical Handoff across Heterogeneous Wireless Networks (이질적 무선망 사이의 수직적 핸드오프에서의 TCP 성능 분석)

  • Pack Sangheon;Choi Yanghee
    • Journal of KIISE:Information Networking
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    • v.32 no.1
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    • pp.20-28
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    • 2005
  • TCP(Transmission Control Protocol) is one of the most important Internet protocols, which is widely used in wireless networks as well as wired networks. However, when TCP is deployed for wireless networks, it takes severe performance degradation because TCP was designed for wired network. To overcome this drawback, a number of TCP variants have been proposed in the literature. However, most previous schemes did not consider TCP enhancement over heterogeneous networks. In heterogeneous networks, an mobile node (MN) may move from one access network to another(i.e., vertical handover). In the case of vertical handover, an MN experiences a TCP performance degradation caused by the packet loss and the sudden change of link characteristics between two different access networks. In this work, we investigate the TCP performance degradation occurred in vortical handover across heterogeneous networks. First, we have conducted the measurement study over GPRS-WLAN testbed. In the measurement study. we observed the TCP performance degradation in the case of handover from WLAN to GPRS. In order to study more different TCP behaviors during vertical handover, we performed comprehensive simulations using a network simulator 2(ns-2). Based on measurement and simulation results, we investigated how to improve TCP performance in vertical handover and we concluded that the existing mechanisms cannot be perfect solutions and new mechanisms are strongly required.

Exploring Children's Reactions In Understanding Of Death - A Case Study Through Reading Picture Books (아동의 죽음 이해의 반응 탐색 - 그림책 읽기를 통한 사례연구)

  • Lee, Ran;Hyun, Eunja
    • The Journal of the Korea Contents Association
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    • v.15 no.12
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    • pp.612-623
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    • 2015
  • The purpose of this study is to explore children's reactions in the process of reading books dealing with death. As a result, there was a reflection of their religious assumptions. The participants interpreted the stories based on their belief systems. If the stories did not match with their assumptions, they used another strategy. Also, it is indicated that they recalled death-related memories and applied those stories to their own loss experiences and social events. Furthermore, they recognized the importance of their own everyday lives rather than immersing in death itself. It means that death-related stories help the participants express their passion towards life and resolve to live their lives to the utmost. Contrary to their first drawings before reading books, their second drawings contained the joy of living and reflected the details of death they developed while reading books. Also, the colors they used in their second drawings were brighter than the previous ones. Their passionate attitude towards life above was equally shown in their poems as well. In conclusion, reading death stories turned out to be a process in which children develop and reflect on their understanding of death. Abundant opportunities to express their own feelings are offered. Furthermore, it is showed that death stories can help the children love their lives and provide a strong will for their living sincerely. Based on the results, some educational suggestions were provided.

Noise Prediction of Korea High Speed Train (KHST) and Specification of Sub-components (한국형 고속전철 차량소음 예측 및 부품 소음관리방안)

  • ;;;H.W. Thrane
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.05a
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    • pp.917-923
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    • 2002
  • KITECH and ODS performed a study of internal and external noise prediction of the KHST test train. The object of this study was 3 kind of cars; trailer car(TT2), motorized car(TM1) and power car(TP1) and the predicted noise was calculated for the two different driving speeds in free field and tunnel conditions. Data of carbody design and noise sources were delivered from each manufactures. Some of noise sources which were not available in project team, were chosen by experiences of ODS. Internal noise level of each car were predicted for two cases i.e, at 300 km/h and 350 km/h. In addition sound transmission path and dominant noise sources were also investigated of each section of car, which is circular shell typed part of whole carbody. In case of TT2, the dominating sound transmission path is floor in terms or structure-borne noise and air-borne noise. The main noise sources are structure-borne noise from the yaw-damper and air-borne noise from the wheel/rail contact, whereas the dominating sound transmission path of TM1 are floor and sidewall below the window in terms of structure-borne noise. The main noise sources of TM1 are structure-borne noise from motor/gear unit and the yaw-damper in the free field, and air-borne noise from the wheel/rail contact and structure-borne noise from motor/gear unit in the tunnel. Through the external noise prediction for the KHST test train formation, the noise form the wheel/rail contact is estimated as one of the major sources. In addition, the noise specification of sub-component was proposed for managing each sub-surpplier to reach the KHST noise requirement. The specification provide the sound power of machinery part and transmission loss of component of carbody structure. The predicted noise level in each case exceeded the required limit. Through this study, the noise characteristics of the test train were investigated by simulation, and then the actual test will be performed in near future. Both measured and calculated data will be compared and further work for noise reduction will be continued.

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