387 research outputs found

    Perceptions and Barriers of Survivorship Care in Asia: Perceptions From Asian Breast Cancer Survivors.

    Get PDF
    PurposeWith the long-term goal to optimize post-treatment cancer care in Asia, we conducted a qualitative study to gather in-depth descriptions from multiethnic Asian breast cancer survivors on their perceptions and experiences of cancer survivorship and their perceived barriers to post-treatment follow-up.MethodsTwenty-four breast cancer survivors in Singapore participated in six structured focus group discussions. The focus group discussions were voice recorded, transcribed verbatim, and analyzed by thematic analysis.ResultsBreast cancer survivors were unfamiliar with and disliked the term "survivorship," because it implies that survivors had undergone hardship during their treatment. Cognitive impairment and peripheral neuropathy were physical symptoms that bothered survivors the most, and many indicated that they experienced emotional distress during survivorship, for which they turned to religion and peers as coping strategies. Survivors indicated lack of consultation time and fear of unplanned hospitalization as main barriers to optimal survivorship care. Furthermore, survivors indicated that they preferred receipt of survivorship care at the specialty cancer center.ConclusionBudding survivorship programs in Asia must take survivor perspectives into consideration to ensure that survivorship care is fully optimized within the community

    Applying Project Management Perspective for ERP Implementation: A Case Study

    Get PDF
    The case-study company is a well-known enterprise whose primary product is precision locknuts in Taiwan. With the rise of sales performance, the legacy enterprise resource planning (ERP) system does not provide the degree of reliability and maintainability the case company needed. In order to meet the growing needs of enterprise, the case company faces to the challenge of application integration within the enterprise. The ERP implementation success depends on the rigor of the project management processes. In this research, firstly, case study approach is adopted to investigate how poor project management imperil the implementation of an ERP system. Having learned the lessons from the failure of its first ERP implementation, the case company applies the theory of business process reengineering (BPR) to explore and rationalize the business processes, and design its project management practices to successfully carry out its second ERP implementation. And the goal directed project management (GDPM) principles are applied to develop a proper ERP implementation plan. The summary descriptions of the important aspects of ERP implementation are stated that the sponsor or the client of the project, the goals, and limitations on the project, and time are included. This study explores and identifies the critical elements of project management to provide an effective guidance for the first implementation stage

    Blockchain-Based Water-Energy Transactive Management with Spatial-Temporal Uncertainties

    Get PDF
    Water resources are vital to the energy conversion process but few efforts have been devoted to the joint optimization problem which is fundamentally critical to the water-energy nexus for small-scale or remote energy systems (e.g., energy hubs). Traditional water and energy trading mechanisms depend on centralized authorities and cannot preserve security and privacy effectively. Also, their transaction process cannot be verified and is subject to easy tampering and frequent exposures to cyberattacks, forgery, and network failures. Toward that end, water-energy hubs (WEHs) offers a promising way to analyse water-energy nexus for greater resource utilization efficiency. We propose a two-stage blockchain-based transactive management method for multiple, interconnected WEHs. Our method considers peer-topeer (P2P) trading and demand response, and leverages blockchain to create a secure trading environment. It features auditing and resource transaction record management via system aggregators enabled by a consortium blockchain, and entails spatial-temporal distributionally robust optimization (DRO) for renewable generation and load uncertainties. A spatial-temporal ambiguity set is incorporated in DRO to characterize the spatial-temporal dependencies of the uncertainties in distributed renewable generation and load demand. We conduct a simulation-based evaluation that includes robust optimization and the moment-based DRO as benchmarks. The results reveal that our method is consistently more effective than both benchmarks. Key findings include i) our method reduces conservativeness with lower WEH trading and operation costs, and achieves important performance improvements by up to 6.1%; and ii) our method is efficient and requires 18.7% less computational time than the moment-based DRO. Overall, this study contributes to the extant literature by proposing a novel two-stage blockchain-based WEH transaction method, developing a realistic spatialtemporal ambiguity set to effectively hedge against the uncertainties for distributed renewable generation and load demand, and producing empirical evidence suggesting its greater effectiveness and values than several prevalent methods.</p

    Blockchain-Based Water-Energy Transactive Management with Spatial-Temporal Uncertainties

    Get PDF
    Water resources are vital to the energy conversion process but few efforts have been devoted to the joint optimization problem which is fundamentally critical to the water-energy nexus for small-scale or remote energy systems (e.g., energy hubs). Traditional water and energy trading mechanisms depend on centralized authorities and cannot preserve security and privacy effectively. Also, their transaction process cannot be verified and is subject to easy tampering and frequent exposures to cyberattacks, forgery, and network failures. Toward that end, water-energy hubs (WEHs) offers a promising way to analyse water-energy nexus for greater resource utilization efficiency. We propose a two-stage blockchain-based transactive management method for multiple, interconnected WEHs. Our method considers peer-topeer (P2P) trading and demand response, and leverages blockchain to create a secure trading environment. It features auditing and resource transaction record management via system aggregators enabled by a consortium blockchain, and entails spatial-temporal distributionally robust optimization (DRO) for renewable generation and load uncertainties. A spatial-temporal ambiguity set is incorporated in DRO to characterize the spatial-temporal dependencies of the uncertainties in distributed renewable generation and load demand. We conduct a simulation-based evaluation that includes robust optimization and the moment-based DRO as benchmarks. The results reveal that our method is consistently more effective than both benchmarks. Key findings include i) our method reduces conservativeness with lower WEH trading and operation costs, and achieves important performance improvements by up to 6.1%; and ii) our method is efficient and requires 18.7% less computational time than the moment-based DRO. Overall, this study contributes to the extant literature by proposing a novel two-stage blockchain-based WEH transaction method, developing a realistic spatialtemporal ambiguity set to effectively hedge against the uncertainties for distributed renewable generation and load demand, and producing empirical evidence suggesting its greater effectiveness and values than several prevalent methods.</p

    Numerical investigation of injury mechanism on the human knee of long-jumpers

    Get PDF
    Abstract : Long-jump is a vigorous athletic event with high speed. Due to so fast run-up and take-off velocities in horizontal and vertical badly injured. Based on the physical conditions of an ordinary Chinese man long-jumper, a combination of finite element analysis (FEA) and multi-body dynamics analysis (MDA) approach was tried analyzing the real and detailed long-jump process. Research results show that the maximum resultant force does appear the second phase of the long-jump and that the most notable deformation, displacement and the maximum stresses are all located at the medial sides, especially at the lateral condyle of the articular cartilage. Our results show the feasibility and effectiveness of performing MDA as a preliminary step to FEA, and provide an insight into the injury mechanism on the Human Knee of Long-jumpers.

    Numerical investigation of scale effect of various injection diameters on interaction in cold kerosene-fueled supersonic flow

    Get PDF
    Abstract: The incident shock wave generally has a strong effect on the transversal injection field in cold kerosene-fueled supersonic flow, possibly due to its affecting the interaction between incoming flow and fuel through various operation conditions. This study is to address scale effect of various injection diameters on the interaction between incident shock wave and transversal cavity injection in a cold kerosene-fueled scramjet combustor. The injection diameters are separately specified as from 0.5 to 1.5mm in 0.5mm increments when other performance parameters, including the injection angle, velocity and pressure drop are all constant. A combined three dimensional Couple Level Set & Volume of Fluids (CLSVOF) approach with an improved K-H & R-T model is used to characterize penetration height, span expansion area, angle of shock wave and sauter mean diameter (SMD) distribution of the kerosene droplets with/without considering evaporation. Our results show that the injection orifice surely has a great scale effect on the transversal injection field in cold kerosene-fueled supersonic flows. Our findings show that the penetration depth, span angle and span expansion area of the transverse cavity jet are increased with the injection diameter, and that the kerosene droplets are more prone to breakup and atomization at the outlet of the combustor for the orifice diameter of 1.5mm. The calculation predictions are compared against the reported experimental measurements and literatures with good qualitative agreement. The simulation results obtained in this study can provide the evidences for better understanding the underlying mechanism of kerosene atomization in cold supersonic flow and scramjet design improvement
    corecore