Simultaneous assessment of subjective appetite, unacylated ghrelin, and leptin was carried out over a continuous 37-h protocol for the first time under conditions controlled light, sleep, feeding in healthy, lean adults. Rhythms were observed leptin, components such as hunger, prospective consumption, fullness. Concurrent measurement rhythms these variables is important to fully understand temp...

Gas motion within the cylinder is one of the major factors that control the combustion process in spark ignition engine. It also has significant impact on heat transfer. Both the bulk gas motion and the turbulence characteristics of the flow are important and governing the overall behavior of the flow. An arrangement for obtaining a stratified charge, using port injection, is proposed for a ...

We would like to express our deepest gratitude Wally Hopp, Mark Spearman, and the eight commentators—all luminaries in Lean—for their excellent Forum articles (Hopp & Spearman 2021, hereinafter, source “A”; Cusumano et al. “B”). These have stimulated thinking encouraged rich debate community. Over past 40 years, Lean Toyota Production System (TPS) from which it originated sourced much of resear...

Performance measurement is an important component of lean-based management systems, however cost management systems or analysis have largely been applied at a high level and have not attempted to measure or model the production cost impacts of disruption on a lean project. While it is important to develop systems for practical site management, it is equally important to ensure that such systems...

To cite: Blackmore CC, Kaplan GS. BMJ Qual Saf Published Online First: [please include Day Month Year] doi:10.1136/bmjqs-2016005273 The term Lean means different things to different people. At Virginia Mason, it is applied to the management system based on the systematic identification and elimination of waste, defined as any activity that does not add value from the standpoint of the customer....

forty growing ram lambs (lori-bakhtiari breed) averaging 28 kg (±1.5) were allocated in this study to evaluate the optimal dietary energy density in a lamb fattening enterprise in iran. the feed intake (fi), body weight (bw), gain to feed ratio (g:f) and carcass characteristics were studied. four treatments differed in metabolizable energy content (me) as follow; 2, 2.3, 2.6 and 2.9 mcal/kg for...

undoubtedly, more attention is being made in the word service and industries that can be learnt from manufacturing for improving its production out puts and their associated quality and cost. these include such lean production, jit, tqm, and the relationship between buyer, supplier and finally the customer satisfaction. the main purpose of this paper is to explore the relationship between three...

    Strategic programming, Complex supply chain, Lean, Production programming, Suppliers selection,   ELECTRE This paper represents a model of strategic programming with limited resources in a complex supply chain. The main goal of the proposed model is to increase efficiency and effectiveness of the supply chain with respect to income increases and cost decreases. Using special objective funct...

Nutritional status should be assessed at regular intervals as part of management of human immunodeficiency virus (HIV) infection. The simplest approach to assessment is serial weight measurement. A comprehensive nutritional assessment includes (1) anthropometric measurements of body composition; (2) biochemical measurements of serum protein, micronutrients, and metabolic parameters; (3) clinica...

Introduction: Research shows a relationship between diabetes (type II) and obesity. Bioelectrical Impedance Analysis (BIA) is a relatively new and approved method for the measurement of body composition. The aim of this study was to compare diabetic and non-diabetic adults on the basis of waist-hip ratio, total fat, percentage of fat, trunk fat, and soft lean mass. Methods: In this cross-sec...