background recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a lean methodology, namely – an adaptation of value stream mapping (vsm) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   methods over an 18-month time period, staff applied a patient-cen...

OBJECTIVES The aim of this study was to evaluate changes of body composition in cirrhotic patients. Dual energy x-ray absorptiometry (DEXA) and anthropometry were used, and the values obtained were compared. METHODS Mid-arm fat and muscle areas were calculated by anthropometry in 66 cirrhotic patients and 94 healthy controls. In 37 of the cirrhotic patients and 39 of the controls, fat mass, l...

We aim to identify and analyse the key success factors of sustainable lean implementation investigate changes in management accounting performance measurement systems after implementation. four large, publicly traded Serbian companies that have implemented lean. To introduce diversity into our sample we choose from different industries with competitive organizational characteristics. use a mult...

introduction: the perceived lean services are definite type of the therapy services that patients’ needs are responded based on information about how to receive services in hospitals and medical centers. the present study aimed to determine the relationship between availability of patients’ therapy information management infrastructures and perceived lean services to find suitable model. method...

OBJECTIVE Resting metabolic rate (RMR) is the component of energy expenditure that explains the largest proportion of total daily energy requirements. Since RMR is determined largely by fat-free mass and a low RMR predicts weight gain in healthy adults, identifying the role of muscle atrophy following stroke on RMR may help identify ways to mitigate the development of obesity post-stroke. MET...

PURPOSE OF REVIEW To give an overview of recent research findings and insights on the role of body composition assessment in fracture risk prediction. RECENT FINDINGS While there is to date little doubt that bone mineral density (BMD) is a main pathogenic factor of osteoporotic fractures, recent studies have emphasized the independent contribution of body composition components, especially le...

An elevated total RBC volume (TRCV) in milliliters per kilogram of body weight has been an essential criterion for determining whether a person is polycythemic. This may be misleading in obese subjects as the TRCV per kilogram of fat is only one-tenth that of the TRCV of the lean body mass (LBM). Various formulas based on surface area have been used to account for this difference, but they are ...

Measurement errors usually arise during the longitudinal data collection process. Ignoring effects of measurement will lead to invalid estimates. The Lifestyle Education for Activity and Nutrition (LEAN) study was designed assess effectiveness intervention enhancing weight loss over nine months. covariates systolic blood pressure (SBP) diastolic (DBP) were measured at baseline, month 4, 9. At e...

Data from a study conducted over 5 yr were analyzed to determine heritability estimates of LM lean color, as measured by subjective scoring and Hunter Colorimeter readings, and palatability, as measured by trained sensory panelists and Warner-Bratzler shear force (WBSF). Phenotypic and genetic correlations were determined between each of the measures of palatability and color. There were 1,066 ...

Lean production has become an integral part of the manufacturing landscape as its link with superior performance and its ability to provide competitive advantage is well accepted among academics and practitioners. Lean production helps producers in overcoming the challenges organizations face through using powerful tools and enablers. However, most companies are faced with restricted resources ...