Purpose This paper aims to present a dual-perspective framework for maintenance service delivery that should be used by manufacturing companies structure and manage their process, using aggregated historical real-time data improve operational decision-making. The framework, built continuous improvement, allows the exploitation of knowledge processes machines. Design/methodology/approach Dual-pe...

Objective To examine how increased body mass index (BMI) class impacts time to delivery interval in the setting of emergent cesarean birth. Study Design A cohort study all births at our institution from 2012-2018. Three comparison groups were divided by BMI category: 1. Non obese; 30 kg/cm2 (n=55) 2. Class I obesity; 31-34 (n=75) 3. II and III Obesity; =35 (n=51) Primary outcomes decision-to-de...