reducing wastes in the healthcare processes is crucial for developing a high performance health system. adopted from the toyota production system (tps), the lean concept has emerged in recent years as a way of introducing innovative ideas to improve industrial processes. in the context of health care, lean is considered as a continuous improvement model, which provides healthcare organization t...

nowadays, customers ask for high quality products with less cost. so, the organizations such as iran transfo rey are looking for a solution to survive longer. implementation of lean production can lead the company to its target. the main goal of this research is evaluating the readiness of iran transfo rey co. for performing the lean production system through dimensional analysis model. in this...

Although lean is rapidly growing in popularity, its implementation is far from problem free and companies may experience difficulties sustaining long term success. In this paper, it is suggested that sustainable lean requires attention to both performance improvement and capability development. A framework for describing levels of lean capability is presented, based on a brief review of the lit...

Reactive oxygen species (ROS) and endothelin-1 (ET-1) contribute to vascular pathophysiology in obesity. In this context, whether ET-1 modulates hydroxyl radical (*OH) formation and the function of ROS/*OH in obesity is not known. In the present study, formation and function of ROS, including *OH, were investigated in the aorta of lean and leptin-deficient obese ob/ob mice. Hydroxyl radical for...

BACKGROUND Adults with obesity or type 2 diabetes mellitus (T2DM) are at higher risk for stroke and myocardial infarction. Increased carotid intima-media thickness (cIMT) and stiffness are associated with these adverse outcomes. We compared carotid arteries in youth who were lean, were obese, or had T2DM. METHODS AND RESULTS Carotid ultrasound for cIMT measurement was performed, the Young ela...

Purpose – This paper addresses the most common pain points in agile software development. Methodology/Approach – Many experts agree that agile software development methodologies make good use of best practices – but how can they be measured quantitatively? Agile literature provides surprises for software measurement professionals: for instance, time-consuming size measurement approaches are pro...

BACKGROUND & AIMS Body composition measurement is a valuable tool for assessing nutritional status and physical fitness in a variety of clinical settings. Although bioimpedance analysis (BIA) can easily assess body composition, its accuracy remains unclear. We examined the accuracy of direct segmental multi-frequency BIA technique (DSM-BIA) in assessing different body composition parameters, us...

OBJECTIVE The precision and accuracy of a quantitative magnetic resonance (EchoMRI Infants) system in newborns were determined. METHODS Canola oil and drinking water phantoms (increments of 10 g to 1.9 kg) were scanned four times. Instrument reproducibility was assessed from three scans (within 10 minutes) in 42 healthy term newborns (12-70 hours post birth). Instrument precision was determin...