WorldWideScience

Sample records for lean burn limits

  1. The hydrogen–air burning rate near the lean flammability limit

    OpenAIRE

    Fernández Galisteo, Daniel; Sánchez Pérez, Antonio Luis; Liñán Martínez, Amable; Williams, F. A.

    2009-01-01

    This paper investigates the inner structure of the thin reactive layer of hydrogen–air fuellean deflagrations close to the flammability limit. The analysis, which employs seven elementary reactions for the chemistry description, uses the ratio of the characteristic radical and fuel concentrations as a small asymptotic parameter, enabling an accurate analytic expression for the resulting burning rate to be derived. The analysis reveals that the steady-state assumption for chemical intermedi...

  2. Lean-burn engines UHC emission reduction

    Energy Technology Data Exchange (ETDEWEB)

    Karll, B.; Kristensen, P.G.; Nielsen, M.; Iskov, H. [Danish Gas Technology Centre a/s (Denmark); Broe Bendtsen, A.; Glarborg, P.; Dam-Johansen, K. [Technical University of Denmark. CHEC, Department of Chemical Engineering (Denmark)

    1999-04-01

    at increased NO{sub x} levels and the results show that increased NO{sub x} levels improve the UHC conversion in the exhaust reactor. The process is found to be very dependent on actual NO{sub x} levels and the exhaust reactor temperature. The exhaust temperature from lean burn engines is in the range from 450 to 550 deg. C depending on the engine settings and type. The conclusion from the tests shows that only if the temperature in the exhaust system is raised, it will be possible to use the NO{sub x} enhanced UHC oxidation process for post oxidation. Injection of hydrogen peroxide caused a significant reduction in the stack emission of UHC by conversion of UHC at conditions where the exhaust reactor otherwise was unable to oxidise UHC. The stack emission of UHC was reduced by 40-60% during test engine conditions. (EHS) EFP-96; 14 refs.

  3. Lean-burn engines UHC emission reduction

    Energy Technology Data Exchange (ETDEWEB)

    Karll, B.; Kristensen, P.G.; Nielsen, M.; Iskov, H. [Danish Gas Technology Centre a/s (Denmark); Broe Bendtsen, A.; Glarborg, P.; Dam-Johansen, K. [Technical University of Denmark. CHEC, Department of Chemical Engineering (Denmark)

    1999-04-01

    at increased NO{sub x} levels and the results show that increased NO{sub x} levels improve the UHC conversion in the exhaust reactor. The process is found to be very dependent on actual NO{sub x} levels and the exhaust reactor temperature. The exhaust temperature from lean burn engines is in the range from 450 to 550 deg. C depending on the engine settings and type. The conclusion from the tests shows that only if the temperature in the exhaust system is raised, it will be possible to use the NO{sub x} enhanced UHC oxidation process for post oxidation. Injection of hydrogen peroxide caused a significant reduction in the stack emission of UHC by conversion of UHC at conditions where the exhaust reactor otherwise was unable to oxidise UHC. The stack emissin of UHC was reduced by 40-60% during test engine conditions. (EHS) EFP-96; 14 refs.

  4. Stoichiometric and lean burn heavy-duty gas engines: a dilemma between emissions and fuel consumption?

    NARCIS (Netherlands)

    Steen, M. van der; Rijke, J. de; Seppen, J.J.

    1996-01-01

    This paper compares stoichiometric with lean burn technology for heavy-duty gas engines (natural gas and LPG) and demonstrates that there is a future for both engine concepts on the multilateral global market. Emission limits in Europe as expected in the near future will facilitate both engine conce

  5. Technologies adopted in the lean-burn GA15DE engine for improving combustion and controlling the air-fuel ratio; Kogata 4 kito lean burn engine (GA15DE) ni okeru nensho kaizen oyobi seigyo gijutsu ni tsuite

    Energy Technology Data Exchange (ETDEWEB)

    Saito, K.; Matsumura, M. [Nissan Motor Co. Ltd., Tokyo (Japan)

    1994-10-07

    This paper summarizes an automotive engine with improved fuel consumption, having realized lean combustion. The lean-burn engine is such an engine that can be operated in an air-fuel ratio compatible in the combustion stability limit and the NOx emission limit by means of combustion improvement, and achieved improvement in fuel consumption as the result. The engine can be expected of higher fuel consumption improving effect than the EGR of the conventional engines because of the lean-burn mechanism. The newly developed lean-burn engine is characterized by less change in its specifications from the basic specifications. Lean fuel burning requires creating a gas mixture condition that is easy to ignite and acquiring a gas flowing field which spreads quickly upon ignition. To achieve these goals, swirl control valves and phase difference cams were disposed. Further, long-discharge coils are used to improve the ignitability. In order to operate the tertiary catalyst more effectively, an A/F sensor that operates in the catalytic area was adopted for the air-fuel ratio feedback control in place of an O2 sensor. The mileage of a vehicle equipped with the lean-burn engine was increased by 17.8% to 20.5 km/l. 2 refs., 13 figs., 2 tabs.

  6. A Hypothetical Burning-Velocity Formula for Very Lean Hydrogen-Air Mixtures

    Energy Technology Data Exchange (ETDEWEB)

    Williams, Forman; Williams, Forman A; Grcar, Joseph F

    2008-06-30

    Very lean hydrogen-air mixtures experience strong diffusive-thermal types of cellular instabilities that tend to increase the laminar burning velocity above the value that applies to steady, planar laminar flames that are homogeneous in transverse directions. Flame balls constitute an extreme limit of evolution of cellular flames. To account qualitatively for the ultimate effect of diffusive-thermal instability, a model is proposed in which the flame is a steadily propagating, planar, hexagonal, close-packed array of flame balls, each burning as if it were an isolated, stationary, ideal flame ball in an infinite, quiescent atmosphere. An expression for the laminar burning velocity is derived from this model, which theoretically may provide an upper limit for the experimental burning velocity.

  7. Analyzing and Tracking Burning Structures in Lean Premixed Hydrogen Flames

    Energy Technology Data Exchange (ETDEWEB)

    Bremer, Peer -Timo; Weber, Gunther H.; Pascucci, Valerio; Day, Marc; Bell, John B.

    2010-03-01

    This paper presents topology-based methods to robustly extract, analyze, and track features defined as subsets of isosurfaces. First, we demonstrate how features identified by thresholding isosurfaces can be defined in terms of the Morse complex. Second, we present a specialized hierarchy that encodes the feature segmentation independent of the threshold while still providing a flexible multi-resolution representation. Third, for a given parameter selection we create detailed tracking graphs representing the complete evolution of all features in a combustion simulation over several hundred time steps. Finally, we discuss a user interface that correlates the tracking information with interactive rendering of the segmented isosurfaces enabling an in-depth analysis of the temporal behavior. We demonstrate our approach by analyzing three numerical simulations of lean hydrogen flames subject to different levels of turbulence. Due to their unstable nature, lean flames burn in cells separated by locally extinguished regions. The number, area, and evolution over time of these cells provide important insights into the impact of turbulence on the combustion process. Utilizing the hierarchy we can perform an extensive parameter study without re-processing the data for each set of parameters. The resulting statistics enable scientist to select appropriate parameters and provide insight into the sensitivity of the results wrt. to the choice of parameters. Our method allows for the first time to quantitatively correlate the turbulence of the burning process with the distribution of burning regions, properly segmented and selected. In particular, our analysis shows that counter-intuitively stronger turbulence leads to larger cell structures, which burn more intensely than expected. This behavior suggests that flames could be stabilized under much leaner conditions than previously anticipated.

  8. Urban air quality improvement by using a CNG lean burn engine for city buses

    NARCIS (Netherlands)

    Merétei, T.; Ling, J.A.N. van; Havenith, C.

    1998-01-01

    The use of compressed natural gas (CNG)-fuelled lean-burn city bus engines has a significant potential for air quality improvement in urban areas. Particularly important is the reduction of NO, as well as particulate and non regulated HC-emissions. For this reason, a CNG-fuelled, lean-burn,

  9. Urban air quality improvement by using a CNG lean burn engine for city buses

    NARCIS (Netherlands)

    Merétei, T.; Ling, J.A.N. van; Havenith, C.

    1998-01-01

    The use of compressed natural gas (CNG)-fuelled lean-burn city bus engines has a significant potential for air quality improvement in urban areas. Particularly important is the reduction of NO, as well as particulate and non regulated HC-emissions. For this reason, a CNG-fuelled, lean-burn, turbocha

  10. The lean burn direct injection jet ignition gas engine

    Energy Technology Data Exchange (ETDEWEB)

    Boretti, Alberto A.; Watson, Harry C. [School of Science and Engineering, University of Ballarat, PO Box 663, Ballarat, Victoria 3353 (Australia)

    2009-09-15

    This paper presents a new in-cylinder mixture preparation and ignition system for various fuels including hydrogen, methane and propane. The system comprises a centrally located direct injection (DI) injector and a jet ignition (JI) device for combustion of the main chamber (MC) mixture. The fuel is injected in the MC with a new generation, fast actuating, high pressure, high flow rate DI injector capable of injection shaping and multiple events. This injector produces a bulk, lean stratified mixture. The JI system uses a second DI injector to inject a small amount of fuel in a small pre-chamber (PC). In the spark ignition (SI) version, a spark plug then ignites a slightly rich mixture. In the auto ignition version, a DI injector injects a small amount of higher pressure fuel in the small PC having a hot glow plug (GP) surface, and the fuel auto ignites in the hot air or when in contact with the hot surface. Either way the MC mixture is then bulk ignited through multiple jets of hot reacting gases. Bulk ignition of the lean, jet controlled, stratified MC mixture resulting from coupling DI with JI makes it possible to burn MC mixtures with fuel to air equivalence ratios reducing almost to zero for a throttle-less control of load diesel-like and high efficiencies over almost the full range of loads. (author)

  11. Propagation and Extinction of a Cylindrical Premixed Flame Undergoing Equivalence Ratio Fluctuation Near the Lean Limit

    Science.gov (United States)

    Suenaga, Yosuke; Kitano, Michio; Takahashi, Yoichi

    Experimental study was made to investigate the propagation and extinction characteristics of a stretched cylindrical flame undergoing periodic fluctuation of equivalence ratio near the lean limit. With a lean methane-air and a lean propane-air mixture, burning velocity, flame luminosity and flame stretch rate were measured or evaluated for the fluctuation frequencies of 5Hz and 20Hz. The results were summarized as follows: (1) In some part of a period, burning velocity and flame luminosity of the dynamic flame near the lean limit were possible to become lower than those at the lean flammability limit of the static flame. (2) At the high frequency of 20Hz, the burning velocity took a negative value in a certain time range. In spite of this loss of propagation ability, the flame was not extinguished but sustained, indicating the recovery of the flame intensity due to the dynamic effect of fluctuating flame. (3) Flame recovery phenomenon could occur more easily for the methane flame which was strengthened by the Lewis number effect than the propane flame which was weakened by that effect.

  12. Assessment of Rich-Burn, Quick-Mix, Lean-Burn Trapped Vortex Combustor for Stationary Gas Turbines

    Energy Technology Data Exchange (ETDEWEB)

    Douglas L. Straub; Kent H. Casleton; Robie E. Lewis; Todd G. Sidwell; Daniel J. Maloney; George A. Richards

    2005-01-01

    This paper describes the evaluation of an alternative combustion approach to achieve low emissions for a wide range of fuel types. This approach combines the potential advantages of a staged rich-burn, quick-mix, lean-burn (RQL) combustor with the revolutionary trapped vortex combustor (TVC) concept. Although RQL combustors have been proposed for low-Btu fuels, this paper considers the application of an RQL combustor for high-Btu natural gas applications. This paper will describe the RQL/TVC concept and experimental results conducted at 10 atm (1013 kPa or 147 psia) and an inlet-air temperature of 644 K (700°F). The results from a simple network reactor model using detailed kinetics are compared to the experimental observations. Neglecting mixing limitations, the simplified model suggests that NOx and CO performance below 10 parts per million could be achieved in an RQL approach. The CO levels predicted by the model are reasonably close to the experimental results over a wide range of operating conditions. The predicted NOx levels are reasonably close for some operating conditions; however, as the rich-stage equivalence ratio increases, the discrepancy between the experiment and the model increases. Mixing limitations are critical in any RQL combustor, and the mixing limitations for this RQL/TVC design are discussed.

  13. ["Lean management" in hospitals: potentials and limitations].

    Science.gov (United States)

    Glossmann, J P; Schliebusch, O; Diehl, V; Walshe, R

    2000-08-15

    Little attention has yet been payed on establishing modern and competitive organizational structures in German hospitals. In this paper, we attempt to apply elements of lean management to the work of physicians working in an inpatient setting. Traditional ways of communication and their disadvantages are discussed. These include loss of motivation, bureaucratic structures and a lack of interdisciplinary cooperation. Using Maslow's theory of motivation, possible improvements are discussed, such as the reduction of restrictive job characteristics, an increase of physicians' spheres of competence and the use of their innovative potentials. These suggestions are explained using practical examples. The aim of the study is to contribute to quality management in hospitals by increasing personal responsibilities according to lean management.

  14. LPG gaseous phase electronic port injection on performance, emission and combustion characteristics of Lean Burn SI Engine

    Science.gov (United States)

    Bhasker J, Pradeep; E, Porpatham

    2016-08-01

    Gaseous fuels have always been established as an assuring way to lessen emissions in Spark Ignition engines. In particular, LPG resolved to be an affirmative fuel for SI engines because of their efficient combustion properties, lower emissions and higher knock resistance. This paper investigates performance, emission and combustion characteristics of a microcontroller based electronic LPG gaseous phase port injection system. Experiments were carried out in a single cylinder diesel engine altered to behave as SI engine with LPG as fuel at a compression ratio of 10.5:1. The engine was regulated at 1500 rpm at a throttle position of 20% at diverse equivalence ratios. The test results were compared with that of the carburetion system. The results showed that there was an increase in brake power output and brake thermal efficiency with LPG gas phase injection. There was an appreciable extension in the lean limit of operation and maximum brake power output under lean conditions. LPG injection technique significantly reduces hydrocarbon and carbon monoxide emissions. Also, it extremely enhances the rate of combustion and helps in extending the lean limit of LPG. There was a minimal increase of NOx emissions over the lean operating range due to higher temperature. On the whole it is concluded that port injection of LPG is best suitable in terms of performance and emission for LPG fuelled lean burn SI engine.

  15. Reduce NOx Emissions by Adsorber-Reduction Catalyst on Lean Burn Gasoline Engine

    Directory of Open Access Journals (Sweden)

    Dongpeng Yue

    2013-09-01

    Full Text Available The effect of a new catalyst system composed of traditional three way catalyst converter and adsorber-reduction catalysis converter on the emission characteristics and BSFC (Breake Specific Fuel Consumption- BSFCof a lean burn gasoline engine operated were investigated in this paper under different schemes of catalyst converter arrangement and different speeds and loads. The results show that the position of Three Way Catalyst is before the NOx adsorber Catalyst was the best scheme of catalyst converter arrangement. Which has the highest converter efficiency of reduction NOx emission in lean burn gasoline engine. The effects of speed on the exhaust emission and BSFC were also related to the ratio of lean burn time to rich burn time and the absolute value of both time of the adsorber-reduction catalyst converter. The load of the engine was the main influential factor to the exhaust emission characteristics and BSFC of lean burn gasoline engine, and the more load of the engine was, the more NOx emission , the less NOx conversion rate (CNOx and the better BSFC were.

  16. Oxandrolone induced lean mass gain during recovery from severe burns is maintained after discontinuation of the anabolic steroid.

    Science.gov (United States)

    Demling, Robert H; DeSanti, Leslie

    2003-12-01

    Weight loss and lean mass loss from burn induced catabolism can be more rapidly restored when the anabolic steroid oxandrolone is added to optimum nutrition compared to nutrition alone. Our purpose in this study was to determine whether the regained lean body mass (LBM) is retained 6 months after stopping oxandrolone. Forty-five severe burn patients, entering the recovery phase were randomized into a nutrition group alone or with the addition of oxandrolone, 20mg per day upon admission to the acute burn rehabilitation (RH) unit. Oxandrolone was discontinued after at least 80% of the involuntary weight loss occurring in the acute burn period, was restored. Body composition was measured using bioelectric impedence analysis (BIA). We found that patients receiving oxandrolone, in the rehabilitation unit, regained weight and lean mass two to three times faster than with nutrition alone. The difference was statistically significant (Ppatients were discharged from RH on a nutrition and exercise program and monitored in the outpatient burn center. After 6 months, body weight and body composition were again measured. We found that the body weight and lean mass which was restored during RH, was maintained 6 months after discontinuation of oxandrolone. Lost lean mass was not yet restored in the nutrition alone group. We can conclude that body weight and lean mass which is lost, due to burn induced catabolism, can be effectively restored in the post-burn recovery period with oxandrolone. The body weight and lost lean mass which is regained, is maintained 6 months after stopping the drug.

  17. Effects of exercise training on resting energy expenditure and lean mass during pediatric burn rehabilitation.

    Science.gov (United States)

    Al-Mousawi, Ahmed M; Williams, Felicia N; Mlcak, Ronald P; Jeschke, Marc G; Herndon, David N; Suman, Oscar E

    2010-01-01

    Severe burns cause profound hormonal and metabolic disturbances resulting in hypermetabolism, reflected in extreme elevation of resting energy expenditure (REE) and extensive skeletal muscle catabolism. Aerobic and resistive exercise programs during rehabilitation have shown substantial benefits, although whether such training potentially exacerbates basal metabolism is unknown. Therefore, the effects of exercise training on REE during the rehabilitation of severely burned pediatric patients were examined. Children with 40% total body surface area burns and greater were enrolled at admission to the burn intensive care unit to participate in a 12-week, hospital-based exercise program (EX) or a home-based standard of care program (SOC), commencing 6 months after injury. Twenty-one patients (aged 7-17 years) were enrolled and randomized to SOC (n = 10) or EX (n = 11). Age, sex, and total body surface area burned were similar. Mean change (+/-standard deviation) in REE, normalized to individual lean body mass, was almost negligible between SOC and EX group patients (SOC, 0.03 +/- 17.40% vs EX, 0.01 +/- 26.38%). A significant increase in lean body mass was found for EX patients (SOC, 2.06 +/- 3.17% vs EX, 8.75 +/- 5.65%; P = .004), which persisted when normalized to height (SOC, 0.70 +/- 2.39% vs EX, 6.14 +/- 6.46%; P = .02). Peak torque also improved significantly more in EX patients (SOC, 12.29 +/- 16.49% vs EX, 54.31 +/- 44.25%; P = .02), reflecting improved strength. Exercise training significantly enhanced lean mass and strength, without observed exacerbation of postburn hypermetabolism. Therefore, the use of exercise conditioning as a safe and effective component of pediatric burn rehabilitation is advocated.

  18. Performance of a Model Rich Burn-quick Mix-lean Burn Combustor at Elevated Temperature and Pressure

    Science.gov (United States)

    Peterson, Christopher O.; Sowa, William A.; Samuelsen, G. S.

    2002-01-01

    As interest in pollutant emission from stationary and aero-engine gas turbines increases, combustor engineers must consider various configurations. One configuration of increasing interest is the staged, rich burn - quick mix - lean burn (RQL) combustor. This report summarizes an investigation conducted in a recently developed high pressure gas turbine combustor facility. The model RQL combustor was plenum fed and modular in design. The fuel used for this study is Jet-A which was injected from a simplex atomizer. Emission (CO2, CO, O2, UHC, NOx) measurements were obtained using a stationary exit plane water-cooled probe and a traversing water-cooled probe which sampled from the rich zone exit and the lean zone entrance. The RQL combustor was operated at inlet temperatures ranging from 367 to 700 K, pressures ranging from 200 to 1000 kPa, and combustor reference velocities ranging from 10 to 20 m/s. Variations were also made in the rich zone and lean zone equivalence ratios. Several significant trends were observed. NOx production increased with reaction temperature, lean zone equivalence ratio and residence time and decreased with increased rich zone equivalence ratio. NOx production in the model RQL combustor increased to the 0.4 power with increased pressure. This correlation, compared to those obtained for non-staged combustors (0.5 to 0.7), suggests a reduced dependence on NOx on pressure for staged combustors. Emissions profiles suggest that rich zone mixing is not uniform and that the rich zone contributes on the order of 16 percent to the total NOx produced.

  19. Experimental and numerical studies of a lean-burn internally-staged combustor

    Institute of Scientific and Technical Information of China (English)

    Fu Zhenbo; Lin Yuzhen; Li Lin; Zhang Chi

    2014-01-01

    A lean-burn internally-staged combustor for low emissions that can be used in civil avi-ation gas turbines is introduced in this paper. The main stage is designed and optimized in terms of fuel evaporation ratio, fuel/air pre-mixture uniformity, and particle residence time using commer-cial computational fluid dynamics (CFD) software. A single-module rectangular combustor is adopted in performance tests including lean ignition, lean blowout, combustion efficiency, emis-sions, and combustion oscillation using aviation kerosene. Furthermore, nitrogen oxides (NOx) emission is also predicted using CFD simulation to compare with test results. Under normal inlet temperature, this combustor can be ignited easily with normal and negative inlet pressures. The lean blowout fuel/air ratio (LBO FAR) at the idle condition is 0.0049. The fuel split proportions between the pilot and main stages are determined through balancing emissions, combustion efficiency, and combustion oscillation. Within the landing and take-off (LTO) cycle, this combustor enables 42%NOx reduction of the standard set by the 6th Committee on Aviation Environmental Protection (CAEP/6) with high combustion efficiency. The maximum board-band pressure oscillations of inlet air and fuel are below 1%of total pressure during steady-state operations at the LTO cycle specific conditions.

  20. Experimental and numerical studies of a lean-burn internally-staged combustor

    Directory of Open Access Journals (Sweden)

    Fu Zhenbo

    2014-06-01

    Full Text Available A lean-burn internally-staged combustor for low emissions that can be used in civil aviation gas turbines is introduced in this paper. The main stage is designed and optimized in terms of fuel evaporation ratio, fuel/air pre-mixture uniformity, and particle residence time using commercial computational fluid dynamics (CFD software. A single-module rectangular combustor is adopted in performance tests including lean ignition, lean blowout, combustion efficiency, emissions, and combustion oscillation using aviation kerosene. Furthermore, nitrogen oxides (NOx emission is also predicted using CFD simulation to compare with test results. Under normal inlet temperature, this combustor can be ignited easily with normal and negative inlet pressures. The lean blowout fuel/air ratio (LBO FAR at the idle condition is 0.0049. The fuel split proportions between the pilot and main stages are determined through balancing emissions, combustion efficiency, and combustion oscillation. Within the landing and take-off (LTO cycle, this combustor enables 42% NOx reduction of the standard set by the 6th Committee on Aviation Environmental Protection (CAEP/6 with high combustion efficiency. The maximum board-band pressure oscillations of inlet air and fuel are below 1% of total pressure during steady-state operations at the LTO cycle specific conditions.

  1. Detailed Characterization of Particulate Matter Emitted by Lean-Burn Gasoline Direct Injection Engine

    Energy Technology Data Exchange (ETDEWEB)

    Zelenyuk, Alla; Wilson, Jacqueline M.; Imre, Dan G.; Stewart, Mark L.; Muntean, George G.; Storey, John; Prikhodko, Vitaly; Lewis, Samuel T.; Eibl, Mary; Parks, James E.

    2017-08-01

    This study presents detailed characterization of the chemical and physical properties of PM emitted by a 2.0L BMW lean-burn turbocharged GDI engine operated under a number of combustion strategies that include lean homogeneous, lean stratified, stoichiometric, and fuel rich conditions. We characterized PM number concentrations, size distributions, and the size, mass, compositions, and effective density of fractal and compact individual exhaust particles. For the fractal particles, these measurements yielded fractal dimension, average diameter of primary spherules, and number of spherules, void fraction, and dynamic shape factors as function of particle size. Overall, the PM properties were shown to vary significantly with engine operation condition. Lean stratified operation yielded the most diesel-like size distribution and the largest PM number and mass concentrations, with nearly all particles being fractal agglomerates composed of elemental carbon with small amounts of ash and organics. In contrast, stoichiometric operation yielded a larger fraction of ash particles, especially at low speed and low load. Three distinct forms of ash particles were observed, with their fractions strongly dependent on engine operating conditions: sub-50 nm ash particles, abundant at low speed and low load, ash-containing fractal particles, and large compact ash particles that significantly contribute to PM mass loadings

  2. Three-Dimensional Models for Analyzing the Cyclic Variations in a Lean Burn CNG Engine

    Institute of Scientific and Technical Information of China (English)

    LI Guo-xiu; YU Yu-song; LIU Jian-ying

    2007-01-01

    Three-dimensional models, consisting of the flame kernel formation model, flame kernel development model and natural gas single step reaction model, are used to analyze the contribution of cyclic equivalence ratio variations to cyclic variations in the compressed natural gas (CNG) lean burn spark ignition engine. Computational results including the contributions of equivalence ratio cyclic variations to each combustion stage and effects of engine speed to the extent of combustion variations are discussed. It is concluded that the equivalence ratio variations affect mostly the main stage of combustion and hardly influence initial kernel development stage.

  3. SELECTIVE NOx RECIRCULATION FOR STATIONARY LEAN-BURN NATURAL GAS ENGINES

    Energy Technology Data Exchange (ETDEWEB)

    Nigel Clark; Gregory Thompson; Richard Atkinson; Chamila Tissera; Matt Swartz; Emre Tatli; Ramprabhu Vellaisamy

    2005-01-01

    The research program conducted at the West Virginia University Engine and Emissions Research Laboratory (EERL) is working towards the verification and optimization of an approach to remove nitric oxides from the exhaust gas of lean burn natural gas engines. This project was sponsored by the US Department of Energy, National Energy Technology Laboratory (NETL) under contract number: DE-FC26-02NT41608. Selective NOx Recirculation (SNR) involves three main steps. First, NOx is adsorbed from the exhaust stream, followed by periodic desorption from the aftertreatment medium. Finally the desorbed NOx is passed back into the intake air stream and fed into the engine, where a percentage of the NOx is decomposed. This reporting period focuses on the NOx decomposition capability in the combustion process. Although researchers have demonstrated NOx reduction with SNR in other contexts, the proposed program is needed to further understand the process as it applies to lean burn natural gas engines. SNR is in support of the Department of Energy goal of enabling future use of environmentally acceptable reciprocating natural gas engines through NOx reduction under 0.1 g/bhp-hr. The study of decomposition of oxides of nitrogen (NOx) during combustion in the cylinder was conducted on a 1993 Cummins L10G 240 hp lean burn natural gas engine. The engine was operated at different air/fuel ratios, and at a speed of 800 rpm to mimic a larger bore engine. A full scale dilution tunnel and analyzers capable of measuring NOx, CO{sub 2}, CO, HC concentrations were used to characterize the exhaust gas. Commercially available nitric oxide (NO) was used to mimic the NOx stream from the desorption process through a mass flow controller and an injection nozzle. The same quantity of NOx was injected into the intake and exhaust line of the engine for 20 seconds at various steady state engine operating points. NOx decomposition rates were obtained by averaging the peak values at each set point minus

  4. Lean flammability limit of downward propagating hydrogen-air flames

    Science.gov (United States)

    Patnaik, G.; Kailasanath, K.

    1992-01-01

    Detailed multidimensional numerical simulations that include the effects of wall heat losses have been performed to study the dynamics of downward flame propagation and extinguishment in lean hydrogen-air mixtures. The computational results show that a downward propagating flame in an isothermal channel has a flammability limit of around 9.75 percent. This is in excellent agreement with experimental results. Also in excellent agreement are the detailed observations of the flame behavior at the point of extinguishment. The primary conclusion of this work is that detailed numerical simulations that include wall heat losses and the effect of gravity can adequately simulate the dynamics of the extinguishment process in downward-propagating hydrogen-air flames. These simulations can be examined in detail to gain understanding of the actual extinction process.

  5. Selective NOx Recirculation for Stationary Lean-Burn Natural Gas Engines

    Energy Technology Data Exchange (ETDEWEB)

    Nigel N. Clark

    2006-12-31

    Nitric oxide (NO) and nitrogen dioxide (NO2) generated by internal combustion (IC) engines are implicated in adverse environmental and health effects. Even though lean-burn natural gas engines have traditionally emitted lower oxides of nitrogen (NOx) emissions compared to their diesel counterparts, natural gas engines are being further challenged to reduce NOx emissions to 0.1 g/bhp-hr. The Selective NOx Recirculation (SNR) approach for NOx reduction involves cooling the engine exhaust gas and then adsorbing the NOx from the exhaust stream, followed by the periodic desorption of NOx. By sending the desorbed NOx back into the intake and through the engine, a percentage of the NOx can be decomposed during the combustion process. SNR technology has the support of the Department of Energy (DOE), under the Advanced Reciprocating Engine Systems (ARES) program to reduce NOx emissions to under 0.1 g/bhp-hr from stationary natural gas engines by 2010. The NO decomposition phenomenon was studied using two Cummins L10G natural gas fueled spark-ignited (SI) engines in three experimental campaigns. It was observed that the air/fuel ratio ({lambda}), injected NO quantity, added exhaust gas recirculation (EGR) percentage, and engine operating points affected NOx decomposition rates within the engine. Chemical kinetic model predictions using the software package CHEMKIN were performed to relate the experimental data with established rate and equilibrium models. The model was used to predict NO decomposition during lean-burn, stoichiometric burn, and slightly rich-burn cases with added EGR. NOx decomposition rates were estimated from the model to be from 35 to 42% for the lean-burn cases and from 50 to 70% for the rich-burn cases. The modeling results provided an insight as to how to maximize NOx decomposition rates for the experimental engine. Results from this experiment along with chemical kinetic modeling solutions prompted the investigation of rich-burn operating conditions

  6. Attempt of lean burn of a 4 cycle gasoline engine by the aid of low pressure air assisted in-cylinder injection; Tonai kuki nenryo funsha ni yoru lean burn no kokoromi

    Energy Technology Data Exchange (ETDEWEB)

    Hatakeyama, S.; Kondo, M.; Sekiya, Y.; Murayama, T. [Hokkaido Automotive Engineering College, Hokkaido (Japan)

    1997-10-01

    Comparable performance and exhaust emission with conventional carburetor was obtained by a low Pressure air assisted in-cylinder injection system. And lean burn of idling and light load operation till A/F=70 was realized by installing a spark Plug and a reed type injection nozzle in a divided combustion chambaer of a 4 cycle gasoline engine. 2 refs., 10 figs.

  7. Plasma-assisted heterogeneous catalysis for NOx reduction in lean-burn engine exhaust

    Energy Technology Data Exchange (ETDEWEB)

    Penetrante, B.M.; Hsaio, M.C.; Merritt, B.T.; Vogtlin, G.E. [Lawrence Livermore National Lab., CA (United States); Wan, C.Z.; Rice, G.W.; Voss, K.E. [Engelhard Corp., Iselin, NJ (United States)

    1997-12-31

    This paper discusses the combination of a plasma with a catalyst to improve the reduction of NO{sub x} under lean-burn conditions. The authors have been investigating the effects of a plasma on the NO{sub x} reduction activity and temperature operating window of various catalytic materials. One of the goals is to develop a fundamental understanding of the interaction between the gas-phase plasma chemistry and the heterogeneous chemistry on the catalyst surface. The authors have observed that plasma assisted heterogeneous catalysis can facilitate NO{sub x} reduction under conditions that normally make it difficult for either the plasma or the catalyst to function by itself. By systematically varying the plasma electrode and catalyst configuration, they have been able to elucidate the process by which the plasma chemistry affects the chemical reduction of NO{sub x} on the catalyst surface. They have discovered that the main effect of the plasma is to induce the gas-phase oxidation of NO to NO{sub 21}. The reduction of NO{sub x} to N{sub 2} is then accomplished by heterogeneous reaction of O with activated hydrocarbons on the catalyst surface. The use of a plasma opens the opportunity for a new class of catalysts that are potentially more durable, more active, more selective and more sulfur-tolerant compared to conventional lean-NO{sub x} catalysts.

  8. Multi-stage selective catalytic reduction of NOx in lean burn engine exhaust

    Energy Technology Data Exchange (ETDEWEB)

    Penetrante, B.M.; Hsaio, M.C.; Merritt, B.T.; Vogtlin, G.E. [Lawrence Livermore National Lab., CA (United States)

    1997-12-31

    Many studies suggest that the conversion of NO to NO{sub 2} is an important intermediate step in the selective catalytic reduction (SCR) of NO{sub x} to N{sub 2}. Some effort has been devoted to separating the oxidative and reductive functions of the catalyst in a multi-stage system. This method works fine for systems that require hydrocarbon addition. The hydrocarbon has to be injected between the NO oxidation catalyst and the NO{sub 2} reduction catalyst; otherwise, the first-stage oxidation catalyst will also oxidize the hydrocarbon and decrease its effectiveness as a reductant. The multi-stage catalytic scheme is appropriate for diesel engine exhausts since they contain insufficient hydrocarbons for SCR, and the hydrocarbons can be added at the desired location. For lean-burn gasoline engine exhausts, the hydrocarbons already present in the exhausts will make it necessary to find an oxidation catalyst that can oxidize NO to NO{sub 2} but not oxidize the hydrocarbon. A plasma can also be used to oxidize NO to NO{sub 2}. Plasma oxidation has several advantages over catalytic oxidation. Plasma-assisted catalysis can work well for both diesel engine and lean-burn gasoline engine exhausts. This is because the plasma can oxidize NO in the presence of hydrocarbons without degrading the effectiveness of the hydrocarbon as a reductant for SCR. In the plasma, the hydrocarbon enhances the oxidation of NO, minimizes the electrical energy requirement, and prevents the oxidation of SO{sub 2}. This paper discusses the use of multi-stage systems for selective catalytic reduction of NO{sub x}. The multi-stage catalytic scheme is compared to the plasma-assisted catalytic scheme.

  9. The flammability limits of lean fuel-air mixtures: thermochemical and kinetic criteria for explosion hazards.

    Science.gov (United States)

    Burgess, D; Hertzberg, M

    1975-01-01

    The present state of knowledge is reviewed concisely in terms of the experimental methods used, the effect of apparatus size, accuracy of data, methods of data presentation, and the sensitivity of the limits to initial temperature and pressure. The heat of combustion per mole of gas mixture at the lean limit is a reliable thermochemical criterion for the flammability of organic fuels with comparable reactivities. The limit calorific value for the heavy paraffins is 11.5 +/- 0.1 kcal mole -1. However, kinetic effects strongly influence this value. Highly reactive fuels (hydrogen, acetylene) require lower energy contents, whereas less reactive fuels (ammonia) require higher values. Hydrogen-starved fuels (carbon monoxide, cyanogen) show marked anomalies and are sensitive to impurities that can provide H-atom chain carriers. These kinetic effects are reflected in the experimentally measurable burning velocity of the fuel. This parameter is a key ingredient in the theory of flammable limits, which is briefly sketched. Five competing processes dissipate power from the combustion wave and quench it at some characteristic limit velocity. The prevalent consensus that the limits are controlled by natural convection is clearly demonstrated, and the complex interplay of kinetics and thermochemistry follows logically therefrom.

  10. The Effect of Humidity on the Knock Behavior in a Medium BMEP Lean-Burn High-Speed Gas Engine

    NARCIS (Netherlands)

    van Essen, Vincent Martijn; Gersen, Sander; van Dijk, Gerco; Mundt, Torsten; Levinsky, Howard

    2016-01-01

    The effects of air humidity on the knock characteristics of fuels are investigated in a lean-burn, high-speed medium BMEP engine fueled with a CH4 + 4.7 mole% C3H8 gas mixture. Experiments are carried out with humidity ratios ranging from 4.3 to 11 g H2O/kg dry air. The measured pressure profiles at

  11. Numerical and experimental investigation on the performance of lean burn catalytic combustion for gas turbine application

    Science.gov (United States)

    Yin, Juan; Weng, Yi-wu; Zhu, Jun-qiang

    2015-04-01

    This manuscript presents our numerical and experimental results regarding the performance characteristics of lean burn catalytic combustion for gas turbine application. The reactant transport was assumed to be controlled by both bulk diffusion as well as surface kinetics, implemented by means of an approximate reaction rate equation and empirical coefficients to incorporate reaction mechanism. Experimental and numerical results were compared to examine the effects of methane mole fraction, inlet temperature, operating pressure, velocity and hydrogen species on combustion intensity. The results indicate that inlet temperature is the most significant parameter that impacts operation of the catalytic combustor and the most effective methods for improving the methane conversion are increasing the inlet temperature and increasing the methane mole fraction. Simulations from 1D heterogeneous plug flow model can capture the trend of catalytic combustion and describe the behavior of the catalytic monolith in detail. The addition of hydrogen will provide heat release by the exothermic combustion reaction so that the reactants reach a temperature at which methane oxidation can light-off.

  12. Effects of injection timing on nonlinear dynamics of the combustion process in the lean-burn premixed natural gas engine

    Science.gov (United States)

    Ding, Shun-Liang; Song, En-Zhe; Yang, Li-Ping; Yao, Chong; Ma, Xiu-Zhen

    2017-02-01

    The nonlinear dynamics of the combustion process in the lean-burn premixed natural gas engine are studied in this paper. Based on nonlinear dynamic theory, the complexity of the combustion process is analyzed under different injection timing conditions. The phase spaces are reconstructed for the experimentally obtained in-cylinder pressure real-time series and the return maps are plotted for the IMEP time series. The results of phase space reconstruction manifest that the attractors are limited to the finite range in the reconstructed phase space. The attractors have a folded and twist geometry structure. The attractors under medium injection timing conditions are looser and more complex. The return maps indicate the coexistence of the stochastic and deterministic components in the patterns combustion process. With the injection timing increasing, there are both a transition from stochastic to deterministic and a transition from deterministic to stochastic, forming the region of deterministic behavior. The largest Lyapunov exponents (LLE) for in-cylinder pressure time series are calculated and the coefficients of variations (COV) of IMEP are also analyzed. The results express that the LLE values are positive. There are a "steep increase" and a "steep decrease" for the LLE and COV values as the injection timing increasing.

  13. Cellular burning in lean premixed turbulent hydrogen-air flames: Coupling experimental and computational analysis at the laboratory scale

    Science.gov (United States)

    Day, M. S.; Bell, J. B.; Cheng, R. K.; Tachibana, S.; Beckner, V. E.; Lijewski, M. J.

    2009-07-01

    One strategy for reducing US dependence on petroleum is to develop new combustion technologies for burning the fuel-lean mixtures of hydrogen or hydrogen-rich syngas fuels obtained from the gasification of coal and biomass. Fuel-flexible combustion systems based on lean premixed combustion have the potential for dramatically reducing pollutant emissions in transportation systems, heat and stationary power generation. However, lean premixed flames are highly susceptible to fluid-dynamical combustion instabilities making robust and reliable systems difficult to design. Low swirl burners are emerging as an important technology for meeting design requirements in terms of both reliability and emissions for next generation combustion devices. In this paper, we present simulations of a lean, premixed hydrogen flame stabilized on a laboratory-scale low swirl burner. The simulations use detailed chemistry and transport without incorporating explicit models for turbulence or turbulence/chemistry interaction. Here we discuss the overall structure of the flame and compare with experimental data. We also use the simulation data to elucidate the characteristics of the turbulent flame interaction and how this impacts the analysis of experimental measurements.

  14. Selective NOx Recirculation for Stationary Lean-Burn Natural Gas Engines

    Energy Technology Data Exchange (ETDEWEB)

    Nigel Clark; Gregory Thompson; Richard Atkinson; Richard Turton; Chamila Tissera; Emre Tatli; Andy Zimmerman

    2005-12-28

    Selective NOx Recirculation (SNR) involves cooling the engine exhaust gas and then adsorbing the oxides of nitrogen (NOx) from the exhaust stream, followed by the periodic desorption of NOx. By returning the desorbed, concentrated NOx into the engine intake and through the combustion chamber, a percentage of the NOx is decomposed during the combustion process. An initial study of NOx decomposition during lean-burn combustion was concluded in 2004 using a 1993 Cummins L10G 240hp natural gas engine. It was observed that the air/fuel ratio, injected NO (nitric oxide) quantity and engine operating points affected NOx decomposition rates of the engine. Chemical kinetic modeling results were also used to determine optimum NOx decomposition operating points and were published in the 2004 annual report. A NOx decomposition rate of 27% was measured from this engine under lean-burn conditions while the software model predicted between 35-42% NOx decomposition for similar conditions. A later technology 1998 Cummins L10G 280hp natural gas engine was procured with the assistance of Cummins Inc. to replace the previous engine used for 2005 experimental research. The new engine was equipped with an electronic fuel management system with closed-loop control that provided a more stable air/fuel ratio control and improved the repeatability of the tests. The engine was instrumented with an in-cylinder pressure measurement system and electronic controls, and was adapted to operate over a range of air/fuel ratios. The engine was connected to a newly commissioned 300hp alternating current (AC) motoring dynamometer. The second experimental campaign was performed to acquire both stoichiometric and slightly rich (0.97 lambda ratio) burn NOx decomposition rates. Effects of engine load and speed on decomposition were quantified, but Exhaust Gas Recirculation (EGR) was not varied independently. Decomposition rates of up to 92% were demonstrated. Following recommendations at the 2004 ARES peer

  15. A Laser Spark Plug Ignition System for a Stationary Lean-Burn Natural Gas Reciprocating Engine

    Energy Technology Data Exchange (ETDEWEB)

    McIntyre, D. L. [West Virginia Univ., Morgantown, WV (United States)

    2007-05-01

    To meet the ignition system needs of large bore, high pressure, lean burn, natural gas engines a side pumped, passively Q-switched, Nd:YAG laser was developed and tested. The laser was designed to produce the optical intensities needed to initiate ignition in a lean burn, high compression engine. The laser and associated optics were designed with a passive Q-switch to eliminate the need for high voltage signaling and associated equipment. The laser was diode pumped to eliminate the need for high voltage flash lamps which have poor pumping efficiency. The independent and dependent parameters of the laser were identified and explored in specific combinations that produced consistent robust sparks in laboratory air. Prior research has shown that increasing gas pressure lowers the breakdown threshold for laser initiated ignition. The laser has an overall geometry of 57x57x152 mm with an output beam diameter of approximately 3 mm. The experimentation used a wide range of optical and electrical input parameters that when combined produced ignition in laboratory air. The results show a strong dependence of the output parameters on the output coupler reflectivity, Q-switch initial transmission, and gain media dopant concentration. As these three parameters were lowered the output performance of the laser increased leading to larger more brilliant sparks. The results show peak power levels of up to 3MW and peak focal intensities of up to 560 GW/cm2. Engine testing was performed on a Ricardo Proteus single cylinder research engine. The goal of the engine testing was to show that the test laser performs identically to the commercially available flashlamp pumped actively Q-switched laser used in previous laser ignition testing. The engine testing consisted of a comparison of the in-cylinder, and emissions behavior of the engine using each of the lasers as an ignition system. All engine parameters were kept as constant as possilbe while the equivalence ratio (fueling

  16. Effect of pressure on the lean limit flames of H2-CH4-air mixture in tubes

    KAUST Repository

    Zhou, Zhen

    2017-05-25

    The lean limit flames of H2-CH4-air mixtures stabilized inside tubes in a downward flow are experimentally and numerically investigated at elevated pressures ranging from 2 to 5 bar. For the shapes of lean limit flames, a change from ball-like flame to cap-like flame is experimentally observed with the increase of pressure. This experimentally observed phenomenon is qualitatively predicted by numerical simulations. The structure of ball-like and cap-like lean limit flames at all tested pressures is analysed in detail based on the numerical predictions. The results show that the lean limit flames are located inside a recirculation zone at all tested pressures. For the leading edges of the lean limit flames at all tested pressures, the fuel transport is controlled by both convection and diffusion. For the trailing edge of the ball-like lean limit flame at 2 bar, the fuel transport is dominated by diffusion. However, with increasing pressure, the transport contribution caused by convection in the trailing edges of the lean limit flames increases. Finally, the influence of transport and chemistry on the predicted ultra lean flames and lean flammability limit is analysed at elevated pressures.

  17. Electrochemical enhancement of nitric oxide removal from simulated lean-burn engine exhaust via solid oxide fuel cells.

    Science.gov (United States)

    Huang, Ta-Jen; Wu, Chung-Ying; Lin, Yu-Hsien

    2011-07-01

    A solid oxide fuel cell (SOFC) unit is constructed with Ni-YSZ as the anode, YSZ as the electrolyte, and La(0.6)Sr(0.4)CoO(3)-Ce(0.9)Gd(0.1)O(1.95) as the cathode. The SOFC operation is performed at 600 °C with a cathode gas simulating the lean-burn engine exhaust and at various fixed voltage, at open-circuit voltage, and with an inert gas flowing over the anode side, respectively. Electrochemical enhancement of NO decomposition occurs when an operating voltage is generated; higher O(2) concentration leads to higher enhancement. Smaller NO concentration results in larger NO conversion. Higher operating voltage and higher O(2) concentration can lead to both higher NO conversion and lower fuel consumption. The molar rate of the consumption of the anode fuel can be very much smaller than that of NO to N(2) conversion. This makes the anode fuel consumed in the SOFC-DeNO(x) process to be much less than the equivalent amount of ammonia consumed in the urea-based selective catalytic reduction process. Additionally, the NO conversion increases with the addition of propylene and SO(2) into the cathode gas. These are beneficial for the application of the SOFC-DeNO(x) technology on treating diesel and other lean-burn engine exhausts.

  18. Chemical and toxicological properties of emissions from CNG transit buses equipped with three-way catalysts compared to lean-burn engines and oxidation catalyst technologies

    Science.gov (United States)

    Yoon, Seungju; Hu, Shaohua; Kado, Norman Y.; Thiruvengadam, Arvind; Collins, John F.; Gautam, Mridul; Herner, Jorn D.; Ayala, Alberto

    2014-02-01

    Chemical and toxicological properties of emissions from compressed natural gas (CNG) fueled transit buses with stoichiometric combustion engines and three-way catalyst (TWC) exhaust control systems were measured using a chassis dynamometer testing facility and compared to the data from earlier CNG engine and exhaust control technologies. Gaseous and particulate matter emissions from buses with stoichiometric engines and TWC were significantly lower than the emissions from buses with lean-burn engines. Carbonyls and volatile organic compounds (VOCs) from buses with stoichiometric engines and TWC were lower by more than 99% compared to buses with lean-burn engines. Elemental and organic carbons (EC and OC), polycyclic aromatic hydrocarbons (PAHs), and trace elements from buses with stoichiometric engines and TWC were effectively controlled and significantly lower than the emissions from buses with lean-burn engines. Potential mutagenicity measured using a microsuspension modification of the Salmonella/microsome assay was lower by more than 99% for buses with stoichiometric engines and TWC, compared to buses with lean-burn engines and OxC.

  19. Advances in catalytic removal of NOx under lean-burn conditions

    Institute of Scientific and Technical Information of China (English)

    LIU Zhiming; HAO Jiming; FU Lixin; LI Junhua; CUI Xiangyu

    2004-01-01

    The catalytic removal of NOx under lean conditions is one of the most important targets in catalysis research. The activities of metal oxides, zeolite-based catalysts and noble metal catalysts together with the factors are influencing the selective reduction of NOx with hydrocarbons are reviewed. The reaction mechanisms for the three types of catalysts are briefly discussed. Recent progress in combined catalyst and NOx storage reduction catalysts is also introduced. Finally, future research directions are forecasted.

  20. Lean blowout limits of a gas turbine combustor operated with aviation fuel and methane

    Science.gov (United States)

    Xiao, Wei; Huang, Yong

    2016-05-01

    Lean blowout (LBO) limits is critical to the operational performance of combustion systems in propulsion and power generation. The swirl cup plays an important role in flame stability and has been widely used in aviation engines. Therefore, the effects of swirl cup geometry and flow dynamics on LBO limits are significant. An experiment was conducted for studying the lean blowout limits of a single dome rectangular model combustor with swirl cups. Three types of swirl cup (dual-axial swirl cup, axial-radial swirl cup, dual-radial swirl cup) were employed in the experiment which was operated with aviation fuel (Jet A-1) and methane under the idle condition. Experimental results showed that, with using both Jet A-1 and methane, the LBO limits increase with the air flow of primary swirler for dual-radial swirl cup, while LBO limits decrease with the air flow of primary swirler for dual-axial swirl cup. In addition, LBO limits increase with the swirl intensity for three swirl cups. The experimental results also showed that the flow dynamics instead of atomization poses a significant influence on LBO limits. An improved semi-empirical correlation of experimental data was derived to predict the LBO limits for gas turbine combustors.

  1. Lean-Burn Stationary Natural Gas Reciprocating Engine Operation with a Prototype Miniature Diode Side Pumped Passively Q-switched Laser Spark Plug

    Energy Technology Data Exchange (ETDEWEB)

    McIntyre, D.L.; Woodruff, S.D.; McMillian, M.H.; Richardson, S.W.; Gautam, Mridul

    2008-04-01

    To meet the ignition system needs of large bore lean burn stationary natural gas engines a laser diode side pumped passively Q-switched laser igniter was developed and used to ignite lean mixtures in a single cylinder research engine. The laser design was produced from previous work. The in-cylinder conditions and exhaust emissions produced by the miniaturized laser were compared to that produced by a laboratory scale commercial laser system used in prior engine testing. The miniaturized laser design as well as the combustion and emissions data for both laser systems was compared and discussed. It was determined that the two laser systems produced virtually identical combustion and emissions data.

  2. Lean-Burn Cogeneration Biogas Engine with Unscavenged Combustion Prechamber: Comparison with Natural Gas

    Directory of Open Access Journals (Sweden)

    Roger Röthlisberger

    2002-12-01

    Full Text Available Gaseous fuels produced, for example, by waste or agricultural by-products fermentation (biogas can be burned in-situ by cogeneration systems like spark-ignition internal combustion engines. However, the more and more stringent legislation for exhaust gas emissions requires improvement of the combustion process particularly when catalytic after treatment is not reliable as in the case of sewage or landfill biogas. The system proposed in this paper is the use of an unscavenged combustion prechamber instead of direct ignition on a turbocharged 6 cylinder 150 kW gas engine. This prechamber is used for operation with a simulated biogas (40% CO2 in natural gas. The results show that, compared to natural gas operation for the same rated power output of 150 kW and the same NOx emissions, the CO emissions are reduced by 15% and the HC emissions at least by 8%. Efficiencies higher than 36% are achieved which is very promising and the lower CO emissions give a margin to consider an increase of compression ratio.

  3. Limits to CO2-Neutrality of Burning Wood. (Review)

    Science.gov (United States)

    Abolins, J.; Gravitis, J.

    2016-08-01

    Consumption of wood as a source of energy is discussed with respect to efficiency and restraints to ensure sustainability of the environment on the grounds of a simple analytical model describing dynamics of biomass accumulation in forest stands - a particular case of the well-known empirical Richards' equation. Amounts of wood harvested under conditions of maximum productivity of forest land are presented in units normalised with respect to the maximum of the mean annual increment and used to determine the limits of CO2-neutrality. The ecological "footprint" defined by the area of growing stands necessary to absorb the excess amount of CO2 annually released from burning biomass is shown to be equal to the land area of a plantation providing sustainable supply of fire-wood.

  4. Catalytic reduction of methane/unburned hydrocarbons in smoke from lean-burn gas engines; Katalytisk reduktion af metan/UHC i roeg fra lean-burn gasmotorer. Projektrapport. Delrapport 1

    Energy Technology Data Exchange (ETDEWEB)

    Wit, Jan de

    1999-05-01

    The aim of this project has been: To describe the flue gas conditions of typical stationary gas engines for cogeneration; To evaluate the predominant causes of deactivation of oxidation catalysts under realistic operation conditions; To develop improved long-term stable oxidation catalysts; To evaluate alternative catalyst-based methane reduction technologies. Most gas engines for stationary purposes are efficient lean-burn gas engines. Both the high efficiency and the very lean operation lead to low exhaust temperatures. However, there is now a tendency to design engines with un-cooled exhaust manifolds. This leads to higher shaft efficiency and increases the exhaust temperature. Exhaust gas composition and temperatures during continuous operation and start/stops are given in this report. Analyses have been made of catalyst samples to find predominant causes for oxidation catalyst deactivation. The analyses have shown that the presence of sulphur dioxide in the flue gas causes sulphur poisoning on the active catalyst surface. This effect is dependent on both the catalyst formulation and the catalyst support material composition. Neither sintering, nor other poisoning components than sulphur have been on the examined catalyst samples. The sulphur dioxide in the exhaust is a result of the sulphur in the odorisation additive used in the natural gas (approx. 10 mg/n{sup 3} m THT) and of the sulphur present in combusted lubrication oil. These sources leads to a level of approx. 0.3 - 0.6 ppm (vol) SO{sub 2} in the exhaust gas. Based on a large number of laboratory tests, a new oxidation catayst formulation has been developed and succesfully tested over 5000 hours of operation at a commercial cogeneration plant. This long-term testing has been additionally supplemented by short-term testings at test sites to see performance under other operation conditions. It has been shown that a rise in flue gas temperature (from e.g. 450 deg. C) will significantly reduce the

  5. Catalytic reduction of methane/unburned hydrocarbons in smoke from lean-burn gas engines; Katalytisk reduktion af metan/UHC i roeg fra lean-burn gasmotorer. Projektrapport. Delrapport 1

    Energy Technology Data Exchange (ETDEWEB)

    Wit, Jan de

    1999-05-01

    The aim of this project has been: To describe the flue gas conditions of typical stationary gas engines for cogeneration; To evaluate the predominant causes of deactivation of oxidation catalysts under realistic operation conditions; To develop improved long-term stable oxidation catalysts; To evaluate alternative catalyst-based methane reduction technologies. Most gas engines for stationary purposes are efficient lean-burn gas engines. Both the high efficiency and the very lean operation lead to low exhaust temperatures. However, there is now a tendency to design engines with un-cooled exhaust manifolds. This leads to higher shaft efficiency and increases the exhaust temperature. Exhaust gas composition and temperatures during continuous operation and start/stops are given in this report. Analyses have been made of catalyst samples to find predominant causes for oxidation catalyst deactivation. The analyses have shown that the presence of sulphur dioxide in the flue gas causes sulphur poisoning on the active catalyst surface. This effect is dependent on both the catalyst formulation and the catalyst support material composition. Neither sintering, nor other poisoning components than sulphur have been on the examined catalyst samples. The sulphur dioxide in the exhaust is a result of the sulphur in the odorisation additive used in the natural gas (approx. 10 mg/n{sup 3} m THT) and of the sulphur present in combusted lubrication oil. These sources leads to a level of approx. 0.3 - 0.6 ppm (vol) SO{sub 2} in the exhaust gas. Based on a large number of laboratory tests, a new oxidation catalyst formulation has been developed and successfully tested over 5000 hours of operation at a commercial cogeneration plant. This long-term testing has been additionally supplemented by short-term testings at test sites to see performance under other operation conditions. It has been shown that a rise in flue gas temperature (from e.g. 450 deg. C) will significantly reduce the

  6. System Study of Rich Catalytic/Lean burn (RCL) Catalytic Combustion for Natural Gas and Coal-Derived Syngas Combustion Turbines

    Energy Technology Data Exchange (ETDEWEB)

    Shahrokh Etemad; Lance Smith; Kevin Burns

    2004-12-01

    Rich Catalytic/Lean burn (RCL{reg_sign}) technology has been successfully developed to provide improvement in Dry Low Emission gas turbine technology for coal derived syngas and natural gas delivering near zero NOx emissions, improved efficiency, extending component lifetime and the ability to have fuel flexibility. The present report shows substantial net cost saving using RCL{reg_sign} technology as compared to other technologies both for new and retrofit applications, thus eliminating the need for Selective Catalytic Reduction (SCR) in combined or simple cycle for Integrated Gasification Combined Cycle (IGCC) and natural gas fired combustion turbines.

  7. 关于稀薄燃烧的燃烧系统构造研究%Research on the structure of the lean burn combustion systems

    Institute of Scientific and Technical Information of China (English)

    苏芮锋

    2014-01-01

    Car gasoline lean-burn technology can significantly improve fuel economy and improve the per-formance of engine emissions, it has great potential for development and that is the inevitable trend of devel-opment of the internal combustion engine technology. This paper analyzes the characteristics of a lean-burn combustion system, and combined with the research status at home and abroad. By the way to choose the rel-ative position of the fuel injector , spark plug and stratified operation analysis of research.%发动机采用稀薄燃烧技术,能有效地提高燃油的经济性从而改善发动机排放性能,具有巨大的发展潜力,是发动机技术发展的必然趋势。本文分析了稀薄燃烧系统的特点,结合国内外的研究状况,从选择喷油器和火花塞的相对位置及实现分层运作的途径进行了分析和研究。

  8. Burns

    Science.gov (United States)

    A burn is damage to your body's tissues caused by heat, chemicals, electricity, sunlight, or radiation. Scalds from hot ... and gases are the most common causes of burns. Another kind is an inhalation injury, caused by ...

  9. Lean maturity, lean sustainability

    DEFF Research Database (Denmark)

    Jørgensen, Frances; Matthiesen, Rikke; Nielsen, Jacob

    2007-01-01

    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 literature and experiences from 12 Danish companies currently implementing lean. Although still in its emerging phase, the framework contributes to both theory and practice by describing developmental stages...... that support lean capability development and consequently, lean sustainability....

  10. Lean and Green – Synergies, Differences, Limitations, and the Need for Six Sigma

    OpenAIRE

    Garza-Reyes, Jose,; Winck Jacques, Gabriela; Lim, Ming; Kumar, Vikas; Rocha-Lona, Luis

    2014-01-01

    Part 1: Knowledge-Based Sustainability; International audience; Historically, profitability and efficiency objectives have been the prevailing interest for organisations. However, the move towards green operations has forced companies to seek alternatives to combine these with green objectives and initiatives. Green lean is the result of this combination. The purpose of this paper is to critically discuss the green lean approach and the potential benefits of integrating Six Sigma to enhance i...

  11. On the Experimental and Theoretical Investigations of Lean Partially Premixed Combustion, Burning Speed, Flame Instability and Plasma Formation of Alternative Fuels at High Temperatures and Pressures

    Science.gov (United States)

    Askari, Omid

    composition and thermodynamic properties. The method was applied to compute the thermodynamic properties of hydrogen/air and methane/air plasma mixtures for a wide range of temperatures (1,000-100,000 K), pressures (10-6-100 atm) and different equivalence ratios within flammability limit. In calculating the individual thermodynamic properties of the atomic species, the Debye-Huckel cutoff criterion has been used for terminating the series expression of the electronic partition function. A new differential-based multi-shell model was developed in conjunction with Schlieren photography to measure laminar burning speed and to study the flame instabilities for different alternative fuels such as syngas and GTL. Flame instabilities such as cracking and wrinkling were observed during flame propagation and discussed in terms of the hydrodynamic and thermo-diffusive effects. Laminar burning speeds were measured using pressure rise data during flame propagation and power law correlations were developed over a wide range of temperatures, pressures and equivalence ratios. As a part of this work, the effect of EGR addition and substitution of nitrogen with helium in air on flame morphology and laminar burning speed were extensively investigated. The effect of cell formation on flame surface area of syngas fuel in terms of a newly defined parameter called cellularity factor was also evaluated. In addition to that the experimental onset of auto-ignition and theoretical ignition delay times of premixed GTL/air mixture were determined at high pressures and low temperatures over a wide range of equivalence ratios.

  12. Experimental study of limit lean methane/air flame in a standard flammability tube using particle image velocimetry method

    Energy Technology Data Exchange (ETDEWEB)

    Shoshin, Yuriy; Gorecki, Grzegorz; Jarosinski, Jozef; Fodemski, Tadeusz [Department of Heat Technology and Refrigeration, Technical University of Lodz, Lodz 90-924 (Poland)

    2010-05-15

    Lean limit methane/air flame propagating upward in a standard 50 mm diameter and 1.8 m length tube was studied experimentally using particle image velocimetry method. Local stretch rate along the flame front was determined by measured gas velocity distributions. It was found that local stretch rate is maximum at the flame leading point, which is in agreement with earlier theoretical results. Similar to earlier observations, extinction of upward propagating limit flame was observed to start from the flame top. It is stated that the observed behavior of the extinction of the lean limit methane/air flame can not be explained in terms of the coupled effect of flame stretch and preferential diffusion. To qualitatively explain the observed extinction behavior, it is suggested that the positive strain-induced flame stretch increases local radiation heat losses from the flame front. An experimental methodology for PIV measurements in a round tube is described. (author)

  13. NOx abatement in the exhaust of lean-burn natural gas engines over Ag-supported γ-Al2O3 catalysts

    Science.gov (United States)

    Azizi, Y.; Kambolis, A.; Boréave, A.; Giroir-Fendler, A.; Retailleau-Mevel, L.; Guiot, B.; Marchand, O.; Walter, M.; Desse, M.-L.; Marchin, L.; Vernoux, P.

    2016-04-01

    A series of Ag catalysts supported on γ-Al2O3, including two different γ-Al2O3 supports and various Ag loadings (2-8 wt.%), was prepared, characterized (SEM, TEM, BET, physisorption, TPR, NH3-TPD) and tested for the selective catalytic reduction of NOx by CH4 for lean-burn natural gas engines exhausts. The catalysts containing 2 wt.% Ag supported on γ-Al2O3 were found to be most efficient for the NOx reduction into N2 with a maximal conversion of 23% at 650 °C. This activity was clearly linked with the ability of the catalyst to concomitantly produce CO, via the methane steam reforming, and NO2. The presence of small AgOx nanoparticles seems to be crucial for the methane activation and NOx reduction.

  14. CNG Engine Turbo Boost Pressure Control Based on Lean Burn%基于稀薄燃烧的CNG发动机涡轮增压控制

    Institute of Scientific and Technical Information of China (English)

    肖兵; 范冰; 黄列威

    2011-01-01

    为了降低汽车废气对大气的污染,更好地开发与使用污染较少、经济便宜的汽车代用燃料,提出了一种基于稀薄燃烧的压缩天然气(CNG)涡轮增压发动机控制方法;该方法采用中冷涡轮增压,提高了燃气发动机的输出扭矩与功率;又采用基于λ型氧传感器和转矩预估的稀薄燃烧控制策略,燃料消耗量明显降低;用这种控制方法改进中冷增压机型的4D125柴油机,抑制改造后增压发动机高转速时过大扭矩,匹配出CNG燃料发动机;实验证明,这种控制方法实现了涡轮增压燃气发动机的理想外特性,具有较高的可靠性和实用性.%A compressed natural gas (CNG) turbocharged engine controlling method based on lean burn is presented. This method uses intercooled turbocharged to improve the output torque and power of gas engine. Fuel consumption is significantly decreased by lean burn control using λ oxygen sensor and torque estimation algorithm. With this method, the 4D125 diesel engine with intercooled turbocharged is modified to reduce the excessive torque at high speed and meet the requirements of CNG gas engine. Results show that this modified engine achieves the ideal external characteristics of turbocharged gas engine. This method has high reliability and practicality.

  15. Pd catalysts supported on modified Zr0.5Al0.5O1.75 used for lean-burn natural gas vehicles exhaust purification

    Institute of Scientific and Technical Information of China (English)

    Hongyan Shang; Yun Wang; Maochu Gong; Yaoqiang Chen

    2012-01-01

    Composite supports Zr0.5Al0.5O1.75 modified by metal oxides,such as La2O3,ZnO,Y2O3 or BaO,were prepared by co-precipitation method,and palladium catalysts supported on the modified composite supports were prepared by impregnation method.Their properties were characterized by X-ray diffraction (XRD),NH3 temperature-programmed desorption (NH3-TPD),H2 temperature-programmed reduction (H2-TPR),N2 adsorption/desorption,and CO-chemisorption.The catalytic activity and the resistance to water poisoning of the prepared Pd catalysts were tested in a simulated exhaust gas from lean-burn natural gas vehicles with and without water vapor.The results demonstrated that the modified supports had an apparent effect on the performance of Pd catalysts,compared with the Pd catalyst supported on the unmodified ZrAl.The addition of ZnO or Y2O3 promoted the conversion of CH4.In the absence of water vapor,Pd/ZnZrAl exhibited the best activity for CH4 conversion with the light-off temperature (T50) of 275 ℃ and the complete conversion temperature (T90) of 314 ℃,respectively.However,in the presence of water vapor,Pd/YZrAl was the best one over which the light-off temperature (T50) of methane was 339 ℃ and the complete conversion temperature (T90) was 371 ℃.These results indicated that Pd catalyst supported on the modified composite ZrAl support showed excellent catalytic activity at low temperature and high resistance to H2O poisoning for the exhaust purification of lean-burn natural gas vehicles.

  16. Technology for the Catalytic Removal of Nitrogen Oxides in the Lean-Burn Exhaust of Vehicles%稀燃汽车尾气中氮氧化物的催化消除技术

    Institute of Scientific and Technical Information of China (English)

    潘广宏; 孟明

    2011-01-01

    Lean-burn technology can not only improve fuel economic efficiency but also reduce CO2 emission. However, in lean-burn exhaust, there exists excess oxygen, which accelerates the catalytic oxidation of reduetants, and therefore decreasing efficiency of NOx reduction over the conventional threeway catalysts. At present, there are mainly three kinds of catalytic technology for lean-burn NOx removal,namely NO direct decomposition, selective catalytic reduction (SCR) and NOx storage and reduction (NSR). In this paper, the lean-burn combustion technique is briefly introduced, and the catalytic technology for lean-burn NOx removal is systematically reviewed.%稀薄燃烧(简称稀燃)技术能够使燃料在发动机内充分燃烧,既提高了燃油的经济性,同时又减少了温室气体CO2的排放,因而是一项节能减排的重要技术.但在稀燃条件下氧气大量过剩,加剧了三效催化剂对还原剂的催化氧化,降低了还原剂对NOx催化还原的效率.目前,国际上对稀燃气氛下NOx的消除主要采用NO直接分解、选择性催化还原(SCR)和NOx储存还原(NSR)等催化技术.本文对稀燃NOx催化消除技术进行了评述与展望.

  17. Pollutant Emissions and Lean Blowoff Limits of Fuel Flexible Burners Operating on Gaseous Renewable and Fossil Fuels

    Science.gov (United States)

    Colorado, Andres

    This study provides an experimental and numerical examination of pollutant emissions and stability of gaseous fueled reactions stabilized with two premixed-fuel-flexible and ultra-low NOx burner technologies. Both burners feature lean combustion technology to control the formation of nitrogen oxides (NOx). The first fuel--flexible burner is the low-swirl burner (LSB), which features aerodynamic stabilization of the reactions with a divergent flow-field; the second burner is the surface stabilized combustion burner (SSCB), which features the stabilization of the reactions on surface patterns. For combustion applications the most commonly studied species are: NOx, carbon monoxide (CO), and unburned hydrocarbons (UHC). However these are not the only pollutants emitted when burning fossil fuels; other species such as nitrous oxide (N2O), ammonia (NH3) and formaldehyde (CH2O) can be directly emitted from the oxidation reactions. Yet the conditions that favor the emission of these pollutants are not completely understood and require further insight. The results of this dissertation close the gap existing regarding the relations between emission of pollutants species and stability when burning variable gaseous fuels. The results of this study are applicable to current issues such as: 1. Current combustion systems operating at low temperatures to control formation of NOx. 2. Increased use of alternative fuels such as hydrogen, synthetic gas and biogas. 3. Increasing recognition of the need/desire to operate combustion systems in a transient manner to follow load and to offset the intermittency of renewable power. 4. The recent advances in measurement methods allow us to quantify other pollutants, such as N 2O, NH3 and CH2O. Hence in this study, these pollutant species are assessed when burning natural gas (NG) and its binary mixtures with other gaseous fuels such as hydrogen (H2), carbon dioxide (CO2), ethane (C 2H6) and propane (C3H8) at variable operation modes including

  18. Burns

    Science.gov (United States)

    To help prevent burns: Install smoke alarms in your home. Check and change batteries regularly. Teach children about fire safety and the danger of matches and fireworks. Keep children from climbing on top of a stove ...

  19. Autoignition behavior of lean mixtures: Chemical and thermodynamics effects

    Energy Technology Data Exchange (ETDEWEB)

    Ronney, P.D.; Shoda, M.; Waida, S.T. [Princeton Univ., NJ (United States). Dept. of Mechanical and Aerospace Engineering; Westbrook, C.K.; Pitz, W.J. [Lawrence Livermore National Lab., CA (United States)

    1992-01-15

    Knock characteristics of natural gas (NG), 89 octane unleaded gasoline, 2,2-dimethyl butane (22DMB), and methyl tert-butyl ether (MTBE) in stoichiometric and lean fuel-air mixtures were studied in a production 4-cylinder automotive engine. The Intake Temperature at the Knock Limit (ITKL) was different for each fuel but always higher in lean mixtures. Gasoline and 22DMB exhibited much greater increases in ITKL than MTBE and NG at lean conditions. Surprisingly, for lean mixtures 22DMB exhibited higher ITKL than MTBE and was almost as high as NG. Comparison with detailed numerical modelling was very favorable. Computations show that both differences in chemistry and end-gas temperature and pressure histories are responsible for these trends. This behavior is interpreted in terms of the Negative Temperature Coefficient behavior of hydrocarbon oxidation. The implication of these results for the specification of optimal fuels for lean-burn engine is discussed.

  20. Lean maturity, lean sustainability

    DEFF Research Database (Denmark)

    Jørgensen, Frances; Matthiesen, Rikke; Nielsen, Jacob

    2007-01-01

    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...

  1. Effect of vitamin D supplementation and isokinetic training on muscle strength, explosive strength, lean body mass and gait in severely burned children: A randomized controlled trial.

    Science.gov (United States)

    Ebid, Anwar Abdelgayed; El-Shamy, Shamekh Mohamed; Amer, Maysa Abbas

    2017-03-01

    To determine the effects of vitamin D (VD) supplementation and isokinetic training on muscle strength, explosive strength (counter movement jump) (ES), lean body mass (LBM) and gait parameters in severe pediatric burn. Forty-eight burned children with circumferential lower extremity burns covering 40-55% of the total body surface area (TBSA), aged 10-16 years (Mean±SD 13.01±1.75), were randomized into the standard of care (n=16), isokinetic (n=17) and VD (n=15) groups. Unburned children (n=20) served as matched controls. All burned children received 12 weeks of routine physical therapy program (RPTP). In addition, the isokinetic group received isokinetic training for the quadriceps dominant limb 3 times per week at angular velocity 150°/s, and the VD group received the isokinetic training plus an oral daily dose of vitamin D3 1000 IU (Cholecalciferol). The primary measures, assessed at baseline and 12 weeks, included quadriceps strength by isokinetic dynamometer, ES, LBM by dual-energy X-ray absorptiometry (DEXA) and gait parameters by GAITRite system. The VD and isokinetic groups showed significant improvement in quadriceps strength, ES, LBM and gait parameters compared with the standard of care, and VD group show significant improvement in the VD level as compared with the other groups. The outcome measures (and percent of improvement where applicable) for the VD, isokinetic and standard of care are as follows: quadriceps strength, 85.25±0.93Nm (85%), 64.25±0.93 (36%) and 51.88±1.31Nm (12%); stride length, 94.00±2.69 (7%), 110.60±2.87 (25%) and 139.56±2.57 (60%); step length, 67.26±2.45 (72%), 55.25±2.49 (43%) and 43.76±1.34 (18%); velocity, 133.94±1.65 (82%), 99.94±1.65 (35%) and 80.11±1.91 (9%); and cadence, 140.63±1.36 (68%), 132.63±1.36 (58%) and 90.35±1.32 (9%), VD level 43.33±7.48 (75%), 24.77±7.38 (5%) and 25.63±8.39 (4%) respectively. VD supplementation combined with exercise training significantly increased muscle strength, ES, LBM

  2. DISI甲醇发动机分层稀薄燃烧试验研究%Experimental Study on Stratified Lean Burn of DISI Methanol Engine

    Institute of Scientific and Technical Information of China (English)

    宫长明; 彭乐高; 张自雷; 陈天翔; 李栋

    2014-01-01

    研究了直喷火花塞点燃式(DISI)甲醇发动机1600 r/min和1200 r/min转速下整个负荷工况内分层稀薄燃烧对性能、燃烧及排放的影响。结果表明:DISI甲醇发动机在整个负荷工况内的一系列特征与柴油机和汽油机有很大不同,缸内混合气分层质量及燃油缸内空间分布对不同转速下的燃烧特性有显著影响;1200 r/min时热效率大、运转稳定,燃烧前期缸压和放热率优于1600 r/min时;大负荷时DISI甲醇发动机分层稀薄燃烧的经济性和排放性都比较好,但小负荷时的经济性和排放性较差,有待改善。%The influences of stratified lean burn on the performance ,combustion and emission of direct‐injection spark‐ignition (DISI) methanol engine in the whole load areas at 1 600 r/min and 1 200 r/min were researched .The results showed that the characteristics of DISI methanol engine had a large difference from that of gasoline and diesel engine .The stratified quality of in‐cylinder mixture and the distribution of in‐cylinder fuel had an obvious influence on combustion characteristics at different speeds .At 1 200 r/min ,the brake thermal efficiency was higher ,the operation was more stable ,and the in‐cylinder pressure and heat release in earlier period of combustion were better than that of 1 600 r/min .In addition ,the fuel economy and emis‐sion of stratified lean burn for DISI methanol engine were better at high load and were worse at low load .

  3. 40 CFR 60.3066 - What are the emission limitations for air curtain incinerators that burn only wood waste, clean...

    Science.gov (United States)

    2010-07-01

    ... air curtain incinerators that burn only wood waste, clean lumber, and yard waste? 60.3066 Section 60... Curtain Incinerators That Burn Only Wood Waste, Clean Lumber, and Yard Waste § 60.3066 What are the emission limitations for air curtain incinerators that burn only wood waste, clean lumber, and yard...

  4. 40 CFR 60.2971 - What are the emission limitations for air curtain incinerators that burn only wood waste, clean...

    Science.gov (United States)

    2010-07-01

    ... air curtain incinerators that burn only wood waste, clean lumber, and yard waste? 60.2971 Section 60... Incinerators That Burn Only Wood Waste, Clean Lumber, and Yard Waste § 60.2971 What are the emission limitations for air curtain incinerators that burn only wood waste, clean lumber, and yard waste? (a)...

  5. 40 CFR 60.1445 - What are the emission limits for air curtain incinerators that burn 100 percent yard waste?

    Science.gov (United States)

    2010-07-01

    ... curtain incinerators that burn 100 percent yard waste? 60.1445 Section 60.1445 Protection of Environment... Air Curtain Incinerators That Burn 100 Percent Yard Waste § 60.1445 What are the emission limits for air curtain incinerators that burn 100 percent yard waste? If your air curtain incinerator...

  6. 40 CFR 60.1920 - What are the emission limits for air curtain incinerators that burn 100 percent yard waste?

    Science.gov (United States)

    2010-07-01

    ... curtain incinerators that burn 100 percent yard waste? 60.1920 Section 60.1920 Protection of Environment... or Before August 30, 1999 Model Rule-Air Curtain Incinerators That Burn 100 Percent Yard Waste § 60.1920 What are the emission limits for air curtain incinerators that burn 100 percent yard waste?...

  7. 40 CFR 62.15375 - What are the emission limits for air curtain incinerators that burn 100 percent yard waste?

    Science.gov (United States)

    2010-07-01

    ... curtain incinerators that burn 100 percent yard waste? 62.15375 Section 62.15375 Protection of Environment... Combustion Units Constructed on or Before August 30, 1999 Air Curtain Incinerators That Burn 100 Percent Yard Waste § 62.15375 What are the emission limits for air curtain incinerators that burn 100 percent...

  8. The behavior of fuel-lean premixed flames in a standard flammability limit tube under controlled gravity conditions

    Science.gov (United States)

    Wherley, B. L.; Strehlow, R. A.

    1986-01-01

    Fuel-lean flames in methane-air mixtures from 4.90 to 6.20 volume percent fuel and propane-air mixtures from 1.90 to 3.00 volume percent fuel were studied in the vicinity of the limit for a variety of gravity conditions. The limits were determined and the behavior of the flames studied for one g upward, one g downward, and zero g propagation. Photographic records of all flammability tube firings were obtained. The structure and behavior of these flames were detailed including the variations of the curvature of the flame front, the skirt length, and the occurrence of cellular instabilities with varying gravity conditions. The effect of ignition was also discussed. A survey of flame speeds as a function of mixture strength was made over a range of lean mixture compositions for each of the fuels studied. The results were presented graphically with those obtained by other researchers. The flame speed for constant fractional gravity loadings were plotted as a function of gravity loadings from 0.0 up to 2.0 g's against flame speeds extracted from the transient gravity flame histories for corresponding gravity loadings. The effects of varying gravity conditions on the extinguishment process for upward and downward propagating flames were investigated.

  9. Quantification of volatile organic compounds in smoke from prescribed burning and comparison with occupational exposure limits

    Science.gov (United States)

    Romagnoli, E.; Barboni, T.; Santoni, P.-A.; Chiaramonti, N.

    2014-05-01

    Prescribed burning represents a serious threat to personnel fighting fires due to smoke inhalation. The aim of this study was to investigate exposure by foresters to smoke from prescribed burning, focusing on exposure to volatile organic compounds (VOCs). The methodology for smoke sampling was first evaluated. Potentially dangerous compounds were identified among the VOCs emitted by smoke fires at four prescribed burning plots located around Corsica. The measured mass concentrations for several toxic VOCs were generally higher than those measured in previous studies due to the experimental framework (short sampling distance between the foresters and the flame, low combustion, wet vegetation). In particular, benzene, phenol and furfural exceeded the legal short-term exposure limits published in Europe and/or the United States. Other VOCs such as toluene, ethybenzene or styrene remained below the exposure limits. In conclusion, clear and necessary recommendations were made for protection of personnel involved in fighting fires.

  10. Simultaneous NOx and hydrocarbon emissions control for lean-burn engines using low-temperature solid oxide fuel cell at open circuit.

    Science.gov (United States)

    Huang, Ta-Jen; Hsu, Sheng-Hsiang; Wu, Chung-Ying

    2012-02-21

    The high fuel efficiency of lean-burn engines is associated with high temperature and excess oxygen during combustion and thus is associated with high-concentration NO(x) emission. This work reveals that very high concentration of NO(x) in the exhaust can be reduced and hydrocarbons (HCs) can be simultaneously oxidized using a low-temperature solid oxide fuel cell (SOFC). An SOFC unit is constructed with Ni-YSZ as the anode, YSZ as the electrolyte, and La(0.6)Sr(0.4)CoO(3) (LSC)-Ce(0.9)Gd(0.1)O(1.95) as the cathode, with or without adding vanadium to LSC. SOFC operation at 450 °C and open circuit can effectively treat NO(x) over the cathode at a very high concentration in the simulated exhaust. Higher NO(x) concentration up to 5000 ppm can result in a larger NO(x) to N(2) rate. Moreover, a higher oxygen concentration promotes NO conversion. Complete oxidation of HCs can be achieved by adding silver to the LSC current collecting layer. The SOFC-based emissions control system can treat NO(x) and HCs simultaneously, and can be operated without consuming the anode fuel (a reductant) at near the engine exhaust temperature to eliminate the need for reductant refilling and extra heating.

  11. Extension of the lean limit through hydrogen enrichment of a LFG-fueled spark-ignition engine and emissions reduction

    Energy Technology Data Exchange (ETDEWEB)

    Kornbluth, Kurt; Greenwood, Jason; McCaffrey, Zach; Vernon, David; Erickson, Paul [Mechanical and Aerospace Engineering Department, UC Davis, CA 95616 (United States)

    2010-02-15

    In this experimental investigation the affect of hydrogen addition to a landfill gas-fueled naturally-aspirated spark-ignition engine was explored. Hydrogen concentrations of 0%, 30%, 40%, and 50% by volume were added to simulated landfill gas (60% CH{sub 4} and 40% CO{sub 2}). Efficiency, coefficient of variance of indicated mean effective pressure, and CO emissions were measured from near stoichiometric mixtures up to the lean operating limit. Engine-out NOx emissions were compared to predicted future best available control technology targets for NOx emissions in landfill gas-to-energy projects. From this study, it was determined that with 40% hydrogen by volume untreated exhaust NOx emissions can meet the 0.22 g/kWh NOx target while retaining 95% of baseline power and low CO emissions. (author)

  12. Comparison of the emissions and SFC for 10:1 and 12:1 compression ratio 1.8 litre SI engines using lean mixtures

    Energy Technology Data Exchange (ETDEWEB)

    Andrews, G.; Osses, M.; Desai, M.; Haralambidis, E. [Leeds Univ. (United Kingdom); Ounzain, A.; Robertson, G. [Ford Motor Co. Ltd., Dagenham (United Kingdom)

    1996-12-31

    A standard 10:1 compression ratio Ford Zetec engine was modified to a 12:1 compression ratio and investigated over the lean combustion region with a comparison with the base 10:1 compression ratio engine. All the comparisons were carried out at the same power output as for stoichiometric operation, using throttle adjustments to achieve the increased power as the mixture was made leaner. The aim of the higher compression ratio was to increase the power in the lean combustion region and thus to extend the lean burning limit for the same power output. The lean limit was then set as the wide open throttle lean combustion for a desired power output. The power outputs studied were 10 and 15KW at 1500 r/min, which is typical of the low power urban drive cycle in the EC emissions test cycle. Additional reductions in NOx using spark timing control was also investigated for lean mixtures. The lean burning capability at different conditions was investigated at the minimum fuel consumption spark timing and at 5% above the minimum SFC, but still below the SFC for stoichiometric operation. The borderline detonation limit (BLDL) as detected using a cylinder pressure transducer and spark timing loops were limited by the BLDL timing. The higher compression ratio was shown to extend the lean burning limit from 22/1 to 26/1 at constant 10KW power output. This was accompanied by an increase by NOx, hydrocarbons and CO. The extended lean limit was not effectively useable at 10 KW power due to the large increase in hydrocarbons for mixtures leaner than 22/1. Thus the lower NOx emissions in this region could not be exploited and there was little advantage, from a lean combustion viewpoint, of operation at 12/1 compression ratio. However, at the 15KW power output condition there were clear SFC advantages and smaller NOx reductions for the higher CR lean burn engine. (author)

  13. Effect of Inhibitors on Biogas Laminar Burning Velocity and Flammability Limits in Spark Ignited Premix Combustion

    Directory of Open Access Journals (Sweden)

    Willyanto Anggono

    2014-01-01

    Full Text Available Biogas is the natural byproduct of the decomposition of vegetation or animal manure, of which there are almost in exhaustable supplies in the world, and which does not contribute CO2 or other greenhouse gases to global warming or climate change. Biogas contains 66.4% flammable gas (CH4 and 33.6% inhibitors (CO2 and N2. This study focuses on the effects of inhibitors on biogas laminar burning velocity and flammability limits in spark ignited premix combustion. Spherically expanding laminar premixed flames, freely propagating from spark ignition sources in initially quiescent biogas–air mixtures, are continuously recorded by a high-speed digital camera. Initially, all the experiments in this paper were performed using inhibitorless biogas (biogas without inhibitors at room temperature, at reduced pressure (0.5 atm and at various equivalence ratios (ϕ from the lower flammable limit to the upper flammable limit. The results are compared with those from biogas (containing inhibitors flames at reduced pressure, inhibitorless biogas flames at atmospheric pressure (1 atm, and biogas flames at atmospheric pressure to emphasize the effect of inhibitors on biogas laminar burning velocity and flammability limits. Compared to an inhibitorless biogas-air mixtures, in the biogas-air mixtures, the presence of inhibitors cause a reduction in the laminar burning velocity and the flammable limits become narrower.

  14. 汽油机稀燃及其NOx排放控制技术研究%Study on the lean burn and NOx emission control techniques for gasoline engine

    Institute of Scientific and Technical Information of China (English)

    岳东鹏; 刘洋

    2012-01-01

    阐述了汽油机稀燃技术的发展及现状,并就3种不同模式稀燃系统的特点做了介绍,分析了稀燃带来的排放问题、控制稀燃汽油机NOx排放的3种催化技术及废气再循环技术的研究进展和各自利弊,讨论了改善稀燃汽油机经济性和NOx排放的研究方向。%The development and the current situation of lean burn techniques on gasoline engine are expounded and the characteristics of three different lean burn system and emission control problems are also introduced in this paper. And then the research progress, advantages and disadvantages of the NOx emission control techniques which includes three catalytic technologies (NOx direct catalytic cracking, Selective Catalyctic Reduction, Lean-NOx- Trap ) and Exhaust Gas Recirculation are analyzed. And the direction of improve Vehicle Economy and emissions are discussed.

  15. Numerical simulation of charge stratifications to improve combustion and NO formation of lean-burn SI engines

    Institute of Scientific and Technical Information of China (English)

    Zhijun PENG

    2009-01-01

    The influences of charge stratification on spark ignition (SI) engine combustion and NO emission were analyzed using a phenomenological model. The mixture in the cylinder was divided spherically into three parts: a central core with a stoichiometric air-fuel charge, a dilution region without any combustible charge, and a mixing region lying between the core and the dilution region.Three mixture stratification parameters such as the extent of dilution in the mixing region, the extent of combustible charge in the mixing region, and the gradient of stratification in the mixing region were investigated. The results indicate that the extent of combustible charge in the mixing region could reduce in-cylinder NO formation significantly, compared with the extent of dilution in the mixing region. As long as the degree of dilution in the mixing region is within the dilution limit of the combustible charge, the gradient of dilution has little effect on combustion and NO formation.

  16. Improving Healthcare through Lean Management

    DEFF Research Database (Denmark)

    Nielsen, Anders Paarup; Edwards, Kasper

    2011-01-01

    The ideas and principles from lean management are now widely being adopted within the healthcare sector. The analysis in this paper shows that organizations within healthcare most often only implement a limited set of tools and methods from the lean tool-box. Departing from a theoretical analysis...... of the well-known and universal lean management principles in the context of the healthcare this paper will attempt to formulate and test four hypotheses about possible barriers to the successful implementation of lean management in healthcare. The first hypothesis states that lean management in healthcare...... still is in its infancy and it is just a matter of letting sufficient time pass in order have a successful implementation of lean in all areas of healthcare. The second hypothesis states that a major barrier to lean management in healthcare simply is lacking understanding of the lean concepts leading...

  17. Improving Healthcare through Lean Management

    DEFF Research Database (Denmark)

    Nielsen, Anders Paarup; Edwards, Kasper

    2011-01-01

    The ideas and principles from lean management are now widely being adopted within the healthcare sector. The analysis in this paper shows that organizations within healthcare most often only implement a limited set of tools and methods from the lean tool-box. Departing from a theoretical analysis...... of the well-known and universal lean management principles in the context of the healthcare this paper will attempt to formulate and test four hypotheses about possible barriers to the successful implementation of lean management in healthcare. The first hypothesis states that lean management in healthcare...... still is in its infancy and it is just a matter of letting sufficient time pass in order have a successful implementation of lean in all areas of healthcare. The second hypothesis states that a major barrier to lean management in healthcare simply is lacking understanding of the lean concepts leading...

  18. Recent burning of boreal forests exceeds fire regime limits of the past 10,000 years.

    Science.gov (United States)

    Kelly, Ryan; Chipman, Melissa L; Higuera, Philip E; Stefanova, Ivanka; Brubaker, Linda B; Hu, Feng Sheng

    2013-08-06

    Wildfire activity in boreal forests is anticipated to increase dramatically, with far-reaching ecological and socioeconomic consequences. Paleorecords are indispensible for elucidating boreal fire regime dynamics under changing climate, because fire return intervals and successional cycles in these ecosystems occur over decadal to centennial timescales. We present charcoal records from 14 lakes in the Yukon Flats of interior Alaska, one of the most flammable ecoregions of the boreal forest biome, to infer causes and consequences of fire regime change over the past 10,000 y. Strong correspondence between charcoal-inferred and observational fire records shows the fidelity of sedimentary charcoal records as archives of past fire regimes. Fire frequency and area burned increased ∼6,000-3,000 y ago, probably as a result of elevated landscape flammability associated with increased Picea mariana in the regional vegetation. During the Medieval Climate Anomaly (MCA; ∼1,000-500 cal B.P.), the period most similar to recent decades, warm and dry climatic conditions resulted in peak biomass burning, but severe fires favored less-flammable deciduous vegetation, such that fire frequency remained relatively stationary. These results suggest that boreal forests can sustain high-severity fire regimes for centuries under warm and dry conditions, with vegetation feedbacks modulating climate-fire linkages. The apparent limit to MCA burning has been surpassed by the regional fire regime of recent decades, which is characterized by exceptionally high fire frequency and biomass burning. This extreme combination suggests a transition to a unique regime of unprecedented fire activity. However, vegetation dynamics similar to feedbacks that occurred during the MCA may stabilize the fire regime, despite additional warming.

  19. Superficial Burn Wound Healing with Intermittent Negative Pressure Wound Therapy Under Limited Access and Conventional Dressings

    Science.gov (United States)

    Honnegowda, Thittamaranahalli Muguregowda; Padmanabha Udupa, Echalasara Govindarama; Rao, Pragna; Kumar, Pramod; Singh, Rekha

    2016-01-01

    BACKGROUND Thermal injury is associated with several biochemical and histopathological alteration in tissue. Analysis of these objective parameters in research and clinical field are common to determine healing rate of burn wound. Negative pressure wound therapy has been achieved wide success in treating chronic wounds. This study determines superficial burn wound healing with intermittent negative pressure wound therapy under limited access and conventional dressings METHODS A total 50 patients were randomised into two equal groups: limited access and conventional dressing groups. Selective biochemical parameters such as hydroxyproline, hexosamine, total protein, and antioxidants, malondialdhyde (MDA), wound surface pH, matrix metalloproteinase-2 (MMP-2), and nitric oxide (NO) were measured in the granulation tissue. Histopathologically, necrotic tissue, amount of inflammatory infiltrate, angiogenesis and extracellular matrix deposition (ECM) were studied to determine wound healing under intermittent negative pressure. RESULTS Patients treated with limited access have shown significant increase in the mean hydroxyproline, hexosamine, total protein, reduced glutathione (GSH), glutathione peroxidase (GPx), and decrease in MDA, MMP-2, wound surface pH, and NO. Histopathologic study showed that there was a significant difference after 10 days of treatment between limited access vs conventional dressing group, Median (Q1, Q3)=3 (2, 4.25) vs 2 (1.75, 4). CONCLUSION Limited access was shown to exert its beneficial effects on wound healing by increasing ground substance, antioxidants and reducing MMP-2 activity, MDA, NO and providing optimal pH, decreasing necrotic tissue, amount of inflammatory infiltrate, increasing ECM deposition and angiogenesis. PMID:27853690

  20. 40 CFR 60.4325 - What emission limits must I meet for NOX if my turbine burns both natural gas and distillate oil...

    Science.gov (United States)

    2010-07-01

    ... NOX if my turbine burns both natural gas and distillate oil (or some other combination of fuels)? 60... Combustion Turbines Emission Limits § 60.4325 What emission limits must I meet for NOX if my turbine burns... burning that fuel. Similarly, when your total heat input is greater than 50 percent distillate oil...

  1. Study of gas (CNG) SI engine with pre-chamber. Improvement of the indicated thermal efficiency on lean mixture with EGR and supercharging; Fukushitsushiki hibana tenka asshuku tennen gas (CNG) engine ni kansuru kenkyu. Kakyu to EGR ni yoru kihakuiki no netsukoritsu kaizen

    Energy Technology Data Exchange (ETDEWEB)

    Yonetani, H.; Fukutani, I. [Polytechnic University, Kanagawa (Japan)

    1998-10-15

    As lean burn of compressed natural gas (CNG) is applied to conventional gasoline engines, a combustion period largely increases, resulting in large combustion fluctuation and low thermal efficiency. Heterogeneous spacial air/fuel ratios also have an effect on combustion in lean burn area. By preparing a pre-chamber for a combustion chamber of high- compression ratio CNG pre-mixing SI engines to utilize premixture turbulence, rapid flame propagation is obtained in lean burn area, resulting high combustion performance. Furthermore, study was made on improvement of combustion performance in lean burn area under various compression ratios, intake pressures, pre-chamber shapes and EGR ratios. As a result, lean burn operation at high intake pressure by supercharging showed possible improvement of a thermal efficiency and expansion of inflammable limits. Higher thermal efficiency in lean burn area was also obtained by using higher compression ratios considering heat loss. Although EGR was effective in controlling NOx formed in lean burn area, strict control of both air excess rate and EGR rate was required to prevent lower thermal efficiency. 2 refs., 8 figs., 1 tab.

  2. Limited Edge Effects Along a Burned-Unburned Bornean Forest Boundary Seven Years after Disturbance

    NARCIS (Netherlands)

    Slik, J.W.F.; Beek, van M.; Bernard, C.; Bongers, F.; Breman, F.C.; Cannon, C.H.; Sidiyasa, K.

    2011-01-01

    Large parts of the everwet tropics have been burned, leaving many unburned–burned forest edges. Here we studied a Bornean forest edge to determine: (1) how unburned and burned forest differ in vegetation structure, diversity, composition and plant functional traits 7 yr after fire, and (2) if these

  3. Negotiating Lean

    DEFF Research Database (Denmark)

    Rahbek Pedersen, Esben; Muniche, Mahad

    2011-01-01

    Purpose – The purpose of this paper is to analyse how negotiations between the constituencies affect the processes and outcomes of lean projects in Danish public sector organisations. Design/methodology/approach – The paper is based on a qualitative analysis of interviews with managers and employ......Purpose – The purpose of this paper is to analyse how negotiations between the constituencies affect the processes and outcomes of lean projects in Danish public sector organisations. Design/methodology/approach – The paper is based on a qualitative analysis of interviews with managers...... and employees who have participated in lean projects in the Danish public sector. Negotiated order theory serves as the overarching theoretical framework for the analysis. Findings – The paper concludes that the processes and outcomes of lean depend not only on the technology itself, but also the negotiation...... by exploring how negotiative processes influence the planning, implementation, and maintenance/development of lean projects....

  4. Wildlife mitigation burn monitoring program at Teck Coal Limited : Fording River Operations

    Energy Technology Data Exchange (ETDEWEB)

    Smyth, C.R. [Summit Environmental Consultants Inc., Calgary, AB (Canada); Caldwell, T.; Sword, G. [Teck Coal Ltd., Fording River Operations, Elkford, BC (Canada)

    2010-07-01

    This articled discussed a monitoring program evaluating the results of prescribed burns with respect to forest cover reduction, forest production, and wildlife utilization. The burn treatments were undertaken to mitigate the effects of ungulate habitat loss resulting from mine expansion and to increase wildlife habitat suitability and provide winter habitat for elk and moose. Pre-burn and post-burn aerial photographs were used to evaluate the effects of the burn treatments. Data on vegetation, wildlife use, and standing crop production were collected from 36 transects located in paired burned and unburned habitats during the course of the monitoring program, which operated from 1998 to 2007. The mitigation burns were generally found to be successful at improving ungulate habitat. Despite variation among treatment areas and years, the standing crop measurements showed that forest production and animal unit months were greater in the burn treatment areas than in the unburned areas. In particular, the increased cover of palatable grasses and forbs enhanced the elk winter range. The burn treatments altered the stand structure and species dominance. Signs of habitat use showed that elk and mule deer preferentially used the burned sites during the monitoring period. 14 refs., 1 fig.

  5. 40 CFR Table 2a to Subpart Zzzz of... - Emission Limitations for New and Reconstructed 2SLB and Compression Ignition Stationary RICE >500...

    Science.gov (United States)

    2010-07-01

    ... with the following emission limitations for new and reconstructed lean burn and new and reconstructed... commenced construction or reconstruction between December 19, 2002 and June 15, 2004, you may...

  6. Teoria das Restrições, Lean Manufacturing e Seis Sigma: limites e possibilidades de integração

    Directory of Open Access Journals (Sweden)

    Diego Augusto de Jesus Pacheco

    2014-12-01

    Full Text Available O principal objetivo deste estudo foi analisar os pontos de convergência e as divergências entre a Teoria das Restrições, o Lean Manufacturing e o Seis Sigma quando usados de maneira integrada para a melhoria contínua operacional de sistemas produtivos. O eixo principal de discussão desse estudo foi buscar identificar na literatura características de exclusão e similaridades entre as três abordagens quando aplicadas de maneira integrada em sistemas produtivos. Para conduzir essa pesquisa, fez-se uma ampla pesquisa bibliográfica, entre 1995 e 2011, nas principais bases de dados nacionais e internacionais, em busca do estado da arte sobre o tema. Os resultados desse estudo sugerem que Teoria das Restrições, Lean Manufacturing e Seis Sigma possuem diversos elementos complementares que se sobrepõem aos pontos divergentes e que há um vasto campo de pesquisa a ser explorado sobre o tema. Como resultado, o presente estudo apresenta a análise crítica comparativa de 28 critérios relevantes à compreensão das três abordagens assim como uma agenda de pesquisa sobre o tema identificada a partir das lacunas encontradas.

  7. A comparative study to evaluate the effect of limited access dressing (LAD) on burn wound healing.

    Science.gov (United States)

    Honnegowda, Thittamaranahalli M; Kumar, Pramod; Padmanabha Udupa, Echalasara G; Sharan, Anurag; Singh, Rekha; Prasad, Hemanth K; Rao, Pragna

    2016-10-01

    Biochemical and histopathological analyses are commonly used objective parameters in research and clinical fields to assess the healing status of burn wounds. In this study, the effect of newer intermittent negative-pressure wound therapy in combination with moist environment [limited access dressing (LAD)] on burn wound healing is studied. Various biochemical parameters like hydroxyproline, hexosamine and total protein, and antioxidants like reduced glutathione (GSH), glutathione peroxidase (GPx) and oxidative biomarker malondialdhyde (MDA) were measured in the granulation tissue. Histopathologically, necrotic tissue, amount of inflammatory infiltrate, angiogenesis and extracellular matrix deposition (ECM) were studied to determine wound healing. A total of 55 patients were divided into two groups as follows: LAD group (n = 28) and conventional dressing group (n = 27). Patients treated with LAD have shown significant increase in the mean levels of (±SD) hydroxyproline (75·2 ± 26·30 versus 27·8 ± 15·5; P = 0·010), hexosamine (9·0 ± 1·99 versus 8·0 ± 1·18; P = 0·038), total protein (15·6 ± 8·23 versus 10·26 ± 4·94; P = 0·003), GSH (7·40 ± 1·91 versus 5·1 ± 1·28; P = 0·037), GPx (112·6 ± 46·4 versus 92 ± 32·4; P = 0·016), and decrease in MDA (6·5 ± 2·24 versus 1 0·6 ± 3·8; P = 0·002). Histopathologically, between LAD and conventional dressing groups, there was a significant difference after 10 days of treatment (mean±SE) in necrotic tissue of (LAD versus conventional dressing groups = 10 ± 1·8 versus 11·9 ± 2·6; P = 0·033), inflammatory cells (8·4 ± 1·9 versus 13 ± 3·46; P = 0·021), new blood vessels (12·5 ± 2·87 versus 9·4 ± 1·7; P = 0·047), ECM deposit (12·9 ± 2·41 versus 9·68 ± 1·3; P = 0·018) and showed comparatively fewer inflammatory cells, increased and well-organised extracellular matrix deposit, more angiogenesis in LAD group as compared with that in conventional dressing group. To conclude

  8. The limited immunomodulatory effects of escharectomy on the kinetics of endotoxin, cytokines, and adhesion molecules in major burns

    Directory of Open Access Journals (Sweden)

    Tae-Hyung Han

    2004-01-01

    Full Text Available ESCHARECTOMY has been shown to improve the survival rates and the outcomes in burns. This observational study was conducted to assess the role of escharectomy on the inflammatory mediators in major burns. Seventeen ASA physical status II or status III adult surviving major burn patients were recruited. When the escharectomy was scheduled, a series of blood samples was obtained at −3 and −1 days preoperation, and +1 and +3 postoperation. The changing levels of endotoxin, cytokines, and adhesion molecules were measured with a quantitative sandwich immunoassay. Extensive escharectomy did not appear to have any significant impact on the levels of tumor necrosis factor alpha, interleukin-10, soluble intracellular adhesion molecule-1 and soluble vascular adhesion molecule-1. Meanwhile, endotoxin and E-selectin were significantly decreased after escharectomy. Escharectomy appeared to have a limited immunomodulatory effect on the inflammatory mediators in systemic inflammatory responses induced by major burns. This is probably related to the timing and extent of surgery, and the complex nature of burn-related inflammation.

  9. Développement d'un moteur 4-soupapes fonctionnant en mélange dilué. Une nouvelle approche basée sur l'optimisation de l'aérodynamique interne Application of Flow Field Optimization to Lean Burn Engine Development. A New Approach Based on Internal Flow Field Optimization

    Directory of Open Access Journals (Sweden)

    Henriot S.

    2006-11-01

    entre 0,60 et 0,70 suivant la charge et le régime. La diminution des émissions d'oxydes d'azote qui en résulte atteint en moyenne sur des points représentatifs du cycle ECE15 74 % par rapport au fonctionnement à la stoechiométrie. Enfin, des essais avec recyclage des gaz d'échappement ont démontré le potentiel de la solution optimisée d'un point de vue aérodynamique à tout mode de fonctionnement en mélange dilué. The constraints that must be accounted for inbuilding a new engine are increasing. It is necessary to contend with user demands for performance, while improving efficiency, limiting pollutant emissions and reducing knock sensitivity. Given the number of parameters to be taken into account, the response to these demands would require large investments in time and resources if conventional development methods (which usually follow an empirical approach were applied. The purpose of this research supported by Groupement Scientifique Moteur (GSM was to design a lean-burn sparkignition engine with the object of reducing pollutant emissions and fuel consumption. We try to develop a promising new approach that follows a scientific methodology based in particular on the use of predictive computer codes. The objective of this project is to design an engine that runs on a lean or possibly dilute mixture that will meet European pollution regulations. This lean-burn solution, combined with oxidation catalysis, is considered as an alternative to threeway catalysis, which imposes operation at stoichiometry. The original configuration is a 4-valve engine. One of the advantages this engine offers is great flexibility in changing the inlet conditions. This provides a way of optimizing internal fluid motion, which turns out to be a determining factor in the ability to operate with a lean or dilute mixture. The operation of an engine with a lean or dilute mixture results in substantially reducing nitrogen oxide (NOx emissions, virtually eliminating carbon dioxide (CO

  10. Lean consumption.

    Science.gov (United States)

    Womack, James P; Jones, Daniel T

    2005-03-01

    During the past 20 years, the real price of most consumer goods has fallen worldwide, the variety of goods and the range of sales channels offering them have continued to grow, and product quality has steadily improved. So why is consumption often so frustrating? It doesn't have to be--and shouldn't be--the authors say. They argue that it's time to apply lean thinking to the processes of consumption--to give consumers the full value they want from goods and services with the greatest efficiency and the least pain. Companies may think they save time and money by off-loading work to the consumer but, in fact, the opposite is true. By streamlining their systems for providing goods and services, and by making it easier for customers to buy and use those products and services, a growing number of companies are actually lowering costs while saving everyone time. In the process, these businesses are learning more about their customers, strengthening consumer loyalty, and attracting new customers who are defecting from less user-friendly competitors. The challenge lies with the retailers, service providers, manufacturers, and suppliers that are not used to looking at total cost from the standpoint of the consumer and even less accustomed to working with customers to optimize the consumption process. Lean consumption requires a fundamental shift in the way companies think about the relationship between provision and consumption, and the role their customers play in these processes. It also requires consumers to change the nature of their relationships with the companies they patronize. Lean production has clearly triumphed over similar obstacles in recent years to become the dominant global manufacturing model. Lean consumption, its logical companion, can't be far behind.

  11. CSER 94-013: Classification and access to PFP 232-Z Incinerator Facility and limits on characterization and disassembly activities in 232-Z burning hood

    Energy Technology Data Exchange (ETDEWEB)

    Miller, E.M.

    1995-01-12

    This CSER justifies the Limited Control Facility designation for the closed Burning Hood in the PFP 232-Z Incinerator Facility. If the Burning Hood is opened to characterize the plutonium distribution and geometric integrity of the internals or for disassembly of the internals, then the more rigorous Fissionable Material Facility classification is required. Two sets of requirements apply for personnel access, criticality firefighting category for water use, and fissile material movement for the two states of the Burning Hood. The parameters used in the criticality analysis are listed to establish the limits under which this CSER is valid. Determination that the Burning Hood fissile material, moderation, or internal arrangements are outside these limits requires reevaluation of these parameter values and activities at the 232-Z Incinerator Facility. When the Burning Hood is open, water entry is to be prevented by two physical barriers for each water source.

  12. LEAN Manufacturing

    DEFF Research Database (Denmark)

    Bilberg, Arne

      As part of an employment as Technology Architect at the company Linak in combination with research at the University of Southern Denmark, this paper will present results from a strategy process where Lean has been pointed out as being a very strategic element in the Linak Production System....... The mission with the strategy is to obtain competitive production in Denmark and in Western Europe based on the right combination of manufacturing principles, motivated and trained employees, level of automation, and cooperation with suppliers and customers worldwide. The strategy has resulted in technical......, organizational and management improvements in the company to what is named the Linak Production System.  ...

  13. LEAN Manufacturing

    DEFF Research Database (Denmark)

    Bilberg, Arne

      As part of an employment as Technology Architect at the company Linak in combination with research at the University of Southern Denmark, this paper will present results from a strategy process where Lean has been pointed out as being a very strategic element in the Linak Production System....... The mission with the strategy is to obtain competitive production in Denmark and in Western Europe based on the right combination of manufacturing principles, motivated and trained employees, level of automation, and cooperation with suppliers and customers worldwide. The strategy has resulted in technical...

  14. Multi-Element Lean Direct Injection Combustor Module Project

    Data.gov (United States)

    National Aeronautics and Space Administration — We propose to develop a Multi-Element Lean Direct Injection, ME-LDI, Combustion concept with the following innovative features: 1. Independent, mini burning zones...

  15. Development of medium-sized medium-speed lean burn spark-ignited gas engines. Analyzing local gas composition within the main combustion chamber and optimizing the design factors of a jet hole in the pre-combustion chamber; Chugata chusoku kihakunensho gas engine no kaihatsu kenkyu. Nenshoshitsunai kyokusho gas sosei no bunseki to yonenshoshitsu funko sekkei yoso no saitekika ni kansuru ichikosatsu

    Energy Technology Data Exchange (ETDEWEB)

    Goto, S.; Sakagami, T.; Hashimoto, T. [Niigata Engineering Co. Ltd., Tokyo (Japan)

    1996-10-25

    A high-speed gas sampling method was used to analyze the local gas composition within the main combustion chamber of a lean burn gas engine with a 260 mm bore. The spatial distribution of the gas composition and changes every crank angle were studied. The optimum design of a jet hole in the pre-combustion chamber was then investigated based on these results, with the aim of reducing CO and THC concentration and increasing the thermal efficiency. The engineering findings were evaluated by means of a performance test on a 6 cylinder engine. 4 refs., 10 figs., 1 tab.

  16. On Lean Turbulent Combustion Modeling

    Directory of Open Access Journals (Sweden)

    Constantin LEVENTIU

    2014-06-01

    Full Text Available This paper investigates a lean methane-air flame with different chemical reaction mechanisms, for laminar and turbulent combustion, approached as one and bi-dimensional problem. The numerical results obtained with Cantera and Ansys Fluent software are compared with experimental data obtained at CORIA Institute, France. First, for laminar combustion, the burn temperature is very well approximated for all chemical mechanisms, however major differences appear in the evaluation of the flame front thickness. Next, the analysis of turbulence-combustion interaction shows that the numerical predictions are suficiently accurate for small and moderate turbulence intensity.

  17. The lean information management toolkit

    National Research Council Canada - National Science Library

    Smith, Robin; Ibbitson, Andy

    2011-01-01

    Part one: Understanding and implementing lean information management Chapter 1: Introduction to lean information management -- he improvement imperative -- Information threat assessment -- Introducing the idea of lean...

  18. Evaluating Lean in healthcare.

    Science.gov (United States)

    Burgess, Nicola; Radnor, Zoe

    2013-01-01

    The purpose of this paper is to present findings relating to how Lean is implemented in English hospitals. Lean implementation snapshots in English hospitals were conducted by content analysing all annual reports and web sites over two time periods, giving a thorough analysis of Lean's status in English healthcare. The article identifies divergent approaches to Lean implementation in English hospitals. These approaches are classified into a typology to facilitate an evaluation of how Lean is implemented. The findings suggest that implementation tends to be isolated rather than system-wide. A second dataset conveys Lean implementation trajectory across the time period. These data signal Lean's increasing use by English hospitals and shows progression towards an increasingly systemic approach. Data were collected using content analysis methods, which relies on how "Lean" methods were articulated within the annual report and/or on the organisation's web site, which indicates approaches taken by hospital staff implementing Lean. This research is the first to examine more closely "how" Lean is implemented in English hospitals. The emergent typology could prove relevant to other public sector organizations and service organisations more generally. The research also presents a first step to understanding Lean thinking in the English NHS. This article empirically analyses Lean implementation in English hospitals. It identifies divergent approaches that allow inferences about how far Lean is implemented in an organisation. Data represent a baseline for further analysis so that Lean implementation can be tracked.

  19. One-step reduced kinetics for lean hydrogen-air deflagration

    Energy Technology Data Exchange (ETDEWEB)

    Fernandez-Galisteo, D.; Sanchez, A.L. [Area de Mecanica de Fluidos, Univ. Carlos III de Madrid, Leganes 28911 (Spain); Linan, A. [ETSI Aeronauticos, Pl. Cardenal Cisneros 3, Madrid 28040 (Spain); Williams, F.A. [Dept. of Mechanical and Aerospace Engineering, University of California San Diego, La Jolla, CA 92093-0411 (United States)

    2009-05-15

    A short mechanism consisting of seven elementary reactions, of which only three are reversible, is shown to provide good predictions of hydrogen-air lean-flame burning velocities. This mechanism is further simplified by noting that over a range of conditions of practical interest, near the lean flammability limit all reaction intermediaries have small concentrations in the important thin reaction zone that controls the hydrogen-air laminar burning velocity and therefore follow a steady state approximation, while the main species react according to the global irreversible reaction 2H{sub 2} + O{sub 2} {yields} 2H{sub 2}O. An explicit expression for the non-Arrhenius rate of this one-step overall reaction for hydrogen oxidation is derived from the seven-step detailed mechanism, for application near the flammability limit. The one-step results are used to calculate flammability limits and burning velocities of planar deflagrations. Furthermore, implications concerning radical profiles in the deflagration and reasons for the success of the approximations are clarified. It is also demonstrated that adding only two irreversible direct recombination steps to the seven-step mechanism accurately reproduces burning velocities of the full detailed mechanism for all equivalence ratios at normal atmospheric conditions and that an eight-step detailed mechanism, constructed from the seven-step mechanism by adding to it the fourth reversible shuffle reaction, improves predictions of O and OH profiles. The new reduced-chemistry descriptions can be useful for both analytical and computational studies of lean hydrogen-air flames, decreasing required computation times. (author)

  20. Wildland fire as a self-regulating mechanism: the role of previous burns and weather in limiting fire progression.

    Science.gov (United States)

    Parks, Sean A; Holsinger, Lisa M; Miller, Carol; Nelson, Cara R

    2015-09-01

    Theory suggests that natural fire regimes can result in landscapes that are both self-regulating and resilient to fire. For example, because fires consume fuel, they may create barriers to the spread of future fires, thereby regulating fire size. Top-down controls such as weather, however, can weaken this effect. While empirical examples demonstrating this pattern-process feedback between vegetation and fire exist, they have been geographically limited or did not consider the influence of time between fires and weather. The availability of remotely sensed data identifying fire activity over the last four decades provides an opportunity to explicitly quantify-the ability of wildland fire to limit the progression of subsequent fire. Furthermore, advances in fire progression mapping now allow an evaluation of how daily weather as a top-down control modifies this effect. In this study, we evaluated the ability of wildland fire to create barriers that limit the spread of subsequent fire along a gradient representing time between fires in four large study areas in the western United States. Using fire progression maps in conjunction with weather station data, we also evaluated the influence of daily weather. Results indicate that wildland fire does limit subsequent fire spread in all four study areas, but this effect decays over time; wildland fire no longer limits subsequent fire spread 6-18 years after fire, depending on the study area. We also found that the ability of fire to regulate, subsequent fire progression was substantially reduced under extreme conditions compared to moderate weather conditions in all four study areas. This study increases understanding of the spatial feedbacks that can lead to self-regulating landscapes as well as the effects of top-down controls, such as weather, on these feedbacks. Our results will be useful to managers who seek to restore natural fire regimes or to exploit recent burns when managing fire.

  1. Healthy Lean Through HRD

    DEFF Research Database (Denmark)

    Jørgensen, Frances

    2008-01-01

    The paper reports on findings from the initial, exploratory phase of a longitudinal research study aimed at developing a framework for implementing lean while ensuring employee well-being. Data from observations and in-depth dialogues with persons involved in lean implementation, along...... with relevant theory, are used to construct a tentative framework for implementing "healthy lean". The role of HRD in facilitating implementation of healthy lean is central to the framework, which is presented and discussed....

  2. Lean blowoff detection sensor

    Science.gov (United States)

    Thornton, Jimmy; Straub, Douglas L.; Chorpening, Benjamin T.; Huckaby, David

    2007-04-03

    Apparatus and method for detecting incipient lean blowoff conditions in a lean premixed combustion nozzle of a gas turbine. A sensor near the flame detects the concentration of hydrocarbon ions and/or electrons produced by combustion and the concentration monitored as a function of time are used to indicate incipient lean blowoff conditions.

  3. Implementation of lean leadership

    Directory of Open Access Journals (Sweden)

    Trenkner Małgorzata

    2016-12-01

    Full Text Available The Toyota case proves that lean leadership is of critical importance for the successful implementation and permanent functioning of Lean Production System. There is no ready formula for developing Toyota style lean leadership. However, one may gain inspiration from its experience.

  4. Experimental study on emission performance of rich-burn quick-quench lean-burn (RQL)trapped-vortex combustor%富油燃烧/快速淬熄/贫油燃烧(RQL)工作模式下驻涡燃烧室排放性能试验

    Institute of Scientific and Technical Information of China (English)

    金义; 何小民; 蒋波

    2011-01-01

    针对使用液态燃料(航空煤油)的富油燃烧/快速淬熄/贫油燃烧(RQL)工作模式驻涡燃烧室排放性能开展了系统的试验研究,分析总结了驻涡区余气系数、进口空气流量和进口空气温度等参数影响RQL工作模式驻涡燃烧室排放性能的变化规律.结果表明:随着驻涡区余气系数增大(a=0.61~1.53),CO和UHC(未燃碳氢化合物)体积分数升高,NOx体积分数降低;随着进口空气流量增大(W8=0.4~0.6 kg/s),CO,UHC,NOx体积分数均升高;随着进口空气温度升高(283~473K),CO和UHC体积分数降低,NOx体积分数升高.%An experimental study focused on emission performance of trapped-vortex combustor (TVC) with liquid fuel under rich-burn quick-quench lean-burn (RQL) mode was performed. The effect of a variety of parameters on emission performance was obtained,such as excess air coefficient of cavity, airflow rate and inlet temperature. The results show that: CO and UHC (unburned hydrocarbon) volume fractions increase as the excess air coefficient of cavity increases (α=0.61~1.53) while NOx volume fraction decreases; the emission performance of the combustor gets worse as airflow rate (Wa =0.4~0.6 kg/s) increases, CO, UHC and NOx volume fractions increase; CO and UHC volume fractions decline and NOx volume fraction rises with the increase of inlet temperature (283~473 K).

  5. The influence of CO2 in biogas flammability limit and laminar burning velocity in spark ignited premix combustion at various pressures

    Science.gov (United States)

    Anggono, W.; Wardana, I. N. G.; Lawes, M.; Hughes, K. J.; Wahyudi, S.; Hamidi, N.; Hayakawa, A.

    2016-03-01

    Biogas is an alternative energy source that is sustainable and renewable containing more than 50% CH4 and its biggest impurity or inhibitor is CO2. Demands for replacing fossil fuels require an improved fundamental understanding of its combustion processes. Flammability limits and laminar burning velocities are important characteristics in these processes. Thus, this research focused on the effects of CO2 on biogas flammability limits and laminar burning velocities in spark ignited premixed combustion. Biogas was burned in a spark ignited spherical combustion bomb. Spherically expanding laminar premixed flames, freely propagating from spark ignition in initial, were continuously recorded by a high-speed digital camera. The combustion bomb was filled with biogas-air mixtures at various pressures, CO2 levels and equivalence ratios (ϕ) at ambient temperature. The results were also compared to those of the previous study into inhibitorless biogas (methane) at various pressures and equivalence ratios (ϕ). Either the flammable areas become narrower with increased percentages of carbon dioxide or the pressure become lower. In biogas with 50% CO2 content, there was no biogas flame propagation for any equivalence ratio at reduced pressure (0.5 atm). The results show that the laminar burning velocity at the same equivalence ratio declined in respect with the increased level of CO2. The laminar burning velocities were higher at the same equivalence ratio by reducing the initial pressure.

  6. Lean NOx Trap Catalysis for Lean Natural Gas Engine Applications

    Energy Technology Data Exchange (ETDEWEB)

    Parks, II, James E [ORNL; Storey, John Morse [ORNL; Theiss, Timothy J [ORNL; Ponnusamy, Senthil [ORNL; Ferguson, Harley Douglas [ORNL; Williams, Aaron M [ORNL; Tassitano, James B [ORNL

    2007-09-01

    efficiency and emissions of natural gas reciprocating engines are being pursued. Approaches include: stoichiometric engine operation with exhaust gas recirculation and three-way catalysis, advanced combustion modes such as homogeneous charge compression ignition, and extension of the lean combustion limit with advanced ignition concepts and/or hydrogen mixing. The research presented here addresses the technical approach of combining efficient lean spark-ignited natural gas combustion with low emissions obtained from a lean NOx trap catalyst aftertreatment system. This approach can be applied to current lean engine technology or advanced lean engines that may result from related efforts in lean limit extension. Furthermore, the lean NOx trap technology has synergy with hydrogen-assisted lean limit extension since hydrogen is produced from natural gas during the lean NOx trap catalyst system process. The approach is also applicable to other lean engines such as diesel engines, natural gas turbines, and lean gasoline engines; other research activities have focused on those applications. Some commercialization of the technology has occurred for automotive applications (both diesel and lean gasoline engine vehicles) and natural gas turbines for stationary power. The research here specifically addresses barriers to commercialization of the technology for large lean natural gas reciprocating engines for stationary power. The report presented here is a comprehensive collection of research conducted by Oak Ridge National Laboratory (ORNL) on lean NOx trap catalysis for lean natural gas reciprocating engines. The research was performed in the Department of Energy's ARES program from 2003 to 2007 and covers several aspects of the technology. All studies were conducted at ORNL on a Cummins C8.3G+ natural gas engine chosen based on industry input to simulate large lean natural gas engines. Specific technical areas addressed by the research include: NOx reduction efficiency, partial

  7. The Hydrogen-Burning Limit in the Globular Cluster NGC 6397 {GO part}

    Science.gov (United States)

    King, Ivan

    2000-07-01

    We propose a major enhancement of an earlier study of the bottom of the main sequence of NGC 6397, the globular cluster with the smallest distance modulus. In earlier work the lowest part of the MS had been lost among the numerically dominant field stars; but accurate astrometry, over a baseline of a few years, now allows an excellent proper-motion separation of faint cluster stars from the field. The purified CMD follows the main sequence to its ``end" {i.e., the terminal plunge of the LF}. Just as the MS CMD gives a mass-radius relation, we show in a new way how this LF can give a mass-luminosity relation; both of these offer unique checks on theory. Our single WFPC2 field, however, had only a small number of stars in this range, too few to set firm restraints on the theories. We propose now to increase the number of such stars by a large factor by {1} getting 2nd-epoch images for three more fields in the cluster and {2}, in an accompanying AR proposal, remeasuring our previous images, and others that exist, to the deeper limit that we know can be attained. The number and the magnitudes of these faintest stars will greatly strengthen the constraints that we place on structure and atmosphere theories of lower-main-sequence stars. In each field we will also measure the anisotropy of internal stellar motions, which is predicted to be large in a collapsed-core cluster such as this one.

  8. The Hydrogen-Burning Limit in the Globular Cluster NGC 6397 {AR part}

    Science.gov (United States)

    King, Ivan

    2000-07-01

    We propose a major enhancement of an earlier study of the bottom of the main sequence of NGC 6397, the globular cluster with the smallest distance modulus. In earlier work the lowest part of the MS had been lost among the numerically dominant field stars; but accurate astrometry, over a baseline of a few years, now allows an excellent proper-motion separation of faint cluster stars from the field. The purified CMD follows the main sequence to its ``end" {i.e., the terminal plunge of the LF}. Just as the MS CMD gives a mass-radius relation, we show in a new way how this LF can give a mass-luminosity relation; both of these offer unique checks on theory. Our single WFPC2 field, however, had only a small number of stars in this range, too few to set firm restraints on the theories. We propose now to increase the number of such stars by a large factor by {1} getting 2nd-epoch images for three more fields in the cluster and, {2} in an accompanying AR proposal, remeasuring our previous images, and others that exist, to the deeper limit that we know can be attained. The number and the magnitudes of these faintest stars will greatly strengthen the constraints that we place on structure and atmosphere theories of lower-main-sequence stars. In each field we will also measure the anisotropy of internal stellar motions, which is predicted to be large in a collapsed-core cluster such as this one. as this one.

  9. Convergence of Numerical Sequences--A Commentary on "The Vice: Some Historically Inspired and Proof Generated Steps to Limits of Sequences" by R. P. Burn

    Science.gov (United States)

    Berge, Analia

    2006-01-01

    Burn (2005) proposes a "genetic approach" to teaching limits of numerical sequences. The article includes an explanation of the Method of Exhaustion, a generalization of this method, and a description of how this method was used for obtaining areas and lengths in the seventeenth century. The author uses these historical and mathematical analyses…

  10. Lifetime-Limited Photochemical Hole-Burning in s-Tetrazine-Benzene Mixed Crystals at 2 K

    NARCIS (Netherlands)

    Vries, Harmen de; Wiersma, Douwe A.

    1977-01-01

    We show that the technique of photochemical hole-burning can be utilized to measure sub-nanosecond fluorescence lifetimes of molecular excited states. s-tetrazine is taken as an example and from the width of the hole (0.7 ± 0.1 GHz), burned in the origin of the lowest 1B3u ← 1A1g transition at 2 K i

  11. Performance effect of Lean

    DEFF Research Database (Denmark)

    Kristensen, Thomas Borup; Israelsen, Poul

    2016-01-01

    relevant to Denmark, but the approach is empirically more generalizable. We show that the effect of Lean standardized flow production practices on performance is mediated by analytical continuous improvement empowerment practices and by delegation of decision rights practices. Thus, standardized flow......To understand how the practices of Lean affect performance, we tested and validated a system-wide approach using mediating relationships in a structural equation model. We used a cross-sectional survey of 200 Danish companies that indicated that they used Lean. Thus, this study is especially...... of decision rights. The paper provides evidence that supports the view that middle managers’ actions further enhance performance in Lean companies. The right Lean behavior by middle managers increases the level of analytical continuous improvement empowerment. In total, high-performing Lean companies...

  12. The Lego Lean Game

    Science.gov (United States)

    Sato, Danilo; Trindade, Francisco

    After revolutionizing the automobile industry, Lean principles have been applied to different knowledge areas, such as software development. However, many people haven’t been introduced to the concepts that made Lean successful. In this interactive session, the participants will work in a small LegoTM production line, experiencing the problems and applying Lean practices to overcome them. The workshop will also discuss the similarities and differences between the production line scenario and the software development industry.

  13. Burn Pits

    Science.gov (United States)

    ... Enter ZIP code here Enter ZIP code here Burn Pits Burn Pits Registry Studies Photo: U.S. Department ... the health of deployed Veterans. Health effects from burn pit smoke Toxins in burn pit smoke may ...

  14. Burn Institute

    Science.gov (United States)

    ... Now Help keep local seniors safe from fire! Burn Survivor Support If you are reading this, chances ... year – a burn injury. Learn more Fire and Burn Prevention Each year, the Burn Institute provides fire ...

  15. The Leaning Tower

    Institute of Scientific and Technical Information of China (English)

    石夫

    2005-01-01

    W hy does the Leaning Tower of Pisa in Italy lean?It leans because of a m istake.It has leanedalm ostsince the day the tower was built.In1173,the people ofPisa,Italy,wanted to build a belltower.They wanted the tower to be them ost beautiful bell tower in all of Italy.The city also needed a bell tower because the church did nothave one.H owever,there was a problem.As soon as the firstfloor ofthe building was finished,the towerstarted to lean.Builders tried to m ake the building straight again as they added m...

  16. Crude oil burning mechanisms

    DEFF Research Database (Denmark)

    van Gelderen, Laurens; Malmquist, L.M.V.; Jomaas, Grunde

    2015-01-01

    In order to improve predictions for the burning efficiency and the residue composition of in-situ burning of crude oil, the burning mechanism of crude oil was studied in relation to the composition of its hydrocarbon mixture, before, during and after the burning. The surface temperature, flame...... to the predictions of four conceptual models that describe the burning mechanism of multicomponent fuels. Based on the comparisons, hydrocarbon liquids were found to be best described by the Equilibrium Flash Vaporization model, showing a constant gas composition and gasification rate. The multicomponent fuels...... followed the diffusion-limited gasification model, showing a change in the hydrocarbon composition of the fuel and its evaporating gases, as well as a decreasing gasification rate, as the burning progressed. This burning mechanism implies that the residue composition and burning efficiency mainly depend...

  17. Critical issues in burn care.

    Science.gov (United States)

    Holmes, James H

    2008-01-01

    Burn care, especially for serious burn injuries, represents a considerable challenge for the healthcare system. The American Burn Association has established a number of strategies for the management of burn patients and dedicates its efforts and resources to promoting and supporting burn-related research, education, care, rehabilitation, and prevention, often in collaboration with other organizations. The American Burn Association has recommended that patients with serious burns be referred to a designated burn center, ie, a hospital outfitted with specialized personnel and equipment dedicated to burn care. Burn centers have been operational for over 50 years, but the complexity and costs of providing specialized burn care have given rise to a number of critical administrative and political issues. These include logistical limitations imposed by the uneven national distribution of burn centers and a potential shortage of burn beds, both during everyday conditions and in the event of a mass disaster. Burn surgeon shortages have also been identified, stemming, in part, from a lack of specialized burn care training opportunities. There is currently a lack of quality outcome data to support evidence-based recommendations for burn care, and burn care centers are compromised by problems obtaining reimbursement for the care of uninsured and publicly insured out-of-state burn patients. Initiatives are underway to maintain efficient burn care facilities that are fully funded, easily accessible, and most importantly, provide optimal, evidence-based care on a daily basis, and are well-equipped to handle a surge of patients during a disaster situation.

  18. Lean in healthcare: the unfilled promise?

    Science.gov (United States)

    Radnor, Zoe J; Holweg, Matthias; Waring, Justin

    2012-02-01

    In an effort to improve operational efficiency, healthcare services around the world have adopted process improvement methodologies from the manufacturing sector, such as Lean Production. In this paper we report on four multi-level case studies of the implementation of Lean in the English NHS. Our results show that this generally involves the application of specific Lean 'tools', such as 'kaizen blitz' and 'rapid improvement events', which tend to produce small-scale and localised productivity gains. Although this suggests that Lean might not currently deliver the efficiency improvements desired in policy, the evolution of Lean in the manufacturing sector also reveals this initial focus on the 'tool level'. In moving to a more system-wide approach, however, we identify significant contextual differences between healthcare and manufacturing that result in two critical breaches of the assumptions behind Lean. First, the customer and commissioner in the private sector are the one and the same, which is essential in determining 'customer value' that drives process improvement activities. Second, healthcare is predominantly designed to be capacity-led, and hence there is limited ability to influence demand or make full use of freed-up resources. What is different about this research is that these breaches can be regarded as not being primarily 'professional' in origin but actually more 'organisational' and 'managerial' and, if not addressed could severely constrain Lean's impact on healthcare productivity at the systems level. Copyright © 2011 Elsevier Ltd. All rights reserved.

  19. lean-ISD.

    Science.gov (United States)

    Wallace, Guy W.

    2001-01-01

    Explains lean instructional systems design/development (ISD) as it relates to curriculum architecture design, based on Japan's lean production system. Discusses performance-based systems; ISD models; processes for organizational training and development; curriculum architecture to support job performance; and modular curriculum development. (LRW)

  20. Lean health care.

    Science.gov (United States)

    Hawthorne, Henry C; Masterson, David J

    2013-01-01

    Principles of Lean management are being adopted more widely in health care as a way of improving quality and safety while controlling costs. The authors, who are chief executive officers of rural North Carolina hospitals, explain how their organizations are using Lean principles to improve quality and safety of health care delivery.

  1. LEAN dig ikke tilbage

    DEFF Research Database (Denmark)

    Weirsøe, Mathilde

    2011-01-01

    Fit, slankere, hurtigst. Lean-konceptet ruller ind over de offentlige institutioner, hvor det skal trimme og effektivisere arbejdsprocesser. Men hvor er den maksimale grænse for effektivitet? Er der et ’tipping point’, hvor Lean ikke længere motiverer, men snarere udmatter...

  2. lean-ISD.

    Science.gov (United States)

    Wallace, Guy W.

    2001-01-01

    Explains lean instructional systems design/development (ISD) as it relates to curriculum architecture design, based on Japan's lean production system. Discusses performance-based systems; ISD models; processes for organizational training and development; curriculum architecture to support job performance; and modular curriculum development. (LRW)

  3. Koncepcja lean administration

    OpenAIRE

    2010-01-01

    The article presents an attempt of description of Lean Administration concept. The pre- requisites and principles of Lean Administration system is given. Next, the functions and perspectives of “lean” activities are discussed together with methodological framework. The steps and auxiliary methods are also defined.

  4. LEAN and energy efficiency; Lean og energieffektivisering

    Energy Technology Data Exchange (ETDEWEB)

    Jespersen, Per T.; Vesterager Christensen, D.; Andersen, Hans (Teknologisk Institut, Energi og Klima, Taastrup (Denmark)); Dam Wied, M.; Dam, M. (NRGi Raadgivning, Aarhus (Denmark)); Thorndahl, M. (Horsens Kommune, Horsens (Denmark)); Weldingh, P. (Lokal Energi, Viby J. (Denmark)); Maagoee, P.; Kristensen, Kenneth T. (Viegand og Maagoee, Copenhagen (Denmark)); Kirketerp Friis, A. (Novozymes, Bagsvaerd (Denmark))

    2010-03-15

    By means of theoretical reports and three specific cases, the project showed how Lean principles can improve energy consulting efficiency, thus making it easier for end-users and energy consultants to record and document energy savings achieved. The three cases documented various types of extra benefits of integrating energy efficiency improvement in Lean processes. As a result of process optimisation, one manufacturing company successfully reduced both staffing and energy consumption, thus making production in Denmark competitive with out-sourced production in Asia. (LN)

  5. Lean methodology in health care.

    Science.gov (United States)

    Kimsey, Diane B

    2010-07-01

    Lean production is a process management philosophy that examines organizational processes from a customer perspective with the goal of limiting the use of resources to those processes that create value for the end customer. Lean manufacturing emphasizes increasing efficiency, decreasing waste, and using methods to decide what matters rather than accepting preexisting practices. A rapid improvement team at Lehigh Valley Health Network, Allentown, Pennsylvania, implemented a plan, do, check, act cycle to determine problems in the central sterile processing department, test solutions, and document improved processes. By using A3 thinking, a consensus building process that graphically depicts the current state, the target state, and the gaps between the two, the team worked to improve efficiency and safety, and to decrease costs. Use of this methodology has increased teamwork, created user-friendly work areas and processes, changed management styles and expectations, increased staff empowerment and involvement, and streamlined the supply chain within the perioperative area.

  6. Lean og arbejdsmiljø

    DEFF Research Database (Denmark)

    Jensen, Kenneth

    Bogen tager udgangspunkt i en undersøgelse af 10 private og offentlige virksomheders erfaringer med lean. Undersøgelsen viser at der ikke findes entydige sammenhænge mellem lean og det psykosociale arbejdsmiljø. Bogen forholder sig til sammenhængen mellem lean og ledelse, lean og medarbejderens...... rolle, lean og lean og forandringsprocessen. Bogen kommer desuden med anbefalinger til hvorledes virksomheden kan gribe dialogen an for at opnå et godt lean forløb der inddrager hensynet til og effekterne af et godt psykosocialt arbejdsmiljø....

  7. Lean og arbejdsmiljø

    DEFF Research Database (Denmark)

    Bogen tager udgangspunkt i en undersøgelse af 10 private og offentlige virksomheders erfaringer med lean. Undersøgelsen viser at der ikke findes entydige sammenhænge mellem lean og det psykosociale arbejdsmiljø. Bogen forholder sig til sammenhængen mellem lean og ledelse, lean og medarbejderens...... rolle, lean og lean og forandringsprocessen. Bogen kommer desuden med anbefalinger til hvorledes virksomheden kan gribe dialogen an for at opnå et godt lean forløb der inddrager hensynet til og effekterne af et godt psykosocialt arbejdsmiljø....

  8. Mixed Convection Blowoff Limits as a Function of Oxygen Concentration and Upward Forced Stretch Rate for Burning Pmma Rods of Various Sizes

    Science.gov (United States)

    Marcum, Jeremy W.; Ferkul, Paul V.; Olson, Sandra L.

    2017-01-01

    Normal gravity flame blowoff limits in an axisymmetric pmma rod geometry in upward axial stagnation flow are compared with microgravity Burning and Suppression of Solids II (BASS-II) results recently obtained aboard the International Space Station. This testing utilized the same BASS-II concurrent rod geometry, but with the addition of normal gravity buoyant flow. Cast polymethylmethacrylate (pmma) rods of diameters ranging from 0.635 cm to 3.81 cm were burned at oxygen concentrations ranging from 14 to 18 by volume. The forced flow velocity where blowoff occurred was determined for each rod size and oxygen concentration. These blowoff limits compare favorably with the BASS-II results when the buoyant stretch is included and the flow is corrected by considering the blockage factor of the fuel. From these results, the normal gravity blowoff boundary for this axisymmetric rod geometry is determined to be linear, with oxygen concentration directly proportional to flow speed. We describe a new normal gravity upward flame spread test method which extrapolates the linear blowoff boundary to the zero stretch limit to resolve microgravity flammability limits, something current methods cannot do. This new test method can improve spacecraft fire safety for future exploration missions by providing a tractable way to obtain good estimates of material flammability in low gravity.

  9. Orchestrating Lean Implementation

    DEFF Research Database (Denmark)

    Riis, Jens Ove; Mikkelsen, Hans; Andersen, Jesper Rank

    2008-01-01

    The notion of Lean Manufacturing is not merely confined to a set of well defined techniques, but represents a broad approach to managing a company. Working with lean entails many aspects, such as production planning and control, production engineering, product development, supply chain......, and organizational issues. To become effective, many functional areas and departments must be involved. At the same time companies are embedded in a dynamic environment. The aim of the paper is to propose a comprehensive approach to better implementation of lean initiatives, based on two empirical studies. The paper...... will discuss how a concerted effort can be staged taking into account the interdependencies among individual improvement initiatives. The notion of orchestration will be introduced, and several means for orchestration will be presented. Critical behavioral issues for lean implementation will be discussed....

  10. Lean software development

    OpenAIRE

    Hefnerová, Lucie

    2011-01-01

    The main goal of this bachelor thesis is the emergence of the clear Czech written material concerning the concept of Lean Software Development, which has been gaining significant attention in the field of software development, recently. Another goal of this thesis is to summarize the possible approaches of categorizing the concept and to summarize the possible approaches of defining the relationship between Lean and Agile software development. The detailed categorization of the tools potentia...

  11. Implementing Lean Health Reforms in Saskatchewan

    Directory of Open Access Journals (Sweden)

    Gregory Marchildon

    2013-07-01

    Full Text Available Saskatchewan has gone further than any other Canadian province in implementing health system process improvements using Lean, a production line discipline that originated with the automobile industry. The goal of the Lean reform is to reduce waste and improve quality and overall health system performance by long-term changes in behaviour. Lean enjoys a privileged position on the provincial government’s agenda because of the policy’s championing by the Deputy Minister of Health and the policy’s fit with the government’s patient-centred care agenda. The implementation of reform depends on a major investment of time in the training and Lean-certification of key leaders and managers in the provincial health system. The Saskatchewan Union of Nurses, the union representing the single largest group of health workers in the province, has agreed to co-operate with the provincial government in implementing Lean-type reforms. Thus far, the government has had limited independent evaluation of Lean while internal evaluations claim some successes.

  12. Implementing lean manufacturing system: ISM approach

    Directory of Open Access Journals (Sweden)

    Naveen Kumar

    2013-09-01

    Full Text Available Purpose: Lean Manufacturing System has emerged as an important area of research in Indian context. The requirement of Lean Manufacturing has increased due to defects in products (semi finished and finished and subsequent increase in cost. In this context, this study is an attempt to develop a structural model of the variables, important to implement Lean Manufacturing System in Indian automobile industry. Design/Methodology/Approach: Various variables of lean manufacturing system implementation have been identified from literature review and experts’ opinions. Contextual relationship among these identified variables has been set after carrying out brainstorming session. Further, classification of the variables has been carried out based upon the driving power and dependence. In addition to this, a structural model of variables to implement lean concept in Indian automobile industry has also been developed using Interpretive Structural Modeling (ISM technique. Questionnaire based survey has also been conducted to rank these variables. Findings: Eighteen variables have been identified from the literature and subsequent discussions with experts. Out of which, nine variables have been identified as dependent and nine variables have been identified as driver. No variable has been identified as linkage variable and autonomous variable. From the model developed, ‘Relative cost benefits’ has been identified as top level dependent variable and top management commitment as bottom level most independent variable. Research limitations/Implications: The model so developed is a hypothetical model based upon experts’ opinions. The conclusions so drawn may be further modified to apply in real situation. Practical implication: Clear understanding of interactions among these variables will help organizations to prioritize and manage these variables more effectively and efficiently to draw advantage from lean manufacturing system implementation

  13. Lean and the working environment: a review of the literature

    DEFF Research Database (Denmark)

    Hasle, Peter; Bojesen, Anders; Jensen, Per Langaa

    2012-01-01

    of manufacturing industry. The literature reflects, only to a limited extent, on the significance of implementation strategy and production context. Practical implications - Organizations working with lean should make efforts to avoid an impaired working environment for manual employees. Involvement of employees......Purpose - The effects of lean on employees have been debated ever since the concept was introduced. The purpose of this paper is to review the scientific literature on the effects of lean on the working environment and employee health and well-being. Design/methodology/approach - Relevant databases...... were searched for studies of lean and the working environment. In total, 11 studies with quantitative effects of lean are included in this review. The methodology and results are analysed to extract information about lean and the effects on working environment. Findings - There is strong evidence...

  14. Quality improvement in basic histotechnology: the lean approach.

    Science.gov (United States)

    Clark, David

    2016-01-01

    Lean is a comprehensive system of management based on the Toyota production system (TPS), encompassing all the activities of an organization. It focuses management activity on creating value for the end-user by continuously improving operational effectiveness and removing waste. Lean management creates a culture of continuous quality improvement with a strong emphasis on developing the problem-solving capability of staff using the scientific method (Deming's Plan, Do, Check, Act cycle). Lean management systems have been adopted by a number of histopathology departments throughout the world to simultaneously improve quality (reducing errors and shortening turnround times) and lower costs (by increasing efficiency). This article describes the key concepts that make up a lean management system, and how these concepts have been adapted from manufacturing industry and applied to histopathology using a case study of lean implementation and evidence from the literature. It discusses the benefits, limitations, and pitfalls encountered when implementing lean management systems.

  15. Lean Management Systems in Radiology: Elements for Success.

    Science.gov (United States)

    Schultz, Stacy R; Ruter, Royce L; Tibor, Laura C

    2016-01-01

    This article is a review of the literature on Lean and Lean Management Systems and how they have been implemented in healthcare organizations and particularly in radiology departments. The review focuses on the elements required for a successful implementation of Lean by applying the principles of a Lean Management System instead of a Lean tools-only approach. This review shares the successes and failures from healthcare organizations' efforts to improve the quality and safety of the services they provide. There are a limited number of healthcare organizations in the literature who have shared their experiences and additional research is necessary to determine whether a Lean Management System is a viable alternative to the current management structure in healthcare.

  16. Why Lean doesn't work for everyone.

    Science.gov (United States)

    Kaplan, Gary S; Patterson, Sarah H; Ching, Joan M; Blackmore, C Craig

    2014-12-01

    Popularisation of Lean in healthcare has led to emphasis on Lean quality improvement tools in isolation, with inconsistent results. We argue that delivery of safer, more efficient, and higher quality-patient focused care requires organisational transformation of which the Lean toolkit is only one component. To successfully facilitate system transformation toward higher quality care at lower cost, Lean tools must be part of a comprehensive management system, within a supportive institutional culture, and with committed leadership. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  17. Lean principles adoption in environmental management system (EMS - ISO 14001

    Directory of Open Access Journals (Sweden)

    Perumal Puvanasvaran

    2012-12-01

    Full Text Available Purpose: The purpose of this study is to examine the characteristic of the lean principles into ISO 14001 and to propose linkage of the lean principles and ISO 14001.Design/methodology/approach: To achieve the objective of the study, literature survey and quantitative research method using questionnaires survey are used.Findings and Originality/value: The findings of this study confirm that ISO 14001 certified company adopted lean production practices.  The study also proves that lean principles have positive and significant relationship with ISO 14001 EMS and the linkage can be made between lean principles and ISO 14001 to achieve Continual Improvement.Research limitations/implications: The small sizes of the sample of the participating companies are the main limitations of this study and this research mainly focuses on the manufacturing environment and services industry.Practical implications: This research show that all ISO 14001 companies do adopt at least one lean production practices and the main findings are lean principles has positive and highly significant relationship with ISO 14001 requirements.  This is because the integration of lean principles into ISO 14001 will serve practical methods for ISO14001 EMS to achieve the continual improvement.Originality/value: This research is amongst the first to study the combined lean principles with ISO 1400.  Based on the current situation, there is no integration within this two management system. 

  18. The lean service machine.

    Science.gov (United States)

    Swank, Cynthia Karen

    2003-10-01

    Jefferson Pilot Financial, a life insurance and annuities firm, like many U.S. service companies at the end of the 1990s was looking for new ways to grow. Its top managers recognized that JPF needed to differentiate itself in the eyes of its customers, the independent life-insurance advisers who sell and service policies. To establish itself as these advisers' preferred partner, it set out to reduce the turnaround time on policy applications, simplify the submission process, and reduce errors. JPF's managers looked to the "lean production" practices that U.S. manufacturers adopted in response to competition from Japanese companies. Lean production is built around the concept of continuous-flow processing--a departure from traditional production systems, in which large batches are processed at each step. JPF appointed a "lean team" to reengineer its New Business unit's operations, beginning with the creation of a "model cell"--a fully functioning microcosm of JPF's entire process. This approach allowed managers to experiment and smooth out the kinks while working toward an optimal design. The team applied lean-manufacturing practices, including placing linked processes near one another, balancing employees' workloads, posting performance results, and measuring performance and productivity from the customer's perspective. Customer-focused metrics helped erode the employees' "My work is all that matters" mind-set. The results were so impressive that JPF is rolling out similar systems across many of its operations. To convince employees of the value of lean production, the lean team introduced a simulation in which teams compete to build the best paper airplane based on invented customer specifications. This game drives home lean production's basic principles, establishing a foundation for deep and far-reaching changes in the production system.

  19. Managing paradoxical tensions during the implementation of Lean capabilities for improvement

    DEFF Research Database (Denmark)

    Maalouf, Malek Miguel; Gammelgaard, Britta

    2016-01-01

    also points to a range managerial responses used for dealing with the three paradoxes and facilitating lean transformation. Research limitations/implications: – This is a theory development paper which increases the understanding regarding the role of the organisational paradoxes in facilitating...... or hindering lean transformation. Practical implications: – The study generates insights which help managers identify and deal with the individual motivations for opposing lean practices, and thus facilitates lean transformation. Originality/value: – This study adds clarity to the process of managing lean...... implementation by identifying three different motivations for people to oppose lean transformation. The study also recommends managerial actions for dealing with each situation....

  20. Lean Library Management

    Directory of Open Access Journals (Sweden)

    Markus Putnings

    2012-10-01

    Full Text Available Die aktuellen Herausforderungen der Bibliothekswelt erfordern eine große persönliche Flexibilität, hierarchieübergreifende Gruppenarbeiten an Projekten und durch die zunehmende Zeit- und Mittelknappheit eine starke Effizienz- und Zielorientierung, die idealerweise die Wünsche und Bedürfnisse unserer Kunden nie aus den Augen verlieren sollte. Alle diese Aspekte werden durch Lean Management komplex abgedeckt – tatsächlich werden diese originär japanischen Erfolgskonzepte in der Praxis bereits stark eingesetzt, da sie sich als Best Practice durchgesetzt haben. Dieser Artikel gibt einen kurzen Überblick über die Hintergründe und Genese von Lean Management in der öffentlichen Verwaltung und im Bibliothekswesen, gefolgt von der Definition und den Konzepten des Lean Managements, sowie der speziellen Ausprägung des Lean Library Managements. Der Schwerpunkt liegt hierbei auf vielen praktischen Aspekten und Beispielen, die in das Tagesgeschäft übernommen werden können. Die Hürden für den Einsatz von Lean Management sind dabei im Gegensatz zu anderen betriebswirtschaftlichen Managementinstrumenten relativ niedrig. Es sind keine kostenintensiven IT-Systeme nötig, sondern es genügen ein unvoreingenommener Blick auf die eigenen Prozesse und Handgriffe und der (Veränderungs-Wille, die entdeckten Verbesserungspotentiale zu nutzen. Der Artikel soll hierfür ein entsprechendes Bewusstsein schaffen.

  1. Rethinking Lean Service

    Science.gov (United States)

    Seddon, John; O'Donovan, Brendan; Zokaei, Keivan

    Ever since Levitt's influential Harvard Business Review article 'Production-Line Approach to Service' was published in 1972, it has been common for services to be treated like production lines in both the academic literature and more widely in management practice. The belief that achieving economies of scale will reduce unit costs is a common feature of management decision-making. As technological advancement has produced ever more sophisticated IT and telephony, it has become increasingly easier for firms to standardise and off-shore services. The development of the 'lean' literature has only helped to emphasise the same underlying management assumptions: by managing cost and workers' activity, organisational performance is expected to improve. This chapter argues that through misinterpretation of the core paradigm 'lean' has become subsumed into the 'business as usual' of conventional service management. As a result, 'lean' has become synonymous with 'process efficiency' and the opportunity for significant performance improvement - as exemplified by Toyota - has been missed.

  2. Lean Management Genesis

    Directory of Open Access Journals (Sweden)

    Parkes Aneta

    2015-12-01

    Full Text Available Lean Management is a philosophy and management concept, based on reduction of the waste and resources used in the process of producing goods and providing services. Lean Management genesis dates back to scientific management in America (for example concepts of H. Ford and F.W. Taylor and quality management, including development of TQM concept. Japanese Toyota Production System has been inspired by chosen elements of these concepts, and then it evolved towards global concept called Toyota Way (which connects production rules with values and work attitude.

  3. The Lean and Environment Toolkit

    Science.gov (United States)

    This Lean and Environment Toolkit assembles practical experience collected by the U.S. Environmental Protection Agency (EPA) and partner companies and organizations that have experience with coordinating Lean implementation and environmental management.

  4. Lean Leadership - Organizational Buy - Ins

    OpenAIRE

    Dr. Revathi Iyer

    2015-01-01

    Great organizations have become leaders due to their leadership and sustainable initiatives. One such initiative is adoption of lean leadership to align core strategies with all functional areas of business. Leadership is likely to take place in a lean environment because improvements that happen are continual and can only be supported by leadership which understands this important aspect. The topic of lean leadership organizational buy ins speaks on how lean leadership could affect organiza...

  5. An experimental investigation of a lean-burn natural-gas pre-chamber spark ignition engine for cogeneration; Swiss Motor. Modification d'un moteur diesel pour le fonctionnement au gaz naturel en cogeneration. Fonctionnement avec prechambre de combustion

    Energy Technology Data Exchange (ETDEWEB)

    Roethlisberger, R.; Favrat, D.

    2001-07-01

    This thesis presented at the Department of Mechanical Engineering of the Swiss Federal Institute of Technology in Lausanne describes the conversion and testing of a commercial diesel engine for use as a lean-burn, natural gas, pre-chamber, spark ignition engine with a rated power of 150 kW, in combined heat and power (CHP) plants. The objective of the investigations - to evaluate the potential of reducing exhaust gas emissions - is discussed in detail with respect to NO{sub x} and CO emissions. The approach adopted includes both experimental work and numerical simulation. The report describes the testing facilities used. The results obtained with experimental spark-plug configurations based on simulation results are presented and the influence of various pre-chamber configuration variants are discussed. The results of the tests are presented and the significant reduction of NO{sub x}, CO and unburned-hydrocarbon (THC) emissions are discussed. The authors state that the engine, which achieves a fuel efficiency of more than 36.5%, fulfils the Swiss requirements on exhaust gas emissions. Also, ways of compensating for the slight loss in fuel-conversion efficiency in the pre-chamber configuration are discussed.

  6. Scald Burns

    Science.gov (United States)

    Safety Tips & Info Scald Burns Thousands of scald burns occur annually, and ALL are preventable! The two high-risk populations are children under the age ... the single most important factor in preventing scald burns. Increased awareness is the key to scald prevention! ...

  7. Ammonia Generation and Utilization in a Passive SCR (TWC+SCR) System on Lean Gasoline Engine

    Energy Technology Data Exchange (ETDEWEB)

    Prikhodko, Vitaly Y [ORNL; Parks, II, James E [ORNL; Pihl, Josh A [ORNL; Toops, Todd J [ORNL

    2016-01-01

    Lean gasoline engines offer greater fuel economy than the common stoichiometric gasoline engine, but the current three-way catalyst (TWC) on stoichiometric engines is unable to control nitrogen oxide (NOX) emissions in the oxygen-rich exhaust. Thus, lean NOX emission control is required to meet existing Tier 2 and upcoming Tier 3 emission regulations set by the U.S. Environmental Protection Agency (EPA). While urea-based selective catalytic reduction (SCR) has proven effective in controlling NOX from diesel engines, the urea storage and delivery components can add significant size and cost. As such, onboard NH3 production via a passive SCR approach is of interest. In a passive SCR system, NH3 is generated over a close-coupled TWC during periodic slightly rich engine operation and subsequently stored on an underfloor SCR catalyst. Upon switching to lean operation, NOX passes through the TWC and is reduced by the stored NH3 on the SCR catalyst. In this work, a passive SCR system was evaluated on a 2.0-liter BMW lean burn gasoline direct injection engine to assess NH3 generation over a Pd-only TWC and utilization over a Cu-based SCR catalyst. System NOX reduction efficiency and fuel efficiency improvement compared to stoichiometric engine operation were measured. A feedback control strategy based on cumulative NH3 produced by the TWC during rich operation and NOX emissions during lean operation was implemented on the engine to control lean/rich cycle timing. 15% excess NH3 production over a 1:1 NH3:NOX ratio was required (via longer rich cycle timing) to achieve 99.7% NOX conversion at an SCR average inlet temperature of 350 C. Increasing NH3 generation further resulted in even higher NOX conversion; however, tailpipe NH3 emissions resulted. At higher temperatures, NH3 oxidation becomes important and limits NH3 availability for NOX reduction. At the engine conditions studied here, greater than 99% NOX conversion was achieved with passive SCR while delivering fuel

  8. Experimental study of the effect of cycle pressure on lean combustion emissions

    Science.gov (United States)

    Roffe, G.; Venkataramani, K. S.

    1978-01-01

    Experiments were conducted in which a stream of premixed propane and air was burned under conditions representative of gas turbine operation. Emissions of NOx, CO, and unburned hydrocarbons (UHC) were measured over a range of combustor inlet temperature, pressure, and residence time at equivalence ratios from 0.7 down to the lean stability limit. At an inlet temperature of 600 K, observed NOx levels dropped markedly with decreasing pressure for pressures below 20 atm. The NOx levels are proportional to combustor residence time and formation rates were principally a function of adiabatic flame temperature. For adiabatic flame temperatures of 2050 K and higher, CO reached chemical equilibrium within 2 msec. Unburned hydrocarbon species dropped to a negligible level within 2 msec regardless of inlet temperature, pressure, or equivalence ratio. For a combustor residence time of 2.5 msec, combustion inefficiency became less than 0.01% at an adiabatic flame temperature of 2050 K. The maximum combustion inefficiency observed was on the order of 1% and corresponded to conditions near the lean stability limit. Using a perforated plate flameholder, this limit is well represented by the condition of 1800 K adiabatic flame temperature.

  9. Improving Healthcare through Lean Management: Experiences from the Danish healthcare system

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders Paarup

    The ideas and principles from lean management are now widely being adopted within the healthcare sector. The analysis in this paper shows that organizations within healthcare most often only implement a limited set of tools and methods from the lean tool-box. Departing from a theoretical analysis...... of the well-known and universal lean management principles in the context of the healthcare this paper will attempt to formulate and test four hypotheses about possible barriers to the successful implementation of lean management in healthcare. The first hypothesis states that lean management in healthcare...... still is in its infancy and it is just a matter of letting sufficient time pass in order have a successful implementation of lean in all areas of healthcare. The second hypothesis states that a major barrier to lean management in healthcare simply is lacking understanding of the lean concepts leading...

  10. The role of exercise in the rehabilitation of patients with severe burns.

    Science.gov (United States)

    Porter, Craig; Hardee, Justin P; Herndon, David N; Suman, Oscar E

    2015-01-01

    Severe burn trauma results in persistent skeletal muscle catabolism and prolonged immobilization. We hypothesize that structured rehabilitative exercise is a safe and efficacious strategy to restore lean body mass and physical function in burn victims. Here, we review the evidence for the utility of rehabilitative exercise training in restoring physiological function in burn survivors.

  11. Burn Rehabilitation

    Directory of Open Access Journals (Sweden)

    Koray Aydemir

    2011-07-01

    Full Text Available Burn injuries are important in terms of causing serious disability and threatening life. With the establishment of modern burn treatment units and advances in acute care management contributed to a reduced mortality rate over the last decades. As a result of improved outcome, more attention has to be given to a comprehensive burn rehabilitation program. Burn rehabilitation is a process that starts from day of admission and continues for months or sometimes years after the initial event. The term ‘burn rehabilitation’ incorporates the physical, physiological and social aspects of care. Burns can leave a patient with severely debilitating and deforming contractures, which can lead to significant disability when left untreated. Burn rehabilitation aims to prevent the possible complications, minimalize joint contractures and deformities, increase range of motion, control hypertrophic scarring, achieve the best possible functional capacity and to regain the patients vocational and recreational activities. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl: 70-7

  12. Green and lean management

    CERN Document Server

    Davim, J

    2017-01-01

    This book focusses on the challenges and changes organizational management faces in an era when the need to develop environmentally aware processes meets high levels of competition. It covers the synergetic effects, how re-use, recycling, waste reduction, and other sustainable production strategies can add value, low costs and time of production. Sustainable business behavior is not only an environmental perspective on management, but more and more contains an organizational perspective. Taking into account these issues, green and lean management appears as the way managers can drive their employees to continuously improve the management processes that add value to the organization and costumers. This book provides information on principles, strategies, models, and applications of green and lean management, and at the same time communicates the latest research activity relating to this scientific field world-wide.

  13. Performance effect of Lean

    DEFF Research Database (Denmark)

    Kristensen, Thomas Borup; Israelsen, Poul

    2016-01-01

    relevant to Denmark, but the approach is empirically more generalizable. We show that the effect of Lean standardized flow production practices on performance is mediated by analytical continuous improvement empowerment practices and by delegation of decision rights practices. Thus, standardized flow...... practices do not have direct effects on performance. Instead, standardized flow provided that foundation for companies to implement continuous improvement, which, in turn, directly affect performance positively. Another cause, in addition to flow practices, of continuous improvement was the delegation...

  14. Lean Leadership - Organizational Buy - Ins

    Directory of Open Access Journals (Sweden)

    Dr. Revathi Iyer

    2015-08-01

    Full Text Available Great organizations have become leaders due to their leadership and sustainable initiatives. One such initiative is adoption of lean leadership to align core strategies with all functional areas of business. Leadership is likely to take place in a lean environment because improvements that happen are continual and can only be supported by leadership which understands this important aspect. The topic of lean leadership organizational buy ins speaks on how lean leadership could affect organizations that adopt lean and other quality tools. Purpose of the study This study has been undertaken to understand When leadership more of is likely to take place in lean . Leadership plays a very important role while adopting lean processes and how lean leadership can address the process problem. Application of leadership lenses to lean processes needs great foresight thought and creativity. It has been also observed that lean management and lean processes can happen only if leadership is able to effectively communicate the thought of continual improvement to bring in a lean organization and a future state of processes where everything of a firm process and procedure is continually improving and the best strategies to manage this change becomes a philosophy. Lean leadership is associated with such a change. This enables leadership vision to be clear as it paves the way for current state and is clear to everyone. It is this leadership vision which enables employees to think and act in a way that perpetrates continual improvement. Hence leadership buys ins for lean are very necessary. The purpose of the study is also to understand how leaders can not only use cost reduction but also reducing time-to-market improving service quality and reducing risk exposure by adopting lean methods . it has been also seen that there is overall productivity and efficiency in organizations holistically when leadership endorses lean methodology. Radnor Z. and Bucci G. 2007

  15. Lean leadership: an ethnographic study.

    Science.gov (United States)

    Aij, Kjeld Harald; Visse, Merel; Widdershoven, Guy A M

    2015-01-01

    The purpose of this study is to provide a critical analysis of contemporary Lean leadership in the context of a healthcare practice. The Lean leadership model supports professionals with a leading role in implementing Lean. This article presents a case study focusing specifically on leadership behaviours and issues that were experienced, observed and reported in a Dutch university medical centre. This ethnographic case study provides auto-ethnographic accounts based on experiences, participant observation, interviews and document analysis. Characteristics of Lean leadership were identified to establish an understanding of how to achieve successful Lean transformation. This study emphasizes the importance for Lean leaders to go to the gemba, to see the situation for one's own self, empower health-care employees and be modest. All of these are critical attributes in defining the Lean leadership mindset. In this case study, Lean leadership is specifically related to healthcare, but certain common leadership characteristics are relevant across all fields. This article shows the value of an auto-ethnographic view on management learning for the analysis of Lean leadership. The knowledge acquired through this research is based on the first author's experiences in fulfilling his role as a health-care leader. This may help the reader examining his/her own role and reflecting on what matters most in the field of Lean leadership.

  16. RESEARCH OF LIMITED AND UNLIMITED EMISSION EFFECT ON THE ENVIRONMENT DURING THE BURNING OF ALTERNATIVE FUELS IN AGRICULTURAL TRACTORS

    Directory of Open Access Journals (Sweden)

    Daniela Müllerová

    2013-12-01

    Full Text Available This work is aimed at the basic analysis of diesel oil and rapeseed methyl ester and evaluation of limited and unlimited emission produced by their combustion. Thereafter, test results are compared, and there is also done the evaluation of emission – greenhouse gases, dangerous exhaust gases and strong carcinogens and their contents during fuel combustion. These measurements were performed at the Research Station Agroscope ART in Tänikon (AAT in Switzerland and in cooperation with the Department of Transport and Handling (DTH, Faculty of Engineering, Slovak University of Agriculture in Nitra.

  17. Applying lean thinking in construction

    OpenAIRE

    Remon Fayek Aziz; Sherif Mohamed Hafez

    2013-01-01

    The productivity of the construction industry worldwide has been declining over the past 40 years. One approach for improving the situation is using lean construction. Lean construction results from the application of a new form of production management to construction. Essential features of lean construction include a clear set of objectives for the delivery process, aimed at maximizing performance for the customer at the project level, concurrent design, construction, and the application of...

  18. Organizational change through Lean Thinking.

    Science.gov (United States)

    Tsasis, Peter; Bruce-Barrett, Cindy

    2008-08-01

    In production and manufacturing plants, Lean Thinking has been used to improve processes by eliminating waste and thus enhancing efficiency. In health care, Lean Thinking has emerged as a comprehensive approach towards improving processes embedded in the diagnostic, treatment and care activities of health-care organizations with cost containment results. This paper provides a case study example where Lean Thinking is not only used to improve efficiency and cost containment, but also as an approach to effective organizational change.

  19. Lean software development in action

    CERN Document Server

    Janes, Andrea

    2014-01-01

    This book illustrates how goal-oriented, automated measurement can be used to create Lean organizations and to facilitate the development of Lean software, while also demonstrating the practical implementation of Lean software development by combining tried and trusted tools. In order to be successful, a Lean orientation of software development has to go hand in hand with a company's overall business strategy. To achieve this, two interrelated aspects require special attention: measurement and experience management. In this book, Janes and Succi provide the necessary knowledge to establish "

  20. Applying lean thinking in construction

    Directory of Open Access Journals (Sweden)

    Remon Fayek Aziz

    2013-12-01

    Full Text Available The productivity of the construction industry worldwide has been declining over the past 40 years. One approach for improving the situation is using lean construction. Lean construction results from the application of a new form of production management to construction. Essential features of lean construction include a clear set of objectives for the delivery process, aimed at maximizing performance for the customer at the project level, concurrent design, construction, and the application of project control throughout the life cycle of the project from design to delivery. An increasing number of construction academics and professionals have been storming the ramparts of conventional construction management in an effort to deliver better value to owners while making real profits. As a result, lean-based tools have emerged and have been successfully applied to simple and complex construction projects. In general, lean construction projects are easier to manage, safer, completed sooner, and cost less and are of better quality. Significant research remains to complete the translation to construction of lean thinking in Egypt. This research will discuss principles, methods, and implementation phases of lean construction showing the waste in construction and how it could be minimized. The Last Planner System technique, which is an important application of the lean construction concepts and methodologies and is more prevalent, proved that it could enhance the construction management practices in various aspects. Also, it is intended to develop methodology for process evaluation and define areas for improvement based on lean approach principles.

  1. Design thinking & lean

    DEFF Research Database (Denmark)

    Bravos, Cynthia; Adler, Isabel K.

    2015-01-01

    This paper aims at presenting how a Brazilian innovation consultancy guided a collaborative development of a mobile solution using the Design Thinking approach (Vianna et al, 2012) and Lean principles (Ries, 2011). It will describe tools and methods used and how it was applied to requirement...... gathering, analysis and specification a solution to improve the assembly service of a retail company. This case aims at shedding the light at how those approaches can be applied in other companies that have a similar scenario in order to deliver faster and more assertive digital products to support...... corporate processes....

  2. Lean start-up

    DEFF Research Database (Denmark)

    Rasmussen, Erik Stavnsager; Tanev, Stoyan

    2016-01-01

    The risk of launching new products and starting new firms is known to be extremely high. The Lean Start-up approach is a way of reducing these risks and enhancing the chances for success by validating the products and services in the market with customers before launching it in full scale. The main...... point is to develop a Minimum Viable Product that can be tested by potential customers and then pivot the idea if necessary around these customer evaluations. This iterative process goes through a number of stages with the purpose of validating the customers’ problems, the suggested solution...

  3. First Lean, then modularisation

    DEFF Research Database (Denmark)

    Petersen, Kristian R.; Madsen, Erik Skov; Bilberg, Arne

    2016-01-01

    of Europe’s leading offshore wind power operators with more than 1,000 wind turbine generators in operation. By focusing on this company, in-depth insights into its operations and maintenance processes are investigated. Findings – Lean is identified to constitute an important first step before...... and resources can take place. The authors also establish a foundation for the development of a software tool to support the development of the modularisation of maintenance tasks. Originality/value – The present study contributes to the rather immature field of research on the operations and maintenance...

  4. EDUCATION FOR LEAN & LEAN FOR EDUCATION: A LITERATURE REVIEW

    Directory of Open Access Journals (Sweden)

    Saveta Vukadinovic

    2017-03-01

    Full Text Available The purpose of this paper is to investigate and understand how tools and principles of Lean philosophy can be adopted to improve the effectiveness of engineering education by providing services beyond the competition and costs below the competition, and how engineering education can provide better prepared engineering professionals capable to work in dynamic Lean environments by developing multidisciplinary knowledge and skills. Paper will be based on analysis of relevant scientific and professional literature sources, including certain elements of description, classification, explanation and prediction. The authors will use detailed literature review to explain complex relationship and interdependence between Lean philosophy and engineering education and answer the question what benefits modern Lean enterprises may expect from properly educated and qualified engineers and how application of Lean tools and principles can improve the system of engineering education.

  5. Ares Launch Vehicles Lean Practices Case Study

    Science.gov (United States)

    Doreswamy, Rajiv, N.; Self, Timothy A.

    2008-01-01

    This viewgraph presentation describes test strategies and lean philisophies and practices that are applied to Ares Launch Vehicles. The topics include: 1) Testing strategy; 2) Lean Practices in Ares I-X; 3) Lean Practices Applied to Ares I-X Schedule; 4) Lean Event Results; 5) Lean, Six Sigma, and Kaizen Practices in the Ares Projects Office; 6) Lean and Kaizen Success Stories; and 7) Ares Six Sigma Practices.

  6. Implementierung als Erfolgsbasis des Lean Managements

    OpenAIRE

    1993-01-01

    "Lean oder nicht lean?" lautet die Frage, die sich viele deutsche Unternehmen stellen und der man sich auch zum Abschluß einer Auseinandersetzung mit den Implementierungsherausforderungen des Lean-Konzepts stellen muß. Die voranstehenden Ausführungen haben die Voraussetzungen für die Beantwortung dieser Frage geschaffen. Außerdem wurde deutlich, daß "Lean oder nicht lean?" keine Frage der semantischen Etiketten oder Wortspiele darstellt. Lean Management wird auch in Firmen praktiziert, die n...

  7. LEAN thinking in Finnish healthcare.

    Science.gov (United States)

    Jorma, Tapani; Tiirinki, Hanna; Bloigu, Risto; Turkki, Leena

    2016-01-01

    Purpose - The purpose of this study is to evaluate how LEAN thinking is used as a management and development tool in the Finnish public healthcare system and what kind of outcomes have been achieved or expected by using it. The main focus is in managing and developing patient and treatment processes. Design/methodology/approach - A mixed-method approach incorporating the Webropol survey was used. Findings - LEAN is quite a new concept in Finnish public healthcare. It is mainly used as a development tool to seek financial savings and to improve the efficiency of patient processes, but has not yet been deeply implemented. However, the experiences from LEAN initiatives have been positive, and the methodology is already quite well-known. It can be concluded that, because of positive experiences from LEAN, the environment in Finnish healthcare is ready for the deeper implementation of LEAN. Originality/value - This paper evaluates the usage of LEAN thinking for the first time in the public healthcare system of Finland as a development tool and a management system. It highlights the implementation and achieved results of LEAN thinking when used in the healthcare environment. It also highlights the expectations for LEAN thinking in Finnish public healthcare.

  8. Lean With a Human Face

    DEFF Research Database (Denmark)

    Hasle, Peter; Jensen, Per Langaa

    2008-01-01

    The consequences for quality of work of lean manufacturing is discussed in the international litterature, and several authors suggest increased work speed, stress, and muscoskeletal diseases as a consequence of lean. The Danish experience with lean has been studied through interviews with managers...... with a version of lean which is based on employee participation and with quality of work as a goal equal to the traditional productivity goals. This experience seems to indicate that a local approach based on social capital with employee participation but still with strong management support gives better...... and employees, and it is a somewhat different experience. This tra-dition for collaboration has been the framework for the development of lean into a form which is different from the descriptions found in the mainly Anglo-Saxon literature. Many Danish both private and public organizations have experience...

  9. Lean With a Human Face

    DEFF Research Database (Denmark)

    Hasle, Peter; Jensen, Per Langaa

    2008-01-01

    with a version of lean which is based on employee participation and with quality of work as a goal equal to the traditional productivity goals. This experience seems to indicate that a local approach based on social capital with employee participation but still with strong management support gives better......The consequences for quality of work of lean manufacturing is discussed in the international litterature, and several authors suggest increased work speed, stress, and muscoskeletal diseases as a consequence of lean. The Danish experience with lean has been studied through interviews with managers...... and employees, and it is a somewhat different experience. This tra-dition for collaboration has been the framework for the development of lean into a form which is different from the descriptions found in the mainly Anglo-Saxon literature. Many Danish both private and public organizations have experience...

  10. Limiter

    Science.gov (United States)

    Cohen, S.A.; Hosea, J.C.; Timberlake, J.R.

    1984-10-19

    A limiter with a specially contoured front face is provided. The front face of the limiter (the plasma-side face) is flat with a central indentation. In addition, the limiter shape is cylindrically symmetric so that the limiter can be rotated for greater heat distribution. This limiter shape accommodates the various power scrape-off distances lambda p, which depend on the parallel velocity, V/sub parallel/, of the impacting particles.

  11. Pollutant Formation during the Occurrence of Flame Instabilities under Very-Lean Combustion Conditions in a Liquid-Fuel Burner

    Directory of Open Access Journals (Sweden)

    Maria Grazia De Giorgi

    2017-03-01

    Full Text Available Recent advances in gas turbine combustor design are aimed at achieving low exhaust emissions, hence modern aircraft jet engines are designed with lean-burn combustion systems. In the present work, we report an experimental study on lean combustion in a liquid fuel burner, operated under a non-premixed (single point injection regime that mimics the combustion in a modern aircraft engine. The flame behavior was investigated in proximity of the blow-out limit by an intensified high rate Charge-Coupled Device (CCD camera equipped with different optical filters to selectively record single species chemiluminescence emissions (e.g., OH*, CH*. Analogous filters were also used in combination with photomultiplier (PMT tubes. Furthermore this work investigates well-mixed lean low NOx combustion where mixing is good and generation of solid carbon particulate emissions should be very low. An analysis of pollutants such as fine particles and gaseous emissions was also performed. Particle number concentrations and size distributions were measured at the exhaust of the combustion chamber by two different particle size measuring instruments: a scanning mobility particle sizer (SMPS and an Electrical Low Pressure Impactor (ELPI. NOx concentration measurements were performed by using a cross-flow modulation chemiluminescence detection system; CO concentration emissions were acquired with a Cross-flow modulation Non-dispersive infrared (NDIR absorption method. All the measurements were completed by diagnostics of the fundamental combustor parameters. The results herein presented show that at very-lean conditions the emissions of both particulate matter and CO was found to increase most likely due to the occurrence of flame instabilities while the NOx were observed to reduce.

  12. Assessing burn depth in tattooed burn lesions with LASCA Imaging.

    Science.gov (United States)

    Krezdorn, N; Limbourg, A; Paprottka, F J; Könneker; Ipaktchi, R; Vogt, P M

    2016-09-30

    Tattoos are on the rise, and so are patients with tattooed burn lesions. A proper assessment with regard to burn depth is often impeded by the tattoo dye. Laser speckle contrast analysis (LASCA) is a technique that evaluates burn lesions via relative perfusion analysis. We assessed the effect of tattoo skin pigmentation on LASCA perfusion imaging in a multicolour tattooed patient. Depth of burn lesions in multi-coloured tattooed and untattooed skin was assessed using LASCA. Relative perfusion was measured in perfusion units (PU) and compared to various pigment colours, then correlated with the clinical evaluation of the lesion. Superficial partial thickness burn (SPTB) lesions showed significantly elevated perfusion units (PU) compared to normal skin; deep partial thickness burns showed decreased PU levels. PU of various tattoo pigments to normal skin showed either significantly lower values (blue, red, pink) or significantly increased values (black) whereas orange and yellow pigment showed values comparable to normal skin. In SPTB, black and blue pigment showed reduced perfusion; yellow pigment was similar to normal SPTB burn. Deep partial thickness burn (DPTB) lesions in tattoos did not show significant differences to normal DPTB lesions for black, green and red. Tattoo pigments alter the results of perfusion patterns assessed with LASCA both in normal and burned skin. Yellow pigments do not seem to interfere with LASCA assessment. However proper determination of burn depth both in SPTB and DPTB by LASCA is limited by the heterogenic alterations of the various pigment colours.

  13. Lean processing in drivage by blasting; Lean Processing im Sprengvortrieb

    Energy Technology Data Exchange (ETDEWEB)

    Karos, G. [Kernbereich Produktionssteuerung (PP), Deutsche Sternkohle AG (DSK), Herne (Germany); Imgenberg, D. [Bergwerk Auguste Victoria der Deutschen Steinkohle AG (DSK), Marl (Germany)

    2007-02-01

    The 'Lean processing' production system was introduced into DSK two years ago and is used in all collieries. Taking a drivage by blasting with combined support system Type B as an example, the 'Lean processing' method for development is described. The experience and results in the implementation of the lean method at face 3330 in the Auguste Victoria colliery are subsequently considered. It is evident that the effective application of the system optimises the road drivage processes and has led to a clear increase in performance. (orig.)

  14. Establishing a Lean Six Sigma Program in Higher Education

    KAUST Repository

    Svensson, Carsten

    2013-09-12

    Purpose: The objective of this paper is a contribution to the body of Lean Six Sigma knowledge within the vertical of higher education institutions. The paper will review the initial phase of an implementation and highlight future challenges. Approach: The observations presented in this paper, originates from rolling out a large lean six sigma implementation at a newly established university. The paper is supported with secondary data from literature. Findings: The paper will discuss the challenges of applying the lean six sigma method in a complex transactional environment. Research limitations: This paper is based on an empirical study of a single instance and authors’ experiences as practitioners. Originality: This paper is the first description of what is believed to be one of the largest implementations of Lean Six Sigma in higher education.

  15. Lean management beyond manufacturing a holistic approach

    CERN Document Server

    Bhasin, Sanjay

    2015-01-01

    Exploring Lean manufacturing in a holistic manner, this book helps organizations to implement Lean principles successfully by offering theoretical, empirical and practical knowledge. It empirically demonstrates how a successful Lean initiative can improve organizational efficiency, and incorporates valuable primary research to substantiate findings. It argues that Lean principles need to be applied throughout the value chain in order to be successful , and suggests that these tools need to be aligned with culture and change management. Chapters examine issues including Lean cultures, impediments to Lean, Lean and performance measurement, and the impact of Lean. Viewing Lean as a never-ending journey, this book provides a valuable resource to practising Lean managers, and specialist researchers and students, and also offers an important reference for organizations embarking on their Lean voyage.

  16. Lean Startup and Lean Canvas Using for Innovative Product Development

    Directory of Open Access Journals (Sweden)

    Alena Buchalcevová

    2016-06-01

    Full Text Available Recently, new approaches to product development have emerged that focus on idea generation techniques and customer itself. One of them is the Lean Startup method that is described in this article along with the Lean Canvas method. The main goal of the article is to demonstrate the application of both methods to an innovative product development focused on providing interactive trips for families with children. The development of the product during individual phases is described and application of the Lean Startup and Lean Canvas principles is demonstrated. Finally, benefits of both methods contributing to the product success are discussed. Similar case studies start emerging worldwide, however in the Czech context are quite rare.

  17. Lean production of intensive cities

    DEFF Research Database (Denmark)

    Ratner, Helene Gad; Bojesen, Anders; Bramming, Pia

    2014-01-01

    This article analyses the introduction of Lean Production to ‘the Procurement Office’ (the Procurement Office is made anonymous due to promises of confidentiality in the research project ‘Lean without stress’), a work place marked by continuous organizational changes, unfavourable image and high......’. Through the depiction of four intensifications of Lean Production, the metaphors of Calvino's cities show how reality and illusion; hope and poverty; dreams and death and utopia and dystopia are intricately mingled and produce temporary and equally ambivalent affects of alienation, hypocrisy, self...

  18. Improving healthcare using Lean processes.

    Science.gov (United States)

    Baker, G Ross

    2014-01-01

    For more than a decade, healthcare organizations across Canada have been using Lean management tools to improve care processes, reduce preventable adverse events, increase patient satisfaction and create better work environments. The largest system-wide effort in Canada, and perhaps anywhere, is currently under way in Saskatchewan. The jury is still out on whether Lean efforts in that province, or elsewhere in Canada, are robust enough to transform current delivery systems and sustain new levels of performance. This issue of Healthcare Quarterly features several articles that provide a perspective on Lean methods in healthcare.

  19. Clinically lean; "cutting the crap".

    Science.gov (United States)

    Caldwell, G

    2012-01-01

    Proponents of Lean Philosophy believe that successful businesses must reduce waste in working time and resources to a minimum, and maximise their use in productive work. The productive work of the Acute Medical Unit is to provide effective clinical management to a daily cohort of acutely ill patients. Many Clinicians are cynical about Lean. In this article, Dr Caldwell discusses how many clinicians complain of too much crap in the workplace, which gets in the way of swift, safe high quality clinical care. He argues that "Cutting the Crap" in the Acute Medical Unit is entirely consistent with Lean approaches to management of complex systems.

  20. Lean Manufacturing measurement: The relationships between Lean activities and Lean metrics

    Directory of Open Access Journals (Sweden)

    Diego Fernando Manotas Duque

    2007-01-01

    Full Text Available Medición en Lean Manufacturing: Relaciones entre Actividades Lean y Métricas Lean Lean Manufacturing fue desarrollada por Toyota para satisfacer sus necesidades específicas en un mercado restringido y en tiempos de estrechez económica. Estos conceptos han sido estudiados y se ha comprobado su aplicabilidad en una amplia variedad de industrias. El objetivo de este artículo es el de integrar un conjunto de métricas que han sido propuestas por diferentes autores, de tal manera que sean consistentes con las etapas y elementos de implementaciones de Lean Manufacturing. Para lograrlo se presentan dos marcos de referencia para implementaciones Lean y los principales factores de éxito se utilizan como base para proponer métricas que identifiquen el avance en estos factores. Posteriormente se propone una tabla que cruza el impacto de las “Actividades Lean” sobre las métricas, postulando que muchos de los supuestos a priori sobre estos impactos deberían ser precisos. Finalmente se proponen algunas ideas para proyectos de investigación hacia el futuro y posibles extensiones de las aplicaciones propuestas aquí.

  1. Researching Lean: Methodological Implications of Loose Definitions

    Directory of Open Access Journals (Sweden)

    Mikael Brännmark

    2012-12-01

    Full Text Available Recently, Lean Production (Lean has become a prevailing management concept in Sweden. However, previous research seems to show that the Lean concept and the impact of Lean vary considerably between organizations. This paper illustrates some key methodological issues that need to be considered when researching loosely defined management concepts such as Lean. The paper is based on a review of the literature and five comparative Swedish cases studies. Our study indicates that Lean has changed over time and that operationalization and interpretations of the concept vary considerably. This study concludes that future Lean studies should include a thorough assessment of the Lean interventions, study settings, and in particular non-Lean factors mediating the outcomes of Lean-inspired change programs.

  2. Application of reburn techniques for NOx reduction to cogeneration prime movers. Volume 1. Rich-burn engine application. Final report, June 1984 to July 1988

    Energy Technology Data Exchange (ETDEWEB)

    Brown, R.A.; Lips, H.; Kuby, W.C.

    1989-03-01

    The report describes the results of a design and experimental program to develop a post-combustion NOx control technique for gas-fired I.C. engines and gas turbines as applied to cogeneration. Emissions and performance data of both rich-burn and lean-burn engines were used to develop a conceptual reburner design to be placed between an engine and a waste heat boiler. This reburner design was then modeled for testing in a 100,000 Btu/hr subscale test facility. Parametric testing achieved 50 percent NOx reduction at a fuel fraction of 30 percent for rich-burn and mid-O2 range engine exhausts. Lean-burn NOx reductions were limited to 35 percent at the same fuel fraction. With the addition of a NiO catalyst in the rich zone, NOx reductions of up to 90 percent were achieved in the subscale testing. A full-scale system was designed, fabricated, and tested on a 150 kW Caterpillar engine. NOx reductions of 40 to 50 percent were achieved without a catalyst; reductions of up to 75 percent were achieved with a NiO catalyst.

  3. Buildings Lean Maintenance Implementation Model

    Science.gov (United States)

    Abreu, Antonio; Calado, João; Requeijo, José

    2016-11-01

    Nowadays, companies in global markets have to achieve high levels of performance and competitiveness to stay "alive".Within this assumption, the building maintenance cannot be done in a casual and improvised way due to the costs related. Starting with some discussion about lean management and building maintenance, this paper introduces a model to support the Lean Building Maintenance (LBM) approach. Finally based on a real case study from a Portuguese company, the benefits, challenges and difficulties are presented and discussed.

  4. Lean Six Sigma

    OpenAIRE

    N, Vivekananthamoorthy; S, ankar

    2011-01-01

    Методология Lean Six Sigma, которая идеально подходит для проектов, направленных на уменьшение объема потерь, длительности бизнес-циклов, их вариаций, а также для увеличения качества продукта, может служить основой для улучшения бизнес-процессов.

  5. Lean manufacturing measurement: the relationship between lean activities and lean metrics

    Directory of Open Access Journals (Sweden)

    Manotas Duque Diego Fernando

    2007-10-01

    Full Text Available Lean Manufacturing was developed by Toyota Motor company to address their specific needs in a restricted market in times of economic trouble. These concepts have been studied and proven to be transferrable and applicable to a wide variety of industries. This paper aims to integrate a set of metrics that have been proposed by different authors in such a way that they are consistent with the different stages and elements of Lean Manufacturing implementations. To achieve this, two frameworks for Lean implementations are presented and then the main factors for success are used as the basis to propose metrics that measure the advance in these factors. A tabular display of the impact of “Lean activities” on the metrics is presented, proposing that many a priori assumptions about the benefits on many different levels of improvement should be accurate. Finally, some ideas for future research and extension of the applications proposed on this paper are presented as closing points.

  6. Managing Paradoxical Tensions During the Implementation of Lean Capabilities for Improvement

    DEFF Research Database (Denmark)

    Maalouf, Malek Miguel; Gammelgaard, Britta

    2016-01-01

    Purpose: – Through the identification and investigation of the organisational paradoxes in lean, the purpose of this paper is to deepen the understanding of lean implementation intricacies, and contribute to sustaining lean in companies. Design/methodology/approach: – Case study based on semi......-structured interviews with participants in lean conversion from three companies in Denmark. The companies come from different business sectors: public transport, healthcare and finance. Findings: – This study identifies three types of organisational paradoxes in lean: organising, performing and belonging. The study...... also points to a range managerial responses used for dealing with the three paradoxes and facilitating lean transformation. Research limitations/implications: – This is a theory development paper which increases the understanding regarding the role of the organisational paradoxes in facilitating...

  7. Systematic model for lean product development implementation in an automotive related company

    Directory of Open Access Journals (Sweden)

    Daniel Osezua Aikhuele

    2017-07-01

    Full Text Available Lean product development is a major innovative business strategy that employs sets of practices to achieve an efficient, innovative and a sustainable product development. Despite the many benefits and high hopes in the lean strategy, many companies are still struggling, and unable to either achieve or sustain substantial positive results with their lean implementation efforts. However, as the first step towards addressing this issue, this paper seeks to propose a systematic model that considers the administrative and implementation limitations of lean thinking practices in the product development process. The model which is based on the integration of fuzzy Shannon’s entropy and Modified Technique for Order Preference by Similarity to the Ideal Solution (M-TOPSIS model for the lean product development practices implementation with respective to different criteria including management and leadership, financial capabilities, skills and expertise and organization culture, provides a guide or roadmap for product development managers on the lean implementation route.

  8. Application of lean tools in the supply chain of a maintenance environment

    Directory of Open Access Journals (Sweden)

    Fourie, C. J.

    2017-05-01

    Full Text Available Historically, Lean thinking has limited applications in the maintenance environment (that is, a non-manufacturing environment. This article reports on the Lean tools that can be implemented in the maintenance environment. To achieve this, a typical supply chain management of a rolling stock service organisation was used for analysis and validation. The approach was initially to map the current supply chain process through a standard method of value stream mapping so as to identify non-Lean activities. After mapping the current state, other suitable Lean tools for the current supply chain management were applied. Finally, performance Indicators were formulated for continuous review and assessment.

  9. Colloids in Acute Burn Resuscitation.

    Science.gov (United States)

    Cartotto, Robert; Greenhalgh, David

    2016-10-01

    Colloids have been used in varying capacities throughout the history of formula-based burn resuscitation. There is sound experimental evidence that demonstrates colloids' ability to improve intravascular colloid osmotic pressure, expand intravascular volume, reduce resuscitation requirements, and limit edema in unburned tissue following a major burn. Fresh frozen plasma appears to be a useful and effective immediate burn resuscitation fluid but its benefits must be weighed against its costs, and risks of viral transmission and acute lung injury. Albumin, in contrast, is less expensive and safer and has demonstrated ability to reduce resuscitation requirements and possibly limit edema-related morbidity. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Lean philosophy and its applications in the service industry: a review of the current knowledge

    Directory of Open Access Journals (Sweden)

    Higor dos Reis Leite

    2015-09-01

    Full Text Available This article presents an in-depth bibliographic study about the creation, principles, evolution, and practices of the lean philosophy oriented to the services sector. More than 70 papers about “lean thinking” – specially with focus on services – have been carefully reviewed. It presents the principles of lean service in an organized way, companies applying lean service, and best practices and tools in the implementation of lean service. It shows that lean service does not have a single or specific model of tools, practices or standards. In fact, it is a mix of tools and practices that must be applied according the situation found to be improved. Despite the lack of a standards and methodology for use in services, its best practices, inherited from manufacturing, when applied to services can generate large economic and financial results, as well as improvement of workers’ behavior. But, like any change process, this study shows that the application of lean in services also suffers resistance. There might be limitations when evaluating lean practices and principles to services, specially those that have not yet been well defined and reported. Other limitations are due to the scarce articles in the literature. However, this research showed that the use of the lean philosophy in services proved to be effective and quite worthwhile. Several cases analyzed presented significant gains and confirmed an increasing and promising future for service companies “thinking lean”.

  11. Lean versus Quick Response Manufacturing og andre koncepter - er Lean den eneste ene?

    DEFF Research Database (Denmark)

    Michelsen, Aage U

    2005-01-01

    Begrebet Lean har gennem de senere år vundet en enorm udbredelse. Antallet af publikationer om Lean har været eksplosivt stigende, og mange virksomheder har gennemført eller gennemfører Lean-projekter. Er Lean et nyt koncept? Er Lean den eneste løsning? Kan Lean kombineres med tankegange og princ...... løsning af en anden produktionsopgave. I fjerde afsnit skitseres kort relationerne mellem Lean og to andre begreber, Six Sigma og TPM, der begge har samme mål som Lean, men forskellige udgangspunkter og forskellige indfaldsvinkler....

  12. Burns (For Parents)

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Burns KidsHealth > For Parents > Burns A A A What's ... outlets, etc.) overexposure to the sun Types of Burns Burns are often categorized as first-, second-, or ...

  13. The role of resilience in the recovery of the burn-injured patient: an integrative review

    Directory of Open Access Journals (Sweden)

    Kornhaber R

    2016-05-01

    Full Text Available R Kornhaber,1 H Bridgman,2 L McLean,3–6 J Vandervord7 1School of Health Sciences, Faculty of Health, University of Tasmania, Hobart, TAS, 2Centre for Rural Health, School of Health Sciences, Faculty of Health, University of Tasmania, Hobart, TAS, 3Brain and Mind Centre, 4Westmead Psychotherapy Program, Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, 5Sydney West and Greater Southern Psychiatry Training Network, Cumberland Hospital, Western Sydney Local Health District, Sydney, NSW, 6Consultation-Liaison Psychiatry, Royal North Shore Hospital, Sydney, NSW, 7Severe Burns Injury Unit, Royal North Shore Hospital, St Leonards, NSW, Australia Abstract: Severe burn injuries are catastrophic life events resulting in significant physical and psychological effects. With long periods of hospitalization and rehabilitation, burn survivors encounter many issues, including an altered body image and loss of function and independence that subsequently influence quality of life and the family unit. Consequently, resilience has been identified as a fundamental concept that facilitates the adaptability required to navigate the lengthy and complex recovery process. However, over time, the notion of resilience has shifted from a static, innate trait to a fluid and multidimensional concept. Here, we review the evidence surrounding the role of resilience in the recovery of burn injury. This integrative review was based on a systematic search of five electronic databases. Of the 89 articles identified, ten primary research papers met the inclusion criteria. Three key themes were identified encompassing relational strengths, positive coping, and the resistance to trauma symptoms that are fundamental constructs associated with developing and sustaining resilience that resonate with the broader literature on burn recovery. However, limited evidence is currently available within the burns context. While resilience appears to be a vital

  14. Potentiel des moteurs à mélange pauvre face aux moteurs actuels à réglage stoechiométrique : consommation, émissions, exigence en octane The Challenge to Modern Stoichiometric Engines by the Potential Lean-Burn Engine: Consumption, Emissions, Fuel Requirements

    Directory of Open Access Journals (Sweden)

    Douaud A. M.

    2006-11-01

    Full Text Available Le moteur à allumage commandé pour application automobile aux États-Unis est généralement dépollué par catalyse trifonctionnelle qui impose un contrôle stoechiométrique du mélange air-carburant. Le contexte européen de 1990 pour la qualité de l'air stimule l'industrie automobile dans ses recherches de solutions techniques performantes. Le moteur à mélange pauvre, performant en consommation, est une solution potentielle si l'émission de NOx peut être maîtrisée par la combustion. Cet objectif nécessite une conception du moteur contrôlant la turbulence et l'hétérogénéité du mélange air + carburant + résiduels pendant la combustion. La longévité de l'adaptation optimale moteur-carburant nécessitera un contrôle électronique de l'allumage et l'utilisation d'additifs détergents. Pour satisfaire les réglementations les plus sévères, les émissions de CO et HC pourront être contrôlées par un simple pot catalytique d'oxydation. Des oxydes de métaux non précieux introduits dans la formule catalytique en addition aux métaux précieux maintiennent la fonction oxydante pendant les transitoires en mélange riche tout en réduisant partiellement les NOx. Une vue d'ensemble de ce concept basé sur des simulations numériques et des résultats expérimentaux de consommation, d'émission, d'exigence en octane, etc. est présentée. Spark-ignition engines for automotive applications in the United States are currently depolluted by a 3-way catalyst that requires air-fuel control at stoichiometry. The 1990 European context for air pollution control is stimulating the automotive industry to search for improved technical solutions. The lean-burn engine is a potential fuel-efficient answer if its combustion can be optimized for low NOx emissions. Achieving this challenging approach requires engine design to control the turbulence and heterogeneity of the air + fuel + residual mixture during combustion. Electronic ignition

  15. Lean computing for the cloud

    CERN Document Server

    Bauer, Eric

    2016-01-01

    Applies lean manufacturing principles across the cloud service delivery chain to enable application and infrastructure service providers to sustainably achieve the shortest lead time, best quality, and value This book focuses on lean in the context of cloud computing capacity management of applications and the physical and virtual cloud resources that support them. Lean Computing for the Cloud considers business, architectural and operational aspects of efficiently delivering valuable services to end users via cloud-based applications hosted on shared cloud infrastructure. The work also focuses on overall optimization of the service delivery chain to enable both application service and infrastructure service providers to adopt leaner, demand driven operations to serve end users more efficiently. The book’s early chapters analyze how capacity management morphs with cloud computing into interlocked physical infrastructure capacity management, virtual resou ce capacity management, and application capacity ma...

  16. Lean management in academic surgery.

    Science.gov (United States)

    Collar, Ryan M; Shuman, Andrew G; Feiner, Sandra; McGonegal, Amy K; Heidel, Natalie; Duck, Mary; McLean, Scott A; Billi, John E; Healy, David W; Bradford, Carol R

    2012-06-01

    Lean is a management system designed to enhance productivity by eliminating waste. Surgical practice offers many opportunities for improving efficiency. Our objective was to determine whether systematic implementation of lean thinking in an academic otolaryngology operating room improves efficiency and profitability and preserves team morale and educational opportunities. In an 18-month prospective quasi-experimental study, a multidisciplinary task force systematically implemented lean thinking within an otolaryngology operating room of an academic health system. Operating room turnover time and turnaround time were measured during a baseline period; an observer-effect period in which workers were made aware that their efficiency was being measured but before implementing lean changes; and an intervention period after redesign principles had been used. The impact on teamwork, morale, and surgical resident education were measured during the baseline and intervention periods through validated surveys. A profit model was applied to estimate the financial implications of the study. There was no difference between the baseline and observer-effect periods of the study for turnover time (p = 0.98) or turnaround time (p = 0.20). During the intervention period, the mean turnover time and turnaround time were significantly shorter than during the baseline period (29 vs 38 minutes; p lean thinking could create 6,500 hours of capacity annually. Application of lean management techniques to a single operating room and surgical service improved operating room efficiency and morale, sustained resident education, and can provide considerable financial gains when scaled to an entire academic surgical suite. Copyright © 2012. Published by Elsevier Inc.

  17. 'Lean' approach gives greater efficiency.

    Science.gov (United States)

    Call, Roger

    2014-02-01

    Adapting the 'Lean' methodologies used for many years by many manufacturers on the production line - such as in the automotive industry - and deploying them in healthcare 'spaces' can, Roger Call, an architect at Herman Miller Healthcare in the US, argues, 'easily remedy many of the inefficiencies' found within a healthcare facility. In an article that first appeared in the September 2013 issue of The Australian Hospital Engineer, he explains how 'Lean' approaches such as the 'Toyota production system', and 'Six Sigma', can be harnessed to good effect in the healthcare sphere.

  18. Learning Lean: A Survey of Industry Lean Needs

    Science.gov (United States)

    Fliedner, Gene; Mathieson, Kieran

    2009-01-01

    The authors examined business practitioners' preferences for higher education curricula design in general and for what graduates should know about Lean, or waste-reduction efforts. The authors conducted a Web-based survey and found that practitioners are not as concerned about graduates' possessing specific technical skills as they are about them…

  19. A Simulation of Lean Manufacturing: The Lean Lemonade Tycoon 2

    Science.gov (United States)

    Ncube, Lisa B.

    2010-01-01

    This article discusses the functions and effectiveness of games and simulations in the learning processes, in particular as an experiential learning methodology. The application of the game Lemonade Tycoon in the development of lean manufacturing concepts is described. This article addresses the use of the game to teach the principles of lean…

  20. A Simulation of Lean Manufacturing: The Lean Lemonade Tycoon 2

    Science.gov (United States)

    Ncube, Lisa B.

    2010-01-01

    This article discusses the functions and effectiveness of games and simulations in the learning processes, in particular as an experiential learning methodology. The application of the game Lemonade Tycoon in the development of lean manufacturing concepts is described. This article addresses the use of the game to teach the principles of lean…

  1. Lean Application to Manufacturing Ramp-Up

    DEFF Research Database (Denmark)

    Christensen, Irene; Rymaszewska, Anna

    2016-01-01

    product development process, that is, the ramp-up process, is a critical, early enabler of lean manufacturing. The manufacturing strategy literature conceptualizes a state of “leanness in operations,” which can consolidate both the concepts of lean and manufacturing ramp-up, providing a dual perspective......This article provides a theoretical overview of the concepts of lean and manufacturing ramp-up in an attempt to conceptualize the strategic areas in which lean philosophy and principles can be applied for continuous improvements. The application of lean principles during the final stage of a new....... Abstracting from the extant literature, the authors considered the competitiveness of manufacturing companies from two principal perspectives: the leanness of the ramp-up process and the new-value creation of quality managers. While much of the literature fails to acknowledge that the roots of lean actually...

  2. Burning vasculitis.

    Science.gov (United States)

    Chadha, Priyanka; Hobday, Dorian; O'Connor, Edmund Fitzgerald; D'Cruz, David

    2016-04-26

    We present the case of a 69-year-old man who was found collapsed close to a heat source and admitted to hospital for severe sepsis. He was also found to have widespread blistering and ulceration of his right leg; however, a history was unobtainable due to reduced consciousness levels. The leg lesions had the initial appearance of mixed depth burns and a management plan was made to transfer the patient to a burns unit for debridement. It was subsequently noted that the patient had a previous diagnosis of seropositive erosive rheumatoid arthritis. A biopsy of the leg lesion was performed and a diagnosis of rheumatoid vasculitis confirmed. Treatment with systemic steroids, intravenous antibiotics and intravenous immunoglobulin therapy for severe hypogammaglobulinaemia was started, and the patient was not transferred for surgical debridement. Rheumatoid vasculitis is a rare and extremely serious complication of rheumatoid arthritis that can manifest in a number of ways, occasionally mimicking other conditions. This case is essential to raise awareness of rare, severe rheumatoid vasculitis and of the potential for its misdiagnosis as a mixed depth burn.

  3. Lean and psychosocial work environment in manufacturing

    DEFF Research Database (Denmark)

    Edwards, Kasper; Thye, Nina; Nielsen, Anders P.

    2011-01-01

    Lean is currently the rationalization method of choice in the Danish manufacturing industry. This paper reports finding from three lean implementation cases. All cases are manufacturing companies focusing on upmarket products produced in small series. Prior to lean production was organized as self...... organized teams. It is therefore hypothesized that lean would result in a worsening of the psychosocial environment. This was, however, not true and the paper enters into a discussion of possible reasons for this puzzling finding....

  4. Lean Manufacturing And Productivity Improvement In Coal Mining

    Directory of Open Access Journals (Sweden)

    Manoj Ade

    2012-05-01

    Full Text Available The economic reforms- Liberalization, Privatization, Globalization, (LPG started in 1991 in India. The main objective of the government was to achieve high economic growth and industrialize the nation for the well-being of Indian citizens. Thus Indian market became Global and open market. Coal industry was not an exception to this phenomena of globalization. The improvement in productivity has become need of coal industry to take the competitive advantage of global market.The challenge to the coal Industry is to identify the wastes and meet the market price by maintaining a good profit. The only solution is to reduce total production cost. Lean manufacturing is a systematic approach to identify and eliminate the waste through continuousimprovements and synchronizing the production process to obtain manufacturing excellence. This can be achieved by Lean thinking (to identify and eliminate wastes and Lean production (to improve efficiency and effectiveness of equipment. Earlier the lean manufacturing concept was limited to manufacturing organizationnow it is used invariably in operation industries.In this paper researcher has applied lean manufacturing concept in order to increase productivity and to minimize the production cost of mining.

  5. A Lean Six Sigma program in higher education

    KAUST Repository

    Svensson, Carsten

    2015-01-01

    Purpose The objective of this paper is to contribute to the body of Lean Six Sigma knowledge within the field of higher education institutions. The paper will review the initial phase of an implementation and highlight future challenges of applying the Lean Six Sigma method in a complex transactional environment. Design/methodology/approach The observations presented in this paper originate from rolling out a large Lean Six Sigma implementation at a recently established university. The paper is supported with secondary data from literature. Findings The implementation of Lean Six Sigma methodology at King Abdullah University of Science and Technology (KAUST) has resulted in improvements in business processes and efficiency. This has been achieved through project execution and training programs. Approximately 350 staff members have completed awareness training, 50 yellow belts and 150 green belts have been trained, and the first round of seven black belts have completed training of which two have completed certification. Research limitations/implications This paper is based on an empirical study of a single instance and the authors’ experiences as practitioners. Originality/value This paper is the first description of what is believed to be one of the largest implementations of Lean Six Sigma in higher education.

  6. Numerical simulation of nitrogen oxide formation in lean premixed turbulent H2/O2/N2 flames

    DEFF Research Database (Denmark)

    Day, Marc S.; Bell, John B.; Gao, Xinfeng

    2011-01-01

    Lean premixed hydrogen flames are thermodiffusively unstable and burn in cellular structures. Within these cellular structures the flame is locally enriched by preferential diffusion of hydrogen, leading to local hotspots that burn more intensely than an idealized flat steady flame at comparable...... examination of the reaction chemistry in these unsteady flames shows that at richer conditions the predominant path taken to convert nitrogen gas to nitric oxide is via NNH. For leaner flames a path through nitrous oxide becomes increasingly important....

  7. Lean Six Sigma in financial services

    NARCIS (Netherlands)

    de Koning, H.; Does, R.J.M.M.; Bisgaard, S.

    2008-01-01

    Lean Thinking and Six Sigma are typically considered as separate approaches to process innovation, with complementary strengths. When combined as Lean Six Sigma, this approach provides a unified framework for systematically developing innovations. Lean Six Sigma can also bring about significant resu

  8. Does lean cure variability in health care?

    NARCIS (Netherlands)

    Roemeling, Oskar; Land, Martin; Ahaus, C

    2016-01-01

    Purpose – This research investigates the roles that employee-initiated Lean improvement projects play in health care. Lean ideas are introduced to improve flow in health care. Although variability is detrimental to flow performance, it is unclear whether Lean initiatives set out to reduce this varia

  9. Lean - set i et historisk perspektiv

    DEFF Research Database (Denmark)

    Michelsen, Aage U

    2006-01-01

    I kapitlet redegøres for, hvordan begrebet Lean opstod som en karakteristik af Toyota Production System (TPS), der igen har sin rod i scientific management. Gennem eksempler illustreres det, at centrale Lean-principper således har været anvendt i årtier. Der argumenteres for, at Lean i mange...

  10. Lean Six Sigma in financial services

    NARCIS (Netherlands)

    de Koning, H.; Does, R.J.M.M.; Bisgaard, S.

    2008-01-01

    Lean Thinking and Six Sigma are typically considered as separate approaches to process innovation, with complementary strengths. When combined as Lean Six Sigma, this approach provides a unified framework for systematically developing innovations. Lean Six Sigma can also bring about significant

  11. Lean production of intensive cities

    DEFF Research Database (Denmark)

    Ratner, Helene Gad; Bojesen, Anders; Bramming, Pia

    2014-01-01

    ’. Through the depiction of four intensifications of Lean Production, the metaphors of Calvino's cities show how reality and illusion; hope and poverty; dreams and death and utopia and dystopia are intricately mingled and produce temporary and equally ambivalent affects of alienation, hypocrisy, self...

  12. USPS – Lean Green Teams

    Energy Technology Data Exchange (ETDEWEB)

    None

    2012-08-01

    Institutional change case study details the U.S. Postal Service's Lean Green Teams, which collaborate across functions to identify and implement low- and no-cost ways to conserve natural resources, purchase fewer consumable products, and reduce waste.

  13. Change management in lean enterprise

    Directory of Open Access Journals (Sweden)

    Furman Joanna

    2016-06-01

    Full Text Available The main purpose of the paper is the analysis of a process of change focusing particularly on the concept of slimmed production (Lean and its implementation in the enterprise. A case study method was chosen as a research tool because it offers wide array of techniques and means of gaining and analysing data.

  14. SUPPLIER ISSUES FOR LEAN IMPLEMENTATION

    Directory of Open Access Journals (Sweden)

    BHIM SINGH

    2011-05-01

    Full Text Available Applying lean manufacturing philosophy is one of the most important concepts that help enterprises to gain competitive advantage in the world market. Suppliers are an important factor contributing to thesuccess of going lean. Major businesses in India as well as in other world, have been trying to integrate its suppliers to give better performance. In Indian small & medium scale enterprises (SME,application of lean manufacturing strategies especially in terms of supplier integration, have been far fewer. Indian SMEs are still resisting accepting the role of their suppliers to make them leaner. The aim of this study was to identify the supplier issues and their weightage in implementing the lean philosophy in Indian SMEs. The research hypothesizes that there are big opportunities for improvement in the Indian SMEs if it is made leaner by integrating its suppliers in its manufacturing system. Author identified total 21 supplier issues and divided these 21 supplier issues in four categories on conceptual basis named as Supplier Management strategy, Information Sharing with supplier, Supplier Integration, Capability to deal with uncertainty. Mean scores of all four categorized groups of supplier issues are ranked.

  15. LEAN SUPPLY CHAIN DESIGN PRINCIPLES

    OpenAIRE

    Kozlov, Aleksandr

    2015-01-01

    The article presents a set of principles, which can guide the design of lean supply chains. The author divides design principles into 3 main categories. The first two sets describe internal production processes while the 3-rd set relates to the entire supply chain.

  16. Analysis Of Lean Accounting JIT And Balance Scorecard In The Companys Lean Manufacturing

    OpenAIRE

    Irwan Sutirman Wahdiat

    2015-01-01

    This research purpose to analyze the concept of Lean Manufacturing which is influenced by the role of JIT. This research uses a theoretical approach. This study portrait thinking companies that have yet to implement lean manufacturing and after doing the concept of lean manufacturing. This study shows that the concept of lean manufacturing can make the company more efficient and effective. This paper shows some lean manufacturing dimensions of the researchers previous researchers. This study ...

  17. Analysis Of Lean Accounting JIT And Balance Scorecard In The Companys Lean Manufacturing

    OpenAIRE

    Irwan Sutirman Wahdiat

    2015-01-01

    This research purpose to analyze the concept of Lean Manufacturing which is influenced by the role of JIT. This research uses a theoretical approach. This study portrait thinking companies that have yet to implement lean manufacturing and after doing the concept of lean manufacturing. This study shows that the concept of lean manufacturing can make the company more efficient and effective. This paper shows some lean manufacturing dimensions of the researchers previous researchers. This study ...

  18. First Aid: Burns

    Science.gov (United States)

    ... Your 1- to 2-Year-Old First Aid: Burns KidsHealth > For Parents > First Aid: Burns A A A Scald burns from hot water and other liquids are the most common burns in early childhood. Because burns range from mild ...

  19. First Aid: Burns

    Science.gov (United States)

    ... Old Feeding Your 8- to 12-Month-Old Feeding Your 1- to 2-Year-Old First Aid: Burns KidsHealth > For Parents > First Aid: Burns Print A A A Scald burns from hot water and other liquids are the most common burns in early childhood. Because burns range from mild to life threatening, ...

  20. Application of Lean Manufacturing in Hospitals-the Need to Consider Maturity, Complexity, and the Value Concept

    DEFF Research Database (Denmark)

    Hasle, Peter; Nielsen, Anders Paarup; Edwards, Kasper

    2016-01-01

    Lean is widely applied in hospitals, but the impact tends to be limited. This paper investigates three possible explanations: 1) maturity, 2) complexity, and 3) the value concept and analyses the bearing of these in a case study of lean application in a large Danish university hospital. The results...... indicate that lean tends to be applied in secondary and support functions with a logistic character and therefore has had a limited impact on the overall healthcare performance. The case study shows that there are constraints related to low lean maturity, the complexity of processes and operations as well...... as differences in value perceptions among the different professions (e.g., doctors, nurses, and managers) within the hospital. The conclusion is that lean is useful for hospitals, but the lean concept as well as its implementation methods need to be fitted to the organizational complexity and diverging values...

  1. A framework for effective implementation of lean production in Small and Medium-sized Enterprises

    Directory of Open Access Journals (Sweden)

    Amine Belhadi

    2016-09-01

    Full Text Available Purpose: The present paper aims at developing an effective framework including all the components necessary for implementing lean production properly in Small and Medium-sized Enterprises. Design/methodology/approach: The paper begins with the review of the main existing framework of lean implementation in order to highlight shortcomings in the literature through a lack of suitable framework for small companies. To overcome this literature gap, data of successful initiatives of lean implementation were collected based on a multiple case study approach. These initiatives has been juxtaposed in order to develop a new, practical and effective framework that includes all the components (process, tools, success factors that are necessary to implement lean in Small and Medium-sized Enterprises. Findings: The proposed framework presents many significant contributions: First, it provides an overcoming for the limitations of the existing frameworks by proposing for consultants, researchers and organizations an effective framework for lean implementation in SMEs that allows SMEs to benefit from competitive advantages  gained by lean. Second, it brings together a set of the more essential and critical elements of lean implementation commonly used by SMEs and derived from the practical experiences of them in lean implementation. Finally, it highlights the successful experiences of small companies in implementing lean programs and then proves that lean can give a relevant results even for SMEs. Research limitations/implications: The proposed framework presents a number of limitations and still evokes extension for further researches: Although it was derived from practical experiences of SMEs, the proposed framework is not supported by practical implementation. On the other hand and even though the elements in the proposed framework from the practical experiences of four SMEs, the identified elements need to be generalized and enriching by conducting

  2. 高压下CO_2稀释的CO/H_2/Air火焰贫可燃极限处的辐射重吸收效应的数值研究%Numerical Investigation of Radiation Re-Absorption Influences on Flame Behaviors of CO/H_2/Air Mixtures With CO_2 Diluted Near Lean Flammability Limits at High Pressures

    Institute of Scientific and Technical Information of China (English)

    陶志强; 艾育华; 孔文俊

    2012-01-01

    One-dimensional laminar premixed flames for CO/H_2/air mixtures were investigated numerically for a wide range of pressures with different CO_2 diluted ratios.Re-absorption-included radiation model called statistical narrow-band correlated-k(SNBCK)model and re-absorption-excluded radiation model called optically thin(OPT)model were used respectively in order to assess the impacts of re-absorption on flame behaviors near lean flammability limits.Results revealed that re-absorption extended lean flammability limits and these effects increased with increasing CO2 addition or ratios of CO/H_2.Effect of re-absorption strengthened as pressures increased.The maximum flames temperature at lean flammability limits increased first and then decreased with a peak value at near 10atm as pressures increased.%本文分别采用考虑辐射重吸收的谱带辐射(SNBCK)模型及未考虑辐射重吸收的光学薄辐射(OPT)模型,对0.1~4 MPa,CO_2稀释比为0%和20%的一维预混层流合成气/空气火焰进行数值分析,研究辐射重吸收效应对可燃极限及极限处的火焰传播速度和温度的影响。结果表明,辐射重吸收效应能有效拓宽贫可燃极限,提高燃料中CO_2比例或提高CO/H_2比例都会加剧上述效果。辐射重吸收效应随压力增大而逐渐增强,并造成可燃极限处最大火焰温度随压力先增加后减小,在1 MPa左右达到峰值。

  3. Lean and psychosocial work environment in manufacturing

    DEFF Research Database (Denmark)

    Edwards, Kasper; Thye, Nina; Nielsen, Anders P.

    2011-01-01

    Lean is currently the rationalization method of choice in the Danish manufacturing industry. This paper reports finding from three lean implementation cases. All cases are manufacturing companies focusing on upmarket products produced in small series. Prior to lean production was organized as sel...... organized teams. It is therefore hypothesized that lean would result in a worsening of the psychosocial environment. This was, however, not true and the paper enters into a discussion of possible reasons for this puzzling finding.......Lean is currently the rationalization method of choice in the Danish manufacturing industry. This paper reports finding from three lean implementation cases. All cases are manufacturing companies focusing on upmarket products produced in small series. Prior to lean production was organized as self...

  4. Lean Production Applications in a Manufacturing Company

    Directory of Open Access Journals (Sweden)

    Ali Görener

    2016-01-01

    Full Text Available Lean production is a production model which comes about the pursuit of companies to be able to meet competition and make effective production. The main purpose of lean production is to get control about the wastage. This study includes the requirements for the success of the lean production and how the lean production system can be established. In this paper, lean production techniques were applied to the electric water heater line. Measurements using lean initiatives were made, operation cycle times were determined, and Kaizen improvement methods and line balancing methods were applied according to the results. And the last section of study showed conclusion of lean implementation.

  5. Exploiting HRM in support of lean manufacturing

    DEFF Research Database (Denmark)

    Jørgensen, Frances; Matthiesen, Rikke

    The purpose of this paper is to investigate the ways in HRM practices are-and could potentially be-exploited to support lean manufacturing in practice. First, a review of the pertinent literature regarding HRM, SHRM, and lean manufacturing is presented to provide an understanding of the mechanisms...... by which HRM practices could, theoretically, be used to support a lean implementation. Data presented in the paper are derived from 1) a longitudinal case study on lean implementation and 2) from managers currently involved with lean manufacturing in a second company. The relevant literature and the data......'s contribution to the change process itself and through bundling particular HRM practices that are aligned with the lean strategy. The paper contributes to both theory and practice, by suggesting specific ways in which HRM can be strategically aligned with a major change implementation such as lean manufacturing....

  6. Lean manufacturing in Indian context: A survey

    Directory of Open Access Journals (Sweden)

    Rakesh Kumar

    2015-04-01

    Full Text Available This paper is an attempt to examine the implementation of Lean Manufacturing system in the Indian industries. Predominant elements of Lean Manufacturing, benefits gained after its implementation and obstacles observed by Indian Industry have been recognized. The results of this survey support the opinion that Lean Manufacturing had potential to improve the organizational performance of Indian industries. Nevertheless, Indian industries are required to be passionate to transform their manufacturing by adopting Lean manufacturing to gain the full benefits. A large numbers of literature papers are available on the better side of Lean manufacturing approach and its benefits gained by manufacturing organizations after implementation. But the adverse impacts of Lean manufacturing are not discussed to a great extent. Some drawbacks of Lean manufacturing are also highlighted in this paper.

  7. Incidence and characteristics of chemical burns.

    Science.gov (United States)

    Koh, Dong-Hee; Lee, Sang-Gil; Kim, Hwan-Cheol

    2017-05-01

    Chemical burns can lead to serious health outcomes. Previous studies about chemical burns have been performed based on burn center data so these studies have provided limited information about the incidence of chemical burns at the national level. The aim of this study was to evaluate the incidence and characteristics of chemical burns using nationwide databases. A cohort representing the Korean population, which was established using a national health insurance database, and a nationwide workers' compensation database were used to evaluate the incidence and characteristics of chemical burns. Characteristics of the affected body region, depth of burns, industry, task, and causative agents were analyzed from two databases. The incidence of chemical burns was calculated according to employment status. The most common regions involving chemical burns with hospital visits were the skin followed by the eyes. For skin lesions, the hands and wrists were the most commonly affected regions. Second degree burns were the most common in terms of depth of skin lesions. The hospital visit incidence was 1.96 per 10,000 person-year in the general population. The compensated chemical burns incidence was 0.17 per 10,000 person-year. Employees and the self-employed showed a significantly increased risk of chemical burns undergoing hospital visits compared to their dependents. Chemical burns on the skin and eyes are almost equally prevalent. The working environment was associated with increased risk of chemical burns. Our results may aid in estimating the size of the problem and prioritizing prevention of chemical burns. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  8. Burns (For Parents)

    Science.gov (United States)

    ... Child What Kids Say About: Handling Stress Anxiety, Fears, and Phobias Community Service: A Family's Guide to Getting ... What's in this article? Common Causes Types of Burns First-Degree Burns Second-Degree Burns ...

  9. An exploratory analysis for Lean and Six Sigma implementation in hospitals: Together is better?

    Science.gov (United States)

    Lee, Jung Young; McFadden, Kathleen L; Gowen, Charles R

    2016-12-22

    Despite the increasing interest for Lean and Six Sigma implementations in hospitals, there has been little empirical evidence that goes beyond descriptive case studies to address the current status and the effectiveness of the implementations. The aim of this study was to explore existing patterns of Lean and Six Sigma implementation in U.S. hospitals and compare the performance of the different patterns. We collected data from 215 U.S. hospitals via a survey that includes measurement items developed from related literature. Using the cross-sectional data, we conducted a cluster analysis, followed by t tests, chi-square tests, and regression analyses for cluster verification. The cluster analysis identifies two clusters, a Moderate Six Sigma group and a Lean Six Sigma group. Results show that the Lean Six Sigma group outperforms the Moderate Six Sigma group across many performance dimensions: responsiveness capability, patient safety, and possibly cost saving. In addition, the Lean Six Sigma group tends to be composed of larger, private teaching hospitals located in more urban areas, and they employ more resources for quality improvement. Our research contributes to the quality management literature by supporting the possible complementary relationship between Lean and Six Sigma in hospitals. Our study encourages practitioners and managers to pay more attention to Lean implementation. Although Lean seems to be conducted in a limited fashion in many hospitals, it should be expanded and combined with Six Sigma for better results.

  10. Principles of the Lean Company

    Directory of Open Access Journals (Sweden)

    Lubomír SMUTNÝ

    2009-12-01

    Full Text Available Nowadays companies have to fight not only with the high rate of competition on the global market, but also with problems that relate with the financial crisis. They have to find new ways how they can stay on the global market and it can be talk also about their survival in context of the financial crisis. The way, how they can improve their management, can be the implementation of the Lean Company concept. The basics of this concept were developed in 50th of 20th century in Japan.The aims of this article are to characterize the main principles of the Lean Company, which come out from effective management methods, advantages and disadvantages of the implementation of this concept into the practice. The important part of this article is created SWOT analysis, which shows strong and weak points, opportunities and threats of this concept.

  11. Lean Transformation of Multinational Concerns

    DEFF Research Database (Denmark)

    Matthiesen, Rikke Vestergaard; Johansen, John

    2008-01-01

    triggered. This paper reports on exploratory studies from a multinational company adopting centrally managed pilot projects as a transformation mechanism for continuous change towards a lean business system and an organizational culture of continuous improvements (CI). Competitive pressure demands...... from a multinational company adopting centrally managed pilot projects as a transformation mechanism for continuous change towards a lean business system and an organizational culture of continuous improvements (CI).......Abstract. Competitive pressure demands that companies constantly strive to catch up to world class manufacturing performance and practice. Continuous change is a mode of competition for many companies [1]. This is a departure from the punctuated equilibrium model of change in which change is event...

  12. "Lean Management" ist "Heavy Management"!

    OpenAIRE

    1992-01-01

    Im Verlauf des letzten Jahres hat eine Hiobsbotschaft so gut wie jedes deutsche Industrieunternehmen erreicht: Ausschlaggebend für die spektakulären Erfolge japanischer Hersteller im Krieg der Triaden-Sterne USA, Europa und Japan sei - so der wesentliche Inhalt der Botschaft - ein spezifisches Organisationskonzept. Dieses organisatorische Wunderkind wurde - um den Kontrast zu tayloristischen Organisationsmodellen der Massenproduktion möglichst deutlich zu machen - auf den Namen "Lean Manageme...

  13. Lean six sigma in healthcare.

    Science.gov (United States)

    de Koning, Henk; Verver, John P S; van den Heuvel, Jaap; Bisgaard, Soren; Does, Ronald J M M

    2006-01-01

    Healthcare, as with any other service operation, requires systematic innovation efforts to remain competitive, cost efficient, and up-to-date. This article outlines a methodology and presents examples to illustrate how principles of Lean Thinking and Six Sigma can be combined to provide an effective framework for producing systematic innovation efforts in healthcare. Controlling healthcare cost increases, improving quality, and providing better healthcare are some of the benefits of this approach.

  14. Analysis Of Lean Accounting JIT And Balance Scorecard In The Companys Lean Manufacturing

    Directory of Open Access Journals (Sweden)

    Irwan Sutirman Wahdiat

    2015-08-01

    Full Text Available This research purpose to analyze the concept of Lean Manufacturing which is influenced by the role of JIT. This research uses a theoretical approach. This study portrait thinking companies that have yet to implement lean manufacturing and after doing the concept of lean manufacturing. This study shows that the concept of lean manufacturing can make the company more efficient and effective. This paper shows some lean manufacturing dimensions of the researchers previous researchers. This study also confirmed that lean manufacturing will not be separated from the concept of balance scorecard.

  15. Comparative Analysis between Lean, Six Sigma and Lean Six Sigma Concepts

    Directory of Open Access Journals (Sweden)

    Alexandra Mirela Cristina MUNTEANU

    2017-06-01

    Full Text Available This paper analyzes the benefits of Lean Six Sigma in comparison with Lean and Six Sigma, traditional improvement methodologies. The introduction highlights the appearance of Lean Six Sigma, early 2000s, as well as the benefits brought by the integrated approach. The following parts of the study emphasize the main differences between methodologies and their commonalities based on their synergy. Finally the advantages of Lean Six Sigma versus Lean and Six Sigma are analyzed and systematized by author in order to reveal Lean Six Sigma’s benefits.

  16. Biological exposure limit in bone metabolism damage induced by co-exposure to fluorine and arsenic from coal burning%燃煤氟砷致骨代谢损伤的生物暴露限值初探

    Institute of Scientific and Technical Information of China (English)

    曾奇兵; 喻仙; 杨鋆; 洪峰

    2012-01-01

    Objective To study the biological exposure limit in bone metabolism damage caused by coexposure to fluorine and arsenic from coal burning in exposed population.Methods One hundred and ninety-eight cases of fluoride and arsenic co-exposed people from Liuchang village,Qinzhen city,Guizhou province were enrolled in the study.Urinary fluorine (UF),urinary arsenic (UAs),urinary hydroxyproline (UHYP),ross-linked Ntelopeptides of type Ⅰ collagen(UNTX) and bone strength index(STI) were detected.BMDS Version 2.1 software was used to calculate UF,UAs benchmark dose (BMD) and its lower confidence limit (BMDL) on the damage of bone metabolism caused by co-exposure to fluorine and arsenic from coal burning.Results The BMD and BMDL range of UF caused by co-exposure to fluorine and arsenic from coal burning were 0.68-1.35 mg/g Cr,0.57-1.11 mg/g Cr.The BMD and BMDL range of UAs caused by co-exposure to fluorine and arsenic from coal burning were 8.36-18.77 μg/g Cr,7.12-15.40 μg/g Cr.Conclusion The biological exposure limits of UF and UAs for bone metabolism toxicity are proposed as 0.57 mg/g Cr and 7.12 μg/g Cr in co-exposure to fluoride and arsenic from coal burning,respectively.%目的 探讨燃煤氟砷致暴露人群骨代谢损伤的生物暴露限值(BEL).方法 2009年选择贵州省清镇市流长乡198例氟砷联合暴露者作为调查对象,分别检测尿氟、尿砷及骨代谢效应标志尿羟脯氨酸(UHYP)和尿Ⅰ型胶原交联氨基末端肽(UNTX)、骨强度指数(STI).应用BMDS Version 2.1软件计算燃煤氟砷致骨代谢损伤的尿氟、尿砷基准剂量(BMD)及其可信限下限(BMDL).结果 氟、砷混合暴露引起骨代谢损伤的尿氟BMD及BMDL范围分别为0.68 ~ 1.35 mg/g Cr和0.57 ~ 1.11 mg/g Cr;尿砷BMD及BMDL范围分别为8.36 ~ 18.77 μg/g Cr和7.12 ~ 15.40 μg/g Cr.结论 建议燃煤氟砷混合暴露引起骨代谢损伤的生物暴露限值,尿氟为0.57 mg/g Cr,尿砷为7.12 μg/g Cr.

  17. The Role of Lean Process Improvement in Implementation of Evidence-Based Practices in Behavioral Health Care.

    Science.gov (United States)

    Steinfeld, Bradley; Scott, Jennifer; Vilander, Gavin; Marx, Larry; Quirk, Michael; Lindberg, Julie; Koerner, Kelly

    2015-10-01

    To effectively implement evidence-based practices (EBP) in behavioral health care, an organization needs to have operating structures and processes that can address core EBP implementation factors and stages. Lean, a widely used quality improvement process, can potentially address the factors crucial to successful implementation of EBP. This article provides an overview of Lean and the relationship between Lean process improvement steps, and EBP implementation models. Examples of how Lean process improvement methodologies can be used to help plan and carry out implementation of EBP in mental health delivery systems are presented along with limitations and recommendations for future research and clinical application.

  18. Lean and the quality of work

    DEFF Research Database (Denmark)

    Jensen, Per Langaa

    2008-01-01

    Lean has for the last decade developed as the dominating model for developing productions processes not only within industry but also in health care, administration and service industries in general. With this development a discussion on human factors aspects of lean has developed internationally....... Literature studies documents that it is not possible to establish a clear relation between lean and the psychosocial aspects of work. The studies also indicate that the context and the implementations process play a dominating role in how lean is experienced. This has been the basis for establishing...... an intervention study comprising 9 Danish enterprises involved in implementing lean. Based on tentative results from cases from the present studies the findings from the literature study can be elaborated. It reveals some of the dynamics an ergonomist have to take into consideration in influencing the lean...

  19. The maintenance management for lean organization

    Directory of Open Access Journals (Sweden)

    Daniel D. GEORGESCU

    2010-12-01

    Full Text Available The goal of lean maintenance approach is to maintain organization international competitiveness. In the spirit of continuously improvement, in the paper it is shown how by adjusting some Lean manufacturing specific techniques for Total Productive Maintenance (TPM system, was born new maintenance system named Lean TPM. This is a systemic approach with three techniques, which don’t exclude specific techniques of TPM pillars, but complete them: the 7Ss as a critical first step in any improvement program; instantaneous maintenance; improvement setup operations. In the spirit of Lean principle, Lean TPM adjusts overall equipment effectiveness concept for all supply-chain from supplier to customer. Maintaining equipment in its optimal state and continually improving its productivity is the whole strategy behind Lean TPM.

  20. Guiding inpatient quality improvement: a systematic review of Lean and Six Sigma.

    Science.gov (United States)

    Glasgow, Justin M; Scott-Caziewell, Jill R; Kaboli, Peter J

    2010-12-01

    Two popular quality improvement (QI) approaches in health care are Lean and Six Sigma. Hospitals continue to adopt these QI approaches-or the hybrid Lean Sigma approach-with little knowledge on how well they produce sustainable improvements. A systematic literature review was conducted to determine whether Lean, Six Sigma, or Lean Sigma have been effectively used to create and sustain improvements in the acute care setting. Databases were searched for articles published in the health care, business, and engineering literatures. Study inclusion criteria required identification of a Six Sigma, Lean, or Lean Sigma project; QI efforts focused on hospitalized patients; descriptions of project improvements; and reported results. Depending on the quality of data reported, articles were classified as summary reports, pre-post observational studies, or time-series reports. Database searches identified 539 potential articles. After review of titles, abstracts, and full text, 47 articles met inclusion criteria--10 articles summarized multiple projects, 12 reported Lean projects, 20 reported Six Sigma projects, and 5 reported Lean Sigma projects. Generally, the studies provided limited data, with only 15 articles providing any sort of follow-up data; of the 15, only 3 report a follow-up period greater than two years. Lean, Six Sigma, and Lean Sigma as QI approaches can aid institutions in tackling a wide variety of problems encountered in acute care. However, the true impact of these approaches is difficult to judge, given that the lack of rigorous evaluation or clearly sustained improvements provides little evidence supporting broad adoption. There is still a need for future work that will improve the evidence base for understanding more about QI approaches and how to achieve sustainable improvement.

  1. Deciding Where to Burn: Stakeholder Priorities for Prescribed Burning of a Fire-Dependent Ecosystem

    Directory of Open Access Journals (Sweden)

    Jennifer K. Costanza

    2011-03-01

    Full Text Available Multiagency partnerships increasingly work cooperatively to plan and implement fire management. The stakeholders that comprise such partnerships differ in their perceptions of the benefits and risks of fire use or nonuse. These differences inform how different stakeholders prioritize sites for burning, constrain prescribed burning, and how they rationalize these priorities and constraints. Using a survey of individuals involved in the planning and implementation of prescribed fire in the Onslow Bight region of North Carolina, we examined how the constraints and priorities for burning in the longleaf pine (Pinus palustris ecosystem differed among three stakeholder groups: prescribed burn practitioners from agencies, practitioners from private companies, and nonpractitioners. Stakeholder groups did not differ in their perceptions of constraints to burning, and development near potentially burned sites was the most important constraint identified. The top criteria used by stakeholders to decide where to burn were the time since a site was last burned, and a site's ecosystem health, with preference given to recently burned sites in good health. Differences among stakeholder groups almost always pertained to perceptions of the nonecological impacts of burning. Prescribed burning priorities of the two groups of practitioners, and particularly practitioners from private companies, tended to be most influenced by nonecological impacts, especially through deprioritization of sites that have not been burned recently or are in the wildland-urban interface (WUI. Our results highlight the difficulty of burning these sites, despite widespread laws in the southeast U.S. that limit liability of prescribed burn practitioners. To avoid ecosystem degradation on sites that are challenging to burn, particularly those in the WUI, conservation partnerships can facilitate demonstration projects involving public and private burn practitioners on those sites. In summary

  2. Cultural Aspects when Implementing Lean Production and Lean Product Development – Experiences from a Swedish Perspective

    Directory of Open Access Journals (Sweden)

    Promporn Wangwacharakul

    2014-07-01

    Full Text Available Lean principles and methods, originating in a Japanese cultural context, have spread to a large number of companies throughout the world. The aim of this case study research is to identify and compare national cultural aspects that influence Lean Production and Lean Product Development implementation in Swedish companies. Data were collected through questionnaires, interviews and an industrial workshop with Swedish Lean practitioners. The study shows that some sub-areas in Lean, such as value definition, control systems, leadership, team development, knowledge management, and strategies, are highly dependent on contextual factors related to human, cultural and organizational aspects. These are related to the national culture and should be considered to a higher extent for successful sustainable implementation of Lean in different cultural contexts. As for implementing Lean in Sweden, national cultural characteristics, such as individualism, autonomy and supportive management style fit well with Lean thinking.

  3. PRODUCTIVITY IMPROVEMENT BY LEAN MANUFACTURING PHILOSOPHY

    OpenAIRE

    GYÖRGY KOVÁCS

    2012-01-01

    In the increasingly global marketplace, many manufacturers and service providers are applying lean manufacturing philosophy in order to optimize costs and quality gaining a competitive advantage. The paper summarises the advantages of application of lean philosophy in the manufacturing and service sectors, which focuses on value-added flow and the efficiency of the overall system. Lean manufacturing techniques and typical wastes are also detailed. The author describes the main general steps o...

  4. Lean Six Sigma in financial services

    OpenAIRE

    Koning, H.; Does, R.J.M.M.; Bisgaard, S.

    2008-01-01

    Lean Thinking and Six Sigma are typically considered as separate approaches to process innovation, with complementary strengths. When combined as Lean Six Sigma, this approach provides a unified framework for systematically developing innovations. Lean Six Sigma can also bring about significant results and breakthrough improvements in financial services, as demonstrated with four case studies from Dutch multinational insurance companies. These cases demonstrate the importance of incremental i...

  5. Lean Distribution: Concept, Constructs, And Practices.

    OpenAIRE

    Arisha, Amr; Mahfouz, Amr

    2013-01-01

    In today’s competitive market, applying lean thinking provides supply chain the ability to produce and deliver products in a timely and cost effective manner. To date, little research addressed lean distribution concept as an effective approach for improving supply chains. This caused a level of ambiguity regarding the concept’s dimensional structure and its practices. This paper aims to explore the antecedents of lean distribution concept and identify its constructs and practices using a dat...

  6. Performance Evaluation of an Ultra-Lean Combustion Studies in IC Engines

    Directory of Open Access Journals (Sweden)

    Puli Ravi Kumar

    2016-01-01

    Full Text Available An investigation was made to determine the effects of ethanol at ultra-lean effective systems utilizing an experimental study. The present study is planned to develop and evaluate the performance, emission and combustion characteristics of the ultra-lean burn Internal Combustion engine was modified to operate on ethanol blends fuels. The study looked at part throttle, constant speed operation of 0%, 10%, and 15% ethanol blends with gasoline mixtures operating in ultra-lean operating systems. In experiment practice the use of homogeneous lean mixtures in engine has been handicapped by several difficulties. The most serious one is that the flame propagation through mixtures becomes gradually slower as the mixture becomes leaner. The mixture distribution in a multi-cylinder engine is a problem because even small variation in mixture ratio on the linear side will strongly effect power output. Enhancement of lean combustion of homogeneous mixtures can be achieved by (i using ethanol blends with gasoline (ii using high-ignition energy (iii providing high compression ratios (iv creating high swirl in the combustion chamber.

  7. Prioritizing lean management practices in public and private hospitals.

    Science.gov (United States)

    Hussain, Matloub; Malik, Mohsin

    2016-05-16

    Purpose - The purpose of this paper is to prioritize 21 healthcare wastes in public and private hospitals of United Arab Emirates (UAE). Design/methodology/approach - Seven healthcare wastes linked with lean management are further decomposed in to sub-criteria and to deal with this complexity of multi criteria decision-making process, analytical hierarchical process (AHP) method is used in this research. Findings - AHP framework for this study resulted in a ranking of 21 healthcare wastes in public and private hospitals of UAE. It has been found that management in private healthcare systems of UAE is putting more emphasis on the inventory waste. On the other hand, over processing waste has got highest weight in public hospitals of UAE. Research limitations/implications - The future directions of this research would be to apply a lean set of tools for the value stream optimization of the prioritized key improvement areas. Practical implications - This is a contribution to the continuing research into lean management, giving practitioners and designers a practical way for measuring and implementing lean practices across health organizations. Originality/value - The contribution of this research, through successive stages of data collection, measurement analysis and refinement, is a set of reliable and valid framework that can be subsequently used in conceptualization, prioritization of the waste reduction strategies in healthcare management.

  8. Competing Through Lean – Towards Sustainable Resource-Oriented Implementation Framework

    Directory of Open Access Journals (Sweden)

    Rymaszewska Anna

    2014-11-01

    Full Text Available This paper addresses the needs of SMEs manufacturing companies which due to their limited resources are often unable to introduce radical changes in their strategies. The main focus is on analyzing the principles of lean manufacturing and management regarding their potential contribution to building a company's competitive advantage. The paper analyses lean from a strategic management viewpoint while combining its implementation with achieving a competitive advantage. The ultimate result is a framework for lean implementation aimed at building a competitive advantage for companies. The proposed framework focuses on the idea of a closed loop with embedded sustainability.

  9. Lean transformation in an office environment : Lean tools and engagement techniques for office managers

    OpenAIRE

    Riihimäki, Linda

    2016-01-01

    Lean transformation has started in Metso Minerals Tampere factory. Lean management was seen as a method to improve the factory’s productivity after Metso’s new strategy with challenging financial targets was released. The factory is a hundred years old with old habits, beliefs and a rather hierarchical management approach. Lean transformation is a large cultural change that would require both managers and employees to commit to lean transformation and change their behaviours. The aim of...

  10. Lean education an overview of current issues

    CERN Document Server

    Flumerfelt, Shannon; Kahlen, Franz-Josef

    2017-01-01

    This edited volume presents a structured approach to a new lean education curriculum, implemented for the education of engineers, managers, administrators as well as human resources developers. The authorship comprises professors and lecturers, trainers and practitioners who educate future professionals in Lean Thinking principles and tools. This edited book provides a platform for authors to share their efforts in building a Body of Knowledge (BoK) for Lean Education. The topical spectrum is state-of-the-art in this field, but the book also includes a glimpse into future developments. This is a highly informative and carefully presented book, providing valuable insight for scholars with an interest in Lean Education.

  11. Lean programm as a method of managing lean changes in the company

    Directory of Open Access Journals (Sweden)

    Suetina Tatiana Aleksandrovna

    2012-12-01

    Full Text Available This article is about methods and ways of providing changes on enterprices which introduce instruments of lean production. The main accent is how to use metodology of the project management by providing lean-changes. Lean program is proposed as a program of strategic developement of enterprices.

  12. A Methodology for the Assessment of Experiential Learning Lean: The Lean Experience Factory Study

    Science.gov (United States)

    De Zan, Giovanni; De Toni, Alberto Felice; Fornasier, Andrea; Battistella, Cinzia

    2015-01-01

    Purpose: The purpose of this paper is to present a methodology to assess the experiential learning processes of learning lean in an innovative learning environment: the lean model factories. Design/methodology/approach: A literature review on learning and lean management literatures was carried out to design the methodology. Then, a case study…

  13. A Methodology for the Assessment of Experiential Learning Lean: The Lean Experience Factory Study

    Science.gov (United States)

    De Zan, Giovanni; De Toni, Alberto Felice; Fornasier, Andrea; Battistella, Cinzia

    2015-01-01

    Purpose: The purpose of this paper is to present a methodology to assess the experiential learning processes of learning lean in an innovative learning environment: the lean model factories. Design/methodology/approach: A literature review on learning and lean management literatures was carried out to design the methodology. Then, a case study…

  14. Burn care professionals' attitudes and practices regarding discussions of sexuality and intimacy with adult burn survivors.

    Science.gov (United States)

    Rimmer, Ruth Brubaker; Rutter, Cindy E; Lessard, Collette R; Pressman, Melissa Singer; Jost, Janet Cusick; Bosch, James; Foster, Kevin N; Caruso, Daniel M

    2010-01-01

    Burn injury survival means coping with more than just the physical changes and disabilities often encountered after burn injury. Overall quality of life is important, and issues such as sexuality and intimacy are significant facets of quality of life. A literature review revealed limited research regarding current burn center practices related to sexuality and intimacy concerns of burn survivors and their partners. A 28-item survey, designed by seasoned burn care professionals and survivors, was distributed to burn care practitioners attending general sessions at several burn conferences in the United States. Seventy-one (86%) of the invited respondents completed the survey, with nursing representing the majority (63%). Mean tenure working in burn care was 10 years. Mean age of respondents was 40.5 years, with 75% being female and 25% male. Nearly half (47%) reported that specific staff was not designated to discuss sexuality and intimacy with survivors in their center. Sixty-two percent reported that special training regarding sexuality and intimacy was not available at their burn center. Only 14% of respondents indicated that they were "very comfortable" initiating conversation regarding these topics. Fifty-five percent said they were only likely to discuss sexuality and intimacy if the patient/partner initiated the discussion; however, 95% agreed that the patient should not have this responsibility. Although results represent findings from only 37 burn centers, the issues of sexuality and intimacy are not being effectively addressed in the participating centers. Designated staff to provide education is lacking, and there is limited comfort on the part of health care providers in initiating such conversations. These factors seem to often prevent burn care professionals from adequately addressing burn survivor's sexuality and intimacy needs and establish the need for further development of training and educational materials specific to sexuality, intimacy, and

  15. Leaning in to "muddy" interviews

    DEFF Research Database (Denmark)

    Lippke, Lena; Tanggaard, Lene

    2014-01-01

    Over the last few decades, qualitative research has been acknowledged as a peopled practice in which subjectivities come into play. The main argument presented in this article is that qualitative research involves “muddy,” troublesome, interactional passages, because of a complex interplay between...... subjectivities, situated identities, emotions, and conversational genres. Based on ethnographic fieldwork at a Danish Vocational Educational Training College, we introduce the concept of “leaning in” to provide an analytical grasp of the “muddy” interactional tension field in an interview situation, in which...

  16. The paradox of lean in healthcare: Stable processes in a reactive environment

    DEFF Research Database (Denmark)

    Nielsen, Anders Paarup; Edwards, Kasper

    2010-01-01

    different groups of healthcare professionals and 3) different rationalities in lean and professionals in healthcare. Through analysis of three cases it is concluded that the nature of work is significantly different from manufacturing primarily because of the reactive nature of work. Finally, different......The principles of lean are widely being adopted in the healthcare sector. Interestingly the realized benefits appear not to warrant the interest from managers and policy makers. This paper presents an analysis of 3 Danish healthcare organizations which all introduced lean initiatives. However, only...... a limited set of tools has been used and the productivity gains are limited focusing on peripheral activities and not the core medical activities. This apparent problem with lean in health care is hypothesized to be caused by 1) the nature of healthcare work, 2) the rationality and notion of validity among...

  17. The paradox of lean in healthcare: Stable processes in a reactive environment

    DEFF Research Database (Denmark)

    Nielsen, Anders Paarup; Edwards, Kasper

    2010-01-01

    different groups of healthcare professionals and 3) different rationalities in lean and professionals in healthcare. Through analysis of three cases it is concluded that the nature of work is significantly different from manufacturing primarily because of the reactive nature of work. Finally, different......The principles of lean are widely being adopted in the healthcare sector. Interestingly the realized benefits appear not to warrant the interest from managers and policy makers. This paper presents an analysis of 3 Danish healthcare organizations which all introduced lean initiatives. However, only...... a limited set of tools has been used and the productivity gains are limited focusing on peripheral activities and not the core medical activities. This apparent problem with lean in health care is hypothesized to be caused by 1) the nature of healthcare work, 2) the rationality and notion of validity among...

  18. Telemedicine and burns: an overview.

    Science.gov (United States)

    Atiyeh, B; Dibo, S A; Janom, H H

    2014-06-30

    Access to specialized burn care is becoming more difficult and is being restricted by the decreasing number of specialized burn centers. It is also limited by distance and resources for many patients, particularly those living in poverty or in rural medically underserved communities. Telemedicine is a rapidly evolving technology related to the practice of medicine at a distance through rapid access to remote medical expertise by telecommunication and information technologies. Feasibility of telemedicine in burn care has been demonstrated by various centers. Its use facilitates the delivery of care to patients with burn injuries of all sizes. It allows delivery of acute care and can be appropriately used for a substantial portion of the long-term management of patients after a burn by guiding less-experienced surgeons to treat and follow-up patients more appropriately. Most importantly, it allows better effective triage which reduces unnecessary time and resource demanding referrals that might overwhelm system capacities. However, there are still numerous barriers to the implementation of telemedicine, including technical difficulties, legal uncertainties, limited financial support, reimbursement issues, and an inadequate evidence base of its value and efficiency.

  19. TQM and lean strategy deployment in Italian hospitals.

    Science.gov (United States)

    Chiarini, Andrea; Baccarani, Claudio

    2016-10-03

    Purpose This paper aims to contribute to the debate concerning total quality management (TQM)-Lean strategy in public healthcare by analyzing the deployment path for implementation, the possible benefits that can be achieved and the encountered pitfalls. Design/methodology/approach Three case studies are drawn from three large Italian hospitals with more than 500 beds each and structured with many departments. The hospitals are located in Tuscany, Italy. These three hospitals have embraced TQM and Lean, starting from strategic objectives and their deployment. At the same time, they have also implemented many TQM-Lean tools. The case studies are based on interviews held with four managers in each of these three public hospitals. Findings Results from the interviews show that there is a specific deployment path for TQM-Lean implementation. The hospitals have also achieved benefits linked to patient satisfaction and improved organizational performances. Problems related to organizational and cultural issues, such as senior managers' commitment, staff management, manufacturing culture and tools adaptation, could affect the benefits. Research limitations/implications The research has been carried out in just three Italian public hospitals. Hence, similar investigations could be managed in other countries. Researchers could also use a larger sample and investigate these issues by means of quantitative inquiry. Practical implications Practitioners could try to apply the deployment path revealed by these case studies in other public and private hospitals. Originality/value The results of this research show that there is a specific, new deployment path for implementing TQM-Lean strategy in some public hospitals.

  20. Lean management in a non-manufacturing organization

    National Research Council Canada - National Science Library

    Mladen Žvorc

    2013-01-01

    .... A lean approach to business operations is discussed and several lean business methods are developed on the basis of which lean management can be used not only in manufacturing, but also in non...

  1. Burn Injuries: Burn Depth, Physiopathology and Type of Burns

    Directory of Open Access Journals (Sweden)

    Kemalettin Koltka

    2011-07-01

    Full Text Available A significant burn injury is a serious and mortal event. The most important threat to life is hypovolemic shock with complex pathophysiologic mechanisms. Burn depth is classified as first, second, or third degree. Local inflammatory response results a vasodilatation and an increase in vascular permeability. A burn injury is a three dimensional ischemic wound. Zone of coagulation is the zone with maximum damage. Zone of stasis consists of damaged but viable tissues, the tissue is salvageable. In zone of hyperemia tissue perfusion is increased. At the beginning, cardiac output falls and systemic vascular resistance increases; cardiac performance improves as hypovolemia is corrected with fluid resuscitation. While cardiac output increases systemic vascular resistance falls below normal values and a hypermetabolic state develops. Pulmonary vascular resistance increases immediately after thermal injury and this is more prolonged. To avoid secondary pulmonary complications, the smallest resuscitation volume of fluids that maintains adequate tissue perfusion should be given. Changes parallel to the cardiovascular response develop in other organ systems. The reasons of burn injury can be thermal, electrical, chemical or radiation. It is important to know the exact mechanism of burn injury because of different therapies for a specific cause. In this review information about burn depth, local and systemic responses to burn injury and major causes of burn injury are presented. (Journal of the Turkish Society Intensive Care 2011; 9 Suppl:1-6

  2. Emergency in Burn; Burn in Emergency

    Directory of Open Access Journals (Sweden)

    Yalcin Bayram

    2012-06-01

    Full Text Available Physicians who first meet with burned patients are often emergency service employees. When the patient was admitted to emergency service, especially in patients with major burn injury, is a matter should be dealt with strongly. Before sending the patients to a burn center, some interventions could became life saving which should be done as a first line treatment. Herein, review of the literature related to emergency burn treatment was performed and presented to all physicians as a summary guide. In addition, some questions such as how should be physician, who first meet with the burned patient, evaluated the patient, what should be physician paid attention, which principles should be employed for fluid replacement, how should be approached to burn wound are tried to be addressed. [TAF Prev Med Bull 2012; 11(3.000: 365-368

  3. Development of chemical kinetic models for lean NOx traps.

    Energy Technology Data Exchange (ETDEWEB)

    Larson, Richard S.

    2010-04-01

    Overall project goal: Obtain the fundamental surface chemistry knowledge needed for the design and optimal utilization of NOx trap catalysts, thereby helping to speed the widespread adoption of this technology. Relevance to VT Program goals: Effective, durable advanced aftertreatment systems for lean-burn engines must be available if the fuel economy advantages of these engines are to be realized. Specific current year objective: Identify and correct any deficiencies in the previously developed reaction mechanism describing normal storage/regeneration cycles, and complete development of a supplementary mechanism accounting for the effects of sulfation. A fundamental understanding of LNT chemistry is needed to realize the full potential of this aftertreatment technology, which could lead to greater use of fuel-efficient lean-burn engines. We have used a multi-tiered approach to developing an elementary chemical mechanism benchmarked against experimental data: (1) Simulate a set of steady flow experiments, with storage effects minimized, to infer a tentative mechanism for chemistry on precious metal sites (completed). (2) Simulate a set of long cycle experiments to infer a mechanism for NOx and oxygen storage sites while simultaneously finalizing precious metal chemistry (completed). (3) Simulate a simplified sulfation/desulfation protocol to obtain a supplementary set of reactions involving sulfur on all three kinds of sites (nearly completed). (4) Investigate the potential role of reductants other than CO and H{sub 2}. While simulation of isothermal experiments is the preferred way to extract kinetic parameters, simulation of realistic storage/regeneration cycles requires that exotherms be considered. Our ultimate goal is to facilitate improved designs for LNT-based aftertreatment systems and to assist in the development of improved catalysts.

  4. Advancing lean manufacturing, the role of IT

    NARCIS (Netherlands)

    Riezebos, J.; Klingenberg, W.

    2009-01-01

    This introduction to the special issue discusses the changing role of information technology (IT) in advancing lean production. Lean principles and techniques have been applied in a wide variety of organisations, from make-to-stock to engineer-to-order industries, and even in typical service sectors

  5. Researching Lean: Methodological implications of loose definitions

    DEFF Research Database (Denmark)

    Brännmark, Mikael; Langstrand, Jostein; Johansson, Stina

    2012-01-01

    it very difficult to study through a priori definitions. Practical implications/recommendations – The large variation in interpretations of Lean complicates metaanalyses regarding potential impact of Lean on the primary stakeholders of an organization, i.e. the customer, employees and employer. Based...

  6. Disturbing Practices: Training Workers to Be Lean

    Science.gov (United States)

    Yasukawa, Keiko; Brown, Tony; Black, Stephen

    2014-01-01

    Purpose: The purpose of this paper is to explore the possibilities for expansive learning during organisational change. It considers the introduction of "lean production" as a disturbance to the existing work practices. Design/methodology/approach: The paper considers two case studies of "lean production" training with…

  7. Empirical Progression of Lean Manufacturing: Literature Review

    Directory of Open Access Journals (Sweden)

    Dilanthi M.G.S

    2014-01-01

    Full Text Available Lean manufacturing has evolved over time devising with thinking of waste reduction. Many researchers have studied in this field and have tried to define the concept and to evaluate its performance. Therefore the main purpose of this paper is to recognize the conceptual evolution and to comprehend such empirical work related to lean manufacturing.

  8. Disturbing Practices: Training Workers to Be Lean

    Science.gov (United States)

    Yasukawa, Keiko; Brown, Tony; Black, Stephen

    2014-01-01

    Purpose: The purpose of this paper is to explore the possibilities for expansive learning during organisational change. It considers the introduction of "lean production" as a disturbance to the existing work practices. Design/methodology/approach: The paper considers two case studies of "lean production" training with…

  9. Principles of lean planning and control

    NARCIS (Netherlands)

    Riezebos, J.

    2015-01-01

    Lean production systems use teams instead of functional departments as well as simple shop floor control methods to manage the flow of orders at the shop floor. Lean shop floor control focuses on robust and visual methods that are able to cope with variation in processing times, routing sequences, d

  10. Advancing lean manufacturing, the role of IT

    NARCIS (Netherlands)

    Riezebos, J.; Klingenberg, W.

    2009-01-01

    This introduction to the special issue discusses the changing role of information technology (IT) in advancing lean production. Lean principles and techniques have been applied in a wide variety of organisations, from make-to-stock to engineer-to-order industries, and even in typical service sectors

  11. Lean Six Sigma in a hospital

    NARCIS (Netherlands)

    van den Heuvel, J.; Does, R.J.M.M.; de Koning, H.

    2006-01-01

    Abstract Hospitals today face major challenges. Patients demand quality of care to be improved continuously. Health insurance companies demand the lowest possible prices. Lean Six Sigma is a program that can help healthcare providers to achieve these (seemingly) conflicting goals. Lean Six Sigma is

  12. De praktijk van Lean Six Sigma

    NARCIS (Netherlands)

    Does, R.J.M.M.; de Koning, H.

    2008-01-01

    Zowel Lean als Six Sigma zijn benaderingen van kwaliteits- en efficiëntieverbetering die op dit moment sterk in de belangstelling staan van zowel de industrie als de dienstverlening. Lean Six Sigma integreert beide benaderingen. Ze wordt door sommigen gezien als panacee voor alle mogelijke organisat

  13. Lean in healthcare from employees' perspectives.

    Science.gov (United States)

    Drotz, Erik; Poksinska, Bozena

    2014-01-01

    The purpose of this paper is to contribute toward a deeper understanding of the new roles, responsibilities, and job characteristics of employees in Lean healthcare organizations. The paper is based on three cases studies of healthcare organizations that are regarded as successful examples of Lean applications in the healthcare context. Data were collected by methods including interviews, observations, and document studies. The implementation of Lean in healthcare settings has had a great influence on the roles, responsibilities, and job characteristics of the employees. The focus has shifted from healthcare professionals, where clinical autonomy and professional skills have been the guarding principles of patient care, to process improvement and teamwork. Different job characteristics may make it difficult to implement certain Lean practices in healthcare. Teamwork and decentralization of authority are examples of Lean practices that could be considered countercultural because of the strong professional culture and uneven power distribution, with doctors as the dominant decision makers. Teamwork, value flow orientation, and company-wide involvement in CI were associated with positive effects on the organizations' working environment, staff development, and organizational performance. In order to succeed with Lean healthcare, it is important to understand and recognize the differences in job characteristics between Lean manufacturing and healthcare. This paper provides insights into how Lean implementation changes the roles, responsibilities, and job characteristics of healthcare staff and the challenges and implications that may follow from this.

  14. Indførelse af Lean principper

    DEFF Research Database (Denmark)

    Balmer, Christian; Michelsen, Aage U

    2004-01-01

    I artiklen beskrives, hvorledes lean-principper er indført i en forsikringsvirksomhed samt de opnåede resultater.......I artiklen beskrives, hvorledes lean-principper er indført i en forsikringsvirksomhed samt de opnåede resultater....

  15. De implementatie van Lean; Inzicht in inertiefactoren

    NARCIS (Netherlands)

    Loenen, V. van; Schouteten, R.L.J.

    2016-01-01

    Uit onderzoek blijkt dat de implementatie van Lean niet altijd voorspoedig verloopt. In de laatste decennia is vooral ex post inzicht verkregen over Lean-implementatieprocessen, maar er blijkt behoefte aan inzichten tijdens een implementatieproces. Inzichten die ons leren welke factoren een implemen

  16. The Lean and Global Start-up

    DEFF Research Database (Denmark)

    Tanev, Stoyan; Rasmussen, Erik Stavnsager

    Ventures research and research with a focus on the Lean Start-up company. It is our intention in this paper to give a short presentation of the two research streams and show how they can be merged into one with a focus on newly established technology oriented firms that are lean and global from...

  17. Just-in-Time og Lean Manufacturing

    DEFF Research Database (Denmark)

    Michelsen, Aage U.

    2004-01-01

    Filosofi, principper og teknikker i JIT. Princip i Kanban-styring og dimensionering af et Kanban-system. Lean Thinking og Value Stream Mapping.......Filosofi, principper og teknikker i JIT. Princip i Kanban-styring og dimensionering af et Kanban-system. Lean Thinking og Value Stream Mapping....

  18. Lean Six Sigma in a hospital

    NARCIS (Netherlands)

    van den Heuvel, J.; Does, R.J.M.M.; de Koning, H.

    2006-01-01

    Abstract Hospitals today face major challenges. Patients demand quality of care to be improved continuously. Health insurance companies demand the lowest possible prices. Lean Six Sigma is a program that can help healthcare providers to achieve these (seemingly) conflicting goals. Lean Six Sigma is

  19. Applying Lean on Agile Scrum Development Methodology

    Directory of Open Access Journals (Sweden)

    SurendRaj Dharmapal

    2015-11-01

    Full Text Available This journal introduces the reader to Agile and Lean concepts and provides a basic level of understanding of each process. This journal will also provide a brief background about applying Lean concepts on each phase of agile scrum methodology and summarize their primary business advantages for delivering value to customer.

  20. Applying Lean on Agile Scrum Development Methodology

    Directory of Open Access Journals (Sweden)

    SurendRaj Dharmapal

    2014-03-01

    Full Text Available This journal introduces the reader to Agile and Lean concepts and provides a basic leve l of understanding of each process. This journal will also provide a brief background about applying Lean concepts on each phase of agile scrum methodology and summarize their primary business advantages for delivering value to customer.

  1. Implementing Lean Practices: Managing the Transformation Risks

    Directory of Open Access Journals (Sweden)

    Antony Pearce

    2013-01-01

    Full Text Available Insightful implementation of lean is necessary for high-value manufacturing and is complementary to strategic decision making regarding manufacture. However lean can be difficult to implement in specific organisations. One of the difficulties is deciding which of the many lean tools to apply and when to apply them. A complicating factor is change management. Lean implementation is a transformational process and needs to support organisational development alongside process improvement. We develop a method based on risk management to identify which lean tools are most appropriate for a specific organisational setting. This permits the situational and contingency variables to be accommodated in the lean transformation. The method is demonstrated by application to a small manufacturing organisation with a high-variety low-volume business model. Thus it is possible, given contextual knowledge of the organisation, to predict which lean methods are most important in the situation. This enables the prioritisation of organisational effort towards lean methods that are relevant to the organisation at that particular time in its development.

  2. Principles of lean planning and control

    NARCIS (Netherlands)

    Riezebos, J.

    2015-01-01

    Lean production systems use teams instead of functional departments as well as simple shop floor control methods to manage the flow of orders at the shop floor. Lean shop floor control focuses on robust and visual methods that are able to cope with variation in processing times, routing sequences,

  3. Just-in-Time og Lean Manufacturing

    DEFF Research Database (Denmark)

    Michelsen, Aage U.

    2004-01-01

    Filosofi, principper og teknikker i JIT. Princip i Kanban-styring og dimensionering af et Kanban-system. Lean Thinking og Value Stream Mapping.......Filosofi, principper og teknikker i JIT. Princip i Kanban-styring og dimensionering af et Kanban-system. Lean Thinking og Value Stream Mapping....

  4. Advancing lean manufacturing, the role of IT

    NARCIS (Netherlands)

    Riezebos, J.; Klingenberg, W.

    This introduction to the special issue discusses the changing role of information technology (IT) in advancing lean production. Lean principles and techniques have been applied in a wide variety of organisations, from make-to-stock to engineer-to-order industries, and even in typical service

  5. Personality characteristics of excellent lean managers

    DEFF Research Database (Denmark)

    Nielsen, Jacob Steendahl; Boer, Harry; Lindgren, Peter

    2016-01-01

    Today many Danish companies are implementing Lean and hereby trying to implement a continuous improvement (CI) program and culture. We have observed that companies can easily implement the artifacts of CI, such as Kaizen boards, Kaizen meetings, Performance management (KPI), A3 and PDCA reports......, and analytical tools. However, many companies struggle with developing a CI culture and DNA. Reasons for this can be many but the authors of this paper believe that one of the main reasons is the mindset and personality of the Lean managers. This paper addresses the question: Which personality traits should...... excellent Lean managers have? Based on an assessment done by a panel of Lean experts composed from 26 different Danish companies, this paper presents a profile description of an excellent Lean manager, which encompasses 16 different personality traits. A comparison with the average Dane shows some important...

  6. Lean - set i et historisk perspektiv

    DEFF Research Database (Denmark)

    Michelsen, Aage U

    2006-01-01

    I kapitlet redegøres for, hvordan begrebet Lean opstod som en karakteristik af Toyota Production System (TPS), der igen har sin rod i scientific management. Gennem eksempler illustreres det, at centrale Lean-principper således har været anvendt i årtier. Der argumenteres for, at Lean i mange...... vestlige Lean-projekter har fokus på anvendelse af nogle enkle værktøjer. Konklusionen er, at Lean bør opfattes som et mål, som den enkelte virksomhed må stræbe mod at nå ved anvendelse af alle de værktøjer, der er relevante i den specifikke situation....

  7. Transferring lean management infrastructure for increasing productivity

    Directory of Open Access Journals (Sweden)

    Ph.D.Daniel Georgescu

    2010-12-01

    Full Text Available These years, manufacturing function have been transferred rapidly and globally from matured countries to emerging countries. In this paper is about the critical elements for successful transfer of lean management among sites and countries. Based on this general descriptive analysis, current global transfer activity of Lean as well as its future direction is also described. According to the gradual progress of lean management transfer, necessity of its refinement/reinforcement is recognized and some research subjects are proposed for contributing further encouragement of its global activities. In this paper, based on this understanding, requisites for transfer of lean management are discussed through investigating global activity of Lean and specification of infrastructure enabling its smooth transfer is examined

  8. Lean as Agile methodology – A Study

    Directory of Open Access Journals (Sweden)

    T. Hari Kumar

    2016-05-01

    Full Text Available The Many approaches and methodologies are available in the development of software with error free to its end user by fulfilling the values of stake-holders. Among the available methodologies Agile is a popular methodology which is introduced in 2001. Agile consists of various development processes such as Scrum, XP, Kanban, Lean and others. Among them Lean is one of the methodology in development of software domain which is adapted from Toyota Production System. This paper concentrates on how Lean sustains in the business stagnation because there exists some problems such as missing deadline, over development and ineffective management. Lean is having its own advantages and pitfalls. To overcome the pitfalls of Lean an adaptive approach is needed which may fit with existing industry standards.

  9. THE LEAN AND SIX SIGMA SINERGY

    Directory of Open Access Journals (Sweden)

    Mirko Sokovic

    2008-12-01

    Full Text Available Many organizations, dealing with continuous improvement methods, have realized that Lean and Six Sigma methodologies complement each other. Lean manufacturing focuses on the remova l of waste so that all processes in the total system add value from the customers' perspectives. The main emphasis of Six Sigma is the application of statistical tools in a disciplined manner, which requires data-driven decision-making. The integration of Lean and Six Sigma provides a synergetic effect, a rapid process improvement strategy for attaining organizational goals. When separated, Lean manufacturing cannot bring a process under statistical control, and Six Sigma cannot dramatically improve cycle time or reduce invested capital. Together, synergistic qualities are created to maximize the potential for a process improvement. The paper deals with Lean and Six Sigma principles and approaches used in modern manufacturing for process improvements, and bring forward benefits that are gained when these two methodologies are integrated.

  10. Skaber lean bedre arbejdsmiljø?

    DEFF Research Database (Denmark)

    Hansen, Nanette Juhler

    2007-01-01

    rationalization strategies, among others Lean, claim to improve working conditions. The aim of this thesis is to identify whether the application of Lean strategies leads to a reduction of the occupational health and safety problem repetitive work. Repetitive work is a problem created by the Taylorisation of work......, and therefore it is to be expected that a break with one or more of the Tayloristic principles can lead to a reduction of repetitive work. This thesis points out a number of areas within which Lean breaks with Tayloristic principles, whilst other principles are maintained. These breaks between Lean...... and Taylorism are also found in the study of the case company. By linking breaks with Taylorism with solutions for the reduction of repetitive work, I point out a number of openings in Lean that may lead to a reduction of repetitive work. By using the concept of openings I present the possibilities offered...

  11. Lean thinking for a maintenance process

    Directory of Open Access Journals (Sweden)

    Sherif Mostafa

    2015-01-01

    Full Text Available The maintenance process shares significant operating costs in an organisation. Lean thinking can be incorporated into maintenance activities through applying its principles and practices/tools. Lean maintenance (LM is a prerequisite for lean manufacturing systems. This research proposes a new structure for LM process based on a systematic literature review of a significant number of related articles that were published on LM. The process structure is designed based on the five lean principles to guide and support organisations to pursue maintenance excellence. This study establishes a scheme for LM tools that are structured into 2 level 4 bundles and 26 lean practices/tools and develops a House of Waste (HoW to demonstrate the association between maintenance wastes and the LM tools. With a successful accomplishment of the proposed scheme, the performance of a maintenance department can create more improvement opportunities over time to reach the maintenance excellence status.

  12. Operation of flue gas fan during mixed burning of bituminous coal in a lean coal-fired boiler:problems and solutions%贫煤锅炉掺烧烟煤热炉烟风机运行问题及其解决措施

    Institute of Scientific and Technical Information of China (English)

    张兴豪; 范庆伟; 张立欣

    2014-01-01

    介绍了华能南京电厂贫煤锅炉的抽炉烟干燥技术,分析了该锅炉掺烧烟煤后热炉烟风机磨损、积灰、振动、出力不足等问题。对此,通过对热炉烟风机实施选型优化、叶片防磨治理、合理安排检修等措施后,大大延长了热炉烟风机使用周期和寿命,减少了检修时间和检修费用,保证了贫煤锅炉掺烧烟煤制粉系统的安全性和可靠性。%The flue gas drying technology implemented in lean coal-fired boiler of Nanj ing Power Plant was introduced.Problems such as hot flue gas fan abrasion,deposited ash vibrancy,and insufficient output oc-curred on this boiler were investigated.Moreover,solutions for the above problems were put forward. Through fan type selection optimization,fan blade abrasion resistant treatment,reasonable arrangement of maintenance and other measures,the problems of fan blade abrasion and deposited ash vibrancy were well solved,and the service life of flue gas fan was significantly prolonged,the time and cost of maintenance were reduced,and the safety and reliability of bituminous coal pulverizing system in lean coal-fired boiler were ensured.

  13. Integration of Lean and Agile Manufacturing Based on Principles from Wikinomics

    Directory of Open Access Journals (Sweden)

    Tatiana Ustyugová

    2013-07-01

    Full Text Available The purporse of this paper is to show the algorithm of the lean and agile manufacturing integration based on the principles from Wikinomics, which will lead to a steady production process and easier growth of company’s success. Lean and agile manufacturing are production concepts, which become more and more popular at the modern market. Nowadays we live at the period of possible, global communication, where the success of companies depends on customers’ satisfaction and the correct cost management. Therefore the principles from Wikinomics can be used like as integration method of lean and agile manufacturing. The originality of this paper lies in the creation of the new general algorithm of the lean and agile manufacturing integration was created, which will be used for the future research with special limitations of the Czech market. 

  14. Adapting lean to histology laboratories.

    Science.gov (United States)

    Buesa, René J

    2009-10-01

    Histology laboratories (histolabs) can increase productivity and reduce turnaround time and errors by using any one of several available management tools. After a few years of operation, all histolabs develop workflow problems. Histology laboratories handling more than 20,000 cases per year benefit the most from implementing management tools, as occurred in the 25 facilities summarized in this article. Discontinuous workflow, lack of "pulling" between steps, accepting unavoidable waiting times while working with small batches within work cells, and a workflow with an uneven rate of completion, are some of the adaptations required by the Lean system when it is used in histology because 70% of the tasks are manual and the flow has to be interrupted to add value to the pieces of tissue during tissue processing, no matter how short that step is. After all these adaptations are incorporated, the histolab becomes as "Lean" as it can be, and the qualifier is also a recognition of the effort and personnel involvement in the implementation. Given its service nature, productivity increments do not expand the histolab customer base and could lead to staffing reductions. This is one of the causes of reluctance by some employees for implementing these techniques which are mostly driven by cost reductions sought by insurance companies and administrators, and not necessarily because of a real medical need to reduce the turnaround time. Finally, any histolab wanting to improve its workflow can follow some easy steps presented here as a guide to accomplish that objective. These steps stress the need for the supervisors to insure that the personnel in the histology laboratory are being paid at a comparable rate as other histolabs in the area.

  15. Understanding waste for lean health information systems: a preliminary review.

    Science.gov (United States)

    Kalong, Nadia Awang; Yusof, Maryati Mohd

    2013-01-01

    Despite the rapid application of the Lean method in healthcare, its study in IT environments, particularly in Health Information Systems (HIS), is still limited primarily by a lack of waste identification. This paper aims to review the literature to provide an insight into the nature of waste in HIS from the perspective of Lean management. Eight waste frameworks within the context of healthcare and information technology were reviewed. Based on the review, it was found that all the seven waste categories from the manufacturing sector also exist in both the healthcare and IT domains. However, the nature of the waste varied depending on the processes of the domains. A number of additional waste categories were also identified. The findings reveal that the traditional waste model can be adapted to identify waste in both the healthcare and IT sectors.

  16. The human side of lean teams.

    Science.gov (United States)

    Wackerbarth, Sarah B; Strawser-Srinath, Jamie R; Conigliaro, Joseph C

    2015-05-01

    Organizations use lean principles to increase quality and decrease costs. Lean projects require an understanding of systems-wide processes and utilize interdisciplinary teams. Most lean tools are straightforward, and the biggest barrier to successful implementation is often development of the team aspect of the lean approach. The purpose of this article is to share challenges experienced by a lean team charged with improving a hospital discharge process. Reflection on the experience provides an opportunity to highlight lessons from The Team Handbook by Peter Scholtes and colleagues. To improve the likelihood that process improvement initiatives, including lean projects, will be successful, organizations should consider providing training in organizational change principles and team building. The authors' lean team learned these lessons the hard way. Despite the challenges, the team successfully implemented changes throughout the organization that have had a positive impact. Training to understand the psychology of change might have decreased the resistance faced in implementing these changes. © 2014 by the American College of Medical Quality.

  17. Has Lean improved organizational decision making?

    Science.gov (United States)

    Simons, Pascale; Benders, Jos; Bergs, Jochen; Marneffe, Wim; Vandijck, Dominique

    2016-06-13

    Purpose - Sustainable improvement is likely to be hampered by ambiguous objectives and uncertain cause-effect relations in care processes (the organization's decision-making context). Lean management can improve implementation results because it decreases ambiguity and uncertainties. But does it succeed? Many quality improvement (QI) initiatives are appropriate improvement strategies in organizational contexts characterized by low ambiguity and uncertainty. However, most care settings do not fit this context. The purpose of this paper is to investigate whether a Lean-inspired change program changed the organization's decision-making context, making it more amenable for QI initiatives. Design/methodology/approach - In 2014, 12 professionals from a Dutch radiotherapy institute were interviewed regarding their perceptions of a Lean program in their organization and the perceived ambiguous objectives and uncertain cause-effect relations in their clinical processes. A survey (25 questions), addressing the same concepts, was conducted among the interviewees in 2011 and 2014. The structured interviews were analyzed using a deductive approach. Quantitative data were analyzed using appropriate statistics. Findings - Interviewees experienced improved shared visions and the number of uncertain cause-effect relations decreased. Overall, more positive (99) than negative Lean effects (18) were expressed. The surveys revealed enhanced process predictability and standardization, and improved shared visions. Practical implications - Lean implementation has shown to lead to greater transparency and increased shared visions. Originality/value - Lean management decreased ambiguous objectives and reduced uncertainties in clinical process cause-effect relations. Therefore, decision making benefitted from Lean increasing QI's sustainability.

  18. Lean Six Sigma implementation and organizational culture.

    Science.gov (United States)

    Knapp, Susan

    2015-01-01

    The purpose of this paper is to examine the relationship between four organizational cultural types defined by the Competing Values Framework and three Lean Six Sigma implementation components - management involvement, use of Lean Six Sigma methods and Lean Six Sigma infrastructure. The study involved surveying 446 human resource and quality managers from 223 hospitals located in Maine, New Hampshire, Vermont, Massachusetts and Rhode Island using the Organizational Culture Assessment Instrument. Findings - In total, 104 completed responses were received and analyzed using multivariate analysis of variance. Follow-up analysis of variances showed management support was significant, F(3, 100)=4.89, p Six Sigma methods was also not significant, F(3, 100)=1.34, p=0.26, η2=0.04. Post hoc analysis identified group and development cultures having significant interactions with management support. The relationship between organizational culture and Lean Six Sigma in hospitals provides information on how specific cultural characteristics impact the Lean Six Sigma initiative key components. This information assists hospital staff who are considering implementing quality initiatives by providing an understanding of what cultural values correspond to effective Lean Six Sigma implementation. Managers understanding the quality initiative cultural underpinnings, are attentive to the culture-shared values and norm's influence can utilize strategies to better implement Lean Six Sigma.

  19. Learn Not To Burn.

    Science.gov (United States)

    English, Nancy; Hendricks, Charlotte M.

    1997-01-01

    Describes the "Learn Not to Burn Preschool Program," a low-cost fire safety awareness and burn prevention curriculum for young children. The program promotes eight burn prevention methods--including practicing an escape plan--using developmentally appropriate learning objectives to increase children's fire safety knowledge, skill, and…

  20. Economics of pediatric burns.

    Science.gov (United States)

    Bass, Michael J; Phillips, Linda G

    2008-07-01

    Sustaining a burn injury sets in motion a cycle of pain, disfigurement, and a search for survival. In pediatric burns, the injury extends to the parents where fear, ignorance, and helplessness forever change their lives. Pediatric burn injuries are caused by fire, hot liquids, clothing irons, hair curlers, caustic substances like drain cleaner, the grounding of an electrical source, and exposure to radiation. Efficiency in the delivery of pediatric burn care is critical. Maximizing resource utilization means continual self-evaluation and economic analysis of therapeutic modalities. Griffiths et al found that most childhood burns are due to scalds, which can be treated for $1061 per percent burn. Paddock et al reduced the cost of treating superficial pediatric burns and reduced the length of stay in hospital using silver-impregnated gauze over traditional methods. Barrett et al found improved cosmesis of skin grafts using cultured epithelial autografts but at a substantially increased cost. Corpron et al showed that pediatric burn units that treat burns >10% total body surface area and operative treatment of pediatric burns regardless of size generate positive revenue. There is a paucity of evidentiary pediatric burn economic data. More research is needed to address areas of pediatric burn care inefficiency. Improving knowledge of cost in all health care endeavors will create competition and drive down expenditures.

  1. Minor burns - aftercare

    Science.gov (United States)

    ... the burn: Use cool water, not ice. The extreme cold from ice can injure the tissue even more. If possible, especially if the burn is caused by chemicals, hold the burned skin under cool running water for 10 to 15 minutes until it ...

  2. Optimization of burn referrals

    DEFF Research Database (Denmark)

    Reiband, Hanna K; Lundin, Kira; Alsbjørn, Bjarne

    2014-01-01

    INTRODUCTION: Correct estimation of the severity of burns is important to obtain the right treatment of the patient and to avoid over- and undertriage. In this study we aimed to assess how often the guidelines for referral of burn injured patients are met at the national burn centre (NBC), Denmar...

  3. Epidemiology of burns

    NARCIS (Netherlands)

    Dokter, Jan

    2016-01-01

    The aim of this thesis is to understand the epidemiology, treatment and outcomes of specialized burn care in The Netherlands. This thesis is mainly based on historical data of the burn centre in Rotterdam from 1986, combined with historical data from the burn centres in Groningen and Beverwijk from

  4. Quantitative magnetic resonance analysis and a morphometric predictive model reveal lean body mass changes in migrating Nearctic-Neotropical passerines.

    Science.gov (United States)

    Seewagen, Chad L; Guglielmo, Christopher G

    2011-04-01

    Most studies of lean mass dynamics in free-living passerine birds have focused on Old World species at geographical barriers where they are challenged to make the longest non-stop flight of their migration. We examined lean mass variation in New World passerines in an area where the distribution of stopover habitat does not require flights to exceed more than a few hours and most migrants stop flying well before fat stores near exhaustion. We used either quantitative magnetic resonance (QMR) analysis or a morphometric model to measure or estimate, respectively, the fat and lean body mass of migrants during stopovers in New York, USA. With these data, we examined (1) variance in total body mass explained by lean body mass, (2) hourly rates of fat and lean body mass change in single-capture birds, and (3) net changes in fat and lean mass in recaptured birds. Lean mass contributed to 50% of the variation in total body mass among white-throated sparrows Zonotrichia albicollis and hermit thrushes Catharus guttatus. Lean mass of refueling gray catbirds Dumetella carolinensis and white-throated sparrows, respectively, increased 1.123 and 0.320 g h(-1). Lean mass of ovenbirds Seiurus aurocapillus accounted for an estimated 33-40% of hourly gains in total body mass. On average 35% of the total mass gained among recaptured birds was lean mass. Substantial changes in passerine lean mass are not limited to times when birds are forced to make long, non-stop flights across barriers. Protein usage during migration is common across broad taxonomic groups, migration systems, and migration strategies.

  5. Modern trends in fluid therapy for burns.

    Science.gov (United States)

    Tricklebank, Stephen

    2009-09-01

    The majority of burn centres use the crystalloid-based Parkland formula to guide fluid therapy, but patients actually receive far more fluid than the formula predicts. Resuscitation with large volumes of crystalloid has numerous adverse consequences, including worsening of burn oedema, conversion of superficial into deep burns, and compartment syndromes. Resuscitation fluids influence the inflammatory response to burns in different ways and it may be possible, therefore to affect this response using the appropriate fluid, at the appropriate time. Starches are effective volume expanders and early use of newer formulations may limit resuscitation requirements and burn oedema by reducing inflammation and capillary leak. Advanced endpoint monitoring may guide clinicians in when to 'turn off' aggressive fluid therapy and therefore avoid the problems of over-resuscitation.

  6. Management of Critical Burn Injuries: Recent Developments

    Directory of Open Access Journals (Sweden)

    David J. Dries

    2017-02-01

    Full Text Available Background Burn injury and its subsequent multisystem effects are commonly encountered by acute care practitioners. Resuscitation is the major component of initial burn care and must be managed to restore and preserve vital organ function. Later complications of burn injury are dominated by infection. Burn centers are often called to manage problems related to thermal injury, including lightning and electrical injuries. Methods A selected review is provided of key management concepts as well as of recent reports published by the American Burn Association. Results The burn-injured patient is easily and frequently over resuscitated, with ensuing complications that include delayed wound healing and respiratory compromise. A feedback protocol designed to limit the occurrence of excessive resuscitation has been proposed, but no new “gold standard” for resuscitation has replaced the venerated Parkland formula. While new medical therapies have been proposed for patients sustaining inhalation injury, a paradigm-shifting standard of medical therapy has not emerged. Renal failure as a specific contributor to adverse outcome in burns has been reinforced by recent data. Of special problems addressed in burn centers, electrical injuries pose multisystem physiologic challenges and do not fit typical scoring systems. Conclusion Recent reports emphasize the dangers of over resuscitation in the setting of burn injury. No new medical therapy for inhalation injury has been generally adopted, but new standards for description of burn-related infections have been presented. The value of the burn center in care of the problems of electrical exposure, both manmade and natural, is demonstrated in recent reports.

  7. Increased admissions for diabetes mellitus after burn.

    Science.gov (United States)

    Duke, Janine M; Randall, Sean M; Fear, Mark W; Boyd, James H; O'Halloran, Emily; Rea, Suzanne; Wood, Fiona M

    2016-12-01

    Currently, limited long-term data on hyperglycaemia and insulin sensitivity in burn patients are available and the data that do exist are primarily related to paediatric severe burns. The aim of this study was to assess if burn is associated with increased post-burn admissions for diabetes mellitus. A population-based longitudinal study using linked hospital morbidity and death data from Western Australia was undertaken of all persons hospitalized for a first burn (n=30,997) in 1980-2012 and a frequency matched non-injury comparison cohort, randomly selected from Western Australia's birth registrations and electoral roll (n=123,399). Crude admission rates and summed length of stay for diabetes mellitus were calculated. Negative binomial and Cox proportional hazards regression modelling were used to generate incidence rate ratios (IRR) and hazard ratios (HR), respectively. After adjustment for socio-demographic factors and pre-existing health status, the burn cohort had 2.21 times (95% Confidence Interval (CI): 1.36-1.56) as many admissions and almost three times the number of days in hospital with a diabetes mellitus diagnosis (IRR, 95% CI: 2.94, 2.12-4.09) than the uninjured cohort. Admission rates were significantly elevated for those burned during childhood (diabetes mellitus in the burn cohort provide evidence that burns have longer term effects on blood glucose and insulin regulation after wound healing. The first five years after burn discharge appears to be a critical period with significantly elevated incident admissions for diabetes mellitus during this time. Results would suggest prolonged clinical management after discharge and or wound healing to minimise post-burn admissions for diabetes mellitus is required. Copyright © 2016 Elsevier Ltd and ISBI. All rights reserved.

  8. Lean in Construction Projects : Is lean suitable for all construction projects?

    OpenAIRE

    Tomas, Lindholm

    2014-01-01

    Due to the low productivity growth in the construction industry, there are discussions about theories and tools that could support an increased productivity in construction projects. One such ‘theory’ or package of tools is lean. Lean has been used successfully for decades in the car manufacturing industry, Toyota for example, and in other industries as the shipbuilding industry. In the construction industry, the use of the word lean is not frequently used and construction projects could migh...

  9. BACTERIOLOGICAL STUDY OF BURNS INFECTION

    Directory of Open Access Journals (Sweden)

    Shareen

    2015-10-01

    Full Text Available A burn is a wound in which there is coagulative necrosis of the tissue, majority of which are caused by heat. Burn injury is a major public health problem in many areas of the world. Burns predispose to infection by damaging the protective barrier function of the skin, thus facilitating the entry of pa thogenic microorganisms and by inducing systemic immunosuppression . (1 OBJECTIVE : The present study was therefore undertaken to isolate and identify the aerobic bacterial flora in burn patients and its antibiotic susceptibility pattern. MATERIAL & METHODS : A total of 100 patients admitted with different degree of burns were studied. Wound swabs were taken with aseptic precautions by dry sterile cotton swab sticks. These swabs were transported to the microbiology laboratory and the isolates were identified based on standard microbiological methods. Antibiotic susceptibility testing was done by Kirby Bauer’s disc diffusion method. RESULT : A total of 127 bacterial pathogens were isolated from 100 patients. Of these, 69% were monomicrobial in nature and 28% wer e polymicrobial. The most frequent cause of infection was found to be Staphylococcus aureus (39.4%, followed by Pseudomonas aeruginosa (14.2%, Klebsiella pneumonia (13.4%, E.coli (8.7% and Acinetobacter species (7.9%.Out of the total Staphylococcus au reus isolates, 19 were Methicillin sensitive and 31 were Methicillin resistant (MRSA. All the MRSA strains were 100% sensitive to Vancomycin and Linezolid. The Pseudomonas aeruginosa isolates were most sensitive to Amikacin (9 4.4%, Fluroquinolones (61.1% . CONCLUSION : Staphylococcus aureus and Pseudomonas aeruginosa were major causes of infection in burn wounds. Therefore it is necessary to implement urgent measures for restriction of nosocomial infections, sensible limitation on the use of antimicrobial agents, strict disinfection and hygiene.

  10. Partial Burn Laws in Propellant Erosive Burning

    Directory of Open Access Journals (Sweden)

    S.V. Finjakov

    1999-04-01

    Full Text Available Experimental and computer methods were developed for investigating the combustion phenomena in the propellants which burn in streams of hot gas flowing along the burn surfaces of the propellants. The experimental investigations allowed establishment of different dependencies for erosive burning. Computer solutions of the problem for double-base (DB propellants showed a good agreement with the experimental results. The suggested variant of modified theory considers the change of heat release in solids, the real burn surface roughness, the nonisothermality of boundary layer and the effect of gas mass blow from the propellant burn surface into the gas stream. This modified theory was used for studying burn laws at 30-1000 atm and up to gas stream sound velocities for different DB propellants. It was found that gas stream leads to splitting of the propellant burn laws, m = bp/sup v/. Pressure power (v, in this case depends on gas stream velocity (W, diameter of the propellant tube canal (d and gas stream temperature (T/sub w/. It is because of this that these burn laws were named partial burn laws. They have the form (m = bp/sup w(omega/ w,d,T/sub w/ -const. The dependencies w(omega = f(w,d,T/sub w/ were obtained by the modified theory. It was found that omega values mainly decrease when pressure increases beginning from ~200 to 400 atm and they can decrease up to w(omega = 0,1- 0,3. Similar results can be obtained for composite propellants.

  11. Making it lean applying lean practices to the work of it

    CERN Document Server

    Williams, Howard

    2013-01-01

    Making IT Lean: Applying Lean Practices to the Work of IT presents Lean concepts and techniques for improving processes and eliminating waste in IT operations and IT Service Management, in a manner that is easy to understand. The authors provide a context for discussing several areas of application within this domain, allowing you to quickly gain insight into IT processes and Lean principles.The text reviews IT Service Management, with reference to the IT Infrastructure Library (ITIL®) as a framework for best practices-explaining how to use it to accommod

  12. Implementing lean in a surgical ward

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders Paarup; Jacobsen, Peter

    Using the well-known principles from lean management in an orthopedic surgical ward at a major Danish hospital reorganized their work-flow and processes. The ward has ten operating rooms and performs the complete range of the orthopedic procedures ranging from patients that need simple standard...... for productivity improvement. Lean management has its origins in industrial production, but it is now being transferred to many other sectors, e.g., health care. Two important prerequisites exist for implementing lean management: Firstly, stable and standardized processes and secondly leveling of production...... be planned in advance and meet the prerequisites for lean management. Two of ten operating rooms have been allocated to this flow. Selected surgeons, nurses and porters have been allocated to the two operating rooms and they remain in the sterile environment for the duration of the workday. The effect...

  13. LEAN Tools in the IT Sector

    Directory of Open Access Journals (Sweden)

    Zoltan VAJNA

    2015-05-01

    Full Text Available Nowadays the LEAN tools with their proven efficiency are indispensable parts of the production management. I think there is no producing enterprise that cannot utilize a wide variety of these LEAN tools. The question now is how these tools can support companies in increasing the efficiency of their supporting IT processes. In this study I will demonstrate how these well-known LEAN tools from production management can be used in IT management to create more cost-effective, efficient and transparent solutions during the IT system development and IT operation activities. I will show respectively without attempting to be comprehensive the most important tools of the LEAN management and I will analyse how these tools can be used in the IT sector. At the end of this study I will demonstrate what the IT managers think about the practical use of these tools.

  14. Modelling green and lean supply chains

    DEFF Research Database (Denmark)

    Govindan, Kannan; Carvalho, Helena; Azevedo, Susana G.

    2017-01-01

    This manuscript proposes a model to support decision making and to help managers identify the best set of green and lean supply chain management practices to improve their eco-efficiency. To attain this objective, a mathematical model based on eco-efficiency concepts is suggested to overcome...... the trade-offs between lean and green practices. To illustrate the model application, a case study from an automotive supply chain is presented. Some management practices that are instituted for green or lean benefits have opposite effects on the environmental and economic performance of companies. One...... of the main findings of our study is that not all companies belonging to the same supply chain can be absolutely lean or green. There should be compromises in the individual companies’ behaviour so the environmental and economic constraints of the supply chain are both satisfied. The proposed model represents...

  15. Lean in service industries: A literature review

    Science.gov (United States)

    V, Vignesh; Suresh, M.; Aramvalarthan, S.

    2016-09-01

    Lean service is an amalgamation of tools and practices which, if applied appropriately, would definitely improve the existing quality of operations and ensure the generation of a large amount of favourable financial and economic outcomes and improve the behaviour of the workforce. As a result, it assumes of great significance in the fiercely competitive modern world. This article presents a comprehensive bibliographic study about the various lean service practices through a variety of approaches like service improvement, manufacturing, supply chain, market and retailing approaches, etc. Thus it gives a clear view on how the lean services are implemented in various sectors and the contribution of lean service towards improving the quality in the services provided while reducing the costs.

  16. McLean's second variation formula revisited

    Science.gov (United States)

    Lê, Hông Vân; Vanžura, Jiří

    2017-03-01

    We revisit McLean's second variation formulas for calibrated submanifolds in exceptional geometries, and correct his formulas concerning associative submanifolds and Cayley submanifolds, using a unified treatment based on the (relative) calibration method and Harvey-Lawson's identities.

  17. Lean and the quality of work

    DEFF Research Database (Denmark)

    Jensen, Per Langaa

    2008-01-01

    an intervention study comprising 9 Danish enterprises involved in implementing lean. Based on tentative results from cases from the present studies the findings from the literature study can be elaborated. It reveals some of the dynamics an ergonomist have to take into consideration in influencing the lean....... Literature studies documents that it is not possible to establish a clear relation between lean and the psychosocial aspects of work. The studies also indicate that the context and the implementations process play a dominating role in how lean is experienced. This has been the basis for establishing...... program. This opens for a discussion of the potential to establish a primary prevention towards psycho-social aspects of work....

  18. Lean six sigma application to transportation logistics

    Directory of Open Access Journals (Sweden)

    Simone Tavares Fernandes

    2012-06-01

    Full Text Available This work presents the application of Lean Six Sigma in a case study of a metallurgic industry. The Six Sigma and the Lean are two processes used by enterprises in Brazil and worldwide. Currently the integration of these processes is a challenge for these companies, which search a way more efficient to reduce their wastes and to adapt to the needs of their markets. The paper had as purpose to demonstrate the applicability of the Lean Six Sigma in a real logistical problem related to the transportation of goods among units of a metallurgic industry. The stages used for the solution of the problem follow the DMAIC cycle – Define, Measure, Analyze, Improve and Control. The paper presents in details the integrated approach of the improvement processes Lean and Six Sigma, their tools set, as well the excellent results obtained in the case study.

  19. Lean Principles’Potential Measurement Framework for Service Organization

    Directory of Open Access Journals (Sweden)

    M. D. Vadhvani

    2016-06-01

    Full Text Available Role of service sector can be considered vital as these industries are accountable for accelerating the major functions of the secondary organizations. Hence it is a very important element of economy in enhancing competitive dimensions- quality, flexibility, cost and delivery. Improvement initiatives such as Total Quality Management, Lean Practices, and Leansigma focus on increasing the competitive dimensions. Among these Lean Practices are having the inherent principles of reducing the cost and increasing the quality by focusing the non value added activities from the value chain of the service or product. Lean Principles (LPs are being practiced since long by the organizations of secondary sectors and followed by that of the tertiary sectors. Albeit the reported improvement achieved are limited by the drawbacks such as lack of proper set of guidelines, partial features of measurable characteristics, lack of guideline for measurement. Present work proposes a measurement frame work with aids of flowchart and questionnaire for measuring the potential of LPs in service organization which help them to take accompanying initiatives to implement the LPs.

  20. INNOVATION LEAN PRINCIPLES IN AUTOMOTIVE GREEN MANUFACTURING

    Directory of Open Access Journals (Sweden)

    Dušan Sabadka

    2014-12-01

    Full Text Available Today, industries such as automotive and manufacturing industries deal with a lot of environmental regulations. Lean is a production strategy whose fundamental principles drive the industry towards a more effective production of goods and services. The eco-efficiency concept is primary to sustainable development and intends to provide more value with less environmental impact. The aim of this study is to identify and explore the contributions of Lean to reduce environmental impacts that naturally result from industrial activity.

  1. Lean in healthcare: A comprehensive review.

    Science.gov (United States)

    D'Andreamatteo, Antonio; Ianni, Luca; Lega, Federico; Sargiacomo, Massimo

    2015-09-01

    Lean seems to be the next revolution for a better, improved, value-based healhcare. In the last 15 years Lean has been increasingly adapted and adopted in healthcare. Accordingly, Lean healthcare has been developing into a major strand of research since the early 2000s. The aim of this work is to present a comprehensive overview of the main issues highlighted by research on implementation of Lean in a complex contest such as the healthcare one. Comprehensive literature review was conducted in order to identify empirical and theoretical articles published up to September 2013. Thematic analysis was performed in order to extract and synthesis data. 243 articles were selected for analysis. Lean is best understood as a means to increase productivity. Hospital is the more explored setting, with emergency and surgery as the pioneer departments. USA appears to be the leading country for number of applications. The theoretical works have been focused mainly on barriers, challenges and success factors. Sustainability, framework for measurement and critical appraisal remain underestimated themes. Evaluations of "system wide approach" are still low in number. Even though Lean results appear to be promising, findings so far do not allow to draw a final word on its positive impacts or challenges when introduced in the healthcare sector. Scholars are called to explore further the potentiality and the weaknesses of Lean, above all as for the magnitude of investments required and for the engagement of the whole organization it represents increasingly strategic choice, whilst health professionals, managers and policy makers could and should learn from research how to play a pivotal role for a more effective implementation of lean in different health contexts. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  2. A Web-Based Lean Simulation Game for Office Operations: Training the Other Side of a Lean Enterprise

    Science.gov (United States)

    Kuriger, Glenn W.; Wan, Huang-da; Mirehei, S. Moussa; Tamma, Saumya; Chen, F. Frank

    2010-01-01

    This research proposes a Web-based version of a lean office simulation game (WeBLOG). The game is designed to be used to train lean concepts to office and administrative personnel. This group belongs to the frequently forgotten side of a lean enterprise. Over four phases, the game presents the following seven lean tools: one-piece flow,…

  3. A Web-Based Lean Simulation Game for Office Operations: Training the Other Side of a Lean Enterprise

    Science.gov (United States)

    Kuriger, Glenn W.; Wan, Huang-da; Mirehei, S. Moussa; Tamma, Saumya; Chen, F. Frank

    2010-01-01

    This research proposes a Web-based version of a lean office simulation game (WeBLOG). The game is designed to be used to train lean concepts to office and administrative personnel. This group belongs to the frequently forgotten side of a lean enterprise. Over four phases, the game presents the following seven lean tools: one-piece flow,…

  4. Real-time and dynamic schedule optimization of construction projects on the basis of lean construction

    Institute of Scientific and Technical Information of China (English)

    QI Shen-jun; DING Lie-yun; LUO Han-bin; DONG Xiao-yan

    2007-01-01

    Lean construction has been newly applied to construction industry. The best performance of a project can be achieved through the precise definition of construction product, rational work break structure, lean supply chain, decrease of resources waste, objective control and so forth. Referring to the characteristics of schedule planning of construction projects and lean construction philosophy, we proposed optimizing methodology of real-time and dynamic schedule of construction projects based on lean construction. The basis of the methodology is process reorganization and lean supply in construction enterprises. The traditional estimating method of the activity duration is fuzzy and random; however, a newly proposed lean forecasting method employs multi-components linear-regression, back-propagation artificial neural networks and learning curve. Taking account of the limited resources and the fixed duration of a project, the optimizing method of the real-time and dynamic schedule adopts the concept of resource driving. To optimize the schedule of a construction project timely and effectively, an intellectualized schedule management system was developed. It can work out the initial schedule, optimize the real-time and dynamic schedule, and display the schedule with the Gant Chart, the net-work graph and the space-time line chart. A case study was also presented to explain the proposed method.

  5. Integration of six sigma with lean production: an analysis through multiple cases

    Directory of Open Access Journals (Sweden)

    Thiago Henrique Pinheiro

    2013-08-01

    Full Text Available The intense competition between markets has taken companies, regardless of their size, to implement one or more quality improvement programs. One of the main purposes of these programs is the enhancement of company effectiveness and efficiency. There is today a growing interested in a proposal named Lean Six Sigma. Their objective is to apply six sigma concepts integrated with Lean Production. A model named Lean Six Sigma has raised interest, once its objective is to apply the concepts of the Six Sigma program integrating them with the principles of Lean Production. Six Sigma contributes with methods for problem identification, measurement and analysis, and the Lean Production offers techniques and procedures applied to reduce waste in the production. In this context, this paper aims at demonstrating the results of a field research, from which purpose was to identify relevant factors for Six Sigma implementation combined with Lean Production. To meet these objectives, three organizations from different industrial sectors were investigated. It was verified that in two of those companies, the programs were successfully implemented. Based on data analysis, it is possible to identify that one of the major difficulties encountered by the program leaders is related to the company’s human resources infra-structure. It is necessary to take into account that the conclusions are limited to a small sample of three units of analysis. However, this work offers the possibility of an analytical generalization.

  6. Using Lean principles to optimise inpatient phlebotomy services.

    Science.gov (United States)

    Le, Rachel D; Melanson, Stacy E F; Santos, Katherine S; Paredes, Jose D; Baum, Jonathan M; Goonan, Ellen M; Torrence-Hill, Joi N; Gustafson, Michael L; Tanasijevic, Milenko J

    2014-08-01

    In the USA, inpatient phlebotomy services are under constant operational pressure to optimise workflow, improve timeliness of blood draws, and decrease error in the context of increasing patient volume and complexity of work. To date, the principles of Lean continuous process improvement have been rarely applied to inpatient phlebotomy. To optimise supply replenishment and cart standardisation, communication and workload management, blood draw process standardisation, and rounding schedules and assignments using Lean principles in inpatient phlebotomy services. We conducted four Lean process improvement events and implemented a number of interventions in inpatient phlebotomy over a 9-month period. We then assessed their impact using three primary metrics: (1) percentage of phlebotomists drawing their first patient by 05:30 for 05:00 rounds, (2) percentage of phlebotomists completing 08:00 rounds by 09:30, and (3) number of errors per 1000 draws. We saw marked increases in the percentage of phlebotomists drawing their first patient by 05:30, and the percentage of phlebotomists completing rounds by 09:30 postprocess improvement. A decrease in the number of errors per 1000 draws was also observed. This study illustrates how continuous process improvement through Lean can optimise workflow, improve timeliness, and decrease error in inpatient phlebotomy. We believe this manuscript adds to the field of clinical pathology as it can be used as a guide for other laboratories with similar goals of optimising workflow, improving timeliness, and decreasing error, providing examples of interventions and metrics that can be tailored to specific laboratories with particular services and resources. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Lean in the supply chain : research and practice

    OpenAIRE

    Ugochukwu, Paschal

    2012-01-01

    Lean is a management philosophy that enhances customer value through waste elimination and continuous improvement in a system by applying lean principles, practices, and techniques. The focus on lean implementations and research had been typically a single company without extension to the entire supply chain. When the concept of lean is implemented across the entire supply chain, however, it is referred to as lean supply chain. The purpose of this thesis is to create a structure from theory a...

  8. Lean healthcare from a change management perspective.

    Science.gov (United States)

    van Rossum, Lisa; Aij, Kjeld Harald; Simons, Frederique Elisabeth; van der Eng, Niels; Ten Have, Wouter Dirk

    2016-05-16

    Purpose - Lean healthcare is used in a growing number of hospitals to increase efficiency and quality of care. However, healthcare organizations encounter problems with the implementation of change initiatives due to an implementation gap: the gap between strategy and execution. From a change management perspective, the purpose of this paper is to increase scientific knowledge regarding factors that diminish the implementation gap and make the transition from the "toolbox lean" toward an actual transformation to lean healthcare. Design/methodology/approach - A cross-sectional study was executed in an operating theatre of a Dutch University Medical Centre. Transformational leadership was expected to ensure the required top-down commitment, whereas team leadership creates the required active, bottom-up behavior of employees. Furthermore, professional and functional silos and a hierarchical structure were expected to impede the workforce flexibility in adapting organizational elements and optimize the entire process flow. Findings - The correlation and regression analyses showed positive relations between the transformational leadership and team leadership styles and lean healthcare implementation. The results also indicated a strong relation between workforce flexibility and the implementation of lean healthcare. Originality/value - With the use of a recently developed change management model, the Change Competence Model, the authors suggest leadership and workforce flexibility to be part of an organization's change capacity as crucial success factor for a sustainable transformation to lean healthcare.

  9. The promise of Lean in health care.

    Science.gov (United States)

    Toussaint, John S; Berry, Leonard L

    2013-01-01

    An urgent need in American health care is improving quality and efficiency while controlling costs. One promising management approach implemented by some leading health care institutions is Lean, a quality improvement philosophy and set of principles originated by the Toyota Motor Company. Health care cases reveal that Lean is as applicable in complex knowledge work as it is in assembly-line manufacturing. When well executed, Lean transforms how an organization works and creates an insatiable quest for improvement. In this article, we define Lean and present 6 principles that constitute the essential dynamic of Lean management: attitude of continuous improvement, value creation, unity of purpose, respect for front-line workers, visual tracking, and flexible regimentation. Health care case studies illustrate each principle. The goal of this article is to provide a template for health care leaders to use in considering the implementation of the Lean management system or in assessing the current state of implementation in their organizations. Copyright © 2013 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  10. Lean healthcare: rhetoric, ritual and resistance.

    Science.gov (United States)

    Waring, Justin J; Bishop, Simon

    2010-10-01

    This paper presents an ethnographic account of the implementation of Lean service redesign methodologies in one UK NHS hospital operating department. It is suggested that this popular management 'technology', with its emphasis on creating value streams and reducing waste, has the potential to transform the social organisation of healthcare work. The paper locates Lean healthcare within wider debates related to the standardisation of clinical practice, the re-configuration of occupational boundaries and the stratification of clinical communities. Drawing on the 'technologies-in-practice' perspective the study is attentive to the interaction of both the intent to transform work and the response of clinicians to this intent as an ongoing and situated social practice. In developing this analysis this article explores three dimensions of social practice to consider the way Lean is interpreted and articulated (rhetoric), enacted in social practice (ritual), and experienced in the context of prevailing lines of power (resistance). Through these interlinked analytical lenses the paper suggests the interaction of Lean and clinical practice remains contingent and open to negotiation. In particular, Lean follows in a line of service improvements that bring to the fore tensions between clinicians and service leaders around the social organisation of healthcare work. The paper concludes that Lean might not be the easy remedy for making both efficiency and effectiveness improvements in healthcare.

  11. Low-Load Limit in a Diesel-Ignited Gas Engine

    Directory of Open Access Journals (Sweden)

    Richard Hutter

    2017-09-01

    Full Text Available The lean-burn capability of the Diesel-ignited gas engine combined with its potential for high efficiency and low CO 2 emissions makes this engine concept one of the most promising alternative fuel converters for passenger cars. Instead of using a spark plug, the ignition relies on the compression-ignited Diesel fuel providing ignition centers for the homogeneous air-gas mixture. In this study the amount of Diesel is reduced to the minimum amount required for the desired ignition. The low-load operation of such an engine is known to be challenging, as hydrocarbon (HC emissions rise. The objective of this study is to develop optimal low-load operation strategies for the input variables equivalence ratio and exhaust gas recirculation (EGR rate. A physical engine model helps to investigate three important limitations, namely maximum acceptable HC emissions, minimal CO 2 reduction, and minimal exhaust gas temperature. An important finding is the fact that the high HC emissions under low-load and lean conditions are a consequence of the inability to raise the gas equivalence ratio resulting in a poor flame propagation. The simulations on the various low-load strategies reveal the conflicting demand of lean combustion with low CO 2 emissions and stoichiometric operation with low HC emissions, as well as the minimal feasible dual-fuel load of 3.2 bar brake mean effective pressure.

  12. [The pain from burns].

    Science.gov (United States)

    Latarjet, J

    2002-03-01

    The painful events associated with the treatment of a severe burn can, because of their long-lasting and repetitive characteristics, be one of the most excruciating experiences in clinical practice. Moreover, burn pain has been shown to be detrimental to burn patients. Although nociception and peripheral hyperalgesia are considered the major causes of burn pain, the study of more hypothetical mechanisms like central hyperalgesia and neuropathic pain may lead to a better understanding of burn pain symptoms and to new therapeutic approaches. Continuous pain and intermittent pain due to therapeutic procedures are two distinct components of burn pain. They have to be evaluated and managed separately. Although continuous pain is by far less severe than intermittent pain, the treatment is, in both cases, essentially pharmacological relying basically on opioids. Because of wide intra- and inter-individual variations, protocols will have to leave large possibilities of adaptation for each case, systematic pain evaluation being mandatory to achieve the best risk/benefit ratio. Surprisingly, the dose of medication decreases only slowly with time, a burn often remaining painful for long periods after healing. Non pharmacological treatments are often useful and sometimes indispensable adjuncts; but their rationale and their feasibility depends entirely on previous optimal pharmacological control of burn pain. Several recent studies show that burn pain management is inadequate in most burn centres.

  13. Using Dynamic Value Stream Mapping and Lean Accounting Box Scores to Support Lean Implementation

    Science.gov (United States)

    Woehrle, Stephen L.; Abou-Shady, Louay

    2010-01-01

    Lean has proven to be an effective management philosophy for improving businesses in a competitive market by eliminating waste and improving operations. An impact of implementing lean projects is the rapid reduction in inventory levels, which gives management the false impression that profits are decreasing while workers on the shop floor observe…

  14. Burns and epilepsy.

    Science.gov (United States)

    Berrocal, M

    1997-01-01

    This is a report of the first descriptive analytic study of a group of 183 burn patients, treated in the Burn Unit at the University Hospital of Cartagena, Colombia during the period since January 1985 until December 1990. There is presented experience with the selected group of 24 patients in whom the diagnosis of burn was associated with epilepsy. There is also analysed and described the gravity of the scars sequels, neurological disorders, the complication of the burn and an impact of this problem on the patient, his (her) family and the community. It is very important to report that there was found Neurocisticercosis in 66.6% of the group of burn patients with epilepsy, and it is probably the first risk factor of burn in this group.

  15. The Burning Saints

    DEFF Research Database (Denmark)

    Xygalatas, Dimitris

    . Carrying the sacred icons of the saints, participants dance over hot coals as the saint moves them. The Burning Saints presents an analysis of these rituals and the psychology behind them. Based on long-term fieldwork, The Burning Saints traces the historical development and sociocultural context......, The Burning Saints presents a highly original analysis of how mental processes can shape social and religious behaviour....

  16. Management of Hand Burns

    Directory of Open Access Journals (Sweden)

    Fatih Irmak

    2017-09-01

    Full Text Available Objective: The hand is one of the most frequently affected body parts by burn injuries with a rate of 80% among all burn wounds. Early and effective treatment ensures the best chance of survival as well as a good functional prognosis. The aim of this study was to determine the epidemiology, variation, relationship between etiology and hospital stay, clinical features, and management of hand burns. Material and Methods: This retrospective study was conducted the University of Health Sciences; Şişli Hamidiye Etfal Application and Research Center, Departmant of Plastic, Reconstructive and Aesthetic Surgery and the Intensive Burn Care Unit between April 2009 and April 2014. Burns were assessed based on etiology, anatomical location, percentage of total body surface area affected, and depth of injury. Treatment was categorized as conservative, elective operative, or urgent operative. Results: In the study period, 788 patients were admitted to our Burn Unit. Of these, 240 were females (30.5% and 548 were males (69.5%. The most common type of burn injury in this study was thermal injury (695 cases; 88.2%, followed by electrical injury (67 cases; 8.5%, and chemical, frictional or unknown injuries (26 cases; 3.3%. Majority (more than 85% of the patients had second-degree burns, and some had third-degree burns. Conclusions: Burns commonly affect the hands, and many functional problems may develop if appropriate basic treatments are neglected. The best treatment for burns is prevention. Appropriate indoor arrangement and simple but effective measures that can be taken at home can significantly reduce burn trauma exposure.

  17. Management of Outpatient Burns

    OpenAIRE

    Waslen, G. D.

    1986-01-01

    The severity of burns depends on the depth and extent of body surface involved. The total body surface area (TBSA) involved can be estimated by the ‘rule of nines’; body locations are 9% of body surface or multiples of nine. Depth and TBSA can be used to classify burns as minor, moderate, or critical. Diagnosis depends on history and physical examination. Most burns can be treated in an outpatient setting. Treatment should include debriding necrotic tissue, preventing infection and encouragin...

  18. Burns in pregnancy.

    Science.gov (United States)

    Maghsoudi, Hemmat; Samnia, Roya; Garadaghi, Abasad; Kianvar, Hadi

    2006-03-01

    A 9-year prospective study of burns in pregnant women hospitalized at the Sina hospital burn center was conducted to determine the etiology and outcome of pregnant patients. Fifty-one patients (27.45% self-inflicted, 72.55% unintentional) were identified and stratified by age, burn size, presence or absence of inhalation injury, trimester of pregnancy, maternal and fetal mortality, and cause of burn. The mean patient age was 24.2 years. There were 20 maternal deaths and 23 fetal deaths. The majority of which (maternal: 13 and fetal: 13) were among self-inflicted burned pregnant women. The mean burn size was 37.7%, and was significantly larger for nonsurvivors of mother than survivors (68.8% versus 17.6%; pburned body surface area exceeds 40%, both maternal and fetal mortality reaches 100%. Inhalation injuries were strongly associated with large burns, and were presents in all suicide patients. Kerosene ignition (68.6% of all patients, 100% of self-inflicted patients) was the most common type of burn. Large burn size was the strongest predictor of mortality of mother and fetus followed by the presence of inhalation injury.

  19. Lean oncology: a new model for oncologists.

    Science.gov (United States)

    Montesarchio, Vincenzo; Grimaldi, Antonio Maria; Fox, Bernard A; Rea, Antonio; Marincola, Francesco M; Ascierto, Paolo A

    2012-04-25

    The history of the term Lean is relatively recent and originates from the Toyota Production System (TPS). The term "Lean" means "thin", which refers to a mental process, operational, productive, no-frills, quick but not hasty, consequential to the previous event. The Lean process flows seamlessly into the result, eliminates unnecessary complications to the effect, prevents unnecessary equipment processes. The idea is to 'do more with less', like using the (few) available resources in the most productive way possible, through the elimination of all types of waste that inevitably accompanies every stage of a production process. Lean management is primarily a management philosophy, a system of values and behaviors that goes beyond the mere application of the instrument and that, once internalized, will form the nucleus of the corporate culture. "Lean Oncology" is a term coined to identify a methodology of care and treatment to cancer patients, consisting on process simplification, streamlining of the organizational and routes of drug treatment, detection and elimination of waste. Its main objective is the centrality of the patient.

  20. Lean oncology: a new model for oncologists

    Directory of Open Access Journals (Sweden)

    Montesarchio Vincenzo

    2012-04-01

    Full Text Available Abstract The history of the term Lean is relatively recent and originates from the Toyota Production System (TPS. The term "Lean" means "thin", which refers to a mental process, operational, productive, no-frills, quick but not hasty, consequential to the previous event. The Lean process flows seamlessly into the result, eliminates unnecessary complications to the effect, prevents unnecessary equipment processes. The idea is to 'do more with less', like using the (few available resources in the most productive way possible, through the elimination of all types of waste that inevitably accompanies every stage of a production process. Lean management is primarily a management philosophy, a system of values and behaviors that goes beyond the mere application of the instrument and that, once internalized, will form the nucleus of the corporate culture. "Lean Oncology" is a term coined to identify a methodology of care and treatment to cancer patients, consisting on process simplification, streamlining of the organizational and routes of drug treatment, detection and elimination of waste. Its main objective is the centrality of the patient.

  1. Lean Manufacturing Auto Cluster at Chennai

    Science.gov (United States)

    Bhaskaran, E.

    2012-10-01

    Due the presence of lot of automotive Industry, Chennai is known as Detroit of India, that producing over 40 % of the Indian vehicle and components. Lean manufacturing concepts have been widely recognized as an important tool in improving the competitiveness of industries. This is a continuous process involving everyone, starting from management to the shop floor. Automotive Component Industries (ACIs) in Ambattur Industrial Estate, Chennai has formed special purpose vehicle (SPV) society namely Ambattur Industrial Estate Manufacturers Association (AIEMA) Technology Centre (ATC) lean manufacturing cluster (ATC-LMC) during July 2010 under lean manufacturing competitiveness scheme, that comes under National Manufacturing Competitiveness Programme of Government of India. The Tripartite Agreement is taken place between National Productivity Council, consultants and cluster (ATC-LMC). The objective is to conduct diagnostic study, study on training and application of various lean manufacturing techniques and auditing in ten ACIs. The methodology adopted is collection of primary data/details from ten ACIs. In the first phase, diagnostic study is done and the areas for improvement in each of the cluster member companies are identified. In the second phase, training programs and implementation is done on 5S and other areas. In the third phase auditing is done and found that the lean manufacturing techniques implementation in ATC-LMC is sustainable and successful in every cluster companies, which will not only enhance competitiveness but also decrease cost, time and increase productivity. The technical efficiency of LMC companies also increases significantly.

  2. Optimization of large scale food production using Lean Manufacturing principles

    DEFF Research Database (Denmark)

    Engelund, Eva Høy; Friis, Alan; Breum, Gitte

    2009-01-01

    This paper discusses how the production principles of Lean Manufacturing (Lean) can be applied in a large-scale meal production. Lean principles are briefly presented, followed by a field study of how a kitchen at a Danish hospital has implemented Lean in the daily production. In the kitchen...... not be negatively affected by the rationalisation of production procedures. The field study shows that Lean principles can be applied in meal production and can result in increased production efficiency and systematic improvement of product quality without negative effects on the working environment. The results...... show that Lean can be applied and used to manage the production of meals in the kitchen....

  3. Genetic variation in efficiency to deposit fat and lean meat in Norwegian Landrace and Duroc pigs.

    Science.gov (United States)

    Martinsen, K H; Ødegård, J; Olsen, D; Meuwissen, T H E

    2015-08-01

    Feed costs amount to approximately 70% of the total costs in pork production, and feed efficiency is, therefore, an important trait for improving pork production efficiency. Production efficiency is generally improved by selection for high lean growth rate, reduced backfat, and low feed intake. These traits have given an effective slaughter pig but may cause problems in piglet production due to sows with limited body reserves. The aim of the present study was to develop a measure for feed efficiency that expressed the feed requirements per 1 kg deposited lean meat and fat, which is not improved by depositing less fat. Norwegian Landrace ( = 8,161) and Duroc ( = 7,202) boars from Topigs Norsvin's testing station were computed tomography scanned to determine their deposition of lean meat and fat. The trait was analyzed in a univariate animal model, where total feed intake in the test period was the dependent variable and fat and lean meat were included as random regression cofactors. These cofactors were measures for fat and lean meat efficiencies of individual boars. Estimation of fraction of total genetic variance due to lean meat or fat efficiency was calculated by the ratio between the genetic variance of the random regression cofactor and the total genetic variance in total feed intake during the test period. Genetic variance components suggested there was significant genetic variance among Norwegian Landrace and Duroc boars in efficiency for deposition of lean meat (0.23 ± 0.04 and 0.38 ± 0.06) and fat (0.26 ± 0.03 and 0.17 ± 0.03) during the test period. The fraction of the total genetic variance in feed intake explained by lean meat deposition was 12% for Norwegian Landrace and 15% for Duroc. Genetic fractions explained by fat deposition were 20% for Norwegian Landrace and 10% for Duroc. The results suggested a significant part of the total genetic variance in feed intake in the test period was explained by fat and lean meat efficiency. These new

  4. Burns and military clothing.

    Science.gov (United States)

    McLean, A D

    2001-02-01

    Burn injury is a ubiquitous threat in the military environment. The risks during combat are well recognised, but the handling of fuel, oil, munitions and other hot or flammable materials during peacetime deployment and training also imposes an inherent risk of accidental burn injury. Over the last hundred years, the burn threat in combat has ranged from nuclear weapons to small shoulder-launched missiles. Materials such as napalm and white phosphorus plainly present a risk of burn, but the threat extends to encompass personnel in vehicles attacked by anti-armour weapons, large missiles, fuel-air explosives and detonations/conflagrations on weapons platforms such as ships. Large numbers of burn casualties were caused at Pearl Harbor, in Hiroshima and Nagasaki, Vietnam, during the Arab/Israeli Wars and in the Falkland Islands conflict. The threat from burns is unlikely to diminish, indeed new developments in weapons seek to exploit the vulnerability of the serviceman and servicewoman to burns. Clothing can be a barrier to some types of burn--both inherently in the properties of the material, but also by trapping air between clothing layers. Conversely, ignition of the clothing may exacerbate a burn. There is hearsay that burnt clothing products within a wound may complicate the clinical management, or that materials that melt (thermoplastic materials) should not be worn if there is a burn threat. This paper explores the incidence of burn injury, the mechanisms of heat transfer to bare skin and skin covered by materials, and the published evidence for the complication of wound management by materials. Even light-weight combat clothing can offer significant protection to skin from short duration flash burns; the most vulnerable areas are the parts of the body not covered--face and hands. Multilayered combat clothing can offer significant protection for short periods from engulfment by flames; lightweight tropical wear with few layers offers little protection. Under

  5. LONG-TERM ASSESSMENT OF ECCENTRIC, ISOMETRIC, CONCENTRIC MUSCLE STRENGTH AND FUNCTIONAL CAPACITY AFTER SEVERELY BURNED ADULT

    Directory of Open Access Journals (Sweden)

    Anwar Abdelgayed Ebid

    2015-06-01

    Full Text Available Background: Severe burn leads to marked and prolonged skeletal muscle catabolism and weakness. Objective: The aim of this study was to investigate the long term effect of severe burn injury on eccentric, concentric, isometric muscle torque, average power, lean body mass, six minute walk and 8-foot walk. Design: Eccentric, isometric and concentric muscle torque and average power were assessed at 24 months in burned adult with 40%-50% total body surface area (TBSA at 150 o/s by using isokinetic dynamometry, Total lean body mass (TLBM and lower limb mass (LLM measurements were assessed for both groups using dual energy X-ray absorptiometry. Functional capacity was assessed using six minute walk test (6MWT and 8-Feet walk test. Lean body mass (LBM was determined via dual energy X-ray absorptiometry. Nonburned adult was assessed similarly, and served as controls. Results: severely burned adult (n=35, relative to nonburned adult (n=42 had significantly lower peak torque of eccentric, isometric, concentric muscle strength, average power and functional capacity. The most affected type of muscle strength after burn was concentric, isometric then eccentric. Conclusions: Our results serve as an objective data for assessing the three modes of muscle strength and functional capacity in severely burned adult population.

  6. Lean for Government: Eliminating the Seven Wastes

    Science.gov (United States)

    Shepherd, Christena C.

    2012-01-01

    With shrinking budgets and a slow economy, it is becoming increasingly important for all government agencies to become more efficient. Citizens expect and deserve efficient and effective services from federal, state and local government agencies. One of the best methods to improve efficiency and eliminate waste is to institute the business process improvement methodologies known collectively as Lean; however, with reduced budgets, it may not be possible to train everyone in Lean or to engage the services of a trained consultant. It is possible, however, to raise awareness of the "Seven Wastes" of Lean in each employee, and encourage them to identify areas for improvement. Management commitment is vital to the success of these initiatives, and it is also important to develop the right metrics that will track the success of these changes.

  7. Contribution of Lean Management to Excellence

    Directory of Open Access Journals (Sweden)

    López-Fresno Palmira

    2014-11-01

    Full Text Available To continuously and systematically improve efficiency and efficacy of processes, organizations need the implication of all employees in continuous improvement and innovation through suitable Quality Management Programs (QMPs. Effectiveness of these programs is directly linked to the requirement employees understand the methodologies and tools used for QM and the benefits that will derivate from their implementation, individually and collectively, so they can commit and implicate. Lean Management is a friendly methodology to continuously and systematically achieve process improvement, so helping the organization seeking operational excellence that contributes to overall excellence. This paper identifies Critical Success Factors (CSFs for an effective implementation of QMPs, suggests Lean Management as an easy-to-understand, powerful and friendly methodology for operational excellence and overall excellence, and presents a case experience of implementation of Lean Management in a health care organization that applies the EFQM model, and the lessons learnt.

  8. Theories of lean management: an empirical evaluation.

    Science.gov (United States)

    Handel, Michael J

    2014-03-01

    Debates within organization theory traditionally argued the relative merits of bureaucracy but today there is broad agreement across different perspectives that bureaucratic organization is inefficient and outmoded. Despite their differences, post-bureaucratic and neo-liberal theories argue that organizations with relatively flat hierarchies and low management overhead are better adapted to current market requirements. Post-bureaucratic theory also argues that employees, as well as firms, benefit from leaner management structures. This paper investigates trends in managerial leanness, proposed explanations for such trends, and the consequences of leanness for firms and employees. Although there is a trend toward flatter management hierarchies, there is only weak support for current claims regarding both the causes and consequences of lean management. Copyright © 2013 Elsevier Inc. All rights reserved.

  9. Implementing lean in a surgical ward

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders Paarup; Jacobsen, Peter

    of the lean implementation has been a 33% increase in patient throughput. The second flow is unchanged and concerned with non-standard and emergency procedures, e.g.., major hip surgery on old people or surgery on traffic victims. The surgeries within this flow are non-routine, unpredictable and cannot....... Stable and standardized processes ensure quality and predictability (e.g. process time). Leveling of production is essential for production planning. Based on the results of the case study of the surgical ward this paper will discuss three issues or challenges that emerged from the implementation of lean...... procedures to patients in need of complex emergency procedures. The primary result of the lean project has been to split the flow of patients in two. The first flow is concerned with highly standardized and non-emergency procedures, e.g. minor knee surgery. These surgeries are routine, predictable and can...

  10. Obese and Lean Zucker Rats Demonstrate Differential Sensitivity to Rates of Food Reinforcement in a Choice Procedure

    OpenAIRE

    Buckley, Jessica L.; Rasmussen, Erin B.

    2012-01-01

    The obese Zucker rat carries two recessive fa alleles that result in the expression of an obese phenotype. Obese Zuckers have higher food intake than lean controls in free-feed studies in which rats have ready access to a large amount of one type of food. The present study examined differences in obese and lean Zucker rats using concurrent schedules of reinforcement, which more ecologically models food selection using two food choices that have limited, but generally predictable, availability...

  11. The Development Of A Theoretical Lean Culture Causal Framework To Support The Effective Implementation Of Lean In Automotive Component Manufacturers

    Directory of Open Access Journals (Sweden)

    Van der Merwe, Karl Robert

    2014-05-01

    Full Text Available Although it is generally accepted that lean manufacturing improves operational performance, many organisations are struggling to adapt to the lean philosophy. The purpose of this study is to contribute to a more effective strategy for implementing the lean manufacturing improvement philosophy. The study sets out both to integrate well-researched findings and theories related to generic organisational culture with more recent research and experience related to lean culture, and to examine the role that culture plays in the effective implementation of lean manufacturing principles and techniques. The ultimate aim of this exercise is to develop a theoretical lean culture causal framework.

  12. Lean environmental management integration system for sustainability of ISO 14001:2004 standard implementation

    Directory of Open Access Journals (Sweden)

    Perumal Puvanasvaran

    2014-10-01

    Full Text Available Purpose: The purpose of this study is to present a model for integrating Lean Principles with ISO 14001 Environmental Management System.Design/methodology/approach: To achieve the objective of the study, the methodology used in this study is based on preliminary literature review of ISO 14001 standards and Lean Principles as well as certain case reports from various proponents and authors of ISO 14001 and Lean as noted in various articles and journals and some books.Findings and Originality/value: The findings of this study are a new model called Lean Environmental Management Integration System (LEMIS has been developed and leads to the creation of these measurement standards for evaluating the organization, making its environmental efforts more realistic, focused and attainable.Research limitations/implications: Future research should be conducted case studies in this direction are required to be conducted for examining the feasibility of amalgamation and implementing ISO 14001:2004 standards with the philosophy of Lean Principles to enable the achievement of world class standards.Practical implications: This model helps to eliminate any wasteful processes in the organization’s implementation of the ISO 14001 standard thus leading to higher environmental performance.  Integrating the standard with Lean principles through LEMIS model helps to specify these performance measures making the standard achieve sustainability and continual improvement.Originality/value: This study presents a unique approach of integrating the two main models, namely Lean Principles and ISO 14001 Environmental Management System, as a single framework benefiting contemporary organizations.

  13. Pain in burn patients.

    Science.gov (United States)

    Latarjet, J; Choinère, M

    1995-08-01

    While severe pain is a constant component of the burn injury, inadequate pain management has been shown to be detrimental to burn patients. Pain-generating mechanisms in burns include nociception, primary and secondary hyperalgesia and neuropathy. The clinical studies of burn pain characteristics reveal very clear-cut differences between continuous pain and pain due to therapeutic procedures which have to be treated separately. Some of the main features of burn pain are: (1) its long-lasting course, often exceeding healing time, (2) the repetition of highly nociceptive procedures which can lead to severe psychological disturbances if pain control is inappropriate. Pharmaco-therapy with opioids is the mainstay for analgesia in burned patients, but non-pharmacological techniques may be useful adjuncts. Routine pain evaluation is mandatory for efficient and safe analgesia. Special attention must be given to pain in burned children which remains too often underestimated and undertreated. More educational efforts from physicians and nursing staff are necessary to improve pain management in burned patients.

  14. Nutrition of burned patients.

    Science.gov (United States)

    Gudaviciene, Daiva; Rimdeika, Rytis; Adamonis, Kestutis

    2004-01-01

    Burns form 5-12% of all traumas. About 2,200 of patients are annually hospitalized in Lithuania. In most cases people of the employable age get burned. The treatment is often long-lasting, and afterwards recovered patients often have invalidity from burn sequels. The mortality of hospitalized burned patients is about 10%. The most common causes of death are pulmonary edema, pneumonia, sepsis and multiorgan failure. All these complications are related with insufficient nutrition. These complications are extremely frequent and dangerous for patients with more than 20% of body burned. The nutritional support of burned patient gives a possibility to increase the survival probability, to decrease complication rate and hospitalization time. Currently in Lithuania there are no standards for burned patient nutrition. More attention is given to strategy of surgical strategy and techniques, as well as antibiotic therapy. This article is the review of the different aspects of artificial nutrition of burned patient: indications, modes of nutrition, mixtures and terms of nutritional support.

  15. Childhood burns in south eastern Nigeria

    Directory of Open Access Journals (Sweden)

    Okoro Philemon

    2009-01-01

    Full Text Available Background: Burns injuries are recognized as a major health problem worldwide. In children and, particularly, in our environment where poverty, ignorance and disease are still high, they constitute significant morbidity and mortality. Previous studies on this topic in parts of Nigeria either lumped adults and children together or were retrospective. We, therefore, prospectively studied the current trends in burns in children. Patients and Methods: This prospective study of burns spanned over a period of 18 months (June 2006-December 2007 at the Paediatric Surgery Units of the Imo State University Teaching Hospital, Orlu, and the Federal Medical Centre, Owerri, Imo State. Data were collected and analysed for age, sex, cause/type of burn, place of burn, presence or absence of adult/s, initial prehospital intervention, interval between injury and presentation, surface area and depth of burn and treatment and outcome. Results: Fifty-three patients were studied, 31 (58.4% were male and 22 (41.6% were female (M:F = 1.4:1. Patients mostly affected were aged 2 years and below. The most common cause of burns was hot water in 31 (58.5% patients. The vast majority of these injuries happened in a domestic environment (92.5% and in the presence of competent adult/s (88.7%. Outcome of treatment was good: there were two (3.8% deaths and 46 (86% patients had complete recovery. Conclusion: Burns is still a major health problem among children in south eastern Nigeria. Fortunately, outcome of appropriate treatment is good. However, we think that poor safety consciousness among parents is a major predisposing factor. Public enlightenment on measures to ensure safe home environment may be necessary to avoid or limit childhood burns.

  16. Interactions between lean management and the psychosocial work environment in a hospital setting - a multi-method study.

    Science.gov (United States)

    Ulhassan, Waqar; von Thiele Schwarz, Ulrica; Thor, Johan; Westerlund, Hugo

    2014-10-22

    As health care struggles to meet increasing demands with limited resources, Lean has become a popular management approach. It has mainly been studied in relation to health care performance. The empirical evidence as to how Lean affects the psychosocial work environment has been contradictory. This study aims to study the interaction between Lean and the psychosocial work environment using a comprehensive model that takes Lean implementation information, as well as Lean theory and the particular context into consideration. The psychosocial work environment was measured twice with the Copenhagen Psychosocial Questionnaire (COPSOQ) employee survey during Lean implementations on May-June 2010 (T1) (n = 129) and November-December 2011 (T2) (n = 131) at three units (an Emergency Department (ED), Ward-I and Ward-II). Information based on qualitative data analysis of the Lean implementations and context from a previous paper was used to predict expected change patterns in the psychosocial work environment from T1 to T2 and subsequently compared with COPSOQ-data through linear regression analysis. Between T1 and T2, qualitative information showed a well-organized and steady Lean implementation on Ward-I with active employee participation, a partial Lean implementation on Ward-II with employees not seeing a clear need for such an intervention, and deterioration in already implemented Lean activities at ED, due to the declining interest of top management. Quantitative data analysis showed a significant relation between the expected and actual results regarding changes in the psychosocial work environment. Ward-I showed major improvements especially related to job control and social support, ED showed a major decline with some exceptions while Ward-II also showed improvements similar to Ward-I. The results suggest that Lean may have a positive impact on the psychosocial work environment given that it is properly implemented. Also, the psychosocial work environment may even

  17. Clay Improvement with Burned Olive Waste Ash

    Directory of Open Access Journals (Sweden)

    Utkan Mutman

    2013-01-01

    Full Text Available Olive oil is concentrated in the Mediterranean basin countries. Since the olive oil industries are incriminated for a high quantity of pollution, it has become imperative to solve this problem by developing optimized systems for the treatment of olive oil wastes. This study proposes a solution to the problem. Burned olive waste ash is evaluated for using it as clay stabilizer. In a laboratory, bentonite clay is used to improve olive waste ash. Before the laboratory, the olive waste is burned at 550°C in the high temperature oven. The burned olive waste ash was added to bentonite clay with increasing 1% by weight from 1% to 10%. The study consisted of the following tests on samples treated with burned olive waste ash: Atterberg Limits, Standard Proctor Density, and Unconfined Compressive Strength Tests. The test results show promise for this material to be used as stabilizer and to solve many of the problems associated with its accumulation.

  18. The role of outsourcing in Lean Manufacturing

    DEFF Research Database (Denmark)

    Bjarnø, Ole-Christian

    2003-01-01

    degree of complexity by introducing many new product lines, without phasing out very many of the old products could be changed into a far less complex organisation through reengineering and outsourcing. This again opened up for the application of the tool kit in Lean Manufacturing, and through...... demonstrates that strategic sourcing is a powerful tool in Lean Manufacturing with the achievement of marked improvements of performance, e.g. increased cost efficiency, higher flexibility and more management efficiency. One of the essential results was the verification that a company having evolved to a high...... this further productivity improvements could be achieved....

  19. A Lean Six Sigma journey in radiology.

    Science.gov (United States)

    Bucci, Ronald V; Musitano, Anne

    2011-01-01

    The department of radiology at Akron Children's Hospital embarked on a Lean Six Sigma mission as part of a hospital wide initiative to show increased customer satisfaction, reduce employee dissatisfaction and frustration, and decrease costs. Three processes that were addressed were reducing the MRI scheduling back-log, reconciling discrepancies in billing radiology procedures, and implementing a daily management system. Keys to success is that managers provide opportunities to openly communicate between department sections to break down barriers. Executive leaders must be engaged in Lean Six Sigma for the company to be successful.

  20. The role of outsourcing in Lean Manufacturing

    DEFF Research Database (Denmark)

    Bjarnø, Ole-Christian

    2003-01-01

    demonstrates that strategic sourcing is a powerful tool in Lean Manufacturing with the achievement of marked improvements of performance, e.g. increased cost efficiency, higher flexibility and more management efficiency. One of the essential results was the verification that a company having evolved to a high...... degree of complexity by introducing many new product lines, without phasing out very many of the old products could be changed into a far less complex organisation through reengineering and outsourcing. This again opened up for the application of the tool kit in Lean Manufacturing, and through...

  1. Waste Measurement Techniques For Lean Companies

    Directory of Open Access Journals (Sweden)

    Maciej Pieńkowski

    2014-12-01

    Full Text Available The paper is dedicated to answer the problem of measuring waste in companies, which are implementing Lean Manufacturing concept. Lack of complex identification, quantification an visualization of waste significantly impedes Lean transformation efforts. This problem can be solved by a careful investigation of Muda, Muri and Mura, which represent the essence of waste in the Toyota Production System. Measuring them facilitates complete and permanent elimination of waste in processes. The paper introduces a suggestion of methodology, which should enable company to quantify and visualize waste at a shop floor level.

  2. Burning mouth syndrome

    Directory of Open Access Journals (Sweden)

    K A Kamala

    2016-01-01

    Full Text Available Burning mouth syndrome (BMS is multifactorial in origin which is typically characterized by burning and painful sensation in an oral cavity demonstrating clinically normal mucosa. Although the cause of BMS is not known, a complex association of biological and psychological factors has been identified, suggesting the existence of a multifactorial etiology. As the symptom of oral burning is seen in various pathological conditions, it is essential for a clinician to be aware of how to differentiate between symptom of oral burning and BMS. An interdisciplinary and systematic approach is required for better patient management. The purpose of this study was to provide the practitioner with an understanding of the local, systemic, and psychosocial factors which may be responsible for oral burning associated with BMS, and review of treatment modalities, therefore providing a foundation for diagnosis and treatment of BMS.

  3. Hand chemical burns.

    Science.gov (United States)

    Robinson, Elliot P; Chhabra, A Bobby

    2015-03-01

    There is a vast and ever-expanding variety of potentially harmful chemicals in the military, industrial, and domestic landscape. Chemical burns make up a small proportion of all skin burns, yet they can cause substantial morbidity and mortality. Additionally, the hand and upper extremity are the most frequently involved parts of the body in chemical burns, and therefore these injuries may lead to severe temporary or permanent loss of function. Despite this fact, discussion of the care of these injuries is sparse in the hand surgery literature. Although most chemical burns require only first response and wound care, some require the attention of a specialist for surgical debridement and, occasionally, skin coverage and reconstruction. Exposure to certain chemicals carries the risk of substantial systemic toxicity and even mortality. Understanding the difference between thermal and chemical burns, as well as special considerations for specific compounds, will improve patient treatment outcomes.

  4. [Chickenpox, burns and grafts].

    Science.gov (United States)

    Rojas Zegers, J; Fidel Avendaño, L

    1979-01-01

    An outbreak of chickenpox that occurred at the Burns Repair Surgery Unit, Department of Children's Surgery, Hospital R. del Río, between June and November, 1975, is reported. 27 cases of burned children were studied, including analysis of correlations of the stages and outcome of the disease (varicela), the trauma (burns) and the graft (repair surgery). As a result, the authors emphasize the following findings: 1. Burns and their repair are not aggravating factors for varicella. In a small number of cases the exanthema looked more confluent in the graft surgical areas and in the first degree burns healing spontaneously. 2. Usually there was an uneventful outcome of graft repair surgery on a varicella patient, either during the incubation period, the acme or the convalescence. 3. The fact that the outmost intensity of secondary viremia of varicella occurs before the onset of exanthemia, that is, during the late incubation period, is confirmed.

  5. Crude oil burning mechanisms

    DEFF Research Database (Denmark)

    van Gelderen, Laurens; Malmquist, Linus Mattias Valdemar; Jomaas, Grunde

    2015-01-01

    In order to improve predictions for the burning efficiency and the residue composition of in-situ burning of crude oil, the burning mechanism of crude oil was studied in relation to the composition of its hydrocarbon mixture, before, during and after the burning. The surface temperature, flame...... height, mass loss rate and residues of three hydrocarbon liquids (n-octane, dodecane and hexadecane), two crude oils (DUC and REBCO) and one hydrocarbon liquid mixture of the aforementioned hydrocarbon liquids were studied using the Crude Oil Flammability Apparatus. The experimental results were compared...... to the predictions of four conceptual models that describe the burning mechanism of multicomponent fuels. Based on the comparisons, hydrocarbon liquids were found to be best described by the Equilibrium Flash Vaporization model, showing a constant gas composition and gasification rate. The multicomponent fuels...

  6. Lean Production and information technology : Connection or contradiction?

    NARCIS (Netherlands)

    Riezebos, Jan; Klingenberg, Warse; Hicks, Christian

    2009-01-01

    The principles of Lean Production have enabled organisations in the manufacturing and service sectors to significantly improve their competitiveness. The application of Lean principles, derived from the Toyota Production System has enabled many organisations to Simultaneously improve productivity, q

  7. Lean Production and information technology : Connection or contradiction?

    NARCIS (Netherlands)

    Riezebos, Jan; Klingenberg, Warse; Hicks, Christian

    2009-01-01

    The principles of Lean Production have enabled organisations in the manufacturing and service sectors to significantly improve their competitiveness. The application of Lean principles, derived from the Toyota Production System has enabled many organisations to Simultaneously improve productivity, q

  8. Lean Principles’Potential Measurement Framework for Service Organization

    National Research Council Canada - National Science Library

    M. D. Vadhvani; M. G. Bhatt

    2016-01-01

    .... Among these Lean Practices are having the inherent principles of reducing the cost and increasing the quality by focusing the non value added activities from the value chain of the service or product. Lean Principles (LPs...

  9. Lean Production and information technology : Connection or contradiction?

    NARCIS (Netherlands)

    Riezebos, Jan; Klingenberg, Warse; Hicks, Christian

    The principles of Lean Production have enabled organisations in the manufacturing and service sectors to significantly improve their competitiveness. The application of Lean principles, derived from the Toyota Production System has enabled many organisations to Simultaneously improve productivity,

  10. Development of framework for sustainable Lean implementation: an ISM approach

    Science.gov (United States)

    Jadhav, Jagdish Rajaram; Mantha, S. S.; Rane, Santosh B.

    2014-07-01

    The survival of any organization depends upon its competitive edge. Even though Lean is one of the most powerful quality improvement methodologies, nearly two-thirds of the Lean implementations results in failures and less than one-fifth of those implemented have sustained results. One of the most significant tasks of top management is to identify, understand and deploy the significant Lean practices like quality circle, Kanban, Just-in-time purchasing, etc. The term `bundle' is used to make groups of inter-related and internally consistent Lean practices. Eight significant Lean practice bundles have been identified based on literature reviewed and opinion of the experts. The order of execution of Lean practice bundles is very important. Lean practitioners must be able to understand the interrelationship between these practice bundles. The objective of this paper is to develop framework for sustainable Lean implementation using interpretive structural modelling approach.

  11. Superplasticity in a lean Fe-Mn-Al steel.

    Science.gov (United States)

    Han, Jeongho; Kang, Seok-Hyeon; Lee, Seung-Joon; Kawasaki, Megumi; Lee, Han-Joo; Ponge, Dirk; Raabe, Dierk; Lee, Young-Kook

    2017-09-29

    Superplastic alloys exhibit extremely high ductility (>300%) without cracks when tensile-strained at temperatures above half of their melting point. Superplasticity, which resembles the flow behavior of honey, is caused by grain boundary sliding in metals. Although several non-ferrous and ferrous superplastic alloys are reported, their practical applications are limited due to high material cost, low strength after forming, high deformation temperature, and complicated fabrication process. Here we introduce a new compositionally lean (Fe-6.6Mn-2.3Al, wt.%) superplastic medium Mn steel that resolves these limitations. The medium Mn steel is characterized by ultrafine grains, low material costs, simple fabrication, i.e., conventional hot and cold rolling, low deformation temperature (ca. 650 °C) and superior ductility above 1300% at 850 °C. We suggest that this ultrafine-grained medium Mn steel may accelerate the commercialization of superplastic ferrous alloys.Research in new alloy compositions and treatments may allow the increased strength of mass-produced, intricately shaped parts. Here authors introduce a superplastic medium manganese steel which has an inexpensive lean chemical composition and which is suited for conventional manufacturing processes.

  12. Lean Production Control at a High-Variety, Low-Volume Parts Manufacturer

    NARCIS (Netherlands)

    Bokhorst, Jos A. C.; Slomp, Jannes

    2010-01-01

    Eaton Electric General Supplies, a parts manufacturing unit that supplies parts for Eaton's electrical business unit, implemented several lean control elements in its high-variety, low-volume production units. These control elements include a constant work-in-process mechanism to limit and control

  13. Lean Production Control at a High-Variety, Low-Volume Parts Manufacturer

    NARCIS (Netherlands)

    Bokhorst, Jos A. C.; Slomp, Jannes

    2010-01-01

    Eaton Electric General Supplies, a parts manufacturing unit that supplies parts for Eaton's electrical business unit, implemented several lean control elements in its high-variety, low-volume production units. These control elements include a constant work-in-process mechanism to limit and control t

  14. Current concepts on burn wound conversion-A review of recent advances in understanding the secondary progressions of burns.

    Science.gov (United States)

    Salibian, Ara A; Rosario, Angelica Tan Del; Severo, Lucio De Almeida Moura; Nguyen, Long; Banyard, Derek A; Toranto, Jason D; Evans, Gregory R D; Widgerow, Alan D

    2016-08-01

    Burn wound conversion describes the process by which superficial partial thickness burns convert into deeper burns necessitating surgical intervention. Fully understanding and thus controlling this phenomenon continues to defy burn surgeons. However, potentially guiding burn wound progression so as to obviate the need for surgery while still bringing about healing with limited scarring is the major unmet challenge. Comprehending the pathophysiologic background contributing to deeper progression of these burns is an essential prerequisite to planning any intervention. In this study, a review of articles examining burn wound progression over the last five years was conducted to analyze trends in recent burn progression research, determine changes in understanding of the pathogenesis of burn conversion, and subsequently examine the direction for future research in developing therapies. The majority of recent research focuses on applying therapies from other disease processes to common underlying pathogenic mechanisms in burn conversion. While ischemia, inflammation, and free oxygen radicals continue to demonstrate a critical role in secondary necrosis, novel mechanisms such as autophagy have also been shown to contribute affect significantly burn progression significantly. Further research will have to determine whether multiple mechanisms should be targeted when developing clinical therapies.

  15. Knowledge Management in Set Based Lean Product Development Process

    OpenAIRE

    Furian, Robert; Lacroix, Frank,; STOKIC, DRAGAN; Correia, Ana; Grama, Cristina; Faltus, Stefan; Maksimovic, Maksim; Grote, Karl-Heinrich; Beyer, Christiane

    2012-01-01

    Part 2: Design, Manufacturing and Production Management; International audience; The objective of the research is to examine and develop new methods and tools for management of knowledge in Lean Product development. Lean Product development attempts to apply lean philosophy and principles within product development process. Special emphasis is given to the so-called Set Based Lean Design principles. Such product development process requires innovative methodologies and tools for capturing, re...

  16. TH-C-9A-01: Lean Tools and Methods

    Energy Technology Data Exchange (ETDEWEB)

    Rangaraj, D [Baylor Scott and White Health, Temple, TX (United States); Chan, K [Princess Margaret Hospital, Toronto (Canada); Boddu, S [Temple, TX (United States); Pawlicki, T [UC San Diego, La Jolla, CA (United States); Dieterich, S [UC Davis Medical Center, Sacramento, CA (United States)

    2014-06-15

    Lean thinking has revolutionized the manufacturing industry. Toyota has pioneered and leveraged this aspect of Lean thinking. Application of Lean thinking and Lean Six Sigma techniques into Healthcare and in particular in Radiation Oncology has its merits and challenges. To improve quality, safety and patient satisfaction with available resources or reducing cost in terms of time, staff and resources is demands of today's healthcare. Radiation oncology treatment involves many processes and steps, identifying and removing the non-value added steps in a process can significantly improve the efficiency. Real projects undertaken in radiation oncology department in cutting down the procedure time for MRI guided brachytherapy to 40% less using lean thinking will be narrated. Simple Lean tools and techniques such as Gemba walk, visual control, daily huddles, standard work, value stream mapping, error-proofing, etc. can be applied with existing resources and how that improved the operation in a Radiation Oncology department's two year experience will be discussed. Lean thinking focuses on identifying and solving the root-cause of a problem by asking “Why” and not “Who” and this requires a culture change of no blame. Role of leadership in building lean culture, employee empowerment and trains and develops lean thinkers will be presented. Why Lean initiatives fail and how to implement lean successfully in your clinic will be discussed. Learning Objectives: Concepts of lean management or lean thinking. Lean tools and techniques applied in Radiation Oncology. Implement no blame culture and focus on system and processes. Leadership role in implementing lean culture. Challenges for Lean thinking in healthcare.

  17. Lean management in a non-manufacturing organization

    Directory of Open Access Journals (Sweden)

    Mladen Žvorc

    2013-12-01

    Full Text Available This paper examines the possibilities of a lean approach to non-manufacturing functions, i.e. a market-oriented organization. This refers to purchasing, shipment, storage, sale and delivery of goods; marketing, etc. A lean approach to business operations is discussed and several lean business methods are developed on the basis of which lean management can be used not only in manufacturing, but also in non-manufacturing organizations.

  18. Towards an Operational Definition of Lean Construction Onsite

    OpenAIRE

    Sjögren Leong, Michelle; Ward, Steve; Koskela, Lauri

    2015-01-01

    Through literature review and drawing from a combined professional experience of over 20 years of lean construction implementation, this paper investigates the key success factor for the automotive industry’s uptake of lean production to see what the construction industry can derive from it. The paper concludes that there exist a variety of definitions of lean, but no existing definition is yet satisfactory to describe lean construction in a rigorously testable method. This is a major obstacl...

  19. Green-Lean Synergy - Root-Cause Analysis in Food Waste Prevention

    Directory of Open Access Journals (Sweden)

    Pegah Amani

    2015-06-01

    Full Text Available Purpose_The goal of this paper is to explore the possible synergetic effects between lean philosophy and green endeavors in improving resource efficiency in the food sector. To that end, it is investigated how a proper and tailor-made adaptation of the lean six sigma root cause analysis method could help in overcoming the complexities of increased resource efficiency in food production.Design/methodology/approach_The case study concerned reduction of waste at an industrial production line of a dough-based product, through the implementation of the lean six sigma tool.Findings_An achievement of a 50% reduction of waste on the studied process line was reached, thus exceeding the initial improvement goal.Research limitations/implications (if applicable_While the explicit findings on the specific root causes of waste on this actual production line are not immediately transferrable to other cases, they show that applying this method to identifying and eliminating root causes of waste for other products and processes in the food sector could not only reduce costs but also contribute to more resource-efficient and sustainable industrial food production.Practical implications (if applicable_ Political and public high interest in environmental and social sustainability associated with food waste render this an important development.Originality/value_ While the potential of linking green and lean efforts has been acknowledged, the application of the lean six sigma methodology for more sustainable food production has not yet been explored. This paper contributes to this research

  20. 4D Design and Simulation Technologies and Process Design Patterns to Support Lean Construction Methods

    Institute of Scientific and Technical Information of China (English)

    Manfred Breit; Manfred Vogel; Fritz H(a)ubi; Fabian M(a)rki; Micheal Raps

    2008-01-01

    The objective of this ongoing joint research program is to determine how 3D/4D modeling, simula- tion and visualization of Products (buildings), Organizations and Processes (POP) can support lean con- struction. Initial findings suggest that Process Design Pattern may have the potential to intuitively support ICT based lean construction. We initiated a "Process Archeology" in order to reveal the requirements for tools that can support the planning, simulation and control of lean construction methods. First findings show that existing tools provide only limited support and therefore, we started to develop new methodologies and technologies to overcome these shortcomings. Through the introduction of Process Design Patterns, we in- tent to establish process thinking in the interdisciplinary POP design. Optimized construction processes may be synthesized with semi-automatic methods by applying Process Design Pattems on building structures. By providing process templates that integrate problem solution and expert knowledge, Process Design Pat- tems may have the potential to ensure high quality process models.

  1. Operations Strategy Development in Project-based Production – a building contractor implements Lean

    DEFF Research Database (Denmark)

    Koch, Christian; Friis, Ole Uhrskov

    2015-01-01

    Purpose: To study how operations strategy innovation occurs in project-based production and organisation. Design/methodology/approach: A longitudinal case study encompassing the processes at the company headquarters and in two projects using Lean. Findings: The operations strategy development...... commences at a middle level in the organisation, is underpinned and embedded in production projects, and only after several years becomes embedded in the corporate operations strategy. The projects use Lean principles in a differentiated manner. Research limitations/implications: A qualitative case study...... operations strategy development. Originality/value: The present study contributes to the small body of studies of operations strategy development processes by providing insight into how project-based companies renew their operations strategy. Key words: Lean, Construction, Operations Strategy, Political...

  2. Identification of problems of implementation of Lean concept in the SME sector

    Directory of Open Access Journals (Sweden)

    Ulewicz Robert

    2016-03-01

    Full Text Available The article presents identification of problems during the implementation of Lean concept in small and medium-sized enterprises in Poland. Although the Lean methodology is recognized all over the world as one of the best and most effective ways to improve the functioning of enterprises, in Polish conditions exist serious problems with its implementation. Development of small and medium-sized enterprises is regarded as one of the measures of economic growth and a sign of healthy competition. The needs of the economy and the limited resources characterizing this enterprise sector imply the need to adjust its capacities to the requirements of the turbulent environment. In the analysis of problems there were used the results of questionnaire surveys conducted among representatives of the companies participating in the largest Lean conference in Central Europe.

  3. Are we prepared to implement a Lean philosophy within cancer-care service in Oman?

    Science.gov (United States)

    Mehdi, Itrat; Al Bahrani, Bassim J

    2017-07-01

    Lean, as it applies to business, has come to signify simplicity, swift response, and efficiency. The concept is to do more with less; namely, to use resources in the most productive way possible through the elimination of all types of waste. The Lean approach can be applied to any field, including healthcare, in which the exponential growth of costs is widespread. Hospitals began experimenting with Lean healthcare in 1990s.  Equal accessibility to healthcare is consistent with the tenets of social justice and a society's duty to ensure basic healthcare to everyone. However, the gap between a state's constitutional responsibility and resource availability is widening, creating a need for an evolution in healthcare provision based on relevance, objectivity, and impartiality. Health-services providers must juggle limited resources to ensure even-handed healthcare availability to all in the era of cost explosion.

  4. Teaching Special Decisions in a Lean Accounting Environment

    Science.gov (United States)

    Haskin, Daniel

    2010-01-01

    Lean accounting has become increasingly important as more and more companies adopt the lean enterprise model or some variation of it. Cost and managerial accounting textbooks continue to use, almost exclusively, models based on standard overhead absorption, which if used in a lean environment will not accurately reflect the benefits from the…

  5. Using Simulation to Explore Lean Manufacturing Implementation Strategies

    Science.gov (United States)

    Shannon, Patrick W.; Krumwiede, Kip R.; Street, Jeffrey N.

    2010-01-01

    Lean manufacturing, an outgrowth of the Toyota Production System, has spread far beyond the automobile industry and is seen by many leaders as a key management philosophy in the battle to compete on an international scale. Successful implementation of lean requires that managers and employees be educated in the proper application of lean tools and…

  6. Reducing waste in administrative services with lean principles

    NARCIS (Netherlands)

    Wijnhoven, Alphonsus B.J.M.; Beckers, David; Amrit, Chintan Amrit

    2016-01-01

    In the last few decades, lean techniques have been developed for removing with waste in manufacturing. More recently, lean is used outside the manufacturing context as well. This article focuses on using lean thinking for reducing waste in administrative services, i.e., business services with inform

  7. Lean-team effectiveness through leader values and members’ informing

    NARCIS (Netherlands)

    van Dun, Desirée Hermina; Wilderom, Celeste P.M.

    2016-01-01

    Purpose Although empirical tests of effective lean-team leadership are scarce, leaders are often blamed when lean work-floor initiatives fail. In the present study, a lean-team leader’s work values are assumed to affect his or her team members’ behaviors and, through them, to attain team effectivene

  8. Using Simulation to Explore Lean Manufacturing Implementation Strategies

    Science.gov (United States)

    Shannon, Patrick W.; Krumwiede, Kip R.; Street, Jeffrey N.

    2010-01-01

    Lean manufacturing, an outgrowth of the Toyota Production System, has spread far beyond the automobile industry and is seen by many leaders as a key management philosophy in the battle to compete on an international scale. Successful implementation of lean requires that managers and employees be educated in the proper application of lean tools and…

  9. Reducing waste in administrative services with lean principles

    NARCIS (Netherlands)

    Wijnhoven, Alphonsus B.J.M.; Beckers, David; Amrit, Chintan Amrit

    2016-01-01

    In the last few decades, lean techniques have been developed for removing with waste in manufacturing. More recently, lean is used outside the manufacturing context as well. This article focuses on using lean thinking for reducing waste in administrative services, i.e., business services with

  10. Lean-team effectiveness through leader values and members’ informing

    NARCIS (Netherlands)

    Dun, van Desirée H.; Wilderom, Celeste P.M.

    2016-01-01

    Purpose Although empirical tests of effective lean-team leadership are scarce, leaders are often blamed when lean work-floor initiatives fail. In the present study, a lean-team leader’s work values are assumed to affect his or her team members’ behaviors and, through them, to attain team effectivene

  11. Reducing waste in administrative services with lean principles

    NARCIS (Netherlands)

    Wijnhoven, Fons; Beckers, David; Amrit, Chintan

    2016-01-01

    In the last few decades, lean techniques have been developed for removing with waste in manufacturing. More recently, lean is used outside the manufacturing context as well. This article focuses on using lean thinking for reducing waste in administrative services, i.e., business services with infor

  12. Cull sow knife-separable lean content evaluation at harvest and lean mass content prediction equation development.

    Science.gov (United States)

    Abell, Caitlyn E; Stalder, Kenneth J; Hendricks, Haven B; Fitzgerald, Robert F

    2012-07-01

    The objectives of this study were to develop a prediction equation for carcass knife-separable lean within and across USDA cull sow market weight classes (MWC) and to determine carcass and individual primal cut knife separable lean content from cull sows. There were significant percent lean and fat differences in the primal cuts across USDA MWC. The two lighter USDA MWC had a greater percent carcass lean and lower percent fat compared to the two heavier MWC. In general, hot carcass weight explained the majority of carcass lean variation. Additionally, backfat was a significant variation source when predicting cull sow carcass lean. The findings support using a single lean prediction equation across MWC to assist processors when making cull sow purchasing decisions and determine the mix of animals from various USDA MWC that will meet their needs when making pork products with defined lean:fat content.

  13. Lean Transformation Guidance: Why Organizations Fail To Achieve and Sustain Excellence Through Lean Improvement

    Directory of Open Access Journals (Sweden)

    Mohammed Hamed Ahmed

    2013-06-01

    Full Text Available Many companies are complaining that lean didn’t achieve their long-term goals, and the improvement impact was very short-lived. 7 out of each 10 lean projects fail as companies try to use lean like a toolkit, copying and pasting the techniques without trying to adapt the employee’s culture, manage the improvement process, sustain the results, and develop their leaders. When the Toyota production system was created, the main goal was to remove wastes from the shop floor using some lean techniques and tools. What was not clear is that this required from Toyota a long process of leadership development, and a high commitment to training and coaching their employee. A Failure to achieve and sustain the improvement is a problem of both management and leadership as well as the improper understanding of the human behavior, and the required culture to success.

  14. Lean leadership and change management skills

    NARCIS (Netherlands)

    Frank Willems

    2013-01-01

    Gastcollege Masteropleiding MIM Tilburg University/TiasNimbas Business School op 17 & 18 mei 2013. • Basic principles of Change Management • Group practice • TheoryU and Social Networking theory as framework for Leadership • Theory about Lean thinking as a method for improving Leadership skills and

  15. Lean Sygehuset - del I: En patienthistorie

    DEFF Research Database (Denmark)

    Laursen, Martin Lindgaard; Gertsen, Frank

    Denne forskningsrapport introducerer et forskningsprojekt baseret på case studier af Lean principper anvendt på Skejby sygehus. Operationelle udfordringer i sygehusets arbejdsgange illustreres gennem et observeret patientforløb. Disse udfordringer, et oprids af sygehusenes vilkår, og gennemgang af...

  16. Systems Thinking, Lean Production and Action Learning

    Science.gov (United States)

    Seddon, John; Caulkin, Simon

    2007-01-01

    Systems thinking underpins "lean" management and is best understood through action-learning as the ideas are counter-intuitive. The Toyota Production System is just that--a system; the failure to appreciate that starting-place and the advocacy of "tools" leads many to fail to grasp what is, without doubt, a significant…

  17. Implementing LEAN in the Supply Chain

    DEFF Research Database (Denmark)

    Bilberg, Arne

    through a multi faced role called a waterspider function assisted by an adjusted ERP system to obtain a user-friendly and simple IT environment. The methods applied to redesign were based on LEAN principles to eliminate waste and to enhance flow. The project involved the end to end supply chain...

  18. Lean and global technology start-ups

    DEFF Research Database (Denmark)

    Tanev, Stoyan; Rasmussen, Erik Stavnsager; Zijdemans, Erik

    2015-01-01

    In this paper the authors introduce the concept of Lean Global Start-up (LGS) as a way of emphasizing the impossibility for new technology start-ups to deal separately with business development, innovation and early internationalization. For a newly established technology firm the task of being...... of their products and the insights from business supporting organizations....

  19. Lean and Agile: An Epistemological Reflection

    Science.gov (United States)

    Browaeys, Marie-Joelle; Fisser, Sandra

    2012-01-01

    Purpose: The aim of the paper is to contribute to the discussion of treating the concepts of lean and agile in isolation or combination by presenting an alternative view from complexity thinking on these concepts, considering an epistemological approach to this topic. Design/methodology/approach: The paper adopts an epistemological approach, using…

  20. Lean and Agile: An Epistemological Reflection

    Science.gov (United States)

    Browaeys, Marie-Joelle; Fisser, Sandra

    2012-01-01

    Purpose: The aim of the paper is to contribute to the discussion of treating the concepts of lean and agile in isolation or combination by presenting an alternative view from complexity thinking on these concepts, considering an epistemological approach to this topic. Design/methodology/approach: The paper adopts an epistemological approach, using…

  1. Lowlands sociotechnical design theory and lean production

    NARCIS (Netherlands)

    Christis, Jac; Soepenberg, Erik

    2015-01-01

    Lean Production (LP) can be regarded as a design approach in search of a theoretical foundation. In this paper we show that Lowlands’ Sociotechnical Design Theory (STSL) could function as such a foundation. To reach this goal, we first describe STSL as a system theoretical reformulation of Original

  2. Lean leadership and change management skills

    NARCIS (Netherlands)

    Willems, Frank

    2013-01-01

    Gastcollege Masteropleiding MIM Tilburg University/TiasNimbas Business School op 17 & 18 mei 2013. • Basic principles of Change Management • Group practice • TheoryU and Social Networking theory as framework for Leadership • Theory about Lean thinking as a method for improving Leadership skills and

  3. Lean Six Sigma for Service and Healthcare

    NARCIS (Netherlands)

    de Mast, J.; Does, R.J.M.M.; de Koning, H.

    2006-01-01

    Lean Six Sigma is built on principles and methods that have proven themselves over the twentieth century. It has incorporated the most effective approaches and integrated them into a full programme. It offers a management structure for organizing continuous improvement of routine tasks, such as manu

  4. Lean Six Sigma for Service and Healthcare

    NARCIS (Netherlands)

    J. de Mast; R.J.M.M. Does; H. de Koning

    2006-01-01

    Lean Six Sigma is built on principles and methods that have proven themselves over the twentieth century. It has incorporated the most effective approaches and integrated them into a full programme. It offers a management structure for organizing continuous improvement of routine tasks, such as manu

  5. The Scientific Underpinning of Lean Six Sigma

    NARCIS (Netherlands)

    R.J.M.M. Does; J. de Mast; H. de Koning; S. Bisgaard

    2007-01-01

    The twentieth century saw an incredible development of professional organizations. The impact of technological advances is obvious, but besides these, innovations in management structures and methods have resulted in the highly productive organizations of today. Lean Six Sigma is not revolutionary.

  6. Lean Six Sigma for Service and Healthcare

    NARCIS (Netherlands)

    de Mast, J.; Does, R.J.M.M.; de Koning, H.

    2006-01-01

    Lean Six Sigma is built on principles and methods that have proven themselves over the twentieth century. It has incorporated the most effective approaches and integrated them into a full programme. It offers a management structure for organizing continuous improvement of routine tasks, such as

  7. The Scientific Underpinning of Lean Six Sigma

    NARCIS (Netherlands)

    Does, R.J.M.M.; de Mast, J.; de Koning, H.; Bisgaard, S.

    2007-01-01

    The twentieth century saw an incredible development of professional organizations. The impact of technological advances is obvious, but besides these, innovations in management structures and methods have resulted in the highly productive organizations of today. Lean Six Sigma is not revolutionary.

  8. Lowlands sociotechnical design theory and lean production

    NARCIS (Netherlands)

    J.H.P. Christis; Erik Soepenberg

    2015-01-01

    Lean Production (LP) can be regarded as a design approach in search of a theoretical foundation. In this paper we show that Lowlands’ Sociotechnical Design Theory (STSL) could function as such a foundation. To reach this goal, we first describe STSL as a system theoretical reformulation of Original

  9. Lean Six Sigma: Stap voor stap

    NARCIS (Netherlands)

    Does, R.J.M.M.; de Koning, H.; de Mast, J.

    2008-01-01

    Lean Six Sigma is de culminatie van ontwikkelingen in kwaliteitsverbetering in de 20ste eeuw. Het combineert belangrijke principes en technieken in een goed gestructureerde en geïntegreerde benadering. Het belichaamt wetenschappelijke inzichten over onderzoeksmethodologie, management en economie. In

  10. Ares Launch Vehicles Lean Practices Case Study

    Science.gov (United States)

    Doreswamy, Rajiv; Self, Timothy A.

    2007-01-01

    The Ares launch vehicles team, managed by the Ares Projects Office (APO) at NASA Marshall Space Flight Center, has completed the Ares I Crew Launch Vehicle System Requirements Review and System Definition Review and early design work for the Ares V Cargo Launch Vehicle. This paper provides examples of how Lean Manufacturing, Kaizen events, and Six Sigma practices are helping APO deliver a new space transportation capability on time and within budget, while still meeting stringent technical requirements. For example, Lean philosophies have been applied to numerous process definition efforts and existing process improvement activities, including the Ares I-X test flight Certificate of Flight Readiness (CoFR) process, risk management process, and review board organization and processes. Ares executives learned Lean practices firsthand, making the team "smart buyers" during proposal reviews and instilling the team with a sense of what is meant by "value-added" activities. Since the goal of the APO is to field launch vehicles at a reasonable cost and on an ambitious schedule, adopting Lean philosophies and practices will be crucial to the Ares Project's long-term SUCCESS.

  11. Investigating the green impact of lean, six sigma, and lean six sigma: A systematic literature review

    OpenAIRE

    Chugani, N.; Kumar, V.; Garza-Reyes, J. A.; Rocha-Lona, L.; Upadhyay, A.

    2016-01-01

    Purpose - The academic literature and research lines exploring the effect of quality improvement methods on environmental performance still remain in early stages. The purpose of this study is therefore to investigate, through a systematic review of the existing academic literature, the environmental (green) impact of using quality and operations improvement methods such as Lean, Six Sigma, and Lean Six Sigma. This includes the impact on energy saving and the usage of natural resources.\\ud \\u...

  12. Can lean be mean? : A study of negative consequences of lean in supply chains

    OpenAIRE

    Johansson, Emma

    2010-01-01

    Today's world is characterized by volatility and uncertainty. Cooperation is needed to survive in this harsh business climate. Cooperation in supply chains are practiced and well known but in today's tough and volatile environment it is simply not enough. Wastes and unnecessary processes have to be eliminated to secure a competitive advantage. Incorporating lean in supply chains get more and more attention and embrace in the modern literature and media. Lean implemented in supply ch...

  13. Prescribed burning plan : Stillwater NWR : de Braga Burn Unit 67

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This 1991 Annual Prescribed Burning Plan for Stillwater NWR calls for all 67 acres of the de Braga burn unit to be burned. The objective of this burn is to remove...

  14. 论精益生产与精益企业%Lean Productien and Lean Enterprise

    Institute of Scientific and Technical Information of China (English)

    王文章

    2001-01-01

    在世纪之交,企业经营管理的新思想、新理论层出不穷,精益生产就是当今风靡全球的先进的企业管理模式,创建精益企业是企业家共同追求的目标。为此,本文首先阐述精益生产模式的产生与发展;其次,阐述精益生产的科学内涵;最后就如何创建精益企业和应注意的问题进行了简明地论述。%At the turn of the century,the new ideas and theories about enterprise′s management and administration emerge in an endless stream.Currently lean production is the most fashionable and advanced administration model of enterprise and it is the entrepreneurs′ same hunting aim to establish lean enterprise. Firstly, the paper sets forth origin and development of lean prodaction model, Secondly,what is scientific connotation of lean productlion is explained. Finally, it expounds chiefly how to establish lean enterprise and some problems that should be taken care of when lean enterprise is established.

  15. PBXN-110 Burn Rate Estimate

    Energy Technology Data Exchange (ETDEWEB)

    Glascoe, E

    2008-08-11

    It is estimated that PBXN-110 will burn laminarly with a burn function of B = (0.6-1.3)*P{sup 1.0} (B is the burn rate in mm/s and P is pressure in MPa). This paper provides a brief discussion of how this burn behavior was estimated.

  16. Management of burn wounds.

    Science.gov (United States)

    Schiestl, Clemens; Meuli, Martin; Trop, Marija; Neuhaus, Kathrin

    2013-10-01

    Small and moderate scalds in toddlers are still the most frequent thermal injuries the pediatric surgeons have to face today. Over the last years, surgical treatment of these patients has changed in many aspects. Due to new dressing materials and new surgical treatment strategies that are particularly suitable for children, today, far better functional and aesthetic long-term results are possible. While small and moderate thermal injuries can be treated in most European pediatric surgical departments, the severely burned child must be transferred to a specialized, ideally pediatric, burn center, where a well-trained multidisciplinary team under the leadership of a (ideally pediatric) burn surgeon cares for these highly demanding patients. In future, tissue engineered full thickness skin analogues will most likely play an important role, in pediatric burn as well as postburn reconstructive surgery.

  17. Burn Wise Awareness Kit

    Science.gov (United States)

    Health and safety outreach materials in the form of an awareness kit. Designed specifically for state, local, and tribal air agencies working to reduce wood smoke pollution, it includes best burn tips, social media m

  18. Molten Metal Burns

    OpenAIRE

    Kahn, Arthur M.; McCrady-Kahn, Virginia L.

    1981-01-01

    Molten metal burns are a frequent industrial injury among workers in foundries. The injury is typically small but very deep. Usually the depth and seriousness of these injuries is not recognized immediately by emergency department or industrial clinic physicians.

  19. New Fashioned Book Burning.

    Science.gov (United States)

    Gardner, Robert

    1997-01-01

    Reports on results of a teacher's experiment in book burning as a lesson accompanying the teaching of Ray Bradbury's "Fahrenheit 451." Discusses student reactions and the purpose of or justification for the experimental lesson. (TB)

  20. Rehabilitation and social adjustment of people with burns in society.

    Science.gov (United States)

    Din, Sirajud; Shah, Mussawar; Asadullah; Jamal, Humera; Bilal, Muhammad

    2015-02-01

    The present study was conducted on rehabilitation and social adjustment of people with burns in society with the main objective to determine the relationship between social adjustment of people with burns and their psychosocial rehabilitation. The study was limited to the Burn Unit, Khyber Teaching Hospital, Peshawar, Pakistan. At bi-variate level, the following were observed: the relationship of psychosocial rehabilitation was highly significant (P=0.000) considering that people with burns feel shame in the society, a highly significant relation (P=0.000) was found between psychosocial rehabilitation and burn as the hurdle to contact other members of the society, a highly significant (P=0.000) relation was found between psychosocial rehabilitation and perception that society provides social support to people with burns, a highly significant (P=0.000) relationship between psychosocial rehabilitation and people with burns feel alienated from the society, a significant association (P=0.024) was found between psychosocial rehabilitation and loss of social network, and a significant (P=0.002) association between psychosocial rehabilitation and society insult toward people with burns. Regular provision of treatment, quota in job allocation for people with burns, initiation of stipend through Benazir Income Support Program, and keeping and updating record of burns at the district level in census centers were suggested as recommendations in light of the study.

  1. Accidental burns during surgery.

    Science.gov (United States)

    Demir, Erhan; O'Dey, Dan Mon; Pallua, Norbert

    2006-01-01

    The purpose of this report is to increase awareness of intraoperative burns during standard procedures, to discuss their possible causes and warning signs and to provide recommendations for prevention and procedures to follow after their occurrence. A total of 19 patients associated with intraoperative burn accidents were treated surgically and analyzed after a mean follow-up of 5 +/- 3.5 months. Review included retrospective patient chart analysis, clinical examination, and technical device and equipment testing. A total of 15 patients recently underwent cardiac surgery, and 4 pediatric patients recovered after standard surgical procedures. A total of 15 patients had superficial and 4 presented with deep dermal or full-thickness burns. The average injured TBSA was 2.1 +/- 1% (range, 0.5-4%). Delay between primary surgery and consultation of plastic surgeons was 4.5 +/- 3.4 days. A total of 44% required surgery, including débridment, skin grafting or musculocutaneous gluteus maximus flaps, and the remaining patients were treated conservatively. Successful durable soft-tissue coverage of the burn region was achieved in 18 patients, and 1 patient died after a course of pneumonia. Technical analysis demonstrated one malfunctioning electrosurgical device, one incorrect positioned neutral electrode, three incidents occurred after moisture under the negative electrode, eight burns occurred during surgery while fluid or blood created alternate current pathways, five accidents were chemical burns after skin preparation with Betadine solution, and in one case, the cause was not clear. The surgical team should pay more attention to the probability of burns during surgery. Early patient examination and immediate involvement of plastic and burn surgeons may prevent further complications or ease handling after the occurrence.

  2. Smartphone applications in burns.

    Science.gov (United States)

    Wurzer, Paul; Parvizi, Daryousch; Lumenta, David B; Giretzlehner, Michael; Branski, Ludwik K; Finnerty, Celeste C; Herndon, David N; Tuca, Alexandru; Rappl, Thomas; Smolle, Christian; Kamolz, Lars P

    2015-08-01

    Since the introduction of applications (apps) for smartphones, the popularity of medical apps has been rising. The aim of this review was to demonstrate the current availability of apps related to burns on Google's Android and Apple's iOS store as well as to include a review of their developers, features, and costs. A systematic online review of Google Play Store and Apple's App Store was performed by using the following search terms: "burn," "burns," "thermal," and the German word "Verbrennung." All apps that were programmed for use as medical apps for burns were included. The review was performed from 25 February until 1 March 2014. A closer look at the free and paid calculation apps including a standardized patient was performed. Four types of apps were identified: calculators, information apps, book/journal apps, and games. In Google Play Store, 31 apps were related to burns, of which 20 were calculation apps (eight for estimating the total body surface area (TBSA) and nine for total fluid requirement (TFR)). In Apple's App Store, under the category of medicine, 39 apps were related to burns, of which 21 were calculation apps (19 for estimating the TBSA and 17 for calculating the TFR). In 19 out of 32 available calculation apps, our study showed a correlation of the calculated TFR compared to our standardized patient. The review demonstrated that many apps for medical burns are available in both common app stores. Even free available calculation apps may provide a more objective and reproducible procedure compared to manual/subjective estimations, although there is still a lack of data security especially in personal data entered in calculation apps. Further clinical studies including smartphone apps for burns should be performed. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  3. Burn mouse models

    DEFF Research Database (Denmark)

    Calum, Henrik; Høiby, Niels; Moser, Claus

    2014-01-01

    Severe thermal injury induces immunosuppression, involving all parts of the immune system, especially when large fractions of the total body surface area are affected. An animal model was established to characterize the burn-induced immunosuppression. In our novel mouse model a 6 % third-degree b......Severe thermal injury induces immunosuppression, involving all parts of the immune system, especially when large fractions of the total body surface area are affected. An animal model was established to characterize the burn-induced immunosuppression. In our novel mouse model a 6 % third......-degree burn injury was induced with a hot-air blower. The third-degree burn was confirmed histologically. At 48 h, a decline in the concentration of peripheral blood leucocytes was observed in the group of mice with burn wound. The reduction was ascribed to the decline in concentration of polymorphonuclear...... neutrophil leucocytes and monocytes. When infecting the skin with Pseudomonas aeruginosa, a dissemination of bacteria was observed only in the burn wound group. Histological characterization of the skin showed an increased polymorphonuclear neutrophil granulocytes dominated inflammation in the group of mice...

  4. Prognostic indicators in acute burned patients–a review

    Directory of Open Access Journals (Sweden)

    Sherif Emara

    2015-06-01

    Full Text Available Burn trauma is in need for prognostic indicators or admission scores. This aims for realistic documentation of the burn injury, expectation of the prognosis, and to facilitate a patient stratification to evaluate therapeutic strategies. A computer search through different medical websites was performed looking for articles correlating prognosis with different burn indices. These were carefully summarized and analyzed for this review. Variable studies were found related to that issue; the reliable indicators found had been classified as general or specific. All of them had certain clinical importance, but limitations are a common feature. All the listed indices are useful to serve in the only special clinical situations. We couldn't claim that they are actual prognostic indicator in burn victims. We believe that we still lack the proper prognostic indicator in burn patients. Researchers are invited for more effort to organize a more reliable prognostic indicator and scoring system for burn patients.

  5. Prognostic indicators in acute burned patients-a review

    Institute of Scientific and Technical Information of China (English)

    Sherif Emara

    2015-01-01

    Burn trauma is in need for prognostic indicators or admission scores. This aims for realistic documentation of the burn injury, expectation of the prognosis, and to facilitate a patient stratification to evaluate therapeutic strategies. A computer search through different medical websites was performed looking for articles correlating prognosis with different burn indices. These were carefully summarized and analyzed for this review. Variable studies were found related to that issue; the reliable indicators found had been classified as general or specific. All of them had certain clinical importance, but limitations are a common feature. All the listed indices are useful to serve in the only special clinical situations. We couldn't claim that they are actual prognostic indicator in burn victims. We believe that we still lack the proper prognostic indicator in burn patients. Researchers are invited for more effort to organize a more reliable prognostic indicator and scoring system for burn patients.

  6. LEAN SIX SIGMA TECHNIQUES TO IMPROVE OPHTHALMOLOGY CLINIC EFFICIENCY.

    Science.gov (United States)

    Ciulla, Thomas A; Tatikonda, Mohan V; ElMaraghi, Yehya A; Hussain, Rehan M; Hill, Amanda L; Clary, Julie M; Hattab, Eyas

    2017-07-18

    Ophthalmologists serve an increasing volume of a growing elderly population undergoing increasingly complex outpatient medical care, including extensive diagnostic testing and treatment. The resulting prolonged patient visit times ("patient flow times") limit quality, patient and employee satisfaction, and represent waste. Lean Six Sigma process improvement was used in a vitreoretinal practice to decrease patient flow time, demonstrating that this approach can yield significant improvement in health care. Process flow maps were created to determine the most common care pathways within clinic. Three months' visits from the electronic medical record system, which tracks patient task times at each process step in the office were collected. Care tasks and care pathways consuming the greatest time and variation were identified and modified. Follow-up analysis from 6 weeks' visits was conducted to assess improvement. Nearly all patients took one of five paths through the office. Patient flow was redesigned to reduce waiting room time by having staff members immediately start patients into one of those five paths; staffing was adjusted to address high demand tasks, and scheduling was optimized around derived predictors of patient flow times. Follow-up analysis revealed a statistically significant decline in mean patient flow time by 18% and inpatient flow time SD by 4.6%. Patient and employee satisfaction scores improved. Manufacturing industry techniques, such as Lean and Six Sigma, can be used to improve patient care, minimize waste, and enhance patient and staff satisfaction in outpatient clinics.

  7. Six sigma and lean production adoption in a manufacturing company

    Directory of Open Access Journals (Sweden)

    Alisson Christian Scheller

    2014-11-01

    Full Text Available The connection among Lean Production with Six Sigma originated the Lean Six Sigma methodology, focused on processes variation and waste reduction. This methodology was developed on different ways in the companies and there is no consensus over its structure and its implementation. In this context, this paper aims to identify and analyze the main characteristics on the adoption and integration of Lean Six Sigma methodology through a case study conducted in a manufacturing company that adopts lean production and six sigma. The results show two important aspects of the Lean Six Sigma methodology. One of them is the adoption of the value stream mapping as a central tool on Lean Six Sigma. The other is the use of DMAIC for improvements actions. The study indicates that despite the difficulties on Lean Six Sigma implementation, the methodology offers benefits to the company that adopts it in the suitable way.

  8. Lean Construction - Approach Capable of Dealing with Complexity and Uncertainty

    Directory of Open Access Journals (Sweden)

    Vignesh. C

    2016-11-01

    Full Text Available The construction projects involve various risk factors which have various impacts on objective that may lead to low productivity and time-overrun. One way of contributing to the productivity improvement is to implement lean. Lean or lean thinking was implemented for the first time by the car manufacturer Toyota and has been used in the manufacturing industry for decades. In the construction sector, lean have not been implemented as much as in the manufacturing industry and therefore there is room to take lean further in construction projects. The aim with lean in construction projects is to utilize the resources as labor and material better to get less waste, fewer delays and lower costs or, in other words, to minimize the Non-Value adding Activities. The objectives of this paper are to provide with fundamental knowledge and benefits of Lean Construction and its capability to enhance performance in construction thus the quality of life for future Indian construction sector.

  9. Performance effect of multiple control forms in a Lean organization

    DEFF Research Database (Denmark)

    Kristensen, Thomas Borup; Israelsen, Poul

    2012-01-01

    Over the last decades Lean has developed into a prominent management philosophy reaching beyond shop floor tools. However, substantial support of performance effects from Lean is still scarce and at best with mixed results. Recently, research has turned its focus towards perceiving Lean as a cont......Over the last decades Lean has developed into a prominent management philosophy reaching beyond shop floor tools. However, substantial support of performance effects from Lean is still scarce and at best with mixed results. Recently, research has turned its focus towards perceiving Lean...... is increased if the average level of control forms is increased, and performance is further increased if the control forms are balanced at the same level representing a complementary effect between them. Our data are archival data spanning multiple years in a strong Lean organization. The dependent performance...

  10. Developing A Strategy to Enact Lean

    Directory of Open Access Journals (Sweden)

    Nicola Morrey

    2013-01-01

    Full Text Available This paper explains the strategy employed by a case study company to implement lean across the business, and to reflect on the success of this approach so other companies may consider this learning and how it might be useful to them. The strategy to enact lean in the case study company was based on creating a number of standard tools/ways of working. These tools can be considered to be standardised work for key aspects of the construction process that the company undertakes. The aim of the tools was to ensure that critical tasks would be carried out to the correct standard (quality, time, cost, health and safety every time, across the business. Achievement of this is expected to lead to improved performance and elimination of variation (waste. To implement this strategy of using standardised work to eliminate variation and lead to improved performance, a step-by-step process was developed to create the tools/standardised work. The paper describes the process that was undertaken and how it aimed to not only produce a number of tools/standardised work, but also to involve people and managers from across the business such that lean philosophy and thinking might also begin to become embedded. The paper will firstly explain, with reference to the relevant literature, how and why the strategy to implement standardised work was chosen, the process that was defined to develop the standardised work, and what happened when that process was put into practice. The findings of the paper show that whilst the completed tools delivered business benefits, the development of the tools did not follow the planned process. The paper discusses how people within the business responded to this strategy and how the process had to be continuously adapted to cope with the current business environment and path dependencies, further evidencing that lean implementations need to be tailored to suit the needs of the individual firm, rather than there being a one size fits all

  11. Numerical Study on Laminar Burning Velocity and Flame Stability of Premixed Methane/Ethylene/Air Flames

    Institute of Scientific and Technical Information of China (English)

    陈珊珊; 蒋勇; 邱榕; 安江涛

    2012-01-01

    A numerical study on premixed methane/ethylene/air flames with various ethylene fractions and equivalence ratios was conducted at room temperature and atmospheric pressure. The effects of ethylene addition on laminar burning velocity, flame structure and flame stability under the condition of lean burning were investigated. The results show that the laminar burning velocity increases with ethylene fraction, especially at a large equivalence ratio. More ethylene addition gives rise to higher concentrations of H, O and OH radicals in the flame, which significantly promotes chemical reactions, and a linear correlation exists between the laminar burning velocity and the maximum H + OH concentration in the reaction zone. With the increase of ethylene fraction, the adiabatic flame temperature is raised, while the inner layer temperature becomes lower, contributing to the enhancement of combustion. Markstein length and Markstein number, representative of the flame stability, increase as more ethylene is added, indicating the tendency of flame stability to improve with ethylene addition.

  12. Burns Caused by Medical Therapy

    Science.gov (United States)

    2016-06-07

    fear of litigation, patients with such injuries, even if the injuries are minor, arc often referred to a burn center for care. Burn injury...the potential burn hazards found elsewhere in the hospital. Even fewer studies have addressed the burn risks posed by medical therapy administered...35. Mills GH, Ralph S). Bums due to pulse oximetry [ letter ]. Anaesthesia 1992j47:276·7. 36. Shdlock: FG, Kana! E. Burns associated with the use of

  13. The use of Lean and Six Sigma methodologies in surgery: a systematic review.

    Science.gov (United States)

    Mason, S E; Nicolay, C R; Darzi, A

    2015-04-01

    Lean and Six Sigma are improvement methodologies developed in the manufacturing industry and have been applied to healthcare settings since the 1990 s. They use a systematic and reproducible approach to provide Quality Improvement (QI), with a flexible process that can be applied to a range of outcomes across different patient groups. This review assesses the literature with regard to the use and utility of Lean and Six Sigma methodologies in surgery. MEDLINE, Embase, PsycINFO, Allied and Complementary Medicine Database, British Nursing Index, Cumulative Index to Nursing and Allied Health Literature, Health Business Elite and the Health Management Information Consortium were searched in January 2014. Experimental studies were included if they assessed the use of Lean or Six Sigma on the ability to improve specified outcomes in surgical patients. Of the 124 studies returned, 23 were suitable for inclusion with 11 assessing Lean, 6 Six Sigma and 6 Lean Six Sigma. The broad range of outcomes can be collated into six common aims: to optimise outpatient efficiency, to improve operating theatre efficiency, to decrease operative complications, to reduce ward-based harms, to reduce mortality and to limit unnecessary cost and length of stay. The majority of studies (88%) demonstrate improvement; however high levels of systematic bias and imprecision were evident. Lean and Six Sigma QI methodologies have the potential to produce clinically significant improvement for surgical patients. However there is a need to conduct high-quality studies with low risk of systematic bias in order to further understand their role. Copyright © 2014 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

  14. Numerical Simulation of NOx Formation in Coal Combustion with Inlet Natural Gas Burning

    Institute of Scientific and Technical Information of China (English)

    张宇; 周力行; 魏小林; 盛宏至

    2005-01-01

    A full two-fluid model of reacting gas-particle flows and coal combustion is used to simulate coal combustion with and without inlet natural gas added in the inlet. The simulation results for the case without natural gas burning is in fair agreement with the experimental results reported in references. The simulation results of different natural gas adding positions indicate that the natural gas burning can form lean oxygen combustion enviroment at the combustor inlet region and the NOx concentration is reduced. The same result can be obtained from chemical equilibrium analysis.

  15. Lean leadership and change management skills

    OpenAIRE

    Willems, Frank

    2013-01-01

    Gastcollege Masteropleiding MIM Tilburg University/TiasNimbas Business School op 17 & 18 mei 2013. • Basic principles of Change Management • Group practice • TheoryU and Social Networking theory as framework for Leadership • Theory about Lean thinking as a method for improving Leadership skills and strategy deployment • Group practice in collegial peer coaching • Summary and mission setting for personal practice

  16. Leaning Towards Agile in 21~(st) Century

    Institute of Scientific and Technical Information of China (English)

    D; Ashall; B; Parkinson

    2002-01-01

    Background: During the last fifteen years there ha s been an increased drive for organisations to reduce costs. From a production po int, this has often centred on lean manufacturing and JIT waste elimination proc esses. However, in 1991, the Iaccocca Institute Bethlehem P.A commissioned a re port specifically to analyse the changing nature of the marketplace. As a result , in the following year, the Agile Manufacturing Forum was initiated and the ter m 'agile or responsive manufacturing' was first intr...

  17. Hoshin Kanri Forest : lean strategic organizational design

    OpenAIRE

    Villalba-Díez, Javier

    2017-01-01

    Strategic Lean Management (LM) efforts almost always fail because Leaders often lack a map of their own organization. The reason for this might be that scholars have so far mostly provided qualitative or rigid one-size-fits-all frameworks for strategically designing organizations. The purpose of this work is to provide a comprehensive quantifiable framework for strategically designing organizations for LM. Combining knowledge about Strategic Organizational Design and LM, we introduce a novel ...

  18. Hoshin Kanri Forest : lean strategic organizational design

    OpenAIRE

    Villalba-Díez, Javier

    2016-01-01

    Strategic Lean Management (LM) efforts almost always fail because Leaders often lack a map of their own organization. The reason for this might be that scholars have so far mostly provided qualitative or rigid one-size-fits-all frameworks for strategically designing organizations. The purpose of this work is to provide a comprehensive quantifiable framework for strategically designing organizations for LM. Combining knowledge about Strategic Organizational Design and LM, we introduce a novel ...

  19. Hoshin Kanri Forest : lean strategic organizational design

    OpenAIRE

    Villalba-Díez, Javier

    2016-01-01

    Strategic Lean Management (LM) efforts almost always fail because Leaders often lack a map of their own organization. The reason for this might be that scholars have so far mostly provided qualitative or rigid one-size-fits-all frameworks for strategically designing organizations. The purpose of this work is to provide a comprehensive quantifiable framework for strategically designing organizations for LM. Combining knowledge about Strategic Organizational Design and LM, we introduce a novel ...

  20. Simulation-enhanced lean design process

    Directory of Open Access Journals (Sweden)

    Jon H. Marvel

    2009-07-01

    Full Text Available 72 Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} A traditional lean transformation process does not validate the future state before implementation, relying instead on a series of iterations to modify the system until performance is satisfactory. An enhanced lean process that includes future state validation before implementation is presented.  Simulation modeling and experimentation is proposed as the primary validation tool.  Simulation modeling and experimentation extends value stream mapping to include time, the behavior of individual entities, structural variability, random variability, and component interaction effects. Experiments to analyze the model and draw conclusions about whether the lean transformation effectively addresses the current state gap can be conducted.  Industrial applications of the enhanced lean process show it effectiveness.

  1. Lean Manufacturing: Assembly Line Efficiency Improvement

    OpenAIRE

    Saperas Caminal, Jordi

    2010-01-01

    This research project aims to present a Lean Manufacturing project implemented at a manufacturing company. I provide a broad description of the company. Special emphasis is put on the assembly line which I studied. I present the operations and tasks carried out on the line, as well as some technical concepts that relate to the problems encountered during the project. Following, I will walk you through the 6-weeks project providing examples of forms, videos, ideas, and tools that we used...

  2. Leaning in: lessons for leadership career development.

    Science.gov (United States)

    Shirey, Maria R

    2013-11-01

    This department highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders advancing organizational change, content includes evidence-based projects, tools, and resources that mobilize and sustain organizational change initiatives. In this article, the author introduces the book Lean In and presents applicable lessons for nursing leadership career development.

  3. Lean six sigma project for productivity enhancement

    OpenAIRE

    Morais, Valter Rocha; Sousa, Sérgio; Lopes, Isabel da Silva

    2016-01-01

    The competitive market that companies are facing nowadays leads them to introduce frequently new products and, therefore, producing small series. This dynamic environment requires frequent changes in production lines and requires flexibility in the processes, which can cause reductions in the level of quality and productivity. This paper presents a Lean Six Sigma improvement project performed in a production line of the machining sector of a company from the motorcycles components branch. The...

  4. Burn wound healing: present concepts, treatment strategies and future directions.

    Science.gov (United States)

    Oryan, A; Alemzadeh, E; Moshiri, A

    2017-01-02

    Burns are the most extensive forms of soft tissue injuries occasionally resulting in extensive and deep wounds and death. Burns can lead to severe mental and emotional distress, because of excessive scarring and skin contractures. Treatment of burns has always been a difficult medical problem and many different methods have been used to treat such injuries, locally. Biofilms are a collection of microorganisms that delay wound healing. One of the new methods of prevention and treatment of burn wound infections is application of antimicrobials, which act on biofilms and prevent the wound infection. Biofilm initiates a persistent, low-grade, inflammatory response, impairing both the epithelialisation and granulation tissue formation. Skin grafts have been shown to dramatically reduce deaths from infection. However, grafting has considerable limitations. Such injuries are long-lasting and many patients suffer from chronic pain for a long time. Tissue engineering is a new approach in reducing the limitations of conventional treatments and producing a supply of immunologically tolerant artificial tissue, leading to a permanent solution for damaged tissues; such criteria make it a cost-effective and reliable treatment modality. To overcome the present limitations of burn wound healing, knowledge about the latest findings regarding healing mechanisms is important. Here the authors discuss the most important events regarding burn wound healing and review the latest treatment strategies that have been used for burn wounds from in vitro to clinical levels. Finally, we discuss the role of tissue engineering and regenerative medicine in the future of burn wound healing, modelling and remodelling.

  5. Psychiatric aspects of burn

    Directory of Open Access Journals (Sweden)

    Dalal P

    2010-10-01

    Full Text Available Burn injuries and their subsequent treatment cause one of the most excruciating forms of pain imaginable. The psychological aspects of burn injury have been researched in different parts of the world, producing different outcomes. Studies have shown that greater levels of acute pain are associated with negative long-term psychological effects such as acute stress disorder, depression, suicidal ideation, and post-traumatic stress disorder for as long as 2 years after the initial burn injury. The concept of allostatic load is presented as a potential explanation for the relationship between acute pain and subsequent psychological outcomes. A biopsychosocial model is also presented as a means of obtaining better inpatient pain management and helping to mediate this relationship.

  6. An evaluation of nutritional practice in a paediatric burns unit

    NARCIS (Netherlands)

    S. Vijfhuize; M. Verburg (Melissa); L. Marino; M. van Dijk (Monique); H. Rode (Heinz)

    2010-01-01

    textabstractIntroduction. Burn injuries evoke a systemic metabolic response with profound effects on organ function, susceptibility to infection, wound healing, growth and development, and mortality. Children are especially vulnerable to nutritional deficiencies owing to their limited energy reserve

  7. An evaluation of nutritional practice in a paediatric burns unit

    NARCIS (Netherlands)

    S. Vijfhuize; M. Verburg (Melissa); L. Marino; M. van Dijk (Monique); H. Rode (Heinz)

    2010-01-01

    textabstractIntroduction. Burn injuries evoke a systemic metabolic response with profound effects on organ function, susceptibility to infection, wound healing, growth and development, and mortality. Children are especially vulnerable to nutritional deficiencies owing to their limited energy

  8. 40 CFR 49.131 - General rule for open burning.

    Science.gov (United States)

    2010-07-01

    ... purpose of this section? This section limits the types of materials that can be openly burned within the..., or styrofoam; (vi) Asphalt or composition roofing, or any other asphaltic material or product;...

  9. Bacteriological profile of burn patients at Yekatit 12 Hospital Burn ...

    African Journals Online (AJOL)

    admin

    injuries, creating a formidable public health problem. (3). Despite major ... change with time. Thus, to have an in-depth knowledge .... Table 4: Antibiotic resistance pattern of bacterial isolates from burn wound at Yekatit 12 hospital burn center.

  10. Initial evaluation and management of the critical burn patient.

    Science.gov (United States)

    Vivó, C; Galeiras, R; del Caz, Ma D P

    2016-01-01

    The major improvement in burn therapy is likely to focus on the early management of hemodynamic and respiratory failures in combination with an aggressive and early surgical excision and skin grafting for full-thickness burns. Immediate burn care by first care providers is important and can vastly alter outcomes, and it can significantly limit burn progression and depth. The goal of prehospital care should be to cease the burning process as well as prevent future complications and secondary injuries for burn shock. Identifying burn patients appropriate for immediate or subacute transfer is an important step in reducing morbidity and mortality. Delays in transport to Burn Unit should be minimized. The emergency management follows the principles of the Advanced Trauma Life Support Guidelines for assessment and stabilization of airway, breathing, circulation, disability, exposure and environment control. All patients with suspected inhalation injury must be removed from the enclosure as soon as possible, and immediately administer high-flow oxygen. Any patient with stridor, shortness of breath, facial burns, singed nasal hairs, cough, soot in the oral cavity, and history of being in a fire in an enclosed space should be strongly considered for early intubation. Fibroscopy may also be useful if airway damage is suspected and to assess known lung damage. Secondary evaluation following admission to the Burn Unit of a burned patient suffering a severe thermal injury includes continuation of respiratory support and management and treatment of inhalation injury, fluid resuscitation and cardiovascular stabilization, pain control and management of burn wound. Copyright © 2015 Elsevier España, S.L.U. and SEMICYUC. All rights reserved.

  11. Industry 4.0 implies lean manufacturing: Research activities in industry 4.0 function as enablers for lean manufacturing

    Directory of Open Access Journals (Sweden)

    Adam Sanders

    2016-09-01

    Full Text Available Purpose: Lean Manufacturing is widely regarded as a potential methodology to improve productivity and decrease costs in manufacturing organisations. The success of lean manufacturing demands consistent and conscious efforts from the organisation, and has to overcome several hindrances. Industry 4.0 makes a factory smart by applying advanced information and communication systems and future-oriented technologies. This paper analyses the incompletely perceived link between Industry 4.0 and lean manufacturing, and investigates whether Industry 4.0 is capable of implementing lean. Executing Industry 4.0 is a cost-intensive operation, and is met with reluctance from several manufacturers. This research also provides an important insight into manufacturers’ dilemma as to whether they can commit into Industry 4.0, considering the investment required and unperceived benefits. Design/methodology/approach: Lean manufacturing is first defined and different dimensions of lean are presented. Then Industry 4.0 is defined followed by representing its current status in Germany. The barriers for implementation of lean are analysed from the perspective of integration of resources. Literatures associated with Industry 4.0 are studied and suitable solution principles are identified to solve the abovementioned barriers of implementing lean. Findings: It is identified that researches and publications in the field of Industry 4.0 held answers to overcome the barriers of implementation of lean manufacturing. These potential solution principles prove the hypothesis that Industry 4.0 is indeed capable of implementing lean. It uncovers the fact that committing into Industry 4.0 makes a factory lean besides being smart. Originality/value: Individual researches have been done in various technologies allied with Industry 4.0, but the potential to execute lean manufacturing was not completely perceived. This paper bridges the gap between these two realms, and identifies

  12. Lean Thinking and Transferring Lean Management - The Best Defence against an Economic Recession?

    Directory of Open Access Journals (Sweden)

    Daniel D. GEORGESCU

    2011-06-01

    Full Text Available Productivity growth is a fundamental means for society to improve its living standards. Productivity growth comes from technological change (new ways of producing goods and services and better organisation of production (better ways of using available resources given available technology. Both processes operate simultaneously and, in practice, it is difficult to distinguish between the effects of each process. The processes are dynamic and affect individual activities differently over time. These years, manufacturing functions have been transferred rapidly and globally from mature countries to emerging countries. This paper is about the lean philosophy and the critical elements for successful transfer of lean management among sites and countries.

  13. Application of AHP for Lean Implementation Analysis in 6 MSMEs

    Directory of Open Access Journals (Sweden)

    Ravikumar M.M

    2014-05-01

    Full Text Available An attempt made to create an awareness about the benefits of lean manufacturing in some Micro, Small and Medium scale industries situated in the southern parts of India, and also to find out the extent up to which companies have implemented lean in their premises. The basic need for lean manufacturing is to help customers, by providing them quality products at the lowest cost and contribute to the better enhancement of the environment. In order to enforce the concept, AHP techniques have been selected. The AHP model was applied to find the best one in lean implementation from a group of six MSMEs. FUZZY AHP has been used to reduce uncertainty of the obtained results. From this the company which implemented lean best is ranked and suggestions were provided to improve in lean implementation.

  14. Implementing lean in surgery – lessons and implications

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders Paarup; Jacobsen, Peter

    2012-01-01

    The principles of lean production originating from the Toyota production system has spread from manufacturing to healthcare. Needless to say, this raises concern whether such principles are actually applicable where the product are humans in need of medical care and what are the consequences...... for the medical staff. The literature on lean does not suggest that lean should not be applicable in healthcare. Still this paper begins by discussing if the principles of lean from a theoretical perspective can be expected to work in healthcare. It is found that that it will be useful in certain types...... of settings but it is not a universal tool that may be applied to all aspects of healthcare. A case of lean in a surgical ward is presented and it is observed that patients have been split in to two flows, which can be described as a lean and a normal flow....

  15. Lean Thinking in systems with non-negligible process variability

    DEFF Research Database (Denmark)

    Nielsen, Erland Hejn; Simons, David

    2000-01-01

    /excess of buffer capacity in such systems. The findings are put into a long-term perspective based on Lean Thinking recommendations. Based on systems thinking (Towill and Naim), four generic sequential steps to Lean Supply and Distribution have been developed within the Lean Paradigm (Simons and Kiff) - Control......Lean Thinking (Womack and Jones) improves quality, cost and delivery through the relentless elimination of wastes. For example, the exemplar of Lean, the Toyota Production system, focuses on improvement through the continual elimination of seven categorised wastes (Ohno). Time compression (Stalk......). For this system this paper makes two contributions: 1. Simulates the relationship between buffer size and throughput performance. 2. Investigates the potential for improvement through Lean Thinking There is an intricate relationship between loss of throughput and allowed inventory buffer sizes along...

  16. Lean Thinking in Systems with Non-Negligible Process Variability

    DEFF Research Database (Denmark)

    Nielsen, Erland Hejn; Simons, David

    2000-01-01

    /excess of buffer capacity in such systems. The findings are put into a long-term perspective based on lean thinking recommendations. Based on systems thinking (Towill and Naim), four generic sequential steps to Lean Supply and Distribution have been developed within the Lean Paradigm (Simons and Kiff) - Control......Lean Thinking (Womack and Jones) improves quality, cost and delivery through the relentless elimination of the wastes. For example, the exemplar of Lean, the Toyota Production system, focuses on improvement through the continual elimination of seven categorised wastes (Ohno). Time compression......). For this system this paper makes two contributions: - 1. Simulates the relationship between buffer size and throughput performance. 2. Investigates the potential for improvement through Lean Thinking There is an intricate relationship between loss of throughput and allowed inventory buffer sizes along...

  17. Influence of Blade Chordwise Lean on Development of Cascade Losses

    Institute of Scientific and Technical Information of China (English)

    HanWanjin; HuangHongyan; 等

    1996-01-01

    An experimetal investigation was carried out on the effect of blade chordwise lean on the losse in highly loaded rectangular turbine cascades,Datailed measurements include 10 traverses from upstream to downstream of the cascades with five-hole spherical probes.Compared with the experimental data of the coventional Straight and pitchwise lean blades under the same conditions,it is shown that the effect of chordwise lean on the development of the cascade losses is similar to that of pitchwise lean.However,the chordwise lean produces smaller streamwise adverse pressure gradients near both endwalls and a smaller spanwise negative one starting from the actute angle side in the first part of the passages in chordwise lean cascade,thereby the saddle point separations and intensities of the passage vortices are weakened and the secondary vorte losses are cut down notably.

  18. The relationships between Lean manufacturing, management accounting and firm performance

    DEFF Research Database (Denmark)

    Kristensen, Thomas Borup; Nielsen, Henrik; Grasso, Lawrency

    2016-01-01

    , likewise, Lean manufacturing affects employee’s mindsets. The extent of which such a transformation can occur is constrained in time as it requires employees and management to unlearn old principles and practices before new ones can be fine-tuned and put fruitfully into use. This study investigates......Lean manufacturing has been adopted by numerous western companies as an answer to an increasing competitive environment. Lean manufacturing is seen as an enterprise-wide strategy encompassing a transformation of manufacturing practices, affecting companies’ management accounting practices and...... the relationship between Lean manufacturing, management accounting practices, Lean thinking and firm performance. Using survey data from 368 different manufacturing facilities, we construct a structural equation model and we develop hypotheses predicting relationships between Lean manufacturing, management...

  19. Soil heating and impact of prescribed burning

    Science.gov (United States)

    Stoof, Cathelijne

    2016-04-01

    Prescribed burning is highly uncommon in the Netherlands, where wildfire awareness is increasing but its risk management does not yet include fuel management strategies. A major exception is on two military bases, that need to burn their fields in winter and spring to prevent wildfires during summer shooting practice. Research on these very frequent burns has so far been limited to effects on biodiversity, yet site managers and policy makers have questions regarding the soil temperatures reached during these burns because of potential impact on soil properties and soil dwelling fauna. In March 2015, I therefore measured soil and litter temperatures under heath and grass vegetation during a prescribed burn on military terrain in the Netherlands. Soil and litter moisture were sampled pre- and post-fire, ash was collected, and fireline intensity was estimated from flame length. While standing vegetation was dry (0.13 g water/g biomass for grass and 0.6 g/g for heather), soil and litter were moist (0.21 cm3/cm3 and 1.6 g/g, respectively). Soil heating was therefore very limited, with maximum soil temperature at the soil-litter interface remaining being as low as 6.5 to 11.5°C, and litter temperatures reaching a maximum of 77.5°C at the top of the litter layer. As a result, any changes in physical properties like soil organic matter content and bulk density were not significant. These results are a first step towards a database of soil heating in relation to fuel load and fire intensity in this temperate country, which is not only valuable to increase understanding of the relationships between fire intensity and severity, but also instrumental in the policy debate regarding the sustainability of prescribed burns.

  20. An assessment of burn care professionals' attitudes to major burn.

    LENUS (Irish Health Repository)

    Murphy, A D

    2008-06-01

    The resuscitation of severe burn remains a controversial area within the burn care profession. There is ongoing debate as to what percentage burn is associated with a sufficient quality of life to support initial resuscitation efforts. We conducted a survey of delegates at the 39th Annual Meeting of the British Burns Association (2005), regarding attitudes towards resuscitation following major burns. Respondents were asked the maximum percentage total body surface area (TBSA) burn beyond which they would not wish to be resuscitated. They were also asked what maximum TBSA they perceived to be commensurate with an acceptable quality of life (QOL). One hundred and forty three of 300 delegates responded to the questionnaire. Thirty three percent of respondents would not wish to be resuscitated with 50-75% TBSA burns or greater. A further 35% would not wish to have life-sustaining intervention with 75-95% TBSA burns or greater. The remaining 32% indicated that they would not want resuscitation with TBSA burns>95%. Regardless of TBSA affected, 16% would not wish resuscitation if they had full thickness facial burns, a further 10% did not want resuscitation if both their hands and faces were affected. Our survey demonstrates the diversity of personal preference amongst burn care professionals. This would suggest that a unifying philosophy regarding the resuscitation of extensive burns will remain elusive.

  1. Using Lean Six Sigma to Accelerate CMMI (registered trademark) Implementation

    Science.gov (United States)

    2008-05-02

    Using Lean Six Sigma to Accelerate CMMI® Implementation Briefers: Diane A. Glaser Michael D. Barnett US Army CECOM LCMC SEC CMMI Coordinator...Objectives • Overview of Capability Maturity Model Integration (CMMI), Lean, and Six Sigma and how they combine in practice • Why the Army is adopting...Lean Six Sigma (LSS) • How the CECOM Software Engineering Center (SEC) intends to leverage LSS to accelerate CMMI implementation to support the

  2. Improve Environmental Management Systems by Auditing with Lean Six Sigma

    Science.gov (United States)

    2010-06-01

    to 00-00-2010 4. TITLE AND SUBTITLE Improve Environmental Management Systems by Auditing with Lean Six Sigma 5a. CONTRACT NUMBER 5b. GRANT NUMBER...Systems by Auditing with Lean Six Sigma U.S. Army Joint Munitions Command (JMC) AMSJM-ISM 1 Rock Island Arsenal Rock Island, IL 61299 UNCLASSIFIED...Anniston MilanPine Bluff McAlester Hawthorne Tooele Production Sites Depot Distribution Sites Depot Archive Sites GOGO GOCO 3 UNCLASSIFIED Lean Six Sigma EMS

  3. Application of lean manufacturing techniques in the Emergency Department.

    Science.gov (United States)

    Dickson, Eric W; Singh, Sabi; Cheung, Dickson S; Wyatt, Christopher C; Nugent, Andrew S

    2009-08-01

    "Lean" is a set of principles and techniques that drive organizations to continually add value to the product they deliver by enhancing process steps that are necessary, relevant, and valuable while eliminating those that fail to add value. Lean has been used in manufacturing for decades and has been associated with enhanced product quality and overall corporate success. To evaluate whether the adoption of Lean principles by an Emergency Department (ED) improves the value of emergency care delivered. Beginning in December 2005, we implemented a variety of Lean techniques in an effort to enhance patient and staff satisfaction. The implementation followed a six-step process of Lean education, ED observation, patient flow analysis, process redesign, new process testing, and full implementation. Process redesign focused on generating improvement ideas from frontline workers across all departmental units. Value-based and operational outcome measures, including patient satisfaction, expense per patient, ED length of stay (LOS), and patient volume were compared for calendar year 2005 (pre-Lean) and periodically after 2006 (post-Lean). Patient visits increased by 9.23% in 2006. Despite this increase, LOS decreased slightly and patient satisfaction increased significantly without raising the inflation adjusted cost per patient. Lean improved the value of the care we delivered to our patients. Generating and instituting ideas from our frontline providers have been the key to the success of our Lean program. Although Lean represents a fundamental change in the way we think of delivering care, the specific process changes we employed tended to be simple, small procedure modifications specific to our unique people, process, and place. We, therefore, believe that institutions or departments aspiring to adopt Lean should focus on the core principles of Lean rather than on emulating specific process changes made at other institutions.

  4. A Literature Review on Lean Implementations – A comprehensive summary

    Directory of Open Access Journals (Sweden)

    Sundareshan S D

    2015-11-01

    Full Text Available The available research papers in area of Lean are studied to know the implementation level of different lean tools, barrier and benefits of implementation are also considered in the review .The commonly used lean tools in the various organization, most common barriers and benefits have been identified and listed in this paper. Most common barrier are also components of quality of work life.

  5. [Nitrogen balance assessment in burn patients].

    Science.gov (United States)

    Beça, Andreia; Egipto, Paula; Carvalho, Davide; Correia, Flora; Oliveira, Bruno; Rodrigues, Acácio; Amarante, José; Medina, J Luís

    2010-01-01

    The burn injury probably represents the largest stimulus for muscle protein catabolism. This state is characterized by an accelerated catabolism of the lean or skeletal mass that results in a clinical negative balance of nitrogen and muscle wasting. The determination of an appropriate value for protein intake is essential, since it is positively related to the nitrogen balance (NB) and accordingly several authors argue that a positive NB is the key parameter associated with nutritional improvement of a burn patient. Evaluation of the degree of protein catabolism by assessment of the Nitrogen Balance; Defining of nutritional support (protein needs) to implement in patients with burned surface area (BSA) = 10%. We prospectively evaluated the clinical files and scrutinized the clinical variables of interest. The NB was estimated according to three formulae. Each gram of nitrogen calculated by the NB was then converted into grams of protein, subtracted or added to protein intake (or administered enteric or parenterically) and divided by kg of reference Weight (kg Rweight), in an attempt to estimate the daily protein needs. The cohort consisted of 10 patients, 6 females, with average age of 58(23) years old, a mean of BSA of 21.4(8.4)%, ranging from a minimum of 10.0% and máximum of 35.0%. On average, patients were 58 (23) years old. The average number of days of hospitalization in the burn unit was 64.8(36.5) days. We observed significant differences between the 3 methods used for calculating the NB (p = 0.004), on average the NB was positive. When the formula A was used the average value of NB was higher. Regarding the attempt to estimate the needs of g prot/kg Rweight/day most of the values did not exceed, on average, 2.6 g Prot/kg Rweight/day and no significant differences between patients with a BSA% of 10-20% and with BSA% > 20% were found. Despite being able to estimate the protein catabolism through these formulas and verifying that most values were above zero

  6. Back Bay Wilderness burning support

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This document is a memorandum concerning prescribed burns between members of the Bureau of Sport Fisheries and Wildlife. It states that burning should be supported...

  7. Phoenix Society for Burn Survivors

    Science.gov (United States)

    ... Medical Professionals Phoenix Society is the leader in connecting the burn recovery community and creating resources for survivors. Since 1977, we have partnered with survivors, families, health care professionals, burn centers, and the fire ...

  8. Hair bleaching and skin burning

    National Research Council Canada - National Science Library

    Forster, K; Lingitz, R; Prattes, G; Schneider, G; Sutter, S; Schintler, M; Trop, M

    2012-01-01

    .... We report a unique case of a 16-yr-old girl who suffered full-thickness chemical and thermal burns to the nape of her neck and superficial burns to the occiput after her hair had been dyed blond...

  9. Rietveld and impedance analysis of cold and hot rolled duplex and lean duplex steels for application in paper and pulp industry

    Energy Technology Data Exchange (ETDEWEB)

    Esteves, Luiza; Lins, Vanessa de Freitas Cunha, E-mail: luizaeq@yahoo.com.br [Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG (Brazil). Departamento de Engenharia Quimica; Paiva, Paulo Renato Perdigao [Centro Federal de Educacao Tecnologica de Minas Gerais (CEFET), Belo Horizonte, MG (Brazil); Viana, Adolfo Kalergis do Nascimento [APERAM South America, Timoteo, MG (Brazil)

    2017-01-15

    In this study, X-Ray Diffraction (XRD) and Rietveld Refinement were performed to identify and quantify the ferrite and austenite phase of cold and hot rolled duplex stainless steels (UNS S31803) and lean duplex stainless steels (UNS S32304). Electrochemical impedance spectroscopy (EIS) was applied to evaluate the chemical behavior of duplex and lean duplex stainless steels in white, green, and black liquors of paper and pulp industry. Rietveld analysis results showed a higher austenite content than the standard limit for duplex steels in the hot rolled condition. The hot rolling condition plays a major role in improving corrosion resistance in white liquor mainly for the lean duplex steel. (author)

  10. Incorporation of lean methodology into pharmacy residency programs.

    Science.gov (United States)

    John, Natalie; Snider, Holly; Edgerton, Lisa; Whalin, Laurie

    2017-03-15

    The implementation of lean methodology into pharmacy residency programs at a community teaching hospital is described. New Hanover Regional Medical Center, a community teaching hospital in southeastern North Carolina, fully adopted a lean culture in 2010. Given the success of lean strategies organizationally, this methodology was used to assist with the evaluation and development of its pharmacy residency programs in 2014. Lean tools and activities have also been incorporated into residency requirements and rotation learning activities. The majority of lean events correspond to the required competency areas evaluating leadership and management, teaching, and education. These events have included participation in and facilitation of various lean problem-solving and communication tools. The application of the 4 rules of lean has resulted in enhanced management of the programs and provides a set of tools by which continual quality improvement can be ensured. Regular communication and direct involvement of all invested parties have been critical in developing and sustaining new improvements. In addition to program enhancements, lean methodology offers novel methods by which residents may be incorporated into leadership activities. The incorporation of lean methodology into pharmacy residency programs has translated into a variety of realized and potential benefits for the programs, the preceptors and residents, and the health system. Specific areas of growth have included quality-improvement processes, the expansion of leadership opportunities for residents, and improved communication among program directors, preceptors, and residents. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  11. Product innovation and commercialization in lean global start-ups

    DEFF Research Database (Denmark)

    Tanev, Stoyan; Rasmussen, Erik Stavnsager; Zijdemans, Erik

    2015-01-01

    The paper examines the distinctive characteristics of product innovation and commercialization in Lean Global Start-up (LGS) – new technology firms which have adopted a lean and global path from or near to their inception. It suggests an uncertainty vs risk framework which allows integrating two...... research streams – Born Global (BG) firms and lean start-ups. In addition to its integrative theoretical value, the paper offers insights for lean start-up managers dealing with the challenges of a global start....

  12. Using lean methodologies for economically and environmentally sustainable foundries

    Directory of Open Access Journals (Sweden)

    R. M. Torielli

    2011-02-01

    Full Text Available Lean manufacturing is often seen as a set of tools that reduce the total cost and improve the quality of manufactured products. The lean management philosophy is one which targets waste reduction in every facet of the manufacturing business; however, only recently have studies linked lean management philosophies with improving environmental sustainability. These studies suggest that lean manufacturing is more than a set of lean tools that can optimize manufacturing efficiencies; it is a process and mindset that needs to be integrated into daily manufacturing systems to achieve sustainability. The foundry industry, as well as manufacturing in general, has significant challenges in the current regulatory and political climate with developing an economically and environmentally sustainable business model. Lean manufacturing has proven itself as a model for both economic sustainability and environmental stewardship. Several recent studies have shown that both lean and green techniques and “zero-waste” policies also lead to reductions in overall cost. While these strategies have been examined for general manufacturing, they have not been investigated in detail for the foundry industry. This paper will review the current literature and describe how lean and green can provide a relevant framework for environmentally and economically sustainable foundries. Examples of lean and green technologies and techniques which can be applied to foundries in a global context will be described.

  13. ED becomes 'lean' and cuts LBTC, LOS times.

    Science.gov (United States)

    2008-04-01

    Lean manufacturing techniques, first developed by Toyota, can be successfully adapted to help improve processes in your ED. St. Luke's Episcopal Hospital in Houston, has used Lean to reduce median length of stay, frequency of diversions, and the percentage of patients who left before treatment was complete (LBTC). Here's why "Lean" can help improve the performance of your ED: It enables you and your staff to see things from the patient's point of view. Lean tools enable you to view the status of your department in real-time and to compare that status with your performance goals. Exercises help identify areas where your processes break down and determine the most likely solutions.

  14. Application of a mathematical model for ergonomics in lean manufacturing.

    Science.gov (United States)

    Botti, Lucia; Mora, Cristina; Regattieri, Alberto

    2017-10-01

    The data presented in this article are related to the research article "Integrating ergonomics and lean manufacturing principles in a hybrid assembly line" (Botti et al., 2017) [1]. The results refer to the application of the mathematical model for the design of lean processes in hybrid assembly lines, meeting both the lean principles and the ergonomic requirements for safe assembly work. Data show that the success of a lean strategy is possible when ergonomics of workers is a parameter of the assembly process design.

  15. LEAN ACCOUNTING: SUATU ALTERNATIF TEKNIK AKUNTANSI MANAJEMEN DALAM INDUSTRI MANUFAKTUR

    Directory of Open Access Journals (Sweden)

    Eka Ardhani Sisdyani

    2010-07-01

    Full Text Available Manufacturing techniques have been developed to embrace theaims of continuous improvement. Continuous improvement would leadcompanies to win business competition. One technique that gains moreand more followers is lean manufacturing. Lean manufacturing hastwo main purposes, which are eliminating wastes and creating valuesto customers. It focuses on customer values, value stream, productionflows, demand-pull, and perfection. Lean accounting is needed tosupport and encourage the development of lean manufacturing, forinstances in product costing system, external reporting, and otherdecision making processes that need accounting data.

  16. The year in burns 2008.

    Science.gov (United States)

    Wolf, Steven E

    2009-12-01

    For 2008, approximately 1200 original burn research articles were published in scientific journals using the English language. This article reviews those with the most impact on burn treatment according to the Editor of one of the major journals (Burns). As in the previous year's review, articles were divided into the following topic areas: epidemiology, wound characterisation, critical care physiology, inhalation injury, infection, metabolism and nutrition, psychological considerations, pain management, rehabilitation, and burn reconstruction. Each selected article is mentioned briefly with editorial comment.

  17. TIRES, OPEN BURNING

    Science.gov (United States)

    The chapter describes available information on the health effects from open burning of rubber tires. It concentrates on the three known sources of detailed measurements: (1) a small-scale emissions characterization study performed by the U.S. EPA in a facility designed to simulat...

  18. Chemical burn or reaction

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/000059.htm Chemical burn or reaction To use the sharing features on this page, please enable JavaScript. Chemicals that touch skin can lead to a reaction on the skin, throughout the body, or both. ...

  19. PLASTIC SURGERY AND BURNS

    Institute of Scientific and Technical Information of China (English)

    1996-01-01

    Objective Endotoxin as the inciting agentof cytokines and other mediators, whose highlevel expression correlates with the septicshock and MOF, has been the one of leadingcauses of death in ICU. Methods For treatingsepsis and MOF caused by endotoxin, the anti-lipid A of LPS antibody was used. 19 burned

  20. Effects of MAL61 and MAL62 overexpression on maltose fermentation of baker's yeast in lean dough.

    Science.gov (United States)

    Zhang, Cui-Ying; Lin, Xue; Song, Hai-Yan; Xiao, Dong-Guang

    2015-08-01

    The predominant fermentable sugar in lean dough is maltose. To improve the leavening ability of baker's yeast in lean dough, maltose metabolism should be improved. Maltase (alpha-glucosidase, encoded by MAL62) and maltose permease (encoded by MAL61) are the major factors involved in maltose metabolism. The major rate-limiting factor in maltose metabolism and leavening ability of baker's yeast remains unclear. In this work, MAL61 and/or MAL62 overexpression strains were constructed to investigate the decisive factor for maltose metabolism of industrial baker's yeast in lean dough. Our results show that elevated maltose permease activity by MAL61 overexpression yielded less improvement in maltose fermentation compared to elevated maltase activity by MAL62 overexpression. Significant increase in maltase activity by MAL62 overexpression could result in a 44% increase in leavening ability of industrial baker's yeast in lean dough and a 39% increase in maltose metabolism in a medium containing glucose and maltose. Thus, maltase was the rate-limiting factor in maltose fermentation of industrial baker's yeast in lean dough. This study lays a foundation for breeding of industrial baker's yeast for quick dough leavening.

  1. Myocutaneous revascularization following graded ischemia in lean and obese mice

    Directory of Open Access Journals (Sweden)

    Clark RM

    2016-09-01

    Full Text Available Ross M Clark,1 Brittany Coffman,2 Paul G McGuire,3 Thomas R Howdieshell1,3 1Department of Surgery, 2Department of Pathology, 3Department of Cell Biology and Vascular Physiology, University of New Mexico Health Sciences Center, Albuquerque, NM, USA Background: Murine models of diabetes and obesity have provided insight into the pathogenesis of impaired epithelialization of excisional skin wounds. However, knowledge of postischemic myocutaneous revascularization in these models is limited. Materials and methods: A myocutaneous flap was created on the dorsum of wild type (C57BL/6, genetically obese and diabetic (ob/ob, db/db, complementary heterozygous (ob+/ob− , db+/db−, and diet-induced obese (DIO mice (n=48 total; five operative mice per strain and three unoperated mice per strain as controls. Flap perfusion was documented by laser speckle contrast imaging. Local gene expression in control and postoperative flap tissue specimens was determined by quantitative reverse transcription polymerase chain reaction (RT-PCR. Image analysis of immunochemically stained histologic sections confirmed microvascular density and macrophage presence. Results: Day 10 planimetric analysis revealed mean flap surface area necrosis values of 10.8%, 12.9%, 9.9%, 0.4%, 1.4%, and 23.0% for wild type, db+/db−, ob+/ob−, db/db, ob/ob, and DIO flaps, respectively. Over 10 days, laser speckle imaging documented increased perfusion at all time points with revascularization to supranormal perfusion in db/db and ob/ob flaps. In contrast, wild type, heterozygous, and DIO flaps displayed expected graded ischemia with failure of perfusion to return to baseline values. RT-PCR demonstrated statistically significant differences in angiogenic gene expression between lean and obese mice at baseline (unoperated and at day 10. Conclusion: Unexpected increased baseline skin perfusion and augmented myocutaneous revascularization accompanied by a control proangiogenic transcriptional

  2. Modern management of paediatric burns

    African Journals Online (AJOL)

    2010-03-01

    Mar 1, 2010 ... Jackson's. 3-dimensional burn wound model describes 3 zones: • a central zone ... the burn.7 Care must be taken not to induce hypothermia in larger burns – especially in .... Fluid therapy thereafter consists of 2 components ...

  3. "The largest Lean transformation in the world": the implementation and evaluation of lean in Saskatchewan healthcare.

    Science.gov (United States)

    Kinsman, Leigh; Rotter, Thomas; Stevenson, Katherine; Bath, Brenna; Goodridge, Donna; Harrison, Liz; Dobson, Roy; Sari, Nazmi; Jeffery, Cathy; Bourassa, Carrie; Westhorp, Gill

    2014-01-01

    The Saskatchewan Ministry of Health has committed to a multi-million dollar investment toward the implementation of Lean methodology across the province's healthcare system. Originating as a production line discipline (the Toyota Production System), Lean has evolved to encompass process improvements including inventory management, waste reduction and quality improvement techniques. With an initial focus on leadership, strategic alignment, training and the creation of a supportive infrastructure (Lean promotion offices), the goal in Saskatchewan is a whole health system transformation that produces "better health, better value, better care, and better teams." Given the scope and scale of the initiative and the commitment of resources, it is vital that a comprehensive, longitudinal evaluation plan be implemented to support ongoing decision-making and program design. The nature of the initiative also offers a unique opportunity to contribute to health quality improvement science by advancing our understanding of the implementation and evaluation of complex, large-scale healthcare interventions. The purpose of this article is to summarize the background to Lean in Saskatchewan and the proposed evaluation methods.

  4. Lean Six Sigma Projects and IT

    Institute of Scientific and Technical Information of China (English)

    Gyula Mosoni; Chee-Cheng Chen

    2013-01-01

    Lean Six Sigma operations capitalizing on the benefits of using IT follow the same principle as other process improvement methods where the main goals are maximizing the value, eliminating waste, and minimizing defects. If the transformation has been planned in the appropriate way, customer satisfaction should become higher (e.g., easier to use the web site, safer payment process, shorter waiting time)and the operations will generally be smoother; as a result, the company should be on track to becoming more profitable.

  5. Lean Architecture for Agile Software Development

    CERN Document Server

    Coplien, James O

    2010-01-01

    More and more Agile projects are seeking architectural roots as they struggle with complexity and scale - and they're seeking lightweight ways to do it: Still seeking? In this book the authors help you to find your own path; Taking cues from Lean development, they can help steer your project toward practices with longstanding track records; Up-front architecture? Sure. You can deliver an architecture as code that compiles and that concretely guides development without bogging it down in a mass of documents and guesses about the implementation; Documentation? Even a whiteboard diagram, or a CRC

  6. Implementing LEAN in the Supply Chain

    DEFF Research Database (Denmark)

    Bilberg, Arne

    through a multi faced role called a waterspider function assisted by an adjusted ERP system to obtain a user-friendly and simple IT environment. The methods applied to redesign were based on LEAN principles to eliminate waste and to enhance flow. The project involved the end to end supply chain....... The challenge was to get commitment in the organization as well as to find a technical solution. A lot of effort was put into training the employees, which in the final run has demonstrated remarkable results....

  7. Leaning in to the Backcourt Violation

    OpenAIRE

    Lee, Rachel

    2013-01-01

    Facebook chief operating officer Sheryl Sandberg’s new book Lean in: Women, Work, and the Will to Lead (Knopf, 2013) has been credited with trying to re-start a conversation on the “gender-problem-that-has-no-name” (New York Times, 2/21/13). if you’re not already familiar with the book, here’s a quick summary: Sandberg recapitulates previous studies by academic researchers and gives them a platform among a certain group of elite power brokers (the evidence: Richard Branson of Virgin group had...

  8. Modelling lean and green supply chain

    OpenAIRE

    Duarte, Susana Carla Vieira Lino Medina

    2013-01-01

    Dissertação para obtenção do Grau de Doutor em Engenharia Industrial The success of an organization depends on the effective control of its supply chain. It is important to recognize new opportunities for organization and its supply chain. In the last few years the approach to lean, agile, resilient and green supply chain paradigms has been addressed in the scientific literature. Research in this field shows that the integration of these concepts revealed some contradictions among so...

  9. Hydrocarbon emissions from lean-burn natural gas engines. Kinetic modelling and visualization

    Energy Technology Data Exchange (ETDEWEB)

    Broe Bendtsen, A.

    1999-07-01

    Motivated by emissions of unburned fuel from natural gas engines, a detailed chemical kinetic model describing NO{sub x} sensitized oxidation of methane was developed. New methods for visualization of such complex models have been developed, based on chemometrics and explorative data analysis. They may find application in combustion chemistry and in atmospheric chemistry, where detailed kinetic models are widely used. The motivation of the project was the discovery of significant emissions of unburned fuel from natural gas engines. The thesis contains a brief summary of emission levels and the sources of these emissions. Results from experiments by the Danish Gas Technology Centre on a pilot scale engine showed that oxidation of methane may occur in an extended exhaust manifold. Based on these results experiments were initiated to obtain detailed knowledge of the governing oxidation chemistry in the exhaust manifold. A series of laboratory experiments showed that at a residence time of 200 ms the threshold temperature for oxidation of methane was lowered by 200 {kappa} from 1100 {kappa} to 900 {kappa} in the presence of NO or NO{sub 2}. Experiments with a residence time of 140 ms showed that the sensitizing effect of NO was related to a longer lag time, compared to effect of NO{sub 2}. The major product of oxidation from 900 {kappa} to 1100 {kappa} was CO. Published detailed chemical kinetic models were not able to describe these phenomena. It was attempted to modify existing kinetic models to describe this sensitization by estimation of reaction rates. A literature survey of various method for estimation of reaction rates is given, and one methods for estimation of reaction rates using Partial Least Squares regression is demonstrated, but only with moderate success. To obtain a better kinetic model, a conventional approach to the refinement of the kinetic model was assisted by visualization methods and explorative data analysis. Through this approach an existing kinetic model was refined to provide a good prediction of the phenomena observed, allthough the CO{sub 2} production was predicted to take place at too low temperatures. The dominant modifications of previous models were the inclusion of CH{sub 3}O{sub 2} which reacts with NO to form CH{sub 3}O and NO{sub 2} as well as the addition of a reaction between CH{sub 3} and NO{sub 2} forming CH{sub 3}O. These two NO{sub x} mediated paths through CH{sub 3}O were responsible for the NO{sub x} sensitization. The path through CH{sub 3}O{sub 2} was slower and assumed responsible for the lag time of NO sensitised methane oxidation, but as soon as sufficient NO{sub 2} was formed the reaction between CH{sub 3} and NO{sub 2} was the major path from CH{sub 3}. The tools used in the construction of the reaction mechanism were developed further to be provided for public use. They include automatic generation of Pathway Plots, suggestions for pre-treatment of first order local sensitivity data before plotting and explorative analysis of the simulation outputs. The kinetic model obtained was used in prediction of oxidation of methane in the exhaust of a pilot scale natural gas engine, and the results were satisfactory. The pilot scale experiments were also analysed using explorative data analysis (principal component analysis) and the results showed that such methods may be very useful in extraction of information from complex data sets. (au)

  10. Burn epidemiology and cost of medication in paediatric burn patients.

    Science.gov (United States)

    Koç, Zeliha; Sağlam, Zeynep

    2012-09-01

    Burns are common injuries that cause problems to societies throughout the world. In order to reduce the cost of burn treatment in children, it is extremely important to determine the burn epidemiology and the cost of medicines used in burn treatment. The present study used a retrospective design, with data collected from medical records of 140 paediatric patients admitted to a burn centre between 1 January 2009 and 31 December 2009. Medical records were examined to determine burn epidemiology, medication administered, dosage, and duration of use. Descriptive statistical analysis was completed for all variables; chi-square was used to examine the relationship between certain variables. It was found that 62.7% of paediatric burns occur in the kitchen, with 70.7% involving boiling water; 55.7% of cases resulted in third-degree burns, 19.3% required grafting, and mean duration of hospital stay was 27.5 ± 1.2 days. Medication costs varied between $1.38 US dollars (USD) and $14,159.09, total drug cost was $46,148.03 and average cost per patient was $329.63. In this study, the medication cost for burn patients was found to be relatively high, with antibiotics comprising the vast majority of medication expenditure. Most paediatric burns are preventable, so it is vital to educate families about potential household hazards that can be addressed to reduce the risk of a burn. Programmes are also recommended to reduce costs and the inappropriate prescribing of medication.

  11. Study on acute burn injury survivors and the associated issues

    Institute of Scientific and Technical Information of China (English)

    Jonathan Bayuo; Pius Agbenorku; Richcane Amankwa

    2016-01-01

    Objective: To explore the phenomenon of surviving burn injury and its associated issues and concerns. Methods: A cross sectional survey approach was utilized to obtain data from one hundred burn survivors who were purposely selected. Descriptive statistics and content analysis were used to analyze data. Results: Findings from the study indicate that burns from flames stood out as a major cause of burns. Physical discomfort/pain, anxiety, needing assistance in meeting self-care needs, financial and social limitations were identified as the major impact of the injury. Furthermore, participants perceived the existence of societal stigma. In addition, hope in God or a spiritual being as well as family support were the two key resources participants relied on to cope effectively. Conclusions: Surviving burn injury is associated with varied physical, social and psy-chological factors and survivors may need professional assistance to fully adjust after discharge.

  12. Management of cyanide toxicity in patients with burns.

    Science.gov (United States)

    MacLennan, Louise; Moiemen, Naiem

    2015-02-01

    The importance of cyanide toxicity as a component of inhalational injury in patients with burns is increasingly being recognised, and its prompt recognition and management is vital for optimising burns survival. The evidence base for the use of cyanide antidotes is limited by a lack of randomised controlled trials in humans, and in addition consideration must be given to the concomitant pathophysiological processes in patients with burns when interpreting the literature. We present a literature review of the evidence base for cyanide antidotes with interpretation in the context of patients with burns. We conclude that hydroxycobalamin should be utilised as the first-line antidote of choice in patients with burns with inhalational injury where features consistent with cyanide toxicity are present. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  13. Bushfire disaster burn casualty management: the Australian "Black Saturday" bushfire experience.

    Science.gov (United States)

    Seifman, Marc; Ek, Edmund W; Menezes, Hana; Rozen, Warren M; Whitaker, Iain S; Cleland, Heather J

    2011-11-01

    Mass burn disasters are among the most difficult disasters to manage, with major burns requiring complex management in a multidisciplinary setting and specialist burns services having limited capacity to deal with large numbers of complex patients. There is a paucity of literature addressing health system responses to mass burn disasters resulting from wildfires, with the events of the "Black Saturday" disaster in the state of Victoria, Australia, able to provide a unique opportunity to draw lessons and increase awareness of key management issues arising in mass burn casualty disasters. The event comprised the worst natural disaster in the state's history and one of the worst wildfire disasters in world history, claiming 173 lives and costing more than AUD 4 billion. This article draws on the national burns disaster plan instituted, Australian Mass Casualty Burn Disaster Plan (AUSBURNPLAN), and details the management of mass burn cases through a systems-based perspective.

  14. Lean Construction Implementation in the Saudi Arabian Construction Industry

    Directory of Open Access Journals (Sweden)

    Jamil Ghazi Sarhan

    2017-03-01

    Full Text Available The Kingdom of Saudi Arabia (KSA has witnessed a huge increase in construction during the last two decades. However, many projects experienced time delays, cost overruns and the generation of massive amounts of waste. To address these challenges, lean construction has been introduced into the Saudi construction industry; however, it is still in its infancy. This study therefore investigates the current state of lean construction implementation in the construction industry in the KSA. The objectives are to identify: the types of construction waste, level of use of tools that support the implementation of lean construction, stages of application of lean methods, and the benefits of lean construction. To achieve these objectives, a structured questionnaire survey of 282 construction professionals was carried out. After the analysis of the collected data using mean score and Anova test, the following conclusions were made.  In the construction industry in the KSA, waiting is the most common type of waste, while Computer Aided Design (CAD is the conventional tool supporting the implementation of lean construction. Furthermore, the data suggests that lean construction is most commonly used in the construction stage of projects while customer satisfaction is the main benefit derived from lean construction practices. This study concludes that the level of implementation of lean construction in the KSA construction industry is increasing. The results will help benchmark the current state of lean construction implementation, which will enable the construction industry to identify strategies to implement lean construction in Saudi Arabia in accordance with their needs and project goals, to achieve better productivity.

  15. Neuroendocrine system response modulates oxidative cellular damage in burn patients.

    Science.gov (United States)

    Xie, Xiao-Qi; Shinozawa, Yotaro; Sasaki, Junichi; Takuma, Kiyotsugu; Akaishi, Satoshi; Yamanouchi, Satoshi; Endo, Tomoyuki; Nomura, Ryosuke; Kobayashi, Michio; Kudo, Daisuke; Hojo, Nobuko

    2007-02-01

    Oxygen-derived free radicals play important roles in pathophysiological processes in critically ill patients, but the data characterizing relationships between radicals and neuroendocrine system response are sparse. To search the cue to reduce the oxidative cellular damage from the point of view of neuroendocrine system response, we studied the indicators of neuroendocrine and inflammatory responses excreted in urine in 14 burn patients (42.3 +/- 31.4 years old, and 32.3 +/- 27.6% burn of total body surface area [%TBSA]) during the first seven days post burn. The daily mean amounts of urinary excretion of 8-hydroxy-2'-deoxy-guanosine (8-OHdG), a marker of oxidative cellular damage, were above the upper limit of the standard value during the studied period. The total amount of urinary excretion of 8-OHdG in the first day post burn correlated with burn severity indices: %TBSA (r = 0.63, p = 0.021) and burn index (r = 0.70, p = 0.008). The daily urinary excretion of 8-OHdG correlated with the daily urinary excretion of norepinephrine and nitrite plus nitrate (NOx) during the studied period except day 2 post burn, and correlated with the daily urinary excretion of 17-hydroxycorticosteriod (17-OHCS) in days 2, 3, and 7 post burn. These data suggest that oxidative cellular damage correlates with burn severity and neuroendocrine system response modulates inflammation and oxidative cellular damage. Modulation of neuroendocrine system response and inflammation in the treatment in the early phase of burn may be useful to reduce the oxidative cellular damage and to prevent multiple organ failures in patients with extensive burn.

  16. Impulsive-choice patterns for food in genetically lean and obese Zucker rats.

    Science.gov (United States)

    Boomhower, Steven R; Rasmussen, Erin B; Doherty, Tiffany S

    2013-03-15

    Behavioral-economic studies have shown that differences between lean and obese Zuckers in food consumption depend on the response requirement for food. Since a response requirement inherently increases the delay to reinforcement, differences in sensitivity to delay may also be a relevant mechanism of food consumption in the obese Zucker rat. Furthermore, the endocannabinoid neurotransmitter system has been implicated in impulsivity, but studies that attempt to characterize the effects of cannabinoid drugs (e.g., rimonabant) on impulsive choice may be limited by floor effects. The present study aimed to characterize impulsive-choice patterns for sucrose using an adjusting-delay procedure in genetically lean and obese Zuckers. Ten lean and ten obese Zucker rats chose between one lever that resulted in one pellet after a standard delay (either 1 s or 5 s) and a second lever that resulted in two or three pellets after an adjusting delay. After behavior stabilized under baseline, rimonabant (0-10 mg/kg) was administered prior to some choice sessions in the two-pellet condition. Under baseline, obese Zuckers made more impulsive choices than leans in three of the four standard-delay/pellet conditions. Additionally, in the 2-pellet condition, rimonabant increased impulsive choice in lean rats in the 1-s standard-delay condition; however, rimonabant decreased impulsive choice in obese rats in the 1-s and 5-s standard-delay conditions. These data suggest that genetic factors that influence impulsive choice are stronger in some choice conditions than others, and that the endocannabinoid system may be a relevant neuromechanism. Copyright © 2012 Elsevier B.V. All rights reserved.

  17. Lean management in health care: definition, concepts, methodology and effects reported (systematic review protocol).

    Science.gov (United States)

    Lawal, Adegboyega K; Rotter, Thomas; Kinsman, Leigh; Sari, Nazmi; Harrison, Liz; Jeffery, Cathy; Kutz, Mareike; Khan, Mohammad F; Flynn, Rachel

    2014-09-19

    Lean is a set of operating philosophies and methods that help create a maximum value for patients by reducing waste and waits. It emphasizes the consideration of the customer's needs, employee involvement and continuous improvement. Research on the application and implementation of lean principles in health care has been limited. This is a protocol for a systematic review, following the Cochrane Effective Practice and Organisation of Care (EPOC) methodology. The review aims to document, catalogue and synthesize the existing literature on the effects of lean implementation in health care settings especially the potential effects on professional practice and health care outcomes. We have developed a Medline keyword search strategy, and this focused strategy will be translated into other databases. All search strategies will be provided in the review. The method proposed by the Cochrane EPOC group regarding randomized study designs, non-randomised controlled trials controlled before and after studies and interrupted time series will be followed. In addition, we will also include cohort, case-control studies, and relevant non-comparative publications such as case reports. We will categorize and analyse the review findings according to the study design employed, the study quality (low- versus high-quality studies) and the reported types of implementation in the primary studies. We will present the results of studies in a tabular form. Overall, the systematic review aims to identify, assess and synthesize the evidence to underpin the implementation of lean activities in health care settings as defined in this protocol. As a result, the review will provide an evidence base for the effectiveness of lean and implementation methodologies reported in health care. PROSPERO CRD42014008853.

  18. The Stanford-ReSurge Burn Scar Contracture Scale for Neck: Development and Initial Validation for Burn Scar Contracture.

    Science.gov (United States)

    Cai, Lawrence; Puri, Vinita; Dangol, Mohan Krishna; Mannan, Iftekhar Ibne; Khundkar, Shafquat Hussain; Le Thua, Trung-Hau; Muguti, Godfrey; Rai, Shankar Man; Karanas, Yvonne; Chang, James

    2016-11-01

    Burn contractures can cause significant disability, particularly in patients in resource-limited settings. However, a gap exists in our ability to measure outcomes in patients with burn contractures of the neck. The objective of this study was to develop and validate the Stanford-ReSurge Burn Scar Contracture Scale-Neck to longitudinally assess functional status and measure functional improvement following contracture release of the neck. A literature review was performed to identify scales used in neck assessment and burn assessment. Items were then removed from the pool based on redundancy, feasibility, cultural appropriateness, and applicability to patients in international resource-limited environments. Remaining items were administered to patients with burn contracture of the neck. The initial literature review found 33 scales that were combined to create an initial pool of 714 items, which was first reduced to 40 items. Feedback from field testing then yielded a 20-item outcome tool to assess appearance, activities of daily living, somatosensation, satisfaction, and range of motion, with a floor of 20 and a ceiling score of 100 points. Preliminary testing with 10 patients showed an average preoperative score of 58 points and an average 1-month postoperative score of 42 points. The authors have created an outcome tool for measuring functional status following burn contracture release of the neck, which can easily be implemented in resource-limited settings where the burden of burn injuries and morbidities is disproportionately high. Ongoing work includes a multicountry study to evaluate validity and reliability.

  19. The year in burns 2011.

    Science.gov (United States)

    Wolf, Steven E; Arnoldo, Brett D

    2012-12-01

    For 2011, approximately 1746 original research articles in burns were published in English in scientific journals. This article reviews those with the most potential impact on for burn therapeutics and outcomes according to the Editor of one of the major journals (Burns) and his colleague. As done previously, articles were found and divided into these topic areas: epidemiology of injury and burn prevention, wound and scar characterisation, acute care and critical care, inhalation injury, infection, psychological considerations, pain and itching management, rehabilitation and long-term outcomes, and burn reconstruction. Each selected article is mentioned briefly with editorial comment.

  20. Developing a lean culture in the laboratory.

    Science.gov (United States)

    Napoles, Leyda; Quintana, Maria

    2006-07-25

    The Director of Pathology at Jackson Memorial Hospital was interested in improving the operational efficiencies of the department in order to enhance the department's level of service in conjunction with the expansion of the overall health system. The decision was made to implement proven Lean practices in the laboratory under the direction of a major consulting firm. This article details the scope of the initial project as well as the operating principles of Lean manufacturing practices as applied to the clinical laboratory. The goals of the project were to improve turnaround times of laboratory results, reduce inventory and supply costs, improve staff productivity, maximize workflow, and eliminate waste. Extensive data gathering and analysis guided the work process by highlighting the areas of highest opportunity. This systematic approach resulted in recommendations for the workflow and physical layout of the laboratory. It also included the introduction of "standard workflow" and "visual controls" as critical items that streamlined operational efficiencies. The authors provide actual photographs and schematics of the reorganization and improvements to the physical layout of the laboratory. In conclusion, this project resulted in decreased turnaround times and increased productivity, as well as significant savings in the overall laboratory operations.