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

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

1 Clinical and Molecular Osteoporosis Research Unit, Karolinska University Hospital, Stockholm, Sweden 2 Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia 3 Department of Clinical Physiology, Department of Clinical Sciences, Lund University, Lund, Sweden 4 Department of Orthopaedics, Malmö University Hospital,...

Background: There is growing interest in applying lean thinking in healthcare, yet, there is still limited knowledge of how and why lean interventions succeed (or fail). To address this gap, this in-depth case study examines a leaninspired intervention in a Swedish pediatric Accident and Emergency department. Methods: We used a mixed methods explanatory single case study design. Hospital perfor...

Lean management is one of the sufficient methods often used by an organization, company or agency certain. this method claimed capable to make a increase quality product more efficient. The problems faced Surabaya Islamic Hospital are: Currently, difference cost operational with income at RSI A. Yani only 15%-17%, while policy directors want can 30%, goal devotion Public give training Pharmacy ...