This paper suggests that a major deeciency in computational approaches to manufacturing design is the lack of applicable models of human behavior. Starting with a discrepancy between the practices of lean manufacturing|practices that recommend small interprocess buuer sizes|and the practices of manufacturing simulation|practices that treat human behavior as an uncorrelated, random process, whic...

To study the influence of diet composition on regulation of body weight, we fed 21 weight-stable subjects (11 lean, 10 obese) high-carbohydrate (HC) and high-fat (HF) diets for 1 wk each. Although diet composition was fixed, total energy intake was unrestricted. Subjects had a higher energy intake on the HF (11,039 +/- 2700 kJ/d) than on the HC (10,672 +/- 2617 kJ/d) diet (P less than 0.05), bu...

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

Lean Management and Six Sigma are nowadays applied not only to the manufacturing industry but also to service industry and public administration. The manifold variables affecting the Health Care system minimize the effect of a narrow Lean intervention. Therefore, this paper aims to discuss a comprehensive, system-based approach to achieve a factual holistic optimization of patient flows. This p...

In recent years, industrial requirements for products have moved toward small batches and diversification. However, the traditional dedicated manufacturing line, which was initially developed mass production, is no longer suitable these requirements. Consequently, companies need to improve their performance adapt maintain competitiveness, especially small- medium-sized enterprises (SMEs), owing...