INTRODUCTION Hypermetabolism is universal in the severely burned and is characterized by catabolism of lean mass and body fat with associated insulin resistance. Adipokines are likely to play a role in these changes but have not been identified to date in burn patients. METHODS From a single burn ICU, 17 burn patients with an expected stay>14 days were studied. Study period began within 14 da...

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

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

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

Hydrogen may become a replacement for liquid fossil fuels, contributing to greenhouse gas emissions reductions by improving the thermal efficiency of boosted lean burn spark ignition engines. Single-zone engine combustion models are simple, but can yield useful results as step in design process developing alternative fuel systems. The single-zone thermodynamic model is advanced implementing lam...

BACKGROUND Burn-trauma patient encounters constitute 5% of the emergency department population. HYPOTHESIS A large urban hospital will treat twice as many (ie, 10%) burn-trauma patients. DESIGN Retrospective 44-month study. SETTING Metropolitan county hospital. PATIENTS Population-based sample of burn-only (n = 1102), burn-trauma (n = 120), and assault burn-trauma (n = 43) patients. M...