Thoughts and Exploration on Transformation and Upgrading of Tobacco Production Promoted by Lean Management

Tobacco-producing field should carry out research oriented by fined technology,fluent work procedure and satisfied effect,reinforce lean management promotion,optimize allocation of tobacco production technologies,employees and resources,and improve science and technology research and development in a premise of improving tobacco quality,stable tobacco texture,and increasing tobacco production profit,in order to highlight service function of cooperatives and advance sustainable development.

Nonalcoholic fatty liver disease in lean subjects:Prognosis,outcomes and management

Nonalcoholic fatty liver disease(NAFLD)accounts for most cases of chronic liver disease worldwide,with an estimated global prevalence of approximately 25%and ranges from simple steatosis to nonalcoholic steatohepatitis and cirrhosis.NAFLD is strongly connected to metabolic syndrome,and for many years,fatty liver was considered to be an exclusive feature of obese patients.However,recent studies have highlighted the presence of NAFLD in non-obese subjects,with or without increased visceral fat or even in lean subjects without increased waist circumference.“Lean NAFLD”is a relatively new concept and there is significant scientific interest in understanding the differences in pathophysiology,prognosis and management compared with NAFLD in overweight/obese patients.In the present editorial,we discuss the clinical and metabolic profiles and outcomes of lean NAFLD compared with both obese NAFLD and lean healthy individuals from Asian and Western countries.Moreover,we shed light to the challenging topic of management of NAFLD in lean subjects since there are no specific guidelines for this population.Finally,we discuss open questions and issues to be addressed in the future in order to categorize NAFLD patients into lean and nonlean cohorts.

Lean Management in Obstetrics and Gynecology: Application in the Ambulatory Clinic Pre- and Post-Kaizen

OBJECTIVE: The ambulatory clinic was an important departmental problem. Providers hated working there and patients complained about the wait times there. It seemed there were equal numbers of patients and provider complaints. In the spirit of solving the problem, data was gathered, a LEAN intervention was planned, and data was collected. METHODS: We defined the service families in the clinic as registration, vital signs, provider or ultrasound visit, nursing visit, and registration for the return visit. We walked the Gemba engaging all the staff in the process. Many observations pointed to long waits between and among the five stations. In order to study the current state, time data was collected by attaching a sheet of paper to a folder that the patient would carry themselves to all the clinical steps. On the sheet of paper each station logged the time that patient appeared and the time the patient left their sight. Data was gathered each day and every day from October 2016 to the summer of 2017. The data was analyzed. Leadership met and identified value and waste in the process. A Kaizen event was scheduled after the first set of measurements engaging all the staff. After the data was thoroughly analyzed and digested, brainstorming occurred. Together we determined our future state. We created a vision and strategic goals to reach our future state. RESULTS: The data pre-Kaizen event showed that the process of arrival to leaving took 124 minutes. We discovered that not every patient passed through each station. We learned the patients were on time or early for their visit most of the time. The providers were late most of the time by 1 - 1.5 hours. We learned how long each station took from the patient’s point of view. There were no statistically significant differences between ultrasound and provider visits;there were no statistically significant differences between midwife and physician visits. Each day of the week was similar. The arrival rate was higher in the morning because of the template. After the event, the total time in clinic did not change however the variability in time between and among each station decreased in variance. We informed the staff of these findings so that they could take responsibility for their part in the process. The atmosphere in clinic changed dramatically and the complaints from both providers and patients stopped. CONCLUSION: LEAN management was used to improve the clinic. It yielded important results, got the staff engaged in the process, and provided a way for the patients to see the efforts made by staff to improve.

Study on Tobacco Leave Lean Production Management System

In recent years, tobacco lean production infrastructure is almost full-fledged through development, and professional service scope expands accordingly. Hence, the developing emphasis has transformed from hardware facilities improvement to software updating of lean management and precise work. With related documents released by China Tobacco and Guizhou Tobacco, the achievement of comprehen- sive lean management probably becomes one of the key goals for the future devel- opment of tobacco business. The construction goal of tobacco leaves lean produc- tion management system is to internalize technology, information, human resources, material and other production elements into value stream of flue-cured tobacco pro- duction, and strict control value stream of input costs and output benefits, and then create management profit, promote enterprise, core competitiveness. The lean pro- duction management is both extension and expansion of modern tobacco agriculture, closely related to agricultural standardization and GAP management, which is based on professional service training and production machinery upgrading, with team management and station working as carriers, and information feedback, key quality monitoring and benefit evaluation as assessment references.

The Practical Application of Lean Management Model to the Production and Operation of China＇s Small and Medium- sized Apparel Enterprises

In this paper, the prospect and advantages of applying prospect and advantages to the production and operation of China＇ s small and medimn-sized apparel enterprises, the main waste parts in the apparel production and operation process are systematically analyzed, an efficient production, management, and operation model meeting the characteristics of the small and medium-sized apparel enterprises is explored according to the solutions in lean management, and also the technical transformation in the key positions is fully implemented, so that the production efficiency of the sewing workshop is improved, the bottlenecks of the backward production management way to restrict the development of enterprises are broken, the vitality of the enterprises is restored, and also significant economic and social benefits are achieved.

Introduction of Lean Management at NAGéV RáCS Ltd

Introducing lean management enterprises can improve significantly the efficiency of logistics and supply chain management and their profitability.The study discusses,using the results of a survey,the experiences and lessons learned from the implementation of lean management at NAGéV RáCS Ltd.At the beginning(March 2016)lean improvement assessment was performed,then lean development program was planned which effect was measured later(October 2016).Fifteen areas of the lean progression were quantified and analyzed during the time period identifying new aims and suggestions for the future.

Update in lean metabolic dysfunction-associated steatotic liver disease

BACKGROUND A new nomenclature consensus has emerged for liver diseases that were previously known as non-alcoholic fatty liver disease(NAFLD)and metabolic dysfunction-associated fatty liver disease(MAFLD).They are now defined as metabolic dysfunction-associated steatotic liver disease(MASLD),which includes cardiometabolic criteria in adults.This condition,extensively studied in obese or overweight patients,constitutes around 30%of the population,with a steady increase worldwide.Lean patients account for approximately 10%-15%of the MASLD population.However,the pathogenesis is complex and is not well understood.AIM To systematically review the literature on the diagnosis,pathogenesis,characteristics,and prognosis in lean MASLD patients and provide an interpretation of these new criteria.METHODS We conducted a comprehensive database search on PubMed and Google Scholar between January 2012 and September 2023,specifically focusing on lean NAFLD,MAFLD,or MASLD patients.We include original articles with patients aged 18 years or older,with a lean body mass index categorized according to the World Health Organization criteria,using a cutoff of 25 kg/m2 for the general population and 23 kg/m2 for the Asian population.RESULTS We include 85 studies in our analysis.Our findings revealed that,for lean NAFLD patients,the prevalence rate varied widely,ranging from 3.8%to 34.1%.The precise pathogenesis mechanism remained elusive,with associations found in genetic variants,epigenetic modifications,and adaptative metabolic response.Common risk factors included metabolic syndrome,hypertension,and type 2 diabetes mellitus,but their prevalence varied based on the comparison group involving lean patients.Regarding non-invasive tools,Fibrosis-4 index outperformed the NAFLD fibrosis score in lean patients.Lifestyle modifications aided in reducing hepatic steatosis and improving cardiometabolic profiles,with some medications showing efficacy to a lesser extent.However,lean NAFLD patients exhibited a worse prognosis compared to the obese or overweight counterpart.CONCLUSION MASLD is a complex disease comprising epigenetic,genetic,and metabolic factors in its pathogenesis.Results vary across populations,gender,and age.Limited data exists on clinical practice guidelines for lean patients.Future studies employing this new nomenclature can contribute to standardizing and generalizing results among lean patients with steatotic liver disease.

Analysis of Service Delivery Improvement of Manufactured Products with Lean Method Management

This study aimed to determine the waste that occurs in activities from receiving to delivering of finished products that can result in delays in the delivery of audio to Japan.The waste identified is limited to activities in the finished goods warehouse.The problem that occurs is the delay in product delivery,because the product is not ready to be delivered so that it causes delays.The lean approach is used to reduce waste in the overall work process activities in the finished goods warehouse.Waste identification was performed through the 7 waste approach.Process Activity Mapping is one of the tools of VALSAT,and is looking for critical waste to find the root cause of waste.Delay can be minimized by making improvements to the layout of the warehouse and routine inspection of goods transporters.Companies should use lean to reduce the waste that occurs so there is no delay in the delivery of audio products.

Lean Construction in Supply Chain Management： Supplier and Buyer Relationship in Social Housing

To the accomplishment of this article, we have chosen, as a case study, a small Goiana construction company that acted in the market of social housing. The main goal of this work is to analyze the fundamental aspects related to the management of the flow of supplies in civil construction to achieve a greater streamlining of logistic processes involved in supplying material. A checklist was developed for the purpose of data collection, and it was applied by means of an interview with the person in charge of the purchase department of the enterprise. In addition, this person is the engineer of the site. Taking into account the exploratory feature of this research, the construction site was visited so that some issues, such as quality aspects, losses, cleanliness and organization, could be observed. This on-site data collection visit was carried out through visual analyses and photographs. The obtained results were subdivided into a quantitative and a qualitative analysis. In this way, it was possible to see that the production process still has many phases to be improved. What is more, it was possible to see that the construction company knows its flaws and necessities to improve its processes although the final result does not have the expected quality. Being aware of this need for improvement, the construction company aims at having an affordable price product to the target public, especially when it is associated to an image that shows quality.

Lean Management Based Sustainable Transport System for Surat Metropolitan Area in the Context of Industrial Development

Surat city is continuously expanding with industrial development. Despite several flyovers, traffic congestion continues in the heart of city. Therefore, fresh transportation planning is at anvil. Simultaneously, further expansion plan is under consideration to create yet another, the 10th industrial zone. Purpose of this paper is to explore lean management based sustainable transport system for meeting the increasing needs of people and supply-chain. The research examines different mode of transportation like; vehicles on road, rail on the land, and steamers through the sea route to provide connectivity. This study may support the planners of the smart city. The study intends to find how lean management can be integrated to sustainable transport system meeting objectives of lean and sustainability both. Lean management system claims to be capable of eliminating all type of wastes including those associated with transport system. On the other hand, sustainable transport claims to meet the needs of people in personal economic lives, importantly respecting the need of future generations. Therefore, this applied research aims to find a lean and sustainable transport solution. This research work can be seen as descriptive type as it includes survey of location and fact finding enquiries.

Heterostructured nickel-cobalt metal alloy and metal oxide nanoparticles as a polysulfide mediator for stable lithium-sulfur full batteries with lean electrolyte

Batteries that utilize low-cost elemental sulfur and light metallic lithium as electrodes have great potential in achieving high energy density.However,building a lithium-sulfur(Li-S)full battery by controlling the electrolyte volume generally produces low practical energy because of the limited electrochemical Li-S redox.Herein,the high energy/high performance of a Li-S full battery with practical sulfur loading and minimum electrolyte volume is reported.A unique hybrid architecture configured with Ni-Co metal alloy(NiCo)and metal oxide(NiCoO_(2))nanoparticles heterogeneously anchored in carbon nanotube-embedded selfstanding carbon matrix is fabricated as a host for sulfur.This work demonstrates the considerable improvement that the hybrid structure's high conductivity and satisfactory porosity promote the transport of electrons and lithium ions in Li-S batteries.Through experimental and theoretical validations,the function of NiCo and NiCoO_(2) nanoparticles as an efficient polysulfide mediator is established.These particles afford polysulfide anchoring and catalytic sites for Li-S redox reaction,thus improving the redox conversion reversibility.Even at high sulfur loading,the nanostructured Ni-Co metal alloy and metal oxide enable to have stable cycling performance under lean electrolyte conditions both in half-cell and full-cell batteries using a graphite anode.

Metal-free two-dimensional phosphorene-based electrocatalyst with covalent P-N heterointerfacial reconstruction for electrolyte-lean lithium-sulfur batteries

The use of lithium-sulfur batteries under high sulfur loading and low electrolyte concentrations is severely restricted by the detrimental shuttling behavior of polysulfides and the sluggish kinetics in redox processes.Two-dimensional(2D)few layered black phosphorus with fully exposed atoms and high sulfur affinity can be potential lithium-sulfur battery electrocatalysts,which,however,have limitations of restricted catalytic activity and poor electrochemical/chemical stability.To resolve these issues,we developed a multifunctional metal-free catalyst by covalently bonding few layered black phosphorus nanosheets with nitrogen-doped carbon-coated multiwalled carbon nanotubes(denoted c-FBP-NC).The experimental characterizations and theoretical calculations show that the formed polarized P-N covalent bonds in c-FBP-NC can efficiently regulate electron transfer from NC to FBP and significantly promote the capture and catalysis of lithium polysulfides,thus alleviating the shuttle effect.Meanwhile,the robust 1D-2D interwoven structure with large surface area and high porosity allows strong physical confinement and fast mass transfer.Impressively,with c-FBP-NC as the sulfur host,the battery shows a high areal capacity of 7.69 mAh cm^(−2) under high sulfur loading of 8.74 mg cm^(−2) and a low electrolyte/sulfur ratio of 5.7μL mg^(−1).Moreover,the assembled pouch cell with sulfur loading of 4 mg cm^(−2) and an electrolyte/sulfur ratio of 3.5μL mg^(−1) shows good rate capability and outstanding cyclability.This work proposes an interfacial and electronic structure engineering strategy for fast and durable sulfur electrochemistry,demonstrating great potential in lithium-sulfur batteries.

Effect of nano-CaO particle on the microstructure,mechanical properties and corrosion behavior of lean Mg-1Zn alloy

The effects of nano-CaO contents on the microstructure,mechanical properties and corrosion resistance of lean Mg-1Zn alloy were investigated.The results showed that the addition of nano-CaO significantly refined the grain size and improved mechanical properties of the Mg-1Zn alloy.At the same time,CaO reacted with molten Mg in situ to form nano-MgO,whose corrosion product in SBF solution was the same with the degradation product of Mg matrix,resulting in the enhanced compactness of the Mg(OH)_(2) layer and reduced corrosion rate of matrix.The Mg-1Zn alloy had lower corrosion resistance due to excessively large grain size and shedding of corrosion products.The composite with 0.5 wt.%CaO had the best corrosion resistance with a weight loss of 9.875 mg·y^(-1)·mm^(-2)due to the small number of Ca_(2)Mg_(6)Zn_(3) phase and suitable grain size.While for composites with high content of CaO(0.7 wt.%and 1.0 wt.%),they had lower corrosion resistance due to the coexistence of large number of Ca_(2)Mg_(6)Zn_(3) and Mg_(2)Ca at grain boundaries,especially for 1.0 wt.%CaO composite,resulting from the strong micro-galvanic corrosion.

Overview of the Theoretical Exploration and Application of Lean Six Sigma

In contemporary contexts,Lean Six Sigma(LSS)is extensively utilized and has evolved across various sectors due to its substantial benefits.This paper aims to explore the definition,origin,and development of LSS,as well as its key tools,methods,theoretical research,and future prospects.Furthermore,it analyzes the theoretical foundations and practical applications of LSS in-depth,with an emphasis on anticipating future development trends.The goal is to provide readers with a comprehensive overview of LSS and offer insights for enterprises seeking to implement LSS for process improvement and innovation.

NO reduction by CO over TiO_2-γ-Al_2O_3 supported In/Ag catalyst under lean burn conditions

TiO2/γ-Al2O3 supported In/Ag catalysts were prepared by impregnation method,and investigated for NO reduction with CO as the reducing agent under lean burn conditions.The microscopic structure and surface properties of the catalysts were studied by N2 adsorption-desorption,X-ray diffraction,transmission electron microscopy,X-ray photoelectron spectroscopy,ultraviolet-visible spectroscopy,H2 temperature-programmed reduction and Fourier transform infrared spectroscopy.TiO2/γ-Al2O3 supported In/Ag is a good catalyst for the reduction of NO to N2.It displayed high dispersion,large amounts of surface active components and high NO adsorption capacity,which gave good catalytic performance and stability for the reduction of NO with CO under lean burn conditions.The silver species stabilized and improved the dispersion of the indium species.The introduction of TiO2 into the γ-Al2O3 support promoted NO adsorption and improved the dispersion of the indium species and silver species.

基于ARM和TCP/IP Lean的智能家居控制器的研究

为了进一步提高人们的生活质量,设计了一种成本低廉、面向家庭的远程智能家居控制器,主要用于控制电灯、电冰箱、空调等家用电器的运行状态。采用ARM处理器S3C44B0作为核心处理单元,硬件平台由S3C44B0和以太网控制器CS8900等器件组成,软件主要以精简TCP/IP协议栈为核心,两者共同组建了嵌入式智能家居Web服务器。在网络畅通的情况下,用户通过点击嵌入在硬件平台的Web页面上的按钮来控制相应的家用电器。

Lean 6 Sigma方法优化放射学工作流程的应用体会

在HIS/PACS/RIS集成构建中应用Lean6sigma方法,找出传统放射科工作流程中影响工作效率和质量的关键影响因素,再应用精益的方法消除影响工作流程的"浪费"现象,设计能持续发展的解决方案,优化放射科工作流程,提高放射科室的工作效率,为数字化医院的内在流程建设提供宝贵的实施经验和方法。

基于E-leaning的体育课程网络化教学改革

E-leaning可以优化教育资源、提高学习效率、降低学习成本,对于体育课程教学而言,其灵活便捷的教学方式能够解决"学训矛盾",方便学生自主学习。学习过程记录方便、教学管理和课程资源及时有效的更新,既方便了教学管理,也为体育远程教育创造了条件。E-leaning借助网络跨越了校园空间的限制,给学习者提供了一个全新的学习环境,促使了学校与学习者之间距离的缩短,让学校教育向更广泛的地区辐射。借助E-leaning进行体育精品课程和网络课程整合,开展体育远程教育有助于现有体育精品课程和网络课程的可持续发展,有利于体育教育资源共享,是未来学校体育教育和终身体育教育的重要途径。

基于爬虫和LeanCloud数据存储的双语阅读平台设计

针对移动开发者在移动应用开发的过程中,经常需要用到大量数据信息的问题,提出一种利用爬虫技术获取网络上的数据,并结合Lean Cloud进行数据存储,从而为开发者提供海量数据的技术方案。Jsoup是用Java语言开发的知名度较高的Java第三方类库,已经成为Java爱好者解析HTML文档的首选之一,并被广泛用于网络爬虫抓取海量网络数据。文中以Android双语阅读平台为例,通过Jsoup网络爬虫抓取网络数据和Lean Cloud进行数据存储开发了一款Android双语阅读平台,软件响应速度快、信息处理速度快。

《Leaning to do》的启示:把价值观教育与TVET结合起来

这几个模块相关联的核心价值是健康,与自然和谐,达到人的身体、智力、情感、社会和精神的全面发展,实现一种人与人、人与自然环境和谐的状态.要对自身健康负责,对所有形态的生命关爱,成为一个环境的看护者.