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In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.
This book presents state-of-the-art research on responsible operations practices. The book identifies the challenges and opportunities arising from the shift towards responsible business operations and examines these issues through the lenses of operations management, emphasizing the supply chain transformations associated with these changes. Developing a responsible business model presents a great opportunity for firms to differentiate in the marketplace through innovative models and insights around responsible operations and supply chain management. To do so, companies in many industries are changing their practices around sourcing materials, supplier compliance around processes and labor, scientific and sustainable approaches to farming in emerging countries, managing counterfeiting risks, and public health management. Responsible Business Operations: Challenges and Opportunities is divided into three sections. Section 1 focuses on environmental responsibility for companies. It also explores alternative energy solutions for both the developed and developing world, as well as worldwide carbon footprint reduction efforts. Section 2 is dedicated to social responsibility, with chapters covering topics including improving agricultural food chains and humanitarian challenges for businesses. Finally Section 3 promotes ethical responsibility, analyzing ways to improve supplier compliance to product, process and ethical standards.
First published by the Combat Studies Institute Press. The resulting anthology begins with a general overview of urban operations from ancient times to the midpoint of the twentieth century. It then details ten specific case studies of U.S., German, and Japanese operations in cities during World War II and ends with more recent Russian attempts to subdue Chechen fighters in Grozny and the Serbian siege of Sarajevo. Operations range across the spectrum from combat to humanitarian and disaster relief. Each chapter contains a narrative account of a designated operation, identifying and analyzing the lessons that remain relevant today.
This textbook offers an accessible introduction to counterinsurgency operations, a key aspect of modern warfare. Featuring essays by some of the world’s leading experts on unconventional conflict, both scholars and practitioners, the book discusses how modern regular armed forces react, and should react, to irregular warfare. The volume is divided into three main sections: Doctrinal Origins: analysing the intellectual and historical roots of modern Western theory and practice Operational Aspects: examining the specific role of various military services in counterinsurgency, but also special forces, intelligence, and local security forces Challenges: looking at wider issues, such as governance, culture, ethics, civil-military cooperation, information operations, and time. Understanding Counterinsurgency is the first comprehensive textbook on counterinsurgency, and will be essential reading for all students of small wars, counterinsurgency and counterterrorism, strategic studies and security studies, both in graduate and undergraduate courses as well as in professional military schools.
The revised and updated second edition of the popular and practical guide to contemporary operations management – now featuring a new chapter on managing sustainable supply networks. The Essential Guide to Operations Management explores fundamental operations management principles and shows how they are applied in real-life situations in both the services and manufacturing sectors. It adapts a strategic stance by providing a framework for effective decision-making: determining operations strategies; designing processes, products and work organisations; managing change through effective project management and technology transfer; exploring contemporary approaches to operations planning and control; and then managing quality and improvement strategies. As such, it addresses the needs of practising managers, postgraduate MBA and MSc students and final-year undergraduates in advanced operations management elective courses. The Essential Guide to Operations Management: Concepts and Case Notes, Second Edition, is supported by updated case studies throughout and online support materials for lecturers.
This book highlights key ideas and factors to coach and guide professionals involved in learning about Sterile Manufacturing and operational requirements. It covers regulations and guidelines instituted by the FDA, ISPE, EMA, MHRA, and ICH, emphasizing good manufacturing practice and inspection requirements in the manufacturing of medicinal products. Additionally, this book provides the fundamentals of aseptic techniques, quality by design, risk assessment, and management in support of sterile operations applications. It creates a link to the implementation of business practices in drug manufacturing and healthcare and forms a correlation between design strategies including a step-by-step process to ensure reliability, safety, and efficacy of healthcare products for human and animal use. The book also provides a connection between drug production and regulated applications by offering a review of the basic elements of sterile processing, and how to remain viable with solid strategic planning. The book is a concise reference for professionals and learners in the field of sterile operations that governs primarily, pharmaceutical and medical device space, but can also extend to food and cosmetics that require clean (aseptic) manufacturing applications. It also helps compounding pharmacists and GMP inspectors and auditors.
Zusammenfassung: This conference attracts GN&C specialists from across the globe. The 2022 Conference was the 44th Annual GN&C conference with more than 230 attendees from six different countries with 44 companies and 28 universities represented. The conference presented more than 100 presentations and 16 posters across 18 topics. This year, the planning committee wanted to continue a focus on networking and collaboration hoping to inspire innovation through the intersection of diverse ideas. These proceedings present the relevant topics of the day while keeping our more popular and well-attended sessions as cornerstones from year to year. Several new topics including "Autonomous Control of Multiple Vehicles" and "Results and Experiences from OSIRIS-REx" were directly influenced by advancements in our industry. In the end, the 44th Annual GN&C conference became a timely reflection of the current state of the GN&C ins the space industry. The annual American Astronautical Society Rocky Mountain Guidance, Navigation and Control (GN&C) Conference began 1977 as an informal exchange of ideas and reports of achievements among guidance and control specialists local to the Colorado area. Bud Gates, Don Parsons, and Bob Culp organized the first conference, and began the annual series of meetings the following winter. In March 1978, the First Annual Rocky Mountain Guidance and Control Conference met at Keystone, Colorado. It met there for eighteen years, moving to Breckenridge in 1996 where it has been for over 25 years
For 40 years, Fischer’s Mastery of Surgery has provided expert, highly illustrated coverage of the procedures that general surgeons and trainees need to know. The fully revised eighth edition, under the editorial leadership of Drs. E. Christopher Ellison, Gilbert R. Upchurch Jr., Philip A. Efron, Steven D. Wexner, Nancy D. Perrier, V. Suzanne Klimberg, John H. Stewart IV, Valerie W. Rusch, Jon C. Gould, Susan Galandiuk, Timothy M. Pawlik, William C. Chapman, Benjamin K. Poulose, Peter K. Henke, Alicia M. Mohr, Saleem Islam, Anne M.R. Agur, Carol Scott-Conner, and David Renton continues the tradition of excellence with two full-color volumes that include the essentials of diagnosis, anatomy, and pre-operative planning while maintaining a focus on clear, step-by-step depictions and descriptions of procedures.
This text/atlas is a comprehensive guide to minimally invasive procedures in general surgery. Chapters are authored by world-renowned experts in this technology, who share their firsthand operative experience, emphasizing decision-making, anatomy, and key steps in the operations. The Third Edition features expanded sections on the esophagus, gastrointestinal tract, liver and biliary tract, pancreas and spleen, and small and large bowel, new sections on state-of-the-art surgical tools and bariatric surgery, and new chapters on esophageal lengthening, duodenal switch, and natural orifice transluminal endoscopic surgery (NOTES). Full-color photographs and drawings complement the text throughout. Each chapter concludes with comments from the editors. A companion Website will offer the fully searchable text and an image bank.
This book shares the learnings and perspectives of two pioneer women who waded the many challenges posed by multiculturalism and gender in one of the corporate environments more rigid and traditional in the business world: the energy sector in the Middle East. How they managed to create a growth space for themselves and their teams is a story of professional and personal tenacity, shaping a privileged perspective that enabled them to understand the root causes of barriers, as well as envision plausible solutions. They propose in the book not only their vision, but a remarkable collection of unfiltered interviews to influential leaders in the energy sector, to complete a vision of what is key to achieve success when leading or consulting in a corporate environment. The book offers a compilation of very personal approaches to professionalism, resilience, work, and ultimately, success, from within and outside the ranks of highly regarded corporations in the energy sector. The ultimate aim is that of triggering a self-reflection in the readers, grounded on the learnings and perspectives of those who made it to the highest roles of one of the less understood business environments.