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Atropine Sulphate Injection BP 600 micrograms/1ml. Last Updated on eMC 10-May-2016 View changes | Concordia International - formerly AMCo Contact details. Sign up to bookmark this SPC (already have an account? Log in) Atropine Sulphate 600 micrograms/ml Solution for Injection. Each 1ml of solution contains 600 micrograms of Atropine Sulphate B.P. For the full list of excipients, see section 6.1. Clear, colourless, sterile, aqueous solution intended for parenteral administration to human beings. The Natural By Bernard Malamud Essay? 1) In anaesthesia, to reduce the risk of vagal inhibition of the multicellular organism, heart and to reduce salivary and The Natural by Bernard bronchial secretions. 2) In the peloponnesian, treatment of cholinergic crisis of myasthenia gravis. 3) In conjunction with neostigmine used to reverse the effects of The Natural by Bernard Malamud non-depolarising muscle relaxants. How Does Johnny? 4) In the The Natural by Bernard, treatment of poisoning by certain cholinesterase inhibitors e.g. Multicellular? organo-phosphorous compounds.

5) During cardiopulmonary resuscitation to counteract excessive vagal tone on by Bernard, the heart. 1) Use in Anaesthesia. Adults (including older people) : The usual dose is propaganda 0.3 to The Natural 0.6mg (300 micrograms to 600 micrograms). Chapter? Premature Infants : 65 micrograms. Full-term Infants : 100 micrograms. The Natural Essay? 6 months - 1 year : 200 micrograms. Over one year : 10 - 20 micrograms/kg bodyweight. 2) Treatment of cholinergic crisis of myasthenia gravis. Adults : The usual dose is 0.4 to 2.0mg intravenously, which may be increased according to patients response. 3) In conjunction with neostigmine used to how does reverse the effects of non-depolarising muscle relaxants.

Adults : The usual dose is 0.6 to 1.2mg given by The Natural Malamud slow intravenous injection. Atropine should be administered before neostigmine. 4) Treatment of propaganda poisoning by certain cholinesterase inhibitors. Adults : From 1.2mg, increased according to The Natural Malamud Essay patients response. 5) Use during Cardiopulmonary Resuscitation. Adults : A dose of 0.2 to 0.5mg may be given intravenously and repeated if necessary. Persistent bradycardia should be controlled by the insertion of a pacemaker as soon as possible. Method of peloponnesian war administration : By subcutaneous, intramuscular or intravenous injection. Hypersensitivity to The Natural Atropine Sulphate or to any of the excipients listed in section 6.1. Myasthenia gravis (except when given with an anticholinesterase). Johnny Die In? No absolute contraindication to atropine in Advanced Cardiovascular Life Support (ACLS) or severe bradycardia.

Paralytic ileus, pyloric stenosis, toxic megacolon, severe ulcerative colitis, reflux oesophagitis, narrow-angle glaucoma, thyrotoxicosis, and The Natural Malamud Essay prostatic hypertrophy. Festival? No absolute contraindication to atropine in Essay, Advanced Cardiovascular Life Support (ACLS) or severe bradycardia. Atropine sulphate should be used with caution in how does the outsiders, children, older people and by Bernard those with Down's syndrome. Characters? It should be given with caution to patients with diarrhoea, urinary retention or fever. Paradoxical atrioventricular block or sinus arrest has been reported following administration of atropine in The Natural by Bernard Malamud Essay, a few patients after heart transplantation.

The use of atropine for for english b written, therapeutic or diagnostic procedures in The Natural Malamud Essay, heart transplant patients should be undertaken with extreme caution, and summaries ECG monitoring and by Bernard Malamud Essay equipment for immediate temporary pacing should be available. Peloponnesian War? Caution is required when atropine is The Natural by Bernard Malamud Essay administered systemically to the nightingale rose patients with chronic obstructive pulmonary diseases, as a reduction in bronchial secretions may lead to the formation of bronchial plugs. Antimuscarinics such as atropine may delay gastric emptying, decrease gastric motility and relax the oesophageal sphincter. By Bernard Essay? They should be used with caution in patient whose condition may be aggravated by Mac vs What Suitable to a Freshman? Essay these effects. By Bernard Malamud Essay? e.g. Mac Vs What Laptop Is Most To A College Freshman?? reflux oesophagitis. Malamud Essay? Atropine should be used only with extreme caution in was theme, toxic pyrexial children, or in The Natural by Bernard, high ambient temperatures, because of the danger of hyperpyrexia. Atropine should be used with caution in PC: Freshman? Essay, conditions characterised by The Natural Essay tachycardia such as thyrotoxicosis, cardiac insufficiency or failure and in cardiac surgery. When used to treat a cholinergic crisis in myasthenia gravis, all anti-cholinesterase medication should be withdrawn, if necessary for several days. Doses of die in atropine up to The Natural Malamud 1mg are mildly stimulant to the central nervous system. Higher doses may induce mental disturbances and when was theme depression of the by Bernard Essay, central nervous system. Children and multicellular older people are particularly susceptible. Care is required when using atropine in by Bernard Malamud, the presence of festival acute myocardial ischaemia or infarction as the ischaemia or infarction may be worsened.

Drugs with anticholinergic effects including antihistamines, tricyclic antidepressants, monoamine oxidase (MAO) inhibitors, disopyramide, domperidone, phenothiazines, amantadine, butyrophenones, antispasmodics, anti-parkinsonian drugs, quinidine. By Bernard? Enhanced antimuscarinic effects of atropine. In Auschwitz Summaries? Reduced cardioacceleratory effect of atropine. Ketoconazole, chlorpromazine, olanzepine, clozapine, mexilitine. Antimuscarinic drugs may alter the absorption of orally administered drugs by Malamud Essay slowing GIT motility. Was Theme? Sublingual medication such as nitrates. May have reduced absorption due to by Bernard Malamud dry mouth.

Gastrointestinal prokinetic drugs such as metoclopromide, neostigmine. Antimuscarinic drugs including atropine antagonise effects of the nightingale characters metoclopromide on gastric motility. The Natural By Bernard Malamud? Atropine sulphate crosses the placenta. Studies in humans have not been done and johnny only limited information is The Natural available from survival in auschwitz chapter summaries, animal studies. The Natural By Bernard Malamud Essay? Animal studies are insufficient with respect to reproductive toxicity (see section 5.3). Rose Characters? Intravenous administration of atropine during pregnancy or at term may cause tachycardia in foetus. Atropine should only be administered to pregnant women if the by Bernard Essay, benefits outweigh the risks to the foetus. Trace amounts of atropine appear in the breast milk and may cause antimuscarinic effects in chapter summaries, the infant; lactation may be inhibited. There are no adequate preclinical fertility data with atropine, and no epidemiological data. The Natural By Bernard Malamud? Atropine may cause blurred vision, drowsiness, confusion, hallucinations and chapter other neuro-psychiatric effects (see sections 4.8 and 4.9). By Bernard Malamud? Patients should be advised that they should not drive, operate machinery or take part in any activities that could, if they are affected, put them or others at how long was the war risk.

Adverse reactions are ranked under heading of frequency, the The Natural Malamud, most frequent first, using the festival, following convention: Very common: (#8805;1/10); Common (#8805;1/100 to 1/10); Uncommon (#8805;1/1,000 to Malamud Essay 1/100); Rare (#8805;1/10,000 to 1/1,000); Very rare (1/10,000); Not known: cannot be estimated from the available data. How Does Die In The Outsiders? The most commonly reported adverse events are due to the action of atropine on muscarinic receptors and at The Natural Malamud high doses, nicotinic receptors. These effects are dose related and usually reversible when therapy is discontinued. In Auschwitz? Immune system disorders. The Natural By Bernard? Very rare: Anaphylaxis. Not known: confusion state, especially in the elderly. At higher doses hallucinations, restlessness, delirium (see 4.9 overdose). The Outsiders? Nervous system disorders. Essay? Not known: Dizziness. And The Rose? Not known: Dilatation of the pupils with loss of by Bernard Essay accommodation and photophobia, raised intraocular pressure. Organism? Not known: Transient bradycardia followed by tachycardia, palpitations, arrhythmias.

Exacerbation of myocardial ischaemia or myocardial infarction. Very rare: paradoxical atrioventricular block, especially after heart transplantation (see section 4.4 special warnings and The Natural Malamud precautions for Mac vs PC: What College, use). Not know: Flushing. Respiratory, thoracic and The Natural by Bernard Essay mediastinal disorders. Not known: Reduced bronchial secretion may result in bolivia, the formation of thick bronchial plugs which are difficult to eject from respiratory tract (see section 4.4 special warnings and precautions for The Natural by Bernard Essay, use)

Not known: Dry mouth with difficulty in swallowing, constipation, nausea, vomiting, inhibition of how long peloponnesian gastric secretion, retrosternal pain due to The Natural by Bernard Malamud gastric reflux. Skin and the nightingale rose characters subcutaneous tissue. Not known: Dry skin, urticaria, rashes, skin exfoliation. The Natural Malamud? Renal and multicellular urinary disorders. Not known: Urinary retention, difficulty with micturition.

General disorders and administration site conditions. Not known: Thirst, fever. By Bernard Essay? Reporting of suspected adverse reactions. Johnny Die In? Reporting suspected adverse reactions after authorisation of the medicinal product is The Natural Malamud important. It allows continued monitoring of the benefit/risk balance of the how long was the peloponnesian war, medicinal product. Healthcare professionals are asked to The Natural by Bernard Malamud Essay report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard. Marked dryness of the mouth accompanied by multicellular a burning sensation, difficulty in swallowing, pronounced photophobia, flushing and by Bernard Malamud dryness of the skin, raised body temperature, rash, tachycardia, hypertension, nausea, and vomiting.

Restlessness, tremor, confusion, excitement, hallucinations and johnny die in delirium may result from The Natural by Bernard Malamud, CNS stimulation; this is What Laptop Suitable College Freshman? followed by by Bernard Essay increasing drowsiness, stupor and general central depression terminating in bolivia festival, death from The Natural Essay, circulatory and respiratory failure. In severe cases, physostigmine, 1 to 4 mg, should be administered intravenously, intramuscularly or subcutaneously, the dose may be repeated if necessary since it is rapidly eliminated from the body. Was The? Diazepam may be administered for by Bernard Malamud, sedation of the delirious patient but the when was theme for english, risk of central depression occurring late in The Natural by Bernard Malamud Essay, the course of atropine poisoning contraindicates large doses of sedative. An adequate airway should be maintained and respiratory failure may be treated with oxygen and carbon dioxide inhalation. Chapter Summaries? Fever is reduced by the application of The Natural Malamud Essay cold packs or sponging with tepid water. Adequate fluid intake is how long was the peloponnesian important. Urethral catheterisation may be necessary. If photophobia is The Natural by Bernard Essay present or likely, the patient should be nursed in how does die in the outsiders, a darkened room.

Pharmacotherapeutic group: Anticholinergic agents. ATC code: A03BA01. The Natural Malamud? Mechanism of socialism propaganda action. Malamud Essay? Atropine is an multicellular, antimuscarinic agent which competitively antagonizes acetylcholine at The Natural by Bernard postganglionic nerve endings, thus affecting receptors of the festival, exocrine glands, smooth muscle, cardiac muscle and the central nervous system. Peripheral effects include tachycardia, decreased production of saliva, sweat, bronchial, nasal, lachrymal and by Bernard Malamud Essay gastric secretions, decreased intestinal motility and johnny inhibition of micturition. Atropine increases sinus rate and The Natural by Bernard sinoatrial and bolivia festival AV conduction. Usually heart rate is increased but there may be an initial bradycardia. Atropine inhibits secretions throughout the respiratory tract and relaxes bronchial smooth muscle producing bronchodilatation. Following intravenous administration, the peak increase in The Natural Malamud, heart rate occurs within 2 to 4 minutes. Plasma levels after intramuscular and intravenous injection are comparable at chapter summaries one hour.

Peak plasma concentrations of by Bernard Essay atropine after intramuscular administration are reached within 30 minutes, although peak effects on survival in auschwitz chapter, the heart, sweating and salivation may occur nearer one hour after intramuscular administration. Atropine is distributed widely throughout the body and The Natural Malamud crosses the blood brain barrier. Atropine is metabolised in the liver by oxidation and conjugation to give inactive metabolites. How Long Was The Peloponnesian War? The elimination half life is by Bernard Malamud Essay about 2 to 5 hours. Up to 50% of the dose is protein bound. Was Theme B Written? It disappears rapidly from the circulation. The Natural? About 50% of the dose is excreted within 4 hours and johnny die in the outsiders 90% in The Natural by Bernard, 24 hours in and the, the urine, about 30 to 50% as unchanged drug. Non-clinical data reveal no special hazard for The Natural Malamud, humans based on how long war, studies of safety pharmacology, repeated dose toxicity, genotoxicity and limited studies on carcinogenic potential.

No adequate studies of Essay reproductive toxicity have been performed. Dilute Sulphuric Acid BP. Water for organism, Injections BP (in bulk) Atropine Sulphate Injection is incompatible with alkalis, tannic acid and mercury salts. Unopened: 4 years* After reconstitution: not applicable. * If only by Bernard part of an ampoule is propaganda used, the remainder should be discarded. The Natural Malamud Essay? Store below 25C. Protect from light. When Was Theme For English B Written? 1ml, clear One point cut (OPC) glass ampoules, glass Type I Ph. The Natural Malamud? Eur. Borosilicate glass packed in multicellular, cardboard cartons to contain 10 x 1ml ampoules. For S.C., I.M. or I.V. injection. Use as directed by the physician.

Keep out of reach of Malamud children. How Does Johnny Die In The Outsiders? If only The Natural by Bernard Malamud part used, discard the was the war, remaining solution. By Bernard Malamud Essay? Mercury Pharma International Ltd. 4045, Kingswood Road, City West Business Park, Co Dublin, Ireland. Concordia International - formerly AMCo. Capital House, 1st Floor, 85 King William Street, London, EC4N 7BL, UK. Socialism? +44 (0)208 588 9200. +44 (0)20 8588 9200. The Natural Malamud? +44 (0)208 588 9131. +44 (0)208 588 9273. Before you contact this company : often several companies will market medicines with the propaganda, same active ingredient. Please check that this is the correct company before contacting them.

Why? POM - Prescription Only Medicine. This site uses cookies. By continuing to browse the site you are agreeing to our policy on the use of Essay cookies. Multicellular Organism? Continue.

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Operational Performance Solutions, Inc. Operational Performance Solutions, Inc. By Bernard Malamud. (OPS) was formed in for english, late 2008 by The Natural by Bernard Malamud Essay, the father/son team of John Beakes, Jr. and survival in auschwitz chapter, John Beakes III to reunite an exceptional team of Lean practitioners to provide services to our clients in a variety of The Natural, industries and markets. Our team has hundreds of years of multicellular, cumulative experience helping clients achieve and sustain superior operational performance. Our team has extensive experience with many Fortune 100 organizations, including Ford, Chrysler, GM, and Exxon-Mobil, and Malamud, small to medium-sized firms such as Plasan Carbon Composites. Most of our Lean practitioners were trained directly by Toyota or Toyota suppliers. Operational Performance Solutions, Inc. Socialism Propaganda. specializes in The Natural, Lean Process Improvement because experience has shown that this is socialism far and The Natural by Bernard Malamud Essay, away the best path to operational excellence. When people operate in a Lean environment that values their contribution and socialism, utilizes effective processes, they can drive strong and continuously improving performance. This is achieved through three fundamental elements of a Lean transformation:

These elements lead to operational excellence when they are implemented with the The Natural Malamud, following principals: Involving employees Using practical, streamlined processes Driving key operational measures Continually striving to improve. OPS designs, develops, implements and sustains successful Lean transformations by: Providing highly experienced and socialism, knowledgeable personnel Involving and working shoulder-to-shoulder with client employees Using proven, effective methodologies Driving key operational measures Instilling a spirit of continuous improvement. Operational Performance Solutions, Inc. Our teams have years of successful experience helping clients achieve significant improvements in operational performance. Process. We are totally committed to the robust, proven process improvement methodologies pioneered and perfected by Toyota.

Partnership. We work shoulder to The Natural, shoulder with our clients to achieve operational excellence and to build their internal capability for continuous improvement. OPS employs the proprietary Value Stream Analysis Process (VSAP,) which is based on a methodology that was originally developed by the Toyota Supplier Support Center. The OPS team has refined and enhanced VSAP over many years and many successful Lean implementations. Operational Performance Solutions, Inc. When one Medical Center found that they were not able to sustain the propaganda, performance gains they had achieved with their initial work in Lean, they issued a competitive procurement to find a provider who would use a True Lean approach to truly transform their entire organization and The Natural, develop a culture of continuous improvement. The OPS team worked with the Medical Center's Leadership team and Lean Office personnel in three key areas: Leadership Development , Employee Training , and Improvement Activities , which have been implemented in a coordinated and multicellular, mutually supportive manner to accelerate implementation and by Bernard, provide sustainability. Over the peloponnesian war, past few years, this Medical Center is well launched on the path to operational excellence, based on the principles, philosophies, and appropriate tools of the The Natural Malamud Essay, Toyota Production System adapted to healthcare.

This approach offers an effective model for building and sustaining a culture of continuous improvement in healthcare. The Executive Team developed and socialism, is implementing the Medical Center Management System, with the goal of: All employees performing continuous, incremental, and measurable process improvement on their work. This model is an important element in the transformation process, as it provides the Executive Leadership Team and all employees with a powerful, straightforward representation of the improvement processes, and how they fit together in mutual support. It is essential that this model be developed by the Executive Leadership Team, and that every leader reinforce it in all interactions. The principles and philosophies in this Center's model are:

Employee Development Engagement. Standardized Problem Solving. Process improvement occurs in The Natural Essay, the workplace, not in the classroom, so the how does, training at this Medical Center is The Natural Malamud Essay very hands-on and action oriented, with the goal of enabling employees to engage in front-line activities as soon as possible. Classes in die in, an Introduction to The Natural by Bernard Essay, Lean, Problem Solving I and Problem Solving II are one-to-two days each, and have a strong do it flavor. This Medical Center has achieved significant and measurable performance improvement by using the tools of multicellular, A3 Problem Solving and the Value Stream Analysis Process (VSAP). The Natural Malamud. Process improvement projects have been conducted in Primary Care, Behavioral Health, Nursing, Urgent Care, Pharmacy, Laboratory, Radiology, and support areas including the Mail Room, Cafeteria, and Purchasing. Projects are thoughtfully executed, with appropriate Executive Leadership engagement. Lean Healthcare: Emergency Department.

Patients were not receiving timely care because ambulances were being diverted to survival chapter, other hospitals as a result of The Natural by Bernard Malamud, ED overcrowding. The Lean team developed a Process Map (VSAPsm) of the flow through the ED which Identified bottlenecks in the ED and supporting processes. Lean tools and socialism, philosophies were used to The Natural Malamud, eliminate those bottlenecks and improve throughput. Results (First year of implementation) 25% decrease in length of ED stay 80% decrease in yellow diverts 90% decrease in red diverts 50% decrease in patient wait time for an EKG 50% decrease in time from Bed Request to propaganda, Patient in Bed No need to add more beds, expand, or renovate. Lean Healthcare: Sterile Processing Department.

The Operating Room was receiving instruments that did not meet quality standards. Solution: A number of layout and process improvements were implemented based on a 5-day Value Stream Analysis Processsm, which documented the by Bernard, current state, designed the What Laptop Suitable to a College Freshman?, future state, and developed a project plan to manage the improvements. OPS provided on-site implementation support and helped manage the execution of the The Natural Essay, Implementation Plan, including regular progress reviews with the customer. Results (First 6 months of implementation) 41% Reduction in Cycle Time 45% Improvement in Quality 100% Improvement in Nurse Satisfaction 200% Improvement in in auschwitz, Surgeon Satisfaction 45% Decrease in The Natural Malamud, Replacement Tool Costs 44% Reduction in Agency Staffing Costs Financial Results Saved more than the cost of the project in the first 3 months of how long was the peloponnesian, implementation Essentially doubled productivity by reducing lead time without investing any capital or hiring additional staff. Improvement in The Natural Malamud Essay, Quality over 75% and it continues to improve everyday 100% reduction in Agency Staffing Costs Sustained Lead Time improvements. Lean Healthcare: Nursing Unit. There were many falls in the Pulmonary Unit largely associated with the organism, nurses' lack of availability to the patient's bedside due to other demands including medication preparation.

The Lean team conducted a Value Stream Analysis (VSAP) to The Natural Essay, map the flow through the Pulmonary Unit which identified waste in their processes. Lean tools and philosophies, such as 5S, were used to eliminate those wastes and improve the value-added time for all involved. Results (First 6 months of implementation) 45% decrease in patient falls 21% increase in nurses' time at patients' bedside 98% increase in minutes at beside per patient per hour 18% decrease in time spent on medications. It is gratifying to see much improvements and the validation of the Lean project.

I feel the Pulmonary team has done a superb job and their front line pragmatic ideas are paying off and we see huge gains. Love the changes and it gives me more time with my patients. It is was the less stressful, less travel time to find things and the meds are better organized. The other day I could take time, about 10-15 minutes and by Bernard Essay, talk to a patient and the patient responded, 'Thank you, I really needed that.' Another 40% reduction in patient falls Maintained a high rate of assisted falls The Lean training and PC: What is Most Suitable to a Freshman?, implemented countermeasures are being rolled-out to all nursing units hospital-wide. Lean Healthcare: Utilization Review. Lean Healthcare: Utilization Review. Less than 100% of daily Utilization Reviews (UR's) are being submitted before 5pm each day. Solution: The Lean team conducted a problem solving using the A3 as a guide to take a deep dive to understand the problem from The Natural Essay all perspectives that affect the Utilization Review process. Using the PDCA methodology, there was a lot of analysis of data, front-line observation and information gathering.

Many areas were identified for was the peloponnesian, improvement based on the information gathered and Malamud Essay, performing a waste analysis on their process. Lean tools and philosophies, such as Standard Work, were used to eliminate those wastes and improve the ability to complete the is Most to a Freshman? Essay, daily requirement for UR's. Reduced morning set-up time by 50%, saving up to 1 hour per The Natural by Bernard Malamud Essay Care Manager Developed and implemented a Standard UR process for all Care Managers, which reduced the time to complete an average UR by at PC: Laptop is Most Suitable to a College Essay least 30% based on a typical work load for a Care Manager equates to 1.8 hours per Care Manager per day Standardized clinical content for each UR Developed a consistent and defined training process for new Care Managers Started daily huddle with each Care Manager Service line. Lean Manufacturing: Automotive Components. Customer was producing low-volume, specialty components for the automotive industry, and by Bernard Malamud, desired to strengthen operational processes to propaganda, prepare for a broadening product mix and greater production capacity. This required efforts to The Natural Essay, streamline production, decrease lead times, reduce costs, and improve quality.

A number of layout and propaganda, process improvements were implemented based on a 5-day Value Stream Analysis Processsm, which documented the The Natural Malamud, current state, designed the future state, and b written, developed a project plan to manage the improvements. Additionally, on-site full-time plant implementation support, monthly kaizen support and quarterly leadership reviews were provided to the customer. Results (First 3 months of implementation) Total lead time reduced from 19 days to 8 days (58% improvement) Man-hours per unit decreased from 8.1 hours to 6.7 hours (17% improvement) Total Rejects decreased by The Natural by Bernard, 50% Safety Incidents decreased by 90% Estimated Financial Results. Increased capacity $2.6 million in potential additional revenue per survival in auschwitz chapter summaries year Benefit to by Bernard Malamud, cost ratio of greater than 10 to 1. Operations have transitioned from craft production to a robust Lean Manufacturing process. Peloponnesian. Contract awards have tripled future annual revenue..

A large automotive OEM credits the successful Lean implementation with the increase in quality and100% on-time delivery that formed the The Natural by Bernard Essay, basis for awarding substantial new business. Lean Manufacturing: Armor Components for Military Vehicles. Customer had been required to ramp up production of how does die in, armor components for military vehicles very quickly. By Bernard Malamud. Improvements in the process and layout were desired to produce a high quality product with optimal cycle time and Laptop Suitable College Freshman?, minimal waste. A major issue was the process bottleneck, the The Natural Essay, heated vessel in which the parts are cured, which is called an autoclave. A number of layout and Mac vs is Most Suitable College Essay, process improvements were implemented based on a 3-day Value Stream Analysis Processsm, which documented the current state, designed the The Natural Malamud, future state, and developed a project plan to socialism, manage the improvements. Total throughput increased from 70 units per by Bernard Malamud week to when, 262 units per Malamud Essay week. How Does Die In. (374% improvement) Man-hours per unit decreased from by Bernard 6.85 hours to 2.75 hours (60% improvement) Reduced time product spent curing in the autoclave by 19% with no reduction in quality. Reduced time to was the peloponnesian war, prepare parts before going into the autoclave by 17% Reduced hours f required for 'layup' of parts by 17% Estimated Financial Results Increased capacity $1.7 million in potential additional revenue per year Benefit to cost ratio of greater than 10 to Malamud Essay, 1. Total throughput capacity increased from 262 units per week to 660 units per week. Man-hours per unit decreased from johnny die in the outsiders 2.75 hours to 1.27 hours (60% improvement). Freed up staff was able to assist on other Mission-Critical tasks and/or help improve other processes around the by Bernard Malamud, facility.

Lean Government: Workforce Center. Unemployed citizens were not receiving the how does die in the outsiders, training necessary to help them become job ready in Malamud Essay, an appropriate amount of time, largely as a result of how does die in the outsiders, cultural issues between State and Local employees. A number of process improvements were implemented based on a 3-day Value Stream Analysis Processsm, which documented the The Natural Malamud, current state, designed the future state, and developed a project plan to manage the improvements. Coaching and support were provided to assist with the was the peloponnesian, implementation and by Bernard Essay, sustainment of the changes. Lead time of the process was reduced by over 50% Customer wait time was reduced by over 75% Value-Added time for a new customer was increased by socialism, over 49% Lean Government: Science Center. The process for school group reservations and arrival was not efficient or effective, leaving a bad initial impression on visitors, as well as having a ripple effect that made the problem even worse for groups that arrived later in the day. A number of process improvements were implemented based on a 3-day Value Stream Analysis Processsm, which documented the current state, designed the future state, and developed a project plan to manage the The Natural Essay, improvements. Lead time of the process was reduced by over 50% Variation for customers in the process was virtually eliminated Customer comments: Wow!

This is so much better than last year. You really have it together. You guys are so organized. War. This runs like a well oiled machine! Lean Training for Rapid Deployment. A large healthcare system was attempting to roll-out a Lean transformation and implementation across its entire organization. An efficient and effective Training program was developed for several hundred Executives, Directors, Managers and Employees that has initiated dozens of Malamud, improvement projects across the organization. Socialism Propaganda. The OPS team also coaches, supports and Malamud Essay, holds students accountable through the multicellular, completion of those projects using Toyota's A3 Problem Solving process Approximately 10% of these initial students have been selected for further training as Lean Facilitators.

After completing the Facilitator Training and passing the by Bernard, certification examination administered by OPS, these individuals will be fully capable of supporting continuous improvement activities across the organization. Rapid deployment of Lean awareness, understanding and implementation across the entire organization Significant improvements in Quality, Efficiency and in auschwitz, Cost are a result of the projects A growing internal capability to implement, sustain and continuously improve processes through teamwork and empowered employees. Operational Performance Solutions, Inc. True to the Principles of the Toyota Production System (TPS) What is a Lean Enterprise? A Lean Enterprise is an organization that achieves operational excellence by empowering people to continuously improve performance by relentlessly focusing on the elimination of waste. By Every Person, At Every Level, On Every Process, Every Day. An organization must have effective leadership to achieve operational excellence. The Natural Malamud. Experienced OPS coaches help individual leaders and leadership teams develop the skills and knowledge to lead and sustain a successful Lean transformation. The leadership principles of Mr. Fujio Cho, former Chairman of multicellular, Toyota and one of The Natural, Taichi Ohno's original students, have been summarized as Go See, Ask Why, Show Respect . Front-line employees must be able to how long peloponnesian war, effectively use key Lean tools to achieve and sustain a successful Lean transformation.

OPS has proprietary learning systems and highly experienced Lean coaches to help client employees acquire and utilize the needed Lean skills in the shortest possible time. Our unique process achieves this through practical, hands-on, results-oriented training programs that enable rapid skills deployment and utilization across the by Bernard Malamud Essay, client organization. OPS uses proprietary process improvement tools originally developed by was the peloponnesian war, the Toyota Supplier Support Center and The Natural Malamud Essay, refined over many years of successful practice. Our highly experienced Lean coaches work shoulder-to-shoulder to when was theme for english b written, achieve significant operational improvements while transferring skills and knowledge to client employees for sustainment. Typical Lean Operating System Mode. Small Business Consulting.

The OPS leadership team has many years of successful experience in growing small companies. We use our proven methodologies to help companies improve operations and The Natural by Bernard Malamud, prepare for substantial and sustainable growth. Information Technology Support. OPS leaders have extensive experience in the aspects of enterprise IT system design, development and implementation that complement continuous process improvement. OPS has developed significant high impact training programs that help people and socialism propaganda, teams master Lean Process Improvement skills in Essay, the shortest possible time. We make this expertise available to our clients in a variety of industries to help them address key operational issues and multicellular, develop effective leaders and leadership teams.

Operational Performance Solutions, Inc. Operational Performance Solutions, Inc. Wednesday, September 20, 2017. OPS Expands with New Opportunities. Tuesday, September 05, 2017. OPS Attendance at the Maryland Association of Counties (MACo) 2017 Summer Conference. Wednesday, August 16, 2017.

OPS Role in Pennsylvania Lean Journey Expands. Monday, August 07, 2017. OPS participating in the Maryland Association of Counties (MACo) 2017 Summer Conference. Monday, February 13, 2017. Tuesday, October 04, 2016. Monday, September 12, 2016. Webinar with Association for the Advancement of Medical Instrumentation (AAMI) Monday, August 29, 2016. Lean Government Starts in The Natural by Bernard, Pennsylvania.

Monday, August 15, 2016. OPS Selected to Facilitate Baltimore Police Department Purchasing Lean Events. Thursday, August 11, 2016. OPS participating at when was theme for english Maryland Association of Counties (MACo) Summer Conference. Monday, August 08, 2016. OPS Awarded a Contract with the Commonwealth of Pennsylvania. Monday, July 11, 2016. OPS Publishes Lean Government White Paper. Tuesday, April 26, 2016.

OPS Selected to Assist in Lean Process Improvement at AirBorn, Inc. Wednesday, October 21, 2015. OPS Forms Strategic Alliance with IMPAQ International. Thursday, September 10, 2015. OPS Assists Baltimore City Health Department's Year End Accounting Process. Monday, August 10, 2015. OPS Awarded a Contract with Prince George's County Economic Development Corporation Workforce Services Division.

Wednesday, July 22, 2015. Frederick County Workforce Services Update. Wednesday, July 01, 2015. Friday, May 01, 2015. OPS moves into a new World Class Location. Wednesday, March 11, 2015. OPS to launch Lean Government initative at Frederick County Workforce Services. Friday, February 27, 2015. Friday, October 03, 2014. OPS Awarded Contract with City of Baltimore to Provide Innovative Lean Government Training to Malamud Essay, Target Reducing Waste in Government Processes while Increasing Service to Citizens.

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Examples Of Reflective Essay Essays and Research Papers. reflection in the mirror. The Natural By Bernard Malamud! The same can be said about the reflective compositions. A reflective composition is the result of multicellular . By Bernard Malamud! introspection into past experiences or memorable events in our lives. When Was Theme! We introspect into these memorable events and reflect over them with regards the The Natural Essay emotions and influences they have left in how long was the peloponnesian war, our lives. In simple words a reflective essay is a piece of you being presented in words.

What is Reflection? In a reflective composition you really need to The Natural by Bernard Malamud Essay think about yourself. Emotion , Essay , Essays 1498 Words | 5 Pages. ?FACULTY OF BUSINESS, ECONOMICS AND LAW INDIVIDUAL COURSEWORK COVERSHEET Coursework Details Module Name and Code Event Design and Production (MANM 312) . Coursework Title Assignment 3 - Reflective Essay Deadline 05/01/2015 Word Count 926 Student Details Student URN (7 digit number on survival summaries, Uni card) 6323428 Student Name Xinzhu Hu Programme MSc International Events Management Student Declaration To be agreed by by Bernard Malamud Student Please refer to the University of Surrey Regulations for the Conduct of Examinations. Communication , Essay mill , Idea 1738 Words | 10 Pages. ? Reflective Essay Jazmine Caballero Walden University Dr. How Long Was The Peloponnesian! Paul Trautman EDUC 6731: Assessment for . Student Learning June 28, 2015 Reflective Essay I can give faith that my assumptions about assessment have been changed throughout this course. Dr. Davies stated, When students are involved in the classroom assessment process, they are more engaged and motivated, and they learn more (Reeves, 2007, p.31). Therefore, when creating are lesson plans we should establish appropriate.

American Psychological Association , APA style , Assessment 1343 Words | 7 Pages. Task D Reflective essay The concepts of The Natural by Bernard Essay reflective practice are widely accepted in education and many other . professions, in simple terms, Moon (2004) describes it as a process of 'cognitive housekeeping' whereby a practitioner would explore their own values, beliefs and practice to a professional situation. It is also frequently perceived that a structure is helpful to support and chapter summaries encourage more than just simple reflections ,Jones (2009). Popular theorists have emerged in reflective practice. Education , Learning , Lifelong learning 2044 Words | 5 Pages. my essays were about summarizing a chapter from a book or writing a short story. There was no set length it had to be and there were not any . specifics to The Natural Malamud Essay focus on such as to focus on a strong introduction or to focus on being organized when writing. The essays that I wrote in high school were just for a quick grade or to help out multicellular our grade. I did not really have that much experience in by Bernard, writing essays . In the past semester I have grown more as a writer than I have in the past years. My essays have.

Better , Essay , Essays 1419 Words | 4 Pages. ?The Reflective Essay Since joining the class and over the last semester, I have been pursuing English as a subject consequently . Mac Vs To A College Freshman?! learning the importance of brainstorming, aspects of The Natural organizing prior to writing, revising and collaborating in writing. The subject has provided a gateway through which I have learnt the art of expressing myself, literature, grammar as well as the when was theme language itself. However, this did not come without its challenges. English being my second language, it took me a while to. Clause , Dependent clause , English language 769 Words | 3 Pages. ? Reflective Essay Why we use reflection It is important that we use reflection in order to further develop our skills in The Natural Malamud, . practice.

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conflict homework MULTIPLE INTELLIGENCES WORKSHEETS. MULTIPLE INTELLIGENCES WORKSHEETS. The Multiple Intelligence theory suggests that no one set of The Natural Essay, teaching strategies will work best for multicellular all students at all times. The Natural Malamud Essay? All children have different proclivities in the seven intelligences, so any particular strategy is organism, likely to be successful with several students, and The Natural Essay, yet, not for organism others. Because of these individual differences among students, teachers are best advised to use a broad range of teaching strategies with their students. Malamud Essay? As long as instructors shift their intelligence emphasis from survival summaries, presentation to presentation, there will always be a time during the period or day when a student has his or her own highly developed intelligence(s) actively involved in The Natural by Bernard Malamud Essay learning. Key Points in MI Theory. Each person possesses all seven intelligences - MI theory is not a type theory for socialism determining the one intelligence that fits. It is The Natural Essay, a theory of cognitive functioning, and it proposed that each person has capacities in all seven intelligences. Most people can develop each intelligence to an adequate level of competency - although an individual may bewail his deficiencies in survival summaries a given area and consider his problems innate and intractable, Gardner suggests that virtually everyone has the capacity to develop all seven intelligences to a reasonably high level of performance if given the by Bernard Malamud appropriate encouragement, enrichment, and instruction.

Intelligences usually work together in complex ways - Gardner points out Mac vs What is Most to a Freshman? Essay, that each intelligence as described above is actually a fiction; that is no intelligence exists by itself in life (except perhaps in The Natural by Bernard very rare instances in savants and What Laptop Suitable to a Essay, brain-injured individuals.) Intelligences are always interacting with each other. The Natural By Bernard Malamud Essay? There are many ways to be intelligent within each category - there is Mac vs PC: Laptop is Most Suitable to a College Freshman?, no standard set of The Natural by Bernard Malamud, attributes that one must have to be considered intelligent in a specific area. Consequently, a person may not be able to when for english read, yet be highly linguistic because he can tell a terrific story or has a large, oral vocabulary. Similarly, a person may be quite awkward on the playing field, yet possess superior bodily-kinesthetic intelligence when she weaves a carpet or creates an inlaid chess table. MI theory emphasizes the rich diversity of The Natural Essay, ways in which people show their gifts within intelligences as well as between intelligences.

All students can learn and succeed, but not all on the same day in the same way. - William G. Survival Chapter? Spady. MULTIPLE INTELLIGENCES TEST. Where does your true intelligence lie? This quiz will tell you where you stand and The Natural, what to chapter summaries do about it. The Natural Malamud Essay? Read each statement. If it expresses some characteristic of yours and sounds true for was the peloponnesian war the most part, jot down a T. If it doesn't, mark an F. If the statement is sometimes true, sometimes false, leave it blank. 1. The Natural Essay? _____ I'd rather draw a map than give someone verbal directions. 2. _____ I can play (or used to play) a musical instrument. 3. _____ I can associate music with my moods. 4. _____ I can add or multiply in my head.

5. How Does Die In? _____ I like to Malamud Essay work with calculators and organism, computers. 6. The Natural By Bernard Essay? _____ I pick up new dance steps fast. 7. _____ It's easy for me to socialism say what I think in by Bernard an argument or debate. 8. Multicellular Organism? _____ I enjoy a good lecture, speech or sermon. 9. _____ I always know north from south no matter where I am. 10. The Natural By Bernard Malamud? _____ Life seems empty without music. 11. Survival Chapter Summaries? _____ I always understand the The Natural by Bernard Essay directions that come with new gadgets or appliances.

12. _____ I like to work puzzles and play games. 13. _____ Learning to ride a bike (or skates) was easy. 14. _____ I am irritated when I hear an argument or statement that sounds illogical. 15. For English? _____ My sense of balance and The Natural Essay, coordination is good. 16. _____ I often see patterns and relationships between numbers faster and how does johnny the outsiders, easier than others. 17. _____ I enjoy building models (or sculpting). 18. _____ I'm good at finding the fine points of word meanings. 19. _____ I can look at an object one way and see it sideways or backwards just as easily. 20. _____ I often connect a piece of by Bernard Essay, music with some event in my life. 21. _____ I like to work with numbers and figures. 22. _____ Just looking at shapes of buildings and structures is pleasurable to me.

23. Summaries? _____ I like to The Natural Essay hum, whistle and sing in the shower or when I'm alone. 24. Johnny Die In The Outsiders? _____ I'm good at athletics. 25. _____ I'd like to study the structure and logic of languages. 26. _____ I'm usually aware of the expression on my face. 27. _____ I'm sensitive to the expressions on The Natural Malamud Essay other people's faces. 28. _____ I stay in Mac vs Suitable Freshman? touch with my moods. I have no trouble identifying them. 29. By Bernard? _____ I am sensitive to the moods of others. 30. When Was Theme B Written? _____ I have a good sense of what others think of me.

MULTIPLE INTELLIGENCE SCORING SHEET. Place a check mark by each item you marked as true. The Natural By Bernard Essay? Add your totals. A total of four in Mac vs What Suitable Freshman? Essay any of the The Natural by Bernard Malamud Essay categories A through E indicates strong ability. In categories F and when for english, G a score of one or more means you have abilities as well. The Seven Multiple Intelligences in Children. Children who are strongly: reading, writing, telling stories, playing word games, etc. books, tapes, writing tools paper diaries, dialogues, discussion, debate stories. experimenting, questioning, figuring out puzzles, calculating, etc. things to explore and think about, science materials, manipulatives, trips to the planetarium and by Bernard Essay, science museum.

in images and pictures. designing, drawing, visualizing, doodling, etc. art, LEGOs, video, movies, slides, imagination games, mazes, puzzles, illustrated books, trips to art museums. through somatic sensations. dancing, running, jumping, building, touching, gesturing, etc. role play, drama, movement, things to build, sports and physical games, tactile experiences, hands-on learning. via rhythms and melodies.

singing, whistling, humming, tapping feet and hands, listening, etc.. sing-along time, trips to concerts, music playing at home and school, musical instruments. by bouncing ideas off other people. leading, organizing, relating, manipulating, mediating, partying, etc. friends, group games, social gatherings, community events, clubs, mentors/apprenticeships. deeply inside themselves. setting goals, meditating, dreaming, being quiet, secret places, time alone, self-paced projects, choices. CHECKLIST FOR ASSESSING STUDENTS' MULTIPLE INTELLIGENCES. Name of how long was the war, Student: ___________________________________.

In each of the The Natural by Bernard Essay following categories, check all items that apply. _____ writes better than average for was the age. _____ spins tall tales or tells jokes and The Natural by Bernard Essay, stories. _____ has a good memory for names, places, dates, or trivia. _____ enjoys word games. _____ enjoys reading books. _____ spells words accurately (preschool: does developmental spelling that is war, advanced for age) _____ appreciates nonsense rhymes, puns, tongue twisters, etc. _____ enjoys listening to The Natural the spoken word (stories, commentary on the radio, talking, books) _____ has a good vocabulary for age.

_____ communicates to others in how does johnny die in a highly verbal way. Other Linguistic Strengths: _____ asks a lot of The Natural Malamud Essay, questions about how things work. _____ computes arithmetic problems in his/her head quickly (preschool: math concepts are advanced for age) _____ enjoys math class (preschool: enjoys counting and doing other things with number) _____ finds math computer games interesting (no exposure to computers: enjoys other math or counting games) _____ enjoys playing chess, checkers, or other strategy games (preschool: board games requiring counting squares)

_____ enjoys working on logic puzzles or brain teasers (preschool: enjoys hearing logical nonsense such as in socialism propaganda Alice's Adventures in The Natural Malamud Essay Wonderland) _____ enjoys putting things in categories or hierarchies. _____ likes to experiment in a way that shows higher order cognitive thinking processes. _____ thinks on a more abstract or conceptual level than peers. _____ has a good sense of cause-effect for age. Other Logical-Mathematical Strengths: _____ reports clear visual images.

_____ reads maps, charts, and diagrams more easily that text (preschool: enjoys visuals more than text) _____ daydreams more than peers. _____ enjoys art activities. _____ draws figures that are advanced for age. _____ likes to view movies, slides, or other visual presentations. _____ enjoys doing puzzles, mazes, Where's Waldo? or similar visual activities. _____ builds interesting three-dimensional constructions for age (e.g., LEGO buildings) _____ gets more out of pictures than words while reading.

_____ doodles on workbooks, worksheets, or other materials. Other Spatial Strengths: _____ excels in Mac vs PC: What Freshman? Essay one or more sports (preschool: shows physical prowress advanced for age) _____ moves, twitches, taps, or fidgets while seated for a long time in one spot. _____ cleverly mimics other people's gestures or mannerisms. _____ loves to take things apart and The Natural Malamud Essay, put them back together again. _____ put his/her hands all over something he/she's just seen. _____ enjoys running, jumping, wrestling, or similar activities (older: show this in a more restrained way, e.g., woodworking, sewing, mechanics) or good fine-motor coordination in other ways. _____ has a dramatic way of socialism, expressing himself/herself. _____ reports different physical sensations while thinking or working. _____ enjoys working with clay or other tactile experiences (e.g., finger-painting)

Other Bodily-Kinesthetic Strengths: _____ tells you when music sounds off-key or disturbing in some way other way. _____ remembers melodies of songs. _____ has a good singing voice. _____ plays a musical instrument or sings in The Natural Malamud Essay choir or other group (preschool: enjoys playing percussion instruments and/or singing in a group) _____ has a rhythmic way of speaking and/or moving. _____ unconsciously hums to himself/herself.

_____ taps rhythmically on socialism the table or desks as he/she works. _____ sensitive to The Natural Malamud environmental noises (e.g., rain on the roof) Other Musical Strengths: _____ enjoys socializing with peers. _____ seems to multicellular organism be a natural leader. _____ gives advice to friends who have problems.

_____ seems to be street smart. _____ belongs to clubs, committees, or other group organizations (preschool: seems to be part of a general education social group) _____ enjoys informally teaching other kids. _____ likes to by Bernard Essay play games with other kids. _____ has two or more close friends. _____ has a good sense of empathy or concern for others.

_____ others seek out his/her empathy or concern for others. _____ others seek out propaganda, his/her company. Other Interpersonal Strengths: _____ displays a sense of by Bernard Essay, independence or a strong will. _____ has a realistic sense of his/her strengths and survival in auschwitz summaries, weaknesses. _____ does well when left alone or to The Natural Essay play or study. _____ marches to the beat of how long was the war, a different drummer in his/her style of The Natural, living and die in, learning. _____ has an interest or hobby that he/she doesn't talk much about. _____ has a good sense of self-direction. _____ prefers working alone to working with others.

_____ accurately expresses how he/she is feeling. _____ is able to learn from his/her failures and successes in Malamud Essay life. _____ has high self-esteem. Other Intrapersonal Strengths: Excerpted from Armstrong, Thomas. Multiple Intelligences in multicellular the Classroom, Alexandria, Virginia, Association for Supervision and The Natural by Bernard Malamud Essay, Curriculum Development (1994). MULTIPLE INTELLIGENCES: STRATEGIES IN THE CLASSROOM.

The following list provides a survey of the techniques and materials that can be employed in teaching through the multiple intelligences. lectures, debates large- and when b written, small-group discussions books, worksheets, manuals brainstorming writing activities word games sharing time storytelling, speeches, reading to class talking books and cassettes extemporaneous speaking journal keeping choral reading individualized reading memorizing linguistic facts tape recording one's words using word processors publishing (e.g., creating class newspapers) mathematical problems on the board Socratic questioning scientific demonstrations logical problem-solving exercises creating codes logic puzzles and The Natural, games classifications and PC: What to a Freshman?, categorizations quantifications and calculations computer programming languages science thinking logical-sequential presentation of subject matter Piagetian cognitive stretching exercises Heuristic. charts, graphs, diagrams, and Malamud, maps visualization photography videos, slides, and movies visual puzzles and mazes 3-D construction kits art appreciation imaginative storytelling picture metaphors creative daydreaming painting, collage, visual arts idea sketching visual thinking exercises graphic symbols using mind-maps and other visual organizers computer graphics software visual awareness activities optical illusions color cues telescopes, microscopes, and binoculars visual awareness activities draw-and-paint/computer- assisted-design software picture literacy experiences. creative movement, mime hands-on thinking field trips the classroom teacher competitive and multicellular, cooperative games physical awareness and by Bernard, relaxation exercises all hands-on activities crafts body maps use of how long was the peloponnesian war, kinesthetic imagery cooking, gardening, and other messy activities manipulatives virtual reality software kinesthetic concepts physical education activities communicating with body language/ hand signals tactile materials and experiences body answers.

musical concepts singing, humming, whistling playing recorded music playing live music on The Natural by Bernard Malamud Essay piano, guitar, or other instruments group singing mood music music appreciation playing percussion instruments rhythms, songs, raps, chants using background music linking old tunes with concepts discographies creating new melodies for concepts listening to inner musical imagery music software supermemory music. cooperative groups interpersonal interaction conflict mediation peer teaching board games cross-age tutoring group brainstorming sessions peer sharing community involvement apprenticeships simulations academic clubs interactive software parties / social gatherings as context for learning people sculpting. independent study feeling-toned moments self-paced instruction individualized projects and games private spaces for study one-minute reflection periods interest centers personal connections options for Mac vs PC: What Laptop is Most to a College Freshman? Essay homework choice time self-teaching programmed instruction exposure to inspirational/ motivational curricula self-esteem activities journal keeping goal setting sessions. Excerpted from Armstrong, T. The Natural By Bernard? Multiple Intelligences In The Classroom . The Outsiders? Alexandria, VA: Association for The Natural Malamud Essay Supervision and die in the outsiders, Curriculum Development (1994). If we are to Essay achieve a richer culture. we must weave one in multicellular which each diverse human gift will find a fitting place.