Six Sigman soveltamisedellytysten ja -apuvälineiden luominen

Diplomityön tavoitteena oli luoda soveltamisedellytyksiä ja -apuvälineitä Six Sigma -parannusprojektien läpiviennille Perlos Oyj Connectorsin meistoprosessissa. Työn teoriaosassa käsitellään Six Sigman perusteoriaa, organisointia ja soveltamista sekä suorituskykymittariston ja tiedonkeruumenetelmien luomista. Kirjallisuuden tarjoaman teorian jälkeen työssä tutustuttiin meistoprosessiin ja Perloksen tapaan soveltaa Six Sigmaa prosessien parantamiseen. Tämän perusteella kehitettiin tiedonkeruu-, dokumentointi- ynnä muita apuvälineitä parantamisprojektien tueksi. Lopuksi koekäytettiin luotuja välineitä meistoon tehdyn osittaisen Six Sigma -projektin yhteydessä. Luotettavan tiedon saaminen prosesseista on perusedellytys Six Sigma -projektien läpiviennille. Menetelmän kouluttaminen työntekijöille on myös tärkeää. Erilaiset dokumentointi- ja laskentakaavakkeet toimivat projektien läpiviennin ja seurannan tukena. Työssä luotuja tiedonkeruu-, koulutus-, dokumentointi- ynnä muita apuvälineitä voidaan käyttää jatkossa apuna Perloksella tehtävissä Six Sigma -projekteissa. Mittaristoa ja tiedonkeruuta tulee kehittää edelleen, jotta prosessien toimintaa voidaan analysoida tehokkaasti. Työn lopussa on ajatuksia Six Sigman käytöstä sekä tiedonkeruujärjestelmien jatkokehityksestä.

Improvement of Operational Efficiency effectiveness (OEE) using Six Sigma DMAIC Methodology — Case Bottomer line AD2378

Overall Equipment Effectiveness (OEE) is the key metric of operational excellence. OEE monitors the actual performance of equipment relative to its performance capabilities under optimal manufacturing conditions. It looks at the entire manufacturing environment measuring, in addition to the equipment availability, the production efficiency while the equipment is available to run products, as well as the efficiency loss that results from scrap, rework, and yield losses. The analysis of the OEE provides improvement opportunities for the operation. One of the tools used for OEE improvement is Six Sigma DMAIC methodology which is a set of practices originally developed to improve processes by eliminating defects. It asserts the continuous efforts to reduce variation in process outputs as key to business success, as well as the possibility of measurement, analysis, improvement and control of manufacturing and business processes. In the case of the Bottomer line AD2378 in Papsac Maghreb Casablanca plant, the OEE figures reached 48.65 %, which is below the accepted OEE group performance. This required immediate actions to achieve OEE improvement. This Master thesis focuses on the application of Six Sigma DMAIC methodology in the OEE improvement on the Bottomer Line AD2378 in Papsac Maghreb Casablanca plant. First, the Six Sigma DMAIC and OEE usage in operation measurement will be discussed. Afterwards, the different DMAIC phases will allow the identification of improvement focus, the identification of OEE low performance causes and the design of improvement solutions. These will be implemented to allow further tracking of improvement impact on the plant operations.

Effect of Antecolic versus Retrocolic Gastroenteric Reconstruction after Pancreaticoduodenectomy on Delayed Gastric Emptying: A Meta-Analysis of Six Randomized Controlled Trials.

BACKGROUND: One of the most frequent complications of pancreaticoduodenectomy (PD) is delayed gastric emptying (DGE). The study aim was to evaluate the impact of the type of gastro/duodenojejunal reconstruction (antecolic vs. retrocolic) after PD on DGE incidence. METHODS: A systematic review was made according to the PRISMA guidelines. Randomized controlled trials (RCTs) comparing antecolic vs. retrocolic reconstruction were included irrespective of the PD techniques. A meta-analysis was then performed. RESULTS: Six RCTs were included for a total of 588 patients. The overall quality was good. General risk of bias was low. DGE was not statistically significantly different between the antecolic and retrocolic group (OR 0.6, 95% CI 0.31-1.16, p = 0.13). The other main surgery-related complications (pancreatic fistula, hemorrhage, intra-abdominal abscess, bile leak and wound infection) were not dependent on the reconstruction route (OR 0.84, 95% CI 0.41-1.70, p = 0.63). No statistically significant difference in terms of length of hospital stay was found between the 2 groups. There was also no difference of DGE incidence if only pylorus-preserving PD was considered and between the DGE grades A, B or C. CONCLUSION: This meta-analysis shows that antecolic reconstruction after PD is not superior to retrocolic reconstruction in terms of DGE.

Six epigraphes antiques

Soitinnus : Piano, 4-kät.

Cahiers du Cercle Proudhon : paraissant six fois par an

Etat de collection : N °1 (1912, janv.-févr.)-n °4 (1912, sept.)

Cahiers du Cercle Proudhon : paraissant six fois par an

1912/05 (N3)-1912/08 (N4).

Cahiers du Cercle Proudhon : paraissant six fois par an

1912/09 (N4).

Cahiers du Cercle Proudhon : paraissant six fois par an

1912/01 (N1)-1912/02.

Cahiers du Cercle Proudhon : paraissant six fois par an

1912/03 (N2)-1912/04.