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Article
Publication date: 12 March 2018

David W. Borowski, Sarah Cawkwell, Syed M. Amir Zaidi, Matthew Toward, Nicola Maguire, Dharmendra K. Garg and Talvinder S. Gill

The NHS Bowel cancer screening programme (NHSBCSP) aims to reduce colorectal cancer (CRC) cumulative mortality by up to 23 per cent; long-term outcomes at national level are not…

324

Abstract

Purpose

The NHS Bowel cancer screening programme (NHSBCSP) aims to reduce colorectal cancer (CRC) cumulative mortality by up to 23 per cent; long-term outcomes at national level are not yet known. The purpose of this paper is to examine a local population of CRC patients of screening age for their characteristics and long-term survival in relation to their presentation, including through the NHSBCSP.

Design/methodology/approach

Retrospective analysis of a prospectively maintained CRC database for the years 2009-2014 in a single district hospital providing bowel cancer screening and tertiary rectal cancer services.

Findings

Of 528 CRC patients diagnosed in the screening age range, 144(27.3 per cent) presented through NHSBCSP, 308(58.3 per cent) electively with symptoms and 76(14.4 per cent) as emergency. NHSBCSP-diagnosed patients were younger (median 66 vs 68 and 69 years, respectively, p=0.001), had more often left-sided cancers (59(41.0 per cent) vs 82(26.6 per cent) and 24(31.6 per cent), respectively, p=0.001), more UICC-stage I (42(29.2 per cent) vs 49(15.9 per cent) and 2(2.6 per cent)), stage III (59(41.0 per cent) vs 106(34.4 per cent) and 20(26.3 per cent)) and less stage IV disease (8(5.6 per cent) vs 61(19.8 per cent) and 34 (44.7 per cent), respectively, p<0.001). Three-year overall survival was best for NHSBCSP and worst for emergency patients (87.5 per cent vs 69.0 per cent and 35.3 per cent, respectively, LogRank p<0.001).

Originality/value

Patients diagnosed within the NHSBCSP have improved outcome compared to both symptomatic elective and emergency presentations. A reduction in overall cumulative mortality in order of 25 per cent may well be achieved, but continuing high levels of emergency presentations and undetected right-sided disease emphasise need for further improvement in public participation in the NHSBCSP and research into more sensitive and acceptable alternative screening methods.

Details

International Journal of Health Care Quality Assurance, vol. 31 no. 2
Type: Research Article
ISSN: 0952-6862

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Article
Publication date: 2 November 2022

Dharmendra Hariyani and Sanjeev Mishra

Scarcity of resources, ecological imbalance, global warming, rising energy prices and the ever-changing need for variety have attracted the government and manufacturers for…

903

Abstract

Purpose

Scarcity of resources, ecological imbalance, global warming, rising energy prices and the ever-changing need for variety have attracted the government and manufacturers for sustainable development of the industries. The integrated sustainable-green-lean-six sigma-agile manufacturing system (ISGLSAMS) provides a solid platform for meeting both the customers’ variety needs and business sustainability requirements. Many organizations opted for ISGLSAMS, but still due to various barriers organizations are not able to fully implement ISGLSAMS. The purpose of this paper is to identify the barriers to the ISGLSAMS, so that a more sustainable industrial manufacturing system and industrial symbiosis can be developed.

Design/methodology/approach

A literature review, from the Web of Science and Google Scholar database, has been carried out to identify the various barriers to the implementation of ISGLSAMS in the entire value chain. A total of 168 research papers have been reviewed for identifying the ISGLSAMS barriers.

Findings

This paper elaborates the concept of the ISGLSAMS, its attributes and various barriers and contributes to a better understanding and successful implementation of ISGLSAMS to meet business’ sustainability and market performance goals in the entire value chain. The paper also projects the future research framework and directions for the ISGLSAMS, integrated sustainable-green-lean-six sigma-agile (ISGLSA) product and ISGLSA supply and value chain.

Practical implications

The study contributes to a better understanding of ISGLSAMS’ barriers. The government, stakeholders and policymakers may plan the policy, road map and strategies to overcome the ISGLSAMS’ barriers. In-depth knowledge of subclauses of ISGLSAMS’ barriers will help the practitioners to overcome the ISGLSAMS’ barriers strategically. By overcoming the ISGLSAMS barriers, a more sustainable 7 Rs based market focused manufacturing system can be designed. This will also increase the opportunities to enhance the industrial ecology, industrial symbiosis and better recovery of the product, process and supply chain residual value. This will reduce the waste to the ecosystem.

Originality/value

This work has been carried out in search of a more sustainable manufacturing system, i.e. ISGLSAMS (which is 7 Rs based, i.e. 6 Rs of sustainability with 7th R, reconfiguration) to meet the customer variety needs along with sustainability in the ever-changing customer market. This study adds value to the practitioners to identify and prioritize the ISGLSAMS’ industry-specific barriers and design the solution for the more sustainable development of (1) industries, (2) the industrial symbiosis system and (3) the ISGLSA product, process, system and supply value chain with minimum resource consumption and environmental impact. The research also contributes to the (a) ISGLSAMS (b) ISGLSA supply chain (c) reconfigurable, sustainable and modular products and (d) redesign, recovery and refurbishing of the product to increase the product life cycle.

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Article
Publication date: 5 May 2021

Jagdish Bhadu, Dharmendra Singh and Jaiprakash Bhamu

The purpose of this paper is to identify and prioritize the lean implementation (LI) barriers in the context of labor intensive Indian ceramic industries through a statistically…

449

Abstract

Purpose

The purpose of this paper is to identify and prioritize the lean implementation (LI) barriers in the context of labor intensive Indian ceramic industries through a statistically reliable and validated model.

Design/methodology/approach

In this study, LI barriers are identified through a comprehensive review of relevant literature and discussions held with academicians/practitioners. Identified barriers, thereafter, are evaluated with Cronbach's alpha values using a statistical tool. The interpretive ranking process (IRP) methodology is applied for ranking of the barriers with reference to the measurable performance indicators.

Findings

The study identified highly relevant barriers of Indian ceramic industries. Further, these barriers were compared with performance measures through a cross-interaction matrix developed in the IRP model. The model highlights the analysis of dominance relationship of different barriers. Moreover, the result shows that top management commitment and leadership is at the top of the model, followed by lack of training opportunity and skills, and resistance to change and adopt innovations indicating their strongest driving power in LI.

Practical implications

This model may enable the firms to understand the LI barriers and come up with sensible implementation program. Further, the correlation results among the barriers will provide insights in mitigating the hurdles of lean manufacturing (LM) implementation in the industries.

Originality/value

This study empirically develops a model through the IRP for the barriers in LM implementation. From the reported literature, it appears that the application of IRP is very rare in ceramic industries in India. The analysis and prioritization of LI barriers may help practitioners to plan strategies to implement lean in a selected domain.

Details

International Journal of Productivity and Performance Management, vol. 71 no. 8
Type: Research Article
ISSN: 1741-0401

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Article
Publication date: 12 February 2021

Pramod Kumar, Dharmendra Singh and Jaiprakash Bhamu

The purpose of this paper is to develop and validate an extended Define-Measure-Analyze-Improve-Control (DMAIC) based framework through a case study of an Indian fasteners…

1665

Abstract

Purpose

The purpose of this paper is to develop and validate an extended Define-Measure-Analyze-Improve-Control (DMAIC) based framework through a case study of an Indian fasteners manufacturing organization.

Design/methodology/approach

Research methodology is established on the development of the existing DMAIC framework through an extensive literature review of 25 LSS/DMAIC based frameworks and discussions held with practitioners. This paper also depicts a case study of Indian manufacturing organization for validation of the developed framework.

Findings

The study proposed an extended DMAIC based framework for effective implementation of Lean Six Sigma (LSS) methodology. Furthermore, this framework has been implemented successfully in the Indian manufacturing organization and showed encouraging results. The in-house rejections of Nut Cylinder Head (NCH) were brought down to 966 from 2910 PPM and sigma level was improved by 0.40. The case organization has achieved significant improvements in the process capability, customer satisfaction, and cost savings of US$ 0.25 million in one financial year. Intangible benefits like improvements in employee's morale, communication, housekeeping and decision-making capabilities were also observed significantly.

Practical implications

The proposed DMAIC based framework has been implemented successfully in the Indian case organization, and the results will enable the policymakers, specifically practitioners, to strategically leverage the resources for successful implementation of the LSS in healthcare, aerospace, service sectors etc.

Originality/value

This research develops a DMAIC based framework which can be used to implement LSS effectively in different industries. Moreover, the pre (initial/introduction) and post (validation/verification) implementation phase provides the top management, an edge to think strategically into broader improvement areas.

Details

International Journal of Quality & Reliability Management, vol. 38 no. 9
Type: Research Article
ISSN: 0265-671X

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Article
Publication date: 5 December 2024

Laxmi Gupta

The transition from centralized thermal power plants to distributed renewable energy sources complicates the balance between power supply and load demand in electrical networks…

17

Abstract

Purpose

The transition from centralized thermal power plants to distributed renewable energy sources complicates the balance between power supply and load demand in electrical networks. Energy storage systems (ESS) offer a viable solution to this challenge. This research aims to analyze the factors influencing the implementation of ESS in the Indian smart grid.

Design/methodology/approach

To analyze the factors affecting ESS deployment in the grid, the SAP-LAP framework (situation-actor-process and learning-action-performance) integrated with e-IRP (efficient-interpretive ranking process) was used. The variables of SAP-LAP elements were selected from expert opinion and a literature review. Here, e-IRP was utilized to prioritize elements of SAP-LAP (actors in terms of processes and actions in terms of performance).

Findings

This analysis prioritized five stakeholders in the Indian power industry for energy storage implementation: government agencies/policymakers, ESS technology developers/manufacturers, private players, research and development/academic institutions, and contractors. Furthermore, the study prioritized the necessary actions that these stakeholders must take.

Research limitations/implications

The study’s findings help identify actors and manage different actions in implementing grid energy storage integration. Ranking these variables would help develop a strategic roadmap for ESS deployment and decisions about adopting new concepts.

Originality/value

It is one of the first attempts to analyze factors influencing ESS implementation in the power grid. Here, qualitative and quantitative methodologies are used to identify and prioritize various aspects of ESS implementation. As a result, the stakeholder can grasp the concept much more quickly.

Details

Journal of Advances in Management Research, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0972-7981

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Article
Publication date: 14 March 2022

Atul Rawat, Sumeet Gupta and T. Joji Rao

This study aims to focus on identifying the business risks that cause a delay in the oil and gas projects and suggest the way forward toward the better development of the city gas…

629

Abstract

Purpose

This study aims to focus on identifying the business risks that cause a delay in the oil and gas projects and suggest the way forward toward the better development of the city gas distribution (CGD) sector in India by suggesting the appropriate mitigation strategies.

Design/methodology/approach

The study is a systematic review of literature on risks causing a delay in oil and gas projects. Comprehensive literature was carried out following a seven-step model to develop an exhaustive list of risk classifications and factors, risk identification methods and strategies to mitigate the risks. Weighted average ranking method is used to identify the top ten risks affecting oil and gas projects.

Findings

This research identifies the top ten risks frequently impacting the oil and gas projects, which are project cost, improper project management, change in economic parameters, currency exchange rate, government regulations and laws, contractor and subcontractors issues, lack of skilled labor, delay in approvals, health and safety issues and force majeure. These risks are primarily responsible for cost overrun and project delay. Additionally, this study recommends the implementation of joint risk management to avoid CGD project delay.

Originality/value

The CGD industry is in the growing stage with many projects under construction. However, there is a lack of research to manage risks in the CGD project. This study contributes to the limited literature available on risk management in oil and gas projects. Additionally, it highlights the need for further research to explore the different risks factors affecting the CGD business and its operations and subsequently develop appropriate mitigation strategies.

Details

International Journal of Energy Sector Management, vol. 17 no. 1
Type: Research Article
ISSN: 1750-6220

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Article
Publication date: 19 June 2021

Atul Rawat, Sumeet Gupta and T. Joji Rao

This study aims to identify the operational and financial risks associated with the city gas distribution project in India and suggest appropriate strategies to mitigate them.

371

Abstract

Purpose

This study aims to identify the operational and financial risks associated with the city gas distribution project in India and suggest appropriate strategies to mitigate them.

Design/methodology/approach

This study aims to identify the operational and financial risks associated with the city gas distribution project in India and suggest appropriate strategies to mitigate them. The survey data is evaluated using factor analysis to understand the latent structure of the critical risk factors. Second, the author uses Situation, Actor and Process–Learning, Action and Performance framework to suggest the mitigation strategies for the identified operational and financial risk factors.

Findings

The research identified five critical risk factors and suggested 39 mitigation strategies to address operational and risk factors impacting CGD projects. The findings of this research will enable the CGD companies to formulate long-term strategies for their business and adopt proactive measures to mitigate the operational and financial risks causing delay and increasing project costs. This study also highlights the importance of government support in developing a conducive environment for CGD industry to thrive.

Originality/value

The CGD projects are critical for natural gas growth in India’s energy mix. The project delay leads to a rise in the total cost involved and increases the payback period for the CGD companies. To the best of authors’ knowledge, this research is first of its kind that identifies the critical operational and financial risks affecting CGD projects in India and suggests the mitigating strategies for them.

Details

International Journal of Energy Sector Management, vol. 15 no. 5
Type: Research Article
ISSN: 1750-6220

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