Academic literature on the topic 'Incoming/outgoing delivery'

BackgroundToday, healthcare is more complex than just ensuring clients receive quality care; it also involves consistently delivering excellent client experience. A non-profit community support services agency conducted an extensive diagnostic journey to determine root causes of inconsistent care delivery between regular and relief frontline staff.Local problemClients and family caregivers noted lower satisfaction in care delivery when a relief staff (ie, internal staff or an external agency that is covering a shift) provided service in comparison with their regular staff. The diagnostic journey discovered that the shift exchange process—when outgoing staff transfers critical knowledge to incoming staff for continuing care—varied significantly between the 11 service locations, leading to a lack of consistent service delivery, thereby impacting client experience.MethodsA working group consisting of Supervisors of Client Services, Personal Support Workers (PSW) and management were tasked with process mapping the current state, highlighting gaps and outlining the ideal state of the shift exchange process.InterventionsUsing best practices from the aviation industry, a checklist was developed that encapsulated all the critical steps needed to be undertaken for a successful, consistent shift exchange. The theory was that the utilisation of the checklist would enable consistency and improve client satisfaction with care delivery, especially when care is delivered by a staff unfamiliar with clients.ResultsPrior to the checklist implementation, 74% of clients were satisfied or very satisfied with their relief staff, and post checklist implementation client satisfaction improved to 90%. Staff self-assessments also indicated that PSWs agreed that the checklist helped provide consistent care.ConclusionThe use of checklists can transform the way care is delivered in the community support sector and other service delivery agencies alike to bring greater standardisation of care between providers, thus significantly improving client experience across the healthcare sector.

End-of-shift handoffs occur when physicians transfer care responsibilities from one shift to another. Typically viewed as a straightforward exchange of information, we argue that several contextually relevant factors shape the communication behaviors of outgoing and incoming residents during handoffs. Digital recordings and transcripts of resident handoffs in medicine and surgery were made at three VA Medical Centers. They were triangulated with cognitive task interviews that elicited residents’ reconstructions of their work practices. Analyses revealed clear distinctions among “day-to-night,” “night-to-day,” and “double handoffs” that involve transitions between day and night teams. Although residents preferred handing off in dedicated, quiet spaces, few (16%) occurred in such settings; 28% contained significant interruptions. The quality handoff artifacts (notes and forms) influenced interactions, especially in cases where multiple residents from different teams were involved, requiring incoming residents to adjust “on the fly.” This study demonstrated that there are multiple contextual factors that affect, and are affected by, handoff interactions. The findings suggest that handoffs are less like the delivery of a telegram (unidirectional) and more like complex adaptive systems (products of interactional co-construction). Teaching communication practices based on interaction complexity may reduce errors and adverse outcomes for hospitalized patients.

The application of Economical Order Quantity method to stock warehouse system by using Radio Frequency Identification technology can provide information that can minimize stock availability in real time. The research aims to develop the stock system using the methods of Economical Order Quantity, Reorder Point and Radio Frequency Identification technology. Computation of Economical Order Quantity is used per month with variables covering amount of raw material, ordering cost and storage cost. Reorder Point computation using lead time variable, raw material usage and safety stock. Safety stock is used if there is a delay in delivery of goods from suppliers, so it does not run out of raw materials and the company can still operate. The inventory data is obtained from transactions of incoming and outgoing goods which are recorded automatically when passing through Radio Frequency Identification reader. The computation of Economical Order Quantity, Reorder Point produces safety stock as output stock system. With the stock of goods in accordance with the fulfillment of Safety stock, then there is no delay in the delivery of goods from suppliers, so it does not run out of raw materials, after determination of the value of re-ordering.

Congestion control is an important factor for performance improvement in wireless sensor networks (WSNs). Congestion occurs due to various reasons including a variation in the data rate between incoming and outgoing links, buffer size, flooding attacks and multiple inputs and minimum output capability. Various outcomes of congestion in sensor networks include immense packet loss or packet drop, fast energy depletion, unfairness across the network, reduced node performance and increased delay in packet delivery. Hence, there is an extreme need to check channel congestion in order to enhance the performance with better congestion management. The job of choosing a suitable congestion control technique is a challenging task for the network designer. In this article, the authors traverse through the underlying conceptual ideas on congestion control schemes which come under six unique models. This article highlights a survey on the existing works done so far on congestion control domains in sensor networks. A comparative analysis based on Quality of Service parameters has been discussed.

PT NCS LOGISTIC LINK is a Transportation Management Service company or commonly called Freight Forwarding. PT. NCS is also engaged in the rental of Warehouses. In the Warehouse at PT NCS LOGISTIC LINK, there is a problem with the layout of the storage of goods in the Warehouse which is still not optimal because the cost of Material Handling in the company is still high and also PT NCS LOGISTIC LINK, a company that manages warehouse rental for companies manufacture. The problems faced by PT NCS LOGISTIC LINK today are the problems that are often faced is the handling of incoming and outgoing goods in the company's warehouse, the company still does not have a defined system, so that the placement of goods in the warehouse is not neatly arranged so that the warehouse seems narrow. Likewise, the warehouse line or line layout is not clear, the placement of finished goods for both export and local products is placed in one location with the material (Completely Knock Down / CKD) in one warehouse location, there is no barrier between the goods belonging to one customer and another. other things, goods are placed to close the road area or forklift lanes and warehouse doors, and goods that have entered earlier are closed with new incoming goods, thus hampering the process of handling goods. With limited storage space, companies are required to use space effectively and efficiently so that storage activities are not hampered and can find the best layout that is more effective and efficient and does not hamper the delivery process. The method used in warehousing management is a shared storage approach in which the products that have the most shipping frequency and the ones that frequently go in and out are brought close to the entrance to minimize the distance of material handling movement. The results of the shared storage approach can minimize the material handling distance of the proposed layout is 1386 m, while the previous condition, the initial layout distance was 1900 m. Has a total range of 514 meters of total mileage. This means that the layout of the proposal could shorten the mileage through which warehouse workers take goods.

Good and efficient Air cargo handling, especially for dangerous goods transportation need to be supported by licensed dangerous goods handling personnel and supported by the transport handling facilities as well as standard procedure. Comprehensive standards and procedures are required to reduce the risk of accidents caused by an error in the handling of the dangerous goods transportation. Main problems in this study: first, to analyse the process of air cargo transportation handling at the Adisutjipto Airport; second, to analyse the standard of the dangerous goods handling personel. The cargo handling process consists of Outgoing (Acceptance, weighing, Documentation, Marking & labeling, X-ray, Storage, Build-up, and Loading) and Incoming (Check Incoming Massage, Unloading, Breakdown, check lists, Physical Examination, Storage, Notice of Arrival, Delivered). The mathematical model of Dangerous Goods Handling Personnel Number Standard: DG Personel Cargo Agent Type A = c.% DG. (2,89 x 10^-2) DG Personnel Warehousing Type B = c.% DG (4,53 x 106-3), DG Personnel Airline Type B = c.%DG. (4,89 X 10^-4).

Visually impaired or partially blind people measure usually counts on exterior aid which could be delivered by humans, educated dogs, or completely different electronic appliances as backing techniques for the bigger psychological feature techniques. The most downside with blind individuals is that they navigate their path to where they need to travel. They usually need assistance from others. This project is determined to support the blind person to beat the deficit of visual ability, by victimization different senses like sound and bit. This project is determined to support the visually impaired person to whip the absence of visual-sense modality, by using distinct connotations like touch and sound (Voice). The detector module is aspired to utilize the precept of ultrasonic ripples to see the change in incoming/outgoing object. The structure also comprises a buzzer to receive an alarm tone (prebuild vocal instructions) and a motor to come up with vibration signals. The network uses ultrasonic ripple signals to acquaint the visually impaired person about incoming/outgoing hurdles. As the expanse between the band and hurdle decreases, the force of vibration signals increases. Thus, the structure formulates the navigation strategy for the needy easy. This architecture bids an inexpensive, credible, mobile, low energy consuming, and athletic solution for navigation with noticeable quick interruptions. The architecture also has another module in which it revamps images into a speech layout. This module will assist visually undermined people in browsing various images as they will be able to read them by hearing them. The Optical Character Recognition [OCR] is expended to do these tasks.

Correspondence is one activity that can not be separated from an organization, because the mail is one of the important communication media in the organization and communication with other organizations.High-intensity correspondence activities need to have a good management, so that the information conveyed can be delivered properly and safely. This management can also make letters well documented.System development in this research using Extreme Programming method. This method was chosen because the development is still done on a small scale. In addition, this method has a simple process, fast and precise because prioritizing the communication aspects between clients with developers. The built-in information system has features for receiving incoming mail, sending outgoing mail, sending and receiving mail dispositions, and sending and receiving memos. With this system can be effecient mail management and make it easy to manage the data letter itself. Keywords : Agile Process, Letter, Extreme Programming, PHP, Information System

The Golgi complex is considered the central station of the secretory pathway where cargo proteins and lipids are properly modified, classified, packed into specific carriers and delivered to their final destinations. Early electron microscope studies showed the extraordinary structural complexity of this organelle. However, despite the large volume of incoming and outgoing traffic, it is able to maintain its architecture, although it is also flexible enough to adapt to the functional status of the cell. Many components of the molecular machinery involved in membrane traffic and other Golgi functions have been identified. However, some basic aspects of Golgi functioning remain unsolved. For instance, how cargo moves through the stack remains controversial and two classical models have been proposed: vesicular transport and cisternal maturation. Since neither of these models explains all the experimental data, a combination of these models as well as new models have been proposed. In this context, the specific role of the cisternae, vesicles and tubules needs to be clarified. In this review, we summarize our current knowledge of the Golgi organization and function, focusing on the mechanisms of intra-Golgi transport.

A detailed morphological and tracer study of endocytosis via coated pits in Paramecium multimicronucleatum was undertaken to compare endocytic processes in a free-living protozoon with similar processes in higher organisms. Permanent pits at the cell surface enlarge, become coated and give rise to coated vesicles (188 +/− 41 nm in diameter) that enclose fluid-phase markers such as horseradish peroxidase (HRP). Both the pits and vesicles are labeled by the immunogold technique when a monoclonal antibody (mAb) raised against the plasma membrane of this cell is applied to cryosections. The HRP is delivered to an early endosome compartment, which also shares the plasma membrane antigen. The early endosome, as shown in quick-freeze deep-etch replicas of chemically unfixed cells, is a definitive non-reticular compartment composed of many individual flattened cisternal units of 0.2 to 0.7 microns diameter, each potentially bearing one or more approximately 80-nm-wide coated evaginations. These coated evaginations on the early endosomes contain HRP but are not labeled by the mAb. The coated evaginations pinch off to form a second group of coated vesicles (90 +/− 17 nm in diameter), which can be differentiated from those formed from coated pits by their smaller size, absence of plasma membrane antigen and their location somewhat deeper into the cytoplasm. This study shows a striking similarity between protozoons and mammalian cells in their overall early endosomal machinery and in the ability of early endosomes to sort cargo from plasma membrane components. The vesicles identified in this study form two distinct populations of putative shuttle vesicles, pre-endosomal (large) and early endosome-derived vesicles (small), which facilitate incoming and outgoing traffic from the early endosomes.

Miljön har blivit en allt mer vital fråga. För att öka vår bekvämhet har det lett att vi har orsakat mycket negativa effekter på miljön. En stor del orsakas av våra dagliga oaktsamma aktiviteter. Många diskussioner har tagits upp kring detta problem. En punk som har stor vikt inom dessa diskussioner handlar om negativa påverkan av miljoner transporter som sker dagligen. Klädbranschen är en av de branscherna som bidrar till en stor del av alla transporter. En grund av denna ökade transport är en ökad efterfrågan på onlinehandel av fast fashion och en mogen global marknad. Därför syftar studie att undersöka hur olika klädföretag rapporterar transporter av deras in- och utleveranser och hur detta påverkar miljön. Ytterligare kommer studien att analysera vilken information de utvalda företagen redovisar i sina publicerade rapporter. Den valda forskningsstrategin är en kvalitativ forskning. Studien består av en innehållsanalys av tretton utvalda företags årsrapporter och/eller hållbarhetsrapporter. Datan som samlats in från rapporterna är olika leveranssätt samt utsläpp, leveransoptimering och framtida strategier/mål. Sekundära data har använts som primära data i studien för att sedan med hjälp av grundad teori har analyserats och lett till slutsatsen. Genom analys av rapporterna har vi upptäckt att exempelvis flera av de utvalda företagen lyft fram deras mål med stora siffror, men den information som inte var lika positiv skrevs med en finare stil. Därför har vi dragit en slutsats att de mer eller mindre har grönmålat deras verksamhet inom hållbarhetsområdet. Vi har kommit fram till att många företag har förmågan att påverka sina leverantörer och transportörer, men sällan har de gjort eller rapporterat det. En annan slutsats vi har dragit är att många företag inte har rapporterat miljöpåverkan som orsakas av transporter tillräckligt och vissa inte heller har framtida lösningar. Vidare forskning skulle en jämförelse mellan e-handelsföretag och fysiska företag göras genom att undersöka hur stor andel av hållbarhetsrapporten företagen väljer att skriva om miljöpåverkan. Ett annat förslag kan vara att jämföra ett företags rapporter över tid för att kunna se om de har förändrat det sättet att rapportera när det gäller miljöpåverkan som orsakas av transporter över åren.
The environment has become an increasingly vital issue. In order to increase our comfort, it has led to very negative effects on the environment. A large part is caused by our daily negligent activities. Many discussions have been raised on this issue. One thing that has great importance in these discussions is about the negative impact of millions of transports that take place daily. The clothing industry is one of the industries that contributes to a large part of all transports. One reason for this increased transport is the increased demand for online shopping of fast fashion and a mature global market. Therefore, the study aims to investigate how different clothing companies report their in and out deliveries and how this affects the environment. Furthermore, the study will analyze what information the selected companies report in their published reports. The chosen research strategy is a qualitative research. The study consists of a content analysis of thirteen selected companies' annual reports and / or sustainability reports. The data collected from the reports are different delivery methods, emissions, delivery optimization and future strategies / goals. Secondary data has been used as primary data in the study and with the use of grounded theory it has been analyzed and led to the conclusion. Through analysis of the reports, we have discovered that, for example, several of the selected companies highlight their goals with large numbers, but the information that was not as positive was written indistinct. Therefore, we have concluded that they have more or less greenwashed their published report, we have come to the conclusion that many companies have the ability to influence their suppliers and transporters, but rarely have they made or reported it. Another conclusion we have drawn is that many companies have not reported the environmental impact caused by transport enough and some do not have future solutions either. Further research would make a comparison between e-commerce companies and physical companies by examining how large a proportion of the sustainability report companies choose to write about the environmental impact. Another proposal may be to compare a company's reports over time to see if they have changed the way of reporting when it comes to the environmental impact caused by transport over the years.

It was the secretary who handled the delivery of incoming letters, drafted and copied outgoing correspondence, filed papers for retention and, quite literally, held the keys to his master's secrets. This chapter reviews the current state of scholarship on the early modern secretary and asks what we can learn from the material traces that these invisible technicians left on the documents that passed through their hands. Secretaries sought to differentiate themselves from mere clerks by developing a more sophisticated range of techniques for the handling and retrieval of written documents, and the rise of the secretary as a distinct profession was therefore accompanied by the emergence of a new technology of the archive.

Congestion control is an important factor for performance improvement in wireless sensor networks (WSNs). Congestion occurs due to various reasons including a variation in the data rate between incoming and outgoing links, buffer size, flooding attacks and multiple inputs and minimum output capability. Various outcomes of congestion in sensor networks include immense packet loss or packet drop, fast energy depletion, unfairness across the network, reduced node performance and increased delay in packet delivery. Hence, there is an extreme need to check channel congestion in order to enhance the performance with better congestion management. The job of choosing a suitable congestion control technique is a challenging task for the network designer. In this article, the authors traverse through the underlying conceptual ideas on congestion control schemes which come under six unique models. This article highlights a survey on the existing works done so far on congestion control domains in sensor networks. A comparative analysis based on Quality of Service parameters has been discussed.

The potential applications of micromixers continues to expand in the bio-sciences area. In particular, passive micromixers that may be used as part of point-of-care (POC) diagnostic testing devices are becoming commonplace and have application in developed, developing, and relatively undeveloped locales. Characterizing and improving mixing efficiency in these devices is an ongoing research effort. Micromixers are used in some lab-on-chip (LOC) devices where it is often necessary to combine two or more fluids into a mixed solution for testing or delivery. The simplest micromixer incorporates a tee junction to combine two fluid species in anti-parallel branches, with the mixed fluid leaving in a branch perpendicular to the incoming branches. Micromixers rely on two modes of mixing: chaotic advection and molecular diffusion. In micro-mixers flow is typically laminar, making chaotic advection occur only via induced secondary flows. Hence, micromixers, unless carefully designed, rely almost exclusively on molecular diffusion of fluid species. A well designed micromixer should exhibit significant chaotic advection; which is also a sign of large strain rates and large entropy generation rates. This paper describes the development of an analytical relationship for the entropy generation rate and the mixing efficiency as function of the outgoing branch Reynolds number. Though there has been extensive research on tee junctions, entropy generation, and the mixing efficiencies of a wide variety of micromixers, a functional relationship for the mixing efficiency and the entropy generation rate has not been established. We hypothesize a positive correlation between the mixing index and the entropy generation rate. The worked described here establishes a method and provides the results for such a relationship. A basic tee junction with square cross sections has been analyzed using computational fluid dynamics to determine the entropy generation rate and outgoing mixing efficiencies for Reynolds numbers ranging from 25–75. The mixing efficiency is determined at a location in the outgoing branch where the effects of molecular diffusive mixing is minimized and chaotic advective mixing is the focus. The entropy generation rate has been determined for the indicated range of Reynolds number and decomposed into its viscous and diffusive entropy terms. The functional relationships that have been developed are applicable for micromixer design and serve as a reference for more complex passive micromixer designs.