Physician endorsement of question-asking alone does not appear to increase questions by advanced cancer patients during consultations about PC. Additional resources such as QPLs may be needed to facilitate patient question-asking.
Appendiceal tumours are uncommon but may be present in 0.9–1.4% of all appendicectomy specimens. While carcinoid tumours and adenocarcinomas comprise the majority of appendiceal tumours, rarely, lymphomas or sarcomas may also present in the appendix. Appendiceal leiomyosarcomas are rare, and to date, only a handful of cases have been reported. The current paper presents a case of giant appendiceal leiomyosarcoma followed by a review of the literature.
A supplier has become one of the main factors that influence the success of a company's supply chain activities. Supplier assessment is vital as suppliers have different performance. This study aims at assessing supplier performance using the integration of ANP and TOPSIS methods. Supplier performance assessment was based on supplier criteria indicators. Weighting criteria used ANP used to determine the most significant influence criteria of supplier performance.Furthermore, TOPSIS was also employed to obtain supplier preference. Eight criteria and twenty-five sub-criteria were used for the supplier performance assessment. The three highest sub-criteria were specification of quality, the flexibility of order changes, and production capacity. The priority results for suppliers were sorted from the highest to lowest ratio values.
The increasingly fierce industry competition causes each company needs strong supply chain activities as part of the company to be able to survive in an environment full of competition. In carrying out supply chain activities, it is certainly inseparable from supply chain risks that can disrupt supply chain activities. In supply chain risk it is important to know the key risks as the risks that trigger the other risks in the supply chain. This study aims to identify the relationship of risk and mitigation to reduce the causes of the risk. The interpretive structural modeling (ISM) approach is applied to solve problems related to risk linkages and produced key risks which are the risks that most influence the occurance of other risks. The key risks obtained are then processed using the house of risk (HOR) approach to determine the priority of risk mitigation actions. ISM result obtained four key risks, namely the risk element of inputting data error when entering the number of goods and spesifications, product spesification errors desired by the customer, frequent changes in customer design requests and revisions to the design drawings. Then the result of the HOR method obtained four recommended priority mitigation actions, namely updating information on a scheduled basis, conducting briefings every day before work, coordinating and reconfirming requests for product spesifications, and implementing more strigent worker selection procedures. The linkage of the causes of risk, the validation of the ISM model statistically and the weighting of the triggered criteria are several aspects that further research is needed.
PT. UYZ adalah perusahaan manufaktur bumbu pangan membutuhkan gula sebagai kandungan di dalam bumbu pangan. Namun, saat ini adanya ketidakpastian hasil penjualan dan jumlah pemakaian dan tingginya total biaya persediaan menyebabkan perlunya metode pengendaliaan persediaan. Penelitian ini bertujuan untuk mengetahui kuantitas pembelian gula yang ekonomis dan optimal, menentukan jumlah safety stock, menentukan reorder point, menentukan maksimum persediaan di gudang, dan menentukan komponen biaya yang mana saja yang menyebabkan tingginya total biaya persediaan, dan mengetahui besar biaya penghematan dengan mengimplementasikan economic order quantity secara berkesinambungan. Hasil dari usulan metode EOQ adalah jumlah pemakaian gula untuk setiap kali pesan adalah 5846 kg, besar safety stock dan maksimum persediaan adalah 69.937 kg dan 75.783 kg, besar reorder point diperoleh 74.732 kg, dan penghematan total biaya pemesanan sebesar 1.405.415 dan total biaya persediaan keseluruhan adalah Rp. 924.665.
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