Abstract: In this work, the surgical theater of a local hospital in
KSA was analyzed using simulation. The focus was on attempting to
answer questions related to how many Operating Rooms (ORs) to
open and to analyze the performance of the surgical theater in
general and mainly the Post Anesthesia Care Unit (PACU) to assist
making decisions regarding PACU staffing. The surgical theater
consists of ten operating rooms and the PACU unit which has a
maximum capacity of fifteen beds. Different sequencing rules to
sequence the surgical cases were tested and the Longest Case First
(LCF) were superior to others. The results of the different
alternatives developed and tested can be used by the manager as a
tool to plan and manage the OR and PACU
Abstract: The Muslim faith requires individuals to fast between
the hours of sunrise and sunset during the month of Ramadan. Our
recent work has concentrated on some of the changes that take place
during the daytime when fasting. A questionnaire was developed to
assess subjective estimates of physical, mental and social activities,
and fatigue. Four days were studied: in the weeks before and after
Ramadan (control days) and during the first and last weeks of
Ramadan (experimental days). On each of these four days, this
questionnaire was given several times during the daytime and once
after the fast had been broken and just before individuals retired at
night.
During Ramadan, daytime mental, physical and social activities
all decreased below control values but then increased to abovecontrol
values in the evening. The desires to perform physical and
mental activities showed very similar patterns. That is, individuals
tried to conserve energy during the daytime in preparation for the
evenings when they ate and drank, often with friends. During
Ramadan also, individuals were more fatigued in the daytime and
napped more often than on control days. This extra fatigue probably
reflected decreased sleep, individuals often having risen earlier
(before sunrise, to prepare for fasting) and retired later (to enable
recovery from the fast).
Some physiological measures and objective measures of
performance (including the response to a bout of exercise) have also
been investigated. Urine osmolality fell during the daytime on
control days as subjects drank, but rose in Ramadan to reach values
at sunset indicative of dehydration. Exercise performance was also
compromised, particularly late in the afternoon when the fast had
lasted several hours. Self-chosen exercise work-rates fell and a set
amount of exercise felt more arduous. There were also changes in
heart rate and lactate accumulation in the blood, indicative of greater
cardiovascular and metabolic stress caused by the exercise in
subjects who had been fasting. Daytime fasting in Ramadan produces
widespread effects which probably reflect combined effects of sleep
loss and restrictions to intakes of water and food.
Abstract: The aim of this study is to determine the effect of
strategic management implementations on the institutionalization
levels. In this regard a field study has been made over 31 stone quarry
enterprises in cement producing sector in Konya by using survey
method. In this study, institutionalization levels of the enterprises
have been evaluated regarding three dimensions: professionalization,
management approach, participation in decisions and delegation of
authority. According to the results of the survey, there is a highly
positive and statistically significant relationship between the strategic
management implementations and institutionalization levels of the
enterprises. Additionally,-considering the results of regression
analysis made for establishing the relationship between strategic
management and institutionalization levels- it has been determined
that strategic management implementations of the enterprises can be
used as a variable to explain the institutionalization levels of them,
and also strategic management implementations of the enterprises
increase the institutionalization levels of them.