Supply chain case study

There are problems with the existing supply chain, as you quickly find out when you run the first simulation. You need to make changes and improvements in your store delivery schedules routes and in other areas. As soon as you get your existing supply chain stabilized and able to run for 30 days, then you need to expand the business and open up four more stores. Pick locations for the four new stores, and figure out how to best deliver products to those new stores.

44 How do you differentiate haemorrhagic ascitic fluid due to malignancy and accidental rupture of blood vessel while withdrawing the fluid?

45 Is there any place for the medical treatment of gallstones with ursodeoxycholic acid?

46 In a case of common bile duct stones, where it is acknowledged that spontaneous passage within 24 hours is observed in approximately 50% of patients provided the stone is small, and that in these cases there is no need for a sphincterotomy, is the use of antispasmodics, e.g. Buscopan (active ingredient hyoscine-N-butylbromide), recommended? Surely Liver, biliary tract and pancreatic disease 7 53 these will reduce the pain and improve the chance of a spontaneous release of obstruction without surgical procedure?

47 What is sphincter of Oddi dysfunction?

48 I would like to know: what is the role of lysosomal hydrolases (cathepsin B) in the pathogenesis of acute pancreatitis?

49 What is the role of octreotide in management of acute pancreatitis?

50 Why does paralytic ileus occur in pancreatitis?

51 How sensitive is the increase in serum lipase levels in the case of acute pancreatitis?

52 What is the association between chronic pancreatitis and peripheral vascular disease (PVD)?

53 Please, can you explain to us the mechanism of pancreatitis in hypertriglyceridaemias?

54 Is there any role for chemotherapy in carcinoma of the pancreas?