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These include enlightenment on benefits of the lean practice, publication of improvements realized from lean practice, training, workers' involvement and empowerment, persistence, robust planning and gradual implementation. To evaluate the impact of simultaneous and sequential bilateral cochlear implantation on deaf children's quality of life (QoL) and to investigate the impact of inter-implant time delay for the sequentially implanted children. All completed questionnaires of the Brief Assessment of Parental Perception (BAPP), which had
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