Intensive big room process for co-creating value in legacy construction projects

In construction projects the changes and refinements of client requirements are often seen just as a disturbance causing additional costs. However, today clients' business needs evolve constantly and therefore changes in the project requirements are inevitable. Simultaneously, the increasing competition forces companies to minimise unproductive capital costs. Therefore there is an economical pressure to shorten the construction time and the design and construction will be even more concurrent than today. There is clearly potential value to be created for customer by terms of collaborative design process. Fira is an innovative Finnish company which has developed its interactive and customer centric Verstas process since 2009. Fira is using service logic as a guiding principle in the development of collaborative design processes, such as Intensive Big Room (IBR), which is a combination of Building Information Modelling (BIM) and further development of Integrated Concurrent Engineering (ICE ) and Big Room methodologies. The traditional project management methods are not efficient in managing late changes in customer's requirements. This article presents a new method combining collaborative design process, requirements management and IBR in a small sub-process - locking and ironmongery - in legacy construction project models. The sub-process was selected for the development of the method because it is a perfect example of the traditional fragmented process where efficient coordination between different participants and management of requirements are very difficult. However, the same principles can be applied to many other sub-processes too. The method combines service logic, value co-creation and use of IBR concept in a standard contract environment in a unique way which can give significant benefits to the companies able to adopt the presented concept in their business models. Using these methods Fira can now change its business model, differentiate with more attractive value proposal for customer, create more value than its competitors and capture value for securing its competitiveness in future

Improving built-in quality by BIM based visual management

Efficient and flawless information management plays a key role in successful execution of construction projects, but it has been difficult to implement in the traditional document-based environment. A root cause for waste in construction projects is inaccessible, inadequate or missing information. Necessary information is produced by several parties and it is often fragmented, inconsistent or in an impractical format. A lot of time is wasted - meaning that value is destroyed - in searching information needed for activities on construction site due to the fact that even if the information exists somewhere in the documents, it is not easily available. Visual control systems defined in Lean methodology strive for improving the value added flow. Building Information Modelling (BIM) can facilitate organisation and visualisation of information for specific needs in the process. This paper explores how combining principles of Visual Control and BIM could improve information delivery from information producers to information users to reduce waste in searching and processing the information. The methods of literature study, Value Stream Mapping and Root Cause Analysis are used. Software-based Standardised Model Views (SMVs) and their automated creation from BIM, based on predefined use cases and end-user needs are proposed and illustrated. The use of SMVs facilitates Lean information management, thus reducing rework and time spent on waiting, increasing built-in quality and enhancing flow in production. Evaluated savings in a single subcontractor's work time are at least 10% when SMVs are used

p21WAF1/CIP1expression in stage I cutaneous malignant melanoma: its relationship with p53, cell proliferation and survival

The expression of p21, p53 and proliferating cell nuclear antigen (PCNA) was analysed by immunohistochemistry in a consecutive series of 369 clinical stage I cutaneous malignant melanoma patients. Correlation of the detected expression levels with each other, with clinicopathological data and with melanoma survival were statistically evaluated. p21 expression was significantly associated with p53 and PCNA expression levels. In addition, high levels of p53 and PCNA were significantly interrelated. Tumour thickness, recurrent disease, high TNM category and older (≥ 55 years) age at diagnosis were inversely associated with p21 expression. Gender, bleeding, tumour thickness, Clark's level of invasion, TNM category and p53 index were all important predictors of both recurrence-free and overall survival of melanoma. In Cox's multivariate analysis including 164 patients with a complete set of data, only high tumour thickness and bleeding predicted poor recurrence-free survival (P= 0.0042 and 0.0087 respectively) or overall survival (P= 0.0147 and 0.0033 respectively). Even though elevated p21 expression may be associated with more favourable prognosis in clinical stage I cutaneous melanoma, our results suggest that cell cycle regulatory effects of p21 can be overcome by some other and stronger, partly yet unknown, mechanisms. 1999 Cancer Research Campaig