Conjunctivochalasis is usually bilateral, involving most commonly the inferotemporal conjunctiva, that may cause disruption of the inferior tear meniscus. It may present as loose superior conjunctiva, although it is less common.
The core idea seems clear enough. To say of something that it is socially constructed is to emphasize its dependence on contingent aspects of our social selves. It is to say: This thing could not have existed had we not built it; and we need not have built it at all, at least not in its present form.
Lean construction is a philosophy based on the. concepts of lean manufacturing. It is about managing. and improving the construction process to profitably. deliver what the customer needs. Because it is a philosophy, lean construction can be. pursued through a number of different approaches. This fact sheet outlines the elements of lean. manufacturing and suggests how these might be. adapted to deliver lean construction in practice. Lean manufacturing. Lean manufacturing was initially pioneered and.