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The present study aims to explore the barriers to Lean Six Sigma (LSS) implementation in the healthcare sector and develop the ranking of finalized barriers using the Decision-Making Trial and Evaluation Laboratory (DEMATEL) approach under a fuzzy environment.

The LSS barriers are identified through the literature review and validated by the expert's opinion and statistical analysis. A total of 124 experts were identified through the purposive sampling method for conducting this study. A questionnaire survey method is used to collect the data related to identified LSS barriers in the healthcare sector. The screened barriers are ranked through the Fuzzy DEMATEL approach.

In this study, a total of 21 barriers were identified with the help of a systematic literature review and screened 13 significant barriers by the expert opinions of healthcare personnel. The result reveals that “Lack of top management commitment and support, lack of awareness about LSS”, “resistance to culture change and inadequate resources emerges as the most critical barriers”. The prioritization of barriers facilitates the managers to make effective policies and guidelines for LSS implementation in healthcare organizations.

To avoid LSS implementation failure, the practitioners and researchers need to focus on LSS barriers as per suggested ranking more conventionally and make plans and adoption policies accordingly.

This study is unique in terms of investigation and empirical analysis of LSS implementation barriers in the healthcare sector in the Indian context. The outcomes of the present study will help the managers of healthcare organizations to make the strategies and policies for LSS implementation as per the recommended LSS barriers.

Titanium (Ti) alloys are in high demand in manufacturing industries all over the world. The property like high strength to weight ratio makes Ti alloys highly recommended for aerospace industries. Ti alloys possess good weldability, and therefore, they were extensively investigated with regard to strength and metallurgical properties of welded joint. This study aims to deal with the analysis of strength and microstructural changes in Ti-6Al-4V (Grade 5) alloy after tungsten inert gas (TIG) welding.

Two pair of Ti alloy plates were welded in two different voltages, i.e. 24 and 28 V, with keeping the current constant, i.e. 80 A It was a random selection of current and voltage values to check the performance of welded material. Both the welded plates were undergone through some mechanical property analysis like impact test, tensile test and hardness test. In addition, the microstructure of the welded joints was also analyzed.

It was found that hardness and tensile properties gets improved with an increment in voltage, but this effect was reverse for impact toughness. A good corroboration between microstructure and mechanical properties, such as tensile strength, hardness and toughness, was reported in this work. Heat distribution in both the welded plates was simulated through ANSYS software to check the temperature contour in the plates.

A good corroboration between microstructure and mechanical properties, such as tensile strength, hardness and toughness, was reported in this study.