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Hospital structures serve to protect and improve public health; however, they are recognized as a major source of environmental degradation. Thus, an effective performance evaluation framework is required to improve hospital sustainability. In this context, this study presents a holistic methodology that integrates the sustainability balanced scorecard (SBSC) with fuzzy Delphi method and fuzzy multi-criteria decision-making approaches for evaluating the sustainability performance of hospitals.

Initially, a comprehensive list of relevant sustainability evaluation criteria was considered based on six SBSC-based dimensions, in line with triple-bottom-line sustainability dimensions, and derived from the literature review and experts’ opinions. Then, the weights of perspectives and their respective criteria are computed and ranked utilizing the fuzzy analytic hierarchy process. Subsequently, the hospitals’ sustainable performance values are ranked based on these criteria using the Fuzzy Technique for Order of Preference by Similarity to Ideal Solution.

A numerical application was conducted in six public hospitals to exhibit the proposed model’s applicability. The results of this study revealed that “Patient satisfaction,” “Efficiency,” “Effectiveness,” “Access to care” and “Waste production,” respectively, are the five most important criteria of sustainable performance.

The new model will provide decision-makers with management tools that may help them identify the relevant factors for upgrading the level of sustainability in their hospitals and thus improve public health and community well-being.

This is the first study that proposes a new hybrid decision-making methodology for evaluating and comparing hospitals’ sustainability performance under a fuzzy environment.

Although user stickiness has been studied for several years in the field of live e-commerce, little attention has been paid to the effects of streamer attributes on user stickiness in this field. Rooted in the stimulus-organism-response (S-O-R) theory, this study investigated how streamer attributes influence user stickiness.

The authors obtained 496 valid samples from Chinese live e-commerce users and explored the formation of user stickiness using partial least squares-structural equation modeling (PLS-SEM). Artificial neural network (ANN) was used to capture linear and non-linear relationships and analyze the normalized importance ranking of significant variables, supplementing the PLS-SEM results.

The authors found that attractiveness and similarity positively impacted parasocial interaction (PSI). Expertise and trustworthiness positively impacted perceived information quality. Moreover, streamer-brand preference mediated the relationship between PSI and user stickiness, as well as the relationship between perceived information quality and user stickiness. Compared to PLS-SEM, the predictive ability of ANN was more robust. Further, the results of PLS-SEM and ANN both showed that attractiveness was the strongest predictor of user stickiness.

This study explained how streamer attributes affect user stickiness and provided a reference value for future research on user behavior in live e-commerce. The exploration of the linear and non-linear relationships between variables based on ANN supplements existing research. Moreover, the results of this study have implications for practitioners on how to improve user stickiness and contribute to the development of the livestreaming industry.

This paper aims to realize an in-situ quality inspection system rapidly for new injection molding (IM) tasks via transfer learning (TL) approach and automation technology.

The proposed in-situ quality inspection system consists of an injection machine, USB camera, programmable logic controller and personal computer, interconnected via OPC or USB communication interfaces. This configuration enables seamless automation of the IM process, real-time quality inspection and automated decision-making. In addition, a MobileNet-based deep learning (DL) model is proposed for quality inspection of injection parts, fine-tuned using the TL approach.

Using the TL approach, the MobileNet-based DL model demonstrates exceptional performance, achieving validation accuracy of 99.1% with the utilization of merely 50 images per category. Its detection speed and accuracy surpass those of DenseNet121-based, VGG16-based, ResNet50-based and Xception-based convolutional neural networks. Further evaluation using a random data set of 120 images, as assessed through the confusion matrix, attests to an accuracy rate of 96.67%.

The proposed MobileNet-based DL model achieves higher accuracy with less resource consumption using the TL approach. It is integrated with automation technologies to build the in-situ quality inspection system of injection parts, which improves the cost-efficiency by facilitating the acquisition and labeling of task-specific images, enabling automatic defect detection and decision-making online, thus holding profound significance for the IM industry and its pursuit of enhanced quality inspection measures.