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This study delves into the behavioural intentions of educators within medical colleges at Mosul Universities concerning the adoption of Knowledge Management-Driven Metaverse technology (KM-D-MT). Rooted in an adapted Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) model, the research aims to enrich the understanding of Metaverse adoption factors, exploring correlations among key constructs such as performance expectancy, effort expectancy, social influence, facilitating conditions, perceived value, hedonic motivation and interaction. Furthermore, the study investigates the mediating roles of knowledge generation and knowledge sharing in the relationship between interaction and behavioural intention.

The research employs a quantitative approach, gathering 278 responses from educators in medical colleges. Structural Equation Modelling-Partial Least Squares (SEM-PLS) is used to analyse the data, rigorously examining the reliability and validity of research instruments. The investigation involves an extensive evaluation of various factors influencing educators’ intentions to adopt KM-D-MT, using a cross-sectional design.

The study reveals significant positive impacts of performance expectancy, effort expectancy, social influence, facilitating conditions, perceived value and hedonic motivation on behavioural intention to adopt KM-D-MT. Interaction is identified as a key factor positively influencing knowledge sharing and knowledge generation. Furthermore, knowledge sharing and knowledge generation exhibit positive correlations with behavioural intention. Interaction indirectly impacts behavioural intention through the mediating roles of knowledge generation and knowledge sharing, highlighting the transformative potential of Metaverse technology in reshaping knowledge processes.

The findings of this study hold practical implications for educators, institutions and policymakers. The adoption of KM-D-MT can enhance educational experiences, facilitate global collaboration and contribute to the continuous professional development of educators in medical colleges. Institutions are encouraged to strengthen technological and organisational infrastructure to support effective Metaverse implementation. Furthermore, promoting positive social norms, providing technical support and offering training programs can contribute to overcoming barriers and fostering a conducive environment for Metaverse adoption in medical education.

This research significantly contributes to theoretical perspectives by advancing Metaverse research and addressing the call for extensive studies covering theoretical, conceptual and empirical elements. It extends current UTAUT2 frameworks, exploring correlations in the context of medical education and contributes to knowledge management paradigms. The study’s originality lies in its exploration of Metaverse acceptance in higher education institutions, specifically in medical colleges in Iraq, providing valuable insights for further research and practical applications globally.

Nanotechnology (NT) advancements in personal protective textiles (PPT) or personal protective equipment (PPE) have alleviated spread and transmission of this highly contagious viral disease, and enabled enhancement of PPE, thereby fortifying antiviral behavior.

Review of a series of state of the art research papers on the subject matter.

This paper expounds on novel nanotechnological advancements in polymeric textile composites, emerging applications and fight against COVID-19 pandemic.

As a panacea to “public droplet prevention,” textiles have proven to be potentially effective as environmental droplet barriers (EDBs).

PPT in form of healthcare materials including surgical face masks (SFMs), gloves, goggles, respirators, gowns, uniforms, scrub-suits and other apparels play critical role in hindering the spreading of COVID-19 and other “oral-respiratory droplet contamination” both within and outside hospitals.

When used as double-layers, textiles display effectiveness as SFMs or surgical-fabrics, which reduces droplet transmission to <10 cm, within circumference of ∼0.3%.

NT advancements in textiles through nanoparticles, and sensor integration within textile materials have enhanced versatile sensory capabilities, robotics, flame retardancy, self-cleaning, electrical conductivity, flexibility and comfort, thereby availing it for health, medical, sporting, advanced engineering, pharmaceuticals, aerospace, military, automobile, food and agricultural applications, and more. Therefore, this paper expounds on recently emerging trends in nanotechnological influence in textiles for engineering and fight against COVID-19 pandemic.

The main aim of this study is to review different aspects of Industry 5.0 (I5.0) along with Kaizen measures to foster this novel aspect of industrial sustainability. The study makes a comprehensive study to explore the implementation status of I5.0 in industries, key technologies, adoption level in different nations and barriers to I5.0 adoption together with mitigation actions.

To do a systematic study of the literature, the authors have used preferred reporting items for systematic reviews and meta-analysis (PRISMA) methodology to extract articles related to the field of the study.

It has been found that academic literature on the I5.0 is continuously growing as the wheel of time is running. Most of the studies on I5.0 are conceptual-based, and manufacturing and medical industries are the flag bearer in the adoption of this novel aspect. Further, due to I5.0's infancy, many organizations face difficulty to adopt the same due to financial burden, resistive nature, a well-designed standard for cyber-physical systems (CPS) and an effective mechanism for human–robot collaboration. Further studies also provide avenues for future research in terms of the identification of collaborative mechanisms between machines and wells, the establishment of different standards for comparison and the development of I5.0-enabled models for different industrial domains.

The study is the first of its kind that reviews different facets of I5.0in conjunction with Kaizen's measures and application areas and provides avenues for future research to improve an organization's environmental and social sustainability.

Three-way decision (3WD) and probabilistic rough sets (PRSs) are theoretical tools capable of simulating humans' multi-level and multi-perspective thinking modes in the field of decision-making. They are proposed to assist decision-makers in better managing incomplete or imprecise information under conditions of uncertainty or fuzziness. However, it is easy to cause decision losses and the personal thresholds of decision-makers cannot be taken into account. To solve this problem, this paper combines picture fuzzy (PF) multi-granularity (MG) with 3WD and establishes the notion of PF MG 3WD.

An effective incomplete model based on PF MG 3WD is designed in this paper. First, the form of PF MG incomplete information systems (IISs) is established to reasonably record the uncertain information. On this basis, the PF conditional probability is established by using PF similarity relations, and the concept of adjustable PF MG PRSs is proposed by using the PF conditional probability to fuse data. Then, a comprehensive PF multi-attribute group decision-making (MAGDM) scheme is formed by the adjustable PF MG PRSs and the VlseKriterijumska Optimizacija I Kompromisno Resenje (VIKOR) method. Finally, an actual breast cancer data set is used to reveal the validity of the constructed method.

The experimental results confirm the effectiveness of PF MG 3WD in predicting breast cancer. Compared with existing models, PF MG 3WD has better robustness and generalization performance. This is mainly due to the incomplete PF MG 3WD proposed in this paper, which effectively reduces the influence of unreasonable outliers and threshold settings.

The model employs the VIKOR method for optimal granularity selections, which takes into account both group utility maximization and individual regret minimization, while incorporating decision-makers' subjective preferences as well. This ensures that the experiment maintains higher exclusion stability and reliability, enhancing the robustness of the decision results.

Drawing on a dynamic capability view, this study develops a decision support model that determines the most suitable configuration of strategies and challenges to adopt additive manufacturing (AM) to expedite digital transformation and performance improvement of the surgical and medical device (SMD) supply chain.

To investigate the research objective, a multi-method and multi-study research design was deployed using quality function deployment and fuzzy set qualitative comparative analysis.

The study finds that only resilience strategies or negation (i.e. minimisation) of challenges are not enough; instead, a configuration of resilience strategies and negation of challenges is highly significant in enhancing performance.

SMD supply chain decision-makers will find the decision support model presented in this study as beneficial to be resilient against various challenges in the digital transformation of service delivery process.

This study builds new knowledge of the adoption of AM technology in the SMD supply chain. The decision support model developed in this study is unique and highly effective for fostering digital transformation and enhancing SMD supply chain performance.

The purpose of this study is therefore to detail an additive manufacturing process for printing TiD parts for implant applications. Titanium–diamond (TiD) is a new composite that provides biocompatible three-dimensional multimaterial structures. Thus, the authors report a powder-deposition and print optimization strategy to overcome the dual-functionality gap by printing bulk TiD parts. However, despite favorable customization outcomes, relatively few additive manufacturing (AM) feedstock powders offer the biocompatibility required for medical implant and device technologies.

AM offers a platform to fabricate customized patient-specific parts. Developing feedstock that can be 3D printed into specific 3D structures while providing a favorable interface with the human tissue remains a challenge. Using laser metal deposition, feedstock powder comprising diamond and titanium was co-printed into TiD parts for mechanical testing to determine optimal manufacturing parameters.

TiD parts were fabricated comprising 30% and 50% diamond. The composite powder had a Hausner ratio of 1.13 and 1.21 for 30% and 50% TiD, respectively. The flow analysis (Carney flow) for TiD 30% and 50% was 7.53 and 5.15 g/s. The authors report that the printing-specific conditions significantly affect the integrity of the printed part and thus provide the optimal manufacturing parameters for structural integrity as determined by micro-computed tomography, nanoindentation and biocompatibility of TiD parts. The hardness, ultimate tensile strength and yield strength for TiD are 4–6 GPa (depending on build position), 426 MPa and 375 MPa, respectively. Furthermore, the authors show that increasing diamond composition to 30% results in higher osteoblast viability and lower bacteria count than titanium.

In this study, the authors provide a clear strategy to manufacture TiD parts with high integrity, performance and biocompatibility, expanding the material feedstock library and paving the way to customized diamond implants. Diamond is showing strong potential as a biomedical material; however, upscale is limited by conventional techniques. By optimizing AM as the avenue to make complex shapes, the authors open up the possibility of patient-specific diamond implant solutions.

3D-printed devices proved their efficacy across different clinical applications, helping personalize medical treatments. This paper aims to present the procedure for the design and production of patient-specific dynamic simulators of the human knee. The scope of these simulators is to improve surgical outcomes, investigate the motion and load response of the human knee and standardize in-vitro experiments for testing orthopedic devices through a personalized physical representation of the patient’s joint.

This paper tested the approach on three volunteers. For each, a patient-specific mathematical joint model was defined from an magnetic resonance imaging (MRI) of the knee. The model guided the CAD design of the simulators, which was then realized through stereolithography printing. Manufacturing accuracy was tested by quantifying the differences between 3D-printed and CAD geometry. To assess the simulator functionality, its motion was measured through a stereophotogrammetric system and compared with the natural tibio-femoral motion of the volunteers, measured as a sequence of static MRI.

The 3D-printing accuracy was very high, with average differences between ideal and printed parts below ± 0.1 mm. However, the assembly of different 3D-printed parts resulted in a higher average error of 0.97 mm and peak values of 2.33 mm. Despite that, the rotational and translational accuracy of the simulator was about 5° and 4 mm, respectively.

Although improvements in the production process are needed, the proposed simulators successfully replicated the individual articular behavior. The proposed approach is general and thus extendible to other articulations.

Arthroscopic osteochondroplasty is a minimally invasive procedure that has been used to treat femoroacetabular impingement syndrome, leading to significant improvements in patients’ clinical outcomes and quality of life. However, some studies suggest that inadequate bone resection can substantially alter hip biomechanics. These modifications may generate different contact profiles and higher contact forces, increasing the risk of developing premature joint degeneration. To improve control over bone resection and biomechanical outcomes during arthroscopic osteochondroplasty surgery, this study aims to present a novel system for measuring femoroacetabular contact forces.

Following a structured design process for the development of medical devices, the steps required for its production using additive manufacturing with material extrusion and easily accessible sensors are described. The system comprises two main devices, one for measuring femoroacetabular contact forces and the other for quantifying the force applied by the assistant surgeon during lower limb manipulation. The hip device was designed for use within an arthroscopic environment, eliminating the need for additional portals.

To evaluate its performance, the system was first tested in a laboratory setup and later under in-service conditions. The 3D printing parameters were tuned to ensure the watertighness of the device and sustain the intraoperative fluid pressures. The final prototype allowed for the controlled measurement of the hip contact forces in real-time.

Using additive manufacturing and readily available sensors, the present work presents the first device to quantify joint contact forces during arthroscopic surgeries, serving as an additional tool to support the surgeon’s decision-making process regarding bone resection.

The purpose of this study was to assess the repercussions of eucalyptus bark and tea leaf extract as natural dyes and antibacterial agents for jute–cotton union fabric.

The dye was collected from the eucalyptus tree’s bark and tea leaves by the aqueous extraction method. The fabric was dyed with potassium alum mordant, using pre-mordanting, post-mordanting and meta-mordanting methods. Examine the color performance analyzed the K/S, L*, a*, b*; fastness to washing using standard test method ISO 105 C06 A2S, rubbing fastness was performed by Crock meter using AATCC 115. The dyed fabrics were characterized by Fourier transform infrared radiation for the existence of various functional groups. Also, antimicrobial activity testing was done by the agar diffusion method (AATCC method SN 195 920) where Escherichia coli and Staphylococcus aureus were used.

The extracted dye tea leaves meta-mordant dyed samples were determined to have the strongest relative color. Fabrics pre-mordanted and post-mordanted with extracted eucalyptus and extracted tea dye produced the same outcome, which was excellent for wash fastness to staining and very good for wash fastness to fading. For both eucalyptus bark and tea, rubbing fastness on the pre-mordanted fabric produced very positive results. In mordanted colored fabric, significant antibacterial activity was discovered against S. aureus and E. coli.

This study demonstrates that the eucalyptus bark and tea leaves extract encompasses a solid antimicrobial action with amazing coloring execution for jute–cotton union fabric.

Natural extracts produced with Annona squamosa and Moringa oleifera leaves through the methanol-based solvent were coated on 100% cotton and 80%:20% polyester/cotton blends to improve the functional properties such as antimicrobial activity, wicking, stiffness and crease recovery of the fabric using an eco-friendly 1,2,3,4-butane tetracarboxylic acid (BTCA) crosslinking agent.

In this study, 100% cotton and 80:20% Polyester/Cotton fabrics with surface densities of 113.5 g/m2 and 101 g/m2 were treated BTCA. Eight different samples were produced by padding through the natural extracts. The FTIR investigation was performed on all the fabric samples. These coated fabrics were studied for their antimicrobial activity, wicking, stiffness and crease recovery properties.

It was found that the BTCA cross-linked fabrics showed higher antimicrobial activity against gram-positive and gram-negative bacteria. Similarly, the percentage crease recovery angle was higher for the Annona squamosa coated sample than for Moringa Oleifera leaf extract in both cotton and polyester cotton blend samples. Furthermore, no significant variation in stiffness values was discovered between the control samples of cotton and polyester cotton blend and its treatment one. It was interesting to note that treating the fabrics with cross-linker showed improved vertical wicking properties, which were closer to control fabric values. The study confirms that crosslinking the fabrics with BTCA has improved the functional properties of the fabrics. The zone of inhibition values of BTCA cross-linked moringa methanolic leaves extract coated cotton and polyester cotton blend were 6 to 6.5 cm, which was more than 50% higher than non-BTCA cross-linked fabric, and BTCA cross-linker has improved the vertical wicking properties.

The outcome of this study will help to gain a better understanding of BTCA cross-linkers for improving the functional coating on textile substrates.

This study was conducted to improve the natural extract coating on textile material with eco-friendly aspects, enhancing the commercial utility of these finished fabrics