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The outbreak of the COVID-19 pandemic has significantly impacted healthcare systems, presenting unforeseen challenges that necessitated the implementation of change management strategies to adapt to the new contextual conditions. This study aims to analyze organizational changes within the total hip replacement (THR) surgery pathway at multiple levels, including macro, meso and micro. It employs data triangulation from various sources to gauge the complexity of the change process and comprehend how multi-level decision-making influenced an unexpected shift.

A multicentric, single in-depth case study was conducted using a mixed-methods approach. Data sources included patient-reported outcome measures specific to the THR pathway and carefully structured in-depth interviews administered to managers and clinicians in two healthcare organizations serving the same population.

Decisions made at the macro level resulted in an overall reduction in surgical activities. Organizational changes at the meso level led to a complete cessation or partial reorganization of activities. Micro-level actions for change and adaptation revealed diverse and fragmented change management strategies.

Organizations with segmented structures may require a robust and structured department for coordinating change management responses to prevent the entire system from becoming stuck in the absorptive phase of change. However, it is important to recognize that absorptive solutions can serve as a starting point for genuine innovations in change management.

The utilization of data triangulation enables the authors to visualize how specific changes implemented in response to the pandemic have influenced the observed outcomes. From a managerial perspective, it provides insights into how future innovations could be introduced.

The purpose of this paper is to understand the functioning of a mutual aid group for mental health in rural area and analyze their own strategies for the recovery of mental health, especially those focused on cooperation, social innovation and the strengthening of their own culture through coffee.

The qualitative approach was addressed through the thematic analysis, method to identify, analyze and report patterns within the data. For the selection of participants, the members of a mutual aid group called “Cooperativa de Mujeres' was selected. This group functions as an autonomous business organization in Risaralda, Colombia. They have accompanied people diagnosed with anxiety, depression and domestic violence. Six women were interviewed, between the ages of 18 and 62.

Two thematic nuclei are described: “One for all” made up of categories such as identification with the other, need for the other, being able to communicate, contributing to the group involuntarily and actions to help others. “All for one”, made up of categories such as growing together, welcoming individuals in their individuality from group dynamics, strengthening the relationship of the person with reality, strengthen from the experiences of others.

Mutual Aid Groups in mental health propose associative structures that they seek to oppose the barriers of historical exclusion in the labor field and in this way contribute to the fact that the models, although they have a long history, have been little studied with a view to their implementation by health systems.

Current research in the field of health should focus on recognizing the flaws of the current mental health model focused on medicalization, psychologization and institutionalization, and point to a greater commitment to intersectoral support for initiatives and scenarios that promote links, networks, autonomy and care for each other and the environment, where sustainability and social and economic growth are fundamental.

The transformative actions of cooperatives are configured with a fundamental element when it comes to generating spaces for the rehabilitation of mental health.

Components of a mutual aid group in rural areas are explored, which could serve to replicate said structures in similar scenarios, especially in territories where social inequities make recovery difficult, such as Colombia.

This paper aims to concentrate on recent innovations in flexible wearable sensor technology tailored for monitoring vital signals within the contexts of wearable sensors and systems developed specifically for monitoring health and fitness metrics.

In recent decades, wearable sensors for monitoring vital signals in sports and health have advanced greatly. Vital signals include electrocardiogram, electroencephalogram, electromyography, inertial data, body motions, cardiac rate and bodily fluids like blood and sweating, making them a good choice for sensing devices.

This report reviewed reputable journal articles on wearable sensors for vital signal monitoring, focusing on multimode and integrated multi-dimensional capabilities like structure, accuracy and nature of the devices, which may offer a more versatile and comprehensive solution.

The paper provides essential information on the present obstacles and challenges in this domain and provide a glimpse into the future directions of wearable sensors for the detection of these crucial signals. Importantly, it is evident that the integration of modern fabricating techniques, stretchable electronic devices, the Internet of Things and the application of artificial intelligence algorithms has significantly improved the capacity to efficiently monitor and leverage these signals for human health monitoring, including disease prediction.

Between 1840s and 1940s, 27 occidental concessions have been created in several cities in China which represented difficult signs and memories for Chinese. Nowadays, these territories are experiencing a joint phenomenon of heritagization and tourismification which makes them experimental theaters for modern urban life and identity. Taking the former concessions of Tianjin as place study, the purpose of this study is to analyze the role of the heritage and tourism in the former concessions in city branding and more specifically the actors, approaches and products of this phenomenon.

This research draws on the comparison and analysis of two place studies in China. The authors base their analysis on semi-structured interviews in Chinese with previously identified stakeholders. In all, 20 individuals, including developers, public authority representatives, business owners, academics and conservation association members, were interviewed. This research was completed, updated and triangulated by content analysis of Web-based materials; official documents such as urban plans, guidelines and urban and tourism strategies collected during the fieldwork, as well as non-intrusive spatial observations of the concession and its various developments.

The results of this study show that the heritage in the former concessions has become an attractive tool for the city branding through tourism development, often led by the public actors with the participation of private entrepreneurs.

This study looks at the hybrid dimensions of the former concessions in China. It provides a better understanding of the co-action of heritage and tourism in the processes of territorial rehabilitation, which contributes to both the practitioners and researchers in this domain.

This paper covers the development of a novel defect model for concrete highway bridges. The proposed defect model is intended to facilitate the identification of bridge’s condition information (i.e. defects), improve the efficiency and accuracy of bridge inspections by supporting practitioners and even machines with digitalised expert knowledge, and ultimately automate the process.

The research design consists of three major phases so as to (1) categorise common defect with regard to physical entities (i.e. bridge element), (2) establish internal relationships among those defects and (3) relate defects to their properties and potential causes. A mixed-method research approach, which includes a comprehensive literature review, focus groups and case studies, was employed to develop and validate the proposed defect model.

The data collected through the literature and focus groups were analysed and knowledge were extracted to form the novel defect model. The defect model was then validated and further calibrated through case study. Inspection reports of nearly 300 bridges in China were collected and analysed. The study uncovered the relationships between defects and a variety of inspection-related elements and represented in the form of an accessible, digitalised and user-friendly knowledge model.

The contribution of this paper is the development of a defect model that can assist inexperienced practitioners and even machines in the near future to conduct inspection tasks. For one, the proposed defect model can standardise the data collection process of bridge inspection, including the identification of defects and documentation of their vital properties, paving the path for the automation in subsequent stages (e.g. condition evaluation). For another, by retrieving rich experience and expert knowledge which have long been reserved and inherited in the industrial sector, the inspection efficiency and accuracy can be considerably improved.

Devices for step estimation are body-worn devices used to compute steps taken and/or distance covered by the user. Even though textiles or clothing are foremost to come to mind in terms of articles meant to be worn, their prominence among devices and systems meant for cadence is overshadowed by electronic products such as accelerometers, wristbands and smart phones. Athletes and sports enthusiasts using knee sleeves should be able to track their performances and monitor workout progress without the need to carry other devices with no direct sport utility, such as wristbands and wearable accelerometers. The purpose of this study thus is to contribute to the broad area of wearable devices for cadence application by developing a cheap but effective and efficient stride measurement system based on a knee sleeve.

A textile strain sensor is designed by weft knitting silver-plated nylon yarn together with nylon DTY and covered elastic yarn using a 1 × 1 rib structure. The area occupied by the silver-plated yarn within the structure served as the strain sensor. It worked such that, upon being subjected to stress, the electrical resistance of the sensor increases and in turn, is restored when the stress is removed. The strip with the sensor is knitted separately and subsequently sewn to the knee sleeve. The knee sleeve is then connected to a custom-made signal acquisition and processing system. A volunteer was employed for a wearer trial.

Experimental results establish that the number of strides taken by the wearer can easily be correlated to the knee flexion and extension cycles of the wearer. The number of peaks computed by the signal acquisition and processing system is therefore counted to represent stride per minute. Therefore, the sensor is able to effectively count the number of strides taken by the user per minute. The coefficient of variation of over-ground test results yielded 0.03%, and stair climbing also obtained 0.14%, an indication of very high sensor repeatability.

The study was conducted using limited number of volunteers for the wearer trials.

By embedding textile piezoresistive sensors in some specific garments and or accessories, physical activity such as gait and its related data can be effectively measured.

To the best of our knowledge, this is the first application of piezoresistive sensing in the knee sleeve for stride estimation. Also, this study establishes that it is possible to attach (sew) already-knit textile strain sensors to apparel to effectuate smart functionality.

The aim is to expose the lack of recognition of archaeological sites as a symbolic identity and cultural integrator, showcasing how a deconstructed ideal of public policies and social practices resulted from mismanagement in the processes of safeguarding the historical culture of the sites. It is intended to highlight this discrepancy as to raise awareness on the equivocal direction these complications are heading to and to stress the advocacy for knowledge dissemination government sectors should aim on promoting.

The article draws substantively on the analysis of case studies at state and national level. The archaeological cultural value interpretation is supported by the analysis of historical records such as exploration logs, government organizations’ workbooks, norms and regulations of archaeological conservation and literature review. The current deconstructed cultural value of archaeological sites is interpreted given trends of promotion of archaeological heritage, which ultimately resulted in a misconception of origins.

The subsequent analysis shows that present-day political and social activities on archaeological sites are predisposed by a mismanagement of cultural promotion. The preference for activities that differ from indigenous traditions, commercialization of culture and urban growth have diverged the ideal of culture integration and knowledge dissemination these sites were rescued for, leading to the ignorance of the population towards their cultural value. This phenomenon demonstrates that archaeology in Morelos is currently submerged in a misconception of origins.

The article aims to expose an array of references to issues of the usefulness of archaeological heritage for political and economic purposes as a referent for future studies.

Nowadays, in building structures, dampers are connected to the building structure to reduce the damages caused by seismicity in addition to enhancing structural stability, and to connect dampers with the structure, joints are used. In this paper, three different configurations of double-lap joints were designed, developed and tested.

This paper aims to analyze three different categories of double-lap single-bolted joints that are used in connecting dampers with concrete and steel frame structures. These joints were designed and tested using computational, numerical and experimental methods. The studies were conducted to examine the reactions of the joints during loading conditions and to select the best joints for the structures that allow easy maintenance of the dampers and also withstand structural deformation when the damper is active during seismicity. Also, a computational analysis was performed on the designed joints integrated with the M25 concrete beam column junction. In this investigation, experimental study was carried out in addition to numerical and computational methods during cyclic load.

It was observed from the result that during deformation the double-base multiplate lap joint was suitable for buildings because the deformations on the joint base was negligible when compared with other joints. From the computational analysis, it was revealed that the three double joints while integrated with the beam column junction of M25 grade concrete structure, the damages induced by the double-base multiplate joint was negligible when compared with other two joints used in this study.

To prevent the collapse of the building during seismicity, dampers are used and further connecting the damper with the building structures, joints are used. In this paper, three double-lap joints in different design configuration were studied using computational, numerical and experimental techniques.

Exoskeletons are moving into industries with the potential to reduce muscle strains and prevent occupational injuries. Although exoskeletons have been designed and tested in laboratory settings, rare empirical studies of their application in construction have been reported. Therefore, the purpose of this study is on in a real-life setting testing the applicability of adopting exoskeletons in the construction industry.

A feasibility study of exoskeletons in construction is conducted by testing a passive exoskeleton, designed for shoulder support. Five bricklayers tested in a two-month period the exoskeleton, each wearing it for a three-day period while carrying out normal work activities. Test data in terms of interviews were collected and analyzed using qualitative content analysis.

The application of exoskeletons in construction revealed several limitations, where the two primary ones are the exoskeleton is not designed while considering the tasks of a bricklayer causing several challenges and the exoskeleton only supports a single upward motion while limiting other movements and even counteracted when a downward movement was necessary.

The identified challenges could easily have been revealed by coupling the design and testing of exoskeletons to actual application. Thus, the design approach needs to be reversed. Instead of designing an exoskeleton to support a specific body part or motion and then identifying where it is applicable, it should target specific industries and focus on the actual work and movements and the necessary support. As part of the change, the design metrics should be reevaluated to reflect the work to support.

The heritage and tourist attractiveness of Heritage Cities have aroused interest in establishing mechanisms to enhance their value based on the development of sustainability policies. The socioeconomic and socioenvironmental valuation of these heritage sites has become a necessary tool for decision-making.

Following the recommendations of International Council on Monuments and Sites – ICOMOS, this paper proposes a series of indicators and an exploratory model to define the factors that contribute to their valuation. Following the partial least squares structural equation modelling methodology, information was obtained from 363 intramural residents in the three Heritage Cities that currently have management plans in Spain.

The results show the importance of specifying indicators of sustainable mobility and socioeconomic and socioenvironmental sustainability for an adequate valorisation of heritage sites.

To this end, it is necessary to follow the guidelines of international bodies such as ICOMOS in relation to the management plans.