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The primary objective of this paper is to show a systematic and methodological approach for the digitalization of critical clinical pathways (CPs) within the healthcare domain.

The methodology entails the integration of service design (SD) and action research (AR) methodologies, characterized by iterative phases that systematically alternate between action and reflective processes, fostering cycles of change and learning. Within this framework, stakeholders are engaged through semi-structured interviews, while the existing and envisioned processes are delineated and represented using BPMN 2.0. These methodological steps emphasize the development of an autonomous, patient-centric web application alongside the implementation of an adaptable and patient-oriented scheduling system. Also, business processes simulation is employed to measure key performance indicators of processes and test for potential improvements. This method is implemented in the context of the CP addressing transient loss of consciousness (TLOC), within a publicly funded hospital setting.

The methodology integrating SD and AR enables the detection of pivotal bottlenecks within diagnostic CPs and proposes optimal corrective measures to ensure uninterrupted patient care, all the while advancing the digitalization of diagnostic CP management. This study contributes to theoretical discussions by emphasizing the criticality of process optimization, the transformative potential of digitalization in healthcare and the paramount importance of user-centric design principles, and offers valuable insights into healthcare management implications.

The study’s relevance lies in its ability to enhance healthcare practices without necessitating disruptive and resource-intensive process overhauls. This pragmatic approach aligns with the imperative for healthcare organizations to improve their operations efficiently and cost-effectively, making the study’s findings relevant.

The circular economy (CE) promotes the recovery of value from waste while also working towards achieving long-term environmentally sustainable goals. The goal of this research is to explore the challenges, opportunities, future scope and green practices that small and medium-sized firms (SMEs) face as they move from the linear economy to the CE.

Based on a structured questionnaire, a survey was conducted with representatives from 163 SMEs in India. The data were analysed using co-variance based structural equation modelling technique.

This research identifies various challenges, including consumer acceptability, worries about awareness, recyclability issues, financial constraints and the absence of a defined management plan for SMEs in adopting the CE. Further, strong management will, innovation, technical up-gradation, training of employees, employee motivation and appropriate guidelines are recognized as essential possibilities for CE implementation.

While there has been some work on CE, no studies have directly compared these efforts with the goal of shifting from a linear economy to a CE. Given the transient nature of many archives, it is critical that the efforts put into them and the opinions of those who work in them be recorded so that communities can benefit from a shared linear economy in making decisions about their own history.

The purpose of this study is to develop a magnetic resonance imaging (MRI)-safe iron-free electrical actuator for MR-guided surgical interventions.

The paper deals with the design of an MRI compatible electrical actuator. Three-dimensional electromagnetic and thermal analytical models have been developed to design the actuator. These models have been validated through 3D finite element (FE) computations. The analytical models have been inserted in an optimization procedure that uses genetic algorithms to find the optimal parameters of the actuator.

The analytical models are very fast and precise compared to the FE models. The computation time is 0.1 s for the electromagnetic analytical model and 3 min for the FE one. The optimized actuator does not perturb imaging sequence even if supplied with a current 10 times higher than its rated one. Indeed, the actuator’s magnetic field generated in the imaging area does not exceed 1 ppm of the B₀ field generated by the MRI scanner. The actuator can perform up to 25 biopsy cycles without any risk to the actuator or the patient since he maximum temperature rise of the actuator is about 20°C. The actuator is compact and lightweight compared to its pneumatic counterpart.

The MRI compatible actuator uses the B₀ field generated by scanner as inductor. The design procedure uses magneto-thermal coupled models that can be adapted to the design of a variety actuation systems working in MRI environment.

This study aims to investigate the design and optimization of landing gear buffers to improve the landing-phase comfort of civil aircraft.

The vibration comfort during the landing and taxiing phases is calculated and evaluated based on the flight-testing data for a type of civil aircraft. The calculation and evaluation are under the guidance of the vibration comfort standard of GB/T13441.1-2007 and related files. The authors establish here a rigid-flexible coupled multibody dynamics finite element model of one full-size aircraft. Furthermore, the authors also implement a dynamic simulation for the landing and taxiing processes. Also, an analysis of how the main parameters of the buffers affect the vibration comfort is presented. Finally, the optimization of the single-chamber and double-chamber buffers in the landing gear is performed considering vibration comfort.

The double-chamber buffer with optimized parameters in landing gear can improve the vibration comfort of the aircraft during the landing and taxiing phases. Moreover, the comfort index can be increased by 25.6% more than that of a single-chamber type.

To the best of the authors’ knowledge, this study first investigates the evaluation methods and evaluation indexes on the aircraft vibration comfort, then further conducts the optimization of the parameters of landing gear buffer with different structures, so as to improve the comfort of aircraft passengers during landing process. Most of the current studies on aircraft landing gear have focused on the strength and safety of the landing gear, with very limited research on cabin vibration comfort during landing and subsequent taxiing because of the coupling of runway surface unevenness and airframe vibration.

Abnormal vibrations often occur in the liquid oxygen kerosene transmission pipelines of rocket engines, which seriously threaten their safety. Improper handling can result in failed rocket launches and significant economic losses. Therefore, this paper aims to examine vibrations in transmission pipelines.

In this study, a three-dimensional high-pressure pipeline model composed of corrugated pipes, multi-section bent pipes, and other auxiliary structures was established. The fluid–solid coupling method was used to analyse vibration characteristics of the pipeline under various external excitations. The simulation results were visualised using MATLAB, and their validity was verified via a thermal test.

In this study, the vibration mechanism of a complex high-pressure pipeline was examined via a visualisation method. The results showed that the low-frequency vibration of the pipe was caused by fluid self-excited pressure pulsation, whereas the vibration of the engine system caused a high-frequency vibration of the pipeline. The excitation of external pressure pulses did not significantly affect the vibrations of the pipelines. The visualisation results indicated that the severe vibration position of the pipeline thermal test is mainly concentrated between the inlet and outlet and between the two bellows.

The results of this study aid in understanding the causes of abnormal vibrations in rocket engine pipelines.

The causes of different vibration frequencies in the complex pipelines of rocket engines and the propagation characteristics of external vibration excitation were obtained.

This study investigates the impact of the fire decay phase on structural damage using the sectional analysis method. The primary objective of this work is to forecast the non-dimensional capacity parameters for the axial and flexural load-carrying capacity of reinforced concrete (RC) sections for heating and the subsequent post-heating phase (decay phase) of the fire.

The sectional analysis method is used to determine the moment and axial capacities. The findings of sectional analysis and heat transfer for the heating stage are initially validated, and the analysis subsequently proceeds to determine the load capacity during the fire’s heating and decay phases by appropriately incorporating non-dimensional sectional and material parameters. The numerical analysis includes four fire curves with different cooling rates and steel percentages.

The study’s findings indicate that the rate at which the cooling process occurs after undergoing heating substantially impacts the axial and flexural capacity. The maximum degradation in axial and flexural capacity occurred in the range of 15–20% for cooling rates of 3 °C/min and 5 °C/min as compared to the capacity obtained at 120 min of heating for all steel percentages. As the fire cooling rate reduced to 1 °C/min, the highest deterioration in axial and flexural capacity reached 48–50% and 42–46%, respectively, in the post-heating stage.

The established non-dimensional parameters for axial and flexural capacity are limited to the analysed section in the study owing to the thermal profile, however, this can be modified depending on the section geometry and fire scenario.

The study primarily focusses on the degradation of axial and flexural capacity at various time intervals during the entire fire exposure, including heating and cooling. The findings obtained showed that following the completion of the fire’s heating phase, the structural capacity continued to decrease over the subsequent post-heating period. It is recommended that structural members' fire resistance designs encompass both the heating and cooling phases of a fire. Since the capacity degradation varies with fire duration, the conventional method is inadequate to design the load capacity for appropriate fire safety. Therefore, it is essential to adopt a performance-based approach while designing structural elements' capacity for the desired fire resistance rating. The proposed technique of using non-dimensional parameters will effectively support predicting the load capacity for required fire resistance.

The fire-resistant requirements for reinforced concrete structures are generally established based on standard fire exposure conditions, which account for the fire growth phase. However, it is important to note that concrete structures can experience internal damage over time during the decay phase of fires, which can be quantitatively determined using the proposed non-dimensional parameter approach.

This study examines the effect of temperature-dependent material models for normal-strength (NSC) and high-strength concrete (HSC) on the thermal analysis of reinforced concrete (RC) walls.

The study performs an one-at-a-time (OAT) sensitivity analysis to assess the impact of variables defining the constitutive and parametric fire models on the wall's thermal response. Moreover, it extends the sensitivity analysis to a variance-based analysis to assess the effect of constitutive model type, fire model type and constitutive model uncertainty on the RC wall's thermal response variance. The study determines the wall’s thermal behaviour reliability considering the different constitutive models and their uncertainty.

It is found that the impact of the variability in concrete’s conductivity is determined by its temperature-dependent model, which differs for NSC and HSC. Therefore, more testing and improving material modelling are needed. Furthermore, the heating rate of the fire scenario is the dominant factor in deciding fire-resistance performance because it is a causal factor for spalling in HSC walls. And finally the reliability of wall's performance decreased sharply for HSC walls due to the expected spalling of the concrete and loss of cross-section integrity.

Limited studies in the current open literature quantified the impact of constitutive models on the behaviour of RC walls. No studies have examined the effect of material models' uncertainty on wall’s response reliability under fire. Furthermore, the study's results contribute to the ongoing attempts to shape performance-based structural fire engineering.

This study aims to investigate the rarefaction effects on flow and thermal performances of an equivalent sand-grain roughness model for aerodynamic thrust bearing.

In this study, a model of gas lubrication thrust bearing was established by modifying the wall roughness and considering rarefaction effect. The flow and lubrication characteristics of gas film were discussed based on the equivalent sand roughness model and rarefaction effect.

The boundary slip and the surface roughness effect lead to a decrease in gas film pressure and temperature, with a maximum decrease of 39.2% and 8.4%, respectively. The vortex effect present in the gas film is closely linked to the gas film’s pressure. Slip flow decreases the vortex effect, and an increase in roughness results in the development of slip flow. The increase of roughness leads to a decrease for the static and thermal characteristics.

This work uses the rarefaction effect and the equivalent sand roughness model to investigate the lubrication characteristics of gas thrust bearing. The results help to guide the selection of the surface roughness of rotor and bearing, so as to fully control the rarefaction effect and make use of it.

This paper aims to study a neural network-based fault-tolerant controller to improve the tracking control performance of an unmanned autonomous helicopter with system uncertainty, external disturbances and sensor faults, using the prescribed performance method.

To ensure that the tracking error satisfies the prescribed performance, the authors adopt an error transformation function method. A control scheme based on the neural network and high-order disturbance observer is designed to guarantee the boundedness of the closed-loop system. A simulation is performed to prove the validity of the control scheme.

The developed adaptive fault-tolerant control method makes the system with sensor fault realize tracking control. The error transformation function method can effectively handle the prescribed performance requirements. Sensor fault can be regarded as a type of system uncertainty. The uncertainty can be approximated accurately using neural networks. A high-order disturbance observer can effectively suppress compound disturbances.

The tracking performance requirements of unmanned autonomous helicopter system are considered in the design of sensor fault-tolerant control. The inequality constraint that the output tracking error must satisfy is transformed into an unconstrained problem by introducing an error transformation function. The fault state of the velocity sensor is considered as the system uncertainty, and a neural network is used to approach the total uncertainty. Neural network estimation errors and external disturbances are treated as compound disturbances, and a high-order disturbance observer is constructed to compensate for them.

This study aims to assess the effect of job insecurity, customer incivility and work–life imbalance on Lebanese bank employee workplace well-being (EWW), while investigating the moderating role that positive and negative affect might have.

Quantitative data was collected from 202 respondents and analyzed using structural equation modeling system through IBM SPSS and AMOS.

Results revealed that each of the independent variables has a negative, statistically significant effect on Lebanese bank EWW. The positive affect and the negative one are shown to have a moderating effect that lessens and boosts, respectively, these negative effects.

The study adds to the literature on EWW while highlighting the high-power distance and collectivist society that the research took place in.

Limitations include the sample size that was hoped to be larger, in addition to the self-reporting issue and what it entails in the data collection process.

The study has many practical implications, including the validation of a questionnaire in a developing Arab country, hence providing a reliable tool for researchers. HR specialists should lean toward applicants with positive affect, ensuring that their workplace is occupied by members with enhanced resilience. Furthermore, employers should support their employees’ professional growth, thus, boosting their employability during turmoil and consequently making them less vulnerable in times of economic recession.

The study’s unique context, depicted in the harsh economic and financial crisis, makes the findings on EWW of a high value.