A Study on Task Commitment in Coaching Systems, Academic Culture, and Learning Organizations

This study aims to determine the effect of coaching systems, learning organizations, and academic culture on task commitment. A survey and path analysis technique was used in the study. The study was conducted in an education institution (Indonesian Navy) using a proportional random sample of 52 lecturers. The data analysis revealed a direct correlation between task commitment, coaching system, learning organization, and academic culture. Finally, the study concludes that the coaching system's impact and the learning organization's influence on task commitment are critical. As a result, it is recommended that some programs be developed to strengthen the coaching system and learning organization.

Hydropower Technology for Sustainable Energy Generation in Wastewater Systems: Learning from the Experience

Hydropower is a well-known technology, applied worldwide for electricity generation from renewable sources. Within the current framework, some studies have started to consider its application to existing urban water systems, to harness an excess of energy that otherwise would be wasted. This research sought to determine a methodology to assess the potential of hydropower application to wastewater treatment plants (WWTPs), regarding different aspects of sustainability. Firstly, previously developed methodologies for potential assessment in this sector at a country level were analyzed. Secondly, data from existing real case studies were gathered from publicly available documents and a theoretical analysis of their actual performance was conducted to validate assumptions made in the previous methodologies. As a result, the proposed new approach suggests adapting methodologies for potential assessment at a lower level, considering possible driving factors, other than economic feasibility. To define the study area, the management model scope should be considered. The power to determine the cut-off point for a WWTP to be considered as a potential site, is proposed to be lowered according to technical feasibility. Additionally, bearing in mind the sustainability concept, social or environmental factors should also be introduced in the methodology, tailored to the region being assessed. This novel perspective could provide a closer approach to the most likely decision-making level for these kinds of strategies in the wastewater industry.

Methodology for integrating artificial intelligence in healthcare systems: learning from COVID-19 to prepare for Disease X

Artificial intelligence and edge devices have been used at an increased rate in managing the COVID-19 pandemic. In this article we review the lessons learned from COVID-19 to postulate possible solutions for a Disease X event. The overall purpose of the study and the research problems investigated is the integration of artificial intelligence function in digital healthcare systems. The basic design of the study includes a systematic state-of-the-art review, followed by an evaluation of different approaches to managing global pandemics. The study design then engages with constructing a new methodology for integrating algorithms in healthcare systems, followed by analysis of the new methodology and a discussion. Action research is applied to review existing state of the art, and a qualitative case study method is used to analyse the knowledge acquired from the COVID-19 pandemic. Major trends found as a result of the study derive from the synthesis of COVID-19 knowledge, presenting new insights in the form of a conceptual methodology—that includes six phases for managing a future Disease X event, resulting with a summary map of various problems, solutions and expected results from integrating functional AI in healthcare systems.

Clinical Scholars: Effective Approaches to Leadership Development

The Clinical Scholars (CS) National Leadership Institute (CSNLI) equips interprofessional teams of health care professionals through equity-centered leadership training, preparing them to be change leaders working to advance health equity in communities across the US and its territories. At the time of this writing, four cohorts consisting of 131 Fellows from 14 different disciplines, participating in 36 different teams of two to five members are working on “Wicked Problem Impact Projects”, an implementation science-based approach to action learning projects. This chapter reports on the design of the 3-year CS experience, the onsite and distance-based training support, and the subsequent learning responses of 98 participants, 30 of whom had completed the 3-year training (Cohort 1), 34 of whom had completed 2-years of the training (Cohort 2), and 34 who had completed 1-year of the training (Cohort 3). The training program is guided by 25 competencies that weave leadership and equity throughout, which are divided into four families: Personal, Interpersonal, Organizational, and Community & Systems. Learning outcomes indicated that Fellows are highly satisfied, with all participants rating their experience at 6.10-6.77 on a 7-point scale across all sessions, all years. Retrospective pre-and post-tests assessed learning gains on the competencies, indicating statistically significant changes from baseline to midpoint in participant knowledge, attitude, use, and self-efficacy in each of the 25 competencies and large and significant gains by competency family. The Clinical Scholars Program presents an in-depth, longitudinal, state-of-the-art approach to promoting the cultivation and development of a large and sophisticated set of skills that intentionally integrate leadership competencies with a focus on health equity. Taken together, these outcomes show how a logical and structured process, using widely available tools, can contribute to both learning and implementation of skills that lead to real world impacts in communities. Given the results reported at the close of their Clinical Scholars experience, the data suggest that investing in robust, intensive leadership development of interprofessional teams is a smart decision for impacting the culture of health in communities nationwide.

Explaining Regeneration: Cells and Limbs as Complex Living Systems, Learning From History

Regeneration has been investigated since Aristotle, giving rise to many ways of explaining what this process is and how it works. Current research focuses on gene expression and cell signaling of regeneration within individual model organisms. We tend to look to model organisms on the reasoning that because of evolution, information gained from other species must in some respect be generalizable. However, for all that we have uncovered about how regeneration works within individual organisms, we have yet to translate what we have gleaned into achieving the goal of regenerative medicine: to harness and enhance our own regenerative abilities. Turning to history may provide a crucial perspective in advancing us toward this goal. History gives perspective, allowing us to reflect on how our predecessors did their work and what assumptions they made, thus also revealing limitations. History, then, may show us how we can move from our current reductionist thinking focused on particular selected model organisms toward generalizations about this crucial process that operates across complex living systems and move closer to repairing our own damaged bodies.

Development and Characterization of a Modular Soft Actuator Enabled Elbow Exoskeleton for Assistive Movements

Exoskeletons are poised to provide motion assistance to aid in rehabilitation and compensate for muscle weaknesses, augment human performance, and reduce repetitive stress injuries in healthcare, industry, and occupation settings, respectively. Soft actuator enabled systems are gaining widespread attention due to their mechanical simplicity, low weight, and compliance to the human body. Regardless of promises shown, the progress for these systems is slow due to a wide variety of actuator types and geometries, which complicate designs and model predictive performance to create application-specific systems. Learning from conventional hard robotic actuator approaches, this paper investigates a modular actuator concept that can be used for creating many exoskeletons and is easily customized for fitting different sized humans, joint types, and application scenarios. The preliminary investigation details the development of an elbow exoskeleton by implementing a modular corrugated diaphragm actuator arranged in a serial configuration. Numerical simulation and experimental evaluations were carried out to investigate the torque, load-bearing, and motion characteristics of the exoskeleton. Results confirmed the viability of the concept by showing that the exoskeleton can provide assistive motion to a forearm and hand of average weight. Additionally, the exoskeleton is able to apply continuous passive motion to an elbow joint, which can be used in rehabilitation settings.

The Potential of BIM in Disseminating Knowledge about Decentralized Wastewater Treatment Systems: Learning through the Design Process

Despite the low rate of sewer service coverage in developing countries, especially in small towns and rural areas, decentralized wastewater treatment systems (DEWATS) are alternatives to ensure public health. Nonetheless, understanding the physical or functional aspects of these system constructions remains difficult when there is no bibliography, a teaching professional, or even a prototype that allows technical conclusions about specific processes. Although resource combination in a BIM environment works as a facilitator to obtain compact and sustainable results, the purpose of this collaboration is not only to simplify the design process. This paper aims to propose a way to use BIM concepts as a learning tool throughout the modeling process. To do so, we developed a BIM template with specific DEWATS characteristics in order to provide not only information needed for construction, but also information that can favor learning. We measured how much the level of development (LOD) can influence learning about these systems during the design process, directing users to make the best implementation choices. The adoption of qualitative analysis of a questionnaire answered by three groups of professionals (general CADD software users, BIM software with generic template users, and BIM software with specific DEWATS template users) allowed us to identify differences among them, such as the number of DEWATS known, considered LOD, learning, and handicaps in the design of these systems. The results pointed out that the BIM tools can influence learning about new and unknown specific systems, which is directly related to the LOD of a model.