Sustainable Recovery of Architectural Heritage: The Experience of a Worksite School in San Salvador

This paper presents the experience of both interdisciplinary and sustainable implementation of an educational construction site for the recovery of the architectural heritage in Central America. Rey Prendes House is representative of one hundred and forty-five houses made of wood, stamped steel sheet, and deployé that are located in the historical center of San Salvador. Its origin is linked to historical events, such as the strong migration of foreigners to El Salvador in the late nineteenth and early twentieth century, the presidential decrees that encouraged the reconstruction of the city with anti-seismic materials as a result of the earthquakes of 1873 and 1917. More recently, since 2017, Rey Prendes House has been included in the project funded by the Italian Agency for Development Cooperation. In this paper, the phases of the survey are documented with both materials and degradation analyses, the new design construction with BIM technology for the organization of the educational construction site, the creation of offices and laboratories for restoration and treatments of timber and metal details. Moreover, the study provides a contextual framework with the aim of describing the policies and the projects implemented, highlighting the adopted strategies, the results achieved, and outlining the path followed towards the design solutions for sustainable rehabilitation relating to future use.

The Impact of COVID-19 from the Perspectives of Dutch District Nurses: A Mixed-Methods Study

Little is known about how COVID-19 affects older patients living at home or how it affects district nursing teams providing care to these patients. This study aims to (1) explore, from the perspectives of Dutch district nurses, COVID-19′s impact on patients receiving district nursing care, district nursing teams, and their organisations during the first outbreak in March 2020 as well as one year later; and (2) identify the needs of district nurses regarding future outbreaks. A mixed-methods, two-phase, sequential exploratory design was followed. In total, 36 district nurses were interviewed during the first outbreak (March 2020), of which 18 participated in the follow-up questionnaire in April 2021. Thirteen themes emerged, which showed that the COVID pandemic has substantially impacted patient care and district nursing teams. During the first outbreak, nurses played a crucial role in organising care differently and worked under high pressure, leading to exhaustion, tiredness, and psychosocial problems, including fear of infection. A year later, nurses were better prepared to provide COVID care, but problems regarding work pressure and mental complaints remained. The identified needs focus on a sustainable implementation of leadership roles for district nurses. At the organisational and national levels, more support and appreciation are needed in terms of trust and appropriate policies.

Digital Integration, Success Story of Accelerating Business Integration of Two Biggest Midstream-Downstream Natural Gas Company in Indonesia

To achieve 24% portion of natural gas in targeted national energy mix in 2050, Indonesia government has integrated Pertagas, biggest transmission company into PGN, biggest distribution company under Oil & Gas Holding Pertamina. But survey from PWC in 2004 resulted that around 75% post-merger companies reported integration difficulties, especially both companies have long history of competition. Even more, government mandated 6 USD gas price policy at plant gate, which create enormous urgency to accelerate pipeline and digital integration in the most efficient way. Especially, in this pandemic era, midstream industry needs to foster digital transformation by rethinking outdated business models and strategically applying technology to change rather than focusing on simply cutting costs. From this integration, Pertagas with more than 2,418 km pipeline in 12 provinces spread from Sumatra, Java and Kalimantan has a big potency to be synergized with PGN, as Sub Holding Gas with the total of 10,169 km of pipeline which represent 96% of national gas infrastructure. During 2020. Both companies resulted more than 1.255 MMSCFD of transported gas and 828 BBTUD of sales gas to more than 460 thousand customers. So, PGN and Pertagas management has high expectation on this digital integration to transform from previous fragmented pipeline to be interconnected network to give flexibility in reaching unmet growing demand of strategic industry like refinery, fertilizer, electricity, steel and petrochemical in post-COVID recovery. In this paper, will be described the challenges and its solutions as a success story in digital integration. The important steps start from strategy development, digital assessment, creating coalition, culture acculturation, and change management are explained as guiding pathway for sustainable implementation. It will also portray the measured benefit and value from investment cost efficiency, time effectiveness from the initiation until launched, billing improvement, product development, and up to developed real-time integrated management dashboard for better decision making and part of the milestone for future National Dispatching Center for optimizing Sub Holding Gas portfolio of gas supply and subsidiary's infrastructure to meet growing Indonesia's demand.

Austrianvineyards.com – the world’s first nationwide information and presentation system of all wine estates

The origin of wine is of crucial importance in the wine industry. It is an essential part of quality and is generally closely associated with the terroir of a wine. The smaller/specific the origin, the higher the attributed quality. Austria is the first country to summarise all its wine origins from the national level down to the vineyard level in a uniform way and make them available.Austrianvineyards.com is a project that is conceptually designed and developed by the University of Vienna, Department of Geography and Regional Research in cooperation with the plan+land agency. As part of an applied research and development project commissioned by the Austrian Wine Marketing Board (ÖWM), the data on all Austrian wine estates were standardised and then cartographically visualised.The project has a high scientific development component. In the sense of a scientifically qualitative and sustainable implementation of the project goals, research focal points were defined within the framework of the project. These included topics of efficient data management of wine-relevant (geo) information, development of adapted cartographic visualisation methods as well as concepts for user-oriented communication and presentation of the contents.The implementation should do justice to the "image of excellence" of the Austrian wine industry and be considered "state of the art" worldwide. Austrianvineyards.com is the first platform to offer digital (geo) information on nationwide vineyards based on legal cadastral data.Austrianvineyards.com builds on the three pillars of geo-design, geo-standardisation and geo-communication, aiming at an intuitive and comparable presentation through user-optimised and aesthetically pleasing map representations in the field of UI and UX design. In addition to the digital format, new printed vineyard maps of all Austrian wine-growing regions were cartographically designed and implemented.

Factors Influencing Implementation of eHealth Technologies to Support Informal Dementia Care: An Umbrella Review

The increase of People with Dementia (PwD) living at home underscores the need for innovative eHealth technologies that support both patients and informal caregivers (IC). Sustainable implementation of eHealth technologies within this target group can, however, be difficult. Our study aims at providing an overview of (1) technologies employed in the context of informal dementia care (IDC) and (2) factors influencing the implementation of these technologies. Five databases were searched for (systematic) reviews. 21 reviews were included. A combination of deductive and inductive thematic analysis was performed, using the NASSS Framework to organize the findings. We identified technologies used “by IC”, “by PwD” and “with PwD”. Most represented technologies included: (i) devices for in-home monitoring (ii) technologies for supporting memory, orientation, and day structure, and (iii) communication technologies. Most factors influencing implementation related to the condition of dementia, characteristics of the technology, the expected/perceived value by users, and the characteristics of the IC. Considerably less has been reported on factors related to the implementing organization, the technology supplier, the wider institutional and sociocultural context of policy and regulations, and the adaptation of technology over time. Our study 1) created a comprehensive overview of eHealth technologies employed in the context of IDC and contributes to a better understanding of factors influencing their implementation, and 2) uncovered a knowledge gap regarding success factors for implementation related to the wider context. Although future research is needed, these findings can help researchers improving the development and implementation of eHealth technologies to support IDC.

Facilitators and barriers to implement nurse-led physical activities for people with dementia in nursing homes: a protocol for a mixed-methods systematic review

IntroductionDementia is a major neurocognitive disorder and accounts for a great proportion of nursing home residents. Bodily symptoms such as gait, balance difficulties and muscle weakness are common in people with dementia. Physical activities are important to maintain and promote physical functioning and activities of daily living.Nurses are a prone stakeholder to deliver physical activity interventions in nursing homes. However, several barriers have been reported for implementing nurse-led physical activity programmes. Also synthesised strategies for sustainable implementation in nursing homes are lacking. We, therefore, aim to synthesise the evidence on physical activity interventions which can be led by nurses and to identify facilitators and barriers of sustainable implementation of physical activity for people with dementia.Methods and analysisWe will conduct a mixed-methods systematic review to (1) describe the characteristics of nurse-led physical activities for people with dementia living in nursing homes and to (2) determine facilitators and barriers for sustainable implementation of nurse-led physical activities for people with dementia in nursing homes. We will search four different electronic databases, do forward and backward citation tracking and will web-search additionally. We will also search through guideline databases. Two reviewers will independently screen the identified studies for their eligibility. Data extraction and critical appraisal of included studies will be performed by one reviewer and double-checked by another reviewer. We will analyse the data using an integrative mixed-method synthesis and we will summarise the findings narratively.Ethics and disseminationNo ethics approval is needed to perform this systematic review. We will publish our review results as scientific and non-scientific journal articles and we will hold an oral or a poster conference presentation. The review results will inform the development of structured and easy to understand guidance for nurses to initiate tailored physical activities for people with dementia in nursing homes.

College Students’ Willingness to Separate Municipal Waste and Its Influencing Factors: A Case Study in Chongqing, China

College students are the engine of the sustainability of the future, and their awareness of environmental protection and waste classification is very important for the sustainable implementation of urban solid waste separation projects. Chongqing is one of the first 46 waste separation pilot cities in China. The primary objective of this study was to investigate the municipal waste separation behavior of college students and its influencing factors. Data from a total of 814 questionnaires among college students from sixteen universities in Chongqing were collected. Results showed that most college students think it is necessary to separate waste, and they have executed it in their daily life. Students have a high accuracy in classifying perishable waste, but they are not familiar with the classification of waste lamps, bulbs (14.00%), expired drugs (30.71%), toilet paper (11.3%), peel (18.80%) and brick kilns (27.76%). Special attention should be paid to distinguishing recyclables and other wastes. The principal factors that affect students’ willingness to classify waste are attitude, situational factors and publicity and education, which are embodied in students’ attitude towards waste separation, the surrounding environmental hygiene, the convenience of waste separation, the ease of understanding of waste separation marks and the degree of publicity and education of the school. Four measures are recommended for improving students’ willingness to separate municipal waste based on this investigation.

Enhancing implementation of a standardized initial assessment for demand management in outpatient emergency care in Germany: a quantitative process evaluation

Background Inadequate assessment of the severity and urgency of health problems is one of the factors contributing to unnecessary emergency department visits. A software-based instrument for standardized initial assessment (SmED) aims to support healthcare professionals and steer patients to the appropriate source of care. The aim of this study was to evaluate the implementation process of SmED based on the point of view of users in order to facilitate sustainable implementation. Methods A quantitative process evaluation on the basis of a paper-based questionnaire was carried out alongside the implementation of SmED in 26 outpatient emergency care services within 11 federal states in Germany. Healthcare professionals who worked with SmED either at the joint contact points of the outpatient emergency care service and the emergency departments of hospitals ("Joint Counter", German “Gemeinsamer Tresen”) or at the initial telephone contact points of the outpatient emergency care service (116117) were invited to participate in the survey. Results 200 users of SmED completed the questionnaire comprising the five scales: Intervention effectiveness/efficacy, Interprofessional context/occupational Interest, Individual Context, Organisational Framework Conditions, and Medical Context. Several individual characteristics were related to the implementation process of SmED. Female and younger healthcare professionals and participants with less than five years of professional experience tended to evaluate the implementation process as more positive. Factors related to the Individual Context and to the Medical Context were associated with the reported use of SmED (p = 0.004 and 0.041, respectively). Conclusion The involvement of healthcare professionals, particularly more experienced professionals, in the implementation of SmED may help to facilitate sustainable implementation. In addition, training of potential user prior and during the implementation process and the adaption of Organisational Context factors are crucial. Trial registration The study was registered at the German Clinical Trials Register prior to the start of the study (DRKS00017014).

Revisiting port sustainability as a foundation for the implementation of the United Nations Sustainable Development Goals (UN SDGs)

Port sustainability studies are increasing rapidly and are skewed toward environmental aspects, while at the same time their results are fragmented, making it difficult to collectively assess conclusions. This study, therefore, aims at building a framework which categorises port actions, measures, and implementation schemes (policy tools to improve the uptake), utilising the critical literature review method. Additionally, linkage of port sustainability to the United Nations’ Sustainable Development Goals (UN SDGs) is highlighted. Port sustainability includes internal (port side) and external (ships and land transport) actions and measures. The study results form 16 homogeneous and interconnected sustainability categories, including a non-exhaustive list of operationalising measures, encompassing the three dimensions of sustainability (environment, economy and society) while implementation schemes are divided into four groups. Considering that ports are under scrutiny and perceiving growing pressure to improve their sustainable pathways, for example by addressing climate change and energy consumption, the identified ports’ sustainability actions and measures, including the linkage with the UN SDGs, are overarching and multidimensional and seen as a step in achieving far-reaching sustainable implementation. The study’s practical implications guide port policymakers and industry practitioners to go beyond the low hanging fruit (customary practices), and enable them to take reliable decisions for broader sustainability implementation. Additionally, the identified research implications stimulate further academic discussions.

Inflammatory bowel disease nurses' views on taking on a new role to support an online self-management programme for symptoms of fatigue, pain and urgency: a qualitative study to maximise intervention acceptance

Background: Patients can be empowered through self-managing their inflammatory bowel disease (IBD) symptoms. It is important to understand how specialist IBD nurses can practically support patients to do this. Aim: To explore the perceptions of IBD specialist nurses about the implementation of a proposed nurse-guided online cognitive behavioural self-management intervention to manage symptoms of fatigue, pain and urgency. Methods: Five semi-structured focus groups (45 participants) were conducted with IBD nurses, and themes were identified through thematic analysis. Findings: Four themes were identified: (1) role of nurse as a facilitator; (2) nurse competence in facilitating the intervention; (3) nurse perception of patient needs; and (4) intervention implementation. Conclusions: The results of this study helped to refine the proposed guided online intervention with a view to sustainable implementation in clinical practice. Refinements included in-depth training and minimisation of additional workload for nurses through reducing patient contact, including an online messaging system for communication with patients.