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Architectural, engineering, and construction (AEC) industry is currently in a transition process that deeply affects the long-established way of collaboration and building information modelling (BIM) is at the centre of this transition. Achieving the smooth integration of BIM in construction projects requires companies to spend great effort and resources. In that sense, it is crucial to generate a comprehensive list of critical success factors (CSFs) of BIM adoption. This study aims to systematically identify the CSFs of BIM implementation in the construction phase and evaluate their effectiveness on real projects for Turkish construction industry. Within this context, an extensive literature review was conducted and CSFs were identified. The number of times each factor had been cited in the literature was recorded as the frequency. A comprehensive framework with 6 components was utilized including drivers, inputs, enablers, barriers, benefits and impacts. The identified CSFs were assigned to relevant components based on their contents. In an attempt to distinguish the responsibilities of the industry, firms, and project teams; each factor was categorized into three levels of influences (industry-, firm-, and project-level). A case study was employed to examine the effectiveness of each factor in practice through conducting interviews with the practitioners of 18 different construction projects. The interviewees were asked to specify the effectiveness of each factor in a 1-5 Likert Scale based on their experience in that particular project. This study is expected to promote BIM implementation in the construction industry and inform the industry professionals about the most significant factors to focus on. Further research may utilize the framework to conduct similar studies in different countries. COPYRIGHT: © 2023 The author(s). This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

This study reflects the best practice of the English immersion program designed for EFL learners. Through observation in the research site and interview with eight participants (two language managers and six language learners), the modified model is discovered as the guidelines in ruling the project in which curriculum, English proficiency, and language management are the main points. Besides, Informal learning becomes the hot issue of this study since the English zone facilitates English informal interaction between language partners and learners which enhances English learning experiences effectively and motivates them to use English. The finding also reported that English immersion program emerges learning community, personal qualities development, English language acquisition, and self-efficacy, language awareness and language exposure The study may contribute to the body of knowledge in second language acquisition and recommend schools or universities and other related institutions to implement English immersion program as the alternative solution for English language learning in non-native speaking countries.

Many early childhood programs are not prepared to meet the needs of children who have significant social, emotional, and behavioral challenges. Program-Wide Supports for Pyramid Model Implementation (PWS-PMI) provides a systematic approach to supporting early childhood programs using Pyramid Model practices and enhancing children's social-emotional outcomes that is grounded in implementation science. We designed the current study to test the PWS-PMI intervention and examine its feasibility of implementation in community-based early childhood programs serving children from low-income environments. In this study, we found programs increased their implementation of PWS-PM and improved classroom practices after only one year of support. Our findings indicate a program-wide approach is effective, although more time and support will be necessary to sustain high fidelity implementation and produce robust effects on children.

The amplification factor transport transition model has been extended to include crossflow transition and applied to a rotor in hover. Validation of the crossflow model implementation has been perf...

Background: The aim of this study was to determine the effect of continuous care model application on body mass index (BMI) and lifestyle of middle-aged obese. Methods: 105 obese middle-aged were selected and assigned randomly to two groups. The data were collected using a meter, scale, and Walker health promotion lifestyle questionnaire (HPLP II). participants completed the questionnaire before undergoing the intervention, one, two, and three months after the intervention. Results: There was no significant difference between the experimental and control groups before the intervention considering all of the studied variables. However, a significant difference was observed between groups after the intervention in terms of lifestyle dimensions and obesity control performance. Conclusion: Considering the results of current study, the continuous care model can be effective for improving the lifestyle and health of middle-aged obese. Therefore, this model is recommended as a framework to design an overweight and obesity prevention plan.

This work seeks to study the beneficial properties that an autonomous agent can obtain by imitating a cognitive architecture similar to that of conscious beings. Throughout this document, a cognitive model of an autonomous agent-based in a global workspace architecture is presented. We hypothesize that consciousness is an evolutionary advantage, so if our autonomous agent can be potentially conscious, its performance will be enhanced. We explore whether an autonomous agent implementing a cognitive architecture like the one proposed in the global workspace theory can be conscious from a philosophy of mind perspective, with a special emphasis on functionalism and multiple realizability. The purposes of our proposed model are to create autonomous agents that can navigate within an environment composed of multiple independent magnitudes, adapting to its surroundings to find the best possible position according to its inner preferences and to test the effectiveness of many of its cognitive mechanisms, such as an attention mechanism for magnitude selection, possession of inner feelings and preferences, usage of a memory system to storage beliefs and past experiences, and incorporating the consciousness bottleneck into the decision-making process, that controls and integrates information processed by all the subsystems of the model, as in global workspace theory. We show in a large experiment set how potentially conscious autonomous agents can benefit from having a cognitive architecture such as the one described.

This study aims to develop a model to improve the quality of StL schools this is to ensure that it can be applied at schools in Sintang Regency under the challenging needs and potentials they have, based on the school perspective. The result of this study was expected to provide description of the How far has the activities included in StL model been applied by school, what challenges did urban and rural schools face in implementing the activities of StL model, how is StL model which could be apply in urban and rural schools locally and contextually. This research was multiple case study which was conducted by using a descriptive qualitative approach involving 4 schools spread across Sintang Regency, namely in rural and urban areas. In this case, the 4 schools are middle schools which include 2 different districts, namely Sintang District and Sepauk District. The technique of data collection used in this research was direct communication in the form of semi-structured-interview and the tool was interview guidance. The data analysis used in this research was descriptive qualitative, using thematic analysis and cross case analysis techniques. The result of this study was recommendation for improving the application of StL model been applied by considering which StL model that could be apply locally, contextually and the challenges found by schools in implementing StL model.

The asset performance monitoring should be done to find out and review the reported data whether it has been in line with the reality or not. It is important to identify the occurring problems to be immediately handled. The information system development aimed to build the existing system. Thus, it will be more effective and efficient to produce information. This research applied the System Development Life Cycle (SDLC) with Waterfall Model to design, create, maintain the information and process the system. During the creation of this information system, the authors applied the PHP language program, Framework Codeigniter, MySQL, database, and Visual Studio Code as the editorial codes. The implementation of the SIPERITA application, could be used excellently were proven effective and efficient because the application facilitated the monitoring activities by providing single application access in promoting a checking process of the condition asset then the user administrator can see a diagram of the monitoring results on the home page so that if there is a problem with the asset, direct action can be taken and with this application, users can print the reports based on daily, monthly, and annually.

The developed software model environment allows to estimate the power characteristics of background radiation. A method of this model implementation makes it possible to obtain solar radiation indicatrices taking into account scattered radiation from the water surface. The high level of versatility of the model environment enables us to make calculations for any aircraft under different conditions of the water surface in several spectral ranges.

Science process skills are skills that need to be developed in students in learning science such as science. The low level of KPS on the science concept is influenced by the learning model which emphasizes the aspects of receiving full information from the teacher. Student KPS is also dominated by an increase in scientific attitudes that require students to show their sensitivity to the surrounding environment. This study aims to determine science process skills and increase students' scientific attitudes through the implementation of the contextual teaching and learning model at MTsS Muta'allimin Aceh Besar. The method used in this study was an experiment with a one-group pretest-posttest design. The instruments used were observation sheets and questionnaires. The results showed that the implementation of the CTL learning model could improve students' KPS in both categories with an average score of 71-85 and very good categories with an average score of 86. In addition to improving the KPS learning model implementation, CTL can also improve students' scientific attitudes with a value N-gain average of 0.63 including the moderate category. The results of the improvement obtained by the average student are in good categories with an average score of 71-85 then the category is very good with an average score. 86-100. The conclusion in this study proves that the CTL model can improve student learning skills and scientific attitudes, especially the material of vibration, waves, and sound

The problem of poverty almost occurs in almost all areas including Traji Village. To alleviate poverty requires proper methods with careful calculations by the village government. The aim is to find out how the efforts of poverty alleviation by the village government in the Traji cultural village, Parakan District, Temanggung. The method used in this research is descriptive qualitative which is a research that conducted based on a qualitative paradigm, strategy, and model implementation. The final result of this research is that in the effort to alleviate poverty in the cultural village of Traji, Parakan Subdistrict, Temanggung Regency, there are several problems, such as less than optimal services due to the limited facilities and infrastructure owned by the village, lack of training for village apparatus, and program achievements that are too minimal. thus making poverty alleviation difficult to achieve. However, the village government continues to carry out its duties by seeking various ways to alleviate poverty, such as holding Peken Lepen which can generate 6 million per performance and has a good impact on the village economy. Peken Lepen is a commitment from the village government to the economy of the local community. In addition, the government also involves all communities and government institutions such as the Activity Management Team Village Consultative Body and stakeholders by holding hamlet meetings, which is proof that the government is not the sole authority.

It is crucial for teachers to be awareof newly developedtechnologies and enhance their digital literacy to meet students’ expectations and increase effectiveness of learners’ outcomes both in and out of the classroom. The main features of human beings, such as, invention, creation, and implementation of the flipped classroom has become a significant expansion in recent pedagogy. Due to the new methods of the target model students can benefit in terms offlexibilityas they are able todo research and obtain new knowledge whenever they want. Furthermore, after basic concepts have been practiced in a flipped class model, teachers coordinate seminars making them more interactive and focusedon discussions and analyzing given topics in more details. However, some of the drawbacks also can occur in the process of implementation of the “Flipped Classroom” model. One of the most essential issue which should be considered is challenges of learning provided materials due to the inexistence of either device or net connection.The current article describes both advantages and disadvantages of the model effectiveness, and provides evidence of reliability of model implementation among the students of various majors.

Background Heart failure is an important chronic and progressive disease worldwide. Patients are faced with several stressors that decrease their quality of life (QoL). The present study aimed to determine the effectiveness of implementing a continuous care model on improving the QoL of patients with heart failure. Methods In the present randomized controlled trial, 72 patients with heart failure admitted to Shahid Chamran Hospital of Isfahan (in Central Iran) were randomly divided into 36-individual two groups: the experimental (continuous care model) and control (normal care) groups. In the experimental group, the continuous care model was implemented for 3 months. Data were collected using the standard Minnesota Living with Heart Failure Questionnaire for patients with heart failure. Subsequently, the collected data were entered into the IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) and analyzed using the Mann-Whitney U-test, chi-square test, and independent and paired t-test at a significance level of α≤0.05. Results The results indicated that the mean scores of QoL before the implementation of continuous care model were 43.3±6.1 in the experimental group and 42.7±5.1 in the control group, indicating no statistically significant difference between the two groups. After the implementation of continuous care model, the mean score of QoL of the experimental group was significantly higher than that of the control group. Conclusion Considering the results obtained in the present study, model implementation could improve the overall scores of QoL in patients with chronic heart failure.

To model a true three-dimensional (3D) display system, we introduced the method of voxel molding to obtain the stereoscopic imaging space of the system. For the distribution of each voxel, we proposed a four-dimensional (4D) Givone–Roessor (GR) model for state-space representation—that is, we established a local state-space model with the 3D position and one-dimensional time coordinates to describe the system. First, we extended the original elementary operation approach to a 4D condition and proposed the implementation steps of the realization matrix of the 4D GR model. Then, we described the working process of a true 3D display system, analyzed its real-time performance, introduced the fixed-point quantization model to simplify the system matrix, and derived the conditions for the global asymptotic stability of the system after quantization. Finally, we provided an example to prove the true 3D display system’s feasibility by simulation. The GR-model-representation method and its implementation steps proposed in this paper simplified the system’s mathematical expression and facilitated the microcontroller software implementation. Real-time and stability analyses can be used widely to analyze and design true 3D display systems.

Novel integrated risk management model for standardized management systems, such as ISO 9001:2015 for quality management systems, ISO 14001:2015 for environmental management systems, ISO/IEC 27001:2013 for information security management systems, ISO 45001:2018 for occupational health and safety management systems, and ISO 22000:2018 for food safety management systems, has been proposed in order to enable that organizations can manage their processes and associated risks versus requirements of each internal and external stakeholder, due to the fact that those models rarely exist in literature. Proposed model consists of three levels - correspondence, coordination and integration and put in place a clear and structured approach to controlling organizational risks. Using sample of 30 Serbian companies the proposed model has been checked empirically to contextual independence of proposed model using Mann-Whitney U*test and it has been proved that model is context free and applicable to companies different in size since there were no differences between micro & small vs. medium & large companies. Limitation of this research for sure is the sample size, so its extension is recommended. Further recommendation for future research is also a more detailed analysis on collected data done by using more sophisticated statistical analysis tools, such as regression analysis, structural equations modeling and similar to see interrelations between variables in the proposed model.

Mushroom is one of the main commodities of agroindustry which experienced an increase in production due to the existence of consumer awareness to consume healthy products. The popularity causes the development of the mushroom processing industries in Malang. To improve the quality of products, mushroom SMEs need to further develop the company performance. Company performance can be achieved with an effective competitive advantage. Competitive advantage is a factor that a company should have in order to succeed in business. The fundamental source of competitive advantage is assets. This research use a Barney’s theory in determining strategic resources to achieve competitive competitiveness called Resource-Based View (RBV). The purpose of this research are to determine the influence of: (1) tangible assets on competitive advantage strategy, (2) intangible assets on competitive advantage strategy, (3) company capability on competitive advantage strategy, and (4) competitive advantage strategy on company performance. The exploration techniques utilised are quantitative and Partial Least Square (PLS). The results showed that the tangible assets and company capability have a strong influence and positively contribute to competitive advantage strategy, meanwhile intangible assets have a weak influence and negatively contribute to competitive advantage strategy, and competitive advantage strategy has a strong influence and positively contributes to company performance.

The specificity of the individuals and groups interaction in society affects the social structure and dynamics of social mechanisms, necessitates studying the reasons for changing the behavior of the parties involved. In recent years, under the influence of various factors that cause an increase in tension in the society life, such as differentiation according to several criteria, expansion of the sphere of interaction between the individual and society, there has been a significant increase in deviations in the personal development and younger generations, behavior which is most often reflected in the strong desire manifestation dominance over the weak. One of the most complex and poorly studied forms of social behavior is bullying, manifested by both individuals and entire groups of people. It becomes necessary to analyze the data analysis patterns and methods, concentrating on the causes predicting, forms that determine the consequences specificity of the bullying model implementation as a destructive form of the socio-cultural environment interaction. The processes digitalization implies the digitalization of data collection and the improvement of analytics for unstable systems associated with the human factor. As a result of the study, there was determined the need for the cultural environment formation in conditions of a certain nature, namely, the creation of a system that would carry out cultural regulation of social interactions and communications. The cultural environment reacts to changes in society, social consciousness changes, ensures the individuals collective life by regulating their social behavior. Separately, it should be noted the importance of changes in this area at the legislative level, which will increase the importance of this aspect and make adjustments at a subconscious level.

In the major of physical education (PE), there are several problems with the training model of innovative talents: the model implementation is affected by numerous factors, the training strategies are unclear, and the measurement of the training effect is highly uncertain. To solve these problems, this paper explores deep into the training model of innovative talents in PE major, through both theoretical analysis and calculation modeling. Firstly, the es-sence of innovative talent training in PE major was summarized, and the training strategies were put forward. On this basis, a measurement model for the training effect was established, based on analytic hierarchy process (AHP) and extenics theory. The research results provide strong supports to the training of innovative talents in PE major.

Inventive technologies have provided students greater ways to invest more productive time within the classrooms, such as listening class. However, the flipped model of instruction should be practiced as a way to engage students in the process of listening comprehension. This experimental study aimed to investigate the effects of the flipped classroom (FC) on advanced EFL learners’ listening comprehension. Sixty Iranian advanced EFL learners (19 to 23 years old) participated in 14 sessions. Half of the students taught through the flipped model of instruction (experimental group) and the others through traditional instruction (control group). Using a before and after design, students were retested after seven weeks. Results showed that the means average resulted from the L2 listening comprehension test revealed those both groups showing increases in listening scores, but the experimental group’s mean score was higher than in the control group. Therefore, the FC model's implementation in the context of teaching and learning L2 listening comprehension can lead to positive outcomes since they could engage students in the process of learning English. The implication of this study calls for the FC model implementation to engage students in listening comprehension in the chance to learn better and expand their educational knowledge.

In 2014, Maryland incorporated global budgets into its long-running all-payer rate-setting model for hospitals in order to improve health, increase health care quality, and reduce spending. We used difference-in-differences models to estimate changes in Medicare and commercial insurance utilization and spending in Maryland relative to a hospital-based comparison group. We found slower growth in Medicare hospital spending in Maryland than in the comparison group 4.5 years after model implementation and for commercial plan members after 4 years. We identified reductions in Maryland Medicare admissions but no changes for commercial plan members, although their inpatient spending declined. Relative declines in emergency department and other hospital outpatient spending in Maryland drove slower Medicare hospital spending growth, saving $796 million. Our findings suggest global budgets reduce hospital spending and utilization but aligning incentives between hospital and nonhospital providers may be necessary to further reduce utilization and total spending.

Even though both researchers and practitioners propose several approaches to supply chain management research and the scientific literature shows that several methods have been implemented for supply chain management, the studies carried out have not revealed a formalized process or a clear method for supply chain integration. Indeed, there is a specific way to achieve this integration in the supply chain and there are differences in how one company does it compared to another. More recently, an alternative based on the Lean and Agile paradigms has been presented. The implementation of the Lean and Agile models to the supply chain aims to improve and simplify the production and the process of minimizing or eliminating wastes of all kinds, raise the productivity of the supply chain, increase the capability to respond quickly to unpredictable and changing customer demands and to take advantage of the uncertainty and the volatility of the market in the medium term. The main objective of this paper is to conduct an impact study on the implementation of Lean and Agile models in the supply chain, based on a review of the scientific literature concerning the models implemented to improve the productivity of the supply chain. We aim to identify and analyze the research carried out regarding the implementation of Lean and Agile models in order to improve the supply chain management, the results achieved and future research directions. Although the Lean and Agility paradigms are distinct and can be developed differently, they can be successfully integrated into a well-designed supply chain integration that involves a substantial degree of ambiguity in terms of significance and level of application across different supply chains, in order to increase the capacity to act, react and adapt to changes in demand and supply.

Introduction This mixed methods study seeks to assess the clinical outcomes and qualitative insights associated with the pragmatic implementation of a general medicine (GM) physician-led inpatient care model, first at Alexandra Hospital (AH) and then at Sengkang General Hospital (SKH), and to compare them with findings reported in an earlier implementation of the family medicine (FM) hospitalist model in Singapore. Methods Anonymous quantitative demographic and clinical data including length of stay, 30-day readmission rate, inpatient mortality rate and gross cost of hospitalisation bills were extracted from the hospital information system. Comparative analyses with the FM hospitalist model and usual care were made. Secondary qualitative data that were gathered focused on increased understanding of the proposed model, its perceived challenges and future opportunities for its implementation. Results The adapted GM care model implemented first at AH and then at SKH seemed to suggest that such a model run by physicians from various backgrounds was capable of producing similarly superior outcomes when compared with the FM hospitalist model piloted in 2011, which was juxtaposed with usual care. With regard to qualitative insights, three findings were reported: (a) perception of and mindset in relation to generalists, which illustrates the barriers to implementing GM; (b) education and training of generalists, which underlines the current lack of adequate supply of GM specialists; and (c) operational issues of care model implementation, which highlights the current mismatches between the prevailing healthcare philosophy and the requirements for successful implementation of the GM care model. Conclusion The success of a GM care model hinges on how it is operationalised. With clear protocols, definitions, and a high level of protocol compliance by healthcare team members, the intended outcomes show promise for replication at other interested sites.

Kinesthetic intelligence is the movement to coordinate body movements using parts or the whole body to communicate and solve problem parts. This research uses a quantitative approach with a quasi-experimental method (quasi-experimental). The design used in this study is the one group control pretest-posttest design. This researcher used the TGMD 2 test instrument. Based on the results of the effectiveness test, it was proven that the average value of the experimental class's posttest effectiveness test results was 77.4048% greater than the results of the control class posttest score of 50.1343%. Then it can be concluded that the ACIK (Anak Ceria dan Kreatif) gymnastics model proved to be effectively applied to improve the kinesthetic basic motion of kindergarten students. From the results of these studies, it is necessary to submit a suggestion that is especially for kindergarten teachers should be more creative and innovative in designing and delivering learning materials, especially in physical motor material.

espanolIntroduccion: La hipertension arterial (HTA) es la primera causa de morbimortalidad cardiovascular. A menudo es una enfermedadmal controlada porque los sistemas de salud estan mas orientados a atender enfermedades agudas. El Ministeriode Salud de Argentina propuso un nuevo modelo de atencion para pacientes hipertensos conocido como MAPEC, basado enel modelo de cuidados cronicos.Objetivo: Evaluar el impacto de la implementacion del MAPEC en el control de la presion arterial (PA), el cuidado de las medidashigienico-dieteticas, el conocimiento de la enfermedad y la adherencia al tratamiento en pacientes hipertensos asistidosen tres centros de atencion primaria de la ciudad de Salta, Argentina.Material y Metodos: Se midio la PA con tensiometro digital automatico; se evaluo el conocimiento de la HTA y la adherenciaal tratamiento con los test de Batalla y Morisky-Green-Levine, respectivamente.Resultados: Se estudiaron 232 pacientes. Hubo diferencias significativas (p EnglishBackground: Hypertension (HT) is the first cause of worldwide cardiovascular morbidity and mortality. However, it is often a poorlycontrolled disease, mainly because health care systems are oriented to the attention of acute diseases. The Argentine Ministry ofHealth proposed a new model for the care of hypertensive patients called MAPEC, based on the Chronic Care Model.Objective: The aim of this study was to evaluate the impact of MAPEC implementation to improve blood pressure (BP) control,changes in lifestyle, disease knowledge and treatment adherence in hypertensive patients treated in three primary health care centersof the City of Salta, Argentina.Methods: Blood pressure was measured with a digital blood pressure monitor and the Batalla and Morisky-Green-Levine tests wereused to evaluate disease knowledge and adherence to treatment, respectively.Results: The study included 232 patients. After model implementation, significant differences (p

ZusammenfassungMit der Ottawa-Charta von 1986 wurde ein Paradigmenwechsel vollzogen, der alle Public-Health-Anstrengungen auf die Stärkung kommunaler Aktivitäten und die Schaffung gesundheitsförderlicher Lebensumstände orientiert. Ein Schlüssel hierfür ist „capacity building“ (CB), verstanden als die Entwicklung und möglichst nachhaltige Implementierung von strukturellen Kapazitäten – wie koordinierte Datenerhebung, Abstimmungsprozesse über Sektorengrenzen hinweg, dauerhafte Bereitstellung grundständiger Ressourcen – in allen Bereichen der Gesundheitsförderung „vor Ort“.Vielfältige Anstrengungen und dreieinhalb Jahrzehnte später sehen wir uns noch viel zu oft Infrastrukturdefiziten, fragmentierten Public-Health-Landschaften und Hemmnissen für die intersektorale Zusammenarbeit gegenüber. Während der theoretische Konsens über das Notwendige breit erscheint, bleibt es eine Herausforderung, diese theoretischen Einsichten in die Praxis umzusetzen. In dieser Situation kann Digital Public Health (DPH) dazu beitragen, Barrieren zu überwinden und „Daten für Taten“ sichtbarer und zugänglicher zu machen. Durch DPH können Daten auf neuartige Weise integriert, strukturiert und disseminiert werden.In diesem Beitrag wird erörtert, wie die Kapazitätsentwicklung auf lokaler und kommunaler Ebene von technologischen Entwicklungen profitieren und was DPH für die Bereitstellung von Informationsservices im Bereich Public Health Capacity tun kann. Der Fokus liegt auf der webbasierten, interaktiven Repräsentation von Gesundheitsförderungsdaten, die für Informations‑, Steuerungs- und Benchmarkingzwecke genutzt werden können. Als Beispiel aus der Public-Health-Praxis wird das Tool „TEAviisari“ (National Institute for Health and Welfare, Finnland) vorgestellt.Die EU-Ratspräsidentschaft Deutschlands 2020 – u. a. mit den Themen Digitalisierung und gemeinsamer Gesundheitsdatenraum – bietet die Gelegenheit, die Kapazitätsentwicklung in der kommunalen Gesundheitsförderung auch hierzulande entscheidend voranzubringen.