Investigating the Use of Head Mounted Devices for Remote Cooperation and Guidance during the Treatment of Wounds

Professional caregivers often face complex situations in which they need the support of a colleague or a specialist. This is especially necessary for caregivers during their training or with less practice in certain tasks. Due to time and space restrictions, colleagues or specialists are not always available for local support. Remote support by streaming videos to a remote helper has been discussed in healthcare domains as a so-called teleconsultation. However, little is known about how to apply teleconsultation in care. We conducted a study with caregivers and remote helpers to compare head mounted devices (HMDs) for teleconsultation in care to two alternative solutions using smartphones. We found that despite lacking familiarity, HMDs have good potential for remote support in care, and that creating video streams with smartphones is not preferable for teleconsultations. We suggest that ideal support needs to balance freedom and guidance and suggest how such support needs to be further explored.

Application of Multiple Regression and Artificial Neural Networks as Tools for Estimating Duration and Life Cycle Cost of Projects

Project managers face complex challenges when planning project stages because contract durations and project costs are difficult to predict accurately. The purpose of this study is to investigate statistical tools and concepts that can be integrated in the second phase of the project life cycle: the planning stage. Furthermore, this study aims to compare the accuracy of multiple regression and artificial neural network models, as well as the application of simulation in construction models used in predicting project duration and cost. This paper will also discuss the industry's current estimation methods, the use of statistical approaches, simulation, and the relationship between the application statistical tools and project success. Thus, this review identifies the trending statistical tools used by scholars to develop regression and neural models to solve the complexity of cost and duration estimation. The findings indicate that although the industry needs more accurate predictions and estimating tools, and regardless of the investigations and advancements made with integrating statistical tools, implementing these statistical approaches is faced with barriers.

The experience of pregnancy among women living with HIV in Nordic countries: A qualitative narrative enquiry

Objective: The success of antiretroviral therapy has resulted in the normalization of pregnancy among women living with HIV and a very low risk of perinatal transmission of HIV. Despite these advances, women living with HIV still face complex medical and psychosocial issues during pregnancy. The purpose of this study is to describe experiences of pregnancy and the relevance of social support among women living with HIV in Nordic countries. Methods: This qualitative study examined data from pregnant women living with HIV from sites in Denmark, Sweden and Finland from 2019 to 2020. Data were collected in the third trimester via individual interviews using a hybrid, narrative/semistructured format. The transcribed interviews were analyzed using narrative thematic analysis. Results: In total, 31 women living with HIV were enrolled, of whom 61% originated from an African country and 29% from a Nordic country. The analysis generated four primary narrative themes: just a normal pregnancy, unique considerations and concerns, interactions with healthcare, and social support. Women living with HIV have a strong desire to have normal pregnancies and to be treated like any other pregnant woman. However, this normality is fragile, and being pregnant and living with HIV does come with unique considerations and concerns, such as fear of transmission, antiretroviral therapy, and the need for specialized care, which are fundamental to the women’s experiences. Interactions with healthcare providers and social support influence their experiences in both positive and negative ways. Conclusion: The findings emphasize a sense of normality in pregnancy among women living with HIV. However, pregnancy does come with unique considerations and concerns, which highly influence the women’s experience of pregnancy. Healthcare providers should focus on person-centered care, ensuring continuity and that women living with HIV do not feel discriminated against throughout their pregnancy.

Open Circular Innovation: How Companies Can Develop Circular Innovations in Collaboration with Stakeholders

A transition toward the circular economy (CE) will be key to addressing future environmental and economic challenges, such as environmental pollution and resource scarcity. However, when introducing circular solutions, companies often face complex and disruptive changes that affect many stakeholders and require new innovation practices. This study investigates open circular innovation by analyzing the status quo of circular innovation, discussing the relevance and role of different stakeholders, and examining approaches for open circular innovation processes. The study employs a qualitative research design, including 14 in-depth interviews with CE and innovation experts. The findings indicate that companies currently focus on closed innovation approaches or collaborate with only one stakeholder at a time when developing circular innovations. Stakeholder groups, such as customers, suppliers, and academia, play a crucial role in the innovation process, whereas direct collaborations with governments and competitors are seen controversially. An open innovation network approach combined with crowdsourcing is regarded as the most promising for developing circular solutions. This study contributes to connecting open innovation with CE research and provides new knowledge at this interface. Additionally, this research gives managers guidance on how to approach open circular innovation and thus supports companies on their way toward a CE.

Fiqh Al-Ḣadîṡ Of Najs Removal

Everyday life offers new things, conditions and challenges that can affect the field of fiqh. As people face complex life, they demand further answer and explanation on how Islam deal with those issues. One which raise questions is the case of najs removal as it lies in central position of prayers. It becomes the foundation that determines whether the worship practice is lawful or not. This paper discusses the types of an-najs in al-fiqh al-Islamiyy and various methods of removing najs both classically and contemporary/modern, by providing accounts from the fiqh al-ḣadîṡ. By addressing this issue, this article aims at giving explanation on how fiqh on removal progresses following the context and is accommodating contemporary developments of Muslims’ lives.

The Meta-Leadership Model for Crisis Leadership

Meta-leadership is a framework and practice method for broad, overarching leadership that meets the demands of modern organizations that have evolved beyond purely hierarchical structures and face complex crisis situations. The meta-leadership framework consists of three dimensions: the Person, or the characteristics and behaviors of the leader; the Situation, or the context in which the leader operates with its inherent challenges and contingencies; and Connectivity, the relationships and interconnections among the full range of stakeholders. Such an overarching model guides self-assessment by the leader, multidimensional analysis of the problem, and collective action to achieve a shared goal. It assists the leader in navigating complexity, understanding diverging perspectives, and recognizing opportunities to leverage overlapping interests as well as distinct capacities and capabilities among stakeholders in order to generate benefits for all. Using the dimensions as lenses for thinking and levers of action, the leader envisages and encourages cohesive efforts within the organization and encourages buy-in from potential external collaborators. Meta-leaders take a systemic view, exercising formal authority as well as influence well beyond that authority, leading “down” to subordinates; “up” to superiors; “across” to peers; and “beyond” to entities outside of the organization. Encompassed within each dimension are leadership techniques and tools for navigating the difficulties of competing interests, framing solution sets to influence the trajectory of events, and maintaining order amidst seeming chaos. The desired outcome is a “swarm,” where autonomous entities operate in swift synchrony to address threats and seize opportunities, overcoming the limitations and confounds of a “command-and-control” approach amidst the confusion of crises. This evidence-based framework has been envisioned and refined by both interdisciplinary research and the pragmatic experience of crisis leaders and organizational executives. While well suited to the intense environment of crises, meta-leadership has also proven useful in everyday leadership in situations involving diverse stakeholders facing a shared challenge.

New migrants, new challenges? – Activating multilingual resources for understanding mathematics: institutional and interactional factors

New adolescent migrants from Arabic-speaking countries face complex challenges when participating in regular mathematics classes in Germany: They have been educated in their family language(s) and are obliged to adapt to a new (second or target) language and to different styles of teaching. In contrast, 3rd generation multilingual students, who usually are schooled in German only, have rarely ever used their family languages in mathematics. This poses different challenges for the introduction of multilingual teaching and learning. By comparing German-Turkish 3rd generation students and adolescent refugees from Arabic speaking countries, both in 7th grade, this paper argues for the epistemic importance of considering “multilingual profiles” (i.e. including individual languages and history of migration) for linguistic analyses as well as for didactical designs of learning opportunities. For this purpose, a functional pragmatic discourse analysis of transcribed video-data from bilingual mathematics sessions with up to four multilingual students was conducted. This allows to characterize discursive multilingual profiles and to distinguish different perspectives on and verbalizations of mathematical concepts (in this case: fractions) in classroom discourse. Furthermore, language-specific interfaces of mental and linguistic processes are unfolded which enable new insights into conceptual understanding. The analysis focusses on the languages German, Turkish and Arabic and on 7th grade mathematics classes. The paper shows that the activation of multilingual resources in mathematics classrooms sets a promising approach for a sustainable integration of migrants, since they are enabled to use their subject-related knowledge which, in the long run, holds the potential support for the acquisition of the target language on a pre-academic level.

Extending the Ring Theory of Personhood to the Care of Dying Patients in Intensive Care Units

It is evident, in the face of the COVID-19 pandemic that has physicians confronting death and dying at unprecedented levels along with growing data suggesting that physicians who care for dying patients face complex emotional, psychological and behavioural effects, that there is a need for their better understanding and the implementation of supportive measures. Taking into account data positing that effects of caring for dying patients may impact a physician’s concept of personhood, or “what makes you, ‘you’”, we adopt Radha Krishna’s Ring Theory of Personhood (RToP) to scrutinise the experiences of physicians working in intensive care units (ICU) using a fictional scenario that was inspired by real events. The impact of death and dying, its catalysts, internal constituents, external factors, dyssynchrony, and buffers, specific to ICU physicians, were identified and explored. Such a framework allows for ramifications to be considered holistically and facilitates the curation of strategies for conflict resolution. This evaluation of the RToP acknowledges the experience and wide-ranging effects it has on ICU physicians. As such, our findings provide insight into their specific needs and highlight the importance of support on a personal and organisational level. Although further research needs to be conducted, the RToP could serve as the basis for a longitudinal assessment tool supported by the use of portfolios or mentorship due to their provision of personalised, appropriate, specific, timely, accessible and long-term support.

School society and pandemic in Mexico; online education: from temporary to permanent shelter

As a result of the global pandemic of covid-19, distance education went from being a little considered training option to the status of the main operating alternative for the school system. Educational institutions by adapting their work to the use of digital platforms have managed to keep their programs active despite reducing their training expectations. School activities at home face complex social situations that contravene the teaching precepts, cause poor learning and many cases of school dropout. Educational systems in the medium term will promote remote teaching modalities in digital and telematic versions, whose didactics will dominate the 21st century.

Stakeholders’ engagement platform to identify sustainable pathways for the development of multi-functional agroforestry in Guadeloupe, French West Indies

Social innovation is critical in shaping human-forest relationships and how farmers and scientists engage with each other to design sustainability transitions. This paper reports on the outputs of a participatory stakeholders’ engagement platform that was designed to draw on local farmers’ knowledge and experience in identifying sustainable pathways for the development of multi-functional agroforestry in Guadeloupe. Two participatory workshops were organised that aimed to gain insights into the reality faced by farmers, in particular: (i) their vision of the future, needs and aspirations; (ii) their understanding of barriers and enablers in relation to the sustainability challenges they are confronted with and; (iii) their framing of human–environment relationships in socio-ecological systems. Outputs of the activities were synthetized by the research team and represented graphically for analysis. Results show that while farmers envision prosperous multifunctional forest farms in the future, they have to face complex challenges that require solutions at multiple scales and suggest different types of innovation: social, institutional, market-based and technical. Farmers saw themselves as being part of the socio-ecological system and as custodians of the natural environment. We discuss the implications of those results in the context of the absence of a system of innovation for agroforestry in Guadeloupe and highlight the opportunity for a innovation ecosystem thinking approach that integrates better the agricultural and forestry sectors, but also between actors and scales of governance. Implementation of a Stewardship status would enable farmers achieve their vision and embrace a custodian role vis-à-vis the agroforest. Embededment of the stakeholders’ engagement platform and its enabling processes in the innovation ecosystem is key to achieve those objectives.