Effective Integrated Strategies Research Articles

From theoretical models to practical deployment: A perspective and case study of opportunities and challenges in AI-driven cardiac auscultation research for low-income settings.

This article includes a literature review and a case study of artificial intelligence (AI) heart murmur detection models to analyse the opportunities and challenges in deploying AI in cardiovascular healthcare in low- or medium-income countries (LMICs). This study has two parallel components: (1) The literature review assesses the capacity of AI to aid in addressing the observed disparity in healthcare between high- and low-income countries. Reasons for the limited deployment of machine learning models are discussed, as well as model generalisation. Moreover, the literature review discusses how emerging human-centred deployment research is a promising avenue for overcoming deployment barriers. (2) A predictive AI screening model is developed and tested in a case study on heart murmur detection in rural Brazil. Our binary Bayesian ResNet model leverages overlapping log mel spectrograms of patient heart sound recordings and integrates demographic data and signal features via XGBoost to optimise performance. This is followed by a discussion of the model's limitations, its robustness, and the obstacles preventing its practical application. The difficulty with which this model, and other state-of-the-art models, generalise to out-of-distribution data is also discussed. By integrating the results of the case study with those of the literature review, the NASSS framework was applied to evaluate the key challenges in deploying AI-supported heart murmur detection in low-income settings. The research accentuates the transformative potential of AI-enabled healthcare, particularly for affordable point-of-care screening systems in low-income settings. It also emphasises the necessity of effective implementation and integration strategies to guarantee the successful deployment of these technologies.

The Need for Integrating Cloud-Based Project Management Tools in IT Curricula: Insights from Sri Lanka’s Software Industry

Cloud-based project management software is heavily used in the software development industry, with cloud computing advancements. As such software usage is becoming popular in the industry, empirical evidence suggests that investigating the efficient integration of cloud-based project management software into Information Technology degree programmes is crucial in bridging the gap between university education and industry requirements. Therefore, this mixed-method study was carried out in Sri Lanka, where the software development industry is a significant player in the service sector. To analyse the current uptake of such software, 102 firms were given a closed-ended questionnaire. The fact that 93% of respondents are using these tools and that they specified that their use is crucial for project success suggests that they should be integrated into the academic curricula of IT degrees. Thirteen interviews were also done with industry professionals. The thematic analysis showed that professionals who had studied using cloud-based project management software in their degrees found it easier to adopt them in the workplace than those who had not, suggesting the need for integrating them into academic curricula. Effective integration strategies included offering cloud-based project management tools as practical components required for use in projects, industry-led workshops, and online courses as assignments. These results can help higher education establishments improve their curricula, including the latest industry practices, to bridge the gap between academic and industry requirements.

Optimising Business Operations: Integrating Internet of Things (IoT) with Management Information Systems (MIS)

The current landscape of business operations is largely dominated by the integration of the Internet of Things (IoT) with Management Information Systems (MIS), which results in higher efficiency and innovative solutions for common and complex organisational challenges [1] [2]. Owing to this, the following research paper aims to explore the multifaceted benefits and challenges associated with this integration. Alongside this, it seeks to provide insights for not just future research within the field, but also for practitioners and scholars alike. The study begins with a comprehensive introduction to the relevance of IoT and MIS, highlighting their evolution and the complexities that may arise in their integration. After this, it moves further, delving into the technological foundations of IoT, and examining its core components, architecture, and emerging trends. Discussing the theoretical frameworks that surround information systems, it then seeks to illustrate both historical and contemporary integration issues and conducts a deep-seated analysis of current research on IoT- MIS Integration, extrapolating on the advantages, risks, and tangible benefits. The qualitative research is backed up by real-world case studies of well-known companies such as GE and Walmart, which present a strong insight into successful IoT-MIS integration and the challenges encountered during implementation. These examples reveal key takeaways, best practices, and strategic recommendations for businesses looking to harness the full potential of this integration. Lastly, strategic recommendations are presented, including best practices for effective integration and mitigation strategies for associated risks. The paper eventually concludes by outlining future research directions, identifying emerging trends in IoT and MIS integration, and formulating relevant research questions. With the aforementioned, the paper aims to contribute to the overall comprehension of IoT-MIS integration and presents a balanced view of its potential usability in modern-day content. Furthermore, the findings thus attained offer a valuable guide tool for firms willing to navigate the complexities of digital transformation, allowing them to emphasize the quintessential importance of strategic planning, investment in technology, and a commitment to robust security measures. Thus, this study serves as a roadmap for organizations which aspire to thrive in an increasingly interconnected and data-centric business environment.

Facilitating acculturation of internationally educated nurses: A meta-synthesis of social integration strategies.

To explore the social integration strategies adopted by internationally educated nurses during acculturation and to elucidate their role in facilitating successful adaptation to their host countries. With their remarkable resilience, internationally educated nurses navigate numerous challenges in their acculturation process in the host country. While the importance of effective social integration strategies in the acculturation and subsequent retention of internationally educated nurses is well known, the specific strategies adopted by these nurses have not been extensively explored. This study aims to fill this gap with its unique and significant focus on these strategies. Eight electronic databases were searched for English articles from inception to October 2023 to ensure a comprehensive review. The quality of the included studies was appraised using the Critical Appraisal Skills Program checklist. A meta-synthesis was performed using Sandelowski and Barroso's two-step approach, and a thematic analysis was performed according to Braun and Clarke's framework. This review included experiences of 258 internationally educated nurses across 16 primary studies and has yielded the overarching theme of 'fostering a sense of belonging'. The overarching theme is supported by three themes: (1) cultivating social capital, (2) employing effective communications, and (3) engaging with the community. Internationally educated nurses' social integration is a complex process that leverages support networks, establishing connections and overcoming communication barriers. However, the most crucial element is the active involvement of the host community, which plays a significant role in internationally educated nurses' acculturation journey. This review has highlighted the importance of social integration in internationally educated nurses' acculturation journey. Interventions such as having a supportive social network, providing a customised communication programme, organising engagement activities and granting overseas home leave are practical strategies that can enhance this journey.

Operational Challenges and Prioritization of Potential Solutions for Integrating Vertiports into Airports

The integration of vertiports into airports for eVTOL/UAV flights poses operational challenges. The aim of the study was to propose and prioritize solutions to overcome these challenges. A comprehensive literature review identified remote vertiport networks, geofencing technology, dedicated airspace corridors, advanced collision avoidance systems, and dynamic airspace management as potential solutions. These solutions were prioritized using the Analytic Hierarchy Process (AHP) based on criteria such as safety, cost, efficiency, feasibility, and sustainability. Dynamic airspace management was the highest priority, followed by remote vertiport networks, dedicated airspace corridors, geofencing technology, and advanced collision avoidance systems. The study highlights the importance of dynamic data sharing and real-time planning through integrated ATM and UTM systems, enhanced by AI technologies, to ensure safety and efficiency. In addition, the development of remote vertiport networks and dedicated airspace corridors is essential to manage growing air traffic and ensure the safe coexistence of eVTOL/UAVs and traditional aircraft. Geofencing technology and advanced collision avoidance systems are also essential to maintain safety and operational integrity. It is recommended that future studies focus on the integration of ATM/UTM and the application of artificial intelligence. Continued collaboration between UAM stakeholders is essential to develop effective integration strategies.

The role of virtual reality in improving the quality of professional training of natural science teachers

The use of information technologies, in particular virtual reality (VR), is becoming a topical issue in the professional training of natural science teachers. The study aims to assess the effectiveness of a professional development program that utilizes virtual reality as an educational tool to enhance the quality of training for natural science teachers. The obtained results testify to the positive impact of the VR use on various aspects of teachers’ professional training. The study found that the attitude towards technology improved significantly after the VR introduction (from 65% to 72%). The percentage of positive responses regarding the feasibility of using STEM (Science, Technology, Engineering and Mathematics) technologies in education increased by 25%. Student feedback emphasizes the importance of integrating new technologies into STEM education. Further research should examine the training needs of STEM teachers in different educational contexts, explore effective technology integration strategies, and assess their impact on student outcomes.

Implementasi Doktrin Kristus (Kristologi) Dalam Pendidikan Agama Kristen

This article examines the implementation of the doctrine of Christ (christology) in the context of contemporary Christian religious education. Through a comprehensive analysis of current literature and pedagogical perspectives, this research explores the challenges and strategies in integrating Christological understanding into the Christian religious education curriculum. Using a qualitative approach and content analysis, this article identifies three main areas: 1) the theological foundations for Christology-based education, 2) contemporary challenges in the implementation of Christ's doctrine, and 3) pedagogical strategies for effective integration. The research results show that effective implementation of Christology requires a balance between doctrinal fidelity and contextual relevance, supported by a transformative learning methodology.

Thermal Stress as a Critical Factor in the Viability and Duration of Spittlebug Eggs

The spittlebug Mahanarva spectabilis (Distant, 1909) (Hemiptera: Cercopidae) is an important pest that causes significant losses in the production of forage crops for cattle feed. Information on the thermal requirements of this insect during the egg stage is crucial in assessing the interaction between insects and forage. The aim of this research was to evaluate the effects of constant and oscillating (diurnal/nocturnal) temperatures on the viability of M. spectabilis eggs and the duration of the egg stage. Temperatures of 20 °C to 30 °C were ideal for the development of this insect pest, resulting in greater viability and faster development of the embryos. In addition, it should be noted that a variation of up to 8 days is feasible for synchronizing the phenological stages of the forage plants and the eggs to be laid on these plants when subjected to 30 °C (16.6 days) or 20 °C (25.7 days) without significantly altering the viability of the eggs. Notably, a temperature oscillation of 25 °C during the day and 15 °C at night increased the viability of the eggs after exiting diapause. These results are essential for the rearing of M. spectabilis in the laboratory, allowing for the supply of eggs for experiments and contributing to advances in studies aimed at developing effective integrated management strategies for this pest.

Adopting Theories Underlying Directed Technology Integration Strategies: Study Objectivist Learning Theories

This paper examines key theories underlying directed technology integration strategies in education, focusing on objectivist learning approaches. The study reviews and analyzes several influential theories, including B.F. Skinner's behaviorism, Atkinson and Shiffrin's information processing model, Robert Gagne's conditions of learning, and systems theory approaches to instructional design.The analysis reveals how these theories provide conceptual foundations for technology integration in education. Behaviorism emphasizes reinforcement and observable outcomes. Information processing theory explains memory and cognitive processes. Gagne's work highlights conditions for effective learning. Systems approaches offer frameworks for designing technology-enhanced instruction. While each theory offers valuable insights, an integrated approach incorporating behaviorist, cognitive, and constructivist perspectives may be most effective for technology-enhanced learning. Understanding these theoretical underpinnings can guide educators in developing more effective technology integration strategies and creating optimal learning conditions in digital environments. This paper synthesizes key objectivist learning theories relevant to educational technology, providing a theoretical foundation to inform technology integration practices in modern education.

The Role of Psychological & Philosophical Counseling in Technology Adoption in Education

The rapid advancement of technology has significantly impacted education, necessitating effective integration strategies. This chapter explores the essential role of psychological and philosophical counseling in the adoption of technology in education. Integrating technology in educational settings is complex, involving cognitive, emotional, and ethical dimensions. The conceptual framework combines psychological strategies to address resistance, enhance motivation, and reduce anxiety, with philosophical approaches to promote critical thinking and ethical reflection. The study utilizes quantitative surveys and a comprehensive literature review to assess attitudes, stress levels, and ethical considerations among educators, students, and administrators. Findings suggest that psychological counseling effectively reduces resistance and anxiety, while philosophical counseling fosters critical engagement and ethical awareness. The combined approach of both counseling types provides a holistic support system, ensuring successful and thoughtful technology integration. Recommendations emphasize the need for interdisciplinary collaboration and holistic interventions to enhance educational outcomes and support all stakeholders in the adoption process.

Integration of Electronic Invoices in Healthcare Finance: A Case Study of Ministry of Health Hospitals in Saudi Arabia.

The integration of electronic invoicing (E-invoicing) systems in healthcare finance is becoming increasingly crucial for enhancing operational efficiency. Despite the potential benefits, the successful implementation of these systems often faces challenges related to physician training, technical issues, and system integration. This study aims to explore the effectiveness of E-invoice systems in Ministry of Health Hospitals in Saudi Arabia, focusing on enhancing physician training, addressing technical challenges, and promoting system integration to improve overall healthcare service delivery. A comprehensive approach was adopted, involving qualitative assessments of current E-invoice implementation practices, training needs analysis, and stakeholder feedback. Data were collected through surveys and interviews with healthcare professionals, administrators, and IT specialists to identify challenges and recommend solutions. The findings highlight the need for tailored training programs that encompass various aspects of the E-invoice system. Key technical challenges identified include system compatibility, user interface design, and connectivity issues. Integration of the E-invoice system with existing hospital workflows was shown to enhance data accuracy, streamline processes, and improve user satisfaction. The successful implementation of the E-invoice system in healthcare settings hinges on comprehensive training, proactive technical support, and effective integration strategies. Addressing these areas will not only optimize billing and reimbursement processes but also foster a collaborative environment that enhances patient care and organizational sustainability.

Seamless Transition: Strategies for Effective New Nurse Orientation and Practice Integration

Seamless Transition: Strategies for Effective New Nurse Orientation and Practice Integration

Understanding the social and emotional domains of physical literacy in post‐secondary education: A scoping review

AbstractWhile a variety of definitions persist, a common definition of physical literacy is that it encompasses the motivation, confidence, physical competence, knowledge and understanding to value and take responsibility for engagement in physical activities over the lifespan. While this perspective to physical literacy is broad, a great deal of curricular outcomes still focus on the physical competence, knowledge and understanding aspects of the framework leaving a gap in the holistic nature of the construct. This scoping review explores the construct of physical literacy within post‐secondary education, focusing on how social and emotional dimensions are integrated in teaching, delivery and assessment. This scoping review followed PRISMA‐ScR guidelines. Five online databases were used to identify papers published that used physical literacy in combination with post‐secondary as the educational setting with a focus on curriculum. The findings underscore a substantial gap in the literature. It was identified that the physical aspects of physical literacy were predominant with limited attention to the social and emotional domains. The gap implies that the comprehensive construct of physical literacy, which encompasses non‐physical facets, is often omitted in post‐secondary curricula. The review highlights an unexplored opportunity for post‐secondary institutions to intentionally construct more comprehensive physical literacy programmes. By incorporating social and emotional dimensions into these programmes, students gain a more holistic understanding of physical literacy. Subsequent research can delve into effective integration strategies and the potential benefits of such an approach.

University Students' Attitudes and Perceptions on Learning English with Mobile Apps

This study investigates university students' attitudes and perceptions toward using mobile applications for English language learning. Conducted at Universitas Negeri Yogyakarta with 43 master's students, the research employed a survey to assess various aspects of mobile app usage. Results indicate a generally positive view, with high engagement in listening and multimedia activities, underscoring the effectiveness of mobile apps in these areas. However, there are concerns about content accuracy and the need for improved support for writing skills. Students found mobile apps convenient and enjoyable, suggesting their significant potential to enhance language education. Recommendations include integrating mobile apps more systematically into curricula, focusing on features that support writing skills, and addressing concerns about information reliability. Future research should explore long-term impacts, effective integration strategies, and the role of specific app features in language development

High precision modeling with stacked neural network to predict the mechanical property of aluminum alloy

The compositions and microstructures of aluminum alloys determine their mechanical properties. This study used fourteen machine learning models, including random forest and gradient boosting regression, to predict the ultimate tensile strength (UTS) of aluminum alloys. Due to dataset and model limitations, individual model predictions lacked accuracy. Thus, a novel stacked neural network (SNN) was proposed, utilizing multiple single models as base models. This SNN improves prediction accuracy and generalization by adjusting the network structure. The 31 combinations of base models provide the most effective integration strategy. The SNN’s predicted tensile strength closely matches experimental data, confirming its effectiveness and accuracy.

Building microcracked structure fibrous cathode coated by Poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) for ultra-stable fiber-shaped aqueous zinc ions batteries

Attributing to the advantages of intrinsic safety, high energy density, and good omnidirectional flexibility, fiber-shaped aqueous zinc ions batteries (FAZIBs), serving as energy supply devices, have multitude applications in flexible and wearable electronic devices. However, the detachment of active materials caused by bending stress generated during flexing process limits their practical application severely. To address the above issue, an effective integrated strategy employing microcracked activated cobalt hydroxide [A-Co(OH)2] cathode with protective coating of poly(3,4-ethylenedioxythiophene)poly(styrenesulfonate) (PEDOT:PSS) was proposed in this work to enhance the cyclic and bending performances of FAZIBs. The microcracked A-Co(OH)2 cathode relieves stress concentration under bending conditions, while the PEDOT:PSS coating is responsible to maintain the structural integrity and prevents the detachment of A-Co(OH)2. The FAZIBs based on a gel electrolyte achieved a high energy density (173.5 Wh·kg−1) at a power density 90 W·kg−1 and a bending durability (94.4 % capacity retention after 500 cycles) as a consequence of the synergistic effect of microcracked A-Co(OH)2 cathode and the PEDOT:PSS coating. This work will offer a new approach for devising high-performance FAZIBs and promote the development of highly flexible and stable fiber-shaped batteries.

Enhancing Engagement and Autonomy in Advanced Japanese Learning as the Second Language through AI-Assisted Video Production

This study delves into the integration of generative AI in second language acquisition, particularly focusing on advanced Japanese learners' autonomy and motivation enhancement through video production. Drawing from Japan's educational guidelines and prior research, the investigation examines the roles of generative AI in language education, emphasizing ethical considerations and strategies for effective integration (Mollick Mollick, 2023). The course implemented a hybrid approach, combining language instruction with media production, where students created YouTube videos in Japanese. Their productions were supported by AI tools for language correction, narration, and content generation. Results indicate that while AI facilitated practical language learning, instructor guidance remained crucial for ensuring accuracy and contextual appropriateness. The study highlights challenges such as overreliance on AI-generated content and the need for nuanced communication in prompt engineering. Despite these challenges, students demonstrated cultural understanding and improved nonverbal communication skills through video production. Future research aims to analyze students' reflections on their experiences, shedding light on their insights and future applications of AI in language learning.

Integrated Pristine van der Waals Homojunctions for Self-Powered Image Sensors.

Van der Waals junctions hold significant potentials for various applications in multifunctional and low-power electronics and optoelectronics. The multistep device fabrication process usually introduces lattice mismatch and defects at the junction interfaces, which deteriorate device performance. Here the layer engineering synthesis of van der Waals homojunctions consisting of 2H-MoTe2 with asymmetric thickness to eliminate heterogenous interfaces and thus obtain clean interfaces is reported. Experimental results confirm that the homostructure nature gives rise to the formation of pristine van der Waals junctions, avoiding chemical disorders and defects. The ability to tune the energy bands of 2H-MoTe2 continuously through layer engineering enables the creation of adjustable built-in electric field at the homojunction boundaries, which leads to the achievement of self-powered photodetection based on the obtained 2H-MoTe2 films. Furthermore, the successful integration of 2H-MoTe2 homojunctions into an image sensor with 10 × 10 pixels, brings about zero-power consumption and near-infrared imaging functions. The pristine van der Waals homojunctions and effective integration strategies shed new insights into the development of large-scale application for two-dimensionalmaterials in advanced electronics and optoelectronics.

Advancements in project management methodologies: Integrating agile and waterfall approaches for optimal outcomes

Advancements in project management methodologies have revolutionized the way organizations execute complex projects, aiming for optimal outcomes amidst evolving challenges and dynamic environments. This paper explores the integration of Agile and Waterfall approaches as a strategic response to enhance project effectiveness and efficiency. Traditionally, Waterfall methodology has been predominant in industries requiring structured planning and predictable outcomes. Its sequential phases—requirements gathering, design, implementation, testing, and deployment—ensure a methodical progression from initiation to completion. However, its rigidity in accommodating changes during the project lifecycle has been a notable limitation in fast-paced industries where flexibility and rapid adaptation are paramount. In contrast, Agile methodology emerged as a transformative alternative, particularly suited for projects with uncertain or evolving requirements. Agile emphasizes iterative development cycles, continuous stakeholder engagement, and adaptive planning. These principles enable teams to respond swiftly to changes, deliver incremental value, and maintain high levels of transparency and collaboration throughout the project. Recognizing the strengths of both methodologies, practitioners have increasingly advocated for their integration—a hybrid approach that harnesses the structured planning of Waterfall with the adaptive flexibility of Agile. This integration allows organizations to capitalize on Waterfall's clarity in project scope and deliverables while leveraging Agile's responsiveness to customer feedback and evolving market demands. Key challenges in integrating these methodologies include reconciling differences in project planning, managing stakeholder expectations across iterative cycles, and aligning team dynamics to embrace a blended approach. Effective integration strategies often involve clear delineation of phases suitable for Waterfall and Agile, fostering a culture of collaboration and continuous improvement, and utilizing project management tools that support hybrid methodologies. Successful case studies illustrate the benefits of this integrated approach, including accelerated time-to-market, improved product quality, enhanced stakeholder satisfaction, and optimized resource allocation. Moreover, organizations that adopt hybrid methodologies demonstrate resilience in navigating uncertainties and complexities, positioning themselves competitively in dynamic markets. In conclusion, the integration of Agile and Waterfall methodologies represents a paradigm shift in project management, offering a holistic framework that balances structured planning with adaptive execution. As industries continue to evolve, embracing hybrid approaches promises to drive innovation, improve project outcomes, and sustain long-term organizational success. Keywords: Advancement, Project Management, Methodologies, Integrating Agile, Waterfall Approaches.

A FRAMEWORK FOR LEAN MANUFACTURING IMPLEMENTATION IN THE TEXTILE INDUSTRY: A RESEARCH STUDY

This study investigates the implementation of lean manufacturing in the textile industry, focusing on its potential to enhance efficiency, reduce waste, and improve product quality. Lean manufacturing principles, including Just-In-Time (JIT) production, Kanban systems, value stream mapping, 5S workplace organization, and continuous improvement (Kaizen), have been widely recognized for their effectiveness in various manufacturing sectors. However, their application in the textile industry remains underexplored. Through a systematic literature review of 60 review papers and empirical analysis involving case studies, interviews, and surveys with industry experts, managers, and workers, this research identifies the significant benefits of lean practices in textile manufacturing. The findings reveal substantial efficiency gains, waste reduction, and quality improvements among companies adopting lean principles. Nevertheless, the study also highlights several industry-specific challenges, such as high variability in raw materials, complex production processes, and market pressures from fast fashion. These challenges necessitate tailored approaches and effective change management strategies for successful lean integration. Additionally, the research emphasizes the need for investment in advanced technologies and flexible manufacturing systems to enhance responsiveness to market changes. The study concludes that despite the challenges, lean manufacturing offers valuable strategies for textile companies aiming to improve their competitiveness and sustainability in the global market. This research contributes to the growing body of knowledge on lean manufacturing and provides practical insights for textile manufacturers seeking to adopt and optimize lean practices.