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Search Results (13,272)

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Keywords = management decision-making

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21 pages, 2612 KB  
Article
The Role of Individual Cognition in the Formation of Unsafe Behaviors: A Case Study of Construction Workers
by Guanghua Li, Zhijie Xiao, Youqing Chen, Igor Martek and Yuhao Zeng
Buildings 2026, 16(2), 395; https://doi.org/10.3390/buildings16020395 (registering DOI) - 17 Jan 2026
Abstract
As a pillar industry of the national economy for many countries, the construction sector has long faced challenges in workplace safety. Unsafe behaviors among construction workers are the core cause of safety incidents, and controlling these behaviors is key to enhancing safety management. [...] Read more.
As a pillar industry of the national economy for many countries, the construction sector has long faced challenges in workplace safety. Unsafe behaviors among construction workers are the core cause of safety incidents, and controlling these behaviors is key to enhancing safety management. Numerous studies confirm that unsafe behaviors are closely linked to cognitive biases and decision-making errors. However, existing research still has theoretical gaps in analyzing the multi-factor interaction mechanisms from a cognitive perspective. This study constructs a three-stage theoretical model to reveal the formation mechanism of unsafe behaviors, which is validated by structural equation modeling based on the data collected by a questionnaire from ongoing construction projects in Jiangxi Province, China. It is found that (1) Organizational environment (safety atmosphere, safety culture, and safety management) exerts a negative influence on unsafe behavior; (2) While safety atmosphere has no direct impact on safety motivation, the overall organizational environment positively affects individual cognition; (3) Individual cognitive factors exert a negative influence on unsafe behavior, with the following hierarchical order: safety motivation > safety competence > safety values. (4) While safety motivation does not mediate the relationship between safety atmosphere and unsafe behavior, individual cognitive factors overall mediate the relationship between organizational environment and unsafe behavior. This study theoretically enriches the knowledge system of safety behavior and provides a theoretical foundation for optimizing enterprise unsafe behavior management and formulating differentiated management policies. Full article
29 pages, 4487 KB  
Project Report
Designing for Health and Learning: Lessons Learned from a Case Study of the Evidence-Based Health Design Process for a Rooftop Garden at a Danish Social and Healthcare School
by Ulrika K. Stigsdotter and Lene Lottrup
Buildings 2026, 16(2), 393; https://doi.org/10.3390/buildings16020393 (registering DOI) - 17 Jan 2026
Abstract
This article presents a case study from a Social and Health Care School in Denmark, where a rooftop garden was designed to promote student health and support nature-based teaching across subject areas. A novel aspect of the project is the formal integration of [...] Read more.
This article presents a case study from a Social and Health Care School in Denmark, where a rooftop garden was designed to promote student health and support nature-based teaching across subject areas. A novel aspect of the project is the formal integration of the garden into teaching, implying that its long-term impact may extend beyond the students to the end-users they will later encounter in nursing homes and hospitals nationwide. This study applies the Evidence-Based Health Design in Landscape Architecture (EBHDL) process model, encompassing evidence collection, programming, and concept design, with the University of Copenhagen acting in a consultancy role. A co-design process with students and teachers was included as a novel source of case-specific evidence. Methodologically, this is a participatory practice-based case study focusing on the full design and construction processes, combining continuous documentation with reflective analysis of ‘process insights,’ generating lessons learned from the application of the EBHDL process model. This study identifies two categories of lessons learned. First, general insights emerged concerning governance, stakeholder roles, and the critical importance of site selection, procurement, and continuity of design responsibility. Second, specific insights were gained regarding the application of the EBHDL model, including its alignment with Danish and international standardised construction phases. These insights are particularly relevant for project managers in nature-based initiatives. The results also show how the EBHDL model aligns with Danish and international standardised construction phases, offering a bridge between health design methods and established building practice. The case focuses on the EBHDL process rather than verified outcomes and demonstrates how evidence-based and participatory approaches can help structure complex design processes, facilitate stakeholder engagement, and support decision-making in institutional projects. Full article
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26 pages, 2649 KB  
Article
Energy-Efficient Multi-Objective Scheduling for Modern Construction Projects with Dynamic Resource Constraints
by Mudassar Rauf and Jabir Mumtaz
Buildings 2026, 16(2), 392; https://doi.org/10.3390/buildings16020392 (registering DOI) - 17 Jan 2026
Abstract
The rapidly evolving business landscape, driven by stringent energy conservation policies, compels construction firms to adopt energy-efficient project-centric structures, particularly in modern construction projects. These firms face a complex, multi-mode, resource-constrained, multi-project scheduling problem characterized by dynamic project arrivals and multiple resource constraints, [...] Read more.
The rapidly evolving business landscape, driven by stringent energy conservation policies, compels construction firms to adopt energy-efficient project-centric structures, particularly in modern construction projects. These firms face a complex, multi-mode, resource-constrained, multi-project scheduling problem characterized by dynamic project arrivals and multiple resource constraints, including global, local, and non-renewable capacities. This environment pressures managers to simultaneously optimize the conflicting objectives of minimizing total project duration and total energy consumption. To address this challenge, we propose a novel multi-objective Smart Raccoon Family Optimization (SRFO) algorithm. The SRFO, a hybrid evolutionary approach, is designed to enhance global exploration and local exploitation. Its performance is boosted by integrating a non-dominated sorting mechanism, a dedicated energy-efficient search strategy, and enhanced genetic operators. The SRFO simultaneously optimizes two conflicting objectives: minimizing the total project duration and total energy consumption. This approach effectively integrates the unique constraint of off-site component production and on-site assembly within an intelligent scheduling framework. Empirical validation across benchmark problems and a real-world case study is conducted, comparing the SRFO with existing multi-objective approaches, such as NSGA-III, MOABC, and MOSMO. Performance is assessed using convergence and distribution metrics, augmented by TOPSIS-based multi-criteria decision-making. Results conclusively demonstrate that the proposed SRFO significantly outperforms existing approaches and offers a robust, high-quality solution for project management in energy-constrained environments. Full article
(This article belongs to the Special Issue Advanced Research on Intelligent Building Construction and Management)
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14 pages, 477 KB  
Article
An SSI-Based Instructional Unit to Enhance Primary Students’ Risk-Related Decision-Making
by Miki Sakamoto, Etsuji Yamaguchi, Tomokazu Yamamoto, Motoaki Matano, Nobuko Ohmido and Rumiko Murayama
Educ. Sci. 2026, 16(1), 143; https://doi.org/10.3390/educsci16010143 (registering DOI) - 17 Jan 2026
Abstract
Socioscientific issues (SSIs) provide meaningful contexts for developing students’ competencies in scientific evaluation and decision-making. This study developed an SSI-based instructional unit to support primary school students in making decisions about genome-edited fish by considering risks and benefits and proposing risk mitigation. The [...] Read more.
Socioscientific issues (SSIs) provide meaningful contexts for developing students’ competencies in scientific evaluation and decision-making. This study developed an SSI-based instructional unit to support primary school students in making decisions about genome-edited fish by considering risks and benefits and proposing risk mitigation. The study aimed to examine the unit’s effectiveness in improving students’ risk-related decision-making and their attitudes toward critical thinking and risk. Sixty-three fifth-grade students participated in an 18-lesson unit comprising two phases: information gathering and risk management practice. Students completed three decision-making tasks and a post-unit questionnaire on related attitudes. Written arguments were analysed using a rubric based on claims, risk knowledge, benefit knowledge, and risk mitigation. The results indicated that the unit improved the quality of students’ socioscientific arguments. By the final task, about 60% of arguments reached the highest level, demonstrating integration of risk knowledge and corresponding mitigation. However, students’ risk–benefit emphasis ratings showed that their decisions remained predominantly risk-focused, and questionnaire data revealed a persistent zero-risk mindset. These findings provide empirical evidence that an SSI-based unit incorporating risk management practice can foster primary students’ risk-related socioscientific decision-making. Further refinement is needed to shift students’ risk attitudes and support more balanced risk–benefit reasoning. Full article
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38 pages, 1697 KB  
Article
Learning from Unsustainable Post-Disaster Temporary Housing Programs in Spain: Lessons from the 2011 Lorca Earthquake and the 2021 La Palma Volcano Eruption
by Pablo Bris, Félix Bendito and Daniel Martínez
Sustainability 2026, 18(2), 963; https://doi.org/10.3390/su18020963 (registering DOI) - 17 Jan 2026
Abstract
This article examines the failure of the two most recent temporary housing programs implemented in Spain following two major disasters: the 2011 Lorca earthquake and the 2021 La Palma volcanic eruption. Despite differing hazard typologies, both cases resulted in incomplete and ultimately unsuccessful [...] Read more.
This article examines the failure of the two most recent temporary housing programs implemented in Spain following two major disasters: the 2011 Lorca earthquake and the 2021 La Palma volcanic eruption. Despite differing hazard typologies, both cases resulted in incomplete and ultimately unsuccessful housing programs, with only 13 of the 60 planned units built in Lorca and 121 of the 200 planned units delivered in La Palma. Using a qualitative comparative case study approach, the research analyzes governance decisions, housing design, and implementation processes to assess their impact on the sustainability of post-disaster temporary housing. The analysis adopts the five dimensions of sustainability—environmental, economic, social, cultural, and institutional—as an integrated analytical framework for evaluating public management performance in post-disaster temporary housing. The findings show that early decision-making, shaped by political urgency, technical misjudgments, and the absence of adaptive governance, led to severe delays, cost overruns, inadequate and energy-inefficient construction, and the formation of marginalized settlements. This study concludes that the lack of regulatory frameworks, legal instruments, and operational protocols for temporary housing in Spain was a determining factor in both failures, generating vulnerability, prolonging recovery processes, and undermining sustainability across all five dimensions. By drawing lessons from these cases, this article contributes to debates on resilient and sustainable post-disaster recovery and highlights the urgent need for integrated regulatory frameworks for temporary housing in Spain. Full article
(This article belongs to the Special Issue Disaster Risk Reduction and Sustainability)
26 pages, 1244 KB  
Article
Fuzzy Analytical Hierarchy Process-Based Multi-Criteria Decision Framework for Risk-Informed Maintenance Prioritization of Distribution Transformers
by Pannathon Rodkumnerd, Thunpisit Pothinun, Suwilai Phumpho, Neville Watson, Apirat Siritaratiwat, Watcharin Srirattanawichaikul and Sirote Khunkitti
Energies 2026, 19(2), 460; https://doi.org/10.3390/en19020460 (registering DOI) - 17 Jan 2026
Abstract
Effective asset management is crucial for improving the reliability, resilience, and cost efficiency of distribution networks throughout the asset life cycle. Distribution transformers are among the most critical components, as their failures can cause extensive service interruptions and substantial economic impacts. Therefore, robust [...] Read more.
Effective asset management is crucial for improving the reliability, resilience, and cost efficiency of distribution networks throughout the asset life cycle. Distribution transformers are among the most critical components, as their failures can cause extensive service interruptions and substantial economic impacts. Therefore, robust and transparent maintenance prioritization strategies are essential, particularly for utilities managing several transformers. Traditional time-based maintenance, while simple to implement, often results in inefficient resource allocation. Condition-based maintenance provides a more effective alternative; however, its performance depends strongly on the reliability of indicator selection and weighting. This study proposes a systematic weighting framework for distribution transformer maintenance prioritization using a multi-criteria decision-making (MCDM) approach. Each transformer is evaluated across two dimensions, including health condition and operational impact, based on indicators identified from the literature and expert judgment. To address uncertainty and judgmental inconsistency, particularly when the consistency ratio (CR) exceeds the conventional threshold of 0.10, the Fuzzy Analytic Hierarchy Process (FAHP) is employed. Seven condition parameters characterize transformer health, while impact is quantified using five indicators reflecting failure consequences. The proposed framework offers a transparent, repeatable, and defensible decision-support tool, enabling utilities to prioritize maintenance actions, optimize resource allocation, and mitigate operational risks in distribution networks. Full article
(This article belongs to the Section F: Electrical Engineering)
18 pages, 940 KB  
Article
An Improved Approach Based on a New Laplace Model Using Classical and Risk Measures
by Morad Alizadeh, Gauss M. Cordeiro, Jondeep Das, Partha Jyoti Hazarika, Javier E. Contreras-Reyes, Mohamed S. Hamed and Haitham M. Yousof
Math. Comput. Appl. 2026, 31(1), 14; https://doi.org/10.3390/mca31010014 (registering DOI) - 17 Jan 2026
Abstract
In this paper, we propose a generalized odd log-logistic standard Laplace model and study some of its main properties. The novelty of this model is based on classical and risk-based measures to effectively analyze the body mass index (BMI) data. The analysis underscores [...] Read more.
In this paper, we propose a generalized odd log-logistic standard Laplace model and study some of its main properties. The novelty of this model is based on classical and risk-based measures to effectively analyze the body mass index (BMI) data. The analysis underscores the importance of a multidisciplinary approach in addressing challenges related to health, performance, and risk management. The proposed methodology not only is helpful to understand the variability of BMI measurements, but also prove how common statistical models considered in financial field can be effectively adapted to other ones, offering insights that drive informed decision-making and strategic planning. Full article
(This article belongs to the Section Natural Sciences)
21 pages, 1690 KB  
Article
Hazardous Heritage: From CMP to Hazard-Aware Conservation—A Framework for Polluted Industrial Heritage
by Anna Orchowska and Jakub Szczepański
Sustainability 2026, 18(2), 957; https://doi.org/10.3390/su18020957 (registering DOI) - 17 Jan 2026
Abstract
Industrial heritage sites hold significant historical and architectural value and their attractive urban locations make them frequent targets for adaptive reuse. Yet decades of industrial activity have left hazardous residues embedded in building fabric, posing risks to public health. Current conservation practice rarely [...] Read more.
Industrial heritage sites hold significant historical and architectural value and their attractive urban locations make them frequent targets for adaptive reuse. Yet decades of industrial activity have left hazardous residues embedded in building fabric, posing risks to public health. Current conservation practice rarely incorporates systematic identification and mapping of such contamination, creating a critical gap that can undermine both safety and the authenticity and integrity of historical material layers. This article proposes an interdisciplinary methodological framework for identifying, analysing, and managing contamination in post-industrial heritage. The model extends the Conservation Management Plan (CMP) by integrating chemical and toxicological analyses, GIS-based diagnostics, and ontological data modelling (CIDOC CRM). It supports value-based decision-making by enabling the safe recognition and preservation of historical layers that may contain toxic residues. The framework is being tested at the former Gdańsk Shipyard through integrated historical research, conservation surveys, and laboratory analyses to assess its applicability and scalability. The proposed approach is intended as a transferable tool for managing polluted heritage environments, aligned with SDGs 11 and 12. Full article
(This article belongs to the Section Tourism, Culture, and Heritage)
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27 pages, 1112 KB  
Article
Unraveling COVID-19’s Impact on Raw Material Supply Chains and Production in the Turkish Pipe Industry: A Critical ANOVA and Advanced MCDM Evaluation
by Hatef Javadi, Oguz Toragay, Mehmet Akif Yerlikaya, Marco Falagario and Nicola Epicoco
Appl. Sci. 2026, 16(2), 959; https://doi.org/10.3390/app16020959 (registering DOI) - 16 Jan 2026
Abstract
This paper analyzes the impact of COVID-19 on the supply chain and production, investigating countermeasures for industrial recovery. In particular, the study examines how COVID-19 has affected the raw material supply chain, production, and outages on a real case study, that is, Turkey’s [...] Read more.
This paper analyzes the impact of COVID-19 on the supply chain and production, investigating countermeasures for industrial recovery. In particular, the study examines how COVID-19 has affected the raw material supply chain, production, and outages on a real case study, that is, Turkey’s Glass-Reinforced Plastic (GRP) pipe industry. Using two- and three-way analysis of variance (ANOVA), significant negative impacts on the raw material supply chain are identified with 95% confidence. To enhance decision-making, the fuzzy q-rung orthopair set (FQROPS) and entropy-based multi-criteria decision-making (MCDM) methods are integrated in the baseline method. Specifically, ANOVA-identified factors, such as cost, supply continuity, production capacity, and risk level, are used as criteria in the MCDM analysis. Entropy determined criteria weights and FQROPS evaluate alternatives based on their proximity to the ideal solution. Findings show that significant disruptions occurred due to the pandemic. In addition, the MCDM analysis reveals that pre-pandemic conditions for key materials, such as fiberglass and resin, were significantly more favorable in terms of cost, supply continuity, production capacity, and risk levels. This integrated approach provides strategic insights for managing supply chains and production in the GRP pipe industry during and after pandemic events. Full article
33 pages, 1705 KB  
Article
Codify, Condition, Capacitate: Expert Perspectives on Institution-First Blockchain–BIM Governance for PPP Transparency in Nigeria
by Akila Pramodh Rathnasinghe, Ashen Dilruksha Rahubadda, Kenneth Arinze Ede and Barry Gledson
FinTech 2026, 5(1), 10; https://doi.org/10.3390/fintech5010010 - 16 Jan 2026
Abstract
Road infrastructure underpins Nigeria’s economic competitiveness, yet Public–Private Partnership (PPP) performance is constrained not by inadequate legislation but by persistent weaknesses in enforcement and governance. Transparency deficits across procurement, design management, certification, and toll-revenue reporting have produced chronic delays, cost overruns, and declining [...] Read more.
Road infrastructure underpins Nigeria’s economic competitiveness, yet Public–Private Partnership (PPP) performance is constrained not by inadequate legislation but by persistent weaknesses in enforcement and governance. Transparency deficits across procurement, design management, certification, and toll-revenue reporting have produced chronic delays, cost overruns, and declining public trust. This study offers the first empirical investigation of blockchain–Building Information Modelling (BIM) integration as a transparency-enhancing mechanism within Nigeria’s PPP road sector, focusing on Lagos State. Using a qualitative design, ten semi-structured interviews with stakeholders across the PPP lifecycle were thematically analysed to diagnose systemic governance weaknesses and assess the contextual feasibility of digital innovations. Findings reveal entrenched opacity rooted in weak enforcement, discretionary decision-making, and informal communication practices—including biased bidder evaluations, undocumented design alterations, manipulated certifications, and toll-revenue inconsistencies. While respondents recognised BIM’s potential to centralise project information and blockchain’s capacity for immutable records and smart-contract automation, they consistently emphasised that technological benefits cannot be realised absent credible institutional foundations. The study advances an original theoretical contribution: the Codify–Condition–Capacitate framework, which explains the institutional preconditions under which digital governance tools can improve transparency. This framework argues that effectiveness depends on: codifying digital standards and legal recognition; conditioning enforcement mechanisms to reduce discretionary authority; and capacitating institutions through targeted training and phased pilots. The research generates significant practical implications for policymakers in Nigeria and comparable developing contexts seeking institution-aligned digital transformation. Methodological rigour was ensured through purposive sampling, thematic saturation assessment, and documented analytical trails. Full article
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18 pages, 1383 KB  
Article
Development of Low-Power Forest Fire Water Bucket Liquid Level and Fire Situation Monitoring Device
by Xiongwei Lou, Shihong Chen, Linhao Sun, Xinyu Zheng, Siqi Huang, Chen Dong, Dashen Wu, Hao Liang and Guangyu Jiang
Forests 2026, 17(1), 126; https://doi.org/10.3390/f17010126 - 16 Jan 2026
Abstract
A portable and integrated monitoring device was developed to digitally assess both water levels and surrounding fire-related conditions in forest firefighting water buckets using multi-sensor fusion. The system integrates a hydrostatic liquid-level sensor with temperature–humidity and smoke sensors. Validation was performed through field-oriented [...] Read more.
A portable and integrated monitoring device was developed to digitally assess both water levels and surrounding fire-related conditions in forest firefighting water buckets using multi-sensor fusion. The system integrates a hydrostatic liquid-level sensor with temperature–humidity and smoke sensors. Validation was performed through field-oriented experiments conducted under semi-controlled conditions. Water-level measurements were collected over a three-month period under simulated forest conditions and benchmarked against conventional steel-ruler readings. Early-stage fire monitoring experiments were carried out using dry wood and leaf litter under varying wind speeds, wind directions, and representative extreme weather conditions. The device achieved a mean water-level bias of −0.60%, a root-mean-square error of 0.64%, and an overall accuracy of 99.36%. Fire monitoring reached a maximum detection distance of 7.30 m under calm conditions and extended to 16.50 m under strong downwind conditions, with performance decreasing toward crosswind directions. Stable operation was observed during periods of strong winds associated with typhoon events, as well as prolonged high-temperature exposure. The primary novelty of this work lies in the conceptualization of a Collaborative Forest Resource–Hazard Monitoring Architecture. Unlike traditional isolated sensors, our proposed framework utilizes a dual-domain decision-making model that simultaneously assesses water-bucket storage stability and micro-scale fire threats. By implementing a robust ‘sensing–logic–alert’ framework tailored for rugged environments, this study offers a new methodological reference for the intelligent management of forest firefighting resources. Full article
36 pages, 4431 KB  
Article
Integrating Complexity and Risk Analysis for Selection of Management Approaches in Complex Projects: Application to UN Peacekeeping Missions
by Juan-Manuel Álvarez-Espada, Teresa Aguilar-Planet and Estela Peralta
Systems 2026, 14(1), 100; https://doi.org/10.3390/systems14010100 - 16 Jan 2026
Abstract
The growing complexity and dynamism of industrial and organizational projects require management approaches that can effectively adapt to uncertainty and rapidly changing operational environments. In this context, this study proposes a methodology to identify the most suitable management approach—predictive, agile, or hybrid—in complex [...] Read more.
The growing complexity and dynamism of industrial and organizational projects require management approaches that can effectively adapt to uncertainty and rapidly changing operational environments. In this context, this study proposes a methodology to identify the most suitable management approach—predictive, agile, or hybrid—in complex projects. Building on the “Approach suitability tool” of the Project Management Institute’s (PMI) , the methodology integrates quantitative assessments of complexity and systemic risk. This is achieved through the analysis of stakeholder and risk networks, using metrics such as cyclomatic complexity and the coevolution parameter g, which allow for a deeper understanding of interactions and the evolution of project elements. The methodology was validated in three peacekeeping missions of the United Nations: UNMISS in South Sudan, MONUSCO in the Democratic Republic of Congo, and MINUSTAH in Haiti. The results confirm that the methodology accurately identifies the most appropriate management approach, emphasizing the effectiveness of hybrid approaches in complex and volatile environments. The proposed methodology serves as a valuable tool for optimizing project management in diverse contexts, enabling a quantitative and systematic evaluation of complexity and risk. It is adaptable and applicable to a wide range of complex projects, improving decision-making and planning in uncertain settings. Furthermore, by incorporating resilience as a cross-cutting principle, the methodology strengthens the ability of projects and their teams to maintain functionality and sustain learning even in highly volatile environments, where continuous adaptation becomes a critical success factor. In this sense, resilience emerges as the property that allows projects to absorb disruptions, reorganize, and preserve their core purpose without losing cohesion or direction. Full article
(This article belongs to the Special Issue Strategic Management Towards Organisational Resilience)
17 pages, 451 KB  
Article
A Clinical Decision-Making Algorithm for Botulinum Toxin Use in Temporomandibular Disorders and Bruxism
by Anna N. Scheiwiler, Muhammed Ilhan, Oliver V. Waldvogel, Lukas B. Seifert, Florian M. Thieringer and Britt-Isabelle Berg
J. Clin. Med. 2026, 15(2), 755; https://doi.org/10.3390/jcm15020755 - 16 Jan 2026
Abstract
Background: Temporomandibular disorders (TMD) and bruxism are prevalent conditions managed by dentists. However, treatment choices—especially concerning botulinum toxin (BTX)—often lack consistency. This study aimed to develop and assess a structured clinical decision-making algorithm for BTX use in patients with TMD and bruxism. Methods: [...] Read more.
Background: Temporomandibular disorders (TMD) and bruxism are prevalent conditions managed by dentists. However, treatment choices—especially concerning botulinum toxin (BTX)—often lack consistency. This study aimed to develop and assess a structured clinical decision-making algorithm for BTX use in patients with TMD and bruxism. Methods: A treatment algorithm was designed through a qualitative analysis of the literature and aligned with German S3 guidelines. A total of 227 dentists assessed three clinical case vignettes reflecting routine clinical practice. Each vignette was evaluated first without and subsequently with the algorithm, focusing on typical indications for botulinum toxin treatment. Data were collected via online survey (SurveyMonkey) and analyzed using Microsoft Excel. Participants were stratified by gender and clinical experience (≤5 years vs. >5 years). Results: Of the 227 dentists contacted, 103 responded, and 56 completed the survey (57.1% male; mean age: 34.5 ± 10.6 years). BTX decision accuracy significantly improved for Case 1 (62.5% → 87.5%, p = 0.0013) and Case 2 (14.3% → 87.5%, p < 0.0001), but not for Case 3 (44.6% → 46.4%, p = 1.000). Confidence increased, and uncertainty decreased, particularly among less experienced dentists. The algorithm also significantly influenced both first- and second-line treatment choices, aligning them more closely with guideline-based therapy. Usefulness was confirmed by 78.6% of respondents, with no significant differences based on gender or experience. Conclusions: The proposed algorithm significantly improved diagnostic accuracy, treatment consistency, and confidence in the use of BTX for TMD and bruxism. It facilitates evidence-based, experience-independent decision-making and potentially represents a useful clinical tool in dental practice. Full article
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15 pages, 494 KB  
Systematic Review
Critical Assessment of Evidence Quality of Meta-Analyses Comparing Sacral 2 Alar–Iliac Fixation with Iliac Screws for Adult Spinal Deformity: An Umbrella Review with Emphasis on Methodological Limitations
by Ali Haider Bangash, Ananth S. Eleswarapu, Mitchell S. Fourman, Yaroslav Gelfand, Saikiran G. Murthy, Jaime A. Gomez, C. Rory Goodwin, Peter G. Passias, Reza Yassari and Rafael De la Garza Ramos
J. Clin. Med. 2026, 15(2), 753; https://doi.org/10.3390/jcm15020753 - 16 Jan 2026
Abstract
Background/Objectives: Adult spinal deformity (ASD) management often requires pelvic fixation, with S2 alar–iliac (S2AI) screws emerging as an alternative to traditional iliac screws. Despite multiple meta-analyses comparing these techniques, the methodological quality of these syntheses and technical heterogeneity across primary studies significantly [...] Read more.
Background/Objectives: Adult spinal deformity (ASD) management often requires pelvic fixation, with S2 alar–iliac (S2AI) screws emerging as an alternative to traditional iliac screws. Despite multiple meta-analyses comparing these techniques, the methodological quality of these syntheses and technical heterogeneity across primary studies significantly impact their conclusions and subsequent clinical decision-making. This systematic review evaluates the evidence quality of meta-analyses comparing S2AI with traditional iliac screws for ASD management, focusing on methodological rigor, primary study overlap, and clinical heterogeneity. Methods: PubMed, Cochrane, and Epistemonikos were searched for meta-analyses comparing S2AI with iliac screws for patients with ASD. The Quality of Reporting of Meta-analyses (QUOROM) checklist and the revised Assessment of Multiple Systematic Reviews (AMSTAR 2) tool were adopted to assess the methodological quality. Primary study overlap was evaluated using the Corrected Covered Area (CCA) method. Clinical heterogeneity was assessed by examining characteristics of studies included in ≥67% of meta-analyses. Results: From a total of 29 publications, six meta-analyses met the inclusion criteria (4807 patients; mean age: 59 years; 33% female). All included meta-analyses exhibited critically low methodological quality per AMSTAR-2, with common flaws including failure to provide lists of excluded studies and lack of a priori protocols. Very high primary study overlap was observed (CCA: 31%), with only 11% (2 of 19) primary studies included in all meta-analyses, whereas 42% (8 of 19) primary studies were included by only a single meta-analysis. Substantial clinical heterogeneity existed regarding patient characteristics, surgical techniques, and outcome definitions. Conclusions: This systematic review of meta-analyses identified critically low methodological quality, high primary study overlap, and substantial clinical heterogeneity in the existing evidence comparing pelvic fixation techniques for ASD. While published meta-analyses generally favor S2AI screws, these significant limitations prevent drawing definitive conclusions about superiority. Future research should prioritize high-quality prospective studies with standardized reporting to generate more reliable evidence for improving surgical outcomes in ASD management. Full article
(This article belongs to the Special Issue Clinical Progress of Spine Surgery)
40 pages, 63295 KB  
Systematic Review
A Systematic Review on the Organizational Learning Potential of Building Information Modelling: Theoretical Foundations and Future Directions
by Alireza Ahankoob, Behzad Abbasnejad and Peter S. P. Wong
Buildings 2026, 16(2), 378; https://doi.org/10.3390/buildings16020378 - 16 Jan 2026
Abstract
Organizational learning refers to the systematic development, exchange and dissemination of knowledge throughout the organization. Organizational learning processes in construction are disrupted by the decentralized flow of information and the temporary, short-term nature of project teams. The emergence of Building Information Modelling (BIM) [...] Read more.
Organizational learning refers to the systematic development, exchange and dissemination of knowledge throughout the organization. Organizational learning processes in construction are disrupted by the decentralized flow of information and the temporary, short-term nature of project teams. The emergence of Building Information Modelling (BIM) has significantly enhanced the ability to capture and disseminate construction project knowledge within the architecture, engineering, construction, and facilities management (AEC-FM) sector. Despite this progress, existing research has predominantly focused on the technical aspects of BIM, with limited evidence on its effects on organizational learning capabilities. This study addresses this gap by examining how BIM shapes organizational learning mechanisms within AEC-FM contexts. Employing a systematic literature review (SLR) approach, 104 articles from the Scopus database were analyzed using scientometric and thematic analyses. The systematic review of the literature was carried out following the PRISMA guidelines. The SLR provided a comprehensive examination of BIM’s contribution to strengthening the three core organizational learning mechanisms: experience accumulation, knowledge articulation, and knowledge codification. The thematic analysis revealed seven BIM-enabled organizational learning factors that are expected to strengthen learning mechanisms in AEC-FM organizations: agility of thinking and reasoning skills; enhanced decision-making; interconnected stakeholders’ relationships; integrated business processes; BIM-facilitated project knowledge sharing; BIM-supported project knowledge retention; and BIM-supported project knowledge extraction. Findings suggest that BIM significantly facilitates learning mechanisms within AEC-FM firms. A conceptual model of BIM-supported learning mechanisms was developed to highlight opportunities for enhancing organizational learning capabilities in the BIM environment. Full article
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