The objective of this research was to evaluate the unit rates of MSW generation in Cumba in the years 2016 and 2022. The calculations were based on the weights of the MSW disposed in the dump located 5 km from the city of Cumba since 2012. The GPC, physical composition, density, humidity were determined in the years 2016 and 2022, studied according to the methodology and group classification of Peruvian regulations. The results show that 5.45 Tn/day⁻¹ are generated in 2016, 4.37 Tn/day⁻¹ in 2022; according to its physical composition, 82% RO, 14% MICVC and 4% MISVC in 2016; 77% RO, 16% MICVC, 7% MISVC in 2022; density 137.90 kg/m⁻³ in 2016 and 172.69 kg/m⁻³ in 2022; humidity 67.67% in 2016 and 63.43% in 2022. It was also found that in 100.00% there is no solid waste treatment; Everything generated in homes, businesses and streets is evacuated to the final disposal site, which is a dump. In 2022, Cumba acquired 10 hectares to have adequate sanitary infrastructure and begin the closure and recovery of its current dump. This study will contribute to providing accurate data on MSW generation that allows the local government to promote the optimization of collection routes and schedules, resulting in cost savings and reduction of carbon emissions in the Amazon Region. Therefore, it is necessary to raise awareness at all levels of society through various means of communication and education, so that the risks of spreading health risks can be minimized by improving MSW management.

Management and efficiency have a fundamental impact on the performance of public hospitals, as well as on their philanthropic mission. Various studies have shown that the financial weaknesses of these entities affect the planning, setting of goals and objectives, monitoring, evaluation and feedback necessary to improve health systems and guarantee accessibility as an inalienable right. This study aims to analyze the management and efficiency of third-level and/or high-complexity hospitals in Colombia, through a statistical model that uses financial analysis and key performance indicators (KPIs) such as ROA, ROE and EBITDA. A non-experimental cross-sectional design is used, with an analytical-synthetic, documentary, exploratory and descriptive approach. The results show financial deficiencies in the hospitals evaluated; hence it is recommended to make adjustments in the operating cycle to increase efficiency rates. In addition, the use of the KPIs ROA and ROE under adjusted models is suggested for a more precise analysis of the financial ratios, since these adequately explain the variability of each indicator and are appropriate to evaluate hospital management and efficiency, but not in EBITDA ratio, hence the latter is not recommended to evaluate hospital efficiency reliably. This study provides relevant information for public health policy makers, hospital managers and researchers, in order to promote the efficiency and improvement of health services.

This study evaluates the health and sustainability of higher education systems in nine countries: the USA, UK, Australia, Germany, Canada, China, Brazil, India, and South Africa. Using a multi-level analysis model and principal component analysis (PCA), nine key factors—such as international student numbers, academic levels, and graduate employment rates—were identified, capturing over 90% of the cumulative impact on higher education systems. India, scoring 6.2036 initially, shows significant room for improvement. The study proposes policies to increase graduate employment, promote international faculty collaboration, and enhance India’s educational expenditure, which surpasses 9.8% of GDP. Post-policy simulations suggest India’s score could rise to 8.7432. The paper also addresses the impact of COVID-19 on global education, recommending a hybrid model and increased graduate enrollment in China to reduce unemployment by 5.4%. The research aims to guide sustainable development in higher education globally.

The interest in using project management office (PMO) services in organizations to manage their construction projects is growing in light of rising economic, technological, and social developments based on their ability to achieve organizational goals while avoiding risks. Accordingly, organizations use PMO services to manage their technical and financial project issues to periodically evaluate PMO performance and services in a scientific, practical, and measurable way to ensure successful project path via PMO. Therefore, this research aims to develop a performance evaluation system that enables organizations to follow up and evaluate the PMO performance to ensure that PMO manages the organizations’ expectations and goals successfully according to certain quality, scope, and cost. The study builds on significant findings in PMO competence indexes as evaluation matrix, which includes five basic categories with 136 indexes covering the project life cycle. The matrix was developed based on literature analysis and supplemented with experts’ interviews in construction management. The developed robust competency-based index (RCI) for directive PMO supports the organizations to conduct client satisfaction, correction, or partial/total change of the PMO’s competence flow within five construction project life cycle and process, i.e. governance, portfolio, information, execution, and contract issues.

This study focuses on enhancing the maintenance processes of centrifugal pumps at Soekarno-Hatta Airport’s Water Treatment Unit in Indonesia, crucial for meeting the clean water needs of the airport, which served around 19.8 million passengers in 2022. Using a qualitative methodology, the research involved focus group discussions with the unit’s operators, technicians, and engineers to pinpoint maintenance challenges and devise solutions. Key findings reveal issues such as insufficient routine maintenance, unplanned repairs, and inadequate staffing, leading to operational disruptions and pump failures. The study highlights the role of Total Productive Maintenance (TPM) in reducing machine breakdowns and improving efficiency. It emphasizes the critical role of centrifugal pumps in the airport’s water supply system. The research proposes several corrective measures, adhering to the 5W + 1H framework, including regular lubrication, bearing replacements, hiring more staff, and advanced training on PLC systems. These actions aim to rectify immediate maintenance problems and establish a foundation for the long-term effectiveness of the pump systems. Conclusively, the study underscores the need for a comprehensive maintenance strategy that aligns with standard operating procedures and preventive maintenance. This approach is essential for boosting the operational performance and reliability of the Water Treatment Unit. It has broader implications for similar infrastructure facilities, underscoring the importance of efficient maintenance management.

This study examined the dissatisfaction among Chinese medical students with online medical English courses, which overemphasize grammar yet fail to provide practical opportunities related to medical situations. This study compared co-teaching’s effects, involving native and non-native instructors, with a single-instructor (traditional) model on student satisfaction in online medical English courses. Using a qualitative design, pre- and post-course interviews were conducted with 49 second-year medical students across seven classes, exploring their perceptions of instruction, curriculum, and course satisfaction. The findings indicated that the co-teaching model improved student engagement and satisfaction, not specifically due to the native English-speaking instructor but likely because of the focus on more interactive and discussion-oriented strategies. In contrast, the single-instructor model maintained the traditional grammar-focused instruction, leading to lower satisfaction levels. Both instructional models faced limitations related to their reliance on textbooks for delivering core material needed for the course’s comprehensive exam. These results suggest that the instruction design and approach, rather than the native instructor alone, was the main driver of positive outcomes in co-teaching. The study’s findings suggest a need for curriculum reforms that reduce textbook dependence and incorporate more practical, interactive learning strategies. Future research should consider applying various research techniques, such as mixed-method approaches, longitudinal studies, and experimental designs, to comprehensively assess the long-term effects of instructional strategies and curriculum innovations on student outcomes.