Purpose: This review mainly aims to identify the lean practice conducted in hospitals, determining what problems lean practice can be helpful to solve in the hospitals. Data sources: Four electronic databases (Scopus, Web of science, Medline, and PubMed) were conducted for searching related literature in this review. Study selection: These studies in the hospitals that related lean healthcare practice and contained outcome variables were included. Data extraction: Related information such as research design, countries, lean tools, outcome variables, results were extracted. Results of data synthesis: 20 eligible articles were identified in this review. There was 20% lean practice being conducted in emergency department of hospitals in this review. Six cases have implemented lean in Brazilian hospitals. There were 12 cases implemented lean practice through Value Stream Mapping. Conclusion: Lean practices were highly valued in Brazilian hospitals, and it was frequently implemented in hospital emergency department. Value Stream Mapping and process mapping were the most commonly used lean tool. Waiting time, lead time and Length of Hospital Stay (LOS) were the primary indicators reflecting improvements in this review.

Fujian Tubao, a defensive residential structure predominantly found in central Fujian, represents a significant cultural heritage of the region. However, with the rapid urbanization underway, Fujian Tubao faces the threat of extinction, presenting severe challenges to its survival and development. Identifying a sustainable development path for Fujian Tubao is crucial for preserving regional culture. This study uses Fuxing Bao, a quintessential example of Fujian Tubao, as a case study to explore conservation methods based on adaptive reuse. Through field surveys, questionnaires, in-depth interviews, and case studies, we analyze the historical background of the building, focusing on the current physical and social environment of Fuxing Bao. Our findings indicate that the current state of preservation of Fuxing Bao can meet the requirements for adaptive reuse. By integrating results from surveys and interviews with local villagers, we propose sustainable development strategies and conservation methods. This research offers a sustainable development model for Fujian Tubao and other traditional regional dwellings. By adopting an adaptive reuse perspective, it aims to better address the conflict between modern living and traditional architectural preservation, ensuring that these architectural spaces are properly protected and continue to play a unique role in contemporary society.

The covid-19 pandemic has adversely affected the sustainability of micro and small enterprises (MSEs), with a particularly pronounced impact in Central Java. Entrepreneurs who struggle to adapt to reduced consumer purchasing power and the increasing reliance on digital technology are at heightened risk of business closure. Despite these challenges, inclusivity remains a crucial element for MSEs in fostering local economic development. Accordingly, this study seeks to examine the role of inclusivity in the sustainability of MSEs that are based on digital technology. Data were collected through the use of questionnaires and focus group discussions. Respondents were digital-based MSEs entrepreneurs from five selected regions, with Central Java having the largest number of digital media users. Key informants included experts from Diponegoro University, the International Council of Small Business (ICSB), the Department of Cooperatives and Micro, Small and Medium Enterprises at the provincial and district levels, and non-governmental organizations. The collected data was analyzed using the Rapid Appraisal for Micro and Small Enterprises (Rap-MSE’s) method. To assess the sustainability status, the study utilized several dimensions, including economic, environmental, social, institutional, technological, and inclusivity factors. Both multidimensional and individual analyses indicated that the sustainability status was relatively robust. MSEs that integrated digital technology into their operations were able to withstand the challenges posed by covid-19 and adapt to the new normal. In conclusion, the inclusivity dimension in the adoption of digital technology has gained increased importance in driving local economic development.

Urbanization and suburbanization have led to high population growth in certain city regions, resulting in increased population density and mobility. Therefore, there is a need for a concept to address congestion, public transportation, information and communication systems, and non-motorized vehicles. Smart mobility is a concept of urban development as part of the smart city concept based on information and communication technology. Through this concept, it is expected that transportation services will be easily accessible, safe, comfortable, fast, and affordable for the community. This research aims to analyze smart mobility and its relationship with regional transportation planning and the development of South Tangerang, as well as to design a policy strategy model for the planning and development of South Tangerang with smart mobility. The research method used in this study is a mixed method, including analyzing the relationships and weighting of relationships between variables using the Cross Impact Multiplication applied to a classification (MICMAC) matrix. Multi-criteria decision analysis (MCDA) with Promethee software is also used to obtain the necessary policies. The results of this research indicate that the measurement of relationships between variables shows that smart mobility influences regional transportation planning, smart mobility affects regional development, and regional planning affects regional development. This research also provides alternative policies that policymakers should implement in a specific order. First, ensure the availability of public transportation; second, improve public transportation safety; third, enhance public transportation security; fourth, improve public transportation routes; fifth, provide real-time information access; sixth, improve transportation schedules; and seventh, increase the number of bicycle lanes.

Providing and using energy efficiently is hampered by concerns about the environment and the unpredictability of fossil fuel prices and quantities. To address these issues, energy planning is a crucial tool. The aim of the study was to prioritize renewable energy options for use in Mae Sariang’s microgrid using an analytical hierarchy process (AHP) to produce electricity. A prioritization exercise involved the use of questionnaire surveys to involve five expert groups with varying backgrounds in Thailand’s renewable energy sector. We looked at five primary criteria. The following four combinations were suggested: (1) Grid + Battery Energy Storage System (BESS); (2) Grid + BESS + Solar Photovoltaic (PV); (3) Grid + Diesel Generator (DG) + PV; and (4) Grid + DG + Hydro + PV. To meet demand for electricity, each option has the capacity to produce at least 6 MW of power. The findings indicated that production (24.7%) is the most significant criterion, closely followed by economics (24.2%), technology (18.5%), social and environmental (18.1%), and structure (14.5%). Option II is strongly advised in terms of economic and structural criteria, while option I has a considerable advantage in terms of production criteria and the impact on society and the environment. The preferences of options I, IV, and III were ranked, with option II being the most preferred choice out of the four.

Tropical peat swamp is an essential ecosystem experiencing increased degradation over the past few decades. Therefore, this study used the social-ecological system (SES) perspective to explain the complex relationship between humans and nature in the Sumatran Peatlands Biosphere Reserve. The peat swamp forest has experienced a significant decline, followed by a significant increase in oil palm and forest plantations in areas designated for peat protection. Human systems have evolved to become complex and hierarchical, constituting individuals, groups, organizations, and institutions. Studies on SES conducted in the tropical peatlands of Asia have yet to address the co-evolutionary processes occurring in this region, which could illustrate the dynamic relationship between humans and nature. This study highlights the co-evolutionary processes occurring in the tropical peatland biosphere reserve and provides insights into their sustainability trajectory. Moreover, the coevolution process shows that biosphere reserve is shifting toward an unsustainable path. This is indicated by ongoing degradation in three zones and a lack of a comprehensive framework for landscape-scale water management. Implementing landscape-scale water management is essential to sustain the capacity of peatlands social-ecological systems facing disturbances, and it is important to maintain biodiversity. In addition, exploring alternative development pathways can help alter these trajectories toward sustainability.