The digitalization of the construction industry is deemed a crucial element in Construction 4.0’s vision, attainable through the implementation of digital twinning. It is perceived as a virtual strategy to surmount the constraints linked with traditional construction projects, thereby augmenting their productivity and effectiveness. However, the neglect to investigate the causal relationship between implementation and construction project management performance has resulted from a lack of understanding and awareness regarding the consequences of digital twinning implementation, combined with a shortage of expertise among construction professionals. Consequently, this paper extensively explores the relationship between digital twinning implementation and construction project management performance. The Innovation Diffusion Theory (IDT) is employed to investigate this relationship, utilizing a quantitative research approach through document analysis and questionnaire surveys. Additionally, partial least squares structural equation modeling (PLS-SEM) with SmartPLS software is employed to deduce the relationship. The results underscore that digital twinning implementation significantly improves construction project management performance. Despite recognizing various challenges in digital twinning implementation, when regarded as moderating factors, these challenges do not significantly impact the established causal relationship. Therefore, this investigation aligns with the national push toward the digitalization of the construction sector, highlighting the positive impacts of digital twinning implementation on construction project management performance. Moreover, this study details the impacts of implementing digital twinning from the construction industry’s perspective, including positive and negative impacts. Afterwards, this paper addresses the existing research gap, providing a more precise understanding and awareness among construction industry participants, particularly in developing nations.

Maintaining balance is essential for daily activities; deficits in hearing-impaired adolescents can severely impact their academics and daily life. Suspension training is employed to enhance the coordination of multiple muscle groups within the body and ultimately to improve balance. A total of 105 students with non-genetic hearing impairments, comprising 65 boys and 40 girls, participated in the study. Balance training using the TRS suspension belt included exercises such as prone elbow brace, supine back brace, kneeling elbow brace, lateral elbow brace, prone hip flexion, and supine hip lift. Strength training using equipment involved exercises like single-leg suspension squat, flying bird brace, supine suspension arm flexion, seated static brace, and standing butterfly pinch chest. The main outcome measures included static balance tests (lambda footwork, Wolfson postural stress test), dynamic balance tests (functional forward reach test, balance beam walk test), and vestibule function tests (rotation-walk test). The results of the lambda footwork and Wolfson postural stress tests revealed highly significant differences between 8 weeks and 16 weeks of intervention (p < 0.01). The Functional Forward Stretch test demonstrated a significant difference between 8 weeks of intervention and 2 weeks of intervention at 16 weeks (p < 0.05). The balance beam walking test indicated a significant improvement at 8 weeks (p < 0.05) and a highly significant improvement at 16 weeks (p < 0.01). In the spin-walk test, no statistically significant differences were observed between the pre-experimental test, the 8-week intervention, and the 16-week intervention (p > 0.05). Leveraging the expropriation system to mediate skeletal muscle movement and muscle contraction coordination can improve balance. Suspension training significantly improved balance during activities requiring static non-interference maintenance. However, suspension training did not demonstrate a significant effect on improving vestibule function. Overall, suspension training was effective in enhancing balance in all patients with non-hereditary deafness.

Currently, there is little study on managing organizational silence in Malaysia post COVID-19 pandemic. This study aims to examine the determinants of organizational silence and the impacts of silence on private sectors and employees. The target respondents are two hundred individuals above 21 years old working in private sectors across Malaysia. Purposive sampling is selected for this study because the target respondents must be individuals working in private sectors across Malaysia. The strongest predictor of organizational silence is the attitudes of immediate superior, followed by attitudes of top management and communication opportunities. This study provides valuable information to the employees and management in the private sector to recognize the behaviors that will create silence within the organization.

Background: According to the 2023 World Economic Forum report, the impact of Artificial Intelligence (AI) and automation on the job market was more significant than originally projected. Although 2018 research forecasted significant job losses balanced by job creation, current data indicates otherwise. Between 2023 and 2027, it is anticipated that 69 million new jobs will be created due to advancements in AI, however, this will be offset by the loss of 83 million jobs, leading to a net decrease of 14 million jobs worldwide. Roles related to AI, digitalization, and sustainability, such as AI specialists and renewable energy engineers are expected to grow, while those in clerical and administrative sectors are most at risk of decline. This shift underscores the need for reskilling and adapting to evolving fields, as nearly 44% of workers skills will face disruption by 2027. The demand for analytical thinking, technological literacy, and adaptability will grow as companies increasingly adopt frontier technologies. Objectives: (1) identify key variables influencing adaptability of college graduates in Indonesia, (2) quantify the strength of relationships between these variables to understand the combined effect on graduate adaptability. The research also aims to (3) develop theoretical and practical recommendations to strengthen ICIL policy and equip students with the relevant skills needed to thrive in an ever-changing job market. Methodology: The research focuses on predicting future employment trends, adaptability, and learning agility (LA), along with the implications for improving the Independent Campus Independent Learning (ICIL) policy. It focused on the significant unemployment rate among college graduates, along with the lack of research on the relationship between job change predictions, graduates’ adaptability, and the impact on graduates’ general well-being. The mixed-method strategy with quantitative analysis was used to conduct this research with data collected from 284 ICIL participants through online survey. The gathered data was evaluated using Structural Equation Modeling (SEM) with Lisrel version 10. Results: The result showed that job trend projections significantly influence responsiveness, which demonstrated a robust association between employment trend predictions and LA. Responsiveness significantly influenced learning agility which indicated no significant direct association between job trend projections and graduate adaptability. Conclusion: The research emphasized the need to consider adaptability as a concept with multiple dimensions. It proposed incorporating these factors into strategies for education and human resources development in order to better equip graduates for the demands of a constantly changing work market. Unique contribution: This research focused on adaptability as a multifaceted concept that consist of the ability to forecast job trends, be sensitive, and possess LA. It offered a deeper understanding of the relationships between these variables as discussed in the human resources literature. Technology, corporate culture, and training played a critical role in connecting employment trend prediction with the ability to respond effectively. Key recommendation: Institutions should implement a comprehensive approach to the development of human resources, with emphasis on fostering critical thinking, analytical abilities, and the practical application of information. By employing these tactics, higher education institutions may effectively equip graduates with both academic proficiency and the ability to adapt and thrive in quickly changing organizational environments, leading to the production of robust and versatile workers.

Climate change has adverse effects on ecosystems and several socio-economic sectors including health. Indeed, infrastructure, continuity of medical services, and the hospital environment are all directly affected by the effects of climate-related risks. This study aims to describe the observations of the effects of climate change risks on health systems in the Greater Lomé health region of Togo. We used an interview guide and a questionnaire to collect information. The observations allowed us to assess the effects caused by climate risks. According to the results, 84.62% of respondents attest that health centers experience flooding during rainy periods and damage caused by strong winds is noticeable among 76.92% of respondents. More than 25.40% and 61.86% respectively of respondents mention that droughts and floods have effects on health systems. The results of this study will allow health system managers to become aware of how to plan useful actions to facilitate the management of climate-related risks in health facilities in the Greater Lomé health region. In view of all these results, it is necessary that measures be taken to strengthen the resilience of health systems through awareness campaigns and training of actors throughout the health pyramid.