USGPC is a procedure with few complications and a high success rate. In patients with acalculous cholecystitis as well as in many patients with calculous cholecystitis, no further treatment was needed.

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This paper deepens the understanding of the lead factory concept by examining how the lead factory role is operationalised and what challenges are associated with it. The research is based on an explorative case study of eight Swedish lead factories in the manufacturing industry. The empirical findings suggest that the understanding of the lead factory concept should be extended as it is not restricted to one type of set-up. The findings show a spectrum ranging from an entire manufacturing plant, parts of a plant, to a virtual plant considered to be the lead factory. The research also shows a broad range of challenges experienced by lead factories. Several of these are related to and originate from unclear role, responsibility and mandate of the lead factory. The lack of dedicated resources for lead factory activities, specifically long-term development and difficulties in measuring the benefits of the role, were other challenges faced.

The current demographic development puts even greater demands on the healthcare sector which is already struggling with scarce resources and constant pressure of cost reductions. This paper, through multiple case studies, aims to describe how automation of hospital internal logistics can be a tool in improving e±ciency. The results include several potential implementations for patient transports, waste handling and small goods transports. However, organizational issues as lack of ownership and a strategic view render di±culties and need to be dealt with. The authors conclude that transfer of knowledge and technology used in the manufacturing industry would be bene¯cial.

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Needs for new competences and knowledge arise as industry 4.0 evolves in increasingly digitalized production. This development entails that job transformations and future skills need attention from the perspective of industry 5.0, where human and machine find ways of working together to improve production performance. Facing this perspective, one challenge is a growing need for novel lifelong learning initiatives, to meet emerging and altering occupations for the fulfilment of future skill requirements. This challenge is addressed here by portraying a case where three Swedish universities have formed a distinctive collaboration to develop a flexible (i.e. blended) course for professionals, in the subject of Digitally-enabled production. The purpose is to develop a sustainable collaboration between the universities and create a course format on master level addressing lifelong learning for the increasingly digitalized production. The ambition is to increase the impact of the universities respective efforts by sharing resources and utilizing individual specialized expertise to develop a practical and relevant course that can reach a larger target group. The course encompasses industry 4.0 readiness on three levels of production systems; plant-, production cell-, and component level; to adopt a holistic view of digitalization in production. We followed an action research approach for continuously collecting and documenting our experiences during the course development, implementation, and dissemination of the course. Within the frame of action research, an explorative case study describes and analyzes the initiative. The results highlight challenges and opportunities for succeeding with this form of co-produced course. The joint course gives professionals possibilities to work on cases from their own companies with expert supervision from three manufacturing levels to address complex challenges in industry 4.0 implementation. To conclude, the importance of lifelong learning in relation to the human-centric approach of industry 5.0 is emphasized as a future direction.