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This paper reflects on the work-integrated learning (WIL) program in an undergraduate Construction Engineering and Management (CEM) department in Indonesia. Given the industrial revolution that has transformed the construction industry into Construction 4.0, concrete steps are needed to bridge the needs of industry for professional workers who are aware of Construction 4.0 concepts. This study aims to develop a WIL model adjusting to Construction 4.0 concepts. A case study of the internship experience that has been conducted for four consecutive years was used to develop the model. This observation was reinforced by a questionnaire survey aimed at students, workplace supervisors and lecturers to evaluate the effectiveness of the internship program in achieving the learning outcomes. The results of this analysis coupled with the findings from the integrative literature review were used to develop a Construction 4.0 WIL model.

Effective communication is necessary for the success of construction project performance. Due to its nature, effective communication is required to coordinate all parties involved in construction projects such as owners, project managers, engineers, subcontractors, etc. Few previous studies have addressed the issues of construction project communication, particularly in the communication planning stage. This paper aimed to investigate how far the communication planning has been effectively implemented in several construction projects in Jakarta and measure how big the influence to project performance. It adopts a quantitative method by distributing questionnaire surveys to contractors and consultants in Jakarta. Descriptive statistics were used to analyse the data which presents that communication planning has been implemented by 78.02 % of the responses and significantly impact the project performances. This paper offers useful implications for practitioners on how construction project teams (from contractors and consultants) should carefully manage the communication process particularly during its planning stage.

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Botulinum Toxin (BTX) has been found to have anti-spasm and analgesic effects. The utility of BTX after conventional hemorrhoidectomy remains unclear. Thus, a systematic review and meta-analysis are required to find out its utility after conventional hemorrhoidectomy. Using specific keywords, we comprehensively go through the potential articles on PubMed, ClinicalTrials.gov, and Europe PMC sources until March 27th, 2022. All published studies on botulinum toxin anal sphincter injection after conventional hemorrhoidectomy were collected. We were using Review Manager 5.4 software to conduct statistical analysis. Five clinical trial studies with a total of 260 patients undergoing hemorrhoidectomy were included in the analysis Our pooled analysis revealed that BTX injection after hemorrhoidectomy was associated with lower VAS at 24 h post-operative [Mean Difference −1.35 (95% CI −1.90, −0.80), p < 0.00001, I2 = 0%] and shorter time to return work [Mean Difference −8.94 days (95% CI −12.57, −5.30), p < 0.00001, I2 = 0%]. However, BTX injection did not differ significantly from placebo in terms of time to first defecation (p = 0.22), fecal incontinence (p = 0.91) and urinary retention incidence (p = 0.18). BTX sphincter injection may offer some benefit after conventional hemorrhoidectomy in reducing pain from the first day after the procedure and promoting wound healing without complication. Further randomized clinical trials are still needed to confirm the results of our study. [ABSTRACT FROM AUTHOR]