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This study aims to evaluate two bacterial cellulose (BC) films as an alternative textile surface suitable for use in the manufacture of clothing prototypes.

A combination of experiments for the production and characterization of BC films with traditional techniques for sewing fabrics was carried out. BC films were produced from the bacterum Gluconacetobacter hansenii UCP1619 and from Kombucha, a consortium of microorganisms grown on sugared tea. The BC films were then purified, characterized by scanning electron microscopy (SEM) and evaluated for mechanical strength. Two clothing prototypes were developed by combining BC films with a flat fabric composed of 70% linen and 30% polyester to assess the viability of the garment for future clothing making using biomaterials.

The results showed that the combination of flat fabric with BC-based biomaterials is a viable alternative for the innovative use of BC films in the manufacture of apparel products, especially after optimizing the mechanical properties of the artefact.

BC application studies in the textile industry are still in their early stages, although they are attracting more and more the attention of researchers around the world. The experiments carried out in this research provide new information on the handling and application of this material in innovative products for the textile industry.

This paper aims to evaluate the measurement properties of the Employee Perception to Assess the Lean Implementation Tool (EPLIT) in the Brazilian hospital context.

A cross-sectional study was conducted in two Brazilian hospitals, adhering to COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) guidelines. Exploratory factor analysis (EFA) and Cronbach's alpha were used for construct validity and reliability.

The adapted tool comprises 27 items across five domains, explaining 63.3% of the variance. Cronbach's alpha ranged from 0.78 to 0.86, indicating satisfactory reliability.

Limitations include convenience sampling and exclusive use of EFA for validation. Future studies may employ Confirmatory Factor Analysis for further validation.

The tool aids healthcare managers in Brazil to systematically evaluate Lean implementation, contributing to process optimization and quality improvement.

Effective Lean implementation using the validated tool could lead to improved healthcare delivery and patient outcomes.

This is the first study to adapt and validate EPLIT for the Brazilian healthcare sector, offering a robust tool for managers and researchers.