Hospital waste containing antibiotics is toxic to the ecosystem. Ciprofloxacin is one of the essential, widely used antibiotics and is often detected in water bodies and soil. It is vital to treat these medical wastes, which urge new research towards waste management practices in hospital environments themselves. Ultimately minimizes its impact in the ecosystem and prevents the spread of antibiotic resistance. The present study highlights the decomposition of ciprofloxacin using nano-catalytic ZnO materials by reactive oxygen species (ROS) process. The most effective process to treat the residual antibiotics by the photocatalytic degradation mechanism is explored in this paper. The traditional co-precipitation method was used to prepare zinc oxide nanomaterials. The characterization methods, X-Ray diffraction analysis (XRD), Fourier Transform infrared spectroscopy (FTIR), Ulraviolet-Visible spectroscopy (UV-Vis), Scanning Electron microscopy (SEM) and X-Ray photoelectron spectroscopy (XPS) have done to improve the photocatalytic activity of ZnO materials. The mitigation of ciprofloxacin catalyzed by ZnO nano-photocatalyst was described by pseudo-first-order kinetics and chemical oxygen demand (COD) analysis. In addition, ZnO materials help to prevent bacterial species, S. aureus and E. coli, growth in the environment. This work provides some new insights towards ciprofloxacin degradation in efficient ways.
Introduction, purpose of the study: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The Health Plan aims to optimize and transform the health system. The objectives of hospital integration, as set out in the Plan, started with the state ownership of municipal hospitals in 2012, continued with the launch of integration processes in 2012–2013 and culminated today. The transformation of a health system can have an impact on health services and thus on meeting the needs of the population. We aim to study the effectiveness of integration through access to CT diagnostic testing. Our hypothesis is that integration has resulted in increased access to modern diagnostic services. The specialty under study is computed tomography (CT) diagnostic care. Our research shows that the number of people receiving CT diagnostic care has increased significantly because of integration, which has also brought a number of positive benefits, such as reduced health inequalities, reduced travel time, costs and waiting lists. Test material and method: Our quantitative retrospective research was carried out in the hospital of Kalocsa through document analysis. The research material was comparing two time periods in the Kalocsa site of Bács-Kiskun County, Southern Hungary. The number of patients attending CT examinations by area of duty of care according to postal codes was collected: Pre-integration period 2014.01.01–2017.11.30. (Kalocsa did not have CT equipment, so patients who appeared in Kecskemét Hospital but were under the care of Kalocsa), post-integration period 2017.12.01–2019.12.31. (period after the installation of CT in Kalocsa). The target group of the study consisted of women and men together, aged 0–99 years, who appeared for a CT diagnostic examination. The study sample size was 6721 persons. Linear regression statistics were used to evaluate the results. Based on empirical experience, a SWOT analysis was carried out to further investigate the effectiveness of integration. Results: As a result of the integration, the CT scan machine purchased in the Kalocsa District Hospital has enabled an average of 129.7 patients per month to receive CT scans on site without travelling. The model used is significant, explaining 86% of the change in the number of patients served (F = 43.535; p < 0.001, adjusted R2 = 0.860). The variable of integration in the model is significant, with an average increase in the number of patients served of 129.7 per month (t = 22.686; p < 0.001) following the introduction of CT due to integration. None of the month variables representing seasonal effects were found to be significant, with no seasonal effect on care. The SWOT analysis has clearly identified the strengths, weaknesses, opportunities and threats related to the integration, the main outcome of which is the acquisition of a CT diagnostic tool. Conclusions: Although we only looked at one segment of the evidence for the effectiveness of hospital integration, integration in the study area has had a positive impact on CT availability, reducing disparities in care.
2050 building stock might be buildings that already exist today. A large percentage of these buildings fail today’s energy performance standards. Highly inefficient buildings delay progress toward a zero-carbon-building goal (SDGs 7 and 13) and can lead to investments in renewable energy infrastructure. The study aims to investigate how bioclimatic design strategies enhance energy efficiency in selected orthopaedic hospitals in Nigeria. The study objective includes Identifying the bioclimatic design strategies that improve energy efficiency in orthopaedic hospitals, assessing the energy efficiency requirements in an orthopaedic hospital in Nigeria and analysing the effects of bioclimatic design strategies in enhancing energy efficiency in an orthopaedic hospital in Nigeria. The study engaged a mixed (qualitative and quantitative) research method. The investigators used case study research as a research design and a deductive approach as the research paradigm. The research employed a questionnaire survey for quantitative data while the in-depth Interview (IDI) guide and observation schedule for qualitative data. The findings present a relationship between bioclimatic design strategies and energy conservation practices in an orthopaedic hospital building. Therefore, implementing bioclimatic design strategies might enhance energy efficiency in hospital buildings. The result of the study revealed that bioclimatic hospital designs may cost the same amount to build but can save a great deal on energy costs. Despite the challenges, healthcare designers and owners are finding new ways to integrate bioclimatic design strategies into new healthcare construction to accelerate patient and planet healing.
The Hungarian tourism and hospitality industry has faced serious challenges in recent years. The tourism and hospitality sector has been confronted with severe challenges in recent years. Even after the end of the pandemic, the industry has not seen the expected recovery, as rising inflation, declining discretionary income and a lack of foreign tourists have further hampered the industry. The hotel market in Budapest in particular has been significantly affected by these developments. Despite the difficulties, investors continue to see opportunities in the market. One example is the purchase by a group of real estate investors of an under-utilised leisure centre in District VII, which they intend to convert into a hotel. Our study is part of this project and its primary objective is to define the parameters of the future hotel and analyse the market opportunities and challenges. Our research focuses on the hotel market in Budapest and uses methods such as benchmarking, STEEP and SWOT analyses, as well as four in-depth interviews with key players in the market. The benchmarking examined the operations of hotels in the capital, while the in-depth interviews provided practical experience and insider perspectives. On the basis of the interviews and analyses, the study identifies possible directions for improvement and factors for competitive advantage.
The study aims to investigate the impact of digital leadership on sustainable competitive advantage, digital talent, and knowledge workers. Additionally, it explores the mediating role of digital talent (DT) and knowledge workers (KW) in the relationship between digital leadership (DL) and sustainable competitive advantage (SC), using the Technology Acceptance Model (TAM) as its theoretical foundation. The researchers employed Partial Least Squares Structural Equation Modeling (PLS-SEM) to examine survey data from 784 employees working in Egyptian travel agencies and tour operators. The results demonstrate that DL significantly enhances SC, DT, and KW. Moreover, DT and KW were shown to positively contribute to SC and serve as partial mediators in the relationship between DL and SC. The findings highlight the crucial role of developing DT and creating an environment that embraces technological acceptance and innovation. This approach amplifies the strategic effectiveness of DL, ultimately contributing to long-term organizational success.
Over the last two decades, governance for global health has garnered more attention from policymakers, decision-makers, and scholars from several disciplines. The health sector has also become more dynamic and complicated as a result of several factors that have influenced organizational development. The issue of sustainability is clearly raised with specific emphasis and urgency in the context of the global healthcare system. Some countries have been altering their healthcare systems to improve healthcare performance. University hospitals as the main providers of high-quality healthcare services in China, have an irreplaceable role in promoting the construction of healthy China. This study strategic triangle as an analytical framework to identify the key factors that influence university hospital in China and better comprehend how public value is conceptualized and implemented in practice. The study was conducted by qualitative method, five university hospitals designated as “Grade A tertiary hospitals” and semi-structed interviews were carried out with 33 participants, including experts, university hospital leadership level, and basic level. The study revealed that there are eight (8) major factors influencing the development of university hospitals in China. University hospital administrators must be prepared to assess and respond to factors that enhance or hinder implementation continuously and methodically. These insights can be used to improve early preparedness, but additional study in this area is required to better understand the driving factors, action models, and techniques for achieving sustainable development in university hospitals.
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