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.

In order to study the temperature change trend of the surrounding geotechnical soil during the operation and thermal recovery of the medium-deep geothermal buried pipe and the influence of the geotechnical soil on the operational stability of the vertical buried pipe after thermal recovery. Based on the data of geological stratum in Guanzhong area and the actual engineering application of medium-deep geothermal buried pipe heating system in Xi’an New Area, the influence law of medium-deep geothermal buried pipe heat exchanger on surrounding geotechnical soil is simulated and analyzed by FLUENT software. The results show that: after four months of heating operation, in the upper layer of the geotechnical soil, the reverse heat exchange zone appears due to the higher fluid temperature; in the lower layer of the geotechnical soil, the temperature decreases more with the increase of depth and shows a linear increase in the depth direction; without considering the groundwater seepage, after eight months of thermal recovery of the geotechnical soil after heating, the maximum temperature difference after recovery is 3.02 ℃, and the average temperature difference after recovery is 1.30 ℃ The maximum temperature difference after recovery was 3.02 ℃ and the average temperature difference after recovery was 1.30 ℃. The geotechnical thermal recovery temperature difference has no significant effect on the long-term operation of the buried pipe, and it can be operated continuously and stably for a long time. Practice shows that due to the influence of various factors such as stratigraphic structure, stratigraphic pressure, radioactive decay and stratigraphic thermal conductivity, the actual stratigraphic temperature below 2000m recovers rapidly without significant temperature decay, fully reflecting the characteristics of the Earth’s constant temperature body.

The objectives achieved in the Paris Agreement to reduce greenhouse gas emissions and reduce dependence on fossil fuels have caused, in recent years, a growing importance on sustainability in companies in order to reduce Environmental, social and economic impacts. This study is focused on understanding how the variation in West Texas Intermediate crude oil prices affects the Dow Jones Sustainability Index, and therefore the companies included in it, and vice versa. The research aims to examine the statistical properties of both indices, using fractional integration methods, the fractional cointegration vector autoregressive (FCVAR) approach and the continuous wavelet transform (CWT) technique. The results warn of a change in trend, with the application of extraordinary measures being necessary to return to the original trend, while the analysis of cointegration and wavelet analysis measures reflect that an increase in those adopted based on sustainability by the different companies that make up the index imply a drop in the price of crude oil.

The objective of this research is to examine the effects of income inequality, governance quality, and their interaction on environmental quality in Asian countries. Time series data are obtained from 45 Asian countries for the period 1996–2020 for this empirical analysis. The research has performed various econometric tests to ensure the robustness and reliability of the results. We have addressed different econometric issues, such as autocorrelation, heteroskedasticity, and cross-sectional dependence, using the Driscoll-Kraay (DK) standard error estimation and endogeneity issues by the system generalized method of moments (S-GMM). The results of the study revealed that income inequality and governance quality have a positive impact on environmental degradation, while the interaction of governance quality with income inequality has a negative effect on it. In addition, economic growth, population growth, urbanization, and natural resource dependency are found to deteriorate the quality of the environment. The findings of the study offer insightful policies to reduce environmental degradation in Asian countries.

Objective: To evaluate the radiographic characteristics of dentigerous cysts (DC) diagnosed at the School of Stomatology of the Universidad Peruana Cayetano Heredia (UPCH) during the period of 2010–2017. Material and methods: Retrospective, descriptive, observational and cross-sectional study, where the panoramic radiographs of 37 cases of DC were selected. Results: The total number of diagnosed cases of dentigerous cysts was 233, which after inclusion and exclusion criteria, 37 cases were obtained, of which 45.9% of cysts were found in the second decade of life with a higher frequency of 51.4 percent for women, and a jaw predilection of 59.5% in all cases. In addition, it was found that 97.3% of the cases were radiolucent, defined limits were found in 67.6%, corticalized edges in 54.1% and unilocular in 94.6%. All dentigerous cysts were associated with a tooth, of which closed apex (48.6%) and tooth displacement (59.5%) were observed. The adjacent tooth was not affected in 56.8% of cases, but its hard lamina was affected (59.5%). The 68.2% of cases did not affect the basal mandibular cortex, but did displace the inferior dental canal (54.5%) and 46.7% of cases displaced the floor of the maxillary sinus. Conclusions: Most of the results obtained on the characteristics in the Peruvian population support previous studies reported in America, Europe and Asia. Radiographically the dentigerous cyst showed characteristics that support its clearly benign behavior.