Introduction: 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 primary objectives of the Semmelweis Plan include the optimisation and transformation of the health care system, starting with the integration of hospitals and the state control of previously municipally owned hospitals. The transformation of the health care system can have an impact on health services and thus on meeting the needs of the population. In addition to reducing health inequalities and costs, the relevant benefits include improving patients’ chances of recovery and increasing patient safety. The speciality under study is decubitus care. Our hypothesis is that integration will improve the chances of recovery for decubitus patients through access to smart dressings to promote patient safety. Objective: to investigate and demonstrate the effectiveness of integration in improving the chances of recovery for decubitus ulcer patients. Material and methods: The research compared two time periods in the municipality of Kalocsa, Bács-Kiskun County, Southern Hungary. We collected the number of decubitus patients arriving and leaving the hospital from the nursing records and compared the pre-integration period when decubitus patients were provided with conventional dressings (01.01.2006–2012.12.31) and the post-integration period, which entailed the introduction of smart dressings in decubitus care (01.01.2013–2012.12.31). The target population of the study was men and women aged 0–99 years who had developed some degree of decubitus. The sample size of the study was 4456. Independent samples t-test, Chow test and linear trend statistics were used to evaluate the results. Based on the empirical evidence, a SWOT analysis was conducted to further examine the effectiveness of integration. Results: The independent samples t-test model used was significant (for Phase I: t (166) = −16.872, p < 0.001; for Phase II: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −16.872, p < 0.001). For stage III: t (166) = −10.078, p < 0.001; for stage IV: t (166) = −10.078, p < 0.001; for stage III: t (166) = −10.078, p < 0.001). for stage III: t (166) = −14.066, p < 0.001). For the Chow test, the p-values were highly significant, indicating a structural break. Although the explanatory power of the regression models was variable (R-squared values ranged from 0.007 to 0.617), they generally supported the change in patient dynamics after integration. Both statistical analyses and SWOT analysis supported our hypothesis and showed that integration through access to smart dressings improves patients’ chances of recovery. Conclusions: Although only one segment of the evidence on the effectiveness of hospital integration was examined in this study, integration in the study area had a positive impact on the effective care of patients with decubitus ulcers, reduced inequalities in care and supported patient safety. In the context of the results obtained, these trends may reflect different systemic changes in patient management strategies in addition to efficient allocation of resources and quality of care.

This study evaluates the health and sustainability of higher education systems in nine countries: the USA, UK, Australia, Germany, Canada, China, Brazil, India, and South Africa. Using a multi-level analysis model and principal component analysis (PCA), nine key factors—such as international student numbers, academic levels, and graduate employment rates—were identified, capturing over 90% of the cumulative impact on higher education systems. India, scoring 6.2036 initially, shows significant room for improvement. The study proposes policies to increase graduate employment, promote international faculty collaboration, and enhance India’s educational expenditure, which surpasses 9.8% of GDP. Post-policy simulations suggest India’s score could rise to 8.7432. The paper also addresses the impact of COVID-19 on global education, recommending a hybrid model and increased graduate enrollment in China to reduce unemployment by 5.4%. The research aims to guide sustainable development in higher education globally.

Background: Sustainability plays a crucial role in the development of the education sector. It is analyzed that higher education institutions (HEIs) continuously working on the adoption of sustainable practices for carrying out business operations in the long run. Agenda 2030 is a comprehensive, multifaceted strategy that serve as an important framework for the comparison to uphold different principles. Additionally, the UN 2030 Agenda concerning sustainable development is introduced as global idea of balanced development. The 2030 Agenda and SDGs representing the program related to global development programs. Higher education institutions also working on the adoption of sustainable development perspective and the issues linked with them. Aim: The main aim of the study is to determine the level of knowledge, awareness, and attitude of the university community for achieving sustainability in HEIs. Policy Implementation: Adopting sustainable behavior is encouraged when policies are implemented well. Universities have the authority to develop and implement sustainability policies that set guidelines and requirements. Topics like waste reduction, environmentally friendly transportation, and environmentally friendly buying may be covered by the sustainability policies. Acting sustainably is encouraged among university community members through the implementation of sustainability policies. Conclusion: Findings stated efforts across sectors for the promotion of awareness and alignment with the 2030 Agenda consider a comprehensive strategy for addressing humanity, nature, and human rights. In higher education institutions, the role of education emerges as pivotal, developing green practices, development of campuses, and attracting students globally. In HEIs green practices are carried out for the development of the campus and activities in the future terms. Universities also supported in the adoption of sustainability in working education institutes international students are also attracted to them. It is identified that educators are playing an important role in achieving sustainability aspects in the education sector.

Increasing number of smart cities, the rise of technology and urban population engagement in urban management, and the scarcity of open data for evaluating sustainable urban development determines the necessity of developing new sustainability assessment approaches. This study uses passive crowdsourcing together with the adapted SULPiTER (Sustainable Urban Logistics Planning to Enhance Regional freight transport) methodology to assess the sustainable development of smart cities. The proposed methodology considers economic, environmental, social, transport, communication factors and residents’ satisfaction with the urban environment. The SULPiTER relies on experts in selection of relevant factors and determining their contribution to the value of a sustainability indicator. We propose an alternative approach based on automated data gathering and processing. To implement it, we build an information service around a formal knowledge base that accumulates alternative workflows for estimation of indicators and allows for automatic comparison of alternatives and aggregation of their results. A system architecture was proposed and implemented with the Astana Opinion Mining service as its part that can be adjusted to collect opinions in various impact areas. The findings hold value for early identification of problems, and increasing planning and policies efficiency in sustainable urban development.

Purpose: This study investigates the mediating effect of Environmental Attachment (EA) among consumers in an emerging market, concentrating on the impact of two key factors: Green Environmental Awareness (GEA) and Sense of Responsibility (SOR) on Sustainable Product Consumption (SPC). Design/methodology/approach: A thorough online survey was carried out with Google Docs and distributed to 304 Pakistani consumers who now use or are considering purchasing sustainable or green products. Structural Equation Modeling (SEM) was used to rigorously test the suggested model utilizing a non-probability sampling technique, specifically the stratified purposive sampling approach. Findings: Green environmental awareness (GEA) and a sense of responsibility (SOR) have been shown to have a substantial impact on creating environmental attachment (EA) in both existing and potential customers of sustainable products. The findings of this study also revealed that environmental attachment (EA) plays an important role as a mediator in the links between green environmental awareness (GEA) and the consumption of sustainable goods (SPC), as well as between a sense of responsibility (SOR) and SPC. Despite this, it is crucial to note that the projected direct effect of GEA on SPC was shown to be statistically insignificant. This conclusion implies that additional factors outside the scope of this study may influence the relationship between GEA and SPC. Research limitations/implications: It is vital to highlight that the focus of this study is on an online sample of consumers near Punjab, Pakistan. Future studies should look at other parts of Pakistan to acquire a more complete picture of sustainable consumption trends. Furthermore, our findings suggest that characteristics impacting sustainable consumption, such as Green Environmental Awareness (GEA) and Sense of Responsibility (SOR), may differ among countries. As a result, performing a comparison analysis involving two or more countries could provide valuable insights into projecting sustainable product consumption among current and potential sustainable product customers. Originality/Value: This study contributes to the literature by investigating the factors of sustainable consumption using the lens of the Norm Activation Model theory (NAM), notably Green Environmental Awareness (GEA) and Sense of Responsibility (SOR), to predict sustainable product consumption. The findings are important for promoting long-term goals in Pakistan and provide a framework that can be applied in other emerging markets.

The expansion of road networks, taken place during the last decades, was driven by technological progress and economic growth. The most innovative products of this trend—modern motorways and international road corridors—provide an excellent level of service, traffic safety and necessary information to travelers. However, despite this undeniable progress, major impediments and respective challenges to road authorities and operators still remain. The present paper analytically presents the main current challenges in the road engineering field, namely: a) financing new projects, b) alternative energy resources, especially renewable energy, c) serviceability, including maintenance of road infrastructure, traffic congestion and quality of the network, d) climate change hazards due to greenhouse gas emissions increase, e) environmental impacts, f) safety on roads, streets and motorways, and g) economy and cost-effectiveness. In each country and over each network, challenges and concerns may vary, but, in most cases, competent authorities, engaged in road development policies, have to deal with most of these issues. The optimization of the means to achieve the best results seems to be an enduring stake. In the present paper, the origin and the main features of these challenges are outlined as well as their tendency to get amplified or diminished under the actual evolving economic conditions worldwide, where growth alternates with crisis and social hardship. Moreover, responses, meant to provide solutions to the said challenges, are suggested, including research findings of Aristotle University and innovative technological achievements, to drive the transition to a more sustainable future.