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 examines the factors influencing e-government adoption in the Tangerang city government from 2010 to 2022. We gathered statistics from multiple sources to reduce joint source prejudice, resulting in a preliminary illustration of 1670 annotations from 333 regions or cities. These regions included major urban centers such as Jakarta, Surabaya, Bandung, Medan, Makassar, and Denpasar, as well as other significant municipalities across Indonesia. After removing anomalous values, we retained a final illustration of 1656 annotations. Results indicate that higher-quality digital infrastructure significantly boosts e-government adoption, underscoring the necessity for resilient digital platforms. Contrary to expectations, increased budget allocation for digital initiatives negatively correlates with adoption levels, suggesting the need for efficient spending policies. IT training for staff showed mixed results, highlighting the importance of identifying optimal training environments. The study also finds that policy adaptability and organizational complexity moderate the relationships between digital infrastructure, budget, IT training, and e-government adoption. These findings emphasize the importance of a holistic approach integrating technological, organizational, and policy aspects to enhance e-government implementation. The insights provided are valuable for policymakers and practitioners aiming to improve digital governance and service delivery. This study reveals the unexpected negative correlation between budget allocation and e-government adoption and introduces policy adaptability and organizational complexity as critical moderating factors, offering new insights for optimizing digital governance.

This research explores the critical influence of corporate culture on small and medium-sized enterprises’ (SMEs) crisis response abilities under varied cross-cultural environments. Amid the disruptive backdrop of the COVID-19 pandemic, SMEs globally have faced unprecedented challenges. This study addresses a gap in the existing literature by conducting a cross-cultural analysis of SMEs in China, Thailand, and Germany to understand how corporate culture affects crisis management. Utilizing a competitive cultural value model, the research categorizes corporate culture into four dimensions: group culture, development culture, hierarchy culture, and rational culture. These cultural dimensions are investigated in relation to their impact on crisis response abilities. Additionally, national cultural dimensions such as individualism and uncertainty avoidance are examined as moderating variables. The findings reveal that group and development cultures positively influence crisis response abilities, enhancing organizational resilience and adaptability. Conversely, hierarchy culture negatively affects crisis management, hindering flexible response strategies. Rational culture supports structured crisis response through goal-oriented practices. National culture significantly moderates these relationships, with individualism and high uncertainty avoidance impacting the effectiveness of organizational cultural dimensions in crisis scenarios. This study offers theoretical advancements by integrating cultural dimensions with crisis response strategies and provides practical implications for SMEs striving to enhance their resilience and adaptability in a globalized business environment.

The cars industry has undergone significant technological advancements, with data analytics and artificial intelligence (AI) reshaping its operations. This study aims to examine the revolutionary influence of artificial intelligence and data analytics on the cars sector, particularly in terms of supporting sustainable business practices and enhancing profitability. Technology-organization-environment model and the triple bottom line technique were both used in this study to estimate the influence of technological factors, organizational factors, and environmental factors on social, environmental (planet), and economic. The data for this research was collected through a structured questionnaire containing closed questions. A total of 327 participants responded to the questionnaire from different professionals in the cars sector. The study was conducted in the cars industry, where the problem of the study revolved around addressing artificial intelligence in its various aspects and how it can affect sustainable business practices and firms’ profitability. The study highlights that the cars industry sector can be transformed significantly by using AI and data analytics within the TOE framework and with a focus on triple bottom line (TBL) outputs. However, in order to fully benefit from these advantages, new technologies need to be implemented while maintaining moral and legal standards and continuously developing them. This approach has the potential to guide the cars industry towards a future that is environmentally friendly, economically feasible, and socially responsible. The paper’s primary contribution is to assist professionals in the industry in strategically utilizing Artificial Intelligence and data analytics to advance and transform the industry.

It is critical for urban and regional planners to examine spatial relationships and interactions between a port and its surrounding urban areas within a region’s spatial structure. This paper seeks to develop a targeted framework of causal relationships influencing the spatial structure changes in the Bushehr port-city. Hence, the study utilizes Fuzzy Cognitive Maps (FCMs), a computational technique adept at analyzing complex decision-making processes. FCMs are employed to identify concepts that act as drivers or barriers in the spatial structure changes of Bushehr port-city, thereby elucidating the causal relationships within this context. Additionally, the study evaluates these concepts’ relative significance and interrelationships. Data was collected through interviews with ten experts from diverse backgrounds, including specialists, academics, policymakers, and urban managers. The insights from these experts were analyzed using FCMapper and Pajek software to construct a collective FCM, which depicts the influential and affected concepts within the system. The resulting collective FCM consists of 16 concepts, representing the varied perspectives and expertise of the participants. Among these, the concepts of management and planning reform, economic growth of the city-port, and port development emerged as the three most central concepts. Moreover, the effects of all influential concepts on the spatial structure change in Bushehr port-city were evaluated through simulations conducted across four different scenarios. The analysis demonstrated that the system experiences the most significant impact under the fourth scenario, where the most substantial changes are observed in commercial and industrial growth and the planning of port-city separation policies.

Preserving roads involves regularly evaluating government policy through advanced assessments using vehicles with specialized capabilities and high-resolution scanning technology. However, the cost is often not affordable due to a limited budget. Road surface surveys are highly expected to use low-cost tools and methods capable of being carried out comprehensively. This research aims to create a road damage detection application system by identifying and qualifying precisely the type of damage that occurs using a single CNN to detect objects in real time. Especially for the type of pothole, further analysis is to measure the volume or dimensions of the hole with a LiDAR smartphone. The study area is 38 province’s representative area in Indonesia. This research resulted in the iRodd (intelligent-road damage detection) for detection and classification per type of road damage in real-time object detection. Especially for the type of pothole damage, further analysis is carried out to obtain a damage volume calculation model and 3D visualization. The resulting iRodd model contributes in terms of completion (analyzing the parameters needed to be related to the road damage detection process), accuracy (precision), reliability (the level of reliability has high precision and is still within the limits of cost-effective), correct prediction (four-fifths of all positive objects that should be identified), efficient (object detection models strike a good balance between being able to recognize objects with high precision and being able to capture most objects that would otherwise be detected-high sensitivity), meanwhile, in the calculation of pothole volume, where the precision level is established according to the volume error value, comparing the derived data to the reference data with an average error of 5.35% with an RMSE value of 6.47 mm. The advanced iRodd model with LiDAR smartphone devices can present visualization and precision in efficiently calculating the volume of asphalt damage (potholes).