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.

The quest for quality postgraduate research productivity through education is on the increase. However, in the context of the African society, governance structures and policies seem to be impacting on the quality level of the provided education. Hence, this conceptual study explored the roles of governance structures and policies in enhancing and ensuring quality postgraduate education programmers in African institutions of higher learning. To this end, various relevant literature was reviewed. The findings showed amongst others that governance structures and policies affect the quality of education provided. Meanwhile, other factors such as curriculum, foreign influence, lack of resources, training, amongst others contribute to the quality of education provided. The study concludes that there is need for the current structures of governance and the designed and implemented policies for postgraduate education to be reviewed and adjusted towards ensuring the desired transformation.

Considering the role of tourism in promoting sustainable practices in destinations, this study aims to map the scientific literature on footprint calculators in the last three years (2020–2023) with a focus on the tourism context. The method adopted is a scoping review with a qualitative and exploratory approach, using the Scopus database. The originality of this research lies in the study of publications related to footprint calculators with a focus on the tourism sector. Based on the analysis carried out, the main results show that the study of footprint calculators applied to the tourism sector has had little prominence in the indexed research in the Scopus database during the specific period considered for this study. Consequently, the conclusion of the study highlights the marginality of the tourism sector in the discussion of footprint calculators in the last 3 years of scientific publications.

Global warming is a problem that affects humanity; hence, crisis management in the face of natural events is necessary. The aim of the research was to analyze the passage of Hurricane Otis through Acapulco from the theoretical perspective of crisis management, to understand the socio-environmental, economic, and decision-making challenges. For data collection, content analysis and hemerographic review proved useful, complemented by theoretical contrastation. Findings revealed failures in communication by various government actors; the unprecedented growth of Hurricane Otis led to a flawed crisis management. Among the physical, economic, environmental, and social impacts, the latter stands out due to the humanitarian crisis overflow. It is the first time that Acapulco, despite having a tradition in risk management against hydrometeorological events, faces a hurricane of magnitude five on the Saffir-Simpson scale. Ultimately, the city was unprepared to face a category five hydrometeorological event; institutional responses were overwhelmed by the complexity of the crisis, and the community came together to improve its environment and make it habitable again.

With the rising global consumer demand for green and healthy food, the tea industry is facing unprecedented competitive pressure. Therefore, how to build tea enterprises with sustainable competitiveness has become a key issue facing the industry. This paper firstly reviews the concept of traceability systems and their evolution and, based on the theory of enterprise competitive advantage, explores the influence mechanism of traceability as a strategic resource on the long-term competitiveness of tea enterprises; secondly, it analyzes the multi-dimensional role of traceability on enterprise competitiveness from five aspects, namely, quality and safety control and guarantee, brand image shaping and trust construction, market dynamics response and consumer feedback, risk response and product recall, as well as technological innovation and efficiency enhancement; finally, combined with the above analysis, this paper constructs a theoretical framework for the competitiveness of tea enterprises, integrates the impact of traceability in different dimensions, and proposes a multi-level competitiveness enhancement model. Through this framework, tea enterprises can more comprehensively understand and grasp the close relationship between traceability and the long-term competitive advantage of enterprises and then make strategic adjustments according to their own actual situation so as to realize sustainable competitiveness enhancement in the future market competition.