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.

With the rapid increase in electric bicycle (e-bikes) use, the rate of associated traffic accidents has also escalated. Prior studies have extensively examined e-bike riders’ injury risks, yet there is a limited understanding of how their behavior contributes to these accidents. This study aims to explore the relationship between e-bike riders’ risk-taking behaviors and the incidence of traffic accidents, and to propose targeted safety measures based on these insights. Utilizing a mixed-methods approach, this research integrates quantitative data from traffic accident reports and qualitative observations from naturalistic studies. The study employs a binary logistic regression model to analyze risk factors and uses observational data to substantiate the model findings. The analysis reveals that assertive driving behaviors among e-bike riders, such as running red lights and speeding, significantly contribute to the high rate of accidents. Moreover, the lack of protective gear and inadequate safety training are identified as critical factors increasing the risk of severe injuries. The study concludes that comprehensive policy interventions, including stricter enforcement of traffic laws and mandatory safety training for e-bike riders, are essential to mitigate the risks associated with e-bike use. The findings advocate for an integrated approach to urban traffic management that enhances the safety of all road users, particularly vulnerable e-bike riders.

This study evaluates the effectiveness of measures aimed at reducing traffic violations, specifically focusing on wrong-way driving, at intersections in Loja, Ecuador. The high incidence of accidents at these intersections, often resulting from wrong-way driving and non-compliance with traffic regulations, underscores the critical need for effective strategies to enhance road safety. To address this issue, we adopted a multidisciplinary approach to assess the impact of two specific interventions: the implementation of official warnings and the presence of traffic officers at a selected intersection. Data collection involved recording instances of traffic violations, administering road safety surveys, and monitoring the implementation of these interventions. The post-implementation analysis sought to determine the effect of these measures on driver behavior and overall traffic safety. Our findings indicate that while the interventions succeeded in increasing awareness about traffic violations, they did not produce a significant reduction in undesirable driving behaviors. This suggests that, although the presence of warnings and traffic officers is beneficial in raising awareness, these measures alone may not be sufficient to effect substantial behavioral changes. The research provides valuable insights for the development of more comprehensive road safety strategies and emphasizes the need for further studies to explore and address the underlying causes of traffic violations.

The article considers an actual problem of organizing a safe and sustainable urban transport system. We have examined the existing positive global experience in both infrastructural and managerial decisions. Then to assess possible solutions at the stage of infrastructure design, we have developed the simulation micromodels of transport network sections of the medium-sized city (Naberezhnye Chelny) with a rectangular building type. The models make it possible to determine the optimal parameters of the traffic flow, under which pollutant emissions from cars would not lead to high concentrations of pollutants. Also, the model allows to obtain the calculated values of the volume of emissions of pollutants and the parameters of the traffic flow (speed, time of passage of the section, etc.). On specific examples, the proposed method’s effectiveness is shown. Case studies of cities of different sizes and layouts are implementation examples and possible uses proposed by the models. This study has shown the rationality of the suggested solution at the stage of assessing infrastructure projects and choosing the best option for sustainable transport development. The proposed research method is universal and can be applied in any city.

Food safety in supply chains remains a critical concern due to the complexity of global distribution networks. This study develops a conceptual framework to evaluate how food safety risks influence supply chain performance through predictive analytics. The framework identifies and minimizes food safety risks before they cause serious problems. The study examines the impact of food safety practices, supply chain transparency, and technological integration on adopting predictive analytics. To illustrate the complex dynamics of food safety and supply chain performance, the study presents supply chain transparency, technological integration, and food safety practices and procedures as independent variables and predictive analytics as a mediator. The results show that supply chain managers’ capacity to anticipate and control risks related to food safety can be improved by predictive analytics, leading to safer food production and distribution methods. The research recommends that businesses create scalable cloud-based predictive model solutions, combine data sources, and employ cutting-edge AI and machine learning tools. Companies should also note that strong, data-driven approaches to food safety require cooperative data sharing, regulatory compliance, training initiatives and ongoing improvement.