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.

Diabetic retinopathy (DR) is a major cause of blindness globally. Effective screening programs are essential to mitigate this burden. This review outlines key principles and practices in implementing DR screening programs, emphasizing the roles of technology, patient education, and healthcare system integration. Our analysis highlights key principles for establishing successful screening initiatives, including the importance of regular screenings, optimal intervals, recommended technologies, and necessary infrastructure. We emphasize the roles of healthcare providers, patients, and policymakers in ensuring the effectiveness of these programs. Our recommendations aim to support the creation of robust policies that mitigate the impact of DR, ultimately improving public health outcomes and reducing the incidence of blindness due to diabetic retinopathy.

Projects implemented under life cycle contracts have become increasingly common in recent years to ensure the quality of construction and maintenance of energy infrastructure facilities. A key parameter for energy facility construction projects implemented under life cycle contracts is their duration and deadlines. Therefore, the systematic identification, monitoring, and comprehensive assessment of risks affecting the timing of work on the design and construction is an urgent practical task. The purpose of this work is to study the strength of the influence of various risks on the duration of a project implemented on the terms of a life cycle contract. The use of the expert assessment method allows for identifying the most likely risks for the design and construction phases, as well as determining the ranges of deviations from the baseline indicator. Using the obtained expert evaluations, a model reflecting the range and the most probable duration of the design and construction works under the influence of risk events was built by the Monte-Carlo statistical method. The results obtained allow monitoring and promptly detecting deviations in the actual duration of work from the basic deadlines set in the life cycle contract. This will give an opportunity to accurately respond to emerging risks and build a mutually beneficial relationship between the parties to life cycle contracts.

The present study analyzed the extant literature about the phenomenon of human trafficking in Indonesia. The Scope Analysis examined scholarly journals and publications from 2012 to 2020. We obtained databases from internationally recognized journals such as Scopus and Web of Science. We restricted the time frame based on the available evidence at that moment. The methodology employed in this study involved the identification, collection, and organization of peer evaluations that were published with pertinent details or by delineating the fundamental concepts that constitute the domain of a research investigation concerning chronology, location (nation or setting), source (literature review), and provenance. The findings of the analysis indicated the existence of articles that delved into the circumstances and current state of persons who fell victim to human trafficking, specifically from Indonesia to different regions throughout the globe. The analysis approach was utilized in this study, following the methodological parameters outlined by Arksey and O’Malley in 2005. Moreover, it is anticipated that the Scoping Analysis will generate policy recommendations for policymakers, practitioners, and researchers seeking to combat and address the illicit trafficking of individuals in Indonesia.