Lean (also referred to as the Toyota Production System, TPS) is considered to be a radical alternative to the traditional method of mass production and batching principles for maximising operational efficiency, quality, speed and cost. Many hospitals inspired from lean manufacturing to develop their process. They had many improvements in their process. Hospitals reduced their patient waiting times, defects, wastes related to inventory, staff movement and patient transportation by implementing. This study utilizes scientometric and bibliometric tools to analyze visually the literature published in the field of medical lean manufacturing from 2009 to 2023. The relevant articles published from 2009 to 2023 were retrieved from the Web of Science Core Collection, VOSviewer and R software were used for bibliometric analysis and visualization. The number of publications related to the research has been increasing year by year before 2021, and then showed a downward trend, including 418 articles from 64 countries and regions, 743 institutions, 198 journals, and 1766 authors. The United States, Italy, and England are the main publishing countries in this research field. The journal “International Journal of Lean Six Sigma” published the most papers (n = 21) about lean manufacturing in medicine, the author with the most publications is Teeling SP, and the most influential author is Improta G. The top three keywords are “Healthcare”, “Quality improvement” and “Management”. This study provides a comprehensive bibliometric analysis of lean manufacturing in medicine, which can help researchers understand the current research hotspots in this field, explore potential research directions, and identify future development trends.

Background: In an increasingly globalized world, public health is a challenge in the future of health systems. Nursing is a fundamental profession in health systems and the purpose of the study is to quantify the scientific production in global public health carried out by nursing to demonstrate its competence, capacity and specialization in this subject. Methods: A bibliometric study was carried out to understand the scientific production of public health nursing in WoS. A total of 17,545 documents were analyzed using Bibliometrix software in version 4.0.5. Results: A notable increase in production is observed over time, a sign of specialization and capacity. The theme focuses on three stages: hygiene and sanitation, infectious diseases and quality, prevention and non-communicable diseases coinciding with the real social needs of each moment. Most of the production is in English and produced by countries with developed economies. Nursing is aligned with current public health needs. Conclusions: Bibliometrics is a good method to quantify scientific production. The results show extensive scientific production in public health nursing, which translates into extensive knowledge of public health by nursing. There is a growth in production in accordance with time as well as an adaptation to the most current themes in accordance with population needs. Public health is an area of concern to countries and nursing can actively participate in studies, planning and leadership of health systems. Public health nursing should not be considered relegated to medicine but independent and of crucial importance to the “Onehealth” concept. Public, private and educational administrations must promote and support nursing research in public health, and it is not advisable to reduce the teaching load of global public health in nursing studies, in favor of the family and community environment.

This study seeks to examine the factors affecting the intention of Indonesian MSMEs to adopt QRIS. It leverages variables from the Technology Acceptance Model (TAM), customizing the TAM framework to address the unique perceptions of risk and cost among MSMEs in Indonesia. Data were gathered from 212 MSME participants in Brebes Regency through convenience sampling, a non-probability sampling technique, using Google Forms for survey distribution. The findings indicate that perceived ease of use positively and significantly influences attitudes, which, in turn, positively and significantly impact the intention to continue using QRIS. However, perceived benefits, perceived risks, and perceived costs did not significantly affect the intention to continue use.

Introduction: Food well-being of the population is one of the priorities of the Togolese government, which relies on the agricultural investment and food security Programme to increase national food production. In addition, the country relies on food imports to make up the shortfall. At the same time undernourishment and malnutrition remain high among the country’s population. This research analyzes food supply and its implications for household consumption in Grand Lomé, Togo. [Methods] The methodology used documents, a survey of 963 heads of household randomly sampled households and semi-structured interviews with 10 households and with Togolese food safety agency (ANSAT). Quantitative data were processed and analyzed using Excel spreadsheets R and R-Studio, while content analysis was applied to the verbal applied to the verbal statements collected. Results: Firstly, the results show that domestic agricultural production contributed an average of 91% of food supply between 2014–2017. The deficit is made up by food imports, which rose from 13.5% in 2014 to 15.4% in 2017. This translated into an acceptable food energy consumption of 2337 Kcal/head/day in 2017. Secondly, 81% of respondents recognize a strong food presence at consumer markets, except that the chi-square test applied to the data at the 5% threshold shows (p-value < 2.2 × 10⁻¹⁶), indicates that this satisfaction is a function of place of residence. Despite this, persistent shortages affect more staple crops, livestock and dairy products, leading households to deprive themselves and buy food at affordable prices. Finally, we observe non-diversified diets marked by regular consumption of “cereals/legumes”, vegetables and beverages to the detriment of “tubers/roots”, “meat/fish”, “fruit” and “dairy products”. Conclusion: This research shows that food supply, although adequate, is not sufficient to ensure balanced, nutritious and culturally appropriate food consumption by urban households. Recommendations: To meet these challenges, the central government, in collaboration with urban communes and consumer advocates, must mobilize resources to create urban agricultural farms, strengthen food protection systems, distribute staple products directly to households and limit the importation of food that is hazardous to health.