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.
European commissioner for the Internal Market, Thierry Breton, told Le Journal du Dimanche in January 2022, “Existing nuclear plants alone will need 50 billion euros of investment from now until 2030. And new generation ones will need 500 billion”. This paper considers whether these values are realistic. Further, it asks whether these investments would yield an internationally competitive European nuclear power infrastructure given that the nuclear power industries in the Organization for Economic Cooperation and Development member countries have lost global nuclear market share to Russian and Chinese firms since 1995.The paper investigates whether the European nuclear industry even with massive investment can compete with the Chinese nuclear industries. It concludes that the European (in particular, the French) nuclear power industry will be unlikely to be cost competitive with the Chinese nuclear power industry unless financing and new plant orders are immediately forthcoming. To achieve carbon neutrality, the issue becomes whether European Union countries can afford indigenous nuclear technologies or will need to import nuclear power plants from Asia.
Primary reason for interpretation the paper was the creation of a starting position for setting up e-learning in the structures of the executive forces of the Slovak Republic, which absent in the current dynamic environment. Problems with education arose mainly in connection with the global problem of Europe, such as the influence of illegal migrants, and it was necessary to retrain a large number of police officers in a short time. We reflect on the combined model of LMS Moodle and proctored training through MS TEAMS and their active use in practice. We focused on the efficiency in the number of participants in individual trainings and costs per participant according to the field of training. We compared the processed data with the costs of the pilot introduction of analytical organizational unit providing e-learning and interpreted the positive results in the application of e-learning compared to conventional (face-to-face) educational activities. As a basic (reference) comparative indicator, the costs of educational activities of selected organizational unit of state institution represented by own educational organizations and the number of trained employees for the periods in question were chosen. To measure effectiveness, we set financial—cost KPIs. Our findings clearly demonstrated that it is possible to significantly optimize costs when changing the current form of ICT education to e-learning. The implementation of another educational activities form of education, e-learning, within public institutions, according to the results of the analysis, can simplify and at the same time make education processes more efficient in the context of individual subjects of the Ministry of the Interior of the Slovak Republic.
The year of 2024 marked the twelfth anniversary of the cooperative mechanism between China and Central and Eastern European countries (China-CEEC). China has repeatedly affirmed its willingness to implement the 2030 Agenda for sustainable development and the sustainable development goals (SDGs), which created many opportunities to enhance the cooperation of the two sides. The paper exemplified some cases in the process of the cooperation, which were rarely discussed previously as normally it was dominated by the large-scale investment project. The cases of the climate change and ocean issues were perceived as a package of holistic EU-China relations that demonstrates the commitments from both sides to deal with SDG 13 and SDG 14. A qualitative method of the policy-circle evaluation and the goal-setting in the global governance was applied in the paper. The findings affirm that the current China-CEEC cooperation scheme is still carrying on both opportunities and challenges and affected by various internal and external factors.
This paper addresses the main logistics challenges in used car maritime traffic from Europe to West Africa. Thus, the methodology (quantitative and qualitative) analyses data from the International Organization of Motor Vehicle Manufacturers (OICA), from 2015 to 2023 of government and port authorities to show the importance of used car market for mobility and socioeconomic activities. This is supplemented by surveys based on direct observation in the field, questionnaires and interviews involving in Europe 55 stakeholders and 127 in Africa. The results demonstrate that cars used and their parts, but not wrecks, are essential for motorization in West Africa. A pre-export process needs to be set up to ensure that exported vehicles are parked in better condition to meet the required common environmental standards for sustainable mobility.
The question of whether legal gun ownership is a positive security factor in the Czech Republic is subject to expert debate and depends on several factors, including available crime data, public attitudes, and the legal framework. Some argue that legal gun ownership can dissuade criminals because they know victims may be armed. Many advocates argue that the right to own guns is a fundamental right that should be protected. Sometimes, it is difficult to clearly demonstrate that legal gun ownership directly contributes to crime reduction. Statistical data can be interpreted in different ways. In contrast, the presence of guns can in some situations escalate conflicts that could otherwise be resolved nonviolently. In the Czech Republic, legal gun ownership is relatively strictly regulated. Citizens must meet the conditions established by law, including criminal integrity and passing a theoretical-practical examination of professional competence. This regulation aims to ensure that only responsible and qualified individuals own guns. Therefore, the presented article discusses legal gun ownership as an internal factor of state security. Using statistical data, it analyses the amount of violent crime committed with firearms in relation to the possibility of holding and carrying a gun in the conditions of the Czech Republic and in selected EU countries. Furthermore, with the help of a questionnaire survey, it identifies that legal gun ownership can be considered a positive safety factor in certain situations, if it is associated with strict regulation and a responsible attitude of gun owners. The resulting effect on security depends on a combination of legal frameworks, gun culture, and effective law enforcement.
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