Introduction, purpose of the study: 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 Health Plan aims to optimize and transform the health system. The objectives of hospital integration, as set out in the Plan, started with the state ownership of municipal hospitals in 2012, continued with the launch of integration processes in 2012–2013 and culminated today. The transformation of a health system can have an impact on health services and thus on meeting the needs of the population. We aim to study the effectiveness of integration through access to CT diagnostic testing. Our hypothesis is that integration has resulted in increased access to modern diagnostic services. The specialty under study is computed tomography (CT) diagnostic care. Our research shows that the number of people receiving CT diagnostic care has increased significantly because of integration, which has also brought a number of positive benefits, such as reduced health inequalities, reduced travel time, costs and waiting lists. Test material and method: Our quantitative retrospective research was carried out in the hospital of Kalocsa through document analysis. The research material was comparing two time periods in the Kalocsa site of Bács-Kiskun County, Southern Hungary. The number of patients attending CT examinations by area of duty of care according to postal codes was collected: Pre-integration period 2014.01.01–2017.11.30. (Kalocsa did not have CT equipment, so patients who appeared in Kecskemét Hospital but were under the care of Kalocsa), post-integration period 2017.12.01–2019.12.31. (period after the installation of CT in Kalocsa). The target group of the study consisted of women and men together, aged 0–99 years, who appeared for a CT diagnostic examination. The study sample size was 6721 persons. Linear regression statistics were used to evaluate the results. Based on empirical experience, a SWOT analysis was carried out to further investigate the effectiveness of integration. Results: As a result of the integration, the CT scan machine purchased in the Kalocsa District Hospital has enabled an average of 129.7 patients per month to receive CT scans on site without travelling. The model used is significant, explaining 86% of the change in the number of patients served (F = 43.535; p < 0.001, adjusted R² = 0.860). The variable of integration in the model is significant, with an average increase in the number of patients served of 129.7 per month (t = 22.686; p < 0.001) following the introduction of CT due to integration. None of the month variables representing seasonal effects were found to be significant, with no seasonal effect on care. The SWOT analysis has clearly identified the strengths, weaknesses, opportunities and threats related to the integration, the main outcome of which is the acquisition of a CT diagnostic tool. Conclusions: Although we only looked at one segment of the evidence for the effectiveness of hospital integration, integration in the study area has had a positive impact on CT availability, reducing disparities in care.

The area of lake surface water is shrinking rapidly in Central Asia. We explore anthropogenic and climate factors driving this trend in Shalkar Lake, located in the Aral Sea region in Kazakhstan, Central Asia. We employ the Landsat satellite archive to map interannual changes in surface water between 1986 and 2021. The high temporal resolution of our dataset allows us to analyze the water surface data to investigate the time series of surface water change, economic and agricultural activities, and climate drivers like precipitation, evaporation, and air temperature. Toward this end, we utilize dynamic linear models (DLM). Our findings suggest that the shrinking of Shalkar Lake does not exhibit a systemic trend that could be associated with climate factors. Our empirical analysis, adopted to address local conditions, reveals that water reduction in the area is related to human interventions, particularly agricultural activities during the research period. On the other hand, the retrospectively fitted values indicate a semi-regular periodicity despite anthropogenic factors. Our results demonstrate that climate factors still play an essential role and should not be disregarded. Additionally, considering long-term climate projections in environmental impact assessment is crucial. The projected increase in temperatures and the corresponding decline in lake size highlights the need for proactive measures in managing water resources under changing climatic conditions.

This research focuses on the construction of the competency of “Double-qualified” teachers in higher vocational colleges. Through comprehensive literature analysis, in-depth interviews and questionnaire surveys, a competency model covering three dimensions, namely personality charm, teaching literacy and practical skills, has been successfully established. This model provides a scientific basis for higher vocational colleges in teacher selection, performance evaluation and professional training, and particularly emphasizes the importance of teachers’ cultivation of students’ practical abilities and professional qualities in the context of vocational education. The research reveals that these three competency dimensions are interdependent and jointly influence teachers’ educational and teaching achievements as well as students’ career development.

A precise risk assessment in a production line constitutes a significant item to identify susceptible areas where there is a possibility of product quality degradation. This also applies to the precast concrete production line in Indonesia that has a spun pile product. Based on a risk assessment activity conducted in this study, it is proposed to build a traceability model in order to maintain and even improve the spun pile product quality in Indonesia. The approach used was the Neural Network of the perceptron model for weighing and will result in a defined traceability path in the context of reducing defects and even failed spun pile products. The simulation result showed that the model has been able to detect risky path possibilities to reduce product quality. The accumulation result of high-risk and medium-risk paths in this study showed that closer to product finalization, the risk will be higher. It is evident that when assessing Indicators, the order from the highest accumulation value first is Curing & Demolding and Stressing & Spinning at 29% each, Casting at 14%, Forming & Setting at 14%, and lastly Cutting & Heading at 14%. Regarding the risk assessment for activities, the first position is Curing & Demolding and Stressing & Spinning with 30% each, the second is Casting and Forming & Setting with 15% each, and the third is Cutting & Heading with 10%.

This study evaluates the health and sustainability of higher education systems in nine countries: the USA, UK, Australia, Germany, Canada, China, Brazil, India, and South Africa. Using a multi-level analysis model and principal component analysis (PCA), nine key factors—such as international student numbers, academic levels, and graduate employment rates—were identified, capturing over 90% of the cumulative impact on higher education systems. India, scoring 6.2036 initially, shows significant room for improvement. The study proposes policies to increase graduate employment, promote international faculty collaboration, and enhance India’s educational expenditure, which surpasses 9.8% of GDP. Post-policy simulations suggest India’s score could rise to 8.7432. The paper also addresses the impact of COVID-19 on global education, recommending a hybrid model and increased graduate enrollment in China to reduce unemployment by 5.4%. The research aims to guide sustainable development in higher education globally.

China’s graduate quality management system is designed to ensure that students possess the necessary skills, knowledge, and competencies for future success. This system is rooted in China’s ambitious educational reforms aimed at cultivating a highly skilled workforce to drive economic growth and innovation. Effective graduate quality management significantly impacts employment levels, training models, and national policy formulation. This study investigates the quality management approaches of 56 vocational institutions in Yunnan Province using a 5-level questionnaire and a quantitative research methodology. A sample of 556 individuals was selected through stratified random sampling. Exploratory factor analysis identified five primary components of the quality management model: College graduate quality (mean = 4.56, SD = 0.49), teaching quality (mean = 4.39, SD = 0.42), hardware environment (mean = 4.38, SD = 0.44), social support (mean = 4.37, SD = 0.42), and job satisfaction (mean = 4.38, SD = 0.42). College graduate quality and teaching quality were the most influential factors, while hardware environment, social support, and job satisfaction had lesser impacts.