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.

Tomato powdery mildew, fruit rot, and twig blight are all managed with Deltamethrin. Its residues could still be present in the crops, posing a health risk. The pesticide residue analysis, dissipation rate, and safety assessments were thus examined in green tomatoes. The analytical method for residue analysis was validated according to international standards. Tomato fruits and soil were used to study the dissipation of Deltamethrin 100 EC (11% w/w) at 12.5 g a.i ha⁻¹ for the recommended dose (RD) and 25.0 g a.i ha⁻¹ for the double of the recommended dose (DD). Ethyl acetate was used to extract residues from tomato fruit, and PSA and magnesium sulphate were used for cleanup.The fruits had recoveries ranging from 83% to 93% and the soil sample from 81.67% to 89.6%, with the limit of detection (LOQ) estimated at 0.01 mg kg⁻¹. The matrix effect (ME) was calculated to be less than 20% for the tomato fruits and the soil.Half-lives for RD and DD were 1.95 and 1.84 days, respectively. All sampling days for both doses had dietary exposures of residues below the maximum permissible intake (MPI) of 0.16 mg person⁻¹ day⁻¹. The most effective method of decontaminating tomato residue containing Deltamethrin is blanching.

The temporomandibular joint (TMJ) is considered a bicondylar diarthrosis type joint. Imaging evaluation is a fundamental part of its assessment, which should include both bony and soft tissue characteristics and the relationship between them. Magnetic resonance imaging (MRI) represents the gold standard for the study of soft tissues; however, up to now, its main application continues to be the visualization of the articular disc. For this reason, the present article aimed to point out the information available in the literature regarding the visualization of the joint capsule in MRI and to evaluate it as an independent structure.

In order to study the temperature change trend of the surrounding geotechnical soil during the operation and thermal recovery of the medium-deep geothermal buried pipe and the influence of the geotechnical soil on the operational stability of the vertical buried pipe after thermal recovery. Based on the data of geological stratum in Guanzhong area and the actual engineering application of medium-deep geothermal buried pipe heating system in Xi’an New Area, the influence law of medium-deep geothermal buried pipe heat exchanger on surrounding geotechnical soil is simulated and analyzed by FLUENT software. The results show that: after four months of heating operation, in the upper layer of the geotechnical soil, the reverse heat exchange zone appears due to the higher fluid temperature; in the lower layer of the geotechnical soil, the temperature decreases more with the increase of depth and shows a linear increase in the depth direction; without considering the groundwater seepage, after eight months of thermal recovery of the geotechnical soil after heating, the maximum temperature difference after recovery is 3.02 ℃, and the average temperature difference after recovery is 1.30 ℃ The maximum temperature difference after recovery was 3.02 ℃ and the average temperature difference after recovery was 1.30 ℃. The geotechnical thermal recovery temperature difference has no significant effect on the long-term operation of the buried pipe, and it can be operated continuously and stably for a long time. Practice shows that due to the influence of various factors such as stratigraphic structure, stratigraphic pressure, radioactive decay and stratigraphic thermal conductivity, the actual stratigraphic temperature below 2000m recovers rapidly without significant temperature decay, fully reflecting the characteristics of the Earth’s constant temperature body.

Objectives: The unprecedented COVID-19 pandemic has intensified the stress on blood banks and deprived the blood sources due to the containment measures that restrict the movement and travel limitations among blood donors. During this time, Malaysia had a significant 40% reduction in blood supply. Blood centers and hospitals faced a huge challenge balancing blood demand and collection. The health care systems need a proactive plan to withstand the uncertain situation such as the COVID-19 pandemic. This study investigates the psychosocial factors that affect blood donation behavior during a pandemic and aims to propose evidence-based strategies for a sustainable blood supply. Study design: Qualitative design using focus group discussion (FGD) was employed. Methods: Data were acquired from the two FGDs that group from transfusion medicine specialists (N = 8) and donors (N = 10). The FGD interview protocol was developed based on the UTM Research Ethics Committee’s approval. Then, the data was analyzed using Nvivo based on the General Inductive Approach (GIA). Results: Analysis of the text data found that the psychology of blood donation during the pandemic in Malaysia can be classified into four main themes: (i) reduced donation; (ii) motivation of donating blood; (iii) trends of donation; and (iv) challenges faced by the one-off, occasional, and non-donors. Conclusions: Based on the emerging themes from the FGDs, this study proposes four psycho-contextual strategies for relevant authorities to manage sustainable blood accumulation during the pandemic: (1) develop standard operating procedure for blood donors; (2) organize awareness campaigns; (3) create a centralized integrated blood donors database; and (4) provide innovative Blood Donation Facilities.