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.
State support for agriculture is a crucial tool for adjusting the competitive advantages of agricultural producers to a volatile market environment. In countries with diverse natural conditions for agriculture, however, the allocation of subsidies often focuses on bridging spatial development gaps rather than maximizing the return on inputs. To improve the efficiency of resource use in agriculture, it is essential to tailor subsidy criteria to regional disparities in agricultural potential. Using the example of Russia’s 81 administrative regions, the authors have tested a five-stage methodology for determining the support-generated parameters of output, efficiency, impact, revenue, and profitability. This methodology takes into account both natural and economic factors that contribute to the competitive advantages of each region. The study aims to identify the parts of the performance indicators, such as gross agricultural output and revenue, that are influenced by the amount of subsidies in five different types of territories, which are categorized by the cadastral value of their farmland. It has been found that the allocation of subsidies is not entirely based on the return on the funds allocated. There is a discrepancy between the competitive advantages of these territories in agricultural production and the amount of funds they receive through government support programs. The efficiency of government support differs significantly depending on the type of agricultural product produced in each territory. The approach developed by the authors provides a tool that policy makers can use when tuning the allocation of subsidies based on the differences in the agricultural potential of each territory.
Creating products and services that satisfy individual and community needs is impossible without raw materials. This study takes a novel approach by integrating the economic dynamics and raw material consumption indicators of the European Union (EU). The study uses different econometric methods to analyze the relationship between GDP (gross domestic product) and the EU’s raw material consumption (RMC) from 2014–2023. Among the results, the panel data analysis model shows that the resource productivity of the EU improved during the period under review, whereas the material intensity decreased significantly. These trends significantly contributed to the relative decoupling of material consumption from GDP in the last decade. The results of the K-means cluster analysis highlight the regional economic differences within the EU. According to the results of the correlation analysis, EU member countries differ significantly in the efficiency of raw material use. Nevertheless, five member countries are robustly vulnerable to large-scale raw material use. The divergence calculation results show that while some countries use raw materials extremely efficiently to produce GDP, others achieve low efficiency. This unique approach and the resulting findings provide a new perspective on the complex relationship between economic growth and raw material use in the EU.
This research introduces a novel framework integrating stochastic finite element analysis (FEA) with advanced circular statistical methods to optimize heat pump efficiency under material uncertainties. By modeling directional variability in thermal conductivity using both uniform and Von Mises distributions, the study highlights the superiority of the Von Mises distribution in providing consistent and efficient thermal performance. The Von Mises distribution, known for its concentration around a mean direction, demonstrates a significant advantage over the uniform distribution, resulting in higher mean efficiency and lower variability. The findings underscore the importance of considering both stochastic effects and directional consistency in thermal systems, paving the way for more robust and reliable design strategies.
Electricity generation around the world is mainly produced by using non-renewable energy sources especially in the commercial buildings. However, Rooftop solar Photovoltaic (PV) system produced a significant impact on environmental and economical benefits in comparison to the conventional energy sources, thus contributing to sustainable development. Such PV’s system encourages the production of electricity without greenhouse gas emissions that leads to a clean alternative to fossil fuels and economic prosperity even in less developed areas. However, efficiency of rooftop solar PV systems depends on many factors, the dominant being geographical (latitude, longitude, and solar intensity), environmental (temperature, wind, humidity, pollution, dust, rain, etc.) and the type of PV (from raw material extraction and procurement, to manufacturing, disposal, and/or recycling) used. During the feasibility analysis of the environment, geographical conditions are keep in well consideration, but the pollution level of the city is always overlooked, which significantly influences the performance of the PV installations.
Therefore, this research work focused on the performance of rooftop solar PV installed in one of the most polluted city in India. Here, the loss in power generation of rooftop solar PV has been studied for the effect of deposited dust particles, wind velocity before and after the cleaning of the panels. The actual data has been utilized for the calculation of the energy efficiency and power output of the PV systems. According to the results, it has been concluded that dust deposition, wind speed and pollution level in city significantly reduces the efficiency of solar photovoltaic panel. Hence, an overview of social and environmental impacts of PV technologies is presented in this paper along with potential benefits and pitfalls.
The properties of the beta batteries are compared, which are made on the basis of the different β-isotopes with beta decay. Tritium and Ni-63 make it possible to make β-sources of high activity, without harmful associated emissions, with low self-absorption, emitting high-energy β-electrons that penetrate deep into the semiconductor and generate a large number of electron-hole pairs. The efficiency of beta batteries needs to be analyzed based on the real energy distribution of β-electrons. It makes possible to obtain the real value of the energy absorbed inside the β-source, correctly estimate the amount of self-absorption of the β-electrons and part of the β-electronsthere is a penetrate into the semiconductor, the number of electrons and holes that are generated in the semiconductor, and the magnitude of the idling voltage. Formulas for these quantities are calculated in this paper.
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