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.
As an essential principle in contract law, Indonesia has regulated good faith in the Indonesian Civil Code (the Dutch Civil Code that the Indonesian government uses based on the principle of concordance). However, the definition and benchmarks are not yet clear. There are no further provisions regarding the meaning and concept of this principle in the Indonesian Civil Code or other regulations. This absence of a single understanding of good faith principle in contract causes different opinions and legal certainty, whether from the business actor who signs the agreement or the judge as the third party who resolves contract disputes between parties. Therefore, future Indonesian contract law needs to regulate the definition and benchmarks for good faith principle. In order to find out the meaning and clear benchmarks for the good faith principle, the authors use a normative juridical method with a statute and conceptual approach. This research finds that the definition and benchmarks for the good faith principle is possible to be developed and regulated in Indonesian contract law. It shall set that good faith principle is based on honesty, decency, and fairness, which covers every agreement stage, from pre-agreement, agreement implementation, and after the agreement is completed.
Distance education (DE) has recently become a noteworthy study topic in the public education system. From the Web of Science database, 5719 articles discussing DE and published in the period of 2011–2023 were acquired. By analyzing the overall characteristics, co-citation, and keyword co-occurrence of the selected articles, which utilized Cite Space software, the history of DE could be systematically grasped, thereby reasonably predict the emphases of future development. We found that the number of papers relevant to DE had been rapidly growing since 2018. USA, China, and Turkey are the top three countries where most authors or teams were located. The map of keyword cooccurrence showed that the previous DE research mainly focused on telelearning, adult learning, and distributed learning environment. The recent burst words emerging are used to determine that distance education will continue to be studied in the field with high explosive keywords such as visual tracking, technology acceptance model, and user interface. This will provide suggestions and directions for the development of distance education.
Entrepreneurial intentions, considered to be the best predictor of entrepreneurial behaviour, have attracted extensive attention among academics, practitioners, and policymakers. This study examines the mediating role of the theory of planned behaviour between university students’ proactive personality, entrepreneurship education, entrepreneurial opportunities, and entrepreneurial intentions. The results of this study showed that both attitudes toward entrepreneurship and perceived behavioural control mediated these relationships, except that perceived behavioural control did not mediate the effect of entrepreneurship education on entrepreneurial intentions, and subject norm did not mediate any relationship. Lastly, this study guides universities, policymakers and practitioners to fully focus on developing attitude entrepreneurship and perceived behaviour control through education and training among graduates and employees. Suppose there is a presence of good entrepreneurial opportunities. In that case, they will form stronger intentions to start new businesses and expand their businesses to drive socio-economic growth, innovation and job creation among graduates.
This financial modelling case study describes the development of the 3-statement financial model for a large-scale transportation infrastructure business dealing with truck (and some rail) modalities. The financial modelling challenges in this area, especially for large-scale transport infrastructure operators, lie in automatically linking the operating activity volumes with the investment volumes. The aim of the paper is to address these challenges: The proposed model has an innovative retirement/reinvestment schedule that automates the estimation of the investment needs for the Business based on the designated age-cohort matrix analysis and controlling for the maximum service ceiling for trucks as well as the possibility of truck retirements due to the reduced scope of tracking operations in the future. The investment schedule thus automated has a few calibrating parameters that help match it to the current stock of trucks/rolling stock in the fleet, making it to be a flexible tool in financial modelling for diverse transport infrastructure enterprises employing truck, bus and/or rail fleets for the carriage of bulk cargo quantifiable by weight (or fare-paying passengers) on a network of set, but modifiable, routes.
This article delves into the application of blockchain technology in enhancing intellectual property (IP) protection within the e-commerce sector, providing a comprehensive analysis of its future prospects. By examining the core characteristics and working principles of blockchain, the paper reveals the unique advantages it offers in strengthening IP protection for e-commerce. The article elaborates on how blockchain’s features of decentralization, data immutability, and timestamping contribute to a secure, transparent, and efficient IP protection mechanism in the e-commerce field. Furthermore, the paper discusses the practical application of blockchain technology in IP registration, management, transaction, and rights protection, highlighting its significant impact on security traceability, transaction cost reduction, and efficiency improvement. Lastly, the article anticipates the future role of blockchain technology in IP protection in e-commerce and believes that with continued technological advancements and enhanced policy support, blockchain will play an increasingly pivotal role in this domain. The paper also proposes potential challenges and solutions that require attention, aiming to foster the healthy and sustainable development of blockchain technology.
Malaysia’s economic development strategies have evolved significantly since independence, focusing on reducing poverty, enhancing education, and integrating technology to foster sustainable growth. Despite substantial progress, challenges persist in achieving inclusive development across rural and urban sectors. This study examines the effectiveness of Malaysia’s New Economic Model (NEM) in addressing poverty and unemployment through technological and educational advancements. Employing a qualitative approach, it reviews literature on technology’s impact on economic growth, poverty alleviation, and the role of tertiary education in national development. Analysis reveals that while NEM initiatives have attracted foreign investment and improved infrastructure, gaps remain in educational access and technological self-reliance. The findings underscore the need for targeted policies that enhance educational outcomes, promote inclusive technology adoption, and address structural inequalities to achieve sustainable economic development. Recommendations include bolstering vocational training, enhancing rural infrastructure, and fostering public-private partnerships in technology innovation to ensure equitable economic progress.
Desert environments face the challenge of promoting sustainable tourism while balancing economic growth with cultural and environmental preservation. In the context of rapid global tourism expansion, effective destination management becomes crucial for positive economic impact and long-term preservation. This study aims to identify key factors influencing the sustainability of tourism. It explores the interactions between local stakeholders, the supply of tourism products and services, and tourism governance. Utilizing structural equation modeling through the PLS-SEM method, data was collected from 150 stakeholders in desert environments. The findings reveal that the involvement of local tourism stakeholders and the supply of tourism products and services significantly impact sustainable tourism in the desert environment. However, we observe a lack of influence between tourism governance and sustainable desert tourism. The novelty of the study lies in the identification of promotional factors for sustainable desert tourism. The originality of this study lies in its in-depth exploration of the mechanisms for promoting sustainable tourism.
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