Control Department Research Articles

Estimation of PM2.5 surface concentrations in the North-eastern and Eastern regions of Thailand from NASA’s MERRA2 satellite data

The study aims to monitor PM2.5 concentrations in the north-eastern and eastern regions of Thailand for the past 5 years (from 2017 to 2021) from satellite observations for monitoring air quality. To ensure the PM2.5 concentrations from satellite data of NASA’s MEERA2 products, it is necessary to evaluate and analyze the relationship between PM2.5 data from satellite observations and higher precision data from ground-based stations of the Pollution Control Department (PCD) in terms of various statistical values, such as squared correlation coefficient (R2), mean (Bias) and Root Mean Square Error (RMSE). Then, the estimation of the monthly average for PM2.5 concentrations was performed using satellite data of MERRA2 products by bias correction method with twenty PCD’s ground stations. The result shows that before correcting the relationship value is relatively low, the performance of estimating PM2.5 concentrations from satellite data needs to be improved from the monthly average using the bias correction method. After bias-corrected, a correlation coefficient (R2) value of 0.73 was improved from 0.56. A mean (Bias) of 0.03 µg/m3 and an RMSE of 6.39 µg/m3 were decreased. It is clear that bias correction can help to improve estimating PM2.5 concentrations from MEERA2 products.

Comprehensive Dynamic Influence of Multiple Meteorological Factors on the Detection Rate of Bacterial Foodborne Diseases under Spatio-Temporal Heterogeneity.

Foodborne diseases are a critical public health problem worldwide and significantly impact human health, economic losses, and social dynamics. Understanding the dynamic relationship between the detection rate of bacterial foodborne diseases and a variety of meteorological factors is crucial for predicting outbreaks of bacterial foodborne diseases. This study analyzed the spatio-temporal patterns of vibriosis in Zhejiang Province from 2014 to 2018 at regional and weekly scales, investigating the dynamic effects of various meteorological factors. Vibriosis had a significant temporal and spatial pattern of aggregation, and a high incidence period occurred in the summer seasons from June to August. The detection rate of Vibrio parahaemolyticus in foodborne diseases was relatively high in the eastern coastal areas and northwestern Zhejiang Plain. Meteorological factors had lagging effects on the detection rate of V. parahaemolyticus (3 weeks for temperature, 8 weeks for relative humidity, 8 weeks for precipitation, and 2 weeks for sunlight hours), and the lag period varied in different spatial agglomeration regions. Therefore, disease control departments should launch vibriosis prevention and response programs that are two to eight weeks in advance of the current climate characteristics at different spatio-temporal clustering regions.

Alternative methods for calculating percentage haemolysis of red cell concentrates in peripheral blood banks in Sri Lanka.

Haemolysis - one of the major limiting factors of red cell concentrate quality - must be measured as a quality-monitoring requirement. According to international quality standards, percentage haemolysis must be monitored in 1.0% of red cell concentrates produced monthly and maintained under 0.8%. This study assessed three alternative methods for determining plasma haemoglobin concentration in peripheral blood banks that lack a plasma or low haemoglobin photometer - the gold-standard method - in Sri Lanka. A standard haemolysate was prepared using an unexpired whole blood pack of normal haemoglobin concentration. A concentration series from 0.1 g/dL to 1.0 g/dL was prepared by diluting portions of standard haemolysate with saline. The alternative methods, namely visual haemoglobin colour scale, spectrophotometric calibration graph, and standard haemolysate capillary tube comparison, were designed using this concentration series and were used to test red cell concentrates received at the Quality Control Department of the National Blood Center, Sri Lanka, from February 2021 to May 2021. A strong correlation was observed between the haemoglobin photometer method and the alternative methods (R = ~0.9). Based on the linear regression model, the standard haemolysate capillary tube comparison method was the best of the three alternative methods (R 2 = 0.974). All three alternative methods are recommended for use in peripheral blood banks. The standard haemolysate capillary tube comparison method was the best model.

Relationship between sexual and bladder dysfunction in women consuming ketamine.

Although ketamine has become the second most popular recreational drug in Taiwan, there have been very few reported studies that investigated female sexual dysfunction (FSD) in ketamine abusers (KAs). We sought to compare the difference between street and hospital KAs and explored the risk factors for FSD and lower urinary tract symptoms (LUTS) in KAs. In this cross-sectional study, female KAs aged 18 years or older were invited to complete anonymous questionnaires during an educational course provided by the departments of substance control and prevention of the local government or under the instruction of medical providers at a urology clinic. Data were reported as median (IQR) and OR and analyzed with commercial statistical software. Key outcome measurements were illicit drug use history, FSD symptoms, and LUTS severity. We included 139 women (104 street and 35 hospital KAs) with a median age of 27.08years. FSD was reported in 76% of all the participants (street vs hospital KAs, 68% vs 97%, P < 0.001). LUTS (Interstitial Cystitis Symptom Index [ICSI] + Interstitial Cystitis Problem Index [ICPI] ≥12) was found to be a significant risk factor for FSD in KAs. More hospital KAs (71%) reported experiencing LUTS (ICSI + ICPI ≥12) than street KAs (8%, P < 0.001). Longer duration of ketamine use (≥36months) and mild to severe psychological symptoms (5-item Brief Symptom Rating Scale [BSRS-5] ≥6) were significant risk factors for LUTS. Sexual problems among KAs should not be overlooked since more severe sexual dysfunction was observed in patients reporting LUTS. To our knowledge, the present study is the largest study using validated and reliable questionnaires to examine FSD in KAs and also the first study to include street KAs. The main limitation of this study is using self-report questionnaires as they are subjective and susceptible to human errors and recall biases. Women who abused ketamine and reported experiencing LUTS were found to be more likely to have FSD.

Multilevel System of Studying Plague Microbe Strains Proprties in the Republic of Kazakhstan

The study of freshly isolated cultures is necessary to form an objective idea of the properties of plague microbe natural populations. The analysis of the levels of investigating the properties of strains has been carried out and the characteristics of Yersinia pestis in Kazakhstan are presented. The results of studying the phenotypic and genetic properties of plague microbe natural strains are provided. Following the epizootiological survey of natural plague foci, the museums of live cultures at plague control stations annually receive strains of plague pathogen, which are transferred to the National Collection of Microorganisms of the National Scientific Center of Particularly Dangerous Infections (NSCPDI). One of the main points of Y. pestis strains analysis is the determination of their typicality/atypicality. The study of strains begins at the moment of their isolation by anti-epidemic units. The primary identification of strains is carried out in laboratories of anti-epidemic units by morphology, sensitivity to plague and pseudotuberculosis bacteriophages, fermentation of glycerol, rhamnose and sucrose. In the laboratories of plague control stations and departments, fermentation of maltose and arabinose, denitrification, amino acid requirements, virulence, sensitivity to antibiotics are additionally investigated. Analysis of strains virulence includes determination of calcium dependence, the presence and amount of F1, pesticinogenicity and sensitivity to pesticin 1 and virulence for white mice. The assessment and preservation of the collected gene pool in the NSCPDI National Collection includes various activities, one of the main ones is an in-depth study of all features using standard microbiological methods, molecular methods for complete identification and creation of a data bank containing information about the genome of strains at different intensity of the epizootic process. The NSCPDI has a digital database on the registration and movement of strains, equipment for molecular research. The collection evaluates properties, systematizes information, and ensures the viability of plague pathogen strains for longterm storage.

Assessment of health burden due to the emissions of fine particulate matter from motor vehicles: A case of Nakhon Ratchasima province, Thailand

Air pollution, owing to the ever-increasing transport vehicle fleet, and adverse health effects are increasing in provinces of Thailand. The study estimated that the vehicle fleet size of Nakhon Ratchasima (NR) province of Thailand will grow to 2 million vehicles by 2030, which was 1.36 million in 2021. In NR, the PM2.5 and PM10 concentrations already surpassed both WHO and NAAQS guidelines in 2019–2021. Using Pollution Control Department (PCD) approved Tier I and II Methodology of EMEP/EEA, this research estimated that the total tailpipe emission load will be 1039 tons of PM2.5, 16,630 tons of NO₂, 20,623 tons of CO, 195 tons NH₃, and 249 tons of SO₂ in NR during 2030. The emission load will increase to 1752 tons of PM2.5, 21,126 tons of NO2, 25,559 tons of CO, 361 tons of NH3 and 9344 tons of SO₂ during 2030 if upstream emissions are considered. This study has developed five control scenarios in line with the directives of PCD to mitigate the adverse health from vehicle-led air pollution in NR and implementation during 2024–2030.According to the study, different control scenarios to be implemented during 2024–2030, will be able to keep the fleet size of vehicles in the NR under control. The results show that the control scenarios will keep the annual tailpipe emission of PM2.5 at 604 tons in 2030, a 42 % reduction over the 2030 Business-As-Usual scenario (BAU). The health damage in the range of 6941 to 11,625 disability-adjusted life years (DALYs) under the 2030 BAU scenario in NR due to tailpipe and upstream emissions can be reduced to 4162–7318 DALYs with the implementation of different control scenarios. The control scenarios will also provide significant economic benefits ranging from 4465 to 6718 million THB during 2024–2030 through reduced DALYs and associated costs.

SG-APSIC1064: The role of infection control activities on healthcare-associated infections during 2017-2021 at intensive care units in Cho Ray Hospital

Objectives: Healthcare-associated infections (HAIs) are one of the greatest challenges and concerns in Vietnam and around the world. Many studies have shown that HAIs may result in an increase in hospital length of stay, antibiotic use, multidrug-resistant organism (MDROs) infections, treatment costs, and mortality. Therefore, in the past 5 years, the Department of Infection Control of Cho Ray Hospital has carried out many infection and prevention control (IPC) activities to reduce the rates of HAI and MDRO infection. We evaluated IPC activities and results achieved in these efforts at Cho Ray Hospital during 2017–2021. Methods: We described the implemented IPC activities and retrospectively collected data from HAIs surveillance reports during 2017–2021 for 3 intensive care units (ICUs): ICU-B, ICU-D, and the NICU. Results: In the past 5 years, we implemented synchronous IPC activities, including promoting hand hygiene training and surveillance, environmental cleaning surveillance, carrying out improvement projects such as a ventilator-associated pneumonia (VAP) prevention bundle, an MDRO prevention bundle, and an environmental cleaning quality improvement project. Many positive results were achieved, although a slight increase in the HAI incidence occurred in 2021 due to the COVID-19 pandemic. Overall, the hand hygiene compliance rate increased from 49.7% to 83.8%. The rate of HAIs per 1,000 patient days decreased steadily from 5.4 to 2.4. The VAP rate fell from 30.5 to 17.2 per 1,000 patient days, and the central-line–associated bloodstream infection (CLABSI) rate decreased gradually from 5.4 to 2.4 per 1,000 patient days. The catheter-associated urinary tract infection (CAUTI) rate decreased from 2.9 to 0.9 per 1,000 patient days, and the MDRO infection rate decreased significantly from 32.7 to 11.3 per 1,000 patient days. Conclusions: The synchronous implementation of HAI prevention bundles promoting hand hygiene and environmental cleaning achieved significant effects in the efforts to decrease HAIs and MDROs in the ICUs of Cho Ray Hospital.

Human and animal brucellosis in the Sultanate of Oman: an epidemiological study

Brucellosis is an infectious disease caused by direct contact with infected animals or animal products contaminated with Brucella. Brucella is a Gram-negative aerobic coccobacillus that infects different types of animals and is considered to be an important zoonotic disease. Brucella were isolated from blood samples and identified following biochemical tests and agglutination with A and M monospecific antisera. Furthermore, Brucella antibody titers of the tested sera were obtained by the microtiter agglutination method (MAM). The main Brucella species isolated in Oman was B. melitensis. However, in countries bordering Oman and their neighboring countries, both B. melitensis and B. abortus have been isolated and identified. A total of 412 human patients with suspected cases of brucellosis were admitted to the Department of Communicable Disease Surveillance and Control in the Dhofar Governorate for diagnosis and treatment. During the year 2015, a total of 343 human cases were positively diagnosed with brucellosis in the Dhofar Governorate. During the years 2015 to 2019, a total of 10,492 animals were examined in different Governorates of Oman for brucellosis. The results indicated that 1161 (11%) animals were serologically positive for brucellosis. The results of this study confirmed that Brucella melitensis is the main species responsible for human brucellosis in Oman. It was not surprising that the Dhofar Governorate exhibited a high percentage of infected patients since it is culturally acceptable to drink raw camel milk (unpasteurized), unlike cow milk which is pasteurized.

Relationship between Potential Trace Elements Contamination in Sediment and Macrofauna in the Upper Gulf of Thailand.

The relationship between heavy metal contamination in sediment and macrofauna in the upper Gulf of Thailand is presented as an indication of the environmental quality of coastal waters. This study aims to monitor five heavy metal elements (As, Cd, Mn, Ni, and Pb) between sediment and the sandworm (Perinereis quatrefagesi (P. quatrefagesi)). The geoaccumulation index (I geo), enrichment factor (EF), and contamination factor (CF), including the pollution load index (PLI), were used for statistical analyses by one-way analysis of variance (ANOVA), and differences in the data were compared using the least significant difference (LSD) test. The sediment heavy metal concentrations were found to decrease (Al > Mn > Pb > Ni > Cd > As), and the quantity of heavy metal contamination in the sediment was not over the emergency point defined by the Pollution Control Department in Thailand. The Mn at the SH and SP points has I geo > 0 but <1 and is considered not polluted to moderately polluted. The EF overall is <2 and is deficient in mineral enrichment. The CF of the Samut Sakhon (SH) and Samut Prakan (SP) sites had high Al and Mn values, indicating a low pollution level, but the PLI had an all-site average of 0.0215 ± 0.0252, which is <1. This indicates that the present areas are close to ideal and not polluted. To measure heavy metals in macrofauna, P. quatrefagesi was assessed, and concentrations were found to decrease (Mn > Ni > Cd > Pb > As). The Mn between sediment and the sandworm was directly correlated (r = 0.976; p < 0.01). The sandworm performs as a bioindicator for the quality of coastal sediment, specifically with Mn; thus, the result present at a baseline level may grow in the future if there is no control measure for defensive measures.

Assessment of incidence of cerebral vascular diseases and prediction of stroke risk in chronic obstructive pulmonary disease patients using multimodal biomarkers.

Early assessment of cerebrovascular disease in chronic obstructive pulmonary disease (COPD) patients is an important issue for a favorable influence on the quality of life. This cross-sectional case-control study was conducted on 38 eligible COPD patients (mean age 55.5 ± 11.5, 25 males, and 13 females) and 26 age-/sex-matched healthy controls. All participants were subjected to stroke risk screening instruments that included the Stroke Riskometer™, the Framingham 10-Year Risk Score, the stroke risk screening tool (the Department of Disease Control of Thailand), the My Risk Stroke Calculator, and Q Stroke. Radiologically, diffusion tensor imaging (DTI) and echo-gradient MRI (T2 star) T2 star imaging were done. Color-coded duplex sonography was done. Laboratory investigations included C-reactive protein (CRP), serum amyloid A, plasma fibrinogen level, serum IL6, 8-Isoprostane, vWF and urinary albumin creatinine ratio. Stroke risk screening instruments revealed a significant increase in COPD patients. DTI showed a significant bilateral reduction in fractional isotropy and a significant bilateral increase in mean diffusivity of white matter through many areas in COPD patients. Patients also had a significant increase of intima-media thickness, presence of atherosclerotic focal thicknesses or plaques on duplex sonography. There was a significant elevation of CRP, serum amyloid A, plasma fibrinogen level, serum IL6, 8-isoprostane, von Willebrand factor (vWF), and urinary albumin creatinine ratio in COPD patients. COPD patients had an increased risk for stroke that could be assessed on stroke risk screening instruments, DTI, T2 star, duplex sonography, and laboratory investigation and could be correlated with the severity of the disease.

Design, Implementation, and Evaluation of an N95 Respirator Decontamination and Reuse Program for Healthcare Workers During the COVID-19 Pandemic

Early in the COVID-19 pandemic, substantial disruptions in personal protective equipment (PPE) supply chains forced healthcare systems to become resourceful to ensure PPE availability for healthcare workers. Most worrisome was the global shortage of N95 respirators. In response, a collaboration between the Department of Infection Control and Healthcare Epidemiology and the Department of Biosafety at the University of Texas Medical Branch developed a PPE recycling program guaranteeing an adequate supply of respirators for frontline staff. The team successfully developed and implemented a novel workflow that included validated decontamination procedures, education, and training programs as well as transportation, labeling, and storage logistics. In total, 15,995 respirators of various types and sizes were received for recycling. Of these, 12,752 (80%) were recycled. Following the program's implementation, we surveyed 134 frontline healthcare workers who overwhelmingly graded our institution's culture of safety positively. Overall impressions of the N95 respirator recycling program were mixed, although interpretation of those results was limited by a lower survey response rate. In an era of increasing health security threats, innovative recycling programs like this one may serve as a model for other health systems to respond to future PPE supply chain disruptions.

Analysis on the allocation of human resources for chronic disease prevention and control in 664 district/county-level centers for disease control and prevention in China in 2020

Objective: To analyze the allocation of human resources for chronic disease prevention and control of district/county-level centers for disease control and prevention(CDC) in China in 2020. Methods: Survey subjects were from National Chronic Noncommunicable Disease and Risk Factor Surveillance Sites and National Demonstration Areas for Chronic Noncommunicable Disease Prevention and Control (demonstration areas). A survey examining the allocation of human resources for chronic disease prevention and control at district/county-level CDC was conducted in December 2021 through the National Demonstration Areas Management Information System. The number and rate of allocation of human resources for chronic disease prevention and control in district/county-level CDC were analyzed and the Wilcoxon rank sum test was used to compare the difference between demonstration and non-demonstration areas and between urban and rural areas. The Kruskal-Wallis H test was used to compare the difference in east, central and west regions. The Gini coefficient and Theil index were used to evaluate the balance of human resource for chronic disease prevention and control. Results: A total of 678 districts/counties were investigated, and 664 districts/counties responded effectively, with an effective response rate of 97.9%. The establishment rate of district/county-level CDC was 98.34% (653/664), and the establishment rate of chronic disease prevention and control departments of district/county-level CDC was 96.02% (627/653). In 627 district/county-level CDC with departments for chronic disease prevention and control, the median number of full-time technical personnel for chronic disease prevention and control was 4, the median number of full-time technical personnel in demonstration areas (4 persons) was higher than in non-demonstration areas (3 persons), highest in the east region (5 persons) than in the middle region (4 persons) and the west region (4 persons), higher in urban areas (4 persons) than in rural areas (4 persons) (all P values<0.05). The allocation rate was 0.71 people/100 000, which was higher in demonstration areas (0.73 people/100 000) than in non-demonstration areas (0.67 people/100 000), highest in the west region (0.82 people/100 000) than in the middle region (0.71 people/100 000) and east region (0.67 people/100 000), higher in rural areas (0.77 people/100 000) than in urban areas (0.68 people/100 000) (all P values<0.05). The Gini coefficient for the allocation by population size was 0.352 9. The total Theil index for demonstration and non-demonstration areas, different regions, and urban-rural areas were 0.067 8, 0.076 3, and 0.000 2, with the intra-group contribution of 97.35%, 99.52%, and 98.80%, respectively. Conclusion: In 2020, the allocation of human resources for chronic disease prevention and control in district/county-level CDC is relatively balanced. The variation in the allocation of human resources for chronic disease prevention and control exist between demonstration and non-demonstration areas, urban and rural areas, and across regions.

Value Stream Mapping applied to information management in infection control

Infection control teams collect and produce information on epidemiologic surveillance for prevention of Healthcare Associated Infections (HAIs). Value Stream Mapping (VSM) is a Lean method for developing process through flow efficiency. The aim of the study was to use VSM to identify opportunities for improvement in the infection control department. Flow of information and infection control activities were reviewed using VSM and a questionnaire, where time required for each task was measured. The actual VSM went through multidisciplinary analysis and an ideal VSM was created without considering resource limits. The ideal VSM was reviewed to identify the improvements easily implemented and the ones that would require more time or resources. The actual VSM analysis addressed work overload for Key Performance Indicators (KPI) production, data management (fragmentation, access and redundant work, storage, time between tasks, time typing) and tasks performed retrospectively, when less information is available and with no opportunity to correct protocol deviation. The implementation of the ideal VSM provided a faster and more efficient HAIs analysis, London protocol for HAI cases and surgical prophylaxis evaluation became real time tasks, and all surgical surveillance was improved. A mobile app was proposed as an intervention and became a long-term project. If completely implemented, the ideal VSM would result in 15.7 less work hours/month, having the working time optimized for patient care. VSM is an important tool for epidemiologic surveillance in infection control allowing better data management, continuous workflow, and new information production with potentially fewer work hours.

Effect of Tax Evasion on Revenue Collected at Customs, Border and Control Department of Kenya Revenue Authority

Efforts to curb tax cheating have not yet yielded 100% rewards. The taxpayers are daily devising new mechanisms of evading taxes. Tax comes in different ways and has been reported to cause indirect harm to the economy. The purpose of this study was therefore to investigate the effect of tax evasion on revenue collected at the customs, border, and control department of Kenya Revenue Authority. The study applied a descriptive research design. The study through purposeful sampling sampled 120 businesses from 7,431 businesses that are active in the export or importation of goods and clearing agents. The study applied the Taro Yamane formula to sample 162 respondents from a population of 1788 staff of KRA at the customs and border control department. Secondary data was collected using a secondary data sheet and covered a period between 2001 and 2022. Data for the study was analyzed through quantitative techniques (descriptive and inferential analysis). The results of the study were presented in tables. The study revealed that among the causes of tax evasion at the border included: High Tax Rates levied on goods and services, perception of high compliance costs, the complexity of the process of filing for duties and other fees, inadequacy of taxation services/support, ambiguity in tax laws and policies and low tax education among taxpayers. the study further revealed that among the ways through which taxes were evaded at the border included: misdeclaration, undervaluation of goods smuggling of goods, classification of imported goods as raw materials, and tariff misclassification. The study concluded that tax evasion significantly and negatively affected the tax revenues collected at the customs, border, and control departments. The study recommended the hiring and development of staff working at the customs border and control department to be able to carry out frequent tax audits and inspections of goods that are imported or exported to curb tax evasion. The study recommended that the KRA allocate resources to acquiring the latest information communication and technology gadgets including scanners to help in curbing tax evasion because it had a negative effect on the tax collected. In addition, the tax department should invest in educating the taxpayers on the importance of paying taxes, how to file for taxes, and when to file to reduce tax evasion. The study also recommended a strengthened one-stop-border post policy to help in reducing tax administration costs.

ЦИФРОВАЯ СИСТЕМА УПРАВЛЕНИЯ ИНФОРМАЦИЕЙ О БИЗНЕС-ПРОЦЕССАХ ПРОМЫШЛЕННОГО ПРЕДПРИЯТИЯ

The scientific article discusses a new concept for creating a digital information management system about the business processes of an industrial enterprise. Research hypothesis - thanks to the collected and processed information, using a digital system, an enterprise can identify problems, improve the work of the financial planning and control department, and speed up the adoption of relevant management decisions. The purpose of the study is to propose a new concept for a digital information management system for business processes of industrial enterprises, which will consist of ten modules that ensure effective data management in various scenarios; modern replication of applications and file systems. The author associates the prospects for his further research with the creation and description of a software product for a digital information management system about the business processes of an industrial enterprise.

Bacterial flora of infected vegetable crops

The focal point of the article revolves around the examination of bacteria isolated from infected vegetable crops. The study encompasses a comprehensive analysis of various attributes including colony structure, color, and size of these isolated bacteria in their pure form. To enhance our understanding, fixed preparations were meticulously crafted from these isolates, followed by Gram staining. The isolates were scrutinized under immersion oil using an x 100 lens and specialized microscopy equipment, namely the xsp-136 B and N-300m microscope (UCMOSO9000KPB), magnifying them up to 1000 times. To further delve into the taxonomic classification of these isolated strains, the MALDI-TOF method was employed. The strains were precisely identified through this method, carried out at the Department of Sanitary and Epidemiological Control, utilizing state-of-the-art Bruker equipment. Central to the research was the exploration of the pathogenic properties of these bacteria in relation to plants. To this end, a pivotal experiment was conducted wherein seeds of tomatoes and eggplants were artificially planted using these isolated bacteria. The culmination of these investigations has resulted in the creation of four distinct tables, meticulously supplemented with figures to visually encapsulate the findings. In essence, the article presents a comprehensive exploration of the isolated bacteria’s attributes, classification, and their potential pathogenic impact on plants.

Scientific review of the materials of the 4th All-Russian Forum on Economic Security in Tyumen

April 22, 2023 was the final day of the 4th All-Russian Forum on Economic Security in Tyumen, organized by the University of Tyumen (namely, the Department of Economic Security, System Analysis and Control, the Financial and Economic Institute) together with the International Network AML/CFT Institute and International Training and Methodological Center for Financial Monitoring. The forum has become a platform for communication, discussion, exchange of opinions and experience in the sphere of economic security of the country, region, organizations of different types of activity, individuals, forming strategies of economic security. The program of the forum was rich, starting with the plenary session, panel discussion, round tables, master classes and communication session for practitioners and finishing with workshops for schoolchildren.

Management of stenosing flexor tenosynovitis in primary care.

Management of stenosing flexor tenosynovitis in primary care.

State and Violence: The Role of Population Control, Family Planning, Women's Empowerment and Child Protection Departments (DPPKBP3A) In Handling Acts of Sexual Violence Against Children in Karimun District

The state is an actor responsible for protecting all its citizens, in accordance with the mandate of the Constitution. However, cases of sexual violence against children in Karimun District continue to increase from 2020-2022, the victims are children who are still in elementary school and the perpetrator is a person who is very close to the victim. This research aims to find out the role of the state through Population Control, Family Planning, Women Empowerment and Child Protection Departments (DPPKBP3A) in handling sexual violence against children in Karimun District. The type of research used is qualitative descriptive research through interviews, observation and documentation. The research results show that the hope of the victim’s family is to free the victim from the trauma they have experienced, and this hope is in line with what is intended by the state.. The victim’s family gave a positive view of what DPPKBP3A was doing in dealing with acts of sexual violence against children. DPPKBP3A is not optimal in carrying out its role due to several factors, namely lack of human resources, natural factors and also victims who have difficulty providing information.

Current status of neonatal death in a second level of care hospital in the state of Mexico

Introduction: Concern for improving the health conditions of women and pregnant women as critical points, to improve the health of neonates, had already been previously analyzed. However, we observe that a series of factors continue to strongly influence the health systems of our country. Within these observations, it is detected that pregnant women still have failures in some of the critical links of care, despite the fact that strategies were suggested to improve opportunities for improvement in the field of care for women and women. Pregnant, for reproductive health. In order to positively impact and reduce neonatal death as well as neurological damage in newborns. In previous analyzes it was possible to verify that by detecting these opportunities for improvement in the obstetric care process, new strategies were found each time to avoid factors that seriously impact the health of neonates. Objective: To monitor the current state of neonatal death taking into account a time line in a previously monitored population, trying to detect preventive actions, to specifically protect the newborn; Positively impacting maternal health. Method: Analysis of clinical records of 310 deaths of newborns was carried out according to the recommendations of Dr. Brown in Georgia, who assigned a percentage of responsibility basically in 4 areas, namely: 1.-Health of the woman to whom he gave a very high weight 60% responsibility. 2.- Maternal care with 10% responsibility. 3.- Neonatal Care, 9% responsibility, and 4.- Postnatal Care, 21%. The method includes color coding: #1 Brown; #2, Network; #3, Green; and #4 Lila, respectively for each area mentioned; which are expressed in a table to be able to contain data from each patient and thereby identify the area of responsibilities to convert it into an area of Opportunity. Once the number of Neonatal deaths for the 2010-2015 period was analyzed, the results were compared with previous periods, previously analyzed, to measure whether there are new factors that require new approach strategies. Results: In the period 203-206, basically three pathologies responsible for the death: 61% Prematurity, 25% sepsis, 61.7% asphyxia, and according to the color code entered the area of responsibility for obstetric care. In the years 2007-2008: there was an increase in Prematurity to 66.6%; there was a decrease in sepsis to 14%. And decrease in babies under 1500gr. to 46.6%, after applying initial analysis strategies. (3) In the 2010-2015 period, premature babies fell to 63%; Asphyxia decreased 38% and sepsis remained at 14%, Babies under 1500gr increased to 57.7% Conclusions: We can see that the risk factors for neonatal death remained present, but we noticed a significant decrease compared to previous periods, according to the analysis of the Dr. Brown method, it translates into an area of opportunity for improvement with high weight for the area of obstetric care, we can comment that newborns within the Neonatal area of responsibility were registered once they were received very serious from birth and after neonatal intensive care, by age they entered that area of responsibility. Also to clarify that the asphyxia patients, in 98% of the cases were intrauterine. Permanent monitoring is urgently needed, and there is an insistence on applying a 4x4 team building strategy in the field of women&#39;s and pregnant women&#39;s health Permanent monitoring is urgent, and there is an insistence on applying a 4x4 team formation strategy in the field of women&#39;s and pregnant women&#39;s health (Based Colaborating Centered in Reproductive Health The National Centers For Disease Control and Prevention Georgia Department of Human Resource)