Reorganization Of System Research Articles

서울의 메가리전(mega-region)화, 어떻게 할 것인가?

The discussion on Gimpo's incorporation into Seoul is developing into a discussion on the reorganization of the administrative system of Mega City. Is it really desirable for Seoul to incorporate Gimpo City from the perspective of the spatial structure of the city? Historically, the city has gradually expanded its sphere of influence, and the living area has been expanded to megapolis, urban conurbation, mega-regions, and ultra-wide areas. However, since administrative districts and hierarchical structures are different from country to country, there are various ways to resolve the inconsistency between living and administrative areas. In the case of Korea, there is a strong tendency to use radical metropolitan administrative measures such as merger or separation, which is largely influenced by the centralized local administration system. The living area of the residents of the metropolitan area has already expanded beyond Seoul, Gyeonggi-do, and even Chungcheong-do and Gangwon-do. Gyeonggi-do is insisting on a division and proposing the Incheon Special Self-Governing Province Plan, making it a difficult problem on how to resolve the conflict of regional discussions. The Seoul Metropolitan Government proposes the Korean-style Legion Plan as an alternative to respond to the Mega-region phenomenon.

보유세 부담과 세부담 제한제도에 대한 고찰

Korea's wealth tax was divided into property tax and comprehensive real estate tax when the comprehensive real estate tax was introduced in 2005, and since then, it has developed into a complex system with various burden enhancement and relief systems for each tax category. This study examines the dual burden and restriction structure of Korea's wealth tax system and examines how to rationalize the wealth tax burden according to the taxpayer's ability to pay through the example of the United States.
 The holding tax system tries to moderate the tax burden by operating the tax burden ceiling, fair market value ratio, tax credit, and overstatement limit for property tax and comprehensive real estate tax, respectively. However, these complex burden mitigation measures do not adequately assess the taxpayer's burden. Property taxes are supposed to optimize the level of tax burden based on physical taxation, but property taxes determine the level of taxation based on human taxation, which is a major departure from the essence of property taxes.
 Looking at the case of California in the United States, property taxes are assessed according to the principle of ad valorem taxation, and the burden is determined accordingly, and resident-oriented deductions and property tax payment credits are operated to appropriate the burden on taxpayers.
 In order to solve the structural problems of the estate tax, it is necessary to discuss the reorganization of the estate tax system. In order to reduce the tax burden on taxpayers, it is possible to consider introducing a plan to deduct the holding tax burden from income taxation, and it is necessary to discuss in-depth improvements to the taxation system by property tax period. It is also necessary to consider introducing a monthly payment system for property taxes for taxpayers' convenience.
 In the future, considering the globalization and aging of our society, it is necessary to discuss how to improve the integrated wealth tax system in order to appropriate the burden level of property taxes and prepare an integrated taxation system that suits the power.

CIVIL PROTECTION IN EMERGENCIES. A CASE STUDY OF THE POMERANIAN VOIVODESHIP

The author of the article adopts a comprehensive approach to the issue of protection and safety of the population in emergency situations using the example of emergency management during the 2017 storm in Pomeranian Voivodeship. The main objective of the presented research is to identify threats to the safety of the population, as well as to propose measures to increase the level of security in emergency situations. A special role in this regard is played by the involve-ment of Volunteer Fire Departments, which provide assistance to residents and protect property and the environment from the negative effects of natural disasters. The study proposes organiza-tional and legal changes, training programs and recommendations for the reorganization of the civil protection system in Poland.

Modelling the operation modes of local MicroGrid networks with mobile wind and solar power plants

The basis for the development of the global energy sector is the introduction of alternative energy and, accordingly, a complete change in approaches to the structural reorganisation of energy systems. An analysis of the state of electric power networks in Ukraine shows their almost complete depreciation, low reliability and structural obsolescence, which makes further development and expansion difficult to ensure the rapid growth of electricity consumption. Therefore, a trendy solution to the problem of modernising electric power networks while increasing their capacity and reliability is the use of MicroGrid systems, which are structural elements of the Smart Grid concept based on the intellectualisation of the management of the full cycle of electricity generation, use and storage. The miniaturisation and localisation of smart electric networks makes it possible to minimise power losses and ensure full control over their operating modes. A MicroGrid provides management of distributed energy resources and is essentially a hybrid, as it includes renewable energy sources alongside traditional ones. Regulation of MicroGrid operation modes and power flows in it is the key to increasing the sustainability of the operation processes. The article proposes the use of mobile wind-solar power plants as sources of distributed generation in the MicroGrid system, which is a new technical solution for improving the structural scheme of its implementation and optimising the management of operating modes. The structure of MicroGrid is substantiated and developed, and mathematical modelling of autonomous and hybrid modes of operation of the system with mobile renewable energy power plants is performed. The obtained results show the feasibility and energy efficiency of the developed MicroGrid system. Conclusions are drawn regarding the prospects for further development of MicroGrid with mobile power plants.

CURRENT PROBLEMS OF MODERNIZATION OF MUSIC EDUCATION OF THE PRC IN THE CONTEXT OF MODERN CHALLENGES

The scientific review article presents an analysis of the current problems of music education in the People's Republic of China, which are caused by the contradictions between the urgent need to preserve and multiply the national cultural potential and the requirements for the reorganization of the education system in accordance with the tasks of integration into the cultural and educational world space. The role of Chinese musical art in the historical, cultural and philosophical excursion is characterized. The main problems of music education in the People's Republic of China, which are determined by the music-pedagogical community, are presented. They are the following: orientation of Chinese music education on the training of performers, improvement of their technique; insufficient use of interdisciplinary connections with humanitarian disciplines to form a holistic view of musical art as a spiritual phenomenon; insufficient level of professional training of teachers of musical art; conservative approach in the organization and implementation of the educational process. The views of Chinese scientists, teachers, and art critics regarding the modernization of music education in the People's Republic of China are highlighted: updating and expanding the content of education by disciplines, topics of a national nature; the use of modern methods, techniques, organizational forms of training; raising the level of training of music teachers. The importance of building a national music school for the implementation of the state national cultural strategy is revealed. Among other important factors are solving the problems of national unification of the country, consolidation of the people, harmonization of relations in the society on the basis of cultural cohesion of the nation; elevation of the national identity of the Chinese nation. Prospective directions for the development of the national music school are outlined: updating the performing repertoire, supplementing the musical material studied in music lessons with examples of folk art; creating a historical and cultural context when teaching musical disciplines; promoting the spread of traditional Chinese music, its popularity and prestige in public consciousness; improvement of the process of teaching Chinese traditional music in educational institutions of all levels; defining and reconstructing the subjectivity of Chinese music, using the unique spiritual experience of national music.

Desmosine as a biomarker for the emergent properties of pulmonary emphysema.

Developing an effective treatment for pulmonary emphysema will require a better understanding of the molecular changes responsible for distention and rupture of alveolar walls. A potentially useful approach to studying this process involves the concept of emergence in which interactions at different levels of scale induce a phase transition comprising a spontaneous reorganization of chemical and physical systems. Recent studies in our laboratory provide evidence of this phenomenon in pulmonary emphysema by relating the emergence of airspace enlargement to the release of elastin-specific desmosine and isodesmosine (DID) crosslinks from damaged elastic fibers. When the mean alveolar diameter exceeded 400 μm, the level of peptide-free DID in human lungs was greatly increased, reflecting rapid acceleration of elastin breakdown, alveolar wall rupture, and a phase transition to an active disease state that is less responsive to treatment. Based on this finding, it is hypothesized that free DID in urine and other body fluids may serve as a biomarker for early detection of airspace enlargement, thereby facilitating timely therapeutic intervention and reducing the risk of respiratory failure.

Research on Court Intervention in Pre-reorganization

The significance of pre-reorganization system lies in the connection between out-of-court reorganization system and in-court reorganization system. The validity of the reorganization agreement reached by the parties through negotiation at the stage of out-of-court reorganization can be directly extended to the reorganization procedure after being examined and approved by the court, and the relevant procedures can be omitted. However, the problem of the pre-reorganization system at this stage is that the court's interference in the pre-reorganization and reorganization stage will lead to the failure of the pre-reorganization system to play its full role, thus causing judicial waste. Therefore, the court should increase its own influence and intervene in the reorganization proceedings as required at the stage of submission of the pre-reorganization plan.

PP106 Integrating Organizational Impacts Into Health Technology Assessment: How To Take Them Into Account For Medical Devices?

IntroductionThe organizational impact (OI) of new technologies is becoming a major driver for our healthcare systems and for modernizing the care pathway for the benefit of users and professionals. Some technologies give rise to a reorganization of the healthcare system, particularly in the case of connected medical devices.The Medical Device Committee at Haute Autorité de Santé (HAS) appraises medical devices (MD) in view of their reimbursement by the French health insurance scheme. The Committee’s evaluation criteria take account of the therapeutic benefit of the MD and its public health benefit. OI-related aspects are frequently claimed by health technology developers (HTD) in their MD submission dossiers. However, this aspect is rarely documented. Therefore, guidance explaining how HTD should support and structure any claim of an OI was needed.MethodsThis work was based on the HAS OI Map for Health Technology Assessment published in 2020, the analyses of specific HAS opinions, hearings with concerned stakeholders (HTD, service providers and patients), and a committee meeting focused on OI.ResultsThe HTD guide for MD submission was updated with guidance to support OI claims. For each claimed OI, the HTD should identify the criterion corresponding to the most relevant OI, the indicator to describe each selected criterion, the stakeholders concerned, and the data to be provided. The choice of method is according to the OI: if the indicator is measurable, data from validated measurement tools are expected. If not, especially in cases where the use of the MD requires a specific organization before its deployment, the absence of data must be justified and a detailed impact analysis is necessary. In this case, the development plan for the demonstration of the OI is needed.ConclusionsWith this updated guide for HTDs, claimed OI dimension shall be better supported in future MD dossiers submitted to HAS in view of their reimbursement in France.

CONCEPTUAL AND FUNCTIONAL MODELS OF COMBATING MONEY LAUNDERING

The material of the article is a continuation of the study of the methodology for classifying typologies of money laundering and terrorist financing risks in big data from a variety of data sources of organizational systems. The process of counteraction is investigated. Theoretically substantiated and synthesized functional and conceptual models of this process. When synthesizing a functional model of counteraction, the IDEF0 methodology was used. In the course of modeling, it was found that such counteraction models are distinguished by the need to verify the signs of illegal economic activity of organizational systems. When analyzing the conceptual model of the counteraction process, it was found that credit institutions are not interested in countering the risks of laundering proceeds from crime that arise in the course of their commercial activities. The conceptual model of the process of combating money laundering and the financing of terrorism showed the need for a partial structural reorganization of tis process and the system that implements it. It is necessary to carry out a structural reorganization of the national countermeasure system with the organization of access to a variety of new data sources that reveal the nature of the activities of controlled organizational systems, as well as to control credit institutions, to introduce a distributed countermeasure system, which consists of remotely controlled software algorithms. A typology of a separate risk of money laundering in credit organizations is synthesized as an example illustrating the lack of interest of these organizations in detecting risks in their commercial activities. The analysis of the reasons for the omission of this typology by various participants in the counteraction, discussed in the conceptual model, is carried out. It is concluded that there is a need for conceptual changes in the system of combating money laundering and the financing of terrorism, which will improve the completeness of the classification of typologies of individual risks.

인구감소지역 어린이집 원장의 보육정책에 관한 인식과 요구

Objectives The purposes of this study was to examine day-care center directors’ child-care policies in the depopulation areas.
 Methods To this end, it administered questionnaires to directors of 25 day-care centers located at the depopulation areas and conducted a descriptive statistical analysis on the responses.
 Results The findings are as follows: First, the reorganization of the child-care support system was positively recognized in terms of the management of day-care centers and extended class, the enhancement of child-care quality and users’ satisfaction. On the other hand, it did not contribute to the reduction of day-care teachers’ paperwork, preparation for daily lessons and increase of research time. The management of open child-care centers was positively recognized, while it was reported to increase day-care center teachers’ workload and make it difficult to encourage parents’ participation. The service satisfaction of the day-care center support system was generally higher. Second, it was found to be most difficult to ‘attract kindergartners’ in managing day-care centers in the depopulation areas. Vulnerable child-care services (young children with special needs and multicultural child-care) were in the strongest demand.
 Conclusions This study intends to provide basic data for developing and managing child-care policies proper and specific to the depopulation areas and suggestions for more substantial customized child-care policies.

일본에서 사회보장의 아동복지에 관한 연구

The Child Welfare Act aims to ensure the welfare of children so that they can be born healthy and grow up happily and safely. Japan's right to social security has been developed through the reorganization of various social security law-related systems, and the Child Welfare Act has also been institutionalized through various efforts to actively respond to society's demand for child welfare. Therefore, in this study, we would like to examine the Child Welfare Act among Japan's social security rights and find its implications for Korea.
 In accordance with the Child Welfare Act, Japan operates premature birth facilities, nursing care children's facilities, disabled child detention facilities, and maternal and child support facilities for pregnant women, and also introduces a foster parent system. Public involvement in the operation of facilities is high, and the role and responsibility of the state, metropolitan local governments, and basic local governments are clarified for the installation or operation of facilities and the implementation of child protection policies. In addition, in order to efficiently and integrally promote child welfare-related policies, the Ministry of Health, Labor and Welfare established the Child and Family Office in April 2023 for child abuse and transferred it to the direct agency of the Prime Minister.
 Child welfare in Korea is similar to Japan, but there is no dedicated department that acts as a control tower to oversee child welfare because ministries are separated from child welfare targets such as the Ministry of Health and Welfare, the Ministry of Gender Equality and Family, and the Ministry of Education. Children's guardians should raise children healthy and safe at home according to the developmental stage, and the state and local governments should take necessary measures to prevent children from being discriminated against, such as religion, property, or disability of their parents. In order to realize such child welfare, it is urgent to establish an integrated dedicated department, expand child protection facilities, and overhaul a careful and balanced system to implement effective policies suitable for changes in social structure. In this respect, the establishment of the Child and Family Agency in Japan has great implications for Korea.

Maternal mortality study in a level II hospital in guinea from 2016 to 2020

The objective of this work was to study the epidemiological profile of maternal deaths at the Forécariah prefectural hospital from January 1, 2016 to December 31, 2020. Methodology: this was a descriptive, cross-sectional study with retrospective collection, including women who died before, during or within 42 days after childbirth. Sociodemographic and clinical variables, circumstances and causes of death as well as the process of maternal death reviews (MDR) were studied. The data were analyzed using EPI Info version 7.2 6 software. Central tendency parameters (mean, standard deviation), relative and absolute frequencies were reported. Results: The maternal mortality ratio was 348 deaths per 100,000 live births. The average age was 31 ±5.65 years. The majority of deceased women were unemployed (67.69%), most of them married (72.31%), and multiparous in 33.85% of cases. Hemorrhages during delivery constituted 52.72% of the direct causes. The effectiveness of reviews of maternal deaths was 10.77% and deaths deemed avoidable represented 98.46%, mainly linked to the 3rd delay in 58.46% of cases. Conclusion: achieving the goal of sustainable development (SDG 3.1) requires community participation, reorganization of the health system and government involvement.

Medicak techniligies assesment in COVID-19

According to official information about the coronavirus, as of May 2023, about 400 thousand people died from COVID-19 in Russia, 6.9 million people in the world. Social, as well as medical and economic aspects are associated with the COVID-19 pandemic. The main global financial resources were allocated to the provision of vaccines ($13.8 billion, 40.4%); reorganization of health systems ($4.1 billion); COVID-19 drug therapy ($3.4 billion). The costs of research, development and study of vaccines and medicines accounted for only 0.6% of total costs ($166 million). The article presents a clinical and pharmacological analysis of various medicines recommended for the treatment of infection. In these conditions, the reliability and effectiveness of national health technology assessment systems has become particularly relevant.

Resting-state functional connectivity in a non-human primate model of cortical ischemic stroke in area F1

BackgroundThe application of functional MRI to non-human primates after stroke has not yet been undertaken. This is the first study to explore the functional connectivity changes in non-human primate models during acute stages after stroke onset. MethodsNineteen healthy male cynomolgus monkeys (4–5 years) were used in this study. The photothrombosis model was employed to induce focal ischemic stroke in F1 area in the monkey's left hemisphere. T1-weighted structural images and resting-state functional magnetic resonance imaging (rs-fMRI) of all subjects were obtained using a 3.0 Tesla MRI system on the third day following stroke. Based on the D99 atlas, the structural and functional changes of bilateral F1 areas in monkeys were analyzed using region of interest (ROI)-based functional connectivity (FC). The bilateral F1 areas were selected as the seed regions due to their crucial role in motor control and their potential to unveil the comprehensive functional reorganization of the motor system at a whole-brain level following stroke. ResultsIschemic lesions were observed after the stroke, with larger lesion volumes associated with poorer neurological dysfunction. Compared with baseline condition, left area F1 demonstrated decreased FC with the left cerebellum, left ventral pons and left 5_(PEa). When the ROI was located in the right area F1, ischemic monkeys showed decreased FC in left ventral pons, left cerebellum, left primary visual cortex and left 5_(PEa), accompanied by increased FC in the right orbitofrontal cortex. Importantly, the degree of altered FC between left area F1 and left cerebellum was associated with upper limb tone. ConclusionsThese results provide valuable insights into the early-stage functional connectivity changes in the F1 areas of monkeys under ischemic conditions, highlighting the potential involvement of specific brain regions in the pathophysiology of ischemic injury.

실증적 분석을 통한 지방교육재정교부금의 다원화 방안 탐색

The purpose of this study is to propose a plan to diversify grants in order to effectively respond to the conflicting demand forecasts of the education community and fiscal authorities at a time when the school-age population is continuously declining, and to secure the stability of local education finance. In particular, we focused on examining how to separate salary grants in light of the high proportion of labor costs as a fixed expense due to the nature of educational activities. To this end, the study empirically compares and analyzes the future outlook of local education finance under the unified funding structure linked to national taxes following the reorganization of the local education finance grant system in 2004, and under the separate funding structure linked to national taxes for salary grants, which was operated until then.
 The research findings are as follows: First, when comparing the combined results of the salary grant and other national tax grants calculated based on labor costs by school level with the current national tax grant, the current national tax grant is less from 2005 to 2016, but the current national tax grant is more from 2017 onwards. Second, when the salary grant was separated from the national tax grant, the financial stability of the grant was found to be greater. In other words, the level of fluctuation was not as large as that of the national tax-linked grant, which is currently unified, and the size of the overall grant was somewhat reduced.

감사원 직무감찰의 개선에 관한 연구

Recently, the Civil Rights Commission Collisions between the election management committee and auditors, and adverse effects due to duplicate audits with auditing organizations, With the enactment of the “Public Audit Law” and the “Special Law on Local Autonomy Decentralization and Regional Balanced Development”. Due to the rapid changes in the audit and administrative environment, the reform of the existing audit system can no longer be postponed. The Board of Audit and Inspection's job inspection establishes discipline in public office by eliminating control over state power and corruption. It plays an important role in national audit activities. In terms of job inspection, In addition to the legality audit, there is a suitability audit. “Special Act on Decentralization of Local Autonomy and Reorganization of Local Administrative System” With the enactment of, the administrative affairs of local governments have been abolished, and only the administrative affairs of local governments have been abolished.
 As for self-government affairs, there is a possibility of infringing the essence of autonomy, so a purposeful audit of the central administrative agency should be conducted. Denial is reasonable. Of job inspections, interpersonal inspections are used to ensure democratic control and responsibility.
 Expanding the scope of job inspections, the purpose of administrative affairs inspections will be closely related to auditing results of audits. Therefore, it is desirable to combine administrative audits with accounting audits.
 In order to ensure the effectiveness of the results, it is necessary to overcome the functional, political, ceremonial and scope limitations of the duty inspection.
 And financial application rights, indictment jury rights, investigative rights, etc. should be considered. Also includes self-audit, Auditing bodies ensure unrestricted access to information and audit findings and reports and audits to Congress and the general public.
 It is necessary to set up institutional devices such as checking the status of result disposition and audit monitoring.
 Meanwhile, while strengthening the position of the Audit & Supervisory Board Members as the highest auditing body, we will strengthen the self-audit system, which is an internal control system.
 Auditors are encouraged to switch to a guardianship audit. I would like to see the legislative reform so that the employees can discuss and coordinate as the highest auditing body. Inspection by Audit & Supervisory Board Members.
 but, If the independence of the Board of Audit and Supervisory Board is not guaranteed, the establishment and effectiveness of the guardianship audit system of the Board.
 It will not be able to secure it and will not be able to smoothly perform its functions of cooperation and coordination as the Supreme Oversight Body.

Optimal placement of time-varying distributed generators by using crow search and black widow - Hybrid optimization

This paper focuses on the optimal reorganization of radial distribution system (RDS) and the superlative location of time-varying power generation distributed generators, considering time-varying loads. The electric generators, utilizing non-conventional energy sources, are directly connected to the distribution grids with lower ratings compared to conventional source-driven generators. In this study, a combination of optimization techniques, such as the black widow and crow search techniques, is employed to enhance performance in terms of optimal reorganization and superlative location of distribution generation. The reorganization problem is examined and analyzed by considering various scenarios in a standard 69-bus grid, as well as in larger-scale 119-bus and 135-bus systems, with and without the presence of distributed generation resources. The analysis of the proposed optimization techniques with the obtained results is well discussed in this paper.

Factors that influence evidence-informed meso-level regional primary health care planning: a qualitative examination and conceptual framework

BackgroundEvidence-informed primary health care (PHC) planning in decentralised, meso-level regional organisations has received little research attention. In this paper we examine the factors that influence planning within this environment, and present a conceptual framework.MethodsWe employed mixed methods: case studies of five Australian Primary Health Networks (PHNs), involving 29 primary interviews and secondary analysis of 38 prior interviews; and analysis of planning documents from all 31 PHNs. The analysis was informed by a WHO framework of evidence-informed policy-making, and institutional theory.ResultsInfluential actors included federal and state/territory governments, Local Health Networks, Aboriginal Community Controlled Health Organisations, local councils, public hospitals, community health services, and providers of allied health, mental health and aged care services. The federal government was most influential, constraining PHNs’ planning scope, time and funding. Other external factors included: the health service landscape; local socio-demographic and geographic characteristics; (neoliberal) ideology; interests and politics; national policy settings and reforms; and system reorganisation. Internal factors included: organisational structure; culture, values and ideology; various capacity factors; planning processes; transition history; and experience. The additional regional layer of context adds to the complexity of planning.ConclusionsLike national health policy-making, meso-level PHC planning occurs in a complex environment, but with additional regional factors and influences. We have developed a conceptual framework of the meso-level PHC planning environment, which can be employed by similar regional organisations to elucidate influential factors, and develop strategies and tools to promote transparent, evidence-informed PHC planning for better health outcomes.

Dynamical Measurement of Team Resilience

Resilient teams overcome sudden, dynamic changes by enacting rapid, adaptive responses that maintain system effectiveness. We analyzed two experiments on human-autonomy teams (HATs) operating a simulated remotely piloted aircraft system (RPAS) and correlated dynamical measures of resilience with measures of team performance. Across both experiments, HATs experienced automation and autonomy failures, using a Wizard of Oz paradigm. Team performance was measured in multiple ways, using a mission-level performance score, a target processing efficiency score, a failure overcome score, and a ground truth resilience score. Novel dynamical systems metrics of resilience measured the timing of system reorganization in response to failures across RPAS layers, including vehicle, controls, communications layers, and the system overall. Time to achieve extreme values of reorganization and novelty of reorganization were consistently correlated with target processing efficiency and ground truth resilience across both studies. Correlations with mission-level performance and the overcome score were apparent but less consistent. Across both studies, teams displayed greater system reorganization during failures compared to routine task conditions. The second experiment revealed differential effects of team training focused on coordination coaching and trust calibration. These results inform the measurement and training of resilience in HATs using objective, real-time resilience analysis.

National Cross-Sectional Epidemiological Analysis of the Impact of Pandemic COVID-19 on Vascular Procedures in Public Health System: 521,069 Procedures Over 4 Years

During the COVID-19 pandemic, there was a dramatic increase in healthcare demand. Resources were redirected to care patients with COVID-19. Therefore, surgical treatments were affected, including those of vascular diseases. There are no studies evaluating the whole impact of the COVID-19 pandemic, considering all types of vascular procedures, both elective and urgent, in a large country. The aim of the present study was to analyze the impact on all types of vascular procedures performed in Brazilian public hospitals during the COVID-19 pandemic. Cross-sectional population-based analysis of publicly available data referring to vascular procedures. Surgeries two years before the pandemic onset (2018 to 2019) and two years during pandemic (2020 to 2021) were included. We observed a total of 521,069 procedures. Decrease was observed in elective abdominal aortic aneurysm repairs both open surgery (p=0.001) and endovascular surgery (p<0.001), emergency open abdominal AAA repairs (p=0.005), elective thoracic aortic aneurysm repairs (p=0.007), elective open peripheral aneurysm repairs (p=0.038), carotid endarterectomies (p<0.001) and angioplasties (p=0.001), open revascularizations for peripheral arterial disease (p<0.001), surgical treatment of chronic venous disease (p<0.001) and sympathectomies for hyperhidrosis (p<0.001). However, there was a increase of lower limb amputations (p=0.027) and vena cava filter placements (p=0.005). There was a reduction of almost US$17 million in financial investments. The reorganization of health systems led to a significant reduction in vascular procedures and decrease in financial investments. On the other hand, there was a significant increase in the number of lower limb amputations and vena cava filter placements.