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Background: Cholera is a major public health threat in Uganda, especially in border districts prone to outbreaks from cross-border movement. We investigated and evaluated the initial response to a January 2024 cholera outbreak in Elegu Town, on the Uganda-South Sudan border, using the 7–1–7 timeliness metrics to assess detection, notification, and response capacities, highlighting Uganda's preparedness and challenges in managing cross-border outbreaks. Methods: We defined a suspected case as the onset of acute watery diarrhea in an asylum seeker at the Elegu border point from January to February 2024. A confirmed case was a suspected case in which Vibrio cholerae was isolated in the stool by culture or PCR. We actively searched for cases and collected data on person characteristics, symptoms, and outbreak timeliness. We used semi-structured interviews to elicit insights from district health officials on the enabling factors and bottlenecks during the response. We used the 7–1–7 metric to assess detection, notification, and response capacities of the point of entry. Results: Thirteen members of a refugee family from South Sudan were diagnosed with cholera within 6 h of arrival at the Elegu border, with 4 (31%) confirmed cases. No death occurred. The authorities detected, notified, and responded to the outbreak within the 7–1–7 timelines, with no major bottlenecks identified. The outbreak was detected and notified within one day and by the fifth day, a full response was mounted. The prompt response was attributed to the availability of a functional emergency operations center and the presence of trained surveillance frontline health workers. Conclusion: Response to an imported cholera outbreak at Elegu border point demonstrated Uganda's preparedness in managing cross-border disease outbreaks. Achieving the 7–1–7 targets highlighted the country's-built capacity to detect, notify, and respond to such events. Continued investment in local-level disease detection, communication, and national-level resource mobilization will be crucial to sustaining future effective cross-border outbreak prevention and control strategies. [ABSTRACT FROM AUTHOR]

ABSTRACT: Context/Background: The COVID-19 pandemic affected the health care services worldwide, with the target of END TB 2025; it was important to make sure that the TB notification and linkage services were not hampered. The current study aims to document the overall impact of COVID-19 on TB notification and treatment services. Aims/Objectives: To document the impact of COVID-19 on notification and comparison of their outcome between pre-COVID-19 and COVID-19 era. Methodology: Programmatic data of 9893 notified TB cases reported from Surat rural between 2019 and 2021 were collected from Nikshay portal through DTO Surat. Detailed comparison of pre- and COVID-19 era was performed using stratified analysis. Results: There was a significant (P = 0.02) 29% decline in cases reported in 2020 as compared to the cases reported in the previous year. The impact of COVID-19 was also seen on mortality of the reported cases (18% increase). The overall proportion of treatment failure was increased (28%), whereas difference of 20% was seen in cases where treatment regimen was required to be changed. Conclusions: Despite the overall impact of COVID-19 on TB services (2020), the health department has proactively countered and bounce back in 2021 with an overall increase in notification and treatment services. [ABSTRACT FROM AUTHOR]

Background: According to the Chinese Society of Anesthesiology, it is recommended that patients with difficult airways be documented and notified, which will provide healthcare professionals with a direct reference when managing airways. However, compliance with this initiative remains unclear. This study was conducted to investigate the current status and need for difficult airway notification at Plastic Surgery Hospital and to explore the factors contributing to noncompliance. Methods: Anesthesiologists, surgeons, and patients in Plastic Surgery Hospital were administered separate questionnaires regarding notification of difficult airway management. Participants were surveyed regarding their attitudes and current practices regarding difficult airway notification. In addition, questions were asked regarding the barriers that contribute to noncompliance. Results: A total of 632 valid responses were obtained and analyzed, giving a response rate of 99.21%. 399 patients (89.46%) felt it was very important for anesthesiologists to inform them about their difficult airway, and 91.03% felt it was very important for them to receive a letter of their airway assessment. However, twenty-two anesthesiologists (64.7%) reported verbally informing less than 50% of patients about their difficult airway after surgery, and only four anesthesiologists informed all patients they encountered. Most surgeons (91.22%) and anesthesiologists (91.18%) believe that it is vital to inform patients verbally, while 114 surgeons (77.03%) and 31 anesthesiologists (91.18%) believe that it is essential to complete a difficult airway notification alert. Among the factors causing noncompliance, 17 (34.69%) believed that absence of mandatory rules, 9 (18.37%) believed that increased workload, and 8 (16.33%) believed that notification methods were lacking. Conclusions: The compliance to difficult airway notification remains low in Plastic Surgery Hospital despite the high incidence of difficult airways. Although anesthesiologists, surgeons, and patients are strongly in favor of it. Among the barriers to compliance were the absence of a well-developed notification system and a means of notification such as an alert form for difficult airways. This may spur the anesthesiology society to publish the notification system. [ABSTRACT FROM AUTHOR]

Abstract Background Cholera is a major public health threat in Uganda, especially in border districts prone to outbreaks from cross-border movement. We investigated and evaluated the initial response to a January 2024 cholera outbreak in Elegu Town, on the Uganda-South Sudan border, using the 7–1–7 timeliness metrics to assess detection, notification, and response capacities, highlighting Uganda's preparedness and challenges in managing cross-border outbreaks. Methods We defined a suspected case as the onset of acute watery diarrhea in an asylum seeker at the Elegu border point from January to February 2024. A confirmed case was a suspected case in which Vibrio cholerae was isolated in the stool by culture or PCR. We actively searched for cases and collected data on person characteristics, symptoms, and outbreak timeliness. We used semi-structured interviews to elicit insights from district health officials on the enabling factors and bottlenecks during the response. We used the 7–1–7 metric to assess detection, notification, and response capacities of the point of entry. Results Thirteen members of a refugee family from South Sudan were diagnosed with cholera within 6 h of arrival at the Elegu border, with 4 (31%) confirmed cases. No death occurred. The authorities detected, notified, and responded to the outbreak within the 7–1–7 timelines, with no major bottlenecks identified. The outbreak was detected and notified within one day and by the fifth day, a full response was mounted. The prompt response was attributed to the availability of a functional emergency operations center and the presence of trained surveillance frontline health workers. Conclusion Response to an imported cholera outbreak at Elegu border point demonstrated Uganda's preparedness in managing cross-border disease outbreaks. Achieving the 7–1–7 targets highlighted the country’s-built capacity to detect, notify, and respond to such events. Continued investment in local-level disease detection, communication, and national-level resource mobilization will be crucial to sustaining future effective cross-border outbreak prevention and control strategies.

Context/Background: The COVID-19 pandemic affected the health care services worldwide, with the target of END TB 2025; it was important to make sure that the TB notification and linkage services were not hampered. The current study aims to document the overall impact of COVID-19 on TB notification and treatment services. Aims/Objectives: To document the impact of COVID-19 on notification and comparison of their outcome between pre-COVID-19 and COVID-19 era. Methodology: Programmatic data of 9893 notified TB cases reported from Surat rural between 2019 and 2021 were collected from Nikshay portal through DTO Surat. Detailed comparison of pre- and COVID-19 era was performed using stratified analysis. Results: There was a significant (P = 0.02) 29% decline in cases reported in 2020 as compared to the cases reported in the previous year. The impact of COVID-19 was also seen on mortality of the reported cases (18% increase). The overall proportion of treatment failure was increased (28%), whereas difference of 20% was seen in cases where treatment regimen was required to be changed. Conclusions: Despite the overall impact of COVID-19 on TB services (2020), the health department has proactively countered and bounce back in 2021 with an overall increase in notification and treatment services.

Abstract Background According to the Chinese Society of Anesthesiology, it is recommended that patients with difficult airways be documented and notified, which will provide healthcare professionals with a direct reference when managing airways. However, compliance with this initiative remains unclear. This study was conducted to investigate the current status and need for difficult airway notification at Plastic Surgery Hospital and to explore the factors contributing to noncompliance. Methods Anesthesiologists, surgeons, and patients in Plastic Surgery Hospital were administered separate questionnaires regarding notification of difficult airway management. Participants were surveyed regarding their attitudes and current practices regarding difficult airway notification. In addition, questions were asked regarding the barriers that contribute to noncompliance. Results A total of 632 valid responses were obtained and analyzed, giving a response rate of 99.21%. 399 patients (89.46%) felt it was very important for anesthesiologists to inform them about their difficult airway, and 91.03% felt it was very important for them to receive a letter of their airway assessment. However, twenty-two anesthesiologists (64.7%) reported verbally informing less than 50% of patients about their difficult airway after surgery, and only four anesthesiologists informed all patients they encountered. Most surgeons (91.22%) and anesthesiologists (91.18%) believe that it is vital to inform patients verbally, while 114 surgeons (77.03%) and 31 anesthesiologists (91.18%) believe that it is essential to complete a difficult airway notification alert. Among the factors causing noncompliance, 17 (34.69%) believed that absence of mandatory rules, 9 (18.37%) believed that increased workload, and 8 (16.33%) believed that notification methods were lacking. Conclusions The compliance to difficult airway notification remains low in Plastic Surgery Hospital despite the high incidence of difficult airways. Although anesthesiologists, surgeons, and patients are strongly in favor of it. Among the barriers to compliance were the absence of a well-developed notification system and a means of notification such as an alert form for difficult airways. This may spur the anesthesiology society to publish the notification system.

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As it is observed these days, the roads are crowded with different kinds of vehicles, and as a result, accidents have become more dangerous every day. In this paper, a vehicle accident detection and notification system is designed by using road surveillance camera data and machine learning techniques to use the recorded footage from the surveillance cameras to detect the accident status, activate an alerting sound, and send the notification message as a Google email (Gmail) to the specialist. The system model was made by combining two algorithms, convolutional neural networks (CNN) and support vector machines (SVM), to make a CNN-SVM hybrid model, which was then trained using two datasets. The first dataset contains 4814 images with sizes (28, 28) and extensions (jpg), and the second dataset contains 990 images with sizes (32, 32) and extensions (jpg). The outcomes scores of the evaluation matrices are: accuracy for the first dataset is 99.74% and loss is 1.14%, and for the second dataset, accuracy is 98.88% and loss is 3.39%. When testing it with real-world data, it achieved its objectives in 30 seconds, with accuracy reaching 100%. [ABSTRACT FROM AUTHOR]

Objective: to understand how adverse events are reported from the point of view of nursing professionals. Methods: a qualitative study was carried out with 38 nursing professionals. Data was collected using an electronic form of personal and professional characterization and guiding questions. Descriptive statistics were used to analyze the characterization data and thematic content analysis was used for the qualitative data. Results: 21 nurses and 17 nursing technicians participated, most young women from hospitals in four Brazilian states. Two categories emerged: Notification of adverse events, one more task to be carried out in daily work, and Notification and institutional treatment of adverse events, from a personal approach to a procedural one, with subcategories. Conclusion: notifications focus on filling in the institutional instrument, and there is a lack of clarity about what adverse events are. A punitive culture persists, but there seems to be a movement towards a procedural approach. Contribution to practice: we hope to help raise awareness of the issue and help institutions develop more effective reporting strategies to monitor patient safety and drive improvements.

This paper discusses the intricacies of diplomatic privileges and immunities as outlined in the Vienna Convention. It highlights the distinction between privileges granted to representatives of states versus those of international organizations. The classification of diplomatic staff into four categories is explained, emphasizing the inviolability and immunity of diplomatic agents. Changes in definitions and practices since 1958 are explored, along with the importance of proper notification and certification of diplomatic status. The roles of heads of missions, particularly the doyen of the diplomatic corps, are outlined, as well as the significance of acceptance or rejection of diplomatic representatives by receiving states. The article concludes with insights into the termination of diplomatic missions and the authority of states to impose conditions on diplomatic privileges and immunities.

Abstract Background HIV partner notification services can help people living with HIV (PLHIV) to identify, locate, and inform their sexual and injecting partners who are exposed to HIV and refer them for proper and timely counseling and testing. To what extent these services were used by PLHIV and what are the related barriers and facilitators in southeast Iran are not known. So, this study aimed to explore HIV notification and its barriers and facilitators among PLHIV in Iran. Methods In this qualitative study, the number of 23 participants were recruited from November 2022 to February 2023 including PLHIV (N = 12), sexual partners of PLHIV (N = 5), and staff members (N = 6) of a Voluntary Counseling and Testing (VCT) center in Kerman located in the southeast of Iran. Our data collection included purposive sampling to increase variation. The content analysis was conducted using the Graneheim and Lundman approach. The analysis yielded 221 (out of 322) related codes related to HIV notification, its barriers, and its facilitators. These codes were further categorized into one main category with three categories and nine sub-categories. Results The main category was HIV notification approaches, HIV notification barriers, and facilitators. HIV notification approaches were notification through clear, and direct conversation, notification through gradual preparation and reassurance, notification due to being with PLHIV, notification through suspicious talking of the physician, and notification due to the behavior of others. Also, the barriers were classified into individual, social, and environmental, and healthcare system barriers and the facilitators were at PLHIV, healthcare staff, and community levels. Stigma was a barrier mentioned by most participants. Also, the main facilitator of HIV notification was social support, especially from the family side. Conclusions The findings highlighted the multidimensionality of HIV notification emphasizing the importance of tailored support and education to enhance the notification process for PLHIV and their networks. Also, our results show that despite all the efforts to reduce stigma and discrimination in recent years, stigma still exists as a main obstacle to disclosing HIV status and other barriers are the product of stigma. It seems that all programs should be directed towards destigmatization.

Background: HIV partner notification services can help people living with HIV (PLHIV) to identify, locate, and inform their sexual and injecting partners who are exposed to HIV and refer them for proper and timely counseling and testing. To what extent these services were used by PLHIV and what are the related barriers and facilitators in southeast Iran are not known. So, this study aimed to explore HIV notification and its barriers and facilitators among PLHIV in Iran. Methods: In this qualitative study, the number of 23 participants were recruited from November 2022 to February 2023 including PLHIV (N = 12), sexual partners of PLHIV (N = 5), and staff members (N = 6) of a Voluntary Counseling and Testing (VCT) center in Kerman located in the southeast of Iran. Our data collection included purposive sampling to increase variation. The content analysis was conducted using the Graneheim and Lundman approach. The analysis yielded 221 (out of 322) related codes related to HIV notification, its barriers, and its facilitators. These codes were further categorized into one main category with three categories and nine sub-categories. Results: The main category was HIV notification approaches, HIV notification barriers, and facilitators. HIV notification approaches were notification through clear, and direct conversation, notification through gradual preparation and reassurance, notification due to being with PLHIV, notification through suspicious talking of the physician, and notification due to the behavior of others. Also, the barriers were classified into individual, social, and environmental, and healthcare system barriers and the facilitators were at PLHIV, healthcare staff, and community levels. Stigma was a barrier mentioned by most participants. Also, the main facilitator of HIV notification was social support, especially from the family side. Conclusions: The findings highlighted the multidimensionality of HIV notification emphasizing the importance of tailored support and education to enhance the notification process for PLHIV and their networks. Also, our results show that despite all the efforts to reduce stigma and discrimination in recent years, stigma still exists as a main obstacle to disclosing HIV status and other barriers are the product of stigma. It seems that all programs should be directed towards destigmatization. [ABSTRACT FROM AUTHOR]

Containers are a mainstream virtualization technique for running stateful workloads over persistent storage. In highly utilized multitenant hosts, resource contention at the system kernel leads to inefficient container input/output (I/O) handling. Although there are interesting techniques to address this issue, they incur high implementation complexity and execution overhead. As a cost-effective alternative, we introduce the Diciclo architecture with our assumptions, goals, and principles. For each tenant, Diciclo isolates the control and data I/O path at user level and runs dedicated storage systems. Diciclo includes the libservice unified user-level abstraction of system services and the node structure design pattern for the application and server side. We prototyped a toolkit of user-level components that comprise the library to invoke the standard I/O calls, the I/O communication mechanism, and the I/O services. Based on Diciclo, we built Danaus, a filesystem client that integrates a union filesystem with a Ceph distributed filesystem client and configurable shared cache. Across different host configurations, workloads, and systems, Danaus achieves improved performance stability, because it handles I/O with reserved per-tenant resources and avoids intensive kernel locking. Based on having built and evaluated Danaus, we share valuable lessons about resource contention, file management, service separation, and performance stability in multitenant systems. [ABSTRACT FROM AUTHOR]

This study explores how patient’s laboratory result are accessed in pediatric emergency departments. The rapid turnaround of laboratory results and their timely access by the medical team are crucial for effective patient management and care decision-making. This study revealed a systematic access prioritization to the Electronic Health Record, led by physicians, followed by nurses, and then other healthcare staff Despite efforts to streamline access through computerized laboratory results, optimized laboratory turnaround time and integration of final results into the electronic health record remain key challenges. Delays in accessing analysis results issued by the central hospital laboratory are consistently experienced across various laboratory types, indicating broader systemic workflow issues rather than inefficiencies specific to individual laboratories. [ABSTRACT FROM AUTHOR]

Notifications are an essential part of the user experience on smart mobile devices. While some apps have to notify users immediately after an event occurs, others can schedule notifications strategically to notify them only on opportune moments. This tailoring allows apps to shorten the users' interaction delay. In this paper, we present the results of a comprehensive study that identified the factors that influence users' interaction delay to their smartphone notifications. We analyzed almost 10 million notifications collected in-the-wild from 922 users and computed their response times with regard to their demographics, their Big Five personality trait scores and the device's charging state. Depending on the app category, the following tendencies can be identified over the course of the day: Most notifications were logged in late morning and late afternoon. This number decreases in the evening, between 8 p.m. and 11 p.m., and at the same time exhibits the lowest average interaction delays at daytime. We also found that the user's sex and age is significantly associated with the response time. Based on the results of our study, we encourage developers to incorporate more information on the user and the executing device in their notification strategy to notify users more effectively. [ABSTRACT FROM AUTHOR]

ABSTRACT Objectives: Identify the frequency of recurrent violence in cases reported in Espírito Santo and the associated factors. Methods: Cross-sectional study. Which included data on violence in Espírito Santo from 2011 to 2018, from the Notifiable Diseases Information System, and, Statistical analyzes were performed using the chi-square test and Poisson regression. Results: 54.2% (N:14.966) of reported cases of violence are repeated, and higher prevalences were associated with female sex (PR:1.54), child (PR: 1.29) or elderly victims (PR: 1.25), the presence of disabilities/disorders (PR:1.42) and occurrence in urban/peri-urban areas (PR: 1.10). Furthermore, there is a greater frequency of injuries caused by a single aggressor (PR: 1.20), man (PR: 1.28), aged 25 or over (PR: 1.09), known to the victim (PR: 2.81) and at home (PR: 1.69). Conclusion: The reported cases of violence showed a high frequency of recurrence, and were associated with the studied characteristics of the victim, the aggressor and the event.

In order to achieve the Sustainable Development Goals (SDG), it is imperative to ensure the safety of drinking water. The characteristics of each drinkable water, encompassing taste, aroma, and appearance, are unique. Inadequate water infrastructure and treatment can affect these features and may also threaten public health. This study utilizes the Internet of Things (IoT) in developing a monitoring system, particularly for water quality, to reduce the risk of contracting diseases. Water quality components data, such as water temperature, alkalinity or acidity, and contaminants, were obtained through a series of linked sensors. An Arduino microcontroller board acquired all the data and the Narrow Band-IoT (NB-IoT) transmitted them to the web server. Due to limited human resources to observe the water quality physically, the monitoring was complemented by real-time notifications alerts via a telephone text messaging application. The water quality data were monitored using Grafana in web mode, and the binary classifiers of machine learning techniques were applied to predict whether the water was drinkable or not based on the data collected, which were stored in a database. The non-decision tree, as well as the decision tree, were evaluated based on the improvements of the artificial intelligence framework. With a ratio of 60% for data training: at 20% for data validation, and 10% for data testing, the performance of the decision tree (DT) model was more prominent in comparison with the Gradient Boosting (GB), Random Forest (RF), Neural Network (NN), and Support Vector Machine (SVM) modeling approaches. Through the monitoring and prediction of results, the authorities can sample the water sources every two weeks. [ABSTRACT FROM AUTHOR]

This study aims to develop web-based hospital management software. Several previous studies discovered some lack, such as manual queue calling, limited patient registration, difficult access to medical records, and the absence of reminders. In this study, we developed queue, reservation, medical record, reminder, and medical action modules. We expected that facilities could improve the operational efficiency of hospital services. The research stage starts with problem formulation, literature study, design determination, system development with five main modules, system testing, and the creation of research articles. Some limitations were identified, including responsive design and the expense of API system. [ABSTRACT FROM AUTHOR]

This study extensively analyzed campylobacteriosis surveillance in Portugal from 2009 to 2021, aiming to investigate demographic shifts, seasonal variations, and antimicrobial resistance (AMR) within Campylobacter isolates. Surveillance network and sentinel laboratory-based system data revealed a substantial under-notification of campylobacteriosis cases, suggesting an underestimated disease burden. Notification rates exhibited a paradigm shift, with a notable prevalence among the pediatric population, particularly in children aged 1–4 years, diverging from European reports. Additionally, an emerging trend of Campylobacter infections in younger adults (15–44 years) was observed. The study unveiled a unique seasonal distribution of cases, defying typical summer peaks seen elsewhere. AMR analysis revealed high resistance to ciprofloxacin and tetracycline, in both C. jejuni (93.7% and 79.2%, respectively) and C. coli (96.5% and 93.2%, respectively), stable throughout the studied period (2013–2021). C. coli exhibited significantly higher resistance to erythromycin, gentamicin, ampicillin and ertapenem compared to C. jejuni (p < 0.001). Multilocus Sequence Typing (MLST) data demonstrated the distribution of resistance markers across diverse sequence types, challenging the notion of a clonal origin for multidrug-resistant isolates. In conclusion, the study highlights the need for enhanced surveillance and raises concerns about alarming AMR levels, recommending the implementation of whole-genome sequencing (WGS)-based surveillance for a deeper comprehension of disease patterns and an evolving AMR landscape. [ABSTRACT FROM AUTHOR]

The study examined the legal system of electronic telegrams in the system of using electronic means in civil proceedings The Jordanian legislator was created to keep abreast of recent electronic developments and to use them to facilitate litigation proceedings against the parties to the proceedings and to address the obstacles and problems encountered in conventional reporting and researchers used the descriptive and analytical approach by describing the concept of electronic reporting, Analyzing the texts of the Civil Trial Code and Code of Procedure and amendments. This study has reached several conclusions. The ease of use, as well as several suggestions, is important for the legislator to organize texts setting out the system's electronic reporting procedures because of the inadequacy of the texts contained in the Code of Civil Procedure, and the Provision of more modern technical equipment and development, numbers and qualification of Ministry of Justice staff to use means. [ABSTRACT FROM AUTHOR]

Objective: to analyze adverse events reported internally in different hospitals and the possible reasons for underreporting to official reporting systems. Methods: a mixed study was carried out in three hospitals, using secondary data from internal records and notifications from official systems. Interviews were conducted with 27 professionals. We used content analysis and statistical analysis of the text corpus using the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. Results: of the 1,154 adverse events recorded internally, medication/intravenous fluid errors and clinical processes/procedures stand out. However, in the official systems, failure to identify falls appears as the most reported event. The prevalence of underreporting in the official systems was 34.4%, the main reasons being: difficulty of access, lack of knowledge, complexity of the systems, turnover, work overload, internal underreporting, and non-exclusive human resources at the center. Conclusion: The main internal notifications were of medication/intravenous fluid errors and clinical processes/procedures, but there was under-reporting to official systems due to human resources, infrastructure, and management issues. Contributions to practice: the role of managers, professionals, and the regulatory body in implementing actions to facilitate, train, and support those responsible for records stand out.

Abstract Objective: To analyze the temporal trend of completeness and consistency of data on notifications of violence against indigenous women in the health macro-region of Dourados, state of Mato Grosso do Sul, Brazil, between 2009 and 2020. Methods: An ecological time series study was conducted using data from the Notifiable Health Conditions Information System; Prais-Winsten regression was used to analyze the trend of data completeness and consistency, as well as the proportion of completed and coherent fields. Results: A total of 2,630 cases were reported; completeness was found to be very poor in the variable “occupation” (48.9%) and poor in the variables “schooling” (68.3%) and “time of occurrence” (67.9%); in the analysis of temporal trends, only the variable “occupation” showed a decreasing trend (p = 0.045). Conclusion: The data analyzed demonstrated the need for improvement in the completeness of the variables “schooling”, “occupation” and “time of occurrence” of the violent act.

Background: High breast density is an independent risk factor for breast cancer and decreases the sensitivity of mammography. This systematic review synthesizes the evidence on the impact of breast density (BD) information and/or notification on women's psychosocial outcomes among women from racial and ethnic minority groups. Methods: A systematic search was performed in March 2023, and the articles were identified using CINHAL, Embase, Medline, and PsychInfo databases. The search strategy combined the terms “breast”, “density”, “notification” and synonyms. The authors specifically kept the search terms broad and did not include terms related to race and ethnicity. Full-text articles were reviewed for analysis by race, ethnicity and primary language of participants. Two authors evaluated the eligibility of studies with verification from the study team, extracted and crosschecked data, and assessed the risk of bias. Results: Of 1784 articles, 32 articles published from 2003 to 2023 were included. Thirty-one studies were conducted in the United States and one in Australia, with 28 quantitative and four qualitative methodologies. The overall results in terms of breast density awareness, knowledge, communication with healthcare professionals, screening intentions and supplemental screening practice were heterogenous across studies. Barriers to understanding BD notifications and intentions/access to supplemental screening among racial and ethnic minorities included socioeconomic factors, language, health literacy and medical mistrust. Conclusions: A one-size approach to inform women about their BD may further disadvantage racial and ethnic minority women. BD notification and accompanying information should be tailored and translated to ensure readability and understandability by all women.

In today's world, security is one of the most important components for any hotel. One of the most serious potential threats is a fire, which can lead not only to material losses, but also endanger the lives of guests and employees. In this regard, the use of automated fire detection systems becomes an integral part of the hotel security strategy. These systems, based on modern technologies and innovations, ensure reliable and fast fire detection, which allows timely response and prevention of fire spread. We research the technologies used in automated fire detection systems, as well as their effectiveness in the context of the hotel business. [ABSTRACT FROM AUTHOR]

Productivity is a key factor in the success of a company, and real-time monitoring systems are necessary to achieve this goal. Manual data collection is time-consuming and exhausting. Industrial Internet of Things (IIoT) technology has been rapidly advancing in monitoring and optimizing industrial processes. Production processes can be disrupted due to machine problems; hence, the need to analyze machine efficiency using the overall equipment effectiveness (OEE) method. This study implements a system that uses Industrial Internet of Things technology based on mobile application to monitor production processes, report production results, assess machine performance using the OEE method and provide maintenance notifications based on time-based maintenance. Research findings indicate that the production monitoring system implemented on a prototype press machine based on an interactive mobile application interface is capable of monitoring production processes and reporting production results. The system can also assess machine performance using the OEE method, with a calculation accuracy of 99.95% and maintenance notifications with a delay time of 1.04 seconds.

In parliamentary regimes, principally parliament has the authority to remove political officials from office due to violation of laws or failure in execution of governmental duties. Mechanisms of political supervision of ministers include notification, questioning, and impeachment. This article employs a descriptive-analytical method, by using library sources, to examine the subject of formality for the political supervision of ministers under the legal system of Islamic Republic of Iran and the Mashrooteh (Constitutional) era. Comparative analysis and historical evolution of this topic pose the question of which system, either the Mashrooteh (Constitutional) or Islamic Republic, has had a more dignified approach to the formality of political supervision of ministers by taking into account the legal, cultural, and historical background of Iran? The outcome of this research demonstrates that in the mechanisms of notification and questioning, the current political system, contrary to the Mashrooteh (Constitutional) one, has systematically and rationally provided rules governing the application of these parliamentary competencies. On the other hand, in impeachment mechanism, limiting the Members of Parliament to propose it in specific cases, and the effective and accurate examination by Commission had turned the impeachment process into a reasonable and efficient formality during the Mashrooteh (Constitutional) Era, while, in the Islamic Republic system, the quorum for proposing impeachment, the ease of the application of impeachment process, and the broad scope of impeachable subjects have posed notable challenges.

The burden of tuberculosis (TB) in Jordan is largely unknown due to the paucity of high-quality data, under-reporting, and a lack of good quality vital registration system. This study aimed to assess the characteristics of TB patients in Jordan, determine the TB notification rate and assess the trend of TB notification in Jordan between 2016 and 2020. Methods: This study analyzed the TB Surveillance data in Jordan for the period 2016–2020. The obtained data included information on age, gender, nationality, marital status, date of symptoms onset and date of diagnosis, and site of TB. Results: During the period 2016–2020, a total of 1711 patients (989 women and 722 men) were diagnosed with and treated for tuberculosis. The mean (SD) age of patients was 30.1 (17.2) years. Almost half of them (48.4%) were Jordanians. The majority of non-Jordanian patients were from Syria, Philippines, and Bangladesh. Two thirds of patients (66.0%) had pulmonary TB and 34.0% had extra-pulmonary TB. Almost half (50.7%) of the patients were diagnosed within one month of the symptoms’ onset. The average annual TB notification rate during 2016–2020 was 3.32 per 100,000 pop (4.08 per 100,000 women and 2.64 per 100,000 men). The average annual standardized notification rate was 4.13 per 100,000 pop (4.52 per 100,000 women and 3.52 per 100,000 men). The overall age-standardized notification rate increased from 3.88 per 100,000 pop in 2016 to 4.58 per 100,000 pop in 2019 and declined to 2.46 per 100,000 pop in 2020. The trend in TB notification differed significantly according to gender. While the notification increased in the last three years among women, it decreased significantly among men. Conclusions: While TB notification increased in the last three years among women, it decreased significantly among men. There is a need to ensure that the national TB plans set clear targets for reducing the burden of TB.

Abstract This study identified characteristics in the notifications related to sexual violence (SV) against girls and boys registered in the Violence and Accidents Monitoring System (VIVA; SINAN/NET) of the city of João Pessoa, between 2017 and 2020. This was a documental, descriptive and cross-sectional study. A total of 255 notifications were analyzed. The data showed that the majority of the notified cases were related to pre-adolescents, of mixed race and female. Most of the notifications reported only one incident. The overall case shows that the abuse took place in the home, with a male abuser, being the victim’s boyfriend. The time that elapsed between the incident and disclosing was longer in the cases of adolescents [t(253)=-2,75, p=.001]; and rapes were more observed against girls (χ2=12.305/df=4, p=.015). There was a tendency for repetition when the rape occurred in the home χ2(30)=178.74, (p

Children with Autism Spectrum Disorder (ASD) have characteristics where one cannot control emotions, which can cause tantrums that can impact behavior and body temperature. Based on this, they should be supervised by parents/relatives. To reduce the effects of these circumstances, this study seeks to design a technology system that can measure body temperature and detect the position of ASD children who can later monitor the activities they do. This system applies the ESP32 microcontroller and utilizes the GPS module to read the position of objects detected by the system and the MLX90614 temperature sensor, which can detect the body temperature of ASD children. Then, to facilitate checking, the control system is designed with an IoT system through the Blynk application to make it easier for users to supervise ASD children and can be accessed via smartphones in real time. In this study, detection testing was carried out on 3 ASD child subjects by grouping three conditions: namely, the child exits the location when the child is outside the predetermined location; then the child exits the body temperature when the child's body temperature is abnormal, and the child exits the location and body temperature outside normal. The results obtained show that the detector test results provide notifications to application users in the form of "child out of location," "child out of body temperature," and "child out of location and body temperature outside normal. [ABSTRACT FROM AUTHOR]

Sex offender registries contain information available for public access through websites. In 2006, the Sex Offender Registration and Notification Act (SORNA), a core piece of the Adam Walsh Act, was introduced to overhaul the disparate SORN systems across states. Although instrumental in systematizing the sex offender policy, there has yet to be a sufficient investigation into SORNA's effects in shaping public website registry requirements. Our quantitative content analysis of 50 state sex offender online registries categorized the 88 identified registry elements into seven mutually exclusive features: liability concerns, dissemination of information, mapping features, search features, listing details of registrants, offense information, and victim information. Findings show that states largely share many common registry elements, with multivariate analyses suggesting SORNA-compliant registries are more likely to publicly share eight elements specifically relating to registrants' search and listing features and offense location. [ABSTRACT FROM AUTHOR]

Notifications are an essential part of the user experience on smart mobile devices. While some apps have to notify users immediately after an event occurs, others can schedule notifications strategically to notify them only on opportune moments. This tailoring allows apps to shorten the users’ interaction delay. In this paper, we present the results of a comprehensive study that identified the factors that influence users’ interaction delay to their smartphone notifications. We analyzed almost 10 million notifications collected in-the-wild from 922 users and computed their response times with regard to their demographics, their Big Five personality trait scores and the device’s charging state. Depending on the app category, the following tendencies can be identified over the course of the day: Most notifications were logged in late morning and late afternoon. This number decreases in the evening, between 8 p.m. and 11 p.m., and at the same time exhibits the lowest average interaction delays at daytime. We also found that the user’s sex and age is significantly associated with the response time. Based on the results of our study, we encourage developers to incorporate more information on the user and the executing device in their notification strategy to notify users more effectively.

Current research on SARS-CoV-2 has largely focused on the pandemic's impact on humans, with insufficient attention paid to monitoring, sharing, and communicating information about viral circulation and evolution in animal hosts. The objective of this study was to estimate and characterise the data gap between the number of SARS-CoV-2 cases and related deaths in animals officially notified to the World Organisation for Animal Health (WOAH) via its World Animal Health Information System (WAHIS) and known cases reported through two other data sources: ProMED-mail and scientific papers.We used the previously published dataset SARS-ANI to retrieve SARS-CoV-2 events in animals published through WAHIS and ProMED-mail. Additionally, we generated SARS-ANI SciLit v1.0, a novel structured dataset of SARS-CoV-2 events in animals published through scientific literature retrieved from PubMed.We evidenced that at least 52.8% of the SARS-CoV-2 animal cases and 65.8% of the deaths were not reported to WAHIS during 29/02/2020–16/08/2022. Combining information from three different data sources, we compiled a new comprehensive list of 35 animal species reported as susceptible to SARS-CoV-2 under natural conditions, representing a significant advance from the figures reported by the WOAH and the Food and Agriculture Organization of the United Nations. Furthermore, we identified animal species that were underreported to the WAHIS and found that dogs and cats garnered the most attention in research studies. We also showed that, compared to the official WAHIS reports, scientific papers generally experienced longer publication lags and demonstrated that national strategies regarding reporting/publishing of SARS-CoV-2 events in animals greatly differed among countries.This analysis provides valuable insights into the patterns of reporting animal infections with SARS-CoV-2. The study emphasises the need for improvements in data sharing regarding SARS-CoV-2 events in animals, as this is crucial for effective One Health surveillance, prevention, and control of emerging diseases of zoonotic origin.

Evaluating cross-country variability on the impact of the COVID-19 pandemic on tuberculosis (TB) may provide urgent inputs to control programs as countries recover from the pandemic. We compared expected TB notifications, modeled using trends in annual TB notifications from 2013–2019, with observed TB notifications to compute the observed to expected (OE) ratios for 170 countries. We applied the least absolute shrinkage and selection operator (LASSO) method to identify the covariates, out of 27 pandemic- and tuberculosis-relevant variables, that had the strongest explanatory power for log OE ratios. The COVID-19 pandemic was associated with a 1.55 million (95% CI: 1.26–1.85, 21.0% [17.5–24.6%]) decrease in TB diagnoses in 2020 and a 1.28 million (0.90–1.76, 16.6% [12.1–21.2%]) decrease in 2021 at a global level. India, Indonesia, the Philippines, and China contributed the most to the global declines for both years, while sub-Saharan Africa achieved pre-pandemic levels by 2021 (OE ratio = 1.02 [0.99–1.05]). Age-stratified analyses revealed that the ≥ 65-year-old age group experienced greater relative declines in TB diagnoses compared with the under 65-year-old age group in 2020 (RR = 0.88 [0.81–0.96]) and 2021 (RR = 0.88 [0.79–0.98]) globally. Covariates found to be associated with all-age OE ratios in 2020 were age-standardized smoking prevalence in 2019 ( β = 0.973 [0.957–990]), school closures ( β = 0.988 [0.977–0.998]), stay-at-home orders ( β = 0.993 [0.985–1.00]), SARS-CoV-2 infection rate ( β = 0.991 [0.987–0.996]), and proportion of population ≥65 years ( β = 0.971 [0.944–0.999]). Further research is needed to clarify the extent to which the observed declines in TB diagnoses were attributable to disruptions in health services, decreases in TB transmission, and COVID-19 mortality among TB patients. [ABSTRACT FROM AUTHOR]

The burden of tuberculosis (TB) in Jordan is largely unknown due to the paucity of high-quality data, under-reporting, and a lack of good quality vital registration system. This study aimed to assess the characteristics of TB patients in Jordan, determine the TB notification rate and assess the trend of TB notification in Jordan between 2016 and 2020. Methods: This study analyzed the TB Surveillance data in Jordan for the period 2016–2020. The obtained data included information on age, gender, nationality, marital status, date of symptoms onset and date of diagnosis, and site of TB. Results: During the period 2016–2020, a total of 1711 patients (989 women and 722 men) were diagnosed with and treated for tuberculosis. The mean (SD) age of patients was 30.1 (17.2) years. Almost half of them (48.4%) were Jordanians. The majority of non-Jordanian patients were from Syria, Philippines, and Bangladesh. Two thirds of patients (66.0%) had pulmonary TB and 34.0% had extra-pulmonary TB. Almost half (50.7%) of the patients were diagnosed within one month of the symptoms' onset. The average annual TB notification rate during 2016–2020 was 3.32 per 100,000 pop (4.08 per 100,000 women and 2.64 per 100,000 men). The average annual standardized notification rate was 4.13 per 100,000 pop (4.52 per 100,000 women and 3.52 per 100,000 men). The overall age-standardized notification rate increased from 3.88 per 100,000 pop in 2016 to 4.58 per 100,000 pop in 2019 and declined to 2.46 per 100,000 pop in 2020. The trend in TB notification differed significantly according to gender. While the notification increased in the last three years among women, it decreased significantly among men. Conclusions: While TB notification increased in the last three years among women, it decreased significantly among men. There is a need to ensure that the national TB plans set clear targets for reducing the burden of TB. [ABSTRACT FROM AUTHOR]

The commission of criminal acts does not automatically imply the initiation of investigations by judicial bodies. On the one hand, the authorities aim to reveal criminal facts and, on the other hand, to reduce the risk of arbitrary investigations. The tool used to solve this dilemma is the notification - as the instrument through which the judicial body is informed about the commission of a crime. On the one hand, the effectiveness of judicial bodies in revealing criminal facts and, on the other hand, the protection of society from the arbitrary interventions of state agents depends on the mastery with which the legislator manages to regulate the institution of notification in the criminal process. The role of the doctrine in this process is one that cannot be neglected. The inadvertences identified by the specialists in the field and – last, but not least - the solutions proposed for their remedy are to be taken into account not only for the improvement of the normative framework, but also for its application by the bodies judicial judicial bodies.

The Construction Law introduces the obligation to use a building facility in a manner consistent with its intended use and environmental protection requirements. However, if we want to change the intended use of a building facility or its part, it may be necessary to notify a change of use of the facility or its part to the competent authority of architecture and construction administration. Any such change is to some extent connected with a change of technical parameters, and in particular with a change of the conditions of use. In this paper I address the issue of protection of third parties' interests in the matter of notification of a change in use of a building facility or its part, and also in the case of legalisation of an arbitrary change in use of a building facility.

Dormitories are very popular with the Thai people. From the research questionnaire of Thammasat University, it was found that people decide to rent accommodation in each place. They will consider the residence's safety as the second priority after the location that is convenient travel. Therefore, the safety factor of the shelter is the top factor that tenants will consider when choosing a dormitory. The crime may cause damage to property, mental state, and possibly death of the tenant. Moreover, one problem is the dormitory without a security guard or leaving the door open. Therefore, the researcher recognizes the importance of the above problem. Therefore, we use the Internet of Things to help the dormitory operators and dormitory tenants. It has a working process of communication or transmitting data between devices. It has a distinctive feature that is to increase comfort, quickly and accurately. The objectives of this research are as follows: 1) to develop a notification system. In the case of forgetting to close the dormitory door with the application of the Internet of Things 2) to evaluate the system development with the sample group being dormitory tenants and dormitory owners, 20 people. For research to achieve such objectives. We have developed a system for checking if forgetting to close the dormitory door. The system will send a notification to the chat group of the dormitory tenants or private chat of the dorm owner and a sound notification from the device when it forgets to close the dormitory door after it has been used for 30 seconds. The system has two important devices used to develop the system are 1) microcontroller board and 2) ultrasonic sensor. In the experiment, we left the door open forty times. The results showed that a notification was sent to a chat group of dormitory tenants and dormitory owners. There were audible notifications from the device, 2.854 seconds for the average time the notification was sent to the chat. The average time it took the device to process it before sending the sound was 2.681 seconds. In addition, the evaluation of the system's satisfaction by 20 tenants found that the results were a good level.

The Executive Regulations of Article 219 of the Direct Taxes Law is one of the most important executive regulations of this Law, which explains how the tax organization interacts with taxpayers and how the officers perform their duties. The results of this research, which had carried out descriptively and analytically, indicate that the mentioned regulations have violated the laws and legal principles in many cases. The conflict of the mentioned regulation is more noticeable in the dimension of civil participation; Of course, the difference between the regulation and the regulations is also evident in other parts, including; First, contrary to Article 101 of the Direct Taxes Law, after one year, the said exemption is divided equally between the forced and voluntary partners. Contrary to Article 203 of the Law on Direct Taxes and Tax Procedures, it is allow to serve the documents from a partner to partners who are separate natural persons, and only one recognition sheet is issued. The debated regulation declares the responsibilities of partners in paying the tax debt to be a liability, while in the jurisprudence and legal system of Iran, joint and several liabilities are acceptable only in special cases. Secondly, contrary to Article 54 of the Direct Taxes Law, the head of the Tax Affairs Organization has been permitted to deal with disputes arising from this article. To make the calculation of income and expenses legal, the law of direct taxes declared the tax coefficients obsolete while the mentioned regulation established them without regulation and with a different title. This article deals with the pathology of the above mentioned regulations by the legal principles and standards, and in the end, appropriate suggestions are present.

Background: A staggering one million tuberculosis (TB) cases are missing from notification, most of them being diagnosed and treated in the private sector. To curb this issue, the Government of India declared TB as a notifiable disease and NIKSHAY was launched in 2012. However, even after years of implementation, as per the report published by TB India 2020, the proportion of private case notification of total TB cases is very low. Objectives: The objectives of the study were to assess the current practices related to TB Notification being followed by private practitioners of Delhi and to explore the enablers and barriers to TB notification among private-sector treatment providers. Methods: This cross-sectional study was done from January 2019 to January 2020. Six hundred doctors were line listed under the chosen TB unit, 375 gave consent and in depth interview was conducted among them. Data were collected on the reporting status and facilitators and barrier toward NIKSHAY reporting were assessed. For the qualitative component, focused group discussions were done. Results: Out of 375 private practitioners, over two-third (68%) practitioners reported that they were not treating TB patients. Out of 108 doctors treating patients only 50% were reporting the cases. Major reason cited for not reporting was “don't know how to” and major barrier considered was “lack of training.” Conclusion: Strategies such as training and retraining, and one-to-one sensitization of private practitioners to address barriers may enhance TB notification.

Wildfires kill and injure people, destroy residences, pollute the air, and cause economic loss. In this paper, a low-power Internet of Things (IoT)-based sensor network is developed, which automatically detects fires in forests and sends the location to a central monitoring station with smartphone notifications in a real-time setting. This action helps in the early detection of a fire and firefighters can be notified immediately—thus the spread of the fire and the harm caused by it can be reduced. The proposed system detects fires from the presence of smoke and a sudden increase in temperature. The system also logs the temperature, humidity, carbon dioxide, rain, light, and wind speed in different areas of the forest. The sensor nodes transmit the data to a hub using a long-range wireless transmitter and the hub then sends the data to the central monitoring station using the cellular Internet. The sensor nodes and hub are designed with ultra-low-power hardware and software architecture, consuming current of only 0.37 and 1.4 mA, respectively, so that they can be powered by solar panels throughout the year. The central server and smartphone app contain maps, and the wildfire locations are marked in the case of a fire. In the present study, a prototype of the proposed system is successfully developed and tested.

The article gives an overview of the current draft of the Convention on the judicial sale of ships, which since the beginning of drafting has struggled to reach a compromise between, on the one hand, protection of the purchaser’s interest forundisturbed ownership of the ship and, on the other hand, protection of the creditors’ interests through a fair judicial sale process respecting basic legal principles. The matters under scrutiny are notification and the status of public and legal remedies available to the aggrieved parties. The article deals with proposals which, had they been accepted, might have achieved a more suitable balance of interests.

The number of child abuse cases has been increasing in Japan every year. Medical institutions face issues such as coordinating with welfare offices, child guidance centers, police, and other related agencies concerning child abuse, as well as communicating with parents/guardians who are perpetrators of child abuse. This study examined the awareness and actual behavior of medical institutions regarding the support required while notifying/reporting cases of child abuse. A self-administered and anonymous questionnaire survey was conducted among the staff of the pediatrics departments, emergency departments, and general affairs departments of large hospitals in Japan. Differences in notifying and reporting child abuse cases to the child guidance center and welfare office and the police were assessed. It was found that some cases were not reported to the child guidance center or welfare office despite being considered “abuse.” Furthermore, a difference of opinion was observed among staff members, especially in judging “whether abuse is suspected or not.”

Abstract Background Global pandemics have occurred with increasing frequency over the past decade reflecting the sub-optimum operationalization of surveillance systems handling human health data. Despite the wide array of current surveillance methods, their effectiveness varies with multiple factors. Here, we perform a systematic review of the effectiveness of alternative infectious diseases Early Warning Systems (EWSs) with a focus on the surveillance data collection methods, and taking into consideration feasibility in different settings. Methods We searched PubMed and Scopus databases on 21 October 2022. Articles were included if they covered the implementation of an early warning system and evaluated infectious diseases outbreaks that had potential to become pandemics. Of 1669 studies screened, 68 were included in the final sample. We performed quality assessment using an adapted CASP Checklist. Results Of the 68 articles included, 42 articles found EWSs successfully functioned independently as surveillance systems for pandemic-wide infectious diseases outbreaks, and 16 studies reported EWSs to have contributing surveillance features through complementary roles. Chief complaints from emergency departments’ data is an effective EWS but it requires standardized formats across hospitals. Centralized Public Health records-based EWSs facilitate information sharing; however, they rely on clinicians’ reporting of cases. Facilitated reporting by remote health settings and rapid alarm transmission are key advantages of Web-based EWSs. Pharmaceutical sales and laboratory results did not prove solo effectiveness. The EWS design combining surveillance data from both health records and staff was very successful. Also, daily surveillance data notification was the most successful and accepted enhancement strategy especially during mass gathering events. Eventually, in Low Middle Income Countries, working to improve and enhance existing systems was more critical than implementing new Syndromic Surveillance approaches. Conclusions Our study was able to evaluate the effectiveness of Early Warning Systems in different contexts and resource settings based on the EWSs’ method of data collection. There is consistent evidence that EWSs compiling pre-diagnosis data are more proactive to detect outbreaks. However, the fact that Syndromic Surveillance Systems (SSS) are more proactive than diagnostic disease surveillance should not be taken as an effective clue for outbreaks detection.

Controversy surrounding recommendations for supplemental screening (ultrasound and magnetic resonance screening) in women with dense breasts exists, as the long-term benefits from these additional modalities may not outweigh the harms. This study aimed to examine factors associated with supplemental screening intentions following a hypothetical breast density notification in a population of women who have not been routinely notified. Australian women of breast screening age participated in an online randomised experimental study where they were presented with one of two breast density notifications (with or without health literacy-sensitive information) and asked their screening intentions. After adjusting for covariates in multivariable analyses, women in both groups (n = 940) who indicated higher levels of breast cancer worry, had private health insurance, had a family history of breast cancer, and had a greater number of times previously attending mammography screening had higher intentions for supplemental screening. Understanding women's supplemental screening intentions following notification of dense breasts has important implications for health systems with breast screening considering the impacts of widespread notification. Personal, clinical and psychological factors should be considered when discussing both the benefits and harms of supplemental screening with women with dense breasts. [ABSTRACT FROM AUTHOR]

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In Germany, Saxony is the only federal state where the detection of a Panton–Valentine Leukocidin (PVL)-positive Methicillin-resistant Staphylococcus aureus (MRSA) has to be notified to the local health authority (LHA). The LHA reports the case to the state health authority and introduces concrete infection control measures. We analyzed isolates from the respective cases in 2019, which were collected in local microbiological laboratories and sent to the National Reference Centre (NRC) for Staphylococci and Enterococci for strain characterization and typing. Antibiotic resistance testing was done by broth microdilution. Molecular characterization was performed using spa and SCCmec typing, MLST, and the PCR detection of marker genes associated with distinct MRSA lineages. Demographic and clinical data of the individual cases were assessed and the LHA performed epidemiological investigations. Thirty-nine (index) persons, diagnosed with a PVL-positive MRSA, were initially reported to the LHA. Most patients suffered from skin and soft-tissue infections (SSTI). For 21 of the index cases, household contacts were screened for MRSA. Seventeen out of 62 contacts were also colonized with a PVL-positive MRSA. The median age of altogether 58 individuals was 23.5 years. In over half of the cases, the home country was not Germany and/or a history of travel or migration was reported. Molecular characterization revealed the presence of various epidemic community-associated MRSA lineages, with "USA300", including the North American Epidemic (ST8-MRSA-IVa) and the South American Epidemic Clone (ST8-MRSA-IVc), the "Sri Lankan Clone" (ST5-MRSA-IVc), and the "Bengal Bay Clone" (ST772-MRSA-V) being more prevalent. In eight out of nine households, the contact persons were colonized with the same clone as the respective index case, suggesting a close epidemic and microbiological link. The obligation to report PVL-positive MRSA enables us to detect the occurrence of PVL-producing MRSA and its spread in the population as early as possible. Timely detection allows the targeted deployment of reliable anti-infective measures. [ABSTRACT FROM AUTHOR]

This study identified characteristics in the notifications related to sexual violence (SV) against girls and boys registered in the Violence and Accidents Monitoring System (VIVA; SINAN/NET) of the city of João Pessoa, between 2017 and 2020. This was a documental, descriptive and cross-sectional study. A total of 255 notifications were analyzed. The data showed that the majority of the notified cases were related to pre-adolescents, of mixed race and female. Most of the notifications reported only one incident. The overall case shows that the abuse took place in the home, with a male abuser, being the victim's boyfriend. The time that elapsed between the incident and disclosing was longer in the cases of adolescents [t(253)=-2,75, p=.001]; and rapes were more observed against girls (χ2=12.305/df=4, p=.015). There was a tendency for repetition when the rape occurred in the home χ2(30)=178.74, (p<.001). The cases were referred to various protection agencies, however, there was no close collaboration and coordination between the notifying organizations. [ABSTRACT FROM AUTHOR]