Children’s experiences of domestic violence and abuse: siblings’ accounts of relational coping

This article explores how young people see their relationships, particularly their sibling relationships, in families affected by domestic violence, and how relationality emerges in their accounts as a resource to build an agentic sense of self. The ‘voice’ of children is largely absent from domestic violence literature, which typically portrays them as passive, damaged and relationally incompetent. Children’s own understandings of their relational worlds are often overlooked, and consequently existing models of children’s social interactions give inadequate accounts of their meaning-making-in-context. Drawn from a larger study of children’s experiences of domestic violence and abuse, this paper uses two case studies of sibling relationships to explore young people’s use of relational resources, for coping with violence in the home. The paper explores how relationality and coping intertwine in young people’s accounts, and disrupts the taken for granted assumption that children’s ‘premature caring’ or ‘parentification’ is (only) pathological in children’s responses to domestic violence. This has implications for understanding young people’s experiences in the present, and supporting their capacity for relationship building in the future

Transient massive hyperlipidaemia in a type 2 diabetic subject

A 50-year-old man, in apparently good health, was referred to the Lipid Center of San Luigi Gonzaga Hospital, Orbassano (Turin, Italy), by his primary care physician (PCP) because clinical tests at the time of blood donation showed milky plasma with serious hypertriglyceridaemia (>5000 mg/dl) and hyperglycaemia (381 mg/dl), diagnostic for diabetes. It was not possible to perform further blood chemical analyses because hypertriglyceridaemia would have provided abnormal results. The patient entered the hospital to prevent acute pancreatitis, which is often associated with severe hypertriglyceridaemi

3-D kinematic comparison of treadmill and overground running.

Studies investigating the mechanics of human movement are often conducted using the treadmill. The treadmill is an attractive device for the analysis of human locomotion. Studies comparing overground and treadmill running have analyzed discrete variables, however differences in excursion from footstrike to peak angle and range of motion during stance have yet to be examined. This study aimed to examine the 3-D kinematics of the lower extremities during overground and treadmill locomotion to determine the extent to which the two modalities differ. Twelve participants ran at 4.0m/s in both treadmill and overground conditions. 3-D angular kinematic parameters during the stance phase were collected using an eight camera motion analysis system. Hip, knee and ankle joint kinematics were quantified in the sagittal, coronal and transverse planes, then compared using paired t-tests. Of the parameters analyzed hip flexion at footstrike 12° hip range of motion 17°, peak hip flexion 12.7°, hip transverse plane range of motion 8° peak knee flexion 5° and peak ankle excursion range 6.6°, coronal plane ankle angle at toe-off 6.5° and peak ankle eversion 6.3° were found to be significantly different. These results lead to the conclusion that the mechanics of treadmill locomotion cannot be generalized to overground

LINEE GUIDA CLINICHE PER LA PREVENZIONE DELLA CARDIOPATIA ISCHEMICA NELLA IPERCOLESTEROLEMIA FAMILIARE Una patologia sotto-diagnosticata e sotto-trattata

AIMS. Familial hypercholesterolaemia (FH) is a common genetic cause of premature coronary heart disease (CHD) due to lifelong elevated plasma low-density lipoprotein (LDL) cholesterol levels. This paper aims to describe the problem of FH underdiagnosis and undertreatment and to promote CHD prevention providing recommendations for the screening and treatment of patients with FH. Methods and results. In many countries, less then 1% of FH patients are diagnosed, although the estimated prevalence of this condition is about 1/500 for heterozygous FH and the results of FH screening in a general population of Northern Europe suggest a prevalence of 1/200. Studies on FH patients agree on a widespread failure to achieve recommended target of LDL-cholesterol and on a 12-fold increased CHD risk. With a theoretical prevalence between 1/500 and 1/200, it is estimated that 14 to 34 million subjects worldwide have FH. With evidence of plasma cholesterol ≥8 mmol/L (≥310 mg/dL) in an adult or ≥6 mmol/L (≥230 mg/dL) in a child, premature CHD, tendon xanthomas, or sudden premature cardiac death, we recommend the screening for FH of this subject and of all first-degree relatives. The treatment of a patient with diagnosis of FH should have LDL targets of <3.5 mmol/L (<135 mg/ dL) for children, <2.5 mmol/L (<100 mg/dL) for adults, and <1.8 mmol/L (<70 mg/dL) for adults with known CHD or diabetes. Beside life-style and dietary modifications, first line therapies are statins, ezetimibe, and bile acid binding resins in children, and maximal potent statin dose, ezetimibe, bile acid binding resins, and fibrates in adults. Homozygotes FH and in treatment-resistant heterozygotes FH with CHD should be referred for LDL-apheresis. Conclusion. Familial hypercholesterolemia is a common condition that carries a high risk of CHD. The underdiagnosis and undertreatment of FH require a focused intervention that implements the screening and promote the early and aggressive treatment of these patients

Birth and closure of the Kallipetra Basin: Late Cretaceous reworking of the Jurassic Pelagonian-Axios/Vardar contact (northern Greece)

Some 20 Myr after the Late Jurassic to Early Cretaceous obduction and collision at the eastern margin of Adria, the eroded Pelagonia (Adria) Axios/Vardar (oceanic complex) contact collapsed, forming the Kallipetra Basin, described around the Aliakmon River near Veroia (northern Greece). Clastic and carbonate marine sediments deposited from the early Cenomanian to the end of the Turonian, with abundant olistoliths and slope failures at the base due to active normal faults. The middle part of the series is characterized by red and green pelagic limestones, with a minimal contribution of terrigenous debris. Rudist mounds in the upper part of the basin started forming on the southwestern slope, and their growth competed with a flux of ophiolitic debris, documenting the new fault scarps affecting the Vardar oceanic complex (VOC). Eventually, the basin was closed by overthrusting of the VOC towards the northeast and was buried and heated up to ~ 180 °C. A strong reverse geothermal gradient with temperatures increasing up-section to near 300 °C is recorded beneath the VOC by illite crystallinity and by the crystallization of chlorite during deformation. This syntectonic heat partially reset the zircon fission track ages bracketing the timing of closure just after the deposition of the ophiolitic debris in the Turonian. This study documents the reworking of the Pelagonian Axios/Vardar contact, with Cenomanian extension and basin widening followed by Turonian compression and basin inversion. Thrusting occurred earlier than previously reported in the literature for the eastern Adria and shows a vergence toward the northeast, at odds with the regional southwest vergence of the whole margin but in accordance to some reports about 50 km north

Electricity from Wood: A Wood Quality and Energy Efficiency Approach to Small Scale Pyro-gasification

AbstractThe global demand for renewable energy in the last years is facing innovations like the co-generation of electricity and heat from wooden industrial residues and biomass. Wood gasification is a very promising technique for conversion of wood chemical energy into thermal energy and into electricity. A new generation of small scale, moderately priced and easy to install pyro-gasification plants became available on the market, being an opportunity for the SMEs. These systems are also characterized by a remarkable operational easiness and great versatility in the type of used biomass, which can range from industrial residues (sawdust, wood chips...) to biomass of forestry and non-forestry origin. This study performed an extensive testing of a small size pyro-gasification plant capable of producing 30kW of electricity and 30kW of thermal energy, both net to enter in the network of GSE (Energy Services Manager) via the feed-in tariff and in a small district heating network or other uses. The process of pyro-gasification is analyzed in its entirety by a characterization of input biomass, pyro-gasification process monitoring, analysis of the quality of the produced syngas, characterization of residues due to the process (washing water smoke, charcoal...) and verification of the total efficiency. The electric efficiency of the system, from hardwood to syngas to electricity is quantified in being 12%

The influence of barefoot and barefoot inspired footwear on the kinetics and kinematics of running in comparison to conventional running shoes.

Barefoot running has experienced a resurgence in footwear biomechanics literature, based on the supposition that it serves to reduce the occurrence of overuse injuries in comparison to conventional shoe models. This consensus has lead footwear manufacturers to develop shoes which aim to mimic the mechanics of barefoot locomotion. This study compared the impact kinetics and 3-D joint angular kinematics observed whilst running: barefoot, in conventional cushioned running shoes and in shoes designed to integrate the perceived benefits of barefoot locomotion. The aim of the current investigation was therefore to determine whether differences in impact kinetics exist between the footwear conditions and whether shoes which aim to simulate barefoot movement patterns can closely mimic the 3-D kinematics of barefoot running. Twelve participants ran at 4.0 m.s-1±5% in each footwear condition. Angular joint kinematics from the hip, knee and ankle in the sagittal, coronal and transverse planes were measured using an eight camera motion analysis system. In addition simultaneous tibial acceleration and ground reaction forces were obtained. Impact parameters and joint kinematics were subsequently compared using repeated measures ANOVAs. The kinematic analysis indicates that in comparison to the conventional and barefoot inspired shoes that running barefoot was associated significantly greater plantar-flexion at footstrike and range of motion to peak dorsiflexion. Furthermore, the kinetic analysis revealed that compared to the conventional footwear impact parameters were significantly greater in the barefoot condition. Therefore this study suggests that barefoot running is associated with impact kinetics linked to an increased risk of overuse injury, when compared to conventional shod running. Furthermore, the mechanics of the shoes which aim to simulate barefoot movement patterns do not appear to closely mimic the kinematics of barefoot locomotion

PD-0498: Use of STAT in prostate cancer: correlation with risk factors and identification of residual cohort

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