The training needs of Turkish emergency department personnel regarding intimate partner violence

<p>Abstract</p> <p>Background</p> <p>Violence against females is a widespread public health problem in Turkey and the lifetime prevalence of IPV ranges between 34 and 58.7%. Health care workers (HCW) sometimes have the unique opportunity and obligation to identify, treat, and educate females who are abused. The objective of this study was to evaluate the knowledge, attitudes, and experiences of the emergency department (ED) staff regarding intimate partner violence (IPV) at a large university hospital in Turkey.</p> <p>Methods</p> <p>A cross-sectional study was conducted in a large university hospital via questionnaire. The study population consisted of all the nurses and physicians who worked in the ED during a two month period (n = 215). The questionnaire response rate was 80.5% (41 nurses and 132 physicians). The main domains of the questionnaire were knowledge regarding the definition of IPV, clinical findings in victims of IPV, legal aspects of IPV, attitudes towards IPV, knowledge about the characteristics of IPV victims and abusers, and professional and personal experiences and training with respect to IPV.</p> <p>Results</p> <p>One-half of the study group were females, 76.3% were physicians, and 89.8% had no training on IPV. The majority of the nurses (89.5%) and physicians (71.1%) declared that they were aware of the clinical appearance of IPV. The mean of the knowledge scores on clinical knowledge were 8.84 ± 1.73 (range, 0–10) for acute conditions, and 4.51 ± 3.32 for chronic conditions. The mean of the knowledge score on legal procedures and the legal rights of the victims was 4.33 ± 1.66 (range, 0–7). At least one reason to justify physical violence was accepted by 69.0% of females and 84.7% of males, but more males than females tended to justify violence (chi square = 5.96; p = 0.015). However, both genders accepted that females who experienced physical violence should seek professional medical help.</p> <p>Conclusion</p> <p>The study participants' knowledge about IPV was rather low and a training program is thus necessary on this issue. Attention must be given to the legal aspects and clinical manifestations of IPV. The training program should also include a module on gender roles in order to improve the attitudes towards IPV.</p

Homicide-suicide and the role of mental disorder: a national consecutive case series

Five similar glacial-lake outburst floods (GLOFs) occurred in April, October, December 2008, March and September 2009 in the Northern Patagonia Icefield. On each occasion, Cachet 2 Lake, dammed by the Colonia Glacier, released circa 200-million m3 water into the Colonia River. Refilling has occurred rapidly, such that further outbreak floods can be expected. Pipeflow calculations of the subglacial tunnel drainage and 1D hydraulic models of the river flood give consistent results, with an estimated peak discharge surpassing 3,000 m3 s−1. These floods were larger in magnitude than any flood on record, according to gauged data since 1963. However, geomorphological analysis of the Colonia valley shows physical evidence of former catastrophic outburst floods from a larger glacial-lake, with flood discharges possibly as high as 16,000 m3 s−1. Due to potential impacts of climate change on glacier dynamics in the area, jökulhlaups may increase future flood risks for infrastructure and population. This is particularly relevant in view of the current development of hydropower projects in Chilean Patagonia

Improving identification and management of partner violence: examining the process of academic detailing: a qualitative study

<p>Abstract</p> <p>Background</p> <p>Many physicians do not routinely inquire about intimate partner violence.</p> <p>Purpose</p> <p>This qualitative study explores the process of academic detailing as an intervention to change physician behavior with regard to intimate partner violence (IPV) identification and documentation.</p> <p>Method</p> <p>A non-physician academic detailer provided a seven-session modular curriculum over a two-and-a-half month period. The detailer noted written details of each training session. Audiotapes of training sessions and semi-structured exit interviews with each physician were recorded and transcribed. Transcriptions were qualitatively and thematically coded and analyzed using Atlas ti^®.</p> <p>Results</p> <p>All three study physicians reported increased clarity with regard to the scope of their responsibility to their patients experiencing IPV. They also reported increased levels of comfort in the effective identification and appropriate documentation of IPV and the provision of ongoing support to the patient, including referrals to specialized community services.</p> <p>Conclusion</p> <p>Academic detailing, if presented by a supportive and knowledgeable academic detailer, shows promise to improve physician attitudes and practices with regards to patients in violent relationships.</p

Genotyping errors: Causes, consequences and solutions

Times Cited: 66International audienceAlthough genotyping errors affect most data and can markedly influence the biological conclusions of a study, they are too often neglected. Errors have various causes, but their occurrence and effect can be limited by considering these causes in the production and analysis of the data. Procedures that have been developed for dealing with errors in linkage studies, forensic analyses and non-invasive genotyping should be applied more broadly to any genetic study. We propose a protocol for estimating error rates and recommend that these measures be systemically reported to attest the reliability of published genotyping studies