10 ans de lutte contre la violence domestique dans le canton de Vaud: résumé de la recherche menée par l'Unité de Médecine des Violences (UMV) sur mandat de la Commission cantonale de lutte contre la violence domestique (CCLVD)

[Sommaire] Introduction. - 1. Quelques données de base: le contexte juridique, la violence domestique: une réalité chiffrée, principales institutions du réseau d'aide dans le canton de Vaud. - 2. Résumé de la recherche "10 ans de lutte contre la violence domestique dans le canton de Vaud": contexte, méthode, résultats, recommandations à l'intention de la CCLVD. - 3. Axes stratégiques de la politique cantonale de prévention de lutte contre la violence domestique 2011-2015. - Bibliographie [Introduction (extrait)] La violence entre membres d'une même famille ou entre proches, à savoir la violence domestique, a longtemps été considérée comme une affaire privée et un tabou. Un important changement de mentalité s'est toutefois opéré ces 20 dernières années. La lutte contre la violence envers les femmes d'une manière générale et contre la violence domestique en particulier préoccupe de plus en plus les organes internationaux, nationaux et locaux et est reconnue comme une tâche d'intérêt public. [...] Dans le canton de Vaud, en 1999, le Bureau de l'égalité entre les femmes et les hommes (BEFH) a mandaté l'Unité de Prévention de l'Institut de médecine sociale et préventive du CHUV, afin de mener une étude sur la violence conjugale, auprès des institutions concernées2. Cette recherche visait à établir un état des lieux et à identifier les besoins prioritaires. En 2001, des recommandations ont émergé de cette étude sous la forme de 40 mesures. Six d'entre elles ont été retenues comme prioritaires par la Conseillère d'Etat Madame Jacqueline Maurer Mayor. Presque 10 ans après, en automne 2008, la Commission cantonale de lutte contre la violence domestique (CCLVD), instituée par le Conseil d'Etat afin de coordonner les efforts en vue de la prévention et de la lutte contre la violence domestique, a décidé de faire un bilan sur la réalisation de ces mesures, d'identifier les besoins actuels des professionnel-le-s de terrain et les problématiques émergeantes. Les résultats de cette étude, menée par L'Unité d médecine des violences (UMV) ont servi de fondement à la CCLVD dans l'établissement d'un plan stratégique 2011-2015, en matière de lutte contre la violence conjugale dans le canton de Vaud. Le présent document présente à la fois un éclairage contextuel sur la situation dans le canton de Vaud aujourd'hui et une synthèse de la recherche précitée

¿Cuál es la actitud de los médicos hacia el actual modelo de atención primaria?

ObjetivoDeterminar cómo es la actitud de los médicos hacia el actual modelo de atención primaria de salud y estimar su relación con variables de tipo sociodemográfico y/o laboral.DiseñoEstudio multicéntrico, transversal.EmplazamientoCentros de salud del Área II de la Región de Murcia.ParticipantesTotalidad de médicos generales, de familia y pediatras de los centros de salud mencionados (54 en total).Mediciones principalesComo instrumento de evaluación se utiliza la «Escala de actitudes hacia los contenidos de atención primaria de salud», de Ballesteros et al. Esta escala proporciona una puntuación total, así como una puntuación específica para cada una de las 7 dimensiones que la componen.ResultadosEn general, la actitud de los médicos es favorable (4,1 puntos de media sobre 5). En la dimensión «Inclusión de los profesionales del segundo nivel en atención primaria» es donde hemos encontrado una actitud menos favorable, siendo los médicos de familia los que se muestran más de acuerdo. En cuanto a las demás variables asociadas, los profesionales que trabajan en centros periféricos y en situación de interinidad muestran una actitud más positiva hacia el actual modelo.ConclusionesEl conocimiento de las actitudes de los profesionales, así como de las variables relacionadas, puede servir de base para diseñar posibles estrategias de intervención dirigidas a la mejora de la calidad asistencial en atención primaria y para una evolución positiva de los profesionales que prestan sus servicios.ObjectivesTo determine the attitude of doctors towards the current model of primary care and to calculate its relationship with social and demographic and/or work variables.DesignMulti-centre cross-sectional study.SettingHealth centres in Area II of the Murcia region.ParticipantsAll general practitioners, family doctors and paediatricians in the health centres mentioned (54 in all).Main measurementsThe «Scale of attitudes towards the contents of primary health care» by Ballesteros et al. was used as the tool of evaluation. This scale provides both a total score and a specific score for each of its 7 dimensions.ResultsIn general, doctors´ attitudes were favourable (4.1 points average out of 5). We found a less favourable attitude in the dimension «Inclusion of second-level professionals in primary care», with family doctors most in agreement. The professionals working in centres on the periphery and those without tenure had a more positive attitude towards the current model, for the remaining variables.ConclusionsUnderstanding professionals´ attitudes and the variables related to them may serve as a basis for designing intervention strategies aimed at improving the quality of primary care and for the positive evolution of professionals working in PC

Cocaine abuse as an immunological trigger in a case diagnosed with eales disease

Background: Eales disease is a clinical syndrome affecting the mid-peripheral retina with an idiopathic occlusive vasculitis and possible subsequent retinal neovascularization. The disease can develop into visually threatening complications. Case Presentation: We report the case of a 40-year-old Caucasian male with a history of cocaine abuse who presented with blurred vision in the left eye (LE). Fundus examination showed vitreous hemorrhages, peripheral sheathing of venous blood vessels, areas of retinal neovascularization in the LE, and peripheral occlusive phlebitis in the right eye. The full serologic panel was negative except for the heterozygous mutation of factor V Leiden. Clinical and biochemical parameters suggested a diagnosis of Eales disease. Therapy with dexamethasone, 1 mg per kg per day, tapered down slowly over 4 months, and peripheral laser photocoagulation allowed a regression of clinical signs and symptoms. Conclusion: This case shows an uncommon presentation of Eales disease associated with cocaine abuse. Both cocaine abuse and a thrombophilic pattern, as cofactors, might have sensitized the retinal microcirculation on the pathogenetic route to this retinal pathology. Furthermore, in view of this hypothesis, a thorough ocular and general medical history investigating drug abuse and coagulation disorders is recommended for ophthalmologists in such cases

Avaliação da eficiência do inoculante contendo estirpes de Azospirillum brasilense em variedades de cana-de-açúcar.

Com aumento do consumo mundial de álcool, as indústrias sucroalcooleiras vêm enfrentando desafios em reduzir insumos e assegurar uma agricultura sustentável. Uma forma de conseguir tais resultados seria a utilização de algumas bactérias diazotróficas e/ou promotoras do crescimento de plantas, como o Azospirillum, contribuindo para o crescimento e a nutrição das plantas e resultando em incremento na produtividade e em diminuição dos custos de produção, principalmente no uso de fertilizantes nitrogenados. O objetivo deste trabalho foi avaliar a eficiência do inoculante Azototal® (Total Biotecnologia- Embrapa), contendo as estirpes AbV5 e AbV6 de Azospirillum brasilense no desenvolvimento da cana-de-açúcar (Saccharum spp.). O experimento foi conduzido em casa de vegetação na Embrapa - Soja, no período de dezembro de 2010 a junho de 2011, em solo de baixo teor de nitrogênio, no crescimento de dez variedades da cana-de-açúcar. Os ensaios foram conduzidos em vasos de 9 Kg, sob condições controladas, sendo compostos pelos tratamentos: (2 mg.Kg?1 de N [T1] controle; 2 mg.Kg?1 de N + Azospirillum brasilense [T2] e 9 mg.Kg?1 de N [T3]). Foram avaliadas dez variedades de cana com oito repetições, totalizando 240 vasos. Foram avaliadas a massa da parte aérea seca e o número de perfilhos das variedades analisadas no período de 90 dias após o brotamento das gemas. Após o corte foi feita a re-inoculação com A. brasilense. Na rebrota os mesmos parâmetros foram analisados. Os resultados demonstram que o A. brasilense, influenciou de maneira significativa o aumento no número de perfilhos e o crescimento da cana-de-açúcar. No primeiro corte, em cinco das dez cultivares houve incremento na produção de massa seca e em duas das variedades houve incremento no número de perfilhos. Já na rebrota, sete variedades tiveram incremento significativo na massa seca e nove em aumento no número de perfilhos. Tais resultados permitem inferir o uso de inoculante contendo Azospirillum como promotor do crescimento da cana-de-açúcar, permitindo também a substituição parcial de fertilizante nitrogenado. Agradecimentos: CNPq pela bolsa fornecida para o desenvolvimento do trabalho e a Embrapa-soja pela disponibilização de recursos e estrutura para a pesquisa.Resumo, 916-1

Hypertrophic Adenoid Is A Major Infection Site Of Human Bocavirus 1.

Human bocavirus 1 (HBoV1) is associated with respiratory infections worldwide, mainly in children. Similar to other parvoviruses, it is believed that HBoV1 can persist for long periods of time in humans, probably through maintaining concatemers of the virus single-stranded DNA genome in the nuclei of infected cells. Recently, HBoV-1 was detected in high rates in adenoid and palatine tonsils samples from patients with chronic adenotonsillar diseases, but nothing is known about the virus replication levels in those tissues. A 3-year prospective hospital-based study was conducted to detect and quantify HBoV1 DNA and mRNAs in samples of the adenoids (AD), palatine tonsils (PT), nasopharyngeal secretions (NPS), and peripheral blood (PB) from patients undergoing tonsillectomy for tonsillar hypertrophy or recurrent tonsillitis. HBoV1 was detected in 25.3% of the AD samples, while the rates of detection in the PT, NPS, and PB samples were 7.2%, 10.5%, and 1.7%, respectively. The viral loads were higher in AD samples, and 27.3% of the patients with HBoV had mRNA detectable in this tissue. High viral loads and detectable mRNA in the AD were associated with HBoV1 detection in the other sample sites. The adenoids are an important site of HBoV1 replication and persistence in children with tonsillar hypertrophy. The adenoids contain high HBoV1 loads and are frequently positive for HBoV mRNA, and this is associated with the detection of HBoV1 in secretions.523030-

Optical properties of aerosol particles over the Amazon rain forest: From background to biomass burning conditions

Atmospheric aerosols over the Amazon rainforest are strongly influenced by biomass burning activities in the southern regions of the Amazon Basin between July and October. This implies a complete change of the physical and chemical aerosol properties from the wet season, which is dominated by Primary Biological Aerosol Particles (PBAP) and biogenic secondary organic aerosols. Biomass burning emissions are highly loaded with light-absorbing aerosols, like black and brown carbon (BC and BrC, respectively). The latter one consists of a fraction of organic carbon that is able to absorb visible radiation (Andreae and Gelencs\ue9r, 2006). BrC is a strong absorber at near-UV to UV wavelengths. Therefore, light absorption by this component is wavelength dependent. This wavelength dependency, expressed as the absorption \uc5ngstr\uf6m exponent (AAE), has been used as a parameter to estimate the influence of biomass burning aerosols to total aerosol light absorption. However, the biogenic BrC contribution remains to be studied and could be significant under pristine conditions. The measurements presented here were carried out at the Amazon Tall Tower Observatory (ATTO), located 150 km NE of the city of Manaus, in the Uatum\ue3 Sustainable Development Reserve in Amazonas State, Brazil. The aerosol inlet (60 m high, 2.5 cm diameter) is installed on an 81-m triangular mast. The measurement period, from June to September 2014, includes the wetto- dry transition season (June-July) and part of the dry season (August and beginning of September). The optical properties were measured online by different instruments: 3-wavelengths nephelometer, Multi-Angle Absorption Photometer (MAAP), Single Particle Soot Photometer (SP2) and a 7-wavelength Aethalometer. Additionally, MAAP filter samples were analyzed by the Multi-Wavelength Absorbance Analyzer (MWAA) (Massab\uf2 et al, 2013), as well as levoglucosan analysis was carried out for filters collected between 18-22 August 2014. The average light absorption coefficient at 637 nm was 1.0 \ub1 0.6 Mm-1 and 5.5 \ub1 3.9 Mm-1, during the wet-to-dry transition and the dry season, respectively. Here we concentrate on measurements during 18-22 August 2014 (Figure 1) when a high absorption coefficient was measured at 637 nm, averaging 10 \ub1 3 Mm-1. The AAE calculated from MWAA measurements increased from less than 1.0 to values higher than 1.4, indicating the presence of BrC aerosol particles. This period is characterized by a long-range transport of biomass burning aerosol (confirmed by backward trajectory analysis). Levoglucosan analysis reveals significantly increased concentration but is still relatively low compared to measurements close to the source (Graham et al, 2002). Nevertheless, AAE and levoglucosan concentration show a significant correlation (r\ub2 > 0.9)

Comparison of different Aethalometer correction schemes and a reference multi-wavelength absorption technique for ambient aerosol data

Deriving absorption coefficients from Aethalometer attenuation data requires different corrections to compensate for artifacts related to filter-loading effects, scattering by filter fibers, and scattering by aerosol particles. In this study, two different correction schemes were applied to seven-wavelength Aethalometer data, using multi-angle absorption photometer (MAAP) data as a reference absorption measurement at 637 nm. The compensation algorithms were compared to five-wavelength offline absorption measurements obtained with a multi-wavelength absorbance analyzer (MWAA), which serves as a multiple-wavelength reference measurement. The online measurements took place in the Amazon rainforest, from the wet-to-dry transition season to the dry season (June\u2013September 2014). The mean absorption coefficient (at 637 nm) during this period was 1.8 +/-2.1Mm-1, with a maximum of 15.9Mm-1. Under these conditions, the filter-loading compensation was negligible. One of the correction schemes was found to artificially increase the short-wavelength absorption coefficients. It was found that accounting for the aerosol optical properties in the scattering compensation significantly affects the absorption \uc5ngstr\uf6m exponent (\ue5ABS/ retrievals. Proper Aethalometer data compensation schemes are crucial to retrieve the correct \ue5ABS, which is commonly implemented in brown carbon contribution calculations. Additionally, we found that the wavelength dependence of uncompensated Aethalometer attenuation data significantly correlates with the \ue5ABS retrieved from offline MWAA measurements

Use of Combined Hartree-Fock-Roothaan Theory in Evaluation of Lowest States of K [Ar]4s^0 3d^1 and Cr+ [Ar]4s^0 3d^5 Isoelectronic Series Over Noninteger n-Slater Type Orbitals

By the use of integer and noninteger n-Slater Type Orbitals in combined Hartree-Fock-Roothaan method, self consistent field calculations of orbital and lowest states energies have been performed for the isoelectronic series of open shell systems K [Ar]4s^0 3d^1 2(D) (Z=19-30) and Cr+ [Ar] 4s^0 3d^5 6(S) (Z=24-30). The results of calculations for the orbital and total energies obtained from the use of minimal basis sets of integer- and noninteger n-Slater Type Orbitals are given in tables. The results are compared with the extended-basis Hartree-Fock computations. The orbital and total energies are in good agreement with those presented in the literature. The results are accurately and considerably can be useful in the application of non-relativistic and relativistic combined Hartree-Fock-Roothaan approach for heavy atomic systems.Comment: 11 pages, 6 tables, 2 figures. submitte