[Violence against women within a relationship]. / Les violences faites aux femmes au sein du couple.

Violence within a relationship affects women in the majority of cases. Today in France, 223 000 women are victims of serious physical, psychological or sexual domestic violence. These situations have an important impact on a child's development. All professionals working with children must be made aware of these forms of abuse which are not always easy to spot.

Assessment of heart rate turbulence in hypertensive patients: rationale, perspectives, and insight into autonomic nervous system dysfunction.

BACKGROUND: Heart rhythm turbulence is classically impaired in patients with previous myocardial infarction and congestive heart failure and is poorly investigated in patients with essential hypertension. OBJECTIVE: To evaluate heart rhythm turbulence parameters (turbulence onset, (TO); turbulence slope, (TS) in a series of hypertensive patients while gaining insight into autonomic nervous system dysfunction. SETTING AND DESIGN: University hospital, cross-sectional monocentric study. MATERIALS AND METHODS: Heart rhythm turbulence was assessed in 50 hypertensive (case group) and 40 normotensive patients (control group). RESULTS: TO and TS were found independently correlated with hypertension. The mean TO was found at -1.64% ± 2.85% in the normotensive patients compared to 1.21% ± 1.95% in the hypertensive patients; the mean TS was found at 4.29 ± 3.18 ms/RR in the normotensive patients compared to 2.27 ± 0.93 ms/RR in the hypertensive patients. Hypertension has a predictive value on heart rhythm turbulence impairment (OR 4.99, 95% CI 1.28-19.41, P = 0.02). Insights into the role of autonomic nervous system dysfunction for the management of hypertensive patients and prevention of malignant ventricular arrhythmia are presented and discussed with regard to heart rhythm turbulence. CONCLUSION: Essential hypertension is correlated with blunted heart rhythm turbulence parameters.

Perspectives on the value of biomarkers in acute cardiac care and implications for strategic management.

Biomarkers in acute cardiac care are gaining increasing interest given their clinical benefits. This study is a review of the major conditions in acute cardiac care, with a focus on biomarkers for diagnostic and prognostic assessment. Through a PubMed search, 110 relevant articles were selected. The most commonly used cardiac biomarkers (cardiac troponin, natriuretic peptides, and C-reactive protein) are presented first, followed by a description of variable acute cardiac conditions with their relevant biomarkers. In addition to the conventional use of natriuretic peptides, cardiac troponin, and C-reactive protein, other biomarkers are outlined in variable critical conditions that may be related to acute cardiac illness. These include ST2 and chromogranin A in acute dyspnea and acute heart failure, matrix metalloproteinase in acute chest pain, heart-type fatty acid binding protein in acute coronary syndrome, CD40 ligand and interleukin-6 in acute myocardial infarction, blood ammonia and lactate in cardiac arrest, as well as tumor necrosis factor-alpha in atrial fibrillation. Endothelial dysfunction, oxidative stress and inflammation are involved in the physiopathology of most cardiac diseases, whether acute or chronic. In summary, natriuretic peptides, cardiac troponin, C-reactive protein are currently the most relevant biomarkers in acute cardiac care. Point-of-care testing and multi-markers use are essential for prompt diagnostic approach and tailored strategic management.

Caracterización morfológica de incisivos y molares de un grupo de afrodescendientes de Cali, Valle del Cauca (Colombia) / Morphological characterization of incisors and molars of an african descent group of Cali, Valle del Cauca (Colombia)

Objetivos: Determinar la frecuencia, la variabilidad, el dimorfismo sexual, la co - rrespondencia y la simetría bilateral de 13 rasgos morfológicos Dentales coronales (rm Dc) en dientes incisivos y molares de un grupo de afrodescendientes de cali, Valle del cauca (colombia). Materiales y métodos: estudio descriptivo transversal cuantitativo que caracterizó la morfología dental de los primeros y segundos incisivos superiores (11, 12, 21, 22) y de los primeros y segundos molares superiores e inferiores (16, 17, 26, 27, 36, 37, 46, 47) mediante el sistema de observa - ción, registro y análisis AsuDA s; a partir de 60 modelos de estudio (34 femeninos y 26 masculinos) obtenidos de un grupo de afrodescendientes con edades comprendi - das entre los 7 y los 17 años. Resultados: se obtuvieron frecuencias medias de winging y crowding , altas fre- cuencia de incisivos centrales y laterales en pala, baja frecuencia de cúspide de carabe - lli, baja frecuencia de metacónulo, ausencia de reducción del hipocono; expresión del punto P del protostílido, baja frecuencia del pliegue acodado, configuración del patrón cuspídeo y5 (primero molar inferior) y +5 y +6 (segundo molar inferior). Los rmDc no presentan dimorfismo sexual (excepto reducción del hipocono y patrón cuspídeo), tienen baja correspondencia y cuentan con simetría bilateral. una p<0.05 se consideró estadísticamente significativa. Conclusiones: La frecuencia y variabilidad de los 13 rmDc permitió determinar que el grupo de afrodescendientes hace parte del complejo Dental caucasoide con in- fluencia del Complejo Dental Mongoloide debido al mestizaje producto de los proce- sos etno-históricos de asentamiento de la región suroriental de cali.

Objectives: to determine the frequency, variability, sexual dimorphism, correlation and bilateral symmetry of 13 non-metric dental crown traits (NmDct) in incisors and molars of afro descent group of cali, Valle del cauca (colombia) Material and methods: Quantitative cross-sectional study that characterizes the dental morphology of the central and lateral upper incisors (11, 12, 21, 22) and first and second upper and lower molars (16, 17, 26, 27, 36, 37, 46, 47) by Asu- DAs system of observation, recording and analysis reported in the literature; from 60 models of study (34 female and 26 male) obtained from a afro descent group with aged between 7 to 17 years. Results: Was obtained winging and crowding mid frequencies, high frequen- cy of shovel-shape in central and lateral incisors, low frequency of carabelli cusp, low frequency of metaconule, reduction of hypocone absent, P point expression of protostylid, low frequency of deflecting wrinkle, groove pattern configuration Y5 (lower first molar) and +5 and +6 (lower second molar). NMDCT not sexually di - morphic (except hypocone reduction and groove pattern), have low correspondence and have bilateral symmetry. A p<0.05 was considered statistically significant. Conclusions: the frequency and variabili - ty of the 13 NmDct allowed determining that the group of African descent is part of Caucasoid Dental Complex with Mon - goloid Dental Complex influence, due to mixing processes and ethno historic sett - lement of the southeastern region of cali