"Everything That Is Here, I Have Lived": A Triangulated Analysis of an Intimate Partner Violence Assessment Tool in Curitiba, Brazil.

Using a mixed-methods triangulation approach we piloted the Composite Abuse Scale-Brazilian version (CAS-Brazil) at the House of the Brazilian Woman of Curitiba among 62 survivors of intimate partner violence and four professionals serving survivors to assess its feasibility for use. Quantitative data were tabulated using descriptive statistics while qualitative data were recorded, coded, and thematically analyzed. Four qualitative domains emerged: (a) conceptual understanding; (b) item definitions; (c) women's experiences; and (d) professionals' perspectives. Comprehension of the CAS-Brazil appeared high across participants from diverse backgrounds. Professionals viewed it as highly feasible for use in Brazilian cross-sectoral services to support survivor decision-making.

Feasibility of an Online-Based Safety Decision Aid for Brazilian Women Living with Intimate Partner Violence: Findings from Participatory-Action Research in a One Stop Center.

Intimate partner violence (IPV) is a challenge in Brazil; the country is ranked 6th globally for femicide and one in four women experience physical and/or sexual IPV in their lifetimes. Safety decision aids (SDA) are tools for women experiencing IPV. Building upon previously developed and tested online SDA tools, we intend to adapt an SDA tool for use in Brazil. The purpose of this study was to examine the feasibility of a technology-based SDA to support Brazilian women living with IPV, tailored for the Brazilian context. Our participatory-action research approach built upon research between 2018 and 2019 at the House of the Brazilian Woman (HBW) of Curitiba, Brazil, a cross-sectoral one-stop center (OSC) providing comprehensive care for IPV survivors. Field research included observation, field notes, and in-depth interviews with twenty-eight (n = 28) participants (HBW staff and survivors). The results were grouped into four main thematic categories: advantages; uncertainties; barriers; and suggestions. The triangulated results showed that the majority of participants considered the SDA feasible, highlighting flexibility and confidentiality; information about IPV; and access to resources for formal help-seeking as advantages of the tool. Participants also expressed uncertainties about SDA's ability to increase women's safety and its accessibility for the most vulnerable. They made suggestions for improvement to meet the unique needs of Brazilian women. This study provided evidence on the potential of an SDA tailored for use within a comprehensive program of women survivors in Brazil. This step was crucial to inform the future implementation and evaluation.

"These Questions Have Everything That Happens to me": Analysis of a Femicide Risk Assessment Tool for Abused Women in Brazil.

PURPOSE: The purpose of this mixed-methods triangulation study was to assess the face validity and comprehension of a femicide risk assessment tool, the Danger Assessment-Brazil (DA-Brazil) among women seeking care in a one stop center for abused women in Curitiba, Brazil. Our secondary aim was to assess professionals' perceptions of feasibility for using the DA-Brazil in the same setting. METHOD: Fifty-five women experiencing relationship violence completed the instrument and participated in cognitive interviews about their experience; professionals attending survivors were also interviewed. RESULTS: The vast majority of women described the DA-Brazil instrument as being easy to comprehend (n = 41, 73.2%). Nearly half of participants (n = 26, 46.4%) had some kind of question regarding the DA-Brazil calendar, a tool to visualize abuse frequency and severity. Queries aligned with five categories: recollection of dates, scale, relationship status, terminology, and discomfort. Professionals reported that the DA-Brazil instrument would support referral decision-making. CONCLUSION: The overall face validity and comprehension of the DA-Brazil appears to be high. The majority of challenges were around the calendar activity. Professional perceptions of the DA-Brazil suggest a high degree of feasibility for its use in Brazilian healthcare settings. In order for the DA-Brazil to effectively be administered with facilitated support there is a need for training on the best use of the instrument. Accurate assessment of femicide risk is critical in a country like Brazil with high rates of femicide. The DA-Brazil provides a valid assessment of femicide risk and has the potential to trigger early intervention for those at risk. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10896-021-00313-1.

Super rogue wave generation in the linear regime.

Extreme or rogue waves are large and unexpected waves appearing with higher probability than predicted by Gaussian statistics. Although their formation is explained by both linear and nonlinear wave propagation, nonlinearity has been considered a necessary ingredient to generate super rogue waves, i.e., an enhanced wave amplification, where the wave amplitudes exceed by far those of ordinary rogue waves. Here we show, experimentally and theoretically, that optical super rogue waves emerge in the simple case of linear light diffraction in one transverse dimension. The underlying physics is a long-range correlation on the random initial phases of the light waves. When subgroups of random phases appear recurrently along the spatial phase distribution, a more ordered phase structure greatly increases the probability of constructive interference to generate super rogue events (non-Gaussian statistics with superlong tails). Our results consist in a significant advance in the understanding of extreme waves formation by linear superposition of random waves, with applications in a large variety of wave systems.

Evaluation of a rapid immunochromatographic test for detection of KPC in clinical isolates of Enterobacteriaceae and Pseudomonas species.

The KPC K-SeT immunochromatographic test (Coris BioConcept®, Gembloux, Belgium) has been widely used for detection of KPC in Enterobacteriaceae with reported sensitivities and specificities of 100%. However, to our knowledge, there are no reports of its use in KPC-positive Pseudomonas species. We evaluated the KPC K-SeT test in 36 clinical isolates of Enterobacteriaceae (21 KPC-positive and 15 KPC-negative) and 20 Pseudomonas species (5 KPC-positive and 15 KPC-negative) using conventional PCR for carbapenemase genes as the reference method. The KPC K-SeT test detected 25 out of 26 KPC-positive isolates (96.1%). The undetected isolate was 1 P. aeruginosa bearing the mutation D179Y in the omega loop region of KPC-2 carbapenemase. This mutation was already reported in Enterobacteriaceae as conferring resistance to ceftazidime-avibactam. To our knowledge, this is the first report of evaluation of KPC K-SeT test in KPC-positive P. aeruginosa isolates.

[First report in Chile of a clinical isolate of Escherichia coli resistant to colistin harbouring the mcr-1 gene]. / Primera comunicación en Chile de la detección del gen mcr-1 en un aislado clínico de Escherichia coli resistente a colistín.

Recently it was described the plasmidial gene mcr-1 associated with colistin resistance. We screened by PCR and sequencing for gene mcr-1 in thirteen clinical isolates resistant to colistin. We observed amplification in one E. coli. To our knowledge, this is the first report of the presence of mcr-1 gene in Chile.

Primera comunicación en Chile de la detección del gen mcr-1 en un aislado clínico de Escherichia coli resistente a colistín / First report in Chile of a clinical isolate of Escherichia coli resistant to colistin harbouring the mcr-1 gene

Recently it was described the plasmidial gene mcr-1 associated with colistin resistance. We screened by PCR and sequencing for gene mcr-1 in thirteen clinical isolates resistant to colistin. We observed amplification in one E. coli. To our knowledge, this is the first report of the presence of mcr-1 gene in Chile.

Implante dental inmediato en paciente diabético / Immediate dental implant post-extraction on systemically compromised patient

RESUMEN: Actualmente el implante dental se considera una buena alternativa para reemplazar los órganos dentarios faltantes. Sin embargo, existen ciertos requerimientos necesarios para la colocación de este y obtener una buena resolución. Estudios actuales demuestran que la colocación inmediata del implante dental posterior a la extracción dental obtiene mejores resultados a largo plazo y preserva el espacio alveolo dental natural por lo cual facilita la inserción y correcto ajuste del implante dental, siempre y cuando la extracción sea atraumática y sin complicaciones. Por ende, en el presente caso se reporta paciente masculino de 73 años con antecedentes de hipertensión arterial y diabetes mellitus tipo II, controlado con su médico especialista, al cual se le realizó extracción dentaría atraumática de OD#46 con inmediata colocación de implante dental NORMON HI e inserción de xenoinjerto óseo BIO-GEN para asegurar correcta oseointegración, cuyo procedimiento se realizó sin complicaciones y con correcta posición y paralelismo.

ABSTRACT: Nowadays, a dental implant is considered a good alternative to replace the missing teeth. However, there are several requirements needed for the implant placements and for a good resolution. Present studies demonstrate that the immediate implant placement posterior to the extraction of the tooth obtains better long-term results and also preserves the natural alveolar socket. This facilitates the placement and correct adjustment of the dental implant, only if the extraction is done atraumatically and without complications. Therefore, the present case reports a 73-year-old male patient with arterial hypertension and type II diabetes mellitus background, controlled by his medical doctor. An atraumatic tooth extraction of OD#46 was carried out on this patient, with immediate dental implant NORMON HI placement and insertion of xenograft bone BIO-GEN in order to ensure correct osseointegration. This procedure was done without complications and with correct position and parallelism.

El empoderamiento en el ámbito de la gerontología clínica y social / Empowerment in a social and clinical gerontology context

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Light with Tunable Non-Markovian Phase Imprint.

We introduce a simple and flexible method to generate spatially non-Markovian light with tunable coherence properties in one and two dimensions. The unusual behavior of this light is demonstrated experimentally by probing the far field and by recording its diffraction pattern after a double slit: In both cases we observe, instead of a central intensity maximum, a line- or cross-shaped dark region, whose width and profile depend on the non-Markovian coherence properties. Because these properties can be controlled and easily reproduced in experiment, the presented approach lends itself to serving as a test bed to study and gain a deeper understanding of non-Markovian processes.

The influence of a cognitive stimulation program on the quality of life perception among the elderly.

There is an undeniable concern among the elderly about the mental changes they experience as they grow older. In general, the elderly tend to regard mental deterioration as a pathological condition, however these changes should be considered inherent in the aging process and in the last few years cognitive stimulation programs have been developed in order to address these concerns among the elderly. The purpose of this study is to analyze the influence of a cognitive training program on 53 subjects with age-related memory loss. The results of cognitive performance have been compared with a control group consisting of 51 subjects with no cognitive training. Moreover, this research analyses the relationship between cognitive changes and the variation in the perceived quality of life of the elderly people in both groups. The results show significant changes in the test group, demonstrating improved cognitive performance and quality of life perception.

Efeitos do atendimento domiciliar sobre os marcadores bioquímicos e os parâmetros biofísicos de portadores de síndrome metabólica / Efeitos del atendimiento en domicílio sobre los marcadores bioquímicos ylos parametros biofisicos de pacientes con el síndrome metabólico / Homecare effects on biochemical markers and biophysical pattern of patients with metabolic syndrome

Define-se Síndrome Metabólica como um conjunto de fatores de risco cardiovascular. Segundo estudos recentes, é possível intervir nosportadores dessa síndrome com modificações do estilo de vida, melhorando os marcadores bioquímicos e os parâmetros biofísicos. Dada aimportância dos fatores psicológicos e educacionais na dinâmica de desenvolvimento da síndrome e no êxito da terapêutica, é evidente queuma intervenção que inclua o ambiente doméstico pode ter uma influência positiva no processo. Por isto, foi programado um atendimentodomiciliar periódico em um grupo de portadores de Síndrome Metabólica, avaliando os efeitos sobre os fatores de risco cardiovascular. Osobjetivos foram: 1) comparar o quadro bioquímico e biofísico inicial dos pacientes com aquele após o período de homecare; 2) comparar aevolução dos marcadores bioquímicos e dos parâmetros biofísicos dos pacientes com Síndrome Metabólica acompanhados através doprograma de homecare com os sujeitos do grupo controle, compatível por sexo e idade; 3) elaborar um programa de homecare paraportadores de Síndrome Metabólica. Participaram do estudo 50 pacientes, escolhidos entre os portadores de Síndrome Metabólica quefrequentavam os ambulatórios de um hospital-escola do interior de São Paulo. Os pacientes foram divididos aleatoriamente em dois grupos:homecare (GH) e controle (GC), compatíveis por sexo e idade. Aos membros do GH foi oferecido um programa de atendimento domiciliarmensal por um período de seis meses...

Metabolic Syndrome can be defined as an association of cardiovascular risk factors. Along with recent studies, an intervention can be successful in patients with MS if lifestyle is changed, improving this way biochemical markers and biophysical pattern. Being very importantpsychological and educational factors in MS development as well as in therapy compliance, it's possible that an intervention involvingdomestic environment could positively influence treatment proceedings. This way, a periodic homecare program of 6 months was plannedfor a group of MS patients, studying the intervention effects on cardiovascular risk factors. The aims of this study were: 1) Comparing thebiochemical and biophysical patterns, before and after homecare intervention, in a group of patients affected with Metabolic Syndrome; 2)Comparing the evolution of biochemical markers and biophysical parameters of Homecare Group (HG) with those of a sex and age matchedgroup of MS patients without homecare; 3) Elaborating a homecare program for SM Patients. We studied 50 ambulatory patients affectedwith MS followed at Emilio Carlos Hospital of Catanduva School of Medicine. They were randomly divided in 2 groups: homecare (HG) andcontrol group (CG). The HG patients received a monthly homecare educational program during 6 months. All patients received monthlygroup orientation at the hospital...

El síndrome metabólico (SM) es definido como un conjunto de factores de riesgo cardiovascular. Según estudios recientes, es posibleintervenir en los pacientes de SM con modificaciones en el estilo de vida, buscando la mejora de los parámetros bioquímicos y biofísicos...

Resposta dos marcadores bioquímicos de portadores de síndrome metabólica após intervenção educacional junto aos familiares / Respuesta dos marcadores bioquímicos de pacientes con síndromeMetabólica después de intervención junto con sus familiares / Response of biochemical markers of patients with metabolic syndrome after educational intervention on family members

A Síndrome Metabólica é caracterizada por um conjunto de fatores de risco cardiovascular. Estudos apontaram melhorias dosmarcadores bioquímicos em pacientes cujos familiares receberam informações sobre a Síndrome Metabólica. O objetivo deste estudofoi avaliar o quadro bioquímico e biofísico num grupo de portadores de Síndrome Metabólica cujos familiares foram submetidos a umaintervenção educacional, comparando os resultados detectados antes e após a intervenção realizada. Participaram do estudo 50indivíduos, portadores de Síndrome Metabólica em tratamento ambulatorial, em um hospital-escola da cidade de Catanduva-SP.Foram divididos em dois grupos: educativo e controle, compatíveis por sexo e idade. Aos familiares do grupo educativo foi oferecidoum programa de orientação mensal por seis meses. Todos os pacientes receberam atendimentos individuais no início e após seismeses, além de atendimentos coletivos mensais durante seis meses, bem como avaliação antropométrica e exames laboratoriais noinício e novas avaliações após três e seis meses. As variáveis quantitativas foram analisadas através de média e desvio-padrão.Embora realizado com um número limitado de pacientes, o estudo evidenciou os seguintes desfechos: redução estatisticamentesignificante dos níveis médios de alguns marcadores metabólicos: glicemia pós prandial, hemoglobina glicosilada, colesterol total e LDL- colesterol, além de um aumento estatisticamente significante do HDL - colesterol; houve melhora não estatisticamente significantedos parâmetros biofísicos alterados (pressão arterial, peso corporal, IMC e circunferência abdominal); o programa de educação dosfamiliares visando uma mudança no estilo de vida teve aplicabilidade efetiva na população estudada, contribuindo para a redução nosfatores de risco para o desenvolvimento de doenças cardiovasculares. A intervenção educacional realizada teve efeitos benéficosnos marcadores bioquímicos do grupo educacional...

Metabolic Syndrome is characterized by an association of cardiovascular risk factors. Many studies described an improvement ofbiochemical markers among patients whose relatives received specific information about Metabolic Syndrome. The aim of this studywas to evaluate the biochemical and biophysical patterns in a group of patients affected with Metabolic Syndrome, whose relativeswere submitted to an educational program, comparing the results detected before and after the intervention. We studied 50ambulatory individuals affected with metabolic syndrome followed at in a hospital school of the city of Catanduva-SP. They weredivided in 2 sex and age matched groups: educational and control group. The groups educational relatives received a monthlyeducational program during 6 months. All patients received an individual consultation at the beginning of the study, as well as 6months after, besides anthropometric evaluation, as well as laboratory tests before starting the study and 3 and 6 months after.Quantitative variations were analyzed with average as well as standard deviation. Overwhelming the limited number of patients, thestudy showed the following endpoints: a statistically significant decreasing of some metabolic markers averages: post prandialglicemia, gliycosilated hemoglobin...

El síndrome metabólico se caracteriza por un conjunto de factores de riesgo cardiovascular. Los estudios mostraron una mejoría enlos marcadores bioquímicos en los pacientes cuyas familias recibieron información sobre el síndrome metabólico. El objetivo de esteestudio fue evaluar los cambios bioquímicos y biofísicos en un grupo de pacientes con síndrome metabólico, cuyos familiares sesometió a una intervención educativa, comparando los resultados detectados antes y después de la intervención realizada. El estúdio...