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[PMID]:28743237
[Au] Autor:de Waal MM; Dekker JJM; Kikkert MJ; Kleinhesselink MD; Goudriaan AE
[Ad] Endereço:Department of Research, Arkin Mental Health Care, Klaprozenweg 111, 1033 NN, Amsterdam, The Netherlands. m.m.dewaal@amc.uva.nl.
[Ti] Título:Gender differences in characteristics of physical and sexual victimization in patients with dual diagnosis: a cross-sectional study.
[So] Source:BMC Psychiatry;17(1):270, 2017 Jul 25.
[Is] ISSN:1471-244X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Patients with substance use disorders and co-occurring mental health disorders are vulnerable to violent victimization. However, no evidence-based interventions are available to reduce patients' vulnerability. An exploration of the characteristics of physical and sexual violence can provide valuable information to support the development of interventions for these patients. This study aimed to examine gender differences in characteristics of violent victimization in patients with dual diagnosis. METHODS: In this cross-sectional survey study recent incidents of physical and sexual assault were examined with the Safety Monitor in 243 patients with dual diagnosis. Chi-square tests were used to examine gender differences in the prevalence of physical and sexual victimization. Fisher's exact tests and Fisher-Freeman-Halton exact tests were used to determine whether there were significant differences between victimized men and women with regard to perpetrators, locations, reporting to the police and speaking about the assault with others. RESULTS: There was no significant difference in the prevalence of physical violence in men (35%) and women (47%) with dual diagnosis. There was a significant association between gender of the victim and type of perpetrator (P < .001). Men were most often physically abused by a stranger or an acquaintance, whereas women were most frequently abused by an (ex)partner. Sexual violence was more prevalent in women (29%) compared to men (4%) (P < .001). Patients with dual diagnosis were unlikely to report incidents of physical abuse and sexual assault to the police and to speak about it with caregivers. CONCLUSIONS: Characteristics of physical violence are different for men and women with dual diagnosis. Women with dual diagnosis are more often victims of sexual violence compared to men. Interventions aimed at reducing patients' vulnerability for victimization should take gender differences into account.
[Mh] Termos MeSH primário: Vítimas de Crime/estatística & dados numéricos
Diagnóstico Duplo (Psiquiatria)
Delitos Sexuais/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
Países Baixos/epidemiologia
Prevalência
Ensaios Clínicos Controlados Aleatórios como Assunto
Fatores Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1186/s12888-017-1413-0


  2 / 7361 MEDLINE  
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[PMID]:29360306
[Au] Autor:Lee A; Berry MD; Thomson Reuters Accelus.
[Ti] Título:Long-Term Care: Facility Quality and Safety.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-44, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência de Longa Duração/organização & administração
Casas de Saúde/organização & administração
Segurança do Paciente
Instituições de Cuidados Especializados de Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Antipsicóticos/uso terapêutico
Planejamento em Desastres
Sistemas de Combate a Incêndio
Fraude
Seres Humanos
Controle de Infecções
Medicaid
Medicare
Abuso Físico
Lesão por Pressão
Qualidade da Assistência à Saúde
Delitos Sexuais
Mídias Sociais
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antipsychotic Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  3 / 7361 MEDLINE  
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[PMID]:29360296
[Au] Autor:Berry MD; Thomson Reuters Accelus.
[Ti] Título:Healthcare Reform: Enforcement And Compliance.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-34, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Fraude/prevenção & controle
Reforma dos Serviços de Saúde/organização & administração
[Mh] Termos MeSH secundário: Ambulâncias
Analgésicos Opioides
Custos de Medicamentos
Epinefrina
Serviços de Assistência Domiciliar
Seres Humanos
Prescrição Inadequada
Reembolso de Seguro de Saúde
Marketing de Serviços de Saúde
Medicaid
Medicare
Medicare Part C
Transtornos Relacionados ao Uso de Opioides
Desvio de Medicamentos sob Prescrição
Diálise Renal/economia
Delitos Sexuais
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Opioid); YKH834O4BH (Epinephrine)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  4 / 7361 MEDLINE  
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[PMID]:29360295
[Au] Autor:White R; Thomson Reuters Accelus.
[Ti] Título:Quality of Healthcare.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-19, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Garantia da Qualidade dos Cuidados de Saúde/organização & administração
Indicadores de Qualidade em Assistência à Saúde/organização & administração
Qualidade da Assistência à Saúde/organização & administração
[Mh] Termos MeSH secundário: Criança
Serviços de Saúde da Criança
Segurança Computacional
Custos de Medicamentos
Serviços Médicos de Emergência
Médicos Graduados Estrangeiros
Cuidados Paliativos na Terminalidade da Vida
Seres Humanos
Medicare
Casas de Saúde
Readmissão do Paciente
Segurança do Paciente
Delitos Sexuais
Governo Estadual
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  5 / 7361 MEDLINE  
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[PMID]:29303717
[Au] Autor:Yaqub F
[Ti] Título:2017: a year in review.
[So] Source:Lancet;390(10114):2753-2754, 2018 12 23.
[Is] ISSN:1474-547X
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Conflitos Armados
Transtornos da Nutrição Infantil/epidemiologia
Cólera/epidemiologia
Epidemias
Direitos Humanos
Imunoterapia Adotiva/métodos
Leucemia-Linfoma Linfoblástico de Células Precursoras B/terapia
Refugiados
Delitos Sexuais
Assédio Sexual
[Mh] Termos MeSH secundário: Bangladesh
Pré-Escolar
China
Recessão Econômica
Etiópia/epidemiologia
Abastecimento de Alimentos
Política de Saúde
Seres Humanos
Mianmar
Armas Nucleares
Política
Somália/epidemiologia
Linfócitos T/transplante
Transplante Autólogo
Estados Unidos
Venezuela
Organização Mundial da Saúde
Iêmen/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE


  6 / 7361 MEDLINE  
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[PMID]:29281141
[Au] Autor:Luedke AE; Logan HF
[Ad] Endereço:Vanier Canadian Graduate Scholar and PhD Student in Political Science, University of British Columbia, Canada.
[Ti] Título:'That thing of human rights': discourse, emergency assistance, and sexual violence in South Sudan's current civil war.
[So] Source:Disasters;42 Suppl 1:S99-S118, 2018 Jan.
[Is] ISSN:1467-7717
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:One of the most widely covered aspects of the current conflict in South Sudan has been the use sexual violence by rival factions of the Sudan People's Liberation Movement/Army (SPLM/A) and other armed groups. While this has had the positive effect of ensuring that sexual violence is an integral component of intervention strategies in the country, it has also had a number of unintended consequences. This paper demonstrates how the narrow focus on sexual violence as a 'weapon of war', and the broader emergency lens through which the plight of civilians, especially women, has been viewed, are overly simplistic, often neglecting the root causes of such violence. More specifically, it highlights how dominant discourses on sexual violence in South Sudan's conflict have disregarded the historically violent civil-military relations that have typified the SPLM/A's leadership, and the structural violence connected with the local political economy of bride wealth and the associated commodification of feminine identities and bodies.
[Mh] Termos MeSH primário: Direitos Humanos
Delitos Sexuais
Guerra
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Sudão do Sul
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1111/disa.12273


  7 / 7361 MEDLINE  
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[PMID]:29281139
[Au] Autor:Hilhorst D; Douma N
[Ad] Endereço:Professor of Humanitarian Aid and Reconstruction, International Institute of Social Studies, Erasmus University Rotterdam, Netherlands.
[Ti] Título:Beyond the hype? The response to sexual violence in the Democratic Republic of the Congo in 2011 and 2014.
[So] Source:Disasters;42 Suppl 1:S79-S98, 2018 Jan.
[Is] ISSN:1467-7717
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The Democratic Republic of the Congo (DRC) has witnessed a high prevalence of sexual violence since the wars of the mid-1990s. The huge response to it commenced around the turn of the century, but turned to 'hype' towards 2010. The paper defines 'hypes' as phenomena characterised by a media frenzy, eagerness by non-governmental organisations, and pragmatic local responses. Interviews and analyses conducted in 2011 revealed misuse of services and misrepresentation at different levels. The paper goes on to review medical and legal assistance and to provide evidence of incremental improvements in the response since 2012. It has become better coordinated, with more engagement by the DRC government, more community-oriented, and has incorporated a broader notion of gender-based violence. Nonetheless, concern remains about its impact and its continued dependence on international resources. There is apprehension too about social reactions to the problems of corruption and impunity, seemingly adding to the confusion surrounding gender relations in the country.
[Mh] Termos MeSH primário: Delitos Sexuais/prevenção & controle
[Mh] Termos MeSH secundário: República Democrática do Congo
Feminino
Seres Humanos
Relações Interpessoais
Masculino
Meios de Comunicação de Massa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1111/disa.12270


  8 / 7361 MEDLINE  
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[PMID]:29281138
[Au] Autor:Atim T; Mazurana D; Marshak A
[Ad] Endereço:Researcher, Feinstein International Center, Friedman School of Nutrition Science and Policy, Tufts University, United States.
[Ti] Título:Women survivors and their children born of wartime sexual violence in northern Uganda.
[So] Source:Disasters;42 Suppl 1:S61-S78, 2018 Jan.
[Is] ISSN:1467-7717
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Girls and women who bear children owing to wartime sexual violence committed by armed actors face challenges in gaining acceptance on return to their families and societies. This study analyses the lives of women survivors and their children born of wartime sexual violence in Uganda. It draws on a population-based survey of 1,844 households in the Acholi and Lango sub-regions of northern Uganda, as well as on in-depth qualitative interviews conducted in 2014 and 2015 with 67 purposefully selected women survivors of wartime sexual violence. The study finds that: stigma is linked to broader gender discriminatory sociocultural norms and practices and changes under different circumstances; women's economic agency is essential to reducing stigma; households with members who suffered war-related sexual violence experienced significantly higher rates of violence post conflict than did other households; and the passage of time is less of a determining factor in their acceptance and reintegration than previously thought.
[Mh] Termos MeSH primário: Delitos Sexuais
Estigma Social
Sobreviventes/psicologia
Crimes de Guerra
[Mh] Termos MeSH secundário: Adulto
Criança
Feminino
Identidade de Gênero
Seres Humanos
Relações Interpessoais
Gravidez
Pesquisa Qualitativa
Normas Sociais
Sobreviventes/estatística & dados numéricos
Uganda
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1111/disa.12275


  9 / 7361 MEDLINE  
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[PMID]:29240805
[Au] Autor:Mossige S; Huang L
[Ad] Endereço:Department of Psychology, University of Oslo, Oslo, Norway.
[Ti] Título:Poly-victimization in a Norwegian adolescent population: Prevalence, social and psychological profile, and detrimental effects.
[So] Source:PLoS One;12(12):e0189637, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study focuses on poly-victimization, with the aim of providing a realistic estimation of the prevalence of lifetime victimization in a Norwegian adolescent population (ages 18-19 years). METHODS: Based upon the concept from previous research, we applied measures of child poly-victimization on Norwegian data obtained from a national youth survey in 2015 (N = 4,531) to arrive at an estimation of its prevalence. We used variables that measure individual characteristics such as gender and educational aspiration and socio-economic factors such as parents' education level and home economic situation to derive a social and psychological profile of victimization and poly-victimization among young people. Finally, we estimated the effects of poly-victimization on mental health such as symptoms of depression, anxiety and trauma. RESULTS: Our study identified a poly-victimization prevalence of 8.6% among young people, i.e. they were exposed to three of all four forms of violence investigated by our study: non-physical violence, witnessing violence against parents, physical violence and sexual abuse. Adolescents of poly-victimization are six times more likely to report depression and anxiety and trauma when compared with those without victimization. CONCLUSIONS: Poly-victimization is a phenomenon that heavily burdens many young people across many national contexts. Poly-victims clearly tend to develop depression, anxiety, and posttraumatic stress symptoms. The early detection of sexual abuse, physical violence, and bullying victimization is of critical importance and preventive measures could consider addressing family factors through parental educational programs.
[Mh] Termos MeSH primário: Vítimas de Crime/psicologia
[Mh] Termos MeSH secundário: Adolescente
Transtornos de Ansiedade/etiologia
Transtornos de Ansiedade/psicologia
Bullying
Maus-Tratos Infantis
Depressão/etiologia
Depressão/psicologia
Feminino
Seres Humanos
Masculino
Saúde Mental
Noruega/epidemiologia
Prevalência
Delitos Sexuais
Violência
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189637


  10 / 7361 MEDLINE  
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[PMID]:28453638
[Au] Autor:Hegstad S; Helland A; Hagemann C; Spigset O
[Ad] Endereço:Department of Clinical Pharmacology, St. Olav University Hospital, 7006 Trondheim, Norway.
[Ti] Título:EtG/EtS in Serum by UHPLC-MS-MS in Suspected Sexual Assault Cases.
[So] Source:J Anal Toxicol;41(7):618-622, 2017 Sep 01.
[Is] ISSN:1945-2403
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A method including semi-automated extraction of ethyl glucuronide (EtG) and ethyl sulfate (EtS) from serum followed by ultra-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS-MS) has been developed and validated. Sample preparation prior to UHPLC-MS-MS analysis consisted of protein precipitation and filtration through a phospholipid removal plate. Chromatography was achieved using an HSS T3 column and gradient elution with formic acid in water in combination with methanol. The mass spectrometer was monitored in the negative mode with multiple reaction monitoring. Two transitions were monitored for the analytes and one for the deuterated internal standards (ISs). The limits of quantification were 0.025 mg/L for EtG and 0.009 mg/L for EtS. The between-assay relative standard deviations were in the range of 3.8-9.1%, the recovery was 66-102% and matrix effects ranged from 88 to 97% (corrected with IS). Compared to previously published studies, the method presented is semi-automated, uses a simple method for phospholipid removal and has short run times and low limit of quantifications. We analyzed serum samples from 49 female patients presenting to the Sexual Assault Centre at St. Olav University Hospital in Trondheim, Norway, for ethanol, EtG and EtS. EtG and EtS were detected longer than ethanol itself after intake of ethanol, with estimated maximum detection times of >24 h. The ethanol, EtG and EtS concentrations were highly correlated (P < 0.001), but with large inter-individual variations. This study suggests that analysis of EtG and EtS in serum or blood may complement ethanol analysis and shed light on the patient's recent ethanol intake after ethanol itself is no longer detectable.
[Mh] Termos MeSH primário: Cromatografia Líquida de Alta Pressão
Glucuronatos/sangue
Delitos Sexuais
Ésteres do Ácido Sulfúrico/sangue
Espectrometria de Massas em Tandem
[Mh] Termos MeSH secundário: Consumo de Bebidas Alcoólicas
Etanol/sangue
Feminino
Seres Humanos
Noruega
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Glucuronates); 0 (Sulfuric Acid Esters); 17685-04-0 (ethyl glucuronide); 3K9958V90M (Ethanol); K0FO4VFA7I (diethyl sulfate)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/jat/bkx032



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