Lights4Violence: a quasi-experimental educational intervention in six European countries to promote positive relationships among adolescents.

BACKGROUND: Preventing intimate partner violence or dating violence (DV) among adolescents is a public health priority due to its magnitude and damaging short and long-term consequences for adolescent and adult health. In our study protocol, we complement prior experiences in DV prevention by promoting protective factors (or assets) against gender violence such as communication skills, empathy and problem-solving capability through "Cinema Voice", a participatory educational intervention based on adolescents' strengths to tackle DV. METHODS/DESIGN: A longitudinal quasi-experimental educational intervention addressed to boys and girls ages 13-17 years, enrolled in secondary education schools in Alicante (Spain), Rome (Italy), Cardiff (UK), Iasi (Romania), Poznan (Poland) and Matosinhos (Portugal). Both process and results evaluations will be carried out with 100-120 intervention and 120-150 control group students per city at three time periods: before, after and 6 months after the implementation of the following interventions: 1) Training seminar with teachers to promote knowledge and skills on the core issues of intervention; 2) Workshops with intervention groups, where participants produce their own digital content presenting their perspective on DV; and 3) Short film exhibitions with participants, their families, authorities and other stakeholders with the objective of share the results and engage the community. Outcome measures are self-perceived social support, machismo, sexism, tolerance towards gender violence, social problem-solving and assertiveness as well as involvement in bullying/cyberbullying. Other socio-demographic, attitudes and violence-related co-variables were also included. DISCUSSION: This study may provide relevant information about the effectiveness of educational interventions that combine a positive youth development framework with educational awareness about the importance of achieving gender equality and preventing and combating gender violence. To our knowledge, this is the first study that involves six European countries in an educational intervention to promote violence protective assets among enrolled adolescents in secondary schools. This study may provide the needed tools to replicate the experience in other contexts and other countries. TRIAL REGISTRATION: Clinicaltrials.gov: NCT03411564 . Unique Protocol ID: 776905. Date registered: 18-01-2018.

Peabody Picture Vocabulary Test-III: Normative data for Spanish-speaking pediatric population.

OBJECTIVE: To generate normative data for the Peabody Picture Vocabulary Test-III (PPVT-III) in Spanish-speaking pediatric populations. METHOD: The sample consisted of 4,373 healthy children from nine countries in Latin America (Chile, Cuba, Ecuador, Honduras, Guatemala, Mexico, Paraguay, Peru, and Puerto Rico) and Spain. Each participant was administered the PPVT-III as part of a larger neuropsychological battery. PPVT-III scores were normed using multiple linear regressions and standard deviations of residual values. Age, age2, sex, and mean level of parental education (MLPE) were included as predictors in the analyses. RESULTS: The final multiple linear regression models showed main effects for age in all countries, such that scores increased linearly as a function of age. In addition, age2 had a significant effect in all countries, except Guatemala and Paraguay. Models showed that children whose parent(s) had a MLPE >12 years obtained higher scores compared to children whose parent(s) had a MLPE ≤12 years in all countries, except for Cuba, Peru, and Puerto Rico. Sex affected scores for Chile, Ecuador, Guatemala, Mexico, and Spain. CONCLUSIONS: This is the largest Spanish-speaking pediatric normative study in the world, and it will allow neuropsychologists from these countries to have a more accurate interpretation of the PPVT-III when used in pediatric populations.

Symbol Digit Modalities Test: Normative data for Spanish-speaking pediatric population.

OBJECTIVE: To generate normative data for the Symbol Digit Modalities Test (SDMT) in Spanish-speaking pediatric populations. METHOD: The sample consisted of 4,373 healthy children from nine countries in Latin America (Chile, Cuba, Ecuador, Guatemala, Honduras, Mexico, Paraguay, Peru, and Puerto Rico) and Spain. Each participant was administered the SDMT as part of a larger neuropsychological battery. SDMT scores were normed using multiple linear regressions and standard deviations of residual values. Age, age2, sex, and mean level of parental education (MLPE) were included as predictors in the analyses. RESULTS: The final multiple linear regression models showed main effects for age in all countries, such that score increased linearly as a function of age. In addition, age2 had a significant effect in all countries, except in Honduras and Puerto Rico. Models indicated that children whose parent(s) had a MLPE >12 years of education obtained higher score compared to children whose parent(s) had a MLPE ≤12 years for Chile, Guatemala, Mexico, and Spain. Sex affected SDMT score for Paraguay and Spain. CONCLUSIONS: This is the largest Spanish-speaking pediatric normative study in the world, and it will allow neuropsychologists from these countries to have a more accurate interpretation of the SDMT with pediatric populations.

Stroop Color-Word Interference Test: Normative data for Spanish-speaking pediatric population.

OBJECTIVE: To generate normative data for the Stroop Word-Color Interference test in Spanish-speaking pediatric populations. METHOD: The sample consisted of 4,373 healthy children from nine countries in Latin America (Chile, Cuba, Ecuador, Guatemala, Honduras, Mexico, Paraguay, Peru, and Puerto Rico) and Spain. Each participant was administered the Stroop Word-Color Interference test as part of a larger neuropsychological battery. The Stroop Word, Stroop Color, Stroop Word-Color, and Stroop Interference scores were normed using multiple linear regressions and standard deviations of residual values. Age, age2, sex, and mean level of parental education (MLPE) were included as predictors in the analyses. RESULTS: The final multiple linear regression models showed main effects for age on all scores, except on Stroop Interference for Guatemala, such that scores increased linearly as a function of age. Age2 affected Stroop Word scores for all countries, Stroop Color scores for Ecuador, Mexico, Peru, and Spain; Stroop Word-Color scores for Ecuador, Mexico, and Paraguay; and Stroop Interference scores for Cuba, Guatemala, and Spain. MLPE affected Stroop Word scores for Chile, Mexico, and Puerto Rico; Stroop Color scores for Mexico, Puerto Rico, and Spain; Stroop Word-Color scores for Ecuador, Guatemala, Mexico, Puerto Rico and Spain; and Stroop-Interference scores for Ecuador, Mexico, and Spain. Sex affected Stroop Word scores for Spain, Stroop Color scores for Mexico, and Stroop Interference for Honduras. CONCLUSIONS: This is the largest Spanish-speaking pediatric normative study in the world, and it will allow neuropsychologists from these countries to have a more accurate approach to interpret the Stroop Word-Color Interference test in pediatric populations.

The usefulness of high-resolution ultrasound in detecting invasive disease in recurrent basal cell carcinoma after nonsurgical treatment.

INTRODUCTION AND OBJECTIVES: Accurate subtyping of basal cell carcinoma (BCC) is crucial for the effective management of this disease and it is particularly important to distinguish between aggressive and nonaggressive histologic variants. Histologic subtype is not always accurately identified by biopsy and this can have serious implications. High-resolution ultrasound (HRUS) is a recent technique that has proven to be of value in differentiating between variants of BCC. The aim of this study was to investigate the potential usefulness of HRUS for detecting invasive disease in recurrent BCC treated nonsurgically following an initial diagnosis of noninvasive BCC by biopsy. MATERIAL AND METHODS: This was a prospective observational study of consecutive cases of BCC with clinical suspicion of recurrence following nonsurgical treatment and a pretreatment diagnosis of superficial BCC by punch biopsy. Before surgical excision, the recurrent lesions were evaluated by HRUS followed by a punch biopsy of the site of suspected recurrence. The diagnostic agreement between HRUS, punch biopsy, and excisional biopsy was then evaluated. RESULTS: Eight lesions were studied. HRUS identified invasive disease in 3 of the 4 cases that were incorrectly classified as superficial subtypes by punch biopsy. CONCLUSION: HRUS could be useful for detecting persistent tumor after nonsurgical treatment and for choosing the site most likely to harbor invasive disease for punch biopsy.

Spatial and temporal trace metal distribution of a Peruvian basin: recognizing trace metal sources and assessing the potential risk.

Recent efforts have been made to determine the environmental impact of mining over the past 11 years in the Jequetepeque River basin, in northern Peru. We have now analyzed data from two studies to elucidate the spatial and temporal trace metal distributions and to assess the sources of contamination. These two studies were carried out from 2003 to 2008 by a Peruvian government administration and from 2008 to 2010 by us. We analyzed 249 samples by principal component analysis, measuring: pH, electrical conductivity, total dissolved solids, total suspended solids, chloride, weak-acid-dissociable cyanide, total cyanide, nitrite and nitrate, ammonium, sulfate, and trace metals and metalloids (Al, As, Ca, Cd, Cu, Cr, Fe, Mg, Mn, Ni, Pb, and Zn). Within the spatial distribution of the basin, the highest Al, As, Cu, Fe, Ni, and Pb concentrations were found at the closest point to the mine sites for both periods of time, with the higher peaks measured during the first years of the sampling data. Temporal trends showed higher concentrations of Cu and Fe in samples taken before 2005, at which point the two mines were closed. Risk assessment was quantified by the hazard quotient as related to water ingestion. The risk for human health posed by the concentrations of several trace metals and metalloids was found to be highly adverse (As and Cr), significant (Al, Cd, Cu, Fe, and Pb), or minimal (Ni and Zn).

Un tumor de colisión. Una asociación tumoral desenmascarada por la dermatoscopia / Collision Tumor Detected by Dermoscopy

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Patrón paralelo de la cresta en melanoma acral: importancia del procesamiento de la pieza para el diagnóstico histológico / Parallel Ridge Pattern in Acral Melanoma: Biopsy Processing Technique Can Affect Histological Diagnosis

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[Incidence of Streptococcus pyogenes pharyngitis in Bariloche, Argentina]. / Incidencia de faringitis por Streptococcus pyogenes en Bariloche, Argentina.

The incidence and seasonality of pharyngitis by S. pyogenes in Bariloche, a city where long periods of low temperatures result in extended indoor activities were studied. A total of 5276 throat swab specimens collected during 2000-2003 in the clinical microbiology laboratories of the three main medical institutions of the city, were analyzed. Samples were cultured on blood-agar media containing 5% defibrinated sheep blood, and incubated for 24-48 h at 35 degrees C. Strains were identified using standard procedures. Monthly means for throat swabs, S. pyogenes isolates, and percent of S. pyogenes pharyngitis, were estimated. The incidence of pharyngitis by this microorganism was greater than 24% for every month within the April-December period, reaching a maximum in November (33%). February was the month with the lowest incidence (13%). It was observed an increasing trend since March through November with a through in July, and a marked decrease that began in December, reaching its lowest rate in January and February, the warmest months. This seasonal pattern differs from those observed for temperate climates. The incidence of S. pyogenes pharyngitis in Bariloche was high through the greater part of the year, since about the middle of autumn to the beginning of summer.

Incidencia de faringitis por Streptococcus pyogenes en Bariloche, Argentina / [Incidence of Streptococcus pyogenes pharyngitis in Bariloche, Argentina]

The incidence and seasonality of pharyngitis by S. pyogenes in Bariloche, a city where long periods of low temperatures result in extended indoor activities were studied. A total of 5276 throat swab specimens collected during 2000-2003 in the clinical microbiology laboratories of the three main medical institutions of the city, were analyzed. Samples were cultured on blood-agar media containing 5

defibrinated sheep blood, and incubated for 24-48 h at 35 degrees C. Strains were identified using standard procedures. Monthly means for throat swabs, S. pyogenes isolates, and percent of S. pyogenes pharyngitis, were estimated. The incidence of pharyngitis by this microorganism was greater than 24

for every month within the April-December period, reaching a maximum in November (33

). February was the month with the lowest incidence (13

). It was observed an increasing trend since March through November with a through in July, and a marked decrease that began in December, reaching its lowest rate in January and February, the warmest months. This seasonal pattern differs from those observed for temperate climates. The incidence of S. pyogenes pharyngitis in Bariloche was high through the greater part of the year, since about the middle of autumn to the beginning of summer.

Incidencia de faringitis por Streptococcus pyogenes en Bariloche, Argentina. / [Incidence of Streptococcus pyogenes pharyngitis in Bariloche, Argentina]

The incidence and seasonality of pharyngitis by S. pyogenes in Bariloche, a city where long periods of low temperatures result in extended indoor activities were studied. A total of 5276 throat swab specimens collected during 2000-2003 in the clinical microbiology laboratories of the three main medical institutions of the city, were analyzed. Samples were cultured on blood-agar media containing 5

defibrinated sheep blood, and incubated for 24-48 h at 35 degrees C. Strains were identified using standard procedures. Monthly means for throat swabs, S. pyogenes isolates, and percent of S. pyogenes pharyngitis, were estimated. The incidence of pharyngitis by this microorganism was greater than 24

for every month within the April-December period, reaching a maximum in November (33

). February was the month with the lowest incidence (13

). It was observed an increasing trend since March through November with a through in July, and a marked decrease that began in December, reaching its lowest rate in January and February, the warmest months. This seasonal pattern differs from those observed for temperate climates. The incidence of S. pyogenes pharyngitis in Bariloche was high through the greater part of the year, since about the middle of autumn to the beginning of summer.

Rate of discharge and morphology of sweat glands in the perineal, lumbodorsal and scrotal skin of cattle.

The rates of evaporation of moisture from the skin in the lumbodorsal, perineal and scrotal regions of cattle were measured in thermoneutral and high environmental temperatures. The rates of evaporation from the perineal and scrotal regions of heifers and bulls were significantly (P < 0.001) greater than those from the lumbodorsal areas. The lumbodorsal rate of evaporation increased significantly (P < 0.001) when cows and bulls were transferred from a thermoneutral to a hot environment and the rate of evaporation from the scrotum of bulls showed a similar increase; the rate of evaporation from the perineum of cows increased to a smaller extent (P < 0.05) under the same conditions. The rate of evaporation from the perineum of cows reached a maximum on the day of oestrus but the stage of the oestrous cycle had no effect on the lumbodorsal rate of evaporation.

A quantitative morphological study of the bovine vaginal epithelium during the oestrous cycle.

Samples were collected post mortem from 28 cycling parous cows. At all stages of the oestrous cycle, the cranial vaginal epithelium was thinner (P less than 0.001), had fewer cell layers (P less than 0.001) and proportionally more superficial columnar cells (P less than 0.001) than more caudal regions. At all stages of the cycle there were more intraepithelial lymphocytes caudally than in more cranial regions (P less than 0.001). At oestrus the proportion of superficial columnar cells was maximal, having increased from the late dioestrus proportions of 1, 29 and 40 per cent of all superficial cells to 15, 54 and 83 per cent in caudal, middle and cranial regions, respectively (P less than 0.02). However, the epithelial thickness in all regions of the vagina was greatest at metoestrus (P less than 0.02). At this stage, the number of cell layers was greater than at any other stage (P less than 0.05).

A pheromonal function for the perineal skin glands in the cow.

Two cows with synchronised oestrous cycles were housed with a Friesian bull. During the midcycle period of the cows, one cow was given an intradermal injection of adrenaline in the perineal region. This caused local sweat gland discharge. The other cow was treated with water. The number and types of bull-to-cow behaviours were recorded before, during and after the day of treatment. This was repeated at three-weekly intervals for a total of four times. On the day of treatment the bull directed a greater proportion of olfactory behaviours towards the adrenaline-treated cow than the other cow (P less than 0.05). There was no difference between the cows before or after the day of treatment. The above experiments were repeated with a Hereford bull who showed the same response as the Friesian for the first two but not the last two experiments. The increased proportion of bull olfactory behaviours elicited by an increased perineal skin gland discharge, adds support to our hypothesis that the perineal skin glands are the source of an oestrous pheromone in the cow.

Sweat glands of the scrotum of the bull.

Skin samples were taken post mortem from the scrotum, abdomen and neck of 4 mature bulls. The volume of sweat glands per unit skin surface area of the scrotum was greater than that of other body regions. Within the scrotum there was a gradient in sweat gland volume increasing from proximal through to distal parts of the scrotum. These results suggest a previously unidentified variable cooling capacity of the scrotum depending on testicular descent.

Histochemistry of mucins of pig intestinal secretory epithelial cells before and after weaning.

Two histochemical staining techniques, Alcian blue/PAS and high-iron-diamine/Alcian blue, which differentiated neutral from sulphated and sialylated acid mucins were applied to sections of duodenum, ileum, caecum, colon and rectum from pigs aged one day, 3 weeks and 10 weeks. In each age group, sulphated-acid mucins predominated at all sites, particularly in the large intestine. In both the small and the large intestine, non-sulphated mucins occurred mainly at the bases of the crypts. Neutral mucins occurred in a few goblet cells in crypts and villi, either alone or together with acid mucins; neutral mucins increased away from the bases of the crypts. No changes were noted in the caecum, colon or rectum of pigs one, two, 5 or 13 days after weaning onto a diet containing soya protein. In the small intestine, there was a transient increase in the numbers of goblet cells in the crypts and villi, a relative increase in sulphated and a decrease in non-sulphated acid mucins and a change in the distribution of sulphated mucins in the crypts. No change in proportions of neutral and acid mucins was detected.

A quantitative morphological examination of bovine vulval skin glands.

In adult cows the volumes of sweat and sebaceous glands per unit skin surface area (ssa) in the vulva were greater (P less than 0.01) than in the neck, lip or eyelids. Within this perineal region skin gland volumes were greater dorsally than ventrally (P less than 0.01). Adult cows had much greater (P less than 0.01) volumes of perineal skin glands per unit ssa than 8 weeks or 6 weeks old heifer calves or steers. There was little or no difference between animal categories in neck skin gland dimensions. Adult morphology of perineal sebaceous glands was present in 15 and 18 months but not 6 and 9 months old heifer calves. The skin glands of the perineal region in cows should be considered as specialised skin glands.