Health-Sector Responses to Intimate Partner Violence Fitting the Response Into the Biomedical Health System or Adapting the System to Meet the Response?

This study aims to analyze how middle-level health systems’ managers understand the integration of a health care response to intimate partner violence (IPV) within the Spanish health system. Data were obtained through 26 individual interviews with professionals in charge of coordinating the health care response to IPV within the 17 regional health systems in Spain. The transcripts were analyzed following grounded theory in accordance with the constructivist approach described by Charmaz. Three categories emerged, showing the efforts and challenges to integrate a health care response to IPV within the Spanish health system: “IPV is a complex issue that generates activism and/or resistance,” “The mandate to integrate a health sector response to IPV: a priority not always prioritized,” and “The Spanish health system: respectful with professionals’ autonomy and firmly biomedical.” The core category, “Developing diverse responses to IPV integration,” crosscut the three categories and encompassed the range of different responses that emerge when a strong mandate to integrate a health care response to IPV is enacted. Such responses ranged from refraining to deal with the issue to offering a women-centered response. Attempting to integrate a response to nonbiomedical health problems as IPV into health systems that remain strongly biomedicalized is challenging and strongly dependent both on the motivation of professionals and on organizational factors. Implementing and sustaining changes in the structure and culture of the health care system are needed if a health care response to IPV that fulfills the World Health Organization guidelines is to be ensured.

Estimation Models for Nonuniformly Sampled Signals–Application to Multiple Delay Estimation

This letter presents a method to model propagation channels for estimation, in which the sampling scheme can be arbitrary. Additionally, the method yields accurate models, with a size that converges to the channel duration, measured in Nyquist periods. It can be viewed as an improvement on the usual discretization based on regular sampling at the Nyquist rate. The method is introduced in the context of multiple delay estimation using the MUSIC estimator, and is assessed through a numerical example.

Preliminary interpretation of shaking-table response of a full-scale 3-storey building composed of thin reinforced concrete sandwich walls

In the last few decades, the use of cast in situ reinforced concrete sandwich panels for the construction of low- to mid-rise buildings has become more and more widespread due to several interesting properties of this construction technique, such as fast construction and high thermal and acoustic performances. Nonetheless the level of knowledge of the structural behavior of systems made of squat reinforced concrete sandwich panels is still not so consolidated, especially with reference to the seismic response, due to the lack of experimental studies. In recent years, while various experimental tests have been conducted on single panels aimed at assessing their seismic capacity, only few tests have been carried out on more complex structural systems. In this paper, the experimental results of a series of shaking-table tests performed on a full-scale 3-storey building are presented in detail. The main goal is to give to the scientific community the possibility of develop independent interpretation of these experimental results. An in-depth interpretation of the discrepancies between the analytical predictions and the experimental results is beyond the objective of this paper and is still under development. Nonetheless, preliminary interpretations indicate that both the stiffness and the strength of the building under dynamic excitation appear quite superior with respect to those expected from the results of previous pseudo-static cyclic tests conducted on simple specimens.