Virulence genes from different E. coli pathotypes are blended in hybrid strains. E. coli strains with hybrid enteroaggregative/uropathogenic (EAEC/UPEC) genotypes have sporadically emerged causing outbreaks of extraintestinal infections, however their association with routine infections is yet underappreciated. We assessed 258 isolates of E. coli recovered from 86 consecutive cases of extraintestinal infections seeking EAEC and hybrid genotype (EAEC/UPEC) strains. Extensive virulence genotyping was carried out to detect 21 virulence genes, including molecular predictors of EAEC and UPEC strains. Phylogenetic groups and sequence types (STs) were identified, as well as it was performed phylogenetic analyses in order to evaluate whether hybrid EAEC/UPEC strains belonged to intestinal or extraintestinal lineages of E. coli. Adhesion assays were performed to evaluate the biofilm formation by hybrid strains in human urine and cell culture medium (DMEM). Molecular predictors of UPEC were detected in more than 70% of the strains (chuA in 85% and fyuA in 78%). Otherwise, molecular predictors of EAEC (aatA and aggR) were detected in only 3.4% (9/258) of the strains and always along with the UPEC predictor fyuA. Additionally, the pyelonephritis-associated pilus (pap) gene was also detected in all of the hybrid EAEC/UPEC strains. EAEC/UPEC strains were recovered from two cases of community-onset urinary tract infections (UTI) and from a case of bacteremia. Analyses revealed that hybrid EAEC/UPEC strains were phylogenetically positioned in two different clades. Two representative strains, each recovered from UTI and bacteremia, were positioned into a characteristic UPEC clade marked by strains belonging to phylogenetic group D and ST3 (Warwick ST 69). Another hybrid EAEC/UPEC strain was classified as phylogroup A-ST478 and positioned in a commensal clade. Hybrid EAEC/UPEC strains formed biofilms at modest, but perceptible levels either in DMEM or in urine samples. We showed that different lineages of E. coli, at least phylogenetic group A and D, can acquire and gather EAEC and UPEC virulence genes promoting the emergence of hybrid EAEC/UPEC strains.
RESUMOPoliciais militares são acometidos por transtornos físicos e mentais ligados à profissão, que envolve o contato frequente com a violência. Este estudo aplicou o Inventário do Trabalho e Riscos de Adoecimento -ITRA a policiais de um Batalhão de Polícia de Militar de Brasília, para verificar a percepção sobre os efeitos do trabalho no processo de adoecimento. Da população de 126 indivíduos, fo ram validados 28 questionários (22,2%) mediante modelo de estatística descritiva e testes de normalidade, correlação e testes de diferenças médias entre grupos da amostra. Os índices do ITRA indicaram que os policiais apresentam desconforto no trabalho, com alto risco de ado ecimento, em vista das condições desfavoráveis a que estão submetidos, motivo pelo qual se requer providências no sentido de minorar o s impactos adversos na saúde da categoria. A cadeia de comunicação form al e rígida da organização milit ar é compensada por canais informais entre os policiais, espaços em que se racionaliza a violência e o sofrimento.Infere -se dos achados que as estratégias individuais de resistência e enfrentamento se enfraquecem no decorrer do tempo de permanência na co r poração, suscetibilizando os indivíduos aos transto rnos biopsicossociais no decorrer da carreira.Palavras Chave: Prazer-sofrimento no trabalho. Policiais Militares. Inventário do Trabalho e Riscos de Adoecimento. Saúde coletiva . Rev i sta El etr ôn ic a Ge st ão & Soc ied ad e ABSTRACTMilitary police officers are affected by physical and mental disorders linked to the profession, which involves frequent contact with violence. This study applied the Inventory of Work and Illness Risk -ITRA to verify the perception o f the effects of worki ng in the disease process in the military police officer of a Police Battalion of Brasilia. Out of a population of 126 individuals, 28 questionnaires (2 2.2%) was evaluated by descriptive statistics and model submitted normality test, correlation and tests of mean differences between groups. The contents of the ITRA indicated that the police officers hav e discomfort at work, with anxieties that indicate high risk of illness and ratify, like the literature, that the unfavorable co nditions that are submitted, that requires measures in order to mitigate the adverse impacts on health category. The chain of rigid communication of the military police organization is offset by informal channels between police, spaces where rationalizes violence and suffering. It app ears from the survey results that the indiv idual strategies of resistance and confrontatio n weaken during the time spent in the enterprise, leveraging the biopsychosocial disorders.Keywords: joy-suffering at work. Military police. Inventory Work and Illn ess Risks. Public health.Rev i sta El etr ôn ic a Ge st ão & Soc ied ad e v. 11 , n . 2 9 , p . 1 80 4 -1 82 9 | Mai o/ Ag os to -20 1 7 IS SN 1 9 80 -57 56 | D OI: 1 0. 21 17 1/ g e s. v 11 i2 9. 21 5 0 | 1806 INTRODUÇÃOAs organizações policiais são instituições que exercem poder e controle dentro e fora das suas ...
Case files can show how aggressors use different explanations to reduce the seriousness of their crime. We aimed to identify and categorize a 2016 Brazilian case file from a perpetrator of femicide, based on moral disengagement theory. Content analysis yielded 47 verbalized excerpts, with 70 disengagement occurrences. The most frequently used mechanisms throughout the aggressor's speeches consisted of moral justification and blaming the victim herself. Results indicated that he reduced the seriousness of the femicide and sought reduction of the consequences. We discuss how speeches in criminal cases can serve as a secondary source for producing data on violence.
The study evaluated the impact of the organization of work in the subjectivity of police officers of the Federal District in terms of pleasure and suffering experiences. Therefore, sought to understand the effects of work organization in the subjectivity of individuals. Were conducted semi-structured interviews with 13 peoples, than were analyzed by content analysis technique (BARDIN, 1977), the which aimed to uncover, isolate and abstract contextual elements to understand the meanings attributed to work and the peculiarities of the military police profession resulting in categories representing the experiences encountered by police. The survey is qualitative, about Military Police of the Federal District and involved the analysis of regulatory documents from the profession and the identification of symbolic elements capable of producing subjectivities impacting on the disease process. The findings corroborate the literature on police work and indicate that the psychophysiological requirements cause discomfort, embarrassment and falling ill in police. Also were found resistance trials, coping and reframing of suffering, demonstrating pleasure experience, even in the face of pressures and the constant risk of life at work.
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