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On the 3rd of April , undetermined persons intercepted the victim, M. At the date of the trial, the victim, M. The Court established that the impact that the process of human trafficking has on the exploited women, together with other features of this phenomenon, must be taken into account in order to assess the testimonies of the victims. The Court held that the contested judgement did not fulfill the duty to assess the evidentiary framework with a comprehensive vision and taking into account the whole body of evidence, connecting the different testimonies together, in order to compatibilize their accounts. Furthermore, it held that instead, the 1 st instance Court had segmented and split the statements of the witnesses, in order to find supposed contradictions and discredit their testimonies. Court: Chamber II of the Hon. This sentence decides on the specific case of the kidnapping and sexual exploitation of M. However, the human trafficking network responsible for such actions, also abused an undetermined number of victims, and it should be noted that several of these victims testified as witnesses during the trial. The 1st instance Court acquitted all the defendants. While the Court held that the defendants were part of a human trafficking network operating througha number of establishments in Argentine, for the sexual exploitation of its victims; it also considered that there was not enough evidence to establish the presence of the victim —M. The Court dismissed several testimonies of witnesses because it considered that these statements were contradictory or unreliable, specifically the testimonies of several women who had been victims of human trafficking in the aforementioned brothels, and who claimed they had seen the victim during their captivity. Due to the exclusion of these testimonies, and the lack of physical evidence, the Court acquitted all of the defendants, as it condiered that there was not enough evidence to convict. The appellate Court noted that the alleged state of uncertainty invoked by the 1 st instance Court, in relation to the presence of the victim in the region of La Rioja, was the outcome of a process in which the II Division of the Hon. Criminal Chamber conducted a punctual and biased assesment of each of the witnesses who claimed they had seen M. The 1 st instance Court highlighted alleged contradictions and other circumstances that in its discretion, justified dismissing those testimonies, as well as any probatory value thereof. However, the appellate Court considered that those contradictions were not such, and that the alleged inconsistencies in the testimonies of the victim-witnesses could not serve to justify the exclusion of the said testimonies as evidence. The Court emphasized the need to assess the context of the case, in which the witnesses were themselves victims of trafficking. Thus, the Court considered that the impact generated by that experience on the victims and the other characteristics of the human trafficking phenomenon, justifies a special assesment of the testimonies of the victims. Therefore, the Court found that human trafficking and the violence surrounding it produces a psichological confusion in the exploited women, which in turn, generates denial and dissociation in them, and act as a trigger to other symptoms such as depersonalization, altered perception of temporality or memory loss, indifference to suffering violence and fragmentation of perception, feelings, consciousness and memory. In this regard, the importance attributed by the Court to the testimony of the psychologist of the Rescue Office, Z. Consequently, the Court analysed the assesment made by the 1 st instance Court in the contested decision, of the testimonies of the witnesses who claimed they had seen M. The Court held that the Criminal Chamber had omitted, in the assessment of the various testimonies, to undertake a human trafficking perspective or approach. For example, in relation to the supposed contradiction and subsequent discarding of several statements based on the allegedly conflicting dates on which the witnesses claimed they had seen the victim in different places, the Court held that the 1 st instance Court had not taken into account the effects caused by the phenomenon of human trafficking on the victims, which can alter the temporal perception of the exploited women, which in this case was reinforced by a context of confinement, isolation and drugs. The Court decided that the contested judgement suffered of severe deficiencies in the evaluation of evidence, and stated that the Court of 1 st instance had conducted a selective, unreasonable, decontextualized and arbitrary assessment of the statements made by the numerous victim-witnesses who testified in the cause. The Court also stated that the Court of 1 st instance had adopted the systematic approach of fragmenting the accounts of witnesses, in order to deprive all the statements provided by the victims from any value. Thus, the appellate Court positively appreciated the testimonies of the many victims who testified in the trial, stating that they were sound and consistent with each other in many points such as the mode of operation, the lack of communication, the physical description of M. Consequently, the Court found that the different accounts provided by the victims, left no doubt about the presence of M. Finally, the Court concluded that the disappearance of M. With regard to defendant V. The Court considered that the assesment conducted by the Chamber in the 1 st instance about the absence of suficient evidence in order to reach the degree of certainty required to convict V. Therefore, the Court held that the said circumstantial evidence, without the presence of direct evidence giving sense to such indications, was clearly insuficient in order to reach a guilty verdict for defendants V. Contemporary issues relating to conditions conducive both to the spread of terrorism and the rule of law Topic 2. Contemporary issues relating to the right to life Topic 3. Contemporary issues relating to foreign terrorist fighters Topic 4. Sentence Commentary and Significant Features. Keywords Trafficking in Persons Protocol:. Article 3, Trafficking in Persons Protocol. Article 5, Trafficking in Persons Protocol. Threat or use of force or other forms of coercion. Abuse of power or a position of vulnerability. Exploitation of the prostitution of others or other forms of sexual exploitation. Forced labour or services. Organized Criminal Group. Commercial sexual exploitation. Cross-Cutting Issues Liability Procedural Information Legal System:. United Nations Office on Drugs and Crime. Home Disclaimer Legal Notice Contacts.

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San Miguel de Tucuman where can I buy cocaine

Official websites use. Share sensitive information only on official, secure websites. Email: wespeche gmail. Adherence to antihypertensive medication is an important challenge that doctors often face in the treatment of hypertension. Good adherence is crucial to prevent cardiovascular complications. In consequence, the present study aimed at determining the prevalence of adherence to antihypertensive treatment and identifying associated clinical variables. A systematic sampling was performed in order to select patients with hypertension and under pharmacological treatment for at least 6 months. The prevalence of controlled hypertension increased only in high adherent patients: Similarly, systolic BP was lower only in the high adherence group. High educational level OR 3. In conclusion, more than a half of treated hypertensive patients had a high level of adherence. These patients had lower BP values and higher control levels. A high educational level predicts high adherence. Hypertension is currently considered the leading cause of death and disability. Good adherence is crucial to improve hypertension control rates and prevent complications such as stroke, coronary artery disease, aneurysms, and heart failure. There are direct and indirect methods to assess adherence. Although the direct methods have greater accuracy, the high cost and lack of availability have limited their use in current clinical practice. Conversely, indirect methods are easy to use in daily medical practice. To the best of our knowledge, adherence to antihypertensive treatment has not been sufficiently evaluated in Argentina in recent years. Each city was represented by at least one center. The center should have more than consultations for hypertension each month, and a principal investigator in each center was designed by the SAHA. In each center, systematic sampling was performed in order to select patients with hypertension and under pharmacological treatment for at least 6 months. Therefore, the investigators could not select patients on the grounds of their blood pressure BP control status or any other. Each center recruited the same number of patients. Weight was determined with subjects wearing light clothes and no shoes. Besides, history of dyslipidemia, diabetes, previous cardiovascular disease, and smoking was recorded. Prior research revealed that this new scale is significantly associated with blood pressure control in patients with hypertension. Written informed consent was required, and individuals who did not sign it were excluded. All statistical analyses were performed using SPSS A total of individuals were evaluated; 18 individuals were excluded due to missing lack of any BP measurements. All the individuals had completed basic education, and The prevalence of diabetes, dyslipidemia, and smoking was The clinical characteristics of individuals according to sex are summarized in Table 2. Women had a lower prevalence of diabetes mellitus and history of cardiovascular events and used less antihypertensive drugs than men. High education was more frequently in men By selection, all patients were under drug treatment. The most frequently used antihypertensive was ACE inhibitors The number of antihypertensive drugs was 1. The most common second drug used was diuretics. The mean score for the adherence scale was 7. There were no significant differences between regions: Buenos Aires 7. Using the recommended cutoffs, Thus, patients The prevalence of high adherence was similar in different regions: However, even thought the prevalence of involuntary forgetfulness is high, Similarly, systolic BP was lower only in high adherence group , , and mm Hg for low, medium, and high adherence groups, respectively. The prevalence of high adherence was similar in individuals with vs without previous cardiovascular event Table 4 shows univariate and multivariate OR estimates of high adherence: Only high education level and not being under diuretic treatment were independent predictors of high adherence; not smoking had a marginal significance. Consequently, individuals with medium and high levels were considered adherent. In our study, if we grouped the patients in this way, This difference with our study could be due to an improvement in adhesion in recent years. Thus, the level of adherence could vary according to countries and regions. In our study, we found a high adherence level, similar to American and European individuals. This adherence level was similar in different regions of Argentina. These data should be interpreted with caution because the study was performed in the specialized office of members of the Argentinean Society of Hypertension SAHA. Indeed, our sample should not be considered as representative of general Argentinean population. Thus, it is a selected sample of higher risk than general population. This value is probably close to BP control level achievement in Argentina in patients under usual care. We can speculate that these differences in the medical practices could affect not only the control but also the adherence levels. Indeed, better control could be a consequence of better adherence. Thus, taking into account the low hypertension control observed in population samples, a lower level of adherence would be expected in general clinical practice. However, we have not been able to find estimates of adherence to antihypertensive drugs in epidemiological studies from Argentina and, in consequence, this statement is only speculative. Regarding the variables associated with adherence, in the multivariate analysis, diuretic use was independently associated with lower adherence and, conversely, higher education levels were associated with higher adherence. Interestingly, the lower adherence in women observed in the univariate analysis disappears when the difference was adjusted by education level. Thus, it could be related to gender inequalities in social conditions. However, there are no data available to confirm this hypothesis. As it was previously mentioned, in our study a half of hypertensive patients was controlled vs a quarter in the RENATA 2. Thus, despite the relationship found among diuretic use and lower level adherence, the use of diuretics in combination with other drugs could be important to reach adequate BP control. In consequence, the use of reminders like alarms, telemedicine, and prescription of less complex regimens could improve adherence specifically in our population. Thus, to reach high adherence appears as a critical factor for successful hypertension control. Our study had some limitations. However, and reasonably, the individuals who have their BP controlled have a higher adherences level. Fourthly, the definition of hypertension control was according to office BP values, not being able to rule out the white coat effect. Finally, our data are not necessarily valid for general practice, especially in disadvantaged socioeconomic population. Thus, beyond these limitations, this is the first study that provides an estimation of the adherence level and analyzes the associated variables with low adherence in an Argentinean multicentric cohort. In conclusion, more than half of hypertensive patients had a high level of adherence. Having a high education level high school graduate or higher seems important to reach high adherence to antihypertensive drug treatment. Espeche W and Martin R Salazar is a study coordinator, developed the study, analyzed the data, and involved in data discussion and statistic analysis. Horacio Carbajal collaborated the data and shaped the analysis. Carlos Leiva Sisnieguez performed language Correction. We are grateful to the Argentinean Society of Hypertension for possibility of developing this study. We acknowledge Prof. Adherence to antihypertensive drug treatment in Argentina: A multicenter study. J Clin Hypertens. As a library, NLM provides access to scientific literature. J Clin Hypertens Greenwich. Find articles by Walter Espeche. Find articles by Martin R Salazar. Find articles by Rodrigo Sabio. Find articles by Alejandro Diaz. Find articles by Carlos Leiva Sisnieguez. Find articles by Daniel Olano. Find articles by Eduardo Balbin. Find articles by Nicolas Renna. Find articles by Pedro Grosse. Find articles by Roberto A Flores. Find articles by Ana C Lagos. Find articles by Pablo Ferrer. Find articles by Silvia Poppe. Find articles by Facundo Risso Patron. Find articles by Victor D Sotnieczuk Stasiuk. Find articles by Elina Valentini. Find articles by Jose R Cardozo. Find articles by Jose R Romano. Find articles by Roberto Parodi. Find articles by Horacio Carbajal. Reply Points 1. Do you sometimes forget to take your medication? People sometimes miss taking their medications for reasons other than forgetting. Over the past 2 wk, where there any days when you did not take your medication? Have you ever cut back or stopped taking your medication without telling your doctor because you felt worse when you took it? When you travel or leave home, do you sometimes forget to bring your medication? Did you take all your medication yesterday? Yes 1 6. When you fell like your symptoms are under control, do you sometimes stop taking your medication? Taking medication every day is a real inconvenience for some people. Do you ever feel hassled about sticking to your treatment plan? How often do you have difficulty remembering to take all your medication? Open in a new tab. Comparison of the clinical characteristics of the patients according to adherence status. Similar articles. Add to Collections. Create a new collection. Add to an existing collection. Choose a collection Unable to load your collection due to an error Please try again. Add Cancel.

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