RED-EMAR - A Chilean pilot initiative of early detection and intervention in clinical high-risk subjects

The COVID-19 crisis has had a significant impact on the mental health of adolescents and young adults in South America. As a result, the appearance of a higher incidence of anxiety and depressive disorders in these countries have been documented and could lead to the appearance of severe mental health disorders. In this context, the prevention and early intervention in mental health is a current challenge in Central and South America. Since the last decade, the existence of initiatives in this field has been mapped in Mexico, Brazil, Chile and Argentina, mostly in first episode psychosis programs. However, Chile is the only country in South America with a multicentre prospective initiative for early detection and intervention in clinical high-risk subjects (called RED-EMAR). The aim of RED-EMAR is disseminate the value of the at-risk mental state concept (abbreviated to EMAR in Spanish), establish agreed therapeutic strategies in this field, and establish potential new evidence-based local interventions. The successful experiences of this network include the monitoring and discussion of clinical cases in telemedicine and the development of mental health psychoeducation guidelines. However, Insufficient resources, stigma, and the lack of mental health public policies are some of the weaknesses of this initiatives in South America. The development and access to early detection and intervention services in South America could be a window of opportunity to reduce the impact of severe mental health disorders such as psychosis and related disorders and move towards an approach aimed at prevention or delaying its onset.

Notes on feminist activisms in current tango: cultural politics, artistic practices and organizational experiences

In this article, we will analyze the linkages and tensions that emerge from the relationship between cultural politics, artistic practices and forms of feminist activism in current tango. To do this, we will briefly historicize cultural policies and the way in which new meanings are constructed within the tango community from a gender perspective. We will argue that the high degree of political organization in the tango community in Argentina as a response to the social and economic crisis of the covid-19 pandemic finds its antecedent in previous experiences of militancy and cultural action that began at the time of the tango "resurgence". We consider that the current context incorporates a novelty: the important presence of the gender perspective in cultural discourses and actions and the emergence of organized tango feminisms, which are multiplying in new political groups.

Postpartum depression during COVID-19 pandemic

OBJECTIVE: To determine the prevalence of postpartum depression during the CO-VID-19 pandemic and the factors associated with infection. MATERIALS AND METHODS: Observational, analytical and cross-sectional study and carried out in patients attended at Hospital Dr. José Eleuterio González from February to May 2021 after 24 to 48 hours of puerperium. The Edinburgh Scale was applied in writing. Positive screening was considered for postpartum depression with a score greater than 10. Two groups were compared: patients with a history of positive COVID-19 test and those without. Patients with chronic degenerative diseases, rheumatic diseases, pregnancy with death or malformations were excluded. RESULTS: A total of 116 patients were studied: 56 positive for COVID-19 and 60 with no history of disease. The prevalence of depression was 15%. A history of COVID-19 added 2 positive points to the Edinburgh Scale, although it did not result in a factor associated with depression. Factors associated with a score greater than 10 were: junior high and high school education, and male sex of the newborn. Newborn sex resulted in similar percentages in both groups. CONCLUSIONS: COVID-19 contingency and history of SARS CoV-2 infection showed no association with depression. Higher schooling and male birth were observed in women with Edinburgh Scale score greater than 10. © 2022 Asociacion Mexicana de Ginecologia y Obstetricia. All rights reserved.