Depression, Anxiety, and Stress Among Emerging Adult Undergraduates: A Longitudinal and Two-Cohort Study.

Mental disorders constitute one of the population's principal health problems, especially among undergraduates. This quantitative study compared levels of depression, anxiety, and stress in a sample of emerging adult university undergraduates from a gender perspective (1) during the initial and intermediate years of emerging adulthood and (2) in two different cohorts. A total of 383 Spanish emerging adult university undergraduates were monitored longitudinally (2015-2018) and two cohorts were compared (2015-2020). Participants completed the validated Spanish version of the Depression Anxiety Stress Scale-21. Mean-level and rank-order stability was found across the two waves of the longitudinal study in relation to levels of depression, anxiety, and stress. Significant differences were found between the two cohorts, indicating higher levels of psychological distress in 2020 than in 2015. Women were found to have higher levels of psychological distress, particularly stress, than men in both waves and cohorts. Results are discussed in relation to the negative effects of the COVID-19 health crisis on the emotional health of emerging adults. The present study highlights the need to establish measures designed to improve the mental health of emerging adults, which was more severely affected by the COVID-19 crisis than by the aftermath of the 2008 financial crisis. It also underscores the need to develop interventions designed to alleviate the greater degree of stress suffered by women.

Emotional autonomy and adjustment among emerging adults: The moderating role of family relationships.

Emerging adults build their personal maturity within the family context; however, few studies focus on the role of emotional autonomy during this stage. The aim of this study was to analyze the relationship between emotional autonomy and adjustment during emerging adulthood, bearing in mind the possible moderating role of parental support in this relationship. Data were collected from 1,502 Spanish undergraduate students (903 women) aged between 18 and 29. Participants completed measures of emotional autonomy (EAS, Steinberg & Silverberg, 1986), family social support (MSPSS; Zimet, Dahlem, Zimet & Farley, 1988), psychological well-being (PWBS; Ryff, Lee, Essex & Schmutte, 1995) and psychological distress (DASS-21; Lovibond & Lovibond, 1995). The results indicate that emotional autonomy correlates negatively with family support and psychological well-being and positively with psychological distress. However, only when young people perceive a family context with low social support is gaining emotional distance from their parents associated with an increase in their psychological well-being. Our findings highlight the crucial role that the family environment plays in well-being during young adulthood, and reveal that the effect of emotional distancing from parents on adjustment depends on the quality of the family climate. Future research should seek to gain greater insight into emotional autonomy during emerging adulthood, taking into account cross-cultural diversity.

Perceived Parenting Styles and Adjustment during Emerging Adulthood: A Cross-National Perspective.

The aim of the present study is to determine whether the influence of parenting style on children's wellbeing is sustained during emerging adulthood. This is a stage in which young people, despite feeling themselves to be adults, often remain in the family home and continue to be financially dependent on their parents. Moreover, since parents' beliefs, attitudes and behaviors are constructed and interpreted within their cultural milieu, the study also aims to explore the situation in Spain (SP) and Portugal (PT). Those two Southern Europe countries are representative of what is known as the "family welfare regime", in which the family acts as the main provider of care and security not only during childhood, but also during emerging adulthood. Thus, the present study examines, from a cross-cultural perspective, the relationship between perceived parenting styles and psychological adjustment among a sample of 1047 emerging adults from Spain and Portugal. The results reveal that the most beneficial styles during this stage are the authoritative and permissive ones, with the authoritarian style being more closely related to psychological distress. The study highlights intercultural similarities and the positive role played by more symmetrical relationships in the adjustment of emerging adults in both countries.

The Role of Parents in Emerging Adults' Psychological Well-Being: A Person-Oriented Approach.

The purpose of this study was to gain an overview of Spanish emerging adults' family relationships and their link with psychological well-being and psychological distress. The sample comprised 1502 undergraduate students (903 women and 599 men) aged between 18 and 29 (M = 20.32 and SD = 2.13), recruited from two universities in Spain. A cluster analysis identified three groups of families based on the centrality of five family variables: parental involvement, parental support for autonomy, parental warmth, behavioral control, and psychological control. The three groups or clusters were labeled high-quality family relationships (HQ), intermediate-quality family relationships (IQ), and low-quality family relationships (LQ). Women were overrepresented in the HQ cluster, whereas men were overrepresented in the IQ cluster. Moreover, emerging adults who perceived better family relationships (high levels of parental involvement, parental support for autonomy and parental warmth, and low levels of behavioral and psychological control) were found to have a higher level of psychological adjustment. Thus, our results indicate that family plays a key role in the psychological well-being of emerging adults. The discussion focuses on the implications of this finding for the parent-child relationship, and explores how it extends our knowledge about family relationships during emerging adulthood.

El propósito de este estudio fue obtener una visión de conjunto de las relaciones familiares de los adultos emergentes españoles y su vínculo con el bienestar psicológico y el distrés psicológico. La muestra estuvo compuesta por 1502 alumnos universitarios (903 mujeres y 599 hombres) de entre 18 y 29 años (M = 20.32 y SD = 2.13), convocados de dos universidades de España. Un análisis de grupos identificó a tres grupos de familias basándose en la centralidad de cinco variables familiares: participación de los padres, fomento de la autonomía por parte de los padres, calidez de los padres, control del comportamiento y control psicológico. Los tres grupos o agrupaciones se clasificaron como relaciones familiares de alta calidad (AC), relaciones familiares de calidad intermedia (CI) y relaciones familiares de baja calidad (BC). Las mujeres estuvieron sobrerrepresentadas en el grupo de AC, mientras que los hombres estuvieron sobrerrepresentados en el grupo de CI. Además, se descubrió que los adultos emergentes que percibieron mejores relaciones familiares (niveles altos de participación de los padres, fomento de la autonomía por parte de los padres y calidez de los padres, y niveles bajos de control conductual y psicológico) tuvieron un nivel más alto de adaptación psicológica. Por lo tanto, nuestros resultados indican que la familia desempeña un papel clave en el bienestar psicológico de los adultos emergentes. El debate se centra en las consecuencias que tiene este resultado para la relación entre padres e hijos, y analiza cómo amplía nuestro conocimiento acerca de las relaciones familiares durante la adultez emergente.

Medición de la calidad de vida mediante índices sintéticos en localidades del municipio de Acapulco, Guerrero, México

Objetivo:en este trabajo se contrastan diferentes índices sintéticos que buscan mejorar la aproximación a la medición de la percepción de la calidad de vida de las personas.Métodos:se levantó una muestra de 220 personas en dos comunidades suburbanas del municipio de Acapulco. Se realizó la reducción de variables con la técnica del Análisis de Componentes Principales; sobre ésta, se obtuvieron tres índices sintéticos (Suma, Global y DP2).Resultados:al comparar los resultados obtenidos con la percepción de la calidad de vida que los sujetos declararon, se puede concluir que el mejor acercamiento a dicha percepción lo hace el índice sintético DP2, al lograr el 39.1% de coincidencias directas fundamentalmente en las categorías de buena y muy buena calidad de vida.Conclusiones:estos resultados muestran que el 80.9% de los encuestados consideran que su calidad de vida está entre buena y muy buena, mientras que sólo el 35% se ubica en estas categorías utilizando el índice económico. Este hecho permite corroborar que, al menos en este caso, las condiciones económicas no definen totalmente la percepción de la calidad de vida de las personas encuestadas.

Objective:in this paper, we contrast different synthetic indexes that seek to improve the approach to measurement of the quality of life perceived by people.Methods:we took a sample of 220 people from different suburban communities from the municipality of Acapulco. Reduction of variables was done with the Principal Component Analysis technique; with it, we obtained three synthetic indexes (Sum, Global, ad DP2).Results:by comparing the obtained results, with the perception of the quality of life that people reported, we can conclude that the best approach to this perception is done by the synthetic index DP2, which achieves 39.1% of direct matches, especially, in the good and very good quality of life categories.Conclusions:these results show that 80.9% of survey respondents consider that their quality of life is between good and very good, while only 35% are located in these categories using the economic index. This fact allows us to corroborate that, at least in this case, the economic conditions do not define the survey respondents' perception of quality of life.

HIV disease burden, cost, and length of stay in Portuguese hospitals from 2000 to 2010: a cross-sectional study.

BACKGROUND: The number of HIV-related hospitalizations has decreased worldwide in recent years owing to the availability of highly active antiretroviral therapy. However, the change in HIV-related hospitalizations in Portugal has not been studied. Using comprehensive hospital discharge data from mainland Portuguese hospitals, we examined trends in HIV-related inpatient admissions, length of stay (LOS), Elixhauser comorbidity measures, in-hospital mortality, and mean cost from 2000 to 2010. METHODS: The hospital administrative data from inpatient admissions and discharges at 75 public acute care hospitals in the Portuguese National Health Service from 2000 to 2010 were included. HIV-related admissions were identified using the International Classification of Diseases, 9(th) Revision, Clinical Modification diagnosis codes 042.x-044.x. The effect of Elixhauser comorbidity measures on extending the LOS was assessed by comparing admissions in HIV patients with and without comorbidities using the Mann-Whitney U test. Multivariate logistic regression was performed to estimate the odds of having a decreased discharge. RESULTS: A total of 57,027 hospital admissions were analyzed; 73% of patients were male, and the mean age was 39 years. The median LOS was 11 days, and the in-hospital mortality was 14%. The mean cost per hospitalization was 5,148.7€. A total of 83% of admissions were through the emergency room. During the period, inpatient HIV admissions decreased by 22%, LOS decreased by 9%, and in-hospital mortality dropped by 12%. Elixhauser comorbidities increased the median LOS in nearly all admissions. CONCLUSIONS: Despite small regional variations, a strong, consistent decrease was observed in the hospital admission rate, mean cost, length of stay, and mortality rate for HIV-related admissions in Portugal during 2000-2010.

Evaluación del sistema de registro y notificación de casos de VIH en Nicaragua del 1 de Enero al 31 de Diciembre del 2009

Estudio descriptivo, retrospectivo de corte transversal. Se encontró que de nivel local a nivel regional existe un subregistro hasta el 34% de los casos. Del nivel regional al CNDR se determinó un subregistro hacia el nivel central hasta del 35%, lo que refleja una debilidad en el seguimiento de casos y de diagnóstico. Del nivel central se estableció un subregistro del 48% hacia vigilancia epidemiológica del componente de VIH

Caracterización de las cirugías palpebrales con láser de CO2 / Characterization of the eyelid surgery with CO2 laser

Objetivo: Determinar la caracterización de las cirugías palpebrales con láser de CO2. Métodos: Estudio observacional, descriptivo, longitudinal prospectivo, cuya muestra estuvo constituida por 93 pacientes (136 ojos) operados con láser de dióxido de carbono en el Servicio de Oculoplastia del Instituto Cubano de Oftalmología "Ramón Pando Ferrer" desde enero a octubre de 2009. Resultados: Según el sexo, 40 eran femeninos y 53 masculinos. Por edad, de 20 a 39 años, 9,7 %; de 40 a 59, 15 %; de 60 a 79, 48,4 %; y más de 80 años, 23,7 %. La piel tipo I se presentó en el 53,8 % de los pacientes, el tipo II en 33,3 %. El láser se utilizó como instrumento de corte y coagulación en la dermatochalasis (31,6 %) y en el ectropión (20,6 %). Como escáner en 11 queratosis seborreicas. El 94,6 % no mostró complicaciones, solo 5 pacientes. Conclusiones: Este equipo se utilizó en múltiples afecciones anexiales. La técnica quirúrgica transcutánea predominó en más de la mitad de los pacientes con dermatochalasis y la fijación cantal externa en las anomalías de posición. Las complicaciones fueron mínimas y la retracción cicatrizal fue la más frecuente.

Objective: To determine the behavior of eyelid surgery with CO2 laser. Methods: A prospective, longitudinal, observational and descriptive study whose sample consisted of 136 eyes from 93 patients, who underwent carbon dioxide laser surgery at the oculoplasty service of "Ramón Pando Ferrer" Cuban Institute of Ophthalmology from January to October, 2009. Results: Of the total number of patients, 40 were females and 53 males; 9.7% aged 20 to 39 years, 15% aged 40 to 59 years; 48.4 % were 60 to 79 years and 23.7% over 80 years. Skin type I was present in 50 patients (53,8 %), and type II in 33,3 % of cases. C02 laser was used for cutting and coagulation in dermatochalasis, accounting for 31.6% and in ectropion for 20,6 %. As a scanner it was used in 11 seborrheic keratoses. No complications were observed in 94.6% of cases; just 5 patients did for 5.4% of the total. Conclusion: The highest number of patients was older than 60 years males with skin type I. This equipment was used to treat multiple adnexal conditions, being dermatochalasis the most common followed by eyelid malpositions. The surgical transcutaneous technique dominated in more than half of patients with dermatochalasis and the external canthal fixation in positional abnormalities. This equipment was mostly used as cutting and coagulation tool. Complications were minimal and the most frequent one was scar retraction.

[Evolution of maxillary sinus surgery in a university hospital]. / Evolución de la cirugía del seno maxilar en un hospital universitario.

BACKGROUND: Maxillary sinus surgery has been evolving and, due to advances in technology, endoscopic surgery is widely used in the maxillary sinus for multiple pathologies that 15 years ago were treated through open approaches. For this reason, we conducted an observational descriptive study. METHODS: We reviewed the clinical records of patients with pathology involving the maxillary sinus and who were surgically treated from January 2008 to December 2009, type of disease, surgical approach used, presence of complications, pre- and postoperative score according to the Lund-Mackay scale, and resolution (or not) of symptoms. We compared these results with a previous study carried out in 1994 in our hospital. We found a total of 177 patients with maxillary sinus-related pathology, of whom 46 patients were excluded. RESULTS: In 131 patients we found a clear predominance of chronic rhinosinusitis without polyps as a pre-surgical diagnosis. We used four different approaches: endoscopic (88.5%), combined approach (5.5%), sublabial expanded (4.5%) and Caldwell Luc (1.5%); 41% of the patients received 0 points on the postoperative Lund-Mackay scale. CONCLUSIONS: Surgery of the maxillary sinus in our hospital has evolved considerably; the endoscopic approach was used as a surgical treatment in >90% of patients with a low percentage of complications.

Molecular basis and evolution of multiple drug resistance in the foodborne pathogen Salmonella enterica serovar Ohio.

The molecular basis and evolution of multidrug resistance were established for 54 isolates of Salmonella enterica serovar Ohio, recorded between 1991 and 2005 in Asturias, a northern region of Spain. All isolates were closely related, as shown by cluster analysis of XbaI-BlnI combined profiles. Of these, 33.3% were resistant to one or more unrelated agent(s). Sulphonamides, streptomycin, tetracycline, and trimethoprim, encoded by sul1, aadA1, tet(A) or tet(B), and dfrA1, respectively, were the most common resistances, but ampicillin (bla(TEM-1)), gentamicin (aacC2 or aacC4), kanamycin (aphA1), and chloramphenicol (catA1) were also detected. Two types of complex genetic elements, carried by large conjugative or mobilizable plasmids, were found in isolates resistant to four or more unrelated agents (multidrug resistant), which accounted for 18.5% of the total: (i) a class 1 integron (1600 bp/dfrA1-aadA1) close to a defective Tn10, both inserted within a Tn21-like element that was carried in some cases by Tn9; (ii) Tn3-bla(TEM-1), which was inserted within a defective Tn1721. These elements have been involved in the development and spread of multidrug resistance in S. enterica Ohio, which was detected between 1994 and 2001. The absence of multidrug resistance in later years could have been connected with the European Union strategies for combating antimicrobial resistance and controlling nontyphoid S. enterica in food-producing animals.

[Evolutionary engineering in Salmonella: emergence of hybrid virulence-resistance plasmids in non-typhoid serotypes]. / Ingeniería evolutiva en Salmonella: la emergencia de plásmidos híbridos de virulencia-resistencia a antimicrobianos en serotipos no tifoideos.

An example of evolutive engineering in bacterial pathogens is the emergence of hybrid virulence-resistance (VR) plasmids in Salmonella enterica, resulting from an association between antimicrobial resistance determinants and specific virulence plasmids of the S. typhimurium and S. choleraesuis serotypes. VR plasmids all possess the spv (Salmonella plasmid virulence) operon, which is involved in systemic infection; however, they differ in the presence of other virulence determinants and in the resistance gene profile. VR plasmids of S. typhimurium have been found in Europe, and show resistance regions with different levels of complexity that can include class 1 integrons and various transposons. VR plasmids of S. choleraesuis, detected in strains isolated in Taiwan, only confer resistance to ampicillin and sulfonamides. Both serotypes are zoonotic and the presence of hybrid VR plasmids may confer an adaptive advantage under certain conditions, resulting in bacterial strains that are more difficult to treat and have a higher epidemic potential.

Ingeniería evolutiva en Salmonella: la emergencia de plásmidos híbridos de virulencia-resistencia a antimicrobianos en serotipos no tifoideos / Evolutionary engineering in Salmonella: emergence of hybrid virulence-resistance plasmids in non-typhoid serotypes

Un ejemplo de ingeniería evolutiva en bacterias patógenas es la emergencia en Salmonella enterica de plásmidos híbridos que han surgido por asociación de determinantes de resistencia (R) a antimicrobianos con plásmidos de virulencia (V) específicos de los serotipos typhimurium y choleraesuis. Los plásmidos VR poseen en común el operón spv (Salmonella plasmid virulence, que interviene en la infección sistémica) aunque difieren en la presencia de otros determinantes V y en el perfil de genes R. Los del serotipo typhimurium se han encontrado en Europa, y presentan regiones R con diferente grado de complejidad, pudiendo incluir integrones de clase 1 y distintos transposones. Los del serotipo choleraesuis proceden de cepas aisladas en Taiwán y sólo confieren resistencia a ampicilina y sulfonamidas. Ambos serotipos son zoonóticos y la formación de plásmidos VR puede aportar una ventaja selectiva en determinadas circunstancias, originando cepas más difíciles de tratar y con mayor potencial epidémico (AU)

An example of evolutive engineering in bacterial pathogens is the emergence of hybrid virulence-resistance (VR) plasmids in Salmonella enterica, resulting from an association between antimicrobial resistance determinants and specific virulence plasmids of the S. typhimurium and S. choleraesuis serotypes. VR plasmids all possess the spv (Salmonella plasmid virulence) operon, which is involved in systemic infection; however, they differ in the presence of other virulence determinants and in the resistance gene profile. VR plasmids of S. typhimurium have been found in Europe, and show resistance regions with different levels of complexity that can include class 1 integrons and various transposons. VR plasmids of S. choleraesuis, detected in strains isolated in Taiwan, only confer resistance to ampicillin and sulfonamides. Both serotypes are zoonotic and the presence of hybrid VR plasmids may confer an adaptive advantage under certain conditions, resulting in bacterial strains that are more difficult to treat and have a higher epidemic potential (AU)

[Identification of bacteria through 16S rRNA sequencing: principles, methods and applications in clinical microbiology]. / Identificación bacteriana mediante secuenciación del ARNr 16S: fundamento, metodología y aplicaciones en microbiología clínica.

Phylogenetic relationships among prokaryotes can be inferred from comparisons of their 16S rRNA (or 16S rDNA) sequences. This has had an enormous repercussion on bacterial taxonomy, leading to the currently applied system of classification, and allowing a rapid and precise identification of bacteria. In clinical microbiology, molecular identification based on 16S rDNA sequencing is applied fundamentally to bacteria whose identification by means of other types of techniques turns out impossible, difficult, or requires a lot of time. Amplification of the gene to be sequenced uses preferably DNA extracted from a bacterial pure culture, but can be achieved also directly from a clinical sample. The latter has led to the discovery of new pathogens. Bearing in mind its potential, as the technical resources improve and the prize becomes more competitive, the identification based on 16S rDNA sequencing will certainly find a wider application in the clinical microbiology laboratory.