The impact of the Great Recession on mental health and its inequalities: the case of a Southern European region, 1997–2013

Background: Numerous studies have shown that macroeconomic changes have a great influence on health, prompting different concerns in recent literature about the effects of the current recession. The objetive of the study was to assess the changes in the mental health of the working-age population in the Basque Country (Spain) and its social inequalities following the onset of the 2008 recession, with special focus on the role of unemployment. Methods: Repeated cross-sectional study on the population aged 16-64, using four Basque Health Surveys (1997-2013). Age-adjusted prevalences of poor mental health and incremental prevalence ratios (working status and social class adjusted) between years were calculated. Absolute/relative measures of social inequalities were also calculated. Results: From 2008, there was a clear deterioration in the mental health, especially among men. Neither changes in employment status nor social class accounted for these changes. In men, the deterioration affected all working status categories, except the retired but significant changes occurred only among the employed. In women, poor mental health significantly increased among the unemployed. Students were also especially affected. Relative inequalities increased only in men. Conclusions: The Great Recession is being accompanied by adverse effects on mental health, which cannot be fully explained by the increase of unemployment. Public healtThis work was partially supported by the Ministry of Economy and Competitiveness (State Programme for Promotion of Scientific and Technical Research Challenges (CSO2013-44886-R))

Cohort Profile: COVIDMENT: COVID-19 cohorts on mental health across six nations

Why were the cohorts set up? With more than 218 million cases and 4.5 million deaths worldwide (Worldometers, 31 August 2021), the COVID-19 pandemic has had an unprecedented influence on the global economy and population health. As a potent global disaster, it is likely to significantly affect the incidence of adverse mental health symptoms and psychiatric disorders, particularly in vulnerable and highly affected populations. The World Health Organization and leading scientific journals have alerted concerning the potential adverse mental health impact of COVID-19 and emphasized the need for multinational research in this area, which additionally provides new insights into disease mechanisms

Evaluation of a Rapid Gram Stain Interpretation Method for Diagnosis of Bacterial Vaginosis

A simple Gram stain evaluation for the diagnosis of bacterial vaginosis was assessed in comparison to Nugent's method. The sensitivity (90%), specificity (94%), positive and negative predictive values (90% and 94%), and good interobserver agreement obtained indicate that the test method can be performed reliably in the routine clinical microbiology laboratory

How does the economic crisis influence adolescents' happiness? Population-based surveys in Iceland in 2000-2010

Macroeconomic downturns have been associated with a decrease in happiness among adults. The aim of this study was to explore the secular trend in happiness among Icelandic adolescents during a period of drastic change in the national economy as well as to identify which groups were most vulnerable and most resilient during the economic crisis. The data used in this study comes from series of population-based surveys of Icelandic adolescents in 2000, 2006, 2009, and 2010. Altogether, a total of 28.484 adolescents participated in the four surveys, representing 84 % of all 14–15 year old adolescents in Iceland. Results indicated that happiness increased by 5 % in the adolescent population from 2000 to 2010 despite the economic crisis. Nevertheless, adolescents who seldom spent time with their parents or perceived difficulties in getting emotional support from parents demonstrated a decrease in happiness. Those who found it easy to get emotional support from parents were happiest at every time point (91–93 %) while those who found it difficult were unhappiest (36–50 %). The association between socio- demographic factors and happiness was explored using multiple linear regression analyses where the year of survey, gender, age, family structure, parent’s education, time spent with parents and emotional support from parents altogether explained 13 % of the happiness variance. Emotional support from parents together with time spent with parents had the largest influence on adolescent’s happiness. An overall increase in time spent with parents was detected which might explain the increase in adolescents´ happiness over time. These results indicate that good relations with parents may protect adolescents from possible negative effect of a national economic crisis

Requirements Engineering

Requirements engineering (RE) is the key to success or failure of every product, service or system development project, understanding the development results as the implementation of the specific set of requirements. A good requirements definition is thus the prerequisite for high-quality solutions and reduces the cost of change, both of prototypes and production tools, and ultimately the warranty costs. However, RE for system development is more and more challenged by two interrelated trends: the increasing complexity of systems and the responsibility of the provider for the whole system life cycle. Thus, from a systems engineering point of view, RE has to define requirements for a rising amount of tangible and intangible components from a growing number of different stakeholders. Ad-ditionally, RE has to take into account requirements from every stage of the sys-tem life cycle and feed the results back to the development process. Many organi-zations are still missing effective practices and a documented RE process to tackle the upcoming challenges in systems engineering. This chapter aims at giving an overview on the RE context and challenges for systems engineering and subse-quently describes the state-of-the-art for structuring and processing requirements. Furthermore, two case studies illustrate the current situation and methods for reso-lution in industry and show how the identified challenges can be met by IT sup-port. Finally, future trends and needs for RE research and its further integration with concurrent engineering and life cycle management approaches are outlined

Systematic Development of Product-Service Systems

Main problems occurring in Product-Service Systems (PSSs), are due to an inadequate requirements analysis and lack of a strong PSS conceptual design. Problems vary from exceeding budgets, to missing functionalities, unsuccessful market launch, or even project abortion. Furthermore, the special characteristics of a PSS have to be considered already at an early stage of the development process. Requirements Engineering (RE) and design methodology as well as supporting Information and Communication Technologies (ICT) need to establish a common perception of the targeted PSS. At the same time, the inner complexity of PSS leaves requirements analysis, design activities and development tasks fragmented among many disciplines and sometimes conflicting, unstable, unknowable or not fully defined. In this context, a concurrent, transdisciplinary and collaborative design of PSS is required to create feasible and successful solutions. The objective of this chapter is to present a structured approach to face the specific challenges of PSS development in detail, to elaborate a general framework that features a systematic approach for PSS development, and to consider the effects of changes in specific product and service design on a systematic PSS development process