Eficacia del programa de educación afectivo-sexual EAS-SALUSEX para adolescentes con TEA

Efficacy of the eas-salusex affective-sexual education program for adolescents with asd. Adolescents with ASD are characterized by lack, in most cases, of the skills necessary to establish interactions with affective-sexual objectives. For this reason, at the request of a group of parents and teachers of a public High School, the SALUSEX team has designed and implemented a program of affective-sexual education especially aimed at satisfying their needs both in terms of knowledge and attitudes and, above all, in communication skills and interaction with their peers for affective-sexual purposes. The program was applied to the 10 teenagers (50% boys and 50% girls) between 14 and 17 years old that were part of the CyL classroom of a High School in Castellón de la Plana. The results show that their level of knowledge has improved substantially since, for example, 97.2% know the basic information in relation to body hygiene and STI prevention; they have also improved their attitudes because 87.5% responding correctly in terms of prevention of sexism and gender violence, but the most remarkable thing is their improvement in skills, having acquired 90.5% correct guidelines for behavior in couple relationships. Also noteworthy are the increasing numbers throughout the sessions in terms of motivation and satisfaction with the progress made. The need to normalize affective-sexual education in this group is concluded given the growing demand and good results obtained in this pilot studyLos/as adolescentes con TEA se caracterizan por carecer, en la mayoría de los casos, de las habilidades necesarias para establecer interacciones con fines afectivo-sexuales. Por este motivo, a demanda de un grupo de padres y profesores de un instituto público de Educación Secundaria, el equipo SALUSEX ha diseñado e implementado un programa de educación afectivo-sexual especialmente dirigido a satisfacer sus necesidades tanto en lo referido a conocimientos y actitudes como, sobre todo, en habilidades de comunicación e interacción con sus iguales con fines afectivo-sexuales. El programa fue aplicado a los 10 adolescentes (50% chicos y 50% chicas) de entre 14 y 17 años que formaban parte del aula CyL de un Instituto de Educación Secundaria de Castellón de la Plana. Los resultados muestran que su nivel de conocimientos ha mejorado sustancialmente ya que, por ejemplo, el 97,2% conocen la información básica en relación con la higiene corporal y la prevención de ITS; también han mejorado sus actitudes siendo un 87,5% quienes responden acertadamente en cuanto a la prevención del sexismo y la violencia de género, pero lo más remarcable es su mejora en cuanto a las habilidades habiendo adquirido un 90,5% unas pautas correctas de comportamiento en las relaciones de pareja. También son destacables las cifras crecientes a lo largo de las sesiones en cuanto a la motivación y satisfacción con los avances adquiridos. Se concluye la necesidad de normalizar la educación afectivo-sexual en este colectivo dada la creciente demanda y los buenos resultados obtenidos en este estudio pilot

Satisfacción sexual femenina: influencia de la edad y variedad de prácticas sexuales

Sexual satisfaction is the affective and emotional response arising from the evaluation of personal sexual interactions and the perception of the consummation of erotic desire. Marital satisfaction, defined as the attitude towards marital interaction and the emotional and structural aspects of the couple, is considered one of the strongest predictors of sexual satisfaction. There are other variables that may intervene in the sexual and marital satisfaction of women. The objective of this study is to analyze the influence of age, and the variety of sexual and affective practices, on sexual and marital satisfaction of women with a stable partner. The sample consists of 600 women between the ages of 18 and 60 (M = 31.57; SD = 9.14) who, regardless of their sexual orientation, maintain a stable relationship with a duration of two or more years. The Sexual Satisfaction Scale, the Marital Satisfaction Scale and a sexual practices inventory were applied to all of them. An inverse relationship with age is observed, with the younger age group presenting significantly higher scores in the “Communication” Factor of the Sexual Satisfaction Scale, as well as in the Marital Satisfaction Scale. It was also has been found that a greater variety of sexual and affective practices, both during and after sexual intercourse, is related to a greater sexual satisfaction. Finally, marital satisfaction is directly related to sexual satisfaction. Young women with a wide variety of sexual and affective practices have greater sexual and marital satisfaction. The complexity of the study suggests the need for multicausal models on the variable involved in female sexual satisfaction.La satisfacción sexual es la respuesta afectiva y emocional surgida de la evaluación de las interacciones sexuales personales y de la percepción de la consumación del deseo erótico. La satisfacción marital, definida como la actitud hacia la interacción marital y los aspectos emocionales y estructurales de la pareja, es considerada uno de los más fuertes predictores de la satisfacción sexual. Además, existen otras variables que pueden estar interviniendo en la satisfacción sexual y marital de las mujeres. Por tanto, el objetivo de este trabajo es analizar la influencia de la edad y la variedad de prácticas sexuales y afectivas en la satisfacción sexual y marital de mujeres con pareja estable. La muestra está formada por 600 mujeres de edades comprendidas entre los 18 y 60 años (M = 31.57; DT = 9.14) que, independientemente de su orientación sexual, mantienen una relación de pareja estable de una duración igual o superior a dos años. A todas ellas se les aplicó la Escala de Satisfacción Sexual, la Escala de Satisfacción Marital y un inventario de prácticas sexuales. Los resultados muestran una relación inversa con la edad, de manera que el grupo de menor edad presenta puntuaciones significativamente superiores en el Factor “Comunicación” de la Escala de Satisfacción Sexual, así como en la Escala de Satisfacción Marital. Además, se ha encontrado que a mayor variedad de prácticas sexuales y afectivas, tanto durante como después de la relación sexual, mayor satisfacción sexual. Por último, la satisfacción marital se relaciona de forma directa con la satisfacción sexual. Las mujeres jóvenes y con amplia variedad de prácticas sexuales y afectivas presentan una mayor satisfacción sexual y marital. Se ha evidenciado la necesidad de elaborar modelos multicausales sobre las variables implicadas en la satisfacción sexual femenina debido a la complejidad que entraña

Transexualidad y adolescencia: una revisión sistemática

The study of transsexuality has evolved in recent years reaching greater visibility now thanks to the initiatives of trans collectives and the increase of children and adolescents who attend primary care due to gender identity problems. This growing interest has stimulated research whose abundance requires an analysis and selection of the most relevant works. With this objective we have carried out a bibliographic review in order to address the current state of early transsexuality, focusing on studies related to its etiology, prevalence, diagnosis and current treatments. For this, several databases were consulted (Web of Science, PubMed, PubPsych, Elsevier, PsycINFO, PsycARTICLES, Psychology Database) restricting the search by keywords (“transsexuality”, “transsexualism”, “adolescence”, “adolescents” and “ teenagers “) and publication date (2008-2017). Initially, 103 were obtained, of which 66 were discarded for treating aspects that were not subject of the review and exposing non-extrapolated results due to their small sample. From the analysis of the 37 selected articles, it is obtained, as regards the etiology, that transsexuality has a heterogeneous and multifactorial origin. The prevalence obtained is 9.8%. The diagnosis insists on the need to carry out a permanent follow-up using the interview as the main instrument of choice. Finally, most research highlights the importance of the new therapeutic approach based on triadic therapy that includes psychological treatment (assimilation of the desired role fully), hormonal (hormonal blocking and subsequent treatment with crossed hormones) and surgical (change of genitals and other sexual characters), in spite of the controversy that has provoked by the possible unfavorable effects for the infantile and juvenile population. It concludes the need to continue research to achieve not only a more individualized diagnosis and treatment, but also a greater knowledge dissemination that helps reduce stigmatization.El estudio de la transexualidad ha evolucionado en los últimos años alcanzando mayor visibilidad actualmente gracias a las iniciativas de los colectivos trans y al incremento de niños, niñas y adolescentes que acuden a atención primaria por problemas de identidad de género. Este creciente interés ha estimulado la investigación cuya abundancia precisa un análisis y selección de los trabajos más relevantes. Con este objetivo hemos realizado una revisión bibliográfica con el fin de abordar el estado actual de la transexualidad temprana, centrándonos en los estudios relativos a su etiología, prevalencia, diagnóstico y tratamientos actuales. Para ello se consultaron diversas bases de datos (Web of Science, PubMed, PubPsych, Elsevier, PsycINFO, PsycARTICLES, Psychology Database) restringiendo la búsqueda por palabras clave (“transsexuality”, “transsexualism”, “adolescence”, “adolescents” y “teenagers”) y fecha de publicación (2008-2017). Inicialmente se obtuvieron 103 de los cuales fueron descartados 66 trabajos por tratar aspectos que no eran objeto de la revisión y exponer resultados no generalizables por su reducida muestra. Del análisis de los 37 artículos seleccionados se obtiene, por lo que se refiere a la etiología, que la transexualidad tiene un origen heterogéneo y multifactorial. La prevalencia obtenida es del 9.8%. En el diagnóstico se insiste en la necesidad de realizar un seguimiento permanente haciendo uso de la entrevista como principal instrumento de elección. Por último, la mayoría de investigaciones resaltan la importancia del nuevo abordaje terapéutico basado en la terapia triádica que contempla tratamiento psicológico (asimilación del rol deseado de forma plena), hormonal (bloqueo hormonal y tratamiento con hormonas cruzadas) y quirúrgico (cambio de genitales y otros caracteres sexuales), a pesar de la controversia que ha suscitado por los posibles efectos desfavorables para la población infanto-juvenil. Se concluye la necesidad de continuar investigando para lograr no solo un diagnóstico y tratamiento más individualizado sino una mayor divulgación de conocimiento que ayude a disminuir la estigmatización

Malestar emocional asociado a la orientación sexual en personas mayores

Introduction. At present, despite some advances in the legal rights of people with sexual-affective diversity, there are still related social prejudices. This fact is multiplied in the elderly, who have suffered a more homophobic education and a greater invisibility of their sexuality, so it is necessary to investigate in this population too. Method. 139 people participated, between 50 and 73 years old, with an average of 56.1 years old (SD=5.44), being 40.3% women and 59.7% men. 89.9% self-defined as heterosexual and 10.1% as non-heterosexual. All of them completed a questionnaire about the experience of their sexual orientation. Results. 50% of non-heterosexual people have felt rejectiondue to their sexual orientation, 42.9% have experienced discomfort, 28.6% suffered verbal violence and 14.3% physical violence. Thus, significant differences are observed between non-heterosexual and heterosexual people in various aspects related to their sexual orientation, being non-heterosexual those who show greater emotional distress (χ²=20.61, p smaller than .000), more doubts about their orientation (χ²=15.01; p smaller than .000), suffering more verbal violence (²=18.03; p smaller than .000) and more physical violence (χ²=18.11; p smaller than .000). Conclusions. These findings confirm that the social rejection of some sexual orientations can be a source of emotional discomfort, as well as a risk factor to be a victim of violence. In general, people with a non-heterosexual orientation would show greater emotional affectation and greater probability of suffering aggressions. In order to improve this situation, we should analyze what variables can mediate in these results to establish adequate prevention and intervention strategies throughout the life cycle.Introducción. En la actualidad, pese a haber avanzado en los derechos legales de las personas con diversidad afectivo-sexual, siguen habiendo prejuicios sociales al respecto. Este hecho se ve multiplicado en las personas mayores, que han sufrido una educación más homófoba y una mayor invisibilización de su sexualidad, por lo que se hace necesario investigar también en esta población. Método. Participaron 139 personas, de entre 50 y 73 años, con una media de 56,1 años (DT=5,44), siendo el 40,3% mujeres y el 59,7% hombres. El 89,9% se definían como heterosexuales y el 10,1% como no heterosexuales. Todos cumplimentaron un cuestionario sobre la vivencia de su orientación sexual. Resultados. El 50% de personas no heterosexuales, como consecuencia de su orientación sexual, se ha sentido rechazado, el 42,9% ha experimentado malestar, el 28,6% sufrió violencia verbal y el 14,3% violencia física. Así, se observan diferencias significativas entre las personas no heterosexuales y las heterosexuales en diversos aspectos relacionados con su orientación sexual, siendo las no heterosexuales las que muestran mayor malestar emocional (χ²=20,61; p menor que ,000), más dudas con su orientación (²=15,01; p menor que ,000), han sufrido más violencia verbal (χ²=18,03; p menor que ,000) y más violencia física (χ²=18,11; p menor que ,000. Conclusiones. Estos hallazgos confirman que el rechazo social de algunas orientaciones sexuales puede suponer una fuente de malestar emocional, así como un factor de riesgo para ser víctima de la violencia. En general, las personas con una orientación no heterosexual mostrarían mayor afectación emocional y mayor probabilidad de sufrir agresiones. Con el fin de mejorar esta situación, cabría analizar qué variables pueden mediar en estos resultados para establecer estrategias adecuadas de prevención e intervención a lo largo de todo el ciclo vital

Psychometric properties of the Academic Perceptions Questionnaire for the assessment of first-year university students' expectations

Desde una concepción multidimensional de las expectativas, este artículo pretende analizar la validez y precisión psicométrica de una escala para su medida en los estudiantes universitarios de primer año. La muestra (N = 759) estaba compuesta por alumnado de primer año, de diversas titulaciones académicas de la Universidad de Vigo-Campus de Ourense y de la Universidad de Minho. El valor de la Mdn de edad fue de 19, siendo sólo el 5.3% mayor de 23 años. A los participantes se les aplicó un conjunto de 56 ítems agrupados en siete dimensiones diferentes de expectativas. Los resultados del análisis factorial confirmatorio, se obtuvieron con el LISREL. Se garantizó la validez factorial, tanto convergente como discriminante de los factores. Ésta junto con su fiabilidad sugieren que el Cuestionario de Percepciones Académicas quedaría finalmente con 42 ítems distribuidos en siete dimensiones de expectativas: Formación para el empleo/carrera, Desarrollo personal y social, Movilidad estudiantil, Implicación política/ciudadanía, Presión social, Calidad de formación e Interacción social. Se comprobó la equivalencia del modelo de medida del instrumento en los dos idiomas y en dos grupos resultantes de la bipartición aleatoria de la muestra. Los resultados de la validez estructural de este estudio avalan la utilización del cuestionario para la medida de las expectativas de los estudiantes que inician por primera vez sus estudios en la Enseñanza Superior.This paper aims to test the psychometric validity and reliability of a measure of first-year university students’ expectations, based on a multidimensional conception of expectations. The sample consisted of 759 first-year students, attending various academic degrees at the Universities of Vigo - Ourense and University of Minho. The value Mdn age was 19, with only 5.3% with ages above 23 years. Participants answered a set of 56 items based on seven different dimensions of expectations. Results of confirmatory factor analysis, were carried out with LISREL. Factorial validity, and factors’ convergent and discriminant validity were assured. These results, along with evidences reliability, suggest that the Academic Perceptions Questionnaire presents a final structure composed of seven expectation dimensions, including 42 items: Training for employment/career, Personal and social development, Student mobility, Political and citizenship involvement, Social pressure, Quality of education, and Social interaction. The equivalence of measurement model in the two languages and in two groups randomly derived from the full sample was also verified. The results of this structural validity study support the assessment of the expectations of first-year students in Higher Education with the questionnair

Host adaptive immunity deficiency in severe pandemic influenza

INTRODUCTION: Pandemic A/H1N1/2009 influenza causes severe lower respiratory complications in rare cases. The association between host immune responses and clinical outcome in severe cases is unknown. METHODS: We utilized gene expression, cytokine profiles and generation of antibody responses following hospitalization in 19 critically ill patients with primary pandemic A/H1N1/2009 influenza pneumonia for identifying host immune responses associated with clinical outcome. Ingenuity pathway analysis 8.5 (IPA) (Ingenuity Systems, Redwood City, CA) was used to select, annotate and visualize genes by function and pathway (gene ontology). IPA analysis identified those canonical pathways differentially expressed (P < 0.05) between comparison groups. Hierarchical clustering of those genes differentially expressed between groups by IPA analysis was performed using BRB-Array Tools v.3.8.1. RESULTS: The majority of patients were characterized by the presence of comorbidities and the absence of immunosuppressive conditions. pH1N1 specific antibody production was observed around day 9 from disease onset and defined an early period of innate immune response and a late period of adaptive immune response to the virus. The most severe patients (n = 12) showed persistence of viral secretion. Seven of the most severe patients died. During the late phase, the most severe patient group had impaired expression of a number of genes participating in adaptive immune responses when compared to less severe patients. These genes were involved in antigen presentation, B-cell development, T-helper cell differentiation, CD28, granzyme B signaling, apoptosis and protein ubiquitination. Patients with the poorest outcomes were characterized by proinflammatory hypercytokinemia, along with elevated levels of immunosuppressory cytokines (interleukin (IL)-10 and IL-1ra) in serum. CONCLUSIONS: Our findings suggest an impaired development of adaptive immunity in the most severe cases of pandemic influenza, leading to an unremitting cycle of viral replication and innate cytokine-chemokine release. Interruption of this deleterious cycle may improve disease outcome.The study was scientifically sponsored by the Spanish Society for Critical Care Medicine (SEMICYUC). Funding: MICCIN-FIS/JCYL-IECSCYL-SACYL (Spain): Programa de Investigación Comisionada en Gripe, GR09/0021-EMER07/050- PI081236-RD07/0067. CIHR-NIH-Sardinia Recherché-LKSF Canada support DJK.S

Oral saliva swab reverse transcription PCR for Covid-19 in the paediatric population

8Pág. Centro de Investigación en Sanidad Animal (CISA)To evaluate the performance of oral saliva swab (OSS) reverse transcription PCR (RT-PCR) compared with RT-PCR and antigen rapid diagnostic test (Ag-RDT) on nasopharyngeal swabs (NPS) for SARS-CoV-2 in children.The study was funded by: Project PI20/00095, from the Instituto de Salud Carlos III (Ministry of Economy, Industry and Competitiveness) and cofounded by the European Regional Development Fund, by Infanta Sofia University Hospital and Henares University Hospital Foundation for Biomedical Research and Innovation (FIIB HUIS HHEN), and by SERMAS-Fundación para la Investigación Biomédica del Hospital 12 de Octubre. EC-C is supported by the Spanish Society of Paediatrics (Asociación Española de Pediatría); Grant COVID-19 EPICO-AEP 2020. JMM is funded by SERMAS-Fundación para la Investigación Biomédica del Hospital Infanta Sofía y del Henares and by Universidad Europea de Madrid, Spain. MdlS is funded by Grant Cantera de Investigación Santander, Fundación Universidad Europea de Madrid, Spain. ED is funded by the Juan de la Cierva–Incorporación granted by the Spanish Ministry of Science and Innovation. DB-G is funded by the Spanish Ministry of Science and Innovation—Instituto de Salud Carlos III and Fondos FEDER by ’Contratos para la intensificación de la actividad investigadora en el Sistema Nacional de Salud, 2020 (INT20/00086)’.Peer reviewe

Guía de saúde infantil : actividades preventivas e de promoción da saúde en pediatría de atención primaria

Se trata de una guía de salud infantil dirigida a los profesionales que trabajan en el ámbito de la asistencia sanitaria a los niños y adolescentes en atención primaria del Sistema Público de Salud de Galicia.Trátase dunha guía de saúde infantil dirixida aos profesionais que traballan no ámbito da asistencia sanitaria aos nenos e adolescentes na atención primaria do Sistema Público de Saúde de Galicia

NEOTROPICAL XENARTHRANS: a data set of occurrence of xenarthran species in the Neotropics

Xenarthrans – anteaters, sloths, and armadillos – have essential functions for ecosystem maintenance, such as insect control and nutrient cycling, playing key roles as ecosystem engineers. Because of habitat loss and fragmentation, hunting pressure, and conflicts with 24 domestic dogs, these species have been threatened locally, regionally, or even across their full distribution ranges. The Neotropics harbor 21 species of armadillos, ten anteaters, and six sloths. Our dataset includes the families Chlamyphoridae (13), Dasypodidae (7), Myrmecophagidae (3), Bradypodidae (4), and Megalonychidae (2). We have no occurrence data on Dasypus pilosus (Dasypodidae). Regarding Cyclopedidae, until recently, only one species was recognized, but new genetic studies have revealed that the group is represented by seven species. In this data-paper, we compiled a total of 42,528 records of 31 species, represented by occurrence and quantitative data, totaling 24,847 unique georeferenced records. The geographic range is from the south of the USA, Mexico, and Caribbean countries at the northern portion of the Neotropics, to its austral distribution in Argentina, Paraguay, Chile, and Uruguay. Regarding anteaters, Myrmecophaga tridactyla has the most records (n=5,941), and Cyclopes sp. has the fewest (n=240). The armadillo species with the most data is Dasypus novemcinctus (n=11,588), and the least recorded for Calyptophractus retusus (n=33). With regards to sloth species, Bradypus variegatus has the most records (n=962), and Bradypus pygmaeus has the fewest (n=12). Our main objective with Neotropical Xenarthrans is to make occurrence and quantitative data available to facilitate more ecological research, particularly if we integrate the xenarthran data with other datasets of Neotropical Series which will become available very soon (i.e. Neotropical Carnivores, Neotropical Invasive Mammals, and Neotropical Hunters and Dogs). Therefore, studies on trophic cascades, hunting pressure, habitat loss, fragmentation effects, species invasion, and climate change effects will be possible with the Neotropical Xenarthrans dataset

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation