Perceived Anxiety Control and The Contribution of Gender in Social Anxiety Symptoms Within Latinos

This study examined the severity of social anxiety symptoms and levels of perceived anxiety control in a Latino sample. It explored how perceived control, over anxiety-provoking events and reactions to those events, contributed to social anxiety symptoms of social interaction fears and performance fears. Potential gender effects were also examined. Gender differences for fear of performance and for levels of perceived anxiety control were found. However, no gender difference was found for social interaction fears. In general, men reported higher levels of perceived anxiety control than women. Low perceived anxiety control significantly correlated with higher social interaction fears and performance fears of social anxiety disorder. The relationship between perceived anxiety control and social anxiety disorder symptoms was not moderated by gender, suggesting that the role of perceived control in social anxiety may be gender invariant in Latinos

Attentional bias towards threat in sexually victimized Hispanic women: A dot probe study

Objective: The current study examined attention bias toward threat in Hispanic college women exposed to lifetime sexual victimization in childhood, adulthood, and both childhood and adulthood. Response latencies and attention bias scores were compared between victimized and non-victimized individuals. Design: Participants were 20 women exposed to adulthood sexual victimization (AS group), 15 exposed to childhood sexual victimization (CS group), 8 exposed to both childhood and adulthood sexual assault (revictimization: RV group), and 20 not endorsing sexual victimization (NS group). They were asked to complete the dot-probe task. Results: The CS group and RV group were combined to create the CS-RV group. Among the AS and CS-RV groups, response latencies were faster when attention was engaged to threat than when attention was engaged to non-threat. The NS group did not demonstrate such differences. When response latencies were compared among the three groups, the CS-RV group had slower response latencies than the NS group. The CS-RV and AS groups revealed similarly significantly elevated bias scores towards threat words than the NS group. Conclusion: Hispanic college women exposed to lifetime sexual victimization display elevated levels of attention bias compared to non-victimized women. Further, the current findings align with an integrative cognitive model for explaining maladaptive informational processing in trauma victims

Risk factors and the relation of lactic acid to neonatal mortality in the first week of life

To determine the relationship between lactic acid levels and neonatal mortality in the first week of life, in patients admitted to the Neonatal Intensive Care Unit (NICU) of the ‘‘Dr. José E. González’’ University Hospital. Material and methods: Prospective, observational and diagnostic test performed in the neonatal ward of the ‘‘Dr. José Eleuterio González’’ University Hospital. We included all live preterm infants on mechanical ventilation who were admitted to the NICU from November 1, 2011 to October 31, 2012. Results: One hundred and fifty four patients met the inclusion criteria. At 72 h, we found that the best sensitivity (95%) was when lactate was less than 1.5 mmol/l and the best specificity (89%) was present when lactate levels were greater than 2.5 mmol/l. The pH <7.25 had a sensitivity of 76% and specificity of 96%. At 168 h (7 days) we found that the best sensitivity (91%) was when lactate levels were less than 1.5 mmol/l, and that the best specificity (96%) was when lactate levels were greater than 2.5 mmol/l. We found that the pH <7.25 had a sensitivity of 36% and specificity of 91%. Conclusion: The lactate serum, at 1.5 mmol/l, has a sensitivity (to be killed) of 95% on the third day and 91% on the seventh day. When the pH is greater than 7.25 there is a specificity (to be alive) of 96% on the third day and 91% on the seventh day. 67% of the dead were under 1500 g, and were 61% under 28 gestational weeks

A terapia antiplaquetária na alta hospitalar e prognóstico a longo prazo na síndrome de Takotsubo: dados do Registro Nacional Espanhol (RETAKO)

Síndrome de Takotsubo; Disfunción endotelial; Tratamiento antiplaquetarioSíndrome de Takotsubo; Disfunció endotelial; Tractament antiplaquetariTakotsubo syndrome; Endothelial dysfunction; Antiplatelet treatmentIntroduction Endothelial dysfunction and platelet activation have been highlighted as possible mediators in Takotsubo syndrome (TTS). Nevertheless, to date, evidence on the usefulness of antiplatelet therapy in TTS remains controversial. The aim of our study is to evaluate long-term prognosis in TTS patients treated with antiplatelet therapy (APT) at hospitalization discharge. Material and methods An ambispective cohort study from the Spanish National Takotsubo Registry database was performed (June 2002 to March 2017). Patients were divided into two groups: those who received APT at hospital discharge (APT cohort) and those who did not (non-APT cohort). Primary endpoint was all-cause death. Secondary endpoints included the composite of recurrence or readmission and a composite of death, recurrence or readmission. Results From a total of 741 patients, 728 patients were alive at discharge. Follow-up was performed in 544 patients, who were included in the final analysis: 321 patients (59.0%) in the APT cohort and 223 patients (41.0%) in the non-APT cohort. The APT cohort had a better clinical presentation and received more heart failure and acute coronary syndrome-like therapies (angiotensin converting enzyme inhibitors/angiotensin receptor blockers: 75.1% vs. 51.1%; p<0.001, betablockers: 71.3% vs. 50.7%; p<0.001, statins: 67.9% vs. 33.2%; p<0.001). After adjusting for confounder factors, APT at discharge was a protective factor for all-cause death (adjusted hazard ratio (HR) 0.315, 95% confidence interval (CI): 0.106-0.943; p=0.039) and the composite endpoint of all-cause death, recurrence or readmission (adjusted HR 0.318, 95% CI: 0.164-0.619; p=0.001) at month 25 of follow-up. Conclusion Patients with TTS receiving APT at discharge presented better prognosis up to two-years of follow-up compared with their counterparts not receiving APT

ANSIEDAD PREQUIRÚRGICA EN APENDICECTOMIA CONVENCIONAL. HOSPITAL DE APOYO DE CHEPEN. LA LIBERTAD, PERÚ. 2020.

El objetivo de la presente investigación fue evaluar el nivel de ansiedad (NA) y las características sociodemográficas (CSD) asociadas a ella en pacientes adultos prequirúrgicos (PAPQ) para apendicectomía convencional (AC) en el Hospital de Apoyo Chepén durante el periodo Julio – Setiembre del 2020. Se realizó un estudio no experimental, aplicado, transversal, analítico, en 50 pacientes de ambos sexos. Fueron excluidas personas con diagnósticos previos de patología psiquiátrica, que abandonaron la investigación durante su desarrollo y encuestas con llenado incompleto. La edad promedio fue de 29,28 años (DE: 7,804), con predominio del sexo masculino (62 %), en cuanto al grado de instrucción, secundaria presentó una frecuencia del 68 %, seguida en un 22 % y 10 % de los grados superior técnico y superior universitaria respectivamente. El 22 % de los participantes fueron solteros, 42 % convivientes y 36 % casados. Ama de casa (32 %), mototaxista (16 %) y estudiante (14 %) constituyeron las principales ocupaciones. El 78 % de los pacientes presentó carga familiar. El nivel de ansiedad fue alto en el 76 % de los casos, medio en un 18 % y en el 5 % bajo. Las CSD asociadas al NA fueron: sexo (0,026), estado civil (p = 0,001), ocupación (p = 0,001), carga familiar (p = 0,01) y carecer de antecedente de cirugías previas (p = 0,046). Se concluye que el NA en PAPQ para AC es alto y las CSD asociadas a ello son estado civil, ocupación, carga familiar y no presentar cirugías previas

Apoyo social percibido en redes sociales por estudiantes universitarios del sur y norte de México

Introducción: El apoyo social en redes sociales son aquellas relaciones online que se mantienen con una base relativa de sinceridad, soporte y confianza al que se puede recurrir en caso de ser necesario. Objetivo: Determinar la relación y diferencias entre el apoyo social percibido en redes sociales con variables sociodemográficas en estudiantes universitarios de dos instituciones públicas pertenecientes al Norte y Sur de México (Monterrey y Minatitlán). Material y Método: Diseño exploratorio. La muestra estuvo conformada por 304 estudiantes universitarios con muestreo no probabilístico por conveniencia. Se empleó la prueba de Spearman, Mann-Whitney y Kruskal-Wallis considerando significancia estadística de p<0.05. Resultados: Se encontraron diferencias significativas, siendo mayor el apoyo social percibido en estudiantes del área norte y en semestres inferiores. No hubo diferencias significativas con respecto al sexo. Se halló relación negativa entre el apoyo social percibido con el semestre (rs=-202, p<.05) y la edad (rs=-286, p<.05). Conclusiones: Los estudiantes universitarios de semestres menos avanzados perciben un mayor apoyo social de redes sociales y conforme avanzan se ve disminuido, así también a menor edad mayor percepción del apoyo social. Es importante desarrollar estrategias de apoyo en redes sociales que fortalezcan aspectos emocionales y cognitivos de los estudiantes durante su formación. Palabra

Recent Progress in Solar Atmospheric Neutrino Searches with IceCube

Cosmic-rays interacting with nucleons in the solar atmosphere produce a cascade of particles that give rise to a flux of high-energy neutrinos and gamma-rays. Fermi has observed this gamma-ray flux; however, the associated neutrino flux has escaped observation. In this contribution, we put forward two strategies to detect these neutrinos, which, if seen, would push forward our understanding of the solar atmosphere and provide a new testing ground of neutrino properties. First, we will extend the previous analysis, which used high-energy through-going muon events collected in the years of maximum solar activity and yielded only flux upper limits, to include data taken during the solar minima from 2018 to 2020. Extending the analysis to the solar minima is important as the gamma-ray data collected during past solar cycles indicates a possible enhancement in the high-energy neutrino flux. Second, we will incorporate sub-TeV events and include contributions from all neutrino flavors. These will improve our analysis sensitivity since the solar atmospheric spectrum is soft and, due to oscillation, contains significant contributions of all neutrino flavors. As we will present in this contribution, these complementary strategies yield a significant improvement in sensitivity, making substantial progress towards observing this flux

REVIEW AND COMPARISON OF TRAFFIC CALMING SOLUTIONS: MEXICO CITY AND KATOWICE

The article addresses solutions implemented in two cities, namely,Mexico City and Katowice, with the aim of improving road traffic safety. Despite the distance of more than 10,000 km separating the two cities, a comparison revealed many similar solutions having been implemented in both of them. This comparative case study is complemented with a collation of statistics pertaining to accidents, fatalities and injured persons as reported in the period 2012-2015