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Globally, large increases in older adult populations require that psychological assessments are tailored to evaluate psychopathology by considering both language and culture. In Mexico, there are little to no assessment tools which measure multiple areas of psychopathology specific to older adults. The current study tested the psychometric properties of the Spanish version of Older Adult Self Report (OASR) from Achenbach System of Empirically Based Assessment (ASEBA). The OASR was completed by 308 older adults in Mexico. Confirmatory factor analyses tested the fit of the 7-syndrome OASR model originally derived from a U.S. sample. The primary model fit index (Root Mean Square Error of Approximation) showed good fit for individuals from Mexico, while the secondary model fit indices (Comparative Fit Index/Tucker-Lewis Index) showed acceptable to good fit. The items loaded strongly on their respective syndrome factors, with a median loading of.57. By syndrome, the overall median loadings ranged from.414 (Worries) to.643 (Memory/Cognition Problems); and 98.23% of the loadings were statistically significant. The Latin American Spanish OASR demonstrated proper psychometric properties for the sample indicating that it is suitable for use with older adults in or from Mexico. The OASR offers 7 empirically based clinical constructs that are appropriate for older adults in or from Mexico. It provides a structure which can use to assess and communication issues of psychopathology and adaptive functioning improving overall care and research in geriatric psychiatry, notably when considering diverse populations. [ABSTRACT FROM AUTHOR]

Acute bacterial sinusitis is a common disorder affecting children and adults. We performed a study to assess the bacteriology of acute sinusitis in a community hospital in Mexico City. Patients with an acute exacerbation of persistent sinusitis or acute sinusitis were enrolled. Aspiration of sinus secretions was performed and aspirates were sent for culture. All patients received antibiotic treatment for the infection based on microbiologic sensitivity reports. Follow-up consultation included endoscopy and a computed tomography scan of paranasal sinuses to assess response to treatment. A total of 110 patients were enrolled for evaluation. Forty nine percent of patients were women; median age was 31 years. A total of 136 cultures were recovered for analysis. Twenty seven percent of cultures were negative. Isolated organisms were Haemophilus influenzae (26%), Moraxella catarrhalis (15%), Streptococcus pneumoniae (14%), methicillin-sensitive Staphylococcus aureus (7%), enterobacteriaceae (6%), Pseudomonas aeruginosa (2%) and miscellaneous (3%). Twenty eight percent of H. influenzae strains were resistant to ampicillin. Penicillin-sensitive S. pneumoniae (PSSP) and penicillin-intermediate-resistant S. pneumoniae (PISP) accounted for 21% and 79% of the S. pneumoniae strains, respectively. H. influenzae was the most common isolated organism. About 55% of those isolates were found in patients <18 years old and only 25% were resistant to ampicillin. Sinus endoscopy continues to be a useful diagnostic tool in addition to imaging studies in sinus infection and should be pursued by the clinician whenever feasible. [Copyright &y& Elsevier]