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The European Psychiatric Association (EPA) Summer School is an intensive program which has been organised for 10 years now by the EPA Committee on Education and allows selected psychiatric trainees and early career psychiatrists (ECPs) from all over Europe to meet, network, and learn together. After the 2020 edition being cancelled due to COVID-19 pandemic, the 2021 edition was held online and continued the EPA educational mission in an innovative and up-to-date approach. Twenty one participants from 16 different countries were selected to attend by the EPA Committee on Education. During the two full days of training, participants were engaged in fundamental educational activities by renowned faculty members such as Dr. Cécile Hanon, Dr. Nicolas Hoertel, Dr. Mariana Pinto da Costa, Prof. Andrea Raballo, Prof. Norman Sartorius and Prof. Peter Falkai. This was the first time EPA Summer School centered its topic on Research in Psychiatry, giving a unique opportunity for ECPs and psychiatric trainees to enrich their knowledge and skills and to find inspiration for their future research. In this paper, we intend to share our experience and provide a perspective on what we have learned during the EPA Summer School sessions. Copyright © 2022 John Libbey Eurotext. L’université d’été de l’Association européenne de psychiatrie (EPA) est un programme intensif organisé depuis 10 ans par le Comité de l’éducation de l’EPA et permet à des stagiaires en psychiatrie et à des psychiatres en début de carrière (ECP) sélectionnés dans toute l’Europe de se rencontrer, de créer des réseaux et d’apprendre ensemble. Après l’annulation de l’édition 2020 en raison de la pandémie de Covid-19, l’édition 2021 s’est tenue en ligne et a poursuivi la mission éducative de l’EPA dans une approche innovante et actualisée. Vingt-et-un participants de 16 pays différents ont été sélectionnés par le comité d’éducation de l’EPA. Pendant les deux jours de formation, les participants ont participé à des activités éducatives fondamentales dispensées par des professeurs renommés tels que le Dr Cécile Hanon, le Dr Nicolas Hoertel, le Dr Mariana Pinto da Costa, le Pr Andrea Raballo, le Pr Norman Sartorius et le Pr Peter Falkai. C’était la première fois que l’école d’été de l’EPA centrait son sujet sur la recherche en psychiatrie, donnant ainsi une occasion unique aux ECP et aux stagiaires en psychiatrie d’enrichir leurs connaissances et leurs compétences et de trouver une inspiration pour leurs futures recherches. Dans cet article, nous avons l’intention de partager notre expérience et de fournir une perspective sur ce que nous avons appris pendant les sessions de l’école d’été de l’EPA. © 2022 John Libbey Eurotext. All rights reserved.
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Parasitic nematodes of the genus Anisakis are the causative agent of anisakiosis, an important fish‐borne zoonosis. Humans are infected through consumption of raw or undercooked fish, contaminated with the parasite. Infection can result in both gastrointestinal and allergic symptoms. There are few reports of anisakiosis in Portugal, but evidence of Anisakis allergy exists, indicating that exposure is occurring in the population. The European Food Risk Assessment Fellowship Programme (EU‐FORA) work programme, entitled: ‘Food safety of fish and zoonoses: fish consumption and microbiological risk assessment and perception, from fisherman to final consumers in Portugal’ was hosted by the Interdisciplinary Centre of Marine and Environmental Research (CIIMAR), in Porto, Portugal. It aimed to gather information on risk perception and attitudes in the Portuguese population to contamination of fish with Anisakis spp. and on their knowledge of methods to prevent infection. In addition, it aimed to examine the risk of anisakiosis in the Portuguese population.
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The cities around the world in general, and in the Mediterranean area in particular, are facing tremendous challenges at the environmental, social, economic, and institutional levels, due to the urbanization trend, environmental climatic changes and challenges due to the ongoing COVID-19 pandemic. Therefore, cities need to be sustainable and smart in the future. An economically important and innovative sector in urban areas is food security. Nowadays, most of the literature explores the concept of smart cities from the point of view of information and communications technology, indeed, the connection with the sustainability aspects of the food supply chain and the ways to operationalize that, remains unsolved. This paper tries to overcome this gap in the literature. The main aim is to analyze the contribution of the short supply chain of food in terms of sustainability in smart cities, regarding current urban trends in cities in general and in Mediterranean areas in particular. The methodology was based on a literature review and includes quantitative and qualitative analysis. The results confirm the existence of positive impacts in the short supply chains of food in urban areas in terms of sustainability. Despite the existence of a considerable number of papers about smart cities and ICT-related topics, the benefits from society of short supply chains of food, and the linkage among the topics and subjects, remain unreferred to or with a limited knowledge exchange. The conclusions of this paper will be helpful for public decision makers to implement policies in order to promote the sustainability of Mediterranean cities. © 2021 by the author(s).
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Sustainable development, sustainable consumption and short supply chains are nowadays acquiring increasing relevance on the literature. On the other hand, from the consumers attitudinal statement, ethical consumption is also requiring more attention from marketing sciences. Besides that, the integration of the last concept on sustainability remains in a complete lack of systematic and integrative conceptualization. This paper tries to promote a potential integration of all the dimensions of sustainable consumption and to understand the potential linkage and interaction among them, in order to promote the Sustainable Development Goal 15 from the United Nations. The methodology follows a systematic literature review and preliminary information comes from a case study of the approved project SDGsConsum. The results confirm that, besides a huge development in sustainable development and sustainable consumption in the literature, the focus on shortly supply chains of production is yet modest. Moreover, the motivations and constraints that drive and restrain, respectively, consumers toward ethical and sustainable consumption presents several incongruences. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.
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Background: An increased risk of severe COVID-19 outcomes may be seen in patients with autoimmune diseases on moderate to high daily doses of glucocorticoids, as well as in those with comorbidities. However, specific information about COVID-19 outcomes in SLE is scarce. Objectives: To determine the characteristics associated with severe COVID-19 outcomes in a multi-national cross-sectional registry of COVID-19 patients with SLE. Methods: SLE adult patients from a physician-reported registry of the COVID-19 GRA were studied. Variables collected at COVID-19 diagnosis included age, sex, race/ethnicity, region, comorbidities, disease activity, time period of COVID-19 diagnosis, glucocorticoid (GC) dose, and immunomodulatory therapy. Immunomodulatory therapy was categorized as: antimalarials only, no SLE therapy, traditional immunosuppressive (IS) drug monotherapy, biologics/targeted synthetic IS drug monotherapy, and biologic and traditional IS drug combination therapy. We used an ordinal COVID-19 severity outcome defined as: not hospitalized/hospitalized without supplementary oxygen;hospitalized with non-invasive ventilation;hospitalized with mechanical ventilation/extracorporeal membrane oxygenation;and death. An ordinal logistic regression model was constructed to assess the association between demographic characteristics, comorbidities, medications, disease activity and COVID-19 severity. This assumed that the relationship between each pair of outcome groups is of the same direction and magnitude. Results: Of 1069 SLE patients included, 1047 (89.6%) were female, with a mean age of 44.5 (SD: 14.1) years. Patient outcomes included 815 (78.8%) not hospitalized/hospitalized without supplementary oxygen;116 (11.2) hospitalized with non-invasive ventilation, 25 (2.4%) hospitalized with mechanical ventilation/ extracorporeal membrane oxygenation and 78 (7.5%) died. In a multivariate model (n=804), increased age [OR=1.03 (1.01, 1.04)], male sex [OR =1.93 (1.21, 3.08)], COVID-19 diagnosis between June 2020 and January 2021 (OR =1.87 (1.17, 3.00)), no IS drug use [OR =2.29 (1.34, 3.91)], chronic renal disease [OR =2.34 (1.48, 3.70)], cardiovascular disease [OR =1.93 (1.34, 3.91)] and moderate/ high disease activity [OR =2.24 (1.46, 3.43)] were associated with more severe COVID-19 outcomes. Compared with no use of GC, patients using GC had a higher odds of poor outcome: 0-5 mg/d, OR =1.98 (1.33, 2.96);5-10 mg/d, OR =2.88 (1.27, 6.56);>10 mg/d, OR =2.01 (1.26, 3.21) (Table 1). Conclusion: Increased age, male sex, glucocorticoid use, chronic renal disease, cardiovascular disease and moderate/high disease activity at time of COVID-19 diagnosis were associated with more severe COVID-19 outcomes in SLE. Potential limitations include possible selection bias (physician reporting), the cross-sectional nature of the data, and the assumptions underlying the outcomes modelling.
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IntroductionThe challenges posed by the COVID-19 pandemic were many and daunting. Almost overnight, the lives of millions of people all over Europe was disrupted and people had to adapt to a completely new situation. Healthcare personal were amongst the ones most affected by it, whether by changes in their everyday work routine or by being the people directly in charge of responding to the demands of the pandemic. Trainees are an indispensable part of healthcare personal and, as a result, they were vastly affected by the pandemic.ObjectivesDiscussing the role of National Trainees Associations (NTAs) in pandemic times, including how they dealt with the new challenges, their successes and hardships, and their steps going forward.MethodsGathering of institutional information about the work of the Portuguese, Irish and Turkish NTAs during the COVID-19 pandemic. Critical appraisal of each of their contributions and projects.ResultsThere were impacts to trainees’ clinical work, formative activities and even personal lives. Amidst this turmoil, NTAs were precious institutions. Their objective is to represent the trainees of each country, looking for formative opportunities and linking trainees. During the pandemic, the work developed by the NTAs increase in importance, serving as a beacon of important information and as intermediaries in a number of discussions. They also aimed to minimize the impact on formative activities, whether by providing recommendations or by organizing some form of educational activity.ConclusionsWe provide some national examples – Portugal, Ireland and Turkey – and draw comparisons and lessons from each one.DisclosureNo significant relationships.
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The Covid-19 pandemic has mobilized different groups of academics to join forces to respond from various fronts to the health crisis. In this context, a group of researchers explored the socioeconomic vulnerability of families in Mexico against mitigation strategies, particularly the quarantine. To do this, the group conducted an online poll that was answered by nearly 53 000 people nationwide. This article describes the nature of the collaboration between social scientists and data scientists that represents a micro-laboratory on the evolution of scientific disciplines in general, while presenting some results of this study. © 2021, Revista Mexicana de Sociologia. All Rights Reserved.
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Background: The COVID-19 pandemic has imposed measures of social distancing and, during this time, there has been an elevation in cardiovascular mortality rates and a decrease in the number of emergency visits. Objectives: To assess and compare in-hospital mortality for cardiovascular diseases and emergency department visits during the COVID-19 pandemic and the same period in 2019. Methods: Retrospective, single-center study that evaluated emergency visits and in-hospital deaths between March 16, 2020 and June 16, 2020, when the steepest fall in the number of emergency admissions for COVID-19 was registered. These data were compared with the emergency visits and in-hospital deaths between March 16 and June 16, 2019. We analyzed the total number of deaths, and cardiovascular deaths. The level of significance was set at p < 0.05. Results: There was a 35% decrease in the number of emergency visits and an increase in the ratio of the number of deaths to the number of emergency visits in 2020. The increase in the ratio of the number of all-cause deaths to the number of emergency visits was 45.6% and the increase in the ratio of the number of cardiovascular deaths to the number of emergency visits was 62.1%. None of the patients who died in the study period in 2020 tested positive for COVID-19. Conclusion: In-hospital mortality for cardiovascular diseases increased proportionally to the number of emergency visits during the COVID-19-imposed social distancing compared with the same period in 2019. © 2022, Arquivos Brasileiros de Cardiologia. All rights reserved.