ReMindCare: Una aplicación para primeros episodios psicóticos integrada en la práctica clínica diaria

Objetivos: El objetivo fundamental de esta tesis es el de desarrollar e implementar un sistema de atención sanitaria e-Health (App para smartphone) en la práctica clínica diaria en una unidad de Primeros Episodios Psicóticos (PEP). Objetivos Específicos: Los objetivos específicos que se buscan conseguir mediante la implementación de este dispositivo son los siguientes: (1) mejora de la atención temprana ante posibles recaídas, (2) reducción de las visitas a los servicios de urgencias y (3) reducción de las rehospitalizaciones. Métodos: El diseño de la app se basó en dos estudios previos y un estudio piloto. Se trata de una aplicación dirigida a pacientes de la unidad PEP del Hospital Clínico Universitario de Valencia. Se administraron diferentes escalas, que junto a los datos obtenidos por el aplicativo se analizaron mediante el paquete de análisis estadístico SPSS Statistics version 22 (IBM Corp).Resultados: El 26 de Septiembre de 2018 se introdujo la app ReMindCare de forma sistemática en la práctica clínica. Los datos de 90 pacientes fueron analizados, de los que 59 eran o habían sido usuarios de la app (Grupo RC), frente a 31 pacientes que siguieron el tratamiento normativo (Grupo TAU). Se encontraron diferencias significativas entre los grupos en el número de recaídas (X2=13.7, P=0.001), hospitalizaciones (X2=4.6, P=0.03) y visitas a urgencias (X2=7.4, P=0.006) que fueron menores en el Grupo RC. Además, la media de meses utilizando la app fue de 11.6 (SD=6-5; min/ max: 0-19) mientras que la tasa de respuesta a los avisos de la app fue de 84.5 (SD=16.0). Por otra parte, estos resultados se replicaron en 2021, periodo en el que se observó un aumento 26.6% (X2=6.29, P=0.012) en el número de pacientes en seguimiento en la unidad PEP al comparar el periodo comprendido entre los meses de Marzo 2019-Febrero 2020 y los meses de Marzo 2020-Febrero 2021 y un incremento del 107.14% (X2=4.10, P=0.04) en la incidencia de nuevos pacientes al realizar la misma comparación. Por otra parte, los 53 pacientes que usaron la app durante este periodo, presentaron un menor número de recaídas (X2=5.46, P=0.019) y hospitalizaciones (X2=5.63, P=0.018) que los que siguieron el tratamiento normativo. Conclusiones: ReMindCare es la primera app para pacientes con psicosis sistemáticamente implementada en la práctica clínica diaria y que ha mostrado sus potenciales beneficios tras 19 meses de uso y durante el periodo de pandemia. Los pacientes usuarios de la aplicación presentan un menor número de recaídas, hospitalizaciones y visitas a los servicios de urgencias hospitalarias que los pacientes que deciden no utilizar el dispositivo

School Canteens as a Food Policy Device During the Pandemic. The Case of School Canteens in San Carlos (Santa Fe province)

El presente trabajo aborda el funcionamiento de los comedores escolares como dispositivo de política pública alimentaria en función del derecho humano a la alimentación adecuada durante la pandemia covid-19, a partir del caso de tres comedores de San Carlos (Provincia de Santa Fe). Se propone como hipótesis que aún durante la profundización de la crisis alimentaria que implicó la pandemia, los comedores escolares continuaron operando como un mecanismo que sólo alcanzaba a garantizar un primer nivel del derecho humano a la alimentación (entendido como derecho a no sufrir hambre) por su funcionamiento bajo un enfoque focalizado y un abordaje de emergencia. La realización efectiva del derecho a la alimentación en su alcance integral como alimentación adecuada requeriría de una revisión del enfoque cortoplacista de la emergencia en función de otros mecanismos sistémicos que consideren desde la primera instancia una articulación de la heterogeneidad de aspectos nutricionales, culturales, sociales y ambientales que involucra el fenómeno alimentario. En primer lugar, se presenta brevemente el encuadre normativo de los comedores escolares como elemento de las políticas públicas alimentarias en Argentina. Luego, se procura realizar una descripción del funcionamiento de tres comedores situados en localidades vecinas del departamento “Las Colonias”, Provincia de Santa Fe, estos son, los comedores escolares de las escuelas “Lina Beck Bernard” N°2040 (San Carlos Centro); “Bernardino Rivadavia” N°357 (San Carlos Norte) y “Mariano Moreno” N° 326 (San Jerónimo del Sauce). Por último, se analiza reflexivamente el potencial de los comedores escolares como dispositivo para avanzar hacia la realización efectiva del derecho humano a la alimentación adecuada.This paper addresses the functioning of school canteens as a public food policy device based on the human right to adequate food during the covid-19 pandemic, based on the case of three canteens in San Carlos (Santa Fe Province). It is proposed as a hypothesis that even during the deepening of the food crisis caused by the pandemic, school canteens continued to operate as a mechanism that only managed to guarantee a first level of the human right to food (understood as the right not to suffer from hunger) for its operation under a focused approach and an emergency approach. The effective realization of the right to food in its comprehensive scope as adequate food would require a review of the short-term approach to the emergency based on other systemic mechanisms that consider from the first instance an articulation of the heterogeneity of nutritional, cultural, social and environment that involves the food phenomenon. First, the regulatory framework of school canteens is briefly presented as an element of public food policies in Argentina. Then, an attempt is made to make a description of the operation of three canteens located in neighboring towns of the "Las Colonias" department, Santa Fe Province, these are, the school canteens of the "Lina Beck Bernard" schools N°2040 (San Carlos Centro). ; "Bernardino Rivadavia" No. 357 (San Carlos Norte) and "Mariano Moreno" No. 326 (San Jerónimo del Sauce). Finally, the potential of school canteens as a device to advance towards the effective realization of the human right to adequate food is analyzed reflectively.Facultad de Trabajo Socia

Uso de los tráileres cinematográficos en el cine actual

Setzenes Jornades de Foment de la Investigació (Any 2011)Esta investigación se centra en el análisis del modo en el que se constituye un tráiler cinematográfico para que el público objetivo asista al cine para el consumo del film en cuestión. Se expone al lector una taxonomía de los diferentes tipos de tráileres cinematográficos que se suelen utilizar en la promoción del cine actual. Además se analiza las diferentes reacciones a las que se puede someter un espectador después de la visión de un film del cual había visto con anterioridad el tráiler, es decir, estaba influenciado por el mismo. Como objetivo se planteó un análisis de la realidad del uso de los tráileres cinematográficos en el cine actual

ReMindCare, an app for daily clinical practice in patients with first episode psychosis: A pragmatic real-world study protocol

[EN] Aim Despite the potential benefits of e-health interventions for patients with psychosis, the integration of these applications into the clinical workflow and analysis of their long-term effects still face significant challenges. To address these issues, we developed the ReMindCare app. This app aims to improve the treatment quality for patients with psychosis. We chose to study the app in real world and pragmatic manner to ensure results will be generalizable. Methods This is a naturalistic empirical study of patients in a first episode of psychosis programme. The app was purpose-designed based on two previous studies, and it offers the following assessments: (a) three daily questions regarding anxiety, sadness and irritability; and (b) 18 weekly questions about medication adherence, medication side effects, medication attitudes and prodromal symptoms. The app offers preset alerts, reminders and the ability for patients to reach out to their clinicians. Data captured by the app are linked to the electronic medical record of the patient. Patients will use the app as part of their ongoing care for a maximum period of 5 years, and assessments will occur at baseline and at the end of the first, second and fifth years of app use. Results Recruitment started in October 2018 and is still ongoing. Conclusions The ReMindCare app represents early real-world use of digital mental health tools that offer direct integration into clinical care. High retention and compliance rates are expected, and this will in turn lead to improved quality of assessments and communication between patients and clinicians.Centro de Investigacion Biomedica en Red de Salud Mental; European Social Fund, Grant/Award Number: 2017/9830; Generalitat Valenciana, Grant/Award Number: PROMETEO/2016/082; Instituto de Salud Carlos III, Grant/Award Numbers: PI01399, PI13/00447, PI17/00402Bonet, L.; Torous, J.; Arce Grilo, AD.; Blanquer Espert, I.; Sanjuán, J. (2021). ReMindCare, an app for daily clinical practice in patients with first episode psychosis: A pragmatic real-world study protocol. Early Intervention in Psychiatry. 15(1):183-192. https://doi.org/10.1111/eip.12960S183192151Abbott, P. A., Foster, J., Marin, H. de F., & Dykes, P. C. (2014). Complexity and the science of implementation in health IT—Knowledge gaps and future visions. International Journal of Medical Informatics, 83(7), e12-e22. doi:10.1016/j.ijmedinf.2013.10.009American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders. doi:10.1176/appi.books.9780890425596Appelbaum, S. H., & Wohl, L. (2000). Transformation or change: some prescriptions for health care organizations. Managing Service Quality: An International Journal, 10(5), 279-298. doi:10.1108/09604520010345768Arango, C., Bernardo, M., Bonet, P., Cabrera, A., Crespo-Facorro, B., Cuesta, M. J., … Melau, M. (2017). Cuando la asistencia no sigue a la evidencia: el caso de la falta de programas de intervención temprana en psicosis en España. Revista de Psiquiatría y Salud Mental, 10(2), 78-86. doi:10.1016/j.rpsm.2017.01.001Arango C. Crespo‐Facorro B. Cuesta M. J. González‐Pinto A. Gutiérrez J. R. Lalucat L. &Sanjuán J. Libro blanco de la atención temprana en psicosis.2018. Available at:www.sepsiq.org/file/Enlaces/Libro%20blanco%20de%20la%20Intervenci%C3%B3n%20Temprana%20en%20Espa%C3%B1a%20(2018).pdfAref-Adib, G., O’Hanlon, P., Fullarton, K., Morant, N., Sommerlad, A., Johnson, S., & Osborn, D. (2016). A qualitative study of online mental health information seeking behaviour by those with psychosis. BMC Psychiatry, 16(1). doi:10.1186/s12888-016-0952-0Barnett, I., Torous, J., Staples, P., Sandoval, L., Keshavan, M., & Onnela, J.-P. (2018). Relapse prediction in schizophrenia through digital phenotyping: a pilot study. Neuropsychopharmacology, 43(8), 1660-1666. doi:10.1038/s41386-018-0030-zBaumel, A., Faber, K., Mathur, N., Kane, J. M., & Muench, F. (2017). Enlight: A Comprehensive Quality and Therapeutic Potential Evaluation Tool for Mobile and Web-Based eHealth Interventions. Journal of Medical Internet Research, 19(3), e82. doi:10.2196/jmir.7270Beck, A. (2004). A new instrument for measuring insight: the Beck Cognitive Insight Scale. Schizophrenia Research, 68(2-3), 319-329. doi:10.1016/s0920-9964(03)00189-0Ben-Zeev, D., Brenner, C. J., Begale, M., Duffecy, J., Mohr, D. C., & Mueser, K. T. (2014). Feasibility, Acceptability, and Preliminary Efficacy of a Smartphone Intervention for Schizophrenia. Schizophrenia Bulletin, 40(6), 1244-1253. doi:10.1093/schbul/sbu033Ben-Zeev, D., Kaiser, S. M., & Krzos, I. (2014). Remote «Hovering» With Individuals With Psychotic Disorders and Substance Use: Feasibility, Engagement, and Therapeutic Alliance With a Text-Messaging Mobile Interventionist. Journal of Dual Diagnosis, 10(4), 197-203. doi:10.1080/15504263.2014.962336Berry, N., Lobban, F., Emsley, R., & Bucci, S. (2016). Acceptability of Interventions Delivered Online and Through Mobile Phones for People Who Experience Severe Mental Health Problems: A Systematic Review. Journal of Medical Internet Research, 18(5), e121. doi:10.2196/jmir.5250Bonet, L., Izquierdo, C., Escartí, M. J., Sancho, J. V., Arce, D., Blanquer, I., & Sanjuan, J. (2017). Utilización de tecnologías móviles en pacientes con psicosis: una revisión sistemática. Revista de Psiquiatría y Salud Mental, 10(3), 168-178. doi:10.1016/j.rpsm.2017.01.003Bonet, L., Llácer, B., Hernandez-Viadel, M., Arce, D., Blanquer, I., Cañete, C., … Sanjuán, J. (2018). Differences in the Use and Opinions About New eHealth Technologies Among Patients With Psychosis: Structured Questionnaire. JMIR Mental Health, 5(3), e51. doi:10.2196/mental.9950Borzekowski, D. L. G., Leith, J., Medoff, D. R., Potts, W., Dixon, L. B., Balis, T., … Himelhoch, S. (2009). Use of the Internet and Other Media for Health Information Among Clinic Outpatients With Serious Mental Illness. Psychiatric Services, 60(9), 1265-1268. doi:10.1176/ps.2009.60.9.1265Brenner, C. J., & Ben-Zeev, D. (2014). Affective forecasting in schizophrenia: Comparing predictions to real-time Ecological Momentary Assessment (EMA) ratings. Psychiatric Rehabilitation Journal, 37(4), 316-320. doi:10.1037/prj0000105Bucci, S., Barrowclough, C., Ainsworth, J., Machin, M., Morris, R., Berry, K., … Haddock, G. (2018). Actissist: Proof-of-Concept Trial of a Theory-Driven Digital Intervention for Psychosis. Schizophrenia Bulletin, 44(5), 1070-1080. doi:10.1093/schbul/sby032Camacho, E., Levin, L., & Torous, J. (2019). Smartphone Apps to Support Coordinated Specialty Care for Prodromal and Early Course Schizophrenia Disorders: Systematic Review. Journal of Medical Internet Research, 21(11), e16393. doi:10.2196/16393Cannon-Spoor, H. E., Potkin, S. G., & Wyatt, R. J. (1982). Measurement of Premorbid Adjustment in Chronic Schizophrenia. Schizophrenia Bulletin, 8(3), 470-484. doi:10.1093/schbul/8.3.470Cresswell, K., & Sheikh, A. (2013). Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review. International Journal of Medical Informatics, 82(5), e73-e86. doi:10.1016/j.ijmedinf.2012.10.007DiFilippo, K. N., Huang, W., & Chapman-Novakofski, K. M. (2017). A New Tool for Nutrition App Quality Evaluation (AQEL): Development, Validation, and Reliability Testing. JMIR mHealth and uHealth, 5(10), e163. doi:10.2196/mhealth.7441Dixon, L. (2017). What It Will Take to Make Coordinated Specialty Care Available to Anyone Experiencing Early Schizophrenia. JAMA Psychiatry, 74(1), 7. doi:10.1001/jamapsychiatry.2016.2665Endicott, J. (1976). The Global Assessment Scale. Archives of General Psychiatry, 33(6), 766. doi:10.1001/archpsyc.1976.01770060086012Firth, J., Cotter, J., Torous, J., Bucci, S., Firth, J. A., & Yung, A. R. (2015). Mobile Phone Ownership and Endorsement of «mHealth» Among People With Psychosis: A Meta-analysis of Cross-sectional Studies. Schizophrenia Bulletin, 42(2), 448-455. doi:10.1093/schbul/sbv132García, S., Martínez-Cengotitabengoa, M., López-Zurbano, S., Zorrilla, I., López, P., Vieta, E., & González-Pinto, A. (2016). Adherence to Antipsychotic Medication in Bipolar Disorder and Schizophrenic Patients. Journal of Clinical Psychopharmacology, 36(4), 355-371. doi:10.1097/jcp.0000000000000523Gay, K., Torous, J., Joseph, A., Pandya, A., & Duckworth, K. (2016). Digital Technology Use Among Individuals with Schizophrenia: Results of an Online Survey. JMIR Mental Health, 3(2), e15. doi:10.2196/mental.5379Gitlow, L., Abdelaal, F., Etienne, A., Hensley, J., Krukowski, E., & Toner, M. (2017). Exploring the Current Usage and Preferences for Everyday Technology among People with Serious Mental Illnesses. Occupational Therapy in Mental Health, 33(1), 1-14. doi:10.1080/0164212x.2016.1211061Granja, C., Janssen, W., & Johansen, M. A. (2018). Factors Determining the Success and Failure of eHealth Interventions: Systematic Review of the Literature. Journal of Medical Internet Research, 20(5), e10235. doi:10.2196/10235Hogan, T. P., Awad, A. G., & Eastwood, R. (1983). A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity. Psychological Medicine, 13(1), 177-183. doi:10.1017/s0033291700050182Instituto Nacional de Estadística (INE).2016. Encuesta sobre equipamiento y uso de tecnologías de información y comunicación en los hogares. Available on:http://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736176741&menu=ultiDatos&idp=1254735976608. Archived at:http://www.webcitation.org/6μ6YxYOTEKannisto, K. A., Adams, C. E., Koivunen, M., Katajisto, J., & Va lima ki, M. (2015). Feedback on SMS reminders to encourage adherence among patients taking antipsychotic medication: a cross-sectional survey nested within a randomised trial. BMJ Open, 5(11), e008574-e008574. doi:10.1136/bmjopen-2015-008574Kimhy, D., Vakhrusheva, J., Liu, Y., & Wang, Y. (2014). Use of mobile assessment technologies in inpatient psychiatric settings. Asian Journal of Psychiatry, 10, 90-95. doi:10.1016/j.ajp.2014.04.004Lal, S., Dell’Elce, J., Tucci, N., Fuhrer, R., Tamblyn, R., & Malla, A. (2015). Preferences of Young Adults With First-Episode Psychosis for Receiving Specialized Mental Health Services Using Technology: A Survey Study. JMIR Mental Health, 2(2), e18. doi:10.2196/mental.4400Lauckner, C., & Whitten, P. (2015). The State and Sustainability of Telepsychiatry Programs. The Journal of Behavioral Health Services & Research, 43(2), 305-318. doi:10.1007/s11414-015-9461-zMacias, C., Panch, T., Hicks, Y. M., Scolnick, J. S., Weene, D. L., Öngür, D., & Cohen, B. M. (2015). Using Smartphone Apps to Promote Psychiatric and Physical Well-Being. Psychiatric Quarterly, 86(4), 505-519. doi:10.1007/s11126-015-9337-7Miller, B. J., Stewart, A., Schrimsher, J., Peeples, D., & Buckley, P. F. (2015). How connected are people with schizophrenia? Cell phone, computer, email, and social media use. Psychiatry Research, 225(3), 458-463. doi:10.1016/j.psychres.2014.11.067Ministerio de sanidad consumo y bienestar social (MSCBS).2019. Plan de calidad para el Sistema Nacional de salud. Available on:https://www.mscbs.gob.es/organizacion/sns/planCalidadSNS/home.htm. Archived at:http://www.webcitation.org/787eGSHEqMorisky, D. E., Green, L. W., & Levine, D. M. (1986). Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence. Medical Care, 24(1), 67-74. doi:10.1097/00005650-198601000-00007National Alliance on Mental Illness (NAMI).2014. Health and Technology study. Available on:http://www.nami.org/About‐NAMI/Publications‐Reports/Survey‐Reports/Health‐and‐Technology‐Study‐(2014). Archived at:http://www.webcitation.org/6μ6XgrKXhPalmier-Claus, J. E., Rogers, A., Ainsworth, J., Machin, M., Barrowclough, C., Laverty, L., … Lewis, S. W. (2013). Integrating mobile-phone based assessment for psychosis into people’s everyday lives and clinical care: a qualitative study. BMC Psychiatry, 13(1). doi:10.1186/1471-244x-13-34Robotham, D., Satkunanathan, S., Doughty, L., & Wykes, T. (2016). Do We Still Have a Digital Divide in Mental Health? A Five-Year Survey Follow-up. Journal of Medical Internet Research, 18(11), e309. doi:10.2196/jmir.6511Španiel, F., Vohlídka, P., Kožený, J., Novák, T., Hrdlička, J., Motlová, L., … Höschl, C. (2008). The Information Technology Aided Relapse Prevention Programme in Schizophrenia: an extension of a mirror-design follow-up. International Journal of Clinical Practice, 62(12), 1943-1946. doi:10.1111/j.1742-1241.2008.01903.xStoyanov, S. R., Hides, L., Kavanagh, D. J., & Wilson, H. (2016). Development and Validation of the User Version of the Mobile Application Rating Scale (uMARS). JMIR mHealth and uHealth, 4(2), e72. doi:10.2196/mhealth.5849Torous, J., & Keshavan, M. (2018). A new window into psychosis: The rise digital phenotyping, smartphone assessment, and mobile monitoring. Schizophrenia Research, 197, 67-68. doi:10.1016/j.schres.2018.01.005Trefflich, F., Kalckreuth, S., Mergl, R., & Rummel-Kluge, C. (2015). Psychiatric patients׳ internet use corresponds to the internet use of the general public. Psychiatry Research, 226(1), 136-141. doi:10.1016/j.psychres.2014.12.037Wang, R., Aung, M. S. H., Abdullah, S., Brian, R., Campbell, A. T., Choudhury, T., … Ben-Zeev, D. (2016). CrossCheck. Proceedings of the 2016 ACM International Joint Conference on Pervasive and Ubiquitous Computing. doi:10.1145/2971648.2971740Zanaboni, P., Ngangue, P., Mbemba, G. I. C., Schopf, T. R., Bergmo, T. S., & Gagnon, M.-P. (2018). Methods to Evaluate the Effects of Internet-Based Digital Health Interventions for Citizens: Systematic Review of Reviews. Journal of Medical Internet Research, 20(6), e10202. doi:10.2196/1020

ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study

[EN] Background: eHealth interventions are widely used in clinical trials and increasingly in care settings as well; however, their efficacy in real-world contexts remains unknown. ReMindCare is a smartphone app that has been systematically implemented in a first episode of psychosis program (FEPP) for patients with early psychosis since 2018. Objective: The objective of this study was to assess the efficacy of ReMindCare after 19 months of use in the clinic and varying use by individual patients. Methods: The integration of the ReMindCare app into the FEPP started in October 2018. Patients with early psychosis self-selected to the app (ReMindCare group) or treatment as usual (TAU group). The outcome variables considered were adherence to the intervention and number of relapses, hospital admissions, and visits to urgent care units. Data from 90 patients with early psychosis were analyzed: 59 in the ReMindCare group and 31 in the TAU group. The mean age of the sample was 32.8 (SD 9.4) years, 73% (66/90) were males, 91% (83/90) were White, and 81% (74/90) were single. Results: Significant differences between the ReMindCare and TAU groups were found in the number of relapses, hospitalizations, and visits to urgent care units, with each showing benefits for the app. Only 20% (12/59) of patients from the ReMindCare group had a relapse, while 58% (18/31) of the TAU patients had one or more relapses (chi(2) =13.7, P=.001). Moreover, ReMindCare patients had fewer visits to urgent care units (chi(2) =7.4, P=.006) and fewer hospitalizations than TAU patients (chi(2) =4.6, P=.03). The mean of days using the app was 352.2 (SD 191.2; min/max: 18-594), and the mean of engagement was 84.5 (SD 16.04). Conclusions: To our knowledge, this is the first eHealth intervention that has preliminarily proven its benefits in the real-world treatment of patients with early psychosis.This study was supported by the Sanitary Research Institute of the University Clinic Hospital and the Mental Health Networking Biomedical Centre. It was also supported by the Generalitat Valenciana and the Program for Scientific Research, Technological Development, and Innovation in the Generalitat Valenciana of the European Union (2017/9830). It was also supported by grants from the Generalitat Valenciana (PROMETEO/2016/082, PROMETEO/2020/024), Carlos III Health Institute (PI13/00447; PI17/00402), and European Union through the European Regional Development Fund.Bonet, L.; Torous, J.; Arce Grilo, AD.; Blanquer Espert, I.; Sanjuan, J. (2020). ReMindCare App for Early Psychosis: Pragmatic Real World Intervention and Usability Study. JMIR mHealth and uHealth. 8(11):1-13. https://doi.org/10.2196/22997S113811Firth, J., Cotter, J., Torous, J., Bucci, S., Firth, J. A., & Yung, A. R. (2015). Mobile Phone Ownership and Endorsement of «mHealth» Among People With Psychosis: A Meta-analysis of Cross-sectional Studies. Schizophrenia Bulletin, 42(2), 448-455. doi:10.1093/schbul/sbv132Bonet, L., Izquierdo, C., Escartí, M. J., Sancho, J. V., Arce, D., Blanquer, I., & Sanjuan, J. (2017). Utilización de tecnologías móviles en pacientes con psicosis: una revisión sistemática. Revista de Psiquiatría y Salud Mental, 10(3), 168-178. doi:10.1016/j.rpsm.2017.01.003Kannarkat, J. T., Smith, N. N., & McLeod-Bryant, S. A. (2020). Mobilization of Telepsychiatry in Response to COVID-19—Moving Toward 21st Century Access to Care. Administration and Policy in Mental Health and Mental Health Services Research, 47(4), 489-491. doi:10.1007/s10488-020-01044-zTorous, J., & Keshavan, M. (2020). COVID-19, mobile health and serious mental illness. Schizophrenia Research, 218, 36-37. doi:10.1016/j.schres.2020.04.013Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., McIntyre, R. S., … Ho, C. (2020). A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain, Behavior, and Immunity, 87, 40-48. doi:10.1016/j.bbi.2020.04.028Trefflich, F., Kalckreuth, S., Mergl, R., & Rummel-Kluge, C. (2015). Psychiatric patients׳ internet use corresponds to the internet use of the general public. Psychiatry Research, 226(1), 136-141. doi:10.1016/j.psychres.2014.12.037Gay, K., Torous, J., Joseph, A., Pandya, A., & Duckworth, K. (2016). Digital Technology Use Among Individuals with Schizophrenia: Results of an Online Survey. JMIR Mental Health, 3(2), e15. doi:10.2196/mental.5379Bonet, L., Llácer, B., Hernandez-Viadel, M., Arce, D., Blanquer, I., Cañete, C., … Sanjuán, J. (2018). Differences in the Use and Opinions About New eHealth Technologies Among Patients With Psychosis: Structured Questionnaire. JMIR Mental Health, 5(3), e51. doi:10.2196/mental.9950Hau, Y. S., Kim, J. K., Hur, J., & Chang, M. C. (2020). How about actively using telemedicine during the COVID-19 pandemic? Journal of Medical Systems, 44(6). doi:10.1007/s10916-020-01580-zBucci, S., Berry, N., Morris, R., Berry, K., Haddock, G., Lewis, S., & Edge, D. (2019). «They Are Not Hard-to-Reach Clients. We Have Just Got Hard-to-Reach Services.» Staff Views of Digital Health Tools in Specialist Mental Health Services. Frontiers in Psychiatry, 10. doi:10.3389/fpsyt.2019.00344Arango, C., Bernardo, M., Bonet, P., Cabrera, A., Crespo-Facorro, B., Cuesta, M. J., … Melau, M. (2017). Cuando la asistencia no sigue a la evidencia: el caso de la falta de programas de intervención temprana en psicosis en España. Revista de Psiquiatría y Salud Mental, 10(2), 78-86. doi:10.1016/j.rpsm.2017.01.001Camacho, E., Levin, L., & Torous, J. (2019). Smartphone Apps to Support Coordinated Specialty Care for Prodromal and Early Course Schizophrenia Disorders: Systematic Review. Journal of Medical Internet Research, 21(11), e16393. doi:10.2196/16393Correll, C. U., Galling, B., Pawar, A., Krivko, A., Bonetto, C., Ruggeri, M., … Kane, J. M. (2018). Comparison of Early Intervention Services vs Treatment as Usual for Early-Phase Psychosis. JAMA Psychiatry, 75(6), 555. doi:10.1001/jamapsychiatry.2018.0623Bucci, S., Barrowclough, C., Ainsworth, J., Machin, M., Morris, R., Berry, K., … Haddock, G. (2018). Actissist: Proof-of-Concept Trial of a Theory-Driven Digital Intervention for Psychosis. Schizophrenia Bulletin, 44(5), 1070-1080. doi:10.1093/schbul/sby032Eisner, E., Drake, R. J., Berry, N., Barrowclough, C., Emsley, R., Machin, M., & Bucci, S. (2019). Development and Long-Term Acceptability of ExPRESS, a Mobile Phone App to Monitor Basic Symptoms and Early Signs of Psychosis Relapse. JMIR mHealth and uHealth, 7(3), e11568. doi:10.2196/11568Ben-Zeev, D., Brian, R., Wang, R., Wang, W., Campbell, A. T., Aung, M. S. H., … Scherer, E. A. (2017). CrossCheck: Integrating self-report, behavioral sensing, and smartphone use to identify digital indicators of psychotic relapse. Psychiatric Rehabilitation Journal, 40(3), 266-275. doi:10.1037/prj0000243Torous, J., Woodyatt, J., Keshavan, M., & Tully, L. M. (2019). A new hope for early psychosis care: the evolving landscape of digital care tools. The British Journal of Psychiatry, 214(5), 269-272. doi:10.1192/bjp.2019.8Torous, J., Lipschitz, J., Ng, M., & Firth, J. (2020). Dropout rates in clinical trials of smartphone apps for depressive symptoms: A systematic review and meta-analysis. Journal of Affective Disorders, 263, 413-419. doi:10.1016/j.jad.2019.11.167Killikelly, C., He, Z., Reeder, C., & Wykes, T. (2017). Improving Adherence to Web-Based and Mobile Technologies for People With Psychosis: Systematic Review of New Potential Predictors of Adherence. JMIR mHealth and uHealth, 5(7), e94. doi:10.2196/mhealth.7088Krzystanek, M., Krysta, K., & Skałacka, K. (2017). Treatment Compliance in the Long-Term Paranoid Schizophrenia Telemedicine Study. Journal of Technology in Behavioral Science, 2(2), 84-87. doi:10.1007/s41347-017-0016-4Arnold, C., Villagonzalo, K.-A., Meyer, D., Farhall, J., Foley, F., Kyrios, M., & Thomas, N. (2019). Predicting engagement with an online psychosocial intervention for psychosis: Exploring individual- and intervention-level predictors. Internet Interventions, 18, 100266. doi:10.1016/j.invent.2019.100266Ross, J., Stevenson, F., Lau, R., & Murray, E. (2016). Factors that influence the implementation of e-health: a systematic review of systematic reviews (an update). Implementation Science, 11(1). doi:10.1186/s13012-016-0510-7Allan, S., Bradstreet, S., Mcleod, H., Farhall, J., Lambrou, M., … Gleeson, J. (2019). Developing a Hypothetical Implementation Framework of Expectations for Monitoring Early Signs of Psychosis Relapse Using a Mobile App: Qualitative Study. Journal of Medical Internet Research, 21(10), e14366. doi:10.2196/14366Palmier-Claus, J. E., Rogers, A., Ainsworth, J., Machin, M., Barrowclough, C., Laverty, L., … Lewis, S. W. (2013). Integrating mobile-phone based assessment for psychosis into people’s everyday lives and clinical care: a qualitative study. BMC Psychiatry, 13(1). doi:10.1186/1471-244x-13-34Kannisto, K. A., Adams, C. E., Koivunen, M., Katajisto, J., & Va lima ki, M. (2015). Feedback on SMS reminders to encourage adherence among patients taking antipsychotic medication: a cross-sectional survey nested within a randomised trial. BMJ Open, 5(11), e008574-e008574. doi:10.1136/bmjopen-2015-008574Torous, J. B. (2018). Focusing on the Future of Mobile Mental Health and Smartphone Interventions. Psychiatric Services, 69(9), 945-945. doi:10.1176/appi.ps.201800308Bonet, L., Torous, J., Arce, D., Blanquer, I., & Sanjuán, J. (2020). ReMindCare , an app for daily clinical practice in patients with first episode psychosis: A pragmatic real‐world study protocol. Early Intervention in Psychiatry, 15(1), 183-192. doi:10.1111/eip.12960Endicott, J. (1976). The Global Assessment Scale. Archives of General Psychiatry, 33(6), 766. doi:10.1001/archpsyc.1976.01770060086012Cannon-Spoor, H. E., Potkin, S. G., & Wyatt, R. J. (1982). Measurement of Premorbid Adjustment in Chronic Schizophrenia. Schizophrenia Bulletin, 8(3), 470-484. doi:10.1093/schbul/8.3.470Greer, B., Robotham, D., Simblett, S., Curtis, H., Griffiths, H., & Wykes, T. (2019). Digital Exclusion Among Mental Health Service Users: Qualitative Investigation. Journal of Medical Internet Research, 21(1), e11696. doi:10.2196/11696Rus-Calafell, M., & Schneider, S. (2020). Are we there yet?!—a literature review of recent digital technology advances for the treatment of early psychosis. mHealth, 6, 3-3. doi:10.21037/mhealth.2019.09.14Choi, K. R., Heilemann, M. V., Fauer, A., & Mead, M. (2020). A Second Pandemic: Mental Health Spillover From the Novel Coronavirus (COVID-19). Journal of the American Psychiatric Nurses Association, 26(4), 340-343. doi:10.1177/107839032091980

Los comedores escolares como dispositivo de política alimentaria para la realización del derecho humano a la alimentación adecuada. Un análisis a partir de casos de San Carlos

El presente trabajo se propone analizar la dinámica de funcionamiento de los comedores escolares del área metropolitana de San Carlos, como dispositivo de política pública para la realización del derecho humano a la alimentación adecuada. Se postula como hipótesis que los comedores funcionan como un dispositivo de política pública focalizada y de emergencia y que, por lo tanto, presentan serias limitaciones para contribuir a la transición alimentaria que ameritan las graves crisis eco-sociales vinculadas a la alimentación. En su formato y dinámica actual suelen contribuir, de hecho, a la agudización de problemáticas epidemiológicas como la triple carga de la malnutrición, que presenta serias amenazas para la salud pública tanto a largo como a corto plazo. Un abordaje integral del derecho humano a la alimentación adecuada implicaría una reformulación del dispositivo comedores en cuanto instituciones territoriales de transformación socio-alimentaria.Fil: Bonet de Viola, Ana María. Universidad Católica de Santa Fe; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Capello, Lucía. Universidad Nacional del Litoral. Facultad de Ciencias Jurídicas y Sociales; Argentin

INSTAR: An Agent-Based Model that integrates existing knowledge to simulate the population dynamics of a forest pest

Pine plantations, very common in the Mediterranean basin, are recurrently affected by forest pests due to intrinsic characteristics (high density, low spatial heterogeneity) and external factors (consistent trend towards a warmer and drier climate). INSTAR is an Agent-Based Model aiming to simulate the population dynamics of the Thaumetopoea pityocampa forest pest. The model has been designed using a modular approach: several interconnected modules (submodels) facilitate the incorporation of new knowledge about the pest biology and can serve as template for the design of other similar models. The model is spatially and temporally explicit and allows its implementation under different climate and land use scenarios. INSTAR is described in detail in this manuscript using the standardized ODD (Overview, Design concepts and Details) protocol. Temperature is known to be one of the main factors modulating the population dynamics of T. pityocampa. In order to be coherent and structurally realistic, INSTAR should faithfully reproduce the effect of this factor on the species’ phenology. This requirement has been assessed here through a consistency test of the submodules responsible for species development. This assessment is constituted by a calibration analysis of the pest phenology and a stress test performed by exposing the model to extreme climate inputs. As a result of calibration, the model successfully reproduces the phenology of the species in the simulated study area. Moreover, the stress test confirmed that the model behaves as expected when exposed to extreme input values. The results presented in this manuscript constitute a first internal validation of the development submodels. After this, INSTAR is ready for a deeper analysis consisting on a sensitivity and uncertainty analysis.The project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 641762

Studying bath exhaustion as a method to apply microcapsules on fabrics

[EN] Textile industry is one of the fields that have increased their consumption of microcapsules. They can be applied to textiles using different methods, such as, padding, bath exhaustion, spraying and foaming. Although the most extended industrial application is by padding, commercial brands also suggest bath exhaustion as a possible procedure. In the research reported herein, bath exhaustion treatments are compared to padding. X-ray photoelectronic spectroscopy (XPS) technique showed that it was a suitable method to detect microcapsules¿presence on fabric surface. Results reported that high concentrations were required to obtain similar behaviours to those of padding. Moreover, we suggested reusing bath exhaustion baths, in order to minimise the loss of so much product in wastewater. We concluded that it was not possible because microcapsules de flate following contact with water for a per- iod of time, and what is more interesting, microcapsule preparation must be done immediately before use, so as to avoid microcapsule de flation due to contact with water.Authors gratefully acknowledge the financial support received by this research project from the Spanish government in the programme "Plan Nacional 2008-2011" reference Mat 2009-14210-C02-01.Bonet Aracil, MA.; Capablanca Francés, L.; Monllor Pérez, P.; Díaz García, P.; Montava Seguí, IJ. (2012). Studying bath exhaustion as a method to apply microcapsules on fabrics. Journal of the Textile Institute. 103(6):629-635. doi:10.1080/00405000.2011.596665S6296351036Chang, C. P., Yamamoto, T., Kimura, M., Sato, T., Ichikawa, K., & Dobashi, T. (2003). Release characteristics of an azo dye from poly(ureaurethane) microcapsules. Journal of Controlled Release, 86(2-3), 207-211. doi:10.1016/s0168-3659(02)00366-8Fan, Y. F., Zhang, X. ., Wang, X. ., Li, J., & Zhu, Q. . (2004). Super-cooling prevention of microencapsulated phase change material. Thermochimica Acta, 413(1-2), 1-6. doi:10.1016/j.tca.2003.11.006Giroud, F., Pernot, J. M., Brun, H., & Pouyet, B. (1995). Optimization of microencapsulation of acrylic adhesives. Journal of Microencapsulation, 12(4), 389-400. doi:10.3109/02652049509087251Gisbert, J., Ibañez, F., Bonet, M., Monllor, P., Díaz, P., & Montava, I. (2009). Increasing hydration of the epidermis by microcapsules in sterilized products. Journal of Applied Polymer Science, 113(4), 2282-2286. doi:10.1002/app.30210Hawlader, M. N. A., Uddin, M. S., & Khin, M. M. (2003). Microencapsulated PCM thermal-energy storage system. Applied Energy, 74(1-2), 195-202. doi:10.1016/s0306-2619(02)00146-0Kapuśniak, J., & Tomasik, P. (2006). Lipid microencapsulation in starch. Journal of Microencapsulation, 23(3), 341-348. doi:10.1080/02652040600687571Li, S., Lewis, J. E., Stewart, N. M., Qian, L., & Boyter, H. (2008). Effect of finishing methods on washing durability of microencapsulated aroma finishing. Journal of the Textile Institute, 99(2), 177-183. doi:10.1080/00405000701489701Long, Y., York, D., Zhang, Z., & Preece, J. A. (2009). Microcapsules with low content of formaldehyde: preparation and characterization. Journal of Materials Chemistry, 19(37), 6882. doi:10.1039/b902832cMadene, A., Jacquot, M., Scher, J., & Desobry, S. (2006). Flavour encapsulation and controlled release - a review. International Journal of Food Science and Technology, 41(1), 1-21. doi:10.1111/j.1365-2621.2005.00980.xMonllor, P., Bonet, M. A., & Cases, F. (2007). Characterization of the behaviour of flavour microcapsules in cotton fabrics. European Polymer Journal, 43(6), 2481-2490. doi:10.1016/j.eurpolymj.2007.04.004Monllor, P., Sánchez, L., Cases, F., & Bonet, M. A. (2009). Thermal Behavior of Microencapsulated Fragrances on Cotton Fabrics. Textile Research Journal, 79(4), 365-380. doi:10.1177/0040517508097520Monllor, P., Capablanca, L., Gisbert, J., Díaz, P., Montava, I., & Bonet, Á. (2009). Improvement of Microcapsule Adhesion to Fabrics. Textile Research Journal, 80(7), 631-635. doi:10.1177/0040517509346444Nelson, G. (2008). Microencapsulation in textile finishing. Review of Progress in Coloration and Related Topics, 31(1), 57-64. doi:10.1111/j.1478-4408.2001.tb00138.xNelson, G. (2002). Application of microencapsulation in textiles. International Journal of Pharmaceutics, 242(1-2), 55-62. doi:10.1016/s0378-5173(02)00141-2Paya, J.G., Bonet, M.A., Aboy, P.M.R. & Perez, P.M. (2010). Insect Repellent Textile. US Patent 2010/0183690 A1.Rjiba, N., Nardin, M., Drean, J.-Y., & Frydrych, R. (2009). Comparison of surfaces properties of different types of cotton fibers by inverse gas chromatography. Journal of Polymer Research, 17(1), 25-32. doi:10.1007/s10965-009-9286-7SAWADA, K., & URAKAWA, H. (2005). Preparation of photosensitive color-producing microcapsules utilizing in situ polymerization method. Dyes and Pigments, 65(1), 45-49. doi:10.1016/j.dyepig.2004.06.021Stolnik, S., Illum, L., & Davis, S. S. (1995). Long circulating microparticulate drug carriers. Advanced Drug Delivery Reviews, 16(2-3), 195-214. doi:10.1016/0169-409x(95)00025-3Topalovic, T., Nierstrasz, V. A., Bautista, L., Jocic, D., Navarro, A., & Warmoeskerken, M. M. C. G. (2007). Analysis of the effects of catalytic bleaching on cotton. Cellulose, 14(4), 385-400. doi:10.1007/s10570-007-9120-5Wegmüller, R., Zimmermann, M. B., Bühr, V. G., Windhab, E. J., & Hurrell, R. F. (2006). Development, Stability, and Sensory Testing of Microcapsules Containing Iron, Iodine, and Vitamin A for Use in Food Fortification. Journal of Food Science, 71(2), S181-S187. doi:10.1111/j.1365-2621.2006.tb08923.xFras Zemljič, L., Strnad, S., Šauperl, O., & Stana-Kleinschek, K. (2009). Characterization of Amino Groups for Cotton Fibers Coated with Chitosan. Textile Research Journal, 79(3), 219-226. doi:10.1177/0040517508093592ZHANG, Z. (1999). Mechanical strength of single microcapsules determined by a novel micromanipulation technique. Journal of Microencapsulation, 16(1), 117-124. doi:10.1080/026520499289365Zhang, X., Tao, X., Yick, K., & Wang, X. (2003). Structure and thermal stability of microencapsulated phase-change materials. Colloid and Polymer Science, 282(4), 330-336. doi:10.1007/s00396-003-0925-

Improvement of microcapsules adhesion to fabrics

[EN] The presence of microcapsules has increased in the textile field. They have been applied as a possible means of introducing new products to textiles, such as fragrances, antibiotics, skin hydrants, etc. This work studied the influence of resin on the adhesion of microcapsules to cotton fabrics. To paste microcapsules to fabrics, they should be in contact with a bath which contains microcapsules, resin and water. Different concentrations of resin were applied to a fragrance microcapsule bath by impregnation. This research focuses on determining the influence of resin quantity on the microcapsule resistance to washing out of the fabrics during washing treatments. Two experimental techniques, scanning electron microscopy and counter apparatus, were used to determinate this influence. We conclude that with a higher quantity of resin, more microcapsules remain on the fabric surface. It was shown that longer microcapsules are washed out of the fabric faster than smaller microcapsules.Financial support from the Valencian Regional Government in the program of IMPIVA for increasing competitiveness in Valencia Companies ref: IMPCNG/2008/5, is gratefully acknowledged. The authors are also grateful to COLOR CENTER Company for kindly providing the microencapsulated samples used in this study.Monllor Pérez, P.; Capablanca Francés, L.; Gisbert Paya, J.; Díaz-García, P.; Montava Seguí, IJ.; Bonet Aracil, MA. (2010). Improvement of microcapsules adhesion to fabrics. Textile Research Journal. 80(7):631-635. https://doi.org/10.1177/004051750935644463163580

The documentation and educational centre information and informational services

This article is written by authors from Santa Clara, Cuba, that belong to the Pedagogical University "Félix Varela" and is titled: The Center for Educational Documentation and Information (CDIP) and information services, referring to work done by the CDIP, which highlights the main objective of preparing users based on them aware and know to use the resources that have been created to facilitate the search for information from the bibliography and use of new information technologies. They work at the University of Pedagogical Sciences and are responsible for selecting, acquiring, processing, store and make available to its users all the documents, audiovisual materials and technology related to education, pedagogy and other related sciences, with the aim of offer specialized information to all levels of education of the Ministry of Education, providing to all teachers and all who are interested in the educational field, the information necessary for their work pedagogical, both for development and improvement, as to investigate and solve problems in your classroom, school or community