Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile

Background: Depression is one of the most common mental health problems worldwide and, while prevalence rates in Latin America are relatively high, most people who meet the criteria for diagnosis do not receive treatment. Family and friends of a person with depression can play an important role in supporting a person to seek and engage with treatment. However, many people do not have the necessary skills or confidence to help. English-language mental health first aid guidelines have been developed to support people to provide such help. The aim of this study was to culturally adapt these guidelines for Chile and Argentina. Methods: A Delphi expert consensus study was conducted with two expert panels, one of people with lived experience of depression (either their own or as a carer; n = 26) and one of health professionals (n = 29). Overall, 172 statements from the English-language guidelines were translated and compiled into a questionnaire. Participants were asked to rate statements based on how essential or important those statements were for Chile and Argentina and to suggest new statements if necessary. Results: Data were obtained over two survey rounds. Consensus was achieved on 172 statements. A total of 137 statements were adopted from the English-language guidelines, whereas 35 new endorsed statements were generated from panel suggestions. There were similarities between the English-language guidelines and those for Chile and Argentina. The adapted guidelines did not include some of the items from the English-language guidelines related to commenting on a person’s strengths or making judgements about their character, and also incorporated new items related to the incorporation of sociocultural considerations as causes of depression and attention to inequities in mental health. Conclusions: The significant number of new items underscores the importance of undertaking a careful process of cultural adaptation. Further research on dissemination and incorporation of the guidelines into the Mental Health First Aid training course for Chile and Argentina is still required.Fil: Encina Zúñiga, Esteban. Universidad de Chile; ChileFil: Agrest, Martín. No especifíca;Fil: Tapia Munoz, Thamara. University College London; Estados UnidosFil: Vidal-Zamora, Isidora. Universidad de Chile.; ChileFil: Ardila Gómez, Sara Elena. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Alvarado, Rubén. Universidad de Valparaíso; ChileFil: Leiderman, Eduardo A.. Universidad de Palermo. Facultad de Ciencias Sociales; ArgentinaFil: Reavley, Nicola. University of Melbourne; Australi

Habilitador de Presencia Enriquecida para aplicaciones de Telemonitorización de variables biomédicas en Redes IP Multimedia Subsystem

En el presente trabajo se presenta el diseño e implementación de un servicio habilitador de presencia enriquecida para aplicaciones de telemonitorización de variables biomédicas implantadas sobre redes IMS. El habilitador adapta el formato estándar de presencia basado en el protocolo SIP utilizado para enviar información relativa (disponibilidad, estado, etc.) a un usuario que utiliza servicios de la red IMS (videollamada, mensajería instantánea, etc.). Esta adaptación consiste en la inclusión de información relativa a un servicio de telemonitorización añadiendo características del dispositivo empleado y de las variables biomédicas medidas. Debido a las características de la red IMS, el habilitador es independiente del dispositivo de monitorización utilizado y de los clientes SIP a los que se les envía la información de presencia. El funcionamiento del habilitador ha sido probado simulando una aplicación de teleasistencia implantada en una pasarela domiciliaria

The absence of 5-HT4 receptors modulates depression- and anxiety-like responses and influences the response of fluoxetine in olfactory bulbectomised mice: Adaptive changes in hippocampal neuroplasticity markers and 5-HT1A autoreceptor

reclinical studies support a critical role of 5-HT4 receptors (5-HT4Rs) in depression and anxiety, but their influence in depression- and anxiety-like behaviours and the effects of antidepressants remain partly unknown. We evaluated 5-HT4R knockout (KO) mice in different anxiety and depression paradigms and mRNA expression of some neuroplasticity markers (BDNF, trkB and Arc) and the functionality of 5-HT1AR. Moreover, the implication of 5-HT4Rs in the behavioural and molecular effects of chronically administered fluoxetine was assessed in naïve and olfactory bulbectomized mice (OBX) of both genotypes. 5-HT4R KO mice displayed few specific behavioural impairments including reduced central activity in the open-field (anxiety), and decreased sucrose consumption and nesting behaviour (anhedonia). In these mice, we measured increased levels of BDNF and Arc mRNA and reduced levels of trkB mRNA in the hippocampus, and a desensitization of 5-HT1A autoreceptors. Chronic administration of fluoxetine elicited similar behavioural effects in WT and 5-HT4R KO mice on anxiety-and depression-related tests. Following OBX, locomotor hyperactivity and anxiety were similar in both genotypes. Interestingly, chronic fluoxetine failed to reverse this OBX-induced syndrome in 5-HT4R KO mice, a response associated with differential effects in hippocampal neuroplasticity biomarkers. Fluoxetine reduced hippocampal Arc and BDNF mRNA expressions in WT but not 5-HT4R KO mice subjected to OBX. These results demonstrate that the absence of 5-HT4Rs triggers adaptive changes that could maintain emotional states, and that the behavioural and molecular effects of fluoxetine under pathological depression appear to be critically dependent on 5-HT4RsThis research was supported by Spanish Ministry of Economy and Competitiveness (SAF2011-25020), and Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM)

Altered clock gene expression in obese visceral adipose tissue is associated with metabolic syndrome

Clock gene expression was associated with different components of metabolic syndrome (MS) in human adipose tissue. However, no study has been done to compare the expression of clock genes in visceral adipose tissue (VAT) from lean and obese subjects and its clinical implications. Therefore, we studied in lean and obese women the endogenous 24 h expression of clock genes in isolated adipocytes and its association with MS components. VAT was obtained from lean (BMI 21-25 kg/m2; n = 21) and morbidly obese women (BMI >40 kg/m2; n = 28). The 24 h pattern of clock genes was analyzed every 6 hours using RT-PCR. Correlation of clinical data was studied by Spearman analysis. The 24 h pattern of clock genes showed that obesity alters the expression of CLOCK, BMAL1, PER1, CRY2 and REV-ERB ALPHA in adipocytes with changes found in CRY2 and REV-ERB ALPHA throughout the 24 h period. The same results were confirmed in VAT and stromal cells (SC) showing an upregulation of CRY2 and REV-ERB ALPHA from obese women. A positive correlation was observed for REV-ERB ALPHA gene expression with BMI and waist circumference in the obese population. Expression of ROR ALPHA was correlated with HDL levels and CLOCK with LDL. Obese subjects with MS exhibited positive correlation in the PER2 gene with LDL cholesterol, whereas REV-ERB ALPHA was correlated with waist circumference. We identified CRY2 and REV-ERB ALPHA as the clock genes upregulated in obesity during the 24 h period and that REV-ERB ALPHA is an important gene associated with MS

Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile

Background: Suicide continues to pose a significant global public health challenge and ranks as one of the leading causes of death worldwide. Given the prevalence of suicide risk in the community, there is a significant likelihood of encountering individuals who may be experiencing suicidal thoughts or plans, creating an opening for non-health professionals to offer support. This study aims to culturally adapt the original Australian Mental Health First Aid Guidelines for suicide risk to the Chilean and Argentine context. Methods: A two-round Delphi expert consensus study was conducted involving two panels, one comprising individuals with personal experience in suicide thoughts/attempts or caregiving for those with such experiences (n = 18), and the other consisting of professionals specialized in suicide assessment and support for individuals at risk (n = 25). They rated a total of 179 items mainly derived from guidelines developed by Australian experts and translated into Spanish (168), and new items included by the research team (11). The panel members were requested to assess each item utilizing a five-point Likert scale. During the second round, items that received moderate approval in the initial round were re-evaluated, and new items suggested by the local experts in the first round were also subjected to evaluation in the next round. Inclusion in the final guidelines required an 80% endorsement as “essential” or “important” from both panels. Results: Consensus of approval was reached for 189 statements. Among these, 139 statements were derived from the English-language guidelines, while 50 locally generated statements were accepted during the second round. A significant difference from the original guideline was identified concerning the local experts’ reluctance to discuss actions collaboratively with adolescents. Furthermore, the local experts proposed the inclusion of an entirely new section addressing suicide risk in older individuals, particularly focusing on suicide methods and warning signs. Conclusions: A Delphi expert consensus study was conducted to culturally adapt mental health first aid guidelines for assessing suicide risk in Chile and Argentina. This study involved professionals and individuals with lived experience. While many items were endorsed, some related to inquiring about suicide risk and autonomy, particularly for adolescents, were not. An additional section for older individuals was introduced. Future research should explore the implementation and impact of these adapted guidelines in training courses. This is vital for enhancing mental health support and implementing effective suicide prevention strategies in Chile and Argentina.Fil: Encina Zúñiga, Esteban. Universidad de Chile; ChileFil: Rodante, Demián. Universidad de Buenos Aires; ArgentinaFil: Agrest, Martín. Universidad de Buenos Aires. Facultad de Psicología; ArgentinaFil: Tapia Muñoz, Thamara. University College London; Estados UnidosFil: Vidal Zamora, Isidora. Universidad de Chile.; ChileFil: Ardila Gómez, Sara Elena. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; ArgentinaFil: Alvarado, Rubén. Universidad de Chile.; ChileFil: Leiderman, Eduardo A.. Universidad de Palermo. Facultad de Ciencias Sociales; ArgentinaFil: Reavley, Nicola. University of Melbourne; Australi

Macro- and micro-geographic variation of short-beaked common dolphin’s whistles in the Mediterranean Sea and Atlantic Ocean

Author Posting. © The Author(s), 20113. This is the author's version of the work. It is posted here by permission of Taylor & Francis for personal use, not for redistribution. The definitive version was published in Ethology Ecology & Evolution 26 (2014): 392-404, doi:10.1080/03949370.2013.851122.Genetic studies have shown that there are small but significant differences between the short-beaked common dolphin populations in the Atlantic Ocean and those in the Mediterranean Sea. The short-beaked common dolphin is a highly vocal species with a wide sound production repertoire including whistles. Whistles are continuous, narrowband, frequency-modulated signals that can show geographic variation in dolphin species. This study tests whether the differences, highlighted by genetic studies, are recognisable in the acoustic features of short-beaked common dolphin’s whistles in the two adjacent areas of the Atlantic Ocean and the Mediterranean Sea. From a selected sample of good quality whistles (514 recorded in the Atlantic and 193 in the Mediterranean) 10 parameters of duration, frequency and frequency modulation were measured. Comparing data among basins, differences were found for duration and all frequency parameters except for minimum frequency. Modulation parameters showed the highest coefficient of variation. Through discriminant analysis we correctly assigned 75.7% of sounds to their basins. Furthermore, micro-geographic analysis revealed similarity between the sounds recorded around the Azores and the Canary archipelagos and between the Bay of Biscay and the Mediterranean Sea. Results are in agreement with the hypothesis proposed by previous genetic studies that two distinct populations are present, still supposing a gene flow between the basins. This study is the first to compare shortbeaked common dolphin’s whistles of the Atlantic Ocean and the Mediterranean areas.Data collection and processing in the Azores was conducted under projects POCTI/BSE/38991/01, PTDC/MAR/74071/2006 and M2.1.2/F/012/2011, supported by FCT (Fundação para a Ciência e a Tecnologia) and DRCTC/SRCTE (Secretaria Regional de Ciência, Tecnologia e Equipamentos), FEDER funds, the Competitiveness Factors Operational (COMPETE), QREN European Social Fund and Proconvergencia Açores Program. We acknowledge funds provided by FCT to LARSyS Associated Laboratory & IMAR-University of the Azores/ the Thematic Area E of the Strategic Project (OE & Compete) and by the DRCTC – Government of the Azores pluriannual funding. M.A. Silva was supported by an FCT postdoctoral grant (SFRH/ BPD/29841/2006). I. Cascão and R. Prieto were supported by FCT doctoral grants (SFRH/BD/ 41192/2007 and SFRH/BD/32520/2006, respectively) and R. Prieto by a research grant from the Azores Regional Fund for Science and Technology (M3.1.5/F/115/2012). Data collection by SECAC (Society for the Study of Cetaceans in the Canary Archipelago) was funded by the U.E. LIFE programme – project LIFE INDEMARES (LIFE 07/NAT/E/000732)- and the Fundación Biodiversidad, under the Spanish Ministry of Environment, Rural and Marine Affairs (project ZEC-TURSIOPS).2014-11-0

Realización de un congreso online para fomentar la participación y aprendizaje en reuniones científicas

Los congresos científicos son una herramienta tan valiosa como infrautilizada en el aprendizaje para estudiantes de tercer ciclo y es que, desgraciadamente, éstos no son aprovechados al máximo puesto que las intervenciones en las que los estudiantes plantean dudas o preguntas son prácticamente nulas. Con el objetivo de fomentar la participación de los estudiantes en los congresos científicos, se ha organizado y realizado un congreso online para estudiantes de máster y doctorado en el programa interuniversitario "Electroquímica. Ciencia y Tecnología", empleando la herramienta Moodle. En este congreso, los alumnos han presentado comunicaciones científicas en formato póster y se han llevado a cabo discusiones científicas sobre estas contribuciones. Para fomentar la participación de los alumnos, se han otorgado certificados de participación y premios al estudiante más participativo y al mejor póster. El congreso ha sido evaluado por parte de los participantes mediante una encuesta, con el fin de obtener un feedback para una posible próxima edición del congreso

Celebración del I Congreso Online de Jóvenes Investigadores, herramienta científica de presente y futuro

Históricamente, los congresos científicos son, y han sido, uno de los mecanismos más efectivos para la difusión y el debate del conocimiento. A pesar de ello, un ambiente altamente formal no es el más idóneo para que los estudiantes de tercer ciclo saquen el máximo rendimiento, relegándolos a un segundo plano y anulando prácticamente su participación. Con el reto de propiciar la intervención de los estudiantes de máster y doctorado, fundamentalmente a través de planteamiento de preguntas, se ha organizado y celebrado el I Congreso Online de Jóvenes Investigadores en Electroquímica. Enmarcado en los programas interuniversitarios de máster y doctorado de “Electroquímica. Ciencia y Tecnología”, y mediante la herramienta Moodle, los estudiantes han participado en el congreso mediante comunicaciones en formato de póster. Además, han podido mantener discusiones científicas y expresar sus dudas e inquietudes hacia el trabajo de sus compañeros. Para implicar al alumno, se han otorgado certificados de participación y varios premios, uno de ellos otorgado por los propios estudiantes mediante un sistema de votación. En previsión de próximas ediciones del congreso se hizo una encuesta de satisfacción y sugerencias entre los participantes

Dolphin whistles can be useful tools in identifying units of conservation

Data collection and processing in the Azores was funded by Fundação para a Ciência e a Tecnologia (FCT) and Fundo Regional da Ciência e Tecnologia (FRCT), through research projects TRACE-PTDC/MAR/74071/2006 and MAPCET-M2.1.2/F/012/2011 (FEDER, the Competitiveness Factors Operational (COMPETE), QREN European Social Fund, and Pro convergencia Açores/EU Program). We also thank FCT for supporting MARE (UID/MAR/04292/2019) and OKEANOS (UIB/05634/2020), as well as for the research grants awarded to PR (SFRH/BPD/108007/2015) and CI (Project Awareness - PTDC/BIA-BMA/30514/2017). SMA is supported through project SUMMER (H2020-EU.3.2.3.1, GA 817806). Data collection by SECAC was funded by the EU LIFE programme—project LIFE INDEMARES (LIFE 07/NAT/E/000732)— and the Fundación Biodiversidad under the Spanish Ministry of Environment, Rural and Marine Affairs (project ZEC-TURSIOPS). EP was supported by a LLP/Erasmus grant 2010–2011 for collecting data in the Canary Islands.Background: Prioritizing groupings of organisms or ‘units’ below the species level is a critical issue for conservation purposes. Several techniques encompassing different time-frames, from genetics to ecological markers, have been considered to evaluate existing biological diversity at a sufficient temporal resolution to define conservation units. Given that acoustic signals are expressions of phenotypic diversity, their analysis may provide crucial information on current differentiation patterns within species. Here, we tested whether differences previously delineated within dolphin species based on i) geographic isolation, ii) genetics regardless isolation, and iii) habitat, regardless isolation and genetics, can be detected through acoustic monitoring. Recordings collected from 104 acoustic encounters of Stenella coeruleoalba, Delphinus delphis and Tursiops truncatus in the Azores, Canary Islands, the Alboran Sea and the Western Mediterranean basin between 1996 and 2012 were analyzed. The acoustic structure of communication signals was evaluated by analyzing parameters of whistles in relation to the known genetic and habitat-driven population structure. Results: Recordings from the Atlantic and Mediterranean were accurately assigned to their respective basins of origin through Discriminant Function Analysis, with a minimum 83.8% and a maximum 93.8% classification rate. A parallel pattern between divergence in acoustic features and in the genetic and ecological traits within the basins was highlighted through Random Forest analysis. Although it is not yet possible to establish a causal link between each driver and acoustic differences between basins, we showed that signal variation reflects fine-scale diversity and may be used as a proxy for recognizing discrete units. Conclusion: We recommend that acoustic analysis be included in assessments of delphinid population structure, together with genetics and ecological tracer analysis. This cost-efficient non-invasive method can be applied to uncover distinctiveness and local adaptation in other wide-ranging marine species.Publisher PDFPeer reviewe

Validation of a phase space determination algorithm for intraoperative radiation therapy

Monte-Carlo (MC) methods are a valuable tool for dosimetry in radiotherapy, including Intra-Operative Electron Radiotherapy (IOERT), since effects such as inhomogeneities or beam hardening may be realistically reproduced