Intervenir sobre la agresividad en la conducción.

El Instituto Universitario de Investigación en Tráfico y Seguridad Vial (INTRAS) y Attitudes (programa social de Audi), tras la publicación de los libros "La agresividad en la conducción: Una investigación a partir de la visión de la población española" y "La agresividad en la conducción: una visión a partir de las investigaciones internacionales", se plantearon como actividad complementaria la realización de unas jornadas que cumplieran los siguientes objetivos: • Permitir avanzar en el conocimiento y la implementación de medidas que contribuyan a una mejora de la seguridad vial. • Servir como foro de expresión para científicos y profesionales con un tono constructivo, plural e integrador. • Tener un componente de difusión tanto al público científico y profesional, como a la población en general a través de una amplia convocatoria a los medios de comunicación. • Partir de una rigurosidad científica en su planteamiento, siendo ésta la única imposición que centrara las intervenciones de todos los participantes. Sus características serían: • La temática es la agresividad en la conducción. • Se desarrolla mediante la organización de varios Focus-group (grupos de discusión) que sirvan de reunión de expertos y responsables en las materias y campos de actuación confluyentes en esta problemática. • Dichos Focus-group cuentan con personas relevantes de nuestro país. • Tener unos documentos que centraran la discusión (mediante la aportación a los miembros de los Focus-group de los libros mencionados). • Una conferencia magistral de una prestigiosa investigadora en la temática propuesta (la agresividad en la conducción) como es el caso de Dianne Parker, profesora de psicología de la Universidad de Manchester (UK) y Directora del Driver Behavior Research Unit. • Dividida en dos días, para atender a dos objetivos tan distintos como complementarios. El primero de ellos para el desarrollo de los Focus-group donde se pproducen los debates entre los expertos y el segundo de ellos para servir de plataforma de divulgación de los resultados de los estudios, de la conferencia magistral y de los resultados de los distintos Focus-group. Las 1as Jornadas de Reflexión Attitudes: "La agresividad en la conducción” se llevaron a cabo los días 17 y 18 de octubre de 2002. Se desarrollaron cuatro Focus-group con los siguientes títulos: • "Intervenir sobre la agresividad en la conducción: aspectos jurídicos-legales" • "Intervenir sobre la agresividad en la conducción: programas educativos y sociales" • "Intervenir sobre la agresividad en la conducción: medios de comunicación y publicidad" • "Los niños y la agresividad en la conducción" Y esto que tiene entre sus manos es el cuaderno que recoge las conclusiones de las referidas jornadas. Encontrarán, en correspondencia con los Focus-group mencionados, tanto los intervinientes en los mismos como un resumen de las principales líneas de debate y conclusiones a las que llegaron cada uno de ellos. Nuestro último objetivo es impulsar e iniciar un segundo paso en la actividad de investigación-intervención, que desarropado de protagonismo, desde la integración y suma de esfuerzos de instituciones y personas, permita avanzar más y más rápido en el sentido deseado de prevenir la accidentalidad viaria abordando en este caso el factor de riesgo de la agresividad en la conducción

Beach lifeguard intervention data as a tool for detecting jellyfish population trends and jellyfish sting >hot spots>

5th International Jellyfish Bloom Symposium, 30 May to 3 June 2016, Barcelona.-- 1 page, 4 figuresDespite their ecological and socio-economic impact, on tourism, fisheries and aquaculture, for instance, quantitative data on jellyfish abundance in coastal areas is scarce. As part of the LIFE Cubomed project, we explored the usefulness of data on beach lifeguard interventions as a tool for monitoring seasonal trends and spatial distribution of coastal jellyfish.Lifeguard services in the Spanish Mediterranean cover almost all beaches during the tourist season and attend around 200,000 non-severe injuries each year. Jellyfish stings account for around 65% of these interventions. We developed a Sting Index (SI) to determine the seasonal trend of jellyfish stings at different spatial scales and consider it a good indicator of jellyfish abundance. The number of stings is standardized by the sum of injuries (wounds, dislocation, bruising, bone fracture, fainting and sunburn), which are proportional to the amount of people on the beach. We calculated the average SI over 4 years (2010-2013) at some 400 lifeguard stations along the Spanish Mediterranean. SI values ranged between 1.8 and 2.7 and showed no significant trends during this period. This could reflect stable population levels in the area. However, the SI did allow us to detect “hot spots”, where the rate of stings was up to 10 times the average, and we were able to correlate these areas to the presence of certain jellyfish species. This kind of information can be obtained from places where records are kept on jellyfish stings and can help to obtain data on jellyfish at a larger geographical scalePeer Reviewe

Jellyfish stings in Western Mediterranean beaches: epidemiology and analysis of tourist perception may support the improvement of local adaptation policy and the adoption of countermeasures in coastal areas

5th International Jellyfish Bloom Symposium, 30 May to 3 June 2016, Barcelona.-- 1 pageWithin the framework of the LIFE CuboMed and Med-Jellyrisk projects, a retrospective study on the epidemiology of jellyfish stings -based on datasets of beach lifeguard stations- was carried out along the Spanish Mediterranean and Maltese beaches. This study aimed to identify best practices and opportunities for injury reduction, leading to substantial improvements in touristic experience. The cooperation with local authorities and lifeguard volunteers allowed the gathering of information on lifeguard assistance from the beaches of 183 out of the 234 coastal cities along the Mediterranean Spanish coasts, from late June to the beginning of September 2012. A total of 176,021 injuries were reported, with jellyfish stings ranking as the main lifeguard assistance category (66%). Jellyfish stings were the prevailing assistance category also in Malta, for the 2011-2015 summer seasons, being responsible on average for 51% of all lifeguard assistance calls. A complementary study was carried out in summer 2012 and 2013 to detect the stinging jellyfish impact on human health at the Italian island of Lampedusa in the Sicily Channel. A total of 1,000 tourists were directly interviewed over the two years. The jellyfish impact was higher in 2013, with up to 33% of respondents being stung by jellyfish. More than 60% of the stung bathers adopted self-medication, preferring ammonia to alcohol, water, vinegar, cortisone or ice. Effective preventive and mitigation strategies will require targeted planning and monitoring of health services and lifeguard stations at tourist hot spots, possibly implemented through a real-time web tool at local, national, and basin-wide levelsPeer Reviewe

Micro-scale distribution of recently-detached Carybdea marsupialis box jellyfish along the coast of Denia (W. Mediterranean)

5th International Jellyfish Bloom Symposium, 30 May to 3 June 2016, Barcelona.-- 1 pageCarybdea marsupialis have been found in high densities (~90 ind m3 juveniles, ~51 ind m3 adults) in shallow waters along the coast of Denia (W. Mediterranean) since summer 2008, varying significantly in abundance from year to year. In order study the role of juvenile stages in population dynamics, we analyzed the seasonal and micro-scale spatial distribution of recently-detached cubomedusae (~0.5 mm DBW). The main objective was to determine whether their distribution was focused or dispersed, as a means of revealing the location of the polyps. We also tested the correlation between environmental variables such as nutrient (P, N, Si), Chl-a and zooplankton abundance. During 2015 we collected samples from 33 points: 11 points along 15km of coastline at 3 distances from the coast (0m, 250m and 500m). Recently-detached C. marsupialis were almost only present at a depth of 0m in the samples collected from May to July. Maximum densities (~5 ind m3) were recorded in June in the centre of the study area. We hypothesized that the polyps would be located where the adults had mated the previous year. However, the distribution of recently-detached individuals did not coincide with the higher 2014 adult densities. This might be ascribed to the advection caused by the currents, which alternate along the coast. Abundance was not directly correlated with either zooplankton, nutrients or Chl-a. The next step would be to model the currents pattern and its effect in the dispersion and survival of juvenilesPeer Reviewe

Proposed recommendations for the management of depression in adults with epilepsy: an expert consensus

Introduction Experts agree that there is a need for protocols to guide health professionals on how to best manage psychiatric comorbidities in patients with epilepsy (PWE). We aimed to develop practical recommendations for key issues in the management of depression in PWE. Methods This was a qualitative study conducted in four steps: (1) development of a questionnaire on the management of depression in PWE to be answered; (2) literature review and, if evidence from guidelines/consensus or systematic reviews was available, drafting initial recommendations; (3) a nominal group methodology for reviewing initial recommendations and formulating new recommendations on those issues without available evidence; and (4) drafting and approving the final recommendations. A scientific committee (one neurologist and one psychiatrist) was responsible for the development of the project and its scientific integrity. The scientific committee selected a panel of experts (nine neurologists and nine psychiatrists with experience in this field) to be involved in the nominal group meetings and to formulate final recommendations. Results Fifteen recommendations were formulated. Four on the screening and diagnosis: screening and diagnosis of depression, evaluation of the risk of suicide, and diagnosis of depression secondary to epilepsy; nine on the management of depression: referral to a psychiatrist, selection of the antiseizure medication, change of antiseizure medication, antidepressant treatment initiation, selection of antidepressant, use of antidepressants during pregnancy, use of psychotherapy, antidepressant treatment duration, and discontinuation of antidepressant treatment; two on the follow-up: duration of the follow-up under usual conditions, and follow-up of patients at risk of suicide. Conclusion We provide recommendations based on expert opinion consensus to help healthcare professionals assess depression in PWE. The detection and treatment of major depressive disorders are key factors in improving epilepsy outcomes and avoiding suicide risk.Funding: This project and journal fee was funded by Laboratorios Bial, S.A. (Madrid, Spain). However, Laboratorios Bial, S.A. (Madrid, Spain) did not participate in any of the steps of the project or in the preparation of this manuscript