The issue of antimicrobial resistance (AMR) is a focus of the World Health Organization, which proposes educational interventions targeting the public and healthcare professionals. Here, we present the first attempt at a regionwide multicomponent campaign in Sicily (Italy), called “Obiettivo Antibiotico”, which aims to raise the awareness of prudent use of antibiotics in the public and in healthcare professionals. The campaign was designed by an interdisciplinary academic team, and an interactive website was populated with different materials, including key messages, letters, slogans, posters, factsheets, leaflets, and videos. The campaign was launched in November 2018 and, as of 21 December 2018, the website had a total of 1159 unique visitors, of which 190 became champions by pledging to take simple actions to support the fight against AMR. Data from social media showed that the audience was between 18 and 54 years of age, with a high proportion of female participants (64%). Interestingly, the LinkedIn page received more than 1200 followers, and Facebook 685 followers. The number of actions taken (pledges) by the audience was 458, evenly divided between experts (53%) and the general public (47%). Additional efforts are needed to reach more people, thus future efforts should focus on further promotion within the Sicilian region to sustain the engagement with the campaign.

ObjectiveYoung people moving from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) are faced with significant challenges. To improve this state of affairs, there needs to be a recognition of the problem and initiatives and an urgent requirement for appropriate tools for measuring readiness and outcomes at the transfer boundary (16–18 years of age in Europe). The objective of this study was to develop and validate the Transition Readiness and Appropriateness Measure (TRAM) for assessing a young person’s readiness for transition, and their outcomes at the transfer boundary.DesignMILESTONE prospective study.SettingEight European Union (EU) countries participating in the EU-funded MILESTONE study.ParticipantsThe first phase (MILESTONE validation study) involved 100 adolescents (pre-transition), young adults (post-transition), parents/carers and both CAMHS and AMHS clinicians. The second phase (MILESTONE cohort study and nested cluster randomised trial) involved over 1000 young people.ResultsThe development of the TRAM began with a literature review on transitioning and a review of important items regarding transition by a panel of 34 mental health experts. A list of 64 items of potential importance were identified, which together comprised the TRAM. The psychometric properties of the different versions of the TRAM were evaluated and showed that the TRAM had good reliability for all versions and low-to-moderate correlations when compared with other established instruments and a well-defined factor structure. The main results of the cohort study with the nested cluster randomised trial are not reported.ConclusionThe TRAM is a reliable instrument for assessing transition readiness and appropriateness. It highlighted the barriers to a successful transition and informed clinicians, identifying areas which clinicians on both sides of the transfer boundary can work on to ease the transition for the young person.Trial registration numberISRCTN83240263 (Registered 23 July 2015), NCT03013595 (Registered 6 January 2017); Pre-results.

In the recent decades, there have been frequent conflicts between groundwater resources and environmentally hazardous activities. An example is the construction of the new highway through the important glaciofluvial esker aquifer Nybroåsen, which passes the protection zone of the water supply for the Kalmar municipality, in the southeastern part of Sweden. The decision to build the new road through this important aquifer has been strongly questioned by the municipality and the public because the value of the water resources in Nybroåsen was not taken into consideration during the first phase of the decision-making process. Multicriteria decision aid (MCDA) is applied as a tool to structure and analyze the four road alternatives proposed in the environmental impact assessment for the above conflict. The alternatives, including the existing road, are in conflict with water resources, agriculture, natural, and cultural values. The impacts on the water resources have been predicted by a two-dimensional physically based time-variant flow and solute groundwater model, which has been calibrated and evaluated. The MCDA illustrates how it can be used to identify (1) actors and their concerns, (2) ranking of alternative road scenarios according to actors' preferences, and (3) coalition groups of actors, i.e., groups that have similar views with regard to the road alternatives. The analysis shows that the two best compromise solutions obtained in the MCDA were unacceptable by the strongest coalition group, showing that either the family of criteria was not well chosen or new alternatives should have been developed.

It is expected that the number of evaluators will continue to grow in the near future. However, the heterogeneity of different national contexts makes the consolidation of a consistent ‘jurisdiction’ for the professional evaluator rather problematic. This article contributes to the debate on the professionalization of evaluators by looking at practices attributed, competences and skills required by employers, and the main topics addressed by the community of evaluators. The authors draw on various sources – ISCO08 (International Standard Classification of Occupation); ESCO (European Skills, Competences, Qualifications and Occupations); job offers posted on the EES (European Evaluation Society) website; EES LinkedIn group – to argue that the practice of evaluation has achieved a supranational dimension, with potential consequences both on evaluators’ educational profile and on the ways in which evaluations are commissioned and conducted.