During June 2022, Spain was one of the countries most affected worldwide by a multicountry monkeypox outbreak with chains of transmission without identified links to disease-endemic countries. We provide epidemiologic features of cases reported in Spain and the coordinated measures taken to respond to this outbreak.

Routine outcome monitoring (ROM) is an evidence-based practice that involves regularly measuring treatment progress and alliance/client engagement. ROM use is associated with better client outcomes, so much so that a Canadian Psychological Association (CPA) task force recently recommended that ROM training and supervision be included in CPA's Accreditation Standards. Unfortunately, previous research suggests Canadian ROM use, including in psychology training, is relatively low. The objective of this study was to gather information about ROM training practices in Canadian psychology programs, with an emphasis on training clinics. Data were obtained for 21 CPA-accredited Clinical, Counseling, or Combined Clinical/ Counseling Psychology graduate programs (60% of eligible programs). Only seven (38.9%) of the 18 programs with a training clinic that provided ROM use data reported that they typically use ROM in their clinics, and the majority of these did not require supervisors to use ROM data in supervision. Top-rated reasons for using ROM focused on the educational benefits for students. The use of ROM to evaluate students' strengths and weaknesses was ranked least important. The most important reasons for not using ROM were resource-and supervisor-related concerns. The low use observed in this study is consistent with past research suggesting that the use of ROM in Canadian psychology programs is low compared to American counterparts. Benefits of and resources for successful implementation in psychology training clinics are discussed. Future research should focus on implementation efforts in psychology training settings. Public Significance Statement Training in monitoring psychotherapy progress session-by-session has been recommended for students in graduate psychology programs. The extent of such training in Canadian psychology programs was examined. Overall, training and practice in psychotherapy monitoring in psychology training clinics was low and should be increased.

Poor sleep is a widespread concern among undergraduate students. Romantic relationships have special prominence in emerging adulthood and have been shown to influence sleep in other adult populations. This study investigated the association between relationship satisfaction and sleep in 60 undergraduate students currently involved in a romantic relationship. Subjective sleep was assessed with the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI). Actigraphy was used to assess objective sleep duration, sleep efficiency, wake after sleep onset, and sleep onset latency. Hierarchical regression analyses were conducted. After adjusting for age, body mass index, ethnicity and symptoms of depression, greater relationship satisfaction was positively associated with actigraphy assessed total sleep time and sleep efficiency and negatively associated with wake after sleep onset. No associations were observed with subjectively assessed sleep. Future research should explore mechanisms linking relationship functioning to sleep among undergraduate students. Advocacy efforts should focus on ensuring availability of relational interventions for undergraduate students to optimize their well-being.

This work presents a web portal for telematic training in work-related risk prevention: noise at work and machine vibrations. Training in Work-related Risk Prevention, especially in the area of Industrial Hygiene, has a practical laboratory component, which is fundamental for a correct preparation of prevention technicians so that they can become acquainted with the field equipment that they have to use in risk evaluation, its configuration, principal parts and handling; everything from its calibration to its application in measuring as a function of the job's conditions, always within the correct methodological application dictated by the national and international norms which regulate these field applications. This signifies important time expenditure for specialist teachers and in field equipment for the users being trained. With virtual laboratories containing the web application developed it is aimed to complement experimental laboratory training, with simulative tools which provide the knowledge and the practical handling of the equipment under the most real conditions possible, thus considerably reducing the number of laboratory hours necessary. It is a matter of having a catalogue of virtual laboratories with a free and easy access, the one in the first stage being specifically that corresponding to noise at work.

Objective: This study aimed to retrospectively explore the differences between COVID-19 outbreaks, based on their association with sport/exercise practice and whether expansion among confirmed cases was observed in these settings. Method: Data from 5,327 COVID-19 outbreaks from the Epidemiological Surveillance Network of the Canary Islands were extracted between 31 January 2020 and 15 May 2021. We compared outbreaks in confirmed cases, close contacts, hospitalisations, admissions to Intensive Care Unit (ICU) and deaths. Results: The median number of cases per outbreak in sport/exercise settings with transmission was significantly larger (9 [5–16]) compared with outbreaks in other settings (4 [3–7]). Similarly, age of first case (35 [25–44] vs. 42 [30–55] years) and number of close contacts (30 [10–62] vs. 10 [5–21]) presented significant differences. However, no differences were found in number of hospitalisations, admissions to ICU and deaths per outbreak. Conclusions: Sport and exercise settings may pose a significant burden for contact tracing investigators since they tend to produce larger outbreaks. Regulations did not seem to completely control transmission. To enhance cooperation, specific recommendations and tailored advice are required according to the particular sport or exercise, the environment where it is practised and the available means of the facilities. Policies should encourage alternatives for safer sport/exercise practices.