Resilience and Mental Health in Adult Survivors of Child Abuse Associated with the Institution of the Austrian Catholic Church

In recent years, reports of institutional abuse within the Catholic Church have emerged and research on the consequences on mental health is in its beginnings. In this study, we report findings on current mental health and resilience in a sample of adult survivors of institutional abuse (N = 185). We compared 3 groups of survivors that differed regarding their current mental health to investigate aspects of resilience, coping, and disclosure. The majority of the sample was male (76.2%), the mean age was 56.28 (SD = 9.46) years, and more than 50.0% of the sample was cohabiting/married. Most of the survivors reported severe mental health problems. Known protective factors (education, social support, age) were not associated with mental health in our sample. Our findings corroborate that institutional abuse has long‐term effects on mental health. We found that fewer emotional reactions during disclosure, task‐oriented coping, and optimism were associated with better mental health. The study was limited by a cross‐sectional design, but we conclude that the kind of institutional abuse reported is especially adverse, and thus typical protective factors for mental health do not apply. Future research should focus on intrapersonal factors and institutional dynamics to improve treatment for persons affected by institutional abuse.     

Analysis of ultrastructural synaptic apparatus in parietal neurocortical and midbrain neurons in animals with experimental mild craniocerebral injury prior to and following magneto-laser therapy

Background

Magnetic laser therapy is widely used in general medicine in a complex treatment of many diseases. This is due to its unique and versatile biological properties; it which activates intracellular metabolic processes and expedites the repair of damaged tissues. Magnetic laser therapy is an important area of modern theoretical and clinical physiotherapy; It is used in the treatment of dermatological, general surgical, endocrinological, and dental diseases; pain syndromes; and other conditions.

Objectives

Our objective is to assess the therapeutic efficacy of magnetic laser therapy in experimental mild traumatic brain injury in rabbits.

Material and Methods

We evaluated the therapeutic efficacy of magnetic laser therapy in experimental mild traumatic brain injury in 20 rabbits based on an analysis of ultrastructure of synaptic apparatus of neurons in the parietal and midbrain regions. Magnetic transcranial laser influence exercised by our developed method.

Results

The course of magnetic laser therapy led to statistically significant changes in quantitative characteristics of the ultrastructural components in the synaptic apparatus of neurons that express the activation of compensatory processes and restoration of structural and functional integrity of the synaptic apparatus of neurons in experimental mild traumatic brain injury.     

Impact of human myelin on the maturation and function of human monocyte-derived dendritic cells

Macrophages and dendritic cells (DC) play an important role in the immunopathology of multiple sclerosis. We analyzed the impact of human myelin on monocyte-derived DC and describe their immunostimulatory capacity. Cells were grown on myelin and stimulated with LPS or a defined maturation cocktail. DC activation was analyzed by the expression of cell surface markers and the secretion of cytokines and chemokines. The immunostimulatory capacity of DC was assessed by allogeneic mixed-leukocyte reactions via proliferation. Additionally, their ability to bias T cells towards Th1, Th17 or Treg differentiation was investigated. We found that phagocytosis of myelin impaired the activation of DC, displayed by an impaired ability to stimulate allogeneic T cells, an increased production of TGF-β1 and a diminished upregulation of CCR7 but did not affect the differentiation into T helper cell subsets. We hypothesize that myelin influences DC activation and plays a pivotal role in balancing immunity and tolerance.     

Effects of Bariatric Surgery on Mortality,Cardiovascular Events,and Cancer Outcomes in Obese Patients: Systematic Review and Meta-analysis

Background

The long-term effects of bariatric surgery have yet to be established, and a number of important studies have recently emerged. This systematic review aimed to assess the effects of bariatric surgery on all-cause mortality, cardiovascular events, and cancer compared to non-surgical treatment.

Methods

We searched PubMed, EMBASE, and CENTRAL up to July 13, 2015, and included randomized controlled trials (RCTs) and non-randomized controlled studies comparing bariatric surgery versus non-surgical treatment and reporting data on the three defined outcomes at 1 year or longer. We analyzed RCTs and non-randomized controlled studies, respectively.

Results

Eleven RCTs, 4 non-randomized controlled trials, and 17 cohort studies were included. The randomized evidence suggested substantial uncertainty regarding the effects on all-cause mortality (0/382 vs. 1/287; 7 studies), cancer (OR 0.77, 95 % CI 0.22 to 2.71; 4 studies), and cardiovascular events (no data). The pooled adjusted estimates from non-randomized studies suggested that, compared to the control, the surgical group had lower risk of all-cause mortality (OR 0.55, 95 % CI 0.46 to 0.65; 10 studies), cancer (OR 0.74, 95 % CI 0.65 to 0.85; 2 studies), and cardiovascular events (MI: OR 0.71, 95 % CI 0.54 to 0.94; stroke: OR 0.66, 95 % CI 0.49 to 0.89; and their composite: OR 0.67, 95 % CI 0.54 to 0.83; 1 study).

Conclusions

In conclusion, bariatric surgery could reduce all-cause mortality and probably reduce the risk of any type of cancer. The inference was, however, based on studies with limited methodological rigor. Uncertainty remains regarding the effects on cardiovascular events.

     

Severe Preeclampsia and Maternal Self‐Report of Oral Health,Hygiene, and Dental Care

Background: Maternal periodontal disease diagnosed by a detailed oral health examination is associated with preeclampsia. Our objective was to measure the association between maternal self‐report of oral symptoms/problems, oral hygiene practices, and/or dental service use before or during pregnancy and severe preeclampsia. Methods: A written questionnaire was administered to pregnant females at the time of prenatal ultrasound and outcomes were ascertained by chart abstraction. The χ² test compared maternal oral symptoms/problems, hygiene practices, and dental service use between females with severe preeclampsia versus normotensive females. Multivariable logistic regression was used to calculate adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for severe preeclampsia. Results: A total of 48 (10%) of 470 females reported ≥2 oral symptoms/problems in the 6 months before pregnancy and 77 (16%) since pregnancy. Fifty‐one (11%) reported previous periodontal treatment. Twenty‐eight (6%) of 470 developed severe preeclampsia. Females with a history of periodontal treatment were more likely to develop severe preeclampsia (aOR = 3.71; 95% CI = 1.40 to 9.83) than females without a history of periodontal treatment. Self‐reported oral health symptoms/problems, oral hygiene practices, or dental service use before or during pregnancy were not associated with severe preeclampsia when considered in the context of other maternal risk factors. Conclusion: Maternal self‐report of previous periodontal treatment before pregnancy is associated with severe preeclampsia.     

Nasopharyngeal Microbiota in Healthy Children and Pneumonia Patients

Our study is the first to compare the nasopharyngeal microbiota of pediatric pneumonia patients and control children by 454 pyrosequencing. A distinct microbiota was associated with different pneumonia etiologies. Viral pneumonia was associated with a high abundance of the operational taxonomic unit (OTU) corresponding to Moraxella lacunata. Patients with nonviral pneumonia showed high abundances of OTUs of three typical bacterial pathogens, Streptococcus pneumoniae complex, Haemophilus influenzae complex, and Moraxella catarrhalis. Patients classified as having no definitive etiology harbored microbiota particularly enriched in the H. influenzae complex. We did not observe a commensal taxon specifically associated with health. The microbiota of the healthy nasopharynx was more diverse and contained a wider range of less abundant taxa.     

Interactions of Serotoninergic,Cholinergic, and Tachykinin‐Containing Nerve Elements in the Rabbit Small Intestine

This report presents novel results on the effects of serotonin (5‐HT) on longitudinal muscle contractions in the rabbit ileum and the interactions of serotonin with some neuronal elements of the myenteric plexus. We showed previously that serotonin‐triggered contractions involved two mechanisms in the rabbit ileum: neuronal excitation (via 5‐HT₂ receptors in the neurons) and direct muscular stimulation (via 5‐HT₄ receptors in the muscle). Here, we focus on the neuronal 5‐HT₂ receptor pathway and report further pharmacological and immunocytochemical data clarifying the details of the mechanisms. We observed that antagonists for neurokinin (NK1 and NK2) receptors partially blocked the serotonin response, but NK3 receptor antagonists had no effect. Pretreatment by atropine (ATR) eliminated the NK1 receptor antagonist resistant contractions. In contrast, the NK1 antagonist did not depress the ATR‐resistant contraction when ATR was added first. 5‐HT₂ receptor agonist‐induced contractions were partially suppressed by ATR, hexamethonium, and NK1 or NK2 receptor antagonists. In conclusion, serotonin acting through 5‐HT₂ receptors could stimulate interneurons and excitatory motor neurons. Immunocytochemical staining revealed an extensive tachykinin‐immunoreactive (IR) network in the myenteric plexus. Approximately 52% of all myenteric neurons were labeled. 5‐HT‐IR fibers could be detected around both choline acetyltransferase‐ and tachykinin‐IR cells, suggesting functional relationships between them. Consistent with our pharmacological observations, we found that immunopositive nerve elements for 5‐HT_2A receptor and double‐labeled immunostaining revealed a remarkable overlap between tachykinin‐IR neurons and 5‐HT_2A‐IR elements. Anat Rec, 2009. © 2009 Wiley‐Liss, Inc.