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Listeriosis is a sporadic disease of ruminants that causes meningoencephalitis, septicemia and abortion. In this study, the usefulness of immunoperoxidase technique was investigated in early diagnosis of cattle listerial abortions. For this purpose, 96 smears prepared from vaginal swab samples that were collected from aborting cattle were stained for L. monocytogenes by immunoperoxidase technique. Presence of the agent in vaginal swab samples were investigated by bacteriological culture technique and the results were compared to that of immunoperoxidase technique. A total of 7 samples, 4 out 5 bacteriological culture positive smear samples and 3 out of 91 bacteriological culture negative smear samples, were detected to be positive by immunoperoxidase technique. Compared to bacteriological culture technique, sensitivity and specificity of immunoperoxidase technique was calculated as 80% and 96.7%, respectively. In conclusion, immunoperoxidase technique in smears prepared from vaginal swabs can be used in early diagnosis of listerial abortions since it can give results the same day samples collected, however the technique must be supported by bacteriological culture technique which is performed for bacterial isolation and identification of the agent.

Patient oriented research (POR) is new to the healthcare research landscape in Canada and has not yet been applied to the forensic field. This review begins by introducing POR, the POR Level of Engagement Tool, and complimentary approaches used in research with forensic patients. Next, the potential key challenges, paradoxes, and benefits of applying POR to a forensic mental health setting are presented. Drawing on this understanding, a review of our team's experiences applying the POR Level of Engagement Tool at the Regional Psychiatric Center, a Canadian forensic psychiatric facility, is presented as a case study. The research question supported by our patient advisors and addressed with patients and facility staff was: "What topics do you think we need to know more about to benefit patients at the Regional Psychiatric Center?" We conclude this review article with recommendations on how to meaningfully, and practically, involve forensic psychiatric patients diagnosed with mental disorders in POR when initiating a project. Forensic psychiatric patients can provide insightful knowledge based on their experiences of mental illness to improve the prison health care system and practices. [ABSTRACT FROM AUTHOR]

Psychological factors and adverse childhood events at an early age have been poorly investigated in relation to risky eating behavior and obesity. The importance of this relationship grows as these behaviors are becoming public health problems. The main objective of the present study was to examine the effects of interrelated psychological factors such as childhood negative life events, symptoms of depression and anxiety, and impulsivity on eating behaviors in a university student sample in Turkey. A total of 414 undergraduate students (60.4% women) in Turkey, completed the Turkish versions of the Dutch Eating Behavior Questionnaire (DEBQ) to assess emotional eating and external eating and the CDC-Kaiser Permanent Adverse Childhood Experiences (ACE), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Barratt Impulsivity Scale-11 (BSI-11). Structural equation models (SEM) were used to evaluate whether depressive/anxiety symptoms could be a mediator between impulsivity and emotional eating/external eating. Childhood adverse events were both weakly correlated with eating behavior and impulsivity measures (r = .18,r = .275, p

This paper presents an exploratory study about the experiences of 25 inter-faith chaplains in five Canadian provinces. It utilizes a focus groups methodology. The goal of this qualitative research was to highlight the voices of the chaplains. Hence, the focus groups explored the unique and challenging experiences of chaplains' work in Canadian prisons. Data from all seven focus groups indicated that despite multiple challenges and obstacles, the correctional chaplains remain dedicated to their work and are committed to making a positive impact on their prisoners. Based on the data provided by the chaplains about the intrinsic rewards and various challenges they face in their day-to-day work, the paper makes several research and policy recommendations. The objective of such recommendations is to maximize the role that religion and/or spirituality could play in prisoners' positive adaptation, and eventual criminal desistance in a context of confinement characterized by loss of personal autonomy and self-identity., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Because of the poor prognosis of oesophageal adenocarcinoma (EAC), there is an urgent need for additional therapeutic approaches. Syndecan-1 (CD138) is a cell-surface heparan sulphate that is overexpressed in multiple myeloma cells and several carcinomas. Specific drugs targeting CD138 [e.g. antibody-linked drug conjugates (ADCs)] are currently being assessed; however, the significance and implication of CD138 expression in EAC is mostly unknown. In the present study, CD138 expression was assessed using immunohistochemistry, and its association with histopathological parameters and ERBB2 (Her2/neu) amplification status in patients treated with primary resection and neoadjuvant (radio-)chemotherapy was investigated. Of the 723 cases of EAC included, 232 tumours (32.1%) expressed CD138, with 96 tumours displaying strong expression (13.3%). Patients with CD138-positive tumours had less invasive carcinoma, fewer lymph mode metastases and a significantly longer overall survival (OS) than patients with CD138-negative tumours (P=0.002). In multivariate analysis, strong CD138 expression was an independent favourable prognostic factor (P=0.02). Patients who received neoadjuvant CROSS (carboplatin, paclitaxel and intensity modulated radiotherapy) therapy and had CD138-positive tumours lived significantly longer (P=0.04). In tumours without Her2/neu amplification, CD138 expression was associated with a longer OS (P=0.02). In conclusion, CD138 in cancer is already used as a target for ADCs, such as indatuximab ravtansine, the effectiveness of which depends on the extent of CD138 on tumour cells. This indicates that CD138 is also a predictive, therapeutically relevant biomarker. Regardless of the favourable prognostic effect of CD138 in EAC, there is an urgent clinical need for personalized therapeutics in relapse. Future clinical trials now need to show how effective the corresponding ADCs are in CD138-positive EACs., Competing Interests: The authors declare that they have no competing interests., (Copyright © 2023, Spandidos Publications.)

Purpose/background: Despite increasing interest in amisulpride, current knowledge about its use in the pediatric population is scarce. This chart review aimed to investigate the use of amisulpride in a naturalistic adolescent population., Methods/procedures: Electronic medical records of a tertiary care adolescent inpatient unit were screened between January 2015 and April 2021. Sociodemographic data and all clinical information were collected via data collection forms, and targeted symptoms were obtained from patients' files. Patients with early-onset psychotic disorders (n = 58), bipolar I disorder (n = 29), major depressive disorder (n = 14), and other psychiatric diagnoses (n = 9) were included. Treatment response was defined as a Clinical Global Impression-Improvement of at least much improvement after treatment., Findings/results: Median titration rate of amisulpride was 400 mg/wk, and the maximum administered daily dose ranged between 100 and 1200 mg/d. The maximum daily dose and number of previous antipsychotics were higher in the early-onset psychotic disorder group. Persistent positive symptoms and resistance to previous treatments were leading causes for amisulpride treatment. Other indications were also impulsive/disruptive behaviors, antipsychotic adverse effects, depressive symptoms, somatic complaints, and abnormalities in liver function tests. Finally, patients with lower daily treatment doses and more previous antipsychotic trials are less likely to benefit from the treatment., Implications/conclusions: Persistent psychotic/mood symptoms, impulsive/disruptive behaviors, and abnormalities in liver function tests were reasons for the amisulpride treatment in adolescents. Randomized placebo-controlled trials are needed to evaluate the efficacy and safety of the treatment in adolescents., (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)

The use of hearts with left-ventricular (LV) hypertrophy (LVH) could offer an opportunity to extend the donor pool for cardiac transplantation. We assessed the effects of LVH in 18-month-old spontaneously hypertensive stroke-prone (SHRSP) donor rats and following transplantation. In donors, cardiac function and structural alterations were assessed. Then, the hearts were transplanted into young normotensive-rats. We evaluated LV graft function 1 h after transplantation. The myocardial expression of 92 genes involved in apoptosis, inflammation, and oxidative-stress was profiled using PCR-array. Compared to controls, SHRSP-rats developed LVH, had increased LV systolic performance (slope of the end-diastolic pressure-volume (PV) relationship: 1.6±0.2 vs 0.8±0.1mmHg/μl, p<0.05) accompanied by diastolic dysfunction [prolonged time constant of LV pressure decay (Tau: 15.8±0.6 vs 12.3±0.5ms) and augmented diastolic stiffness (LV end-diastolic PV relationship: 0.103±0.012 vs 0.045±0.006mmHg/ml), p<0.05]. They presented ECG changes, myocardial fibrosis, and increased nitrotyrosine immunoreactivity and plasma troponin-T and creatine kinase-CM levels. After transplantation, even though the graft contractility was better in SHRSP rats compared to controls, the adverse impact of ischemia/reperfusion-injury on contractility was not altered (E es ratio after versus before transplantation: 32% vs 29%, p>0.05). Whereas nitrotyrosine immunoreactivity was higher, myeloperoxidase-positive cell infiltration was decreased in the SHRSP+transplanted compared to control+transplanted. Among the tested genes, LVH was associated with altered expression of 38 genes in donors, while transplantation of these hearts resulted in the change of four genes. Alterations in 18-month-old donor hearts, as a consequence of hypertension and LVH, were not associated with graft dysfunction in the early phase of reperfusion after transplantation., (© 2021. The Author(s).)

This study examines the effects of perceived Islamophobia on group identification and acculturation attitudes in a sample of Turkish Canadians. We tested the rejection-identification model (RIM) and the rejection-disidentification model (RDIM) to examine how perceived Islamophobia affects religious and national identification. The study also explores whether perceived Islamophobia, national identification, and religious identification have any impact on the acculturation attitudes of Turkish immigrants. All relationships were investigated using path analysis. The results suggest that perceived Islamophobia does not affect religious or national identification. Results also show that perceived Islamophobia positively predicts endorsement of marginalization as an acculturation strategy. National identification predicts higher levels of integration and assimilation and lower levels of separation. Those who report higher religious identification are more inclined to prefer separation., (© 2019 Canadian Sociological Association/La Société canadienne de sociologie.)

We aimed to investigate the effect of rapid antigen detection test (RADT) in the diagnosis of streptococcal pharyngitis, its impact on antibiotic prescription decision of pediatricians and influence on reduction of antibiotic treatment costs in children with pharyngitis. The study group consisted of 223 patients who were diagnosed with pharyngitis by pediatricians. The sensitivity and specificity of RADT were 92.1% (95% Cl: 78.6-98.3%) and 97.3% (95% Cl: 93.8-99.1%), respectively. In the first assessment, before performing RADT, pediatricians decided to prescribe antibiotics for 178 (79.8%) patients with pharyngitis. After learning RADT results, pediatricians finally decided to prescribe antibiotics for 83 (37.2%) patients with pharyngitis, and antibiotic prescription decreased by 42.6%. Antibiotic costs in non-Group A streptococcus pharyngitis, Group A streptococcus pharyngitis and all subjects groups decreased by 80.8%, 48%, and 76.4%, respectively. Performing RADT in children with pharyngitis has an important impact on treatment decision of clinicians, reduction of unnecessary antibiotic prescriptions and antibiotic costs., (© The Author [2016]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)

The stability of the plasmid-mediated virulence factors of Bacillus anthracis, a tripartite toxin located on pXO1 and an antiphagocytic capsule encoded by genes located on pXO2, following long-term storage was investigated. A collection of 159 isolates of B. anthracis were collected from the Kars region of Turkey between 2000 and 2013 and stored at -20°C in Brucella broth supplemented with 20% glycerine. A total of 142 isolates were recovered of which one failed to express a capsule upon primary culture. A further 35 isolates yielded a mixture of mucoid and non-mucoid colonies; the majority of which had lost the pXO2 plasmid as determined by PCR analysis. Results would suggest that pXO2 is more unstable than pXO1 and that this instability increases with the length of storage. It is possible that the pXO2-deficient isolates of B. anthracis described here could be developed into a vaccine to treat at risk animals in the Kars region as many animal vaccines are based upon pXO2 deficiency., (© FEMS 2015. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)