Methods: Outpatients of the Bologna-Community-Mental-Health-Centr

Methods: Outpatients of the Bologna-Community-Mental-Health-Centres with at least one HKI-272 manufacturer AP prescription were selected. Patients’ characteristics, service utilization, and AP prescriptions were collected from administrative databases. Prescriptions were grouped by class (SGA vs. First Generation Antipsychotics), drug combination (polypharmacy vs. monotherapy), and preparation (LAIs vs. regular administration). Multivariate analyses were performed to identify prescription descriptors among socio-demographic and clinical variables. Results: Among 6,074 patients and 41,121 AP prescriptions, SGAs were used in 70.7% of subjects, AP polypharmacy in 25.3%, and

LAIs in 17.5%. SGAs were prescribed more often for young, Italian patients, with higher education, voluntary hospitalization, and high number of visits. Descriptors of AP polypharmacy were: high number of visits and hospitalization, length of treatment, non-urban residency, male gender, unemployment. Characteristics associated to LAI prescription were: long duration of treatment, high number of visits, compulsory admissions, non-Italian nationality, male gender, age bigger than 34, low education, unmarried status. Conclusions: Besides illness severity, this study identified different socio-demographic descriptors

of AP choices, raising concerns on the equity of treatments. Efforts should be directed to investigate appropriateness of AP treatments especially in social disadvantaged populations.”
“Intestinal infection with the intracellular parasite Toxoplasma gondii results in the translocation of commensal bacteria to peripheral organs and the development of a T cell response specific to the microbiota. In naive mice, the recently described ROR gamma t(+) group 3 innate lymphoid cell (ILC) population plays a critical role in promoting intestinal barrier function and limiting responses to gut-resident commensal bacteria. Given this role for group 3 ILCs, studies were performed to evaluate whether these

cells might influence the immune response to mucosal infection with T. gondii. Phenotypic characterization of ROR gamma t(+) ILCs in T. gondii infected mice revealed that this population decreased following challenge but the population that remained expressed costimulatory molecules and IL-22. One factor that influences the maintenance of ROR gamma t(+) ILCs is the aryl hydrocarbon receptor (AHR), a ligand-activated transcription factor, and Ahr(-/-) mice have a marked defect in the lamina propria group 3 ILC population. When Ahr(-/-) mice were challenged with T. gondii, they lost more weight than wild type controls. This disease course in Ahr(-/-) animals was associated with increased T cell responses to Toxoplasma antigen and crude commensal antigen preparations. Together, these data suggest that group 3 ILCs have a role in limiting T cell activation during intestinal infection.

Comments are closed.