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Lakatos PP, Rodas NV, Matic T, Williams ME, Samora LL, Carson MC. Providing Continuity in Infant Mental Health Services for Medically Fragile Infants and Their Families. J Clin Psychol Med Settings 2024; 31:5-18. [PMID: 37000305 PMCID: PMC10924710 DOI: 10.1007/s10880-023-09957-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2023] [Indexed: 04/01/2023]
Abstract
Having a baby who is prenatally or postnatally diagnosed with a medical condition places considerable stress on the parents, infants, and their developing relationship. Infant mental health (IMH) services offer an opportunity to address the challenges and support the parent-infant relationship. The present study outlined a continuum of care IMH program embedded within various medical settings of a large metropolitan children's hospital. Applications of IMH principles within the fetal care center, neonatal intensive care unit, high risk infant follow-up clinic, and the patient's home are described. Descriptive data about families served across settings and a case study are provided in order to illustrate the implementation of this unique IMH intervention model.
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Affiliation(s)
- Patricia P Lakatos
- Children's Hospital Los Angeles, University of Southern California University Center for Excellence in Developmental Disabilities, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA.
| | - Naomi V Rodas
- Children's Hospital Los Angeles, University of Southern California University Center for Excellence in Developmental Disabilities, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA
| | - Tamara Matic
- Children's Hospital Los Angeles, University of Southern California University Center for Excellence in Developmental Disabilities, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA
| | - Marian E Williams
- Children's Hospital Los Angeles, University of Southern California University Center for Excellence in Developmental Disabilities, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA
| | - Laura L Samora
- Children's Hospital Los Angeles, University of Southern California University Center for Excellence in Developmental Disabilities, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA
| | - Melissa C Carson
- Children's Hospital Los Angeles, University of Southern California University Center for Excellence in Developmental Disabilities, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA
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Matic T, Zebic ML, Miletic V, Trajkovic I, Milosevic M, Racic A, Veljovic D. Hydroxyapatite-based dental inserts: Microstructure, mechanical properties, bonding efficiency and fracture resistance of molars with occlusal restorations. J Biomed Mater Res B Appl Biomater 2024; 112:e35331. [PMID: 37792306 DOI: 10.1002/jbm.b.35331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 07/23/2023] [Accepted: 09/07/2023] [Indexed: 10/05/2023]
Abstract
This study aimed to (1) comparatively analyze properties of Sr- and Mg-substituted hydroxyapatite (HAP)-based dental inserts; (2) evaluate insert bonding to restorative materials, and (3) evaluate the effect of doped HAP inserts on fracture resistance (FR) of human molars with large occlusal restorations. By ion-doping with Sr or Mg, 3 insert types were obtained and characterized using XRD, SEM, Vickers hardness and fracture toughness. Shear bond strength (SBS) was determined between acid etched or unetched inserts and following materials: Maxcem cement (Kerr); Filtek Z250 (3M) bonded with Single Bond Universal (SBU; 3M) or Clearfil Universal (Cf; Kuraray). Modified Class I cavities were prepared in 16 intact molars and restored using insert + composite or composite only (control) (n = 8/group). FR of restored molars was determined by static load until fracture upon thermal cycling. Fracture toughness was similar between Sr/Mg-doped inserts (0.94-1.04 MPam-1/2 p = .429). Mg-doped inserts showed greater hardness (range 4.78-5.15 GPa) than Sr6 inserts (3.74 ± 0.31 GPa; p < .05). SBS for SBU and Cf adhesives (range 7.19-15.93 MPa) was higher than for Maxcem (range 3.07-5.95 MPa) (p < .05). There was no significant difference in FR between molars restored with insert-containing and control restorations (3.00 ± 0.30 kN and 3.22 ± 0.42 kN, respectively; p > .05). HAP-based inserts doped with Mg/Sr had different composition and mechanical properties. Adhesive bonding to inserts resulted in greater bond strength than cementation, which may be improved by insert acid-etching. Ion-doped HAP inserts did not affect FR of restored molars. In conclusion, HAP-based dental inserts may potentially replace dentin in large cavities, without affecting fracture resistance of restored teeth.
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Affiliation(s)
- Tamara Matic
- Innovation Center of the Faculty of Technology and Metallurgy, Ltd, Belgrade, Serbia
| | | | - Vesna Miletic
- Faculty of Medicine and Health, Sydney Dental School, The University of Sydney, Surry Hills, New South Wales, Australia
| | - Isaak Trajkovic
- Innovation Center of the Faculty of Mechanical Engineering, Ltd, Belgrade, Serbia
| | - Milos Milosevic
- Innovation Center of the Faculty of Mechanical Engineering, Ltd, Belgrade, Serbia
| | - Aleksandar Racic
- School of Dental Medicine, University of Belgrade, Belgrade, Serbia
| | - Djordje Veljovic
- Faculty of Technology and Metallurgy, University of Belgrade, Belgrade, Serbia
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Gasic S, Smiljic S, Milanovic Z, Gasic M, Ilic S, Bogosavljevic I, Dejanovic M, Nestorovic V, Matic T. Relationship between low vitamin D levels with Hashimoto thyroiditis. SRP ARK CELOK LEK 2023. [DOI: 10.2298/sarh220608035g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/31/2023] Open
Abstract
Introduction/Objective. Vitamin D not only plays a role in calcium and
phosphorus metabolism, but also has antiproliferative, prodifferentiation,
anti-inflammatory and immunomodulatory effects. The aim of this study was
to investigate the association between vitamin D deficiency in individuals
with autoimmune Hashimoto's thyroiditis. Methods. A total of 156 patients
were enrolled and divided into two groups. First group included 108 patients
with 25(OH) D insufficiency, and second included 48 individuals with normal
25 (OH) D levels. All participants underwent a detailed clinical
examination, laboratory tests for thyroid function (T3, fT4, TSH, thyroid
antibodies (TPO-Ab, and TG -Ab)), as well as ultrasound scanning (thyroid
volume and Doppler characteristics). Results. The patients with vitamin D
insufficiency (n = 108 (69.2%)) were predominantly female and had a higher
BMI than the patients with normal vitamin D levels. The group with vitamin D
insufficiency had statistically significantly higher TSH levels. The
prevalence of positive thyroid antibodies was higher in the vitamin D
insufficiency group, while thyroid volume, ATS, and ATI resistance index, as
well as the prevalence of positive CD signals, were significantly higher in
the vitamin D insufficiency group. 44 of the 156 subjects were diagnosed
with thyroiditis (28.2%). The mean serum level of 25 (OH) D was
statistically notably lower in patients with thyroiditis [20.23 ? 8.10 ng /
mL)] than in the group without thyroiditis [(25.44 ? 8.38 ng/mL)], p <
0.001. Conclusion. There was an association between vitamin D insufficiency
and hypothyroidism in subjects with Hashimoto's thyroiditis.
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Mikolasevic I, Rahelic D, Turk-Wensween T, Ruzic A, Domislovic V, Hauser G, Matic T, Radic-Kristo D, Krznaric Z, Radic M, Filipec Kanizaj T, Martinovic M, Jerkic H, Medjimurec M, Targher G. Significant liver fibrosis, as assessed by fibroscan, is independently associated with chronic vascular complications of type 2 diabetes: A multicenter study. Diabetes Res Clin Pract 2021; 177:108884. [PMID: 34082054 DOI: 10.1016/j.diabres.2021.108884] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Revised: 05/10/2021] [Accepted: 05/28/2021] [Indexed: 02/07/2023]
Abstract
AIMS The aim of this study was to investigate whether controlled attenuation parameter (CAP) and liver stiffness measurement (LSM), as assessed by vibration-controlled transient elastography (VCTE), are associated with chronic vascular complications of diabetes mellitus type 2 (T2DM). METHODS We studied 442 outpatients with established T2DM, and who underwent VCTE and extensive assessment of chronic vascular complications of diabetes. RESULTS A quarter of analyzed patients had a previous history of myocardial infarction and/or ischemic stroke, and about half of them had at least one microvascular complication (chronic kidney disease (CKD), retinopathy or polyneuropathy). The prevalence of liver steatosis (i.e., CAP ≥ 238 dB/m) and significant liver fibrosis (i.e., LSM ≥ 7.0/6.2 kPa) was 84.2% and 46.6%, respectively. Significant liver fibrosis was associated with an increased likelihood of having myocardial infarction (adjusted-odds ratio 6.61, 95%CI 1.66-37.4), peripheral polyneuropathy (adjusted-OR 4.55, 95%CI 1.25-16.6), CKD (adjusted-OR 4.54, 95%CI 1.24-16.6) or retinopathy (adjusted-OR 1.81, 95%CI 1.62-1.97), independently of cardiometabolic risk factors, diabetes-related variables, and other potential confounders. Liver steatosis was not independently associated with any macro-/microvascular diabetic complications. CONCLUSIONS Significant liver fibrosis is strongly associated with the presence of macro-/microvascular complications in patients with T2DM. These results offer a new perspective on the follow-up of people with T2DM.
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Affiliation(s)
- I Mikolasevic
- Department of Gastroenterology, University Hospital Center Rijeka, Rijeka, Croatia; Department of Gastroenterology, University Hospital Merkur, Zagreb, Croatia; Faculty of Medicine, Rijeka, Croatia.
| | - D Rahelic
- Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Zagreb, Croatia; University of Zagreb Faculty of Medicine, Zagreb, Croatia; University of Osijek Faculty of Medicine, Osijek, Croatia
| | - T Turk-Wensween
- Faculty of Medicine, Rijeka, Croatia; Center for Diabetes, Endocrinology and Cardiometabolism, Thallassotherapia, Opatija, Croatia
| | - A Ruzic
- Faculty of Medicine, Rijeka, Croatia; Clinic for Cardiology, University Hospital Center Rijeka, Rijeka, Croatia
| | - V Domislovic
- Department for Gastroenterology and Hepatology, University Hospital Center Zagreb, Zagreb, Croatia
| | - G Hauser
- Department of Gastroenterology, University Hospital Center Rijeka, Rijeka, Croatia; Faculty of Medicine, Rijeka, Croatia; Faculty of Health Studies, Rijeka, Croatia
| | - T Matic
- Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Zagreb, Croatia
| | - D Radic-Kristo
- University of Zagreb Faculty of Medicine, Zagreb, Croatia; Department of Hematology, University Hospital Merkur, Zagreb, Croatia
| | - Z Krznaric
- University of Zagreb Faculty of Medicine, Zagreb, Croatia; Department for Gastroenterology and Hepatology, University Hospital Center Zagreb, Zagreb, Croatia
| | - M Radic
- University of Zagreb Faculty of Medicine, Zagreb, Croatia
| | - T Filipec Kanizaj
- Department of Gastroenterology, University Hospital Merkur, Zagreb, Croatia; University of Zagreb Faculty of Medicine, Zagreb, Croatia
| | - M Martinovic
- Department of Hematology, University Hospital Merkur, Zagreb, Croatia
| | - H Jerkic
- Department of Cardiology, University Hospital Merkur, Zagreb, Croatia
| | | | - G Targher
- Section of Endocrinology, Diabetes and Metabolism, Department of Medicine, University of Verona, Italy
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Lakatos PP, Matic T, Carson M, Williams ME. Child-Parent Psychotherapy with Infants Hospitalized in the Neonatal Intensive Care Unit. J Clin Psychol Med Settings 2020; 26:584-596. [PMID: 30941622 DOI: 10.1007/s10880-019-09614-6] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Hospitalization in the Neonatal Intensive Care Unit (NICU) is a stressful and potentially traumatic experience for infants as well as their parents. The highly specialized medical environment can threaten the development of a nurturing and secure caregiving relationship and potentially derail an infant's development. Well-timed, dose-specific interventions that include an infant mental health approach can buffer the impact of medical traumatic stress and separations and support the attachment relationship. Many psychological interventions in the NICU setting focus on either the parent's mental health or the infant's neurodevelopmental functioning. An alternative approach is to implement a relationship-based, dyadic intervention model that focuses on the developing parent-infant relationship. Child-parent psychotherapy (CPP) is an evidence-based trauma-informed dyadic intervention model for infants and young children who have experienced a traumatic event. This article describes the adaptation of CPP for the NICU environment.
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Affiliation(s)
- Patricia P Lakatos
- University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, University of Southern California, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA.
| | - Tamara Matic
- University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, University of Southern California, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA
| | - Melissa Carson
- University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, University of Southern California, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA
| | - Marian E Williams
- University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, University of Southern California, 4650 Sunset Blvd, MS#53, Los Angeles, CA, 90027, USA
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Williams ME, Joyner K, Matic T, Lakatos PP. Reflective supervision: A qualitative program evaluation of a training program for infant and early childhood mental health supervisors. The Clinical Supervisor 2019. [DOI: 10.1080/07325223.2019.1568942] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Marian E. Williams
- USC University Center for Excellence in Developmental Disabilities, Children’s Hospital Los Angeles, Los Angeles, California, United States
| | - Kristen Joyner
- USC University Center for Excellence in Developmental Disabilities, Children’s Hospital Los Angeles, Los Angeles, California, United States
| | - Tamara Matic
- USC University Center for Excellence in Developmental Disabilities, Children’s Hospital Los Angeles, Los Angeles, California, United States
| | - Patricia P. Lakatos
- USC University Center for Excellence in Developmental Disabilities, Children’s Hospital Los Angeles, Los Angeles, California, United States
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Matic T, Puhalo-Sladoje D, Kisic B, Trajkovic G, Dragojevic I, Miric D. Examination of myeloperoxidase activity, as an indicator of inflammation in obese participants with metabolic syndrome. Praxis Med 2016. [DOI: 10.5937/pramed1604015m] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
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