Migrant pathways to community mental health centres in Italy.

Background: Many studies indicate that migrants in western countries have limited access to and low utilization of community mental health centres (CMHCs) despite the high prevalence of mental disorders. Aims: We aimed to compare migrant pathways to care across four CMHCs located in different Italian provinces and to identify pathway to care predictors. Methods: Migrants attending the four CMHCs between 1 July 1999 and 31 December 2007 were included in the study. Data were gathered retrospectively from clinical data sets and chart review. Results: Five hundred and eleven (511) migrants attended the four CMHCs, 61% were referred by GPs or other health services and 39% followed non-medical pathways to care (self-referral or through social and voluntary organizations), with important site variations. Younger age and being married were predictors of medical pathways to care; lacking a residence permit and having a diagnosis of substance abuse were related to non-medical pathways. Conclusions: Pathways to CMHCs are complex and influenced by many factors. Non-medical pathways to care seem to be frequent among migrants in Italy. More attention should be paid to developing psychiatric consultation liaison models that also encompass the social services and voluntary organizations

Migrant pathways to community mental health centres in Italy.

Background: Many studies indicate that migrants in western countries have limited access to and low utilization of community mental health centres (CMHCs) despite the high prevalence of mental disorders. Aims: We aimed to compare migrant pathways to care across four CMHCs located in different Italian provinces and to identify pathway to care predictors. Methods: Migrants attending the four CMHCs between 1 July 1999 and 31 December 2007 were included in the study. Data were gathered retrospectively from clinical data sets and chart review. Results: Five hundred and eleven (511) migrants attended the four CMHCs, 61% were referred by GPs or other health services and 39% followed non-medical pathways to care (self-referral or through social and voluntary organizations), with important site variations. Younger age and being married were predictors of medical pathways to care; lacking a residence permit and having a diagnosis of substance abuse were related to non-medical pathways. Conclusions: Pathways to CMHCs are complex and influenced by many factors. Non-medical pathways to care seem to be frequent among migrants in Italy. More attention should be paid to developing psychiatric consultation liaison models that also encompass the social services and voluntary organizations

Cats and dogs: Best friends or deadly enemies? What the owners of cats and dogs living in the same household think about their relationship with people and other pets

Although popular culture describes them as mortal enemies, more and more often, dogs and cats live under the same roof. Does this make them best friends? Can sharing the same social and physical environment make them similar? This study compares the approaches of dogs and cats living in the same household have towards humans and other pets as perceived by the owner. Questionnaires collected from 1270 people owning both dog(s) and cat(s) were analysed. Most dogs and cats living together are playful with familiar humans (76.2%) but dogs have a more sociable approach towards strangers and conspecifics than cats (P<0.001). Moreover, the percentage of dogs that have a playful relationship with the owner (84.0%) was higher than cats (49.2%; P<0.001). Dogs and cats living together eat in different places and show different mutual interactions: more dogs lick the cat (42.8%) and more cats ignore the dog (41.8%) than vice versa (P<0.001). However, most dogs and cats sleep at least occasionally (68.5%) and play together (62.4%; P<0.001). Although some body postures, such as the tail’s position, are interpreted differently by the two species, the greater proportions of dogs and cats show a relaxed response to several kinds of approaches of their roommate. Our questionnaire confirms the common beliefs about the sociability of the dog and the privacy of the cat, but this does not result in continuous internal struggles. Most cohabitations are peaceful. Moreover, it is true that they speak different languages, but they seem to understand each other well and interpret each other’s approaches in the right way. Thus, aspiring owners should not blindly believe popular assumptions, but both knowledge and respect for species-specific pet behaviours are essential to establish a balance in the household

Refinement and revalidation of the Equine Ophthalmic Pain Scale: R-EOPS a new scale for ocular pain assessment in horses

This study addresses the refinement and revalidation of a composite pain scale that focuses on equine facial expressions and behavioural indicators as exhibitions of ophthalmic pain. This scale included only Behavioural and Facial and Ocular expression indicators and, compared to the first version of Equine Ophthalmic Pain Scale (EOPS), item descriptors and related ratings were changed. Thirteen horses with ocular diseases that required medical or surgical treatment were enroled (group P). In each animal, the refined EOPS (R-EOPS) was applied prior to any treatment (T0) and one week later (T7). The R-EOPS was applied twice, 7 days apart, to 16 healthy control horses (group C). Two 30-second videos were recorded each time to allow the retrospective analysis by eight observers. Inter-observer reliability of items was moderate or substantial (Krippendorff's alpha, Kα>0.40) while their intra-observer reliability was substantial or almost perfect for most items (Kα ≥0.61). Both inter- and intra-observer reliability of Total Score (TS) were however excellent (Intraclass Correlation Coefficients, ICC>0.75). The TS also showed good reproducibility (Kendall coefficient=0.786, ICC=0.684) and high consistency of its items (Cronbach's α=0.847). The comparison between groups as well as the sensitivity and specificity values supported the validity of the R-EOPS. In particular, for each extra point added to the TS, the risk of the horse having pain increased by more than two times (Odds Ratio=2.079, 95%CI=1.542–2.804; P<0.001). The Receiver Operating Characteristic analysis identified 6 as the threshold value of R-EOPS for discriminating horses with ocular pathology (sensitivity=83%, specificity=100%). This scale may be an effective tool for reliably assessing the pain level in horses with ophthalmic diseases and potentially guiding pain management although it still requires large-scale application and external validation

Refinement and revalidation of the Equine Ophthalmic Pain Scale: R-EOPS a new scale for ocular pain assessment in horses

This study addresses the refinement and revalidation of a composite pain scale that focuses on equine facial expressions and behavioural indicators as exhibitions of ophthalmic pain. This scale included only Behavioural and Facial and Ocular expression indicators and, compared to the first version of Equine Ophthalmic Pain Scale (EOPS), item descriptors and related ratings were changed. Thirteen horses with ocular diseases that required medical or surgical treatment were enroled (group P). In each animal, the refined EOPS (R-EOPS) was applied prior to any treatment (T0) and one week later (T7). The R-EOPS was applied twice, 7 days apart, to 16 healthy control horses (group C). Two 30-second videos were recorded each time to allow the retrospective analysis by eight observers. Inter-observer reliability of items was moderate or substantial (Krippendorff's alpha, Ka>0.40) while their intra-observer reliability was substantial or almost perfect for most items (Ka ≥0.61). Both inter- and intra-observer reliability of Total Score (TS) were however excellent (Intraclass Correlation Coefficients, ICC>0.75). The TS also showed good reproducibility (Kendall coefficient=0.786, ICC=0.684) and high consistency of its items (Cronbach's a=0.847). The comparison between groups as well as the sensitivity and specificity values supported the validity of the R-EOPS. In particular, for each extra point added to the TS, the risk of the horse having pain increased by more than two times (Odds Ratio=2.079, 95%CI=1.542-2.804; P<0.001). The Receiver Operating Characteristic analysis identified 6 as the threshold value of R-EOPS for discriminating horses with ocular pathology (sensitivity=83%, specificity=100%). This scale may be an effective tool for reliably assessing the pain level in horses with ophthalmic diseases and potentially guiding pain management although it still requires large-scale application and external validation

Welfare Assessment in Shelter Dogs by Using Physiological and Immunological Parameters

This study aimed to evaluate the state of welfare of a group of dogs during the first month after entering the shelter by using dierent stress parameters. Blood and fecal samples were collected from a group of 71 dogs at the time of admission to the shelter. In 46 of these dogs, sampling was repeated after four weeks. Well-recognized welfare biomarkers, such as fecal cortisol and leukocytes, as well as some innovative parameters ( -endorphin and lysozyme) were determined. Uni- and multivariate statistical analyses were used to evaluate their interactions and changes over time. Neutrophils (p < 0.01), lysozyme (p < 0.05), and fecal cortisol (p < 0.05) decreased, while lymphocytes (p < 0.05) increased after four weeks compared to the first days of being in the shelter, suggesting an improvement in the dogs’ welfare over time. A principal component analysis extracted three bipolar components (PCs), explaining 75% of the variance and indicating negative associations between neutrophil and lymphocyte (PC1), lysozyme and -endorphin (PC2), cortisol and lysozyme (PC3). The associations between these variables within each PC also confirmed the intricate relationships between the hypothalamic-pituitary-adrenal (HPA) axis and the immune system as well as the importance of a multiparametric approach in evaluating welfare

Multi-Operator Qualitative Behavioural Assessment for dogs entering the shelter

This study aimed to develop and validate a fast and straightforward welfare assessment system to help shelter staff in decision-making processes. For newly captured dogs entering the shelter, the animal control officer (at capture time) and the veterinary officer (at entrance examination) compiled a form attributing a qualitative score for the overall Stress level and for 5 Descriptors of dog behavioural traits. Furthermore, a tester filled out the same form by subjecting the dog to a test battery in his pen, besides performing behavioural observations. The veterinary officer and the tester repeated the evaluation protocol after four weeks of acclimatisation in the shelter. The analysis evaluated inter-observer and test–retest reliability, internal consistency, and construct validity of qualitative scores. Overall, we collected 258 forms regarding 189 dogs. Principal component (PC) extracted by Descriptors showed a good correlation with the Stress level score for veterinary and tester confirming the internal consistency of these scales while it was low for animal control officer form. Moreover, qualitative evaluations of the veterinarian and the tester showed congruent correlations with behavioural observations supporting their construct validity. Conversely, the scores expressed by the animal control officer were not consistent with quantitative observations. Then, the veterinary officer and tester forms could be validated and further simplified including only Stress level score while the control officer form requires a revision as it does not seem reliable. We did not find agreement between the Stress level scores expressed by animal control officer, veterinary and tester suggesting that the three contexts represent different stress stimuli to which the same dog reacts differently. The point of view of the three evaluators can increase the reliability of the assessment. Static but vigilant behaviours prevailed in newly sheltered dogs but activity, interactions and behavioural diversity increased in the second behavioural observation when the dogs were kept in multiple cages and four weeks of adaptation had passed. Stress level reduced and PCs tended towards the pole of sociability suggesting a reduction of stress after the period of adaptation to the socio-environmental conditions of the shelter. On the other hand, the considerable inter-individual variability in behaviours reflects differences in coping strategies and or in the manifestation of stress. Our simple tool can not replace a multidisciplinary approach to welfare assessment but could help shelter staff for individual management of dogs complying with their different adaptation skills

Asinara male donkey (Equus africanus asinus var. Albina) and stallion (Equus ferus caballus) reproductive characteristics: Correlations between testicular blood supply and sperm production

The Asinara donkey is a rare small albino variety of feral donkey listed as "critical" by the Food and Agriculture Organization of the United Nations (FAO) and by the Domestic Animal Diversity Information System (DAD-IS) in 2022. The objectives of the present study were to evaluate the reproductive characteristics of healthy male Asinara donkeys through andrological evaluation and testicular echo-color-Doppler examination to assess correlations between testicular blood supply and sperm production and to compare it with horse reproductive characteristics. Eight healthy donkeys and stallions were subjected to semen collection and evaluation, ultrasound and Doppler evaluation of the testicles and serum testosterone determination. The testosterone concentrations in donkeys were 1.42 ± 0.69 ng/ml while in horses were 1.90 ± 0.63 ng/ml within the normal values reported in these species. Horses had greater mean and total testicular volume, semen gel-free volume, and total sperm number than donkeys (P < 0.001). Blood flow analysis of the testicular artery in both locations was a relatively simple procedure. The waveforms recorded in a convoluted location (-con) of the testicular artery were characteristic of the high-resistance vessel, while in the marginal location (-marg) were of low-resistance. It was also recorded a gradual decrease in peak systolic velocity (PSV), resistive index (RI), pulsatility index (PI), mean velocity (MV) and testicular arterial blood flow (TABF) values along the peripheral course of the testicular artery. Therefore, donkeys had greater PSV-con (P ≤ 0.01), PSV-marg (P < 0.01), MV-con (P < 0.001), MV-marg (P < 0.01), testicular arterial blood flow rate (TABFr-con) (P < 0.001) and TABFr-marg (P < 0.01) than horses. Conversely, pulsatility index (PI-con) was higher in horses (P < 0.05). The comparative analysis between the Doppler parameters and the reproductive/seminal characteristics showed a positive correlation of TTBF-con with Testosterone (ρ = 0.976, p < 0.01 and ρ = 0.905, p < 0.01 in donkeys and horses, respectively), with Total Testicular Volume (ρ = 0.952, p < 0.01 and ρ = 1.000, p < 0.01 in donkeys and horses, respectively), and with Total spermatozoa concentration (ρ = 0.905, p < 0.01 and ρ = 0.813, p < 0.05 in donkeys and horses, respectively). Additionally, only in the donkey there was a positive correlation with Semen gel free volume (ρ = 0.881, p < 0.01) and Spermatozoa concentration × ml (ρ = 0.786, p < 0.05). The testosterone concentration was positively correlated in both species with Total testicular volume (ρ = 0.976, p < 0.01 and ρ = 0.905, p < 0.01 in donkeys and horses, respectively) and Total sperm concentration (ρ = 0.881, p < 0.01 and ρ = 0.976, p < 0.01 in donkeys and horses, respectively). It was also correlated positively with Semen gel free volume (ρ = 0.857, p < 0.01) and spermatozoa concentration (ρ = 0.762, p < 0.05) in donkeys. Finally, the PI-con (ρ = − 0.786, p < 0.05) was negatively correlated with Semen gel free volume in the donkeys. The results of this study show that Total Testicular Blood Flow is the parameter, together with testosterone, most positively correlated with testicular volume and total sperm concentration in both species. Furthermore, differences in both reproductive and testicular hemodynamic characteristics between the Asinara donkey and stallion are highlighted, suggesting that caution should be taken in transferring knowledge from one species to another. New data on reproductive aspects, seminal characteristics, testicular blood flow perfusion in healthy Asinara donkeys were reported and these may represent reference value for further research or clinical applications

Dissociation and dysfunctional personality traits in patients with borderline personality disorder: A study based On DSM-5 alternative model

Background and objectives: Borderline Personality Disorder (BPD) and dissociative experiences are frequently co-occurring conditions. This study aimed to assess the relationship between DSM-5 Alternative Model of Personality Disorder (AMPD) maladaptive personality facets and self-report dissociation in a sample of patients with BPD. Methods: Our sample consisted of 178 Italian adult patients who met the criteria for BPD diagnosed by Structured Clinical Interview for DSM IV-Axis II. They were administered the Personality Inventory for DSM-5 (PID-5) and the Dissociative Experiences Scale (DES). An agglomerative hierarchical cluster analysis was performed using facets as clustering variables. Multivariable regression analysis was performed to identify the PID-5 characteristics which could suggest a dissociative dimension. Results: Our results showed the potential of PID-5 to hypothesize a dissociative dimension towards DES scores. Therefore, we theorized a specific BPD phenotype characterized by high levels of Unusual Behaviors and Beliefs, high levels of Perceptual Dysregulation, high levels of Withdrawal, low levels of Impulsivity and Irritability, low levels of Callousness and low levels of Avoidance, for which it may be assumed a dissociative framework. Moreover, it could be postulated that patients with dissociative symptoms who will be diagnosed with BPD according to the AMDP would have the domain of Psychoticism as “specifier”. Lastly, we highlighted the role of gender as a moderator between personality traits and dissociative symptoms. Conclusion: Consistently with this study, an initial assessment with PID-5 personality facets may detect an underlying dissociative psychopathology, suggesting significant clinical implications for both treatment and prognosis

Breed-Specific Clinical Features, Diagnostic Findings, and Outcome of Presumptive Meningoencephalomyelitis of Unknown Origin in 27 French Bulldogs †

Meningoencephalomyelitis of unknown origin (MUO) is an inflammatory central nervous system disease affecting the meninges, brain, and spinal cord. Interest in this condition has been growing rapidly over the last decade, but information on the pathophysiology and evolution of the disease is still lacking. This study aimed to assess and evaluate the clinical findings, magnetic resonance imaging (MRI) features, and survival time in affected French Bulldogs (FBs). A total of 27 client-owned FBs met the inclusion criteria. The highest percentage of animals were affected by acute blindness and cervical pain, representing 25.9% (n = 7) each. Via MRI, 44.4% of FBs showed signs of perilesional parenchymal brain edema. Midline shift was observed in 11.1% of dogs, and 7.4% displayed foramen magnum cerebellar herniation. The cerebrospinal fluid examination was considered normal in 34.8% of dogs. Five (18.5%) dogs died during the treatment. Close to two-thirds (63.0%) were still alive during the study data collection (median survival time, 775 days), displaying an overall good survival time. The presence of epileptic seizures, midline shift, and relapse of clinical signs were factors associated with higher mortality rate (p < 0.05) and might be prognostic factors for worse survival in French Bulldogs with MUO