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Article ; Online: A scoping review of the Choice and Partnership Approach in child and adolescent mental health services.

Pajer, Kathleen / Pastrana, Carlos / Gardner, William / Sivakumar, Aditi / York, Ann

Journal of child health care : for professionals working with children in the hospital and community

2022 Volume 27, Issue 4, Page(s) 707–720

Abstract: Child and adolescent mental health (CAMH) problems are prevalent and inefficient mental health (MH) care systems can contribute to poor outcomes. The Choice and Partnership Approach (CAPA) is a MH care delivery model aiming to provide efficient, high- ... ...

Abstract	Child and adolescent mental health (CAMH) problems are prevalent and inefficient mental health (MH) care systems can contribute to poor outcomes. The Choice and Partnership Approach (CAPA) is a MH care delivery model aiming to provide efficient, high-quality care. Although widely used, no CAPA research review exists. We conducted a scoping review to fill this gap. Medline, Embase, and PsycINFO databases were searched from inception to June 2021. Grey Matters and Google were used to search the grey literature. We identified 5322 records. Removal of duplicates left 4720 documents, which were successively screened and data extracted by pairs of co-authors. The final dataset comprised six published and three non-published studies, conducted primarily at CAMH sites in England, Scotland, Australia, or Canada. Each study had multiple research objectives, which we summarized into seven categories. Positive outcomes were reported for most objectives, but attributing causality to CAPA was hampered by research methodology. Observational designs were used in all studies and approaches to analyzing data varied considerably. Research gaps included the lack of healthcare economics studies of CAPA and no assessment of facilitators and barriers. Current research on CAPA provides intriguing findings meriting further investigation. We suggest strategies to improve future studies.
MeSH term(s)	Humans ; Child ; Adolescent ; Mental Health Services ; Delivery of Health Care ; Australia ; Canada ; Scotland
Language	English
Publishing date	2022-04-14
Publishing country	England
Document type	Journal Article ; Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2299167-0
ISSN	1741-2889 ; 1367-4935
ISSN (online)	1741-2889
ISSN	1367-4935
DOI	10.1177/13674935221076215
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Article ; Online: Stem Cell Secretome for Spinal Cord Repair: Is It More than Just a Random Baseline Set of Factors?

Pajer, Krisztián / Bellák, Tamás / Nógrádi, Antal

Cells

2021 Volume 10, Issue 11

Abstract: Hundreds of thousands of people suffer spinal cord injuries each year. The experimental application of stem cells following spinal cord injury has opened a new era to promote neuroprotection and neuroregeneration of damaged tissue. Currently, there is ... ...

Abstract	Hundreds of thousands of people suffer spinal cord injuries each year. The experimental application of stem cells following spinal cord injury has opened a new era to promote neuroprotection and neuroregeneration of damaged tissue. Currently, there is great interest in the intravenous administration of the secretome produced by mesenchymal stem cells in acute or subacute spinal cord injuries. However, it is important to highlight that undifferentiated neural stem cells and induced pluripotent stem cells are able to adapt to the damaged environment and produce the so-called lesion-induced secretome. This review article focuses on current research related to the secretome and the lesion-induced secretome and their roles in modulating spinal cord injury symptoms and functional recovery, emphasizing different compositions of the lesion-induced secretome in various models of spinal cord injury.
MeSH term(s)	Animals ; Humans ; Immunomodulation ; Secretome/metabolism ; Spinal Cord Injuries/epidemiology ; Spinal Cord Injuries/immunology ; Spinal Cord Injuries/physiopathology ; Spinal Cord Injuries/therapy ; Spinal Cord Regeneration/physiology ; Stem Cell Transplantation ; Stem Cells/metabolism
Language	English
Publishing date	2021-11-18
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ZDB-ID	2661518-6
ISSN	2073-4409 ; 2073-4409
ISSN (online)	2073-4409
ISSN	2073-4409
DOI	10.3390/cells10113214
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Article: The mutual interaction between the host spinal cord and grafted undifferentiated stem cells fosters the production of a lesion-induced secretome.

Pajer, Krisztián / Bellák, Tamás / Nógrádi, Antal

Neural regeneration research

2020 Volume 15, Issue 10, Page(s) 1844–1845

Language	English
Publishing date	2020-04-03
Publishing country	India
Document type	Journal Article
ZDB-ID	2388460-5
ISSN	1876-7958 ; 1673-5374
ISSN (online)	1876-7958
ISSN	1673-5374
DOI	10.4103/1673-5374.280312
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Article ; Online: The Role of Metals in the Neuroregenerative Action of BDNF, GDNF, NGF and Other Neurotrophic Factors.

Nicoletti, Vincenzo Giuseppe / Pajer, Krisztián / Calcagno, Damiano / Pajenda, Gholam / Nógrádi, Antal

Biomolecules

2022 Volume 12, Issue 8

Abstract: Mature neurotrophic factors and their propeptides play key roles ranging from the regulation of neuronal growth and differentiation to prominent participation in neuronal survival and recovery after injury. Their signaling pathways sculpture neuronal ... ...

Abstract	Mature neurotrophic factors and their propeptides play key roles ranging from the regulation of neuronal growth and differentiation to prominent participation in neuronal survival and recovery after injury. Their signaling pathways sculpture neuronal circuits during brain development and regulate adaptive neuroplasticity. In addition, neurotrophic factors provide trophic support for damaged neurons, giving them a greater capacity to survive and maintain their potential to regenerate their axons. Therefore, the modulation of these factors can be a valuable target for treating or preventing neurologic disorders and age-dependent cognitive decline. Neuroregenerative medicine can take great advantage by the deepening of our knowledge on the molecular mechanisms underlying the properties of neurotrophic factors. It is indeed an intriguing topic that a significant interplay between neurotrophic factors and various metals can modulate the outcome of neuronal recovery. This review is particularly focused on the roles of GDNF, BDNF and NGF in motoneuron survival and recovery from injuries and evaluates the therapeutic potential of various neurotrophic factors in neuronal regeneration. The key role of metal homeostasis/dyshomeostasis and metal interaction with neurotrophic factors on neuronal pathophysiology is also highlighted as a novel mechanism and potential target for neuronal recovery. The progress in mechanistic studies in the field of neurotrophic factor-mediated neuroprotection and neural regeneration, aiming at a complete understanding of integrated pathways, offers possibilities for the development of novel neuroregenerative therapeutic approaches.
MeSH term(s)	Brain-Derived Neurotrophic Factor/metabolism ; Glial Cell Line-Derived Neurotrophic Factor/metabolism ; Motor Neurons/metabolism ; Nerve Growth Factor/metabolism ; Nerve Regeneration
Chemical Substances	Brain-Derived Neurotrophic Factor ; Glial Cell Line-Derived Neurotrophic Factor ; Nerve Growth Factor (9061-61-4)
Language	English
Publishing date	2022-07-22
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2701262-1
ISSN	2218-273X ; 2218-273X
ISSN (online)	2218-273X
ISSN	2218-273X
DOI	10.3390/biom12081015
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Article ; Online: Riluzole treatment modulates KCC2 and EAAT-2 receptor expression and Ca

Pajer, Krisztián / Bellák, Tamás / Grósz, Tímea / Nógrádi, Bernát / Patai, Roland / Sinkó, József / Vinay, Laurent / Liabeuf, Sylvie / Erdélyi, Miklós / Nógrádi, Antal

European journal of cell biology

2023 Volume 102, Issue 2, Page(s) 151317

Abstract: Avulsion injury results in motoneuron death due to the increased excitotoxicity developing in the affected spinal segments. This study focused on possible short and long term molecular and receptor expression alterations which are thought to be linked to ...

Abstract	Avulsion injury results in motoneuron death due to the increased excitotoxicity developing in the affected spinal segments. This study focused on possible short and long term molecular and receptor expression alterations which are thought to be linked to the excitotoxic events in the ventral horn with or without the anti-excitotoxic riluzole treatment. In our experimental model the left lumbar 4 and 5 (L4, 5) ventral roots of the spinal cord were avulsed. Treated animals received riluzole for 2 weeks. Riluzole is a compound that acts to block voltage-activated Na
MeSH term(s)	Animals ; Riluzole/pharmacology ; Riluzole/metabolism ; Calcium/metabolism ; Spinal Nerve Roots/injuries ; Spinal Nerve Roots/metabolism ; Spinal Cord/metabolism ; Symporters/genetics ; Symporters/metabolism
Chemical Substances	Riluzole (7LJ087RS6F) ; Calcium (SY7Q814VUP) ; Symporters
Language	English
Publishing date	2023-04-20
Publishing country	Germany
Document type	Journal Article
ZDB-ID	391967-5
ISSN	1618-1298 ; 0070-2463 ; 0171-9335
ISSN (online)	1618-1298
ISSN	0070-2463 ; 0171-9335
DOI	10.1016/j.ejcb.2023.151317
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Zs.A 667: Show issues

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Article ; Online: Neuroectodermal Stem Cells Grafted into the Injured Spinal Cord Induce Both Axonal Regeneration and Morphological Restoration via Multiple Mechanisms.

Pajer, Krisztián / Bellák, Tamás / Redl, Heinz / Nógrádi, Antal

Journal of neurotrauma

2019 Volume 36, Issue 21, Page(s) 2977–2990

Abstract: Spinal cord contusion injury leads to severe loss of gray and white matter and subsequent deficit of motor and sensory functions below the lesion. In this study, we investigated whether application of murine clonal embryonic neuroectodermal stem cells ... ...

Abstract	Spinal cord contusion injury leads to severe loss of gray and white matter and subsequent deficit of motor and sensory functions below the lesion. In this study, we investigated whether application of murine clonal embryonic neuroectodermal stem cells can prevent the spinal cord secondary damage and induce functional recovery. Stem cells (NE-GFP-4C cell line) were grafted intraspinally or intravenously immediately or one week after thoracic spinal cord contusion injury. Control animals received cell culture medium or fibrin intraspinally one week after injury. Functional tests (Basso, Beattie, Bresnahan, CatWalk
MeSH term(s)	Animals ; Axons/pathology ; Embryonic Stem Cells/transplantation ; Female ; Mice ; Nerve Regeneration/physiology ; Neural Stem Cells/transplantation ; Rats ; Rats, Sprague-Dawley ; Recovery of Function/physiology ; Spinal Cord Injuries/pathology ; Stem Cell Transplantation/methods
Language	English
Publishing date	2019-07-10
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	645092-1
ISSN	1557-9042 ; 0897-7151
ISSN (online)	1557-9042
ISSN	0897-7151
DOI	10.1089/neu.2018.6332
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Article ; Online: The use of a detailed video-based locomotor pattern analysis system to assess the functional reinnervation of denervated hind limb muscles.

Török, Dénes G / Fekécs, Zoltán / Pajer, Krisztián / Pintér, Sándor / Nógrádi, Antal

Journal of neuroscience methods

2021 Volume 365, Page(s) 109398

Abstract: Background: Spinal cord injuries induce a critical loss of motoneurons followed by irreversible locomotor function impairment. Surgical approaches combined with neuroprotective agents effectively rescue the damaged motoneurons and improve locomotor ... ...

Abstract	Background: Spinal cord injuries induce a critical loss of motoneurons followed by irreversible locomotor function impairment. Surgical approaches combined with neuroprotective agents effectively rescue the damaged motoneurons and improve locomotor function. Our aim was to develop a reliable method which is able to provide quantifiable and in-depth data on the locomotor recovery during skeletal muscle reinnervation. New method: Sprague-Dawley rats underwent lumbar 4 ventral root avulsion and reimplantation followed by riluzole treatment in order to rescue the injured motoneurons of the damaged pool. Control animals were operated, but received no riluzole treatment. The locomotor pattern of the hind limb was recorded biweekly on a special runway equipped with high resolution and high speed digital cameras producing both lateral and rear views simultaneously. All together 12 parameters of the hind limb movement pattern were evaluated by measuring specific joint angles, footprints and gait parameters in single video frames. Four months after the operation Fast Blue, a fluorescent retrograde tracer was applied to the L4 spinal nerve in order to label the reinnervating motoneurons. Results: Our results confirmed the sensitivity of our arrangement and established strong relationship between the functional improvement and the morphological reinnervation. Moreover, we developed a correction method to make the system tolerant to the differences in the weight, step duration and step length. Comparison with existing methods: There are no commercially available cheap, multi-parametric analysing equipment to characterise the gait in its complexity. Conclusions: Our system offers a modular, adaptable and expandable analysis on the reinnervation of the limb musculature in rodents.
MeSH term(s)	Animals ; Motor Neurons/physiology ; Muscle, Skeletal/innervation ; Nerve Regeneration/physiology ; Rats ; Rats, Sprague-Dawley ; Spinal Nerve Roots/physiology
Language	English
Publishing date	2021-10-30
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	282721-9
ISSN	1872-678X ; 0165-0270
ISSN (online)	1872-678X
ISSN	0165-0270
DOI	10.1016/j.jneumeth.2021.109398
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Zs.A 1486: Show issues

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Article ; Online: Motoneuronal inflammasome activation triggers excessive neuroinflammation and impedes regeneration after sciatic nerve injury.

Molnár, Kinga / Nógrádi, Bernát / Kristóf, Rebeka / Mészáros, Ádám / Pajer, Krisztián / Siklós, László / Nógrádi, Antal / Wilhelm, Imola / Krizbai, István A

Journal of neuroinflammation

2022 Volume 19, Issue 1, Page(s) 68

Abstract: Background: Peripheral nerve injuries are accompanied by inflammatory reactions, over-activation of which may hinder recovery. Among pro-inflammatory pathways, inflammasomes are one of the most potent, leading to release of active IL-1β. Our aim was to ... ...

Abstract	Background: Peripheral nerve injuries are accompanied by inflammatory reactions, over-activation of which may hinder recovery. Among pro-inflammatory pathways, inflammasomes are one of the most potent, leading to release of active IL-1β. Our aim was to understand how inflammasomes participate in central inflammatory reactions accompanying peripheral nerve injury. Methods: After axotomy of the sciatic nerve, priming and activation of the NLRP3 inflammasome was examined in cells of the spinal cord. Regeneration of the nerve was evaluated after coaptation using sciatic functional index measurements and retrograde tracing. Results: In the first 3 days after the injury, elements of the NLRP3 inflammasome were markedly upregulated in the L4-L5 segments of the spinal cord, followed by assembly of the inflammasome and secretion of active IL-1β. Although glial cells are traditionally viewed as initiators of neuroinflammation, in this acute phase of inflammation, inflammasome activation was found exclusively in affected motoneurons of the ventral horn in our model. This process was significantly inhibited by 5-BDBD, a P2X4 receptor inhibitor and MCC950, a potent NLRP3 inhibitor. Although at later time points the NLRP3 protein was upregulated in microglia too, no signs of inflammasome activation were detected in these cells. Inhibition of inflammasome activation in motoneurons in the first days after nerve injury hindered development of microgliosis in the spinal cord. Moreover, P2X4 or inflammasome inhibition in the acute phase significantly enhanced nerve regeneration on both the morphological and the functional levels. Conclusions: Our results indicate that the central reaction initiated by sciatic nerve injury starts with inflammasome activation in motoneurons of the ventral horn, which triggers a complex inflammatory reaction and activation of microglia. Inhibition of neuronal inflammasome activation not only leads to a significant reduction of microgliosis, but has a beneficial effect on the recovery as well.
MeSH term(s)	Humans ; Inflammasomes/metabolism ; Motor Neurons/metabolism ; NLR Family, Pyrin Domain-Containing 3 Protein/metabolism ; Neuroinflammatory Diseases ; Peripheral Nerve Injuries ; Sciatic Nerve/injuries
Chemical Substances	Inflammasomes ; NLR Family, Pyrin Domain-Containing 3 Protein
Language	English
Publishing date	2022-03-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2156455-3
ISSN	1742-2094 ; 1742-2094
ISSN (online)	1742-2094
ISSN	1742-2094
DOI	10.1186/s12974-022-02427-9
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Article ; Online: Parenting during the COVID-19 pandemic: The sociodemographic and mental health factors associated with maternal caregiver strain.

Radomski, Ashley / Cloutier, Paula / Polihronis, Christine / Gardner, William / Pajer, Kathleen / Sheridan, Nicole / Sundar, Purnima / Cappelli, Mario

Families, systems & health : the journal of collaborative family healthcare

2022 Volume 40, Issue 1, Page(s) 79–86

Abstract: Introduction: The COVID-19 pandemic has introduced new stressors for parents ("caregivers") that may affect their own and their child's mental health (MH). We explored self-reported levels of caregiver strain (parents' perceived ability to meet ... ...

Abstract	Introduction: The COVID-19 pandemic has introduced new stressors for parents ("caregivers") that may affect their own and their child's mental health (MH). We explored self-reported levels of caregiver strain (parents' perceived ability to meet parenting demands), and the MH and sociodemographic factors of caregivers to identify predictors of strain that can be used to guide MH service delivery for families. Methods: We administered a web-based survey to Ontario caregivers with a child between 4 and 25 years old, between April and June 2020. We analyzed information from 570 maternal caregivers on their sociodemographics, youngest (or only) child's MH, their own MH, and the degree of caregiver strain experienced since the pandemic. We used linear regressions (unadjusted and adjusted models) to explore the relationship between caregiver strain and sociodemographics, child MH and caregiver MH. Results: Over 75% of participants reported "moderate-to-high" caregiver strain. More than 25% of caregivers rated their MH as "poor" and 20% reported moderate-to-severe anxiety. Forty-five percent of the variance in caregiver strain was accounted for by child age, caregiver anxiety, and multiple child and caregiver MH variables. Younger child age and higher caregiver anxiety were the greatest predictors of caregiver strain. Conclusion: We found a relationship between child age, child and caregiver MH variables, and caregiver strain. Given the interrelatedness of these factors, supporting caregivers' MH and lessening their role strain becomes critical for family well-being. Evidence-based individual, family, and public health strategies are needed to alleviate pandemic-related strain. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
MeSH term(s)	Adolescent ; Adult ; COVID-19/epidemiology ; Caregivers ; Child ; Child, Preschool ; Humans ; Mental Health ; Pandemics ; Parenting ; Stress, Psychological/etiology ; Young Adult
Language	English
Publishing date	2022-03-11
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1326859-4
ISSN	1939-0602 ; 1091-7527 ; 0736-1718
ISSN (online)	1939-0602
ISSN	1091-7527 ; 0736-1718
DOI	10.1037/fsh0000638
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Zs.A 1932: Show issues

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Article ; Online: Screening for depression in children and adolescents in primary care or non-mental health settings: a systematic review update.

Beck, Andrew / Dryburgh, Nicole / Bennett, Alexandria / Shaver, Nicole / Esmaeilisaraji, Leila / Skidmore, Becky / Patten, Scott / Bragg, Heather / Colman, Ian / Goldfield, Gary S / Nicholls, Stuart Gordon / Pajer, Kathleen / Meeder, Robert / Vasa, Priya / Shea, Beverley J / Brouwers, Melissa / Little, Julian / Moher, David

Systematic reviews

2024 Volume 13, Issue 1, Page(s) 48

Abstract: Background: The transition from childhood to adolescence is associated with an increase in rates of some psychiatric disorders, including major depressive disorder, a debilitating mood disorder. The aim of this systematic review is to update the ... ...

Abstract	Background: The transition from childhood to adolescence is associated with an increase in rates of some psychiatric disorders, including major depressive disorder, a debilitating mood disorder. The aim of this systematic review is to update the evidence on the benefits and harms of screening for depression in primary care and non-mental health clinic settings among children and adolescents. Methods: This review is an update of a previous systematic review, for which the last search was conducted in 2017. We searched Ovid MEDLINE® ALL, Embase Classic+Embase, PsycINFO, Cochrane Central Register of Controlled Trials, and CINAHL on November 4, 2019, and updated on February 19, 2021. If no randomized controlled trials were found, we planned to conduct an additional search for non-randomized trials with a comparator group. For non-randomized trials, we applied a non-randomized controlled trial filter and searched the same databases except for Cochrane Central Register of Controlled Trials from January 2015 to February 2021. We also conducted a targeted search of the gray literature for unpublished documents. Title and abstract, and full-text screening were completed independently by pairs of reviewers. Results: In this review update, we were unable to find any randomized controlled studies that satisfied our eligibility criteria and evaluated the potential benefits and harms of screening for depression in children and adolescents. Additionally, a search for non-randomized trials yielded no studies that met the inclusion criteria. Conclusions: The findings of this review indicate a lack of available evidence regarding the potential benefits and harms of screening for depression in children and adolescents. This absence of evidence emphasizes the necessity for well-conducted clinical trials to evaluate the effectiveness of depression screening among children and adolescents in primary care and non-mental health clinic settings. Systematic review registration: PROSPERO CRD42020150373 .
MeSH term(s)	Adolescent ; Child ; Humans ; Depression/diagnosis ; Depression/prevention & control ; Depressive Disorder, Major/diagnosis ; Primary Health Care ; Research Design
Language	English
Publishing date	2024-01-31
Publishing country	England
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	2662257-9
ISSN	2046-4053 ; 2046-4053
ISSN (online)	2046-4053
ISSN	2046-4053
DOI	10.1186/s13643-023-02447-3
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