Publications by authors named "Bruggen J"

Investments in agricultural intensification in sub-Saharan Africa aim to fulfill food and economic demands. However, the increased use of fertilizers and pesticides poses ecological risks to water bodies in agricultural catchments. This study focused on assessing the impact of agricultural intensification on nutrient and pesticide pollution in the L.

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Autologous T-cell-based therapies, such as chimeric antigen receptor (CAR) T-cell therapy, exhibit low success rates in chronic lymphocytic leukemia (CLL) and correlate with a dysfunctional T-cell phenotype observed in patients. Despite various proposed mechanisms of T-cell dysfunction in CLL, the specific CLL-derived factors responsible remain unidentified. This study aimed to investigate the mechanisms through which CLL cells suppress CAR T-cell activation and function.

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Article Synopsis
  • - The study explored the effectiveness of taurolidine-citrate(-heparin) lock solutions (TCHL) in preventing central-line-associated bloodstream infections (CLABSI) in pediatric oncology patients, with a trial conducted from 2020 to 2023.
  • - A total of 462 patients using central venous access devices were split into two groups: one using TCHL and the other using heparin-only locks (HL), with follow-ups for 90 days post-insertion.
  • - Results showed no significant difference in the incidence of CLABSI between the TCHL and HL groups, with slightly fewer infections in the TCHL group, but adverse events occurred more often in that group.
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  • Taurolidine lock solutions (TL) may prevent bloodstream infections but can interfere with blood culture results if not fully aspirated before testing.
  • Various lock solutions were tested for their impact on microbial detection in blood culture vials, with taurolidine showing a significant delay in detecting microbial growth.
  • The findings emphasize the necessity of removing TLs from central venous catheters prior to collecting blood cultures to avoid misleading results.
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  • The study aimed to evaluate the use of CLABSI criteria by the CDC in pediatric oncology patients with central venous catheters.
  • A total of 84 bacteremia episodes were analyzed, with 40% classified as CLABSIs and 60% as non-CLABSIs, showing a significant disagreement (13%) among medical experts on these classifications.
  • The findings suggest that modifying the MBI-LCBI criteria to include Pseudomonas aeruginosa and mucositis might enhance the accuracy of diagnosing bloodstream infections in this population.
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Background: Interferon (IFN)-β induction via activation of the stimulator of interferon genes (STING) pathway has shown promising results in tumor models. STING is activated by cyclic dinucleotides such as cyclic GMP-AMP dinucleotides with phosphodiester linkages 2'-5' and 3'-5' (cGAMPs), that are produced by cyclic GMP-AMP synthetase (cGAS). However, delivery of STING pathway agonists to the tumor site is a challenge.

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Article Synopsis
  • * A total of 462 paediatric oncology patients will be part of a randomised controlled trial comparing taurolidine-citrate-heparin locks to standard heparin-only locks, with a primary focus on the incidence of CLABSI within a maximum follow-up of 90 days.
  • * The research is ethically approved, and results will be published in a peer-reviewed journal, with data accessible upon request after the main results are published.
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Acquired T-cell dysfunction is characteristic of chronic lymphocytic leukemia (CLL) and is associated with reduced efficacy of T cell-based therapies. A recently described feature of dysfunctional CLL-derived CD8 T cells is reduced metabolic plasticity. To what extend CD4 T cells are affected and whether CD4 T-cell metabolism and function can be restored upon clinical depletion of CLL cells are currently unknown.

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  • Altered metabolism in leukemia cells is linked to their movement between blood and lymph nodes, with a focus on how this affects treatment responses.
  • A study analyzed patient blood samples before and after 3 months of ibrutinib treatment and simulated lymph node conditions in the lab to understand metabolic changes.
  • Findings revealed significant shifts in metabolism, highlighting the role of amino acids and their potential as new targets for therapy, especially in overcoming drug resistance.
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Zambia has been mining cobalt (Co), copper (Cu), and lead (Pb) for over a century, with discharges entering wetlands without investigations on the level of sediment pollution and how to solve it. This present study investigated: 1) the extent to which Co, Cu, and Pb that enter through mining wastewater were distributed in the sediment of three wetlands (Uchi, Mufulira, and Kabwe) in Zambia and 2) the accumulation and distribution of the heavy metals in two emergent wetland plants, Phragmites mauritianus, and Typha spp. in order to evaluate their potential for phytoremediation of metals.

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The COVID-19 pandemic has significantly impacted medical education; thus, there is a need to better understand the effectiveness of virtual learning compared to in-person learning. This is a single-center, cross-sectional study of first-year medical students who attended a gastroenterology simulated clinic activity in person in 2018 and 2019 or virtually in 2020. Participants were surveyed on the activity's relevance and effectiveness.

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The incidence of central venous catheter (CVC)-related bloodstream infections is high in patients requiring a long-term CVC. Therefore, infection prevention is of the utmost importance. The aim of this study was to provide an updated overview of randomized controlled trials (RCTs) comparing the efficacy of taurolidine containing lock solutions (TL) to other lock solutions for the prevention of CVC-related bloodstream infections in all patient populations.

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Background: Since the COVID-19 outbreak there are warnings for an increase of psychological complaints in the general population and in psychiatric patients.

Aim: To gain insight in corona associated factors that can provoke psychiatric decompensation, wherefore admission in our psychiatric clinic was necessary. To investigate if the admission rate of our clinic increased since the start of the quarantine measures.

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The next frontier towards a cure for B-cell non-Hodgkin lymphomas (B-NHL) is autologous cellular immunotherapy such as immune checkpoint blockade (ICB), bispecific antibodies (BsAbs) and chimeric antigen receptor (CAR) T-cells. While highly successful in various solid malignancies and in aggressive B-cell leukemia, this clinical success is often not matched in B-NHL. T-cell subset skewing, exhaustion, expansion of regulatory T-cell subsets, or other yet to be defined mechanisms may underlie the lack of efficacy of these treatment modalities.

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Immune checkpoint blockade (ICB) has revolutionized cancer therapy, but varying response rates illustrate the need for biomarkers of response. Studies in mice have identified a subset of CD8 T cells that is essential for response to PD-1 ICB. These CD8 T cells co-express CXCR5, PD-1 and Tcf1, and provide effector T cells upon PD-1 ICB.

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Introduction: Cognitive integration is required to perform clinical decision-making tasks, even in the preclinical curriculum of medical school. Simulation supports students' cognitive integration by providing practical application of basic science knowledge in a relevant clinical context. To address the need for integrative activities in our curriculum, we implemented a simulated clinic exercise with cases representing gastrointestinal diseases for first-year medical students.

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Hybridoma technology is instrumental for the development of novel antibody therapeutics and diagnostics. Recent preclinical and clinical studies highlight the importance of antibody isotype for therapeutic efficacy. However, since the sequence encoding the constant domains is fixed, tuning antibody function in hybridomas has been restricted.

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In chronic lymphocytic leukemia (CLL), acquired T-cell dysfunction impedes development of effective immunotherapeutic strategies, through as-yet unresolved mechanisms. We have previously shown that CD8 T cells in CLL exhibit impaired activation and reduced glucose uptake after stimulation. CD8 T cells in CLL patients are chronically exposed to leukemic B cells, which potentially impacts metabolic homeostasis resulting in aberrant metabolic reprogramming upon stimulation.

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There is critical concern over heavy metals because they are biotoxins. The best management option is elimination or at least minimization of effluence into the environment, but in several regions, mining wastewater or acid mine drainage (AMD) effluence into natural wetlands has continued. The ability of wetlands to attenuate heavy metals in mining wastewater and AMD has led to natural wetlands being used as recipients of these effluents in many parts of the world.

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Background: Central venous access device (CVAD)-related complications are associated with high morbidity rates. This study was performed to underline the importance of CVAD-complication prevention and treatment.

Methods: An audit of practice of CVAD-related complications in pediatric oncology patients receiving a CVAD between January 2015 and June 2017 was performed.

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A duplex constructed wetland (duplex-CW) is a hybrid system that combines a vertical flow (VF) CW as a first stage with a horizontal flow filter (HFF) as a second stage for a more efficient wastewater treatment as compared to traditional constructed wetlands. This study evaluated the potential of the hybrid CW system to treat influent wastewater containing diesel range organic compounds varying from C - C using a series of 12-week practical and numerical experiments under controlled conditions in a greenhouse (pH was kept at 7.0 ± 0.

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Chronic lymphocytic leukemia (CLL) cells are provided with essential survival and proliferative signals in the lymph node microenvironment. Here, CLL cells engage in various interactions with bystander cells such as T cells and macrophages. Phenotypically distinct types of tumor infiltrating macrophages can either be tumor supportive (M2) or play a role in tumor immune surveillance (M1).

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This study examined the performance of pilot-scale vertical subsurface flow constructed wetlands (VSF-CWs) planted with three indigenous plants, i.e. Typha latifolia, Cyperus alternifolius, and Cynodon dactylon, in removing heavy metals from secondary treated refinery wastewater under tropical conditions.

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