Publications by authors named "Ensink J"

In youth with posttraumatic stress disorder (PTSD) non-response rates after treatment are often high. Epigenetic mechanisms such as DNA methylation (DNAm) have previously been linked to PTSD pathogenesis, additionally DNAm may affect response to (psychological) therapies. Besides investigating the direct link between DNAm and treatment response, it might be helpful to investigate the link between DNAm and previously associated biological mechanisms with treatment outcome.

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While trauma-focused psychotherapies have been shown effective in youth with PTSD, the relationship between treatment response and alterations in the autonomic nervous system (ANS) associated with PTSD, remains incompletely understood. During neutral and personalized trauma script imagery heart rate (HR), pre-ejection period (PEP) and respiratory sinus arrhythmia (RSA) were recorded in youth aged 8-18 with PTSD or partial PTSD (n = 76) and trauma-exposed controls (TEC) (n = 27) to determine ANS activity and stress reactivity. Within the patient group, 77.

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  • Pit latrines serve billions in developing countries as an affordable sanitation solution, but can lead to health issues if not properly maintained.
  • A study of 35 pit latrines in Tanzania examined bacteria and environmental factors affecting their fill-up rates, revealing that microbial diversity changes with depth and various environmental parameters correlate with these rates.
  • Key findings suggest that pH, volatile solids, and specific bacteria types influence how quickly pit latrines fill, offering valuable insights for improving sanitation methods and decomposition processes.
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  • Selective mutism (SM) is an anxiety disorder in children and adolescents characterized by not speaking in specific social situations, primarily in school settings.
  • The study aimed to evaluate the reliability and validity of the Dutch translation of the selective mutism questionnaire (SMQ) using data from 303 children, comparing a clinical group with a control group.
  • Results indicated that the Dutch SMQ is a highly reliable tool for screening and assessing SM, demonstrating strong reliability and an expected factor structure.
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Background: Iris cysts in horses are often asymptomatic and noticed incidentally. However, cysts can cause local corneal oedema and erratic behaviour like shying, decreased performance and head-shaking.

Objectives: To describe the use of diode laser as a noninvasive treatment option for iris cysts in the horse and to document factors influencing its efficacy, associated complications, long-term outcome and rate of recurrence.

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Randomized controlled trials have shown efficacy of trauma-focused psychotherapies in youth with posttraumatic stress disorder (PTSD). However, response varies considerably among individuals. Currently, no biomarkers are available to assist clinicians in identifying youth who are most likely to benefit from treatment.

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Selective mutism (SM) is an anxiety disorder (prevalence 1-2%), characterized by the consistent absence of speaking in specific situations (e.g., in school), while adequately speaking in other situations (e.

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This study is the first to distinguish two possible predictive directions between trauma exposure and executive functioning in children in a community sample. The sample consists of 1006 children from two time points with a seven years' time interval of a longitudinal Dutch birth cohort study, the ABCD-study (Van Eijsden et al., 2011).

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  • Childhood aggressive behavior (AGG) is significantly heritable, with around 50% of its variation attributed to genetics, as shown in a study analyzing data from over 87,000 children aged 1.5 to 18 years; however, no genome-wide significant SNPs were identified.* -
  • Three significant genes (ST3GAL3, PCDH7, and IPO13) linked to educational traits were found, and genetic analysis revealed moderate to strong correlations between AGG and various psychiatric traits, with notable weak correlations concerning teacher assessments.* -
  • The research also showed negative genetic correlations of aggression with cognitive abilities and age at first birth, alongside strong correlations with smoking behaviors, highlighting complex genetic interactions within childhood aggression.*
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Background: Soil-transmitted helminth (STH) infections are highly prevalent in resource-limited countries. We assessed the effect of a combination intervention aiming to enhance handwashing with soap on STH reinfection following mass drug administration among primary school children in Kagera region, Northwestern Tanzania.

Methods: We conducted a cluster randomised trial in sixteen primary schools with known high STH prevalence.

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: Posttraumatic stress disorder (PTSD) is associated with dysregulated neural, cortisol, and cardiac stress reactivity and recovery. This understanding is predominantly based on studies in adults applying emotional-cognitive and trauma-related stimuli inducing negative emotions or perceived threat. Despite large numbers of adolescents with PTSD, few studies are available on neurobiological stress reactivity in this population.

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Background: Recent findings in neuroimaging and epigenetics offer important insights into brain structures and biological pathways of altered gene expression associated with posttraumatic stress disorder (PTSD). However, it is unknown to what extent epigenetic mechanisms are associated with PTSD and its neurobiology in youth.

Methods: In this study, we combined a methylome-wide association study and structural neuroimaging measures in a Dutch cohort of youths with PTSD (8-18 years of age).

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Background: The Gambia has high rates of under-5 mortality from diarrhoea and pneumonia, peaking during complementary-feeding age. Community-based interventions may reduce complementary-food contamination and disease rates.

Methods And Findings: A public health intervention using critical control points and motivational drivers, delivered February-April 2015 in The Gambia, was evaluated in a cluster randomised controlled trial at 6- and 32-month follow-up in September-October 2015 and October-December 2017, respectively.

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Introduction: Soil transmitted helminths (STH) can affect over 50% of children in some parts of Tanzania. Control measures involve annual deworming campaigns in schools, but re-infection is rapid. This paper presents the design and baseline survey results of an ongoing school-based cluster-randomised controlled trial in Kagera region, NW Tanzania.

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Article Synopsis
  • Randomized controlled trials show that trauma-focused psychotherapy is effective for treating PTSD in youth, but the link between treatment response and brain structure changes is unclear.
  • Through a study of 35 young patients, researchers used MRI scans to explore changes in brain structure before and after treatment.
  • The findings indicated that non-responders had significant reductions in grey matter volume in the insula, suggesting atypical neurodevelopment, while responders showed no significant brain structure changes, implying that successful treatment might not restore typical brain abnormalities related to PTSD.
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Background: Meckel's diverticula are a rare cause of small intestinal strangulation, diagnosed at laparotomy or necropsy. This congenital anomaly of the gastrointestinal tract originates from a remnant of the vitelline duct. In reported equine cases, they present as a full-thickness diverticulum on the antimesenteric border of the distal jejunum or proximal ileum.

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Selective mutism (SM) is a relatively rare anxiety disorder, characterized by a child's consistent failure to speak in various specific social situations (e.g., at school), while being able to speak in other situations (e.

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Objective: To describe ultrasonography as a diagnostic method of in vivo Descemet's membrane detachment (DMD) in horses.

Animals Studied: Seven horses (three Icelandic horses, two Dutch Warmblood horses, one Appaloosa, and one Welsh Pony), presenting with moderate-to-severe focal or diffuse corneal edema, in whom DMD was suspected on ultrasonographic examination and confirmed with histopathology, were studied.

Procedure: A retrospective analysis of case records of horses with suspected DMD was performed.

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  • The study explores how both genetic and environmental factors, particularly maternal influences, contribute to problem behavior in children.
  • The research involved 1,154 children, analyzing polygenic risk scores from genome-wide studies on psychiatric disorders to assess their link to maternal risks and behavioral issues.
  • Findings suggest a correlation between genetic predispositions (especially related to schizophrenia) and early environmental risks, indicating that both factors may interact to increase the likelihood of problem behaviors in children.
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  • Congenital portosystemic shunts in foals are uncommon, with few documented cases, and prior reports lack detailed descriptions of their characteristics.
  • This study presents the first detailed computed tomography angiography (CTA) visualization of an extra-hepatic splenocaval shunt in a 1-month-old colt showing neurological symptoms and hyperammonemia.
  • The surgery to ligate the abnormal vessel was unsuccessful, leading to the euthanization of the foal, highlighting the importance of CTA in diagnosing and planning treatment for suspected portosystemic shunts in foals.
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In vitro methods were used to assess the full potential for decomposition (measured as biogas formation) from pit latrine samples taken from the top layer of 15 Tanzanian latrines. We found considerable variability in the decomposition rate and extent. This was compared with decomposition in the same latrines, measured by comparing top layer composition with fresh stools and deeper (older) layers, to assess whether this potential was realised in situ.

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Background: Despite availability of effective trauma-focused psychotherapies, treatment non-response in youth with (partial) posttraumatic stress disorder remains substantial. Studies in adult PTSD have suggested that cortisol is associated with treatment outcome. Furthermore, cortisol prior to treatment could be used to predict treatment success.

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Background: Pit latrine operational management and sludge accumulation rate, presents a challenging sanitation problem in low-income urban settlements. However, these challenges have been under-researched. This study was carried out between December 2014 and September 2015 in Nakuru, Kenya.

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