Publications by authors named "M S Brouwer"

Introduction: Little is known about the effectiveness and safety of oxygen saturation (SpO2) thresholds in children admitted with respiratory distress. The current 90%-94% threshold could lead to prolonged administration of supplemental oxygen, increased duration of hospital admissions, distress for children and families, and healthcare costs. To balance reducing unnecessary oxygen administration and preventing hypoxia, a lower SpO2 threshold of 88% for oxygen supplementation in children has been suggested.

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Purpose: We observed that the tumor microenvironment (TME) in metastatic epithelial ovarian cancer (EOC) and in other solid tumors can reprogram normal neutrophils to acquire a complement-dependent suppressor phenotype characterized by inhibition of stimulated T cell activation. This study aims to evaluate whether serum markers of neutrophil activation and complement at diagnosis of EOC would be associated with clinical outcomes.

Experimental Design: We conducted a two-center prospective study of patients with newly diagnosed EOC (N = 188).

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Objective: To describe the clinical features and outcome of brain abscess since introduction of computerised tomography and magnetic resonance imaging.

Methods: MEDLINE and Embase were searched using "brain abscess" or "cerebral abscess" from 1970 through 2023 and analyses restricted to study populations hospitalised after 1980. Single-variable meta-analyses were done using a random-effects model.

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Article Synopsis
  • The study systematically reviewed biomarkers in cerebrospinal fluid (CSF) and blood for diagnosing paediatric bacterial meningitis.
  • It included 112 articles on 113 individual biomarkers, finding significant differences in concentrations between bacterial and viral meningitis.
  • Key CSF biomarkers like CRP, IL-6, and procalcitonin showed excellent accuracy in distinguishing bacterial meningitis from other infections, supporting their potential use in clinical settings.
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Article Synopsis
  • - There is a significant need to assess the knowledge and training gaps among infectious disease (ID) physicians regarding encephalitis, specifically autoimmune encephalitis.
  • - A survey was conducted among European ID specialists, with 201 respondents indicating that 64% dealt with infectious encephalitis, while only 7.5% focused on autoimmune cases.
  • - Many physicians reported low confidence in recognizing (60%), diagnosing (71%), and treating (85%) autoimmune encephalitis, highlighting the demand for standardized guidelines from ESCMID for better management practices (89%).
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