Publications by authors named "Mulder A"

Background: Video review is a feasible, commonly used learning tool, but current literature lacks a comprehensive review of its impact on learning in postgraduate medical education. This systematic review aims at examining the learning effect of video review of resident performance in clinical practice during postgraduate medical education.

Methods: A systematic literature search was conducted from May 2023 to July 2023 with an update on 12/12/2023.

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  • CD2, CD25, and CD30 expression in extracutaneous mast cells is a minor diagnostic criterion for systemic mastocytosis (SM), as categorized by the World Health Organization and International Consensus Classification.
  • A study of 5,034 patients revealed that lower percentages of CD2, CD25, and/or CD30 in mast cells are seen in indolent SM compared to advanced forms like aggressive SM and mast cell leukemia.
  • The absence of CD2 in mast cells is linked to significantly lower overall survival and indicates the potential for disease spread outside the bone marrow to organs like the spleen and liver.
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  • Whole genome sequencing (WGS) of Mycobacterium tuberculosis complex (MTBC) is greatly affected by the effectiveness of DNA extraction protocols, particularly the lysis step.
  • In a study comparing four different DNA extraction methods, a bead beating protocol (protocol B) significantly increased DNA yield by 60-fold and improved sequencing success rates.
  • Incorporating mechanical lysis not only enhances extraction from primary cultures but also enables earlier WGS from enriched cultures, ultimately reducing turnaround time while maintaining high-quality DNA needed for analysis.
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  • Giant cell arteritis (GCA) and polymyalgia rheumatica (PMR) are inflammatory diseases, and researchers are looking for biomarkers to identify active cases and those who may need alternative treatments to glucocorticoids.
  • A study evaluated the presence of interferon type I (IFN-I) markers in GCA and PMR patients, including those not previously treated, but did not find significant differences in IFN-I scores between these groups and healthy controls.
  • The results indicated that the IFN-I signature and serum markers CXCL10 and Galactin-9 were not elevated in patients with GCA or PMR, suggesting that these IFN-I markers may not be useful for diagnosing or guiding treatment
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Defining what constitutes a healthy microbiome throughout our lives remains an ongoing challenge. Understanding to what extent host and environmental factors can influence it has been the primary motivation for large population studies worldwide. Here, we describe the fecal microbiome of 3,746 individuals (0-87 years of age) in a nationwide study in the Netherlands, in association with extensive questionnaires.

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  • A 42-year-old man experienced renal failure and ongoing fatigue after a SARS-CoV-2 infection, leading to referral to internal medicine.
  • Blood tests showed he had anemia and severe kidney issues, and further testing identified type I cryoglobulinemia with antibodies targeting SARS-CoV-2.
  • The patient's symptoms and lab results improved over three months, suggesting that COVID-19 induced cryoglobulinemia is typically mild and resolves on its own after the viral infection clears.
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Numerous lipids are heterogeneously distributed among organelles. Most lipid trafficking between organelles is achieved by a group of lipid transfer proteins (LTPs) that carry lipids using their hydrophobic cavities. The human genome encodes many intracellular LTPs responsible for lipid trafficking and the function of many LTPs in defining cellular lipid levels and distributions is unclear.

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Aims: Most human infections with non-typhoid Salmonella (NTS) or Campylobacter are zoonotic in nature and acquired though consumption of contaminated food of mainly animal origin. However, individuals may also acquire salmonellosis or campylobacteriosis through non-foodborne transmission pathways, such as those mediated by the environment. This emphasizes the need to consider both direct and indirect exposure to livestock sources as a possible transmission route for NTS and Campylobacter.

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The pericellular matrix (PCM), with its hallmark proteins collagen type VI (COLVI) and fibronectin (FN), surrounds chondrocytes and is critical in transducing the biomechanical cues. To identify genetic variants that change protein function, exome sequencing is performed in a patient with symptomatic OA at multiple joint sites. A predicted damaging variant in COL6A3 is identified and introduced by CRISPR-Cas9 genome engineering in two established human induced pluripotent stem cell-derived in-vitro neocartilage organoid models.

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Metal-implant associated bacterial infections are a major clinical problem due to antibiotic treatment failure. As an alternative, we determined the effects of bacteriophage ISP on clinical isolates of Staphylococcus aureus in various stages of its life cycle in relation to biofilm formation and maturation. ISP effectively eliminated all planktonic phase bacteria, whereas its efficacy was reduced against bacteria attached to the metal implant and bacteria embedded within biofilms.

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Allogeneic stem cell transplantation (alloSCT) offers curative potential for older patients with myeloid malignancies. We evaluated the efficacy and safety of alloSCT using post-transplantation cyclophosphamide (PTCy) in combination with a very short duration of immune suppression (IS) in this population. We retrospectively analyzed 92 consecutive patients aged 65 years and older who underwent an alloSCT for myeloid malignancies between February 2018 and December 2022 at our institution.

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Due to endocrine disrupting effects, di-(2-ethylhexyl) phthalate (DEHP), a plasticizer used to soften plastic medical devices, was restricted in the EU Medical Devices Regulation (EU MDR 2017/745) and gradually replaced by alternative plasticizers. Neonates hospitalized in the neonatal intensive care unit (NICU) are vulnerable to toxic effects of plasticizers. From June 2020 to August 2022, urine samples (n = 1070) were repeatedly collected from premature neonates (n = 132, 4-10 samples per patient) born at <31 weeks gestational age and/or <1500 g birth weight in the Antwerp University Hospital, Belgium.

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The determination of energy requirements in clinical practice is based on basal metabolic rate (BMR), frequently predicted by equations that may not be suitable for individuals with severe obesity. This systematic review and meta-analysis examined the accuracy and precision of BMR prediction equations in adults with severe obesity. Four databases were searched in March 2021 and updated in May 2023.

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Background: Management of insulin administration for intake of carbohydrates and physical activity can be burdensome for people with type 1 diabetes on hybrid closed-loop systems. Bihormonal fully closed-loop (FCL) systems could help reduce this burden. In this trial, we assessed the long-term performance and safety of a bihormonal FCL system.

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  • A new recessive genetic disorder called NIT1-small vessel disease has been identified, caused by variants in the NIT1 gene that lead to loss of function.* -
  • Researchers analyzed seven patients using various techniques like exome sequencing and MRI, discovering significant brain abnormalities and movement disorders primarily presenting in mid-adulthood.* -
  • The disease is characterized by a specific set of symptoms including dilated perivascular spaces in the basal ganglia and intracerebral hemorrhages, highlighting its unique features among cerebral small vessel diseases.*
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Subglottic haemangioma can cause stridor in young children, and sometimes be life-threatening. Larynx ultrasound is a useful, non-irradiating screening test, but the diagnosis must be confirmed by bronchial fibroscopy and injected chest CT scan. Nowadays propranolol is the first-line treatment.

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  • Pigmentation in uveal melanoma affects tumor behavior and treatment response, with a focus on the contrast between pigmented and nonpigmented cell lines.
  • Treatment with light-activated Belzupacap sarotalocan (Bel-sar) resulted in significant cell death and increased immune response in both types of tumors, showing enhanced phagocytosis and maturation of immune cells.
  • The findings suggest that pigmentation not only influences the macrophage composition within tumors but also plays a role in the effectiveness of Bel-sar treatment, leading to delayed tumor growth and increased M1 macrophage response.
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Renal ex vivo normothermic machine perfusion (NMP) is under development as an assessment tool for high-risk kidney grafts and as a means of achieving more physiologically accurate organ preservation. On-going hemolysis has been reported during NMP, as this technique relies on red blood cells for oxygen delivery. In this study, we confirm the occurrence of progressive hemolysis during 6-hour kidney NMP.

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  • Ensuring that infants and young children consume safe and nutritious complementary foods is essential for their growth and development.
  • The rise of commercially produced snack foods for this age group has led to many products containing unhealthy levels of added sugars and sodium, making them unsuitable.
  • A study of 606 snack products in Southeast Asia found that over 85% did not meet nutrient standards, and almost all had misleading labels, highlighting the urgent need for stricter regulations on food safety and labeling for children's snacks.
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  • Commercially produced complementary foods for infants are popular in Southeast Asia but raise concerns about high sugar and sodium levels.
  • The study assessed 459 such products in seven capitals and found that only 37.7% met nutritional standards and none met all labeling requirements.
  • Enforcement of regulations for nutrient composition and labeling is necessary to ensure the health safety of these foods for older infants and young children.
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Although commercially produced complementary foods (CPCFs) are increasingly sold throughout Southeast Asia, concerns have been raised about CPCFs nutritional quality, labelling practices and the strength and scope of national CPCF regulations. The Consortium for Improving Complementary Foods in Southeast Asia (COMMIT), composed of UN agencies and civil society organizations, was formed to assess the nutrient gap in the diets of young children and the consumer, product and policy landscapes for CPCFs in seven Southeast Asian countries. Results from a nutrient gap assessment indicate that the diets of children aged 6-23 months are suboptimal and deficient in micronutrients.

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Background: Hereditary alpha tryptasemia (HαT) has significant prevalence and potential morbidity in the general population. However, it remains largely undiagnosed in routine clinical diagnostics due to low availability of efficient assessment methods. To address this issue, we developed a reliable and efficient single-well multiplex digital droplet PCR assay.

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  • Developed an AI software system to predict late-onset sepsis (LOS) and necrotizing enterocolitis (NEC) in premature infants in the NICU using continuous monitoring data.
  • The study used an XGBoost machine learning algorithm on a dataset of 865 preterm infants, achieving a sensitivity of 69% for all episodes and 81% for severe cases, significantly reducing the time to diagnosis.
  • The AI model's predictions can support clinicians' early detection efforts, indicating potential clinical and socioeconomic benefits, with further studies needed to understand the combined impact of AI and clinical expertise on patient outcomes.
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Objectives: Tissue transglutaminase (tTG) IgA antibodies are a hallmark for celiac disease (CD). In CD patients on gluten free diet (GFD) these antibodies are transient. Few studies are available comparing the tTG-IgA assay characteristics for monitoring response to GFD.

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