9,874 results match your criteria: "University Medical Center Rotterdam.[Affiliation]"

Healthy and unhealthy plant-based diets and the risk of cardiovascular diseases: The Rotterdam study and updated meta-analysis.

Prog Cardiovasc Dis

December 2024

Department of Epidemiology, Erasmus MC, University Medical Center Rotterdam, PO Box 2040, 3000 CA Rotterdam, the Netherlands; Division of Human Nutrition and Health, Wageningen University, P.O. Box 17, 6700 AA Wageningen, the Netherlands.

Article Synopsis
  • A study was conducted to examine the link between plant-based diet indices and the risk of cardiovascular disease (CVD) among 8,852 participants from the Rotterdam Study.
  • Results indicated that men consuming more healthy plant-based foods had a 7-8% lower risk of CVD, while women showed a complex, U-shaped relationship between plant-based diets and stroke risk.
  • An updated meta-analysis reinforced these findings, showing that healthy plant-based diets lower CVD risk, while unhealthy plant-based diets increase it, suggesting that focusing on healthy options is important for heart health.
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Granulocyte-macrophage colony stimulating factor (GM-CSF) is a pleiotropic cytokine, able to promote both myelopoiesis and activation of immune cells. Particularly in the lung, GM-CSF plays an important homeostatic role in the development and maintenance of alveolar macrophages, and is therefore considered to play a role in respiratory virus infections such as influenza and SARS-CoV-2, although the benefits of GM-CSF treatment in clinical studies remain inconclusive. To address this, we tested inhaled GM-CSF treatment in the Pneumonia Virus of Mice (PVM) mouse model.

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Several studies have reported outbreaks of Kawasaki disease among children amid the coronavirus disease 2019 (COVID-19) pandemic. Vitamin D possesses high utility in modulating the immune system to repair and prevent severe inflammation in COVID-19. This study aims to explore the association between Kawasaki disease and vitamin D levels in pediatric patients and describe the potential role of vitamin D in promoting recovery and preventing complications associated with Kawasaki disease in pediatric patients with COVID-19.

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Congenital nephrogenic diabetes insipidus (NDI; also known as arginine vasopressin resistance) is a rare inherited disorder of water homeostasis, caused by insensitivity of the distal nephron to arginine vasopressin. Consequently, the kidney loses its ability to concentrate urine, which leads to polyuria, polydipsia and the risk of hypertonic dehydration. The diagnosis and management of NDI are very challenging and require an integrated, multidisciplinary approach.

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Article Synopsis
  • * It identifies four key challenges to promoting innovation in SoHO treatments and suggests concrete solutions, emphasizing the need for collaboration, sustainability, and transparency among stakeholders.
  • * The document calls for improved regulatory frameworks that ensure global quality and safety standards for SoHO while encouraging a regulatory environment that respects altruistic donation and enhances accessibility for patients.
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Importance: A previous cohort study in the US found that women with higher cardiovascular risk were more likely to have a history of migraine but less likely to have active migraine. Extrapolating these results to men and European individuals is crucial to understanding the complex association between migraine activity status and vascular health in other populations.

Objective: To evaluate the association pattern between a cardiovascular risk score, the most recent European version of the Systematic Coronary Risk Evaluation 2 (SCORE2) risk estimation system, and migraine activity status in Dutch men and women.

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Lung Nodule Management in Low-Dose CT Screening for Lung Cancer: Lessons from the NELSON Trial.

Radiology

October 2024

From the Departments of Epidemiology (D.Z., G.S., G.H.d.B., M.A.H.), Radiology (G.S., M.P., R.V.), and Pulmonary Disease (H.J.M.G.), University of Groningen, University Medical Center Groningen, Hanzeplein 1, Postbus 30.001, 9700RB Groningen, the Netherlands; Department of Medical Imaging, Diagnostic Image Analysis Group, Radboud University Medical Center, Nijmegen, the Netherlands (C.J., M.P.); Department of Radiology, Utrecht University, University Medical Center Utrecht, Utrecht, the Netherlands (P.A.d.J.); Department of Radiology and Nuclear Medicine, Maastricht University, Maastricht University Medical Center, Maastricht, the Netherlands (H.A.G.); GROW School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands (H.A.G.); Department of Pulmonary Medicine, University of Rotterdam, University Medical Center Rotterdam, Rotterdam, the Netherlands (R.S., J.G.A.); Department of Respiratory Oncology, University Hospitals Leuven, Leuven, Belgium (K.N.); Institute for Diagnostic Accuracy, Groningen, the Netherlands (M.A.H.); and Department of Respiratory Medicine, Amsterdam University Medical Center, Amsterdam, the Netherlands (M.A.H.).

Article Synopsis
  • Low-dose CT (LDCT) screening in high-risk populations reduces mortality from lung cancer, but identifying malignant nodules among benign ones is challenging.
  • * The NELSON trial, the largest lung cancer screening trial in Europe, uses nodule size and growth rate to differentiate between benign and malignant nodules.
  • * This review analyzes the NELSON study's findings on nodule characteristics and compares them with other studies to enhance lung nodule management strategies in screening programs.
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The biology of water homeostasis.

Nephrol Dial Transplant

October 2024

Department of Internal Medicine, Division of Nephrology and Transplantation, Erasmus Medical Center, University Medical Center Rotterdam, Rotterdam, The Netherlands.

Article Synopsis
  • Water homeostasis is regulated by a brain-kidney axis involving osmoreceptors and hormones like arginine vasopressin (AVP), which aids in water reabsorption through specific channels in the kidneys.
  • Water balance disorders, caused by issues with AVP or thirst sensation, can lead to conditions like hyponatremia or hypernatremia, which stress cells and trigger adaptive responses.
  • Recent research has identified new regulators of AQP2 water channels and highlighted the negative effects of chronic low water levels on organ function, underscoring the importance of these findings for developing treatment options for water balance disorders.
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Article Synopsis
  • MicroRNAs (miRNAs) are small non-coding RNAs that play a crucial role in regulating gene expression and may serve as biomarkers for various diseases through their presence in plasma.
  • The study analyzed 2083 plasma circulating miRNAs from participants in the Rotterdam Study, uncovering 3292 associations between SNPs and miRNAs, with a significant portion confirmed in further studies.
  • Findings suggest that specific miRNAs can influence a range of clinical conditions, with miR-1908-5p showing a protective effect against benign colon neoplasm, highlighting the potential for miRNA-targeted therapies in medicine.
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Article Synopsis
  • Long-term stress may influence eating habits and contribute to obesity by affecting hormones that regulate appetite and metabolism.
  • A study with 65 obese patients examined the relationship between stress (both biological and psychological) and various appetite-regulating hormones.
  • The findings suggest that higher levels of hair cortisone are positively linked to increased cholecystokinin, indicating a connection between persistent biological stress and hormonal changes related to appetite.
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The biological basis for current treatment strategies for granulomatous disease in common variable immunodeficiency.

Curr Opin Allergy Clin Immunol

December 2024

Rare Diseases Referral Center, Internal Medicine 1, Department of Medicine (DIMED), AULSS2 Marca Trevigiana, Ca' Foncello Hospital, University of Padova, Padova, Italy.

Purpose Of Review: The pathogenesis of granulomatous disease in common variable immunodeficiency (CVID) is still largely unknown, which hampers effective treatment. This review describes the current knowledge on the pathogenesis of granuloma formation in CVID and the biological basis of the current treatment options.

Recent Findings: Histological analysis shows that T and B cells are abundantly present in the granulomas that are less well organized and are frequently associated with lymphoid hyperplasia.

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Given the rarity of primary central nervous system lymphoma (PCNSL), evaluations of different high-dose methotrexate-(HD-MTX)-based treatment regimens is sparse. This retrospective, multicenter study evaluates clinical characteristics and outcomes (progression-free, overall and disease-specific survival) after five HD-MTX-based polychemotherapeutic regimens and two consolidation therapies. 346 patients with histologically confirmed PCNSL, treated with ≥ 1 cycle HD-MTX-based strategies (≥3g/m/cycle) were included.

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Article Synopsis
  • Single center studies in hand surgery face challenges like bias and limited generalizability, which multicenter observational research can help overcome, but there are barriers like regulatory issues and inconsistent data formats.
  • The Observational Health Data Sciences and Informatics (OHDSI) program aims to address these challenges by using the OMOP Common Data Model (CDM) to standardize health data across various institutions for more reliable analysis.
  • OHDSI also offers a suite of open-source tools for researchers while ensuring data privacy, ultimately enhancing the understanding of hand surgery outcomes and improving patient care.
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Hepatitis E vaccine and fetal loss: the potential pathophysiological basis.

Lancet Glob Health

November 2024

Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, Rotterdam 3015 CN, Netherlands. Electronic address:

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The lack of standardization in patient-reported outcome measures (PROMs) has made measurement and comparison of quality of life (QoL) outcomes in research focused on obesity treatment challenging. This study reports on the results of the second and third global multidisciplinary Standardizing Quality of life measures in Obesity Treatment (S.Q.

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Early childhood family threat and longitudinal amygdala-mPFC circuit development: Examining cortical thickness and gray matter-white matter contrast.

Dev Cogn Neurosci

December 2024

Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands; Department of Radiology and Nuclear Medicine, Erasmus MC University Medical Center Rotterdam, Rotterdam, the Netherlands.

Early threat-associated cortical thinning may be interpreted as accelerated cortical development. However, non-adaptive processes may show similar macrostructural changes. Examining cortical thickness (CT) together with grey/white-matter contrast (GWC), a proxy for intracortical myelination, may enhance the interpretation of CT findings.

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Article Synopsis
  • Low maternal vitamin D levels during pregnancy have been linked to various health issues in offspring and may affect DNA methylation, a process that influences gene expression.
  • The study examined the relationship between maternal vitamin D insufficiency (defined as less than 75 nmol/L) and DNA methylation patterns in the cord blood of newborns using data from 3738 mother-child pairs across seven cohorts.
  • Despite a significant prevalence of vitamin D insufficiency among the mothers (ranging from 44.3% to 78.5%), the research found no significant association between maternal vitamin D levels and DNA methylation at the analyzed sites after adjusting for various factors.
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5/6 Nephrectomy impairs acute kaliuretic responses and predisposes to postprandial hyperkalemia.

Am J Physiol Renal Physiol

December 2024

Division of Nephrology and Transplantation, Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.

The susceptibility of patients with chronic kidney disease to develop postprandial hyperkalemia suggests alterations in normal kidney sodium (Na) and potassium (K) handling, but the exact nature of these changes is largely unknown. To address this, we analyzed the natriuretic and kaliuretic responses to diuretics and acute K loading in rats who underwent 5/6 nephrectomy (5/6Nx) and compared this with the response in sham-operated rats. The natriuretic and kaliuretic responses to furosemide, hydrochlorothiazide, and amiloride were largely similar between 5/6Nx and sham rats except for a significantly reduced kaliuretic response to hydrochlorothiazide in 5/6Nx rats.

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Introduction: Lung hyperinflation, a key contributor to dyspnea in chronic obstructive pulmonary disease (COPD), can be quantified via chest computed tomography (CT). Establishing reference equations for lobar volumes and total lung volume (TLV) can aid in evaluating lobar hyperinflation, especially for targeted lung volume reduction therapies.

Methods: The Imaging in Lifelines study (ImaLife) comprises 11,729 participants aged 45 and above with analyzed inspiratory low-dose thoracic CT scans.

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Introduction: The majority of children fails to have a healthy diet. Providing a healthy lunch at school is a way to target all children, regardless of ethnic and socioeconomic background. This study aims to investigate the effectivity and feasibility of a co-created healthy school lunch in disadvantaged neighbourhoods of the city of Rotterdam, the Netherlands.

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Article Synopsis
  • The study aimed to investigate the relationship between phase angle (PhA), a marker of hydration and nutritional status, and the development of sarcopenia in older adults.
  • It involved 696 participants aged 75 and older, assessing them for sarcopenia and related physical capabilities over 24 months using various tests and methods.
  • While lower baseline PhA was observed in those who developed sarcopenia, it was not confirmed as a significant predictor after accounting for other related factors, raising questions about its practical use as an early marker for sarcopenia risk.
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Shear stress is uncoupled from atheroprotective KLK10 in atherosclerotic plaques.

Atherosclerosis

November 2024

Department of Infection, Immunity and Cardiovascular Disease, INSIGNEO Institute, and the Bateson Centre, University of Sheffield, Sheffield, UK; Centre for Biochemical Pharmacology, William Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK. Electronic address:

Article Synopsis
  • Physiological shear stress typically helps maintain vascular health by promoting protective molecules in endothelial cells, but this may not hold true in individuals with atherosclerosis.
  • Researchers examined the differences in endothelial cell (EC) responses to shear stress between healthy and atherosclerotic arteries using advanced imaging and RNA sequencing techniques.
  • Results indicated that endothelial cells in diseased arteries showed higher inflammatory markers and a significant reduction of the protective factor KLK10, suggesting a disruption in the protective effects of physiological shear stress in atherosclerotic conditions.
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Drug Survival of Dupilumab, Methotrexate, and Cyclosporine A in Children With Atopic Dermatitis.

JAMA Dermatol

January 2025

Department of Dermatology and Allergology, National Expertise Center for Atopic Dermatitis, University Medical Center Utrecht, Utrecht, the Netherlands.

Article Synopsis
  • - The study evaluates the effectiveness and longevity of treatments (dupilumab, methotrexate, and cyclosporine A) for pediatric patients aged 2-17 with severe atopic dermatitis across five centers in the Netherlands from 2013-2023.
  • - Out of 502 treatment episodes analyzed, dupilumab showed the highest drug survival rates over three years (84.1% at one year, 72.3% at two, and 62.0% at three), compared to significantly lower rates for methotrexate and cyclosporine A.
  • - The main reason for discontinuing treatment was ineffectiveness, especially noted with cyclosporine A, while factors like treatment
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: Phosphate is a macro-element involved in all cellular energetic processes. As about 90% of the phosphate filtered by the glomerulus is excreted by kidneys, the impairment of renal function and the consequent over-secretion of parathyroid hormone and fibroblast growth factor 23 results in the increase in the serum phosphate levels. The association between phosphate and hemoglobin is controversial, as both direct and indirect relationships have been reported.

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Article Synopsis
  • Fetal growth restricted (FGR) pregnancies may lead to increased risk of cardiovascular and renal diseases in offspring, prompting investigations into the use of sildenafil for improved fetal growth.
  • In a study from the Dutch STRIDER trial involving HUVECs and placental samples, no significant differences in cardiovascular or renal gene expression were found between sildenafil and placebo groups.
  • Although sildenafil did not affect fetal programming, it did alter some immune-related gene expressions in placental tissue, suggesting a specific action rather than a broad benefit for cardiovascular or renal health in FGR pregnancies.
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