101 results on '"Wientjes, C."'
Search Results
2. Evaluation of an online family history tool for identifying hereditary and familial colorectal cancer
- Author
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Kallenberg, F. G. J., Aalfs, C. M., The, F. O., Wientjes, C. A., Depla, A. C., Mundt, M. W., Bossuyt, P. M. M., and Dekker, E.
- Published
- 2018
- Full Text
- View/download PDF
3. Impact of nationwide enhanced implementation of best practices in pancreatic cancer care (PACAP-1): a multicenter stepped-wedge cluster randomized controlled trial
- Author
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Mackay, T.M., Smits, F.J., Latenstein, A.E.J., Bogte, A., Bonsing, B.A., Bos, H., Bosscha, K., Brosens, L.A.A., Hol, L., Busch, O.R., Creemers, G.J., Curvers, W.L., Dulk, M den, Dieren, S. van, Driel, L. van, Festen, S., Geenen, E.J.M. van, Geest, L.G. van der, Groot, D.J.A. de, Groot, J.W.B. de, Mohammad, N. Haj, Haberkorn, B.C.M., Haver, J.T., Harst, E, Hemmink, G.J.M., Hingh, I.H. de, Hoge, C., Homs, M.Y.V., Huijgevoort, N.C. van, Jacobs, M.M.E., Kerver, E.D., Liem, M.S., Los, M., Lubbinge, H., Luelmo, S.A.C., Meijer, V.E. de, Mekenkamp, L., Molenaar, I.Q., Oijen, M.G. van, Patijn, G.A., Quispel, R., Rijssen, L.B. van, Romkens, T.E.H., Santvoort, H.C. van, Schreinemakers, J.M.J., Schut, H., Seerden, T., Stommel, M.W., Tije, A.J. Ten, Venneman, N.G., Verdonk, R.C., Verheij, J., Vilsteren, F.G.I. van, Vos-Geelen, J. de, Vulink, A., Wientjes, C., Wit, F., Wessels, F.J., Zonderhuis, B., Werkhoven, C.H. van, Hooft, Jeanin E. van, Eijck, C.H. van, Wilmink, J.W., Laarhoven, H.W. van, Besselink, M.G.H., Mackay, T.M., Smits, F.J., Latenstein, A.E.J., Bogte, A., Bonsing, B.A., Bos, H., Bosscha, K., Brosens, L.A.A., Hol, L., Busch, O.R., Creemers, G.J., Curvers, W.L., Dulk, M den, Dieren, S. van, Driel, L. van, Festen, S., Geenen, E.J.M. van, Geest, L.G. van der, Groot, D.J.A. de, Groot, J.W.B. de, Mohammad, N. Haj, Haberkorn, B.C.M., Haver, J.T., Harst, E, Hemmink, G.J.M., Hingh, I.H. de, Hoge, C., Homs, M.Y.V., Huijgevoort, N.C. van, Jacobs, M.M.E., Kerver, E.D., Liem, M.S., Los, M., Lubbinge, H., Luelmo, S.A.C., Meijer, V.E. de, Mekenkamp, L., Molenaar, I.Q., Oijen, M.G. van, Patijn, G.A., Quispel, R., Rijssen, L.B. van, Romkens, T.E.H., Santvoort, H.C. van, Schreinemakers, J.M.J., Schut, H., Seerden, T., Stommel, M.W., Tije, A.J. Ten, Venneman, N.G., Verdonk, R.C., Verheij, J., Vilsteren, F.G.I. van, Vos-Geelen, J. de, Vulink, A., Wientjes, C., Wit, F., Wessels, F.J., Zonderhuis, B., Werkhoven, C.H. van, Hooft, Jeanin E. van, Eijck, C.H. van, Wilmink, J.W., Laarhoven, H.W. van, and Besselink, M.G.H.
- Abstract
Contains fulltext : 225263.pdf (publisher's version ) (Open Access), BACKGROUND: Pancreatic cancer has a very poor prognosis. Best practices for the use of chemotherapy, enzyme replacement therapy, and biliary drainage have been identified but their implementation in daily clinical practice is often suboptimal. We hypothesized that a nationwide program to enhance implementation of these best practices in pancreatic cancer care would improve survival and quality of life. METHODS/DESIGN: PACAP-1 is a nationwide multicenter stepped-wedge cluster randomized controlled superiority trial. In a per-center stepwise and randomized manner, best practices in pancreatic cancer care regarding the use of (neo)adjuvant and palliative chemotherapy, pancreatic enzyme replacement therapy, and metal biliary stents are implemented in all 17 Dutch pancreatic centers and their regional referral networks during a 6-week initiation period. Per pancreatic center, one multidisciplinary team functions as reference for the other centers in the network. Key best practices were identified from the literature, 3 years of data from existing nationwide registries within the Dutch Pancreatic Cancer Project (PACAP), and national expert meetings. The best practices follow the Dutch guideline on pancreatic cancer and the current state of the literature, and can be executed within daily clinical practice. The implementation process includes monitoring, return visits, and provider feedback in combination with education and reminders. Patient outcomes and compliance are monitored within the PACAP registries. Primary outcome is 1-year overall survival (for all disease stages). Secondary outcomes include quality of life, 3- and 5-year overall survival, and guideline compliance. An improvement of 10% in 1-year overall survival is considered clinically relevant. A 25-month study duration was chosen, which provides 80% statistical power for a mortality reduction of 10.0% in the 17 pancreatic cancer centers, with a required sample size of 2142 patients, corresponding to a 6.6% m
- Published
- 2020
4. Impact of nationwide enhanced implementation of best practices in pancreatic cancer care (PACAP-1): A multicenter stepped-wedge cluster randomized controlled trial
- Author
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Mackay, T.M. (Tara M.), Smits, F.J. (F. J.), Latenstein, A.E.J. (A. E.J.), Bogte, A. (A.), Bonsing, B.A. (Bert), Bos, H. (H.), Bosscha, K. (Koop), Brosens, L.A. (Lodewijk), Hol, L. (L.), Busch, O.R.C. (Olivier), Creemers, G.J.M. (Geert-Jan), Curvers, W.L. (W. L.), Dulk, M. (Marcel) den, Van Dieren, S. (Susan), Van Driel, L.M.J.W. (L. M.J.W.), Festen, S. (Sebastiaan), Geenen, E-J.M. (Erwin-Jan), van der Geest, L.G.M. (Lydia G.M.), De Groot, D.J.A. (D. J.A.), Groot, J.W.B. (Jan Willem) de, Haj Mohammad, N. (Nadia), Haberkorn, B. (Brigitte), Haver, J.T. (J. T.), Harst, E. (Erwin) van der, Hemmink, G.J.M. (G. J.M.), Hingh, I.H.J.T. (Ignace) de, Hoge, C. (C.), Homs, M.Y.V. (Marjolein), Van Huijgevoort, N.C. (N. C.), Jacobs, M.A.J.M. (Maarten), Kerver, E.D. (E. D.), Liem, M. (Marieke), Los, M., Lubbinge, H. (H.), Luelmo, S.A.C. (S. A.C.), Meijer, V.E. (Vincent) de, Mekenkamp, L. (L.), Molenaar, I.Q. (I. Quintus), Oijen, M.G.H. (Martijn) van, Patijn, G.A. (Gijs A.), Quispel, R. (Rutger), van Rijssen, L.B. (Lennart B.), Römkens, T.E.H., Santvoort, H.C. (Hjalmar) van, Schreinemakers, J.M.J. (Jennifer), Schut, H. (H.), Seerden, T.C.J. (Tom), Stommel, M.W.J. (M. W.J.), Tije, A.J. (Albert Jan) ten, Venneman, N.G. (Niels), Verdonk, R.C. (Robert), Verheij, J. (Joanne), Vilsteren, F.G.I. (Frederike) van, de Vos-Geelen, J. (Judith), Vulink, A. (A.), Wientjes, C. (C.), Wit, F. (F.), Wessels, F.J. (F. J.), Zonderhuis, B. (B.), Van Werkhoven, C.H. (C. H.), Hooft, J.E. (Jeanin) van, Eijck, C.H.J. (Casper) van, Wilmink, J.W. (J. W.), Laarhoven, H.W.M. (Hanneke) van, Besselink, M.G. (Marc), Mackay, T.M. (Tara M.), Smits, F.J. (F. J.), Latenstein, A.E.J. (A. E.J.), Bogte, A. (A.), Bonsing, B.A. (Bert), Bos, H. (H.), Bosscha, K. (Koop), Brosens, L.A. (Lodewijk), Hol, L. (L.), Busch, O.R.C. (Olivier), Creemers, G.J.M. (Geert-Jan), Curvers, W.L. (W. L.), Dulk, M. (Marcel) den, Van Dieren, S. (Susan), Van Driel, L.M.J.W. (L. M.J.W.), Festen, S. (Sebastiaan), Geenen, E-J.M. (Erwin-Jan), van der Geest, L.G.M. (Lydia G.M.), De Groot, D.J.A. (D. J.A.), Groot, J.W.B. (Jan Willem) de, Haj Mohammad, N. (Nadia), Haberkorn, B. (Brigitte), Haver, J.T. (J. T.), Harst, E. (Erwin) van der, Hemmink, G.J.M. (G. J.M.), Hingh, I.H.J.T. (Ignace) de, Hoge, C. (C.), Homs, M.Y.V. (Marjolein), Van Huijgevoort, N.C. (N. C.), Jacobs, M.A.J.M. (Maarten), Kerver, E.D. (E. D.), Liem, M. (Marieke), Los, M., Lubbinge, H. (H.), Luelmo, S.A.C. (S. A.C.), Meijer, V.E. (Vincent) de, Mekenkamp, L. (L.), Molenaar, I.Q. (I. Quintus), Oijen, M.G.H. (Martijn) van, Patijn, G.A. (Gijs A.), Quispel, R. (Rutger), van Rijssen, L.B. (Lennart B.), Römkens, T.E.H., Santvoort, H.C. (Hjalmar) van, Schreinemakers, J.M.J. (Jennifer), Schut, H. (H.), Seerden, T.C.J. (Tom), Stommel, M.W.J. (M. W.J.), Tije, A.J. (Albert Jan) ten, Venneman, N.G. (Niels), Verdonk, R.C. (Robert), Verheij, J. (Joanne), Vilsteren, F.G.I. (Frederike) van, de Vos-Geelen, J. (Judith), Vulink, A. (A.), Wientjes, C. (C.), Wit, F. (F.), Wessels, F.J. (F. J.), Zonderhuis, B. (B.), Van Werkhoven, C.H. (C. H.), Hooft, J.E. (Jeanin) van, Eijck, C.H.J. (Casper) van, Wilmink, J.W. (J. W.), Laarhoven, H.W.M. (Hanneke) van, and Besselink, M.G. (Marc)
- Abstract
Background: Pancreatic cancer has a very poor prognosis. Best practices for the use of chemotherapy, enzyme replacement therapy, and biliary drainage have been identified but their implementation in daily clinical practice is often suboptimal. We hypothesized that a nationwide program to enhance implementation of these best practices in pancreatic cancer care would improve survival and quality of life. Methods/design: PACAP-1 is a nationwide multicenter stepped-wedge cluster randomized controlled superiority trial. In a per-center stepwise and randomized manner, best practices in pancreatic cancer care regarding the use of (neo)adjuvant and palliative chemotherapy, pancreatic enzyme replacement therapy, and metal biliary stents are implemented in all 17 Dutch pancreatic centers and their regional referral networks during a 6-week initiation period. Per pancreatic center, one multidisciplinary team functions as reference for the other centers in the network. Key best practices were identified from the literature, 3 years of data from existing nationwide registries within the Dutch Pancreatic Cancer Project (PACAP), and national expert meetings. The best practices follow the Dutch guideline on pancreatic cancer and the current state of the literature, and can be executed within daily clinical practice. The implementation process includes monitoring, return visits, and provider feedback in combination with education and reminders. Patient outcomes and compliance are monitored within the PACAP registries. Primary outcome is 1-year overall survival (for all disease stages). Secondary outcomes include quality of life, 3- and 5-year overall survival, and guideline compliance. An improvement of 10% in 1-year overall survival is considered clinically relevant. A 25-month study duration was chosen, which provides 80% statistical power for a mortality reduction of 10.0% in the 17 pancreatic cancer centers, with a required sample size of 2142 patients, corresponding to a 6.6% m
- Published
- 2020
- Full Text
- View/download PDF
5. Individual Differences in Respiration and Stress
- Author
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Wientjes, C. J. E., Grossman, P., Gaillard, A. W. K., Defares, P. B., Hockey, G. Robert J., editor, Gaillard, Anthony W. K., editor, and Coles, Michael G. H., editor
- Published
- 1986
- Full Text
- View/download PDF
6. Evaluation of an online family history tool for identifying hereditary and familial colorectal cancer
- Author
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Kallenberg, F. G. J., primary, Aalfs, C. M., additional, The, F. O., additional, Wientjes, C. A., additional, Depla, A. C., additional, Mundt, M. W., additional, Bossuyt, P. M. M., additional, and Dekker, E., additional
- Published
- 2017
- Full Text
- View/download PDF
7. The aspergillic acid biosynthetic gene cluster predicts neoaspergillic acid production in Aspergillus section Circumdati.
- Author
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Lebar, M. D., Mack, B. M., Carter-Wientjes, C. H., and Gilbert, M. K.
- Published
- 2019
- Full Text
- View/download PDF
8. Multicentre randomized controlled trial comparing ferric(III)carboxymaltose infusion with oral iron supplementation in the treatment of preoperative anaemia in colorectal cancer patients
- Author
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Borstlap, W. A. A., primary, Buskens, C. J., additional, Tytgat, K. M. A. J., additional, Tuynman, J. B., additional, Consten, E. C. J., additional, Tolboom, R. C., additional, Heuff, G., additional, van Geloven, N., additional, van Wagensveld, B. A., additional, C.A. Wientjes, C. A., additional, Gerhards, M. F., additional, de Castro, S. M. M., additional, Jansen, J., additional, van der Ven, A. W. H., additional, van der Zaag, E., additional, Omloo, J. M., additional, van Westreenen, H. L., additional, Winter, D. C., additional, Kennelly, R. P., additional, Dijkgraaf, M. G. W., additional, Tanis, P. J., additional, and Bemelman, W. A., additional
- Published
- 2015
- Full Text
- View/download PDF
9. Antihormonal effects of the soybean phytoalexin glyceollin
- Author
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Boue, S., Burow, M., Shih, B., Carter-Wientjes, C., and Cleveland, T.
- Subjects
Soybean -- Chemical properties ,Soybean -- Health aspects ,Soybean -- Research ,Food/cooking/nutrition - Abstract
Soy isoflavones have been well characterized for their estrogenic activities as well as their effects on human health and disease. The types and amounts of these compounds in soy and other plants are controlled by both constitutive expression and stress-induced biosynthesis. The aim of this study was to identify and characterize unique soy phytochemicals that had not been previously assessed for estrogenic or antiestrogenic activity. Here we describe increased biosynthesis of the isoflavonoid phytoalexin compounds, glyceollins, in soy plants grown under stressed conditions. In contrast to the observed estrogenic effects of coumestrol, daidzein, and genistein, we observed a marked antiestrogenic effect of glyceollins on estrogen receptor (ER) signaling, which correlated with a comparable suppression of 17[beta]-estradiol-induced proliferation in MCF-7 cells. Further evaluation revealed greater antagonism towards ER-[alpha] than ER-[beta] in transiently transfected HEK 293 cells. Competition binding assays revealed a greater affinity of glyceollins for ER-[alpha] versus ER-[beta] that correlated to greater suppression of ER-[alpha] signaling with higher concentrations of glyceollins. Recent in vitro data will be presented and the preparation an animal diet enriched with glyceollins for in vivo studies will be discussed. In summary, the glyceollins exhibited unique antagonistic effects on ER in both HEK 293 and MCF-7 cells.
- Published
- 2004
10. Adenoma detection with Endocuff colonoscopy versus conventional colonoscopy: a multicentre randomised controlled trial.
- Author
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van Doorn, S. C., van der Vlugt, M., Depla, A. C. T. M., Wientjes, C. A., Mallant-Hent, R. C., Siersema, P. D., Tytgat, K. M. A. J., Tuynman, H., Kuiken, S. D., Houben, G. M. P., Stokkers, P. C. F., Moons, L. M. G., Bossuyt, P. M. M., Fockens, P., Mundt, M. W., and Dekker, E.
- Subjects
ADENOMA ,COLONOSCOPY ,CAPSULE endoscopy ,DIGITAL diagnostic imaging ,RANDOMIZED controlled trials ,DIAGNOSIS - Published
- 2017
- Full Text
- View/download PDF
11. Lack of aflatoxin production by Aspergillus flavus is associated with reduced fungal growth and delayed expression of aflatoxin pathway genes
- Author
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Zhang, H., primary, Scharfenstein, L.L., additional, Carter-Wientjes, C., additional, Chang, P.-K., additional, Zhang, D., additional, Meng, X., additional, and Yu, J., additional
- Published
- 2015
- Full Text
- View/download PDF
12. Blue light (470 nm) effectively inhibits bacterial and fungal growth
- Author
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De Lucca, A.J., Carter-Wientjes, C., Williams, K.A., Bhatnagar, D., De Lucca, A.J., Carter-Wientjes, C., Williams, K.A., and Bhatnagar, D.
- Abstract
Blue light (470 nm) LED antimicrobial properties were studied alone against bacteria and with or without the food grade photosensitizer, erythrosine (ERY) against filamentous fungi. Leuconostoc mesenteroides (LM), Bacillus atrophaeus (BA) or Pseudomonas aeruginosa (PA) aliquots were exposed on nutrient agar plates to Array 1 (AR1, 0•2 mW cm-2) or Array 2 (AR2, 80 mW cm-2), which emitted impure or pure blue light (0–300 J cm-2), respectively. Inoculated control (room light only) plates were incubated (48 h) and colonies enumerated. The antifungal properties of blue light combined with ERY (11•4 and 22•8 µmol l-1) on Penicillium digitatum (PD) and Fusarium graminearum (FG) conidia were determined. Conidial controls consisted of: no light, room light-treated conidia and ERY plus room light. Light-treated (ERY + blue light) conidial samples were exposed only to AR2 (0–100 J cm-2), aliquots spread on potato dextrose agar plates, incubated (48 h, 30°C) and colonies counted. Blue light alone significantly reduced bacterial and FG viability. Combined with ERY, it significantly reduced PD viability. Blue light is lethal to bacteria and filamentous fungi although effectiveness is dependent on light purity, energy levels and microbial genus.
- Published
- 2012
13. European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: Non-anesthesiologist administration of propofol for GI endoscopy
- Author
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Dumonceau, J.M., Riphaus, A., Aparicio, J.R., Beilenhoff, U., Knape, J.T.A., Ortmann, M., Paspatis, G., Ponsioen, C.Y., Racz, I., Schreiber, F., Vilmann, P., Wehrmann, T., Wientjes, C., Walder, B., Dumonceau, J.M., Riphaus, A., Aparicio, J.R., Beilenhoff, U., Knape, J.T.A., Ortmann, M., Paspatis, G., Ponsioen, C.Y., Racz, I., Schreiber, F., Vilmann, P., Wehrmann, T., Wientjes, C., and Walder, B.
- Abstract
Propofol sedation by non-anesthesiologists is an upcoming sedation regimen in several countries throughout Europe. Numerous studies have shown the efficacy and safety of this sedation regimen in gastrointestinal endoscopy. Nevertheless, this issue remains highly controversial. The aim of this evidence- and consensus-based set of guideline is to provide non-anesthesiologists with a comprehensive framework for propofol sedation during digestive endoscopy. This guideline results from a collaborative effort from representatives of the European Society of Gastrointestinal Endoscopy (ESGE), the European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) and the European Society of Anaesthesiology (ESA). These three societies have endorsed the present guideline.
- Published
- 2010
14. Blue light (470 nm) effectively inhibits bacterial and fungal growth
- Author
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De Lucca, A.J., primary, Carter-Wientjes, C., additional, Williams, K.A., additional, and Bhatnagar, D., additional
- Published
- 2012
- Full Text
- View/download PDF
15. PC.1.1: SECOND-GENERATION PILLCAM® COLON CAPSULE COMPARED WITH COLONOSCOPY
- Author
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Spada, C., primary, Hassan, C., additional, Munos-navaz, M.A., additional, Neuhaus, H., additional, Deviere, J.M., additional, Fockens, P., additional, Coron, E., additional, Gay, G., additional, Toth, E., additional, Riccioni, M.E., additional, Carretero, C., additional, Charton, J.P., additional, Van Gossum, A.M., additional, Wientjes, C., additional, Sacher-huvelin, S., additional, Delvaux, M., additional, Nemeth, A., additional, Cesaro, P., additional, De Frias, C. Prieto, additional, Mayershofer, R., additional, Amininejad, L., additional, Dekker, E., additional, Galmiche, J.P., additional, Frederic, M., additional, Johansson, G. Wurm, additional, Petruzziello, L., additional, and Costamagna, G., additional
- Published
- 2011
- Full Text
- View/download PDF
16. European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: Non-anaesthesiologist administration of propofol for GI endoscopy
- Author
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Dumonceau, JM, primary, Riphaus, A, additional, Aparicio, JR, additional, Beilenhoff, U, additional, Knape, JTA, additional, Ortmann, M, additional, Paspatis, G, additional, Ponsioen, CY, additional, Racz, I, additional, Schreiber, F, additional, Vilmann, P, additional, Wehrmann, T, additional, Wientjes, C, additional, and Walder, B, additional
- Published
- 2010
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17. The use of neutron tomography for the structural analysis of corn kernels
- Author
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Cleveland, T.E., primary, Hussey, D.S., additional, Chen, Z.-Y., additional, Jacobson, D.L., additional, Brown, R.L., additional, Carter-Wientjes, C., additional, Cleveland, T.E., additional, and Arif, M., additional
- Published
- 2008
- Full Text
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18. Grensverleggende activiteiten: een evaluatie (Stress Resistance Training: An Evaluation).
- Author
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HUMAN FACTORS RESEARCH INST TNO SOESTERBERG (NETHERLANDS), Wientjes, C. J., HUMAN FACTORS RESEARCH INST TNO SOESTERBERG (NETHERLANDS), and Wientjes, C. J.
- Abstract
This report evaluates the stress resistance training course of the Royal Netherlands Army (RNLA). This training course encompasses a variety of demanding tasks that must be carried out under hazardous and stressful circumstances, and aims at enhancing stress tolerance. The course includes rock climbing, parachute jumping and diving. On the basis on the literature on 'development training' (DT) and 'learned resourcefulness' (LR), a theoretical framework is developed that may be used to evaluate the training course. DT refers to a variety of training courses for groups which employ the principles of 'experimental learning' and which are commonly organized in the open air. The positive influence of DT on stress tolerance may be explained on the basis of the concept of LR. LR refers to a set of beliefs, cognitive/behavioral skills and self-regulation techniques, which form the basis of the ability to successfully cope with internal and environmental stressors. The evaluation suggests that the stress resistance training course of the RNLA shares many features of DT, but that more emphasis could be given to the formation of cognitive and behavioral coping techniques. Additionally, the existing possibilities for teamwork and leadership training appear not to be optimally used. It is recommended to implement a number of changes in the training course, which revolve around: (1) the setup of the course and the nature of the exercises, (2) measures to enhance the quality of the formative aspects, (3) better collaboration between the participants, and (4) the possibilities for leadership training and team building., Text in Dutch. Summary in Dutch and English.
- Published
- 1996
19. De invloed van grensverleggende activiteiten op situationele coping en fysiologische reactiviteit (The Influence of Stress Resistance Training on Situational Coping and Physiological Reactivity).
- Author
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HUMAN FACTORS RESEARCH INST TNO SOESTERBERG (NETHERLANDS), Wientjes, C. J., Wisman, F., Orden, C. Y. van, Gaillard, A. W., HUMAN FACTORS RESEARCH INST TNO SOESTERBERG (NETHERLANDS), Wientjes, C. J., Wisman, F., Orden, C. Y. van, and Gaillard, A. W.
- Abstract
This report describes a study that was conducted among participants of the stress tolerance training course in rock climbing of the Royal Netherlands Army (RNLA), which aims at enhancing stress tolerance. The goals of the study were to assess: (1) the effects of the training course on situational coping, group functioning, and physiological reactivity, (2) the influence of personality measures on these effects, and (3) the degree to which acute stress responses can be predicted on the basis of the scores on a number of personality questionnaires which are assumed to measure different aspects of stress tolerance. The study included state- and trait-questionnaires, and physiological measurements. The measurements were carried out at the barracks (before and after the training course), as well as ambulatorily, during a stressful exercise, which was part of the rock climbing course (i.e., crossing of a ravine of + 80 meters depth via a rope bridge). Thirty-two cadets of the Royal Military School participated in the study. The course resulted in a modest improvement in the problem-oriented situational coping repertoire, but there were no changes in emotion-oriented coping or in indices of group functioning. After the course, there was a reduction in the reactivity of heart rate and respiration rate to a mental stress or, but it is not entirely clear whether this can be ascribed to the influence of the training course. The results suggest that the course indeed serves to enhance stress tolerance, but that the degree to which the course contributes to the development of cognitive/behavioral coping skills is limited. Moreover, the generalizability of the learning experience to specific military stress-situations appears to be limited, and aspects of group functioning appear to receive too little attention., Text in Dutch. Summary in Dutch and English.
- Published
- 1996
20. Overreactivity of the psyche or the soma? Interindividual associations between psychosomatic symptoms, anxiety, heart rate, and end-tidal partial carbon dioxide pressure.
- Author
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Wientjes, C J, primary and Grossman, P, additional
- Published
- 1994
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- View/download PDF
21. Mental load and work stress as two types of energy mobilization
- Author
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Gaillard, A. W. K., primary and Wientjes, C. J. E., additional
- Published
- 1994
- Full Text
- View/download PDF
22. Effect of Soybean Volatile Compounds on Aspergillus flavus Growth and Aflatoxin Production.
- Author
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CLEVELAND, T. E., CARTER-WIENTJES, C. H., DE LUCCA, A. J., and BOUÉ, S. M.
- Subjects
- *
SOYBEAN , *VOLATILE organic compounds , *LIPASES , *ASPERGILLUS flavus , *ALDEHYDES , *FUNGI - Abstract
Soybean homogenates produced volatile compounds upon exposure to lipase. These induced volatiles were identified by SPME. Seventeen volatile compounds identified by SPME were chosen for determination of their ability to inhibit Aspergillus flavus growth and aflatoxin B1 (AFB1) production in a solid media assay. These volatiles included aldehydes, alcohols, ketones, and furans. Of the tested compounds, the aldehydes showed the greatest inhibition of fungal growth and AFB1 production. These compounds inhibited up to 100% of the observed growth and AFB1 production as compared to the controls. The greatest activity by the aldehydes to disrupt growth was ranked as follows: 2,4 hexadienal > benzaldehyde > 2-octenal > ( E)-2-heptenal > octanal > ( E)-2-hexenal > nonanal > hexanal. The greatest activity by the aldehydes to reduce AFB1 was ranked as follows: ( E)-2-hexenal > 2,4 hexadienal > ( E)-2-heptenal > hexanal > nonanal. ( E)-2-hexenal and ( E)-2-heptenal were tested further in an A. flavus-inoculated corn kernel assay. Both compounds prevented colonization by A. flavus and eliminated AFB1 production when exposed to compound volumes < 10 μL as also shown in the solid media assay. The results suggest that soybeans react to lipase by production of potent antifungal volatiles. [ABSTRACT FROM AUTHOR]
- Published
- 2009
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23. Effect of Biotic Elicitors on Enrichment of Antioxidant Properties and Induced Isoflavones in Soybean.
- Author
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Boue, S. M., Shih, F. F., Shih, B. Y., Daigle, K. W., Carter-Wientjes, C. H., and Cleveland, T. E.
- Subjects
ANTIOXIDANTS ,ISOFLAVONES ,SOYBEAN ,HIGH performance liquid chromatography ,ASPERGILLUS ,LINOLEIC acid - Abstract
The antioxidant properties of methanolic extracts from soybean obtained with germination, wounding, and application of biotic elicitors were evaluated. Also, the relationship between observed antioxidant properties and compositional changes in isoflavone content was determined. The 2 biotic elicitors used in this study were the food-grade fungus Aspergillus sojae and A. sojae cell wall extract. Isoflavone content was determined by C
18 reverse phase high-performance chromatography coupled with a photodiode array detector. Antioxidant activities of the extracts were measured using 2,2-diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging and β-carotene cooxidation in a linoleate system. Higher antioxidant activities were observed in wounded and elicitor-treated extracts when compared with nonwounded control extracts. In addition, the phenolic content was higher in extracts from wounded and elicitor-treated soybean. Germination for 3 d slightly decreased total isoflavone content (–4.3%); however, wounding increased total isoflavone content (25.8%). The soybean extracts from seeds treated with A. sojae biotic elicitors had the highest total isoflavone contents (9.8 to 11.6 mg/g extract) and displayed the highest antioxidant activities in both the DPPH and β-carotene assays. Also identified in the wounded and elicitor-treated extracts were the induced isoflavones glyceollins that contributed to the higher isoflavone contents observed. [ABSTRACT FROM AUTHOR]- Published
- 2008
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24. Abstracts of papers presented at the tenth international symposium on respiratory psychophysiology∗∗Academic Medical Centre, Amsterdam, The Netherlands, September 20–22, 1990.
- Author
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Garssen, B., primary, Wientjes, C., additional, and Hornsveld, H., additional
- Published
- 1990
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25. A Comparison of Three Quantification Methods for Estimation of Respiratory Sinus Arrhythmia
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Grossman, P., primary, Beek, J., additional, and Wientjes, C., additional
- Published
- 1990
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26. Lack of aflatoxin production by Aspergillus flavusis associated with reduced fungal growth and delayed expression of aflatoxin pathway genes
- Author
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Zhang, H., Scharfenstein, L.L., Carter-Wientjes, C., Chang, P.-K., Zhang, D., Meng, X., and Yu, J.
- Published
- 2015
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27. Influence of drive and timing mechanisms on breathing pattern and ventilation during mental task performance
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Wientjes, C. J., Grossman, P., and Gaillard, A. W.
- Published
- 1998
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28. Tyrosine improves cognitive performance and reduces blood pressure in cadets after one week of a combat training course
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Deijen, J. B., Wientjes, C. J. E., Vullinghs, H. F. M., Cloin, P. A., and Langefeld, J. J.
- Published
- 1999
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29. Psychosomatic symptoms, anxiety and hyperventilation in normals
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Wientjes, C., Grossman, P., and Defares, P.B.
- Subjects
Psychologie ,Psychology ,Life Science - Published
- 1984
30. Situationeel Bewustzijn en Vestibulaire Stimulatie: De Invloed Van Draaibewegingen op de Taakprestatie (Situational Awareness and Vestibular Stimulation: The Influence of Whole-Body Rotation upon Task Performance)
- Author
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INSTITUTE FOR PERCEPTION RVO-TNO SOESTERBERG (NETHERLANDS), Wientjes, C. J., Bles, W., INSTITUTE FOR PERCEPTION RVO-TNO SOESTERBERG (NETHERLANDS), Wientjes, C. J., and Bles, W.
- Abstract
This experiment investigated the effects of vestibular stimulation (whole-body rotation) upon performance of a memory-comparison task, subjective wellbeing and visual perception. Rotation resulted in a deterioration of the task performance. Rotation also caused motion sickness and anxiety responses. In addition, the visibility of the characters on the display that was used for the presentation of the task was affected. It was concluded that rotation may result in adverse effects upon information processing, mainly as a consequence of problems with visual perception that seem to be due to insufficient suppression of the vestibular-ocular reflex (VOR). These findings are of importance for the problem of 'situational awareness' because similar reactions might occur with vestibular stimulation in high performance aircraft. Keywords: Netherlands; Stress physiology., Test in Dutch; abstract in English and Dutch.
- Published
- 1989
31. Erratum to: Multicentre randomized controlled trial comparing ferric(III) carboxymaltose infusion with oral iron supplementation in the treatment of preoperative anaemia in colorectal cancer patients.
- Author
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Borstlap, W. A. A., Buskens, C. J., Tytgat, K. M. A. J., Tuynman, J. B., Consten, E. C. J., Tolboom, R. C., Heuff, G., van Geloven, A. A. W., van Wagensveld, B. A., Wientjes, C. A. C. A., Gerhards, M. F., de Castro, S. M. M., Jansen, J., van der Ven, A. W. H., van der Zaag, E., Omloo, J. M., van Westreenen, H. L., Winter, D. C., Kennelly, R. P., and Dijkgraaf, M. G. W.
- Subjects
SPELLING errors ,PERSONAL names - Abstract
A correction to the article "Multicentre randomized controlled trial comparing ferric(III) carboxymaltose infusion with oral iron supplementation in the treatment of preoperative anaemia in colorectal cancer patients," by W. A. A. Borstlap and colleagues in the 2015 issue is presented.
- Published
- 2015
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32. Respiration in psychophysiology: Methods and applications
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Wientjes, C. J. E.
- Published
- 1992
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33. Emotions and respiratory patterns: review and critical analysis
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Boiten, F. A., Frijda, N. H., and Wientjes, C. J. E.
- Published
- 1994
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34. Investigating the Impact of Flavonoids on Aspergillus flavus : Insights into Cell Wall Damage and Biofilms.
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Castano-Duque L, Lebar MD, Mack BM, Lohmar JM, and Carter-Wientjes C
- Abstract
Aspergillus flavus , a fungus known for producing aflatoxins, poses significant threats to agriculture and global health. Flavonoids, plant-derived compounds, inhibit A. flavus proliferation and mitigate aflatoxin production, although the precise molecular and physical mechanisms underlying these effects remain poorly understood. In this study, we investigated three flavonoids-apigenin, luteolin, and quercetin-applied to A. flavus NRRL 3357. We determined the following: (1) glycosylated luteolin led to a 10% reduction in maximum fungal growth capacity; (2) quercetin affected cell wall integrity by triggering extreme mycelial collapse, while apigenin and luteolin caused peeling of the outer layer of cell wall; (3) luteolin exhibited the highest antioxidant capacity in the environment compared to apigenin and quercetin; (4) osmotic stress assays did not reveal morphological defects; (5) flavonoids promoted cell adherence, a precursor for biofilm formation; and (6) RNA sequencing analysis revealed that flavonoids impact expression of putative cell wall and plasma membrane biosynthesis genes. Our findings suggest that the differential effects of quercetin, luteolin, and apigenin on membrane integrity and biofilm formation may be driven by their interactions with fungal cell walls. These insights may inform the development of novel antifungal additives or plant breeding strategies focusing on plant-derived compounds in crop protection.
- Published
- 2024
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35. Flavonoids Modulate Aspergillus flavus Proliferation and Aflatoxin Production.
- Author
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Castano-Duque L, Lebar MD, Carter-Wientjes C, Ambrogio D, and Rajasekaran K
- Abstract
Aflatoxins are carcinogenic mycotoxins produced by Aspergillus flavus . They contaminate major food crops, particularly corn, and pose a worldwide health concern. Flavonoid production has been correlated to resistance to aflatoxin accumulation in corn. The effects of flavonoids on fungal proliferation and aflatoxin production are not well understood. In this study, we performed bioassays, fluorescence and scanning electron microscopy, and total antioxidant analysis to determine the effects of three flavonoids (apigenin, luteolin, and quercetin) on proliferation and aflatoxin production in A. flavus NRRL 3357. Results showed that concentrations of apigenin and luteolin modulated fungal proliferation and aflatoxin production in a dose-dependent manner, leading to inhibition or promotion of proliferation and toxin production. Microscopy studies of fungi exposed to flavonoids showed mycelial cell wall disruption, abnormal cell wall invaginations, and tears. Fluorescent enhancement of apigenin and luteolin using Naturstoff reagent A showed that these chemicals localized in sphere-like structures on the mycelia surface. Fungi exposed to low concentrations of apigenin, luteolin, and quercetin lowered the total antioxidant capacity in the environment compared to controls. Our results indicate that flavonoids disrupt cell wall integrity and may localize in vesicle-like structures. We hypothesize that flavonoids could act as potential signaling molecules at low concentrations and change the oxidative state of the microenvironment, either or both of which may lead to reduction of fungal proliferation and aflatoxin production.
- Published
- 2022
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36. Impact of nationwide enhanced implementation of best practices in pancreatic cancer care (PACAP-1): a multicenter stepped-wedge cluster randomized controlled trial.
- Author
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Mackay TM, Smits FJ, Latenstein AEJ, Bogte A, Bonsing BA, Bos H, Bosscha K, Brosens LAA, Hol L, Busch ORC, Creemers GJ, Curvers WL, den Dulk M, van Dieren S, van Driel LMJW, Festen S, van Geenen EJM, van der Geest LG, de Groot DJA, de Groot JWB, Haj Mohammad N, Haberkorn BCM, Haver JT, van der Harst E, Hemmink GJM, de Hingh IH, Hoge C, Homs MYV, van Huijgevoort NC, Jacobs MAJM, Kerver ED, Liem MSL, Los M, Lubbinge H, Luelmo SAC, de Meijer VE, Mekenkamp L, Molenaar IQ, van Oijen MGH, Patijn GA, Quispel R, van Rijssen LB, Römkens TEH, van Santvoort HC, Schreinemakers JMJ, Schut H, Seerden T, Stommel MWJ, Ten Tije AJ, Venneman NG, Verdonk RC, Verheij J, van Vilsteren FGI, de Vos-Geelen J, Vulink A, Wientjes C, Wit F, Wessels FJ, Zonderhuis B, van Werkhoven CH, van Hooft JE, van Eijck CHJ, Wilmink JW, van Laarhoven HWM, and Besselink MG
- Subjects
- Adolescent, Adult, Aged, Aged, 80 and over, Biliary Tract Surgical Procedures, Carcinoma, Pancreatic Ductal epidemiology, Child, Child, Preschool, Cluster Analysis, Drainage, Enzyme Replacement Therapy, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Multicenter Studies as Topic, Neoadjuvant Therapy, Netherlands epidemiology, Palliative Care, Pancreatic Neoplasms epidemiology, Pancreaticoduodenectomy, Patient Compliance, Randomized Controlled Trials as Topic, Stents, Treatment Outcome, Young Adult, Carcinoma, Pancreatic Ductal mortality, Carcinoma, Pancreatic Ductal therapy, Health Plan Implementation, Pancreatic Neoplasms mortality, Pancreatic Neoplasms therapy, Quality of Life
- Abstract
Background: Pancreatic cancer has a very poor prognosis. Best practices for the use of chemotherapy, enzyme replacement therapy, and biliary drainage have been identified but their implementation in daily clinical practice is often suboptimal. We hypothesized that a nationwide program to enhance implementation of these best practices in pancreatic cancer care would improve survival and quality of life., Methods/design: PACAP-1 is a nationwide multicenter stepped-wedge cluster randomized controlled superiority trial. In a per-center stepwise and randomized manner, best practices in pancreatic cancer care regarding the use of (neo)adjuvant and palliative chemotherapy, pancreatic enzyme replacement therapy, and metal biliary stents are implemented in all 17 Dutch pancreatic centers and their regional referral networks during a 6-week initiation period. Per pancreatic center, one multidisciplinary team functions as reference for the other centers in the network. Key best practices were identified from the literature, 3 years of data from existing nationwide registries within the Dutch Pancreatic Cancer Project (PACAP), and national expert meetings. The best practices follow the Dutch guideline on pancreatic cancer and the current state of the literature, and can be executed within daily clinical practice. The implementation process includes monitoring, return visits, and provider feedback in combination with education and reminders. Patient outcomes and compliance are monitored within the PACAP registries. Primary outcome is 1-year overall survival (for all disease stages). Secondary outcomes include quality of life, 3- and 5-year overall survival, and guideline compliance. An improvement of 10% in 1-year overall survival is considered clinically relevant. A 25-month study duration was chosen, which provides 80% statistical power for a mortality reduction of 10.0% in the 17 pancreatic cancer centers, with a required sample size of 2142 patients, corresponding to a 6.6% mortality reduction and 4769 patients nationwide., Discussion: The PACAP-1 trial is designed to evaluate whether a nationwide program for enhanced implementation of best practices in pancreatic cancer care can improve 1-year overall survival and quality of life., Trial Registration: ClinicalTrials.gov, NCT03513705. Trial opened for accrual on 22th May 2018.
- Published
- 2020
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37. Contribution of Maize Polyamine and Amino Acid Metabolism Toward Resistance Against Aspergillus flavus Infection and Aflatoxin Production.
- Author
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Majumdar R, Minocha R, Lebar MD, Rajasekaran K, Long S, Carter-Wientjes C, Minocha S, and Cary JW
- Abstract
Polyamines (PAs) are ubiquitous polycations found in plants and other organisms that are essential for growth, development, and resistance against abiotic and biotic stresses. The role of PAs in plant disease resistance depends on the relative abundance of higher PAs [spermidine (Spd), spermine (Spm)] vs. the diamine putrescine (Put) and PA catabolism. With respect to the pathogen, PAs are required to achieve successful pathogenesis of the host. Maize is an important food and feed crop, which is highly susceptible to Aspergillus flavus infection. Upon infection, the fungus produces carcinogenic aflatoxins and numerous other toxic secondary metabolites that adversely affect human health and crop value worldwide. To evaluate the role of PAs in aflatoxin resistance in maize, in vitro kernel infection assays were performed using maize lines that are susceptible (SC212) or resistant (TZAR102, MI82) to aflatoxin production. Results indicated significant induction of both PA biosynthetic and catabolic genes upon A. flavus infection. As compared to the susceptible line, the resistant maize lines showed higher basal expression of PA metabolism genes in mock-inoculated kernels that increased upon fungal infection. In general, increased biosynthesis and conversion of Put to Spd and Spm along with their increased catabolism was evident in the resistant lines vs. the susceptible line SC212. There were higher concentrations of amino acids such as glutamate (Glu), glutamine (Gln) and γ-aminobutyric acid (GABA) in SC212. The resistant lines were significantly lower in fungal load and aflatoxin production as compared to the susceptible line. The data presented here demonstrate an important role of PA metabolism in the resistance of maize to A. flavus colonization and aflatoxin contamination. These results provide future direction for the manipulation of PA metabolism in susceptible maize genotypes to improve aflatoxin resistance and overall stress tolerance.
- Published
- 2019
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38. The role of extrolites secreted by nonaflatoxigenic Aspergillus flavus in biocontrol efficacy.
- Author
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Moore GG, Lebar MD, and Carter-Wientjes CH
- Subjects
- Antibiosis, Aspergillus drug effects, Aspergillus growth & development, Aspergillus metabolism, Culture Media chemistry, Indoles metabolism, Aflatoxins biosynthesis, Aspergillus flavus metabolism, Biological Control Agents pharmacology
- Abstract
Aims: Field control of aflatoxin contamination is thought to occur through competitive exclusion of native aflatoxigenic fungi by introduced nonaflatoxigenic Aspergillus flavus biocontrol strains. In this study, we explored another possible mechanism that could increase the efficacy of biocontrol strains-the production of secreted compounds termed extrolites., Methods and Results: Using four Aspergillus strains (one nonaflatoxigenic and three aflatoxigenic) from the same geographic region (Louisiana), we devised experiments whereby each aflatoxigenic strain was grown on media that had first been colonized by the nonaflatoxigenic strain. We observed noticeable reduction in growth and reduced production of aflatoxin and cyclopiazonic acid for all three aflatoxigenic strains when grown in the presence of extrolite secretions from the nonaflatoxigenic strain., Conclusions: We provide evidence that biocontrol strain extrolites may improve the efficacy of pre and postharvest aflatoxin reduction., Significance and Impact of the Study: Our finding, that extrolites secreted by nonaflatoxigenic A. flavus strains potentially abate growth and toxin levels of aflatoxin-producing strains, should allow for us to elucidate the mechanism of how the reduction in toxigenic strains occurs, and potentially identify better biocontrol strains. Identification and isolation of the active extrolites may afford a supplemental method to mitigate aflatoxin production., (Published 2018. This article is a U.S. Government work and is in the public domain in the USA.)
- Published
- 2019
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39. The Aspergillus flavus Spermidine Synthase ( spds ) Gene, Is Required for Normal Development, Aflatoxin Production, and Pathogenesis During Infection of Maize Kernels.
- Author
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Majumdar R, Lebar M, Mack B, Minocha R, Minocha S, Carter-Wientjes C, Sickler C, Rajasekaran K, and Cary JW
- Abstract
Aspergillus flavus is a soil-borne saprophyte and an opportunistic pathogen of both humans and plants. This fungus not only causes disease in important food and feed crops such as maize, peanut, cottonseed, and tree nuts but also produces the toxic and carcinogenic secondary metabolites (SMs) known as aflatoxins. Polyamines (PAs) are ubiquitous polycations that influence normal growth, development, and stress responses in living organisms and have been shown to play a significant role in fungal pathogenesis. Biosynthesis of spermidine (Spd) is critical for cell growth as it is required for hypusination-mediated activation of eukaryotic translation initiation factor 5A (eIF5A), and other biochemical functions. The tri-amine Spd is synthesized from the diamine putrescine (Put) by the enzyme spermidine synthase (Spds). Inactivation of spds resulted in a total loss of growth and sporulation in vitro which could be partially restored by addition of exogenous Spd. Complementation of the Δspds mutant with a wild type (WT) A. flavus spds gene restored the WT phenotype. In WT A. flavus , exogenous supply of Spd ( in vitro ) significantly increased the production of sclerotia and SMs. Infection of maize kernels with the Δspds mutant resulted in a significant reduction in fungal growth, sporulation, and aflatoxin production compared to controls. Quantitative PCR of Δspds mutant infected seeds showed down-regulation of aflatoxin biosynthetic genes in the mutant compared to WT A. flavus infected seeds. Expression analyses of PA metabolism/transport genes during A. flavus -maize interaction showed significant increase in the expression of arginine decarboxylase ( Adc ) and S -adenosylmethionine decarboxylase ( Samdc ) genes in the maize host and PA uptake transporters in the fungus. The results presented here demonstrate that Spd biosynthesis is critical for normal development and pathogenesis of A. flavus and pre-treatment of a Δspds mutant with Spd or Spd uptake from the host plant, are insufficient to restore WT levels of pathogenesis and aflatoxin production during seed infection. The data presented here suggest that future studies targeting spermidine biosynthesis in A. flavus , using RNA interference-based host-induced gene silencing approaches, may be an effective strategy to reduce aflatoxin contamination in maize and possibly in other susceptible crops.
- Published
- 2018
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40. The Pathogenesis-Related Maize Seed ( PRms ) Gene Plays a Role in Resistance to Aspergillus flavus Infection and Aflatoxin Contamination.
- Author
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Majumdar R, Rajasekaran K, Sickler C, Lebar M, Musungu BM, Fakhoury AM, Payne GA, Geisler M, Carter-Wientjes C, Wei Q, Bhatnagar D, and Cary JW
- Abstract
Aspergillus flavus is an opportunistic plant pathogen that colonizes and produces the toxic and carcinogenic secondary metabolites, aflatoxins, in oil-rich crops such as maize ( Zea mays ssp. mays L.). Pathogenesis-related (PR) proteins serve as an important defense mechanism against invading pathogens by conferring systemic acquired resistance in plants. Among these, production of the PR maize seed protein, ZmPRms (AC205274.3_FG001), has been speculated to be involved in resistance to infection by A. flavus and other pathogens. To better understand the relative contribution of ZmPRms to A. flavus resistance and aflatoxin production, a seed-specific RNA interference (RNAi)-based gene silencing approach was used to develop transgenic maize lines expressing hairpin RNAs to target ZmPRms . Downregulation of ZmPRms in transgenic kernels resulted in a ∼250-350% increase in A. flavus infection accompanied by a ∼4.5-7.5-fold higher accumulation of aflatoxins than control plants. Gene co-expression network analysis of RNA-seq data during the A. flavus -maize interaction identified ZmPRms as a network hub possibly responsible for regulating several downstream candidate genes associated with disease resistance and other biochemical functions. Expression analysis of these candidate genes in the ZmPRms -RNAi lines demonstrated downregulation (vs. control) of a majority of these ZmPRms -regulated genes during A. flavus infection. These results are consistent with a key role of ZmPRms in resistance to A. flavus infection and aflatoxin accumulation in maize kernels.
- Published
- 2017
- Full Text
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41. The Aspergillus flavus Homeobox Gene, hbx1, is Required for Development and Aflatoxin Production.
- Author
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Cary JW, Harris-Coward P, Scharfenstein L, Mack BM, Chang PK, Wei Q, Lebar M, Carter-Wientjes C, Majumdar R, Mitra C, Banerjee S, and Chanda A
- Subjects
- Aspergillus flavus growth & development, Aspergillus flavus metabolism, DNA, Fungal genetics, Fungal Proteins biosynthesis, Fungal Proteins genetics, Gene Expression Regulation, Fungal, Indoles metabolism, Phylogeny, Secondary Metabolism, Spores, Fungal growth & development, Aflatoxins biosynthesis, Aspergillus flavus genetics, Genes, Homeobox
- Abstract
Homeobox proteins, a class of well conserved transcription factors, regulate the expression of targeted genes, especially those involved in development. In filamentous fungi, homeobox genes are required for normal conidiogenesis and fruiting body formation. In the present study, we identified eight homeobox ( hbx ) genes in the aflatoxin-producing ascomycete, Aspergillus flavus , and determined their respective role in growth, conidiation and sclerotial production. Disruption of seven of the eight genes had little to no effect on fungal growth and development. However, disruption of the homeobox gene AFLA_069100, designated as hbx1 , in two morphologically different A. flavus strains, CA14 and AF70, resulted in complete loss of production of conidia and sclerotia as well as aflatoxins B₁ and B₂, cyclopiazonic acid and aflatrem. Microscopic examination showed that the Δ hbx1 mutants did not produce conidiophores. The inability of Δ hbx1 mutants to produce conidia was related to downregulation of brlA (bristle) and abaA (abacus), regulatory genes for conidiophore development. These mutants also had significant downregulation of the aflatoxin pathway biosynthetic genes aflC , aflD , aflM and the cluster-specific regulatory gene, aflR . Our results demonstrate that hbx1 not only plays a significant role in controlling A. flavus development but is also critical for the production of secondary metabolites, such as aflatoxins., Competing Interests: The authors declare no conflict of interest.
- Published
- 2017
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42. Intestinal dilatation: do not forget a tropical origin.
- Author
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Kortekaas KA, de Kreuk AM, Jensch S, Wientjes CA, and Veenstra J
- Published
- 2017
43. Non-anesthesiologist administration of propofol for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates Guideline--Updated June 2015.
- Author
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Dumonceau JM, Riphaus A, Schreiber F, Vilmann P, Beilenhoff U, Aparicio JR, Vargo JJ, Manolaraki M, Wientjes C, Rácz I, Hassan C, and Paspatis G
- Subjects
- Europe, Humans, Hypnotics and Sedatives administration & dosage, Conscious Sedation methods, Conscious Sedation nursing, Endoscopy, Gastrointestinal methods, Gastroenterology methods, Propofol administration & dosage, Societies, Medical
- Published
- 2015
- Full Text
- View/download PDF
44. Volatile profiles and aflatoxin production by toxigenic and non-toxigenic isolates of Aspergillus flavus grown on sterile and non-sterile cracked corn.
- Author
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De Lucca AJ, Boue SM, Carter-Wientjes C, and Bhatnagar D
- Subjects
- Aspergillus flavus classification, Aspergillus flavus isolation & purification, Chromatography, High Pressure Liquid, Gas Chromatography-Mass Spectrometry, Polymers chemistry, Species Specificity, Time Factors, Aflatoxin B1 biosynthesis, Aspergillus flavus chemistry, Volatile Organic Compounds analysis, Zea mays microbiology
- Abstract
Aspergillus flavus is a saprophytic fungus which can grow on corn and produce aflatoxins which render it unsafe for consumption as food and feed. In this study, aflatoxin and non-aflatoxin producing isolates of A. flavus were grown separately on wet (20% water added), sterile or non-sterile cracked corn. Wet and dry cracked corn controls were included as needed. Secondary metabolic volatiles were identified and aflatoxin concentrations determined over a 12-day period. Volatiles unique to the toxigenic A. flavus isolates were determined by comparison with volatiles produced by the respective corn controls and the non-toxigenic A. flavus isolate. The number and identity of the volatiles produced by these A. flavus isolates varied by isolate, whether sterile or non-sterile corn was the substrate, and the sampling day. Overall, most of the volatiles were produced before day 8 after inoculation. Aflatoxin production was 10-fold lower on the sterile corn, compared to the non-sterile corn. Volatiles unique to the aflatoxin producing isolates were identified on both substrates after comparison with those produced by the non-aflatoxin producing isolate, as well as the corn control samples. Results indicate that several factors (substrate, fungal isolate, culture age) affect volatile and aflatoxin production by A. flavus.
- Published
- 2012
45. Volatile trans-2-hexenal, a soybean aldehyde, inhibits Aspergillus flavus growth and aflatoxin production in corn.
- Author
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De Lucca AJ, Carter-Wientjes CH, Boué S, and Bhatnagar D
- Subjects
- Aflatoxin B1 analysis, Aldehydes analysis, Aldehydes chemistry, Aspergillus flavus growth & development, Aspergillus flavus isolation & purification, Aspergillus flavus physiology, Colony Count, Microbial, Food Contamination prevention & control, Food Preservatives analysis, Food Preservatives chemistry, Fungicides, Industrial analysis, Fungicides, Industrial chemistry, Fungicides, Industrial pharmacology, Microbial Viability drug effects, Osmolar Concentration, Seeds chemistry, Glycine max chemistry, Spores, Fungal drug effects, Spores, Fungal growth & development, Spores, Fungal isolation & purification, Spores, Fungal physiology, Stereoisomerism, Time Factors, Volatilization, Water analysis, Aflatoxin B1 metabolism, Aldehydes pharmacology, Aspergillus flavus drug effects, Food Preservatives pharmacology, Seeds microbiology, Zea mays chemistry, Zea mays microbiology
- Abstract
Unlabelled: Trans-2-hexenal, a volatile aldehyde, is produced by soybean (Glycine max [L.] Merr) and other plants via the lipoxygenase pathway. In vitro tests showed it significantly (P < 0.001) reduced Aspergillus flavus germinating conidial viability at 10 μM, with approximately 95% viability reduction observed at 20 μM. The viability of nongerminated conidia was not reduced. To test the effectiveness of this volatile to prevent fungal growth in stored corn, trans-2-hexenal was pumped intermittently into glass jars containing corn. Experiments were performed to determine the ability of 2 different pump cycle time-courses to prevent A. flavus growth on sterile corn (23% moisture). Intermittently (30-min pumping period) over 7 d, this volatile was pumped through 350 g of corn kernels inoculated with 1 mL of 3 × 10⁴ conidia of A. flavus. Controls consisted of (1) sterile corn, (2) corn inoculated with A. flavus with no pumped air, and (3) corn inoculated with A. flavus with intermittently pumped air. Aflatoxin B₁ (AFB₁), viability counts, and aldehyde concentration in the headspace were performed in each experiment. To determine whether an increased time period between volatile pumping would prevent A. flavus growth, a 2nd series of experiments were performed that were similar to the 1st series except that trans-2-hexenal (only) was pumped for a 30-min period every 12 h. Experiments were performed 3 times for each time course. Both experiments showed that intermittent pumping of volatile trans-2-hexenal significantly (P < 0.001) prevented A. flavus growth and aflatoxin B₁ production over a 7-d period., Practical Application: Results from this study indicate that intermittent pumping of volatile trans-2-hexenal could be used to protect stored corn from A. flavus growth and aflatoxin contamination., (Journal of Food Science © 2011 Institute of Food Technologists® No claim to original US government works.)
- Published
- 2011
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46. Small Bowel Adenocarcinoma in a Patient with Coeliac Disease: Case Report and Review of the Literature.
- Author
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Richir M, Songun I, Wientjes C, Snel P, and Dwars B
- Abstract
Coeliac disease (CD) is an autoimmune disorder which leads to chronic inflammation of the gut. Furthermore, CD is associated with upper gastrointestinal malignancies, particularly lymphoma of the small intestine. Besides lymphoma, an increased frequency of associated small bowel carcinoma has been described. Here we report the case of a 70-year-old male suffering from CD who was treated with a gluten-free diet presenting with complaints of nausea, vomiting and weight loss of about 8 kg in two months. He underwent esophagogastroduodenoscopy, which identified distention of the stomach and duodenum and in the pars horizontalis a distinct obstruction was suggestive. However, histopathological examination showed a normal mucosal membrane. Additionally, a computed tomography scan of the abdomen was performed which showed an expanded stomach and duodenum up to the ligament of Treitz. During an explorative laparotomy a small tumor was palpated near the ligament of Treitz. Subsequently, a duodenal segment resection was performed. After surgery, the patient recovered well and left our hospital in good condition.
- Published
- 2010
- Full Text
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47. Glyceollin I, a novel antiestrogenic phytoalexin isolated from activated soy.
- Author
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Zimmermann MC, Tilghman SL, Boué SM, Salvo VA, Elliott S, Williams KY, Skripnikova EV, Ashe H, Payton-Stewart F, Vanhoy-Rhodes L, Fonseca JP, Corbitt C, Collins-Burow BM, Howell MH, Lacey M, Shih BY, Carter-Wientjes C, Cleveland TE, McLachlan JA, Wiese TE, Beckman BS, and Burow ME
- Subjects
- Animals, Anticarcinogenic Agents chemistry, Anticarcinogenic Agents isolation & purification, Anticarcinogenic Agents therapeutic use, Binding Sites, Cell Line, Tumor, Cell Proliferation drug effects, Cell Survival drug effects, Estrogen Receptor Modulators chemistry, Estrogen Receptor Modulators isolation & purification, Estrogen Receptor Modulators therapeutic use, Estrogen Receptor alpha antagonists & inhibitors, Estrogen Receptor alpha biosynthesis, Estrogen Receptor alpha genetics, Female, Humans, Mice, Mice, Nude, Molecular Structure, Neoplasm Transplantation, Pterocarpans chemistry, Pterocarpans isolation & purification, Pterocarpans therapeutic use, Sesquiterpenes, Stereoisomerism, Tamoxifen pharmacology, Terpenes chemistry, Terpenes isolation & purification, Terpenes therapeutic use, Transcription, Genetic drug effects, Xenograft Model Antitumor Assays, Phytoalexins, Anticarcinogenic Agents pharmacology, Estrogen Receptor Modulators pharmacology, Pterocarpans pharmacology, Glycine max chemistry, Terpenes pharmacology
- Abstract
Glyceollins, a group of novel phytoalexins isolated from activated soy, have recently been demonstrated to be novel antiestrogens that bind to the estrogen receptor (ER) and inhibit estrogen-induced tumor progression. Our previous publications have focused specifically on inhibition of tumor formation and growth by the glyceollin mixture, which contains three glyceollin isomers (I, II, and III). Here, we show the glyceollin mixture is also effective as a potential antiestrogenic, therapeutic agent that prevents estrogen-stimulated tumorigenesis and displays a differential pattern of gene expression from tamoxifen. By isolating the individual glyceollin isomers (I, II, and III), we have identified the active antiestrogenic component by using competition binding assays with human ERalpha and in an estrogen-responsive element-based luciferase reporter assay. We identified glyceollin I as the active component of the combined glyceollin mixture. Ligand-receptor modeling (docking) of glyceollin I, II, and III within the ERalpha ligand binding cavity demonstrates a unique type II antiestrogenic confirmation adopted by glyceollin I but not isomers II and III. We further compared the effects of glyceollin I to the antiestrogens, 4-hydroxytamoxifen and ICI 182,780 (fulvestrant), in MCF-7 breast cancer cells and BG-1 ovarian cancer cells on 17beta-estradiol-stimulated expression of progesterone receptor and stromal derived factor-1alpha. Our results establish a novel inhibition of ER-mediated gene expression and cell proliferation/survival. Glyceollin I may represent an important component of a phytoalexin-enriched food (activated) diet in terms of chemoprevention as well as a novel therapeutic agent for hormone-dependent tumors.
- Published
- 2010
- Full Text
- View/download PDF
48. Phytoalexin-enriched functional foods.
- Author
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Boue SM, Cleveland TE, Carter-Wientjes C, Shih BY, Bhatnagar D, McLachlan JM, and Burow ME
- Subjects
- Anti-Inflammatory Agents administration & dosage, Anticholesteremic Agents administration & dosage, Antioxidants administration & dosage, Catechin administration & dosage, Fabaceae, Fermentation, Food, Organic, Fruit chemistry, Isoflavones administration & dosage, Resveratrol, Sesquiterpenes, Stilbenes administration & dosage, Tea, Terpenes analysis, Terpenes metabolism, Vitis chemistry, Wine, Phytoalexins, Food, Fortified analysis, Health Promotion, Terpenes administration & dosage
- Abstract
Functional foods have been a developing area of food science research for the past decade. Many foods are derived from plants that naturally contain compounds beneficial to human health and can often prevent certain diseases. Plants containing phytochemicals with potent anticancer and antioxidant activities have spurred development of many new functional foods. This has led to the creation of functional foods to target health problems such as obesity and inflammation. More recent research into the use of plant phytoalexins as nutritional components has opened up a new area of food science. Phytoalexins are produced by plants in response to stress, fungal attack, or elicitor treatment and are often antifungal or antibacterial compounds. Although phytoalexins have been investigated for their possible role in plant defense, until recently they have gone unexplored as nutritional components in human foods. These underutilized plant compounds may possess key beneficial properties including antioxidant activity, anti-inflammation activity, cholesterol-lowering ability, and even anticancer activity. For these reasons, phytoalexin-enriched foods would be classified as functional foods. These phytoalexin-enriched functional foods would benefit the consumer by providing "health-enhanced" food choices and would also benefit many underutilized crops that may produce phytoalexins that may not have been considered to be beneficial health-promoting foods.
- Published
- 2009
- Full Text
- View/download PDF
49. [Cystic abnormalities of the pancreas: inflammatory pseudocyst or neoplasm].
- Author
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Wientjes CA, Koedam NA, van Keulen EM, and Naber AH
- Subjects
- Acute Disease, Aged, Cystadenoma, Mucinous surgery, Diagnosis, Differential, Female, Humans, Pancreatic Neoplasms surgery, Pancreatic Pseudocyst surgery, Time Factors, Treatment Outcome, Cholangiopancreatography, Endoscopic Retrograde methods, Cystadenoma, Mucinous diagnosis, Pancreatic Neoplasms diagnosis, Pancreatic Pseudocyst diagnosis
- Abstract
A 79-year-old woman presented with complaints of upper abdominal pain, nausea and vomiting since a few days. Laboratory tests showed no abnormalities except for some indications of an inflammation. Based on the medical history, physical examination and findings from radiological examination, initially the diagnosis was 'chronic pancreatitis with formation ofa pseudocyst caused by alcohol abuse'. After one week the patient developed cholestatic liver function disorders with elevated serum pancreatic enzymes. A CT scan of the abdomen showed a dilated gallbladder and progression of the cystic lesion in the pancreatic head with compression of the distal common bile duct. An endoscopic retrograde cholangiopancreatography was performed and the findings fitted a diagnosis of an intraductal papillary mucinous neoplasm. Differentiation between an inflammatory or neoplastic origin of cystic lesions in the pancreas can be difficult. There is a risk ofmisdiagnosing a cystic neoplasm for a pseudocyst. This may lead to delays in making the correct diagnosis.
- Published
- 2008
50. Antiestrogenic glyceollins suppress human breast and ovarian carcinoma tumorigenesis.
- Author
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Salvo VA, Boué SM, Fonseca JP, Elliott S, Corbitt C, Collins-Burow BM, Curiel TJ, Srivastav SK, Shih BY, Carter-Wientjes C, Wood CE, Erhardt PW, Beckman BS, McLachlan JA, Cleveland TE, and Burow ME
- Subjects
- Animals, Benzopyrans chemistry, Benzopyrans pharmacology, Breast Neoplasms pathology, Cell Line, Tumor, Cell Proliferation drug effects, Disease Models, Animal, Estradiol administration & dosage, Estrogen Receptor Modulators chemistry, Estrogen Receptor Modulators pharmacology, Female, Humans, Mice, Mice, Nude, Ovarian Neoplasms pathology, Predictive Value of Tests, Pterocarpans, Receptors, Progesterone biosynthesis, Receptors, Progesterone drug effects, Structure-Activity Relationship, Transplantation, Heterologous, Uterus drug effects, Uterus pathology, Xenograft Model Antitumor Assays, Benzopyrans administration & dosage, Breast Neoplasms drug therapy, Estrogen Receptor Modulators administration & dosage, Ovarian Neoplasms drug therapy
- Abstract
Purpose: We have identified the phytoalexin compounds glyceollins I, II, and III, which exhibit marked antiestrogenic effects on estrogen receptor function and estrogen-dependent tumor growth in vivo. The purpose of this study was to investigate the interactions among the induced soy phytoalexins glyceollins I, II, and III on the growth of estrogen-dependent MCF-7 breast cancer and BG-1 ovarian cancer cells implanted in ovariectomized athymic mice., Experimental Design: Four treatment groups for each cell line were used: vehicle control, 20 mg/kg/mouse/d glyceollin mixture injection, 0.72 mg estradiol (E2) implant, and E2 implant + 20 mg/kg/mouse/d glyceollin injection., Results: Treatment with glyceollin suppressed E2-stimulated tumor growth of MCF-7 cells (-53.4%) and BG-1 cells (-73.1%) in ovariectomized athymic mice. These tumor-inhibiting effects corresponded with significantly lower E2-induced progesterone receptor expression in the tumors. In contrast to tamoxifen, the glyceollins had no estrogen-agonist effects on uterine morphology and partially antagonized the uterotropic effects of estrogen., Conclusions: These findings identify glyceollins as antiestrogenic agents that may be useful in the prevention or treatment of breast and ovarian carcinoma.
- Published
- 2006
- Full Text
- View/download PDF
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