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Biomedical subjects

G Vos

Publications and source records attributed to G Vos.

14 recordsLinked to original sources
PubMed2005

Class 1 integrons in ciprofloxacin-resistant Escherichia coli strains from two Dutch hospitals.

A significant increase in the isolation frequency of ciprofloxacin-resistant Escherichia coli was observed in the haematology departments of two university hospitals in The Netherlands. Amplified fragment length polymorphism analysis revealed that this increase was not caused by the emergence of unique ciprofloxacin-resistant clones. Determination of the presence of class 1 integrons indicated that 81% of the ciprofloxacin-resistant isolates contained an intI1 gene, compared with 11% of the ciprofloxacin-susceptible isolates (p<0.0001). The quinolone resistance gene qnrA was not present in any of the integrons characterised and could not be detected using dot-blot hybridisation of total DNA. In addition, conjugation experiments showed that ciprofloxacin resistance was not co-transferred with class 1 integrons. Ciprofloxacin-resistant isolates harboured mutations in the gyrA gene, which are known to encode ciprofloxacin resistance. In conclusion, an association was observed between ciprofloxacin resistance and the presence of class 1 integrons, which could not be explained by the currently known genetic determinants of quinolone resistance.

Anti-Bacterial Agents↗
PubMed2001

Enterobacter species in a pediatric hospital: horizontal transfer or selection in individual patients?

Enterobacter species were studied longitudinally in a children's hospital. In total, 287 Enterobacter isolates were obtained from 171 children in 15 different wards (from March 1995 through April 1997). Strains were typed by random amplified polymorphic DNA and pulsed-field gel electrophoresis, which were concordant in outcome. In total, 97 DNA types and 199 colonization events were identified. A predominant clone was isolated 111 times from 62 children; another clone was isolated 19 times from 10 patients. These clones caused 36% of all colonizations. In 34% of the children, Enterobacter clones were found in 2-4 patients. The remaining colonizations were due to unique Enterobacter isolates. A large proportion of the Enterobacter strains was acquired through cross-transmission. This finding contrasts with the prevailing opinion that resistant Enterobacter strains are selected primarily from the patient's own gut flora.

Adolescent↗
PubMed1999

A prospective cost-effectiveness analysis of vertical banded gastroplasty for the treatment of morbid obesity.

BACKGROUND: Surgical treatment of morbid obesity is gaining in popularity, because conservative treatment is ineffective. However, a cost-effectiveness analysis has never been performed and is the main goal of the present study. METHODS: 21 consecutive morbidly obese patients were tested before and after vertical banded gastroplasty (VBG). Quality of life was assessed with the Nottingham Health Profile and a visual analogue scale. A prevalence-based cost-of-illness analysis of morbid obesity was performed and the cost-effectiveness of VBG assessed. RESULTS: VBG resulted in a significant weight loss and an improved quality of life. The improved quality of life combined with 3.6 life-years gained after VBG resulted in 12 quality adjusted life-years (QALY) gained in a lifelong scenario. Lifelong costs of illness of morbidly obese persons ranged from $8,304 to $9,367. Total direct costs of VBG were $5,865. The percentage of patients performing paid labor increased from 19% before VBG to 48% after VBG, resulting in an average productivity gain of $2,765 per year. In summary, the cost-effectiveness analysis revealed that surgical treatment of morbid obesity by means of VBG saves $4,004 to $3,928 per QALY (overall dominance). CONCLUSION: Because treatment of morbid obesity with VBG results in QALYs gained and less costs, there is no doubt that this procedure should be introduced or continued from a societal point of view.

Adult↗
PubMed1990

[Lead poisoning in cattle in north Netherlands. October 1989-January 1990].

By the end of 1989 a serious lead intoxication of cattle occurred in the northern part of the Netherlands (provinces Groningen and Friesland). This intoxication appeared to be caused by contaminated feed. Over 300 farms were stricken, with about 15,500 animals (mostly dairy cattle). In a period of one to four weeks these animals consumed about 1,000 kg of lead. This resulted in lead levels in milk, livers, and kidneys above the regulatory safety limits. Thanks to the chelating therapy that was rapidly applied by the local veterinarians, only about 30 animals died of an acute lead intoxication. The cooperating governmental and private authorities took action to prevent exposure of consumers to lead-contaminated animal products. Based on careful estimations, predictions were made of the lead levels to be expected in animals products and the time needed for depletion of these levels. The appropriate animals were marked to ensure their identification, and the decline in time of the lead levels in milk and offals was conscientiously monitored. In the second week of 1990 the lead concentrations were decreased to levels well below the regulatory limits, and hence the marks were removed from the animals.

Animal Feed↗
PubMed1988

Arsenic, cadmium, lead and mercury in meat, livers and kidneys of sheep slaughtered in The Netherlands.

The results obtained between 1981 and 1986 in a Dutch monitoring programme investigating the presence of arsenic, cadmium, lead and mercury in meat, livers and kidneys of sheep are presented. For the meat, livers and kidneys, the median values were 0.001, 0.003, and 0.007 mg/kg (fresh weight) for arsenic; 0.003, 0.054, and 0.098 mg/kg for cadmium; 0.04, 0.85, and 0.36 mg/kg for lead; and 0.001, 0.002, and 0.007 mg/kg for mercury. During the reported period, no clear trends were observed. The results are compared with the data from other countries. The mercury and arsenic concentrations in meat and organs may be regarded as low, but the levels of lead in livers are relatively high. The lead concentrations in livers showed seasonal fluctuations, the highest concentrations usually being found during the winter. Significant linear relationships were found between the concentrations in livers and kidneys for arsenic, cadmium and mercury. Tissue trace element levels were not related to the age of the investigated animals.

Animals↗
PubMed1986

Arsenic, cadmium, lead and mercury in meat, livers, and kidneys of swine slaughtered in The Netherlands during the period 1980-1985.

The results obtained between 1980 and 1985 in a Dutch monitoring programme on the presence of arsenic, cadmium, lead and mercury in meat and organs of swine are presented. For meat, livers and kidneys the median values were, respectively, 0.001, 0.001, and 0.003 mg/kg (fresh weight) for arsenic, 0.002, 0.044, and 0.260 mg/kg for cadmium, 0.01, 0.03, and 0.08 mg/kg for lead and 0.001, 0.002, and 0.005 mg/kg for mercury. No significant changes were observed in the tissue arsenic and mercury levels during the investigated period. A decrease was observed in the cadmium and lead concentrations in livers and kidneys. The provisional Dutch legal limits were exceeded only for lead in one kidney sample. A significant recti linear relation was found between the cadmium concentrations in livers and kidneys. In general the cadmium and lead levels found are comparable with published data, reported from other countries. Compared with data from the literature, the arsenic and mercury concentrations found in the present study are low.

Animals↗
PubMed1986

Chromium, nickel, copper, zinc, arsenic, selenium, cadmium, mercury and lead in Dutch fishery products 1977-1984.

Within the framework of a monitoring programme, carried out by order of the Dutch Ministry of Agriculture and Fisheries, fishery products from Dutch coastal waters, estuaries and inland waters were investigated for the presence of trace elements. In this report the results for the period 1977-1984 are presented. The investigated fishery products included sole, cod, plaice, herring, eel, pike-perch, shrimp and mussel, in which the elements chromium, nickel, copper, zinc, arsenic, selenium, cadmium, mercury and lead were determined. The results are compared with data from the literature and with the trace element levels usually found in other animal products. The daily intake of trace elements in The Netherlands through the consumption of Dutch fishery products is calculated.

Animals↗
PubMedDate not supplied

Arsenic, cadmium, lead and mercury in meat, livers and kidneys of cattle slaughtered in The Netherlands during 1980-1985.

The results obtained between 1980 and 1985 in a Dutch monitoring programme investigating the presence of cadmium, lead, mercury and arsenic in meat, livers and kidneys of cattle are presented. During the period of investigation no clear trends were observed in the metal concentrations, except for lead in kidneys, for which the average concentration decreased from 0.48 mg/kg in 1980 to 0.24 mg/kg in 1985. The average cadmium and lead concentrations found in livers and kidneys in the present study were lower than those obtained for Dutch cattle investigated between 1970 and 1980. In general the metal concentrations found were in good agreement with data reported for other countries. The provisional Dutch legal limits for heavy metals in foods were exceeded only for cadmium in 2 kidney samples. Significant linear relations were found between the concentrations in livers and kidneys for arsenic, cadmium and lead. Significant relations were found also between the cadmium and lead concentrations in livers and between the cadmium levels in livers and kidneys and the age of the animals investigated.

Animals↗
PubMedDate not supplied

Cadmium and lead in muscle tissue and organs of broilers, turkeys and spent hens and in mechanically deboned poultry meat.

Cadmium and lead levels have been determined in meat, livers and kidneys of turkeys, in livers and kidneys of spent hens, in kidneys of broilers and in mechanically deboned poultry meat (MDPM), by dry ashing of the sample with Mg(NO3)2 followed by differential pulse anodic stripping voltammetric analysis. The possible age-dependent cadmium and lead accumulation in livers and kidneys of turkeys was also studied. The cadmium concentrations in meat and organs of poultry are in good agreement with data reported for other countries, but lead concentrations were low compared with most data reported in the literature. The cadmium levels in kidneys and livers of turkeys increased with age, whilst the lead concentrations were unrelated to age. The cadmium and lead concentrations in industrially prepared MDPM from broiler carcasses were very low (less than 0.001-0.004 mg/kg and less than 0.01-0.06 mg/kg, respectively). In MDPM prepared from backs (including the kidneys) and necks, elevated cadmium concentrations were found. The increase was related to the cadmium concentrations in the kidneys. In MDPM prepared from broilers, turkeys and spent hens the cadmium concentrations varied between 0.001 and 0.002 mg/kg, 0.005 and 0.006 mg/kg and 0.007 and 0.028 mg/kg, respectively. For lead the concentrations in meat and MDPM were similar. It can be concluded from the results that in MDPM prepared from spent hens and possibly turkeys, when incorporating the kidneys, cadmium concentrations greater than 0.05 mg/kg, (the legal limit for cadmium in poultry meat in The Netherlands) may occur.

Aging↗
PubMedDate not supplied

Lead intoxication in cattle: a case report.

During the autumn of 1989 a feed contamination induced a widespread lead intoxication of cattle in the northern provinces of The Netherlands (Groningen and Friesland). Over 300 farms were involved, affecting about 15,500 animals (mostly dairy cattle). For a period of one to four weeks these animals took up a thousand kg of lead. This resulted in lead levels in milk, livers, and kidneys above the regulatory safety limits. Due to the chelating therapy, which was rapidly applied by the local veterinarians, only about 30 animals died of an acute lead intoxication. A joint action of the governmental and private authorities prevented exposure of consumers to lead-contaminated animal products. Based on observations, measurements and literature data, predictions were made of the lead levels to be expected in animal products and the time needed for depletion of these levels. The appropriate animals were ear-tagged to ensure their identification, and the decline in time of the lead levels in milk and offals was conscientiously monitored. In the second week of 1990 the lead concentrations were decreased to levels well below the regulatory limits, and hence the tags were removed. The present paper reports our observations and conclusions, especially regarding treatment, predictions and outcome of this incident.

Animal Feed↗
PubMedDate not supplied

Trends in fungaemia and antifungal susceptibility in the Netherlands.

We retrospectively evaluated fungaemia over the period 1996 to 2001 in five university hospitals. Over 350,000 blood cultures were collected during more than 7 million days of hospitalisation. The average rate of fungaemia over the six-year period was 0.82 per 10,000 patient days (range 0.65 to 1.21 per 10,000 patient days). The proportion of bloodstream infections caused by Candida albicans remained stable throughout the study period with a mean of 53% (range 48 to 62%). This is a change from trends described in previous studies, including a survey performed in the Netherlands. This study shows a new, stable rate of fungaemia and no further signs of increasing rate of infections due to non-albicans Candida species. Susceptibility to all tested antifungal agents remained stable throughout the study period.

Antifungal Agents↗