Future challenges to microbial food safety

Despite significant efforts by all parties involved, there is still a considerable burden of foodborne illness, in which micro-organisms play a prominent role. Microbes can enter the food chain at different steps, are highly versatile and can adapt to the environment allowing survival, growth and production of toxic compounds. This sets them apart from chemical agents and thus their study from food toxicology. We summarize the discussions of a conference organized by the Dutch Food and Consumer Products Safety Authority and the European Food Safety Authority. The goal of the conference was to discuss new challenges to food safety that are caused by micro-organisms as well as strategies and methodologies to counter these. Management of food safety is based on generally accepted principles of Hazard Analysis Critical Control Points and of Good Manufacturing Practices. However, a more pro-active, science-based approach is required, starting with the ability to predict where problems might arise by applying the risk analysis framework. Developments that may influence food safety in the future occur on different scales (from global to molecular) and in different time frames (from decades to less than a minute). This necessitates development of new risk assessment approaches, taking the impact of different drivers of change into account. We provide an overview of drivers that may affect food safety and their potential impact on foodborne pathogens and human disease risks. We conclude that many drivers may result in increased food safety risks, requiring active governmental policy setting and anticipation by food industries whereas other drivers may decrease food safety risks. Monitoring of contamination in the food chain, combined with surveillance of human illness and epidemiological investigations of outbreaks and sporadic cases continue to be important sources of information. New approaches in human illness surveillance include the use of molecular markers for improved outbreak detection and source attribution, sero-epidemiology and disease burden estimation. Current developments in molecular techniques make it possible to rapidly assemble information on the genome of various isolates of microbial species of concern. Such information can be used to develop new tracking and tracing methods, and to investigate the behavior of micro-organisms under environmentally relevant stress conditions. These novel tools and insight need to be applied to objectives for food safety strategies, as well as to models that predict microbial behavior. In addition, the increasing complexity of the global food systems necessitates improved communication between all parties involved: scientists, risk assessors and risk managers, as well as consumer

Cellijnen en Salmonella

In human gastrointestinal disease caused by Salmonella, transepithelial migration of neutrophils follows the attachment of bacteria to epithelial tissue. This migration of neutrophils is stimulated by the release of chemokines, including interleukin-8 (Il -8), from the epithelial cells. We have developed an in vitro model system (human epithelial monolayers, among which Caco-2 cells grown on microtiter multiwell plates) for studying host-pathogen interactions. After infection with different pathogens we measured Il-8 production during time. Results showed that Il-8 release was time related and varied with the pathogen. Salmonella enteritidis (Se) did induce the highest response. Subsequently, three doses of this Se strain were used and the Il-8 response was measured at different time points. Caco-2 cells remained intact over a period of 24h, the production of Il-8 increased in time and was found to be Se dose-dependent. Other tested epithelial monolayers, such as HT29 colon cancer cells, gave similar results.Infectie met Salmonella kan gepaard gaan met de invasie van darmepitheelcellen. De aan de invasie voorafgaande aanhechting leidt reeds tot de transmigratie van witte bloedcellen (neutrofielen) vanuit de bloedbaan naar het epitheelweefsel. De migratie wordt gestimuleerd door de productie van chemokines, waaronder interleukine-8 (Il-8) door epitheelcellen. Wij hebben een in vitro model systeem ontwikkeld (humaan epitheelweefsel gekweekt in microtiterplaten) waarin gastheer - pathogeen interacties kunnen worden bestudeerd. Epitheelcellen zijn gedurende een uur blootgesteld aan verschillende pathogene micro-organismen, waarna de Il-8 response is gemeten. Als controle zijn meegenomen een Escherichia coli stam zonder LPS en een probiotische Lactobacillus. De resultaten laten zien dat de IL-8 productie per pathogeen varieert, waarbij Salmonella enteritidis de hoogste respons geeft. In vervolgexperimenten zijn drie concentraties S. enteritidis gebruikt, waarna de respons gedurende 24 uur is gemeten. De gebruikte cellijn bleek na 24 uur nog intact, de Il-8 productie correleerde met de doses, en nam toe in de tijd. Hieruit kan geconcludeerd worden dat het door ons ontwikkelde model gebruikt kan worden voor het bestuderen van factoren die van invloed zijn op dosis-respons relaties. De respons betreft dan prikkeling van het immuunsysteem ten gevolge van adhesie en invasie van darmepitheelcellen door salmonellae. Tenslotte wordt een benaderingwijze voorgesteld om resultaten van in vitro dosis-respons experimenten te vertalen naar de mens

Lower extremity vascular disease

Purpose: We performed a systematic review to assess (1) to what extent Incident Reporting Systems (IRS) on the adult ICU meet the criteria of the WHO Draft Guidelines for Adverse Event Reporting and Learning Systems, (2) to what extent the IRSs comply with the four aspects of the iterative quality loop and (3) whether IRSs have led to improvement measures in clinical practice. Data sources: The authors searched multiple electronic databases from 1966 until June 26th 2014. Study Selection: Studies were included if they reported incident reporting systems on the adult ICU. Data Extraction: Data on study design, characteristics of the incident reporting system, implementation, feedback and improvement measures were collected using structured data extraction forms. Results of data synthesis: A total of 2098 studies were identified and 36 studies reported IRSs on the adult ICU. Studies were divided into: ICU specific IRSs and general IRSs. Items of the WHO checklist were assessed and categorized into the four phases of the iterative quality loop. Conclusion: None of the IRSs completely fulfilled the WHO checklist criteria. With respect to the iterative loop, data input and data collection are well established but not much attention was given to analyzing incidents and to give feedback. This resulted in an administrative report system, rather than the much desired instrument for change of practice and increase of quality as an IRS can only effectively contribute to improve patient safety and quality of care if more attention is given to analyzing incidents and feedback.Perioperative Medicine: Efficacy, Safety and Outcom

The role and evolution of fungal effectors in plant pathogenesis

cum laude graduation (with distinction

Analysis of breakdown in ferromagnetic tunnel junctions

Due to their very thin tunnel barrier layer, magnetic tunnel junctions show dielectric breakdown at voltages of the order of 1 V. At the moment of breakdown, a highly conductive short is formed in the barrier and is visible as a hot spot. The breakdown effect is investigated by means of voltage ramp experiments on a series of nominally identical Co/Al2O3/Co tunnel junctions. The results are described in terms of a voltage dependent breakdown probability, and are further analyzed within the framework of a general model for the breakdown probability in dielectric materials, within which it is assumed that at any time the breakdown probability is independent of the (possibly time-dependent) voltage that has been previously applied. The experimental data can be described by several specific forms of the voltage breakdown probability function. A comparison with the models commonly used for describing thin film SiO2 breakdown is given, as well as suggestions for future experiments