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92篇 您的检索式:作者名="Festen"
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1Performance of the Montreal classification for inflammatory bowel diseases显示文摘AIM:To validate the Montreal classification system for Crohn's disease(CD) and ulcerative colitis(UC) within the Netherlands.METHODS:A selection of 20 de-identified medical records with an appropriate representation of the inflammatory bowel disease(IBD) sub phenotypes were scored by 30 observers with different professions(gastroenterologist specialist in IBD,gastroenterologist in training and IBD-nurses) and experience level with IBD patient care.Patients were classified according to the Montreal classification.In addition,participants were asked to score extra-intestinal manifestations(EIM) and disease severity in CD based on their clinical judgment.The inter-observer agreement was calculated by percentages of correct answers(answers identical to the 'expert evaluation') and Fleiss-kappa(k).Kappa cutoffs:< 0.4-poor; 0.41-0.6-moderate; 0.61-0.8-good; > 0.8 excellent.RESULTS:The inter-observer agreement was excellent for diagnosis(k = 0.96),perianal disease(k = 0.92) and disease location in CD(k = 0.82) and good for age of onset(k = 0.67),upper gastrointestinal disease(k = 0.62),disease behaviour in CD(k = 0.79) and disease extent in UC(k = 0.65).Disease severity in UC was scored poor(k = 0.23).The additional items resulted in a good inter-observer agreement for EIM(k = 0.68) and a moderate agreement for disease severity in CD(k = 0.44).Percentages of correct answers over all Montreal items give a good reflection of the inter-observer agreement(> 80%),except for disease severity(48%-74%).IBD-nurses were significantly worse in scoring upper gastrointestinal disease in CD compared to gastroenterologists(P = 0.008) and gastroenterologists in training(P = 0.040).Observers with less than 10 years of experience were significantly better at scoring UC severity than observers with 10-20 years(P = 0.003) and more than 20 years(P = 0.003) of experience with IBD patient care.Observers with 10-20 years of experience with IBD patient care were significantly better at scoring upper gastrointestinal disease in CD than observers with less than 10 years(P = 0.007) and more than 20 years(P = 0.007) of experience with IBD patient care.CONCLUSION:We found a good to excellent interobserver agreement for all Montreal items except for disease severity in UC(poor).Lieke M Spekhorst Marijn C Visschedijk Rudi Alberts Eleonora A Festen Egbert-Jan van der Wouden Gerard Dijkstra Rinse K Weersma 2014World Journal of Gastroenterology2014,20,41:4
2Predicting(side) effects for patients with inflammatory bowel disease: The promise of pharmacogenetics显示文摘Inflammatory bowel disease (IBD) is a chronic and heterogeneous intestinal inflammatory disorder. The medical management of IBD aims for long-lasting disease remission to prevent complications and disease progression. Early introduction of immunosuppression forms the mainstay of medical IBD management. Large inter-individual variability in drug responses, in terms of both efficacy and toxicity, leads to high rates of therapeutic failure in the management of IBD. Better patient stratification is needed to maximize patient benefit and minimize the harm caused by adverse events. Pre-treatment pharmacogenetic testing has the potential to optimize drug selection and dose, and to minimize harm caused by adverse drug reactions. In addition, optimizing the use of cheap conventional drugs, and avoiding expensive ineffective drugs, will lead to a significant reduction in costs. Genetic variation in both TPMT and NUDT15, genes involved in thiopurine metabolism, is associated to an increased risk of thiopurine-induced myelosuppression. Moreover, specific HLA haplotypes confer risk to thiopurine-induced pancreatitis and to immunogenicity to tumor necrosis factor-antagonists, respectively. Falling costs and increased availability of genetic tests allow for the incorporation of pre-treatment genetic tests into clinical IBD management guidelines. In this paper, we review clinically useful pharmacogenetic associations for individualized treatment of patients with IBD and discuss the path from identification of a predictive pharmacogenetic marker to implementation into IBD clinical care.Michiel Dirk Voskuil Amber Bangma Rinse Karel Weersma Eleonora Anna Margaretha Festen 2019World Journal of Gastroenterology2019,25,21:2
3Treatment of grade III and IV haemorrhoidal disease with PPH or THD. A randomized trial on postoperative complications and short-term results显示文摘Sebastiaan Festen M. J. Hoogstraten A. A. W. Geloven M. F. Gerhards 2009International Journal of Colorectal Disease2009,,12:2
4How will insights from genetics translate to clinical practice in inflammatory bowel disease?显示文摘E.A.M. Festen R.K. Weersma 2014Best Practice & Research Clinical Gastroenterology2014,,3:2
5显示文摘Bootsma GP Dekhuijzen PN Festen J 1997Neth J Med1997,50,6:1
6Treatment of fistulas in ano with fibrin glue显示文摘Gisbertz SS Sosef MN Festen S 2005Dig Surg2005,22,:1
7The prevalence of Helicobact er pylori in peptic ulcer disease显示文摘Kuipers E J Thijs J C Festen H P 1995Aliment Pharmacol Ther1995,9,:1
8Decline in older per- sons' ability to recognize speech in noise: the influence of de- mographic, health- related, environmental, and cognitive factors显示文摘Pronk M Deeg D Festen JM 2013Ear Hear2013,34,:1
9High prevalence of central adrenal insufficiency in patients with Prader- Willi syndrome 显示文摘de Lind van Wijngaarden RF Otten B J Festen DA 2008J Clin Endoerinol Metab2008,93,5:1
10CB&I Lummus and partners to turn LNG FPSO concept into a reality显示文摘Leo Festen Jos Leo Ron Vis 2009LNG journal2009,,9:1
11Bronchial vagal tone and responsiveness to histamine,exercise and bronchodilators in adult patients with cystic fibrosis显示文摘Van Haren EHJ Lammers J-WJ Festen J 1992Eur Respir J1992,5,9:1
12Fractures of the lateral hu- meral condyle in children: late results 显示文摘van Vugt AB Severijnen RV Festen C 1988Arch Orthop Trauma Surg1988,107,:1
13Adiponectin levels in prepubertal children with Prader-Willi syndrome before and during growth hormone therapy显示文摘Festen DA van Toorenenbergen A Duivenvoorden H J 2007J Clin Endocrinol Metab2007,92,4:1
14Genetic analysis of in- nate immunity in Crohn's disease and ulcerative colitis identifies two susceptibility loci harboring CARD9 and IL18RAP 显示文摘Zhemakova A Festen E M Franke L 2008American Human Genetics2008,82,5:1
15Effect of short and long-term treatment with omeprazole on the absorption and serum levels of cobalamin显示文摘Schenk BE Festen HPM Kuipem EJ 0,,:1
16Efficacy of famotidine 20 mg twice a day versus 40 mg twice a day in the treatment of erosive or ulcerative reflux esophagitis显示文摘WESDORP IC DEKKER W FESTEN HP 1993Dig Dis Sci1993,38,12:1
17A meta-analysis of ge- nome-wide association scans identifies IL18R'AP, PTPN2, TAGAP, and PUS10 as shared risk loci for Crohn's disease and celiac disease 显示文摘Festen E A M Goyette P Green T 2011PLoS Genetics2011,7,10:1
18Perianal abscess and fistula in ano in infants显示文摘Festen C Harten H 1998J Pediatr Surg1998,33,:1
19Perianal abscess and fistula-in-ano in infants显示文摘Festen C van Harten H 1998J Pediatr Surg1998,,33:1
20Evaluationof a wide range of amplitude-frequency responses for the heating irrlpaired显示文摘Van Buuren RA Festen JM Plomp R 1995J Speech Hear Res1995,38,:1
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