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| 1 | Efficacy of thioguanine treatment in inflammatory bowel disease: A systematic review显示文摘AIM To critically assess the available literature regarding the efficacy of thioguanine treatment in inflammatory bowel disease(IBD) patients, irrespective of the(hepato-) toxicity profile.METHODS A systematic literature search of the MEDLINE database using Pub Med was performed using the keywords 'thioguanine', '6-TG', 'thioguanine', 'inflammatory bowel disease', 'IBD', 'Crohn's disease', 'Ulcerative colitis' and 'effectiveness' in order to identify relevant articles published in English starting from 2000. Reference lists of the included articles were crosschecked for missing articles. Reviewed manuscripts concerning the effectiveness of thioguanine treatment in IBD were reviewed by the authors and the data were extracted. Data were subsequently analyzed with descriptive statistics. Due to the lack of standardized outcomes, a formal meta-analysis was not performed.RESULTS A total of 11 applicable studies were found that involved the effectiveness of thioguanine therapy in IBD. Eight studies were conducted in a prospectivemanner, in the remaining three studies, data was collected retrospectively. In total, 353 IBD-patients(225 patients with Crohn's disease, 119 with ulcerative colitis and nine with unclassified IBD) with prior azathioprine/mercaptopurine resistance and/or intolerance(n = 321) or de novo thioguanine administration(n = 32) were included for analysis, of which 228(65%) had clinical improvement on thioguanine therapy, based on standard IBD questionnaires, biochemical parameters or global physician assessments. Short-term results were based on 268 treatment years(median follow-up 9 mo, range 3-22 mo) with a median daily dose of 20 mg(range 10-80 mg). Discontinuation, mostly due to adverse events, was reported in 72 patients(20%). CONCLUSION The efficacy of thioguanine therapy in IBD patients intolerant to conventional thiopurine therapy is observed in 65%, with short term adverse events in 20% of patients. | Berrie Meijer Chris JJ Mulder Godefridus J Peters Adriaan A van Bodegraven Nanne KH de Boer | 2016 | World Journal of Gastroenterology2016,22,40: | 5 |
| 2 | On tolerability and safety of a maintenance treatment with 6-thioguanine in azathioprineor 6-mercaptopurine intolerant IBD patients显示文摘AIM: To determine the tolerability and safety profile of a low-dose maintenance therapy with 6-TG in azathioprine (AZA) or 6-mercaptopurine (6-MP) intolerant inflammatory bowel disease (IBD) patients over a treatment period of at least 1 year.METHODS: Database analysis.RESULTS: Twenty out of ninety-five (21%) patients discontinued 6-TG (mean dose 24.6 mg; mean 6-TGN level 540 pmol/8×108 RBC) within 1 year. Reasons for discontinuation were GI complaints (31%), malaise (15%)and hepatotoxicity (15%). Hematological events occurred in three patients, one discontinued treatment. In the 6-TG-tolerant group, 9% (7/75) could be classified as hepatotoxicity. An abdominal ultrasound was performed in 54% of patients, one patient had splenomegaly.CONCLUSION: The majority of AZA or 6-MP-intolerant IBD patients (79%) is able to tolerate maintenance treatment with 6-TG (dosages between 0.3 and 0.4 mg/kg per d). 6-TG may still be considered as an escape maintenance immunosuppressant in this difficult to treat group of patients, taking into account potential toxicity and efficacy of other alternatives. The recently reported hepatotoxicity is worrisome and 6-TG should therefore be administered only in prospective trials. | Nanne KH de Boer Luc JJ Derijks Lennard PL Gilissen Daniel W Hommes Leopold GJB Engels Sybrand Y de Boer Gijsbertus den Hartog Piet M Hooymans Anja BU M(?)kelburg Barend D Westerveld Anton HJ Naber Chris JJ Mulder Dirk J de Jong | 2005 | World Journal of Gastroenterology2005,11,35: | 4 |
| 3 | Chromium does not belong in the diabetes treatment arsenal: Current evidence and future perspectives显示文摘Chromium is considered to have positive effects on insulin sensitivity and is marketed as an adjunctive therapy for inducing glucose tolerance in cases of insulin resistance('the glucose tolerance factor'). Case reports on patients who received prolonged parenteral nutrition indeed showed that the absence of trivalent chromium caused insulin resistance and diabetes. However, whether patients with type 2 diabetes can develop a clinically relevant chromium deficiency is unclear. This review summarizes the available evidence regarding the potential effectiveness of chromium supplementation on glycemic control(Hemoglobin A1c levels) in patients with type 2 diabetes. No studies investigating the longterm safety of chromium in humans were found. All clinical trials that have been performed had a relative short follow-up period. None of the trials investigated whether the patients had risk factors for chromium deficiency.The evidence from randomized trials in patients with type 2 diabetes demonstrated that chromium supplementation does not effectively improve glycemic control. The meta-analyses showed that chromium supplementation did not improve fasting plasma glucose levels. Moreover, there were no clinically relevant chromium effects on body weight in individuals with or without diabetes. Future studies should focus on reliable methods to estimate chromium status to identify patients at risk for pathological alterations in their metabolism associated with chromium deficiency. Given the present data, there is no evidence that supports advising patients with type 2 diabetes to take chromium supplements. | Gijs WD Landman Henk JG Bilo Sebastiaan T Houweling Nanne Kleefstra | 2014 | World Journal of Diabetes2014,5,2: | 3 |
| 4 | Patient specific guides for total knee arthroplasty are ready for primetime显示文摘AIM: To present the radiological results of total knee arthroplasty(TKA) with use of patient specific matched guides(PSG) from different manufacturer in patients suffering from severe osteoarthritis of the knee joint.METHODS: This study describes the results of 57 knees operated with 4 different PSG systems and a group operated with conventional instrumentation(n = 60) by a single surgeon. The PSG systems were compared with each other and subdivided into cut- and pin PSG. The biomechanical axis [hip-knee-ankle angle(HKA)], varus/valgus of the femur [frontal femoral component(FFC)] and tibia(frontal tibial component) component, flexion/extension of the femur [flexion/extension of the femur component(LFC)] and posterior slope of the tibia [lateral tibial component(LTC)] component were evaluated on long-leg standing and lateral X-rays. A percentage of > 3° deviation was seen as an outlier. RESULTS: The inter class correlation coefficient(ICC) revealed that radiographic measurements between both assessors were reliable(ICC > 0.8). Fisher exact test was used to test differences of proportions. The percentage of outliers of the HKA-axis was comparable between both the PSG and conventional groups(12.28% vs 18.33%, P < 0.424) and the cut- and pin PSG groups(14.3% vs 10.3%, P < 1.00). The percentage of outliers of the FFC(0% vs 18.33%, P < 0.000), LFC(15.78% vs 58.33%, P < 0.000) and LTC(15.78% vs 41.67%, P < 0.033) were significant different in favour of the PSGgroup. There were no significant differences regarding the outliers between the individual PSG systems and the PSG group subdivided into cut- and pin PSG.CONCLUSION: PSG for TKA show significant less outliers compared to the conventional technique. These single surgeon results suggest that PSG are ready for primetime. | Martijn GM Schotanus Bert Boonen Nanne P Kort | 2016 | World Journal of Orthopedics2016,7,1: | 3 |
| 5 | Device-guided breathing exercises for the treatment of hypertension: An overview显示文摘The American Heart Association considers device-guided breathing as a reasonable treatment modality in their statement on non-pharmacological options for lowering blood pressure. This review discusses all randomized controlled trials that have investigated the effects of device-guided breathing on blood pressure in patients with hypertension. Thirteen studies were included in this review. In total, 627 patients were in-cluded, of which 365 patients were allocated to device-guided breathing. Only 6 studies used acceptable control groups: listening to music, meditative relaxa-tion exercises, or a sham-device. Two sponsored trials showed beneficial effects of device-guided breathing, both used listening to music as a control group. The remaining 4 studies, which had no employees of the manufacturer listed as co-author, observed no benefi-cial effects on blood pressure. There is only 1 study that used a sham device as a control group. All other studies were to some extend methodologically flawed. Based on the studies with an acceptable methodologi-cal quality, there is no clear evidence supporting a short-term beneficial effect on blood pressure by using device-guided breathing. | Kornelis JJ van Hateren Gijs WD Landman Susan JJ Logtenberg Henk JG Bilo Nanne Kleefstra | 2014 | World Journal of Cardiology2014,6,5: | 2 |
| 6 | Global approach to controlling HIV-associated tuberculosis显示文摘 | Nann P | 2005 | Probl Tuberk Bolezn Legk2005,3,: | 1 |
| 7 | Adverse life events among community-dwelling persons ased 65-70 years: gender differences in occurrence and perceived peyeholosical conse- quences显示文摘 | Seematter-Bagnoud L Karmanioh A Santos-Ef nann B | 2010 | Soc Psychiatry Psychiar Epidemiol2010,45,1: | 1 |
| 8 | The Oxford phase III unicompartmental knee replacement in patients less than 60?years of age显示文摘 | Nanne P. Kort Jos J. A. M. Raay Jim J. Horn | 2007 | Knee Surgery Sports Traumatology Arthroscopy2007,,4: | 1 |
| 9 | Monodisperse upconverting nanocrystals by microwave-assisted synthesis 显示文摘 | Wang H Q Nann T | | ACS Nano0,3,11: | 1 |
| 10 | Monodisperse upconverting nanocrystals by microwave-assisted synthesis 显示文摘 | Haiqiao Wang Thomas Nann | 2009 | ACS Nano2009,3,11: | 1 |
| 11 | Simvastatin preserves diastolic function in experimental hypercholesterolemia independently of its lipid lowering effect 显示文摘 | Mannheim D Hem'nann J Bonetti PO | 2011 | Atherosclerosis2011,216,2: | 1 |
| 12 | Ploidy of broccoli regenerated from microspore culture versus anther culture显示文摘 | Wang M Farnham M W Nannes J S P | 1999 | Plant Breeding1999,118,3: | 1 |
| 13 | 6-Thioguanine-related hepatotoxicity in patients with inflammatory bowel disease: Dose or level dependent?显示文摘 | Luc J.J. Derijks Lennard P.L. Gilissen Nanne K.H. de Boer Chris J.J. Mulder | 2006 | Journal of Hepatology2006,,: | 1 |
| 14 | Ploidy of broccoli regenerated from microspore culture versus anther culture 显示文摘 | WANG M FARNHAM M W NANNES J S P | 1999 | Plant Breeding1999,118,: | 1 |
| 15 | Global approach to controlling HIV-associated tuberculosis显示文摘 | Nann P | 2005 | Probl Tuberk Bolezn Legk2005,3,: | 1 |
| 16 | A method for determining concentrations of retinol, tocopherol, and five carotenoids in human plasma and tissue samples 显示文摘 | DW Nierenberg SL Nann | 1992 | American Journal of Clinical Nutrition1992,56,: | 1 |
| 17 | Nobel metal abundances in Komatiite suites from Alexo, Ontario and Gorgona Island, Colombia显示文摘 | Briigmann G E Arndt N T Hofi'nann A W | 1987 | Geochimica et Cosmochimica Acta1987,51,: | 1 |
| 18 | Application of luminescent nanocrystals as labels for biological molecules显示文摘 | Riegler J Nann T | 2004 | Anal Bioanal Chem2004,379,: | 1 |
| 19 | pH homeostasis in lactic acid bacteria显示文摘 | Hutkins R W Nanne N L | 1993 | Journal of Dairy Science1993,,8: | 1 |
| 20 | Fiber-optic sensors for concrete strain/stress measurement显示文摘 | Nann A Yang C C Pan K | 1991 | ACI materials Journal1991,88,3: | 1 |