Publications by authors named "Genet B"

Background: Hip fracture is common and associated with high morbidity and mortality rates. Selective serotonin reuptake inhibitors (SSRIs) influence platelet hemostasis and might result in abnormal bleeding. This study aims to determine whether the use of SSRIs in older patients undergoing hip fracture surgery is associated with the risk of perioperative red blood cell (RBC) transfusion.

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  • The study evaluated a new prehabilitation program for older adults scheduled for hip or knee replacement due to arthritis, focusing on its feasibility and participant satisfaction.
  • Participants were adults aged 75 and older, receiving both hospital and home support that included nutritional, psychological, and physical health components.
  • Results showed high participant engagement (89% completed the program), significant satisfaction ratings (60% rated it as "excellent" before surgery, increasing to 100% after), and a willingness to recommend it to others.
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Background: Few data are available on the long-term mortality and functional status of geriatric patients surviving after hospitalization for COVID-19. We compared the mortality and functional status 18 months after hospitalization for geriatric patients who were hospitalized for COVID-19 or another diagnosis.

Methods: This was a multicentric cohort study in Paris from January to June 2021.

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  • Lewy body dementia (LBD) is the second most common neurodegenerative disorder after Alzheimer's disease (AD) and this study focuses on comparing decline in functionality between LBD and AD patients over 18 months.
  • The research involved 37 AD and 36 LBD patients aged over 70, all with a minimum MMSE score of 20, and found that LBD patients experienced a significant decline in Activities of Daily Living (ADL) compared to AD patients.
  • Specifically, LBD patients showed a more rapid decrease in autonomy regarding personal care tasks such as bathing and dressing, highlighting a faster decline in their functional ability than that seen in AD patients.
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  • Cardiac amyloidosis (CA) is often underdiagnosed and linked to a worse prognosis compared to other heart failure causes, prompting a study to assess death and hospital readmission rates in such patients within 90 days post-discharge.
  • The study included 27 patients with cardiac amyloidosis and matched them with 135 control patients without CA, revealing that CA patients had higher heart rates and poorer metrics on discharge but worse outcomes after leaving the hospital.
  • Results indicated that patients with CA faced a three-fold increase in death risk and two-fold increase in hospital readmissions compared to those without CA, highlighting the need for better management of this patient group.
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Objectives: Currently, two classes of oral anticoagulants are available in nursing home residents: vitamin K antagonists (VKA) and direct oral anticoagulants (DOAC). DOACs have a higher net clinical benefit than VKAs but DOACs are about 10 times more expensive than VKAs. The objective of our study was to assess and compare the overall costs of anti-coagulant strategy (VKA or DOAC), i.

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  • - The study aims to identify modifiable factors linked to post-operative atrial fibrillation (POAF) in older patients (70+ years) undergoing hip fracture surgery, as limited data exists on this topic outside of cardiothoracic surgery.
  • - Conducted as a nested case-control study in Paris, it involved 757 patients, with a matched analysis revealing an 8.5% incidence of POAF, predominantly affecting older, mostly female patients with significant comorbidities.
  • - Key modifiable factors contributing to POAF included delays in surgery beyond 48 hours and the need for more than 2 units of packed red blood cells, emphasizing the importance of timely and effective perioperative care.
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Background: Increasing brain exposure of biotherapeutics is key to success in central nervous system disease drug discovery. Accessing the brain parenchyma is especially difficult for large polar molecules such as biotherapeutics and antibodies because of the blood-brain barrier. We investigated a new immunization strategy to identify novel receptors mediating transcytosis across the blood-brain barrier.

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Multispecific antibodies, which target multiple antigens at once, are emerging as promising therapeutic entities to offer more effective treatment than conventional monoclonal antibodies (mAbs). However, these highly complex mAb formats pose significant analytical challenges. We report here on the characterization of a trispecific antibody (tsAb), which presents two isomeric forms clearly separated and identified with size exclusion chromatography coupled to native mass spectrometry (SEC-nMS).

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  • - The study aimed to assess intravascular volume status in patients over 75 years old with acute heart failure to reduce readmission rates by looking at various congestion evaluation methods.
  • - Researchers examined correlations between clinical signs of congestion, ultrasound measurement of inferior vena cava (IVC) diameter, NT-proBNP levels, and estimated plasma volume during treatment in 50 patients.
  • - Results showed strong correlations between IVC measurements and clinical signs of congestion, suggesting that using both assessments can help prevent renal failure related to fluid depletion in these patients.
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Glucose and sodium tubular reabsorption inhibitors, or gliflozins, are a new therapeutic class. Their novel mechanism of action involves inhibition of a glucose and Na+ reabsorption co-transporter in the renal proximal tubule. They reduce blood glucose levels by reducing renal glucose reabsorption.

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  • The study investigates the relationship between medication administered during the perioperative care of older patients (70+) who underwent hip fracture surgery and the incidence of postoperative delirium.
  • Conducted in a Paris academic hospital, it included 490 patients, with a notable 44% experiencing delirium post-surgery.
  • Key findings revealed that factors like advanced age, dementia, depression, and preoperative beta-blocker use were more strongly linked to delirium than the medications used during care.
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KRAS genes belong to the most frequently mutated family of oncogenes in cancer. The G12C mutation, found in a third of lung, half of colorectal and pancreatic cancer cases, is believed to be responsible for a substantial number of cancer deaths. For 30 years, KRAS has been the subject of extensive drug-targeting efforts aimed at targeting KRAS protein itself, but also its post-translational modifications, membrane localization, protein-protein interactions and downstream signalling pathways.

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Glucose and sodium tubular reabsorption inhibitors, or gliflozins, are a new therapeutic class. Their novel mechanism of action involves inhibition of a glucose and Na+ reabsorption co-transporter in the renal proximal tubule. They reduce blood glucose levels by reducing renal glucose reabsorption.

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Antibody-drug conjugates (ADCs) represent an important class of new biopharmaceutical modalities. ADCs are highly complex and heterogeneous molecules, potentially containing numerous product-related structures, that can contribute to the quality, efficacy and safety of the product. To keep up with product life cycle related changes, wide-range and targeted characterization of product quality attributes (PQA) are of high demand.

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Objective: The role of treatment with renin-angiotensin-aldosterone system blockers at the onset of COVID-19 infection is not known in the geriatric population. The aim of this study was to assess the relationship between angiotensin receptor blockers (ARBs) and angiotensin-converting enzyme inhibitor (ACEI) use and in-hospital mortality in geriatric patients hospitalized for COVID-19.

Design: This observational retrospective study was conducted in a French geriatric department.

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Levels of host cell proteins (HCPs) in purification intermediates and drug substances (DS) of monoclonal antibodies (mAbs) must be carefully monitored for the production of safe and efficacious biotherapeutics. During the development of mAb1, an immunoglobulin G1 product, unexpected results generated with HCP Enzyme-Linked Immunosorbent Assay (ELISA) kit triggered an investigation which led to the identification of a copurifying HCP called N-(4)-(β-acetylglucosaminyl)-l-asparaginase (AGA, EC3.5.

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The long-term impact of persistent pulmonary vascular obstruction after pulmonary embolism (PE) remains unknown. Based on ventilation-perfusion lung scan performed at discharge and 3 months after a first PE, we aimed to investigate the prognostic value on 5-year adverse events of (1) residual pulmonary vascular obstruction (RPVO) at discharge (DIS-RPVO), (2) RPVO at 3 months (3M-RPVO), and (3) relative change in RPVO between the 2 scans (RC-RPVO). We performed a prospective, multicenter cohort study from January 2007 to December 2009 including patients who survived at least 3 months after a PE.

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Introduction: Gemcitabine is a chemotherapeutic agent frequently used by for the treatment of several malignancies both in the adjuvant and metastatic setting. Although myelosuppression is the most adverse event of this therapy, gemcitabine might induce severe pulmonary toxicities. We describe a case of pulmonary veno-occlusive disease (PVOD) related to gemcitabine.

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Clofibrate is a peroxisome proliferator known to induce liver tumours in rats. A proteomics study was conducted to provide new insights into the molecular mechanisms of clofibrate-induced non-genotoxic hepatocarcinogenesis. Rats were treated with 250 mg/kg day clofibrate orally and sacrificed after 7 days.

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Few data on stress symptoms related to the World Trade Center disaster in law enforcement personnel have been reported. Most New York City Police Department (NYPD) officers had significant exposure to the events of Sept. 11, 2001.

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