Publications by authors named "Teglas J"

Background/objectives: In paediatric liver transplantation, donor-recipient compatibility depends on graft size. We explored whether the graft weight can be predicted using the donor's biometric parameters.

Methods: We used seven easily available biometric variables in 142 anonymised paediatric and adult donors, with data collected between 2016 and 2022.

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Purpose: The purpose of this retrospective study was to determine the prevalence of artifacts on whole-body (WB) magnetic resonance imaging (MRI) examination in pediatric patients and identify their causes.

Materials And Methods: A total of 107 pediatric patients who underwent a total of 107 WB-MRI examinations, including short-tau inversion recovery (STIR) and T1-weighted sequences, were included. There were 62 girls and 45 boys with a mean age of 11 ± 3 (SD) years (age range: 2-16 years).

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Background: Beyond sex, age, and various comorbidities, geographical origin and socioeconomic deprivation are associated with Coronavirus Disease (COVID-19) morbidity and mortality in the general population. We aimed to assess factors associated with severe forms of COVID-19 after a hospital emergency department visit, focusing on socioeconomic factors.

Methods: Patients with laboratory-confirmed COVID-19 attending the emergency department of Béclère Hospital (France) in March-April 2020 were included.

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Introduction: Bronchiolitis is the leading cause of hospitalization for infants but its economic burden is not well documented. Our objective was to describe the clinical evolution and to assess the 1-month cost of a first episode of acute bronchiolitis presenting to the emergency department (ED).

Methods: Our study was an epidemiologic analysis and a cost study of the cohort drawn from the clinical trial GUERANDE, conducted in 24 French pediatric EDs.

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  • This study explored how various socioclinical, inflammatory, and metabolic factors are linked to weight gain in HIV patients on combination antiretroviral therapy (cART).
  • Researchers analyzed data from individuals who were normal weight at the start of cART and maintained virological suppression for 36 months, looking at factors like BMI, inflammation markers, and socioeconomic status.
  • They found that 20% of participants became overweight or obese after 36 months, with factors such as higher initial BMI, being from sub-Saharan Africa, and certain inflammatory markers influencing this weight gain.
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Background: Abusive head trauma (AHT) warrants particular attention in terms of prevention. One of the key questions asked is how often AHT occurs in infant day care centers compared with private parental or nonparental homes. To investigate this, we studied the caretaking arrangement and child's location at the time of injury in a cohort of cases involving AHT from the courts.

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Background And Aims: Data on outcome of critically ill children with cirrhosis are scarce. We aimed to evaluate the prognostic accuracy of sequential organs scoring systems in children with cirrhosis admitted to Paediatric Intensive Care Units (PICU).

Methods: We performed a multicentre retrospective analysis of children with cirrhosis admitted into four European PICUs between 2011 and 2016.

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Objective: To use legal statements by perpetrators to gain new insights into the causative mechanism of classic metaphyseal lesion (CML). The CML, so called "corner fracture," is considered a highly specific marker for abuse in infants. However, the precise correlation between CMLs and abusive head trauma is still unknown.

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  • The study investigates the genetic causes behind growth hormone-secreting pituitary tumors, specifically looking at those without the GNAS mutation.
  • Researchers conducted genetic profiling on tumors from patients with acromegaly and sporadic gigantism, finding two main groups based on the extent of genetic alterations.
  • Results showed significant genetic variability within and between tumors, suggesting these tumors may develop through different mechanisms than just GNAS mutations, indicating a complex relationship with genomic instability.
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Aim: To assess the diagnostic performance of conventional ultrasound (US) and contrast-enhanced ultrasonography (CEUS) in the differential diagnosis of non-palpable intratesticular tumours.

Materials And Methods: The local ethics review board approved the protocol, and all of the patients provided written informed consent. Between December 2011 and February 2014, men with non-palpable testicular tumours and normal tumour markers who were referred for surgery were included.

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Purpose To evaluate the validity and reproducibility of magnetic resonance (MR) imaging-based ovarian morphologic measurements for diagnosis of polycystic ovary syndrome (PCOS) in adolescents. Materials and Methods This case-control study included 110 adolescent girls (age range, 13-17 years) who underwent pelvic MR imaging in 2006-2015. The case group included girls with high (n = 40, hyperandrogenism and oligomenorrhea or amenorrhea), intermediate (n = 8, hyperandrogenism), or low (n = 7, oligomenorrhea or amenorrhea) suspicion of PCOS.

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  • Acute bronchiolitis is a major reason for hospitalizations in infants, and previous research suggested limited effectiveness of nebulized hypertonic saline (HS) treatment in emergency settings.
  • The GUERANDE study was a large, multicenter clinical trial that aimed to determine if nebulized HS could reduce hospital admissions for infants experiencing their first acute bronchiolitis episode.
  • Results showed no significant difference in hospital admission rates between the HS group (48.1% admitted) and the normal saline (NS) group (52.2% admitted), although the HS group did show greater improvement in respiratory distress symptom scores.
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Objective: Although vein of Galen aneurysmal malformations (VGAM) can be diagnosed in the fetus, the challenge is predicting the occurrence of its 2 major complications: cardiopulmonary failure and encephalomalacia. This study attempts to determine which fetal brain magnetic resonance imaging (MRI) features might be used to predict the development of these complications at birth.

Methods: The cohort was extracted from a prospectively assembled database of VGAM cases managed at a single referral center from 2000 to 2014.

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Background: In 2013, the French Health Authority approved the use of HIV self-tests in pharmacies for the general public. This screening tool will allow an increase in the number of screenings and a reduction in the delay between infection and diagnosis, thus reducing the risk of further infections. We previously compared 5 HIV-self test candidates (4 oral fluid and one whole blood) and demonstrated that the whole blood HIV test exhibited the optimal level of performance (sensitivity/specificity).

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Introduction: White matter (WM) analysis in neonatal brain magnetic resonance imaging (MRI) is challenging, as demonstrated by the issue of diffuse excessive high signal intensity (DEHSI). We evaluated the reliability of the radiologist's eye in this context.

Methods: Three experienced observers graded the WM signal intensity on axial T2-weighted 1.

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  • Some pregnant women who start treatment for HIV don’t get their virus levels low enough before giving birth.
  • The study looked at how pregnancy affects the immune response to the treatment in women starting it during or outside of pregnancy.
  • Results showed that pregnancy doesn't change how well the treatment works; however, many pregnant women didn’t get their virus levels low enough because they hadn’t been on treatment long enough.
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Background: The association between combination antiretroviral (cARV) therapy use by human immunodeficiency virus (HIV)-infected women during pregnancy and risk of prematurity is still controversial. We explored this question, focusing on the initiation of ritonavir-boosted protease inhibitors (PIs) during pregnancy, which is now standard care.

Methods: Trends in prematurity (<37 gestational weeks) were studied among all singleton pregnancies in the Agence Nationale de Recherche sur le SIDA (ANRS) French Perinatal Cohort from 1990 through 2009 (n = 13 271).

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Our objective was to study relations between non-disclosure of HIV to partner, socio demographics and prevention of HIV mother-to-child transmission (PMTCT), among HIV-infected pregnant women enrolled in the French Perinatal Cohort (ANRS-EPF-CO1) from 2005 to 2009 (N = 2,952). Fifteen percent of the women did not disclose their HIV status to their partner. Non-disclosure was more frequent in women diagnosed with HIV infection late in pregnancy, originating from Sub-Saharan Africa or living alone, as well as when the partner was not tested for HIV.

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Background: The use of HAART during pregnancy is now standard care to prevent mother-to-child HIV transmission in developed countries. There is controversy about its impact on low birth weight.

Objective: To evaluate the impact of antiretroviral therapy during the pregnancy on birth weight, length and head circumference.

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Objective: : To investigate whether mother-to-child transmission (MTCT) management and rate differed between African immigrants and French-born women delivering in France.

Methods: : MTCT strategies were studied among human immunodeficiency virus type 1-infected women delivering between 1984 and 2007 in the multicenter French Perinatal Cohort, according to geographical origin.

Results: : Among 9245 pregnancies (in 7090 women), the proportion of African mothers increased from 12% in 1984-1986 to 64% in 2003-2004.

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Article Synopsis
  • The study looked at how HIV can be passed from mother to child and what factors help prevent it.
  • It involved 5,271 mothers who received special medicine during pregnancy and didn’t breastfeed.
  • The findings showed that keeping the mother’s HIV levels very low is super important, and giving the medicine early can help reduce the risk of passing the virus to the baby.
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Background: Pediatric experience with atazanavir combined with antiretroviral drugs administered once daily is very limited.

Objective: The objective of this prospective, single-center observation study was to evaluate efficacy and tolerance of once-a-day ritonavir-boosted atazanavir, including treatment.

Results: Antiretroviral treatment of 23 children and adolescents with a median age of 16 years (range, 10-19 years) was changed to a single daily dose of a combination of ritonavir-boosted atazanavir and 2 other nucleoside or nonnucleoside analogs.

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Article Synopsis
  • * Lopinavir's behavior in the body was modeled as a one-compartment system, with average volume of distribution at 24.6 liters and plasma clearance at 2.58 liters/h, both of which are influenced by body weight.
  • * Findings indicated that the clearance of lopinavir is also affected by age and sex, particularly showing a 39% increase in boys after age 12, leading to recommendations for further review of dosage guidelines.
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