648 results match your criteria: "Armand-Trousseau Hospital[Affiliation]"

Article Synopsis
  • Magnetic controlled growing rods (MCGRs) combined with a sacro-bi-iliac "T-construct" show promising results in correcting early onset neuromuscular scoliosis in non-walking patients, aiming to maintain pelvic balance over time.
  • A study involving 18 patients highlighted significant improvements in spinal curvature and pelvic tilt after surgery, with average corrections of 33.2° and 11°, respectively.
  • Despite a 35% complication rate (mostly mechanical), the study suggests that while some spinal correction was lost over time, pelvic stability was maintained, indicating a need for ongoing monitoring and possible interventions.
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Clinical correlates of lifetime and current comorbidity patterns in autoimmune and inflammatory diseases.

J Autoimmun

December 2024

Immunology, Immunopathology, Immunotherapy (i3), Sorbonne Université, INSERM, Paris, 75013, France; Biotherapy (CIC-BTi) and Inflammation, Immunopathology, Biotherapy Department (i2B), Pitié-Salpêtrière Hospital, Assistance Publique-Hôpitaux de Paris, Paris, 75013, France. Electronic address:

Background: Autoimmune and inflammatory diseases (AIDs) are a heterogeneous group of disorders with diverse etiopathogenic mechanisms. This study explores the potential utility of family history, together with present and past comorbidities, in identifying distinct etiopathogenic subgroups. This approach may facilitate more accurate diagnosis, prognosis and personalized therapy.

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Abstracts accepted for the 2021-2023 French Orthopaedic and Traumatology Society meetings: Proportion of women submitters.

Orthop Traumatol Surg Res

September 2024

University Institute for Spine Surgery, Armand Trousseau Hospital, Sorbonne Université, 26 avenue du Dr Netter, 75012 Paris, France.

Background: Women are underrepresented in orthopaedic and trauma surgery worldwide, with proportions of 4%-17% across countries and 9.1% in France. The annual meeting of the French Society for Orthopaedic and Trauma Surgery (SOFCOT) provides opportunities for quantifying the representation of women, which has not yet been accurately evaluated.

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Avoidable general anesthesia for nonobstetric surgery during pregnancy: A retrospective cohort pilot study (2011-2020).

Int J Obstet Anesth

September 2024

Department of Pediatric and Obstetrical Anesthesia and Critical Care, Hôpital Universitaire Necker Enfants Malades, 149, Rue de Sèvres, 75015, Paris, France; UPR 7323 "Pharmacologie et évaluation des thérapeutiques chez l'enfant et la femme enceinte", Université Paris Cité, 75006 Paris, France.

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Loss-of-Function Variants in CUL3 Cause a Syndromic Neurodevelopmental Disorder.

Ann Neurol

September 2024

Department of Medical Genetics, Center for Medical Genetics, School of Basic Medical Sciences, Peking University, Beijing, China.

Article Synopsis
  • - This study examines the link between rare variants in the cullin-3 ubiquitin ligase (CUL3) gene and neurodevelopmental disorders (NDDs), gathering data from multiple centers to explore genetic mutations and their clinical impacts.
  • - Researchers identified 37 individuals with CUL3 variants, most of which result in loss-of-function (LoF), leading to intellectual disabilities and possibly autistic traits; specific mechanisms affecting protein stability were also investigated.
  • - The findings enhance the understanding of NDDs associated with CUL3 mutations, suggesting that LoF variants are the main cause, which could help inform future diagnostics and treatment strategies.
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New set of indicators with consensus definition for anaesthesia-related severe morbidity: A scoping review followed by a Delphi study.

J Clin Anesth

December 2024

Univ Rennes, CHU Rennes, Inserm, COSS 12142, CIC 1414, Anaesthesia and Intensive Care Department, F-35000 Rennes, France.

Article Synopsis
  • - The study aimed to develop indicators for anaesthesia-related severe morbidity to improve the quality and safety of care, addressing limitations in previous research regarding definitions and applicability.
  • - A scoping review of 142 studies identified 68 outcomes, which were categorized into 34 indicators related to various health complications, followed by a consensus process with international experts.
  • - Ultimately, 26 key indicators with agreed-upon definitions were established, covering conditions like acute heart failure, respiratory issues, sepsis, and medication errors, providing a clearer framework for monitoring severe morbidity in anaesthesia.
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Induced membrane technique for malignant bone tumours of the humerus.

Int Orthop

November 2024

Department of Pediatric Orthopedic and Reconstructive Surgery, Sorbonne University, Armand Trousseau Hospital, APHP, Paris, 75571, France.

Purpose: The aim of this study was to report on mid- to long-term results following large humeral tumoral resection and reconstruction with the induced-membrane technique in skeletally immature patients suffering from primary malignant bone tumours.

Methods: A retrospective analysis identified all children who underwent the two stages of a humeral reconstruction using the induced-membrane technique for primary malignant humerus tumours between 2002 and 2020. Functional assessment was conducted by an independent observer using the Musculoskeletal Tumor Society (MSTS) scoring system for the upper limb.

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The pathogenic variants in the telomerase reverse transcriptase () gene have been identified in adults with idiopathic pulmonary fibrosis, while their connection to childhood diffuse lung disease has not yet been described. Within this study, we present a case of a five-month-old, previously healthy infant, with early-onset respiratory failure. The clinical suspicion of diffuse lung disease triggered by cytomegalovirus (CMV) pneumonitis was based on clinical and radiological presentation.

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Misdiagnosis of Hodgkin disease as histiocytosis is associated with adverse consequences.

J Hematop

December 2024

Internal Medicine Department 2, French National Referral Center for Rare Systemic Diseases and Histiocytoses, Sorbonne University, APHP, Pitié-Salpêtrière Hospital, Boulevard de L'hôpital, 75014, Paris, France.

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Pregnancy-specific anxiety (PSA) has been differentiated from general anxiety (GA) to better account for the heterogeneity of prenatal anxiety and possible measurement bias. A longitudinal study was conducted to determine the evolution of maternal anxiety symptoms during pregnancy, distinguishing PSA and GA, and the influence of maternal attachment A sample of 155 women (mean age 32.5, SD 3.

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Over the last decades, magnetic resonance imaging (MRI) has emerged as a valuable adjunct to prenatal ultrasound for evaluating fetal malformations. Several radiological societies advocate for standardised and structured reporting practices to enhance the uniformity of imaging language. Compared to narrative formats, standardised and structured reports offer enhanced content quality, minimise reader variability, have the potential to save reporting time, and streamline the communication between specialists by employing a shared lexicon.

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The purpose of this study was to evaluate potential osteoarthritic alterations within the ankle using a surgically-induced chronic lateral ankle instability (CLAI) model. Twelve rats were assigned randomly to either the control ( = 4) or CLAI group ( = 8). Surgery was performed on the right ankle.

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Introduction: Ewing sarcoma (ES), is a rare cancer affecting children, adolescents and adults. After VIDE (vincristine-ifosfamide-doxorobucin-etoposide) induction chemotherapy, Busulfan-Melphalan (BuMel) high-dose chemotherapy followed by autologous hematopoietic stem cells transplantation improved outcomes in unfavourable localized ES, but with more toxicities than conventional chemotherapy (VAI: Vincristine-dactinomycin-Ifosfamide). We evaluated whether the risk of acute toxicity associated with BuMel compared to VAI varied according to age in patients recruited in the R2Loc and R2Pulm randomised trials of the Euro-E.

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Introduction: Neuromuscular scoliosis (NMS) is associated with an abnormal muscle tone. Traditional conservative treatments, with the historical practice of early posterior fusion, have proven ineffective. Recently, growth-sparing techniques have gained traction owing to their ability to maximize trunk height.

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A large proportion of prescriptions for extensively hydrolyzed cow's milk protein (CMP) in newborns are not based on any scientific data justifying the indication. Many of these prescriptions are old habits or are based on incomplete data. The aim of this article is to analyze these practices and propose recommendations.

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Epidemiology of childhood interstitial lung disease in France: the RespiRare cohort.

Thorax

August 2024

Paediatric Pulmonology Department and Reference Center for Rare Lung Diseases, RespiRare, Sorbonne University, AP-HP, Armand Trousseau Hospital, Paris, France

Article Synopsis
  • A study examined the prevalence and incidence of interstitial lung disease in children (chILD) in France, finding it affects 44 children per million in 2022 and has an incidence of 4.4 per million.
  • The research included data from 790 patients across 42 centers, noting that the median age for diagnosis was 3 months, with a significant portion having familial forms.
  • Management typically involved oxygen therapy and corticosteroids, with survival rates being 57.3% for children diagnosed before 2 years and 86% for those diagnosed between 2 and 18 years; the study highlights the need for improved international data collection and standardized practices.
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While objective clinical structured examination (OSCE) is a worldwide recognized and effective method to assess clinical skills of undergraduate medical students, the latest Ottawa conference on the assessment of competences raised vigorous debates regarding the future and innovations of OSCE. This study aimed to provide a comprehensive view of the global research activity on OSCE over the past decades and to identify clues for its improvement. We performed a bibliometric and scientometric analysis of OSCE papers published until March 2024.

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Congenital nail abnormalities.

Hand Surg Rehabil

April 2024

Department of Pediatric Orthopedics, Armand Trousseau Hospital - Sorbonne University, 26 Avenue du Dr Arnold Netter, 75012 Paris, France. Electronic address:

Article Synopsis
  • Most cases resolve naturally with growth and don’t need treatment, so doctors should reassure parents instead.
  • Common conditions include syndactyly and thumb duplication, with treatment mostly involving surgery; however, nail problems can also indicate systemic diseases, warranting careful evaluation.
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Article Synopsis
  • The study refines the prediction of outcomes in T-cell acute lymphoblastic leukemia (T-ALL) using next-generation sequencing (NGS) to identify genetic mutations associated with risk levels.
  • A classifier developed through whole-exome sequencing categorized patients into low-risk and high-risk groups based on specific mutations, revealing significant differences in their 5-year cumulative incidence of relapse (CIR).
  • Integrating this genetic stratification with clinical factors like white blood cell counts and minimal residual disease enhances prognosis and identifies potential patients for targeted therapies.
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ERS statement on transition of care in childhood interstitial lung diseases.

Eur Respir J

August 2024

National Heart and Lung Institute, Imperial College, Royal Brompton and Harefield NHS Foundation Trust, London, UK.

Interstitial lung diseases (ILD) are a heterogeneous group of rare diffuse diseases affecting the lung parenchyma in children and adults. Childhood interstitial lung diseases (chILD) are often diagnosed at very young age, affect the developing lung, and can have different presentations and prognosis compared to adult forms of these diseases. In addition, chILD in many cases may apparently remit, and have a better response to therapy and better prognosis than adult ILD.

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Article Synopsis
  • The study analyzed changes in the incidence and causes of maternal deaths due to obstetric hemorrhage in France from 2001 to 2015, focusing on the impact of national guidelines implemented in 2004 and updated in 2014.
  • Findings revealed a significant drop in the maternal mortality ratio (MMR) from 2.3 to 0.8 per 100,000 livebirths, with a notable decrease in deaths from uterine atony.
  • Despite improved clinical care, 88% of maternal deaths from hemorrhage were still considered preventable, highlighting areas needing further improvement in diagnosis and surgical management.
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Acute pain management after vaginal delivery with perineal tears or episiotomy.

Reg Anesth Pain Med

June 2024

Centre for Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, INRA, INSERM, Paris, Île-de-France, France

Article Synopsis
  • A systematic review was conducted to evaluate how to manage pain following vaginal deliveries that involve perineal trauma, as this area lacks comprehensive research.* -
  • The review analyzed 79 studies and found that acetaminophen and NSAIDs should be the first-line treatments, while ice packs are recommended for their ease of use.* -
  • Certain methods like local anesthetics and some types of suturing for perineal tears are not recommended due to insufficient evidence on their effectiveness.*
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