1,776 results match your criteria: "Bicetre hospital[Affiliation]"

Objective: To determine the prevalence of genetic and endocrine abnormalities and to assess fetal, neonatal and surgical outcomes in cases of hypospadias associated with fetal growth restriction.

Method: A multicentric retrospective study was conducted across five prenatal diagnosis centers in Paris. The cohort encompassed all fetuses diagnosed with the combination of fetal growth restriction < 10th percentile (FGR) and hypospadias from 2013 to 2021.

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French protocol for the diagnosis and management of giant cell arteritis.

Rev Med Interne

January 2025

Department of Internal Medicine and Clinical Immunology, Referral Centre for Rare Systemic Autoimmune and Autoinflammatory Diseases (MAIS), Dijon Bourgogne University Hospital, Dijon, France; Inserm, EFS BFC, UMR 1098, RIGHT Graft-Host-Tumour Interactions/Cellular and Genetic Engineering, Bourgogne Franche-Comté University, Dijon, France. Electronic address:

Article Synopsis
  • Giant cell arteritis (GCA) primarily affects women over 50, causing symptoms like headaches and jaw pain, and can lead to severe complications like vision loss due to eye involvement.
  • Diagnosis relies on advanced imaging techniques such as FDG-PET and CT scans, while the temporal artery biopsy is considered the gold standard.
  • Urgent treatment with high doses of corticosteroids is critical to prevent vision loss, and long-term management is necessary to monitor for recurrence and potential cardiovascular issues.
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Objective: To identify prenatal predictors of poor perinatal outcome in fetuses with isolated sacrococcygeal teratoma (SCT).

Methods: This was a retrospective study of fetuses with isolated (non-syndromic) SCT managed at one of five pediatric surgery and/or fetal medicine centers between January 2007 and December 2017. The primary outcome was the occurrence of poor perinatal outcome, defined as prenatal death (including termination), or neonatal death or severe compromise (hemorrhagic shock).

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Acute Reperfusion Therapies and Prognosis in Nonagenarian Stroke Patients.

Gerontology

December 2024

Department of Neurology, Bicêtre Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris Saclay University, Le Kremlin Bicêtre, France,

Article Synopsis
  • Thrombolysis and endovascular thrombectomy (EVT) are standard stroke treatments, and this study investigates their effectiveness specifically in nonagenarians (patients aged 90 and older), hypothesizing that their prognosis may be worse than that of younger patients.
  • The study analyzed outcomes of 96 nonagenarians treated with these therapies, finding that they had more pre-existing health conditions and lower independence before the stroke compared to patients aged 80-89.
  • Results indicated that while treatment timelines and successful reperfusion rates were similar, nonagenarians had significantly poorer functional recovery at 3 months (14.3% vs. 34.0%) and a much higher mortality rate (60.2% compared to 16
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Article Synopsis
  • * In the study, 20 volunteers ingested caffeine through different sources while their blood was collected via DBS to monitor pharmacokinetics and assess how genetics affect caffeine metabolism.
  • * Results showed feasibility in collecting pharmacokinetic data in-flight, revealing varying metabolism rates among participants, particularly influenced by gender and contraceptive use, with significant differences observed in caffeine absorption based on the consumed source.
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Transthyretin amyloidosis (ATTR) is a severe and rare disease characterized by the progressive deposition of misfolded transthyretin proteins, causing irreversible organ damage. Transthyretin amyloidosis can present as a hereditary ATTR or acquired wild-type ATTR form. Genetic testing is critical for determining a hereditary predisposition and subsequently initiating appropriate family screening.

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Prediction of Whole Liver Graft Weight Based on Biometric Variables in Paediatric and Adult Liver Donors.

Children (Basel)

October 2024

Department of Paediatric Surgery, Assistance Publique-Hôpitaux de Paris, Université Paris-Saclay, Bicêtre Hospital, 78 Rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France.

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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Introduction: HIV replication leads to a change in lymphocyte phenotypes that impairs immune protection against opportunistic infections. We examined current HIV replication as an independent risk factor for tuberculosis (TB).

Methods: We included people living with HIV from 25 European cohorts 1983-2015.

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Background: In kidney transplantation, molecular diagnostics may be a valuable approach to improve the precision of the diagnosis. Using next-generation sequencing (NGS), we aimed to identify clinically relevant archetypes.

Methods: We conducted an Illumina bulk RNA sequencing on 770 kidney biopsies (540 kidney recipients) collected between 2006 and 2021 from 11 European centers.

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Background: The choice of angiography system could influence the outcomes of mechanical thrombectomy (MT) in the treatment of acute ischemic stroke (AIS), but its impact is not yet well understood. This study aims to compare the clinical and technical outcomes of MT performed with single plane versus biplane angiography systems.

Method: We conducted a systematic review and meta-analysis, following PRISMA guidelines, by searching PubMed, Embase, Web of Science, and Scopus to include studies on patients with AIS who underwent MT with either single plane or biplane angiography up to May 4, 2024.

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Article Synopsis
  • The study investigates the presence of human papillomavirus (HPV) in the semen of men seeking infertility treatment at Amiens University Hospital from May to October 2021, involving 461 participants who provided informed consent.
  • Semen samples were analyzed for HPV using PCR, revealing that 22.3% of men carried HPV, with high-oncogenic-risk types being the most common (57.6%).
  • The analysis found significant associations between HPV carriage and factors like abnormal sperm quality, type of infertility, presence of varicocele, and certain testicular conditions, indicating that HPV may contribute to infertility risks.
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Article Synopsis
  • The study investigates whether the angiographic signs of a clot (clot meniscus and claw sign) affect the success of mechanical thrombectomy in patients with acute ischemic strokes.
  • After reviewing seven studies with 1572 patients, the research found that while these signs did not significantly impact recanalization rates, patients with positive signs had better functional outcomes.
  • Contact aspiration was linked to higher recanalization rates compared to stent retrievers among those with positive signs, but both techniques resulted in similar functional independence after three months.
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Background And Aims: We aimed to review current literature on the impact of Preoperative Identification (POI) of the Adamkiewicz Artery (AKA) in solid pediatric Posterior Thoracic Tumors (PTT), comprising a spectrum of neuroblastic tumors and neuroblastoma, with particular focus on Complete Macroscopic Excision (CME) and Neurologic Complications/Sequelae (NCS).

Methods: A systematic review in accordance with PRISMA guidelines was undertaken. The study included reports on pediatric patients providing available data on POI of the AKA in PTT.

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Article Synopsis
  • Mechanical thrombectomy using the SOFIA/SOFIA PLUS catheters is being evaluated as a primary treatment for acute ischemic stroke with large vessel occlusion, focusing on its safety and efficacy in a multi-center study involving 246 patients.
  • Results show that primary aspiration with the catheters achieved 72.8% complete recanalization and 63.8% of patients were functionally independent after 90 days, with acceptable complication rates.
  • The study supports using this technique as a first-line approach in stroke treatment, reinforcing the effectiveness of direct aspiration thrombectomy in managing acute ischemic strokes.
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In vitro activity of cefepime-enmetazobactam on carbapenem-resistant Gram negatives.

Clin Microbiol Infect

February 2025

Team "Resist" UMR1184 "Immunology of Viral, Auto-Immune, Hematological and Bacterial Diseases (IMVA-HB)", INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Le Kremlin-Bicêtre, France; Bacteriology-Hygiene Unit, Bicêtre Hospital, Assistance Publique-Hôpitaux de Paris, Le Kremlin-Bicêtre, France; Associated French National Reference Center for Antibiotic Resistance: Carbapenemase-Producing Enterobacteriaceae, Le Kremlin-Bicêtre, France. Electronic address:

Article Synopsis
  • Cefepime-enmetazobactam is a new antibiotic combination that effectively targets multidrug-resistant Enterobacterales, including ESBL producers, and was tested against various resistant bacteria.
  • The study evaluated the minimum inhibitory concentration (MIC) of cefepime-enmetazobactam compared to other antibiotic combinations on over 2,200 strains of carbapenem-resistant Enterobacterales and other pathogens.
  • Results showed that while cefepime-enmetazobactam had good activity against OXA-48 producers, it offered no significant advantage over cefepime alone in treating Pseudomonas aeruginosa and Acinetobacter baumannii, highlighting the need for further in vivo testing.
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Liberal versus restrictive transfusion strategies in acute myocardial infarction: a systematic review and comparative frequentist and Bayesian meta-analysis of randomized controlled trials.

Ann Intensive Care

September 2024

Service de Réanimation Chirurgicale Polyvalente, Sorbonne University, GRC 29, AP-HP, DMU DREAM, and Department of Anaesthesiology and Critical Care, Pitié-Salpêtrière Hospital, 47-83 Bd de L'Hôpital, 75013, Paris, France.

Background: The transfusion strategy in the acute phase of myocardial infarction (AMI) remains a debated topic with non-standardized guidelines. This study aimed to evaluate the impact of liberal versus restrictive transfusion strategies on mortality during AMI.

Methods: A systematic search was conducted across MEDLINE, EMBASE, and the COCHRANE library databases, focusing on randomized controlled trials (RCTs).

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Evaluation of the Reveal AST (SPECIFIC) for Antimicrobial Susceptibility Testing from Positive Blood Culture Spiked with Carbapenem-Resistant Isolates.

Pathogens

August 2024

Team "Resist" UMR1184 Immunology of Viral, Auto-Immune, Hematological and Bacterial Diseases (IMVA-HB), INSERM, Faculty of Medicine, Paris-Saclay University, 94270 Le Kremlin-Bicêtre, France.

As bloodstream infections and associated septic shock are common causes of mortality in hospitals, rapid antibiotic susceptibility testing (AST) performed directly on positive blood cultures is needed to implement an efficient therapy in clinical settings. We evaluated the Reveal rapid AST system on a collection of 197 fully characterized carbapenem-resistant Enterobacterales, including 177 carbapenemase producers (CPE) spiked in blood culture bottles. The clinical categorization based on the Minimal Inhibitory Concentration (MIC) determination of eighteen antimicrobial molecules was compared to the clinical categorization based on the disk diffusion assay as a reference.

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Increased incidence of seronegative autoimmune hepatitis in children during SARS-CoV-2 pandemia period.

Front Immunol

September 2024

Pediatric Hepatology and Pediatric Liver Transplant Department, Reference Center for Biliary Atresia and Genetic Cholestasis, FSMR FILFOIE, European Reference Networks (ERN) RARE LIVER, AP-HP, Paris-Saclay University, Bicêtre Hospital, Kremlin-Bicêtre, France.

Article Synopsis
  • * A study from a tertiary care center between 2010 and 2022 revealed a significant increase in cases (3.3-fold) during the SARS-CoV-2 pandemic compared to pre-pandemic years, though liver characteristics remained similar across both periods.
  • * Early initiation of immunosuppressive therapy was noted during the pandemic, and conducting liver biopsies is recommended for undetermined acute hepatitis cases, even if autoimmune antibodies are negative.
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Genetic and biochemical characterization of OXA-1186, a novel OXA-198-type carbapenemase hydrolysing cephalosporins in Citrobacter freundii.

J Antimicrob Chemother

December 2024

Team 'Resist' UMR1184 'Immunology of Viral, Auto-Immune, Hematological and Bacterial diseases (IMVA-HB)', INSERM, Université Paris-Saclay, CEA, LabEx LERMIT, Faculty of Medicine, Le Kremlin-Bicêtre, France.

Objectives: This study described OXA-1186, a novel carbapenemase related to OXA-198 carbapenemase and produced by a clinical isolate of Citrobacter freundii.

Methods: WGS was used to characterize the resistome, virulome and plasmid types of the C. freundii 315C8 isolate and to reconstruct the blaOXA-1186-carrying plasmid.

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Aim: The rate of surgical recurrence following ileorectal anastomosis (IRA) in patients with Crohn's disease (CD) remains poorly understood. Most studies were conducted before the advent of biologics. Our aim was to assess the fate of IRA in patients with CD during the biologics era and identify risk factors for endoscopic, clinical, and surgical recurrence.

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Article Synopsis
  • A study on European FMF patients found that 20% experienced a diagnostic delay of over 10 years, with affected individuals being significantly older.
  • Women were more likely to have this diagnostic delay compared to men, and specific symptoms like erysipelas-like erythema were more prevalent in delayed diagnosis cases.
  • Delayed-diagnosis patients also had higher occurrences of AA amyloidosis and were more frequently treated with biotherapy, indicating more severe disease consequences.
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NDM-5-producing Klebsiella pneumoniae ST258 in a university hospital in Argentina.

J Antimicrob Chemother

December 2024

Universidad de Buenos Aires, Departamento de Bioquímica Clínica, Avenida Córdoba 2351, Buenos Aires City 1120, Argentina.

Background: A drastic increase in carbapenem resistance among Klebsiella pneumoniae isolates occurred during the period 2019-22. Three epidemiological changes could be evidenced: (i) NDM became the predominant carbapenemase; (ii) NDM-5 replaced NDM-1; and (iii) the emergence of NDM-producing K. pneumoniae ST258 (NDM-KpST258).

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