127 results match your criteria: "Centre of Research in Epidemiology and StatisticS (CRESS)[Affiliation]"

Characteristics and Popularity of Videos of Abusive Head Trauma Prevention: Systematic Appraisal.

J Med Internet Res

December 2024

Epidémiologie clinique-évaluation économique appliqué aux populations vulnérables (ECEVE), Université Paris Cité, Inserm, Paris, France.

Background: Numerous strategies for preventing abusive head trauma (AHT) have been proposed, but controlled studies failed to demonstrate their effectiveness. Digital tools may improve the effectiveness of AHT prevention strategies by reaching a large proportion of the adult population.

Objective: This study aimed to describe the characteristics of videos of AHT prevention published on the internet, including their quality content, and to study their association with popularity.

View Article and Find Full Text PDF

Using large language models to detect outcomes in qualitative studies of adolescent depression.

J Am Med Inform Assoc

December 2024

Machine Learning Core, National Institute of Mental Health, National Institutes of Health, Bethesda, MD 20892, United States.

Objective: We aim to use large language models (LLMs) to detect mentions of nuanced psychotherapeutic outcomes and impacts than previously considered in transcripts of interviews with adolescent depression. Our clinical authors previously created a novel coding framework containing fine-grained therapy outcomes beyond the binary classification (eg, depression vs control) based on qualitative analysis embedded within a clinical study of depression. Moreover, we seek to demonstrate that embeddings from LLMs are informative enough to accurately label these experiences.

View Article and Find Full Text PDF

The importance of maintaining data privacy and complying with regulatory requirements is highlighted especially when sharing omic data between different research centers. This challenge is even more pronounced in the scenario where a multi-center effort for collaborative omics studies is necessary. OmicSHIELD is introduced as an open-source tool aimed at overcoming these challenges by enabling privacy-protected federated analysis of sensitive omic data.

View Article and Find Full Text PDF
Article Synopsis
  • This study investigated the incidence and risk factors for complete uterine rupture among women attempting vaginal birth after cesarean delivery (VBAC) over a 16-year period in France.
  • Out of 48,124 patients with a prior cesarean section, 65.8% attempted a VBAC, with a uterine rupture rate of 0.63%.
  • Key findings indicated that prior vaginal delivery decreased the risk of uterine rupture, while labor induction increased it; additionally, specific factors during spontaneous labor, like a low Bishop score and an arrest of cervical dilation, also heightened the risk.
View Article and Find Full Text PDF

Maternal and neonatal outcomes of prolonged second stage of labor with delayed pushing: A study of French Perinatal practices before and after guideline changes.

Eur J Obstet Gynecol Reprod Biol

January 2025

Université Paris Cité, Institut Santé des femmes, U1153, Centre of Research In Epidemiology and Statistics (CRESS), Obstetrical, Perinatal and Paediatric Epidemiology Research Team (EPOpé), INSERM, INRAE, Paris, France; Port-Royal Maternity Unit, Assistance Publique-Hôpitaux de Paris, Hôpital Cochin, FHU préma, 123 Bd de Port-Royal, 75014 Paris, France.

Article Synopsis
  • - The study aimed to assess the rates of prolonged second stage of labor in France and its association with postpartum complications before and after updated labor guidelines in 2021.
  • - Analysis of data from the French National Perinatal Surveys revealed that the incidence of prolonged second stage increased significantly in 2021, particularly among nulliparous and multiparous patients.
  • - The research indicated a rise in severe postpartum hemorrhage rates associated with prolonged second stage, especially in nulliparous and multiparous women, while severe perineal tears and neonatal morbidity remained largely unchanged.
View Article and Find Full Text PDF

A simple prognostic score to predict recurrence after pancreaticoduodenectomy for ampullary carcinoma: results from the French prospective FFCD-AC cohort.

ESMO Open

December 2024

Institut du Cancer Paris CARPEM, APHP, Hepatogastroenterology and GI Oncology Department, APHP Centre-Université Paris Cité, Hôpital Européen G. Pompidou, Paris, France. Electronic address:

Background: Ampullary carcinoma (AC) is a rare and severe gastrointestinal cancer with a disease recurrence rate of around 40% after curative-intent surgery and for which the main prognostic factors and adjuvant treatment decision remain a matter of debate.

Patients And Methods: The FFCD-AC cohort is a French nationwide prospective cohort, which included patients with non-metastatic resected AC. The primary objective of this study was to describe prognostic factors associated with disease-free survival (DFS) and overall survival (OS) after pancreaticoduodenectomy (PD) so as to propose a user-friendly score to better estimate the risk of recurrence.

View Article and Find Full Text PDF

Background: Should COVID-19 have a direct impact on the risk of depression, it would suggest specific pathways for prevention and treatment. In this retrospective population-based study, we aimed to examine the association of prior SARS-CoV-2 infection with depressive symptoms, distinguishing self-reported . biologically confirmed COVID-19.

View Article and Find Full Text PDF
Article Synopsis
  • Advanced systemic mastocytosis (AdvSM) is a complex condition linked to poor outcomes, and while midostaurin is the first approved treatment, its long-lasting effectiveness is limited.
  • Various prognostic scoring systems like MARS, IPSM, and GPSM have been developed to assess patients' outcomes, but it's essential to tailor these scores to specific AdvSM subtypes for better accuracy.
  • A study of patients treated with midostaurin revealed that MARS and AdvSM subtype significantly predict overall survival, identifying five distinct patient subgroups with varying median survival times, highlighting the need for personalized management strategies.
View Article and Find Full Text PDF

Acyl-coenzyme a binding protein (ACBP) - a risk factor for cancer diagnosis and an inhibitor of immunosurveillance.

Mol Cancer

September 2024

Centre de Recherche des Cordeliers, Université Paris Cité, Sorbonne Université, Equipe labellisée par la Ligue contre le cancer, Inserm U1138, Paris, France.

Article Synopsis
  • Higher plasma levels of ACBP/DBI, linked to age and obesity, are associated with an increased risk of cancer, especially in patients with genetic predispositions like BRCA1/2 or TP53 mutations.
  • In studies, elevated ACBP/DBI levels were predictive of future cancer development, particularly lung cancer, while neutralization of ACBP/DBI slowed tumor growth and enhanced the effects of chemoimmunotherapy in animal models.
  • The research suggests that ACBP/DBI functions as an immune suppressor and indicates that targeting it may improve cancer immunotherapy outcomes.
View Article and Find Full Text PDF

Objective: To assess the frequency of fetal therapy for fetuses with congenital pulmonary malformations (CPMs) and to investigate their short-term outcomes.

Method: The study population included 435 singleton fetuses diagnosed with CPMs from a national population-based cohort study in France in 2015-2018. Information was obtained from medical records on CPM volume ratio (CVR), signs of compression, fetal therapy and perinatal outcomes.

View Article and Find Full Text PDF

Childhood pancreatic neuroendocrine neoplasms: A national experience.

Pediatr Blood Cancer

February 2025

Unité d'Onco-Hémato-Immunologie pédiatrique, CHU Angers, Angers, France.

Article Synopsis
  • Pancreatic neuroendocrine neoplasms (pNENs) are rare in children, with a study examining cases between 2011 and 2020 to understand their clinical presentation and behavior.
  • The study analyzed 15 patients, mostly adolescents, and found that a significant number had cancer predisposition syndromes, with some diagnosed through screening.
  • Results showed that patients with low-grade tumors had better survival rates, while those with high-grade or metastatic cancers faced poorer outcomes, highlighting the need for improved treatment strategies for severe cases.
View Article and Find Full Text PDF

European Study of Cerebral Aspergillosis treated with Isavuconazole (ESCAI): A study by the ESCMID Fungal Infection Study Group.

Clin Infect Dis

October 2024

Centre for Infectious Diseases and Tropical Medicine, Hôpital Universitaire Necker-Enfants Malades, Assistance Publique - Hôpitaux de Paris, Université de Paris, Paris, France.

Article Synopsis
  • Cerebral aspergillosis (CA) has a high mortality rate, and the study focuses on the effectiveness and safety of isavuconazole as a treatment option compared to standard therapies like voriconazole.
  • An analysis of 40 patients treated with isavuconazole across 10 countries showed that the drug effectively controlled CA in about 70-73% of cases, with a 12-week mortality rate of 18%.
  • The findings suggest that isavuconazole is well-tolerated and can provide similar survival outcomes to voriconazole, making it a viable first-line treatment option for CA.
View Article and Find Full Text PDF

Purpose: The primary objective was to evaluate the impact of necrotising enterocolitis (NEC) and spontaneous intestinal perforation (SIP) on mortality and neurodevelopmental outcomes at 2 years' corrected age (CA) in infants born before 32 weeks' gestation (WG).

Methods: We studied neurodevelopment at 2 years' CA of infants with NEC or SIP who were born before 32 WG from the EPIPAGE-2 cohort study. The primary outcome was death or the presence of moderate-to-severe motor or sensory disability defined by moderate-to-severe cerebral palsy or hearing or visual disability.

View Article and Find Full Text PDF

Psychological and psychosocial interventions for treatment-resistant schizophrenia: a systematic review and network meta-analysis.

Lancet Psychiatry

July 2024

Department of Psychiatry and Psychotherapy, TUM School of Medicine and Health, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany; German Centre for Mental Health (DZPG), Munich and Augsburg, Germany.

Background: Many patients with schizophrenia have symptoms that do not respond to antipsychotics. This condition is called treatment-resistant schizophrenia and has not received specific attention as opposed to general schizophrenia. Psychological and psychosocial interventions as an add-on treatment to pharmacotherapy could be useful, but their role and comparative efficacy to each other and to standard care in this population are not known.

View Article and Find Full Text PDF

Heterogeneity of glycaemic phenotypes in type 1 diabetes.

Diabetologia

August 2024

Institut Necker Enfants Malades, Inserm U1151, CNRS UMR 8253, IMMEDIAB Laboratory, Paris, France.

Article Synopsis
  • The study investigates the varying glycaemic profiles in individuals with type 1 diabetes to better understand their complexities.
  • Using a unique methodology and the DDRTree algorithm, researchers identified seven distinct glycaemic phenotypes among 618 participants.
  • The findings suggest that relying solely on traditional metrics may overlook important subtleties of glycaemic management, emphasizing the need for more tailored strategies in treatment.*
View Article and Find Full Text PDF

Paediatric antibiotic prescribing in a nationwide direct-to-consumer telemedicine platform in France, 2018-2021.

JAC Antimicrob Resist

June 2024

Department of General Pediatrics and Pediatric Infectious Diseases, Necker Hospital for Sick Children, Université Paris Cité, Paris, France.

Article Synopsis
  • - Recent changes in regulations have allowed teleconsultation to grow in primary care in France, yet guidance suggests avoiding antibiotic prescribing for children during these consultations.
  • - A study analyzing nearly 38,000 pediatric teleconsultations revealed that 12.1% resulted in antibiotic prescriptions, with respiratory tract infections being the most common reason for prescribing.
  • - Factors such as practitioner age, gender, and experience, as well as patient age and the season, influenced antibiotic prescribing rates, highlighting the need for improved antibiotic stewardship in telehealth.
View Article and Find Full Text PDF

Background & Aims: Despite its high prevalence in the western world metabolic dysfunction-associated steatotic liver disease (MASLD) does not benefit from targeted pharmacological therapy. We measured healthcare utilisation and identified factors associated with high-cost MASLD patients in France.

Methods: The prevalent population with MASLD (including non-alcoholic steatohepatitis) in the CONSTANCES cohort, a nationally representative sample of 200,000 adults aged between 18 and 69, was linked to the French centralised national claims database (SNDS).

View Article and Find Full Text PDF

TRIPOD+AI: an updated reporting guideline for clinical prediction models.

BMJ

April 2024

Department of Epidemiology and Data Science, Amsterdam University Medical Centres, University of Amsterdam, Amsterdam, Netherlands.

View Article and Find Full Text PDF
Article Synopsis
  • Registries of congenital anomalies (CAs) provide important data for monitoring CAs, and a study analyzed the prevalence and related outcomes in Paris from 1981 to 2020.
  • The prevalence of CAs remained stable at around 2.9% of total births, with genetic anomalies being the most common, while prenatal diagnoses significantly increased from about 17% to 70%.
  • Infant mortality rates varied by condition, reaching as high as 86% for hypoplastic left heart syndrome, indicating differing outcomes based on the type of anomaly.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to estimate the prevalence and trends of congenital eye anomalies (CEAs) in Paris from 2010 to 2020, analyzing data from all maternity units in the area.
  • Out of 115 identified cases of CEAs, the overall prevalence was 4.1 cases per 10,000 births, with 23.5% being prenatally diagnosed.
  • It was found that CEAs were commonly associated with other anomalies, as 20.9% had genetic issues, and 53% had additional extraocular anomalies, with a lower prenatal detection rate for isolated CEAs at only 13.3%.
View Article and Find Full Text PDF

Background: Identifying factors that predict the course of persistent symptoms that occurred during the COVID-19 pandemic is a public health issue. Modifiable factors could be targeted in therapeutic interventions.

Objective: This prospective study based on the population-based CONSTANCES cohort examined whether the psychological burden associated with incident persistent symptoms (ie, that first occurred from March 2020) would predict having ≥1 persistent symptom 6-10 months later.

View Article and Find Full Text PDF

Background: Gastroschisis is a serious birth defect with midgut prolapse into the amniotic cavity. The objectives of this study were to evaluate the prevalence and time trends of gastroschisis among programs in the International Clearinghouse for Birth Defects Surveillance and Research (ICBDSR), focusing on regional variations and maternal age changes in the population.

Methods: We analyzed data on births from 1980 to 2017 from 27 ICBDSR member programs, representing 24 countries and three regions (Europe , Latin America, North America).

View Article and Find Full Text PDF

Context: Hereditary alpha-tryptasemia (HαT) is associated with elevated basal serum tryptase (bST) and is associated with a higher risk of severe anaphylactic reactions in patients with clonal mast cell disorders or IgE-mediated Hymenoptera venom-induced anaphylaxis. The consequence of this genetic trait remains to be determined in other allergic diseases and food allergy in particular.

Objectives: Here, we describe three cases of peanut allergy among siblings from a single family of four: two of them were associated with HαT, and the third one was associated with the tryptase wild-type genotype.

View Article and Find Full Text PDF