134 results match your criteria: "Fédération Hospitalo-Universitaire FHU[Affiliation]"

Background/objectives: Negative symptoms in schizophrenia spectrum disorders are related to impaired social functioning and lower quality of life, making accurate assessment important. To date, most tools for assessing negative symptoms are observational, which can be influenced by the raters' experience and opinion. Self-rating scales, like the Self-Evaluation of Negative Symptoms (SNS), could complement observer ratings by adding information from the patient's perspective.

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Liver cancer poses a global health challenge with limited therapeutic options. Notably, the limited success of current therapies in patients with primary liver cancers (PLCs) may be attributed to the high heterogeneity of both hepatocellular carcinoma (HCCs) and intrahepatic cholangiocarcinoma (iCCAs). This heterogeneity evolves over time as tumor-initiating stem cells, or cancer stem cells (CSCs), undergo (epi)genetic alterations or encounter microenvironmental changes within the tumor microenvironment.

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Peripheral artery disease (PAD) is a major public health concern worldwide, associated with high risk of mortality and morbidity related to cardiovascular and adverse limb events. Despite significant advances in both medical and interventional therapies, PAD often remains under-diagnosed, and the prognosis of patients can be difficult to predict. Artificial intelligence (AI) has brought a wide range of opportunities to improve the management of cardiovascular diseases, from advanced imaging analysis to machine-learning (ML)-based predictive models, and medical data management using natural language processing (NLP).

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Haematometabolism rewiring in atherosclerotic cardiovascular disease.

Nat Rev Cardiol

January 2025

Institut National de la Santé et de la Recherche Médicale (Inserm) U1065, Nice, France.

Atherosclerotic cardiovascular diseases are the most frequent cause of death worldwide. The clinical complications of atherosclerosis are closely linked to the haematopoietic and immune systems, which maintain homeostatic functions and vital processes in the body. The nodes linking metabolism and inflammation are receiving increasing attention because they are inextricably linked to inflammatory manifestations of non-communicable diseases, including atherosclerosis.

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Nationwide Analysis of the Outcomes of Patients Following Carotid Intervention in France: Strengths and Challenges of National Claims.

Eur J Vasc Endovasc Surg

December 2024

Université Côte d'Azur, CNRS, UMR7370, LP2M, Nice, France; Fédération Hospitalo-Universitaire (FHU) Plan & Go, Nice, France; Institute 3IA Côte d'Azur, Université Côte d'Azur, France; Clinical Chemistry Laboratory, University Hospital of Nice, Nice, France.

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Harnessing Augmented Reality and Head-Mounted Displays in Humanitarian Vascular Surgery: Bridging Potential and Reality.

Ann Vasc Surg

December 2024

Department of Vascular and Endovascular Surgery, Hospital of Antibes Juan-les-Pins, Antibes, France; Université Côte d'Azur, Inserm U1065, C3M, Nice, France; Fédération Hospitalo-Universitaire (FHU) Plan & Go, Nice, France. Electronic address:

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Artificial Intelligence to Enhance Future Clinical Trials in Vascular Surgery.

Ann Vasc Surg

November 2024

Fédération Hospitalo-Universitaire FHU Plan & Go, Nice, France; Laboratory of Molecular Physio Medicine (LP2M), UMR, CNRS, University Côte d'Azur, Nice, France; Clinical Chemistry Laboratory, University Hospital of Nice, Nice, France.

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Steam Vein Sclerosis for Nonsaphenous varicose veins.

Ann Vasc Surg

November 2024

Vascular Surgery Department, Hôpital Privé des Côtes d'Armor, Plérin, France.

Background: The treatment of nonsaphenous varicose veins (NSVV), including incompetent perforating veins (IPV) and recurrent varicose veins (RVV), remains challenging for many reasons, including vein tortuosity, deep location and short vein to be treated. Data and recommendations are lacking. Steam vein sclerosis (SVS) is an endothermal therapy that has been used in the treatment of incompetent saphenous veins, achieving occlusion rates similar to other thermal ablation techniques with good patient tolerance and minimal postoperative pain.

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Plasminogen Activator Inhibitor-1 in the Pathophysiology of Late Life Depression.

Int J Geriatr Psychiatry

November 2024

INSERM UMR-S U1237, Physiopathology and Imaging of Neurological Disorders (PhIND), GIP Cyceron, Institute Blood and Brain @ Caen-Normandie (BB@C), Normandie University, UNICAEN, Caen, France.

Introduction: Late life depression (LLD) is characterized by specific clinical features including a high frequency of vascular form and frequent antidepressant treatment resistance. The expression and functions of the serine protease inhibitor, Plasminogen Activator Inhibitor-1 (PAI-1) is known to be altered by aging, vascular damage, insulin levels associated with a sedentary lifestyle, chronic stress leading to hypercortisolemia, and inflammatory changes linked to stress responses. These phenomena would be implicated in LLD like vascular depression.

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GLS2 links glutamine metabolism and atherosclerosis by remodeling artery walls.

Nat Cardiovasc Res

December 2024

Institut National de la Santé et de la Recherche Médicale (Inserm) U1065, Université Côte d'Azur, Centre Méditerranéen de Médecine Moléculaire (C3M), Fédération Hospitalo-Universitaire (FHU) Oncoage, IHU ResprERA Respiratory Health, Environment and Ageing (RespirERA), Nice, France.

Metabolic dysregulation, including perturbed glutamine-glutamate homeostasis, is common among patients with cardiovascular diseases, but the underlying mechanisms remain largely unknown. Using the human MESA cohort, here we show that plasma glutamine-glutamate ratio is an independent risk factor for carotid plaque progression. Mice deficient in glutaminase-2 (Gls2), the enzyme that mediates hepatic glutaminolysis, developed accelerated atherosclerosis and susceptibility to catastrophic cardiac events, while Gls2 overexpression partially protected from disease progression.

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In medicine, virological diagnosis is mainly based on the detection of the viral genome and antigens, or on the identification of specific antibodies produced in response to infection. These strategies are suitable for characterizing an active infection or past contact with an already known virus. The recent development of tests for evaluating the host's cellular immune response opens new perspectives for personalized patient care based on immunomonitoring.

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The impact of sex on outcomes following carotid endarterectomy (CEA) and carotid artery stenting (CAS) is not fully elucidated. The aim of this study was to analyze the association between sex and outcomes of asymptomatic patients who underwent primary carotid interventions in France. This nationwide retrospective study was performed using the French National Health Insurance Information System and included asymptomatic patients who underwent primary carotid intervention over a 10-year period (1 January 2013 to 31 August 2023).

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Objective: Large language models and artificial intelligence (AI) based chatbots have brought new insights in healthcare, but they also raise major concerns. Their applications in vascular surgery have scarcely been investigated to date. This international survey aimed to evaluate the perceptions and feedback from vascular surgeons on the use of AI chatbots in vascular surgery.

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Lysosomes in the immunometabolic reprogramming of immune cells in atherosclerosis.

Nat Rev Cardiol

September 2024

Department of Excellence of Pharmacological and Biomolecular Sciences 'Rodolfo Paoletti', Università degli Studi di Milano, Milan, Italy.

Lysosomes have a central role in the disposal of extracellular and intracellular cargo and also function as metabolic sensors and signalling platforms in the immunometabolic reprogramming of macrophages and other immune cells in atherosclerosis. Lysosomes can rapidly sense the presence of nutrients within immune cells, thereby switching from catabolism of extracellular material to the recycling of intracellular cargo. Such a fine-tuned degradative response supports the generation of metabolic building blocks through effectors such as mTORC1 or TFEB.

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Large language models and artificial intelligence chatbots in vascular surgery.

Semin Vasc Surg

September 2024

Université Côte d'Azur, Centre National de la Recherche Scientifique (CNRS), UMR7370, Laboratoire de Physiomédecine Moléculaire (LP2M), Nice, France; Fédération Hospitalo-Universitaire FHU Plan & Go, Nice, France; Clinical Chemistry Laboratory, University Hospital of Nice, France; Institute 3IA Côte d'Azur, Université Côte d'Azur, France; Department of Clinical Biochemistry, Hôpital Pasteur, Pavillon J, 30, Avenue de la Voie Romaine, 06001 Nice cedex 1, France. Electronic address:

Natural language processing is a subfield of artificial intelligence that aims to analyze human oral or written language. The development of large language models has brought innovative perspectives in medicine, including the potential use of chatbots and virtual assistants. Nevertheless, the benefits and pitfalls of such technology need to be carefully evaluated before their use in health care.

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Navigating through e-Health transformation in vascular surgery.

Semin Vasc Surg

September 2024

Clinical Chemistry Laboratory, University Hospital of Nice, France; Université Côte d'Azur, Le Centre National de la Recherche Scientifique, UMR7320, LP2M, Nice, France; Institute 3IA Côte d'Azur, Université Côte d'Azur, France Fédération Hospitalo-Universitaire (FHU) Plan & Go, Nice, France.

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The Possible Pathophysiological Role of Pancreatic Stone Protein in Sepsis and Its Potential Therapeutic Implication.

Biomedicines

August 2024

Pediatric Intensive Care, Neonatal Medicine and Pediatric Emergency Department, AP-HP Paris Saclay University, Bicêtre Hospital, Le Kremlin-Bicêtre, 78 Rue du Général Lecler, 94275 Le Kremlin-Bicêtre, France.

Article Synopsis
  • Sepsis involves a dysregulated immune response driven by interactions between pathogens and the body's damaged cells, activating pattern recognition receptors that lead to organ failure.
  • Pancreatic stone protein (PSP) is identified as a significant biomarker for sepsis, with studies indicating it worsens sepsis severity and correlates with increased mortality and organ dysfunction.
  • Research suggests PSP may play a role in activating innate immunity through C-type lectin receptors, highlighting its potential as both a diagnostic marker and a therapeutic target in sepsis treatment.
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Myhre syndrome is a rare genetic disease caused by recurrent gain-of-function variants in SMAD4 (Ile500Thr, Ile500Val, Arg496Cys, and Ile500Met) characterized by postnatal short stature with pseudo-muscular build, joint stiffness, variable intellectual disability, hearing loss, and a distinctive pattern of dysmorphic facial features. The course can be severe in some cases, with life-threatening cardiac and pulmonary complications caused by connective tissue involvement. These progressive features over time make early clinical diagnosis difficult but possible by astute clinicians who evaluate young children with autism or short stature and unusual appearance.

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Artificial Intelligence Based Methods to Enhance Analysis of Non-Contrast Computed Tomography in Patients with Aortic Aneurysm.

Eur J Vasc Endovasc Surg

September 2024

Université Côte d'Azur, CNRS, UMR7370, LP2M, Nice, France; Fédération Hospitalo-Universitaire FHU Plan&Go, Nice, France; Clinical Chemistry Laboratory, University Hospital of Nice, Nice, France; Institute 3IA Côte d'Azur, Université Côte d'Azur, Sophia Antipolis, France.

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Fructooligosaccharides benefits on glucose homeostasis upon high-fat diet feeding require type 2 conventional dendritic cells.

Nat Commun

June 2024

Sorbonne Université, Institut National de la Santé et de la Recherche Médicale, Inserm, Research Unit on Cardiovascular and Metabolic Diseases, Hôpital de la Pitié-Salpêtrière, Paris, France.

Diet composition impacts metabolic health and is now recognized to shape the immune system, especially in the intestinal tract. Nutritional imbalance and increased caloric intake are induced by high-fat diet (HFD) in which lipids are enriched at the expense of dietary fibers. Such nutritional challenge alters glucose homeostasis as well as intestinal immunity.

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Further knowledge and developments in resistance mechanisms to immune checkpoint inhibitors.

Front Immunol

June 2024

Inserm U1081 Institute for Research on Cancer and Aging, Nice (IRCAN) Team 4, Université Côte d'Azur, Institut Hospitalo Universitaire (IHU) RespirERA, Federation Hospitalo Universitaire (FHU) OncoAge, Nice, France.

The past decade has witnessed a revolution in cancer treatment, shifting from conventional drugs (chemotherapies) towards targeted molecular therapies and immune-based therapies, in particular immune-checkpoint inhibitors (ICIs). These immunotherapies release the host's immune system against the tumor and have shown unprecedented durable remission for patients with cancers that were thought incurable, such as metastatic melanoma, metastatic renal cell carcinoma (RCC), microsatellite instability (MSI) high colorectal cancer and late stages of non-small cell lung cancer (NSCLC). However, about 80% of the patients fail to respond to these immunotherapies and are therefore left with other less effective and potentially toxic treatments.

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Article Synopsis
  • A study on Group B Streptococcus (GBS) neonatal infections in France from 2007 to 2021 found that out of 1,527 cases, 36 (2.36%) were recurrent infections.
  • Recurrence was more common in preterm (68%) and low birthweight (72%) infants, with a significant association to the hypervirulent GBS clonal complex 17.
  • No tolerant strains were found, and genome sequencing didn't identify specific recurrence traits, highlighting the need for larger studies on managing these rare cases.
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Multi-view graph-based interview representation to improve depression level estimation.

Brain Inform

June 2024

Service de Psychiatrie, CHU de Caen, 14000, Caen, France.

Depression is a serious mental illness that affects millions worldwide and consequently has attracted considerable research interest in recent years. Within the field of automated depression estimation, most researchers focus on neural network architectures while ignoring other research directions. Within this paper, we explore an alternate approach and study the impact of input representations on the learning ability of the models.

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Bax Inhibitor-1 preserves pancreatic β-cell proteostasis by limiting proinsulin misfolding and programmed cell death.

Cell Death Dis

May 2024

Institut National de la Santé et de la Recherche Médicale (Inserm) U1065, Université Côte d'Azur (UCA), Centre Méditerranéen de Médecine Moléculaire (C3M), Atip-Avenir, Fédération Hospitalo-Universitaire (FHU) Oncoage, Team "Hematometabolism and Metainflammation (HEMAMETABO), 06204, Nice, France.

The prevalence of diabetes steadily increases worldwide mirroring the prevalence of obesity. Endoplasmic reticulum (ER) stress is activated in diabetes and contributes to β-cell dysfunction and apoptosis through the activation of a terminal unfolded protein response (UPR). Our results uncover a new role for Bax Inhibitor-One (BI-1), a negative regulator of inositol-requiring enzyme 1 (IRE1α) in preserving β-cell health against terminal UPR-induced apoptosis and pyroptosis in the context of supraphysiological loads of insulin production.

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