1,317 results match your criteria: "Groupe Hospitalier Paris.[Affiliation]"

Functional outcomes and center of rotation restoration in total hip arthroplasty after acetabular fracture: A review of 367 hips.

Orthop Traumatol Surg Res

September 2024

Service de chirurgie orthopédique et traumatologie, hôpital Roger-Salengro, rue Emile-Laine, 59037 Lille, France.

Background: Total hip arthroplasty (THA) after acetabular fracture is typically performed months or years later for posttraumatic arthritis after initial conservative treatment. But THA can be performed earlier after open reduction and internal fixation (ORIF) of the fracture. The aim of this study was to determine which strategy is best.

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SiLaT: A paradigm shift in the treatment of pilonidal disease?

J Visc Surg

June 2024

Department of MedicoSurgical Proctology, Groupe Hospitalier Paris Saint-Joseph, Institut Léopold Bellan, 185, rue Raymond-Losserand, 75014 Paris, France.

Background: Pilonidal disease (PD) is a common condition for which the global incidence is increasing. Surgery is the currently preferred approach to treatment but there is a growing interest in new minimally invasive techniques, such as sinus laser therapy (SiLaT).

Aim: Our primary objective was to assess the efficacy of SiLaT for the treatment of pilonidal disease.

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Management of neo-esophagus-airway fistula after esophagectomy for oesophageal cancer: systematic literature review and meta-analysis.

Interdiscip Cardiovasc Thorac Surg

July 2024

Department of Thoracic Surgery and Heart and Lung Transplantation, Hôpital Marie Lannelongue, Université Paris-Saclay, Le Plessis Robinson, France.

Objectives: Neo-oesophageal-airway fistula (NEAF) between gastric conduit and airway is a rare but life-threatening complication of oesophagectomy for oesophageal cancer. Optimal treatment remains unknown. A meta-analysis of good-quality case series may help determine whether nonoperative management (NOM) only, upfront surgery (S), or NOM followed by surgery is associated with better 1-year post-treatment mortality, resumption of oral diet and fistula recurrence.

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Aims: As transcatheter mitral valve (MV) interventions are expanding and more device types and sizes become available, a tool supporting operators in pre-procedural planning and the clinical decision-making process is highly desirable. We sought to develop a finite element computational simulation model to predict the results of transcatheter edge-to-edge repair (TEER) interventions.

Methods And Results: We prospectively enrolled patients with secondary mitral regurgitation (MR) referred for a clinically indicated TEER.

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Article Synopsis
  • The study investigates the relationship between setting-level deprivation and cannabis use in affecting the incidence of first-episode psychotic disorders (FEP).
  • Researchers used data from 14 settings in the EU-GEI study to analyze how factors like owner-occupancy and daily cannabis use correlate with FEP incidence among individuals aged 18-64.
  • Findings revealed that lower owner-occupancy rates were linked to higher rates of psychosis, while daily cannabis use was specifically associated with affective psychoses, suggesting environmental factors play a significant role in psychotic disorder incidence.
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Context: The changes in host membrane phospholipids are crucial in airway infection pathogenesis. Phospholipase A2 hydrolyzes host cell membranes, producing lyso-phospholipids and free fatty acids, including arachidonic acid (AA), which contributes significantly to lung inflammation.

Aim: Follow these changes and their evolution from day 1, day 3 to day 7 in airway aspirates of 89 patients with COVID-19-associated acute respiratory distress syndrome and examine whether they correlate with the severity of the disease.

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Extensive buruli ulcer in a patient returning from Mali and Senegal.

Travel Med Infect Dis

July 2024

Université de Paris, IAME, UMR 1137, INSERM, Paris, France; Clinical Microbiology Laboratory, Groupe Hospitalier Paris-Seine-Saint-Denis, AP-HP, Bobigny, France.

no abstract requested for correspondance items.

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Orai1/STIMs modulators in pulmonary vascular diseases.

Cell Calcium

July 2024

Université Paris-Saclay, Faculté de Médecine, Le Kremlin-Bicêtre, France; INSERM UMR_S 999 Hypertension pulmonaire: Physiopathologie et Innovation Thérapeutique, Hôpital Marie Lannelongue, Le Plessis-Robinson, France. Electronic address:

Calcium (Ca) is a secondary messenger that regulates various cellular processes. However, Ca mishandling could lead to pathological conditions. Orai1 is a Cachannel contributing to the store-operated calcium entry (SOCE) and plays a critical role in Ca homeostasis in several cell types.

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Population-based study of eclampsia: Lessons learnt to improve maternity care.

PLoS One

May 2024

CRESS, Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, INSERM, INRA, Université Paris Cité, Paris, France.

Article Synopsis
  • Eclampsia, a rare and serious complication of hypertensive disorders in pregnancy, shows an incidence of 2.8 per 10,000 births, highlighting its potential for being preventable with better care.
  • A study analyzed the care quality provided to women with eclampsia compared to those with severe maternal morbidity from non-eclamptic high blood pressure and found significant inadequacies in antenatal (39% inadequate), pre-eclampsia (76% inadequate), and eclampsia care (50% inadequate).
  • The findings indicate a critical need for improved, evidence-based standards for managing hypertensive disorders during pregnancy to prevent adverse outcomes for mothers and their babies.
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Food additive emulsifiers and the risk of type 2 diabetes: analysis of data from the NutriNet-Santé prospective cohort study.

Lancet Diabetes Endocrinol

May 2024

Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Center of Research in Epidemiology and StatisticS (CRESS), Nutritional Epidemiology Research Team (EREN), F-93017 Bobigny, France; NACRe French Network for Nutrition And Cancer Research, Jouy-en-Josas, France.

Background: Experimental studies have suggested potential detrimental effects of emulsifiers on gut microbiota, inflammation, and metabolic perturbations. We aimed to investigate the associations between exposures to food additive emulsifiers and the risk of type 2 diabetes in a large prospective cohort of French adults.

Methods: We analysed data from 104 139 adults enrolled in the French NutriNet-Santé prospective cohort study from May 1, 2009, to April 26, 2023; 82 456 (79·2%) were female and the mean age was 42·7 years (SD 14·5).

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Background: Despite improved patency with newer-generation nitinol stents, one-half of patients will require secondary interventions for in-stent restenosis (ISR). The best treatment strategy remains unclear. This study aimed to compare drug-coated balloons (DCBs) used alone or in association with excimer laser atherectomy (ELA) to simple percutaneous transluminal angioplasty (PTA) in the treatment of femoropopliteal-ISR.

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The steerable sheath revolution.

J Vasc Surg

May 2024

Aortic Centre Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, Université Paris Saclay, Paris, France.

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Aortic Valve Engineering Advancements: Precision Tuning with Laser Sintering Additive Manufacturing of TPU/TPE Submillimeter Membranes.

Polymers (Basel)

March 2024

Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, Faculté de Médecine Paris-Saclay, Université Paris-Saclay, Inserm UMR-S 999, BME Lab, 133 Avenue de la Résistance, 92350 Le Plessis Robinson, France.

Synthetic biomaterials play a crucial role in developing tissue-engineered heart valves (TEHVs) due to their versatile mechanical properties. Achieving the right balance between mechanical strength and manufacturability is essential. Thermoplastic polyurethanes (TPUs) and elastomers (TPEs) garner significant attention for TEHV applications due to their notable stability, fatigue resistance, and customizable properties such as shear strength and elasticity.

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Article Synopsis
  • * Out of 410 oncologists surveyed in France, 75% viewed AD as relevant, but only 36% regularly inform their patients about them, often due to concerns that AD discussions may cause anxiety.
  • * There is a notable division among oncologists regarding the usefulness and safety of AD, with many preferring to designate a "person of trust" over formal AD.
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Article Synopsis
  • - The study aims to determine if the preoperative pulmonary artery pulsatility index (PAPi) can predict mortality after left ventricular assist device (LVAD) implantation, as right ventricular failure is a significant concern following the procedure.
  • - An analysis of 117 patients from 2007 to 2021 revealed that those with a PAPi of 2.84 or higher had a significantly better 3-month survival rate compared to those with lower PAPi levels.
  • - Other factors influencing 2-year mortality included systemic hypertension, diabetes, and whether the LVAD was used as a bridge to transplant, with notable differences in survival outcomes between these groups.
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Article Synopsis
  • About 5% of Wilms tumors involve vascular extension, requiring a complex surgical approach that influences management but not prognosis.
  • A study of 69 pediatric patients with Wilms tumors revealed significant findings, including a 37.5% rate of right atrial extension and complications like pulmonary embolism.
  • Despite challenges, the use of neoadjuvant chemotherapy led to a high overall survival rate of 89%, though postoperative renal insufficiency was identified as a risk factor for reduced survival.
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Pulmonary arterial (PA) hypertension (PAH) is a severe cardiopulmonary disease that may be triggered by exposure to drugs such as dasatinib or facilitated by genetic predispositions. The incidence of dasatinib-associated PAH is estimated at 0.45%, suggesting individual predispositions.

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The BIO REACT study is designed to investigate the incremental value of Extravascular UltraSound (EVUS) added to conventional angiography, compared to conventional angiography only for the identification of Flow-Limiting Dissections (FLD) and to evaluate the safety and efficacy of the REsponse Adapted Combination Therapy (REACT) for the treatment of femoropopliteal lesions. The primary endpoints were the specificity and sensitivity of EVUS added to angiography for the detection of FLD. Secondary endpoints were primary patency of the REACT therapy within 12 months, fCD-TLR, freedom from MAE, major target limb amputations (mTLA) and survival rates within 24 months.

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Background: According to a meta-analysis of randomized clinical trials, paclitaxel-coated devices (PCDs) for lower limb endovascular revascularization may be associated with increased risk of late mortality.

Objectives: The purpose of this study was to determine whether PCDs are associated with all-cause mortality in a real-world setting.

Methods: DETECT is a nationwide, exhaustive retrospective cohort study using medico-administrative data from the French National Healthcare System representing >99% of the population.

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