151 results match your criteria: "Hôpitaux Universitaires Paris Ouest[Affiliation]"

Article Synopsis
  • - Dihydropyrimidine dehydrogenase (DPD) deficiency is a major cause of severe toxic reactions in patients treated with fluoropyrimidine (FP) drugs; a meta-analysis was done to evaluate the effect of specific DPYD gene variants and other clinical factors on predicting severe toxicity.
  • - The study focused on Caucasian patients not receiving FP dose adjustments due to DPD deficiency, finding that the prevalence of severe toxicity (G4-5) after 12 weeks was 7.3%, with certain genetic variants notably increasing risk.
  • - Significant findings indicate that combining DPYD variant data with clinical characteristics greatly enhances the ability to identify patients at risk for extreme FP-related toxicity, emphasizing the importance of
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Background: Impairment or distress caused by gambling disorder can be subjectively assessed via quality of life. The aim of this study was to develop a new patient-reported outcome instrument to explore the health-related quality of life (HRQoL) in gambling disorders, the Gambling quality-of-life scale (GQoLS), and to document its psychometric properties.

Methods: A previous qualitative study had been conducted using focus groups of problem gamblers to identify areas of HRQoL impacted by gambling.

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Age of onset of social anxiety disorder and psychiatric and mental health outcomes: Results from a nationally representative study.

J Affect Disord

July 2022

Department of Child and Adolescent Psychiatry, Robert Debré Hospital, APHP, Paris, France; Human Genetics and Cognitive Functions, Institut Pasteur, Paris, France.

Objective: Prior studies support that younger age of onset would be associated with poorer psychiatric and mental health outcomes for many psychiatric disorders. However, such relationship has never been examined for social anxiety disorder (SAD) in a nationally representative sample.

Methods: Using data from the second Wave of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), we have identified four groups of participants with a lifetime DSM-IV diagnosis of SAD based on the self-reported age of onset (childhood onset (<12 years, N = 658), adolescence onset (12-17 years, N = 663), early-adulthood onset (18-39 years, N = 663), and late-adulthood onset (>39 years, N = 415)), and a control group without a lifetime history of SAD (N = 32,205).

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Early-treatment stage for adolescents with depression and their parents: An IPSE qualitative study.

Eur Child Adolesc Psychiatry

August 2023

Service Universitaire de Psychiatrie de L'Adolescent, Argenteuil Hospital Centre, 69 Rue du Lieutenant Colonel Prudhon, 95100, Argenteuil, France.

The period at the start of treatment of adolescents with depression is both crucial and complex. Adolescents' and parents' perspectives on that early-treatment stage are important but have not yet been explored. The present study explores the lived experience of the early-treatment stage among adolescents with major depressive disorder and their parents and aims to cross their perspectives.

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Introduction: Many smoking cessation aids such as nicotine replacement treatments and e-cigarettes have been proven effective in aiding smoking cessation attempts. Encouraging smokers with low socioeconomic position (SEP) to choose their smoking aid tool based on their preferences, and giving that tool free of charge, might increase the odds of smoking cessation. This trial examines the effectiveness of the 'STOP' (: Smoking cessation using preference-based tools), a preference-based smoking cessation intervention for smokers with low SEP.

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Purpose: A questionnaire regarding splenic embolization in trauma was submitted to an international sample of IR faculty members, to compare their practice to the available recommendations.

Methods: A 21 multiple-choice questionnaire was sent to an international cohort of 96 IR faculty. Questions included the initial patient evaluation, embolization materials and techniques, post-procedure management, availability of an institutional protocol, and use of guidelines.

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Characterization of Plasma Cell-Free DNA Integrity Using Droplet-Based Digital PCR: Toward the Development of Circulating Tumor DNA-Dedicated Assays.

Front Oncol

May 2021

Centre de Recherche des Cordeliers, INSERM, CNRS, Sorbonne Université, USPC, Université de Paris, Equipe labellisée Ligue Nationale Contre le Cancer, CNRS SNC 5096, Paris, France.

Cellular-cell free-DNA (ccfDNA) is being explored as a diagnostic and prognostic tool for various diseases including cancer. Beyond the evaluation of the ccfDNA mutational status, its fragmentation has been investigated as a potential cancer biomarker in several studies. However, probably due to a lack of standardized procedures dedicated to preanalytical and analytical processing of plasma samples, contradictory results have been published.

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Primary Care Providers (PCPs) often deal with patients on daily clinical practice without knowing anything about their smoking status and willingness to quit. The aim of this metasynthesis is to explore the PCPs and patients who are smokers perspectives regarding the issue of smoking cessation within primary care settings. It relies on the model of meta-ethnography and follows thematic synthesis procedures.

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Background: Tyrosine kinase inhibitors (TKI) can be safely discontinued in chronic phase chronic myeloid leukemia (CP-CML) patients who had achieved a sustained deep molecular response. Based on the results of discontinuation trials, recommendations regarding patient selection for a treatment-free remission (TFR) attempt had been proposed. The aims of this study were to evaluate the rate of patients eligible for TKI discontinuation and molecular recurrence-free survival (MRFS) after stop according to recommendations.

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Objective: The development of oral chemotherapy (OC) has led to the recent establishment of multidisciplinary programmes involving pharmacists. We evaluated the utility of our local programme for detecting potential interactions with OCs, particularly drug-drug interactions (DDIs) and herbal-drug interactions (HDIs).

Methods: We performed a single-centre retrospective descriptive study of patients on OC attending a pharmaceutical consultation (PC) during a seven-month period.

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Guidelines of the French Society of Otorhinolaryngology (SFORL) for teleconsultation in patients with vertigo during the COVID-19 pandemic.

Eur Ann Otorhinolaryngol Head Neck Dis

December 2021

Service d'Audiologie et d'Explorations Otoneurologiques, Hôpital Edouard Herriot, 69003 Lyon, France; Hôpital Femme Mère Enfant, 69500 Bron, France; Institut de l'Audition, Centre de recherche de l'Institut Pasteur, Inserm U1120, 75012 Paris, France.

Objectives: In the context of the SARS-CoV-2 pandemic, patients may have been dissuaded from seeking consultation, thus exposing themselves to a risk of loss of chance. This guide aims to define how teleconsultation can assist in assessing vertiginous adults or children, and to gather the information needed to provide quick medical care.

Methods: These recommendations rely on the authors' experience as well as on literature.

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Both research and care have focused on first episodes of psychosis (FEPs) as a way to address the issue of early stages of schizophrenia and to reduce the duration of untreated psychosis. The objective of this study was to explore specifically the lived experience of FEP from the point of view of patients and their families by applying a metasynthetic approach, including a systematic review of the literature and analyses of qualitative studies on the subject. This metasynthesis follows thematic synthesis procedures.

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Genesis and dissemination of a controversial disease: Chronic Lyme.

Infect Dis Now

February 2021

Université Paris-Descartes, Sorbonne-Paris Cité, Paris, France; Service de psychiatrie et addictologie de l'adulte et du sujet âgé, AP-HP, Hôpitaux universitaires Paris-Ouest, Paris, France; Inserm, U1266, institut de psychiatrie et neurosciences de Paris, Paris, France.

Objectives: To describe the role of the internet and cognitive biases in the controversy surrounding chronic Lyme disease. The attribution of chronic but aspecific symptoms to Lyme borreliosis is a source of worldwide controversy.

Patients And Methods: Some patients attribute their aspecific symptoms to Lyme borreliosis even though, in fact, they have a functional somatic syndrome.

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Tyrosine Kinase Inhibitors (TKIs) discontinuation in patients who had achieved a deep molecular response (DMR) offer now the opportunity of prolonged treatment-free remission (TFR). Aims of this study were to evaluate the proportion of de novo chronic-phase chronic myeloid leukemia (CP-CML) patients who achieved a sustained DMR and to identify predictive factors of DMR and molecular recurrence-free survival (MRFS) after TKI discontinuation. Over a period of 10 years, 398 CP-CML patients treated with first-line TKIs were included.

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What recourse in the event of the identification of a precarious subject? People in situation of deprivation have multiple and complex needs. Their healthcare management needs to be global and multidisciplinary, requiring the coordination of various medical and social workers. Identify available structures, their methods of access, is the first step for healthcare professionals who receive a vulnerable person: they can be medical, social or associative.

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A specific method for qualitative medical research: the IPSE (Inductive Process to analyze the Structure of lived Experience) approach.

BMC Med Res Methodol

August 2020

Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, 69 Rue du Lieutenant Colonel Prud'hon, 95107 ARGENTEUIL Cedex, France.

Background: This paper reports the construction and use of a specific method for qualitative medical research: The Inductive Process to Analyze the Structure of lived Experience (IPSE), an inductive and phenomenological approach designed to gain the closest access possible to the patients' experience and to produce concrete recommendations for improving care. This paper describes this innovative method.

Methods: IPSE has five steps: 1) set up a research group, 2) ensure the originality of the research, 3) organize recruitment and sampling intended to optimize exemplarity, 4) collect data that enable entry into the subjects' experience, and 5) analyze the data.

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Background: Unemployment is associated with a high prevalence of risky health behaviors. Mortality increases with the number of co-occurring risky behaviors but whether these behaviors co-occur with a greater than expected frequency (clustering) among unemployed people is not known.

Methods: Differences according to unemployment status in co-occurrence and clustering of smoking, alcohol abuse, low leisure-time physical activity and unhealthy diet (marked by low fruit and vegetable intake) were assessed in 65,630 salaried workers, aged 18 to 65, who were participants in Constances, a French population-based cohort.

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Haemodynamic management during hyperthermic intraperitoneal chemotherapy: A systematic review.

Anaesth Crit Care Pain Med

August 2020

Service d'anesthésie, hôpitaux universitaires Paris Ouest, hôpital européen Georges Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Paris, France.

Context: Hyperthermic intraperitoneal chemotherapy (HIPEC) is a surgical technique for peritoneal carcinomatosis combining cytoreduction surgery and peritoneal irrigation of cytotoxic agents responsible for haemodynamics and fluid homeostasis alterations. To this day, no guidelines exist concerning intraoperative management.

Objectives: To review data on haemodynamic monitoring and management of patients undergoing HIPEC and to help design a standardised anaesthetic protocol.

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The Lived Experience of Work-Related Issues Among Oncology Nurses: A Metasynthesis.

Cancer Nurs

November 2020

Author Affiliations: ECSTRRA Team, UMR-1153, Inserm, Université de Paris (Mss Diaw, Manolios, and Gouacide and Drs Sibeoni, Verneuil, and Revah-levy); Service Universitaire de Psychiatrie de l'Adolescent, Argenteuil Hospital Centre, Argenteuil (Drs Sibeoni and Revah-Levy); and Service de Psychologie et Psychiatrie de Liaison et d'Urgences, Hôpital Européen Georges Pompidou AP-HP, Hôpitaux Universitaires Paris Ouest (Mrs Manolios); and Department of Oncology, Hôpital Européen Georges Pompidou (Dr Brami), Paris, France.

Background: Many qualitative studies have focused on the experience of nurses specialized in oncology and the ways they describe and understand that experience.

Objective: We aimed to perform a metasynthesis, a systematic review, and an analysis of qualitative studies focused on the experiences and perspectives of oncology nurses about work-related issues.

Methods: We searched international publications to identify relevant qualitative research exploring oncology nurses' experiences.

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Mastocytosis onset in a patient with treated hairy cell leukemia: Just a coincidence?

Blood Cells Mol Dis

March 2020

Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Centre, Service d'Hématologie Clinique, Paris, France; Université Paris Descartes, Faculté de Médecine Sorbonne Paris Cité, Paris, France.

Mastocytosis is a mast cell disease caused by functionally defective infiltrating mast cells and CD34+ mast cell precursors. The heterogeneous group of mast cell disorders is categorized into five variants in the updated 2017 World Health Organization (WHO) classification among those systemic mastocytosis with an associated neoplasm (SM-AHN). Except for myeloid neoplasia, lymphoproliferative disorders associated to SM-AHN are more scarce.

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Comparison of burnout, anxiety and depressive syndromes in hospital psychiatrists and other physicians: Results from the ESTEM study.

Psychiatry Res

February 2020

CESP/UMR-S1178, Equipe "Dépression et Antidépresseurs", Univ Paris-Sud, Faculté de Médecine, INSERM, 94270 Le Kremlin-Bicêtre, France; Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Hôpital Bicêtre, Hôpitaux Universitaires Paris Sud, Assistance Publique-Hôpitaux de Paris, 94275 Le Kremlin-Bicêtre, France; Dispositif Territorial de Recherche et de Formation (DTRF) Paris Sud, 94275 Le Kremlin-Bicêtre, France.

Article Synopsis
  • The study aimed to compare the rates and risk factors of burnout, anxiety, and depression between hospital psychiatrists and non-psychiatrists through an online survey.
  • Results showed similar levels of depression and burnout among both groups, but psychiatrists experienced less anxiety while senior psychiatrists had higher interpersonal burnout.
  • The research identified key psychosocial risk factors like high work intensity and emotional demands affecting both groups, suggesting improvements in workload management and emotional support as vital for prevention.
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Family history of alcohol use disorder is associated with brain structural and functional changes in healthy first-degree relatives.

Eur Psychiatry

October 2019

Department of Psychiatry and Addictology, Hôpitaux Universitaires Paris Ouest, Assistance Publique-Hôpitaux de Paris, Paris, France; Paris Descartes University, Pôles de recherche et d'enseignement supérieur Sorbonne Paris Cité, Paris, France; Inserm UMR 1168, VIMA, Villejuif, France.

Background: Neuroimaging studies of vulnerability to Alcohol Use Disorder (AUD) have identified structural and functional variations which might reflect inheritable features in alcohol-naïve relatives of AUD individuals (FH+) compared to controls having no such family history (FH-). However, prior research did not simultaneously account for childhood maltreatment, any clinically significant disorder and maternal AUD. Therefore, we mainly aimed to investigate the brain structure and reward-related neural activations (fMRI), using whole-brain analysis in FH+ young adults with no prevalent confounders.

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Background: Substance use is more prevalent among unemployed subjects compared to employed ones. However, quantifying the risk subsequent of job loss at short-term according to substance use remains underexplored as well as examining if this association persist across various sociodemographic and occupational positions previously linked to job loss. We examined this issue prospectively for alcohol, tobacco, cannabis use and their combination, among a large population-based sample of men and women, while taking into account age, gender, overall health status and depressive symptoms.

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Background: Electronic cigarettes (e-cigarettes) have become increasingly popular, yet beyond social or technical features, the specific health-related reasons adults use e-cigarettes remain poorly understood.

Objective: To explore the cross-sectional associations between perceived health and current e-cigarette use in a large population-based cohort.

Methods: From the participants included in the French CONSTANCES cohort (a large general-purpose national population-based cohort) from 2015 to 2017, we included 18,300 ever tobacco smokers with data on their e-cigarette use.

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[Pharmacological management of delusions associated with dementia].

Geriatr Psychol Neuropsychiatr Vieil

September 2019

Département de psychiatrie, Hôpitaux universitaires Paris-Ouest, AP-HP, Issy-les-Moulineaux, France, Inserm UMR 894, Centre de psychiatrie et de neurosciences, Paris, France ; Université Paris-Descartes, Sorbonne Paris-Cité, Paris, France.

Unlabelled: This article aims to review evidence on pharmacologic treatments for the management of delusional symptoms in elderly patients with dementia.

Methods: We searched PubMed using the words 'delusion', 'dementia' and 'treatment' from January 2007 till November 2017.

Results: Non-pharmacologic interventions are first-line treatment.

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