385 results match your criteria: "Hopitaux universitaires Paris-Seine-Saint-Denis[Affiliation]"

Purpose: Sulfatase 2 (SULF2) is an enzyme related to heparan sulfate modifications. Its expression, as for some heparan sulfate proteoglycans expression, has been linked to hepatocellular carcinoma (HCC) at mRNA level and immunohistochemistry staining on biopsy samples. This study aims to evaluate the prognostic value of serum levels of SULF2 in patients with alcoholic cirrhosis with or without HCC.

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Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy for peritoneal carcinomatosis from colorectal cancer: a 13 years-retrospective monocentric study.

Acta Gastroenterol Belg

December 2022

Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation, Cliniques universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium.

Background And Study Aim: Over the last 20 years, cytoreductive surgery (CRS) combined with hyperthermic intraperitoneal chemotherapy (HIPEC) has progressively become a therapeutic option for peritoneal carcinomatosis thanks to its favourable oncologic results. The aim of this study is to analyse the overall survival and recurrence-free survival, after complete CRS and closed abdomen technique HIPEC for peritoneal carcinomatosis from colorectal cancer.

Patients And Methods: This retrospective study collected the data from all patients who underwent a CRS with HIPEC for colorectal cancer at "Cliniques universitaires Saint Luc" from October 2007 to December 2020.

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Background: Alcohol-related cirrhosis is a frequent and difficult-to-treat disease. Despite the low hepatic metabolism of baclofen, data on its use in this subgroup are scarce. The French multicenter Observatory of patients treated with Baclofen for Alcohol DEpendence real-life cohort assessed: (a) prescription modalities of baclofen in liver units; (b) safety profile of baclofen; and (c) declared alcohol intake, biological markers of excessive alcohol intake and hepatic function at 12 months.

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[Fertility preservation in transgender people].

Med Sci (Paris)

November 2022

CECOS, hôpitaux universitaires Paris Seine-Saint-Denis, hôpital Jean Verdier, Bondy, France - Inserm U1016, équipe « Génomique, épigénétique et physiologie de la reproduction », Institut Cochin, université Paris Cité, Paris, France - Service de biologie de la reproduction, hôpitaux Universitaires Paris Nord Val de Seine, AP-HP, hôpital Bichat, Paris, France.

Most of transgender people plan to have a family but their fertility may be affected by gender affirmation. Hormone therapy can permanently affect gamete production, especially in trans women. Sex reassignment surgery leads to permanent sterility.

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Baseline ALBI score and early variation of serum AFP predicts outcomes in patients with HCC treated by atezolizumab-bevacizumab.

Liver Int

March 2023

Centre de Recherche des Cordeliers, Sorbonne Université, Inserm, Université de Paris Cité, Team « Functional Genomics of Solid Tumors », Paris, France.

Background: The combination of atezolizumab and bevacizumab (AtezoBev) is the current first-line treatment for patients with hepatocellular carcinoma (HCC). Our aim was to evaluate the prognostic role of alpha-foetoprotein (AFP) early response and its combination with albumin-bilirubin (ALBI) in these patients.

Methods: Patients with HCC under AtezoBev with AFP > 20 ng/ml were included in three centres.

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Aggressive intrasegmental recurrence (AIR) is a form of local recurrence associated with a dismal prognosis and defined by multiple nodules or by an infiltrative mass with a tumor thrombus, occurring in the treated segment, after radiofrequency ablation (RFA) for hepatocellular carcinoma (HCC). We aimed to identify radiological and/or histological characteristics of tumor biopsy predictive of AIR. We retrospectively analyzed patients treated by No-Touch multi-bipolar RFA (mbpRFA) for a first HCC with a systematic per-procedural tumor biopsy positive for diagnosis of HCC.

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Article Synopsis
  • FCR has been the standard treatment for B-chronic lymphocytic leukemia (CLL) but targeted therapies are now taking over, highlighting a need for predictive biomarkers for treatment success.
  • A study focused on identifying specific microRNAs in the blood of untreated CLL patients that could predict whether they would achieve complete remission (CR) with undetectable minimal residual disease (uMRD) post-treatment.
  • The study found 25 differentially expressed miRNAs, with a decision tree model predicting treatment outcomes based on 5 miRNAs, identifying distinct patient groups with varying probabilities of achieving CR, where high levels of certain miRNAs correlated with better outcomes.
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Objectives: To examine the characteristics of the first Advanced Practice Nurses in France and to compare the French model to international standards.

Background: Common barriers and facilitators to their integration in healthcare provision have been identified internationally. In France, the legislative framework was introduced in 2016, and the first graduates entered the workforce in 2019.

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Sexual vulnerability of migrant women in the multicultural context of French Guiana: A societal issue.

Front Public Health

September 2022

Centre d'Investigation Clinique des Antilles et de la Guyane, CIC1424, Centre Hospitalier de Cayenne, Cayenne, French Guiana, France.

Background: French Guiana is a multicultural French territory in Amazonia with an old migration history and a high prevalence of HIV infection. The objective of this study was to evaluate situations of sexual vulnerability and their associated factors among migrant women in French Guiana.

Methods: A cross-sectional epidemiological study was carried out in 2021 in the French Red Cross Prevention and Health Centers of the two main cities of French Guiana (Cayenne and Saint Laurent du Maroni).

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Article Synopsis
  • The study evaluates the efficacy of first-line systemic treatments, specifically tyrosine kinase inhibitors (TKIs) and platinum-based chemotherapy, for patients with unresectable hepatocellular-cholangiocarcinoma (cHCC-CCA) in comparison to hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (iCCA).
  • A total of 83 male-dominated patients (72%) with cHCC-CCA were analyzed; many had cirrhosis (55%) and a significant portion presented with extrahepatic metastases (67%).
  • The overall survival for patients with cHCC-CCA was similar to that of HCC and iCCA after adjusting for factors like liver function
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Tuberculosis treatment outcomes among precarious patients in France.

Infect Dis Now

October 2022

IAME, INSERM UMR 1137, Université de Paris, Université Sorbonne Paris Nord, Paris, France; Clinical Research Unit, Bichat Hospital, Paris, France.

Objectives: Patients lost to follow-up and treatment failure in tuberculosis disease (TB) are major public health issues. In the absence of appropriate treatment, approximately 70 % of smear-positive patients will die within 10 years of disease progression. This study, conducted in the French region with the highest incidence, aimed to assess tuberculosis treatment outcomes and its determinants.

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Burden of infectious diseases among undocumented migrants in France: Results of the Premiers Pas survey.

Front Public Health

August 2022

Institut de recherche et documentation en économie de la santé, IRDES, Paris, France.

Introduction: An increase in migration rates to the European Union has been observed over the last few years. Part of these migrants is undocumented. This work aimed to describe the reported frequency of infectious diseases and their associated factors among unselected samples of undocumented migrants in France.

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Background And Aims: The natural history of hepatocellular adenomas (HCAs) remains to be better described, especially in nonresected patients. We aim to identify the predictive factors of HCA evolution after estrogen-based contraception discontinuation.

Approach And Results: We retrospectively included patients with a histological diagnosis of HCA from three centers.

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Over the past four decades, studies of various designs have reported spatial and temporal trends in human semen quality. Several standardized-methodology studies in homogeneous populations that compare specific cities within a country or a continent provide clear evidence of geographical differences in sperm production, even over short distances within the same country. Human sperm production is widely believed to be declining over time, but evidence from the scientific literature is less clear.

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New concepts in the treatment of hepatocellular carcinoma.

United European Gastroenterol J

September 2022

Centre de Recherche des Cordeliers, Sorbonne Université, Inserm, Université de Paris, Functional Genomics of Solid Tumors, Equipe Labellisée Ligue Nationale Contre le Cancer, Labex OncoImmunology, Paris, France.

Hepatocellular carcinoma (HCC) is the third most common cause of cancer-related death and occurs mainly in the context of chronic liver disease at cirrhosis stage. The Barcelona Clinic Liver Cancer classification, first established in 1999, is the most commonly used staging system for HCC in Western countries that link tumor burden, liver function and performance status with prognosis and therapeutic management. Since the first publication of this classification, it has been implemented in several clinical guidelines and recent major therapeutic advances in the management of HCC have modified the therapeutic landscape of HCC.

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Factors associated with limitations in daily life and at work in a population with shoulder pain.

BMC Musculoskelet Disord

August 2022

Université Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm, Équipe d'Épidémiologie Respiratoire Intégrative, CESP, 94807, Villejuif, France.

Background: Shoulder pain, which is a widespread condition, can lead to participation restrictions in daily and professional life. However, there are few studies focusing on the differences between daily life limitations and work limitations. This study aims at identifying the factors associated with limitations in personal and professional life in a population of working age suffering from shoulder pain.

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Nutri-Score: Awareness, Perception and Self-Reported Impact on Food Choices among French Adolescents.

Nutrients

July 2022

Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France.

To date, no studies have evaluated the appropriation of the front-of-pack Nutri-Score labeling among adolescents, although they are both consumers and buyers of food products. Therefore, the objectives of the present study were (1) to assess Nutri-Score awareness, perception and self-reported impact on food choices in French adolescents and (2) to identify the determinants associated with higher Nutri-Score awareness and self-reported impact on food choices. A web-based survey was conducted in November 2021 among 1201 adolescents.

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Benign liver tumours: understanding molecular physiology to adapt clinical management.

Nat Rev Gastroenterol Hepatol

November 2022

Centre de Recherche des Cordeliers, Sorbonne Université, Inserm, Université de Paris Cité, team «Functional Genomics of Solid Tumors», Paris, France.

Improvements in understanding the pathophysiology of the different benign liver nodules have refined their nosological classification. New criteria have been identified using imaging, histology and molecular analyses for a precise diagnosis of these tumours. Improvement in the classification of liver tumours provides a more accurate prediction of disease progression and has modified patient management.

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[Screening and healthcare for pregnant women with psycho-social vulnerability : A French national study].

Gynecol Obstet Fertil Senol

October 2022

Maternité Notre-Dame-de-Bon-Secours, Groupe Hospitalier Paris-Saint- Joseph, 185, rue Raymond-Losserand, 75876 Paris cedex 14, France; Université de Paris, CRESS, Équipe de recherche en épidémiologie obstétricale périnatale et pédiatrique, EPOPé, INSERM U1153, INRA, Paris, France. Electronic address:

Introduction: Psycho-social vulnerabilities are a medical risk factor for both fetus and mother. Association between socioeconomic status and prenatal follow-up has been well established and inadequate follow-up is associated with higher morbidity and mortality in women in unfavorable situations.

Objective: The objective is to identify screening strategies and to describe existing systems for pregnant women in psycho-social vulnerability in French maternity hospitals.

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Thrombosis of Medium-Sized and Large Arteries During Covid-19 Infection: Results of the COVIVASC Study.

Ann Vasc Surg

October 2022

Department of Vascular Surgery, Ambroise Paré University Hospital, Assistance Publique-Hôpitaux de Paris, 92104 Boulogne-Billancourt, France; UMR 1018, Inserm-Paris11 - CESP, Versailles Saint-Quentin-en-Yvelines University, Paris-Saclay University, Paul Brousse Hospital, 94807 Villejuif, France.

Background: COVID-19 infection is associated not only with venous thromboses but also with arterial thromboses (COV-ATs) in relation with an endothelial dysfunction, a coagulopathy and rhythm disorders. The incidence, the topography, and the prognosis of COV-ATs remain poorly known. The objective of this study was to report the overall experience of the Greater Paris University Hospitals (Assistance Publique - Hopitaux de Paris, AP-HP) during the first pandemic wave of COVID-19 infection.

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Article Synopsis
  • The TRITON-01 study assessed the safety and efficacy of using stented aortic matrices for airway replacement in patients, confirming it can be a standard treatment option.
  • Over a 12-year period, 35 patients underwent this procedure, showing a low 30-day mortality rate of 2.9% and a 22.9% morbidity rate.
  • At a median follow-up of nearly 30 months, over 75% of patients survived, with no deaths linked to the bioprosthesis and 28.6% achieving stent-free survival.
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We have recently demonstrated the ability of a simple predictive model (GES) score to determine the risk of hepatocellular carcinoma (HCC) after using direct-acting antivirals. However, our results were restricted to Egyptian patients with hepatitis C virus (HCV) genotype 4. Therefore, we studied a large, independent cohort of multiethnic populations through our international collaborative activity.

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