434 results match your criteria: "Paris-Est-Creteil University[Affiliation]"

Autoimmune hemolytic anemia (AIHA) is a rare and sometimes life-threatening disease. Infections are frequent and often severe during the course of AIHA. Rituximab is commonly used to treat patients with AIHA.

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Gastrointestinal Angiectasia in patients with chronic kidney disease: A matched case-control study.

Clin Res Hepatol Gastroenterol

October 2024

Paris-Est Creteil University, Gastroenterology Department, Henri Mondor Hospital, APHP, Creteil, France. Electronic address:

Background And Study Aims: Chronic kidney disease (CKD) is a well-known risk factor of gastrointestinal angiectasia (GIA). The aim was to compare this population with CDK patients without GIA.

Methods: Patients followed in the Nephrology Department of Tenon Hospital for which an endoscopy was performed between 2012 and 2022 were identified.

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Article Synopsis
  • A multicenter study assessed the feasibility and safety of EUS-guided fiducial marker placement in patients with esophageal or rectal cancer referred for radiation therapy, focusing on success rates and outcomes.
  • The study involved 33 patients, achieving a 93.9% success rate in marker placement, with an average procedure time of 12.5 minutes and no reported adverse events.
  • Results showed that all fiducial markers remained visible throughout radiation therapy, emphasizing the approach's safety and effectiveness for these cancer types.
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Introduction: BK polyomavirus-associated nephropathy (BKPyVAN) is a significant complication in kidney transplant recipients (KTRs), associated with a higher level of plasmatic BK polyomavirus (BKPyV) replication and leading to poor graft survival.

Methods: We prospectively followed-up with 100 KTRs with various degrees of BKPyV reactivation (no BKPyV reactivation, BKPyV-DNAuria, BKPyV-DNAemia, and biopsy-proven BKPyVAN [bp-BKPyVAN], 25 patients per group) and evaluated BKPyV-specific T cell functionality and phenotype.

Results: We demonstrate that bp-BKPyVAN is associated with a loss of BKPyV-specific T cell proliferation, cytokine secretion, and cytotoxic capacities.

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Article Synopsis
  • The CABASTY study investigated the effects of biweekly administration of a lower dose of cabazitaxel on pain and quality of life for older men with metastatic castration-resistant prostate cancer (mCRPC).
  • In a trial involving 196 patients, researchers compared biweekly dosing (16 mg/m) to a standard triweekly dosing (25 mg/m) regarding pain progression and health-related quality of life (HRQoL).
  • Results showed no significant differences in pain progression or HRQoL between treatment groups, but the biweekly group experienced a delayed onset of some adverse events, suggesting it could be a safer option for older patients.
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Objectives: The aim of this study was to determine the association between different histological patterns and prognosis in patients with SSc and histologically proven muscle involvement.

Methods: A multicentre retrospective study was conducted of a cohort of scleroderma patients who had undergone muscle biopsy. The biopsies were reviewed in a coordinated manner to classify patients based on histological findings.

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Background: Mycosis fungoides (MF) usually has an indolent course. However, some patients develop more aggressive disease and few prognostic parameters have been identified. Isolated cases of pustular MF (pMF) suggest an unfavourable prognosis.

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Surgical management of penetrating neck injuries: An update. Part 1 - pre-hospital management.

J Visc Surg

October 2024

Digestive, Bariatric and Endocrine Surgery Department, Avicenne University Hospital, AP-HP, 93000 Bobigny, France; UFR de médecine et de biologie humaine, Sorbonne Paris Nord University, 93000 Bobigny, France. Electronic address:

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Diet quality and associations with lactate and metabolic syndrome in bipolar disorder.

J Affect Disord

November 2024

Department of Pharmacology and Toxicology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Mitochondrial Innovation Initiative, MITO2i, Toronto, ON, Canada; Department of Psychiatry, University of Toronto, Toronto, ON, Canada. Electronic address:

Background: Nutrition is largely affected in bipolar disorder (BD), however, there is a lack of understanding on the relationship between dietary categories, BD, and the prevalence of metabolic syndrome. The objective of this study is to examine dietary trends in BD and it is hypothesized that diets with increased consumption of seafood and high-fiber carbohydrates will be correlated to improved patient outcomes, and a lower frequency of metabolic syndrome.

Methods: This retrospective cohort study includes two French cohorts.

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Article Synopsis
  • - Fabry disease (FD) is a rare genetic disorder linked to the GLA gene and is marked by a range of symptoms affecting various organs, often signaled by chronic pain.
  • - Two studies were conducted to determine the prevalence of FD in chronic pain patients, testing alpha-galactosidase A activity in men and analyzing the GLA gene in women.
  • - The findings indicated that FD's prevalence in this group is about 1 in 1000 individuals, suggesting that while routine screening for FD in chronic pain patients is not essential, awareness of its symptoms is crucial for diagnosis, especially with family histories of the disease.
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Mitochondrial Biomarkers and Metabolic Syndrome in Bipolar Disorder.

Psychiatry Res

September 2024

Department of Pharmacology and Toxicology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Mitochondrial Innovation Initiative, MITO2i, Toronto, ON, Canada; Department of Psychiatry, University of Toronto, Toronto, ON, Canada.

Article Synopsis
  • This study investigates the link between mitochondrial blood biomarkers, specifically lactate and circulating cell-free mitochondrial DNA, and markers of metabolic syndrome in bipolar disorder patients, hypothesizing that lactate levels would be higher in those with metabolic syndrome.
  • The research involved a large cohort of 837 stable bipolar disorder patients and 237 others for validation, revealing that higher lactate levels correlated significantly with factors like triglycerides and blood pressure, indicating a strong association with metabolic syndrome.
  • The findings suggest that while lactate is a key biomarker related to metabolic syndrome in bipolar patients, circulating mitochondrial DNA levels do not show this same correlation, highlighting the potential for personalized treatment strategies based on these metabolite profiles.
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Early bifurcation of the common hepatic artery: A pitfall that should be known and recognized.

J Visc Surg

August 2024

Department of Digestive and Hepato-Bilio-Pancreatic Surgery, Liver Transplantation, CHU Pitié-Salpêtriere, Public Assistance-Paris Hospitals (AP-HP), Sorbonne University, Paris, France; Saint-Antoine Research Centre (CRSA), Institute of Cardiometabolism and Nutrition (ICAN), Inserm, Sorbonne University, Paris, France. Electronic address:

Article Synopsis
  • Early bifurcation of the common hepatic artery (EBCHA) is a rare anatomical variation found in about 1% of individuals, often overlooked but significant in surgeries related to the liver and pancreas.
  • Accidental ligation of the right hepatic artery during procedures like pancreaticoduodenectomy can result in serious complications due to arterial ischemia of the right liver.
  • Key imaging signs on CT scans such as two hepatic arteries near the celiac trunk, a retro-portal hepatic artery, and the absence of a right hepatic artery from the superior mesenteric artery can help in early diagnosis of EBCHA, reducing the risk of injury during surgery.
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Agreement between two real-time commercial PCR kits and an in-house real-time PCR for diagnosis of mucormycosis.

Microbiol Spectr

August 2024

Université Paris Cité, Faculté de Médecine, APHP, Hôpital Necker Enfants-Malades, Hôpital Européen Georges Pompidou, Unité de Parasitologie-Mycologie, Service de Microbiologie, Paris, France.

Unlabelled: Mucormycosis is a severe and emerging invasive fungal infection associated with high mortality rates. Early diagnosis is crucial for initiating specific antifungal treatment, with molecular tools currently representing the most efficient diagnostic approach. Presently, a standardized in-house real-time PCR method is widely employed for diagnosing mucormycosis.

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Article Synopsis
  • * Among 976 CA patients, the prevalence of AS was notably higher in those with wild type transthyretin amyloid (ATTRwt) at 26%, compared to 8% in hereditary variant transthyretin amyloid (ATTRv) and 5% in immunoglobulin light-chain (AL) CA.
  • * Despite ATTRwt patients having a higher prevalence of AS than hospital controls, moderate or greater AS did not significantly impact overall mortality risk in this group.
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Excessive daytime sleepiness (EDS) is frequent among patients with obstructive sleep apnea hypopnea syndrome (OSAHS) and can persist despite the optimal correction of respiratory events (apnea, hypopnea and respiratory efforts), using continuous positive airway pressure (CPAP) or mandibular advancement device. Symptoms like apathy and fatigue may be mistaken for EDS. In addition, EDS has multi-factorial origin, which makes its evaluation complex.

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In this review, different aspects of the use of clinical neurophysiology techniques for the treatment of movement disorders are addressed. First of all, these techniques can be used to guide neuromodulation techniques or to perform therapeutic neuromodulation as such. Neuromodulation includes invasive techniques based on the surgical implantation of electrodes and a pulse generator, such as deep brain stimulation (DBS) or spinal cord stimulation (SCS) on the one hand, and non-invasive techniques aimed at modulating or even lesioning neural structures by transcranial application.

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A replication study of sHLA-E influence on schizophrenia and bipolar disorder.

Encephale

May 2024

Translational Neuropsychiatry Laboratory, fédération hospitalo-universitaire de médecine de précision en psychiatrie (FHU ADAPT), DMU IMPACT, AP-HP, Paris Est Créteil University and Fondation FondaMental, Inserm U955 IMRB, 94010 Créteil, France.

Article Synopsis
  • The study investigates the link between soluble HLA-E isoforms and the risk and severity of schizophrenia and bipolar disorder in a Tunisian population.
  • Findings indicate that bipolar disorder patients have significantly higher levels of sHLA-E, especially during acute phases, while schizophrenia patients show higher levels in stable conditions but not generally.
  • The results support the idea that sHLA-E can be considered a reliable inflammatory marker for both disorders, confirming previous findings in a French cohort.
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The prognosis of sickle cell disease (SCD) in adults is determined primarily by damage to targeted organs such as the brain. Cognitive dysfunction in SCD is a common chronic neurological manifestation, but studies remain mostly descriptive in adults. The objective of this study was to better characterize the cognitive profile and the association between cognitive dysfunction and brain lesions.

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Prolonged use of nomegestrol acetate and risk of intracranial meningioma: a population-based cohort study.

Lancet Reg Health Eur

July 2024

EPI-PHARE Scientific Interest Group (French National Agency for the Safety of Medicines and Health Products, and French National Health Insurance), Saint-Denis, France.

Background: Nomegestrol acetate (NOMAC) is a synthetic potent progestogen. This study aimed to assess the risk of intracranial meningioma associated with the prolonged use of NOMAC.

Methods: Observational cohort study using SNDS data (France).

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Invasive fungal infections have recently been recognized by the WHO as a major health, epidemiological, and economic issue. Their high mortality rates and the emergence of drug resistance have driven the development of new molecules, including olorofim, an antifungal belonging to a new family of compounds, the orotomides. A review was conducted on the PubMed database and the ClinicalTrials.

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Cognition and gut microbiota in schizophrenia spectrum and mood disorders: A systematic review.

Neurosci Biobehav Rev

July 2024

Service Hospitalo-Universitaire de Psychiatrie d'Adultes et d'Addictologie, Centre Hospitalier de Versailles, 177, rue de Versailles, Le Chesnay-Rocquencourt 78157, France; Université Paris-Saclay, Université Versailles Saint-Quentin-En-Yvelines, DisAP-DevPsy-CESP, INSERM UMR1018, Villejuif 94807, France.

FRILEUX, M., BOLTRI M. and al.

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Long-term Outcome of Risankizumab in Crohn's Disease: a Real-world GETAID Study.

Clin Gastroenterol Hepatol

December 2024

Department of Gastroenterology, INFINY Institute, FHU-CURE, INSERM NGERE, Nancy University Hospital, Vandœuvre-lès-Nancy, France.

Background & Aims: The aim of this study was to assess the long-term effectiveness and safety of risankizumab maintenance treatment in a large real-world cohort of patients with Crohn's Disease (CD).

Methods: From May 2021 to August 2023, all consecutive patients with CD treated with risankizumab in 25 GETAID centers have been retrospectively included. The primary endpoint was steroid-free clinical remission (Harvey Bradshaw Index [HBI] <5) at 52 weeks.

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Risk of Gastrointestinal Perforation in Patients With Rheumatic Diseases Exposed to Janus Kinase Inhibitors Versus Adalimumab: A Nationwide Cohort Study.

Arthritis Rheumatol

September 2024

Henri Mondor Hospital, Créteil, France, INSERM, Créteil, France, Paris Est Créteil University, Créteil, France, French National Agency for Medicines and Health Products Safety, Saint-Denis, France, Le Kremlin Bicêtre, France.

Article Synopsis
  • The study aimed to compare the risk of gastrointestinal perforation (GIP) between patients using JAK inhibitors (like tofacitinib and baricitinib) and those using the TNF inhibitor adalimumab in individuals with rheumatic diseases.
  • Researchers analyzed data from a large cohort (39,758 patients) sourced from the French national health database from July 2017 to December 2021, tracking GIP occurrences until May 2022.
  • Results showed that the incidence rates of GIP were similar between the two groups, with no significant difference in risk levels, suggesting that both treatments are comparable concerning this rare but serious side effect.
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Comprehensive Genetic Profiling Reveals Frequent Alterations of Driver Genes on the X Chromosome in Extranodal NK/T-cell Lymphoma.

Cancer Res

July 2024

Laboratory of Cellular and Molecular Mechanisms of Hematological Disorders and Therapeutic Implications, INSERM UMR_S 1163, Imagine Institute, Université Paris Cité, Paris, France.

Extranodal NK/T-cell lymphoma (ENKTCL) is an Epstein-Barr virus (EBV)-related neoplasm with male dominance and a poor prognosis. A better understanding of the genetic alterations and their functional roles in ENKTCL could help improve patient stratification and treatments. In this study, we performed a comprehensive genetic analysis of 178 ENKTCL cases to delineate the landscape of mutations, copy number alterations (CNA), and structural variations, identifying 34 driver genes including six previously unappreciated ones, namely, HLA-B, HLA-C, ROBO1, CD58, POT1, and MAP2K1.

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