50 results match your criteria: "Paris-Sud University Hospitals[Affiliation]"

Objective: To describe and identify factors associated with articular manifestations occurring in patients treated with anti-tumour necrosis factor (TNF) for inflammatory bowel diseases (IBDs).

Methods: Retrospective monocentric study, including all patients who received an anti-TNF for an IBD in our hospital. All incident articular manifestations occurring during treatment were analysed.

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  • This study examines radiation exposure in pediatric patients undergoing transcatheter closure for ventricular septal defects (VSD) and analyzes various factors impacting that exposure.* -
  • Over a span of three years, it reviewed 85 cases, revealing that higher patient weight, more operators involved, complex device positioning, and procedural incidents significantly increased radiation exposure.* -
  • The findings highlight the need for careful management of these factors to minimize radiation doses in children during interventional cardiology procedures.*
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SARS-CoV-2, the causative agent of coronavirus disease 2019 (COVID-19), is responsible for the largest pandemic facing humanity since the Spanish flu pandemic in the early twentieth century. Since there is no specific antiviral treatment, optimized support is the most relevant factor in the patient's prognosis. In the hospital setting, the identification of high-risk patients for clinical deterioration is essential to ensure access to intensive treatment of severe conditions in a timely manner.

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Pathophysiology of acute respiratory syndrome coronavirus 2 infection: a systematic literature review to inform EULAR points to consider.

RMD Open

February 2021

Centre for Rheumatology, National Institute for Health Research (NIHR) University College London Hospitals (UCLH) Biomedical Research Centre (BRC), University College London Hospitals (UCLH) NHS Foundation Trus, London, UK.

Background: The SARS-CoV-2 pandemic is a global health problem. Beside the specific pathogenic effect of SARS-CoV-2, incompletely understood deleterious and aberrant host immune responses play critical roles in severe disease. Our objective was to summarise the available information on the pathophysiology of COVID-19.

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Tumor progression begins when cancer cells recruit tumor-associated stromal cells to produce a vascular niche, ultimately resulting in uncontrolled growth, invasion, and metastasis. It is poorly understood, though, how this process might be affected by deletions or mutations in the breast cancer type 1 susceptibility (BRCA1) gene in patients with a lifetime risk of developing breast and/or ovarian cancer. To model the BRCA1-deleted stroma, we first generated induced pluripotent stem cells (iPSCs) from patients carrying a germline deletion of exon 17 of the BRCA1 gene (BRCA1+/- who, based on their family histories, were at a high risk for cancer.

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Objective: Peripheral ulcerative keratitis (PUK) is a rare but severe ocular complication of rheumatoid arthritis (RA). It can be considered as an ocular manifestation of rheumatoid vasculitis (RV). Our case series aimed to evaluate the efficacy of rituximab (RTX) for PUK occurring in patients with RA.

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  • - CBCT has been used in dentistry since the late 1990s, but EU laws require better patient protection and quality checks that aren't consistently applied across countries.
  • - A survey by EURADOS aimed to gather info on CBCT practices from 22 EU countries, resulting in 28 responses that revealed inconsistencies in the exposure factors and patient doses.
  • - The findings show that patient doses aren't well optimized and DRLs are often nonexistent, highlighting the need for improved QC testing and establishment of DRLs to ensure safer imaging practices.
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Vast transcriptomics and epigenomics changes are characteristic of human cancers, including leukaemia. At remission, we assume that these changes normalise so that omics-profiles resemble those of healthy individuals. However, an in-depth transcriptomic and epigenomic analysis of cancer remission has not been undertaken.

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  • Biopharmaceutical products, often used to treat autoimmune diseases, face challenges with immunogenicity and the development of antidrug antibodies (ADAs), impacting treatment efficacy for many patients.
  • A study by the European consortium ABIRISK analyzed 560 patients with multiple sclerosis, rheumatoid arthritis, and inflammatory bowel diseases over a year to explore patient-related factors that influence ADA development.
  • The findings revealed that immunosuppressants and antibiotics negatively correlated with ADA development time, while infections and tobacco smoking positively correlated with an increased risk of developing ADAs.
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  • This study aims to identify factors affecting radiation exposure during cerebral angiography (CA) and brain aneurysm embolization (BAE), establishing typical values based on procedure complexity.
  • A review of 348 examinations revealed that patient gender significantly influences radiation exposure, with males experiencing higher levels for both procedures.
  • Key findings indicate that the number of treated vessels during CA and the aneurysm's location during BAE also contribute to increased exposure levels.
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Aim: We assessed the ability of the Out-of-Hospital Cardiac Arrest (OHCA) and the Cardiac Arrest Hospital Prognosis (CAHP) scores to predict neurological outcome following in-hospital cardiac arrest (IHCA).

Methods: Retrospective review of a seven-year French multicentric database including ten intensive care units. Primary endpoint was the outcome at hospital discharge using the Cerebral Performance Category score (CPC) in all IHCA patients.

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  • - The paper evaluates the accuracy of peak skin dose (Dskin,max) calculations from the Dose Map software (DMS) in interventional cardiology, by comparing computed values with measurements from thermoluminescent dosemeters.
  • - The average difference between computed and measured Dskin,max was 6%, indicating moderate agreement between the two methods, with a concordance coefficient of 0.9128.
  • - A local follow-up protocol for managing skin injuries in patients with Dskin,max of 2 Gy was suggested, confirming that DMS can effectively identify patients needing monitoring after procedures involving significant skin exposure.
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Subclinical acute kidney injury (sub-AKI) refers to patients with low serum creatinine but elevated alternative biomarkers of AKI. Its incidence and outcome in critically ill patients remain, however, largely unknown. Plasma proenkephalin A 119-159 (penKid) has been proposed as a sensitive biomarker of glomerular function.

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Background: With the growth in use of biotherapic drugs in various medical fields, the occurrence of anti-drug antibodies represents nowadays a serious issue. This immune response against a drug can be due either to pre-existing antibodies or to the novel production of antibodies from B-cell clones by a fraction of the exposed subjects. Identifying genetic markers associated with the immunogenicity of biotherapeutic drugs may provide new opportunities for risk stratification before the introduction of the drug.

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  • Measurement always has some uncertainty, and understanding its types and definitions is crucial for using measuring instruments effectively, especially in medical settings.
  • The European Union has issued a directive requiring notified bodies to oversee the conformity of medical devices with metrological standards, highlighting the need for clear definitions and standards from scientific societies.
  • This review examines validation terms, related processes for displaying physiological signals, and the validation procedures for measuring instruments, particularly in perioperative and intensive care medicine.
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Metrology part 1: definition of quality criteria.

J Clin Monit Comput

February 2021

Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Article Synopsis
  • Measurement always involves some uncertainty, and understanding different types of uncertainty is essential for the accurate use of measuring instruments, especially in medical settings.
  • The European Union's new directive on medical devices emphasizes the involvement of notified bodies to ensure these devices meet necessary metrological standards.
  • The review aims to clarify key metrological terms as defined by the International Bureau of Weights and Measures, providing examples relevant to perioperative and intensive care medicine.
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A novel neuronal organoid model mimicking glioblastoma (GBM) features from induced pluripotent stem cells (iPSC).

Biochim Biophys Acta Gen Subj

April 2020

INSERM UMR-S 935, Université Paris Sud, 94800 Villejuif, France; INGESTEM National IPSC Infrastructure, 94800 Villejuif, France; Division of Hematology, Paris Sud University Hospitals, Le Kremlin Bicêtre 75006, Villejuif 94800, France; ESTeam Paris Sud, Université Paris Sud, 94800 Villejuif, France. Electronic address:

Background: Current experimental models using either human or mouse cell lines, are not representative of the complex features of GBM. In particular, there is no model to study patient-derived iPSCs to generate a GBM model. Overexpression of c-met gene is one of the molecular features of GBM leading to increased signaling via STAT3 phosphorylation.

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  • * The study measured peak skin doses (Dskin,max) and computed organ doses using PCXMC software, revealing that VSD occlusions had the highest associated organ doses and estimated cancer death risk (REID).
  • * Proposed weight-specific DRLs for VSD occlusions were introduced, demonstrating the need to optimize patient exposure, while also indicating that Dskin,max values were below the threshold for skin injuries.
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Objectives: To describe and compare the clinical and biological characteristics of subjects with primary Sjögren's syndrome (pSS) with and without anti-RNP antibodies.

Methods: Patients fulfilling the American College of Rheumatology (ACR)/EULAR 2016 criteria for pSS and having anti-RNP antibodies, without other connective tissue disease diagnosed and no anti-dsDNA antibodies were retrieved from the database from our French National Reference Center. These patients were compared with all other patients with pSS with negative anti-Sm, anti-RNP and anti-dsDNA antibodies.

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Objectives: Adrenomedullin has vascular properties and elevated plasma adrenomedullin levels were detected in sepsis. We assessed, in septic and nonseptic ICU patients, the relation between circulating adrenomedullin, the need for organ support and mortality, using an assay of bioactive adrenomedullin.

Design: Prospective multicenter observational cohort study.

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Hereditary cancers with cancer-predisposing mutations represent unique models of human oncogenesis, as a driving oncogenic event is present in germline. Currently, there are no satisfactory models to study these malignancies. We report the generation of IPSC from the somatic cells of a patient with hereditary c-mutated papillary renal cell carcinoma (PRCC).

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Objectives: The association between outcome and kidney injury detected at discharge from the ICU using different biomarkers remains unknown. The objective was to evaluate the association between 1-year survival and kidney injury at ICU discharge.

Design: Ancillary investigation of a prospective observational study.

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Replacement therapy in severe hemophilia A leads to factor VIII (FVIII) inhibitors in 30% of patients. Factor VIII gene (F8) mutation type, a family history of inhibitors, ethnicity and intensity of treatment are established risk factors, and were included in two published prediction tools based on regression models. Recently investigated immune regulatory genes could also play a part in immunogenicity.

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Air kerma-area product (PKA), cumulative air kerma at patient entrance reference point, fluoroscopy time and number of images were retrospectively collected from 15 hospitals in Lebanon for 11282 fluoroscopically-guided interventional (FGI) procedures between March 2016 and November 2018. National diagnostic reference levels (NDRLs) were established based on the third quartile of the distribution of median values of exposure parameters per department for 27 types of FGI procedures. NDRLs were in line with international DRLs except for coronary angiography (CA), percutaneous coronary interventions (PCI) and transcatheter aortic valve implantation (TAVI) which require optimisation.

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