6,540 results match your criteria: "Pitie Salpetriere Hospital.[Affiliation]"

Induction triplet chemotherapy in patients with rectal adenocarcinoma and synchronous metastases, an AGEO-FFCD study.

Clin Res Hepatol Gastroenterol

January 2025

Sorbonne University, Hepato-gastroenterology and digestive oncology department, Pitié Salpêtrière hospital, APHP, Paris, 47-83 Boulevard de l'hôpital, Paris 75013, France. Electronic address:

Aim Of The Study: The management of synchronous metastatic rectal cancer (SMRC) is complex and multimodal, involving chemotherapy, surgery and/or radiotherapy. The aim of this study was firstly to confirm the efficacy of the induction FOLFIRINOX, and secondly to evaluate the different therapeutic strategies and outcomes of patients.

Patients And Methods: This French study combined data from a prospective FFCD trial and a multicenter cohort.

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Tyro3 and Gas6 are associated with white matter and myelin integrity in multiple sclerosis.

J Neuroinflammation

December 2024

Department of Clinical Neuroscience, Institute of Neuroscience and Physiology at Sahlgrenska Academy, University of Gothenburg, Blå Stråket 7, 413 45, Gothenburg, Sweden.

Article Synopsis
  • The study explores the Gas6/TAM receptor system's impact on neurodegeneration in multiple sclerosis (MS), focusing on how it relates to demyelination and remyelination processes.
  • Researchers analyzed cerebrospinal fluid (CSF) samples from various MS patients and healthy controls to measure soluble Gas6/TAM biomarkers and assess brain volume changes over time.
  • Findings suggest that elevated levels of Gas6 and its receptors correlate with greater white matter damage and that lower levels of these markers may indicate better remyelination, highlighting their potential role in MS progression.
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Clinical, Dosimetric and Radiomic Features Predictive of Lung Toxicity After (Chemo)Radiotherapy.

Clin Lung Cancer

November 2024

Department of Radiation Oncology, Tenon University Hospital, APHP, Sorbonne University, Paris, France; Laboratoire d'Imagerie Biomédicale UMR 7371 - U1146, Sorbonne University, Paris, France.

Background: Treatment of locally advanced non small cell lung cancer (LA-NSCLC) is based on (chemo)radiotherapy, which may cause acute lung toxicity: radiation pneumonitis (RP). Its frequency seems to increase by the use of adjuvant durvalumab therapy.

Aims: To identify clinical, dosimetric, and radiomic factors associated with grade (G)≥2 RP and build a prediction model based on selected parameters.

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Article Synopsis
  • The study focused on evaluating the effects of tofacitinib on fatigue in patients with ankylosing spondylitis (AS) through a phase 3 randomized controlled trial.
  • Results showed that patients taking tofacitinib experienced a faster improvement in fatigue symptoms compared to those on a placebo, with significant percentages achieving noticeable relief within 16 weeks.
  • The findings suggest that tofacitinib may be an effective treatment option for quickly alleviating fatigue in AS patients, providing healthcare providers with valuable information when discussing treatment plans with their patients.
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Epidemiology of cardiovascular risk factors: Behavioural risk factors.

Arch Cardiovasc Dis

December 2024

French Public Health (Santé publique France), 94410 Saint-Maurice, France.

Article Synopsis
  • * A significant portion of the French population engages in unhealthy behaviors: one-third smoke, 71.7% don’t consume enough fruits and vegetables, and many fail to meet physical activity guidelines.
  • * Although there are some improvements, like increased physical activity in men and reduced smoking rates, serious concerns remain, especially as women's health behaviors begin to mirror those of men, highlighting the need for enhanced prevention efforts.
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Article Synopsis
  • The study investigated the clinical and radiological factors affecting the outcomes of acute ischemic stroke patients with isolated posterior cerebral artery (PCA) occlusion treated only with medical management.
  • A total of 585 patients were analyzed, revealing that 56% experienced poor functional outcomes, which were linked to older age, higher NIHSS scores, larger infarct volumes, and not receiving intravenous thrombolysis (IVT).
  • The research highlighted that factors like age, NIHSS score, infarct volume, and IVT status significantly influenced outcomes, while finding that complete recanalization after 24 hours improved recovery chances.
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Purpose: The respiratory rate-oxygenation (ROX) index is used to predict high-flow nasal cannula (HFNC) success in acute respiratory failure, including in Coronavirus disease 2019 (COVID-19) patients. However, no study has described its performance to predict failure of alternating sessions of noninvasive ventilation (NIV) and HFNC in severe COVID-19 patients.

Material And Methods: We conducted a monocentric retrospective cohort study.

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Background: Despite vaccination, patients receiving anti-CD20 monoclonal antibodies (mAbs) for multiple sclerosis (MS) or neuromyelitis optica spectrum disorders (NMOSD) have an increased risk of developing severe or protracted COVID-19. The aim of this study was to describe the effect of COVID-19 convalescent plasma (CCP) in patients with MS or NMOSD exposed to anti-CD20 and infected by SARS-CoV-2.

Methods: This French national, retrospective cohort study was conducted between November 2020 and June 2023.

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Foetal achondroplasia: Prenatal diagnosis, outcome and perspectives.

J Gynecol Obstet Hum Reprod

February 2025

URP FETUS 7328, Federation for Research into Innovative Explorations and Therapeutics in Utero, and LUMIERE Platform, University of Paris Cité, Paris, France; Department of Obstetrics and Gynecology, Pitié-Salpêtrière Hospital, APHP, Sorbonne University, Paris, France. Electronic address:

Background: Achondroplasia, due to a specific pathogenic variant in FGFR3, is the most common viable skeletal dysplasia and the diagnosis is mostly done in the prenatal period. Since 2021, the use of Vosoritide, a specific treatment for achondroplasia, validated in phase 3 placebo-controlled trials, has been recommended to significantly increase the height of children and infants. In the light of these new therapeutic prospects, a complete understanding of the pathophysiology of skeletal damages occurring from foetal life is required.

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Objective: Ampullary neoplastic lesions can be resected by endoscopic papillectomy (EP) or transduodenal surgical ampullectomy (TSA) while pancreaticoduodenectomy is reserved for more advanced lesions. We present the largest retrospective comparative study analysing EP and TSA.

Design: Of all patients in the database, lesions with prior interventions, benign histology advanced malignancy (T2 and more), patients with hereditary syndromes and those undergoing pancreatoduodenectomy were excluded.

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Background: The diagnostic and prognostic performance of the novel fluid biomarkers brain-derived tau (BD-tau) and phospho-tau217 (p-tau217) in Creutzfeldt-Jakob disease (CJD) is not defined.

Methods: We measured cerebrospinal fluid (CSF) and plasma BD-tau, p-tau217, p-tau181, total tau (t-tau), neurofilament light (NfL), and 14-3-3 in 100 CJD patients, 100 with non-prion rapidly progressive dementia (np-RPD), 92 with mild cognitive impairment due to Alzheimer's disease (AD-MCI), and 55 healthy controls (HC).

Results: Plasma BD-tau performed comparably to plasma t-tau but had lower performance than CSF t-tau (p < 0.

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Plasma brain-derived tau correlates with cerebral infarct volume.

J Intern Med

December 2024

Department of Laboratory Medicine, Institute of Biomedicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Background: A blood-based biomarker that accurately reflects neuronal injury in acute ischemic stroke could be an easily accessible and cost-effective complement to clinical and radiological evaluation. Here, we investigate whether plasma levels of the novel biomarker brain-derived tau (BD-tau) reflect cerebral infarct volumes and whether BD-tau can improve clinical outcome prediction.

Methods: The present study included 713 consecutive cases from two different hospital-based cohorts, the Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS) and SAHLSIS phase 2 (SAHLSIS2).

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Article Synopsis
  • * Results indicate that while disposable cystoscopes might reduce waste and water usage, the overall environmental benefits of disposables versus reusables are unclear due to varying reprocessing methods.
  • * The review highlights the need for improved strategies, such as better reprocessing of reusable scopes and conducting environmental audits in the healthcare industry, to decrease the carbon footprint of urological procedures.
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Rewiring of the glymphatic landscape in metabolic disorders.

Trends Endocrinol Metab

December 2024

Laboratory of Neurovascular Control of Homeostasis, Department of Cellular and Molecular Physiology, Yale School of Medicine, New Haven, CT, USA; Wu Tsai Institute for Mind and Brain, Yale University, New Haven, CT, USA. Electronic address:

The incorporation of the glymphatic clearance system in the study of brain physiology aids in the advancement of innovative diagnostic and treatment strategies for neurological disorders. Exploring the glymphatic system across (from) neurological and (to) metabolic diseases may provide a better link between obesity and neurological disorders. Recent studies indicate the role of metabolic dysfunction as a risk factor for cognitive decline and neurological disorders through the disruption of the glymphatic system.

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Plasma phosphorylated tau (p-tau231) and total tau (t-tau) as prognostic markers of neurological outcome after cardiac arrest - a multicentre study.

Resuscitation

January 2025

Department of Clinical Medicine, Anaesthesiology and Intensive Care, Lund University, SE-22185 Lund, Sweden; Skåne University Hospital, Department of Intensive and Perioperative Care, SE-22185 Lund, Sweden.

Purpose: We studied the promising Alzheimer biomarker plasma tau phosphorylated at threonine 231 (p-tau231) in a cohort of cardiac arrest patients who survived to intensive care to predict long-term neurological outcomes. We also compared it to total tau (t-tau), which has demonstrated predictive abilities of neurological outcome post-cardiac arrest.

Methods: This observational multicentre cohort study included 425 patients admitted to intensive care after cardiac arrest.

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Social factors behind the AFAB predominance in LGBT youths: evidence from a large European survey.

Eur Child Adolesc Psychiatry

December 2024

Department of Child and Adolescent Psychiatry, APHP. SU, Pitié-Salpêtrière Hospital, 47 bd de l'Hôpital, Paris, 75013, France.

Article Synopsis
  • Trans youth research shows more assigned female at birth (AFAB) individuals identifying as transmasculine compared to assigned male at birth (AMAB) individuals identifying as transfeminine, raising questions about the role of social media in this trend and the idea of "rapid-onset gender dysphoria" (ROGD).
  • The study explores alternative explanations for AFAB predominance, focusing on the impact of national LGBT policies and social media's potential influence on how quickly transmasculine individuals develop and express their identities.
  • Findings indicate that AFAB youth report their identities earlier than AMAB youth, with national LGBT policy scores affecting the age of identity-sharing, but the study did
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Background And Objectives: Post-traumatic brain injury (TBI) lesions, which combine brain atrophy and white matter injuries, can lead to progressive post-traumatic encephalopathy. However, the specific involvement of the cerebellum, which participates in cognitive, executive, and sensory functions, has been little studied. The aim of this work was to explore the long-term cerebellar consequences of severe TBI.

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Article Synopsis
  • - KCNMA1-linked channelopathy leads to neurodevelopmental disorders, epilepsy, and non-epileptic episodes characterized by specific facial, behavioral, and physical symptoms.
  • - A review of 14 videos highlighted typical episode features: facial changes, behavioral arrest, loss of postural control, and quick recovery without drowsiness, with episodes often triggered by emotions.
  • - Distinguishing KCNMA1-related attacks from other conditions like paroxysmal dyskinesia and cataplexy will improve accurate diagnosis and targeted treatment for affected individuals.
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Introduction: Heterozygous mutations in the progranulin gene (GRN) leading to decreased progranulin levels are one of the most frequent causes of inherited frontotemporal dementia (FTD). We evaluated progranulin levels in dried blood spots from capillary finger-stick collection (DBS).

Methods: Paired venous Ethylenediaminetetraacetic acid (EDTA) plasma and DBS samples were collected from each participant with or without pathogenic GRN mutations.

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Parathyroid hormone-based algorithm reduces complications after total thyroidectomy.

Surgery

February 2025

Department of General and Endocrine Surgery, Pitié Salpêtrière Hospital, APHP, Sorbonne University, Paris, France; Groupe de Recherche Clinique No. 16 Thyroid Tumors, Sorbonne University, Paris, France.

Article Synopsis
  • The study analyzed patients from 2017 to 2022, comparing postoperative serum calcium levels and PTH levels taken shortly after the surgery to create a management algorithm involving calcium and alfacalcidol for those with low intraoperative PTH levels.
  • Results showed that using intraoperative PTH levels improved prediction of symptomatic hypocalcemia significantly, identifying 90% of cases, while only 58% could be predicted using postoperative serum calcium levels alone.
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Article Synopsis
  • The study examined the effectiveness of endovascular therapy (EVT) versus best medical therapy (BMT) for isolated anterior cerebral artery occlusions (ACAo) in acute stroke patients.
  • The analysis involved 108 patients from various countries, comparing outcomes like functional independence at 90 days, with results showing no significant difference in success rates between EVT and BMT.
  • Conclusions indicate that while EVT had a high success rate in procedures, it did not lead to better functional outcomes or lower mortality compared to BMT, suggesting a need for more randomized trials.
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