47 results match your criteria: "Poissy Saint-Germain-en-Laye Hospital[Affiliation]"

The COVID-19 pandemic, driven by SARS-CoV-2, led authorities to recommend halting assisted reproductive technology programs, focusing instead on fertility preservation, for cancer patients. The presence of SARS-CoV-2 in semen remains controversial. This multicentric prospective cohort study, conducted across 12 university medical centers, aimed to determine if SARS-CoV-2 is present in spermatozoa/seminal plasma in cancer patients by RT-PCR and to assess its impact on standard semen parameters.

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Atopic dermatitis (AD) is the most common chronic inflammatory dermatitis in developed countries, and has a major impact on those affected. Little is known about AD in elderly patients. This prospective multicentre observational study described the clinical characteristics and burden of AD in elderly subjects ≥ 65 years, as well as the therapeutic options chosen for this population in routine care, and compared findings with those in young adults with AD < 30 years.

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Ethanol sclerotherapy of endometriomas prior to IVF/ICSI improves progressive pregnancy and live birth rate.

J Gynecol Obstet Hum Reprod

December 2024

Department of Obstetrics Gynecology and Reproductive Medicine, ART Unit, Poissy Saint-Germain-en-Laye Hospital, Poissy, France; RHuMA team, UMR1198-BREDD, UVSQ, INRAE, ENVA, UFR-SVS, UVSQ, Montigny le bretonneux. Electronic address:

Research Question: What is the impact of ethanol sclerotherapy of endometriomas prior to IVF/ICSI on pregnancy rates?

Design: We reviewed women with endometrioma(s) larger than 25 mm having IVF/ICSI cycles. All patients with a history of ovarian cystectomy were excluded. Two groups were compared: patients who had transvaginal ethanol sclerotherapy of their endometrioma(s) before ovarian stimulation and patients whose endometrioma(s) were left in situ (untreated) at the time of IVF/ICSI (control group).

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Background: The prevalence and risk factors of posttraumatic stress disorder after cesarean delivery, outside high-risk contexts, remain unclear.

Objective: This study aimed to assess posttraumatic stress disorder prevalence and risk factors at 2 months postpartum among a general population of women with cesarean delivery.

Study Design: This was a prospective ancillary cohort study of the Tranexamic Acid for Preventing Postpartum Hemorrhage after Cesarean Delivery (TRAAP2) trial, conducted in 27 French hospitals from 2018 to 2020, enrolling women expected to undergo cesarean delivery before or during labor at ≥34 weeks of gestation.

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Midwifery research in France: Current dynamics and perspectives.

Midwifery

April 2024

Université Paris Cité, Epidemiology and Statistics Research Center/CRESS/EPOPé Research Team, INSERM, INRA, F-75014 Paris, France; Université Paris-Cité, Departement of Maïeutics, F-75006 Paris, France.

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Purpose: The assessment of multiple sclerosis (MS) lesions on follow-up magnetic resonance imaging (MRI) is tedious, time-consuming, and error-prone. Automation of low-level tasks could enhance the radiologist in this work. We evaluate the intelligent automation software Jazz in a blinded three centers study, for the assessment of new, slowly expanding, and contrast-enhancing MS lesions.

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Purpose: Studies have suggested benefits from magnesium sulphate in thrombotic thrombocytopenic purpura (TTP). We aimed to measure the effects of magnesium sulphate supplementation on TTP recovery.

Methods: In this multicenter, randomised, double-blind, controlled, superiority study, we enrolled adults with a clinical diagnosis of TTP.

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Article Synopsis
  • * Out of 364 patients, 66.5% experienced poor functional outcomes after one year, with a significant portion (52.2%) having died, while age, comorbidities, initial coma score, and stroke type were key factors linked to worse outcomes.
  • * Notably, delays in starting mechanical ventilation after stroke diagnosis appeared to improve survival chances, and over half of the survivors reported ongoing physical and mental health issues one year later.
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  • Repeated embryo implantation failures (RIF) are a significant issue for couples and doctors, largely caused by factors like poor endometrial receptivity and low-quality embryos.
  • *Recent research highlights that immune dysregulation, particularly an imbalance between T-helper (Th) cytokines, may affect RIF, leading to new treatment possibilities.
  • *In a study of 77 women with RIF, abnormal endometrial cytokine profiles were found in 72.7%, and personalized treatments showed a 30.2% clinical pregnancy rate, suggesting a need for further validation in larger studies.
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Critically ill severe hypothyroidism: a retrospective multicenter cohort study.

Ann Intensive Care

March 2023

Medical Intensive Care Unit, Assistance Publique-Hôpitaux de Paris (APHP), Pitié-Salpêtrière Hospital, 75651, Paris Cedex 13, France.

Background: Severe hypothyroidism (SH) is a rare but life-threatening endocrine emergency. Only a few data are available on its management and outcomes of the most severe forms requiring ICU admission. We aimed to describe the clinical manifestations, management, and in-ICU and 6-month survival rates of these patients.

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Pyruvate is an essential metabolite produced by glycolysis in the cytosol and must be transported across the inner mitochondrial membrane into the mitochondrial matrix, where it is oxidized to fuel mitochondrial respiration. Pyruvate import is performed by the mitochondrial pyruvate carrier (MPC), a hetero-oligomeric complex composed by interdependent subunits MPC1 and MPC2. Pathogenic variants in the MPC1 gene disrupt mitochondrial pyruvate uptake and oxidation and cause autosomal-recessive early-onset neurological dysfunction in humans.

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We investigated whether nonsurgical termination of pregnancy after 14 weeks of gestation increases the risk of preterm delivery in a subsequent pregnancy. We conducted a two-centre retrospective case-control study. Patients who underwent non-surgical termination of pregnancy after 14 weeks of gestation between 2012 and 2015 and who gave birth after 14 weeks of gestation to a live-born singleton infant were included.

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Background: To ensure the success of COVID-19 vaccination, public authorities need to have the support of the entire population and build vaccine confidence. Identifying and understanding the determinants of vaccine acceptance is essential for conducting vaccine strategy. The aim was to estimate vaccine hesitancy among healthcare students in France and to investigate the associated factors.

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Article Synopsis
  • * Methodology: A mixed-methods approach was used, involving an online survey of 1,491 midwives for quantitative data, followed by qualitative interviews to delve deeper into their experiences and decisions.
  • * Findings: A significant majority (88.5%) of midwives adopted teleconsultations, with many intending to continue it; factors such as age, gender, marital status, and practice setting played a role in this implementation.
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Background: Several studies report an increased susceptibility to SARS-CoV-2 infection in cancer patients. However, data in the intensive care unit (ICU) are scarce.

Research Question: We aimed to investigate the association between active cancer and mortality among patients requiring organ support in the ICU.

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Background: The objectives of the study were to investigate the organizational characteristics of acute care facilities worldwide in preventing and managing infections in surgery; assess participants' perception regarding infection prevention and control (IPC) measures, antibiotic prescribing practices, and source control; describe awareness about the global burden of antimicrobial resistance (AMR) and IPC measures; and determine the role of the Coronavirus Disease 2019 pandemic on said awareness.

Methods: A cross-sectional web-based survey was conducted contacting 1432 health care workers (HCWs) belonging to a mailing list provided by the Global Alliance for Infections in Surgery. The self-administered questionnaire was developed by a multidisciplinary team.

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Article Synopsis
  • The study aimed to identify factors linked to severe outcomes in individuals with systemic lupus erythematosus (SLE) who contracted COVID-19, using data from a global registry.
  • Significant findings revealed that older age, male sex, higher doses of prednisone, the presence of comorbidities (like kidney or cardiovascular disease), and moderate to high SLE disease activity were associated with more severe outcomes.
  • Furthermore, the type of medication used affected the severity, with treatments like mycophenolate, rituximab, and cyclophosphamide correlated with worse outcomes compared to hydroxychloroquine, while methotrexate and belimumab showed more favorable results.
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Practices for RhD alloimmunization prevention: a vignette-based survey of midwives.

J Matern Fetal Neonatal Med

December 2022

Midwifery Department, Versailles Saint Quentin University, Paris-Saclay University, Montigny-le-Bretonneux, France.

Introduction: Despite the availability guidelines to prevent RhD alloimmunization, severe hemolytic disease of fetus and newborn still occurs in high-income countries. The aim of the study was (1) To assess variations in practices for the prevention of RhD alloimmunization, and (2) to understand midwives' acceptance and appropriation of fetal RhD genotyping.

Methods: Descriptive cross-sectional survey of French midwives from September 2017 through January 2018.

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Morbidity associated with planned cesarean deliveries performed before the scheduled date: A cohort study.

Eur J Obstet Gynecol Reprod Biol

September 2021

Department of Obstetrics, Poissy-Saint-Germain-en-Laye Hospital Poissy, France; Research Unit EA 7285, Versailles St-Quentin University, Montigny-le-Bretonneux, France.

Objective: Women with planned cesareans can require delivery before the scheduled date. However, data describing the morbidity associated with planned cesarean deliveries performed before the originally scheduled date is lacking. The objective of this study was to compare the morbidity associated with planned cesarean delivery performed before compared with on the scheduled date.

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Article Synopsis
  • Some doctors are unsure if looking at kidneys right when they're donated (called zero-time biopsies) is a good way to decide if they should be used.
  • In a study, over half of the donated kidneys were turned down after these tests, but the ones that were accepted didn't have much difference in health compared to the rejected ones.
  • Even though the rejected kidneys showed more damage, those that did get used had survival rates similar to other donated kidneys, showing that the zero-time tests may not always predict how well a kidney will do.
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Context: Primary ovarian insufficiency (POI) affects 1% of women under 40 years of age. POI is idiopathic in more than 70% of cases. Though many candidate genes have been identified in recent years, the prevalence and pathogenicity of abnormalities are still difficult to establish.

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Assessment of Lymph Node Involvement with PET-CT in Advanced Epithelial Ovarian Cancer. A FRANCOGYN Group Study.

J Clin Med

February 2021

Department of Gynecology and Obstetrics, CHU Limoges, 8 Avenue Dominique Larrey, CEDEX, 87042 Limoges, France.

The objective of our study is to evaluate the diagnostic performance of positron emission tomography/computed tomography (PET-CT) for the assessment of lymph node involvement in advanced epithelial ovarian, fallopian tubal or peritoneal cancer (EOC). This was a retrospective, bicentric study. We included all patients over 18 years of age with a histological diagnosis of advanced EOC who had undergone PET-CT at the time of diagnosis or prior to cytoreduction surgery with pelvic or para-aortic lymphadenectomy.

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Efficacy of assisted reproductive technology after ovarian tissue transplantation in a cohort of 11 patients with or without associated infertility factors.

J Assist Reprod Genet

February 2021

Department of Hematology, Adolescents and Young Adults Unit, Fertility Preservation, Assistance Publique-Hôpitaux de Paris (AP-HP), Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France.

Purpose: IVF treatment in women with grafted frozen-thawed ovarian tissue is associated with poor reproductive outcomes. The aim of this study was to evaluate the efficacy of ovarian tissue transplantation (OTT) followed by assisted reproductive technology (ART) in women with or without associated infertility factors.

Methods: This is a prospective cohort study with retrospective data collection including eleven women, four of whom having an infertility factor (IF), who had undergone OTT in one university center between 2005 and 2017, followed by ART in six in vitro fertilization (IVF) centers.

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Midwives' practices related to cervical cancer screening during pregnancy: A vignette-based study.

Sex Reprod Healthc

December 2020

Midwifery Department, Versailles Saint Quentin University, Montigny-le-Bretonneux, France; Department of Obstetrics and Gynecology, Poissy-Saint-Germain en Laye Hospital, Poissy, France; EA 7285 RISCQ, UFR S. Veil-Santé, Versailles Saint Quentin University, Montigny-le-Bretonneux, France. Electronic address:

Article Synopsis
  • The study aimed to explore how midwives in France practice cervical cancer screening and determine women's eligibility for screening during pregnancy.
  • Conducted between February and May 2018, the research gathered responses from 273 midwives through an internet-based survey, which included a clinical case vignette.
  • Results revealed that 15% of midwives never screen during pregnancy, while 63.7% screen women aged 25 and older; however, adherence to complete screening protocols varied significantly based on gestational age, with only 29% willing to perform a Pap test at 25 weeks.
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Severe and progressive neuronal loss in myelomeningocele begins before 16 weeks of pregnancy.

Am J Obstet Gynecol

August 2020

Department of Obstetrics and Maternal-Fetal Medicine, Necker-Enfants Malades Hospital, AP-HP and Paris Descartes University; EHU FETUS, Université de Paris and IMAGINE Institute. Electronic address:

Background: Despite undisputable benefits, midtrimester prenatal surgery is not a cure for myelomeningocele (MMC): residual intracranial and motor deficits leading to lifelong handicap question the timing of prenatal surgery. Indeed, the timing and intensity of intrauterine spinal cord injury remains ill defined.

Objective: We aimed to describe the natural history of neuronal loss in MMC in utero based on postmortem pathology.

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