1,718 results match your criteria: "Robert DEBRE Hospital[Affiliation]"

Aim: Height velocity is considered a key auxological tool to monitor growth, but updated height velocity growth charts are lacking. We aimed to derive new French height velocity growth charts by using a big-data approach based on routine measurements.

Methods: We extracted all growth data of children aged 1 month-18 years from the electronic medical records of 42 primary care physicians, between 1 January 1990 and 8 February 2018, throughout the French metropolitan territory.

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Maternal social deprivation and preterm birth: The PreCARE cohort study.

Paediatr Perinat Epidemiol

September 2024

Obstetrical Perinatal and Pediatric Epidemiology Research Team (EPOPé), Centre for Research in Epidemiology and Statistics (CRESS), Inserm, INRAE, Université Paris Cité, Paris, France.

Background: Maternal exposure to unfavourable social conditions is associated with a higher rate of perinatal complications, such as placental vascular pathologies. A higher risk of preterm birth (PTB) has also been reported, and variations across studies and settings suggest that different patterns may be involved in this association.

Objective: To assess the association between maternal social deprivation and PTB (overall and by phenotype).

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Congenital amegakaryocytic thrombocytopenia is a rare, inherited bone marrow failure syndrome. Allogeneic haematopoietic stem cell transplantation (allo-HSCT) is currently the only curative treatment. In this retrospective study, we analysed 66 patients with allo-HSCT, reported in the European Society for Blood and Marrow Transplantation (EBMT) registry.

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Haematological features of telomere biology disorders diagnosed in adulthood: A French nationwide study of 127 patients.

Br J Haematol

November 2024

Hematology and Transplant Unit, French Reference Center for Aplastic Anemia, Saint-Louis Hospital, AP-HP, Université Paris Cité, Paris, France.

Article Synopsis
  • The study examines the blood-related characteristics and overall prognosis of 127 patients with telomere biology disorders (TBD) who were diagnosed after age 15, highlighting a lack of data on this topic.
  • At diagnosis, significant haematological issues were present in nearly 76% of patients, with bone marrow failure (BMF) being the most common, affecting 46.5% of the cases, while some patients also developed additional complications over time.
  • The findings suggest that BMF patients tend to be younger and have a better survival rate compared to those with higher-risk blood cancers, indicating TBD as a complex multi-organ disease needing further research on its evolutionary nature and outcomes.
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Breaking bad news: an active learning method for medical students.

BMC Med Educ

September 2024

General Pediatrics, Infectious Disease and Internal Medicine Department, Reference center for Rheumatic, AutoImmune and Systemic diseases in children (RAISE), Hôpital Robert-Debré, AP-HP, Paris Cité University, Paris, EU, France.

Article Synopsis
  • Breaking bad news is a challenging communication task in medicine, prompting a study on the effectiveness of an active learning course for fifth-year students.
  • Students were split into two groups: one received hands-on training with multidisciplinary discussions and video workshops, while the other only attended traditional classes.
  • Results showed that the actively trained group scored significantly higher in communication skills during practical exams, indicating the training's effectiveness, but further research is needed for long-term validation.
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Article Synopsis
  • It can be hard to figure out if taking mental health medications during pregnancy is safe for both the mom and the baby.
  • Researchers looked at a lot of studies to see if these medications cause any health problems for pregnant people or their babies.
  • They found some evidence that certain medications might lead to issues like preterm birth or birth defects, but overall, there wasn’t strong proof that taking these medications is dangerous during pregnancy.
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Background: The antiviral efficacy of Evusheld (AZD7442) in patients hospitalized for SARS-CoV-2 is unknown.

Methods: We analysed the evolution of both the nasopharyngeal viral load and the serum neutralization activity against the variant of infection in 199 hospitalized patients (109 treated with Evusheld, 90 treated with placebo) infected with the SARS-CoV-2 virus and included in the randomized, double-blind, trial DisCoVeRy (NCT04315948). Using a mechanistic mathematical model, we reconstructed the trajectories of viral kinetics and how they are modulated by the increase in serum neutralization activity during Evusheld treatment.

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Intranasal Fentanyl Versus Morphine in Fracture Reduction in a Pediatric Trauma Center.

J Am Acad Orthop Surg

December 2024

From the Emergency Department, Paris Saint-Joseph Hospital Group (Bisso), the Paediatric Emergency Department, AP-HP, Robert Debre Hospital University, Paris University (Tielli), and the Paediatric Emergency Department, AP-HP, Necker-Enfants-Malades University Hospital, Paris University, Paris, France (Lopes).

Purpose: Pain management in orthopaedic manipulation in the emergency department (ED) is crucial to decrease fracture reduction performed in the operating room. This study compared intranasal fentanyl (INF) with oral morphine in time of care and effectiveness on pain during the reduction of bone fractures in a pediatric trauma center.

Methods: A before-and-after INF implementation study was conducted in a pediatric ED with a trauma center on children with a confirmed displaced closed fracture on radiographs with reduction and casting performed in the ED.

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Massive hemoptysis: A normal platelet count may not be enough.

Respir Med Res

November 2024

Hematology Department, European Hospital Georges-Pompidou, Paris, France; Paris Cité University, INSERM, Innovative Therapies in Haemostasis, Paris, France.

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Article Synopsis
  • Transitioning from pediatric to adult care is crucial for individuals with autoinflammatory diseases, yet the effectiveness of such programs, especially for specific diseases, is not well-researched.
  • A study at the French National Reference Center reviewed medical records of 111 young adults with autoinflammatory diseases to analyze the impact of transition types on healthcare follow-up and disease management.
  • Results indicated that those who underwent any form of transition had more regular follow-ups than those with no transition, and while the transition type didn't significantly affect disease control, collaborative approaches may enhance patient outcomes overall.
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Benefits of a spine team for the surgical management of paediatric scoliosis.

Orthop Traumatol Surg Res

August 2024

Université de Paris-Cité, Paris, France; FHU I2D2, Robert Debré Hospital, 48 Boulevard Sérurier, 75019 Paris, France; Département de Chirurgie Orthopédique Pédiatrique, Hôpital Robert Debré, 48 Boulevard Sérurier, 75019 Paris, France.

Background: For many years, blood-saving techniques and the enhanced recovery after surgery approach have been used to optimise the quality of care and shorten hospital stays. The creation of dedicated spine teams combining surgeons and anaesthesiologists specialised in spine surgery has been proven beneficial in adults. The objective of this study was to determine whether involving a spine team in the management of paediatric patients with scoliosis treated by posterior spinal fusion was associated with shorter hospital stays.

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In patients with moderate to severe atopic dermatitis (AD) showing an inadequate response to dupilumab 300mg/2weeks, few real-life studies reported the response to alternative regimen maintaining dupilumab. To assess and analyze the response to an increased dose of dupilumab or its combination with cyclosporin A (CsA), methotrexate (MTX), or itraconazole (ITRA), all adult AD patients from 7 French University Hospitals were retrospectively included if they achieved an inadequate response to dupilumab 300mg/2weeks and were subsequently treated with an increased dose of dupilumab (300mg every 7 or 10 days), or a combination of dupilumab 300mg/2weeks with CsA, MTX or ITRA. The response after 3 months, along with epidemiological, clinical, and therapeutic baseline characteristics, were collected.

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Article Synopsis
  • - The study focuses on the impact of Hepatocyte Nuclear Factor 1-beta (HNF1B) gene variants and chromosome 17q12 deletion (17q12del) on kidney disease progression, particularly chronic kidney disease (CKD), in a large cohort of 521 patients.
  • - Findings reveal that patients with the 17q12del experience a significant delay in the progression to CKD stage 3 compared to those with other HNF1B variants, with specific mutations in the DNA-binding domains correlating with even better outcomes.
  • - Additionally, the 17q12del is linked to lower magnesium levels (hypomagnesemia) and higher likelihood of elevated uric acid levels (hyperuric
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Education program for caregivers in congenital central hypoventilation syndrome: Initiation and experience families.

Pediatr Pulmonol

December 2024

Centre de Référence Constitutif Maladies respiratoires rares, Hypoventilations alvéolaires rares, Syndrome d'Ondine, Physiology and Paediatric sleep Unit, Robert Debré Hospital, INSERM NeuroDiderot, AP-HP, Université de Paris-Cité, Paris, France.

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Acceptance of a French e-Mental Health Information Website (CléPsy) for Families: A Web-Based Survey.

JMIR Pediatr Parent

August 2024

Child and Adolescent Psychiatry Department, Robert Debré Hospital, Assistance Publique - Hopitaux de Paris, 48 Boulevard Serurier, Paris, 75019, France, 33 185552762.

Background: Childhood mental health issues concern a large amount of children worldwide and represent a major public health challenge. The lack of knowledge among parents and caregivers in this area hinders effective management. Empowering families enhances their ability to address their children's difficulties, boosts health literacy, and promotes positive changes.

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Trans people have diverse life experiences which may include gender-affirming care (GAC). GAC positively impacts the quality of life of trans adults. However, they are often met with barriers to care and are particularly vulnerable within the healthcare system.

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Introduction: there is a lack of research evaluating the impact of therapeutic switching from human insulin to analogues, particularly in paediatric populations from low- and middle-income countries.

Aim: The study aimed to retrospectively assess the effectiveness and safety of transitioning from human insulin to insulin analogs in Tunisian children with diabetes.

Methods: This retrospective descriptive study included children with type 1 diabetes who changed their insulin therapy protocol after at least one year of treatment with human insulin.

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Aims: Gastro-oesophageal reflux is common in newborns, especially in premature infants. Treatment by medication is controversial as the drugs prescribed have not been consistently proven to be effective and are known to have adverse effects. This study sought to identify trends in the prescription of anti-reflux medication in a large group of French neonatal units.

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Background: Complement 3 glomerulopathy (C3G) and immune complex membranoproliferative glomerulonephritis (IC-MPGN) are ultra-rare chronic kidney diseases with an overall poor prognosis, with approximately 40-50% of patients progressing to kidney failure within 10 years of diagnosis. C3G is characterized by a high rate of disease recurrence in the transplanted kidney. However, there is a lack of published data on clinical outcomes in the pediatric population following transplantation.

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Article Synopsis
  • * A total of 2,515 patients were examined, primarily with lung and renal cancer, revealing a one-year survival rate of 84.3% and low mortality and morbidity rates post-surgery.
  • * Findings indicate that while adrenalectomy is increasingly performed minimally invasively, factors like extra-adrenal metastases and incomplete surgery are linked to poorer survival outcomes, highlighting a need for future research on patient selection for this procedure.
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Contribution of Coordination Theories to the Determination of Human Factors Associated With Operating Room Perceived Performance.

Anesth Analg

November 2024

Ecole des Hautes études en santé publique, Unité INSERM 1309 «Recherche sur les Services et le Management en Santé», Rennes, France.

Background: The efficient and fluid organization of surgical interventions in an operating room (OR) and operating suite (OS) is important as these are among the most expensive units to run in medical-surgical facilities. The complexity of OS organization requires careful coordination, defined here as the directing of individuals' efforts toward achieving common and explicitly recognized goals. There is currently sparse literature on OS coordination, especially in the French context.

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Article Synopsis
  • The study investigates the link between social deprivation and the incidence of kidney replacement therapy (KRT) among children and young adults in France, showing a correlation between higher social deprivation and increased KRT rates.
  • Analyzed data from 2010 to 2015, including 672 children who started KRT, revealing that 38.8% were from the most deprived areas, with higher incidence rates as deprivation increased.
  • Results indicate that social health inequalities emerge even at the initiation of KRT, emphasizing the importance of addressing these inequalities in chronic kidney disease management.
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Article Synopsis
  • - The study investigates the effectiveness of Objective Structured Clinical Examinations (OSCEs) for evaluating medical students, revealing that while in-person assessments provide depth, they also lead to inconsistencies due to varying examiner standards.
  • - Data from 900 medical students at Université Paris Cité was analyzed over multiple OSCE sessions, showing significant differences in scores based on staff who graded them, highlighting the need for a statistical method to account for this variability.
  • - The results indicate that both staff and student variances affect OSCE scores, with staff variability being notably impactful; implementing two raters for consensus grading can help enhance score reliability.
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