2,502 results match your criteria: "University Saint Quentin en Yvelines Versailles; Paris-Saclay[Affiliation]"

Surgical Treatments of Pediatric Bilateral Vocal Fold Paralysis: A Systematic Review.

J Otolaryngol Head Neck Surg

October 2024

Research Committee of the Young Otolaryngologists of the International Federation of Otorhinolaryngological Societies, Paris, France.

Objective: To review the current literature about surgical treatments of pediatric bilateral vocal fold paralysis (PBVFP).

Methods: A systematic review of the current literature in PubMed, Scopus, and Cochrane Library regarding etiologies and management of PBVFP was performed until November 2023 according to PRISMA statements. Quality assessment was assessed with Methodological Index for Non-Randomized Studies (MINORS) tool.

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Article Synopsis
  • * Both traditional risk factors (like diabetes and high blood pressure) and kidney-specific factors (such as uremic toxins and chronic inflammation) can damage the blood-brain barrier and promote neuroinflammation, leading to cognitive impairments.
  • * Recent animal model studies suggest new prevention and treatment strategies, focusing on the role of the blood-brain barrier, physical activity, and innovative therapies like SGLT2 inhibitors and GLP-1 receptor agonists in addressing cognitive decline in kidney disease.
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Background: Should COVID-19 have a direct impact on the risk of depression, it would suggest specific pathways for prevention and treatment. In this retrospective population-based study, we aimed to examine the association of prior SARS-CoV-2 infection with depressive symptoms, distinguishing self-reported . biologically confirmed COVID-19.

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Refining Criteria for a Neurodevelopmental Subphenotype of Bipolar Disorders: A FondaMental Advanced Centers of Expertise for Bipolar Disorders Study.

Biol Psychiatry

October 2024

Fondation Fondamental, Créteil, France; Centre Hospitalier Universitaire de Montpellier, Hôpital Lapeyronie, Psychiatric Emergency and Post Emergency Department, Pole Urgence, Montpellier, France; L'Institut de Génomique Fonctionnelle, Université de Montpellier, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale, Montpellier, France. Electronic address:

Article Synopsis
  • Bipolar disorder (BD) is a complex mental health condition, and researchers aimed to identify a neurodevelopmental phenotype (NDP) that contributes to its development and impacts clinical outcomes.
  • By analyzing data from over 4,400 BD patients, they established nine specific clinical features that characterize this NDP, which are linked to poorer prognosis and treatment responses.
  • The findings suggest that patients with a higher NDP load may have overlapping genetic factors with ADHD, indicating a potential shared biological basis for these disorders.
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  • * A total of 41 ENS patients were assessed alongside control groups, revealing that ENS patients exhibited significantly higher LPRD symptoms and severity, as well as a notable prevalence of depression.
  • * The results indicated that LPRD symptoms were much more common in ENS patients than in controls, suggesting a strong association that warrants further research using objective methods to confirm these findings.
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Inter-rater Reliability of the Reflux Sign Assessment-10 (RSA-10).

J Voice

October 2024

Haute Ecole Condorcet, Division of Speech Therapy, Saint-Ghislain, Belgium.

Objective: To evaluate the inter-rater reliability and internal consistency of the Reflux Sign Assessment-10 (RSA-10) among otolaryngologists and speech therapists with various experiences.

Methods: Six experts (2 otolaryngologists, 2 speech-therapists, and 2 speech-therapist students) rated 300 clinical images of oral, laryngeal, and pharyngeal signs from patients with laryngopharyngeal reflux disease diagnosis at the 24-hour hypopharyngeal-esophageal multichannel intraluminal impedance-pH monitoring. Inter-rater reliability and internal consistency were evaluated with Intraclass Correlation (ICC) and Cronbach-α.

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  • Tobacco use is a big problem in France, causing 75,000 deaths each year, and the country wants to have a smoke-free generation by 2032.
  • A study in 2022 showed that many French teens are aware of and have tried a product called the "puff," which is more popular than cigarettes among them.
  • Most teens think the "puff" is dangerous and polluting, but it still appeals to them because of its fun flavors and trendy image, which could make it harder to reach the smoke-free goal.
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Accuracy of ChatGPT responses on tracheotomy for patient education.

Eur Arch Otorhinolaryngol

November 2024

Department of Surgery, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.

Objective: To investigate the accuracy of information provided by ChatGPT-4o to patients about tracheotomy.

Methods: Twenty common questions of patients about tracheotomy were presented to ChatGPT-4o twice (7-day intervals). The accuracy, clarity, relevance, completeness, referencing, and usefulness of responses were assessed by a board-certified otolaryngologist and a board-certified intensive care unit practitioner with the Quality Analysis of Medical Artificial Intelligence (QAMAI) tool.

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Dimensional models of early life adversity highlight the distinct roles of deprivation and threat in shaping neurocognitive development and mental health. However, relatively little is known about the role of unpredictability within each dimension. We estimated both the average levels of, and the temporal unpredictability of deprivation and threat exposure during adolescence in a high-risk, longitudinal sample of 1354 youth (Pathways to Desistance study).

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Surgical, Functional, and oncological outcomes of transoral robotic surgery for cT1-T3 supraglottic laryngeal Cancers: A systematic review.

Oral Oncol

December 2024

Department of Surgery, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium; Department of Otolaryngology, Elsan Hospital, Poitiers, France; Department of Otolaryngology-Head Neck Surgery, Foch Hospital, UFR Simone Veil, University Versailles Saint-Quentin-en Yvelines (University Paris Saclay), Paris, France; Department of Otorhinolaryngology and Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium. Electronic address:

Background: This systematic review investigated the surgical, functional, and oncological outcomes of transoral robotic supraglottic laryngectomy (TORS-SGL) for cT1-T3 laryngeal squamous cell carcinoma (LSCC).

Methods: Two investigators conducted an updated PubMed, Scopus, and Cochrane Library systematic review for studies investigating the surgical, functional, and oncological outcomes of TORS-SGL using the PRISMA statements. The bias analysis was conducted with the MINORS.

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Article Synopsis
  • HIV infection increases the risk of diffuse large B-cell lymphoma (DLBCL), and this study analyzed B-cell activating cytokines and T cell subsets in 51 HIV-associated DLBCL patients undergoing R-CHOP treatment.
  • R-CHOP therapy led to decreased IL-10 and fluctuating IL-6 levels while BAFF levels initially rose and then fell; a significant increase in naïve B cells was observed, but recovery of other B cell types was gradual.
  • With a median follow-up of 41 months, 5-year progression-free survival was 61.8% and overall survival was 67.4%, with main causes of death being disease progression and sepsis, highlighting the need for assessing B-cell disturbances in patient
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ChatGPT and trainee performances in the management of maxillofacial patients.

J Stomatol Oral Maxillofac Surg

September 2024

Department of Stomatology, Oral & Maxillofacial Surgery, CHU Saint Pierre, Brussels, Belgium; Faculty of Medicine, Department of Human Anatomy and Experimental Oncology UMONS, Mons, Belgium.

Introduction: ChatGPT is an artificial intelligence based large language model with the ability to generate human-like response to text input, its performance has already been the subject of several studies in different fields. The aim of this study was to evaluate the performance of ChatGPT in the management of maxillofacial clinical cases.

Materials And Methods: A total of 38 clinical cases consulting at the Stomatology-Maxillofacial Surgery Department were prospectively recruited and presented to ChatGPT, which was interrogated for diagnosis, differential diagnosis, management and treatment.

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Chronic Cough Related to Thyroid Cartilage Superior Cornu Abnormality.

Ear Nose Throat J

September 2024

Department of Physiology, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.

Article Synopsis
  • - Chronic cough is a frequent issue seen in patients seeking help from otolaryngology specialists, but it can sometimes be linked to rare anatomical problems.
  • - A case study is presented about a 64-year-old woman whose chronic cough was caused by a curved superior cornu of the thyroid cartilage, irritating a nearby nerve.
  • - After surgically removing the abnormal cartilage, the patient's cough improved and did not return after 9 months, suggesting that examining the laryngeal structure might uncover treatable causes of chronic cough.
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Objective: To investigate the performance of ChatGPT in the differential diagnosis of oral and maxillofacial diseases.

Methods: Thirty-seven oral and maxillofacial lesions findings were presented to ChatGPT-3.5 and - 4, 18 dental surgeons trained in oral medicine/pathology (OMP), 23 general dental surgeons (DDS), and 16 dental students (DS) for differential diagnosis.

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Article Synopsis
  • - Ehlers-Danlos syndrome (EDS), especially the hypermobile subtype (hEDS), leads to joint hypermobility and tissue fragility, making surgical management challenging and lacking consensus among healthcare providers.
  • - A study evaluated 69 patients with hEDS, revealing that most initial surgeries were performed on knees and ankles, with a reoperation rate ranging from 35.7% to 60%, depending on the joint.
  • - Despite high reoperation rates, over 70% of patients reported satisfaction with their surgeries, emphasizing the importance of diagnosing EDS beforehand for better surgical outcomes.
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Prediction of radiotherapy toxicity: 20 years of COPERNIC radiosensitivity diagnosis procedure.

Cancer Radiother

October 2024

UMR1296 « Radiations : défense, santé, environnement », Institut national de la santé et de la recherche médicale (Inserm), rue Laennec, 69008 Lyon, France; Department of Radiation Oncology, American University of Beirut Medical Center, Riad El-Solh, Beirut 1107-2020, Lebanon; Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Bliss Street, 11-0236 Riad El-Solh, Beirut 1107-2020, Lebanon.

Purpose: Since 2004, in the frame of the care pathway, our Research Unit has replied to the demand of expertise of radiation oncologists about the individual radiosensitivity of some of their patients. This procedure, called COPERNIC, is based on a skin biopsy and the radiation-induced nucleoshuttling of the ATM protein (the RIANS model), a major actor of DNA break repair and signaling. In 2016, with the first 117COPERNIC fibroblast lines, we obtained a significant correlation between the maximum number of the nuclear ATM foci, pATM, and the CTCAE severity grade of the post-radiotherapy tissue reactions.

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Enhanced osteointegration and osteogenesis of osteoblast cells by laser-induced surface modification of Ti implants.

Nanomedicine

November 2024

Biomedical Research Centre, Sumy State University, R-Korsakova Str., 40007 Sumy, Ukraine; Institute of Atomic Physics and Spectroscopy, University of Latvia, Jelgavas Str., LV-1004 Riga, Latvia. Electronic address:

Dental and orthopedic implants have become routine medical technologies for tooth replacement and bone fixation. Despite significant progress in implantology, achieving sufficient osseointegration remains a challenge, often leading to implant failure over the long term. Nanotechnology offers the potential to mimic the natural patterns of living tissues, providing a promising platform for tissue engineering and implant surface design.

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  • Halide perovskites are promising materials for optoelectronic devices, particularly photovoltaics, but they face stability issues, specifically a tendency to change from their perovskite structure to a more stable nonperovskite form.
  • The study focuses on the phase transition of CsPbI, identifying a significant decrease in the transition rate when the material is surface-treated with CsI and CdI compared to untreated films.
  • Surface chemistry analysis via XPS reveals that surface iodide concentration influences this transition rate, suggesting that vacancies in surface iodide are crucial for the growth of the nonperovskite phase, highlighting that phase nucleation is a critical factor in the stability of CsPbI thin films.
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Associations of chronic kidney disease (CKD) with metabolic syndrome and cardiovascular disease (CVD) have long been recognized. Until recently, such associations were mainly limited to interrelationships between either heart and kidney, heart and metabolic syndrome, or metabolic syndrome and kidney. It is the merit of the American Heart Association (AHA) to have set up a work group of cardiologists, endocrinologists, and nephrologists for the purpose of combining all 3 disorders in a single entity, as an appreciation of their pathophysiological interrelatedness.

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Dynamic changes in maternal‒zygotic transition (MZT) require complex regulation of zygote formation, maternal transcript decay, embryonic genome activation (EGA), and cell cycle progression. Although these changes are well described, some key regulatory factors are still elusive. Sirtuin-1 (SIRT1), an NAD-dependent histone deacetylase, is a versatile driver of MZT via its epigenetic and nonepigenetic substrates.

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Background: Preparing healthcare systems for emergencies is crucial to maintaining healthcare quality. Nursing homes (NHs) require tailored emergency plans. This article aims to develop a typology of French private NHs and study their early COVID-19 responses and mortality outcomes.

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Protein Biomarkers of Gastric Preneoplasia and Cancer Lesions in Blood: A Comprehensive Review.

Cancers (Basel)

August 2024

Équipe DMic01-Infection, Génotoxicité et Cancer, Département de Microbiologie, Centre National de la Recherche Scientifique (CNRS) Unité Mixte de Recherche (UMR) 6047, Institut Pasteur, Université Paris Cité, F-75015 Paris, France.

Gastric cancer (GC) is a major cause of cancer-related mortality worldwide. It is often associated with a bad prognosis because of its asymptomatic phenotype until advanced stages, highlighting the need for its prevention and early detection. GC development is preceded by the emergence of gastric preneoplasia lesions (GPNLs), namely atrophic gastritis (AG), intestinal metaplasia (IM), and dysplasia (DYS).

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Should AI models be explainable to clinicians?

Crit Care

September 2024

AP-HP, Service de Médecine Intensive-Réanimation, Hôpital de Bicêtre, DMU 4 CORREVE, Inserm UMR S_999, FHU SEPSIS, CARMAS, Université Paris-Saclay, 78 Rue du Général Leclerc, 94270, Le Kremlin-Bicêtre, France.

In the high-stakes realm of critical care, where daily decisions are crucial and clear communication is paramount, comprehending the rationale behind Artificial Intelligence (AI)-driven decisions appears essential. While AI has the potential to improve decision-making, its complexity can hinder comprehension and adherence to its recommendations. "Explainable AI" (XAI) aims to bridge this gap, enhancing confidence among patients and doctors.

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[Influence of screen brightness on reading in dry eye patients].

J Fr Ophtalmol

November 2024

IHU FOReSIGHT, Inserm-DHOS CIC 1423, Quinze-Vingts National Ophthalmology Hospital, Paris, France; Inserm, U968, UMR_S968, Institut de la Vision, CNRS, UMR 7210, CHNO des Quinze-Vingts, Inserm-DHOS CIC 503, UPMC University of Paris 06, Paris, France; Department of Ophthalmology, Ambroise-Paré Hospital, AP-HP, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France.

Purpose: This study examines the impact of dry eye on screen reading, with an emphasis on glare and visual comfort for patients.

Population And Methods: We recruited ten patients with dry eye and nine healthy controls. Clinical signs of dry eye were quantified to determine the quality of the tear film and corneal aberrations.

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