253 results match your criteria: "University hospital Henri Mondor[Affiliation]"

Article Synopsis
  • Mechanical complications (MCs) following acute myocardial infarction (AMI) are rare but serious, with surgery being the recommended treatment; this study evaluated outcomes of patients who underwent such surgeries from 2001 to 2019.
  • Among 720 patients analyzed, the average age was 70, with the majority being male; the most frequent complication was ventricular septal rupture, leading to a significant in-hospital mortality rate of 37.4%.
  • Despite high immediate mortality, long-term survival rates for hospital survivors were promising, showing 65.7% survival at 10 years, with older age and postoperative low cardiac output syndrome being key factors influencing overall mortality.
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Background And Aims: Small-bowel (SB) capsule endoscopy (CE) is a first-line procedure for exploring the SB. Endoscopic GI PlacemenT (EGIPT) of SB CE is sometimes necessary. Although experience with EGIPT is considerable in pediatric populations, we aimed to describe the safety, efficacy, and outcomes of EGIPT of SB CE in adult patients.

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Article Synopsis
  • * The study focused on the effects of using ethanol infusion in the vein of Marshall during mitral isthmus ablation procedures on patients with long-standing persistent atrial fibrillation or peri-mitral flutter.
  • * Results showed a high success rate (94.2%) in achieving acute mitral isthmus block with ethanol infusion, while complications were minimal, highlighting this technique's potential effectiveness in treating these heart conditions.
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Rapid detection of cefiderocol susceptibility/resistance in Acinetobacter baumannii.

Eur J Clin Microbiol Infect Dis

December 2023

Medical and Molecular Microbiology, Faculty of Science and Medicine, University of Fribourg, Chemin du Musée 18, CH-1700, Fribourg, Switzerland.

Purpose: Due to its ability to disseminate worldwide and its multiple resistance trait, Acinetobacter baumannii is becoming a threat for public health worldwide. Cefiderocol (FDC) is a promising broad-spectrum cephalosporin recently approved for treating Gram-negative infection. The aim of this study was to develop a rapid test, namely the rapid FDC Acinetobacter baumannii NP test, for the detection of FDC susceptibility/resistance in A.

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Aims: Many historical and recent reports showed that post-infarction ventricular septal rupture (VSR) represents a life-threatening condition and the strategy to optimally manage it remains undefined. Therefore, disparate treatment policies among different centres with variable results are often described. We analysed data from European centres to capture the current clinical practice in VSR management.

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[Early detection of prostate cancer: Towards a new paradigm?].

Prog Urol

December 2023

Comité de Cancérologie de l'Association Française d'Urologie, groupe prostate, maison de l'urologie, 11, rue Viète, 75017 Paris, France; Service d'urologie, Hôpital Européen Georges-Pompidou, AP-HP Centre, Université de Paris, 20 rue Leblanc, 75015 Paris, France.

Prostate cancer (PCa) is a public health issue. The diagnostic strategy for PCa is well codified and assessed by digital rectal examination, PSA testing and multiparametric MRI, which may or may not lead to prostate biopsies. The formal benefit of organized PCa screening, studied more than 10 years ago at an international scale and for all incomers, is not demonstrated.

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Aims: Since the introduction of direct oral anticoagulant (DOAC) for atrial fibrillation (AF) therapy, inappropriate and/or underdosing of these drugs has been a major clinical challenge. We evaluated the characteristics of patients with AF treated with inappropriate and low-dose DOACs.

Methods And Results: Patients with AF treated with inappropriate and low-dose DOACs from October 2021 to December 2021 were evaluated from the French National Prospective Registry (PAFF).

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Interactions between Bacteria and in Airways: From the Mycobiome to Molecular Interactions.

J Fungi (Basel)

September 2023

Unité de Parasitologie-Mycologie, Département de Prévention, Diagnostic et Traitement des Infections, CHU Henri Mondor, Assistance Publique des Hôpitaux de Paris (APHP), 94000 Créteil, France.

Interactions between different kingdoms of microorganisms in humans are common but not well described. A recent analysis of the mycobiome has described the presence of different fungi and their positive and/or negative interactions with bacteria and other fungi. In chronic respiratory diseases, these different microorganisms form mixed biofilms to live inside.

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Worldwide expert recommendations for the diagnosis and management of vitiligo: Position statement from the International Vitiligo Task Force Part 1: towards a new management algorithm.

J Eur Acad Dermatol Venereol

November 2023

Department of Dermatology and Pediatric Dermatology, National Reference Center for Rare Skin disorders, Hospital Saint-André, University of Bordeaux, CNRS UMR 5164, ImmunoConcept, Bordeaux, France.

Background: The treatment of vitiligo can be challenging and depends on several factors such as the subtype, disease activity, vitiligo extent, and treatment goals. Vitiligo usually requires a long-term approach. To improve the management of vitiligo worldwide, a clear and up-to-date guide based on international consensus with uniform stepwise recommendations is needed.

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Background: The treatment of vitiligo can be challenging. Up-to-date agreed consensus recommendations on the use of topical and systemic therapies to facilitate the clinical management of vitiligo are currently lacking.

Objectives: To develop internationally agreed-upon expert-based recommendations for the treatment of vitiligo.

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Article Synopsis
  • This study looks at how two antibiotics, ceftazidime/avibactam and colistin, work together over time in fighting bacteria that are hard to treat.
  • They used a test called time-kill curves (TKCs) to see how effective these antibiotics are alone and together against certain bacteria.
  • The results showed that when used together, the antibiotics generally worked well without any bad effects, and they helped stop the bacteria from becoming resistant to treatment.
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Disease risk estimates in V30M variant transthyretin amyloidosis (A-ATTRv) from Mallorca.

Orphanet J Rare Dis

August 2023

Department of Neurology, University Hospital Henri Mondor, 51 Avenue du Maréchal de Lattre de Tasigny, 94000, Créteil, France.

Background: Variant transthyretin amyloidosis (A-ATTRv) is an autosomal dominant disease caused by a range of TTR gene variants which entail great phenotypical heterogeneity and penetrance. In Majorca, the A-ATTRv caused by the V30M gene variant (A-ATTRV30M) is the most common. Since asymptomatic carriers are at risk of developing the disease, estimating age of onset is vital for proper management and follow-up.

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Long-term microbiological safety of the use of stacker cranes for storage and distribution of surgical and medical devices in operating theatres and intensive care units.

J Hosp Infect

December 2023

Infection Control Team, Microbiology Department, University Hospital Henri Mondor, Assistance Publique - Hôpitaux de Paris, Créteil, France; UR DYNAMYC 7380, Faculté de Santé, Univ Paris-Est Créteil (UPEC), Enva, USC ANSES, Créteil, France. Electronic address:

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Clinician-reported outcome measures (ClinROMs) are essential for assessment of vitiligo in clinical trials and daily practice. Several instruments have been developed and tested to measure, for example, vitiligo extent, repigmentation and activity. The goal of this review was to identify all introductory publications of ClinROMs for vitiligo that include at least some aspects of validation and to describe the instruments' characteristics, intention for use and practical strengths and limitations.

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Purpose: To compare the oncological and perioperative outcomes of robot-assisted partial nephrectomy (RPN) and percutaneous thermal ablation (PTA) for treatment of T1 renal cell cancer (RCC) in patients older than 75 years.

Materials And Methods: Retrospective national multicenter study included all patients older than 75 years treated for a T1 RCC by RPN or PTA between January 2010 and January 2021. Patients' characteristics, tumor data, and perioperative and oncological outcomes were compared.

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Article Synopsis
  • Renal cell carcinoma (RCC) presents diverse histopathological features, complicating accurate diagnosis and prognosis, prompting a review of recent AI advancements in pathology to improve analysis accuracy and efficiency.
  • AI techniques are showing promise in effectively identifying and classifying RCC features, which can improve diagnosis, grading, and prognosis prediction while potentially reducing costs and the workload for pathologists.
  • Despite these benefits, challenges like standardization, performance benchmarking, and integration into clinical practices remain; developing clear methodologies and validation processes is essential for the successful adoption of AI in RCC pathology.
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Article Synopsis
  • The study examines the use of extracorporeal membrane oxygenation (ECMO) in adults experiencing cardiogenic shock after heart surgery, noting significant in-hospital mortality rates (60.5%).
  • Conducted across 34 centers from 2000 to 2020, the research analyzes patient characteristics and factors affecting both in-hospital and long-term survival.
  • Despite high initial mortality, approximately 66% of hospital survivors can expect to live for a decade post-discharge, with age and certain postoperative complications influencing long-term outcomes.
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On-Support and Postweaning Mortality in Postcardiotomy Extracorporeal Membrane Oxygenation.

Ann Thorac Surg

November 2023

Department of Cardio-Thoracic Surgery, Maastricht University Medical Center, Maastricht, the Netherlands; Cardiovascular Research Institute Maastricht, Maastricht, the Netherlands.

Article Synopsis
  • Postcardiotomy venoarterial extracorporeal membrane oxygenation (VA ECMO) shows a gap between the rates of successful weaning from the device and actual survival after discharge, prompting an analysis of patient outcomes.
  • A study of 2058 adult patients revealed that 62.7% could be weaned off VA ECMO, but only 39.6% survived to be discharged; major causes of death included multiorgan failure and persistent heart failure, with significant differences in mortality rates during and after ECMO support.
  • Key risk factors for on-ECMO mortality included emergency surgery and preoperative cardiac issues, while postweaning mortality was linked to complications like diabetes and septic shock.
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Article Synopsis
  • * Out of 32 responding centers, half had dedicated ECLS specialists, and 81.3% utilized additional mechanical circulatory support, but anticoagulation protocols varied widely without consistent guidelines.
  • * Findings indicate a significant diversity in clinical practices for PC-ECLS management, highlighting the need for standardized protocols and better use of existing evidence to improve care.
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Background: During the COVID-19 pandemic, the suspension of relatives' visits was a common measure in healthcare facilities to prevent the spread of the virus among patients. This measure caused significant adverse consequences for hospitalized patients. Volunteers' intervention was an alternative but could also lead to cross transmission events.

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Objectives: Postcardiotomy extracorporeal membrane oxygenation (ECMO) can be initiated intraoperatively or postoperatively based on indications, settings, patient profile, and conditions. The topic of implantation timing only recently gained attention from the clinical community. We compare patient characteristics as well as in-hospital and long-term survival between intraoperative and postoperative ECMO.

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