453 results match your criteria: "Versailles-Saint-Quentin University[Affiliation]"

Hereditary spastic paraplegias: When to expect bladder dysfunction a genetic and urodynamic study.

Eur J Neurol

January 2025

Sorbonne Université, Paris Brain Institute (ICM Institut du Cerveau), INSERM, CNRS, Assistance Publique-Hôpitaux de Paris (APHP), University Hospital Pitié-Salpêtrière, Paris, France.

Background: The aim of this study was to characterize hereditary spastic paraplegias (HSP) patients' urodynamic profiles and development of bladder symptoms.

Methods: This is a multicentric retrospective study which included patients presenting with bladder disorders. We reviewed medical and urodynamic records in individuals with HSP and recorded age at onset of gait and bladder disorders, disability stage at the time of urodynamic assessment.

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Acute kidney injury as a key predictor of cardiovascular events in chronic kidney disease patients: the CKD-REIN study.

Clin Kidney J

December 2024

Public Health Department, Epidémiologie - Maison régionale de la recherche clinique, CHU Lille, Lille, France.

Background And Hypothesis: Cardiovascular diseases are a leading cause of morbidity and mortality in patients with chronic kidney disease (CKD). Acute kidney injury (AKI) has been increasingly recognized as a potential exacerbating factor for cardiovascular events in these patients. The CKD-REIN study aims to explore the relationship between AKI and the risk of major adverse cardiovascular events (MACE) in a cohort of CKD patients.

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Urethral strictures post-hypospadias repair in adults.

Fr J Urol

November 2024

Department of Andrology, Urology and Renal Transplantation, University of Lille, Lille, France.

Background: Urethral strictures post-hypospadias repair in adults is one of the most complex subjects in urethral reconstruction. Our goal is to provide an overview of the challenges encountered and the current treatment options.

Methods: A comprehensive literature review was conducted using PubMed for the period from 2020 to 2023.

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Background: Urethral strictures are a common and persistent pathology in urology with significant clinical repercussions. Our aim is to provide an overview of the general aspects of this condition.

Methods: A comprehensive review of the literature from PubMed was conducted covering the period from 2020 to 2023.

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Re: Prevalence and Factors Associated with Prostate Cancer Among Transgender Women.

Eur Urol

November 2024

Department of Urology, Georges-Pompidou European Hospital, Paris, France; INSERM U1151, CNRS UMR8253, University of Paris Cité, Institut Necker Enfants Malades, Paris, France.

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Antihypertensive Treatment Patterns in CKD Stages 3 and 4: The CKD-REIN Cohort Study.

Kidney Med

December 2024

Centre for Research in Epidemiology and Population Health, Paris-Saclay University, Inserm U1018, Versailles Saint-Quentin University, Clinical Epidemiology Team, Villejuif, France.

Article Synopsis
  • Blood pressure (BP) control is crucial for preventing complications in chronic kidney disease (CKD), yet many patients struggle to reach target levels; this study evaluates how antihypertensive prescriptions change over time in CKD patients.
  • Conducted with 2,755 hypertensive CKD patients in France, the study tracked factors influencing prescription changes, such as patient demographics and healthcare provider interactions.
  • Results showed that over five years, there was a high rate of changes in medication; poor adherence to medications increased the likelihood of needing additional drugs, while having a lower education level led to more frequent withdrawals of antihypertensive medications.
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Background: A significant proportion of trans women is demanding for a genital gender-affirming surgery, with vulvo-vaginoplasty being the most frequently requested procedure. The gold standard for primary vaginoplasty in trans women is the penile skin inversion technique with scrotal skin graft, which allows for increased depth of the vaginal cavity.

Aims: The assessment of vulvo-vaginoplasty outcomes utilizing penile skin inversion and scrotal skin graft in individuals assigned male at birth in the surgeon's learning curve involves evaluating aesthetics, functionality, and sexual aspects.

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Urinary schistosomiasis: The Corsican file.

Fr J Urol

October 2024

Department of Parasitology and Mycology, CBH, CHUAP, Amiens, France; Agents Infectieux, Résistance et Chimiothérapie (AGIR), UR 4294, Picardie Jules-Verne University, Amiens, France.

Schistosomiasis, known as bilharzia, is a parasitic disease caused by trematodes of the genus Schistosoma, found primarily in Africa and pockets of the Middle East. Southern Europe seems to be a breeding ground for urogenital schistosomiasis emergence. Ten and five years have passed since the first and the last cases of urogenital schistosomiasis were identified in Corsica (patients who have bathed in the Cavu and/or Solenzara rivers between 2013 and 2019).

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Arteriovenous Access Creation and eGFR Decline in Patients with CKD.

J Am Soc Nephrol

November 2024

Centre for Research in Epidemiology and Population Health (CESP), Paris-Saclay University, INSERM U1018, Versailles Saint-Quentin University, Clinical Epidemiology Team, Villejuif, France.

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Patients' knowledge about renal secondary effects of anti-tumoral drugs and renal protection measures.

Support Care Cancer

November 2024

Groupe de Recherche Interdisciplinaire Francophone en Onco-Néphrologie (GRIFON), Paris, France.

Purpose: Onco-nephrology is an emerging subspecialty aiming to better understand and prevent renal events in cancer patients. We assessed patients' knowledge about (1) oncological/hematological treatments induced renal toxicity and (2) kidney protective measures.

Methods: Adult patients receiving systemic anti-tumor treatments in multiple day hospital units in France answered a self-administered questionnaire about their knowledge and expectations related to treatment-associated renal toxicity.

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Background: Transmission of SARS-CoV-2 highlighting the importance of social distancing guidelines. Following a series of lockdowns and the widespread vaccination of the European population, many countries began to lift these restrictions. During this period, while some parents yearned for emotional support and family presence, others found that the solitude facilitated by the restrictions was beneficial for bonding and breastfeeding.

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Authors' Reply: The Potential Outcome-Modification Influences Introduced by ESKD Life Plan on eGFR Slopes.

J Am Soc Nephrol

October 2024

Clinical Epidemiology Team, Centre for Research in Epidemiology and Population Health (CESP), Paris-Saclay University, INSERM U1018, Versailles Saint-Quentin University, Villejuif, France.

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Article Synopsis
  • - The study analyzed 79 patients with severe tuberculosis-related ARDS who received ECMO treatment at 20 centers worldwide, focusing on their 90-day survival rates and related complications.
  • - Results showed that 51% of patients survived for 90 days, with significant complications including major bleeding and infections; miliary TB patients had a notably higher survival rate than those with cavitary TB.
  • - Factors like older age, drug-resistant TB, and higher pre-ECMO SOFA scores were identified as key predictors of mortality, suggesting that ECMO could be a valuable intervention for patients with TB-induced ARDS.
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Background: The quantification of electromyographic activity using surface electrodes is invaluable for understanding gait disorders in patients with central nervous system lesions. We propose to evaluate a commercially available low-cost system compared to a reference system in participants with stroke-related movement disorders in functional situations.

Methods: Three hemiparetic participants performed three functional tasks: two treadmill walks at different speeds and a sit-to-stand test.

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[Molecular profiling in biliary tract cancers: A national practice survey of French platforms].

Bull Cancer

November 2024

Association pour l'étude des cancers et affections des voies biliaires (ACABi), Saint-Cloud, France; Department of Pathology, Rouen University Hospital, Rouen, France.

Introduction: Molecular profiling has become essential in the management of patients with biliary tract cancer (BTC). The aim of this study was to evaluate the practices of French genetics platforms in the management of BTCs.

Methods: A survey was developed by a multidisciplinary group and distributed to each of the 28 French genetics platforms over a one-month period.

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Introduction: Renal cell carcinoma (RCC) and breast carcinoma (BC) are frequent tumours, yet their co-occurrence in the same patient is a unique scenario. Few studies explored the characteristics of such patients without specific focus on pathological data. In this retrospective study, we aimed to describe the clinico-pathological features of RCC patients with a history of BC and compare them to a control cohort of RCC women free of previous BC.

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Diagnostic tests for infections in critically ill immunocompromised patients.

Intensive Care Med

November 2024

Department of Medical Intensive Care Unit, Saint-Louis Hospital, Assistance Publique-Hôpitaux de Paris, University of Paris Cité, Paris, France.

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Fluid responsiveness in acute respiratory distress syndrome patients: a post hoc analysis of the HEMOPRED study.

Intensive Care Med

November 2024

Medical and Surgical intensive care unit, University Hospital Ambroise Paré, GHU Paris-Saclay, Assistance Publique Hôpitaux de Paris, Boulogne-Billancourt, France.

Purpose: Optimal fluid management in patients with acute respiratory distress syndrome (ARDS) is challenging due to risks associated with both circulatory failure and fluid overload. The performance of dynamic indices to predict fluid responsiveness (FR) in ARDS patients is uncertain.

Methods: This post hoc analysis of the HEMOPRED study compared the performance of dynamic indices in mechanically ventilated patients with shock, with and without ARDS, to predict FR, defined as an increase in aortic velocity time integral (VTI)  > 10% after passive leg raising (PLR).

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The complement system is a set of over 50 proteins that constitutes an essential part of the innate immune system. Complement system activation involves an organized proteolytic cascade. Overactivation of complement system activation is the main pathogenic mechanism of several diseases and contributes to the manifestations of many other conditions.

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Background: The impact of antibiotics (ATBs) on the risk of colorectal cancer (CRC) recurrence after curative resection remains unknown.

Methods: Using the French nation-wide database of cancer patients, all newly diagnosed non-metastatic CRC patients resected between 01/2012 and 12/2014 were included. The perioperative ATB intake (from 6 months before surgery until 1 year after) was classified according to the class, the period of use (pre- vs post-resection), the disease stage (localized and locally advanced), and the primary tumor location (colon and rectum/junction).

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Tuberculosis in otherwise healthy adults with inherited TNF deficiency.

Nature

September 2024

St Giles Laboratory of Human Genetics of Infectious Diseases, Rockefeller Branch, Rockefeller University, New York, NY, USA.

Severe defects in human IFNγ immunity predispose individuals to both Bacillus Calmette-Guérin disease and tuberculosis, whereas milder defects predispose only to tuberculosis. Here we report two adults with recurrent pulmonary tuberculosis who are homozygous for a private loss-of-function TNF variant. Neither has any other clinical phenotype and both mount normal clinical and biological inflammatory responses.

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Reply to 'Unmasking hypertension in patients with CKD: who to screen and how to confirm the diagnosis?'.

J Hypertens

October 2024

Service de Physiologie et Explorations Fonctionnelles, FHU APOLLO, Assistance Publique - Hôpitaux de Paris, Hôpital Bichat-Claude Bernard.

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Article Synopsis
  • Mechanical ventilation for myasthenic crisis lacks standardization and is prone to failure; a study investigated using prolonged spontaneous breathing trials (SBT) and pulmonary function tests (PFT) to improve weaning outcomes.
  • Of the 126 analyzed cases, the weaning failure rate was 14.3%, notably lower when the cause of the crisis was identified, although factors like mechanical ventilation duration and infection risk influenced prolonged weaning.
  • The study suggests that implementing standardized protocols could enhance extubation success, emphasizing the need for further research to validate these findings in larger trials.
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Preservatives and ocular surface disease: A review.

Ocul Surf

October 2024

Paris-Saclay, Versailles Saint Quentin University, Paris, Île-de-France, France; Centre Hospitalier National D'Ophtalmologie des Quinze-Vingts, IHU ForeSight, Paris, Île-de-France, France.

Article Synopsis
  • * Chronic exposure to BAK can damage various parts of the eye and trigger inflammation, which complicates treatment and may diminish the success of surgeries for glaucoma patients.
  • * To mitigate BAK's harmful effects, switching to preservative-free eye drops or less toxic alternatives is recommended, along with considering non-drug treatments to enhance patient comfort and prevent further complications.
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